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A CITY OF T I G A R D MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC98-171251
DHTE ISSUED: 06126198
PARCEL:
!31 f'E ADDRESS. . . : 09990 SW KABLE ST
SURD I V I S I ON. . . . : GULF SIDE ESTATES NO. 2 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0:34 JURISDICTION: TIG
---------------------------------------
CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF' USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORI,--1 S. . . . . . . . . 0 POILERS/COMPRES-SC)RS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 1. DOMES. INCIN: 0
:GAS 3-15 HVI. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 STU 15-30 HP. . . . : 0 REPAIR UNITS: o
F1 RE DAMPERS?. . : 30-50 HP. . . . : 0 b ()ODSTOUE.S. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. , : 0
NO. OF AIR HANDL-ING UN I T 5 OTHER UNITS. 0
FURN ( 100K BTLI- Q, <= 10000 f-fm : 0 GAS OUTI-ErS. 0
TURN ) =100K BT13: 0 > 10000 cfm: 0
Remarks : Installation o' exterior A/C unit to residence. unit cannot be placed
within the required setbacks.
Owner,.- FEES
CHRIS SWAN type amol-int by date reept
9990 5W KABLE ST PIRMT $ 25. 00 DLH 06/26/98 98-306866
TIGARD OR 97224 5PC T- $ 1. 25 DLH 06/26/98 98-306866
Phone #: 62'4-972.7
Contt-ar2tot- .-
JACOBS HEATING & A/c
44*74 SE MILWAUKIE AVE
$ 2F,.. aj -rOTAL.
PORTLAND OR 97202
Phone #: 503-234-7,331
Reg #, . : 000014 REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialtv Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if mork is suspended for mare
;han IN days. ATTENTION: Oregon law requires you to follow rubs
adnp+ed by the Oregon Utility Notification Center, Those rules are
set forth in DAR 95?-901-*1@ through DAR 952-011M. You may
obtain copies of these rules or direct questions to OW by calling
(503)246-9W.
1 ,5 tt e LA v Pe V-m, t t e e S i gnat I-o'c
4 ++++A ......4-+++-+++4......4-+4-+++-4--+++++++-++++-+++4- F++++ ++++++++++++++++++++++-F+++4
Cal I 639-A175 by 7:00 p. m. far inspections needed the next bi.ls inpss
+++++++ .......4-+4....................4-++4++-+++4--!---++++++++-1 4-++++4 4++,++-++++-+
CITY OF TIGARD Mechanical Permit A licati Plan Check p_
13125 SW HALL BLVD. PF Recd h N
Commercial and Res �iitial Date Recd—E�
TIGARD, OR 97223 Date to P E _
(503) 639-4171, x304 Zf
��j I� Date to DST
Print or Ty -f -- /� Permit a �F�'9�P- C 7_S'%
Incomplete or illegible applications will not be accep ed Called_
ofdvelopmenUprpiny Description
C ' I � Table 1A Mechanics i Code OTY PRICE AMT
Job str t a n:52 Sudan A) Permit Fee - —
0- 10.00
Address
Badge CiryiStata Zip 1 ) Fumace to 10Q000 BTU
G , ->-� 6Ou
i �• 't-� including ducts&vents
risme for name of business)
i 2.) Furnace 100,000 B'rU+
Owner /^` ry i 7 50
Y" including duds&vents
M4 fGod
�Jj 5.00
vsnt
G Bincludin
tets
L Zip Nh°af •�` 4.) Suspended heater,wall heater 6.00
'f or floor mounted heater
I?J nems or business) it 5.) Vero not included in appliance pemut -
3.00
OCCupLnt Me"dre
y+ A s ��- —
' 6) Boiler or:omp,heat purno,air Gond. ) 600
1 Y to 3 HP;absorb and to 10OK SST- I
C
tote Zip o
` -�'� Nen 7) Boiler or comp,heat pump,air Gond. 1100
3.15 HP;absorb unit to 500K BTU-
NameCOntraCtOr 8) Boiler or comp,heat pump,air cond 15.00
(Prior to W7C.
+ �� 15-30 HP;absorb unit.5-1 mil BTU'"
issuance NAlling Address T— 4) Boiler or camp,heat pump,air Gond
applicant '� 22.50
30-50 HP;absorb unit 1-1.75milBTU" _
must provide all CAyi s i P
-� h" 10) Boilet or comp,heat pump,air cand.
contractor � 37.50>50 HP;absorb unit 1.75 mil BTU**
license on Conti.
cant.pwrd L c a Exp,p--z 11.1 Air handling unit to 10,000 CFAI
Information j`7 I 4.50
for COT COT Busne 'T orm x Us 12.) Air handhng unit 10.00G CFM
_database) y( 750
Architect Name _ 13) Non-portable evaporato cooler _
4.50
or Meting Address 14) Vent fan connected to a single duct 3 00
Engineer cityistate Zip Phone 15.) Ventilation system not included in 4.50
c4,��- appliance permit
Desbecnwork Newdddion O Afterati- O Repair O 16) Hood served by mechanical exhaust
to be done Resident C Non-residential O 4.50
Adddtonal Description of work A -17) Domestic incinerators7, '-
1 50
18) Commercial or industrial type 3000
' _ Incinerator
Existing use of ,--�r 19) Repair urrts F
auilding or property 1%'!i;,�if�`i'►f7� _ _ 4,50 --
20) Wood stove 4 50
Proposed use of - y --
building or property L2/�i,tti,� 21 ) Cbthes dryer,etc 4 50
22) Other units _ 4 50
Type of fuel•oil O natural gas, LPG O electnc O 23.) Gas p ptng one to four outlets � - 2 00
I hereby acknowledge that—1have read th s apphcatior that the A 2A) More than 4-per outlets(each) —
information given is correct,that I am the owner or authorized agent of 50
the owner,that plans submitted are in compliance wdh Oregon State QTY SUBTOTAL
jSi
s
nature of Ownei/Agent Date •SL9TOTAL-'�------- --
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL I F
7 .� ( --- _ TOTAL 17
dsiVrtechpmt.doc (rev 9 'Minimum permit fes is 525+5%surcharge
•"Residentip A/C requires site plan howing placement of and
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CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0343
L
AMIARM 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/25/98
PARCEL: 2S111CA-03000
is I E ADDRESS. . . -.09990 SW KABLE ST
SUBDTVISTON. . . . :61J' F SIDE ESTATES NO. 2 ZONING:R-7
BLOCK. . . . . . .. . . . : LOT. . . . . . . . . . . . . :034 JURISDICTION; TIG
Project Description" Swan
---------------------------------------------------------------
---RFSIDENTIAL- (JN[T------- .---.1-EMP SRVC/FEEDEI1S--- M I SCELLANEOUS-------
1000 SF OR LESS. . . - - 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 0
EACH ADDIL 500SF. . . : 0 X01 — 400 amp. . . . . . . : 0 STGN/ 13UT LINE L.TG. . e 0
LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL./PANEL... . . . . . . .. 0
MANF. HM/ SVC/FDR. . : 0 601+emps-1000 Volts. : 0 MINOR :1123EL. ( 10) . . . - 0
----BE RV I CE/FEEDE R-- ------'-4RPNCH CIRCUITS---.---- -----ADD1L I NSPEC'T IONS------
0 — 200 amp. . . . . . : 0 W/SEt'VICE OR FEEDER: 0 PIER INSPE(.TION. . . . . : 0
201 — 400 amp. . , . . . : 0 1.st W, 0 SRVC OR FDR. : I PIER HOUR. . . . . . . . . . .. 0
401 600 amp. . . . .. . : 0 EA ADDIL BRNCH CTRC- 0 IN PI-ONT. . . . . . . . . . . 0
601 1000 amp. . . . . : 0 REVIEW SECTION—------
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . c 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC' OCC. :
Owner- FEES --___--.---___—__...
CHRIS SWAN type amol.tnt by date rerpt
9990 SW KABLE ST PRMT $ 35. 00 JSD 06/25/98 98—'3 OF,83 1
TIGARr) OR 97224 5PCT $ 1. 75 J9D 06/25/98 98-306-831
PIhone 4:
Contrac*• -)r: TOTAL
THE ELF,
,.'rRIC GROUP $ 36. 75
4726 SF: NILWAUKIE: AVE
REOUTRED INSPECTIONS
PORTLPND OR 97202 Roi.tgh—in E I ect I I Fi nal.
Phone It t 232-2499 Elpet' l Servirp
Reg #. . : 000438
This permit is issued subjert to tne regulations contained in the Tigard-municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with aptpoved�p ns This permit will e-pire if work is-not started within 180
days of issuance, or if work is suspended for more than 180 d S, IE ION: Oregon law requires you to fa w the rules adopted by
f rt�
the Oregon Utility Notification Center. Those rides are sit rth it 952-MI-0010 through OAR 95ZA1160---* may obtain a copy
(I I V -1
of these rules or direct questions to oup 11 (503)2
4y
C.—
ti
Permittee SignatUrL Issi,ted
INSTALLATION
The installation is baing made on property I own which is not intended for
sale, lease, or rent.
OWNER' 5 511r,NATURE: DATE.:
—__.---------------------CONTRACTOR INSTALLATION
STGNATI]RE OF' SUPIR. ELECIN: DATE:
LICENSE NO:
+++-+-++4-+++,4.........................I.................4............................
Call 639-4175 by 7e00 p. m. for an inspection needed the nexi; bi.isiness day
4.........I....... +++++++++++4-++++++++++4.............................
CITY OF TIGARD Electrical Permit Application Pan Recd B _Check
13125 SW HALL EILVD. RE` y h
Date Rec'd
TIGARD OR 97223 Date to P.E._
Phone (503)639-4171, x304 Print o'r Type Date to DST
Inspection (503) 639-4175 Incomplete or k.'Ie ible whit not be accepted Permit#j C.,-L ,�.
Fax (503) 684-7297 p g Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Developments Number of Inspections per permit allowed -
Name(or name of business)0� s �'w¢ �� Service included: Items Cost Sum
Address /f� ,\ <(-7- 9T 4s. Residential•per unit
1000 sq.ft.nr less $'10.00 q
City/StaI/Zip l!/'� -'� Gid '7z-;7- y Each odditional 500 sq.It.or
Commercial25.00
❑ Residential
portion thereof $25.00 i
Limited Engrgy
Each Mant I'd Home or Modular
Dwelling Service or Feeder $66.00
2a. Contractor installation only:
(Attach copy of all current licenses) Ab.Son ices or Feeders
Electrical Co tractor -f _ 1=le- r.c. Gr .n Ln. Installation,alteration,or relocation
r� -1�-�;-� 200 amps or lass $60.00 2
Addr s y 3.R�+ 20' amps to 400 amps $80.00 2
Clty r _ State Cjr- Zip 512-,a/)a- 40' amps to 600 ampr•. $120.00 2
Phone No. 601 amps to 1000 amps _- $180.00 2
Job N0. - �QCUr Over i000 amps or volts $340.00 _______ 2
Reconnect only $50.00 _- 1
Elec.Cont. Lice.No. yy r Exp.Date
OR State CCB Reg. No. 3R 4i _Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Matro No./*�" Exp ate _ installation,alleration,c,r relocation
200 amps or less $50.00
Signature of SU f. Ele. � �rs - 201 amps to 400 amps $75.00 - 2
I
g p 401 amps to 600 amps _� $100.00 2
Over 600 amps to 1000 volts,
License No ��� =' Exp.Date see"b"above.
Phone No ��� c5.
__. 4d.Branch Circuits
New,alteration or extension per panni
2b. For oviner installatictis: a)The fee for branct,;Ircults with
purchase of service or
Print Owrpr's Name__------__,�__�^ Mader fee.
Address Each branch circuit $5.00 _
b)The fee for branch circuits
City _ State_ Zip without purchase of
Phone No. service or feeder fes. .!�S
�- r irst branch circuit $35.00 2
The Installation Is being made on property I own which is not Each additi,nal branch circuit_. $5.00 --- 2
Intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature________ __ T Each pump or Irrigation circle $40.00 --
Each sign or outline lighting $40.00
(it required):*3. Plan Review sectionSignal circult(s)or a Ilmitad energy
panel,alteration or extension $40.00
Minor Labels(10) -! $100.00
Please check appropriate Item and enter fee in section 53.
_ n or mare residential units In one structure 41.Each additional Inspection over
Service and feeder 225 amps,or more the aliownble In any of the above
System over 600 volts nominal Per inspection $35.00
;Iassified area or structure containing special occupancy Per hour $55.00 _
ns described in N.E.C.Chapter 5 m Plant $55.00
Submit 2 sets of plans with application where any of the above apply. 5. Fees: �S i
Not requited for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $NOT'CC Subtotal $ J
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) $ ---
NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtots' $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYEl
TIME AFTER WORK IS COMMENCED. Trust Account if
Total balance balance Clue
I�DsrsNELc46 APP Rev srgs
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
G 74-Hour Inspection Line: 5 eusiness Line: 639-4171 -- --
SUP
_Date Regveated 1 AM �PM _ —. BLD
Location- C)Clot9 Liz, — Suite MEC
Contact Person _ K 5 VJ Ph (p PLM
Contractor Ph —� SWR O x_—
BUILDING Tenant/Owner ELC ��
Retaining Wall ELR
Footing Access:
Foundation FPS
FtgDrain �. — SGN --'�
Crawl DrJn Inspectior, Notes: — ----- -- -----
Slab __ __-- __—m-_-- -----_ —__ SIT
Post& Beam —
Ext Sheath/,Shear
Int Sheath/Shear —
Framing
Insulation -------------------__._ _.----... .___
Drywall Nailing
Firewall — — - -----___..----._-.-_
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc' -
Frnal
PASS PARI FAIL ------ - --- ----
Pl._UMBING
Post i3 Beam ---- ------- --
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECKANIGAL.
Po61&Beam - -- --
Rough In
Gas Line
,Dampers
jam►./ --- --- ------------ - ---------- ---- - --------- -----
P&U PARI FAIL
ECTRIC , _
UG/Slab _
Low Voltage
Fire Ate'm
i
ASSPART FAIL _-�_-----___--
Backfill/Grading
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I )Please call for reinspection RE. f 11,-,able to inspect-no access
Fire Supply line
ADA
Approach/Sidewalk
Other _ Date O - Inspector ----- -Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection •ecord from the rite.