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11265 SW QUELLE PLACE-1PPP— ADDRESS: o � i is\records\microflm\targets\building.doc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech, Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Bldg Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Lias Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. Efec)a So Date Requested: �� ` Time: AM 2 3 PM Address:_ �� wilder: Q1 '1 �' Permit#:0' THE FOLLOWING CORRECTIONS ARE REQUIRED: L"rici v Inspector. Date: _APPROVED DISAPPROVEDAPPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGAM BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 63 ^175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. Elect. t Lf Date Requested: Time$3 PM Address:. Builder: ) Cc) Permit #:ZLC 7�, THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: / Date: r� APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE —Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath ramin Mech. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ vw ve— a Date: Z6 �fW _ A.M. P.M. Entry: Address: Tenant:_ 1�;��_� Ste:_____ MST: BOP: _ Con/Own: �'�16 2.-4 _ MEC: PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: — i Inspector: Date: 7 OA�OVED —DISAPPROVED/CALL FOR REINSP, CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 Inspection: r,k! :'l/] Footing Susp. Ceiling Sprin!:. R$ugh-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out `E�fec; Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain F n -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wal Gyp. Bd. -Elect. Date Reauested: 1-2 �� `� � Time:4AM PM Address: Builder: p _(� G��� Permit#: ' THE FOLLOW-4G CORRECTIONSARE REQUIRED: ( C 0/ 0t `P r- .� LI C 4 / �17s Inspectccr.�� Date: C?d —APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _all For Reinsp. � ),� W CITE( OF T I GA,RD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SIN Hall Blvd.Tigard,Orogon 97223.8199 (503)639-4171 Ph SI. TL: 1ADURL-)�. . . 11U 1D uw SUBD I V I�I UN. . . . 6L-04'._�J! I"o- . 1- z BLOCK. ;. . . . . . . . . L.111 . . — Pi­u i ec Desc�r-iptiarnu RemcvIo SC canirt anu I eti.11-11 .tfter- new tr-•Li�,Ses iTlStal .l.eu t-et MST96­003!,�. No fees c I-w d,A m,:t U c i IC'4L UNI'V­ 'rEl,iP LRYC JVAO GF OR LEGG. . . . lo 14) 200 amp. . . . . . . . 0 R R I GA] ION. . . . . 0 CH ADD' L '005?F. 0 201 400 amp. . . . . . . . 17 -IGN/UI-JT Lii,•jE LTG. 0 IMITED ENERGY. . . . . . 0 401 6 0 0 amp. . . . . . . 1 0 131 GNOL/PANEL. . . . . . . 0 HM/ GVC/FDR. . a C.1 GO 1 4- imps -1000 V a I t : iZI MINOR LABEL ( 1121) . . . 17- ­SERV ICE/F*EEDER-- CIRCUITS-..-.- ---- --ADD' L INSPECTIONS-- - 201/ Amp. . . . . . : 10 W/GERVICE OR f­LLDCJ�- ti P E R I N G F-,E CT 10 N., - - - - -. i -11 400 amp. . . . . . . 0 1st W/O 5RVL OR F:I*.)R. . 0 PER HOUR. . . . . . . . . . . . 0 1 600 amp. . . 0 EA AUZJL DR(NCH CINC: Ib IN PLAicr. . . . . . . . . . . .. 0 .,1 1000 amp. . . . . 0 RE'V'IEW 3ECT I ON "01214- amp/Volt. Rr%S UNII'� . . . . . . . . . vm.'r NOMINAL.. . : connect only. . ,• » . : 1'1 :IVC/FDR L`25 A M P 5 CLASEG nREA/GPEC OCC. : F L..E ICO type ni o ii.n t by date r.ecpt C•5 SW Q1.JE-1-LE PL A C E 0. 00 J-JD 021161`36 5TORlyl 1.11INIA tCARD OR 97223 one #: ILII'Y CLrIlCTRIC INC t 0. 01 1"OTAL BOX 889 REQUIRET: I l\lci'r L, I 101,4r, ..AVLH10N OR LA I [�'i n a i ---------- aite 0, —------ g This permit is issued subject to the regulations contained in the ......... hard Municipal Code, State of Ore. Specialty 'Codes and all othe- n i I. t :-"L Y I lo t. i.t e 4,;plicabie laws. All work will be done in accordance with approved plans. This permit will expire if work is not startea tin 180 nays of issuance, or if Nork is suspended for more IN Jays. i sed By .ta(,1Nr..Ia IN17,TALLATION OHLY. e i 115-tal 1,71t i OT) is LP IT,y 17116cle ori pr,oper,t y I own wfi ict) i s, not intended fat- Ae, Ieaiie, JI, rel t:. NLRI 6 W1\41-i Ui%,�- DO I'L ........._­ Ti-fl_i_.J* TIP I'd C)NLY GNATURE OF` 0r-`R., ELI:C' W WIT L I.LENCL NG. C,a I I -'o I II p I..? t i o r I E,39-...41 Community Development ELECTRICAL PERtiAIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 9722? Planck/Re.;. # 7F/- Permit # 1 ---- '4 cc of�l Phone (503) 639-4171 Date Issued <C,5 CITY OF TIGARD FAX (503) 684.7297 Issued by TDD No. (503) 684-2172 Inspection 1.503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name, of Development / / / Number of Inspections por permit allowed Address �� 5` t�w qu ly ! (e �`- Sprvic.rr uicluded Items Cosl(ea) Sum City/State/Zip 4a. Residential•per unit 000 aq II or lose $11000 Nameor name of business (�� �� C. o Each additional 50o sq fr or Name (or - portion thereof $2500 1 Commercial ❑ Residential IMP 'meed Energy $2500 ---_ f ar;h Manul'd Home or Modular Dwelling Service or Feeder $68 00 2a. Contractor installation only: 4b.Services or Feeders / Installation,alleretion,or relocalior. 2 Electrical CC �r ntr ctor �~/f-C. r Iv( __ 200 amps or leas see 00 2 Address i"9� ga �L 1? 1 201 amps to 400 amps $8000 2 — 401 amps to 600 amps $12000 City Stated Zip 601 amps to 1000 amps $18000 2 Phone No. Over 1000 amps or volts S3411 00 2 Contractor's License No. ^< <i Reconnect only $5000 Contractor's Board Reg. No. "7- f :? l 4c. Temporary Services or Feeders Installation alteration,or relocation Signature of Suprr Elec'n 'leG 200 amps or leas $5000 _ License No./ 2 Phone No. 201 amps to 400 amps $75 00 _ 401 amps to 800 amps $10000 Over 600 amps to 1000 volts 2b. For ewner installations: now•b•above 4d. Branch Circuits Print Owner's (`lame New,alteration or extension per panel Address a)The lee for branch circuits with City State Zip purchase of awoke or feeder fee. Each branch circuit $500 Phone N0. _ b)The tee for branch circuits wArhour The installation is being made on property I own which is purchase of servke or decide Ns. 2 First branch circuit $3500 2 not intended for sale, lease or rent. Each addhorxd oranch circuit $500 Owner's Signature_ _ 4e. Miscellaneous (Scrvice or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation arae $4000 2 Fach sign or oulline lighting __ $40 00 Signal circuit(s)or a limited energy 2 Please check appropriate ilem and enter fee in section 58. panel,alteration or extension $4000 _4 or more residential units in one structure Minor labels(10) __ $10000 Service and feeder 22:5 amps or more System over 600 volts nominal ql.Each additional inspection aver Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.0 Chapter 5 r'er inspertion $3500 Per hour $5500 n Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE Sa. Enter total of above fees $ �. 5%Surcharge(.05 X total fe, s) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b.Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required c.3) $ APERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal COMMENCED. ❑ Trust Acc nt A, (zenrr:1✓t C C a PC AL,I X�1 // u F4- /�e1U TvG'S S e5 a, 5' 7ztr �rF Balance Due wrtl rn..Lv W�1.^M� CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 9722.3 IMPORTANT PERMIT NOTICE ABILITY ELECTRIC INC PO BOX 889 BEAVERTON OR 97075 Electrical Signature Form Permit # . . . . : MST96-0035 Date issued. : 02/15/96 Parcel . . . . . . : 2S103DB-03700 Site Address : 11.265 SW QUELLE PL Subdivision. : GENESIS NO. 2 Block. . . . . . . Tot : 35 Zoning. . . . . . . R-4 . 5 Remarks : December 1.2, 1995 Storm Damage: truss replacement, reroofing and rewiring. Fees waived Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, 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 work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER : ELECTRICAL CONTRACTOR: DAVE DRUMMOND ABILITY ELZCTRIC INC 11265 SW QUELLE PLACE PO BOX 889 TIGARD OR 97223 BEAVERTON OR 97075 Phone # : Phone Reg # 022133 Sig t re o Supervising Electrician Please return this completed form to the address above. ` ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tigard,Oregon 9722308199 (503)639-4171 GI TI_ . - - . L,_. w i..,_.i_.L._ , SUPU I V I B I ON. . . . : C ENE E.3I G NO. CiiV'f.i lC : F+ 4. L CJ l Remarks: December 12, 1995 Stora Damage: truss replacement, -eroofing and rewiring. refs waived -------------------------------------------------------------- 11UILDING -..--------------•----------------------------------------------- REISSUEr: STORIES.......: 0 FLOOR AREAS-- ------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-•------------ CLASS OF WORK.:REP HEIGH.........: 0 FIRST....: 0 sf GARAGE...... 0 sf LFFT............ 0 SMOKE DETECTRS: TYPE OF USE...:GF FLOOR LOAD....: , SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: TYPE OF CONST.:SN DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL-------: 0 sf VALUE..t: 8844 REAR........,.: 0 --------------------------------•----------------------------- PLUMBING ------- ------------------------------------------------- SINKS.........: -------------------------------.-- --------SINKS.........: 0 WATER CLOSLTS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.. 0 RAIN DRAIN ft: 0 TRf4'a.........: i LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE D1SP..' 0 WATER HEATERS.: 0 WATER LINE ft: 0 8CKFLW PREVNTP: 0 GREASE TRAPS..: 0 OTHCR FIXTURES: 0 ----------------------------------------------------- MECHANICAL FUE, TYPC5------------ FURN t 100K ,.: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN =10011 ..: 0 UNIT HEATERS..: 0 :,O)DS.......... 0 OTHER UNI75...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 -------------------.---------------------------•------------------ ELECTRICAL --- ------..._..--- ------_ -- - -------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- —-MISCELLANEOUS---- --ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 asp..: 0 0 200 alp... 0 W/5VL OR FDR..: 0 Pt*/IRRIGATION: 0 PER INSPECTION: D EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 alp..: 0 1st WiO SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: €+ LIMITED -ENERGY.: 0 401 - 600 amr..: 0 ti0: -09 amr..: 0 EA ADDL OR LIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: i MANF HM/SVC%FDR: 2 661 - 1000 amp.: 0 601+amps-1008 v: 0 MINOR LABEL -10: 0 1000+ amp,'volt.: 0 ----____.._____.__.._.----__..__.._.._.. 'PLAN REVIEW SECTION ---------__--....----------------- Reccnnect only.: 0 )=4 RES UNITS..: SVC/FDR)-225 A.: ) 6N V NOMINAL: CLS AREA/SPC DCC: _-------------------------------.-._____.___..__...-__ ELECTRICAL - RESTRICTED ENERGY --.-__. --------------._ p. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------ 10 -_-------------- --___----_--___-_.IO a STEREO.: vAcw'm SY TCM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCO&PAGING: OUTDOOR LNDSC LT: SLAR ALARM..: 0TH: :: BOILER.......... HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: '?AGE OPENER..: CLXK..........: INSTRUMENTATION: MEDICAL........: OTHR: C...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL t SYSTEMS: 0 er: --- ---- ---------------------------Ccntractcr: TOTAL FEES:/ 0.00 C DRUMMOND OREGON HM IMPROVEMENT CO INC .'S SW QUELLE PLACE 17255 SW PILKINGTON RD HRP OR 97223 LAKE OSWEGO OR 97035 to N: Phone C 635-6c46 Reg 11..: 34908 s permit is i3sued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other licable laws. All work will be done in accordance with approved plays. This persit will empire if work is not started within 180 .s of issuance, or if work is suspended for more thar 180 days. ------..----------------------------....---..-.. ..__... - -- REQUIRED INSPECTIONS ming Insp ulation Insp _ Board Insp ctrical Final siding Final i-In i. L- b e e E5 i y i, t. �G'�` L� D�✓- u y. l I rc Residential Building Permit Application City of Tigard 13125 SW ,Mall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: cue— Office Use Only Subdivision: Lot # /�k 4 Contact Date I ! Initials Valuation: _ �l O ----- Result New Construction Only: (Square Footage) Planck/Rec # Permit # I'1(�� House. _ T-_ — Garage: Reissue of Map & TL# Corner Lot"? Y N Flag Lot? N Zone '� Plat # Owner: ��1.«xc..--�-�h^-'o"r� ----- Approva!s Required Address: _.}�L^'S� � �� ��5����-- -�- /�_ Planning Setbacks _ Solar C7 Engineering Engineering Other Phone L- ' l (.Z�l ••37�� -_� _ -- � i_— Items Required Contractor: ___.._._..- Subcontractors Address: _j_ 5� �� ._�,v� /�. Truss Details Other Notes Contractor's License # (attach )opy of current Oregon license) - Contact Name Contact Phone: _— Subcontractors: Architect/Engineer: Plumbing: _ Address: -_--- ----_-.- Mechanical: (attach copy of current OR CGon ractor's License) e�-Vli h (. L 0141 C. Phone: L---��--- — --- JOB DESCRIPTION: Applicant Signature Applicant Phone number Received by: �L�. "`^ Date Received: M'bp1bNVM00 ie•d � Bb:2:T 9551—bti—U-f In a�w r••. V 7 _ CCJJ,, �.I 011 nnn S � rya■s tlgyJJ�t aK•ti p t��S���mJI� � ' GG see ` A A.J 4 61J w N VIM ti N 0 N in Nim V l aaOaOdlu ��� El N. .q 3 Cis ff4 r+nom M w0 SS�Cw tia �s "i0L't.yyaa � � 1 °1 .. oo00 8 pW.t 000!+7 l IJ N Y QSStlS 'L •K —AN..00 O .40Z14 _ �, I I1 t ev Qo N N toq tat d C,! r, h ,. a 1 =w:t r. �Z� t.i1 ,ji � ri jet sit Y(ni. n�. f.•� �i '7<�I'/F `.y <1 �� •.) ,; 1„ w l t i t fl at�• c7 u �Pctj j� YaYeee " � .11 ssao4 _ oe 1.3`es " LL� l.\ `p �i T•i,r 4 � �}���i; tse� Q \ Z All „ ; C• n, g.. IIV ,i1' t jjil �e : -131