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7195 SW SHADY COURT-1 I' C%l ° of - 'Date may.` cougf— .)J i I S i�f-� }���1 N dor `7'�evo�- _��o► l i Q+ �3 - 7195 SW Shady Court 1 of 3 IF THIS NOTICE APPEARS CLEARER THAN THE DOCUMENT, THE DOCUMENT IS OF MARGINAL QUALITY. T 199 1VI I O � Ll� ED INCH f MADIE IM CHINK Z4 21 3v is to ��t i li I i i ii1 II i Iii! t ill Ilii si:'� Iiia!!l�li!!illIllilil�!!Ilii!ll�Iliis!l i�liilIlls'!{li!! !!!! !!!!IIlIIIlI!!i!I!l1lill�!!!l�IIII�!!;lil!Il11IlI1lIliiilil�lilf�llll�llii�ll!!li{.. 11111".11mil111lI!111 {illllll{�IIIlI1111�1III�IIlI�111�lI;; iil�llllll ,�II�l��!!!,lIIlil�ll�,l,,,Illl�lk,ll,I!!�l,,,,I,lIl,,,lIIIIl, � �!!1l�,. , 1 a r 4 + i+ t M t b• _ 1 i I _. - _.. .-. ______--_.-_ _•.��- '�,..�_ _ ...____.�.._.;_...rte t'^^- _ "''P"M`:�."!w•�` . iMassa Ate: Ce 1 c i/ IC 6011 J'L If Ala . • , .. V I .. ti' ' 71c.5 S:": 0had Court _ ' _ ___.�_ _ ...... I -_.�, "�- 2 of 3 Jo8 IF THIS NOTICE APPEARS CLEARER THAN THE DOCUMENT, THE DOCUMENT IS OF MARGINAL QUALITY. T 199 MI (3 LA ED ijl { ! � i � l � lil i ; l � l I ' i � l ; ii, l � , i � l � i I � I � i � i � ! { I ) I ' fl f , � � 1 , , � 1 I f l ; �.I. .1 �' Ir l i i ` ! i ! Ill i I1IEIli 1p;j I I � I � IJillIII iii iI � ! II � � i � � Ii 1 IN 14 ' MA4E IN cm KA 1 cm 2 a i 1 it 'L9 1 is Is I 11 I ! I Ilitoll 1 I 1310 1 lIII I ii III IIiIII�II�II�r!{III,lII�lIIIl�i�c„,ill�ll�l.Ill11l�.,,l�ll!!!!!!!!Il.�„l�I;,,.,,,11,1,,,$,Illf Illsi!!!.Il,�,��!lli,,,�iitlll,,R�!!!!lil;i'til.Ilii,,,!!ll6ilillilfl,I.!',III,,,l,�IIIZIIIiI�IlII li,l�ili��illl�l�it�l!{lrr��llllhi1�l�1+�lII!!l�IIIlII�,r!!!�lll�l,illllol�IiIlI101lf�lillll!(,�li�l�., { I i i - ea4prte; �a� Ntro Siff c�1i�� Ha, 0 �,it� ���V• � �.1�. y I , 0-1 SPA N ! j C�9gc_ � j tXt ST � g <)N f I CIO1 o i Acyot- aI1 -7/ �s- �i(A� r\ h b 7 aor-& —0 P. o+ 7195 SW Shady Court 3 of 3 i IF THIS NOTIICE APPEARS CLEARER THAN THE DOCUMENT, THE DOCUMENT 1S OF MARGINAL QUALITY. T1-" ml�,ilo"lI\ LU 110�13E_ i lsI Ili ; l l � i lite . I . . � . � � ii� J � � ; ; ; ; ' iI I , 11111 , I , , I : , ISI ! III ; I iO � IIII : II ( IIJill I1IIl � I Il . , { I Ill � ill I � IIlII � � Illl � illllll l� �� s . : INC KN I I I IN G INA I —Tie 11 .I. It, 13 14 16 11 I 11 1! —T �ZO i I, t i 21 17 tl �� 31 till�llllllllllllllllll��I!►III!III!!!!!;IIII!!!I!!I!!I!!!!!!!!II!!!! !!!!I!!!!!!!;;��;114!Ill:!II:I!Illtllll { ' '� IIJ!; li{ 11i Ilillii" 'llliilliiii Ji{ !! IIIIlIII! { I fl!IlII!!I IIIl� liiiilllillli�lll{�I+ii�llllllll+1llll�lill�l!!IIII!!!!IIIIi=.ILII.I�IIIIIIIIII,lIIIIIIII;�III,... II. I �►s. JJII!{{Ills.. ... ...-. .{.. 1.11 1� �.I � I I 44 ADDRESS: i i t i 1 iI 0 i:Ve c o rd s\m i c ro f I m\t a rg e t s\b u i Id i n g.d oc at )JILDING INSPECTION NOTICE _, tion Line:639.4175 Business Phone:639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. I Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation Alec.7 Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bidg. San. Sewer Gas Line Appr/Sdwlk Reins. Other- Date: ���/ 40 A P.M. Entrw, _ Address: L Tenant: Ste: MST: Q -- BLIP: ^ I MEG: PLM: ELC: __ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: Date: i _XAPPROVED DISAPPROVED/CALL FOR REINSP. CF CO x , I ir 1 O.'"4�' '.. A. a cr�$r0I M o• � .�d t 1 mks �y�fiJ r f '"� y {^„ J I t "9 a t e� li �j��`•s 4 �z(11 � 1� — . R, �� 41n!�A!'11r h'T err 1 i n ill I �l Y I� .... a..• , 2• 9{ $ � rt. o + CITY OF TIOARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 � 11 II stn I rFooting Rain Druin Cover/Service FINAL: dation Water Line Ceiling -Plumb. Beam Mech. Shear/SheathFraming -Mach. Und/Fir/Slab Plbg.Top Out Insulation ElectBeam Struct. Mech. Rough in (gyp. Bd. Id { San. Sewer Gas Line Appr/Sdwlk Reins. , Other: _ Date: 1 ( C ip A.M. P._M/ Entry: i Address: Tenant: _ Ste: __ BUP: 7 Con/Own: / e i� "Oa _ MEC: _ -C 6 / 6 S-f PLM: — ,I ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: i Inspector: _ Date: ROVED ^DISAPPROVED/CALL FOR REINSP. CF CO f" .. i I 6 t i ( U y ' I � 1 r a I � �`•� _ CITY OF TIGARD BUILDING INSPECTION NOTICE i N., ` Inspection Line: 639.4175 Business Phone: 639-4171 j Footing Rain Drain Cov /Service FINAL: Foundation Water Line Ceiling Plumb. IPost/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation Elect Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: - . ' Date; �� �' — A.M P.M. Ent Address: ?, �1 x' Q Tenant: Ste: MST: ,y BUP: on/Ow l� a - 7 �J t' ZAl1EC. PLM: ELC: THE/FOLLOWING CORRECTIONS ARE REQUIRED: ELR: —_ .17 i i Inspector: -- _ Date: _M ROVED _DISAPPROVED/CALL FOR REINSP CF CO ' y- r . u t a t k Y,-r I.I .rv. (1! 1 1 F..pw.(, .w.., «.p'M.'^^m..«riiMr'M'�wiy'"�„ w.}�,ryr"r... �•°' .'y+."*u• °" i' ikd i u9/i$EI� 10 F*6 11 46 X_69 W I LSONVLE ORKE CITY�UT. P.2 CITY OF TIGARD 13125 M.Ir. IMM JIM• TIGA1RD,, OR 97221 INVOIITANI FIgU[YT NOTICE 2001M FZMY =LNCTRTCAL to ■9R 928 ; WILSONVILLB Olt 97070 Electrical signature Form Permit MOT96-0372 ` f Gate Issued. : 09/10f9% parcel. . . • 123-25DS-04900 Site Address: 07195 MW 83=1 CT Subdivision. : �tlD1GX DR1.L IfOp 1 Block. . . . . . . ; Lot: 13 zoning. . . . . . : It-4.5 . i Remarks: 1 CONSTRUCTION 9aA�O�QLOTF �?R809r11�]1Y�L�II10 1pslo�llTll1d�00 8Q >T DlQA R R Your Companyhas been indicated as the eilertrical contractor for the permit indd older for the the eleotxical permit to be vsllid: the signature of the aupervisi::,Y* e is reGuirgd. Please have the apex°toithe startiofaWork m Nouelectour ricalsinspect4ons willbe return ano Signature Form prior t this completed form is received. an Tim SIMMTOIt■ is ItIQUIRAD ON Tats Fam OWNM: ELECTRICAL CONTRACTOR: TArOR RVALL BOON" 71 RRY EL3.�Ta1ICa►2. 719$ 8W snot' CT Do 10t $28 via= 0E 97223-0000 RILSONVILL! OR 97070 Phone : i43-6i3•La73 Phone #' Reg , s •8683 x s gna u e a . up r a ng ec r c n please return this completed form to thR ad above. ��c . � � � (,�'� Ar": Building Dept.. If xoL !+ave any questions, please call 639-4171, ext. 0310 �ewrra..rr.wa4��,Mw�rr>ew,oswpsinvc�r,. wr. �,^rvawmnwmyw,.rw.n`c +.,:.�rwrera:'Fra�n•ca,rs�^.umwl�u.�'ca+r':tMiw6'1V9�A111kRf _ .r 9 Permit#: Address: '�`� ' � ' C"r N Issued by: Date: 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 following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This.statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A Vr 3B: f91. I own, reside in,or will reside in the completed structure. Fri] 2. I 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 CQAQVt wS _ 40 a L 2 2 hJ (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR F13B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I 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. I hereby certify that the above information is correct and that I have read and do understand the Information us. Notice to Property Owners about Construction Responsibilities on the reverse side of this form. s , (Sign4Jrofpe it applicant) (Date) (White copy to issuing agency permit,file, <! pink copy to applicant) 7-- IM777777 Information Notice to Property Owners About Construction Responsibilities i "I. P", U;t Y,"t d"Cti1 t tnq Rr ,l'u1117�'f/?lK'.t Ht.,rt•Iit! ,I. t't".,lj f, tt;III llN.' r70/.f)i5151 „I I ,, ii. Ili. I ii I,.I :n11 it !I:l('n) l'tll;'nt tt,;lll a\Ishil�S1rtIGlUri:. �� l�ll� i•:,.5.),I 1�Gu,y i)rhiu :ll., ;',, t,ti,ll;: .i16;:1� .,)l il.' I '11%�lvlitr' fc,.(.`'.t111a`tllllC.1 ai11C:iU'E'i!� UI �UIIi�CItl.. EMPLOYER RESPONSIBILITIES. '1 t';)lt Imc 'WI Nl'It, Hot R: I' 't'�Ct� illi Ik, t -`11`•'.1,1; il�`,+ 1_ nt,(1 ,�' +1� 13,,1,,111i(, dolilllil( U! C'.Hl`•1111t:llllt; (.1I a�SlFtlllg In th(` 1IlN(' ICIt.-i!,!i Illij�t',,,•ill�. ii' .1 Ii ,',r.',ts�.1� •.lf,;,:!�It. �'t' III. iti o,.t l-,!.... ..,. t',,' r 1rd :n he ill) Ctnplover and the pe11p1. yhll hu'c r".ill 10C L WPIn)..c', +s . tl,c .'trl(,!'I"'. a ,nu,i r;,;(;I,• th ite ;i ithholding ta\ III Iv: ti ;,iil Itl(,1 I t'+I 1 `.1'11111!1 Vn1C'1.1K1',fY(`nl 1.`111( Itt`It't'tl'11}Yl'�ilt thr tI1T1C L?T)nlCl)'eA' .1;'c (,ti(l. Y+)n N ill I;•kink' (01 lhw ?"IN (t,lt 111-..'llt: t, ;1 1( v )It 11011l't 'ii"Il;lil!, `=:'ilh11011 ((10 1;1M. 11'1.1111 YMIT A°tt)ployee.s. For I1fol Ctrll1111 t)t'.ipon Ot,pt 1.1 {it•.1. 1tlr ,tt10` l i:('il:F➢ii:ylitCS►t lnsuratir' 1:1\i A,; ;1I, clilf!l 1,11 '1 1111''1 ;it rlt, II 1,i+ 1(ir Illlell picynictit in urance ptirposes 1111 th1 YI'rarnat,t.. t tltrcl : n imp!;anent Oivision ill Olt-Depailment of Hmnan Remit, 01C (hw"nn LVuO.cts• �Iulu•n"ulit'll I.;m" un<I Amus, II %t-it i,ill 11' .Ilil.ami \o,ir1•.t'1'`; t:olllpensa(ion 111',IIr.It1Ci,1'1111 ma)' C 111 ti)ilt'1•Ilft)li' ves I�,injilrol l)ll tht 1111, ('Ur illort' Itlf1i111111lio11, l lt'p:1f11'tc'ilt .'1 �Utl.;lltrlCl ,11111 l�li',IIIC�K '1t'.I'1'ICi". .11 11..t�.1'�{�{,q 1 I • 1'`'i"1 •• 1pr<l) 1111111th_"tile( FI'tllltCill[1IOYl'Cti 1vage ti. Y(rn ",II I l,ifllc fta'Il It,l,rt° 1111)1 n1�11 u'rl,t al l the Internal Revenue 0 I,Fri RE;�,PONSIHI!_ST US ANCA AREAS OF CONCERN: �'lI1tA•C1elT1(ltl:<11t1', :� ' .,, :,`�trtli'�11��,� In'rl';'�t11`-'lI1�,II141J111111'(f)IneetCl!dCrCglllfCillent� ' 1.Yd1l�iiil dl►Sl 1)rl))l i't} (ldlililA.'111",lll':II1CA': �. 11i11i1C1 't1?lJl 1(1:•111 lil C 8l'Ilt l(?.'•t'C' Il v' LI Ilii l'.:Ille((llatt' 11)SUrilllC,t.`l'(Il'Cra�C 11)11 '10.14elll'. allll milt•;.Ilrtl Mich 1. 1.11!it1t.! lt`1'l ,, I''alIll i VI,I`�(,ril", `.1':111'1 'liil'llilp: 11111Si ('IpC (11:IR tLIfLS, fire,or worli lhat nvvU t lie rc tit one. Time tl)mtPervlst'Ciitploo�e ' c I,+ °,III`i't'`.'I"c _(11111Ill plltYl c-, rxpletti;,r: Make Aire 1.1)1+h .,•r ihr r�(�c.,'ti �t1,art els�t lurl)t1 n�rnerll cf)ntrilctilr,In c•1,ordinatt'thi"wort..r1f rough-in inul tiitiish tlrldeti,and i,'`hi�tiiw W't�ildinr ltl�c(al:;ilt thr ;t,'i�rn�rilllr, tunes Rn thr�}'cnn rertitrtn the required inspectil»l�. �` Ifyou have addilltli13t1'ilUefili<+Its, wlile or cull the('tlnstnl/:ht,i,:'1,ntr,IctnrS Fir,;lyd 1111) lit>x la 1.111; finlem,Cyl2 y"13(11 5115? 501/379-4621 Thr Bonid i, It'cali'd at AM Summer St. NE Suite :31X), in Salem rror-t,u n.prna t raa CITY OF TIGARD 13125 S.W. HALL BLVD. ., TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWNER Electrical Signature Form Permit # . . . . MST96-0372 Date Issued. : 08/05/96 Parcel . . . . . . : 1S125DB-04900 Site Address : 07195 SW SHADY CT Subdivision. : SHADY DELL NO. '' Block. . . . . . . . Lot . 23 Zoning. . . . . . . R-4 . 5 Remarks : CONSTRUCTION OF 396 SQ FT UNFINISHED SHOP AND 200 SQ FT DECK AT T'^ OF LOT, APPROVED BY PLANNING DEPARTMENT Your „ pany has peen 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 individ:.di from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized un'cil this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNED : ELECTRICAL, CC,11 T FACTOR: TREVOR RYALL OWNER rr 7195 SW SHADY CT TIGARD OR 97223-0000 Phone # : 503-452-1073 Phone Reg # . . . Sign ture o -u-p n ectrlclan Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 I r, v 71 f MASTER CITY OF TIGARD DERMIT #ERMIT. . : MST96-rZ1:i7c COMMUNITY DEVELOPMENT DEPARTMENT LATE: I5SI.+ED: 06/05/96 13125 SW Hall Blvd.Tigard,Oregon 97223.9169 (503)939-4171 PARCEL: 1 S 1.'5DB )4c)00 e,ITE ADDRESS. . . : 07195 SW SHADY (:, SL-II:IU I V I S I ON. . . . : SHADY DELL_ t40. 101\1 I N6: R-4. 5 BLOCI'. . . . . . . . . . . L_OT. . . . . . . . . . . . . :I: _ Remarks: CONSTRUCTION OF 396 SO FT UNFINISHED SHOP AND 200 50 FT DECK AT REAR OF LOT, APPROVED BY PLANNING DEPARTMENT --------------------------------------------------------------- BUILDING -------------------------------------------------------------- REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT--.: 0 sf REWIRED SETBACKS---- REQUIRED------------- CLASS CF WORK.:ACS HEIGHT,,....... 14 FIR5T....: 396 sf GARAGE....,: 0 sf LEFT..........: 5 SMOKE DETECTRS: TYPE OF USE...-SF FLOOR LOAD....: 50 SECOND,.,: 0 sf FRONT.......... 20 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 8 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 396 sf VALUE..$: 15000 REAR..,.......: 5 --------------------------------------------------------------- P'LUMBING -----------------------—------------------—---------------- SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 , LAVATORIES....: 0 DISHWASHERS...: 8 FLUOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: P TUB/SHOWERS...: 0 GARBAGE DiSP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS.,: 0 OTHER FIXTURES: 0 ------------------------—-------------------------------------- MECHANICAL ----------------------------------------------------•_--_--•- rUEL TYPES----------- FURN r I00K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS...,.....: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 -•------------------------------------------------------------ ELECTRICAL -----------------— -------------------------------------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIUNS- 1000 SF OR. LESS: 0 a - C'00 alip..: 1 0 - 200 alp..: 0 W/SVC OR FDR..: 5 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5005E : 0 201 - 4N amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......ii 0 LIMITED ENERG`..: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR, 0 SISNALIPANEL...: @ IN PLANT......t 0 mANF HM/SVC/FDA: 0 601 - 1000 amp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0 10019+ amp/volt.: 0 -------------------------------- - FLAN REVIEW SECTION --------------------------------- 1 Reconnect only.: 0 )=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.: VACUA SYSTEM..: AUDIO I STEREO.: FIRE ALARM..... : INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0% It BOILER.........: HVAC...........: LANDSCAPE}IRRIG: PROTECTIVE SIGNI_: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS...... TOTAL N SYSTEMS: 0 Owner: -------------------------w-_---_Contractor: ----------------------------- TOTAL FEES:I 317,11 TREVOR RYALL JOHN RILEY, JOHN RILEY CONSTRUCTION 7195 5W SHADY CT 530 SE 7TH STREET IiGARD OR 91223-0000 GRESHAM OR 97080 g q�b -452-1073 Phone M: Pt,ar,e N; 503 / _ / Reg t.. : 00034r' / gs This permit is issued subject to the regulations contained in the Tigard Mur.rcipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done 1n accordance with approved plans. This permit will Pxpire if work is not started within 160 days of issuance, or :f work is suspended for more than 180 days. REQUIRED INSPf-CTIONS ---------------------------•------------------------------ Footing Insp Rain drain Insp _ Foundation Insp Electrical Final Electrical Servi Building Final Electrical Rough Erosion Control Framing Insp / T Permittee Signat�sre : t.(/1fr�t .. lss1.recf ,' � �._ < �• . ' Call for- inspection - 639--4175 ' i t AdlllkA, 'Emile. M Z6�'ii7 f'-... .F:�M-., '•'�Fy a r:l 'e Z�: .r, .}.. ,p`r flit �Zi) •'1�C,1 r"��'er-J�a,}"7Sl;'.?�'.�: -.r j'�S;.P;y+�n�..;r'�SfifV'•+stP�Dti,4M1�Ttt' •� Plan Check M - ,ATY Gr (IGARD Residential Building Permit Application Recd By - rr - )`15�� ',3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd -1-2 34(T TIGARD, OR 97223 Single Family Detached or Attached Date to P E._-zY- 94 639-4171 Date to DST 7- z r 9 f503) Permit# M`> Print or Type Called Incomplete or illegible applications will not be accepted �'— AI► Name of Subdivision Lot# Name Job L'� a Architect Mailing Address et Address Site Address "I_2 1- w City/State Zip Phone Name y f ��� f ^_ Name Owner Mailing Address f " - Engineer Mailing Address City/State Zip Phone City/State Zip Phone �— Narr* General M681L-t Desrnbe work newt addition O alteration O repair O contractor Mailing Address to be done' 'JA ' •'t' tJ 1 Additional Description of Work. 1 City/Mate , zA Phone Oregon ponst.Cont.Board Lic.# Exp. Date - Attach Copy of Project current I COT Business Tax or Metro# Exp. Date I Valuation Llcense� _ I ' _ -- NEW CONSTRUCTION ONLY: Me•a;,anical Sq.Ft. House: Sq.Ft.Garage: SU b- Mailing Address Contractor Corner Lot Yes No Flag Lot Yes No City/State Zip Phone (check one) _ (check one) 6V Restricted Audio/Stereo Burglar Oregon Const.Cont. Board Lic.# Exp. Date Energy System Alarm Attach Copy of - Current COT Business Tax or Metro# Exp Date Installation Garage Door HVAC urauses Opener Systems Name i (check all that Other: Plumbing apply) Sub- Mailing Address �— l Will the electrical subcontractor wiry for all Yes No restricted energy installations? Contractor Has the Subdivision Plat recorded? N/A Yes No ACOV CitylState Zip Phone - l Oregon Const.Cont.Board LicA Exp.Date Reissue of MST# Solar Compliance Attach Copy of _ _ (Calculation Attached) Current Plumbing Lic # Exp Date I hereby acknowledge that I have read this application,that the Licenses information given is correct,that I am the owner or authorized agent of I COT Business Tax or Metro# Exp Date the owner, and that plans submitted are in compliance with Oregon State laws _ Name Sjw azure of er on D e Electrical Ai.c iL'o r U —L" co ct ere in Na a Phon Sub- Mailing Address i C:mtrascortft Akill ;JXSL ► : FOR OFFICE USE ONLY: C /State Zip Phone Plat# MapfTL#: "1 opr '[" 1 I J �13 �u C• n Const. ont. nerd Lic.# Exp. Date ! I Z-_� Attach Copy of _ _ Setbacf s - Zone. Solar: Cu,-rent Iclectrical Lic.# Exp. Date ,5 Licenses �� j COT Business Tax or Nletrc # Exp. Date Engineering Approval: Planning Approval: TIF: i dstsUnstaprr dor --amI l 3Cf 6r- L F-ermiL# Account DezcripAj m Amount AMLP-d, Bal�t�e 4jjf •o37Z MST. Permit (BUILD) Plumb. Permit (PLUMB) _ Mech. Permit (MECH) ELC/LLR Permit (ELPRMT) State Tax (TAX) 7 _y• 7 Bldg: Plumb: Mech: ELC/ELR: Plan Check MST: (BUPPLN) -- Plumb: (P,MPLN) Mech: (MECPLN) 1 CDC Review (LANDUS) Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) _ Erosion Planck/COTOSN)ER ^ ( Fire Life Safety (FI-S) TOTALS: �_! 7. I I -716 3 Ildsts\mstapp doc i Rev.7/96 e irk*=a•r..�r,ti," v,,..�..•ww-.w... �. . IMI 1611111111 I1111111111111111lg1 l 11111!!li Iilllq 1111511111111111141111111111111111111111111111151111111 T31-WA950929-03.0 W MOuSAT3f 9528550! -- - �---, ,..� 4 o w Q iia ,, a 4 Y NQ-C `h J d -1 s � J P d ¢ 0 J o LRO a E J wu G] ` CA a P tui, ^ u 2 Ln LLJ to z ''� o a a m O lea g 5 flit, u ua o W � ¢ slkE;ci �i CD cr 3: � aof � J 4. o � b1? fir r ! r rn I all. ows to all 1 u 'RS 301 -T 0.0.0. - 2QcHa �S�eSS9£2ST C'1 2b2S6S�r�'S S1N2NOdW0� SS(L!! WGb� 20:60 96 45+M'fMNOYrM-rrvaar+.v..+m,ml�.vi�a�4At•�w��4a.1A011NM.MW�M-MV�ir �I�IGr�rM�?!AdVMM��. ,,,.�.. 1 Page No. 1 CASE HISTORY FOR CASE NO.: MS796-0372 TREVOR RMLL 07195 SW SHADY CT 05/04/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update UPd Code Sent Done Done Date By ----------------------------- ---- -- MSTA005 Application received / / / / 07/23/96 JMN 07/24/96 J*H MSTA008 Permit Created / J / / 07123/96 JMH 07/26/96 J*H 14STA010 Check for prcl. restrict. / / / / 07/24/96 PASS JMH 07/24/96 J*H MSTA012 Plans routed to Plans Examiner / / / / 07/24/96 PASS JMH 07/24/96 J*H MSTA026 Plans npproved by Plans Exmr / / / / 07/25/96 PASS R1 07/25/96 612 MSTA030 Reviewed plans routed to DSTS J / / / 07/25/96 PASS RT 07/25/96 BT2 MSTA080 (F) Reedy to issue / / / / 07/30/96 PASS CJS 07/30/96 CJS MSTA092 (F) Issue combination permit / / / / 08/05/96 PASS JSD 08/05/96 JD MSTA098 Iseue electric signature form / / / / 08/05/96 Owner responsibility form given to PASS JSD 08105/96 JD general contractor on 08/05/96... told no electrical inspections would occur until we get a signature from the owner. MSTA098 Issue electric signature form / / / / 09/10/96 09/10/96 JF NSTA705 Footing Insp / / / / 08/08/96 ufer taggedl footing 8 slab PASS RB 08/08/96 RB MSTA723 Electrical Service / / / / 09/19/96 PASS MIR 09/19/96 MJR MSTA724 Electrical Rough In / / / ! 09/10/96 PASS TLP 09/24/96 TLP NSTA725 Framing Insp / / / 1 08/22/96 pending- electrical; lateral brace PASS RB 08/23/96 RB header; h-clips missed MSTA726 Sheer Wall Insp / ! / / 08/22/96 PASS RB 08/23/96 RB NSTA745 Gyp Board Insp / / / / 09/24/96 PASS RB 09/24/96 KAS MSTA755 Rain drain Insp / / / / 08/22/96 pk— MS 08/22/96 MRS MSTA790 Electrical Final / / I 1 11/12/96 cover hot tube cable PASS MJR 11/12/96 MJR MSTA799 Building final / / / / 11/08/96 ELECTRICAL FINAL FAIL RB 11/08/96 RD MSTA799 Building Final / / / / 11/12/96 PASS RB 11/12/96 RB MSTA970 Case Finaled / / / / 11/12/96 PASS RB 11/12/96 R8 .-�+..-+w..w�•..n+ww�.�awr�ssm&atu�Wli',K'+ #t61R«. c _ __i._.. ,. .-_.. L .... ,,, ..rPw .. a ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log-note Fee Doc Tag Misc Xit List log notes for this case 6&MISCELLANEOUS PFRMITAAAuAAAAAAAAAAAAAAAAAAAA2�AAAAAA�AAAAAAAAAAAdficAAAAAAAAAAAG ° :MIS96-0017: PROJECT:RYALL, TREVOR : STATUS:P : UPD: 12/12/96: :JDA: CO ° APPLICANT•TREVOR RYALL PRIM. . :MIS96-0010: ° SITE ADDRESS:07195 5W SHADY CT JUR. . . :TIG: ° OADESCRIPTION OF PROJECT/ACTIVITY (1)��54�A �� ��iA3�� 4�� AASAA���A� AA��A�►��� r f ° Accessory Structure Permit for construction of a 14' high 396 sq ft ° structure. ° O ° . i O ° ' flaAaaaaaAaaAaaAaAAaAAAAAAAAAAAAAAAAAAAAadaaAAAAAaAAAAdAAAAAAAAaaAdAAAAAAAAAaaAG ° TYPE OF PERMIT:ACC: RESOLUTION NO. : ° o ° ZONING. . . . . . . . :R-4 . 5: OANOTES (3)�d�c1A�fi'iA�t�S����Sc��AcSct�ctaA��3A�d33���iSc��i$d3$Ada`act`ac`ii�aa�i� c�ac�c��5iir�$c5� 0 o o 0 0 0 0 0 0 0 $AAAAAAAAAAAAAAAAAAAAAAAAddAAAAAAAAAAAAAAAAAAAAAAAASdAAAAA&CiA&&AAAAAAAAAAAAAA6 ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log-note Fee Doc Tag Misc Xit List log notes for this case 6AMISCELLANEOU5 PERMITAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAaAAAAAAAAAAAAAAAAAAAAq ° :MIS96-0017: PROJECT:RYALL, TREVOR STATUS:P : UPD: 12/12/96: :JDA: ° ° APPLICANT:TREVOR RYALL PRIM. . :MIS96-0010: ° ° SITE ADDRESS:07195 SW SHADY CT JUR. . . :TIC: ° OADESCRIPTION OF PROJECT/ACTIVITY (1) AAdAAAAAdAAAddAdAAAdAAAAAA$AaAAAAAaA3AAAAC ° Accessory Structure Permit for construction of a 14 , high 396 sq ft ° structure. ° 0 ° 0 0 0 ° flAAAAAdAddAddAAAAdAAdAAAAAAAAAAAAdAddAAAAAAAAddAAAAaAAAAAAA$AAAAdAAAAAAAAAAAAd� ° TYPE OF PERMIT:ACC: RESOLUTION NO : ° ° ZONING. . . . . . . . :R-4.5: ° OANOTES (3)AdAdddAAAaAdddAAAAAAAddAAAdSAdAdddAAAdAAAdAAAAAAAAdAAd3AdAAddAAAAAd� ° ° I 0 0 0 0 0 0 0 0 0 0 aAAAAAAAAAaAAAAAAAAAAAAaAA6AA6AAAAAAA3AAdAAAAAAAAAAAaaAAAAAAAAAAAAAAAAAAAAAAA�ii FEES: View Add Change Delete Payment List Group Esc View fee detail 6AMISCELLANEOUS pERMITAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAaG ° :MIS96-0017 : PROJECT:RYALL, TREVOR STATUS:P UPD: 12/12/96: :JDA: ° ° APPLICANT:TREVOR RYALI, PRIM. . :MIS96-0010: ° ° SITE ADDRESS:07195 SW SHADY CT JUR. . . :TIC: ° OAbAAAAAAAAAAAAAA AAAAAAA AAA AAAA AAAAAAAdAAAfiAAAAAAA AAA a&AAAAdAAGA F !>�?Ik��Q1^,''9,Mlk�l'} rNrM '.tb!s .4�<pa. t. }i m1 cls r. ,n 4 i r., ., •dst;:,l �1 ° ° FEES 0 0 * Case No. -- Fee Type------------- Fee-Amount Amount--Pd Date--Pd 0 0 ° 0 MIS96-0017 ACCESSORY STRUCTURE $ 80. 00 $ 80.00 07/03/96 0 0 0 0 OA FEE DETAIL `d`d���libb��`di�iS`dd`d�iicSa���`3�`d$cSSct�i`d`d`d' `d'd`'c "c4tl'c�ic`1'�c�`d`d�r`3'c�c'S��`d�` ° 0 ° 0 ° RECEIP'.T' 0: 96-281301 CHECK REC'D BY: JSD ' 0 0 QA° ° ACCOUNT #: 0 0$q 0 0 0 UPDATED. . : 07/03/96 JD o 0 0 nA° tlA� 0 0 O O 0 0 O O 0 0 O O O O tl p ° adlidAc55cid$cSi]$ciciA CIACi5cicill`15$cidA,iAisci $ 80.00-$ 80.00=$ 0. 00 BAL Al 0 i 0 0 AAAAAAAAAAAAAAAAdAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAcSAAAAAAAAAAAAAAAAAAAAAAi Press ESC to continue. . . FEES: View Add Change Delete Payment List Group Esc View fee detail 6AMISCELLANEOUS PERMITAA�AAAAAAAAAASAAAAAAAAASAAAAA3AAAAAAAAAAAAAAAA3AAAAA�,AAAA ° :MIS96-0017: PROJECT:RYALL, TREVOR STATUS:P : UPD: 12/12/96. *JDA: ° ° APPLICANT:TREVOR RYALL PRIM. . •MIS96-0010: ° ° SITE ADDRESS: 07195 SW SHADY CT J:JR. . . :TIG: ° iIASAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA�aAAAAAAAAAAAAAAAAAGA� 0 0 FEES 0 0 ° ° * Case No. -- Fee Type------------ Fee-Amount Amount- -Pd Date--Pd 0 ' ° ° MIS96-0017 ACCESSORY STRUCTURE $ 80. 00 $ 80.00 07/03/96 0 ' ° ° OA FEE DETAIL AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA3AAAAAAAAAAAG 0 0 ° ° ° REOEIPT 96-281301 CHECK . : RECD BY: JSD ° 0 0 OA° ° ACCOUNT : 0 0 0 0 UPDATED. . : 07/03/96 JD 0 0 0 II 0 0aA�SaA3csdAAA6AAS AAA$A66A6Aa6cl A aAA6AdAdA&IA,,j6Aad66AAAdaAAbAAAAAAA$AAi 0 0 nA° °A; 9 00 O p p 0 0 0 0 0 tl O p 0 aAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA S 80. 00-$ 80. 00=$ 0. 00 BAL 61 ° ° AA6S5A�i�iAAA�iAAAAAAAAAAAAAAAAAAAAAAAAAAAA,�AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAASAAAi Press ESC to continue. . . i i } ! 1� 1 Page No. 1 CASE HISTORY FOR CASE NO.: MIS96-0017 TREVOR RYALL 07195 SW SHADY CT 05/04/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd code Sent Dona Done Date By � .............................. ........ ........ ........ ......... MISA007 Application received / / / / 07/03/96 PASS JSD 07/03/96 JD MISA020 Application acceptance date / / / / 07/03/96 PASS ROB 07/03/96 JO i� i 1