10200 SW HOODVIEW DRIVE-1 All,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
' Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL: r�` tiff} rz�t4 „rykfl
Foundation Water Line Ceiling -Plumb.
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Post/Beam Mech, Shear/Sheath Framing chj r � Js x � 1 ��� ',
PIbg.Und/Flr/Slab Plbg. Top Out Insulation
R E I Post/Beam Struct. Mech. Rough-in G Bd. -Bldg.
g Gyp.
San. Sewer Gas Line Appr/Sdwll< Reins.
YiY it � �+tf r, Other: 40
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yYy Date: '('A.M. P.M. Entry'
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Address: —������
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�t 3���y61 ,� k Tenant: Ste:__— MST:
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Con/Own: MEC: _ F v ,
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I � i "yIr4"A " THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:ELC: c4 el (4cis *`' + ( ' t ��'^ '
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MECHANICAL
CITY CSF TIGARD PERN17' #. '.. .I. . MEC96-121_-5121
s COMMUNITY DEVELOPMENT DEPARTMENT P,(—)Ti_ ISSUED: 07/29/96
13125 SW Hal!Blvd.Tigard,Orogon 97223.8199 (503)839-4171
PARCEL: �S 1 1 1 CP 01'710
::3I TF_ ADDRESS. . . : 10200 SW HOODV I EW DR
SUBDIVISION. . . . : HOOD VIEW ZONING: R-3.
I:iL_GC14. . . . . . . . . . . LOT. . . . . . . . . . . . . : a
(;Lnz3S OFF WORK. :NEW FLOOI, TURN. . . . . 0 CVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 �
OCCUPf1NCY GRI=. . :R3 VENTS) W/O APF-',L.- 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . . 0
FUEL TYI='E S-_._..___._..._.__..._._.. 0--3 HP. . . . : 1. DOMES. I NC I N: 0
3-15 HF'. . . . : 0 COMML. INC1Nr 0
MAX INPUT: 0 BTU 1s--30 I-II='. . . . : 0 REPAIR UNITS: 0 _
i FIRE DAMPERS?. . : 30-50 FIP. . . . . 0 WOOD::
1
City bf Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW sw Hall Blvd. APPLICATION Permit #i'^ `
T'gara, OR 97223
IA3) 639-4171
i
.—°1 U...M-1 Description
Table 3A Mechanical Code QTY PRICE AMT
Job
r . 10.00- Ol
Address
2) Supplemental Permit 3.00 ,
N.-1a—.0 Furn o 100,000 BTU
C-fl r 1) incl. ducts &vents ( 6.00
'^, •" °^• urnace + �t
Owner 2) incl. ducts &vents 7.50
• •• -oFloor Furnance
l l 1 94-WH` 3) incl. vent 6.U0
•"• °•^•'• Suspended heater, wall eater
4) or ii,)or mounted heater 6.00
^° "•• Vent not incl. in
Occupant 5) appliance permit 3.00
.. a
repair of heating, re ng.
6) cooling, absorption unit 6.00
'"• (} �--- - n
Boiler or comp, heat pump, air cond.
SSI Q 7r �G�F' 7) to 3 HP; absorp unit to 130K BTU l 6.00 Q
' ° •" -----toiler or comp, heat pump, air con
ptJ �C>( 2r3�-1 X11 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor — Boiler or comp, heat pump, air cond.
v� (72 G1ra 9) 15.30 HP; absorp unit .5-1 mil BTU 15,00
"•"2•0"°•"°" c°• ' _ of er or comp. heat pump, air con .
10) 30-50 HP; absorp unit 1.1.75 mil BTU 22.50
hereby acknowledge that I have read tis application, that the Boiler or comp, heat pump, air cond.
Information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. (If exempt from Slate Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
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14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
�m•wu °•^a a.°•rnl i" Hood serve-TZ—y -
17)
erve y17) mechanical exhaust 4.50
esan a work new a ition alteration regau ommeraaT-or industrial
to be done residential e---rron-residential 0 181 type incinerator 30.00
Existing use of Other i.e., woc stove. water
building or property 19) heater, solar. clothes dryers. etc. 4.50 y
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Proposed use of 20) Gas piping one to four outlets 2.00
building nr property
Type of fuel •oil J natural g>:s Q LPG Q electric Q 21) More than 4-per outlet (each) 2.00
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PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee 525.00 SUBTOTAL
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED
!I � C TOTAL a
i Special Conditions _..-=—' l.,-7 c•�CX ��(,.(��
Date issued .r _by
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NOW. : FAINGE f' FUEL Cl) f,,04314 14W)UN( '
M�l;�hftF.;a f Pu l UY, i�4'1:'t„t'�' 4!!i'YMk_f�li 01,111 . + +,
Fai.Jl 6�tlF F of F-''FiYPJl-.NT 14110C.IN f V4411) PL1ftt-'ok-A, Of t-`t►vI�IF':td 1 ittrilJtJhd t ! � i
Fa t_F'C;T f2ll::Fil.. L+'rjMT T ;35. IAO MF_L.;f h4N 1(.,ilf. !'k trl►.l��Cr vt ::i�'1 ��, t<�.
tililt.-D MR 3.0104
C 96-02 0
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CITE' CF TIGARD
ELECTRICAL#: ELC96- 495
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/29/96
13125 SW Hall Plvd.Tigard,Oregon 97223.9199
p (50C)839-4171
,
PARCEL: e:i 1 l 1 CB-•-01 710
SITE ADDRESS. . . : 10`00 SW I DOE)V I EW DR
SUBDIVISION. . . . : HOOD V I E-W Z ON I NG: R-3. 5
ul `K. . . . . . . . . . . I-01`. . . . . . . . . . . . .
P ject Description:
I„metalling one branch cir^cr.lit for a Car^r^ier heat pl-rmp to 3Hp.
RESIDENTIAL. UNIT-.---- -- TE14F' SRVC/FEEDERS-----_ _.____IhISCELLAI\IEOUS-----
' 1000 SF OR LESS. . . . 0 V_I - 200 amp. . . . . . . : 0 PUMP/ IRRIGATION. . . . : 0 �
EACH ADD' L 5009F. . . 0 201 4.00 amp?. . . . . . . : 0 SIGN/OUT LINE= LTG. . : 0
LIMITED ENERGY. . . . . : 0 401. — 600 <�m p. . . . . . . .. 0 SIGNAL/PANEL. . . . . , . : Q,
MANE. HM/ SVC/FDR. . : 0 601-'amps-1000 volts. -, 0 MINOR LABEL ( 10) . . . : 0
._..._.._._GERVICE/FCLDER— .•
w. __ _..._--_BRAI\ICH CIRCUITS------ _._-ADD' L INSPECTIONS mm►
0 — 200 amp. . . . . . . 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . 0
x'01 400 amp. . . . . . . Q1 1st 14/0 SRVC OR FDR. . PER HOUR. . X71
401 - 600 amp. . . . . . . 0 EA ADD' L BRNC;H CIRC: 0 1N PLANT. . . . . . . . . . . . 0
601 _ los* amp. . . . . : 171 _.___._.._.____...._.....__._.___._F'I_AIV RE.VIEW SI�CTION
1000f amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > 225 AMPS. . : CLOGS AREA/SPEC OCC. :
Owner: -__.____.___.._.___._.._...__._______.._.__._._._.___.___________________ FEES
ROBERT CO type amor-1nt by date recpt
10200 SW HOODVIE:W DR PRMT' $ 35. 014A CJS 07,129/96 96- :'8c.'cc:ii
SPCT $ 1. 75 CJS 07/29/96 96--E822;=11)
TIGARD OR 97223
Phone #:
GUNSEI FUEL CO $ 3G. 75 TOTAL
t PO BOX 4 287
2944 SE POWELL BLVD (97202) ---- - RE=QUIRED INSPECTIONS -- -
U
PORTLAND OR 97vi+2--0C_,8t Wall Craver^ Elect' 1 Final
Phone #: 503—x;34-0611 Elect' I Get-vice
Reg it. . 2374
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other- Per^mittee 3ignati.tre
applicable laws. All work will be lone 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 r than 180 days. Isal.led By
INSTALLATION _-
T'he installation is being made on proper-ty I own which is not intended fol
F =.ale, lease, or rent.
OWNER' S SI1jNATURE: DATE::
INSTALLATION
SIGNATURE OF SUPR. CLEC' N DATE
ICENSE NO:
Call for inspection — 639--4175
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Community Development ELECTRICAL PERMIT APPLICATION
F'
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # lC�
Date Issued .7Z�-7 A,4� _
Phone (503) 6394171
CITY OF TIf3A�® FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (5U3) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
r Number of Ins 40Name of Development Inspections per permit allowed
Address 0� OCA �� 1 �7��v��-� Q� Service included Items Cost(ea) Sum
City/State/Zip �I� ��� 4a. Residential per unit �1,
1000 sq. ft crless $11000 4
Name (or name of business) ��� �� A� Each additional 500 sq ft. ,r
portion thereof $2t 00
Crmmercial ❑ Residential Limited Energy $25 OC 1
Each Manurd Home or Modular
Dwelling Service or Feeder ^_ $38.00 2
2a. Contractor installation only:
_ l(� l�/1 4b. Services or Feeders
Electrical Co tractor ���`"��� P;L& C t(\ Installation,alteration,or relocation
` , —`�+ 200 amps or less $6000 2
Addr Ss `� 201 amps l0 400 amps $8000 2
City��;r State c�� Zip"11�L L�_ 401 amps to 600 amps $120 01- 2
Phone No. �U ) 601 amps to 1001-amps $160.00 2
Jam` Over 1000 amps or volts $340.00 2
Job NO `7bL�— Reconnect only $5000 _ 2
contractor's license NO. x�
--+ 4c. Temporary Services or Feeders
Contractor's Board Reg. No �-,3 Installation,alteration,or relocation
Signature of Supr. Elec'n �.. 200 amps or less
2
r 'i 201 amps to 400 amps $5000 2
License NO. _`_ ( VPhone No. — 401 amps to 600 amps 570 00 `Over 600 amps to 1000 volts $10000 —
2b. For owner installations: see"b"above.
4d. Branch Circuits
Print Owner's Name, New,alteration or extension per pane
AddresF a)The fee for brarch circults with
City___ State Zlp_ � - purchase or service or feeder fee. 2
Each branch circuit $5.00
Phone No _ b)'the fee for branch circuits w'fhout
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit _L $3S 00 ��— ^O 2
Each additlonal branch circuit $5.00
Owner's Signature_ ___ _-_ 4e. Miscellaneous
--------------------
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or lrr'gatlon circle $4000 2
Each sign or outline lighting $40.00 __
Signal recuit(s)or a limited energy 2
Please check appropriate Item and enter fee in section 58. panel,alteritlon or extension $4000
_ 4 or more residential units in one structure Minor t-abels(10) 310000 — - -
-_Service and feeder 225 amps or more
—System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupant; the allowable in any of the above
as described in N E G Chapter 5 Perinspection __ $3500
Per hour $5500
-�-- $5500 — -
Submit 2 sets of plans with application where any of the above In Plant -
apply. Not required for temporary cnnstructlon services. 5. Fees: z
5a. Enter total of above fees $
NOTICE 5;%.
Surcharge (05 X total fees) $
Subtotal
PERMITS BECOME)vJID IF WORK OR CONSTRUCTION $ 5
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $
Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK Is --
COMMENCED. .gym nme.hee rust Account # $
Mm p�
Balance Due -
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