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CITY OF TIGARD
13125 S.W. HALL BLVD. 1L "��+�, `V"ry�•� _
TIGARD, OR 97223 /JX
� T 1997
IECI
IMPORTANT PERMIT NOTICE
NEW TECH TECH ELECTRIC
1400 NE 46TH AVE
HILLSBORO OR 97124
Eler,triGal Signature Form
Permit: # . . . . : MST97-0260
Date Issued. : 07/07/97
Parcel . . . . . . : 2S110BB- 02100
Site Address : 14390 SW HAZELHILI. DR
Subdivision. : AMES ORCHARD
Block. . . . . . . . r,or . 21
Jurisdiction : TIG
Zoning. . . . . . : R-1
Remarks :
Addition to existing garage
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signatu�e of the supervising electrician
is requires;.
Please have the appropriate individual from your company sign b^low and return this Electrical
Signature Form prior to the start of work. No electrical inspections will he authorized until
this completed form is received.
AN !NK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELE,CTRT'CAL CONTRACTOR:
DAVIDSON, LFE & NANCY NEW TECH ELECTRIC
14390 SW HA'IELHILL RD 1400 NE 48TH AVE
TIGIRD OR 97224
HILLSBORO OR 97124
Phone # : Plv-ne # :
Reg # . . : 000418
i�
S �_, _�.�Z
Si ure o S��perv' ingectncian
Please return this completed form to the address above.
ATTN: Building Dept.
Ir you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-044E,
DATE IESUED: 07/ 1.0/97
13125 SW Hall Blvd., Tigard,OR 91123 (50J)639-4171
PARCEL: 2SI10BB-02100
SITE ADDRESS. . . : 1.4'--90 SW HAZELHILL DR
SUBE I V I S I ON. qMES ORCHARD ZONING: R--1
BLOCK. . . . . . . . . . : I-OT. . . . . . . . . . . . . :21 JURISDICTION: TIG
Pt-oject De sc�,i pt i o n: Add I service or feeder Maep: or less 9 3 branch circuits
UNIT----- ---TEMP ERVC/FEEDERS-----_ --MISCELLANEOUS-
1000 SF OR LES5. . . . : 0 Q.1 200 -imp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD! L !:005F. . . : 0 201 400 amp. . . . . . .. : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . z 0 401 600 amp. . . . . . . : 0 S I GNAL/PANE1. . . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+ainps -1000 volt;s. : 0 MINOR LABEL ( 10) . . . ., 0
----SERVICE/FEEDER---- CIRCUITS----- ---ADDIL INSPECTIONS---
0 2,00 amp. . . . . . : I W/SERVICE OR FEEDER.
.j PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st WIO SRVC OR FDP. : 0 PER HOUR. . . . . . . . . . . : 0
A
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: V IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 REVIEW SECT
1000+ amp/volt. . . . . : it) '1 =4 RES UNITS. . . . . . . . : > 600 VO'-..T NOMINAL_. .
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS— : CLASS AREA/SPEC OCC. :
Owner- : FEES
LEE/NANCY DAVIDSON type amol-trit by date t-eept
14390 SW HAZELHILL VRIVE PRMT $ 75, 00 GEO 07/10/97 97-29E,975
TIGARD OR 997223 5PCT $ 3. 75 GEE 07/ 1.0/97 97-296975
Phone #:
Cont Tact or: -------------------------------------------------------------------
NEW TECH ELECTRIC t 78. 75 TOTAL
1400 NE 48TH nvE
REDUIRED INSPECTIONS -----
HILLSBOPO OR 97124 Roi.ign--in Elect' 1. Service
Phone #: 648 - 1900 Under-gr-oiind Cove Elect' 1. Final
Reg #. . : 000418
'his pervit is issued subject to the regulations contained in the Tigard Nunic,nal rode, State of Oregon Specialty Codes and all other
applicatilp. laws. All work will be done in accordance with approved plans. This pe-vi! will expire if work i,, not started within Igo
days of issuance, or if work is suspended for vore than 180 days. ATTENTION: Qregoi; law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAP 952-001-28I0 through DAR 952-88I-1987. You say obtain a copy
of these rules or direct questions to OLINC by calling (903)246-1987.
1-In I e 1.]T I LA t I P Tssi-ted BY :
---------- OWNER INSTALLATION ONLY------------
The installation is being made )rlopeir-ty I own which i,; not i.Ttl i f
t- rent.sale, lease, aent.
OWNER' S SIGNATURE: _.. � �'V. - i)ATF:.
INSTOLLATTON (INLY ------------
ELECI N: DATE:
SIGM-ITURE OF SUPR. 07,916 -
-5" f_'F ell
ITCENSE NO:
4+++4-r...... +++4.......................4 ............................
Call 639-41.75 by 6:00 p. m. for- an inspect ion needed the npnt bi.tsiness day
..........4..........i-++++-#+........4-++4.++-4...........1++4++++++++++ v .........
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard. OR 97223 Permit #
Date Issued
Phone (503) 639-4171
CITY
i, FAX
FAX (503) 684-7297
OF TDD No (503) 684-2772
lospection (503) 639-4175
1. ,lob Address: 4. Complete Fee Schedu►e Below:
Narrie cif Development-_ l ,/_! Number of inspections per permit allowed
AddressL1 `��/ � , �1� _ Service inelud,=d Items Cost(ea) Sum
Y
City/State/Zip—/ � t r• _ __ Aa, Residential -per unit
1000 sq. R or leas $1,0 00 4
Name or name of business Each additional 500 sq.it or
( ) - -1— — portion thereof $2 CO
Commerciel RFSICI( r1118 Vel LimiledEnergy --__ $.1.00
Each Manurd Home or Modular
Dwelling Service or Feeder $6800 —_
2a. Contractor installation only:
r 4b. Services or Feelers
Installation,alteration,r•relocatlon
Electrical Co tracto '/' ) 200 amps or less $60 00 (s'L i _ 2
Address �> > 201 amps to 400 amps $8000
401 amps to 600 amps $120 00
City G State Zip . 601 amps to 1000 amps --- $180 00 2
Phone No. q_ _r _.._ Over 1000 amps or volts $340 00 _ 2
Reconnect only $5000 2
Job NO._ _ --
contractor's license No' 4r.. Temporary Services or Feeders
Contractor's Board Reg. N _/�� Installation,alteration,or r tecation
Signature of kupr Elec'n Lv�-_ _ 200 9mps or less 2
r qr 201 amps to 400 amps $50 00
License No,;,��Y-�_ .,._ Phone No 6 401 amps to 600 amps $7500
j— Over 600 amps to"A0 volts $10000
2b. For owner installations: see'b"above
4d. Branch Circuits.
Print Owner's NaR1P. _ New alleral,on or extension per pane
Address al The fee for branch circuits wf.h
- purchase of service or feeder fee �{
City_ _ _. State _ Zip -- Each branch circuit .J_ $500
Phone No. b)The fee for branch circuits wffhour
The installation is being made on property I own which is purchase of service or feeder fee.
First branch circuit $3500
not intended for sale, lease or rent. I Each eddltional branch circuit S500
Owner's Signature4e. Miscellaneous
(Service or feeder not included)
3. Pilon Review section (if :-egUlred): Each pump or irrigation circle $4000
Each sign or outtllinneelighting $4000 _-
signal circuH(s)or a limited energy
Please check appropriate item and enter fee in section 5B panel,alteration or extension $4000
4 or more residential units in onE structure Minor I abels(101 $100 01,
Service and feeder 225 amps or more 4f Each additional inspection over
System over 61.10 volts nominal
Classified area or-tructure containing special occupancy the allowable in any of the above
Per inspection _ $35 •.:
as described in N E C Chapter 5 Per h„ur _ $5500
In Plant $5500
Submit 2 sets of plans with application where any o.the above
apply Not required for temporary construction services. 5. l=ees: +�
NOTICE
5a. Enter total of above fees $ –/--- _
5'/a Surrharge (05 X total fees) $
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sb. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF Plan Review if required (Sec 3) $ _
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 Dr'.YS AT ANY TIME AFTER WORK IS --
COMMENCED Acem4eVi• ❑ Trust Account # $
a-7
�., i
Balance Due $ �, '/,,7
RECEIVED
JUL 10199
COMMUaiir DUMP*
CITY QF TIGARD MAtnTER P,EWRf*4IF
DEVELOPMENT SERVICES PIERMIT #. . . . . . . : MST97--OC'--'60
13125 SW Nall Blvd., Tigard,OR 97223 (503)639-4171 NATE: TSSIJF_D: 07/07/97
PARCEL-: :S 1 1.0HD- C)2,10Q?;
5IT•E ADDRESS. . - : 1.4390 5W HAZEL-HIL.I._ EIR
SURD I V 19I ON. . . . :Alvlw S ORCHARD ON I NC;: R--1.
131-.00K. . . . . . . . . . LOT. . . . . . . . . . . . . ; '1 JJRI5DICTION: TIG
Remarks, A� :tian to existing garage
- -------------------------------••------------ BUILDING ---------------•--------------------------------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT... : 0 sf REQUIRED SETBACKS---- REQUIRED--------------
CLASS OF WORY,.-.ADD HEIGHT........: 13 FIRST....: 0 sf SARAGE..... : 792 sf LEFT..........: 0 SMOKE DETECTRS:
IYPE OF' USE...-.SF FLOOR LORD....: 50 SECOND...: 0 5f FRONT.........: 95 PARKING SPACES: 0
TYPt OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT. .......: 30
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE.,1: 141r3 REAR..........: 85
-------------------- ------------------------- - --------- - PLUMBING ----------------•------------------------------------------------
SINKS.......... 0 WATER CLOSETS.: 0 WASHINC MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS,. : 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE LISP., : 0 WATEP HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
---------------------- - -------------------------------------- MECHANICAL ---------------------------------------------------------------
FUEL "fYNES--- - - FURN 1 ION ..: 0 BOIL/CMP l 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN `=1001 ..: 0 UNIT HEATERS,. HOODS....,....: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNW : 0 VENTS.....,...: 0 WOODSTOVES.... : 0 GAS 011TLETS...: 0
_..__._.._.-------------- ----- - ----- -- - -- D ECTRICAI ------- - ----_..... ------------------- -- --
--RESIDENTIAL. ,NIT--- ---SERVICE/FEEDER---- --TEMP SRVU/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS -- --ADD'L INSPECTIONS-
16W SF OR LOSS: 0 0 - 200 alp..: 0 0 - 20? alp..: 0 W/SVC OR FOR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
FFr ADD,L S00SF.: 0 201 - 400 asp,.: 0 201 40 asp.. : 0 1st W/O SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIM.iTEJ ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT.....,: 0
MANE HM/SVC/FDR: 0 6,01 - 1000 amp.: 0 601>amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 - -- ------------- --_--------- --- PLAN REVIEW SECTICe: -------------------------•_--------..
Reconnect only.: 0 )•-4 RLQ UNITS..: SVC/FPR)=225 A.: 1 600 V NOMINAL: CLS AREA/SPC OCC:
----------------------------------------------—--- L'.F_CTRICAL - RESTRICTED ENERGY ------------ --- --- ----------- __ ---....-----
r. SF RESIDENTIAL---------------- - - 8. COMMERCIAL---------------------------------------------------------------------------..
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO k STEREO.: FIRE ALARM.....: INTERCrMI/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM.. : OTH: BOIIER.......... HVAC........... : LANW—APE/IRRI6: PROTECTIVE SIGR
GARAGE OPENER... CLOCK.. ........ INSTRUROTATION: MEDICAL......... OTHR:
HVAC,.......... , D!lT'dTELE COMM. : NURSE CALLS.... . TCTAL 0 SYSTEMS: 0
Owner: -------------------_.__---Contractor^ --- -------------------------- TDTAL FEES:4 25E.11
DAVID30N, LEE 6 NANCY PJ DELORTO CT4STRUCTION This permit is subjec� to the regulations contained in ttie
14390 SW HAIEL0 LL RD P 0 BOX 23P434 Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97224 TIGAR.D OP 97281 other applicable iaws. All work will be done in accordance
with approved plans. This permit will e,.pire if work is
Phone N: Phor,; !: 638-3804 not started within 180 days of issuance, or if the work rs
Rpt i..: 0@0909 suspended for more thea 180 days. ATiENTI9N: Oregon law
-------•--_---•------------------------------ .--------------------- requires you to follow rules adoptej ty the Orpgcr. dtility
Notification Center. Those rules are sR: forth in OAR 952-N1-001A though OAR 95L-h01-0080. `iou may obtain .-epies of these rules ar
direct questions to OUNC by calling (`10246-1987.
----------------•------------------- -------------------- REQUIRED INSPECTIONS ---- --------•--------------------------—--------------- --
Erasior, Contol Shear Wall insp Electrical Final
Forting insp Low Voltegp Building Final
Flectrical Servi Insula+lon Insp
Electrical Rough Gyp Pivard Insp ---
Fraeing Insp ^\ Ra+n drain Insp ---
\ X
Issr.red Ei :� 't11�,�_� F,ermittee SignAtkir-e: --
1-+ ++++++ r++4-+i-+++++++++•++++++4-+++++4 +++++++f++ +++ i+ ++4.+4.+ 4 +
Call. 6-19- 41.75 by 6:00 p. m. for an inspection needed the next bl.isi ness day
Plan Check p
OF TIGARD Residential Building Permit Application Recd By .
15 SW HALL BLVD. New Construction Additions or Alterations Date Recd iy LY !�
,ARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. 1_7
0J-639- 171 Date to DST l- - 5� 7
03-684-7297 Permit s 'ice 4• C`
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project Name
Job r ���� �,��za, I �a�rt�,ti , �� z(
Address Sda Address Architect MaturlgAddress
'y
N;me C tylstate Z,jp Phorte
Owner Maung Address r Nal.}s`-�� C
tr, C'il �/ �A L —
' a
Engineer Maiin Address.
(.ity�5tate
I
Zip Phone <;t,
Z ely/f
Name- costate znp
::aneralf �, ti�C y '� Describe work New O Addition J Alteration U Repair O
ontractor Mu 9 Addris i to bs dons:
Additional iscription of Work:
C� tats .p Zip P p ,
L
U� L ��4•' h n! }r�� per'
Dregw�oftst.Cont Boafri Lic w Exp. Dat /' / �C lS+`i�`T]/t 6 e-P0 4G
ctach COPY of
Cunene C T Business Tax or Metro a Exp Date PROJECT
Licens'" l t VALUATION $ J
Nam I
%echani.al NEW CONSTRUCTONLY:
Sub- Mailing Address Sq Ft. House: Sq. Ft. Garage?
ontractor Comer Lot YES NOFlag Lot YES N
C•tyrState Phone
)�
,. (check one.) � '/ (check one) r
Oregon Const. Con Restricted Audio/Stereo
Bofird . . Date Burglar
Attach Copy of Energy _ System Alarm
Current Cr,T Business Tax or Metro pI Exp Date Installation Garage Door HVAC
_.icenses 1 _ Yf` Ooener Systems
Name (check all that Other.
Plumbing „ apply)
Sub- Mailing Address Will the electrical subcontractor wi-e for all 'TES. NO
Contractor / "� restncted enemy installations?
CayrState Phone Has the Subdivision Plat ret=arded? N/A YES NO
Cregcn const. Cgtt. Board I C.zi EAP. Date Reissue of MST#- Solar Compliance
"tach Copy of (Calculation Attached)
�urrent Plumtamg Lic • Exp Date
Ucenses I hezrby acknowledge that I have read this application that the
I yus�r.ess Tax or Metro a` E..p Date information given s correct. that I am the owner or authorized
I agent of the owna_r, and that plans submitted are in c=ompliance
—__ with Orme on State!awe.
Name-�If _
r �, T.i r.if �.r � Sig lure of rtAg Date
Sub- Mailing Address •o Persdn Name I Phone#
;ontractor >`f==... ,'" ^j;,j3` __� _ ;r'. yr^
�,ty state Z p phgne FOR OFFICE USE ONLY:
Ptat# MaprTUk
regon Const. Cont 3oar9_l„C.! ..Exp.Data - '1
ttach Copy of L I Lk7
Setbacks: Zoite: TSolar
CurrentI E e_tT zi Lie. Exp Date
Licenses - ' _
�'
Business Tax or MEngineenng Approval: °!ar�ntng -ppro�ral: TIF:
etro a ecp Date �
�E ACL DOC (DS" 5x97
Permit At Acct. Oescntpion COT WACO Amount Amt. Pd. Bal. Oue
MST. Permit (BUILD) v S�'
(UBUILDi
Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MECH) (UMECH)
ELC/ELR Permit (ELPORMT) (UELPM
State Tax (TQC) (UTAX) _ S(, j
BLDG. 6 , ; 3 --�--
PLUMB: �, U
MECH:
ELC/ELR: /, 7
Plan Check
MST. (BLIPPLN) (UBUFLN) —'
Plumb. (PLUMB) (UPL.UMB) _
Mech-. �^
(MECPLN) (UMEPLN)
CDC Review(BUILD) (CDCBLD) (UCDC)
CDC Review(PLN) (CDCPLN) N/A
Sewer Connon (SWUSA) (USWUSA)
Reimbur. Distnct ( ) ( )
Sewer Inspection (SWINSP) (USVVINS)
Parks Dev Charge (PKSDC) N/A
Residential 11F (TIF-R) (UTIF-R)
Mass Transit TiF (TIF-MT) (UTIF-M)
Water Quality (WQUAL) (UWQUHI._)
Water Quantity (WQUANT) (UV\IQANT)
Erosion Control Prmt (ERPRMT) (UERPMT)
Erosion Planck/USA (ERPLN) (UERPLN)
Erosion Planck/COT (EROGN) (UEROSN)
Fire Life Safety (FL_S) (UFLS) �^
TOTALS:
SFREMOL.UCC (DST) 6/97
a
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15' NOSE (,�an�E ryn
J-1� 30 —
1STtl
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WAY
ixao
� ► r � I � N
- I
116 ----k
'INz =L. NILL DJC
yl3
`_¢ fl DEr�3gGl'J �r""OUB 590 7/01
DAVIDSO-0 48- 5g65
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5CAL6
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour inspection Line: 6394175 Business Phone: 6394171 1
Date Requested: _iL _11 1 A.M. P.M. MST: F�
Location: T j/ C' �(.�l l JL(.'1 Rata._ z—n BUP.
Tenant:_ _+ Suite: Bldg: _ MEC:
Contractor:_ t' i�� Phone: �SE-01 __ FLM: _
(honer: Phone: ELC:
EIK
SFF:
BUILDING BLDG ►n't) PLUMBING T MECHANICAL ELECTRICAL SITE
Site Po am PostAlutm PosUlicam Cover/Service Sewer/Stain
Footing Roof I1ndFl/Slab Rough-In Ceiling Water Linc
Slab Panning 'fop Out (las Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilmd/Duct Reconnect Vault
13stnt Damp Drvwull Storm furnace 'temp Service MISC.
Masonry Ceiling Rain Drain A/(_' Idl Slab
Sheallsheath fire S klrr/Alni Crawl/l ound 1h I lent Pump Low Volt
%z=;z,�ved Approved Approved Approved Appro%ed
Appr/S'l'ok LLVINAL
Nqj A4+pet)vcd Not Approved Not Approval Not Approved Not Appruv,d
FINAL FINAL FINAL FINAL.
ew Z-
C7('all for reinspectio 0 Reinspection fee of Srequired txfbrc next in-ipc�.tion D I)noble to inslxxt
Date:_ "�� <_� _ Page_--— of
I
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phonc: 639-4,171
�
i 7
rJ
1,Patc Requested: " C .11I / A.M. P.M. MST: _
Location: / r (,/ �lC�---_.._ BUR
Tenant: ,__ Suite:_ _ Bldg: _ MEC:
7 71 �1�
Contractor:, Phone: _�� � PLM:
(htincr Phone. _ ELC:
ELR:
SIT:
BUILDING BLDG(coni) PLUMBING MECHANICALELECTRIC SITE
Site Post/13cam Post/Beam Post/Beam over n,ce Sewer/Storm
Footing Roof IlndFl/Slab Rough-In Ceiling Water Line
Slab framing Top Out Gas t.inc Rough-in UCi Sprinkler
Foundation Insulation Sewer lloodMuct Reconnect Vault
Bsmt Da:,n Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Frain A/C UG Slab
Shear/Sheath Firc SpklriAlm Crawl/Found Ir I feat Pump Low Volt
Approved Approved Approved Apptoved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved t rroved Not Approved
FINAL FINAL. FINAL INAL S FINAL
L Ca!1 Im reinspectio '� rl reinspection fir of I_ req i I re_ next urs tion OI Inahle to in"pco
Inspector _ _ _W. Lett.
Page 01 __