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6830 SW HAINES STREET i rn LI) 0 H U i I ,i E 6830 SW HATNES ROAD February 10, 2000 CIrf OF TIG OR / Vincent, Bradford 6830 SN Baines St. Tigard, OR 97223 RE: Address Reassignment 1 S 136DD-00900 Dear Mr. Vincent: We have found it necessary to change the address assignment at the above listed location. Effective April 10, 2000 the new address assignment will be as fcllows: Previous address New address 6830 SW Haines St. 6836 SW Atlanta St will notify the post office, emergency services (police, fire and ambulance), and utility companies of this change. You will need to notify friends and relatives, your bank, etc. If you have any questions, please feel free to give me a call at 639-4171 x377. Sincerely, Catherine 'Kit' Church Engineering Technician I T 14,M1 Dad b",\vukenMMROO 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 CITY OF TIGARD BUILDING INSPECTION DIVISION C� l 2.4-Hour Inspection Line: 639-4175 Business Phone. 639-4171 Date Requested: A.M P.M. MS'r: --- _ Location: BUP: Tenant:_ Suite: Bldg: MEC: Contractor:slSol ti,( 7/L*i_C.k1ftt _ t_ Phone: PI.M: Owner_ _�-/ .Q CA�CC4--, riot Phone: _ ELC: - -__ key— ELR: SIT: BUILDING BLDG(con't) L*MG_ MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam �� � �PosUBea.m Cover/Service Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing Top Out �- Gas line Rough-ht IJO Sprinkler Foundation Insulation Sewer 1 90 llood/I)uo Reconnect Vault Bsmt Damp I)rywall Stonn `' Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Di Ilea(Pump Low Volt _ Approved pro Approved Approved Approved Appr/Sdwlk Not Approved of A)f(m+ved Not Approved Not Approved Not Approved FINAL FINAL' FINAL FINAL FINAL 171 Call for reinspection C1 Reinspection Tex o!'Srequired before next inspection 'I i 111,1H •le Inspector� _ Dat. �2 7� " / — Pager �I — ----- i' CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT F'ERM I T #: ELC97-0321 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/30/97 PARCEL: 1 S 13 G-DD--00900 SITE ADDRESS. . . :06830 SW HAT.NES RD SUBDIVISION. . . . :WEST F,ORTI_AND HEIGHTS ZON T NG:MI..IE BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .. JURISDICTION: TIG PIr^o.j ect De scr i pt i on: Adding branch circuit ----RESIDF_NTIAL UNIT------- ---TEMP SRVC/FEF_DERS- --- ----•-1yIISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 P,I.JMP/IRRIGATION. . . . : 0 EACH ADD' I_ 500SF. . . : 0 201 - 400 amp. . . . . . . .. 0 SIGN/OUT LINE LTG. . - 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/P,ANEL. . . . . . . : 0 MANE. Hih/ SVC/FDR. . : 0 601+a111p5-10:%-0 Volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVI(-,E/c'EEDE R-_.--.--- ---.---BRANCH CIRCUITS------- --.-.ADD' L- I NSP'ECT IONS-- ___ 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 _... 400 amp. . . . . . : 0 1st W/O ERVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401. - (.-,00 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 0 IN PLANT.. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------_FILAN REVIEW SECTION------_---------- 1000* amp/Volt. . . . . 1 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMP'S. . : CLASS AREA/SPEC OCC. Owner,: ---------- FEES BRAD VINCENT type amoi.tnt by date recpt 6830 SW HAINES ST F,RMT $ 3.5. 00 GAO 05/.30/97 97-295262 TIGARD OR 97223 5P,CT $ 1. 75 GAO 05/30/97 97-295262 Phone #: Contreactor. __._—_----_---..-------------.------------------.----------------__—_.. WESTSIDE ELECTRIC $ 36. 75 TOTAL 7518 SW MACADAM AVE ------- REQUIRED INSP,ECT"IONS -- PORTLAND OR 97219 Elect' 1 Final Phone #: 245--3385 Regi #. . . 000133 This perait is issued subject to the regulations contained in the n* Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee S i gnat�ir-e applicable laws. All wort; will be done in accordance with approved plans. This permit will expire if work is not started y within IBP days of issuance, or if work is suspended for sore i' v' than 106 days. i Iss,_ied By ---_----- _—__---____—._._..---OWNER INSTALI__ATION ONLY_--- ----- - The installation is being made on property I own which is not intended for- sale, orsale, lease, or rent. OWNER' S S 1 9NATURE: DATE: ._.CONTRACTOR INSTAL._LATION ONLY--- SIGNATURE OF" SUPR. ELEC' N: ,. DATE: i'FINSF NO: Call far inspection -- 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # L C -7 - D 32� Date Issued Phone (503) 639-4171 CITY OF T10ARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-0175 1. Job Address: 4. Complete Fee Schedule Below: Name of Developm3nt _ Number of Inspections per permit allowed Address__&.&30 S� _ ��t Service mcluded Items Cost(ea) Sum City/State/ZipgU rG D�� _ 4a. Residential -per unit ___7— " 1000 sq It or less $11000 4 Name (or name of business) portion thereof_1,vi��� �h Eacn addnel 50o sq n or -- $25.00 Limited Energy $25.J0 _ Commercial ❑ Residential Each Manurd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b. Services or Feeder. / _,C, Installation,alteration,or relocation 2 Electrical Contractor A J J_ (�� _ 200 amps or less Y_ $6000 Addres - 4i., 201 amp,to 400 amps $80.00 z 401 amps to 300 amps $12000 City Or Q h State Zip 2- 601 amps to 1000 amps $+eo.00 2 Phone No. Y _ j— __ over 1000 amps or Vons $340.00 2 Job NO_ � Q Reconnect only $50 00 contractor's license NO -- 4c.Temporary Services or Feeders Contractor's Board Reg. No _ __� Installation,aneretion,or relocation Signature of Supr El n 200 amps or less y 201 amps to 400 amps $5000 License No _1,� Phone No. Z f-33�S 401 amps to 600 amps $75 ao — --- — Over 600 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 tee for bran-h circuits with — — purchase of eervlee or feeder he. City State Zip_ Each branch circuit $500 Phone No. __ b)The fee for brancii circuits wlrnout The installation is being made on properly I own which is purchase or service or feeder Ise. ?S J First branch circus $3500 not intended for sale, lease or rent. Each additional branch circuit $500 Owner's Signature 4n. Miscellaneous 2 (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle $4000 ,� _ Each sign or ounne lighting $4000 2 Signal circun(s)or a limned energy Please check appropriate item and enter fee in section 5B. panel,alteration or extension $40.00 4 or more residential units In one structure Minor Labels 1101 $10000 Service and feeder 225 amps or more 4f. Each additional Inspection over System over 600 volts nominal Classified area or structure containing special occupancy the allowable in any of the above $31100 as described in N E C. Chapter 5 Per inspection Per hour __ Sss 00 In Plant $5500 '-- Submit 2 sets of plans with application where any of the above ~� apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ J NOTICE 50,16 Surcharge (.05 X total fees) Subtotal PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 251/6 of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR i; Plan Review if required (SPc 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONFD FOR Subtof $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED, w r.,.,e Trust Account # V—pp Balance Due $ CITY OF Tl"-ARD BUILDING INSPECTION DIVISION 24-Hoar Inspectioc Line: 639-4175 Business Phone: 639A 171 f `� ---- ----- Date Requested: — A.M.C, ,/i�_ F'.M. MST I,ocation: ")C�/ ,�,f �y � 1 � �.------- BUR I'enant:� _ Suite: Bldg: NEC: --- Contractor._ Phone: PLM: Owner; lit f Jr c�fil7 t '� Phone: _ ELC: 97–D•� ELR: < Qo _ SfI': BUILDING BU(;(con't) PLUMBING ME ANICAL EL_EC TRICA_ _L_ SITE Site PostfHeam Post/Beam Post/Beam Cover/Service Sewer/Stonn Footing Roof llndFI/Slab Rough-In Ceiling Water Line Slab Framing 'Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace 'Ftmp Service MISC. Masonry Ceilit:g Rain Drain A/C UG Slab Shear/Sheath Fire Spkl,/Alm Crawl/Found Dr I feat Pump Low Volt Approved Approved Approved -Approved Approved Appi/S(h0k Not Approval Not Approved Not Approved `-weJ Not Approved FINAL FINAL FINAL FINAL FINAL M Call for reinspection ❑Reinvpection fm ofA required before next irmeclion O Unable to inspect t Inspector:, Date: �_�_ Page_ _4--of CITY OF TIGARD DEVELOPMENT SERVICES PLUMBINU PERMIT PERMIT #. . . . . . . : PLM97-020': 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/1-0/97 PARCEL_: I S 136DD--00900 SITE ADDRESS. . . : O683O SW HAINES RD SUBDIVISION. . . . : WEST PORTLAND HEIGHTS ZONING: 11LIF BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .2 JURISDICTION: TIG CLASS OFVWORK. . :ALT GARBAGE: DISPOSAL_S. : 0 MOBILE HOME SPACES. : 0 TYPE_ OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR GRAINS. . . . . . : 0 TRAPS. . . . . .. . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURE:S- ---- ---- _— I._.AUNDRY TPAY5. . . . . . 0 SF RAIN DRAIN,. . . . . : 0 SINKS. . . . . . . . . . 0 URINAI._5. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (,Ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . ,. : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Ramarks : Installing a water- fieater Ov4ner,: _.__---...___.___._ ---________.._._.__.________ _.-.----__.____-- FEES BRAD -- -- BRAD VINCF_NT type amoi..rnt by date recpt 6830 SW HAINES ST PRMT $ 25. 00 B 05/11/97 97-294728 TIGARD OR 97223 SPCT $ 1. 255 B O5/19/97 97--294728 Phone #: Cont. actor--_.__.___------•----_________._____.__-_ GEORGE MGRI_AN PLUMBING 5529 SF_ FOSTER RD PORTI-ANT) OR 97206 7,hnrre #: 771-1145 $ 26. 25 TOTAL Req #. . 000027 ------- REQU I REI) INSPECTIONS ----__This permit is issued subject to the regulations contained in the Misc. Inspertion �.._. Tigard Municipal Code, State of Ore. Specialty Odes and all othe- Final Inspec,tion applicable laws. All worlr will be done in accordance with approved plans. This permit will expire if worN is not s.arted _____• _�__ within 180 days of issuance, or if wore is suspended for more than 18@ days. f't�rmii; f; �p � lynat�.tre : d By Call for- inspection - 639-4175 TY OF'rIGARD Plumbing Application RecIBy ' .1125 SW HALL BLVD. Commercial and Residential Cate Recd GARD, OR 97223 Date to P E Date to DST tiO3) 639-1171 Permit 0 ('.�t Print or Type Related SWR A Incomplete or illegible application:, will not be accepted Called_ Name Tf CevelopmenUProlect FIXTURES (individual) r CITYPRICE AMT Job Sink9 00 Address Str el Address - Sw!e Lavatory 9 00 6, 30 �+V►/ R�l��Ac' Tub or TubrShower Comb 9.00 ) W- Bldg I S aleZ,p Shower Only 9.00 _ 'S aa�_ ;E7 7 water Closet 9.00 -' Iq Name ..� Dishwasher 9.00 L Owner ndre�s Garbage Disposal 9.00 M - ` Suite Washing Machine 9.00 Cify!��at Lin Ptn Floor Drain 2' 9.00 fW 44. 0. W1? 69 q? 3' 9.00 r 4. 9.00 Occupant MCA"Address Suite Water Healer 9.00 __ _� Laundry Room Tray 9.00 C,ty!Stafe Zip I .,hone tannal 9.00 - LOther Fixtures(Specify) 9.00 NertN 6e NO r/ ---- - 9.00 Contnctor MA&V Address Suite Suite 9.00 IF. G S )4J /��I -- -- - 9.00 S � Phonrr goW OA 7 -- =R " Can �jii y�l 9.00 � Oron Const Cant. Board tic 1 Emn Mate 9.00 ANcA copy of 7�4 4-/4-47 -/4-47 _ Y� 900 Crwfrant Plumbing Llc-i02" Exp Date Sewer-IS"100. --- 3000 Licensee -O6.7•'« ewer-each additional 100' 45.00 I,OT Business Tax or Metro e I E•p.Cate Water Service- 1st 100' 30.00 Name - Water Service-eacn additional 200' 25.00 I Atchitect Storm 3 Rain Drain- tst 100• 30.00 Or I Mailing address gi ;e Storm 6 Rain Crain-each adddionai 100' 25 00 Mobile!Home Space 2500 'Engineer C.tyrState ZIP Phone Commercial Back Flow Prevention Cevice or t.,ti- 25 00 Pollution Cevice sa>tx work New J Addition O Alteration O Repair O 1 Residential Backflow Prevention Device- 15.00 »done: Residential O `Jon-res,dennal O Any Trap or Naste Not Cannected to a Fixture9 00 JrporW desaipt.on of eicrit Y! RfIrLTs rl- /� Catch 9.00 tv f tWp% (.4 Mill 0 Insp.of Existirg P!umoing ( 4000 oeuhr SON use of Sceaaity Requested Inspections I 40.00 oersh 'drag or prnpetty tf �! i 30.00 Ravi Crain.single family dwelling I 30.00 •)nosed use of t Grease Traos lildinq or propefi•, QUANTITY TOTAL ='e ydl appmg. moving or reolaung any fixtures? Yes a No Isorretnc ar nsa msgram li reouirea if Cusnrtv_Total,s 9 Ilf yes see back of for-mil _ *SUBTOTAL iereby acknowie,ige that t na.e read this application.that the information .en,s:owed,tnat I a n the G..ner or authorized agent of the owner and _ ^5% SURCHARGE at clans submitted are n :omotiance with Oregon State Laws gnature of OwnsnAgent Date PLAN REVIEW 25°4 OF SUBTOTAL I 7![:UiKd on h f 1n re oh !ctal 1> I -' - �- 4n I TOTAL Z� rntact Person Name Phome `- 'Minimum rtftrt fees + ��� 1 Pe $25• 5 L surcharge. except Residential Backflow �> �• . ✓ ��"�3�I y Prevention,Cevice.whic7 is S 15• 5%surcharge ,.as;stplmapp doc 9iS6 P_1..E SE COMPLETE ASA P_ P3Q.P�lAT E TO B_4��CT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher _ Garbage Disposal Washing Machine ''t' �► ` 1 `; ''+ Floor Drain 2" w �k" W-1 q"ET4 4" •., Water Heater _ Laundry Room Tray _ Urinal - Other Fixtures (Specify) s.,..; COMMENTS REGARDING ABOVE: