The URL can be used to link to this page

15700 SW 88TH AVENUE ADDRESS: i 1570p__ 4 03 U) w J l:keco rd,,\microf lmlti3rgelsVwilding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST ' 7 '30/1 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP , ' _ 4WV (k' -Date Requested VAM PM BLD Location5 7C( &0 Suite MEC Contact Verson _ Ph (;ontractor Ph _ SWR 311ILDING Tenant/Owner dZ Tfq 7 ELC _ Retaining Wall ELR — _-- Foun9 dation Access: ��// n ��(� / FPS Ftg Drain ` t'd -�Plet J .� Cv Ls�� . SGN Crawl Drain Inspection Notes: -- Slab U l SIT Post& Beam Ext Sheath/Shear ( __— Int Sheath/Shear Fr2ming Insulation _M - � �f � L � r N Drywall Nailing - � Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- Roof Misc: - Final �� ; FAIL ( PLUMBING Under Slab bi Top Out Water Service Sanitary Sewer F rains _ ;ri PART FAIL HANICAL-� Post& Beam -- Rough In Gas Line -- --- -- -- Smoke Dampers Final --- ----- -- PASS PART FAIL ELECTRICAL Service n= Rough In N UG/Slab Low Voltage ~ Fire Alarm J Final C2 PASS PART FAIL_ — — -- -- LL SITE J Backfill/Grading — _-� -- — -- -- - ' Sanitary Sewer Storm Drain { ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Cutch Basin ( ]please call for reinspection RE: _— ( ]Unable to inspect- no Access Fire S-jpply Line C ADA 7 e Approi�ch/Sidewalk c Other Date S J � Inspector Ext _ Final — PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 + Bf/usiness Line: 639-4171 BUP I -3 + C d AM= PM BLD Date Requested, _ - C� � x Location Suite MEC / r. 1 � � /� �%. � -- .-_ Contact Person ph PLM Contractor Ph SWR _ - ELC BUILDING Tenant/ywndr �- ELR Retaining Wall Footing Access: FPS Founda'on Ftg Drair, SGN Crawl Drain Inspection Notes: SIT Slab — — Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing — - Insulation Drywall Nailing i Firewall ------- Fire Sprinkler Fire Alarm •C ---------- Susp'd Ceiling Roof --- --- Misc: Final — PASS PART FAIL PLUMBING Post& Beam — Under Slab — Top Out Water Service --- — - Sanitary Sewer Rain Drains — Final PASS PART FAIL MECHANICAL Post&Beam �.�� Roti"�i Tnn --- iP1e - —- - moke Dampers PASS , PART FAIL -- - _ — — --- _—___—_ -- -- — — — C TRIC.AL i Service -- - --- ---- --— ----.-- ---.— N Rough In — --- UG/Slab - — -- — i— Low Voltage Fire Alarm -------— _ — 03 Final -- -- _—_-- cz p PART FAIL _.---- --- TE ---- Backfill/Grading Sanitary Sewer required before next inspection Pay at City!-fall, 13125 SW Hall Blvd Storm Drain [ ] Reinspection fee��f$ __ q _ [ ]Unable to inspect-no access Catch Basin ( ]Please cell for reinspection RE: Fire Supply Line I ADA r Approach/Sidewalk % / Inspector ^Ext _ Date Other Final PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �— O BUP Y , / ., C Date Requested ' `� N -AM __PM BLD Location /,c; � �1J �� Gj 8 fh Suite Contact Person Ph _ ' -2e Contractor _ Ph SWR BUILnING Tenant/Owner ELC Retaining Wall ELR Footing Access: --� —� Foundation FPS Ftg Drain _ SGN Crawl Drain Inspection Notes: -- Slab — - -- SIT Post& Beam ---- Ext Sheath/Shear Int Sheath/Shear Framing Insulation `-- — Drywall Nailing — -- Firewall j Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final PA5 T FAIL -- ----- -- -- - ,—� _- BING PbtTTTFa-M - - - — -- Under Slab Top Out --- _— — --- Water Service Q'� SanitarySeweradjELD `-y-- rains CUUILFAWN-or 'I FAIL HANICAL ---- - -- ---- � — -- -- OSM7 — Rough In _ Gas Line - -- —— - --- — — -- ------ Smoke Dampers PAS PART FAIL EtECTRICAL --- - - --- -- -- --- ---- - Service a- Rough In _—_-----_--. _ UG/Slab -_ Low Voltage �- Fire Alarm - Final n PASS PART FAIL U= SITE - Backfill/Grading - ---- — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ i Please call for reinspection RE `— [ )Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalkd/ Z 9 ' other Date v Inspector _ Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site, CITY O F T I G ,R D MECHAN I CAL PERMIT' DEVELOPMENT SERVICES PERMIT #. . . , . . . : MEC98-0344 15 125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/13/98 PARCEL: E,S11iDD-02100 SITE ADDRESS— : 15"/00 SW 08TH AVE SUBDIVISION. . . . : STRATFORD ZONIN6: R -i, 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O37 JURISDICTION: TIG ---------------- ------------------------------------------------------------------------- CI-ASS OF WORK. . :ALT FLOOP FURN. . . . : 0 EVAP COOLERS: C. TYPE OF USE. . . . :SF UN 1 T HEATERS. . : 0 VENT' FANr-i. . . : 0 OCCUPANCY GRP'. . : R3 VENTS W/O APPIL: 0 VENT SYSTEMS: III STORIES. . . . . . . .. : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : Q FUEL. TYPES------------- 0--,:, HP. . . . : 0 DOMES. IIVC IN: 0 :GA:'. 3-1.5 HP. . . . : 0 COMML. INCIN: 0 MAX I NIPUT: 0 BTU 15-30 HP'. . . . : 0 REPAIR ''NITS: 0 F IRE DAMPERS% . : 30-570 HP. . . . : 0 WOeDSTOVE9. . : 0 GAS PRES)SURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO., OF UNITS-------------- AIR HANDLING L-JN I TS OTHER UNITS. - 0 PJRN ( 100K BTU: 0 1.0000 r-fm : 0 GAS OU'rLETS. : 1. FU'RN ) =100i" BTU: 0 > 10000 cfm : 0 Remarks : Lass - gas piping for water heater Owner: FEES GARY LASS type amoi-int by date reept 15700 SW 88TH PRMT $ 2ti. 021 JSD 1718/13/98 98-308251 TIGARD OR 97224 5PCT $ 1. 2tj JSD 08/13/98 98-30825l Phone # : 620-8297 Contra --tor: -------------------------------- CLAWSON HEATING & AIRCONDITIONING -------------------------------------- 4350 SE 4TH ST $ 26. 25 TOTAL GRESHAM OR 97Qi80 Phone #,- 618-9646 Req #. . : 110307 REDUIRED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. SP26alty Cndes and all other Final Inspection applicable lain. 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 fur more than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thosp -rules are set fortli in DAR 952-01-0010 through OAR You may obtain r:r!ries of these rules or direct questions to OUNC by calling (58312+x,-9187. Issue By : Permittee Signati.tre - +++++++++++++++++ ......................4........4-+ )-++4...................... ++++++ Call 631.9-4175 by 7:00 p. m. for inspect -ions needed the next bI.Isiness day ........... r............4........................4.............................. CITY OF TIGARD 'Mechanical Permit Application Plan Che Recd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd�C � 7 TIGARII, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST_ _ Print or Type Permit# M« 63y/ ___ Incomplete or illegible applications will not be accepted Called Name of Development/Project W Description-- Cao LA`5 Table 1A Mechanical Code Qty Price Amt JobPermit F Street Addr ss A:;uitep ) Fee_ 1000 Address `17 c to 1) Furnar,e to 100,000 BTU jLkU - �_ including ducts&vents _ 6.00 Bldg# CRY/State Zip 2) Furnace 100,000 BTU+ _ [Lc_-Alzs> \ including cocts&vents 7.50 Name(or name or business) 3) Floor Furnace O'Nner C-A(?- L �� including vent 6.00 Mailing Addressh-- 4) Suspended heater,wall heater c Z +11 �( 5) or floor mounted heater 6.00 C�� .,�� /�Ut Ven:not included in appliance permit. CttylStale Ip Phone _ 3.00 IL c c, Or CHEEK ALL *Boiler Heat Ai,' Name(or natne of business) THAT APPLY: or Pump Cond Qty Price Amt A I..,�_,/Q _ •' 5,•L��_ � _ 6)<3HP,absorb unit to Comp Occupant Mailing Address 100K BTU _ 6.00 7)3-15 HP;absorb unit City/State Zip Phone _100k to Fr:Ok BTU _ 11.U0 _ 8) 15 30 HP;absorb Contractor Name --- unit 5-1 mil BTU 15.00 9)30-50 HP;absorb 1� unit 1-1.75 mil BTU _ 22 50 Prior to permit Mailing Address { 110)>50HP'absorb unit issuance,a copy L43,50 L{� >1.75 mil BTU 37.50 of all licenses Cny/State Zip Phone 11)Air handling unit to 10,000 CFM are required if (JrPS� r'h Q 70 � �,�� _ 4.50 expired in Cri( Oregon Const ContBoardLIc# J�� Da12)Air handling unit 10,000 CFM+ database /AJ r — 7.50 Architect Name 13)Non-portable evaporate cooler _ 4.50 Or i,751,g Addrnss 14)Vent fan connected to i single duct 3._00 15)Ventilation system not included in Phone Zip Engineer CHy/Slate — 9 —`—� - appliance rd by i n _ 4 50 _ 16)Hood served by .echanical exhaust work to be done. 4 50 17)Domestic incinerat)rs New O Repair O Replace with like kind: Yes O No 07.50 Residential• Commemial O 18)Commercial or industrial type incinerator 30.00 Additional information or description cf work. 19)Repair units 4.50 20)Wood stove _ 4.50 21)Clothes dryer,etc 4,50 _ Type of fuel: oil O natural gas& LPG O electric O 22)Other snits 4.50 I hereby acknowledge that I—hive read this application,that the information 23)Gas piping one to four outlets given is correct,that I am the r;wner or authorized agent of 2 n0 _ the owner,that plans submitted are in cumpliarce with Oregon State laws 24)More than 4•per outlet(each) __ Signature of Owner/Agent Date 50 �j Minimum Permit Fee$25.00 SUBTOTAL L L �111// c� 5%SURCHARGE ontact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial eprTq oniy TOTAL -- 'State Contractor Boiler Certification required G "Residential AJC requires site plan showing placement of unit kmechperm doc rev 37/20/98 CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PIL1198-0283 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 96 PARCEL: 2S1114-02100 SITE ADDRESS. . . : 15700 SW 88'Tri AVE SUBDIVISION. . . . : STRATFORD ZONING: R--4. 5 BLOCK. . . . . . . . . . : LO' . . . . . . . . . . . . :037 JURISDICTION: TIG - ---------------------- CLPS9 OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. . 0 'TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . .R3 F(-OOR DRAIN-'), . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 FIXTIJRES---------.---- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE' TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATE--R CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Lass Owner: ------------------------------------------------------ FEES ---------------- GARY LASS type amo�int by date reept 15700 SW 88TH PRMT $ 25. 00 .TSD 08/1.3/98 98-30812'51. TIGARD OR 97"i,24 5PCT $ 1. 2'5 JSD 08/13/98 98-3082-51 Phone #: 620-8297 Contractor---------------------------------- - OWNER ------------------ --------------------- Phone $ 26. 25 TOTAL Reg 0. -------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Roi-tqh—in Insp Tigard Municipal Code, State of Ore, Specialty Codes and all otnpr PLM/Underf I oor applicable laws. All work will be done in accordance with fop—ol-lt Insp approded plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 0 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules ere set forth in OAR 952-000I-00i0 through OAR You may obtain copies of these rules or direct questions to (ANC, by calling (503)246-1987. Issued By: Permittee Signati.ire4- ..................4--+-+4-++++-*.....4............................................. Call 539-4175 by 7:00 p. m. for an inspection needed the next b�_ts iness day ................4........................................................ IN Cl1'Y OF TIGARD Plumbing Permit Application PlarCheck# 13125 SUN HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd n10 is I (50) 639-4171 Date to P.E. Print or Type Date to D r Incomplete or illegible applications will not be accepted Permit# 1+^ Related SWR# Called Name of Development/Project FIXTURES (Individual) QTY PRICE AM Job Sink 9.00 Address Stree Address �/` Suite Lavatory 9.00 �5Tb Is LCA Tub or Tub/Shower Comb, 9.00 Bldg# City/State ✓ ZI 7 / Shower Only 9.00 Nan)*- Water Closet 9.00 Dishwasher 9.00 Owner Mailing Addres G D�� Suite Garbaye Disposal 9.00 Sid 0 0 Washing Machine 9.00 City/B!pte Zip Phone floor Drain/Floor Sink 29.00 " a57 — Name bImo, /� 3" 9.00 av4" 9.00 ,5 a kilt Occupant Mailing Address Suite Water Healer,–,Q'Obnversion O like kind 9.00 Gas piping requires a separate mechanical permit. Clty/Slate Zip Phone Laundry Room Tray 9.00 Urinal 9.00 NameOther Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 9.JO Prior to permit City/State Zip Phone Sewer- I sl 100' 3000 issuance,a copy Sewer-each additional 100' 25.00 of all;Icenses are Oregon Const.Cont.Board Lic.# Exp.Date — required If Water Service-1st 100' 30.00 expired In COT Plumbing Lic.# Exp.Date Water Service-each additional 200' 25.00 database Storm&Rain Drain-1 st 100' 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect Mobile Home Space 25.00 Or Milling Addeess Suite Commercial Back Flow Prevention Device or Anti- 25.00 _ Pollulinn Device _ Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation liming devices require a separate Describe work to be done: restricted energy permit.) — New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial O Catch Basin 900 Additional description of work: Insp.of Existing Plumbing :0.00 er/hr _ Specially Requested Inspections 40.00 per/hr -- Rain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? Grease traps 900 Yes O No C If yes,see back of form to indicate work performed by QUANTIT7iOT4L fixture. FAILLIRE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is requiredNOuantityTotal Is >9 WORK COULD RESUL T IN INCREASED SEWER FEES. *SUBTOTAL I hereby acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized agent of the owner,and 6% SURCHARGE ,�(� -� that plans submitted are in compliance with Oregon State Laws Signature of Owner/Agent Date **PLAN REVIEW 26% OF SUBTOTAL Reguired only N fixture qty total is>9 TOTAL �\) Contact Person Name Phone _ �i *Minimum permit fee is$25*5%surcharge,except Residential Backflow SLC- � Prevention Device,which Is$15*5%surcharge -All New Commercial Buildings require plans with iQometric or risar diagram and plan review I ldslalplumapp d=MAIMS PLEASE COMPLETE: FIXture Type _ Quantity by Work Performed New Moved Repilaced Removed/Capped � Sink Lavatory _ Tub or Tub/Shower Combination_ _ Shower Only Water Closet _ Dishwasher Garbage Disposal J Washing Machine Floor Drain/Floor Sink 2" _Water Heater Laundry_ Room Tray Urinal C►;ner Fixtures (Specify) COMMENTS REGARDING ABOVE: CITY OF TMECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SV!'Hall Blvd., Tigard,OR 972PERMIT #. . . . . . . . MEC98--031823 (5Q3)639-4171 DATE ISSUED: 08/04/98 PARCEL.: 29111DD—O21O0 SITE ADDRESS. . . : 157O0 SW 88TH AVE SUBDIVISION. . . . : STRATFORD -ZONING: R-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :O37 JURISDICTION: TIG -------------------------------------------------------------------------------------- CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYRE OF USE. . . . :SF* UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS W/0 APPI_: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYRES------------- 0-3 HP. . . . : 1 DOMES. INCIN: 0 :GAS .15 HR. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HF'. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0 FURN <. 1O0K. RTU: 1 (- 10000 cfm : 0 GAS OUTLETS. : 1 FURN > =1OOK BTU: 0 > 10000 r_.fm : 0 Remarks : Installation of new gas furnace, a/c unit I gas piping. placement of a/c unit must comply with standard setbacks. Owner-. __.___.----__._______.--------.___.____..____...__._.____-----__.._._-- FEES ----__----_---_ GARY LASS type anioi.tnt by elate r-ecpt 15700 SW 89TH RRMT $ 25. 00 DEB 08/04/98 98--307977 TIGARD OR 97224 SPCT $ 1. 25 DEB 08/04/98 98-307977 Phone #: 620-8297 Contra--tor: CLAW SON HEATING R A I RCOND I T I ON I NG -------------------- 4350 --------_—_--______4;_,50 SE 4TH ST $ 26. 25 TOTAL GRESHAM OR 97080 Phone #: 618-9646 Reg #. . : 1. 10307 REQUIRED INSPECTIONS -------- This permit is issued subject t3 the regulations contained in the Gas Line Insp _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Ilechanical Insp applicable laws. All work will be done in accordance with Heating Lint Insp approved plans. This permit will expire if work is not started Cooling Lint Insp within 18@ days of issuance, or if work is sv-oended for more Final I nspect i.on than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-9@1-0010 through ilk %2-01-OW. You ray obtain copies of these rules or direct questions to OIX by calling (503)^246-918r. 155�_1e �y : l '� _� _ Permittee Signati_tre ++++++f.++++....++++++•h++++++++++++++++++•1+-r++++++.++++4++++++++-++++++++++++++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next business day +++++4.++++++++++++++++++++++++++++++i++++++++++++++•+++++++f+++++++++++-t•++++++f+ Plan CITY OF TIGARD Mechanical Permit Application Recd lication Rec'dBeck#� By ►`-�� 13125 SW HALL BLVD. Commercial and Residential Date Recd `d — 'TIGARD, OR 57223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit _ Incomplete or illegible applications will not be accepted Called _ Name of Developm.enWroject Description Table to Mechanical Code Qt Price Amt Job Street Address S"net A II � � 10.00 Address IS`100 S W �� _ 1) Furnace Permit Fee ce l0 100,000 BTU including ducts 8 vents i 6.00 elaqu City/State zip (11 2) Furnace 100,000 BTU+ including ducts&vents 7.50 Name((,,or name of business) 3) Floor Furnace Owner GAV— � SO E LASS including vent 6.00 Mailing Address 4) Suspended heater,wall heater IS7 S W Ep or floor mounted heater _ 6.00 U C) �l _ 5) Vent not included in appliance permit City/hate Zip Phune 3.00 t7�L �j'J Z2~9 �2u_F57_cf CHECK ALL 'Boiler Heat Air Name or name of business) THAT APPLY: or Pump Cond Qty Price Amt C —Lc,. -Ss ^ _ Comp a� civ E l�S 6)<3HP;ahsorb unit to Occupant MailingAddress — 100K BTU — ( 6.00 IS 7(X) S W �& 7)3-15 HP,absorb unit City/slate--11 ZIP Phone 100k to 500k BTU_ 11.00 {U'a Olt-- In2ZL (ezo-&297 8)15-30 HP;absorb unit.5-1 mil BTU _ 15.00 Contractor Name 9)30-50 HP;absorb C 14 wS-6rJ t1f-A r- V1. li _ 22 50 � �- unit 1-1 75 mil BTU Prior to permit Mailing Address 10)>50HP'absorb unit issuance,a copy e is q >1.75 mil BTU 37.50 of all licenses Cly/State ZIPhone 11)Air handling unit to 10,000 CFM are required if .-OL I?030 (1 44 _ 4.50 expired in COT Oregpn Const,Cont Board Lic a Epp D to 12)Air handling unit 10,000 CFM+ database !10 l� 7.50 Architect Name 13)Non-portable evaporate cooler _ 4.50 Or Mailing Address --- 14)Vent fan connected to a single duct 3.00 15)Ventilation system not included in Engineer CnylState Zip Phone applian:e permit 4.50 16)Hood served by mechanical exhaust Describe work to be done: _ 4.50 17)Domestic incinerators New O ,,jair O Replace with like kind Yes O No O _7.50 Residential O Commercial O 18)Commercial or industrial type incinerator ^ 30.00 --- �- - 19) air units Re Additional information or descriptign of work: P (74 S yYlCuC_l -V A/c T ylbrA l I -- 4 50 20)Wood stove 4.50 21)Clothes dryer,etc t _ 4 50 Ln Type of fuel: oil O natural gas_lq LPG O electric O 22)Other units 450 J I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given is correct,that I am the owner or authorized agent of 2.00 2 the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each) 50 Signature Ow / ent Date ,,net Minimum Permit Fee$25.01)— SUBTOTAL /17 _ y _ r -- _ 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercia_4►ermits only TOTAL ,t, 'State Contractor Boller Certification required "Residential A/C requires site plan showing placement of unit 1:lmechperm.doc rev 07/20/98 Las ; lS 700 SSW 3v Fr-Lid T n H w f� cm w CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERE I ISSUED::E CO8- 176 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4111 /98 PARCEL: 2S i 1 1 DD-0:_'' D0 SITE ADDRESS. . . : 157O0 SW 88TH AVE SUBDIVISION. . . . r,STRATFORD :ZONING:R-4. 5 BLOCK. . . . . . . . . . . LOT. — . . . . . . . . . . :O37 JURISDICTION: TIG Pro j ect Descri pt i on: Installation of 2 branch circuits. ----------------------------------------------------------------------------------------- ---RESIDENTIAL UNIT----- ---TEMP' SRVC/FEEDERS-- --•- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PIANEI.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 ---SERVICE/FEEDER---- -----BRANCH CIRCUITS-----• ---•ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ------------------P'L.AN REVIEW SECTION----------------- 1000+ E;'CTION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. : Owner: --_____ ____.-----.---------__._.--.-------.--._._________.__._________..._ FEES GARY LASS type amount by date recpt 15700 SW 88TH PRMT $ 40. 00 DEB 08/1. ! /98 98--308166 TIGARD OR 97224. 5P'CT $ 2. 00 DEB 08/11/98 98-308166 Phone #: 620-8297 Contractor.: ---------------------------- GRF ELECTRIC $ 42. 00 TOTAL 15460 SE PARADISE^ LN -- ----- REQUIRED INSPECTIONS ----- MULINO OR 97042 Rough-in Elect' 1 Final Phone #: 503--829-4146 E:ler_tr 1 Servi,=e Reg #. . : 001015 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be dont in accordance with approved plans. This permit will expire if Mork is not started within IN days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification, Center. Those rules are set forth in OAR 952-•001-0010 through DAR 952-MI-1987. You say obtain a copy of these rules or direct questions to OLK by ca ling�_4d 31246-1987. Permittee Signature- � Iss�_�eBy r. INSTALLATION ONLY-----------•----_--_._------._-_..-. The installation is being made on property I own which is not intended for sale, lease, or rent. ;? OWNER' S SIGNATLIRE: _ _ DATE: L7 I11 J --------------------------CONTRACTOR INSTALLATION S J GNATURE OF SUP R. ELEC N: DATE: LICENSE NO: ++++++++++++.+++++++++++++++++++++++++++++f++++++++++++++++++ +-++++++++++++++f++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++.+++++++++-r+++++++++++++++++i.+++++++++++++++++++ l 08/11/1998 05:40 5038296747 C-RF ELECTRIC PAGE 01 CITY OF TIGARD Electrical Permit A;Vllcatlon PIN chank 1312S SW HALL BLVD. Recd! , V TIGARD OR 97223 oats q.s✓doc Date t.P.E. Phone (503)7339-4171,x304 ---- Paint or Type oats to DST (� - inspection (503)839-4175 IncompleW or Illegible will not be accepted pe"'`"r 7( Fax(503)891-7297 CWI*d 1. Job Address: 4. Complete fie Schedule Below: Narfls of Development Number or Inapeftions per pawn*arowmW Name(or name of business) _ S viotr Included: Items Coat sum Address I J60 -f U^ 4s. AssidenGal-per unk low eq.fl.or less $110.00 4 Citylstatemp 1 Z' Eads arlatlonN 500 eq.r.or pmMon Gb frresrciel❑ ReeidarNltNr�i' Enew} 925,00 Lk {26.00 1 Each Manuf'd Wnme or Modular 2S. Contractor InstAllation only. Dvoft service or Feeder � S".00 _ Z (Atbok copy rd.W ourfsrtt Ibartar- � 4b.batyloaa or foods Electrical Conimctor =� _ tr►2Watlon. oraltWas n,or r.roatlorr Zero.mP.a I«. 7Z60.0o 2 Address -�-� 201 amps to 400 amps WAD 2 Chy 1.f�-.,_ state '4 401 amps to e00 on" - 5120.00 _ 2 Ph"No. Lg _� eoI amps to 1000 amps $180.0D 2 Over 1000 amps of volts WAO-00 2 Job No, - Reoonnect only $60.00 2 Elec.Cont Lion. No. Exp.Dafet OR We CCB Reg). No Exp.Dats 4a Ten porary Servioaa or►nears COT Business Tax or MdA F40, Exp.Dats InstaMetlon,eaaration,or rdocatic-t 200 amps or Was 550.00 2 Slgntfturo of Supr F_lec'n 201 amp"x 400 amp 675.00 -" 2 401 ar.0 to 900 amp 5100,00 Z r'..r 60o amps to 1(500 wax Ltonnse No. S _Exp.Date one"b'above, MOM. No � trio 4d.brenoh Clroutts N",etsretfon or extenalon per pawl 2b. For owner Installallonal a)Ttwr fee for branen cimuhs WM p4r chase or servim or Print Owner's Name a"'W 1100. Address _ Eaoh bramh dicult _-- 53.00 2 b)TV*tee for branch olroulta City sate ap .N,.eue.uneh.,.eI Phone No. awedae er fl vem Ilea First bn%nch clrcuh 536.00 2 The Installalion is being made on property I own wNch Is not Eat"adIlttonal brarnh c1mik=� $6.00 2 intended for sale,lasso or rant. sw Ml«, Ne,1wa (Saw or fester not Inak+ded) Owner's Signature E.arpi pump or IrrlWAton Circle SOM 2 Each alp or omhs 510.00 p 3. Plan Review suction(h Aoqulred):` B1j�'e''°`eral °'o"0s �>.� panel,aNaralbri w sxterrilon � ti+a.00 _. Z Please check appropriate Item and eflbr%a In aeaftn 99. Mb1O'L"b +'(ts) 5100.00 _ a or mor+resddentlal wit In one arias" M.Each eddhlonal kwwoetfon "ar _ Service w a feerir 225 rnpe or nw- tits e9sasNe In any of the albew byst"Over 600 volt nOn*W ePho - 566.00 Clasnow area of News"or**"aW clal oeeupany Per _ . ere daaaibel In N IE.C.G?wiow 5 in PWM •aybmn 2 sets of plane eoM applleAMOM WhW%any of ata alb"apply. 5. iFees: Wvf required for tempowy 9WWV% 110n 801bea 5e.Er*w btal d above hes 5 9%strtheme(.06 X It"fft s) 5 NDTICE i st b"410l a 5b.Enter 25%of line 5o for PERMITS BECOME VOID IF WORK OR WNSTRt1CTION AUTHORIZED IS Plr,Reweo Itrea"($ac 3) f� - NDT COMMENCED WITHIN 190 DAv9,OA IF Or"TRVCTION OA WORK diibwaef 5 is 9mPr&w*D OR ABANDONED FOti^PEP"OF 190 DAYS AT ANY I1mr A/TCN WORIt to oomMCNCED, T��bl relent»0111 � CITY OF TIGARD EXPENDITURE REQUEST This form is a multi-use form. Appropriate receipts and documentation must be attached to this form. Approved eyuest due Tuesday 5:00 PM to A/P for checks by Friday(week opposite payroll only). VENDOR NO.: DATE: 8-26-98 PAYABLE TO : Garr&_, Susan Lass REQUESTED BY: Debbie Adamski 157003W 88th Tigard OR 97224 MISCELLANEOUEXPENDITURES.- Date EXPENDITURES Date _Descript;_on,Ir-.•,-)ice No.,etc. Accq4t No. Amount 8-26-98 Refund of 30%of�-A e for �u mechanical permi aken out work already perr fitted _ Permit#MEC98- 344 Receipt#98-3082 Mechanical Permit 29-0000-431010 _ _ $20.00 State Tax 10-0000-230010 $1.00 TOTAL, _ $21.00 Mileag 32.5¢ APPR RIATION BALANCE: AS OF: PURCHASING: APPRO ALS: (IF UNDER \50) Section Manager/Prof ssional Staff (IF UNDER $*0) Division Manage _ (11 UNDER $7500 epartment nager i (IF UNDER $25000) City Administrator (IF OVER $25000) Local Contract Review Board m J