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7947 SW BOND STREET-1 , N, a 1 ft -- p� o 1 v T 1 L.►T 1�aQ (A 14 , Z (j.j I 1 O S 1 _Ag W tT R F r(r ^ .1 0 ZZTICE: IF THE PRINT OR TYPE ON ANY a4 - IT IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 z ( 3__ ._ 1211 IS DUE TO THE QUALITY OF THE �� - - - $ _ - 10 _ 11 ORIGINAL DOCUMENT -- - - - --ril - --- - .�.,. �.,. E 6Z 8Z LZ 9Z � Z fiZ EZ Z III (III IIII IIII IIII ILII IIII IIII�II T � 8 L s s � E z � T a�ai3w IIIIII IIII IIII (III IIIIIIIIIIIIIIIIIIIi �lliLl �llll �ll llilit!l �li� lll.l Ll llll ?IIII111 •r+.�ne1.'..�w�wlWrwlYwir.e.- -.-� �...-. .., r_,,. �. 1 , \f �7 W �MM r a rt ry rn m n 1 �V 7947 SW BOND STREET i CITY OF T I G A R D MASTER PERMIT PERMIT#: MST2001-00575 DEVELOPMENT SERVICES DATE ISSUED: 4/25/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 07947 SW BOND ST PARCEL: 2S112CD-05400 SUBDIVISION: BOND PARK NO. 2 ZONING: R-12 BLOCK: LOT: 034 JURISDICTION: TIG REMARKS: Convert approximately 168 sf patio to habitable space. BUILDING CEISSUE STORIES: I _FLOOR AREAS REQUIRED SETBACKS RLWUIREU CLASS OF WORK: Al f HEIGHT: FIRST: 1,4B of BASEMENT: of LEFT: SMOKE DETECTORS: TYPE u,'USE: SF F'GOR LOAD: SECOND. sf GARAGE. of FRONT: PARKING SPACES. TYPE OF CONST 5�1 DWELLING UNITS: FINBSMENT-. of RIGHT. VALUE: S 7.G 100 OCCUPANCY Qr;P: R1 BDRM: BATH: TOTAL. IGH 01) of REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH-. LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES. DISHWASHERS'. FLOOR DRAINS. SEWER LINES: SF RAIN DRAINS: I CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PRFVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP a OHP: VENT FANS: CLOTHES DRYER: FURN-100W UNIT HEATERS. HOODS. OTHER UNITS: MAX INP: blu FLOOR FURNANCES, VENTS WOODSTOVES: GAS OUTLETS: ELECTRICAL PESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPEC110NS 1000 SF OR LESS 0 200 amp: 1 0 200 amp: WISVC OF,FDR: 1 PUMPIIRRIGATIO14: PER INSPECTION: EA AOD'L 500SF. 201 400 amp: 201 400 amp: tat W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY. 401 600 amp: 4101 600 amu: EA ADDL BR CIR: SIGNAL!PANEL: IN PLANT: MANU HM/SVC/FDR. 601 1000 amp: 601•amps•1000v, MINOR LABEL: 1000•smulvoll: PL AN REVIEW SECTION _ Rocomnecl only: -4 RES UNITS SVCIFDR> 225 A.: 600 V NOMINAL. CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDEN i IAL _ B.COMMERCIAL AUDIO 8 STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM O1H. BOILER: HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMLNTATION. MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 412.80 JA R OWNER This permit is subject to the regulations contained in the ONTHANK.SONJA BOND JA Tigard Municipal Code,State of OR. Specialty Codes and 7947 S 7947 S ,OR DST all other applicable laws. All work will be done in TIGaccordance with approved plans. This permit will expire if work Is not started within 180 days of Issuance,or if the work Is suspended for more than 180 days. ATTEN ION: Phone: Phone. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg N forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OI.INC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Rain drain Insp Electrical Service Electrical Final Electrical Rough In Plumb Final Framing Insp Final inspection Insulation Insp Issued ey r Gt,4 �,r�i. 1�. Permittee Signature : c—��/�►,�. � < < Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next buisiness day Building Permit Application ` City of Tigard Datereceived: t �oG Permit no.:A5 / -oU ?, Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.na: Expire date: Phone: (503) 639-4171 Date issued: fly: �kecci tno.: •� , Fax: (503) 598-1960 '/ Case file no.: Payment(ype: Ladd use approval: 1&2 family:Simple Complex: TVPF OF PERMIT U 1 &2 family dwelling or accessory U Conunerciahindustrial U Mulli-family U New construction U Demolition Id Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: JOB SITE INNORMA14ON Job address: Bldg.no.: Suite no.: Lot: I Block: Suhdivision: _ Tax mapitax lot/account no.: Project name: I I �1 c Description and locatjon of work on premises/special conditjun rf)vf r o� Pe OWNER FOR SPI I %I, INFORMATION, USE CHECKLIST Name: Mailing address:- I &2 family dwelling: Cit . Fax: _ State:E E-mail: Valuation of wok.,.......y��IDI....>.,.,...... � tlp Y -- Phone: ail: No.of bedrooms/baths................................. --_ Owner's representative: Total number of floors................................. — Phone: — Fax: E-mail: New dwelling arca(sq. 11.) .......................... _--- Garage/carport area(sq. ft.)......................... Name: 1 i ; l Covered porch area(sq. fl.) ......................... —_—`-- Mailing address: Deck area(sq. 11.) ........................................ City: State: IZIP: Other structure area(sq. ft.)......................... Phone: Fax: F.-mail- Commercial/industrial/multi-famiiv: Valuation of work........................................ Business nanit, Existing bldg.area(sq.ft.) .......................... — - -- New bldg.arca(sq.ft.)................,............... Address: ` ----- -- Number of stories City: State: 'LIP:i ��.,........ ------ --- Phone: I t . E-mail: Type of construction.............:................ :.,... - - Occupancy group(s): Existing: CCB no. --- - - - - New: City/metro lie.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 he required to he licensed in the Address - — -- jurisdiction where work is being perfortned. If the applicant is City:_ Stan. Ill _ _ exempt from licensing,the following reason applies: Contact person: Plan no.. --- Phone:-- Fax: I:-mail: - Name: _ Contact person: Fees due upon application ........................... $ Address: -- Date received: City: State: ZIP: Amount received .............................. .......... $_ Phone: Fax: I E-mail: Please refer to fee schedule. hereby certify 1 have read and examined this application and(fie Not all jurisdictions accept credit cards,please call Jurisdiction for more information. attached checklist.All provisions of laws and ordinances governing this U Visa U Mastercard work will be complied with,whether ifled herein or not. credo Cara number Expires Authorized signatOre: .X Date: /- -a - Name of cardholder as shown on credit crd Prim name:_ ��__.1-.U' I_Li, - Cardholder silmature S Amoum Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4011(6KWOM) One-and Two-Family Dwelling _Building Permit Application Checklist 7u7- Fax: - ' Cine/"17AurclTigard — s: City of l�gard umbing o Mechanical Address: 13125 SW Hall Blvd.Tigard,OR 97223 Phone: (503) 639-4171(503) 599-1960 THE FOLLOWING REQUIRED 1 Land use actions completed.Sec.1 unsdicIion criteria for concurrent reviews _ 2 %oning.Flood plain,solar balance points,seismic soils designation,historic district,etc 3 Verification of approved plot/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 9 Solls report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of catch-hasin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. I'lan review cannot he completed ifcopyright violations exist. 1 I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than it 441.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/scptic systems,utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent! sire and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-mernber sizes and spacing such as flair beams,headers,joists,sub-Moor, wall construction,roof construction. More than one cross section may he required to clearly portray construction.Show details of all wall and roof'shealhing.roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendunrs showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans, Must indicate details and locations;for non-prescriptive path analysis provides _�cifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. 19 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." _ 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. _ 20 Manufactured floor/roof truss design details. _ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof'truss)shall be stamped by an engineer or architect licensed in Oregon rid shall he shown to be applicable to the project under review. 23 Five(5)site plans arc required for Item I I above. Site plans must be 9-1/2"x 11"or 1 1 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System development Fees document. 27 "brawn to scale"indicates standard architect or engineer scale. 28 Site plan must include street tree size,type&location per City of'rigarl Street Tree List booklet. Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved ror department use only. 440.4614(6100WOM) i Electrical Perinit Application rDateeceive121", 2 0 0 1 Permit no _Cr-5- City inesCity of Tigard Project/oppl.no.: Expire date: (,tryuJTignrd Addre«' 13 125 SW flail Blvd,Tigard,OR ` Date issued: By: I Receipt no.: Phone: (503) 639-4171 -ax: (503) 598-1960 Case file no.: Paynlenttype: Land use approval � `•I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction L:- Addition/alteralion/replacement U Other: - U Partial .108 SITE INFORMATION Job address: v 71 Bldg. no.: Suite no.: Tax map/tax lol/account no.: Lot: I Block: Subdivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: Job no: r,. t )) Fee til°` Business name: Descriptlog _ ally. (ea.) Total ria.hrsp -- New residential-AnKle or multi-family per Address: dwellingunit.Includes anachedp rage. City: Slate: Z.IP: Service included: Phone: Fax: E-mail: I(xx)sq.ft.or less a Each additional 51.10 sq.ft or portion thereof CCB no.: Elec.bus. lie.no: Limited energy,residennal 2 City/metro lie.no.: Limned energy,non-m idential - '- Each manufactured hom.:or modular dwelling Signature of supervising electrician(requited) Date Service and/or feeder 2 Services or feeden-Install tion, Sup.elect.name(print): - License no: alteration or relocation: 200 amps or less I 2 201 amps to 400 amps - - — 2 Name(print): 1. 401 amps to 600 amps — _--- --— 2 Mailing address: • r - f 7 601 amps to 1400 amps - - ---- 2 City: " Slfl(d7_.1P: Over 1000 amps or volts --` —T — 2 Phone: Fax: E-snail: Recounectonl I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to lnslallation,olleration,orrelocalion: ORS 447.455,479,670.701. 2(N)amps or less _— 2 201 amps to 400 amps 2 Owner's si nature: ' r 'r Date: _)jZI 401 to6(1(lstrips 2 Branch circuits-new,alteration. or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ Cit : State: ZIP _ B. Fee for branch circuits without purchase y - - - �- - of service or feeder fee,first branch circuit: ' {done: I a\ F.-mail: Each additional branch circc is Mlw.(Service or feeder not Included): U Service over 225 amps-commercial U Health-carr facility Each pump or irrigation circle ' U Service over 320 amps-rating of I Rr 2 U Hazardous location Each sign or outline lighting family dwell tngs U Building over 10,000 square feet fouror Signal circuits)or a haired energy panel, U System over 6(1(1 volts nominal mote residential units in one structure alteration,orexlension• - 2 O Building over three stories U Feeders,40(1 amps or more *th seri tion: U Occupant load over 99 persons U Manufactured structures or RV park Fich additional inspection over the allowable In any of the above: U Egress/lightingplan U Other ...--_-- -- Per tnspccwm ,`--�-- Submit sets of plans with any of the above. Investig,an n(rr_�� The above are not applicable to temporary construction service. Other No all Jurisdictions accept cretin earls,pleas call jurisdiction for mare information Notice:This permit application Permit fel'.....................$ O Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ Credit card number _L_ within 180 days after it has been State surcharge(8%)....$ xptrea accepted as complete. TOTAL $ Name of cardholder u shown an credit card cardholder signature Amount 44OA61S(&MCOM) ELECTRICAL PERMIT (FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: _TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00_ Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq it ur less $145 15 _ - 4 U Audio and Stereo Systerns' Each additional 500 sq ft or portion thereof $33.40 1 Limited Energy $7500 ❑ Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder _ $90.90 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilate m and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 201 arnps to 400 amps $10685 2 ❑ Vacuum Systerns" 401 amps to 600 amps $16060 2 _ 601 arnps to 1000 amps $240 60 _ 2 Other Over 1000 amps or volts i $45465 2 Reconnect only $6685 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less ` $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 2 401 ampr to 600 amps _ $133 75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, sate"b"above. F] Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Bniler Controls a)The fee for branch circuits with purchase of service or F] Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b)T he fee for branch circuits without purchase of service or feeder fee. ❑ Fire Alarm Installation I irst branch circuit $46.85 _ Fach additional branch circuit _ $6.65 ❑ HVAC Miscellaneous (Service or feeder not included) instrumentation❑ Each pump or irrigation circle _ $53.40 Each sign or outline lighting $5340 ❑ Intercom and Paging Systems Signal circuii(s)or a limited energy i__ ❑ panel,alteration or extension $7500 Landscape Irrigation Control' Minor Labets(10) $12500 Each additional inspection over Medical the allowable in any of the above Per inspection _ $6250 ❑ Nurse Calls Per hour $6250 In Plant $73 75 _ ❑ Outdoor Landscape L,ghting' Fees' ❑ Prolective Signaling Enter total of above fees $ _. ❑ Other _ 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review' section on $ No licenses are required Licenses are required for all other installations front of application _ Fees: Total Balaftre Due $ - Enter total of above fees $ ❑ Trust Account q _-- 8°1.State Surcharge $_ _ All New Commercial Buildings require 2 sets of plans. Total Balanre Due $_ r.\dsts\forms\elc-f0es.doc 08/30/01 to V T I L I VI 12•oo W1� i • r� ' PRd jos�G SLAB H!rc'� C.w��. , 7L p W C-7 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BtJP Received Date Requested __F/ !! ____ AM PM— BUP Location l-� -�� � L Suite _ MEC Cuntact Person - Ph( ) PLM Contractor Ph SWR U�-LD ------ Tenant/ ner __ I G60 1 a� --- ELC --.---------.---- Foundation Access: ELC Ftg Drain ELR Crawl[Drain ----- -- -- Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _ - Insulation Drywall Nailing Firewall Fire Sprinkler - - ---- Fire Alarm - Susp'd Ceiling - --- - - -- Roof Other - — - - -- -- — n z SS ART FAIL GING Post& Beam Under Slab __ -_ - a Rough-In Water Service - ----- -- -- --- -- ----- 7 Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ----- _ _—� Shower Pan Other: --- ---- - --__— Final PASS PART FAIL - - -- - MECHANICAL -Post&Beam -- Rough-In Gas Line � --- -�- - Smoke Dampers -• --- ----T _____._-__-— Final PAS RT FAIL CTRIC Rough-In UG/Slab __-- Low Voltage Fire Alarm ---------.--__ ------ SS PART FAIL -J Reinspection fee of$_^._ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Please call f r reinspection RE:—____ -__- --_. __-_—_ �_� Unable to inspect-no access F,re Supply Line ADA � ApprnechiSidewalk Date �- Inspector _ �_ Ext_ Other:_ Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST �cic-6 - 004115. 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- I _Date Requested lkl AMBUP_ PM d 0 BLD Location— CA Suite MEC — �Y Contact Person ��c.� Ph /�lc� " ��I PLM _ Contractor Ph Cp�¢ " ��, �� SWR — WGILDI Tenant/Owner _ ELC e aining Wall ELR Footing Access — Foundation FPS - Ftg Drain SGN Crawl Drain Inspection Notes: — Slab — — —�' `� _-- — SIT Post& Beam - Ext Sheath/Shear _ Int SheathfShear Framing - ---- ------ - ' ----- Insulation Drywall Nailing - -- — --- - - --- ----- - --- --- — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- Roof Misc._ _ --- - OA PART FAIL - - -- ---- ---WEMB—ING Post& Beeim -- Under Slab Top Out - - Water Senfice Sanitary Sewer - - -- ---- -- -- Rain Drains Final -- PASS PART FAIL. MECHANICAL Post& Beam Rough In Gas Line - - Smoke Dtampers 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 ( )Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Easin Fire Supply Line ( )Please call for reinspection RF: ( )Unable to Inspect no access ADA ApproarhlSidewalk Date 17,1 b It `' `-�'�- EXt� Other _ - — Final PASS PART FAIL , DO NOT REMOVE this Inspection rer'rd from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-417.5 / Business Line: 639 171 MST BLIP Date Requested_ I O t) AM 9: �PM BLD Location— _ �t✓ Suite MEC _ Contact Person — Ph PLM Contractor Ph SWR _ BUILDING Tenant/Owner _ ELC p� / Retaining Wall Footing ELF: Foundation Access: FPa Fig Drain Crawl DrainInspection Notes: SGN Slab � - Post&Beam ...... — ---._-- SIT - Ext Sheath/Shear / Int Sheath/Shear — Framing Insulation -- — --- — --- - Drywall Nailing Firewall Fire Sprinkler -------- Fire Alarm -------- -- .- --..---- Susp'd Ceiling --__— Roof - /� /) ` ----- ------. Final -- -- - PASS PART FAIL —--- - - --- -_ _ ----- PLUMBING_ Post& Heanr r --- ----.---- - Under Slab Top Out -- - -- - - -- -- Water Servire Sanitary Sewer Rain Drains Final — -- PASS PART FAIL MECHANICAL Post&beam Rough In r'as Line - Smoke Dampers -- - _ Final -- ---- -±AST FAIL ELECTRICAL _ -------- Rough In - - - — UG/Slab Low Voltage - --- --- Fire Alarm PART FAIL ---�-_- _ BackfilUGrading -- -- — ---.-..-- _-._ Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply line [ J Please call for reinspection RE: _ [ )Unable to inspect-no access ADA Approach/Sidewalk Other Date 1e- - ; _ Inspector _ Ext Final - � �- PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. Milk 13-00 MON 04;34 PM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02 CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Ruc'd By RECEruf=Ij Date Rec'd 1IGARD OR 9'7223 639-4171 x304 Date to P E. Phone (503) MAP 1 3 ?00p Date to DST Inspection (503)639-4175 Print of Type permit ryz o�faDn-6d/� Fax (503) 598-1960 0041MUNyRAW410ARLWrillegible will not be accepted j 1. Job Address: �G� 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of busines- sk`,,: — Service Included: Items Cost Sum W AddresnC)4 CALL) , I'C'N � 4a, Rasidgndal•per unit ft,or less 111 75 GityI�rtatelZipr1�c Each additional n SUO sq.ft or - f 1 portion thereof $ 26 25 __ 1 Commercial I J Residential, Limited Enemy 60,00 a.\C \ C� \y \\,` Each Manurd Home or Modular Con` t \ � L -�` "�` t �c` Dwelling Service or Feeder $ 72.75 �v�Y— 2 2a. tra�r ins�a�ra�'ion onyy. � � _—. (Prior to W-unit Issuance,applicants must provide contractor(iednse 4b.Services or Feeders Information for COT da, vase). Installation,alleration,or relocation Electricalontract C. f:1 _a) 200 amps or less $ 64.25 2 A `' ) 201 amps to 400 amp, _ S 85,50 2 --=�' r c 401 amps to 600 amps $ 128.50 2 Clty , State rV=_Zip T �_ 601 amps to 1000 amps _ $ 192.50 _ 2 Phone Nn)_[,,�e 1 1 _ Over 1000 amps,or volts S 363.75 2 Job No 'pf}{�.�� Is _ Reconnecl only $ 53.50 2 Elec. Cont. Lice. No. _ - )C.Exp Date _ do Temporary services or Feeders OR State CCB Reg. No. Exp Date __— Installation,aucration,or relncahon COT Business Tax or Metro No.= �1 1 Exp.Date _ 200 amps or less $ 53.50 2 r - 201 amps to 400 amps 3 80 25 2 r 401 amps In 600 amps _ $ 107 00 2 Signature of Supr. Elec'n��,e Ovrar 11500 amps to 1000 volts �- see 'b"above. License No L { , , _ Exp Date 4d.Branch Circuits Phone No 1�1.[-��(tJLJ _ New alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's NameEach branch circuit b)The fee for branch circuits Address _ without purchase of service City Slat(, _ Lp-- -- or feeder fee -- Phone No First branch circuit / $ 37 50 --�— - ------� J Each additional branch circuit $ 5.35 �L The Installation is being made on property I own which is not de.Miscellaneous intended for sale, lease or rent (fiervicr or fnndor not included) Each pump or irrigation circle $ 42,75 OwnFr'S Sigfiature Each sign or nuffine liyhling S 4:75 - --"-- J —- Signal circuil(s)ora limited energy panel,rlleratlon or extension S 60.00 3. Plan Review section (if required): Minor Labels(10) — $ 10T00 — - Please check appropriate item and enter fee in section 5B. 41.Each additional inspection over _ 4 or more residential units in one slnicturn the allowable in any of the,above Service and feeder 225 amps or more ner Inspection _ $ 50 00 --- R•r hour _ $ 50 00 System over 600 volts nominal In r tont S 59 00 _—Classified Classified area or structure containing special occupancy as described in N.E C Chnpter 5 S. Fees: 5a.Enfar Intal of above fees S U Submit 2 sets of plans with application where any of the above e14y, 5%Surcharge(05 X Intal fops) S Not wqu r!d for temporary constrnrtlnn services. Subtotal $ Sb.Enter 25%of line 5a for NOTICE o13n Review if regyited(Sec- l) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR Ir CONSTRUCTION OR c WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ i J►ta�furmitelcctrlc docO/SUU Vr"� CITY OF T I G A R D MASTER PERMIT PERMIT#: MST1999-00415 DEVELOPMENT SERVICES DATE ISSUED: 01/05/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 71 SITE ADDRESS: 07947 SW BOND STPARCEL: 2S1 12CD-05400 SUBDIVISION: BOND PARK NO. 2 'G/ �� ZONING: R-12 BLOCK: LOT: 034 JURISDICTION: TIG REMARKS: Addition to an existing dwelling. BUILDING REISSUE: /� STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK .T (� Xi HEIGHT: FIRST: of BASEMENT: Sf LEFT: SMOKE DETECTORS. TYPE OF USS/SF FLOOR LOAD: SECOND: sl GARAGE: of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: el RIGHT VALUE 59,45000 OCCUPANCY GRP. R3 BDRM: BATH: TOTAL: e1 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS RAIN DRAIN TRAPS. LAVATORIES: DISHWASHERS. FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS. TUB/SHOWERS: GARBAGE DISP: WATER HEATERS, WATER LINES: RCKrLW PREVNTR: GREASE TRAPS. OTHER FIXTURES. MECHANICAL FUEL TYPES FURN<10OK: BOILICMP<3HP: VENT FANS: CLOTHES DRYER: FURN—100K: UNI'.HEATERS: HOODS: OTHER UNITS: MAX INP, btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS. 0 200 amp' 0 200 amp: WISVC OR FDR: PUMPlIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 400 amp. 201 400 amp. tel W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR LIMITED ENERGY: 401 600 amp: 401 600 amp: Est ADDL BR CIR: SIGNAL.IPANEL: IN PLANT. MANU HMSVCIFDR. 601 1000 amp: 601+ampe•t11n0v: MINOR LABEL li 10011-amp/v(,lt PLAN REVIEW SECTION Reconnect only, +—' '- -4 RES UNITS. SVC/FDR-225 A.. 600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY A.9F RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM. AUDIO R STEREO. FIRE ALARM: INTERCOMIPAGING. OUTDOOR LNOSC LT: BURGLAR ALARM: 0TH: BOILER HVAC: LANDSCAPE/IRRIG. PRO)ECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMEN1ANON: MEDICAL: OTHR: HVAC: DATA/TELE COMM. NURSE CALLS. TOTAL N SYSTEMS' Owner: Contractor: TOTAL FEES: $ 306.58 01\11 HANK,SONJA R HERON CONSTUCTION This permit Is subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and 7917 SW Pr1ND ST 7928 SE 21ST AVE all other applicable laws All work will be done in TIGARD,OR 97224 PORTLAND,OR 911202 accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg M: LIC 93403 forth in OAR 952-001-00101hrough 952-001-0080 You may obtain copies of these rules Or direct questions to OUNC by calling(503)246 1987 REQUIRED INSPECTIONS Footing Insp Insulation Insp Foundation Insp Electrical Final Electrical Rough In Final inspection Framing Insp Exterior SheaWng Inst Iss ed By : Permittee Signature :,jj-,•�hQ, Call (503) 639.4175 by 7'00 p.m. for an inspection needed the next business day 1 CITYIGARD Residential Bu Iding Permit Application Plan Check �F 13125 SW FALL BLVD. Additions or Alterations Recd By Date Recd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Dale to P.E 2 V 503-639-4171 Date tc DST_ Z Z!s I F 503-684-7297 1 Yom' Permit Print or Type »\ Called OZ75/79 Incomplete or illegible applications will not be accepted r,�o� J " Name Name of Project Job Mailing Address Site Address Architect Address City/State ZipPhone c►,�JA-)4©NJn+kk)te, _ --- Name Owner Mailing Address — _ -- 7 11`y I 5w ��_ �- lv U S Mailing Address City/State Zip Phone Engineer 1�l�r '�1 1-2-7 ti _ City/StateC Zip Phone General _ Name Contractor IkE-f 1,rJ i_ ^+ s;<-^�'�-t-t N Describe work New C AdrlltionA Alteration 0 Repair O Mailing Address to be done Prior to permit -1"_o)-F S1 ZI 5 r PN\'-e— Additional Description of Work: issuance,a copy City/State Zip Phone -� -- —of all licenses -} C--Vt. IN N 0 _ O ?7>(, T-1 are required if Oregon Const Cant Board Exp.Dale PROJECT expired in COT Lic# ._� v� _Z c c v VALUATION $ `T database - Mechanical Name — �.'f Z- NEW CONSTRUCTION ONLY: _ Sub- Sq Ft House: e> Sq Ft. Garagc Contractor Mailing Address -- -- — - Indicate the restricted energy installation by the electrical Prior to permit subcontractor in the following areas issuance,a copy City/State Zip Phone Restricted Audio/Stereo of all licenses are required if Oregon Const. Cont Board Exp Date Energy S stem - Alarms expired in COT Lic# Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub- aP ly) I _ Contractor Mailing Address Cr,rner Lot YES NO Flag Lot YES NO (check one) (check one) _ Has the Subdivision Plat recorded? NIA YES NO Print to permit City/State Zip Phone _ issuance,a copy of all licenses are Oregon Const Cont Board Exp Datc required if Lic# I hearby acknowledge that I have read this application,that the expired in COT _ database Plumbing Lic # Exp. Date information given is correct,that I am tete owner or authorized agent of the owner,and that plans submitted are in compliance with Ore on State laws. - Name r ; 7 F T f' S' nature of Owner/Agent Date kk _ -,• r z t� by aElectrical _ Mailin9A_dAddress s Contact Person Name Phone# Sub- 1 >U Ci-L I ry -7-7, Contractor City/State Zip Phone Prior to permit issuance,a copy _ _ FOR OFFICE USE ONLY: _ of all licenses are Oregon Const Cont Board Exp Date Plat#-_-�— MaprrL#: required if Lir expired in CG I — database Electrical Lic # Exp Date Setbacks Zone: Solar: Electrical Supervisor Lic # Exp Date Engineering Approval: Planning Approval: TIF: i Wsts\forms\sfaddalt doc 9/8199 SEF 35MM RotL# 22 FOR I,. LA�ZGE DOCUMENT