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CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 633(a-A-171
InspS,tion: 4 "/
Footing Susp, Ceiling Sprink. Gough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam S ruct. Plbg. Top Out Elec. Rough-in
Post/Beam M;ch. San. Sewer Gas Line
Plbg. Underfloor Rair, Dr„ur Framing
Alarm Water Line Insulation I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:—.)- , ) 115 1,, /Timc: AM PM
Address: '// ��D J �) V ��e'po Y V(l- /
Builder:- --+G-� 24ei - 9(J) Permit #: t 4-oyly
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecto Date: -� —
_ PPROVED _DISAPPROVED ,APPROVED SUBJECT TO ABOVE
_Call For Re lsp.
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DEPARTMENT OF LAND USE&TRANSPORTATION �
WASHIWASHINGTON LAND DEVELOPi4iENT SERVICES DIVISION
NGTON�/ 155 NORTH FIRST,HILLSBORO,OR 97124
�� COUN f i INSPECTION REGUEM: 603/W-3581/893-4415
,,-,XXXXX--> uflll 34 / ";
OREGON Page : i Of 1
Date t 01/24/95
Time 09 : 15
Permit 'Type Residential L;lectrical Permit Permit # s 05062544
Permit Status APPRUVEU Applied 01/10/95
Situs Address s 10305 SW SERENA WA '1'1 issued 01/11/95
Permit 'Title : SFR - ELEC/HRANCH C:iRCT Completed :
Permit Uescr. : 110 Expire 07/10/95
Project 'Title SF'k - ELEC/BRANCH C.lRCT Project # P0046715
Project Uescr. * EROSIUN
Parcel Number Lalsd Use Di:3trict :
Valuation t►
i,(-qal Uescr .
Owner Construction O'TH
Applicant Name WILLAMETT'I E ELEC'.t'81l_, iNC. Classification 9U0
Avpl-L:-ant Addy . : Po HUX l .tuh4 / Occupancy k3
'1'1GARD, OR 9'/L81 Validated by LG h
Applicant Phone: bl4-"ibJl lx.spector Area :
Fee description llrltt,s Fee/Unit Ext fee Data
13t Branch W/out Feeder ( Enter # ] 1 35 . 00 35 . 00
Subtotal Electrical Fee'o : 35 . 00
State Surcharge of 51; 1 . 15
,Total Electrical Fees : 36 . 75
*** Fees Required *** ** Fees Collected & Credits rr**
Method Check # Receipt No , Date Payment
CK 5898 01/10/95 3b , '15
CK 5898 C:K bHokf $ . 5 01/'.0 '95 - . 50
CASH U0 01� 1 './95 , 50
Fees : 36 . '/5 ,
Ad-justments : . 00 'Total (—edits : . 00
Total Fees : 36 . 75 'Total Payments : 36 . 75
Lia lance Oue : 0
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NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days_ Once construction has started,
the permit becomos null and void If construction Is interrupted for a parlod of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information m..y Invalidate this permit. All provlrione of applicable laws and or;nsncss governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction shoots. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the atructurt or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy Is revocable until lel Inspection regdlremsnts•rn satisfied P
approval Is given by'he:ullding Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit 1•.Issued
specifying that the ties or occupancy of tit building or structure Is provisional and revocable until the satisfaction of all Inspection rsqulms nonts.
i.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue, #350-12 APPLICATION
Hillsboro, Oregon 9712.4
Information: (503)640,3470 Fax.- (503) 6934412
Permit
Number j( t'?(U ���tI DatePLEASE PRINr
through.Please
complete alt sections,7 , Complete Fee Schedule below f
1. Location of Installation __ Numbo,A inspections per permit allowed
Address S i a C9_1� W Service included: Items Cost(ea.) Sum .
Buildingg A. Residential- per unit
City Suite No.
1000 gq r,.or leas ---- $110.00 -. 4
Tenant Namo Each additional 500 sq ft
(if commercial) _ or portion thereof $25.00 -
l_im sd Energy __. $25.00 1
Map No. -Tax Lot -- Each Manuf'd Home or Modular
Dwelling Service or Feeder ^- $68.00 2
Thomas Map Book: Page: - Section:. _-_-
Directions _ B. Services or Feeders
Installation,alterations or relocation
200 am s or less --_ $60.00 2
Commercial cial U Residential 201 amps to 400 amps $80.00 _ 2
j 401 amps to 600 amps $120.00 -. 2
601 amps to 1000 amps --- $180.00 2
2a. Contractor installation only: Over 1000 amps or volts $340.00 2
Electrical Contractor " _
�,r. li A a,r+It _LLr-�- r c �'L� Reconnect only $50.00 - 2
Address �� ,,� 2 ?u s 4 7
Date I -A S Y:_ Job Number _ _. C. Temporary Services or Feeders
Property Owner _ ___,- Installation,alteration or relocation
200 amps or less $50.00 __ 2
Contractor's License No. -;?q-?�7,�G ------. 201 amps to 40o amps _ $75.00 2
Contractor's Board Reg. No. STS, - 401 amps to 600 amps $100.00 2
Signature of Supr. Eli Over 600 amps to 1000 volts see'B'above 1
'n r1z.�
License No./Cit, S S Phone No. LY D. Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with i
purchase or service or feeder les.
Print Owner's Name Phone No. - E ..:h branch circuit $5.00 --- 2 i
b) Che fee for branch circuits without
Address - - - - purchase of service or feederf ee. _
First branch circuit 7,L 't35.00 3 5 2
i�- State i Each add'nl branch circuit $5.00 _ 2
E. Miscellaneous (Service or Feed?r not included)
The installation i., being made on property, I own Each pump or Irrigation circle $40.00 - 2
which is riot intended for sale, lease or rent. Each sign or outline lighting $60.00 - 2
Signal circuit(s)or a limited
Owner's Signature ._.� _ energy panel,alteration
or extension $40.00 2
F. Each additional Inspection over the allowable
in any of the rbot-a
3. Plan Review section (if required) Per inspection $35.00
Please check appropriate hem and enter fee In section 5B. Per hour $55.00 -�
In Plant $55.00
4 or more residential units in one structure
_Service and feeder, 800 amps or more 5. Fees
-System over 600 volts nominal A. Enter total of above fees - 5 Lx.
_._Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E C. Chapter 5 Subtotal $ _
Submit 2 seta of plans with application where any of the B. Enter 25% of line A for
plan Review if required (Section 3) $ -
above apply. Not required for temporary coratruction $Subtotal
services.
Less 9tilk Label Fee $
Balance Due $ _,,�f,
�!
For inspections call C This permit becomes null and void it the work aulhorired by the permit to n6t commencer)
640-3561 or 693-4415 within 161 days from date of Issuance of such permit or ff the work aufhorited Is
suspended or abandoned at any time after work Is oomm,nosd for a period of 1 W days.
J 24-hour recorder, one vorking day in advance of need E'edrical Permits are non-refundable and non-transferable.
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON 155
DE!/ELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OPX-�CION INSPECTION REQUESTS (24 hours): 503/640-3561 or 69.3-4415
Permit. # 05062644 Project # . P004671�i Statin APPROVED Pagp 1 cif 1
Applied 01/10/95 Issued 01/11/95 Expires 07/10/0' 01 /13/95 05 . 31
RESELEC
Permit Title SFR .. ELEC/BRANCH CIRCT OTH
Description B?gun : 01 /10/99
Joh Address 10305 SW SERENA WA TI
Cwner Name Reaginn
Applicant Name WILLAMETTTE ELECTPiC, INC
Phone number 624-3631 Valoation . 0 Approve3
Inspector Comments . R e j e c t e 3,_,-_____,.,_
17R-RESUL i E I'
ji{
REQUEST FRROR !
i
Plumbing
Mechanical
Electrical :
Structrual
(lent- al
Inapecte! 1 Y _ T. Dat.e _
Inspecti:)n Requested
Covpr rv-, � '' B AI' DN IVR M J F
01/ 11 %95 RI PH
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F10JE..T NO. -
WASHINGTON COUNTY INSPECTION CARD
• DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO.
FOR INSPECTIONS CALL: b40-3561, 24 HOURS
FOR INFORMATION CALL: 640-3470 DATE `
ADDRESS _ 1 J (D-S I PERMITEE
DIRECTIONS _ PHONE NO.-
j
BUILDING MISCFLLANEOUS PLUMBING ELECTRICAL I
ftg po%t/beam nail mobile home ground ra;n drain service
fdn frame apron/ wood stove post/beam storm sewer COv! 6 service
sidewalk
slab in,,ul NVAI top-out FINAL FINAL
FINAL
gas test sewer USA No.
OTHER �
i
APPROVED L..._J NOT APPROVED RI:OUESTED INSPECTION ��STOP WORK UNTIL:
LJ
REPAIR AND RE-1NSPLt I APPROVED HOWEVER NOTE:
i
INSPECTED BY / \ DATE 1J
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CITY OF T1%:7P%RD0%, r
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.TlgarC,Oregon 97223.6199 (503)639.4171 MASTER PERMIT
PERMIT #. . MST94 0424
639-4171 DATE ISSUED; 11/18/94
PARCEL : OS1. 14BB-01600
SITE ADDRESS- 1 10:305 SW SERNNA WAY
iUBDiVISION. . . . : PICKS LLANDING NU. 1 ZONING: R--4. `; 1a
I�LOC;K. . . . . . . . . .
-_LO1.. . . . . . . . . . . . . :3n
BUILDING
REISSUE: DWELLING UNIT S: 1 BASEMEN-f. . . . . . . . :0 sf
+i
LL"SS OF WORK. a f;llD PE.DRMS;0 RATH5:0 GARFIGE. . . . . . . . . . :0 s f
TYPE OF USE. . . -SF FLOOR AREAS---_...____._.- REQUIRED SETBACKS-•----__.__..-_
I'YPE OF CONST. :5N FIRST. . . . : 114 sf LEFT". . : 15 ft RIGHT. : 10 ft
OCCUPANCY GRP. :R:3 SECOND. . . :0 5'f FRONT. :3 ft REAR. . .-0 ft
TURIELS. . . . . . . :a FINBSMENT:O s REQUIF2ED_.. ..___..__________._____.
Iah_IGHT. . , . . . . . :,30 ft TOTAL-------- : 114 s aMOKE DETECTORS. :
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 7371 PARKING SPACES. . :0
1<emar,ks : PATH I ADDITION OF 114 SCS F T
------------------------------------- F'LUMLAING ------._------_.---____-__._-_-___-,____
JINKS. . . . . . . . . . ..Q) FLOOR DRAING. . . . :0 BACKFLOW PRE:VNTRS. . :0
LAVATORIES. :0 WATER HEATERS. . . :0 TRAF-IS. . . . . . . . . . . . . . ..0
1'1.1B/SHOWERS. . . . .0 I...AUNDRY TRAYS. . . :0 CATG1-1 BASING). . . , . . . .0
WATER CLOSETS. . :0 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . :0
D ISHWASHLRG. . . . :0 WATER L TNE: (ft ) . :0 OTHER FIXTURES. . . . :0 !I
141ARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :0
WASHING MACH. . . :kj SF RAIN DRAINS. . : 1
---------------- MECHANICAL ____.__.______._____-----_.__-•- - FEEc
I UEL TYPES'-----•_.____.._._. UNIT HTRS. . :0 type amo!_lnt by oAte r-ecpt
VENTS . . . . . :0 EAPRT 11 68. 50 JG 111,18/94 - C
MAX INPUT:O BTU VENT FANS. . :0 5PL.0 $ 44. 53 . JF I I/Vr8/94 94-2 585.26
f-URN ( 100K . . :N HOODS. . . . . . :0 B5PC $ :3. 43 JG 11/18/94 --
=URN ) -100K . . :0 W0ODSTOVES. :0
FLOUR FURN. . . . :0 CLU DRYERS. : 0
BOIL/CMP ( :NAP-0 OTHER UNITS:O
GAS OUTLETS:O
Jwn er
UUUbLAS SHERON
1 10305 SW SERENA WAY
lIGARD OR 97224
V'hona t: .
Contractor: ---___---__----_----_-__.-.--_---
GLE.NN K?NG
R370 ^W fll_ESON RD
PUR 1"LAND OR 9'7i:r:3
Phone #: 2:46-9684
2='3343 __. _----• -------_.___. .________.__._.___._-_. ._ .
$ 116. 46 TOTAL
This permit is issued subject to the regulations contained in the - ----- RECr11IRED INSPECTIONS ---•-------
Tigard Mun.cipal Code, State of Ore, Cperialty Codes and all other Foot/for_lrld Insp FireplA(:e Insp
applicable laws. All work will be done in accordance with approved F'o s t/N e am St r cict Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mechan I n s r.:l at i on Insp
days of issuance, or if work is suspended for acre than 180 days. PIM/undsiab Insp Gyp Board Insp
P1...M/Uncle+•floor n rn RaidaiIr.p
4'ermittee Signat�►r,e: �/� Mechanir_,al InsT1 Water Lina Insp
F'l�.lmb Top Or_tt Appr/Sdwlk Insp
155 .red Eby : 1_ f=l'alfliny Insp Mer._hanic2al Final
al Or` fnsVreC : ton
�"
Residential Building Permit App \�a
City of Tigard
13125 SW Hall Blvd.
I Tigard, OR 97223
(503) 639--d171
Jobsite Address: 1030{'S'„ r�. W.4Z zY
Subdivision:_ -3 -7V Lot# /G Office Use Oril
Valuation: <' / Planck/R-,c
Carver Lot? Y N Permit #.
Reissue of
Flag Lot'? Y N
Map & TL# v�J
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Owner: �al1G' S.E L iti���/E��,/ Approvals Re ttijy d
Address: zoja-!S� S _ � ✓�1 kgif�z _ Planning
2L-- Engineering
Phone: — _ _--— Other
Gantractor G'L,�.✓.�/ 1 Items Required t
Address: D S W Qk r ew /?h
Subcontractors
-ZhY��— 0 2 9 2. 2 Truss Details ^�
:
Phone: �,z/� - 9G& __.
Other
Contractor's License # 233 !y ?
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Architect/Engineer:
Plumbing: — _ Address: _
Mechanical: _
(attw^h copy of current OR Contractor's License) _
Phone:
JO1 DESCRIPTION:
Applicarct Sig;7=-
Received b ' '
y —_ Date Received:
H.IWORMC DMDE"E SAPP
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TIGARO ORE604 471!214 = 33 � �'e' �� 38 04'! I
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14 x 28 - 392 � BA
6 x 17 102 16 MASIat BE BCgtCX)t9
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GARAGE:
LIVING ROOM 22'X2 5 a 550
10' 25' 2 x 12 - 24
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21' 27' gid,
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--------------------------
22'
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HHHEADER
HANGERS
• '�-
For fast,accurate installation of door and window headers and
' olher cross mernher del 109 Ht I heador hangers speed up the job HT`I;
' sIrengthen the fiarne,and etirninate the need for trimmers. `
° MATERIAL: 10 gauge
F1 FINISH:Galvanized
• _
'r+ INSTALLATION:•Use all specified fasteners. See General Mote;
CODE NUMBERS:BOCA,IC60,SBCCI No.NER•413. Dada
+ a County,FL No.89.0131.1.City of L.A.No.RR 22065.
.t-
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H114
M
ODEL H FASTENERS LLOWABLE LOADS-
4
JF3 100
STUD HEADER Fr F., F3
2',e 9 ttid 4-1F "
Typical HH _- x1 1205 `53 535
Load Direcllons -- — � -
1 Loads maybe increased ap to 25°:1or shorl•tlrm loadmq fn accordan
with Rre code.
• Crr+�pM loo?siki SInONr,lit COMPANY,INC 2.A 21h"minirnu,n lumber Ihickness is required to achlsi flit lull Ili
1
POST
1►C CAPS
Twin design permils easy Installation before,during or after post
and beam viectinn. Two models fit a variety of limber sizes.All corners
me r"neli for Will nppearance and functional stfenglh.
MATERIAL: 18 gauge
! FINISH:Galvanized
1 INSTALLATION:• Uso All specified fasteners.See General Notes.
I CODE NUMBERS:POCA,ICtiO,SDCCI No.NEn-421,Dade County, /allows for
FL No.89-0131.2.City of L.A.No.Rfi 22088. y ERA/� p: All Post VVwths
l�LAi' . 4x and Greater
MODEL DIMENSIONS FASTENEn3 __ ALLOWABLE LOADS ° ° 0
M,' I NO. — _ (133) rpoor
W L BEAM POST UPLIFT LATERAL ° • t
•AC t j 34,R e'2 12 16d 8.16d 1080 7154 DAN
Al'f" 0•16d 810 _- _ e • .
`' ' 16d 8.16 5` 6 ••
AC PR I
-1080 715
._.
t "owaMr bade hair Drrn incrrased 31 fur weal or earthquake loading with no rurlher • l
rnnrasr allr��ry) rNture for olhrl road durations accmiling to the rode. Typical AC Installation '}
' (r+ds apply only whin nerd in pans
_ r I`J II •
i AC
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ELEVATED
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EPBPOST BASES
e ,„e
° EPB44A is a sit'gle piece,
f�. non-welded elevated post base.
For Carports, clocks,porches--wherever moi,lure, sanitary,
t or other Conditions make It advisable to elevate wood posts.
MATERI
AL. EPB44A—14 gauge
All others-12 gauge base pl;jle, 1'An”OD x 8"pipe
FINISH: EPB44A—Galvanized;all others Simpson gray paint la
INSTALLATION:• Use all specified fasteners. See General rJotes.
c{ m Allows 1"to 2'/2"clearance above concrete;2"for EPB44A.
i Insert EPB into concrete after screeding.
') • Not recommended for non-Iop-supported installations
such as fences.
Epr44 a OPTIONS AVAILABLE:a 12"pipe is available for the EI'1344,
EPB46, and EPB66; Specify"-12"after the
model number.
r CODE NUMBERS: 130CA, ICBG, SBCCI No. NEn-393.
jz RF64R City of L.A. No. nR 2208.x;(except EPB44A).
IF XT c-1—slew
MODEL
L H NAILS E LOA
ALLOWAB
W L !)3 _
NO. UPLIFT Fr F2 60W j
EP844 _3Q/rg 31/4 25%ra' g•16d 1070 1 800-1800 34r,5
man
EPD66 5�/p 5 _3__ 12.16d 1610_ 80.0_ 800 3489
1. Loads may not be increased for sh '-term loading.