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11159 SW VERDE TERRACE
WIA ADDRESS: i:\records\mim`Im\tsrgets\building.doc I 1 ,. R1 � 5 & P PROPERTIES 6743 S. W. BANCROFT WAY PORTLAND, OREGON 97225-1904 June 19. 1971 City of Tigard 8777 S.W. Burnham Sucet Tigard.OR'17281-1999 To Whom it May Concern: Matt Junes ind S&P Properties hereby war-ant tha,the shear walls and common walls built in the town.housci in the Dakovi Village Subdivision arc in rompliancx with all current building codes. Maus L S&P Properties I Carl W. Spltznagel 1 CARL W. SPITZNAGEL AND ALFRED PENSE S & P PROPERTIES 574 3 S. W. BANCROFT WAY PORTLAND, OREGON 97225-1904 Junk :9, 1997 City offigard 9777 S. W. Burnham Tigard.Oregon 97281-1") RE: Dakota Villagc Undcn-round Services To Whom ii May ConLCM S&P Properties hereby warrant that all nndergruund services: waterlines,sewer lines and storm sewer lines were constructed in ucordance ith all pplirahle hr�ilding codes. S&P Pm1witv,-'ti Carl W. Spitma.pel CARL W. SPI-T-NAGEL AND ALFRED PENSE CERTIFICATE (11 CITY OF TIGARD OCCUPANCY P"ERMIT #. . . . . . . s MST95-039! COMMUNITY DEVELOPMENT DEPARTMENT DATE I5SUED: 1214/1.6/96 13125 SW Hali Blvd.Tigard,Oregon 9722308199 (503)839-4171 ITE ADDRESS. . . % 1. 1159 SW VERDE TERR UI PID I 1 CS I ON. . . . 3 DAKOTA VILLAGE z CN 1 NG v R---1,?; il-OCK. . . . . . . . . . LOT. . . . . . . . . . . . . s004 .I-ASS OF WORK. :NEW YPE OF USE. . . iSF OCCUPANCY GRP- ISID 93 .CCUPANCY LOAD.2' PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE IH15 IS ON(' OF TWO UNITS Owner: -;&P PROPLPTIC5 16395 SW SELL RD mERWOOD OR 97140 "'hovie #v 250--2.385 13 e. P PROPErTIES 16395 SW SELL RD 3FIFF.400ri OR 97104 Phone 4#-. Reg #. . c 9137b This CertificAtP gj,ArjtS OCCLI;-)6tnC-y of the above referenced building or portion thereof and confirms that the building has been insuar-ted for Compliance with ' alty Codi�,s for the QVOUPq oc-cup ncy, and USe LtflrJPV- the c3_ ate Of Ot-09011 )pec:., which the v-ef0v-e1)C!ed Pet-mit was 'Sst-led- SUIL.DING Orf IcxAL N Oil" POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPEr'SON NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling Plumb Post/Beam Mech. Shear/Sheath Framing ech. Plbg.Und/Flr/S'3b Plbg. Top Out Insulation lett. L ✓ Post/Beam Struct. Mech. Rough-in Gyp. Bd. Idg. San. Sewer Gas Line Appr/Sdwlk ei Other — --- — ---— Date: — _ A.M. P.M._ Entry: Address: Tenant: _ _ _.____—____ Ste: MST: O Con/Own: L.ZZL MEC- PLM: EC PLM: ELC: ..------- �^THE FOLLOWING CORRECTIONS ARE REQUIRED: EIA: Inspector: _ _ _—_._.------ --- Dace: —_APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CIl Y OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 Inspection: f L! Footing Susp. Ceiling Spnnk. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struc Plbg. Top Out Elec. Rough-in FINAL: Po ech. an�yEwer� �6as Line -Bldg. Plbg. Underfloor ain I]t�'�' Framing -Plumb. Alarm a_er Uns) ✓D/1�lation -Mech. nderflr. In ,�Yr Warl 4 ' '/ Gyp. Bd. Elect. Date Request 43 H I 5 Time: AM PM Address: c1 l L,t_4 Builder: Permit #:!Z_57 G' THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_��_ Date. 10-PRO/ED —DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. Page No. 1 CASE HISTORY FOR CASE NO.: MST95-0395 S&P PROPERTIES 11159 SW VERDE TERR 11/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA005 Application received / / / / 08/24/95 PASS JD 11/01/95 BLT MSTA008 Permit Created / / / % 11/01/95 PASS RT 11/01/95 BLT MSTA010 Check for prci. restrict. / / / / 08/24/95 PASS JD 11/01/95 BLT MSTA012 Plans routed to Plans Examiner / / / / 08/24/95 PASS JD 11/01/95 BLT MSTA026 Plans appro-ed by Plans Exmr / / / / 11/01/95 PASS RT 11/01/95 BL'. MSTA030 Reviewed plans routed to DSTS / / / / 11/01/95 PASS RT 11/01/95 BLT MSTA080 (F) Ready to issue / / / / 11/08/95 plumber expired. PENL B 11/08/95 B MSTA092 (F) Issue combination permit / / / ! 11/15/95 PASS S 11/15/95 B MSTA097 Issue plumbing signature form / / / / 11/15/95 PASS B 11/15/95 B MSTA705 Footing Ic9p / / / / 11/20/95 seismic restraint; low point drain; PASS RB 11/2.0/95 P.B ground rod MSTA706 Foundation lnsp / / / / 11/22/95 PASS RB 1.1/22/95 RB MSTA710 Post/Beam Structural / / / / 12/04/95 NO CRAWL DRAIN i0 DIS OS 12/04/95 GES MSTA710 Past/Beam Structural 12/05/95 / / 12/05/95 DIS GS 07/26/96 BT2 MSTA'710 Post/Beam Structural 12/U6/95 / / 12/06/95 DIS GS 07/26/96 BT2 MSTA710 Post/Beam Structural 12/07/95 / / 12/07/95 DIS GS 07/26/96 BT2 MSTA710 Poet/Beam Structural 12/07/95 / / / / APP 09 12/07/95 GES MSTA711 Post/Beam Mechanical / i / / 12/04/95 DIS GS 12/05/95 GES MST'A711 Poet/Beam Mechanical 12/05/95 / / 12/05/95 APP GS 07/26/96 BT2 MSTA712 Underfloor insulation 12/07/95 / / 12/07/95 APP GS 07/26/96 BT2 MSTA712 Underfloor insulation 12/07/95 / i 12/07/95 APP GS 07/26/96 8T2 MSTA713 Crawl Drain / / / / 12/04/95 NO! IN 'SIS r39 12/04/95 GES MSTA713 Crawl Drain 12/05/95 / / 12/05/95 DIS GS 07/26/96 BT2 MSTA713 Crawl Drain 12/06/95 / / 12/06/95 DiS GS 07/26/96 BT2 MSTA713 Crawl Drain 12/07/95 / / 12/07/95 DIS GS 07/26/96 BT2 MSTA713 Crawl Drain 12/07/95 / / 12/07/95 crawl drain must. remain on same lot not UIS GS 07/26/46 BT2 cross prop lines MSTA717 PLM/Underfloor / / / / 12/04/95 DIS GS 12/05/95 GES MSTA717 PLM/Underfloor 12/05/95 / / 12/05/95 APP GS 07/26/96 BT'2 MST'A77.0 Mechanical Inip / / / / 02/12/96 PASS MS 02/13/96 MRS MSTA720 Mechanical ]nap 02/14/96 / / 02/13/96 APP GS 02/14/96 GES MSTA722 Plumb Top Out i / / i 02/07/96 wast ok FAIL MS 02/07/96 MRS no test on water MSTA722 Plumb Top Out 02/13/96 / / 02/12/96 PASS MS 02/11/96 MRS MSTA722 Plumb Top Out 02/14/96 / / 02/13/96 APP GS 02/14/96 GES MSTA723 Electrical. Service / / / / 02/13/96 APP GS 02/14/96 GES MSTA724 Ele.trical Rough In / / / / 02/13/96 APP GS 31/14/96 GES UP MUM Pago No. 2 CARE HIMRY FOR CASE NO.� MST95-0395 S&P PROPERTIES 11159 SW VERDE TERR 11/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA'125 Framing Insp / / / / 02/15/96 #-1- provide bearing to grade under UIS KS 02/27/96 K136 glu/lam supporting floor joist q-2- framing not complete at gas fireplace 0 3-need additional nailing at ledge supporting roof truss MSTA'.26 Framing cREINFP> 02/27/96 / / 02/27/96 0-1- fr aming corrections not completed DIS KS 07/26/96 BT2 MSTA726 Framing cREINSP> 02/28/96 / / 02/28/9F d ' provide bearing to grade under A/N KS 07/26/96 BT2 supporting fl joist adjacent to as indicated at prior inspect #-2 THIS INSPEC'T'ION DOES NOT INCLUDE FIREWALL BETWEEN UNITS MSTA727 Low Voltage / / / / C2/13/96 APP OS 02/14,'96 CES MSTA727 Low Voltage 04/16/96 / / 04/16/96 LVFA OS 07/26/96 BT2 MSTA735 Gas Line Insp / / / / 02/12/96 PASS MS 02/13/96 MRS MSTA735 Gas Line Insp 02/14/96 / / 02/13/96 APP GS 02/14/96 GES MSTA740 Insulation Inap / / / 03/04/95 4-1- provide SF papaer behind fireplace- A/N KS 03/04/96 KBS exposed insulation #-2 install vapor barrier at all ext walls 0-3- insulate rim joint between units M'STA145 Gyp Board Insp / / / / 03/05/96 M-1- need ti submit revised plan to bldg DIS KS 03/06/96 KBS dept for approval re: one hour firewall between units MSTA745 Gyp Board Insp Ci/C6/96 / / 03/06/96 8-1- ok to mud tape interior gypsum ! PART KS 07/26/96 BT2 only) M-2- cover all exposed wood under stairs at one hour f i rewa l.l 0-3- nailing spacing at one hour wall 7 inches o/c MSTA745 Gyp Board Inap 03/07/96 / / 03/07/96 M-1- fire tape one hour wall under A/N KS 07/26/96 BT2 stairs prior to installing outer layer of 1/2 gypsum MSTA755 Rain drain Inap / / / / 12/04/95 AROUND BLD OK PART GS 12/03/95 OES DIS APPR MSTA755 Rain d-ain Insp 12/05/95 / / 12/05/95 AROUND HOUSE APP GS 07/26/96 BT2 Page No. 3 CASE. HISTORY FOR CASE NO.! MST95-0395 S&P PROPERTIES 11159 SW VERDE TERR 11/25/96 Action Description Rey/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA755 Rain drain Inap 12/07/95 / / 12/07/95 around house only APP GS 07/26/96 BT2 MSTA755 Rain drain Inap 12/07/95 / / 3.2/07/95 APP OS 07/26/96 BT2 MSTA761 Watei Service Insp 12/07/95 / / 12/07/95 APP OS 07/26/96 BT2 MSTA761 Water Jervice Insp 12/07/95 / / 12/07/95 APP OS 07/26/96 BT2 MSTA765 Appr/Sdw!.k Insp / / / / / / private street no inspection required N/A 04/19/96 JF MSTA790 Electrical Final / / / / 04/15/96 DIS OS 04/16/96 GES MSTA790 Electrical Final 04/16/96 / / 04/16/96 APP GS 07/26/96 BT2 MSTA795 Mechanical Final / / / / 04/15/96 DIS GS 04/16/96 GES MSTA795 Mechanical Final 04/16/96 / / 04/16/96 APP GS 07/26/96 BT2 MSTA797 Plumb Final / / / / 04/15/96 DIS OS 04/16/96 GES MSTA797 Plumb Final 04/16/96 / / 04/16/96 APP GS 07/26/96 ST. MSTA799 Building Final / / / / 04/15/96 SECURE SERV CONDUIT; GAR GFCI DIS OS 04/15/9e GES MALFUNCTION; WTR HTR NOT VENTED AND NO OAS; LABEL MAIN DISCONN; COVER PLT UFER GRND IELEC INSP TERMINATED] NOT READY 1NSP TERMINATED MSTA799 Building Final 04/16/96 / / 04/16/96 EROS CONTR APP OS 07/26/96 BT2 MSTA960 (F) Issue Cert. of Occupancy / / / / 04/16/96 JF 04/19/96 JF MST9755 Firewall Insp 01/10/96 / / 01/10/96 submit revised wall details DIS OS 07/26/96 BT2 MSTB795 Misc. Inspection / / / / 10/14/97 Firewall construction approved by plan PASS HAP 11/17/97 J•H review pex HAP. -- -- --- --- MASTER PERMIT FIECITY CSF TIGARD DA,rEIISSUED: . 11/15/ 95) 0395 COMMUNITY DEVELOPMENI" DEPARTMENT 13125 SW Halt Blvd.Tl9nrd,Orpon 07223.8140 (503)830-4171 F-'ARCF'I.-: 1�a 1?,SCA—DK VO4 SITE ADDRESi. . . 11159 SW VEI' TERR SUBDIVISION. . . . DAKOT as VILLAGE ZONING: R--1 BLOEK. . . . . . . .. . . . LOT. . . . . . . .. . . . . . :04 Remarks: PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE THIS IS ONE OF TWO UNITS --------------------------------------------------------------- BUILDING ------------------------------------------------------------- REISSOE:MST95-0331 STORIES.......: 2 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRriD SETBACKS••--- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 24 FIRST....: 696 sf GARAGE.....: 228 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE_ OF USE...:SF FLOOR LOAD,...: 40 SECOND...: 760 sf FRONT.........: 20 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL.----- 1456 sf VALUE.{. 97855 REAR..,.......: 15 ---------------------------._....-----------------..--------------- PLUMBING ----------------—.-..--------------------------------•------------- SINKS.........: I WATER CLOSE'S.: 3 MASHING MACH..: ; LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS..,,...... 0 LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: ' CATCH BASINS..: 0 TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATEP HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------------------•-------------------------------- MECHANICAL -------------------------------------------------------------- FUEL TYPES----------- FURN INK ..: i BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 /GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 CTAS OUTLETS...: 1 -------------------------------------------------------------- ELECTRICAL ---------------------------------------------------------------- --RESIDENTIAL UNIT--- ---SERVILE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- --•--MISCELLANEOUS----• --ADD'L INSPECTIONS-- ION SF OR LESS: 0 0 - 200 ago,.: 0 0 - 200 alp.. : 0 W/SVC- OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'1. 500SF.: 0 201 - 400 ago..: 0 281 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED EArRGY.: 0 401 - 600 asp..: 0 401 - 600 asp.. : 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 41 - 1000 alp.: 0 601+a2ps-1000 v: 0 MINOR LABEL -10: 0 1000+ asp/volt.; 0 ------------------------------------ PLAN REV?f'4 SECTION ----------------------------___-- Reconnect only.: 0 )=4 RIS UNITS..: SVC/FDR)-225 A.s > 600 V NOMINAL: CLS AREA/SPC OCC: --- ---------- ------ -...--------------------------- ELECTRICAL - RESTRICTED ENERGY --------—---------------------------------------- A. SF RESIDENTIAL---------------------------- B. COMMERCIAL-------------------------------------------------------------------------- AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO ° STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: BOILER.... ..: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: 0 Owner: ----------.-------------------------Contractor: ---------------------------- TOTAL FEES:i 3227.16 SIP PROPERTIES S 4 P PROPERTIES 163395 SW BELL RD 16395 SW BELL RD SHERWOOD OR 97140 SHERWOOD OR 97104 Phone A: =:50-2385 Phnne M: 229-1732 Peg ll..: 91375 This permit is issued subject to the regulations containe,i in '.he Tigard Municipal ZaJr, State of Ore. Specialty Codes and all other aoplicai:Te Idws. All work will bo done in accordance with approved plans. This permit will expire if work is not started within 180 days of i:auance, or if work is suspended for more than 100 6,vs. .----....---------------------------------------------------- REQUIREb IiiS�tLNONS ----------------------------------------------------------- "00ting Insp Ple/undslab Insp Electrical Rough Insulation Insr, Appr/Sdwlk Insp Erosion Control undation Insp PLM/Underfloor Framing Insp Gyp Board Insp Electrical Final st/Beas Struct Mechanical Insp Low Voltage Rain drain Insp Mer-hanical Final _ ct/Bpas Meehan Plumb Top Out p0 ace Insp Water Line Insp Plumb Final a,tl Drain Electrical Servi nP insp Water Service In Bu' dinno Final I r^m i.t t e e :.i i.Ta T1'-A t I.t r•F T s s l.a e rl Lay Ca] r s pest i on - 639---4175 PERMIT CITYOF TIGARD DARE I I5#UED:� 11/15/95 -Inw�a s COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)639.4171 PARCEL: 151.35CA--DKVO4 SIT[ AI)DRESS. . . : 111::;9 13W VLf1DL_ TLAR SUBDIVISION. . . . : DAKOTA V I LL_AGE ZONING: R- 12 BLOCK. . . . . . . . . . . LOT. . . . . . . . , . . . . :04 TENANT NAME. . . . . : USA NO. . . . . . . . . . . F I X l URE UNITS. . . 0 CLASS OF" WORK. . . :NEW DWE:LL.ING UNITS. . : 1 TYPE OF USE. . . . . :SF' NO. OF BUILDINGS: 1 INSTALL TYPEE. . . . :BU SWR IMr='ERV SURFACE: 0 sf Remarks : PATH 8 DUPLEX, WITH PROPERTY LINE THROUGH THE MIDDLE ONE: OF TWO UNITS Owner; _._..___._._.._____ _._.__._.__...._..._._._...__.. _---_._.__.. _.__._._.__.___.__ __—•_-- FEE, S&P PROPERTIES type amol-Int by d6te recpt 16395 SW BELL RD PRMT x:200. 00 B 11115/95 95--27L'880 TN SF' $ ?5. 00 B 11/15/95) 9 • 272680 SHERWOOD OR 971 '40 Phones #: 250-2385 Canty-actor: CONTRACTOR NOT ON FILE Ph an e ##; � 4'�='35. 00 TOTAL_ Rey #1. . : ----- - REQUIRED I NSPECT IONS This Applicant agrees to comlily with all the rules and regulations Sewer' Irlspec:tiun of the Unified Sewage Agencv, The periit expires 188 days frog __..,._______.__•_._.__._ ______ the date issued. The total amount paid will be forfeited if the —•--.—•- permit expires. The Agency does not guaranteerhe ccuracy o1 the side sewer laterals, 1f the sewer is no► located a the measwement _____� .__.._.. r_. _•-- — -- given, the installer shall prospect 3 feet in all di ertions from the distance given, If not so located, the installer all purchase a "Tap and Side Sewer" permit and the Agency mill 1 a late.-al. e r^in i L t e e `;i r4ii at .I r Call for inspection — 639--4175 �rM Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 635-4171 Jobsite Address: .// Office Use Only Subdiv`sion; T.�c �(�t L� IJP��C<4i( Lot # Contact Date / I Initials Valuation: •7 `� S �— Result New Construction Only: (Square Footage) Planck/Rec Permit # House Garage: Reis:uo of Corner Lot? Y N Flag Lot? Y N Map & TL #/ .3 u ' Zone P Plat # Owner: �S ! �`r��►�.> Address: �G 5 - 5 ctii 914 Approvals ke uired Planning Setbacks Solar S iwcya. Engineering -� Phone: Other ( ) 2 i 0 — ��`j,�'S Contactor: Items Required Subcontractors _ Address - Truss Details Other Phone ( Notes Contractor's License # --- `( 3ach copy of current Oregon license) Contact Name. e — —� Contact Phone ✓✓�_Jt 3 0 - ��3k.)/ Subcontractors: Architect/Engineer: P!umbing: 1,1) , Addres,, _--- Mechanical: �Cn w C Ilex (attach copy of current OR Contractor's License) PhoneJOB [DESCRIPTION. DESCRIPTION Aeplicant Signature Applicant Phone number Received by _ _ Date Received: _ Permit# Account Description Amount Amt. Pd. Sal. Due /715th Bldg. Permit (BUILD) 42 7, � �� L l • � Plumb. Permit (PLUMB) ,?2S 2231 r Mach. Permit (MECH) y ,y 3 )-v State Tax (TAX) T 1� Bldg Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: --- — /v, a"y Mech. Sc,uR4) S6'4%:er Connection (SWUSA) U0 Sewer Inspection (SWINSP) 31) _ Jf Parks Dev C.4arge (PKSOC) S uy $UV Residential TIF (TIF-R) / (/ 7(l / p Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) ^^ Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntri Permit (ERPRMT) t) yy Erosior, Ianck.'US;, (ERPLAN) / 3 Erosion P!anckJCOT (EROSN) _� TOTALS: `� �i1 s�..0`� 54.00' 21.00 -2100 c m vo 4.99' 2200' a` �• 22PJ0' �� 5�0' L�L 300'%? 100' ON 8_mm i2mm i2mmi r�np C 0 _ cry►-- " .fes i J J$'o _ -- I 54 m9J' 1 �- TRACT ' A ' , a � F_ D > � (T) �. r DRAWN BY:'IRF DATE_ REVIEWED BRJS DATES_ 'AIX PROJECT No.! 344 - 090 ALPHA ENGINEERING INC. i = 20' ENCINEERING-DEVELOPMENT SERVICES&SURVEYING OFFICE 503-452-8003 A FAX 50' '52-0043 PLAZA iIEST &SUITE 230 A 9600 SW 000 RTLANU,OR 97223 I £ZZL6 H0'QNrLLH0d-XV0 AS 0098 v 0£Z ams v isam VZY'Id Mq-Z9b-£09 Xtl3 v£008-299-£09 3DLMO !)MU- %HHS-SaMAMS isxwdogaA3a-ONMZ MJAQ .oz 'AHI J,3kUHa3[mf)xa vHcrw 060 - ,, •ON ioaroz!" ---SJVC] Sig a3rnE31n3S ---�da ida UG r>ImV-dia LTJ tvc CL ,mm b5 W 3 3 o L mG7B mill 00ZI 009 mO L ---- .fes t"l oor, '7( m(G,; mm LL m�LL 6F�b q ai i � 0 mOLZ-tb ELECTRICAL PERMIT CITY OF TIGARD DATE ISSUED: 11/15/95 1/15/95 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL.: 1S135CA--DI,VO4 15125 SW Hall Blvd.Tigard,Oregon !l22306199 (503)630-4171 ;ITE ODDRF_SS. . . : 111.59 SW VE=RDE: TER'2 SUBDIVISION. . . . : DAKOTA VILLAGE ZONING:R-12 DI.-OC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . :04 Project Description : Resiaentia1 1, 500 sq. ft. UNIT-----�-------TEMPY SRVC;/FEEDERS----- ----'-MISCELLANEOUS----- 1000 5F OR LESS. . . . : 1 0 .?(10 amp. . . . . . . . 0 PUMP/IRRIGATION. . . . : 0 CACH ADD' L 5009F. . . 2 1 201 - 40171 ,amp. . . . . . . : 0 SIGN/OUT LINE LTG. . 0 i-IMITI=D ENERGY. . . . . : 0 4Q)1 - 600 amp. . . . . . . : 0 SIGNAL /PANEL. . . . . . . : t MANF. HM/ SVC/FDR. . .' 0 '.6.01+AMPS-1000 volts. : 0 MINOR L_ARFL. ( 10) . . . : 0 -•SERVICE/FEFDCR _._._ ---BRANCI-I r:IRCUITS- -____ _ _---(aDl ._ Ih•;3PEcTIONS;------ 0 200 amp. . . . . . : 0 W/SERVICE OR r rEF'DER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR l ZR. : 0 PER HOUR. . . . . . . . . . . . 0 401 - 6210 am p. . . . . . : 0 EVA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 .a1mr). . . . . . 0 _.._._._...._.___..__._ _._._...__...-PL_AN REVIEW SECT ION----_.______.._.____. 1000+ ampF /volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL_. . : Reconnect only. . . . . 1 SVC/FDR =_�''G....AMPS_ _e_ __.__._�I-� SA_EA!SPEC_OCC. :__ Owner: ?ill DEECHER ELECTRIC type amo1.tnt by crate recpt l 11 NUX c PRMT $ 175. 00 CJS 11/15/c)5 95-C`7260-. SPS-T ? 8. 75 C'JS 1- 1/15/95 95---,7_'71.='813:_ GASTON OR 97119 Phone #: 503-662-3898 l oritr-actor: T111 BE_EC.'HER ELECTRIC $ 183. 75 TOTAL_ 1-10 BOX 2 ____.....__ REQUIRED INSPECTIONS - ---" ,ACTON OR 97119 Ceiling Cover Elect' 1. Ser^vice hone #: 662 - f19E3 Wall Co-/er Elect' 1 E.- incl Reg #. . 23462 +isrper it, is jssued subiect to the regulations contained in the - - iga d Tinicipa ode, State of Ore. Specialiv Codes and all other Fler-mittee Signatf.lre applicable laws. All work will be done in accordance kith approved plans. This permit will expire if work is not started 1 within 180 days of iisuance, or if work is suspended for more _�.----_-- than 160 days. I s:s tied By -- C1WhJk R INSTALLATION The installation is-being Made on property l own which is not intended fov, wale, lease, ot- rent. OWNER' S S SIGNATURD; DATE CONTRACTOR IN�-3TALLATION ONLY-------------- ��_��_- _ I(;NATURE: OF SIJF'R. EL-E:C' N: � , -__ __.._.___..� DATE m I_ACENSE NO: (-,j.111 for inspection 639- 4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # — Phone (503) 639-4171 Date Issued Ii -/6-95- FAX (503) 684 7297 Issued by -- CITY OF TIOARD TDD No. (503) 684-2772 Inspection (503) 639-4175 — 1. Job Address: 4. Complete Fee Schedule Below: j )� Number of Inspectionn per hermit allowed Name of Development � _ s' � — - C� C ��/ Service included Items Cost(ea) Sum Address_y l/�1 `'�_—�-E 9 D C: ��-- G♦, 4 /J © � �Z� 4a. Residential• pur ser t $;3000 CityiState/Zf►s�ii! ,000 est a ••or I• �_ Each ad illoia l bolleq It or Cil) t Name (or name of business) portion thereof $2500 E25 00 Commercial❑ Residential Each Ma ufw,-rite or MOdukv tse oo ? Dwelhng Service or Feeder _ 2a. Contractor in illation only: 4b. services or Feeders 2 Installation,alteration,or relocation $602 $80 2(j0 amps or lose — 00 — 2 Llectrical C actor s — 201 amps to 400 ampa �0 on -- 2 AddreS401 amps to 600 amps $12r 30 2 Stat—ZI 601 amps to 1000 amps $18()00 2 (illy Over 1000 amps or volts 6340 00 _ Phone No. "— Reconnect only $5000 Contractor's License No, Contractor's Boarr, Reg. No. l 4c. Temporary Services or Feeders 2 `— Installation alteration,or relocation 2 Zol200 amps or 1086 650 o0 2 Signature of Su r. Elec'n 201 amFF o 400 Amps 100nn f= Phone N0 — 401 amps to Boo amps License No 63 n0 nn �� ; ever 600 amps l0 1000 volts 2b. For owner Installations: Fee•n•above 4d. Branch Circuits Print Owner's Name. — New,alteration or extension per panel e)The lee for branch circuits with 2 Address - - — purchase of servlee Or boder tree City State Zip___ Each branch circuit 6`'oo — Plione No. b)The fee for branch circuits without 2 purchase of servke Of iYeder tee. 2 1 he installation Is being made on property I own which is Feat branch circuit 63ti 00 not intended for sale, lease or rent. Each acidlhonal branch arced $500 Owner's Signature_ _v 4e. Miscellaneous (Service or feeder not included) 2 Each pump or irrigation circle $4000 3. Plan Review section (it` required) $4000 ��� Each sign or outline Irghlmg 2 Signal circumt(s)or a 6 etrq( jWY Please check appropriate item and enter tee in seetlon 5B. Minor 1.alter tion o) or exten%ion $10000 4 or more residential unite.in one structure Service and feeder 225 amps or more 41.Each additional inspection over System over 600 volts nominal the allowable in any of the above Classified area or structure containing special occupancy Per r6tW.nnn S35 00 -- as described in N.E C. Chapter 5 Per hour fes 00 _ In PIAm ^_ 355 00 Submit 2 seta of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5s. Enter total of above fees $ NOTICE 5%Surcharge(05 X total fees) $ Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of lire A for $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec 3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ -- A PERIOD OF 100 DAYS AT ANY TIME AFTER WORK IS Trust Account M $ COMMENCED 1 1 Balance Due — $ e01JaMndNMYc'4m Ipp