InitiallyGood � W
W
41
1
LJ
G9
r
z
I
i
12333 SW AMES LN
PERMIT bs ELC96-0293
CITY OF TIGARD
DATE ISSULn: 05/09/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 251 1 O11H--03600
11 rJ3145$yV H*11 84yd,TJCPrd,Preyvn 2729,3P8190,(503)813P-4171
!AUL{DIV1 i1UN. . . . : PRLINUT0114 RIDGEf Z?,��j -f- ZONING: R—:3. 5
BLOCK LO1.. . . . . . . . . . . . . :01,
Project DLscription: Adding ranch circuit/without service/feeder
--RESIDENTIAL UNIT----- -----,TEMP' SRVC/FEEDERS---- -----MISCELLANE:OUS-----
1000 5F OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 FIUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
1_,.IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : in
MANF . HM: SVC/F-DR. . t 0 601+amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0
--•--SERVICE/FEEDER----- ---NRANCH CIRCUITS_—_.__. --..—ADD' L INSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 GER INSPECTION. . . . . : 0
2O1 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : r EA ADD' L EBRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0
001 1000 amp. . . . . : k+ _.___._.__.__.______--1=ALAN REVIEW SECTION-----
1.000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . s ) 600 VOLT' NOMINAL— :
Reconnect only. . . . . : 0 SVC/FDR ) _ 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-. _______________.____________.____________.__._.____.___._._- FEES -----------------
I...INDA THOMAS type amount by date recpt
12333 SW AMES F'RMT $ 35. 00 JDA 05/O8/96 96-279174
SPCT $ 1. 75 ,JDA 05/08/96 96-279174
1-IGARD OR 97224
P:Ihone #: 620—•5643
SHARPIE ELECTRIC INC f 36. '75 TOTAL
2E605 SW R I GCS
--- --- REQUIRED INSPECTIONS -----
13LAVERTON OR 97007 Ceiling Cover, Elect' l Servir.r
Phone #: 503-642-7931 Wall Cover Elect' l Final
Reg #. . 81518
This permit is issued subject to the regulations contained in the
TJgard Municipal Code, State of Ore. Specialty Codes and 211 other Permittee Signal ure
applicable laws. All wark will be done in accordance with _
approyea plans. This permit will expire if work is not started r C
within 1x10 days of issuance, or if work is suspended for more _
than 180 days. Iflued y
INSTALLATIONLY
The installation is being made on pr^operty I own which is not intended for-
s a 1.e,
orsale, lease, or, r^ent.
(.]WNF R' S SI GNATURE: DATE:
IOR INSTALLATION
SIGNATURE OF SUPR. ELEC' N: DATE:
1__1 CFNSE NO: _ ,
Call for- inspection — 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Planck/Rec. #
Permit #
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 Issued by
CITY OF TIGA,RD TDD No. (503) 6842772
Inspection (503) 639-4175
P
1. .lob Address:
A. Complete Fee Schedule Below:
i
Name Of Development L1 dclu �t a Number of Inspections per permit allowed —
/I btytG.�_
Address_ Servu.H Included Items Cost(ea) Sum
3 3 gg L" i >~
City/State/Zip �f Ca�✓cL 4a. Residential- per unit
woo sq It or less $11000
Tach additional 500 aq it or
Name (or name of business) __ portion thereof $2500 _
imtled Energy $2500
Commer 11 ❑ Residential Each ManuFd Home or Modular
Dwelling Service or Feeder $t16 00
2a. Contracte: installation only: 4b.Services or Feeders
Installation,alteration or relocation 2
f=lectrical Contractor __ 200 amps or less $60 00 2
201 amps to 400 amps $8000 2
Addr $ 401 amps to 600 amps $12000 2
(;I 7S ZIp1L��� 601 amps to 1000 amps $16000 2
Phone No. GY,J-�7�t / Over 1000 amps or volts $34000 2
—�-` Reconnect only $50 00 _
Contractor's License No_s
Contractor's Board Reg. NoZY_ __ 4c. Temporary Services or Feeders
installation altera(ion.or ielocation J
Signature of Supr. Elec'n 201 amps Or less $50 00
Ph1 nit No.(o 4� l' 7g _3> 20I amps to 400 amps s5 00
license No. '33��s_� __ cY�—_— 401 amps to 600 amps $10000
W
over 600 amps to 1000 volts
2b. For owner installations: see•h•nhove
4d. Branch Circuits
Print Owner's Name _ New.alteration or extension per panel
Address a)The fee for branch arcuilb with
purchew of service of Reeder tae. 2
City State Zip __ Each branch circuit $5 00
Phone No. _ b)The fee lot branch circuits without
purchase of servlae or Aeder fee. 2
The instal;ation is being made an property I own which is First branch circuit LL $35 Do �s�� 2
not intended for sale, lease or rent. Each additional branch alcwl $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) J
3. Plan Review section (it required): Fitch pump or irrigation circle '4000
Fach sign or outline Irghling $4000
Signal Circuitls)Or a limited energy `
Please check appropriate item and enter fee In section 58. panel alteration or extenson $4000 _
4 or more resiownhal units to one structure Minor Labels(10) $10000
Service and feeder 225 amps or more 41. Each additional inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable in any of the above
str
Par $3`:00 ^
as des.ribed in N.E.C.Chapter 5 Pe,no,,, $5500
In Plant $5500
Submit 2 sets of plans with application where any of the above
eor!,. Not required for temporary construction services. 5, Fees:
NOTICE 5a. Enter total of above fees $
5%Surcharge(05 X total tees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF PI., jaview if required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. ❑ Trust Account N $
Balance Due $
ems.
Will
I I I S I I i�tatdl) f_� yl�t�l II(�(�IV�t;j�rif�P�` 1'i f •� 1 I f l
5 �� rr I !;i � ,ti•11 it �1) i
ill; It I I I
A4 h
rl�'I"I<I I
l
1�1::.►1Uk.r�11.1iti1 I "' l I
'i•�IAVI% -
"Al 1'1•)"rr4F.id 1 �.tl It a tll I l,I.t 1 �, i t tl:t I �..,I t II t � I ;1 ,
i
�I
� 1
t•)Mf. t-h LN
Li l: ��F kh1 t 1 (L C1MI-411 F.-M DOWN 4 1;3"b1='M)
1 I'i 1 F31.w NtMUt aN 1 F'6)I t:)
36. 7 tS
i
1 I...VI 11 .I1I.v. •._
PERMIT #. . . . . . . : MEC96--012
CITY OF TIGARD DATE ISSUED: 05/168/9F
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S110BB---03600
«1Vd.7iGgird,W*go+ 972WOB$901(5A31909.4171
:3UBD I V I GI ON. . . . . ARL ':NUTON Fill)(.'i ZONING- F� 5
BLOCI-<. . . . . . . . . . .. LOT. . . . . . . . . . . . . :013 j
GLASS OF WORK. . :ADD FLOOR FURN. . . . : 11) EVAP COOLER5: 0
TYPE OF USE SF UNIT HE:ATE:R:i. . : 0 VENT FANS. . . : 0
OCCUI--,nNC;Y GRP. . : R3 VENTS W/O OPPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES __.___._.. __ _.--- 0•-31, HF'. . . . : 1 DOMES. I(ICIN: 0
: /ELE/ / ! 3-15 HP. . . . : 0 CLMML.. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : el REPAIR UNITS: 0
F IRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GOS PRESSURE:. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF=' UNI-FS-•-.-_-_-_-- AIR HANDLING ON I T5 OTHER UNITS. : 0
1 URN ( 100K BTU: 0 <- 10000 Cf m : 0 GAS OUTL_ETS. : 0
TURN ) =100K BTU: 0 > 10000 cfm : 0
Ret^arks : Installing air- condi*. .oner
Owner: ____ _ _______----_______._-•----.-.-•- FEES
LINDA 1HOMAEa ____._.._-_-__.._.____.__ type amoi.rnt by date recpt
,J..1 J 5W AMEF3 PIRMT f 25. 00 B 0`;/08/96 96-27914o
IL
SF''CT $ 1. 25 B 0;5/08/136 96-2-7914'
i iti1iFtD Of? 97224
F11-rone #: 620•--5643
Contractor:
SPECIALTY HEATING/ FABRICATION
,)528 SW T IGARD
T IGARD OR 97223
Phone #: 620--5643 f 2:6. 25 TOTAL.
Reg #. . : 66578
-------- REUUIFIECI INSPECTIONS -----_-
This permit is issued subject to the regulations contained in the Mi sc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done to accordance with -
approveo pians. This permit will expire if work is not started -----
within 180 days of issuance, or if work is suspended for aore ------•--
than 180 days. -- —- — - "
Gz t�_r r e :
By
Call for inspection 639-4175
City of•Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Ball Blvd. APPLICATION Permit # ���� l v, L.
igard, OR 97223
(503) 639-4171
_—� •...e u ••o�m•n -- escripli
Table 3A Mechanical Code OTY PRICE AMT
Job f y,1 J 3 J`� ��,7 �r 1) Permit Fee -0 -0- 10.00
Address •+ --�- '
2) Supplemental Permit 3.00
Furnace to 100,000 BTU
LA b L 0 7-h 1) incl. ducts &vents - 6.00
. ••• •^• -i`7irnace T0"6atf BT11 + —
gwner / L 3 3 3 2) incl ducts &vents 750 T
Y r oor urnance
s'i s i rrI lly G L Y 3) incl vent 6.00
�'-- •m• • +m+• •■■••
Suspended-- ea er, wall eater
Q w ti 4) or floor mounted heater 600
__=7=... ^^• ent not inc. in
Occupant 5) appliance permit 3.00
T n
-----Repair of heating, re ng.
s 6) cooling, absorption unit 6.00
• / r
Boiler or comp, heat pump, air con
Sm• (�G �q l �,�k +1i✓�r 7) to 3 HP, absorp unit to 100K BTU / 600
a Boder or comp, heat pump, air con
}� 8) 3-15 HP. absorp unit to 500K BTU 11 00
Contractor ,,,■ Z.P Boiler or comp, heat pump, air concT— - --
/l>�2, 9) 15-30 HP, absorp unit 5-1 mil BTU 1500
■ate ■•�'�`/ r r(�.-r�c; offer or comp, eat pump, air cond-
rp 10) 30-50 HP, absorp unit 1-1 75 mil BTU 22.50
hereby ac now a ge that ave rea is application, t nal t e goiler or comp, heat pump, air con
information given is correct. that I am the owner or authorized 11) >50 HP. absorp unit 1 75 mil BTU 3750 I
agent of the owner, that plans submitted are in compliance with — it an ing unit to
State laws, that I am registered with the Construction Contractors 12) 10,000 CFM 450
Board, that the number given is correct If exempt from State Air handling uni
registration, please give reason below) 13) 10,000 CTM + 750
-- on portable
14) evaporate cooler 450
-Vent fan connected -
15) to a single duct 3.00
7eenti a ion system no
/►` t� t,� �� , _-1_� `) 16) included in appliance permit 4 50
—Hood serve y
17) mechanical exhaust 4 50
Describe work ri w-w kaddition ,� a tera w �nrepau ommercia or industrial
to be done residential J� non-residential Q 18) type incinerator 3000
xis ing use oOther i e., woo s ove. water
building or property �2_ �--- 19) heater, solar, clothes dryers etc — 450
Proposed use of 20) Gas piping one to four outlets 200
building or property — —
_/ 21) More than 4-per outlet (each) 2.00
Type of fuel -oil Q iidturs1 gas O LPG O eleclrio
NOME
Minimum Fee $25 00 SUET)TAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 3%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 GAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Special Conditions
IIJDate issued _—_ by --
H1LDDIMDS1n.MECHPMT
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Ra(;-O-Phone): 639-4175 Business Phone: 639-4171
inspection: �L'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
FINAL:
Post/Beam Mech. San. Sewer Gas line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm
Water Line Insulation -Meth.
Underflr. Insul. Shear Wall // GYP Bd.
Elect.
/ �> S�' Tirne: AM PM
Date Requested: ---
Builder.��/y't,,
{� Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: /
III Ile
Inspector:
APPROVED _—DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp ��