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12575 SW MAIN STREET-1 � r IS NIVW MS LL5Z6 , IL N cn m ti LO Wcm J 12575 SW MAIN ST � r . DIp ELECTRICAL PERMIT- CITY OF TIGAR O RESTRICTED ENERGY DEVELOPMENT SERVICES 91Q PERMIT#: ELR2000-00058 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-41DATE ISSUED: 3/16/00 SITE ADIIRESS: 12575 SW MAIN ST PARCEL: 2S102AC-01f'00 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG Proloct Description: Installation of protective signaling. Job No. 083-12233-01 A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TEL :OMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#O TEMS• 1 Owner: Contractor: GRITZBAUGH MAIN STREET PROPERT ADT SECURITY SERVICES, INC PO BOX 1366 2815 SW 153RD DR BEAVERTON, OR 97075 BEAVERTON, OR 97006 Phone- Phone: 503469-7100 Reg#: LIC 0059944 ELE 26209CLE FEES Required Inspections Type By Date Amount Receipt_ Low Voltage Inspection PRMT DEB 3/16/00 $60.00 0001,,ig2 Elect'l Final 5PCT DEB 3/16/00 $4.80 0000692 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Stats of OR. Specialty Codes and all other applicable law3. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more that 1 180 days. ATTENTION: Oregon law IL requires you to follow rules adopted by the D egor. Utility Notification Center. Those rules are set forth in OAR 952-001410 10-1(hrough OAR 952-001-0080. You may obtain copies of these rules or direct que tions to OUNC at (503) co 246-19 7. Issued* l�-��r,-�,(� � � � Q� � Permittee Signature ,AA J m ___OWNER INSTALLATION ON!Y 111 The installation is being made on property I own which Is not Intended for sale. leas,,or rent. OWNER'S SIGNATURE: DAZE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: _ LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day ,F TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd b _ A'__ AIP.%HALL BLVD Date Recd: r IGARECOR 97223 PRINT OR TYPE ys V- 503-639-t:171*X304 Permit 9:eUAyj I, .03-5 -1960INC LETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: *ILL NOT BE ACCEPTED Nae f pev lop ent P TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Rrehieted Energy Fee........................................ $60.00 7 (FOR ALL SYSTEMS) JOB Street A dress Ste# ADDRESSCheck Type of work Involved: 'T GC��yE� ityIsla a ZGiD,_ h # ❑ Audio and Stereo Systems Name C� Burglar Alarm h MpR o�V�oeME"j OWNER Ming Address K ❑ Garage Door Opener' City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name ❑ Vacuum Systems- RDT Si_CURI I Y,,>f?VI( FS,INC. ❑ Other ON'T CTOR Mailing Address .),r —"� i1EAVERTON OR 97006 TYPE OF WORK INVOLVED-COMMERCIAL ONLY _ Prior to issuance a City/State (50 )ZW-7100 Phone# Fee for each system ............ $60.00 -,opy of all licenses - """""""""""" (SEE OAR 918-260-260) - are required if Oregon Contr.Bid Lic.# Exp.Date expired in C.O T r Check Type of Work Involved: data base) Electrical Conjf.y, # E p.Pat6 11 Ll? /(%' ❑ Audio and Stereo Systems C O T or Metro Llc.# Exp.Date ❑ Boiler Controls Owner's Name __ ❑ OWNER- Mailing Address Cock Systems APPLICANT [] Data Telecommunication Installation City/State Zi Phone# ❑ _�_ Fire Alarm Installation his permit is issued under CAE 918-320-370.This applicant agrees to ake only restricted energy installations(100 VON amps or less)under this ❑ HVAC irmit and to do the following. ❑ Instrumentation Only use electrical licensed persons to do inst3llations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing, Call for inspections when installation under this permit are ready for ❑ Landscape Irrigation Control' inspection at 503-639-4175; ❑ Medical Purchase separate permits for all installations that are not ready for an inspection when the inspector is out to inspect under this permit; Nurse Calls CL Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' a inspector are done,and. F- Protective Signaling N Assume responsibility for calling fcl a final inspection when all of the corrections are completed ❑ Other -� rmits are non-transferable and non-refundable and expire Nwork is not m irted within 180 days of issuance or if work is suspended for 180 days. 0 - Number of Systems We pP son signing for this permit must be the applicant or a person Ihorized to bind the applicant. Flo licenses are required licenses are required for all kMt r!r Installi•8ons FEES: gnatuP r J) V ENTER FEES $_ OLS ^ a%SURCHARGE(.05 X TOTAL.ABOVE) $_ 0 _ thority if other than Applicant TOTAL $ q, $e tsVormskrese!e doc 3/98 i CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00225 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 06/19/2000 SITE ADDRESS: 12575 SW MAIN ST PARCEL: 2S102AC-01000 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install water heater. Owner: — Type By Date FEES -_.Amount Receipt GRITZBAUGH MAIN STREET PROPERT PRMT GEO 06/19/2000 $50.00 0003094 PO BOX 1366 PRM3 GEO 06/19/200( $50.00 0003094 BEAVERTON, OR 97075 513CT GEO 06/191200C $4.00 0003094 Phone 1: Total $104.00 Contractor: BEAVERTON PLUMBING INC 13980 SW TUALATIN VALLEY HWY BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone 1: 643-7619 Final Inspection Reg#: LIC 00012889 PLM 34-4PB ORIGINAL U) J ra This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. a Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. W 'This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions tr OUNC by calling (503) 246-1987. Issued By: _ ermittee Signature Call (503) 639-4175 by 7:00 P.M.for an Inspection needed the next business day~� CITY OF TIGARD Plumbing Permit Application Plan Check 6 'b39 25 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 T-tweCF- Dale Recd.;503) 639.4171Date to P.E. Print or Type Cr bele too• Incomplete or Meglble applications will not be accepted Permit f � �5 Related SWR I_ Caped Name of VevelopmenUProlad FIXTURES (11 divid4/1) ',; rt ,;:ar aT�f E; AW Job Sink • 11.5 Address Sheet Address�— Stilte Lavatory 11.50 r _ S �' ��r� '► Tub or Tub/Shower Comb. 11.50 Bldg f islale Zip c Shower Only 11.50 i Name _ J Water Closet _ 11.50 ' rzBA li'/�i�1 ' �� Urinal Owner MMI lhq ress Suite 11.50 7 � ?/ /� Dishwasher 11.50 rs' ( GerbatJn—Disposal 11,50 /51ak Zip Phone f,�6�,��(�"c►-,�) �j�j Laundry Tray 1150 Name Washing Ma-chineUtindry Trey 19 r` �t Floor DrainlFloor Sink—F2 `11.50 Occupant Making Address Suit - - 11.60 City/Slate Zip Phone f 1.50 f r,c, , -i-` -j _. {f;1 Water I feeler O conversion O like kind 11.50 Gas P ping requires a separate mechanical ermit- �, Lkm �� MFG Home New Water Service 32.00 Contractor Malting Address Suite MFG Home New S;n Storm Sewer 32.00 c V Hose Bibs 11 50 Prior to pe mit ty late onQ ns Issuance,a copy �P Roof Drains 11.50 o1 all licenses are Oregon s1.Cont.Board Lic R TExDalr �. > / Drinking Fountain 1150 requited it J.al C ' Other Fixtures(Specify) 'rmexpired In CUT Pibing N database A — Nome Architect ---- Suite Sewer-1st 100' 38.00 or MsYnng—Address Suite Sewer•each additional 100' 32 W ' Cf fSt Water Service-1s1 too' 311.00 En�rneee• ty ate Zip Phone _ Waler Servloo..cad,ada1 one!200 ---32-00 Describe work to be dorm _ Storm R Ratn Draln-1st 100' 38-00 Now O Repair O 111eptace with like kind. Yes O No O Residential O Commercial O Storm R Rain Drain-each additional 100' 3y 10 _ Additional description of work; Commercial Back Flaw Prevenllon Device 32.00 Residential Baddlow Prevert0on Device• 11900 Catrh Baein 11.50 Are you capping,moving or m.placing any fixfures7 - Insp of Gxtsbng P ang or Specialty Requested 60.00 Yea O No O In ctlons __pe/hr CL If yes,see bark of form to Indicate work performod by Rain Drain,single(amity dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE U) WORK COULD RESULT IN INCREASED SEWER FEES. Greece Traps _ 11.50 �. I hereby acknowledge that I have read this appllcafion,that lire Informallon QUANTITY TO AL f- given is correct,that I am the owner or authorized agent of the owner,and Isomsutc or riser diagram is squired a Quartlsy Total is >9 1 :3 that plans submitted are In com nce with Oregon Stale Laws 'SUBTOTALT. =a roorliAgoni0 100 0 to EC' /�ffshi< �r {t aX SU.ZCHARQB ---_ a y, lJJ tact on Name hone _j '' 1 Cul q J 6 / "'PLAN REVIEW 26%OF SU®TOTAL Rsquked cI Muni qty.lotat is>9 'Minhnunr pxrrait re.is 1"504 e%srrtrlrsrya,aceepi ResMerMW 8acldbw Ih„reMi,n Device,which is$25,e%owth - - arpa y All New Comflismial kritdlnps rngirke plans with Isomehk OF user dhgnm and plan review IvrdfVorm Np►rrnapp doe t trtaro9 PLEASE COPLET�.� litore Ty a ,tau Sink Lavatory Tub or Tub/Shower Combination Shower 221 - Water Closet Urinal Dishwasher Garbage Disposal _ Laundry Room Tray _ Washing Machine Floor Drain/Floor Sink 2" 4" --- Wa-ter Heater Other Fixtures S ecif -` COMMENTS REGARDING ABOVE: IL — - -- R I- - — �n m I kkMMamrlf+Aimgq+dx'1 V1N9A CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00233 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 6/22/00 SITE ADDRESS: 12575 SW MAIN ST PARCEL: 2S102AC-01000 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 20 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Repair of approximately?0'of sewer line. FEES Owner: Type By Date Amount Receipt GRITZBAUGH MAIN STREET PROPERT PRMT DEB 6/22/00 $50.00 0003224 PO BOX 1366 5PCT DEB 6/22/00 $4.00 0003224 BEAVERTON, OR 97075 Total $54.00 Phone 1: Contractor: RESCUE ROOTER PO BOX 1728 WIL.SONVILLE, OR 97070 REQUIRED INSPECTIONS Sewer Inspection Phone 1: 243-1172 Final Inspection Reg#: LIC 127325 PLM 34-168PB ORIGINAL L r J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 7 Specialty odes and all other applicable laws. All work will be done in accordance with approved plans. U This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fallow rules adopted by the Oregon Utility Notification_Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You day obtain cs of these rules or direct questions to OUNC bacallin 3) 246-1987. Iss ed By: 2 Permittee Signature: r __�. - Call(503)639-4175 by 7:00 P.M.for an inspention needed the next business day CITY OF TIGARD Plumbing Permit Application Plan 13125 SW HALL BLVD. Commercial and Residential Re By TIGARD, OR 97223 Date Reed - �0 Dte to P.E. (503) 639-4171 a Print or Type Date to D ST Incomplete or illegible applications will not be accepted Relrnitll Related SWR! Called Name of Davelopment/Projectl FIXTURES (Individual) QTY PRICE AMT Job or,,Cr" tlf'1 S.-SVIQ12 Sink 11.50 Address Street Address Suite Lavatory _11.50 Tub or TublShower Comb. 11.50 Bldg II Cly/SttalleeQ Zip Shower Only 11.50 -- 1c) = r---U R 9 1 Z Z Water Closet 11.50 Name /� [�f ? � ✓� &vivZ�AuciI'\ Urinal 11.50 Owner ailing Addiess / Suit Dishwasher 11.50 Garbage Disposal 11.50 Phone ,ply/State � Laundry Tray 11.50 NameWashing Machine/Laundry Tray 11.50 Floor Drain/Floor Sink 211.50 Occupant Mailing Address Suite 3" 11.50 _ 4" 11.50 City/State Zip Phone -- Water Heater O conversion O like kind 11.50 Gas pi ing requires a separate mechanical permit. _ mr' MFG Home New Water Service 32.00 Contractor Malting Address Suite MFG Home New San/Storm Sewer 32.00 P fox 17-1tift Hose Bibs 11.50 Prior to permit City/Stale Zip Phone Roof Drains 11.50 Issuance,a copy 1,v 1I dy\ui �_cli c(7L,IV (OV5" 05tD Drinking Fountain 11.50 of all licenses are Ore )n Conjt.Coal.Board Lic X Exp.Date - Other Fixtures(Specify) 15.00 required if 7 3 expired In COT Plumbing Lic.R Exp.Date database Name Architect Sewer-1st 100' 38.00 or Mailirg Address Suite Sewer-each additional 100' 32.00 Water Service-1st 100' 38.00 Engineer City/State Zip Phone Water Service-each additional 200' 32.00 Describe work to be done: Storm&Rain Drain-1st 100' _ 38.00 New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain each additional 100' 32.00 Residential O Commercdal O Commercial Back Flow Prevention Device 32.00 Additional description of work: -' 1 Reslden' 'Backflow Prevention Device' 19.00 Catch Basin 11.50 a Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No O Inspections perthr If yes,see back of form to Indicate work performed by Rain Dral,i,single family dwelling 45.00 rn fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 H WORK COULD RESULT IN INCREASED SEWER FEES. -_.- QUANTITY TOTAL J I hereby acknowledge that I have read this application,that the information Isometric a deer diagram Is required K t]uantfly Total Is >9 m given Is correct,that I am the owner or authorized agent of the owner,and `SUBTOTAL that s subm ed are In compliance with Oregon State Laws. 3t§ luno pip` erlAgent ,i (V-7-2te -0x� - 8%SURCHARGE y .J t _ n0ct Person N Phone -- ('"U07me V-\A..,f�L (P ``?SC) ""PLAN REVIEW 26%OF SUBTOTAL HOUSE 1T .0 Required only If fixture qty.total Is>e _ 0 $k W.11-0 - TOTAL r a�tii ?I *Minimum permit Its*is$50+8%surdurge,except Residential Bockllow Prevention ry jr Device.which b$25.a%surcharge _.. -All New Commercial Buildings require plans with Isometric or riser diagram and plan review. I%d%Wform s',nlum apr doc 1 111".9 PLEASE COMPLETE: Fixture Type — Quantity by Work Performed , . New Moved Replac'6d ' 'Rd ved/Capped Sink Lavatory __— Tub or Tub/Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: a J_ C7 W — —_— -- ,J r%dsNV0MftkxnAW doc,III errs CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date RegUested� AM PM BLD _ Location S� S Suite MEC Contact Person t_ Ph � �_ PLM Contractor Ph SWR BUILDING Tenant/Owner _ VIII0_YI111!� 5 �"T° ELC Retaining Wall LR Footing ,kccess: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab - _- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing __- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - -- Roof Misc - - -- -- ---- -- Final `- PASS PART FAIL - - - PLUMBING Post& Beam Under Slab fop Out Water Service Sanitary Sewer - Rain Drains Final - - PASS PART FAIL _- MECHANICAL Post& Beam -- - - Rough In Gas Line ---- -� _-- -- Smoke Dampers Final -------+ - _ P PART FAIL LECTRIC -____--�- -- — - - Servicer e—__ — _ ---- -- Rough In UG/Slab - I.ow Voltage Fire Alarm -_.._ - J PART FAIL usftr- Backfill/Grading -- �- - -- Sanitary Sewer Storm Drain [ ] Reinspection fee of$- 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 - Date T" � �� Inspector_ Z"�'�-� �Ext Other -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested ~� C7 AM PM �_ BLD Location_ S Sr l�/tAAV, Suite MEG _ Contact Person Ph _ PLMC=�G� ,� Contractor Ph SWR BUILDING Tenant/OwnerELC _ Retaining Wall _ ELR Footing Access: Foundation FPS Flg Drain SGN Crawl Drain Inspection Notes: Slab 0 4- SIT Post 8 Beam � � Ext Sheath/Shear WCC �Y F=00 1 Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final — PASS PART FAIL -- — --- -- Post$Beam — — Under Slab Top Out Water Service Sanitary Sewer — Rairr rains PART FAIL CHANICAL Post& Beam -- ---- — —— — -- Rough In Gas Line Smoke Dampers Final — ---- _— __ PASS PART FAIL ELECTRICAL — a Service Rough In N UG/Slab Low Voltage - ——__ — ---.—_ — ----, Fire Alarm Final m PASS PART FAIL. SITE Backfill/Grading - — Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE: _ [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk _ Date � Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, • �4,R D ELECTRICAL PERMIT CITY OF T I G PERMITM ELC1999-00507 DEVELOPMENT SERVICES DATE ISSUED: 8/17/99 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102AC-01000 SITE ADDRESS: 12575 SW MAIN ST SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of 200 amp or less electrical service or feeder. RESIDENTIAL UNIT TEMP SRVC/FEEDERS ` MISCELLANEOUS 1000 SF OR LESS: 0 : 200 am � \ PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amo: V SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SF_RVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GRITZBAUGH, BRADLEY+ FRANCI N DARRELLS ELECTRIC PO BOX 1366 2401 HAWTHORNE ST BEAVERTON, OR 97075 FOREST GROVE, OR 97116 Phone: Phone: 357-2477 Reg p: LIC 042735 SUP 2169S ELE 34-159C _ FEES Required Inspections Type By Date Amount Receipt Elect'I service 5PCT DEB 8/17/99 $4.50 99-317701 Elect'I Final PRMT DEB 8/17/99 $64.2.5 99-317701 Total $68.75 This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR. Specialty Cases and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 nays of issuance,or Kwork is suspended for more than 180 days. ATTENTION: Oregon law requires you to fellow rulesedopted by the Oregon Utility Notification(:enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain t opies of these rules or direct questions to OUNC at(503) 216-1987 Permit Signature: L � Z Issr�ed By: (; OWNER INSTALLATION ONLY The installation is being made on property I cwn which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALTION ONLY SIGNATURE OF SUPH. ELEC'N: DATE: LICENSE NO: .�if� J/ _.._ -- Call 6394175 by 7:00pm for an Inspection the next business day PlanCh CITY OF TICARD Electrical Permit Application Recd By 13125 SW HALL BLVD. -- TIGARD OR 97223 Date Recd � /7 Uate to P.E. Phtone (503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit# -A!2fo,/7 Fax (503) 598-1960 Incomplete or Illegible will not be accepted Called _ 1. Job Ad-,-ess: ^- 4. Complete Fee Schedule Below: Name of Development _-_ Number of Ins tions per permit allowed Name(or name of business) Service included: Items Dost Sum Address t.� $ 7� 5 r w!� !/1/ 5� _ 4a. Residential-per unit �. 1000 sq ft or less City/State/Zip Zip r - _ - Each additional 500 sq.fl or - portion thereof $ 26115 1 Commercial Residential ❑ Limited Energy - $ 60.00 - Each Manufd Home or Modular 2a. Contractor installation only: Dwelling service or Feeder - _ $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data se). t Installation.alteration,or relocation J .� Electrical Contractor �YC. S [ Lt J i C, 200 amps or less - � $ 64.25 �'r'� _ 2 --- Address ;I, tj OL i 0�-n�_C_� 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City�r e5l- nwL State�O,�.'_- Zip 41711 1O 601 amps to 1000 amps _ $ 192.50 2 Phone No.. 3 Y'7- 2-•1 7 7_ _ Over 1000 amps or volts $ 363.75 _ 2 Job No. Reconnect only _ $ 53.50 2 Elec Coni. Lice. No. 9.2 3� -_Exp.Date 7^7^O° 4c.Temporary Services or Feeders OR State GCB Reg. No.3'x'1,)-?C- Exp.Date --/ Installation,alteration,or relocation COT Business Tax or Metro No. S13Y:_ Exp.Date 200 amps or less - $ 53.50 -- 2 1!-- a, 201 amps to 400 arrps $ 80.25 2 Signature of Su r. Elec'n 401 amps to 600 amps $ 107.00 - _ 2 Si 9 P -""''- Over 600 amps to 1000 volts, one"b"above. License No. L 6 qS Exp.Date Phone No. 3�O - y1 4d.Branch Circuits -� ----- New.alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit _,- $ 5.35 2 Address T b)The fee for branch circuits ----- without purchase of service City State--Zip _ or feeder fee. Phone No. First branch circuit $ 37.50 - -- - Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (service or feeder not included) Each pump or irrigation circle _ $ 42.75 _ Owner's Signature Each sign or outline lighting $ 42.75 Signal circuil(s)or a limited energy panel,alteration or extension $ 60.00 3. Plan Rt •aw section (if required):* Minor Labels(10) S 107 00 - Please check appropriate itenn and enter f--e in section 58. 4f.Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Per Inspection _ $ 50.00 _ Service and feeder 225 amps or more Per hour $ 50.00 System over 600 volts nominal In Plant _ $ 5900 _ Classified area or structure containing special occupancy as - described in N E.0 Chapter 5 5. Fees: 6a.Enter total of above fees f * Submit 2 sets of plans with application where any of the above apply. 1 1jA%Surcharge(05 x total fees) $ _ Not required for temporary construction services. Subtotal S - Sb.Enter 25%of line 5a for NOTICE Plan Review tf req_ulred(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account* AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ O,/7 i\61015orm0clectric.doc I�� O� �'��D __ ELECTRICAL PERMIT PERMIT M ELC1999-00646 • DEVELOPMENT SERVICES DATE ISSUED: 10/29/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6364171 PARCEL: 2S102AC-01000 SITE ADDRESS: 12575 SW MAIN ST SUBDIVISION: ZONING: CBD BLOCK: I.OT : JURISDICTIUN: TIG Proiect Description: Install 1 branch circuit in single family dwelling. RESIDENTIAL UNIT _ TEMP_SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS .-- .__ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amt: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amplvolt: �-4 RES UNITS,;: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>-225 AMPS_ CLASS AREA/SPEC OCC: Owner: Contractor: GRITZBAUGH, BRADLEY+ FRANCI N P-,OENIX ELECTRIC CO PO BOX 1366 73"''.9 SW TECH CENTER DR. BEAVERTON, OR 97075 TW'ARO, OR 972.23 � RIGINAL Phone: Phone: 684-3600 Reg#: LIC 00052288 SUP 4140S ELE 34.247C _ FEES Required Inspections Type By Date Amount Receipt P lect'1 Service PRMT KJP 10/29/199 $37.50 99-319428 lect'I Final 5PCT KJP 10/29/199 $3.00 99-319428 Total $ 10.50 This Permit is issued subject to the regulations contained in the Tigard Muricipal Code,State of OR. Specialty Codes and all other applicable laws. ` All work will be done in accordance with approved plains. This permit will expire if work is not started within 180 days of issuance,or if work is C suspended for more than 180 days. ATTENTION: Oregon law requires you to forlow rules adcpted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. J PERMITTEE'S SIGNA'f URE -17.I ISSUED BY: ��22�'v►1et� 0 OWNER INSTALLATION ONLY J The installation is being made on property I own which is not im-nded for 'e, lease, or rent. OWNER'S SIGNATURE: DATE:. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ��,�--�..c-C'c'�c.i`"J ._ DATE• 604 a LICENSE NO: ��yU Call 639-4175 by 7:00pm for an Inspection the next business daffy OCT-28-99 THU 03:00 PM PHOENIX ELECTRIC CO FAX N0, 15036843611 P. 02 CITY OF TIGARD Electrical Permit Application Ptar.check 0 13125 SW HALL BLVD. Rev'd 6y i TIGARD OR 97223 Date Recd Phone(503)639-41' 1, x304 Data to P.E.Date to DST Inspection (503)639-A175 Print of Type Permit 0 f7L I C I G ,� Fax(503) 598-1960 Incomplete or Illegible will not be accepted Celled_ I. Job Address: 4. Complete Fee Schedule Below: Name of Development_ _ Number of Inspections per permit allowed Name(cr name of business) f(2-� _� --� Service included: items Cost Sum Address,��oa CIA- 4a. Residential-per unit `nn 1000 sq.1L or less S 117.75 4 City/State/zip-t Each additional 500 sq,ft.or potion thereof 5 26.29 _ 1 CGmmercia ROSIcI tial ❑ LimitedEn*rgy $ 00,00 �Q„�)ez rtu�J�S� V11 Each Manu1'd Home or Modular 2a. Contractor Installation only: Dwelling service or Feeder _ S 72.75 2 (Friar to permit Issuance,applicants mrust provide contractor license 4b.Services or Feeders information for COT,data as0). - Installation,Oteratlon,or relocation Electrical Contra or 200 amps or leas $ 64.25 2 Address r) 201 amps to 400 amps S 68.50 2 401 amps to 1300 21,.,a _ $ 128.60 2 Cit �atat � Zip 601 amps to 1000 amps S 192.30 2 Phone 1�\! Over 1000 amps or voila S 363.76 _ 2 Job No. Re^onnecl only _ S 63.50 2 Elec. Cont, lice. No.: .��xp.Date 10 4AJ0 - 4c.Temporary Services or Feeders ' OR Sty to CCS Reg. No. Exp.Date 1 lv Installation,alteration,or tolooallon COT Business Tax or Metro No� 4'1Exp.Date 200 amps or leas f 53,50 2 201 amps to 400 amps + S 60.25 2 Signature of Supr. Elec'n /0 % -.1-_ 401 amps to 600 amps _ S 107,00 _ Over 600 amps to 1000 volts, License No. 6Q4/0y, Exp.Date L01 il D see"b"above_ -� 4d.Branch Circults Phone No. �� Now,alteration or extension per panel a)The 1-for branch circuits 2b. For owner installations: t j chase of servles or Print Owner's Name.,. _ Each inch circuit 3 5.35 2 Addressb)The fee for branch circuits wlNouf purchase of service City M T State Zip _ or feeder fire_ Phorie No. First branch circuit S 37.50 Each additional branch circuit f 9.35 _ The installation is being made on property I own which is not 4e.Mlecalloneous intended for sale, lease or rent. (Service or feeder not Included) Each pump or Irrigation circle S 42.75 _ Owner's Signature Each sign or outline fighting S 42.75 Signal circuli(s)or a Iknitud energy ' r panel,alteration or extension $ 60,00 Q 3. Plan Review section (if required): Miner Labels(1o) S 107.00 ot: -- Please check appropriate Item and enter fee in section 58. 41'.Each additional inspection over 4 or more reskiential units in one structure the all-Imbte in any of the above Service and feeder 225 amps or more Par Inspection f 50.00 J System over 600 volts nominaPer hour $ 50.00l In Plant $ 59.00 m Classified area or structure containing special occupancy as -- described In N,E,C.Chapter S 3. Fees: W go.Enter total of above fees " Submit 2 acts of plans with application where any of the above apply. 5%Surcharge(.05 X total fees) Not required for temporary construction services. Sublefol S Sb.Enter 25%of One so for , NOTICE, Plan Review N rsauinrd(Seo.3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S o IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS 12rTrust Acmunt M AT ANY TIME AFTER WORK IS COMMENCED. Total beferfee Due $ YV.� oditS�fill InS tcctric.doc CITY OF TIGARD BUILDIyG INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639.4171 — BUP _ Date Requested AM PM BLD Location-12-5-767 IYlau1� Suite MEC Contact Person _ _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ag Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall / r( /'`era Fire Spr;nl�ler ! �-( Fire Al jrm Susp'd Ceiling 4��" 09 Roof Misc: Final — PASS PART FAIL PLUMbING Post&Beam Under Slab Top Out Water Service Sanitary::ewer - Rain Drains Final — P."S PART FAIL MECHANICAL Post&Beam Rough In Gas Line — Smoke Dampers Final - - -PkRT FAIL ELECTRICAL — 2 ( ( Rough In C UG/Slab _ Low Voltage arm 0 SS PART FAIL _ 2 3 j Backfill/Grading — — Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line ( J p __ ( J Unable to inspect-no access ADA Approach/Sidewalk Other Date -" _ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.