16641 SW JORDAN WAY I+ r' f 4 t • tel!'.? '" t ' 1 � 9 SWk
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CITY OF TIGARD
I COMMUF i,r-' DEVELOPMENT DEPARTMENT t>t:i+�M) ( lt. . . » . » •
13126 SW Hal,Awd.Tln Mrd,Oregon 67223.8199 (503)939-4111
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' k,AJIAE),C.s:1CilON. . . . BE:1;rr`ORI) L'JL.k:.N T_OKI lNlta
TYPE. OF' U;:L. . . :sr
OCC.UPcJlVt,.Y (:SRP. t R3
C)r-CliPANCY LOA0t 11 7 A ;
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BE:.F)C(7N
BLAVUHT(M OR U075
I-101VIE:S
r-1() BOX 1361-A I
BEAVERTUN OR 970'M
Phone *. t t'rr.4-•1999
70 782
UL:t- pa v y Of tale aabuver I-effwe1►ce d bui ld ir'ig 1 t; hereby gi veno aanl.c c er•t 7i f t e!P
»' the c.,ompi- lance with the StAte Of Ur•r?I or ',�,,amcialt"I C;rrdea for ti'ie group,
Or.•tlupt t►r. y, -nr4 use a.rtcic►- which the ref tr•ence`d parmi1; Wet i.lissuelri. �
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PIT.-IT 11,4 C;(IN;iE"s 11.IJ(1l1'.a PLACE CE.
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MSPECTIO?,NOTICE
City of Tigard Building Depart—'t
13125 811 Ball Blvd. 2igard. oregoa 57223 y
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
+ 1
Footing Pibg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line P'INAL:
Plot/Beam Struct. San. Sewer Framing -.Bldg.
post/Beam Mach. Rain Drain Insulation
P169. Underfloor plater Line Gyp. Bd. -Mach,
��// `� Tiaae: _MM *QPM
,` •
Date Reyvaetsd. 4 /,4 I —
C> Permit f s�jC, 5
Addreas:1y hUl . --..-
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Builder: —_�—---
THE FCLLDPJING (GRRECTIONS ARE REQiJ1RED: 4
i
Inspt ctoe s` Date: _)--_,
I.
APPRC v1SD —_ DISAPPROVED APPROVED S'JBJRCT TO ABOVE
___Call. For Rninsp.
_ . J
' j]78PECTION NOTICE.
city or Tigard Building De`artsant
13125 OW Ball Blvd. 719ard, Oregon 972:3
Inspection Line (Rec-o-Phone)r 639-4175 Huaineee Pnonet 639-4171 3
Inspection:
Footing Plbg. Underslab Mach. Rough-.in Appr/Sdwlk
Fund. P`bg. Top Out Cam Line FINAL:
Post/Beam etruct. San. Sewer Framing -Bi0q• ,[
Pont/Roam Noah. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater Line n^- II� - h•
Date Requested: ` J 7� Times AN PM
Addresstl�,/�1 �7 t �v Lam_ Permit
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED: f
.x°V
11/ lJ�Ml1'�•+ y_t.1.. f� /.+ .. Datot
DISAPPROVED_ 1 APPROVED 8118JECT TO ABOVE
call. Fnr Reinsp.
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DEPARTMENT OF LAND USE 6 TRANSPORTATION
" WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640.3561/693-4415
PHONE: 503/648-8781
Page
OREGON Date 04/26/93
6 q / Time 11 : 47 '
Permit Type Residential Electrical Permit Permit # 05039810
Permit Status APPROVED Applied 04/26/93
Situs Address 4.44 " 5W JGRDAN WA KC Issued 04/26/93
Perrit Title sFR - LUW�TUL %ALARM Complete' ■
Permit Descr. To Expire 10/23/93
Project Title SH'H - LOW VUL'I'A(.,E/ALARM Project # 00030735
Project Descr * EROSION
■
Parcel Number 1 251'1'l - Land Use District
Valuation : U
Legal Descr.
Owner INSPECTION - TIGARD C:onstrurtion : UTH e
Applicant Name s NATIONAL GUARDIAN CORPORA'TIOW Classification 900
Applicant Addr, : 511J NE SANDY BLVD Occupancy R3 -I
PORTLAND OR 97213 Validated by JF
Applicant Phone : 288-3430 Inspector Area
CONTRACTOR : NATIONAL GUARDIAN Lic , C '26-5:1.4C 288-3430
Fee description Units Fee/Unit Ext fee Data
----------------------------------------------•--------------------------------
Limited Entegy/Alter./Extension 1 40 . 00 40 . 00
Subtotal Electrical Fees : U 40. 00
State Surcharve of ',*, 0 2 . 00
Total Electrical Fees : 0 42 . 00
*** Fees Required *** *** Fees Collectel & Credits ** A
;i ------------------------------- ----------------------------------------------
Receipt- Na , Date Payment
04/26/93 42 . 00
TOTAL THIS DATE. ********* 42 . 00
Fees : 42 . 00
Adjustments, : . UU 'Total Credits : . 00
Total Fee-- : 42 . 00 'Total Payments : 42 . 01J
Balance Due : . 00
NOTICE: This permit be:omes null and void If the work or constructinn for which 11 Is Issued In act comm-wired within 190 days. Once cune'ruction has slarted,
the permh becomes null and void II'conslructlon Is Interrupted for a period of 160 days 1 certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Depertmeu,"s reliance
upon fnlas and mislea iing Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this hullding or structure will be compiled with whether or not specified on the plans or neled on we plana correction sheets. I acknowledge that
the granting of a permit does not grant authority to arcess privr'le property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various thnes during the process of construction and the building
� InspeclIon ata!f verifying cam pllpnce with the vauious codes. Use or occupancy of the building or structure permitted prinr to approval by the
tRIP Building Department Is solely at the risk of the applicant and such use or occupancy In revocable until all Inspection requlremanls are satisfied and
approval Is given by the Buildi.ig Official. I further erlrru,wledge that a Ilan may be placed on the title of It property upon which the permit is Issued
specifying that the use or occupancy of the building or stniclure IP provlslonal and revocable untll the satlsfac"on of all Inspection requirements.
r APPLICANT'S Sit NATURE
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WASHINGTON COUNTY RESTRICTED i
_ Department of Land Use & Transportation
155 North FirstAven ee#350-12 ELECTRICAL ENERGY
Millsboro, Oregon 97124 APPLICATION
In/or/rtatlrn (5113)6_PW40.3470 Fax: (503)693-4412
PLEASE, PRINT1
Please' .mplete all S*ections, 1 ffirotigI7Project No. ��r Permit No.
1. Location of i.pstallation Label No. Date —
I
Address - c�v' �� U h tJ W a"-( Issued By _—_ Office _ �
P0 �
cityT� T*z=-;�- — zip Code 9 -1 i- 4. Type of work:
Tax Map Map No. —.._
RESIDENTIAL Restricted Energy Foe $40.00 i
Th, etas Map Book: Page Section (for all systems)
ChP.k type of work Involved:
Directions_ _L.I:.�- ------
_ -- Audio and Stereo Systems'
Commercial ❑ Residential 13urglar Alarm
Tenant Namo Telephone Systems'
(if commercial) — ----- - Gavage Door Opener'
This permit becomes null and void If the work authorized by the Fire Alann
permit is not commenced within 160 days from date of Issuance Heating,Ventilation and Air Conditioning Systeme' 4'
of such permit or If the work authorized Is suspended or abandoned Systems*
at any time atter work Is commenced for a period of 160 days. Vacuum y �1
Electrical Permits are non-refundable and non-tranofnrabie. Other
2. Contractor application:
� � ��rhR�A t 1 /1) COMMERCIAL F«for each system $40.00
Electrical Contractor L`YI, t `11—t'l A L_ !1 "�'v• (see OAR 91 d-260-260)
Address 5'1 1 0 ,1V- -2A0U1�,wT, Tt"`) "I1 Check tv;:a of work involved:
Date U - 7? '`i3 — Job Number Po yl 10�tLt 1-1copr'!
Property Owner -DAVC, Rpt I'r PDnkf
Contractor's License No. ) 5-14- r 1-.0 _, Cloak Controls
Contractor's Bo�rd Re . No. _
� �'h��� 0 Clock Systeme
Phone No. f,(, _ '?� _ De a Telr+c ommun�atlons Insiellation3
Fire Alar installation
3. Owner application: ""AC
Instrumentation
Print Owner's Name� Phone No. Intercom and Paging Syste m
Landscape Irrigation Contro�
Address — Medical
Nurse Calls
--- —�,taTe-- �p Outdoor Landscape Llghing'
This permit Is Issued under OAR 918-320-370. The applicant ogree3 Protective Signaling
to make only rostric rod energy Installations(100 voter amps or Mss) Other
under this permit and to do the following:
1. Only use electrical licensed persons to do installations where
required. (Certain residential and other tnrnractlons are exempt Number of Systians
from licensing. These have asterisks(). s'.!I others need lic.ons-
1
Ing') •No licenses ere required. Licenses are required for all other installations.
2. Call for an Inspection when all the installadbns under thl�permit � �
are ready for Inspection.
3. Purchase*operate permits for all installations that are not ready 5. Fees l �
for Inspection when the Inspector Is out to Inspect under this
permit. Enter fees $
4. Assume responsibility for assuming that all corre.:tlons required ti
by the Inspector are done,and 5% Surcharge (.05 X total above)
S. Assume responsibility for calling for a final Insoectlon when all of
the cor Ions are completed, L4
r' The person s ning this permit r ust be the rppllcant or a person Total $
authorized nd qla appAlcant
Signature J �1y V ` V1, Space below reserved for validation.
c
Authority M other i1: ;,.4,piicant _ L
For Inspections call
640-3561 or 6934415
24-hour recorder,one working day In advance of need t t�2
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INSPECTION NOTICE �/j
City of Tigard Huildlnq Department /e-e/
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639••4175 Bueineas Phone: 6.39-4171
Inspection:_ --
Footing Plbg. Underslab Mech. Rough-in Appr./Sdwlk
Found. Plbg. 'fop Out Gas Line FINAL:
Poet/Beam Struct. San. Dewer Framing -Bldg .
Post/Beam Mech. Rain Drain Insulation Plumb.
Plbg. Una.+rfloor Water Line Gyp. Bd. -Hoch.
Date Requeaveed:�—� -3) _ Time: _—__AH/j____PN •
Address• �K,L I� �( ��1 �?J Permit #s
Builder /✓/ _ ■
THE FOLLOWING CORRECTIONS ARE REQUIRED: t v
1 8
.F 1 t 4111�YYYyheee�tp:.
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Inspector: f/•/r" Date:
I,
APPROVED APPROVED APPROVED SUBJECT TO ABOVE
fell For Reinsp.
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INSPECTION NOTICE ''// //
City of. Tigard Building Depurtmen<- ,1
13125 SM Hall Blvd. Tigard, Oregon 9722'3ti,/L
Iispection Line (Rec-O-Phone): 639-4175 Busineen Phone: 639-4171
Inspect ion: — - —-
1
Footing Plbg. Underelab Mech. Rofigh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Pain Drain Insulation -Plumb.
i - t
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. .
Date Requested: � ` Time: AM PH
lwd - ,� Permit i sI,—?
Address P
s-�� •-
Builders — _ -- •
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
'i 1 r �F y ggfl
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ja
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/ H
Inspect o e l Date-
OA.
` c.
1 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
L ��
INSPECTION NOTICE
City of Tigard Building Department {,
13125 SM Hall Blvd. Tigarf, Oregon 97223
k i Inspection Line (Ruc-G-Phone): 639-41"5 Buninens Phone: 639-1171
-� Inspection: ---
t�cting Plbg. Underslab Hoch. Rough-i.n Appr/Sdwlk
Found. Plbg. Top Out (� Gas Line`\) FINAL:
Poet/Bean Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
K
Plbq. Urnlerlloor W .ter Lino B(,, -Hoch.Gyp. � q
Date Requested: Timet AM PH
i o' a /
Ad�rsee: t4- Permit 2— � y
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THS FOLLOWING CORRECTIONS ARE REQUIRED:
t 4
7 1
Inspectors (- � — Cates
APPROVED nISAPPF'OVSD APPROVED SUBJECT 'CO ABOVE -
d v x
Cali For Rei.nap. '
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INSPECTION NOTICE
City of Ti.yard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line Rec-o-Phone): 639-4115 Business Phone: 639-4171
Footing Plbg Underslab Mech. Rough-in Appr/Sdwlk
Found. P)bg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer arcing -Bldg.
Poet/Beam Mech. Rn:n Drain Insulation -Plumb.
c —
1 14
Plbg. Underfloor Water Line Gyp. Bd. -Mecis. •
J Date Requested:_-_ J / ter -� Timet AM PM
Address.
Permit f: _l
A(
Builders_
t i ;
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors / -- -,-- nate: 3
,-�APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For, Reinsp.
lNSPF,0I,0N NOTICE
City of Tigard Building Department
17125 SN IV'.1 Blvd. Tigard, Oregon 97223
Inspe%;cion Line (Rec-O-Phone): 639-4175 Business .hone: 639-4171
Inspection:-_ '
Footing Plbg. Underelabech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out las Line FINAL:
r Poet/Beam Struct. San. Sewer Pruning -Bldg.
u v'y Poet/Beam Hoch. Rain Drain Inuulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: -�� -� � -Times _AM _ PH
Address: it is G' �o2rl k
—1 _ ter✓ � , �C.0 �: �_�_ •
Builder: ` 7` . "` ■
SHE FOLLOWIN; CORRECTIONS ARE REQUIRED:
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Iner-Ictors Z.
Date:
3
n-; APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
.
Carl For Reinep.
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INSPECTION NOTIJF /
City of Tigard Building Department a
13125 SW Hall Blvd. Tigard, Oregon 97273
Inspection. Line (Ree-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspection•—__ -- "
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk k
F• J. Plbg. Top Oua Gas Line FINAL: [,
Post/Beam 3truct. �San. Sew3r� Framing -Bldg.
Post/3eiun Mech. Rain Drain Insulation -Plumb.
Plbg. Urwerfloor Water Lina v1+. Bd. -Mech.
ms's—�� AM P11 •
Date Arequestadt Time: �
Addresas �./�" Z � Permit
Builders-
THE FOILOWING CORRECTIONS ARE REQUIRED:
k r'"'t Li. •�
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Inapector i Dates,
APPROVED DISAPPROVED —_ APPROVED SUBJEt.`T TO ABOVE
Call For Reinep.
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPFiENT SERVICES VIVISION
155 NORTH FIST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 I
COUNTY,
OREGON PHONE: 503/648-8761
I
k-'age 1 or 1
Date 01/L9/93
( VtO `r ► 'Time 09 : 43
Permit 'Type Lzt.siuentlul G-Lec.tlL<',31 Pe.Lmit Permit # U50:47081
Pexmit Status APPROVED Applied s 01/29/93
Situs Address 4-6wri SW JORDAN WA KC Issued 01/29/93 �
Permit 1'a.tle SVH - ELEC7N7W HUUSH Completed
Permit Descr. 'Po Expire : 07/28/93
Project 'Title Si-'k - ELEC/NL:W HOUSE Project # P0028'/38
Project De ,cr . * ERUb LUN
Parcel Number lbl
'1'1 - Land Use District !!
valuation U e
Legal Oescr .
owner 1NSPEC'ViCIN - 'PIGARL) Construction : O'PH
Applicant Name C1'VY ELECTRIC Classification : 9UU
Applicant Addr . : 10014 :W CANYON kill Occupancy s Eta
PURTLANO, OR 9'/225 Validated by KF'
Applicant Phone: 29'L-9664 lnspe,- tor Area
CUN'114ACTUR : C1'1'Y ELEC'1'H1C Lic . C 2b-289C 246-6096
Fee description Units Fee/Unit Ext fee Data
Square Footage [ Enter Sq . 1-'t , ) 2000 115 . OU
bubtota.i Electrical Nees : U 115 . 00
State Surcharge of 54, U 5 .75
Total Electrical tees , U 120 . 75
*** Fees Required *x* Fees Coi.lected & Credits ***
------------------------------ -----------.-.----------.-.--------------.--------- Y:
k(eceipt No. Uate Payment
29/`.)3 120 . 75
'1'O'1'AL '.'HIS DA'11; ********* 12U . '/b
Fees : 120 , '/b
Ae-i justments : IOU 'Total Credits : . U
Total Fees : 12U . 15 'Total Payments : 1'20 . '/5
8alarice Due : . UO
r
NOTICE: This permit becomes null and void If the work or construction for w*Ich It Is Issued Is not commenced within 180 dayil. Oace construction tins started,
the perm"becomes null acd void I1 construction In Interrupted for It period of 180 days. I certify that the Information presented I•y the applicant and
his agent o7 agents In support of this permit Is irne and correct to the bes:of our knowledge. I acknowledge that the Iluilding Department's reliance
upon'also and misleading Information may Invalidate this permit. A'I provisions of applicable laws and ordinances governing the construction and Ilse
of thls building or structure will be compiled with whether or not spr;llled on the plans or noted on the piens correcilo7 sheels. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I furll.er aaknowledgo that the use or occuparry of
the structure or building perrillied depends upon my calling for Inapectlons at varlous times during the process of cnrstruct!on and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to a,}provel by the
Building Department Is solely at the risk M the applicant and such use or occupancy Is revocable until all Inspection requlremenls are satisfied and
approval Is given by the Building Offlcla:. :further acknowledge that a Iter may be placed on the title of the property upon which the penult Is Issuer'
specifying that the use or occupancy of the building or shucture Is provisional and^evocable until the satisfaction of alt Inspection requirements
APPLICANT'S SIGNATURE
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r WASHINGTON COUNTY ELIECTRICAL PERMIT
Department of Land Use & Transportation
Electrica; Irspection Se Mian APPLICATION
155 North ("first Avenue, #350-12
Hillsborc, Oregon 97124
Information: (503)6403470 Frux: (503) 693-0412 Project/Permit 00
Number Date
PLEASE PRINT
Please complete all sections, 1 through'5., 4. Complete Fee Schedule below
Number of Inspections per permit allowed
1. Location of Installation Service included: Items Cost(ea.) Sum
Address.1302 n- y A. Residential-per unit
Building
tv �14 = Suite No, 1oat sq.ft.or less _� $85 00 S 4
City —1��"t--�— -- Each additional 500 sq.ft
Tenant Name J or portion thereof 12— $15.00 ar J
(if commercial) Limited Energy IJ20.00 1
Each Manufd Horne or Modular i
Directions —_ _ Dwelling Service or Feeder $40.00 2
B. Services or Feeders
Installation,alterations or relocation
—— 200 amps or less $50.00 —_ 2
Commercial El Residential 201 amps to 400 amps $60.00 _ 2
401 amps to 600 amps $100.00 — 2
601 amps to 1000 amps $130.00 2
2a. Contractor ' stallato
n only/: nect only $40.00 Over '°°°amps or Volta __ s300.00 _ 2
Recon — — 2
Elertr'icai Contractor OP ('t --
Address S ..) C. Tempurary Services or Feeders
Date 1-11 -qAL Job Numbt? __ Installation,alteration or relocation
Property Owner _AdeAdun till in a `7 _ 200 amps or less $40.00 2
Contractor's License No. 201 amps to 400 amps —_ $55.00 2
401 amps to 600 amps $80.00 2
Contractor's Board Reg. No. 1 over 60r.,'AMPS to 1000 volts see W stove
"
Signature of Supr. Elec 1 ��=---- -- -'--- D. Branch Circuits
5. . �_ Phone No. New,alteration or extension per panel
License No. i
�' � a) The lee for branch circuits with
purchase of aervke or feeder fee. I
2b. For owner installations: Each branch circuit __ $2.00 2 r
b) The foo for branch circuits without
_ purchase of service or feeder fee.
Print ner's Name —ane No. First branch circuit ._._ 335.0f, __ 2 t
Each add'nl branch circuit It?.00 __— __ 2 l
Address E. Miscellaneous (Service or Feeder not►nc!udodi
City �� ��Slate Zip Each pw*ip or irrigation chcle $40.00 2 l
Each sign or outline lighting _ $40.:,0 _ 2 4
The installation is beingmade on property l own Signal circuits)al a limited
p p y energy panel,alteration
which is not Intended for sale, lease or rent. or extension $40.00 2
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Owner's signature ___�..._. __�—�____.�— F. Each additional inspection over the allowable
in an)-of the above, per inspection
3. Plan Review section (if required) L $35,00 �—
5. Fees
A. Enter total of above fees $ 1�
5% Surcharge (.05 X total fees) $
Subtotal $
B. Enter 25% of line A for
For Inspections call Plan Review if required (Section 3) $
640-3561 or 693-4415 Subtotal $
24-hour recorder, Less Bulk Label Fee $ ,one working working day In advance of need Balance Due $ �� -rr.
This permit becomes null and void If the work authorized by the permit Is not commenced within 180 days from date of Issuance
of such permit or If the work authorized Is suspendc -)r abandoned at any time atter work Is commenced for a period of 190 days.
Electrical Permits are non-refundable and nomtranf Ile. 10/91
tiff
DEPARTMENT OF LAND USE & TRANSPORTATION '
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 '
155 NORTH FIRST, HILLSBORO, OR 97124 §
COUNTY, PHONE: 503/640.3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
' Permit 4 : '?50:37081 Project it : P0028738 Status APPROVED 11age 1 of 1 �
r
Applied, : 01/29/9? ISr,;-,3 .11/29/93 Expires 07/28/13 07/22/93 08 : 07
RESELEC
Permit 'Sitlw "FR ELEc::/NI.W HOU:3E OTFI
Description Begur, . 01/29/93
.; Job Add.re,.ass (?001; SW JORDAN WA Kr
Owner Name INSPECTION - TIGARD Region t
Appl.i�ant Name CITY ELECTRIC
Phone r.��rv�k :,r 292-9664 Valuation : 0 Apprr)v�!d.
Inspector Commp.rits Reje t.ed
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Inspected kjy__..�.. �� Olt .��...__�_.,._._........_._._._...___..._.._.._.�___...._._..-..—.�._..Uate_._`��`� c
Inspection R quos'
Cover & SPrvicf.
V? 22R1 KI NEW ADID 16644 SW JORIIAN WAY
I�
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LNS1jKgTION NOTIC��E city of Tigard Building 13125 Bit Ball Ellvd. Tigard, 9'!2
Inspection Line (Rec-O-Phone): 639 4175 ss P no: 639-4171
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Inspection:— _ --
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk '
Out Gas Line FINAL:
Found. Plbg. Top `;.
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It Poet/beam San. Sewer Prg -Bldg.
1 Post/Beam Hochy Rain Drain In dation -Plumb. •
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1 lbg. Underfloo Watar Line Gyp. Bd. -Mech.
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Date Requested: Tines — 1
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Addrases 3()Z ermit 1:
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspect- s '�—_— �------ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reiner
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NSPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
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Footing Plbg. Underalab Mech. Rough-in ?.pp-/Sdwlk '
Found. Plbg. Top Out Gan Line FINAL:
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Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb. ( •
Underfloor `' Nater Line Gyp. Bd. -Mech.
Date Requested a / S! Times AM _ PM
' rr, Address: ` - C F G rmit f s
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Builders
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s THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Dater__
R 2 APPROVED `_— DISAPPROVED D.PPROVED SUB.IECT TO ABOVE
___Call For Rninsp.
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City of Tigtard Building Departmaut
13125 M Ball Blvd. Tigard. Oregon 97223
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Inspection Line (Rea-o-Phone)t 639-4175 Business Phonal 639-4171
Inspections
Tooting Plbg. Onderslab Mech. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out Gas Line lINALt 1
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Post/Beam Struct. ari. NewBr Framing -Bldg. M
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post/Beam Mach. Rain Drain Insulation -Plumb.
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Plbq. Underfloor Nva OYP• �• -Hoch.
Date Regnestedt J n - _Timet AM PN
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Addresst /u �" r 7�`"/!�L'-�`, / Permit
Builders_
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TBR FOLLOWING CORRECTIONS ARE REQUIREDt !
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Inspectors_• ✓/ _ Dates
1 APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE
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INSPECTION NOTICI.
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-0-Phone): 639-4175 Business Phone: 639-4171
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Inspections
Footing Plbg. Underslab MRch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line F?:nLs
4 Post/Beam Struct. ��San. Sawer� Framing -Bldg. 4� ,
Post/Beam Hoch. iRAin Drain`, Insulation -Plumb.
Plbg. Underfloor -'Water Line Gyp. Bd. -Hech.
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Date Requreted s = / `- -Time: _AM -._PM
Address? -Permit #s �4 2
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Builder:
THE FOLLOWING CORABCTIONS ARE REQUIRED:
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Inspectors__J�5 — -� Dates /1`
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Call For Reinap.
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LySPECTnN NOTICE C'�C
City of Tigard Building Departarnt
13125 SW Ball Blvd. Tigard, Oregon 97223
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
s PlbUnderelab Mech. Rough-in Appr/Sdwl
Footin g. k
ouFINAL:nd. Plbg. Top Out Gas Line t
r Poet/Deem Struct. San. Sewer Framing -Bldg. f
Post/Beaty Mech. Rain Drain Insulation -plumb. f[ '
Plbg• Underfloor Water Line Gyp. Bd. -Hach.
Date Aeggq/{{{���esteds Time: �AM PH 1
i AddreseZ /�( (- Permit fs �__�
Builders— —
THE F+JLLOWING CORRECTIONS ARE REQUIRED:
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Inspect- s_— — -- --- — --- Dntef _
%. APPROVED DiSAPPROVED —_— APPROVED SUBJECT TO ABOVE
Call For Reinep.
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unified SANITARY* D no
sewerage
agency SURFACE UVAT`R
155 N.Firm, Ave.,Suite 270,Hillsboro,Or.,97124
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503 648.8621
CIINNECTION PERMIT
I53UE DA E 121792 . EXPIRi1TION DATE 061593 PERMIT 103575
STRUCTURE ADDRESS x-3.0211N4 4/I PROJECT 1^39
STRUCTURE. STREET . SW.,:JORDAN WAY• � - �
LOT. 41 BLOCK
TYPE CONI�ECTIGN- NEW PF BEDFORD GLEN PHASE
TYPE INSTALL ATION-- '69') IiLD SWR/ERO CON/S1IC j
TYPE OCCUPANCY (1 ) 'JINGLE FAMILY PARCEL 251 16 AD
QTR SEC 4716 MH 101091 �
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OIJNER BEACON HOMES
ADDRESS PO BOX 1465 TREATMENT PLANT DURHAM
BEAVERTON OR 9707 '
PHONE 626-•9029 ;I ` JUP,II`D
FIXTURE EQUIVALENT DWF.LL..ING . ~ '~ RESIDENTIAL
j UNITS SERVICi. UNITS' . 0,0 UNITS 1 SERVICE UNITS 1
CONNECT ION FEES SURf'ACE WATER DEVELOPMENT T'E'E5
SEWER CONNECTION 2100.00 WATER QUALITY leolo0
LESS CREDIT < 180.00>
WATER QUANTITY 100.00
LESS CREDIT < 0.00>
EROSIUN CONTROL
INSPECTION 40.00
PLAN CHECK 26.00
SUfi"OTAL 2100 .00 SUBTOTAL 166.00
�TjOTAL. 2766.00
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APPL NAME PETER KUYSK PHONE
AFFILLIATION VP
REMARKS PROJ# 1 939-BEDF URD GLEN-L.OT 4 42
*24 HOUR NOTA; - FOi E OSION CIINTROL INSPECTIONS REQUIRED
SUNAT r. I 1THat-JESONJA
Permit Conditions: The Ipplicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling
for an inspection, please refer to the Permit Number. The Permit expires one hundred eighty (180) days from the date of
issuance. The total amount paid (permit fee, connection charge. line tap fee and/or other charge) will be forfeited if the
permit exp!res.
AL The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the
measurement given. the installer shall prospect three feet in all directions from the distance given. If not so located, the
installer shall purchase a 'Tap and Side Sewer' Permit at the current charge and the Agency will install a lateral.
6,.190 WHITE — USA, BLUE — Accounting, GREEN —Inspection, YELLOW customer ,
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PLUMBING PERMIT
® PERMIT #. . . . . . . : IhS'f9t-0 99 '
CITYOF TIFARD
rcd
DATE ISSUED: 12117/92
COMMUNITY DEVELOPMENT DE'ARTMENT
t31F±68WHd16Frd P.O.6019 7, F223 F6o0)A3Ff-4r75
SITE ADDRESS. . . : �a�W_ JRDAN WY PARCEL-. �:�116AU BE1Z�1�
SUBD I V I S I OINI. . . . : EDRD GLEN ZONING.
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :41
CLASS-OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PRFVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . a0 ■
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . ..0
FIXLAUNDRY TRAYS. . . . . . :0 SF= RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . . I CREASE TRAPS. . . . . . . .0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . ..0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS- - :2 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 .
Remarks : PATH I
OWNER: - --__._____._____..____..__._.__.____. ____ -_-------_____-----FEES----------------_-.
BEACON HOMES BPRT $ 415. 00 BCH 12/17/94 -
F' F PDX 1x68 HPLC:; $ 40. 00 JLH 12/10/92 92-
B5PC ti c?0. 75 P;,R 12/ 17/92 --
BEAVERTON OR 97075 NISC. $ 35. 0o BCR 12/17/92 --
Phone #: 524-1999 11F,RT f 40. 50 BCR 12/17/92 --
hIF'='1.-C $ 10. 13 BCR 12/17/92 -
P1i..imbing Contr^ to � � _ � - - lyl5PC r 2. 03 BCR 12/17/92 -
PPR'T $ 132. 50 BCR 12'/l //92 -
Name 6. 63 BCR 12/17/92
F!ddress : Q`S �U�; �/ ��-- -__.____ �_. BPLC $ 15. 00 BCR 12/17/92 -
City : 1-3tate.
p:
315-
REQUIRED INSPECTIONS
----- -
This permit is issued subject to the reg
Mations contained in the Tigard Municipal Foot/fri_�nd Insp Rain drain Insp
Code, State of Ore. fipecialty Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done F''ost/Ream Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not Started P'L1+1/Underfloor PlUmb Final
within 180 days of i = _lance, or if work is lvlechan.ical. Insp Building Final
suspended for more than 180 days. F'lumb Top Out Erosion Control
Framing Insp Post/Beam Irlechan
Viveplace Insp Plm/Underfloor
Gas Line Insp Crawl Drain '
Insulation Insp Plumbing Top Out
L•vp Board Insp Plumb Final
Authorized Plumbing Contractor Signati.tre
Call for inspection 639--4175
Contractor Notes :_ ____
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MASTER PERMIT /
CITYOFTIFARD RD PERMIT #. . . . . . . : MST92-0c 39
OF M
COMMUNITY DEVELOPMENT DEPARTMENT Osseo"
131h SW s Wl etid. P.O.s:«23W Tipmrd,O"m 0&0*3)"41 ie DATE: ISSUED: 12/17/92
SITE ADDRESS. SW JORDAN WY PARCEL: 2S116AU-BED41
SUBDIVISION. . . . : BEDFORD ULEN ZOO 1 I I\IG: $
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :41
--- BUILDING,
REISSUE:MST 92-006.3 DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 s f
CLASS OF WORK- :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :527 s f ■
TYPE OF USE. . . :SF FLOOR AREAS - ---- REUUIRED SETBACKS-----------
TYPE OF CONST. .51\1 FIRST. . . . : •-Be4 s f LEFT. . :5 ft RIGHT. :5 Ft
OCCUPANCY GRP. :R3 SECOND. . .. :0 5f FRONT. -.20 ft REAR. . : 15 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sF RHC,?UIRED-___.._______.__._..____..__ ■
HEIGHT. . . . . . . . : 17 ft 'TOTAL--•-- _-- : 1824 s f SMOKE DET'ECTORS. :Y
FLOOR LOAD. . . . -.,40 psf VALUE. . . . . $ : 9:3390 PARKING SPACES. . : 1
Remarks : PATH I
PLUMBING .__._.__..____._____.___._____.___-___._.__._._.___.__.._._ ■
SINKS. . . . . . . . . . : .1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HLATFRS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0
IUB/SHOWERS. . . . : 3 LAUNDRY TROY'S. . . -0 CATCH BASINS. . . . . . . :0
WATER CLOSErTS. . :C" SEWE=R LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1 WAFER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 St= RAIN DRAINS. . . 1
MEC1AANICPL ________.____...__.______.__.._________-__-.-- FEES
FUEL TY'F'ES----___.____.. UNIT' HTRS. . :0 type amoLrnt by date' rezpt
/GAS/ / / VENTS . . . . . :0 BF"'RT $ 415. 00 BCR 1.•'_/17/92 - j
MAX INPUT:O BJU VENT' FANS. . :3 HPLC $ 40. 00 JLH 12/10/92: 202
BURN ( 100K . . : 1 HOODS. . . . . . : 1 N5P'C $ r'0. 15 BCH 12/17/92: -' I M
FURN ) =100K . . .-0 WOOD5TOVES. :0 1AISC $ 35. 00 BCR 12/ 17/92 -
FLOOR FURN. . . . :0 CLO DRYERS. : I IhP'RT $ 40. 50 BCR 12/17/92 - {
FOIL/CMF' ( :3HP':0 OTHER UNITS: 1 MPLC $ 10. 13 BCR .12/17/92 - l
GAS OUTLET S: 1 M5P'C $ r-!. 03 BCR 12/17/92 -
Owners _____.__.____.._.........._._._.____.__.___.._•_________.__-F'P'RT $ 132. 50 BCR 12/ 1'7/92: -- i I
BEACON HOMES F15PC $ 6. 63 BCR 12/17/92 - I
PO BOX 1-068 BPLG $ 15. 00 S(.;R 12/17/92: - I
BEAVERTON OR 97075
Phone #: 524--1999
Contract j,•r;
BEACON HOPicS
1'C.) HO'; 1368
BEAVE:RTON OR 9707"
Phone #: 5L4-1999
Req #. . : 70782
f $ 717. 54 TOTAL
This permit is issued subject to toe regulations contained in the - --- -- REOU I RE:D I NSPECT T UNS --- - -
Tigard Municipal C,ne, State of Ore, Specialty Codes and all other Foot/foLrnd Insp Fireplace Insp
applicable laws. All work will ba done in accordance with approved Post/Beam St r-i.rct Gas; Line Insp
plans. This permit wily expire if work is not siarted within 18P t'ost/Seam Iylerlian Ins,_rlation Insp
days of issuance, or if work is suspended for ore tha days. Plm/Undslab Insp Gyp Board Insp
PLM/UnderfIaur Frain civ—ain Insp
Permittr-e 5iynat1.ir,e : __._.....__-___-_ MecFranical Insp Water Line Insp
Pli.rmb Top 01_rt Aper,/Sdwllc Insp
Issl_re(i By : Fr,.aminy Insp Mechanical Final
Cal -for-, inspei tion 639-•-4175
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131 �
1-11
1 25 SW HPLNCKRECT #
/all lllvd. /
CITY OIC' I1G- "D PO Box 2''^' PERMIT # /YISfS2_ G:29y
COMMUNITY DEVELOPMENT DEPARTMENT Tiga,d.Oregon 97727
(x03)0--4171 DATE ISSUED —
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+ ! _��' d ayi ('� et TAX MAP/LOT .�.5 (/6414 -G'd-Al I
JOB ADDRESS: I�?�� �� �
i LAND USE:
SUB: — LOT:
VALUATION:
WNER SPECIAL NOTES ■
NAME: ���AC� REISSUE OF: _ - I
ADDRESS: ' rILAST REISSUE:
FLOOD PLAIN/
PHONE: h2�I In(I�� _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ � 5+ �-�� PLANNING:
ADDRESS; ' '��X Iv ENGINEERING: —
6C o ve V fz">n %;� �f,�] FIRE DEPT: —
PHONE: _
l-j21., _- I I q I OTHER:
CONTR. BOARD #: -Y;a"�� EXP DATE: ( � _
` ITEMS REQUIRED
SUBCONTrAu(URS: PLUMB: V a( U t ��1 m, LIST/SUBCONTRACTORS:
MECH: ' LL BUS TAX:
i
ARCH/ENGINEER `` /� CALCULATIONS:
NAME: 11�J- C 1 A Id 1 TRUSS DETAILS:
' ADDRESS: (t1�V-5 bw �`'C�►�1� � OTHER:
LAU
PHONE: IG ;L. L%'l
PROPOSED BLDG. USE:
COMMENTS:
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APPLICANT ; IGNATURE
Received By: —J _ _ _ Date Received:
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
rn _o�y 10-432 00 Building Permit Fees
1 10-431 00 Plumbing Permit Fees Y22 -)7) /32. 52,
i 10-431 01 Mechanical Permit Fees v
G SZ
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10-230 01 State Building Tax (5%)
I Building "7v• 7,; �
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Plumbing
Mechanical
7 J • 1j
10-433 00 Plans Check Fee�o
Building
Plumbing
Mechanical 10.13 ,
10-230 06 Fire - —
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30-202 00 Sewer Connection --
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30-444 00 Sewer Inspection ___ =35 i
25-448-02 Commercial TIF Fees ---
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _^
25-448-03 Office TIF Fees —
25-448-01 Residential Traffic Fees _ -
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
1
31.-450 00 Storm Drainage Syst Dev Chrg
(SSDC) ---- - --
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) rr�
TOTAL
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ICITY OF T I GARD fi'E C:F.I F''T' C'F PAYMENT REQ rE:I PT NO. a 92-23,4600
ICHECK AMOU14T a 677. 5P4
I
N A M U a BEACON HOMES I Nr. CASH AMOUNT a 0. 0lb
ADDRESS a 1905 NW 169TH PLACE f~AYM1 N"rI DATF a 12/17/92
BEAVERTON, OR SURD I V I S I ON a
PURPOSE: OF PnYMEN T AMOUNT PA I D PURPOSE OF' POYMEtiN T' AMOUNT PAID
4 ESU T l I)I NCS f 1iw RM MCaT9 F� 0►.99 ___. 41`�, U;' PL rlS I NG7 V1-`U M 132. 50
MrCHANICAU F'f:' 40. 511 OT. BUILD PER 29. 41
G EWER INSPECT 35. 00 �
j PLAN CWE C�K FF 25. 1.a S
c.
` 130'.?..{ SW .JO RDAY WAY
f (MOUNT t='ATT, -_ _.., 677. 54 '
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