11605 SW 95TH AVENUE i I
ADDRESS:
J
07
r�
C.fl
W
J -
VV(lcords%microflm\targotsUmilding.doc,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST.
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --�
BUP
__Date Requested �� � AM—___PM _ BLD _
Location Suite e, �� .� c '�'�- - Suite MEC
Contact Person Ph _ PLM
Contractor '� _ Ph /_• SWR C G
BUILDING 1 enant/Owner ELC d S/
Retaining Wall ELR
Footing Access:
Foundation FPS
Fty Drain SGN
Crawl Drain Inspection Notes: —
Slab SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing _-- --
Insulation
Drywall Nailing --
Firewall
,Fire Sprinkler
r-ire 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 - -- -------- ----6--
Rough in
Gas Line ----
Smoke Dampers
Final ----
PASS PART FAIL
EiJECIBICAL
Service
`f UG/Slab
Low Voltage
Fire Alarm - _—_-.----.---------_��._-_ _—
^� frna
cc
PASS PART FAIL
S
Backfill/Grading
Sanitary Sewer
Storm Drain I J Reinspection fee of$__ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE_ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date Inspector Ext
Other - -- -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF T I G A R DELECTRICAL PERMIT
PERMIT#: E:C1999-00598
DEVELOPMENT SERVICES DATE ISSUED: 10/07/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6.5�-4171 PARCEL: 1S135CD-03700
SITE ADDRESS: 11605 SW 95TH AVE
SUBDIVISION: BOETCHERS ADDITION ZONING: R-4.5
BLOCK: LOT : 005 JURISDICTION: TIG
Proiect Description: Install 200 amps service/feeder and 2 branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION, ~
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDE 2 BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W/SERVICE OR FEEDER: 2 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
100C+ amp/volt: >=4 RES UNITS: 600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
DAW, LAWRENCE D BOONES FERRY ELECTRICAL
DAISY L PO BOX 628
11605 SW 95TH AVE WILSONVILLE, OR 97070
TIGARD, OR 97223
Phone: Phone:
682-4936
Reg M SUP 3170S
LIC 00088482
ELE 3-2230
_ FEES _ Required Inspections
Type By Date Amount Receipt Elecl'I Service
PRMT KJP 10/07/199E $74.95 99-318910 Elect'I Final
_SPCT KJP 10/07/199F $5.99 99-318910— ORIGINAL
Total $80,9
This Permit is issued sub)ect to tie regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicabie laws.
All work will be done in accordance with approved plans This permit will expire if work is not starte,'within 180 days of issuance,or if work is
susrended 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 952-001-0010 through OAR 952.001-0080. You may obtain copies of these rules or direct questions to OUNC at(503)
246.1987.
!_ PERMITTEE'S SIGNATURE _ ISSUED BY /
OWNER INSTALLATION ONLY _
'The installation is being made on property I own which is not inlende i for sale, lease, or rent.
OWNER'S SIGNATURE: _. _ � DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR ELEC'N (sem- �� `J — DATE: / r
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Oct-08-99 11 : 03A Boones Ferry Electric 503-682-7946 P - 02
L�
CITY OF TIGARD Electrical Permit Application PtanCh`ci,a
13125 SW HALL BLVD. Roca By _
TIGARD OR 97223 Date Reed o Sy L
Date to P.E.
Phone(503)639-4171, x3114 -
Ogle to OST
Inspection(503)639-4175 Print of Type Permd aY
Fax(503)598-1960 Incomplete or illegible will not be accepted Called
�1. .lob Address: � 4. Complete Fee Schedule Below-
Name of Development Number of lrnpediorzs per portnif allowed
Name(or name of business) LARRY )SAW !_ Service included, Items Coat Sum
Address 1 1 6 0 5 SW 99th 4a. Residential-per unit
Tigard , O R 1000 sq.n or les: S 117 75 v
City/State/Zip - Each additional 500 zq ff.or _
f--t
portion n,
n thei ' S 2625
0 _ _ t
Commercial Residential® Lrmiled Energy � S 6o 00
Faris Manufd Home or Modular
2a. Contractor installation only: Dwarfing Service or l eeder $ 12 .75 -- 2
(Prior to pamld Issuance,applicants must provide cont ador lice+tse 4h.Services or Feeders
information for COT data base). Instal'.ation,aherstion,it relocation
Electrical Contractor H 00 N E S FERRY ELECTRIC _ zoo amps or loss 1 S 64 25 64 2 5 2
201 amps to 400 amps $ 65.v. 2
Address P O l3a>,_6 2 8 _ ---
C, Wi7.sonvi1181ate OR Zi 97070 a0lampstofi00amps 1ze.so _ 2
ty P 601 amps to 1000 snips $ 192.50 2
Phone No 503-682-4936 �. Over 10rr0 amu%or vans S 36315 2
Job No. r p, G Recontwsd only f 5350 - - 2
Elec.Cont. Lice No, _ _Exp.Date <c_Temporary Services or FosMrs
OR State CCB keg No._8 8 4 8 2 Exp Date 211-UD- V InsfAatlon,alteration,or relocation
CO t Business fax or Me o 0285 1 _ Oats 8 I 9 zoo amps or less _ s 5150 ^— 2
201 amps to 400 amps S 80.25 _ 2
Signature of Supr Elec'n 401 amps to 000 amps - S 10700 2
Over&W amp(.to 1000•rotas.
a"'b'above.
License No 3170 S Exp pal __10.11�r
Phone NO 682-493----. 4d.Braneh Clrcuhs
-- -- --- New,aheration or extension pet panel
a)The foe fix branch Grculls
2b. For ownerinstallationr: with purchase of service or
feeder nsr•
Ptsnt Owne-s Nzme --- rach branch drwrt -- 7 S 5 35 _ 0_ ]Q 2
b)The fee for brands circuits
Address_ without parrlssse of stervfce
City _ - f_ _Stale. _Zip or feeder tee.
Phone No - ---- First branch clicuil S 57.50
- Each additional branch cirwd $ 5 35
The inSl2llatian 15 being made on property I own which is nr,t is Wscallan sous "^
intended for sale,lease or rent (Service or leerier not Included)
Each pump or inigatlm circle S 01.2 75 _
_ Owners Signatu.c-- __ � _-� - -_— Each sign or ouhlne fighting Y � S 4775
Signal cirrxuA(af or a smiled energy
paned,alteration or extension E fi0 oil
f 3. Plan Review section (if required):* "mor tsbols(10) �- $ 10100 -- - _
In --. _.'--'-- -'-`---- - --
Please check apprnpnate It,am and enter fes In section 5S el.Each addMonal Inspection over
4 or rtsnrE residenlral units in one structure the sllo,vable In any of the above
- - Per Imp±cllon S 50.00
--' Servkw and feeder 225 amps or more — -
Per hour S 5000
Syslem over F,00 volts norrunal in Plant _Y_ S 1900
ID _Classlf ed area IN sliucturn containing special occupancy as -
rL desc*ihed to N F C Chapter 5 a. Fees:
ga Enter tmal ret ahnve rows : _ 74 - 95
_
Submit 2 seta of plans wdh application where any of the above apply Ft,Srxctarge(n5 x Inial Iles) t s 9
Not required for lrimporsry crnnstrucllon services. Subtotal S �
6b.Er4ar 25%of Wee Ss lot
NOTICE Plan Review if required(Sec 3) S
PERMfTS BECOME VOiO if WORK OR CONSTRUCTION AUTHORIZED Subtotal f _ - —
i5 NOT COMMENCIFO WITHIN tan 17AYS,OR Ir- :ONSTRIJCTION OR
WORK IS SUSPEND; -)OR ABANDONED FOR A JFRIOD OF 180 DAYS U Trust Accuun1 If -
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ go . IJAJ
Ids fnrms4lecR is rix f%,,I r rr, It r , .cher Clap inn 1•v.r r"'I r rat e, an .nn
inn
BUILDING PERMIT
CITY Chi' TIGARD PERMIT #. . . . . . . . .. J P 9 4-0 44
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/i-2,.3/94
13125 SW Hall Blvd. rigard,Oregon 97223*8199 (503)639,4171i i
PARCEL: IS135CD,-0370QI
S 1 1-E ADDRESS. . . : I I Cn 0 5 SW 95TH 0 V 1.
SULAD 1(,'1'S I ON. . BUL TCHE FRS ADD 1'r,I ON ZONING: R--4. 3
BLOCI.. . . . . . . . . . LOT. . . . . . . . . . . . . 5
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCT1UN-
WLASS OF WORK. :ADD FIRST. . . . : sf N: S: E: W:
TYPE OF USI=-. . . :SF-- SECOND. . . : sf P'ROT'ECT OPENINGS?_____-._---.
TYPE OF CONST. : ;N THIRD. . . . . sf N: S: E: W:
OCCUPANCY GRP. :133 TOTAI-------: 0 5f ROOF CONST: F-IRE RET's
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP,. RATED:
f-*;Tr,)R. : I HT. : 'Ft GARAGE. . . : s f OCCU SEP. RATED-
B G)I'l T? - MEZZ? REQD SETBACKS— REQUIRED--
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . -.
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICPI ACC:
LAEDRMS: BATHS: IMF, SURFACE: I*_11.30 CORP. PARKING:
VALUE. -y : 3215
Remar-ks : REPLACING SOME SHEETING AND INSTALLING NEW ROOF*
0 W T-1 e t: FEES
4&vr- A-kV type amot-tnt by date recpt
L44� H FIRMT $ 44. 50 JF 08/23/94
;PCT $ 2. 23 JF 08/23/94
T'IGARD OR 97;:-2,4
Phone #:
HOME KARE SYSTEMS INC
16,+15 SW STARK
PORTLAND OR
Phione # : 2'j60663 $ 46. 73 TOTAL
Reg #. . : 98794
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
V) applicable laws. All work will be done in accordance with
approved plans. This permit will expire i' work is not started
_J within 180 days of issuance, or if work is ,uspended for more
than 180 days.
LLJ
Permittee SignattAl-e:!
Call fav- inspection 639-4175
Residential Building Permit Application
I ity of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
5.03) 639-4171
Jobsite Address:
Subdivision: Lot# Office Use Only
Planck/Rec#
Valuation: _
Corner Lot? Y N Permit # 9 U t/
Reissue of
Flag Lot? Y N /
Map & TL#
Owner: Cl LIA L
Approvals Required
'9��;1V1 Y 59•r. .N ' �'
Address: Planning
Engineering 4
Phone: Other
Contractor: rC--- Items Required
Address: — Subcontractors
Truss Details
Phone'. / Other
Contractor's License # 2
(attach copy of current 0 Qon license)
Contact Name & Phone: Q
Subcontractors: Architect/Engineer:
ti
Plumbing: Address:
-- Mechanical:
(attach copy of current OR Contractor's license)
Phone:
JOB DESCRIPTION:
Applicant gignature & Phone number
Received by: Date Received:
N MORDNCOMDEVVIESAPP
i
Permit# Acco,-nt Description Amount Amt. Pd. Ball. Due
^�y Bldg_ Permit (BUILD) « > 71
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Blog:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSUC) ^
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Commercial TIF JIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) _
TOTALS: G