12450 SW KNOLL DRIVE N
Ob
Lrl
O
1 rn
r
r
1
i�
G
� i *liio
i
Ilka
t SAM 77ONN MS OSb?T
("'"ITY OF TIGARD
DEVELOPMENT SERVICES F'L_I.JMl7ING �'ERMi-
� F'E RM I T #. . . . . . . : F'L.Ih99--00EJt�
131?.S SWHall BIvr+, Tigard,OR 97223(503)639-4171 DATE: ISSUED: 03/:4/9'?
P'N Rf"E'.t S 101 Bl-:-01700
SITE ADDRESS. . . : 12450 SW KNOLL DR
SUP DIVISION. . . . : TIGARDIA TERRACE "ZONING: R-4. 5
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG
CLASS nF ^WORK. . :ALT'^�+Y GARBAGE-D I SP'OSALS. : 0 MOBILE HOME. SPACE S. : 0
T YF'E OF USE. . . . :SF WASHING MACH. . . . . . : 0 BAC I�FLOW P,REVNTRS. . 0
Ol"C'UP,ANCY GRP'. . :R2, FL_.00R DRAINS. . . . . . . 0 TRAE a. . . . . . . . . . . . . . 0
sTOR I ES. . . . . . . . : 0 WATER HE ATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
FTXTIJRES----_---- ----_ - LAUNDRY TRAYS. . . . . : 0 SF= RAIN DRAINS. . . . . : 0
E INKS. . . . . . . . . . 0 URINALS:. . . . . . . . . . . . 0 GREASE TRAF•'S. . . . . . . 0
L.AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . » 0 SEWER LINE (ft ) . . . : 0
WATER CLOSET". : 0 WATF0 LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAI' ?TRAIN (ft ) . . . : 0
Remar,l(s: Water he��ter conversion
Ownei- ____._.___------.._._.___---_____._._.__.__..____------._______-• i EE
f.:HARL_ES E DEFOE JR type amol.+nt b•,+ date recpt
18805 SW CORP.ai- CREEK RD F'RMT $ 25. 0-0 B 03/24/99 99-313951
NEWBERG OR �iP'f; r t 1. 25 B 03/24/39 99-313951
F''t•i o n e #
Conte•a( tor~•_.__.__.___ ______.__._____.___._____.__._-._--
OWNER
SIGNED RESPONSIBILITY FORM
Ihl FILE
Rhone #: L 26. 25 TOTAL.
Req #. .
---------• REQUIRED IIdSF'ECTIONS
This perait is irsued subject to the regulations contained in the Mise. lnsper-tion r ___•._.
Tigard Municipa, Code, State of Ore. Specialty Codes and all other Final Inspection
applicable law,. All work Hill be done in accordance with —•--••---
approved plans. This pewit will expiry if work is not started _ -
witt.in IN days of issuance, or if work is suspended for sore _ _.! _.r_ _ _ -�_ --- -•---- .....
than 1,88 days. ATTENTION: Oregon law requires you to follow rules �_• �.-Y� __ _ _____�__ _-____-- -
adopted by the Oregon Utility Notification Center. Those rules are _�• _ _-------
set forth in Opp, 9524W1-80IQ through OAR 952-MI-NN. You say ---
obtain copies of these rules or direct questions to OUNC by calling Y _ ___ —• ----------
(503)246-1987. ��_.�_.r�Y-_�-----•—- -_�_��__�._�-�_._+
I
Issf_(erJ by: ('` Permittee S gnati.tre :
4+ +-P•++++h+++++ 1-+++++++i•++++++1-++++++++++++++•+++ ++++-f+++ +' �+ v1+�++++++4+
1-
Call 639--4175 by 7:00 p. m. for an inspection needed the next b+.+siness day
+++-+•+++++++++++++++++++t ►.++++++++++++++++++++++++•+-+++4 +++•++++++++++•++++4-+++•+•++
CITY OF,TIGARD Plumbing Permit Application Plan Check#
131-?`' Sve,HALL BLVD. Commercial and Re,,identiai Recd By Y_,
TIGARD, OR 97223 Date Recd J
(503) 639-4171 Date to P.E.
'
Print or Type Date to G3+.
Incomplete or illegible applications will not be accepted Permit:
Related SWR
Called__
T-me of Deva;,pr ienUProject FIXTURES (Indiyldu8l/ -! QTY*'T PRICEI.AMT
I Job s� - - 9.00
Address Street Address Suite l avatory 9.00
�z 0 j L' i c') ,'5 N r,(l I- ' Tub or Tub/Shower Comb. 9.00
Bldg 4 CllylStale- Zip - --
,, Sh%.er Only 9.00
Name Water Closet 9.00
Dishwasher 9.00
Owner Mallinq Address Suite Gaitage Disposal 9.00
City/State Zip Phone Washing Machine '- c 9.00
Floor Drain/Floor Sink 2" 9.0c
Name 3" - 9.0c
4" 9.00
Occupant Mailing Address -
Suite Water Heater convr+lsion O like kind 9.00
_ __ Gas piping ro uires a separate mechanical ermit. /
City/Slate Zip r r ne Laundry Room Tray 9.00
L-- _ _ _ Urinal --� 9.00
Na
9me - -- _
L. y, l -y t, . t/C�Ut' Yi/J Other Fixtures(Specify) - 9.00
Contractor Mailing Address Suite9.00
'y o> 5, 4� a -d-: ' - -- - - 9.00 --
Prior to permit Ity/State, ZI Phone �$� Sewer-1st 100' -- ----- 30.00
Issuance,a copy ___-- --- -
Sewer-each additional 100' 25.00
of all Ilrenses are OregonC n ont.Bo rd LIc.M Exp,Date
required If Water Service-1st 100' 30.00
expired In COT Plumbing Lic.* Exp.Dale Water Service-ea,.h additional 200' 25.00
database _ Storm&Rain Drain-1 a 100' - 30.00
Narmc Storm&main Drain-each additional 100' 25.00
Architect _ Mobhe Home Space -- 25.00
Or MAlling Address Suite - Commercial Back Flow Prevention Device or Antl- 25.00
_ _ Follution Device _
Engineer City/state Zip Phone -� Rea!tentiel P.ckflow Prevention Device* 15.00
_ _ _ (I!rlgation c",dng da;
evls require a separate
Cescrtbe work to be done: restrictec energy permit_)
New 0 Repair O Replace with like kln& Yes O No b Any Trap or Waste Not Connected to a Fixtwe 9.00
Residentia' 0 Commercial 0^ --- (match Basin - - 9.00
Additional r cription of work: Insp.of Existing Plumbing -� 40.00
erRtt
SperJally Requested Inspect;ons 40.00
- Rain Drain,single family dwelling 30.00
Are l/ou capping, moving or replacing any fixtures?
Yes 0 No O Grease Traps - 9.00
If yes,see back of form to Indicate work performcJ by --- ---QUANTITY'`YAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or rNer dia{ram is required K Guannty Total Is >.9
WORK COULD RESULT IN INCREASED_SEWER FEES.__ -- "SUBTOTAL Ci
I hereby acknowledge that I have read this application,that the Informatlon _ _
given Is correct,that I am the owner or authorized agent of the owner,and �- v� 6%SURCHARGE
that lawn submitted are In copno6a ce_with Oregon State Laws. _ _ i .7�
Signature of Owp"Agee 7 _ i Date -**PLAN REVIEW 26%OF SUBTOTAL. 'rr`
a_ _Re ua Ired arlYn n Burr qty.total is>9�-
/ TOTAL
Contact Pera-OpArraMe f -"-- Phone � y ��n
'Minimum permit foe Is$25+55.surcharge.except Residential BAckfloW
Prevention Device,which is$15+5%scircharge
- "'All New Commercial Buildings require plans with isometric or riser diagram
and plan review
I wstsrpkanapp doc MMM
PLEASE COMPLETE_
Fixture Type - Quantity by Werk Performed
Now Moved Replaced Removad/Capped
Sink _ --- �-" -
Lavatory _ -- --
Tub or Tu_b/Sh,3wer Cc)mbination
Shower Orly/ - --- - ---- -- -- --
Water Closet - - --
Dishwasher _ --- --- �-- -- -
Garbage Disposal
Washing Machine --
Floor Drain/Floor Sink 2" - ---- -
_ 4
Water Hester _--
Laundry Roorrl -: ray � - - � --- --
Uri na I - - - - - - ----- -- -- -----
Other Fixtures (Specify—) --------I----
COMMENTS
Specify) - -- --COMMENTS REGARDING ABOVE:
11ENslpkn,i�,da.rrnrd
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICOESPERMIT
PERMIT #. . . . . . . : MEC98-0131
13125 SW Hall Blvd., Tigard,OR 97223 (503)659-4171 DATE ISSUED: 04/15/98
PARCEL: 2SIOtBC-01700
SITE ADDRESS. . . : 12450 SW KNOLL DR
SUBDIVISION. . . . : TIGARUIA TERkACE ZONING: R-4. 5
BLOCK. . . . . . . . . . . LGT. . . . . . . . . . . . . :002 JURISDICTION: TIG
--------------------------------------------------------
CLASS OF WORK. . .ALT FLOOR r7URN. . . . : 0 EVAP COOLERS: 0
TYPE OF' U c_3 E. . . . :S F* UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APIPIL.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. IN,'IN: 0
MAX JNPU 0 B T LJ 1.5-30 HP. . . . : 0 REPPIR UNITS: 0
FIRE DAMP" -'S?. . : 7.0-50 HP. . . . : 0 WOFIDSTOVES. . : 0
GAS PREG!_ 50+ HPI. . . . : 0 CLO DRYERS. . : 0
NO. OF' LA AIR HANDLING UNITS OTHER UNI—TS.: 1
FURN ( 100K bFU: I i0000 rfm : 0 GAS OUTLETS. : 0
FURN ) =100K BTLJ: 0 > 10000 cfm: 0
Pemar-ks : Install furnace and gas piping,
bwner-: FEES
CHARLES E DEFOE type amof.tnt by date 1-er.pt
1812 SW CORRAL CREEK RD PRM-T' $ ,C,5. 00 DEB 04/15/9-3 98-30497P
SHERWOOD OR 9*7140 rb P,C T $ 1. `5 DEB 04/15/98 98-304972
Phone it: 697-4,2801
Contv-artor,.-
ARROW MECHANICAL
10330 SW TUALATIN RD
$ 26. 25 TOTAL
TUALATIN OR 97062
Phone # - 69�,-_-1565
Peg #. . : 000051
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Incip,
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p
applicable laws. All work will he done in accordance with Heating Lint Insp
approvedplars. Thi permit milli expire if work is not started Misc. Insper-tion
within 180 days of issuance. or J work is suspended for more Final Inspection
than 181 days. ATTENTION: Oregon law requires you to fol ow rules
adoptrd by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-901-0010 through OAR 952-00I-11080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)x'46-9187.
V 7_79
Permittee Signatiit-p:
... ......+++++++++++4.........4A.........+++.................4......4.--+++4-++++-+-++4+
C_-411 639-4175 by 7:00 p. m. for inspections needed the next bt.isiress day
++4 .........4--+++-++4..........................4...............4-+++4+++,+-4......++++
Plan rhe�
CITY 0(k'TIGARD Mechanical Permit Application Recd By L1._)l---
13125 SW HALL BLVD. Commerciai and Residential Date Recd y-/
TIGARD, OR 97223 Date to P E
(503) 639-4171. x304 Date to DST�_w
1
r �
Print or Type Permit a�( r -
Called
Incomplete or illegible applications will not be accepted _
��— Nameei'gevelop AnuProien I Description
7e e z Table to Mechanical Code �n PRICE AMT
Job Street Address1 A) Permit Fee — Y- -0- 10 J0
Address r)Lt / tht-/C)/l
BldgN Crtyrstate Zip B) Supplemental Permit 3.00
a or Hemp of business) r 1 1 ducts
to 100 000 BTU 600 —
Owner ` - (l�� nil.dUS 3 vents
Nr
Addr
r
2) Furnace 100,000 BTU+ 750
�'t Int K 1 mG duds&vents -- —
c.ry�Su / �lZ Pnong��� �f 3) Floor Furnace coo
17
-- -- -' '4 / t; 7 C incl vent
Name for name of bus in 4) Suspended heater.wall heater 600
or floor mounted heater _
Occupant 11-1- Address 5) Vent not ircl in 3 00
-T—
appliance permit
GtpStaie Zip Phone 6) Boder or comp,heat punp,air Gond 600
to 3 FIR absorp unit to 100K BTU
t _ COntr actor Name r 1 �-- 7) Boder or comp,heal„C^1p,air cond. it 00
(r-- for to A c t<< ('`= t"_`�,C�',\ 3-15 HP;absorp unit to 500K BTU
issuance Ma ung Add ? P t 8) Bader or comp,heat pump,air cond 15.00
applicant '�` l� -� (!,1• �� 15-30 FIR absorp unit.5.1 and BTU_
must provide all Gryosrne /) Zip P>r* 9) Boder or comp,heat pump,air cond 22.50
contractor { l ", 'r'4--re `•'/v 4Tt } 3050 HP;absorp unit 1-1 75 mil BTU _
license Oregon Cont Conl Board LK m
N !rip Date 10) Boiler or comp,heat pup,air cond. 3750
information ��/,y >50 HP absorp unit 1.75 and BTU
for COT COT Business Tax or Metro M Exp Date �1 1 ) Air handling unit to ry 450
database) 1 _ 10,000 CFM
Architect Name 12.) Air handling unit 7.50
10.000 CTM+
or Mailing d s W� 13) Non portable - 450
evacomt_e cooler
Engineer C tvrstate zip Phone 14) Vent fan connected e � �300
_ to a single dud
Describe work New O Addition O Alterahory>,4 Repas-d-,� 15) Ventilation system not 450
to be done Residential O Non-residentia;O included in appliance permit _
Additional Descnphnn of work 16) Hood served by mechanical ey laust 450 —
17) Domestic nc neratnrs -- 7 50
Existing use of - �II — 18) Commercial or ndustnaltype 3000
budding or property l `;71t l'^-�1�`��`' incinerator
19) Repair units __ 4 50
Proposed use of 1, 20) Woodstove 4 50 —
budding or property
211 (;lathes dryer etc 4 50
Type of fuel-oil O natural ga LPG O electric O 2) Other unitst'r1-.5 4 50
I heresy acknowledge that I have read this application,that the 23) Gas piping one to four outlets I 2.00
infomiahc i given is correct that I am the owner or authonzed agent of
the owner,that plans submitted are i / i nce with Oregon State 24) More than 4-per outlet teach) 50
T,
-----__
Signature/of own Agent Date v i -� OTY.SUBTOTAL A
dt C' 'SUBTUT.4L
Contact Person Name Phone —�-- 5%SURCHARGE '
-- PLAN REVIEW 25%OF SUBT'OrAL
LTOTAL
',dst\mechnmt doc (rev 796) Minimum permit fee is S25+ 5%surcharge
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: C39-4175 Business Line: 639-4171 MST - _ --
BUP _
,Date Requested AM_ __I'M —_ — BLD
Location---_/ _ L,if., �f.�-L�,-�� Suite — — -.j
- - MEC
Con4act Person _ Ph _— PLM _C7 t
Contractor _— —_ _ Ph SW;1 /
BUILDING Tenant/Owner EI.0 _
Retairnng Wall --- V—_— --- ELR -
Footi-g Access: - - —"
Foundation FPS
F!g Drain
Crawl Drain Inspecticn Note: SGN — _—
Slab
Post&Beam -__.�—_.-- - ----------- --------------------- SIT
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation ------`---- ---- --.-__._—___ _._._--_--- --
Drywall Nailing
Firewall - ------.--_—_
Fire Sprinkler
Fire Alarm ---_ -----
Susp'd Ceiling
Roof _- - -�— ----�._ �--- ------
Final
'A� T FAILII&
Post& Beam -- -----
Under Slab
Top Out - - —
Water Service
Sanitary Sewer 4 —
y�ir<__,ains
PASS FAIL
roffM e a m
Rough in
Gas Line
Smoke mpers��� — —
PASS PART' --PAIL
ELECTRICAL—
Service � —
Rough In
—--
UG/Slab
Low Voltage
Fire Alarm
Final _ ---------- -
PASS PART FAIL
SITE
Backfill/GraOng --- ---
Sanitary Sewer �—
Storm Drain I I Reinst)ection fee of$ required betore next inspection. Pay at City Hall, 13125 SSV Hall Blvd
Catch Basin
Fire Supply Line I I "lease call for reinspection RE: ( ( Unable to inspect- no access
ADA
AppOroach/SidewalktheDate Inspcctor_ F-.xt
Final --- - -----_--.---»_. --
PASS _PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGA,RD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST -- -- --
' D10 BUP
—_Da:e Requested - 3 AM PM BLD
Location I .Z � /�N, t / y,� Suit -- _. — --—
-- � -�•----- MEC
Contact Person f - �f�/Z/�; ' ph c PLM
Colttractor_� _ _ — Ph SWR
BUILDING Tenank!0wnar — _ ELC
Retaining Wall — ELR
Footing Access,
Foundation FPS
Ftg Drain --
Crawl Drain Inspection Notes: SGN
Slab
Post& Beam - '-----"" -- SIT
Ext Sheath/Shear
Int Sheath/Shear -
Framing
'nsulation ---- -- _..----- — -- _�
Drywal' Nailing
Firewall
Fire Sprinuler
Fire Alarm
Susp'd Ceiling _
Roof
Misc: _
Final �—�.—_..----------_"------_-- __
PASS PART FAIL - _ --------_.-_�.--- _
PLUMB,'NG
Post& Boam ----
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final -----
PASS PART FAIL _
MECHANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final - — -
PASS PART FAIL —
CTRICAL.
Service
Rough In --
UG/Slab
Low Voltage
Fire Alarm
PASS TART FAIL
Backfill/1",iading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ __regiAred before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( 1 Please cail fnr reinspection RE: , __ _ __ [ J Unable to inspect-no access
ADA - --
Approach/Sidewalk9y
Other _ -- Date -31— 7 Inspector l� _��_� ��. �'1..4.^ Ext
Final
PASS PART FnIL I DO NOT REMOVE this inspection record from tt,,,e job site.
CITY OF TIGARD Electrical permit Application Plan Check#
13125 SW HALT_ BLVD. Recd By
TIGARJ OR 97?23 Date Rec'd_
_
Phone (503)639-4171, x304 Date to P.E.
Uate to DST --_�
InsnP�tion (503) 639-4175 Print or Type ,.
Incomplete or illegible will not be accepted Permit#-�-�C--�-
Fax(503) 684-7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development.___ Number of Inspections per permit allowed -
Name(or name of business)-J�-Z,4. Service included: Items Cost Sum
Address /� -ZL4a. Residential-per unit
cy 7 2 1000 sq.It,or less $110.00 _ q
City/State/Zip ��`' �r ! (�/�7 Each additional 500 sq.it.or
portion thereof $25.00 1
Commercial ❑ Residential Limited Energy $25,00
Each MRnuf'd Home or Modular
.00 2
2a. Contractor installation only: Dwelling Service or Feeder $68-- -
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical ContractorInstallation,alteration,or relocation
Address - 200 amps or less $60.00 2
201 amps to 400 amps _ $80.00 2
City__--__State AZip401 amps to 600 amps $120.00 2
Phone No. _ _ 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts - $340.00
Elec.Cont. Lice. No. Exp.DateReconnSLI only $50.00 2_� ---
OR State CCB Reg. No. Exp.Date __ 4c.Temporary Services or Feeders
COT Business Tax Or Metro No. Exp.Date, Installation,alteration-or relocation
200 amps or less $50.00
Signature of Supr. Elec'n 201 amps to 400 amps $75.00
- 401 amps to 600 amps $100.00 ,
Over 600 amps to 1000 volts,
License NI _ Exp.Date see"b"above.
Phone N,
-` --- - 4d.Branch Circuits
Neu,alteration or extension per panel
2b. For owner installations:
a)The fee for branch clrcu,Is with
// purr•hase or service cr
Print Owner's Name_ h ct r �( C feeder tee.
Address/ HS,U_ ?W� ,S) I Each branch circuit - $5.00
City_ State ZI b)The foe for branch circuits
Pho,1E Nrwithout purchase of
/0 19 -. U � _rt - service or feeder fee.
M ►l ~' ranh circuit 05.00
7.���d1. v Eachadditional branch circuit- $5.00 2
The installation is being made on property I own which is not -
intended for sale, lease or rent. 4e.Miscellaneous
//� (Service or feeder not included)
Owner's Signature-•t7, - Each pump or Irrigation circle - $40.00 ---
Each sign or outline lighting $40.00 2
3. Plan Review sectic��require •' Signal circult(s)or a limited energy- _
panel,alteration or extension $40.00 2
Please check t:upropriate Item and enter fee in section 58. Minor Labels(10) $100.00
_ 4 or more residential units In one structure 4f.Each additional inspection over
Service and feeder 225 amps or m,jre the allowable In any or the abovs
System over 600 volts nominal Per inspection _ $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C.Chapter 5 In Plant -- - $55.00
i Submit 2 sets of plans with application where any of the above apply. S. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(tM X total fees) $
NOTICE Subtotal $
5b.Enter 251,16 of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHOPIZED IS Plan Review If reaulred(Sec.3)
Z
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ---
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account#
Total balance Due
--
I l09TStELC9f ACC' Rev 9+96
CITY OF TIGARD ELEC,T R I CAI [:'I::fdrif T
1:4KRIvITT 0.- ELC98-021.1.
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE 191SUEK.Ds rKi/fRO/98
IVF RC,;ELs
SITE ADDRESS. -.:1J*?450 SW KNOI I DR
SUBDIVISION. . . -.'T'IGPRDI() TERRACE ZONING:R-4. 5
BLOCK. .. .. .. . .. . . . 1 LDT. . . . . . . . . . . . . ;;(%0i? 3'URT.9DTCTIO11-- TIG
Project Description," Install a new 200 APF service/feeder for an existing single
fasily dwelling. UpDATE: RD& SEE ADDITIW FEES & LOWTE.
................................................................ ............................. ...................... ......... ................................. ................. ......
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-------
1000 SF OR LESS. . . . s 0 0 – Roo amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 1 0
EACH ADD' I... ;`.5(%107;:F. . . 0 201 – 400 :imp. . . . . . . : 0 SIGN/OUT LINE LTCA . n 0
LIMITED ENERGY. . . . . c 0 401 – 600 arqh. . . . . . c 0 SIGNAL/MMAU. . . . . . . N 0
MANN HM/ SVC/FDR. . : 0 6m1fampr-1.00f volts. : 0 MINOR I (1B[A 0.0) .. . .. a 0
----SERVICE/FEEDER- --- ----BRANCH CIRCUITS––----------- ............ODD91 II S1.-.1EC;'T':fONS)
0 – 200 .amp. . .. . .. .. . 1, W/SERVICE OR FEEDERs :1, PER 11,113PECTION. .. - .. .. :: (7
201 – 400 amp. . . . . . n 0 lut W10 SRVC OR FDR. s .1. PER HOUR. . . . . . . . . . � w 0
4MI – 600 ;amp.. . .. .. ,. ,, s 0 EA ADD"I... BRNCH CIRCs 0 IN PLANT. . . . . . . . . . . u 0
601 – IM00 amp. . _ a 0 --PLAN REVIEW SECTION----------------
low@+ amp/volt. . . . . a P1 )-4 RES UNI'T'S. . . . . . . . A > 6(%0 VOI T NOMINAL— -
Reconnect only. . .. . . : 0 SVC/FDR )- 225 AMPQ- - s CLASS AREA/SPEC OCC. n
Owners -------------------------------------------------- FEES ------------------
CHARI.-r-KS E DEFOE t.,y p ex amount by date rec-pt
1.82 SW CORROI CREEK RD PRMT 4; C,0.00 GF0 04/24/98 98--,305,-3P:1.
"T
931-11*L*:RW00D OR 971.40 5PC $ ;:3..(%10 CiEKO 04/24/98 98 3 0',!
40,.00 DLH OP-5/(20/98
1::Ihonp #.- 69*7 4r.?8(%l 1; 2..00 DI 1-4 05/20/98 98----30',*-59J-0
Contractors
OWNER $ 105.00 TOTAL..
RE C.A.)TRED INSPrii:CTIONS
Rouph–in El e r t 1 1. F:A.n al
Phone Na Elect9l Service
Reg N. . : 000(!100
This pertit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes a-A all other
applicable laws. All wnT+. will be done :.n accordance with approved plans. This ptrmit will expire if w)T+ is not started within 180
days of issuance, or if work is suspendt- for more than 180 days. ATTFNTIOH: "on law requires you to follow the rules adopted by
the "on Utility Notification Center, Ji:ose rule,, are set forth in OW 952-M-NI0 through OAR 952-091-1987. You may obtain a copy
of Man rules or direct questions to WK by calli 15@3)246-1'187.
Permittee Signatures Tesued By%....., .. ... ....... ...........................
------------------ ---------OWMER INSTALLATION
The inwballation is being madv on property I own whicl-I is not intel-ldc"d fo-f,
sa:lral or rent.
OWNER'S SIGNATUREs DATE o
' *...... INSTM.LATION ONLY...... ............................................I.................................
SI(3NOTURF-.: OF $31.)PR. El E C,)N-. E. 0�0
1.!!!�� DAT
I............................................... ....!� ?'**'**
LICENSENO .............................. ......................................................................... .................................................................
+4-4-44-44-4-44+-4-4-+-#--f-4-+-f-4-+4-4-ffffffffffffffffffffffffffffff-i-4-+-#-+-1-4--:......
Call 639-4175 by 7= p.m. for an inspection needed the next busine!am day
T.1 1 77 T4 T FTTTTTTTTT---
CITY OF TIARD��
ELECTRICAL PERMIT' r
DEVELOPMENT SERVICES PERMIT #: ELC96-0211.
DATE ISSUED: 04,124/98
13125 SW Hall Blvd., Tigard,OR 917223 (50."1'639-4171
SITE ADDRESS. . . : 1.24`.-JO SW KNOL_ DF, PARCEL: 2S 101 HC-0..700
SUBDIVISION. . . . :TIGARDIA TERRACE ZONING:R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . , .. . . :001-, JURISDICTION. TIG
Project Descript ion: Install anew 288 AMP s�,•vice/feeder fog• an existino single
family dwelling.
-_.--RESI1)E.NTIA1_ UNIT---- ----TEMP SRVCiFEEDERS--...--
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIG4TION. . . . 0
F=ACH ADD' l_ 5Qi0SF. . . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT L_.INE LTG. . : 0
LIMITED ENERGY'. . . . . . 0 401 - 600 amp. . . . . . . : Q1 SIC.,NAL./P,nl\I L.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+.amps-1000 volts. : 0 IhINOR LABEL. ( 1.0) . . . - 0
-----SERVICE/FEEDS R---. - --- -BRANCH CIRCUITS--- - .-- ----ADD' L. I NSPEcT I ON S-.__-_
0 - 200 amp. . . . . . : 1. W/SERVICE OR FEEDER- 0 PER INSPECTION. . . . . : 0
201 - 420 amp. . . . . „ : 0 I st W/O RRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : N'
401 600 amp. . . . . . . 0 EA ADD' L_ BRNCH CIRI : 0 IN PLANT. . . . . . . . . . . .. 0
601. - 1000 amp. . . . . .. 0 -------------.-.---- FLAN RE_.VIFW SFC`T
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . .
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner: __.__.._._________._._.____.______.__...____----.___.____.__.______.__
_._..___.__ FEES
CHARLES E DEFOE type amol.int by date recpt
1.62 SW CORRAL CREEK RD PRMT $ 60. 00 GEE 04/24/98 96-305321.
SHERWOOD OR 97140 5PCT $ 3. 00 GEO 04/24/96 96-305321
Phone #: 69-i -4280
Contract or: ------- - ----_____-.------__. _._
OWNER $ 63. `' ` TOT(74L.
.------- RECUiRED INSPECTIONS
Elect' 1 Set-vice
Phone #: E1.ect' 1 Final
Rep #. . .
This permit is issued sub;ect to the regulations contained in the Tigard Mun;ripal Code, State of Oregon Specialty Codes and ail other
applicable laws. All work will be done in accordanLe rith apprcved plans. This hermit will expire if work is not started within 198
days of issuance, or if work is suspended for more than 198 days. ATTTENTION: Oregon law requires , )u to follow the rules adopted by
the Oregon Utility Notification Center, Those rules are set forth in OAR 352-881-0818 through OAR 952-881-1 7. You may obtain a copy
of those rules or direct questions to OUNC by calling t58 - RV.
mittee Signat i.ire : � � Issi_ied By,
...... OWNER OWNER INS ALA-ATION ON[
The installation i.s 'aeinrg marJ� o perty I own which is not rntended for
sale ease, or rent.
r1WNER4S S'GNATURE:: " " %�- DATE:
NTR .TOR INSTALLATION
':;T GNATI_lRE OF' SI_IPR. EA.EC' N: _ _ DATE:
LICENSE NO:
++++++++++++++++++--+++4•+++++-F+++++i,++++-++++++•+++++++++-F+++i.++++++++++++++-F++++4-
Cal1. 639-4175 by 7:�c}0 p. m. for an inspection needed the ne)<t bi_isiness day
++f•++++++++ }.++++++i•++++++++-1-+++•+++-(•+++++i++•+++++++++•F++++•+++++-+++++++++++++++++