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12863 SW PACIFIC HIGHWAY i fJ Q� W b SL n N• rfi H• n `G XVMH:)TH OTc1TDVd MS £96ZT CITY OF TIGARD ENER ELECTRICAL ENERT - RESTRICTED GY DEVELOPMENT SERVICES PERMIT#: ELR2003-00131 13125 SW Hall Bivd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/12/03 PARCEL: 2S102BD-02600 SITE ADDRESS: 12963 SW PACIFIC HWY SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C-G BLOCK: LOT: 037 JURISDICTION: TIG Proiect Description: Installation of protective signaling. A.RESIDENTIAL _ B.COMMERCIAL_ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR AI-ARM: BOILER: LANDSCAPElIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CAL-LS: VACUUM SYS rEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: KVAC: PROTECTIVE SIGNAL: k" INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: I Owner Contractor: KIM, ROBERT + HAE LIM SONITROL PACIFIC 1360 SW WOODWARD WAY 8220 N. INTERSTATE AVE. PORTLAND,OR 97225 PORTLAND, OR 97217 Phone: Phone: 223-5922 Reg#: LIC 53535 ELF 26-370t I I ^_ FEES Required Inspections --— Description Date Amount Low Voltage Inspection ILl'I'Ith1 t] FI'R Permit 5/12/03 $75.00 Elect'I Final ITA X 1 9 State'I'ax 5/12/03 $6.00 Total $81.00 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 Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by , l't'Ic ' 4 `. Permittee Signature---,,- OWNER ignature�OWNER INSTALLATION ONLY ne installation is being made on property I own which is not intended for sale, lease, of rent. OV NFR'S SIGNATURE: --- --- _ -- -- DATE: v_ CONTRACTOR INSTALLATION ONLY _— SIGNA'rURE OF StJPR. ELEC'N — '• i/GTS.' DATE:- LICENSE NO: -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day MAY-09-03 01 :36 PM 50NITR01.—PORTLAND 9737773 P. 02 Electrical Permit Application Data eecelved: 4 Permit no:r_44= /1 City of Tigard Project/oppl.no: Explredate: riNof'IiXnrd Addrtss: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Rccsiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Gso file no: Payment type: Land us(; approval: V t O;Newconstraction mily dwelling or accessory •1u Commercial/indtislrial O Multi-family O Tenant improvement O U Addition/aI fetal i(tn/rep)acOment U Other ❑Partial , Job l rw Ql C K yv)(C Rlrly, III, Tax map/tax lot/eccount no. Lnl! Block: I Subdivision: U Project name: Nseription and location of work on premises:-1 4� *• Estimated date of completion/inspection: Job no'._i.1L -,-�— —_�-- Fac Ma,t �� Uescn pion Qty. feu.) Total , In Business name. r--v] hewrmidrntlal-r"Irormuld ramll)per Address: Jv tt __k.k dNelllnltunlr.Includes enaihrdearage. C1t—y �� `.t State Includcd. LlF': 'l Serdc• t^hune: Fax: '1'1 Email: 1000 sq.h.or less 4 each additional 00 s ft,of ortian thereof PR B nopo 1- Elec. bus tic,no: l invited soar ,rosldenUll 1 �r'm—ec.n0.' _ ___ urrdtedaner Y non nitdentfol 2 Joh manufactured home or modular dwellin0 Service and/or feeder 2 Slgnalure of surervising electrician(required ba1e S 3 -$4"Iceir or retillers— nstalleUon, Sup.elect name(pain)' r r. [c'cr I.Itxase no: attention or relocation: 200 em s or less 2 701 am a to 400 amps 2 401 amps to 600 amps _ 2 Mailing address: 601 am s to 1000 amps 2 rtfy: Stale: 7.11': Over 1000 ampa nr volts Fax: E-mail: Reconma nl 1- Phone: Temporary urviesto or feeder- - owner installation:'t'he Installation is being made on property I own yill„llanon,olleraloft,orfeloratlon: which is not intended for sale, lease,rent,or exchange according to 2W amps or less 2 ORS 447,455,479,670,701. sol am r m 400 un s 1 Owners si nature. Date: 401 to 600 sm s 1 Branch circelts•nerr,a(terallon, or attestation per panel; Name: A. fee for branch circuits with purchase of _Address: _ service or feeder fee,each brach circuit _2 ---- State: LIP: B. Pee for branch 6renits without purohate Ctty of service or feeder fee,first bran:h circuit 1 Phone: Fax: Email: achadditionalbranchcircuh. lac.(Senlee or feeder not Inc u e ): Faeh Dump or UTMation circle 1 O Service over 125 amps-con tserri:il ❑ Healthcutfacility Each si n or outline I+ linin 2 U Service over 320 amps reiing of I A2 ❑ Ilasardou rincadon 9i h cit or ou)or a limited enerjY panel, ' family dwellings 1 r3ulldmgover l0,000equmefeetfuuror a O System over 600 vola norrunal more residential units in one struetute alteration,or extenslor• 1 0 nuilding over three stories t]Feeden,400 amps or micro r(7tu�cr�i tion:� — ❑Ckcupant load over 99 persona Q Manufactured swctutes or RV pati ch addlllonal YuprrIon over the allowable—�am )many of rhe abort. C]Egremlighlintipla, ❑Other -- — per inspection %bilitlt_sets or plana with any orthe above. Inrelu aeon fee no above are eat appllcable to temporarycondructlan service. 011ier _ -- --- Permit fee -...................S tid ui Twiznoru aixpr aa.at cards.ptaaaa Call jurtadisslat for mon law""eo. Notice,This permit apFliceNnn Plan rat few(at — %) $ - sa 0 Mu rcard U N la ezpfrcs if a permit is not obtained State surcharge(8Q6) .•••S -L2' ►--.�'UC cpdh aatd rnrm!er .) r / 0 4 t. s s within 180 days after It has been t 4 .x'17"{' xp 1es accepted as complete TOTAL ....................... S "04615(aVtllMM) Amount r I�ilgnstun MAY-09-03 01 :39 P1 SONITROL-PORTLAND 973777 Elcctr;Cal permit Fees: Limited Energy Fees: - TYPE OF WORK INVOLVED RESIDENTIAL ONLY Complete Fee Schedule Below: Reetrfcied Enorgy Fee...................................................... $7S.00 Number of Ins ecilons er enTilt allowed (FOR ALL SYSTEMS) Service Included, Items Cost Total Check Type of Work Involved: M Realdentlal-per unit - 1000 6q It cr 1060; $145.13 4 Audio and Stereo Systems Eacn additional 500$q.fL Or v $33 40 1 portion thereof Burglar Alarm Limited Energy S75.00 Farb Manurd Name or MCAUlar Garage Door Opener' I�well(n0 SAn-Ir.e Of�eA(1Hr ___-- __ $90.90 2 Services or Feeders Heating, Ventilation and Air Condltionlrig Sy6tem' Installation,alteration,or relocation 2 i ►"''� 200 amp6 or less _ _ $60,00 _ L_..I VOCULm Syster,Ia' 201 amps to 400 amps; $106.35 _ 1 4C1 amps to 600 amps _ St6o,60 2 5240.60 .• 2 n all 60t amps to 1000 amps � Over 1000 amps or-its 5454.69 _ 2 Reconnect unly S66,e.' �- 2 Temporary Servloes or Feeders TYPE OF WORK INVOLVED •COMMERCIAL ONLY Inewit4tion,a!teratlon,or relocation 2 rat for each Aystern......................................................... 575. 0 200 4MV6 or 1454 (SLE OAR 919.260-260) 201 amps to 400 amps S 1100 00 100 ? 401 amps to 600 erhps _ __�_ 5199 15 __ 2 Check Type of Work Involved: Over 600 amps to 1000 v0115, see"b"abovo L� Audio and Stereo Systems Rrrnch Clrrulls New sutra(on or extension per panel Boiler Controls a)ThA fee for branch circuits • w/111 purchase o/servlet or Q Clock Systems hider loo. Egrh Gran'h Cirtull S6 05 2 �] Data TeleGommunlcaCan Inetallati0n b)Tho fee for hranch ci COIS w1thout purcheae Otialvf:e ❑ or feeder tee. Fire Alemt Installation First 0morh circuit F.ach additlonal br*meh circuit R�— $6 65 _ MVAC Miscellaneous �I t$erNce u(feeder not included) Inetrvrnentafion Each pump Or ImyaUnn clrcle Sys 40 Erarh sign of o(illine 119hting IntefCOm and Paging Systems Signal clrrult(5)or a dmltod energy $7500 parol,a teration er e><1en61or _..�__ - `*�' Q Landsoype irrigation Control' Minty I-Abels(10) Each additional inapectiorl Over Medical the allowable In any of the ab.ws $92.60 Per Inspactlon $82.50 U Nurse Calls Per hour In Pleni $73.79 ❑ Outdoor Landscape Lighting' Fees. Prof'. -o Sipnal!r0 Enter total of above fees 3 - @%Stnte cmrcharpn $ �--� 1 — --� 1 Number Of SVSfeMe 25%Plan Review Fee $ Sea'Plan Reoe'ti 6ACL:0n On • No licarw ire rear-fed �canses are required Icr as ober InelallOLJM front of apnlKawr Fees: Total 19a/ance Due Enter total of above fees Trust AGcaunt 0 __ I` 9!L Stats Surcharge Tota/Balance Due $ � i.ldats�fomr�tir:•fees.doc 10/09/0x) CITY OF T;GARS) 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP ---- Received _ _- Date Requested_ -5- J �_AM_. PM-` BUP Location __ _ -_ Suite-. __ MEC Contact Person _ -- Ph 2 d-3 '5 PLM Contractor—_ _ Ph(_.__ ) _-__ SWR — BUILDING Tenant/Owner - ___ ELC Footing ELC _--- Foundation Access: Ftg Drain ELR Crawl Drain - Slab Inspe tion Noes: SIT _- Post&Beam _ Shear Anchors - Ext Sheath/Shear ---.-.- _.-- Int Sheath/Shear Framing ---- --- Insulation Drywall Nailing -- Firewall Fire Sprinkler --i---- - Fire Alarm Susp'd Ceiling - Root Final PASS PART FAIL - - ^— PLUMBING —_- Post&Beam Under Slab --- -- --- Rough-In Water Service - ----- -- - - — ---. Sanitary Sewer Rain Drains ----- --' -- Catch Basin/Manhole _ Storm Drain Shower Pan Other: - ----- ---- ---- --- --- Final _PASS PART FAIL - - - MECHANICAL___ --------- -- -- - ---- ------ Post&Beam - Rough-In - - -- -- --- --- Gas Line Smoke Dampers - -- --- - Final PASS_PART FAIL_ `---' — ELEGTRICAf _- Service Rough-In - -------- UG/ 1 _Low Voltage ) - Fit'B A1t3rffl--" WAna [j Reinspectlon fee of$ ___.____-- _- required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. SART_ FAIL_ _ SITE_ eas Ple call for reinspection RE:—�--__ Unable to inspect-no access Fire Supply Line / ADA Dab InapAcR�r Approach/Sidewalk Other:.-__ _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD ___ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P28/02 -00337 AIL DATE ISSUED: 8/28102 13125 SW Hall Blvd., 'rigard, OR 97223 (503) 639-4171 PARCEL: 2S102130-02600 SITE ADDRESS: 12963 5W PACIFIC HWY SUBDIVISION: NOR'H TIGARDVILLE ADDITION ZONING: C-G _ BLOCK: LOT: 037 _ JURISDICTION: TIG CLASS OF WORK- OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP. M FLOOR DRAINS, TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: (iU ft DISHWASHERS: RAIN DRAIN: ft Remarks: Excavate for new water service water meter to inside of building and install 2"double check valves. FEES Owner: Type By Date Amount Receipt KIM, ROBERT + HAE LIM PRMT CTR 8/28/02 $101.40 27200200000 1360 SW WOODWARD WAY SPCT CTR 8128/02 $8.11 27200200000 PORTLAND, OR 97225 Total $109.51 Phone 1 Contractor: APOLLO DRAIN + ROOTER SERVICE 2208 NW BIRDSDALE #8 GriESHAM UP, 97030 REQUIRED INSPECTIONS Water Service Insp Phone 1: 239-8801 RP/Backflow Preventer Reg #: LIC 00049 318 Final Inspection PLM 26-533pb 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 Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling 003) 246-1987. 1 ' Issued By: � , ' j �_.�_'_--- Permittee Signature: Call (503, 639-4175 by 7:00 P.M. for an inspection needed tkee�Et business day I USE: i�.umbing Permit A alic•afioll Received , , Plumbing.:r�O�d , Date/By: 'vis O� Permit Nof- ? City of Tigard Planning Approval Sewer Test l�Ol-til Date/By Permit No.: 1.,125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No,: Phone: 503-639-4171 Fax: 503-598-1960 Post-Rcvicw Land Use Date/13y: Case No.: Internet: www.ci.tigard.or.us Contact 0 See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: ` _ �� l• supplemental Information. TYPE OF WORK FEE*SCHEDULE(for special Information use checklist) ewconstructinn _ Demolition_ Description Ql>• Fec(ea•) ental Addition/altcration/re laccment Other — New I-&2-family dwellings CATEGORY OF CONS UCTION Includes 100 ft.for each utlllty connection SFR 1 bath 249 211 1 & 2- -amity dwelling Commercial/lndust'nal SFR(2)bath 350.00 Accessory Buildin► Multi-Family SFR 3 bath 399.00 Master Builder Other: _ Each additional bath/kitchen _ 45.00 _ JOB SITE INFORMATION and LOCA' ON Firesprinkler-sq. ft.: _ Pa'c'- _ Job site address: (,y / / Site Utilities _ Suite#: Bld 1. A tom.#_: Catch basin/arca drain I0.60 D ell/leach line/trench drain 16.60 Proicet Name: — Footin drain no,linear ft.)____ Page 2 Cross street/Direetins to job site: Manufactured home utilities 110.00 (XIqI N JT- ?PALi RL' 1A • Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Pae 2 Subdivi:,t(in — [of #; Stomi sewer(no,linear fl. _ Pa c 2 L--- Water service no linear fl.) Page 2 56.00 Tax ma /parcel M Fixture or Item DESCRIPTION OF WORK Absorption valve _ WOO MP-&J =rfle �i t'�P.yiue Backflow reventer? Pae 2 %, q0 —� — ---- �M 1,"ftiL Ili%QQ SU1101' Backwater valve 16.60 -i�tJ: AMO ihw*4.11101 Z �' 1/ DishwS herwas16.60 Dishwasher IG•Gtl i�►S E ek I u0i Drinking fountain 1660 114-0—PEERTY OWNERTENANT 13jcctors/surnp 16.00 Nat11C: TEEN 1�IN� �i _ Expansion tank 16.60 Address: 12`3(03w _S� I AC I_F� h-�w Fixture/seer ca I Ct CSO City/State/Zi `t' p0►2,_— g 'L13 Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Ph011e:5j03 10117- 42, jFa',: t-loscbib 16.60 _CJAMILICANT ONTACT PERSON Ice maker 16.60 Name: F_M L S. talt•L ___ Intercc tor/ rcase trap 16.60 Address: Medical as-value: S Page 2 -- -- Primer _ 16.60 city/State/Zi __ —_ _ _Y ��'• _. Roof drain commercial 16.60 Phone: 503 9(09-Sg g3 Fax: _ Sink/basin/lavatory 16.60 L_- E-mail: � Tub/shower/shower an 16.60 _ CONTRACTOR Urinal _ 16.60 Water closet _16.60Business Name poll c 'LfJ 4.oe'TEQ S� Water heater 16.60 Address:ZZCS NW 3190004C S `0 Other: Citv/State/Zi stl it, _99030 Other: ---- --��— ChPlumbin Permit Fees* Phone:*a&z71-f S o I Fax;5e3 jW ._ 5,+fk ___ Subtotal 5 o q0 CCB Lic. 1 _ Plumb. Lic_#_2tta-53310� Minimum Permit Fcc$72.50 S Residential Backflow Mt,iimum Fee S36.25 � Authorized ZQpZ Plan Rcvicw(::5%of Permit Fee S Signature: _ Dater - ° State Surcharge(8%of Permit Fee 5 4 S , _ _ TOTAL PERMIT FEE S ' (Please pont name) Notice: This permit application expires if a permit Is not obtained within I80 days after it has been accepted as complete. All new Commercial building require 2 sets of plans with isometric or *Fee methodology set by Tri-County Building Industry Service Board. Hier diagramm for plan review. Plumbinp- Permit Application - :'its of"I igar(t Page 2-Supplemental Information Fee Schedule:_ Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage:_ Permit Fee: Footing drain-1"I On' 5500 0 to 2,000 $115.00 Footing drain-each additional 100' 40.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer-I st 100' 55.00 7,201 and grealer _ _ $309.00 Sewer-each additional 100' 46.40 Water Service-Isl 100' 55.00 Medical Gas S stems: Water Service•each additional 100' 46.40 Valuation: Permit Fee: _ Storm&Rain Drain-I st 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46,40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total including$10,000.00. Commercial Back Flow I'Icvention Device 46,40 $10,(X)1.00 to$25.000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and including$25,000.00. For— each Rain Drain,single family dwelling 65 25 $25,(X)1.00 to$50,000.00 $379.50 for the first S25,000.00 and$1.45 additional$100.00 or fraction thereof,to Inspection of existing plumbing or and including 550,000.00. specially requested inspections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and S 1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. uonfity b Fixti re Work Performed Continents reVarding fixture work: Flxture Type: neplace New Moved FS1111112 Ca i ped ------ — Bu Bath -Tub/Shower _ -Jacuzzi/Whirl ool Car Wash -Each Stall -Drive Thru ('us idor/Water Aspirator Dishwasher -Commercial _ -Domestic Drinking Fountain Eve Wash — -----— Floor Drain/sink .2., 3" .4" -- --- -4" Car Wash brain *Note: If the fixture work tinder this permit results in an Garbage -Domestic Disposal -Commerclai increase of sewer EbUs,a sewer pernllt will be issued and -Industrial fees assessed for the sewer increase must be paid before the. [cc Mach/Refri .Drains _ plumbing permit can be issued. Oil Separator Gas Station Rec Vehicle Dump Station Shower -(long -Stall Sink -Bar/Lavatory - -Bradley -Commercial -Service _ Swiriminst Pool Filler Washer-Clothes Water CXtraelOt _ Water Closet-Toilet Urinal Other Fixtures CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _------ INSPECTION DIVISION Business Line: (503)639-4171 to BUP Received Date Requested.— c^ -- AM_4—PM -- Bul --- --_ __. Location _--_�ZT�—�'��Z'�'c��' - —Suite_ �p p—� MEC Contact Person Ph( _) 2PLM Contractor __ Ph(—) SWR _ BUILDING —� Tenant/Owner — ELC — Footing ELC Foundation Access: _� /%,� Ftg Drain ELR Craw! Drain Slab Inspection otes: SIT Post&Beam =- Shear Anchors Ext Sheath/Shear ------ Int Sheath/Shear / Framing - -- - - - ---- Insulation Drywall Nailing - - ---- _ -- __-_- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling ---- —--- -- Roof ZIA Other: --- ---- -- ----- - - Final -- ---- ---- �- —-------- - --- PASS PART FAIL PLUMBING -------- - Post&Beam Under Slab ----- ---- ----- - -—Rough-In - rn ary Sewer Rain Drains -- --- -- - -- Catch Basin/Manhole _ Storm Drain ------ - - Shower Pan Other: a F.—ns. _t A PART FAIL _ HANICAL_ Post&Beam Rough-In Ga.;I ina Smoke Dampuic Final PASS PART FAIL - ELECTRICAL Service -------- ---- Rough-In UG/Slab ---- — — - Low Voltage _ _.�—_ -- --- ----- ---- - -- Fire Alarm Final Reinspectlon fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE - �] Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA (Date ' L) � Ext Approach/Sidewalk LL7 Other: Final DON T REMOVE this inspection record from the job site. PASS PART FAIL