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14000 SW FERN STREET 0 0 0 N n m z m m 14000 SW FERN STREET CITY OF TIOARD ELECTRICAL PERMIT PERMIT ft: ELC2003-00497 DEVELOPMENT SERVICES DATE ISSUED: 06/11/2003 13125 SW Hall Blvd., Ticiard. OR 97223 (503) 639-4171 PARCEL: 2S104BC-02300 SITE. ADDRESS: 14000 )W FERN ST ZONING: R-7 SUBDIVISION: HANDY ACRES BLOCK: LOT : 023 JURISDICTION: TIG Project Description: JOB NO. 24050 safe off from lightning strike _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEUUS 1000 SF JR LESS: 0 200 amp: PUMPI!RRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT L-INE LTG: LIMITED ENERGY: 401 - 600 amp SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10) SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS n 200 amp: WISERVICE Op rEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT. 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ arnp/volt: —4 RES UNI"S: >600 VOLT NOMINAL: Rbronnect only 1_ _ SVC/FDR —225 AMPS: _ CLASS AREWSPEC OCC: Owner: Contractor: NOLAN LAYS ROSE CITY ELECTRIC INC 14000 SW FFRN ST 4012 NE CULLY BLVD TIGARD,OR 97223 PORTLAND,OR 97213 Phone: Phone: 503-287-6164 Reg #: I-I(' 3567 -- I LE 1 13( FEES _ SUP Description Date Amount Required Inspections II I.PRNIT]ELC Pcrmit 08/11i200. $66.85 `V--� -'— `,'18%State Tax 08/11/200. $535 Elect'I Service Total $72.20 This Permit is issued subject to the regulations contained in the'!igard Municipal Code,State of OR. Specialty Codes and all other applicable laws Al!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 190 days ATTENTION Oregon law requires you to follow rules adopted by the Orsgon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through UAR 952-001.0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1.800-332-2344. Issued By: ` �� _ Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not it for sale, lease, or rent. OWNER'S SIGNATURE: _____ ___ DATE:—.-- CONI ATE:_._CONI RACTOR INSTALLATION ONL-Y SIGNATURE OF SUPR. ELFT ,,' _ — --_ _ DATE: LICENSENO: _------- _-- --__.__�__------__.--------------- ___------_.�__. Call 639-4175 by 7:00x,,–, fnr an inspection the next business day 08/08/2003 15:29 5032821060 ROSE CITY ELECTRIC PAGE 02 Electrical Permit Amh4aa 7MMOV � l'emi;tNo �lam-R/�pOmvai - Sign City of Tigard ,, . nVII.My: t tear — 13115 SW Hall Blvd. AUb �) 2 Plan Review Qtltar Tigertt Uregon 97223 �o� ,.,. LermicandLrc No.. Phone: 503.639.41'11 Fax: 503.59&IWOF TI D&wW C4sc No.; Internet: www.ci.tigard.orms f31ILDING5onmot 7urlf Se�*Pair 2 for 24-bout Inspec.tonRegttmst- 503-639.4175 1 Name/Me*w; ! Supplanlem�l (,�rma�;on._ I Nei,v construction IDCM01itlou 0 S4mcs ever 215 amps- LJ 1•Icalthrac,'li e faty L commercial ❑HvArdnus Ioamon Addmon/alteratiopte laeement �21Cr: n Service r r 320 anips-raTing of U BUMIng ova.10,000 Nuarr fret, 2 family dwelliupa fhm or enure rcridendel mdto in h -1 &2-Fardl dwe.linr ConuncrcisJftdusbr al I ❑5ystrm over 500 volts nominal one struclum rm Access BoR uildin� multi_-F!yDy 0 Oc"Pag ewer toner 9,9 V_' ©Frrdrrs,tum,urtru at of _ �t')ccWtatIt IttM trvcr y`1 persons ❑Manufaehaetl SCvctlues of RV puk 1VjaI er k1L)tldei Q�CI: GI{rtec/lightin?pion (]c�l4tor _ "I' 1'^i •Y ?�(1•AI. TIDE'' _� ( Sawnit wi of plan with Any of the above VII above Are soviet. Job site add;es'a: 1 4 U 0 �G✓ F-Q rri _-- —•�I - MVI Suite Bld ✓A t.#: _ . Number o.`.ins imce t•a}te perr it a110 ed �t0 GCt 11BITIC: - u �ticM don_-- __ Qty Pa(ca o T°tal ED � Neer mWenGahinslr ar nmlrt family prr Cross svee Mirec'iow job site: dwellho uni1.106611e1 atrarhrd narim. serHer tuelmde+.- I;scL1 di^n,Qt)a1500 ur.It atymdun dlcreul I33.40 1 Limited etlet5> residentlal 71,00 2 Subdivision: ---' -- 1-ot �Y Limited onorre�,nen rcnift tdlil 'rax 111c317/1)c1toCl i$: Fm:h;_v"rhAed home or meduiu dwelling A liltSCRTPT'110N OF OCAattrice uuYttr !der 9090 1 9crvlca or kedets-InstallaNea, alcomflun or relocation: _ - 1011 sm�s m leu A0.30 2 1 101 amps to Ota� 106.1 4413 i_, $Ri9_1 1i'I'lfQ1'ft`iT a,' ?Y1�IIili�ll!►1• _. dOovter.e1t0p0etto6t00ompf - --- x�.60 ofVohs 4 Name: Ftccnnntxt rniZ___— _ 66.e5 - Z ftmponry services or frrdrre iareWlatiun. Address: - - __-�-- -_-- „If4rfMan,or rdnr>tilne: i ci /State/Zi 3� Ana am�r or u.� .¢s r Phone: F=: 201 rtttm¢to 400 un74L _--100.30 ___-'---__--._ - _-- m i 1.33.75 ? r ICAN7 ACT CFRON lirontcircutu-Dew,atreratnn-or- 1 Name: r:tcminc per pane: - - --.-- _ A.NO far taanch ci-cuim w;th purnhaer of Address. __- ---__-_...__ AmAre or feeder Ire,earh month cirzuit 6.65 2 C;i !State/f 1 ): w H.Frn(!tr Mtmch eireuim witomutrumbue of ` 1 mvice of rmkr f MW branch ctrcrdt 413. 1'tlt)17C. 1xll7C. Eooh mel mal branch&cwt 'veru(service or realer mt indudeo; I!"ll mportrinatim circle 51.440 ___4Z -_ Loch sire troutline 1 mired--- Job No: 15'gncl rhrun(rl,r o limited enrryy pnnl, on,ot eatettisron- —• _ h 1 2 Business Name: RASE CITY ELECTRIC CO X Pttett: Address: -r6T'f NE CULLY BLVD 4hone: F,ach additiunal iu!HE! ion ocr t6c allowable In r•r X50of tba anevet prr tnn rnnnIr h ,cr itI 1 hour5 � � �a> >n rn t; wlti��ren:__ ff I CCA Lic.#: JU 7tic. i,R_ rr+t�iRrlPixs" _ l- Supe rising electrician _ >ubtotnl I it_ Si 11tUre rC ire 1. �_ �_ Clan Rcvirr+ ZS°/„of Pernit Cee 5- PtntNatue_ L_�itham LIC.M_ �S e'at .;urchntgCtB°!°ufF'cr�ultFec E _' .— __ Authrniml Notice- This permir ap,+lieadnn noirri Ira prrmtt t.ner onts;eed arthro 9iguatum Dile - IN doss after It hue torn-"-p"■.cwenplere. -Fre mrtbxtoh.ry„et hw Tri-C:eurry lilYllding lndnrtry Str+ae.Aoard. (Plcaat print name) - i\r)m_tk @rrdxVnmv\F1t•FcrrnirkDp.doc 01/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business I-Ine: (503)639-4171 BUP F Received l _—Date Requested 0 `2 5 AM —PM BUP — Location ^_. / o U 0 �• -� Suite MEC Contact Person — _ Ph( ) —10 _ PLM Contractor _ _ —� L t-�!�L' Ph(— ) —__ SWR _ BUILDING Tenan Owner —__- __— ELC YJ Footing ELC -- Foundation Access: Ftg Drain ELR Crawl Drain Slab Insp(,ction Wiles: SIT Post&Beam Shear Anchors — Ext'Sheath/Shear - Int Sheath/Shear Framing Insulatlon Drywall Nailing Firewall flJ s Fire Sprinkler Fire Alarm Susp'd Ceiling --------- -�— — — Roof Other: -- Final PASS PART FAIL -Y PLUMBING Post&Beam Under Slab -- Rough-In I Water Service ----- ------_ __-- Sanitary Sewer Rain Drains - — - —' Catch Basin/Manhole Storm Drain --- ----- — Shower Pan Other: Final PASS PART FAIL - -- - -- __._ — -- - MECHANICAL Post&Beam Rough-In ----- - ----- _— _-- - ------- Gas Line Smoke Dampers - - ----- -------- — - ---- Final PASS PART FAIL -- ------ ----- - — ELEC?RICAL _ Service Rough-In �_— UG/Slab Low VoltageLIJUAlarm PART FAI'� Reinspection fee of$.`—__ required be',)re next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ E — - _ Please call for reinspection RE:. Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Gate111/peMofr - _-- Other:..- -------- T� Final DO NOT REMOVE thle Inspe tion roeord from the job sko. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Line: 639-4175 Business Line: 639-4171 `-- - - -- 2 l/��ry BUP 3�ate Requested _ _AM ` v P�,1 BLD Location / �VtJO 660 Suite MEC Contact Person Ph PLW Contractor ~7 -y� RPh �f _ SWR BUILDING Tenant/Owner Ly;&A,`� l�(l"1 x 1�'YLL �— ELC -- -- - Retawing Wall F_LR --------------_--_--- Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGN Slab ---.... — �� S__N�C�- r --�' `— - SIT Post& Beam - -- -- Ex"Sheath/Shear Int Sheath/Shear Framing _- Insulation Drywall Nailing Firewall Fire Sprinkler -- -� — -_- - Fire Alarm Susp'd Ceiling ---- ------ - ----- - Roof Misc: _ -- - - -- - - --- - --- - Final PA 5.---PARI. FAIL -- ----- - UMBING / PMTSIT6am Under Slab Top Out I Water Service _ Sanitary Sewer (� Rain Drains final: )PART FAIL NICAL Post& Beam Rough In Gas Line Smoke Dampers Final - PASS PART FAIL ELECTRICAL service Rough In t IG/Slab I ow Voltage Five Alarm Final PASS PART FAIL_ — --- - -- -- - --------- _ 81TE Backfill/Grading -_— Sanitary Sewer Storm Drain [ ]Reinspection fee of$- _required before next inspection. Ppv at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE: ---_ [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector �--'� Ext Other ---- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job sate. CITY CF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Nall Blvd.,Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : PLM98-0387 DATE ISSUED: 10/20/98 PARCEL: 2S104BC-02300 SITE: ADDRESS. . . : 14000 SW FERN ST SUBDIVISION. . . . : HANDY ACRES ZONING: R--7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :023 JURISDICTION: URP CLASS-OF�WORK. . :ALT GARBAGE DISPOSALS. ., 0 MOBILE HOME SPACES. : 0 'TYPE OF' USE. . . . :SF WASHING MACH. . . . . . : 0 }BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 'TRAPS. . . . . . . . . . . . . . . 0 ,TORIES. . . . . . . . : 0 WATER HEAT'ERS. . . . . . i CATCH BASINS. . . . . . . : 0 FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIII DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 I-AVATO RIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWE:RS. . . : 0 SEWER !_.INE (ft) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . -. 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Replace existing wafter heater with like kind. Owner: -.__.._______._____._____________.._---_--____.---_---.._-- FEES ----_-___----_- I_ INDA NORLAND type amount by date recpt 14000 SW FERN PRMT $ j'5. 00 GEO 10/20/98 98-310165 TIGARD OR 97223 5GCT $ 1. 25 GEO 10/20/98 98--310165 Phone #: 524-2242 Cont ract or.---__----------------------._-__.._ RESCUE ROOTER PO BOX 1728 WILSONVILLE OR 97070 Phone #: 243--1172 t 26. 25 TOTAL Reg #. . : 12:7325 ------- REGlUIRED 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 applicable laws. All work will be done in ar�:ordance with approved plans. Tsris 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 �r adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.MI-0010 through OAR 952-0001-A080. You may obtain copies of these rules or direct questions to Ol1NC by calling _._._... (503)246-1987. Issl.ted By- _ 'G Permittee Signatures +++++++++++++++•++Z+++++++++++++++++++++•+++++•t++++++++++++++++++++++++++++++t Call 639--4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++ +++++, f+++++++++. +++++++++++++-+ __I CITY OF TIGARD Plumbing Permit Application Plan Check>r 13125 SW HALL BLVD. Commercial and Resideniial Recd By TIGARD, OR 97223 D-.e Recd__ ecd _ _ (503) 539-4171 Dat toP.E. Print or Type '!� Date to DST Incompleie or illegible applications will not be accepted PermitX�� ,z- Related SWR# _ Called Name of DevelopmenU roject FIXTURES (individual) QTY PRICE AMT Job J> :�G� k� �Y'Y` a�>j Sink .�._ — -- — 900 Address Street/',ddress suite Lavatory__ 9.00 G'G' ✓ �-i Sf _ Tub or Tub/Shower Comb 9.00 Bldg 9Clt /State ZIP Shower Only 900 Name ! Water Closet 9 00 /rt Dishwasher 9 U0 Owner Mailing Address Suite Garbage Disposal 9.00 0 SL--., fiin Washing Machine 9.00 City/State ZipPhone Floor Drain/Floor Sink 2" �3 -�L 9.00 Nar 3" 9.00 4" 9.00 Occupant Mailing Address Suite p Water Heater O conversion -Vlike kind / 9.00 yt _ _ Gas Ong requires a separate mechanical permit, City/State 7-ip Phone _ Laundry Room Tray 9.00 Name — /� o --- Urinal 9.00 --SC LIZ (/C Other Fixtures(Specify) 9.00 ContractorMal [g AdAres Suite 9.00 9.00 Prior to permit City/$tale Zip Phone Sewer-1 at 100' 30.00 issuance,a copy ), ✓ % p 'xj of all licenses are Oregon Const.Cont.Board Llc,# Exp.Date I^ , Sewer•each additional 100' 25.00 required If 3 ;Z 5— 1_ W 9� Water Service-1 st 100' 30.00 expired in COT Plumbing Lic.t Exp.Date Water Service-each additional 200' 25,OU database- Storm&Rain Drain-1st 100' 30.00 Name Sturm&Rain Drain-each additional 100' 25.00 Architect Mobile Home Space 25.00 or Meiling Address Suite Commercial Back Flow Prevention Device or Antl- 25.00 Pollution Device Engineer aty/stete Zip Phone Residential Bar:kflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy Permit. New O Repair O Replace with like kind: Yes Or No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial O Catch Basin 9.00 Additional description of work: _ Insp.of Existing Plumbing 40.00 io rAv« er/hr Speci911y Requested Inspections 40.00 W 4i. e, `i ep, ` er/hr Are you capping, moving or replacing any fixtures? Rain Dain,single family dwelling 30.00— Yes 0 No D Grease Traps 9.00 If yes,see back of form to indicate work performed by - QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometai or riser diagram is required a Quantity Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTOTAL I hereby acknowledge that I have read this application,that the Information _ given Is correct,that I am the owner or authorized agent of the owner,and �— 5%SURCHARGE y,S that plans submitted are In co lance with re on State laws. Signature of OvlihorlAgew Date "PLAN REVIEW 25%OF SUBTOTAL !( - Re uired only H fixture gly total Is>9 _ i D — — Contact Person Name Phone TOTAL ( *Minimum permit tee is$25+5%surcharge.except Residential ilackflow Prevention Device which is$15+ 5%surcharge "All Now Commercial Buildings require plans with Isometric or riser diagram and plan rsview I fdst,%;,Umapp dor 7/2/9e PLEASE COMPLETE: Fixture Type - Quantity by Work_Performed _ _ _ New Moved Replaced Removed—Ca ppe_d- Lavatory ---___-..._--- -- -- - --- ----- ---- 'Tub or Tub/Shower Combination Shower Only ------_— � —_ -- _- --- — Water Closet --- ---- -- _- -- __.._ __-- Dishwasher----- ---- ----- -- - - ----------- --- G_arbage Disposal - Washing Machine _ Floor Drain/Floor Sink 2"—� -- 311 411 Water Heater Laundry Rcom_ Tray Urinal Other Fixtures (Specify) - - COMMENT T S REGARDING- ABOVE: I\%Inti\ lilm n, rfix i!:`1N