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10982 SW DURHAM ROAD r I O �O p �c G A d 'f i YI I __ 1o982SW DURHAM RD n CITY I Tw fir/. O F T'G A��D ELECTRICAL PERMIT / PERMIT#: ELC2000-00456 DEVELOPMENT SERVICES DATE ISSUED: 8/10/00 13125 SW Nall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S 115AA-00800 SITE ADDRESS: 10982 SW DURHAM RD OFFIC SUBDIVISION: WILLOW BROOK FARM/OAKTREE APT ZONING: R-25 BLOCK: LOT : 026 JURISDICTION: TIG Proiect Description: Limited energy panel located in the m2nager's office `RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS___ 1000 SF OR LESS_ 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HMI SVC/ FDR: F01+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: — 1 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: FA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _PLAN REVIEW SECTION 1000-t amp/volt: >=4 RES UNITS- > 600 VOLT NOMINAL: Recormact only: _ — SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Oviner: Contractor: CARR, BERNARD AND HONEYWELL INC LABBY, ROBERT TRUSTEES ET AL 15495 SW SEQUOIA 633 NW 19TF-I AVE STE 100 PORILAND, OR 97209 PORTLAND, OR 97224 Phone: Phone: 968-3300 Reg#: SUP 941-JLF LIC 00057824 r ELE 26207CLE FEES J— = _— Required Inspect ons _— Type By — Date Amount Receipt Elect'/ Service PRMT DLH 8/10/00 $60.00 0004387 Flect'I Final 5PCT DLH 8/10/00 $4.80 00013137 -- Total $61.80 ^ _ I — This Permit is issued subject to the re;u'ations contained in the Tigard Municipal CeriP `?`.cte of OR Specialty Codes end all other loplicable laws. All work will be done in accordance witi approved plans This permit will e'cpire if work is not started within 180 days of issuance or A work is suspended for more than 180 days ATTENTION Oregon law requires,ou to follow rules adopted by the Oregon Utility N otification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain oopies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE= pA/ i9l�)I,L r,.?%/c t/ -- ISSUED BY: OWNER INS_IALLATION ONLY The installation is being made on property I own which is not intended for sale lease, of,rent. OWNER'S SIGNATURE 'ATE:-- -- CONTRACTOR INSTALLATION ONLY SIGNATURE CF SUPR. F_.LEC'N _ — __— DATE:-- LICENSE NO. ------- — — ----- ------ — Call b39-4175 by 7 rJ0pm for an inspection the next business day TI_11_-25-2000 13:01 HI O It 'i I-IR L. OF TIGARD 503 958 3398 P.E2/02 CITY CITY �W HALL BLVD. Date Permit Application Ree'd By13125 _ Date Ree'd 1 IGARD OR 97223 Date to P E. _ Phone (50:i)639-4111, x304 Print of Type ` Date to DST in-,pedion (5031 639-1175 Incomplete or Illegible will not be accepted O Permit NF-1- Called Fax (503) 598-1960 _ _ 1. Job Address 4. Complete Fee Schedule 9elov.: Number of In%poctions pet permit Name of Development!_- -_ _ allowed Name (or -ame of business) VO _ ^^ , 1 ��, }y, Service Inc�uded: Items Cast Sum Address.(�1_;_!/�� ` .. 4u. Residential.par city/State/zip _ (� � 1 �- 1000 sq.It nr less _ $ 1 t 7 75 K Farh additional 500 sq It.or I ommercial } Residential ❑ penin thereM S N 75 - 1 Limited Energy _ $ Each Manurd Itnrrle or Modular 2a Contractor installation only: Dwollinq Service or Feeder S 71 75 (Prior to permit Issuance,applicants must provide contractor -- license information fur Ct T data bap-) 4b.Services nr Feeders Flecctrical Contr C or J 1LZ t Installation,slternflon,or relocation i�� ��v n 200 amps or 40V _ y S M5 25 -.-- 7 Addl s r ` �G.-. lot snipe h�4ou amps — i as so - z City rcz . State _ Zip�_`� -_ 4ot amps to F00 amps _ S 128.50 Phone No. �� 601 amps 10 1000 amps S 192 50 2 Joel No. _-..... Over 1000 amps or vnita $ 383,75 Llec Cont. Lice, No Fxp,Date Reconnect only S 53 50 i 7 OR State CCB Reg. No Exp.Date� ac Temporary sorvices or reedom CO I Business Fax or Metlo No _ Exp.L)u,e Installation,alteration,or rnlnq tion 200 amps or lase S 5150 Siqnature of Supr, Flpc'n - 201 amps to 400 amps i A S 80.25 2 401 amps to 800 amps S 100 00 1 �y Over Onr)amps to 1n00 volts, License No. �...__��— Fxp Date e"b'above. Phone No. je,-, — ad.Brnnct .,. -.tee Now,allot aunn or extension per panel 2h. For owner installarior:S; R)The Iris fnr branch LnCUita with psVchass of servlew or ruder Pent Owner's Name.— _ tae• AddreSa_ - Each brand Orcuif u_ S e5 city ,State_ Zip h) the fse Inr branch circuits without purchase of service Phone No. or feeder Ma First branch circuit S 37 60 The installation is beinq made on property I own which is not Fach addltlonal branch cl,ruif intended for sale, lease Or rant. 4s.Miscellaneous IServlcs or feeder not included) Ownef's signature - _ - Each pump or irrigation orde S 42.75 Each sign or nu8ine llphang S 4275 3. Flan Review sAction (it f equirt-d): 9lgnal circuil(s)or a limited cine �Lv rgy ev panel,alteration or extension l S 8n On (4�` ' Please chock appropriate Item and enter fee In section 5B. Minor I-abels(to) s 100.00 4 or more residential units in one structure 41.Each additional lnapoctlon ovnr _Service and fftedPr 225 am,)s or more the auowshlR hr any of the above _ System over 600 volts nominal Per inspection S 5000 Classified area or structure r_entalning sF*tial occupancy es Per nnur _ $ 50.130 _ described 1,1 N E.0 Chapter 5 In plant S 59.00 5. Fees: fJ a Submit 2 sots of pears with application where any of the Fa.Enter tntat of above fees c ^ above apply. 9%Surrharpe(()A X total teas) E Not requlrnd for temporary cnnstruction services. Subtotal 21 s Fh.Enter fer 2 'M nl hoe as Inr NXTICI. Plan Review k mgWr d(ti-,: l) S Subtotal s _� PERMITS BECOME VOM IF WORK OR CONSTRUCT1nN AUTHORIZED 1.1;NOT COMNENCFO WITHIN 160 DAYS OR IF CONSTII IC'ION OR WORK ISACCO,'I rl Z_(�Z&+ SUSPFNDELt OR ABANDONED FOR A PERIC^OF 100 DAYS Airusl't ANY TIME nrnf balance Duw S AFTER WORK IS COMMBNrED. _ J_ TOTAL Pala 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 -Mach. PIbg.Und/Fir/Slab Plbg. Top Out Insulation Elect. I Post/Beam Struct. Mech, Rough-in Gyp. Bd. San. Sewer Gas Line Appr/Sdwlk Rains. Other: l L12� _ Date: Z A.M. _F�Entry: Address: �99 ee 1��_ Tenant: Ste:__� MST: BUP: _ Con/Own: _ MEC:._ PLM: _ ELC: __—_— THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Ins ctor — — Dater APPROVED _.__DISAPPROVED/CALL FOR REINSP. CF O CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested �- �O� —AM ` PM BLD _ Location �U y �.Z >�� r ^�^ /� �— Suite M� MEC Contact Person _ ' dr �,�-c. _-- Ph .3 PLM Contractor— _ — Ph _ SWR BUILDING Tenant/Owner ELC c;0 yam. Reta ning Wall ELR Footing Access- FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes: - ---- Slab —�—. ----lr ���—�!r_� —__ SIT ------- -- Pest&Beam Ext Sheath;3;,eai Int Sheath/Shear Framing -- — - - .—----------- - --- Insulation Drywall Nailing Firewall � ----- --- Fire Sprinkler Fire Alarm Susp'd Ceiling -----_----- Roof Misc: -- _.. - -- -- - - - - --- ----—-- ---- Final PASS PART FAIL --------- ___ -- _ v PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains — Final PASS PART TAIL MECHANICAL Post& Beam - -- -__ _ ---- - Rough In Gas Line -------- - -- - _ - - -- - --- _. Smoke Dampeis Final - ---- - --------- - --- ---- — _ PASS PART BAIL Service Rough In UG/Slab Low Voltage ire Alarn r PAS PART FAIL �_ -- ----- ----------. -- - Backfill/Grading - -- — —- --`------ ----— Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call torr .msf ection RE:__--_ [ J Unable to inspect no access ADA Approach/Sidewalk Date _ -_ Inspector -� Ext Other - — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CIT`.' OF TIGARD 1312.5 S.N.Q. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE VANDER STOEP ELECTRIC 23765 THIRD ST NE AURORA OR 97002 Electrical Signature Form Permit # . . . . : MST96-0318 Date Issued. : 08/06/96 Parcel . . . . . . : 2S115AA-00900 Site Address : 10982 SW DURHAM RD #GAR Subdivision . : WILLOWBROOK v'ARM Block . . . . . . . . L,(-)t . 26 Zoning. . . . . . : R-25 Remarks : REPAIR Or GARAGE WALL STRUCTURAL AND ELECTRICAL ONLY 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. No electrical inspections wi:i be authorized until this cornpleted form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM E'LI=R ICAL CONTRACTOR: CARLA PROPERTIES VANDER STOEP ELECTRIC 633 :IW 19TH 23765 THIRD ST NE PORTLAND OR 97201 AURORA OR 97002 Phone # : 227-6501 Phone # : Reg # . . : 89417 X Si azure o upervising a rician� Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD MASTER F,F_RMIT IDERMI T #. . . . . . . : M5T9E—o"u3 COMMUNITY DEVELOPMENT DEPARTMENT DATE. ISSUED: 06/171a/96 13125 SW Hall Blvd.Tigard,Qragun 97223.8189 (503)639-4111 IDCIRCEL: 2S 1 15AA•-001)00 ATE ADDRESS. . . : 14198_ SW UURHAIYI RD #GAR UDDIVISION. . . . : WIL.LOWI3ROOK f'ARM ZONING: R--C:5 L:I_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :c,t Remarks: REPAIR OF GARAGE WALL STRUCTURAL AND ELECTRICAL. ONLY ------------------------------------------------•-------------- BUILDING -------------------------------------------------------------- REISSUE: STORIES..,....: 1 hLUUR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS REQUIRED---- ------- CLASS OF WORK.-REP HEIGHT........: .'5 FIRST....: sf GARAGE.....: @ sf LEFT..........: 0 i'10E DETECTRS: T11PF OF USE...:MF FLOOR LOAD....: 50 SECOND...s 0 sf FRONT.,.......: 0 10 !N& SPACES: 0 TYPF 01: CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT,....,... : @ OCCUPANCY GRP.:R1 BGRM: 0 BATH. 0 TOTAL------: @ sf VALUE..1: 5900 REAR......,...: 0 ---------------------------------------------------------------- PLOBING ------------------.--------------------------------------------- slwn'.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDPY TRAvS.: 0 PAIN DRMIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: @ SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: @ TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: @ - -------------------------------------------------------------- MECHAI.ICAL -------------------------------------------------- FUEL TYPES----------- FURN ( 1@& .. : 0 BOIL/CAP ( 3HP: 0 VENT FANS.....1 0 CLOTHES DRYERS: P TURN )=190K ..: 0 UNIT HEATERS..: 0 140OLS.........: 0 OTHER UNITS...: 0 10 INP.: 0 BTU FLOOR FURNACESi 0 VENTS.........: 0 WOODSTOVES....: @ CAS OUTLETS...: 0 ----------•---------------------••-------------------------•------ ELECTRICAL ----------------------••------------------------------------- -•-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPELTIONS-- 1000 SF OR LESS: 0 0 c@@ amp,,: 0 0 - C00 amp,.: 0 W/SVC OR FDR..: 0 PLKI/IRRIGATION: 0 PER IWPECTION: 1 EA ADD'L 500SF.: 0 201 4@0 amp..: 0 201 4@@ amp.. : 0 15t W/O SVC/FDR: 0 SIGN/OUT U N LT: @ PER HOGS......: @ LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 600 amp .: 0 EA ADDL NR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0 MANF HM/SVC/FDR: 0 601 1000 amn•: 0 A014amps-1@00 v: @ MINOR LABEL -!@: @ 1000+ amp/unit.: 0 ----------------------------------- PLAN REVIEWiECTION ------••--------------------------- Reconnect only.: 0 )-4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----•------------------------------------------------- A. SF RESIDENTIAL---------- ---- B. COMMERCIAL----------------------------------------------------------------------------- AUDIO b STEREO.: VACUUM SYSTEM.,: AUDIO d STEREO. : FIRE ALARM.,...: INTERCOM/PAGING: OUTDOOR LNDSC LT- BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPEiIRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC,..........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: @ Owner: -----------------------------------Contractor: -----•-------------------•----- TOTAL FEES:1 172.81 CARLA PROPERTIED KENNEDY CONSTRUCTION 633 NW 19TH 315 SE 7TH AVE PORTLAND OR 97e@I PORTLAND OR 91214 Phone M: 227-6501 Phone N: 234-0509 Reg C.: 0@34@2 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 per•m;t will expire :f wort is not started within 19 days of issuance, or if work is suspended for more than 18@ days. ------------------------------------------------------------ PEQUIREI! INSPECTIONS ---------------------------------------•---------- - Post/Beam Struct Building Final Framinn Insp Shear Wall Insp _ Rain [rein Insp Electrical Final I Wr-iniLt.ee 3ignat1.lree �� ��sy,v Iss•_1ed By . ... A Call for insper_tiorr - 639-41.75 1,., nCheck# :i i'Y OF TiGARD Residential Building Permit Application) aec'd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd ',GARD, OR 97223 Single Family Detached or Attached Date to P E. W3) 639-4171 Date to DST C.7 Z G Print or Type Permit# Called Incomplete or illegible applications will not be accepted Name of Subdivision Lot# _ Name Joh Or,k C.,C-1 >� ti s__. Architect Mailing Address Address Site Address JogkZ Sc4, City/State Zip Phone (� Namec a r a -- - r0 , Name Owner Mailing Addressesb n '-h -- `' Engineer Mailing Address Cd (Slat Zip Phone Name City/state Zip Phone - - General K'6 � Describe work new O addition 0 alteration O repairX Contr>Ictor Mad.ng Address to be rptone - t S �r� r�- . —_ 'lnd lA a4 Descri/$9oV llyr d 7'f n fcl� A�c��-. C tylStat Zip Phone �r� ri oa d 23 y-OSO� Oregon Const. Cont Board Lac# Exp. Cate Attach Copy of 03k12 Oki I Project Current COT Business Tax or Metro# Exp Date Valuation Licenscs GO 102 7 r__ -"_ � r NEW CONSTRUCTION ONLY:Nane - ` Mechanical Sq.Ft. House: �Sq.Ft.Garage: sub.- Mailing Addres Contractor Corner Lot Yes No Flag Lot Yes No c,,ty)sta wipPhone (check one) _ (check one) Restricted AudiolSteren Burglar ',,,Won Const Cont Board L c.# Exp. Date Energy System Alarrr Attach Copy of I — — -- — Current COT Business Tax or Metro# 'Exp.Date Installation Garage boor HVAC. Licenses Opener Systems V�Name �— (check all that Other- Plumbing therPlumbing -- _apply) -- Sub_ Mailing Address Will the electrical subcontractor wire for all Yes No Contractor - 0 restricted energy installations' City/StateL Zip Ph __- Has the Sut,division Plat recorded NIA Yes No Qr Const Cont b,ardLic.0 Exp Date Reissue of MST# __ Solar Compliance Attach Copy of _ (Calculation Attached) Current Plumber g Lic.# Exp Date I hereb; acknowledge that I have read this application that the Licenses information given is correct, that I am thr owner or authorized agent of COT Business Tax of Metro# Exp Oate the owner, and that plans submitted are in compliance with Oregon State laws _ i Name - signature of Owner/Agent -- Date Electrical �11-d er ST0�//C f lec- Contact Person Narne _ Phone SUb- Marling Address o Lail ':� ..^,ys Contractor 3 -]�j" 3"1 5/ �y. FOR OFFICE USE OWLY:~ City/State Zip Phone Plat# Mao/TL#' ororg& or 11 an Z. Fi'-/J 7` Oregon ,onst Cont Board Lic# Exp Date attach copy of ( ,� A?7 Setbacks Zone Solar. Current Electrical Lic # xp Date Licenses g 7Z s _ �' s- aE COT Business Tax or Metro# Exp. Date Engineering Approval Planning Approval: TIF •;ts mst_op doc ermit# Account Descr ionAIn�ni Amt. Pd, Qal. Dui ` �•o3/ MIT. Permit (BUILD) ��l f'� � zY Plumb. Permit (PLUMBI Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) ��5,✓n State Tax (TAX) 3ldg. Plumb. Mech. ELC/EL.R. 7> Plan Check MST: (E30'PLN) �3 ��• �� — Plumb (PLMPLN) Mech. (MECPN CDC Review (LAND S Sewer Connection (SVVi.iSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF % (TIF-MT) Water Quali (WQUAL) Water antity (WQUANT) Er sion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Lif,- Safety (FLS) TOTALS: ��_ <��o, �f•} 3[�. U� dsts�mstapp doc Rev ,'!96 (il;Nl'sl(AL CON I'RACi'ORS OR Builders Doan) No. 3402 • WA KCNNE'1-32419 115 S.E. 71h • PORTLAND,OR 97214 OR(501)2.34-0509 • WA (360)693-5288 • FAX (503)2344479 1-800-643-2790 July 22, 1996 American State Insurance Company I'() Box 2100 Re: Oak 'free Apm(menls Lake Oswego Olt 97035 10982 SW 1)urlmm Road King City Olt 97224 Adjuster: 'Iom Lang 1196-0963/16; Auto Damage ESTIMA'T'E: (jARA-UL-18' x 18'6"x U'-' l emp support roof slruclure for rebuild Remove electrical from damaged wall, replace damaged heater & rewire 1 000' 'fear out damaged siding, sheeting& wall framing 30If2x4PT 320 If 2 x 4 framing R sheets sub sheeting ; ,.,r of TipM.Oregon.0T Lap siding (enrage door surround ' 20 If trim boards I(enmve & reset shalving furnish & install (coling nnchors I ear out damage garage dopa& hardware' I � ��,_ �dR✓k o�.� �' imish & install over sized garage door ,/ (_'appealer labor to rebuild walls, sheet walls & install siding& trim Clean dried paint from floor e• foolit,gs taint exterior walls(2) 360 sf® .70 I'aint garage door Paint Irim Move contents for repairs RUCTION .��_DG--rA_'-. Ieared Drug free �o�v�r a `tor ; ke.v�eo(•� GGNsT f0,b ©e k Tr cc. aooc o l-,4c,,I 3/S S £ 7t& Are /o9br'z S w Q P-t1.4 Or 8721H k��%� G�f� �►72z'1 OQ- o3,vo2. AvTo 04,m fie, Pe.P.ai% /2 Vd f..� �...` w" Fell �c,.,-Ico O a uV zxNs•wsis '/6 '011"wA'fi She-.Kiv !sal. Fe/f' 5eis fi V/e w i ©Qk ap 9rt"ft)cvff I I i i G arty{, /(8'.4 3� Gara� wee 1/ door u