13911 SW HILLSHIRE DRIVE ...........
En
fH
r. 139.L1 SW H11,1—SHIRE DP,
�s
(2- Of) li6lLELECTRICAL PERMI
41�yyOF TIG FAD 3 1F
FcRMfT�: CLC,200 0
s DEVELOPMENT SERVICES DATE ISSUED: 4/1/03
13125 SW Hall Blvd.,Tiga.d, OR 97223 (503) 639-4171 PARCEL: 2S104CC-02100
SITE ADDRESS: 13911 SW HILLSHIRE DR
CONING: R-7
SUBDIVISION: KILLSHIRE ESTATES NO.2
BLOCK: LOT: 127 JURISDIC)•ION: TIG
Project Description: New circuit to basement lighting and switches 4-3-03 add(2)branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOU3
1000 SF OR LESS: 0 - 200 amp: PUMP/IRkIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: StGNAL11"ANEL:
MANF FIM' .VCI FDR: 601+amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L-INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 4Gn amp: 1st W/O SRVC OR FDR: PER HOUR.
401 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVCIFDR>=225 AMPS: CLASS AREA/SPEC OC
Owner: Contractor:
SAIER, PATRICIA A+ KEVIN P GARNER ELECTRIC
13911 SW HILLSHIF E DR 2920 SW 247TH AVE#A
TIGARD,OR 97223 HILLSBORO, OR 97123
Phone- 503-590-1745 Phone: 503-648-4552
Reg #: LIC 121159
__ _- SUP 37075
FEES ELE 34-3050
Description Data Amount
Rec:uired Inspection
[{ LPRMTj ELC'Permit 4/1/03 $60.15 _._ _— —__--
WAX)8%State Tux 4/1/03 $4,81 Rough-in
JELPRMT)ELC Permit 4/2/03 $13.30 Elect'I Fi�ai
(additional fees not listed here)
Total 479.32
This Permit ;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 dors in accordance witn approved plans. This permit will expire if work is n',t started within 180 days of issuance.or rf 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 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)
2466699 or 1-SOD-"32 2344, _
Issued By: - jl j Permit Signature:
14 U
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: ____Y.._ DATE:__ __—_ —
CONTRACTCR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _—_—_--__ DATE:—
LICENSE NO:
Cali 639-4175 by 7:00pm fer an inspection the next business clay
@5/11/2007 04: 15 6427925 PAGE 01
Electrical Permit Application
C('
IDaterectived- Permit no.
city of Tigard ("" 1/E E M � Pro)ect/appl.no _- - Expire date.
f;1t,(11 r,gar,l Address. 13125 Ste' Hall Blvd,Tigard,OR 97223 Date issued By Receipt no.
Phone' (503) 639.4171 MAR 2 8 2003 Case file no: Payment type:
Fax: (501, 598.1960 GITY OF TIGAgQ
LAnd use approval;
Tj 2 family dwelling or accessory a Commereial/industrial U Multi-family O Tenant improvement
J Ncw construction ..,Addition/alteration/replacctrtent U Other- _ ❑Partial
1
Job address: �� �` Eild no Suite nn Tax rnap/tax lodaccount no..
Lov _ B10ek' jSubdivi6ion: --
ProJectname; Description and It.,cauon of work on premises:
fsl,mated date of completion/inspection- 't^ VVt
1 P« M
Job not nn.
a.
— U.•srrl tion (Ny. (rte) f',tal Inti,
Business nelnc. �) Rewi1dr�tial.slnpje or rrwhl famlty per
AddCESs: �J �— /s drrellbtgunit-Includesatlarhedgarage.
Statex ZIP: cf 7 servlceiocfutkd. I 4
City: 1000 sq.ft.or leas _ _
Phone :� - 1Fax. -' 7?mail: --
Each additional 500 sq.ft.or porion thereof _
Elee.bus.lie.nn: 4(21L Limited energy,residential 2
Ut im lic.no.:, /l(� Limited energy,non-residential 1 ,
Z Each manufa rf reed home or modular dwelling
g a fsu�e ieian`re ulred) Da Servh-andloncecu 2
--ji Y tsrenl�r^r:! , Set vlrm or feeders-Installation,
Sup.elect.name(p'n0! �" (;, ,// `(' alteration or relocation:
200 aro s or less _ Z
201 amps to 400 amps _- 2
Nal:ue !tint). �Y1�_.> .i �� - 401 amps to 600 am s -- 2
Mailing address- _ _._ _ 601 amps to 1000 amps 2
Cit $tett; _ Over 1000 amps or volt _ 2
Retxoneci only I
Phone. Fax: E ma.i: Temporary services or feeders-
Owner installation:The installation is being made on property I own insullatlon,slteration,orretomtion:
which is not intended for sale,lease,rent,cr exchange according to 200 amps or less _ 2
ORS 447,455,479,670,701. 201 aceta 400 amps 2
Owner's si natUfe: Date' 401 to 600 amps 1
ranch dr cults-now,alteral n,
or extcrslon per panel:
Mamie: J A Pet for branch circuits with purchase of
Addrt99: —_ _ service or feeder fee,each branch circuit _ 2
City: - State: ZIP': B. Fee for branch circuits without purch: I 11 T �b
of service or feeder fee,first lu nch circ air `1 <2Phone• Fax: Umail: ;,achs;ditiondbranchcircuit. --
($ervt—not included):
(a_h pvmp or srngauon circle Z
❑Sen ice mer l25 ornps-cornu aerial U Health esrefacility Z..
U Service over 320 araps•r.ting of Idol O Huardous location Ea:h sign or outlirtc lighting
familydwallings U Building over 10,000 square feet four at 5ii;nal circuits)or a limited energy panel,
usysumover 600volts nominal more residential units in or*structure alteration,oraxtenalona
U Buldutg overt three stones U Feeders,400 amps or more *Description. _ -
U Occupant load over 99 persons U Manufactured structures or RV park ItA.4 addltionsl Inspection over a allowable in any of ft*ahoy.: _
0 Ureallighlingplan O ather. _- _ Per inspection
Submit tete of plans with any of the above. Investigation fee
The above are not applicable to temporary coustructiou service. Other
c
Net all lurinseaws. raps credit eard.,rw.e eali Jurisdiction far mom infa+ttatlee Notice:'hills permit application Permit fee $
Visa Q Maslercw expires if a permit is not obtatrted Plan review(at — 96) $
r Rpt. 31 b-7u8'-7 0� within 180 days after it has been State surcharge 1:89'0) ....$
t'redtr cud rn,P.,<r xpltes s TOTAL .......................3
L ( accepttd v compete.
P ct rvdhnlder . hoe m e i ca _-
Ii��cV�a�.an S
Cardboldet igaature Amour 440.4615 mm/cors,
CITY OF TIGARC 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTI(rt: DIV,3110iq Business �_ine: (503)639-4171 MST
BUP
Received __ Dale Requested__-_ "_.2__ AM ____. PM-_____-_ BUP —
Locatior -_- - 1�- - - -_Suite MEC
Contact Person _ - -__ Ph
(-__—_) ..__--------.-------______ PLM
Contractor _-- Ph SWR rte/
BUILDING Tenant/Owner _._. _ ELC 3 "D D r?
Footing
Foundation ELC
Access-
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors --- --
Ext Sheath/Shear
Int Sheath/Shear —�
Frarr.rng --- . ---- -
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler - -- - --__ -_
Fire Alarm
Ousp'd Ceiling -- - ----—
Root
i
_ - - - -
IOther:
Final
PASS _PART FiJL
PL - -`
U _
MBING
Post&Beam
Under Slab -
Rough-In
Water Service
Sanitary Sewer
Rain Drains - -- - —
Catch Basin i Manhole
Storm Drain -- -� - -- -
Shower Pan
Other. —
Final -
PASS PART FAIL -
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
P T FALL —
ECTRICA
Rough-In -- - ----
UG/Slab
Low Voltoge
Fire Alarm
ASS PART FAIL Reinspection fee of$ required before next insper.tion. Pay at City Hall, 13125 SW Hall Blvd.
F] Please cell for reinspection RE: -_..__ _ _-______ ❑ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk DGW -710 ---- Ineptnte�__ - ! _ �----__- -__ Ext
Other:
Fine DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
____ SITE WORK PERMIT
CITY OF TI GARD
DEVELOPMENT SERVICES PERMIT# : /28/99
99 00031
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 539-4171 DATE ISSUED : 66128/
PARCEL : 2S104CC-02100
SITE ADDRESS: 13911 SW HILLSHIRE DR
SUBDIVISION: HILLSHIRE ESTATES N0. 2 ZONING : R-7
BLOCK: LOT: 127 JURISDICTION : TIG
CLASS OF WORK: OTR— PAVING ?: RESO. NO:
TYPE OF USE: SF GRADING ?: VALUE: q JdGJ
EXCV VOLUME: Cy LANDSCAPING?:
FILL VOLUME: 300 cy SITE PREP ?:
ENG FILL?: STORM DRAINS?:
SOILS RPT READ?: IMPERV SURFACE: sf
Remarks: Retaining wall to approximately 7'0" in height, approximately 95' long with placement of up to 300 cubic yards
of rill.
Owner: F-ES _----
KEVIN SAIER Type By Date Amount Receipt
13911 SW HILLSHIRE DR — -
TIGARD, OR 97223 PRMT DEB 6/28/99 $66.25 99-316447
PLCK DEB 6/28/99 $43.06 99-316447
5PCT DEB 6/28/99 $3.31 99-315447
Phone: 590-1745 --- - �--
Total $112.62
Contractor: _
SUPERIOR STANDARDS CONSTRIJCTIO
13903 SW HILLSHIRE DR
TIGARD, OR 97223
Phone: 524-5592
Reg #:
Required Inspections
Misc. Inspection
Final Inspection
ORIGINAL
his 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 dates. ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Triose rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-1987
Permittee Signatj
Issued By:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Site Permit Application Recd
Date Rec'd
13125 SW HALL BLVD. Commercial and Multi-Family: Complete FNTIRE form Date to P.E.
TIGARD, OR 97223 Residence: Complete SHADED areas Date to DST iTT/Y—TTV
(503) 639-4171 x304 Permit#
Red SWR*`
Called-
Print
lledPrint or Type
Incomplete or illegible applications will not be accepted
Project Name —� Utilities(Compl-fe all that apply)
Job
Address A-dTeess 1 Storm Sewer
i Y 11 � H 1LL-STK ��Z _ Linear Ft.
Name Sanitary Sewer -`
_ _ _ Linear Ft.
Owner Mailing Address Fresh V.r2t:r -'
2ftr`1E_ _ i _ _ Linear Ft.
City/State Zip Phone Catch Basins
#
General Name ! f�� „� Clean Outs —�
Contractor - #
Prior to permit Mailing Address Describe work to be done:
issuance,a New Addition Alteration Repair[]
copy of all M-a ..r t-{t l�r� T>re ❑ ❑ ❑
licenses are City/State Zip Phone Additional Descr:ption of Work:
required if i .y2) Z _ 5� 2 r
expired in C07 State Con ��oard Lic.# Exp. Date
database �'—--
Name Project
41`"c���z Valuation
Architect Mailing Address Plans Required: See Matrix on back
b 9 11 "7 l,J ti 14-5/tI fz-F P iZ The following,must accom an _this application: _
City/State Zip Phone Site plan with Vicinity Map Parking(including
b fzl,�, r D 11_415- _ Showing ADA compliance ADA)&Lighting Plan
Namej ��. Grading Plan and details Landscaping Pian
Engineer Mailing Addressc-y� Erosion Control Plan and Retaii ing Structures
W� �7 �+~t bT details _ IJ(i'f6required)
cluding calculations
City/Slate Zi Phone Site Utility Plan and detailsils Re ort
Z11 p
LI j.{q (showing connection to
a eroved systen_) _
Excavation Volume --� — I hereby acknowledge that I have read this application,flat the
(Soils report required for>5,000 cu. Yards) information given is correct,that I am the owner or av,hortzerl
cu.yds. agent of the owner,i A that plans submitted are in compliance
with Oregon State laws. _
Fill Volume — - Signature of Owner/Agent Date
(Soils report required for>5,000 cu. Yds.) I'' 2 3
2
cu. yds. �,�,,,� ,t,.s�, G 3—�
Will the fill support a structure Contact Person Name Phone
(Engineer required if answer is yes) YES❑ NO�
`f o NQ ZT 'a Arc.• j'L`{
Retaining structure?(check one) ~- I]Rock FOR OFFICE USE ONLY
❑CMU Notes:
Concrete
[]Other
7
Total new impervious area including all — I .�%t Land Use Case# Map/TL#
buildings,sidewalks,and paving 49rr Ft.
i\dsts\formslsite-app doc 10/30/98
COMMERCIAL PLAN SUBMITTAL
REQUIREPAENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED
aoplication. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washiigton,County, Tualatin Va11ey,Fire &Rescue}
Tot-at#of
TvPE OF SUBMITTAL Plans KEY:
_ Submitted
S (Private) 1 S = Site Work
B (New or Add) V 1 B = Building
F (New of Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) J_ 2 E = Eluctrical
B & M & P (New or Add)u! 2 New = New Building
E (New, Add, or Alt) _ 2 Add = AJdition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) 4 Builc'.ig
*B or B & M (Alt) 1
"B & M & P (Alt) 3
*B & M & P & E(AIt) 3
*B & M & P & E & F(Alt) 3
NOTES:
*Shaded areas designate ALT submittals only
I\dsts\forms\matrxcom doc 12/17/99
�J CA f
( i ur�
W
O 4
K�
LOT ILS
C( i e r j
I
14 suftwE
i
c:
Ir
I
SCA
� (I S.IN�, �� �l s �►rte ��
I �
cvj
Q4 I
o �
a
Lo
I
's
r
li
I
� c
ek�
r'ITY i)P TIl^.AOn
Approved...................... P/
Conditionally Appoved.......I.,...I............ �.
For only tl%e wo ag dei cubed in.
�' P S' PERMIT NO
C,I,J p cS;✓ See Lette to: Follow. ................. . ..... ...( -�
43 y� Attach ..
-� �r Jol) Address: t ? i1 Sw--14 4��µt
aj�
FREBAR'N"
i
2" LR
I
i
GRANULAR:
BAr,KFILL INSTALLED
#4 REBAR
HORIZONTAL
17'OC
REBAR'MJ
_ -- .. -- .
--- LREP.AR"O'
DRAIN
TILE r
N I CONCRETE SLAB
_ � l
U
04 REBAR --- — -C---- Ws A-A tt
U
16"OC I 13
A RE T AINiNG, !,VALL DETAIL
A 1 DRAIMNCG^197 TO SCALE,SEE WALL SuHEDULE FOR DIMENSIONS
RETAINING WALL SCHEDULE
H W, A C B� Bar"M" Bar"N" Bar"O"
4' -_ 3""_ 8" -- 8" ---�2' #�- 18" oc #4 - 18" oc #4- 18" oc
6' t" 1' 1' 2'-8" #A, - 18" oc #4 .. 18" or. #4- 18"oc
8' 8" 1*-F"
1'-6" T-8" #5- 18" oc #p1 - 18"oc #4- 18" oc
10' 8" 2'-2" 2'-2" S' #5-9" oc #4 - 18" oc #4- 12"oc
12' 8" 2'-10" 2'-1 V` 6'-4" #6 -9" oc #4 - 18" oc #4 - 12"oc
ALL SECI-IONS: CC_N RETE Fc 3000 PSI
REBAR GRADE 60
H, 1'
A` 2
Customer: -it'trf7 1,E Payton Rowell, P.E.
Project: 1311 Se 581 Street Sheet
Number: 47Sau-DI Portland, OR 972 6 Al
Date: I Z -of-4 503232-4349