15780 SW 87TH AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION IWST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Cate Requested� f_-AM PM _ BLD
Location 7 Suite _ MEC �i�>��r miles
- r
Contact Person Ph PLM
Contractor _ _ Ph SWR
BUILDING Tenant/ wner � ��`� { � ELC
Retaining Wall G' .:1 �. ELR
Footing
(Foundation e'S' FPS
Ftg Drain _
SGN
Crawl Drain Inspection Not
Slab _ _ _ SIT _
Post&Ream
Ext Sheath/Shear _s
int bheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
IFireSprinkler —
Fire Alarm
Susp'd Ceiling
Roof
Misc
Final
PASS PART FAIL -- ---
PLUMBING
-PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains — - ----- - - _--- ----- ---
Final
PASS RT FAIL
HANIGA _
tEf-
i
Rough In '� `
Gas Line i
Smoke Dampers _
S RT FAIL
__—
Serv,c -
~ Rough In
�- UG/Slag — --- —
Ln Low Voltage
FART FAIL —_-_� -- - ---
]SITE
—
'�' Backfill/Grading _ `—
Sanitiry Sewer
Sto-m Drain ( ]Reinspection fee of$ _required before next Inspection. Pay at City Hall, 11125 SW Hall Blvd
Catch Basin ( please call for reinspection RE _ Unable to inspect -no access
Fire Supply Line — ]
ADA C
Approach/Sidewalk Drte Inspector Ext
Other - -_-
Final
PASS PART FAIL Do NOT REMOVE. this inspection record from the job site.
CITYOF T I G A R D ___ ELECTRICAL PERMIT
PERMIT#: ELC199S1-00257
DEVELOPMENT SERVICES DATE ISSUED: 4/29/99
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S111DD-14300
S11"E ADDRESS: 15780 SW 87TH AVE
SUBDIVISION: MILLMONT PARK ZONING: R-7
BLOCK: LOT : 020 JURISDICTION: TIG
Proiect Description: In,1allation of one branch circuit.
_ RESIDENTIAL. UNIT TEMP SRVC/FEEDERS M13CELLANEOUS
1000 SF OR LFS'F;: 0 - 200 amp: RUMP/IRRiGATION:
EACH AGDT. 500SF: 201 - 400 arnp: SIGN;7UT LINE LTG:
LWIT'G:U ENERGY: 401 - 600 ar^p: SIV 'tAL/PANEL:
MANF HM/SVC/ FDR: 601+amps, -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER — _ BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVIC= OR FEEDER: PER INSPECTION
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC
Owner: Contractor:
STEVE LOBEL WEST SIDE ELECTRIC CO INC
15780 SW 87TH 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone:
Reg #: W-15-006
SUP 1556s
ELE 26-135C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT DRA 4/29/99 $35.00 99-314938 Elect'I Final
5PCT DRA 4/29/99 $1.75 90-314938
Total $36.75
This Permit is issued subject to the regulations contained in the Tigard Municipal^.ode,State of OR Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans This permit will expire if wcrk is not started within 180 days of issuance,or d work is
suspended for more than 180 days ATTENTION Oregon jaw requires you to follow noes adopted by the Oregon Utility Notification Canter. Those
G rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain ccoiewtWeraie ordirect questions to OUNC at(503)
c= 246.1987 j
u
Permit Signature: ( IssuedBy: -
) —
_ OWNER INSTALLATION ONLY _
LL The installation is being made on property ' own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: - �c4-�. DP TE:
LICENSE NO: 115 7 n�J
Call 639-4175 by 7-f^om for an inspection the next business day
APP-28-99 04 :45 PM WEST SIDE ELECTRIC 503 736 0677 P. 01
CITY OF TIGARD RECEIVED Electrical Permit Application Plan Ch'C
�~
13125 SW HALL BLVD. Recd et'AFR � ;� 199? Data Radd�}�9-9:
TiGAtQ OR 97223 Date to P.E.
Phone (503)839-4171, xIMMUNHY DEVELOPMENT w�
Print or Type Data to DST
InspeCtion (SC-3)639-4175 Incomplete or illegible will not be accepted Permit
Fax(503)684-7297 Called
1. Job At1'dress: 4, Complete Fee Schedule Below:
Name of Devi,lopment Number of Inspection•per permit allowed --
Name for name of business) s f~{�C �°'�� Service Included: Items Cost Sum
Addresq,� 817 1" da. Resident:al-per unit rte+
CI /SZI r�/Cj 'f 7 ?7 y 1000 sq•h.or less 1110.00 �__�_ 4
rytate/ p�L �. Each additional 500 sq.it,or
Commhrcial ❑ Residential portion thereof $2500 1
Limited Energy $25.00
Faeh Manut'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feedir $ee 00 -__ _ 2
(Attach copy of all current lice es) J db.Services or Feeder..
'ciectrical CCactor f /C CTJ'/� Imtgllalion,aheration,or:elocabon
Addre� t —` - 200 amps or Mss $F0.00 _ _ — 2
201 amps to 400 amps S13000 _ 2
Clay 1,7 401 amps to 600 amps $120.00 a.�.� 2
Phone N0, sot amps to 1no0 amt's a 114 r•o _ 2
Job NCI'.. y Z J— Q/ 7- Over 1000 amps or velle S.340.0 2
Reennnacl snit' 550,01) _. 2
Elec Cont. lice. No. E>,�Date_-__
OR Slate CCB Reg. No,--ZI.306 _Exs.Date _ 4c.Temporary services or Feeders
CCT 8usinoss Tax or Metro No Exp.Date Inetallailon,allerntion,or relocation I
200 amps or lass _ $50.00 2
e___- --��;______��._ 201 amps to 600 amps _ 310.0 2
Signalure of Supr. Elec'n
dei, amps to sod amps $100.00 -r,- 2
/ Over 000 amps In 1000 volts,
l.icenrb No /S b __ Exp.Dete sae"S"above.
Phone Nr - X-3_ � !d.9rench Circuits
New,allegation or oxtnnslon per panel
2b. For owner Installations: q)The ted for branrh r.lrcults with
purchase of service or
Print Owner's Name feedar Me
Addrer)s tach branch circuit $5.00 2
— - b)The lee lot trench 0 colli,;
City _ State Zlpwithout purchue or
Phone N�.,._ — serviee. • ieeder lee.
First branch circuit $3b5_..._....._ 2
Me in$tallation is being made on property I own which Is not Farh addhlnonl branch circuit $5.no 2
inlendAd for sale, lease or rent. 4e.Miscellaneous
(Service or feerier nM Included)
Ownors Slgnature__._ _- Each pump or Irrigation circle $40 M 2
Each sign or oulline lightl^g $4U 00 — 2
3. Plan Review section (if required):' slgnal chrull(s)or a Ilmited energy`
panel,alle►alLm or extension $40.00 2
Minor Labels(10) $100.00 --
Please check appropriate Item and enter fee In section 59.
4 or more residenilel unite in one structure 41 Eroh additional InsperAlon over
_{Service and feeder 225 amps or more the s'cwable In any of the above
System over 600 volts nominal Per Inspection $3500 �._—...�.
_ Classln9d sren or structure containing specie)occupancy Por hour - $55.00
as descrlhed in N F C Chapter 5 I in Finn' $55.00
Submit 2 sets of plane with appllcatlon where any of the above apply. S. Fees:
Not requlrerl for temporary construction services. 5a.Enler Iolnl of nbove fees $ 3i -
5%Curcharge(05 X total fees) -
N=.L Subtotal $ -
5b.Enter 25%of line is for
I'rnMITS nFCC 'VOID IF WORK OR CONSTRUCTION AUTHOWED IS Plan ngAow Uj&gWW(Sec.3)NOT COMMENCED'WI THIN ISo DAYS OR IF CON9TRUCrioN OR WORK subtotal $ --
13 3USpENDED OR ABANDONED FOR A rrnIOD OF 160 DAYS AT ANY
TIME ArrITA WORK 15 COMMENCEDTrust Account
i •- _=�
Total balance Due rrz i&.5 r
or
CITY O F T I GA R D ORIGINAIMEcnNicAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00180
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4'171 DATE ISSUED: 4/2.8/99
PARCEL: 2S111 DD-14300
SITE ADnRF.SS: 1578013W 87TH AVE
SUBDIVISION: MILLMONT PARK ZONING: R-7
BLOCK: LOT: 020 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS _ HCODS:
FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN•.
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K ETU: AIR Hi-tNDLING UNITS _ OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: .Add air conditioning unit and return air duct to existing single family dwelling. A/C units cannot be placed
within the required setback areas.
Owner: FEES
STEVE LOBEL Type By Date Amount Receipt
15780 SW 87TH PRMT DST 4/28/99 $25.00 99-314907
TIGARD, OR 57223 5PCT DST 4/28/99 $1.25 99-314907
Total _ $26.25
Phone: ---
Contractor:
AIR PRO HEATING + A/C
6303 SE POWELL
PORTLAND, OR 57206 _ REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 771-7871 Misc. Inspection
Reg #:LIC 00072086 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
IJtilit% Notification Center. Those rules are set forth ir. OAR 952-001-0010 through OAR 952-001-0080.
You may obtai copiP.,s of.these es or direct questions to OII;,C by callin (503)246 918 .
�' / i-
Issu (3y _ Permittee Sign�ture
Call (503)AT9-4175 by 7:00 P.M. for inspections needed the next business day
Check#
CITY OF TIGARD Mechanical Permit Application Recd Plan Chh
By
i3125 ,',-'W HALL BLVD. Commercial and Residential Date Recd__
TIGARD, OR 97223 Date to P.E. _
(503) 639-4171, x304 Date to DST
Print or Type Permit#fY16e
Incomplete or illegible applications will not be accepted Called
Name of Development/Project 1/ Description
`) � � Table 1A Mechanical Code Qt Price Amt
Job Street Address sunett A) Permit Fee 10.00
Address 1; Furnace to 100,000 BTU
includincgducts&vents see footnote 1,2 6.00
Bldg# �- City/State zip 2) Furnace 100,000 BTU+
_ including ducts&vents see footnote 1,2 7.50
Name(or name of business) 3) Floor Furnace ^
Ot,vner S fC v Lo u p E' ( includingvent see footnote 1,2 6.00
aNLtgAif 4) Suspended heater,wall heater
p + or flooi mounted heater see footnote_1,2 6.00
S 7 Dp U S•sem! 7 5) Vent not included in appliance permit
City/State Zip Phone 3.00
C Li 9'f.Z 2. 4L 6 j S-,L3 o Che,;k all that apply: "Boiler Heat Air
Nam (or name of business) For ncros 6-10,see or Pump Cond Oty Price Amt
footnote%1,2 Cora
Occupant I Meiling Address 6003 BPf,)bsorb unit to _
6.00
l 7)3-1!i HP;absorb unit
+ CRyIState Zip Phone100k to 500k BTU 11.00
8115-',10 HP;absorb
unit.5-1 mil BTU 15.00
Contractor N R1e 9,30-50 HF,absorb
, r il',,, Ps`7�, unit 1-1.75 mil BTU _ 22.50
Prior to permit Mailing Address 10)>50HP;absorb unit
issuance,a copy o Sr P,-.1e /���' �� >1.75 mil BTU _ 37.50
of sit licensesC State Zip Phone 11)Air handling unit to 10,000 CFM
are required if %,i>%C... ',/ y7�' , G 171- JJ'71 _ 4.50
expired in COT Oregon Const.Cont.Board LIc.N Exp,Dale 12)Air handling unit 10,000 CFM+
dat ibase _ 7 2 u - S'- 0 1 7.50
Architect Name 13)No-portable evaporate cooler
4.50
or Malang Address 14)Vent fan co-necled to a single duct
3.00
15)Ventilation system not Included in
Engineer CRY/State zip Phone applianue permit 450
16)Hood se,ved by mechanical exhaust
Describe work to be done: __ 4.50
17)Domestic incinerators
New 9-__`Rep!gQ' Replace with like kind: Yes O No O _ _ 7.50
Residential(V Commercial O .8)Commercial or industrial type incinerator
_. 30.00
Additional information or description of work: 19)P—air units
4.50
stove
NOTE; For Commercial projects only;Units over 400 lbs.require 4.50
cL structural gas talcs. _ r, r.,nr.,dryer,etc.
N type of fuel. oil O na.dral gas O LPG O el:-tric O 4.50
22)Other units +
H I hereby acknowledge that I have read this application,that the information < P e /Z � 4.50
J given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets
the owner,that plans submitted are in compliance with Oregon State laws. _ See footnote 1 2.00
24)More than 4-per outlet(each)
Signawim tafOwn /Agent i Oate 50
z1 1 f Minimum Permit Fee$25.00_ SUBTOTAL �S
Co/nilaic�t Ptmon Nam 7 Phoo7ne i
SURCHARGE
c"-�L /— y ,, ( C 7 / / / ( PLAN REVIEW 25%OF SUBTOTAL I
Foonotes for commercial projects only: Required for ALL co_mmercta_I permits only
1 Provide full schematic of existing and proposed gas fine and pressure TOTAL
2 Provide drawings to scale showing existing and proposed mechanicalll %?
units. *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I Lnechperm doc rev 02/4/99
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