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12045 SW HALL BLVD-2 441 HO Il , n +i: Ir J { I, 1 1 CITY(IF TIG 'Rr: BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Busiress Phone: 639-4171 Footing Rain Drain Cov9r/S9rvice FINAL: Foundation Water Line Ce°ling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.'yup Out Insulation a; Post/Beam Struct. Mach. Rough-in Gyr Bd. -Fldg. San. Sewer Gas Lino Appr/Sdvfik Reins. rr Other: Date: �LZ A P.M._` Entry: a Address: Tenant: �_[� _ Ste: MST: +.5 BLIP: Con/Own: _ i _ MEC: � PLM: c THE FOLLOWING CORRECTIONS ARE REQUIRED: ELH: � LJ � •,LIQ �'�°,�`��9 �7i 9J ��„� ``Inspector Date: cj.2.7 l X,__APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO a' i «.7 i r. 7 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Undarslab Piech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Meeh. 1` Underflr. Insul. Shear Wall Gyp. Bd. % r t+ ¢bY Cats Requesdrid: � I I ,•^ `t,H, Time:.^AM _ PM Address: , -1 c)c1 �/ C� � —�_ __�/i� e e t Builder: e- Perm:t #: a C 1 � `�q S-6 FHE FOLLOWING CORRECTIg9NS ARE REOUIR 777 F t i t (/f r bJ Inspector: Date: '�S,u `fr� j�� v" ��'' APPROVED DISAPPROVED _APPROVED SUBJECT TU ABOVE 11 _Call For Relnsp. r g91• r,". 4,' Yx Y X41 p I�;°ir ,�. {dsja� ,�,,�• A�. � F d �t{yvwpyy� i r. FL..EC:TRILAL PERMIT 641 CITY OF T I ARD DATEIISSLIEDI:C95-12/2 o0/95 - COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722308/99 (503)839-4171 PARCEL. SITE ADDRESS. . . : 12045 SW HALL E;LVD SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING:CBD ;r BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 12 Project Description: Two branch cir^cl_rits. c� y -_ �' ---•RESTT3ENTIAL UNIT------•- --TEMP SRVC'/FEEDERS------- -•-MISCELL_ANEDUa 1000 SF ` R LESS. . . . 0 0 - 2fZV wimp. . . . , . . : 0 PUMP i IL%RIGAT I01q. . . , 0 R � . . 1 1 S)IGN/OUT LINE: LTG. . : 0 ADDr L 5005F. . » 0 .:.01 - =►00 a n p. . . . . . . . 0 LIMITED ENERGY. . . . . : 0 401 - f,00 amn. . . . . . . : 0 SIGNAL/K='ANEL. . . . . . . : 0 N, MANE. HM/ SVC/FDR. . : 0 601+artips-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --.---SERV ICEIFCEDCR_.____ CIRCUITS---._.__ --.._ADD' L IIVSI-�EC;TIONS---- • 'a 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDEP: 0 PER INSPECTION. . . . . : 0 201 - 400 -amp. . . . : 0 1st W/0 SRVC OR FDR. : 1 p'{aR HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC; 1. IN PL LANT» . . . . . . » . . . : 0 f�01 - 1000 Isml�. . . , . 0 _.__ ..__..__._.__...__-._-.___pll_AN REVIEW SECTION_._._.__-.___.________ � 1000+ amp/volt. . . . . ; 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : "",>; Reconnect only. . . . . : it SVC/FDR > = `=:5 AMPS. . : CLASS AREA/SPEC OCC. : Owner: __.______.______.____.__.____.______________._____._.._-..________..-_- -- FEES BECK ELECTRIC type amo1_rnt by date recpt 9318 BE CHURCH F'RMT $ 40. 00 CJS 12/20/95 95- 2841 15 5PICT $ 2. 00 CJS 12/20/95 95-2184115 , CL_ACKAMAS OR 97015 Phune #: , Contractor: BECK ELECTRIC INC 4 42. 00 TOTAL_. 9318 BE CHURCH S•f REQUIRED INSPECTIONS; -- --- 2. CLACKAMAS OR 97015 Ceilino Cover, EIect11 Service 'F Phone #: Wall Cover Flpct' l. Final Berl #. 1 This persit .s issued subject to the regulations contaired in the __._.___ _ _•_•_ -,_ _..�._._�___ Tigard Municipal Code, State of Ore. Specialty Ccdes and all other Perm i tt ee Signature applicable laws. A:► work rill be done ir. accordance with approvad plans. This permit will exrr� if work is not started within 188 days of issuance, at- if r ark is suspe.ded for sore C/:�1_ �+� _,��1ljlrL,r. _._ ._.. ___._ _.___�•_ than 180 days. I s s Ued By 1 •-••----------[]WNrR INSTPLLATION ONLY_-._______________.____.________ The installation is being made on pr^over-ty I own which is not intended for sale, leaso, or rent. OWNER' c, SIGNATURE: DATE: IIJSTAL.I..ATION 1 SIGNATURE OF S;UPR. ELEC' N: .Gt �� DATE: L.I CENSE 4O: Call far- inspection - 639-4175 k ..1 i i'. 1 it. ,t: �• t Community Development ELECTRICAL PERMIT APPLICA PION 13125 SW Hall Blvd. Y Tigard, OR 97223 Planck/Rec. # SIS" Permit # � Phone (503) 639-4171 late Issued /.i - jc vs- FAX (503) 684-7297 Issued b CITY OF TIGARD TDD No. (503) 684-2772 y — Inspection (503) 639-4175 i 1. .gob Address: 4. Complete Fee Schedule Below: Name of Development / NumLer of Inspactionr per permit allowed Address 1 �0- 0-(S S w / ✓d_ Service included: Items Cost(oa) Sum I City/State/Zi p T a t,� 4a. Residential- per unit 4 1000 sq II or less $11000 Name (or name of business)_f ' 21 q Each additional 500 aq It or portion thereof $2500 1 Commercial Residential Llmded Energy $2500 ` Each Manurd Home or Modular 2 Dwelling Semce or'seder $66 D0 2a. Contractor Installation ot,ly: 4b.Services or Feeders r ° e--" Installation,alteration,or relocation 2 Electrical Contractor <. C-f_ e� YI C- , ��- 200 amps or leas $60 00 2 Address `�,3 .SE 201 amps to 400 amps $6000 2 �7 City 401 amps to 600 amps $12000 2 l_- 2.-! Q�w1q� State Zip` � 60; amps to 1000 amps —� $16000 2 Phone No. 1;�?R Over 1000 amps or volts -- S34000 2 Contractor's License No. Reconnect only $5000 Contractor's Board Reg, No. 4c.Temporary Services or Feeders . _�^� Installation,allorahon,or relocation ? Signature of Supr. Elec'n ?00 amps or less $5000 2 I'llis License No. ,� ��—S P 5 201 amps,�40o amps �- $�5 00 n@ No. 401 am,*10 600 amp^ $10000 Over 600 amps to 1000 volts — 2b. For owner installations. sea*b"atme 4d. Branch Circuits Print Owner's Name New.alteration or extension per panel Address a)The tae for branch circuits with -�� of se serivice or Nada Ne, 2 city_ State Zip___--- purchaEach branch circuit $500 Phone No. — b)The tee for hranch circuits Wthout The installation, is being made on property I own which is purchase of dervice or Nader fw. C U 2 _L 3S not intended for sale, lease Or rent. Flrat branch circuit $35 00 2Each additional branch circuit f $500 Owner's Signature_ _ _— 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Neviovv section (if required): Each pump or irrigation circle $4000 2 Each sign or outline fighting $4000 Signal cirruit(s)or a limited energy 2 Please check appropriate Item and enter foo in section 58. panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels(10) _ $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional insper:tion over Classified area or structure containing special occupancy the allowable in any of the ambove as described In N E C Chapter 5 per inspection _— $35 00 Per hour $55 r3 Submit 2 eels of plans with application where any of the above n Plant $5500 apply. Not required for tomporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ C) 5%Surcharge(.05 X total tees) $ a PERMITS BECOME VOID IF WORK OR CONRT'1ICTION Subtotal $ r t AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF Sb. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 160 DAYS AT ANY TIME AFTER WOHK IS Subtotal $ 7 COMMENCED. LJ Trust Account N I $ Balance Me. E i Y' ..a Y • I I y MI- H I W I': I P'l NO, AMOUNT 10, IJ'. I..I I.I f Ii I f: I.F{;sf 9 AMOUNI i I .Iit11 1 1.1i ttvMhNl 17i11r ! , !, I.,L14(.;I{HMs'1;:i 1114 0 Jbo)I V 111-i l:uH I., E , I1CA l (4111111\11 VI 1.1 1) I'O 'I r 1 ll, 1'I-I'v pi1 11 1 i-dyllPAN 1 PVP I ! l I I ti { I.._. 441, 1'IVI I . 1;(1 1 1 ) ►Y( It r'pt i l 1 l ' .1 4 L r.'0'4t j S-iW f ILN I_ FAL'M i i 'r t r ,Y 9 .} ELECTRICAL PERMIT REIT #: 5-- 9CITY OF TIGARD DATE ISSUED: 1c/13/9 5a �w COMMUNITY DEVELOPMENT DEPARTMENT "i 13125 SW Hail Blvd.Tigard,Orrgon 97223-8199 (503)839.4171 PARCrL: 2S 10c_AA--00E,010 , t 4 " SITE iaDDRE_:-�.�. ,: . . 1, tc� f:a 5W hlALl_ (_tLVI:) 31JHDTVIEiION. » . » TTCARD HIGHWAY TRACTS ZONING:CSD a. . . . . . . . . . . . .,% Project Description : One )ranch circ-Ltit. -_-RESIDENTIAL UNIT'- ---- __--TEMP SRVC/FEEDERS ---- _-- --MISCEL_LANEOUS....... _.__ 1000 SF OR LESS. . . . 0 - 200 amp. . . . . . . : til PUMP/IRRIGATION. . . . ID EACH ADD' L 500SF. . . : 0 `01 - 41211"'1 am,. . . . . . . .. 0 SIGN/OUT LINE. LTG. . 0 LIMITED ENE:RGY. . . . . : 0 4.01 - 600 _Amo. . . . . . . : 0 91C.,NAL./r>faPJl:_L. » . . . . . : 0 MANE. HM/ SVC/'FDR. . : 0 601+•amps-10010 volts. : 0 MINOR LABEL ( 10) . . . : 0 CIRCUITS•-•--_-__, ___ALili' I_raINSPECTIOl\15---- 10 mp. . . . . . : 17.1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 0 212 1 201 - 4017) am r). „ . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOUR . 0 401 - 600 ramp. . . . . . : 0 EA ADD' L SRNCH C I.00:: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . » . : t?I _______.__.____._...__ .-P1..AN R(=JIEW SECT ION•-_-__-----._-___,...._- 1000+ amp/volt. . . . . : 0 )-4 r''ES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR > = 2.=5 AMPS. . : CLASS AREA/SPEC OCC. : Ci:»!rler. .___-_________._____.__._ ._.__.___._____-_.__.-._...____.________ FEES ATLAS ELECTRIC type .11not.tnt by date rer_pt 440:3 SF ROETHE RD PRMT $ 35. 00 TMP 12/13/95 95--2738 � SPCT $ 1. 7C l'Ihp 12-, 13/9 5 95-2738 MTLLJAUN,TE OR 97267 Phone #: 503-659--2211 ATLAS ELECTRICAL 36. 75 TOTAL ' Ai403 SE ROETHE. --- - REQUIRED INSPECTIONS MII._WAUKIE OR 97 Ceiling Cover Elect' 1 Service Phone #: Wall Cover Elect' l Final Reg This permit is issued subject to the regulations containeJ in the Tigard Municipal Code, State of Ore. Specialty Cortes and all other Permittee S i gnat t.tre ��~ apolir.?ble laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within S90 days of issuance, or if work is suspended for more Chary s' than 190 days. Is$t.teC1 Etv _-------_--_._.__.. _--OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNEk' S S T UNATURE: _-----_ __.. --_-- -_ -__.__... DATE: -._- _-___-_.--_____________CONTRACTOR INSTALLATION ATION S'iGNATURE OF SUPR. FLEC' N: DATE LICENSE NO: Call for inspection - 639--4175 t. f L_ .. F,.; Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, DR 97223 Planck/Rec. # 9S �?�'f,'/8 _ Permit Phone (503) 639-4171 Date Issued CITY OF 11GARU FAX (503) 684-7297 Issued by .'fit: •/� S<�>.n��lf TOD No. (503) 684-2772 Irispection (503) 639-4175 ( 1. Joh Address: 4. Complete Fee Schedule Below: Name of Development /-11 Store Number of inspections per_ l p r;-ermit allowed - Address P045 ;WHall Blvd.. Service included: Items Cost(ea) Sum ' _ i City/State/Zip Ti c and OR 97223 4a. Residential-per unit + 1000 sit It or lest, $11000 _ Name (or name of bus ness) _ Each ad(leional son sq it or I portion'.hereof S2500 Commercial Residential ❑ Limited r_nergy $2500 t, Each Manurd Home or Modular 2 Uxelhng Service of leader $6800 _ 2a. Contralto► instpllation only: 4h.Services or Fseders Inrtallation alteration,or ralocabo1 2 Electrical Contractor Atlas E1 ectri ca 1 :,00 amps or lees $6000 2 Address 4403 SE Roe he Road _ 201 amps to 400 amps -- $8000 _ 2 City f 1 Wa U 1 P-- P_ State Z72b7 V 401 amps to 600 amps $12000 2 I 'I 601 amps to 1000 amps $18000 _ 2 I Phone No.�F, -?712 —�� Over 1000 amps or your, $340 00 _ 2 i Contractor's Jcense NC. 3'"LI Reconnect only $5000 Contractor'!. Board Re No. Y1532 9 ._ 40, Temporary Services or Feeders �, Inst.alation,alteration,or relocation 2 r Signaturp of Surer. Eloc'n _ 200 am-v;or less $5o no 2 f No. 1091.5 � () 201 amps to 400 amps $7600 2 License lo. Phone a. �� 401 amps l0 600 amps $10000 Over 600 amps to 1000 volts d 2b. For owrer ins Iallatiors.. rise V above I i 4d. Branch circuits Print OWnor's Name _ I New,alteration or exfensrr par panel Addresst _ I I n)The les for blanch a cults with !111-1100-0 or service of hada►Are. nilly_ _ ii State _ Zlp_ "ach branch nrcu4 $5 0o Phone No. I,)The lea for brnnch circuits wifhouf rhe installation is being made on property I own whic'i� is purchase of 4c.•v.ce or rwder 11 2 First branch circi4 1 $'500 35.OQ 2 not intended for sale, lea 3 or rent Each additional branch circuit $1,00 Owner's Signature_ —_ 4e. Miscellaneous /� (Service or feeder not included) 2 3. Plan review f eft"Off (Ir( required). Each pump or R/lgetlon cirae $4000 2 Each sign or outivw lighting $4000 _ S final circuit(s)or a limited energy ? Please check appropriate iterit and enter fee in section SE. panel,alteration nr extension $4000 ! 4 or more residential units in ane Structure Minor Labels(10) $10000 - - Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over Classifi9d area of structure containing special occupancy the allowable in any of the Nbove at describer!in N E.C. Chapter 5 Pm".pin, )n $,1500 i "or hour $5500 i. Mani Submit 2 sets of plans with appli,stion where any of the above --- $5E 00 ---- spnly. Not required for temporary construction services. 5. Fees: NOTICE So. Enter total of above fees $ 5%Surcharge(.05 X total fees) $ �, - PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account N $ Balance .Due $ 36. /5 L„ r I • it1• Fl M r L J 1'Y OF- I' .I kac41,A7 F1F f;F•.::I'P I (11' F'wlYMt::N•1 Idt-::(.F• JP'f 1•J(I. p, I ( FIE CK FHMI)LIFT I' a 367b 7b t IyNM r i�'I L ia�i F;L_E:.C: I'Id I1.: I W-4 F► OUN I- y V1. IAO ADDR1-SS n 440,3, SF R(An I I il:: ND l-'(4 v III N l INA VF a I i., l:, Pl.JPF It It-il I.IF PAYMF:N'T AMlal ll4 1 F'i-•I.I li �'l! tl'1.1.�1 Ut I!NYI+It PiI r it r i E.L.:I;IKJI:WL. PERMIT 00 SI . I-Atlil ), F't,.td 1 1 F.LCy'M—ft'.16R! '11145 SW NRi..I I11_ D 1 {I i u 1 FN., AMOLIN'I PAI I n 4 7. P 1, e CITY OF TIGARD ELECTRICAL PERMIT I'-'F::RMI7 ##: Ei_C95-061"1.14 ' COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/06/95 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)J39-417 PARCEL: 2SI02AP ►71k�E k�17i j SITE ADDRESS. . . : 1;2' 145 SW FALL EALYD SUBDIVISION. . . . : 'T I GA RD HIGHWAY TRACTS Z ON I NC.CPT, gLOCh.. . . . . . . . . . . LOT. . . . . . . . . . . . . . 1 Pro•jpct Description : Copy: 7-ELEVEN -RE5IDC1vTIAL�UNIT-- --TEIYIP S7,RVC/FEEDERS----• __.___._MISCFL.i._ANEOUS 101710 SF OR L aS. . . . : 0 0 - C2,0 i amp, . . . . • • : 0 PUMP/IRRIGATION. . . . : 0 c.ACh� ADD' L. 501ZISf . . . : �IZ11 - 4110 aMP. . . . . . . IDSI( N/OUT LINE LTG. 1 600- 00 amp. . . , . , . 051CNAL_/PANEL.. . . , . . . : LIMITED E.NERGY. . . . . : 0 401 • MANE. HM/ 5'.,C/FDR. , : 4'1 601+'-Amps--1000 volts. : 0 MINOR i.._AnEl- ( 10) . . . -SERVIrt`/FEEDER-----__, __.__._PRaNC:H CIRCUITS----_ - ---ADD' L. IN�iPECTIONE)—- 0 '0t1 amp. , . , . . : 0 W/SERVIC-,E OR FErDER: 0 PER INSPECTION. , . . . : 0 201 400 amFr. . . . . . . 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . , . . . . . . . : 0 401 6100 amp. . . . . . : 0 EA AIDD' L LARNCH CIRC» 0 I1\I P11-ANT. . . . . . . . . . . : 0 601 - 1100 amp, . . . . : 0 .-.._________.____._.___._F'L.A�I REVIEW SECTION-- 1000+ N- _1000+ ,imp/volt. . . . . : 0 > !::4 RETS UNITS. . . . . . . . : ) 600 VOLT NOMINAL., . Rpconnec.,t on l v. .• . . . : 0 SVC/FDR >= 225 AMPS. . : CLASS :AREA/SPEC UCC. : Owner- : - •_-._.. ._'_ ---------- _._____........._ ___..._._.__ ____.____ _. FEE DON BRE<NNEMAN type amoi_int by date recpt BLAZE SIGN PRMT• $ 4171. 00 J11H 12/06/9 95-2,73625 PO BOX 25357 5PCT $ 2. 00 JMH 12/06/97 95-273625 R PORTI_.AND OR ")7u2' P t Phone #: 503-639-3262 1 Contr•ac:t or: I 1 GARY F. BRENNEMAN $ 4,''. 0171 TOTAL P. O. HOX j7 REQUIRED INSPECTIONS PORTLAND OR. 9 7225 E:1 pc t' 1 Ser-vice Phone ii•: Elect' 1 Final Reg it. .. . This permit is issued sutject to tte regulaticrs contained in the Tigard Municipal Cade, State of Ore. Soecialt.,• Codes and all other i t t e ni gnat ure applicable laws. All work will be done in acc;rdance 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 180 day:. I s a'-'e By -__.-OWNER INSTALLATION ON-Y----___............._.._...__...__....._ _._.______._. 1-he inwta'. lation is beinq made on property I own which is not intended for 1, sale, lease, or rent. OWNERI S SIGNATURE: _ _ _____�__._.___._�__._ DATE: __.-----------------------CONTRACTOR INSTALLATION ONLY IGNATURE JF SUPR. ELEC' N: _1`�.P� �C_�TVly _.-.. DATE: LICENSE NO: - --_ ._..._.. - _ ._. . ... ... wall for inspection -• 639-4175 Y s'+,k , Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. - nL/ n�, Tigard, OR 97223 Permit # Date Issued Phone (503) 639-4171 CITY OF TIAAYtD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 7 4. Complete Fee Schedule Below: Name of Development Y/ ` ( BUD Number of Inspections per permit allowed Address 20GI4- (,J �l.L. 4_jL W� Service included: Items Cost(ea) Sum City/S+ate/Zip'-fl�CLw-j , ,� 72Z- __ 4a. Residential -per unit �— 1000 sq. ft, or less $110.00 4 Names (or name of business) 7-- 1 ( _ —� Each additional 500 sq f. or portion thereof $25,00 Commercial Residential Limited Energy _v $25.00 1 Each% Mrd Home or Med !ar Dwelling Service n•feeder $68,00 2 2a. Contractor installation only: 4b. Servlce3 u�Feeders ff' i Installation,alteratior or relocation r Electrical Contractor R faze- Sly $6017.9 2 N 200 amps or less Address PO 13 0( -2 35Z 201 amps to 400 r,mps $8000 2 City `7 T—IA—N 401 amps to 600 amps _^ $12000 2 y, Stated Zip9�'Z�S I 1180.00 2 801 amps to 1000 an,,•'a _ s Phone No. 6 '`7-326 z _ Over 1000 amps or volts $34000 2 ? Job NO. _ T Reconnect only $5000 — _ 2 contractor's license NO. ? tfOLt_� = 32�— 4c. Temporary Services or Feeders antractor's Board Reg. NDS(cl_ _ , Installation,alteration,or relocation 2 QIgnature of Supr. Elec'n, v _ 200 amps or less ___ �— — — 201 amps to 400 amps $50.00 2 License No. "S 13 = Rinne No.� 1-3Z�,Z 401 amps to 600 amps _ _ $751710 2 Over 600 amps to 1000 volts $100.00 -- 2b. For owner installations: see"b"above. 4d. Branch Circuits Print Owner's Name _ _—_—_ ______ New,alteration or extension per pane Addressa)The fee rot branch circuits with -- — -_ purchase or service or feeder fee. 2 City State—Matt,_ Zip_______ Each branch circuit $500 Phone No. b)The fee for branch circuits withouit The installation is being made on oroperty I own which is� purchase of service or feeder fee. 2 First branch circuit $35.30 2 not inter ded for sale, lease or rent Ench additional branch ciicult $500 Owner's Slynaturem_ 4e. Miscellaneoun (Service or feecer not included) 2 Each pump or Irrigation circle $4000 2 3. Plan Review section (if required): Each Agn or outline lig ittng �_ $4000 �i�,b6 2 Signal circult(s)or a Ii,nAed anergy Please check appropriate item and enter fee In section 5B. panel,alteration or extension $4000 4 or more residential units in one struc!ure Minor Labels(to) $10000 Service and feeder 225 amps or more v 'e System over 600 volts nominal 4f. Each audltional inspection ova, I Clas;ified area or structure containing special occupancy the allov,able In any of the above as described in N.F C Chapter 5 Per inspedion $15()o Per hour $55,00 In Plant ___ $5500 _ Submit 2 sets of olans with applicaticn where any of the above apply. Not required for temporary construcoon servi;es. 5. Fees: NOTICE 5a. Enter total of above fees $ 0 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUC-ION Subtotal $ AUTHORIZED IS NO' 'OMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ L a c^v COMMENCED .n=�mmm�a.< _l Trust Account # ' $ mm wry �— Balance Due $ f • f f (� r C1 1Y OF I .1.1 1t{+I iti t I till (11 I'AitIV,M!,NI RI: 11,PI Pil Is��• ,';�c� c' ! NAME t L)ON & t•tl IR 11 , is Rl-1,41,41..hli it I t';t:.t,.�l! F ihl s tit. Vt111 H1') f,-stfi i 9565 4_i14 1111..{ I N 7){-; f'ftYtwll._1\1I ;Ir e'/4�I��, c,� �► ;iNO)1V 1., :LIN PURPOSE' I.IF' PAYMk:N 1 F ii*1i"il.Jhl! 1!t t f 11 1'1 tf!I 't.t`.l l.tl t'•'i.t r hli t t ; F-►t lr.tl.)PI'f Ps-1.1111 1110-11 I'f•kM1 l 01, /--TI 11_f: :i 1t+hd, f 1A, t , .t�1i,r,r•t <, I I.I."' rrt( bl , . 11. t'11111111,141, f 44117 Hh. 00 I t i r a 1<, 5 Community Development ELECTRICAL PERmi r APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Piarick/Rec. # y d7/G3,� _ Permit # c- �s ossa Phone (503) 639-4171 Date Issued i0-/; eIS _ FAX (503) 684-7297 Issued by 6*hm,iNr 5<, CITY OF TI�3ARD �f TDD No. (503) 684-2772 rvn. Inspection (503) 539-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 7-11 Store Number of Inspections per pArmit aElowed -- Address- 12045 SW Hall Blvd Service included: Items Cost(ea) Sum . City/StatelZip Tigard OR 97223 10, Residential-per unit IO )sq n or lass. --- $11000 Name (or name of business) Southland Corp. Each t ere f rq n or portionon thereof $2500 _ Commercial In Residential ❑ r Limited Energy $2500 Each Manurd Home or Modular Dwelling Service or Feeder woo 2a. Contractor installatfun only: 4b.Sa�rvices or Feeders Inslallalim, alteration,m rolocal+an 2 Electrical Contractor BEACON ELECTRIC 200 nmpo.,loss $8000 2 Address 2585 Roosevelt Blvd. 201 amps to 410 amps $8000 2 401 amps to 600 amps $12000 - 2 City Eugene State- og� Zip�7402 _ 601 asps to 1000 amps $18000 -" - 2 Phone No. (503) 461-0291 Over 1000amps ofvoltr, $34000 -- 2 Contractor's License No. 20-53C rloconnect only $5000 Contractor's Board Reg. N0. _ 4c. Temporary Services or Feeders IK x r — 38497 1 Installatior,alteration,or relocation Signature of Supr. Elec'n_ '�� - 200 amps or less $5000 2 s License No. 3485S _ Phone (503)461 -0291 201 amps to 400 amps 00 — — 401 amps to 800 r,npe $11000 000 i Over MO amps to 1000 volts 2b. For owner installations: see W above 4d. Branch Circuits Print Owner's Name New,alteration or extension per panel Address e) rho los for branch rarants with i purchase of service or Aseder Ase. City State-__ Zip 2 r' Each bunch arcurl _ $5 00 Phone No. _ _ b)The fee for branch grants wffhoul The installation is being made on property I own which is purchase of service or feeder fee. z 1 $35002 1 not intended for sale, lease Or rent. Nrst branch circuit Fach additional branch circuit 3. $.5 00 ONner's Signature V_ T 4e. Miscellaneous (Service or leader not included) 2 3. Plan Review section (i/ required): Each pump or irngation orris >411,oo _ l Each sign or outline lighting _ $4000 Signal circuit(s)or a limited energy Please check eppropr:ete item and enter tee in section 58. panel.alteration or exlenslon $4000 4 or more residential unite in one stnicture Minor Ianals(10) $10000 Service and feeder 225 amps or more )> System over 600 volts nominal 411. Each additional inspection over #: Classified area or structure containing special occupancy the allowable in any of the above as described in N E C. (hapter 5 per ino,acban $3500 —� Per hour S5500 _ q( « In plant $55 00 Submit 2 gets of plans with application where any of the above apply. Not required for temporary ronstruction services. 5. Kees: NOTICE So. Er,tar total of above fees $ 40. 00 c - 5%Surcharge(05 X total fees) $ 2.00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtole: $ :3.2•0Q AUTHC:RIZED IS NOT COMMENCED WITHIN 181)DAYS,OR IF Sb. Enter 25%of line A for Plan Review if required(Sec 3) $ 0.00 Subtotal $ CONSTFlt1CTION OR WORK IS SUSPENDED OR ABANDONED FORt A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS -g9- COMMENCED ❑ Trus'Account# $ ealanre Due s 42. 00 n, 717 y u4, ...\• F i r I t 1 1,N 11i I 4-1111.4 I'r I i i l ' I R i rIl I I Itk I I 1 I' i I`It 1. I' 7 1 hliaME ADDRESS a :,A, 8t5 RUUk:Vi:k- I Ill YO L�i t et�l, r•� I l l►it, � 10/ J PUGiENEi OR i 4 Vi ' 1-110,04141P. Of. PAYMEJ41 AMf1UhIT 1-'«:1(J 1'Iifa tt` I ;'I t'(tYNt.N1 PAI 1) k'! f'ZM1 T +U1I 14 11.p B ,4A!/ i�wii f: r HN,it 11'd I 14)11 , �. I,Vso n l y t <a i 1 e vi SIGN PERMIT A DATE ISSUED. . . . : 01/28/95 PERMIT #: SGN95-0006 � EXPIRATION DATE: q/3&/96_ PARCEL. . . . . . . . . : 2S102AA-00600 ZONE. . . . . . . . . . . . CBD r, BUSINESS NAME. . : SEVEN -ELEVEN SIGN LOCATION_ : 12045 SW FALL BLVD ?LICANT/AGEDIT: MIKE BUSHAW B 3INESS TAX 110: PERMANENT (4) FREESTANDING l ) FREEWAY ( ) ,TEMPORARY ( ) WALL (X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON SIGN DIMENSIONS. . . . . . : 2' 611 X 4' 1" TOTAL SIGN AR.EA. . . . . . : 10 sq. ft. WALL AREA. . . . . . . . . . . . . 900 sq. ft . ' WALL FACE (DIRECTION) : E SIGN Il'EIGHT. . . . . . . . . . : ft . i PROJECTION FROM WALL. : 4 in. ILLUMINA ION. . . . . . . . . : INT DESCRIPTION OF SIGN: Permanent Wall Sign. Copy:ATM. Dimensions : 216" X 41111 = 10 .5 s. f . MATERIALS. . . . . . . . . . . . : METAL/PLAST EXISTING SIGNS. . . . . . . : ELECTRICAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED. . : NO >> ADMINISTRATIVE EXCEPTIONS. : N/A x PERMIT FEE: $ 1.0 . 00 APPROVED BY: DATE: 01/28/95 ' y 3 y +I i - r ,1 R Permit No. Q -O(a C[TY OF TEGARD SIGN PFI r APPLIC'ATYN gle applicant hem applies for a permit for the w4m:k indicated Or as Shown in the accompaWing plans and speci.ficaticrs. SIGY DOCATI N ADDRESS: I ?--Q'�S L4.) zctum: -am qlzll� )AME OF BUSINESS: 7-1/ Food 5-tv2r : ?99 APPG cwr/AGENT: m ,kC haw cOMPANY: : /=fl<—" �2 2 3 yZ gv-- City of Tigard roses an am-wa.l Business Tax which w t be kept c=—ent on all persons doing business in the City. Do you presertly have a a rLr-nt business tax? YES ( ) Nv ( U.L. Label I • PROPOSED SIGN: (Check as many as apply) PEMANERr ANDING ( ) FI EERV ( ) � TEMP(RAR3C C>4 FUJGIRONIC ( ) J OTHER SALWON ( ) SIGH DIMENSIONS: 2-6" ?� L/ '- 1 EXPIRA'rlCN- DATE:30 a� ML SIGN AREA (Sq. Ft.): 10-S S�.t''- = ---C-- WAIL AREA (Sq. Ft.): g a :$q F7" WAIS. FAR: (a D ' k 1S ' HEI( (Ft) : -7 ' _._ PROJFJL" M FRCI'4 WAIL..: !-! 7TXX EERMC K: YES (>4) 140 ( ) TYPE: ELIOVC rheof L-"In( OOPY: AT P4 IMCen p hm fic r SCIS-iMU SIGNS: -- T AEKINIS RATIVE EXCEMON: N/A ( ) APPMVM ( ) I13W MUCH AIM HEIGM PLN111R G DEPARINENr All sicpi permits must be accompanied by a stele p t it Fee: /-0 _ drawing ar)l plat plan. If work ai thwized 1zx1er Eg2lipt : q5 Y.O'7/S a :sign permit has not been completed within ninety Wb- _ days after the issuaarrc» of the permit, the permit Date: L c5C3 shall beome null and vaid. Ei.DC1RIM PERMIT I (MUM THU I AM THE RECTJi2 M OWNER OF TEtE REWIRED: YES NO ( ) PRCPEIZrY OR AN AGENT AUMORI'LED BY THE 9WER. �`/�9r fzaK RE17UIRID: YES ( ) No r� Applirant's Signature /yE ?-G 7.- Address _ STC •t'X �'��t;M 9zf-�ssi� le rx_ N 1\WORD\00EV\ �� 5fat5 GcJ i 1 v�o l�Ili'�C PIES— Al c W G// 5 SfAr. i �'' y-sS 1 k / 419W / tr rd r lilt X 1 I 1 nrl "I MALL a s,• Ti MR Lam. i� J . •^5r+s:�+SSF�it'3��^v4'a '�� "'q",p *�a�i� jEv�J"nS"�`/ }q�tffi'0.AtVnAe^'�;' M 't""�4')'L�' Mp 1a�"1` 1�'�''�.-. - r•Nil'.w,Mdh.'aq�xMGr •.tiw..� r,i....::, ...... .......... _. .. .. ., ;, FPflf1 135. 09 . 1??4 12, 30 F. \ \ i t� ,0 _j --�Z11D.01_ 810 ,R,71 I10 OR) ! M u� U to O Al pe 13 'd h � n. cv x d I vI V l� 1n IR 1 f) N 3 �O y 7 i IA O NO N to N of ea (,) W G. au di i n ^ q 0 SIU (J N M d tl1 l l n 1 a DEPARTMENT OF LAUD USE & TRANSPORTATION LAND DEVELOPMENT SERWES DIVISION #350-12 WASHINGTON 155 NORTH FIRST, HILLSBO'30, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 i Permit 5063: 37 Project it : P004'1125 Status APPROVED Page 1 of 1 . Applied : 01/27/95 Iseue.l 01/27/95 Expires 07/26/95 01/31/95 05 : 31 CON :LEC Permit Title 7-11 STORE - SIGN LIG14TING OT Description Begun : 01/27/95 4 Job Address 12045 SW_HALI,__$L_...T_L._ � Owner Name INSPECTION - TiGARD Region D Applicant Name BRESSIE ELECTRIC Phone number 231--7171 Valuation : 0 Approved _ � Inspector Comments : RejecLed__ _ a REQUEST ERROR. el a r t . PIumb.i.ng _.__._._-... i Mechanical Electrical Structri+al General — Inspected by : .�1lGl Date : Inspection Requested : * Final Electrical '~ .- 0 9 E AP DN IVR f w 4 INSPECTION NOTICE City of Tigard Building Department 13125 SH Ball Blvd. Tigard, Oregon 97223 Inspection Line (Repc-O-Phone): :639-4175 usiness Phone: 639-4171 Inspection: �j e2L i Fcoting Plbg. Underslab Mvch. Bough-in Appr/Sdwlk ,ry Found. Plbg. Top Out Gas Line FINAL: r; Post/Beam Struct, San. Sewer Fi: +r ng -Bldg. Post/Beam Mach. Rain Drain Insulation -P1umb• Plbg. Underfloor We'.er Line Gyp. Bd. -Mach. C Date Requested:_ � `_-Time —AM M 7 Address:2— S: Permit Builder:_ '4 THE FOLLOWING CORRECTIONS ARE REQUIRED: t •gin+ Inspectors /'�G%?-- —� Date: ! 1L _�—_ l _APPROVED _- DISAPPROVZD APPROVED SUBJECT TO ABOVE Call r,,L Reinep. {n, F 1 1: ' Y yyjjN T r, 1- plti;' rf w a, I 10 C17YOFTIFARD CITYOFTWA COMMUNITY DEVELOPMENT DEPARTMENT Mmooa ,• 13126 SW Holl Bbd.P.O.Boot 23391,Tipvd,OMW 07223(603)639-4176 PLUMBING P E R IYI 1 T' — . . . . . . . `-- 11 639-4171 DATE ISSUED: 11/16/92 SITE ADDRESS.. . . : 12045 SW HALL BLVD PARCEL..: 2S1O2AA—Qi06Q)Q1 SUBDIVISION. . . . : TIGARlJ HIGHWAY TRACTS ZONINGr, CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 12 CLASS OF WORK. . :ADD GARBAGE D I SPOSOLS. . : 11OB I LE [4011"L. SF,ACES. 'TYPE OF LISE, . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . 1 OCCUPANCY GRP- . :B2 FLOOR DRAINS. . . . . . . :2 TRAPS. . . . . . . . . . . . . . STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . FIXTURES-------_-_—____— LAUNDRY TRAYS. . . . . . : SF' RAIN DRAINS. . . . . '{ SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . �► LAVATOR?ES. . . . . : OTHER FIXTURES. . . . . : T'UB/SHLWE:RS. . . . : SEWER LINE (ft) . . . . : r WATER CLOSETS. . : 4 ATER LINE: (ft ) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : aDD INDIRECT WASTE, BACK—Fl._014 DEVILS. y5Owner: —_____________._____ .-___..__.____________—_---._______.__________ FEES _—__--•-----__-___ KENNEDY PL_U11BING type amount by date recpt PRMT $ 25. 00 JH 11/18/92 92--233 SPC:T $ 1. 25 JH 11/18/92 92--233 Phone it: Contractor: KENNEDY PLUMBING 13985 SW FARMINGION ROAD BEAVERTON OR 97005 Phone #: 5036435535 `t: 26. 2:: TOTAL Reg #. . : 10967 ,�., -------- REQUIRED INSPECTIONS —----- - This permit is issued subject to the ,e,,ilatiors contained in thr Rough—i n I n s p Tigard Municipal Code, State of Ore. Specialty Cooes and all other Top—o Lit I n s p applicable laws, All work will be done in accordance with Final Inspection q approved plans. This perrit will expire if work is not started within 180 days of issuance, or if work is suspended for more �• �^ than 180 days. Permittee Signatl.lre : CC'� �_�__ IssLted By : Call far inspection 639-4175 i , °rt I1�: :I Sf `t CITY OF T I ARD '_ RECEIPT I PT OF F'AYME N7 CHECK�/AMUUNl' ::W-'-233826 c: -{=„Q►.LAO 1 ` CA:;H AMOUNT 40. 00 NAME a KENNEDY PLUMBING PAYMENT GATE” x lil1C1/9� �; ADDRESS a 13985 FW FARMINGTON SEAV�'--R 'ON, OR StJRAiVYSIfJN s PURPOSE, OF PAYME N AMOUNT F'A I A PURPOSE OF PAYMENTAMOUNT PAI C� �F'L.MCli�—(x►1Ci7 t+ .y�0 :3TE I�TL.A E'ER_._. . _ 1" 0.5 PLUMBING PERM " 4t 1 l � TOTAL AMOUNT PAID6. 25 � y. —Iry mlr—r-r— :4 . ISI 1 r CITYOF TWARD No. 21711 - 13125 S.W. HALL BLVD. Q 3 F.O. BOX 23397 Date TIGARD,OR 97223 ' /, ) 41 �,� Name Address Lot Block/Map Subdivision/Address , Permit N's Bldg. Plumb Cash Check Sewer Other Other Rec. By I - - i Acct. No. Description Voount �1 10-432 Buildin Permit Fees ��-- 10.431-600 Plumbing Permit Fees 10.431.601 Mechanical Permi' Fees 10.230.501 State Bldg. Tax _ 10.433 Plans Check Fee 30-443 Sewer Connection 30.444 _ewer Inspection 51.448 Street Syst, Dev. Charge _ i 52.449.610 Parks I Syst. Dev. Charge I 52.449-620_ Parks fl Syst. Dev. Charge 31-450 Storm_Drainage SV3t. Dev. Charge p!I 10.430 Business Tax 10-434 Alarm Permit 10.227 10.455- Fines - TrafficlMisdlParking 10-?30- CPTA TrafficlMisdlVic. Pest. i 10 45b Indigent Defense 30.122-401 Sewer"rvi , 30.122-402 Sewer Service/City 30% ^- _ 30.123 Sewer SevicelCity Malnt. 30.125 — Unmatched I 31.124 Storm Drainage 40475 Bancroft Prin. Pymt. 40-471 Bancroft Int. Pymt. - _ TOTALP10-i DEPT. �•--) t `4 Mid I