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11025 SW 95TH AVENUE i ADDRESS: 10015 SK/ 95�* AVAWUA J C' kl J ' i:\records\microflm\targclsWuilding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 IT BUP (/ '.2 _Date Requested_ 'S IT —AM PM BLD _ Location "ll- Sul t _ Suite MED L _ Contact Person 6171Y i Ph cZ"l- PLM — Contractor _ _rIZ (�.(, (r q h SWIR BUILDING---T Tenant/Owner ELC lily / Retuning Wall ELR _ Footing Access: Foundation FPS — Ftg Drain SGN Crawl Drain Inspection Notes: - Slab — — - SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall c7 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: —T - --- --- Final PASS PART FAIL -- PLUMBING Post Beam - --- -- - ------ --- -- Under Slab Top Out Water Service Sanitary Sewer — - Rain Drains /0 , Final -----_------ -------- Ci'�� — - PASS PART FAIT_ MECHANICAL --- - --------- -- -- Post& Beam -- --- -._._- - --- ---- - — Rough In Gas Line - Smoke Dampers Final - - — -— — —-- - — PA 41ART FAIL ECTRICAL _! - - -- -_ --------- Service rRough In � - - ---- -- --------- ---- N UG/Slab - _-— -- ---__,_ — -- Low Voltage Fire Alarm J -fASL PARI FAIL 1.0 srm Backfill/Grading -- Sanitary Sewer Sturm Drain I 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 Approach/Sidewalk Date Inspector Ext Other _ — - Final PASS PART FAIL O NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-4171 --- _ l `/0 /—Date Requested //8 r ��� AM PM BUPBLD Location _ ( I u 5 5:t4 ) q 5 fjf /�L��i Suite MEC G Contact Person (��L(Clirt il/ �,/rRb6Ww ' � ' PLM Contractor Ph o 7 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — -- Slab _ _ SIT Post& Beam _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ___�- --- ---- ------------- Final P T FAIL _-_.___ �_--- -- —.-- --------- —_-___ ,,,-PLUMBING Post&Bear — �- - -- ------------------- - Under Slab Top Out Water Sen :e Sanitary Sewer —_—.--- Rain Drains VPi --------_ - - -- — —_ -- qrfW PART FAIL HANICAL Post& Beam - --- - - -- --- — - Rough In Gas Line Smoke DF.mpors Final PASS PART FAIL ELECTRICAL — - --� Service H- Rough In un UG/Slab _ Low Voltage ~ Fire Alarm -' Final °' PASS PART FAIL SITE -' Backfill/Grading - ��^-- -- — Sanitary Sewer Storm Drain I j Reinspection fee of$ ^required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line f J Please call for reinspection RE:— [ ]Unable to inspect-no access ADA1 Approach/Sidewalk Date I/�[_ Inspector Ext.3,. Other / Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIG A R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98--0364 13125 S W Hall Blvd.,Tigard,0!7 97223 (503)639.4171 DATE ISSUED: 07/02/98 PiARCEL: 15135CA-00;201 SITE ADDRESS. . . : 1, 1025 SW 95TH AVE SUBDIVISION. . . . :MEADOW VIEW ZONING: R-4. 5 BLOCF.. . . . . . . . . . : LOT. . . . . . . . . . . . . :006 JURISDICTION: TIG PIroJect Description: Huntley -------------------------------------------------------------------------------------------- ----RESIDENTIAL- UNIT---- ---TEMP' SRVC/FEEDERS---- -----MISCELLANEOUS----- 1 000 ----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/I RRI GAT 1019. . . . : 0 EACH ADDIL 500SF. . . : 0 I_-.I 01 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . _ . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . . 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- INSFIECT IONS-.--- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSP,ECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL. BRNCH CIRC: I IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 REVIEW SECTION-----­------- ---- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. - Owner: ---------------------------------------------------------- FEES RUTH HUNTLEY type aloClUnt by date recut 11025 SW 95TH PRMT $ 40. 00 JSD 07/02/98 98-307034 TIGARD OR 5FICT $ 2. 00 JSD 07/02/98 98-307034 Phone #-. Contractor: ---------------------------.---_ AMP ELECTRIC $ 42. 00 TOTAL. U400 NE 4TH F,LAIN RD REDUIRED INSPIECTlONS VANCOUVER WA '38662 Rol.igh—in Elect' l Final Phone #: 222-1647 Elect' l Service Reg #. . : 000781 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 lee days of issuanro, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili,y Notification Center. Those rules are seforth/ih OAR 952-MI-NIO through OAR 7-09 t <_ 1-1�67. �ou may obtain a copy of these rules or direct questions to OLK b c ling( (5�) Wl . t, P,prmittee Signati- B y : 'trp: I s s'-I Pd _4W_ _ _-_----.----------------------OWNER INSTALLATION ONLY--------------------_—_--.--__—_ The NLY------------------------------- The installation is being made on property I own which is not intended fat- ale, IE-ase, or rent. OWNER' S SIGNATURE: DATE: --------------------------CONTRACTOR INSTALLATION ONLY-------------------------_. _ C NLY--------------------------- - CTGNATURE OF SUPIR. ELECIN: DATE- LICENSE NO: ................++++++4.......4...4++4..........4.................4............... Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-isiness day ...............4..............................4•.................................. i �- Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard. OR 97223 Permit # j D G ' l� Date Issued Phone (503) 639-4171RECEIVED C' FAX (503) 684-7297 CITY OF TIGARD TDO No. (503) 684-2772 Inspection (503) 639-4175 1. Job AdIress: 4. Complete Fee Schedule Below: Name of Development c, \- ' yNumber of Inspections per permit allowed Address I l Z�7 D W CA� 1h Ave, Service included: Iters; Cost(ea) Sum City/State/Zip 1 1C�[A/rc� _i [��< T z z .3 4a. Residential -per unit r 1� L ` n 1000 sq It or less S1'0 tKl 4 Name (or name of business) fli,� t t 1 `� vH r ��e�I _ Each additional 500 sq h or portion thereof $2500 Commercial L-1 Residential ® Limited Energy $21b 00 1 i Each Manuf d Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders InslallaHon,aneration,or rokx.etron Electrical Contractor 200 amps or less $6000 2 Address 1'ZZ Vk1 - 201 amps to 400 amps $80 co 2 401 amps to 600 snips $12000 2 CityyCwf�C_0 LlW AL State Zip 601 amps to 1000 amps 1 —-- $18000 - 2 Phone No. �,����1"t'Z - ci Over 1000 amps or vons $340.00 2 Job NO. �. r7 i J Reconnect only $5000 2 contractor's license NO. ; 4 4c. Temporary Services or Feeders Contractor's Board Reg. No�C� nttallatlon,alteration,or relocation 2 Signature of Supr. E1ec'nne 200201:mpg or less p io 400 amps $5000 2 License No. 3 �z/ _ Phone No. 2-z -/ �� 401 amps to 600 amps $7500 2 LSA 3) Over Foo amps to 1000 vons $10000 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name New,alteration or extension per pane Address a)The fee for trench arcults wh'r purchase of service or feeder foe. 2 City State ` Zip__ feederEach branch circuit $5.00 Phone NO. b)The fee for branch circuits wlfhour The installation is being ad me on property I own which is purchase of service or feeder hs. 2 First Wench circuit $ not intended for sale, lease or rent `_ Each additional branch circuit $500 Owner's Slgnatule, 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle $40 00 _ 2 Each sign or outline lighting S4000 Signal clrcult(s)or a limited energy 2 Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels(10) $10000 ry Service and feeder 225 amps or more 4f. Each additional Inspection over System over 600 volts nominal the allowable In any of the above Classified area or structure containing special occupancy Per inspection $3500 t as described in N E C Chapter 5 ser hour _ $5500 J In Plant � $55.00 .-. Submit 2 sets of plans with application where any of the above CL apply. Not required for temporary construction services. 5. Fees: /� � 5a. Enter total of above fees S 7 0 — NOTICE 5%Surcharge (05 X total fees) $ 2 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S 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) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account # a Balance Due S Z l CITY' OF TIGARD DEVELOPMENT SERVICES P t_1,1�;I T 'G PF-RMIT #. , � 13125 SW HallBlvd.,TIgard,OR 97223 (503)6394171 Di1TE 91 r-. 4 TAK)T V ISM % NTNG; P -,r Of, R D 0 t1l; M-T GAR BAG.." MrT T i...1'" PE C1- r)F WA3HTNr3 1'11CH. PREINTW3. T 0 FIOCRllr.;171T[1 ()r7� -0 T 7 ri. r.-PEAS'- UIR",NAL r3. . . . . . . .?.r c,, ! fu­r rTvrurr,;. :"R C.:!J! d 'TH HUNTI r"Y f,ypN 4A1V,_)kkr1t- by dt.:At p re(--pL QIF!79)W 9Mf PR M T 1, n 9. q 11� j 0i 0 r-., 1; P.)V) 9 6 - ,CARD OR T j ) "7d8 9 30 61 Aita'jlp laws, Al" will be e0to in 8CCVdance Toj! ."Vcl plv, 7,'� s pFrut killl ;xpirt if work IS 110t started Mi 5 T­,Jw ft Mn IN emys of i 5;u�,�4tej t, oork 15 V;!PF,d ed 4 11 e Firial c u t i 171 to ri ISO �!qs. 0"TNTIF"'! w 04 Ortprr 13jw roquires V0,1 t�, f.11lc yo rtpO by tht Oregm, Ufllit,,, Gabon Center. Thc!p rides am. F-r'$ 04p ST-Mas,-W yh Opp, It-ml-teep, gill of thpgp rkiloo or mi-pri q(irsticts to by calling L.L) CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Re;:'d (503) 639-4171 Date to P,E Print or Type Date to D$T Incomplete or illegible applications will not be accepted Perm it# ,&"� � Related WR Called Name of Development/Project - � On back indicate Work Performed by fixture. Job FIXTURES (individual) CITY PRICE AMT Address Street Address /�C Suite Sink l�t�t�r� —9.00 2-52. S(�v `Z J Lavatory - 2 9.00 Bldg# /5i�atB7� Zip Tub or Tub/Shower Comb. ` 9.00 Name Shower Only 9.00 �jD,NnE Ac�,�cl,E Water Closet 9g0 i Owner Mailing Address Suite Dishwasher I gm Garbage Disposal ( 9.00 / City/State Zip Phona _ Washing Machine I 9.00 -7 Name Floor Drain 2' 9.00 9.00 A-w+C •'4-� .4�Ca-� 3• :4,' Occupant Mailing Address uite Water Heat 3r O com sion like kind I 9.00 City/State Ziphone Laundry Room Tray 9.00 C` IN me Unnal v!. �6�EC1�7 �`3. 9.00 Other Fixtures(Specify) 9.00 Contractor Mailiqg Address Suite —3 9.00 NEI Prior to permit Ity/State 7_i Phon 9.00 ssuance,a copy �(;IZ�L 1�`, 77(� 2.5� 2SZ( Sewer-1st 100' 30.00 of all licenses are Oregon Const.Cont.Board Lie,# Exp.Date Sewer-each additional 100' 25.00 required if - 1D(og_ 3-ZS -O expired In COT Plumbing 'c # Ex ate Water Service-1st 100' 30.00 database - L1 3� T G �p�j() Gn Water Service-each additional 200' 75.00 Name Storm&Rain Drain-1st 100' 30.00 Architect Storm&Rain Drain-each additional 100' 25.00 Or Mailing Address Suite Mobile Home Space I 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Engineer City/State Zip Phone fbllution Device Residential Backflow Prevention Device' 15.00 �JI Describe work New O Addition 0 Alteration O Repair Any Trap or Waste Not Connected to a Fixture -� 9 00 to be done: ResidenticlVY Non-residential O Catch Basin - 9 00 Additional description of work: 1 oi1tA((k"(7 (✓5C15T(NC, wisp.arExisting Plumbing perffir Q`l k T1 f1 C 0..00 Specially Requested In Io /I 40.00 �„!� per/hr Existing use of Rain Drain,single faml dwelling i 30.00 i-- building or property TESInC CF Grease Traps [� - LAI Proposed use of CIUANTI'Y TOTAL / �~ building or property, Isometric or nser diagram is required d Quanity Total is >9 ~' 'SUBTOTAL m I hereby acknowledge that I have read this application,that the information j given is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE that plans submitted are in compliance with Oregon State Laws,Signature of Owner/Agogt Date -PLAN REVIEW 25%OF SUBTOTAL Required only R llxtuT ental is>9 iy-2,4-gg TOTAL Contact Person Name Phone _ CRY zs 2r�Z( 'Minimum perry ,foe is$25*594 surcharge,except Residential Backflow Prevention Device which is$15+5%surcharge **All New Commas sal Buildings require plans with isometric or riser diagram 700 (01lpj and plan rec'ew I ldstsV+k mbavp doc 5/5490 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory TuL) or Tub/Shower Combination _ Shower Only _ Water Closet Dishwasher Garbage Disposal Washing Machine — Floor Drain 2" 311 Water Heater Laundry Room Tray _ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: F— LD LL, .i1+l,nnbeon nor VS/gN