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11780 SW 121ST AVENUE ADDRESS: A ,. 71?o -It5-W Q vl J -r ;D J:lreoordsVnicrotlrnita('gefs\building.doc IAJ w . 5 2 ee \ ƒ 4 / 0 .3 b$ ) z Ll 7 2 2 $ 2 7 $ § ® M & @ D § § b § § — km � w w ° ° E { � o o ° ° c, � 6\ ) � � ce) a ~ k 2 / / 9 § ) § ƒ 7 ƒ co c £ W / \ \ / / j � \ k �� k ° m 2 co 7 2 $ , a ° \ j � © � k .> v � Q � 0- CC vi 2 � e / q 2 & q \ 2 $ c a ., > ) ) { \ / \ ° \ ƒ ] i E J $ \ f k 2 / 8 ° / LO � \ \ § keg g w w w u CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-1171 — — BUP — ''� Z- Date Requested Ja= ^�� AM PMI BLD Location Z/ 723,2 Suite _ MEC Contact Person Ph PLM Contractor Ph -,7& /w/ _ SWR ` BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain -- SGN Crawl Drain Inspection Notes: — -— Slab L S /� a,rzy, SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear !� Framing _ Insulation Drywall Nailing Firevrall Fire SprinklerS Fire Alarm Susp'd Ceiling Roof =— Final PASS PART FAILPLUMBING Post Post&Beam Under Slab Top Out ---- Water Service Sanitary Sewer Pain Drains Final --- — PASS PART FAIL MECHANIrAL Post& Beam — — —---- Rough In Gas Line - --- - ----- --...--- Smoke Dampers Final ---- - - - --- -- -- PASS PART FAIL iRETRIgAL - -- Service Rough In --- - ---------- -- --- - ---. UG/Slab rt Low Voltage v~i F re Norm �- �'_P,43Y, PART FAIL- Bac',fill/Grading _-- --�- �— -� -- - - w S:,nitary Sewer -� Storm Dra'n [ J Reinspection fee of$_ —requ'red before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE —_ — [ J Unable to inspect -no access ADA Approach/Sidewalk Date /� 3/- 3wil Inspector c.c Ext Other - Final PASS PART- FAIL DO NOT REMOVE this inspection record from the job site. CITY O F TI G A R D ELECTRICAL PERMIT PERMIT #: EL-C98-0636 DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard.OR 9722)(503)639-4171 DATE ISSUED: l0/.2'1/98 PARr'EL.- 15'134CD-00100 SITE ADDRESS. . . : 11780 SW 12IS-F AVE SUBDIVISION. . . . :L.E RON HEIGHTS NO. 3 ZONING:R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :083 JURISDICTION: TIG Pr-oJect Descr-iption : Add two branch circuits ------------------------------------------------------__--------------- --RESIDENTIAL UNIT---- ---TEMP' SRVC/FEEDERS------ -------M I GCELLANEOUS--­-- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/I R R I on'"r I ON. . . . - 0 EACH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . (A LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PPNEL. . . . . . 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 vol+:'_ : III MINOR LABEL ( '.0) . . . : 0 ---- ----BRANCH CIRCUITS------ ----ADD' L.. INSPECTIONS-..-.- 200 amp. . . . . . : 0 W/SERVIC' OR FEEDER: 0 PER INSPECTION. . . . . : 0 P01 - 400 amp. . . . . . : 0 1st W/O ERVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: I IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -----------------FLAN REVIEW SECTION------------_.--._ 1000+• ECTION------------------ 1000f. -Amp/volt.....: 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS_ : CLASS AREA/SPEC OCC. : Owner-: FEES OREGON ELECTRIC GROUP type amoi-int by date ", - 7pt ' 1010 SE 11TH PRMT 7$ 40. 00 GEO 10/21/9r� ._10188 PORTLAND OR 97214 5PCT $ 2. mO GEO 10121 /9t. . 10188 Phone #: Cont;­artot-: OREGON ELECTRIC CONST/GROUP $ 417'. 00 TOTAL 1.010 SE 11TH AVE ------- REQUIRED INSPECTIONS PORTLAND OR 97E,.14 Elect' l Service Phone #: 234-9900 Elect' l Final Reg #. . : 203 Tt,iS 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 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 92-00I-0010 through OAR 92--00I-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (501146-1987. Permittee Signati-krer I s s 1.ied 0- __.__.__--------.---------------OWNER INSTALLATION ONLA----------------------------- - - cz: The installation is being made or, pv-,operty I OWTI which is not intended for Sale, lease. or rent. OWNFRI ) SIGNATURE- DATE: i� 7c INSTALLATION Z� LU SIGNATURE OF SUPR. ELEC' N: J DATE: �r el LICENSE NO: l- -++++++++++++++4•+++.. t......4-+-.*-++4.++++f++++++4•+++++++++++.'-+++++++++4.++++++++++++ Call 639-41.75 by 7:00 p. m. for an inspection needed the next bi-tsiness day ..................4......4................ ....................................... Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Nall Blvd. �`� Tigard, OR 97223 Permit # _ Date Issued Phone (503) 639-4171 — �! CITY OF TIGARU FAX (503) 684-7297 0u E, j 2 0 199 TDD No. (503) 684-2772 Inspection (503) 639-4175 "'1"I ' ��lrrlr•^""f!T 1. Job Address: 4. Complete Fee Schedule Below: Name of Development—_Ur i f i ar?_ggwerage on ,y Number of Inspections per permit allowed Address see mdap _. Service included. Items Cost(ea) Sum City/State/Zip_ T1QdOr_ _ _- 4a. Residential -per unit 1000 sq. ft. or less $110.00 4 Nanor 1,-)I name of business)_Unitd SeWgXgc e Fachaddflional500sq ft or ted — � gonion thereof $25.00 Commercial Residential Ll -- $2500 1 $6800 2 2a. Contractor installation only: Electrical Contractor Oregon -i rrQup_ 6 '� ' $60.00 _ 2 Address $8000 0 SF. 1 1 t--h _ / c $$2000 — z City Portland State j�r _ Zipq_ AA - f/���J �'� -- $16000 z Phone No. :234-9q0() $340.00 2 - $50 00 — 2 Job NO. 76U Contractor's license NO. 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,alteration,or relocation Sigratuie of Supr, Elec't1 / 200 amps or less �— a License No. 2 A Phone NO. 201 amps to 400 amps --_ $BOJ 0 2 413 ��—�-L}�-- - 401 amps to 600 amps $ 5.00 Over 600 amps to 1000 volts $10.00 2b. For owner installations: see"b"above. 4d. Branch Circuits Print Owner's Name Naw,alteration or extension per pant, Address a)The fee for branch circuits with Purchase or service or feeder fee. 1 C Ity State Zip Each branch clrcud $500 Phone No. _ b)The fee for branch circuits wfthout The installation is being made on property I own which is purchase of service or feeder feeFirsz Each not intended for sale, lease or rent. ac branch circuit _ $35 00 5. 0 0 h additional branch circuit $500 - S_ n n Owner's Signature 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or Irrigation circle $4000 ___ Fach sign or outflne lighting $4000 _ Signal circult(s)or a limited energy 2 Please check appropriate Item and enter fee in sectlolt FP, panel,alteration or extension $4000 4 or more residential units i-1 one structure Minor Labels(10) $10000 CL __Service and feeder 225 amps or more _System over 600 volts nominal 41. Each additional Inspection over cl - the allowable in any of the above Classified area or structure containing special occupancy ^ as descrwed In N.E.C. Chapter 5 her Inspection $350 —_ r'er hour $5500 > In Plant S5500 ~ Submit 1 sets of plans with application where any of the above –� apply. Not required for temporary construction services. 5. Fees: r 5a, cnler total of above fees $ 4 0. 0 0 NOTICE 5%Surcharge (05 X total fees) g 2-0 w PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal 5 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OP. IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR plan Review It required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Ll $ COMMENCED. T� . Ll Trust Account # pm yq B lance Due $ 2 D n .ems ' 8/11/93 SANITARY SEWER unifWd DATE PERMANENT FLOW MONITOR SITE UfA �wvYgUaAAge MITE 49 z 3 — "� MHNO 14939 OTRSEC 4217 PAG6- 13 NOTES INSTALL CITY/COUNTY: CITY OF TIGARD —_-- MH DEPTH: _ 12' • ELECTRICAL CO SHALL BE 2' SC E 40 PVC PIPE. • ELECTRICAL C I AS SHAII " SCHEDULE 40 UNDER LT WITH 6" GRAVEL PAD LOCATION EAST SIDE OF S.W. 121ST, BETWEEN KATHERINE LINE SIZE: 36" PVC PIPE. AND MERESTONE STREETS: AT CREEK CASING • ASPHALT _R SHALL BE CUT !-RIGR ACCESS: _ BUSY STREET; NO PARKING EXCEPT EDGE OF STREET • 6" CASING PO E — TO EXCAV • 2 CONDUIT ON POLE - ELECTRI IRE S MEET APPLICABLE GOVER ° 6" CASING UNOERGROUt,0 ANJO PG E REOUIR NT 2 CONDUIT U DERGRouNO • CON1 S TO PGE L TO BE MADE BY PGE 6' CASING IN LE 2' CONDUIT I LE 9 ELECTRICAL .I • OVERHEAD Y PGE Il• G sum ON• 24' Cl-A S C BACKFILL ° 106' CLASS 0 BACKFILL • jE CLASS D BACKFILL WITH ASPHALT CAA VICINITY / UTILITY MAF' � I \ (1387102 _ _ --- INSET AREA Is 134CD LEGEND • I 0= i II I 041OU --_�, _ II I - -- - - --- -- — SEWER LINO •• LOT LINE 12754 1 I ------- i• IS• •• 01AhC7ER SLOrE LENGTH -- — --- - �- 27 o.uo?a Itil. 24 .004 JSO �..� 6 0 6 — o�� PROPf`SEl1 �.�_.�.. 349 1 0.9� 1 ~ MONITORING FENCE LINE 1 tr SITE USA a------ • • 3s I!•t: I EASEMENT SEE INSET _0.0040 n1• °�Et`fAW - — — — — -- — — EXISTING POWER POLE s LI , r _• — — — — — - — — 1 14939 ; +o M N481 0 Un / UTILITIES NEW I •� a •,• .� a oil, a• W — WATER •� ,,,.• PROPOSED __-- _- _ SCALE: nl ��s 1.E• -- o --- GAS POWER�POIE _ .__ 1112.51 _ — C — CABLE *v ������••� ' MONITORING SITE 40 Zc an�� NEW POWER POLE V 1 1 LOCATION I0 � oe�Ec,s NIS ^� PGE GUY WIRE 1 1 N _ TRAKW I SS I ONAND , 1 I M OYEtu¢AO ♦1 n rPRIMARY' , 1;v 1 rss!�mxM r ~ t. b -o.y.� _ OVESECONDARY NEW UT I L I l r I x UwcncnOLM VAuL T T z T I I ABBREVIATIONS SC/ LE : C 11 ► A.C. AWHALTIC CEWHI NEW UNDERGROUND 10 O 11 ► I _ no+ n1GHT Cr WAY I CONDUIT.......rvI,--raYVIWL CHL0"10E w KATHERINE STREET FILE tVMi ORAFT:MSRO(KCPEEK 1s+Iu.rt wwte Of'08P10T Damm Ire J. DIXON