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Case File' N ip J 9 O D r m D D e � z c rn 6 12150 SW ALBERTA AVEN �II� G� CITY OF TIGARD BUILDING INSPECTION DIVISION MST I ^4-Hour Inspection Line: 639-4175 Business Line: 639-4171 — -- J/ BUP �c�✓�-t't Date Requested _AM PM __—_ BLD Location ,J'p 802!A AUA5isuite _ (10Ec? Contact Perscr; _ ST�E/Jl� i NF; Ph PLM _ Contractor Ph ------- SWR BUILDING Tenant/Owner — ELC _ Retaining Wali M ELR —_ Footing NOT REQUESTED FPS Foundation �- ------- Ftg Drain FOUND DLJRING RFSEARCII SGN Crawl Drain NO INSPECTION(s) IN FILE. - - Slab AN SIT —_ --- --- Post&Beam Ext Sheath/Shear -- — -- -- --- - - - ---- Mt Sheath/Shear Framing ----— - -- --------- --- Insulation Drvvall Nailing -- --- - - --- - - - -- -------- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- -- - -------- - - -- Roof Final PASS PART FAIL. — -.--------- --. __- ----- - PLUMBING ------- Post&Beam Under Slab _-- -- -- Top Out Water Service - ------------- Se Aary Sewer Rain Drains ------ Final PASS PART FAIL - A Post&Beam t.'�L - - Rough In K►�" Gas Line ----- 4"Dampers PASS PART FAIL I — ELECTRICAL - — Service Rough In UG/Slab ----- ---- --- -- -- Low Voltage Fire Alarm Final PASS PART FAIL --_ SITE _ Backfill/Grading Sanitary Sewer Storm Drain I 1 Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i Please call for reinspection RE:_ —___ L ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector _Ext _ Other Final PASS PART FAIL DO NOT REMOVE this insp,Fction ,ecord from the job site. — '75-'Z) CITY nF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: — Q�" '77 A.M. P.M. MST: location: BUP: Tenant-- _ Suite: Idg: MEC: Contractor. Phone: y�_ PLM: Owner:_ —Puone: "-r _. ELC: C. ELK: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ,-"—ELECTRICAP SITE Site Post/Beam Post/Beam Post/Beamice Sewer/Storm Fooling Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Ftrmace Temp Se,-vice MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/.iheath Fire Spklr/Alm Crawl/Found Dr IIcat Pump Low Volt Approved Approved Approved Approve a Approved Appr/Sdwlk Not Approved Not Approved Not Approved oT'�roved Not Approved FINAL FINAL FINAL --- O Call for reinspection 'nternspection fee of S —_required.before next utslxxtion C7 i Inahle to inspect Inspector: �_–` Date: /tJ U 1'11ge---_-----of CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIY #: ELC97-0618 DATE ISSUED: 09/ 19/97 13125 SW Hall Blvd., ilgard,OP 97223 (503)639-4171 PARCEL : 2SiO3BC-02800 SITE ADDRESS. . . : 1 -150 SW ALBERTA AVE SUBDIVISION. . . . :CANOGA PARK Z ON I NG: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: URB i Project Descr,i pt ion: Add two (21 branch circuits to existing singie family dwelling. ---RESIDENTIAL_ CJNII`----- TEMP SRVC/FEEDERS------- .-------MISCELLANEOUS--------- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . 0 PUMP/IRRIGAT ION. . . . : 0 1=:ACH AUD' L 500SF. . . : 0 2N1 - 400 amp. . . . . . . 0 SIGN/OUT LI14E LrG. . : 0 I_.IMTTED ENERGY. •. . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . , . : 0 MANF. HM/ SVC/FDR. . : 0 601.+amps- 1000 Volts. : 0 '"INOR LABEL ( 10) . . . : 0 -_-SERV ICE/FEEDER--_._.. -__-_BRANCH CIRCUITS------- ----AD'" L INSPECT IONS----- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 .DER INSPECTION. . . . . : 0 '01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER DOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 E'01 - 1000 amp. . . . . : 0 - - -- --____._______--_p'LAN REVIEW SECT 1'ON-__-___-___---____.__._ 1.000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ___-----___._.-------------------.--_--_---_______._..___.___ FEES L_:D STRENDING type amol_rnt; by date recpt 12150 SW ALBERTA PRMT f 40., 00 GEO 09/19/97 97-299393 ABARD OR 5PCT $ 2. 00 GEO 07/ 19/97 97--299393 1='hone #: Contr,actor-: JPC ELECTRICAL_ SERVICES INC f 42. 00 TOTAL 41 2'0 SE INTERNATIONAL WY STE A- 107 ------- REQUIRED INSPECTIONS - - M I LWAUK I EOR 97222 Phone 4: 654-3325 _- Reg #. . : 093774 This 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 peroit will expire if wnrM is not stared nithin 180 days of issuance, or• if nark is suspended fur 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 CZAR 952-001-0010 through DAR 952-0011-1987. You may obtain a copy of these rules or direct questions to SIC by calling (503)246-1987. K'er•mittee Signatr.rre : �''.21� V Issared By 4el __..._-------------____--__-.-OWNER INSTALLATION ONLY--------- - ------ ------ __.__ Che installation is being made on proper-ty T own which is not intended for sale, lease, at- vent. OWNF R' S SIGNATURE- _- — -_- DATE: - ----------------------CONTRACTOR INSTALLA) ION ONLY-------------------__._._______ SIGNATURE. OF SUPIR. ELECT' N: __ ?✓ `__� DATE: LICENSE N0: +-i.++++++++-++++• . . --+F+++++++++++f+i ++++++++-+++-1-+...f+++++++++++++++++++++++++++. -4 Call 639-417f) by 6:00 p. m. for an inspection needed the next blAsiness da +++++++++.4 ++4+++++++++++4++A-+++++++i+3-+++++++++4-+++4++++4-+++++++++++++4 ++++++++ !TY OF TIG INRD Electrical Permit Application Plan Chlack0 3125 SW HALL BLVD. Rec'd By__ Date REc'd- IGARD OR 07,223 1" ' ��-1 ---- Date to P.E. Phone (503)639-4171, x304 rf`17"Q-7 Print or T�r� � 5'�- ;-_ Date to DST I spection (503) 639-4175 r ,Te ,w ` Permit#,f-z= plate or illeaihle will not be accepted ---= x (503)684-7297 Called _ Job Address: tit. ComiCrlete F=ee Schedule Below: .J Name of Development _ Number of Ivsl)ections per permit alloweJ --- Name(or name of business') ) j r IL END I N `� Service included: Items Cost Surn - Address c Q W L�L�C �� `r��T 4a. Residential-per unit 1000 sq.ft.u,boss - $110.00 City/State/Zip TI !I CA O 2 __- - - _ Each additional 500 sq,It or Commercial ❑ Residential ® portion thereof $25.00 Lii mited Energy $25.00 Each Manut'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installatiuff only: �- ' (Attach copy of all cu�r{ent licenses 4b.Services or Feeders 1' Electrical Contractor C ELECT P:l 01 L Si_Q V 1 Lt;,`b Installation,alteration,or relocation Address 411JU SC Z'NTE rL-&,9L wAy 5,jeplot 200 amps or less $60.00 _ _ 2 201 amps to 400 amps $80.00 2 C11yL1,I,6JQ ____St2tP,_��Zip_ !j7 23 401 amps to 600 amps $120.00 2 Phone No. (�J __�_ l a�_ 601 amps to 1000 amps $180.00 2 Job No. _1 Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. _'` = I Exp Date_ I Reconnect only $50.00 2 OR State CCB Reg. No_("'I I I i Exp.Date_, 4c.Temporary Services or Feeders COT Business Tax or Metro No.� 1�{�-i , Exp.Date_jt:)1Xf1_ Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n� _ �=:j 201 amps to 400 amps $75.00 _ 401 amps to 600 amps $100.00 License No. L/ Over 600 amps to 1000 volts, � .-Exp.Date JD l qfi see"b"above. Phone No 1�' �.cz�J 4d.Branch Circuits Now,alteration or extension per panel 2b. For ownmr i,7stallations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ feeder fee. Address Each branch circuit $5.00 - -- b)The lee for branch circuits City Stat@____ ip without purchase of Phone No. _ _ service or feeder W. First branch circuit ( $35.00 The installation is being made on property I own which is not Each additional branch circuit $5.00 - 2 Intended for sale, lease or rent. 4e.Miscellaneous Owner's Signature_------_- (Service or feeder not included) Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 3. Plan Review section (if required):* Signal circuit(s)or a limited energy panel,alteration or extension $40.00 _ Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00---' 4 or more residentia units in one structure I 41.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35 tip) -- -- Classified area or structure containing special occupancy Per hour $115010 ----- as described in N.L.C.Chapter 5 In Plant *Submit 2 sets of plans with application where any of the above apply. 5. Fees: fib, [rr J Not required for temporary construction services. 5a.Enter total of above fees $ 5 Surcharge(OS x total fees) g - N_OT_LreL Subtotal $ - 5b.Ente. 25°0 of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it required(Sec 3) $ --- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ----- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY CL) TIME AFTER WORK IS COMMENCED. 1-1Trust Account K � Total balance Due s 11AMELCM AFP Rev 9,86 I j ` C110'ry O MECHANICAL PERMIT _ DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97-0341. 13125M1,all Blvd„ Tigard,UR972'3 (503)639.4171 DATE ISSUED• 09/ 1.5/97 PARCEL: 2 S 1 O:3bC--0::'600 SITi ADDRESS. . . : 1.2,150 SW ALBERTA AVE ZONING-. R--4. 5 SUBDIVISIOt\I. . . . : CANOGA PARK JURISDICTION: URB BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..2 ----__ CLASS OFTWORK. . ,ALT FLOOR FURN. . . . :— — —0 EVAP COOLERS: 0 UNIT HEWERS. . : 0 VENT FANS. . . : 0 TYPE= OF U.�E. . . . : �F OCCUPANCY GRP. . :iR3 VE=NTS W/O APDL: 0 VENT SYSTEMS: 0 MPRESSORS HOODS. . . . . . . : 0 BOILERS/CO STORIES. . . . . . . . : 0 DOMES. INCIN• 0 FUEL TYPES------------- 0-3 Hp'. - . 1 3-15 HF'. . . . 0 COMML. INCIN: 0 :GAS REPAIR UNITS: 0 MAX INPUT: 0 PTU 15-30 HP. . • • : 0 WOODSTOVES. . : 0 '_'IRE DAMPERS'. . : 3�c`—00 HF'. . . : 0 GAS PRESSURE. . . 50+ yip• _ , • 0 CLO DRYERS. . : 0 NO. OF UNITS—---­_ AIR HANDLING UNITS OTHER UNITS. : 0 10000 c fm : 0 GAS OUTL.E:TS. : 1 FURN ( 100K BTU: 1 FURN ) =1O0K BTU: 0 > 1.0000 cfm : 0 Remarks : Conversion to gas FFE ---- —_—_----_ _ Owner: ---------_-___.___- type amount by date recpt ED STRENDING c 150 SSW ALBERTA PRMT f 25. 00 JSD 09/ 15/97 97--`992 12150 2150 OR SPCT f 1. 25 JSD 09/15/97 97-•2992c- 1 Phone #: Contractor-: ------ HOLLAND' S HEATING —_ __ ___ _---- ----------- c:1420D NW NICHOLAS CT N0. 9 $ 26. 25 TOTAL HILLSBORO OR 97124 Phone #: 645-8363 (leg #. . : 000752 REQUIRED INSPECTIONS — This permit is issued subject to the regulations contained in the Gas Line Insp _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _ applicable laws. All worN will be done in accordance with Heating Unt Insp approved plans. This permit will expire if worN is not started Cooling Unt Insp within 186 days of issuance, or if worN is suspend?d for more Final Inspection _ that 180 da}s. ATTENTION: Oregon law requires you to follow rules --- adopted by the Oregon Util,ty Notifiration Center. Those rules are set forth in OAR 952-001-9010 through OAR 95?-901-@W- You may obtain copies of these rules or direct questions to O(W by calling _ ---- — -(503)246-9187. ---_— 1ssIAe Py : Permittee Signat 1_i r e • f-++++++++++.-++++++++++++++-+++++++++++++++++++++++++++++++-F•+++++++++++++++++++++ Call 639-4175 by 6:00 P. m. for- inspections needed the next btisiness day ++++++++++++++++++++++++++++++++ +++++++++++++++ +++++++++++-a++++++++•++++++++++ T Plan Check k CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd /:f 5 TIGARD, OR 97223 Date to P E. (503) 6394171, x304 Date to DST Print or Type Permit# r1eC-97-b`{�/ Called Incomplete or illegible applications will not be accepted �� ----- Name of DeveropmentiProMcrtier scription Table to Mechanical Code OTY PRICE AMT Job S3"Address SuMe/ A) Permit Fee -0 -0- 10.00 Address �L�I-� J' !`aC�eu- _ Bldg* p 1 ) Fumaoc to 100,000 BTU I 600 including duds&vents Name for name of business) 2.) Furnace 100,000 BTU+ 7.50 { includin ducts 8 vents Owner L� �-,f L >`/Ol�./S g I Mailing Add rer/, ' . 3.) Floor Furnace 6.00 / [-+�C /� including vent nyistate t ACI Phone 4.) Suspended heater,wall heater 6.00 T ll r7�L -�S( or floor mounted heater _ Name(or name of bu eu) 4C 5.) Vent not included in appliance permit 3.00 Occupant Mailing Address 6) Boder or comp,heat p4lfiw,_ajr _ --Co-0 _ to 3 HP;absorb unit to 100K BUT- City/Stale ZipPhone 7.) Boder or comp,heat pump,air cond. 11 00 _ _�� _3.15 HP;absorb and to 500K BTU"_ Contractor Name 8.) Boder or comp,heat pump,air Gond 1500 (Prior to L IQS !f 'i /ZC- 15-30 HP;absorb unit 5-1 and BTU msuanoe Mailing Address 9.) Boder or comp,heat pump,air Gond. 22.50 applicart '/", i(� lG' M��ak '�f 7- _30-50 HP,absorb unit 1-1.75mil BTU_" _ must provide all Citpstate fJp Phon 10) Bniler or(prnp,heat pump air Gond 37.50 — contractor �z j/ y 44171 1� 50 HP;absorb unit 1.75 mil BTU" _ license Dragon Cmat.Cor' Bow Lr* Exp.Data 11 ) Air handling unit to 10,000 CFM — 4._50- Information if expired in COT COT Buse"Tax or Metro* Exp Qate 12.) Air handling unit 10.000 CFM w 7 50 - _database) Architect 13) Non-pudab$e evaporate cooler 4.50 or Mating Address 14) Veot fan connected to a sing,c duct - 300 Engin+:zr Cityistaie' Zip Puone 15) Ventilation system no;included in 4 50 _ — appliance permit _ Describe work New O Addition O AneratiorA Repair O 16) Hood se-ved by mechanical exhaust 4.50 to be done Residentiax Non-residential U _ Addrhonal Description of work 17) Donk;tic ina,erar,R 750 18) Commercial or industnal type 3000 Incinerator Existing use of 19) Repair units 4 50 building or property 20) o1 oil stove 450 Proposed use of 21.) Clothes dryer,etc 4 SO building or property 22) Otner units 450 Type of heel-oil O natural gas LPG O electric O 23) Gas piping one to fc yr outlets / 200 I hereby acknowledge that I have read this application,that the 24) More than 4-oer outlets(each) a 50 nfo".ation given:s correct.that I am the owner or authorized agent of _ the owner,that plans submitted are in compliance with Oregon State -� _ CITY SUBTOTAL — laws Signature of Owner/Agent Date 7 7 — 'SUBTOTAL O� ���/v►� 1�!%'�'�G!(.)S /n/� 5°/,SURCHARGE I / Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL ASTC 8 �� --- _ TOTAL �'> r L i cdst\mechpmt doc (rev 9 'Minimum permit fee is S25+5°h surcharge "Residential AX requi es site plan showing placement of unit. t�O - ) p Scu Al( LjL---k4 tiNrw �nE� R HOLIANDIS HEATING & AIR CONDITIONING, INC . HID WORKSHEET CUSTOMER NAME--______.__�_ PHONE ___SQFT ADDRESS CITY/STATE 0K9 _ MIN --SIN EXISTING FURNACE BTU--. 000 FLU—"W/HEATER— UP / DOWN NEW HEA'T'ING EQUIPMENT A/C OR HIP LOCATE O.D P.AISE FURNACE FLU COIL LINE SET 30ft 40ft 50ft AND MISC COPPER FITTINGS RUN LINE SET— T STAT & WIRE CONDENSATE PTJMP TUBING_ " GRAVITY CONCRETE PAD O.D. LINE SET COVERING! EXTRA' S — EXTRA'S MATERIAL COST TOTAL X % _ • $ S/A DUCT R/A DUCT DUCT FABRICATING/METAL/LINER/SHOP TIME RUN_ _LENGTH. ' ELECTRICAL SKINNIES PANEL _ BREAKER _WHIP__DISCON_FUSES_ ROOM _ PERMIT yes no_—_ DRAWINGS REQUIRED yes _ no__— EXTRA' S LABOR day (s) total _—Journeymen T-te leer 3% TOTAL $ X % = FINAL, TOTAL $_ I