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14615 SW HAZELTREE TERRACE Ln E 2 W Ni CD Bl --i rj (D (D —B m h h W n �o tl i , t B I ` ��t1i12T�,L S32i� 19ZVR MS ST96T r r.. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 B siness Line: 6394171 MST i -� Date Requested Z,. l _AM -PM 4 / BLD BLIP`� —_.---,_-�- Location /14 L j 1� 2k �.�= L Suite MEC _ Contact Person Ph Contractor `<> Ph wR BUILDING�_-� TenantrOwner r ELC Retaining ll Footing _ Acc ELR Foundation FPS Ftg Drain - -' -- -- Crawl Drain Inst SGN Slab _ - Post&Beam - SIT Ext Sheath/Shear Int Sheath/Shear -- _ Framing Insulation - -- - - - -------._____�__-- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- - -- Roof ------- ----- Misc: Final _ -- _- _---- -----.-.—__ PASS PART FAIL I - - - --- -- - _ -__ %UMfAG Post& Hearn Under Slab � -- Top Out Water Service Sanitary Sewer -- * - - --- -- - R Drains Fin — — --------�—r� t ART FAIL Post u Beam Rough In I 1 A — Gas Line --- - _� 5muka Dampers Final ---- _---- PASS PART FAIL ELECTRICAL - -- -- — - - - _ — Prvice — Rough In - - - — UG/Slab - Low Voltage —� --- - -—�- Fire Alarm Final PASS PART F AIL 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 I 1 Please call fer reinspection RE:——- —�_ - [ ) Unable to inspect-no access ADA Approach/Sidewalk 1 Other Date t �' Inspector C� ExtS Final _ PASS PART FA's- DO LVOT IREMVVE this inspection ret;oid from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line; 639-4175 Business Phone: 639-4171 / 1)ate Requested: 6471/9 / — A.M. 1 P.M.�— —_ MST: Location- L -7/5 .L —eAA—A j--' —_ — BUP: _ reliant Suite: Bldg: MEC: Contractor. Phone: 247-0(p� PLM: Owner: �— Phone: / -- ELC:�� � BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post(Beam Post/Beam Post/Beam Covet Service Seder/Storm Footing Roof t1ndF1/Slab Rough-In Ct ilmg Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ifood/Duct Reconnect Vault Bsmt Damp Drywall Stonu Furnace Temp Service. MLSC. Masonry Ceiling Rain Chain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found lh beat Pump Low Volt Approved Approved Approved Approved At.u..ved Appr/Sd xlk Not Approved Not Approved Not Approved rNvt A prmn cd . 'A}.proved FINAL FINAL. FINAL FINAL Fi IAL &zc-a= 51 .Al-L'`Q L� C]Call for reinspection // C3 Reinspection fee of S required before next inspection 0 l lnahle spect Inspector: It U e(e Date:� ` — Page-- J of- ---- CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0323 13125 SWIiall Blvd., Tigard,OR 97223 (5503)639.4171 DATE ISSUED: 06/02/97 PARCEL: 2S110BC-00600 SITE ADDRESS. . . : 14615 SW HAZELTREE TERR SUBDIVISION. . . . :AMES ORCHARD ZONING: R-- 1 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION- TIG ProJert Description : instl 3 branch :ircuits // .job # 6459 UNIT---- ---*rEMP SRVC/FEEDERS------ ------MISCELLANEOUS------ I1000 SF OR LESS. . . . : 0 0 "160 amp, * , * " * , - 0 PUMPlIRRIGATION. . . * -. 0 EACH ADDIL 500SF. . . : 0 2,01 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . .. . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 MANF. HM/ SVC/FfR. . : 0 60I+amp-'--I000 volts. : 0 MINOR LABEL ( 10) . . . : 0 CIRCUITS------ ----ADD' L INSPECTIONS— 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 2. PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. - I PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 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 AM-IS. . : CLASS AREA/SPEC OCC. : Owner: FEES DALE SYKES type amoi-int by date rec-pt 14615 SW HA7ELTREE TER PRMT $ 90. 00 TAT 06/02/97 97-J-95287 TIGARD OR 9722,3 5PC'T $ 4. 50 TAT 06/012/97 97-2195287 Phone #: Cant t-actot-: RrSE CITY ELECTRIC CO INC $ 94. 50 TOTAL 4012' NE CULLY BLVD REQUIRED INSPECTIONS ------ PORTLAND nD 97213 Ceiling Cover Under-gt-oi.tirld Cove Pho-)e #: 287-6164 Wall Cover- Elect, 1 Set-vice Reg #. . : 000035 This permit is issued subject to the regulations contained in the Tigard 14unicipal Code, State of Ore. Specialty Codes ind all other Per itt�e Signat Ura applici ie laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within HA dans of issuance, or if work is suspended for more than IPA days. I ss i.t e d By --- - ------------------- --OWNER INSTALLATION The installation is being made on property I own which is not intended for, sale, lease, or rent. OWNS RIS SIGNATURE. D-4TE: --------------CONTRACTOR INSTALLPTION ONLY_----_----------------_ I GNATURE OF SUPR. ELECI N: DATE- LICENSE NO: z Call for inspection - 639-4175 Community Development ELECTRICAL PERMIT APPLICATION f 13125 SW Hall Blvd. / Tigard, OR 97223 Permit # loe� Phone (503) 639-4171 Date Issued CITY OF TIGARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ Number of Inspections per permit allowed Addressq�91 'Tiservice included Items Cost(ea) Sum � City/State/Zip---L / 4a. Residential -per unit 1000 sq. ft or less —_ $11000 Name (or name of business) A4& Each additional 500 sq ft or portion thereof $2500 Commercial ❑ Residential Limned Energy - $2500 Each Manufd Home or Modular Owalllnp Service or Feeder $6800 2a. Contractor in llation only:�l 4b. Services or Feeders � Installation,alteration,or relocation Electrical Contractor f 200 amps or less $6000 _ Address 201 amps to 4%amps S8000 _ City Se� Zip _ 401 amps to 600 amps _ $12000 _ Ph O. .Z - �Qtj/ 601 amps l0 1000 amps $18000 Over 1000 amps or volts $340 00 Job NO. Reconnect only $9000 _ contractor's license NO. 4c. Temporary Services or Feeders Contractor's; Board Reg No. �� Installation e^eratlon,or relocation z Signature of Su r. Elec'n_ 200 amps u,lave 2 201 amps to 400 amps $50 00 -- License No, Phone No. l 401 amps to 600 amps $7500 -- 2 Over 600 amps to 1000 volts $100(X 2b. For owner installations: vee"b•'above 4d. Branch Circuits Print Owner's Name New,alteration or extension per pane Address a)The fee for branch circuits with State purchase of service or feedr feeder fee. 2 City tate _ Zip Each branch circuit �' $500 Phone N0. _ b)The tae for branch circuits without 4, The installation Is being made on property I own which Is purchase of service or heeler tae ��.- �_ , not intended for sale, lease or rent. First branch circuit 335 00 >� Each additional branch circuit $500 Owner's Signature 4e. Miscellaneous (Service or feeder not Included) 2 3. Plar Review section (it Each h pump or Irrigation circle —�_ 34000 2 Each sign or outline lighting __ $4000 Signal circuits)or a limited energy 2 Please check appropriate Item and enter fee in section 5B. panel,alteration or extension _ _ 34000 _ 4 of more residen'Jal units in one structure Minor Labels(10) > 0 00 _Service and feeder 225 amps or more Sy;tem over 600 volts nominal 0. Each additional Imipection over Classified area ar structure containing special occupancy the allowable in any M the above as described in N E C Chapter 5 Per inspection _ 335 00 Per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above ---- apply Not required for temporary construction services. S. Fees: CSO ► "`-� NOTICE 5a. Enter total of above fees $ 5%Surcharge (05 X total lees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal q AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION Ot',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 # Mme $ _ Balance Due CITY CSF' TIGARD 01- UMBING PERMIT DEVELOPMENT SERVICES PERM'IT #. . . . . . . : PLM97...17104 J 13125 SW Hall Blvd., Tigard,OR 97293 (503;639.4171 DATE ISSUED: 02/19/97 PARCEL,: 21,3110BC-00600 '311F ADDRESb. . . : 14bl'i '�W 14AZELTREE TERP SUBDIVISION. . . . : AMES ORCHARD ZONTINIG- P.-I . .. . . . . : LOT. . . . . . . . .. . . . . .3 ,L.Aq1-i OF WORKI. AI-T GARDAGr: DISPOSALS. : 0 MOBILE HOMF SPACES-- 0 TYPE OF USE. . . . .-SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 C)CCUVIANCY GRP. . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . .. . . . . . .. . . . . . . 17.1 S TO R I ES. . . . . . . . : 0 WATFR HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 1-IXTURES-- LAIINDRY TRAYS. . . . . : 0 SF F?ATI\l DRAIN3. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 I-OVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/511OWERS. . . . : 17+ SEWER LINE (ft ) . . . : 0 WOTEP CLOSETS. . : t WATFR LINE (ft ) . . . DISHWASHERS— . : 0 RATN DRAIN (ft ) . . . 0 ReMAI'kq .- Replare water, ('10set llwnev-. FEFS 1)A'-'E SYKFS i V P P amol.1111- by date t-flcpt t4615 SW HAZELTREE TERR PRMT $ 25. 00 ,ISD 02/19/97 97-290546 5PCT $ 1. 2.9 JSD VIE'/13/97 97 0 5'1 TIGARD OR 97224 CHP19TlAN PLUMSTNG 231.712 SW STAri:ORD RD. TUALATIN OR 97062 Clf'itirlo it: '503--r-,38-G671 26. '25 TOTAL_ Reg #. . - 42671 REDU I RED I NSPECT 101\15 This persit -s issoied subject to the reyulations contained in the RoUgh-in Insp Tigard Mi-icipal Code, State of Ore. Specialt,,, Codes and all other PL.M/Uiider-f I om- applicabl, laws. All work will be done in accordance with Top-oi-tt Ir)sp approved plaiii. This pervit will expire if work is not started F= inal Inspection within 18@ days of issuance, or if work is suspended for &or@ than 19 days. ri By Call for inspectinti 639-4175 CITY OF TIGARD Plumbing Application RecIsi�` 13125 SW HALL BLVD. Commercial and Residential Date Reca c''/ 7 IGARO, OIC 97223 ^Jle!o P E 503) 639-4171 DJIe io DST _ Pnrmd a 1 .,T�-Fr Print or Type Related SbVR a .v //4 Incomplete or illegible applications will not be accepted Coiled r /Name of Ceveetoomee�nbProl ct FIXTURES (individual) QTY I PRICE AMT Job10 �G- 1�(_ Y% Sink 90 V Address S:reef Address Suite Lavatory goo-- t^L c L '7,,jt ',ub or uor5hower ,omo I 900 Sl!'I s dy 51ate p Shower Only _ 9 UEK e 4 o'-Xr waler Closet _ A (N(r 90 Nal e \, �1ldJ. - /) r) .�� UISr1W05ner 9 00 Owner �6ulln9 Address r Suite Garbage Disposal �— �1I. 9 oo y C i1lYlI r�s �) washing Machine 900 �;.tyiSlate ap Phone Floor Crain goo I 9 00 Name - 14 9 o_ I -- Occupant Mailing Address Suite 'ater Mester —_ 900 T vndry Room Tray 900 i ityrSlale Zip Phone kinnal �- _ I 900 Name Other Fixtures iSoecifyl i 9.00 ^ _ ^_ 00 Contractor (','ailing Ad rens Suite I goo 9.00 i (Pnor to Issuance citTsiate Zip Phone - aochcant must yT ,� i 9.00 provide alt Cregon Const Cont. Board Lica Exp Date 900 contrac*ors 'u I 9.00 license Plumbing Llc a Exp. Date Sewer- Ist 100' 30 00 information -q 6�r' �� Sewer•each additional 100' 25 00 'or f CCT Business Tax c. bistro a Exp Date water Service- Ist 100' - 90 00 aatabasesel Name :later Service-each aoditional 200 25 ;0 Storm 3 Rain Drain- 1St 100' Moo Architect ----------------111111------------______ Or Marring address i Suite Sturm d Rain Crain-each additional ICO' 125 00 I Mobile Home Space -- 22500 m Engineer ClryrState Zio Phone ComPrc,al Baca =ow Pa revention Cece or Anti- I 25 JO �_ Pollution Device Ces.: be .vcrx New _ addition Alteration C Recair C ��es dentias 9acx1cw 'evention Ce oce• 5 )0 T--- t0 to cone nesidertiai C Non-residentiary trap �r:�:as:e xt JnreCeq t0 a=lxturP. I 9 C0 aC01`f]nal deSCr1Q110n Jt vvCfK I ato 3asin I ]GO t ns0 of casting =umomg I 4000 W 'Jer;7r :--twlrg use of -- Specialty Requested Inspections 40 00 _ zuddir.g or arouetty — Pain Cram.singe`amity Cweltirg �� I 20 :0 ! ' cecsed use ofwease Tracs -- -- I 4 CO Cwlairg or prceerty QUANTITY rCTAl, i are .cu-aoeirg movirg or reoiacirg any 'Ixtures' YesNo ( lsometrc. -ser.'straw Y-ecwrm f:ualty-:-Ws >-. _ ilf yes see back of forms -e'aby acknowledge tha: 'lave read this.iooiicaticin, !hat the nfOrmaUOn _� _ .,ver s correct !rat I am re owrer or aut"nzed agent of Nne owner and 5°10 SURCHARGE I *✓ --.,at_sans sutrnitted are _ :omchanr with ^ gon State Laws S1 ns a of OwnonA�gent / , Dass PLAN REVIEW 25% OF SUBTOTAL i �. Aecu.rs CL_ r I z _// '7 J' I TOTAL I ��, 'antact Person Name Phone I - • Minimum permit fee s 325 - 5s.,lcherge -xc2pt Residential BackMw � Prevertion Ce .z -. n^Ion�s 515 5'6 surcharge lasts olmaoo aoc 3146 _LEASE COMPLETE AS APPR(2PR PROJECT: Fixtures to be capped. moved or replaced i Qty I Sink Lavatory Tub or Tub/Shower Combination Shower Only Viater Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) 30MMENTS REGARDING ABOVE: