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11585 SW TALLWOOD DRIVE y. ,t r y ' i r ,• o� J 1 1 i i. • • rot I • • •• a CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling Plumb. Post/Beam Mach. Shear/Sheath Framing Mech, Plbg.Und/Flr/Slab Plbg.Top Out Insulation oflett. Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg. San. Sewer Gas Line Appr/Sdwlk Other: q_ Date: —,,�.,—� r�___ A.M. P.M. , , Entry: Address: _S g,�� � .CC Tenant:_ Ste:__._ MST: yy� - _ � pp BUP: Con/Own:� 4�_'_Q(L u - MEC: PLM' _ ELC THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: If Inspector:V� i - Date: APPROVED __-DISAPPROVED/CALL FOR REINSP. ntclo CITY OF TIGARD CERTIFICATE COMMUNITY DEVELOPMENT DEPARTMENT PERMI I #. ks 196-0105 1525 SN Hall Blvd.TQ*W,Sol;" 97223"199 (60)6394171 DATE ISSUED: 08/1218,, 96 UIANCELI: I512I.WC-PILA340 I I L HUUNESS. . . : I VbOti t3W I ALLWILIUL) LIN •UPDIVISION. . . . : F-,LBBLLCREEK 03 a5 tLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . a 40 I-LASS OF WORK. iNEW I YPk OF USE. . . 1jC(:UP,AN1LY GRP'. i 5 I)CCUPIANCY LOAD i.--' 1Jtqmark% .- PATH I PACIFIC; HUIAES 8625 r9ow CASCADE Fal..VO MITE 606 'KAVEP40N OR 97006 K n o e #; 646-8668 untracturi 05TA-PAILIFIC 14U14F!'.3 SW CASCADE AVE S:,%TF,. 606 -1 -HVERTON OR 97005 lionp #.i 503-646--8888 -u N. . : 65157 , "is Certificate grants occupancy of the above referenced building or- portion nereof and confirms that the building has been inspected for compliance With he btate of Oregon Specialty Ludes for the Wroi. occupant�y, and use Linder Wuh the referenced permit was issued. JILWN6 "TOR BUILDING OFFILIAL , POS-0 1N WNSPICUOUS P,Lf;CE CITY OF TIGARD BUILDING INSPECTION NOTICE 1 Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling Post/Beam Meci Shear/Sheath Framing -KE) Plbg.Und/Flr/Slab Pibg. Top Out Insulation Post/Beam Struct. Mach. Rough-in Gyp Bd. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ ---- — Date: _ A.M.- P.M.—_— Entry: - Address: TEr,ant: Ste:.----- MST �.� O Con/Own: G� MEC: — PLM: _ ELC: .__ THE FOL-'.OWING CORRECTIONS ARE REQUIRED: ELR: P 7- Inspector: Cate —APPROVED _--DISAPPROVED/CALL FOR REINSP. Cr CO PERM I -jo. b~a�as EROSION CONTROL fNSPECTION' REPORT. DATE_��'l_ WSPECTOR /L / -f _ f� OWNER/PERMITEE �7 c El w StJIiDIVISION Y jeh jr c,�EEk 5 LOT !Unified Sewer 0 Agency " of WaShMgton CtfNnty SFIT, AI)DI SS LL ',- A:p>4 Q APPROVED ., FINA INSP CTION t THIS SITE MEETS THE POST-CONSTR.UCTION ]EROSION CONTROL STANDARDS SET FORTH IN U.S.A. RESOLUTION AND ORDER, NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARF. STILL BEING EMPLOYED ON THIS Sn7. TO MEET C'RrrERlA FOR AN APPROVED FTN/kI, INSPEC'nON, TIII~ MEASURES) MUST REMAIN IN PLACE UNTrL LANDSCAPING, IS COMPLETE OR PERMANT T GROUND COVER IS FSTABLISNED. A COPY OF TIIE FINAL. EROSION CONTROL, INSPECTION REPOPT MUST BE FORWARDED TO THE NEW OWIVFX AT WHICH TIME; NEW OWNER ASSUMES THE RESPONSIBH,FTY FOR MALAI'LENANCF, REPAIR AND R?ZMOVAL rHA.NK YOU FOR YOUR C010PERA TION1 Page No. 1 CASE HISTORY FOR CASE NO,: MST96-0105 COSTA PACIFIC HOMES 11585 SW TALLWOOD DR 08/21/98 Action Description Req/ Schd/ Bnd/ Action Notes Jiap By Update Upd Code Sent Done Done Date By -------- -------------- -- —--- - -------- -------- ------------—-—---- ----------- ---- ---- --- •------- .- MSTA005 Application received / / / / 03/06/96 PASS JH 03/20/96 BT2 MSTA008 Permit Created / / / / 03/20/96 (PAS RT 03/20/96 BT2 MSTA010 Check for prcl. restrict. / ! / / 03/18/96 PASS JH 03/20/96 BT2. MSTA012 Plane routed to Plane Examiner / / / / 03/18/96 PASS JH 03/20/96 BT2 MSTA026 Plans approved by Plans Exmr / / / / 03/2n/96 PASS Rr 03/20/96 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 03/20/96 PASS RT 03/20/96 BT2 MSTA050 Hold for / / 03/22/96 03/23/96 waiting to talk to mike HOLD CJS 03/22/96 TMP MSTA080 (F) Ready to issue / / / / 03/21 9G PASS CJS 03/21/96 TMP MSTA092 (F) Issue combination permit / / ! / 04/02/96 PASS CJS 04/02/96 TMP M9TA097 Issue plumbing signature form / / / / 04/02/96 PASS CJS 04/02/96 TMP MSTA098 Issue electric signature .`orm / / / / 04/02/96 PASS CJS 04/02/96 TMP MSTA105 Footing Inap / / / / 04/10/96 #-1- initial erosion control disapproved DIS KS 04/15/96 KBS M9TA705 Footing Inep / / / / 04/12/96 p-1- monolithic ftg/fdn A/N KS 04/15/96 KBS MSTA706 Foundation Insp / / / / 04/12/96 N-1.- monolithic ftg/fdn A/N KS 04/15/96 KBS MSTA71r Poet/Beam Structural / / / / 04/25/96 PASS TI,P 04/30/96 TLP MSTA711 Post/Beam Mechanical 04/25/96 / / 04/25/96 PASS TLP 04/30/96 TLP MSTA713 Crawl Drain / / 04/16/96 PASS MS 04/17/96 MRS MSTA711 PLM/Underfloor / / / / 04/29/96 APP OS 04/29/96 GES MSTA720 Mechanical Inep / / / / 06/17/96 exhaust venting disconnected; plug holes FAIL RB 06/18/96 RB w/in the RA MSTA720 Mechani^al Inep 06/19/96 / / 06/19/96 PASS RB 06/19/96 RB MSTA722 Plumb Top Out / / / / 06/10/96 test not complete FAIL MS 06/10/96 MRS MSTA722 Plumb Top Out 06/12/96 / / 06/12/96 PASS MS 07/25/96 RT2 MSTA723 Electrical Service / / / / 06/14/96 PASS MJR 06/17/96 MJR MSTA724 Electrical Rough In 06/17/96 / / 06/14/96 PASS MJR 06/17/96 MJR MSTA725 Framing Inep / / / / 06/17/96 mech issues; shear nailing; drywall FAIL RB 06/18/96 RB nailer- master shower; attic access w/in sissor trusses; roof line blocking- main entry M£74725 Framing Insp 06/19/96 / / 06/19/96 PASS RB 06/19/96 RB MSTA726 Shear Wall Inep 06/13/96 / / 06/13/96 pending rear garage wall nailing PASS RB 06/13/96 RB MSTA735 Gas Line Inep / / / / 06/13/96 PASS Rn 06/13/96 RB MSTA740 Insulation Inep 06/19/96 / / 06/19/96 PASS RB 06/19/96 RA MSTA745 Gyp Board Insp / / / / 06/24/96 APP GS 06/25/96 r3ES MSTA755 Pain drain Inap / / / / 04/36/96 PASS MS 04/17/96 4rS MSTA760 Water Line Inep / / / / 04/16/96 PASS MS 04/17/96 MRS MSTA765 Appr/Sdwlk Insp 08/12/96 / / U7/15/96 1. Be prepared to protect i nish. PASS PI 08/12/96 C•H MSTA765 Appr/Sdwlk Inep 08/19/96 / / 08/08/96 PASS PI 08/19/96 C*H Page No. 2 ^ASE HISTORY FOR CASE NO.: MST96 0105 COSTA PACIFIC HOMES 11585 SW TALLWOOD DR 08/21/98 Action Description Req/ schd/ End/ Action Notes Diep By Update Upd Code Sent Done Done Date By META770 Misc. inspection 06/13/96 / / 06/13/96 q-I- subsiding nailing DIS KS 07/25/96 ST2 MSTA790 Electrical Final / / / / 08/08/96 APP OS 08/09/96 GES MSTA790 Electrical Final 08/13/96 / / 08/12/96 gaps around range plug DIS MJR 08/13/96 MJR cable run through attic entrance MSTA790 Electrical Final / / / / 08/16/96 corrections complete PASS MJR 08/26/96 N.JR MSTA795 Mechanical Final / / / / 08/06/96 APP OS 08/09/96 GES MSTA791 Plumb Final / / / / 08/08/96 PASS MS 08/09/96 MRE MSTA799 Building Final / / / / 08/08/96 APP GS 08/09/96 GES MSTA960 (F) Issue Cert. of Occupancy / / / / 08/08/96 09/20/96 JF MSTA970 Case Finaled / / / / 08/09/96 APP GS 08;09/96 GES C17Y OF 'rb -'GARD r(ITE T SCIUCD: 04/1%21/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Nall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 +ArZ1:EL..• 1 W+w 7( r'ru.S "UM1V ISION. r . . . l71EBI.'•LE:C Pr' rf Y JII1N(5" Y^t'—fir . . 1.C1T. . . . . . . . . . . . . . IMF!01 1.1 - _ASS C�, ,IK.a CR tEIGtIT...,,, 112 rJRST,...; 121E .r GARAGE...,.. 498 sf LEfT.......... . `,PC or La...;sr rL00F. LVAD... '2 cf FFOtiT.........: 20 'YPE OF i'WT.iSN DWELLING UN,'_- sf RS3w.,,,... 'XI'mr? Gr,,R3 NM. 3 ,:; .- 208 yf VALUE.,1 i 10682 REAR.....,, Tri r'�� +r • =441'c `ALG,.. LAUNDRY TRAY" :H�0 RAIN DRP,I,y f t . : 2 TRAM.....,..,; 7VRtORIE$....: 3 'ISRAS I C.,.; 1 F,.COR SHIN*.. : +' XKF LINE ft: 0 S RAIN DRAINS: I CATCH BASINS.,r O /SNd• FC,,,: CAIPAGE DIuF,.: J 14TE1 W47'S,; I HATER LINE ft: 190 IICFrLW PRC';II*kt I B+'M:t TW, "S..: € n+'urel �ty+a�nCn. f' FURN ( 1W .'EN' MI 4 ,.r - 2 RESII)wMI� L 'ST •-••SERVICE1r—LrPER- -7tT RVC;TEZrDERS. --PRtAtO KI MIWC[LLAIKEC'!c,-.__ nn'L i'.S^fCi O? LESC: 1 0 21C0 asj..: 2 200 asp,.: 0 aISVC ^R r'DR..; 0 r1m.;IRRIGATION: 0 p C I'4WECTION: 1 ADD'L '.; ? 201 40 'clip.. . 0 221 4W ;isp..1 0 ls: h10 SVC/FDR: 0 SIGN/OL"' LIN LT. A PER FtOItR....... C asp—, 0 EP ^:. ^R CIA: 2 aI /RAIE1..,: 2 IN R',,ANT. MINOR LPVL •"1B: ^LR'd RC('IC:I S A., '00 V N MINAL, _. -1 TRIC'ED CIIERCY __... .. .... B ccKI CiML. .._ -. 10 S VX.q°r SYST`:' A'WLiu v 5 Xprc,. IF' ?".,,.r. _._ . ... .� RBLAR ALA.°' OTI1: % BCILU.....,r r.: SIU>;. RAGE Grr'. 0cr... . . . . ._ ....._.- xrTAl ��'� .•T�0?,moi^ gIT"rC 6C"' 1�GRI wit tiiL JlINwi - `•• :L '!'4 1e in ,s :�` .-.su�rte, �,. if ,ior.; as _aj:r;,d¢d cC,. aare '.`•ars Jn.� ua ' rr7i RED Gyp: 3aard ' 31 Finn) C rej:Jace ; ,sp Rain drai:, 1,isp mee-anica3 final r,. Hater Line Insp Ftsetl Final Vptpr "ervlu In tulldir;g rinal _ Appr/;dwIjl In'sp C'rosion Control —�� '7,r rM I T R,Ni': 4. . . . . . . . SWR CITY OF TIGARD rEI)G COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orogon 97223*6199 (503)839-4171 r:,nrcra- isi7,3cc-rB340 'ING: I,D I V. E E D L E C R C r I' #2 7 ON I-OT. . . . . . . . . . . . ; 40 LIG'A NO . . . . . . . . . s FIATURE UNITS. . . : 0 "I ^" " UNITS. . : I .-'; OF 14CIP11,. DWELL I N Ty��E or-- UIDE'. Sf'* INO. OF D"'UILDINGS; I N'S-�A L.L. T'(Pr T' 2':'t FlerniA, "-n ; PnTli T r ['O"TA PACIrIC.' I i0t<-r t e StIn C215 Sw CASCn , DE SLVD r',RMT `00. 00 TMP 04/0c"/96 96-277'f 71, C",O TMr T4/0^/` 6 Mill"C 6716 'A N-'r "EnVERTON W' 9700C L Ce.C t Q V' OC.' TO'TOL. RE VU I Fern INSPECTION-) :,,4� +plicatt agrees to comply with ali t".i rules and t :f the Unified timaji Aj-rcy. Thi permit expirel; 180 days thi JaU i-iced, The total &51A� paid will be forfeited If t`t pevzit u �' the A enty dies not ju;rantpe the iccvraty of thf side :w '1:%rdln. If the trwar is not located at the measurement the i3;t&II6!' 1,118114 P?-UUpCL! 1, fart in all directions ft-em the dl5tarcl given, If rot 50 t"f and 11idt hewer" Pu-si'. tl mi, u t) 639" 417 Residential BuildinPermit ADDlication City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 ("503) 639-4171 Jobsite Address: >'ebole Creek :� Office Use Cl Subdivision: I_of # �0 _ Con►:.sct Date Valuation: )06, L)-Z 3- Result �— New Construction Only: (Square Footage) Planck/Rec # House: 1508 Garage. Permit # 1'r -- Reissue of _1�LLA Map & TL # I S i'33 CC - P(3 3 0 Corner Lot? Y N Flag Lot? Y N Zone 5 Owner: Costa Pacific Homes Plat # -- r Address: 8625 SW Cascade P1.vri . #606 AA rovals Required Beaverton, OR 97008 Planning Setbacks _ Solarr'� Engineering" ['ice t 0-3-119-96 Phone ( 503 646-8888 Other Items Reqs wired Contractor: �3mP _ Subcontractors Address Truss Details i Other /� F'hot,e: Notes !ccrrter� (''lam fce•,'t Contractor's License # _65 t 57r . (attach copy of current Oregon license) T' �3, r sir, Contact Name: Ma rr,i waha r -- Contact Phone: ( 503 646-8888 Subcontractors: ;rin12, ArchitectJEngineer: Iverson Associates Plumbing: J & R Plumbing Address: 151 SW Kalmus Drive C. 140 Mechanical. Arco Installations Costa Mesa , CA 92626 (attach copy of current OR Contractor's License) Phone: ( 714 ) 549--3479 JOB DE CRIPTION. JOB t S nature ' Applicant Phone number r Received by: Date Received: Permit# Account Description Amount Amt. Pd. Bal.Due /�f 61 U 5 Bldg. Permit (BUILD) 46(j, sv 4(JT,)v ' ' Plumb. Permit (PLUMB) � 0 �2 2)�.�. , Mech. Permit (MECN) 3• i-7/ EL 45 Bldg: X2. 5 Plumb: // 2- Mech: 01/ - E[.c Plan Check (PLANCK) 2 X 3 -25y 101 Bldg: .�• �� Plumb: Mech: Scu k- ►1('0 Sewer Connection (SWUSA) Sewer Inspection (SWINSP) 3 Parks Dev Charge (PKSDC) Su G ..5 vd Residential TIF (TIF-R) 70 U `1 Mass Transit TIF (TIF-MT) / 24) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-13) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) � Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) � _ '� 1W Erosion P!anck/USA (ERPL.AN) � Erosion PlancklCOT (EROSN) TOTALS: -- (101) 7-. )Z s7S 5 Z Solar Balance Point Standard Worksheet Address ��� ✓' �'`° ��/�� /� Box A calculations: North-South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing_ an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. * 450-0 1 `NO SIM t NUT UNIE ORIIIEfIN N North-South '✓ Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along //`` the described line. feet 1 � N \ NoantisouM DIMENSION Box B calculations: Shade point height for your residence. Box B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements Will (circle one) be based on the peak of the roof. o Q o 0 NrypM--► l �. 1 B 0 1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based on the eave. !MADE POINT EAW 1c: If the roof line runs East-West and the roof pitch is 5/12 of steeper, measurements will be based on the peak. swlpE R;Ht o/x.1 I Box B. continued Box B: Z. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If / tj the lot slopes down from the front lot line to the foundation, the figure is negative. ---- ---- It 3. Measure distance from finished floor elevation to the affected peak/eave. �'Ss tt 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. ft 6. Total figure for box 13: Box C. Distance to the shade reduction line. lion C: 1. Measure the distance from the North property line to the foundation near the I affected peak/eave. ?. Measure the distance from the foundation to the affected peak or eave. �(y� CJ f1 3. Total figure for box C: 0 ft It is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to rep�­Sent the appropriate figure found in box"C". The intersection of the vertical and horizontal lines determines the value found in box"D".The value in box"D"should be compared to the value in box"B"; if the value in box"B"is less than or equal to the value found in box"D",then the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171,x304 or at the Community Development Gnmter. MAXIMUM P MITTED SHADE POINT HEIGHT (In Feet) Distance to W North-south lot dimension(in feet) shade 100+ t 90 85 80 75 70 65 60 55 5n 45 40 reduction line from northern Int line lin feet) 70 40 10 40 41 42 43 44 65 38 18 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 50 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 40 28 28 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 26 2? 28 29 30 31 32 33 34 25 22 22 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 13 18 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 1.1 14 15 16 17 18 19 2021 22 23 24 Box D. Maximum allowed shade point hei�h� '"� .� _ fe"I Ii i .i CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC96-0324 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/20,'96 1„�25 SW Hall Blvd.Tigard.Oregon 97223.8199 (593)539-4171 I-ARCF-L: 15133CC:—FIB34111 SI'Z'E ADDRESS. . . : 11585 SW TAI_LWOOD DR SUBDIVISION. . . . : PEB13LECREE'K #3 LONING: R--25 BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :40 Project Description: Installing one tempor^ary se-vice or feeder to 200 amps rr, less. - --F2ES'IDEN1'IAL UNIT----- -----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS—•----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : i FRUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 2101 — 400 amp. . . . . . . : 0 SIGIJ/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . r 0 601+amps- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER—­- -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS-•-•- 0 — 2:00 amp. . . . . . : 0 W/SERVICE- OR FEEDER: 0 FUER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FAR. : 0 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ________.._________.--PLAN REVIEW SECTION----- --- —_ ----- 1000f amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . .. > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner __._._____.-- FEES ---__--_.------_. COSTA PACIFIC HOMES type amount by date rec-pt 8625 SW CASCADE BLVD PRMT $ 50. 00 CJS 05/20/96 96-2796O4 SUITE 606 SPCT $ 2. 50 CJS 05/20/96 96-279604 BEAVER'TON OR 97008 Phone #: 646-8888 L.ontract or: BEAR ELECTRIC $ 5d'. 50 TOTAL PO BOX 3619 28085 BUTTEVIL_.LE RD NE. -------- REQUIRED INSPECTIONS - -_--- DONALD OR 970120 Elect' 1 Service Phone #a 503-678-1.355 Elect' l Final. Reg #. . -#. . : :=:0919 This permit is issued subject to the regulations contained in the ---.-- 1 rgard Municipal Code, State of Ore. Specialty Codes and all other Permittee S i gn at Ur^e applicable laws. All work will be done in accordance with approved plans. This prrmit will expire if nark is not started within 18N days of issuanLO, or if work is suspended for more than 180 days. Issued By -(1WNFcR INGT'ALLATION The installation is being made on proper-ty I own which is not intended for sale, lease, or, rent. OWNER' SIGNATURE: _-- __._....---_-- INSTALLATION SIGNATURE OF SUFIR. ELEC' N a Ori c �1,�1 cf.t-Ari DATE: LICENSE NO: �T Call for- inspection - 639-4175 I Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # �.; Date Issued Phone (503) 639-4171 CITY Qf TIC�ARD FAX (503) 684-7297 TDD No (503) 664-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of r welopment $BL LCC uB-yL✓rS/eN Number of Inspections per permit allowed Address 56S SW "1 LLLvOOD 7�" _ _ Service included Items Costtaa) Sum Citylst� S/�;�d n l>� 9 z 2� 4a. Residential -per unit 1090 sq ft or less $11000 4 Name (or name of business)_CUS�f19vM� I=ach aAd"onal 500 aq n or ^— portion thereof $2500 _ Commercial E] ResidentialLI tiedEner91 $2500 _ 1 -x/11101 5 Lech Manurd Home or Modular Uwellrng Service or Feeder $6800 2 2a. Contractor installation only: -- 4b. Services or Feeders Electrical Contractor� �{ EL_E L• ��f Installation,alteration,or relocation Address p q l —�- 200 amps or less $6000 2 !_.iIL�— 0 ! _ 701 amps to 400 arr,ps $80 00 2 City �a/1/,4 i-O State mit Zi o to 401 amps to 600 amps -- $12000 2 7[�� p - 601 amps to 1000 amps $18000 2 Phone NO. �'a�LL Over 1000 amps or volts $340 no 2 Job NO. Reconnect only `— $5000 2 contractor's license NO.. 0` 4c. Temporary ' Contractor's Board Reg. No. Za pora Services or Feeders Installation,alteration,or relocation Signature of Supr. Elec'n 200 amps or less _j_ �'p o v_ z 201 amps to 400 amps _ $50 00 7 license No. Phoney L 9�–i 3 5 S _ 401 amps to saa amps — $7500 ------ Over 600 amps to 1000 Vons $10000 — -- 2b. For owner installations: see°b"above Print Owner's Name 4d. Branch Circuits -- - -- -_ New,anerauon or extension per pane Address a)The fee for branch circuits with City_ State_____ Zip_ purchase of service or reader res. Each branch circuit $500 Phone No. b)The fee for branch a without The installation is being made on property I own which is purchase ofservic iderin. not intended for ssle, lease or rent. First branch clrcun $3500 Each additional branc .scull $500 Owner's Signature 4e. Miscellaneous (Service or feeder not Included) 3. Plan Review section (if required): Fach pump or Irrigation circle V $4000 Fach sign or outline lighting S40 W Signal clrcuRp)or a limited anargy Please check appropriate item and enter fee in section 58. panel,anerauon or extension $4000 4 or more residential units in one structure Minor Laoels(10) $10000 `�- _ _Service and feeder 225 amps or more '�-- System over 600 volts nominal 4f. Eact. additional Inspection over Classified area or structLrre containing special occupancy the allowable in any of the above as described In N E C Chapter 5 Per Inspection Woo Per hour $5500 — - —� Submit 2 sets of plans with application where any of the above In Plant 355 I)0- — apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of ar ave fees $ 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ n A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $r COMMENCED. wuTcome.na., I ATrust Account # X aM, $ X Orlatire Cite S SZ_/C- Credit No.: — CITY OF TIGARD Date Issued: 12-14-95 rele,��,ea 4131q(o Engineering Authorization TRAFFIC IMPACT FEE Date: CREDIT Land Use Casefile No.: SUB 93-0001 In accordance with Ordinance 379 _Qqata PacifrQ r t 66(e CfQ e _�neme of devk,perl is entitled to $ 127Ez6 Q7 _ in Traffic Impact Fee Credits that can be applied to TIF charges for development on lot(s) 23Lhroh 61_ of the „P�fl��rc Development. To use this credit, present this form at the tirne of issuance of the building permit. Date _— Permit Numbers Lot Numbers Credit Used Salanco Beginning Balance 12-7-C 5.0 7 mti,rq&-007 3f _ 1590 1/1276-^7 u- _q 7-i'757-16'0/v7 5?o17 U - �'-46 �f�47 OIJA- Ss' 15-90 . g9G 0� ->I-911 0/vs H 540 a- 11r 'nl . vo _ �l 100 4 Y J 6 , 07 Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 7 years from authorization. Use Additional pages if necessary Ioginlviolwbf09 1