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NOTICE: IF THE PRINT OR TYPE ON ANY rr � Ir � I � I I � ��I IIS �I �_�ljl`i-1:11r_-II �1T .gT :r11: f � �.... 1_ � I � � I_r_ �..:�1._r.� � :IIII.� f � ..�TI .� f �. ..� � � � Irf-C-i1J-r. , 11 � l_1.r .1J-I Ilrr-� r � iS1 T 7 f f . 1 I111I I I l
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No.36
IT IS DUE TO THE QUALITY OF THE _ _
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136�a1 SW JGNNA CT
i
ELECTRICAL_ PERMIT
CITE( OF TIGARD DAIL ISSUED: k15/;:--.'1/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Mall Blvd.Tigard,Oregon 97223.8199 (503,839-4171 PARCEL: '5104 CA--1.0.: 00
SITE ADDRESS. . . : 13691 SW JENNA CT
SUBDIVISION. . . . : HIL_L5HIRE ZONING: R-•7 PD
BLOCK. . . . . . . . . . . 1-OT. . . . . . . . . . . . . : 103
P'rejer_t Descr^iption: Installing one bt-anch circ-icit.
-----------------
- -- RESiDENT?AL UNIT----- ----TEMP SRVC/FEEDERS----- -----MISCEL_LANEOUS-------
1000 5F OR LESS. . . . : 0 0 - c'17t. amp. . . . . . . : V) P'UMP'/ IRRIGATION. . . . : 0
EACH ADDI L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LiMITED ENERGY. . . . . : N 4.01 - 600 amp. . . . . . . : iZA SIGNAL/PANEL.. . . . . . . : 0
MONF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
- --SERV ICE/F-EI' LER----- CIRCUITS-----_ ----ADD' L I NSF='ECT I U1VS_____
0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDE=R: 0 PER INSPECTION. . . . . : 0
c.'01 - 400 :amp. . . . . . : 0 1 rpt W/O SRVC OR FUR. : 1 PIER HOUR. . . . . . . . . . . : 0
401. _. 600 amp. . . . . . : ili EA ADD' L BRNCH CIRC: 0 1 N PILAW. . . . . . . . . . . : 0
601. - 1.00111 amp. . . . . : Vl --... .______--.----._.__..._---P'L_AhJ REVIEW 5ECT
1.000+ amp/volt. . . . . : 0 > -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 6VC/1=DR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner-: --- --- --_._______-_
-------------------------------- F=EES
ERIC .JENSON type amount Ly date r-ecpt
13961 SW JENNA LT PRMT 4 35. 00 CJS 05/21/96 96-279665
P( T 1. 75 CJS 05/c-_'1/96 96-279665
TIGARD OR 97223
Phone #:
Contr•actor:
PHOENIX ELECTRIC CO 4 :36. 75 TOTAL_
PO BOX 1432
-- -- -- REQUIRED INSPECTIONS -__...__......
FUALATIN OR 97062 Wall Love^
Phone #: 50.3-692-5E16x. Elect' l Final
I3eg #I. . 52288
This permit is issued subject to the regulations contained in the ___
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Permittee Sign at1.lre
applicable laws. W l work will be done in accordance with
approved plans. Thi, permit will expire if work is not started /
within 180 days of issuance, or if work is suspended for more
than 180 days. I s s�l ed By
___._.___.____.___.r)hJ��E_IZ INSTALLATION l]NI_Y-----------------.----
The installation is being made on property I own which is riot intended for
sale, lease, or- rent.
OWNLR' S SiUNATURE: LATE :
_----_--------_.----------CONI RACTOR INSTALLATION ONLY- ----_ -- -------------- ---
STGN(4TURE OF SUPR. ELEC' N: C)1 L.L t1-._____ DATE:
I_i L:ENSE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blr,d.
Tigard, OR 97223 Permit # CY C 3
Date Issued
Phone (503) 639-4l'i 1
CITY OF TIOARD FAX (50Z) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
� . t
r'ame of Development —^_ T Number of Inspections per permit allowed
Address_�����5 � ��rh p C _ Service included Items Cost(ea) Sum
City/State/Zip�(�(1 �����(jB� � � 4a. Residentia
l
less unit Y-
-_- ='1. (t or less S 110(10 4
Name (or name Of buSlneSs) �^ Each additunal 500 sq it or
portion thereoi $25 00 _
Commercial ❑ Residentl Limited Energy $2500 1
Each Manut'd Home or Modular
Dwelling Service or Feeder $68 00
2a. Contractor installation only: --
4b. Services or Feeders
Installation,alteration or relocation
Llectrical Contractor_ 200 amps or less $6000 _ 2
Address 201 amps to 400 amps $8000 2
City __ State J Zip a 401 amps to 600 amps $12000 --- 2
/��--� 601 amps to 1000 amps $18000 — 2
Pilose No
SLV_ 590=53 0 �_ Over 1000 amps or volts $34000 _� 2
Job NO. neconnr±ct only $5000 2
contractor's license NO ZC_ 4c. Temporary Services or Feeders
Contractors Board Reg No Installation,alteration or relocation
Signature of Supr Elec'n 9C-1 _ 200 amps or less
201 amps to 400 amps $50 00 2
License No�- G_' S' one No ;� 401 amps to 600 amps $7500 — 2
Over 600 amps to 1000 volts $10000 —
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name __ flew alteration or extension per pane
Address a1 The fee for branch circuits with
-- -------------------- -- 2
City _ _ State__. Zip purchase or service or feeder fee.
— ----— -- -- -- Each branch rircult $500
Phone No h(The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. j5 C? 2
not Intended for Sale, leasee or rent first branch circuit $35 00 2
Each additional branch circuit $500
Owner's Signature_ _ 4e. Miscellaneous
(Service or feeder riot included) 2
3. Plan Review section (if required): Each pump or Irrigation circle ,qu 00 2
Each sign or outline lighting $4000
Signal circurl(s)or a limited energy — -
Please check appropriate Item and enter fee in section 5B. panel alteration or extension $4175 00 _
_ 4 or more residential units in one structure Minor Labels(101 $10000
_Service and feeder 225 amps or more
System over 600 volts nominal 4f Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the abnve
as described in N E C Chapter 5 Per inspection __ $35 00
Per hour In Plant _ $55 00$5500
—
Submit 2 sets of plans with application where any of the above —� —
apply. Not required for temporary construction services. ?
V. Fees:
NOTICE 5a. Enter total of above fees $
5%Surcharge 165 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ --
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR Ir 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3)
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED Trust Account # p
Balance roue $ S
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)639.4171 CEF
RTIICATE F
O
OCCUPANCY
KXXX PERMIT #. . . . . . . : M13T94-0036
639-4171 DATE ISSUED. 09/01 /94
PARCEL: 2S11214CA- 103300
,I-TL. W)DRESS. . . : 13691 `SW JENNA CT
,UE)DIVISION. . . . : HILLSIAIRE ZON1NGsR--7 PD
,,LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . 1103
LASS OF WORK. :NEW
YPE OF' USE. . . :
IL CLIPANCY GRP. P3
JCCUPANCY LOAD 226 4
UJANT NAME. . .
,nHL,ISQ14 HOMEG INC
15100 SW KOLL PARKWAY
'3U11F E
AEFIVENTON OR 97006
,hi,;iv #: 643--.4400
'AHLISCH HOMES INC.
j.5100 SW KOLL F-TMY
A.)TTE r-.:
3EOVE.PTON OR 97006
1hont? 0: 684 -6453
4g #. . .* 42067
of the above referenced bl.ii Idinq is hereby qiypri, and cert i f leg
compl iatice with the State Of Oregon Spec.-j'alty Codes for the group,
upancy, and 1-me tulder which the referenred rcrmit way-, issi.ted.
I AILDI I I NSPECTOR
JIUO ANG FICIAL
POST' IN CONSVIICUOUS PLACE
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Hall Blvd.Tigard,Oregon 87223*8199 (503)639-4171 PERMIT #. . . . . . . : ms-r94-00-36
'J DATL ISSUED: 01:i'/11/94
PARCEL: 2b104CA-10300
;ITE ADDRESS. . . : 13691 SW JENNA C7
,SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PI)
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . .. tO3
------------------------------------- BUILDING
REISSUE: DWELLING UNITF`). 1 BASEMENT. . . . . . . . :0 st
CLASS OF WCjRK. :NEW BEDRMS:3 BATHS: 3 GARAGE. . . . . . . . . . :489 5t
TYPE OF USE. . . :SF FLOOR AREAS------ --- REQUIRED SETBACKS-------- ----
TYPL OF CONST. :5N FIRST. . . . : 1229 sf LEFT. . : 10 ft PIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . -992 sf FRONT. :20 ft REAR. . :30 ft
STORIES. . . . . . . 12 THIRD. . . . :0 sf REOUTRED---------------------
HEIGHT. . . . . . . . :26 ft TOTAL------ --*.2221 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 110968 PARKING SPACES. . : 1
Remarks : PATH I INSTALL FILL IN LIFTS COMPACT EACH LIFT NEED ENGINEERS REPO
----------------------------------- PLUMBING
SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . 14 WATER HEATERS. . . - 1 TRAPS. . . . . . — . . . . * :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : J. CATCH BASING. . . . . . . :0
WATER CLOSETS. . 13 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
UARBAGL DISP. . . it RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---------------- MECHANICAL FEES
FUEL TYPES------------ UNIT HTRS. . :O type amount by date racpf
/GAS/ VENTS . . . . . :0 TIF $ 1520. 00 JH 02/11/94
-
MAX INPUTiO BTU VENT FANS. . ,-,4 BPRT $ 460. 50 JH 02/11/94
-
F URN ( 100K . . -0 HOODS. . . . . . . I BPLC $ 299. 33 JLH 01/28/94 94-24819Y
FURN ) -100K . . : 1 WOODSTOVES. :0 B5PC $ 23. 03 JH Oe/11/94 -
FLOOR FURN. . . . tO CLO DRYERS. : I SSDC $ 260. 00 JH 02/11/94 -
130IL/CMP ( 3HP:0 OTHER UNIT5: 1 PARK $ 5J00- 00 J1i 02/11/94
GAS OUTLETS: 1 MPRT $ 45. 00 JH 02/11/94
Uwner: $ 11. 25 JH 02/11/94
PAHLISCH HOMES INC M5PC $ 2. 25 JH 02/11/94
15100 SW KOL-L PARKWAY PPRT $ 155. 00 JH OE/11/94
SUITE E P5PC $ 7. 75 JH 02/11/94
BEAVERTON OR 97006
Phone #: 643-4400
Contractor: ---------------------------------
PAHLISCH HOMES INC.
15100 SW KOLL PKWY
SUITE E
BEAVERTON OR 97006
11tinne #: 684-6453
Reg #. . : 42067 . ......-------------------------------------
$ 3304. 11 TOTAL
This pervit ig issued subject to the regulations contained in the ——————— RE(JUIRED INSPECTIONS ------
Tigard Municipal Code, State of Cli-P. Specialty Codes and all other Foot/fourd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This persit will eypire if work is not started within 180 Post/Seam Meehan Insulation Insp
days of issuance, or if work is suspended fot, eve than IN days. 17,lm/undslab Insp Gyp Board Insp
ermittec. sigtiati.tv e PLM/Underfloor Rain drain Insp
Meehanical. Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
I s s u e d By : Framing Inqip Mechanical Final
jaQPE:'.TION NOTICE V` /
Citj of Tigard Building Department
13125 811 dill Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-'-,hone)s 639-4175 Business Phone: 639-4171
Inspection:
Tooting Plbg. Undervlab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line Vd
Post/Beam Struct. San. Sewer Framing '-�C�
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. ad. -Mach.
Date Requeeted: �/ Time: AM _ PM
Address: ' L tic`. - - Permit
Builder:
THE FJLLOWING CORRECTIONS ARE Pw-,OIREDs
QL
I
— --- 7I - —
Inspector-_ / - -
_PROVED DISAPPROVED -_ APPROVED SUBJECT TO ABOVE
-Call For Reinep.
CITY EDF TIGARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PE Rih I T
13125 SW Hall Blvd.l Igard,Oregon 97223.9199 (.33)639-4171 l='E F2M I T #. . . . . . . : SWR94-004:
6 Sri -41 ;1 DATE ISSUED: 02/11/94
PARCEL: 2G104CA--10300
SITE ADDRGS15. . . 13691 SW JENNA CT
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD
BLOCK,. . . . . . . . . . . LOT.. . . . . . . . . . . . . : 103
TENANT NAME. . . . . :
USA NO. . . . . . . . F I X l•URE UNITS. . . .
CLASS OF WORK. . . :NUW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :GF NO. OF BUILDINGS: 1
I NSTALL T YPE. . . . :LAU GWR IMPERV SURFACE. . : : S f
Remar^kss : PATH I INSTALL FILL IN LIFTS COMPACT EACH LIFT NEED ENGINEERS REPO
T
ON ANY FILL OVER E FT DEEP BEFORE BUILDING
Owner: ----------- -______.__.___-- FEES
PAHLiSCH HOMES INC type amount• by date recpf
15100 SW I',UL.L PARKWAY PRMT $ 2c"00. 00 JI4 02/11/94
;iU I TE E I NSP $ 35. 00 JH 02/11/94
BEAVERFON OR 97006
Phone #: 643-4400
l.:ontr^act ars
L.:ONVRACTUR 1107 ON FILE.
1 1h a rr e # ; t 2231;. 00 TOTAL
Reg #. .
RE-QUIREV INSPECTIONS
This Applicant agrees to comply with all the ruies and regulatinns Sewer-, Inspection
of the Unified Sewage Agency. The permit expires 18@ days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, th, instalier shall prospect 3 feet in all directions from
the distance given, If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will install a lateral,
I'e r,m i t t e e S i g n a t u r e:
Issued BYE
Call for inspection - 639-4175
- - fL 1
City of Tigard Residential Building pernilt A Ipp ication /
�-
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address:
Office Use only
Subdivision:�� i 1 s �,�rQ Lot # /0 3 '"—
Valuation: 54-
Permit#
Owner: Reissue of
Address:_
Approvals Required
r
Planrwigy-i
Phone:
Engineering
Contractor. s C Other__
stir �
Address: O G S
,yItems Required
13Qa✓y �/�_ 47 70 0 b
Subcontractors
Phone. j y 3- y c r�
Truss Details
Contractor's License #
(attach copy of current Oregon license) C'ther
Subcontractors:
Pluryii)ing: /�r,d 40 ✓e, w /� y.., b,�. „►.r.�'1, J�t a�.�..� �A -^-`'—
MeV ical:_ QI-926 L o.w 40
( cratta—copy of current OR ConYactor's License)
i
14
ArchitectlEnglneer:
A
Phone: z 2 5 q1 i:,-.
COMMENT i d� ,s d•}, yin ra/a.,r �...r h �Y, e -ti>
1.
'i a a
Applicant Signature 8 Phone number
Received by: _� ------�__--- Date Received: —.--
G�
Permit ti' Account Description Amount Amt. Pd. Bal. Due
-003 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 0
Mech. Permit (MECH) !'( � / 9
.7 3
State Tax (TAX) 3
Bldg: i, 0
Plumb: rl ?
Mech:
Pian Check (PLANCK) �����' / >� 40 �y
Bldg: y J
Plumb:
Mech. _
wl�1r�1 , C�U y5 Sewer Connection (SWUSA)
Sewer Insp action (SWINSP)
Parks Dev Chi;rge (PKSDC) S�" `''
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Dist 1 (FIRE)
TOTALS:
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