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CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall blvd.,Tigard,OR 97223 (503)639.417 PERMIT #. , . . . . . . BUP9 7-0394
DATE IticUE=D: 06/1.5/97
PARCEL: 2S102CC--01400
SITE ADDRESy. . . : 10375 SW HILL VIEW ST +I
SUBDIVISION. . . . : FREI_.EON HEIGHTS NO. 2 ZON 7 NG:R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 17 JURISDICTION:IIG
-----------------------------------------------------------------------
REISSUE; FLOOR AREAS------- -- EXTERIOR WALL CONSTRUCTION-
CLASS OF WOko- . :FILT FIRST. . . . : 0 sf N. S: E: W:
TYPE OF USE. . . :SF 13ECOND. . . : 0 sf PROTECT F.:�'NINGS?-------_.__
TYPE OF CONST. : ? . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :R;, TOT AL -- -- : 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 11 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
t3c)MT" . IIEZZ? : REDD SE'tE4PCKS--.-------.- RE-QUI RED-----------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BRTHS: 0 IMF, SURFACE_: 0 PRO CORR: PARKING: 0
VALUEw. $: 0
Re mar!,s : Install spa cover.
( Owner: -------------------------------------------- ---------- FE=ES -------------_-_
GE_ENN RIPLEY type am7,.tnt by nate recpt
10375 SW HILL_ VIEW ST PRMT $ 25. 00 DRA 08/15/97 97-.298351
TIGARD OR 9722-1 SPCT $ J . 25 DRA 08/15/97 97-298351
Phone #: 6?4-9206
Contractor: ____-----------______
OWNER
Phone #: L 26. 25 TOTAL
Rey #. . : 000000
--------- REQUIRED INSPECTIONS
---
This permit is issued subject to the reg,ilations contained in the __-
Tigard Municipal Code, State of Ore. Specialiy Codes and all other
applicable laws. Ill work will be done in accordance with
approved plans. This permit wili expire if work is not started
within 180 days n' issuance, or if irk is suspended for more
than 180 days. ATTENTION: Drew lam requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-O0I-OOIO through OAR 452-01101987.
You many obtain a copy of these rules or direct questions to DUMC
by calling 1500'46-1987.
1
f erroittee Signatore : �� � - ' Iss�-ted 'By :
+++- ++++-;-i ++. +-1-++++++++++•f++++++++.++++++++++++++++++++4++++•T+++++++++++++++++
Call 639-41751 by 6:00 p. m. for an inspection needed the nem', business day
++++�+++++i-+++-r++++++.I+++++++++4-++++++++ F++++t++++++++--+.4+++ r+++++++++-f++++.+i +
_l
Plan Che
Cl'-,'Y OF TIGARU Residential Building Permit Application Recd By
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd f
IGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.
1503-639-4171 Date to DST
F 503-684-7297 Permit#Gj
Print or Type Called
_ Incomplete or illegible applications will not be accepted _
Name of Project
Job �Uc L�� .1C -- —
Address Site dress Architect Mailing Address
1 7
Name ;
City/State Zip Phone
Owner Mn�Address Name
atf
o '-7:5-
It
Engineer Tiling Address
r
C.t ,State Zip Phone g
- — ---- t if G ^? 62'
Cily/State Zip Phone -
Namt
General t� r � +`.� ��'� Describe work New O Addition O Alteration 0 Repair O
Contractor I 'wiling Address to be done
Additional Description of Work.
I �
City/State Zip Phone
_ ,/ i..,..
Oregon Const,Cont. Board Lic# 1 Exp Date
Attach Copy of I II
Current COT Business Tax or Metro#tip
. Date PROJECT
Licenses _ VALUATION $
Name
Mechanical NEW CONSTRUCTION ONLY _
Sq. Ft House: � ;t. G,%rage
Sub- Mailing A�.,ress �- — j
Contractor Corner Lot YES NO Flag of YES NO
-ity/3tate Zip Phone (check one) (check one)
Oregon Const.Cant, Board Lic.# Exp.Date Restricted Audio/Stereo Burglar
Attach copy of Energy SystemAlarm
Current COT business Tax or Metro k Exp Date InstallationTGarage Door I HVAC
Licenses OpSystems
Name
Opener S ms
- J y
(cherk all that Other.
Plumbing apply) _
Sub- Mailing Addres•,— Will the electrical subcontractor wire for�,:I YES NO
Contractor -estricted energy in Aallations?
CityiSlate Zip Phone Has the Subdivision Plat recorded?_ N/A YES I NO
Oregon Const.Cont. Board Lic.# Exp Date Reissue of MST#: Solar Comoliance
Attach copy of (Calculation Attached)
Current Plumbing Lic.# Exp Date _ I hereby acknowledge that I have read this application, that the
Licenser information given is correct, that I am the owner or authorized
COT Business lax or Metro# Exp Date agent of the owner, and that plans submitted are in compliance
-- - --- with Ore on State laws
Name _—
Signature of Gwner/A Date
Electrical ,'3 - J> j i 7
Sub- Mailing Address - Conjsct Person NL. , ,�Q odne Of
Contractor -- t _- I -• T �b •
Cdyistatei —� Zip Phone FOR OFFICE USE LY:,
P t# j MaplrL#
Oregon Const Cont Board Lic 9 Exp. Date i f t i }? r L`✓ L � ��dV
Attach copy of _ _ _ _ Setbacks: t Zone: Solar:
Current Fiectncal Lic # Exp.Date J��� ��
uce.nses _ Engine@rg Approval: PI ry;fig Approval: TIF:
COT Business Tax or Metro# Exp.Date
I SFAPP DOC (DST) 4/97
Permit# Acct. Descritpion COT WACO amount Amt. Pd. Bal. Duo
MST Permit (BUILD) (UBUILD)
Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MECH) (UMECH)
ELC/ELR Permit (ELPRMT) (UELPMT)
State Tax (TAX) (UTAX)
SLUG
PLUMB
MECH:
ELC/ELR:
Plan Check.
MST. (BUPPLN) (UBUPLN)
(-'!umb (PLUMB) (►►PLUMB)
Mech: ------------ —_—_—_--- ��__—__
(MECPLN) (UMEPLN)
CDC Review(9UILD) (CDCBLD) (UCDC)
CDC Review (PLN) (CDCPLN) N/A
Sewe-Connon (SWUSA) (USWUSA)
Relmbur District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Charge (PKSDC) N/A
Resid,ntial TIF (TIF-R) (UTIF-R)
MasF Trar.sit TIF (TIF-MT) (UTIF-M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) (UWQANT)
Erosion Contra Prmt (ERPRMT) (LJERPMT)
Erosion Planck/USA (EERPLN) (UERPLN)
Erosion Planck/COT (ERO SN) (UEROSN)
Fire U'9 ,Safety (FLS) (UFLS) ,✓
TOTALS:
I SFAPP DOC (DST) 4t97
CITY O TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC'37-055'7
DATE ISSUED: 08/15/97
13125 SW Hall Blvd_ Tigard,OR 97223 (503)639.4171
PARCEL: 2S102CC-01400
SITE ADDRESS. . . : 10375 SW HILL VIEW ST
(SUBDIVISION. ,• . . :FRELEON HEIGHTS NO. 2 ZONING: R--3. 5
BLOCK. . . . . . . . . . . L0T. . . . . . . . . . . . . : 17 JURISL1CTI0N: TIG
Pr-o.j Pct )lest - pt i on : Install one branch circuit.
---_RESIDENTIAL. UNIT----- ---TEMP' SRVC/FEEDERS---- ------MISCELLANEOUS------
1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF'. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITFD ENERGY. . . . . : 0 • 01 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SMC/FDR. . : 0 001+amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0
----SFRVICE/FEEDER------ ----BRANCH CIRCUITS------ ---ADD' )_ INSPECTIONS------
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: iT FIER INSPECTION. . . . . : 0
01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -•___--_----___._.__.__.F'L_AN REVIEW 3ECT I ON-_---_
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPIE[' OCC. :
Jwner: --------------------------------------------------------- FEES - ------------- --
GL_.ENIN RIPLEY type amol-knt by date rerpt
1037 SW HILL VIEW ST PRMT $ 35. 00 DRA 08/ 15/97 97-298351
TIGARD OR 97223 ;PCT $ 1. 75 DRA 08/15/97 97-2982:51
Phone #:
Contractov-:
OWNER 36. 75 TOTAL
-------- REQUIRED INSPECTIONS
---- -
Elect' 1 Ser-vice
Phone #: Elect' 1 Final
Rey #. . : 999999
This permit is issued subject to the regulations contained i^ the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordant; mith approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAA 952- 01-9A18 through OAR 952-MI-1987. You may obtain a copy
of tnese rules or diroct questions to OLk by calling 19031246-1987.
I 1 `
C'-'a r m i t t P e S i y n a t I..t r,e ;ice ----06C ''- I s s -i e d B'y.:
—_---_-----_--______--__---.----OIJNER INSTALLATION ONLY- _.________--•----._-___________..___-.
The installation is being made an property I own which is not intended for
sale, lease, or rent. 7
OWNER' S SIGNATURE: _ . _ DATE:
INSTAI_l_ATION
�:t I GNATURE OF SUPR. ELEC' N: DATE:
I..ICENSE NO:
#+++++++++++++++++++++-l+++++++++++++•I-++++++++++t+++i•++++++++++++++.f ++.+++++++++
Call 639-4175 by 6:00 p. m. for- an inspection neederi the next bl_isiness dray
++ + ++++++ •..++-t+ ++i + + ++ +++ -1-++++++++++++i•+++++++++++f++ ++++
CITY OF TIGARD Electrical Permit Application PlanChepk* ^
13125 SW HALL BLVD. RerA B - - r
TIGARD OR 97223 Date Recd )"
Date is P.E.
Phone(503) 639-4171, x304 Date to DSZ�
Inspection (503) 639-4175 Print or Type Permit tt
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called
1. dob Address: �4. Complete Fee Schedule Below:
Name of Development_ . ` Number of inspections per permit allowed
Name(or name of business) ��' �-� PLC C _,. Service included: Items Cost Sum
Address_ I f3 j `��LU L`� l�V 1 ��1 I Ir 4a. Residential-per unit
City/State/Zip._�I ) if CL 7 loco sq.n.or __-- $11o.oa
Each additionall 500 sq.it rn
Commercial ❑ Residential portion thereof 1 $25.00 _ 1
Limited Energy $25.00
Each Manut'd Homo or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Servlces or Feeders
Electrical Contractor Installation,alteration,or relocation
200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
City State Zip 401 amps to 600 amps _- $120.00 2
Phone No. 601 amps to 1000 an $180.00 - 2
Job No. Over 1000 arrps or volts __ $340.00 2
Elec.Cont. Lice. No. _.Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. ,_Exp.Date _____. 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date_______.___ Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n -----. 401 amps to s o ao 400 mps $100.00 75.00 2
Over 600 amps to 1000 volts,
License No. Exn.Date _ see"b"above.
Phone No. . 4d.Branch Circuits
New,alteration or extensior,per panel
2b. For owner installations: a)'rho fee for branch circuits with
(, purchase of service or
Print Owner's Name feeder lee.
- !r Each branch circuit $6.00 �` 2
Address 1^ 3 h)The fee for branch circuits
cityState Zi 7 2 2 .-OG
- p={ without purchase of
Phone No.__/. ? 4 <: service or feeder fee.
--r
First branch circuit � $35.00 g�"
The installation Is being made on property I own whicK is not Each additional branch circuit__ $5.00 2
intended for sale, lease or rent. 4e.Miscellaneous
7 (Service or feeder not included)
Owner's Signature_: ` , e_ Each pump or Irrigation circle $40.00
2
Each sign or outline lighting $40.00 2
3. Pian Review ser+:jn (if regt.rrred):" . Signal
circuit(s)
ircuitaltetion arli tons oenergy
pan � $40.00 2
Please check appropriate Item and enter fee in section 513. Minor Labels(10) $100.00`J
4 or more residential units in one structure 4f.Encn ariditional Inspection over
Service and feedAr 22., amps or mora the allowable in any of the above
System over 600 vcits nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
a3 described In N.E.C.Chapter 5 In Plant $55.00
Submit 2 sets of plans with npplicatto,:where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fLds) $
NQTIC Subtotal $ -�--
5b.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OP CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ►,
TIME AFTER WORK IS COMMENCED. El Trust Accuunt M '
Total balance Due
I VATS\ELC"APP Rev 9iW,� _ .
CITY OFTIGARD BUILDING INSPECTION DIVISION
24-Flour Inspection Line:6394175 Business Phone: 6394171
Date Requested: 7fl /� _ f / A.M. P.M. _ MST:
Location:
Tenant: Suite: Bldg: MEC:
Contractor: Phone: PLM:
Ovmer: i Phene: ELC:
ELR:
BU]LD'I'N iiLDG�„�� PLUMBING MECHANICAL ELECTRICAL SIT: SITE
site os eam /, Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof <,-19W W UndFI/Slab Rougi►-In Ceiling Water Line
Slab framing' Top Out Gas Line Rough-In UG Sprinkler
Foundation htsulalio1C1 Sewer Hood/Duct Reconnect Vault
asmt Demp [hywall y Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spktr/Alyn Crawl/Found Dr Heat Pump Low Volt
pproved Approved Approved Approved Approved
Appr/Sd,A-lk o. roved Not Approved Not Approved Not Approved Not Approved
�F`INA1,' FINAL FINAL FINAL FINAL
n('all For ct C7 Rew.spection fee of S _required before next inspection C1 Ilnable to inspect
Inspector Date: ��_—— Page. _of-
�J'�1 �C �)D I✓/��l) f U /C y- �� , 1. l�Jr I' — 7—t) /f r A,I C w
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Dr.te Requested: q A.M. P.M. MST:
L BOP:
Tenant:--- _ Suite: Bldg: NEC:
Cantractor: 14 �)/�J Phone. �F �f mm.
Owner:_ _ Phone: ELC:
_ 42,-, "{— I`L ELR:
f �<tq 7- T � / _ srr:
BUILDING BLDG(con't) PLUMBING MECHANICAL LECTRI� SITE
Site Post/Beam Post/Beam Post/Beam o'verrS"ervtce Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service PrIsc.
Masonry Ceiling Rain Drain /'JC UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr beat Pump I.ow Volt
App,ived Approved Approved Approv Approv:xi
Appr/Sdwlk Not Approved Not Approved Not Approvedroved Not Approved
FINAL FINAL FINAL FINAL `- FINAL
O Call for reinspection R spection fee of S_ required before next inspection 0 Unable to inspect
Inspector. Page_ of