10740 SW 127TH COURT ADDRESS:
ID?IfO SW /27roCouglor
J
I: recordslmlero(Im\tnrgelsWuilding.doc
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CITY' OFTIGARD BUILDING INVECTION DIVISION MST
24-Hour Inspection Line: 63� 1175 E+usiness Line: 639-4171 _ -
BUP
Date Requested ��`ZS- —AM� _ M _ BLD '
Location 1C17 yD -2 64Suite MEC
Contact Person kJ Ph .7,1 -/.WR PLM
Contractor Ph SWR
BUILDING Tenant/ ELC fic/
Retaining Wall ELR
Footing Access: �—
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN - -
Slab -- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _—_ � ZFirewall 41
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof n
Final
PASS PART FAIL_ --
PLUMBING cJ
Post&Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer —
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line _ ---— --—--- - —..
Smoke Dampers
Final -- -- — -- — -----_- ��
PASS PART FAIL
E ECTRICAC , -- --- --- -- ------ - -- -
Service
Rough In _—
L UG/Slab
Low Voltage
Fire Alarm
_ Fin '7
PART FAIL
E
� Backfill/Grading - �— —� -— ---
Sanitary Sewer
Storm Drain ( J Reinspection fee of$_ ^_required before next inspection. Pay at Cit,Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I j Please call for reinspection RE: ( j Unable to inspect-no access
ADA
Approach/Sidewalklo,other Date Inspector L �. 4r �_ Ext
Final
PASS PART FAIL DO NOT REPROVE this inspection record from the job site,
CITYOF TIGARD ELECTR,.CAI._ PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0371
13125 SW Hall Blvd., Tigard,OR 97223 1503)639.4171 DATE ISSUED: 07/08/98
PARCEL: 1 S 133AD•-1 1800
SITE ADDRESS. . . : 1O74O SP 127TH CT
SUBDIVISION. . . . :AMART F.'JMMER LAKE NO. 3 ZONING:R-7
BLOCK. . . . . . . . . . . L0`T. . . . . . . . . . . . . : 174 JU,'ISDICTION: TIG
Project Description: Addition of electrical to SF residence. Job No. 702-003.
---------------------------------------------------------------
---RES I DENT I AL UNIT----- -•--TEMP SRVC/FEEDERS---- ------MISCELLANEOUS-------
:1000
-----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 FIUMF'/I RR I GAT I ON. . . . • ID
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : k
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 S I GNAL_/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+r.mps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
--•---PE RV I CE/FEEDER------ -•---BRANC°i CIRCUITS----_-- --__ADD' L INSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERbICE OR FEEDER: 0 PER INSPECTION-- : 0
201 - 400 amp. . . . . . : 0 1.s ;; 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 ------------- ----PLAN REVIEW SECTION- ---------------
1000+ amp/volt. . . . .. : 0 ) =4 RES KNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Own2r: --------------------------------------------------------- FEES ------- -------
IMAD AWEIDAH type amol-int by date recpt
10740 SW 127TH CT PRMT $ 40. 00 DL.H 07/08/98 98-307168
TIGARD OR 97223 SPCT $ 2. 00 DLH 07/08/98 98- 307168
Phone #:
Contractor-: - ---------•-------------------
WESTSIDE ELECTRIC CO INC $ 42. 00 TOTAL
1834 SE 8TH AVENUE
- ------ REDO I RF_'D INSPECTIONS
- --
PORTLAND OR 97214 Roi.igh•-in Elect' l. Final
Phone #: 231-1548 Elect' l Service
Reg #. . : 000133 �_�-- -- -
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 IN
days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Linter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
Permittee S i g n a t i.i r e : 411 'e- -----— I s s i_i e d B y o
o.
------------------------------OWNER TNSTALLATI ONLY---------------------------._.
The installation is being made on property I own which i5 not intended for
N sale, lease, or rent.
OWNE=R' S SIGNATURE: DATE:
- ---- ---------------CONTRACTOR INSTALLATION
ONLY-- -- --------------____---....
W SIGNATURE OF SUFIR. ELEC' N: 01V 19/-9/0,.-/ C.'�77O/V DATE:
LICENSE NO:
++++++++++++++4++++++++++•++++++++-f+++++++++.++++++++++++++++++++++++++i•++++++++
Call 639-4175 b;, 7:00 p. m. for an inspection needed the next bkAsiness day
++++++++++++++++++++++++++++++++++'..++'{L++++++++++++++++++++++++++++++++'#-'4'++++++..+.
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. `,�-L� Recd By
TIGARD OR 97223 REEI Date Reed 7
r! Date to PST Phone (503) 639-4171, x304 ��q�; /I �v Date to DST_
Inspection (503) 639-4175 Print or Type /permit# �'-/C��-0371
Fax (503) 6f34 7297 Incomplete or illegible will not be accepted
,... Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development f91.)1 lb1 /r) �Z_ Number of Inspections per permit allowed
Name (or name of business)` 11d ke Z� Service included: items Cost Sum
Address Id'?7 ye 2, -7 i`, C 4a. Residential-per unit
CI /State/ZI /a 'o-'d OR 772 Z 3 1000 sq.ft.or leas $110-00 4
City/State/Zip P _ Each additional 30 sq.ft,or
portion there, $25.00 _ 1
Commercial ❑ Residential Limited Energy $25.00
Each ManuPd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only: --
(Attach copy of all current licpn/Sas) , 4b.Services or Feeders
Electrical Contractor 1✓*e51 S��T e &I-eL f / Installation,alteration,or relocation
,'tddress 3 rti A/ . 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
City /'00-e `74State c),C Zip ,7 Y 401 amps to 600 amps _ $120.00 2
Phone No. 2 1 / /S_yYr _ 601 amps to 1000 amps $180.00 2
Job No. o - O0 3 Over 1000 amps or volts $340.00 _ 2
Elec. Cont. Lice. No. - Reconnect only x;50.00 2 Exp.Date_ d �'� -
OR State:,CB Reg. No. 0 -Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Datb installation,alteration,or relocation
/ 200 amps or less $50.00
Signature of Supr. Elec'n `, 201 amps to 400 amps $75.00 T.
401 amps to 600 amps $100.00
Over 600 amps to 1000 volts,
License Nr �� S Exp.Datea/ '1 P_ see"h"above.
Phone N, 7-/-� _
4d.Branch Circuits
New,alteration or extension per panel
2b. For owner Installations: a)The fee for hranch circuits with
purchar,of service or
Plant Owner's Name feeder,ee.
Address Each t,anch circuit $5.00
-- h)The fc ,for branch clwults
City State Zlp� wltht it purchase of
Phone No. _ servJt ,or feeder fee.
First bra :h circuit / $35.00 _� _
The installation is being made on property I own which is not Foch adL tonal branch circuit $5.00 ---
Intended
-Intended for sale,lease or rent. 4e.Miscellane,,,s
Owner's Signature (service or feedE not included) -
g Each pump or Irn ation circle $40.00
Each sign or outline lighting $41).00
3. Plan Review section (if required):' Signal circult(s)or a limited energy
panel,alteration or extension $40.00
Please check appropriate item anti enter fee in section 58. Minor Labels(10) $100.00
_4 or more residential units in one structure 411.Each addltlonal Inspection over
�-- _Service and feeder 225 amps or more the allowable In any of the above
_System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C.Chapter 5 In Plant _ $55.00
Submit 2 sets of plans with application where any of the above apply. 5. Fees:
a Not required for temporary construction services. 5r.Enter total of above fees $ _ V
5%Sorcharge(.05 X total fees) $CZ
- - -
W NOTIQ Subtotal $ ---
J j 5b.Enter 25%91 line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTIUN At MHORIZED IS Plan R w If reauired(Sec.3) $ ---
NOT COMMENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR WORK Su tai
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. trust Account#
s �!
Total balance Due T, C
�/,
1 wStS1ELC96 APP nw WN
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PF*.11MTT 0.
W)TE ISSUED:
i LU i,!.-,.,Li:
SIC;T V 1�.711 0!111. ny1n;r?T colummr--
OCC} . ,'._0T. 1'4
. ..........
P!7,7� Or WOMe. 0 T P, r'L 00 R rU 0 C�u A p 0 0 1-r--113 r.,
TE, OF USE. . . . (,11,1TT HE(lTrl'Pj. 0 VFNT FMS. . . -
r1f...11r1f1. Ncy clnr-,. V71114TS W,11711 AIPPL—r 11rr I-Ir-71,IT GYM01'1: 0
I ES. . . . . . . . SOIL F W13/r0ml p F.M,r)C3 R r3 HMDR. . . . . . 0
TYPPI DOIYIE'*3. I W'I N
0 3—17, HP. 0 COMMI.... IN" TN- 0
Tn
114PUT.- 30 1 N-1. 0 RO-4) " HN�[Tr
Rr-F. DAWTR�`,". 0 -50 ! ;t:,. . Wc)rl.�wM)VF.Sw s r
17 p i,,,F r
�pl'4M-T%11r" T5 n'r-,4r'R UIN a TS.
—RN 00V ri" '; 100,10 '-f-mr, 0
Alterations and installation of Weriv A/C unit to residence,
-,Iaud Wltl-in hF rpq,.,ired Wta-.4s,
PROW) d
111 7
T IIQ'l C0f11. T!,J1' INC
�'Frw, ces ie ,.iii i t:,.,-A 7. 1 11 hp
dvl!
L L
Plan Check#
CITY OF TIGARD Mechanical Permit Application R-c'd By .L Z_,� �-
13125 SW HALL BLVD. Commercial and Residential Date Rcc'd 4/Z 9
TIGARD, OR 97223 Date to P.E.
(503) 639-4171; x304 Date to DST_
Print or Type I- Permit# 6F1_9P-6,2 y.3
Called
Incomplete or illegible applications will not be accepted
N of Dev IopmenUPro'el�) DesCnpBon
Lll ` Gtl sl/�Gi �- Table 1A Mechanical Code CTS' PRICE AMT
Job Street Address 'wie# A) Permit Fee 0 -0- 10.00
Address /t'/Yo jw 199Lb /i 1
Btdy# Cny/State Zip 1 ) Furnace to 100,000 BTU 6.00
9-7,_1,-k3 including ducts&vents (_()
Name(or name of business 2.) Furnace 100,000 BTU+ 7.50
Owner Zf' t e including ducts&vents
Mailing Address 3.) Floor Furnace 6.00
IU-IqJ �thG including vent _
Ci estate Zip Phone Uv 4) Suspended heater,wall heater 6.00
I tk4 01C 'y/7 or floor mounted heater
Na (or name of business) S Vent not included in appliance permit 3.00
I t? Ct 5 C_t(DD )_C`
Occupant Mailing Address 6) eoder or comp,heat pu air Gond. 600
to 3 HP;absorb unit to 100K 5llT's-
City/State2Ip Phone 7) Boiler or comp,heat pump,air Gond. 11.00
_ 3-15 HP_;absorb unit to 500K BTU**
Contractor • 8) Boiler or romp,heat pur ,air Gond 15.00
61- 15-30 HP;absorb unit.5-1 mil ETU"
Prior to permit ailing AQdress 9.) Boder or comp,heat pump,air Gond. 22.50
issuance,is ropy >X_23,239 30-50 HP;absorb unit 1-1.75mil BTU'
of all licenses Lite 1 Zip Phone 10.) Boder or camp,heat pump,air cond. 37.50
are required ift �50 HP;absorb unit 1.75 and BTU"
expired in COT ora n Cnnst.Cont.Board Lice Exp.Date 1 1 ) Air handling unit to 10;'00 CFM 450
database -92
Architect Name 11) Non-portable evaporate cooler
or Mailing Address 14) Vent fan connected to a single duct 3.00
Engineer CitytState Zlp Pitons 15) Ventilation system not included in 4 50
appliance permit
Describe work New O Addition O Alteration O Repair 0 16) Hood served by mechanical exhaust 4 50
to be done ResidentiaL0' Non-residential O
Additional Description of work: 17.) Domestic incinerators 750
18) Commercial or industrial type 30.00
Incinerator
Existing use of 19) Repair units 4.50
building or property
20) Wood stove 4 50
Proposed use of 21 ) Clothes dryer,etc. 4 50
building or property
22) Other units 4 50
Type of fuel-oil O natural gas-r LPG O electric O 23.) Gas piping one to four outlets 2.00
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 the owner or authorized agent of
F the owner,that plans submitted are in compliance with Oregon State CITY SUBTOTAL
laws.
Signature of Owner/Agent Date 'SUBTOTAL
OZIJ
�?- ) ^^ 5°o SURCHARGE
L9/ 5
Person a Phone PLAN REVIEW 25%OF SUBTOTAL
1 �
)0 - TOTAL
� ) ' /1< 71)
i:Umechpmt.doc (rev 9 'Minimum permit fee is S25 4.51%surcharge
"Residential A/C requires site plan showing placement of unit.
'A
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 T.)AT F T F,", T) 10 r:l ',7:-
I TC A D T)R E S 11 0 e 40 ':A� CT
) B '_1 7 ON I NE; R-";
U T.)I V T Ps T ON -Mil7?T CUM r-P n)"U" NO. 'T'll r TIC;"! 1, 1"',
0 WrIF I" Cl 1�!:
ci-pmo� or wcwt.
—
TW!E nF lJSE. r- WA HIND . . . . . .
S T OR 7 E S. . . . . . . . . .)
P 12� T N r rm,"
X ZY '
F T X T L I r,,r:,*.!I) �_nW
S I N K S. . . . . . . 1 IR I Nr)LS. . . . f-,R F r)SF TPq P
FIXTURCC. . . . IL
TLM/SHOWFRS. sr-MFF? I.. 111qr* ( rt) . . 1'`
W A TE""' 12L.0!7 7.Tl:;. 0
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Or "FTT'�w rl v
(J 1 t
SW 1*2'7TH r T
CUT.U"l F.
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CITY OF TIGARD Plumbing Application Recd Sy
13125 SW HALL BLVD. Commercial and Residential Cate Recd YL:/yam
rIGARD, OR 97223 Date to P E.
(503) 639-4171 Cate to DST
Permits
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called
ame of CevelcumenuProlect FIXTURES (individual) QTY PRICE AMT
Job �t �n bmk 9.00
Address Street Address �l CSSuitP Zavarory � 9.00 i
ETunorTub;Shower Comb. 3 00dtdg styrState Zip Only --�- 9.00
Water Closet 9.00 —�
14
Oishwasner 9 00
Owner Mading Address -^� Suite Garbage Disposal I 9 OU
Washing Machine 9.00
GtylState 210 Phone Floor Dram 2" 9.00
i rte G 7a 3
� -- 3' 9.00
ft S rt d °" 9.00 —_
i Occupant ►aai+g Address Suite Water Heater _ 9.00
Laundry Room Tray 9,00
i„ty/State
Zip Phone Urinal
9.00
Other Fixtures(Specify) 9.00
e& I(\ci 9.00
Contractor not lnq Address Sul"
9
U 00
►� . a
s oo
I GtyrStata � Zip Phone
(I f d OR c?Z,!?-3
O n Conan.Cont.Board Lie.$ Exp,Date 9.00
Adhwk Copy of - 3 5q /U' -q
9.00
Curre^t Lia 0 Exp.DatenSewer- 1 st 100' 30.00
Liceew - f
Sewer-each additional 100' I 25.00
I qg
T Business Tax or Metro Exp.Date �
Water Service-1st 10030.00
I Name Water Service-eacn additional 200' 25.00
v,r' hftect I Storm S Rain Drain- I;t 100' 30.00
p, I Mailing Address ji ;e Storm S Rain Crain-each additional 100' 25,10
Mobile Home Space I i 25 00
I Engineer Z.tyrstate Zip Phone Commerual 9acx Flaw Prevention Cevice or.Anti- 25 00
I Pollution Cevice
Describe writ ,ew ") AdQUion O .1Jteratlon Reoair 0 Residential BachBow Prevention Cevice' 15-00
V be done. ?esidenti Von•resicentlal 0 Any Trap or Waste Not Connected to a Fixture I 900
Aditorfal deswpuon of worst
A'J/moi:/ rf Catch Bann 9.00
Inap of Existirg Plumbing e0 00
7, r<:-
imanp use of Der/hr0q0
— poi;hr
Specially ReQuested InspecUans a00
n
F-
n xrfdinp or propenyl I Rain Crain smg,e family dwelling _ 3000
F Proposed use of Grease Traos 9.CC
1 budding or property YM M
QUANTITY TOTAL
Isarretne or user Jagra
Are y0L rapping , oving or replacing any fixtures? Yes p NO m;s recuirm R Cuana9
y Totals >
u (If yes see tuck of form) 'SUBTOTAL 1
i I hereby acknowledge that I ha,.e read this application.that the Information
riven.s :orrec, 'hat I am the wrier or authorized agent of the owner.and 5% SURCHARGE
drat crabs rubrritled are n m 11 ce with Oregon State Laws.
Signature QIOKin@uA h Date I PIAN REVIEW 25°,1, OF SUBTOTAL
61� /9l �eauKw onh t'Ixture ictal,s>3
� TOTAL
denumWPikAon Name Phone _
'Minimum permit fee is 525 • 5',e surcnarge.except Residential Backflow
Prevention Cevice,which s S 15 • 5%surcharge
'dststplmapp doc 9)99
PLEA, COMPLETE_ AS APP_PIQ
PRIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory _
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
Water Heater
Laundry Room Tray —
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
L _
J