10365 SW CENTURY OAK DRIVE I 1
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13365 SW CENTURY OAK DRIVE
�ja CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: r�9 ��1?�1 A.M. ✓ P.M. _ MST:
Location: _�� �� VV i BUP:
Tenant: Suite: -� Bldg: NEC:
Contractor:jPhone: / 7�jo� � PLM:
10'
Owner: Phone: 7"0 O I ELC:q
ELR:
__ __ SIT:
BUILDING BLDG(con' PLUn�'�LNG MECHANICAL ECTRICAL SITE
Site Popt/Beam Post/Bean, Post/Beam Covc•Flsimce Sewer/Storm
Footing Roof (IndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Cast Gas Line Rough-in UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masorry Ceiling Rain')rain A/C Uta Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr heat Pump Low Volt _
Approved Approved Approved Approv Approved
LAppr/.Sdwlk Not Approved Not Approved Not Approved cl ved Not Approved
FINAL FINAL FINAL, �' FIN FINAL
D Call for reinspection�i Reinspection fee of Sequired before next inspection O Unable to inspect
Inspector:__
Date: �` C� Pette of _--
CITY OF TIGARD PLUMB I NIL RM IT
DEVELOPMENT SERVICES PERMIT t►. . . . . . . . PL.M97--0--1
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/22/97
r"'ARCEL: 2S 1 1 1 CC-01:200
SITE ADDRESS. . . : 10365 SW CENTURY OAK DR
SI;QDIVl7SION. . . . : OUMMERFIEI_D ZONING: R 7
Bi.._nr,.v. . . . . . . . . . LOT. . . . . . . . , . . . .. :01'3 JURISDICTION: TTO
ASS C)h- WORE;. . :ALT (;ARE.AGF DISPOSALS. 0 MOBILE HOME SPACES. :
-'PE OF USE. . . . :SF WASHING MACH. . . . . . : 1 BACKFLOW PREVNTRS. . : 0
CI_1F'ANCY ORP. . :R7 FL-onR DRAINS. . . . . . : 0 TRAPT). . . . . . . . . . . . . : 1<1
'"ORIES. . . . . . . : 0 WOTER HEATERS'. . . . . : 1. CATCH BASINS. . . . . . . : 0
�_...__.....-.___...- I._faI.INDRY TRA'r . . . . . : 0 rF RAIN DRAINS. . . . . 0
NIKS. . . . . . . . . . 0 URINFALS. . . . . . . . . . . . 0 CREASE TRAP'S. . . . . . . 0
VATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
IIB/SIAOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
,Tr.-.P rl_m)F TS. : 0 WATER 1.-T.NE (ft) . . . : rn
1) r SHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
R4+m��r"r<�; : In ;tr�], ling a w� $tri.ng m��r_tsine and a water• he t;4?r
nvvnei-: ____._. _ ____ __._.._.._._....._...__---___._._______—_ FEES --
r-r?F ) r'E'1I..LIPS type datp r•erpt,
1O365 SW CENTURY OAK DR PRMT $ 25. 00 B 07/22/97 97-2:9716..-
TIC 17D OR 97'2'211 nir,c T' 1 1 . ;'r R, 07,/22/97 97-2976 rrll
'lone #:
r C HAEI_ & CO PL.I lMP T iqn
rnX 23008
EXPIRED
i
I
rr,ARD OR 97281 _...._____.._ ._...__.-.....____......__..._.._.....__.,_._ ..._ ...._.__...
11one #: 639 . 318' (J� 26. E'S TOTAI_.
Og It. . : 000678
._.-_____._.... RI'nll I RED I NSF'ECT I ONS
-is pewit is issued subject to the regulations contained in the Top--01st Insp
.igard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started -
within 180 days of issuance, or if work is suspended for sore ___• __. ______ �_ _.___ .____.____.__._._....
than 160 days. ATTEVION: Oregon law requires you to follow rules --
adopted by the Or•egan Utility Notificatioir Center. Those rules are
set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You Bay --•---
obtain copies of these rules or direct questions to OX by calling ----
(503!246-1987.
! ss-, - .d By : Pl?i"m1{:t E!' J1gi7c1{:
}+++++•+++++++++++++.. '-++++a--4-++++++-'-+++++++++•4-+++++++-4+++•++++++++-4•++ +++++++i
Call. 6301-4175 by 6:OO , . m. for" :An inSpectiorr needed the next hi-iciness day
h+•+•F++++-i-+-�++++++4+++-4•++++++++-4 1 -1 -+ 1++4++-+++++++++++++-i+++++++++4-++++++--F~+++-4++
',ITY OF "rIGARD Plumbing Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd_
IGARD, OR 97223 Cate to F E
Date to DS
-90 s) 639-4171 Permitill �'-N�7 d
Print or Type Related SWR#—_.---
Incomplete or illegible applications will not be accepted Called— �—
Name of DevelopmenilProiecl —� FIXTURES (Individual' QTY PRICE AMT
Job I/ 1�, V, 11 Sink 9.00—
1, - -- —
Street Address Lavatory 900
Address Suite Tub or Tub/Shower Comb _ 900
Bldg# CitylState Zip Shower Only _-- 9.00
Water Closet 900
— Name n Dishwater 9.00
/V Garbage Disposal 9.00
Owner Marling Address Suite
Washing Machine 9.00 v '`
CitvlSlale Zip Phone Floor Drain 2" 9.00
- -----_ _ 3" — 9.00
Name — -
," 9.00
OCCUpant Mailing Address Suite Water Heater -- 9.00
Laundry Room Tray 9.00
CitylSlate Zip Phone Unnal 9.00
Nape Other Fixtures(Specify) 9.00
i —
Contractor !1adingAddress Suite — — 9.00
0 i3' 3e""L/ 9.00
Cityl5tate c Zip phone ^— 9.00
LIJ
Oregon Cdnst.Cont.Board Lic.# Exp.Date 9.00
Attach Copy of [c' �� 7' j 9.00
Current Plumbing Lic.# Exp.Date Sewer-1st 100' 30.00
1.Icenses ���,. .;��J 6 j `t % Sewer-each additional 100' 25.00
COT Business Tax or Metro# Exp.Date Water Service-1 st 100' 3000
— Name —- Water Service-each additional 200' 25.00
Architect Storm&Rain Drain-1st 100' 30.00
or Mailing Address Suite Storm&Rain Drain-each additional 100' 23.00
Mobile Home Space 25.00
Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
-srnba work New O Addition O AlterationIqRepair 0 Residential Backflow Prevention Device' 1500
be done: Residenti�� Non-residential O Any Trap or Waste Not Connected to a Fixture 900
idltional description of wor' Catrh Basin 9.00
Y Q t��+ Insp.o °xisting Plumbing 40.00
.—. I_ I ',\E U per/hr
Specially Req jested Inspections 40.00
,fisting use of per/hr
adding or property "L L Rain Drain,single family dwelling 3000 I
'-oposed use of Grease Traps 9.00
building or property _ _
QUANTITI' TOTAL
Are you capping moving or replacing any fixtures? Yes No p Isometric w nser diagr9m is required d Ouawty T orals >9
(If e't see back of form) 'SUBTOTAL
I hereby acknowledge that I have read this application,that the mfnrmation --- ^1 ,,
given is correct,that I am.:ie owner or authorized agent of the owner,and 5% SURCHARGE
that 1 n submitted are in compliance with Oregon State Laws.
S rn of Owna•IAgant Date PLAN REVIEW 25%OF SUBTOTALR ured on A fixture total is>9
/( TOTAL
ntact Parson Name Phone
'Minimum permit fees S25- S%surcharge.except Residential n :kflow
•a �/.<1 C ` U ( '}''. _ �� Prevention Device,which is S15-5%surcharge
c,..,s\plmapp doc 8196
PLEASE CQMPLETE AS ARER RIATEIQ PROJECs:
Fixtures to be capped, moved or replaced Qty
_Sink --+—
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garb_aye Disposal —
Washing Machine--
Floor .. �rain
achine —Floorrain 2"
Water Heater _
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CITY OFRD
5
DEVELOPMENT S, i v 9.
13125 SW Hall Blvd.,Tigard,OR 97223 (503)8394171
P7ACEL: 29111CC-0;200
SITE ADDRESS...:10365 SW CENTURY OAK DR
SUBDIVISION....:SUMMERFIELD ZONING.-R-7
BLOCK........... LOT.............:019 JURISDICT'ON: TIG
Pr^,ect Description: Add five (5) branch circuits.
r _._TEMr' SRVC/r-SEDERS••- ......... MIS;r_GATINrC)Ua -
100Q1 SF (7R L.ESS. . . . : 0 — X00 amp. . . . . . . : 0 r'UMr'/I RR: ON. . . . : 0
EACH ADD' L. 500SF. . . : 0 201 400 ami.. . . . . . . : 0SIfiN/OUT LINE LTG. . :
i...IMITEI) ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/r'ANEL. . . . . . . : 0
ronNF. HM/ SVC/FDR. . : 0 Gol +amp's--101710 volts. : 0 MINOR I-ABEL_ ( 10) . . . : 0
---SERVICE/F'EEDFR--•---_ ----BRANCH CIRCUITS--._ _.— r)DD' L INSPECTIONS—
171 200 r": mp. . . . . . : 0 W/SERVIC,C ol9 I"GET)[rp: 1'1 PIER INSrrCTION. . . . . : 0,
_101 4710 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 F'f,R HOUR. . . . . . . . . . . : 0
/11711 - (,00 amp. . . . . . : 0 E1, (IDI)IL BRNCIA CIRC: 4 TN PLANT. . . . . . . . . . . : 1,
E,17.11 --- 1000 amp. . . . . : 0 ____.----_ ____.__-----r'L_AI�I REVIEW SECTION-_...-___...-__...._.---__-.-.
1.000.1- amp/VO)t•. . . . . : 0 ) -4 RFS UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . :
Flc'c-onnect only. . . . . : 0 SVC/F'DR 225 AMP'S. . : CL.AGS AREA/SPEC OCC. ;
__. FEFS
FRED r'►;iLLTr,q.. __. _.-. ...._ type an lint by date recpt
1111";6a SW CENTLJRY OAK DRIVE: F,RIhT $ 753. 00 GF:O 07/30/97
TT BARD OR 97223 SPOT `ti 2. 75 GE:O 07/30/97 97--29774—
r'llone #:
inti•actor;
1A1._AT I N ELECTRIC t; ':7"„ '75 T0Tint..
1 13OX G`;5
REG?t.)I RE'D I N5r'ECT I ONS ------_
"LSONVII_L.E: OR 97070 Clect' 1 Servic,
trona #: 602 `955 Undc-i ground Cove
Qrg #. . ; 000656
'his permit is issued subject to the regulations contained in the Tigard Municipal Code, Ftate of Oregon Specialty Codes and all other
_,pplicable laws. All work will be done in accordance with approved plans. This permit will expire if world is not started within 180
days of issuance, or if work is suspended for more than, iC8 days. ATTENTION: Oregon law requires you to follow the rules adoptee by
Oregon Utility Notification Center. Those rules are set fort`T in OAR 952-001952-001 %V.10 through OAq ?5p 001.1987. You may obtain a copy
these rules or direct questions to OUN'� by calling (50?) 46-1987.
I s s 1.e e d Sy
INSTril-A-AT'ON
lie instal. Iaticln is being made on property I GwT) which is riot: intended for
lle, lease, or relit.
WNER' S S I GNATt1RF•: DATE:
__—.. ._._-. ..__.................. _.._.... CCJNTRnCTOR IN STAI_LATInN
r)ATF 3d "
TGNnTURE OF SUF'R. FLFC N:
II M+•++••h-F+-1-t+•h++++•++++ 1 +-+-;++++++++++++•-F+•I-+-1-+4 +4•+•F+-1-+-F+4+•+.++++•%•+++-F-h4+++4++•F+++-F
CaTi 639-4175 by E,:00 vi. M. for At., inspection needed the neer++. 1-J+asiness da;
h+++1 + 1++++i-: 1+•F F+1i+ F F1- F F F-F ! � 1 - #-444.44 1- f4 .1 -_r.1 F I -V4 f+-1+++-1•a ►+•Fi +-1 1 i 1•+44+ I
CITY OF T!GARD Electrical Permit Application Plan Check a
13125 SW HALL BLVD. Rec'd By
Date Recd
TIGARD OR 97223
Date to P.E.
Phone (503)639-4171, x304 Print or Type. Date to DST
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit a EG e,
Fax (503) 684-7297 Called
Y. Job Address: 4. Complete Fee Schedule Celow:
Name of Development / Number of In.pectlons per permit allowed
Name(or name of business)IF-T0,11, TkL I tQ.3 Service included: Items Cost Sum
Address 1(2&:))5~ -, A) a0 A,2 U 4a. 9osidential-per unit
1000 sq.0.or less $110.00 4
City/State/Zip r __ Each additional 500 sq.ft.or
Commercial ❑ Residential portion thereof i $25.00 1
Limited Energy %25.00
Each Manul'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00 2
(Attach copy ofall ur licenses 4b.Ins S^rvlcea or Feeders
Electrical Cont Yl t tr c"--` 1 n(' Ins{allat alteration,or relocation
�- y-"-"'-. 200 amps or lase $80,00 2
Address 201 amps to 400 amps $80,00 2
City State zip _ ) 401 amps to 600 amps _ $120.00 2
Phone No. `, C 1<` 601 amps to 1000 amps $180.00 __ 2
L - Over I0oo amps or volts $340.00 2
Job No. Reconnect only $50.00 2
Elec.Cont. Lice.No. Exp.Date
OR State CCB Reg. No. nck)!p0 Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No Installation,alteration,or relocation
00 amps or less -_ $50.00 2
Signature Of SU r. EI@C'n _ 201 amps to 400 amps $75.00 2
g P 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. `• xp.Da a gS--_ see"b"above.
Phone No. MR2 7 C 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name _ feeder fee.
Address - `_ Each branch circuit $5.00 - 2
V)The fee for branch circuits
City State _- Zip__. without purchase of
Phone No. service or feeder tae.
First branch circuit $35.00 2
The installation is being made on property I own which Is not Each additional branch cirruit $5.00 Lo _ 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature_,_ Each pump or irrigation circle _ _ $40.00 - 2
Each sign or outline lighting $40.00 _ 2
3. Plart Review section (if required): Signal circuits)or limned anergy
o
panel,alteration or extension � $40,00 2
Minor Labels(10) $100.00 -
Please check appropriate Item and enter fee in section 5B.
4 or more residential units in one structure 41.Each additional Inspection over
_Service and feeder 2.25 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection _! $35.00
Classified area or structure containing special occupancy Per hour $55.00 _
as described In N.E.C.Chapter 5 In Plant _ $55.00 _
*Submit 2 sets of pians with application where any of the above apply. 5 Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 25%of line 62 for
PERMITS BECOME VOID IF WORK.OR CONSTRUCTIO:: 4UTHORIZED IS Plan Review If Leguired(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. El frust Account a_ _
a
Total balance Due
11n5TSELCM APP neV WAO