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11430 SW GAARDE STREET F LA) 0 w Z c� Ll t• In H 70 C9 C+7 H i 'I i i f X11430 5W OAARON STANAT I CITY OF 101GARD SERIVICES DEVELOPMENT 13125 SW Hall Blvd., Tigard,OR 97223 (593)639-4171 T 7'1_-: ly�,'4'7-1*FP DI V r;EQUIRED V4SPE-TIO, tc CCIIrIy sitI, ;,Il the -,,4 e r I ri 1i tJ e Ct i V T1 the uniflell, Sewage pigs-:., ''re FP. -fit The day- f-o* opt 'ic- Jmlk F -ie date issjed. The total as:nt raid will be forfeited if the F nal ed expirts. The 09mv deer. rot parantee the ac:urary of the :ewer lelerals, 1 t .e jeor- i. -ct lecated a, the P as.,rement V. - - "ect i the installer shall prcspVt I feet ii all 11 m 009 -ht distance giver. 14 not sc Iccated, the instaiier iha;i pr0iise "Tap and Side Emir' Pereit a,--' t .e 4gerry will install a lateral, A A CITY OF TIOARD ELECT,RICAL / PERMIT#: ELC2004-00083 DEVELOPMENT SERVICES DATE ISSUED: 2/20/04 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 11 OAB-04600 SITE ADDRESS: 11430 SW GAARDE ST ZONING: R•4.5 SUBDIVISION: PP1996-0.,9 6 BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Adding (1)branch circuit RESIDENTIAL U141T TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PI1MP/IRRIGATION: EACH ADD'L 500SF. 201 - 400 arnp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 ar,p: SIGNAL/PANEL.: MANF HMI SVC/FOR: 601+amps - 1000 vo;ts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 2.00 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 • 400 amp: 13t W/O SRVC OR FDR• 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 . 1000 amp: _ _PLAN REVIEW SECTION 1000+ amp/volt: —4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR — 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: MARK HEINS DICKINSONS ELECTRIC 11430 SW GAARDE 8449 SW BARBUR BL\1D TIGARD.OR 97224 PORTLAND,OR 97217 Phone: Phone: 246-3550 Reg #: LIC 65534 SUP 3100S FEES ELE 26-1400 Description Date Amount Required Inspections [ELPRMT] ELC Pernut 2/20/04 $46.85 I —"� -- ---Rough-in — ITAX]8°o State Surcharge 2'20 04 $33 75 F_lect'I aminal Total $50.60 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 acc^Mance with approved plans. This permit will expire if work is not 3tai;sd 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)24"699 or 1-800-332-2344 Issued By, Z /� Permit Signature:_0,14 ef efi 14, OWNER INSTALLATION ONLY _ The installation is being made on property I mvn which is not intended for sale, lease, or rent OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ X 11 %4L4I� '� fl C •� DATE: '� '> -ULA LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Flecti-ical Pell-mit Apnlicatiul>I f. (AN fif l igard ReceivedLC' Gv Permit No.. Datc/By: 1-3.0-04 i 1 Y- AaD�O 13125 SW I HII Blvd.,l'igard,OR 97223 Plan Review - - Phone: 5W• 9.4171 Fax: 503.598.1960 Datr/[t : Other Permit: Inspection Line- 503.639.4175 Date Rcody/By: luris ® See Page I far - Internet www.ci.tigard.or.us Notified/Method: Supplemental Information _ TYPE OF WORK PLAN REVIEW ❑New construction - -[]Add ition/al teration/teplacentent Please check all that apply: — ❑Demolition []Other: ❑Service over 225 amps,conun'I ❑Ilazardous location - ❑Service over 320 amps--rating ❑Buildng over 10,000 sq.11., CATEGORY OF CONSTRUCTION of I-and 2-family dwellings 4 or more new residential [] 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building []System over 600 volts nominal units in one structure ❑ Multi-family ❑Master builder ❑Other: ❑Building over three stories [I Feeders,400 amps or more !illi SD'rE INFORMATION AND LOCATION []Occupant load over 99 persons ❑ nurak Lured structures or ❑tigress/lighting plan p W S ❑licalth-care facility []Other:. Job no.: lob site address: Submit 2 sets of plans with any of the above. City/State/ZIP: 1'-Lqai�L Tlic above are not applicable to temporary construction service Suife/bldg./apt.no., Project name: _FEE" SCHEDULE Description Qty. Fee. total Cross street/directions to job site: New residential single-or multi-family riwelllnl;unit. — —- Includes attached garage.__ _ I,O(X)sq.R.or less 145.15 4 Subdivision: -_ _ I,ot no.: Ea.add'I 9(N)sq.Il.or portion 33.40 1 'fax map/parcel no Limited energy,residertial 75.00 2 -- Limited energy,non-residential 75.00 _ 2 DESCRIPTION OF"WORK _- —` Each nwnufactured or modular / - dwelling,service and/or feeder 90.90 2 9iJ Services or feeders Installatlon,alteration,and/or relocation 200 amps or less 80.30 2 NRk ❑ TENANT 201 amps to 400 amps - 106.85 2 401 amps to 600 amps 160.60 1 2 Name: ------ - -- - 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 - - Reconnect only66.85 2 ! City/State/ZIP: ��- Temporary services or feeders Installatlon,alteration,and/or 4 Phone:( ) - Fax ( 1 ----- - ----' relocation ^ - _ 200 amps or less 66.85 I Owner Installation:This installation is bcing made on property!hat l own which is not 201 amps to 400 amps 100.30 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133 75 2 Owner signature: _--Rite: _ Branch eirtrlts-new,alteration,or extension,per panel ;, ❑ APPLICANT - ❑ CONTACT PERSON A.Fee for blanch circuits with Business name: — W service branch circuit 6.65 fee,each 6.65 2 iiL - - B.Fee for branch circuits Contact name: without service of feeder fee, 46.85 �✓ 2 Address: I�3 5 �� each branch circuit Each Ad'I branch circuit _ 6.65 2 City/State/ZIP. 70,a- '� Miscellaneous(service or feeder not Included) Phone:( ) 5 , ZD l 7-05 Fax- :( ) Pump or irrigation circle 53.40 2 — — ;sign or outlinr lighting 53.40 2 P_mall: - - S.'grlal cir:uit(s)or limited- CpNfNN RACt011t 7 1 P, energy panel,alteration,or business name: extension.Describe: Page? Address: t f ^� Each additional Inspection over allowable In any of the above -- Pet inspection 62.50 _ City/State/ZIP: 17, Investigation per hour(1 In mill) 62,50 Phone: 5�� Industrial plant pet hour _ 73.75 KCAL P_ERINIT 1 s", _ CCB Lie.: GS5� Electrical Lir.: �(,�� Suprv.Lice S,drtotalS' Suprv.blectlan signs re,required: ' Plan review(25%of permit fee) ek_ State surcharge(S%of permit tet) t — Print name: L44et l c'aks r Date: r /4r aoc f- --- I--- TOTAL PERMIT FEE _�i—�� Authoriitd signature: r _ — this permit application expires If a permit Is not obtained within Iso days after It has been accepted as complete Print name: Date: • Fee methodology srt by Tri-County Building Industry Service Board ••Numtier of inspections per permit allowed I UtuildbrPe m s\?LC PMdtApp l u ILO., 4401613T(lorob'COMVEa ri ;r Ekctrical Permit Ap lica+iun City of'('ioard 1 Page 2 - `supplemental Information a LIMITED ENERGY PERMIT FEES: RESIDENTIAL,WORD ONLY: Fee for all residential %%-stems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* 0 Vacuum Systems* [❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system....................... 575.00 (SEI: t>AR 916-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler(,'ontrols ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor landscape Lighting* ❑ Protective Signaling [] Other otal number of commercial systems: *No licenses are required. Licenses are required for all other installations i%HuildingTcrwns&f C PennvApp doc 04-W CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (303)639-4171 KIST RUP -------- — Received Date Req,-?sted_ �' �'- AM_ __ PM BUP _ Location 1 i Suite MECO Contact Person =T'A'fF" _ Ph( PLMContractor Ph_ Ph( ) -__ SWR BUILDING -~� Tenant/Owner -_ ELC � p Footing ELC Foundation Access: - Ftg Drain ELR Crawl Drain --` Slab Inspection Notes: V� SIT Post& Beam -- Shear Anchors - - --- - -- ------ Ext Sheath/Shear Int eat /Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler ---- --- -- Fire Alarm Susp'd Ceiling -- -- - Roof Other: - - - -- Final PASS PART FAIL ! --- -- - ___d PLUMIHINQ Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains _ Catch Basin/Manhole Storm Drain - - - Shower Pan Other: — Final PART FAIL - - ---�RCHAN Beam Rough-In - - Gas Line Smoke Dampers -_ PART FAIL -- - ---- -- - - --- ��SUCTR Service - Rough-In - UG/Slab Low Voltage _ -EimAlarm _F ❑ Reinspection fee of$ _ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _ SS PART __FAIL ct SITT ❑ Please call for reinspection RE: ❑ Unable to Inspe -no access Fire Supply Line _ ADA Approach/Sidewalk Dato - �� Inspector c>-- Ext _ Other: Final DO NOT REMOVE this Inspection record from the fob site. PASS PART FAIL CITY (SF TIG,ARD 24-Hour 13UILSING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP -_ Received —Date Requested_ � � � AM _PM_—.__ BLIP I-ocation _- _. l_r l Lf 3C� _ --Suite-- --_-- MEC --. Contact Person __ —_ Ph(—) 7- 7 2 3 0,E PLM - Contractor __ _. � �._ Ph( _ ) — _ SWR `/ BUILDING Tenant/Owner __ �� _ ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Nates- 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 - Final PASS PART FAIL -- -- PLUMBING --- Post& Beam Under Slab --- - -.—. Rough-In - -.— —.-- ------ — Water Service - ---- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain ---- Shower Pan Other:_ - Final — _PASS _PART FAIL MECHANICAL Post&Beam -- "— - -----•--------- -- -- — Hough-In -- Gas Line Smoke Dampers ------- ---- -- ---.--. _— —. Final PASS PART FAIL - ----- - — -- ---- ELECTRICAL Service -- Rough-In UG/Slab Y Low Voltage — —_— — Fire Alarm t 1-1 Reinspection fee of$— _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. -T SS PART FAIL SITE Please call for reinspection RE:__ _�__ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk pot@-- =- Inspector,_ �- _[fit! Other: Final DO NOT REMOVE this Inspection record from the job alto. PASS PART FAIL CITY OF TIGARD _ ELECTRICAL PERMIT PERMIT#: ELC2004-00074 DEVELOPMENT SERVICES DATE ISSUED; 2.118/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639•4171 PARCEL: 2S110AB-04600 SITE ADDRESS: 11430 SW GAARUE ST ZONING: R-4.5 SUBDIVISION: PP1996-069 BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Installation of(1,1 branch cir(-uit. Underground power supply for cable. RESIDENTIAL UNIT TEMP SRVCIFEEDERS �— __PAISCELLANEOUS 100() SF OR LESS: 0 200 amp: PIJMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LIN:.' LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/!'ANEL: MANF HMI SVCI FDR: 601+amps - 1000 volts: MINOR LNdrL (10): SERVICEIFEEDER _ BRANCH CIRCUITS ADC1'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: 1 F'ER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amply-)It: ~�^ >=4 RES UNITS: > 603 VOLT NOMINAL: Reconnect on fir: SVCIFDR >=225 AMPS: � CLASS AREA/SPEC OCC-______ Owner: Contractor: NICOLE HEINS EMPIRE ELECTRIC COMPANY 11430 SW GAARDE ST 2014 SE 9TH AVE PORTLAND,OR 97214 Phone: 503-639-2773 Phone: 503-777-3108 Reg #: LIC 147727 --- ELE 3-5210 FEES Sl!P 31925 Description Date Amount Required Inspections _ LLPRMTj ELC Pcrnut 2;18/04 $46.85 Rough-in -- I,\X1 8%State Surchart.c 2/18/04 $3.75 Eleet'I Final _ Total $50.60 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. 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: J-"_ _ Permit Signature: _ OWNER INSTALLATION ONLY The installation is being rnade on property I own which is not intended for sale, lease:, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPP. ELEC'N; — �1'� c' DATE:__ - L ICEN:;E NO: ��_— ------ -------- — _- ----------- -- -- Call 639-4175 by 7i0pm for an inspection the next business day 2-16-204 4: 16PM FROMELECTRIC CO 1 503 777 4152 P. 2 '_t,fectrical Permit Apps&u c.it}' of TigardR , `G Rtcrr.ca t _' rrrTMI la.rte.20 13125 SW lla.l Blvd-Tgmd,OR 9/223 � p' Q poi`IAL�• �� '/ Phone 503.639.4171 Fax 503.598.1960 `� 0 O \ namro ONr Pormu: btspccnar Line: 503.639.4173 0� ��G Doc Ready/By,- ra 0 6cc faLc 2 rnr Internet: www.citigard-or.us V\�� NUI;G�dRActlu,d• -- Stlppterr.eanl rararraauua � ��1, ,. �'y'�'y'��i itrl i.l,/i�a♦itl -�I"Il�j� Ji,i, ,%'LSI' PLATO REViFW �: n New constrdction ❑Additiontalteration/replaeeutent Please check all that apply. -- C]Servsce over 223 trmpb.cormi'I (7ltszardou5 ilx:atior. ❑o''niolitloo Og1t7: C3Scrvtcc over 320 amps-rung ❑Suildng over 10.000 Sq.f6. _ Y K 4 of more new residential C"IK�6t4i�r.OF,;C,QKS'11RUG?IGIr� '!1.• � r�'1�;iii' of l-and 2-family dwelling, 1 []I•and 2-family dwelling, ❑C mtmercial/indusuial ❑Accessory building ❑Systcm over 600 vO;Is numinal uniu in one strulxurc ❑ ade auild ng over thrcc strs (']Feeders,AMamps or mare ❑Multi Ionil ❑Mltstet builder ❑Ofhcr: [Occupant brad ova 99 persons [Manufactured sttucrurw or �•-?: J IBIf'E IOVFQAI4 ,tkkil CI4H)flj UlEg Bl F P RV park ' .�. tsa�i tiro lar Job no.: /� Job sate slddress 1rjucalth-care facility Mother 1 430 u St. Subrrot.L set%of plans with my of the above City/sUMIZiP: The above are not applicable to temporary corestruc;ion service. Su(teJbldg./apt.no.! Project flume: i I.t I i FFEZ;SIF ' Ula fi ; .. _. ._ _ p.e„ry.ta, vy. ►'m roan » Cross s"Wdtreedons to Job site; Nc•r rt sidt atial 41n4le or multi-family dwelling unit. - Includes attached garage. _ _ ►,q00 sq n or less I4S.1 S a Subdivision: _ -- `--�-_- Lot no.: Ea.ndd')500sq.ft orpurti_on 73.40 1 Tax nap/parcel no., [.imited energy,residential 15.00 2 t i I Urnited energy.non-msidattial 75.00 - 2 ��, +Ica; a'; DESCR11P1>(Qti bel:i3H6RIC FA hmanufscturcdnrmodubr dwellfnjl,servicg and/or feedu 90 90 2 -Underground power supplyfor Cable. Sea.isoorfeeders lnshllation.alteration.and/or relomion 200 arrrps ar less 80.30 2 9�f10 i� 4 p,:� p'rlhatAlvT I liyl z01 aMp4 toADO Amps 10.15 2 401 amps M 600 amps _ 160.60 2 601 amps to 1,0W Amps 200 60 2 Address. �� j p J I s?f�Al Z, ` S 7 Ovcr 1,000 amps of vois 45a.6S - 2 --- Rectinncca only - 6G 15 2 cityfstatelzfp 7'/G /?r� Temporary servitm or feeder InWltstiou,alteration,und/ur Photic:(�^_'' ) ', - �,.,•,,'; Face:( ) _ 3 9 " 200 amps or less 66-85 1 Owner laaWlatlon:This installation is being(Mads on property that I own which is not 201 amps to AD0_a_n 100.30 _ 1 intended for sale,lease,rant,of exchange,according to ORS 4.47,449,670,and 701. 401 imp-s,.600 amps 137.75 2 �1Vlter signature. Dater Branch circuits-rttw,altersnon,or axteollon,Per panty A.Fee for branch circuits wim servicr tx leedtr fee,eau:h G-GS 2 13usmtsa mune: branch circuit - - B.Fee for termch circuits Contact name: rvirhosrr service or Reiter fee. {+ - "- — - each branch circuit 46,85 46.85 2 Addteca ' Each add'i brarich cir_euu 6 65 2 9 Gey/Statdzlp: MlKtllaneous(strtite pr feeder not included Phone:( ) PaXf; ) — Pump a irlgatton circle 53.40 2 _. sip or outline light__ - 33.40 _ 2 &Mail: Signal cliruit(s)or limited 17F7 i s "- , , '.I1 CnpRy panel,rlleritl0n.Or — - - extetuion.Describe: Page z 2 Business name' _E^nir - E1 pri-ri r f n a Address 2014 SE 9 Lh Eacb additional lrespection aver allowable to any of the above_ pe'rnspetbon 62 50 - CigBtatd2:lP P0rt18nd OR 97214 lnvestibaoon�rerlxnn(t hrrninl 62 so Phone:( 501 777-3109 Fax:(503) 777-4152 Indurt*La1 plmt�rc hour 1 -i�.75 2CtSC1111CA_L'PERI_1'1T,r'iPIEW ', CC78 Lic- 147727 Elecuical Lic-: 3-521C Sup-.Lie:3192S _subtorei 46.85 Suyrv.EleeMcian signttureuired: � ,, . i'l ry �- - Plan rcvtt:tk(25%of permit fa) -- 0 TO State surcharge(84'.ofpamii fee) 3.75 Pr4ntn1ne; OAvid ManwillerBate. 2�16/p4 TOTAt_pERM1TFFF, ~— Authorized st atuttl• 11 i kwe 6Q. (rt• ycrrtlt eaMlkatlw np{rM tf s prrrnlr Ir oar e6rei rrrA...Win 1410 �•-^-_� ---- - - der after It as batt scaptrd■.co.nplttr Print name- Dake — • Fre trerdrvdoloay act by Tri-County Puilding Industry Sttv,.e Hoard �^- ••Nurnbrr et uxi;wtlom per pernnit adowed. i lbaildinetre+rrhetetG►rmstApp dee trNr e.e.eat art lOCr1COM'wea ti M+ 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. PosUBeam Mach, Shear/Sheath Framing -Mach. Plbc.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. n. Sew Gas Line Appr/Sdwlk Reins. Other: _ Date: J ��. _4� A.M.. — . Entry: Address: U �.-A.3/9,V/l,d 0 — Tenant: -- - _- Ste: MST BLIP: ��/Own --- - -- MEC: _ PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 ELR: Inspector _ _ Dater 014APPROVED DISAPPROVED/CALL FOR REINSP, CF CO