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InitiallyGood 1 �Jl C•` t_ Ln C 1-' cl (U H (T H O U X CI H• H I r r` 15600 SW ALDERBROOK CIRCLE E CITE( OF TIGARD DEVELOPMENT SERVICES PERMIT #: ELC96-0739 ELECTRICAL F�ERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (502)639.4171 DATE I SSUFT): 11/19/96 PARCEL: 2S 1 1 l DC:--O02OO SITE ADDRESS. . . : 15E�O0 SW ALDERBROOK, C I R SUBD 1 V I a 1 ON. . . . : SUMME:RF I ELL N0. 8 Z ON't NG: R-7 BLOCK. . . . . . . . . . . I_.(:J1", . . . . . „ . . . . . . :449 Project Description _adding _,^'Ybr_anc_h-cir,cl-iit SRVC/F'EFDE:RS-••---� -� ----� MI SCF_LLANEOUS-----� I 1000 SFOR LESS. . . . : 0 0 i'00 amp. . . . . . . : 0 PUMP/IRRIGATION. ., . . : 0 E::AC;H ADD' L. 5O0SF. . . 0 "'01 - 400 - ,.p. . . . . . . : 0 SIGN/OU'T LINE LT'G. . �_IMITE.D E'NERGY. . . . . : i1, 401 - FOO amp. . . , . . . : 0 SIGNAL./PANEL_. . . . . . . : 0 11ANF. HM/ SVC/FDR. . : 0 6O14-amps-1O00 volts. : 0 MINOR LABEL ( 10) . . . : 0 . -- -SERV ((1E/FEEDER- - - - 1?RAIVCIi CIRCUT1`5--._..-_...__ _. F1DD' I_ IN PEC1'IONS---- 0 - 200 amp. , . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTIOIV. . . . . : 0 '01 - 40171 amp. . . . . . . 0 1.st W/O SRVC OR FDR. : 1 PER HOUR. . . . . .. . . . . . : 0 401 - 600 amp. . . . , . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 ia01. - i.00O amp. . . . . : 0 _ _.__...____.._____...._--._.---P1_AN REVIE=W SECT ION- 1000+ ON_100 '+ amp/volt. . . . . : 0 > -4 RETS UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : 1�ec.onnect only. . . . . : V! SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC O('-'C. : Owner: --------------------------------------------------------- FEES BETSY BERRY type amol.(nt by elate r,ec:pt 1.5600 SW ALDER13ROOK C I R. V,RMT $ 40. 00 TAT 11/19/96 96-2867O3 SPCT $ 2. Cho TAT 11/ 19/9(-, 96-28670.3 T I GARD OR 97223 Phone #: WESTSIDE ELECTRIC $ 4c'. 0(%, TC1TAL 1518 SW MACADAM AVE REL?UIRED INSPECTIONS - - --- - PORTLAND OR 97219 Ceiling Cover, Under•grai.ind Cove Phone #: 503-245-"-3385 Wall Cover Elect' ). Ser-vine Reel #. , 1330E This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ether Permi ee `ji.gnatre) applicable laws. All work will be done in accordance with ; approved plans. This permit will expire if work is not started i ywithin 198 days of issuance, or if work rs susp?nded for more than 198 days. I s;s 1.(e d "y ....... . . ._.__.___.___---___..--OWNER INSTAI_I.-ATTON ONLY._.____ The tnstallation is being made on property I own which is not intended for- sal e, lease, or• rent. OWNER' S S T GNATURE: DOTE: __ INSTALLATION SIG14ATURE OF SUPR. ELEC' N: __-- _. DATE.- , LICENSE ATE:L.ICENSE NO: Call far^ inspection -- G39-4175 I Cammunity development ELECTRICAL PERMIT APPLICATION 13125 S`JV Hall Blvd. Tigard, OF, 97223 Planck./Rec. # Permit # _ -` f t Phone (503) 639-4171 ( ) Date issued / FAX (503) 684-7297 Issued by J? CITY OF TIGARiD TDD No. (503) 684-2772 Inspection (503) 639-4175 _ i. Jol, Address: 4. Complete Fee Schedule Below: L. __ Nam_ of Development', Number of Inspections per permit allowe Address ,6 �/ //'{jr ' l/�r _ Service included items Cost(ea) Sum City/State/Zizle-,anrz Cl//}} 71 4e. Residential-per unit 4 Lt000 aq It cr le.a f}+000 Name(or name of business) s Ae O_C OI /! Each ion there"5a so It or portion thetas `— $25 00 + Commercial❑ Residential Each Energy :?5°° ch — Each Menu1'd Noma or Modular 2 Dwelling Service or Feeder SQ 0n 2a. Contractor installation only: 4b.Services or Feeders Installation,alteration,or relocation ? Electrical Contractor ,6 f! r 200 amps or less $6000 Address ic./ 'q QL 4//1 f' 201 amps to 400 amps $0000 State Z.I C 401 amps to 800 ramps S.2000 Ciity 7 r Pte' ._ 001 amps to 1000 amps $1 0 00Mi� 2 Phone No. I - 1.; jOver 1000 amps or volts $34000 2 Contractor's License No._�' / 3�_C Reconnect only $5000 Contractor's Board Reg. No. / i j( 4c. Temporary Services or Feeders Installation alteration or relocation ' r. Elec Su of Signature 'n 200 amps or lees $500 9 P ._.�' L ---- License No. �.S ,.��_. Phone No. -�3 d 1 201 amps to 400 amps x000 _ 401 amps to 800 amps t+000 00 _ Over 800 amps to 1000 volts 2b. For owner installations: bee•h•above 4d. Branch Circuits Print Owner's Name,_____ r New,alteration or extension per panne Address a)The lee for brancF,circuits with city State Zip! purchase of arwke or At.der W. 2 — Each branch c rcuif E5 O6 Phone No. b)The fee for 1, nch circuits without The installation is being made on property I own which is purcheu of aervke or header too. ? Firs'branch nal branch _1_ f$500 5 00 _ 2 not intended for sale, lease or rent. Each additional branch circuit _� $5 00 Owner's Signature______ 4e. Miscellaneous (Service or fee ler not included' 2 3. Plan Review section (if required): Each pump or irrigation circle -- 14000 2 Each sign or ouffine Itghtog —,a $4000 Signal circult(s)m a limited energy 2 Please check appropriate item and enter fee in section 5B. panel,alteration or extension $40 00 4 or more res �nfial Units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over Classified area or structure containing special occupancy the allowable in ony of the above as described in N E.C. Chapter 5 Per inerwiton $3500 Par hoar $5500 in chant $5500 Submit 2 sets of plans with application where any of the above apply Net rtquired for temporary construction services. 5. Fees: NOTICE So. Enter total of above fees $ .. 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTR:ICTIUN OR WORK IS SUSPENDED OR ABANDONED FOra Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subfo $ COMMENCED. Trust Account# $ ` I eeiance Due $ rail'mrdnYlKgm KO CITYOF TIGARD rIECHAN I cA(_ DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : ME(:=ib-..Vi,-;'J1✓ DATE ISSUED: 11/15/96 PARCEL: 2S111DC-00200 SITE ADDRESS. . . : 1.5600 SW AL..I)ERBrOOK C I R GUBDIVISTON. . . . . SUMIYIE'RFIEI_.D NO. 8 ZONING: R-7 81-OCK. . . . . . . . . . . I...0 T.. . . . . . . . . . . . . :449 CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 FVAP COOLLRS: 0 1`YPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCLIPPNVC::Y GRP. . :R3 VENTS W/U APPI_.: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYf�ES-__..._ -__.___._ 0-.3 H!' . . : 0 DOMES., I NC I N: 0 /GAS/ / / -1.5 HP. . . . : 0 COMMt.... I NC I N: 0 IYIA X INPUT: 0 BTU 15-30 HP. . . . : 1 REPAIR UNITS: 0 FIRE. DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 (:3AS PRESSURE. . . : 50•+ HP. . . . : 0 CI-O DRYERS. . : 0 N0. OF I!.v1'ly------- --- AIR 110NOL.ING LIN ITS OTHER UNITS. : 0 FURN < 1.001! RTLI: 1 <_: 10000 cfm : 0 GAS OUT'I_ET S. : 0 FURN ) =:OOK BTU: 0 > 10000 cfm a 0 Remarks : C1Wner`: -_..____.__. ___-_ _-_ ._.- _-_ FEES --_.-_--.. -----_. 13ETSY BERRY type amount by date r^ecpt 1 rE,00 !_;W gLDERBROOK CIR. PRMT $ .1 1. 00 JSD 11/15/96 96-286 78 5PC'T $ 1. 55 .JSD 1 I/ IS/96 96- 86578 TI:LyFi1?D f71� 972E*..3 (='hone #: Contractor : (",Cll_UMB I A HEATING V,0 BOX 23O397 C IGARD OR 97281 Phone #: 624--t---"704 $ 32. 5-9 TOTAL Reg #. . : 76359 ------ REOU I RED INSPECTIONS - -- - This permit is issued subject to the regulations contained in the Mechanical lnsp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work "01 be done in accordance with approved plans. This permit will expire if work is not started within 186 days of issuance, or if work is suspended for more than 188 days. Permittee 5ignatuTe. l s s N_r e d fly Call for- inspection - 8.35-4175 City of Tigard MECHANICAL PERMIT PlancklRec. # 13,125 sw Hail Blvd. APPLICATION Permit # eu- 96- (1314�s, Tigard, OR 97223 (503) 639-4171 1 1 ' Tabl©3A Mechanical Code CITY PRICE AMT ... ---- - Job 1) Permit Fee .0• -0- 10.00 Address I �O � � r o��� - -- .r ch �� U f; 1� l� 2) Supplemental Permit 300 ""�"""'°' '•• --furnace o T6i'f,�'1'3TU'--` 1) incl. ducts&vents 6.00 ,(j Furnace 100.000 GTU-+- Owner .^.) incl. ducts d vents 750 oor arra:ce 3) incl. vent 600 4) or floor mounted heater 6.00 - - en not of incl.. in `- - Occupant 5) appliance permit 300 n Repair of heahng, re rig. -'- 6) cooling, absorption unit 6.00 ( — ei or comp, ea pump,air con - ' 'Y 7) to 3 HP;absorp unit to 100K BTU 6.00 /' i er or comp, heat p'-ump, air coni Contractor 1 !r�� -s'�L('11c ���' '`� 8) 2 15 HP; absorp unit to 500K BTU 11 00 n i E-or comp, eaTpump, air con TI C-, . A��� 0 �� ! 9) 15-30 HP;absorp unit 5-1 mil BTU 15.00 -Y Boiler or comp, heat pump, air conr?. - ��-, 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50 hereby acncow gea ai7Tave- road this applica ion, atthe-- i or or comp, ea pump,wr-condF information given is correct, that I am the owner or authorized agent 1 1) > 50 HP;absorp unit 1.75 mil BTU 3750 of the owner, that plans submitted are in compliance with State Air`nan ing unit fo -- laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air an ing urn --�— -- - please give reason below.) 13) 10,000 CTM • 750 _�-_ -- --- on portable 14) evaporate cooler 4.50 - eV of aconnec r I -- --- _ _ 15) to a single(:i:t 300 - -T7entTau'on sys-F rn not - 16) included in appliance permit 4.50 o served y —'— --- — �� S 17) mechanical exhaust 450 >Dos r e worknew addition a terauon repair ornmPrcia or rn u.s ,iI -- -- to a done residential Z non-residential Q 18) type incinerator 30.09 Existing use of Other re., woods ave, water - - - building or property 19) heater, solar, clothes dryers,etc. 4 50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property Type of fuel - oil21) More than 4 per outlet 0 natural gas LPG Q electric n .NO7M Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUC'ION --- AUTHORIZED ---AUTHORIZED IS NOT COMMENCED WITHIN 180 DAY", OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR — -- - ABArJDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2591°OF SUBTOTAL AFTER WORK, IS COMMENCED ------ -_ ___ TOTAL �� •� Special Conditions - ---- ------ - - Date issuwl_ by- l°MECNPMT raCvnWr