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13401 SW MOUNTAIN RIDGE CT
C11Y
OF T
�� MASTER PERMIT
99 PERMIT M. . . . . . . : MST94-0272
COMMUNITY DEVELOPMENT D AR DATE I SSUED a dL t115/94
I 13125 5W H&N blvd.Tlpud,Orogan 97223.4199 (SM)639-4171PARCEL s 2S I09AB-03200
SIl-E ADDRESS. . . : 13401 SW MOUNTAIN RIDGE CT
SUBDIVISION. . . . : THREE MOUNTAIN ESTATES ZONINGS R-7
BLOCI;. . . . . . , ,, . . . LOT. . . . . . . . . . . . . :25
----------------
BJIL1)ING ------------------------------------
_____
REISSUE: 6j]U DWELLING UNITS: 1 BASEMENT. . . . . . . . 1Osf
CLASS OF WORK. 04W BEDRMS: 1 BATHSs0 GARAGE. . . . . . . . . . s0 sf
TYPE OF USE. . . s SF FLOOR AREAS,----------- REQUIRED SETBACKS------------
TYPE OF CONST. :5N FIriST. . . . :256 sf LEF'r. . s0 ft RIGHT. rO ft
OCCUPANCY GRP. :R3 G:;.COND. . . s 0 sf FRONT. s M ft REAR. . s 0 ft
STORIES. . . . . . . ..2 THIRD. . . . 10 sf REQUIRED-------•-----------•--
HEIGHT. . . . . . . . : 0 ft TOTAL------- s256 sf SMOKE DETECTORS. sY
FLOOR LOAD. . . . :40 psf VALUE. . . . . $s 6800 PARKING SPACES. . sl
Remarks : INSTALLING FLOOR ABOVE FAMILY ROOM
__-- -- -----------____ ___-___ PLUMBING -------------___--__---- ------------
SINKS. . . . . . . . . . s0 FLOOR DRAINS. . . . s0 BACKFLOW PREVNTRS. . 10
LAVATORIES. . . . . :0 WATER HEATERS. . . III TRAPS. . . . . . . . . . . . . . s0
'IJB/SHOWERS. . . . sO LAUNDRY TRAYS. -0 CATCH BASINS. . . . . . . 10
WAl•r--R CLOSETS. . :O SEWER LINE (f. i GREASE TRAPS. . . . . . . sO
D ISI-'WASHERS. . . . :0 WATER LINE (ft ) 0 OTHER FIXTURES. . . . . 90
GARBAGE DISP. . . :0 RAIN DrRAIN (ft sO
WASH?NG MACH. . . :V SF RAIN DRAINS . :0
----- ----------- MECHANICAL ------------------------------------- FEES
FUEL TYPES---------•--- UNIT HTRS. . s0 type amount by date recpt
VENTS . . . . . :0 BPRT $ 62. 50 JG 07/15/14 -
MAX INPUT:(A BTU VENT FANS. . sO BPLC f 40. 63 JFT 07/12/94 94-254381
FURN ( 100K . . s N HOODS. . . . . . 05 BSPC $ 3. 13 JG 07/15/94 -
FURN >-10OK . . I@ WOODSTOVES. s0 MPRT $ 25. 00 JG 07/15/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : A MSPC • 1. 25 JG 07/15/94 -
BOIL/CMP ( 3HP:O OTHER UNITSsO
GAS OUTLF_TSsO
Owner:
FRED HOLLMAN
13401 SW MTN RIDGE CT
TIGARD OR 97224
Phone #: 590-3212
Contractor: ---- -- ��"✓ "
IGRIMSON COMPANY �NC �-
9970 SW SERENA WAY
IL TIGARD OR 9722224
� Phone 0: 503-620-3678
NReg #. . . 48974 ----------------------------- --------------
___f132. 51 TOTAL
This permit is issued subject to the regulations contained in the __- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in mcco-dance with approved Framing Insp
plans. This permit will expire if work is not started within IN Insulation Insp
days of issuance, or if work is suspended for more than IN days. Gyp Beard Insp
Mechanical Final _
Pet-mittee Sigrlatu e�: Building Final
1 �s�ied By . �—
Call for inspection - 63S-4175
-v5 dvr Nad Buil _ftrmd
-�-� AR��at�on
City of Tigard
13125 SW Hall Blvd. 4
Tigard, OR 91223
(543) 639-4171
Jobsite,Address:
Subdivision: Lot X
valuation: � '? --�-- PianQk/Rec if tr
Corner Lot? Y N
Permit
>z
Flag Lot? Y N Reisque,of
Map & TL
t s;
Owner:
Address: Planning
--- EngineeringA1�'r`..- ,'ES!7_1* r'
Phone: `J `(V �Z 1-7 ►+ ¢4
-- Other
Contractor: � j21M /
��''�F' �-- C- Rt+AtiM,1aoa4IrAG3
Address: 9 ?u 5 w Q fid Subcontractors
¢Y >
i'russDefia3ts
Phone: Z U-?fo-1ZZ Z j(f-4 Other
Contractor's License #_ 71
(attach copy of cumsnt Oregon license)
Contact Name & Phone: PA-WL
IZ Subcontractors: ArchitectlEnylneer:, AYWA 70 /k' fA
Plumbing: _0/6 Addrew.: zo
�(•3 2 S �3 aa►x --S Fyc
Mechanical &A-t C-o (�! h-- r�5 cyrz
_ (attach copy of current OR Contractor's Lkaensa) ci d 3
M Phone: 6,416
a
JOB DESCRIPTION: Wez-5#"(1 it 0 4-[.- 60J��IZ--
Applicant
Signature & Phone humber
Received by: Date Received: ,_
N:IWORMCOMDEdIREAAPP
Permit 0 Acewunt Description Annunt / AsW..W Pd. Sal. Duo
1< o 2 Bldg. Permft (BUILD) �a1•s"D✓ v�
Plumb. Permit (PLUMB)
Mech. Permit (MECH) • ~ J �_ J,h✓ ,
State Tax (TAX) _�/-,,r J
Bk1g: 3
Plumb:
Mach: _ / J
Ian Check (PLANCK) 0•G - ..�-•
Idg: 410-43 /
PI b:
Mach.
Sewer Con n (SWUSA)
Sewer Ins (SWINSP
Parks Dev Charge (PKSDC) _
Storm Drainage Chg DSDC)
Residential TIF (TI ) _
Mass Transit TIF MF-M _
Commercial TIF MF-C)
Industrial TIF (TIF-1)
Institutional TIF ( -IS)
Office TIF (TIF-0)
C Water Quality eNQUAL)
3 Water Quan (IAIQUANT)
Fire DIa� (FIRE)
a Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �i•G
J
Community DnNreiopment ELECTRICAL PERMIT APPLICATION
' 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. 1t 9s• ,a6Wji
Permit # £L__j&C-p 2,SZ
Phone (503) 639-4171 Date Issued 8- 31-9s`
FAX (503) 684-7297 Issuedby cA..,/,, faL..e.,t1l�
CITY OF TIGARD TDD No. (503) 684-2772 Y
!,,,,W,.tion (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of InepsoNone par permit snowed
Address 13 4 O I SW M O U N T A I N RIDGE CT service included: Items Cost(ee) Sum
City/State/Zipj 19 A R D O R 9 7 2 2 4 Is. p«Wantiw-per unit
1000 eq.N or kw $1,10.00
Name (or name of business)_ H 0 L C 0 M B Eachbrrl p fl or
gonion Mre�eoll $26 00
1
r
Commercial❑ Hesidential( united EnefW 02600
Each Msnol'd a km w or Modular 2
Dwe"service or feeder $es no
2a. Contractor Installation only: Ib.Services or Fesder'n
Inslellall.on,altereebn,or reboolbn 2
Electi'cal Contractor R E D r S E L E C T RIC-C 0. , I N C. 200 amps or Was $Woo 2
Address-29-U-$L C L x N T o N 201 amps to u10 amps 1180 00 2
Ci State ZI 101 amps to 800 amps $I z"00 2
ry-PORT, p 801 amps to 1000 amps $160 X10 2
Phone No. Over 1000 4mne o•Vons $810.69 2
Contractor's License No. 26- 152 C Recon ed only --- 86000
Contractor's Hoard Reg. No. 4 4 r 1c.Temporary Servioss or Fsednrs
(rula6dbn,alleralbn,or rebcalbn 2
Signature of Supr. Elec' 200 amps or Was $60.00 2
License No. 2059 �_ Frhon 0. 201 amp.to 100 amps -- $75 00 2
101 amps to 800 amps $10000
Over 800 amps M 1000 volls --
2b. For owner Installations: ase V edww
Id.Brenc.h Circuits
Print Owner's Name Now,ellorelion or extension per panel
Address a)The fee for twim h dmuNs Wth
City State Zip purchase of sotoke or bade'be. 2
Phone No.
Each brei�h orwt $600
b)The fes for!ranch airwits wftft K
The installation is being made on property I own which is pwd»N of swrfa.or boarr be e4' 2
not intended for sale, lease or rent. Fiat brom.h drove $as oo
Fmh additional branch firms $600
Owner's Signature 4e.Miscellaneous
(Service or leerier not incktded) 2
3. Plan Review section Of required): Each pump or Mipolon drds woo 2
Each sips or outline lifting _ $/000
Signal elmut(e)or a limbed energy 2
Please check appropriate Item and enter fes In eactlon 58. panel,aftrdbn or extension $1000
4 or more residential units in one structure Minor Labels(10) $10000
IL a Service and feedw 225 amps or more
System over f00 calla nominal V.Each additional inspection over
� Classified area or structure containing special occupancy the allowable In any of the above
as described in N.F.0 Chapter 5 Per Inspection 11%00
Per fiver � $66.00
In PIeM f66.00
Submit 2 seta of plans with application where any of the above
apply. Not required for temporary construction mrvloBa. S. Fees:
NJ NOTICE 5a. Enter total of above fseu =
.�
J 5%st.Irch.rge(.05 X rota)fees) _
PERMITS BECOME VOID IF wonK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A fnr
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required(.%c.3) t
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account 1 $
Belenm Dw T
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT 0: MEC93-00154
13125 SW Hail Blvd.,Tigard,OR 97223 503439-4171 DATE ISSUED: 717/1993
PARCEL: 2S 109AB-03200
SITE ADDRESS: 13401 SW MOUNTAIN RIDGE CT ZONING: R-7
SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 025 JURISDICTION: TIG
Project Description:
CLASS OF WORK: ADD FLOOR FURN: 0 EVAP COOLERS: 0
TYPE OF USE: SF UNIT HEATERS: 0 VENT FANS: 0
OCCUPANCY GRP: R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES: 3 SOILERS/COMPRESSORS HOODS: 0
FUEL. TYPES _ 0 - 3 HP: 1 DOMES.INCIN: 0
/EL 3 - 15 HP: 0 COMML.INCIN: 0
MAX INPUT: 0 BTU 15-30 HP: 0 REPAIR UNITS: 0
FIRE DAMPERS?: 30-50 HP: 0 WOODSTOVES: 0
GAS PRESSURE: 50+ HP: 0 CLO DRYERS: 0
FURN < 100K BTU: 0 AIR HANDLING UNITS OTHER UNITS: 0
FURN>®100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS: 1
> 10000 cfm: 0
Owner: FEES
Description Date Amount
(C)PERMIT FEC 5/27/1991 $25.00
(C)5%STATE SURCHF 5/27/1997 $1.25
Phone:
Total $26.25
Contractor:
REQUIRED ITEMS AND REPORTS
Phone:
Reg 0:
ad
F
This permit is issued subject to the regulations contained in the Tigard Municipal Code,State of Ore. Specialty Codes and
all other applicable laves. All work will be done in accordance with approved plans. This permit will expire if work Is not
started within 180 drys of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010
through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503-248-8699
or 1-800-332-2344.
Issued By: i Permittee Signature:
Call 503-639.1175 by 7:00 a.m.for Inspections that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
vli�E;Hf4NILiaL
CITY OF TIGARD ��:fY�l
COMMUNITY DEVELOPMENT DEPARTMENT . . . . . . . M 9 3—0 1 s-'j 4
1312i$W HaN Blvd.Tigwd,OHMM 9722308IN (503)604171
U.I F L IL)'LIUL D.
0 A 1 N R I DUE 6T, PARCEL:
,,! 'C POURES6. . 13401 "'W MOUNT
I V f s;[IN. 11INLU. MuUNI'6il1\1 EUTAFE!3317LUNIN(it it--/. . . . . . LUT. . . . . . * . ale 5
f-L-UDR FURN. . . . I EVAP rnJLERS%
r 17 L L.J.'4tf IALATER'3. VENT FANS,
-Lj� i✓ NCY URP. I R i VFN19 W/O APPLI VENT SYSTLINIS
LB,, L1'-H.S-'U0MPRL'GsCf1q'S HOODS. .
7UEL TYPL- HP. . . . DUMEb. INGIN.
comml— Ircir4t
,Ax iNPUT. 10 U 15--30 HP. . . . v REPAIR UNITS&
JAL DIAM1!ERI.;*.1.
WOCID'.)10 V L 5.
,IAS P'RESSURE 50+ HP. CLO DRYERS.
P'IIJ. U[ L,)1'4! Tr, CR UNT
AIR H4NULINU ur4l T!� 0 1)1 1 7 S
VURN ( 100K BTW- l= 10000 (zf m a GAS OUTLETS*
f-WIN 1 -10011 t4TU- J.I1I001ii cfm -
i4emarks :
4"
'EL
t YpLe
1 ;LF401 SW 14C,,-1N1"jN RIDUE LJ PRMI C:s. 00 JH 07/0,7/93
TTLHI�D Or,,'
J I'Ac 1.010 3
JACOBS HF-Il : 1,,eCl
BLV I)
4j
441
TONS
------ RIWU I RL D I N; 1''E T*
0j#�o to tht rqu',st,,un, rontainec� in the Finol
SW4 of Ore. Specialty ;:odes ane all other
ie work will bt Bone in mccordance imith
Hill expirt if work IS not 41.art
11A iSi'41)LO, Or If *01* it id4PVU6 fill 40"
.............
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city or Tigard faii+dim4 Depart+asmt
1312S w fall glad. Tigard. Oregm 97;223
Inspection Line ( -O-Whom 639-417S Business Phonse 6"-4171
Inspectione �.
rooting Plbq. Underslab Meeh. Rough-in Appr/Sdw1R
Pound. Plbq. Top Out Gas Line IIp1Le
i
Post/90am struct. San. Sewer framing
i
Post/Nae Mich. Rain Drain Insulation "' r1ad1.
Plbq. Underfloor Mater Line Grp. ed. aleah.
Date Roquwsttedo_ " 1 M
Addrese s 1 :5LiQ 11 .,,^EA-t- 041 a Permit f e l`� 61 J V-02 7Z"
Builders 1���.Vl \ �j toap
TM POLLOMIMG CORRRCTIOMS ARR RRQUIRRD2 f.
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Inspectors Detail b -5
PROVRD DISAPPROVRD APPROVRD SU9JRCT To ham
`` call Por mimp.