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CL :3 (m � k q , _ A2 Ee � & J / § da CITY OF TIGARD DEVELOPMENT SERVICES CERTIVICATE OF 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 OCCUPANCV PERMIT AFI. . . . . . . : MGT9t, ktjj—'-'. CRATE ISSUED: 10/30/97 PARCEL: PS104DC-171f,600 ' IE ADDRESS- 1 134314 14)W f7 ERNRIDGE TEPI,., ABDIVISION. . . . a MORNINGS'T A R ZONING: R- 4. 5 F-11) 111-OCK. . . . . . . . . . 1 1-01.. . . . . . . . . . . . . :1710"1 JURISDICTIONiTIG .F4Sf3 OF' WORK. :NEW (PE OF USE. . . :S3F7 TYPE OF CUNSTRi5N OCCUPANCY GRP. :R3 OCCUPANCY I-OAI)tu� Pemarks : PATH I JOHN MICLAU 11509 SW DAV IES RD OPT. # R205 BEAVEPTON OR 97008 Phone #r !-�,-:4-9347 Contractorl 'I'r":-NANT PER APPROVAL PROM OWNER. Phone #t Reg #. . .- 000131 Ihis Certificate grants occupancy of the Pkbovp refprenc.-ed building or portion and coni-ir-mr, that thp buildinq has Ls-rvn inspected for complianca- with ;ie St at e of fh,egon F;per.-i-AA' ty Codes f Q Y" t h P rU-��U k k OCCU PM FIC y S.n(l 9 P UTI d P I- Iiif-li the referenced permit was ivsut-d. ,JILDING INSPECTOR N I.-PING OFFICIAL ,-013T IN CONSPICUOUS PLACE i CITY OF TIGARD PERMS=R PE RM I T E:RMT.T- #. . . . . . . : MST96••-01213 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/19/96 13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)830.4171 F'A R C:E:L.: �'S l 0 4 D C:--ilr G fa'Ir lel aITL. saUUF11�;�L�. , . - i,3614 (-.3W I I RI�1�.IDUL [ERR SUBDIVISION. . . . : MORNING ST(0I ZONING: R--4. 5 P'D Bl-.()CK. . . I . . . . . . . L.0 T. . . . . . . . . . . . . :00'i Remarks: PATH I --------•--------------••-- ---------------•----------------------- BUILDING -.------------------------------------------- REISSUE: STORIES,...... : 2 FLOOR AREAS--- ------ BASEMENT,,.: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT..,.....: 3O FIRST....: 2390 sf GARAGE.....: N7 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD.,..: 40 SECOND...: 1674 sf FROM.........: 20 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINNSMENT: 1412 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDkM: 4 BATH: 4 TOTAI-------: 5476 sf VALUE—$: 365911 REAR..,.,.....: 44 ----------------------------------------------------------------- PLUMBING -------------------------- SINKS.........: L: WATER CLOSETS.: 4 WASHING MACH..: I LAUNDRY TRAYS.- ' RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 7 DISHNASHERS...: 2 FLOOR DRAINS..: 0 SEWER LINE ft: i SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: 5 GARBAGE DISP..: 2 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE *RAPS..: 0 OTHER FIXTURES: 0 --------------------------•------------- ---------------------- MECHANICAL FUEL TYPES----------- FURN ( ION ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 5 CLOTHES DRYERS: 1 /GAF/ i / FURN )=INK .. : 2 UNIT (CATERS..: 0 HOODS.........: 2 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOCJSTOVES....: 0 GAS OUTLETS...: 1 ------------•-----------------------------------------------••-- ELECTRICAL ------------------------------------------- --RESIDENTIAL UNIT--- *QVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- —-MISCELLANEOUS---- ••ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 Q - 200 amp.. : 0 0 - 200 asp., : 0 W/SVC OR FDR.,: 0 PUM)/IRRiGAIION: 0 PER INSF'EC?ION: 0 EA ADD'L 590SF.:11 201 - 400 amp..: 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR,.....: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 606 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL... : 0 iN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 100W amp.: 0 WI+d4ps-1040 v: 0 MINOR LABEL -10: 0 10001 amp/volt.: 0 ------------•----- ------------------- PLAN REVIEW SECTION _----.-----------------.-- Reconnect only.: 0 )=4 RES UNITS... SVC/FGA)=225 A. ; ) 600 V NOMINAL: CLS AREA/SPC OCC: ----------------------------- ----------------------.. ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------- A. SF RESIDENTIAL----------------------------- B. COKRCIAL-------------------------------------------------------------------------------- AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: 1NTERCOMiPAGING: QATDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER.........: h,X............ LANDSCAPE/IRRIGi PROTECTIVE SIGNI. GARAGE OPENER..t CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :: HVAC...........: DATA/TALE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0 Owner: -------------------------- -----Conn actor: ---- ------------ ------ TOTAL FEES!$ 5811.. JOHN MICLAU OWNER 11509 SW DAVIES RD APT. M 2205 BEAVERTON OR 97008 Phone 0: 524-9347 Phone M: Peg C.: ELL This permit is issued s,bject to thz regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans, This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ------- - ---------------- -- -- REQUIRED INSPECTIONS -------------------------------------- -------------------.. rooting Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control Foundation Insp Mechanical Insp Low Voltage Gyp Beard Insp Electrical Final _ %st/Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final Post/Beam Mechan Electrical Serki Gas Line ln�p Water Line Insp Plumb �-ina1 _ Crawl Dra.n Framing Insp Gas Fire laceey 7 r-Neter Service In Building Final IF a m i !,re e Si g n a t t.r i-p6'l1 1 . 7� >'T C:�[L L 15a11s / W Call for inspr et ion - 639--4175 k i � i J PERMIT CITY OF T I GARD DATEEWER CONNECTION I ISSUED:. 04/19/966—Q164 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd,Tigard,Oregon 97223.8109 (503)839-4171 PARCEL: 2S 104DC-06600 SITE ADDRESS. . . : 1:3814 SW FERNRIDGE TERR SUBDIVISION. . . . : MORNINGSTAR ZONING: F1) BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :007 ------------------------------------------------------------------------------------ TENANT NAME. . . . . : USA NC. . . . . . . . . . . FIXTURE UNITS. . . s 0 (.:LASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remar-ks: PATH I 1.Iwner,: _.__.__._---_____.____._______.._____- _-----.._________________ FEES JOHN MICLAU type Ariount by date recpt 11509 SW DAVIES RD PRMT $ 2200. 00 JMH 04/19/96 96-278441 11P'T. # 2205 INSID t 35. 00 JMH 04/ 19/96 96-278441 BEAVERTON OR 97008 F,hone #: 524-9347 Contractor-: _•_____.__.___._._____________________ OWNER Phone #: $ 22 35. 00 TOTAL Reg #. . : JILL REQUIRED I NSF'ECT I ONS This Applicant agrees to comply with all the rules and regulations Sewer- InsPec_to of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a teral. F'ermi.ttee Siynatur•ea Issi.led By17y'AA Call for inspection — 939-4175 Residential Building Permit Application City of Tigard 13125 SW Hall ,Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: a �'. f_G:_0CP1e11)6 - W1,4c� Subdivision: MQieNIN(, 5;Af Lot # / Office Use Only Valuation: 17"969a, Contact Date / / Initials _ _ Result New Construction Only: (Square Footage) Planck/Rec # Permit # .L" House: -- Garagrer Reissue of Map Corner Lott Y �y/ Flag LotT Y CN> & TL# Owner: L/)(.f Plat # S.lili�. 1�.4VlEJ IE�U .f/1% 2?0� Auprovais Required Address: _ B� 4`__' C 7C'G Planning Setbacks` _ Solar 1� C• Engineerings , .�. Phone: C/ 34 .7 Other _ Contractor: Items Required �' _ Subcontractors Ay" AJdress: —�" Truss Details Other _ Notes _-' Phone. ( ) Contractor's License (attach c py of u rrer* Oregon license) Contact Name/ CPhor -- f ontact �e� Subcontractors: Arch itecUEngineer: Plumbina- U'A At) ',ddress Mechanical: C' K _ Poe 72 hNr, er . �77,2/ 6, (attach copy of current OR Contractor's License) F/12,_ IC fra f u (, , i I-.. Phone ( .�c:'� � 2, 5_2 ' 2 3 2.3 JOB UESCRIPTjO"I: Ntu; ­_ 1;/ ___ �)_-) �, ­ �7 Applicant Signat re J Applicant Phone number Received by / Date Received c 7G COQ — ..�.,„N•,,,.:o YES NO N/A 9• ROOF TRUSSES (engineering, details and layouts) 10. [�� [ ] [ ] COMPLETE CROSS SECTION(S) 11 . [ [ ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR ADDITIONS AND REMODELS 12• BASEMENT WALL, FOUNDATION AND RETAINING WALL SECTIONS (will need engineering if walls are 8 ft. high or higher). 13. [ [ ] ( ) WALL BRACING (structure must meet table R-402.10, revised alternate method 93-7, or a lateral design shall be provided). 14• [ ] [ 1 ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE INCORPORATED INTO THE PLANS. (Attachments must be / clearly legible and fully referenced in the plans) 15. [L'1 [ ] [. ) BEAM CALCULATIONS (all beams over 10 ft. in length or any beam that supports a point load). 1�� [� [ ] [ ] ENERGY CODE PATH IDENTIFIED DO NOT MAKE CORRECTIONS IN RED RED WILL ONLY CAUSE DELAYS 4 Solar Balance Point Standard Worksheet Address ` l C//" 4 1-j Ve f ?" ` K Box A calculations: North-South dimension for the lot.- Box A: - lhis dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, deter-nine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. * "OX 1 NOQMENN N(MTNEM lCi UNE LOT UNE --- - N North-South Dimension for Lot: Measire the distance from the midpoint of the North lot line to the South lot line along the described line. feet �NORM-SOUTH oIMEWICN Box B calculations: Shade point height for your residence. Box B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. vour residence? 1a: If the roof line runs North-South, measurements will (circle one) be based on the peak of the roof. p "" —► I \ 1 B) 1 C 1 h: If the root line runs East-West and the roof pitch is less than i!1 2, measurements will be based on the ear e. ._ 1 c: If the roof line runs East ���est and the roof pitch is 5i12 or steeper, measurements \ill be based on the , , peak. ,p..,.,,,, "ff �44UA­N'VO;E Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If ft the lot slopes down from the front lot line to the foundation, the figure is negative. , 3. Measure distance from finished floor elevation to the affected peak/eave. + ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, ft 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, deduct nothing. - ` ft 6. Total figure for box B: `, 5 ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the _ _ ft affected peak/eave. �. Measure the distance from the foundation to the affec d peak or eave. + ft 3. f ital figure for box C: - ft It is most us ul to draw a vertical line to represent the appropriate figure found itr box"A"and a horizontal line to represent the appropriate figure found in box "C". The intersection of the vertical and horizontal lines determines the value found in box"D". The value in box "D"should he compared to the value in box"B"; if the value in box "B" i##less than or equal to the value found in box "D", then the building is in t ompliance with the ,lar balance code. If you have any questiions, please contact us at 639-4171, 004 or at the )mmunity f)evelopment Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance to North-south lot dim@nsion (in feet) shade 100+ 95 90 85 80 75 1 70 65 60 55 50 45 40 reduction line from northern lot line tin feet) "0 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 50 32 32 32 33 34 35 36 37 38 39 40 4.5 30 JU 30 31 32 33 34 35 36 37 38 39 40 28 28 28 29 30 31 31 33 34 35 36 37 38 1; 26 26 26 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 16 27 18 29 30 31 32 33 34 22 22 22 23 24 25 26 27 28 29 30 31 32 2t) 20 20 20 21 22 23 24 25 26 27 28 29 30 1, 18 18 18 19 20 21 22 23 24 25 26 27 18 1 t' 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 1.1 14 15 16 1' 18 19 10 21 22 23 24 Box 1). Maximum allowed shade point height: feet \ h:\docs\nancv'wentura\solar.chp i Revised 2126/96 P Solar Balance Point Stan'-ird Worksheet Address /V,, �,1 � ��,.� ��� �- .�' �' t-•-S' 4 � Box A calculations: North South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. 450— * I ` 1 NORIMERN t \NORTHERN lGt UNE LOT UNE North-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the Sow'i lot line along the described line. feet 1 — - 1 N pRM-$pUhl DIMENSION 7" i Box B calculations: Shade point height for your residence. Box B: I Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. vour residence? Id: If the roof line runs North-South measurements will tcircle one? ho based on the peak o; the roof. 75 a a c 1 b: If the roof line runs Fast-West and the roof pitch is less than S/12, measurements will be based on the save. !HALE W^INT E4\4 1 c: If the roof line runs East-West and the root pitch is . r steeper, measurements will be based on the 1C5;: 1ff Irak. Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If /�C the lot slopes down from the front lot line to the foundation, the figure is negative. ft 3. Measure distance from finished floor elevation to the affected peaWeave. + ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, - ft 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, deduct nothing. - tt 6. T( 'al figure for box B: 5�' `' ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the ft effected peaWeave. �. Measure the distance from the foundation to the affected peak or eave, + r`— ft 3. Total figure for box C: ft It is most useful to draw a vertical line to represent the appropriate figure found in box "A"and a horizontal line to represent the appropriate figure found in box"C". The interse_lion of the vertical and horizontal lines determines the value found in box "D" The value in box "D"should be compared to the value in box "B"; if the value in box "B" is less than or equal to the value found in box"D", then HIP building is in compliance with the solar balance code. If you have any questions, please contact us at b39-4171,x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT In Feet) Distance to North-south lot dim4nsion (in feet) shade 100+ 9 i 90 fly 80 75 70 65 60 55 50 4 40 reduction line from northern 5 lot line tin feet) 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 ;5 34 34 34 35 36 37 38 39 40 41 50 32 32 32 33 34 35 36 37 38 39 40 -15 30 30 30 31 32 33 34 35 36 37 38 39 a0 28 28 29 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 26 27 28 29` 30 31 32 33 34 25 22 22 22 23 24 25 26 27 28 29 30 31 32 10 20 20 20 21 22 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 14 11 11 15 16 17 18 19 20 21 22 23 24 Bo, D. V.Wmt,m allovwo l shade point height: _ _ feet h.l d m,,n a n cv\.ve ntu ra\sol a r.ch p Revised 126i96 Permit #: Address: _ 0 H au) iN''• � 15W) Statement: Issued by: - d Date: �5��_C_1:�'___- 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 J'().'lowing statement before a building permit can he issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt,From regiavratim. under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. 1.111 in the appropriate blanks and initial boxes I and 2, and either box 3A or 313: a1. 1 own, reside in, or will reside in the completed slructore. 2. 1 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. # 1 will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. 11' 1 hire subcontractors, i will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, 1 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. 1 hereby certify that the above ipformalion is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse sides of this form. (Signature of permit applicant) (Date) (White copy to issuing agenc.v permit file, pink copy to applicant) Ir*formation Notice to Property Owners About Construction Responsibilities Note 71tis hafr)rmation Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors F .rel in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and seas of concern. EMPLOYER RESPONSIBILITIES: if you hire. persons not registered with the Construction Contractors Huard to do labor in constructing or assisting in the construction or improvement of a residential structure,you will, in most instances,be ruled to be an employer and the people you hire will be employees. As the employer,you must comply with the following: Oregon's withholding tax law: As an employer,you must withhold income taxes from employee wages at the time employees are paid. You will be Gable for the tax p:+yments even if you don't actually withhold the tax from your employees. For more information,call the Oregon Dept. of Revenue at 945-8091. j Unemployment insurance tax: As an employer,yout.tre. required to pay a tax for unemployment insurance purposes on the wages of all employees. For more.information,call the Oregon Employment Division at the Department of Human Resources at 379-3524. Workers'compensation Insurance: As an employer,you are subject to the Oregon Workers'Compensation Law,and trust obtain workers compensation insurance for your employees. If you fail to obtain workers'compensation insurance,you may be subject to penalties and will be 1 iable for all claim costs if one of your employees is injured on the job. 17or more information, call the Workers'Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S.Internal Revenue Service: As an employer,you must withhold federal income tax from employees'wages. You will be liable forthe tax payment even if you didn't actually withhold the tax. For more information,call the Internal Revenue Service at I-9(10-829.1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project. ou are responsible for resolving any failure to meet code requirements that may be- brought to your attention through inspections. ,t Liability and property damage Insurance: Contact your insurance agent to see if you hav:adequate insurance coverage for accidents and omissions such as falling tools, paint oversptay,water damage from pipe punctures, fire,or work that must be rt-done, i Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough-in and tihi-4i hades, and to notify building officials at the nppropriate times so they can perform the required inspections. If you have additional questions, es rite or call the Construction Contractors Board(PO Box 14140, Salem,OR 97309-5052, 5031378-4621). The Board is located at 71X)Summer St. NE Suite 300,in Salerr prop-own.pm4 1194 :,Ra taro-•;.,..-,a. .,AeWp►. » /r;:'.yw,. S.W. FSRRI I IOGE TERR4GE ��•r, L* ,• I I I,1 'I 31 I ' I r r n o � I a -_-------- �, , ----- - ------ 777L-1 ----- ---Lman I t cz �'co iaoL I , •�"+ :�,`�, i� g ..:. lr;-•, y. 'JIT• �. S+. �•i f t CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE MY ELECTRICAL CONTRACTOR HUYHN MY VAN 2193 SE 73RD AVE HILLSBORO OR 97123 Electrical Signature Form Permit # . . . . : MST96-0128 Date Issued. : 09/03/96 Parcel . . . . . : 2S104DC-06600 Site Address : 13814 SW FERNRIDGE TERR Subdivision. : MORNINGSTAR Block. . . . . . . . Lot 007 Zoning. . . . . . : R-4 .5 PD Remarks : PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign belw.,, 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 OWNER : ELECTRICAL CONTRACTOR: JOHN MICLAU MY ELECTRIC'AL CONTRACTOR 11509 SW DAVIES RD HUYHN MY VAN APT. # 2205 2193 SE 73RD AVE BEAVERTON OR 97008 HILLSBORO OR 97123 Flu-no it : 524-9347 Phone # : PAGER727-1972 Reg # . . 111115 i x14 A Signature ot llpervis' g e trician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE EXPRESS PLUMBING 1420 SE EASTWOOD PORTLAND OR 97222 Plumbing Signature Form Permit # . . . . : MST96-0128 Date Issued. : 04/19/96 Parcel . . . . . . : 2S104DC-06600 Site Address : 13814 SW FERNRIDGE TERR Suhdivision. : MORNINGSTAR Block . . . . . . . . 1,()t. : 007 Zoning . . . . . . : R-4 . 5 PD Remarks : PATH I Your company has been indicated as the plumbing conte actor for the permit indicated above. In order for the plumbing permit to be velid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections wi!I be authorized until this completed fr-m is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM WNIR : PLUMBING CONTRACTOR : JOHN MICLAU EXPRESS PLUMBING 1.1509 SW DAVIES RD 1420 SE EASTWOOD APT. # 2205 BEAVERTON OR 97008 PORTLAND OR 97222 Iii Dnp # : 524-9347 Phone 4 : Reg # . . : 057865 l X ttl_1Ll Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-417 1 , ext. #310