14070 SW 80TH COURT ADDRESS:
POTO Cou'AT
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CITY OF TIGARD
DEVELOPMENT SER ICES ELECTRICAL PERMIT
E 1 f 13125 SW Nall Blvd., Tlydrd,OR 97223 (503)639.4171 PERMIT #: ELC96-0634
DPFE ISSUED: 10/07/96
i F'ARCEI_-: c:'S1 i.2BA--03,270
SITE ADDRESS. . . : 14070 SW BOTH CT
SUBDIVISION. . . . : WAVE:RLY MEADOWS ZON I NG:R--7
BLOCK. . . . . . . . . . . I_..OT. . . . , . . . . . . . .. %22
F'roJect Descr-iption: Add two branch circ!i-tits w/otit service or feeder
---RESIDENT I(al_ UNIT---- -•--TEMP SRVC'/FF.ErVERS--__ -----.M I SCEI._LANE0US--------
1000 SF OR LESS. . . . : 0 0 - 200 anti. .. . . . . . : 0 P1JMP/IRRTGA1"IOIN1. . . . : 0
EACH ADD' L_ 5O03F. . . : 0 201 - 400 amp. „ . . . . . . 0 SIGN/OUT LINE LTG. . : 0
i_IC+IITED ENERGY. . . . . : 0 40). - 600 amp. . . . . .. . : 0 STUNA1_/L-+,iVEI.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amp'a--1000 volts. : 0 MINOR LABEL ( 1%71) . . . : 0
. -----.--SERV T CE/FEEDER_............ ---_-.ADI)' L INSPECTIONS—
0 ;-'00 amp. . . . . . : 0 WI/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
'01 - 400 amp. . . . . , .. 0 I st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD" L. BRNCH C I PC 1 IN PL.ANT. . . . . . . . . . . .. 0
CrO1. - 1000 amp. , . . . : 0 ___.___._..._.___._._.._.._.___..__F'L_AN REVIEW SEi�1ION___.__...._._._..._....__.......__._._
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOM I NP•L. .
7econnect only. . . . . : 0 SVC/':"OR ) 225 AMPS. . - CLASS AREA/SPEC OCC. :
Owner: ____._..__._._._.._.______....__.__...____._._______________.__._____..___..._____ i7EES
F'HYLLI.S GUNTHER type aamri_rnt h,, date r-ecpt
14070 SW 80TH CT PRMT $ 40. 00 JDA 10/07/96 96-2'81811
5PCT 4 c. 00 JDA 10/07/96 96--281 81.
TIGARD OR 97'.=24
Phone #:
;UNSET FUEL CO >~ 42. OO '1"OTAL_
DO BOX 4L287 _ _ ----.____.._.
x:944 SES. F'OWFLL_ n, L.VD (9720 ) REQUIRED RED I NSt'E'CT T ONS
PORTLAND OR 97242--0 '87 Wall. Covet-
'-,hone #: 503-234-0611 E-ect' l Final
Req 2374
This perait is issued subject to the regulations cont tined in the _ -All LL0_....._._®_._.______.___
Tip ! Municipal Code, State of Ore. Specialty Codes and all other F'er,. ittee Signati.rr^e
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
:han 180 days. I s sired B
-OWNER I NSTPiL_I_AT I ON ONL_Y•.__ -____--_ .-__-__-__---.__._......._..__
The installation is being made on property I own which is not intended fat-
lease,
orlease, or rent.
OWNER' S S I GNATURE: _ . DATE:
INSTALLATION ONLY---.-----__
J1 f,' -i r iJRE OF SUPIR. ELEC' N: ��� DATE: .
r,ENSE. NO: _
.__._ Call for inspection — 639-4175
Community Development ELECTRIGAIL PERMIT APPLICATION
13125 SVS' Hall Blvd...
Tigard, OR 97223 Fermit # �L L0 6 •- 0lc 7r�
Date Issued 10
Phone
Phone (503) 639-4171 � _
CITY OF TiGARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: F4-Comolete Fee Schedule Below:
Name of Development____ _ _ I Number of Inspections pe, permit allowed
Address t I��V �� V4k� (j- 1 service included. Items Cost(ea) `um i
CitylState/ZipTI ( a,,CC�2 �'1 _ '� 14a. Resi,t�gntial -per unit
--�— ` 10(10 SQ. (t. or less %110110
n
Name (or name of business)PlI�-,\` 1 j Eacl• additional 500 sq it or
portion thereof $25 00
Commercial -1 Residential Llm"t I Energy 525 00
Each Manuf%i Home or Modular
Dwelling Service or Fender —_ $61100
2a. Contractor instaVation only:
4b. Services or Feeders
Installation,alteration,or retocat on
Electrical Contract�C�4rr `r C i•�_— 200 amps or less $6000 2
Addre.- -2, q y`'4 L., �`) � 201 amPF to 400 amps 120.00 2
Cit C(�T � Zi , 401 amps to 600 amps
V !� Stater_ 1'12000
�— —•— p sol amps to loon amps 1180,00
Phone No. ; SD over 1000 arips or volts $34000 2
JJb NO. Reconrectonly $5000 2
contractor's license NO. � 4c. Temporary Services or Feeders
Contractor's Board Reg. No; 1 _ Installation,al.eratlon,or rel,cabon
Signature of Supr Elec'n 200 amps or less `
g ���— 201 amps to 400 amps $5000 2
License No. �; Phone No. 401 amps to 600 amps $2500 z
Over 600 amps to 1000 volts $10000 —
2b. For owner installa!iors: see"b"above
4d. Branch Circuits
Print Owner's Name New alteration or ektension per pone
Address a)The fee for branch circults with
City State zip _ purchase of service or feeder fee.
Fach branch circuit _ $5.00 _
Phone No. b)The fee for branch clrcults without
TI,- Installation Is being made on ;70perty I own which Is purchesr of service or feederfea, S2
not intended for sale, IeaSf) Or fent. Flist brrnch circuit _�_ $351)0 ��`7
additional branch circult
Owner's Signature - 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section ( Each pDnprr igecircle _. $400
Each sign or julllIglne lighting 140 000
Signal c rcult(s)or a Ilmind energy
Please check appropriate itam and enter fee in section 5B. panel,alteration or extension $40.00
., 4 or more residential units in one structure Mfnar_abets(10) $10000
Service and feeder 225 amps or more
F-
System over 600 volts nominal 4f. Each additional inspection over
Lr Classified area or structure containing special occupancy
the allowable in any of the above
vispT as described in N.E C. Chapter 5 Per Per lour tai $35 00
H p 'tour $5500 _._---
"" In Plant s55 00 -
.J� Submit 2 sets of plans with application where any of the abo,e
apply. Not required for temporary construction servl,�s. 5. Fees: _
U-1 Sa. Enter total of above fees $
NOTICE 5%Surcharrle (.05 X total fees) $ -;
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ �0lu
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS fSubtcral $
COMMENCED. Tn1st Account ft
$
Mm pp
BalancF Due $ 'Q��
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FI A .
FounclaJon Water Line Ceiling Plumb.
Post/Beam Mach. Shear/Sheath Framing ech.
Plbg.Und/Flr/Slab Plbg.Top Out InsulationElect.
Post/Beam Struct, Mach, Rough-in Gyp. Bd, Bldg.
San. Se y Gas Line Appr/Sdwlk Reins.
Other: / ll �—G�/
Date: ,ClL,02/ P.M. Entry-
Address:
nt Iry:
Address:
Tenant. _ Ste: MST: _
�� /' BUP:
Con/Own: r —.�etie/L� MEC:
QQ ELC.
THE FOL�CORRECTI(ZSACREEOUIRED:
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Ins .ctof: _ _ Date:
APPROVED
_ `DISAPPROVED/CALL FOR REINSP. WF �
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,.WBU] VIS:`ION t
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• CITY OF TIGARD ,.fir=r,l'IANICA�
DEVELOPMENT SERVICES F,ERMIT
13125 5W Hall Blvd., Tigard,OR 97223 (503)639-41;'l PES.RM I T #. . . . . . . : MEC96--034;3
DATE iSSVED: 10/07/96
PARCEL: 2S 1 1*2BA-03C-:'00
SITE ADDRESS. . . : 14070 SW 80TH CT
SUBDIVISION. . . . : WAVERL_Y WEADOWS :GIVING: R---7
13LOCK. . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORE<.. . :AL T FLOOR TURN. . . . : 0 E::VAF, COOLERS: 0
TYPE OF USE. . . . .SF UNIT HEATERS— : 0 VENT' FANS. . . : 0
OCCUFIANCY GRI,. . : R3 VE=NTS W/O AFFIL: 0 VENT SYSTEMS: 0
STORIE=S. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP,. . . . : 1 DOMES. a NC I N: 0
: /GAS/ / / 3-15 H-. . . . : 0 COMML... INCIN: 0
MAX I NF'UT: 0 3TU 1.5--30 HFA. . . . : 0 REPAIR UN I �4S: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES . : 0
GAS PRESSURE. . . : 50-' HP. . . . : 0 CLO DRYERS. . : 0
NO., OF LINITS- - _____..__...._...._ AIR HANDLING UNI,fS OTHER UNITS. : 0
FURN ( 100K STU: 1 c= 1.0000 cf m: 0 (SAS OUTL_ETS. : 0
FURN ) =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Adding gas fi_irnace and A/C
F,,gnet-: ___._.__._..__..________________.____._.___.__-__._._.._....._.________-- FEES
f'HYI-LIS GUNTHER type amoi.Ant by date rer_pt
14070 SW BOTH CT F'RMT $ 25. 00 JDA 10/07/96 96--284811
SF,CT $ 1. 25 JDA 10/07/96 96-284811
TIGARD 9R 971_24
Phone #:
Contractor:
SUNSET FUEL CO
11'0 BOX 4.2287
PORTL..ANI:) OR 97242
503-1.'34-061 1 26. 29 TOTAL
Reg #. . : 002374
REQUIRED INSPECTIONS - -----
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codec and all other Mechanical. I n s p
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if work is suspended for more
L'—„ than W days.
1-,a r-m i t t e e S i gn a t�_t r,e . _ LS LL. . .�_�
Call for inspection — 639-4175
IT (A P(IYMI*",N I (4.1;&.1PIT Nij.
NAME CASH AMOUN 1" a 171. 00
PAYME-J41 IM L. C b
U.ADIV.ISION
POP YLAND, OR 7 2 4 8 7
01,10UNT PAID PLAPObE. (A- PAYMEN'T HM(,)Ut%l"i 1:4-t.W
0 E-i I . AU t L,1) PL-.W 1.
t ltd 140 70 !�w 00
CH VILtiml I f; MC-C q6 t) 3 4
TWAL AMOUN i
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171 _
oescription
�jr' ) Table 3A Mechanical Code 017Y PRICE AMT
Job I"7 U 1� S� �� � 1) Pennit Fee -0- -0- t0.C+0
Address =�-
C' ( Z C,-1 2) Supplemental Permit 3.00
a^ '■••�+ Furnace to 100,000BTU
1) incl. ducts a vents 6.00
"'•'^o"�•• "°^• Furnace 100,000 U +
Oviner �� 4—
7- 00 , C- 1 2) incl. duds 3 vents 7.50
u W a oorurnance
3) incl. vent 6.00
"STM "■ °'�^•� Suspended heater,wall heater ,
4) or floor mounted heater 6.00
W—v Vent not in .to
Occupant 5) appliance permit 3.00
■'• c Repair of heating, refrig.
6) cooling,absorption unit 6,00
-- ■TM ( i er or comp, aat pump, air cond.
5\ Y1`--A-J ,4 C.� 7) to 3 HP absorp unit'o 100K BTU 6.0o
•�"m'2• h— Boder or comp, heat pump, air Gond.
Contractor ` �Ok X3`1 SII 8) 3-15 HP absorp unit to 5o0K BTU 11.00
■■ o ar or comp,heat pump, air cond.
9) 15.30 HP absorp unit.5-1 mil BTU 15.00
a• '•��"• Y "N. Boder^r con -i, heat pump, air Gond.
~� r. N jL� 10) 3u-50 HP absorp unit 1-1.75 mil ETU 22.50
hereby ac o-.v edge that I have read this application,that the Bj der or comp,h eat pump, air con(F
in!ormation given is correct,that I am the owner jr authorized agent 11) >50 HP absorp unit 1.75 mii BTU 31.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construetiun Cont--tor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from Stave registration, Air handling unit
please give reason below.) 131 10,000 CTM+ 7.50
Non portable
14) evaporate cooter 4.50
Vent fan connecto
15) to a single dud 3.00
Ventilation system not
L C\4-\ }� 'S r 1 16) included in appliance permit 4.50
•,°...«.o.K, ( +■ Hood sere_ y _
17) mechanical exhaust 4.50
Desci.be work now addition J alteration-71 repair Commercial cindustrial
to be done resid(?ntial`-eon-residential 0 18) type incinerator 30.00
Existing use of Other i.e.,woodstove.water
building or property 19) heater,solar,clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
V1 building or property
> / 21) More than 4-per outlet
Type of fuel -of 0 natural gas rte-' LPG 0 electric 0
J
NOTICEca
—
Minimum Fee$25.00 SUBTOTAL C,l
tW PERMITS BECOME VOID IF WORK CR CONSTRUCTION
—' AUTHORIZED IL Nt.r COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE_
.i_..
IF CONSTRUCTION OR WORK IS SUSPENDED OR --- — l
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS CCMMENCED
TOTAL r�2ln rL
Special Conditions
Date issued by
trYEdPV1'
■anfmr�M•
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suns
FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND,OR 97242-0287 TELEPHONE 234-0611 FAX #503-234-0380
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