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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linp: 639-4175 Business Line: 639-4171 MST _
6\ BUP
—Date Requested (' AM __PM __ BLD
Location � ' •�G, ,,✓ �- Suite MEC
Contact Person, — a"'!no Ph
PLM
Contractor Ph _ _ SWR
BUILDING-- _ Tenant/Owner —_ __ ELC Z •b /6
Retaining Wall
Footing Access: Ei_R
Foundation / /I- n
Ftg Drain Z' , "7l V-�r fJ/� FPS
Crawl Drain Inspection Notes: �j� SGN
Slab �� SIT
Post& Beam
Ext Sheath/Shear L� f
Int Sheath/Shear -
Framing _
Insulation -. -- - -
Drywall Nailing _ _ - n ��
Firewall / ----
Fire Sprinkler
Fire Alarm ---
Susp'd Ceiling
Roof -�--- - -- - .
Misc: _
Final ,
PASS PART FAIL
PLUMBING -----
Post&Beam ----- ----- -- -- - --- ----
Under Slab
Top but - -
Water Service
Sanitary Sewer - ---
Rain brains
Final
PASS PART FAIL
MECHANICAL
Post& Beam -- - - - - -
Rough In
Gas Lige - ----.----- _
Smoke Dampers � -----�----- �_..
Final _.-- _ - - -- ---- - -----------
PASS POT FAIL
('ELECTRIC-ft ---
Service
Rough In -- ------ —_. ----- --- -.-
UG/Slap
Low Voi'age
Fire,Alarw -
ART FAIL
Backfill/Grading --- ---- _ �__
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RIF _ -- �[ ) linable to inspect-no access
ADA
Approach/Sidewalk
Other Date - - Inspector _Ext
Final
PASS PART FAIL j DO NOT REMOW this inspection record from the job site.
IL -- -- --
^\ - ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT#: ELC2000-00098
DEVELOPMENT SERVICES DATE ISSUED: 3/9/00
13125 SW Hall Blvd., iciard, OR 97223 (503) 639-4171 PARCE1_: 1S12EDD-08300
SITE ADDRESS: 06025 SW BARBARA LN
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING: R-4.5
BLOCK: LOT : 091 JURISDICT.ON: TIG
Project Description: Installation of two (2) branch circuits.
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ _ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp:s J PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL:
MANE HMI SVC/ FDR: 601+arnos - 1000 volts: MINOR LABEL (10):
,SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: a
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 00 amp: EA ADD'I. BRNCH CIRC: 1 IN PLANT:
601 - 'i000 amp: PLAN REVIEW SECTION _
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT 140MINAL: _
_ Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREAISPEC OCC:_
Owner: Contractor:
COT!_EUR, KEVIN M + ANNE M WELLCO ELECTRIC INC
6925 SW BARBARA LN 2655 N MAPLE CT
TIGARD, OR 97223 CANBY, OR 97013
Phone: Phone: 503-266-8944
Reg #: LIC 00127540
SUP 44005
ELE 24-388C
_ FEES Required Inspections _ _
Type By Date Amount Receipt
Elect'I Service
5PCT GEO 3/9/00 $3.43 0000555 Elect'I Final
PRMT GEO 3/9/00 $42 85 0000555
Total $46.28 ORIGINAL
This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR 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 180 days. A]TEN11ON Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246 1987 l
PERMITTEE'S SIGNATURE ISSUED BY.
_OWNER INSTA.L_LAIION ONLY
The installation is being mane on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: ^�__ ____ ___�— _ DATE:
CONTRACTOR INSTA'.LATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:— -0 G
LICENSE NO: _--._-� 4/q 00-5-- _ - --
Call 639-4175 by 7:00pm for an inspection the next business day
UGi 18i98 NW, 1 1
.5u t'lu uus uab i:h'h 1, U.
':ITY OF TIGARD k-7C§Wrical Permit Application Plato Check q_ ---
13t25 SW HALL BLVD. � Rec'r By
Data Fec'd W
TIGARD OR 97223 MAR 0 9 7(wi Date to P.E. ,.
Phone (503)639-4171, x304 Dace to DST
CnMMUNIly t)l_vl.tul ml N i print or Type Permit M
Inspection0384-7 97 4ii, Incomplete or illegible will not be accepted Called
Fax (503) 6Pa-7297 __ _ .----• -
1. Job Address: 14- Complete Fee Schedule Below:
Name of Ueveloprrlent _____ I Number of Inspections per permit ailowed
Nam3(or namo of business) _ Service Included: Item Cost Fllm
Address c¢� 5�.fJ ;1 �-� 4a. Residential-per t alt
1UW sq.h.or less $110.00 t
City/State/ZipiC��'� � _ � ���J Each additional 500 sq.h.or
portion thereof $25.00
Coinnlorcial ❑ Residcntia r Limited Energy $25.00
Each Manuf'd Home or Modular
Dwalling Service or Feeder $68.00
2a, Contractor installation only: 4b.Services or Feeders
tMUdVlI .O}/�l :,}all.tWrrc^^!l_a^.set) t D Installation,alteration,or relocation
Electrical Contractor WF�-C� E � 5� 200 amps or lase $60.00 2
Add(ess J - r•A`�� SZ1 201 amps to 400 amps $80.00 - 2
city=�. _ State � Zip c> l N_, 401 amps to 900 amps - $120.00 _ 2
Phone NO. 0 601 amps to 1000 amps $180.00 2
neo- Over 1000 amps or volts $340.00 2
Job No. - - Reconnect only - $50.00 -.� 2
Elec.Cont. Lice. No. Exp.Date�O-\ UCS. _
on State CCB Reg.No. \7-n,5%AZ, Exp.Date!:12,-C-,-z, L 4c.Temporary Services or Feeders
6i 4f+esr for Metro No. Exp.Date installation,alteration,or relocation
amps or loss _ ___ $500, 2
201 amps to 400 strips $75.00 _
l Signature of Supr. Elec'n 401 amps to 600 amps $100 U0 2
O./ar 600 amps 10 1000 volts,
License Nr Exp-Date_Exp-Date IO ' C> 1 sae"5 above.
Phone Nr `�Z�T�� ��t� 4d.Branch Circuits
Now,alteration or extension per panel
2b. For ollifner installations: a)The lee for branch r.irculta will)
purchase of service or
Print Owner's Name _ _, _ reader tea. �_�_
Each branch circuit $5 00 2
Address b)Tiie fee for branch circuits
City StateZip___ without purchase of
Phone No.--- servlca)r feeder tea. r ''
First branch circuit
Each additional hranch circuit S 55,G1f� 2
The installation is being made on property I own which is not 3_
Intended for sale,lease or rent, 49.Miscellaneous
(Service or feeder not Included)
Owner'sSig^OtJrO _ _ -.- _. -- --_-- Each pump or irdoation circle _ $40.00 _==�- 2
Each sign or outline fighting CAU Uu e
r Signal circuit($)or a limited energy
3. Pian Review section (if required): panel,alteration or extension _ $°3.00 w�__ _ _ 2
Minor Labels(10) $100.00 _
Please check appropriate item and enter fee In section 5B.
4 or more residential units in one structure 4f.Each additional Inspection over
Service and!eeder 225 amps or more the allowable in any of the above $35.00 - -
System over 600 volts nominal Per Inspection --- $55.00 _
_Classified area or structure containing special occupancy Per hour --- $55.00
is described in N.E.C.Chapter 5 In Plant =�
°Submit 2 sefs or plans with applirrition where any of the above t,pply. 5. Fees:
Not required fur temporary construction services. I 5a.Enter total of above lees $
i 8°/6 Surcharge(.05 X total teas) $
yIW
I�TJ Subtotal
5b.Enter 2591. of line 5a for -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Rnwew it uir (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 Trust Account N� S �--
TIME AFTER WORK IS COMMENCED. 11
Total baisnce Vue
I�[9T5ElClx A(`I` n1v 4'9R
, r
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ _—
_ Blip 2&oz�U Z�
Date Requesied— Z 'l AM PM — BLD
Location 06 �Z 5 ,: `t) r64✓a � ----_ Suite -- _ MFC --- — -
Contact Person --. Ph -7 -- PLM --
Contractor _--_— - -- - - -- Ph _ ---- SWR --
BUIL- Tenant/Owner ELC
aining Wall ELR
Footing Access: —
Foundation FPS
Fig Drain —----____ SGN
Crawl Drain Inspection Notes: -------- --- -
Slab SIT
Post&Beam
--- -------- -------_ . . --_-._-- - ------
Ext Sheath/Shear
Int Shgath/Shear
rmy� ---- — -----__..------- -- --------------— - -- --
lnsut�t(on
Drywall Nailing
Firewall
Fire Sprinkler __ _—
Fire Alarm
Susp'd Ceiling - ---------- --------
Roof !
M i sc: .S� ,#� . — — ----- ---—
Final —
S PART FAIL. ----- - _
!NG
Post& Beam ------------ --
Under Slab
TopOut - ---__--._------ -- ---- ---- — -- —.
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL _-
Post& Beam - - - - -- -- - — —----
Rough In
Gas Line - -- - -- —
Smoke Di,rapers
Final -- -- — --
PASS PI-.RT FAIL
ELECTRICAL ----
Service
Rough In —v--- ----_-
UG/
L-ow Voltage-ow Voltage
Fire Alarm
Final
PASS PART FAIL -
SITE
Backfill/Grading _ --- --
Sanitary Sewer
Storm Drain [ I Reinspection fee of$—— —required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Watch Basin
Fire Supply Line [ )Please call fo reinspection RF: [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector�^ -_� ---_ -Ext _
Final
PASS PART FAIL DO NOT RLMOVE this inspection record fror>r,t the job site.
CITYO F 1 I G A R DBUILDING PERMIT _
PERMIT#: BUP2001-00248
DEVELOPMENT SERVICES DATE ISSUED: 7/16/01
" 13125 SW Ha:! Blvd.,Tigard, OR 97223 (5M 639-4171 PARCEL: 1S125DD-08300
SITE ADDRESS: 06925 SW BARBARA LN
SUBDIVISION- WASHINGTON SQUARE ESTATES NO.3 ZONING: R-4.5
BLOCK: LOT: 091 JURISDICTION: TIG
REISSUE: _ _FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION_
CLASS OF WORK: OTR FIRST: sf^ N:—I—S: E: W:
W:
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CON---T: 5N sf N_y S: E: -� W —
OCCUPANCY GRP: R3 TOTAL APER: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
;TOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MET_Z?: REQD SETBACKS REQUIRED____ _
FLOOR LOAD: psf LEFT: 5 ft RGHT: ^-�ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: 5 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE- $ 3,485.00
Remarks: Installation of tuff shed (160 sq. ft.).
Owner: Contractor:
COTLEUR, KEVIN M + ANNE M TUFF SHED STORAGE
6925 SW BARBARA LN 6500 NE HALSEY ST
TIGARD, OR 97223 AOR (� c�R 7213
Phone: P Ph ne NY)PA8%?J
Reg#: LIC 105914
FEES _ REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp —
5PCT CTR 7/6/01 $6.54 27200100000 Foundation, Insp
PLCK CTR 7/6/01 $53.11 27200100000 Rees
Framing Insp
PRMT CTR 7/6/01 $81 80 27200100000 Rain Drain Insp
Final Inspection
Total $141.45
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable I.-w All work will be done in accordance with approved plans. This permit will expire if work is
riot starters within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344./
Permittee II
Signature:
Issued By: _ -- �---�--- ---------- - _.
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
City of Tigard �C "Datereceived: / 6 Permitno.:l ��C�G'
,A r /
Address: 13125 SW Ball BIvd,Tigrrd, �7 froject/appl.no.: Expire date:
City n(Tigard phone: (503) 639-4171� ' Date issued: By: Receipt no.: ?�
Fax: (503) 598-1960 /V� Case file no.: Payment type:
Land use approvak %; 1&2 family:Simple Complex:
t
1 & 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition
U Additicn/alteration/replacement U Tenant improvement U Fire sprinkler/alarm POther: .1ycy
JOB SITE 1NF0RN1Xi1QN
Job address: Bldg.no.: Suite no.:
I,ot: `/ Black: Subdivision:,�lASil J 5i h'i E Tax map/tax IoUaccount no. ��' oJ'c,
Project name: 5 `j
Description and location of work on premises/special conditions:
Name: ''
Mailing address: .S• �' _ L tl &2 faurily dwelling:
city: (' State ZIP: "1 Valuation of work........................................
Phone: 2 N Fax: E-mail C. u No.of bedrooms/baths...............
Owner's representative:`A lc Total number of floors.................................
Phone: Fax: E-mail: I New dwelling area(sq.ft.) ..........................
Garage/carport area(sq. ft.).........................
Name: err Covered porch area(sq. ft.).........................
Mailing address: Deck area(sq.ft.).......... .............................
City State: I ZIP: 0(her structure area(sr.11.).........................
Phone: — 1 +r' E-mail: - t'ommerciaUindustrld/multi-fnmily:
Valuation of work........................................ $
Business n:unr: i Existing bldg.area(sq.ft.) ..........................
Address: g New bldg.area(sq.ft.)...............................
Cit _ State: 7.IP:_ Z — Number of stories ........................................
y' Type of construction....................................
Phone: Fax: E-mail: _----
CCB no.: 'I Occupancy group(s): Existing:
_._ New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name. provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed.If the applicant is
City: State: ZIP: exempt from licensing,the following reason applies:
Contact person: Plan no.: "— —
Ptlone7 Fax: E-mail:
Contact person: Fees due upon application ...........................
Address:f --�-- Date received: _
- --- --
City: State: ZIP: Amount received .... ....................................
Phone: Y Fax: Email: Please refer to fee schedule.
I hereby certify I have read d examined this application and the Not all ituis&dmu aYrpt credit cards,please call juris&chon far mrxe idormari'm
attached checklist.All p A ions of laws and ordinances governing this U Visa U MasterCtud
work will he complied ith ...��((Ft specified herein or not. Crest and number -__ __—.- —.-l--I
'J�' _ Expires
Authorized signature: ` _ Date: 'Name d cw*mlder as damn on cmdh card s
Print name:. Cw0lbokler s4PAIMNotice:This This permit application expires if a permit is not obtained within I RO days alter it has been o=pted as complete. Nast i(6t0WOM)
•>t /`'c n/ x EV S3. //
'70 yA If
One- and'1'wo-1,amily Dwelling
Building I le�•mit Application Checklist Reterenccn,+.. -
Associated permits:
l�in"/ i,Rard City of Tigard U Electrical U Plumbing U Mechanical
Address: 11125 SW Hall Blvd,Tigard,OR 97223 ❑Other:
Phone: (503) 639-4171
fa:: (503) 5911-1960
1 Land use actions Tollapil d.Sec iurtsd►cUuu" ;It, 11.1 h,I , n till, III l',
2 ?,oning,Flood plain,solar balance points,seisnu� souls dcvgn_iwn,hislu+,.2Ir,"ic4 etc.
_3 Verl i(lon of approved plot/lot.
4 t~iredistrict __. approval required.
5-Septic system permit or authorization for remodel.Existing system capacity —
6 Sewer permit. _---
7 Water district approval. -----
R Solis report.Must carry original applicable stump and signature on file ur with application.
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and liwation of
cutch-basin protection,etc.
I() 3 Complete seta of legible plans.Must be drawn to scale,showinit conl'onnance to applicable local and state
building codes. Lateral design details and connections must he incorporated into the plans or on a separate full sin
sheet attached to the plans with cross references between plan lo_ation and details. Plan review cannot he collie r,l
it'copyright vioLnion%exist. --—
I I !+iitdplot plan drawn to socale.'T tic plan.must show I„I,,nd building setbnck dimensions;property comer elevallons(if
lore is nu+m than a 4-11.elevation differential,plan rw.,�t;how contour lines at 2-ft.intervals);location of•easements and
driveway. I+t,+tprint of structure(including dill lo,a tion of%,Ms/so.ptic systems;utility locations;duction indicator,tut
arca;buildmp coverage areal percentage of coverage;imperviuu.'.area;existing structures on site;and surface drainage.
I Z Moundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixti'll ticorl and decks 30 inches above grade,etc.
14 ('roes section(R)and details.Show all I'rmnu,r member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall constriction,roof construction.More than one cross section may le required to clearly portray construction.Slu:w
details of all wall and roof sheathing,roofing,rovf slope,ceiling height,siding material,footings and foundation,stairs.
fireplace construction, thermal insulation,etc.
15 4; Vation views.Provide elevations for new construction;minimum of two elevations for additions and remodels.
ExIcrior elevations must reflect the actual grade it the change in gradeis greater than four kuri at building envelope.
lull-size sheet addendums showing foundation elevations with cross references are acceptable. _- -
16 al,br
Waester
cing(prcriptive path)and/or laal analysis plans. Must indicate details and locations;for
non-prescri live ath annlysis rovide sl ecifications and calculations to engineering standards.
1 oorlroof framing.Provide plans for all floors/roof assemblies,indicating member siring,spacing.and Iu:aring
hl
1, Ilttjl� show attic ventilation.
Is x Ba.enrenl and ret lolling walls.Provide cross sections and details showing placement of rehar.for engineered
systems,see item 22,"Engineer s calculations." —
19 Beam calculations.Provide two sets of calculations using current Louie design values for all beams and multiple joists
over Ill feet long and/or any beam/Joist carrying a nun-uniform load.
20 Manufactured fioorlroof truss design details. _
21 Energy Code compliance.Identify the prescriph ie path or provide calculations. Agas-piping schemntir is required
Ian four or in( appliances.
22 F;nglneer's calculations.When required or provided,(i.e.,shear wall,rox,f truss)shall he stamped by an engineer or
architect licensed in Oregon and shall he shown I,h,•,+hhtit:iHv I ,(hr proirct under review.
t
23 five(5)site plans are required forplan
, A Item 11 ahmt Site pla , a fk t3-I/2" x 11"or I I"x 17
24 Two(2)sets each are required for Items It,, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons.
26 No rolled.reversed or mirrored building plans will be accepted.
27
--
Checklist must be completed before pian review start date. Minor changes or notes on submitted plans may he in blue or 1lac�k ink.
iced ink is reserved for department use only.
' AP�'RQV R NSTRUCTto
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