13347 SW CLEARVIEW WAY d
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__ 13347 SW Clearview Way
Il i 26 '95 16:116 $5113 6.54 7 291 C ITY I"IF TIGARD — III11 UO2
Community Developir ent ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd,
Tigard, OR 97223 Planck/Rec. # 9s� G8735"
Phone (503Permit #iv ) 639-4171 n
FAX (503) 684-7,197 .",ate issued
CITY OF TIGIARD TDO No. (503) 654-2772 ITSued by
Inspection (503) 639.4175
1. Job Address: 4. C=omplete Fee Schedule Below:
Name of Dpdplopment Numbs of Ins
pectlons per parmit allowed
Address 1 M . I � VU
Service included Itame Cost(sa) Sum
City/State/Zip/'1"L' cnZ Q- 1 el te 4e. ntonidentiol•per unit
- 4
cc JJ 1000 W h or low $110.00
Narne (or name of business) LA l=ea,addnlowu Doe*a it or
Portion thereat 925 00 1
Commercial❑ Residential Lim"od Energy 129East+Man„$d home or Modular DO
p
fSwee,nv 9
2a. Contractor installation only: ernae of Peerir me 00
4b.Services of fro dsrs
Elprhical C=ontractor aer ,� Irnianol+en.a"ortil or ralo"fion ?
- ..__._ _ 200 amps or lee* Woo ?
Address I y� �..
_ __ tot—pe to 400 arrpe 98000 2
city if _ Stat+_Q(�— Zip 401 amp.to eon amoe slzo 00 a
_ ,Z e�Z 801 amps le 1000 pmpa
Phone No. $340DO
00
�� t?rar 1000 amps at vette
Contractor's' License rin. — 3Z _ — Reronnecf only 56001
Contractor'1; Board Aeg. No� -�' cr
-.-- 4e. Tomporer, Urvloes or Feedere
r-oshrllolon,alteratlon.or reloMor ?
Signature of Supr, Flec'n 55 200.moot or laps sso 00 v
License N0. '_a! Phone No,-23a ( ?01 amps ro�Oo snipe qs 00 __ a
401 amps to 900 amps 810a D0
2b. For owner Installations: a�e�Abo�10 ION"'". --
ve
Print Owner's Name 4d.■ranch oirouits
Address —- New,p"sralien or snenebn par Wei
_ a)The tee nor arena"elreulle wool
sly
State-
.rteZip pUrolrlN M1Ilpd
a/MaY p► rr*a, 2
Phone No. r' Each branch Nejjll $6,00
- ---..— _ b)The les For orerr-h cLcir"a witihour �-
Tti '"�?1!1Alion Is being r-ade on property I own which is pumhpq oraevke nr Mugs it", p
not Intended for sale, lease or rent. Ehel brpnch cirt." I $3500 ;Jlq" 2
Fill addlirentll branch attain $300
turners Signature4e. Miscellaneous
(Serv', or'eedor ant included) 2
3. plan Review section (if required): ram pump at rripeliet drde $400 2
5ach eipn or OutlineIi9htinp ti40 00
Plmse check Opp,,oriate Item end ontoo tee in section Be r'cv"(e)or a rmMed anergy "-- — 2
_
_1 or more rnskfentlt,l units in one atruPanel 411411"1111011,a etlensron $4000
cturs gMnor Latr+N(10) �' $1000 -
Service or , serer 225 amps or more .—
SystPm over 800 volts nominal 4f. E1ch additional inspection over
Classified area or stnicturp containing special ocrumrcy the allowable In any of the above
as described in N.E C Chapter 5 nor irePerilon 34600
:'Or hour 06800
Submit 2 9019 of plans with appli:ation whore any of the above In Plant 116!.00
apply. Not requited for 10mpotery oonetruot!in seMcea. Jho Fees:
TICE 5a. Enter total of above foes _ 40.00
5%Surcharge (05 x total fees) _ _1
PFRMITS M;OMF VOID IF WUHK OR CONSrnt1CTION subtotal
Al1THOnItED Is N01 COMMENCED WITHIN 160 DAYS, OR jr, 6b. Enter 25%of line A for
CONSTRUCTION on WORK IS SUSPFNDFD OFt ABANDONED FOn Plan Revlt+w if required(4oc.3) S ---F
A PFRIoD Or 190 DAYS AT ANY TIME ATTER WORK IS subtotal g
COMMENCED
LJ Treat Account N S _• �.(
6slanice DIN j 00
.wtaerr�e«.d.rT+,ap
F_
CITY OF T IGARDPERN,I T�
PERMIT 4. . . . . . . .. M E L
COMMUNITY DEVELOPMENT DEPARTMENT D(-ITL- 155Ur-
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-411 z� ., 7
L i�'A R V 14 F-i Y PARCEL: ��S,104D(*. - 2600
ZONING:
LOT. . . . . . . . . . . . . .
OF FLUOR F-URN. . . . EVFiF COOLLN'_').
i;:-L OF U,1.33 E UNIT FIE(ITERS. VLNT FANS. . . .
y R1*'. VENT'�7• W/Q VENT SYSTEMS,;
r.. . . „ . . . . . W D 01 L E R S C 0 M PR 0 R E, HOODS.
r-<;... .
115 HP. COMML. INC:N
-
D T U 1 0 1 irl. Rr_P,AIP 01,4,'T�:,
30.-50 Hrl. . . . W00DGTJVE1j. . -
(:L0 DRYERS.
Or- UNITS—-- P I R WiNDL I NG U kI 1 T 5 OTHEP UNIT5. .
100F. bl_'J: (- 100jel c--f,!n . i Gil'u'j OUTLETI],.
' 00K BTU-. > 10000
' lei, '010 '_1-01 •-A I I- i1i:41_,CJ I i y n ji t,
F E E
'it 1:)y d"k t
i34 7 5W L—Lii— IEW WAY
00 LA 0 7
L 1,25 L, 0 7 111l i ')S
rf B
�GWUI OR 5� 51-
U I—;
; L,1yT HF-11:1TING
000 SE EVELYN
r4c.1'111r'1MA8 OR
10 -'D 0 1,4TL)Tf'i,-
D70
RL.'QUIRED I N Sf-:, IC1rd
Set
sit
it 1, issued tub,e`
e--, t�'e T-egulatior-S coritcried c the_,ard Klmicipal Code, ljt2ti Te. Spec lty ::des and a,1 :then
..plicable lairs. All wzr4 0%;'Ii '-e dor.- ir, accordance with
,r%tyej plans. This permit ;,iil expi.,e if ociv4 ii rat started
hin iLq, days Of lsi�aTf'_t, ;r work is suspen:eo F-,r k. -e
-----------
4 17,.,
of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
srnpuon — -
ED & PA`!' BERGLE Table 3A Mechanical Coda OTY PRICE AMT
Job 1.3347 SW CLE,ARVIr'W WAY 11Permit Fee -o- -0- 10.00
Address _12pnw— OP
'I'IGARD, OREGON 97223 2) Supplemental Permit 3.00
umaca to luo.uou I.
ED & I)AYPY BEIRGER 1) Incl.ducts d vents 6.00
1116"AMS" urnace� ST +
Owner 13347 S.W. CLEARVIE'W WAY 2) incl. ducts d vents 7.50
Poor uor mance
T.IGARD, OREGON 97223 3) iml.vont 6.00
"`"' i1•v it
wail heater
ED & 7M BE RGER 4) or floor mour+aed ,eater 6.00
e"V-TnoTirZ. to
Occupant 13347 SW (_.I,EARVIEW WAY 5) appliance permit 3.011CWTU" zip
Repair of Foating,re ng. -
__ 'P_1GARD OREGON 97223 6) cooling,absorption unit 6.00
rMTer of comp, heat pump, air co
A-TEMP HEAPING & COOL _ 7) to 3 HP;absorp unit to 100K BTU 6.00
kkilor or comp, heat pump,air cot
GonVact3r
16000 SE EVEL _ST. 8) 3-111 HP;absorp unit to SOUK BTU 11.00
--8-'otter or comp,heat pump,err co
CLJI('KAMAS, OR 970-15 9) 15-30 HP;absorp unit.5.1 mil BTU 15.00
_77_ ter or comp, eat pump, air ca .
8JH 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50
eF@ re=y ac ci-no"Tiruggeta T ave read its app ice 7on��iat�ie' Boiler or comp, ea pump,air u:rj. —
information given is correct,that I am the owner or authorized agent 11) > 50 HP;absorp unit 1.75 mil BT!! 37.50
of the owrer, that plans submitted are in compliance with State Air handing unit to
laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.:i0
that the number given ii correct. (If exempt hom State registration, Xr handling unit
please give reason below.) 13) 10,000 CTM+ 7.50 1�
14) evaporate cooler 4.50
Vent an connect
15) to a single duct 3.00
1 antiaeon system not --
1 (� 16) included in appliance permit_ 4.50
Hood served y
17) ,^echanical exhaust 4 50
uoscnoe worA now a -iti7n. U alteraticr.]Lr---rr,,-p-a-ir-'C5- Commercial or industrial
to be done residential( non-iesidential Q 18) type incinerator 30.00
,sannF' 9 use 7 Uther i.e.,wos eve,water --
building or proper^, RES ID��'sI' 19) heater, sc,.ar, dod,as dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property RESIDP�-T
Type of fuel -oil 0 natural as " LPG 21) More that.4-per cutlet -
g (� Q electric(�
PERk"ITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL---- —
AUTI-URIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF COt:�i'RUCTION OR WORK IS SUSPENDED OR --
ABANCONEh ::CR A PERIOD OF 180 DAYS AT AN e TIME PLAN REVIEW 15%OF SUBTOTAL 5
4FTk!; :":CJRK IS CCMMENCED. ---
TOTAL _ � C
Special Conditions - ---•--- -- -
-- Date issued � � � -by
1i
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CITY OF TIOARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00481
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/15/03
SITE ADDRESS: 13347 'jVV CLEAR/IEW WY PARCEL: 2S104JC-02600
SUBDIVISION: BEfJC'-1VIEW ESTATES ZONING: R-;.5
BLOCK: LST: 026 JURISDICTION: TIG
CLASS OF WORK: AL1 GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINr-• ft
DISHWASHERS. RAIN DRAIN. ft
Remarks: I .stallation of 50'of water service.
Owner:
_ _ FEES —1
—_
�— — Description Date Amount
BERGER, EDMUNDE1 & PATRICIA M _
13347 SW CLEARVIEW WAY II'Ll!11141 1'crniit Fcc 9/15/03 $72-50
TIGARD, OR 97223 ITA X 1 `-o stun Tux 9/15/03 $580
Total $78.30
Phone : 503-590-1718 -- —
Contractor:
JACK HOWK PLUMBING
1910 NW BURNS DE
PORTLAND, OR 97030
REQUIRED INSPECTIONS
Phone : �u 3.235-8784 Water Line Insp -
Final Inspection
Reg #: LIC 23847
I'I_M 26-2081'13
This permit is issued subject to the regi 1lations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires YOU to follow rules adopted by the Oregon
Issued By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
JEP. 14.2003 E.:35AM JACK_HOWK PLUMBING NO.999 F'. 1
I I
Plalikdng Pelt n OMW
DetrMC lvedt 4 permitna.:/ ;y -c;c-,z. .,
A, City of 11 Phone: (503) 6391171 r Sewcrpennitao,1 huildingpermit to.:
Cicyq/77gdrti' Address: 13125 SW Fall EM.79gatd(W0= Pro)eex/oppl.no.-. 6tcplredate:
Fax: (503)598-1960 Dataissuod: B '', Rectiptno.:
Laced use approval: _ _- cue filo no.: _ Payment type:
i Sc 2 family dwtslling of accessory 0 Condnerwallindustrial U IVItilti-family Q Tenant imptn"ment
Q New construction 0 Additionlaltetationfroplect-ment 4[good smioe U Other:
soh address: 1 rtete
-�f� 1 �t� Fee op, oral
-end 1-Family dw
r uw
Qidg,no.: �. Suitene. (>dielttdeslaOR,�rem**My cuNmerlloed
Tex mttpltax Iott5ocount no.., SFR l bvh
Lot: � Block: St bdivisian: SPR )bat
1)-a art name:
City/county: t C rM" aft�. tm th/ ieti
DcacHpdon and on of work oo tam:ses: - 9keetfWtl'.yt
C.9t.date of con edon/ins tion: !� Dywc4 linckara n
d -
Foo' draht(no,10 ft,) _
Manufactured om
h ,3 utilities
_
Ctusineae mune: �dC'�� k Nianholos
Addrtase 11 /1)111n allnconttecwr
eery: Stete:d' zip, T atuw etower(no,lin,ft.)
17ax: J]-d &mnil: torte sewer nu. +p,ft.) -
`, CCI nn.: ,� hc4 t"1"mb,bug.ro .no:,a °Mrsavioo(no. ) UU
City/metro lie.no.: i << iElntirtre or Item
■
AbwVUon valve
Contractor's representative al nablM Baa tlrwVWftr
Prlat Haute:S * Backwater valve
aero avetory
Clothes waaw
Addtes�t /1 J/U 1,
Cit Stun ?.IP'
ReacrWatunp
Phone: Fax: f �Cj mali: Expansion tnk
eewat ca
Marne(jd7_t): ��1�1/�i ! e c oar oar a ub�__
Mailintaa{✓3y 7 S i�' 1 <+1 ' Iiaeo bib --- --
City_ raaW7
Phnue: Fax: +. E-mail: tetra two --
Ownar I,,1WIatio1VMIJWtia1 maintan-Mc only. The a-wx1 installation i'riMWA
will bL male by me or the maintenance and repair made by my regular Roof drain cotntnetu)
amployce on the property I own as per ORS Charter 40. ink(s).basinW,IAVS(s) -
Uwe signature: pate:
ntnr
Wahowertsbawer Pen
— •- ------•--- -- Wanuoloeet
Address:
_City: State: Z.fPe-F
FAX: -- _ &mall: Total
Not N:,lud�dlc�ont ncoepi ctedt ant.peso eat:JndRIC60 mems into n Notice:This t4+p0oetioe Mlnimtun fee $ _
Wn LI MUMC oo: l
M wetness If i permmit iA eaobtoa Plan review(at _ %) $
CMWI cad^��*w' width%I so devs after it bn beet% $tato curt%%stege(R9h)....$
"�eaTo st a eau w.+no ten accepted is domplew TO TAI, ........,......,.......5 M
--
niaiiwz _ s M"a"t .ao.a�6odor:..
CITY OF TIGARD 24-r1uu,
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BUP _
BUP
Received Date Requested AM PM BUP _
Location -..L'z__-�_q n ) Suite — MEC p,—
Contact Person __ Ph( 3) 23J 7` PLM
Contractor —__- -- Ph ( ) SWR —
BUILDING Tenwit/Owner _ ELC
Footing — ELC
Foundation ACCBSt: f, i'""7 17o _ ELR
Ftg Drain �G(� S � •�
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors — ^
Ext Sheath/Shear
Int Sheath/Shear
Framing — —
Insulation.
Drywall Nailing
Firewall �l
Fire Sprinkler —
Fire Alarm _
Susp'd Ceiling — —
Roof
Other:
Final
PASS _PART FAIL
PLUMBING —
Post& Beam
Under Slab — ----
R
sten:1 is — ——
San tart'Sewer 141 _
Rain Drains —
Catch Basin/Manh
Storm Drain —
Shower Pan
Other:
Final
Ai4S P T FAIL
_ H CAL —
Post&Beam
Rough-In --
Gas Line
Smoke Dampers — — -- -
Final
PASS PART_ FAIL
ELECTnICAL
Service
Rough In —
UG!S'ab
Low Voltage
Fire Alarm
Finai F-] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reinspection RE: Unable to inspect-no access
Fire S1 pp,LineADA 17
h
Approech/Sidewalk Disti' —-- Inspoetor
Other:
Final 010 NOT REMOVE this Inspection record from the fob sit•.
PASS PART FAIL