11867 SW 113TH PLACE ADDRESS:
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C17Y OF TIGARD ELECTRICAL PERMIT
� PERMIT +t: ELc�) e,3
COMMUNITY DEVELOPMENT DEPARTMENT DF,Tc ISSUED: 10rQ!4/C)t,
13125 SW Hall Blvd.Tigard,Oragon 97223.6199 (503)639-4171
a l(7 ADORES . :
11867 CW 1. 1,;TH PL
�tj'DDTVISION. . . . : PARTITION PLAT 1991•-044 ZC)t ANC7:R-4. 5
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i,oject Description : Install i' br^ancti. c,ircuits W/o feeder, or^ -ser"viaee
REO I DENT I AL UNIT--•-—w -- 'TEMP f RVC/FEEDCRS- ---- --------MISCELLANEOUS--
1000
---------MISC;ELLANEOUS--
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : !?r FRUMP/IRRIGATION. . . . ; 0
EPC)-I ADD" t_ 500SF. . . : 0 Z201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
i._IMiTC D ENERGY . . . . : 0 401 - 600 c''?tnlp. . . . . . . : 0 SIGNAL/Pt'NEL.. . . . . . . : 0
N{ANF. HM/ SVC/FDR. . : 0 601+"Ilps•- 1x+00 volts. : 0 MINOR LABEL (10) . . . : 0
- a1 rtVIC` rFECDEt? - - - - 1xRANGFI CIRCUITS-. -..--ADD' L INSPECTICN':3 _._._
k - COiI~ amp. . . . . . : 0 W/SERVICE Or. FEEDER: 0 PER INSPECTION. . . . . : 0
X01 - 400 amp. . . . . . : 0 1. :5t W/4 ERVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . e 0 EA ADDI L BRNCti CIRC: 1 IN PL.ANT. . . . . . . . . . . : 0
601 100+0 amu. . . . . : 0 _.____...___... _. __...__..__.__.. PLAN REVIEW '.LECTION--
10'00+ amp/volt. . . . . ; 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL— !
Reconnect ane) . . . . . ; 0 SVC/FDR i y 'S AMP;. . : CLASS nPr-P/CF_'C OcC.
OW*1er": _._.._.__._......____...._.._.......,.._........_....._.._.._................_.....___..__._..._..._..._..._..._.....-_____.._...". r•CCS --__.._......._._._ .._._..__....
ERNFST SCIAWAD type amount by data l^ecpt
11667 SW 113TH PL PRMT 40. 00 JPA 10/04/96 96--28480
5PrT P_ 00 JDA 10/04/16 96._�'�8430::
1c�Rr. OR
'"''none #:
!.`Ns[""i' t"UCI_ CO 9 4,�. 012r TOTAL
0 BOX 4c287
_944 5E POWELL BLVD (97002) _____.___. REQUIRED INSPEC-TOP;S __.._.._.._ ...
-7RTLA11,1C (IR 9724202.87 Wall Cave-'"
hone #s 503_•'„34-061 ! E1ertl l service
'!pis pit-tit i: :s;ued ra;ject tc the regulations contained in the
-.gard Municip,sl Code, State of Ore. Specialty Codes and all other Pel-in itteE
1plicable .lads. All fork will ' , done in accordance with
,proved plari. this pe�•ait will expire :s work is nit started �G �
Ahin 16f c w of ic,uance, or if work is suspended for ware ♦___ ______
day'..
_._..._. ._ "_ OWNER INE.'i n)-t-ATION Ot;'
2 -!e installation is tieing mads., on p•^opet-ty I own wtticF is not intended
for-P101 lea�re, or, rent.
1WNEP4 V S I GNATI.IPE a _ _ ... _. DATr'
r
INST11I_LATION ONLY----_---- _
-I ONFI'TUF'(' O! SUPR. r't..rf:' N: DATC .
LID
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Ch1l fo ir, perction - 639 417`.7
CITY OF, I WARD kk7C;LIF-f7 01- 4-AV'MENt RkE3-.TPl 140. :96-•e$480,."
C:W CV, 14MLJUN 1' t 42. 00
NnME t SUNS T FUEL COMPANY CASH AMIKIN f a 0. 00
Fi1aDR S6 t VU 13UX 42 67 V'AYML N 1 L AIL e 10/04/96
S.;USD I V 131 ON a
Pop fLANU, Ute 97P.4e -
a PURP06L OF PAYMEN'1 AMUUNI PnIU PUFt1-IWiL i1F- 1-1F;VM -1 1 AMUUN'I PAI 1)
Un E=L.FC:TRIGAL PkWMII_. 40. 00 5'1 . AlJtLD FSI 'N c.. 00
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1 1867 SW 1131 H
F LC96--0632
TOTAL. L1MULINI FIAIZ. — -- - _> arc. kao
Community Development ELECTRICAL PERMIT APPLICATION
.� 13125 SW Nall Blvd. ."I�/� --
Tigard, OR 97223 Planck/Rec. #
- OEC
Phone (503) 639-4171 Permit # L
MO Date Issued lo � y
FAX (503) 684-72_97
CITY OF TIGARDTDD No. (503) 684-2772
Issued by (-
Inspection (503) 639-4175
1. Job Address: 4. Compic. Fee Schedule Below:
Name of Development Number of Inspections per permit allowed —
Address \?�� `��� 1 `� Service included: Items Cost(ea) Sum
City/State2ip \CtiGI l� L 4a. Residential-par unit 4
1000 sq It or lose 411000
Name (or name of business)L r(1 �:�� Each add lions'500 eq If or -'—
portion thereof 42500 1
Commercial❑ Fl;sident,'Al— Limeaa Energy 425 J
Each Mani4'd Home or Modular 2
Cwelkng Service or Fexfer
2a. Contractor installation only: --
4b. Services or Feeders
Electrical Co ItraIr�slallatron,afteraton,or relocation - 2
Clol V��� `-- �' 200 amps or Was $6000 2
Addre 2-'1`ll 201 amps to 400 amps $9u 00 2
Cih`' Ol, �1 State Zi G-1aC13- 401 amps 1(.600 amps �- 4120 DO - 2
p 601 amps to 1000 amps --- $19000 2
Phone No. CD_ - �' 1 _ _ Over 1000 amps or volis $34000 --• 2
Contractor's License No. o;:�A4 Reconnect only -- 45000
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
Installation,alteration,or relocation 2
Signat-ire of Supr. Elec'n ) 200 amps or less $50 no
License No '� Phone No. 201 amps to 400 amps �— $1500 — 2
401 amps to 600 amps 4100 Oc
Over 600 amps to 1000 volts -- —
2b. For owner Installations: see W above
4d. Branch Circuits
Print Owner's Name Now alleralion or extenson par panel
Address e)The Ins for branch arcurls with
City_ State Zip_ purchase of service or boder fee. 2
Each branch aran4 45 Oc _
Phone No. b)The Ise for branch arcurts without
The installation is being made on property I own which is purchase of service or wedw Ne.
$JS 00
Fxsl tran ch circuit -� 2
not intended for sale, lease Or ren;. Each acideionaf trarr•h ryrcul 1 $500
Owner's Signature 4e. Miscellaneous
(Service or feeder iw)t included) 2
3. Plan Review section (it required): Each pump or Irngalion nr(•la $4000
Each sign or outline loghting 440 DO
Signal circuft)or a Isailed energy 2
Please check appropiials item and enter fee in section 50. Panel,aBernfion or exiorwon $40 00
4 or more residential units in one structure Minor Labels(10) $10000
_Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure oontainirng special occupancy the Clowable in any of the above
} as described in N EC Chapter 5 Per nsfwiw.. $150u
Per hour 45500
�-
� Submit 2 eats of plans with application where any of the above In Plant 455(y) ---
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5s. Enter total of above fees $ r^
51 Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S ,�9
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF 5b. EntAi 251 of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan R,4view if required(Sec 3) $
A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Account* $
Balance Due $ � ;
CITY OF TIGARD BUILDING INSPECTION NOTICE
Injpuction Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service INAL:
Foundation Water Line Ceiling -Piumb.
Post/Beam Mech. Shear/Sheath Framing Meeh,)
Plbg.Und/Flr/Slab Plbg. Top Out Insulation `''E�LT I
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line � A.p"pr/Sdwlk Reins.
Other: ,l ; � --- /I -C—,—.
Date: A.M. P.M.�_ Entry:
Address: -
Tenant: Ste:__ MST.
BUP:
Con/Own: 7i —O / --- ---_- MEC.
PLM'
ELGQ _
THE FOLLOWING CORRECTIONS ARE REQUIRED. ELR:LO
A� _
--
` Inspector: _ Date:A
9.4
`APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF rIGARI) BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone; 639-4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Ele'Tj
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line A PI/Sdwlk Reins.
Other: —
Date. � /3 _ A.M. _P.M. Entry:
Address: _.1-�-- -t.P -----��-�� -- - —
Tenant: _ y, Ste: MST:
BUP:
Con/Own:� yMEC:PLM-
-
03 ;t-3 ELC: f 00'
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
i
17
Inspector: �-_ ,-- Date� �^ � L
APPROVED — DISAPPROVrD/CALL FOR REINSP. C:F CC)
CITY OF T IGARC 9UILDING 'NSPECTION NOTICE
Inspection Line: 639-4175' business Pnone: 639-4171
Footing Rain Drain Cover/Service INAt!
roundition Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Fnq.niing Mech
PIbg.Und/FI/&ab Plbg,Tup Out Insulation le
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwll< Reins.
Other. _
Date: `6 A.M�P.M. Entry: _
Address:
Tenant: _ Ste:
Con/Own:_ ^Q�/7 ti ME _
PLIA
THE FOLLOWING CORRFCTIONS ARE REQUIRED: ELb: _
AS Vl
In ector: :MZ, __ - Date:
APPROVED — DISAPPROVED/CALL FOR REINSPP, CF CO
CITY OF TIGARD
MECHANICAL
P it`11 T
DEVELOPMENT SERVICES PERMIT #. . . . . . : MEC96--0341
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: )/07/96
PARCEL: 1 S 134DC--10900
51 TE ADDRESS., . . : 1 In67 SW 1. 1;3�TH RL.
SUBDIVISION., . . . : PARTITION PLAT 1991-044 ZONING: R-4. 5
BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . .
C=LASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP CCOLERS: 0
TYPE OF' USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES— —_..___.____.___ 0--3 HP. . . . : 1 DOMES. I NC I N: 0
: /GAS/ / / 3--15 HP. . . . : 0 COMMI_.. I NC I N: 0
MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WO=T(_'.'.Eb. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
ND. Or AIR HANDL_I NG UNITS OTHER UN TS. : 0
FURN ( 100K BTU: 1 (= 10000 cf m : 0 GAS OUTLETS. : 0
FURN ) -100K BTU: 0 > 10000 cfm : 0
Remarks : Install Carrier• gas fl_rr-nace add A/--
Owntt-: --_.._________—___..._._.._._____..__..__.____.__._____ FEES
ER!1EST SCPWAB type amai.rnt by date r^ecpt
118G7 SW : 13TH PL PRMT $ 25. 00 JDA 10/04/96 96--284801
5PCT $ 1. 25 JOA 10/04/96 96--284801
T I GARD OR 37223
Phane #:
Contt-actar:
SUNSET FUEL CO
PO BOX 42,287
PORTLAND OR 97242
PJ-)one 5':3-234-0611 f 26. 125 TOTAL.
Reg #. . . 002374
-------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Gas Lane Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _
applicable laws. R11 work will be done in accordance with Final Inspection
approved pians. This permit will expire if wnrk is not sia ted
r within 188 clays of issuance, or if worth is suspended for more
than 188 days.
ermittee Si gnat1_rr•e : �14_!1_(�`_
Call for inspection — 639-4175
5 .
(,I T Y CIF I T LARD - kE:LF:.I1~'T CJt- PAYMENT HLU l 1' I IVU.
CHt:IaK HMUUN f e !b.
►dNMtY v +UNSk'T HUE"L. COMPANY CAbH AMUUN C a N.
A1)DR(tS F`U BOX 4ek?8.7 PAYMi• N'l VAI E : 10/0
91J80 T V T 9 t LIN e
PURT-LAND, OR 9.7,?4i2--
PURI OSL Or- NAYMENI AMOUNI PAID PURPMA U1 ',AYMl.N'l t*WLJNI 1't-Il I'
c~n MFCHANTCAL_ f-'F. Pb. 00 W . BUILD F-'LR
J
_1
1 186/ SW 1131H
ML(796--0341
TOTAL AMC.IUNI PAID
City of .Tigard MECHANICAL PERMIT Planck/Rec. # _
f8125 'SW Halt Blvd. APPLICATION Permit # !Yl C(.Yb —v31)
Tigard, OR 97223
(503) 639-4171 _
ro.a •rao�". �- escnpbuii
Table 34,Mechanical Code OTY PRICE AMT
Job li 1) Permit Fee -0- -0- 10.00
Address -�.
2) Supplemental Permit 3.00
a�.�. �.•«• Furnace to 100,000 BTUII
1) incl. ducts&vents _t 6.00
ro�1�• \ }� Pt Furnace 100,000 U +
Owner ` 2) incl.ducts b vents 7.50
r W oT—o Full'anc*e
incl. ver: 6.00
Suspended heater,wall heater ,
4) or floor mounted heater 6.00
v »• — Vent not incl.in
I Occupant 5) appliance permit 3.00
epair of heating, refry.
G) cooling,absorption unit 6.00
Boiler or comp, heat pump, air cond.
!_ 7) to 3 HP absorp unit to 100K BTU I 6.00
urry yrs..• �- -oiler or camp,heat pump, air coed.
c�-4-� 15"— PC),- lr' ��`+ oblj 81 3-15 HP absorp unit to 500K BTU l l.bq
Contractor 9" ,, nn Boiler or comp, heat pump,air o7d.
9) 15-30 HP absorp unit.5.1 mil BTU 1600
.A.. 6oiler or comp,heat pump, air coed.
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
hereby ac ow ge atI have read is app icz.bon,that the Boiier or comp, Pat pump, air con
information given is correct,that I am die owner or authorized agent 11) >So HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handling unit to
laws,that I am rogistered with the Cortintructien Contractors Board, 12) 10,000 CFM 4.50
that the number riven is correct. (If exempt from State registration, Air anding unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 450
Vent tan co7n6cted
15) to a s;ngle duct 3.00
Ver.nlabon system not
1b) included in appfance permit 4.50
Q....... y..i —�— ----Kood 7,WWFy
17) mechanical exhaust 4.50
escxtbe wok new U addition Q alteration 0 repair C-omme0 1 or indust ial
to be done r0sidential Q---tion-residential O 18) We incinerator 30.00
Existing use U ----Other I.P.,woo stove,water
building or property 19) hoater,solar,clothes dryers,etc. 4.50
rL Proposed use of 20) Ga,;piping one to four outlets _ 2.00
N building or property
21) Mcre than 4 per outlet
t Type of fuel -oil C) natural gas (PG O electric 0
m
NOTICE
Minimum Fee$25.00 SUBTOTAL
4 PERMITS BECOME VOID IF WORK OR CONSTRUCTION
—v AUTHC'IIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE I ��
IF CONSTRUCTION OR WORK IS SUSPENDED OR
/,BANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN RE'IEW 25%OF SUNTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued —� —by_
�.vewwrr
I
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�-oa: 119 '1 r. 4J 113T4 PL.
T'c,r,R cl Q'7 2 )-3
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