9835 SW VENTURA COURT mmmu
MkVW
ADDRESS:
i:\records\microflm\targets\building.doc
CITY OF TIGARDIUB LDING INSPECTION NOTICE I
Inspection Line:639-4175 Business Phone: 639-4171
Footing Rain Drain
Cover/Service FINAL:
Ceiling -Plumb.
' Foundation Water Line ,�' �
Framing `N'ech.
Post/Beam Mech. Shear/Sheath g
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
01
-Bldg.
post/Beam Struct. Mech. Roush-in Gyp. Bd. R3i .
San. Sewer
Gas Line Appr/Sdwlk
ether: — - — ---—---_
Date: _ —� A.M. P, Entry: 77:;
Address:
------ —.— Stas MST:
Tenant: __--
_ BUP:
Con/Own: —. - PLM:
ELC: �
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
(Inspec
Date:t r/_APPROVED —DISAPPROVED/CALL FOR REINSP. GF CO
CITY CSF TIGARD
DEVELOPMENT SERVICES FLECTRICAL PERMIT
PERMIT #: ELC96-0735
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DOTE ISSUED: 11118196
PARCEI 1SIC.5DD--04100
SITE ADDRESS. . . : 09835 SW VENTURA CT
SUBD T V 11:3 1 ON. . . . : WASH I NG,rON SQUARE ESTATES NO. 2 Z ON I NG R-4. 5
PLOCK. . . . . . . . . . : L O'T. . . . . . . . . . . . . :49
Pt,oject Descriptions add branch circuit/feeder
DENT IAL UNIT---- ----TEMP 3RVC/FEEDERS-.---- ------.MISCELLANEOUS----
1000 SF: OR LESS. . . . : 0 0 - 00 amp. . . . . . . : CA PUNP/IRRTGAIION. 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
[_ IMTTED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 5 1 GNAL/PANEL... . . . . . . : 0
MANF. HMI SVC/FDR. . : 0 6014amps--1000 volts. 0 MINOR LABEL ( 10) . . . : 0
-.1.-----SERVICE/FEEDER-..-.. CIRCUITS---- _.-ADD' L INSPECTIONS-,-
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION- - 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1. IDER HOUR. . . . . . . . . . . . IZI
4.01 600 AMP. . . . . . : 0 EA ADDIL BRNCH CJ.RC: 0 IN PLANI.. . . . . . . . . . . : 0
60 1. 1000 amp. . . . . : 0 REVIEW SECTION_- - --.___..__._._..
1000+
EECTION
1000+ amp/vc).t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 'A SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
llwn : FEES
DENNIS/VIAY CARTER type amoi-int by date t-ecpt
983ti SW VENTURA cT PRMI $ 35. 00 TAI 11/18/96 96-286617
T I G A R D 0 R 97 22,3 bo) 3PCT $ 1 . 75 TAT 11 / 18/9E, 96-286,6 17
Phone #:
Coritt-actor: __.______ ______._..____.__ \_--.--.__.._
JARMER ELECTRIC INC $ 36. 75 TOTAL
5105 SW 45TH REQUIRED INSPECTIONS
PORTI. AND OR 97221 Ceiling Cover UTidet-yr-cii-trid Cove
Phone #: 503-2'46-5381 IWall Covet, Elect' 1 13et-vics,
�/v
Reg #. . . 6'32,4
This permit is issued subject to the regulations contained in the
ligard Municipal Code, State of Ore. Specialty Codes and all other Perm tea Signat i-tt-e
applicable laws. All work will be done in accordance with
approv-d plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days, B
--.OWN.---P TNSTALLATION
The installation i s tieing made an property I own which is not intended for
sal
ov-
gal e, I ease
ov, renis. DATE
OWNER' S SIGNATURE:
INSTALLATION
5IGNATURF nF SUPR. ELECIN: DATE-
LICENSE 1\10: __ I
Call for inspection — 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit #
Phone (503) 6394171 Date Issued
CITE OF TIGARD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
i _j Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development )o,—,l
' / Number of Inspections per permit allowed
—I� --
Address_ �_�('�� � J(�, (7},i1—/ CL %14 Service included hm
es Cosl(ea) Sum
City/State/Zip C1 /c f _ __ 4a. Residential•per unit 4
1000 eq It or lose 6110 00
Name for name of business)) J1� "'� Each
additional f eq 11 or
portionon thereof $2500 1
Commercial❑ Residential Limited EneW $2500 _
Each Manufd Home or Modular ?
Dwelling Service or Feeder sea on
2a. Contractor installation only:
4b.Services or Feeders
Installation,alteration or relocation 2
Electrical Contractor Y 200 amps or lees $6000 2
�rg�g c- ,� t_ G� Q 201 amps to 400 Amps $8000 2
StatQ_ Zip 7a,7 401 amps to 100 amps ___ 120 00 2
601 amps to 1000 amps $E180 00 2
Phone No. 4 ora? 1000 nmps or voile $34000 2
Contractor's Licet:se. No. - ( _ Awnnn^ri only " $5000
Contractor's Board Reg. No c 4c. Temporary Services or Feeders
Ae Installation,alteration,or relocation
Signature of Su r. Elec'n 200 amps or lass �_` $50 0 ?
License No.� Phone gl b_ t 201 amps to eoo Amps __ -- $7500 _
401 amps to 600 amps $10000
Over 600 amps to 1000 cons
2b. For, owner installations: see•b•above
4d. Branch Circuits
Print Owner's Name N"w alteration or extension per panel
Address a)The lee for branch circuits With
purchsss of rules or Aesder Am.
City ^� State Zlp Each branch circuit $500 _
Phone N0. b)The tee for branch circuits wftilli
The installation is being made on property I own which is purchs"of,&vies,or Bader Aes.
�_ $3500 <1C 1
not intended for sale, (ease Or rent. Each
brAnct circuit
ach additional branch circuit S-500
Owner's Signature 4s,.Miscellaneous
(Service or feeder not included)
3. Plan Review section (it required), Each pump or irrigation circle $40 00
Each sign or outline lighting $4000
Signal circum(,)or a limited energy ?
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000 _
_4 or more residential units in one structure Minor 1.shale(10) _ $10000
4 Service and feeder 225 amps or more —
System over 600 volts nominal Q.Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of Ih,above
as described in N,E.C. Chapter 5 Per inspection �__ $3500 _
Per hour $5500
Submit 2 sets of plans with application where any of the above in Plant $5,5 00
apply. Not required for temporary construction services. 5. Fees:
Sn. Enter total of above fees
NOTICE 5%Surcharge(05 X total fees) $ J-T,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 9ubfe181 $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb,Enter 11%of line A for
CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FOR Plan Ravisw if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account M
$
Balance Duo $
rip•..r.h.Mr 1.^we
IRA
CITY OF T I C,A R D MECHANICAL
DEVELOPMENT SERVICES PERMIT
=7 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERMIT #. . . . . . . MEC96-0384
:
DATE ISSUED: 11/05/96
PARCEL: 15125DD-041.00
SITE ADDRESS;. . . SW VEN1_URP ,] l
SUBDIVISION. . . . : WASHINGTON SQUARE. ESTATES NO. ZONING: R.--4. 5
BLOCK. . . . . . . . . . LO T. . . . . . . . . . . . . ..49
CLASS OF wORF,. . :ALT —FLOOR—TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS— : 0 DENT FANS. . . : 0
OCCUPANCY GRP. . :A]. VENTS W/O APF',-: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-13 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMA EL. INCIN: 0
MAX INPUT: 0 BTU 15-.30 HP. . . . : 0 RF'-'AIR UNITS: 0
FIRE DAMPERS?— : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . ' 0 CLO DRYERS. . - 0
NO. OF' UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
TURN ( 100K BTU: 0 10000 c f m : 0 GAS OUTLETS. : 0
FURN ) =100K SITU: 1. > 10000 cfm : 0
Remar-l-(s : ADD/FIX FURNACE DUCTS/VENTS
Owner-: FEES
DENNIS/KPY CARTER type amount t3y date r-eept
983) SW VENTURA CT' PRMT $ 25. 00 TAT 11/05/96 q6—,g`_'86138
5FICT $ 1. 25 TAT 11/05/96 96--c861.38
TIGARD OR 97223
Phone #-.
cOlitt-actot'..
B & I GAS SERVICE. INC
TEASDALE, KE I TH
a528 SW 190TH AVE
BEAVERTON OR 97007 $ 26. 25 TOTAL
Phone #: 642---7243
[Reg #. . : 000911 REDUTRFD INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard Municipal Cede, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All worl( will he done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final InspPrtion
within IN days of issuance, or if work is suspended for more
than 180 days.
I ,ev'Mittep Signa 'it
;iied By :
1 for in specr
CC 639--4175
Plan Check#-
CITY OF TIGARD Mechanical Permit Application Recd By_
1312.5 SW HALL BLVD. Commercial and Residential Date Rer d
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST_
Print or Type Permit# ` -0
Incomplete or illegible applications will not be accepted Galled
-a--- Norm of uwabpnomrr'ruied Description - ----
Table to Mechanical Code U7Y PRICE AMT
Job tweet Address ' sultdt - A) Permit Fee - -0- -0- 10.00
Address 9835 SW Ventura. C _
91do C1tyl8taN ZIP B) Supplemental Permit - -3.00
Tigard, 0r.97227
Norrw(or none d buwras) 1.) Furnace to 100.000 BTU 15.00
Owner Dennis & Kay Carter incl.ducts&vents
Mabkq Addrasc -- 2.) Furnace 100,000 BTU+ 7.50
9835 SW Ventura Ct. - incl 4ducts&vents
City/State IJp Phorte 3) Floor Furnace'Picl6.00
- ----- - +a r d - ()- 9 r incl.vent --
t Name(or name of business) 4) Suspended heater,wall heater 6.00
Y S A M L; --` or flw mounted heater- - -
Occupant Mai*V Address 5) Vent not incl.in 3.00
appliance permit _
city/stole Zip I Phare 6) Boiler or comp,heat pump,air coed. 6.00
-- to 3 HP;absorp unit to 100K_BTU
Narn 7.) Boiler or comp,heat pump,air Gond. 11.00
R & T Gas Service Inc. _3-15 HP;absorp unit to 500K BTU
Contractor Mailing Address 8) Boiler or Comp,heat pump,air Gond. 1500
6526 SW 90th Avenue 15-30 HP;absorp unit.5-1 mil BTU
Attach copy of City/Stoke Zip Phoma 9.) Boger or comp,heat pump,air pond. 22.50
Current Licenses B e a v. Or. 97007 642-77.43 30-50 HP;absorp unit 1-1.75 mit BTU
Oregon Const Cant.Bond Lic.0 EAP Data 10.) Boiler or comp,heat pump,air pond. 37.50
0091104 6/7/97 >50 HP;obwrp unit 1.75 mil BTU
COT Nusiness Tax or Meen s Exp.Date 11.) Arr handiirtg unit to 4.50
_ 10,000 CFM
Amhtbect NaR1° - �- 12.) Air handling unit -J- 7.50 -- --
-_ 10,000(,'V+
Or M""Address 13.) Non portable 4.50
evaporate cooler
Engineer CRY/Stow - 11P I Phom 14.) Vent fan connected --- -- 300
�-- to a single dud --- ------- __
Describe work New O Addition O AMeratinn O Repair 0 15.) Ventilation system not 450
to done _Residential O _Non-residential Oincluded in appliance permit
Additional Description of work 16) Hood served by --
mechanical exhaust 450
i 17) Domestic incinerators -
Existing use of 18.) Commercial or industrial _--- 30.00
buikfing or property _-�--_-- incinerator
19.) Clothes dryers,etc 450
Proposed use of 20) Other units - 450
building or property
Type of fuel-oil O natural gas O LPG O electric:O 21) Gas piping one to four outlets
I hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) 50
information given is cximect,that I am the owner or atthorized agent of
the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws. - ---- -- --
Signature o><OwnedAgrit -Daus 'SUBTOTAL
i
i_-
/%�/�J 6%SURCHARGE
Ckxrtact Portion,Name _PLAN REVIEW 25%OF SUBTOTAL
TOTAL-L
t1idslYrrec".doc �----- -- 'Minimum Permit The is$25+5%surcharge 5
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COMMUNITY utvtu.:M.