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11173 SW VERDE TERRACE ARMARALjou JMMMIL�molm� ADDRESS: ,r r ack- i:\records\microf w 5 Zrx P PROPERTIES 6743 5. W. BANCROFT WAY PORTLAND, OREGON 97225-1904 June 19. 1997 City of Tigard 8777 S.W. Burnham Street Tigard,OR 97281-IW9 To Whom it May Concern: Matt Junes and S&P Properties hereby warrant that the shear walls and common walls built in the townhouse,,in the Dakota Village Subdivision arc in compliance with all currant building axles. Matt J s S&P Properties Cart W. Spit7nagel CARL W. SPIT"I_NAGEL AND ALFRED PENSE ��dd S & P PROPER 91 E� 6743 S. W. BANCROFT WAY PORTLAND, OREGON 97225-1904 lune 19, 1997 City oC Tigard $777 S. W. Barnham Tigard.Oregon 97281-49ri RE: Dakota Village Undergmund Servims To Whom it May Concern: SAP Properties hetrhy warrant that all underground services: waterlines,sewer Lincs and storm sewer lines were constructed in,wcordance Ah all:applicable building codes. S&P Prapertics Carl W. Spitxn&gcl CARL W. SPITZNAGEI. AND ALFRED PENSE Oil N m CE RTI F I G A CITY OF T I CARD Or-Ciff"A1.1i, , PERMIT ##. . . . . . . : MS795,-038, COMMUNITY DEVELOPMENT DEPARTMENT DPTE ISSUED: 04/ 16/96 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-411711 PARCEL : 1S13'5CA--04()00 511L VERDE TERP ­ GUBDIVISION. . . . : DAKOTA VILLAGE ZONING:R1c"' ;)LOCK. . . . . . . . . . 3 LOT. . . . . . . . . . . . . .00:3 49S OF WORK. 9NEW I'YPE OF USE. -)CC 'UPANCY GRP. oft�s OCCUPANCY I.-OAD:2 Remarks : PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE 1199 PROPERTIES 16395 SW BELL RD 3HERW1"OD OR 97140 11hone #: 250--:e385 ..-,jilt ract cir: ,.3 & P PROPERTIES if:!-395 SO BELL. RD ..,f,jLRW0OD OR 9710,(4 Phone #s 229- 1732 #. . : 91375 Certificate grantt occupancy of the above r-efev_pjjrer.j bcjilclill-lg ar portion thereof and confirms that the building has been inspected for complioance with the Spt-:Ite of Oregon Specialty Codes for the Wt-OuP, occupan y, snd mse kinder which .,he referenced permit was iSSI.Aed. G OFFICIAL BUILDING iuILDING POST IN CONSPICUOUS PLACE VIII CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling a Post/Beam Mach, Shear/Sheath Framing Plbg.Und/Fir/Slab Plbg.Top Out Insulation Post/Beam Struct. Mach. Rough-in Gyp. Bd. Idg. San. Sewer Gas Line / a "Ap'pr/Sdwik ein Other: Date: �(tT �_ A.M. —P.M.__ . Entry:_ Address: _ L 1 713 -� Tenant: Ste: MS BUP: Con/Own: MEC: Pj M: L THE FOLLOWING CORRECTIONS ARE REQUIRED ' � RE�D75 Inspector: Date: APPROVED ___DISAPPROVED/CALL FOR REINSP, CF 0 Page No. 1 CASE HISTORY FOR CASE NO.: MST95-0389 S&P PROPERTIES 1.1173 SW bERDE TERR 11/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA005 Application received 10/30/95 / / 08/24/95 PASS JD 10/30/95 BLT MSTA000 Permit Created 10/30/95 / / 10/30/95 PASS RT 10/30/95 BLT MSTA010 Check for prcl. restrict. 10/30/95 / / 08/24/95 PASS JD 10/30/95 BLT MSTA012 Plans routed to Plans Examiner 10/30/95 / / 00/24/95 PASS JD 10/30/95 BLT MSTA026 Plans approved by Plans Exmr 10/30/95 / / 10/30/95 AFTER RECORDING PASS RT 10/30/95 BLT MSTA010 Reviewed plans routed to DSTS 10/30/95 / / 10/30/95 PASS RT 10/30/95 BLT MSTA080 (F) Ready to issue / / / / 1.1/08/95 need contractor info PEND B ll/cs/95 B MSTA092 (F) Issue combination permit / / / / 11/15/95 PASS B 11/15/95 B MSTA097 Issue plumbing signature form / / / / 11/15/95 PASS B 11/15/95 B MSTA705 Footing Insp 10/30/95 / / 11/20/95 pending seismic restraint; low point PASS RB 11/20/95 RB drain; ground rod req'mts MSTA706 Foundation Insp 10/30/95 / / 11/22/95 PASS RB 11/22/95 RB MSTA710 Post/Beam Structural 10,30/95 / / 12/04/95 BRAWL DRAIN DIS GS 12/04/95 GES MSTA710 post/Beam Structural 12/05/95 / / 12/05/95 DIS GS 07/26/96 BT2 MSTA710 Poet/Beam Structural 12/06/95 / / 12/06/95 DIS GS 07/26/96 BT2 MSTA710 Post/Beam Structural 12/07/95 / / 12/07/95 APP GS 07/26/96 BT2 MSTA711 Post/Beam Mechanical 10/30/95 / / 12/04/95 DIS OS :2/05/95 GES MSTA711 Post/Beam Mechanical 12/05/95 / / 12!05/95 APP GS 07/26/96 BT2 MSTA712 Und- or insulation 10/30/95 / / 12/07/95 APP GS 12/07/95 GES MSTA71' -- ,..l Drain 11/30/95 / / 12/04/95 NOT IN DIS GS 12/04/95 GES A713 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 riot draining from to point, must remain DIS GS 07/26/96 BT2 oo same lot 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 BT2 MSTA720 Mechanical Insp 10/30/95 / / 02/12/96 PASS ME 02/13/96 MRS MSTA720 Mechanical Insp 02/14/96 / / 02/13/96 APP GS 02/14/96 GES MSTA722 Plumb Top Out 10/30/95 / / 02/07/96 no teat on system FAIL M5 02/07/96 MRS require gauge for water MSTA722 Plumb Top Out 02/13/96 / / 02/12/96 25 dollar reinspection fee accessed FAIL MS 02/13/96 MRS MSTA722 Plumb Top Out 02/14/96 / / 02/13/96 AFP GS 02/14/96 GES MSTA723 Electrical Service 10/30/95 / / 02/13/96 APP OS 02/14/96 GES MSTA724 Electrical Rough In 10/30/95 / / 02/13/96 APP GS 02/14/96 GES Page No. 2 CASE HISTORY FOR CASE NO.: MST95-0389 S&P PROPERTIES 11173 SW VERDE TERR 11/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent DoneDone Date By MSTA725 Framing Insp 10/30/95 / / 02/15/96 q-1- soffits not built at kitchen / DIS KS 02/16/96 KBS mechanical # 2- provide bearing to grade under giu/lam supporting floor load #-3- framing not completed at fireplace #-4• adjust truss clips at rear bedroom nail penetration #-5- truss clips missing above stairs k-6- sway / diagonal brace truss MSTA726 Framing <REINSP- 02/27/96 / / 02/27/96 #-1- framing corrections not completed DIS KS 07/26/96 BT2 at this time MSTA726 Framing <REINSP, 02/28/96 / / 02/26/96 0-: replace truss clips at rear bedroom A/N KS 07/26/96 BT2 or install additional clip at opposite side of truss 0-2- add post under header supporting fl joist adjacent to stairs #-3- THIS INSPECTION DOES NOT INCLUDE FIREWALL BETWEEN UNITS MSTA727 Low Voltage 10/30/95 / / 02/13/96 APP GS 02/14/96 GES MSTA727 Low Voltage 04/16/96 / / 04/16/96 LVFA GS 07/26/96 BT2 MSTA735 Gan Lin, Inep 10/30/95 / / 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 MSTA140 Insulation Insp 10/30/95 / / 03/04/96 M-1 provide SF paper behind fireplace A/N KS 03/04/96 KBS #-2- install vapor barrier behind fireplace M-3- insulate rim joist between units MSTA745 Gyp Board Insp 10/30/95 / / 03/05/96 M-1- need to submit revised plan to bldg DIS KS 03/06/96 KBS dept for approval re: one firewall between units MSTA745 Gyp Board Insp 03/06/96 / / 03/06/96 k-1- ok to mud tape interior gypsum PART KS 07/26/96 BT2 joints ( only) N-2- cover exposed wood memebers under stairs at one hour wall 0-3- nail spacing at one hour waI17 inches o/c Page No. 3 CASE HISTORY FOR CASE NO- MST95-0389 S&P PROPERTIES 11173 SW VERDE TERR 11/25/98 Action Description Rey/ Schd/ End/ Action Notes Disp By Upoate Upd Code Sent Done Done Date By MSTA749 Gyp Board Insp 03/07/96 / / 03/07/96 N-1- fire tape gypsum under stair zt one A/N KS 07/26/96 BT2 hour wall prior to applying outer layer of gypsum MSTA755 Rain drain Inep 10/30/95 / / 12/04/95 UIS OS 12/05/95 GES MSTA755 stain drain Insp 12/05/95 / / 12/05/95 AROUND BLD APP GS 07/26/96 BT2 MSTA755 Rain drain Insp 12/07/95 / / 12/0'7/95 at house only APP GS 0'1/26/96 BT2 MSY061 Water Service Inep 12/07/95 / / 1 APP GS 07/26/96 BT2 MST%790 Electrical Final 10/30/95 / / 0 see bldfnl GIS GS 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 see b f 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 GS 04/16,95 GES MSTA797 Plumb Final 04/16/96 / / 04/16/96 APP GS 07/26/96 BT2 MSTA799 Building Final 10/30/95 / / 04/15/96 WTR HTR NOT VENTED NO GAS; LABEL MAIN DIS GS 04/16/96 GES DISCONNECT; COVERPLT FIREPL T STAT; FIR DUCTS UNDERFL; NO LITE OR SWTH PLC, IN MSTR BERM; POST L V LABEI. AND SIGNOFF CARD MSTA799 Building Final 04/16/36 / / u4/16/96 EROS CONT APP GS 07/26/96 BT2 MSTA960 (F) Issue Cert. of Occupancy / / / / 04/16/96 JF 04/19/96 JF MSTA970 Case Finaled / / / / 04/16/96 APP GS 04/16/96 GES MSTB755 Firewall Insp 01/10/96 / / 01/10/96 submit revised wall details PIS GS 07/26/96 BT2 MSTB'795 Misc. Inspection / / / / 10/14/97 Firewall approved by plan review per PASS HAP 11/17/97 J*H Hap. 1 S ryl R 13 1 L.K �Jt__HM I I IDERMIT #. . . . . . . : 1YIST95-0389 CITY OF TIGARD DATE ISSUED: 11/15/95 COMMUNITY DEVELOPMENT DEPARTMENT 1-1ARCEL: 1S135CA--DKV03 13125 SW Hall Blvd.Tigard,Oregon �5011)81,ft7ll �I r1SUBD 1 V I L)I ON. . . . : DAPU.jT*A VILLAbE ZONING: R-12. SLICK. . . . . . . . . . . LOT. . . . . . . . . . . . . Remarks: PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE ---------------------------------------------------------------- BUILDING --------------------------------------------------—-------- REISSUE:MST95-0331 STORIES.......: 2 FLOOR AREAS---------- BASEMENT_: 0 sf REQUIRED SETBACKS----- REQUIRED------------- CLASS EWIRED------------ CLASS OF WORK.:NEW HEIGHT........: 24 FIRST....: 696 sf GARAGE.....: 228 sf LEFT..........: 0 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND... : 760 sf FRONT.........: 20 PARKING SPACESi I TYPE OF CONST.:SN DWELLING UNITS: I FINBSMINT: 0 sf RIGHT.,...,...: 5 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL-------: 1456 sf VALUE-$: 97655 REAR..........: 15 -------------------------------------------------------------- PLUMBING --------------------------------------------------------------- SINKS......... I WATER CLOSETS.i 3 WASHING MACH.. 21 LAUNDAY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.......... 10 LAVATORIES....: 3 DISHWASHERS...: I FLOOR DRAINS.. 0 SEWER LINE ft: @ SF RAIN DRAINS: I CATCH BASINS..: 0 TUB/SHOWERS...: 2 GARBAGE DISP..., I WATER HEATERS.: I WATER LINE ft- 100 BCKFLW PREVNTRi I GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------------------------------------------- MECHANICAL ---------------------------------------------------------- FUEL ----------------------------------------------------- FUEL TYPES----------- FURN ( IM I BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I /GAS/ / / FURN )=IM. 0 UNIT HEATERS.. 0 141OODS......... I OTHER UNITS...: I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... I GAS OUTLETS...: I ------------------------------------------------------------------- ELECTRICAL ---------------------------------------------- ----------- —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVCIFEEDERS-- ---BRANCH CIRCUITS- ---- --ADD*L iNSPECTIONS- IM SF OR LESS: 0 0 200 amp..: @ 0 - 20@ amp..: 0 W/SVC OR FDR..: @ PUMNIRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF., 0 2@1 400 amp..: 0 201 - 400 amp..: 0 1st W10 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.- 0 401 (10 amp..: 0 4@1 - 600 amp.. : 0 EA ADDL BF CIN: 0 SIGNAL/PANEL..,: 0 IN PLANT......: 0 MW HM/SVC/FDR: @ 601 IN@ alp.: @ b@l+amps-!@@@ v: 0 MINOR LABEL -10: 0 I@N+ amp/volt.: 0 -------------------------------------- PLAN REVIEW SECTION --------------------------------- Reconnect only.: a 1=4 RES UNITS..- SVC/FDR)-225 A.., ) 606 V NOMINAL: CLS AREA/SPC OCC: ------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------ A. SF RESIDENTIAL-------------------------- B. —------------------------------------------------------ AUDIO i STEPED.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTEPCOM!PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM_: 0TH: BOILER........,: HVAC..........,: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..- CLUCK.......... : INSTRUMENTATION: MEDICAL........: OTHN HVAC...........: DATA/TELE COMM.: NUFSE CALLS....: TOTAL # SYSTEMS: 0 Owner: -------------------------------------Contractor, TOTAL FEES-$ 3c27.16 S&P PROPERTIES S 9 P PROPERTIES 16395 SW BELL RD 16395 SW BELL RD SHERWOOD OR 97140 SHERWOOD OR 97104 Phone 0: 25@-2385 Phone 0: 229-1732 Reg #..- 91375 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other ?. I r, applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started withi , b. days of issuance, or if work is suspended for more than 18@ days. ---------------------------------------------------------- REGUIREt INSPECTIONS -------------------------------•-------------------- Footing -------------------------------------------------Footing Insp Crawl Drain Electrical S@rvi Insulation Insp lippr5dwIll Insp Erosion Control Foundation Insp PLM/Underfloor tricaI Rough L"P 0 Board Insp Electrical Final drain Insp Mechanical Post/Bras Struct Ftnq Drain Bsolt raeR.. nsp Rain I Final Post/Beam Mechan Mechanical Insp Low Voltag, Water Line Insp Plumb Final Underfloor insul Plumb Top Out Gas 1-17ni Water Service In Building Final F,ev-rn i.t t ee 51-4nat f? . I s s i.i e d VtAj- ins t i on ­ 639-4175 SEWER eS?4NE8+iE3N PERMIT PERMIT #. . , . . . . : SWR95 044c- CITY OF TIGARD DATE ISSUED: 11/15/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8igg (503)639.4171 PARCEL: 19135CA—DRV03 ITL` ADY)RESS. , . . i 1 1 , , -:;L-jil-RDE. TERR SUBDIVISION. . . . : DAKOTA VILLAGE ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :03 ------------------------------------------------------ TENANT NAME- - : LISA NO. . . . . . . . . . : FIXTURE UNITS. . . 0 CL-ASS OF WORN.. . . :NEW DWELLING UNITS. . I TYPE OF USE. . . . . .SF NO. OF BUILDINGS; I INSTALL TYPE. . . . :BUSWR 111PERV SURFACE: 0 Sf Remarks: PATH 8 DUPLEX WITH PROPEPTY LINE THROUGH 1+1E MIDDLE Owner,: ---- S&P PROPERTIES type amount k-,v date recpt 16395 SW BELL RD PRMT $ 221210. 00 S 11/155/99 95-2`70'879 INSP $ 35. 00 B 11/15/95 95--272879 SHE RWOOD OR 97140 Phone #: 250-2385 Contractor-: CONTRACTOR NOT 01\1 FILE Phone #: 2235. 00 TOTAL Reg REQUIRED INSPECTIONS This Applicant agrees to cesply with all the rules and regulations Sewer ln!ipectiori of the Unified Sewage Agency. The permit @qirps 180 days from the date issued. The tot2l amount paid will b'r,4orfeited if the permit expires. The Agency does not guar—pe the ccuracy of the side sewer laterals. If the sewer is n,t located A e measurement niven, the installer shall Prospect 3 feet in all dir tions from t I all - ----- - ccurar, o d e $'a" 1 4;, A I d j,. tions 's , 0 the distance given. If not so located. the irstaller sh I ourchase a "Tap and Side Sewer" Permit and the Agency will i—I lateral. Per,mittee Sj.qnatf,.t�-e - Isisil..ied Ov. Ca 11 f or, inspection 639--4175 ,Xj Residential_ Building Perri_ t Application City of Tigard 13125 SW Wall Blvd. Tigard, OR .97223 (503) 639-4171 Jobsite Address: Office Use Only Subdivision: , 4vl-L ll�l��ut -- Lot # _ Contact Date % / Initials Valuation: Result - New Construction Only: (Square Footage) Planck!Rec # Permit # AI L U'- a 5-f House � � -_ Garage: __-_—_ Reissue of Map & TL V i-Iil Corner Lot? Y N Flag Lot? Y N Zone i? Plat # Owner: ApprovalsRequired Address: _ ' Planning Setbacks Solar �V{,✓yyC� 7 /�/ V Engineering .- Other Phone L ) S G� 0�3 E2 Items Required Contractor: �r�1 Subcontractors Address: 31L 5t,, - Truss Details Other C^ wer1 4"I , f7 / yd --- Notes Phone. ( ) �v- �3 Contractor's License # - ttach copy of current Oregon license) Contact Name! '' S Contact Phone: Subcontractors: Arch itect/Fngineer: ( plumbinc: i( Address: ��� � �"''��' j Mechanical: ( / f 'l/ ee,/ I! — - --- -- — (attach copy of current OR Contractor's License) Phone: JOB DESCRIPTION. Aoolicant Signature Applicant Phone number Received by Date Received. w' Permit # Account Description Amount Arr L Pd. Sal. Due "I Bldg. Permit (BUILD) 7 _ Plumb. Permit (PLUMB) .2 Mech, Permit (MEC:-)) C 3 j� i State Tax (TAX) r P� Bldg: 3 j Plumb: Mech: Pian Check (PLANCK) Bldg: U _.- Plumb: Mech: 1CI• LY /U , Sewer Connection (SWUSA) „p,0 U _ � Sewer Inspection (SWINSP) _ 3 i Parks Dev Charge (PKSOC) .-56) 0— j . 11 Residential TIF (TIF-R) 0 7U Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-01 'Nater Quality (WQUAL) Water Quantity (WQUANT) G'(j Fire Life Safety (FLS) Erosion Cnt;l Permit (ERPRMT) Erosion Planck/USA (ERPL.AN) Erosion Planck/COT (EROSN) / Zj . I- TOTALS: .1C) � _ (I Z /G 14i 22.00, -l+ = .,a' 1;001 L�06 7,6) w ,n©' (�. lZa' 8m0' l _ Q , 4� I N N _ 9% N m '-7-7, r d PJa' ;,5; a ---TRACT ' q ' �- o cA 0 c.� m DRAUJN BY• DRF DATE____ REVIEL'ED E.QJ DATE;_ AX PROJECT NO.: 344 ALPHA ENGINEERING INC. SCALE /-a ENGINEERING - DEVELOPMENT SERVICES ,& SURVEYING OFFICE 503-452--8003 A FAX 503-452-9043 "---~�— - PLAZA WEST ,&SUITE; 230 ,& 9600 73W OAK,& PORTi AND,OR 97223 SZZL6 NO'CINTU803 �XV0 MS 0096 . OOZ aJdnS- 1S3k VZYld — 2LO2-Z9fi-E09 Xt'.3- SOOB-ZSt-SOS 30LiAo JlZll.-RA2if1S v 5TOIAUS IId3Fid07Q 2i OW3311I0h3 ,0Z "z*u ot-u'aaaxIJxa �v'Hd v -- 060 - t�tj ©N lJ�rc�d I%yk —'Elb'a S� 9 G3f11�1/`� W CD I IV - --------- —— -- -------__— cZ c� Y_ --� 4 qj r 0 - I ~ '009 ozi '00:1 Coe r h a ,mcg L00 -7''�U'L ,0G'�5 •� ,mQ'Zi. �.. � .OaTZZ ,F,6'r ,067LZ .0C­LZ' .mm t-5 � mr ~� ELECTRICAL_ PERMIT - -0560 CITY CSF TIGARD DATE:TISSUED1:L95-11/15/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW HaN Blvd.Tigara,Orogon 97223.819g (503)839-4171 PARCEL-: 1 G 1 35CA--DKV0__'&04 /3 ;:1W vI R1�klL l CfiL� ILIAD I V I S I ON. . . . : DAKOTA V 1 L.L.-AGE SUB 7 ON I NG: R-1,=' B1__OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :3 Project Description: Residentall 1, 500 sq. ft. _..-.__.RESIDENTIAL UNIT---- - TEMP SRVC/FEEDERS-.--- _-___MISCELLANEOUS__.-___._.. 1000 aF QR I-ESS). . . . : 1 0 ,200 amp. . . . . . . : it PUMP/IRR 1 GAT I ON. . . . : 0 EACH ADD' L 5005F. . . : 1 201 400 amp. . . . . . . : 0 SIGN/OUT LINE: L.TG. . : 0 LTMITFD ENERGY. . . . . : 0 401 - 6010 amp. . . . . . . : 171 l 1GN;I_./F,ANFI_. . . . . . . MANF. HM/ `VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . ' 0 __-_._..�;(-RV I Ct-_/FEEDER------ BRANCH C I RCU I T a------- ---ADD' L_ I N!;PrCT I QNS•- (h - 200 amp. . . . . . : Izl W/SE:RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 :01 - 400 amp. . . . . . : 0 1st W/O ERVC OR FDR. e 0 PER HOUR. . . . . . . . . . . : 0 ,+01 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . : 0 601 1.000 amp. . . . . .. 0 _._____..__.__._.__.____PL_AN REVIEW SECTION to00+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : CC. :OReconnect only. . . . . : 0 9VC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. .- Owner: wner: --_._______________._._____._._._..__.____.__._._..___..---.-_____._._- FEES JIM BEECH R ELECTRIC type amount by date recpt PO BOX c PRMT 9> 175. 00 CJS 11/15/95 95-27288+ 8. 75 CJS) 11/15/95 95-,_72884 GASTON OR 97119 Phone #: Contr-actor: JIM BEECHF_R EL.ECTR T C t 183. 75 TOTAL PO BOX 2 ___._._.... RE0U I RED INSPECTIONS (--,ASTON OR 971. 19 Cfi ling Cover Elect' 1 Set-vice Phone #: 662-3898 Wall Cover Elect' l Final Req #. . . 275463 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Sinnati.lre applicable laws, all work will be done in accordance with approved plans, This permit will expire if work is not started �S�nqerLn�s within 180 days of is=suance, or if work is suspended for morethan 180 days. Isy IN TALI._AT I ON the installation is being made on property I own which is not intended for sale, lease, or- runt. OWNER' S SIGNATURE: __.........._ DATE : ___---..�____-- _•-__- --CONTRA��jjCTOR INSTALI.-ATION i ('-J\InTURE OF SUPP. ELEC' N: .0 __- -_._ DATE : - _ LL_N'-;E NO: ('all for inspection 6.39-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # iicvis 0s-EL Phone (503) 639-1171 Date Issued /-s-9 Lj- — FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 6:s9-417.5 4. Complete Fee Schedule Below: 1. Job Address: Name of DevelopmentZ/SCG_ Number of Inspections per permit allowed � l�/L — LLJ �" �-- � '� �'e7ervlce Included Items Cost(ea) Sum Address �� �2 u �u 4 City/State/Zip_ , J _ 7 Z �'� 4a. &1 h or noel-per unit f1to00 n .{ tQQQ&� ll Of Ives <;; ^ ��11L 1 Each additional boo sq 11 or $25 00 4 U ' Name (or name of business)�� '( C7 portion thereof S Limited Energy _ =25 00 2 Commercial El F.ach Manuf'd Homs or Modular �Y Dwelling Service or Feeder WEI 00 2a. Contractor installation only: 4b. Services or Feeders 2 -f- l /// --- Ifntallahon,allerauon,201 amps l0 400 amps or relocation 2 #/ X �j.a 200 amps or leas $6000 Llectrical C ()tractor �� $8000 2 2 // Address 401 amps to 600 amps $12000 2 h� Statq -I-_ Zlp _ so amps to 1000 amps $t6000 _ 2 C'I`A—`�- �r'�i—� c Over 1000 amps or volts $34000 Phone No.� ?y� - p Reconnect only E5000 Contractor's License No. a y 7 -�_ _ Contractor's Board Reg. No - 4c. Temporary Services or Feeders 7 Installation.afleretion of relocglion 7 200 amps or less E50 00 2 Signature of Supr. Elec'n �� - a�5oo l 201 amps l0 40U amps License Nq,2 5' – k Phone No - 401 amps to 600 amps $10000 Over 600 amps to 1000 voila 2b. For owner installations: ase'b'shwa 4d. Brar,.:h Circuits Print Owner's Name _ New,alteration)r extension par panel a)The lee lot branch circuits with 2 Address --- - purchase of sortrke or Asada AN City-- State—_ 71p Each branch circuit E5 DO N0. h)The lee for branch circuits wtfhout 7 purchase of eervke or tosdn Ase. The installation is being made on property I own which is First branch circuit E95 00 not intended for sale, lease or rent. Each additional brand'circuit $500 — Owner's Signature—� 4e. Miscellaneous (Service or feeder not included) F.ach pump or irrpation circis $4000 ?. Plan Review section (it required): Each sign or oulline lighting $4000 Signal cimutlf.t or a IImM energy Please check appropriate item and enter fee in section 58 Minor 0itrbas alo)or extension =4000 — _4 or more residential units in one siructure "T Service and feeder 225 amps or more 41, Each additional inspection over System over 600 volts non•nal the allowable in any of the above Classified area or structure containing special occupancy Per inspection -- $11,00 as described in N.E.0 Chapter 5 Per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ NOTICE 5%Surcharge(05 X total fees) $ — Subtotal E — PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line 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 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account N $ Balance Due $ .oKrcamd.r+M�tarn^,c