15436 SW 82ND PLACE-1 4�
r
tit p
-SW-- ga L, A ca
41
iArecords\tnicrof
1
WASHINGTON COUNTY ELECTRICAL
LECTR I C /� L PERMIT
Department of Land Use &Transportation G ,�/-�
%`Wk��f
Electrical Inspection FSe:tion 155 North First Avenu-,i'35r 119 APPLICATION
Hillsboro,Oregon 97124
Information: (503) 640-3470 Fax: (503) 693-4412
LEASEPRINTPermit
• complete, . . e Number L �C.G.5-00CL3 Date �_ c1S_
1. Location of installatiQ,n 4. Complete 1"ee Schedule below
Address ' _ 1)U) Number of inspections per permit allowed
Building Service included: Items Cost(ea.) Sum
City Suite No.,
Tenant' "
- A. Residential-per unit
(if commercial) 1000 sq.ft.or less $110.00
Each additional 500 sq.ft
Map N0. _ TeX LOt ___.T or portion thereof $25.00 --
Limited Energy $25.00
Thomas Map Book: Page:-_ Section:---, Each Manuf'd Home or Modular
Directions _ _ Dwelling Service or Feeder _ $66.00 2
.�,� / B. Services or Feeders
Commercial❑ Residential J� G Installation.alterations or relocation
�' 200 amps or less $60.00 2
2a. Contractor in tallation only: 201 amps to 400 amps $80.00 _ 2
'- 401 amps to 600 gimps __ $120.00 2
Electrical Contractor �L>LL! " - 601 amps to 1000 amps $160.00 2
Addr `0 r 'A Over 1000 amps or volts __ _ $340.00 2
City Sta)e&_&_ ZIP Jbe-2 Reconnect only $50.00
Date gj_- Job Number __ __
Property Owner .-u tc61 C. Temporary Services or i'eeders
Contractor's License No. _3V )G Installation,alteration or relocation
Contractor's Board Reg. No. 200 amps or less $50.00 ____ 2
201 amps to 400 amps $75.00
401 amps to 600 amps __ $100.00
Signature of Supr. Elec,n Over 600 amps to 1000 volts see"B"above
License No, �. `� .5_ 1�hone o. ��,�y�- `7�l
D. Branch Circuits
2b. For owner installations: New,alteration or extension per panel
a) The fee for branch circuits with
r nt Owner's Name Phone No. purchase of service or feeder tee.
_ __ Each branch circuit $5.00 2
res: b) The fee for branch circuits without
purchase of service or seeder fee.
J Mate 1p First branch circuit $35.00 5' �_ 2
Each add'nl branch circuit_ . $5.00 2
The installation is being made on property I own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, tease or rent. Each pump or irrigation circle $40.00
Owner's 5iynah ire Each sign or outllne lighting _ $40.00 �_-..
- -- Signal cireult(s)or a limited
energy panel,alteration
3. Plan Review section (if required) or extension $40.00
H Please check appropriate Item and enter fire in section. 9B F. Each additional inspection over the allowable
LA In any of the above
_4 or more residential units in one structure Per Inspection $35.00 �.-
+- _-__Service and feeder, 800 amps or more Per hour _- _ $55.00
System over 600 volts nominal In Plant __ $55.00 - _-_
9 Classified area or structure containing special
CD ___ occupancy as described in N.E,C. Chapter 5 5. Fees
rte: 3 s.ba
--� Submit 2 sets of plans with application where env of the A. Enter total of above fees $
above apply. Not required for temporary constrw:tlon 59,6 Surcharne (.05 X total fees) $ ��-
services. I Subtotal $
This permit becomes null and void If the work outhor'zed by the permit Is B. Entet 2151% of line A for
not commenced within 1 ao days from data of Issuance of such permit or PL'tn R review if required (Section 3) $
if the work authorized Is suspended or abandoned at any time after work Subtotal $
is commenced for a period of 180 days. Electrical Permits are non- $ -
refundable and non-transferable. El Trust Account
For inspections call Ralance Due $
681-3699 or 681-3698
24-hour recorder. one wcrking day In advance of need
BL28 3195
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspection: _ ��/� (a Y,C '
Footing Susp. Ceiling Sprink Rough-in Appr/Sdw'k
Foundation Plbg, Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Outlac. Rough-in FINAL:
Past/Beam Mach, San. Sewer '6–as Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underilr. Insul, Shear Walt Gyp. Bd. t) -Elect.
Date Requested:_! (2 -e Time: I Mo PM
Address: I S�7.� GL �—
Buildek'V�Gi z A>-c �1l�'C7 r 'C1 Permit #: R C �5-00C)'5
THE FOLLOWING CORRECTIONS ARE REQUIRED. / 7 Z T73 l
rz
N
F"
u-.
J
rr
111
J
Inspector. Date:
jAPPROVED DISAPPROVED `APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lin6 'Rec-O-Phone): 639-4 175 Business Phone: 639-4171
Inspection.
Fooiing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out ,Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer 'tflasttme f -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Incl!!. Shear Wall Gyp, Bd. N---Elect. ti�
Date Requested:__ 1" Timet-L %I�M
c�
Address:15V,53 6-
BuilderK, la.-2�CC yj Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- 7537
IP 6Zl
_7
Inspector. �' L(r - / Dat
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
AC all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-,417�
Inspection: ��2/e
Footing Susp. Ceiling Sprink. Rough-in ApPla Ik
Foundation Plbg. Underslab Mech. Rough-in Firep ace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Mumb.
Alarm Water Line Insulation i`w—e–c j
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: /G ��� �-- Time:--AM /�PM
Address:__
builder: Permit tt: GAS 9
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r2
c-�
LL;
J
Ins .clot` Date:_�,����L�
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4 C
Inspection: l'Ic, . Ocl Id,
Footing Susp. Cailing Sprriink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab c" MSpech—Roouug-F^�____) Fireplace
Post Deam Struct, Plbg. Top Out Elec. Rough-int FINAL:
Pcst/Beam Mech. San. Sewer Gas Line -Bldg.
Pibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach. {�
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. (Ar�
Date Requester:_ !n �- �1J` Time: AM ✓PMZ t
Address: -
Builder �C_ A, lc1,.1 . _PermitTHE FOLLWING Cf tRRECTIONS ARE REQUIRED: 2 el-3
J
t
L7
LL!
_J
r -- - -- Date Z 9,
OVED DISAPPROVE APPROVED SUBJECT TO ABOVE
all For Reinsp.
J r-K 1 6 1. 1
(A 41"CK 01101 INT 36.
CA 1 0. 00
.1 PH AMOUNT
f 01"`Mf.'N7 1)FIT V (716 01 1-4 1-5
X11'4111)1 v I S 1 ON
0 Ill f A,)t i I I' r11 I) 1.,i (jr.* V+h'ht WT
OMCUN f 6°t+1
r5
T01 (it AMOUNT POTY) "A. 7t.;
CITY OF TV-3ARD - K-ETYPI OF r44YMF--fJl' f,A
CHUM AMOUNT ;711�
NAME SPECIALTY HE-ATINS A. GASH AMOUNT A. 00
ADDRF SS F.PTANICATION, INC. /'01,X9,5
4.5' 'A TTOARD ST
TIL=Apl) t')R 31-
Or- PAN4,TNT AftWOUNT PWD PUPPOSE UV PAYMFITI AMOUNT VIA I b
MF'.(,HANj(.,0L FF 61611. otel ST. PlITIJ) Pr,"R I
jq L, t
eimntjN*,r PnTn
MECHANICAL
CIN. OF TIGARD PERMIT
`"
COMMUNITY DEVELOPMENT DEPARTMENT PERMI r #. . . . .
13125 L;W Hal;Blvd.Tigard,Oregon 9722398199 (503)639-4171 ZY1117 ISGUEDt
PARCEL: 2112CB-06200
3:7E ICTRE7Z. . . : 15436 M; 82Nr
SUBDIV1710N. . . . ; WWORD OAKS C' ZONING: R-7
MLOCK. . . . . . . . . LOT. . . . . . . .
6F :ADI; FL��IR FUPN. . t cool-Enc
TYr_,F.' Or L.3E. . . . c St' UNIT iiEwrERS. . : ',,LNT EAW':). . .
Cr'r'. . :r.,-, VFNTS W/O nPPL% VENT SYS TEMW
7 T OR I E . . . . . . . . .r- BOILER S/COMPRESSO!;S ;IJiIa, ,. . . . . . .
03 HP. . . c DOME% INCIP
COMM',_ INCTN:
I MA
-,X 1:4PtjT;: B PEPrl I R UNIT5.
"'IRE DAMPERC?. . - 30-50 1 IP. . . . WOODSTOVES. . :
GAS PRES!7,1RE. . . : 504- 1-jr. . . . CLn DRYERS. . .
NO. OF UNITS- •---._._....___ AIR HANDLING UNITS OTHER UNITS. :
rur-.,i�4 ', 17.70, W 10000 c f m z GnS OUTLE7n. .
FURN ) WOOK SSU: 10000 cfm:
RwmarN , ; Add
r- C I A LT`T' HEATTIN" 'q D 0 :'k 41 u i'.(1",1; b yt r-
9528 SW TlGnRD ST Pr%MT LIS. 00 .Io
P Q T 1. 2'S JT) G 0'A !7'
T189RD OR 97R27
Phone P; 620-5643
GPEGTOLT" ". lGiN
IWI SW TIGARD ST
TIGAW OR 972E2
)I,M.. -11 ".. . '.IRT 7, 7 CC. = TOTAL
REQUIRED INSPECTIONS
gid',Ci , . i-svi od t to Us mg0kons cantWned in So Final Inspection
ncw m,.' . a i cot, st A, F mw Win rodu ard 41 a%w
lvl,i, AI' w;,-!, -ill, b; Jc,; i, accordance —th
Thk ;Ii ?sOoe if 4ork is not starts
with:,! ',�10 cays if is"awir, v If .0 is suspended fo eve
City of Tigard MECHANICAL PERMIT Planck/Rec. #
O� C
13125 sw Nail Blvd. APPLICATION Permit # 4d C/ q;7- 4 ��
Tigard, OR 97223
(503) 639-4171
--7Table 3A Mechanical Code QTY PRICE AMT I
Job •• 1) Permit Fee 0- -0- 10.00
Address
2) Supplemental Permit 3.00
t/ Furnace
to 100,000 BTU
�% '! L- 1! 'l ✓-�� 1) incl.ducts&vents 6.00
VAM—
umace 100.OM E31U+
Owner f.% S W tj'1 �y 2) incl. ducts&vents 7.50
Floor Fumance
3) incl. vent 6.00
'" uspen eater, wa eater
[,��.✓/l f �, 4) or floor mounted heater 6.00
Occupant en not mc. in -
5) appliance permit 3.00
Repair of heating, re ng.
6) cooling,absorption unit 6.00
/ —fir comp, ea pumpT 'air cond-.
' rr 1? /^� l v S �j 7) to 3 HP absorp unit to 100K BTU 6.00
mmm¢� Boiler or compTie-a!ppump,air r cond. `
Contractor Z �" SW 8) 3.15 HP absorp unit to K BTU 11.00
boder or comp, ea pump, ,,r cond. _
0,-W &V 9) 15-30 HP absorp unit.5.1 mil BTU 15.00
' i or or comp,heat pump,air cond.
L J 10) 30-50 HP absorp unit 1-1.75 mil BTU 2250
hereby ac ow ge mat I have reacl mis application,that the Boiler or comp, ea puF urnp air cond.—
information gives is correct,that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 37.50
of the owner, that pians submitted are in compliance with State Air an ing unrt 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 ung
please give reason below.) 131 '^ ": 1 CTM+ 7.50
—` on portable
14) evaporate cooler 4.50
`eTrann c6ri—necT' —
15) to a single duct 3.00
Ventilation system no't —
�� 16) included in appliance permit 4.50
o sery yam-
17) mechanical exhaust 4.50
Describe work new U addition U a terahkln—( repair U Commercialor industrial
to be done residential O nonresidential t-) 18) type incinerator 30.00
Existing use o i -- Other re.,woodstavo,weer ---
building or property 19) heater,soler, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping . ie to four outlets 2.00
building or priperty
Type or fuel -01;Q natural gas O LPG O electric Q 21) More than 4-per outlet
!;
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 --
SUBTOTAL
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF :80 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED _
TOTAL
Special Conditions
Date issued, (f I by
rpd�v