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11545 SW Terrace Trails Dr
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A — ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT#: ELC2000-00545
� .g DEVELOPMENT SERVICES DATE ISSUED: 09/14/2000
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL: 2S103CA-03300
SITE ADDRESS: 11545 SW TERRACE TRAILS DR
SUBDIVISION: TERRACE TRAILS ZONING:
BLOCK: LOT : 005 JURISDICTION:
TIG
:ON:
Proiect Description: Limited energy panel
__RESIDENTIAL UNIT_ _ ___TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: — 0 - 200 amp: PUMP/IRRIGATION:
EAC'' r.DD'L 500SF: 201 - 400 amp: SIGN/OUT !_INE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
NIANF HMI SVC/ FDR: 601+amps - 1000 volts: MIVOR LABEL (10):
SERVICE/FEEDER _ ____BRANCH CIRCUITS _ ADD'L INSPECTIONS
1�- 200 amp: W/SERVICE OR FEEDER:— PER INSPECTION:
201 400 arnp: 1st W/O SRVC OR FOR: PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: ____� PLAN REVIEW_ SECTION _
1000+amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: — SVC/FDR >=22.5 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ROBERTS, JOHN I'A + AGATHA J CONCEPT LANDSCAPES INC
11r,4F SW TERRACE TRAILS OREGON CONCEPT LANDSCAPES INC
TIGARD, OR 97223 PO BOX 1583
BEAVERTON, OR 97075
Phone: Phone: 591-5504
Reg#: LIC 7040
FEES _ Required Inspections
Type By Date Amount Receipt Elact'I Final
PRMT CTR 09/14/2000 $60.00 2720000000(
5PCT CTR 09/14/2000 $4.80 2720000000(
Total $64.80
This Permit is issoed subject to the regulations contained in the Tgard 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 I work is
suspended for pore than 180 days. ATTENTION: Oregon law requires you to tollow,-les adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952.001-0080 you may obtain copies of these rules or direct questions to OUNr'at t503)
246-1987.
PERMITTEE'S SIGNATURE 14/ � ����,�� ��� —r ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I ow;i which is not intended for sale, lease, or rent.
OWNER'S S'GNATURE: _—.— _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE: --
LICENSE NO:
Call 639-4175 by 7:nOpm for an inspection the next business day
07,27/2000 16 18 FAX 5038847297 t.itY op Ti6atrl
Q10r)2
CITY Or TIGARD Elplan Check#
13125 `aW HALL t31_VDElectrical Permit ApF,lic�atiart Recd By _
TIGARD OR 97223Date Recd _
R�'CEIVEQ _
Phone(503)639-A171, x304 Dote to P.E.Date to DST
Inspection (503)638-4175 Print of Type AUG 0 Permit# 4'cc :
Fax(503)598-1960 Incomplete or IllegUe will6l�yy qf WKWMEN, Called_
1. .lob Address: 4. Complete Fee Schedule Below:
Name of Development Nurnlxr of Inspections per permit allowed
Name(or name of business) _/�/'•� Service included: Iterl ' C^st Sum w
Address 1 I Cd rl.[f.�. I Itch' r• 4a. Residential•per unit -
City/State/Zip -7c1,.S�_3 1000 sq.ft or less S 117.75 4
Each additional 500 sq.ft,or
II'�•--II 1r� portion thereof S 26.75 1
Com;rrercial LI Residential Limited Energy $ 60.00
Each Manurd Home or Modular
2a. Contractor installation only: Dwelling Service or FeedEr $ 72.75 � 2
(Prior to pemllt Issuance,applicants most provide contractor license 4b.Services or Feeders
Information for COT daH h,yE), ' , !ten//���'` Installation,alteration,or relocation
Electrical ContrOCtorl l,(��/. (• 200 amp.,or less $ 64 25 2
Addr ss _ �f�t 201 amps to 400 amps - $ P,)50 - —' 2
c1q, p Ta'i�'� 401 amps to 600 amps $ 126.50 — — 2
t) Dh!_.State_ _ ZI _13"1.1-- 601 amps to 1000 amps S 192.50 2
Phone No. � �r Over 1000 amps or volts 5 363.75 - 2
Job No. P.econneel only ` S 53.50 _�- 2
Eleo.Cont. Lice, No. __trxp,Date ''Od_ 4c.TemporaryServices or Feeders
OR State CCB Reg, No._�,Q _Exp,Date - -p0_ Inslallallon,alte ation,or rplar-anon
COT Business Tax or MetNo. 0 Exp.Datie Jam( 200 amps or less _ $ 53.60 2
201 amps to 400 amps $ 60.25 2
Signature of Supr, Elec'n L��_ 401 amts to 600 amp. $ IWOO — - 2
l _
Exp,baOver 600 amps to 1 Doo volts,
te —"
Llcense Noti see"b'•above.
� �_��_
Phone No. — -- --- 4d.Branch Circuits
. �
New,alteration or extension per pane!
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder roa.
Print Owner's Na�meGl r Loch branch circuit S 535 _ 2
Add9401 ,;'LJ11Lb)The fee for branch circuits
without purchase of service
City61 State !_'�_Zipp or feeder fee.
PhoF�+ j -- First branch circuit S $7,50
Eaah additional branch circuit _ S 5.35
ThT installation Is hying made on property I own which is not 4a Mlst 'lancous
intended for We, lease or rent, (61wice orfireder not lod'u:0)
Each pump or Irrigation ofrde E 42.75
Owner's Slcnature Each sign or outline lighting S 42.75
— — Signal cirmit(s)oe a limped energy
3. Plan Review section (it required);* panel,alteration or extensionS 60.00 D 7_
Minor Labua '10) _ _ S 100,00 _
Please check appropriate item and enter fee in section 69. 4f.Each additional Inspection over
____ ` 4 or more residential units In one structure the allowable in any of the above
Service land feeder 225 amps or more e'er Inspectior 5 50.00
Per hou- f50 00
In --
System over 600 volts nominal -- -
Plant S 55,00
—_-Classified area or structure containing special occupancy as — -
dencelbed in N.E.0 Chaptcr 5 r. Fees: _
go.Enter total of above fees S
` Submit 2 sets of plans with applicntion where any of the above apply. 11%6urdiarg2(.08 X total fees) g 0
Not roquired for teml.rt,rmy construction services. I 5uhtotal , $0
NOTICE 61,.Fnter 25%of cine be for
-- - F'lar Review If requfreH(See 31
PLRMITS PFCOME VOID it WORK OR CONSTRUCTION Al1THOF117ED Sutiotol
IS NOT COMMENCED WTI IIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR AAANDONFD FOR A PERIOD Or 16r)1-1Y,,, Trust Arrzunt tr
AT ANY TIME AFTER WORK IS COMMENCED Tntal halance Due c �O
m '
i.ldstslfvrnuloltctr(c do;
CITYO F T I G A R D ___ PLUMBING PERMIT
in'A
DEVELOPMENT SERVICES PERMIT#- PLM2000-00341
DATE. ISSUED: 09 14/
13125 SW Hall Blvd., Tigard, OR 97223 (503) G39-4171
PARCEL: 2S 103CA-03300
SITE ADDRESS: 11545 SW TERRACE TRAILS DR
SUBDIVISION: TERRACE TRAILS D. CTION TIG
__[1LOCK: LOT: 005 JURISDICTION: TIG "
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH' BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR uRAINS: TRAPS:
STORIES: WAl ER HEATERS: CATCH BASINS.
_ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device._ --
_ FEES _
Owner: TyK a By Date Amount Receipt
ROBERTS, JOHN ht + AGATHA J PRMT CTR 09/14/2000 $25.00 27200000000
11545 SW TERRACE TRAILS 5PCT CTR 09/14/2000 $2.00 27200000000
TIGARD, OR 97223
Total $27,00
Phone 1:
Contractor: _
CONCEPT LANDSCAPES INC
PO BOX 1583
BEAVERTON, OR 97075 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone 1: 646-5781
Ren #: LIC 7040
F)(p1pt.-r)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987
Issued By: Permittee Signature: OA/ �f P� 104 7enl
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day
1
_0-/27/2000 16:.18 FAX 5036847297 Citi' of Ttgai,d r 2003
CITY OF TIGARD \�,Q Plumbing Permit App[icatiotl I(. Planchetk#_ _
131 k5 SW IiAL1. BLVD. �4E corlurlr;rcial and Residential �d � RecdBy_�Ni6_
TIGARD, OR ro'/?23 (;�` Dat(,Recd
(503) 639-4171 - !f`�N� ,��� Date to P.E.
Print or Type pwG N� Delo to DST
Ip►gThl�rtplete or iller)ible application$ will At `���d Perm;;0f
Palau SWR!!__
�lW Called _
- ---------------- ':',�' .. .. . ..
Name of Development/Project rIXTURRS .(ilidtyidudl).,•„'. QTY PRICE .AMT
Job Sink 11,50
Address ®e dr ss--� -Suite Lavatory
titcstTiR�l r• Tub or Tub/Shower Comb. 11,50
Bldg ti /slate, O� Shower Only - 11.50
_ q�
F r VU Water Closet 11,50
lA F 5okr '10- S Urinal 11.60
Ownerailin /��dr�j(( Suile Dishwaohar 11.60
N7_...1�__ 1�I -- Garbage Grsposal 1;.50 -
lStale ZI11 �� -- --
Laundry Tray 11.50
01t 64�4
NtirntJ Washing MachinelLoundry Tray 11.50
Flor Draln/Floor Slnk 2"� 11.50
Occupant Mailing Ad4lcu suits 3 -- - 11,50
cl 71 F. Phone -
Water Healer 0 conversion 0 like kind 11.50
- mr ---"- Gas piping requires a se orate mechanical permit.
MFG Home New Water Service 32.00
Conti actor 1 ”/rig so /�JSurto MFG Home New San/Storm Sewer 32.00 Hose Bibs 11.50
Prior to permit I Ip O P,t� _5W Roof Drains �~ - 11.50
issuance,a copy ((JirJ Drinking Fountain V 11.50
of all licenses ere OJ o nit o r c,>r p,Date Other Fixtures(Specify) 1500
required If
expired In COT 11 Exp. ate -`!I
database_
IJanie - - ---- ---- ----�-- — ...-
Architect Seurr-181 100' _ - 3800
or Mailing Address _ - Suite Sower-each additional 100' 32.00
- Water Service-1 sl 100 32.00
Engineer cltyrstate Zip Phone
Water Service-each additional 200' 32.00
DXribe work tc ba done:" Storm&Rain Drain_1st 10T $8.00
New O Pit n Ropl3ce with llke kind, Yes 0 No 0 Rrnr^ E Rain Drain•each addlilonnl 100' $2,00
Pn
Residential Commercial O ------ Commercial Back Flow Pleven bovlce 32.00 _
Additional desglption of work.
�/�� r/ Residential Backnow Prevention Device' 111.00
(�W (LJC.� Catch Basin -- �- — 11.50
re you capping,illnoving or rep Ing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00
Yes U No tY Ina ecllona _ ___ perrhr_
If yeti,see back of form to indicate work performed by Rain Drain,single family dwelling- 45,00 i
fixture. rAILLIRE TO ACCURATELY REPORT FIXTURE Grease Trap— s 1-` 1,, s 11,50 -�
WORK COULD RESULT IN INCREASED SEWER FEES. _ -------- --�;�
I hereby acknowledge Ih,nt I have read this appllcatlon.that the Informa0ti QUANTITY TOTAL
t
h n Is corredt,that 1 am the owner or authorized agent of the owner,and r
Isanetnc or riser diegr9m q rsgut,-ed It Quar,tiry lohl�s >� _
a Ions submIft are in compliance with Oregon State Laws. 'SUBT01AL , / h
91 ature a Owns Agent _ --- Date - -
0013 -- -'-
SURCHARGE r
--
mp- DX
J5��� t]F 9oB
~PLAN REVIE 25% T6TAI
1 OA'1 H HOUuE 5178 UIl Rr.;J rodOnly A hrlun:Gly total Is►g
CAIN 11C)tl�E 3150.00' - �1 OTAL 7 a J
Ot7AJILNf111;Fr$1$5rp0
{1'hlsiee,Picludoeahk,tun,binghxtr�irtlnthedwr•Ilingandthoilrst , •Mlnlmumparmltfvefr8b0+11%sumharge,exneptReatrlsntlal9oekftawprovemlon
t00 teat of rinitary seviF r tMriil'sswrl ,Roil w.,u r$v-
-
Darlce,whidi1s535+a9LlurOherga
-All Now Ccmmerclal Dulldings require pi-mi wPti,s net:_w r,.P.o 39,41.1,S-A
plan eevi"',
CITY OF TIGARD BUILDING INSPECTION DIVISION �f,,./ )(dST
24-H(jur Inspection Line: 639-4175 Business Line. 639-4171
BLIP
Date Requested` AMPM ___ BLD
Location opt--Suite MEC _
Contact Person Ph -5PI_M
Contractor Ph SWR — - - -
BUILDING Tenant/Owner CL/) Z/ 641)
Retaining Will ELR
Footing Access:
Foundation FPS
Ftg Drain -- SGN
Crawl Drain Inspection Notes:
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 PAR TFAIL -------.-- — — �__
PLUMBING
Post& Beam -----.._--__ —.— _ ---, --—
Under Slab
Top Out
Water Service
Sanitary Sewer -------- ----------•--------- --- --- -
Rain Drains
Final — ---_ ------- ---- ---
PASS PART FAIL _� ---- ----- _-_ _----.�_._------- -___ -----
MECIIANICAL
Post&Beam
Rough
-------- ----- -- -----_ — --� �_—_. �—
Rough In
Gas line - —----- — ---- ---- — .. _— ----- ---
Smoke Dampers
F=inal ---- - - — --- -- - -- -----
PASS PART FAIL
ELECTRICAL
Service
uEltslab
Low VoltageFire P'arm
/� � ---- -- —
F� l
SASS PART FAIL
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 [ J Please call for inspection RE.- . Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date _1 Inspector_ _ Ext —
Final
PASS PART FAIL. I DO NOT REMOVE this inspection record from the job site.