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9405 SW NORTH DAKOTA STREET-1 1S b1OHva HIMON iAS SOV6 �n a O a � �n = m z W J to Co V 01 9405 SW NORTH DAKOTA ST CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT *: ELC99-0008 AUZAINAW 13125 SW Mall Blvd.,Tlgsrd,OR 97223(503)639.4171 DATE ISSUED: 01/07/99 PARCEL: 1S135DB-10000 SITE ADDRESS. . . :O94O5 SW NORTH DAKOTA ST SUBDIVISION. . . . :MAYFAIR ZONING:R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :OO4 JURISDICTION: TIG Project Description: Alterntion of electrical service for residence. ------------------------------------------- -------------------------------------- ---RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS---- - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADC'L 5O0SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10). . . 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD'L INSPECTION.---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 12ER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 let W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD'L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -• --------------PLAN REVIEW SECTION------- --------- 1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Rezonnect only. . . . . : 0 cVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -------------------- -- ------•--------------------- FEES --------------- - BARBARA DAVIS type amount by date recpt 194 ,5 SW NORTH DAKOTA PRMT $ 35. 00 DLH 01/07/99 99-312007 TIGARD OR 97223 SPCT $ 1 . 73 DLH 01/07/99 99-312007 Phone if: Contractor: -- ----------------------------- AM ELECTRIC $ 36. 75 TOTAL AUGU!;TIN MURAR 13050 SW FOREST GLEN CT ------- REQUIRED INSPECTIONS ----- BEAVERTON OR 97008 Rough-in £lect 'l Final Phone #: 626-1925 Elect'l Service Reg #. . : 80818 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all o,her applicable leve. All work will be done in accordance with approved plena. This permit will expire if work is not ,farted within '.82 days of iseuence, or if wore is suspended for more than 184 days. ATTFITIORc Oregon In requires you to follow the rules ec^,t, by the Oregon Utility Ratification Center. Those rules ere set forth in BAR 932-101-4110 through OAR 952-101-1987. You say ob',ain a ropy of these rules or direct questions to MMC by calling 55431246-1."7. Permittee Signntur e: LE-1 Issued By: CL ------------------- -------- a N ------------------- --------OWNER INSTALLATION ONLY------------------------------ The installation is being made on property I own which is not intended for J sale, lease, or rent. i _m OWNER'S SIGNATURE: /�� DATE: W -------- --- ------------ -CONTRACTOR INSTALLATION ONLY---------------------------- RIGNATIIRF OF SUPR. ELEC'N: �',Z!� L���%/0� DATE: LICENSE NO: ++++ ►*++++++r+ *r.++++++++t*++*++t+t+t+.4....tt+♦+tr+ +t+++♦++♦r+♦++tt............ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day lftttttttttttt.Tttftttt+ft*fttft.tt.t.fttitttofttttfft......................... CITY OF TIGARD Electrical Permit Application Plan Check K - 13125 SW HALL BLVD. Rec'd By Data Rec'd 7 y TIGARD OR 97'223 - Date to P.E. - Phone (503)639-4171, x304 Date to DST Inspection 503 639-4175 Prirlt or Type ���'/ p ( ) Incomplete or illegible will not be accepter) Permit r `Cc7 Fax (503) 6134-7297 called 11. Job Address: 4. Complete Fee Crhedule Below: Name of Development_ Numbor of inspections per permit allowed Name(or name of business), Service Included: Items Cost Sum Address,_ t/S 4a. Residential-par unit City/State/Zip ?/(-A g!) D- ZZ Tj i sq.n.or less $110.00 4 Each additional 500 sq.ft.or Commercial ❑ Residential® portion thereof $25.00 �! 1 Limited Energy $25.00 Each Manufd Home or Modular Dwelling Service or Feeder __ $68.00 _ _ 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Oq/)I F e ecT-R I c Installation,alteration,or relocation Address 3CGJ7J SW 200 amps or less $60,00 2 201 amps to 400 amps :80.00 2 City ge-4 yrlRTo N State 00- Zip q 7 c-1 0 8 401 amps to 600 amps $120.00 2 Phone No. 61.6•- /Q 2 J- 601 amps to 1000 amps $180.00 2 ,lob N0. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. 3 Y - le5 Exp.Date%� tasReconnect only $50.00 2 OR State CCB Reg. No. eco ! Exp.Date z vz-?;T' 4c.Temporary Services or Feeders COT Business Tax or Metro No.� Exp.Date Installation,alteration,or relocation 200 amps or less _ $50.00 2 Signature of Supr. Elec'1,_, 201 amps to 400 amps $75.00 _ 2 401 amps to 600 amps $100.00 p 2 r- Ovor 600 amps to 1000 volts, License No. 8 4 S Exp.Date_�ii�4N/o/. sea..b',above. Phone No. -� 4d.Branch Circuits New,alteration or ortonsion per panel 2b. For owner installations: a)The foe for branch circuits with purchmse of service or Print Owner's Name--- feeder lea. Address Each branch circuit $5.00 2 or branch crc City State ._ Zip_ y b)rnwlfhor fee Ipurelrsseiofults Phone No. _ service or feeder foo. First branch circult �-.. $35.00 _ 2 The installation is being made on property I own which is not Each additional branch clrruit $F.00 � 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature_ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 _- 3. Plan Review section (if required):* Signal circuit(s)or a IlmNed energy d 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 r ver Service and feeder 225 amps or more the allowable In any of the sho%n System over E00 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 M as described In N.E.C.Chapter 5 In Plant $55.00 _ W *Submit 2 seta of plans with application where any of the above apply. Jr. Fees: J Not required for temporary construction services. 5e.Enter total of above fees $ 35 V V 5%Surcharge(.05 X total fees) $ _l,�7 c NOTICE Subtotal $ 5h.Enter 250 of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review jtWyjLqd(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONE.0 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 0 Trust Account If____------- $ 34, '7S Total balance Due 1 v!sTSTI cs6 APP naV s+as I CITY O TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT #PERMIT• . MEC�1�1-0003 13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 DATE ISSUED: 01/04/99 PARCEL: 1S135DB--10000 SITE ADDRESS. . . : 09405 SW N0RT14 DAKOTA ST SUBDIVISION. . . . : MAYFAIR ZONING: R-4. 5 BLOCK. . . . . . . . . . . L0T. . . . . . . . . . . . . :004 JURISDICTION: TIG CLASS OF WORK. . :AI_T FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. • . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GF . :R3 VENTS W/O APPL.: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . 1 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYKES-------------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0 :GAS 3-15 HP. . . . t 0 COMML.. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLQ DRYERS. . : 0 NO. OF UNITS------ ----- AIR HANDLING LINITS OTHER UNITS. : 0 FURN ( 100K BTU: 1 <= 10000 cfm: A GAS OUTLETS. : 1 F URN ) =r 100K BTI..): 0 > 10000 r-f m: 0 Remarks : Installation of residential furnace. e _--.--.----------•-----------.--------------- Owner ------------- FEES -------------- BARBARA DAVIS type amount by date rer_pt 5405 SW NORTH DAKOTA STREET PRMT $ 25. 00 DLH 01/04/99 99-311904 TIGARD OR 97223 SPCT $ 1. 25 DLH 01/04/99 99-311904 Phone #: 684-6616 Contract or: ------------------------------- BRUTON COMFORT CONTROL INC IP855 SW .2ND ST ----------------------------- ------- $ 26. 25 TOTAL BE.')VERTON OR 97008--5152 Ph o i,e #: 503-626-7477 Reg #. . 65296 ----- - — REQUIRE,% INSPECTIONS ---- --- This permit is issued subject to the regulations contained in the Gas Line Ins p Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p _ i� applicable laws. All Mork will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started _ IL within 180 days of issuance, or if work is suspended for eor@ than 180 days. ATTENTION: Oregon law requires you to follow rules U) adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9M-001-0010 through OAR 952-00!-0080. You may ..� obtain copies of these rules or direct questions to OLK by calling 00 (5031246-9187. W _ .J Tssue By :/r�' Permittee Sigriatotre : -f+++i.44..F+++++++++++....+++++++++++++++++++++++++++•F++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next business day ++++++++++++++++++++++i-+.+++++++++++++++++++++++++++++++++++++++++++++•F+++++++++ CITY OF TIGARD Mechanical Permit Application Plan cheek PP Rec'd By_ 13125 SW HALL BLVD. Commercial and Residential Date Recd /Z TIGARD, OR 97223 Date M P.E. (503) 639-4171, x304 / Permi+Date to DST & "— N! CITY OF TIGARD BUILDING INSPECTION DIVISION � MST 24-Hour Inspection Line- 639-4176 Business Line: 639-4171 atop Date Requested_ / /A AM PM — B Location �/7�0_` -sCt.,, /ji�f`t_ L����, SuiteC�t- _ Contact Person � ZQ,ZCI )- Ph 7� PLM _ Contractor _ Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR Footing -- Foundation ACCESS: FPS _ Fig Drain Crawl Drain Inspection Notes: SGN _ Slab -1 L�� 1dc-d. .� SIT Post&Beam --- Ext Sheath/ShearCLcc — u r t int Sheath/Shear r �j Framing L� L_"— _ li _ ��`t(J-+,\ C Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm �(\ J Susp'd Ceiling Roof �_ ✓Z �— _—_ Misc: Final PASS PART FAIL `- PLUMBING Post&Beam --- Under Slab Top Out - -- Water Service Sanitary Sewer Rain Drains _ Final - PASS ART FAR P-os-F&Beam Rou / as m -- .- mo eDampers (fin ---- - - - RT FAIL `� ~/�/ L--VA �- ICAL - - - IL Service hri' Rough In CO) IJG/Slab Low Voltage J Fire Alarm ED Final V, PASS PART FAIL W SITE J -- Backfill/Grading - - - - ------- -- Sanitary Sewer Storm Drain I J Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hell Stvr' Catch Basin ] ]Please call for reinspe ion RE: Unable to Fire Supply Line Inspect-no access ADA �j Approach/Sidewalk Date ` ( Inas ctor ~ C/ L...� `� Other Pe _ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job slty. CITY OF TIGARD {BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP _ Date Requested i ___AM—__._PM —_ BLD _ Location � _L/ _ ��it� k<<-;,7 ,4 Suitt' _ MEC _ Contact PerFon Ph PI.M { Contractor Ph SVYR BUILDING Tenant/Owner Retaining Wall ELR Footing Access: — Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab —__ SIT Post&Beam —. Ext SheathlShear __— Int Sheath/Shear Framing Insulation Drywall Nailing ---- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Misc: Final PASS PART FAIL ----- -- PLUMBING Post&Beam Under Slab Top Out ---- Water Service Sanitary Sewer Rain Drains — --- Final PASS PART FAIL MECHANICAL Post&Beam -- -- ---- — Rough In Gas Line --- ------ --- --- Smoke Dampers Final -- — —— — — __PART, FAIL (ELECTRICAL _-- a service - -- --- —— — — - - _,-- — - — -- @= Rough In H UG/Slab Low Voltage ,rZi�' —_-__-- —___—__.– __-- ----- -- J F��rm J� m PART FAIL W Backfill/Grading — — --- —` — — - — Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _,—required before next inspection. Pay at City Hall, 13125 SW Heil Blvd Catch Basin ( )Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Other ,Z [1 �. _Insiaector _Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.