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10650 SW MCDONALD STREET-1 'IS PTPUQQDW MS 0590T _ � v -= v r� n C CD J 0 0 W J � O u V O 10650 SW MCDONALD ST CITY OF TIGARJ BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lina: 639-4176 Business Line: 639-4171 BUP _ Date Requested – �/� `� AM— PM — BLD Location / b �-_�;_G ff Suite MEC Contact Person � � �i _ Ph to PLM Contr:,tor Ph SWR - BUILDIN3 Tenant/Owner — 11 ELC D 3 _ Relain'ng Wall F_LR Fooling Access: Foundation FPS — Ftg Drain ISGIN Crawl Drain !,ispection Notes: _ Slab SIT _ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing — — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- — -- Roof Misc: -- Final — PASS PART FAIL – -- PLUMBING / Post Beam �— Y Under Slab Top Out Water Service Sanitary Sewer Rain Drains — Final PASS PART FAIL MECHANICAL Post&Beam --Rough In Gas LineSmo — --' Final Dampers FinalPASS PART PART FAIL ELECTRICAL — �` Service Rough In N UG/Slab Low Voltage _-- J Fire Alarm m PASS PART FAIL W }TE_- — Backfill/Grading —Sanitary Sewer Sewer Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: ( ]Unable to inspect-no access Fire Supply Line ADA / Approach/Sidewalk Other Date �l �~ Inspector L Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record ftom the job site. jW-lwwmwvmr� CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0038 1312f SW Hall Blvd.,Tigard,OR 97223 (SO3)6394171 DATE ISSUED: 01/22/98 PARCEL: 2S110PA-00600 SITE ADDRESS. . . : 10650 SIA MC DONALD ST SUBDIVISION. . . . : ZONING:C-C BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .. JURISDICTION: TIG Pro.j er-t Descri pt i on: Add one (11, first branch circuit to an existing tenant within a commercial bldg. ---RESIDENTIAL. UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 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 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 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 -------------------PLAN REVIEW SECTION--------------- 10004- ECTION-------------- -- 1000+- amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -------_------._---------------------------------•------ FEES ----------------- 7--ELEVEN type amount by date recpt 10650 SW MCDONALD ST PRMT f 35. 00 GEQ 01/22/98 98-302686 T'IGARD OR 97224 SPCT f 1. 75 BE0 01/22/98 98-302686 Phune #: C o n t►,actor: ---------------------------------------------- BECK ELECTRIC INC $ 36. 75 TOTAL 9316 SE CHURCH ST ------- REQUIRED INSPECTIONS ----- CLACKAMAS OR 97015 Ceiling Cover Underground Cove Phone #: 656--7396 Wall Cover Elect' 1 Service Reg #. . : 000026 This permit is issued subject to the regulat::ns contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicaf,l,s laws. All work will be done in aceprdance with approved olans. This permit will expire if work is not started within 188 days of ?ssuance, 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 OAR 952-AAI-AAIB through OAR 952-#!1-1987. You way obtain a copy ` of these rules or direct questions to OUNC by calling (563)29-1987. C F'armi.ttPe SignatLIre: _. Issued BY: ,7 --------------------------OWNER INSTALLATION ONLY-----------------------.------ Th? installation is being made on property I own which is not intended fur sale, lease, or rent. J OWNER' S SIGNATURE: DATE: --------------------------CONTRACTOR INSTALLATION ONLY--------.—.---------_-------- SIGNATURE OF SUPR. ELEC' N: C9�J DATE: / crZ LICENSE NO: _-f °� ++++++++ +++t+++-+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day Community Development ELECTRICAL PERMIT APPLICATION 1,3125 SVS Hall Blvd. , Tigard, OR 97223 Planck,'Rec. # Permit # C C(i I?5— Phone (503) 639-4171 Date Issued FAX (503)(503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee schedule Below: Name of Development Number of Inapoodooe par patrtnit allowed Address 1 ��. 1 -� mC=��y� Service included: Items Cosgea) Sum City/StateRlp_^y_I' -'l_._L C� C�� 4,t Reeldontiol-par unit - 1000 r0 It.or lawsM si 10 00 s_ Each+mWiiorod 5 *q n.a 1 Name (or name of business) porton thered $45 W l.imdsd EnsfW $25.00 Commercial. Residential❑ Es&M.nut•d lion,.or Modular 2 Dwe"Service or Few r $6300 23. Contractor Installation only: 4b.Services or Fsadere IrstdlaWn.alisration,or rebcelion 2 Electrical Contra r L lC 200 all or Iris sm 00 ----•--- 2 Nc\ 201 amp to 400 amps W.00 2 Adds , 401 amp to 1300 amp _� $120 00 2 City State Q_ zip 001 amp to 1000 amp =19000 2 Over 1000 amps or Volts f340 - __ 2 Phone N0. R000nned°nly Contractor's License No. Contractor's Board Reg. No. 01 4c.Temporry Sarvieea or Feeders Installation,a9sration,or relocstion 2 Signaturr. of Su r. Elec'n l 200 a"'D'°r�" �0°° 2 201 amm to 400 amp $75.00 2 License No. 1 � Pho D. (v_�(v 401 ars"WO nr nW $100.110 Over 900 rang to 1000 VCRs 2b. For owner Installations: "e W"""' 4d.Branch Clrouho Print Owner's NameMaw alteration a ten exsion+per pend Address a)The tee for lxaneh nircariY t fth purchase of sntltoe or seeder Ara 2 city_ State Zip Each brand, _ $500 Phone No. b)The fee for branch drauils'Mtlta" The installation is being made on property I own which is prachass of ei'r''tLe 011M1d`r Aw Fe2 First branch orad I $3500 2 not intended for sale, lease or rent. Each addaiortel brand+circvil ;t500 Owner's Signature _ 4e.Miscellaneous (Service or feeder not incklded) 2 3. Plan Review section (It required): Each e9n or t^'0"'°^°'d' --- $4 2 0 oo _ Each epn or outline IipMinp tt40.OD Sena!cirrud(s)or a limited wwMy 2 Please chock appropriate item and enter fee In aactlon 5B. panel.alteration or extension woo a. 4 or more residential units in one structure Minor Irtbela(10) $10000 Service and hieder 225 amps or more 41. Each additional Inspe0lon over System over 600 volts nominal Classified area or structure containing special occupancy the allowable In any of the above as described in N.E.C. Chapter 5 Per Per inur on -- x.00 J In Plant 965 00 m Submit 2 sats of plana with application when any of the above apply. Not required for temporary construction Irervice+e. 5. Fees: r J NOTICE Se. Enter total of above fees $ Ou 5%Surcharge(.05 X total fees) $ � PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR IF 5b.Enter 25%of lint.A for CONSTRUCTION nR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if regained(Sec.3) $ Subtotal A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK°S E COMMENCED. ❑ Trust Account A► : Balance Due CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639A 175 Business Phone: 6394171 1 Date Requested: �/ .1 _ .M. _ P.M. MST: Location:— %��Ld�'� _ ,— BUP:_� Tenant: 1—/�_^ Suite: Bldg. MEC: _ Contractor:_ Phone: _ PLM: — — Owner: Phone: ELC: ELR: SIT: BUILDING BLDG(con't). PLUMBING MECHANICAL ELECTRICAL SITR Site Post/Beam —rmurkam Post/Beam Cover/Service Sewer/Ston:n Footing Roof UndFl/Slab Rough-in Ceiling Water Line Slah Framing "fop Out Gas Line Rough-in UGSprinkler Foundation Insulation Sewer Ilood/Duct Reconnect — Vault �— Bsmt Damp Drywall Storm Furnace TempService MISC. ,gyp Masonry Ceiling Rain Drain A/C lKl Slab / Shear/Sheath Fire Spklr/Alm Cra Ir Heat Nunp Low Volt haz Approved A roved Approved Approved App: d Appr/Sdwlk Not Approved �7yot oved Not Approved Not Approved � va9 FINAL INAL FINAL FINAL FINAL (I Call for reiner%MT 1 Reinspection fee of$ required before next inspection 0 Unable to inspect Page of Inspector: _ ------— _-- ly • �rrrrr CITY CSF TIGARD DEVELOPMENT SERVICES r'l-UMBING PFRMTT 13126 SW Hall Blvd,77gord,OR 97223 (SO)6391171 PERMIT #. . . . . . . .. P1.M 9A-0 17 U. DATE TSSUr-,Ds 06/1.g/96 PARCEL: 2Sl1.0AA-0rAr:*000 !_jW , i1 lafJNl�l_D ST 11 T')I V7!-)T[TIN. ZONING: C LOT. . . . . .. . . . . . . . t JURISDICTION: TTr3 Or' W(„R';, .0TR CARSAGE DISPOSALS. : 0 MOBILE HOME SPOCES. 0 "'-r Cr' USE— . -Com WASHING MACH. . . . . . v 0 BnCV.FL..C)W PREVNTRS. . 0 I P rl�N("y C.r M., AI F-L(1)rl R D R 01 N!7). : 0 TRAPP). . . . . . . . . . . . . . OF"r r'Ll. . . . . . . . . 0 WATFR HFA-r'ERF,. . . . . : 0 CATCH BASINS. . . . . . . . 0 r y-rl 1 qr-T, k I.-AUNDRY TRAYS. . . . . s 0 Sr RAIN DRAINS. . . . . : 0 INKS. . . URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . s 0 �1 V A TCR I r-1. . . . t 0 OT11F-P F'I)(-r!.IRES. . . . I !JP/RHOWP.RS. . . , 0 SEWER LINE ( ft) . . . s 0 1,410TER 1"LLISt-TI]. -, 0 WATER I...THE' (ft) . . . 0. DTSHWASHFRS. . . . s el RAIN DRAIN (ft) o . ol 0 PmmArks : Add §':, floar drain sinks and an indirert %-)aste line. rlwner% FEES 7 rLCVEN type amot-int by nate r e C F..)t I Ot',"50 1.33W MrDONOIJ) tiT PRMT $ ;1*7. 00 URA 06/18/98 98-306665 "rTGAPD OP '17-7,,24 5r,CT $ 1 . :3;5 1)R A 0 1A/911 9 83 0 6 E"i '-,h C)n v N - 1,n i-,rar t p .------------------------ ' ' Clipr1. g. co Pf-UMBING o lox 2300S oR 'lore :ff: 3F, TnTAL RFV,(1TRFD I NtSPECT7 ONS ,.s ppreit is issued subject to 'he regulations contained in the Final Inspection yard Muniripal Cour, 'Nate of are. Specialty Codes and all other -plireble laws. Al' wo-k will be done in scrordani-P with ,ovel plans. 171-is ppoit 11ill, rypfi,p if wjP is not started thin 180 days of -sijancF, or if work is suspended for acre V4 an IPI days. AT7N-ON: Grego- law requires you to follow rules :'ipted by the r-regor Utility Notification Corter. Those rule-- are Forth 4'r C4P 9'IE 12011-MA through LAP 95ANI-ONP. You say tair copies of thpsp rules or direct qutstions to CJNC by calling r,t?rmit,'ee SirjnatLirr: -,,,ov, + ! + +++-.4-+++++ i 4.+.+++.+++4........". !-+4-+++-I-++++++-1++++++++•4-++++++7� W,,,1.1. 1 C,39 -4 17S by 7:00 p. m. far, an i nspect; L)si viceded the n17)(t bf.ts i ne'..'s day +44.4 4-4-1-+-F++4 ++++++4-++4-4-++++4+4-+(-+++++•f.•!-+..+++-4++-IF+++++4-++++++4-+4-++4.........4- :ITY-OF TIGARD Plumbing Application Recd e ' 13125 SW HALL BLVD. Commercial and Residential oat.Recd ('IGARD, OR 97223 Data to P.E. - (503) 639-4171 Date to DSTPermit s Print or Type Rotated SWR Incomplete or illegible applicationz will not be accepted called__ Name of Doveiopment/Pro)ect .lob 7 11 1 t, ? ,) l,/ FIXTURES (Individual) QTY PRICE AMT Address Street Addross Suite Sink 9,00 I i C 1, S r, (0c .,a' Lavatory 9.00 Bldg 0 City/State Zip � Tub or Tub/Shower Comb. 9.00 Tt Name Shower Only 9.00 r ,-, i (.) I-,t,0/ (a - ' Water Closet 9.00 Owner Mailing Address Suite Dishwasher 9.00 Garbage Disposal - 9.00 City/StateZip Phone Washing Machine 9.00 Name Floor OF**- 2- 1 9.00 l h 3. 9.00 Occupant Mailing Address Suite4' 900 / Water Heater O conversion O like kind 9.00 Ciryl5tale Zip Chore /I i -1 _rid, U Laundry Room Tray 9.00 Name T Urinal 9.00 r✓1 I c. l,'.,e / r ( Other Fixtures(Specify) 9.00 Contractor viilff,_g Addrou Suite -- t' AV 2� v � 9.00 v (Prior to issuance City/State ZIP Phone 9•00 applicant must / i ,, . � 11 97 l / I.i q y 9.00 provide all Oregon Const.Cant.Board Lic.0 Exp.Date 9.00 contractors G �) y�' 9.00 license PlunlMng Lk.• Exp.Date Sower-1st 100' �^ 30.00 information if /7 _ expired (n �j 3 3 tr l� % } c -,-Y Sewer-each additional 100' 25.00 in COT COT Business Tax or Metro• Exp.Date Water Service-1st 100' 30.00 'database). Water Service-each additional 200' 25.00 Name Architect Storm&Rain Drain-1st 100' 30.00 _ ..-- or Mailing Address ^ Suite Storm a Rain Drain-each additiovl 100' 25.00 Mobile Horne Space 25.00 Engineer CitylState Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Describe work New O Addition O Alteration O Repair O Residential Backflow Prevention Device 15.00 to be done: Residential O Mon-resk.vntial O Any Trap or Waste Not Connected to a Fixture 9.00 Additional description of work .7i,! , ;1 Catch Basin 9.00 /1!vu' t /' I 1 I v r r j , Insp.of Existing Plumbing 40.00 L per/hr C L ry Specialty Requested inspections 40.00 Existing use of peer/hr building or property Rain Drain,single family dwelling 30.00 Proposed use of Grease Traps 9.00 building or property QUANTITY TOTAL Isometric or riser dlogram is required If Ouanity rota)is >9 Are you capping, moving or replacing any fixtures? Yes❑ No "SUBTOTAL (If yes see back of form) _ c I hereby acknowledge that r -gad this application,that the information 6%SURCHARGE given is correct,that I am",e or aytllorized agent of the owner,and } that plans submitted are in coy ?;with PrPgr)n State Laws. PLAN REVIEW 25%OF SUBTOTAL I Signs ttue of Owner/Agent Dots - - 1 Required an d Poduro total is>9 TOTAL Contact Person Name Phone t_ ? 'Minimum permit foo is 525>5%surcharge,except Residential Backflow Rr') u 4 f iv �rr�i� �.�v,-3 ��, ? Prevention Device,which is S15+5%surcharge sn j imeoo ooc S97 PLEASE COMPLETE AS APPROPRIATE TOP JECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal i Washing Ma;;hine Floor Drain 2" 3" 4„ Water Heater Laundry Room Tray _ Urinal Other Fixtures (Specify) COMMENTS REGARDING AB E: C - J 9 I%"s olmom dw 5197 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP 11Z (W I Date Requested_ _AM PM ELD Location m5z Suite MEC Contact Person � i 0A SA Ph �D 3q 3 _1PLM LD Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Slab CrawlGN Drain Inspection Notes: A Ou L S Post&Beam r—" „— SIT T Ext Sheath/Shear Int Sheath/Shear --' Framing _ Insulation Drywall Nailing Firewall — Fire Sprinkler _ Fire Alarm Susp'd Ceiling — Roof Misc: Final PASS PART FAIL — — Post& Beam v—'— -- — Under Slab u U' eivice Sanitary Sewer — --' Drains A PART FAIL MECHANICAL — Post& Beam Rough In Gas Line ------ --- — Smoke Dampers Final - --_— - -- -- PASS PART FAIL ELECTRICAL --Y"— ---- — — IL Service � Rough In -- --- -- --- - F' UG/Slab N Low Voltage Fire Alarm J Final m PASS PART FAIL O SITE W -� Backfill/Grading ---- -- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reins e n RE:_ —_— [ ]Unable to Inspect-no access ADA Approach/Sidewalk4�zve �Z Other Date nspector Ext-3 Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES F!_ECTR1CPL PFRMTT 13126 SW Hall Md.,TW4 OR OW (IN)6*4171 PFRMTT 0:: 7IC97-(�111,4 DATE ISSUED: 03/31/97 P�'ARCF'f. - F'S1IOAP--00F,00 11- TTF PnDP5.'S1-. . . r1JAr,r)0 SW Mr DONALD ST 71 IRD'r'd IS I ON, . . . - 7ONTNG:C-G L0'r. . . . . . . . . . . . . . JURTSDICTIONt TTG r-'rotprt 11;,scar ir)t inn initt I branch circuit ----TEMr, C;RYr,/rr_-EDERS------- -----MISCF1_LANFO1JF;- 1000 rF' OR 1 0 0 - 800 emp. . . . . . . 1 0 PUMP/IRRIGATION. . . . ,- r.'r!JD-1 W' T)11, 1,500sr., 0 ;`'Ch1. - 400 amp. _ . . . : 0 SIGN/OUT LTNF I.Tri. . 1 01 : T'l I TFT) rNFRGY. . . , . 1 0 401 600 amp. . . . . . . 1 0 SIGNAL./PANEL.. . . . . . . : 0 MnNFr. HM/ SVC Irt)P. . : 0 Gotamps-1000a Yolts. : 0 MINOR L.-ABEL ( 117) . : 0 SFf TCF/rCrDrR...__ ------ARANCH CIRCUITS •_..___. ---ADDIL INSPECTIONS-- 17 - .210171 amp. . . . . 17, 14,/SERVTrr- OP FrEFT)ER. 0 PER INSPErTTON. . . . . ! 0 I 400 Amp. . . . . . t 0 1st W/o SRVC OR FDR. I I PtR HOUR. . . . . . . . . . . : 0 /401 F,00 amp. . . . . . M (-'() ADDIL., TPWH CIRC- 0 IN PLANT. . . . . . . . . .. . 17 1000 amp. . . . . : 0 REVIEW "N : 0 ) :-44 PFr,, UNITS. . . . . . . . I > Goo vot..*r NOM T NAI only. . . . . 1 0 S'V(',/F*nR rlc^5 AMPS. , t CLASS AREA/SPEC OCC. : FFEr) r N I Fl_!7 V FN type atmo1.1nt by date r e c p t S Wr,,r N1 r?L.T) PIRMT 1!',. 00 TAT 03/31/97 97, ,P9; '/+4? r..'F r1p el71 *4 !JPICT 1. 75 TAT 03/31/97 97-c"9P44 r T N r 3t,. 7'� TOTAL_ 3 r-I.q 13 T -------- PEOUTRED TN1-)PFC7rTO1%Jc.; reiling rover undergro'.Irlrf 7 Wall Cover Electll 17if,,vvi, jwiee s,,bipct to the regulations corteined in the Ilk '.-dW rode, State of Ore. Fpecialty Codes and all other Porm i. Si rnat!.or 71; ADPlicabIr laws, P11 wire will be done in accl-rianct with A,iDved plart Th,'.s oersit will eioi,ft if wir6 is -it sts-ted of hir '180 deli's of 15viercP, or if wore is suspended 4ar forp. 10 days, ISsi n14Nr_R TN!!:TPLA_f1TT0N on he ing ode on property I own which it not intended for Tr;tyr,-n i mr, DATE --17nNTW:Tr.)P INgTPLI.PTTON r7 C_ rl C. OATEs Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Perrnit # E - Phone (503) 639-4171 Date Issued 3 - CITY OF TIGARDFAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1- Job Address: 4. Complete Fee Schedule Below.- Name elow:Name of Development /��((`�� Number of Insp�ctions per permit allowed Address—�� 11J1. Service included: Items Cost(ea) Sum City/State/Zip ` 1 "t 4a. Residential-per unit ' 1000 art It or leas $11000 Name (or n m of business) �_�_ — Each additional 500 aq if or poAxon thereof $2600 1 Commercial Residential❑ Limited Energy $2500 Each Manut'd Lome or Modular 2 Dwell,np Sorviaa or Fowler $98 00 2a. Contractor Installation only: -� 4b.Services or Feeders Inalallation Ovation.or relr 'ion 2 Electrical Contractor Beck Electric,�Inc. 200 amps or leas $6000 2 Address 9 318 SF Church 201 amps to 400 amps $8000 - 2 Ci Clackamas State OR Zi 9'7015 401amparo900amps $12000 2 City P soI amps to 1000 amps $190 00 2 Phone No. `T56=7395 Over 1000 amps or volts $34000 2 Contractor's License No. 3-5C Reconnect only $6000 Contractor's Board Reg. No. 2629 4c.Temporary Services or Feeders /, Installation,alteration,or relocation 2 Signature of Supr. Elec'n//(r 4 - 200 amps or Mas $5000 2 n 111""""" 201 amps to 400 amps $7500 2 License No. 1326-o ne No. 656-7,� 401 amps toenoamps $,0000 Over 900 amps to 1000 volts Lb. For owner Installations: ase'b'above Print Owner's Name 4d. Branch Circuits —�_ New,alteration or extension per panel Addres$ a)The tea for branch circuits with —� pumbaN of ewvks or beds/Me. 2 City State Zip Farb branch mmud _ $500 Phone No. h)The tee for branch circuts wfirtwo 4 The installation is being made on property I own which is purcheer of oervlee or feeder be. �r-� 2 Fvsf branch circuit I $3500 Z>,.G4 DD 2 not intended for safe, lease or rent. Each additional branch circuit — $500 Owner's Signature its. Miscellaneous (Service or feeder not included) 2 m irrigation crcle $40.00 '? 3. Plan Review section fI lf required): Each puma Each sign c,r o0line lighting �— $4000 Signal circuil(a)or a l mired energy 2 Please check appr)priate item and er}ter fee in section 5B. panel,aheralion or extension 11+000 4 or more residential units in one structure Minor Labels(10) $too 00 r Service and feeder 225 amps or more System over 600 volts nominal 41. 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 t're above In Plant $5500 —�— D apply. Not required for temporary construction services. 5. Fees: 5a. Enter ictal of above fees E J NOTICE 5%3urcharge(.05 X total fees) $ t PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 1� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of III,--A for CONSTRUCTKJN 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 $ k., L5 e �pm.p . CITY OF TIGARD DEVELOPMENT SERVICES FPERMIT PERMITT ##.. .. . G, . , . . : PLM97-0517 in, ME LM 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 12/08/97 PARCEL: 2S11OAA-00600 '.l'E ADDRESS. . . : 1O650 SW MC DONALD ST SUBDIVISION. . . . : ZONING: C—G BLCTCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ------------------------------------------------------------------------------------- CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :A1 FLOOR DRAINS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES-------- --------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . , 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Add commercial back flow prevention device or anti—pollution device. Owner: --------------------------------------------------------- FEES --------------- 7--ELEVEN type amol..tnt by date recpt 10650 SW MCDONALD ST PRMT $ 25. 00 fyEO 12/08/97 97-301538 TIGARD OR 97224 SPCT f 1. c5 GEO 12/08/97 97--301538 Phone #: Cont ract or----_---.---_----------------------- MICHAEL & CO PLUMBING P 0 BOX 23008 TIGARD OR 97281 ----------•---------------------------- Phone #: E39--3189 f 26. 25 TOTAL Reg #. . : 000678 ------- REQUIRED INSPECTIONS ----- -This permit is issued subject to the regulations contained in the Mise. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backflow Prev applicable laws. All work will be done in accordance with Final Inspection CL approved plans. This permit will expire if work is not startpd pC within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are _ set forth in OAR 952-9981-8818 through OAR 952. 881 . You may ob�ain copies of these rules or direct questions to OLNC by calling m 15831246-1997. C7 Issued By : �� . f�-� Permittee Signature : +++++++++++++++++++++++++++++++++++t+++++•++++++++++++++++++-F++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +M+t++++++++++++++++++++.+++++++++++++++++++++++++++++++}+++++i•++++++++i•++++++ :QTY OF TIGARD Plumbing Application Recd By� 3125 SW HALL BLVD. Commercial and Residential Date to Datet•ro P.E. IGARD,�OR 97223 ate to DST 1503) 639-4171 Pemtitll j)Lge o,-;/-7 Print or Type Related SWR III Incomplete or illegible applications will not be accepted called Name of Development/Pmject FIXTURES (Individual) QTY PRICE AMT Job _1 - It # (pM4 Sink 9.00 Street Address Suite Lavatory 9.00 Address ch"Ja 6 Tub or Tub/Shower Comb. too Bldg• CI IState Zipt�1' Shower Only 9.00 A- Oft1 -r Water Closet 9.00 Name Dishwater 9.00 50"VAft_rjL Cog m. Mailing Address Sufis Garbage Disposal 9.00 Owner Washing Machine 9.00 City/State Zip Phone Floor Drain r 9.00 3' 9.00 - Name 4' 9.00 Occupant Mailing Address Sulte Water Heater 9.00 Laundry Room Tray 9.00 City/State _ Zip one Urinal 9.00 Other Factures(Specify) 9.00 Name --- 9.00 Contractor Mailing Address Suite _� 9.00 City/Slate- Zi Phone 9.00 000 O n Conal Cont.Board Lias ip,Date iAttach Copy of -- 9 a' - ICurrent Plumbing Lic.If Exp.Date Sewer-1st 100' 30.00 Licenses p)L--8& A Sewer-each additional 700' 23.00 I' COT Business Tax or Metro• Exp Dale - Water Service-tet 700' 30,00---1v Name Water Service-each additional 200' 25.00 _ w 1 Architect Storm b Rain Drain-tat 100' 30.00 Mailing Address Suite Storm&Rain Drain-each additional 100' 23.00 or Mobile Home Space 25.00 Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00 9 Pollution Device Z S• /. :)esenbe work New O Addition O Alteration O Repair O Residential Backflow Prevention Device' _^ 15.00 to be done Residential O Non-residential O Any Trap or Waste Not Connected to a Fixture 9.00 additional description of w(.k Cate Basin 9.00 II Insp.of Existing Plumbing 40.00 _ Lar/hr _ Specially Requested Inspections 40.00 =;;sting use of pefft ,uilding or property Rain Drain,single family dwelling 30.00 nroposed use of Grense Traps 9.00 !wilding or property QUANTTTY TOTAL Are you capping. moving or replacing any Oxhxes7 Yes❑ No p leomeete a rim it"-is rara"►tie r o"r'sy Total r >9 If yes sN back of form) 'SUBTOTAL r 1 hereby acknowledge that I have read thiss app'kation,that the Information 5%SURCHARGE given is correct,that I am the owner or authorized agent of the owner,and I 1 that plans submitted are in compliance with Oregon State Laws. PIAN REVIEW 26%OF SUBTOTAL algnature of Owner/Agent Date Ruked on r fbRure .tow r.9 TOTAL Contact Person Nae Phone *Minimum permit fee Is S25+5%surcharge,except ReaidenMal Baradiow '.7 s I y 1 Prevention Device.which Is f15+5%strrcharga klidsts Ima doc SM W PC� PLEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Q ..': Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain _3" 4" .;..�.. _� W ! 1 i Water Heater Laundry Room Tray Urinal _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: ' ` ' CITY OF TIGARD DEVELOPMENT SERVICES ELlCTRICAL PERMIT 13125 SW Hall Blvd.,Tlpard,OR 97223 (503)639.1171 PERMIT #: ELC96-0719 DATE ISSUED: 11 /15/96 PARCEL: 2SI10AA-00600 FITE ADDRESS. . . : 10650 SW MC DONALD ST SUBDIVISION. . . . : ZONING:C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . Project Description: ADDING BRANCH CIRCUITS ---------------------------------------------------------------------------------------- ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS----- 1000 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 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . .. 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 0 ----SERV ICE/FEEDER---_ - ----•-BRANCH CIRCUITS•----- ---ADD' L INSPECTIO1.9--- 0 - 200 amp. . . . . . .. 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . r . • . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601. - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: --------------------------------------------------------- FEES -------__._------ 7-F..LEVEN type amount by date recpt 10650 SW MCDONALD ST PRMT f 35. 00 TA"r 11 /15/96 96-2286596 5PCT $ 1. 75 TAT 11/15/96 96-286596 TIGARD OR 97224 F�hone #: Contractor: ----___----------------------------------------------------------------- ATL_AS ELECTRICAL CONTRACTORS 36. 75 TOTAL 4403 SE ROF_THE RD -------- REQUIRED INSPECTIONS - ----- MILWAUKIE OR 97267 Ceiling Cn r Underground Cove Phone #: 503-659-2212' Wall Cov�.r Elect' 1 Service Reg #. . : 000015 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other- P e r m i t t g e S i g n a t u r e applicable laws. All work will be done in accordance with /Av approved plans. This permit will expire if work is net startedNwithin I days of issuance, or if work is suspended for more Z f a than IN days. Issued By ` F- OWNER INSTALLATION ONLY --__________________.._.__-- N The installation is being made on property I own which is not intended for sale, lease, or rent. J QWNER' S SIGNATURE: DATE: _ m 0 ._...___.__. _-----._-__ _...---------------CONTRACTOR INSTALLATION ONLY----------------------------- W J IGNATURE OF SUPR. ELEC' N: DATE: i I_I CENSE NO: Call for inspection - 639-4175 08/2:../98 13:24 0503 684 7297 CITY OF TIGARD 1?1002/002 • Community Development ELECTRICAL PERMIY APPLICATION 13126 SW Had Blvd. Tigard, OR 87223 Permit ip Phone(503)0394171 19 Ia31Jed CITY OFr14ARD FAX (503)N4-729T TDD No. (503)684-2772 Inspection (603)636-4175 1. Job Address: 4. Compklee Fee Schedule Mow: Name of Development 7-El.even Number of r.p.sils pe►pwnM!dbwed Addrwis 10650 SW McDonald Street Somm Al 1111M a" City/81stemp Tigard, Oregon 97224 4L pnMW .W unit 1000 8%1t.w" tt t0 00 • Name; (or name of business) 7—Eleven lamsawer/0f 1%IL Comrrlefdal ® Residential ❑ L'o' w &a was"H. a Mmk*w 2A. Contractor Installation only: Ib.awvtese or F.edws EleoMieal Contmcfmr Atlas Electrical �� m0fp Address 4403 SE Roethe oa whm !dt e"a AIN ads City Mi wau ie ` State OR 71p 97267 Act ale's=MME !gym -2212 at w"a levo mim _ Phone No. ow►�oaa.�..veae � Job NO. 4'73 f�vleaanrp lae.00 2 canbu t W&license NO. 3-2C f,Twnpawy So v! at FMOMs Contractor's Board Reg. No. 15 r„iwhi ft M W ¢��eewrsw Signature of Supr. Els,;'n fao.re.a License No. 2581S _ Phone NO-659-22-12 4M eOW040 �wse o.o fad ane.ao 10M veee s1l p R ?b. For owner lnstallatlons: =Y0Wk'& 4d.afWAII Ctnft Print Owner's Name now omm"•mWero'w's,. Address »TM M w Wain webs we# a paelaee er eirr' w Austir 6L City Steib -- 7Jp ase*brch am I11.40 Phone No. %)TM tie fa ewer s> " The installation is being made on property I own which Is .40WW"°rombearrand rfm 2 W+10010~ _I mm 35.00 1 not intended for sale, lease or rvnL Eed1AditrulrearJseft* WA t>Mmer's signature M.MO rtsorw VIN of bow not WAR" 2 3. Plan Review section (it mquirtd): a 0 ""g z ppW dFMfeNr n&WW 0Wft 2 IL pieces~ apprap in wn and alto fM in seodon so. sm ewpee s EMU" seam 4 of n+ara reslderrbf unlb h ant StUCIUra ism taeMr Itel U) Service and*seder 225 am*or more 4L SKIM flN adlfnonsl woon mw$yon WV 600 veb non6 flea sllewe6b in ww of ft ak Classified area or sotrcM ceiW II; spedal awuPf m M fn.isd� f4!!00 a3 dnaibed In N.R.C. Chapter s Perleu► tueof m In/Yrrt t j 'stmtns 1 sets of pivd&appkatlon wham wry of flea sbwe IJVapply. Nat rwW ed for in wM ry ewtatrMOM $WOW � F'": J I&Oirlfsr!MIM of eflevt late = .—OTICIR fill surd— COG X WW fm) : 75 PERMITS BEME COVOD IF WORK OR CONSTRUCTIONOIL sn�els " AUTHORD 6S NOT COMMENCEDWRNIN 160 DAYS,OR IF � n Z9 li d A fyrr RE CONSTRUCTION OR WORK IS SuSPENUED OR AMNDONED FOR PionRa�MW if s _ A PERIOD OF 180 DAYS AT ANY TOME AFTER VVOWC IS COMMENCED. Thud AvoovK M S ..,. RaAmce ow S 36.75.