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InitiallyGood 1 H 0 Ln E CE) C H H n H N c+ 0 rA H I' 1 E 11810 SW BURLCREST DRIUE f: CITY OF'IWARD BUILDING INSPECTION DIVISION 24-Hour Inspection�Line: 6394175 Bu,iness Phone: 639-4171 Date Requested: — 14— I 0 A.M. P.M. MST: Location: BUP: Tenant:_ --_ -- Suite: Bldg: NEC: Contractor._ Phone: =16" q� _ PLM: Owner: 'hone: _ ELC: � _ STT: BUILDING ___14col LiJM,9ING MECHANICAL ELECTRIC SITIr Site Post/Beam Post/Hear,� Post-jeamov�ice Sewer/Storm FootinK Roof UndFI/Slab Robgh-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foratdation Insulation Sewer Hood/Ihtct Reconnect Vault Bvmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab ShemiSheath Fire Spklr/Alm Crawl/Found Dr (Leat Pump Low Volt Approved Approvr Approved Approved Approved Appr/Sdwlk Not Approved Not Ap fn.:ed Not Approved NaLAMOved Not Approved FINAL FINAL ANAL AL FINAL 17 Call for reinspection n Reinstxchon fee of S required bef,re ext inspection 17 Unable to inspect – 'L Inspector: � � lite: /—�y -- -- ----- — _— Page of CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SSV Blvd.Tigard,Oregon 97223.8199 (503)839-4171 [1 l City of Tigard MECHANICAL PERMIT Planck/Rec. # ____ 13125 sw Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 Description - — TaLla 3A Mechanical Code CITY PRICE AMT Jot1 1,��J (-�.. V 1) PeriritFee ov 10.00 Addrr ;s W. — l�i Cj(L- C1 1 - 2) Supplemental Permit 3.00 - ----- - .»�--40 V�6;1bxf.«. Tna,e to 100,000 BTU - _ ,1}k N 1 4,'U 1 1 ' 4 L. 4 , 1) incl. ducts 8 v©nts 6 00 "' — urnare 100,000 BTU 4- ow ,,,r 2) incl. ducts 3 vents 7.50 Floor Furnance G>�L C ^j 3) incl. vent 600 N 4141•° uspended heater,wall heater 4) or floor mounted heater 6.00 "• ent not inc.in fJCCiaoarlt 5) appliance permit 300 Repair of heating,refng. 6) cooling,absorption unit 600 --- -- '" i er or com eat um --- t� P. P R air con . 7) to 3 HP absorp unit to 100K BTU 6011 M.deo "' �i w. or cornp, eat pump,air cond. _�� °j 3-15 HP absorp unit to 500K BTU 11.00 Contractor Tw Boiler or comp,heat pump,air cond. — 1( - 'C C1 /,- ?`1..� 9) 15.30 HP absorp unit.5-1 mil BTU 15.00 "'•M04186M •°N. Boiler or comp,heat pump,air cond. -w 2� ]Z-.) 10) 30-50 HP absorp unit 1-1.75 mil B u 22.50 f7Fe r7—yacknowl edge that I have read is application,that the Boiler or comp, heat pump, air conte information given is currect,that I am the owner or authorized agent 1 1) > 50 HP absorp unit 1.75 mil BTJ 3150 of the owner,that plans submittad are in rnmplianre with State Air handl,ng'unit to - - le�ws,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 rerlistration, it handling unit — please give reason below.) 13) 10,000 CTM. 7.50 Non portable 14) evaporate cooler 4.50 e—T.in connected 15) to a single dud 3.00 2 Ventilation system not 16) included in appliance permit 4.50 17) mechanicil exhaust 4.50 describe work new additionUa terabon ropair 0 Cornmercial or mdustnal to be done residential 0 nnn-residential 0 18) type incinerator 30.00 xishng use of Odier i.e.,w stove,water building or property_— 19) heater,solar,clothes dryers,etc. 4.50 Pioposed use of 20) Gas piping one to lour outlets 2.00 building or property - -- — -- Type o.fuel-oil21) More than 4-per outlet -_-- 0 natural aas-0 LPG(� e'bctdc� — --- _- 7 TICE Minimurn Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OP CONSTRUCTION AUTHORIZED IS NOT COMME010ED WITHIN 160 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WOR'(IS SUSPENDED OR - ---- -- ABANDONED FOR A PERIOC OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. — 10TAL Special Condffons Date issued,—_ _by -_— 6.,Wra4A+T i 17 CITY O F TIG ° R D ELECTRICAL PERMIT PERMIT #: ELC97-0758 DEVELOPMENT SERVICES DATE ISSUED: 11/17/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: IS134CA-06700 SITE ADDRESS. . . : 11-81.0 SW BURLCREST DR SUBDIVISION. . . . :BURL..WOOD NO. ZONING:R-4. 5 BLOCK,. . . . . . . . . . : LOT. . . . . . . . . . . . . .00-7 JURISDICTION: TIG Project Description : Installing service or feedrrto2@@asps UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS——- 1000 SF OR LESS. . . . : 0 0 — 2:100 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L. 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L-TG. . -. 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PIANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amp9- 1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0 ------SERVICE/FEEDER------- ---------BRANCH CIRCUI ----ADDIL INSPECTIONS----- 0 200 amp. . . . . . : I W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 .?01 400 amp. . . . . . : 0 1 at W/O SRVC OR FDR.: 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT.. . . . . . . . . . . : 0 6 711 -- 100 0 REVIEW SECTION—------- 1000+ amp/volt.....: 0 ) =4 RES UNITS. . . . . . . . > 600 VOLT NOMINAL. . : Reconnect only. . . . . 0 SVC/FDR AMPS. CLASS AREA/SPEC OCC. : Owl,er: FEES ------------------ CALLAHAN, ROD & MELITA type amoi.tnt by date recpt 11970 SW WALNUT ST PRMT $ 60. 00 JD 1. 1/17/'97 97-301000 TIGARD OR 97223 5PCT $ 7:5. 00 JI) 11/17/97 97-301000 Phone #: Contractor t --------------------------------------------------------------------- OWNER $ 63. 00 TOTAL REQUIRED INSPECTIONS Roo.tgh-.in Elect' l Final Phone #: Elect' I Service Reg #. . : 9999149 This permit is issued subject to the regulations contained in the Tigard muninpal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approves plans. This permit will expire if work is not -1arted within 180 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifiration Center. Those rules are set forth in DAR 952-081-0010 through BAR 952-001-1987. You may obtain a copy of these rules or direct questions to DUNG Py ca�lin 3 (5031246-1987. f.? M I t 1:v P (-)I g T 1-1 t 1.1 r-P ...... ------------------------------OWNER INSTALLATION The installation is being de or),, property I own which is not intended fat- sale, lease, at, rent OWNER' S SIGNATURE D ATE INSTALLATION SIGNATURE OF SUPR. ELECIN: DATE: LICENSE NO: ++*............................#.....................4...........................41 Call 639--4175 by 7-00 p. m. for an inspection needed the next bi-isiness day ................6_4........................4........................................ CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HALL BLVD. Recd By ) P. TIGARD OR 97223 Date Rec'd I t" I j Date to P.E. Phone(503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit a EJC 9 01 7f Fax (503) 684-7297 Called-- 1. Job Address: 4. Complete Fee Schedule below: Name of Development „ 1 _ Number of Inspections per permit allowed -- Name(or name of business) 04* me//:k h Service included: Items Cast Sum Address-&6s V1^ �. __�_ 4a. Residential-per unit i) �7 1000 sq.ft.or less %110.00 _ q City/State/Zip / Qr � "i �_� Each additional 500 sq.ft.or Commercial ❑ Residential portion thereof _- $25.00 I Limited Energy � $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: ` (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Installation,alteration,or relocation 200 amps or less $60.00201 amps to 400 amps 8 0.00 00 citdfeSS_. State -__ Zip `-- 401 amps to 600 amps $120.00 Phone No. _ 601 amps to 1000 amps $180.00 _ 2 lob No. Over 1000 amps or volts $340.00 Reconnect only $50.00 Elec. Cont. Lice. No. Exp.Date OR State CCB Reg. No. __Exp.Date 4c.Temporary Services or Feelers COT Business Tax or Metro NO. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. Exp.Date see"b"above. F!.one No. 4d.Branch Circuits NRw,n1teratinn nt nxtnnsinn per panel 2b. For owner Installations: a1 The fee for branch circuits with n�. /G�, purchase of service or Print Owner's NanneT q �� _�I� feeder too. Address ]N/ 70 Each branch circuit $5.00 ..►� - - - h)Tho fee for branch circuits City- 1 a►i State-OAK Zip gja,aj 3 _.. . without purchase o/ Phone ND. 0 - 9 Zservice or feeder lee. First branch circuit $35.00 The installation is being made on property I own which is not Ea:,h additional brench circuit_ $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Si natur ��jAJ//,w� ////�� (Service or feeder not includ9d) - 9 kA-a-��l __- Each pump or irrigation circle $40.00 2 /// Each sign or outline lighting $40.00 2 J. Ph Review section (if required):" Signal circuit(s)or a limited energy panel,alteration or extension $40.00 -- 2 Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00-- 4 or more residential units In one structure 4f.Each additional Inspection over 3ervice and feeder 225 amps or more the allowable In any of the above _System over 600 volts nominal Per inspection $35.00 Classified area or struc ure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 *Submit 2 sets of plana with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ ' 56.Enter evi of line 5for PE.�MITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review 11 required(Sec.3) $ NOT COMMENCED WITH,N 180 DAYS,OR IF CONSTRUCTICN OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Tr ist A,.cuum 0 Total.haience Due $ 1 0STSTI.C96 APP Rev WK