14041 SW FANNO CREEK DRIVE i
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14041 SW FANNO CREEK DR
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
DateRequested 7 -C �n AM PM BLD _
Location- L i O Li �V1 D .L LC D' s — P,-ae _ _ MFF C)o �c ?-
Contact Person _ Ph — PLM _
Contractor Ph SWR
BUILDING _ Tenant/(,vvner _ ELC
Retaining Wall ELR -_
Foc.Jng FPS
Foundction NOT REQUESTED -
Drain FOUND DURING RESEARCH SGN
Cr _
crawl Drain I
Slab NO INSPECTION(S) FOUND IN FILE — SITPost
Ext Shi Beam
Shear i/�[� ] (.'r:✓►1Pr(5��r f R,r►F _ _ -
Int Sheath/Shear -'
Framing _ Z
TL
Insulation
Drywall Nailing !r.�-viL�7�'`' - -/L ' 7-7
Firewall -
Fire Sprinkler
Fire Alarmj -_-
Susp'd Ceiling -- - - -- --
Roof
Misc
Final
PASS PARI FAIL ---------------_ .... __—_ — ---
PLUMBING
Post& Beam -
Under Slab
Top Out
Water Service
Sanitary Sewer t
Rain Drains
Final
PASS PART FAIL
CFfANIC t
Pust TX'bni
Rough In
Gas Line --- -�
Smoke Dampers
SS PART FAIL I
r—
JEtCXILTIRICAL
Service
Rough In
UG/Slab �- -
Low Voltage
Fire Alarm -
Final
PASS PART FAIL _
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ j Reinspection foe of$ _-!required before next Inspection. Pay at City Hall, 13125 S`.":mall Blvd
Catch Basin
Fire Supply Line [ j Please call for reinspecti(, �� .: - _ [ ]Unable to inspect-no access
ADA
ApproachlSidewalk " )
�itn
er Date g Cl C) Inspector _YL� lExtalASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TiGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
312!,SW Hall Bl,d,'rigard,Oregon 97223*8199 (503)834-4171 MST9-4-01,91c.,
639-- 41-1.1 DATE ISSUEDI 09/07/94
PARCEL: 2SI12BB-- 15100
, CTE: MDRESS. 1.4041 SW FANNO GREEIi DR
-USD I V 15 1 ON. . . COLONY CRE*F-K NO. 6 ZCIN INGiR-7
. . . . . . . . . . . LOT. . . . . . . . . . . . .
�LASS OF WORK. tNEW
ME' OF USE. . . :U F-
)CCUPANCY GRP. :R3
'CU,.J1:'0NC'Y LOAD t2"22 4
' ENom r NAMF. . . C
,lemArks,, PATH I
fAY Mll-.L.EP
0 B(")X 2.3291
IMAM) OR 97281
i ,hmw 0- 684-7543
My MILI-EP
110 Box
r 1130RD LIN 97x81
."hnne V : 684-- 75,43
30109
of the above hijiltJing is hereby given, .and certifies
(--L!Mpjj&nVp L -V I P e( a y odes for the group,
with tVj thp It ate Of Ot .g0n S '�i It C
aip:�nry, And 1..tse i.mder which the 1- fer d pt*rm:t W A
C'
r(-'I-(-I
.. ........
I U) I N'T'r-TJOR
S
FT JCT()I IL
POST IN CONSPICUOUS PLACE
GNU^�L"'1'ION NOTICE
City of, Tigard Building DeParteent
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-5175 Business Phone 1
Inspect ion:
-----_----- ---------.—
Foot ing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. I'11.1. Top Out Cas Line
Post/Beam Struct. San. Sewer Framing -91dg.
Poet/Beam Meeh. Rain Drain Insulation
Plbg. Underfloor hater Line Gyp. Bd. -Mech.
Date Requented:_ -__7b1e/-/ Time: --PH
Permit f,
Addrees —
Builder.:THE MLIOi►ING OO PTIONS ARF. REQUIRED:
Inspector: —__—�___. Date:
DISAPPROVED APP:`m'ED 6UBJRCT TO
— VI►PPRIi v-u �-- ._—_
Call For Rslnep.
D
WASkIINGTONCOUNTY ELECTRICAL PERMIT
Depa ant;It land Use&Transportation
Electric spec tion Section APPLICATION
155 h First Avenue,#350-12
Hills oro,Oregon 97124
information: 503 640-3470 Fax: 503 693-4412
PRINTPLEASE Permit � p ,
Please completeethrough 5.
Number Date ' /j
1. Location of installation 4. Complete Fee Schedule below
�cY'! SW �gNNaREEIC -0R Number otInspections per permit allowed
Building Service included: Items Cost(ea.) Sum
City T I 09 D Suite No.
Tenant Name A. Residential-per unit
(if commercial) _ 1000 sq.ft.or less _._ $110.00
Ma No. -- Tax Lot Each additional re o sq.ft
Map or portion thereof $25.00 --
Limited Energy _.____ $25.00 —_
Thomas Map Book: Page:. Section: Xr tach Manuf d Home or Modular
Directions _ ----- Dwelling Service or Feeder $68.00
-------- - ----- --
B. Services or Feeders
Commercial❑ Residential Installation,alterations or relocation
200 amps or less -- $60.00 — —— 2
2a. Contractor installation only: 201 amps to 400 amps $80.00 2
401 amps to 600 amps _ _ $120.00 __ 2
Electrical Contractor ��fu_�_L�� lel C /�� 601 amps to 1000 amps —_� $180.00 ._ _ 2
Address 13_ib.2__,T�L f uKC -f-+ Over 1000 amps or volts $340.00 __�.__. 2
City C!AjC � \1 5 . State _0*—, Z P -2-P� Reconnect only ___ $50.00 —_.___ 2
Date ____ _ Job Number _16 01 3. _ __,_
Property Owner _js}r1.1_E_�_o�l _ C. Temporary Services or Feeders
Contractor's License No. 6' nstallation,alteration or relocation
Contractor's Board Reg. No, 2 20
_ 201 amps or less - _ $so or,
_ 1 amps to 400 amps
401 amps to 600 amps $s txl pn
Signature of Su r. Elec'n �� Over 600 amps to 1000 volts see°B°above
License No. I 16-S Phnnr n 6 "
D. Branch Circuits
2b. For owner installations: New,alteration or extension per panel
a) The fee for branch circuits with
Print Owner's Flame ---Phcone No purchase of service or feeder fee.
Each branch circuit
Address------- b) 'rhe fee for branch circuits without
purchase of service or feed r fee. O d
s --
�- tate �p First branch circuit _....._._ $35.00
Each add'nl branch circuit__— $5.00
The installation is being made on property I own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle ___— $40.00
Each sign or outline lighting $40.00
Owner's Signature ---- -- ---- Signal circutt(s)or a limited
energy panel,alteration
.3. Plan Review section (if required) or extension
Please check appropriate Item and enter fea In section 58 F. Each additional inspection over the allowable
In any of the above
_4 or more residential units in one structure Per inspection $35.00 .—._—
_Service and feeder, 800 amps or more Per hour $55.00
sSystem over 600 volts nominal In Plant
___Classified area or structure containing special
occupancy as described in N,E.C. Chapter 5 fees 3 S�a
Submit 2 sets of plans with application where any of the A. Enter total of above fees $
above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ -
services. Subtotal $ 3 Jr
This permit becomes null end void if the work authorized by the permit is B. Enter 25% of line A for
not comm-.:ced within 180 days from date of issuance of such permit or Plan Review if required (Section 3) $ � ---
if the work authorized is suspended or abandoned at any time after work Subtotal $ - -- —
is commenced for a period of 180 days. Electrical Permits are non- $
refundable and non-transferable. Trust Account
For inspections call Balance Due $ 34
681-3699 or 681-3698
24-hour recorder, one working day in advance of need Bt_28 • 3.195
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall BI✓d. rigaid,Oregon 97223.81 IN (503)630.4171
Citi of Tigard MECHANICAL PERMIT PiancwRec. # _
13125 sw Hall Blvd. APPLICATION Permit # 6%I.;�Y-
Tigard, OR 97223
(503) 639-4171
Table 3A Mechanical CoJo CITY PRICE AMT
Job fPermit Fee -0- -0- 10.00
Address l� i �"��,/1/��' 1)
(1
9j, 2) Supplemental Permit 3.00
-- - �}umace to IW.LIUU 811U
incl. ducts b vents i - 6.00 ,-
«. urnaca100,000 B I U +
Owner (t,` 1 1 � A IlAtl Cr— 9 2) incl. ducts S vents — - 7.50
Floor Furnance
3) incl. vent 6.00
— . . .,,.•. •.� Suspended neater,wa Tieator
4) or floor mounted heater 6.00
Vent not incl.in
Occupant 5) appliance permit 3.00
---75—pair o eating,re ng. -- —
6) cooling, absorption unit 6.00
----- -- go-i of for comp,,seafpump, aicond.
- —
�� 7) to 3 HP;absorp unit to 100K BTU I 600
i er or comp, heat pump,air conte
8) 3-15 HP; absorp unit to 500K BTU 11 oc
Contractor Boiler or comp,heat pump,air co - -
f', 9) 15-30 HP;absorp unit .5-1 mil BTL: - 15.00
- .• • —
Boiler or comp, eat pump, air cond.
10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50
herebyackrioW5Ag_8_Fa_t I have roaa this application, that ie i er or comp, oa_pump, air concT—
information given is correct,that I am ",e owner or authorized agent 11) > 50 HP;absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State itarndfing urnt to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is torrent (If exempt from State registration, Air handing urn
please give reason below.) 13) 10,000 CTM, 7.50
— --•- _- ----Ron porntable
14) evaporate cooler 4.50
-— —"
--Vent tan connec —
15) to a single duct 3.00
Ventilation- -d s polis not
__ C�t✓y� � �� 16) included in appliance permit_- 4.50
yOF arm OW R seamy
17) mechanical exhat st 450
escn �o n-new a ytion T-anon -- repan -- omrnercin or r, ustnTie r
to be done residential non-residential O 18) type incinerator _ 30.00
"t,Fg userOther i e., woodstove,water
building or property 19) heater, solar_clothes dryers, etc. -- 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
bu,lding or property -
/ 21) Mors than 4-per cutlet
,type of fuel -oil O natural gas O LPG O electric O ---
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION `\, -----
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -"- ---
ABANDCNED FOR A PERIOD OF 180 DAYS AT ANY TIME ^t-,N REVIEW 25%OF SUBTOTAL
AFTER WaRK IS COMMENCED "- --"-- -�
TOTAL Lx�
Special Conditions— -- ---- -- �'---= - —_-
Date issued by—_
k«u[cNouT
CITY OF T I BARD ITIASFER PER11IT
COMMUNITY DEVELOPMENT DEPARTME14T FIER111''T 44. . . . . . . : 111:0*94-0199
13125 SW Hall Blvd Tigard,Oregon 97223.8100 (60i)'11136-41171 DATE ISOUED: 05/24/94
1:.. ODDKE.b In. .. . - 1414-44 1 �-.)W FONNO CRE E*K DIS POW.,EL-. 26112BB :1.".1i 1.0 0
1
51JI.'4DIVISION. COLONY CPEEK NO. 6 ZONING. R-7
is 1 0 K. . .. .. . 11 . . . LOI . . . . . . . . . . . . . 21
................................ B U I L D I N 113 -- .--.---------..-.- ---....--... -........-.1--............-.-.. I
R 1 1.S S U L: DWELLI�A3 UNITS-. 1 BASL11E.N I . . . . . - . -*0 19f
("LASS OF WORK. INLW BE 1)R 1"S 13 El AT H 8 a.3 GARAGF. . . . . . . . . ..450 s f
TYPE: OF" U S E. . . -S F : 1 OOR REOUIRED SU:'T*F.4(4CKS------- ---------- -------
I YPE.' OF CONST . :5N FIRST. . . . :1170 Sf LEFT. . :5 ft RTGHT. -.fir -Ft
0(.,GU1::'AN(..'Y GR1:-1. -R 3 SECIOND. -.720 9f FROM T.. »20 -f t R E A R 4 9 ft:
S 1:3
TOR I E S. . . . . . . :2 'THIRD. . . . :0 Sf R E U U I R E-1)------ -------
HEIGHT . . 212 .1 t I'G,T A L I`490 V,f SMOKI.':' DF.T 1:;C1 ORS. Y
F LOOK LOAD. . . . -.40 psf VALUE.. . . . . $ 81240 PARK I NU SP*10CES. I
.............. 1::'LUPIElINU
. . . . . . . . . . ..
. J FI-10OR DR .AIN'G. . . . :0 BPCKFLUW PRE'VNIRS. » : 1
L A V 0 TO RI E 5. . . .. . ..4 WATER H I-A T E RS. . . : :1 T R 0 P IS. . . . . . . . . . . .
FUD/SHOW1-.-:'RS. .. . . r i.-. LOUNDRY TROYS. . . .'10 CAT11,1A PAE.;IN13). . . . .
WATE.1Z ('.:LUSLIS. 1:1 SEW;*R L I NE (f t) .. :0 G R E A 8 L TR A PS. . . . . . . :0
WAT11H LINE (ft) . : 100 OTHER FIXTURES. . . . . .0
(4 P R,H A U E. 1)1 S P RAIN DRAIN (-ft) . :0
WASHING il(WH- » 3, SF RA 1.N DRO 1:NS. I
MECHANICAL FEES --
UFA- UNIT HTRS. . :0 type amount by dAte pt
GA r; VENTS . . . . . .0 T I F $ 1520. 00 SW 05/24/94
NOX [N1-1UT-.0 F.4 T U V E:11 T C'A N S- - - 4 BPRI, $ 379.00 SW 0".J/R 4/9 4
I- URN ( I OOK HOODS. . . . .. . : 1 BPLC $ 246. 35 SW 05/17/94 92-2524:34
U R N ) ==1.001', . . :0 W 0 0 D STO V F-S. :0 B5P(,1 $ 18. 95 SW 0".P/P4/94 ---
1.00k FURN. . . . ..0 ULO DRYERS. : 1 SSDC $ 280. 010 SW 05/24/94
3HP-.0 OTHER UNI 15: 1 PARK $ boo. 00 SW 05/il.4/94
GAS OUTLETG)al MPRT $ 43. 50 SW 05/24/94
W I I e r M P L C $ 10. 89 5W 05/24/94
InY MILLER M5PC $ 2. 18 SW 05/24/94
0 W.)X 23291. r-"PR T $ 147. 50 SW 05/24/94
P5PC $ 7. 38 SW 05/24/94
I Gi 0 I,J) 0 R 9 12 A I
Atovie It: 684- 7543
JAY MILLER
'I" PDX Pl:li.19.1
: iGARID OR 97281
Jio))v W: (:,11/4- 754:3
ecI 14» , ; :30109 ...........
If 3155. '74 TOTAL
This permit is issued subject '.a the regulations contained in the REPUIREO INSPECTIONS
T-gard Municipal Code, State of Ore. Specialty Codes and All other Foot/fourid Insp Fireplace Insp
ipplicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Iiisp
,!iris. This permit will expire if work is not started within 191 Flost/Beani Mecham .Insulation Insp
days of issuance, or if work is suspended for more than 181 days. Plni/uridslab Insp Gyp Board Insp
P L 11/U r)d e T,t 1.a o-r Raiii drain Insp
a&IL - Mechanical Insp Water Line I ris p
Plumb Top Out A p pr/Sd w I P. I vi-,.,p
u F.,(J 1`4
[.'Ali for in4pec tion 63q-417":
I
CITY OF TIGARD SEWE F; ERkC'T1()N
F'[:i':MIMI'T f'
COMMUNITY DEVELOPMENT DEPARTMENT F'URMIT N. .. . . . . . - SWR94--0:E98
13125 SW Fall Blvd.Tigard,Oregon 97223.8100 '(403)''1911.4171 1)01Ic. ISSSUE.TJ. 05/P4/0-4
PARCE:.I_a 2S112Hb'-15100
S141: ADDRE::SS. . . a 3.4041 SW FANNO c:;kLE:.K DR
SUBDIVISION. . . . a COLONY CREEK MCI. F:a ZONING: P-7
BLOCK. . . . . .. . . . . a LOT. . . . . .. .. . . . . . . a IL29
'TENAN'T NAME,.
USA NO. . . . . . . . . . . FIXTURE UNITS. . .
CLASS OF WORK. . . INEW DWELL 1N(3 UNII'S. . > 1
II„'E:: UP USE. „ . . . pSF: NU. OF DUILDINUSs1
.ENS1'ALL 'TYPE. . . . CBUSWR IMI='ERV SURFACE-1 -.sf
Rentnirks o PATH I
_............
.._...
JAY MILLER type amc)ul7t by date •rec:l,
P U DUX 23291 PRM T $ 2200. 00 3W 05/24/94 _
INSP $ :35.00 SW 05/24/94
T IOARD OR 97281
Phone Na 684-7543
Ctorltr•avt-c) _......... _............
CON 1 NACTUR NOT ON FILE'
hC)1'1F?
0:- $ 22:35.00 TUTAL.
eq I.. .. „
_._.._....._......... REGUIRE:D INSPECTIONS
his Applicant agrees to comply with ail the ruie�, ; )J Pgolation- Sewer• Trispe�ctiorl
,4 the Unified Sewage Agency. Thr permit expires lH days from
%he date issued. The total amount paid will be forfeited 1f the
ermlt exp.res. the Agency does not guarantee the accurac, of the
aide sewer lrte,als. P the sewer is not located at the meas-remert
liven, the installer shall prospect d feet in all directions from
.he distance given. 1' r)t so located, the installer shall pl)rchase
a "Tap and Side Sewer” Fermit and the Agency
will install a lateral.
e r m i t t e F> S j.q r1 a t u r to rL 64�
i.1 P d B si"'J
Cull fo-r i.rlspeetiol•1 - 6 3':7 417 5
yt�gl
�i
B
Residfantial laildin_g_Permit Application
--
City of Tigard �=
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address:_1464 5 W F a4 n c Ck-
D
Office Use Only
Subdivision:c r l �f — Lot # �`�
PlanWRec #
Valuation: 91
Permit #
Owner: a" im i l L-r E In.i, ' �n L ' Reissue of
Address:Pa B()x a 3 a q / Map & TL N �__;�_(��
T'C.Cc�d Oe 72 l
P
S L - 5 y 3 Approvals Requirad
Phone:
Planning
Contrr: �� �� ) f — Engineering _
Address. — — r"her
Items Required
Phone: —
Subcontractors
-ontractor's License # —
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Piur�tbiny: /c f1 W
Meh ical: ?F
(attach copy of current OR Contractor's License)
Architect/Engineer:
Address: —
Phone. _
COMMENTS: ._)9 L:'
G
,.�1II-t h ��Ps/ 7 5 93
Applicant Signature & Phone number
Received by. _ Date Received: _
Permit # Account Description Amount Amt Pd. Bal. Due
P6 sEs v 1 y y Bldg. Permit (BUILD) 329,vO _ 9_ o
_ Plumb. Permit (PLUMB) :1 / / y 1,,C
Mech. Permit (MECH) Iv
i
State Tax (TAX)
Bldg: 1 ?-q
Plumb: 7 3 r
Mech: I G
Plan Check (PLANCK)
Bldg: o') 3
Plumb:
Mech: 10
Sewer Connection (SWUSA) d22*& / p2 O u
i
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) Soo Soo
Storm Drainage Chg (SDSDC) ;LJOU
Residential TIF (TIF-R) / / U / r4 ) p
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS: