12568 SW 131ST AVENUE !�k
1 _
r
F-
J
1:\rcoords\rrdcraf lm\targelsWuilding.doc
C.5
LU
J
ELECTRICAL PERMIT
CITY OF TIGARD DATE PERMl ISSUED: 05/14/96
COMM JNITY DEVELOPMENT DEPARTMENT PARCEL: 4 514'�4AC-08�+0Qi
13125 SW Hall Blvd.Tigard,Orepon 07223.8109 (503)630-4171
SI TK ADDRESS. . . . 12568 SW 1.315T AVE.
SUBDIVISION. . , . : MORNING HILL NO 9 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . :227
Project Description: Installing one branch circuit.
---
---RESIDENTIAL UNIT-.---- ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP,,'IRRIGATION. . . . : 0
EACH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 S16IVAL/P,AIVf:_L. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FE:EDt.SERVICE/FEEDER-- -_..-_._BRANCH CIRCUITS----- ----ALD' L_ I NSPECT I UNS--•---
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 �
2'01 4011' amp. . . . . . : 0 1 sBt W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 tamp. . . . . : 0 -----------------PLAN REVIEW SECTION-----__------.-_
1000+ amp/volt. . : . . : 0 ) =4 RLS UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . , : 0 SVG/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: -__....._______.___.___.__.______-----__---._____..__.___________..___ FEES
PEGGY LEWIS type amount by data recpt
12568 SW 131ST F'RMT $ 35. 00 CJS 05/14/96 96--279324
5PICT $ 1 . 75 CJS 05/14/9C, 96-279384
TIGARD OR 9722,3
Phone #:
Contractor: ------_-------------•-------------•----------------------_-__-------.-.-.-...--_-
SHARPIE ELECTRIC 'NC $ 36. 75 TOTAL
22605 SW RI5GS
------- REU51 RE.D INSPECTIONS
--- - -
BEAVEPTON OR 97007 Wall Cover Llect' I Final
Phone #: 503-642-1937 E.lect' 1 Service
Reg #. . : 81518
This prrvit is issued subject to the regulations contained in the
Tigard Mun.cipal Code, State of Ore. Specialty Codes and all other Permittee Signature
applica5le laws. All work will be done in accordance with
approveu plans. Th:s permit will expire if work is -it started
within .80 days of iss'Ance, :r if work is suspended for more
than IAN days. Issued By
.-._......._._..____._--.-. .----.--.__.__.._.__. - --OWNER INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S S S I bNkTURF ^ DATE:
U.
IN TALI_ L UNI------------------------------
SIGNATURE UI SUP'R. E LEC' N: � DATE :
I. I CF=hISrE
NO
_J Call for inspection - 639-417 ;
C's I Y (it I I r-.JARL) NU 11'I f.IF Pfl'-'Ill N I RI 13-..1 PI NI.J. a 9E,_,:!79.0',4
(,tlkA;K W,101.11\11 s 3(,0. 7'j
NAME t S'H(1PPP, F.1 1:.C,`I R I C 14*4�*i Hilt 11 IN 1 x 0. 00
$4 D 1)H F$4 S : i-,CZ605 Fiw PIWI*;
BV-.001:-_RT0N OR
700 f
Y+lf N I (INIAINI POID VIIARV't I, I I,jl- pHytilLNI f4millit4i 1.1111411)
CL
V)
_j
fJ
W
_j
1�ebbs SW
l(T1441- AM1111NI POW
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Halt Blvd.
Tigard, OR 97223 Planck/Rec. # 96-J 793,x'V
Permit #
Phone (503) 639-4171 Date !ssued 96
FAX (503) 684-7297
CITY OF TIGARD Issued by Char•',°
TDD No. (503) 684-2772 r S�l�n-I�r�lf
Inspection (503) 639-4175
1. Job Address: 4. Complete F -a Schedule Below:
Name of Developmentt, E► � Number of Inspections per permit allowed
Address i-S zw 13 ts4 I Service included: Items Cost(ea) Sum
City/State/Zip 4a. Residential-per unit 4
1000 sq it or leas $110.00
Name (or name of business) Each adds orel 500 sq It or 1
portion theiool $2500
Commercia! El P.esidential Limited Erergy 02F 00
Erji Manul'd Home or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor Installation only:
4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor) � � IN L _ 200 amps or lase $6000 2
Addre s• (r ( • 201 amps to 400 amps $8000 2
e01 amps to 600 amps $12C�C 2
�ilty r I" a e U Zla 90v 601 amps t�1000 amps _ $1h' i 2
Phone No. 7Over 1000 amps or volts f3 - 2
Contractor's License No. _3 _ Reconnect only
Contractor's Board Reg. No C�j A4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'n ✓ 200 amps or lase $5000 _ 2
License No. Phone No.[,/y a" /
3 tJi/ C �)�4,3�—]/ 201 amps to 400 amps $7500 2
3T �7 J 401 amps to 600 amps $10000
Over 600 amps to 1000 volts
2b. For owner installations: sea•b•above
4d. Branch Circuits
Print Owner's Name _ _ New,afterehon m extension per penal
Aressdr'
n)The les for branch arcuite with
cityState Zip a
purchsw of wake or Awditr Are. 2
Each branch circuit $5 00
Phone No. _ b)Tee fee for branch circuits without
The installation is being made on property I own which is purchase of service or Ander Are. 2
O
not intended for sale, lease or rent. Fust branch circuit $35 00 2Earh additional branch circuit $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
Each pump or irngnt,on circle $40 00 2
3. Plan Review section (if required): —
Each sign or outline fighting $4000
Signal circuits)or a limited energy 2
Please check spTropriste Item and enter fee in section 58. panel aflerabon or,denson $4000
4 or more residentlal units in one structure Minor Labels(10) $10000 --
Service and feeder 225 amps or more
_System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N C Chapter 5 ger inspection $3500
j... Per hour $55 00
'n In Plant $56 00
_ Submit 2 sets of plans with application where any of the above --
�- apply. Not required for temporary construction services. 5. Fees: n
-1 5s. Enter total of above fees $
NOTICE 51/,,Surcharge(.05 X total fees) $
i Subtotal $
w f ERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED Oq ABANDONED ,'7R Plan Review if required(Sec.3) $
A PERIOD OF 180 DA'.'S AT ANY TIME AFTER WORK IS Subtotal $rr--��
COMMENCED LJ Trust Account 0 $
Balance Due $
apd�CMa�MMK f T�
MFf j-%]T[:,Qf
PERMIT
PE #. . . . . . ..
CITY OF TIGARD DATREMIT ISSUED: . 05/15M/96EC96-0130
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 150?� 639-4171 PARCEL: ES104AC-08400
SI1'E ADDRESS. . . : 12568 SW 1 3 S AVE
SUBDIVISION. . . . : MORNING HILL NO 9 ZONING: R-25
BLOCK. . . . . . . . . . . LOT`. . . . . . . . . . . • . :227
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
OF USE. . . . .SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . .- R3 VENT'S W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : I DOMES. INCIN: 0
• 3-15 HP. . . . . IZI COMM.. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . . 0 REPAIR UNITS: 0
FIRE DAMPERS?. 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDL-INC UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 10000 C-Fm: 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 10000 cfm: 0
Remeiks :
Owner-: FEES
PEGGY LEWIS type Amol-knt by date t-ecpt
12568 SW 131ST AVE PRMT $ 25. 00 JSD 05/15/96 96-279410
5PCT $ 1. 25 JSD 05/15/96 96-275410
TIGARD OR 97223
Phone #. 524-9423
Contr-actot
SPECIALTY HEATING/ FABRICATION
952`13 SW TIGARD
TIGARD OR 97223 ----------------------------------_.__
'.'hone #: 620-5643 $ 26. 25 TOTAL
Req #. . - 66578
REQUIRED INSPECTIONS
This permit is issued sut,ject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore, Specialty Codes and all other Firia l Inspection
applicable laws. All wor:- will be done in accordance with
approved plans. -hi: permit will expire if work is not started
within 180 day. of issuance, or if work is suspended for more
than 180 days.
Permittee Siggo �_tt,eAl
,74
S
si-ted By
Call for, inspection 639-4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 6;,9-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FI
Foundation Water Line Ceiling -PI
Post/Beam Mech. Shear/Sheath Framing Msec`"
PIbg.Und/Flr/Slab Plbg. Top Out Insulation Elect.
Post/Beam Struct. Mech Rough-in Gyp. Bd. -Bldg.
San. Sewer GaF Line Appr/Sdwlk Reins.
Other C, -
Date 5-Me NM..M. —P.M.
Address:Tenant: Ste.__ Ste_ __ MST:
BUP:
Con/Own: —_ _ MEC: 1 �
PLM:
ELC:
THE FOLLOWING CORRECTION,,'ARE REQUIRED: ELR:
N -- - - -------- - --- --
Y
J
W ---
J
14or _. _ _--- ___ Date:OVED _DISAPPROVED/CALL FOq REINSP. CF CO
Y I it 1-if-1141) PLA 1- .11-'I 14 144 y 11 k N I Pl. (+ I P I INI(
1AI.I.Alk 01,1001,11 . ; 'I-,, ; '!1)
NAME d 1 11 1 y tII I I t 11,41. AN,P JH I
ADDRLSS 1 11.1. 11 11
1-4 4'1 I'll.N 1 1)(111
11.1 IM) I IN L'I
VILM1.4 JbF OF 14 e 11 F N I I Ifdi If IIA I I Y 1 i I I 1 1 f dvit It IN 1 1 1 1
PIKI11s1ND i of. PF MFIt-ot,- vii Will i I 11 1,,
o.
vi
I P.SA 14 Sw I t 1I F1 V P.
MF 1 4(-0130
I Of Am1.111t4l POlD > e't-.
tww
City of T;gard MECHANICAL PERMIT Planck/Rec. ##
13125 sW Hall Blvd. APPLICATION Permit
Tigard, OR 97223
(503) 639-4171
Description —
Table 3A Mechanica( Code QTY PRICE AMT
Job 7 rkj f t,•✓ 1) Petwit Fee 0- -0- 10.00
Address --
!"��G( ✓ f L z 1 2) Supplemental Permit 3.00
Furnace to ICO,000 BTU -
e 4-di 5 1--1 i s 1) (ncl, ducts & vents 600
BTU +
Owner "L S L'd' f�' �� i4i c 2) incl. ducts & vents 7.50
.," — --
—` urnance'
3) incl.
vent 6.00
Suspended ie lir, wa eater
4) or floor mounted heater 6,00
Vent riot incl.in
Occupant 5) appliance permit 300
Repair or heating, re rig.
" 6) cooling, absorption unit 6.00
a
Boiler or comp, heat pump air cony
�'�'L rc i f"G //�� �ii Z,J• jt) 7) to 3 HP; absorp unit to 100K BTU f 600
BC!er or comp, heat pump, air cond.
Contractor S Id j�J /� ",�f �' 8) 3-15 I-a; absorp unit to 500K BTU 11 00
of er or tiomp, eat pump, air con .
��CS�Lf Z l- 7 9) 15-30 HP; absorp unit .5-1 mil BTU 15(70
"" """"'"""" " '•I'�(�
Boiler or comp, at pump,air concT
4 5~ pb I 10) 30-50 HP; absorp unit 1-1.75 and BTU 22 50
ere y ac row a ge t at T have read this app ica ion, at the Boiler or comp, heat pump, air r_on .
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37 50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4 50
Board, that thA number given is correct. (If exempt from St.,te it and ir,g and
registration, please erre reason below) 13) 10,000 CTM + -50
Non porttahle
14) evaporate cooler 4 50
Vent fan connected
15) to a single duct 300
/� / Com-,/ enuiation system not
„ .",�
c /-�'t'� uS /f t7 16) included in appliance permit 4 50
,. oo•serve y -
17) --hanical exhaust 450
escnbe work new U acid lion alteration repair t- Commercial or industrial
to be done residential non-residential 0 1F) type incineratcr '000
tx sting use of ter I.e., woo stove. water
budding or property 19) heater, solar, clothes dryers. etc 4 50
Proposed use of _ 20) Gas piping one to four outlets 200
building or property
i- 21) More than 4-per outlet (each) 200
✓t Type of fuel -oil O natural gas (J LPG O electrir_�ra-�
~ OT --
Minimum Fee 525.00 SUBTOTAL rf('
r PERMITS BECOME VOID IF WORK OR CONSTRUCTION
w AUTHORIZED IS NOT COMMENCED WITHIN 18 i CAYq OR 5`;S, SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED Of:
ABANDONED FOR A PERIOD OF 180 DAYS AT AN(TILiE PLAN REVIEW 25"o OF SUBTOTAL
AFTER WORK IS COMMENCED -- -• _
TOTAL
al _;nditions
Date issued by _
.•Maur^4r;61E.,e,,,r
INSPECTION NOTICE
City of Tigard Bu2lding Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone:
Footing Plbq. Underslab Mech. Rough-in Appr/Bdwlk
Pound, Plbg. Top Out Gas Line 1rINALs
Post/Beam Struct. San. Sewer Framing '-Bldg.
Post/Beam Mech. .'.sin Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. 'Nech.
Date Requested: LP - 151"` 2 q Times Am PM
Address: f�,SG d L3/ `�r 19 e Permit #1-11/-. 91
2/5 9 __.
TNM FOLLOWING CORRECTIONS ARE REQUIRED:
4Zi ff-1ff _
V)
T
r
r-.
C7
W
J
i
Inspector ,— Date-
APPROVlD �__ DISAPPROVED _ V"APPROWD BUWZCT To ABOVE
----.Call For Reinsp.
CITY OF TIGARr)BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain r?rain Cover/Service FINAL:
Foundation Water Line Coiling -Plumb.
Post/Baam Mach. Shear/Sheath Framing e&
Plbg.Und/Fir/Slab Pibg.Top Out Insulation ect.
Post/Bearn Sfruct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line 4ppr/Sdwlk Reins.
Oiner:
Dater !�HCl !;e A.M._ P.M Entry:
Address:
Tenant:._ Ste: MST:
Con/Own: t,� BLIP::
�• _ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
L
C7
W
Inspector: ,- _ — bate:
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
i NOTII'E
city of Tigard Building Depirtaent
13125 Ei1 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection: -r --- --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line Lr1N;D
Poet/3eain Struct. San. Sewer Framing -Bldg.
Poet/Ream Mach. Rain Drain Insuiation -Plumb.
Plbg. Underfloor Water Linc Gyp. Bd. -Koch.
Date Rayueste)d:__ �- Times PH
Address: l d ) ormit 7
nu l lder s Q i "/ /i el- y 7
THE FOLLOWING COMMONS ARA REQUIRED: /
�Qse cr�.Q-Q - fib-+-►� 7-'� t�'►c e� LJy�-t-
t��e _
T
J
C3
LL) _- -
J
Inspector
APP..iVED DISAPPROVdD
"PROVED SUBJECT TO ASM
Call For Reinsp.
• INSP&CTION NOTICE
City of. Tigard Building i_twrtnent - \�
13125 SW Hall Blvd_ Tigard, Oregon 97?23
Inspection Ltne (Rec-O Phone): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Un.1,,rslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas LineFINl1Ls
Post/Beam Struct. San. Sewer Framing -Bldg. r
Post/Neam Mech. Pain Drain Insulation
Plug. Underfloor. Water Line Gyp. Bd.
Date Requasteds _ � ` /_el CIC (�`/AM Q_/7. 7_PM
Addrea a: �_ 1,3/�� /1`�� Permit �s .=/Y /L/ /
Buildars Q•C / �i Il
THE Ftp NC CORRECTIONS ARE REQUIRED:
@7-1 f_JUA_t I -
OT
0
w
% L '
� 1
Inspectors C L� bates - 2 C '-I
APPROVED ,DISAPPROVED APPROVED SUBJECT TO ABOVE
� • "Call For Rei.nsp.
INSPECTION NOTICE
Cl.ty of Tigard Building Departarnt
13125 SA Ball Blvd. T1.9ard, Oregon 97223
rnspectton Line (ROC-O-Phone)r 639-4175 Business Phone: 639-4171
Inspection: __
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line -lfNAL �
i
Post/Beam Struct. San. Sewnr Framing g.
Post%Beam Hoch. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. Hoch.
Data Requested: � L � _ 1 ) Time: AM PM
Address: 1 J (eS 1 "a A Permit i 1 O -7
Builder:
THE FOLLOWING WRRF.CTIONS ARF. REQUIRED$
.V
ce
V)
h
J
:C
ti.
0
W
J
Dates
pact �.r__L.�ti
��A^^PPPROM ^_- DISAPPROVED APPROVED SUBJECT TO ABOVE
—Cali Fnr Reinnp.
INSPECTION NOTICE
City of Tigard Building De3&rtsocnt
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree--O--Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Und,..-lab Mech. Rough-in Appr/Sdw1k
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struc;_. San. Sewer Framing -Bldg.
Poet/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Was.ar LLne Gyp. Bd. -Neth.
Date Roquestedt,_ /^�3'- -3 / q Times AM /�PM
Address: �5CL�� u 1 3/ Permit Or 2t/- 7 7
Bulkier: 2// ,Y- _ `/�+`C `/ 03 / _
TRE FO NC 1648CTIONS ARE REQUIRED: J�
lee F021
2-1a�rcw
W
Inspectort Z 77%r -ne?S Dat,
APPROVED DISAPPROVRD �pPRMD SUBJECT TO AROVL► `
Call For Rainsp.
INSPECTION NOTICL
City of Tigard UulldLnq Department
13125 99 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4115 Businees Phone: 639-4171
Inspections
Fo tinq Plbg. Undersl.ab Mech. Rough-in rrc;Sdwlk J
Found. 71bg. Top Out Can Line FINALt
Poet/Bean Struct. San. Sewer Framing -B10g.
Poet/Bc)ram Mech. Rain drain Insulation -Plumb.
Plby. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: �j �! / Tines AN P!t
7:.+.irese: �C.^ 7 ��� Permit #t_751'C /077 _
i
THE FOLLJWINn CORRECTIONS ARE REQUIRED: G
41
pT �d
o.
N
r
fel
_J
C7
Uj
J
Inspectors ' Da' I
"PROVBD �- (DISAPPROVED — - APPROVED SUBJECT TO ABOVE
i� —Cell For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
.1,3125 SW Ball Blvd. Tigard, Oregon 97223
nepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ion:
Footing Plbg. Underslab Mech. Rough-in Appr/S�`
Pcund. Plbg- Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requenteds "D / Timet _ f►N
PM
Address:
Permit is
Builder:
THE FOI G CORRECTIONS ARE REQUIRED:
cI Y1
LL
M
O-
f--
Ln
ti
L'
c'
W
Inspector: ' / Gy�-- Dat":
11PPROVlO DISAPPROVED \, A PROVED SUBJECT TO ABOVE
cAll FO Reinsp.
IN£PECTION NOTICE }
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97228
Inspection: Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspectioni.
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/3eam St.-uct. San. Sewer Framiny -Bldg.
Poh. /Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line q / Gyp. Bd.) -Hoch.
�/
Date Raquacted: CJ 9 / Time: AH pH
Aad.eaes—�41l�yt'---� 62 A31 '_ PerMit
9uild,_ir! ]1t C( r`�s Ar I` -
1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ar
Gg
t
w
Inspector: Date•
APPROVED �� _ DISAPPRQVED APFROVED SUBJECT TO AB04'E
_ZCall For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4'.75 business Phone: 639-4171
Inspection:___
Footing Plhg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Ou: Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation ,(�C -Plumb.
Plby, Underflcw3c Wator Line ciyp. Bd. ` -Mech.
Oatc, Requested: / y- fes! Times AM /_ PM
Address: �-- �} /--if Permit #s C�i/�7
flu ldmrs:4- c
C JJ
[[{B FOLLOWING CORRECTIONS ARE REQUIRED-
CC
_c
W
J
Inepecto __ ,-_ � y� Dates� �/s • `�
APPROVRD DISAPPROVED APPROVED SUBJECT To ABOVE
`Call For Reinsp.
INSPECTION NOTICE —
City of 'Tigard Buildinq Department
13125 GW Bali Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Pltg. Top Out Gas Line FINAL:
-------------------
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/beam Mach. Rain Drain Insulation -Plumb.
Pibq. Underfloor Water /Line Gyp. Bd. -Hoch. v
Date Requeeted:____. ' 'I Time: AM " PM
I f
Address: `2">(('(() •,'� Permit f: �G>� -(�-��17
Huil'ier:") U�� � `^() — —THE FOLLOWING FOLLOWING CORRECTIONS AAE REQUIRED:
1
CL
CC
F--
-C
r.r —_�_. —�—---'---
w
r
oe
Inspectors �" ---- _ Data: 7�1'�
X—"PROVRD DISAPPROVED APPROVED SURJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE
city or Tigard Building Department
131.15 SW Hall Blvd. Tigard, Oregon 97443
Inep&ction Line (Rec-O-Phone)t 639-4175 Business Phon®t 639-4171
Inspections
Rooting Plbg. Underslab ( MeCh. Rough-in `� Appr/sdwlk
Round. Plbg. Top Out Gas tfid rINALt
Post/Beam Struct. Sart. Seger lraming� -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lin,e.�.'/�J Gyp. Bd. -Mesh.
Date Requestwdt " T Tia�t PK
Addresa t/I f 4, Permit Peit
Builder: .1 • SVS
TAR lOI.LONING GORRZcTIONS ARE REQUIRED:
04— a ✓'\ S -�
a
Cd
J
W —
J
Inapectort ` "���- Dates C
APtNOVltD _� VISAPPROVED APPROVRD SUR.7ECT TO ABOVE
L--Call For Relnap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Plvd. Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
Inspectton:_ _
Footing Plbg. Underslab —ech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line l FINAL:
Post/Beam Struct. San. Sewer ;,.ming -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line p Gyp. Bd. -Mech.
Date Requested: --Time:/ A3 =7 — � AM ��l—__PM
Address: f�
��6 _ Z �
`�� Permit f: =�V
�
Builder: Jn/Zkr_ SD
61A/_t1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C-k4 7 -- —–
I "1 _. Gam/ V•
�- C) PLI
c' L
ek
_
V1,�v t a 1>v� —_ 2 !
On
v-��mac- �S \2•C C
1
Uj
C7
In9pector!^_____ �2 Date:
APPROVED —1/01SAPPROVRD ,_ APPROVED SUBJECT To ABOVR
vc 1/t, —V Call For Reinep.
INSPECT JN NOTICE
City of Tigard Building Department
13125 SR Hmll Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone)s 639-41' 5 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbq. 'fop Chat Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pint/Beam Mach. Fain Drain Ineu.latior,- -Plumb.
Plbq. Underfloor Water Line / Gyp, Bd. -Mech.
Date Requestod:_
_ t/-/"I C/ _ _—__Time: AM PM
Address: 1.25_(?� �J VC permit 1:gk��_
Builder:AQP /Il,` �� ~ /
THE FOLLOWINGCORRECTIONSARE REQUIRED:
- �-'Z/�� � n ' Lc7- ��l-E.P-I�-.lil �ll.�.�TL2►`7_
2
A ae AWL
It t QJ-
w ,
` 6 Z
Inspector _ Datw:-4L
�i XPPAOVlD DISAPPNOVSU APPROVED SUBJECT TO ABOVE
--./--Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection Liae (Rer-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. underslab Hach. Rough-in Appr/Sdwlk
round. Pl.bg. Top Out Gas Line FINAL:
Post/Beam Stri, San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. underfloor Water Line c.yp. Bd. -Hoch.
Date Requested: C�/ Mime: _1111 _ PH
Address: /.)-�C C4 p / �� Permit /:9,-9y-7
Builder:_
THE FO NG CORRECTIONS APA REQUIRED:
:n
J
L
L7
W
J -
Inspector:.
APPROVED DISAPPROVED APPROVED 3UBJR('T TO ABOVE
Cali For Reinsp.
INSPECPION NOTICE
City of Tigard Building Departsont
13125 !SW Gall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
Inspection:__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL.-
iloet/Beam Struo�t San. Sewer Framing --Bldg.
Post/Beam Mph r Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line f (/ Gyp. Bd. -Meeh.
nate Requested: ./
) � ( I 1 / Time: / AM
Addresa: permit is J r ��h
Builder:'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
dQ
CA
:1
ct — --
F--
tA
J
W
J
Inspectors -- /
APPROVED DISAPPROVED V APPROVED SOWNCT TO ABOVS
n C� `_—Cell For Reinsp.
INSPECTION NOTICE 7
City of Tigard Building Department
13125 BU Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-0-Phone): 639-4175 Binees Phone: 639-4171
Inspection: ------
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Dratn Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. 84. -Mach.
Date Requested: 19 N Timet AM PM
Addres�t ' LSCD46 I kyr Permit #t 4)Lt-.9bT-7
Builders�-�^�\' Jtw
TIM FOLUVING CORRECTIONS ARE REQUIRED:
IT741-�14
761
LL
— - --
C
a �.- --- ------V)
Inspector:r-
t --
w
Inspector:
DISAPPROVED APPROVED SURJECT TO ABOVE
_Call For Reinsp.
INSPFCTION N(YTICE -----`.�
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97:23
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underel.ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strvct. an. r Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Pl,imb.
Plbg. UnderfloorWater Line Gyp. Bd. -Hoch.
Date Requs.redt d o?L _ Timet - _AH PH
Address: i _ G� l J l „r- Permit
Builder:
THE FOILOWING CORPYCTIO14S ARE REQUIRED:
u.
h
V)
J
:C
Ln
W
J
Inspector:_ _ Datet
7 r
/ Jl APPRCYVXD Di3APPr.nVED - RPPROVED SUBJECT TO %BOVE
�� Call For Re.inep.
INSPE-I ION NOTIrF.
City of Tigard Building Departaent
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4173
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. P bg. Top O Gas Line FINAL-
Poet/Beam Struct. r Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underllo�t�j ��*ter *-sae Gyp. Bd. -Mech.
Date Requested:i -� Time: AM L PH
r
Addrean: �Q "J1 Permit
C1/t`l LI 07-7
Builders
TFM FOLLOWING CORRECTIONS ARE REQUIRED:
� 7 r
F—
F-
W
Inspectors_ �� — ^-- - Data:
J� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department Cw
13125 SA Hall Blvd_ Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Innp!_ccion: i t_ �u —
Footing Plbg. Understab Mech. 'm gh-in Appr/Sdwlk
Found., �� Plbg. Top Out Gas Line FINAL=
Poet/Beam Struct. Stn. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Inaulation -Plumb.
Plbg. Underfloor Water �L]ineG� Gyp. Bd. '-�Nench.
Date Requent�ed:, !� '2- / 1 V Timet AN _PM
^7 PM
Address:—( L�I D!) I �� / Permit #! a �"( �'�/ ((/ /
Builder: i(t �Q� _ Leon
THE FOLLOWING CORRECTIONS ARE REQUIRED%
i
ix —
H
•n
_j — — -
W
J —
tnepector: `��v _ y ' Date:
L ^APPROWD DISAPPROVED APPROVED RUBjErT TO ABOVE
f J p
---Call For Reinsp.
INS PECTiON NOTICE
CitT of Tigard Building Department
33125 SH Ball Bird, Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Busi�ede Phone: 639-4171
ins iAns --
Footing Plbg. Underelab Mech. Rough-in Anpr/Sdalk
mouPlbq. Top Out Gas Line FINAL:
nd.
Poet/Beam Struct. SanPrari.n. Sewer g -Bldq.
Pont/Beam Mech. Rain Drain
Insulation -Plumb.
Water Line uYP. ad. -Hoch.
Plby. Underfloor
- q- iq IN AM PM
Time::
U»+:e RAqueated: �
`1(' 7
r' Permit �:
/.L
boo -7 67 S '- y
Builders ----
T8E FOLLONINO CORRECTIONS ARM REQUIRED:
_ �N(_
� �j �(- -�,._...,.,r�„� / sem_ < �—�-•-� 9_•^r �.�-
a 1
r
J
.�
UiUi
I
i �— C'�p� art•
SLADate:
2
InepPctor:_
APPR(.JED DISAPPROVED APPROVED SUBJECT TO ABOVE
\ //' _ __ Call For Reinap.
Vim-L l
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
InepeetioG Line (Rec-O-Phone): 639-4175 Businaes Phone: 639-4171
Inspection:
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
(_Found. i Flbg. Top O::t Gas Line FINAL:
Poet/Ream Struct, Sin. Sewer Framing -Bldg.
Poet/[team Koch. Rain Drain Insulation -Plumb.
Plhq. Underfloor Water Line Gyp. Bd. -Nnech.
Data, Rtrquested: �) J J Tlml� �•""' AN 7 / PH
Addcrlss: I zC;(A0 t�71�� ?ersiit f:Cr ` tel( ! l
LQ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
LL
�r
Y
F-
V)
`r
C'
LV
Inspector: -- ---- Datn:_
APPROVED DI9APPRROOVSD APPROVED SUB.TECT TO ABOVE
/11 For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Pho:e: 639-4171
Inspection: _—
Footing Pllg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAI:
Pos� Struct. San. Sewer Framing -Bldg.
TpoRain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ -1/ --Time: AM PM
/ 4(
Addrnss:.�?f lC� �3/ St :�
Permit
Builder c C/`/ en,
THE r0LI1NG CORRECTIONS ARE REQUIRED:
-1Lk 11>
F- ----- - -- — -
J
S
r.
r
Uj
J
Inspector, Date:
APPROVED DISAPPROVED APPROVED SUR.lEIT TO ABOVE
Call For Reinsp.
CITY OF TIGARD PL.UMBING PERMIT
PERMIT #. . . . . . . : MST94--9077
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/01/94
13125 SW Hall Blvd.Tigard,Oregon 87223.8190 (503)839-4171
PARCc:L: 2S 104AC--0840171
SITE ADDRESS—, : 12568 SW 131ST AVE
SUBDIVISION. . . . : MORNING HILL NO 9 ZLNING: R' 25
BLOCK. . . . . . . . . . . LOT. . . . .. . . . . . . . . ..2`-7
CLASS OF WORK,. . :NEW GARBAGE DISPOSALS— : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFI.OW F'REVNTRS. . :0
OCCUPANCY GRP'. . : R3 FLOOR DRAINS. . . . . ., . :0 TRAFS. . . . . . . . . . . . . . :0
STOPIES. . . . . . . . :2 WATER HEATERS. . . . . .. : 1 CATCH BASINS. . . . . . . :0
FIXTURES---------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . L71
LAVATORIES. . . . . :5 OTHER FIX'TURES. . . . . :0
TUB/GHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 1 00
J [SHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Poinarks : PATH I
------------------
T()y MILLER TIF $ 1520. 00 JF 03/01/94
U BOX 23291 BPRT $ 458. 00 JF 03/01/94 -
BPI_C $ 29 7. 70 JLH 01 / 16/94 94•-2:49010
V!BARD OR 97224 135PC $ 2x'. 90 JI 03/01/94 -
Phone #: 684-7543 SSDC $ 280. 00 JF 03/01/94 -
PARK $ 5071. 00 JF 0:°,/01/94 -
Plumbing Con tractor:---__._._______ ____ MPRT $ 45. 00 .JF 03/01/94 -
MPLC $ 11. 125 .JF 03/01/94 -
Naine : —_ _ M5F'C $ 25 JF 03/0' /()4 -
Address : _ -._ _ —_ W PPRT $ 162. 50 JF 03/01/94 -
City : --- Stato :_ P)PC $ 8. 13 JF 03/01/94 -
Reg
- --- -- REOU 1 RED INSPECTIONS
This permi.t is issued subject to the reg -
'.dations contained in the Tigard Municipal Foot/f•oUnd Insp Rain drain Insp
Cole. State of Ore. Specialty Codes and all Post/Ream Struct Water Line Insp
other applicable :laws. A11 work will be done Post/Beam Meehan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plvmb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
c:_Ispended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp _
i
Gas Line Insp
-SLI 1 at 1 on
Insp
. �--, 1. G _ _ Gyp Board Insp --
Fl or zed Plumbing Contractor Signature
w
Call for inspection - 639•-417`,
J ,ntractor Notes :
CERTIFICATE OF
CITY OF TIGARD PERMIT #OCCUPANCY
M ST94--907`i
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/08/94
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)630.4171
PARCEL: 2-5104AC•-01_+400
>ITE ADDRESS. . . : 117f563 SW 131ST AVE.
3USDIVISION. . . . : MORNING HILL NO 9 ZONING: R•-25
iILOC:K. . . . . . .. . . . . LOT. . . . . . . . . . . . . s 2k7
CLASS OF WORK. -NEW
JYPE OF USE. . . SF
OCCUPANCY GRP, :R3
OCCUPANCY LOAD:222 4
I FNANT NAME:. . . :
emarks t PATH I
!AY MILLER
+' U BOX 23291
1IGARD OR 97224
I-:'hone lit 684--7543
antract or a
,ONTRACTOR NOT ON FILE
1
(his Certificate certified that the above referenr.ed building or portion
thereof has been inspected for compliance with the 'Tigard Building Codii
for the group and division of occupancy and use for which the above
referenced permit wan issued, and oc-cupanr_y is hereby granted.
BUILDING INSPECTOR 11_I)ING 0 AI
POST IN CONSPICUOUS PLACE
�r
L
J
s
c�
U-1
J
JAY MILLER
BUILDER, INC.
P.O.BOX 33291,TIGARD,OR 97223 (501)884-7543
City of Tigaid
Buil-aing Departs ,?a
1 125 "d lff H.-:).11 rivd
Ti ard, OR %.)72J1':'
Miller Builder, Inc.
L'+: b"x 2 1"'N 1
:'I�', tl d, OR '`V I
May 26, 1
To '+rvrliom it m,,g? cor,carn,
RE: 2217 14H,)
12f;66 'S.Vir 1.31st.Avco
Tip-rs.rd, 0F. 072123'
PERM 17 *: IVIS77 z,fi42- 077
All it*ms noted on 4-lu-04 fnoaniftig insp?ctic,n
ThA rel: >>
lir Fr? id:-nt
' 1'.114?r Builder, Inc.
I.L
1
J
.J
W
J
CITY CSF TIGARD �
COMMUNITY DEVELOPMENT DEPARTMENT lT #. . . . . . . : MST94-9077
PERMIT
PE.RriI #. .
13125 SW Hall Blvd.Tigard,Onpon 97223.8199_(503)•839:4171
_59 <r; ; .l DAZE ISSUED: 0.3/01/94
• PAi'CEL: 251 O4AC•-08400
TTE. ADDRE3G. . . . 1_56B SW 131ST AVE
(,UBD1VISION. . . . : MORNING HILL NO 9 ZONING: R-25
BLOCK. . . . . . . . . . . LIJ T. . . . . . . . . . . . . :22"7
BUILDING ---___
REISSUE: DWEI._I_. ING UNITS: 1 BASEMENT. . . . . . . . :O sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :5OO sf
TYPE OF USE. . . :SF" FLOOR AREAS----------- REQUIRED SETBACKS------
TYPE OF CONST. :5N FIRST. . . . : 11.30 sf LEF=T. . : 10 ft RIGHT. :d ft
OCCUPANCY GRP. . P3 SECOND— : 1060 sf FRONT. :i2O ft REAR. . :30 ft
1.) iORIES. . . . . . . :2 THIRD. . . . :'' sf REG?UTRFD-________.____.____.___
HEIGHT. . . . . . . . :22 ft TOTAL---•---•-:21?0 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . S; 10974O PARKING SPACES. . : I
Remarks : F'(1T11 I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTP.S. . ;0
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BNSINS. . . . . . . :O
WATER CLOSETS,. . :,3 SEWER LINE (ft ) . :�', GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MAL:H. . . : 1 SF RAIN DRAINS. . : 1
----------__-_---- MECHANICAL _.______._____.-.......__._._____.____.._._---------..__.__- FEES _._._.__._------- - -
FUEL
---_-- _ _FUEL TYPES------------ UNIT HTRS. . :0 type amol-trit by date recpt
/GAS/ / / VENTS . . . . . .0 TIF $ 1520. 00 JF 03/01 /94 _
MAX INPJT:O BT'U VENT FANS. . .4 OPRT $ 458. 00 JF O3/O1/94 -
FURN � 100K . . :0 HOODS. . . . . . . I BPLC $ 297. 70 JL.H 01 /16/94 94-249010
FURN ) -100K . . : I WOODSTOVES. :0 B5PC 11 22. 90 JF 03/01/94
FLOOR FURN. . . . :0 CLO DRYERS. : i SSDC $ 280. 00 JF 03/01/94 -
BOIL/CMF`' ( CHP:O OTHER UNITE: 1 PARI( 1 500. 00 JF 03/01 /94
GAS OUTLETS: 1 MPRT $ 45. 00 JF 03/01/94 -
Owner,: - ___---__.__.-_-_.____---_--_---_---MPI_C $ 11. 25 JF 03/01 /94
JAY MILLER MSPC $ 2. 25 JF 03/01/94 -
P O BOX 23291 PPRT $ 16`. 50 JF 03/01/94 -
P5PC $ 8. 13 JF 03/01/94 -
TIGARD OR 97224
Phone #: 684-754.3
Contractor:
.JAY MILLER
F'O BOX i!3291
�- FTGARD (m )72:61
Phone #: 684--7543
r30109 ----------------------------_-__ ---- - ,
$ 3307. 73 TOTA1_
-� This rer@it is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS ------ --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fo(-md Insp Fireplace Insp
w applicable laws. All Mork will be done in aL:ordme pith approved F'nst/Beam Str•uct Gas Line Insp
plans. This pewit will expire if work is not started within IPS Post/Beam Mechan Insulation Insp
days of issuance, or if war', is suT�w
lq days. Plm/!tndslab Insp Gyp Board Insp
i PL-M/Underfloor Rein drain Insp
! 'c 'mit4—pe Siynat�it•e : Mechanical Insp Water Line Insp
T Plumb Top 0t-it Appr/Sdwlk Insp
Issf.tsc+ By: . Framing Insp Mechanical Final
Call for, inspection - 639-4175
CITY OF T SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENTPERM I T
13125 SW Hell Blvd.Tigard.Oregon 97223.8199_jF1830-4171 PERMIT #. . . . . . . : SWR94-00$3
6.:,9 - +t. 71 DATE ISSUED: 03/01/94
PARCEL: 2S104AC-06400
SITE ADDRESS. . . : 12568 SW 131ST AVE
SUBDIVISION. .. . . . MORNING HILI- NO 9 ZONING: R--25
HLOCN. . . . . . . . . . .. LOT . . . . . . . . . . . . . : =2 7
TENPNT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORN. . . :NEW DWELLING UN I TS:i. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :DUSWR IMPERV SURFACE. . : : sf'
Remarks : PATH I
Owner: ----------_.._..______._._______-----._._____._________._._____— FEES
JAY MILLER type ainolAri t by date I-ecpt
E' O BOX 23291 F'RMT $ 2200. 00 JF 03/01/94 -
INSP $ 35. 00 JF 03/01/94 —
TIGARD OR 97264
Phone #: 684-7543
CONTRALIOR NOT ON FILE
------------------------------------
E-'I-,o n P ##: $ 2235. 00 TOTAL
Reg #. . .
REQUIRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amuunt paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all direction- from
the distance given. If not so located, the instiller shall purchase _
a "lap and Side Sewer" Permit and the, gency wil in,, a lateral.
P e r,m.i ti,Pe S a gnat 1_i r•e _ _ -----� -- __ _-
Iss1aed By :
Call for inspection — 639--4175
J
J
J
CJY OF TIUARD -- RECEIPT OF-' PA"MENT RELEIPI NO. :94-249505
CHECK AMUUN FP.. '13
A m F z JAY MILLER BLIM CASH AMUUN r' z 0. thlb
DDRESS a PAYMEN 1 FA f 1 a 03/01/94
SURD V 181 ON
URPOSE (IF PAvMENT AMOLIM' PAID PURPOSE (IF PAYMENT AMUl JN r PA r.D
UILDING Pt--RM MS*l'-)4--9lA-77 --- 4513. 00 PLUMBING PERM 166. 50
ECHAN I CAL PF 45. 00 ST. BUILD PER 313. i;M
f',LAN CHECK F=E SEWER USA
pFWER INSPECT '35. 00 PARKS SDC 500. ovi
�
TDRM DRAIN SIX 00 RESIDENTfAL TRAFFIC FFF9 1410. 00
iA9s' TRANHIT TIF FFES lim. 00
12b68 SW 131ST AVE, t..()T
MORN INS' HIL.L. #9
OTAL AMOUNT PATI) 15P 9 P. 7 3
1.;1 'IY OF I INARD RECE.'11PT Of- PAYMENT REUE...I P I N1 1. s1)4 10
I;.HE AMIMJN U : 250. LAW
Amp. x JAY MILLER CM944 AMOUNT 3 0. OW
DDRESS a POYIVIL'N"I DATVs 021
SUBD I V I S I I'M
'UF POISE OF PAYMENT' PMC)UN 1* PA 11) PURPOSE OF. PAYMP-N r AMOUN U PA 11)
'11-11N CIAkCK FE R-431'Z 2190. 00
125613 9W 1318t AVE, PRAIMIN11 MLI_ LOT
1-41.. AMOUN T PA I D
00
Residential Building Permit Application
City of Tigard --
13125 SW Hall Blvd.
Tigard, OR 07223
(503) 639-4171
Jobsite Address:
. Offlce Use Only
Subdivision: t ,,, [ Lot#
Planck/Rec# �r
Valuation: -
1.
Owner: ✓ Reissue of
Address: �U 1 I Map& TL # U t -c SS od
r ti C C�
_
Approvals Required.
Phone:
Planning
Contractor: _ Engineering
Address: Other
Items Required
Phone:
Subcontractors
Contractor's License #
(attach copy of current Oregon license) Truss Details
Subcontractors: J Other
Plumbing:_L/ (^�
Mechanical
(attach copy of current OP, ntractot's License)
Architect/Engineer:_
Address:
Phone:
COMMENTS:
--
Applicant Signature & Phone number
Received by: _5�����' Date Received:
Permit -# Account Description Amount Amt. Pd. Bal..Due
9011 Bldg. Permit (BUILD) d • U� ? J
Plumb. Permit (PLUMB) 1&Z,5v
Mech. Permit (MECH) �� ►�y�
State Tax (TAX)
Bldg:
:'lumb:
Mech.-
Plan
ech:Plan Check (PLANCK) Z Sb', 73
Bldg:
Plumb:
Mech:
u �3_ Sewer Connection (SWUSA.)
r Sewer Inspection (SWINSP) j
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) �/ �—
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) U l�
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL) —
C
Water Quantity (WQUANT)
w
J
Fire District (FIRE) _
73
TOTALS: .5.� ?- 7� �SU 5 yL
_ _ o
co
CN
O - '
U`<
C-4 •� -- —'"
S 'J
- �` ` ------ <b
0 4 •v `rN
a• a �oQLL
111111111 Q)
CO .210
•� �:. /%' as ;'' �' / ,' j ,- �,� �i
_J c) U
[G
H
V)
Fr- r4 l ��
J _
L Q
W
J
F
_'fI