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7685 SW BOND STREET s� CX) ul 1 � 0 a I � rt 1 i 7685 SW BOND STREET I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — ccr...- 3UP _ ©ate Requested �J 2'2� AM PM BLD Location — - Suite —__ MEC Contact Person Ph PLM ontr Ct �— Ph �o /,oZ -- �� S1WR BUILDING Tenant/OwnerELC Retaining Wali — — ELR Footing Access: FP5 / Foundation Ftg Drain SGN Crawl Drain Inspection Notes: —� Slab ------ _--- ---�..— SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear _ SL Framing F-- Insulat on Drywall Nailing J407 Firewall Fire Sprinkler -- - ----- - -- --------- ._�.-..—._- --- _— Fire Alarm Susp'd Ceiling ----�_,. - ----------- _- - --- ------ --- — Roof Misc: --- ----- - ----— - _ -_- ----------------------- — Final p FAIL - - - _ - -- - -- ._._...._...--------- --_- L MBIN n lab Top Out ------ - ---- . .__ Water Servicer� Sanitary Sewer Rain rains AS PART r'AiL ANICAL Post& Beam - - -- - - -- - - _.. ------- -- Rough In (Gas Line ----- -- - - -- - Smoke Dampers Final ___.._ - ----- -- _. --- --__--- ------------ --------- PASS PART FAIL ELECTRICAL ---_ - -- -- . - -- ------- --____ Service Rough In UG/Slab --- -------. _____.-_. Low Voltage Fire Alarm - - - _-- --- - ---- --- --. --_ Final PASS PART FAIL ------ - -- - - --- - ---- --- -- - ---- SITE _ Backfill/Grading ----- Sanitary Sewer Storm Drain ( j Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 5W Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: � [ J Unable to inspect-no access ADA Approach/Sidewalk Date ,! 2 V V Ins — Other � -- --- _—�_ pector Final PASS PART FAIL DO NOT REMOVE this inspection record from the ob site. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Wator Line Ceiliny -Plumb. Post/Beam Mach, Shear/Sheath Framing -Mech. Plbg.Und/F!r;Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date. _ I \ �_ per, A yM�- P.m. r`-- Entry. _ Address: ���A•�—�_ lI1Yl c�'7� Tenant:_. Ste: MST: Con/Own _` L'r --- BUP: _ — MEC: PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: t Inspector: Date: > -\APPROVED _DISAPPROVED/CALL FOR REINSP. CO II—— CITY OF TIGARD BUILDING INSPECTIGN DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 N:"T — _ BLIP _ Date Requested G L_AM —PM BLD Location �'j- k Suite — MEC , GSC%j l.% G_3 . /, T Contact Person _ � )a ^'k Ph y - y X U Z -PLM Contractor Ph SWR BUILDING — Tenant/Owner ELC Retaining Wall ELR. _ Footing Access: Foundation FPS _ Fig Drain -- SGN Crawl Drain Inspection Notes: -------- Slab SIT Post&Beam ---- - Ext Sheath/Shear Int Sheath/Shear Framing ---- -- -- -- - ---�._..__--- - Insulation Drywall Nailing Firewall --�---_-__---------___-- Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Misc: ---- ----- Final - PASS PART FAIL -_ _. - _ - ---- ---_ -- PLUMBING Post& Beam -- Under Slab -0000 Top Out - - - ----- Water Service Sanitary Sewer ----- -_-- - --_ -_ Rain Drains Final - PAS'' FAIL MECHANICAL __._--- �s18.�waarm _ - -- -- —_ Rough In Gas Line ---- Smoke Dampers I ' > PART FAIT_ VEFICTRICAL --- --- - -_ Service Roug!i In - ------- — 11G/Slab Low Voltage _.. ----- - --- ---- ------- - Fire Alarm Final - -- ---- - -- - PASS PART FAIL - - ------.-- _ ---- �_--_ SITE Backfill/Grading -- - -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspects in. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:_ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other —_-- Date l 11 Inspector � Ext Final PASS PART---- FAIL 00 NOT REMOVE this inspection record from the job site. CITYOF TIGARD MECHANICAL PERMIT__ DEVELOPMENT SERVICES PERMIT#: / 8/01 00341 9/228/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9 PARCEL: 2S1 12CD 03000 SITE ADDRESS: 07685 SW BOND ST SUBDIVISION: BOND PARK ZONING: R-12 BLOCK: LOT: 010 JURISD;CTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPF;2S7: 30 - 50 HP: WOODSTOVES. GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 v AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 10000 cfm: Remarks: Furnace change out. Owner: FEES CUNNINGHAM, RONALD R -4 ANNE C Type By Date Amount Receipt 7685 SW BOND PRMT CTR 9/28/01 $72.50 272001000C TIGARD, OR 97224 5PCT CTR 9/28/01 $5.80 2720010000 Phone: L Total $78.30 --- Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS__ Mechanical Insp Phone:453-4822 Heating Unt Insp Reg #:LIC 62196 Final Inspection This permit is issU•3d subject to the regulations contained in the Tigard Municipal rode State of Ore. Specialty Codes and ,all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of thes-- rules or direct questions to OUNC by calling rn' )9AA-Q1RQ Issue By: ���k , Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day i SPp �'7 01 01 : 39P climate contr•o 1 503 968 7224 P. 1 1 C—Thanical Pennit A ' ratan City of Ti(jard V. �p Datereceived: d Pemmitno4h�/-a'701 Address: 13125 SW[tall Blvd,Tigard,OR 9722 project/appl.no.; Expire date: Cup n(Tigard h Phone: (503) 639-4171 ?•1 *1 Date issued; }3y �l Receipt no.: Fax: (503) 598-1960 P VEIOPM� Case file no.: Payment type: ptwN Land use approval: � W,4N 11 Building permit no,: IMM I 1 &2 family dwelling or accessory ❑('ommercialh❑rhrStnal U Mulu-famik U Tenant improvement U New constructi()it 0 Addition/alteration/replacemenl U Other: 11 Joh address: (v p Incicate equipment quantities in boxes below.Indicate the dollar Bid ,no.: __ Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lnt: B1ouk. Subdivishi: 'Ste checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/cuunty: —��ZIP-- ___�__... _ t 1?escn nand locati n of we k on premises: t t t t (� Pce(rn.) Total Est.date of complelionlinspectiou: Z p/ hescri mliun Qh. Res.nN Hes.onl Tenant improvement or•change of use: Mi.— Is Is existing space heated or conditiamied?LJ Yes U No Air.mandling unit _._CVM Js existing space insulated'!O Yes D No 'Air.:on itmnn ng(site plan require ) A reradon of east ng system mill go I KIMu :rTcumpressurs -- Business name: C L 1 1/rb ('p A/7R C Staff:boiler permit no.: I rU �— y - r HP —__Pons BTU/H Address: etsmu a am a uctsmo a electors City: G2 Gx►ND _ _ State.: T,j — ZIP: �__ enl um (snap anreyuim7 Phone: - g - Fax:503�9(o4 7 ntalL - tTcist rep ace urnace/bumerTTJ71t CC$no.: (�Z/ Inch ding ductwork/vent liner U Yes U No Q stall1replac re ncate eaters-suspen e , City/metra lic.no,: Lf 19 _ wull,or floor mounted Name( lease riot): k(t1/�ZL__ Vent ror app I ianceof fiFert ran furnacc c igerutlon Ahscrptionunhs _ _ MUM Name: �V�/�1�'IC. tVt--ZL Chlltxs�• Hp Address: - Corn mressnrs-__ _ III, nV -onmenta ex ausi an vents ation- C1tY: - State: __ 2.IF': A,p�l nncc vcm Plmonc:rg05- s3-'f8 Fax. P-ntai! )rye exhaust . p nods,Type res, itc et aimai hood fire suppression system _ Nang oN U Ad AJ/NG ff/4yYl Exhaust fan with single duct(bath fans) f hone:jo3 B -4 Ixus t as.-s-t-e-m n ot_trom_heatin orMelling address: 76 9-5 5(,L) Bello zll: e 'fping an st ofon(up to outlets) city: _ F -_-- - SType, NO Oil ox _ E-mail: due i t_�r_m�each a niuna over outlets rncossp ng(sc ternaTrequ Tedd) Name: Nutnt er of outlets - -- )t tel fined appliance� cr equipment: Address: _ Uecotativefireplace City �__ _ Stara. Lll': )nsertt_type Phone: —� -)F' x: P n il: ~� oo ;to, v pcllefslnve tJ m_t' Ap,rlicant's signatur . Uate_ t eri Name '.print 6,1 6 Na all)utmWtctlons accept credit cants,please call Jwmrdtellon ro mmo inrounatiun. Permit fee..................... G visa U Man d ' I G Notice This perms application Minimum fee................$ _7 -D Cietip card 4110r:^ U l V5 y expires if a permit s Plan review(at'* at not obtained - Lt i; 1' FrP�c a within 190 days slier it has hien _,_ %�) $ __ State earl barge(896) ....$ ,- G Nontr c a r s W11ere it card 30 accepted as cotnple e A ctD 1 hIl. $ Iden argtmiuTc -- Amount \ CITY OF T I CSA R D _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2.002-00473 13125 SW Hall Blvd., Tigard, OR 97223 (5031639-4171 DATE ISSUED: 12/9102 SITE ADDRESS: 07685 SW BOND ST PARCEL: 2S1 12C D-0 3000 SUBDIVISION: BOND PARK ZONING: R-12 BLOCK: LOT: 010 JURISDICTION: TIG CLASS OF WORK- REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: _ URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: StWER LINE: ft. WATER CLOSETS: WATER LINE: 40 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace 40'of water service. FEES Owner: — -- — - - --- Description Date Amount CUNNINGHAM, RONALD R + ANNE C /6385 SW BOND (PLLIMIII I'rrmit I ee 12/9/02 $72.50 TI CARD, OR 97224 ITAX] 91/o State Tax 12/9/02 $5.80 Total $78.30 Phone : -- --�-- --� Contractor: C17OWN PLUMBING 5429 SE FRANCIS PORI-LAND, OR 97206 ^f QWRED INSPECTIONS Phone : 503-771-9449 Water Line Insp Final Inspection Reg #: LIC 42671 PLM 34-70PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o!�ier 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. ATTENTION: Oregon law requires you to follow ru!es adopted by the Oregon n � Issued By: i r Permittee Signature; "�' �-- _ t y Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Date received: Permit no.: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: (.'iryuJTigurd Phone: (503) 6394171 Project/appl.no.: Expire date: Fax: (503) 598-1960 DBIC ISBUeCt; �"� Receipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERNIFF W) &2 family dwelling or accessory G Commercial/industrial 13 Multi-family 0 Tenant improvement U New construction A-Addition/alteration/replacement U Food service U Other: IIIIIII!i4jim I IMIN Job address: `J a ` i�- f c-,u_{ Description ' Qt . Fee ea.) Total Bldg.no.: Suite no.: New 1-and 2-family dwellings only: Tax map/tax lodaceount no.: (includes 100 ft.for each utility concretion) Lot: block: SFR(1'bath Subdivision: SFR(2)bath Project name: '� v SFR(3)bath City/county:' - ZIP: 9 r9,7Each additional bath/kitchen- Description and ation of work on premises: Siteutillties: ,Z_ t�%t_ v a i t'it �'�� t, i F — Catch basin/arta drain EsL date of completion/inspection: D wells/leach line/treti h drain PLUMBING 1 Footjn drain(no.lin.ft.) Manufactured home utilities Business name: I r, Manholes —� Address: t c ct v v t - (4,J Rain drain connector City: State: ', ZIP:c r' Z t, , Sanitary sewer(no.lin.ft.) _ -- Phone:! ► _c Fac:r)rf/_ S Email: - Stoiatsewer(no.lin.ft.) _ -- CCB no.: �' Plumb.bus.reg.no: r �1 -1� Water service no.lin.ft.) City/metro 111c.no.: r/j C �. Fixture or item: Contractor's representative signature: Absorption valve Back flow preventer Print name: Date: 1 Backwater valve Basins/lavato _ Name: Clothes washer Address: Dishwasher — City: I State: ZIP; Drinking fountain(s) - i — Ejectors/sum Phone: Far,: E-mail: Expansion tank 1 Fixture/sewer ca Nance(print): j-� (� _ Floor drams/floor sinks/Itub Mailing address: �' -_— Garbs a disposal City: Mate: ZIP: !lose bibb _ [ce maker Phone: � -I- Fax: E-mail— nterce torte -- -- Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s), in(s), ays(s -- Owner's signature: _ Date: Summa_ — Tubs/shower/shower pan Name: Unn il -- --- — Water closet Address: Water heater City: i State ZIP: _ Other: — Phone: Fax; E-mail: Totalc r Na W)uriaactionr ftxvo cralit nrdr,please call Jurimictim for more idannaaonNotice:This permit application Minimum fee................$ �a�aa / /Q Mu:.Xud expires if a permit is not obtained Plan review(at _ %) $ _ . ires within 180 days atter it has been State surcharge(896)....$ �,, Expires _ TOTAL $ 9�.3n Name of ardhoWer u ahrnvo ao asst card accepted wt complete. ........••••...•....•.. _ S Cardholder aitttwure Amount 1104616(60000M) PLUMBING PERMIT FEES: PRICES TOTAL New 1 and 2•fafn ly'dwellings only: FIXTURES Individual) QTY .ea) AMOUNT (Includes till plumbing fixtures to =' PRICE`i TOTAL Sink 16.60 the dwelling and the first100 ft, QTY (ea) AMOUNT Lavatory - 16.60 for each utllity connection One(1)bath - $249.20 Tub or Tub/Shower Comb. 16.60 Two(2)bath - $350.00 Shower Only 16.60 Tliree(3)bath $399.00 -_ Water Closet 16.60 SUBTOTAL _ Urinal - 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL - Garbage Disposal 16.60 -_ TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" --- 1660 - PLEASE COMPLETE: 3" 16.60 q^ 16.60 - _ Quantity b Work Performed Water Heater O conversion O like kind 16.60 -- Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ rmit. Capped MFG Home New Water Service 4640 Sink MFG Home New San/Storm Sewer 46.40 Lavatory� Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only - Gdnking Fountain 16 6C Water Closet _ 16 60 - Urinal !_ Other Fixtures(SpecHy) _ _ Dishwasher Garbage Disposal -� Laundry Room Tray --- - Washing Machine _--- - Floor Drain/Sink: 2" Sewer 71 st 100' 55.00 - 3^ Sewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater Other Fixtures Water Service-each additional 200' 46.40 (Specify) _ Storm it Rain Drain--Is 100' 55.00 Storm d Rain Drain-each additional 100' 46.40 — --- — Commercial Back Flow Prevention Device 46.40 -- P,esidenlial Backflow Prevention Device- 27.55 —+ Catr h Basin - 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections -- perlhr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 - Grease Traps - 16.60 - ------ QUANTITY TOTAL _ _- Isometric or riser diagram Is required If , OuanNtY T—Mal is > - *SUBTOTAL -- -'- 8°/s STATE SURCHARGE - - ---- "PLAN REVIEW 25%OF SUBTOTAL �. Requlmd only If fbtureqty lMal Is>g __— TOTAL $ .Minimum permit fN Is S72 50 4 8%elate tenchnrge,evrent Rerldentlnl narkeow preverAkxt Device,which Is SJe 25•8%state surcharge "All Nov Commertlal Buildings require plan:with fsomet rc or riser diagram and plan review I\dsts\fonns\plm-fees.doc 10/10/00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received -_ _ Date Requested-�2 / Z AM _. PM--_---_ .-. BUP - -- -- �� 5��� 0�/1j '� -- Suite__ MEG Location _� --- Contact Person Ph (_^.---) --- PLMi J-00 `t!7 3 Contractor ____ --- - - - - Ph SWR BUILDING Tenant/Owner _- -- ___ -__--_ ELG Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - - - Post&Beam -- - --- --- -- -- -- - Shear Anchors Ext Sheath/Shear Int 3heath/Sheai Framing —- - -- Insulation Drywall Nailing - - Firewall Fire Sprinkler --- — — ---- Fire Alarm Susp'd Ceiling Root Other: Final P PART FAIL — — Post& Beam Under Slab --- -- Rouch-In ter e - - - - - - - Sanitary Sewer Rain Drains - - -- - --- --. _ - - -- --- — Catch Basin/Manhole Storm Drain Shower Pan Other: — Final ------------ _� S PART FAIL ---------- --_ ------------------- _' VECHANICAL -- ----- - ---- ------ Post&Beam Rough-In -- --- - — -- -- — Gas Line Smoke Dampers - ------ ----- Final PASS PART FAIL -- ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$—�_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA ' Dote Inspector E Approach/Sidewalk _ - ,.. ---- Other: Final — - DO NOT REMOVE this Inspection record from the loh site. PASS PART FAIL CITYOF TIGARD _ ELECTRICAL PERMIT T PERMIT#: ELC2003-00645 DEVELOPMENT SERVICES DATE ISSUED: 10/21/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112CD-03000 SITE ADDRESS: 07685 SW BOND ST ZONING: R-12 SUBDIV;SION: BOND PARK BLOCK: LOT : 010 JURISDICTION: TIG Project Description: (1)sign RESIDENTIAL UNIT _TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: i 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10). SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 imp: VOSERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ -- _T PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: —� Reconnect only: SVC/FDR>=225 AMPS: _ CLASS AREA/SPEC OCC_— Owner: Contractor: CUNNINGHAM,RONALD R+ANNE C SECURIT SIGNS INC 7685 SW BOND 436 SE 121 H AVE TIGARD,OR 97224 PORTLAND,OR 97214 Phone: Phone: 503-232-4172 Reg #: I W 122809 III -"O- IC LS _ FEES Description Date Amount Required Inspections I FLPRMTj FLCPermit 1 u'I n t $53.40 Elect'I Final I'I'AX 18%State Tax 10121 r m $4.2 7 Total $57.67 I 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 plEns. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By: Permit Signature: t OWNER INSTALLATION ONLY The installation is being made on property I own which is not int%nded for sale, lease, or rent. OWNER'S SIGNATURE: _ __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATUPF OF SUPR. ELEC'N: _ DATE: LICENSE NO: -- -- -- -- Gall 639-4175 by '7:00pm for an inspection the next business day _Electrical Permit Application rReccived / Electrical /B a l D�l--- Permit NolG��3'ce 6 Ys - PlanningCity Qt Tigard Planning Approval Sign �:1CDate/By: _ Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date B : Permit No,: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Internet: www.ci.tigard.or.us Dete/B : Case No.: g Contact Juns.: Z See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: I Supplemental Information. _ S6.7- A/ aDO 00 a,_ (��5 , _ TYPE OF WORK PLAN REVIEW(Please check all that apply) New constructionDemolition Service over 225 amps- rLJ Health-care facility commercial El Hazardous location Addition/alteration/replacement 011ier: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet. CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units to 1 & 2-Family dwelling 1 ,0 Commercial/Industrial ❑System over 600 volts nominal one structure ACCesso $uildin�_ Multi-Family [I Building over three stones ❑Feeders,400 amps or more❑Occupant load over 99 persons ❑Manufactured structures or Rv park [] Master Builder Other: ❑Fgressnighting plan ❑Other: JOB SITE INFORMATION and LOCATION Submit—sets of plans with any of the above. _ I he above are notapplicable to lcm cur acv construction Rarvice Job site address: 2 FEE*SCHEDULE _ Suite#: Bld ./A t.#: Number of ins ectlons per permit allowed ProjeetName: Descri Gon Qty Fee(ea.) Total Cross street/Directions to job site: — New residential-single or multi-family per dwelling unit.Includes attached garage. Service Included: 1000 sq.ft.or less 14515 4 Each additional 500 sq.ft.or portion thereof 33.40 1 Subdivision: LOt#: I.imited energy,residential 75.00 2 I imited energy,non residential 75(NI _ 2_ Tax map/parcel #: Pach manufactured home or modular dwelling DESCRIPTION OF WORK service andor feeder 90.90 2 Services or feeders-installation, NEM wlf alteration or relocation: 2(81 amps or less _ 80.30 2 --- 201 amps to 400 amps 106.85 2 401 amps to 600 ams 160.60 2 PROPERTY OWNER ENANT 601 ams to 1000 am _ 240.60 2 -- Over I(8N)amps or volts 454.65 2 Name: �,L �_^ _ Reconnect only 66.85 2 Address: Temporary services or feeders-Installation, alteration,or relocation: City/state/Zip: _ _ 200 amps or less _ 66.85 1 Phone: Fax: 201 amps t(,400 anip, - - — 100.30 2 PLICANT ONTACT PERSON 401 to 6181 am is — 133.75 2 Branch circuits-new,alteration,or Name: - extension per panel: �,- A.Fee for branch circuits with purchase or Address: service or leeder fee,each branch circuit 6.65 2 City/State/Zip: B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46,85 2 Phone: _ _ FaX: _— Each additional branch circuit b,65 2 E-mail: Misc(Service or feeder not included) CONTRACTOREach um or irri ation circle 53.40 2 Each sign or outline lighting 53.40 D 2 Job No: Signal Lircuit(sl or a limited cnergv panel. Business Name: !�Z rr� alteration,or extension Pae 2 2 r �w � Description: os Address: AP -1�J City/State/Zip:/State/ZI Each additional Inspection over the allowable in any of the abe: Per inspection r hour(mm I huurl 62.50 Phone: 23Z li 7l_ _ Fax: pt (p Imesu a0on fee CCB Lic. #: (Z.Z 8C�'1 Lic. #: - ocher: FI_ectrlcal Permit Feat" Supervising electrician Subtotal S 3• L _ signature required: — Plan Review(25%of Permit Fee) S Print Name: Lic. #; �7 Staic Sunhat a(8°i,of Permit Fee) $ �2 C�td. t�_._ ' r � r2L� !'OTAL PERMIT MEE S Authorized —•--� Notice: This permit application expires If a permit Is not obtained within Signature: ..! Date:_ 180 days after It has been accepted ax complete. 'Fee methudologv set by Tri-County Building Industry Service Board. (Please print nano I i Dsts\Permit Forms FlcPernutApp.doc 01103 Electrical Permit Application - Cit., of Tigjrd ' Page 2 - Supplemental Information LIMITED ENERGY PERA1 FEES: RESIDENTIAL WORK ONLY: Feefor all systems.......................... ................................ $7a.n0 Check Type of Work Involved: DAudio and Stereo Systrm-* UBurglar Alarm Garage Door Opener* Ile,ting,Ventilation and Air Conditioning Vacuum Systems* Other, _-- — COMMERCIAL. WORK ONLY: _ Feefor each system.......................................................... $75.00 (SEE OAR 918-260.260) Check Type of Work Involved: IDAudio and Stereo Systems Boiler Controls Clock Systems Data Telecommunication installation Fire Alarm Installation HVAC EjInstrumentation F1 Intercom and Paging Systems EJLandscape Irrigation Control* Medical Nurse Calls DOutdoor landscape Lighting* Protective Signaling Other _ --------Number of Systems * No licenses are required. licenses are required for all other installations r',Dsts,,Permit Forrm\ElcPer1rttAppPg2.doc 01'03 CITY OF TIGARD 24-Hour BUILDING � �i t Inspection Line: (5L 639-4175 MST INSPECTION DIV:SION / Busi ess Line: (5t,., 639-4171 BUP Received —__ _—._ Date Requested— G3_ _ AM S_ BUP Location _ _ _ MM 3t MEC Contact Person d�z_ Ph PLM w —� Contractor '=!�__ ___ __-- Ph(_ ) — —__ SWR _ BUILDING Tenant/Owner _ ELC 3 Footing — [ . - (r, 4S+i � r^ " ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam --------.-__-_-- Shear Anchors -- - Ext Sheath/Shear Int Sheath/Shear Framing -- ---- Insulation Drywall Nailing - --- --��� - Firewall Fire Sprinkler ------ Fire Alam Susp'd Ceiling __ - ------- -- -- -- Roof Other: - -- - - - - Final _ -- -- --- ---- -- PAS_S FART FAIL PLUMBING __ Post 8 Beam - ------ --- - --- Under Slab -_----.-___._ Rough-In Water Service --- - ------- Sanitary --Sanitary Sewer Bain Drains - ---- - -- ---- Catch Basin/Manhole Storm grain - --- - —-- - Shower Pan Other:Final PASS PASS PART _FAIL ----- MECHANIC_AL Post 8 Beam - - --- - - - Rough-In ----- --._ - Gas Line Smoke Dampers -- Final PASS PART FAIL - �'-1�- ------- _ELECTRICAL _ Service in INA -- - ---- -- - -- --- ------ Rough- UG/Slab UG/Slab Low Voltage tl p,{aA-1 - - -- ---- - -- -------- - __ _-- - ------ Fire Alarm ma IJReinspection fee of$_-.. required before next inspection. Pay At City Hall, 13125 SW Hall Blvd. PART FAIL _ Plea;e call for reinspection RF -_- �� Unable to inspect no access PPY Line Fire Supply /- '` ADA _ Approach/Sidewalk Date AL)V / �� c�.> Inspector f �[i � 1 r-� - Ext -- Other: 35 Final DO NOT REMOVE this 'inspection record from the job site. PASS PAFIT FAIL. CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT M PLM2000-00105 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-417'i ' DATE ISSUED: 4/4/00 V SITE ADDRESS: 07685 SW BOND ST C PARCEL: 2S112CD-03000 SUBDIVISION: BOND PARK ZONING: R-12 BLOCK: _ LOT: 010 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS:' URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow prevention device. _ FEES Owner: ___ Type By Date Amount Receipt CUNNINGHAM, RONALD R + ANNE C PRMT DEB 4/4/00 $25.00 0001143 7685 SW BOND 5PCT DEB 4/4/00 $2.00 0001143 TIGARD, OR 97224 --- — - Total $21.00 Phone 1: Contractor: 3 MOUNTAINS PLUMBING PO 13OX 386 SHERWOOD, OR 97140 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 503-92.5-1342 Final Inspection Reg #: LIC 141187 PLM 34-368PB I his 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. T his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 dGys. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: i �(! it- Permittee Permittee Signature: Call (503) F39-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan heck# 13125 ';W HALL BLVD. Commercial and Residential Recd By TIGA::D, OR 97223 Date Recd (503) 639-4171 % / Date to RE Print or Type f' ► �j Date to DST Incomplete or illegible applications will not be acceptedPermit#i Related SWR A Called Name of Develooment/Project FIXTURES (individual) QTY PRICE AMT Job ):r r Lai/ii ^T !-j«r• Sink 11.50 Address Street Address Suite Lavatory 11.50 L � 1 S- 0`.ti4 S FT Tub or Tub/Shower Comb 11.50 Bldg# City/State Zip Shower Only 11 50 Name Water Closet 11.50 n n h ► rah Urinal 11.50 Owner Mailing Address Suite Dishwasher 11 50 Garbage Disposal 11.50 City/Sidle Zip Phone ---— — Laundry Tray 11 50 Name -- Washing Machine/Laundry Tray 11 50 Floor Drain/Floor Sink 2" 11 50 Occupant Mailing Address Suite 3" 11.50 --.—. a" 11.50 Cite/State Zip Phone Water Heater O conversion O like kind 11.50 Name Gas piping requires a separate mechanical permit. 3 t H ^ MFG Home New Water Service 32.00 MC'tln'TnlnJ< Z f — Contractor Mailing Address Suite MFG Home New San/Storrn Sewer 32.00 (-' L lk c f Hose Bibs 11 50 Prior to permit City/State Zip Phone Roof Drains 11.50 issuance,a copyS i , o rt(�R I h / t > r r --- — — — --�— Dunking Four.ein 11.50 of all licenses are Oregon Const.Cont.Board Lic# Exp.Date — required If f y j f 1 Z—> 'y : Other F r tjieG(Specu,) 1500 expired in COT Plumbing Llc.# Exp.Date database IL 8 P/3 3 ► — CJ I ---- — Name ---- Architect Sewer-1st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 3200 Engineer City/Slate Zip Phone Water Service- 1st 100' — 3800 9 Water Service-each additional 200' 3200 Describe work to be done. Storm&Rain Drain-1st 100' 3800 New O Repair O Replace with like kind Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential O Commercial O Additional description of work: �— Commercial Back Flow Prevention Device 3200 Residential Backflow Prevention Device* I 1906 Catch Basin 11 50 Are you capping, moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 5000 Yes O No O Inspections — mer/hr If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50 WORK COULD RESULT IN INCREASED SEWER FEES. - --- I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL Isometric or neer diagram is requked d Quantity Total is;-9 given Is correct.that I am the owner or authorised agent of the owner,and that lens submitted are in compliance with Oregon State Laws. *SUBTOTAL Signature of OwnerlAgent Date — � 1 (. � . �)_ L? 8%SURCHARGE ,6!a _ __ i Contact Person Name Phone — / ; t y "PLAN REVIEW 25%OF SUBTOTAL BATH HOUSE:178.00 ' •S; Required oni d fixture t total is,9 _ 2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$288.00 - - rT (This fie includes all plumbing fixtures In the dwelling and the first kltnlmum permit fee is$50.e%surcharge except Residential Backflow Prevention 100 feet of sanitary sower storm sewer and water service) Device.which is$25-e%surcharge ••ATI New Commercial Buildings require plans with isometric or nser diagram and plan review 1 Wslavormelplumspo doc 11118lu" PLEASE COMPLETE: Fixtvre Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory _ _— Tub or Tub/Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine _ Floor Drain/Floor Sink 2" 311 Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: :±s±,ums�+emaor dam-t v±tv�