13540 SW VILLAGE GLENN DRIVE-1 ADDRESS.
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Iis\records\rriicroflm\targets\building doc
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CITY OF TIGARD BUILDING INSPLCTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639 �17,1
BUP
Date Requested AM M BLD
�
Location Z rSuitte - r/+"""—" ME
Contact Person 1,( � .I��-a)4 P '(. PLM
Contractor - Tkn ,Q Ph SWR
BUILDING-` Tenant/Owner ( 1 _ `S�u CELL
Retaining Wall ELR
Footing q s FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes: Z 3Cj M- F
Slab _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insulation
Cry Nall Nailing — — —
Firrvwall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
_`—
PASS PART FAIL
PLUMBING
Post&Beam
Under Siab
Top Out
Water Service _ -
Sanitary Sewer
Rain Drains
Fina!
"kSS - PART FAIL --
_tr.7NICAL -
P�,3F8�ea :
Rough In
Gas Line
Smoke Dampers
T FAIL
TRICA
Rough In s
UG/Slab -
Low Voltage _ 1�1
Fire Alarm --
A PART FAIL — -- —
Backfill/Grading--1
Sanitary Sewer
Storm Drain I ]Reinspection tee of S required before next inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin I Please call for reinspection RE: _ —__ [ )Unable to inspect- no access
IFire Supply Line
ADA
Approach/Sidewalk Date 7 C Inspector_ ---� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD ELECTRICAL. PERMIT
DEVELOPMENT SERVICES PERMIT #: EL_C98-101 .1.
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/19/98
PARCEL: :_'S 102CA--00941
'3I TE ADDRESS. . . : 13540 SW VILLAGE GLENN DR
5IJBI)IVI5TON. . . . :VILLAGE GLENN 7ONING:R-4. 5 �
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :041 JURISDICTION: TIG
P'roJ ect Descr i pt i on: Alteration to electrical service.
--RESIDENTIAL UNIT----- ------TEMP' SRVC/FEEDERS-. - -----MISCF_I_I_ANEOUS--___._
1000 SF OR I-ES . . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
1 ACH ADD' I_. 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 11i SIGN/OUT LINE LTG. . : 0
L..IMI'TED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL./PANEL.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps - 1.000 volts. : 0 MINOR L.AHEI._. ( 10) . . . : 0
-----SERVICE/FEEDER------ ------PRAI\ICH CIRCL.IITS---�--..— --- ADD' L INSPECTIONS
0 — 2O0 amp. . . . . . : 0 W/SERVICE (DR FEEDER: 0 FIER INSP'r_C "ION. . . . . : 0
201 —. 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L HRNCH CIRC: 2 I N PI._.ANT. . . . . . . . . . . : 0
601 — 1.000 amp. . . . . : 0 -------- --P'L.AN REVIEW SECT ION----
I 0LA04
N----1000+ amp/volt. . . . . : 'b ) = RES UNITS. . . . . . . . : ) 600 VOL_'T NC)1•i 1 NAL. .
Reconnert only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner. —_- --_____.________.._______._.__._-----_________---_.__—__.____— FEE=,
EARL_ ELIAS type amol..tnt by date recpt
13540 SW VILLAGE GLEN DR PRMT $ 45. 00 DL_H 08/18/96 98--:308:350
T I CARL) OR 97223 SPCT t 2. 25 DLH 08/16/98 98-308.350
Phone #:
Contractor:
BECK ELECTRIC: INC $ 47. 25 TOTAL_.
9318 SE CHURCH ST
—_---.--- RF G1L1 I RE:D INSPECTIONS
---
CLACKAMAL',( OR "1701`; Roi.igh—in Elect' 1 Final
Phone #: CJ1JE-7._1911 Elect' l Service _
Reg #. . : 0000-='6
This permit is issued subject to the 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 approved plans. This ppru t will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law regmires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a cop;
of these rules er direct ouestions to OUNC by calling (503)246-1987.
�•e
,
e.n
at
F='ermittee Si9 n /L.EV _ Issued By:
_._ _.._ __.._. _ --
_ INSTALLATION ONLY-------•------------------_---
'The~installation is being made on property I own which is not intended for
ale, ].ease, nr rent.
r)WNER' S SIGNATURES N/ — DATES
_.---.-----_--------------__--CONTRACTOR INSTALLATION
T GNATURE OF SUPR. EL.EC' N: _�/ f �L/C�� 770/V/ DATE: i
LICENSE NO:
H++++++++++++++++++++•+++++++++++++++++++++++++++++++++++++++++++++++++++++•+++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++++4-4.+++++++4+4+++4+•++++++++++++++++++++++++++++++++++++++4.++++++++++++++.+ 444
CITY OF TIGARD Electrical Permit Application Plan Check a _
13125 SW HALL_ BLVD. C Recd By
1 I�J� Dale Recd
TIGARD OR 97223 /` Data to pc'.
.E.
Phone (503) 639-4171, x304 Date to DST _
Inspection (503) 639-4175 Print or Type
Fax (503) 684 7297 Incomplete or illegible will not be accepted Perrtrit N
-
1. Job Address: �4. Complete Fee Schedule Below:
Name of Development. _ Number of Inspections per permit allowed
Name (or name of business)
r( 1 I IQ� Service included: Items Cost Sum
Address I Gs1.��c -A I ( • ✓ 4a. Residential-per unit
1000 sq,It,or less $110.00
City/State/Zip C Each additional 500 sq.It.or
portion thereof i $25.00 t
Commercial ❑ Residential Limited Energy $25.00
Each Manul'd Home or Modular
Dwelling Service or Feeder $66.00
2a. Contractor installation only:
(Attach copy of all�urr?nt licenses. ✓ i Ins Services or Fneder9
� 1 1 � Installation,alteration,or relocation
Electrical Go tr ctor 200 amps or less $60.00 - 2
Ad [ 6 �' ,` Ouf 201 amps to 400 amps $60.00 _ 2
Cit - Stat Zip 'Z_ 401 amps to 600 amps $120.00 2
Phone No. 601 amps to 1000 amps $180.00 2
`. Over 1000 amps or volts $340.00 2
Job No. Reconnect only $50.00 2
Elec.Cont. Lice. No. . - Exp.Date_
OR State CCB Reg. No. xp.Date / 4c.Temporary Services or Feeders
COT Business Tax or Metro No ` Exp.Date Installation,
mps erse alteration,or relocation $50,00 2
/ 2�(/ 201 amps to 400 amps $75.00
Signature of Supr. Elec'n
401 amps to 600 amps $100.00 -
Uver 600 amps to 1000 volts,
License N, Exp.Datee//rzy-V ` see"b"above.
Phone N V 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Each branch circuit $5.00
Address - b)The fee for branch circuits
City State_ Zip -_ without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit� $5.00
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00
Each sign or outline lighting $40.00
3. Plan Review section (if required):* Ripan linteel,alters)or a limited energy
panration or extension $40.00
Minor Labels(10) �_ $100.00
Please check appropriate item and enter fee In section 5B.
4 or more residential units in one structure Q.Each additional inspection over
Service and feeder 225 amps or more the allowable In any of the above $35.00
_ System over 600 volts nominal Per inspection --- $55.00 _
_Classified area or structure containing special occupancy Per hour --- $55.00
as described in N.E.C.Chapter 5 In Plant
' Subrnit 2 sets of plans with appllcai,�n where any of the above apply. Jam. Fees:
`-1 r
Not required for temporary constructiuu services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $ 5
NOTICE Subtotal $
Sb.Enter 25%of line So for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reguired(Sec.3) $ 7
NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY LJ Trust Account aT__
TIME AFTER WORK IS COMMENCED. $
Total balance Due
1\DSTSTLC9fi Apr' nev w9e
■
CITY OF TILS
August 18, 1998 OREGON
Beck Electric
9318 SE Church Street
Clackamas, Oregon 97015
Re: Your Job No. 25292
13540 SW Village Glen Drive, Tigard - Earl Elias
We have received and processed your application requesting an electrical permit
for the address referenced above, and assigned a permit number as follows:
Electrical: ELC98-1011
However, due to a system failure, we are unable to print the permit at this time.
We have enclosed a copy of the receipt for fees paid, along with the inspection
card to be posted at the job site. We will send you the actual permit as soon as
possible. In the meantime, you may use the above referenced permit number to
call for inspections at 639-4175.
If you have any questions, please call the Development Services Departrnen, at
639-4171, extension 304.
Thank you,
XO�—
Dianna L. Howse
Development Services Technician
Encs.
13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 TDD (503) 684-2772 -
CITY MJF TIGARD MECHANICAL_
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-0348
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/19/98
PPRCEL: 'S 102C:A--0094 1
ITE ADD RE'SS. . . : 13540 SW VILI._AGE GLENN DR
SUBDIVISION. . . . : V I I_LAGE GLENN ZONING: R -4. `,
BLOCK. . . . . . . LOT. . . . . . . . . . . . . :O41 JURISDICTION: TIG
CLASS OF" WORK. . "OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATF RS. . : 0 VENT F=ANS. . . : 0
OCCUPANCY GRP'. . : R3 VENTS W/O APDL_: 0 VI'ENT SYSTEMS: 0
!:STORIES. .. . . . . . . : 0 HOIL.ERS/COMPRESSORS HOODS. . . . . . . . 0
FUEL TYPES------__-. ___._. 0-3 HP'. . . . : 1 DOMES. I NC I N: 0
:GAS 3-15 HF'. . . . : 0 COMML_. I NC I N: 0
MAX INPUT: 0 BTU 15_._30 HP. , , , 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
9AS PRESSURE. . . : 50+ HP. . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1O0K PTU: 1 (= 10000 cfm : 0 GAS OUTLETS. : 1.
FURN ) =1.00K BTU: 0 > 1.0000 r. f m: 0
Remarks : Installation of furnace, gas piping and A/C unit. A/C unit oust comply
with standard setbacks.
Own er : -- --- ---- _________________._.___.__..____.___.__.____-______
FEE'S ------_.____�__._._.
EARL. EL.IAS type r-�moi.mt by date r-ec _t
1.3540 SW VIL.L.AGE GLEN DR PRMT $ 25. 50 DE=B 08/19/98 98--308317
T T CARD OR 9722_35PCT $ 1_ 28 DES 08/19/9B 98 :3OE3 ,17
Phone #: 639-0088
Contractor:
A -TEMP HEATING R COOLING
1.6000 SE: E Vf✓L.YN ST -- _
$ 26. '78 TOTAL
CLACKAMAS OR 97015
Phone #: 650--5014
Reg #. . : 00071.8
-_- ----
REQUIRED 1NSP'ECT IONS - -----
Thii peroit is issued subject to the regulations contained in the Gas Line Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be done in accordance with Cool ing Unt Insp
approvrd plans. This pereit will expire if work is not started Mi.sr. Inspection
within 180 days of issuance, or if work is suspended for tore F i nal Inspect i.on
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notifiration Center. Those rules are — --•
set forth in OAR 952-001-0010 through OAR 952-001-0080. You Lay -- -
obtain copies of these rules or direct questions to DUNG by calling ----
5031246-9187.
(EB—k y `_�lV � 1'ermi.ttee Siynatrire
+i.+++•+++++•}+++++++++++•++++++++-F++.+•f++++++++++++++++-.+-+++++++i++++++++.4-4•++++++ 4+ 4
Call 639-4175 by 7:00 p. m. for inspections needed the next bi_isiness clay
t 4-4-+•++'+•++++++++4+++++4++4-+4•+++++++++.++++++++++++-h+++4.4-+++++++++t+++t+4F++++++++
/ W
Plan C ck 8
CITY OF TIGARD Mechanical Permit Application Recd -
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date Permit DST _
Permit p
Print or Type Called- _.
Incomplete or Ulegible applications will not b: accepted
Nana
of DsvebpmenuPrnba Description
Table 1A_Mechanical Code OTY PRICE AMT
Job sweet A SuNeN A) Permit Fee -0- -0 10.00
Address i ',, -
' BOO CNyrsuit. ZIP Bj Supplemental Permit
-'--.-.,-- Nam(a STM,of a.. � 1.) Furnace to 100,000 P TU 6.00
Owner S incl.duds 6 vents ----: -
_
MgAddMa 2.) Furnace 100,000 FTU+ '
� 7.50 �� ,
1 �1 G/en•. �rt ind.duds&vent,_ - _
ratrlgtaN Zip
Pfnans 3.) Fim Furnace 6.00
0! r9 Z u q-d0 incl.vent _ _
« --- (pnenMna
of btnNrr1 4.) Suspended heater,wall heater 6.00
",(,or
)„k V-p - _ or floor mounted heater
Occupant MdNn,r Addren 5.) Vent not incl in 300
L
ZIP Ymmit
cnirsune u v�t.E �Prdm - 6.) Boiler or comp,heat pump,air Gond
J a�H rL Sti n_t to 3 HP;aosorp unit to 100K BTU__
None / Boiler or comp,heal pump,air Gond. 11.00
} cool 115 HP,absorp unit to 500K BTU_-
Contractor M"a"o def°` 8.) Boiler cT tromp,heat pump,air cxind. 15.00
U Vp 15-30'r1P;absorp unit.5-1 mil BTU_
Attach copy of ZIP Phons 9.) Boiler or comp,heat pump,air a.•md. 22.50
Current L oenses A C MCA S oil - 9101; o -_501L/ 30-5f)HP;absorp unit 1-1.75 mil BTU
Conal.Com fiord Lic.1111 Exp. M* 10.) Boiler or comp,heat pump,air Gond. 37.50
>53 HP;absorp unit 1.75_mii BTU _
COT BuMrrw Tbr or Metro x Exp.DMS 11.) Air handling unit to - 4.50
10_000 CFM -
1 _.. Architect RAf"° 12 10.000 10,000 CTM Pjr handling unit 7.50 -
or MsUa,g-Add ri, 13.) Non portable! 4.50
evaporate cooler _ ---
I --
Engineercity/stme Zip panne Y 141 Vent fan connected -- 3.00 --
to a srn le dud
Descibe work New O Addition O Alteration,6 Repair O 1.'i.) Ventilation systmm not 4.50
to be done Residential Of Non-residential O - included in appliance permit - -
Additional Description of waft `71,1,,?f 4�( r✓rr r,. 14) Hood served by 450
mechanical exhaust
17) Domestic lendnerators - 7.50
Existing use of 7 / / 18.) Conme!rcial or industrial 3000
�5,6' 0 L/,c, 1 incinerator
building lex property -- ----
19) Clothes dryers,etc. 450
Proposed use of ( 20) Other units Y- 4 50
building or propertyr
Type of fuel-oil O natural gas 0 G O electric O - 21) Gas piping one to four outlets I 1.00
IP � D d
1 hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) .50
information given is coned,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws.
SUBTOTAL
4f ILP oOwnsrAgsn6%SURCHARGE +: , Iw� afS,i4I7-/r� aM �PLAN REVIEW 25%OF SUBTOTAL
C n Name D
( � (f _ _TOTAL
�`v r
11dst%mechpnit.d0C 'Minimum psrmlt fee is$25+5%surcharge r{
Rev 7198
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