12483 SW MORNING HILL DRIVE as llIH OWNHOW MS £8tiZ6
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12483 SW MORNING HILL OR
CITY OF TIGARD PERMIRI#AI_EPERMIT
LC96-0518
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/06/96
13125 SW Hall Blvd.Tigard,Oregon 97223.0199 (W3)6394171
PARCEL: 25104AC-06600
SITE ADDRESS. . . : 12482 SW MORNING HILL DR
SUBDIVISION. . . . : MORNING HILL NO 9 ZONING:R-tri
BLOCK. . . . . . . . . . . Lr)T. . . . . . . . . . . . . :209
Project Description: Installing one branch circait.
---REr5IUENTIAL 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. . . . . . . 1 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 MINOF. LABEL ( 10) . . . % 0
.--------SERV ICE/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 - 100121 amp. . . . . : 0 --------------------PLAN REVIEW SECTION-----------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NUMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. %
Owner: ---------- - ---------------.---------------•---------- FEES
------------------
FRED FORSTNER type amotant by date recpt
12483 SW MORNING HILL DR PRMT $ 35. 00 CJS 08/06/96 96-282564
SPCT $ 1. 75 CJS 08/06/96 96--282564
TIGARD OR 97223
Phone #:
Contractor:
F'HuEN I X F=LEC- RIC CO $ 36. 75 TOTAL
7379 SW TECH CENTER DR.
------- REQUIREP INSPECTIONS -- ---_-
TIGARD OR 97223 Wall Cover Elect` 1 Final
Phone #: 503-684-3600 Elect' 1 Service
Reg #. . . 32288
This perait is issued subject to the regulations contained in the __.__._e_.
Tigard Municipal Code, State of Dre. Specialty Codes and all other permitte Si gnalt ure
applicable laws. all work will be done in accordance with
approved plans. This pewit will expire if work is not started
within 180 days of issuance, or if work is suspended for h.rrC.cl.1G'5-- �m�r`-_
than 180 days. Issued F+y
_ ------------OWNER INSTALLATION
IL -Che installation is being made on property I own wFlich is not intended for
a Sale, lease, or rent.
OWNER' cc SIGNATURE: - --�_��--•- _ DATE:
TNSTALLATION
m
r7 SIGNATURE OF SUPR. E.LEC' N% 1Z �11eL� - DATE% Jai- 41__. __-.._.-__
J LICENSE 1`10z
Call for inspection - 639--4175
Community Development ELECTRICAL PERUJIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 972.23 Permit # ELC-96.-D518
Date Issued 9-,G- 96
Phone (503) 639-4171
CITY OF ir�OARD FAX (503) 684-7297
TDD No. (503) 684--2772
Inspection (503) 639-4175
1. Job Addross: 4. Complete Fee Schedule Below:
Name of Development..��� �^ _ Number of Inspections per permit allowed
Address ,Z , 1."r/j/ Service included Items Cost(ea) Sum
City/State/Zip _ ,a. Residential -per unit
1000 sq fl or less _ :110.00 4
Name (or name of business) Fach additional 500 aq m or $25.00
portion thereof _ 1
Commercial ❑ Residential Limited Energy :25.00
Each Manurd Home or Modular 2
Dwelling Service or Feeder $ee 00 _
2a. Contractor installation only:
4b. Servlc as or Feeders
Installation,alteraliol,or,?location 2 2
EleCtrlCa�CQ rac or �l,p�� 20U amps or less $.0.00
Address 1 O'l --�_ r^ 201 amps to 40U amps $80 00
-1-1� 401 amps to 800 amps 51"'10 2
City'T` Stat y 7_ip 1 801 amps to loud amps $led 00 _ 2
Phone N ._ a Over 1000 amps or volts $340.00 2
Jot? NO Reconnect only 55000 2
contractor's license NO. 4c. Temporary Services or Feeders
Contractor',, Board Reg, No. Installation,alt"lon,of relocation 2
Signature of Supr. Elec'n _ 200 amps or less ____ 2
' Phone NO. 201 amps to 400 amps 550.00 _ 2
License No.��YOt 401 amps to 600 amps �. $7500
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
Address _ n)The fee for branch circuits wfth 2
-- purchase or service or feeder fee.
City _ State_ 7_Ip _ Each branch circuit $5.00
Phone No. b)The re•!or branch clrcults wffhour U 2
The installation is being made nn property I own which is Fust bran o►circuiswvft
or feeder fee 2
First branch ckcult I $35.00
not intended for sale, lease or reh! Fach additional branch circuit $5.00
Owner's Signatures 4e. Miscellaneous
(Service or feeder not included) 2
Each pump or hrlgation circle 2
3. Plan Review section (if required): Fach rlgn or outline lighting $40.00
Signal Omult(s)or a Ilmlted energy 2
Please check appropriaid !!-m a;id en!er fee In section 5B. panel,eltention or extension $40.00
L
4 or more residential units in one structure Minor Libels(10) floo.ro
L _Service and feeder 225 amps rr more
System over 600 volts nominal 4f.Each additional inlpttictlon ^ver
the allowable In any of the above
Classified area or structure containing special occupancy
as described in N E.C. Chapter 5 Per hourInspect
$35.00
—
Per hour 555.00
J In Plant $5500
Submit 2 sets of plans with application where any of the ahove
apply. Not required for temporary construction services. 5, Fees: C
Q Sa. Enter total of above fees
J :
NOTICE 5%Surcharge (05 X total fees) $
Subtotal $ _
PERMITS BECOME VOID IF WORK,OR CONSTRUCTION 5b. Enter 25%of line A for
ALITHORI7ED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Spr 3) $
CONST RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WC^l:IS r�
''OMMENCED m��mnenw [I -frust Account #t $
Balance Due
$ ,��r
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SW Hall Blvd.Tigard,Oregon 07223•@199 (503)639-4171 OCCUPANCY
xxrcx PERMIT 0. . . . . . . 1 MFT9:341131E
639--4171 PATE I SSUEDe 08/25/9.3
PARC:EI.. a 2SIt'4vrC 06600
SITE+ ADDRESS. . . a 12403 SW MORNING HILL DR
SUBDIVISION. . . . @ MORNING HILL NO 9 iUNINOe
BLOCK. . . . . . a . . . a LOT. . . . . . . . . . . . . 1209
CLASS OF WORK. oNEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. a R3
OCCLPANCY LOADe119 4
TENANT NAME. . . 1
Remarks a PATH I
Owners
JAY MILLER
FSO BOX 23291
TIGARD OR 97223
Phone #a 684-7543
Cont Tact or% -_w____.._.__.,__w_._._w_______
1AY' MILLER
it BOX 2.3291
iIBARD OR 97281
Ph:-ne #• 684-754.3
Reg #. . 1 30109
Occupancy of the above referenced building is hereby given, and cortific,s
the compl. iancr with the .3tate Of Oregu.r Specialty Codes fur^ the gr•nlrl' ,
occupancy, and use imider which the referenced pormit was i trued.
_.._.w._. _..-F i RE DEPARTMENT- � LD I Nth INSPECTOR
IJIL IN CIAL����
POST IN CONSPICUOUS PLACE
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ITYOF TIGARD
COMMJNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tloard,Or*W 9722398190 (603)639-4171 DATE ISSUED:
i k-b RU:)* L463 ;211URN ING HTLL D.1 PARULLt
MORNINL HILL NO 9 ZONING:
. . . . . . . . . . LOT. . . . . . . . . .
BUU01NU
UWELLING UNITStl OPSEML NT. 0 S f
Cl. Ur WORK. :NEW EALURMIS;L B(4THb:E UARAGE. . . . . . . . . . 1480 S f
of bF FLOUR HRL0S-- RLQUIkED SETBACKS—-
JF CU04;i T. t5N F I HST. . . . 15011 s f LEFT. . c8 ft MIGHT . :6 f
J PA N C Y laid-'. :Ii SLLUND. 0 S f V'RUNT. t2O ft RLAR. . :L!I f
T(".)RIES. . . . . . . i 1'H I RD. . . . :0 sf REUUI
E I 61-i'T. . . . . . . . ; 1') f TOTAL .. L .> 1504 s f 3MJI,E DETECTURS. &Y
LUOR L014D. . . . t40 psf VALUE. . . . . 77824 PARKING SPACE S. . :
T
PLUMBING
I lit.Li. . . . . . . . . . I"LIJOR DR(111,15. . . . :III EAU4.1.0W PREVNTR3. . :0
-�0 A'I U,,,I E G. . . . . WATER HEW LRS, . . : I TRAPS. . . . . . . . . . . . . :0
JV/,SIlUwck3. ". . c., LAUNDRY rRfAYS. , . i I LATCH BASINS. . . . . . . 30
,.q7l3R CLE75LTS. . c 2 UE.WER LINO (ft) . ob GREASE- 'TRAPS. . . . . . . .0
P
t IAWAII IRS. . . . 1L WP -JiLINE-: ( ft) . I lb(8 OTHLR FIXILIRLS. . . . . ,.0
�
44413AUL L)I cjP,. . 1 RAIN DR04IN (ft ) . 1lb
A'Ji i I NG mill"I 1. . I ElRk111 DROINS. . Ill
MLGHANICAL FEES
H-, RI.i. . 4,0 t;Y pe iAM U'A"t by date
recpt
VENTS :10 TIF $ 1460. 00 JH 0E /03/9:' -
. iX !WPuT .-O U,r,.J VL1,41 Fi�flqb. :3 BPRi' $ 3b7. 00 JH 0(•/03/9 ; -
URN, i OWK . . .- I HOODS. . . . . . : 1 BPLC $ 40. 00 JLH 05/25/93 93-i2-4104n,V,
J t�!`•' ,-10 OK v) WOUDo I UVE-S. t 85PL $ 18. .3b j ILJ 171b/0;:3/9 3
L-tjf-,!i V.-URINt. 4e. CLU DRYERS. i I 63DC $ 280. 12110 JH 06/03/93
V ;jl UTHLk UNITS: I PARK t 500. 00 Jt 1 011: /0
.146 OUTLETS: I MPR T' 410. 50 JH (06/03/033
MP L L ll 1 Qj. l3 j t.j lb(�/ka 2j/9 3
M5PL $ Z. 03 JH 06/03/93
PPRT t 147. 30 JH OG/03/93
P!5Pc $ 7. :38 JH 06/0,3/93
U)
E1372. 39 W'Mi
to ;siuv' sjtjpc� to the regulations, Contalflid ir, the REQUIRED INSPECTIONIii
5 _iIs C, -11"DC-4 i state C Ore. c4ecialty Codes and all other v ot f o und Insp -ireplace Inrsp
lu 3ii-,able iaw5, w1l. itio -ill ze done in accordance with apprevec. P05t/BVA- 111 Stt'lACt GAS I.-ille ITISP
.any. Tris 'JLXI' expi!,p if work is not starter voithin WO �-Ost /,Beam Ilecl-Tan nsulaticlir, Insp
Y, 21, 1swa1cf," t,ork is suspedej for eve 1W uays, Plm/und5lab ITISIJ UYP D001"d Insp
IL Ll4/U,lWprt-io0v, Iletin drail.) 1 T)�p
eiec!ianicaj. Iiisp WatFi, Lino In-i p
I"lumb rop Out Aopt ,'Sdwlk Insp
LA ramitiq Insp Mechprtr .'1. 1 1 71;3 1
Call fat_
Is peu t i clit 639-41 is
CONNECTION
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CITY 019: T I GARD ERM I i 414. . . .m. .i . I
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tlgcrd,Oregon DWE ISSUE:DI
I L RUD,�Et�- Z-!4(33 SW MWINING HILL Dk PARCELg
ON 1146,
j i A "N. . . . 1, MORWNG HILL N()
LOT. . . » . — . 1209
LUCK;. . . . . . . . . .
f' i X'f URL UN 1 TS.
ISF4 NU. . . . . . . . . . . DWELL INU UNiTS- 11
-LWiLi OF WOI-t - - - ,NLW NU. Ui' BUILDINGS91
lype OF USE. . . . . :GF
N,31 ALL TYV'Ld bu5WR I MPER I V !�URrt4t:E-
temarks: PATH I
lwner :
AY MILLER type amount by date V,ecpt
-'Cl BOX 'E'32,31 PRMT $ 2100. 00 JH 06/03/93
IN" 35. 00 1114 Ob �4/03/9"
jGRRL; UR 912"'1.1
684-7543
—1-AAT1iALTURI-NL)"T ON FILE 'J
2135. 00 TOT(41—
Ott y
REQU I RED IWI-)PECTV)N
ht$ Applicant a -efs to cosply with all the woes and regulations Sewer 1"Pec:t "n
--lf the Lin.f W 4,swage Agency. The perlit expires IN d#ys fral
,;he date issue', 11�t total 640u"t Paid Of"' t* f"-f"t" if the
pol,git expires. The �!qtncy does not guarantee the acruracy of the
side sewer le'orais- if the sewer is tot located at the measorteent
given, the 11,stfillel shall plospect toet jyj all directiors froo
the distan V given. it not so located, the i-Atailet sha,l purthw
,Jac a,j Site Sewer' petIlt and the Agency wilt install -, lateral.
is t n
CLck I I far inspection 639-4175
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CITE' OF TIGARD 13125SWHAD&A PLNCK/RECT 0 s�-----_._
COMMUN M DEVELOPMENT DEPARTMENT TiVm*0ne« 97W PERMIT / h V13 -0 .3/Z
DATE ISSUED
JCB ADDRESS: � ��4 Shy rr7�/n,�"�� �lIJ f�( TAX MAP/LOT oLS u�l�G- v(o6Gu
SUB: ) fI 11 -�� LOT: _ � y _ LAND USE: _
VALUATION: 17 X Z
OWNER SPECIAL NOTES
NAME: nr �Ir�✓• � REISSUE OF: _ v�(9 h7 111 _
ADDRESS: (""'O bob a 3 �q I LAST REISSUE: S, �-0/3v
FLOOD PLAIN/ `
PHONE: -7 ,5 3 SENSITIVE LANG:
CONTRACTOR APPROVALS REQUIRED
NAME: HT1 fY1i PLANNING: _
ADDRESS: ENGINEERING:
FIRE CEPT:
PHONE: OTHER: '
CONTR. BOARD 0: EXP DATE:
ETEMS RSQIRED
SUBCONTR/1CTORS: PLUMB: DIST/SUBCONTRACTORS:
MECH: --tS�:11 BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: OTHER: ^
N PHONE:
PROPOSED BLDG. USE:
w COMMENTS: ^
APPLICANT SIGNATURE
Received By: ,,,1� _ Date Received: �� 9
PERMIT 'i A CT # DESCRIP1ION AMOUNT AMOUNT PD. BAL. DUE
`jtstr3-o312- 10- 32 00 Building Permit Fees ✓ 3 �. � ,
_ 10-4 1 00 Plumbing Permit Fees .sem71_2Z
10-43 01 Mechanical Permit Eevs � u �� _ --�960. 5y
10-230 1 State Building Tax (5%)
Building , 3�
Plumbing
Mechanical — v
10-433 00 P1 ,s Check Fee Z011
Buil Ing _y
Plumbi
Mechanic
10-230 06 Fire
30-202 00 Sewer Connectio 'Vvy u d
30-444 00 Sewer Inspection 3.)-
25-448-02
.)-25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees ,r 1.3 S x:35 d
25-448-05 Mass Transit TIF Fees //0
52-449 00 Parks System Dev Charge (PDC) _ 500 JC10
31-450 00 Storm Drainage Syst Dev Chrg
N (SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445 .02 Water Quantity (Fee in lieu of)
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