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13101 SW ESSEX DRIVE 0 w 0 cn t� cn t� h 1 a 13101 SW ESSEX DR K' CITY CF TIGARD DEVELOPMENT SERVICES P1..UMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . . PI .1196-0:X51 DATE ISSUED: 11/20/96 PARCEL: 2S 1 O4CA--01600 9ITE ADDRESS. . . : 1-3101 S+W ESSEX DR SURD I V I S I ON. . . . : H I LLS,H] 'RE ZONING: P--/ PD BLOCK. . . . . . . . . . . LQT. . . . . . . . . . . . . :016 CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PEIEVNTRS. . : 1 OCCUPANCY GRP. . R_; FLOOR DRAINS„ . . . . . . III TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 MATER HEATERS. . . . . : 0 C(iTCH BASINS. . . . . . . : 0 F J XTURES------•-----•-- LAUNDRY TRAYS. . . . . : Vi SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GRI' ASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : VI OTHER FIXTURES. . . . 11) TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0 DISHWASHFRS. . . . : 0 RQJN DRAIN (ft ) . . . : 0 Rpmar,ks : Install residential hark flow prevention device Owner,: --- ____.______.__.___—_—•----._____.__._____._ FEES - - ---- ------- DANA HUNT t ype amol.mt by date r,ecpt 1480F., SW OLD SCHOLLS FRY PRMT' f 15. 00 JSD 11 /20/96 96-286752 7)PCT $ 0„ 75 .JSD 1. 112111196 966751-' BEAVERTON ,')R 9701717 Phone #: 5O::; 579--3022 CEDAR LANDSCAPE 14375 SW PATRICIA AVE:. HIL_L5IAORO OR 97123 Phone #: 503-628--3411 f 1.5. 75 TOTHL Ren #. . . 5843 - - ----- REQUIRED INSPECTIONS This pereit r- issued subject to the regulations cnntarned in the RP/Backflow Pr-ev Tigard Municipal Code, State of Ore. Specialtv Codes and all other Final Inspection _ applicable laws, All worts will be done in accordance with approved flans. This perait will expire if wnr4 is not started —i— within IN! days of issuance, or if worl, is suspended for sore � — tha,i i88 days. J 'er^mi.ttee Si'Inati_tre : ----- - --__.�_ Call for- inspection — 639-4175 1 CITY OF.TIGARD Plumbing Application Recd By_ Date Recd 13125 SW HALL BLVD. Commercial and Residential Date to P E. _ TIGARD, OR 97223 Dote to DST _ (503) 639-4171 Permit 0 I [ Print or Type Related SWRt Incomplete or illegible applications will not be accepted Calledr�-�l c .+ ,777( Name of DevlopmenUprolect •.; ��1�cU. � �` �alrZri4�rc • t �Ti. Job [3,1 BATH HOUSE.$140 M2'NATH Address Street Address Suiteo's.Ain=3 gqi}{itOUSE�?26,Ode / r/ S'o-1 casex Lt� Fee Includes all plumbing f xhrras in the dwelting'erid the fh st io0 feet of Bldg At City/State p Zip water service,sanitary sewer and storm sewdr. See fees below. 00 AD �'F_. - _ •,••a.-• •a•q•�.. «.•4..rgairy nt�i.ryr{wp.�.y.,x.'n•.,. ��— Name / - FIXTURES(individual) QTY PRICE AMT 0,gti1J9 rfu-K'T Sink 900 Owner Mai!ing Address Suite Lavatory 900 1 ub or Tub/Shower Comb. 9.00 City/State Zip Phone Shower Only 900 ~�v Name Water Closet 9.00 Dishwater 900 Occupant Mailing Address Suite Garbage Disposal 900 Washing Machine 9.00 City/5t... Zip Phone Fluor Drain 2" — 9.00 Name — 3" 900 C c�"DA i�sc E ZarC. 4= 900 Contractor Mailing Address Suite Water Heater 900 /1.1'J5 Sul PAIR;c'm /Ae Laundry Room Tray — 9.00 City/State Zip Phone -- — -- Unnal 900 it l�,Q. -"/✓.� ��Jb' � rl Oregon Const.Cont Board Lic.0 Exp.Dale Other Fixtures(Specify) 900 Attach Copy of 9 �, V7 900 ___j Current Plumbing Lic.A Exp.Date 9.00 License i9 00 rte- ii T Sewer-1st 100" COT Business Tax o. Metro a Exp Date Sewer-each additional 100' 30.00 Name ---- -- Water Service- 1st 100' -- — — _ 25.00 Water Service-each additional 200' _ 30.00 —� Architect Mailing Address Suite Storm R Rain Drain-list 100' 2.5.00 Sloim 6 Rain Drain-each adottional 100' 30.00 or _ _ Engineer City/State Zip Phone Mobile Home Space 25.00 9 Commercial Back Flow Prevention Devic!or Anti 25.00 Describe work New O Addit'on O Alteration O Repair O Pollution Device to be done: Residential O Non-residential O Residential Backflow Prevention Device' 15.00 /S-Y Additional descnption of work Any Trap or Waste Not Connected.!)a Fixture 9.00 Catch Basin 900 Insp,of Existing Plumbing 4000 per hr Existing use of Specially Requested Inspections 4000 budding or property—_ _.__ per hr Proposed use of Rain Drain,single family dwelling 3000 __— building or property — Grease Traps 900 Are you capping any fixtures?_Yes❑ No❑ — QUANTITY TOTAL • I hereby acknowledge that I have read this application.that the information Isometric or riser diagram is required if Quacdy Total is >9SUBTOTAL sfi given is correct.that!am the owner or authorized agent of the owner.and �S that plans submitted are in compliance with Oregon State Laws ---- 5%SURCHARGE Signature of Dwner/Agent Date �� •,jC y(o PLAN REVIEW 25%OF SUBTOTAL Required only d fixture qty total is>9 N8111119 Y Contact Person Nae Phone -- _ We 6/ *Minimum permit fees S25+5%surcharge.except Residential Backflow i'\dsts\plrnapp doc Prevention Device,which is$15+5%surcharge CITY CF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC96-•0741 DATE ISSUED: 11/20/96 PARCEL: 25104CA-0,1.600 SITE: ADDRESS. . . : 13101 SW ESSEX DR SUBDIVISION. . . . : HILLSHIRE ZONING:R•-7 PD BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :016 Project Description: --------------------------------------------------------------------------------- •-•--RESIDENTIAL UNIT--------- -----TEMP SRVC/FEEDERS----- ------MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . . 0 PUMP/IRRIGATION. . . . : I EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 S I GN!OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 •----RERVICE/FEEDER---- ----BRANCH r.IRCUITS----- ----ADD' L INSPECTIONS-- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EP ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : V, 601 - 10q,0 amp. . . . . : 0 _._.-__-_--.__------PLAN REVIEW SECTION---_._______-•-__.-- 1000+ amp/volt. . . . . : 0 ) =4, RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 2225 AMPS. . : CLASS AREA/SPEC OCC. : Owner.: - ______...._.__.__.._____.__._._......_-__._._..___....____._--•------__.__.._._._.__._ FEES DANA HUNT type amount by date recpt 14806 SW OLD SCHOL.LS FRY K'RMT $ 41A. 00 JSD 11/20/96 96-286754 5PCT $ 2. 00 JSD 11/20/96 96-286754 BEAVERTON OR 97007 Phone #s 503-579-3022 Contractor: ----__________._._____.____ _-._--------_-.____--•---------------------------- LEDAR LANDSCAPE $ 42. 00 'TOTAL � 14375 SW PATRICIA REQUIRED INSPECTIONS HILLSBORO OR 97123 Underground Cove __— Phone #: 50;,-628--3411 Elect' 1 Final Reg Vr. . : 5843 This permit is issued sun.ject to the regulations contained it the Tigard Municipal Code, State of Ore. Specialty Codes and all ot',er Permittee c,y g n a61_rre applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 188 days. I s 5r t-red By _...-.......___ f.:IWIdFR INSTALLATION ONLY-_-_.____.._.___._._._______.________._. The installation is being made on p, operty I own which is not intended for sale, 1pase, or, cert. OWNER' S SIGNATURE: y — DATE: INSTALLATION SIGNATURE OF SUPR. E1_EC' N: _ — DATE: LICENSE NO: Call for inspection - 639-•4175 CITY OF TIGARD Electrical Permit application Plan Check k 13125 SW HALL BLVD. Recd By ,- Date Recd TIGARD OR 97223 Gate to P.E. Phone(503)639-4171, x304 PrintDate to DST or Type Inspection (503) 639-4175 Permit a Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below. Name Of Development Number of Inspections per permit allowed Name(or name of business) 1'NNA Nu NT Service included: Items Cost Sum Address .Stk) Z-S.SEX DR, 4R. Residential-per unit 1000 sq.Itof lass $110.00 4 City/State/Zip Ti yAQt7 CA) Each additional 500 sq,It.or -�' portion thereof $25.00 , Commercial❑ Residential Limited Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _. $88.00 (Attach copy of all current licenses) 4b.Services or Feedem Electrical Contractor 4,4ND3C/9 7C Installation,alteration,or relocation -^-�-- 200 amps or less W $60.00 - Address f1 j 73 S iz T,4r CiA dF 201 amps to 400 amps $80.00 JI City 7-iyARD State eW. Zip 97/Z-.3 401 amps to 600 amps �_ $120.00 Phone No. -111`0 601 amps to 1000 amps $180.00 Job No. Over 1000 amps or volts $34000 2 Elec.Cont.Lice.No. Exp.Date Reconnect only _ $50.00 2 OR State CCB Reg. No. 1713 Exp.Date 6, - Y7 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date __ Installation,alteration,or relocation 200 amps or less $50.00 2 201 amtams $75.00 Signature of Supr. Elec'n �>� ��44 401 amps to a�amps ,_ $100.00 Over 600 amps to 1000 volts, License No. /,2 3 j 7 Exp.Date_ & Y? _. see"b"above. Phone No. /-I -- 9-j 35, - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purenase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.110 b)The fee for branch circuits CityState._ _ Zip without purchase of Phone No. _ service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) ,4 t 4; Owner's Signature___ _ _ Each pump or Irrigation circle / $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section if required):' Signal circuit(s)or a limited energy q 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 4f.Each additional Inspection over Service and feeder 225 romps or more the allowable In any of the above System over 600 volts nominal Per In.pectin, $35.00 _Classified area or structure containing special occupancy Per hour $55.00 _ as described in N.E.C.Chapter 5 In 11,1111 $55.00 k Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 9 5%Surcharge(.05 X total fees) $ NO]_ICESubtotal $ _ 5b.Enter 25%of line Be for 1 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reguit (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDnNED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS CC PAI cc"NCED. ❑ Trust Account A Total balance Due t i.\DSTS\ELC%APP Rev W"