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13958 SW HILLSHIRE DRIVE k' I 1 I i i �\ 1 1 __ '.%458 SW HILLSHIRE DRIVE _ CITY OF TIGARD DEVELOPMENT SERVICES MW 10"125.4W Hall Blvd., Tigard,OR 97223(503)639-4171 CERTIFICATE OF OCCUPANLY PERMIT #. . . . . . . : MST96-011.1 DATE ISSUED: 11/01/96 PARCEL: RS104CC-03600 SI'l E ADDRESS. . . : 13958 SW HILLSHIRE DR SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONINGtR-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 142 JURISDICTION:1'16 ----------------------------------- LLASS OF WORK. :NEW 'FYPE OF USE. . . :SF I-YPE OF CONS*IR:SIV OCCUPANCY GRP. :R3 OCCUPANCY LOAD:i? RemAt-ks : PATH I Owner: DAVID FARBER 13958 SW HILLSHIRE DRIVE TIGARD OR Phone #- Uontr,ectov-i WINDWOOD HOMES 12655 SW NORTH DAKOTA (F(4x # 590-7606) TIPORD OR 97223 F-'hon. t?)0-4700 Reg #. . : 000501 Fhic Let-tificate gr-ants occupancy of the above referenced building Or, po 1. 1Crj thereof and confirms that the building lias been inspected for compliance wj + 1, the State of Oregon Specialty Codes for, the group, occupancy, and use under- which the t-efer-enced permit was issued. 6XL. ui- � ,WLDlNi7 16"Jl--'LLTUR BWJ-Ino "M MF�Olel / lN934PE--CTUP 1JN, LH)ic;UH POST IN CONSPICUOUS PLACE Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0113 WINDWOOD HOMES INC 13958 SW hILLSHIRE DR 03/12/99 Action Description Req/ Schd/ and/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA005 Application received / / / / 03/11/96 PASS JD 03/7.1/96 BT2 MSTA008 Permit Created / / / / 03/21/96 PASS RT 03/21/96 BT2 MSTA010 Check for prcl. restrict. / / / / 03/;:1/96 PASS JD 03/21/96 BT2 MSTA012 Plans routed to Plans Examiner / / / / 03/21/96 PASS JD 03/21/96 BT2 MSTA02F ::ane approved by Plans Exmr / / / / 03/21/96 PASS RT 03/21/96 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 0?/21/96 PASS RT 03, v6 BT2 MSTA080 (F) Ready to issue / / / / 03/71/96 PASS CJS 03/22/96 TMP I� MSTA092 (F) Issue combination permit / / / / 03/26/96 PASS 0 03/26/96 BON MSTA093 (F) Reprint Permit / / / 01/27/97 Sent 3rd copy to be signed. KAS 01/27/97 KAS MSTA097 Issue plumbing signature form / / / / 03/26/96 PASS B 03/26/96 BON MSTA097 Ise.ue plumbing signature form / / / / 11/14/96 11/14/95 JT MSTA097 Issue electric signature form / / / / 01/31/9! Recd sign form back 1/30/9, PASS KAS 01/31./97 JT MSTAU98 Issue electric signature form / / / / 03/26/96 PASS B Oe;26/96 BON MSTA705 Footing Insp / / / / 04/12/96 0 1- extend retaining wall section at DIS KS 04/15/96 KBS rear of garage MSTA705 F(oting Insp / / / / 04/15/96 APP KS 04/16/96 K13S MSTA706 Foundation Insp / / / / 04/18/96 pending- seismic; ventilation; clear low PASS RB 04/18/96 RB point drain; usa 4-19 MSTA710 Poet/Beam Structural 05/17/96 / / 05/17/96 glu-lam beams notched- engineering FAIL RB 05/17/96 HE, req'd; aadit icnal nails req'd w/in brackets; positive connections- marked; head of over plenum box; additional gyp. nailers needed at garage/shed header; lateral brace posting MSTA711 Post/Beam Mechanic.l (;/17/96 / 05/17/96 PASS RB 05/17/96 RB MgTA713 Crawl Drain / / / / 04/30/96 PASS MS 15/01/96 MRS M'3TA.^,1° P1,M/Underfloor / / / / 05/15/96 PASS MS 05/16/96 MRS MOTA720 Mechanical InsE / / / / 07/30/96 1-1" min. clearance at vent and garage FAIL rib 07/31/96 BT2 soffet 2-underfloor ducts not installed to floor bvot(2) 3-supply to run above garage not connected inpection terminated Page No, 2 CASE HISTORY FOR CASE NO.; MST96.0113 WINDWOOD HOMES INC 11958 SW HILLSHIRE DR 03/12/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Up'l Code Sent Done Done Date B, MSTA720 Mechanical Insp 08/12/96 / / 08/12/96 remove cable away from b-vent; exhaust FAIL RS 08/12/96 RS venting incomplete; secure fireplaces; insulate . flame spraed fitcplace cavities; maintain installation instructions for clearances and venting for fireplaces; enclose floor cavities w/inchase at main floor maintain b vent. clearances at chase upstairs; exhaust vent disconnect at laundry. MSTA120 Mechanical Inep CB/15/96 / / 08/15/96 see framing this date FAIL RB 08/15/96 RS i MSTA720 Mechanical Insp / / / / 09/09/96 A9P KS 09/11/96 RB { MSTA122 Plumb Top Out / / / / 07/09/96 waste ok FAII. MS 07/10/96 MRS s no test on water MSTA722 Plumb Top Out 07/11/96 / / 07/11/96 PASS Ned 07/25/96 ST2 MSTA123 Electrical Service / / / / 07/26/96 PASS MJR 07/26/96 MJR MSTA725 Framing Insp 08/15/96 / / 08/15/96 mech incomplete- 8-12 report FAIL RS 08/15/96 RR shear req'd to be approved. i MSTA725 Framing Insp / / / / 09/06/96 M 1- nail tji hangers at garage DIS KS 09/09/96 KSr #-2- provide full bearing post supporting r000f load adjacent to stair la*ling M-3- additional nailing needed at stair landing to studs N-4- provide double hanger at double tji 0-5 support hips, valleys, and ridge, double 2/4 struts ! greater then six ft in length { MSTA725 Framing Insp / / / / 09/09/96 APP KS 09/10/96 KBS MSTA726 She-ir Wall Insp 07/16/96 / / 07/16/96 no plans on site FAII. RS 08/05/96 R.B MSTA726 Shear Wall Insp 08/05/96 / / 08/05/96 no plane! FAIL RB 08/05/96 RB MSTA126 Shear Wall Insp 08/21/96 / / 08/21/96 nail splices; hd's missed! FAIL RB 08/22/96 RB j MSTA726 Shear Wall Insp / / / / 08/26/96 p-1 no plans on site DIS KS 08/27/96 KBS j MSTA726 Shear Wall Insp / / / / 09/05/96 M 1 nailing app at shear panels PART KS 09/06/96 KBS N-2 install washers at HD20 K holdowns also at HTP t Page No. 3 CASE HISTORY FOR CASE NO.: MST96-0113 WINDWOOD HOMES INC 13958 SW HILLSI'.I7E DR 03/12/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA726 Shear Wall Insp / / / / 04/05/96 #-1- nail T•1i joist hangers at garage DIS KS 09/06/96 KBS #-2- fill baring under post adjacent to entry k -e- additional nailing at stain landing #-4- 'drovide hangers at double jo.st k-5- support hips, valleys, ridgr ac shovn also double 20 struts if six ft length MSTA726 Shear Wall Insp / / / / 09/09/95 APP KS 09/10/96 KBS MSTA727 Low Voltage / / / / 08/12/96 complete log DIS MJR 08/13/96 MJR staple conductors MSTA727 Low Voltfge / / / / 09/16/96 PASS TLP 10/09/96 TLP MSTA735 Gas Line Insp 08/12/96 / / 08/12/96 PASS RB 08/12/96 RS MSTA735 Gas Line Insp / / / / 09/27/96 PASS RP 09/27/96 RB MSTA740 Irsulatior, Insp / ! / / / / 03/21/96 BT2 MSTA740 Insulation Iisp / / / / 09/11/96 pending remove insulation away from PASS RB 09/12/96 RB B-vent at garage; insulate vaulted spaces above LR/Fuver; Insulate arc window at upper stairs; firestop thru peneL•ratiuns; insulate hard to reach areae; low volt. failed] MSTA745 Gyp Board Insp / / / / 09/13/96 APP KS 09/13!96 KBS MSTA755 Rain drain Insp / / / / 04/30/96 PASS MS 05/01/96 MRs MSTA760 Water Line I p / / / / 04/30/96 PASS ME 05/01/96 MRS MSTA765 Appr/9dwlk Insp / / / / 02/26/97 Final. PASS PI 02/26/97 KAS MSTA790 Electrical Final / / / / 10/31/96 outside fixtures not tight to wall PASS MJR 11/01/96 MJR Master bath fixture not listed for ceiling MSTA795 Mechanical Final / / / / 10/31/96 APP GS 11/01/96 GES MSTA797 Plumb Final / / / / 10/30/96 pouring concrete NR MS 10/31!96 MRS no address MSTA797 Plumb Final / / / / 10/31/96 no water to lav FAIL MS 11/01/96 MRS shut off valve not accessible MSTA797 Plumb Final / / / / 11/01/96 torr by me ok APF G8 13/01/96 GES MSTA799 Building Final / / / / 10/31/96 DIS GS 11/01/96 GES MSTA799 Building Final / / / / 11/01/96 APP GS 11/01/96 GES MSTA960 (F) Issue Cert. of Occupancy / / / / 11/01/96 03/12/99 JT MSTB708 Erosion Control / / / / / / 03/21/96 BT2 Page No. 4 CASE HISTORY FOR CASE NO.: MST96-0113 WINDWOOD HOMES INC 13958 SW HILLSHIRE DR 03/12/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By CITY OF TIGARD BUILDING INSPECTION DIVISION M C��A ,•,ll 24-Hour Irspection Line: 639-4175 Business Line: 639-4171 ST — BUP - _ Date Requested AM —PM BLD Location A3� // Suite MEC Contact Person _ Ph _S-�_[/ /�4� _ PLM i Contractor _ L Ph -7 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Acc --- Foundation NOT REQUESTED FPS Fig Drain FOUND DURING RESEARCH SGN Slab Crawl Drain InsF NO INSPECTION(S) FOUND IN FILE Post& Beam - SiT u— Ex Sheath/Shear Int .'heath/Shear Fram ng ---- — — - Drywall Nailing Firewall , Fire Sprinkler ,t Fire Alarm Susp'd Ceiling �GC.2 '`�31---- Roof Misc: - ----- ----— Final PASS FART FAIL ----- PLUMBING — Post&Beam --- ------_ _-_ -_ -- Under Slab Ton out - -- — Water Servir:e Sanitary Sewer - ---- ---- ------ --- Rain Drains Final ----_-- PASS PART FAIL. _- _.-- - 11L1A - —_ MECHANICAL Post&Beam — - ----- - -�� --- Rough In Gas Line —_ — — Smoke Dampers __- Final PA FAIL Rough In UG/Slab Low Voltaqe Fire Alarm -- - -----_—�--- --___— _` Final PASS PkRT FAIL. Backfill/Grading ----- Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RF: __ — [ j U cable to inspect no access ADA Approach/Sidewalk Other Date �2�__-_- Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CI1Y OF TIGARD MASTER PERMIT - PERMIT #. . . . . . . . MST96-01 .1. : DATE ISSUED: 03/26/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,(Dragon 07223.8199 (503)639-4171 PARCEL: 2S 104CC-03600 ITE ADDRESS. . . : 13958 SW FAILLSHIRE DR SUBDIVISION. . . . : H I LLSH I RE ESTATES NO. 2 ZONING: R-7 PC, BLOCK. . . . . . . . . .. . L-OT. . . . . . . . . . . . . . Remarks: PATH I ---------------------------------•---------------------------- BUILDING -----•------------•------------------------------------ REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUITED SETBACKS---- RE(UIRED-------- CLASS OF WORK.:NEW HEIGHT........: 32 FIRST....: 1406 sf GARAGE—-: 656 st LEFT..........: 14 SMOKE DETECTRS: v TYPE OF USE...:SF FLOOR LOAD..,.: 46 SECOND...: 996 sf FRONT.........: 20 PARKING SPACES: I TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 11 OCCUPANCY GRP.-.R3 BDRM: 3 BATH: 3 TOTAL.-----: 2404 sf 1ALJE..1: 166661 REAR..........: 60 -------------------------------------------- -------- PUUMdING -------------------------------------------------------------- SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: i LAUNDRY TFAYS.: i RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH hASINS..: 0 TUB/SHOWERS...: 4 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------------------•------------------------------- MECHANICAL ----------------------------------------------------- ... FUEL TYPES----------- FURN l 188K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 /GA5/ / / FURN ,=10%k .. : : UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: I MAX INP.: 8 BTU FLOOR FURNACES: 0 VENTS.........: 8 WOODSTOVES....: 0 GAS OUTLETS...: 1 -.-----—--------------—--------------------------------- --- ELECTRICAL -------------------------------------------------------------- —RESIDENTIAL UNIT--- --SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADO'L INSPECTIONS-- 1000 SF OR LESS: 1 8 - 200 amp..: 0 0 - 280 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5805F.: 5 201 - 400 amp..: 8 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 :;ION/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 8 481 - 600 amp..: 6 EA ADDL BR CIR: 0 FIGNAL/PANEL...: 0 IN PLANT......: 0 MAW HM/SVC/FDR: 0 681 - 1808 alp.: 0 601+a1ps-1080 v: 0 MINOR LABEL -10: 0 1088+ amp volt.: 0 ---------------------------------- PLAN REVIEW SECTION ------ ---------------------_ Reconnect only.: 8 )=4 RES UNITS..: SVC/FDR)-225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------—------------- A. SF RESIDENTIAL-------------------------- B. COMMERCIAL----------------------- -------------------------- --------------------- AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOMMAGING: OUTDOGR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER,.........: HVAC...,.......: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MLDICAL........: OTHR: :: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL M SYSTEr3: Owner: -----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 4084.96 WINDWOOD FLIES INC WINDWOOD HOMES 14076 SW BENCHVIEW TERR 14076 SW BENCHVIEW TERRACE TIGARD OR 97224 TIGARD OR 97224 Phone N: 590-4700 Phone 0: 590-47M Reg 0..: 058196 This nermit is issued subject to the regulations contained is: the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. Al; N- • M:l': be done in accordance with approved plans. This permit will expire if 4ork is not started within 160 days of issuance, or if work is suspended for more than 180 days. ---- --------------------------------------------------- REQUIRED INSPECTIONS ----- ------------ -------_..__...---------- ---- Footing Insp PLM/Underfloor L000 Voltage Gyp Board 1rsp Electrical Final Foundation Insp Mechanical Insp Fireplace Insp Rain drain Insp Mechanical Final _ Post/Beam Struct Plumb Top Out Gas Line Insp Water '.ine Insp Plumb Final PoStrDeam Mechan Electrical '�etvi Gas Fireplace Water Service In Building Final S ulathon nsp Appr/Sdwlk Insp t o1 awl Drain Framing n ns r- -- y P I er-mittee �> gnatliv;e4_ • __-.. _ Is stied Ley : � �ll for inspection -- 639-4 175 i SEWER CONNEC ION PERMIT CITY OF TieG—*4ARD PERMIT #. . . . . . . : SWR96—LAILIS COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/26/96 13125 SW Hall Blvd.Tignd,Oregon ,07223.8199 (503)939-4171 PARCEL: S104CC-03600 SITE ADDRESS. . . 1 13958 SW HILLSHIRF_ DR SUBDIVISION. . . . t HILLSHIRf_ESTATES NO. 2 ZONIN3: R--7 PD P-1_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 142 TENANT NAME. . . . . e USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remark s . PATH I ONner: -._---•-------.___._. _-___,___._.__.___._..______..__.__.- FEES --_ ._....__.__.____.__ WINDWOOD HOMES INC type amnl-Int by date r~er_pt 14076 SW BENCHVIEW TERR PRMT $ 2200. 00 FON 03/C-6/96 96-277442 INs.,P $ 35. 00 BON 03/`b/96 96-277442- 1' 1 CARD OR 97 :24 Phone #: 590--4700 Cant-actor.- CONTRACTOR ant-actor:CONTRACTOR NOT ON FILE 1 I .r n e #: $ 2235. 00 TOTAL --- ----- REQUIRED INSPECTIONS -- This Applicant agrees to comply with all the rules and regulations fewer Inspection of the Unified Sewage Agency. The permit expires 190 days from _ the date issued, The total amount paid will he forfeitbd if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is iot located at the measurement given, th; installer shall prospect ? feet in all directions from the distar-e y.,•-. 'f not so located, the installer shall purchase a "Tap and Side Sewer' Persit and the Agenc iaiDstall a lateral. rermittee/ Sig atl.ii eidw Call fat~ inspection 639 4175 TTZ �- F;e;:iden_tial Building Permit Application City of Tigard 13175 SW Hall Blvd. wa 96 Tigard, OR 97223 (503) 639-4171 Jobsite Address: 3 S �S�J �JrI) lit Nr t_- Subdivision: . / `Lot#1tI_ Office Use Only Valuation: Contact Date / ! Initials —_ Result New Construction Only: (Square Footage) /I Planck,'Rec # House: --�` O� Garage: �� 5 v' Permit # ill Reissue of _ Corner Lot? Y Flag Lot? Y 'n Map & TL # 7��t ;ice o Sc••�>r > "�' Zone f Owner: wrb 1 �fJn+��_d A ( Plat # Q!-(9 L �r ._ APprovals Required Address � l(,t Planning Setbacks ''` Solar Nt" •n »�',H - Engineering rcjC2 7 S ,Phone fir., T c1/r Other Contractor- Items Required AddressSubcontractors --_.- — - --- --- Truss Details Other Phone. ( ) Notes Contractcr's License (attachiopy of current Oregon license) Contact Name: Contact Phone Subcontractors: Architect/Engineer: L" Plumbing: _ \ ;'in 5 JV/ _— Address: N '641Y /yS'N Mechanical: _ "tom_ d''r _ (attach copy of current OR Contractors License) Inc t (` y Phone: JOB DESCRIPTION: Appka'nt Signature ) ` Applicant phone number Received by Date Received Permit S Account Oesc:iptlon Amount Amt, hi. Bal. Due —ell 3 Bldg. Penric (BUILD) Plumb. Permit (PLUMB) Mach. Permit (MECN) `W -- Bldg; 30-0 3 Plumb: Mach: `IL c � =� Plan Check (PLANCK) Z j L U Bldg: Plumb: Mech: Z z t� Sewer Connection (SWUSA) Iva Sewer Inspection (SWINSP) 3J Parks Dev Charge (PKSDC) Residential TIF MF-R) Mass Transit 'TIF (TIF-MT) Commercial TIF MF-C) Industrial TIF (TIF-I) Institutional TIF (TiF-IS) Office TIF (717-0) 'Nater Quality (ViQUAL) Water Quantity (WCUANT) Fire Life Safety ;FLS) Erosion Cntr1 Permit (ERPRMT) Erasion Planck/USA (ERPLAN) 4 cresicn Plan6JCO T (ER OSN) 2t S-z TOTALS: 6� 3 ► I-q � CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT* 13125 SW Hall fli,,ld., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PL.M96-0227 DATF ISSUED: 11/12/96 PARCEL-: 2SI04CC-03600 SITE ADDRESS. . . : 13958 SW HILLSHIRE DR SUBDIVISION. . . . : HIL_L.,Y1IRE: ESTATES NO. ZONING- rq--'7 PIT) BL-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 142 ---------------------------------- ---------------------------------------------------- CL.ASS OF WORK. . :OTR GARBAGE DISPOSAL.S. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . ., . . 0 TRAPS. . . . . . . . . . . . . . . 0 ";TORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . .. 0 FIXTURES L..AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0 L-AVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER Cl-OSETS. . 0, WATER L.I NE (ft ) . - - - 0 DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . - : QA Remarks : Installing residential backflow prevention device Owner: FEES WTNDWOOD HOMES INC type amolint by date V-ecpt t4076 SW SENCHVIEW TERR PRMI $ 15. 00 B I1/12/96 96-266334 SPILT $ 0. 75 B 1 t/1 ,1 2/96 9-6--1 '8633 1IGARD OR 97224 Phone #: 590--4700 (;ontr-ar_tov-: CEDAR LANDSCAPE 14375 SW PATRICIA AVE 1-111-LSBORO OR 97123 Phone #: 503--62B-3411 $ 15. 75 TOTAL.. Peg #. . : 5843 REDUTRED INSPECTIONS --- t'iis permit is issued subject to the regulations contained in the RrI/BaCPf1UW 'rev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordarre with approved plans. This permit will expire if work is not started within 180 days of issuarTe, or if work is susaerided for wore than 180 days. Per,mitt-e S' a t s.j v-e Cal 1 for inspection 639-4175 L CITY OF TIGARD Plumbing Application Recd By A 131,25 5VV HALL BLVD. Commercial and Residential Date RecdDate to P.E. TIGARD, OR 97223 Date to DST (503) 639-4171 Permit f'I.M ° L- 03-5? Print or Type Related SWR s Incomplete or illegible applications will not be accepted Called _ Name of Devlopment/prolectT z'�alt" 5,y4,4 'Fee"$'hBidATt:dHe¢s�HiOdUStE-buu,po'}ealx0eJob ;u3r'eaeAIrl tl►"e alr7;ci the l�rsui l Address Street Address Suiteoo i�sat ofr� TH'H01 00 � ' r Bldg s Crtyistatep QZip water service,sanitary sewer and storm sewer..Se,,feee'below i-. Name FIXTURE,, (individual) OTY PRICE AMTS i V✓/✓owe'Vel. '-le/cf t3 Sink — 900 Malin Address Suite ---� -� Owner 9 Lavatory 9.00 'tl Tub or Tub/Shower Comb 9.00 City/Slate Zip Phone _ Shower Onlv —�Y— — 900 —� Name Water C'jset 9.00 Dishwater 900 Occupant Melling Address Suite Garbage Disposal 900 _ — Washing Machine 900 City/Slate Zip Phone Floor Drain 2 — 900 3 Name 9-00 � / 6�o'4R 1-'gNdSr'xe 14k _ _ 4" 9.00 Contractor Madiny Address Suite Water Heater 9.00 }(.t,'AlfAk"c>.e �7f'~ Laundry Room Tray 900 CityiState Zip Phone --- - Urinal 900 J Oregon Const.Cont.Board Lic.0 Exp.Date Other Fixtures(Specify) 900 Attach Copy of Sb'g3 �, 77 _ goo —� Current Plumbing Lic, Exp.Date — i 9.00 License /„"7 3,75 'g Sewer- 1st 100” -- 900 COT Business Tax or Metro a Exp, Date Sewer_each additional 100' 30.00 Name Water Service-1 st 100'+ 2500 Water Service-each ad6itionai 200' 30.00 Architect Mailing Address Swte Storm&Rain Drain-1st 100' 2500 or Storm d Rain Drain-each additional 100' 30.00 Engineer Oity/State Zip Phone Mobile Home Space — 2500 Commercial Back Flow Prevention Device or Anti- 25.00 Oescnbe work New C Addition O Alteration O Repair O Pollution Device to be done Residential O Non-residential O Residential Backflow Prevention Device' 15.00 Additional description of work Any Trap or Waste Not Connected to a Fixture 9.00 Catch Basin 900 —.l Insp.of Existing Plumbing 40 00 - ---- —.� _ per hi Existing use of Specially Requested Inspections 4000 building or property—_,_` _ per hr Proposed use of Rain Drain,single family dwelling 3000 budding or property___._____ Grease Traps 9.00 I Are you capping any fixtures? Yes C^_No p QUANTITY TOTAL 4A:gs' `I - .'. ..:... I hereby acknowledge that I have read this application,that the information Isometric or nser diagram is required if Quanrty Tolal,s >9— 'SUBTOTAL - - -��• given is correct.that I am the owner or authonzed agent of the owner,and � ." that plans sunmitterl are in compliance wdh Oregon State Laws -- -- 5% SURCHARGE Slgr Ature of Owner/Agent �— — Date ( •GLS C �,J,V� % , 1. ` PLAN REVIEW 25% OF SUBTOTAL r. ; Requited only A fixtu.a qty total�s>9 Contact Person Nam Phone — TOTAL — - 'Min,hnum permit tai is$25,5%surcharge,except Residential Backflow i\dsts\plmapp doc Prevention Device,which,s S15 �5%surcharge } CITY OF TIGARD DEVELOPMENT SERVICES EL.ECTRT.L`A(_ PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT fl : ELC96-0121 DATE ISSUED: 11/12/96 PARCEL: 2S 104CC-0::x600 ;1 !"E ODDRESS. . . : 1 '3958 SW H I L.I__SH I RE DR SURD I V I S I ON. . . . : H I l_.LSH I RE ESTATES NO. Z ON I NG:R-7 PD BLOCK. . . . . . . . . . I_.()T. . . . . . . . . „ . . . : 142 r'r^oject Description: Installing residential irrigation circle ......_.-__-.__._--..__..._.._.__ --RESTDENTTAL UNIT----- ----TEMP SRVC/FEEDERS---- -MTSCELLANE:C:II]5--- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 1 FACH ADD' L. 50QISF. . . : 0 x'01 400 am SIGN/OUT LINE LTG. . : 0 L.IMITFD ENERGY. . . . . : 0 401 - 6;00 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR I.-ABEL ( 10) . . . : 0 -.._--_SERV]CT_/FELDER---- .---- BRPNCH CIRCUITS------- ---ADT)' L INSPECTIONS-_ - 0 — ;x'00 'zimp. - • . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 4.00 :imp. . . . . . : 0 1st W/0 SRVC OR FDR. : 17! PER HOUR. . . . , . . . . . . • 0 401 - 600 amp. . . . . . : 0 EA ADD' L RRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 0 V'OI 100k' amp. . . . . : 0 _..___..___ _._____-_...._...__.._C:'(.A14 REV IF.-W SECT ION- __-_____._..__._._..__._ _-- 1r100+ amp/volt. . . . . : 0 ) r4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect on],y. . . . . : 0 SVC/FDR > = ;_25 AMPS. . : CLASS AREA/SPEC OCC. : 0wner- . ___.___._________.______._______...–____.__._.._.__._ FEES WINDWOOD HOMES INC type amoi_int by date— _ 'recpt ' 14076 SW BENCHVIEW TERR PRMT ! 40. 00 B 1. 1 /12/96 96-1286?.34 ! IGARD OR 97c't'4 SPCT 00 B 11112196 96- 286,-34 Phone #: 590--4700 Contractor: ,EDAR LANDSCAPE: $ 42. 00 TOTAL_. 14:75 SW PATRICIA REOU 1 RED T NSPECT I ONS HILLSB(-)RO OR 97123 Undergrol_incl Cove Elect' 1 f=inal Phone #. 503- 628--3411 Elegy t' 1 Service Reg #. . . 15'8413 This pereit is issued subject to the regulations contained in the - Tigard Wunicip,l Code, State of Ore. Specialty Codes and all other- F'erm i.t t ee Si.gnntt!r^e applicable laws. All work will be done in accordan•e with approved plans. This pereit will expire if world is not started within 18N days of issuance, or it nark is suspended for Bore than lot 6.iys. Issued Ry ----_----_— ___.._.__..._--------- INSTALLATION The installation is being made on property I own which is not intended for s.'Rle, lease, or rent. OWNFRIS SIGNATURE: _ DATE- INSTALLATION ATE:INSTALLAT]ON ONLY_.___--.-•----___ SIGNATURE' OF SUPR. EI_EC:' N: DATF- L I CFNSE. NP: Call for inspection -- 639-4175 CITY OF TIGARD Electrical Permit Application Recd Check t t �} 13125 SW BALL BLVD. Date RecdI r TIGARD OR 97223 -!1. Date to P.E. Phone (503)639-4171 x304 Date to DST Inspection (503) 639-4175 Print o�Type Permit 11 r LC ��-! Fax (503) 684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Compleie Fee Schedule Below: Name of Development��/�Sl�� s�i�yCS Number of Inspections per permit allowed Name(or name of business) (Vd 0"'(,)aa Service Included: Items Cost Sum Address ./J!�j r!v /��'�''hr �'Cry 4a. Residential-per unit _ 1000 sq.11.or less $110.00 4 City./State/Zip '/�//�Ie�) LSC', _ Each additional 500 sq ft.or ❑ portion thereof _ $25.00 1 Commercial ❑ Residential Limited Energy � $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder ^_ $68.00 2 (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractoi C`C D%,49 4.13A'JSCV!r!L Installation,alteration,or relocation Address SL��fiTr.�'iciR iw� 200 amps or less $60.00 2 201 amps lo 400 amps $80.00 2 City` �� tate e" _Zip 401 amps l0 600 amps $120!X) _ 2 Phone No._r :. -J 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts $340.00 2 Job No, Elec.Cont Lice. No. Exp.Date_ Reconnect only $50.00 2 OR State 17-C6 Reg. No._1"842 Exp.Date-_. y 7 4c Temporary Services or Feeders COT Business Tax or Metro No. `-Exp.Date Installation,alteration,or rAcuation 200 amps or loss $5000 2 Signature of Supr. Elec'n-^ �c�^e '`"� - 201 amps to 400 amps - $75.00 401 amps to 600 amps $1!10.00 2 Over 600 amps to 1000 volts, License No.., -�a j�'S Exp.Date '�� M see"b"above. Phone No. r�.-'�' �9// 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or Print Owner's Name_____ _ feeder tee. Address �_ Each branch circuit $5.00 2 h)The fee for branch circuits City__ _ State _ Zip without purchase of Phone No. _ service or feeder tee. First branch circuit $35.00 2 The installation is being made on property I own which is not I ach additional branch circuit $5.00 _ 2 intended for sale, lease or rent. 4e.Miscellanpous (Service or feeder not included) ,q O Owner's Signature_ Each pump or irrigation circle $40_1_ 00 2 Each sign or outline fighting $40.00 2 3. Plan Review section (if required):* Signal clrcult(s)or a limited energy panel,alteration or extension $40.00 '.livor Lab,d!S(10) $100.00 Please check appropriate Item and enter fee In section 5B. 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $3500 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E C.Chapter 5 In Plant $55.00 _- "Submit 2 sets of plans with application where any of the above apply. b. Fees: 10 e e Not required for temporary construction services. 5a.Enter total of above fees $ - 5 Surcharge(05 X total tees) $ NOTICE Subtotal $ ~^ 5b.Enter 250.of)ine 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUT11ORIZcD IS Plan Review it reouired(Sec 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ iS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY cx TIME AFTER WORK IS COMMENCED ❑ Trust ACCOUnt#_ S •� 1 Total balance Due I WSTMELC96.APP nm ME