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CERTIFICATE OF
CITY OF TIGARD OCCI.iPANC'Y !
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST95_0309 i
13125 SW Hall Blvd.Tigard,4►pon 97223.6199 (503)639.4171 DATE I 935UFD s 03/21/96
PARCEL: 2S 104DA--05400
Slit:. ADDRE Sc3. . . : 13812 SW NORTHV I LW DR
SUBDIVISION. . . . : CASTLE. HILL #c ZONINGiR--1e FAD
B'_CJC.K. . . . . . . . . . LOT. . . . . . . . . . . . . a087
CLASSOF -WORK. aNEW..____�..__,____.________._.______�...___.__.__�._.,.._._.__.___..._.__._._.___,.__ ... .__
1 TYPE OF U0E. . . -SF
OCCUPANCY CRP.
OCCUPANCY LOAD:2
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Remarks r PATH I •
IOwner,: ---
iI DON MORISSETTC
i 5000 SW MEADOWS RD �
II SUITE 151 r
I LAKE OSWEGO OR 97035
Phone #: 620-7538
Cnntr`aC:tort
DON MOR I SSETTE HOME'S
5000 SW MEADOWS RD
iSUITE 151
LAKE OSWEGO OR 97035
1 Phoney #e 620--7538 f
I Reg #. , s 35533
This Certificate Iur-rants occupancy of the above r,efv'rrenvPd building or- portion
' thereof and confirms th,ai: the building has been insppcted for compliance with
the State of Ot-egon SpecAAIty Codes for-, the grc►up oc•r_ t.1PanC;y, anti us.e undet-
which the r^efevencesd permit was issued.
IAUILDIN(3 SPECTOR BUILDING OFFICIAL_
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POST IN CONSC'I CUOUS PLACE �
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CITY OF TIGARD BIAILDING INSPECTION NOTICE A��
Inspection Line: 639-4175 Business Phone: 639-4171 ^
Footing Rain Drain Cover/Service FINAL:
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Foundation Water Line CeilingPlum
Post/B'am Mech. Shear/Sheath Framing Mec
Plbg.Und/Fir/Slab Plbg.Top Out air Insulation lec.yL✓
Post/Beam Struct. Mech. Rough-in Gyp. Bd. V
San. Sewer Gas Line Appr/Sdwlk
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Other:
Date: ]�,�(15��' A.M. P.M. Entry:Addres :3 R1
Tenant: Ste:___._ MST:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: EI_R
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CITY OF TIGARD BUILDING INSPECTION NOTICE
?' Inspection Line: 639-4175 Bu si ss Phone:639-4171
Footing Rain Drain er/Service NAL:
Foundation Water Line ailing -Plvmb.
Post/Beam Mach. Shear/Shea Framing - ec�
Plbg.Und/Fir/Slab Plb op 3 Insulation -Elect.
Post/Beam Struct. M ugh-In Gyp. Bd. -Bld J
San. Sewer G Line Appr/Sdwlk Reins.
Other: _
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Date: I cl - `(4 A.M. .M. Entry:_ --
Address: _� 31 w NCI Ijl ECt�
Tenant: -- - - — Ste: .._ MST:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb. r ;A
Post/Beam Mach. Sheari5heath Framing -Meth. �; t�
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech• Rough-in Gyp. 6J. -Bldg. ,
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San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: _ A.M. —P.M. Entry:
1 Address:
Tenant: Ste: MST: 9' ?b
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Con/Own:_.4k _ MEC:
PLM:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: EL R: _
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fi Inspection Line: 639-4175 Business Phone: 639-4171 r ti f U
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Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Pibg•Und/Flr/Slab Plbg,Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Heins.
Other:
Date: A.M. P.M. Entry:.
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I Tenant: _ Ste:___-_ MST: —V 0
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THE FOLLOWING CORRECTIONS ARER QUI�I�FLR:
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j _APPROVED ? DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling
Post/Beam Mach. Shear/Sheath Framing CMech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Ele 41
Post/Beam Struct. Mach. Rough-in Gyp. Bd. I g
San. Sewer Gas Line Appr/Sdwlk Reins.
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Other:
Date: A.M.—P.M. Entry: 44
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1 Address:
Tenant: �_,— __ Ste: _ MST:rC C�` '} �, , A ',
Con/Own:
MEC:
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THE FOLLOWING IONS ARE REQUIRED: ELR:
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APPROVFI� ----DISAPPROVED/CALL FOR REINSP. CF CO
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! CITY OF TIGARD BUILDING INSPECTION NOTICE
ti I Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain ......FINAL:
Foundation
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Post/Beam Mech. Shear/Sheath Framing {
-Mech. ��X,'�rya3?,
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg, 41,
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
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Date:
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Address:
Tenant: Ste: MST
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceilinglumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Fir/Slab Plbg.Top Cut Insulation -Elect.
Post/Beam Struct, Mach, Rough-in Gyp. Bd. -61d
San. Sewer Gas Line Appr/Sdwlk g
Reins.
Other: + '
Date: P.M. S
_ Entry: �
Address:
tenant: Ste:--- MST:
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Con/Own: BU
MEC:
PLM: —
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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-Inspector: 1i _ —-------
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—APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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r,t CITY OF TIGARD BUILDING INSPECTION NOTICE
yr I Inspection Line: 639.4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAI
Foundation -
Water Line
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Post/Beam Mech. Shear/Sheath rl �n tai
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Plbg.Und/Flr/Slab Plbg. Top Out Insulation
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Post/Beam Struct, Mech. Rough-in Gyp BJ. -Bldg,
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Gas Line PIP w_ 1
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
• , Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I Inspection:
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Forting &wp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation I'Ibg. Underslab Mech. Rough-in Fireplace �*
Post/Beam Struct. PiSg. Top Out Elec. Rough in FINAL: ,h
Post/Beam Mech. San. Sewer Gas Line -Bldg. f
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall -Elect. M)
Time: ANI �PM
Date Requested: c S I c� �' - I
Permit#: j S D
Builder: i
THE FOLLOWING CORRECTIONS ARE REQUIRED: ± '
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CITY OF TIGARD BUILDING INSPECTION NOTICE ;
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171
I Inspection:
Footin Susp. Cciiing Sprink. Rough-in Appr/Sdwlk r
9
Foundation Plbg. Underslab ech. Rough%/Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water I ine n`sullation ( -Mech.
Unuerflr. Insul. Shear (Wall ( Gyp.Bd. Elect. y
Date Requested: 1 1 Z C� TimeAM PM
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Address:
Builder:_ Permit #: U 3 G
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
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_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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City Electric & Supply Co.
8070 SW Nimbus Beaverton, OR 97008 641-8012 Fax 641-8586
City of Tigard ff
Community Development
13125 S.W. Hall Blvd. 1
Tigard OR. 97223
I'
January •18, 1996
The following permits were- taken out by City Electric and `
supply, but the work will be done by another electrical contractor.
We would like to request a credit or refund for these permit&. Thank
you for your help.
#ELC95-0566 13812 S.W. Northview Dr.
ELC95-0391 13823 S.W. Marcia Dr.
' ELC95-0569 13811 S.W. Liden DR.
ELC95-0474 13920 S.W. Liden Dr.
SkIAc,g:iely,
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CITY OF TlrARD BUI'.DING INSPECTION NOTICE
..Inspection Line (Rec--.-Phone): 539-4175 Business Phone: 63Q-417, il
i Inspection:
Footing Susp. Ceiling Sprink. Ro:,gh-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Pough-in Fireplace
Pos03eam Struct. Plbg. Top Out"/'s Elec. Pough-in��1 FINAL:
Post/Beam Mech. San. Sewer /j, -Bldg.
Plbg. Underfloor Rain Drain 0 ramie g -Plumb,
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Alarm Water Line Insulation -Mec,
Undee,lr. Insul. Shear Wail �2/vv (( Gyp. Bd. -Elect.
Date Requested:_ l " —� `.p Time: AM PM
Address: Q
Builder: ZQ Z (L Permit #:
THE FOLLOWING CORRECTIONS ARE REOI TIRED:
Ifit�
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Inspector: DOe:
—APPROVED ISAPPROVED APPROVED SUBJECT TO ABOVE
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CIT`! OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 .,.
Inspection:
Footing Sisp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation r'Ibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g. Top O_ut,' Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall 44 I q /Gyp. Bd. -Elect.
Date Requested: I O, l 1 X� Time: AM PM y
Address: _ N
Builder: Permit #:_ /_� L�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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ector ! ` Data:
APPROVED —DISAPPROVED _APPF,,JVED SUBJECT TO ABOVE
Call For Reinsp.
CfTY )F TIGARD BUILDING INSPECTION NOTICE
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
~ Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab e-,Mch. 'fou e'-- Fireplace `
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San Sewer as Li -Bldg.
Plbg. Underfloor Rain DrainFram-ins.) -Plumb.
Alarm Water Line Insulation -Mech.
Ur.d±hili. Insul. Shear Wall 17.�21� Gyp. Bd. -Elect.
Date Requested: t ;1 `�� -' Time: AM PM
Address: r
Builder-",
_ Permit #: S v O
HE FOLLOWING CORRECTIONS ARE REQUIRED:
37
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Inspector: Date:
_APPROVED DISAPPROVED __APPROVED SUBJECT TO ABOVE
all For Reinsp.
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_ CITY OF TIGARD BUILDING INSPECTION NOTICE
dnspection Line (Rec-O-Phone): .139-4175 Business Phone. 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mech.
Underflr. In.sul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit #: � d 0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ ` Date:
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
�) 4-all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I I I _� y] /�2 Time: AM PM
Address: 133 / cD-__
Builder: dot of ! ;,SS Permit #: a ';L, UU,;23
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. 44 f C 4a e �� 2 Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For f7einsp. FAII�
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CITY OF T PERM I T FLECT I#ALrL,C PERM96 100x'_'3
COMMUNITY DEVELOPMENT DEPARTMENT DATE= ISSUED: 01/16/96
13126 SW Hall Blvd.Tigard,Oregon 07223.6199 (603)630-4171 PARCr1_: 7:S 104BA--0t540YZ1
MITE ADDRESS. . . : 1'81 5W NORTHVIEW DR y
SURD I V I S I ON. . . . : CASTLE H I LI_ #2 Z ON I NG: R-12 PD
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BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :087
Pt-oJect Description: Residential-to-.3,-500-sq-ft.
_�--y�w-_-__________._..._.._.._.__.__.__.___.
- -RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS--•-- -----M 15CE1..LANEOUS------
1000 SF OR LESS. . . . : 1 0 - 201 amp. . . . . . . : 0 PIUMP/IRRIGAT TON. . . k'I
LACH ADD' L `S4?OSF. . . : 5 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . .. . . 1 0 SIGNAL-/PANEL. . . . . . . : 0
MANE . HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 NTNOR LAPEL (10) . . . : 0
SEF2 V I Cl /FG L:Dr F`. -----BRANCH C I RGU I l S - -_ _...ADD' L INSPECTIONS—-
Q1
NSPECTIONS--•.-
2Y 200 amp. . . . » . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 '
0l. -
1l.0 1,7I mYa. . . , . . : 0 1st W/O r,RVf OR FOR. : 0 PER HOI1R. . . . . . . . . . . 0
401 - 600 amp, . . . . . : 0 FA ADD' L BRNCH CIRC: 0 IN PL-ANT. . . . . . . . . . . : 0 �
1 CY01 - 10V_Y0 amu. . . . . : 0
1.000+ amcr/volt. . . . . .. 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS ARCA/SPEC OCC. :
iOWTIer^; - ____.______._..________._.._.__.______.___...___..______.__________. FEES
nFAR ELECTRIC type am0UT)t by date recpt
PO BOX 389 PRMT f 23,5. 00 CJS 01/16/96 96-274927
SPCT $ 11. 75 CJS 01/16/96 SF.)-272 917
OnNALD OR 9.7020
Ohone #:
Cont:ractr_.r,
j BEAR ELE(�TP1(, S 246. 75 TOTAL
r PO BOX 389
j -- -- REQUIRED INSPECTIONS
-
DONA...D OR 97020 L eiling Covor^ Elect' 1 Service
,_,hone #: Wall Cove►^ Elect' 1 Final ^�
Ren #. .
This oersit is issued subject to the regulations contained in the
Tioard Municipal Code, State of Ore, Specialty Codes and all other f-'er^mittee Signatur-e
applicable laws. All work will be done in accordance with Y
approved plans, This pereit will expire if work is not started
within 1(10 days of issuance, or if wcrk is suspended for Gore cxa CIC,j.
than 160 days. Issued By
_. _.._.___....._..__ ____.___.__.....__.._._...._._....OWNER INSTALLATION ONLY------.- ---..---...._.-.-_-_
The installation is being roade on pr-operty I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE- DATE
INSTALLATION ONLY---_- ____.-______________
GIGNATURE:• OF SUPR. ELEC' N: _diodes _ DC17E:
I- I CENSE Nq: _...___..._._...-...___....--
Call l for inspection - 6.39-41 7S
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7 Community Development ELECTRICAL PERMIT APPLICATION
4
13125 SW Hall Blvd. l
U Tigard, OR 97223 Planck/Rec. # 6)1;
Permit # F/C9G 00 Ji 2
;y Phone (503) 639-4171 Date Issued
CITY OF T�GAR� FAX (503) 684-7297 Issued by /"%a,A-f- �'C�i,n Glt ti'
TDD No. (503) 684-2772 F
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development A16lJ /mac 5 I DENCC Number of Inspections per permit allowed
Address-j 2fS k9 N0/LfH✓1 -*V D2__ Service incliuded: Items Cost(ea) Sum
City/State/Zip_ 1"16,f 40� 0/t • 9722-3 4a. Residential-per unit $110.00 p o0 4
o I
1000 eq it or le
Name or name of business Ma it155E7TE fla0*lEY E.r�,portion
rvofal eq o °' S $2600o 1
( ) portion Ihenrol ��� �
Commercial 1:3 Residential Limited Energy $2500
Each Manul'd Home or AMrdular 2
Dwelling Servioa or Feeder 068 00
2a. Contractor installation only: 4b.Services or Feeders 4
Installation,alteration,or retocal'ion 2 p7,
Electrical Contractor kaL CLe-(-re- !N G• _ 200 amps Of lees $6000
Address )0;0, Ogg 3 9 201 amps to 400 amps $8000 2
401 amps to 600 amps $12000
2 t;
City i2o J Sta`t_eDI_ Zip 9?v 2 0 601 amps 10 1000 amps $180.00 2
} Phone No. — —` Over 1000 amps or volts $340.00 2
Contractor's License No. J U:yo � Reconnect only $60.00
1 Contractor's Board Reg. N� 9�9 qe.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'n 200 amps or leas __ $5000 2
License No. c/ Phone 201 amps to 400 amps $75.00 2 l
401 amps to 600 amps $10000 _
Over 600 amps to 1000 volts
2b. For owner Installations: Bee•b•above '.
4d.Branch Circuits
Print Owner's Name_ Now,&herebon or extension per penal
Address a)The lee for branch circuits with
Cil}� State Zippurchase of servko or boder bo. 2
`7 Ea h branch circuit $500
Pnone No. b)The fee for branch circuits without r
The installation is being made on property I own which is purchase of smvko or bods Am. 2
Firs,branch circuit $ 2
not intended for sale, lease or rent. $5 L'I
Each additional branch circuit u'w
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (it required): Each pump or irrigation aide $4U o0 2
Each sign or outline lighting $4000 __—
Signal circuit(s)or a limited energy 2
Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000
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
i —
Classified area or structure containing special occupancy the allowable In any of the above
as described in N.E.C.Chapter 5 Per inspection $75 00
Par 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. 5. Fees:
i NOTICE So. Enter total of above fees $ 3
f, Op
5%Surcharge(.05 X total fees) $
Pi'i7MITS BECOME VOID IF WORK OR CONSTRUCTION .Subtotal $ 1 i
AUTHORIZFD IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter vi line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevieww if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 1yG,7S
COMMENCED. ❑ Tntst Account 1M $ `
Balance Due $ Z yG• 7,
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.CITY OF TIGARD ELCTRICLRESTRICTED EE RMCy -
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR95---0244
13126 SIN Hall Blvd.Tigoru,Oregon 9722396199 (503)630-4171 DATE ISSUED: 12/27/95
t
PARCEL. : 2S104BA-05400
c;J TE. ADDRES5. . . . 1.3812 SW 1JORTHV I EW DR
SUBDIVISION. . . . : CASTLE HILL. #2 70N I NG: R- 12 F'D
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . :087 �
IDroject Description: All residential restricted energy electrical applications.
A. RESIDEN-('IAL----_-.--- B. COMMERCIAL__._. ______--------_____.____..___..-•---.-------•-.- ?
AUDIO d STEREO. . . : X AUDIO R STEREO. . INTERCOM & PAGING. .
BURGLAR At-ARM. . . . : X BOILER. . . . . . . . . . . LANDSCAPE/IRRIGAT. . : k
GAIRAGE OPENER. . . . : X CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . ..
HVAC. . . . . . . . . . . . . : X DATA/TE--LE COMM. . . NURSE CALLS. . . . .. . . . .
VACUUM SYSTEM. . . . :X FIRE ALARM. . . . . . . OUTDOOR I_ANDSC: LITE:
:I
OTHER:ALL : : X HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INISTRUME:N1'ATICIN. : EITHER. . : . .
TOTAL # OF SYSTEMS: .0
fapl:r l i rant : _..___._...---_..__..__.._._.._._.._._._.._.____.._..__ _.__.._________.__---_._._.___ FEES
f)ANIEL BROWN type amount by date recpt
12305 SW CONE STOGA I",RM7 $ 40. 00 ..I:a'.? 1.'/ 7/95 95-27435 10
PO BOX 2c'58 -P(-T $ ._:. 00 JSD iL.1,2'7/95 95-,`:74:312
BEAVERTON OR 97075
Phone #: 691•-7217
Contractor: ---.___.•___.__.._--•--._.._._.._____ t
OWNER S 4, '. 00 TOT( L-
------- REOU1RE:D INSPECTIONS - -
--
Ce.' linq Cover Eler.t' l Final �.
Wall Cover
00171012112) k
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This oermit is iscund subiect to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t e e S i gnat ure
�nnlicable laws. All 4ork 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 eorq
than 180 days. I s. �ecl By
()WNE:R INSTALLATION ONI_.Y_.._.._-__.__._.__.__---_____._.....__._-__-......_.. .._ .
The installation is bvf,
req m de on property 1 own which is not intencled for
sale, lease. Or rent _ ZIA COWNER' S SIGNATURF : / .-._ _.- DAI'Ea
r
IN4"TAL_LATIOPJ
SIGNATURE OF SUPR. ELEC' N: DATE:
i
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t (._I CEhISE NO:
Call for inspection - 639-4175
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er
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COFAmunity Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT#
Tigard,OR 97223 --- --
1 Phone(503)639-4171 'C �S
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684 2772
CITY Vf TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLA ION 4. TYPE OF WORK
;3812 s( NoR �i��
RESIDENTIAL—Restricted Energy Fee . . . . . . . . . 540.00
Address (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK [ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 5;? Burglar Alarm
i 100 DAYS. 13
Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
Contractor ___Type —_ ❑ Vacuum Systems"
20"Other_
Address
COMMERCIAL—Fee for each system . . . . . . . . . $40.00
(SEE OAR 918-260-260) j
Property Owner check Type of Work wowed:
Audio and Stereo Systems
Contractor's Board Reg. No. _- _ _.—__.. ❑
s
❑ Boiler Controls
Phone# —__- _----..– ._--
El
Systems
❑ Data 1'elecommtin ication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
�FlNItL _�. Q Lour) 691-7217 [:1 IiVAC
Print Owner's Name Q Phone No El Instrumentation
Z Q $u) �N1P-- 1!QQS1 /'U 00 Ll Z 2 ❑ Intercom and Paging Systems
Ad ress q.-2( �� E] Landscape Irngi tion Control'
City State Zi
p ❑ Medical
❑ Nurse Calls
This permit is Issued under OAR 918.320.370.This applicant agrees to make only
restrktm energy Installations it ort volt amps or less)under this perm•.and to do the ❑ Outdoor Lc ndscape Lighting
Following El Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain ❑ other
residential and other transactions are exempt from licensing.These have ---
asterisks(').All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for Inspection at 503-639-4175. ❑ -_Numher of Systems
-v Purchase separate permits for all installations that are not ready for inspection
when the Inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other nstallations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done.,and
5. Assume respnnslbilily for calling for a final inspection when all of the 5. FEES
�
corrections are completed.
The pers n signing for this permit must be the applicant or a person a. Enter Fees $ )
author' .d to I'n the plicant.
F K b. 5% Surcharge(.05 x total above) $__ y7 f
Signature TOTAL $
Authority if other than applicant
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WLIFIPtAF CIF PAYMt 4I (�IG1k 11.11\1 1 1'I�1.1s I!1.lHt-'l.kt:�M lJ� 1'WY'PAF.rt i 11\1\1\1\a 11 ! k ► r a l I
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Frundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eler. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line /Insulation -Mech.
Underflr. Insul. ear INal�l� Gyp. Bd. -Elect.
Date Requested: SLI— Time: AM PM
Address:
Builder: Permit #: � S
THE FOLLOWING CORRECTIONS ARE REQUIRED:,
Inspector: Date.
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 7 Business Phon 'C)39-4171-.
Inspection:
FootingSusp. Ceiling Sprink. Rough-in Appr/Sd
t
r Foundation Plbg. Underslab Mech. Rough-in Fireplace
Elec. Rough-in FINAL:
ost/Beafn S� t-rPlbg. Top Out g
oleam Mech San. Sewer Gas Line -Bldg.
Framing -Plumb.
g. Undedloo Rain Dain g
Alarm
Water Line Insulaticn -Mech. r
• I
-Elect.
All`ll Underflr. Insul. Shear Wall Gyp. Bd.
Time. AM r
4, Date Requested: ,� 1
` Address: L ->
_ c�
Permit �:�-�� -
C�
Builder:_ -
s` THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:—
Inspector:
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Inspector: ___
' PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE l
4 _Call For Reinap.
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ELECTRICAL PERMIT
IT S: D -2
569CITY OF TIGARD DATE ISSU= : 11/: 1/9
C
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW Hall Blvd.Tigard,Onpon 97223.8199 (503)839-4171 PARCEL: 2'G 104BA--05400 r
SITE ADDRESS. . . : 13812 SW NORTHVIEW OR
SUBDIVISION. . . . : CASTLE HILL #2 ZONING:R--12 FID
BLOCK. . . LOl.. . . . . . . . . . . . . :087
ProjectDescription. Residential 3, 500 sq. ft. ---_-��^_•_..__-___._.__.._._.,.__._.
-•---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS--------
1000 SF OR LESS. . . . : 1 0 - 200 amp. • • • • • • : 0 PUMP/I RR I GAT I ON. . . . : 0
EACH ADD' L 500 SF. . . : 5 F01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : Ib
LIMITED ENERGY. . . . . : 0 401 •- G00 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . . 0 7
M"NF. HM/ SVC/FDR. - : 0 601+amps--1000 volts. : 0 MINOR LABEL (10) . . . : 0
- --SE RV T.CE/PEF_DE R- - ----BRANCH CIRCUITS------ -----ADD' 1_ INSPECTIONS
---
0 __ 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
.01 - 400 amp. . . . . . : 0 1st W/O CiRVr f" R FDR. : 0 PER WOUR. . . . . . . . . . . 0
401. - 600 amp. . . . . . : 0 EA ADL1' E_ BRNCH CIRC: 0 11\1 PLANT. . . . . . . . . . . : 0 a
601 - 1000 amp. . . . . .' 0 ___._.___..__...._____._.._.-----PLialV REVIEW SECTION------------------
1000+ amp/volt. . . . . : 0 >=4 RES UN.TS. . . . . . . . : ) 300 VOLT NOMINAL. . e
Reconnect only. . . . . : 0 SVC/FDR > = 22� 5 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: _--_-_-___-.----------------------._-___-__-__-_ -----. FEES --.---________--.__
CITY ELECTRIC type amoant b date recpt
8070 SW NIMBUS AVE PRMT $ 2.35. 00 CJS 11/21/95 95-273094
SPCT $ 11. 75 CJS 11/21/95 95--273094
BCAVERTON OR 97008
Phune
CITY ELECTRIC & SUFIPLY CO $ 246. 75 TOTAL
ln'014 SW CANYON RD
------- REQUIRED INSPECTIONS -----.--
POR-FLAND Of) ')% .,:'; Ceiling Cover Fl.pct' 1 Service
Phone #: Wall Cover ETlect' I Final
Reg #. . .
t
This permit is issued subject to the rr�ulations contained in the _„_•.._......_.._..._.____.. _ .. .__.____ r __. _.___._...._. ___�_._ _..
Tigard Municipal Code, State of Ore. Specialty Codes and all othar Perm i tt pe Si gnat i-ire
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started /
within 188 days of issuance, or if work is suspended for more
than 180 days. Issl-led By
OWNER INSTALLATION
The installation is being made on property 1 own which is not intended for
sale, lease, or rent. °
OWNER' S 4S IGNATURE e _ DATE-
________•---_._.___..____.._--CONTRACTOR -----
INSTALLATION ONLY—
SIGNATURE
NLY------------cIGNATURF OF SUPR. ELEC' N s ���_ Qd,��� _ DATE.:
LICENSE NO:
Cavil for inspection _ 639-4175
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Community Development ELECTRICAL PERMIT APPLICATIONw .
13125 SW Hall Blvd. •
Tigard, OR 97223 Planck/Rec. # 95"-,113O9y
Permit # s-ng .-
Phone 503 639-4171 - ._
( ) Date Issued /i- �� 9 S"
FAX (503) 684-7297 Issued by f'6-.,-/�s
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639.4175
1. Job Address: 4. Complete Fee Schedule Below:
I�, 1 Number of Inspections per permit allowed f
Name of Deveiopment6171 L Ie—-- , k
Address/39/2- 5� A)e r 11'1 iJ,, Service included: Items Cost(ea) Sum
�7 •
City/State/Zipd l / 4a• Residential•per unit 4
�� �7�
I000 aq It or lees $11000
Each additional 500 eq It or
Name (or name of business)6ge, J&r, .,V-a err portion thereof y� $2500 /j2 '
�'t-� Limited Energy $2500
Commercial 13Residential m Each Manuf'd Home or Modular
Dwelling Service or Feeder _ $"00
2a. Contractor Installation only: 4b.Services or Feeders I
T IroInllTtion,alteration or relocation
2 i
Electrical Contractor l� Yt C ) zoo amps or lose $e0 on 2
Address 606 S 41 N;rw h w S y4�^P_. 20, amps to 400 amps $60.00 2 I
p__7 11.u�� 4(1 amps to 600 amps $12000
(illy_ QNUP.r 1 nen State ZI FjI amps to 1000 ams* $18000 2
Phone No. e N/ Hot L Over 1000 stripe or volts 6J4U tui 2
— Reconnect only _ $5000 I
Contractor's License No. Alfe, seg CG
Contractor's Board Reg. N �}�_ 4c.Temporary Services or Feeders
Inslallntion,alleration.or relocation
2
200 amps or lees __ $5000 2 i
Signature of Supr. Elec' 2
Phone No. yi- p 1 L 2n1 amps to 400 amps $75 0o I
License No. .�`J _ _ 401 amps to 600 am pe $10000
Over 600 amps it 1000 volls j
2b. For owner Installations: "°n"b'"''°`
i
4d.Branch Circuits j
Print Owner's Name New,elle ation or extension per panel I
Address a)Ito lee for branch circuits with 2
purchsse of servke or(Peder he. i
city _
Slate Zip Each brooch circuit _— $500 i
1 b The foe for branch circuits without
Fhone No. ) 2 j I
The installation is being made on property I own which is purl branhase of circuisecirt
or Aseder tt...
F.ml branch circuit $35 00 2 i
not intended for sale, lease or rent. Each addeional branch circuit $500
3
u
Owner's Signature 4e.Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required)- Eachpumpor irrigation ing 0#40 00
2
Each sign or outline lit'ding X40 QO
Signal circud(a)or n linided energy 2
Please check appropriate itthm and enter fee in section SB. panel,alteration or extension $40,10
4 or more residendal units in one 61nlcture Mino,I.ahels(10) $10000
Service and feeder 225 amps or more
_ 4f.Each additional inspection over
System over 600 volts nominal
Classified area or structure containing spacial occupancy the allowable in any of the above
Per mspertion $3500 _
y as described in N.E.C.Chapter 5 sr hour $5500
I In Plnnl $55 00 _
Submit 2 sets of plans with application w,.yre any of the above i
apply. Not required for temporary constructiot'services. 5. Fees: r
Se. Enter Intal .If above fees $
NOTICE 5%Sun narge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subfofel $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANtiONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK, IS Subtotal $ _
COMMENCED. ❑ Trust Account IM $
6.-lance Due $
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 4,•
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-iii Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. n. 3e Gas Line -Bldg.
Plbg. Underfloor Eater
Drai` Framing Plumb.
Alarm Li Insulation -Mech.
Underflr. Insul. Shear Wallr
Gyp. Bd. -Elect.
Date Requested: ( 5 ,
Tim�U AM PM
Address: c
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Y I;,
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1 � •
Inspector: /
/ Date:
I�APPROVED _DISAPPROVED
__APPROVED SUBJECT TO ABOVE
V _Call For Reinsp.
f.
F •
CITY OF TIGAR oDBUILDI G INSne): 639-4175 n
EC eOs NOTICE
TICE639 4171
spe�,tion Line (Rec O
Inspection: q r/Sdwlk
usp. Ceiling Sprink. Rough in PP
ootin Fireplace
oun atlon Plbg. Underslab Mech. Rough in P
��---� Elec Rough in FINAL:
Pc-,t/Beam Struct. Plbg. Top Out Bldg.
n
Post/Beam Mech. San. Sewer Gas Line \ .Plumb.
Plbg. Underfloor Rain Drain
Framing
Alarm Water Line
Insulation � -Mech. I
Underflr. Insul. Shear Wall ( Gyp. Bd
Elect.
Shear
lkAM ,
Time:_ PM
_ _—
Date Requested:_
Address: �--
k s Permit #:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
R 1n
A,
1 Inspector:
DISAPPROVED _APPROVED SUBJECT TO ABOVE
' APPROVED
Call For Reinsp.
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? PLUMBING PERMIT
C ITY OF TIGARD DATE T SUED: . 1 : ~0 X09
^.OMMUNITY DEVELOPMENT DEPARTMENT
DATE I ssuEn: 11/08/95
{ 14125 SW Hall Blvd.Tl9ard,Oregon 97223.8199 (5f 3)539-4171 7.
t PARCEL: 29104BA--0 a 400
SITE 4DDRCSS. . . 13812SW N;JRTHVIFW 17R
SUBnIVIS:OhI. . . . : CASTLE HILL #2 ZONING: R- 12 PID
+<
BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :087
CLASS OF WORK. . : -WGiARBPGEWDISPOSAI__S. .
7YPE OF USE'. . . . :NEW WASHING MF-iGH. . . . . . . : 1 BACKFLOW F'REVN"TR i. . : : �
OCCUPANCY GRP. . :SF FLOOR DRAINS. . . . . . . . 0 TRAPS. . . . . . . . . . . . . . .
';TORIES. . . . . :2 WATER HEATERG. . . . . . . 1 CATCH BASINS. . . . . . . : 0Itt' a .
FIXTURES --____---_-- __... .- LAUNDRY T•1RAYE,;. . . . . . :0 SF RAIN DRAINS. . . . . . 1 Ihi�7,
. 1
GREASE TRAPS. . . . . . . :0
SINKS. . . . . . . . . .
LAVATORIEW. . . , . : O' l=R FIX TUNES. . . . . . iT I
C
TUB/SHOWERS. . . . : SEWER LINE (ft) . . 0
WA i ER CLOSETS. . : WATER LINE (ft ) . . : 1 00
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . 0
I(:
Remarks : PATH 1.
>x`
OWNER: k
--_______= ______._.__-_.._..__._._..__._ c�WM $ lir0. 00 B 11/'18/95 95-272624
DON MOR J a.r�C�TT f I.JM $ l 0.0. 00 B 1 1/V18/95 3 r'-� �_ r_ �
500'1 SW MEADOWS RD
SU%TE 151. L;PRT $ 755. 50 S 11/08/95 95'-x_72624 ti�k°y��J
C BPLC $ 49 1. 08 BON 08/10/95 95--:69135
L..AKE OSWE:GO OR 970"1
Phone #: 620'-7 38 n
)i5Pr_ $ 7. 78 B 11/08/95 95 2624 (�������, y
. 27.^,C4
BFLC $ 0. 00 B 11/08/95 95-2
C'11_imbing [ nntr^,artoi-: __.----- f-ARK # 500. 00 13 11/0(3, 9-� 9,� ._ + s'
MPI
95 95-c-
_.� . . . MF' f -'72624Rr ` 7'6
IVame11. 2 B 11/089 9G 'y
� �
Addr^e s s: __��..._. .. ��.••- �� _ _ Ih�iF'C $ _..,�-. .-_'`� B 11/08/95 9..�-�7 26:::
0 B
laity: 72624
11/08/95 95-
tate _ F'STH 4,FC 9• 11 .1. c Ea 11/08/95 95-272624
zip. Ihor
Additional fees not shown here. . . . . . . . .
peq
REQUIRED INSPECTIONS
permi.t is issued subiert to th -? reg--
dations contained in the Tigan^d Municipal Footinq Insp Ins�_Ilation Insp �
Code, State of Or-e. Specialty Codes :and all Foundation Insp - Yp Board Insp
other- applicable laws. All work will be done Post/Beam Struct Rain drain Insp �
i.n ,accordanc?e with approved plans. This pest/Beam Mec.lh,an Water Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 1130 days of issuance. or, if work is Palm/undslab Insp Appr/Sdwlk Insp
suspended for-'more than 180 days. PLM/Underf) oor- Mechanir_al Final
Mlechaniral. Insp Plumb Final
Plumb Top Out Buildinq Final
jFr-aming Insp Erosion Control
% F i r^e p l a r e Insp
l;,a s L_i n p Insp
!1_i , iorized PILtmbi Conty-a 0 ^ Signat�_tr^e
Call for insp0c-tion - i-V j--4175
! Urmtr~actor Notps• --
f
7-77771'1-71"' '7' 7777171777777!
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PERMIT #. . . . . . . : MST 95• 0309
.CITY CSF TIGARD DATE= ISSUED: 11/08/9`-,
COMMUNITY DEVELOPMENT DEPARTMENT P-ARCEL: 25104BA--05400 •
5I Tk ' F `e. DR
SUBDIVISION. . . . : CASTLE 1.41 LL #E ZONING. R--12' FIE)
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . .OR i
Remarks: PATH I
t
BUILDING ---------------------------------------------------------------
REISSUE: cTORIES.......: 2 FLOOR (REAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------
CLASS OF WORK.-NEW HEIGHT........: 28 FIRST. ..: 1440 sf GARAGE.....: 580 sf LEFT..........: 11 SMOKE DETECTRS: Y ,
TYPE OF USE._.:SF FLOOR LOAD....: 40 SECOND...- 1848 sf FRONT.......,.: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGH1.........: 5
OCCUPANCY GRP.:R3 BDRM: 5 BATH: 3 TOTAi.----- 3388 sf VALUE.A: 228505 REAR..........: 45
---------------------------•------------
-------------------- PLUMBING ----------------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 ?RAPS.........: 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS.. : 0 SEWER LINE ft: 0 SF RAIN DRAINS: l CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WgTER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------- MECHANICAL ----•-----------------------------------------------------------
FUEL TYPES---------- FURN ( I0 K ..: 0 BOIL/CMP ( 3HF: 0 VENT FANS.....: 4 CLITHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 QTFIr !";;TS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
ELECTRICAL --------- --------------------•--------------------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
IM Sr OR LESS: 0 0 - 200 asp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION• 0 PER INSPECTION: 0
EA ADD'L 508SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/0 SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDA: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION -------------------------------------
ReCLnnect only.: 0 )=4 RES UNITS..: SVC/FDR)=2c5 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------ ELECTRICAL - RESTRICTED ENERGY ----------•-------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------
AUDIO 6 STEREO.: VACUUM SISTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC.,.........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :.
HVAC..... ......: DATA/TELT COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: -------------------•-----------------Contractor: ------------------------------ TOTAI. FF_ES:1 2554.31
DON MORISSETTE Dtit'd MORISSETTE HOMES
5000 SW MEADOWS RD 5000 SW MEADOWS RD
SUITE 151 SUITE 151
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone C 620-1538 Phone #: 620-7538
Reg #.. t 335533
1 This permit is issued subiect to the requ' 'ions contained in the Tigard Municipal Code, Stale of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with anproved plans. This permit will eroire if work is not started within 10
days of issuance, or if work is suspended for more than 180 days.
---- ---------------- - -------------------
Footing InspREQUIRED INSPECTIONS ------------------------------------------------------------
` Plm/undslab Insp Fireplace Insp Water Line Insp Building Finai
Foundation Insp PLM/Underfloor Ga Water Service In Erosion Control
Post/Beam Struct Mechanical Inso nsuIatio so Apor/Sdwlk Insp
Post/Beam Mechan Plumb Tap 0 Gvo Be nsp Mechanical Final _ ----
Crawl Drain Framing Ens in Insp Plumb Final
--...a d S y .
rrsC,ec:t i on _ 639-4175
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PERM T T
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PERMIT #. . . . . . . : SWR95`-0359
Cluff OF T1DATEARD ISSUED: 11/08/9
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S 104BA-0`,400 �+ + •�,'
13125 BW Hall Bbd.Tigard,QreQon07223.8199 e0:3)839-417`1 3
SITE ADDRESS.. . . : 1:'81: SW NOTHVIEW GR ry
ZONING: R- ice' PDQ
SUBDIVISION. . . . . CASTLE HILL #2s .`.�,
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :087
-.--------------------....-------.------------------•--.-.---•.---------------------..._._.__.__.._
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . F I XTURE UIIITS. . . : 0
CLASS OF WORK. . . ::NEW DWELLING U,V I'f.9. . : 1
TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: 1
INSTftLL TYPE. . . . :RUSWR IMPFRV SURFACE: 0 s
Remarks- PATI-1 I
Owner.: _.___.._..__.__.__.__._.__----_---•---_____._._---.----.____----__-.•- FEES -_.___.__----•_-._--
DON MORISSETTE type amount by date rer_pt
5000 SW MEADOWS RD PRMT $ 2200. 00 B 11/08/95 95-2726.24
SUITE 151 1N5f- $ 39. 00 B 11/08/95 95-272624
LAKE OSWEGO OR 97033
PFr o n e #: 620-7538
Contractor:
CONTRACTOR NOT ON 1` 11-E
phi on e #: $ 00 TOTAL
Req #. . .
-_--_-.- REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Un. ed Sewage Agency. The permit expires 180 days from -
the date issued. The total amount paid will be forfe
permit expires. The Agency does not guarantee accuracy of the
side sewer laterals. If the sewer is not 1 ted at ,.he measure n
given, the installer shall pro 3 fe in all directions ____.,•_ ___ _ __ _______,_�.
the distance given. If not so located, I installer sha rchase
a "Tip and Side Sewer" permit d th Ag ncv a lateral.
f'er,m:ittee Sj.r,rtat.1_tr•a� :
Call for inspection - 639-4175
n
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Residential Building Permit Application
City of Tigard '
t
13125 SW Hall Blvd. 4
Tigard, OR 97223
(503) 639-4171
`�/�f ��L` `�L'1 'Tf_' �
Jobsite Address: � �� �� � ,Y � V 1�1�• �' '
I ' Office Use Only ,
Subdivision: % i101V _ Lot#
Valuation: Q?cM so-S. PlancWRec #
�-
Corner Lot? Y Permit# I// S
(_T
Flag Lot? Y (N) Reissue of n
Map & TL 14 M ' 7t�C7�i
'i
Owner: DDS M 0121 SSE� +40H0--), 1 N(� Appro!als Required
Address: _t2VV Ha 92• `•m II'51
Planning '�"�7K(✓
i F7
UJO1 KE Q!t�-O, CK C120225- Engineering
Phone: () - 17 3?
Other
Contractor: :5lart l5 I� fk,� Items Reguirpd
Address: _ Subcontractors
Truss Details ?'
Phone: — Other ,t' .X �. y ' ( ' ( ,`,� Uq y
J
Contractor's License # . 55 3: e`l nww;' Y '��'a 11 IGrx r �` � �,
(attach copy of currant Oregon license) 644, X13 _ 4 'i S'
Contact Name & Phone:
Subcontractors: Arc hitect/EngIneer:
=
Plumbing:bk 1Pr1tiB2-b 4 UM I fJ(-DW Address: AJVV w•
d.
Mechanical:T.l C1AUNPry —rE3-1 0)41 63,2�035
(attach copy of current OR Contractor's License) ,^�n ��3
Phone: �
i
JOB DESCRIPTION:
Applicant Signature & Phone number
PP
I %
Received by: Date Received:
WWOFlD%COMD"ESAPP
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Permit# Account [Description Amount Amt. Pd. Bal. Due �
/•yi.S ii- 03 Bldg. Permit (BUILD) SS S a S 5.5 ✓
Plumb. Permit (PLUMB) Zi,� .2��~''�
Mech. Permit (MECH) y�•�� 4��'�'�
State Tax (TAX)
Bldg: .
Plumb: - L J
Mech:
z,33 �`� ��� 302.13
(PLANCK)
Plan Check (
`y /
f Bldg: qY1, o f a4
Plumb: _
Mech:
`w i= 3 S y Sewer Connection (SWUSA) 2 Zo✓ _ u
Sewer Inspection (SWINSP) _ 3
l Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) vIF-
Mass 'transitTIF (TIF-MT) --- -----___ "`
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
"I Water Quality (WQUAL) ry
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) _ _ r
Erosion Planck/USA (ERPLAN) _ _,Y 6
Erosion Planck/COT (ERUSN)
TOTALS:
�. _ .....___..,tea,.....--,...»m_.... .w.,.�..-- ......�.,..,__....___._.__,,._.�
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FRCf1 IF IRST i•1.1ERIC:FIN TP!,X;SER14 TQ 6036207.465 3S.10-e-4 0x3:.3:: qODS F 02 c3 � s
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% TRAFFIC IUPACT FEF
rl n accordanc.9 wlu, ,he Tra„rc Ir ect r`�99 'Crdinanc,,n tiet,ix 0 � ,, , evelo rnen, rp Corporation
'� � i
is entIlled ta,� n —r- c
r affi lnpect Fs3 Crsdits That Csn be 2ppiisd to TIF cfutr5es
on lot;;E?-131 of t,"e Castle hill No. 2 DevelopMent. The us9 of:lF credits
are subject to the rules and ilmltations Of the TIFOrdinence. khXR,'VING;
r c
Ibis vouCher must be presentad Et Me time of issuance cf the 3uildina permit, or Il deferral •. •"
Kns:6rsnted issuance of an CCcuparcy Permit.
ILIA i F X CIE 1EICFVE'V i CORPORA 710N hereby assigns an its right
tnie v7d interest i1%and to that C �+
erta.n Tr.�rfic 1nFsct Pae .redit b .l f,
be ranted
upon the issuance of a buil„';"n9 permit for Lot_
CA5TLE HILL ND. 2 sJSdivis,or, We Cc
�,. only, Orsgon, to the cyder cf•
�4{� This xss;j;nmert of Tra,fic I,'npact Fe9 Credit r's ade and Ivan -r%%'•'r'
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day 9 QF�
h4ATRIX CEVE=r 0Fi11ENT CORPOi i4 T1ON, '
in Ora,cn Cor^oreriorl '
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GM B.W.Meadows Rd.,Ste.151
bake Oswego,OR 97035
Phone:(508)620-7588
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C.I-IY (0 1 .f CiIa121) L-W PAYML N 1 PkCEIPT NO.
cmEC;K W4()UN T e 4789. 31.
14AME a LION MOR I SSE. 1 I F. H(.:1MRS IN(.; CASH (.*aM(.)UN'I a 0. 00
0 D D RR 911 t 5000 SW ME.-_ADOWS RD 9_-151 1:�1AYMVN I D T Ea:
LAKE Clsw(..40 OR F;1 ODIVISIUN s
97035-
r'LIF2E'CIEaE=. O 1'•'AYMEN I• AMO .1N1 H1►+.I 1 (•t tl l l(t4i( OF PA'YMV..N T AMUUNI PAI U
NLIII 1!l.N(:3 PFHM
... ...,......_. /!s,"r. `dli t:y�I:I�,It,i(�It;aj�. f=.lYl-_..__...._._..._ _ _.....___••�c:,�. 00
ME.0 I iI t{�I[I:AL. PE4t).00 Ixa 1 .
LAU 11.D I NO PLAN C:HF•CK c_91. "hH �;! u!I i•' l ll;i 1 c�::'.k1V�. 41!.'
: 1iW112 lN!i1`H.l".'T iIn. V.0 f'tti: % IIt Wk.). 00 I
PIAIN CHI.CK 1 1. i`"y I I i t I.II tt iz ! i r I , 11 I! i ! T I ! t 180. k'IIIJ
(AU11N'1 11'Y FP)(::(L.,ITY FF.E 1V,0. 00 k.111.J rLUh1 t tIIJ(111Jt t't I<I.1t ! t1hi.• L!1!(Y
LHObION 1:1141 81..11. F'I_AN (;K r:•'8. t:'0 K RtjtijI I IN r I IN 1 R01 .:15. bh.,
BU T1.Tl L N11 PLAN C:t11:I.1i r'`��• YID
1.21.312 13W NCIN'E'HV IEW DR. — Mci-E 95--0.509 }
11—bury f
TOIAL AMOL.INI PAID
--w�,:...c M....f,,...•r�"'«•`err:-«.yr�!..,rr..-.•n�-.�s-__.
CITY OF T I GARD RLCE I PT OF PAYMENT 11ECE:I PT NO, 1 95--1?69 l';5
CHF..XK AMOUNT t w 5111. co
NfIME t DON Mf.IRI'35FTTE HOMES, INC CASH AMOUNT I: 0. 00
:,MOO SW MFArC'WS 0D. SLJTTC 151 PAYMENT DATE 08/10/95
LAKE- OSWE 410, OR S:�LJDE)I V I5IC1N e
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� . AMOUNT DA PURPOSE OF PAYMENT nMOUNT PAID
15Ul21�CI5t~ OF PAYMENT MFN T .�...•.—.—,—....�,,,.__.. 1
CHECK FE ipso. 00
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i
t3812. :yW NORTHV 1 F-'W DR. — 6-41C,
TOTAL, AMOL.INT PAID
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