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CITY OF T����® - ELECTRICAL. PERMIT
PERMIT#- ELC2002-00209
DEVELOPMENT SERVICES ,)ATE ISSUED: 5/8/02
13125 SW Hall Blvd., Tigard, OR 97213 (503) 639-4111 PARCEL: 2S103DB-05600
SITE ADDRESS: 13315 SW GENESIS LP
SUBDIVISION: GENESIS NO. 2 ZONING: R-4.5
BLOCK: LOT : 030 JUPISDICTION: TIG
Proiect Description: Fire restoration, all c,ncompassing low voltage and (3) L-ranch circuit
RESIDENTIAL UNIT_ TEMP SRVCIFEEDERS _ MISCELLANEOUS _
1000 SF OR LESS: 0 •• 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGWOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: 1
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
— SERVICE/FEEDER BRANCH CIRCUITS —_— ADD'L INSPECTIONS
0 200 amp: Wi3ERVICE OR FEEDER: PER INSPECTION- _
201 - 400 amp: 13t W/O 3RVC OR FDR: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT-
601 - 1000 arnp' _ _ PLAN REVIEW SECTION
10(10+ amphoK: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCit-DR >= 225 AMPS: CLASS AREA/SPEC OCC: —W-
Owner: Contractor:
SHAKE,WILLIAM F AND KELSO ELECTRIC INC
DEANNA J 545 SE 3RD
13315 SW GENESIS LOOP HILLSBORO, OR 97123
TIGARD, OR 97223
Phone: Phone: 503-648-6360
Reg #: LIC 116254
SLIP 4270s
ELE 34-433c
FEES - _Required Inspections
Type By D_3tu Amount Receipt Rough-in
PRMT CTR _iT& $135.15 2720020000( Low Voltage Inspection
Elec►'I Final
5 CT CTR 5/8/02 $10.81 2720020000(
-- �--- Total-_� $145.96
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 appro, ed 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 952-001-0080. You may obtain copies of these rules or direct questions to
!,?
Permit Signature: r' Issued By:
I ' J_
OWNER INSTALLATION ONLYThe installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ _ _ DATE: _
CONTRACTOR INSTALLATION ONLY
SIC NATORE nF SUER. ELEC'N: A ; J � ?� //�� - _ DATE:r_—_
LICENSE N O ___-__ —_— — -- — -- --- —— — --
Cali 639-4175 by 7:00pm for an inspection the next business day
11t1 1 :58 FA.l' '03 LAy 19tic C11Y OF Tl( •ARA " n.
Electrical iii-rvjit -kpplicadon
Ditto received: �I d�r !Ptsrmlt no.
Cit of Tigard ����
�' Projeci/appl.no.: j date _
J „•�u ., Adaicss, 13125 SW Hall Blsd,Tigard,OR 97223 - -- --- -__
tont
Date Issued: yA RccupInc _ {
t (503) 639-4171
Fa.r. (503) 598.1960 ease file no: Payment type
Land use apprc`val' —
r�
l °c''family cwalling or accessory 0 Conon orrial/industrial ❑Multi-Family O'rertant improvement
Nek construction q Add]dNValterztlon/replscemrnt O Other U Psrtiai
7--F'
I' J HISIW IN
ob address , -• { g Bldg.no.: Suite no.. Tax map/tax ludaccouai no
x �Ei.xh SubJieisiva. _
°'o ra uaJ:ic Desai 3tion and location of work r;n premises:
s.:.Ldted date or:.mr•ct,on.inspection -'
Job to. _ Fee Moa
f Ls.nt`s nLT.c: �l_�(� L[ L• � O Z 1�Xi Dacrl los
Qt!. (ea luul ao.6u 1�
kr!ss r� 'P'-� Newresidentl�•eftleornukl•tamll per
__-_- -- -- a) x dwelhngtsrrlt.IntitrderaasctMgarfRe
$late: ;11': t' ' •5-- herticel»clu".
Fax E•mall lWotig rt.or tem
Each additional 00 eq 5ft.or portlor.thwitut
bus lic.not ---;
Urnktedener y,residenuaI --�—
Clr, r.ctre Ito _ Limitedener L.non reeidenual - --_
,h L •i.� E-Ub 111111)fac U1 dl hurrlt UI.1M11,81 ln[., [K
is ng d"tticlar,he cared — - Vat ` Sentee uldor feedv
1 • pnal 1 y_ lJ enserw
-" 5ervlcuorbnMn-Inrtallatlost, - !",—'--`
alteratlon or ralucatlossr
200 unps or Int
Nacre r pnctj. 201 amp!to 400 amps
401 amps to 600 imps
,._ 601 anrpe to 1000 amps
t:,ty Start: :a1. _ Ove:1000 amps ut tuiu --�
�l'Ir.:,: .�____��aA E•maz1 ` keconnectonly •-- -'�__
+ --- --+
n+ner ;.;w iatioi The xstallatian is being made on property I c wn TN^I neer ic«or t.d.rs
•t:.r.Ir 1, 1 intended for sale lease,rent,or exchanje according to irmillatloo,alteration,orrtlosxtbe
I)f.S 4--,05,4 19, b7Q,701. 200 mipis or lar ,^-
201 amps w 400 ampe —
r hl a er s si a.trt.re: Ut,te: 101 to 60C amps --
---r- J
vkxn
Branch clnalu•.ew,■Ittrauua,
or elitintan per pawn
-'� ie' A. Fee fir branch Circuts wiU ;uwase ct
aervlce or feederfee,each branch cucur t'
State. I':II'. E Cee f r bru,ch circuiu without prehuu
__-------- (f service or fender fee,fiat luu,Jl urc.,,r
I", Ian k.•rn l fa:badd,lnnaltwarchcircuit
if Pill'11 A RV I j1wjd
Mile (Serrlceor( rnotlriclu ed):
_ ._. a er;:` , ;• : ,;•nercu _: IIrJU.;sreraau , Eael,;run,ponmgrdoncirele + --_ -_
u:: . ;> .,:r ',t: _ 'tauJu slv:au�❑ Each sign or o 0!ne Ihd -
+• ic.pc square feet fDul a Slanai ciroui;(O or a lust ted eners,pane.,�-� ---
sett .•er+ii u:.:runu nuelcsldenuduuulnonesracturc a.ieratlon,crexlension•
b.,,.cf=•er r rt yea Fee6ra 440unplorm it •l)escr am
-:.;r, ,lac r J�Y ons 14 tuu!nc,treA itri nc's nr ftv pare Each additional IPA peetion era•the.&.11511 In anv of the abvl c'
r-u jhLr.1-c. '_thea _. _------ Per Inspection T----___-----•
Subtall tete of pVns viitb say orthe above. Invesjilatior We -
11w abov a are out appllalrle to temporary ton0i uctlon aemice, Other �— —- -- -
- ---4 -- i.
irl Mt cr.11,i9 permit opplicotwt. Penna fee S -_
e,,pues if a peruut is rut obtaaud Plan review(al __ `'yr I $
I1h111 IV lq.%5 after It has been Scutt sun.e
rcpe(k- S 4pto
lr I 4• norrt: pe �' accepted w complete ?UTAi _
- -- �arl6c�dC lir•1 C A7r't unl `
CITYOF TI GAR D -- MASTER PERMIT
DEVELOPMENT SERVICES DATE ISSUED: 3/1 3/13202 0 170
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: "3315 SSV GENESIS LP PARCEL: 2S103DB-05800
SUBDIVISI.)N: GENESIS NO. 2 ZONING: R-4.5
BLOCK: LOT:030 JURISDICTION: TIG
REMARKS: Fire restoration to dt�.ck
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: RLP HEIGHT: FIRST: at BASEMENT: at LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: ct GARAGF: at FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT at RIGHT
VALUE: 5, 10 WOO
OCCUPANCY GRP: R3 DORM: BATH: TOTAL. I',!, so REAR:
V'LUMBING
SINKS: WATER CLOS'TS: WASHING MACH LAUNDRY TRAYS: RAIN DRAIN: 'TRAPS.
LAVATORIES: DIS4WASHEI'S: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS
TUBISHOWERS: GARBAGE DISI': WATER HEATERS: WATER LINES: BCKFLW PREVNI R GREASE TRAPS.
MECHANICAL OTHER FIXTURES.
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT F4NS: CLOTHES DRYER:
FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: �nS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 •200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 400 amp: 201 •400 amp: Tat W/O SVCIFOR: SIGNIOUT LIN LT: PER HOUR,
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADOL BR CIR: SIGNAUPANEL: Itl PLANT:
MANU HMISVCIFDR: 001 • loco amp: 001+8mpa•1000v: MINOR LABEL:
1000+amolvolt:
PLAN REVIEW SECTION
Reconnect only:
—4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCO PAGING: OUTDOOR LNDSC LT:
RURGLAR ALARM: OTH: 9011:n: HVAC: L 1NDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM. NURSE CALLS TOTAL N SYSTEMS:
TOTAL FEES: $ 319.29
Owner: Contractor: This permit Is subject to the regulations contained In the
SHAKE, WII-LIAM F AND LORENTZ BRUUN CO INC Tigard Municipal Code,State of OR. Specialty C ides and
PEANN.A J 3636 SE 20Th!AVE all other appltablF laws. All work will be done in
1:;315 SW GENESIS LOOP PORTLAND,OR 97242 accordance with approved plans. This permit will expire K
TIGARD,OR 97223 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 a: LIC DOOCIO33 forth In OAR 952-001-001U through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Footing Insp
Foundatlon Insp
Framing Insp
Rain drain Insp
Final Inspection
Iss d By Permittee Signature : _It"— ►`�� _
Call (.503) 639-4175 by 7:00 p.m. for an inspection needed the next business d4ay
•
Building Permit Application
�.11�y Of 'Tigard Datcreceived:, (1 �P,,,,to.: 'A'
( r1 /lid;urd
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjccUappl.no.: Expire date:
Phone: (503) 639-4171 Date issued: Hy: eceipt Rno.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval Y 1&2 family:Simple Complex:
TYPE 1
Lf I &2 family dwelling or accessory U Commercial/industrial Ll Multi-family U New construction U Demolition
U Addition/alts acement U Tenant improvement U Fire sprinkler/alarm U Other:
Job address: 3 3 5 S w G c c S 1. L I Bldg.no.: Suite no.:
Lot: Block: Subdivision: I Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: F L ►2 C_�Z n t Y o ti ('
C c J c ,t C .? 1-( A 2 n E c lC
INFORMATION,
Nrtmc: I (Floodplain,septic capaclly.,.olar,etc.
Mailing address: !''j*�,,i L3 & E t)I 1, 11 &2 family dwelling:
City: E' t'; State:C)2 ZIP:9 _ Valuation of work $ 10
Phone: Fax: E-mail: No.of bedrooms/baths............... .................
Owner's representative: _ Total number of floors..........I......................
Phone: Fax. Email: New dwelling,area(sq,ft.) .......................... _
Garage/carpon area(sq.ft.).. •.....................
Name: Covered porch area(sq. ft.) .........................
Mailing address: 2 N LJ `j n ✓ Deck area(sq.ft.. ........................................
City: PO'L A State: 2 I ZIP: Other structure an+a(sq. ft.).... ....................
Phone!"' z z s 1 i Z Fax: z L 3 7 F•-mail: Commercial/industrial/multi-family:
1 Valuation of work
Business name: L � ,.i � -2
Existing b!dg.area(sq.ft.) ..........................
,; _ /�2 v V N
Address: 3 (o 3 5 C, z o r w v New bldg area(sq. ft.)................................
City: z q Stale: 0 it ZIP: q Number of stories........................................
Phone: Fax: E-mail: Tyle of construction....................................
- -- Occupancy group(s): Existing:
CCB no.: e.• -� - C ) `� - New:
City/metro tic.no --- ---
Notice:All contractors and subcontractors are required to he
KW ri 11061111116111 licensed with the Oregon Construction Contractors Board under
Name: provisiorts of ORS 701 and may he required to be licensed in the
Address: _ jurisdicdrm where work is being performed. If lhz applicant is
City: State: ZIP: - exempt from licensing,the following reason apnii,;s:
Contact person: Plan no.: _ - ---
Phone: Fax E-mail:
Name: SIL( A t,y ( AN ` Contact person: Fees due upon application ........................... $—
Address: Date received:
City: State: ZIP: — Amount received .........................................
Phone: Fax: lE-mail: Please refer to fee schedule.
I hereby certify 1 have read and examined this application and the Not dl)uddic0om accept credt cards,please call jurisdictlon fa mcxe information.
attached checklist. All provisions of laws and ordinances governing this U Visa O MasterCard
work will be complied whether scifueo erein or not. omdir c : mber
y Grplrcs
Authorized signature: Date: _3•- 6- O .Z Name of can t,older as phown-n c"I card
Print name: C A L-ti- I t c L Cardholder si S
anaruR Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-*13(6MCOM)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
Ciryn(Tigard City of Tigard U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97_2; U Other:
Phone: (503) 639-4171
I'ax� (503) 599-1960
I Land use actions completed.See jurisdiction,criteria for concurrent reviews.
2 Zoning.Floyd plain,solar balance points.seismic soils designation,historic district,etc.
3 Verification of approved plat/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 Soils 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-basin protection,etc. —
10 .L 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. Plan review cannot be completed
if copyright violations exist.
I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if
there is more than a 4-ft.elevation differential,plan must show contour lines at 241.intervals);location of casements and
driveway;footprint of structure(including decks);location of wells/septic systems:utility locations;direction indicator;lot
area;building coverage area;percentage of coverage;impervious area;existing structures onsite;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts, any hold-downs and reinforcing pads,connection d^+ails,vent
size 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-member sizes and spacing such as floor teams,headers,joists,sub-floor,
wall cuustruction,roof construction.More than one cross section may be required to clearly portray constnrction.Show
details of all wall and roof sheali:ing,turfing,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.
Pxterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums 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 provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all tloors/roof assemblies,indicating member sizing,spacing,and bearing
locations.Show alai ventilation.
19 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered
sysrt-nis,see item 22,"Erigineer's calculations." —
i9 Beam calculations.Provide two sets of calculations using current code design values for all heams and multiple joists
over 10 feet lung 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 he stamped by an engineer or
architect !;censed in Oregon and shall be shown to be applicable to the project under review.
2 t I 1%L'(5)slit plans ar. required lot Item I I above. Site plans must he 8-1/2"x 1 I"or 11"x 17".
_'.t Two(2)sets each ate 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 "Drawn to scale"indicates standard architect or engineer scale.
28 S;t^Har.to include tree sire,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checklist must he con,ifeted before plan review start date. Minor changes or notes on submitted plants may be in blue or black ink.
Red ink is reserved for department use only. "1-4614(NI0WOM)
CITY dF TP BARD 24-Hour
BUILD;NG Inspection Line: (503) 639-4175
MST --- -
INSPECTION DIVISION Busines.; Line: (503)639-4171
BLIP
Received _ Date Requested_ Z AM PM BLIP
Location - -3 J r/ __ Suite— MEC -
Contact Person ? Ph( ) -- _- PLM
Contractor- 'e
' ks
� -- ( ) Cf 0 SWR
BUILDING Tenant/Owner —_ _ ___—_ ELC 22 j
Footing ELC,
Foundation Access: �f I �� ELR
Ftg Drain �^' �_. J l� —-
Crawl Drain ����"" SIT
Slab Inspection Notes: -
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 17
Under Slab - --- -
Rough-In _
Water Service — -'-—
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drein --
Shower Pan i
Other: —
Final
PASS PART FAIL
MECHANICAL —_ --- -
Post& Beam
Rough-In -
Gas Line
Smoke Dampers --
Final
PASS PART FAIL —
ELECTRICAL
Service —
Rough-In _ —
i1G/Slab � /-
Low Voltageaw—
FiraLAlarm
r0i - Reinspection fve of$ _required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
PART FAIL
E LJ Please call for reinspection R1 Unable to inspect-no access
�-ire Supply Lind
ADA
Approach/Sidewalk
Date ��_ Inspector Ext
Other:___.
Final DO NOT REMOVE this Inspection record from the joky site.
PASS PART FAIL
CITY OF TIGARD 24-11our 11
BUILDING Inspectlon Lige: (503)639-4175 MST d 6Z)' 1 —76
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received —Date Requestod'!L AM — PM_ BUF
Location 1 — s Suits MEC
Contact Person QA. 's -Q� Ph; ) 1' PLM
Contractor_.__ _ Ph( ) SWR _--_
BUILDING Tenant/Owner ELC
Footing ELC —_
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
-
Ext Sheath/Shear
_JAZI
Int Sheath/Shaar
Framing � '�-�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling -- —
Roof
Other: -
%[ :l
ART FAILBNG
Post&Beam
Under Slab - - ------- -- - - --�
Rough-In
Water Service - -- --- ----�
Sanitary Sewer
Rain Drains --- ---- ----- ---- -a —
Catch Basin/Manhole
Storm Drain --- --------._..__-------_--- --
Shower Pan
Other. -------------- ___--_---- --
Final
_ PASS PART FAIL �_ —.----- ---------- ___------_ --- -- —
MECHANICAL_ _ __----__--
Post& Beam
Rough-In ---- - -- - - - -
Gas Line
Smoke Dampers —
Final
PASS PART _FAIL ------T- --- -- -
_ELECTRICAL_
Service -- --� - --_ -.
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
Final L1 Reinspection foe 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 Suriply Line G
ADA Date 7-1/ e nL -- Inspector_Z6
Approach/Sidewalk
Other: _
Final — DO NOT REMOVE this Inspoi tion r000rd froM the fob oft.
PASS PART FAIL