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'ITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rea-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprinh. Rough-in Appr/Sdwlk^
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Tup Out E!ec. Rough-in FINAL:
Pos'/Beam Mech. San. Sewer Gas Line -Bldg.
PIFg. 'Jrideriloor Rain Drain Framing -Pl,imb.
Alam Water Line Insulation -Mech.
Un;erfir. Insul Shear Wall Gyp. Bd. -.leco
Date Requested/: Time:
JAM PM
Address:_
Builder:_Y`4L_� 2 �'Zq 4s Permit p I Tt7 0( 9f,.)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7
Zspector�/ < --p Date 1
FPROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CERTIFICATE OF
OC— UPANCY
Ckr I T Y OF T I GARD PERMIT 4*. . C. . . . . : MST95019t,
COMMUNITY DEVELOPMENT DEPARTMENT DATES ISSUED: 06/3171/95
13126 SW Hall Blvd.Tigard,Oregon 97223s8199 (503)639-4171
PARCEL:
ITE f)DDRESS. . . . 14352 SW 9011-1 i4vL
:SUBDIVISION. . . . : GREENSWARD PARK NO. E ZONING: FR--4. 5
81-OCK. . . . . . . . . LOT. . . . . . . . . . . . . r052
CLASS OF WORE',. :NEW
TYPE OF USE. . . r SF
OCC',IPANCY GRP :5N
OCCUPANCY LOAD0
Remarks. PATH I
10E SCHWF.--.ITZ
14352 SW 90TH AVE
ITC33ARD OR 97224
Phone #-. W —238-- 4881
i0UR D CONSTRUCTION
PO BOX j.177
r-.,.Avui,\"rON OR 9712175
'-,one 641 -0935
,eg #_ 71037
This Certificate Y1r'.AntS occupancy of the ab-)ve reference,ci building or portion
' hereof and confirms that the building has been j.nwpec-te( for compliallre with
te, fo,
,e "tate of Oregon Specialty Codes for the group, pccupa y, and use under
,ich the referenc .d sermit was issued.
.111L.DING IN13PECTDFR BU I 1.-.D I NG OFF=ICIAL
PosT IN CONSPICUOUS PLACE
LD
CITY CSF TIGARD r7mmi, r
COMMUNITY DEVELOPMENT DEPWITMIFNT DATE 1:h -
13125 SW Hall Blvd.Tigard,Oregon 97223*8190 (!.03)V%)-4171
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CITY OF TIGARD
COMMU14ITY DEVELOPMENT DEPARTMENT
13125,3W Hol Blvd.Tigard,Oregon 97223*8199 (503)639-4171
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Residential Building Permit A mlication
City of Tigard
113125 SW Hall Blvd.
Tigard, OR 97223
('503) 639-4171 I
W
Jobsite Address: I y Z S . IaYE �4 '1�- ISS lel
/' -- Office Use Only
Subdivision: Lot#
Planck/Rec#
Valuation:
Corner Lot? Y Permit# /!15
Flag Lot? Y Reissue of_
Map & TL
Owner. �0 s �{lC j E I -F ---- Approvals Required
Address: I+� `�.z , C,,-) • qO •tl AQP _ Planning (: � ���klUt�i_-
FEngineering '
Phone: 2.3's
Other
Contractor: �OW� �U C i i0 Items Required
Address: x / !S, Subcontractors
�e /J ' 0 7 7 Truss Details
Phone: (O!r - ClSr Other (1� r U� cX 6,ei1 Y L-,yI((T,+
Contractor's License # 7
(attach copy of current Oregon license) '�t�(, j� �+1' U
Contact Name & Phone. y ) rD ARPy'bKT
DL}1 - og3S
Sub
-ontractors: Architect/Ergineer:
✓ Plumbing: (_' $ ��l-u M F)l til �, _ Address: .SG t TE ll I C7 -rnjJ P,3&LAr_J'
/Mechanical: ' 270� �l,w i � _
(attach copy of current CM License) 'FoR--rLP,K'O , 01?-, q t z9
-. Phone:
JOB DESCRIPTION.
Applica �gnature & Pho umber
Received t;v: _ Date Received:
Permit# Account Description Amount AML Pd. Bal. Rue .; .
/Ilse-yl9G Bldg. Permit (BUILD) ,
_ Plumb. Permit (PLUMB)
Mech. Permit (MECN) �J✓ .,y Y= '
State Tax (TAX)
Bldg:
Plumb: 7)
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
12Q�
����!?� 1,t'I�•) Sewer Connection (SWUSA) �2.0_
Sewer Inspection (SWINSP', 3 3
Parks Dev Charge (PKSDC) -S�
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) / Z-y
Commercial TIF (TIF-C)
Industrial TIF (71F-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O) _
Water Quality (WQUAL) /rf t'
Water Quantity (WQUAN-i)
Fire Life Safety
Erosion Cntrl Permit (ERPRMT) L b
Erosion Planck/USA (ERPLAN) fid'
Erosion Planck/COT (EROSN) 29'i�
TOTALS: 5 S OI
CITY OF TIGA,2D
BUILDING DIVISION
RESIDENTIAL PLANS SUBMITTAI.
APPLICANT NAME: F-0QV- 'C' 6MMSIT RUc'1`,(o n) PLAN CHECK #
ADDRESS: 2.0L&X IS77 _GC-AAVC940 ► PHONE # Coy/-0935
DATE RECEIVED: 5- 8 -9S REC:"1VED BY:
CHECKLIST (All items must be in packet before plan will be revic-wed)
YES NO N/A
1. 3 FULL SETS OF BUILDING PLANS (No red line revisions
or tape-ons).
2. [,] [ ] [ ] 5 SITE PLANS(including tax lot and tax map number, easements,
erosion control provision floor elevation of garage and main
floor; set backs, drive-way location, north arrow, scale, location
and termination of rain drains,all property corner elevations,and
contours if over 15% grad:).
3. BUILDING PLANS 'SHALL REFLECT TOPOGRAF HY OF LOT
(if house is designed for a flat lot and the lot is .iot flat, revised
drawings are regUired. No red lines accepted). (-LA., I r
4. [ J ( ] [,-� REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5. [ [ ] ( ) FLOOR PLANS)
6. [!f [ ] [ ] FLOOR FRAMING
i. [ j [ ] [�� TRUSS ]GISTS (engineering, details and layouts)
8. [� [ ] ( ) ROOF FR,;MING PLAN (all hips and valley supports indicates'
and detailed).
OVER -
YES NO N/A
9• [ 1 [ j [ ROOF TRUSSES (engineering, details and layouts)
10. [ [ j [ j COMPLETE CROSS SECTION(S)
11. ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12. [ ] [ ] (ifi BASEMENT WALL, FOUNDATION AND RETAINING WALT_
SECTIONS (will need engineering if walls are 8 ft. high or
higher)
13. [t-f ( j [ ] WALL BRACING (structure must meet table R-102.10, revised
alternate method 93-7, or a lateral design shall be provided)
1,. [` ' [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 .ABOVE SHALL BE
INCORPORATED INTO THE PLANS. No attachments are
allowed.
15. (`j [ ] ( ] BEAM CALCULATIONS (all, beams over 10 ft. r or any
beam that supports a point load).
16. (�] j [ ] ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTIONS IN RED
NOTE: A tree removal permit shall be required for cutting of all trees that are 6" or
larger in diameter at 4 feet above grade. Permit application forms are
available from the Planning Division. Two copies of a site plan showing the
location of the trees and proposed building are required with the application.
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Address-
Box
ddress _
BI ox A calculations : North-South dimension for the lot . Box A:
This dimension is determined by finding t,,e midpoint of the
North lot line and drawing an ntersecting line perpendicular
to that point . Measure the distance from the midpoint of the
North lot line to the South lot line along the described line .
_ ft
Box B calculations : Shade point height from your structure . Box B :
1 . Determine whether measurements will be based on the peak
or eave of your structure . ThP orientation of the ridge
is also important . Which
la : If the roof line runs North-South, measurements will be describes
based on the peak of the zoof . your lot?
lb : If the roof line runs East- -West and the roof pitch is less (Circle one)
than 5;12 , measurements will be based on the eave .
If the roof line runs East-West and the roof pitch is 5/12 la ib 1c
or steaper, measurements will b� based on the peak.
2 . Measure change in elevation from front property line to
finished floor elevation. ft
3 . Measure distance from finished floor elevation to the
affected peak/eave .
4 . If the roof line runs North-South, deduct three feet .
If the roof line runs East-West, deduct nothing.
5 . Subtract one foot for each foot of difference in elevation
from the front property line to the rear property line, if
the lot slopes up from the front to the rear. If the lot
has no slope or slopes up from the rear to the front , _ �� ft
deduct nothing.
S . Total figure for box B : 1
Box C. Distance to the shade reduction line . Pox
1 . Measure the distan�: e f--om the North property line to the
foundation.
2 . Measure the distance from the foundation to the affected + ft
peak or eave .
3 . Total figure for box C:
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POST OFFICE BCS 1577 w BEAVERTON. OREGON,97075 ■ PHONE(503)641-0935
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CITY OF TICARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone):639-41-75 Business Phone: - 71
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 INAL:�
Post/Beam Mech, San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation JgCED
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:1� �� Time: AM PM
Address:P/ �� {
Builder: Permit #: �'U n
THE z�OLLOWING CORRECTIONS ARE REQUIRED:
CC L- LIel
Inspector:
�OVED _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 F�)sp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Ber n Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Fuming -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp, Bd. le�
Date Requested.- (� 4 L�j 5 Time: AM PM
Address: I / �Gt �
Builder:
L
# S Permit # / —L11 9�
THE F,)LLOWING CORRECTIONS ARE REQUIRED:
! spector Date:.L
-)PROVED 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 k1
Inspection. _
Footing Susp. Ceiling Sprink. Rough-in AppuSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in ;I�AL:
Post/Beam Mech. San. Sewer Gas Line g
Plbg. Underiloc, Rain Drain Framing j b
Alarm Water Line Insulation Mech.
Undertlr. Insul. Shear Wali Gyp. Bd. -Elect.
IDate Requested: /( 14, ( q s Time: AM _PM
Address:_l c/3,-S U -"—
Builder:
" –Builder: Permit rY:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: G
L, PROVED _DISAPPROVED _ APPROVED SUBJECT TO ABOVE
—(;all For Reinsp.
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/SdwIk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line C-vTg,-)
Pit ,, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation - ech._
Und9rflr. Insul. Shear Wall Gyp. Bd. CFA`--
c
Date Requested: I r c� Time
_AM _PM
Address: -
Builder: Permit k: CJ r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7 A
J
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Inspector -1' Date: T ;?.:s'`
_APPROVED "DISAPPROVED APP't /ED 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 Sprink. Rough-in CAppr d-W
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:_ l C' f 4'�j Time: AM PM
Address:__
Builaer. Permit #: �J G
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C vY �-Ce-� �►U L!1 S
V
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Inspector: Date:
APPROVED DISAPPROVED FPROVED SUBJECT TO E
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
y
Inspection tine (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Y/
Inspection: "
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
i
Foundation Plbg. Underslab Mech. Rough-in ;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 Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Cz l(�Si J �� Time. AM PM
Address: 5 ,5 Z
Builder: Permit #:_ 7 C— G
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ - ' Date:
APPROVED DISAPPROVED SUBJECT TO ABOVE
,Cell For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. R(,ljgh-in Appr/Sawlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-ire FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall 1657CIN -Elect.
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Date Requested: Time: AM __PM
Address:
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REOUIRFD:
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Inspector: Dater / t
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIG,ARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: el c+-1,.ZCi.I�
Footing Susp. Ceiling 4prink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam A1ech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall q Gyp. Nd. -Elect.
Date Requested: ( 1 Time: AM PM
Address: 31-
Builder:6' ji, 1r�1 Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: / _ Date:
/-'APPROVED _DISAPPROVED __APPROVED SUBJECT TO ABOVE
_Call For 1,einsp.
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
Po;t/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain rami meg(/�t{ ) -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear (Wall Gyp. Bd. -Elect.
Date Requested: I I `1 ( / Time: AM PM
Address: �'—
Builder: Permit #: 5 O
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspector:. Date:
�—OPROVED 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: 1
Footing Susp. Ceiling Sprink. 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. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line aT�l�lx .� -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �/ / � I Cl.S Timef:� � AM .0 A)P
Address: LZ-3,-S- -._ C-1-)
ponder: Permit #: ! l St7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Dater
APPROVED DISAPPROVED Z—AIIT -ROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection:
R�
Footing Susp. Coiling 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 Lin -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line in,--ration -Mech.
Underflr. Insul. ahear Wall Gyp. Bd. -Elect.
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Date Requested: �— G S—�S Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J
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Inspector:_ _ Date:_
�A"ROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspectio-i Line (Rec-O-Phone): 639-4175 Business Phone:5r71
171
Inspection:__! ��
Footing Susp. Ceiling Sprink. Rough-in r /1k
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Er . Rou I FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulatio i -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested: ll z-; ( �S Time: AM PM
-77
Address: _ J / �7 3—) 4--
-7
4-- `�Ut
�� Lt l'� � ` � '-��1 5 q Permit
Builder. 0 , r 1 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ Dater 3 ^
Inspector.
ROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 1
Inspection:`
Footing Susp. Ceiling SpiNk. Rough-in Appr/S wlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pfbg. o�p-0ut Elec. Rough-in FINAL:
Past/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
AlarmWaterLine Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:___ Time; AM PM
Address: �s
Builder: Permit#; - — v 9�o
THE FOLLOWING CORRECTIONS ARE RFOUIRED:
Ct
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Inspector: Date:
OVEb DISAPPROVED APPROVED SUBJECT TO ABOV
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION N9TICE
Inspection Line (Rec-O-Phone): 639-4175 Business P r e: -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Siruct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underiloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. ear V aYl Gyp. 6d. -Elect.
Date Requested: I t Time: Y\AM _ PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: c�
!�
C*111 RnVED DISAPPROVED APPROVED SUBJE T TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 E'11siness Phone: 639.4171
Inspection--
Footing Susp. Ceiling Sprink. Rough-in App wlk
F u2d A 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 Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul, Shear Wall Gyp" Bd. —Elect.
�
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Date Request /�fed: J 5 Time: AM PM
Address: ( J t-4--
Builder: Permit #: C .
THE FOLLOWING CORRECTIONS ARE REQUIRED:
c_
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N
CD _ —
41
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Inspector Date:
LAPF116OVED _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
l
Inspection:
Footing i'Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
aSGBeam Struc!. Plbg. Top Out Elec. Rough-in FINAL:
Post/ e-am Mech-.i San. Sewer Gas Line -Bldg.
Plbg. Underfloor" Rain Drain Fru^ning -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Eloct.
Date Requested:_ 7�`-1 jS Time: AM PM
Address:
` zLl
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C, -
.N�C�
Ar--4e
Inspector: Date:_/ ��`tJ
_APPROVED _DISAPPROVED 4PPROVED 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 Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
15113'9j��cct
/Bam Plbg. Top Out Elec. Rough-in FINAL:
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: Z MES Time
" \ AM PM
Address: Sz_.._
Builder: Permit #: �—C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecir�r Date:---�t�LI�
OVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Cal! For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4
Inspection:
Footing Susp. Ceiling Sprink. Rouch-in Appr/Sdwlk
Foundation Plbg. Underslab Mer,h. Rough-in Fireplace
ostm Stt_>itct.
Plbg. Top Out Elec. Rough-in FINAL:
ost/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: _ / Time: AM PM
Address:
Builder: Permit #:
1
THE FOLLOWING CORRECTIONS ARE REOUIRED.
1/�
(?,C()3.s �� / Z� t2 �y
C fee
L
Inspector.
�,1PPROVED WDISAPPRO ED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone 639i7;
Inspection: X
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
�t d_wil~ow ' Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested:_, Timq�2'CIULAM PM
Address:
Builder: PP,rnit #: ! c7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
cti
R:
F-
(A -�
F--
.J
L'
1.1
Inspector: Date. S
OVED ,DISAPPROVED `APPROVED SUBJ CT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
InF.ptction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
o(f� otin Susp. Ceiling Sprink. Rough in Ap r/S k
n� actio P(bg. Underslab Mech. Rough in Fireplace
o /Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Hain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
bate Requested: ? G> �C/� I ime: AM P
Address: / Z 2�1
7+/,—
Builder: _ Permit #:
THE FOLLOWING CORRECTIONS ARE REOIJ!RED:
J
C.7
Inspector: Date:_ �,��5
`,,.ter- r EO DISAPPROVED APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6,39-4171
Ir.-pection:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. To�Out Elec, Rough-in FINAL.:
Post/B m ech. an. S6Y`q� Gas Line -Bldg.
ain Dra Framing -Plumb.
larr afer Line.`` Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. ct.
ZC_
Date Requested:^ (�, ( �G j S Time: -6;JM PM
Address: t! l Z.. !�z
Builder: Permit #: —U 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
F _
,J
Li
.J
Inspiiectorff Date:
�PPfloVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF T I C3ARD - RFC E I(='T OF PAYMF'NT REM I FST NO. 0 j-•c65167
CHECK AmnUNT t a5o. o(b
±MIAMI: : FOUR 0 C ONgTR1.1C,1'I(-)N CO CAGII AMOUNT 0. !1Q1
>C)FrE"55
PAYMENT HATE Q15 0fI Fi
F=LU BOX 1577 81..1E1D T Q 191 ON c
sEAUE"R'rmi UR 97o75-.-
,J10-0,5E
7075-•.J10-0 5E OF- PAYME:NT AMOUNT PAID 1-11-IRF-108F= CIF PAYMF.N F' AMOUNT FA I L
_...____..._.. ._ .... ...___.._ _. _._......_._ _..._ _ ......__........_.................._._.... .._.
!! r
HECK FE. 5--r'. 3R P159). 00
ca
c�
LL1
J
1 439. sW Sjo fH AV
GFREEM--)WARD PARK SFr^. LOT
TCITAL. AMnUNT 'AID 250. 00
t-A7Y nF 71GARD -- RECEir,"r (if" Vl(')YlvlFNT RU.CFl;,F NO. 9 5-E'6 C,"15 3
GHECA-, 0MOUNT a 54146. 01
POUR D CONST RUGTION CO CASIA PMOUNI 0.00
P T)1)P,E S,S PO BOX 1,,1,77 PAYMFMT DWIT s 06 4,19 95
SUAD I V 113 1(IN
BEnVERTCM, OR 97075--
P1..1111IC11,31F CW PAYMFNI AMOUNT POID PURPOSE OF PlYMFNT AMOUNT PA TA
M--!3,T,-,95-0196 47 3. 00 PLUMB INC, PFRM I Civ`). 00
MHANICOL ;4. 43. 51a ST. BUILD 3 5. 151 A-
PLAN CHI: IJFF" qRWt:.R LIGO. E3WR911-0107 00
!�FWER 35.4110 RES S T D It N T IM�' i A.. T PAFF T C, F E F G 1 4 M 00
MWiS TWIN'31"r Tlr.' .$�i t Po. 00 HPO PT
UPITY PArMITY r,"Fr-- I t1l7l. 00
1+�U OUANTITY FMILITY FEE 100. 1710 ERtic;t.()N CONTRUIL. rel:ISM ITFFE 6 4. 00
EROSION CONTROL PISIN CK Po. 60 EROSION rONTROL P0. so
PARKS SOC ISM0. Clio
G')TTEo 14,352 GW 90114 AVE
TOIAL (IMFOINT PUAD > 54AF,. LA 1.
i
CITY OF T I GARU -- RE"CF i -r oF Pf1YME.NT RE=E t--I PT NO. :95-- :'E,7 1.9:1
CHECK CK AMOUNT 1i A w,. 0L
FOUR U CONSTRUCTTON CA1.31-1 AMOUNT 0. 00
E.)DRE SS P 0 F,'1X 1577 PAYM[yNT DATr- SAF,/ `s<9`3
BE:AV( RMN, (114 (;USDIVIStON
9707`.'i--
PURI 'r l°J CIF. PWMF:NT AMOUNT PAID PURPOSE CIF PAYMENT AMOUNT PC4I D
i r cll 1 r: 900. 00 ST, AUIL..1.r PER 45. 00
t4372 - 14374 F'iW 90144 X2
141'-436 1/16t3 - 1 4.39 r" ;�►: /s1Xt 1"F I i+VF X.3
TOTAL_ AMOUNT PAID — -- — w> 943. 00
1, 1 I Y 11i ( IRi111t1Y IrFI ( I I1f I'11YMI I A I 141,! x,1' 1 I',II1.
1.lit 1;f4 I tf'U 111,1 1 . (f. ,.,
It li 1I I 1 101. 1 1 r .)1 1'"'1 111 r 11,11 11 114 1 tel, Int!i
1a , 41 1,1 l iII I(11"I iIt111 1 N PflyM HI IIfIIf
1 11aI�IFtI�,� 111 ., "il.l)t111.�' { 'i i.1 tib
l'I '1 1 ,1 Ill F'l 1 f U f,l 1 f IhII n U !1 i 1 1 1 1 1 I Ip y 0-4. (if E-'t)'v INIF 14 1 VIVP 11 1141 F'r•t i !1
! � � I (� ' 11'.f !'t 1<1.) 1 ! 11.1 Y'+:•7 '• I f�11111 t+ f'1 f., �., c71��
t 1 ILI I I i
11� 111f IIN, 11IPd1
PLUTISI, ERM'A'T
CITY OF TIGARD PCMIP"NS P Iit. . . . .
.
COMMUNITY DEVELOPMENT DEPARTMENT DATISSUTD:
13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)839-4171 r P,R "I' L. I
T"
MT)I V I S I ON. . . . . GREEN�MARLD PARK Nra 2' _'ONINS-, R--4. 5)
. . . . . . . . IM,_7'
1,17777nr wor,11!
r
7V P,E. OF U S E 7. 6•SASHIN17) MA(7-11. - BACV%FLOW PRiEVNTRS. .
1 -RAPS. . . .
L;,`nNCY kMr,7', R", r".^(;R DRAII'l'.3. . . . . . . .. 41 1
WATERTr-1 BfIS I Nco. .
HFnTCRS. . . . . CA 71
1.()UN1)nV TRAYS.
I NKS. . . . . . . . . . : I
,-AV A 1-7 nT11Cr, r-XTURES. . . . . -0
SEWER LINC !ft ) . . . . .01
L, l.Jr,'7r-,q Ll'.\#'E. (ft ) . . . . , 104
RAIN (ft ) - *�;Z'
M iWASHER-J.
iq s
T!-
. I 1 5750. 1,7'y.` T-)114 V
SP RT $ 47 , 00 jj)g) 0 f.� L71
17, �47 7, 05 013
r.A SL5CILA. 00 JU-i 0,',1710 9
R7 4 ..!Nn 41_(:/Rift/9M
pl_r, jor-1
IQ
'_'. .1 ' .1 0 -,I
ME.&T, 14. ,I)r .6/9l' /')5
V%jol n; V,0 Jin("1 1116
V4-)01 :26- � -
/, �5VIC $ 9. 75- J P. 06/171'3/"I
A 6"r1"P Ir I, 64� 00 JM1
2-
3q— lelf`8 0 d(J i i Wl rl I v Ii not ,111ar� LS
R E-tltJlrAED 1NST'E1"T'0's'4-
-vi,t-int Insp
t. i d J. e T 3 g i,k i MI i i I i;, 1 r .4 In s o I a t 1 0 t)
"-Ocict; ro%lild"t . cm Inio
;ij i c.-ri b "o s t/t3 e '.iLt paiii `:SiT
i 11 fie d c,n r
T
t t J crawl 0-ain W'A t.f,V I
n p P) 7
rLm/Under-rl clot- r
Moll -ro.lciAl T., -',1) Plumb I
Tap. 0�,J. S k.1 i I d i T1 n
p 13 1 4y(2 p T r.
r
,.20`7
WASHINGTON Department
fLandUY ELECTRICAL PERMIT
Department of Land Use &Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue,#350-12
Hillsboro,Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412
PLEASE PRINT Permit
Please complete all sect ions,. 1 throughNumber c -��1�-'�O`►�--- Date
1. Location of installation 4. Complete Fee ScheduMe below
Address N 3S 2- S 1N, 91c) T-t+- Numbor of Inspections per permit allowed
,�-� Building Service included: Items Cost ea. Sum
City / /C,g1Zp ^� Suite No, Cost(ea.)
Tenant Name A. Residential-per unit
(it commercial) — - — 1000 sq.ft.or less $110.00 4
Map No. _ Tax Ln' __ Each additional 500 sq.ft
or portion thereof __-- $25.00
Thomas Map Book: Page:__._—_ __ Section:-- __ Limited Energy $zs.uo 1
Directions_ Each Manuf'd Home or Modular
- -- - --- -- — -- Dwelling Service or Feeder $68.00 -
% B. Services or Feeders
Commercial Residential Installation,alterations or relocation
200 amps or less —_ $60.00 2
2a. Contractor installation only: 201 amps to 400 amps $80.00 2
Electrical Contractor go401 amps to 600 amps $120.00 2
601 amps to 1000 amps _ $180.00 _ 2
Address �,5� .S►VV.- 9 Over 1000 amps or volts $340.00
City P62rLAAjD State S�L&_ ZIP 12- Reconnect only _ $50.00 _
Date _(p�.(�_-'�lSS/ Job Number _
Property Owner -7� �r�STitw c-17 7 it! _ C Temporary Services or Feeders
Contractor's License No. may- z 3 C. _ installation,alteration of relocation
Contractor's Board Reg. No, __(�,39 200 amps or less ____ $50.00
201 amps to 400 amps $75.00
401 amps to 600 amps Mom
No.. S Phone No.
Signature of Su r.glec'n � Over 600 amps to 1000 volts see"6"above
K
D. Branch Circuits
2b. For owner installations: New,alteration or extension per panel
a) The fee for branch circuity with
r nF'T t Owner's Name Phone No purchase of service or feeder fee.
Each branch circuit _ $5.00 _�_
fess b) The fee for branch circuits without
_ purchase of service or feeder fee.
city tate First branch circuit $35.00 .�
Each add'nl branch circuit _ __ $5.00 2
The installation is being made on property I own E. Miscellaneous(Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle _ $40.00 2
Each sign or outline lighting $40.00 2
i wn r;signature -- Signal circuit(s)or a limited
energy panel,afteration
3. Plan Review section if required) or extension $40.00
v1 Please check appropriate Item and enter fee In section 58. F. Each additional Inspection over the allowable
' 4 or more residential units in one structure In any of the above
Service and feeder, 800 amps or more Per inspection $ s OnPer hour $55.00
__System over 600 volts nominal In Plant $55.00
__Classified area or structure containing special - -�
11; occupancy as described in N.E.C. Chapter 5 t.. reeS c�
Submit 2 sets of pians with application where oily of the A. Inter total of above fees $
above apply. Not required for temporary construction 511% Surcharge (.05 X total fees) $
services. Subtotal $
This permit becomes null and void if the work authorized by the permit Is B. Enter 25% of line A for
not commenced within 160 days from date of issuance of such permit or plan Review If required (Section 3) $
if the work authorized is suspended cr abandoned at any time atter work Subtotal $
is commenced for a period o1 100 days. Electrical Permits are non $
refundable and non-transferable. [1 Trust Account
A
For Inspections call Balance Due $ l
681-3699 or 681-3698
24-hour recorder, one working day In advanLe of need
9L28 3195
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT# J ys- O 10
- Phone(503)639-4171 Q ��
FAX(503) 684-7291 DATE ISSUED _
TDD No, (503) 684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1, LOCATION OF INSTALLATION, 4. TYPE OF WORK
Addres RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40.00
l' �� — -2— _ (FOR ALL SYSTEMS)
City State Zip Check Tyne 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
180 DAYS. Burglar Alarm
El Garage Door Opener*
.17 12. CONrFLoTRACTONJAP,,LICATION / _ ❑ Heating,Ventilation and Air Conditioning System*
ylm.._�o`' �c'_ El
Systems*
Addre.s t1` �?1 (y'I" I � `— El Other �— ----- - -
B,eA 7 L l4
Date �t,(F— COMMERCIAL—Fee for each system $40.00
(SIF OAR 918-760-260)
Property Owner r �_�.�. Check gyne of Work Involved•
Contractor's /Z ❑ Audio and Stereo Systems*
� (�'/ ❑ Boiler Controls
Phone# f ���
_ _-_ ❑ Clock Systems
3. WNER APPLICATION ❑ Data Telecommunication Installations
Etre Alarm Installation
C '{� _—_ _ ❑ HVAC
P n Owner's Name Phone No ❑ Instrumentation
Address `- ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)tinder this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Onlyy use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
reslunstlal and other transactions are exempt from licensing.These have ❑ Other
asterisksM.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. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector Is out to Inspect if der this permit. •No licenses are required. Lkenms are required for all other Installations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are done,and
S. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the appli^ant.
b. 5% Surcharge (.05 x total above) $� OZ '
Signature
TOTAL
authority if other than applicant
ENF.RGAP.CHP