14077 SW 97TH AVENUE-1 Y
ADDRESS:
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CITY OF rIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone. 6394171
Date Requested: '?'? _ A.M. -!_ P.M. MST:
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Location: 7 � / f� � _ _-_— BUP:_
Tenant:_ — Suite: Bldg: MEC -7-0
Contractor: , h t Phone: o U PLM:
�C ��
Owner: Phone: � ELC:
FIR: --
_ SIT:
BUILDING BLDG(con't) PLUMBING ECHANICA ELECTRICAL SITE
Site Post/Beam Post/Beam Pos . Cover/Service Sewer/Stonn
Footing Roof Un&-VSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas bine Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/CUG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Int ezd I'um Low Volt _
Approved Approved C'ti ov- ' Approved Approved
Appr/Sdwlk Not Approve(? Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
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fl 0111 lin rcinsl)ec fl i cinspection fee of S iregquired before next inspection O linable to inspect
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Inspector _ -- --�-- Date: / „�1 _ Page ---of
ELECTRICAL F,ERMIT
CITY OF TIGARD �
DE`,IEL OPMENT SERVICES PERMIT #. ELC 8—0183
DATE ISSUED: 04/13/98
13125 S'N Hall Blvd,, Tigard,OR 97223 (503)639-4171
F,ARCEL: ES111PA-00303
SITE ADDRESS. . . : 14O77 SW 97TH AVE
SUPD I V I'3I ON. . . . :T I GARDV I LLE HEIGHTS ZONING-R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O27 JURISDICTION: TIG
�►"� FIr-ojer-t Description: Installing first branch circuit
---------.------------------
---RESIDENTIAL_ UNIT---- ---TEMPI SRVC/FEEDERS---- -----"!!.SCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 F,UMP,/ IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . , . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0
KVICE/FEEDER----- _ --BRANCH C'RCUITS------ ----.ADL)' L INSFIECTIONS----
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN F'LANT. . . . . . . . . . . : 0
601 1.000 amp. . . . . : 0 ----.---------------PLAN REVIEW SECT IgN------- ----- --- -
1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------ FEES -----------------
LINDA F'REWITT type amount by date recpt
14077 SW 97TH AVE PRMT $ 35. 00 P 04/13/98 98--304878
TIGARD OR 97224 SPCT $ 1. 75 B 04/1.3/98 98-304878
Phone #:
Contractor.: -----------------------------------------------------------------
HEPERLE ELECTRIC E 36. 75 TOTAL
19680 SW NEUGEPAUER RD
-------- REQUIRED I NSFIECT I ONS - — — -
HILLSBORO OR 97123-9446 Rough—in Elect' 1 Final
Phone #: 628-2095 Elect' l Service
Reg #. . : 000004
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 done in accordance with approved plans. This permit will expire if work is not started within 189
days of issuance, or if work is suspended for pore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-9010 through OAR 952-981-1987. You say obtain a copy
of these rules or direct questions to OUNC by calling 15831246-1987.
y� v
F,ermittPe Si.gnat�_rre : '1 _ N Issued P _.....
TT':
> ------------- ---CIWNER INSTALLATION ONl_Y-------------------------------_.
~ The installation is being made on prope►^ty I own which is not intended for
sale, lease, or rent.
`c
.. OWNER' S SIGNATURE: v DATE:
—' --------------------------CONTRACTOR INSTALLATION ONLY----------------------------
SIGNATURE OF SUF'R. ELFC' N: DATE
L T CENSE NO:
++++++++++++++++...+++ t++++++++++++++++++++++++++++++++++++++++++' +++++++i+++++..,..
Call 639-4175 by 7:00 p. m. for an inspection needed the nex business day
++++++++++++++++•++++f++++++++++.4-++++f++++++++++++++++++++++++++++++++++++++++++
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 RECEIVED Planck/Rec. #
Permit # FLC - ( � _
Phone (503) 639-4171PR 1 !") 1998 Date Issued
CITY OF TfGARD FAX (503) 684-7297 Issued by
TDD No (503) 684-2772gy DEVELOP".E('
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address_ -7 /�,4� i ! i.tl Service included Items Ccst(ea) Sum
City/State/Zip_�J] �"� 4a. Residential-per unit 4
1000 aq II or lose $11000
Name (or name of business) / Each AddthereI f500 artit of
portion t $25 GO
Commercial❑ Residential (errdedEnergy $2500
Each Manu1'd Home or Modul;.r
Dwelling Service or Feeder $88 00
2a. Contractor installation only:
4b.Services or Feeders
i Installation,alteration,or relocation 2
Electrical C11oUntractor� .l' .(G _ _�C C_� 200 amps or enG $43000 _-
Address 1 1�C` _C,� _ 1 l ( Ll - �' 201 amps to 400 amps $8000 ^`_ j
401 amps to 800 amps $12000
City 5LL State CK 71p_ -7( 801 amps 10 1000 amps _~ $1F0 00
--
Phone N0. - — Over 1000 amps or volts $34000
Contractor's License No. ,' Ll - 1(tv 4c— Reconnect only V,n00
Contractor's Board Reg. No. � � 4c. Temporary Services or Feeders
Installation,a1lAration,or relocation
Signature of Su r. Ele7c'n 200 amps or leas $sn on z
License No. 3 ' 0, v' 201 amps to 400 amE75ps 70
401 amps to 800 ampe S10000
Over 800 amps to 1000 volts
2b. For owner in tallati s: see W abava
4d. Branch Circuits
Print Owner's Name = + Nrrw alter0on or extension per panel
I! A) The IBB Inc branch circuits with
Address
Ci State Zip___— Purchase of service or Alder be.
1_-- Each branch circuit $5 00
Phone No. b)The lee for branch circuits without
The installation is being made on property I own which is purch.se of service or Baader Are. I
Fest branch carcud $3500
not intended for sale, lease or rent. Each adds,°nal branch circuit $500
Owner's Signature _ 4e. Miscellansou.
(Service or feeder not included)
3. Plan Review section (if required): Tach pump or ougstion circle S4000
Fach sign or outlins lighting $4000
Signal cucud(s)or a limited energy
Please check appropriate item and anter lee in secitua 5B. panel,alteration or extension $40 c0
-. 4 or more residential units in one structure Minor Labels(10) $10000 _
T�Service and feeder 225 amps or more
t- System over 600 volts nominal 4f. Each additional Vtspection over
r^
Classified area or structure containing special occupancy the allowable in any of the above
�= as described in N E C Chapter 5 Per inspection ^^ $3500
Por hour __ $55 00
ant $5500
Submit 2 eels of plans with application where any of The above
cL
apply. Not required for temporary conslructfen services. $, Fees: _
1? 5a. Enter total of above fees $ • '�
NOTICE 5%Surcharge(05 X total fees) $ 7�7
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of lino 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 ^Subtotal $
COMMENCED. L_1 Trust Account# $
Balance Due s .
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'ONTY CSF TIGARD MECHANICAL
DEVELOPMENT O""ERVICES PIERMTT 0 . . . . .PERMIT. : i1EC98-0128
)"01 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 04/13/'98
PARCEL- j'S111BA-00303
SITE ADDRESS. . . : 14077 SW 97TH AVE
SUBDIVIS1014. . . . : TIGPRDVILLE HEIGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :027 JURISDICTION: TIG
-------------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP CCOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRF-I. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSOR; HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : I DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 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 UN: TS. : 0
FURN ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : 0
TURN ) =100K BTU: 0 > 10000 cfm: 0
Re mat-k s - Installing exterior A/C unit. Unit must not encroach into 51 side or
rear yard setbacks.
Owner-: ------------------------------------------------------ FEES
LINDA PREWITT type Amz)unt by date recpt
14077 SW 97TH AVE PRMT $ 25. 00 B 04/13/98 98-304879
TIGARD OR 97224 5PCT $ 1. 25 B 04/ 13/98 98-304879
Phone #:
Contv-actor
GAROKEN ENERGY COMPANY
3565 182ND
$ 26. 25 TOTAL
BEAVERTON OR 97007
Phone #: 848-0197
Reg #. . : 000431
-------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in acecrlance 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
adapted by the Oregon Utility Notification Center, Those rules are
yet forth in DAR 952-90I-010 through DAR 952-0014080. You may
obtain copies of these rules or direct questions to OUNE by calling
(503)246-9107.
Issue by : P er-M it t e P 5 i gnat-It,P LA*IA t'
....................i...........I...............4-4......................#•.............4
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
.....................................#.+++-r...........e................................
—M
Plan Check V _
CITY 0-F TIGARD Mechanical Permit Application Recd By_
13125 SW HALL BLVD. Commercial and ResidEintigtlVED Date Recd
TIGARD, OR 97223 Date to P.E.-
(503) 6394171, x304 APR 1 ^ 1,99$ Date to DST-��
Print or Type Permit#
Incomplete or illegible applicatioAuW111IiiRIC"? accepted called__
Name of Development/Project Description
_ Table 1A Mechanical Coo,) OTY PRICE AMT
,Job Street Address Suite# A) Permit Fee 0- 0 10.00
Address 4-67'7-5'j ` '7-`'/-{vc
B(dg# City/State zip -- 1.) Fumaci!to 100.000 BTU 6 00
;ncluding ducts&vents
Name(or name of usiness) 2.) Furnace 100,000 STU+ 7.50
Owner 1,l n�� ►'f Z r,} f including ducts&vents
Marling Address 3.) Floor Furnace 6.00
-.,) AU2 including vent
Ctty/State p Zip Phone 4.) Suspended heater,wall heater 6.00
ctrl( o;` ��2i - j or Moor moucted heater
Nance(or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mmbng Address 6.) Boiler or comp,heat pump,air conA. 6.00
to 3 HP;absorb unit to 1n0K BUT" rt
(Ay�Statezip Phone 7) Boiler or comp,heat pump,air coed. 11.00
3-15 HP;absort,unit to 500K BTU"
Contractor N 'e 8.) Bode;or comp,heat pump,air Gond. 15.00
--7
cL'Y L 15-30 HP;absorb unit.5-1 mit BTU"
Prior to perms Noting Address 9.) Boiler or comp,heat pump,air Gond. 22.50
issuance,a copy ;:t, 30-50 HP;absorb unit 1-1.7°mil BTU"
of all licensesPrions
'Buts Zip 10.) Boiler or comp,heat pump,air Gond. 37.50 I
are required if 16'1 I-"j 9 ()� 42 3y,3� >50 HP;absorb unit 1.75 mil BTU"
expired in COT Oregon Const.Coni.Board Licl Exp.Date 11.) Air handling unit to 10,000 CFM 4.50
Database / _
Architect Name 13.) Non-portable evaporate cooler 4.50 I
or Madinq Address 14.) Vent fan connected to a single dud 300
Engineer cayrstats zip Phone 15.) Ventilation system not included In 4.50
__ appliance permit
Describe work New Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 450
to be done Residential Nun-residential O
Additional Gescnption of ork: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19) Repair units 450 I
building or property I r
20.) Wood stove 4 50
Proposed use of 21.) Clothes dryer,etc. 450 1
building or property
22.) Other units 4.50
i--
Type of fuel-oil O natural gas O LPG O -ledhc O 23.) Gas piping one to four outiets 2.00
J I hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) 50
information given is correct,that I am(he owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State OT(.SUBTOTAL
c� laws
ur
J Signature of Ownerlggent Date V 'SUBTOTAL
( -D��1- "A- ('_ 1 5%SURCHARGE
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
j�7� TOTAL �,• , S
i."echpmt.doc (rev 9 'Minimum permit f(» a 525 5%surcharge
"Residential AIC requiBite plan showing placement of unh.
I L 0 7-7 scAD
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