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10500 SW PARK STREET-1 ADDRESS: iArecords\microfilm\targets\building.doc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain :,over/5erv7c FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mach. ?ibg.Und/Flr/Slab P!bg.Top Out Insulation -Elect. Post/Beam Struct. Mesh. hough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: _ i =_ A.M. P.M. Entry: — Address: Tenant: Ste: MST: nQ _ � �� � � � BIJP: Con/Own: 11 ' yYL� � MEC: DI-M. ELC: THE FOLLOWING COPriCOTIONS ARE REQUIRED: ELR: Inspector: �eQ r – � Date: _ 1/. APPROVED DISAPPROVED/CALL FOR REINSP. CF z c ELECTRICAL PERMIT #. E CI 1Y O F fiI PLRMIT GARD DATE ISSUED:LC96 05/09/96 COMMUNITY DEVELOPMENT DEPARTMENT 113125 SW Hall Blvd Tigard,(Dragon 9722398199 (503)039-4171 PARCEL: 2biO3DA-04702 SITE "FiDRLSS. . . ; 10500 (.-.)w PARI: I_, SUBDIVISION. . . . : ZONING:R-.3. 5 BLOCK. . . . . . . . . . LO).. . . . . . . . . . . . . Project Description: Installing one serivce or feeder, to 200 amps or less. UNIT---- ----TEMP SRI)C/FEEDERS----- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 RUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . . : 0 SIGN/OU. LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 FEEDER--..--. -----BRANCIA CIRCUITS.---.--- -------ADDIL INSr-,ECTICNS----- 0 200 amp. . . . . . : I W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 Evil 4710 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 REVIEW SECT ION----__.___._.____. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR L25 AMPIS. . - CLASS AREA/Sl-',-zC OCC. : Owner: FEES ------- PAT MOAR type ainol.int by date recpt 10500 SW PARK PIRMT $ 60. 00 CJS 05/09/96 96-279202 5PCT $ 3. 00 CJS 05/09/1)6 96---27920;'_' TIGARD OR 97223 Phone #: Contractor: WILLAMETTE ELECTRIC INC $ 63. 00 TDIAL PO BOX 230547 REQUIRED INSPECTIONS TIGARD OR 97281 Eleat' l Set-vice Phone #- 503-621k-3631 Elect' l Final Reg #. . - 75059 This permit is issued subject to the regulation) contained in the Tigard Municipal Code, State of Ore. Specialty Coda and all other Pleriritt,e Signature applicable laws. All work will be done in accordance with approved plans. This permit will tKpire if work is not started within 180 days of issuance, or if work is suspended for more 'CAM than !PQ days. Issued Ely INSTALLATIDN The installatioy. is being made on property I own which is not %ritenderl for sale, lease, or rent. OWNER' S SIGNATURE: ......... DATE: ________________________CONTRACTOR INSTALLATION SIGNATURE Or SUPIR. ELEC' Ns �QCL Cc DOIL: ,-,a LICENSE NOc Call for- inspe7ti.an 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Bl,.d. Tigard, OR 97223 Planck/Rec. # 79 )Z9 Permit # F_ic"96 - I/3t12 -- — Phone (503) 639-4171 Date ISSUeC) --- FAX (503) 684-7297 Issued by -- CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639.4175 f Job Address: 4. Complete Fee Schedale Be:ow: Name of Development N t MU C1 fl: __ N-tmbet of Inspections per permit allowed — Address—N S'O C `..�t�, Anel(- S -- Service included Items Cost(ea) Sum _ 4 City/State/Zip_.. c�Aa12C' 2 2_� 4a. Residential- per unit — J--- 1000 aq If or lase $11000 Tach additional 500 sq 1t nr 1 Name (or name of h'lsiness) portion thereof $2500 — '_imiled Energy $2500 _ CCmmerclal❑ Residential® Fach Manut'd Hone or Modular hNialing So, �-.e or Feeder $88 00 2a. Contractor installation only: 4b.Services or Feeders Installation,alteration,or relocation Electrical Contractor �V l.1tl�st►� t�t. IYt r L_�^�C- 200 amps or less $s0 00 GU y 201 amps to 400 amps $8000 Address / C, /� "L ��' $12000 2 p �lL..-i 401 amps to 000 amps City _ Statt=Zip . / 801 amps to 1000 amps $18000 _ Phone N (r L� ?ii,& ; ( Over 1000 amps o,volts _— $34000 _ _- neconned only $5300 Contractor's License Contractor's Board Reg. No. 7. 0 - — 4c. Temporary Services or Feeders netallatnon,alteration,o•relocation Signature of Supr. Elac'n— zoo amps or less $5000 _ 2C 1 amps to 400 amps $7500 License No. /9 5'- Phone �'y 3L �i . 401 amps lnsu0amps $10000 _ Over 800 arnlie lu 1000 volts 27. For owner l,..,tallations: ase W above --�-- 4d.Branch Circuits Print '-wner'S Name ____._ New alteration or extension per puna) Addr ds T a)The lee for branch circuits with --- --y Slat Zip_ purrho"of"rvk*or�Ider tire. 2 City __ _—_ — Each branch circuit _ $500 Ph/one No. _ __ b)The fee for branch circuits without purc'tess of ssrvice or Nader W. 2 The installa'ion is being made on property I own wh'ch i First branch circum $35 LJ 2 not intended for sale, lease or rent. Eesh additional branch circuit $500 Owner's Signature — -- 4e. Miscellaneous (Service or feeder not included) Review Fach um or irrigation circle $4000 `.�. Plan Ian ReV/ecu section �l t required): Each sign or outline lighting $4000 Signal cirruit(s)or a limited energy —_ -- Please check appropriate item and enter fee In section SR. panel alteration or extension $4000 4 or more residential units in one structure Minor I-abals(10) —� $13000 Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal the allowable in any of the shave Classified area or structure containing special oc,3upency _—. I'xi n>Sp+r_har, $3500 as described in N E C Chapter 5 l,ar I,o„r $55 00 -- in 1'1,101 $5500 Suomit 2 sets of plans with application where any of the above apply. Not required for temporary •:onelruction servicer. — Fees: So Enter total of above fees $ 66 NOTI_t 5%Surcharge(.05 X to al fees) $ Subtotal $ PERMITS BECOME VOID IF WOPK OR CONSTRUCTION 5b. _nter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Man Review if required(Ser.3) $ COW;TRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR S4'b01`01 $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS ^ COMMENCED L_' Trust Account# $ Balance Due ennrmmdiil 'pm to... 00 i wil I. 1 .1 1 1 1�, 1 1 i.I it 1-W.04 timl it if I i I f/I OW .1 1:. . I I IflYlli.N 1 14 1 1 0 111 td I itll i, I I It i I I it'll 4 11 1 It r t.a it t14 I I 1 0 INSPRCTION NOTICE City of Tigard Building Department l' 13125 SM Ball Bled. Tigard, Oregon 97223 inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspections - Tooting Plbg. Underalab Mach. Rough-in Appc/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. / Ban. Sewer ) Framing -Bldg. Pcst/Beam Meth. `• Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requentedc _Time: AN PPM Address: /1l t UQ Builders - TNR FOLLOWIt(G OURR3GTIONS ARE P.SQUIRED2 Inepsctoes_ /'�� Dater 11PPROVED DISAPPROVRD APPROVRU SUBJRCT TO An"vr• Call For Rainsp. CITYOFTI.-GrARD C„Y�16A�, COMMUNITY DEVELOPMENT DEPARTMENT aoeook 13126 SW HWI BW. P.O.Box 2331 r7,Tipiud,C4*Mm 177223(603)8357.4176 SITE ADDRESS— : 1.050'11 SW 'ARK bT P'ARCEL: i2S1031)A- QI44I . '.3U13UIVI';'ION. . . ZON11\16. k 3, 3 BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . ., . l; Nf 1NT N14ME. . . . . 0 USA NO. . . . . . . . . . . I X TORE: iJN L TS. . . . [:;I._ASS or', WOOK'. . . 9 NEW OWELL I NIL) UN I T S. . : 1 TYPE: CITY OF T I GARD RECF.E pT OF pAYME oT RECEIPT NO, r 9a-�'3D 129 CI-iF.:CK AMOUNT 2135. 00 NAME MOAR, PATRICIA CASH AMOUNT 0. 00 ADDRESS a 105k.j0 5W t ARK ST PAYMENT DATE r 03/25/93 SUBDIVISION a TIGARD, OR i7-r,-- PURPOSE OF PnY'iYlF-Nl' AMOUNT PA 10 PURPOSE OF PAYMENT AMOUN r pr)I D _ ._._.. 2100. 00 100. 00 `~F.WE<R INSPECT 35. 00 SEWER pE'RMIT TOTAL 0Mr)1..INT PW11 35. 00 INSPECTION NOTICE City of Tigard Building Department 13125 SM Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-;hone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gass Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. ��- e 1 T+sues PM Date Requested: — Address: ice// SVA�_2� Permit ihia-c la- 0318' Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: 72 Inspectors _ Dates 11211v APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. ITY- OFTIFARD MECHANICAL C"OFTIIFARp PE RN I T COMMUNITY DEVELOPMENT DEPARTMENT 021OKM PERMIT #. . . . . . . : MEC92-0318 13125 SW HWI 2rvd. P.O.Box 23397,Tigad,Organ 97M(E.03)639-1175 6 Z�j 4-4 WH I E I 5130LU 1/d4/4d SITE ADDRESS. . . : 10500 SW PARK ST PARCEL: 2SiO3DA-04700 SUBDIVISION. . . . s ZONING.- R--3. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .. ------------------------------------------------ CLASS OF WORK. . :ADD FLOOR TURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :SF UNIT* HEATERS. . : VENT FANS. . . : OCCUPANCY GRP. . :R3 VENTS W/O APPL% VENT SYSTEMS: STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES------ ---_-- 0-3 lip. . . . : DOMES. INCIN.- :/WOD/ 3-15 HP. . . . : COMML. INCIN: MAX INPUT% BTU 15-30 HP. . . . : REPAIR UNITS: FIRE DAMPERS'?. . : 30-50 HP. . . . - WOODSTOYES. . : I GAS PRESSURE. . . 50+ HP. . . . . CLO DRYERS. . .- NO. OF AIR HANDLING UNITS OTHER UNITS. : FURN ( 100K BTU% <= 10000 cfm: GAS OUTLETS. : FURN ) =100K BTU: > 10000 cfm: Remarks: woodstove insert Owner: FEES --------------- PAT lylOAR type amai-int by date recpt 4414 SW FLOWER ST. PRM7 $ 25. 00 JH 11/24/92 — bpc-r $ 1. 25 JH 11/24/92 — �'GRTLAND OR 97221 Phone #: 244-3088 Contractor: CHIMCARE PO BOX 398 CANNY OR 97013 Phone #: 651-5758 $ 26. 25 TOTAL Reg #. . - 62054 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable lawi. All work will be done in accordance with approved plans. This ptreit will expire if work is not started within 188 days of issuance, or if work is suspended for more than IN days. V,ermittee Signattire Issi.ted By: . Call for inspection 639-4175 e•�ittts City of Tigard MECHANICAL PERMIT PlancwFiec. # 13125 SW Hail Blvd. APPLICATION Per,-nit # PO Box 23397 Tigard, OR 97223 (503) 639-417 1 _ r5escription Table 3A Mechanical Code QTY PRICE AMT M Job �`'� 1 I _� ' 1) Permit Fee 0 0- 10.00 Address �• 2) Supplemental Permit 3.00 OAFurnace to 100,000 1) incl.ducts R vents 6.00 M .q n. � bFurnace 100,000 BTU+ Owner �Cci 2) incl.ducts&vents 7.50 bM - ,,�%I /, Floor umance /r 6 `7 7o��i 3) incl.vent F•00 _ .m.«•.... ... ' MSuspended eater,walleater o 4) or Hoar mounted heater 6.00 .q .., ` • Vent not incl.in Occupant '0K 5) appliance permit 3.00 S 'v Ur bN Repair of heating,re ng. r�7t Z 3 6) cooling,absorption unit 6.00 C-I rA 2E Gt„c — Boiler or comp,heat pump,air 7) to 3 HP absorp unit to 100K BTU 6.00 Boiler or comp,lient pump,air Co . P�� 0. 8 t.�2: �2. 8) 3.15 HP absorp unit to 500K BTU 11.00 Contractor •. DP Boiler or comp, at pump,air cond. �et 2�' C A n b r 0 9) 15.30 HP absorp unit.5•t mil BTU 15.00 r 5Lb.. .tion N. •� •� Boiler or comp,heat pump,air co o-. a4�+v ��P.0 I— D:574- 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 rey acknowlijage ftt I have reaa this app icetion,that the Boiler or comp,heat pump,air cond. Information givon is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance wikh State Air handling unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air handling unit please give reason below.) 13) 10,000 CTM+ 7.50 ion portab e 1--arLrn S�( SN SQA- 14) evaporate cooler 4.50 — Vent fan connect 15) to a single duct _3.00 Ventilation system not 16) included in appliance permit 4.50 .«.a o seryy 17) mechanical exhaust 4.50-----. Describe w new a ition a ter on repair umrne(cial orinndusFGF — to be done residential O on-residential Q YSoR 18) type i 'nerator 30.00 Existing use o I I' her i.e.,wo stove,water building or profherty �r4d1 kO,,!;E 19) heater,solar,clothes dryers,etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet Type of fuel•oil 0 natural gas 0 LPG O electric O FICIE Minimum Fee$: -.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUT140RIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYC AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. -- TOTA.I Special Conditions Date issued by rbNCoHPMT .r.dmaM. .,I f'Y ("IF Tlwmr) u cc ir:,*r, oF: PAYMV-NT PFCCAP"I NC). :92. 3-989 0,141 C!-' A110UN't E-*6. 2 NAMK MOAR, rn-rRICIA CASH AM01 INTa 0, 00 ADDRESS 4114 SW FLOWS F. s)J PAYMENT DATE I t/2`4/92 SUBL)I V I Si I ON POR-ri-.AND, OR 97f`L-`;[ PURPOSE f)F PAIYMFNT PMOUNT V,011) PUPPCK4- (IFPlWYMENT 00101JNT POID Mr".14ANTCAL M-. 01.4 T. [Al I 11 17 1 WOODSTOVE INSERT 101,500 SM PARK, r't-GARD mWll- AMMINT Pflff) 5 I.