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14550 SW HAZELTREE TERRACE
r r 0 E x N fD r rt H fD H fD r, H pt n m f ��tt2nZ'3S ��21d, 12ZVH MS 09S6T / CITY OF TIGARD PERMIT#:: MSMASTERMS IT T2002-00319 DEVELOPMENT SERVICES DATE ISSUED: 7/16102 13125 SW Hall Blvd.,Tigard, OR 97123 ,503) 639-4171 SITE ADDRESS: 14550 SW HAZELTREE TERR PARCEL: 2S110BC-00400 SUBDIVISION: Ah1ES ORCHARD ZONING: R-1 BLOCK: ;_OT:001 JURISDICTION: TIG REMARKS: Construction of 525 square foot garage. BUILDING REISSUE: ��.�� STORIES: FLOUR AREAS _ PEOUIRELI SETBACKS REQUIRED CLASS OF WORK:e` �/(� yFtlV Itp HEIGHT :: FIRST: sl BASEMENT. it LEFL '— SMOKE DETECTORS: N TYPE OF USE: SF FLOOR LOAD: 101) ICCOND'. sf GARAGE: `SIH a' FRONT: 50 PARKING SPACE i: TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: a1 VALUE RIGHT. 70 S '..8"i mi OCCUPANCY GRP: U1 BDRM: BATH: TOTAL sl REAR: 70 PLUMBING _ --- SINKS: WATER,LOSETS: WASHING MACH. LAUNDRY TRAYS RA.A DRAIN: TRAPS: LAVATORIES: D'SHWASHERS. FLUOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH eASINS, TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKF(_W PREVNTR: GREASE TRAPS. OTHER FIXTURES: MECHANICAL _ _FUEL TYPES TURN<100K: ROILICMP<AHP: VENT FANS: C_OTHES DRYER: FURN>000K. UNIT HEATERS. HOODS: 0rHEK UNITS: MAX INP: btu FLOUR rURNANCES: VENTS: WOOUSTOVES: GAS OUTLETS: _ ELECTRICAL RESIDENTIAL UNIT_ _SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOU° ADO'L INSPECTIONS 1000 SF OR LES)P 0 200 amp: 0 200 amu: WISVC OR FDR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 a.np 201 400 amp: 1st 0110 SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 500 amn. 401 $00 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HMiSVCIFDR: 601 • 1000 amp: 601Nmp•1•t000r. MINOR LAB'L: 1000+smplvolt: PLAN REVIEW SECTION Reconnect only: 4 RES UNITS: SVCIFDR>2225 A >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A Sr RESIDENTIAL 9.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: ^ AUDIO 6 STEREO: F'RE ALARM INTERCOMIPAGING! OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLICK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAlT€LE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: TOTAL FEEL. $ 429.07 Owner: Contractor: This permit is subject to the regulations contained in the SZAL%1AY, LASZLO+IREN BRAUKMAN BROS CONSTRUCTION Tigard Municipal Code,State of OR. Specialty Codes and 14550 SW HAZELTREE TER 525 NE 37TH al:other applicable laws. All work will be dons m TIGARD,OR 97224 HILLSBORO,OR 97124 accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance,or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: On'gon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg N: LIC )3263 forth In OAR 952-001.0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by caNng 1,503)248-1987 RFQUIREU INSPECTIONS Footing Insp �C �y�! $V11V Foundatlon Insp Framing InRa Shear Wall Insp Finallnt,pection A -1' Issu d By i 1- � a 1. --- P-�rmittr:e Signature _ Call (503) 639-4175 by 7:00 p.m. for ,n inspection needed the next bu!.iness day d Badding Permit Application City of Ti Date - � -,�,t Bard Permit no.: S, Cd Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecVappl.no,: _ .xfted,te: ( t Phone: (503) 639-4171 Date issued: Fax: (503) 598-1960 B Receiptno.: Case file no.; Payment type: �/� Land use approval: ,— 1&2 family:Simple Complex: -+•� ) t Y 16 I &2 family dwelling or accessory U Commercial/industrial U Multifamily U New construction U Demolition U Addition/altcration/replacentcnl U Tenant improvvnicnt U f�irc 'snrioklc•r/;d:irm U Other: Job addr;ss: Ile 9 5 V'f N Lot: � Bldg.no.:S Tax map/tax I,,t/account utm 1 W Project name: - - Description and location of work on premiscs/special conditions: 7 1 y Name- Mail i fig umc:Mailing address: It �... 1 & 2 fanril5 dHdliu 6 r; ' City: >' State: ZIP: Valuation of work.......... ........... Phonr': u,- : h- . x� c tax: (/ _169"t -mail: No.of hedrooms/baths....................... .... Owner's representative: "' _ '� ' / .rO Total number of floors................................. Phonee F1 fl 3 Fax j G� E-mail: -:r / y!cu New dwelling arca(sq. ft.) .......... . —— Garage/carport arca(sq. ft.) - Name: -`--- ----- Covered porch area(sq. ft.) ......................... Mailing address: Deck area(sq. 1't.) ......... ............................... Cit ---- Y: State: ZIP: Other structure arra(sq. It.)...................... .. Phone: Fax: E-maiL• CommercinI/industrial/muh1-fatally: Valuation of w,•rk......................... .............. $-- usiness name: =, Existing bldg.area(sq. ft.) .......................... Address: 4- o x� New bldg,arca(sq.ft.)................................ _City: �,' „_ A State:0'< ZIP: 712- - Number of stories.................... ................... Phone:5 v ?;a,,o.. Fax: "- , E-mail: Type of construction.................................... i-- — CCB no.: y-;;� Occupancy gn,up(s): Existing: City/metro lie.no.: New: Notice:All contractors and subcontractors are required to he MUDr licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the Address: jurisdiction where work is being performed. If the applicant is C4y: A State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Fax: F:-mail: Name: _ Contact person: Fees due u ,n application $ Address: Ix PP -. Date rc •ived• -- City: State: 7_1P: Amount received ......................... Phone: Fax: E-mail: _ Please refer to fee schedule_ hereby certify I have read and examined this application and the Ncv aft lari"cuons accept credit cards,Please call Jurisdiction for mora inr«marion. attached checklist.All provis"s of laws ald ordinances governing this U Visa U Mastercard work wili be complied of ardh w %Yff-the spec' ed hereip or not. Credit card number Aut;rorized sign ature: =_t"nate: ' _Name col r u ahnwn on credit card Print name: lyz.., ✓' d ,._f?%s _ $ Canlhdder 4xnature Amuuni Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as compiete. i � � 4404613(&W"M) One-and Two-Family Dwelling Building Permit Application Checklist Reference""- _---- Associatedpcnill s: City ofTigard City of Tigard U 131cetrical U Plumbing U Mechanical AddresiL: 13125 SW[fall Blvd,Tigard,OR 97223 U Other; _ Phone: (503) 639-4171 Pax: (503) 598.196() t 1 , I Land use actions completed.Se•jurisdiction criteria for concurrent reviews, - 2 'Loring.Flood plain.solar balance points,seismic soils designation,historic district,etc` - 3 Verification of approved plat/lot. 4 Fire district _approval required. _.-. S Septic system permit or authorization for remodel. Existing syst'-.111 capacity 6 Sewer permit. _ 7 Water district approval 8 Solis report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit requireu.Include drainage-way protection,silt fence design and location of catch-hasin protclion,ctc._ f'I 3 ('omplele eels of legible plans. M usl he drawn to scale,showing conformance to applicable local and state ° building codes. Lateral design details aml connections must he incorporated into the plans or on a separate full-size ,heel attached to the plans with cross r•ferences between plait location and details. flan review cannot he completed it c ,pyrbght vbolations exist. —. _� 11 Sitelplot pian drawn to scale-The plan must show lot and buildillp selha,1,dtnensions:property comer cic�0lions(if thcrC r more than it 4-ft.clevaton diticfcnual.plait utas("Ilmk contour hnr.o .f It ifile, tlsl:I,k alio"(it cawmorits and do , + I,K,Ipuinl of structure(includinl,1101'kti):10catloll of (Inaction indicator;lot arca,huihling coverage arta;Percentage of cueeutVc,noir renal',an•a_C\Wille tituctures on site:and surfaice drainage. 12 Foundatiml pian.Show dimensions,anchor hulls,any hold-downs and reinforcing pails,cunneclion dclails,vent sire and location. -- 13 Ilnor plans.Show all dimensions.Ooont idcntlicatiun,Windo" wr. to auon of �ntoke detectors,water heater, furnace,ventilation fansplumbing to m,h,s id,t,ve grade,etc 14 Cross seetion(s)and delaNs,Shuw all Ifanunr mcndx r Rues and ale,:no uch ns floor beams,hcadrrs,foists,sub-fluor. wall construction,roof construction. More than one cross section oath he required to clearly por.ray construction.Shots dcttils of all wall and roof sheathing,roolitty. root ,Lquc,ceiling height,siding material,footings and foundation,stairs, fin place construction, thermal insulation,cic 15 I.:le ation views,Provide elevations for neo cowAlt1c,;,nt;tninirnunt of two elevations for aulelitiotfs and renuulrls I,r ,f, n Cl,�alions must reflect the actual grade it the change in grade is greater than four foot at building envelope. lull-s!�c �hecl addendums showing foundation elevations with cross references arc acceptable. — 16 Wall I►raving(prescriptive path)andlor lateral analysis pians.Must indicatedetails anet locations;for non-prescript"r path analysis provide specifications and calculations to engineering standards 17 Floor/root framing.Provide plans for all 1luors/roof assemhhes,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered systcrns,sec itenh 22,„Engineer's calculations." 19 Beam calculations,Provide two sets of calculations using current code design values for all beams and multiple joists over IIli 1'cet long and/or any beam/joist a:arrying it non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compllanee.Identify the prescriptive path or provide calculation,• A gas-piping schematic is required fur four or"tore appliances. _ ---- -- 22 Engineer's calculations.When required of provided,(i.e.,,Iwai wall,roil lin-I shall he stamped by I!,eny'nn•Cf ur :u,hitc,i licensed in t 4opon and"hall hr 01 �,k n to ht• applicable to the pf" Ic,u amici review, 23 hive(S)site plans are required lire Ilan 11 above Site pl;uts"fust hr t; IL' I L I I r I _- 24 Two(2)sets each are required for Items 16, 19,20.&22 above. 25 Building plans shall not canton red lines or tape-ons. "Mirrored"building plans will he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fces document 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or ootes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 4404614 t~oM1 Electrical Permit Application "Datv,-eceived: Permit no.: City of 'regard Vroject/appl.no.: re date: City a(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case rile no,: Payment type: Land use approval: TYPE OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alleriition/rrnl:icrmrnl U Other: _ U Partial JOB 1 ' 1 Joh address: I j� t tl L Bldg. no.; I.Nuite no.: Tax map/tax lot/account no.: Lol: Block: Subdivision: Proicctnano: �_ _- Oc.rcription and loailion of work on premises: — iimated(late of cnrnpletn nhn�In rlu,n 1 1 WUXI r Pm Mex Job no: _ -•p r-/—c— 0e+<•riptinn Qty. (ca.) 'total no.ince BUSinesR IuutmC .. IJ�� f �.C��� t 116„residential•sinRkornwltf-famfhper Address: r`'r dnellingunll.Includexattacliedparage. FC111c,"13 y: a Stale:Z'j ZIP: Seniceincludet 1000 sq.ft.or less 4 onc: r,D" iP r � hux: E-mail:�_T-T� finch sed e i rgy rest sy.ft.ser pnruun Ihcicul stet.: 1,� •,,� Islcc,has. Ile.nu: �/ 71� _ I imilccfcnergy.residentiul 2 City/metro lie.no.: t.in,ilydenergy,mm•residemial 2 Each manufactured Itorne or modular dwelling Service and/or feeder 2 Si�.nnture ol'supervising electrician(reyuiredl _ It"t' � 5ervlcesorfetders-Installatlun. Sup elect name(prino: License no: �� ailenllonorrelocation: 2(x)amps or less 2 201 amps to 41x1 amps 2 Name(print): — 401 amps w 61X1 amps 2 Mailing nddresti: 601 amps to IOW antes — 2 City: y _ State: f ZIP: Over IOW amps or volts 2 Phone: -- Fax: E-Iltall: Reconnect only Temporary services or feeders- Owner installation:'I'he installation is being made on property I own Invlallallon,allerallon,orrelucaHon: which is not intended for sale. lease,rent,or exchange according to 2W amps or less _ 2 URS 447,455,479,670,701. 201 amps to 400 amps — 2 Owner's si mau,re Date: 401 to NX)amps Breach circulls-nen,alterntiot, or extens+on per panel: Name: _ A Vee fot branch circuhs v%nh pumnase nt Address: _ _ service or feeder fee,each branch circuit 2 State: ZIP: B. Fee for branch circuits widmut purchaseCity: _W service or feeder fee,first branch circuit: 2 Pholle: ^I'•'�. I' mail f.achadditional branch orcuir. PLAN ItEVIEW(Please check g1l flint*alifilly) Mtac.(Service or feeder not Included): Each pump or irrigation circle 2 U Service over 225 amps-commercial U Health-care facility Each sign or outline lighnng -_ .2 ❑Service over.120 amps-raring cr I&2 U Hnrardous lr 1 ion Signal circuittsl or a liowed energy panel, family dwellings U Nuildmgi. er 11,OxN)syuan feetfnurar B U System over 6(K)volts nominal more residential units in one structure alteration,or extension' U Building over three stories U feeders.4W amps or itio a •lksoi tion: U Occupant load over 99 persons U Manufactured strictures or RV park Each additional Inspection over the allowable In any of the above: - U Egressllightingplan U Oilier Perinspection r Submit sets of plant with any ollthe above. Investigation Ice The above are not applicable to temporary construction servl.ce. other Permit fee.......... ..........$ _ Not all Jurisdictions accept credit cards,please call 1"dialicn,m An mine in6xniati,xi Notice: ibis permit application plan review(at _ %) U visa U M! %terCard cvpit es il'a permit is not obtained State surcharge(8aR).•..$ Credit cord r,amtxr: ._ _. l_- . vvidim 1 RO days after it has been - _ Expires TOTAL .......................$ accepted as complete. - Nine of cersliml r to s•ownan ctedh card S Citrdholder dartaturc ----- — Amour 4JU-4615(6AX)K'(1MI ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee................................................ $7r.; _ T Number of Injections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less _ $145.15 4 Audio and Stereo Systems' Each additional 500 sq.It,or portion thereof $33.40 _ 1 B,irglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Garafie Door Opener" Dwelling Service or Feeder $90.90 __ 2 Services or Feoders Heating,ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 Vacuum Systems" 201 amps to 400 jmps �! $106.85 2 401 :ops to 600 amps _ 5160.60 2 601 amps to 1000 amps $24060 2 Other Ovor 1000 arrps or volts _ $45465 _ 2 Reconnect,inly $66.85 2 Temporary Servicos or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................... .............. $75.00 200 dmps or less $66.85 2 (SEE OAR 918.260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps v $133.75_ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, a see"b"above. Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits wffh purchase of service or F—] Clock Systems leerier fee. Each branch circuit $6 65 _ 2 F—] Data Telecommunication Installation b)The foe for branch circuits wifhouf purchase c f service ❑ Fue Alarm Installation or feeder fee. First branch circuit $46.85 _ HVAC Each additional branch circuit $6.65 _ Miscellaneous Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting $53.40 _ Signal circuit(s)or a limited energy panel,alteration or extension $75.00 Landscape Irrigation Control' Minor Labels(10) $12500 Medical Each additional Inspection over ❑ the allowable In any of the above F-1 Nurse Calls Per Inspection _ $62.50 Per hour $62.50 In Plant _ $73.75` ❑ Outdoor Landscape Lighting' Fees: Prolective Signaling Enter total of above fees $ _ L J Other- --- 8%State Surcharge $ Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other Installations See"Plan Review"section on $ front of application Fees: Total Balance Due $ Enter total of above tees A S ❑ Trust Account N __ _ 8%State Surcharge = Total Balance Due : All New Commercial Buildings require 2 sets of plans. 0dsts\formsklc-fccs.doc 08/30/01 rj z cx v a-y R e,5(L n c.er 4 r*)fI 1-4550 sw Ho.r.eltedc., ` ina,va 09. i..o'r I �t� Orc�+a�rd `r4* lot '400� 25 � io B� 0 J L tK � 5 �) NCw elvIv[ 3� Tre �oacU tSite-1sloPc3 tf hn.o til a�ra.��1.� hOrth i U Pre PQ1i �3U... o ay. st .ivGNay haw rsgwr avtvt �4 � J Gar�e� i UO v O Q, O Uc c ro oo ro d 2 ro ra ro !� roCDro ~ �' ? a y O CDo ro ro P� - O O a car r" ) w n CL rIQ O ro ro O powwow 1 k by Kg , o { i O s 1 Floor Flan Scale 1/4" = 1 ' 24'-0" - —- -6"x 6=8 QU 5=0"x 3'-0" I I I I I = I �J I I b I x ' I a, I L I I I r 5'-0"x Y-0" � - 12-0 -- -- t=ounc at,ion Plan 140_0„ w b 0 os N b I I e ,.r r7 I 24'-0" 1.Footings 6"x 12" except in ABP, Chert 7"x l 2. Garage floor minimum of 4" thickness 3. 1,12"dia.x 1 U'' anchor, bolts at 6' 0. C. 4. Cork. foundation wall 6 FF 5.ABP 3.0" either side of overhead door Roof Plan 24'-0" -------------- _ -6"x 6'-8}9Lt s'-0"x 3'-0" I N I I I O I = I � 25`-8', Ridg©Ht=4'40" t I k I o, I ' ua I i I r I h � I , 5=0"x T-0" �- 12'-0" I Elcctric:al plan - - J 24'-0" - -6"x W- 9Lt ST x X-0" I 4 I I I I o ; I z ; 0 N I b i o I a, I f 5�-0"x X-0" 4 12'-0" -- --- 12'-0" __L TakeOff Sheet TRUSS �.''�� � CUST # : BR9445 M7UCOMPONENTS JOB # : 502070 -1 .02 R1T of I-70n Inc Imo. Date : 06/10/2002 Phone : (503) 357-2113 / (800) 446-4430 Delivery Date. BUILDER : :UB LOCATION : BRAUF.MAN BROS :.2 'X 2 1 ' GARAGE 519 N.E . 37th STREET 14850 S.W. HAZELWCOD TERRACE HILLSBORO, OREGON 97124 TIGARD, OREGON 97::24 648-•9445 Salesman: DAVE BURCKHARD Job Wt 1185. 40 Job Loading - 2510 0 1C Qty Span Truss Profile TCPc Overfiar. Ts Cantilevers �� Prig FT IN SX Description IbCPch Left Right Left Right 1 22 :: 5.00 1 611 1 ' 611 01 01 62 . 51 0 .00 Pays i TC 2x4 BC 2x4 �2 =• T- 1 22 5 00 11 611 11611 01 0 ' 492 . 36 3.00 Plys TC 2A BC 2x4 44 ` 1 22 ' • 5.00 1 11611 116_11 0' 01 81 . 90 e:?�_BL•8 3.00 Plys 1 TC 2:'4 BC 2x4 31.90 16 10.88 ---- , OLID BLOCK P17s TC BC 0.58 -t 8I I 16.00 ';1,11T BLOCK Plys _TC BC 2 J0 24 I 6 .24 E : nIRP13R TIE P178 TC _ BC ±I- 1 35 .00 .:'IERY "WtGE Plys TC BC 39 NOTE 1 Tress 7omponenta Ii )regon rs • material supplier, not a subcontractor ••• CRANE TINE OVER THE MAXIFNW ALL:wEL This liat 1a not qu ato too to comp le to your ,fob WILL at CHARnEn AT $90 00 PER hC'Ak ' Purchaser must verity Quantities. speeitic•tions ani! dlmemslons 2 Tru-s conpononts quarant,ees motorial and workmanship If factory error Max Crane Time 16Min scc urs •re must bc• -riven an opportunity to make the repair _- No nAcKCHAROts W2it. BE AccdPTtD rritl�out Truss comronento PRIOR approval Total Eng . Price 764 . 5 S Del ivory Al Trust Comronen•:. 1""' NOT qu%rants* piato-llnr delivery % Discount0 0�. f, Adequate accaas must be available fns our truck to mak• delivery without Mise . Charge 0 "..gar to proper•y or equipment Penal decision to be mads by driver 7,,ntraetor wil: rid driver in unloading and landing trusses Net Price 704 8 Di Contractor agroat to pay for tow truck i[ needed. s IP THIS ORDER IS NOT DELIVERED WITHIN 30 DAYS Or ABOVE DATE. THIS PRI:t fax 0 .01 .. "1P'tcT TO CHANGE TOTAL DUE "r4 9'� �Ulton%VX 51.01tus ---------•••' PAGE 1 33Vdd31 OOOM'13ZVH M'S 999VT 30VdV0 ,V2 X,22 OdVHNodn9 'V 3AVO z o z 0 w U- :NOIlV3O1 eOr :NOI1dIdOS3O eOr :AS O3NOTS3O 0 0 a 0 7 UD a. — Z � G Q r, 172 1 I I 1 ' CD r. V � v IU) 24 ' co cn R) m ' R) R) G-) R) CD I c , . , : i III{ I -- 24 y ° con p � z� �- v 0 O D. ti m DESIGNED BY: JOB DESCRIPTION JOB LOCATION m u z o z DAVE A. BURCKHARD 22'X 24' nARAGE 14" S.W. 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W v°eaowz a� o� �vI OZ zU F axa MUM V) Va — UU� � V aA Uz 7 ❑ -s W gQJ �ov 80 W � �A� A CI OQ E00 wW x CC) Q ao �d po f_W V) 0 �Nd� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 Q �; INSPECTION DIVISION Business Line: (503)639-4171 S _— _—_-- BUR --- -- ---- - Received _ Date Requeste — 3 — AM — PM _- BUP �S w Location / /-7'( _�-� ,�,�c _ �.t..r'✓ Suite----- _ MEC Contact Person -- ---- - _ Ph( ) zv�_10__ -3/_L/J_ PLM Con tracto Ph(_�- ) SWR D d _ Tenanl]Owner ELC Footing Foundation Access: ELC Ftg Drain ELR --— - ravel Drain Slab Inspection Notes SIT Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing -- Firewall / Fire Sprinkler -- -- f Fire Alarm i Susp'd Ceiling -- Roof Oth - - - PASS PART FAIL PLUMBING - Post& Beam Under Slab Rough-In \� Water Service Sanitary Sewer Rain D-^Ins - Catch Basin/Manhole Storm Drain - - -- ----- - - Shower Pan Other: Final T PASS PART FAIL --— MECHANICAL Post& Beam -- Rough-In - - Gas Line Smoke Dampers Final PASS RT FAIL E CT L S Rough-In b3/Slab Low Voltage _ Fire larm ina Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 'S PART FAIL SITE-- T 0 Please call for reinsp ction RE:_ �� Unable to Inspect-no access Fire Supply line _ ADA Approach/Sidewalk (Date✓� �L G 'L� InsperSor Ext Other: � Final DO NOT REMOVE this inspection resort' 'I`t'om the site. PASS PART FAIL CITY )F TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received Date Request d— 1.1--1-- AM.-. - PM___ BLIP _ Location __ _ G - f Suite MEC Contact Person Ph( ) �n ;�-G / �{ PLM Contractor _ __ Ph( ) SWR BUILDING Tonant/Owner ------ _ ELC -- Footing ELC -- Foundation Access- FtgDrain Gj uFf �N�� ELR _ Crawl Drain Slab Inspection Notes: Z �. SIT Post&Beam Shear Anchors CSF• T Ext Sheath/Shear L - ----- Int Sheath/Shear Framing - — Insulation Drywall Nailing --- ----- --- -___ Firewall Fire Sprinkler ' Fire Alarm Uva ��N (7� L,�, (,A,N Susp'd Ceiling Root -- Othor final SASS- PART FAIL PLUMBING Under 5 abPost& r� _� �.� 1-xJ 's- yy�, -\ -`i ►� f W WaterhService Co��~� F 31M- d N A �.1 �.��-1 h�� 1 -L �S Sanitary Sewer Rain Drains - �-►"' Catch Basin/Manhole Storm Drain - Shower Pan Other- Final ther. -Final - PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers - - Final PASS PART FAIL — ELECTRICAL Service Rough.In --- - - UG/Slab Low Voltage - Fire Alarm • 01 r-- ❑ Reinspection fee of$_—.__r_ required betore next inspection. Pay atCity Hall, 13125 SW Hall Blvd. PASS PART \FAIL_ SITE ❑ Please call for reinspection RE: ❑ Unable to inspect--no access Fire Supply Line 7/ ADA Datta G Inspact r. -. Ext Approach/Sidewalk - -- - Other:- Final DO NOT REMOVE 0511% Inspectlon record from the 101f+site. FASS PART FAIL CITY 10F TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _ Received Date Requested- _ / ZBUR Z- AM PM Location --- BUR _.quite Contact Person - MEC -_ Ph( ) - PLM - - Contractor ---Ph( -. ) - - SWR BUILDING -- _ Tenant/Owner ELC Foundation Fig Drain Access: ELC - Crawl Drain o ELF! - - - �do Inspe,^tion Note- Post& Beam SIT S sear Anchors Ext Sheath/Shear - -- Int Sheath/Shear Framing - - -- -- --- -- - -- Insulation - Drywall Nailing - Firewall - -_ Fire Sprinklerlea�� Fire Alarm e! Susp'd Ceiling Roof — Other: Final - PASS PART FAIL --- - --- _ PLUMBG-- Post&Bearn - '.�'�c UG� � d'" 61 t•'c=/L�� _ Under Slab -- Rough-In Water Service _C'CI/� ✓�-�__���c��i�.� ��. ��v � Sanitary Sewer Rain Drains ,CS /Z 4 6 _ «� Catch Basin/Manhole _ T 'j''' Storm Drain �t--- ��� it/F' f- / rV Showei Pan - Other: Final -_- PASS _PART FAIL --- - MECHANICAL Post&Beam - - -- - - _ Rough-InGas Line Line Smoke Dampers - Final - - -�-- - LECTRIC i - - -'-�--- -- — LGQ UC,/—lab - --- — _ Low Voltage Fire Alarm A CAR FAIL F1 Reinspection tee of$_` —.required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. S --" I Please call for reinspection - RE: Unable to inspect-no access Fire Supply Line --- ADA /D Approach/Sidewalk Dot* / Z, Inspoctor T-t� '?ther: -- - Ext _ Final - DO NUT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received _ - Date Requested 3 AM—_ _ PM __- -__- --_ Location _ `7/S �' �� � `T�. _44 Suite_ MEC - Contact Person — Ph( ) 752 - / PLM - - Contractor Ph(---) _ SWR -- BUILDING itnant/Ownef -— --- --- ELC - --- l=ooting Foundation —---- ELC - Ftg Drain Access: ELR Crawl Drain - - Slab Inspection Notes: SIT _-- Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear nsuli�ation ---- Drywall Nailing __--- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - Roof Other: Fin ART_ FAIL - _ _BIN_G_ _ Post&Beam Under Slab Ruugh-In Water Service :4enitary 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 - --- ELItCTRICAL _ Service --- - - -__ - --------_�_ Rough-In UG/Slab Low Voltage _.-- Fire Alarm Final lPART FAIL I Reinspectio.i tee of s required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSSITE j Please call for reinspection RE: Unat;'e to inspect-no access Fire Supply Line ADA I � 4 Approach/Sidewalk Date Inspector W�-__Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 a— 3 INSPECTION DIVISION Business Line: (503)639-4171 MST 7 C./Iy BLIP ---- " -- Received _ 1 Cate RequestP __ _ AM _ PM—_ BLIP Location _ �L_SU � - ___ ��✓ Q Suite _ MEC Contact Person j_TYlA -----� Ph PLM Contractor Ph(__ ) SWR DIN4,) _ ____ - ELC Footing ELC Ftg Drain Foundation Access: —.�7-•r ELF! Crawi Drain r, Slab Inspection Notes: ' LL 2 —' SIT -- Post&Beam J 7 Shear AnchorsOnt Shaath/Sh�aTn�ng�� -- Insulation Drywall Nailing —=--� �-- •---- -- Firewall J Fire Sprinkler ( Fire Alarm Susp'd Ceiling -- Roof �. _ `"�_ _._- — Other:_ Final +--p U �1 _ �.G�. -•n r� h- �j �`--�4-�� PASS PART AIL PLUMBING Post$Beam Ur,der Slab — — -- — — — Water Service �• -- Sanitary Sewer Rain Drains Catch Basin/Manhole C_ Storm Drain — — Shower Pan Other: Final -- --- — QiV 1 L'-+ PASS PART FAIL MNI _ECHA _C_AL_ --.---_------- -- ------ Post&Beam Rough-In ----- Ras Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service -_--- Rough-In UG/Slab Low Voltage — Fire Alarm Final Reinspection fee of$.— —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Line -'_ Approach/Sidewalk Date_ Inspector - wi�� Ext Other: -- rn,ai DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 Hour BUILDING Inspection Line: (503) 6391-4175 MST 6 3 INSPEC',ION DWISION Business Line: (503)63 4171 BLIP Received Date Requestejd_ j f _AM _.� PM __—_ BUP Location ____. L/ �� /1�`-''A--� Y L� Suite 7L� MEC Contact Person _._ _ Ph(_ ) U PLM Contractor -.- Ph(- ) -- _ SWR BUILDING Tenant/Owner ELC �footin�,� r ELC (F�un3a tii 'zti Access. Ftg�rain W"S^ 4'+' i _ ELR Crawl Drain Slab Inspection Notes -yyi SIT _ Post& Beam _ — �__- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - - - ----- --- -- - - - - - Fire Alarm Susp'c Ceiling --_ _----- _ ---- — Root Other. Final A'S __PART- FAIL ---`- ---------� `--- PLUMBING --- Post& Bearr Under Slab — Rough-In Water Service — Sanitary Sewer Rain Drains - - - - Catch Basin/Manhole / Storm Dmin / - Shower Pan Other: Final PASS PART FAIL - - -- ----- - - _ MECHANICAL Post 8 Beam Rough-In _— Gas Lire Smoke Dampers Final PASS PART FAIL — ELECTRICAL Service - --- _-- Rough-In UG/Slah Low Voltage Fire Alarm — — — Final t_I Reinsper ion fe6 of$ requl,ed before next inspection. Pay at City Hall, 13125 SW Hail Blvd. _PASS PART FAIL Please call for reinspection PIS- ❑ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date I U v - Infpo�tor _.1 Ext Other: _ ______ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97--0668 131,15 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 10/10/97 SITE ADDRESS. . . : 14550 SW HA7EL.TREE TERR PARCEL: 2S110BC-00400 SUBDIVISION. . . . :AMES ORCHARD ZONING:R-1 BLOCK. . . . . . . . . . : LOT. . . .. . . . . . . . . . :001 JURISDICTION: TIG ProJect Description- Szalvay -----RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS----- -------MISCELLANEOUS--- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP'/IRRIGATION....: @ EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. _ . . . . . o SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL 0 ----SERVICE/FEEDER----- ----BRANCFI CIRCUITS----- ---ADD' L INSPECTIONS—. 0 200 amp. . . . . . : I W/SERVICE OR FEEDER: 6 PIER INSPECTION. . . . . : Q! 201 400 amp. . . . — : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 Goo amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : @ 601 1000 amp. . . . . : 0 REVIEW SECTION------__ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . : ) wo VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES LPS7LO SZALVAY type amount by date recpt IREN SZALVAY PRMT $ 90- 00 .TSD 10/10/97 97-299970 14550 SW HAZEL TREE TERR 5FICT $ 4. 50 JSD 10/10/97 97-299970 TIGARD OR 97224 Phone #: Contractor: MT HOOD ELECTRIC INC 8900 SW BURNHAM RD 94. 50 TOTAL UNIT F-7 ------- REQUIRED INSPECTIONS TIGARD OR 97223 EXPIRED Rough-in Elect' l Final Phone #: 639-5833 Undergrourd Cove F0 n 00001 1 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Srecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if P-5rk is not started within 180 days of issuance, or if work is suspended for more than 180 days. P'TENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. (nose rules ire set forth in OAR 952-NI-NIO for 4h OAR 92-N-M-1987. You may obtain a ropy of these rules or direct questions to OIJNCAbny (563)246-1987, r-`Pv-mj-ttee Signatl.tre - � Is - SLIed _..______________--.--_-___----OWNER INSTALLATION ONLY- - __._._.._.--_.-_______________ -- 'The installation is being made on property I own which Is not intended fog , — sal -, 1pase, or rent. OWNER' S SIGNATURE: DATE: _---------------------CONTRA["f INS'-qLLATION CIIHNATURE OF SUPR. ELEC' N: GATE: I... ICENSE NO: .............................................V......4...4.....................9-4-+-r++ Cal ) 639-4175 by 7:00 p. m. for an inspection needed the ne:, t biitiness day ++A-+4-+++++.t.....4..............4++,++++++++++++-+I+++++-+++-++4++4A++++a--F._+++++++ Community Development ELECTRICAL PERMI'P APPLICATION 13125 SW Hall Blvd , Tigard, OR 972.23 Permit # ' A4 Pho ie (503) 639-4171 Date Issued �� -- --- - CITY OF TIOARD FAX (503) 684-7297 TUD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name or Development `S J9 L (/� 't , Numuer of Inspections per permit allowed Address_- 14/ SO S� Ku_ ,� �t.� Zr� Sernce I Items C;1st(ea) ^ur„ City/State/Zip 4a Residential -per unit 1000 sq ft or less $11000 Name (or name of business) c C1 t ach additional soo sq n or -- -- portion thereof $2500 Commercial ❑ Residential Limned Energy --` $2500 — Each Manurd Home or Modular Dwelling service or Feeder $6800 2 2a. Contractor installation only: � _--- - J1/1 4b. Services or Feeders y 1 Electrical Contractor / . q tnstallelion.alteatlon,or relocation t� V�� '�"� 200 amps or less r 360 n- d 2 s Addresr - j 201 amps to 400 amps $8000 �_ 2 City T �v : State Zips 72 401 amps to 600 amps S12000 7 Phone Nd. 33 601 amps to loon amps $18000 2 over 1000 amps or volts $14000 2 Joh NO. Reconnect only -- $5000 _ 2 contractor's license NO.--ay—yd LC Contractor's Board Reg. No. (�el! _ 4c. Temporary Services or readers Inslallalinn.oiteralion or relocation Sigrlattire of Supr. Elec'n J` 200 amps or less 2 t-(Cense No.-3 O! S O�'��j- S ; 201 amps to 400 amps $50 DO 2 -� 401 amps to 600 amps __ $75 00 - --- 2 over 600 amps tc 1000 volts $100 00 2b. For owner installations: see"b"above Print Owner's Name 4d. Branch Circuits --- ----- -- New,alteration or extension per pane Address _ a)The fee for branch circuits with City State Zip purchase of service or feeder res / 2 Each branch circuittv $,00 Phone NO. _ b)The fee for branch circuits withoui The installation is being made on property I own which is purchase of service or feeder roe, 2 not intended for sale, lease Or rent. First branch circuit $3500 2Each additional branch circuit $500 Owner's Signature 40. miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle $4000 Each sign or outline lighting S4000 Signal circuit(s)or a limited energy --- - Please cherk appropriate item and enter fee in section SO. panel,alteration or extension S4000 _ 4 or more residential units in one structure Mlnur Labels 00; $10000 — T Service and feeder 225 amps or more "-"— �_ _ system over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C. Chapter 5 Per inspection $3500 Per hour $5500 Submit 2 sets of plans with application where any of the above lo Plant 355 OO--�— - - apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. 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 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 TIMF AFTER WORK IS Subtotal $J COMMENCED. .�m�maww< t Trust Account # Balance Due , \ ,\ $