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CITY OF TIGARD BUILDING INSPECTION NOTICE
: 639-4175 Business Phone:
Inspection LineG39 4171
ain Drain Cover/Service
Footing PFINAL:
iCeiling -Plumb.
Foundation Water Line
'! -Mec d
PosU!3eam Mech. Shear!Sheath Framing
Insulation eect7l
PIbg.Und/Flr/Slab Plbg. Top Out Bld
Post/Beam Struct. Mech. Rough-in Gyp. Bd. g
San. Sewer
Gas Line Appr/Sdwlk Reins.
Other.
Date: �� AN
— F=--P.M. —. Entr — --
Address:
Ste:_ MST. --
Tenant: -------.— - BLIP
Con/Own: -_.—.----- -- - -- --— - - PLM.
ELC: --
^'�Arrr,
THE FOLLOWING CORRECTIONS ARE REOUIRED El_R: _ ----
Date: '
Inspector - - -
I�—APPROVED _..--DISAPPROVED/CALL FOR REINSP. CF CO
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CI1Y OF TIGARD FERMI 'SOL
##: ELC96�0:355
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/06/96
13125 BW Hall Blvd.Tigard,Oregon 97223+6199 (503)639.4171
PARCEL: S111CC- iti4'10
SITE ADDRESS. . . • 10385 SW HIGHLAND DR
SUBDIVISION. . . . : GUMMERFIELD 1\10. 4 ZONING:R-•7
BLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . . 175
Project Desc:^iption : Installing nne branch circuit. ■
- - -RESIDEN'T'IAL UNIT•---- ----TEMP SRVC/FEEDERS-•---- -•----MISCELLA1\;EOUS-------
101710 SF OR LESS. . . . : 41 0 - 200 <-amp. . . . . . . : 12) PUMP`/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 ■
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : VI
MANE. HM/ SVC/FDR. . : 0 61111+amps--1000 volts. : 0 MINOR LABEL (10) . . . : 0
--- -.--SI RV I CE,'FEEDL R- _.--ADD' L INSPECTIONS——-
0
NSPECTIONS•--—-0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 �
201 - 400 amp. . . . . . : III 1 st W/O SRVC OR FDR. : 1 PEF, HOUR. . . . . . . . . . . : 0
I 401 - 600 amp. . . . . . : 0 EA ADD' L HRNCH CIRC: QI IN PLANT. . . . . . . . . . . • 0
d601 1000 amp. . . . , : 0
REVIEW SE'C'T
1000+ amp/volt. . . . . : 0 ) =4 RES UNITE;. . . . . . . . : ) 600 VOLT' NOMINAL... .
Reconnect only. . . . . : 0 SVC/FDR ) = 22,5 AMPS. . : CLASS FEES AREA/..a-l- .
EC OCC
IOwner-: -__.__.____.____..__.__________ __._____._______.___.____-.___- - --- -'----- ----_
DALE:: COLLINS type ain01.1;1t by date recpt
10385 SW HIGHLAND DR PRMT E 35. 00 CJS 06/06/96 96-280249
SPCT' $ 1. 75 CJS 06/06/96 96-1-812.11'49
1"I GAF2D 0R 9 7���� d
Phone #:
contractor:
SUNSET FULL CO t 36. 75 TO I-AL �
PO BOX 42287
2944 SE.' POWELL BLVD (97202) --__-- REUU I RED 1 NEiPEC`f 1 ONra
PORTLAND OR 97242 02.67 Elect' 1 Dery i c
I Phone #: 503-234-0611 Elect" 1 Final
Reg #. . : 2374
�r
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Permittee Si gnat or-e�
applicable laws. All work will be done in accordance with
,ipproved pIrns. This permit will expire if work is not started r
within 180 days of issuance, or if work 1s suspended for more1C,S. GhJ2'1..1, �________. _
than IN days. ssiled By
_...-(.)W1\J1_-R INSTALLATION
The installation is being made on property I own which is not intended for `
sale, lease, or rent.
OWNS:R' S S I GNATURE: _ _ _.._.,._. ___ DATE
-_--_-__----__-CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELEC' N: Q 64, P/tr^r� 74.� 1__y_ DATE:
LICENSE NO:
Call for, inspection - 679--4175
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Community Development ELECTRICAL PERMIT APPLICATION
131215 SW Hall Blvd.
Tigard, OR 97223 Planck/RBC.
1 Permit # �C-__Lc 26 1--)315 5
1 Phone (503) 639-4171 Dure Issued C- 4-- yG
CITY OF TIGARt) FAX (503) 6134-7297 Issued by Ck . ��.� ��tim -c,`
FAX
No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete lee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 10 sc Or- Service included: Items Cost(aa) Sum N�
City/State/Zi p�/ C� —11 a' _ 4a. Residential-per unit 4
�l
1000 sq.ft,or lose $110.00
Name (or name of business Dc&k-�>_ �t~��� l �� Each addl,»r�sq.ft.or �, t
portion 00
t.eiited Eriergy $2i.00
Commercial❑ Residential Each Manurd Hoar or Modular — 2
Dweling Service or Feeder sm Do _
2a. Contractor Installation only:
4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical PQntractokS " C�.4 200 amps or less $W 00 2
441' 201 amps to 400 amps $80.00 2
Address � C301r
h� --��-f- p�� 401 amps to fAo amps s120.00 2
Ci P� r StataQ Zi "1 601 amps to 1000 amps $160.00 2 i
Phone NO j�� Over 1000 amps or volts $34000 2
Contractor's Licen! No. 4P Reconnect only $5000
Contractor's Boar, Reg. No.� '7 4c.Temporary Services or Feeders
/ 7 Installation,altoration,or relocation 2
Signature of Sur. Elac'n .(i 200amps or less $5000 2
201 amps to 400 amps $75.00 2
License No. __V Phone No. 401 amps to 600 amps $too 00
Over 800 amps to 1000 volts
r
2b. For owner Installations: see•b•above
P4d.Branch Circuits
Print Owner's Name
New,aMeretion or extension per panel
Address a)The Ise for branch rarcuds with
purchase or smke or Paeder Ne. 2
City_ State _ Zip Each branch dram $500
Phone No. b)rho lee loi bnarch circuits without
The installation is being made on property I own which is purchase ur servka or wederW. 2
not intended for sale, lease or rent. First branch circuit 1 $.,500 `-�•CDC
2
Each Mdilon it branch circuit $500
t
u.Mner's Signature4e. Misceilansous
(Service or feeder not included) 2
Each pump or irrigation circle $40 00 2
3. Plan Review section (If required): -
Each sign or online lighting $4000
Signal cimult(s)o,a Invited energy 2
x
Please check appropriate Item and enter lee in section 5B. panel,alteration or extension $4000
_4 or more residential units in one structure Minor Labels(10) __ $10000
Service and feeder 225 amps or more
Systom over 600 volts nominal 41.Each additi mel inspection aver
Class,fivd area or structure containing special occupancy the allowable In any of the above '
as oei;:ribed in N.E.C. Chapter 5 Per inspection $3500
Par hour $5500 _
A
Submit 2 sets of plans with application where any of the above In P1-int $55 00—
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $
-- 5%Surcharge(05 X total fees) $
iffil
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enteer 2Sur 2559a $ �
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if roquired(Sec.3) $
1 A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED, ❑ Trust Account td $
Balance Due $ ,
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MECHANICAL
CITY OF TIG_ A-RD . .
. .
PERMIT' SUE . . 6 MEC96-0169
COMMUNITY DEVELOPMENT DEPAR,MENT PATE IS : 0 /1216/96
13126 SW Hall Blvd.Tigard,Oregon 97223.6190 (503)ON 4111
PARCEL: 2S 1 1 1 GC--•i 2400
SITE ADDRESS. . . : 10385 SW HIGHLi-,.vD DR
SUBDIVISION. . . . : SUMMERFIELD NO. 4 ZONING: R-7
BLOCK. . . . . . . . . . . LCT. . . . . . . . . . . . .
CLASS OF WORK. . :ADD FLOOR F'URN. . . . : 0 EVAP CQOLEri :: 0
TYPE OF USE. . . . :EBF UNIT HEATERS. . : 0 VENT FANS. . . : e.. '
OCCUPANCY GRP. . :A1 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOTL.ERS,'COMPRESSORS HOODS. . . . . . . : 0 ■
1-' UE.L TYPES------- 03 HP. . . . : 1 DQME',a. I NC I N: 0
-15 HP. . . . : 0 COMML. INCIN: 0
i
MAX INPUT: 0 BTU 15 30 HP. . . . : 0 REPAIR UNITS: 0 �
F: IRE DAMPERS;?. . : 30•-50 HP. . . . : 0 WOODSTCIVES. . : 0
i
GAS PRESSURE. . . : 50+ 111=
C. c
City of ; yard MECHANICAL �'ERMIT Planck/Roc. #
131-25 sw Hall Bird. APPLICATION Permit #
Tigard, OR 9722.3
(503) 639-4171
FTable
3A n
3A Mechanical Code OTY PRICE AMT
Job I�� o� 'Cjl`1 Q�� (firPerm t Fee -0- -0- 1000
Address . •• Supplemental Permit 3.00
',"""' Furnace to TOO.000 BTU
`>0 ; ��`` ,�S 1) incl. ducts ,4,vents 6.00
'xl_qq Ad'— 1 Furnace 100,000 BTU +
U Nner �-��J� VL1L (�U ( 2) incl dur' 8 vents 7 50
,,.,.. •� �iaor urnance
3) incl vent 6.00
Suspended seater, wall heater
4) or floor mounted heater 600
. � ent 771 incl.n
Occupant 5) appliance permit 3.00
Repair of heating, retrig
6) cooling, absorption unit 6.00
..�.�
Boller or comp, heat pump, air Gond
Uy 7) to 3 HP; absorp unit to 100K BTU � 6.00
u offer or comp, heat pump, air cona.
Po6-1-npx c'�,��1^ 8) 3-15 HP; absorp unit to 500K BTU 11.00 y
fContractor ,,, -- o Boiler or comp, heat pump, air :and.
o�'a-lc,n� o(Z qua 9) 15-30 HP; absorp unit 5-1 roil BTU 1500
( •u–�' ``�� -- —' oiler or comp, heat pump, air r-on
10) 30-50 HP; absorp unit 1-1 75 mil BTU 22.50
hereby acknow a ge tat ave reaTt is application. tli tit he -_oiler or comp, heat purup, air con
information given is correct. that I am the owner or authorized 11) 50 HP; absorp unit 1 75 and BTU 37.50
agent rf the owner, that plans submitted are in compliance with Air handling uni: to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4 50
Board. that the number given is correct. (If exempt from State it nandling unit
registration, please give reason below.) 13) 10,000 CTM + 7,50
Non ponalT
N 14) evaporate cooler 4.50
—
Vent fan ronnected
s 5) to a sincle duct 3.00
^`
Ventilation system not
(—YAPMC–.Mur-4� JIB
�j,rte � 3 16) included in appliance permit 4 50
,',v �... 00 sP.Ne y
17) mechanical exhaust 4 50
Uescn a work —new addition aReration t_) epair (J Commercial or industrial
to be done residential (—+turf residential '8) type rncirerator 3000
Existing use of Other i e. woo stove. water
budding or property 19) heater, solar, clothes dryers. etc 4 50
Proposed use of 20) Gas ciping one to four outlets 1100
building or procerty
21) More than 4 er outlet (each) <OL
Type of fuel -ed O natural gas O LPG O electric (� —
NUTIC
Minimum Fee 525 00 SUBTOTAL r�
PERMITS BECOME VCID IF VWCRK OR CCNS'rRUCT10N
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS, OR 5% SURCHARGE
IF CONSTPUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD CF 180 DAYS A7 ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Sceccial�ConpditiccC–
s � ]TL+.x�! ckrr Q-1
1 Date issued
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