14860 SW 98TH AVENUE 00
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14860 SW 98"' Avenue
�'Y CJ F TIGARD __ ELECTRICAL PERMIT
CITY
i PL `MIT#: ELC2003-��046
DEVELOPMENT SERVICES DATE ISSUED: 2/4/03
13125 SW Hall Blvd., Ticiard, OR 9722', (503) 639-4171 PARCEL: 2S1 11 BD-0050',
SITE ADDRESS: 14860 SW 98TH AVE ZONING: R-3-
SUBDIVISION: DARMEL
BLOCK: LOT : UO3 JURISDICTION: TIG
Project Description: I
__ RESIDENTIAL.UNIT TEMP E_RVCiFEEDERS MISCELLAIIEOUS
1000 SF OR LESS: 0 200 a np: PUMP/IRRIGATION:
EACH ADD'L 50CSF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 (MO amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601 -amps - I A0 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONb
0 200 amp: 1 — W/SER JICE OR FEEDER: PER INSPEC(ION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ arnp/volt: — >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR>=225 AMPS: CLASS AREA/SPEC OCC:_
Owner: Contractor:
BENJAMIN,WARD AiKIMBERI Y^, TRI STAR ELECTIC INC
14860 SW 98TH AVE PO BOX 231 175
TIGARD,OR 97224 TIGARD,OR 97281
Phone: Phone: 503-860-5249
Reg #: ELF 34-620c
LIC 153559
FEES SI It, 19325
Description Date Amount _ Required Inspections
11,11RMT] ELC Permit — `4iO3 $fiO 30 — �—
I I AX]8%State'Tux ' 4,03 $B.4,) Rn
Electect'l Service i
Total $86.72 Elp.nt'I Final
This Permit is issued subject to the regulations contained In the Tigard Municipal Code,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 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 by the Oregon Utility Notification Center. Those rules are set
forth In OAR 952.001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-800-332-2344.
Issued By: Permit Signature: �E (-�`l�t_t. {/'t�,�a-,C./
OWNER INSTALLATION ONLY
The installation Is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:-----
CONTRACTOR
ATE: --CONTRACTOR INSTALLATION ONLY
S GNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: — -- -
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application Received Electrical
Dat,B .P- __� Pennit Nu.:
City O`TI and Planning Approval Sign
�+ Date/By: Permit No.:
13125 SW Hall[Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: _ Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Internet: www.ci.tigard.or.us Nle/B : _ Case No.
g Contact Juns. See Page 2 for
24-hour Inspection Request: 503-639-4175 NameiMcthod Su Icmental Information.
TYPE OF WORK PLAN REVIEW please check all that apply)
New construction Demolition 0 Service over 225 amps- 0 Health-care facility
Addition/alteration/replacement Other: commercial ❑Hazardous location
,. __.. ❑Service over 320 amps-rating of ❑Building over 10,000 squaw feet,
CATEGORY OF CONSTRUCTION I&7.family dwellings four or more residential units in
I &2-Family dwelling _ _Commercialnndustrlal ❑System over 600 volts nominal one structure
ACCesSOry FIdingMulti-FamilY ElBuilding over three stories ❑feeders,400 amps or more
__ _ ❑Occupant load over 99 persons [j Manufactured structures or RV park
Master Builder _ Other: ❑Egress/lighting plan ❑Other:__ _—
JO SITE INFORMATION and LOCATION Submit_sets of plan%with any of the above.
The above are not dicahle In tem orP ary construction servlce.
Job site address: 1- 'Tl-1 42CI&IRPO FEE*SCHEDULE
Suite#: _ B1dR./Apt.#: —Number of ins ections per permit allowed
Project Name: -- Ucscri tion Qty Fee(ea.) Total
CTOSS street/Directions t0 job site: New res. 1-single or multl-family per
' rdwelling.:. c-Includes attached garage.
LL �p C `J 1b 'j-1 �l.R_ Service Included:
aar�� I IN10: .It.or less _ 145.15 4
Y Il pi -ET I-ach additional W)sq It.nr portion thereof 33.40 1_
Subdivision: LL — ]Tot#: T f imued energy,residential 75.00 :!
Limited energy,non residential 75.00 _ 2
Tax map/parcel #: Each manufactured home or modular dwelling
DESCRIPTION tip WORK service and/or feeder 90.90 2
--- ,TI Servicas or feeders-installation,
l�Esr�l <( 1Z1L_l� _(�t'�F l Tl > t� a Iteration orreloeation:
' 03U1• 2
IAM __. _ 22MP. o
201 am t2±n amps 106,95 2
401 amps to 600 amps a 160.60 2
MINEW TENANT
-- 601 amps to 11100 amps 240.60 2
(Iver 1000 am s or volts 454.65 2
Name: WApL,) E N tL I _-_- Rcconncel only 66.85 2
Address: 14$Lo Q S' - _�I Temporary services or feeders-installation,
Ctt /State/ZI - 2W arrialteraton,or relocation:
_—� ��`k 1� � G�'Z 24 200 ampsor I ss 66.95 _ _ 1
Phone: eo-3-(x,2,0 2_2(A Fax: 201 amps to 400 amps - 100.30 v-- 2
CONTACT PERSON 401 to 600 amps 133.75 2
Branch circuih-new,■lletat{on,or
Name: extension per panel:
Address: ��— A.Fee for branch circuits with purchase of h G5 1
service or feeder fee.each branch circuit
Clt /State/Zip: B.Fee for branch circuits without purchase of
service or feeder fee,first branch circuit 46.85 2
Phone: _ Fax: _ Fach additional branch cirnur - ---6.65 2
E-mail: Misc(Service rn feeder mn included)
PNTRACTORyLach pump or irrigation circle 53.40 2
Each sign or outline lighting 53.40 2
Job No: Z. Signal circuit(s)or a limited energy panel,
Business Name: --�^ I alteration,or extension Pale 2 2
ry.L� Description
Address: 0 . P�61, •L 3 l ( l
t /StatC/Z Dt Fach additional Inspection over the allowable In ur?of the above:
Cl
_.�_—_ 4— `31 1- Ili Per rna conn r hour mm. 1 hour) -_ v_
62.50
Phone:60` 210-7 1 'ax_.�?.,'if Af1=_Z,.�t Inveat; .ua on fee
CCB Lic. #: 1 r-,?,r,,r.',q Lie. #: 3-4 �2 C7
_(.. _ r._ ElectricAl Permit Feed
Supervising electriciant,�> _ _ Subtotal s
si ature required rl r•,C�r a •� 1 ' _ _— Flan_Revlcw L25%a of Pemtrt Fee S__ -
Print Name: ►( � ►-�. (t��—�•,- �Lic. #; —_ Stale Surcharge(R/a of permit Fee S
TOTAL PERMIT FE►. S '
Authorized Notice: .1 hie permit application expires If a permit Is not obtalneil within
Signature: baleIgo days after it has been accepted as complete.
*Fee methodology set by TrWounty Building Industry Service Board.
—� (please print"arm)
i1DstsTermil Fort+\FlePerndtApp doc 01/03
Electa_ical Permit Applicatiol-I - Pity of Tigard
Page 2-Supr:en,.. -f A Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY: _
Feefor All systems............................................................ $75.00
Check Type of Work Involved-
17
nvolved:LAudio and Stereo Sys.cros*
LJ nurglar Alarm
Garage Door Opencr*
Heating,Ventilation and Air Conditioning System*
F1Vacuum Systems*
L� Oraer
COMMERCIAL WORK ONLY: _ _
Feefor Sl4S11 system.......................................................... S75.00
(SEE O%N 918.260-2bl)
Check Type of Work Involved:
QAudio and Stereo Sys,cros
Boiler Controls
Clock Systems
Data Telecommunication Installation
Pire Alarrn Installation
HVAC
Instrumentation
Intercorn and Paging Systems
Landscape Irrigation Control'
U Medical
EJ Now Calls
u Ou'dow Landycupc Lighting*
Protective Signaling
Other
Numher of Systems
* No licenses are required. Licenses are required for all
other installation%
i\DstsWermn FormstElcPemntAppP92.dor 01/0.1
CITYOF TIGARD ___MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: iviEC2003-00046
13125 -SW Hall Blvd., Tigard, O R 97223 (503) 639-4171 DATE ISSUED: 2/5iO3
PARCEL: 1 S136DB-01900
SITE ADDRESS: 10910 SW 74TH AVE
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: 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/COMPRESSOR_S HOODS:
FUEL TYPE) 0 - 3 HP: DOMES. INCIN:
OII_ — 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAtk UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 1GOK BTU: I AIR HANDLING_UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: R 6-j—
Owner: l� FEES ---�
TEACH, KEVIN R AND JOAN M Description _ Date Amount
10910 SW 74TH AVENUE [MtC'IiJ I'riuut I cr 2/5I03 $72.50
TIGARD, OR 97223 [TAX] 811,,o statrTax 2/5/03 $5.80
Total $78.30
Phone: –
Contractor:
FIRST CALL HEATING & COOLING
{ 1650 NE LOMBARD
PORTLAND,OR 97211-4798 REQUIRED INSPECTIONS__ _
Mechanical Insp
Phone: 231-3311
Final Inspection
Reg#: LIC 102030
This permit is issued subject to the regulations contained In the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires yoUTo Follow les adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
r
Iss ed By: i ! ,' Permittee Signature:
\ ��dall (503) 63 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical PearxWt Api'ta!t on
City of Tigard Daaemosived: Patmit M: r f �1,<<
Gry of Ti jard
Address: 13125 SW Hall Blv6,T tltd,DR 97223 ProteoVsppl ao.: fittpiredate
Fbone: (303) 639.4171 Date issued: By, Receipt no:
Fax: (503)598-19601'' OF YlCam We no• Payment type:
�.�;.,�.i
Land use approval: t ,� i;rlr:' nl�/I I!��t Building permitnc.. �-
)0 1 &2 fasndy dweL'ing at accessory Q Commercial/industrial 0 Multi-family 0 Tenant improvement
USN'crmtruction 0 Add ilinMalteruuoutmpiscement 0 Other
sI --
Job
addmis: %/[ tnd�cstr,rciuipmen�quentthea in boxes belt% Indicate the dollu'
--RtA - —
nn __ TSwte no-: �y value of all mechanical materials,equipatent,labor,ovedrad,
ta
Tax u tax 101/account no: profit.Value$ _
Blocs: Subdivialon: 'See chxklist for Important application informition and
Ptojocl a=e• jurisdiction's fee schedule for residential permit fee.
Ci /t'out �p
Description and loc4tion of work on premises:__
!1Fsr.(es.) TOW
L11
Ret.aid provetnent or chane of use' SIVAexisting space[tested rx canCtuoneC U Yes U No Air haadlln unit RMMP�CPM
-ir.tin£%pace invilated?U Yes to N Autco runs i tC anrequl! _Y
A terauon a ezisun VAC system
tier ootnptceson
Business name: St:lts boiler penult no.: t
Addtesa: ►� Tons BTU/H
,r /crake ntpet duct$moke 441MM —'
L:ry: State' 2f.-
tlu Ian i t )
Pbtme: Fax: 10011 11repl"f=&ce1b4Lhu46e _
CCB no,: Including ductwoddmi finer 9yes 0 No
_ �_-__.__— -Ltuai�iac�lori►m eaters-su ,
City/metro tic.Do.: wall,or floor taount-4
Naule(please paint): amt or ee ?urnaoe
Nitme: BTU/HHP
e" flax: Stale:& :7--:j linnce vert
Phonere ust
�type t --
My.
Mxtd fire suppteason system
None- ___—_r h-chausttam with le duct(hath fans
.Mailing addle - 0U6t t stem a aR m da or AC
City -' i -- l$ta '�-(21p: ■ uptrsouteti
Mine. Pte•, I -nu,il -LPG —,- NG Oil
vel ii►chr Waal orr d oalTt4
(a' rmficrvgv
Nam: Number of outlets
Addrur. -- - potent:
-�•;.,,� DaotanvefiieQla c
aT-sen-
v _
A.pplioant's signature:
Name ret
nide P art ptlratcttm les tun tsarnriva Cer�4 s�plh>etba PCtTItIt fee.....................$
Notice:TWs Minimum fee....._.........$
i�edM ori araMrexpires If a Paratlt is Weblaieed ....
:ryhh [?n dgs.n.r h has ben Plan Mvlew(at _ 9b) $
ars w o■u"" St
aossftesd as aoat+plets. ate $
strtC'ltfge N96) ..
ov TOTAL,....._.....
aso-san troxow4
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 1176
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP -
Received _ . Date Requested-_-3___:_ AM — PM BLIP
Location _ _. � Suite MSC
Contact Person _..__—_ _ – ��.��k_ Ph d _ PLM
Contractor --- Ph( ) SWR - —
BUILDING Tenant/Owner ELC .3 d d O L/{d
Footing
Foundation ELC
Fig Drain Access: l� J� ��) :��, 1;a� fi —--
/ !� ELF!
Crawl Drain -
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - _-- --
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---- --
Fire Alarm
Susp'd Ceiling —
Roof
Other: -
Final
r
PASS PART FAIL -_-- ---
PLUMBINQ
Post& Beam
Under Slab _
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower I'an
Other-
Final
therFinal --
PASS PART FAIL - --
MECHANICAL_
Post$Beam _--- -_----- ��
Rough-In _
'las Line
Smoke Dampers
Final
PASS PART FAIL — ---
ELECTRICAL
Service -
Rough-In
UG/Slab �-
Low Voltige _
Fire Alarm
JPASS PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
E] Please call for reinspection HE:_ L� Unable to inspect-roo access
Fire Supply Lino i
ADA ?
Approach/Sldewalk Inspeat _� Exp
Other: - -- -— --
Final DO NOT REMOVE this Inspection ree:nrd from the'ob site.
PASS PART FAIL