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13721 SW JENNA COURT . o lJZ C4. 1Ono— ______ . 1 I Il K� Al � � o • 1 ' i o c� CIL i 1 IZ rt t � r 20 00 -7/2 � u yg — ° so t4OTICE: IFTHE PRINT ORTYPE ONANYII , I ( I IMAGE IS NOT AS CLEAR ATHIS 1 � I II I � i II ! tIf I � i I � I II ► I I IiI III III I � I I � I 111 III I i � � It III I � I 1 � 1 i f�l I 1 I I I I I II I � � S TH IS NOTICE, --_W_ -IT IS DUE TO THE QUALITY OF THE No.38 �� .,,, � h , ORIGINAL DOCUMENT 6 Z --- 9T ----� T E T Z i T T 6 ST L —� g IIIIIIII!1► 11illilll ! ill► IIIIIIIIIIIIIIIIIlli11111111 II ILL 1111 IIII IIII IIIIIIiiIIIIIIIIIIIIIIIIIIIIiIIiIIII III Ii Ii . IIII IIII IIII IIII IIIIIIIIIIIIIIIII �!illiilll!IIIIIIIIIIIIIiIIII !Illllll 11lllLllllllill 1 11111 lll .11� l l l l�1�11 ,1 I I r W v N r' W C4 Ct7 z z n *7i i i l 13721 SCJ J3NNA CT - i CITYOF T I GA R DELECTRICAL PERMIT PERMIT#: ELC2002-00256 DEVELOPMENT SERVICES DATE ISSUED: 310/02 ' 13125 SW Hall Blvd., Tigard. OR 97223 (503)639-4171 PARCEL: 2S 104CA-10100 SITE ADDRESS: 13721 SW JENNA CT SUBDIVISION: HILLSHIRE ZONING: R-7 BLOCK: LOT : 101 JURISDICTION: TIG Proiect Description: Alterati,m to (2) branch circuits for basement remodel. RESIDENTIAL. UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - JO amp: SIGN/OUT LINE LTG: LI.MiT:D ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HDI/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERV,'CE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: RFEB, RAYMOND L - KRISTY A ELECTRICAL CONNECTIONS LLC 13721 SW JENNA CT PO BOX 875 1 IGARD, OR 97223 NEWBERG, OR 97132 Phone: Phone: 503-E-38-8033 Reg#: FEES _ Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 6/10/02 $53.59 2.720020000( Elect'I Final 5PCT CTR 6/10!02 $4.28 2720020000( Total $57.78 This Permit is issued subject to the regulations,;ontained in the Tigard Municipal Code, State of OR. Si)ecialty Codes and all other applicable laws. All work will be done in accordance with approved plays. This permit will expire if work,is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: � l4ed By: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: L!r;ENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application rt)-,te te received: r_- Permit no.:��LC�•, t t. City of Tigard jecdappl.no.: Expire date: Ci►yuJTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223, issued: fay: Rccerpt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 se file no.: Payment type: Land use approval- & 2 family dwelling or accessory U Commercial/industrial U Mulli-fancily U Tenant improvement U New construction U Addition/alteration/replacem,at U Jther: _ U Partial .110111 SITE INFORMATION Job address: 1312S- ;fin T Bldg. nn Suite no.: •fax map/lax louaccount no.: Lot: Block: Subdivision: — Project name: I Descrip ion and location of work on prernises: Estimated date of'cornpletion/inspection: CONTRAIC10111 APPLKATION 11--EE SCHEDULE Job no: _, Fee Max 7 eL,��G'�N�fP�r.ONS' .��C Descripliun QI)'• (ca.) 7utnl no.incp Business name: E''/�c rrc New rrddential-single or multi-family per Address: /'D &ox 87.5 dwellingunit.Includesattachedgarage. City: ew !Lw Stale: 7_l P: 7/� Seniceh)cfuded: PhoneSp3 _53 -&W Fax v3 I(x)0 sq.n.or less 4 Each additional 500 sq.ft.or portion thcroof CCB no.: /y92 y (�.Irc�hus.tic.no: 36 - /02C Limited energy,resulemial 2 City/metro Ile.110.: Limitedenergy,non-residential 2 Each manufactured home or modular dwelling signatuu,of'sup,ntsing electrician(requn,h I)ate Service anti/or feeder 2 su1, ch nnnnLicense nn. Services or feeders-Inclallatlon, alteration or relocation: PROPERTY1 200 amps or less 2 Name(print): 201 amps to 400 amps - 2 2 Mailing address: 4oi ampsm60oamps _ 601 amps to 1000 amps 2 City: - - Stale: ZIP: Over I( x1 amps or volts 2 Phone: Fax: L-mail: Reconnect only i Owner installation:The installation is being made on prop,!rty I own Temporary cenlces or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 21x1 amps or less 2 201 amps to 41x)amps 2 Owner's sign iture: Date: 401 to 6W amps 2 NOLM Branch circuits-new,alteration, or extension per panel: Nance: _ A. Fee for branch circuits with purr-hase of Address: service or feeder fee,each branch circuit 2 City: State 7� IP: B. Fee for branch cir•_uits without purchase Phone, lax: E-mail: of service or feeder fee,first branch circuit: 1 2 Each additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Fach sign or outline lighting _ 2 famifydwellings U Building over 10,010 square feet four or Signal circuits)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* _ 2 U Building over three stories U Feeders,400 amps or more "Description:_ U(kcupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U F:gress/lightingplan U Other per inspection submit___sets of plans with any orthe above. Investigation fee _ The above are not applicable to temporary construction service. Otter Not nil jurisdiction%twcept credit cards,please call jurisdiction for more inhxmanoo) Notice Phis permit application Permit 1ec....... .............!1+ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: — --1_(� within 180 days after it has been State surcharge(8%) ....$ _ r:X ares accepted as complete. TOTAI. . Name of ca of res shown on credit carU— S _ Cardholder signature Amount 44o0,15th'tXltt'Uhtl ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY {� Restrictea Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per uilit 1000 sq it or less $145 15 _ 4 Audio and Stereo Systems Each additional 500 sq If or portion thereof $33.40 1 Burglar Alarm Limited Energy $7500 Each Manufd Home or Modular ❑ Dwelling Service or Feeder $90.90 2 Garage C,)or Opener' Services or Feeders F–] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps _ $10685 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps _ $24060 2 Other Over 1000 amps or volts $45465 2 Reconnect only $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 2C0 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100,30 _ 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits ❑ New,alteration or exter cion per panel Boiler Controls a)The fee for branch circuits with purchase oi'servlce or Clock Systems feeder fee. Each branch cirCr it $665 _ L-1 Data Telecommunication Installation b)The fee for branch circuits without purchar a of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $665 EjHVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 _ Each sign or outline lighting $53.40 _ Intercom and Paginq Systems Signal circuit(s)or a limited energy panel,alteration or extension $7500 _ Landscape Irrigation Control' Minor Labels(10) $125,00 Each additional Inspection over ❑ Medical the allowable In any of the above Per inspection _ $6250 Nurse Calls Per hour _ $6250 _ In Plant $73.75 v_ O,rtdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ _ _ F–] Other 8%State Surcharge $ _ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses aro required licenses are required for all other installations front of application — Fees: Total Balance Due $ -- ""� Enter total of above fees Trust Ac.^unt# _ _ 8%State Surcharge $_ — _-- — -_— --�"--- -- ---� Total Balance Due $ All New Commercial Buildings require 2 sets of p!ans. 41sta\fomLs\eIc-fees.doc 08/30/01 r. V1_UMB I NG PERMIT CITY OF TIGARD DATE I ISSUED: . 02/17/944 -9Qi2 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 972,JeF199 (503)839-4171 PARCEL: S 104CA--10.100 SSITE ADDRESS. . . . 1.37 :1 SW JENNA CT SUBDIVISION. . . . : HILLSHIRE ZONING;: R•-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 101 CLASS OF WORK. . :NEW CIARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . el BHCKFLOW PREVNTRS. . :k+ OCCUPANCY GRP. . cR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 F1XT'URES- --- ---___.___ LAUNDRY TRAYS. . . . . . : 1 5F RNIN DRAIN5. . . . . : I SINKS. . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0 TUB/SHOWEPS. . . . : SEWER LINE (ft) . . . . :0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0 Remarks : PATH I OWNER: -------------------------------- --__-----------__FEES-__________._.___. PAHLISCH HOMES INC TIF $ 1520. 00 JH 02/17/94 -- 15100 SW KPLL PARKWAY BPRT f 550. 50 JH 02/17/94 - SUITE E BPLC $ 357. 83 JLH 01/19/94 94--24 ibl'+ BEAVERTON OP ')7006 B5PC $ 27. 53 JH 02/17/94 - Phone #: 643 SSDC f 280. 00 .JN 02/17/94 - PARK f 500. 00 JH 02/17/94 - Plumbing Contr•actor ---- ------- ---- MPRT $ 45. 00 JH 02/17/94 - �i // MPLC $ 11. 25 JH 02/17/94 - Names L� M5PC $ 2. 25 JH 02/17/94 - Addres5 : _ b Il?. PPRT $ 162. 50 JH 02/17/94 - C i t y : _.._.._.___St ae :,QP' - P5PC 6. 13 JH 02/17/94 - Zips Phone4:.(0_,LV113_ Rey #: ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insr) Code, State of Ore. Specialty Codes and all r'ost/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance with approved pians. This Plm/undslab Insp Mechanica Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl. Dv,ain Fireplace Insp �) Gas Line Insp Insulation Insp x Gyp Board Insp Authorized Plumbing tontractor Signature Call for inspection - 639-4173 Contractor Notes : �aawraa�s. CITY OF TIGARD MASTER PERMIT. : ��ERMI r #. . . . . . . 1+15T94-9025 COMMUNITY DEVELOPMENT DE*A'Ri'Ir ihT DATE ISSUED: 02/ 17/94 13125.Si 'Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PAPCE;_..: 2 104CA_.10100 SITE ADDRESS. . . : 13721 SW JENNA CT SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD BLOCIJ.. . . . . . . . . . . LOT. . . . . . . . . . . . . : 101 -------------------------------- BUIL.DIN[a NLISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . : 1092 sf CLASS OF' WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :7:_'3 s YPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS------------ TYPE OF CONST. :5N FIRST. . . . : 1`76 s f LE:F•T. . :5 ft RIGHT. :6 ft OCCUPANCY GRE''. : R3 SECOND. . . : 1352 5f FRONT. :21'0 ft REAR. . :36 ft STORIES. . . . . . . :2 THIRD. . . . :0 s REQUIRED-- _-----_.______.__.__... HEIGHT. . . . . . . . :28 ft TUTAL-- ----:2'6LB S SMOKE DETECTORS. :Y FLOOR LOAD. . . . 140 psf VALUE. . . . . PARKING SPACES. . : 1 Remarks: PATH I ----------------------- PLUMBING SINKS. . . . . . . . . . : 1 !=LOOR DRAINS. . . . . BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0 •D/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 '.R CLOSETS. . :3 SEWER LINE (ft) . :0 CREASE TRAP'S. . . . . . :0 D0 1WASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 6ARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 — MECHANICAL •________._._____.._.__._..---__ -___.___._. FEES TYPES UNIT HTRS. . :O type amount by date r^ecpt /GAS/ / / VENTS . . . . . :0 TIF f 1520. 00 JH 32,'17/94 — MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 550. 50 JH 02/ 17/94 — 1--URN ( 100K . . :0 HOODS. . . . . . : 1 BF-,LC $ 357. 83 JLH 01 /19/94 94-•247819 FURN ) =100K . . : I WOODSTOVES. :0 B5P(:.: 9, 27. 53 JH 02/17/94 -- FLOOR TURN. . . . :0 CLO DRYERS. : 1 SSDC $ 2:80. 00 JH 02/17/44 — SOIL/CMP ( 3HP:0 OTHER UNITG: 1 PARI, $ 500. 00 JH 02:/ 17/94 - GAS OUTLETS: 1 MPRT $ 45. 016 .J 11 02/17/94 — Owner: $ 11. 215 JH 02/ 17/94 — PAHLISCH�HOMES INCM5PC $ 2. E5 JH 02/17/94 - 1.5100 SW I'�'LL PARKWAY PPRT $ 162. 90 ,JFi 02117/94 'QUITE E P5PC $ 8. 13 .JH 02/17/94 - BEAVE:RTON OR 97006 Phone #: b43 PAHLISCH HOMES INC. 15100 3W KOLL PKWY 'ITE E ,GAVERTON OR 97006 171hone #: 684--6453 Reg #. . : 42067 ---------------_..-...-_.... ... ... f 3464. 99 TOTAL This perait is issue subject to the regulations contained in the ------- REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applir.Able laws. Ail work will be done in accordance with approved Post/Beam Stt-uct Gas Line Insp plans. This permit will expire if work is not started within 188 Post/Beam Meehan Insulation Insp days of issuance, or if work is suspended for sore than 18111 days. Pim/undslab Insp Gyp Bnard Insp PLM/Underfloor Rain drain Insp >ermitte� Signatu- ,e : ._ _ . _P.)OPechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk I-sp Issue!j Pv : _ Framing Insp Mechanical Final Call for inspection - 6:.?,9--4175 SEWER CONNECTION PERM I T CITY OF TIGARD PERMIT #. . . . . . . : SWR94-0027 COMMUNtTY DEVELOPMENT D&WOAMT DATE ISSUED: 02/17/94 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL.: 12S104CA-10100 SITE ADDRESS. . . : 13721 SW JENNA CT SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD BLOCK. . . . . . . . . . . LOT . . . . . . . . . . . . . : 101 ------------------------------ --- ------------ TENANT NAME. . . . . USA NO. . . . . . . . . . FIXTURE uw"rs. . . : CLASE OF WORK. . . :NEW DWE LLI NO UN I T S. . : 1. IYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 T NSTALL TYr". E. . . . -BUSWR 1.11PERV SURFACE. . f Remar-ks : PATH I Owner-.- --------- - PAHLISCH HOMES INC type amol-Int by date recpt 15100 SW KPLL PARKWAY PRMT $ 2200. 00 JH 02/17/94 "U Il P 1-1 - E 1 NSP $ 35. 00 JH 02/17/94 BEAVERTON OR 97006 #: 643 Contractor: CONTRACT':-,� NOT ON FILE Pl-lurlp #: $ 2235. 00 TOTAL R ey ------- REDUIRED INSPECTIONS This Applicant agrees to comply with all the roiles and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires IN days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in ;111 directions from the distance given. If not so located, thp install?r shall purchase a "T.p and Side Sfwer" Permit and the Agency will install a lateral. P I t t e e Lj T 1,3 e Tssl-tecl By : Call for- inspection 639--4175 Residential Building Permit Application CA- City of Tigard 13125 SW Hall BIV 1. Tigard, OR 97223 (503) 639-4171 Jobsite Address: only Subdivision: y //s-4 ; Lot # �I PLvWRec# °f Valuation: _1� � ��, y 5 Permit# Owner: Reissue of Address: Approvals Required Phone: Planning ` Engineedng Contractor: Address: i { /G o _s. k // p6 r t w��, S•, Items Required �Q�ycr^l cY0 G Subcontractors Phone: Tvvss Details Contractor's License # r (attach copy of current Oregon license) ......:i...r ..: <a, ,..'•www—.�.•••• �,° Subcontractors: Plumbing: Mechanical: (attach copy of current OR Contractor's License) Architect/Engineer: Address: _4,; 97.2 j f Phone: ti 1- 3 0/0 COMMENTS. Applicant Signature & Phone number Received by: _ Date Received: i' Permit # Account Description Amount Amt. Pd. Sal. Due Bldg. Permit (BUILD) .53o,.�o 1) jo Sn Plumb. Permit (PLUMB) ' Z•31 ,�Z,.5-2, Mech. Permit (MECH) J vo State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) cue/.C� -�—r—,� �/ • v Bldg: Plumb: J Mech: d 2-7 Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Partes Dev Charge (PKSDC) G 0 c5!'iU Storm Drainage Chg (SDSDC) �U / Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) 110 Comn;Qrcial TIF (TIF-C) Industria:TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WaUAL) i Water Or-antity (WOUANT) r, Fire District (FIRE) - '-- — TOTALS: %..o,ITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 OCCUPANCY PERMIT #. . . . . . . . MGT94-902") 3'�-41 /I DA-rr-'. ISSUED: 09/1.4/94 PARCEL: 2SI04CA--10100 SITE ADDRESS. . . 1137021 SW JENNA CT SUPID I V I S I ON. HILLSHIRE Z ONI NG: R--7 PID "I LOT. . . . . . . . . . . . . a101 -OCK. . . . . . . . . . . ... ........ U'LASS Or:-- WORK. :Nr-.'.W 7 YPE Or USE. . . .BF OCCUPANCY GRP. -R3 OCCUPANCY LOAD-228 4 rENANT NAME. . . : Pemarkse PATH I MHLISCH HOMES INC 15100 SW Ki,-L.L P'(-)RKWA' !�-IJITE-. E BEITIVERTON OR 97006 1+1hone #: 643 CUT)t I-aVt Dt-t PAHLISCH HOMES INC. 15100 C3W KOLL PKWY 1`21 U T TE F BEAVERTON OR 97006 f--1hune #. 604-6453 P-f., #. . - 42067 (Ic.c.,uparicy c;f the above r-eferellCed bUilding is hereby giveTi, and certifie 1.1w c.,ompliance with the State Of Orer 4ui, 16pecialty Codes for the group, r�:C.I.(pl,�k tn.c y, and oAse undei- wh i ch the t-efer tanc ed per-m j t was i sued. .11 DIN NSPECTOR I'EJ PQS'T 11\1 CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Buildiry Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-u-Phone: 639-4175 Business Phone: 63q-4171 Inspection•—__—______ Footing Plbg. Underelab Mech. Rough--in Appr/Sdwlk found. Plbg. Top Out Gas Line FINAL Post/Beam Strur_t. San. Sewer Framing Poet/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. C-- Date Requested: —+�— -f--�--f— --Time: _---AM PN Address:Z. 21 _ Permit 1s__J � Builder:- THE uilder:THE FOLLOWING CORRECTIONS ARE REQUIRED: CA A Inspector: Date._ % APPROVED _-� DISAPPROVED APPROVED SUBJECT TO ABOVE ---Call For Reinsp. r✓' IT CITY OF TIGARD PERMITU#. . . . . . :BING PLM96--i&:`13 COMMUNITY DEVELOPMENT oFPARTMENT DATE ISSUED: 07/24/96 13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)639.4171 PPRCEL: .,'-'S 104CA•--11111.00 SITE ADDRESS. . . : 1371:'.1 SW JCNNA CT SUBDIVISION. . . . : HILLSHIRE 7:CNING: R-7 PD 131._.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . . 101. CLASS OF WORK. .. :NF_W GARBAGE. DISPOSALS. : 0 MOBILE HOME SPACES. : 0 1'YPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . .. 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURF-c -- LAUNDRY I-RAYS. . . . . . 0 !:3F RAIN DRAINS. . . . . : 0 ��INKS;. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 I.-AVATORIES. . . . . : 0 OTHER FIXI`URES. . . . : 0 TUB/SHOWERS",. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSE:1 S. . : 0 WATER I__lNE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : IT)Gtalliny a residential backflow device. Uwrler : _____-..____________.__.__._______.-----__.__.__________._._. __ FEES --- --- -- _-__.-__ FRIG REF_.IH type amOUT)t by (fate recpt .1.3721 SW JENNA CT PRMT $ 15. 00 CJS 07/24/96 96-282013 5P(::T $ lb. 75 CJS 07/24/96 96--2:82:013 TIGARD OR c)'7,.,-* 3 Phone #: (-nntractor,: _...__._._......__._.---_-..._-•_--__--___-- __._-- PRO LANDSCAPE PO BOX 5952 BE:AVERTON OR 97006 _.---•-------•----________.---.__---__.___..___. P11-ione #: 504-642-5432: L 15. 75 TOTAL_ Rey #. . : 12174 REDUIRED INSV-"ECTiONS - This permit is issued subject to the regulations contained in the RP/Backflow Flrev Tigard Municipal Code, State of Ore. Specialty Codes and all othrr Final Inspection applicable laws. A)1 work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more _..___—.__•_ ___ ___ __ than 180 days. I ,er,mittee Signati-u,e : _ • Call for inspection - 639-4175 City of Tigard - PLUMBING PERMIT APPLICATION Planck/Rec. # I-r-5. zz�?a c 13125 SVA/ Hall Blvd. Permit # fi,-m`7G-Oa4d Tigard, OR 972231 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Sinale Family Residences Only ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job � ��-��1C'� C —• ❑ 3 BATH HOUSE$225.00 Address Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below, "'""'"'"'•' ' FIXTURES QTY PRICE AMT Sink 9.00 U. "A"1 """' Lavatory 9.00 - 1 . Owner ( L Tub or Tub/Shower Comb. 9.00 Shower Only 9,00 O Cq I' z �? Water Closet 9,00 '— """"' Dishwashei 9.00 Garbage Oiaoosal 9.00 Occupant MMM Ad*— Washing Machine 9,00 Floor Drain 9,00 """" °► Water Heater 9,00 Laundry Room Tray 9.00 Urinal 9.00 Other Fixtures (Specify) 9.00 Contractor Ad*— 9.00 s.00 m 9.00 Sewer 1st 100' 30.00 1. Me. c °"'#&A.T.W Cower-ea. Addit. 10U' 25.00 -1 > Wattr Service 1st 100' 30.00 i hereby acknowledge that I ave read this application, tha the Water Service ea. Addle. 200' 25.00 information given is correct, that I am the owner or authorized agent of — — th owner, that plans submitted are in compliance with State laws, that Slorm &Rain Drain 1st 10l)' 30.00 I am registered with the Construction Contractor's Board, that iie S'.onr &Rain Drain Ar dic 100' 25.00 number given is correct. (If exempt from State registration, illeaso give reason below.) Ii i Home Space 25.00 ( Baok Flow Prevention SV �. . \V�� 'y�l C L Device or Anti-Pollution Device 9.00 S'°"" "'""" ' / 0ei Any Trap or Waste Not I7 G ,JI ( _ Connected to a Fixture 9.00 Desc be work newaddition Q alteration C) repair Catch Basin_ 9.00 :)e done residentia Q non-residential Q Insp. of Exist. Plumbing 40.001hr Spei.ially Requested Inspectiorc Z-00 h� Existing use of budding or property Rain Drain, single family dwelling 30.00 _ Residential backflow prevention devices 15.00 , P-rr_osed use of bi_oiding or property '(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL Pl:".'HITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE CONSTRUCTION OR WCRK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25% OF SUBTOTAL TOTAL Scecial Conditions -- — -- —+— — --- Date issued �" �- `�F ;,y CTS CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line. 639-4171 �y BUP _ Date Requested_ u, G/ 0 AM PM BLD _ Locationl_>? ( I Y1�1 L_ Suite MEC Contact Person Ph PLM _ 9[r_-' � ? S Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wa!I ELR Footing A' -- Foundation NOT REQUESTED FPS — Ftg rr FOU Crawll Drain If ND DURING RESEARCH SGN Cr - — Slab NO INSPECTION(S) FOUND IN FILE SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation , L ' Drywall Nailing Firewali Fire Sprinkler Fire Alarm Susp'd Ceilmq Rcof Misc: - Final PASS PART FAIL ,PtLjMBM-) � L os eam -- Under Slab Top Out Water Service Sanitary Sewe t�F� Rain Drains rm A PART FAIL - - - HANICAL Post&Beam - - ---- -- Rough In Gas Line Smoke Dampers PASS PART FAIL ELECTRICAL - - ___----- _.--_- Service Rough In LIG/Slab Law Voltage Fire Alarm _-- Final PASS PAR"i FAIL SITE Backfill/Grading -" Sanitary Sewcr Stor^1 Drain ( J Reinspection fee of$ required before next inapectlon. Pay at City Hall, 13125 SW Hall Blvd Catch Basin J Please call for reinspection RE: ( J Unable to Inspect-no access Fire Supply LineADA 2 Approach/Sidewalk Other Date _ Inspector Ext' Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.