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7655 SW BOND STREET
CITY OF TIGARD MECHANICAL-
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE TSSUED: 02/07/97
SUBDIVISION. . BOND PARK
TYPE OF USE. . . . SF UNIT HEATERS. . - o VENT FANS. . . - 0
(1CCUPANrY GRP. . .-H2 VENTS WIO APPL. : 0 VENT SYSTEMS: 0
jq0. OF UNITS---- AIR HANDLING UNITS OTHER UNITS. : 0
` ,. . . �","^ . ^uv n��s cant } ac
�
7655 SW BONI) PRMT 25. 00 TAT 02/07/97 97-290071*',
[-*,ORTL.AND OR 97210
PeLl 62196 2"G,. 29 TOTAL,
REDUIPED INSPECTIONS
This pervit is issited subject to thF regulations contained in the Gas L-ine IVSp
Tigard Municipal Code, State Of Ore. Specialty Codes and all other Mechanical 7i)sp
applicable law-,. All lier', will be done in accordance kith Misc. Inspection
approved plans This pereit will expire if war� is not started Final Inspertiny,
within 180 days of issLance, Or if work is suspended for Pore
than Ir days.
All
,;C;Ilpcl Ily ;
fat- inspection 639--4175
�
�
^
Plan Check 0
CIT11' DF TIGARD Mechanical Permit Application Rec'dBv___ _
13125 SW HALL BLVD. Commercial and Residential Date Reca
TIGARD, OR 97223 `V\��-. Date to P E
(503) 639-4171, x304 � l Date to OST
Print or Type Permit it__lY1EC� j, l
Incomplete or illegible applications will not be accepted Called
Lv� Description
1=W \Naft- Table to Mechanical Gods QTY PRlC[ AMT
.lob SW"AdWM 3uw A) Prrmd Fee—�-- 0 -0 10.(10
Address - � V 1
okko CayrSuiu Lp 6) :supplemental Permit— 300
NOW ^_ O10irs" 1 1.) Fumace to 700,000 BTU —"—
Owner ��` ind.ducts 3 vents
!r 2.) Furnace 100,000 BTU+
7.50
,�e ind,ducts d vents
'1 f 3.) Floor Furnace -- — 6.00
ind.vent
N" arnWmW bAmul 4.) Suspended heater,was heater 6.00
_ or floor mounted heat"
Occupant Ma" **U 5.) Vent not ind.in— - -
3.00
_appliance permit
cowstm ZIP PhWw 6.) Boiler or
comp.heat pump,air cond. 6.00
to 3 HP:absorp and to 109K BTU L(
Naffw 7. Boder a -- —
cArrnP,heat pump,arc cond. 11 00
3-15 W.absup unit to 500K 13TU
Contractor MM"AMMO 8.) Biller or comp,heat pump,air cord. 15.00
15-30 HP.absorp unit.5-1 rTW BTI)
9.) 6oi er or hent
Ahad►coped J, } r. r10 w+or w ,r oornP, pump,air caxxl. 22.50
Current Licenses .1( _✓ l, ) 2 J 30-50 HP:absorp and , 1.75 mit BTU
Ca+r Clore t.�ra - E..v Dow 10.) Boiler or oomp,heat pun o.air cond. 37.50
.� - ,
___ 50 HP;absorp unit t 'nil BTU
COT Buoys tas w Woo s 01" .. 11 ) Air handling end to 4.50
10,000 CFM
Architect ram. 12.) Air handing and �-- 7.50
10.000 CTM+
_ _
or M'�"'9 A°`r'"' 13) Non portable A- 450
evaporate cooler
Engineer ce"stwe ZIP phww 14) Vent ran connedect —306 ---
_ to a"is dud
Describe work New O Addition M ARerabon O Repair O 15) Venbtariort system not 450
to be done _ResidendW O Non-risdential O included in appliance pemnd
Adddtonal Description of work ---� 16) Hood served by �—
mechanical exhauh 450
17) Domestic nonerators 7.50
Existing use of 181 Cormnerctal or industrial 3000
building or pmPertl► 1� I) �yy L _— type vicio rentor
19.) Clothes dry►rs,etc 4.50
Proposed use of I 20) Other unds - -� —— 450 —�
building�x property
Type of fuel-od O natural gas LPG c) eL—Cft O 21) Ga poring one to four outlets 2.00
I hereby acknowledge that 1 have read this application,that the 22) More than 4-per outlet (each) .50
infomnotior gr.ren is correct.that I am the owner or authorized agent of
the owner•that plans*bmdted are in compliance-with Oregon State QTY.SUBTOTAL -- -- -
laws.
Signature of Own*dAgent 0" ) — - -
��,�� k � ( L- � �rI I -- "SUBTOTAL
5%SURCHARGE
Contact Person Name — hOrlt PLAN REVIEW 25%OF SUBTOT,NL —
TOTAL _
cldstlrnechpmt.doc Winimwn permit fee 4 S25+5%surcharge
Rev 71%
i
RECEIVED
FEB o 6 i(i( r
COMMUNITY DEVELOPMENT
11.9me Layout ��`�
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Windows_ Windows Door- Walls Rcof Floors
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL_ PERMIT
J31255WHall Blvd,, Tigard, OR97223 (503)6394111 PERMIT #: ELC97--0069DATE- 1SSUED: 02/05/97
PARCEL: 2S i J.2CD--O?,100
_TTF ADDRESS. . . : 07695`1 SW BLIND ST
SUBDIVISION. . . . - BOND PARK 7ON T NG: R--12
BLOCK. . . . . . . . . . : LOT. . . . . . . . . _ — : 11
Project Description: instl 1 branch circuit
---RF:SIDFNTIAI.._ UNIT------ ----TEMP SRVC/FEEDERS------ -----MTSCF_L.LANEOUS----•--
1.000 9F OR LESS. 0 0 •-- 200 amp. . . . . . . : 0 PUMP! I RR I GAT I ON. . . . ; 0
EACH ADD' L 5009F. . . : 0 201 - 400 atop). . . . . . . : 0 SIGN/OIJT LINE LTG. . : 0
1 IMITED F_NERCY. . . . . : 0 401 F;00 amp. . . . . . . : 0 SIGNAL.'PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 4-1 6014amps-1000 volts. : 0 MINOR LABEL t10) . . . : 0
-SERV ICE/FEEDER _._.. -.._- BRANCl1 CT.RCUTTG)---_- - .-_-.-_ADD' I- INSPECTIONS— -
200
NSPECTIONS- -
200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
'01 400 :amp. . . . . . : 0 1st 1J/O ERW OR E=DR. : 1 PIER HOUR. . . . . . . . . . . : 0
1401 - 600 amp. . . . . . : 0 E:A Ann+ l_ 1ARMCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
x.01 - 1.V�00 amp. , . . . : 0 ___._ ..__._..___._..__...-F=�1__AN RE=VIEW �7ECTION----.-__._.--_..__._....__._.__.._
1.000+ amp/volt. . . . . ; (A ) =4 RES UNITS. . . . . . . . : > 600 V01_T NOMINAL. . :
fternnnrrt only. . . . . . 171 SV(" /FDR > = 2C`5 AMPS— : CLASS AREA/ SPEC OCC. :
Owner: __.__.__.---------._._._._.._...._.__.__________.__._.__----------_._____ FEES
TODD WA1_TON type amount by date recpt
;'655 SW BOND ST PRMT $ 35. 00 TAT 02/05/97 97-269967
5PCT $ 1. 75 TAT 02/05/97 97--2:69967
T I GARD OR 97223
"hone #:
Contractor: ---___--_------- _________---------._______-.--- --------__..____._-•---------____-_
1 ,HOENI X F_L.ECTRIC CO f 36.. 75 TOTAL_
7379 SW TECH CENTER DR.
_.____.._. REWIRED INSPECTIONS
-
i TGARD OR 13*7223 Cei l ing Cover Undergror_rnd Cov;
--,hone #: 503--694-3600 Wall Cover Elect' 1 Final
"og #. . : 2647 ^
'his perait is issued subject to the regulations contained in the
l igar•d Municipal Code, State of Ore. Specialty Codes and all othFr F ler•m i t t i gnat utt)
applicable laws. All work will he done in accordance with /((//
approved plans. This perait will expire if work is not started ! /( a
within 160 days of issuance, or if work is suspended for sore
I-han 100 days. I ti s t.r a cr By
-
0 W N E P 1NSTOLt_AT 10N nNI-Y.-_ - ...._ __.__....--•-.-•--.-_-- _ ... ..... .. ... _. .
the installation is being made nn property I own which is not intended for
ale, le +se, or rent .
'.OWNER' S S I C-lWTURE=: _� DATE:e _
INSTALLATION ONLY---.•---
I GNATURE OF SUPR. F l_EC' N: _ _ _ DATE:
I..I CENSE NO:
CcAll for' inspection - G39-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. l /
Tigard, OR 97223 Permit #
Date Issued _
Phone (503) 639-4171
CITY OF TIGARD FAX (503) 684-7297
TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Addressor ll r�\1` �L.A :4_Y)"'X �'_ _ Service included Items Cost(e.a) Sum
City/State/Zip \ come\\ C),k —� 4a, Residential -per unit
1000 sq ft or less $11000 a
Name (or name. Of bUSlnes9� 'L_l Fach additional 500 sci h or
portion thereof $2500
Commercial ❑ Residential Limited Energy 32500
Each Manurd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
r— tb. Services or Feeders
Electrical Contractor Installation.alteration,or relocahnn
_ X, > r_ 200 amps or less $6000 _ z
i
A dressy 2._ 201 amps to 400 amps $8000 2
CityN V. State �_ Zip 1 1 401 amps to 600 amps $12000 ^_ 2
-1 — 601 amps to 1000 amps 3180 00 _ 2
Phone No. 11, 11 to w u�J Li ) J. I r_�1 Over 1000 amps or volts _ $34000 2
Job NO. X01' -I'1.1.1 Reconnect only — — $5000 Y 2
contractor's license NO. - -1(1- 4c. Temporary Services or Feeders
Contractor's Board Reg, No. Installation,alteration,or relocation
Signature of Supr Elec'n_Iffr.��� — 200 amps or less _ 2
License No Lf��(OS fi'hone No. '' i 201 amps to 400 amps $5000 2
401 amps to 600 amps $7500 2
Over 600 amps to 1000 volts $10000 —
2b. For owner installations: see'b"above
4d. Branch Circuits
Print Owner's Name_ New.alteration or extension per pane
Address a)The fee for branch circuits with
City StateZip_ purchase of service or feeder lee 2
Each branch circuit $500
Phone No. b)The fee for branch clrcults without
The installation is being made on property I own which is purchase of service or feeder tee.
�—
not intended for sale, lease Or rent. First branch circuit 335 00Fach additional branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not Included) 2
Each pump or Irrigation circle $40.00 2
3. Plan Review section (if required): Each sign or ouulne lighting $4000 _ ---
Signal circult(s)or a limited energy 2
Please check appropriate Item and enter fee In section 5B. panel•alteration or extension $40.00
4 or more residential units in one structure Minor Lahele(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 411. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $'.15 no
Per hour $55 oc
In plant $51,00
Submit 2 sets of plans with application where any of the above
apply Not required for temporary construction services 5. Fees:
NOTICE 5a. enter total of above fees $ I�
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
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) g
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS SW' *at g
COMMENCED. —011— C_I i rust Account #
Balance Due $
Community Development ELECTRICAL PERMIT ,APPLICATION
13 SW Hal! Blvd.
Tigard, OR 97223 Permit # rJ
Date Issued _
Phone (503) 639-4171
CITY OF TIGA�D FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 6394175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development__ Number of Inspections per permit allowed
Address )I ice. l.t Service included Items Cost(ea) Sum
City/State/Zip\ V, f"', (-'A� C�` �a�� 4a. Residential -per unit
1000 sq. ft or less $11r no
Name (or name of businessil t Each additional 500 sq If or
porllon thereof $1500
Commercial ❑ Residential Limited Energy $2,100
Fach Manurd Hnme nr Moduli
Dwelling Service or Feeder $60 n i
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor �� Installation,alteration,or relocation
200 amps or less $6000 _
Address',-]cj _y .t�1, r_ 201 amps to 400 snips $80.00
City l 'CC Stated Zip? ', 401 amps to 600 amps $120.00
,� , 601 amps to 1000 amps $180.00 2
Phone No. ur /1 r1_/ f Over 1000 amps or volts $340.00 7
Job NO. �.)�,, `I Reconnect only $5000
contractor's license NO. ='
�—� E�o 4c. Temporary Services or Feeders
Contractor's Board Reg. No. Ja" '7
installation,alteration,or relocation
Signature of Supr. Elec'n _ I 200 amps or less
L!�ei ise No. Ul hone No. ` I 201 amps to 400 amps $5000
- �---- 401 amps to 600 amps $75.00
Over 600 amps to 1000 volts $100.00 -
2b. For owner installations: see"b"above
P4d. Branch Circuits
Print Owner's Name
New,alteration or extension per pane
Address _ _ a)The fee for branch circuits with
City__. State. Zip purchase of service or feeder fee. 2
Each branch circuli $500
Phone No. —_ b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service o►/eadar roe 2
r (
not intended for sale, I@aS@ Or fent. First branch circuit $35 00 2Each additional branch circuit $5.00
Owner's Signature_ 4e Miscellaneous
(Service or feeder not Included) 2
3. Plan Review section (if required): Each pump or Irrigation circle $4000 2
Each sign or outline lighting $4000 --
Signal circuit($)or a limited energy
Please check appropriate Item and enter fee in section 68. panel,elterstlon or extension $4000
4 or more residential units in one structure Minor Labels(10) 11110000
Sen rce and feeder 225 amps or more 4f. Each additional
System over 600 volts nominal Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per inspection -_ $1500
Per hour $5500 _
In Pinnt $5500 _
Submit 2 sets of plans with application where any of the above ---
apply. Not required for temporary construction services. 5, Fees:
NOTICE 6a. Enter total of above fees $ 3L. o
5%Surcharge (Ur, x total fees) $
PERMIT�.i Subtotal BECOME VOID IF WORK OR CONSTRUCTION $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) S _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED Trust Account N
$
Balance Due $