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10875 SW SUMMER LAKE DRIVE-1 J • r r I 0I 'W, a fP t �'�!�,,.-�� • I � * y 1 r � � 7 ! f,} x •Y- p 1 ' A. 1 I1 1. r CITY OF TIGARD BUILDING INSPECTION NOTICE I ,pection Line: 639-4175 Business Phone: 639-4171 I Footing Rain Drain Cover,'Service FINAL: Foundation Water Line Ceiling -Plumb. i 40 Post/Seam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Fir/Slab Pibg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ i Date: A.M. __P.M. _Entry: Address: -K�— G �t� � -f-- Tenant: _ _ Ste MST: _ BLIP: — Con/Own: _- MEC: _ PLM: ELC: THE FOLLOWING CrARECTIONS ARE REQUIRED ELR: --- oc — - - �' CLCx ,I Inspectov?, Date�� APPROVED _DISAPPROVED/CALL FOR REINSP. CO r rF, ,1ra ut+t i 11�j; s C CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling dumb Post/Beam Mach. Shear/f3heath Framing ech. Plbg.Und/Flr/Slab Plbg.-op Out Insulation -Elect. ! Post/Beam Struct. Me&. Rough-In Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: // - Z.P� `!�O A.M. ____P.M. Entry: Address: l ? �� �S L,IJ Tenant: Ste: MST _ 3 -74. 12 MUP: 70ell - ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: aspectu: / Date: -APPROVED ,DISAPPROVED/CALL FOR REINSP. CF CO s�'f r i! ,t ,; ....�,._.. ,.�..... .,.., .,.. CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : PLM96--0349 BATE ISSUED: 11 /19/96 `6 PARCEL: 1S133AD-06800 SITE ADDRESS. . . : 10675 SW SUMMER LAKE DR SUBDIVISION. . . . : AMART SUMMERLAKE ZONING: R-7 BLOCK. . . , . . . . . . : LOT. . . . . . . . . . . . . : 112 -----------.----------------- ------------------------ ---------------------.---------•----- CLASS OF WORE',. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . .R3 FLOOR DRAINS. . . . . . : 0 TRAPU. . . . . . . . . . . . . . N STORIES. . . . . . . . : 0 WATER HE:ATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 F I X TU RES.- - ---- L-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0 a LAVATORIES. . . . . : 1 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . . : 1 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 1 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks: Replacing existing fixtures i. t Owner _____._--------------- _—_._ ___. __._.._______-.__________._ FEES -- -----_____-_-- u JAMES HARDER type Amount by date recpt 10675 SW SUMMER LAKE DR PRMT 0 2'7. 00 P 11/19/96 96-286710 TIGARD OR 972=3 SPCT 1% 1. :35 H 11/19/96 '16-2326710 Phone #: f BEAVERTON PLUMBING INC 13980 SW TL 1AL_AT I N VALLEY HWY BEAVERTON OR 97005 ------------------------- ------ Phone #: 64:3-7619 0 28. 35 TOTAL_ Reg #. . : 012869 --- --- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Top-out Insp Tigv.rd Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. 'his permit will expire if work is not started _ within 180 days of issuance, or if work is suspended for more - than 180 days. - - Permittee Si. atilt- Issued tilt Issued B. . �/� Call for inspection - 639-4175 4. M. w r . . r City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _ 13125 SW Hall Blvd. Permit # Pcrq -03�I Tigard, OR 97223 (503) 630-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE +.•N ow«gm..• New Sinal)Famlry_Rpsldsncse !iA r.+«• ❑ 1 BATH HOUSE$140.00 O 2 BATH HOUSE$195.00 ' Jub /UR 7.5 ,5�✓ vr1JM/`l L�f� C ❑ 3 BATH HOUSE X225.00 y;a Address -ow�.r. w Fee includes all plumbing fixtures In tho dwelling and the first 100 feet " 7o CARP Oft of water service, sanitary sewer and storm sewer. See fees below. ••�M is^•m••6^•••• FIXTURES Q" PRICE AMT m A r D Y Sink 9.00 4.R 04w. °hon• Lavatory 9.00 ' Owner ���� S �✓ -� � f � Tub or Tub/Shower Comb. � 9.00 . ,•,• n Shower Only 9.00 �� I Water Close) i 9.00 +•^• M •^••�a+•»• Dishwasher 9.00 garbage Disposal 9.00 Or..rupant -A.",Ab.. Washing Machine 9.00 _ Floor Drain -~ -� 9.00 coy a"• Water Heater 9.00 Laundry Room Tray _ 9.00 Urinal 9.00 &AVK 1-0 IJ Other Fixtures (Specify) 9.00 9.00 Contractor i 3 0180 -5 / T✓ �4 9.00 b�. CYuM11.e Zip 9.00 13 y �,4 rc) 2 Sewer 1st 100' �- 30.00 ^+•^•"^°'� � ar"• ,�"° Sewer..ea. Addlt. 100' 25.00 Wafer Service 1st 100' 30.00 I hereby acknowledge (hat I have read this application, that the Water Service ea. Addit. 200' 25.00 Intorrnxtirm given Is correct, that I am the owner or authorized agent of the owner, Thal plans submitted are In compiiarre with State laws, that Storm d Rain Drain 1st 100' _ 30.00 I am fee'*cored with the Construction Contractor's Board, that the Storm 6 Rain Drain Addit. 100' 25.00 number qiven Is correct. (If exempt from State registration, please - give reason below.) Mobile Home Space 25.00 l Back Flow Prevention Device or Anti-Pollutior. Device 9.00 "•'°"^" "�"^ °•'" Any Trap or Waste Not Connected to a Fixture 9.00 Da rib -ivbA new O ad ion Q alteration repair () Catch Basin 9.00 to .e one residential non-residential O Insp. of Exist. Plumbing 40.001hr Specially Requested Inspections 40.00/hr Fxi:sting use of building or property 11/ti' - lel ( (�. Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 15.00 Proposed use of + building or property II '(Except residential baclAlove prevention devices) 1 NOTICE 'Minimum Fes $25.00 SUBTOTAL on PERMITS BECOME VO+D IF WORK OR CONSTRUCTION i AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6%SURCHARGE CONSTRUCTION OR WORK 1`.' SUSPENDED OR ABANDONED FOR A PFRIOD OF 18C DAYS 03 ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25%OF SUBTOTAL TOTAL I Special Conditions �__ _ Date Issued by i, CITY OF TIGARD DEVELOPMENT SERELECTRICAL PERMIT C. 13125 SW Hail Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #: 1 DATE: ISSUED: 10/23/96 79 i 0/23/96 PARCEL: 1 a 13 3AD--06800 SITE ADDRESS. . . : 10875 SW SUMMER LAKE DR SUBDIVISION. . . . : AMARf SUMMERI_NKE ZONING:R-7 v BLOCf�. . . . . . . . . . . LOT. . . . . . . . . . . . . . 112 F'r•oject Description : ADDING BRANCH CIRCUIT'S ----RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----M I SCEL-L_ANEOUS-------- 1.000 SF OR L.ESS. . . . : 0 0 -- 200 amp. . . . . . . c 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . 0 SIGN/OUT LINE L.T'G. . ; 0 LIMITED ENERGY. . . . . : 0 401 -- 600 ,a.mp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0 -----SERVICE/FEEDER-------- -.-- ---BRANCH CIRCUITS--_ - --- -- A1)D' L INSPECTIONS--•-- 0 - 200 amp. . . . . . : 0 14/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201. - 400 amp. . . . . . : 0 st W/O SRVC OR FDR. : 1 FUER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L- BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 __..__._.___._... ._._._--._.._..PLAN REVIEW SECT ION--------------_.--.-- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . s ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : N SVC/FDR > - 225 (At+11=15. . : CLASS AREA/SPEC OCC. : Owners ---_____.---_.__.___._____.___._._.__________________.__.______._ FEES JAMES HARPER type amol.ant by date recpt 10875 5W SUMMER LAKE DR PRMT $ 45. 00 TAT 10/23/96 96--285598 i! . PCT $ 2. 25 TAT 10/23/96 96-285598 1IGARr) OR 9722 Phone #: Contractors HEBERL_E. ELECTRTC $ 47. 25 TOTAL 11610 SW 135TH AVE - - - REQUIRED INSPECTT.ONS TIGARD OR 97223 Ceiling Cover Underground Cove Rhone #: 503--524--7059 Wall Cover Elect' 1 Service Reg #. . : 000428 This pewit is issued subject to the regulat ons contained ,n the Tigaru Municipal Code, State of Ore. Specialty Codes and all ot,iei, Perm i`Ae e i gnat i-tv- applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is nit started within IN days of issuance, or if work is suspended for rare ----- than 180 days. I s s ia e d By ----------------------------OWNER TNSTALLATION The installation is being made on property T own which is not intended fat- sale, orsale, lease, or- rent. OWNER' S SIGNATURE- DATE: RAC TOR INSTALLATION ONLY - .____._____________.__.__._-_•-- SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO: � Call for inspection - 639--4175 ,rn - ._,eas•-,.,,,1�..�,16,.,,,IIR*,.,,,gM,e,,,.,,.... .......• w..,w.�...n,....n,.-.r,---� 44I leu i Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rac. # _ Pormit # L Phone (503) 639-4171 nate IssuedFAX (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 c1 Developmont NL.mber of inspectiont,per permit allowe6 r Add:eSS Service included Items Cost(ea) Sum 1 r _ —] �� per unitCity/Staterli 4.. Residential 1CJ0 xl 11 or leen $11000 + F.adr a jefoonal 500 rut 11 or I Name (or name of business) _.-_ portion thereof u5 Commercial❑ Residential limned Energy !" $500 _ F ach Manufd Noma o,Modular Dwolhng Sarvuw of FA&da( -� $M 00 2a. Contractor Installation only: 4b.Services or Feeders Irtilailation,ntraralian,or reloc0uan 2 Electrical Gontrractorlf ll.&A-4- ci –4 � t~ � 200 Am ,or teas SIR)00 2 Address-L11415 c, -�- 201 amps to 400 Amp r 1. 0 00 2 + L-,' V J - 40?amps l0 900 a:npe (122000 City. L� P�fi7 State C_1� Zip�7ZZ-3 I do?Amps to t:ur0 amps 7;19000 2 Phone No. j�1 �V� Over 100o Ampe or volts $34000 � 2 Contractor's License No. — I Reconnect only 75000 Contractor's Board Reg. No 4c.Temporary Services ar Feeders r � Installation nflsralron.or relocation2 Signature of Supr. Elec'r 200 Amps or lens $5000 �`' f 0. SW �]� _ 201 amps 0100 Ampe 100 License No. 1 --- �U? #rope l0 900 crops 110000 00 Over 900 Amp,t0 1000 Volts 2b- For owner stall# so@ W nty"a i 4d.Branch Circuits Print Owner's Name Now,Alteration or exleneror per pAnaf Address cl The las for branch Grants wflh - - purchase of nervine or Medor Aro. 2 city State. Zlp_ Each branch Grcurl 1500 Phone No. � Y 3 S$ 3 b)The tee for branch arcurls wffhouf The installation is being made on property I own which is purchew of e4vWee or#.der Aro. 2 First not intended for sale, lease or rent. I $500 FAcbranch probit x 2 h AddAlOn81 bferxir GIaIA � i600 Owner's Signature r _- _ 4e.Miscellaneous (Service or tender not included) 2 l 3. Plan Review section (if required): Fach pump or irrigation orde $4000 2 y Fach ergn or outl rw Irghtmp $4000 ;-gnat crmurt(s)or a limned energy 2 Please check appropriate Poem end enter Itis In section SB. pane?,a9erabor,or extension -_ $4000 _ 4 or more residential units in one structure Minor Labols(10) $10000 Service and feeder 225 amps or mora 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 to N E C Chapter 5 Per inspection 13500 Per hour _ $5500 _ In Plant $5500 Submit 2 sets of plans with application where any of the above -- apply. Not required for temporary construction services. 5. Fees: NOTICE So. Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ T AU fHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSFENDED OR ABANDONED FOR Plan Review if required(Seg 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK!S Subtotal $ i COMMENCED ❑ "frust Account tY $ L J- Balance Due CIL