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10616 SW RIVER DRIVE-1 ADDRESS: r is\records\microflm\targets\building.doc I , CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-4171 Q�j Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling CIPI Post/Beam Mach. Shear/Sheath Framing -Mec Pibg.Und/Flr/Slab Plbg. Top Out Insulation - lec Post/Beam Struct. Mach, Rough-in Gyp. Bd. l� n. Sewer Gas Line Appr/Sdwlk Heins. Other: Date: _ A.M. M. Entry: Address: — 0 (P �— Tenant: _ Ste: _ MST: U, �o_ � 7 C✓ MEC: Con/Own:____ PLM: ELC: THE FOLLOWING COFiRECTIONS ARE REQUIRED: ELR: Insctor: – .__ Date: _,_ ' ___APPROVED __DISAPPROVED/CALL FOR REINSP CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639.4171 Inspection:,_ Footing Susp. Ceiling Sprink, Rough-irt Appr/Sdwlk Foundation Plbg, Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Pain Drain Framing -Plumb Alarm Water Line Insulation -Mach. Underfir. Insul. Shear Wall Gyp. Bd. lect. Date Requested:, C Time: AM PM Addr ss: L� (� �� p 1� 1� �, C 1r.�_ Z. -7—_5_60,0 Permit #tl_� Sfo a THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspeecc r: � Date: 11, 17- 7 !APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE `Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprinl,. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Hough-in FINAL: Post/Beam Mech. San. Sswer Gas Line -Bldg. Plbg. Undertloc:- Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underi;r isul. Shear Wall „) -Elect. Date F quested:_ ��l C) l Time: AM PM Address: Builder: �G ( �- i'j 70 THE FOLLOWING CORRECTIONS ARE RL JUIRED: ov Inspector: Date• � 4-XP-PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6339-417 Inspection: Forting Susp. Ceiling Sprink, Rough-in Appr/Sd Founaation Plbg. Underslab Mech. Rough-in F;replace 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 <ns latio -Mach. Underflr. Insul. Shear Wall Gyp, Bd. -Elect. Date Requested/:_ // / (o Time: AM PM Address: ! G b lee Builder: -Y-2- / U Permit 5 - �331 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date:-Zazg� PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Businqss Phone. 639-417 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/SdWK Foundation Plbg. Underslabech. Rough in Fireplace Post/Beam Stru,:t. g. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain enEm�e(k— -Plumb. Alarmater Line Insulation -Mach. Underflr. Insul. Shear Wall ! Gyp. Bd. -Elect. ( Date Requested: G /��(1J� Time: _AM XPM Address: d 14P '9" k---, Builder: & YC)- 2176 Permit #: 0,3 U THE FOLLOWING CORRECTIONS ARE REQUIRED: 6 - �/Z7i Inspector: Date:-&A� _APPROVED DISAPPROVED ROVED SUBJECT TO ABOVE Call For Reinsp. f CITY OF TI3ARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O•Phone): 639.4175 Business Phone: 639-4171 Inspection -�.�Q,�,/ Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out ®. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line InsulatiLn -Mac!,. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time: AM )(PM Add+es r: y Permit #: zqittz�z THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector�_ / / C P� (.( Date- APROVED _DISAPPROVED __APPROVED SUBJECT TO ABOVE \\ _Call For Reinsp. (Y OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417 Inispection: ` •� Footing Susp. Ceiling Sprink. Rough-in Appr/S wlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Pols/_4a�m St—uct.* Plbg. Top Out Efec. Rough-in FINAL: ! i8eam� San. Sewer Gas Line -Bldg. PA. de Un'- r� Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_ Time: AM PM 1 (� Address: L Builder: � Y 1 � G' ,�L' Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: cW.,vvE.t cC,yvs O i -�t2,� o,�• �,� Inspector: Date:�C�r ' C.14*PPOVED ,DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. t Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 95`- 1711-?o Permit # .EZI Qc Dysh _ a Phone (503) 639--0 ,71 Date Issued 1Q v-9S _ CITY Of TIGARD FAX (503) 684.7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ Number of Inspections per permit allowed Address C l l c� l r e( � /� .___ l Servtco mclurlitad Mems Cost(ea) Sunl City/State/Zip It 4a. Residential• per unit ' {,//� 1000 aq It or lege $11000 'Jame or name of business �1 L�I( '��7�►t / )C 711C.� Each additional 600 sq It or ( )_I—) portion thomit $2600 Commercial E] Residential Mr Limned Energy $2600 Each Manul'd Hong or Modular Dwelling Service+r Feeder 888 00 2a. Contractor installation only: 4b.Services or Feedere (CCT Installation,alteration,qr relocation Electrical Contractor C __ 200 amps or leas SW 00 t 201 amps to 400 am $80 00 2 Address5� 401 amps l0 800 amps $12000 2 City State Zip ----- 2 801 amps to 1000 amps $18000 Phone No. 6"'7 ' LE' over 1000 amps or volts $34000 2 Contractor's License No. ��- .' t!? Reconnect only $5000 Contractor's Board (40, �� '-� � _,_ 4c. Temporary Services or Feeders Installation,alle.dlron,or relocation Signature of Supr. Elec'n 200 amps or lees $5000 License No. �1� Phone No. r' r � 201 amps to400amps $7500 ? 101 amps to 800 amps $10000 Over 800 amps to 1000 volts 2b. For owner installations: see•h•above 4d. Branch Circuits Print Owner's Name Now alleraaon or extension per panel Address A)The lee for branch circuits wlth CI State Zi purchase of servlee or"swiss Ape. 2 `7_ p Each branch clrard $500 Phone No. b)The lee for branch circuits wflhout The installation is being made on property I own which is purchase of service or Nader Ne. not intended for sale, lease or rent. {'vsl adds,"nrh nrI h- $3500 `�. �TZ1 2 F ash add�inru�i h�nnch arrud � $500 Owner's Signature 4e. Miscellal,eous (Service or feeder not included) 2 3, Plan Review section (if required): Each pump or irrigation circle $oo 00 2 Each sign or outline lighting $4000 Signal cirewl(s)or a limited energy 2 Please check appropriate item and enter tee in section 5B. panel.alteration or extension $4000 4 or moro residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more Systpr .)ver 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of they above as described in N.E.C. Chapter 5 PA, l'°" $9500 Pn,hn n $5500 b,t9m,! $55 UO -- Submit 2 sets of plans with application where any of the abaur apply. Not required for temporary construction services. 5. Fees: NOTICE 15a. Enter total of above fees $ �n I1 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account 0 $ Balance Due $ L T waMmmeM�NM�c-pm app fit" 1.-J 11 11t 111.'i(It(1+ — i�;F ! I I " I 11f I'I1 (hi! II} I•I 1 I II ' { IN4, '`!'.-� ;' 1, ' h1t 11+11' tt I L I_ t 1 .1 I to I (41; It 10 1 �rtA19 -W j 1 1 f{11 ,AIt:AgwtJ01) ,lk °!j.it 0.... I 'III,:111I:0 11 1 '1IYfit_P)I Iit'll I, Ihi + t'fi111 1141 '1 r..1 111 ! 'rIv;W Iit'll II1111 I PA J 45--04ti6 AOf tf> aW 10 Vf P PP i i!'f EIL tlm(II IN I t INA t LI II+a7 I CI;'! OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec- -Ph no): 63�Business Phone: 639-4171 Inspection:, r 1 Susp. Ceiling Sprink. Rough-in Appr/Sdwlk oun� Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewcr Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach Underflr. Insul. Shear Wall C� Gyp. Bd. -Elect, Date Requested: 3 +Time: XIAM PM Address: 0 Builder: Permit 0: THE FOLLOWING CORRECTIONS ARE REQUIRED: " 7't� '�Xi�l 1`1.C1 `�7`�'</C$'✓/h= ��.V�"cote"`- /�''Q/'' l�(�'r"Gr 1 tJ� l�iP�[�✓ L1.Y� �"1/��"�r``r �Y..iC_�.•...�� /.�� SSG..�t . Inspector: Dater APPROVED DISAPPROVED PROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD CL JNITY DEVELOPMENT DEPARTMENT 1312b oW Hall Blvd.Tlpmrd,Oroyon 97223*8199 (503)639.4171 Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jorsite Address: _��� I L� �L_� ►L.�Er 1?.�, Subdivision: , —� Lot # ^ Office Use Only ,�y• Contact Date / ! Initials Valuation: _ ___� r ._:_d'"'�• Result New Construction Only: (Square Footage) Planck/Rec Permit # ;ruse: r-2 Garage _ Reissue of Map & TL # 2-51 l --06;0 U Corner Lot? Y © Flag Lot? Y Zone Owner: Plat # �'�(�3'G.I�. ��L•I.E��^ ---_ Address: I(O S.Lj• Approvals Required Planning Setbacks Solar Engineering Phone I S�� ) ^ — J �e7 Lf Other S '�o— Items Required Contractor: `._ Address: Gq __�(_,,), a( � l�I, Subcontractors — Truss Details Other ? Lsy3 ) ��'12 �`�7 U -- Phone. Notes � Contractors License # (attach copy of current Oregon tcense) Contact Name: }}70t"t --t�kdte Contact Phone. r Subcontractors: Architect/Engineer: Plumbing.- Mechanical: lumbing:Mechanical (attach copy of current OR Contractor's license) ��11 e� Phnno JOB DESCRIPTION. Aeldt a X a ---- r mac.` k►•-. .►'2. _ _ I � �����_—� ---__-_-� - Applicant Signa �eI Applicant Ph oe number K. Received by: L i, _ _ _ Date Received: 5 l ) H banMnvw.po __.. Permit ax Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) go,S U Plumb. Permit (PLUMB) Mech. Permit (MECN) udUa State Tax (TAX) — �_ Bldg; 15, S j �,-3 j Plumb: / Z.5 Mech: Plan Check (PLANCK) Bldg: —1f L Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) - I Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Wa,,r 01!entity (WQUANT) V Fire Life Safety (FLS) Eros.on Cntrt Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) � q4--& 6 l7k- r TOTALS: (U 9�3 v- - i I it I Y Nf I.,; I I.'F 1 .1 V,I (4o. o 12, I It'll 11 11A 1 i. 11:x. 141,11)i If 1 1 V4, 1,10 H01 11W-It-111,i at 7496 SM r`,VAM,t PL. HAPAVERTUN 01"i 9 A10 (IF 1-1AYMEM .......... 10 1 NO VtF RM Mb'fti-WN3 4 A i 0,11t I 1 11 , 1 It. 111"I IWINICAL PE '34 . 00 MIJA DINII--i PIAN 0 iw HIIIE14 Fin MMI W(1.1 u P(AVIIII:N 1 0+11 1 1 t 1 11 1 t 1 I I i lilt. 1111 it I 1 t> 914 P I k)I ,4 1t1,.. IN I