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11825 SW KATHERINE STREET 00 w N m T M l6 11825 SW Katherine Street CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Eusiness Line: (503) 639-4171 BLIP Received Date Flequest3d Ql2'�Zi AM-_ - PM - BUP — Location _ --_11� �— ,= Suite_--- -- MEC ._. — _- _ _. _ ��--"�--�c� Contact Person __ ' ----- Ph(- 1 ��-� PLM Contractor_ � - _____ Ph( ) SWRBUILDING -- Tenant/Owner ELC --- Footing ____.__..____.�.�-- ELC - -- Foundation Access: EVR Fig Drain Crawl Drain � SIT Slab - I insPaction No�f�s: Post A Beam Shear Anchors Ext Sleath/Shear --------°---•-•-- " -'-"�y Int Sheath/Shear Framing Insulation Dr,^NQ9 Nailing Firewall Fire Sprnkler - — nm A'arm -- Susp'd Ceiling -- Roof - Other: Final _ — PASS PART FAIL PLUMBING Post&Beam Under Slab - -- - Rough-In - Water Service Sanitary Serer - Rain Drains Catch Basin/Manhole - - - Storm Drain Shower Pan - Other:--- _ - Final PASS PART FAIL MECHANICAL Pc-,Fi Beam Rough-In - -- Gas Line --- Smoke Dampers Final - PASS PART FAIL ELF_C_T_RICAL— - - - - - Service Rough-In - UG/Slab Low Voltage _---� --- - ------- — Fir arm m D Reinspection tee of$-_ -., required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS I PART FAIL Unable to inspect- no accFss Please call for reinspection RE:_- --- Fire Supply LineExt ^ ADA ��^ _.---• LIN.r_S.L� -�aZ9�1t�s� Inspector Approach/Sidewalk Other:----_---__--_- Final DO NOT REMOVE this Inspection record from the jot site. PASS PART FAIL AN crrY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST2_ INSPECTION DIVISION Business Line: (503) 639-4171 —6_o .3�n - BUP -- Received __ Date Requested G ��3 AM _ PM _ _ ____ BLIP / - Location _---__-- _ l._- v� _.,� ',�-��,� _,�5uite_ _ - --- MEC Contact Person -- Ph l ) PLM Contractor --- _------ ) -- SWR -------------- BUILDING Tenant/Owner -_-- __ - -- - Footing ELC -- - Foundation ELC Ftg Drain ACC@SS: - -- Crawl Drain ELR Slab Inspection SIT Post& Beam _ Shear Anchors - -xt Sheath/Shear - Int Sheath/Shear Framing Insulati m Dryw:,t Nailing --. - Firewall Fire Sprinkler ,sire Alarm Sust)'d Ceiling Root !J L V Other: Final^ iSEPART FAII_ - P...Uitti9ING _ Fust&Beam Under Slab Rough-in - - — ---- Water Service anita v Sewer Rain Drains Catch Basin/Manhole Storm Drain Showc-Pan Other: Final - PASS PART FAIL MECHANICAL Post 8 Beam Rough-In IGas Line Smoke Dampers Fin;; PASS PART FALL ELECTRICAL - Service - Rough-In UG/Slab -`----�� - -- Low Voltage Fire Ala,rn ----- Final PASS PART F4lL Reinspection fee of$ _ _._required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ [� Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Line - -- �- �-_-- ADA -A �3— D Approach/Sidewalk Date-A-) Inspector ._ Ext [PASS ther: --— inal DO NOT REMOVE this In'�tPection record frons the yob site. r"nT FAII. l CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _-- SUP Received _ Date Reque^ d _ AM_ ____ I'M BLIP Location - ?-_?LCA Suite -_- MEC - __. Contact Person _ , -�_ Ph PLM Contractor SWR n actor -_- -----_�---- ____ ____---__..— _ Ph( �) BUILDING Tanant/Ownel �� ELC Footing 3s _S q awl E� c Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Note.; SIT Pes;& Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing --- — -- —... Insulation D,ywall Nailing --- Firewall Fire Sprinkler - -�- - Fire Alarm Susp'd Ceiling Roof Other: Final ------------- PASS PART x+111_ PLUMBING Post& Bearn Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains — ------ Catch Basin/Manhole Storm Drain -- Shower Pan Other: -" Final PASS PART FAIL - - - ----- - MECHANICAL PO,;I x Beam Rough-In Gas Line Smoke Dampers --- Final PASS PAHJ FAIL - Service -� UG/Slab Low Voltage Fir lana inaI > v� Reinspection fee of$�� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ARI FAIL Please call for reinspection �j Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date, _G Inspecto Ct,t"4 =thob (ExtOther:Final DO NOT REMOVE this Inspection record fromsite. "'ASS PART FAIL CITY OF T I GA R D MASTER PERMIT DEVELOPMENT SERVICES PERMIT#: M3/02 -00318 DATc ISSUED: 8/113/02 '13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11825 SW KATH"'INE ST PARCEL: 1S134CD-00700 SUBDIVISION: LERON HEIGHTS h.,.,. ZONING: R-4.5 BLOCK: LOT:077 JURISDICTION: TIG REMARKS: Const, deck, carport and storage area. BUILOINO REISSUE: STORIES: FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: FIRST: sl BASEMENT: of LEFT: 12 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sI GARAGE: 243 al FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT: 14 OCCUPANCY GRP: R3 BDRM: BATH: VALUE: S 35,000.00 TOTAL: 0 0o sl REAR: 52 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN. TRAPS: LAVATORIES: DISHWA3HERS FLOOR DRAINS: SEWER LINL.:: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: GARBAGE DfSP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAFo: MECHANICAL, OTHER FIXTURES: FUE'.TYPES FURN<1100K: BOIL/CMP c 3HP: WENT FANS: CLOTHES DRYER: FURN:•100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS- ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP 3RVCIFEEDER9 BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR 1.1283: 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 -400 amp: 201 400 amp: tat WIO SVCIFDR: GN/OUT LIN LT: PEK HOUR: LIMITED ENERGY: 401 •000 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 601 • 1000 amp: 1101+amps.1000v: MINOR LABEL: 1000+am"/volt: Reconnect only: PLAN REVIEW SECTION >A4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL r B COMMERCIAL AUDIO B STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: _ INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL! OTHR: HVAC: DATArtE.LE COMM: NURSE CALLS TOTAL N SYSTE;AS: Owner: Contractor: TOTAL FEES: $ 817.49 KILI.ION,RANUALL L+ JUI-MEI H CREATIVE HOMES REMODELING This permit Is subjt;d to the regulations contained In the 11825 SW KATHERINE ST 7350 SW LANDMARK LANE Tigard Municipal Code, . All OR. Specialty and fIGARU,OR 97223 TIGARD,OR 97224 all other applicable laws. All work will l be done in acoordance 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: PlIona: Orepon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rap A: LIC 135700 forth In OAR 952-001-0010 through 952-001-00f110. You may obtain copies of these rules or direct questions to F 'bqg�,q,L. REQUIRED INSPECTIONS OUNC by calling(503)249-1987. '1 - 7 Erosion Control Insp Rain drain Insp Footing Insp Electrical Final Electrical Service Plumb Final Electrical Rough In Flndi inspection Framing Insp Issued By : ;� ,,t �,_��s l�� i. Permitttre SignatL!re Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bus ness day 2 -�- Building Permit Application iiEWM Datcreceived: Permit no.:,,, City of Tigard ProjecUappl.no.: Expire date: ` City n/!'hard Address: 13125 SW Hall BMI Tigard,OR 9'1223 �,' T' Phone: (503) 639-4171 Date issued: tly: Y Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: 10 2 far.:i. Simple Complex: ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition �+ U Addition/alteration/replacement U Tcnaitl improvement U fire sprinkler/alarm U Other: 0i SITE INFORMATION Job address: t„/ (n E.r nN Bldg. no.: I Suite no.: Lot: Block: Suhdf ision: Tax m p/tax louaccount no.: Project name: �� a rr' -r Description and location of work on premises/special conditions: �4.Sr� ,-1C,QLtit C)IIEC ST OWNI'll FOR SPECIAL INFORMATION, USE t _Name: a f �t Mailing address: t .Il,.-, I &2 famlly 11r.elling: City— t, " r" State LIP: '� ZZ.3 Valuation of work.................•......•.....•......... $ Phont.: 'o r ' '7 "ax: Ii-n1ai1: No.of bedrooms/baths Owner's representative: Total number of floors................................. i Phone*;t3:S �'1 '�fi fax: [:-mail: New dwelling arca(sq.ft.) .....•.,..,....•........, fl Garage/ arport ttre (sq.ft.)...•.•.•.ra�..`�. ..... ` — Covcrcd pore area(sq.ft.) Name: .......................... /} l Deck area(sq.ft.) ..........•...•.... _1{?" Marling address: City: 51atc; %I I' Other stnlcturc arca(Ro- ft.).... - _.__-- _ �— Conuncrcial/lndustrirl/multi-family: Phoebe: I,t� I, m,u L Valuationof work..........•..•..•....................... $_ - -- Business name: _t• >I „�� ,r I Exi�ting bldg. •a(sq.ft.) ......•.•.............,�!� ew bldg.arc (sq. ' Address: 13 S L ate_ , , + r Number of stories....... state. Z1P: c ..•... City:_- (�.t'/ -- Type of construction.... •........................... Phot'":Scz3.6�`I-Z`HL fax: 1 i nt.til: - - Occupancy group Existing: _ C:C:B no. .7 k��7 _ New: City/metro lic.no.: Notice:Alicontractors and subcontractors are required to he r licensed with the Oregon Construction Contractors Board under Nxntr: provisions of ORS 701 and tray he required to he licensed in the t Address: —� jurisdiction where work is being performed. If the applicant is Cit state: ZIP. exempt from licensinit,the following reason applies: Contact person: Plan no.: ` 1'In:nr I at G-mail: _— I111101 Name: Contact person: _- fees due upon application ........................... $ Address: Date received: _ J City: State: 71P: Amount received .......................•.•.......•....... $ fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,please call jurisdiction G,r mole infnrrnation. attached checklist. All provtsi ns of laws and ordinances governing this U visa U Mastercard worl, will be complied wit 'wh0crAapcci d herein or no. Credit card mmntwt — -plret ,r/r - / r — Authorized signature:- Date: -'�� I- Name of cantholder as shown on credit card Print name:�— __�'��'^ e— Cidhdder aiRruture Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted ass�complete. 440.4613(WWOM) One-and'I'wo-Family Dwelling Building Permit Application Checklist Itcicrcnccnn - i T City q/Tigard City of Tigard AssnciatedpernlI, U Electrical U I'lumhing U Mccll,lnlcal Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 - -- --- rax: (503) 598-1960 1 1 1 I � • I band use aclions congI11CICd. ` InlrIII' lien cIIIL'I KOM cunuur(•nl rcynr,s,. 2 'toning.Flood pl;Iin.solar hal,w, 11' uu r,nuc soils designation,historic dish,1.i'Ii -- — - - -------- 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorizalion for remodel. Existing system capacity _. 6 Sewer permit. 7 Water district approval. _ 11 Soils report. Must carry original applicable stamp and signature un file or % itll application. (I Erosirm eonlrol U plan U permit rrquired. Include(Jrainngc-way protection. .1It frnce d10sign and location of cater-basin protection,etc._ 10 3 Complete sets of legible plains. %In 11w drawn to scaly,s11owing Coll forInance to applicahlc local and state building codes. Lateral ek•�iyll 11.111 .nil 1 'nneclions mu'd he incorpuratc(I into 11110 plan~or(1)l:I separate full-size sh10c( :Itlached 10 the pl:uls ,\1111 L III'— WICII'rlrrs h1011w12011 plan loeallon and d101a11s. flan rcyu'w ccuttlol he cOnlplcl10d if copyright viul:lliOn,exfsl. _ I Site/plot plan drawn to scale.The l,lan punt shoe\It I and hill ldiIli!NOIMCl,dnnensions',prolxaly comer vicvahutls til - IhclC 1 11 il II L'Ilan it 4-fl.devotion(IIllrlI'll llaf.I,Ivt 111thl sh(1w cunlour Ilnr-,al 2-It, inlervals);local ion of ca.soments am (111•. 1w:l%. I ,Il print of stmclII[C(I fit Iwln1;'16'rk'.r:IOcauon(11 i,kVI kk,01111. sVsWll s,Illi Ii Iv I(,c•alions;(ifrectinn Indicat(ir:lul :Ilea',build Ing Coverage al'CI1,lit'Ic,'llla!''III,I,(I'I.I!'t'. 11111)('1',ball`•alfa;CXIIii IIIg Sri1ICtllr'l's(,11 site:and surface drainage. 12 Foundation plan.Show dinlrntilun'•. .ulchor hulls,:try bold downs and reinforcing pads,connection details,vent size and location. 13 Floor p1a11s.Show all dimension~, room idutlfir:111on,will&M stn, Iui ation of snn,kr(ICI('CI(,rs, water heater, furnace,ventilation fans, plulnh111P fixtures,IMICOnics and cl10cks ill mchcti ah,1,c eradc,cl,,. Ti ('toss sections)and details.Show all framing mcmhrr size and spavin,:,such as I lour hcanls,headers,joists,soh-fluor, wall Consuucltill,roof consh,xlion. More Iltan one cr';ss section ntay he required to clearly plumy conWruction Show details of all wall and roof shralhulP. ro,lin) o ,, ,of 411e,ceiling h10ight,siding material,footings:Incl foundation,stAirs, lireplace construction, 111c1 nal insulation,ctr. I 1 Ievl►Ifou vie tsti. I'1„yidc civations bar Iww cunsuu,11011;minimum of Iwo rlrvatiuns for additions and remodels. I 11 [lot rlc'y Ib(1ns nu•-1 leflecl life actual Prado if the c11urtge fn grade is Prealer than four foot al building envelope. I till si/c ~brei addcndune:showing foundalnnl II inh• ions Willi cross ICIerlce5 arc accel,tahle. 111 1III,:III hrachlf,(prescriptive path)andlor lateral analysis pians. Musl indfr,llr d,lull. Ind IOl':Ilf011s: liar u ,n 1110, ril,tnc path analysis j1)„yidr specific':tions Mil Calc111.1001,to"11VInrcnnP SIMM arils. l7 1 Ioorlroof fl:unink►. I'rovide 111u1 I1n ;111 Iloors/roof assrmhli10s,indIC0111}• panther Si/int.spacing.:ol(1 hearing I, ,unnl Sh ( ;Mir (rnIllalinl In Basement and retaining Isalls. 1'11),1,1, ,, 11, n and drt:Iil showing placcmrnl of rchar. For cngfncrrrd — systems,see item 22,•'Engined (.1I,III.111i n. 19 Beall.calculations.Provide two sets of ,,Ilculalfoll” it III n 1, ill , ,(Ic dcsign yalucti for all heaths and ntulliple joists ov10r 10 feet long and/err any be:un/jofsl rnrryine:t 1)(111 unit nm load. _ 20 Manufactured floor/roof truss design detalls. 21 Fuergy Cade compliance. Identify the prescripli-e pale or proafde calculalkins A gas-piping schematic is required for four or more appliances. 22 1'tlgineer's caleulalions,When required or provided.ti.e . shear wall,roof truss)shall he statnped by an engineer or architect licensed in Oregon null shall he shown to hr:q,I,hcahl10 to life project under rcyfr,( 23 Five(5)site plans are required for Item 1 I above. Site plans must lie 8-1/2"x 11"or I I"x 17". 24 TWO(2)sets cant are required for Items I6, 19,20 K 22 above. --- 25 Building plans shall not contain red lines or tape ons. "Mirrored"building plans will he not accepted. 26 "Reversed" building phut must met,(criteria outlined in the Permit 1)r System Development Pees docunr:nt. 27 "brawn to scale" indicates standard architect or cn!,incer scale. 211 Site plan to illClUdC Ire)'size,type&location per approved project street tree pl: (It applicable).and COT Strect"free List. Checklist must he completed hefiire plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use on1). 4404614f(MYCOM) Electrical Permit Application bate received: Permit no.: City of Tigard Project/appl.no.: Expire date: -- ('try a/Tigard Address: 13125 SW Hull Blvd,Tigard,OR 9722 4 bate it sed: Hy:�W Receipt no.: Phoue: (503) 639-4171 Payment Case file no.: Y type: Fax: (503) 598-1960 Land use approval: — - - TYPE OF PERMIT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Ad(lition/alteration/replacement U Other: U Partial 1 Job addtatle: t r i to f E31dg.no.: Swte no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: — Project name: Description and location of work on premises: Estimated(late of completion/inspection: 1101 vViliff1 6 iFero �t:n Jolt r10: _ Dewription Otc (ea.) total no.ins BU!)iness name: /^-I L- d t^ r hew residential-s(ngk or mtdti-tamlly per Address: I tl {-Z. , iiIf1(ts ti'. 15� , dwellingtudr.lncludesattachedgarage. _ Stag ZIP: ,('` I- Sersiceincluded: City: ,nl r.n rs 4 r r- F E-mail: Hx10 sq.nI.or less Phone: 'L3 _ _, Each additional 5(x)sq.ft.or onion thereof CCB no.: t—t Ca �'o Elec.bus.tic.no: ,S-- ? C. Limitedenergy,residential 2 City/metro lic.no.: t L.imlledenergy,non-tesidential 2 �f7 Each manufactured home or modular dwelling Unte �{t Service antllur feeder 2 Signature ot'su crvlsing electrician(reyulrecU _ rvlcesorfeeders-•Installation, Sup,elect.name(prin) License no: alierallon or relocation: 1 OWNEK 1 200 amps or le,s 2 201 amps to 400 amps 2 Nome(print): — 401 amps to 60f)amps 2 Elly: Mailing address: _ G01 amps to 10(x)amps 2 SlatC; ZIP: Over I(x)0 amps or volts 2 -- Phone; _ Fax: E:-mail: Reconnectonl Temporary services of feeders- Owner installation:The installation is being made on property 1 own installation,alieration,orrelocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or les. 2 ORS 447,455,479,670,701. r2O1 amps to 4W amps _ _ 2 Owner's signature: I t,ilc: r 401 to 600 ams 2` -- Branch elrcultc-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of service or feedet fee,each branch circuit 2 Address: _--- - — Slate: ZIP: H. Fee for branch circuits without purchase City: of service or feeder fee,first brunch circuit 2 Phone: Fax: E Illail: Liachudditionalbranch circuit . Misr (Service orfeedernotln�luded): finch um or irrigation circle 2 U Service over 225 amps-conunercial U Health-care facility Each signor outline lighting 2 U Service over 320 amps-rating of 1&2 U Haurdnus location Signal sign orcircuout in a hatted energy panel. family dwellings UBuilding over loolt)square feet fouror B •System over 600 volts nominal more residential units in one structure alts ation,or extension* 2 U Building over three stories U Feedets,400 amps or nitre *thscrit..[r --___ __ — U Occupunt load over 99 pemmns U Manufactured structures or RV park fjch addlllonal Inspection over the allowable In any of the above: U fsgtess/lightingplun U Other: Perinspecoott _ Subtnit_sets of plans with any of the above. Investigation fee — The above are not applicable to temporstruction service. Other •— ary conPermit fee.....................$ Not all Jurisdiction%accept credit male,pleau call furisiictioo for more infcxntation expNotire:it a permit application plan review(at — %) $ _ U Visa U MasterCard expires it n permit is not obtained ��_ within 180 days alter it has been State surcharge(8%)....$ Credit cud number --- - within TO accepted as complete. ....................... $ IJame of cardholder ass awn an cre II car $ CrdholJer signature Amount 44114615 1(r1xYCOMI 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 SYS rEMS) Service included: Items Cost Total ► Check Type of Work Involved: Residential-per unit 1000 sq It or less _—_ — $1 ,5.15 — t ❑ Auoio and Stereo Systems' Each additional 500 sq.Itr or portion thereof $33.40 _ 1 Limited Energy _ $75.00 ❑ Burgt�r Alarm Each Manufd Home or Modular Dwelling Service c.r Feeder $90.90 — hdiage Door Opener' Services or Feeders ❑ Installation,alteration,or relocation Heatinp,Ventilation and Air Conditioning System' 200 amps or less $80.30 2 2L'I amps to 400 amps _ $106.85 2 Vacuum systems* 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Tempo; ry Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $68.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps — $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circults Now,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits wlflr purchase of seryl^e or ❑ CIO,k Systems feeder lee. Each branch circuit $6.65 7 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of servleo ❑ or feeder fee. Fire Alarm Installation First branch circuit $46. 5 _ Each additional nal b branch circuit $6.865 ❑ HVAC Miscellaneous t:, Instrumentationervlce or feeder not included) ❑ Each pump or irrigation circle _ $53.40_ Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal clrcuit(s)or a limited energy panel,alteration or extension $7500 ❑ Landscape Irrigation Control' Minor Labels(10) $125.00 Each additional Inspection over ❑ Medical the allowable in any of the above Per Inspection $6250 ❑ Nurse Calls Per hour $62.50 In Plant - $73.75 Outdoor Landscape Lighting' Fees: [� Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review"section an g No licenses are required Licenses are required for all other Installations front of application Fees: Total Balance Due $ 1 —`— Enter total of above fees C] Trust Account# 8%State Surcharge : f All New Cnmmerclal Buildings require 2 sets of plans. Total Balance Due V1%ists\fernu\elc4ees.doc 08/30/01 LOT ID: 1 S 1 34 CD 00700 DATE: 729/2002 SCALE: 1 '=60' N I LOT 800 LOT 700 I LOT 800 LOT 900 k °a.iaa urrdi ota -'1►na otu �Il °n.ina IR FN SW WHERINE STREET 'n-nso r: f ff , 73 y 7' LOCATION MA_ P "n 11825 SW KATHERINE ST onrco K'o CREATIVE HOME REMODELING © A r.y, ,y�N H aoJ Y Consultants, Inc. u�+� Rs°,arton. Oregon (603) E26-ZJYO LOT ID: 1S1 34 CD 00700 CONTOURS BASED ON WASHINGTON COUNTY DATE: 729/2002 BENCHMARK NO. 168 (ELEVATION 173.248) SCALE: 1 '=20' I EL=162.9 I I I N X164 — 166 ---- - ECK LOWER F.F. _ 168--/ . i DECK I UPPER DECK UPPER DECK I I HOUSE 14' I EL=177.2 i I I 100.00' - r,' SW ['ATHERINE S-1-F� FET -7- z9-oz- E� PRo� s (,(JI'll H --^- ^-----CURB- SITE P Imo_ 1 I\� - - -- - 11825 SW KATHERINE ST moo• Q��/ CREATIVE HOME REMODELING pp', Consultants, Inc. seaverten. orecnn heal 626-2uo � , 3; � 6-3v-oma CITY OF TIGARD 13125 S.W. HALL BLVD. vy �, TIGARD, OR 97223 ` IMPORTANT PERMIT NOTICE AC ELECTRIC INC 18820 SHENANDOAH DFS OREGON CITY, OR 97045 Electrical Signature Form Permit #: MST2002-00318 Date Issued: 8/13/02 Parcel: 1 S134CD-00700 Site Address: 11825 SW KATHERINE ST Subdivision: LERON HEIGHTS NO.3 Block: Lot: 077 Jurisdiction: TIG Zoning: R-4.5 Remarks: Const. deck, carport and storage area. Your company has been indicated as the electrical contractcr for the permit indicated above. In order for the electrical permit to be vaLd, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, AT-TN- Building Depi. No electrical inspections will be authorized until this completed form is received OWNFR. ELECTRICAL CONTRACTOR: KILLION, RANDALL L + JUv MEI H AC ELECTRIC INC, 11825 SW KATHERINE ST 18820 SHENANDOAH Dig TIGARD, OR 97223 OREGON ':ITY, OR 97045 Phone #: Phone #: 232-8556 Req #: LIC 055615 SUP 45275 ELL 3-2G1C AN INK SIGNATURE IS REQUIRED ON THIS FORM X / � L igfi td� 2V� pervisir�g E,�-trician If you have any questions, please call (503) 639-4171, Ext. # 310 �� I��D _ ELEC,rRICAL PERMIT PERMIT#: ELC2002-00430 DEVELOPMENT SERVICES DATE ISSUED: 8/30/02 13125 Sr".r Hall Bled.,Tiqard, OR 9722.3 (503) 639-4171 PARCEL: 1 S134CD-00700 SITE ADDRESS: 11825 SW KATHERINE ST SUBDIVISION: L�IRON HEIGHTS NO.3 ZONING: R-4.5 BLOCK: LOT : 077 JURISDICTION: TIG Proiect Description: Install 1 branch circuit to hot tub. RESIDENTIAL UNIT — TEMP SRVCIFEEDERS _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEED=RBRANCH CIRCUITS ADD'L INSPECTIONS_ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR- 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ _ _ PLAN REVIEW SECTION I 1000+ amp/vult: >=4 RES UNITS: > 600 VOLT NOMr'rAL: L _ Reconnect only; SVC/,FDR >_225 AMPS: CLASS AREA/SPEC OCC:_ _.J Owner: Contractor: KILLION, RANDAI_I_ ROSE CITY ELECTRIC CG !NC 11825 SW KATHERINE ST 4012 NE_ CULLY BLVD TIGARD, OR 97223 PORTLAND, OR 97213 Phone: Phone: Reg #: g(JF)--61btV7S LIC 3567 ELE 26-113C FEES Required Inspections Type By Date Amount Receipt r Wall Cover PRMT CTR 8/30/02 $46.85 2720020000( Elecl'I Final 5PCT CTR 8/30/02 $3.75 2.720020000( 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 requii's you to fol ow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAP.952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344 i By: Permit Signature: Issued _ OWNER INSTALLATION ONLY The installation is tieing made on proF arty I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _�—___..__�_. -_-_w____—.-- �— DATE:_ CONTRACTOR INSI ALLATION ONLY SIGNATURE OF SUPR. ELEC'N 7 1 ' . —_._ DATE:---- LICENSE ATE:__ _LICENSE NO: --- -------------_—___-_ —_ ��___ Call 639-4175 by 7:00prn for an inspection the next business day Esumutul dart of tarn letintdina taon: Job pot __ Fee Ma pusiness t1a[nC; HOSL CT TY TESTPaan thus Oty. (ea) I Tow in W Address: sic CO Ur Nen mtknt al-d a&or maldds"per 0] 2 . xuJ.r�.Y _ dwelbnowdt.tar uiaonaehalQorw®e City: PORTLAND watt::OK zll"'i 2.13 Semmkrcludid Ph_��7 h 16 t&D 3 2 Oarl: - _ 1000e .ft urloil _ 4 CCH n-u �- Elec.bus llc.no; - F"h addltimrai 500 ay It or portion thereui -- - � -- Llrntudeavny.raidnWal Z W r_Ity/ l� �_� -_ _ Lmut doncspy,nnn roddendel - 2 ') Unch manufactured home or modular dwelling sign at's-U-66vising rectricign 294-6cl WILD - Scrncoondlprfeedrr 2 Sup.ckq num tpnnt) C70 t , t,jeenK,q•. 12 &nlca erfoeUrs-Wullittlun,-- altetwllon or relocatloa: 200 amps or leas _ 2 Name(print): - P ' 2C I un)Rt to 400 mp4 2 _ ------__—_--- -- � - ^' 491 am s w 60U a 2 Mtil'tng nddtCn t: 1 601 am�e to IOCA runpa 2 City: Z titatr - zil'�'�- Overl000tunpsurvuhs _ - 2 Phnne: / w r E-mall: Recoruren and I Ownrr inAlMgmv IIte inSt llnpon in being trade on ptvl,crty 1 own femporarysert imorfoerlaa- which is not intended for sale,lease,rent,nr exchange accurdi,t@ In Inarobatlo a teradvat,orrobeattoet ORS 447,455,479,670.701 2011 amps or lees 3 201 amps to 400 emLa 1 c)wn&s aignaturo: _ .._ Date: gut to 800 am a - _ 1 mrst►ch drvulh-herr,olterailon. Name; oreaterstan per pam It A Fm for brunch circuiu with purchase of Address; _ _ eerviw rx foodcr fm each branch circuit 2 City: — �- — 5( 71Fr; B Neo fur tnarteh ci►culu wtthuut ptrrcheu afeorviccotfcedmfre,Rnrbrencharcu_it. 2 PlroOe: l fu; mail: ['.achaddiawudbrwuhdm-uie Misc.(Sorvkv or fonkr not iuhWm): — *Serviw nvar 225 amps-amwxnul 13 Healdt-earc fadbry !a-Rurmor iniL un circle 2 a"cc over 320 craps-rwtarg of 113 O flesardatulowdon tech 012 or outline li ndng 2 furdltr dWoump Q Butiftl over 10,000 square fea four or SI"cirevlt(a)or a litttltcd cony pw-1. U 9ypem oval60U vults rrrndnol more rwWaWal wdu In ant etcumure altnodon.or u watone 2 Q avadinpover thmaStories O FeMm.,400ampaortnora •arm: _-.-- U fkcupsm load ova 99 pc►wna U Manafxtwad atructrree or Rv part, Fad adoltloaal bsrpeeiloa ow Ilea 61IN' hie In oar of tlM tabor Q r4ro4ohdoaptan O Otho. --_ per on SIIbmlt_._. .este of PUW whth Btly Oahe shots tnvem atian kc - -- '[ba oba"am ort spOmble to tomparnrr m awaits, now - Not on emwr Ovdh�,t�CO hr WWW(Cr awe Notice;:This Paw(appliewon Pemtit fee.....................$ _. Q 1Raa I vuW`ant a7 D3 expires if a permit 0 sot obtained Plan review(at _ %) S Cod'I Owd arcc,Aar�� .� y klt�L 1_1___ within 180 dayv Oer It hoe batt StAtc stttchatge(896) .. ; e'-Se-C-L nA ' L tt��wL�7 ecccpted ae camplctr TOTAL. .......................S _...Cob* Aetoror J 440-f61'(fiCR=M)