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11280 SW NORTH DAKOTA STREET IS V10)fV0 NIHON MS DOU& a 0 Y Q D H O z 3 co 0 co N r r 11280 SW NORTH DAKOTA ST CITYOF TIGARD ELECTRICAL PERMITPERMIT#: ELC1999-00309 DEVELOPMENT SERVICES DATE ISSUED: 5/25/99 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PARCEL: 1S134DB-05400 SITE ADDRESS: 11280 SW NORTH DAKOTA ST SUBDIVISION: PP1992-049 ZONING: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG Prolect Description: First branch circuit 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 HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: TERRY ALBERS TW E INC 11280 SW NORTH DAKOTA 4 PO BOX 781 TIGARD, OR 971223 13731 SE 312TH BORING, OR 97009 Phone: Phone: 668-6711 Reg*: LIC 00064400 SUP 2604S PLM 2640S ELE 26-252C FEES Required Inspections _ Type By Date Amount Receipt Elect'i Service PRMT BON 5/25/99 $35.00 99-315643 E!ect'I Final 5PCT BON 5/?_5/99 _ $1.25 99-315643 ORIGINAL Total $36.25 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 1work is a suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification.Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) N 246-1987. Permit Signature: 1M— �C(/r _ Issued By4, I r t �a_lv W W OWNER INSTALLATION ONLY The installation is being made or, property I own which is not intended for sale, lease,or rent. OWNER'S SIGNATURE: __ __ _ DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: �� n DATE- _ LICENSE NO: Call 639-4175 by 7:OOpm for an inspection the next business day RECEIVED Community Development ELECTRICAL PERMIT APPLICATION Y 2 5 1999 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec.# DEVELOPMENT Permit # _ Phone (503) 639-4171 Date Issued - - CITY OF TI4ARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. ,lob Address: oW�tC- 4. Complete Fee Schedule Below: NGme of Deveiopmenl-1-4;o t'r!!� Number of Inspectione per permit avowed Address 1 1 1410 S.%- t��1-tH 1:)d VU1 t"A 411"'. Service Included: Items Cosges) Sum City/StatelZip_T,�,(ar�fJ 4�-- 4a ReNdentlal•per unit `T— 1000 p N or was $11000 Each aMoonal 500 eq h or Name (or name of businesssmfC Allow 5 por1ion1hereof us 00 1 Commercial❑ Residential Limited dHorne or Modyr, 00 z nwalft Service or Feeder am 00 2a. Contractor Installation only: 4b.Services or Feeders -T Instaltelion,aseration,or relocdbn 2 Electrical Contractor 1��f W�1 rL �. 200 amo•or leu 11180.00 2 Address ��i I i� 20+amps to 400 amps 180 00 2 City .nh State j_ Zip '��� X01 a'"P'ro coo amp. t+2000 2 7—� 801 amp•to 1000 amp =18000 2 Phone No. 4 r 1 1 _ over+00o amps or vope 13Q 00 Contractor's License No. C- R'O0"fod only $6000 Contractor's Board Reg. No (- 4c. Temporary Services or Feeder InstaMMwn,aMarnt+on,or relocaliun 2 Signature of Supr. Elec'n V W 2ao wqn or We* 115°00 ---_ 2 License No. - O� j Phone No. 201 aft"to WO empe $ob 00 - 2 X01 amp In 800 amp $100 00 I I Q over moo amp to loon vale 2b. For owner Inst I ations: see'b'above 4d.Branch Circuits Print Owner's Name_ Nov,aseratron or extension per penal Addressa)The fee for bronch circuit•with Cifv State ZI pumfese of sorvtas or fbab'IS& 2 `1 r p Each branch circud $600 Phone No. ( b)The Ice for branch ciralh w,vnoen The installation is being made on property I own which is pmeftev of sarrke or bare° C$50o 00 2 2 First not intended for sale, lease or rent. Each branch circuit $ Eadditional branch ciraiit $6 CO Owner's Signature 40.Miscellaneous (Service or feeder not inckxlod) 2 3. Plan Review section (If required): Each p rnp o irrigation olrde $400 2 Each sign or outline IipMirp $4000 Signal circe,+(s)or a limited energy 2 Please check appropriate Item and anter toe In section 58. panel,al,erstion or oxtansion 140 Do _4 or more residential units in one structure Minor I_absk(+0) $10000 4. Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional Inspection over 1- Classified area or structure containing special occupancy the allowable In any of the above N as described in N E.C. Chapter 5 Per impaction R'S o0 Per hour $6500 1n PIeM $b5 QO Submit 2 sats of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: W NOTICE Sae Enter total of above fees = J 5%Surcharge(.05 X total fees) s PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal ; AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review It required(Sec.3) $ A PER!OD OF 180 DAYS AT ANY TIME AFTER WORK IS subtotal S -- COMMENCED ❑ Trust Account 0 f Veloric@ cue $ .nercane.N«.cpT reP CITY CF TIGARD MASTER PLitMIT DEVELOPMENT SERVICES PERMIT N. . . . . . . : MST99- 0025 13125SWH811ON.,77ga%OR97W(503)63"171 DATE ISSUED: 02/11 /99 PARCEL.: 1 S 134DB-05400 'TTE ADDRESS. . . : 11280 5W NICIRTH DAN,OTA ST 1RDIVI0IOt4. . . _ :PPI992-049 7ONTN©: R-4. 5 r31_QCK. . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION, TIO Remarks: Additior of bedr@ t loft. ------ ------------------------ ----------- - BUILDING -----------------------------___._------------ ---------�. REISSUE: STORIES.......: 2 FLOOR AREAS---------- DASFK_V...: 0 sf REQUIRED SETWXS---- REWIRED---------_---- 000 OF WORK.:ADD HEIGHT........: 0 F'RST....: 278 sf GARAGr.....: 0 sf LEFT.,........: 17 90r. TIETECTRB: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 277 sf FIONT.........: 0 PARKING SPACES: 0 TYPE OF CONST.-5N DUELLING UNITSt 1 FINBS*V: 0 f RIGHT.......... 0 OCCUPANCY G .A? BDRMt 2 BATH: 0 TOTAL------: 555 sf VAI.UE..1: 34.58 REAR..........: 30 ----------- ------------ _ _---_-----------___ -- PLUMBING ---___-__------------------------------------"------------ SINKS.........s 0 WATER CLOSETS.: 0 WASHING MACH_: 0 LAINDRY TRAYS.: 0 PAIN DRAB fir: 0 TRAPS.......... 0 LAVATORIES....: 0 DIS►IWASFtERS...: 0 FLOOR DRAINS.. : P SEWER LINE ft. 0 SF RAIrf ORAINSt 0 CATCH BASINS,.: 0 TUB/SHOWERS...: P GARBAGE_ DISI'..: 0 WATER HEATERS.: 0 WATERLINE ft: P BC'1'rLW PREVNTR: 0 GREASE TM.,: 0 OTHER FIXTURES: 0 ------_-------------------.--------------w_--r_____._--- MEi.FIAN1CAl FUEL TYPES---------- FURN t 1001', ..: 0 BOIL/CNP ( 31Pt 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FUPN )=100K ..t 0 UNIT HEATERS..: 0 HDDDSJ.........I 1 OT14ER UNITS...: 0 MAX INP.: A BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....s 1 GAS OUTLETS...: 1 ---------------...._---------------------------------------- ELECTRICAL - ---- --- _____-_----_-_-- ----------------------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- -TEMP SRVC/FEEDERS-- ---BRAM:H CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 201 alp..: 0 0 - 200 asp..: 0 W%SK, OP FDR.,: P mr.P/IPRIDATICN: 0 DER INSPECTION: P EA ADPL SP06F.: 0 201 - 400 alp..: 0 201 - 401 asp..: 0 1st W/0 SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOUR......: P LIMITED ENERGY.: P 401 - 600 asp..: 0 401 - 601 asp..: P Ea ADN pR CIP: 2 SIPP./PANEL...: N IN PLANT....... 0 MANE HN/SVC/FDR: P 6:31 - 1000 amp.: 0 601{88ps-1000 v: 0 NTNOR LABEL •-10s 0 1001{ asp/volt.: 0 PLAN REVIEW SECTION ------_-_--.-_----_-__-_____-_.--- Reconnect only.1 0 )=4 RES UNITS..: SVC/FDR)w2E'3 A.s > 000 V NOMINAL: CLS AREA/SPC OCC: -------------------------------------------------• ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL------------------------ B. COMMERCIAL--­_-____�___. AUCTO I STEREO.: VACUIIN SYSTEM..: AUDIO i STEREO.: FIRE ALARM ....: INTERCOMIPAGING: OUTDOOR LNDSC 't T: BURGLAP ALARN..: OTH: I BOILER.......... HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SISK: GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHR: HVAC............ DATA ME COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS, P Owner: --_______-- --------.._..----__ --Contractor: ----------------- - TOTAL FEES:$ 484.21 ALBFRD, TERRY R DEBRA OWNER This permit is subject to the regulations erntairol in the 1128P SW NORTH DAKOTA ST SIM RES MIBILITY FM Tigard Municipal Code, State of Ore. Specialty Coc'ps and all TIGAPD OR 47223 TN FILE other applicable laws. All wnrk will be dare in accordance with approved plans. TI-i5 pp,-s;t will expire if world is d �^e Rt Phots 1: not stated within 180 days of issuancf, or if the wort i, K AegI1_-t suspended for sort. than 18P days. ATTrNTION! Oregon law y ---_------------._---_..--------- -------------- requires you to follnw rules adopted by the 7,-egon Utilit+ Notification Certer. Those rules are set faith in DAR 952-001--0010 through OAR 552-001-0980. You say obtain copies o► these rules or direct questions to DUNG by calling (5031246-1987. -----------------.---------------- REQUIREC INSPECTIONS Erosion 844-8444 Crawl Drain/Back I.nw Voltage W Footing Insp Electrical Servi Insulation Insp J Foundation Tnsp Elettrical Rough Rain drain Insp Pest/Bea@ a Fraying Insp Electrical Final Post/Ae; Mechan r Wal Pailding Final T Pkrmittee Si natr_tre : . {.{-F{ i + I 1 1 r , 4 I t 4-1 F..{+ t.r (. 1 + 1-++4. , 4-1..t r.t i #.#++444 { .i 4 1 1 i-+*4-4+ f -1-4 Cal75 by 7.00 p. m. for-- an i.n5pection ntF-dpd the next bt_tsiness day Permit#: Adrdby: so 5 W�� Iss Date: a Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following state;nent before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.01(X7), need not submit this statement. [his statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 38: 11 1. I own, reside in, or will reside in the completed structure. U 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale w before or upon completion. F13A. My ger al contractor is — (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. "R d3B. I will he my own general contractor. o. If I hire suh,:ontractors, I will hire only subcontractors registered with the Constriction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is co registered with the CCB and will immediately notify the office issuing this building permit of the narne of the contractor. m W I hereby certify that the.above information is correct and that I have read and do understand the Information –i Notice to Property Owners about Construction Responsibilities on the reverse side of this form. C — //— d. ABq_A� ___ a (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) G1TY OF TIGARD Residential Building Permit Application eccheck 0: - S't R ' *'f'`3125 SW HALL BLVD. Additions or Alterations eca By Date Recd - TIGARD, OR 97223 Single Family Detached or Attached (Duple,;) Date to P.E. Y 503-639-4171 ty� Deb to DST ' - r F 503-684-7297 �' Permk* Print or Type cal ' vIC Incomplete or illegible applications will not be accepted Name of Project � �,.��jl 3 Name - — Job l; ! , ') Address Site Address Architect Mailing Address / n Sur , Al' lVA S i• — - CRY/State Name Zip Phons 9 1)f-erA lot dr. Name Owner Mailing Address / J 5r S1 Ry/Stote Zip Phone Engineer Meiling Address 7'i'n" r r, 96-39 CRY/State zip Phone General N/a^� Contractor _/i ry Describe work New O Additbn Alteration O Repair O Mailing Address to be done: Prior to permit A ditional acription of Wo Issuance,a copy City/State Zip PhoneC�P-. of all licenses are required If Oregon Const.Cont.Board Exp.Dote PROJECT �+ expired In COT Lic k VALUATION �D< '� database Mechanical Name NEW CONSTRUCTION ONLY: Sub- I r \ ) _ Sq. Ft. House- U— Sq. Ft.Garage Contractor Mailing Ad ress Indicate the restricted energy installatioo by the electrical Pryor to permit Issuance,a copy City/State Zip Phone subcontractor in the following areas of all licenses Restricted Audio/Stersso are required If Oregon Const.Cont.Board Exp.Date Energy System Alarms expired In COI Lic.* Installations Vacuum Irrigation database System System__ Plumbing Name 11 :heck all that Sub- f a Contractor Mailing Address Comer Lot YES NO, ag Lot YES NO check one ch one _ _ Has the Subdivision Plat rded? YFS NO Prior to permit City/State Zip Phone issuance,a copy _ �`- of all licenses are Oregon Const.Cont.Board Exp.Date required if L'.c.fr I hearby ackrfowiedge that I have read this application,that tha expired In COT database Plumbing Lie N Exp.Date given iven Is correct,that I am the owner or authorized agent G. of the owner,and that plans submitted are in compliance with OC Oregon State laws. —! Name wne Date ElectricalrC _/ r• ^Wf.l r� C Hy-"' J_ Sub- Mailing Address act Pers n Name ,Phone# m Contractor e C`'�-5 3 City/State Zip Phone JPrior to permit issuance,a copy — FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont.Board Exp.Date let required if Lic.N P *: Map/TL#t � d 5t,tet, expired in COT — �CJC. database Electrical Lic.* Exp.Date SVcks: Zon Solar' Electrical Supervisor LIc.* Exp Date Engineering Approval: PlanningApproval: TIF:- e d i:WstslfomtsWAddelt.doe 1IMM CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-11our Inspection Line: 639-4175 Business Line: 639.4171 BUP Date Requested S" - AM� PM BLD Location_ D -Sk OLow Suite MEC Contact Person Ph PLM _ Contractor _ _ Ph SWR BUILDING Tenant/OwnerELC Retaining Wall ELR — Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: -- Slab SIT Post&Beam Ext Shesth/Shear Int Sheath/Shear Framing I _ Insulation Drywall Nailing Firewall Fire Sprinkler �— Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING IWN Post 3 Beam Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas line — – Smoke Dampers Final T FAIL o. 9LIECTRICA a Service Rough In UG/Slab Low Voltage — Fire Alarm � Fin PART FAIL W um Backfill/Grading �— Sanitary Sewer Storm Drain [ )Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please calf for reinspection RE: [ 1 Unable to Inspect-no access ADA Approach/Sidewalk DateAl Inspector Ext Other — Final PASS PART FAIL DO NOT REMOVE this lm rtlon record fool. the job slte. 1 w ` •t t (� � (1 •n cn �� �� tt O v �t� �� � � / C) I1 � F � � () .1 ,1'� W 111 lu I , w �7 ly 't p ►'1 wu Ius lu t1 9 � I 0 t1Ut)♦ , t1jtl •t �7, �+n �� r tYl , � �,I r } � �,� tA� ', �n S i �, � W � w iw 11)d I / N f �� Q1► 14 • N-1 wt r CP 1 w ui Qt 1 � -'- _ -__._ I I •� moi--- � � / �I I X Wo i I UI V }— T 1 ( ILI u I ► _ r{ V1 ;11 1 �)s Stul v ,1 �. fit 0 x-1-1 � • L' � v � � I a,w �� • tU 4QTly ul 111 uqj r- ttt �i V t . c 0 v'.f V liL p w a � ov � Q d Wlu yJ �e6�� �o[ • !� • • • • ul v UF T Q w ) . I - ► 1 W V � U ri anr�•,vr. ppe: 4 nvM � n p p Q w mill _1 J..l t ►. Id J _ z NI.f IU n NI n nl a1 off CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 G UP qG1 Date Requested � J AM PM _ OLD Location Suite _ MEC Contact Person Ph PLM Contractor _ Ph SWR ILDI Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SON Crawl Drain Inspection Notes: Slab SIT Post 8 Beam Ext Sheath/Shear b ` Int Sheath/Shear Framing Insulation Drywall Nailing — Firewall (av �r J Fire Sprinkler 1,Z .._. — F15 ire Alarm Pet 41 / g SF Jz 2 / Y Susp'd Ceiling — Roof ' s" Z� ► ► K Misc: 14 n - - -s 4116AA ­15SS rl3 ASS PART AIL PLUMBING Post 8 Beam Under Slab — G Top Out Q Water Service Sanitary Sewer Rain Drains K••� Final PP FAIL — EC-HA NI C." PosfWBeam Rough In t� f(�►,�.� Gas Line - ril -ql e Dampers --:-I Ou, . n 38 PART FAILi CTRICAL Service _Cl.�L�_ a 9'./` LR `cz pC�LRough In f~/1 UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL � � ` 1 'A ��f SITE rading Sanitary Sewer �� A Sanitary Sewer Storm Drain [ J Reinspection fee of$ `!required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ Please call for reinspection RE: [ ]Unable to Inspect-no access Fire Supply Line ADA C /� Approach/Sidewalk Date ( �rf `1 Inspector vu EO Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record from tho fob site. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE TERRY ALBERS, DEBRA 11280 SW NORTH DAKOTA ST TIGARD OR 97223 Electrical Signature Form Permit #. . . . : NST99-0028 Date Issued. : 02/11/99 Parcel . . . . . . : 19134DB-05400 Site Address: 11280 SW NORTH DAKOTA ST Subdivision. : PP1992-049 Block. . . . . . . . Lot : 003 Jurisdiction: TIG Zoning. . . . . . . R-4.5 Remarks: Addition of bedrm & loft. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form Is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: AI,BERD, TERRY & DEBRA TERRY ALBERS, DEBRA 2 11280 SW NORTH DAKOTA ST 11280 Sit NORTH DAKOTA ST TIGARD OR 97223 TIGARD OR 97223 Phone # : 639-8347 Phone # : 639-8347 SReg # . . X Signa urs o upervismg ectric an If you have any questions, please call 639-4171, ext. #310 CITY OF TIGARD BUILDING DIVISION PERMIT#:�*I '1 - 600 Z� 13125 SW Hall Blvd.,Tigard, OR 97223 d.7tATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: /��/b TIME: PAGE: SITE ADDRESS: ' I Z '� �� CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: 'Q�1�� t �j, � PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: �Code # Inspection,Description _ Confirm # Contact # Message Corrections/Comments/Instructions: �1�b��Q S fi� 0 �n P� ; �w ► Oh 5 �',,,�a� vie VLU 0,e4 o. Ul V�,P ------------------------ - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _. \ �'r Date: Z/43/61!; Phone #: (503) 718- z