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11595 SW NORTH DAKOTA STREET-2 1S ViOMV0 HiSON MS 9696 a 0 a 0 s c 0 z 3 11595 SW NORTH DAKOTA ST CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES DATEI ISSUED: 03/31/999-0087 13125 SW Hall Blvd.,Tigard.OR 97223(503)6394171 PARCEL: 1S134CA-00105 SITE ADDRESS. . . : 11595 SW NORTH DAKOTA ST SL1BDIVISION. . . . :BARTON ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIO Remarks: Family room addition ---- --------------- — BUILDING — - ----- -- REISSUE: STORIES.......: 1 FLOOR AREAS------- BASEMENT...: I if RIQUIRED %TBRQ'.S--- RF(IIItED---- CUASS OF WORK.:ADD HEIGHT........: 13 FIRST....: 421 if BARAGE.....: I if LEFT..........1 5 SND)KE DE7ECTRB: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: A if FRONT.........s I PARKING SPACES: I TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSNENT: I of RIGHT.........: OCCUPANCY GRP.:R3 BDRM: I BATH: I TOTx----: 421 if VALUE..Is 35111 REAR..........: 23 PLUMBING SINKS.........: 1 WATER CLOSETS.: I WASHING MACH..: I 1A1MDRY TRAYS.: 1 RAIN DRAIN fts I TOM........s I LAVATORIES....s 1 DISHWAffFSS...: l FLOOR DRAINS..: I SEWER LINE fts I SF RAIN DIWINSs 1 CATCH BABINB..: 1 TUB/SHOWERS...: I GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: I BDM PREVNTR: 1 GIEAI£ TRAPS..: 1 OTMER FIXTURES: I --------- —_------- MECHANICAL FUE1 TYPES----- FU RN ( MINK ..s I 8011./CMP 13MP: I VENT FANS.....: I CLOTHES DRYERS: 1 OAS FURN )=111K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: I MAX INP.: I BTU FLOOR O RNJACES: I VENTS.........: 2 WDODSTOVEL...: I GAS OUTLETS...: I —----------—_—__---- -- ---- ---------- ----- -- ELECTRICAL ------_—_------- --RESIDENTIAL UNIT-- - -SERVi42/rEEDER--- --TEMP SRVC/FEEDERS— --4WM CIRCUITS-- - AISCELLA16118---- --ADD'L IffECTION9- 1111 9F OR LESS: 1 I - 211 amp..: I I - 2111 asp..: 1 N/SVC OR FDR..: 1 PUMP/IRRIGATION: I PER INSPECTIONS I EA ADD'L 511SF.: I 211 - 411 amp..: 1 211 - 40 amp..: I 1st W/O SVC/FDR: I SIGN/OUT LIN LTs 1 PER HOUR......s LIMITED ENERGY.: 0 411 - 611 amp..: 1 481 - 680 amp..: 1 EA ADAM. BR CIR: 1 SIM/PANEL...: I IN PLANT......s MIIF HM/SVC/FDR: I 611 - 1111 amp.: I 611+amps-1111 vt I MINOR LABEL -11f I 1111+ amp/volt.: I ----------------------------- PU1)Mi REVIEW SECTION — ----- ----- Reconnect only.: I )-4 IES UNITS..: SVC/FDR)-M A.. ) 611 V NOMINAI.s CLS IAEA/SPC OCC: ---------------------------------------------- ELECTRICAL -- RESTRICTED ENERGY --------- --- ------—--------------— A. SF RESIDENTIAL-------------------- B. COMMERCIAL----.—____ --- AUDIO I STEREO.: VACUUM SYST X.: AUDIO 1 STEREO.: FIRE ALARM.....: INTERCOM/PABINBs OUTDOOR LNOSC LT: BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........s LAND9CAPE/IRR1G: PROTECTIVE SIX: GAGE OPENER..: CLOCK..........: INSTRIMENTATIONs MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NUMISE CALLS....: TOTAL i I'VEMSs I Omer: ---------- ---------------•--------Contractor: ----------------------------- TOTAL FEESO 534.46 JON KVISTAD SKYLINE HOW E DESIGN This permit is subject to the regulations contained in the 11595 SW NORTH DAKOTA ST 5619 SE MILWINMKIE AVE Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 PORTLAND OR 97212 other app'icable law%. All Mork will be done in accordance with approved plans. Thie permit will expire if Mork is O. Phone M: Phone is 235-3811 not started within 100 days of issuance, or if the work is OG RegC.: 117359suspended for more than 180 days. ATTENTION: Oregon law F" ----------------------- _ M - - requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-181-1111 through OAR 952-111181. You may obtain copies of these rules or direct questions to OUNC by calling 15131246-1987. m ----------------------------- ----------- --- REAUIRED 100ECTIaO -------------- -M_. -- 5 Errsion 644-8444 Crawl Drain/Back Electrical Rough Elertrical Final _ J Footing Insp PLM/Underfloor Framing Insp Mechanical Final Foundation Insp Mechanical Insp Low Voltage Plumb Final Post/Beam Struct Plumb Top Out Insulation Insp Building Final Post/Beam Meehan Electr' erv' Rain drain Insp C ! . Iss,-ted By : Permittee Signatures ++++++++ ++++++++++ ++-++++ -+++4 + 1 +++++++++++++-t`+ ++•+++++++++++++++++ Call 639--4175 by 7:00.1 p. m. for an inspection needed 'khe next business day n CITY OF TIGARD Residential Building Permit Application Plan Rec'd C 1310 SW HALL BLVD. Additions or Alterations .c Date Recd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. _ V 503-639-4171 Date to DST F 503-6$4-7297 Permit Print or Type Called_j-10-fi? _;t r*f Incomplete or illegible applications will not be accepted -,& °'41 Tie') Name of Probed Name Job Address Site Address Architect Mailing Addresu City/State Zip Phcne Nth - J %LM -— Name Owner Mailing Address City/State Zip Phone Engineor Mailing Adu�.rss �e•• � �� City/State Zip Phone General Name 1 Contractor t,�u�. �S a� 1 ILL_ Ciescribe work New O Addit AReration O Repair O Mailing Address to be done: Prior to permit Additional Description of Work: Issuance,a copy City/State Zip Phone of all licenses are required If regon Const.Cont.Board Exp.Date PROJECT expired In COT Lic.# database i , V 4LUATION $ II ' -��"`�•-- Mechanical Name NEW CONSTRUCTION ONLY: Sub- -M _ j p; Sq. Ft. Hou Sq. Ft.Garage Contractor Mailing Address Indicate the restricted energy installation by the electrical Prio. s perTnit I eA subcontractor in the followareas issue ice,a copy City/State Zip Phone rf all i,censes / &SS--•311S Restricted Audio/Stereo are required if Oregon Const.'Cont.Board Exp.Date Energy S stem Alarms _ expired in COT Lic.# Installations Vacuum Irrigation database -1Uf.Z System System Plumbing Name (check all that Other- Sub- ther Sub- -�`dlliw l�tyntapply) Contractor Maillnq Address Comer Lot YES NO Flag Lot YES NO (check one) (chedc one e• &' (� Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State ZIP Phone Issuance,a copy OIL 7'P2 I- �— of all lice:.nes are Oregon Const Cont.Board Exp.Date if Lic#r I heap u ed a that I have read this application,that the expired In COT 101419-Iq y g pp database Plumbing Lic # Exp.Date inf n n is correct,that I am the owner or authorized agent I L othat plans submitted are in compliance with NName a Owner/Agent Dg e Electrical (stdGtE Qrr.G�tZ�� 1 Sub- Mailing Address — Contact erson Name Phon # m Contractor •�r_ Z, � � — i W 040 City/State Zip Phone J Prior to permit issuance,a copy G 1Dl FOR OFFICE USE ONLY: of all licenses are ^-^gon Const.Cont.Board Exp.Date required if Lic.# Mep/TL�,C expired in COT "3 4 c'4^�'" -•2 - '!I IJ _4-001K database Electrical Lic.# Exp.Date t a Zone: Solar: -z,- q _ k--4-s- �) Electrical Supervisor Lic.# Exp.Date Approval: Plan in Approval: TIF: -- �- /y� \ l r it� �/�o .d8 I:bat.NOm»badd.lt.doc,,,20� K Y L I N E JOB : 1008 LOT: 2 DATE: 03-05-1999 HOWICS & DUION PROPERTY: KVISTAD Gm mliv SAIV. CITY: TIGARD PsWcmd� Wrm SCALE: 1"=20'-0" PLAN No.: #1008 16.60, -------------------------------------------------------------- .40. A 12' 44. its LO womp 4. 21 ERG'51a 2 CAR CON 21- FrE. 15, U) MAP: 655 G-3 mom' ;i�' ::6 ,: TAX LOT. 105 LOT 2 BARTON 5U5PIVISION 115 5 SW NORTH DAKOTA LOT 2 1,359 80. FT. CITY OF T I G A R DELECTRICAL PERMIT PERMIT#: ELC1999-00329 DEVELOPMENT SERVICES DATE ISSUED: 6/2/99 13125 SW Hall Blvc1..Tinard.OR 97223 (5031639-4171 PARCEL: 1S134CA-00105 SITE ADDRESS: 11595 SW NORTH DAKOTA ST SUBDIVISION: BARTON ZONING: R-4.5 BLOCK: LOT : 002 JURISDICTION: TIG Prolect Description: Install a 200 AMP service/feeder and 20 branch circuits to an existing dwelling unit. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OU7 LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps- 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 - 200 amp: 1 WISERVICE OR FEEDER: 20 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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: SVCIFDR>=225 AMPS: CLASS AREA/SPEC OCC., Owner: Contractor: JON KVISTAD BEAR ELECTRIC 11595 SW NORTH DAKOTA ST PO BOX 389 TIGARD, OR 97223 28085 BUTTEVILLE RD NE DONALD, OR 97020 Phone: Phone: 678-1355 Ree#: LIC 000209 SUP 3162S ELE 24-107C FEES _ Required Inspections Type By Date Amount Receipt Rough-in PRMT GEO 6/2/99 $160.00 99-315838 I Elect'I Service Elec','t Final 5PC"f GCO 6/2/99 $8.00 99-315838 ORIGINAL Total W8.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codos 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 Nwork is a. suspended for more than 180 days. ATTENTION: Oregon taw requires you to follow rules adopted by the Oregon Utility Notification Center. Those R rules are set forth in OAR 952-001-0010 through OAP,952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) t•- 246-1987. N Permit Signature: Issued By: J — m OWNER INSTALLATION ONLY .i The installation is being made on property I own which is not Intended for sale, lease,or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE% LICENSE NO: Call 6394175 by 7:00pm for an inspection the next business day RE& l unity Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. � Q d03z9 JUN ( 1 l9i0ard, OR 97223 Permit # p Date Issued UNITY DINFLO n( (503) 639-4171 (503) 684-7297 CITY OF TIIGARD TDD No. (503) 684-2772 Inspection (503) 6394175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development -�0A.) A1)/9��D V Number of InspocOwn per permit allowed Address__1/5 95 5LAJ _NOAVV� Service included Items Cost(es) Sum City/State/Zip T7CGAAA,_�L� _ � 4a. Residential -per unit 1 1000 sq. ft or legs —_ $11000 , Name (or name of business)___ Esch additlonel 500 sq.It.or portion thereof $2500 Energy $2500 1 14NEachMa Commercial ❑ Residential _-- Each nurd Horne or Modular Dwelling Service or Feeder $66.00 — 2 2a. Contractor installation only: ib. Services or Feeders installation,alteration,or relocation Electrical Contractor &A& ELE Gtr G. ZNG 200.:rips or less / sw 00 6,0,oa 2 Address P, v, f o X 3 EI _ 201.n,ps to 400"a 111180 2 401 amps to eimps $120.00 City_VQAZ.+/[.p State OR Zip o2p 601 amps to loon amps $180.00 2 Phone No. is 7 S' /3SS —_ Over 1000 snips or Vons $3111.00 2 reconnect only $50.00 2 Job NO. N 123-1 — ---- contractor's license NO., ,Zy-/071 4c.Temporary Services or Feeders Contractor's Board Reg. NO. p 10 9/f Instanetlon,eneratlon,or relocation Signature of Supr. Elec'nX 200 amps a less 2 m S Phone No. G78-/�S.S 201 snips to amps $55.00 2 License No 316 - 401 snips to sa05 amps $7500 over eoo amps to IOno Vohs $100.00 2b. For owner installations: see"b"ab01e 4d. Branch Circuits Print Owner's Name Now,alteration or extension ps,pane Address _ a)The fee for branch circults with 2 purcheso of service or feeder M. City__ State Zip Each branch ckcult 10_ $5.00 Phone No. b)The fee for branch circuit$wf hotrt The installation is being made on property I own which is purchave of service or der . 2 feeder not intended for sale, lease Or rent. Each Manch circuit $3500 Each addNlonel branch circuit _ $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not Included) 2 3. Plan Review section (if required): Each pump or Irrigation ehcle $40.00 2 Each sign or out'ne Ilghtbng _ $4000 Signal clrcult(s)or a Ihnited energy 2 IL Please check appropriate Item and enter fee In section 68. penal,alteration or extension _•_ $4000 4 or more residential units in one structure Minor L+hels(10) 3107.00 IL N Service and feeder 225 amos or more 4f. Esch additional Inspection over System over 600 volts nominal —_Classified area or structure containing special occupancy the allowable In arty o}the above Per Inspection SWOO as described in N E.0 Chapter 5 Per hour $55.00 In Plant Submit 2 sets of plans with application where any of the above W apply. Not required for temporary construction services. 5. Fees: J 6a. Enter total of above fees /Ga.oO NOTICE 5%Surcharge (.05 X total fees) s — •po PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ em? AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan6b. Enter Review w if e A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Sub Review H required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Srru��btohrl COMMENCED. Trust Accourri A X $ — Mm�Pp Balance Due : /(� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 BUP Date Requested �� 2"�AM PM BLD Location 11 S ! n - OaX� Su//it--e MEC Contact Person 6C Ph PLM Contractor Ph SWR . BUILDING Tenant/Owner ELC _`� Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Motes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation — Drywall Nailing —� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam 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 29=22&: '*' A a Service _ Ix Rough In _ N UG/Slab _ Low Voltage — — — Fire Alarm PASS-1- ART FAIL W MIT Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE- _ [ I Unable to inspect-no access ADA / —L Approach/Sidewalk Date ` _` OF Inspector —Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job alto. . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9?- 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 -- p BUP _Date Re uested� — 1 '' ( AM PM BLD LocationSuite MEC `t Contact Person Ph PLM Contractor _ Ph SWR Yenant/Owner ELC e a ning Wall ELR Footing Access: Foundation FPS Ftg Drain !J1d �� BGM Crawl Drain Inspection Nates: -- Slab � SIT Post 8 Beam --�- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 4AS" PART FAIL —JWUMBING Post& Beam -- Under Slab Top Out -- —' Water Service Sanitary Sewer — Rain Drains _ Final � —! PASS PART FAIL Post&Beam — - — Rough In Gas Line — -- — — -- Smoke Dampers S PART FAIL ILWIRICAL - Service Rough In UG/Slab Low Voltage Fire Alarm Fi.,al PASS PART FAIL y + SITE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspec -)n fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call fcr reinspection RE: ( J Unable to inspect-no access ADA Approach/Sidewalk Other Date 7/�� LI Inspector Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.