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13842 SW i ERNRiDGE TERR
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd,
Tigard, OR 97223 PIp nck/Rec, #
Phone (503) 639-4171 Date Issued I �'
FAX (503) 684-7297 Issued by
(CITY OF TIGARD TDD No (,503) 684-2772 ---
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development t. .0,T�( Number of Inspections per permit allowed
Addle Ste `—['xA /t.�� , Servi:o included Items Cost(ea) Sum
City/State/Zip 4a. Residential- per unit 4
1000 sq II or less I $11000
Name (or name of business)l �L A� /Y _ Iar3,adds onal500aq ft r
portion thereof I _
Commerrial ElResidential Limned Energy —+- u500 -
r Each Manut'd Home or Modular ?
Dwelling Service or Feeder �!pp
2a. Contractor installation only:
4b.Services or Feeders
� _ (l tl I Installationalteration m relorntion r l
2Erectrical Contrt
200 amps or less SW Of, 2
Address 1I` i 7 201 amps to 400 amps $80 70 2
City State t..,.r Zip St 401 amps to 800 amps $12000 2
Phone N0. r r' i; �,, �— 801 amps t000ampe $18000 2
Over 1000 amps or volts $34000 2
Contractor's License No. f- ( Reconnectc„,y
$5000
Contractor's Board Reg. No. �
4c. Temporary Services or Feeders
Installation alteration or relocot� f,
Signature of Supr. Elecin �� 200 amps or lose $5000
License No Phone N0. C fi, 201 amps to 400 amps —� $7500
401 amps to 800 amps $10000
Over 800 amps to 1000 volts
2b. For owner Installations: am*b*atxwe
Print Owner's Name 4d. Branch Circuits
------ New alteration or extension per panel
Address n)The fee for branch circuits with
City State -Zip purchaa of"Mika or Trader flee.
Phone No. — Each branch nrcu^ 1500
bl The fee for branch circuits without The installation is being made on property I own which is pufchaae Of aervit:e or Asedar W. ?
not intended for sale, lease or rent. First branch circuit $3500
Each additional branch circuit —— $5 On _
Owner's Signature________-___ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or ligation circle $4000 _
Each sten or outf rte lighting $4000
signal ctrcuil(s)or a limited energy
Please check appropriate item and enter fee in section 58. panel,alteration or ertenwon _ $40 0a
4 ur more residential units in one structure Minor Labels(10) �- $10000 -
Service and feeder 225 amps or mote `—
_ System over 600 volts nominal cif. Each additional inspection over
Classified area or structure conlalning special occupancy ire allowable in any of the above
as described in N.E.C. Chapter 5 P'"Fie"1 r _ $15 00
nr,
$11,100 —
Submit 2 sets of plans with application where any of the abov_t
apply. Not required lot temporer4 construction s,ervicus. 5. Fees:
NOTICE 5s. C;,,It total cf above fees $ Q, Co
Surcharge(OF X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION ;,Jhfofal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 15h• Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF ISO DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account 8
$
Balance Due d "5
CITU OF TIGARD
Residential Certificate of Occupancy
�
Permit No.` T S"� I�I/s_ Address: ��.r�I' d
Owner/Contractor:
Date of Final Inspection: V ZIA I Inspector: _..__
'rhis structure has been found to be in substantial compliance with the provisions of the Stare of Oregon One& Two Fancily Dwelliny
S ecia/y Code and is hereby approved for occupancy. —_--_—
Z
CITY OF TIGAIRD BU;LDING INSPECTION DIVISION , ���-<<,� ,
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �} / — ----- ------
BUP
Date Requested -� AM PM —
_—_ BLD
LocationC � Suite MEC
Contact Person Ph —ac-'el 1PLM _—
Contractor — S�(t'! /e, Ph G,,lcj -33 %v SWR ----- — ---
1(•J LADING— Tenant/Owner _ LLC
Retaining Vdall _ ELR
Footing 7rss: - -�
Foundation FPS
Ftg Drain -- SGN
Crawl Drain Inspection rJotes; -----------
Slab �- _—_-_�_-- ----- _ SIT
Post&Beam — -
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -3/
Roof -7`--
PASS PART FAIL _. -- ------.------ _- __---
ING
Post&Beam - --- ... - --- -- ---
Under Slab
Top Out
Water Service
Sanitary Sewer --------- ---
Rain Drains
Final ---------_.._ ------
PAI.S PART FAIL
Mc(;HANICAL
Fos,&Beam -- --- ----�. - - -- -
Rough In
Gas Line
Smoke Dampers
Final - -- -- —
PASS PART FAIL
ELECTRICAL —
Service
Rough In ._.----- - ---- -- - -
UG/Slab -_-- - ------ _ -
Low Voltage
Fire Alarm
Final
PASS PARI FAIL
SITE ----- — - -- --.�.
Backfill/Grading -- --
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before next inspection. Pad at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line i ] p -- _�_ ( Unable to inspect-no access
ADA
Approach/Sidewalk /1 \
Other DateVZ\ U Inspector _ Ext='
Final
PASS PART FAIL- 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGANZO BUILDING INSPECTION DIVISION BMs
24-Hour Inspection Line: 639-11175 Business Line: 639-417 Loll
�`�31J P
Date Requested 7 A *uite
PM
Location Z c✓ �°_0-- ! L�� j le r.� i� ^ MECContact Person Ph - 1ef c,5-5-Z' /' _ PLM
Contr~ctor !_ _ — —�''� SWR
Tenant/Own
L — QrELC
------------
Retaining Wall ELR _
Footing Access:
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN -- --
Slab _ SIT
Post& Beam _-- �-
Ext Sheath/Shear
Int Sheath/Shear f}
Framing _ P�t( --� ] ���� SS
Insulation
Drywall Nailing
Firews l
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �.✓� -7 -_�1.-1' �.�_ _ C—�7 �'v
Roof
Mise V✓�- _ ��.E c�.�/ C�J v-� J
P>SS PART (15A11) —
M
Post&Beam --- ^--- -- _-`
Under Slab
T op Out _ _—
Water Service
Sanitary Sewer -
Rain Drains
Fin ---- ------- -- -
PART FAIL - - --- - -------- _..r
MECHANICAL
['nsl& _ream
Rough In
Gas Line - ------- -- -----__�__
Smoke Dampers
Final - -- ---
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage - — ---- - �^_--` -
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading ��--- -- - — -��_-
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ] Please call for reinspection RE `�____ _— _ [ ] Unable to inspect-no access
(ADA _
Approach/Sidewalk
Date Q ` Inspector— ---- Ext 4
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspe,.tion Line: 639-4175 Business Li 171 MST
_,/ 1 BLIP
__•_
— Date Requested �7 � � LJ� A L P
_ BLD
Location '� ..- -� ; -f?� Suite .� PdEC
Contact Person PLM —
Contractor _ C-7/2� Z Z, _ �� Ph 7[ �_� ,.-3 7_ SWR
BUILDING Tenant/Owner - � /�?ar ELC
Retaining Wall ELR
Footing Access: -^
Foundation FPS ,-_--
Ftg Drain '�- SGN
Slab Crawl Drain Inspection Notes �,y2 --_ _ -----
` � -� SIT
Post& Beam
Fxt Sheath/Shear 1' '1 /��1 9-
Int Sheath/Shear
Framing C=Z7 217L-
Insulation
Drywall Nailing
F irewall --___---
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -------.___r_ _-•---
Roof
Misr,'
Final -_--�.--
PASS PART FAIL -- ---- ---- -- -- -- -- ----- ----
PLUMBING
(lost& Beam -____ ----- - --
Under Slab
Top Out _ - - ---- - -_-
Water Service
Sanitary Sewer -
Rain Drains _
Final
PASS PART FAIL _
MECHANICAL -
P 7st&Beam - -- - ----- - ---
Rough In --
Gas Line ---- --- -
Smoke Dampers
Final - ----.___- _---- --__-- _-,_--
PASS PART FAIL
Service
RoughIn ------- __..__-_---- ---- - - --------
UG/Slab _
Low Voltage
Fi larm --------.... - - - ----
i
PART FAIL --- - ---- - -------- ------- -- ---- ---
IT
ackfill/Grading - -- -----"---- _-_._
Sanitary Sewer
Storm Drain ( J Re'nspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( J Please call fnr reinspection RE _ _ [ J Unable to inspect- no access
Fire Supply Line
-- -
ADA S
Approach/Sidewalk Date i
Other _ ______Inspector_ Ext
Final _
Final /
PASS PART FAIL I DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 07221.8160 (503)639-4171
CITY OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.T(gard,Oregon 97223*8199 (503)539-4171
-Ir;l)PIE
r
rI*^'TURE UNITS. . .
DWELL T NIC 'Al 177�- .
NO. or' SL,'TLD.TNGS-.
TWERV URFACC. . �
FEE_
type arpo�.�tit ijy i
':!RMT E,200. 00 JDA 05/09/,"f"
I NSX, !DA 051001",
-r D R h! IY
"137. 00 TOTE
RM{!1RED TNlqF1Ff--FTr1K!r'
_rivly i4ith a' ,F rules and rioulationi Gewf?r I I)E'oect ic);
the Unified Sppaqt Agency. T'j? pe.-S.. ;ices 186 days Eros
? date The tWtal aij--.T-t paid will be forfeited if the
W lowes. The Npn:j Jco- nct guarantee the ac,_r-aci if the
,E sRWV iaterali, If serer ii ict IOL&tfd at the Reasurelf,
ilztallr- iha," p -ipLt 1 feet in a!, clive-tic.-ns fi-om
j,,r9r. f rcll sL *.cuated, the instiller i!•all ptirchvc
Tj,r an- r!!.ip qowor, Vt.,ci;i Ard tht 41.1-phr4 will install a latera.
�F
Residentizi Building Permit Application :tom
City of Tigard
13125 SIN Hall Blvd.
Tigard, OR 97223
(503)-539.4171
4
/Jgbsite Address: f c _ W
Subdivision: a -��- � a Lot#_� Office Use Only
i
Contact Date / / Initials
Valuation: _ S X_7�! , _ Result
Planck/Rec
New Construction 0,ply: (Square Fpotage) Permit # #75_ 4.S 015
House: Garage: Reissue of
3 /y ,4• Map & TL# 'LS lar{ C)C - (o Uu
Zone f�_- 4-I .5
_
Corner lot? Y N Flag Lot? Y 1 �Plat # (A I-- 1401 t-1, l
Approvals Required 6}".. e+ .
Owner: — 15, iron
Planning Set� C-4Address cks Solar �
--- -- -- ---- Engineering
Other
Phone:
( ) _ Items Required
,Contractor: Subcontractors
Truss Details
Other
f.ddress. .��� All• tcJ�a.c;�:c �dC
i / � Notes
'2CJD U 0
Contractors License #
(attach copy of current Oregon license)
t'ontact Name:
Contact Phone. L.L2__L
Subcontractors: q� X01-10 0�vr1 2-191.pif L1' Architect i:ngineer: ILA 414-6 c-ar�sl _
Plumbing: 7PAM__ u �: � 2 Address: /4L/_ 1-
✓Mechanical: 02SS
(attach coot/ of current OR Contractor's License)
Phone: L
JOB DESCRIPTION -
Applicant Si 'ature Applicant Phone number
Received by Date Received
H Ingnlbl/VN.Cp
1
G,, Permit # Account Description Amount Amt. Pd. Bal. Due +
//l S U- .SJ Bldg. Permit (BUILD) ' �', 7; /
�=
Plumb. Permit (PLUMB) !��. /
Mech. Permit (MECH)
State Tax (TAX)
Bldg: S /
OJumb:
Mel�h: y
•
Plan Ch%k (PLANCK) Ss
Bldg: `• j'3
Plumb:
Mech:
Swt �1=IJI s Sewer Connection (S\WUSA) 4 L/
Sewer Inspection (SWIN�P)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) z / �u
Mass Transit TIF (TIF-MT 2 l/ l 2-t) /
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL) 1 �/
Water Quantity (WOUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) /
Erosion Planck/USA (ERPLAN) _ �-��' _ �•C/�i /
Erosion Planck/COT (EROSN)
TOTALS: '
2206
S.W. GREENFIELD DRIVE (W/ 1/0" TAKEN OUT OF WIDTH
OF LIVING & DINING ROOMS)
412' BY :
w1' STEVE JOUNG
73.01'
CITY OF TIGARD
MORNINGSI AR - PHASE 1
LOT d
1 9,I JZ SQ. FT.
-420'
t
-h_
---------------- 1
c.
430—� _ ,..
.---____ ___ �
1
1 ~ — �1 430'
N
440'— LOWER FLOOR 1 _
1 — — _EL..=442.0' 0 d
0
20' ~MAIN FLOOR
440
t 6ARAOE.
a.}....... 1
t 0 .. . .a .....
.............. .......
to cil
i
:..
h 400'- v y."Come....'
DRIVEWAY
.. p
�., ~•.
I I Ig ~~x;;500 PSI) 1 �'
451 73.00' •� —450
ORIGINAl
S W. FERNRIDGE TERRACE
03/10/95 M1113
ALAN MASCORO DESIGN ASSOCIATES WILL
N07 BE IIFLD LIABIE FOR ACCURACY OF O
TOPOGRAPHY MIFORMATION Il IS THE SOLE
RESPONSIBILITY OF 1HE BUILDER TO VERIFY
ALL SITE CONDITIONS `VCLLIDING ANY Fill C�
PLACED ON THE SITE '.ND TO INFORM OWNERS
OF ANY POTENTIALF610 MODIFI(AIIUNS
NOi SPEGFIFI) ONON SHE PLANS
A [ A n 11AIC0PD Dt / 10f1 AI / OCIATE / In
1305 N W 18TTi AVENUE. PORTLAND, ORFGON 97209 15031 725-9151 S C 1 E I ' +1 O '
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