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12445 SW 134TH AVENUE
-IA446W I 5q I*MA VANUR Y J 1:\rca rdsLmicro(ImMulug(;M)ullding.doc ca w J i CITY OF TIGARD BUT,,DING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 539-4171 Date Requested: — A.M. P.M._�!/ MST: location- r,� S BUP: Tenant: Suite: Bldg: _A MEC: 7 Contractor: 7YYViM yy 6� Phone: � J 31 PLM: (honer:_ / ( Phone: _ . �.� _- 1:17 462 ELC:_ FLR SIT: BUILDING BI,DG(can't) PLUMBING "MECHANICAL_ ELFC"iRICAL SITE Site Post/Beam Post/Beam Pos eam Cover/Service Sewer/Storni Footing Roof UndFl/Slab Rough-In Ceiling Water bine Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation 'nsulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shcar/Sheath Fire Spklr/Alm Crawl/Pound it TTuit Pwup l,ow Volt _ Approved Approvedrov Approved Approved -- ApprlSdwlk Not Approved Not Approved oved Not Approved Not Approved FINAL FINAL SINAL FINAL I,INAL n. ti r� LJ C3 Call for rel tion D Reinspection fee of Srequired before next invection O I)sable to inspect L _ Inspector: Ce, _ Date _ �� Page of CITY OF TIGARD BUILDING INSiECTION DIVISION 2,,-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Dale Requested: _ 70 '% '/ _ _ A.M. _ P.M. ��'MST:_ kx.atic»t: !� J' `(=SLI BUP: Tenant: _ V Suite:_ _Bldg: _ - T"' C: _ Contractor:" Phone: Q-3 I PLM. Owner:_ _Phone: ELC:�-�?-� ELR..- _ _ STI,: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICA�L SITE Site Post/Beam Post/Beaun Post/Beam ovei79erfWceSewer/Storm Footing Roof IJndl-'l/Slab P.ough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In i1G Sprinkler Foundation Insulation Sewcr Il(XxUl)uCt Reconnect Vault Bsmt 1);unp DtywJI Storm Furnace Temp Service MISC. Maumry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Cmw1/1'ound I)r Ileat Pump Low Volt _ Approved Approved Approved CAyproved Approved^ Appr/Sdwik Not Approved Not Approved Not Approvedroved Not Approved FINAL FINAL FINAL ^FINAL FINAL Zo A C,c3 �� l`7 LL✓ --- -- t— t la.l J C7 Call for reinspection /J Cl Reinspection fee of S _ _ re wed hcl'ote ict i1 tion 71 linable to inspect Insp^ctor:. / / _- t Dae: C/moi I'a e— of - ��-.- ----- g CITY OF TIGARD BUILPING INSPECTION DIVISIGN 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: / / 7 A.M. P.M. t, ii MST: _ Location: —�� q 4�pj BUP: Tenant: Suite: Bldg: MEC:5_Z–_L)_a I Contractor: Phone: �3 f~ ��1 l PLM: T Ov ner: p/ k `Phone: Li1.C: -�� Srf: _ BUILDING BLDG(can't) PLUMBING i4t- NANIC L ECTRICAL SITE Site Post/Beam PosUBearn cam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-in Ceiling Water Line Slab Framing Top Out Gas Line Rough-in UG Sprinkler Foundation Insulation Sewer Ilood/Durt Reconnect Vault l3smt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Foimd Dr l lent Pump LOW Volt Approved Approved Approved Approved Approved Appr/Sdw1k Not Approved Not Approved Nit A roved Not Approved Not Approved FINAL FINAL FINAL FINAL w Pf J all for reinspcc:ti O Reinspection fee of S ___spregi it bef rc next inspection O 1 lnable to inspect Inspector Date � �_ Page _�of CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0413 DATE ISSUED: 06/26/97 13125 SW Haii Blvd., Tigard,OR 97223 (503)639-4171 PARCEL-: c:S 11A1 AC-03100 'SITE ADDRESS. . . : 12445 SW 134TH AVE SUBDIVISION. . . . :MORNING HILL 8 ZONING:R-2`5 BLOCK. . . . . . . . . . . LOT. . . . OT. . . . . . . . . . . . . : 175 .JURISDICTION: TIG E r-o J ect De scr i pt ion-. Adding branch circuit --__-RES I DENT I AI-- UNIT.---___ ---T'T MP SRVC/F'EE.DE.RS---._ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 RUMP/IRRIGATION. . . . : 0 EACH ADD' I._ 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINT' I-TG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 tamp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ---------SE=RV ICE/FEEDER---- ---- BRANCH CIRCUITS- ---- ----ADD' L INSPECTIONS----- 0 NSPECTT.ONS----- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 _. 400 amp. . . . . . : 0 lst W/O SFVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 1101 - 600 amp. . . . . . : 0 EP ADD' I_- BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601. - 1000 amp. . . . . : 0 __._____---.-.-- ------FLAN REVIEW SECT ION-.__._____•------__-._. 1000+ amp/Volt. . . . . : 0 ) =Ii RES UNITS. . . . . .. . . . ) 600 V OLT NOM 1.NAL. Reconnect only. . . . . : 0 SVC/PDR ) = EE5 AMPS— : CLASS AREA/SPEC OCC. : Owner: __.____.---....__________._______.____._____--_--____ ._____..__._. FEES MONTE TAYLOR type amoi.tnt by date recpt 12445 SW 24TH AVE PRMT $ 35. 00 LEO 06/26/97 9'7--296`70 TIGARD OR 97223 5PCT $ 1. 75 GEO 06/c6/97 97--296`02 11hone #: Contractor: --------------------------------_--__-_------------_--•----------------- GRF ELECTRIC $ 36. 75 TOTAL_ 1.5460 SE PARADISE LN _---- -- REDU I RED INSPECTIONS - - MULINO OR 97042 Ror.rgh-in Elect' 1 Fi.n,.ai. Phone #L: 503-829-4146 Elect' 1 Service Reg #. . : 001015 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and ill otner applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work is not started wi'hin 180 days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules ado ,rad by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-801-1987. You s:.y obtain a copy of these rules or direct questions to OUNC by catling 3)246-1987. Fl e r m i t t e e S i g n a t i_r r e : �- I s s 1_r e d B y .:c INSTALLATION > The installation is being made on property I own which is not intended for- sale, orsale, lease, or rent. OWNER' S SIGNATURE: DATE: c ----CONTRACTOR INSTAI.._LATION J SIGNATURE OF SUF'R. ELEC' N: � rJATE : rf 02W _JIL__ .�._. LICENSE N0: +++++4•++++-h4.+++++++++++++++++++++4+++++++++++1++++++++++++++4+++++•f+++++++++++4 Call 639-4175 by 6:00 p. m. for- an inspection needed the next business day ++++++++++++++.1•+i•++++++++-V-++++++.+++++++++++++++++++++++++++++++++4++++++++++++ 06/25/1997 15:1.5 5038295747 GRF ELECTRIC PAGE 01 1 f ITY OF TIGARD Electrkm Permit Application Pi.M Check It 3125 SW HALL BLVD, rIec'd By_ CARD OR 97223 Date Read hone(503)639-4171, x304 Date to P.E, print or T r e Ude to DST spection (503)633-4175 Incomplete or Illegible will not be accepted P�t""-�A CII Z-04�r cut(503)684-7297 �. Job Address: 4. Complete Fee Schedule Below: Name o143adokrPrt'tent_.1 r 1 D Pile f a(.! o Number of Inspection*pe per permit dlorsd Name(or name of business) Service Included- Items Cost Sum ,Address 2 "4-`T 'r,I AZl 3 4'0;.1 4a. 111"dendsl-per unh h,1. ^� 1000 aa.R.or less ti 110.00 d city/Stata/Zip �cr�-� G- Each additional 500 eq.11 or 6omm©rcial ❑ ✓ Residential IIS portion thereof -- $25.00 - 1 Limped Energy $25.00 Tach Manuf'd Home or Modular O's. Contractor installation only: Duelting Service or Feeder 698.00 2 ' (ARsch copy of all c on nIf II 4b.Sertr or Feeders electrical Contractor T-�Gt ►n C, Insta4atlon,eltaralfon,or relocation Address200 amps or less $80,00 2 � f taps to X00 amps 201 a _ _ 680.00 City State , Zip, _ _O _ _ 401 amps to goo amps 2� $120.00 �T Phone No. .i-�kt Y�w 001 amps to 1000 amps $180.00 _ 2 Job NO. Over 1000 amps or volts _ $34o.00 2 tlec.Cont..Lice. No. Exp.Date_ jo Reconnect only $60.00 2 bR State CCB Reg. Jo. Exp.Date 4c.Temporary Services or Feeders COT(Business Tax or Metro No. Exp.Date j 1 4 '7 Installation,allerstbn,or relocation 200 amps or lose _ _ $50.00 2 signature of Sup►. Elec'n 201 arnos to 400 amps _ $75.00 2 -- 401 amps to tS00 amps $100.00 _ Over OX,amps to 100x1 vola, 2 r ansa No.- =- Exp.Date �U 0 p _ see"e"above, ' Phone No. 4d.l3ra:1ch Circuits Now,alteration or amenalon per panel 2b, For owner installations: a)The tee for branch clrcults with Print owner's Name - mar fto. o.w .Address � Fach branch circuit _T R5.on _ 2 Cly b)Theo foe for branch circuits 3�lte� Zip without purchase or Phone N0. -- _ service or raarlrr nsa. '7 First branch circuit A 635.00 3 2 the Installation Is being made on property I own which is not Each additional orancn circuli_ $5.00 _- 2 Intended for sale,leaks or rent. 4e.Mlscelleneoua Owner's Signature - ( (Service or ft-der not Included) pump a,Ireopatlon drele $40,00 -- 2 Each sign or oulMne IIglWing $40,00 --- 2 9, Plan Review section (if required):' Signal circulus)or a Ilmhed energy panel.altarstlon or a-enslon $40.00 _ 2 Minor Labels(to) 6100.00 Please check appropriate Item and enter fee In section 58. V) _ 4 or more raefderttlal units In one structure 41.Each adiltlonel Inspection over r 6ervlcw and terrier 225 amps or mors The allowable In any of the above f- System over 00x)volts nominal Pec Iramclion $35.00 _ Classified ares or shuMn oontelning spedal occupancy per hour 655.00 _ L as deactlbod In N.E.C.Chapter 5 In M{ant $55,00 -- (3 I e Submit 2 sss of plans with apptleatlon where any of the above apply. 5. F.ee9: J Net required for temporary constvellon services, Sa.Enter toiN of above tikes f f •+� 5%surc �(.05 X tow tons) �tQ? Sb.Enter 2S%of IFne$s for fERAIITS BECOl3E VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan ReviewfflQgyLid(Sec 3) $ ISMMT':,OENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR WORK subtotal $ SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANY tlM1 ArTEn WORK iS GOMMENGED Trust Account N j S Lr Total balance Duty I CITY OF TIGARD Electrical Permit Applicat' " hw.k# 13125 SW HALL BLVD. Read Ry TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Per,{it# 6L Incomplete or illegible will not be accepted Fax (543) 684-7297 alled _ J1 ob Address: _ 4. Complete Fee Schedule 6eiow: Name ot•sevelcrprrlent /`��e��E- �� (%�^ Number of Inspections per pr-mit allowed Name (or name of business) Service included: Items Cost Sum ? 4a. ResldunJal-per unit Address t+ y"�7 ��A) 3�`� � `r-` Q � 1000 sq.ft.or less $110.00 4 City/State/Zip 1 1 4 4� -L 7 ��_,-�_ Each additional 500 sq.ft.or Commercial ❑ Residential portion Energy thereof $25.00 - 1 Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of all current II enses 4b.Services or Feeders Electrical Contractor L� _ Installation,alteration,or relocation Address 200 amps or s to less $60.00 2 �` L O-C 401 am201 ps to 600 amps $ 0 2400 amps - 80 City U i l-�?� State � Zip p _ 120. Pnone No.. (sem I T- 601 amps to 1000 amps $180.00 Over 1000 amps or volts $340.00 2 106 N0. Reconnect only $50.00 2 Elec. Cont. Lice. No. Exp.Date_ OR State CCB Reg. 0._ )/-5 Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No ' 1LExp.Date el / k 7 Installation,alteration,o relocation 200 amps or less $50.00 2 Signature of SU r. Elec'n 201 amps to 400 amps $75.00 2 g p 401 amps to 600 ampr $100.00 _ 2 r7 Over 600 amps to 1001 volts, License No._ 3.in.5 S Exp.Date 10111 see^b^above. Phone No.__ 1 G-U t _ _ 4d.Branch Circuits New,alteration or extension per panel 217. For owner Installations: a)The lee for branch circuits with purchase of service or Print Owner's Name_ feeder fee Address _ Each branch circuit $5.00 2 b)The fee fur branch circuits City :;tate - Zip_ wfthout 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 additicnal branch circuit i $5.00 _. 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature_ (Service a h pump or irrigation Included) $40.00 Each sign or outline lighting __ $40.00 3. Plan Rev ew section (%f required):' Signal circuit(s)or a limited energy panel,alteration 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 4f.Each additional Inspection over L Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 s Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant _ _ $5 00 J 'Submit 2 sets of plans with application where any of the above apply. S. Fees: Not required for temporary construction services. 6a.Enter total of above fees $ t� Li 5%1,urcharge(.05 X to'al fees) $ NOTICE Subt 1al $ 5b.Enter 25%of line 6s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(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 > TIME AFTER WORK IS COMMENCED. rust Account# $ Total balance Due i.rr515�Er rw A{'P nev W98 CITY O F TIGARD MECHANICAL DEVELOPMENT SERVICES FERMI F 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97-021.7 DATE ISSUCD: _`6/26/97 PARCEL: E.S104AC-03100 SITE ADDRESS. . . : 1244 5 134TH 14TH AYE- 'J SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-25 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . : 175 JURISDICTION: TIG CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EYAP C50LERS: 0 TYPE OF USE. . . . !SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 CCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS. 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYr-"ES- 0-3 HP. . . . : 0 DOMES. INCIN: 0 -15 HF', . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTIJ 15--30 HP. . . . : 0 REPAIR UNITS: 0 IRE DAMPERS :'. . : 30--50 HP. 0 WOODSTOVES. . : 0 UAS PRESSURE. 50+ HP. 0 CLO DRYERS. . : 0 1\10. OF AIR HANDLING UNITS OTHER UNITS. : 0 FURN K 100K BTU: 0 10000 c-fm: I GAS OUTLF."._'T S. : 0 TURN ) =:100K 8111: 0 > 10000 cfm: 0 Pemar,ks : install A/C unit Owner-.- FEES MONTE TAYLOR type amol.mt by dat e r,ecpt 1E.,445 SW 134TH AVE FIRMT $ 25. 00 GEO 06/26/97 97-296449 TIGAPD OR 9722131 5FICT $ 1. 25 GEO 06126197 97---296449 Phone #: Conti-actot-- --------------------------------- FIRST CALL MCCW-L HEATING A. COOLING ------------------ ------------------- IG530 NE LOMBARD $ 2:'G. 25 TOTAL. PORTLAND OR 9721. 1-4798 ' Phone #: 231-331 1 Reg #. . : 001020 REQUIRED INSPEUTIONS This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp app:v,able laws. All work will be done in accordance with D�_ict Inspection approved plans. This permit will expire if work is not started T.NSF' Misc. Inspe 4ithin 180 days of issuance, or if work is suspended for more Final Inspection than 180 days, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-90I0 through OAR 952-99I-0090. You may Ln obtain copies of these rules or direct questions to OLW by calling (503)246-9187. Issilte By : Flet'll itt a Signatllv•e - -4...4............ ............................................ .............. Call 639-4175 by 6:00 p. m, for inspections needed the next bk.isiness day .........................I..............I......................................... City of Ngard MECHANICAL PERMIT Planck/Rec. # 131,25 sw Hall Blvd. APPLICATION Permit #10EC9�-o�/ Tigard, OR 97223 (503) 639-4171 ••�^•^' escnption Table 3A Mechanical Code CITY PRICE AMT .lob \ �1 1 F� S �� 1, 1 fi 1) Permit Fee -& -0- 10.00 Address 2) Supplemental permit 3.00 •^•• Furnace to 1) incl. ducts &vents 6.00 Say-I?'t 1 '( i Furnace + Owner 2) incl. ducts &vents 7.50 • -oFloor rumance 3) incl, vent 6.00 ^�^•^ Suspended heater, wall eater 4) or floor mounted heater 6.00 Occupant •���• lent not incl. in 5) appliance permit 3.00 • epair of heating, rerng. 6) cooling, absorption unit 6.00 Boiler or comp, heat pump, air cond. First CaII M v C a l l 7) to 3 HP: absorp unit to 100K BTU 6.00 C r` •"a ••• I Boiler or comp, heat pump, air cons 1 6 5 0 NE Lombard S t . 3 _7 1 1 1 8) 3-15 HP; absorp unit to 500K BTU 1 1.00 Contractor ,v, -R-Filer or comp, heat pump, au cond. Port I and. 0 I' 9721 1 9) 15-30 HP; 3bsorp unit .5-1 mil BTU 15.00 Boiler `••707-0 '9"•'0on •• i e'I r or comp, eat pump, air conrl- 1 0 2 0 3 0 4 10) 30.50 HP; absorp unit 1-1.75 mil BTU 27..50 ereoy a now edge that ave rem tis app ication, t at the Boiler or heat pump, air cond+ information given is correct. that I am the owner or authorized 11) > 50 HP; absorp unit 1 75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance withAir handling unit to State laws, that I am if-gistered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct. (If exempt from State75-nfig unit registration, please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate comer 4.50 Vent an connected 151 to a single duct 3.00 Ventilation system not 16) included in appliance permit 4.50 .qu,u•;•rw w• uu Hood sere bei y— mechanical exhaust escnbe wark vew audrtion U alteration repai, U „mmercial or maustc,ai to be done r6c;enhal Q non-residential O ie Incinerator 30.00 Existing use of ler i.e., woodstove, water building or property _ 1: ater, solar, clothes dryers. etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 a building or property - ct 21) More th-n 4-per outlet (each) 2.00 Type of fuel -oil Q natural gas O LPG O electric t - •� Minimum Fee S2.5.00 SUBTOTAL PERMITS BECOf.IE VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 57,o SURCHARGE 1F w IF CONSTRUCTION OR WORK IS SUSPENDED OR -r ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED TOTAL Special Conditions _ -' Dans issued by MLLDOIMDsTl,4Ee~ Job Site Plan i r �• r � - :additional Initructions: Refrigeration line siz,.- Z G� 4,1V CQpdensate Pump j�Yes No Box New Registers — ibration Pads New Grills Add Return Duct Add Supply Duct Special Needs A/,. ,r_�� /,� < � �F -`��% �C�rt1 S �Ti�,�it��'4�rf C'rCA,-t,v�- �Q��t,,�f� ��•�-- �/.�.'D. _ h L W r , s Ln I 1 W -' RECEIVED JUN 1, R lqW COMMUNIIY ULVELONMENt