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CITY OF TIGARD ELRMIRICALEPERMIT
T434
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED; 07/01/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 2S 1 10A6-:-::'2'00
SITE ADDRESS— : 14315 SW 1. 1 .'TH i-iVL-
SUBDIVISION. . . . : COLE.S ACRES ZONING: R--4. 5
13L.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :13
Project Descr-iption : Installing three branch
- - -RESIDEN'T IAL_ UNIT---- - --TEMP' SRVC/FE:EDERS---- -----MISCELLANEOUS-----
1,000
----
J.00 1 SF OR LESS. . . . : 00 - 1_:00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
LOCH ADD' L 500SF, . . 0 901 - 401 Sam p. . . . . . . : IZI S I UN/OUT LINE: LTG. . : 0
L..IInI l'T_D ENERG;'.. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE-. HM/ SV('/FDR. . : 0 601 +amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-_SERV ICE/FEEDER----- - - --LaRANCI I CIRCUITS------ --_ADD' L INSPECTIONS——
0 - 200 ramp. . . . . . : 0 W/SE=RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
:'01 - 400 ;.amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . ,
401 - 600 aamp. . . . . . : 0 EA ADD' L BRNGH CIRC:: C IN PLANT. . . . . . . . . . . . 0
601 •- 11100 Lamp. . . . . 0 RFYIFW _
1.000+ amp/'i o 1 t. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
11 ec,inn ect only. . . . . : 0 SVC/F DR > - 2,::25 AMPS. . : CLASS AREA/SPEC OL,(.. :
Owner _._.__ - ____ __._____-----______._________.______.________..__ FEES
DONALD TURNER type .amor.int by date r,ecpt
14315 SW 1127H OVE. P'RMT 4 45. 00 CJS 07/01/96 96—E81229
3PC1, t 2. 25 CJI; 07/01/96 96-281ic ':c3
J-IGARD OR 4'7224
Phone #:
C:ontractor:
OLL CITY ELECTRIC f 47. 25 TO l PL
5422 P'ORT'LAND RD NE #12,3
REQUIRED INSPECTIONS
)OLE11 OR 97305 Wall Cover Elect' 1 F=inal
Rhone #: 503-2123-0592: Elect' 1 Se-vise
I 1 e g 1t, : 087014
This permit is issued subject to the regulations contained in the
1 igard Municipal Code, State of Ore. Specialty Codes and all other, Perm i t t ee—5i gnat ure
applicable laws. All work will to done in accordance with
approved plans. This permit will expire if work is not started
Within 108 days of issuance, or if work is suspended for more
'.hen 188 days. Iss;i.led By
__._--..-OWN[-R INSTALLATION
The installation is being made on property I own which is riot intended for
,ale, lease, at- rent.
1WNER' 3' SIGNATURE! DATE ll
I NSI ALLAT ION
m
IGNATURE OF SUP'R. ELLG' N: I_��� DATE: �/ !
-
_-ICE NSE NO c
Call for inspection - 6.39--4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tiga•i, OR 97223 Planck/Rec. # 9C.
Permit # ELC9E Oy?q _
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 4 4'z(zc-
CITY OF TIGARD TDD No. (503) 684-2772 Issued by Ch/ r lP, S.
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development ,a (, �• Number of Inspections per permit allowed
Address �_ r1 �! Service included: Items Cost(ea) Sum
City/State/zip I CA n — 9 I ) 4a. Residential-per unit 4
(� I 1000 sq It or leas $11000
U 1 Each additional 500 sq It or
Name (or name business)_ _ c: ` 11 portion thoreo, $2500 1
Commercial Rcsidential l7 Limited Energy �— $2500
Each Manuf'd Home or Modular 2
Owe@ng Service or Feeder $6800 _
2a. Contractor installation only:
4b.Services or Feeders
_ _
Instillation,alteration,or relocation 2
Elec!;ical Contractor ` L ' _ 200 amps or lean $so OG 2
Address I /y` r 1. 201 amps to 400 amps $80 00 2
? 401 amps to 600 amps $120 Or 2
City c__. ate Zip 1AJ 601 amp$to 1000 amp. $1 B0 00 2
Phone N0. - �- Over 1000 amps or vona $34000 2
Crntractor's License No. Vn,
Reconnect only $5000
Contractor's Board Reg. No., i 4c.Temporary Services or Feeders
Installation,alteration,or relocation
Signature of Suer. E c'n 7t", 200 amps or lew; $50 00 2
License No.3v- No. �,�•- 201 amps to 400 amps $7500 2
401 amps to 600 amps $100 Ou
Over 600 amps to 1000 votts
2b. For owner installations: Dae•h•above
4d. Branch Circuits
Print Owner's Name `+ New,alteration or extension per pans)
Address a)The lee for branch circuits with
Zlppurchase of elervke or Nadler Ne. 2
City State
Each branch circuit $5 0r'
Phone No. h)the tae for branch circuits without
The installation is being made on property I own which 'IS purchase of retvice or Nader Nle.
not intended for sale, lease or rent. EEaartr branch arced $$500
502
h additional brenGt circuit $5 000
Owner's Signature 4e. Miscellaneous 10 - 0C)
(Service or feeder not included) 2
3. Plan Review section (if required): Each Pump,r irrigation eerie $4000 2
Each sign or outline lighting _ $4000
Signal cimwt(s)of a limded energv 2
Please check appropriate hem and enter fee in section 58, panel,alteration or axlenaion $4000
4 or more residential units in One strursure Minor Labels(10) S10000
Service and feeder 225 amps or more
System over 600 molts nominal 41. Each additional inspection nvw
Classified area or structure Containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per inspection $95 00
For tour $55 00
In Plant $55 n0
Submit 2 sets of plan,o with application where any of the above
apply. Not required for temporary construction services. S. Fees:
NOTICE 5s. Enter total of above lees $
5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN IRO DAYS,OR IF 5b, Enter 25%of litre A for
CONSTRUCTION OR WrRK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 7
COMMENCED ❑ Trust Account>Y
Balance Due $ L-4-7—2:5
MAS-CER PERMIT
PERMIT #. . . . . . . ; MST94-0312".."
CITY OFTI i DATE ISSUED: 08/05/94
COMMUNITY DEVELOPMENT D&A' 'R
13125 SW Hall Blvd.Tigard,Oregon 9722398190 (503)639-4171 PARCEL: t_::�'S110AB--1b2201Z1
!::)II'E ADDRESS. . . : 14315 SW tl2T'H AVE
1.SUBDIVISION. . . . : COLES ACRES ZONING. R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
BUILDING ------------------------------------
REISSUE: DWELLING UNITS:0 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :ADD BEDRMS:O BATHS:0 GARAGE. . . . . . . . . . :0 sf
I_YPE OF USE. . . :SF FLOUR OREAS-- REUUIRED SETBf CKS._-.__-.-_.-_-__.....
TYPE OF CONST. :5N FIRST. . . . : 144 of LEFT. . .-0 ft RIGHT. ,5 ft
(JCCUPANCY GPP. :R3 SECOND. . . :0 5f FRONT. :0 ft REAR. . :60 ft
STORIES. . . . . . . : I THIRD. . . . :0 5f REQUIRED----------------------
HEIGHT. . . . . . . . : 10 ft TOTAL 1.411 5f SMOKE DETECTORS. :
F1_(_-jOR LOAD. . . . '40 psf VALUE:. . . . . $ : 9311 PARKING SPACES. . :0
Re in av-I-,.s : INSTALLING 2 SUNROOMS ( 1 ) 9650 FT AND (2) 48SO F`T
....... PLUMBING
S.i N K 5. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . -0
LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERP. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS— — . . :0
WAIER CLO,9ETS. . :0 SEWER LINE ( ft ) . : Z) GREASE TRAP'S. . . . . . . :0
1.)1 SHWASHERS. . . . .0 WATER I—INE (ft ) . :0 OTHER FIXTURES. . . . . t I,_.)
CiARBAGE OTSP. . . :0 RAIN DRAIN (ft ) . .O
WASH 11IG MACH. . . :0 SF RAIN DRAINS. . :0
Ml`-_'�:HANICAL FEES
FUEL UNIT H r'R-:i. . :0 type amol.int by date t-ecpt
VENTS . . . . . :0 DPRT s 80. 50 JF 08/05/94 —
MAX INPUT:0 BTU VENT F ONG. . :Q1 B P L C $ 5 ::. 33 JF 07/21./')4 94-25479
'IJRI\J < 100K . . .-0 HOODS. . . . . . ..0 B5PC $ 4. 03 JF VIA/05/94 —
-URN ) =10011, . . :0 WOODSTOVES. :0
ILOOR FURN. . . . .-O CLO DRYERS. : 0
00IL/CMP ( 3HI.'--,:0 OTHER UNITS:O
GAS OUTLEfS:O
Uwtlev-:
(URNER
1.4315 SW liEIH AVE
11GA4D OR 97224
! ,hone #:
f.aATEWAY SUN ROOM
37SB SE 122ND
j ,(_ii_,r1.j)ND OR
Phwie 249-1697
69282 ---------- ---------------------------------
$ 136. 136 TOTAL
This peroit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS
71gatt Municipal Code, State of Ore. Specialty Codes and all other Foot/fol_tnd Ins
applicable laws. All work will be done in accardaze with apprcypd Fram ing I n s p
plans. this permit will expire if work is n start_ within 160 Rain drain Insp
days of issuance, or if work is susf r @-"F—ethan 180 days. BUilding Final
Pend"
Erosion Control
Pe, inittee 5iqnatLtv-e .- -- -----
lss,i_ted $yt
Call for" inspection — 639-4175
J
Residential Building Permit Application I L)
City of Tigard
13125 SNIP Hall Blvd.
Tigard, OR 97273
(503) 639-4171
Jobsite Address:
n
Subdivision: or)le5 ff C 1"p-) Y Lat# � Office Use Only
Planck/Rec It U ,
Valuation: 7 ��
Permit# M.5 e)5 0 3
Corner Lot? Y
Flag Lot? Y QN ) Reissue of
Map & TL# odA Ine,
Owner: � -.,rn b 41
Approvals Required
1 C�Address: Planning
-- Engineering
Phone: Other
�'Contractor: C
1=E W(--AY v i YYl I> Items Required
u � •
Address: ` S t22 Subcontractors
V �1 TI wy—i(J 0q i c,'1� '),/V
- Truss Details
Phone.: U � Other
Contractor's License # _
(attach copy of current Oregon license)
r'
Contact Name & Phone:
Subcontractors: Architect/Engineer: - v--Iqi gL,Ef EeY
V) Plumbing: �� Address:
~ Mechanical: 1 O Y ` CXN -- )_�_ t, _
(attach copy of current OR Contractor's License) _ r
.`° �1`� prn
Phone:
y LD
62o6
1 3 63,4-
JOB DESCRIPTIO -✓ �� v� ���"\b�1S
c '�Ilu�i
Applicant Snature & Phone number _
Received by: Date Received:
N MY'ND1cc MDE SAPP
Permit# Account Description Amount Amt. Pd. Bal. Due
O�� ? Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) --F--
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) 5 2. -5 3 J
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Draina�,:. C:,y (SDSDC)
Residentiai TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) —
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: (. � ` I L3-