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10710 SW NAEVE STREET IS 3A3VN MS OILOT H w� IL W6 ami aT � w � J O .•r 10710 SW NAIVE ST CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUIP Date Requested 'AM —PM BLD Location �� ! /�(.� �� CSSuite _ MEC �� Contact Person - Ph -_ PLM Contractor Ph . SWR -- BUILDING Tenant/Owner _M �- �— ELC — Retaining Wall ELR Foo!`,ng Foundation Fln NOT REQUESTED FR 3 — Ftg Drain FOUND DURING RESEARCH SGN — Slab Crawl Drain NO INSPECTION(S) FOUND IN FILE SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _-- - -- Insulation Drywall Nailing --- - - Freall If 1,7 Sp Fire Sprinkler - Fire Alarm Susp'd Ceiling d ---- -- Roof Misc:_ - Final PASS T FAIL -- — Post&BPam -� Under Slab -- Top Out Water Service _ — Sanitary Sewer Rain Drains - - --- PART FAIL — - -- - CHANICAL 67 — Post&Beam '"-' --"•'— --�_�-- -� Rough In _- —_ -- - Gas Line -— -- -- Smoke Dampers Final -- PASS PART FAIL ELECTRICAL Service — — --- N Rough In UG/Slab Low Voltage -- Fire Alarm m Final PASS PART FAIL ---' W SITE Backfill/Grading ---�— Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin { ]Please call for reinspection RE:_ _ [ ]Unable to inspect-no access Fire Supply Line ADA I Approach/Sidewalk Date _ Inspector (✓ / Ext Other ^Q Final PASS PART FAIL NO REMOVE this Inspection record from the jobs site. .CITY OF TIGARD DATEFtISSUED: 06/28/96 PERMIT #. . . . . . . s PLM96-0181 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 617223.0199 (503)839.4171 PARCEL: 2S 1 10DA-01400 SITE ADDRESS. . . : 10710 SW NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..005 -------------------------------------------------------------------------------------- ::LASS OF WORK. . :ADD GARBAGE. DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . --SF WASHING MACH. . . . . . 1 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . 1 0 TRAPS. . . . . . . . . . . . . . s 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . s 0 ` LAVATORIES. . . . . : 0 OTHER FIXI-URES. . . . : 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . 1 0 WATER CLOSETS. . : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ftp . . . : 0 Remarks : Installing a residential backflow pevention device. Owners ----- - ---- — ---_.___._.__----------------------------- FEES --.----_—_-----_ RENAISSANCE CUSTOM HOMES type amount by date recpt 1672 WILLAMETTE FALLS DR PRMT $ 15. 00 CJS 06/28/96 96-281104 5PCT $ 0. 75 CJS 06/28/96 96-281104 WEST LINN OR 97068 Phone #: 557-8000 Contractor-- ----------------------------- MOODY ENTERPRISE INC FSO BOX 98 ESTACADA OR 97023 --------- ------------------------------ Phone #: t 15. 75 TOTAL Reg #. . : 5973 -------- REQUIRED INSPECTIONS -----This permit is issued subject to the regulations contained in th[ RP/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within 18A days of issuance, or if work is suspended for more than 188 days. _ L!f, l:,e r m i t t e e Signature : T 5 s _t e d B y Call for inspection 639-4175 _m C7 W a I City of Tigard PLUMBING PERMIT APPL19A'tIDN Planck/Rec. # A0 V 13.125 SW Hall Blvd. Permit # 1 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE •ra•M*"w" Nov Sinpta FaniN Rooldepp" Onk Q N 1 SSQNC .�U�r1M Adswr CJ 1 BATH HOUSE$140.00 ❑2 BATH HOUSE$195.00 Job �� Q s w -eye O 3 BATH HOUSE$225.00 Addresscti+)r. ar Fee includes all pluryti rg fixtures in the dwelling and the first 100 feet 1 4 Ott 172-21 of water service, sankary sewer and stone sewer. See tees below. 77amoft ) FIXTURES QTY PRICE AMT d I rfO#_�e fluvelae,1 " Sink 9.00 Me""""'-// �7 Lavatory 9.00 4N Owner rb 7,2 r e 5� SOW Tub or Tuwshawer Comb. 9.00 A' Shower Only 9.00 f'(� II'NN �� Water Closet 9.00 ""^•,�^"^•M b.* ) Dishwasher 9.00 Garbage Disposal 9.00 Occupant N •"^'"'••• ^'" Washing Machine 9.00 Floor Drain 9.00 d"'• AID Water Heater 9.00 Laundry Room Tray 9.00 HIM / l Urinal - 8.00 A40a ,{/ e, 1;R` - I'V C• _ Other Fixtures (Specify) 9.00 Contractor 9.00 I)nX q G /��/_.� /� 9.00 /o b ZIP -------- 9A0 O n /Q 7O1' Sewer 1st 100 30.00 ""•""0""1an No d I s" T.He Sewer-so. Addit. 100' 25.00 //T17 4j��3 water Service let 100'� 30.00 1 hereby acknowledge that I have read this application, that the Water Service es. Addle. 200' 28.00 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 Storrs tt,Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storrs 8 Rain Drain Addle. 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 9.00 •^■•r•w^• a•w^n °"• Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new addition Q akerition 0 repair Catch Basin 9.00 to be done residential (S) non-residential O Insp. of Exist. Plumbing 40."r Specially Requested Requested Inspections 40.Mhr Existing use of a building or property Rain Drain, single family dwelling 30.00 Residential backflow prevention U) devices 15.00 Proposed use of J building or property _!_ � "(Except resfdar►Hal backflow proventlon dlevlcsto W t NOTICE *Minimum Fee$26.00 SUBTOTAL I *Y PERMITS BECOME VOID IF WORK OR CONSTRUCTION r AUTHORIZED IS NOT COMMENCED WIIHIN 180 DAYS,OR IF 8%SURCHARGE 77 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25%OF SUBTOTAL TOTAL Special Conditions `i _`_ Date issued 6` e_1 n 9K by �/> CERTIFICATE OF CITY OF TIGA RD OCCUPANCY E='ERMIT N. . . . . . . s MST93-097 COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUEU s 02/1 2/rs 13126•W Hall Blvd.Tigard,Oregon 97223091" (593)6394171 PARCELt 29110[?A-01400 'PITC: ADDRE`(b. . .': 1V.ii 10 SW NAEVE ST wUBD I V I S I ON. . . . r RENAISSANCE SUMM 1 7 Z ON I NG s R- .3. 5 'ILOCK. . . . . . . . . . n -OT. . . . . . . . . . . . . 1005 ----------------------------------------- C:LF 1S OF WORK. r NEW TYPL OF USE. . . s SF OCCUPANCY ORE'. rSN&r,S OCCUPANCY LOAD r w Remarks: PATH I Owners RENAISSANCE CUSTOM HOMES 1672 WILLAMETTE FALLS DR WEST LINN ON 97068 Phone Ns 557--8000 C-ontrart or s ---------------------------------- RENAISSANCE CUSTOM HOMES INC 1672 SW WIL.LAME=TTE FALLS DR WEST I..INN OR 97068 Phone #: Reg #. . 1 97599 ' hi ,; Certificate grants occupancy of the above referenced buildinb or portion trei�f and confirms th*t the building has been inspe teci f'or compliance with the ,tate of C)regon Spec_ial.ty Codes for the group, ol- uAnc And use under Which the referenced permit was iesI.. 'd. B-U LD I NO I NSPE� l) All I L C3 OF I I L_ POST IN CONSPICUOUS PLACF a rn ao w ER CITY OF TIGARD PERMITS#. . . . . . . :TM ST95--0.-'137 COMMUNITY DEVELOPMENT UNNUM$NT DATE ISSUED: 08/30/95 13125 SW Hall Blvd.Tigard,Oregon 97223+8109 (503)639-1171 PARCEL: 2SI10DA-01400 SITE ADDRESS. . . : 10710 SW NAEVE GT SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R--3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 ---------------------------------- BUILDING ------------------------------------ ---- REISSUE: DWELLING UNI'TS: !. BASEMENT. . . . . . . . :0 sf CLASS OF WORK. .-NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :440 sf TYPE OF USE. . . :SF FLOOR AREAS------------ RF_ClU I RED SETBACKS----------- TYPE OF CON ST. :5N FIRST. . . . : 1373 sf LEFT. . : 15 ft RIGH•f-. : 15 ft OCCUPANCY GRP. :R3 SECOND. . . : 1173 sf FRONT. :20 ft REAR. . :24 ft STORIES. . . . . . . :2 FINBSMENTiO sf REQUIRED--------------------- HEIGHT. . . . . . . . :28 ft TOTAL------:22546 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . f : :71783 PA.IKING SPACES. . : 1 Remarks : PATH I -------------- PLUMBING SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PRF-VNTRS. . : 1 LAVATORIES. . . . . ..5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :@ WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL - -____________ _______._.________.__ FEES FUEL TYPES-- ------ UNIT HTRS. . :@ type amount by date recpt ;GHA/S / / VENTS . . . . . :0 TIF $ 1590. 00 B @8/30/95 95-269959 MAX INPUT:O BTU VENT FANS. . :4 SWM f 180. 00 B 08/30/95 95-269959 TURN ( 100K . . :0 HOODS. . . . . . : 1 SWM $ 100. 00 S 08/30/95 95-269959 FURN > -1001', . . : I WOODSTOVES. :@ BF-'RT $ 613. 00 B 06/3@/95 95-2269959 FLOOR FURN. . . . :0 CLO DRYERS. : i BPL C f 398. 45 DON 08/109/95 95-269044 BOIL/CMP < 3HP:O OTHER UNIT5: 1 B5PC: 9 30. 65 B 08/30/95 95--269959 GAS GUTLETS: 1 PARK f 500. 00 B 08/30/95 95-269959 Owner: --__._.__.___-------_..--_.-----_-_-----J_ MPRT f a-1. 00 B 08/30/95 95-2269959 RENAISSANCE CUSTOM HOMES MPLU f 11. 25 B 08/30/95 95-269959 1672 WILLAMETTE FALLS DR M5PC f 2. 25 B 08/30/95 95-269959 31ATH 1, 225. 00 B 08/30/95 95-269959 WEST LINN OR 97068 P5PC $ 11. 25 B 08/30/99 95-269959 Phone #: 557-8000 EROS 9 64. 00 B 08/30/95 95-269959 Contractor: - ----- --- __.________________ERP[ f 20. 80 B 08/30/95 95•-269959 RENAISSANCE CUSTOM HOMES INC ERPC t 20. 80 B 08/30/95 95-269959 1.672 SW WILLAMETTE FALLS DR a WEST LINN OR 97068 N Phone #: Req #. . 97599 -------------------- ------ -- J f 3812. 45 TOTAL m This pereit is issued subject to the regulations contained in the ------ - REQUIRED INSPECTIONS --_---- Tigard Municipal Code, State of Dre. Specialty Codes and all other Footing Insp Plumb Top Out W applicable laws. All work will be done in accordance with approved Fok_tndat ion Insp Framing Insp plans. This pereit will expire if work is not started within 18P Post/Ream Strutt Fireplace Insp days of issuance, or if work is suspended for wore than 189 days. Post/Seam Mechan Gas Line Insp Crawl Drain Instilatien Insp Permittee S* atI.We : &_L4A.' - Plm/�_tndslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp r .; .:, -ted Vy - M.1, ►., Mechanical Insp Water Line Insp Call for inspection - 639-4175 SEWER CONNECITUN Cirf OF TIG PERMIT PERMIT #. . . . . . . s SWR95--035 COMMUNITY DEVELOPMENT NT DATE ISSUED: 08/30/95 13126 8W HeN Blvd.Tigard,Oregon 972234199 (683)939-4171 PARCEL: 2S110DA-01400 SITE ADDRE S::. . . : 10710 SW NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BL.00K. . . . . . . . . . . LO1 . . . . . . . . . . . . . r005 TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF SUILDINGS: 1 TNSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : ,f Remarks : PATH I -----------------__-----_-------.__ -E ....__---_—_--_. Owner-: ---__.____._______.__ F E5 -- RENAISSANCE CUSTOM HOMES type amolant by date recpt 1672 WILLAMETTE FALLS DR PRMT $ ,7_200. 00 B 06/30/95 95-69959 INSP 1 35. 00 B 08/30/95 95-269959 WEST LINN OR 97068 Phone #: 557-6000 Contrrac:tor: ------------------•-----------_. CONT RAC TOR NOT ON FILE -------------------- f'h o r e #: f 2235. 00 TOTAL Req 0. . : ------- REQUIRED I ASPECT I ONS This Ppplicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires IN days from the date issued. The total amount paid wi'l be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement _ given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. Permittee S' ature : Tse,i.i e d B y :IL Call Ca11 for inspection — 639-4175 H W J I S. W. N AEVE STREET S 89'52'07" W 73.00' I Z 720�.00— r 00fO , r O Q O Ci p 9.00 �a 6.00I (� (A 2.00' 00. 01 U cD g � 1p P 2.00' O 20.00' 11.00' �+ G P P 89.00,g IL ~ PRIVATE STORM DRAINAGE EASEMENT U o_ l N 89'52'07" E 73.00' I`r W _j --EIGHT FOOT PUBLIC AND PRIVATE UTILITY SCALE DRAWING LOT 5 RENAISSANCE SUMMIT EASEMENT ALONG ALL FRONT AND REAR LOT LINES S.E.1,/4 SEC.10,T.2S.,R.1W.,W.M. CITY OF TIGARD fil WASHINGTOM COUNTY, OREGON AUGUST 2 1995 Centerline Concepts Inc. DRAWN BY: BTA CHECKED BY: WGDIII 640 82nd Drive Gladstone, Oregon 97027 SCALE 1"=20' ACCOUNT 115 503 650-0188 fox 503 650-0189 Residential Build City of Tigard JIB 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: 0-110 WAVE r' c_ Of o Use Qnly Subdivision: _ _1'1Ql��Q1�k'1.,,u )t71111 l Lot X > _ �j /� 3 PlancWRec Valuation:, - Comer Lot? Y CFO Permit Flag Lot? Y Reissue of N -�-- ~�--- NMop& TL 1t I _ Owner: 124 rl CLI`L xneL �us�om {-�0 rrl _ {I I I r ARRrov i,s wulred Address: VOIJ; (1)I ll�Y�' k , , I�(Ae) D _ Planning WLT Lon, NZ TiI26FEngineering —. Phone: �,p�z� �� -GSC Other Contractor: �l"I!�l�j(7 Yl(I✓ �l`.>�YI1 C'}1 _�� Address: Iu,' 7 2 ��11I�Yrll �� I�� •_ Subcontractors Le_)� 1/lh �IL <��7��6 Truss Details Phone: �c ��-7 Y)CO q Other Contractor's License 09 -75 q (attach copy of current Oregon license) Contact Name & Phone: _ 1 l l ren a Subcontractors: ArchitecttEnBineer: N Plumbing: 1' Address: 1305 I Lo Mechanical: I - l J i_ _ � r4[OTIj. or �� (attach copy of current Off Contra tor's License) � `Cl 1 I W Phone: JOB DESCRIPTION:1 4�- A Applicant Signature & Phone number Received by. E� I Date Received: N IWORWOMDEWtESAPP PLUMBING PERMIT CITY OF T DATEIISSUED: . 06/305955-0L97 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,OreW 972230100 (603)630-4171 PARCEL: 2 S 1 10DA-01400 SITE ADDREJS. . . : 10710 SW NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0O15 _ -__---_--.----_-_-______---_ _-- CLAS S OF WORK. . :NEW GARBAGE DISPOSALS- 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES----------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE: TRAPS. . . . . . . :0 LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :3 WATER LINE DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remarks : PATH I OWNER: RENAISSANCE CUSTOM HOMES TIF $ 1310. 00 B 08/30/95 95-269959 1672 WILLAMETTE' FALLS DR SWM t 180. 00 B 08/30/95 95-269959 SWM $ 100. 00 B 08/30/95 95-2269959 WEST L_INN OR 97060 BPRT $ 613. 00 B 08/30/95 95-269959 Phone #: 557-8000 BPL.0 t 398. 45 BON 08/09/95 95-269044 BSPC E 30. 65 S 08/30/95 95-264959 Plumbing Contractors ------ ---------- PARK $ 500. 0171 B 08/30/95 95--269959 MPRT 4 45. 00 B 08/30/95 95-269959 Name-_. ;• r ,,,�,� _..� MPLC E 11. r5 B 08/30/95 95-269959 Address:__ ?. .2 _ �pza MSPC $ 2. 25 B 08/30/95 95-269959 City :__e.�5•41!_.__�__. .—State.� --` 3BTH E 2:25. 00 S 08/32/95 95--269959 _�`Q P5F'C f 11. C-'S B 0A,'30/45 95-269959 Reg #: _ Additional fees not shown here. . . . . . . . . ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the r-eg ulations contained in -the Tigard Municipal Footing Insp Insulation Insp Code, State of Ore. Specialty Codes and all Foi..lndation Insp Gyp Board Insp othpr applicable laws. All work will be done Post/Beam Struct Rain drain Insp in accordance with approved plans. This Post/Beam Mechan Water Line Insp permit will expire if work is not started Crawl Drain Water Service In within 180 days of issuance, or if work is Plm/undslab Insp Appr/Sdwlk Insp suspended for more than 180 days. PLM/Underfloor Mechanical Final a Mechanical Insp Plumb Final NPlumb Top Out Building Final Framing Insp Eros+ on Control. /�� (� ��++ �� Fireplace Insp -� x l.L.�.Li�d __Y_• Gas Line Ins p W Authorized Plumbing Contractor Siglature W Call for inspection - 639--4175 J Contractor Notes : Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # ---,171x,'or, Permit Phone (503) 639-4171 Date Issued to -17-ZC CITY OF TIGARQ FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Pee Schedule Below: Name of Development R. 6-4L.-kss ti . S� ► Number of Inspections per permit allowed Address 1 n -7 I e Su- m 4- Q. s -f, Service included: Items Cosgoa) Sum City/State/Zip 4�Residential It or lose 4 -per unit �_ $110 00 Ila. 0 0 Fads additional 600 aq h or Name (or name of business) R- �-.��ss-v.c , a� portion thereof L_ $2500 Lna_, .� 1 Commercial El Residential I Fach Enerpy $1600 Each fvlanul'd Homs or Morhdar 2 Dwsfling Servics or Feeder $8000 2a. Contractor installation only: 4b.Services or Feeders Installetron,alteration,or relocation 2 Electrical Contractor s,�.�l E ,,�# �•.�� 200 amps or leas sm00 2 201 ampa to 400 amps ti80 00 2 Address U • t�-icy _ —. city. CA � � ��r.. ., State V� ZI �i 7 p t�' 401 amps to 900 wrmpa $12000 � 2 l. a_ �_ p 001 amps to 100 amps $18000 Phone No., _ 7 d 1 L-t -I— Over 100(1 amps or vohs $94000 2 Contractor's License No. ,'A til?-8 — C- Reconnect only sw00 Contractor's Board Req. N0. 3 LIQ 4 r-/ _ 4c.Temporary Services or Foodsrs Installation,alteration,or relocation 2 Signature of Supr. Elec'n , �� _ 200 amps or Was $6000 2 License No. G 1 = Phone No._L-:�-j-otL 201 amps to 400 amps $7600 2 401 ampr to 900 amps $10000 Over 900 amps to 1000 volts 2b. For owner Installations: see-b•above P4d. Branch Cl suits Print Owner's Name Now,sheration u extension per panel Address a)The Ise fir bench circuds w(th ptwclose of servke a tiers►be. 2 City— _ State_ Zip Fach branch circuit $900 _ Phone No. b)The fee for branch dmiits wfthour The installation is being made on property I own which is pumhose of pairyka or 0 -1 h.. 2 net intended for sale, lease or rent. First branch circuit $3600 2Each arldilional branch cormit $600 Owner's Signature_ 4e.Miscellaneous (Service or foeder not Included) 2 3. Plan Review section (if required): Foch pimp or irrigation circle $4010 2 Each sign or outline lighting $4000 _ Signal circuit(s)or a limited ernrgy 2 please check appropriate Item and enter tee In section SB. panel,sheration or exionsion $4000 IL 4 or more residential units in one structure Minor I absla(10) $10000 Service and feeder 225 amps or more 0.' 4t.Each additional Ins ectbn over System over 600�blts nominal p NClassified area or structure containing special occupancy the allowable In any of the above as described in N.E.C. Chnpter 5 Per inspection $3500 Per hour $66 00 In Pfanl 11155 00 -� Submit 2 sets of plans with application where any of the above _m apply. Not required for temporary construction"Most. 5. Pees: tL NOTICE So, Enter total of above fees $ J 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCSubtotal $r10N Sb. Enter 2594,of ling A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if req for (Sec 3) $ _ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal E A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED El Trust Account 0 $ Balance Due t 2,10•_S b CITY OF TIGARD ELECTRICRL HERMIT - RESTRICTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: EL R95-0209 13126 SW Hnll 81vJ.Tigard,Orogon 97223.8199 (603)639-4171 DATE ISSUED: 11/14/95 PARCEL: 2S110DA-01400 ::SITE ADDRESS. . . : 10710 SW NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONINGeR-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 Project Description : Restricted Energy A. RESIDENTIAL--------- B. COMMERCIAL----------------- ------•---------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . e LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL.. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : e HVAC. . . . . . . . . . . . e PROTECTIVE SIGNAL. . s INSTRUMENTATION. : OTHER. . : : : TOTAL # OF SYSIEMSs 0 Al icant : --------------------------------------------------- FEES ------•---------•- ACE SECURITY type amount by date recpt 3200 SW GREENWOOD CIRCLE PRMT $ 40. 00 TMP 11/14/95 95-27284'/ 5PCT $ 2. 00 TMP 11/14/95 95-272847 TUALATIN OR 97062 Phone #: 224-9551 Contractor: --------------•------- -------------------------------------------- CONTRACTOR NOT ON FILE t 42. 00 TOTAL -------- REQUIRED INSPECTIONS --- - -- Ceiling Cover Elec ' 1 Service F"Tone it: Wall Cover E17 91 Final This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i tee Si gnat ure 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. is s y ------ ---.----.--•___---OWNER INSTALLATIONY_-.-_._.-_-.._.-__.--.-.----__._-__.-_.-.--. .____-.-- The installation is being made on property I ]Fn which is not ;-Mended for sale, lease, or rent. 4. OWNER' S SIGNATURE- �- DATE e T INSTALLATION ONLY---------------------------- SIGNATURE ----------------------.----SIGNATURE OF SUPR. ELEC' N e DATE: J_ m LICENSE NO: Call for inspection -- 6:39-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. I dd Tigard,OR 97223 PERMIT#__ Phone(503)639-4171 FAX(503)684.7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIOARD Inspection (503)639-4175 ISSUED BY PILASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 107 (0 Sw A.,)`AEVE Address RESIDENTIAL RESIDENTIAL—Restricted Energy Fee. . . . . . 14d,QQ (FOR ALL SYSTEMS) City State Zip cTypt uf Werk Involved: PERMITS ARE NON-TRANSFFRABLE AND NON-REFUNDABIf AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS Nor STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener" El Heating,Ventilation and Air Conditioning System' Contractor a SFC to IE Type_ to iV e 4- ❑ Vacuum Systems' t Address -2 0.0 5t, (i � �L r w e at0 C'!ez . El Other- --- - Date / -�-7 _ `2 °d COMMERCIAL—Fee for each system . . . . . . . . . (SEE OAR 918-260-260) Property Owner 2` cklyne of Work Iny�1>cesi; s. _�--- Contractor's Board Reg. No. C4 �� ❑ Audio and Stereo Systems 2 ^ G ❑ Boiler Controls Phone . _ _ ❑ Clock Systems 3. OWNEk APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentatior. Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is issued under OAR 918-320-370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' following: 1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling L residential and other transactions are exempt from licensing.These have ❑ Other _ asterisks(').All others need li(ensing). 2. Call for an inspection when all of the installations under this pe.mit are ready for inspection at 503-639 4175. r ❑ Number of Systeme 3 Purchase separate permits for all installations that are no;ready for inspection when the inspector is out to inspect under this permit. •No lk-ences aro required. I-krnses are required for all other installations, 4. Assume responsibility for assuring that all corrections required by the inspector are done,and N ;. Assume responsibility for calling for a final insp-ction when all of the 5. FEES J corrections are completed. The person signing for this permit must he the applicant or a person a. Enter fees d r 00 aothoriMd to hind the apt,:`-ant. h. 5% Surcharge(.0.5 x total above) $ Signature TOTAL $ �`{2 t 9V Authority if other than applicant i ENERGAP.CHP