15483 SW 82ND PLACE-1 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Lane: 639-4171
BUP _
Date Requested —AM __PM CL.D
Location `�
�",�il'V_C Suite *0)
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELS
Retaining Wall ELR
Fod
Foundation f) /Z Q�V C, FPS
a
Ftg Drain NOT REQUESTED SGN
Crawl Drain FOt IND DURING RESEARCH
Slab io SIT
Post&Beam NO INSPECTION(S) IN HLE
Ext Sheath/Shear _ D -
Int Sheath/Shear
Framing
Insulation
P-.,wall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd CeilingRoof
M sc:
Final
PASS PART FAIL -
PLUMBING
Post R Beam
Under Slab
?up Out _,—
Water Service
Sanitary Sewer �-
Pain Drains
Final
PASS PART FAIL _
MECHANICAL
Post& Beam --- ---- -
Rough In
Gas Line -- - ---
Smoke Dampers
Final --_— --- — ---
PASS PART FAIL
ETRICAL
Service
Rough In
NUG/Slab ------ — -- --e.—__ --- --Low Voltage
Voltage
Fire Alarm
� Final
i PASS PART FAIL
SITE
J Backfill/Grading
Sanitary Sewer
S!orm Drain ( I Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Cat;h Basin ( ]Please call for reinspection RE ! J Unable to inspect-no acce—
Fire Supply Line
ADA
Approacy/Sidewalk Date
Other _ � � � r7y � Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
T
CITY OF T!GARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: EL-C97--0355
13125 SW Hall Blvd., Tip d,OR 97223 (503)639-4171 DATE ISSUED: 06/16/97
PARCEL.: ESl.12(7B--1?';900
SITE ADDRESS. . . : 1j'-483 SW 82ND PL
SUBDIVISION. . . . :ASHFORD OAKS C'--' ZONING:R--7
BLOCK. . . . . . . . . . . LOT. . . . . . . * . . . . . :63 JURISDICTION: TIG
Pt,o.ject Descr-iption : Installing first branch circuit.
-----------------------------------
UNIT----- --_TEMP SRVC/FEEDERS---- - --.-----M.ISCELI-.ANEOUS-------
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PJMP/JRRIGATION. . . . : 0
EACH PODIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE L-TG. . : 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
-------c,ERVICE/FEEDER--- -----BRANCH CIRCUITS------ ---.-ADDIL INSPECTIONS----
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 FIER INSPECTION. . , . . : 0
201 - 14-00 amp). . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 1N PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 REV I EUI SECTION---______--_---_-_-__
1000+
ECTION-------
1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 5VC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. i
Owner,: .......----------- FEES
JEFF ZACHEM type amootnt by date r,eept
15483 SW 82ND AVE PRMT $ *35. 00 8 06/ 13/97 97-2'�5962
TIGARD OR 97224 5PCT $ 1. 75 8 06/13/97 97-295962
Phone 'k:
Cant r-act at-: -•------
SHARPE ELECTRIC INC $ 36_ 75 )OTAL
E22605 SW RIGGS
REQUIRED INSPECTIONS
BEAVERTON OR 97007 Ceiling Covet- Under- gr,oi-ti-id Cove
Phone #: 642-7937 Wall Covet- Elect ' 1 Service
Hog it. . : 000815
This permit is 1,sued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicaile laws. All work will be done in accordance with approved plans. This permit will expire if work is not itarted within 180
days of :ssuance, or if work is suspended for more than 189 days. ATTENTION: Oregon law requires you to folinw the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You say obtain a copy
of these rules or direct questions to OX by calling (503)246-1987.
P P i-in i.t r P e ;i.g na t 1.t v,e 6n et(!p j6pL:�%� 1.s s .;e d P y 74�' L_._
INSTALLATION
The. installation is being made an property I own which is not intended for
sale, lease, at, rent.
OWNER' S SIGNATURE: DATE:
-_.__-_--_-____-.-.._.----_CONTRACTOR INSTALLATION ONLY----------------------------
TGNPTURE OF SUPIR. ELECIN: DATE
ICENSE NO:
+*++.+++++++f...4..................... I ..........4.........4-4..............4 4++++-t
Call 639-4175 by 6:00 p. m. fat- an inspection needed the next day
'J
......f++4-+++4•.....................................................4.......4.........
CITY OF TIGARD Electrical Permit Application Plan Check H
13125 SW HALL BLVD. Recd 8j�N _
TIGARD OR 97223 Date Recd (0 -I�
Date to P.E. _
Phone (503) 639-4171, x304 Date to DST
Print or Type
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit# CC
Fax (503)684-7297 Called
1. Job Address: 4. Cor. plete Fee Schedule Below:
Name of Development 1 Number of Inspections per permlt allowed ----
Name(or name of business) ;�c'_!>� Service included: Items Cost Sum
Address 16-, C/
- 7 �1 4a. Residential-per unit
CI /State/Zi IC )' 1000 sq.ft.or less $110.00 4
City/State/Zip p Each additional 500 sq.ft,or
Commercial ❑ Residertia poiliin that3of $25.00
Limited Eneigy _ $25.00
/ Eech Manv1'd Home or Modular
Dwelling Service or Feeder $68.00 ,>
2a. Contractor installation only:
(Attach copy of-effpurrent lice 4b.Services or Feeders
Electrical COntraCtof�.'J r 1' Insta!lation,alteration,or relocation
200 amps or teas $60.00 2
Addr r4. S 201 amps to 400 amps $60.00 2
City `' a'1 State Ips;-�'% _ 401 amps to 600 amps $i2^.00 2
Phone No. �I A 601 amps to 1000 amps $180.00 2
.lob No. Over 1000 amps or volts $340.00 2
Elec. Cont Lice. No. C. Ex Date - Reconnect only $50.00 _ 2
OR State CCB Reg. No. 1 Exp.Date 5- 4c.Temporary Sarvices or Feeders
COT Business Tax or Metro o Exp.Date -CY6 Installation,alteration,or relocation
200 amps or less $5aoo _ p
Signature of Supr. Elec'n( 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 3 Exp.Date_ _ see"b"above.
Phone Nc,._` G y --)!3 7 - 4d.Branrh Circuits
New,altr;ration or extension per panel
2b. For o Mier instal latiors: a)Thu lee for branch circuits with
purchase of service or
Print Owner's t lame. feeder fee.
Address Each branch circuit $5.00 -.
Cit J� St+it@ Zip__. - b)The tee fur branch circuits
Y _ without purchase of
Phone No._ service or feeder Me.
T First branch circuit $35.00
The installation is being made on property I own which is not Fach additional branch circuit_ $5.00 _ 2
intended for sale, lease or rent. 4e.MIs':elloneous
_ (Service or feeder not Included)
Owner's Signature«
Each pump or Irrigation circle $40.00 �
Each sign or outline lighting _ $40.00 r
3. Plan Review section (if required):' Signal clrcult(s)or a limited energy
LL panel,alteration or extension $40.00
40 00
Minor Labels(10) ---
V) Please check appropriate item and enter foe In section 5B.
4 or more residential units in one structure 4f.Each additional Inspectlon over
►- Service and feeder 225 amps or more the allowable in any of the above
.�
System over 600 volts nominal Per Irspection 35.00 _
Clessifled area or structure containing special occupancy Per hour $55.00
ac
�. as described In N.E.C.Chapter 5 In Plant $55.00
W
'Submit 2 Gets of plans with application where any of the above apply. 5. Fees:
Not equlred for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $ - -
5b.Enter 25%of line 6a for
PERMITS BECOME VOID IF WORK OR CONSTPUCTION AUTHORIZED IS Plan Review If r (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF C.. 'STRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIr:,, ')F 180 DAYS AT ANY
❑ Trust Account k
TIME AFTER WORK IS COWMENCED. $ 5
Total balance Due
CITY OF TIGAR ® MECHANICAL
DEVELOPMENT SERVICESPERM IT
13125 SW Hall Blvd., Tigard,OR 97223 X303;639-4171 PERMIT #. . . . . . . : MEC97-0145
DATE ISSUED: 05/21/97
PARCEL: 1215112CB—Z4900
SITE ADDRESS. . . : 15483 SW 82ND PL
SUBDIVISION. . . . : ASHFORD OAKS C" ZONING: R--7
BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :63 JURISDICTION: TTG
CLASS OF WORK. . :ALT FLOOR FURN— . : 0 EVAN' COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : C,)
OCCUPANCY GRP. . R3 VENTS W/10 APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COP1PRESSORS , 1OODS. . . . . . . : 0
FUEL TYPES---------------- 0-3 HP. . . . : I DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 0 REPAIR UNITS: 0
FIRE DAMPF-RS". . : 30-50 HP. . . . : 0. WGODSTOVES. . : 0
GAS PRESSURE— ,. 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNII*S--- --- ------------ AIR HANDL.-.NG UNITS OTHER UNITS. : 0
FURi\1 ( 100K BTU: 0 1.0000 efin : 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remar-ks : Installing ar, air conditioner. Must not encroach into setbacks.
Owner,:
JEFF ZACHEM type amal.tnt by date r-ec-pt
15483 SW 82ND AVE PRMT $ 25. 00 B 05/21/97 97-294879
TIGARD OR 97224 5PCT $ 1. 2'5 B 05/21/97 97-294879
Phone #:
Cont~-actor: -- -----------------------------
SPECIALITY HEATING & FABRICTN
9528 SW TIGARD
TIGARD OR 97223 ----------------------------------------
f-*,hone #: 620-5G43 $ 26. 25 'TOTAL
Reg it. 000663
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Grp. Specialty Codes and all Dther Final Inspection
applicable laws. All work will be done in accordance with
approved 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.
Pet,mittee Si pati-tt-e:
Issijed By :
Call for inspection 639-4175
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd ByL n JwAk�
13125 s1W HALL BLVD. Commercial and Residential Date
TIGARD, OR 97223 Date to P E
(503) 639-4171, x304 Date to DST _
Print or Type Permit,xM6,-� Oltl�
_ Incomplete or -1:'!Pgible applications will not be accepted Called
1 Nave o 0 v`eidp new ect Description
/, n
CITY PRICE AW Table lA Mechanical Code
Job Street Address sunee A) Permit Fee 0 -o- 1000
Address 79-eJ f.") t I
BldgsGestate zip, B) Supplemental Permit 3.00
/ 7
e 76&y _
Name i, naryor businessi _ I 1 Furnace to 100 000 BTU 600
Owner ,1 t 7Ze- iA (k Vv\- incl ducts&vents
I Ma/iling Adaeess v Z 2) Furnace 100.000 BTU+ 7 50
incl ducts&vents _
ca>e�te °ip )Phone 3.) Floor Furnace 6.00
/
11 �d.''L�t Sof incl vent
Name for name of buaines4) Suspended heater,wall heater 6.00
17V/V11/_Z_ or floor mounted heater
Occupant Mailing Address 5),Vent not incl.in x3.00
appliance permit
�CayeState Zip r .one 6) Boder or comp,heat pump, air cond / 6.00
i�_R to 3 HP,absorp unit to t00K BTU
Contractor Name / [/ 7.) Boiler or comp,heat pump,air cond. 11.00
(Prior to ,:�/'C �- /f>7 _ 2 [I�J � 3-15 HP:absorp unit to 500K BTU
issuance Mailing_Address 8) Boiler or comp,heat pump,air cond 1500
applicant G1 Z of /l ✓S� 15.30 HP:absorp unit 5.1 mil BTU _
must provide all C ryeS a zip Phone 9.) Boder or comp,heat pump,air cond. 2250
contractor </ %G` �'y "L: - )6 30-50 HP absorp unit 1-1.75 and BTU
license Oregon Coast Cont Board Lic a Ex oats 10) Boder or comp,heat pump,air cond. 37 50
information >50 HP;absorp,mit 1.75 mil BTIJ _
for COT COT Business Tax or Metro a Expate 1 1 ) Air hard:,ng unit tc. 4.50
database) !� 6 / 10.000 CFM
Architect Name 12.) Air handling unit 7.50
10,000 CTM +
or Mailing Address 13) Non portable 4.50
evaporate cooler
Engineer Ctyestate tp Phone 14) Vent fan connected 300
_ _ to a single duct
Describe work New O Addition O Alteration'O- Repair O 15) Ventilation system not 4.50
to be done ResidentiaH Non-residential O includ!d in appliance permit
Additional De!:cnption of work 13.) Hood served by mechanical exhaust 4.50
_ 171 Domestic incinerators 750
Existing use of r T� 18) Commercial or industnaltypt 3000
building or property �' / /` _ incinerator
19) Repair units 4 50
Proposed use of 201 Woodstove 4 50
` building or property
r--
v 21) Clothes dryer,etc 4 50
T pe of fuel•oil O natural gas LPG O electric O 22) Other units 4 50
r I heieby acknowledge that I have read this application, that the 23) Gas piping one to four outlets 200
information given s correct.that I am the owner or authorized agent of
t�
the owner.that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50
Taws 3,%) � t/ G/
Signature of Owner/Agent tate QTY.SL)BTOTAL
I ) L 11 'SIJBTOTAL
Contact Person Name Phone 5%SURCHARGE
PLAN REVIEW 25116 OF SUBTOTAL
TOTAL
I _
i dstvnechpmt doc rev 7196i _ Winimum permit fee is S25+5%surctlarg
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