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10035-10055 SW GARRETT STREET (sauawjmdd ioyual;olJegO) �aaatS }taaieE) ,MS ^900G'9£006 0 0 w sa d p ro Cn P. cn a C) °) a) 3 1 cn tl) 1 r�P R w w ,l) t;5 C�1 ^a `1 rn 100:35-10055 SW Garrett Street (Charlottenhot Apartments) CITY OF TIGARD BUILDING INSPECTION DIVISION WiT 24-1-Iour Inspection Line: b39-417:1 Business Line: 6394171 BLIP _�. Date Requested _11"� -1 AM PM BLD Locationr`t(,� �LIM� �( r _ Suite MEC Contact Person AILY ✓\1-(L Ph �'��S�c��Y PLM Contractor _ Ph SWR BUILDING Tenant/C),Nner L L$;>k _&ZL _ ELC jq q C'C'l 9 Retaining Wall V F-LR _ Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab _-- _-- — SIT Post&Beam -- Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation - Drywall Nuiling -- 'a Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - - Misc Final PASS PART FAIL_ - PLUMBING Post& Beam Under Slab Top Out T Water Service Sanitary Sewer - Rain Drr'ns --- ---------------Final PASS ------- --- ---- PASS PART FAIL MECHANICAL (Post& Beam - ------- Rough In Gas(_inn -- Smoke Dampers Frial PASS _-PART FAIL Service - /Y(AiAj Rough In UG/Slab Low Voltage/ - -- -- _--�� Fire Alarm PAS PART FAIL ---- --- - - ----- - --- Backfill/Grading ---- Sanitary Sewer Storm Drain J Reinspection fee of S. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ]Please call for reinspection RE: I J Unable to inspect-no access ADA Approach/Sidewalk Other Date -9/�7 Inshrctor -/�7 �A�Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the john site. — i CITY C�F T I G.�►R!� ELECTRICAL PERMIT PERMIT#: ELC2001-00241 DEVEWPMENT SERViCES DATE ISSUED: 5/9/01 13125 aVV Hall Blvd., Tiqard, OR 97223 (503) 639 4171 PARCEL: 2S102G6 '2400 SITE ADDRESS: 10035 SW GARRETT ST 05 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-1 I . BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect Only RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 600 amn: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 vo!ts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS AGD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER:^ PER !NSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD L BPNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ _ 1000+ arnp/volt: =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 S'JCIFQ? >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX AND LOTTE I PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: �— FEES _ _Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 5/9/01 $66.85 2720010000( Elect'I Final 5PCT CTR 5/9/01 $5.35 27200'10000( Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR Specialty Codes 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 days of issuance:,or I work is suspended for mo a 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 952-001-0010 through OAR�-52-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 2466699 or 1.800-332-2344 B �! Permit Signature: Issued_ _ Y� _ f n _Q"ER INSTALLATION ONLY The installation is being made rop 1 own which is riot intended for dale, lease, or rent. 9 DATE: N T OWNER'S SIG A URE:[ _ - -- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N- DATE:__ LICENSE NO: ��_.�___ --- - ----- ---- - --- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application 10atere-ccived: pp City of Tigard Project/appl.no.: Expire date: Cifynf/'ignrd Address: 13125 SW Hall Blvd.Tigard,UR 9722.1 Date issued: By: Receiptno.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory U Cominercial/induslual 61ulti tantik U'1'enant improvement U New construction U Addition/alteration/r,•nL•lcemcni J t itl)ri `J Partial INFORMATIONJOB SITE, Job address: IOCA A!a _S C� >Q R e� T T 131dg. nu 5uuc no.: l ax nulp/lax lotlaccount no.: Lot: Block: Subdivision: Project name:V/4 C��7i� �" _ Description and location of work on pwinises: ,5' .It-S - < Estimated date of coo letion/ins ction 1 Job no: Fee Max Business name: - Description Oty. (ea.) "Rpal no.Ins - Ne"midential-singleor multi-fumlly per Address: r dneOing uldt.Includes Prfached garage. City: State: ZIP: Serviceinc•luded: Phone: Fax: I E-mail: 1000 sq.It,or less 4 Each additional 500 sq.ft.or onion thereof CCB no.: Elec.bars.hc.no: Limited energy,residential 2 City/metro lic.no.: Limited energy,non-residential _ 2_ Each manufactured home or modular dwelling Signature of supervising electrician(requited) Date Service and/or feeder 2 Sup.elect.name(print): License no: Services or feeders-Installation, Alteration or relocation: 2.00 amps or less 2 Name(print): �I-k7'X f/J 1:rr E401anips s to 400 amps 2 ,� --- l0 600 amps 2 MailinTass: > t s io IOW amps 2 Slate;u ZIP: 00 amps or volts 2 Phone::1- 'Q Fax: E-mail: Reconnectonl t I Owner installation:The installation .s beinr•made on property I own Temporarv,KTAcesorfeeders- which is not intended r sqlabese;rent,or exchange according it) Installation,aitemtion,orrelocatlon: ORS 447,455,479,6 701. 2W amps or less - 201 amps to 4W amps 2 Owner's si na re: Date: `7 401 to 6W ams 2 Branch circuits-new,alteration, or extenslon per panel: Name: - - _ A. Fee fon branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: Stale: ZIP: B. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit: _ 2 Phone: rax: E.ach additional branch circuit; M isc.(Service or feeder not included): U Service over 225 amps-commercial ❑H•alth-care facility Each pump or irrigsnou circle _ _ 2 UService over 320amps-rating of l&2 Ultazardouslocation Fachsign oroudinclighting _ 2 family dwellings U Building over 100)0 square feet four or Signal circuit(s)or a limited energy panel. U System over 6W volts nominal more residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,400 amps or more 'Description __ _ U Occupant load over 99 persons U Manufactured structures or RV park Fach additional Inspection over the allowable in any of the above: U Egress/lightingplan U"tier -- Perinspection Submit`eels of plant with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards,please call jurisdictimi Im ram"information. Notice:This permit application Permit fee.....................$ O Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Ciedit card number: / / within 180 days aider it has been State surcharge(8%) ....$ _ Name of car�fio cF ushown Expires accepted ac complete. TOTAL .......................$ one irt i canl- S _ Cardholder elpature -- Amount 440.4615(~'oKI) Electrical Permit Fees: Limited Energy F-3es: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee... i — ................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq it or less $145 I5 4 ❑ Audio and Stereo Systems Each additional 500 sq fl or portion thereof $33 40 1 ❑ Burglar Alarm Limited Energy $7500 Each Manufd Home or Modular n Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 __ 2 ❑ Vacuum Systems* 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps _ $240.60 _ 2 ❑ Other_. Over U=4waps or volts _ $454.65 �- reconnect _ $66.85 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system................................................... ...... $75.00 200 ampr or less _� $66 95 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100:0 2 401 amps to 600 amps $133.7;, _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. E] Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 ❑ Data Telecommunication Installation b)The fee for bran',circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 Each additional branch circuit $6.65 _� ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump of irrigation circle $5340 ❑ Each sign or outline lighting $5340 Intercom and Paging Systems Signal eircult(s)or a limited energy panel,alteration or extension _ $7500 ❑ Landscape Irrigation Control" Minor labels(10) _ _ $12500 _ Each additional Inspection over F-1 Medical the allowable In any of the above ❑ Per inspection $62.50 _ Nurse Calls Per hour _ $6250 In Plant $7375 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ 5. 3 Number of Systems 25%Plan Review Fee See"Plan Review"sec'ion on No licenses are required. Licenses are required foi all other installations front of application -- Fees: Total Balance Due Enter total of above fees $ ❑ Trust Account#__ 8%State Su-^harge $ Total Balance Due s _ i;ldsts\fotms\elc-fees.doc; 10/09/00 ELECTRICAL PERMIT PERMIT#: ELC1999-00189 DATE ISSUED: 4/5/99 PARCEL: 2S102CI3-03400 SITE ADDRESS:( 10035 SW_GA_RRETT Sr SUBDIVISION: 1=REWINGS ORCRAAM TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Project Description: re-connect electrical meter a RESIDENTIAL. UNIT TEMP SRVC/FEEDERS MISCELLANEOUS —00SFZR=, 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 0"�: SERVICE/FEEDER — _ BRANCH CIRCUITS ADD'L INSPL, 'INS 0 - 200 amp: W!SERVICE OR FEEDER: —` PER IRSTFEM),N: 201 - 400 amp: 1st W/O 3RVC OR FDR: PER HOUR: 401 - 17�0 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1%.',3 amp: PLAN REVIEW SECTION 1000+ amp/volt: ==moi ES-OT11T �'- ` OLTNtfMINAL: Reconnect only- 1 SVC/FUR>= 225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: ^ FINKE,ALEX 'OQc E yC f-7,ov'; CITY Oi, TIGARD Electrical Permit Application Plan Check'f 13125 SW HALL BLVD. Rec'J By - TIGARD OR 97223 Date Recd Date to P E. Phone(503)639-4171, x304 Print or Type Date to DST Inspection (503)639-4175 Permit# Incomplete or illegible will not be accepted --- y Fax (503) 59$-1960 Called.-- 1. alled. _1. Job Address: --� 4. Complete Fee Schedule Below: Name of Development '/' '"�� Number of Inspections per permit allowed - Name(or name of business) C/r��77��" Service included: Items Cost Sum Address 35- 5,k 4 P?Z T tD 4a. Residential-per unit t'`7 � �^ 1000 sq.ft.or less $110.00 3 City/State/Zlp _ Each additional 500 sq.ft or s portion thereof _ $25.00 _ Commercial ❑ Residential 1.3, Llmlte _d Energy $25.00 __-_ _ Each 1`4anufd Home or Modular :.welling S.;,vlce or Feeder $138.00 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor---------- Installation,alteration,or relocation Address 200 amps or less $60.00 2 201 amps to 400 amps $x0.00 2 City _ State _ __Zip_ 401 amps to 600 amps $120.00 Phone No. 601 amps to 1000 amps $180.00 2 Job N0. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. _Exp.Date Reconnect only $5000 2_ OR State CCB Reg. No. -`_-Exp.Date_ _ . - 4c.Temporary Services or Feeders COT Business Tax or Metro No _Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 -_ 2 Signature of Su r. Elec'n201 amps to 400 amps $75.00 __ 2 401 amps to 600 amps $100.00 _ Over 600 amps to 1000 volts, License No. ____Exp Date____ see"b"above. Phone No _ ^- -------------------___ 4d.Branch circuits New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase of service or 4L L-X El/ ,tj k-1-57- feeder fee. Print Owner's Name - Address-�U(p �S' S W Each branch circus $5,00 fo Ff b)The fee for branch circuits City R.7`/E p State Zip without purchase of Phone No. A14/Y - .5 _T service or feeder fee. First branch circuit $35.00 _ The installation is being made on property I own which is not Each additional branch circuit_ $5.00 _ 2 intended for sale, lease or rent, 4e.Miscellaneous (Service or feeder not Included) Owner's SicinatUre. Each pump or Irrigation circle $40.00 _ _ 2 - Each sign or outline lighting $4000 _ 2 3. Plan Review section (if required):* Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over _4 or more residential units In one structure the allowable in any of the above Service u.id feeder 225 amps or more Per inspection $35.00 System over 600 volts nominal Per hour $55.00 Classified area or structure containing special occupancy In Plant $55.00 as described in N E C Chapter 5 5. Fees: *Submit 2 sets of plans with application where any of the above apply. 5a.Enter total of above fees Not required for temporary constrrtction services. 5%Surcharge(.05 X total fees) $ � Subtotal $ r NOTICE 5b.Enter 25%of line 6a for Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK �/1 IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account# TIME AFTER WORK IS COMMENCED Total balance Due $ I:\1)GT\ELEC98.D0C REV 4/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour !nsp.tction Line: 639-4175 Business Line: 639-4171 ---- - BUP --Date Reques'ed_ ,-�51- �__ AM —PM BLD - Location3>_S w �G►I�r n _ Suite s MEC Contact Person — _. __ Ph Girl �� PL[41 Contractor — _-_-- --�_ Ph _ _-- —__ SWR -- -----.__�_ BUILDING _ Tenant/Owner —�_— ELC k,/ -�� Z Retaining Wall , ELR Footing Access. Foundation FPS Ftg Drain SIGN Crawl Drain Irspection Notes: Slab -_--.-- ____ -_ - S!T Post&Beam Ext Shoath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --_-- - --------- -_ ------- Firewall Fire Sprinkler - --- - ----- - Fire Alarm C0 Susp'd Ceiling ------ Roof Misc: _ _ _ _. - ---- - ------- - Final PASS PART FAIL PLUMBING Post&Beam -_--- Under Slab Top Out ----- Water Service Sanitary Sewur --� - Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam ---- -- Rough In Gas Line -- - - Smoke Dampers --- Final -�- - PASS PART FAIL Service ar,, Rough In I1G/Slab -- Low Voltage Fire Alarm -- F' PASS PART FAIL Backfill/Grading -- - Sa,iitary Sewer Storm Drain [ Reinspection fee of$ required before next ction. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: Unable to inspect-no access Fire Supply Line - - ADA xApproach/Sidewalk Date _ / Insinictor / Ext Other [-�-� --- - _ - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /^ CITY TY ®F T I GA R D _ ELECTRICAL PERMIT _ \ V PERMIT#: ELC2002-00391 UEVELnPMENT SERVICES DATE ISSUED: 8/14/02 13125 SW Ha.. d., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102C6 03400 SITE ADDRESS: 10035 SW GARRETT ST 03 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: P-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Re nett service. 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 HM/ SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERA ',ErFEEDER __— BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE 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: 1 SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: FINKS, ALEX ANO LOTTE I OWNER PO BOX 23562 PORTLAND,OR 97223 Phone: Phone: Reg#: FEES _Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR M 8/14/02 $66.35 2720020000( 5PCT CTR 8/14/02 $5.35 2720020000( Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in acoordance with approved plans. 1 his 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 Ut0ty 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 Pormit Signature:'�1'4 Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. GWNER'S SIGNATURE: �_ �. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPP.. ELEC'N: _. UATE: LICENSE NO: � _ ----_– ------ --' Call 639-4175 by 7:00pm for an inspection the next business Jay Electrical Permit Application —�y�— Uatere-clved:� / 7�Bxy= Permit no.: �l[d_fir ii a M. i.211111.11M City 0f Tigard Project/appl.no.: pire date: Citvq(Tigard Address: 13125 SW Hall Blvd,•Tigard,OR 97223 Uateissued: eiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ 0MM U 1 &2 family dwelling or accessory U Commercial/industrial Multi-family U Tenant improvement U New construction 0 Addition/alteratioiVreplacement U Other: ._ U Partial Job address: 1x70„35" S V) -7/Iti2 PE / Bldg.no. Suite no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: -ff L. Project name: f)escriptio,n and location of work premises: Estinia'ed date of completion/inspection: Job no: ----------��---��ttt Fee Max Business name: -' _ tlescrip6wr _ Oty. (ea.) Total no.lmp - New residential-single or multi-family per Address: _ __ dwelling uniLhit ludesattached garage. City: _ State: Z1P Service included: Phone: Fax: E-mail: I rx)o sq.It,or less a CCB no.: Elec.bus.tic.no: Each additional 500 sq.ft.or portion thereof Limited energy,reeldential 2 City/metro lic,no.: Limited energy,non-residential _ Fach manufactured home or modular dwelling Signature of supervising electrician(required) Date Service and/or feeder Sup.elect.name(print). License no: Services orfeedens-Installation, MOM alteration or relocation: 2J0 amps or less 2 Name(print): At-L---Y, r/OC:(_ 201 amps to 400 amps 2 Mailing address: , tv �L3 5 401 amps to 600 amps 2 ..,�. 601 amps to 1000 amps 2 City: C- Mate' R ZIP: Over 1000 amps or vats _ _ _ 2 Phone: " •--S x: E-mail: Reconnect only I } owner installation:The'ifstallatinn is being made on property I own Temporary services or feeders- which is not intended for e,rent,or exchange ac7/;� Installation,altorallon,or relocation: ORS 447,455,479, 20f1 amps or less 2 p 201 amps to 400 amps 2 Owner's si nature: ti �i_ Date: 401 to 600 amt Branch circuits-nest,alteration, Namor extension per panel: Address: A. Fee for branch circuits with purchase of Address: _ ' ' i service or feeder fee,each branch circuit _ 2 City: State: J 7.IP: B. Fee or branch circuits without purchase Phone: I n I ratail of service or feeder fee,first branch circuit: — 2 Fach additional branch circuit: allyff IN Misc.(.Service or feeder not Included): U Service over 225 antps•eomtmercial U Health carefacilit} Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Bazardouslocation Fach sign or outline lighting 2 familydwellings U Building over 10,000 square feet four nr Signal circult(s)or a limited encrgy panel. U System over 600 vols nominal more residential units in one structure alteration,or extension* I 1 2 O Building over three stories U Feeders,400 amps or more *Description. O Occupant load over 99 persons U Manufactured structures or RV park Fieh additional inspection oyer the allo"able In any of the alcove: U Egress/lightingplan U Other: --- Perinspecfion Submit_seta of pians with any of the above. Investigation fee The above are trot applicable to temporary construction service. Other Not W Jurisdictions accept credit cards,please call Jurisdiction ror more Information Notice:This permit application Permit fee....� .... ........$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credo card number __ — / / _ within 190 days after it has been State surcharge(8%) ....$ Expires accepted as complete. �Neme a� cardholder u shown on c Itrc -- TOTAL .......................$ 71�,,1t� Cardholder sipature 4404615 WOVMM1 Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Relow: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Restricted energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.0 or loss $145 15 _ 4 Audio and Stereo Systems Each additional 500 so It or portion thereof $3340 1 ❑ Burglar Alarm Limited Energy ?75.00 _ Each Manut'd Home or Modular Dwelling Service or Feeder $90.90 2 Garage Door Opener' Services or Feeders n Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ 201 amps to 400 amps $108,85 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 C� Other Over 1000 amps or volts $454 65 2 Reconnect only $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30_ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)The fee for branch circuits wllh purchase of service or ❑ Clock systems feeder fee. Each branch circuit $6.65 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53,40 _ Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension _ $75.00 _ ❑ Landscape Irrigation Control' Minor Labols(10) $125,00 Each additional Inspection over ❑ Medical tit allowable in any o!the above ❑ Per inspection $62.50 Nurse Calls Per hour $6250 In Plant _ $73 75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling /�r, QC�� Enter total of above fees $ � ❑ Other 8%Stale Surcharge S rJ 3 5/ _,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 t� ��----77 Enter total of above fees $ Trust Account# - -- 8%State Surcharge S Total Balance Due $ i\dsts\fonns\eIc-frrs doc 10/09/00 %-vd TY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175MST - - INSPECTION DIVISION Busincss Line: (503)639-4171 BLIP Received Date Requested - -- ' f -? -- AM— PM BLIP --- - - / Suite_ MEC Location ._ --- - Ph(-- -) _ PL -- Contact Person _ - SWR - - Contractor - -- -- Ph( -) — ELC r � ' rFooting ILDING Tenant/Owner ---- -- I::LC undation F ss: 1 a�Q� - ? Z y ELR Drain awl Drain SIT Slab ection Notes: t5a t; c,T - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear - _ ---- --- Framing --- InsuWion l! _ Drywall Nailingc- Firewall � 7 - -- Fire Sprinkler _ Fire:%term -- Susr,'d Ceiling Roof - - - --- Other:- -- - - Final PASS PART FAIL PLUMBING Post&Beam -- Under Slab - Rough-In Water Service Sanitary Sewer Rain Drains -" --------_. --- - - _ Catch Basin/Manhole Storm Drain Shower Pan _ -- Other: _-- Final -- - PASS PART FAIL MECHANICAL ---- — _ -�� Post&Beam ---- -- ---�-- Rough-In --Gas Line Line Smoke Dampers — — Final PASS PART FAIL - ELECTRICAL - - Service Rough-In UG/Slab Low Voltage-4/,Ct.. --- Fire Alarm Final F] Reirspection fee of$. required before next inspection. Pay at Cite Hall, 13125 SW Hall Blvd. -rfA_s""RT FAIL Unrole to inspect-no access SIT [� Please call f r reinsp tion RE: - Fire Supply Line _ InspectorCL / �, - ADA / Ext Approach/Sidewalk Ottltb � �- Other: __-_ +�DO NOT REMOVE this Inspection record from the Jab #o, Final PASS PART FAIL CITYOF T I G A R D _ ELECTRICAL PERMIT DEVELOPMENT SE?V=SFPERMIT#: ELC2000-00040 S DATE ISSUED: 1/31/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) (;39-4171 PARCEL. 2S102CB-03400 SITE ADDRESS: 10055 SW GARRETT ST SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISUIC T ION: TIG Proiect Descriotion• Reconnect only. r— 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 LTV: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER i BRANCH CIRCUITS -- -- _,— � ADU'L INSPECTIONS_____ 0 - 200 artm: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADWL BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: — >=4 RES UNITS: > 600 VOLT NOMINAL__ Reconnect only: 1 SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX AND OTTE I PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: — FEES _ _ Required Inspections Tye B Date Amount Receipt ,p _Y - — bIsderground Qnver , r,-,I kJ�J C ? PRMT DEB 1/31/00 $53.50 00-321506 Elect'I Final SPCT DEB 1/31/00 $4.28 00-321506 Total $57.;R --- This Permit is issued subject to the regulations con'ained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plan; This permit will expire if work is not started within 180 days of issuance,or 9 work is suspended for more than 180 days ATTENDON Oregon law requires you to followadopte Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0080 You may o ain copies of these rules direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE 4 ISSUED 6Y: OWNER INSTALLATION-ONLY -- / Fhe installation is being made on property I own which is not intended for sale, lease, or, rent. OWNER'S SIGNATURE: DATE: _�— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — DATE:__ LICENSE NO: - -- --- ----- --------- -- --- — Call 639-4175 by 7:00prn for an inspection the next business day CELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: ELC2000-00040 DEVELOPMENT SERVICES DATE ISSUED: 1/31/00 - 13125 SW Hall Blvd..Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 10055 SW GARRETT ST SUBDIVIS'ON: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect only. 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: 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: 1 SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX AND LOTTE I PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: FEES Required Inspections Type By Date — Amount Receipt PRMT DEB 1/31/00 $53.50 00-321506 Elect'I Final SPCT DEB 1/31/00 $4.2.8 00-321506 Total $57.78 This Permit is!slued subject to the regulations contained in tha (igard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in dcoordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work.is m suspended for more (nan 180 days ATTENTION Oregcn law requires you to follow readopted bylline Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-^3dO You may obtain copes of these rules direct questions to OUNCI a,,503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: j\ / _ OWNER INSTALLATION ONLY The installatio i is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_ LICENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARDPla heck# _ Electrical Permit Application Rec By 13125 SW HALL BLVD. Date Recd /- TIGARD OR 97223 Date to P E Phone(503)639-4171, x304 Date to DST t�f Inspection(503)639-4175 Print of Type Permit#Z'a- - l� Fax (503)598-1960 incomplete or illegible will not be accepted Called._____ _ 1. ,iota Address: 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development Name(or name of business �L'p/ �= Service included: Items Cost Sum Address 5 S �S A R 22 c T T 4a. Residential-per unit en 1000 sq K or less E 117.75 4 City/State/Zip_ /4/� X72 3 - Each additional 500 sq.N.or portion thereof $ 26.75 Commercial ❑ Residential // � Limited Energy $ 60.00 F ach Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder b 72.75 ` (Prior to permit issuance,applicants im)"t provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor __ 200 amps or less $ 84.25 2 201 amps to 400 amps $ 85.50 2 Address 401 amps to 600 amps _ $ 128.50 _ 2 City J State _Zip 601 amps to 1000 amps $ 192.50 2 Phone No - Over 1000 amps or volts E 363.75 2 Job No. _ Reconnect only •--i• $ 53.50 2 Elec.Cont.Lice. No. Exp.Date 4c.Temporary Services or Feeders OR Etate CCB Reg No. _-_-Exp.Date_ Installation,alteration,or relocation -- COT Business Tax or Metro No Exp.Date - 200 amps or less $ 53.50 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps $ 100.00 2 Signature of Supr. Elec'n --- over 600 amps to 1000 volts. see"b"above. License No _ ._.Exp.Date 4d.Branch Circuits Phone No -- ------ New,alteration or extension per panel - - a)1 he fee for branch circuits 2b. For owner Installations: with purchase of service or feede fee. Each branch circuit $ 5.35 Print Owner's Narne - h)The fee for branch circuits Address _ -- without purchase of service City State. _Zip or feeder fee. _- ---- 37.50 First branch circuit 3 _-- Phone N0. --- Each additional branch circuit $ 5 35 The Installation is being made on property I own which is not 4e.Misce1181`1e01Ja intended for sale,lease or rent. (Service or feeder not Included) Each pump or Irrigation circle $ 4275 _ Each sign or outline lighting $ 42.75 Owner's Signature _ - Signal circuit(s)or a limited energy panel,alteration or extension $ 60.00 3. Plan Review section (if required):* Minor Labels(10) a 100.00 Please check appropriate item and enter fee in section 5B. 0.Each additional inspection over the allowable;n any of the above 4 or more residential units in one structurePer Inspection $ 50.00 _ Service and feeder 225 amps or more Per hour _ $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: Sa.Enter total of above fees =yZ4` Submit 2 sets of plans with application where any of the above apply. 8,6 Surcharge(.08 X total fees) $ Not required for temporary construction services. Subtotal 5h Enlni 25%of line Sa for NOTICE Plan Review if re_gtired(Sec 3) $ Subtotal $ - -- PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR t ! trust Account# 7 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS $ � AT ANY TIME AFTER WORK IS COMMENCED Total balance Due i.�dsts\ri rms\elcctric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BUP —_Date Requested 3_ AM PM _ BLD Location Suite � � MEC — Contact Person Ph PLM Contractor— _ Ph SWR BUILDING — Tenant/OwnerELCG'— /�C>L'✓/ — Retaining Wall — — ELR Fo,ting Access: -- --- Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab ------ - - ----- --- SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler ------- Fire -----Fire Alarm Susp'd Ceiling _- - Roof Misc: —- -- ---- -- --- -- --- Final PASS PART FAIL --- --- ---- - — - _ PLUMBING Post& Beam Under Slab Top Out �- ----- ------ S� Water Service c. _--__ r-.e- ,J Sanitary Sewer Rain Drains Final - - --- --.._._..------- -- PASS PAR'r FAIL MECHANICAL P u F t & H(� m n -- --------_-.� .—._..-_ _ ---------- ----- Rough In Gas Line ------ - - ---- ----- - - Smoke Dampers Final - -- — - PASS PART FAIL Service /'-e C i.-, a.., -- - _- -- Rough In UG/Slab Low Voltage Fire Alarm ---- P S PART FAIL - -------- 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 reinspection RE: J Unable to inspect-no access ADA Approach/Sidewalk Date Inspector blL Ext Other _ Final PASS PART FAIL O NOT REMOVE this inspection record from the job site. CITY OF TIGAi�Q ELECTRICAL PERMIT PERMIT#: ELG2001-00113 DEVELOPMENT SERVICES DATE ISSUED: 2/27/01 13125 SW Hall Blvd., Tigard, OR 97223 (5031 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 10055 SW GARRETT ST 18 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Project Description: Reconnect Only RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 6ul+amps - 1000 volts: MINJR LABEL (10): SERVICE/FEEDER _ _ BRANCH CIRCUITS _ ADD'L INSPECTIONS —^0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SIR\1C OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 •- 1000 amp: PLAN_ REVIEW SECTION__ _ 1000+ arTrp/volt: >=4 REE UNITS: 600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX AND LOTTE I OWNER PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Rec; #: FEES Required Inspections Type Byr Date Amount Receipt Elect'I Service 5PCT CTR 2/27/01 $5.34 2720010000( Elect'I Final PRNIT CTR 2127101 $66.85 2720010000( Total $72,19 " This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes 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 days of issuance,or if work is suspended foi 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 952.001-0010 through OAR 952-001-0080 You may obtain copies of these rules or diract questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: � OWNER INSTALLATION ONLY The installation is being made on pro ertl4wmwhIch is not intended for sale, lease, or rent. DATE:"- Z? 6/ OWNER'S SIGNATURE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE:-- LICENSE ATE: _LICENSE NO: -- ---- --- ----- --- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: • �p Permit no. D/ City of Tigard Projectlappl.no.: Expiredate: Ott,(,(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TTOE OF PERMIT U I &2 lamily dwelling or accessory U Commercial/nl,lur,owl Multi-family U Tenant improvement U New construction U Addition/alterationireplacement U Other: -_- U Partial 11 SITE INFORM_010� Joh address: 005.5- 31 iQ % Bldg.no. Suite no.: I IrTax maphax_lot,o count no.: Lot: Block: Suhdivision: _ Project name: Description and location of work on premises: C/ Estimated date of completion/inspection: —C'vOJ A/ N/ 0 .Q ! Job Ito: Fm Max I, ---- - —� - - - Ilcvcription Qly. (ea.) Total no.imp Business name: ��,VVV y --- - Nenresidential-single ormulti-fandlylwr e Address: doellingunil.Inclorlesaltachedgarag,�. ii City: Slate: ZIP: Serviceincluded: S Phone: Fax: f:-mail: IMO sq.ft.or 1es� _ 4 CCD Ito.: Elec,bus.tic.no: Each additional 500 sy ft.or portion thereof -- Limited energy,residential 2 City/metro lic.no.: Liouted energy,non-residentiul - 2 Each manufactured home or modular d%ceiling SI nature of su ervising electrician(required i I t,uc Service and/or feeder 2 Servicrs or feeders-Installation, Sup.elect.narnc(pnni) i License no: a lteratioii or relocation: 1 200 amps or less 2 Name(print): G-Li` / /✓/c L` 201 amps to 400 amps 2 Mailing address-. c,, V �5"� 401 amps to 600 amps 2 601 amps to 1(xx)amps _ 2 City: L Stale: , Z1P: r2.671 Over 10(x)amps or volts — - Phone: Y1f—S Fax: I E-mail: Reconneclonl ---_ — I K Owner installation:The Installation is being made on property I own Temporary services or feeders- which is not intended for s se,rent,or exchange according to Installation,aiteraHon,orreloration: ORS 447,455,479,6 200 snips or less _ _ 201 amps to 400 snips — 2 O%N ner'S sl nature; L Date: z a� 101 to 600 am s 2 Rranch ch-culls-nen,alleralion, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: ' service or feeder fee,each branch circuit _ 2 Clly: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit 2 Phone: fax: E mail: — liach additional branch circuit Misc.(Service or feeder not included): U Service over 225 amps-contntercial U Health-care facility inch pump or Irrigation circle _— t]Service over 320 amps-rating of I&2 U Hazardous location Bach sign or outline lighting 2 family dwellings U Building over 10,(1(x)square feet four or Signal circuit(s)or a limited energy panel, U System over 610 volts nommnl more residential units in one structure alteration,on extension' 2 U Building over three stories U Feeders.4M anips or more *Description U occupant load over 99 persons U Manufactured structures or RV park FJtch additional inspection over fire allonable in any of the above: U FEress/lighlingplan U Other: _ --- - - Perinspection I - — - submit__,_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all Judsdicttons nccrpcants, t ctedit please call lurisdiction for rrear information. Notice:11tis permit application Permit fee..................... _ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ IT) $ __ Credit card number I within 180 days alley it has been Stale surcharge(8(,'i)....$ Expires accepted as complete. TO'T'AL . $ - — Nanx of cudholder at shown on crc it card S --' 'r-ardholder signature Amount JJI)J615 IMxltt'11x1 I Electrical Permit Fees: Limited Energy Fees: 1 –"—��– TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections Eer permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved Residential-per unit I000 sq ft or less $145 15 _ _ 4 Audio and Stereo Systems Each additional 500 sq.fl.or portion thereof _ $3340 1 Burglar Alarm Limited Energy — $75.00 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 __ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 Vacuum Systems' 201 amps to 400 amps _ $106.85 2 El 401 amps to 600 amps _ $16060 2 �1 Other 601 amps to 1000 amps $240.60 2 _J Over 1000 amps or volts $454.65 �' Reconnect only $66 85 7 j 2 TYKE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system......................................................... $75.00 Installation,alteration,or relocation 2 (SEE OAR 918-260-260) 200 amps or less — $66 85 201 amps to 400 amps _ $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133 75 2 Over 600 e,nps to 1000 volts, Audio and Stereo Systems see"b"Above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or leader lee. r� Each branch circuit $6 65 1 LJ Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder lee. First branch circuit $46.85_ MVAC Each additional branch circuit $6.65 _ Miscellaneous F-1 Instrumentation (Service or feeder not included) Each pump or Irrigation circle $5340 Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension $7500 _ Minor Labels(10) $125.00 Medical Each additional Inspection over the allowable in any of the above Nurse Calls Per inspection $62.50 Per hour $62.50 In Plant _ $7375 LJ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling r( Enter total of above fees $ �_- V S F-1 Other 8%State Surcharge $ 3 14 --_ ___Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installalionr See"Plan Review"section on $ front of application �.-- - Fees: Total Balance Due $ - —� Enter total of above fees : Trust Account p _ - 8%State Surcharge = - Total Balance Due i ktstx\formsklc-fecs duc 10,109/00 CITY OF TIGARD BUILDING INSPECTION DIVISION 24--Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ -- —_Date Requested - a� / AM BUP _PM — BI_D Location_— �v C S "`1� fc' Suite _ MEC Contact Person Ph PLM _ Contractor -- Ph _ SWR BUILDING _� Tenant/Owner Et-C 2-&c,_�=C�'C Retaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes SGN Slab Post& Beam - ---- -- ----- SIT Ext Sheath/Shear - Int Sheath/Shear ----- — Framing Insulation ----- - -- Drywall Nailing Firewall -- — Fire Sprinkler Fire Alarm Susp'd Ceiling ---_----� _ -_ Roof — y --- --- — Misc: ----- - — - -- r..�L Final ---- ------- P0 PART FAIL PLI. 1NG — Post&Beam ---- — — Under Slab TopOut ------ ----------..__— ----- _ Water Service Sanitary Sewer __-- Rain Drains F inal - - --- -- PASS PART FAIL MECHANICAL Post& Beam - - - - -- ---- -------- Rough In -- Gas Line --- - _ Smoke Dampf,rs Final - - PAES_ RT FAIL _- - -- --- - - --- - LECTRICAL - - - - -- .�f31VICe Rough In —---- tJG/Slab f �.- I nw Voltage Fire A Ja[tn . - - -- --rp�A- SS PART FAIL SITE ----- _ ------- __--__ Backfill/Grading --- ------_.__ - -- SPi;irary Sewer Storm Drain ( ] Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE -- _ (- J Unable to inspect- no access ADA Approach/Sidewalk i Other Date / bZ f- oe*l_ Inspector --�-L � -Ext Final -- PASS PART FAILJ DO NOT REMOVE this inspection record from the job site. CITYO F T I G A R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ES UIED: 1/26/01 00057 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 10055 SW GARRET T ST 011 SU3DIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : J09 JURISDICTION: TIG Proiect Description: Reconnection of electrical service for apartment# 11. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'I- 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ _ BRANCH CIRCUITS ADD'I_ INSPECTIONS 0 200 amp: W/SERVICE 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: 1 SVC/FUR >= 225 AMPS: _CLASS AREA/SPEC OCC: Owner: Contractor: FINKS, ALEX AND LOTTE I OWNER PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: _ FEES _ Required Inspections Type By Date Amouid Receipt _ Elect'I Service PRMT CTR 1/26/01 $66,65 2720010000( Elect'I Final 5PCT CTR 1/26/01 $5.',5 2720010000( Total $72.20 This Permit is issued subject to the re�IL lations contained in the Tigard Munidpal Code. State of OR Specialty Codes and all other applicable laws '\II work will be Cone in accordance with approved plans This permit will expire if work is not started wrthin 180 days of issuance,or if work is suspended for more than 180 days Al (ENTION Oregon law requires you to follow rules adopted by the Oregon Utility Nctification Center Those rules are set forth in OAR 952-001-001, through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 240.198 7 PERMITTEE'S SIGNATURE 'tib 138 D BY: OWNER INSTALLATION ONLY _ The installation is being made on prop -1 tt n which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: Z t ` ��=� DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATr LICENSE NO: -__-_-- -- --- --.-__ Call 639-4175 by 7:JOpm for an inspection the next business day Electrical Permit Application Date received: 1-,6-p/ Permit no.:ELf:�ap/-DSS' (shy Of Tigard Project/appl.no.: Expire date: Ci Iv r l i,gard Address: 13125 SW Hall Hlvd,•I igaid,(W 972.1; Date issued: By: Receipt no.: Phone: (503)639-4171 Fax: (503)598-1960 Case file no.: Payment lyre: Land use approval: U 1 &2 i�iir::y dwelling or accessory U Commercial/industrial Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial AOH SITE INFORM ATION Joh address: S h C A j0 P 1' 7 7- Bldg.no.: Suite no.: Tax map/tax lot/account no,: Lot: Block: Subdivision: Proiec(name:('/fit /,r,T"; -A-7A Description and location of work on premises: 9Q / O L _ Estimated date of completionnnspection: Job no: Pee Max Business naplC: 6(,/ IF/�- Ucscriptlon Qty. (ea.) Total no.Ins t New residential-single sr multi-family per Address: dnelling uttit.Includes attached garage. City: Slate: ZIP: %erviccincluded: Phone Fax: E-mail: I"sq.n.or less a CCB no.: EIeC.tills.IIC.no: Each additional 51x)sq.ft.or portion thereof Limited energy,residential 2 City/nlelro IIC.no.: Limited energy,non-residential 2 Each manufactured hs ne or modular dwelling Signature of supervising electrician(required) Date Service and/or feedet __ 2 Sup elect natne(print) License no: Servicosorfeeders-Installation. alteration or reiocallon: I'ROI'ERTV OWNER2W arnps or less 2 Name(print): /At-I- •\ r' !/� �t ,... 201 amps to 4(10 amps _— 2 401 amps to 600 amps 2 Mailing address:. e J r 3 t.sT P- City: amps to 1000 amps 2 City: 7(- A State:Cllr I ZIP:?7' 7 ✓3 / Over 1000 amps or volts 2 Phoneme q Fax: E-mail: Reconnect only Owner installation:The installation is being made on property 1 own Temporary Cervices or feeders- which is not intended fo sale e,rent.or exchange according to InstallnNon,aheratlon,orrelocalion: URS 447,455,4791 2(x1 amps or less 2 201 amps to Af.O amps 2 Owner's si,natur "� Date: ` 401 to 600 wn n, 2 Branch circuits-new,alteration, or extension per panel: Name: —_ A. fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase - of service or feeder-(rfee,first branch circuit: 2 Phone: rax: Eail: -- fiach additional branch circuit: Misc.(Service or feeder not included): U Service over 225 amps-commercial U Health-core facilr� Fach pump or irrigation circle 2 U Service over 320 amps rating of 1&2 U Hazardous location F,ach sign or outline lighting 2 family dwellings U Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel. USystem over 600volts nominal more residential units in one structure alteration,or extension* _- 2 U Building over three stories U Feeders,400 amps or more iit)escn tion: U Occupant load over 99 persons U Manufactured structures or RV park Porch additional Inspection over the allowable In any of the above:—� •f-gressAightingpirt U Other: .-- _ - per inspection Submit___sets of plane with any of the above. Investigation fee_ The above are not apj 9coble to temporary constivetion service. Other Not all Jerisdlctions accept credit card,,please call Jurisdiction for more Infomwion. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ credit card numtKr within 180 days after it has been State surcharge(8%)....$ _ xpita — accepted as complete. TOTAL .......................$ Nine of emlholder s,shown on c tt cid Cardholder signature Amount 440-4615(6W'OM) Electrical Permit Fees: limited Energy Fees: --- — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee.............^.................................... $75.00 Number of Inspecticns per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total I Check Type of Work Involved: Residential-per unit 1000 sq ft or less $145 15 4 Audio and Stereo Systems Loch additional 500 sq ft or portion thereof $33.40 1 I F-1 Burglar Alarm Limited Energy — $75.00 Each Manufd Home or Modular p Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders F-] Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 C, Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 amps _ $240.60 2 ------ ---- --- - - -. _ _ Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY TempFee for each system.......................................................... $75.00 In.tall orar alteration,or relocation 200 amps or less $66 85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps _ ^_ $133.75_ 2 Check T ype of Work Involved: Over 600 amp's to 1000\,nits, ❑ Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fec for branch circuits ❑ with purchase of service or Clock Systems feeder fee. Each branch circuit $665 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service F-1 Fire Alarm Installation or feeder lee. rust branch circuit _ $4685 - HVAC I.ach additional branch,circuit $665 Miscellaneous t__J Instrumentation (Service or feeder not included) Each pump or Irrigation circle $5340 _ __- Ell intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension __ $75.00 _ p g Minor Labels(10) $12500 Medical Each additional inspection over the allowable In any of the above Nurse Calls Per inspection $6250 Per hour _ _ $62 50 In Plant ^— $73 75 _ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ _ Other 81.1.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 fees $ L] Trust Account N - 8%State Surcharge $ Total Balance Due ------- i Wsts\fbrms\cic-fees doc 10'09 00 CITE' OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2001-00295 DEVELOPMENT SERVICES DATE ISSUED: 6/6/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CB 03400 SITE ADDRESS: 10055 SW GARRETT ST 20 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: ELECTRICAL RECONNECT. 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: 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: 1 SVCIFDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX AND LOTTE I PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 6/6/01 $66.85 2720010000! Elect'I Final 5PCT CTR 6/6/01 $5.35 2720010000( Total $72.20 1 his Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws AI;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 than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Ti ose rules are set forth in OAR 952-001010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 46F699 or 1-800-332-2344,� � i Permit Signature: Issued By: _ OWNER INSTALLATION ONLY 1 lie installation is being made on property I own which is not intended for sale, lease. or rent. OWNER'S SIGNATURE: _ _ _--_. DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: _ _ DATE:___ LICENSENO: -------------.�— ------- ------- --- _.�—._ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application - - Date received: o.I Permit no.: L City of Tigard Project/appl.no.: Expire date: Address: 13125 SW lialI Blvd,Tigard,OR 972x3 Date issued: B . Receiptno.: ctryu(77gard J A) Phone: (503) 639-4171 Fax: (503) 598-1960 l Case file no.: Payment type: Land use approval: / , 7G I &2 family dwelling or accessory U Commercial/industrial Multi-family U Tenant improvement U New construction U Addition/alteration/replacemcw U Other: U Partial Job address: -'A-r E'T Bldg.no.: ISuite no.: Tax map/tax lot/account no.: Lot: I Block: — Subdivision: - 7 Project name: Description and location of work on premises Q _ e L f Estimate' 'ate of cum leu m/ins ction: Job no: Fee Max Description Qty. (ea.) Total no.Ins r BUSIneSS name: New residential-single or multi-family per Address: r dwelling unit.Includes sttarlted garage. City: State: 'LIP: Service included: Phone: Fax: E-mail: ItxM)sq ft.,„Icss 4 Each additional 500 sq.ft.or portion thereof CCB no.: Elec.bus,lic.no: Limited energy,residential 2 City/metro lic.no.: Li_miledenergy,non-residential 2 Each manufactured home or modular dwelling —_ __- Service and/tit feeder 2 Signature of supervising clectricien(required) Datc - Sup elect name(proll't - Services or feeders-Installation, License n alteration or relocation: 200 amps or less -' 201 amps to 400 amps 2 Name(print): ��G / /J t-� 2 401 amps to 600 amps Mailing address: /, D- (-U-x X1- 5�,"L 601 amps to 1000 amps _ 2 City: r C' Stated > ZIP: Over 10(x)amps or volts _ 2 Phtnte: ,'Z�f<t - ' F Reconnect only E-mail: r I owner installation:The Inst being made on property I own rempotion,a ter2tirqry services orfeeder c Installotiou,ahersHon,or relocation: which is not intended f e,lease,rent,or exchange according to lamp,„t Icss _ _-_ z _ ORS 447.455,479, d o ii an,p to 4t11)amps- ----- 11 Owner's si natu - e ( � ' Date: 4011"600 am Branch circuits-new,alteration, ores, sion per panel: Name- _ for branch circuits with purchase of Ad:;ress: ;ervice or feeder fee,each branch circuit _ Slate: ZIP: B. Fee for branch circuits without purchase City: -- -- - of service or(ceder fee,rent branch circuit: Phone Fax: E-mail: Gach additional branch circuil: Misc.(.Service or feeder not Included): U Service over 225 amps-cotmnercial U Health-care facility Each pump or irrigation circle 2 •Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting - 2 familydwellings U Building over 10,(MM)square feel four or Signal circuil(s)or a limited enctgy panel. U System over 600 volts nominal mor;residential units in one structure alteration,or extension" 2 U Building over three stories U Feeders,4(10 amps or more •Ikscri tion: - U()ccupant load over 99 persons U Manufacturer)structures or RV park Loch additlattal inspection over the allowable In any of the above: U Egresdlightingplan U Other: . _ -- Perinspection Submit _ sets of plans with env of the above. Investi ationfcc The above are not applicrble to temporary construction service. Other Na oil jurisdictions wcepr credit cant,please call jurilydiction for more information.' Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ credit card number �__ within 180 days after it has hcen State surcharge(8%) ....$ 1`� expire` accepted as complete. TOTAL $ .................. _ Name of cardholder as shown on credit card S Cardholder siVotwe Amount 440.4615(f>/O WOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspectiontr perInspections 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 u Burglar Alarm Limited Energy _ $7500 Each Manut'd Home or Modular El Garage Door Opener" Dwelling Service or Feeder — $9090 _ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,of relocation 200 amps or less _ $8030 2 El201 amps to 400 amps $10685 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 2 ❑ 601 amps to 1000 amps _ $240.60 _ 2. Other Over 1000 amps or volts $454.65_ 2 Reconnect only _r— $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps i�Y $100.30 2 401 amps to 600 amps _ $13375 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or Ej Clock Systems feeder fee. Fach branch circuit $665 _ _ _ 2 F-1 Data Telecommunication Installation b)The fee for branch circuits wlfhorR purchase of service Fire Alarm Installation or feeder fee. First branch circuit __ $46 85 _ Fach additional branch circuit $665 L� HVAC Miscellaneous ❑ Instrumentation (Service or feeder nut included) Each pump or irrigation circle $53.40 _ ❑ Each sign or outline lighting $5340 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $7500 _ ❑ Landscape Irrigation Control" Minor Labels(10) _ _ $12500 Medical Each additional Inspection over �� Y ❑ the allowable In any of the above ❑ Per inspection $6250 Nurse Calls Per hour -- — $6250 —_ In Plant _ $73.75 Outdoor Landscape Lighting" Fees: [J Protective Signaling Enter total of above fees $ ❑ Other T 8%State Surcharge $ -------_--Number of Sysr ems 25%Plan Review Fee See"Plan Review"section on $ " No licenses are required Licenses are required for au uiI,.,installations front of application - ---- Fees: Total Balance Due $ Enter total of above fees ❑ Trust Account#-------------- 8%State Surcharge Total Balance Due I vt%L\fumes\eIc-fees doc 1010900 CITY OF TIGARD 12420 S. W. Main RESIDENTIAL BUILDING PERMIT Tigard, Oregon Phone---rte: Building - _ Date issued Bldg. Permit No. Address /DQS Gy G'.1�$R,F T1_ ��.._� �- 6 8'• 40 - Localit #.A"---- --_-- -_--- Vr UATION Bldg. Fee $ l i4 0 D Nearest Plan Cross St, 4. O 0 0. Checking O 0 S'.�� R C,..-.� -- RecEiyt�Vo. Fee L;, 'NAME_._�_�- -'.X_BJ�L� _-_��N/C L3 - Address (p Total 2416 DO u , O 1 City Tel.No. No, of Bldgs. Use of Bldg(s) ------- - -------- - NAME 11�S �1�u 14 16s2 •} pcl4 Now on Lot Now on lot V) Addres i9RAZAAA 13 SPECIFICATIONS I m City_ PP IQ r" w Foundation -- -- - °- State License No, A ( ) _Material E ( ) Width of To H NAME iQX B�GQ�$_�t7N C O Width of Bottom Address I_DeEth in Ground F- O Cit v- tee a/p _ —_ Tel.NoW. Plate (Sill)_ Size, S acin San Subd. R!lcwlNF�tt�CJtaAttsl T/eA�Tl -._ Girders - z Block _`� _- -_ Joist-1st Fl, x" O Joist-2nd Fl, 2,A I a. Tax Account No. - ---`-- - joist-Ceiling to AS UExterior Studs — _- N _ Interior Studs [a Type of Construction! - 1 II I1I IV VI Roof Rafters Occupancy Group — Bearing Walls _ A B C "T E F G ® I J Division 1 2 3 4 COVERING Fire Zone I__2__W—-- �— Exterior Walls I Af X. Roof j PA.V _ PIANNING AND ZONING INFORMATION interior Walls - --- Use Zone_ _�_-."�. _ Lot Provides Lot Requires P.eroo_fin Area of Lot FLUES Front Yard �— — Fireplace _ Fl. Furnace SideYard L Kitchen Water Heater__ Side Yard R VFurnace Gas Oil Elec. Rear Yard - -� -T- _ — - SEWAGE Type of Occupancy - -_ _ _ Septic Tank i ) Total F1. Area B. —1 000 2,.34VV Sanitation District f /Q New Const. ( ) Altera. ( ) Addition ( ) Sanitary: Change Of C`LL U A11Cy,.1.L _ _— - By: From: S<f Date: Kind of Livestock Approved: CHIEF BUILDINGOF ILIAL GARAGE OR CARPORT' --- —^-- - - - Attached ( ) Detached ( ) By: Basement ( ) No Provision ( ) PARKING SPACE PROVIDED PLOT PIAN One _( Two ( �,Three or More (I(0) Zoning: -� --_-By: Date: Map Numbet Qtr. Sec, No. _ Census Tract__ _ No, Assigned by-_ + Field Check by Date SPECIAL INFORMATION 3ERM t7- a V.-M-- 09f-R_a-&9ftAAtAft-eK r �r4RKt�ti�!F�_R_�!h__�.A_R.�_t��letQ.atr/lteret.rr_ Address Localit V UATION Bld Fee $ 1,64 O O Nearest Plan $ '4 O O d, "' Checking O Cross St. S', �� -w - f Fee to. W NAME ,,,L± /4 � X1y��-� Rece -_—_��-N/C!3 �} Address d Total .Z '4 �0 00 O Cit _ Tel.No. No. of Bldgs. Use of Bldg(s) NAM , /y�� jZ uN 1��3_-��,[ipG/13 j' Now on Lot Now on Lot —.- Address SPECIFICATIONS — z >' Cit Foundation Y Da a --- °- State License No. �A ( ) Material S"QNG _ E ( ) Width of Top all NAME Width of Bottom O Address De th in Ground V H O Cit—POST Tel.No. 2.#!*- / R.W. Plate (Sill) Sizc, S acing, San Subd. �_3�W_ N�..— ig ,� war —T�eA..Tl Girders _ 4ALE z Block �_ L of �" / ----�- Joist-1st Fl._ .'Z" " p Joist-21id Fl. - -' N Tax Account No. _ Juist-CeilingTQ w.S ' — Exterior Studs Interior Studs A Tye of Construction - I Il 111 1V VI y_ Roof Rafters Occupancy Group — — Bearing Walls A B C "- E F G ® I J — Division 1 2 3 4 _ COVERING -- _ Fire Zone 1 2 �� Exterior Walls Roofj PA.V — PLANNING AND ZONING INFORMATION Literior Walls Use Zone Lot Provides Lot Requires ReroofingArea of of Lot _ -_ FLUES Front Yard _ Fireplace Fl. Furnace r Side Yard L _ Kitchen Water Heater Side Yard R _ Furnace —.--Gas Oil Elec. Rear Yard _ _ --�-- SEWAGE p`--�•�-_ Type of Occupant _ Septic Tank ( ) Total Fl. Area B, 1 400 ^2,4400 Sanitation District New Const. ( ) Altera. ( ) Addition ( ) Sanitary: Change Of Occupancy T'c• By: _-- _-_- - From: Date;_ Kind of Livestock — _ _ � _ Approved: CHIEF BUILDING OFFICIAL, GARAGE OR CARPORT — Attached ( ) Detached Basemehc ( ) No Provision ( ) PARKING SPACE PROVIDED PLOT PLAN One ( ) Two _L -Three cr More 10) _ Zoning: By:____ — Datc: _ Map Number Qtr. Sec. No. Census 'Tract No. Assigned by, _ — Field (:heck by _ Date SPECIAL INFORMATION — I hereby acknowledge that 1 have read this application and state that the above is correct and agree to comply with all City Ordih ances and State L ws regulating build' construction. Signature of TO -1PerinitteeA � By CI' OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Line: 639-4175 Business Line: 639-4171 �— _ Date Requested �- AM PM BUPBLD C) > . � ;1, /ter-� Suite 7." MEC LocationlG- � � _ --- Contact Person Ph G 3� ,U YI _ PLM Contractor I II Ph 1 f SWR _ BUILDING Tenant/Owner u )' r n y r a ELC Retaining Wall _ ELR _— -- Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: �^ --- Slab - r V/ C'f' n n J _— Si T _ Post&Beam �l/] — — Ext S;ieath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling _ 4 Roof Final PASS PART FAIL -- PLUMBING Post& Beam �— under Slab TopOut ------- ------- -------------- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam ---- Rough In Gas Line - - - -- — -. Smoke Dampers Final - P RT FAIL ervice ------- UG/Slab Low Vnitaye _�-�-------.— _ Fire Alai in _---- _-- F-i ASS PART FAIL Backfill/Grading ---------____�..___.___�-- --------___------ -- Sanitary Sewer Storrn Drain [ J Reinspection fee of$ ---required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: _ ( )Unable to inspect no access ADA ` ��-!� Approach/Sidewalk Date _ Inspector .-� Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.