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07405 SW Bi-;✓GLAiND, RD _
CITY OF TIGARD
DF-WELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
i. Ifs 1BS. . . 1 07 405 ';W 9E Uk_LFt1t1) FYI
A»I v,t,' '1 dN. . . . : I-IE MC30 PARK
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USE. . . . ;sr IJN I' HVITE R17 . : 0 Va Pr T F MS. . . .
YLLQRr. :P3 VENTS
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B )1;.'r..R.miCJMP ?rr50t F, HrO:.lO"awDSr', ".�7.t•;�. �.
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T RI.: MIM�'!'.F1^''. . : :'0--50 :�. . . . : 0 6,��" OD yTOVES. . : ^'
r �'l T 1714 ri1 1t"t.� , . 1.p�0, C.,1_0 DRYERF ..
f.l, r- t.1N1 l r .. .. .. _.............. A t R, HP,N1D I..III r; l..NI I�;. rte-' ,�f�'.I.1'[ � N I '1.
i.17ZN { P,—: 0 c 10000" L f 4l :.;fly i.):..' 1_r, c 1.
"'N .* "+ +"' PTt ' . 0 10000 c rm : 0
Add its p.piq (one to four outlets) to an existing single fasily EE
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k. -L A AM tJ F�1`.1Jt.,.C. -.�;��.. k d m 0 k.i i I t. I.!r 1 I.i,r:,
h,ill6t 444
., IOt Dl—r. 1IIBTRU L~ (317( Tri;.)
as}� W j}31 if1h1 �"a 5FRRV RD _.... . ...,_. .._.__. ._.. ..... ...... .._
L*
lo.'WitJ s,6bjviI 'a he regalatict:s cor-taieeb tti t`:t Gil ;.. i.t'ie'
.sic l ode, State tr Cre. Specialty Codes and all "e+'
,,j,:i.:atle 1" All 4vii wi t br done in sccordrice ,itC i , ral hill-'c'ut, { of
,orovsd pl0i, 1h, a pervit «:li egpve if work not itarta
.this! 110 dgii of istiaa a, or if work is susprJoe for gore
v 19e data, A7T ^1 t j'rgon law -r;oires to follow riles
:opted by the ,^,ey Utility wa1: ,`r.,, at-on Center. Thost ',''e- ;-e _...__..._._.._.._._.._..._.._ __ ...
farkt in DAR ?'24e"l-fte th-oq (' 4'S" t'fRt P,g. Yru eai -
i ! $ o,e rules at dirert question: to OLK '�y ca;'.;,,g
i ILA 11
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City of Tigard MECH iANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # mfV
Tigard, OR 97223
(503) 639-4171
-7LI Ce r�� rZ}}I�1� Table 3A Mechanical Code_- QTY -PRICE AMT_
Jab �w 1) Permit Fee •0- o 1000
Address _ — - - - ---- -- ----- ----
1 2) Supplemental Permit '00
�fL c-'r*Zn1•� T 1) Incl. ducts 6 vents - 6.00
Fui -5ce"11tfa;66�:�TiT4-- -
I I
Owner � iJ i�v 2) Incl. ducts 4 vents 1.50
or urnanr'e -
3) Incl vFni _ _ 6.00
-_ moo 14) or floor mounted heater 6,00
ma"Am M--" II
-- —V-Ten -non
Ocrtipant �� � 5) appliance permit 3.00
-TIepair bT hea ing-1'reTrp --
6) cooling,absorpdan unit 6.00
� ;�- r,ei oor canp,Fe'Tpump, err'con'T-
1 �i ") �`�T�C'lf�l3�( IC ► ?�;� 71 to 3 HP absorp unit to 100K BTU -6.00
Boiler or curnp, a pump,air co
t SUf r 0) 3-15 HP absorp unit to 500K BTU 11.00
contrar.tor rr _ — Soil or comp, 5 ea pump,acro
o(LY{ '�llL� L 1 6
91 15.30 HP absorp unit.5.1 mil BTU 15.00
1 •� •, . Bailor o;corrlppeh 5T-pump,air cond. -
6/-� c1 10) 3050 HF absorp unit 1-1.75 mil BTU - ::2.50
Fero5v ea owe ge that I have rohd thitt app Ica ion, itfaTTF�e- i er or comp, ea pump, air con .
Information given Is correct,that I am the owner or•authorized agent 1 t) >50 HP absorp unit 1.75 mil BTU -37.50
of the own ar,that plans submitted are In compliance with State -- .0 an ing Unit(o"-.
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFfil 4.50
that the number given Is correct. (If exempt from State registaton, .ir an ng unit---
please give reason below.) 13) 10,000 CTM + 7.50
-- ---_-_ - ---- - -•-- on Por ,a ---- - - - -
14) evaporate cooler - 4.50
----
15) to a single duct 3.00
--- - - --- --eriuTa iron sy'-ahem not--"' -
16) Inclu*d Is•appliance permit 4.50
Tuaw.r;„«s,$.-q Hoo eenE�b�
i7) mechanichl exhaust 4.50
Uq-sCH e W-0-r ' now - - nimCF�Ni nor i&sM-`-----to be done residentlal a non resldental O 16) typs Incinerator 30.00
Existing use of-- n - -t'1>3'ie`r tal-wozaT<�e waret--
building or property `-�1~ 1 J 19) heste(_solar,rindhe dryers,etc.- 4.50
Proposed use of 20) Gas piping one tr,fou. outlets 2.00 Z,�`
building or property
21) More than 4 par a tet
Type of fuel oil O natuiel gas LPr3 O electric O -�- o-"- --
1,41nir ma Fee!1121:.(70 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION --^ -- —
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR 5%SURCHAROE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -- - - -- -" -- --- -- - -
ABANDONED FOR A PERIOD OF 100 DAYS AT ANY TIME PLAN HEVILW 25%OF StrBTOTAL
AFTER WORK IS COMMENCED. -L-•---- _
T01AL �
Special Conditions---_--- ---__ _- ,- --- -I
--. -.-- ---- - Date Issued by --
1.11EGICl/T
.Wcend.r
r CITY OF
T I GA R D ELECTRICAL PERMIT —
DEVELOPMENT SERVICESPERMIT#: ELC2000-00661
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12iO4/2000
SIVE ADDRESS: 07405 SW BEVELAND F?L} PARCEL: 2S10'1A13-01600
SUBDIVISION: HERMOSO PARK
BLOCK: ZONING:
LOT : 018 JURISDICTION: T!"
Project Description: New electrical service drop. Job No. 79351-201 - Lewes Projec+.
_ _RESIDFLES UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS
100(1 5F OR LESS: -- - - ---
EACH ADD'L 500SI : ^0 200 amp: PIJMP/IRRIGATION:
l -
L{MITFD ENERGY: 400 amp: SIGNIOUT LINE L.TG:
a -
MANF SIM/SVC/FDR: 401 600 amn: SIGNAL/PANEL:
601+amps - I000 volts: MINOR LABEL (10):
------SERVICE/FEEDER — _ BRANCH CIRCUITS
0 - 200 amp: 1 W/SERVICE OR FEEDER: ADD'L INSPECT IONS
2.01 - 400 amp:
1st W/(?SRVC OR FDFPER INSPECTION:
401 - 600 amp: EA ADD'L BRNCH CIRC PER HOUR:
601 - 1000 amp:mIN PLANT:
FLAN_REVIEW_SEC_TION _
1000+ an/volt: —4 RES UNITS: - d00 VOLT NOMINAL:
Reconnem only: SVC/FDR >= 2.25 AMPS: _ —_ CI_A_Sa AREA/SPEC OCC:
Owner: Contractor: T_
ERDI_E, WILLIAM J ELECTRICAL CONSTRUCTION CO
-7405 SW BE'VELAND RD PO BOX 10286
1'GARD, OR 972.23 DOR TLAND, OR 972%
Phone: Phone: 224-3511
Rep#: LIC 049737
SUP 2986S
ELF 26-45C
FEES
Type By Date An,., �- __ Required Inspections
_ .unt Receipt --- --.___�
t lect'I Service
PRMT CTR 12/04/200C 580.30 2720000000(
Elect'I Final
5PC1 CTR 12/04!200[ $6.43 2720000000(
Total
$86.73
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all o'her 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 mo-e than 180 days. ATTENTIONOregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a re set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1981
PERMITT EE'S SIGNATURE
ISSUED BY:
_ __OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, !ease, or rent. `- -
OWNE'R'S SIGNATURE:
-_ DATE:
CONTRACTOR INSTALLATION ONLY
crGN<\TUBE ()r- ^UI'R. ELEC'N: ------ -•
_.------------------ ___--- NATE:
LICENSE NO: -
Call 639-1175 by 7 00prn for an inspection the next business day —
11/29/2000 14:29 15032953012 E C COMPANY PAGE 05
0/&('10
Electrics Permit Application
---- -. --- Datemcwvcd: 1/12f1n) Permit no.:t'1-CAre-0OG(o�
C 4'
1�' O �'igart ��I1�� �'"Pb �� projectiappl.no.: Expire date: --
C,ry 1lrA�r� Address: 13125 SW Hail i1 vc�Ti rad Uk �' Date issued: Byt1J Rec.eiptno�: -
Phone; (503) 6 i9 4171`�t 61
fiD rd -- —
Case file no.: Payment type.
Fax: (503) 598-1960 tAaII Gt' to' G j IG —��--
Land use approval:
7-j-11 2 family dwelling;or accessory ommemia.Vinduvrial -1 Multi family O Teniant improvement
construction U Add ition/alterat ionhepincemenr U Other. - — U Partial
Job adduces: Bldg no .__], na.: Tax ma / InUaccount no.;
--
Lot: Block tiubdivision:
Project ntune: w�' I>}Z. 6cnption and location of work on premisr.s:nCN/ AJ_3 C�
E.sunratrd date of compirtior6w, ertd019 _
Fee Max
Jobno- $ _� - _
DesreloUun _ Qry• �+c Total no,insp
Busine14snatne: 1 11,r1 GonS,Firueh'en�� ' Ne1vr�^' ryd singk•nrraulti•GmtlYl-T
Address: O g V dvmlllneunh.includes otmehedgawMmp.
Cit State: ZIP 1liervicelaclu".
11100 sq,ft.or leas 4
Phone %It' Fax 1? mail: -Each sddidonel 500 cq.ft or genion thereof
lee s.lie-,no: - -�_ Limited energy,resldenllal z
City/metro o.: i_loqal� Limiladener y,non•tesidentid 2
To 'Each manufacturer)horns or modular dwelling
Serviceuid/orfeeder3lgnature of su rvis n letic!n roSff_kq -- - I
--
Q orfeeder%-Installation,
Sup,elect,name( nnt); Lieatile nu'r alt'nlion ur relocation:
200 amps of lees
201 amp!to 460 amps
Name tint): _ _ - 2-
401 ompa to 600 amps _
Mailing address: _ 601 amps to 1000 amps 2
City: — State: ZIP: — t)rer 1000 ompa or vola _ --- 2
Phone: Fax E-mail: Reconnect only
Owner installation:The installation is being made on property I own Teropo ary aereicea or feeder-
in tilledon,alterstlnn,or relocation:
which is not intended for sale,lease,rent,or a:change according to 200 amps ui less 2
OPTS 447,455,479,6'10,701. 201 ami to 400 amps _— 2
Owner's signature. Date; 401 to 600 amps 2
ranch eltrults-new,alteration,
or txlenslon per panel:
]Name: A Fee fnr branch circuits with purchase of
Address: smite or feeder fee,each branch circuit 2
Clue �— State: ZIP: B. Fee fer branch circuits without purchase
- of service or render fee,first branch circuil: _ 2
Phone: Fax: -mail: EEli i additional branch cir-lift:
"lot.i,ery ee at teeder not Included)!
O same*over 223 ramps-eomnrenid ❑Health-care facility Fadi um or irrigation rirrle - 2
0 Service over'20 amps rating of 1&2 U Hazardous location Bach sign or outline lighting Z_ ,.
farruly dvrallings 0 Budding over 10,000 square feel Porc:uit(sl or a limited energy panel,
four or Signal c
USystemover(Wvdunonund more residential uniisinone structure alteration,or extension" — _ —?
*Building over three atmie! OFerActs,40namps orrrote •paacn tion___ —
occupant load over 99 persons 0 Manufactured suueturms or RV park Each pddltional btspectIm over the allowable in any of the above:
0 Gyn4allightingplan 7 Other ,------ -- Par inspection
Submit_ stir 1 plana with an,of the abnva. Invesugationtcx 1'%e above above are not applicable to temporary construction setwiet. l7ther
-- Permit fee...........
Not all juHt cu.nm crop crank evils,plena earl 11111x1401011 rot m..inlarnauon. Notice:This pettr,it application . S -
CI Viae O maste.Card expires if a permit is rot obtained Plan review(at — fir) S _-
Credit card numta!.-_ within Igo days after it has been State surcharge 0%) ....$
- 6r Ira
e M r, u c accepted ai complete.
' �1�rBe o�eR�oleler u w -- s
cardd 01 aig�fill C - Amauel 41DdeIS(rirrXVCOM>
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection line: 639-4175 Business Line: 639-4171 —�—
BIJP
RegUested__/7' LU _ AM _PM _ BLD
Location— '7 5 S ti. ��v! �w�_ Suite -- _ MEG
Contact Person --�_ Ph Zy 3 ~ 3.)- PLM —_
Contractor _ _ _ Ph _ SWR -----
BUILDING � Tenant/Owner --_ _— ELC _�'c&A., GL
Retaining Wall ELR
Footing Access: -- - ----
Foundation FPS
Ftg Drain — SGN
Crawl Drain Inspection Notes: --------- --
Slab -- — -- ------- - SIT
Post&Beam ---"- -"-----
Ext Sheath/Shear _
Int Sheath/Shear - --
Framing - -- - -- -------------- -- --- ---
Insulation
Drywall Nailing _ —_-- ---- ----- ----- ---
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc:—_ — - - - -'��•� d.
Final
PASS PART FAIL ------- ---------
PLUMBING
Post& Beam -- ------u-------- - —
Under Slab
Top Out -- ------Water Service
Service _
_ -----------
Sanitary Sewer -
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Berm - -- -- -- ---- - ------ - ---
Rough In
Gas Line -- - --._---- _--
Smoke Dampers
Final ---- - ----- ------ ----
PAS T FAIL
fLECT1 RIC
Rough In
UG/Slab
Low Voltage - --- ---------- - _. ------- -
Fire,Alarm ----.___--
n I�
A S,-)1
PART FAIL ---------- - -- - -------
SITE
Backfill/Grading - ''--- -- —
Sanitary Sewer
Storm Drain ( ]Reinspection fec of$ - requked before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ] ease cpec
Plall for reinspection RE: _ _- _ �" [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date Zi —
I —7 _ Ext
7 Inspector —
Final
LASS PART FAIL-- DO NOT REMOVE this insperi:tion reco-d from the jots site.