10000 SW JOHNSON STREET-2 11 410
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CITY OF TIGARD BUILDING INSPECTION NOTICE I �`
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL: A
Foundation
Water Line Ceiling -Plumb. - I
Post/Beam Mech. Shear/Sheath Framing Mach. ■
� v �•�f�ltrblPd '�;
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Mach. Rough-in Gyp. Bd. g.
Post/Beam Struct. Mec -Bldg.
San, Sewer Gas Line Appr/Sdwlk Reins.
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{� Date: -
A.M. —_P.M. Entry: _ - , :..'; ,,
Address:
._nTs�'� —K Gd Ste:
Tenant: —� MST:
BLIP: _
Con/Own: MEC:_
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ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR-1
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Inspector:
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`: APPROVED ._DISAPPROVED/CALL FOR REINSP, CO
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Ci F AR B I ING INSPECTION
Ins)ection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
PisVBeam Mrich. Shear/Sheath Framing -Meth.
Plbg.Und/Flr/Slab Plbg,Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. Bldg. V
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: `� T M. Ent
Address: �OD� 0 — S(.t� 0� Al ',rd
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ant:_ Ai..�..n,,t Ste-- MST: T�_��3 a ,
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THE FOLLOWING CO�RECTIUNS ARE REQUIRED: FL'�.
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In pectora __ ---- Date: �1 i,l�K ;'Y- 'wfi;r ,>th
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APPROVED _—DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41711
Inspection:
Footin Susp. Ceiling Sprink. Rough-in AppNSdwlk
g
Foundation Pibg. Underslab Mech. Rough-in Fireplace e
Post/Beam Strtart. Plbc. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. fan. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Flaming Plumb. ■
Alarm Water 1-ine Insulation -Mach.
Underflr. Insul. Shear W I y 3p d, Elect.
Date Requested: S Time: AM PM
Address:
74Builder: 3 "�1 �-----Permit tt:
HE FOLLOWING CORRECTIONS ARE REQUIRED:
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—APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection._
1
Footing Susp. Ceiling Sprink_Rough,in ] ,Appr/Sdwlk
Foundaticn P!bg. Underr.lab ech. RD k Fireplace
Post/Beam Struct. (fEf Tcp Ou % Elec. Rough-in FINAL:
Past/Beam Mech, Sari. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain raming /i -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: `1 — C1 —nl 1 _Time: AM PM
Address: UD CJO `
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Builder: �� — Permit #O ^
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_
APPROVED _DISAPPROVED 0<�PPROVED SUBJECT TO ABOVE
(r) ' --Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE r
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rcugh-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace I
Post/Beam Struct. Plbg. Top Out <E'e Rough in FINAL: r�=r °t ■
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Post/Beam Mech. San. Sewer G^.. Line -Bldg.
Plbg. Unrierfloor Rain Drain Framing -Plumb.
/',;arm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: wtlri
q Time: AM PM
Address:
00 ri, ,n; ;�kM ;
Builder: g Q --S 47 `Permit#:FLS 2S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:;�sCL.� / Date: 7
/APPROVED _DISAPPROVED _APPROVED SUBJEJT TO ABOVE
Call For Reinsp.
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, CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPAR'TMI.NT d
13126 SW Hall Blvd.Tigard,Oregon 97223.8108 (603)831r-4171 PLUMBING PERlyi I T
PERMIT *1. . . . . . . : PLM95- 111601
'x171 DATE ISSUED: 07/18/95
C ARG[_L.. k-S 1�D2L _0 130"
SITC ADDRESS. . . : 10000 SW JOHN30N T
SUBDIVISION. . . . : NO. TIGARDVILLE ADDITION AMEND, ZONING: R-4. 5
. . . . . . . . . . .z LOT. . . . . . . . . . . . . : 16 �
CLASS Or WORK. . :ADD - GARBAGE�D I Sr'05=TLS. . : MOBILE_HOME SPACES. :
TYPE OF USE. . . . :SF WISHING MACH. . . . . . . : Br1CKFLOW P'REVNTRS. . »
OCCUPANCY GRP. . :R3 FL_;)OR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . : r
STpFt I E S. . . . . . . . : 1 Wf,'r'CR HSA T E RS. . . . . . : CATCH
u-,uiVI)!2Y TRAYS. . . . . . : 5F RAIN DRAINS. . . . . :
.STINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . » GREASE: TRAPS. . . . . . . . �
I._A1)A"i 0RIE.S. . . . . : OTHER PI XIURES. . . . . .2 •
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . .
WP1ER C:LO1aCT . . » Wf�"rCFi LINE (ft ) , . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : Install 2- hese bills
Owner-. ____.__.______.__.___..____.__.__..__..._.____.._...__...__._._._..__._.___.._._ _..._.__ FEES
r?ICK I;RAMIEN type amol.rrrt Ijy cd ate recpt
1,61000 ,SW JOHNSON ST P'RMT $ 25. 00 JD 07/18/9T 95-12'68176 i
OPCT 11 1. 23 JD 07/19/9'1 ')5-_,2681 C
[CARD OR 97283
I ,I�crne t#:
Conti-actor,.
CHRIS'T'IAN PLUMBING INC
E:3172 SW STr1FFORD FAD
TUALP,rIN OR 9706
A -82:"11 $ 6. 25 TOTAL
I
Reg ft. . : 41 :671
_.._.,_._._._.._ REQUIRED INSfIECTIONS —_..._..._
This permit is issued subject to the regulations contained in the Misc. Inspection
%;Rr� Municipal Cade, State of Ore. Specialty Codes and all other Final Irrspectian
applicabl; laws. All work will be dant in accordance with
approved plans. This permit kill expire if ►cork is not started
within 160 days of issuance, or if work is suspended for more
than 1&0 days.
P p r•m i t t toe r i
I y s 2'.t a cd By .-
Call for inspection - 639•-•4175
_ JUL-18-95 WED 07 :03 AM CEO F+. Mt .LHN. Pl_UMI,NG 7719454 P. 01
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Ci of Tigard g and
PLUMBINr pERAA1T APPLICA►TtC)N PlancWReo, #Halt
° 13125 SW ----
Tigard, OR 97223 d Permit # �- o I G
PE{/,
(503) 839-4171
MINIMUM . 25.00 PERMIT FEE+ti"r, SURCHAR,
._�_—.�'�.,,�_..._ el�v $I�n•He Fam{N Ra�ida�,.�O,J}L �
0 1 DATH HOUSE$1.10.0.) 0 2 t Ari HOUSE y193.(
Job 0 0 .$mss' .✓C)"4 A50�� ❑.',BATH 1401,18r-9229,08
�At�f+eas a. :i. s"' " r+ Fare inClud" all pluenbi,ig fixtum In the cN wig nM the Mgt 100 fa
--'!L 6 7>7 of welpr service, sanhury Sewer and storm Sewer. Sep fats b>ftlaw.
rr...ter we.°r wrwr,Ml FIXTUR�9 i
QTV PR1d
1111,00
OwnerO S•C.� �JO/�/�'J ,- Tub or Tub/Shower Comb. 0.00
�► Shower Only 0.
rwm r«r-o" .wn«.i Oishwazher -
_ 9.00
Gaftege OtsposSt 9.00
accuperH „a,,,,--�---� - ,�,. � Wohing Madgm 0,00
Now bash 9.w
Water Heater 9,00
Laundry Room pay 9.00
Urinal 0.00
tither FMuros (Specify) 9.0
ContreCtor wiy mow. ►nm° '�`7�. 9.Gir
9.00
jcnrsur a
Sewer tst 100' 30.0
ran 11400'am w. eM e..r..r» 6ewer-ea. Mo. t 00r 2.5.00
_ ' s�G / 3 Wow Servioe lot 100' 30.00 .,
I hefNiy'e kdge that I have read this eppllo3tion, lhii the Water S@Mes ea.Addit. 2.00' 4ti,W
information Divan is oorrect, that I am the owner or authorized agent of
the awtlyr, tp'.t plane oubhlNted are in o"tiame with State Iswo, that Storm a Rain Drain lot 100' 30.00
I am mg4*0 w*A the Construction CmtnKW$ hoard, that the Storm R Rain IDmIn Addit. 100' 25.00
number given is vwTad. (N exempt tram Slato regiatt0on, plwe
pito Mobile Horne Space 25.00
B>w,:it Flow Prevenlian •^
Derlu or Anti Pa trden NOrs 9,00
"'�""''"•r""r "• An 1 Trap or sts Not
_ Conncolied to a F"im 9.00
etwriho work new O-'aOdl on 01te;911on repair e Catch Bolin 9.00
to be deme rrsklential 0 non-realdentlal Q Insp, of tcXbL umbing 40 001hr
SRv9lalN Raquested In.1pWA"afixitt
husidinq or pmpOny use of
NuUdinp Rain Drain, single featly dwrrdlng _ 30.00 -
�. �_ �. _..__----,-------- --
Residentiel beck low prevention
Fi vosed use of - l
I}Uibi•t9 otpropr,rlyy�� ---
•(Earoor7f r�rard�nNef b�ekMeN. �•���
Exnvx,itlan �v(etsa) I
){Q?ICE 'Minimum Fee :25.00 5119TOTAL e�- �
PERMITS BECOMF V110 IF WORK OR C',)N81RUCTION
AUTHORLtEO IS NOT COMMENDED WITHIN 180 DAY$, OR IF 5%SURCHAROS ( �
CONSTRUCTION OR MRK 18 GUSPENDED OR A1914100NFo - ---------
FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
GEAMENCEO, PLAN RBVIEW 291:OF taIIOTU(Al.
i ..�
TOTAL
i tineclal CorwWorm -
0
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C I l Y OF, `I'I(3ARD — RF,:CF.I PT OF F'AYME.►JT CHECK AMOUNT sRECEIPT NO. g5-w'b 6- e L �
CA5iH AMOUNTs 0• tri
NAMEs }CREaMIE:N J;7, aTfaNl_EWY F2 F'AYME:NT Dn"r s q�'71IA/�3c�
ADDRESS s 9UEAD I V 1122 I ON s
1�dk�� k3W JOHNSON
TIGARD OR 9'7223—
AMOUNT PAID PURPOSE OF, PAYMENT
PAID
F'UFtpOBF: OF AAYMENT
_._.__W. ..__...........__.._._._. 1. P-5
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ST.
pl UMLaI'Nfi MITI,.,) PER
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I 10000 sw JOHNSON
I TOTAL. AMOUNT PAID -• —
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
" 13125 SW Hall Blvd. PERMIT# L LKQ,
Tigard,OR 97223
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_�T —
TDD No. (503) 684-2772
CITY OF 710ARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
V O'p 1SCENSON _—
• Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . i)r41L�
�!(��� (� C� '71�� (FOP.ALL SYSTEMS) .
Ciry State Zip Check Tyne of Work Involved: 1�
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems*
15 NOT STARTED WITHIN i 90 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. pint Burglar Alarm
❑ Garage Door Opener*
2�. zCONTRACTOR APPLICATION 6cc n,ccs jeA✓I ❑ Heating,Ventilation and Air Conditioning System*
't
on Frac or�u ✓vl r"rn"'s/Ou"f1YPe fti� ❑ Vacuum Systems*
❑ Other C' r%/� E
Address—2 3/D
Date :,l'V Y ZP �9Q� _ COMMERCIAL—Fee for each system . . . . . . . . 140.00 I'
(SEE OAR 918-260-260)
Property Owner_ 1 �!G!� Check Type of Work Involved:
��- n St S
Contractor's Board Reg. No, �I� _ ❑ Audio and Stereo e y
Boiler Controls
Phone# 3 IT Z_yyZ —. ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No El Instrumentation
Address ❑ Intercom and Paging Systems
❑ landscape Irrigation Control*
City State Zip ❑ Medical
This permit Is Issued under OAR 918.320.370.This applicant agrees to make only ❑ K, -Calls
Irrestricted energy installations(loo volt amps or less)under this permit and to do the ❑ tdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where re:li fired.(Certain El Protech:�Signaling
residential and other transactions ata exempt from licensing.These have ❑ Other
asterisks(•).All others need licensing.
2. Call for on inspection when all of the installations under this permit are ready
for inspection at 503-639.4175.
❑ __ _Number of Systems
3. Purchase separate permits for all installations that are not ready for Inspection
when the inspector is out to inspect under this perms' •No licern s are required. Licenses are required for all other installations.
4 Assume
re.%ponsihility for assuring that all corrections required by the Inspector
are ---- ------ .-------— -.
5. Assume responsibilRy for calling for a final Inspection when all of the corrections 5. FEES
are completed.
The person signing fort is permit must be the applicant or a person a. Enter Fees $ 40. 00
authorized to hi a apt licant.
b. 5o/n Surcharge(05 x total above) $ �' 00
Signatur TOTAL $� 00
Authority if other than applicant
ENERGAP.CHP
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C T"I Y OF T I GARD - j1FCF 10T OF PnYMF:N-1- RE(-;E I PT NO. 05--:6 1 f,7
CHECK AMOUNT' s 42. 00
NAME= o ELECTRONIC 1.iO1_1xr I FINS PLUS CAS14 AMOUNT 4J. P2.1
f11)1)RF:8S t F'0 BOX 2r-387 PlIYMENT DATE= 07/18/95
SUBDIVISION It
I I+1I1..WA1JKIE, OR 97�69-..
PURPOSE OF r.10'eMFNT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
i
EI_:Ff TFtlCAL. F'ERMY'T 40. 00 ST. BUILD PER �:?. me I
� F
13 T T1:-i 1000 SW J'OHN17ON e i
T T GARD, OR 972- 3 111
6
TOTAL AMOUNT PAID 00
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Community Development
ELECTRICAL PERMIT APPLICATION
1315 SW Hall Blvd. , 4
Tigard, OR 97223 Planck/Rec. #
Permit # f_L L, 9 fi (�l [a 1'r
Phone (503) 639-4171 Date Issued ��S
CITY A�TIOARD FAx (503) 664-72J7 Issued byy
TDD No. (503) 684-2772
Inspection (503) 639-4175
F 1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
AddressL n 0 O0 `VJ O cr. S Service included: Items Cost(ea) Sum
City/StatP2ip_ l - V�"(Zck 4a. Residential- per unit 4
1000 eq II or lase $11000 _
Each additional 500 aq If or
Name (or name of business; porlion thereof $2500 1
Commercial[� Residential E I Each
Energy $2500
Eacch Menufd Nome of Modular 2
Dwelling Service or Feeder 568 00 _
2a. Contractor Installation only: 4b.Services or Feeders
Installation,allerabon or relocation 2
Electrical Contractor "=\O'A • �ti`< 200 amps or Ions $6000 �.r� 2
Address "l e 201 amps to 400 amps $80 00 2
'� 401 amps l0 600 amps $12000 2
City ... sem_ State OiL Zip CrIlb,1 601 amps to 1000 amps $18000 2
Phone No. Z �o tc -�_ R [1_ Over 1000 amps or volts $34000
Contractor's License No. '3-- l RF-conned only $50.00��
Contractor's Board Reg. No. 2 (r O`l \ 4c. Temporary Services or Feeders
U Installation,alteration,or relocalion 2
Signature of Su r. Elec'n ,�.J\ Y` 200 amps or less $5000 2
License No.—1- k-L-3 'I Phone No.Z- b b-`i ib _1� 201 amps to 400 nmpa $us oo _ 2
401 amps to 600 am pa
Over 600 amps to 1000 volts
2b. For owner Installations: see'b'above
4d. Branch Circuits
' Print Owner's Name New,alleration or extension per panel
Address n)The lee for branch circuits wffh
purchase of Nrvics or Assdsr Ase. 2
City _ State
zip-Each branch circuit $600 1
Phone No. h)The lee for branch circuits wrfhouf
The installation is being made on property I own which is purchase of service or leeder be.
2
First branch circurf 535 00 2
not intended for sale, lease or rent. Each adddionni branch circuit $500
Owner's Signature 4e. Miscellaneous
(Sorvice or feeder not included)
3. Plan Review se0on (i{ required): Each pump or irrigation ting $40 oo _ 2
1 � � Each sign or outlirlr.lighting 540 00 _
y Signal cimud(s)or a 6mded anergy 2
Please check appropriate item and enter fee in section 5B. panel,allwation or exlenatcn $4000 _
1 4 or more residential units in one structure Minor Labels(10) $10000 _
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in eRy of the above
as described in N E C. Chapter 5 Pe•'nep"':1'on $3500
Per hour 555 00
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. $, Fees:
NOTICE 5a. Enter total of alxroe fees $ C d
--- 5%Surcharge(05 X total fees) $ _� 1
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS Subtotal $ _
COMMENCED. [I Trust Account N
Balance Due $
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CITY OF T I GARD RECEIPT OF r-,AYlvlFNT RECEIPT NP. 293-268081
CHECK AMOUNT a '7:3. 50
NAME % CANBY FLECTRIG, INC. CASH AMOUNT a 0. 00
ADDRESS a 790 5 IVY STREET PAYM(-N i• bATF 1 (47/17/95
95
CAPJDY, OR SUBD I')I S I ON a
97013--
PURPOSE OF PAYMENT AMOUNT F.'A I D r-"LJRPnS CIF- PAYMENT AMnUN i, PAID
3� EI.,E'F.:T'ftl'Cp1. ERM:'r "70. Q10 ST. BUILD FIER X3. 50 F
S�
it
IOL400 SW ,JOVINSON
TOTAL. AMOUNT PAID
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+` CITY OF TIGARD BUILDING INSPECTION J, f" NOTICE
a e1`w Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171 a
Inspection:
fa #
Footing Susp. Ceiling Sprink. Rough-in Hppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace •
_ #,
ost/Beam_ Plbg. Top Out Elec. Rough in FINAL:
ost/Be Sar. Sewer Gas Line Bldg.
Framing -Plumb.
1
F
Plbg. Underfloor f am g
4�I
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect, _
APM _, i .
Date Requested:
Time-
Address: «
x. .
Builder: Re' r Sq Pormit#:
THE FOLLOWING CORRECTIONS".!'E REQUIRED:
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Inspector: ��
��APPPIOVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. '
4
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CITY OF TIGARD BUILDING INSPECTION NOTICE ;
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 659-4171
Inspection: 'i
S rink. Rough in Appr/Sdwlk
F Susp. Ceiling P
noting Fireplace
`� Plb Underslab Mech. Rough-in P
Foundation g' '.: ,
Post/Beam Struct. Plbg. Top Out Elec. Rough
in FIN,
Gas Line -Bldg.
Post/Beam Mech. '-an. Sewer
�
Plbg. Underfloor Rain Drain
Framing -Flumb. (
Insulation Mech,
Alarm Water Line
Shear Wall
Underflr. Insul.
Gyp. Bd. Elect.
G s _Time: PM
Date Requested: �
Address: 00
PU
7 _Permit #: ( S '
Builder: G�,1.—' " I
THE FOLLOWING CORPIECTIONS ARE REQUIRED:
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Date:
Inspector: '
_APPROVED/ ,DISAPPROVED PPROVED SUBJECT TU ABOVE
Call
rFor Reinsp.
ji*1023.. -4`.'i,040*S]Nn' ,f. rR '.r'
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CITY OF TIGARD :7,cRmI T�1 c. . . . . . ... . 1, j�. , '.3
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COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/06/95 �
13126 BW Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171
F-A RI.�_i... LS10,:�J':�Tl A1.?��•
TTC AnDC1ESS. . . : 10000 OW ,!OHNSON ^T
I;AIiIVISION. . . . a iiO. TIf-ARDVILLE ADDITION AMEND. ZONING- R•--4.
l'M-OCI:, . . . , . . . . . . 1.OT� . . . . . . . . . . . .
_...__.._._... __..._..__._. ......__._._.._ ....__.._ .._....._.._.. .._ DUII..DING
R[ I4GI..lr : DLJt�I_.l_I NIC 1JN T T^:►Zr 13Fa5E'1+1E t`;T. . . . . . . . 20 P
C;LAaS CIF WGRK. aADD REDRMSsO PATh16:0 GARAGE. . . . . . . . . , s0 f
e P E aF" i..""'E. . « :S F" 'LOOR ARC:Au... -
YPEc Of CONST. ;5N rIRST. . « . :^10 sof I..EFT. . : 10 ft RIGHT. .0 ft
+ ~EC:fiND« . , :41 �r FRONT. ;0 fit Rr"fel~. , a ft
I)';CIJF AP�,..r Y ORP. t�'��
rORIES. . . . . . . : I F INB ME:NT:0 sf RFC3.UIRF>7_..__. ......_._ .,.....____.__M..___
014T. ,, , . . . . . : 1; ft TC)TnL.. u,: l 0 i;f OMOKE I;CTF"CTOR !Y
_OOF'
LOAD. . . . 940 p,f VALUE. . . . . t s 13,379 PORKING SPACCS. . 10 9
.acirlition 7'10 S(4 ft
.. ......_...._._. . ...._. PLUMBING, -w�w._..__.........,._._....._ .._...__...__,_._ .._.... ._,.. ....._...
IN;S. . . . . . . . . . :Z r'LOCR DRQ+INC. . . , :Pt 'DACKF"LOW PRr.-VNTRG. . +."I
AVATORIES. . . . . .0 WATER HFATF_F,:':. . . :0 TRAPS. .. . . . . . . . . . . . . 10
lI ! ti1CJW['FS1, . . . aril
LAUNDRY TRAYS. . . 10 CAI'Cll SASINS. . . . . . . *0
SWELINE (ft ) .CILOSETS. . :0 GREASr TRAPS. . . . . . . :0
I[2,FMAVIERO. . . . :0 W(ITE*:2 1. 1N ft;i . 20 OTHr'R FIXTURES. . „ . . :0
ARBAGEC DTSES. . . :0 CAIN DRAIN
;ASH I NG MACH. . . '0 3I~ RA 114 1'',I'-`.I'41 Wri. . :0
_._._......_. __..... ....... MECHANICAL . .. .. .. .._..._ .__ ..,_.... .. ..- ..._..._....._......._--- (-'rES .-. .._._ . - .
FUEL. TYPES- UNIT liTl;;::,. . 0 t'rNe iF%maunt key Jate r•ecpt
/GAS/ ! l VENTS . . . . . :0 SPRT $ 1.04. IS0 J1)FI (A6 06/9
11AX INPUT:0 F7 Ll Vl::NT FANS,, . :0 M—C 1 67. 03 )W Oc 1.Gn./05 9'!, 26CK:i �
. . .0 HOODS. . . . . . :0 S!5pc 1 5. 23
i"URI'd ? :00i' . . l40ODTTOVES,.. :0
FLOOR FURN. . . . »0 CLO DRYERS. : 0
BOIL../M-1 < 3HPt?l OTHE'_R I J r�I T 0
GAS OUTl_C.T0:0
RICK KRAMICN
1007.0 SW J01IN50N GT
F
TIGARD OR X9'72,,:33 '
PI'l o n a f1
Cantractnr: _..__.___..._....,.___.__...._._...._...._. ._.. __._... . ._._._._
ROVAL
E'O BOX 1230605
T OARD OR 97�1161.
hone fib: iti+•14•-7i97,a
4, , : 30746 _.. .__._......_.._......_._._._._..._.�».._..._.... __..
(,6 T t7 T 1=11_ i
is pertit is issued s+,bj4ct tc tha regulations cantaired in the '- - REOUIRED TNS1:TGTION1L,
gard 'Runirlpal Ude, :tate if Ore. Specialty Codas and all a'.t,s- Footiriq Ir,s�� T�.�i1.cling Final
clpiicahle :arts. All work will be done in actordance with approved roundaa ion Insr• E'r,csitan Control 1
;,inns. This par®it will expire if wort; is pit stnrtad within IN Pne t"txe. m
t:ys of isslance, v if work is susp@n{ I'F " I AT
Cci6Vi Dr"eYin
A Glyn Llnarcl Iris,,
QVI iisiri 'Wain Insi.
Call fur- +. t- inn d,.39 1F175
I
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.•. ,,. ..,., ��MIHAM.:aai:,,l .-,e•,..rar•r4�MM�'i°�Rnld[rcewrrYaM*un. ,w,.+.,,....w�.�.,,,..»..,... . .. ,y,, ��
Residential Building Permit Application �c�h
City of Tigard
13125 SW Mall Blvd.
Tigard, OF 917223
(503) 639-4,171
i
Jobsite Address; 1bCxx) S>A.) JO ttvj&)(,j Ste; C1q'I'ZZ3
I
Subdivision: Lot* I-jC>Z LP,(� Offitcs Use Oniv
Valuation:
eH PiancldRec
Permit# /'1�`>f��s'"U 2 -7 �� a
Comer Lot? Y N
Flag Lot? O
�;l N Reissue of
.,/Owner. (Z1(-1C , D L?-9�lE Approvals Required t
Q �w �C1ti �N 5C r 1� ca2
Address: t 000 — Planning A G � 0�-✓
`{?Z 2 Engineering
Phone: Other
Contractor: ROYAL- KCS (N( _ Itbms Required
Address: -Z-3y BUT Sw Pn-C t F k C (+w Subcontractors
O R. q Z Z U '+5� Truss Details
Phone: {? ,f olL r��7 zv -Lt 3 Other
"Contractor's License # c go 7 �[J
(attach copy of current Oregon license)
Contact Name & Phone: MVC- (SRR y
?Zo -y 363 ,hr,ff ' �4
Subcontractors: Architect/Engineer: `
1
Plumbing: _ Address:
Mechanical: _
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION: P6-)bL710AJ
7
i Applicant Signature & one number
Received by: ) �' ��� �_ _ Date Received: 1-? �)
�I!".'wWiKJ�Mrifs'_.carv.,e ... n h 4•'
_._....�. _ r•wu,.•o.rv..ned+MNTAMSe.'rrn.,.,. ., _ ,..,.....,-. ..,..•.........,m.,�dxG,
Permit# Account Description Amount Amt. Pd. ,Xlal. Due I,
1-UCS 18,Idg. Permit (BUILD) /G' .s o t
I
Plumb. Permit (PLUMB) I
Mech. Permit (MECH)
State Tax (TAX)
z I
Bldg:
Plumb:
Mech:
r Ian Check (PLANCK)
■
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-ISS
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN)
Erosion Plan�klCOT (EROSN)
TOT4LS:
I
- �i _ KdF.�'1�Pd 'C'���Ib '%M4M`'M1aMMylgtllM'1�41MfyMlMGnraerbu.rvee�w. +•,............... ... ...,.....,r,........,.r.....a.....w....r+.....a..,..,... .
M•
11..
CITY OF TIGARD
BUILDING DIVISION
RESIDENTIAL PLANS SUBMITTAL
I
■
PLAN CHECK
APPLICANT NAME:
#
ADDRESS: —
PHONE #
DATE RECEIVED.
RECEIVED BY:
■
CHECKLIST (All items must be in packet before plan will be reviewed)
YES NO N/A
3 FULL SETS OF BUILDING PLANS (No red line revisions
or tape-ons).
2. [ ] [ ] [ ] 5 SITE PLANS(including tax lot and tax map number,easements,
erosion control provisions, floor elevation of garage and main
floor, set backs, drive-way location, north arrow, scale, location
and termination of rain drains,all property corner elevations,and
contours if over 15% grade).
3. [ ] [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and the lot is not flat, revised
drawings are required. No red lines accepted).
4. [ ] [ ] C ] REVISION TO PLANS MUST BE FOLLOWED THROUGH j
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5 [ ] [ ] [ ] FLOOR PLAN(S)
6 [ ] [ ] [ ] FLOOR FRAMING
7. [ ] [ ] [ ] TRUSS JOI-'TS (engineering, details and layouts)
g [ ] [ ] [ ] ROOF FRAMING PLAN (all hips and valley supports indicated
and detailed).
OVER
�Wrr,esan+o�ro�vxrra�,w',nwra^ra• a, .,r ,. ... ..
t,
YES NO N/A
9• [ J [ ] ( ] ROOF TRUSSES (engineering, details and layouts)
I
10. [ ] I ] [ l COMPLETE CROSS SECTION(S) �
1 ; [ ] [ ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12• [ ] [ ] [ ] BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if -Halls are 8 ft. high )r
higher)
1
13. [ ] [ ] [ ] WALL BRACING (structure must meet table R-402.10, revised
alternate method 93-7, or a lateral design shall be provided)
14. [ ] [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
INCORPORATED INTO THE PLANS. No attachments are
allowed.
15. [ ] [ ] [ ] BEAM CALCULATIONS (all beams over 10 ft. in length or any
beam that supports a point load).
16. [ ] [ ] [ ] ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTIONS IN RED
NOTE: A tree removal permit shall be required for cutting of all trees that are 6" or
large- in diameter at 4 feet above grade. Permit application forms are
available from the Planning Division. Two copies of a site plan showing the
location of the trees and p-jposed building are required with the application.
i
19submILISt j
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i
CITY OF T I GARD - RECEIPT OF PAYMENT RE:CE I P'T NO. r 95-266.3(-,
I
L H SCK. AMOUNT
A NAME: 1 ROYAL REMODEL I NB RESOURCE C:F23F-t AmOuNT a �►,. 41k7
AUURE'�3S 1 1 c`.��1"i 4J PACIFIC HWY PAYMENT DATE 1 �►�lt�G/r��. I
Sust)IVIaION
TlGFjRD, OR
PURPOSE OF PAYMENT Ai' MCN-f PA I n F UIRPCISE: OF PAYMENT AMOUNT
FIA I U
DIJTL_L!TNC� !='F6�1+1� hIE•'T��s,-`-o0'3F-t- _._._...._ ����N ` S"C. BUILD PER
•
PLAN (�IiCC V, FE `1 Q1
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a
a.[TLn
c r A f+;
I�►DQ�TI 6'W ,Ji)N+Nfafll'�I ST TIL",Af�D, OR �l7�_r"-::1
i s.1.1 Fal_, Eahll"II_�^dT PAID _ ~> 1(h`5. 1.=33
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CITY OF TIl3Aft2) RECEIPT OF t"fIYMEI�'t RI~C"F IF'T NO. 195—c"�.E.,fy26,3
CHECK AMOUNT e 71. 83
NAME s ROYAL REMODELING r;AF�I l AMOUNT ky. 00
AI)flRE"•5Ei r 12585 CIW 1'ACIF.If'. HWY PAYMENT DATE i ���•/�,: "fir;
TIGARD, OR SUBDJVI S ION �
972 i';3
PURPOSE OF PAYMENT AMOUNT T PAID FV.)Rf-''Cln • OF' PAYMENT AMOUNT PAID
PLAN CHECK FE E,---7R 71. 83 �
�i
�I
I
'I f;
S
" 10000 ',=,W ,JnHNS(IN
�I
T 0TAL. AMOUNT PAID — ) 71. S3
7
.fi.. �'• KNOWN— i�{4r .., ..rRL
�Sh , T LI 14kAItn� f .1
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