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11770 SW KATHERINE STREET 9 P A I J 'Q V �TT Y m z m m rn Q I R 11770 SW KATHERINE STREET CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 MST Date Requestud 1 � 17-- � ` ` qM 1BUP PM_ _ BLD Location__ 7 C. o k4►L? Suite MEC Contact Perim _ Ph PLM qyLo Contractor _ Ph SWR BUILDING Tenant/pWnZ1n _5 [' --� cl'_ ELC _ Retaining Wall ELR Footing Access: - Foundation �t FPS Ftg Drain -- Crawl Drain Inspection Notes: SGN Slab — Post&Beam — - - - SIT _ Ext Sheath/Shear Int Sheath/Shear --- Framing Insulation Drywall Nailing Flre.wall — -- --- ------ --- - �_ Fire Sprinkler Fire Alarm - --- Susp'd Cellirg Roof -- -_, _.— ----------- --____-_---_..__----------- Misc: -- -- -------- - — -- ---- ----- -- - Final — _- ------ -- PASS PART FAIL PLUMBING — Post&Beam --- -- _ -- ---- - -- _ Under Sidb Top Out Water Service — Sanitary Sewer -- - - -- ----- Rain grains PART FAIL CHANICAL - - -- - - Post& Beane - Rough In - -- Lias Lirce --- Smr'.,a Dampers Final --- PASS PART FAIL ELECTRICAL -- - - -- - - Service Rough In UG/Slab Low Voltage -- Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- -- --- - - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next inspection Pay at City Hall, 131?5 S'W I lall Fllvri Catch Basin Fire Supply Line ( )Please call for reinspection RE:__,___ I ) t enable to inrr,ect no acres- ADA Approach/Sidewalk Date Other Inspector Ext I inal - PASS PART FAIL 00 NOT RIEUiOVE this inspection record from the job site. CITE' OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP Date Requested G AM ,�/�ii(N`_FM BLD _ Location I I -7 - Suite MEC Co+ttdipt Person �� RPh PLM Contractor �'11,� Ph �G'�oZ' �� SWR BUILDING Tenant/Owner _ _ x,;j-(7 ELC Ret;ening Well ELFT g:10 .9 7 Forting Access: FPS Fc-indation — - Ftg b iin ------ SIGN Crawl Lram Inspection Notes: -- —�- Post&Beam Ext Shcath/Shear -- Int Sheath/Shear Framing _ .__ ----- ---- -- ------ Insulation ----Insulation Drywall Nailing -- ------ — -----.-.._ - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- -- Roof Misc Final PAST+ PART FAIL — - LLIMBING 1 b Fi�am Under Slab - Tcp Out Water Service — Sanitary Sewer 1, IJ- Rain Drains, _ AS PART FAIL -- M- ANICAL -- Post 8 Beam --- _ ---• --.---...—. -------_ Rough In Gas Line Smoke Dampers Final --- --- _._..�-__-----------__-_ ---------- ____----._�— ------- PASS PART-_, FAIL — ELECTRICA-L* Rough In U&Slab ------ ------- _— ___ - - --- -------- Low Voltage Fire Alarm PART FI`.!L -- ----- --- - - — -- — !3 _ Backfill/Grade rg -- — --- —._.-----..— --- --------___Sanitary Sew Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin inspect-no access Unable.o ins Fire Supply Line [ j Please call fr�r reinsl,action RE: _--�_ � [ 1 P ADA Approach/Sidewalk ' , Inspector__ EXt Uther Date -- - _W� 1� _----- Final t PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD PLUMBING PERMIT DEVEL jI'MENT SERVICES PERMIT #. . . . . . . : PLM9B 6 ,12; 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/2P/98 PARCEL: 15134CD-01.600 51TE ADDRESS. . . : 11770 SW KATHERINE ST SUBDIVISION. . . . : I...E RON HEI(: fTS NO. 3 ZONING- R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :051 JURISDICTION: TIC,' CLASS OF WORK.. . :AL.T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1. OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIF_5. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . : 0 FIXTUREF ------ ---- I-AUNDRY TRAYS. . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE IRAPS. . . . . . . . 0 I_.AVATORIES. . . . : 0 OTHER FIXTURE:.S. . . . : 0 TUB/SHOWERS. . . : 0 SEWER I__INE (ft ) . . . : 1h WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Cl_trrier Ow.,f, ----------------------------------- FEF, ------ _____ -- LEONORD CURRIER type amoI.tnt by date recpt 11770 SW KATHERINEF F'RMT $ 15. 00 JSD 07/28/98 96-307768 '1"IGPRD OR 97223 SPCT $ 0. 75 JSD 07/28/98 98-3077t':.8 Phone #: 646-2500 PROGRASS LANDSCAPE: SERVICES 29895 SW KINSMAN RD WIL-SONVILLE OR 97070 Phone #: f 15. 75 TOTAL_ -------- REQUIRED I NSPECT I ONS This permit is issued subject to the regulations rontained in the RP/Nar_Lcflcw Prev Tinard Municipal Code, State of Ore. Specialty Codes and all other Fina] Inspection applicale laws. All work will be done in accordance with approyet plans. This permit will expire if work is not started within !80 days of issuinre, or if work i5 suspended for more than 180 days. ATTENTION: Ore-Aon law requires yolt to follow rules adopted by the Oregon Utility Notification Center. Those rules are _�- set forth in OAR 952-00W1-0010 through OAR 952•-0001-NhJBB. You may _____ �____ M„�,•..,.. obtain copies of these rules or direct questions to OUNC by calling (5031246-1987. Isstted Py;,' Per,mittee Siynatf_tre : __. ++++++,-+.+++-4.+++++4+++•+++t+++++++++++++++.+++++++++•++++-1++++++++++++++++•f+•+•+++++ Call 639--4175 by 7:00 p. m. for an inspection needed the next hl.tsine5 day ++++++ -++++++++++++++F++ -++++++-++++•+4++++++++++++++++++++++++++++++ 04/30/98 1111 12:54 FAX 503 598 1960 CITY OF TIGARD _. 10002 ::ITY OF TIGARD Plumbing Application Recd By` 13125 SVJ FALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Dale to P.E. (5031639-4171 Date to DST_ Permit Print or Type Related SWR 0 innomplete or illegible applications will not be accepted Called 6) — Name of DevelopmentlProiect On back Indicate Work Performed by fixture. Job FIXTURES (Individual) QTY PRICE AMT Address Street Address Sixte.- _ 9.00 r.S' lavatory y 9.00 Bldg It C /Slate , ZI ,� �� 03 Tub or tub/Shower Comb. 9.00 Name Shower Only I 9.00 _ tleG1lilt i itVn-ek- wraterCloset — --- Tu0 Owner Marlin A7d/dress Stute.- Dishwasher 9.00 It 7y_.( 10 (y �f' Gamage Disposal 9.00 Citylstale p Phone __ l L, /r i ?�� z. r• shing Machine , ) )Wi --� - _ 9.00 N e �y u rioarDrain 2" 9.00 i IU.- 9.00 Occupant Mailing Address Sute 4' 9.00 Water Heater .)con%ersion O like kind 9.00 City/Slate Zip Phone Laundry—W71 Tray 9.00 Name— / ,/ Unnal 9.00 — /iJ(71 fiS _ __ Othcr Fixtures(0peafy) — 900 -�- Contractor "Alin Adr�as�. I 5,4 — - -- 8.00 sec �� ;.�fT. Prior to perrnit Qlty4slate J Zi Phone 9.00 issuance,a copy of all licenses are Oregon Const.Co t.Board Lic.l! ate 9.00--- required -required fi/ r� .., __ sewer-1:,.t 100" 30.00 expired In COT Plumbing Lic.t: Exp.Date -- -- database I Sewer-each additional 100' 25.00 1 Name Water Service-1st 100' 30.00 Architect I Water Service-earn additional 2G0' 25.00 Or Ma ling Address Guile Storm 6 Rain Drain-1 st 100' 30.01 Storm 8 Rain Dram-each addition^i 100' 25.00 Engineer Cityrstatc Zip Phone Mobile Home Space — 25.00 Commeraal Back Flow Prevention Device or Anti- 25.00 Descnbe work New Y Addition O Alteration O Repalr c Pollution Device to be done Residential Non residential O_ Residential Backflow Prevention Device' -��1�� dr-ill OL Additional description of work: Any Trap or Waste Not Connected to a Fixture�i1t2�k'9f6f1e 9 00 'l.l �/'n �- /q� 1 1 " )47 R/7 11'�)11A07 Catch Basin 9.00 t Insp.of Existing Plumbing 40.00 10II_1_• perlhr Existing use of _ Specially Requested Inspe wns_— `- I 40.00 builCing orprcperrj L t♦If-R— _ 11 per/hi Rain Dram,single family dwelling 30.00 Proposed use of `lGrease Traps 9 — building or property .OU QUANTITY T017AL l hereby acxnowtedge that I have read this application,that the information 'tametric or nser diagram Is r"Wired d Cuanay Total is >9 given is rbrr".that I am the owner or authorized agent of the owner,and -- 'SUBTOTAL !hat plans submitted are in compliance with Oregon Stale laws. _ Signature of Owner/Agent _ Deta � 5°/.SURCHARGE a� PLAN REVIEW 25%°OF SUBTOTAL cont0f Person Name Phone Reaared oil rt nxtur.a totat Is,a -�.�L� - TOTAL - 'Mlnimum permit fees$25}5%surcharge,except Residential Backflow Prevention Cevwc.w'•rch is$15•5%surcharge i vhuipmepp doe S9r CITY OF TIGARD A� a DEVELOPMENT SERVICES ELECTRICAL )-'IERMJT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR38-0197 DATE ISSUED: 07/28/9f, SITE ADDRESS. . . : 11770 SW KATHERINE ST PARCEL- IS134CD--01600 5UBD I V I S I ON. . . . :LERON HEIGHTS NO. 3 ZONII\IG:R-4. 5 BLOCK. . . . . . . . . . . Lor. . . . . . . . . . . . . :051 JURISDICTN: TIG Project Description : Currier A. RE'SIDENTIAL---------- B. COMMERCIAL.-------- AUDI(:' & STEREO. . . : AUDIO & STEREO. . : I NTE RCOM PAG I NG. . BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/ 1'�;`I GAT. . GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS' " . . . . . VACUUM S`/STEM. . . . : FIRE ALARM. . . . . . . OUTDOOR LANDSCL"I"TF'-'* OTHER: IRkTGAT ION: - X H9AC. . . . . . . . . . . . : PROTECT I VE S I GNAT._. . INSTRUMENTATION. : OTHER. . : TOTAL. # OF SYSTEMS: 0 (Awner: FEES LEONARD CURRIER type amok.(nt by date rerpt ,11.770 SW KATHERINE PRMT $ 40. 00 JSD 07/28/98 98-307te,8 TIGARD OR 972'23 3PCT $ 2. 00 JGD 07/28/98 98-307768 Phone #: 62b-6308 Contractor: PROGRASS LANDSCAPE SERVICES $ 42. 00 'TOTAL 29895 SW KINSMAN RD REDUIRED INSPECTIONS WILSONVILLE, OR 97070 Low Voltage Insp Phone #: 682--6076 Flect' l Final Reg #. . : 6136 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forih in OAR 952-001-0010 through OAR W-W-OW. You may obtain copies of these rules or direct questionl,to W�A (503),146-1987. Issiked by_- Permittee OWNER I I\ISTPI--LA-r ION ONLY-.--- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNFRIS SIGNATURE: DATE INSTAL-LATICIN ONLY- IGNATURE OF' SUPR. ELECIN- DATE: LICENSE NO: +++++++++++++-+++.++++++++++++++++4.+++++++++++++...++++.5•+++++++++4+4+4.........f-+4++ Call 639-4175 by 7:00 P. M. for an inspection needed the next bf.tsiness day .......4...........4-++4...... ...........4...............4-++-++++4.........4-++++4.......4 + 04,,'20/98 TIR 12:55 FAX '303 598 1960 rn OF 'rIGARD 81003 RESTRICTED ENER1 " rLECTRICAL APPLICATION Recd by: CITY C1F T GARD Date Recd ` 13125 SW HALL BLVD PRINT OR T',fPE Z �,-,-1 TIGARD OR 97223 Permit# C' V - 503-639-4171 X304 Cust.Call'd'—_�•��.__' F - �v:;-584-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS WILL NOT BE ACCEPTED pStreel evelopment ProjectTYPE OF W K INVOLVED -RESIDENTIAL•ONLL ------ Restricted Energy Fee....................................... $40.00 vl (F-R AL1-SYSTEMS) JOB ress Ste# Check Typeof Work Invui,ed ewhexlil ,y L15 e# Audio and Stereo Systems `�I! zia ' l►+�) Name L7 E3urglar Alarm ,v01 11.Y_Ct �(,lV��r►' ❑ Garage Door Opener' OWNER f,laiiing Address J � h�'S� Heating,Ventilation and Air Conditioning System' Cit State U!1 �Zipp Phone# �1 ` C`I Vacuum systems" FVI Other/`�✓�,[� A��/� L l C" RACTOR Marin q.A�d�rps -TYPE OF WORK INVOLVED -COMMERCIAL ONLY �y� �'l_I K I/'1S/f'lfll i I�C�. --- .............. VO.00 - --ii--Li Phone# Fee for each system................................ suaneP a Cety/State r� A1 � �`t)/- (;EE OAR 918-260 260) licenses V' iced if Ore 7r. 9rd Lic # Ee Dale check Type of%Nock Involved: r C,O TWWI�IJ' ,ani.base) Electrical Contr Iii: # Exp Uale ❑ Audio and Stereo Systems C.0. or ytetro Lic - —� Ex�Qa e grader controls owner is Name Clock Systems OWNER - Mailing Address �-, Data Telecommunication Installation APPLICANT CilylState--- Zip Phune# Fre Alarm!nstaliation -This pernril is issued under OAE 918.320-370 This applicant agrees to HVAC make only restived energy installations(loo vult amps or less)under this IJ permit and to do the following' Instrumentation I Only use elec.nral licensed persons to do installations whore required Intercom and Paging Systems Certain residential and other transaction-,,e exempt from licensing. These have ast ris),W). All others need licensinq, Landscape Irrigation Control" 2 Call for Inspe:tions when installation under this permit are ready for L� Medical nsnection at 503-839.4175; l_ 3 Purchase separale germ is for all nstallatlons that are riot ready'or an Nurse Calls inspection when the inspector is out to inspect under this permit: Outdoor Landscape Ughting' 4 Assume responsibility for assurl.ig that all corrections required by the inspector are done,and, Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the 1 Other,�_ ------- corrections are completed. 1�I PerTits are nontransferable and non-refundable and expire if work is not Number of Systems started within 180 days of issuance or if work Is suspended for 180 days --- rto bUlnses are renuueri Licensee ere required for all other instatlabons The person signing for this permit must be the applicant or a person authorized to bind the applicant FEE$: P0 _- I�f / /`-,, ( I lE f/l_ W—L&A--- — -- ENTER FEES t siynature 5%a SURr;HARGE(.05 X TOTAL AE;OVE) S _ __ TOTAL Authority__it other than APPllcant -- -----�— �'4sisvesele.doc 7191 CITY CF TIGARD ,. ®EVELOPMEN7 SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 n perNit is issued s0ject tr tie reguWions co^-ta;c,ea in tie Ti;ard Municipal Code, Stag of Oregon Specialty Codes ai,d al i co. :!able laws. RI1 work wall be 1-re in a,.-ordance wit, appr,,aed pia.:s� ",s perm"" mill ehpire if wor'! ;�. rat sta'�p_ xitk; of is51i^ce, or- if Aark i; ss:spended fr core t`v, 1,30 dayt. qT"rKT1ON: 0*egon law requires you tc f the rules arjoptac. n._..,__._ i ,:i. �,_i �:. : :,.> n-.i,. r... ,-.,�.. :.� _ .s. F�l.F V, fir, ��+'i lt:L•.x.'l i-..�i� 4L,-_,._,�. n�� ryCn.� .t�_:_ _ ! e ' CITY OF TIGARD Electrical Permit Application Phn Check h 13125 SW HALL BLVD. Recd By TIGAAD OR 97223 Date Recd Dare to Phone (503) 639-4171, x304 Inspection (503) 639-4175 Print Or Type Permit Date tos Fax (503) 684-7297 Incomplete or illegible will not be accepted called 1. Job Address: _ 4. Ccmpl4te Fee Schedule Below: Name of Devel ,pment Number of Inspections per permit allowed - Nam, (or nameoi business) l�lJrlur�l C vrriFr ,!7, /<'/�T7,�r Service included: Items Cost � Sum Address //1,26 6 ;A/ /�i��i�/� ✓ 4a. Resi6eiWal-per unit City/State/Zip //-Ci4�+c� -__ 1000 sq.fl.or less Each additional 500 sq.rt ,r $110.00 _____ 4 portion thereof $2`.00 _ 1 Commercial ❑ Residential Limited Energy $"5.00 Each N1anuf'd Home or Modular Dwelling Service or Feeder -- b86.00 _ 2a. Contractor installation only,- (Attach copy of all Curr nt icegses / 4b.Services or Feeders Electrical Contractor i - 77C _ T-, ' Installation,alteration,or relocation Addres ' 200 amps or less $60.00 2 �Exp.D�te, 201 amps to 400 amps $80,00 2 ' City v-�ri�,c State _C _Zip �� '.'i 401 amps to 600 amps $120.00 --�_ 2 Phone No. / ��% t 801 amps to 1000 amps $180.00 2 C Job No. L-/ -Z r�`-�- Over 1000 amps or volts $340.00 -_- 2 Elec. Cont. Lice. No. Z(- _ t Reconnect only $50.00 2 �..5�- _----_-- OR State CCB Reg. No.=�9� Exp.Dute - 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.DateInstallation,alteration,or relocation 1--, 200 amps or less $50.00 2 Signature of Supr. Elec'n 2)1 amps to 400 amps $75.00 2 -` 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License Nr �j Exp.Date____d_.,_`____. see"h"above. Phone Nr ,:'y�._ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Adliress Each branch chcuit 5 nO -� Ci St to Zi A b)The fee for branch circuits city _ p- without purchase of Phone No. _ _ service or feeder fee. First branch circuit / $35.00 The Installation Is being made on property I nwn which is not Each additional branch circuit_ $5.00 z Intended for sal,,,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature -_ -_ _ - _ Each pump or Irrigation circle $40.00 - 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):' Signal circuits)or a limited energy panel,alturation or extension $40.00 2 Please check appropriate item and enter Minor Labels(1C) $100.00 fee in section 5B. -�� 4 or more residentipi units in one stru;cure 0.Each additional inspection over Service and feeder 225 amps or more the allowable In any of the nbove -__System over 600 volts nominal Per inspection -- $35.00 _ Classified area or structure containing special occupancy Per hour _ $55,09 _as described In N.E.C.Chapter 5 In Plant _ $5500 *Submit 2 sets of pians with appiication whe,s an;of the abnve apply. 5. Fees: Not required for temporary construction services. 5n.Enter total of above fees $ 5%Surcharge(.05 (otal fees) $ - - NOTIC- Subtotal $ --- 5b.inter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCT ION AUTHORIZED IS Plan Review if rggulred(Sec.3) $ --- - - NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Sujoatal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �-� 1` TIME AFTER WORK IS COMMENCED. L`:] Trii,t Arrount N -- Total balance Due S I 0STMELC99 APP Rev 9196 i s RECEIVE L' AUG 0 7 1991 COMMUNITY UEVfIu� ;i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-1-Iour Inspection Line: 639-4175 Business Line: 639-4171 -----�-- _ __—Date Requested_ SUP _ —AM PM — _ BLD — Location � �� [��A �f�� —l _ Suite _ MEC _ Contact Person --._ Ph PLM Contractor_ _ _ Ph SWR BUILDING --- Tenant/Owner VEIRetaining Wall Footing Access: _ Foundation , FPS Ftg Drain SGN Crawl Drain Inspection Notes: --- -- Slab -- — ---- - --_ SIT Post& Beam Ext Sheath/Sheer Int Sheath/Shear Framing Insulation Drywall Nailing _ -- 1_ iN Firewall Fire Sp,inkler Fire.warm -- ---�--- --- -- V Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam - - --------- __.__ .-_r—_.-- - ---- ----_-_______ Under Slab Tap Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL _ Post& Beam Rough In Gas Line - - - - ----------- Smoke Dampers Final S PARx FAIL ervice Rough !n UG/Slab Low Voltage tfz FirILAlarrn SS PART FAIL - ---- -- ----- - UT Backfill/Grading -- -_.� --- - ------------- - --- - ----- Sanitary Sewer Storm Drain I Reinspection fee of$ _ � _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f 1 Please call for reinspection RE: ( Unable to inspect- no access ADA Approach/Sidewalk Other _ _ Dote �� Inspector Ext ---- Final PASS PART FAIL_ J 00 NOT REMOVE this inspection record from the job site. m m m m m m m m m m D r r r- r 0 N cn 0 C) C) C) D D DD11 D D D D DOD 00 ((0 Q D O (N1r O O O G7 (D CD U 00 QO m n n m m o m m y m = - n s a 'n C m V) b rn @ 0 mn v w a a o. a o < < (D (D n U Jp J _� ° D d � m � N � J J rlu O (c N ? J A 0 � D N,a N 0 f0' M o m v� D in O D D IV O r = < o m i c c, (7 ° r� W ° �'+ -+ � � is � 0 ° � IM � �e N J o J J SO n 3 � (n < _ N ff,N O [v man m p o R C N N S ] m N C P O N 9.n ; o c '- /� (CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT #: ELC96-0720 DATE ISSUEDi 11/07/96, PARCEL: I5I34CD--0IC-,00 SITE ADDRESS. . 17'70 G)W KA THE R I NE S1 SUBDIVISION. . . . : LERON HEIGHTS NO. 3 ZONING. R-4. 5 BLOCK.. . . . . . . . . . . L_0T. . . . . . . . . . . . . ..51 Project Description: INSTALL BRANCH CIRCUITS ---RE131DENTIAL UNIT---.-- SRVC/F'EEDERS----- -------MISCELLANEOUS------ 1000 133F OR LESS. . . . : 0 :71 200 amp. . . . . . . : i7i PUMP/IRRIGATION. . . . : 0 EACH ODDIL 500SF. . . : 0 .?01 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : III SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 E,01+amps-1000 volts. : VI MINOR LABEL 0 -----SE,RV ICE/FEEDER------ ----BRANCH CIRCUITS—— --,--ADD' L INSPECTIONS--- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . : 0 201 400 amp. . . . . . : 0 1st WI(I SR,'C OR FDR. : 1. PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0. 601 1000 amp. . . . . : 0 REVIEW SECTIJN----- ----_.--_--- 1000+ ----------1000+ amp/volt.....: 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FL.< ) = 225 AMPS. . - CLASC HREA/bPEC OCC. : Owner: ---------------------------------------------------- FEES ----______.__--._ KAY SHIRK type amount by date recpt 11770 SW KATHRINE PRMT $ 35. 00 TAT 11/07/96 96-286265 5PCT $ 1. 75 TAT 11/07/96 96-286265 -rIGARD OR 97223 Phone #: 646-2500 Contractor: WESTSIDE ELECTRIC $ 36. 75 TOTAL 7518 SW MACADAM AVE REQUIRED INSPECTIONS PORTLAND OR 9*7219 Ceiling Cover, Underground Cove Phcne #: 503-245-3385 Wall Cover Elect' l Service Reg #. . .- 13306 Thi-- permit is issued subjt.*t to the regulations contained in the 1gf�d Municipal Code, gt&4.e of Ore. Specialty Codes and all other Peraill t Si_gnat ut ip/licable laws. All work will be done in accordance with Fpproved plans. This permit still expire if work is not started within IN days of issuance, or if mark is suspended for more w7 than IN days. I s Jed BY INSTALLATION ONLY-- - The installation—is being made an property I own which is not intended fov Sale, lease, or rent. OWNER' S SIGNATUREt. DATE: INSTALLATION SIGNATURE OF SUPR. ELECIN: DATE: LICENSE ILIO: Call for inspection 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # �.�., Date Issued _� MLI _ Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 CDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Narne of Development _ _ Number of Inspections per permit allowed llddress__Z`�))0l ' ^/P/ /i L' __ Service included Items Cust(ea) Sum City/State/Zip i L 6) I l e _ 4a. Residential -per unit 1000 Sq. ft or less $11000 4 Name (or name of business)_51,111 �) ��ii=//<</� Each additional 500 sq ft or �]� portion thereof 325 00 _ Commercial IA Residential �1 Limited Energy ___ $2500 Each Manurd Home or Modular Dwelling service or Feeder $e8 00 2 2a. Contractor installation only: 4b. Services or Feeders !' - Installation,alteration,or relocation Electrical Contractor e %/ C 200 amps or less $6000 2 Address �� /�fi C{<< <�/. r 201 amps to 400 amps -_ $50 00 _� 2 401 amps to 600 ams $120 00 2 City._ y. < State_ zip I 601 amps to 1000 kmps $19000 2 Phone No.G 21. I _ Over 1000 amps or volts $34000 2 job NO. 1/C'�/ " I'I -f _ Reconnect only $5000 2 contractor's license NO. 4c. Temporary Services or Feeders Contractor's Board Reg No.,� ' ' _Y Installation altermion•or relocation Signature of Supr. Elec'n 200 amps or less A 2 License NO / .J �.•,� -�+- 201 amps to 400 amps $50 00 _-_ 2 ( Phone No. yJ _� 401 amps to 600 amps $7500 2 Over 600 amps to 1000 volts $10000 - 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owners Name— New,alteration or extension per pane Address a)The fee for branch circuits with Cit State 7j purchese of service or feeder fee. 2 City ---- --- p------ Fach branch circuit $500 Phone No. _ _ _ to The fee for branch circuits without The installation is being made on property I own which Is purchase of service or feeder lee. -� 2 not Intended for sale, lease or rent First branch circuit $35 00 J Each additional branch circuit $500 Owner's Signature4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle !_ $4000 2 Each sign or ouVAs lighting $4000 Signal circuB(s)or a limited energy 2 Phase check appropriate Item and enter fee in section 5B. panel,alteration or extension $4000 ---- 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps c-more System over 600 volts nominal 4f. Each additional inspection over _ Classified area or structure contaminq special occupancy the allowable in any of the above as described in N E C Chapter 5 Per inspection $35 c0 Per hour $5501) _ In Plant $55.03 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 7 5a. Enter total of above fees $ NOTICE 5%Surcharge (05 X total fees) fIFRMITS BECOME VOID IF WORK OR CONSTRUCTION Subfotal $ At ITHvi!ZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUC 01-IN OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED �,�,��e.N•.Mr Trust Account # $ 75 n,n eon $ Balance Due $ CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING DERMIT 13125 SW Hall Blvd,,Tigard,OR 97223 (503)6394171 i!J--RM I T #. . . . . . . : Pl-M96-031e IA DATE ISSUED: 0/21/96 PARCEL: IS133OD-01600 SITE ADDRESS. . . 1177171 SW KATHERINE S]"'I SUDD I V I S I ON. . . . LERON HE I uHTS NO. 3 ZONING: R-4. !*5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :51 CI-Ass OF WORK. . :RE"P GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MnCH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. :A1 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . .. . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . : 121 URINALS. . . . . . . . . 0 GREASE IRAPS. . . . . . . .. 0 LAVATORIES. . . . . : 0 01-1-IER FIXTURES. . . . : 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. . . 171 WATER LINE ( ft ) . . . 0 DISHWASHERS. . . . -, 0 RAIN DRAIN (ft ) . . . : 0 Remarks : WATER HEATER REPATR Owner: FEES ........ KAY SHIRK type amount by date r,ecpt 11.770 SW KATHRINE PPMT $ 25. 00 'TAT 10/21/96 96-2:'85444 5PCT $ 1. 25 TAT 10/21/96 96--285444 TIGARD OR 972.213 Phone #% 646-2500 Contt,actot,: COLUMBIA HEATING PO BOX 230397 TIGARD OR 97281-11397 PI-ione #: 624-2704 26. 25 TOTAL Reg #. . : 76359 REQUIRED INSPECTTONS This pit-nit is issued subject to the regulations contained -,n thp Water, Line Insp Tigard Municipal Code, State of Ore. Specialty Codes ard all other Water, Service In applicable lasts. All wort• will be done in accordance with Rough-in Insp approved plans, This remit will expire if work is not started PL.M/Under-f loot- wif'iin 180 days of issuance, or if work is suspended for vore Top-out Insp than 180 days, Final Inspection Tssf-ted By : ....... 77 1 Ca 11 for inspection 639-41.75 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13126 SW Hall Blvd. Permit # M t� ) Tigard, OR 97223 dab-0`0 ) 1.L (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N .a o.•.". New F:nale Family Residences Only ow «• ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job 1 ; ❑ 3 BATH HOUSE$225.00 Address no Fee includes all pkv nbing fixtures in the *selling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below -�- "•^•l ^•^•°'a FIXTURES QTY 13,410E AMT Sink 9.00 M."yes* Lavatory 9.0n Owner 77r) )02, K01ll!-ZC J7-£ Tub or Tub/Shower Comb. 9.00 c•r «• no Shower Only 9.00 l T jy? Water Closet 9.00 • « •r• DfshwashP 9.00 garbage Disposal 9.00 Occupant Me"A°Rw. Phan. Washing Machine 9.00 Floor Drain 9.00 w�■N• za Water Heater 9.00 164 Y) Laundry Room Tray 9.00 ^um• Urinal 9.00 Oda.)) )i( (,/f'' Other Fixtures (Specify) 9.00 MW"A"- �M• 9.00 Contractor -- - L � LOX 2303 Z f 9.00 zo 9.00 Sewer 1st 100' 30.00 3tauA treMn No. cM Bus T••No Sewer-ea. Addit. 100' 25.00 7�!j�? L4 J_:!470 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addle. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (if exempt from State registration, please give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 900 ��•w. � •o«m - - Data Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new 0 addition U alteration O repair Q Catch Basin 9.00 to be done residential Q non-residential Q Insp. of Exist. Plumbing 00.00/hr Specialty Requested Inspections 40.00/hr Existing use of building or property Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 15.00 Proposed use of building or property '(Except residential backf►ow prevention devices) NOTICS 'Minimum Fee $25.00 SUBTOTAL >J PERMITS BECOME VOID IF WORK OR CONSTRUCTION J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE CONSTRUCTION OR WORK IS SUSPENCFD OR ABANDONED - r'OR A PERIOD OF 180 DAYS AT ANY TIMI: AFTER WORK IS COMMENCED PLAN REVIEW 15% OF SUBTOTAL TOTAL Special Conditions 4__ Date issued _ by N N N N O u a oz A � � O p a c 2 c O. G V Q F•- F'- F- F- F- Q $ Vim- V y o w =J N r M O acn co 9 o a a tO rn m c v~i a. o a �0 o � N N Q (fl m 0 a a N *� o N N N N N N N N O O O O O O O O O O C Q7 C O. O O c 7 y y c3- d O Qt C 61 c C a C J cn - t0 j c 7 o M 7 f0 f0 L 0) a) 2 Q' d F- LL. LL U N N 0) 0 O CD r' O t` ti t-- t` t` r, 00 Q Q Q Q Q Q Q Q Q Q Ln N a a a Cl- a a a a s a s CITY OF TIGARD MFC1-1ANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,flgard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC96--0359 j r DATE ISSUED: 10/2'1/`3F 16 PARCEL-: 1S134CD--01600 SITE ADDRESS. . . : 11.770 SW KATHERINE ST SUBDIVISION. . . . : LERON HEIGHTS NO, 3 ZONING: R-4_5 DLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :a 1. _.._._-.___.._..______._-___._._._....._._._ CLASS OF WORK. . :REP FLOOR FURN. . . . : 0 EVAP COOLERS- 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :A 1 VENTS W/O APPI_: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL. TYPES-.-------------•----•- 0-3 HP. . . . : 0 DOMES. I NC I N: 0 3--15 HP. . . . : 0 COMML. I NC I N: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-..50 HP. . . . : 0 WOODSTOVES. . : 0 CCAS PRESSURE. . . : 504HP. . . . : 0 CLO DRYERS. . :. : 0 NO. OF UNITS-------------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: t (= 10000 c f m: 0 GAS OUTLETS. : FURN ) =100K BTU: 0 ) 10000 cfm: 0 Remar^1;5: WORKING ON FURNACE Owner: __________ __._ ._.____ ___._____...____.____.__.._._______._..___.___.__-- FEE, KAY SHIRK type amol_tnt by date r-ec.pt 1. 1770 SW KATHRINF= PRMT $ 25. 00 TAT 10/21/96, 96-285444 `. PCT $ 1. 25 TAT 10/21/96 SES- 285444 TIGARD OR 97223 Phone #: G46-2500 COLUMBIA HEATING Po Bn x 230397 i IGARD OR 97281 F"1h on e #: 624-2704 t 26. 25 TOTAL. Rr-.cl #. . : 76359 REDUIRED INSPECTIONS - This persit is issued subject to the regulaticns contained in the Gas Line Ins p Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical InsCr applicable laws. All work will be done in accordance with Final. Inspection _ approved plans. This pet-sit will expire if work is not started within 180 days of issuance, or if work is suspended for sore thin 180 days. r'r- Big g t t r_t r e• ,r r�rnittee 1 /Call for inspection 639--4175 City of Tigard MECHANICAL PERMIT PiancwRec. # 1312.5 SW Hall Blvd. APPLICATION Permit # E C F - o -) Tigard, OR 97223 (503) 639-4171 -- —• .oma« -- Description kao /� i -- Table 3A Mechanical Code QTY PRICE AMT Job7 �,r L" ,jL/u 1) Permit Foe -0- -0- 10.00 Address 2 ° 7 �J 2) Supplemental Permit 3.00 urnace L/ �j��j 1) incl. ducts 3 vents 6.00 .� urnace + Owner 2) incl.ducts&vents _ 7.50 Floor urnance i n aJ3 3) incl. vent 6.00 ,.,. Suspended heater,wall eater 4) or floor mounted heater 6.00 Vent not incl. in Occupant 5) appliance permit 3.01) _aF' epatr or Fleeting, re n—T g. 6) cooling,absorption unit 6.00 -- Boder or comp,heat pump,air cond. 71/ - 7) to 3 HP;absorp unit to 100K BTU 6.00 ... r. Builor or comp,heat pump,air cond. .1/� �� 8) 3-15 HP; absorp unit to 500K BTU 11.00 Contractor �" ter or comp,heat pump,air con . On 9) 15.30 HP;absorp unit .5.1 mil BTU 15.103 .. n •• i er or comp,heat pump,air con . 10) 30-50 HP;absorp unit 11.75 mil BTU 22.50 wre y ac now rg—. 255t have roe 7iis app icauon, a e boiler or comp,heat pump,air cond. information given is correct,that I am the owner or authorized agent 11) > 50 HP;absorp unit 1.75 mil BTIJ 37.50 of the owner,that plans submitted are in compliance with State -- tTr handing unit to laws,that I am registered with thF,Construction Contractor's Board, 12) 10,000 CFM —J_ 4.50 that the number given is correct. (If exempt from State registration, Air handling unt— please hive reason bb�ow.) 13) 10,000 CTM+ 7.5U -- ---- -- 'Non potable 14) evaporate cooler 4.50 —_ Vent an ronnected 15) to a single duct 3.00 Ventilation system not 16) included in appliance permit 4.50 qy iorn o y . • r1UW Se� 17) mechanical exhaust 450 ,escn a wor new addition U alteration U repair Commercial or industrial to be done residential O iton-residential Q 18) type incinerator —_ 30.00 Existing use of uther i.e.,woodstove,water building or property_ _— 19) heater, solar, clothes dryers, eta 4_50 Proposed use of 20) Gas piping one to four outlets �J 2.00 tuilding or property 21) More than 4-per outlet _ Type of fuel -oil O natural gas O LPG U electric O Minimum Fee$25.00 SUBTOTAL 7, OIL PERMITS BECOME VOID IF WORK OR CONSTRUCTION �— AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTIO,'t OR WORK IS SUSPENDED OP ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED —� TOTAL Special Conditions Date issued —by --�-- k.61F�HPMT •ortf tanW r 0 0 0 0 n n n n n ODD D -4 -4-4 D o rn co con 0o 0 oV tD T v r r m a @n o ID O. 0 0 N N 6 N 7 7 ti 7 t N a N D v, _L lu A � N U) -41 o p a ro N N 0 0 03 �D ic ca n co Xo a� u -Da v -0 D Z z m in O W �J1 cn CO r o Aa c V m m m m RI D m m o O> fD u 2 O O N