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10080 SW PICK'S COURT i S,YJTd MS 00,00T - M - - - -_ I CITY OF TIGARD Inspection Line: (503)639-417:1 .- BUILDING INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received Date R ested ,t.— AM----- PM..-- .. BUP Location �� �� �& --�-� C�t Suitee- � _ --.__ MEC Contact Person - _ �i--� Ph( ) � �,�� �"��5 PLM Contractor Ph( _) Styr; _ BUILDING Tenant/Owner _ ELC Footing Foundation Access: ELC Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - -- ------ -- —- Ext Sheath/Shear Int Sheath/Shear - Framing � Insulation Drywall Nailing Firewall K- Fire Sprinkler — - - Fire Alarm Susp'd Ceiling - - - Roof Other: ---------- - - Final PASS_ PART FAIL — PLUMBING .— Post&Beam .. Under Slab Rough-In - Water Service Sanitary Sewer Rain Drains — - ------ -- - __ Catch Basin/Manhole Storm Drain _—_- Shower Pan r' Other: --- ---- —_- --- �„�__— - — Final PASS PART FAIL MECHANICAL Post&Beam -- ---�-�----- -- -� Rough-In ___-- Gns Line Smoke Dampers - -- --- — Final PA FAIL — - - - _-- ---------- —— EC !CA Rough-In — - - - UG/Slab -- Low Voltage Fire Alarm ----- - ---- —_� _-- 1 --­ SITE — ❑ Reinspec+.ion fes of$_--_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SPAFIT FAIL F1 Please :ail for rainspec ion RE:_ _ _ ---__ Unable tc wspect-no access Fire Supply Lire ADA ' 17 (J U Approach/Sidewalk Date. -�-�--•- Iner�eg�rtor___ — _-lixt— — Othtar: Final - DO NOT REMOVE this Ir,3paction re-.urd from th¢ joh site. PASS PART FAIL CITY OF T MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC9 7--0479 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 12/10/97 PARCEL: 2S114BB-04800 SITE ADDRESS. . . : 10080 SW P'ICK' S CT SUBDIVISION. . . . : PICKS LANDING NO. 1 ZONING: R-4. 5 FID BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :025 JURI-i-')L'ICTION: TIG ----------------------------------------------------------------------------------------- CLASS OF WORK. . :NLT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 'TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS: i•1/0 APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOIL ERS/Cf3MPRC6SORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0 HP. . . . : 0 DOMES. I NC I N: 0 :GAS 3-15 0 COMML. I NC I N: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPEFiS?. . : .30--50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . % 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. Or UNITS--------- - AIR HANDLING UNITS OTHER UNITS. : 1 FURN ( 1.00K BTU; 1 (= 10000 cfm: 0 GAS OUTLETS. : 1 FURN ) =100K BTU: 0 > 10000 cfm: 0 R e m a r I<s : Marchant Owner: ___-------------____________________.___.__.____-.--__._____ FEES -- -_ - ------BOB DEWITT—MARCHANT AND type amaunt by .late recpt DNB DEWITT—MARCHANT F'RMT $ 25. 00 JSD 12/10/97 97--3elSOO 10080 SW PICK' S CT 5PC;T s 1. 25 JSD 12/10/97 97--301600 TIGARD OR 97224 Phone #: 684-2063 Contractor: ------------------____-------- SPECIALTY HEATING & FABRICATIO 9528 SW TIGARD ST f 26. 25 TOTAL TIGARD OR 97223 Phone #: 620-5643 Req #. . : 006697 --- ---- REQUIRED I NSPE:C:T T ONS This permit is issued subject to the regulations r-oniained in the Mechanical I—sp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp --- applicable laws. All work will be done in accordance Mich Final T n s pr ct i on approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended fo- morethan 180 180 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 0018 through OAR 952--NI-0080. You may obtain copies of these rules or direct questions to 01W,, by calling _ (503)246-91.87. Issue By : — � Permittee Signature a /tic, ++++++++++,+++++++.s+++++f.++++++++++++++++++*+++++++++++++++i•+++++++++++-i Call 639-4175 by 7:00 p. m. for inspections needed the next business day +++++++++++++++.++++++.+++++++i•++++++•++++++++++++++++++++++++4+•1•++++++++++++ �++� 'ian i.nacrn S CITY OF TIGARD Mechanical Per►nit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Reed / TIGARD, OR 97223 Date to P E. (503) 639-4171, x304 Date to DST Print or Type Permit# / r Incomplete or illegible applications_coil' not be accepted Called Name of Development/ProjW Description Table!A Mechanical Code CITY PRICE AMT Job Street Address suneN A) Permit Fee L, 0- -0- 1000 Address !�i JL(� ko ebvs - tau Zip 1.) Furnace to 100,000 B TO 6.00 I I' including duds&vents NarMr(a name of buelnue)_j 2.) Furnace 100,000 BTU+ 7.50 1 Owner including duds&vents MailkV Addressi 3.) Floor Furnace 6.00 7 77 J(.(,� T-1 r_.:) (_ including vent CI�yrS a Ip Phone �� 4.) Suspended heater,wall heater 6.00 �.r Q 9 7 or floor mountcJ heater Nims or name of buotneu) 5) Vent not included hi appliance permit 3.00 1 W,('; Occupant Mening AddMil 6) Boiler or comp,heat pump,air Gond 6.00 _ __ to 3 HP;absorb unit to LOOK BUT" cnysude rip Phone 7.) Boiler or comp,heat pump,air Gond 1100 3-15 HP;absorb unit to 500K BTU" Cont•actor Na' a 8.) Boiler or comp,heat pump,air Gond. 15.00 ,',+ 'J } } ',�_t 1 r,` 15.30 HP;absorb unit.5-1 mil BTU- Prior to permit Mantng Address 9) Boiler or comp,heat pumair Gond. 22.50 issuance,a copy p,/ 30-50 HP;absorb unit 1-1.75rn1!BTU- of of all licenses AistZip Phone 10.) Boiler or comp,heat pump,air cond 37.50 are required H >50 HP;absorb unit 1.75 mil BTU" expired in COT Or=Const.Cat.Boats k.1111 Exp.gets - 11.) Air handling unit to 10,000 CFM 4.50 database X Architect Nan"' 13.) Non-portable evaporate cooler 4.50 or wiling Address -- - 14.) Vent fan connected to a single dud 3.00 -EngineerGnylS!ate--- i Zip -Fhone 15.) Ventilation system not!ncluded in 450 appliance perk Describe work New 0 Audition O Alteration d Repair U 16) Hood served by mechanical exhaust 450 to be done _Residential O Non-residential_O Additional Description of work: 17.) D^-etic incinerators 7.50 18.) Commercial or industrial type 30.01) Incinerator _ Existing use of V - 10 Repair units 4,50 building or property 20.) Wood stove 4.50 Proposed use of 21.) Clothes dryer,etc. 4.50 building or property _ ___ 27.) Other units 450 Type of fuel-oil O natural gas LPG O electric O 23) Gas piping one to four outlets 2.00 I 1 hereby acknowledge that I have read this applicat,un,!hat the 24) More than 4-per outlets(each) .50 `- information gtvr n is correct,that 1 am the owner or authorized agent of the owner,that plans submitted are in r .pliarice with Oregon State QTY.SUBTOTAL laws. Signature of Owner/Agent Date 'SUBTOTAL t { jf .�.' ) i i 5%SURCHARGE Contact Person Nome Phone PLAN REVIEW 25%OF SUBTOTAL _ (yrarV '' TOTAL i..Unechpmt.doc (rev 9 •Minimum permit fees$25+5%surcharge "Residential A/C requires site plan showing placement of unit CITY OF TIGARD BUILDING INSPECTION DIVISION MST ?.4-Hour Inspection Line: 639-4175 Business Line: 639-4171 u- - --- - _Date Requested 2 �� AM_ PM gLp - — -- ---_ Location, Suite MEC Contact Person 0 ��,'�Z�.fc% Z/1�1 Ph l�2 ?,&Lk PLM -- ----- -� Contractor Ph SWR UILDING 1 �— Tenant/Owner ,�G�: ELC Retaining Wall ELR FootingAct LXp /'l i /11 i / 1 {�r %<<! -- - - — Foundtion NOT REQUESTED �' FPS _ Ftg Drain �'J4 Crawl Drain ins FOUND DURINci RE=SEARCH r ,Ik SGN Slab _ NO INSPC-CTION(S) FOUND IN F-II_E t SIT Post&Beam — Ext Sheath/Shear _ Int Sheath/Shear Framing n (� ��Lr�N C�. ,�_ - __L Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm r� , Susp'd Ceiling Roof Misc: SS I, PART FAIL ---- SIN G Post R Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL M)Tr AL i ----— Post& Beam Rough In Gas Line Smote Dampers L.—ASS�, _PART FAIL I21CAL - -- --- Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL i SITE ---- Backfill/Granting ----""`---- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City libll, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE [ ]Unable to inspect no access Fire Supply Line ADH Approach/Sidewalk C ��' �� other Date L InspectorExt t Final PASS PART FAIL DO NOT REMOVE this inspection record from the jab site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 MOR N T.F'W I.r. . . : 11ST9 7—PJ.?21. DATE: ISSUED: 09/18/97 I�'iaF2C:E L: ._S 1 14NP-N 41300 SITE ADDFREi S. . . : 10060 SW F'I C14' S Cl SUBDIVISION. . . . :F'I CK5 LANDING NC). 1 ZONING: R-4. 5 P'D BL_OC,1d. . . . . . . . . . I_Cil.. . . . . . . . . . . . . :rlr,.l`, JUFRISDICfICIN: TIG kemarks: Replacing existing garage wit, single story part shop and art studio -------------------------------•------••------------------------- BUILDING --------------------------------------------------------------- REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT...: 0 sf REWIRED SETBACKS---- REWIRED------------- CLASS OF WORK.:ADD HEIGHT........s 14 FIRST....: 931 sf GARAGE.....: 0 sf LEFT....,.....: 5 SMOKE DETECTRS: t TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 20 PARKING SPACES: @ TYPE OF CONST.:5N DWELLING UNITS: 1 FIN89OT: 0 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDRM: @ BATH: 0 TOTAL------: 931 sf VALUE..is 66097 REAR..........; 15 --------------------------------------------------------------- PLUMBING ---------------------------------------------------------------- SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: rr RAIN DRAIN ft: 0 TRAPS.......... @ LAVATORIES....; 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: @ CATCH BASINS..: 0 TUB/SHOVERS...: 0 GARBAGE D1SG..: 0 WATER HEATERS.: 0 WATER LINE ft: @ BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: @ -.--------------------------------------------- -------•------ MECHANICAL -------------------------------------..------------------------ FUEL TYPES----------- FURN ( 100K ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 GAS FURN )=IOOK ..: 0 UNIT HEATERS..: @ HOODS.........: 0 OTHER UNITS...: 0 MAA 1NP.: 1@@00@ BTU FLOUR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 -------------------------------------------------------------- ELEU RILAL -----------------------•-------------------------------------- —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-•- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS- i000 SF OR LESS: 1 0 200 amp..: 0 @ - 200 amp..: 0 W/SVC OR FDR..: 0 F'UMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD+L 5005F.: 0 col - 400 amp.. : 0 2@1 - 4@0 asp..: 0 Ist W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 I LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - b@@ amp..: 0 EA ADDL BR CIR: @ 51GNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDA: 0 601 1@0@ amp.: 0 60l+amps-10@@ v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ----- ---------------------------- PLAN REVIEW SECTION --------------------------------- Reconnect only.: 0 )-4 RES UNITS..: SVC/FOR)=225 A.: ) 600 V NOMINAL, CLS AREA/SPC OCC: ----------------------------------------------- ---- ELECTRICAL - RESTRICTED ENERGY ----------------------- ------------------------------- A. --•-------- - A. SF RESIDENTIAL--------------------------- B. COMMERCIA(--------------------------------------------------------------------------------- AUDIO 6 STEREO.: VACIx1M SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LTi BURGLAR ALARM..: 0TH: :: BOILER......... : HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: 6ARAGL OPENER..- CLOCK..........: INSTRUMENTATION: MEDICAL........ : OTHR: 1: HVAC...........: DATA/TELE COMM.: 4UR5E CALLS....: TGTgL # by TEMS: 0 Owner: -- ------- --- - Cnntractor: ------------------------------ TOTAL FEES;! 935.18 BOB DEWITT-MARCHANT AND DAVE HASLETT REMODELING This permit is subject to the regulations contained in the DEB DEWITT-MARCHANT 1665 BOONES FERPY RD #280 Tigard Municipal Code, State of Ore. Specialty Codes and a,i 10080 SW PICK'S CT LAKE DS* O OR 97035 other applicable laws. All work will be done in accordance TIGARD OR 97224 with approved plans. This permit will expire if work is Phone #: Phor. #: 816-6294 not started withir 18@ days of issuance, or if the work is Reg #..: 008778 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 952-001-0@10 through DAR 952-001-0080. You may obtain copies of these rules or direct questions to OINK by calling (5031246-1987. --------------------------------------p-------------•------ REOIIIRED INSPECTIONS -..--------•---------------------- ------ -- -r ---•-- Erosion Contol mechanical Ins osulation Insp / Footing Insp Electric-il Rough ryp Board Insp Foundation Insp Framing Insp Electrical Fina, pcit/Beam Struct Shear Wall Insp Mechanical Final Post/Beam Mechan Gas Lice Insp Building Final F 4 Nis t st es 6r a 9nmti ....-e -1-+4-++•++•++4-++•+•+++-+++ ++++++++A + ++-r+-1-+-+++++++++++ +++++ + + + +-+++++++++++++ + +++4 + + + 1 f'a1 f.,ti4- 4J '7� by F, !IA7i n. n- fnr :an ) nEnar-tJVj-i ;needed tt-,p nov+ htrainor= riA CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . : MST97-0321 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 09/'03/97 P'ARCFL : 2S 1 14BB-04800 SITE ADDRESS. . . : 10080 SW P'ICK' S LI SUBDIVISION. . . . :1-'1F,S LANDING NO. 1 ZONING: R--4. 5 PID BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..i JURISDICTION: TIG Remarks: Replacing existing garage with single story part shop and art audio ----------------------•------------------------------------------- BUILDING ------• ----------------------------------------------------- REISSUE: STORIES.......: l FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REVJIRED•------------ CLASS OF WORK.:ADD HEIGHT........: 14 F•IRS1.... 988 sf GARAGE...,.: 0 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOUR LOAD....: 49 3FCLND...: 0 sf FRONT.........: 20 PARKING SPACES: 0 TYPE OF U:rNST..5N DWELLING UNITS: i FINBSMENT; 0 sf RIGHT.........: 5 OCCIIPAWY GRP.:R3 BDPM: 0 BATH: 0 TOTAL------: 988 sf VALUE..1: 66097 REAR..........: 15 ------------------------------------------------- ------ F�LIIMB]NG ---------- ---- -------__------------ --- - --- -------- SIWS.........: 0 WATER CUTFJS.: 0 WASH INfi MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRRIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWAR!iERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..- a TUB/SHOWERS,.. : 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS,.: 0 OTHER FIXTURES: 0 ---------------------------—.---------------- ---- .._ ..------- - MECHANICAL ----- FUEL TYPES------------ FURN ( INK .-: I BOIL/CMP 1 3HP: 0 VENT FANS..... : 0 Lt01FES LAYERS: 0 GAS FURN )=100K ..: 0 UNIT HEALERS..: 0 HOODS......... : 0 OTHER UNITS...: 0 MAX ANP,; 100000 BrU FLOOR FURNAUS: 0 uENTS.........: 0 WOODSTOVFS....: 0 GAS OUTLETS...: l ----------------------------------------------------------- ELECTRICAL -------------------------------------------- ------------ --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- - --MISCEILANEOUS---- --ADD'L INSPFU'1ONS - IW SF OR, LESS: I 0 - 200 amp..: 0 0 14 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 dFR INSPECTION: 0 EA AUDI 1. 500SF.: 0 201 400 amp..: 0 201 400 amp.. : 0 ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : V LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0 MANE HM/SVC/FDA: 0 601 1000 amp.: 0 601+amps-1000 v: i MINOR I-ABEL •-10: 0 1000+ amp/vnit.: 0 ---------- - - ---- --- ----- PLAN REVIEW SECTION Reconnect orly.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) E;00 V NOMINAL: CLS AREA/SPC OCC: ---------------------.-------- ELECTRICAL - RESTRICTED ENERGY -------------------------- A. SF RESIDENTIAL---------------------------- B. COMMERCIAL---------•----------------------•--------------------•--------------_ -- -- AUDIO 4 STEREO.: VACUUM SYSTEM..: AUDIO t STEREO,: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR 1.%K LT: BURGLAR ALARM..: OTH: :: BOILER.........: HVAC............ LANDS'CAPF/IRRIG: PROTECTIVE SIK INSTRUMENTATION: MEDICAL........: OTHR: GAPAIGE QPENER., : .. HVAC............ DATA/TELE CL!! NURSE CN-LS..... TOTAL N SYSTEMS: 0 Owner: ---- -_._.______.___------..----_..__._Contractor: ------ ------ ---------------- TOTAL FEES:1 935. 6 BOB DF_WITT-MAR['OMT AND DAVE HASLF.TT P.EMODELING This permit is subject to the regulations contained in the DFP, DEWITT-MA IT 16055 B(OCS FERRY RD 1280 Tigard Municipal Coda, State of Ore. Specialty Codes and all 10080 SW PICK' LAKE OSWEGO OR 97035 other applicable laws. All work wil'. be dont in accordance TIGARD h+i 97224 with approved plans. This permit will ewpire if work is Phone 0. Phone h 818-hi94 not started within 180 days of issuance, or �f the work is Reg C.: 068778 susFcn:led for more than 160 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. Yoa may obtain copies of these rules or direct questions to OUNC by calling 15031246-1987. -- ---------- ----...------ ------- - --------- --- _ RERUIRED INSPEFT!TA ------------------------------- ----- ---- ------- - Erosion Contol Mechanical Insp Insulation Insp Footing Insp Electrical Rough Gyp Board Insp _ - Foundation Insp Framing Insp Electrical Final Post/Beam Struct Shear Wall Insp Mechanical Final Post/Beam Me lin Gas Line I Bu (ding Final % Issr.red y : l P'ermittPe Si gnati•rre : �(_-ff _ +-4+++++*.�t+++-+++� ++++++.+.++++•..+++t+++++++++++ f+++-+4+F+++4:++4 r+++++4- ++++i-++ Call E.i9-4175 by 6:00 p. m. for an inspection needed the next bi.rsiness day Plan Chock I 'in OF TIGARD Residential Building Permit Application Recd By 31:,5 SW-HALL BLVD. New Construction Additions or Alterations Date Recd 'GARD, OR 9723 Single Farnlly Detached or Attached (Duplex) Date to P E .)03-4639-4171 Date to DST I I eLlleln ry 503-684-7297 Permit it ; _— Print or Type Called ---_ Incomplete or illegible applications will not be accepted _ Name of Project -_ Name Jobe- (VT k V1 klf AIJ1 lTtGN _- Architect iiAadtng Address -----�— Address Site Address tcuk) PIc r� CT, TICa4 �7 C tyrState Zip Phone Name Owner Massriing AddreName , , . W. Pl c-KS C r. City/State Zip Phone Z-U(, Engtrivier Mailing Address 7 kyAszv 0R ��7' G'�'4-Z o�.� - - -• - GtyrState zip Phone Name General Describe work Now O Aad tion O Alte-labun O— Repair O :ontractor Mailing Address to be done Iyo,t Aj 5OPldt'�`i f { • 4ii;2P0 Additional Uasc:nptior of Work C.tylstate ZIP Phone U j 70:gti Ic i.. . . ,- Oregon Const.Cont. Board Lie M Exp. Date __. �b r X � "'�"""'w Attach Cat y of � ' I i t Current COT Busine's Tax or Metro a Exp Date PROJECT .+ ,, Liunses t ) Name Mechanical ►�t-hl L(r`4V '� NEW CONSTRUCTION ONLY: Sub- Mailing Address Sq. Ft. liuu Sq. Ft Garage Contractor _— Com- YES NO Fla Loot YES N 9 O C.tyiScate Zip Phone (check one) (check_one) Oregon Const. Cont. Board Lic O Exp. Date `-_ Restricted Audio/StereoT Burglat Hach Copy of _ Enercly _System Alami - rrent CO r Business Tax or Metro# Ejcp. Date installation I Garage Door HVAC;— tenses I — _-I Opener SyStei-Is Name - (check all that Other, — Plumbing NE' f'L-1,►N«='�l Nc apply! I— _ Sub- Mailing Address Will the electrical subcontractor wire for a!( YES I-- 'i0 Contractor • restricted energy installations? _ _ C,tyiState Zip Phone Has the Subdivision Flat recorded? I N/A YES ( h0 Cregon Const. Cont. gosrd L,c.9I Exp. Date Reissue of MST;*: —Solar Ccmpllance Attach Copy of _ _ �-(Calculation Attached) _ Current Plumping L,c. a Exp. Date hearty ac}nowledge that I have read this application, that the Licenses information givens correct, that I am the owner or authonzed COT Business Tax or Metro?s Exp Date I agent of the:owner, and that plans submitted are n compliance with Cregon State laws. I Name Si re of CMgen,� te,, .lectrical I ��'I��L�(-�W`yi%�Z. _ IL �' -, Sub- '.tamng,Address -- ntanPersoAlName 0 ,,antractor _ fit NA��LA::- .ty,State — Z p — I Phone FOR OFFICE USE ONLY: Plat 0- Map/TL#- Cre;in �:nst Cont. 3oard Lac� I Exp Gare _ Attach Coos of _ _ — Setbacks. — I Zone: Solar Current i ec:rcai L.c d I Exp. Date —� ets Licenses Enginnng ApprcaaP Planning �pproval-- TIF. ZCT 3usiness-ax jr Metio e I Exp Jayei !` FREMOL DOC iDS') 3(97 Pewit tit Acct. Descntpion COT INACO Amount Amt. Pd. Bal. Due MST Permit (BUID) (UBUILD4 _ / a1umb Permit (PLUMS) (UPLUMB) Mech. Permit (MECH) (UMECH) ELC/ELR Permit (E1-PRMI) (UELPMT) State Tax (TAX) (UTAX) _v BLDG: PLUMB MECH: ELCIELR: — Plan Check MST (BUPPLN) (UBUPLN) �l`7L-116 Plumb. (PLUMB) (UPLUMB) _ Mech: �5•� • (MECPLN) (UMEPLN) CDC Review (BUILD) (CDCBLD) (UCDC) CDC Review (PLN) (CDCPLN) N/A _–_— Sewer Connon (SWUSA) (U&NUSA) Reimbur. Distnc! Sewer Inspection (SWINSP) (USWIi JS) Parks Dev Charge (PKSDC) NSA ResidEntial TIF (TIF-R) (UTIF-R) Mass Transit TIF (TIF-MT) (UTIF-M) Water Quality (1101JAL) (UWCUAL) W2ter Quantity (WOUANT) (UWQA,NT) -- Erosion Control Prmt (ERPRMT) (UERPMT) Erosion Planck/USA (ERPLN) (UERPI_N) Erosion Planck/COT (EROSN) (UEROSN) Fire Life Safety (FLS) (UFLS) TOYALS: _—.�--- --- -- FREMDLDOC (051) ?1497 The sketch belovv is made solely for the purpose of assisting in locating said premises and the company assumes no liability for variations, it any, in dimensions and location ascertained by actual survey. — TICOR TITLE INSURANCE i• Ni`iriiiiruiii r iiiorii,riira/uiir��'Y t l•-1:1w1.I Y l rrrr./rliiU//.i/Ji7✓.i,'iiii iii:�:�• I — 4 41.7 8 INITIAL S 890 16' 10' w POINT, 100 TRACT 'Ax15 so 70 OPEN _ Soo6 10.06 200 SPACE 84.09 500 400 300 600CY 96H � 2 N S. 4 _. 3 a 700 J 5 U A m 7x SO ox oti © 6 s0 00 187+ ss ` S0 p`. 7 W 1.48706 79.94 900 \ei� ze 5600 5700 n 8 m Q �h :i 500 12�— 10023 0 13 ' +f 1r 010009 1000 fl-,oZ ?o uo 70 _ 7666 Isl 6 7S 9 5400 5300 5200 100 " W Xb 1100 r, W14 U 15 m 16 `�'p1 5100 10 iO v I 6 9x20 ,to P, AOe 90 e m B0 p~ Jr 2 50 18.77"06`6 f7 m. S.W. :P i Cp ti> c,r. ti so U' �•q 6e 771�ePya pati\� lie`e? 1613 008 9-CWa-T_I�6�w 1200 ati So 4800 " 1 1"o ' 1optiU �•W, PIr�KS C j , 26 o f' I`t 9C1 5000 V1 pm 2 N i oo `-5 °' W -. 74 1300 _ 96 oa � I r� � = SEE MAP 27 —47b0---{,r 19 18 SEE M A P ° loo LS I IAB IS`J 7S '^ 2S 1149A �14G026 mN (n 24 -4 35 so •.0c5 50 xs tox.75 °' ,• a"� 4500 4400 4300 °W ' 4600 1500 N J .� 2' O 22 ry ars 0 2.9 e? L 21 20 7,94 194 ro (] • / 1600 � �> .., Ile sobs r, /�1;�'1700J ; r•IJr 1 � O o. 30 31 p.� N 407759 J.� .r— n �. }41.78 4061 65 O` 800 �9?> V °x' 00 c600 Pti Lit �9 0 t _ _ELECTRICAL PFr'"11IT CITYOF TIGARD PERMIT #: ELC20, )228 DEVELOPMENT SERVICE] LATE ISSUED: 5/22/0'L 13125 SW Hall Blvd., Tivard. OR 97223 (5031639-4171 PARCEL: 2S114BB-04800 SITF ADDRESS: 10080 SW PICK'S CT ZONING: R-4.5 SUBDIVISION: PICK'S LANDING NO.1 JURISDICTION: TIG BLOCK: LOT : I� '•` Proiact Description- Install 200amp service and 1 branch circuit. — RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp—� PUMP/IRRIGATION: IOUT LINE LTG: EACH ADD'L 500SF: 201 - 400 amp- SIGN LIMITED ENERGY: 401 - 600 amp: A MANF HMI SVC/ FDR: 601+amus - 1000 volts: MINOORR LABEL (101: EL: ( SERVICEIFEEDER _ BRANCH CIRCUITS__--_.-- ADD'L ;NSPECTIONS _- 0 200 amp: 1 W/SERVICE OR FEEDER: 1 PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'/_ BRNCH CIRC: IN PLANT: 601 - 1000 amp: __ _____ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnert only: SVC/FDR >= 225 AMPS: CLASS AREAISP�C OCC: ___ Owner: Contractor: MARChANT, ROBERT J AND TUAL.ATIN ELECTRIC DEBORAH DEWIT-MARCHANT PO BOX 655 10080 SW PICK'S COURT WILSONVILLE, OR 97070 TIGARD, OR 97223 Phone: Phone: 682-2955 Rey #: LIC 00065650 SUP 3483S ELE 3-268C _ FEES_ T Required Inspections Type By Date Amount Receipt Rough-in _ Wall Cover PRM T 1HR 5/22/02 $86.95 2720020000( Elect'I Service 5PCT CTR 5/22/02 $6.95 2720020000( Elect'I Final Total $9 .90 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 if work is suspended for more than 180]days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utiiity Notification Center. Those rules are set forth in A 52-001.0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature:\ ,� , / Issued By: 1'UA OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ___ _ DATE: CONTRACTOR INSTALLATION ONLY - fJ: _�5 DATE: -- SIGNATURE OF SUPR. ELEC' ---- LICENSE NO: -- Call 639-4175 by 7:00prn for an inspection the next business clay A+. Electrical Permit Applics:tion ---- Date ieceived:,� ,.S p y Perm t no.�4-4(; p� City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: I Receipt no.: Phone- (503) 639-4171 Fax: (503) 598-1960 Case File no.: Payment type; Land use approval: _ �2A TYPE OF I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other:_ U Partial JOB SITE INFORMATION Job address: \ Q,c, --� (_ , Bldg.no.: Suite no.: 1 Tax map/tax lot/account no.: Lot: Block: _ Subdivision: Project name: „ Description and location of work on premises: Estimated date of completion/inspection: CAICION FEE SCIIEW 1141* —Mono: ��Z y fa.e—e Max Otcscription (?tv. (ca.) Total no.lnsp Business name: 4 el G L. New residential-singleor multi-family per Address: C3 -`~- d000 hq.ft. .Includes attached garage. City: ,\ e,tiw, State:b ZIP: service Included: a Phone:b -'�`i`a� Fax:(,i - u Email: loud sq.ft•or less c' bus.lie,no: Each additional 500 sq.ft.or portion thereof ` CCB no.: ) .2�k LS �._ Limited energy,residential _ City/metro ' .n Limited energy,non-residential Each manufactured home or modular dwelling Signature of swising a rician(required) Date Serviceand/nrfeeder 2 �- Services or feedent--Installation, Sup.elect.name(prim) j,ip y License no. alteration or relocation: PROPERTYOWN FIR 200 amps or less Name(print): \- urs _ 201 amps to 100 amps 2 401 amps to 600 amps 2 Mailing address: ° �. C 601 amps to 1000 amps 2 City: _ S(ate:C}Q I ZIOver 1000 amps or volts 2 Phone: p -cm- Fax: E-mail: keconnect onl l owner installation:The installation is being made on property I own Temponryaerrleeso,orrers- which is not intended for sale,lease,rent,or exchange according to Installation,lessalteion,orreloratlon: ORS 447,455,479,670,701. 201 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: _ _ A Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit ' (a b,b 2 Cit): State: ZIP: F.. Fee for branch circuits without purchase —�— of service or feeder fee,first branch circuit: 2 Phone: Pax E-mail: Each additional brunch circuit- PLAN RE.VIEW(Please check all thai spely) Muse.(Servlce or reeder not Included): O Service over 225 amps-commercial U Health-care Tr-1 Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension' -_—_ 2 U Building over three stories U Feeders.400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the drove: U F.gress/lightingpla» U Other'. -- - Perinspectirn Submit—seta of plans with any of the above. Investigation tee _ The above are not applicable to temporary construction service. other Not all judsdictions accept credit cards,please can jurisdiction 6x more information. Notice:This permit application Permit fee.................Plan review(at —. 96)) $$ ��,• 1 U Visa U MasterCard expires if a permit is not obtained C Credit card number: pires_,- �__ __ -L_ within 180 days after it has been State surcharge(8%)....$ ��Z TOTAL acceptedas complete. .......................$ Nurse of eardhol r a shown on credit cant S Cardholder dptature -- --Amount 44x4615 IfvOWOM) Electrical Permit Fees: Limited Energy Fees: — ----- --- --��-- —" -- TYPE OF WORK INVOLVED -RESIDENTIAL UNLY Complete Fee St ,jedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspection-,per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq It or less $145.15_._.._ 4 Audio and Stereo System Each additional 500 sq.It or ❑ portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular 2 El Garage Door Opener' Dwelling Service or Feeder _ $90.90 Services or Feeders F_� Heating,Ventilation and Air Conditioning System' installation,alteration,or relocation 2 200 amps or less _ $80.30 El Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60_ 2 Other 601 amps to 1000 amps $240.60 2 Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system.......................... $75.00 Installation,alteration,or relocation (SEE OAR 91 B-260-260) 200 amps or less $66.85 2 201 amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133.75 2 Over 600 v nps to 1000 volts, E] Audio and Stereo Systems see"b"above. Branch Circuits Boller Controls New,alteration or extension per p nel a)The fee for branch circuits Clock Systems with purchase of snrvlce or feeder fee. Each branch circuit , $665 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit _ $4685 n HVAC Each additional branch circuit _ $6.65 _. Miscellaneous E] Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 E] Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuits)or a limited energy � Landscape Irrigation Control' panel,alteration or extension _ $75.00 Minor Labels(10) $125.00 Medical Each additional Inspection over the allowable in any of the above Nurse Calls Per Inspection ___ $62.50 Per hour _ $62.50 In Plant $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ --Number of Systems 25%Pian Review Fee $ No licenses are required. Licenses are required for all other installations See"Plan Review"section on front or application Fees: Total Balance Due $ ! Enter total of above f,,es lJ Trust Account# _____ C°o State Surcharge $ -- - Total Baloncp. Dur $---- -- i:\dsts\fornU\elc-fees.doc 10109/00 r