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CERTIFICATE. OF
CITY OF T PIE RIMI I # . . . .JF'. . : f
COMMUNITY DEVELOPMENT DEPARTMENT DATE. 1G3UCU: Ob/09/96
13125 SW hall Blvd.T,pard,Oregon 97223.9199 (50:3)639-4171
�'AftC.E*L e �S l l thlt►"• �G 1 Vu[I
SITE ADDRESS. . . : 14822, SW 1 17T1-1 F'L.
3UBDI'VISION. . . . s 400 1995--015 ZONING:R--4. 5
l31._UC;Ir. . . . . . . . . . : LUI . . . . . . . . . . . . . :
CLASS OF WORK. a NEW
T-YPE OF 1-15E:. . . o-..+L (,3
OCCUPANCY GRP'. .51A
OCCU. 'ANC:Y LOAD:c_'
Remarks : PATH i
Ovaner:
ROYr:il_ (JAKS DE.-.V. CO
l c'(tt9t, SW Fi:3F'E:N RIDGE 17R
1"IGARD O12
1-1hone #e $39--4869
tont Tact or e _ __ ..._....._ ._.._._....._._.._._.._.___. ._.
r ROYAL OAKS DE:VLL_GI'IhEN1'
.209h OW ASPIE:14 R I DOE. DRIVE
1"IGARD OR 91 a4
Phone #e 639-ti869
Reg #. . : 67111
Phis, Certificate grants occupancy of the above refer-enced bmi. lding or pol i. ion
thereof and conFirms that the 1: uildinp has been f sper._ted For compliance wits,
r.he Gtaty of r-eq- r Specialty Codes for the gro p; oc:c_ ye and !_ese under
�Alich t110 ref r^en :ed permit: was isq,..ied. /
I11JILIDINU .INSPLCTOR BUILDING OFF, IC:IAI_
P02iT IN CONI:P C CUOUS F'L_PLE
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CITY OF TIGARD
13125 S.W. HALL BLVD,
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
TOPE ELECTRIC
PO BOX 840
WOODBURN OR 97071
Electrical Signature Form
Permit # . . . . : MST95•-0349
Date Issued. : 05/13/96
Parcel . . . . . . : 2S110BD-083.00
Site Address : 14822 SW 117TH PL
Subdivision . : PP 1995-015
Block. . . . . . . . Loo 3
Zoning. . . . . . . R-4 . 5
Remarks :
PATH I
Your compa•iy has been indicated as the electri ' contractor for the permit indicated above. In
order for the elr;ctrical permit to be valid, the siL i„ture of the supervising electrician
is required.
Please have the appropriate in.fividual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNEP : ELECTRICAL CONTRACTOR:
ROYAL OAKS DEV. CO TOPE ELL'CTRIC
12096 SW ASPEN RIDGE DK PO BOX 840
a 'TIGARD OR 97224 WOODBURN OR 97071
Phone # : 639-4869 Phone # :
N Reg # . . : 107714
Signat re of Supervising Electrician
W
J Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 63,9-417 1 , ext. #310
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Parmit #
Phone (503) 639-4171 Date Issued —_
FAX (503) 684-7297 ISSu2d by --
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
-I. Job Address: 14. Complete Fee Schedule Below:
Name of Development _ — Number of Inspections per permit allowed
1JdresS Service included Items Cost(ea) Sum
4a. Residential-rw unit 4
City/State/Zip _— E110 00
1000� h or farts ---
Each addilional 500 scl It or I
Name (or name of business) portion thereof $2500
1_imiled Energy $2500
Commercial ❑ Residential El Each Menufd Home or Modular 1
Dwelling Service or Feeder $6800
211. Contractor installation only: 4b.Services or Feeders
Installation,alteration,or olocalion 2
2
Electrical Gcgntr `�- 201 amps ar leas Ps _ EDO 00 — 2
Address Jr r �� 201 an, to 400 am r20 00
401 amps l0 600 amps E12000 2
Ci %�i.�/ i State O Zi a 7 d U 18000 2
hl1u� -_ _ —p �_
over
amps l0 1(100 amps E
Phone No. Zy Z—Ll/US Over neriamps or volts E$50346 00 2
Reconvert only E50 00
Contractor's License No. - 3 __-
Contractor's Board Reg. No. 0 _ 4c. Temporary Services or Fooders
Installation,alteration,or re!ocnlinn
,� 200 amps or!ess $5000 2
Signature Of SUpr. EIeC'n� �.w�'- 201 amps to 400 amps $7500 2
License No.—,'/M/ S Phon N _ZQ 2 Y/Z 3 401 amps 10 Doo amps !- $10000 —
Over D00 amps to 1000 volts
2b. For owner installation see W above
4d. Branch Circuits
Print Owr er'S Nagle ____ Nan,alleralion or edension per parol
Address n) Willi
fan for branch circuits wR
purchase,of Nrvks or Wider Are.
City_ State Zip_____ Earth hranch circuit E5 Do
Phone do. _ _ b)The fee for branch circuits w8houf
purchase of servks or Aredsr Ars. 2
The installation is being made full property " own which is First branch circuit _ $3500 2
not intenders for sale, lease or rent. Each additional branch circuit $500
owner's Signature_ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section ;it required): rads pump or ancircle $4000
Each alga or cuthno lighting $4000
Signal cirud(s)or a limited energy 2
Pleas: check appr*irlints item and enter fee in section 58. panel,atternahnn or extension $4000
4 or muco residential units in ore structure Minor I.absis(10) $10000
Service and feeder 225 amps or more 4f. Each additional inspection over
System over 600 volts nominal the allowable in any of the above
_ Classified area or structure containing special occupancy
Pa.nmtxrtion E-is o0
as described in N E C Chapter 5 rer hors __ E55 00
In In Plant $55 00
Submit 2 sets of plans tI application where any of the above
H- apply. Not required fer temporary construction services. 5, Fees:
-� 5s. Fnter total of above fees $ _
NOTICE 5%Surcharge(05 X total fees) $
Subfotef $
J PERMITS BFCOME VOID IF WORK OR CONSTRlIC1ION 5b. E 2r-11.of line A for
AUTHORIZ-0 IS NOT COMMENCED WITHIN 180 DAYS,OR IF dlarr Review if required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ADANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. 11 Trust Account N $
Balance Due $
..arc� roo
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 BusinesF Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Gelling -Plumb.
Flost/Beam Mech. Shear/Sheath Framing Me
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp. Bd. <13ldijj
San. Sewer Gas Line Appr/SdwlkRein;,
Other:
Date: A.M. P.M. Entry: _
Address:
Tenant: _ Ste: MST:
BUP:
Con/Own: MEC:
PLM:
EL �-'
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector. Date: .
/1P ROVED `DISAPPROVED/CALL FOR AEINSR CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Mech.
PIbg.Und/Flr/Slab Plbg. Top Out Insulation (Zi
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Lina Appr/Sdwik Ca,n .
Other:
Date- Q o A.M. P.M. Entry:.---
Address:
ntry:. __Address: � _(�—�' 2— ,�� 7 '4�
Tonant: Ste: MST:
BUP: _
/Own:�n �i�—�{ �j MEC: –_
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: •. �,�– Q
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Inspector: Date:
( iC�.. .1- Dater^
APPROVED __DISAPPROVED/CALL FOR REINSP. CF.) CO
CITY OF TIGARU BUILDING INSPECTION NOTICE—N
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation ec.
Post/Beam Struct, Mech. Rough-in Gyp. BrJ. -Bldg.
San. Sewer Gas Line Appr/Sdwik ein
Other: 0Yt .�
Date: s A.M. _P.M. Entry:
Address: .___J_�igl_���i
Tenant: —, _ Ste:_. MST
Q� � DUP: _
Con/Own: - A�—L_ MEC:_
PI-M:
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: cr
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Inspector r-�—'—` t'—`4�—"= Dater'
_.APPROVED ISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Moch. Shear/Sheath Framing egec7D
Plbg.Und/F!r'Sisb Pibg.Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Ed. - Id .
San. Sewer Gas Line Appr/Sdwik Reins.
Other:
Date: _ _ A.M. — P.M. Entry:
Address:
Tenant:_ Ste: MST:J 6 3
BLIP: .
Cor'Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTION ARE REQUIR D: ELR:
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Inspector: _ _ -------_# Date:
_ l 7
`APPROVED DISAPPROVEWCALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone:639-4171
Footing Rain Drain Cover/Service FINAL.:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Pibg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: L A.M. —P.M. Entry:
Address:
Tenant: Ste: MST:
BLIP:
Con/Own: MEC: _
PLM:
ELC: ^ ,
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: r _ _ DIt ,ate:q _ F
y APPROVED ISAPPROVED/CALL FOR REINSP, CF CO
CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing
PIbg.Und/Flr/Slab✓ Plbg.Top Out Insulation
Post/Beam Struct. Mech, Rough-in Gyp. tad. Id
San. Sewer Gas Line Appr/Sdwlk(?rte Reins.
Other: 1t
Date: 5 �' A.M.—P.M. Enly
Address: Z- .k
Tenant: _ Ste: MST:BUP:
r—q
Con/Own: LB — ���� _. MEC:
PLM:
ELC:
OLLCkVING CORRECTIO RE REQUIRED: R.
-,� ILA fir - 1 - -
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Q_ _�-.�-
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Inspector: ---, Dater
APPROVED DISAPPROVED/CALL FOR REINSP, CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business P',,, ie: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Tcp Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdw Dk ROns.
Other:
Date: 1 / Gump(`7 �"' A.M. ,P.M. Entry: —
Address:
Tenant: Ste:_ MST 0 3 y
BUP:
Con/Own: —__ MEC:_ _
PLM:
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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Inspector: Date:
—APPROVED `DISAPPROVED/CALL FOR REINSP, CF CO
CITY OF TIGARD BUILDING INSPECTIO14 NOTICE
Inspection Line:639-4175 Business Phone:639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Mach.
PIbg.Und/Flr/Slab Plbg.Top Out Insulation CIEI Ccb
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Apl)r/Sdwik Reins.
Other:
Date: ' c7 A.M.`P.M. Entry:4941 1
Address: _
Tenant: _ �____ t Ste: MST:
T
BUP
—LRS- ""'f if ----
�9 MEC:
Con/Own: I :
PLM: gem
ELF C�
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELF
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In7pector: AffA%C-4Isl /�eDate:
APPROVED _DISAPPROVED/CALL FOr REINSP. CF CO
C:fY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Fcoting Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling - ium
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mach. Rough-in Gyp. Sd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date- �( A.M. P.M. Entry
Address: �� Z. 1 -7
Tenant: Ste: MST. _ Is 3
_
Con/Own: SUP:
MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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I pec/ROVED___
�----- � Date:
DISAPPROVED/CALL FOR REINSP. CF
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection L.irl (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection: It cM4.�l1/14 � of
If
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
PostBeam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Se-,,gr Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undarflr. Insul. Shear Wali G
y.�td_.----- -Elect.
Date Requested: o7^ / C Time:
Address: I go Z 2 l 7
Builder: ermit #,Ms I=g r O
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THE FOLLOWING CO�RECTI NS ARE REQUIRED-
57
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Inspector: Date..--Z
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APPROVED —DISAPPROVEDfOVED SUBJECT TO ABOVE
___,Call For Reinap.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall /c Gyp`B , -Elect.
Date Requested: �� I / Time: AM PM
Address: 1
Builder:__ _ Permit #:1 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: ZZZ��e-
APPROVED '-MSAPPROVED APPROVED SUBJECT TO ABOVE
Z'fit"fvrfieinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
lrsportion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line CTnsulafio -Mech.
i
UndeMr. Insul. Shear Wall Gyp. Bd. -Eloct.
Dnte Requested: c Time// 1,.j_AM PM
Address: q 1
Builder: __ Permit #: 5 C'
THE FOLLOWING CORPECTIONS ARE REQUIRED:
,/y,2c.-g .Lc1 L, �..,H.- •-?_ �(mss
Ln
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Inspector: � �--ti��----_^ Date: 2-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plhg, Underslab Mech. Rough-in F=ireplace
Post/Beam Siruct. Plbg. Top Out Eloc. Rough-in F,NAL:
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:_ Time: AM �_PM
Address:_
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:cc
cc
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Inspector: � --�_� Date.
2- S
^APPROVED �DISAPPIOVED KAPPROVED SUBJECT TO ABOVE
Call :or Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
inspection Line (Rec-O-Phone): 639-417b Business Phone: 639-4171 I
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech_)Rough-in--" Fireplace
Post/Beam Struct. Plbg. Top Out?//� Elec. Rough-ig, Z�) FINAL-
Post/Beam Mech. San. Sewer as Line ) -Bldg.
Plbg. Underfloor Rain Drain Framin �' Plumb.
Alarm Water Line Insulation -Mech.
Underflr. InSLI. Shear Wall Gyp, Bd. Elect.
Date Requested: /�� / 1 ime: AM PM
Address:_ )
t
Builder: _ Permit ay: U 3�C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector: _ Date:
APPROVED DISAPPROVED PPROVED SUBJECT TO ABOVE
Tj —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 ech. Rough n Fireplace
Post/Bea true . �bg. Top Out Elec. Rough-in 2, FINAL:
ost/Beam Mech. man.
Sewer -Bldg.
Plbg. Underfloor / Rain Drain gra, in � 00*-'
-Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall 1)426 Gyp. Bd. -Elect..
Date Requested: — ^-4�_4_ Time: AM /' K_RM
Address: 1 Z Z 1, + _?l .
Builder:i__ Permit #: Q 4 /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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CL
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146
Inspector: y _ Date:_
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
XCall 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
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 -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: _
Builder: Permit #:�� d -3
THE FOLLOWING CORRECTIONS ARE REQUIRED.
o �
✓'04 .
LU
Inspector: Date.-2 Z
_APPROVED i)ISAPPRO��Vy[ED _APPROVED SUBJECT TO ABOVE
/'�s1LFor Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
• inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4'171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Strutt. 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. -Eloct.
Date Requested: Time: AM PM
Address: _
Puilder: Permit ri: 1� 3-4
_
THE FOLLOWING CORRECTIONS ARE. REQUIRED: �� 3
IO `�� a�c� _ � � .Q�,�.�rv-•C.� lnilzt,�,..�
LIJ
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Inspector: �----1 _ Date:
_APPROVED _�SAPPROVED ,APPROVED SUBJECT TO ABOVE
Gall For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Siiwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. 'fop 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: Time AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: / l+ Date:
_APPROVED _QISAPPROVED APPROVED SUBJECT TO ABOVE
�`l c\ _AalI For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41175 Business Phone: 639-4171
Inspection: T
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Ibg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Clain Drain �2 -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -ElecI.
Date Requested: �l' Time: AM X PM
Address:__"Z. Z,
Builder: Permit #: 3 'C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
rc
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19spector& _ Date:
PPROVEID _DISAPPROVED APPROVED SUBJECT T 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 MQch. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out :ec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. EI
Date Requested: Time:__AM PM
Address:
�uild j �- C Permit #:n
THE FOLLOWIN CORRECTIONS ARE REQUIRED: t- L �\'
—�`,1.1-L-�l�—�--��,�^�L�/�--•ems-c`�—,�-G.�z��')G1;��
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//�� f� Ja—�_1 AQ L4_�� Date:
APPROVED `DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line / Insulation -Mech.
Underlir. Insul. Shear W`all'�_` �1 Gyp. Bd. -Elect.
Date Requested: 1 ' \�l �' _Time: AM PM
1 i
Address- ` C( �( L Z_ I � C
Builder: Permit a: r.; C, q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CC
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Inspector: Date:
_APPROVED _DISAPPROVEDPROVED SUBJ CT 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
Post/Beam Strict. 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.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 1+ ( , —Time: AM `PM
Address: 1 L(l ?-
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector�� Date:
APPROVED DISAPPROVFD PPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTA""
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough-in FINAL:
Post/Beam Mech. Gas Line -Bldg.
Plbg. Underfloor L_in rain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Eiect.
Date Requested: / / F t' Timer AM✓� PM
Address:
Builder. Permit >Y: I 5 U•_-��� j
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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CC
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Inspector:
I/v'/ Date:
\APPROVED _DISAPPROVED _APPROVED SUBJECT ABOVF
Call For Reinsp. /
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec.-O-Pho,,e). 639-4175 Business Phone: 639-4171
Inspection: . _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
rti�on Plbg. Underslab Vtech. Rough-in Fireplace
Post/ eam Struct. Plbg. Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sever Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: G) /3 c Time: AM PM
Address:— l �l1 Z_
Builder: `Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Date: 3v
APPROVED DISAPPROVED L–APPRrVED SUBJECT TO ABOVE
_Call For Heinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i
l
Inspection:
ootin Susp. Ceiling Sprink. Ru;:gh-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplacia
Post/Beam Struct. Plbg. Top Out Elec. Rough-;r FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mec l.
Underflr. Insul. Shear Wall Gyp. Bd. Q�J /
Date Requested: �� - _Time!'— AM --PM
Address: /
Address: / 2 - 17 'f� 2,.&I
Builder:T(p �_ Permit a:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Svfr Y ,. rox --
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Inspector: - Date:
APPROVED DISAPPROVED C—A22110VED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection LineRetro,_ one): 639-4175 Business Phone: 639-4171
/ —
Inspection: '
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Gas Line -Bldg.
Plbg. Underfloor ain —D— Framing -Plumb.
Alarm ` _W
_ ater Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_____j 0 /2 Time: "<AM PM
Address: I L 9 Z Z.- l [ 1-1` 1 "(,__��
p
Builder: & c� 2 -0 g 2 U ,Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspec� z Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phane): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth.
Underflr. Insul. Shear Wall Gyp. Bd -Elect.
Date Requested: 02 — L. �1�_Time: _AM PM
Address: Z Z S (�J _/ 1 -7 0,0 -
Builder: Permit #:AJ f -U y
THE FOLLC ING CORRECTIONS ARE REQUIRED:
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Inspector: _ Date: l('A;)ZX-
PPROVED _DISAPPROVED ,APPROVED SUBJECT TO ABOVE
Call For Rernsp.
PERMIT
ING
CITY SOF TIGARD DATEBISSUED: 10/iM/955-OJ4'I
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 17223.8199 (503)830-4171 PARCEL: 2S 1 1 OBD--08 1 0101
ITE ADDRESS. . . : 14,.i '2 SW 117TH PI_
SUBDIVISION. . . . . PIP 1995--015 ZONING: R-4. 5
BI_.00K. . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :NEW GARBAGE DISPOGAL5. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . .. 1 BACKFLOW PREVNTRS. , : 1
OCCUPANCY GRP. . : R3 FLOOR DRAT"S. . . . . . . :0 TRAP5. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEA-ERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-------------- LAUNDRY 'TRAYS. . . . . . : 1 5F RAIN DRAINS. . . . . : 1
SINKS. . . . . . . :2 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :6 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . .. SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :4 MATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RFiTN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER:
ROYAL OAKS DEV. CO TIF $ 1590. 00 B 10/12/95 95--271605
12096 SW ASPEN RIDGE DR SWM $ 180. 00 B 10/12/95 95-271600
SWM $ 100. 00 B 10/12/95 95-271605
TIGARD OR 97224 KPRT $ 718. 01'► B 10/12/95 95-271605
Ihone #: 639-4869 BPLC $ 466. 70 JD 09/14/95 95-270519
B5PC $ 35. 90 B 10/12/95 95-::✓7160";
Plumbing Contractor.:- ___..__.. .__.---_...._-- PARK $ 500. 00 B 10/12/95 95-271605
MPRT $ 48. 00 B 10/12/95 95-271605
Name : MPt_C $ 12. 00 B 10/12/95 95-271605
Address :_ M5PC $ 2. 40 B 10/12/95 95-271605
City : ---�__ States PPRT f 258. 00 B 10/12/95 95-271605
Zile: Phone#: P5PC $ 12. 90 B 10/12/95 95-271605
Re R #: __�..__. Additional fees not shown here. . . . . . . . .
-------- REQUIRED INSPECTIONS
-
This, permit is issued subject to the reg-
ulations contained in the Tigard Municipal Footing Insp Insulation Insp
Code, State of Ore. Specialty Codes and all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post/Beam Struct Rain drain Insp
in accordance with approved plans. This Post/Beam Mech,-.n Water Line Insp
permit will expire if work is not started Crawl Drain Water Service :o,
within 180 days of issuance, or if work is Plm/uridslrib Insp Appr/Sdwlk Insp
suspended for more than 180 days. PLM/Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final
Framing Insp Erosion Control
I ---- T - - Fireplace Insp _...-
Gas Linn Insp
A u t f e ci �_t m b i n g C o n t r a c t or S i gnat V r p
J Call for inspei::tion - 639•-4175
Contractor Notes :
ELECTRICAL PERMIT
#: 0651i
CITY OF TIGARD DATEPERMIT ISSUED:ELC93—12/27/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orcgon 9722398199 (503)639-4171 PnRCF1_. .G 1. 1 OBD-08100
ITE ADDRESS. . . : 14 SW 1 17TH PL.
SUBDIVISION. . . . : PP 1995-015 ZONING: R-4. 5
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . ... . .
Project Description: Residentail 3, 000 sq ft.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----- ------MISCELLANEOUS-----
1000 SF OR LESS. . . . : 1 0 — 20CL5 amp. . . . . . . : 0 PUMP,/IRRIGATION. . . . .- 0
EACH ADDIL 500SF. . . : 4 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . -.- 0
1_.I1y1ITED ENERGY. . . . . : 0 401 — 60el amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LiC48EL (10) . . . : 0
CIRCUITS------ ---AIDDIL INSPECTIONS—-
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . 1 0 EA ADDIL RRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0
(,C_`1 1000 amp. . . . . : 0 ---------------------PLAN REVIEW SECT
L01Z.04- amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : > 60121 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVG/FDR ....25 AMPS. . : CLASS ARFA/SPEC OCC.
Owner: FEE'S
LADD HILL ELECTRIC type amount by date recpt
PO BOX 541 PRMT $ 210. 00 CJS 12/27/95
5PCT $ 10. 50 CJS 121/27/93 95-274.:: 1.-
OR 97140
Phone #: 503-625--6283
LADD HILL CONST. EL.ECTRIC 220. 50 TOTAL
PO BOX 541
REQUIRED INSPECTIONS
51-il'.-.R114001) OR 971.40 Ceiling Cover- Elect' l Service
Phr-ITIP #: Wall Cover Elect' l Final
RPn #. . :
This permit is issued subiect to the regulations contained in the
-_____..._.___ G- f_l L
Tigard Municipal Code. State of Ore. Specialtv Codes and all other Permittee Signat tyre
applicable laws. AA work will be done in accordance w'i.;,
approved Plans. Thi: permit will expire if work is not started
within 180 days of issucnee. or if work is suspended for more ....CAirler
than 180 days. IssLted By
INSTALLATION
The installation is being made on property I own which is nct intended for
sale, lease. Or rent .
111WNER113 SIGNATURE: DATE:
---.-----CONTRACTOR INSTALLATION
TGNATURE OF SUPR. E-LECINii DATE: ...........
i'CENSE' NO: .......
Ell'
Aj
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # -
Phone (503) 639-4171 Date Issued /;l- .2 7 z �
-,JS-FAX (503) 684-7297 Issued by A
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address,- 4. Complete Fee Schedule Below:
Name of DevelopmentALL I I ?T N Number of Inspections per permit allowed
Address_ 1 "—V) Service included: _ Items Cost(ea) Sum
City/State/Zip 'I i rti,,L0 4s. Residential-par%mit 4
1000 sq it or lees t $11000
Each addsronal 500 sq it or
Name (or name of business) ".til- InA1,S 0portion thereof q _ $2500
Commercial❑ Residential® Limited Energy 92500
Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $88 00
1a. Contractor Installation only: 41h.Services or Feeders
Installation,alleralwn,or relocation 2
Electrical Contractor I-/10 6 1 f I LL L (1 200 amps or less $6000 _ 2
201 amps to 400 amps $8000 2
Address Pi o Vill, I 401 amps to 000 amps $12000 2
City—SIU.iLW6 F 0 State D zipe) 1 4 C 801 amps to 1000 amps $180 611 2
Phone N0, r,,jC'- 61t. J Over 1000 amps or volts $34000 2
Contractor's License No. 3 J S 6 C _ Reconnect only $5000
Contractor'!; Board Reg. No. o D 1S3 4c.Temporary Services or Feeders
Inetallahon,alteration,or relocation `
�
� 200 amps or less $50 00 2
Signature of Supr. Elec'n __ -,). - 2
'
License No. / /q Phoneklo. 201 amps to 400 amps 00
_ 401 amps to 800 amps _. $100100 00
Over 800 amps 10 1000 volts
2b. For owner installations: see•b•above
4d. Branch Circuits
Print Owner's Name. _ New,altsralion or extension per ponel
Address a)The Ise for branch circuits Mth
purchase or service or?"der W. 2
City- Stat@ Zip Each branch circuit $500
Phone N0. h)The fee for branch circuits without
The installation is being made on property I own which is Firspurchase or service or 1Meder W. 2
not intendFd for sale, lease or rent. Each
additional
nlbr $3500
Each addAiorv+l branch circuit 1.500
Owner's Sigrature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or Irrigation circle $4000 2
Tach sign or outline lighting $4000
Signal cecuit(s)or a limned energy
Please check appropriate item and meet fee in section SB. panel,allarahon or extension $4000
4 or pore residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
:�ystPm over 600 rolls nominal the
Each additional inspection over
0
Class tied area or structure containing special occupancy the allowable in any of the above
.-r Per vnpenlron $31,00
CLf as clescribed in N E C Chapter 5 per hour $55 00
In Plant $5500
Y Submit 2 seta of plans with application where any of the above
►— apply. Not roquired for l imporary construction services. yam. Fees:
So. Enter total of above fees $
NOTICE 5%Surcharge(05 X total fees) $
W PERMITS BECOME VOID IF WORK OR CONSTr1UCTION Su $ _
-1 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enteeroral r vi line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevieww if required(Sec 3)
A PERIOD OF 180 GMYS AT ANY TIME AFTER WORK IS Subtotal
COMMENCED ❑ Trust Account of
Balance Due $ ?f �
CITY OF T RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR95--0247
13125 SW Hall Blvd.Tigard,Oregon 07223.8109 (503)830-4171 DATE I SLUED: 12/2'9/95
PARCEL: 2S1 101AD--0611210
'SITE ADDRESS. . . . 14Bi:=: SW 117TH F'1_
SUBDIVISION. . . . : PP 1995•--015 Z ON I NCS: R--4. 5
DL_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
Flr,o.jec::t Description:
A. RES IDENT IAL- _______._ B. COMMERCIAL
AUDIO & STEREO. . . : AUDIO & STE=REO. . : INTFRCOM & PAGING. .
D.URGLAR ALARM. . . . - X BOILER. . . . . . . . . . . LANDSCAPE/I R(;I GAT. .
GARAGE. OPE::NER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE. COMM. . : NURSE: CALLS. . . . . . . .
VACUUM SYSTEM. . . . : E=IRE ALARM. .. . . . . : OUTDOOR LfaNDSC L ITF:
OTHER: HVAC. . . . . . . . . . . . . pROTEf;T T VE SI GNAT_. . .
INSTRUMENTATION. OTHER. . : . .
TOTAL. # OF SYSTEMS: 0
ArppIi.cant : _._.----____________________-_-_-______-_-.._._._-_-_.-- FEES
ADT type amo�.Ent by date recpt
7123 NF_ HANCOC:K PIRMT 40. 00 (,JS IC2129/95 95-27441E
5PCT c'. 0(A CJS 12/E:9/95 95-2-74416
PORTLAND OR 97212
'hone #: 503-775-3265
Contractor: __ ______._________.______.__.._____.__._.______.______.____--.__---------.-•---_-__-__
rONTRACTOR NOT ON FILE $ 1+2,. 00 TnTAI_
RE'QUIRED INSPECTIONS
Ce i l ina Cover Elect' 1 Ger-vice
Wall. Cove,- Elect' 1 I'-incl
Req #. . .
This oereit is issued subiect to 0i regulations contained in the
Tioard Municioal Code, State of Ore. Soecialty Codes and all other Per^mitee Sign,ati.rre
aoolirable laws. All work will be done in acceridnce with
]ovoyed plans. This oereit will F-oire if work is not started ff /
within 180 days of issuance, or if work i. suspended for more r'/1grlej- �e�/y�,�f __ _•..._._
than 18@ days. I s s -red By
TNSTALI ATION
The installation is being make on property 1 own which is not intended for-
sale.,
orsale., leasp. or- rent.
OWNER' S SIGNATURE: DATE:
ci ----___-___--------------CONTRACTOR IMSTAI-I__ATION ONLY----.---.-
SIGNATURE
NLY•-___-_._SIGNATURE: OF SUPR. ELE.C' N: 1,7o,Xrd DATE: AP - Q 95"
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!_ I CENSE NO:
Call for inspection - 639-4175
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I CAL AMCIUN 1 1-1(4 J 1) 4i�-.,. L40
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# D ;k 1./7
Phone(503)639-4171
FAX( 03)684-7297 DATE ISSUED_ /a- D9 15
TDD No. (503) 684-2772
CITY OF TIOAR Inspection (SP3)639-4175
/G ISSUED BY (� _f �:Via•.,./r
L PLEASE CO LETS ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Addie _ RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40.00
j C (FOR ALL SYSTEMS)
City State Zip Check Tyne of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ and Stereo Systems'
IS NOT STARTED WITI i1N 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR rt,'1411d"
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION El Garage Door Opener'
❑ Heating,Ventilation and Air Conditioning System'
Contractor Typ ❑ Vacuum Systems'
Address
r CI-- ElOther
/ �-- -- --�
Date f�} .�(D �� COMMERCIAL—Fee for each system . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner p /I `n 1
�f Chgskl.yne of Work Involved:
1 milractor's Board Reg. No. ❑ Audio and Stereo Systems'
y _ ❑ Boiler Controls
❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
9 ❑ Fire Alarm Installation
�,` ❑ MVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
f his permit is issued under OAR 918-320-370.This applicant agrees to make.only ❑ Nurse Calls
estricte(i energy instillations(100 volt amps or less)under this permit and to do the 1:1Outdoor landscape Lighting'
following:
1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(').All others need licensing). — - -
0 2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503-639-4175. ❑
_ Plumber of Systems
to 1. Purchase separate permits for all Installations that are not ready(or inspection
} when the inspector Is out to Inspect under this permit. •No licenses are required. Licenses are required for all other installations.
1-- 4. PAsume responsibility for assuring that all corrections required by the inspector
J are done,and
5. Assume responsibility for calling for a final inspection when all of the corrections 5• FEES
.- are completed.
Uj
Me person signing r i permit must be the applicant or a person a. En-Ter Fees $
authorized I in applicant.
C b. 5% Surcha'ge(.05 x total above)
Signature it
TOTAL g
4uthoritl,if oth�!r than applicant 4
FNERGAP.CHP
MASTER PERMIT V
(19 R1 PNT PERMIT #. . . . . . . : M S T 9 5 03 4 1)
CIT'�( �F TI 1 -15
- DATE ISSUED: 10/121�
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.Ticard,Oregon 9722398199 (503)639-4171 PARCEL. I @BD--08 100
G T TE ADDRESS. . . - 1.482 SW 1, 1.7TH PI_
5LJBDIVTSION. . . . : PIP 1995-1211�j ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 3
BUILDING ------ -_.._.---_---.._--------------------_.
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 Sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:4 GARAGE. . . . . . . . . . :682 S-f
TYPE OF USE. . . -SF FLOOR REUUIRED SETBACKV;------
TYPE OF' CONST. r5N FIRST. . . . : 193 5 f LEFT. . :-37 ft RIGHT. : 10 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1 199 S f F R 0 N'r. :1'...'0 ft REAR. . :47 ft
STORIES. . . . . . . ..2 FINBSMENT:0 s f REQUI
HEIGHT. . . . . . . . :23 ft TOTAL --_...;1 SL f SMOI-'%E DETECTORS. :Y
FLOOR L.OAD. . . . :40 psf VALUE. . . . . $ : 213611 PARKING SPACES. I
Remarks : PATH I
PLUMBING
INKS. . . . . . . . . . FLOOR DRAINS. . . . .0 BA(',I-/,FLOW PREVIATRS.
LAVATORIES). . . . . :6 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0
TUD/51-10WERS. . . . : 4 LAUNDRY TRAYS. . . : 1 CATCH BA5TNG. . . . . . . :0
WATER CLOSETS. . :4 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . a0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . - 11710 OTHER F1)'TUREG. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 5F RAIN DRAINS. . : i
MECHANICAL FEES
FUEL UNIT HTRG. . :0 type am.ii-knt by date rec!pt
/GAS/ VENTS . . . . . :0 TIF $ 1590. 00 B 10/12/95 95-271605
MAX INPUT--0 BTU VENT FANS. . -5 SWM $ 1.00. 00 B 10/ 1.2/97', 95-271603
FURN ( 100K . . :0 J-JOODS. . . . . . : 1 SWM 1 100. 00 9 10/12/95, 95-271 605
FURN ) =100K . . : I WOODSTOVES. :O BPRT $ 71F,. 00 S 10/12/95 95-271.605
FLOOR FURN. . . . :0 CLO DRYERS. : .1 BPLC $ 463. 70 JD 09/14/95 95-270519
BOIL/CIYIF-' ( 311P:0 OTHER UNITS: 1 1-1 T-5)P C 1, 35. 90 B 10/1 _/9':5 95-271605
GAS OUTLETS: 1 PARI', $ 500. 00 10/1c-'/95 95-271605
Clwnei-: $ 48. 00 3 10/12/95" 95-271605
ROYAL OAKS DEV. CO MPLC $ 181. 00 ]-A 10/12/95 95-271605
1.'2096 SW ASPEN RIDGE DR MEPC $ 1- 40 13 1.0/12/95 95-271605
PPRT $ 258. 00 D 10/12/95 95-271605
TIGARD OR 97224 P 5 P C $ 1 =. 90 13 10/12/95 95-271605
Phone #: 639-4669 EROS $ 88. 00 B 10/12/95 95-271605
Contr-actor: $ 20. 60 B 10/12/95 95-271605
ROYAL OAKS DEVELOPMENT ERPC 28. 60 It 10/12/95 95-271605
12096 SW ASPEN RIDGE DRIVE
TIGARD OR 97224
Phone #: 639-4869
Reg #. . s 67111
4069. 10 TOTAL
This permit is issued subject to the regulations contained in the ------- REDUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plt.imb Top 01-It
applicable laws. All work will be done in accordance with approved Foi.indation Insp Framing Insp
plans. This permit will expire if work is not started within 180 post/Beam Stv-,.tct fireplace Insp
days of issuance, or if work is suspended for more than 180 days. Post/Beam Mechan Gas Line Insp
Ct-,-Rwl Drain Insi.ilation Tnsp
Plm/t.indsl.ab Insp Gyp Board Insp
171,P) M i L t. P PLM/Underfloor Rain drain Insp
M -chanical Insp Water Line Insp
Call for inspection 639-4175
SEWER CONNECTION
CITY CSF TIG► ARD PERMIT #. . . .
PERMIT. . . : SWR95 -0401
COMMUNITY DEVELOPMENT 015FAMMIENT DATE ISSUED: 10/12/95
13125 SW Hall Blvd.Tlgard,Oregon 97223@8192 (50)639.4171
PARCEL: 2S11OBD-05100
qTTE ADDRESS— : 1413221 SW !L177H Pl-
5
SUBDIVISION!. . . . : Pr- 1995•--015 ZONING: -4.
R
LALOCK. . . . . . . . . . LOT. . . . . . . . . . 3
TENANT NAME. . . . .
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . -NEW DWELL I NG LIN I T5. . : I
TYPE OF USE. . . . . .SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. S f
Remarks : PATH I
Owner: -- -———————---—————————————————————--————————————-----—— FEES
ROYAL OPKS DEV. CO type A M 0 IATI t by date Y-ecpt
12096 SW ASPEN RIDGE DR PIRMT $ 1PIC-1001. 00 B 10/12/95 95-271605
1 N'S P $ 35. 00 Fk 1.0/ 95-1 7160
TIGARD OR 97224
Phone #: 639-4869
Contractor:
CONTRACTOR NOT ON FIL.E
Fah one #: $ 22313J. Ok; rOTAL
Req
REQUIRED INSPECTIONS
Th� Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will be forfeited if the
np�pit expires. The Agency does not guarantee the accjk,acy of the
side sewer laterals. If the sewer is not located at the measurement
given. the installer -hall pi-ospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
g "Tap and Side Sower" Permit and the Agency will install a lateral.
. .
1. 1-t e d D V
Call for inspection 639--4175
o.
Residential Building Permit Application
City of Tigard „ , e,t l
� ,
13125 SW Hall Blvd. v�i�'3S
Tigard, OR 97223
(503) 639-4171
Jobsite Address: IdLzz 5 c..'// .` /'{ ■
Subdivision: Poo 1 SS— 0 15 Lot# 3 Office Use Only,
Valuation: �j Contact Date / / Initials
-- Resuit
New Construction Only: (Squam Footage) /
PlancklRec #
Permit# /'1'I5t 5,j -
Hcuse: I '�� Garage: Reissue of
Corner Lot? Y O Flag Lot? Y Map & TL�1�s11v Rr) cS /ud
Zone
Owner: R C14 t 04K� 0Y-0. co Plat #
ApprovalF Required , r,
Address: 11,U _�,v-- ASJ'S_'r^' R!OG--� O R k'
s- Planning Setbacks ; -- _ Solar Ok 5f f�
—T_% C-ARo 1, 6 21;QY Engineering _
(
Phone: other '
Cont,act ,r: Items Regulred
Subcontractors
Adcress: Truss Details
Other
Phone: Notes Drive �c. < S�
Contractor's License _
(attach copy of current Oregon license) � � 7,0 FT loll
Contact Name. n-i r o 7-1£4 .�
Contact Phone: ( 5 u ; 1 ?9 - `i A6 7
Subcontractors: Architect/Engineer: moi H L*T 10 _
Plumbing: 4 14&V1 b,u f ISL , _ Address I�,9 In 0 M
Mechanical: _CSF W1 -r L OF A-1 I rV .-
Cr°C (attach copy of current OR Contractor's License)
`" Phone� 03
r
J OB DESCRIPTION ('/(n?rr LY
"Do icant S anature Arolicant Phone number ,
Re%E ived by Cate Received: /
Mn,neM NO
1
Permit S Account Description Amount Amt Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) = -
Mech. Permit (MECH) < ✓ _ <
State Tax (TAX) ,5/1
Bldg: 35 D
Plumb: /�� C' ✓/
Mech: • � � ✓ ,
70
Plan Check (PLANCK) �7y 7u -,�L)
Bldg: = 1Q i/
Plumb:
Mech: /
I Sewer Connection SWUSA)
Sewer inspection (SWINSP)
I
Parks Dev Charge (PKSAC) <- O ✓ _ c
Residential TIF (TIF-R) 17 ill --�-��--
i
Mass Transit TIF (TIF-MT) � _ —
Commercial TIF (TIF-C)
I
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) —
Office TIF (TIF-0)
Water Quality (WQUAL) _ v
v
n Water Quantity (WQUANT) U d _ UL
CLf
Fire Life Safety (FLS)
r
Erosion Cntrl Permit (ERPRMT)
Erosion PlancklUSA (ERPLAN)
W ✓
Erosion Planck/COT (EROSN) L C /
TOTALS: