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9674 SW VENTURA COURT ■ ADDRESS: 1� -74 . &1 4.i 4o-rex r� i:\records\microflm\targets\buildinq.doc y, CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line- 6394175 Business Phone: 6394171 Date Requested: �P N `_ A.M. P.M. MST: Location: BUR Tenant: Suite: Bldg: MEC: Contractor:_ _ � �/5`�' � 31 PLM: Owner: Wq_t _- 11honc: _ ELC: �!-- ELR• 24'0-t VI sIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/l3cam I'ostlBeam Cover/Service Sewer/Stonm Footing Roof UndFI/Slab Rough-In Cciling Water Line Slab Framing Top Out Gas line 4-1 Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Dhict L Reconnect Vault Bsmt Damp Drywall Storm Furnace i Temp Service MISC. Masonry Ceiling Rain Drain �� �Lo Slab Shear/Sheath Fire Spklt/Alm _Crawl/Found Dr Ileat Pump Low Volt Approved Approvedrov__ Approved Approved Appr/Sdwtk Not Approved Not Approved oved Not Approved Not Approved FINAL FINAL FINAL. FINAL FINAL, 0 Call for remspecti O Reinspection fee of Srequirreedre d before next inspection C3 Unable to inspet:t Inspector: Date _ //16.2 _7 — Page__ of CITY OP TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: ` d,�.�. -7- A.M. P.M. MST: Location: BIJP: Tenant: Suite: Bldg: MEC: Contractor:`,. I'hone: � —Q(p�, PLM: Owner: T _ Phone: ELC: p STT: BUILDING BI.-DG(con't) PLUMBING MECHANICALIoLv:'C�Czm' C SITE B Site Fos' eam Post/13eam Post/13eam ice Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Lure Slab Framing Top Out Cas Line Rot*t-In UG Sprinkler Foundation Insulation Sewer Ilood/Irtct Rmonnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Ir 1[cut Pump Low Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approvedoved Not Approved FINAL FINAL FINAL FINAL FINAL COA 0 Call for reinspection3/ ?inspection fee of Sreq red befo ext inspection 0 Unable to inspect Inspector— --- — �- -� Date: Page _of Mill CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES ��ERMI"T #: ELC97-0398 DATE ISSUED: 06/x:3/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 1S125DD--091.00 SI TE: ADDRESS. . . :09674 SW VENTURA CT SUBDIVISION. . . . :WASHINGTON 50LIARE ES-FATES NU. :�, 'Z.ON I NG: R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :99 JURISDICTION: TIG F'r-o.j ect De scr•i pt i on : INSTALL 1 BRANCH CIRCUIT FOR A/C ---RESIDENTIAL_ UNIT---- ---TEMP SRVC./FEEDERS---- — _ --MISCELLANEOUS- - 1000 SF OR L.ESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EA(,F-' ADD' L_ 5O0SF-. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUTLINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FUR. . : 0 6O1+amps- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----.SERVICE/FEEDER-------- ------BRANCH CIRCUITS------ -----ADD' L INSPECTIONS—_- 0 — 2,00 amp. . . . . . : 0 W/SERVICE_ OR FEEDER: 0 PER INSPECTION. . . . . : 0 C.01 400 .imp. . . . . . : 0 1.st W/0 SRVC OR FDR. : I 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._. . - Reconnect only. . . . . . 0 SVC/FDR > _ 2._5 AMPS. . : CLASS AREA/SPEC OCC. : Owners -- -_____________-----__--_____.______._____._.._____________._ FEES ._.......__._.._.___._._.__ _ KEN GLANZ type amount by date r^er,pt 9674 SW VENTURA CT. PRMT $ 35. 00 GEO 06/23/937 97-203O TIGARD OR 97223 SPCT $ 1. 75 GFO 06/23/97 97-2963O2 Phone #: Cant t-act at-: _..._.____---------._.----- DELTA ELECTRIC INC 36. 75 TOTAL. 1322, BE HAWTHORNE BLVT) -— ------ REDU I REll INSPECTIONS ------- PORTLAND OR 97214 Elect' 1 Service Phone #: 234--4328 Elect' 1 Final. Reg #. . : 000019 This permit is issued s,ibject 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 permit will expire if work is not started within 1B0 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01"1010 through DAR 952-801-1987, You may obtain a copy of these rules or direct questions to Off by calling (503)246-1987, Permittee Signatl_rr•e : Issi_ted Ry ; - INSTALLATION ONLY------------ The installation is NLY----------Theinstallationis being—made on pr•oper•ty I own whic•Fr is not intended for Sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION ONLY------------------_---_.--" SIGNATURE_ OF SUPR. ELEC' N: DATE: L_ICUNSE NO; 7 y Y S 4 +++++-h+++++++++++++++++++•t+++t•+++++++++++++-+t+-1-tt+tt+++++.++-1....++++ I +1+1 Fi ++ Call 639-4175 by 6:00 F,. m, for an inspection needed the next business day F++ F+++++•++++t++++++++-F++++++++t+++++++•f++t++++++++i•++h++++•+++-f-F++++++++++++++-h [d CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By Date Recd TIGARD OR 97223 Date to P.E. Picone (503) 639-4171, x304 Date to DST Print or Type Permit a��C 3 (]. '�SS Inspection (503) 639-4175 Incomplete or illegible will riot be accepted Called- 1. alled =_��- Fax (503) 6847297 _ - 1. Job Address: w;r(- 1.,/ 4. Complete Fee Schedule Below: Name of Development SN r y. 1 / f J4A-z Number of Inspections per permit allowed --- Name(or name of business) 6/44z- Service included: Items Cost Sum Address 96�s w ' ye" /,(V-A ___ 4a. Residential-per unit 1000 sq.ft.or loss $110.00 4 City/State/Zip /' Jst- �i' 9 12 Z 3 - - Each additional 500 sq.1t.or portion thereof $25.00 _ 1 Commercial ❑ Residential�. Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 __- 2a. Contractorin.stallation only: (Attach copy of all rren installation,Senlcea or Feeders � T„L Installation,alteration,or rAlocetlon Electrical Contractor1J. ti ✓•'�- --- 200 amps or less $60.00 2 Address JAI 2, 5•fHALV&IcorAPzirly,04 -- 201 amps to 400 amps $80.00 _ 2 City +it State _i() _Zip-q z2jy--� 401 amps to 600 amps $120.00 _ 2 Phone No. 1 601 amps to 1000 amps $180.00 2 / , Z - Over 1000 amps or volts $340.00 2 Job No, �i�.�� Reconnect only - $50.00 2 Elect.Cont. Lice. No. 6 -C- Exp.Date Z OR State CCB Reg. No. Pjtd. Exp.Date_�LY/ 4c.Temporary Services or Feeders COT Business Tax or Metro No.j 9Exp.Date-1//_'_-_ Inst�lip ,, ,ylattc,n,or relocation 200 amps or less $50.00 2 Cianature of Su r. Elec'n • 201 amps to 400 amps $75.00 -- 2 P 401 amps to 600 amps $100.00 _ v Over 600 amps to 1000 volts, License Nr- ]yY s Exp.Date �9�6' ex see"b"above. Phone Nr _ 2^4 V-t( -- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The lee for branch circuits with purchase or 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 tea. First branch circuit $35.00 S 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 _ 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 _ Y! 2 Each sign or outline lighting $40 00 2 r Signal clrcultts)or a limited energy 3. Plan Review section (if required): panel,alteration or extension $40.00 - 2 Minor Labels(10) $100.00 Please check appropriate Itern and enter fee in section 5B. _ 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of file shove Per Inspection $35.00 System over 600 volts nominal Classified area or structure containing special occupancy Per hour $55.00 -- Plant $55.00 In as described In N.E.C.Chapter 5 - ' Submit 2 sets of plans with applicetinn where any of the above apply. 5. Fees: �Sr e Not required for temporary construction services. 5a.Enter total of above fees $ j 5%Surcharge(.05 v l itai fees) $ Ngii-u Subtotal $ -- - 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r it (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account k 3(,•7 S TIME AFTER WORK IS COMMENCED. -- - $ Total balance Due hD3TMEl.M Ar'r' Rev 9.'96 CITY O F T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97-0172 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/05/97 PARCEL: IS125DD-09100 SITE ADDRESS. . . : 09674 SW VENTURA CT SUBDIVISION. . . . : WASHINGTON SQUARE ESTATES N0. 3 ZONING. R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :99 JURISDICTION: TIG ------------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLEr'3: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : I VENT FANS. . . : 0 OCCUPANCY GRP. . :H2 VENTS W/O APIPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 Hr-'. . . . : 0 DOMES. INCIN: 0 3-15 HP. . . . : 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+ Hr-'. . . . - 0 CLO DRYERS. . : 0 NO. OF UNITS-----.-------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTLJ: 1 100,710 rfm: 0 GAS OUTLETS. : FURN ) =100K BTU: 0 1.0000 rfm: 0 pe,mavl<s . instl gas carrier & ac//air conditioning units cannot be inside setbacks Owner,: FEES KEN GLANZ type amol-int by date ir-eept 9674 SW VENTURA CT PRMT $ 25. 00 TAT 06/05/97 97-295527 TIGARD OR 97223 5PCT $ 1. 25 TAT 06/05/97 97-.295527 Phone #: Contractor': SUNSET FUEL CO PO BOX 422R7 PORTL.AND OR 97242 Phone #: 503-234-0611 $ 26. 25 TOTAL Reg #. . : 000023 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical 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 Cooling Unt I n s p approved plans. This permit will expire if work is not started Final Inspection within 180 dayq of issuance, or if work is suspended for more than 180 days. Per-mittee SiE)Tlat. e : Issi.ied By : Call for- inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 _ — ----r - ,,, bescnpuon Table 3A Mechanical Code 71Y PRICE AMT Job `b�j JV.� P t) Permit l:0 Address -0- 10,00 Addrr,53 ` O �.1�] C I' ? 2) Supplemental Permit 3.00 --Tu—mace to 1 W,UC>v — 1) incl.duds 8vents 6.00 Furnace 100,000 B U + 1 , �� (L2a_ 2) incl,duds b vents 7.50 Owner W. oar urnance 3) incl. vent 6 OC \ L uspended heater,wall heater Nom»td 4) or floor mounted heater 6,00 Vent not incl. to 3 00 Occupant _ 5) appliance permit d. epa«of heating,re ng. 6) cooling,absorption unit 6.00 _ Boiler or comp,heat pump,air conJ_ _ 7r to 3 HP absorp unit to 100K BTU 6 00 1Q lX1 W Roder or comp, heat pump,air cond. <�+4 Utl' 8) 3,15 HP absorp unit to 500K BTU 11.00 ContraCtor .. o er or comp, eat pump, a r con 9) 15-30 HP absorp unit.5.1 mil BTU 115,00 ��. �. �.. .. Boder or comp,heat pump, air Gond. `2 50 10) 3050 HP absorp unit 11.75 mil BTU boiler or comp, eat pump, air co- n� ere y ac tow ga at lave readthis application at a 31.50 information given is correct, that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU of the owner,that plans submitted are in compliance with State Air handling unit to 4.50 laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM that the number given is correct. (If exempt from State re(jistration, 13) 110,000 CTM unit 7.50 please give reason below.) Non portable 4.50 14) evaporate cooler vent fan connect 15) to a single dud 3.00 venu auun system not r 16) included in applianc a permit 4.5C U served by 17) mechanical exhaust 4,50 Commerc7—al o-r maustrial esrnbe work new rtron alteration repair ) incinerator 30.00 to be done residenb I( non residential O 18) type -- ler stove,water xtsung use a 19) heater,solar,clothes dryers,etc. 4.50 building or property -- - - - " 20) Gas piping one to lour outlets _ 2.00 Proposed use of building or property -- 21) More than 4 per outlet — Type of fuel oil Q natural gas LPG Q electric O O ICE C Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIE N 259 OF SUBTOTAL — AFTER WORK IS COMMENCED. ( TOTAL Special Conditions � 11'1 Jnc._� �_C-1 Data issued --by -- - rvcorw. r_.�l TIJ• � ■ '1 -----.� � . _��-----_ � __-.- -- �.� _— � ----- irl I o/ r� a O .1 C �� n _ rig D � n °� C, ------- N �i � n -_--- ----- i-� X .a V y S- b l ■ J J n U M G try lJ I� I RECEIVED JUN 0 �, 1997 COMMUNITY DEVELOPMENT