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13970 SW BULL MOUNTAIN ROAD< � . . K � � . . . § � � : . . � � . . � . � . y�. � - �}�§ � � ; §�� . ®?& / \� u�» %r/ %�/ , �� ��} ��} ' ; ' � � r ,3 ��\ � y�> x�: ��§ /QQ� _ .;�. \, �; \ . .§ �� :� y \��; \/_� � � t< � ��k ©^4 ��; z%i� \:k � y. 2�� »/\ \*\ ©`% ldk : /�� � \��� . \ �{ }�� . � '� :>�, » �� 2'a yam: � : i� � , �) :�\/ ��. \�� :\\/ t�« � ;$ / �; [fes �'\: . ��\ ��< \��2 ��{ �' . � g2� < r« \ � � � � . . , , . , ' f _ . . , .f , . .. . `, z � �� � . . . � y � � � . . . , ®� . . � � , / • \ : / � � �� � 04/07/1996 20:19 503-492-0208 E 7 LH'r DRAIN CO. PAGE 02 app-08-96 MON 06 :57 AM OREGON FIELD SERVICE 50S 231 6321 Daniel Bush, R9,,,1626 BF, Nehglem St. Pol-tlallll, OR 97202.6632..(503) 231-6521 April 6, 1996 Stcvc Wert 94$0 Garden Vallty Ltd. Roseburg,OR 97470 Etc: STEP System inspection, 13970 SW Bull Mountain Rd., Tigard ')ear Mr. Wert: _ I have inspected and tested the construction ani operation of the STEP installation made at the above property. The materials, equipment, installation and operation is fouled to be in accordance with the approved plans and trimimum standards. Tile existing septic tank and new service risers were static tested to the City of hake Qmvegr standards for STEP Installations. All were de;el-mined to be watertight. The pressure transport piping, including that installed for the secoltd service connection, were pressure tested above prescrihed standards of 5k for 15 minute. Roth were found to be watertight and capable of satisfactory Performance under the calculated operating slressr.s. The pump ittslallatinn and associated apparatus was tttstallr.d in a tttanncr which will facilitate ease of maintenance and service. The operation of the pump, controls, alarm and hariel were tested and found to perform satisfartorily in accordance with manufacturers' specifications. On Saturday, April 60h, 1 approved the r.nnstrurtion for the contracmr. The gravity Nutlet or the septic tank was cut mid capped. It is understood that the electrical has been inspermd and approved. What reniains i` to complete the service connections and have the plumbing / sewer work inspected by the City of 'Cigard. ll' there are any gttestlom, please call rte. Si n -e?wr a ly����' DAttiel i\1. Bush, R.S. Wastewater Speciallat cc: rim and Molls- Wert Alex Mtw�:k SEWER CONNECTION PE RM I T CITY OF TIGARD FERMI"(' #. . . . . . . : SWR95­0°,01.' CC'AMUNITY DE)fELOPMENT DEPARTMENT DATE ISSUED: 12/1-R11/93 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 2q109LAD-01600 CTF, ADDRESS. . . : 13970 SW BULL MOUNTAIN RD JBDIVISION. . . . : INVERNESS ZONING: R-7 DLOCK. . . . . . . . . . : L01.. . . . . .. . . . . . . . ;7 L."'NANT NAME. . . . ., :WERT I.JSA NO. . . . . . . . . . : FIXTURE UNTT5;. . . : 0 :..ASS OF' WORK. . . :NEW DWEI-I...TNG UOTTr7n,. -/PF OF USE. . . . . :SF NO. OF BUILDINGS: 0 � NSTALL TYPE. . . . :BLJc;WR 111PEPV SURFACE: 0 S Rpmr,r-ks % Sewer- connection Uwner,: FEES STEVE WERT S type iAMOLtnt by date v,ecrit 1,3970 SW BULL MOUNTAIN ROAD PRM,r s 2200. 00 B 12/21/95 95-274174 1 P 3 735. 00 P 1-2/21/95 95--,?741 74 TIGARD OR 972.23 Phone #: Contractor: NORTHWEST EEE' Z Z Z LAY DRP IISI CO NANETTE M NAUCK 9;_,]. NE HARLOW PLACE TROUTDALF OR 971A60 Phone #: $ x:;:.35. 00 TOTAL OE39436 REQUIRED INSPE—TIONS This Arolicant acrots to comply with all the rules and regulations L-'p w p r- n of tht Unified Spwaoe Agency. The oervit exoires 18e days from the date issued. The total amount oaid will be forfeited if the versit exDires. The Acencv does not guarantee the accuracy if the side sewer laterals. If the sewer is not located at the measurement aiven. the installer shall orosoect 3 fee' in all directions from the distance given. If not so located, the installer shall Purchase .......... a "Tan and Side Sewer" Permit and the Agency will install a lateral, I S S 1-t 13 r j FAY - 6M'o W. Call for- insrjecticin 639--4.175 Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: Subdivision: Lot # Office Use Only Contact Date / l Initials V�luation: _ �— _ Result New Construction Only: (Square Footage) PlancklRec # Permit # House' _ _ Garage: Reissue of Corner Lot? Y N Flag Lot? Y N Map & TL Zone Plat # Gwner: — - Approvals Regu:req Address: Planning Setbacks Solar ---- ---- ----- Engineering _ Phone. Other ( ) -- — Contractor: Items Required Subcontractors Address: Truss Details - Other --- ,_.f------- - -- ._ Phone ,���+�� Notes L ) Contractor's License d (attach ropy of current Orbgon license) Contact Name: --- - --- Contact Phone Subcontractors: Architect/Engineer: Plumbing: _ _-- Address Mechanical: (attach copy of current OR Contractors License) — Phone: JOB DESCRIPTION: ' Applicant Signature Applicant Phone number — Received by. Date Received —_�� r/w, %'S Permit 3 Account Oescription Amount Amt Pd. BaL. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MBCM) Stab Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (S.'VUSA) Ino `Zp ji Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF MF-R) Mass Transit TIF (TIF44T) Com,,,-nerrial TIF (TF-C) Industrial TIF (TIF4) Institution-!l TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity ,WCUAN7) Fire Life Safety (FLS) Erosion Cntrt Permit (ERPRM7� resion P!ancklUSA (ERPIAN) Erosion Planck/COT (ERCSN) T07ALS: CITY OF TIGARD LLCCTRICAL PERMIT PERMIT #: ELCIG -e145 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSIXD. 03/11/96 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)539-4171 'A C 1:L 109 S r)-Q I G 14L 0, .110 ADEKIIZ. . . : 12370 SW BULL MOUMTA:N =ZI�1512N. . . . iNVEWSS ZONTN3, R-7 T=V. . , , . - , , . LOT. . . . . . . . . . . . . . a E 0�, W'i pit 1 On : Wart .9CSICZNT!nL UNIT- -- - -- -TEMP 9RUCKEEDERS-­ MISCELLANEOUS 000 Sr Dq LESS. . . . c 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGAT TON. . . . - C �, 201 400 amp. . . . . . . 1 0 GICIN,'CUT LIN:: LTC. . ; V, 0 401 600 amp. . . . . . . . 0 SIGNAL./PANEL. . . . . . . . T C' :'01 1 ampa - 1000 volt S. ; 3 MINOR LIABEL ; 1413) . . . : T" 7c7V=/7cEDER_ ___ -- --BRANCH CIRCUITS---- - --ADD' L INSPECTIONS- ?@@ amp. . . . . . 0 14/SERVICE OR rEEDER1 0 PER INSPECTION. . . . . 3 V.: !01 4011 amp. . . . — 0 1st W10 SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 ?i 200 P. . . . 2 En ADC" L nPNCH QPQ n ri-rNT. . . . . . . . . . . : 0 jwi 100Z ".,1p. . . . . 1 0 r,t..nN REVIEW SECTION—— .,. . ._..- cc z --a E k Z 1. 1 C 6 Roo U"ITT. . . . . . . . : ) 601? VOLT NOMINAL.. . : 0 nvc/rop 125 PIMP0 . ; CLASS AREA SPEC OCC. ; rEE7, -101 WERT type amount by dat e recpt 71,,"� I W PRM7 t -!%-. 00 1C;0 03/1 96 Q7r 71 5PCT A 1. 7., JSD 01/11 /9G 06 27G01 ! .3ArD Me -L 71. 77 TOTAL REDUIRED INSPECT IGNB' cAling covv- clau! " ! rim ..ne IV ul 04iait is issued subject to the rejAlations cortained th; WE J IA. !PA44 Ali VA Q VE !;p- i!j; aws. Ail work will be done it acco-dance Aith "�z approved plans, This pervit will expire if work is not start2� ithii IN days cf iit,:a%E, o- if work -, suspended fcr vv-E han Ise dais. 7:r , A :L.Y Fhe inEtwilaLian is biring made cn propertj 1 uwn whivh is not inlended for u- i-ent. `WN',L.JIF) 1(..NATURE: UATL. .,!:ONTRncT77 TPMTAKLPTION ONLY —- ZLMC' Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. �- � �/�� Tigard, OR 97223 Permit # tC' y Date Issued G '3-l i- -7 Phone (503) 639-4171 _ CITY OF TIGARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of De, -11, .dent__ ,. I � Number of inspections per permit allowed Address �;1 7L'_ �J FIM L-u 1'�,tll H f j T S-vice included Items Cost(ea) Sum City/State/Zip_--n/zA'[> Or 9772d 4a. Residential -per unit 1000 sq. ft. or less $110or Name (or name of business) Each additional 500 sq ft or �— ff�� (� �— portion thereof $2500 _ Commercial U Residential LJQ" I Limited Energy $2500 i Each Manurd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $6800 4b. G6004b. Services or Feeders Installation,alteration,or relocation Electrical Contractor—_ _ 200 amps or loss sw 00 2 Address_ _ _ 201 amps to 400 amps $80.00 — 2 City State Zip 401 amps to 600 amps $120.00 2 Phone No. 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts $340.0c 2 Job NO. Recor act only $8000 2 contractor's "; ense NO. — -- 4c. Temporary Services or Feeders Contractors Board Reg, No. __ Installation,alteration or relocation Signature of Supr. Elec'n 200 amps or less License No Phone No. 201 amps to 409 amps __ $5000 2 401 amps to 600 amps $75 00 2 Over 600 amps to 1o90 volts $10000 2b. For owner installations: see°b°above Print Owner's Name I("� w cF (� 4d. Branch Circuits New,alteration or extension per pane Address 17' v -L HTPLP=P a)The fee for branch circuits with City &A ' State Zip `J Z purchase of service or feeder to*. Each branch clrcult $500 Phpne No. .3 b)The fee for branch circuits With jut The installation is being made on property I own which is i purchase of service or Nader fee �/ 2 not intended for sale, I e or rent. First branch circuit A $35 00 5 2 Each additional branch circuit —'1"� $500 Owner's Signature ' ��--- -, 4e. Miscellaneous (Service or feeder not Included) 3. Flan Revilew section (if required): Each pump or Irrigation circle ����//!!/ $4000 Each sign or outline lighting $4000 "--- Please check appropriate Item and enter fee In section 68 Signal circuh(s)or s limited energy panel,alteration or extorsion _ $4000 T _ 4 or more residential units in one structure Minor Labels(10) _ $100 30 - –Service and feeder 225 amps or more v _--_System over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable in any of the above as described In N.E C Chapter 5 Per inspection $35 00 Per hour $55$55 00 In Plant s $5500 --_-- Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: L NOTICE 5a. Enter total of above fees $ 5 5%Surcharge (115 X total fees) $ PERMITS BEC SME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED S NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCT!JN OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 31 $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. Ara t_� Trust Account N e° Balance Due