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13696 SW LIDEN DRIVE dI tGO I CSP _ SQo K CW R-fUt _ -V�OU) 6T4t �TE\'K- A-& L !Q ,�. . M11c �a 4�w6N� SW1MNffNG POOLS f ,; •` ` ` 1 S FOOT MIN. FROM PROPERTY LINE ' t — 2 48' MIN FENCE AROUND POOL OR YARD 3 ACCESS GATE BE EQUIPPED WITH A SELF LOCKING DEVICE. fx 4 GATE SHALL OPEN AWAY POOL l ! ` r S GATE LOCK RELEASE MECHANISM SHALL BE LOCATED AT LEAST 3' BELOW THE TOP Y O i OF GATE. Conditionally Approved.... 6 WHERE THE WALL OF THE DWELLING SERVICE AS PART OF THE BARRIER ONE OF THE Pf)C only the wc�rk,, as dasgxxbofl in FOLLOWING SHALL BE MET. el-7r,fI POOL SHALL BE EQUIPPED WITH A POWER SAFETY COVER T .t OR 2 HAVE AN ALARM SYSTEM CONNECTED ON DOORS AND GATES ` lei r � 1 I 1 lI i '/ f' 1 l► /( i t�JOTICE: IFTHE PRINT OR1`YPEONANY jjIIrIII IIIIIII III III I.II IMAGE IS NOT AS CLEAR AS THIS NOTICE, 2 _ 4 0 $ 10 11 12 IT IS DUE TO THE QUALITY OF THE No.3e ORIGINAL DOCUMENT 8 61 91 , ���� ���� ���� 11111illilll ���� IlII ���� ���� II1� 11111111 .�ll� l)J 1llllll ����. Illl. Illlllllllllllll ���� IIIIIIIII:IIIIIIIIiiIIIIIIIIIIIIIIIIIIIIiiIIIlllli l IIli ` 111 Illl III l 1JLll � I li. �lllfl�k�l '. � F LA) m tD al r H d CrJ Z d :U H M i --.3696 SW LIDEN DRIVE Page No. 1 CASE HISTORY FOR CASE NO. : SUP97-0339 BOB LIBBY 13696 SW LIDEN DR 12/29/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BUPA005 Application received / / / / 07/16/97 OTC 07/16/97 CTR BUPA010 Permit created / / / / 07/16/97 PASS B 07/16/97 CTR BUPA030 Plane routed to Plans Examiner / / / / 07/16/97 OTC 07/16/97 CTR BUPA050 Approved plans routed to DSTs / / / / 07/16/97 APPR JHF 07/16/97 CTR BUPA085 (F` Issue building permit / / / / 07/16/97 PASS B 07/16/97 BON BUPA800 Misc. Inspection 07/16/97 / / / / Check setback, fence, and rock wall. 09/19/97 JT JHF also be sure to inspect mech and elc on the pool before approving a final BUPA870 Final Inspection 07/16/97 / / 01/26/98 Approved as noted: PASS KS 01/26/98 J•H 1. Pending electrical approval. 2. Gate at pool barrier is equipped with self closing and latching device. 3. Patio door, that services as part of protective barrier aroud pool is equipped with alarm device which is activated when door is opered and is audible per plan review. 4. Pool heater (not covered at this time) . BUPA950 Case Fi.naled / / / / 01/28/98 Final approval okay per Hap. PASS KS 01/28/98 J•H Page No. 1 CASE HISTORY FOR CASE NO.: MEC97-0330 BOB LIBBY 13696 SW LIDEN DR 12/29/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By Mi--AUu7 Application received / / / i 09/04/97 PASS DRA 09/04/91 DST MECA008 Create Permit / / / / 09/04/97 PASS DRA 09/04/97 DST MECA060 (F) Issue permit / / / / 09/04/97 PASS DRA 09/04/97 DST MECA705 Gas line Insp 09/04/97 / / 09/12/97 30 psi PASS KS 09/16/97 J•H MECA799 Final Inspection / / / / / / refer to bup97-0339 for final inspection 09/19/97 JT MECA799 Final Inspection / / / / 01/26/98 Approved as noted: PASS KS 01/26/98 J•H Pool heater not covered at this time. MECA800 Case Finaled / / / / 01/26/98 PASS KS 01/26/98 J*H Page No, 1 CASE HISTORY FOR CASE NO.: ELC97-0613 BOB LIBBY 13696 SW LIDEN DR 12/29/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done uaLo Py ELCA001 Application received / / / / 09/12/97 RECD CEO 09/12/97 CEO ELCA003 Permit created / / / / 09/12/97 PASS CEO 09/12/97 CEO ELCA500 (F) Issue permit / / / / 09/12/97 PASS CEO 09/12/97 CEO ELCA700 Rough-in 09/12/97 / / 09/17/97 Rough in bonding, conduit ok to cover. PART BRP 09/18/97 J«H ELCA725 Underground Cover 09/12/97 / / 09/15/97 need additional bonding to awnings, NA MJR 09/16/97 MJR downspouts, and HVAC The pool light fixture is bonded ELCA730 ct'l Service 09/12/97 / / 01/7.7/97 Approved as noted: no signature label. PASS BRP 01/27/98 J*H ELCA799 Elect'1 Final 09/12/97 / / 01/27/97 PASS BRP 01/27/98 J*H F.LCA800 Case finaled / / / / 01/27/98 PASS BRP 01/28/98 J*H ELCA920 Miscellaneous action / / / / 10/14/97 Talk to Ben P - the lower level bonding PASS MJR 10/15/97 J•H was inspected earlier. Talk to Jim Cooper the part of bonding network that was covered it continuous to elide and rebar. Cement cover of electrical bonding approved. CITY OF TIGARD P ' T DEVELOPMENT SERVICES M AS T F PERM.1 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE T #. . . . . . . 7AqS1,JED: QA3/0,*3/97 PARCFI..- ;72S104Bn­-1(,100 iTF ADDRESS. . . : 13696 SW L.IDEN OR 31JI30T V T S,T ON. . . . : CAF.TL.F. HILA. NO. 7 ZONITN(3: R- 1j' F 0L.00K. . . . . . . . . . .. I.-OT. . . . . . . . . . . . . ... . :31. "ovarks: Path I .I---------------------------------------------------—---------- BUILDING -_ __.---------------------------------------------------- REISSUE: ----------------------------------------- REISSUE, STORIES........ 2 FLOOR PREPS----------- BASEMENT..,.. 0 sf REDUIRED SETBACKS—— REQUIRED-----_---_ ,Ln3 OF Wr.RY,.,W-W 4E I(3+1T........ 26 FIRST.,..: 1455 sf GARAGE.....: 587 sf LEFT...,......: 5 SMOKE DETECTRS: Y TYPE IF USE...:Sr FLOOR LOAD,...: 40 SECOND...: 1587 sf FRONT.........: 24 PARKING SPACES: I TYPE OF COW.:% DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY GRP.-93 BDRM: 3 BATH: 3 TOTAL------: 3042 sf VALUE..$: 213888 REAR..........: 37 PLUMBING ---—--------------—-------------------------------------- SINgr_....... I WATER CLOSETS.: 3 WASHING MACH.. LAUNDRY TRAYS.: 0 PAIN DRAIN It: 0 TRAPS.,.......: e LAVATORIES....LAVATOR.IES....t 4 DISH411qfR6...j I FLOOR BRAINS—: 0 SEWER LINE ft: 0 SF PAIN DRAINS: 1 CATCH BASINS..: 0 TUBISHOWEPS... 4 WRBAK U190": 1 WATER HEATERS. : WPTEP LINE ft: IN BLYFLW PREVNTP: I GREASE TRAPS..: 0 OTHER FIXTURES: ------------ ------ MEI7.4PNICP1,. FUEL TYPES FURN ( IM I BOIL/CMP i 3HP: I VENT FANS.....: 4 CLOTHES DRYERS: I ,GAS" ! FURN )-I 00Y I UNIT HEATERS.. : 0 IWDS......... I OTHER 1PITS.... I MAY 1W: 0 BTU FLOOR FURNACES: 0 VENTS........... I WOODSTOVES....: 0 GAS OUTLETS...: I --.---..___._----•--.----._...__...-..._.. ELECTRICAL -- ---------­­­­ ­­----------------- UNIT--- ---SERVICE/FEEDER---- --TEMP SRVCIFEEDERS-- ---BRANCH CIRCUITS--- --MISCELLANEOUS---- ---ADD'L INSPECTIONC_- 1000 SF OR LEST: 0 - ?a amp..: 0 e Py alp..: 0 W/SVC OR FDR.,: 0 PUMP/TPRIGPTI% PER INSPECTION: e EP ADDIL 500SF.: 6 201 - 40N asp,.: 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT, 0 DER HOLO......: 2 .IM!T10 ENERGY.: 0 401 - roP alp,. : 0 401 600 alp..: 0 EA ADDL BR CIR: e SIGNAL/p(NNEl....: 0 IN PLANT...... : 1114r IRA/SVC/FDR: 0 601 - 1000 alp.: 0 601+alps-I00* vi a MINOR LAPEL -10: 0 1000+ af.pivGlt.: 0 -------------- PLAN REVIEW SECTION ­--­--------------—---------- Reconnect only.: 0 )=4 RES UNITS..- SVC/FDR)=225 A.: ) FA V NOMIN(t,. CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY ---------------- -- ------------------- --------- 9FFESIDENTIAL---——-—---------------- B. COMMERCtAL---—-—--—---—---------—------------------—-----------——-----—----- '0 1 STEPEC,: VACLIJM SYSTEM..; AUDIO I STrREO,: FIRE AI-ARM.....: INTERCOM/PAGING: OUTDOOR LNDSC 1-': 'SCAR ALARM..: OTH: X BOILER.........: 4VAC........... LPN!DSWiIRRIG: PROTECTIVE SIGNL; ISE OPENER.. ,- CLOCK.,................... INSTRUMENTATION: MEDICAL. ...... 0 ITHR - ""r............ DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0 ar- TOTAL FEES:$ 3215.55 MORISSETTE HOMES DON MORISSETTE HOMES ..10 SW MEADOWS RD 5000 SW MEADOWS RD SUITE 151 OSWEGr, PP 97035 LAVE OSWEGO OR 97035 1: 620-1538 Phone $- 620-7538 Reg #..: 75533 s permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Om Specialty Codes and all oth? licablp laws, ij!l wor4 will be done ;n accordance with approved plans, This pet-tit will expire if work is not started within. 190 of issuam, or if work is suspended for more than 180 days. REWIRED INSOECTIONS -ion Contol Post/Beat mpchan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final :Jing Insperti C-awl Drain Electrical Rcugh Gas Line Insp Water Line Insp Plumb Final (ting Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final datiar lvsr Mechanical Insp Shem. V-111 Insp Insulation ImpSd I W ect T115p �/Beam Struct Plumb Top 1,,� Low Voltage Gyp Board Insp r,' �:_.' __ C;i o Im tm 1, 1 CITY O F TI G A R D SFWFR CONNECT DEVELOPMENT SERVICES Plr--"RM T T 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : SWR97-00Ll D(--iTE TSSLIF.D: 03/03/97 'Tr-. SW t. TT)EN DR PARCEL: 2S:104BA-16100 JBDIVISION. . . . - CASTLE HILL t4r). 3 ZONING: R- 12 PID OCK . .. . . .. . . . . LOT. . . . . . . . .. . . '-NANT NAME. . :DON MOPTSSETTE HOMES JA NO. . . . . . . . . . : FIXTURE UNITS. . . s 0 '.ASS OF WOPK. . . :NEW Tr%lrj UNTTS. .. t PIPE OF USE. . . . . ..Sr NO. OF BUILDINGS: I IS'TnI I TYPE„ . . . :B US W R TMPI-P1.) !�URFACE; 0 5 f _mar-ks : Path i ,iner,.- FEES --------------- 11\1 MORTO!3ETTE HOMrr, type a M 0 1.(Tl t hay date I,e(-Pt .X00 SW MEADOWS ROAD PRMT 2200- 00 DRA IA3/03/97 97--291104 )VF-- OSWEGO OR 9703'--) 3�. 00 DPA 03/03/r37 97._.29 1. 104 one #: INTRACTOR NOT ON FILE 223-9— 00 TOTAI REPUIRED TN!7,r--,rCTI ONS ,s Applicant agrees to comply with all the rules and regulations Sewev- Inspection if the Unified Sewage Agency, The pewit expires If* days from .: date issued. The tital amount paid will bF forfeited if the ;,t-Pit expires. The Agency does not guarantee the accuracy of the 5ide sewer laterals. If the sewer is not located at the measurement glyPn, the installer shall prospect 3 feet in all directions from the distance given. If ne so located, the installer shall purchase "Tap and Side Sewer" Permit and the Agency will install a lateral, Wad �!-Ipd Pi Call for inspection 639--4175 Plan Check# IT,( OF TIGARD Res,dential ",;:Jing Permit Application Recd By 1%,4 3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd_Date to P E lLI— ? c, -IGARD, OR 97223 Single Family Detached,'Attached (1 or 2 units) Date to DST 7 503) 639-4171 Permit# "fTl- Print or l ape Called Incomplete or illegible applications will not be accepted Name of Protect Nat �,.^\^ r LS —V L ei'? — Job �' t ' �t i I Ar;hitect Mailing Address Address She add ess I ` k City/State Zip Phone 000 Name HO 9-tLE al 1Di'i ame _ Owner M ilin Address _ uL'4 R11 0 10C—E7 �� --Y—� Engineer Manna Address ity/State �J Z.i Phone_1 '1- G N( •(� t V G_ / City/State Zi 22 one �y i—--- Name U C1�7 "_7X5 GeneralITe rkC f E>__ Describe work New• Addition O Alteration O Repair O Mallin Address to be done — Contractor g �� t� L - [J Type of Use Lity/State 7�i Phon F` ----� h ���( q' Type of Construction QE r p.�1 Oregon Constt'Conl Board Lic# p Dat Occupancy Class — F lT►wt r Attach Copy of � �Il� — Current COTUysiness Tax or Metro Exp Date Licenses Will t be sprinklered? Yeso N - If Yes, separate FLS plans and Name / , �� application to be submitted Mechanicali C vvN c 1 * � —Number of Stories Sub_ Mailing Address -- -- Proposed Use Contractor P�tl City/State Z Phone Previous Use Oregoonn1C st Cont Board Lic# E� Date/� Valuatioll j $ Attach Copy of I�l Current COT Business Tax or Metro# l t y�`1 Licenses -7 —NEW CONSTRUCTION ONLY: Na �� � l 1 - — -- - me Building IDD Plumbing �01 F-lE. _L�K.�1%-A(,, Unit Types Square ft #of units Slab_ Mailing Address Contractor D-1 t�.YO— B — City/State Zip Phone - — Const Oregon Contrate t Board Lic# Ex D. Attach Copy of g —7� ,-7—_ 7 Will the electrica;subcontractor wire for all restricted y No Current Plumbing Lic # Exq D t� energy installations' _ Licenses Ic'P �{ 1 � Has the Subdivision Plat recorded? yNo COT Business lax or Metro# E I hereby acknowledge that—Jhave read this application, that the Name information given is correct. that I am the owner or authorized agent of 1�_ the owner and that plans submitted are in compliance with Oregon Electrical � 7 — State laws _ Sub- Mailing Address nature Qf Owne Agen te. ��� Contractor Crty/St at , ��� 1�hong- � tact Person Name -yam ne ---- _ Oregon c.nl1nst�.ntntt Rolard Licit E Datej�q FOR OFFICE USE ONLY: Attach Copy of I_) �e)4� 1 ��I2WJ-1! Plat# Map/TL# Zone Current Elect f ILi # C jxP�t � 7__L�� �Iq#fi b�� Licenses 7 (� COT t inp s T_W or Metro# i> R1) .7 Engineering Approval Planning TIF tG�I Appr vel !-,ts'sfapP dor. Permit # Account L.--cr t! ion Amount Amt. Pd. . Due I vO i MST. Permit (BUILD) 719, Plumb. Permit (PLUMB) .1;J ,/22;. Mech. Permit (MECH) Ab . 11�} ELC/ELR Permit (ELPRMT) dull. . _ �_/3 dW State Tax (TAX) _ - 9 � Bldg: �S, P; ✓ Plumb: Mech: ELC/ELR: Plan Check _ ✓ , MST:✓4d&.1" � �•� l�• (BUPPLN) /i Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) d„ -v0-b" Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) /OSd ( 1 Residential TIF r" (TIF-R) Mass Transit TIF (TIF-MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) r- Erosion Planck/USA (ERPLAN) '� ✓ =� Erosion Planck/COT (EROSN) Fire Life Safety (FLS) -_ TOTALS: i\ stapp doc Revev i 719/96 CITY OF TIGARD DEVELOPMENT SERVICES 13125 3W Hall Blvd., Tigard,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT 41. . . . . . . t MST97••0022 DATE ISSUED: 056/30/97 PARCELt PS104BA-16100 ITE ADDRESS— t 13696 SW 1_1 DEN DR SUBDIVISION. . . . t CASTLE HILL NO. 3 ZONINGcR-12 FAD BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . a1 .31. ,JURISDICTIONsT10 GLASS OF WORK. :NEW r YPE. OF USE. . . t SF TYPE: OF' CONST R s 5N OCLUPANCY GRP. a R3 1.0.'C:UPANC Y LOAD c 2 Pemairk as path 1 Owners DON MOR I SSETTE HOME; 5000 SW MEADOWS RD 1 0KE OSWE©O OR 97035 Phone Mr 620--7538 (.,t7r1tY'alctOr't -•--•-._._._.�-.___ _.__.._._.._ ...__�_-__._....___ IflN MORISSETTE HOMES 004 SW MEADOWS RD �tE 151 I. 0KE:: OSWEGU OR 97035 V,hone ilc 620-7538 6 P P 1.1 #. . 1 000355 This Certificate yr•7nts occupancy of the above referenced building or portion thereof and r.onfirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the gr-•oLip, occupancy, and use lindar which ttie referenced permit wa' issued. 'II...DING INSPECTnR .0 I..D G OFFICIAL POST IN CONSPICUOUS PLACE Page No. 1 CASE HISTORY FOR CASE NO.: MST97-0022 DON MORISSETTE HOMES 13696 SW LIDEN DR 07/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- MSTA005 Application received / / / / 01/21/97 RECD DRA 05/30/97 J"H MSTA008 P rmit Created / / / / 01/23/97 PEND B 01/23/97 BON MSTA010 :.neck for prc[. restrict. / / / / 01/23/97 PASS B 01/23/97 BON MSTA01; Plans routed to Plans Examiner / / / / 01/23/97 PEND B 01/23/97 BON MSTA02A Plans approved by RPE / i / / 01/27/97 PASS RT 01/27/97 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 01/27/97 PASS RT 01/27/97 BT2 MS7A032 DST Post-Review Completed / / / / 01/30/97 PASS DRA 03/03/97 DRA MSTA080 (F) Ready to issue / / / / 01/30/97 Collect (248.83 for previous plan review PASS DRA 01/30/97 DRA on MST96-0553, those plans are attached to these plans. Pay fees for MST96-0553 & then void permit. MSTA092 (F) Issue combination permit / / / / 03/03/97 PASS DRA 03/03/97 DRA MSTA095 Issue plumbing signature form / / / / 03/14/97 RECD JT 07/11/97 JT MSTA097 Issue electric signature form / / / / 03/14/97 RECD JT 07/11/97 JT MSTA700 Erosion Contol / / / / 03/05/97 PASS USA 03/05/97 RB MSTA703 Grading !nspection / / / / / / 01/23/97 BON META705 Footing Insp / / / / 03/05/97 PASS RB 03/05/97 PB MSIA706 Foundation Insp / / / / 03/05/97 pending- 04 reber at HPAHD location rear PEND RB 03/06/97 RB south location MSTA706 Foundation Insp / / / / 03/06/97 PASS RB 03/06/97 RB MSTA710 Post/Beam Structural / / / / 03/18/97 pending- remove wood debris; cross PASS RB 03/18/97 RB girder missed; support plenum box; missed stud behind furnace- marked. MS1A711 Post/Beam Mechanical / / / / 03/18/97 see structural this date PASS RB 03/18/97 RB MSTA713 Crew( Drain / / / / 03/13/97 PASS MS 03/13/97 MRS 14FTA717 PLM/Underfloor / / / / 03/18/97 PASS MS 03/19/97 MRS MSTA720 Mechanical Insp / / ! / 04/25/97 insulate horizontal duct Win soffit; FAIL RB 04/25/97 RB exhaust venting disconnected; protect b-vent w/in attic; seal all thru hole penetrations w/in RA; gas connector & shut off missing at fireplace unit; remove wires away from fireplace; sae[ gas line thru hole penetration to u/f in garage. MSTA720 Mechanical Insp / / / / 04/30/97 exhaust venting disconnect; insulate FAIL RB 04/30/97 RB duct w/in soffit; seal ell thru penetrations w/in RA MSTA720 Mechanical Insp / / / / 05/01/97 see insulation this date FAIL RD 05/01/97 RB MSTA720 Mechanical Insp / / / / 05/02/97 see insulation this date FAIT. DD 05/02/9? RB Page No. 2 CASE HISTORY FOR CASE NO.: MST97-0022 DON MORISSETTE HOMES 13696 SW LIDEN DR 0Y/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- -------------------------------- •----- ---- --- -------- --- MSTA720 Mechanical Insp / / / / 05/05/97 pendinW- remove drywall to view exhaust PASS RB 05/05/97 RB venting MSTA720 Mechanical Insp / / / / 04/25/97 1. Inadequate room on return plenum for FAIL DT 05/30,/97 J*H req'd r-8 insulation. 2. Verify minimum 2" clearance (R-8) insulation in return and supply plenum. 3. Install screws at insplicer collar as per instructions. 4. 4" vent connector to small (supply GAMH chert to verify venting will work). 5. Supply proper connector for splice at exhaust fen duct. 6. Inst. foil all exhaust fens. 7. "B" vent lack firestop at attic/top floor. MSTA722 Plumb Top Out / / / / 04/21/97 need a proper ramp to house NR MS 04/22/97 MRS MSTA722 Plumb Top Out / / / / 04/23/97 PASS MS 04/23/97 MRS MSTA722 Plumb Top Out / / / / 05/12/97 upstairs soaker tub okay PASS MS 05/12/97 GES MSTA723 Electrical Service / / / / 04/30/97 PASS DD 05/01/97 RB MSTA724 Electrical Rough In / / / / 04/30/97 pending- neutral pigtail needed at LR PASS DO 05/01/97 RB mutt. wire branch circuit; NM cable in attic needs to be secured; NM cable to exterior needs to be caulked KT A725 Framing insp / / / / 04/30/97 meth issues; electrical cover; support FAIL RB 04/30/97 RR notched stud at den; shim rafters aft alcove of garage; master becirm egress exceeds height req'mts. MSTA725 Framing Insp / / / / 05/01/97 see insulation this date FAIL RB 05/01/Y7 RB MSTA725 Framing Insp / / / / 05/02/97 see insulation this date FAIL DD 05/02/97 RB MS7A7?5 Framing Insp / / / / 05/05/97 pending- meth issue; shim rafters PASS RB 05/05/97 RB MSTA726 Sheer Wall Insp / / / / 04/03/97 upper C-well detail missed (above FAIL RB 04/03/97 RB garage); .1-wall detailing- sheath both sides b nail 211oc PSTA726 Shear Wall Insp / / / / 04/04/97 C-watt above garage- not installed FAIL RB 04/04/97 RE other issues as per garage wings to be checked at framing MSTA726 Shear Well Insp / / / / 04/30/97 pending J-wall sheathing application PASS RB 04/30/97 98 Page No. 3 CASE HISTORY FOR CASE NO.: MST97-0022 DON 14ORISSETTE HOMES 13696 SW LIDEN DR 07/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ ------- -------- -------- --------------------------------------- ---- --- ------... ..- MSTA735 Gas Line Insp / / / / 04/25/97 PASS RB 04/25/97 RB MSTA740 Insulation Insp / / / / 05/01/97 laundry exhaust needs a reducer for 4" FAIL RB 05/01/97 RB venting; seal all thru hole penetrations w/in RA; support all rafters notched; master bedrm egress req'd; exhaust vent disconnected upstairs; insulation incompleted. MSTA740 Insulation Insp / / / / ^5/02/97 shear wall at J - nails penetrate FAIL DD 05/02/97 RB sheathing reducer needed at exhaust vent at laundry; master bedrm egress. MSTA745 Gyp Board Insp / / / / 05/09/97 pending- b-vent clearance PASS RB 05/11/97 RB partial un-cover at kitchen- maintain nailing req'mts MSTA755 Rain drain Insp / / / / 03/13/97 PASS MS 03/13/97 MRS MSTA760 Water Line Insp / / / / 03/13/97 PAS MS 03/13/97 MRS MSTA765 Appr/Sdwlk Insp / / / / 05/15/97 PUSS PI 05/21/97 MRS MSTA790 Electrical Final / / / / 06/26/97 Panel schedule not in compliance with PASS BRP 06/27/97 J*H Art 384-12, 110-22, identification not specific, not complete, not easily understood. Flex at garbige disposal to be secured in accordance with ARt 350-18, 110-12. Gap at recept in upstairs storage room, sheetrock, Art 370-21. Wall plate left of fireplace not flush 410-56(e) 8 110-12. MSTA790 Electrical Final / / / / 06/29/97 PASS BRP 06/29/97 J*Ii MSTA795 Mechanical Final / / / / 06/27/97 PASS MS 06/29/97 J*H MSTA795 Mechanical Final 06/29/97 / / 06/27/97 See mech. final notes. FAIL RC 07/09/97 J*H MSTA797 Plumb Final / / / / 06/27/97 1. Kitchen sink requires a clean-out. FAIL MS 07/09/97 J*H 2. Tub needs caulking in front. 3. Tub valve. MSTA797 Plumb Final / / / / 07/0107 see bldg final notes this date PASS GS 07/02/97 J*H Page No. 4 CASE HISTORY FOR CASE NO.: MST97-0022 DON MORISS:TTE HOMES 13696 SW LIDEN DR 07/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------ ------------------------------ -------- -------- -------- ----------------------------- --------- ---- --- -------- -.. i MSTA799 Building Final / / / / 06/27/97 1. AC unit must be on concrete pad 3" FAIL RC 07/09/97 J*H from earth. 2. Provide ladder to underfloor. 3. All exterior openings must be sealed and weathertight. 4. All holes in garage ceiling & walls j must be sealed with approved material. 5. Stove not installed. 6. Need plumbing approval before building final. MSTA799 Building Final 06/29/97 / / 06/30/97 1. Cap rain drain at rear of house. PASS GS 07/02/97 J*H 2. Previous final corrections approved. 3. Final plumbing and building appproved. MSTA960 (F) Issue Cert. of Occupancy / / / / 06/30/97 mailed 7-22-97 JT 07/22/97 S*W CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: 0613 DATE ISSUED: 00'9/3/12/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL.: 2S104BA-16100 SITE ADDRESS. . . : 1?,696 I I_I DEN DR SUBDIVISION. . . . :CASTLE HILL N0. 3 ZONING: R-12 PD BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . : 191 JURISDICTION: TIG Pr^o.j e c t De s c r i pt i on : Install service/feeder and four (4) branch circuits to existing SFD - .._------------------•------------------ - --RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS----- -----MISCELLANEOUS---- 1000 SF UR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH RDD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : it, MI.NCIR LABEL ( 10) . . . : 0 --.--SERVICE/FEEDE.R----- -----BRANCH CIRCUITS------ ---ADD' L INSP'ECTIONS---- 0 200 amp. . . . . . : 1 W/SERVICE ON FEEDER: 4 PER INSPECTION. . . . . : 0 x:'01 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 6071 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN P'I_..ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ------._---__---__._F'L_AN REVIEW SECT I ON--- -- -------- --_ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. : Own er: -- -- _- ---_------ ———————--————--—---———————————— FEES ------------------ --__.._..._ . BOB L.IBBY type amoi.lnt by date recpt 1.3696 SW LIDEN DR P'RMT L 80. 00 GEO 09/12/97 97-299197 TIGARD OR 97223 5PCT $ 4. 00 GEO 09/12/97 97-299197 Phone #: HURF ELECTRIC f 84. 00 TOTAL 17038 S. CLACKAMAS RIVER DIVE -------- REQUIRED INSPECTIONS ------- OREGON CITY OR 97045 Roi.lgh-in Elect' 1 Service Phone #: 631-8700 Undergrot-ind Cove Ele-t' l Final Reg #. . : 000381 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if Mork is not started within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rule, are set forth in DAR 952-881-818 through OAR 952-881-1987. ou may obtain a copy of these rules or direct questions to CLINE by calling 1583312'46-1987. ,7 7 ! ,1?r,mittee Signatkkre : � � ��� 1ss1_1ed By • � ---- -OWNER INSTALLATION ONLY------ The NLY--__-The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: � _ _____ DATE: INSTAL.L.ATION ONL_Y-__..______---_-_-------.------ - SIGNATURE OF SI_IPR. ELEC' N: (�?`� CZe DATE. LICENSE NO: --"/ J +++++++++++-F+++++-++++++++++++++++.+++4-4-+4+++++++++++++++++4-4-+++++++++++-1-++-F+++++ Call 639--4175 by 6:00 o. m. for an insDection needed the next bi.isin ss dav 4++4+++ +++++++++++++++ 4++ 4 1 4+-+++++++++++++++++-I-++++ 1-+++++++++++4++f+++++++++-+++ 08 28 97 THL' 11:55 FAX 503 598 1960 CITY OF TIGARD 011= CITY OF TIGARD Electrical Permit Application Plan Ch9rk F__ nec'd By 13125 SW HALL BLVD. Date Rec'd___�_ TIGARD OR 97223 Date to P E _ Phone(503)639.4171,x304 Print or Type Date to DST Inspection(503)639-4175Permit Fax(503)6134-7297 incomplete or illegible will not be accepted caller __ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development-— / _ Number of Inspectlons per permit allowed Namp(or name of business) Service included: Items Cost Sum Addressf l'J --- _ 4e. Residential-per unit !^/J 1000 sq.h or 19'.s _ E110.00 4 CIWState/Zip T( cN/ CyT Lll Fach additional 506'q it or 5?5.00 1 - -- portion Ihmmof Commercial 0 L7 Residential Limited Energy $25.00 Each Manuf'd Horne or Nodular Dwelling Service or Fusdar _ $68.00 __--- 2 2a. Contractor installation only: 4b.Swvlces or Feeder (Attach copy of all curreitit licenses Installation,alteration,or relocation Electrical Contractor_ ' ' / — _ ` 200 amps or 1955 $60 00 —- 2 Address_ Clty 'I ••� u State Zip 201 amps l0 400 amps _ _-- (80.00 2 � �O< r r _� 401 amps to 600 amps $120 oo 7 city _ (a Z/ ' ct � _ 601 amps to 1000 amps $180.00 - 2 rhoneOver 1000 amps or volts $340.00 2 Job No. X v__ -- Reconnect only 550.00 _ 1 - D7 s '_ i -G Eler. Gont.LJce.No.sz._. CGcp•Dete OR State CCB Reg.No. Exp.Date t elG 4c.Temporary Services or F-eedan COT Business Tax or Metro No. Ex�p_Date_y1 4�' installation alteration.or relocation -- 200 amps or less W 00 2 h r 201 amps to 400 amps $7500 _ 2 Signatum)of Supr.$leen y- - - 401 amps to 600 rumps _ $100,00 2 If Over 600 amps to 10(x1 volts, I mpnse No.I�/�•s f Fxp.Dete_f "b'above. Phone No 4d.Branch Circuits New,alteration or extension pei panel 2b. For owner installations: a)The fee for branch circuits with purchase or sw0co or feeder Me. Print()wnpr's Name_- ___ -- Each branth circuit _AL $6 00 Address_!._---- -- .___. b)The fee for branch corcudb City----- State__ 7ip without purchase of Phone No. _ --- - servrre or feeder fire - - Fitst branch cirrus Each atldltlonel branch circuit�- 55.00 2 The instAllation is being made on property I own which is not intended for sale,lease or rent. 4e.Miscellaneous (Service or(Ceder not inrl(Ided) $301 pump or irrigation clrcln. $4000 ---_-- 2 Owner's SignBturA_ - - -------- $40.00 2 Each sign rn outline lighlmg � Signal circuit(:)or a limited energy 3- Plan Review section(if required): panpi,Altaraiion or extanslon _ $40.00 oocoo 2 Minor Labels(10) -- -- Please check appropriate Item and enter tee in Section 58. 41.Each additional inspection over 4 or mare resldnnt al units In one structure the allowable in any of the above _ Service and feeder 225 amps or more $35.00 System nver 600 volts nominal Per inspection 555.00 Classified area or structure corflining:poral occupan y Per hour _—_ f,ls 00 as deserlbed in N r C Chapter 5 In Plant Summit 2 sets of plans with application where any of the above apply. 5. Fees: Enter total of above tans e Net required for temporary construction services. 5e..,i Surchmrge(,05 X total fear) S OTICF Subtotal s -- 5b.Enlor?5°/of Ime Sa for Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS - NOT rOMMENGFD WI I HIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal I$SUSPENDED OR AAANDONED FOR A PERIOD OF 180 DAYS AT ANY >f ' T-IMF AFTER WORK IS C;UMU. 11 1 rust Account MENCES 43 7 Total balance Duo 1�ocTMC6/.nev Air.It" __ CITY OF T MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : MEC97-0330 DATE ISSUED: 09/04/97 PARCEL: 2SI04BA-16100 SITE ADDRESS. . . : 13696 SW LIDEN DR SUBDIVISION. . . . : CASTLE HILL N0. 3 ZONING: R-12 PD BLOCK,. . . . . . . . . . . L0T. . . . . . . . . . . . . : 191 JURISDICTION: TIG CLASS OF WORK. . :ADD FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES----------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 1 COMML. 1 NC I N: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS'?. . : 30-50 HP. . . . : 0 WOODS TOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---- -- --- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 0 != 10000 cf m: 0 GAS OUTLETS. : 1 TURN ) =1.00K BTU: 0 ) 10000 cfm: 0 Remarks : Installation of of gas line and 150,80 BTU swimming pool heater. Owner: ---------------------------------------------------------- FEES BOB LIBBY type amoLint by date recpt 13696 SW L_IDEN DR PRMT $ 25. 00 DRA 09/04/97 97-2:98928 TIGARD OR 97223 SPCT E 1. 25 DRA 09/04/97 97-29892'8 Phone #: Contractor - ------- - ------ --------_______ f;l__ASS I C POOL 9. SPA 17875 SE 82ND DR --------.._----.----------------- ___._...____.._._ f 26. 25 TOTAL MILWAUKIE OR 97220 Phone #: 653-8010 Reg #. . : 000606 -------- REOUIREU INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tiqard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _ applicable laws. All work will be done in accordance with Heating lint Insp _ approved plans. This permit will expire if work is not started Misr. Inspection within IN days of issuance, or if work is suspended for more Final Inspection _ than 180 days. QTTENT:ON: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules ore set forth in OAR W-801--0818 through OAR 952-08I-W. You may obtain copies of these rules or direct questions to URIC by calling Permittee Signati-tr +4+ ►+++ F++1-+++++++++..++.+•+++++++++++++++++++++++++++4-+++++++++++++++++++++++++++ Call 639-4175 by 6:00 p. m. far inspections needed the next bi_isiness, day +++++++++++++++++++++++++++•f+++++++++++++++++++++++.t+++++++++++++++-f++++++++++•+ Plan CheM CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd - -'' TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit Ill. Incomplete or illegible applications will not be accepted Called Name of Os ielopmenVo-c d Description Table to Mechanical Code OTY PRICE AMT Job Street Addrexan surer A) Permit Fee 0- -0- 10.00 Address J �_1AR- 3 Bag* Cayrstate zip 1.) Furnace to 100,000 BTU 6.00 1 including ducts&vents Na for name or bustne s) 2.) Furnace 100,000 BTU+ 7.50 Owner K LIJ � including ducts&vents Mag Address 3.) Floor Furnace 6.00 including vent Crt zrp Phone 4.) Suspended heater,wall heater 6.00 or floor mounted heater Nfa ma a.bu}in ss) 5.) Vent not included in appliance permit 3.00 1 r Occupant Maftf Address 6.) Boiler or comp,heat pump.air Gond. 6.00 to 3 HP;absorb unit to 100K BUT" Crtyr a zip Phone 7.) Boiler or comp,heat pump,air wind. 11.00 3.15 HP;absorb unit to 500K BTU" Contractor Nart1e I 8.) Boiler or comp,heat pump,air Gond. 15.00 (Prior to c 15.30 HP;absorb und.5-1 mil BTU" issuance Mailing Add 9.) Boiler or comp,heat pump,air Gond. 22.50 applicant J ^ 30.50 HP,absorb unit 1-1.75mil BTU" must provide all IJp Ph_on� 10.) Boiler or comp,heat pump,air Gond. 37.50 contractor - o(� >50 HP;absorb unit 1.75 mil BTU- Ii-*nom Oregon Conn C,.&B Exp.Dns 11.) Air handling unit to 10,000 CFM 4.50 information if expired in COT COT Busrresa Tax or Mahn*' Exp Dole 12.) Air handling unit 10,000 CFM 7.50 _database). Architect Name 13.) Non-portable evaporate cooler 4.50 or Mailing Address 14.) Vent fan connected to a single duct 3.00 Engineer CrtyiState zip Phone 15) Ventilation system not included in 4.50 _appliance permit Describe work New O Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50 to be done Residential O Non-residential O n r 1 _ Additional Ds:scription of work `./ 17) Domestic incinerators 7.50 ' ( Or- 18.) Commercial or industrial type 3000 ' /7 i� I I Q Inanerator _ Eyistin§use of 19) Repair units 4.50 building or property 20) Wood stove 4,50 Proposed use of 21 ) Clothes dryer,etc. 4.50 building or property. 22) Other MIS 4.50 Type of fuel-oil O natural gas. LPG O electric O 23) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50 information given is coned.that I am the owner or authorized agent of the rune,,that plans submitted are in compliance with Oregon State -- QTY.SUBTOTAL laws _ Signature of Qwner/Agent Date *SUBTOTAL T-11 5%SURCHARGE Contact Pe on Nam Phone PLAN REVIEW 25%OF SUBTOTAL I.� -2 --- TOTAL. - S i AstImechpmt doc (rev 9 'Minimum permit fee is 525+5%surcharge "Residential A/C requires site plan showing placement of unit. CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BUP97--0339 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171DATE ISSUED: 07/16/97 PARCEL: 29104BA-1.6100 E ADDRESS. . . : 13696 9W I__I DE N DR `_)UPD I V I S I ON. . . . : CASTLE H I Ll- NO. 3 Z ON I N(33: R---12 PD BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . : 191 .JURISDICTION:TIG REISSUE: FLOOR AREAS------------- EXTERIOR WALL CONSTRUCTION-- C:;I_..ASS OF WORK. :OTR FIRST. . . . : 400 sf N: S: E: W: TYPE OF USF_. . . :SF SECOND. . . : 0 s f PROTECT OPF_N I NGS?---__..._._-.__..___ I'YPE OF CONST. :5N . . . . 0 s f N: S: E: W: OCCUPANCY GRP. : R3 TOTAL,------: 400 s i` ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT'. : 0 sf AREA SEP. RATED: !.'TOR. : 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED: DSMT": MEZZ7 : RF_DD SETBACKS---_---.__ I--L90R LOAD. . . . : 0 P s f I.._EF'1' : 0 ft RGHT: 0 f t F I R S1 KL: SMOK DET. . DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BF-DRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 1.4000 R e m av-k s : Installing one piece fiberglass mould swimming pool and spa. Owner: -.__.. -- - FEES BOB L,IBBY type amei.int by date r^ecpt 1.3696 SW LIDEN DR PRMT ,1. 104. 50 B 07/16/97 97- X297171 rTGARD OR 97223 PILCK $ 67. 93 P 07/16/97 97-2971.71. 5PCT $ 5. 23 B 07/16/97 97-2''37171 Phone #: 649-7471. FIRE $ 41. 80 H 07/1.6/97 97-2971.71. Contractor.: - __..______.__._._----.-.._.._..--.____-_ CLASSIC POOL & SF'A � 17875 5E 82ND DR M I I_.WAUK I E OR 97220 f=h rrn e #: 653-8010 $ 2'19. 46, TOTAL_ RPLI 000606 REQUIRED INSPECTIONS ._ _.....__.__ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those _� �_.•,.__,_• _ �___ _ ______.. rules are set forth in OAR 952-881-001P through OAR 952-80101967. You many obtain a copy of these rules or direct questions to Ol1NC __._ by calling (503)246-1987. Permittee Signature : _ t Issr.ied By : 6v-L'�A +++++++++++•+++•++•+++++++ ++-F++++++++++t++++++4--h+++4+++4•+++++++++++++++++++++4-++ Call 639-4175 by 6:00 p. m. for ani inspection needed the next br_isiness day +++4.++++++4+++++++++4-++++.+++++++++++++++++++++++++-1-++++++++++-F++++++++-+++4++++ Ch ITY OF TIGARD Residential Building Permit Application Rt Plan Bye e 31:-S SW HALL-BLVD. New Construction Additions or Alterations Date Recd 'GARD, OR 97223 Single Family Detached or Attached (Duplex) oats to P E. 503-639-4171 �(/ oats to 0 T 503-684-7297 /�)(7 Permit M q7— Print or Type called Incomplete or illegible applications will not be accepted Name of Project Name Job L_.°l �LL- Address Site Address ' Architect Mailing Address ^o 1 !' NaasClty/Stats Zip Phone LILL Name Ownar Mautng Address En neer Matting Address 06,rState Zip Phony ) g a I C,ty/State Zip Phone General r ` Describe worse New O Addition O Alteration O Repair O Sontractor Mailing Addross to tw done: c rJ Additional Description of Work: r Zip Phone O on ,Qnsl.Coote Board Lie.0 Exp. Oates .trach Copy of ( Current COT 8ustness Tax or Metro 0 Exp. Date PROJECT Licenses l i i I --r' � VALUATION $ Name - Mechanical NEW CONSTRUCTION ONLY: Sub- Mailing Address Sq. Ft House: Sq. Ft Garage Contractorr~ , I.; •? Comer Lot YES NO Flag Lot YES NO C.tyr c zip Phone (check one) (check one Oregon Const.Cont Board Lic.ttt Exp. Date Restricted Audio/Stereo Burglar ach Copy of Energy System Alarm .urren. COT Business Tax or Metro « Exo. Date Installation Garage Door HVAC ..�censes Name Opener Systems (check all that Other. Plumbing app Sub- Malting Andress Will the electrical subcontractor wire for all YES NO Contractor restricted energy installations? Cay,State Z!!� Phone Has the Subdivision Plat recorder" N/A YES NO Cregon C3nst. Cont. Board L.c x Exo. Cate Reissue of MST : Solar Compliance Attach copy of (Calculation Attached) Current Plumomg Lie. s Exp. Dace LicensesI hearby acknowledge that I have read this application, that the information given is correct.?hat I am the owner or authorized COT Business Tax or Metros Exo Date .agent of the owner, and that plans submitted are in compliance Name — with Oregon State laws. Electrical L� Signature of Cwner/Agent Date Sub- ',ta ling address Contact Person NameI Phone 9 Contractor C.lyiState Zip Phone FOR OFFICE USE ONLY: ICrrgon Const. C: Boaro Lic t1 Exo Date Plat#: Map/TLtk attach copy of Setbacks: I i Zone: I Solar: Current Eiec*rcat L c e I E.eo Date L.:censes Engineenng Approval: Planning -pproval: TIF COT?usiress -ax a Metro x I Exp. irate =REMOLDOC iDS'1 :,97 Permit 0 Acct. Descritpion COT WACO Amount Amt. Pd. Bal. Due MST. Permit (BUILD) (UBUILDJ /0 L/ J . Plumb. Permit (PLUMB) (UPLUMB) Mech. Permit (MECH) (UMECH) ELC/ELR Permit (ELPRMT) (UELPMT) State Tax (TAX) (UTAX) i 3 BLDG: PLUMB: MECH: ELC/ELR: Plan Check MST: (BUPPL14') (UBUPLN) G Plumb: (PLUMB) (UPLUMB) Mech: (MECPLN) (UMEPLN) CDC Review(BUILD) (CDCBLD) (UCDC) CDC Review(PLN) (CDCPLN) N/A Sewer Connon (SWUSA) (USWUSA) Reimbur. District ( ) ( ) Sewer Inspection (SWINSP) (USWINS) Parks Dev Charge (PKSDC) N/A Residential TIF (TIF-R) (UTIF-R) Mass Transit TIF (TIF-MT) (UTIF-M) Water Quality (WQUAL) (UWQUAL.) Water Quantity (WQUANT) (UWQANT) Erosion Control Prmt (ERPRMT) (UERPMT) Erosion Planck/USA (ERPLN) (UERPLN) Erosion Planck/COT (EROSN) (l'EROSN) _ Fire Life Safety (FLS) (UFLS) TOTALS: -�— Uc 12-1 SFaEVIDL.DOC (DST) 5i9 __