9260 SW VIEW COURT-1 r,
ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line �r Appr/Sdwlk Reins.
Other:
i __ A.M. P.M.__ Entry:
Date: _Y --
Address:
Tenant MST:
BUP: _
of/Own: Tk-my — PLM: —
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Is ectorPPROVED __DISAPPROV D/CALL FOR Rf INSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line:639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service CIN
Foundation Water Line Ceiling Plum .
Post/Beam Mach. Shear/Sheath Framing -Meth.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line 1Appr/Sdwlk Reins.
Other. �— LzQ-
Date: A.M. P.M. Entry:
Address: _
Tenant: Ste: MST:
��, BUP:
,'/Owr. .� ���_ – MEC:
PLM:
ELC:
THE FOLLOVVNG CORRECTIONS ARE REQUIRED: ELR:
Inspector: _ Date: T7___A_
MOVED ___DISAPPROVED/CALL FOR REINSP. CF CO
L-_LECTFRIC:AL PERM T
CITY OF TIGARPERT[ DAT'I�IISSUED:r09/12�'4!�96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL_: ES.1 .1 1.Ah-06 300
CITE ADDREaS. . . )9261171 SW VIEW TERR
SUBDIVISION. . . . . PENROSE TERRACE ZONIIIG: R--•4. 5
BLOCK. . . . . . . . . . . 1-01 . . . . . . . . . . . . . :FO
Fir-oject Description: Installing two branch circl.tits.
---FIESIDENTTAL UNIT----- _ TF_MF ERVC/FTE:DERS---- -------MISCE'LL_ANEOUS------
1000 SF OR L.ESS. . . . : 0 ILI - 200 .amp. . . . . . . . 16 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF•. . . : 0 ..NS - 400 amp. . . . . . . : 0 SIGN/OUT LINE LT-G. .! 0
LIMITED ENERGY. . . . . : 0 4x1+1 -- 600 amp. . . - . - . : 0 SIGNAL/P'ANFL. . . . . . . : III
I,IANI'. HM/ SVC/FDR. . : 0 601+artlpg--1000 volts;. : 0 MINOR LABEL ( 10) . . . :
. _.--•--9ER')ICE/F'E:E:DER--_---- _.___.NRNPICIi C:IRC.UITS---.__._ _.._-- ADD' L INSIDECTIONa--
0 - 200 Gzmp. . . . . . : 0 W/,E.RVICE OR FEEDER: 0 PER INSPECTION. . . . . : �.
201 -- 401i) ramp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : .
401 - 600 amp. . . . . . .. 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 - 111100 amp. . . . . : i REVIEW
101110+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) E-00 VOLT NOMINAL. .
Reconnect only. . . . . : 0 SVC/F'DR > - 2`25 AMP'S. . s CL_PSS AREA/SPEC ULC.
Owner: ______._..___._.__.-----. ___._.____._..____.__.-.__..__.___._____._.._._..._._...._--_ FEES __--
ROE�EPT- NOLAN t "'Pe amo,.tnt by date "Lcpt
92'&0 SW VIEW TE RF? PRMT b 40. 00 CJS '219/24/96 96--28432
-iPC: CJS 09/24/96 96-2:843,
TIGARD OR .a"!t : �►
Phone #:
ODAMS ELECTRIC CO INL 4 x; :_. 00 TOTAL
2340 SF. CL.ATSOP''
_ PI-OUIRLD INSPECTIONS PORTLAND OR 97LO2 . Elect' 1 Final
Phone it: !.•frvice
Rent #. . . 5136
This permit is issued subject to the regulations contained in the
tigard Municipal Code, State of Ore. Specialty Codes and all other P=ler-mittee 5ignati-tre
applicable laws. All work will be done in accordance with
eoprovtd ,cions. This permit will crpire if work is not starter
within 1180 days of issuance, or if work is suspended for more
than 160 days. I s s,.ted 1: .
- OWNER INSTG' LLATIfON
Fhe installation is beirg made on property I own which is not intended for
sale. lease, or- tent .
OWNER' S SIGNf-TUF?L: __._..._. _._.__...___....._..__...___ _.._...... _._............. f)(4TF :
INSTALLATION
91(-.Nl1TLIRL OF SUPR. ELLLIN: f1�c2.�lc�c� _.._._._.. DAT'F : Q.:. oALI
L..ILL.NSE. NO: _
Call for- inspection - 69 4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # FLCcj(;-2 -QL16,')
Date Issued C?.- 3.'-/ - GC
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772.
Inspection (503) 639.4175
1. Job Address: 4. Complete Fey Schedule Below:
Name of Development____-_____._ Number of Inspections per permit allowed
Address__ULv1__S w= Service included. Items cost(ea) Sum
City/StatiI TSG /, 4a. Residential -per unit
/ 1000 sq. ft. or less $11000
Name (or name of business)-kallmr Each additional 500sq It or
portion thereof 125 00 _
ll Limited Energy $2500
Commercial LJ Residential,Al Each Manufd Home or Modular
Dwelling Service or Feeder 108 00
2a. Contractor installation only:
41- Services or Feeders
Installation,alteration,or relocation
Electrical ContractorAPjM-5- - 20o amps or leas $6000 1
$8000
2
Address � � -- 201 amps to 400 amps $12000 2
Cit _ State 'I Zip � 401 amps to 100 gimme $180 eo
2
y 601 amps to 1000 emit* -- 1340 00 2
Phone C nom_ / Over 1000 amps or volts __
.lob NO. Reconnect only $50 00 2
contractor's license NO, 4c. Temporary Services or Feeders
COntfaG or's Board Reg. NO Installation,aHeretlon,or relocation 2
Signature of Supr Elec'rn 200 amps or less 2
No. . 201 amps t0 400 amps $5000
.[Sfl.,.zlQ--..L— �f---=�� 401 amps 10 100 amps —_ $7500
2
License Phone NO
0 ier 100 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
-— - - purchase of service or feeder fee
State__ Zip_ Each branch circuit $500
Phone No. _ _ b)The tee for branch circuits without 2
The installation Is being rroide on property I own which is purchase of service or Nader te.
First branch circuit $3500 3.5 eo
not intended for sale, lease or rent Each additional branch circuit 15 00 6�
Owner's Signature. 4c. Miscellaneous
(Service or feeder not included) 2
Each pump of irrigation circle $4000
2
3. Plan Review section (if required): Each sign or outline lighting _ S4000
Signet circuit(*)or a limited energy 2
Please check appropriate Item and enter fee In section 5B. panel,alletallon or extension ____ $40 00
4 or more residential units in one structure Minor Labels(10) 1100 00
Service and feeder 225 amps or more
_ 4f. Each additional Inspection over
System over 800 volts nominal
_ the allowable in any of the above
Classified area or structure containing special occupancy
as described in N hour E C Chapter 5 Per inspection $3500
_ _
Per hour _ $5500
In Plant _ 155 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction cervi-as. 5. Fees:
5a. Enter total of above fees g ��• ��
NOTICE 5% Surcharge (05 X total fees) g
5b. Enter Surtotal g
tal
PERMITS BECOME VOID IF WORK OR CONSTRUCTION of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review line
required (Sec 3) g
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal g
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. w,,,n•..o..a. F� Trust Account #
Balance Due f , �
— — — I CCal
CITY OF TIGARD )ATF_'IISSUEE-s . 09 /17/9E6.�6-03 0
COMMUNrrY DEVELOPMENT DEPARTMENT
13125&W Hell Blvd.Tigard,Oregon 9722308194 (503)839.4171 1.'ARCE:L: 2S 1 1 1 AB-06,=,00
I . ADDRI ow
;UHDIVISION. . . . : PEWNROSE TERRf4C:E ZONING: R••-4. J
LOCI:. . . . . . . . . . . L OT. . . . . . . . . . . . . :A
LASS OF WORK. . :OTr? 1=LOCH' F URN. . . . : 0 EVAP C001-ERSi: 0
YV'E OF USE. . . . :SF UNIT HEATERS, . : 0 VENT' FANS. . . : 0
OCCUPANCY GRP. . :R-3 VF.=IVTS W/O AI=PI_: 0 VENT SYSTEMS : 0
STORIES. . . . . . . . : 121 £~OILERS/C:OMPRESSORS HOODS. . . . . . . : 0
FF UL•:.i._ TYPES-----_._.____.__..._._ 0-3 HP. . . . 0 DOMES. I NC I N: 0
:/GAS/ / / -•15 HP. . . . 0 COMML.. INCIN: 0
MAX INPUT: 0 B1-U 15--;30 HP. . . . : 0 REPAIR UNITS: 0
FIRE: DAMPERS". . : 30-50 HP. . . . : 0 WOOI)a"1"OVES. . : 0
GAS PF?I'c,SURE. . . : 5 0+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS- ------ - AIR HANDLING UNITS OTHER UNITS. : 0
FORN < 1O0K BTU: 1 (~ 1.O0017.1 cfm : 1 GAS OUTLE=TS. : 1
FURN ) =100K ETU: 0 > 101?
Plan Check N
CITY OF TIGARD Mechanical Perm: Application Recd By 6 5
13125 SW HALL BLVD. Commercial and Residential DateRec'd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type Permit#
Incomplete or illegible applications will not bo Called accepted �-
Name of Oevek)PmenFP_mjeci Descnplion
Table 1A Mechanical C xie aTY PRICE AMT
Job Summit Address Suite# A) Permit Fee -� -0- -0 10,00
Address 4 Z_'1:1
Bldg# C"ate Zlp B) Supplemental Permit 3 00
Name(o;name of businfU)) 1 ) Furnace to 100,000 BTU 6.00 ^_
Owner //7 10 -I -t incl ducts b vents
aiun dress 2) Fumace 100,000 BTL)+ 7.50
incl.ducts 3 vents
Cityrst�s-- Zip Phone 3) Floor Furnace 6.00
l,�lcc' incl.vent
Nama(or mine of business) , 4) Suspended heater,wall heater 600
;I-WJe� or floor mounted heater
Occupant Mailing Address 5) Vent not incl.in 300
appliance permit
-� City/Slate zip Phone 6) Boder or comp,heat pump,air Gond 600
to 3 HP,absorp unit to t00K BTU
Name 7) Boder or comp,heat pump,air cond. 11.00
;7 , ,✓iy�/ 3-15 HP;absorp unit to 500K BTU
Contractor Ma ling Address 8) Boiler or comp,heat pump,air cond. 15.00
15-30 HP,absorp unit.5-1 mil BTU _
Attach ropy of rState Zip Phone 9) Boiler or ccmp,heat pump,air cond. 2250
Current Licenses /Lck L/� Yt ��(.'����. 30-50 HP;absorp unit 1-1.75 mil BTU
Oregon Const,Cont.Board Lle.# Exp.Date 10) Boder or comp,heat pump,air cond. 37.50
>50 HP;absorp unit 1.75 mil BTU
ro� 5r or fdetro# Ex ata 11 ) Air handling unit to 450
10
,000 CFM
Architect Name 12) Air handling unit 7.50
10,000 CTM
or Mailing Address - 13) Non portable 4.50
evaporate cooler _
Engineer CrtyrSta!e zip Phene 14.) Vent fan connected 300
to a single dud
Describe work New O Addition• Alteration O Repair O 15) Ventilation system not 4.50
to be done Residential• Non-residential O included in appliance permit
Additional Descnption of work 16) Hood served by
mechanical exhaust 450
17) Domestic incinerators 7 50
Existing use of 18.) Commercial or industrial - 3000
building or property_ pe incinerator
19.) Clothes dryers,etc. 450
Proposea lose of 20) Other units 4.50
building or property _
Type of fuel-oil O natural gas• LPG O electric O 21) Gas piping one to four outlets / 2.00 7
I hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) .50 4'
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws
Signature ofOwner/Agent ) Date 'SUBTOTAL 7,-�+C
S.R.SURCHARGE
ontact Person Name Phots PLAN REVIEW 25%OF SUBTOTAL
TOTAL XY
1:1dstVnechprrtt.doc "Minimum permit fee is$25+5%%urcharge
Rev 7/96