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14305 SW 114TH AVENUE ADDRESS: sw f Y cn T H r-. J t:VecordS%rnicrof InAtargets\buiiding.doc C1 i Y OF TIGARD BUILDING INSPECTION DIVISION MST 24-Ho::r Inspection Line: 639-4 1175 Business Line: 639-4171 -- BUP Date s�Requested " ( AM > PM BLD Location �lJ'� St le MEC 2� Contact Person ry ell— Ph Zg � '�� PLM Contractci Ph X y SWR BUILDING Tenant/Owne, ELC 55 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN .;ravel Drain Inspection Notes: --- Slab _ ^-- SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Iirywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 'Roof Misc Final - - PASS PART FAIL _- PLUMBING Post& Beam -- --------- - - - --- - -- Under Slab 1 up Out Water Service Sanitary Sewer - Rain Drains Final - PASS PART FAIL Post R Beam ------._�-- --_- .- -- Rough In Gas line -- -- —^_� - ---- - - -- Smoke Dampers S PART F'\IL Service _ N +j Rough In UG/Slab � Low Voltage ---^ _-_---------- � —. � .—._ FirAlarm PART FAIL Backfill/Grading ------- -�- �— - Sanitary Sewer Storm Drain ( ] Reinspection fee of$^ _ required before nr xt inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please Cali for reinspection RF ( ]Unable to inspect no access ADA Approach/Sidewalk Other Date 13 � Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Lina: 631.'o-4171 BUP _ __Date Requested— l� I(s AM_L,� PM BLD Location_ f .5 G'C— suite MEC Contact Person n Ph (4 C, PLM Contractor — Ph SWR FBUILDING Tenant/Owner ELC _ Retaining Wall ELR — Footing Accet's: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear Framing S CA-jo - Insulation DrywaC Nailing —. -- -- — -- Firewall Fire Sprinkle r — - — Fire Alarm Susp'd Ceiling -- Roof Mme: ----- .--_ —�.— -- — --------- PAS PART FAIL ----- — --- -- — — - - PLUMBING - --- ——- -------___ — — -- --- Post& Beam Under Slab -- ---------- _ _ --- --- -- Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL —_-- Post& P.eam Rough In !/ Gas Line --- Smoke Dampers Final -- -_-- - -- — —— PASS PART FAIL ELECTRICAL _ _- --- ------ -___--- -- a �;ervice -___- --__- --- -- --- - - N Rough In ?. UG/Slab Low Voltage -� Fire Alarm --- --- -- --- --- —.-__-- r� Final c� PASS PART FAIL ---_..�-- -- -- -- ------- --__. X11 SITE _ Backfill/Grading ------ - -- - Sanitary Sewer Storm Drain ( ] Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin A Fire Supply Line ( ] Please call for reinspection RF Al_—_ [ ] Unable to inspect-no access ADA Approach/Sidewalk Date `�_ /c= �'� Inspector. —_ Ext Other � -_ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST gcT�_D��1C� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP _Date Requested ( ��' / AM r� PM BLD Location ��fS ��'.(� ( �� ' Suite MEC Contact Person Y�fr_IQ V-. Ph 7�U- �(D�,, PLM Contractor Ph SWr2 BUILDING Tenant/Owner ELC Retaining Wa!I ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Note.:: SGN Slab —_� - b�- `r xC_C�/�Q__�_ SIT _ Post& Beam ` - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing 7 Firewall Fire Sprinkler --�.-.� -- -_ -- ----- Fire Alarm Susp'd Ceiling _.- -- -- -_-_--. ----_--- _.— Ro:)f Miscc - Final PASS PART FAIL --- ---- -- - _- -- -_, - ----- PLUMBING Pcst& Beam Under Slab Top Out Water Service Sanitary Sewei Rain Drains - _--- ---- ---- --------- ----_- Final PASS PART FAIT MECHANICAL Post& Beam Rough In Gas Line Smoke Dampers Final ------- —----- -- --------- - PAS _ ART FAIL LE ICA -- �Tvice r Rough In UG/Slag - ---- --- — Law Voltage Fire Alarm -- J PASS PART FAIL ------------- --- - - u1 J Backfill/Grading ---- - -- - - -- - Sanitary Sewer Storm Drain ] ]Reinspection fee Qi$ required before nex!inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to Fire Supply Line ( ]Please call for reinspection RE._. - _ { ] inspect-no access ADA Approach/Sidewalk Date. ` Inspector Ext Other -- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the jobs site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested / c' AM PM BLD Location_ �T��C�.� 4-ev Suite MEC Contact Person Vn^A Ph 0 40 PLM Contractor Ph SWR A DING Tenant/Owner ELC Retaining Wall ELR — — Footing Access: Foundation FPS -- Ftg Drain SIGN Crawl Drain Inspection Notes: Slab SIT Post& Beam Ext She-'h/Shear — Int Sheath/Shear Framing Insulation Drywall Nailing ,__.---— _ ---- -- -----..- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- ------- ---- -- Roof Misc: Final - PASS PART FAIL --- PLUMBING ''ost& Beam --- - -- - � —• -- Under Slab Top Out - Water Service Sairtsry Sewer Rain Drains rn PAR r FAIL -- MECHANICAL Post& Beam - - -- - -- ----- — Rough In Gas Lino ------ --- -� Smoke Dampers Final �--- -- - -- PASS PART FAIL _- ELECTRICAL ----------- r Service — Rough In UG/Slab ------ ___.--.- - F- Low Voltage -� Fire Alarm --- m Final PASS PART FAIL __ - --__-- -- - `' SITE J Backfill/Grading - Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next'nspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE. [ J Unable to inspect-no access Fire Supply Line ADA L �7 Approach/Sidewalk Date -J-1 Inspector Ext- Ext- Other _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. ,pit#: i�• l Addres,: . I (`f Ave , N'• ltitiucd by: t--- Dace: ��--,-- Statement: Information Notice to Property owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Yine appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: . I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 313. 1 will be my own general contractor. If 1 hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. L' I hereby certify thj.t the above information is correct and that I have read and do understand the information J Notice to Property Owners about Construction Responsibilities on the reverse side of this form. /�z� - �;-Z_yl (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) �Sryr�< j/,</4rf>(IILI , rvr ire LIO Ro�7a5Fr7 I /�(Jf7f I ION � c> �oil r_ j CcrrC Ece u Y J�-v�vL T n 6- LO f T, J CA I U 3os s l 1 ro Tl6RR Mr P VO'T- C06Fs AceaS ;),5/f 0,-)13 03 /00 CITY OF TIGARDELECTRICAL PERMIT / \ PERMIT#: ELC1993-00453 -s DEVELOPMENT SERVICES DATE ' 'SUED: 7/23/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARC.cL: 2S110AB-03100 SITE ADDRESS: 14305 SW 114TH AVE SUBDIVISION: COLE'S ACRES ZONING: R-2 BLOCK: LOT : 015 JURISDICTION: TIG Proiact Description: Frist branch circuit and oite additional branch circuit RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS. 0 - 200 amp: PUMP/IRRIGATION: EACH ADD1 500SF: 201 - 400 amu: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: NIANF HMI SVC/FDR: 601+amps - '1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FE17DER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 am,r,: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 10JO amp: PLAN REVIEW SIECTION 1090+ amolvolt. >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: BURNETTE, DAVID & TERESA GRF ELECTRIC 1430+ SW 11 14TH AVE 15460 SE PARADISE LN TIGARD, OR 97224 MULINO, OR 97042 Phone: 624-9356 Phone: 503-829-4146 Reg#: I_IC 001015 SUP 3003S ELE 26-878C FEES _ _ Required Inspections Type By Date Amount Receipt Elect'I Service 5P(;T BON 7/23/99 $3.00 99-317126 Elect'I Final PRMT BON 7/23/99 $42.85 99-317126 Total $45.85 Y n. R ( GJ 11 V A L,,,, This Permit is issued subject to the;regulations contained in the Tigard Municipal Code, State r-.1 OR Specialty Ccdes.arid all other ar.•plicaUe laws. All work will be done in accordance with approved plans This permi!will expire if work is not Oirted within 180 days of is:uanLe,or if work is suspended for more than 18C days ATTENTION Oregon law requires you to follovi rules adopted by the Oregon Utility Notification Center. rhose rules arr set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain conies of these rules ordirect questions to OUNC at(503) 246-1987 1 Permit Signature: Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DAI*F:_ CONTRACTOR INS TALLA i ION ONLY _ SIGNATl.1RE OF SUPR. ELEC'N: �._ )�Ct � M�_...�_ DATE:- LICENSE ATE:LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 07/21/1999 13:20 5038295747 GRF ELECTRIC PAGE 01 RECENIF f) CITY OF TIGARD gill 2, 0 1999 Electrical Permit Application Plait� 13136 SW HALL BLVD. Rec'd By TIGARD OR 97223 COMMUMIN 1"" Dab Radd_�1,__'_1 Phone(503)63"171, x304 Dam to P.E. Inspection (503) 8364175 Print or TypA Date to DST Fax (soa}Bf34`9ZTTT Incomplete or Illegible will not be accepted permit a V 5 Cdlad 1. Job Address: 4. Complete Feer Schedule Below: Name of Development NUMhw of Inepeogane Per parift:s!Sonwd Nairn(or name of business)__ L)1 ✓L 0A' U�j c1 e1t Service Included: It.:esta cost gum Ad01198f, �^Q� S l d,? aa. R«Idrntlal-per unh Clfy/Sti'Wzpr,_� — 1000 aq,n.of I rs• 9110.00 _ a T--' — Each add►Ibnal Soo sq.h.or Comrn4z.Hal ❑ Residential % ,�_ eqNDn thansor _ llmkW EMrg/ tiA4S,fx3 L Y�i✓r� /} Eacri Marluf d IM;a or Modular 2s. Contractor Installation only: 'ter Dwelling e.rrw.or FasOar iee.00 0 r (Aibofl espy of ell or 1110mo e) Ib.tiarvloea a Poeda• Electrkal Contractor r K:7 r'��_ Y�� Installation,ahamtbn,or nmorarlm 200 snips or it a SM.00 k, Addret►e_�'S' fi Q S- .a z2�/ 'd.41E 201 amps to 400 amps —� city 1 4 _State e)E 00 Zip_ 431 amps to 9amps 990.00 6120.00 r 2 Phone 110, 1 sol amps m 00 10amps _ 6180.00 2 .lob N0. O>ver 1000 amps or Vohs &W,00 _ 2 Ebc.Cont.Uoe. No-11L-;L- .f C—Exp D9te _ Reow+W 1 only A "— _ 2 OR State CCB Rag.No._„!a 4 Exp Date-, __ 4c,Tamporarq Sarvicas or Faaders COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or teas 1130,00 2 Signature of Super,Elec'rL 201 amps to 400 am pi r►s.on2 17 401 amps to 000 amps 1100.00 Uoenrw No i 2 Over two amps to 1000 volts, 2 Exp.Datts -- am`p"above. Phone No. _'}__,-�f- V- e_ ad.Dramh Clroulte Now,aRarsMon a•stenion per panel 2b. For owner Installations: �)The lee for brash draYEa wrm 1 Print Owners game _ _ 0..e.r�nr.� Address — Each branch dreull WOO 2 ' b)me fee for branch dreulta Phone No -- PhStets 7Jp wfMcut PFlorle — ser . Elle. e.purrhass of 37 ~v rlo ,? 5� First branch cira111 The Inslellallon 18 being made on property I own which is not Each additional branch d.ruh p Intended for"ll,lease or Atilt- 4oWiscelieneous - 3 Ownitea Signature..— — (9w It or nadir na h*dsd) Esch Duirp or Irrigaliort ditis d40.00 2 Each sign or redline tig'w" $10.00 2 3. ,Flan Review section (if required) 8"1 r roA(s)or a 14rhad ani,gy� Panel,aAerstbn w adansla. W.00 2 —"r Pleats check appropriate Item and•ntor fee In section 39. Mbar lAMla(1 q) 8100.00 4 or more noidenlel unls In one sauctum 41.Fach addMonal IneracUen over Bw%4ci and feeder 226 amps or mom &W allowable In any.of the above System ova 800 valor nominal Pa Inspection l36.OD Classified area or atnnlum conlWring spo::W oocuparpy Per hour r !69.00 as deac•ibed M N E.0 rAWW 5 In Plan! x66.00 t Bubm"2 sob of plana with application where any of V»above apply, S. Fees- Not required fw umporwy construe"an eof Trio a aL Ent«letal of ob°ve fees t r Z 7 S un►ge(,tYS x%7W lee$) NQJICF !b.Enter 1?5%d Mm as for PEQMITR 8F.COME VOID IF WORK OR CONSTRUCTION AUTHORIZED 19 Plan Peview (8w,3 NOT Gok*AFNCFD WITHIN 180 nAVS.Oil IF C0N4TAuCTi0N OR WOP,a Runme.l ) ! IS SUSP-LACED OR ABANDONED FOR A PERIOD OF 180 DAVE AT ANt TIME AFTER WORK 16 CCAWENCED, nAl Account ler ` S Ori/bal�nCte AfN CITY O F T I G A R p MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: 7/2/99 9-00284 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2511 PARCEL: 2S 10AE3-03100 SITE ADDRESS: 14305 SW 114TH AVE SUBDIVISION: COLE'S ACRES ZONING: R-2 BLOCK: LOT: 015 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUT1 -TS: > 10000 cfm: Remarks: Install a new gas furnace and air conditioning unit. A/C units cannot be placed within the required setback areas. Owner: — FEES BURNETTE, DAVID & TERESA Type By Date Amount Receipt 14305 SW 11 14TH AVE 5PCT GEO 7/2/99 $3.50 5786 TIGARD, OR 97224 PRMT GEO 7/2/99 $50.00 578a Total 853.50 Phone:624-9356 -- Contractor: FIRST CALL MCC-Al L HEATING + COOLING 1650 NE LOMBARD REQUIRED INSPECTIONS PORTLAND, OR 97211-4798 Heating lint Insp Phone:231-3311 Cooling Unt Insp Reg #:LIC 102030 Final Inspection ORIGINAL This permit it issued subject to the regulations contained in the -igard Municipal Code, State of Ore. Spe;:ialty Codes and all other applicable laws. All work will be dune in accordance with approved plans. This penoit will expire if work is not started within 180 days of issuance, or if work is suspended for more tnan 180 days. ATTENTION: Oregon law acquires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of tLiese�u4es or direct questions to OUNC by calling (503))246-9189. Issue By: � Permittee Signature: �r.r:,ef 1 Call (503) 639 175 by 7:00 P.M. for inspections needed the next business day 06/09/99 WE'D 12: 16 FAX K IRBO CITY OF TIGARD Iij002 Plan Check it _ CITY OF TIGARDJuL i) M(M�hanical Permit Application Roc'dBy 13125 SW HALL BLVD. Commercial and Residential Date Rec'd�_____ TIGARD, OR 97223l�OMMUNITY DEVELOPMENT Date to P.E. (503) 639-4171, x304 l � Date to D�SI,tT�� Print or Type Permit7fr'r'u / a "! Incomplete or illegible a plications will not be accepted Called — - — Nome of Ueveb'pmsnt/Pro)act Description Table 1A Mechanle it Code Qty Price Amt Job Stmet Address s„Neo A Permit FeeffM „c 16.00 1) Furnace to 100,000 BTU Address !I 1 `� �� \ Ll r �\ %<� including duds&vents sea footnote 1,2 9.65 i BidgD ch/state Zip 2) Furnace 100,000 BTU' includingducts 8 vents __see footnote 1,2 12.00 Name for name of bushiess) 3) Floor rumace 1 _ r Including vont see footnote 1,2 _ _9.65 Owner f�l Y �t C'r'Set r rw 4) Suspended heater,wall heater Mailing Address or noor mounted heater see footnote 1,2 9.65 l k H L Fl �,e_ 5 Vent not Included In appliance permit 475 C)tymde Zip Phone Check all that apply' 'BoilerHeat Air , t l ,Z �I bZ j_"'f 3 For items 6-10,see or PumpFCond Oty Pnce Amt name narneofbuairim) footnotes 1,2 Com _ 6)<31-11P;absorb unit to 100K BTU % I 9.65 Occupant Mailing Add-- 7)3-15 HP;absorb unit _ 100k to fi0ok BTI) 17 lis CItylStste Zip Phone 8)13-30 11P;absorb _ unit.5-1 rail BT11 24 15 9)30-50 I IP;absorb Contractor Narm unit 1-1.711 mil BTU 35 00 _.1 r \ 10)>5011P;absorh unit -- Prior to permit Mailing Addrewf >1.15 reit B TU _ 60.15 issuance,a copy I b-,(,�; ' M A.rL 11 Air handling unit to 10,000 CFM of all licenses tate Phone 1.00 are required If CA_ '-1 6k 47-72_\ -i I 12)Air handling unit 10,000 CFM+ expired In COT Oregon Const Cont.eowd I" Exp DWY_ _ 11.75_ database ` C-) U '�U '3U `i 13)Non-portable evaporate cooler Architect I'18rt1e _14j V_ x.00 ent`an connected to a single dud --- 4 75 or MallingAddress ----- 151 Ventilation system not included in _ app Ilance_ erm�it_ 7 00 Engineer C°yam"�" Z* Ph0f1a 10)Hood served by mechanical exhaust 1 00 Describe work to be done - - 17)Domestic Incinerators - 17 00___ New 0 Repalt O Replace with like kind: YesdD No O 18)Commercial or Industrial type incinerator Resklanfia,0 Commercial O4B 75 19)Repair units Additional Information or description of works 840 --- ` r\ ,, , (k l I , 1 ` , ,` ) 20)Wood stove/gas Mother units/clothe dryer/etc. 7.00 NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets _ structural gas cales. See footnote 1 _ 3.75 Type of fuel: ort O natural gas Q LPG O electric O 22).More than 4-per outlet(eac .75 Minimum Permit Fee$50.00 SUBTOTAL 4� I hereby acknowledge that I have read this application,that the information JL7U .W SURCHARGE given is cored,that I am ttm owner or aulhoriz^d agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are In compliance with Oregon State laws Required for ALL Commercial permits only TOTAL Signature of OwnerfAgent Dabs Othor Inspections and Fees: 1. Inspections outside of normal business hours(mininum charge-two Contact Person Name PhoM hours) $50.00 per hour ( y 2. Inspections for which no ire Is specifically indl%aled (minimum ✓L 1.1 ei'/-J `� ✓- 1 Ct �) charge-half hour) $50.00 per hour Fi5oriolin for commercial projects only: 3. Additional plan review required by changes,additions or mvislons to 1. Prnvlde full scfteinntic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units "State Contractor Boller Certification required "Residential A/C requires site plan showing ploc:enienl of unit I"echperm.doc rov 0214199 Job Site Plan ly to T" CI C Additional instructions. — Refrigeration line size 40 Condensate Pump Yes ❑ No Box New Registers Vibration Pads - - P�ei•,+r;i L's Ad,-t Return Duct Special Needs Add Supply Duct - rr -- - .-r w CITY ®� TIGARD I�� MASTER PERMIT PERMIT#: MST1999-00290 DEVELOPMENT SERVICES DATE ISSUED: 09/10/1999 13125 c W Hall Blvd.,Y igard, OR 97223 (503) 639-4171 SITE ADDRESS: 14305 SW 114TH AVE PARCEL: 2S110AI3-03100 SUBDIVISION: C�-,LE'S ACRES ZONING: R-2. BLOCK: LOT: 015 JURISDICTION: TIG REMARKS: Add to the existing dining area and remodel kitchen. BUILDING REISSUE: STORIES: I FLOOR AREAS REQUIRED S=TBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: 10 FIRST: 70 at BASEMENT: at LEFT: 55 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: s7 GARAGE: st FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. nt RIGHT: VALUE: $24,500 DD OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: at REAR: 40 PLUMBING SINKS: I WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: ;.AVATORIES: DISHWASHERS: I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP. WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIL/CMP<3HP: VENT FANS: CLOTHES DRYER: GAS FURN>=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: bin FLOOR FURNANCES: VENTS: I WOODSTOVES• GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 20`amp: 0 200 amp: W/SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF. 201 40r .mv: 201 - 400 amp: 1st W10 SVCIFDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVctr DR: 601 1000 amp: 601-amps-1000w MINOR LABEL: 1000+amp/volt PLAN REVIEW SECTION _ Reconnect only: >-.4 RES UNITS: SVC/FDR-225 A.: >600 V hJMINAL CLS AREA/SPC OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDE',TIAL B.COMMERCIAL AUDIO&S1 EREO: VACUUM SYST_M: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SI,NL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FE'-:S: $ 608.88 This permit Is subject to the regulations contained in the BURNETTE. DAVID&TERESA ASHER TRADITIONAL HOMES Tigard Municipal Code,State of OR Specialty Codes and 14305 SW 1114TH AVE 15795 SW SERENA CT all other applicable laws All work will be done in TIGARD,OR 97224 TIGARD.OR 97224 accordance with approved plans This permit will expire if work is not started within 180 days of Issuance,or if the work is suspended for more loan 180 days. ATTENTION Phone: Phnna Oregon law requires you to follow rules adopted by the T' ORIGINAL- Oregon Utility Notification Center Those rules are set Rep Ir I1c Drnns3en forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these•ules or direct questions to OUNC by calling(503)240-1987. REQUIRED INSPECTIONS Footing Insp Crawl Drain/Backwater Electrical Service Electrical Final Foundation Insp Footing/Fuundatlon DI, Electrical Rough In Mechanical Final Post/Beam Structural PLM/Underfloor Framing Insp Plumb Final PostlBeam Mechanica Mechanical Insp Insulation Insp Final Inspection Underfloor insulation Plumb Top Out Rain drain Insp Building F;nal Issued BY �� "� Permittee Signatur � Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Ap�:lication Plan check 13125 SW HALL (BLVD. Additions or Alterations Recd By r.J TIGARQ,'OR 97223 Single Family Detached or Attached (Duplex) Date Recd ' Date to P.E. 4s-;?3 Q-- V 503-639-4171 Date to DST Z y Pr F 503-684-7297 Permit#/y1 Ly - Print or Type � Called_ 7--f-71r' Incomplete or illegible applications will not be accepted i f: r Name of Project -- I Name Job ('oc,F_s'}1,4ec-: ZeF_/ - — -- Addresspy Architect Mailing Address NameCity/State Zip Phone 4>,41Jl p * 040V E T0- Name Owner Mailing Address City/State Zip Phone __ Engineer Mailing Address ) L,' 7729 3 1(-2q /J16 City/Slate - Zip Phone General NaFne Contractor __1)'.J ) .J IF) c N,(5 De-zcribe work New O Addition O Aiteration O Repair O Mailing Address - to to done: Prior to permit - Additional Description of Work: _ issuance,a co Cf /State ZI one "L= �' %'� copy b i ��c h I t;rk h of all licenses -) 1 ' }I CIA (7,)"y ( C-�l( 3 are required if Oregon Const.Cont Board Exp,Date PROJECT expired in COT LIc.# ') CQ �b03 VALUATION $ J CSG rna J database l Mechanical Name NEW CONSTR_UCTIOI ONLY: Sub- /t' -i t'Iti)r'7c+-Vx /-l'r Sq. Ft. House: l —�Sy. FL Garage - Contractor Mailing Address _ Prior to permit u C Indicate the restricted energy installation by the electrical issuance, a copy City/State Zip Phone subcontractor in the following areas of all licenses 1'' �j?z•ZY '0 0163 Restricted Audio/Stereo are required if Oregon Const.Cont. Board Exp.Date Energy System Alarms_- _ expired in COT Lic.# Installations Vacuum 1.rigation database 51/ System _ System _ Plumbing Name (check all that Other: Sub- apply)7-!?E Contractor Mailing Address — Corner Lot YES NO Flag Lot YES NO (check one) (check one Has the Subdivision Plat recorded? NIA YES NO Prior to permit City/State Zip one issuance,a copyof all license-,are Oregon Const.Cont.Board Exp.Date required if Lic.# I hearb acknowledge that I have read this application,that the — expircd in COT Y� 9 PP database Plumbing Lic.# Exp Date informal n givep' correct,that I am the owner or authorized agent -� I of e nerd thatplans submitted are in compliance with ,_ n S to s.LrI Name � tL reii o n�i�, e /�J�� spa%7�� Electrical �,� L•F �.r Z[� �lC G _- -' Sub- Mailing Address Cgintact Peraon N me hone# 3 /til 6_FJ0 61 Contractor — City'Ctate Zip Phone -' Prior to permit (.,_ 2Y 1 ' issuance,a copy /f•!1 /� t�� //�� ' ,�� O0 E S '00 °0 'f S Ln,3" - FOR OFFICE USE ONLY: � _ of all licenses are Oregon Const Cont.Board Exp.Date - —---- required if Lic.# Plat#: - �%' - I , 3/n C� expired in COT / drtabase Electrical Lic # Exp Date Setbacks. 2, Sol Electrical Supervisor Lic # Exp Date Engineering Approval Planning Approval: TIF: r' 1 n�� I j 31:%dsts\forrn3\sfaddaft doc 7/28/99 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (RecO-Phone): 639-4175 Businss 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. Sew-r Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. S ear Wall Gyp. Bd. -Elect. Date Requested: _:i_ _Time: AM PM Address:_�� ?j l`} `Z s LL ._ —_.— Builder: —Permit #: �% � THE FOLLOWING CORRECTIONS ARE REQUIRED: f L _ n / Adel J Inspector _ Date: 1 �3j _APPROVED _DISAPPROVED APPROVED SUBJECT TO AL30VE _Call For Reinsp. DEPARTMENT OF LAND USE 6 TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/840-3561/693-4415 OREGON XXXXXXXXX--> 64U-341/0 Mage 1 of 1 Date 04/U4/95 'Time 16 : 45 Permit l'ype Residential Electrical Permit Permit # UbU6b983 Permit Status APPROVED Applied 04/04/95 Situs Acidiess 14:305 SW 114TH AV '1'1. Issued 04/U4/9b Permit Title SFR - SERVICE CHANUE Completed Permit Descr. To Expire 10/01/95 P1:0ject Title Sr'R - SERVICE CHANUE Project # P0048893 Project Descr . * EROSION Parcel Number 2S1'1'l - Land Use District valuation U Legal Descr. uwner 1N6Pk;C1'I0N '1'1(;A1iU Construction OTH Applicant Name 6URNEI"1'E, UAViD r-:lassification 900 Al)))Iicant Addr. : 143Ub4bW 114TH AV occupancy TIGARD, UR 97224 Validated by PH Applicant Phone! 624-93bb inspector Area Vee description Units Fee/Unit Ext fee Data ---------------------------------------------------------------------------------- Ser%/ice/k'eeuer : LUU amps or less 1 6U . U0 60 . 00 Subtotal Electrical tees : 6U . 00 State Surcharge of b% 3 . 00 Total Electrical bees : 63 . 00 * ** Fees Required *** *** tees Collected & Credits *** Method Check # Receipt No . Date Payment CK 294U U4/04/95 63 . UU '1'U'fAL 'THIS DA'1'E **** ****1r 63 . 00 !Mees : 63 . UU Adjustments : uo 'Total Credits : . 00 Total tees : b3 . UU 'Total Payments : 63 . 00 Balance Due: . 00 _J NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction is interrupted for a period of 180 days. I certify that the Information presented by the applicant end his agent or agents In support of this permit Is true and correct to the beat of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances prwerning the construction and use of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that .is granting of a permit does not grant authority to arcane private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my catling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is-,evocable until all Inspection requirements are satisfied and approval Is given by the Building Official. I further acknnwiedge that a Ilan may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements. APPUCANT'S tNONATURE WASHINGTON COUNTY ELECTRICAL PERMIT Pan la,�artment of Land Use & Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 57124 Information: (503) 640-3470 Fax: (503) 693-4412 Permit 5- 4 ��- d PLEASE PRINT Number �— Date Please complete ll 4. Complete Fee Schedule below 1. Location of installation Number of Inspections per permit allowed Address—Ly 3° S s w 1 1`1 Service Included: Items Cost(ea.) Sum Buildingg A. Residential-per unit City -T'�c , Suite No. _ 1000 sq.n.or leas $110.00 a Tenant Name Each additional 500 sq.n (if commercial) _ or portion thereof $25.00 —�-- Ma No. Z'5 t 1066 Tax Lot i° Limited Energy $25.00 1 p Each Manuf'd Home or Modular Thomas Map Book: Page: Section: Dwelling Service or Feeder $68.00 2 Directions B. Services or Feeders Installation,alterations or relocation 200 amps or less 1 _ $60.00 6 2 Commercial ❑ Residential �( 201 amps to 400 amps __ $80.00 2 401 amps to 600 amps $120.00 2 2a. Contractor installation onl : 601 amps to amps $ 0.00 2 Y Over 1000 amppss or volts $33440.00 _ __ 2 Electrical Contractor_ Reconnect only -- $50.00 2 Address City State ZIP _ C. Temporary Services or Feeders Date Job Number Inslallntion,alteration or relocation Property Owner 200 amps or less $50.00 2 Contractor's License No. 201 amps to 400 amps $75.00 _ 2 Cont oris Board Reg. No. 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts see'B'above Signature of Supr. Elec'n — D. Branch Circuits License No. Phone No. New,alteration or extension per panel a) The fee for branch circuits with 2b. For owner installations: purchase of service or feeder lee. n Each branch circuit -+� ` $5.00 .-�'d"�� 2 r pt� 24 93 S` b) The fee for branch circuits with:,:t Fsrint Owner's Name -11N one o. purchase of service or tpa ler h.+. ILA 3 0 5- S k 11� First branch circuit ___ $35.00 2 ILA �� TT U� 7 22-`{ Each ndd'nl branch circuit__ $5.00 2 I ty — tale E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle__ $40.00 2 The installation is being made on property 1 own Each sign or outline lighting _ $40.00 2 which is not intended for sale, lease or rent. signal ci,cuil(s)or a limited Py a energy alteration Owner's Signature � or extension $40.00 2 :i F. Each additional Inspection over the allowable In any of the above 3. Plan Review section (if required) Per inspection $35.00 Per hour $55.00 Please chli appropriate Nem and enter fee In section 5B. In Plant $55.00 — _ J 4 or more residential units in one structure Service and feeder, 800 amps or more 5. Fees System over 600 volts nominal A. Enter total of above fees $ _ClassifieJ area or structure containing special 5% Surcharge (.05 X total fees) $ ucc Ipancy as described in N.E.C. Chapter 5 Subtotal $ S. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction SUbtot31 $ _T services. ❑ Trust Account $ Balance Due $ j4n�r� For Inspections call This permit becomes nult and void If the work sulhorlxed by the permit Is not commenced 64V-3561 or 693-4415 within 160 days from dale of Issuance of such permit or If the work authorized is suspended or abandoned N any time after work Is oommenoed for s period of 1M doyL. 24-hour recorder, une working day In advance of need Elodri-al permits are non-refundable and non-transferable. 8194 SEP-11-1995 08:14 WASH.CNTY.OR.LUT/BLDG 1 503 681 3993 P.01 EMIRWASHINGTON' - LAND DEVELOPMENT SERVICES OIVISION 0350.12 COLTN'TY, 155 NORTH FIRST,HILLSB0R0,OR 97124 PHONE: 503/540.3470 f. OREGON INSPECTION REQUESTS (24 hours): 5031640.3661 or 66 r 'Permit 6: 05065983 Project fit: P0048693 Status APPROVED Page 1 of `Applied : 04/04/95 Issued 04/04/95 Expires 10/01/95 09/11/95 05 : 0 RESELEC Permit Title SFR - SERVICE CHANGE 0TH Description PoguniO4/04/9 Job Address 14305 SW 114TH AV TI • . Owner Name INSPECTION— TIGARD Region D I' Applicant Name 6URNETTE, DAVID Phone number 624-9356 Valuation: D `�Ipproved Approval# ! APPR %�� . Inspector Comments: ke�ectad REQUEST ERR01 z .'pjurttib i ng P 1$echani�cal R rflectrical N 1IStructrual : J ! General cm Inspected by Date: _ J _ _Tns ection Re uerted: Service U4U5 E AP r1N IVR 09/11 /95 RI $IV:t N718 N 1 }