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10400 SW HIGHLAND DRIVE I L, (1) i SATHCI (INT1119TH nnr7ni CITY O F TI OAR D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #t ELE98-0423 13125 SIN Hall Filvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/27/98 PARCEL: 2511ICC-18000 SITE ADDRESS— : 10400 SW HIGHLAND DR SUBDIVISION. . . . :SUMMERFIELD NO. 4 7.ONING:R--7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :231 JURISDICTION: TIC Project Description: First branch circuit ------------------------------------------------------------ -------- -----I---------- -- ------RESIDENTIAL UNIT------- ---TEMP SRVC/FEEDERS------ -----MISCELL,INEOUS----- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGAT;ON. . . . : 0 EACH ADDIL 500SF. . . .- 0 201 400 amp. . . . . . . : 0 SIGN/OUT LIP LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANE.......,,: 0 MANF. HIA/ SVC/FDR. . : 0 601+Amps.--1000 volts. .. 0 MINOR LABEL ( 10) . . . : VI -----SERV I CE/F E E D 1_!'R----- ----BRANCH CIRCLJITS------ ----ADD' L INSPECT IONS­­­ 0 20'A a m ri. . . . . . : 0 W/SERUICE OR FEEDER: lb PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . : 0 -----------------PLAN REVIEW SECTION--------------.. 1000+ ECTION--------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VJLT NOMINAL. . : Reconnect only. . . . . t 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ------------------------------------------------------------ FEES ----------------. GENE OTIEN type amount by date recpt 2:?90 SW MADISON PRM T' $ 35. 00 9 07/27/98 98.-307691, PORTLAND OR 97205 5PC'T $ 1 5 B 01.i27/98 98-307695 Phone #: Contractor: --------------------------_-_._ WEST SIDE ELECTRIC CO T.'.'C $ 36. 75 TOTAL 1834 SE STH AVENUE REOUIRED INSPECTIONS PORTLAND OR 97214 Rough-in Elect' l Final Phone 231-1548 Elect' l Service Reg #. 0001.33 This pewit is issued subject to the regulations cont,ined in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will iie dime in accordance with approved plans. This perait will expire if work is not started to.ithin IN days of issuance, or if so, is suspended for sort than IN days. ATTENTIONS Oregon law requires you to follow the rules adopted by the Oregon Utility Notifit. an Center. Those rules aro set forth in OAR through OAR 952-981-1987. You qay obtain a copy of these rules or direct qu .ions to O(K by calling (503)246-1967. Permittee Signatures ("I.CA6- 'I IS51-tod By- INSTOLLATION ONLY----------------------------- 'Fhe installation is being made an property I own which is not intended for sale, lease, at, rent. OWNERIS SIGNATURE: DATE: _--.-----_----------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELECINS 6hC4r_> DATE: LICENSE NO: ......................I.................... :-4............4..........4.........4 Call 639--41'75 by 7100 p. m. for an inspection needed the next business day ...................................4+............+++4......................... CITY O=TIGARL Electrical Permit Ar^r'!ecation Plan Check M 13125 SW HALL BLVD. PFCEIVE Recd By NO , Dais Rec'd_� TIGARD OR X7223 Date to P.E. !il! 2. I 199°; -- Phone (503)639-4171, x304 Date to DST 503 5 _ Inspection ( ) 639-417Print or Type r r �y Pornut f11. F .x (503)684-7297 Incomplete or illFgibler'tbl�tti!Wt�C gflted Called____!_ 1. Job Address: 14. Complete Fee Schedule Below: Name of Development I Number of Inspections per permit allowed - Name or name of busrna�c) �1f /� / I /G-/W(I Service included: Items Cost Sum Address t!i u r ✓ __ 4a. PRsidentl3l-per unit 1000 sq it or loss _-- $1 to 0o 4 City/Stale/Zip /15 -_ Each additional 500 sq.ft.or r- porion thereof $25.00 �_ 1 Commercial ❑ Residential El Limited Energy $25.00 Each Manuf'd Horne or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: Attach con of all current JIce es 4b.Services or Feeders 1 L=lectrical Csn a torr r /C1 �`�'C /C�___ tnstalla amps alteration,or rotor alionY -' - �r 200 amps or less $60.00 2 1 Addr( 201 amps to 400 amps $80.00 2 City rr it c State I Zip_ � 7 401 amps to 800 amps $120.00 __ 2 Phone No. .'__ - ,S� 601 amps to 1000 amps Y $180.00 2 Job No. i,� ' '�- �f Over 1000 amps or volts $340,00 2 Reconnect only _ $50.00 2 Elec.Cont. Lice. No. C- - Exp.Date.-__ OR State CCB Reg. No, 1 Exp.Date _. ..._ 4c.Tempornry Services or Feeders COT Business Tax or Metro No. F_xp.Date _-_ Installation,alteration,or relocahvm 200 amps or less _ $50.00 Signature of Su r. Elec'n 201 amps l0 400 amps $75.00 =------` g p - 401 amps to 800 amps __ $100.00 7 Over G00 amps to 1000 volts, iren.;e Nr ����� S Exp.Dale see"b"above. F'hciru, N ?moi -__.�� --- 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)This loo fnr branch circuits%!th purchase of service or Print Ovinnr's Natne - 'Peder Me. Each br m;I,Ircuit $5.00 _Address-------- - b)The ler+inr branch circuits City _ State Zip-_--- wl(hout purchase of Phono No. -,__ __ service or feeder fee. First branch circuit $35.00 Tne Installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sale,lease or rent. 4e.Miscellaneous v__- (Service or leader not Included) $40.00 r.)wner's Signature_ -__ ._. Each pump or irrigation circle Each sign or oullina lighting $40.00 1 3. Plan ,Review section (if required):' Signal circuitry)or a limited energy $40.00 2 - panel,aiterntion or extension N Minor Labols(10) $100.00 Please check approp0te Item and enter fee in section 5B. 4 or more residential units in one structure 41.Each additional Inspection over Service and feeder 223 amps or mote the allowably In any of the above System over 600 volts r ominal Per inspection �_ $35.(O Classified area or structore containing special occupancy Per hour $55 no as described In N.E.C.Chapter 5 In Plant $' 0^ "submit 2 sets of plans with arollcation where any of the above apply. 5. Fees: S' S Enter total of above fees $ Net required for temporary construction services. 5o.5%Surcharge(.05 X total feea) $ ' %LTLIG L Subtotal $ _ 5b.1-nter 25%of line 5e for PERMITS BECOM"VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan ReviewJLrea(tirW(Sec.3) $ - f NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK SubfgW $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Trust Account p _ i Total balance Due CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13,25 S W Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC98-0306 DATE ISSUED: 07/31/98 SITE ADDRESS. . . : 10-.00 SW HIGIII.-AND J)1r PARCEL.: 251IICC-18000 SUBDIVISION. . , . : SUMMERFIELD NCI. 4 ZONINP: R--7 PD BLOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . . .231 JURISDICTION: TIG -------------------------------- ------------------------------------------------------- CLASS OF WORK. . :OTR FinrjR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . :SF' UNIT HEATERS. . : 0 VENT FANS. . . : o OCCUPANCY GRP. . .-R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FLIEL TYPES-----__.---__ 0-3 HP. . . . - I DOMES. INCIN: 0 :ELC 3-15 HP. . . . : o COMML. INCIN: 0 MAX INPUT: 0 BTL 15-30 HP. . . . : o REPAIR UNITS: 0 FIRE DAMPERS". . : 30-50 HP. . . .. : o WOODSTUVES. . : 0 GAS PRESGURE. . . - 50+ HP. . . . ,. o CLC, DRYERS. . : 0 NO. OF AIR HANDLING UNITS OTHEP UNITS. : 0 FURN ( 101111J, PTU: 0 100160 cf1r.: 0 GAS OUTLETS. : 0 FURN ) =1.00K RT(J: 0 > 10000 cfM : 0 Ile inarl4s : Installation Of 8/c unit, oust comply with standard setbacks. Owner: FEES -- ----- GENE OTTEN type amount by date-----recpt-- 2390 SW MADISON PRMT $ 25- 00 DEB 07/31/98 98-307879 PORTLAND OR 97205 5PCT $ 1. 25 DEB 07/31,198 98-307879 Phone PC"AMD. Contractor-: -------------------- ------ 11R FURNACE HEATING INC 1.6285 SW 85TH AVE TIGARD OR 97223 $ 26. 2b TOTAL Phone 4 Reg #. . r 000879 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Cooling Unt Insp Tigard Municipal Code, State of Ore, Sperialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 180 days of issuanre, or if work is suspended for sort than 180 days. ATTENTION: Oreflon law require- You to follow rules adopted by the Oregon Utility Notification C@n.er. Those rules are set forth in OAR 952-001-0018 througi: OAR 952-00I-0080. you may obtain copies of these ruies at, direct questions to OONC by calling (503)246-9187. I s 5,(L. Syr Permittee Signature: 4-+4- Call 639-4175 by 7:00 p. m. for inspections needed the next business day ..........................................)'++-4-4.................................. Plan Ch a CITY OF TIGARD Mechanical Permit Application ReddB 13125 SW HALL BLVD. Comrrv3rcial and Residential Date Rec'd_7_- TIGARD, OR 97'_'23 Date to P.E. - (503) 633-4171, x304 Date to DS Print of Type Permit# _ Incomplete or illegible applications will not be acceptedcaned --- _" — Name of Developmenvproied Description Table 1A Mechanical Code Q Price Amt — —" A) Permit Fee — 10.00 Job street Address Suiten 1) Furnace to 100,000 BTU Address Q w f i-, includingducts&vents 6.00 Bldg cnys,,2fe zIp 2) Furnace 100,000 BTU+ includingducts&vents 7.50 Name(or name of buslne s) — �^ 3) Floor Furnace includin vent 6.00 Owner 4) Suspended heater,wall heater Melling Address � or floor mounted heater 6.00 fU �/� 5) Vent tot included in appliance permit City/Stale 7Ip Phone _ 3 00 THAT ALL 'Bailer Heat Air _ ��� __�._ r THAT APPLY: r Pump Cond Qty Price Amt N (or name of business) Comp _ 6)<3F1P.absorb unit to Ja— OCCllparlt Mulling ddreas 400K BTU 1 1 6.00 7)'3-'15 HP;absorb unit Cnylslate Ilp Phone 100k to 500k BTI1 11.00 8)15-30 HP;absorb unit.5-1 mil BTU 15.00 —4 rof ontractor Nam 9)30-50 HP;absorb ` �� unit 1-1.75 mil BTU 22.50 rior to permit ailing Address_ 1 I3� 10)>50HP;absorb unit T >1.75 mil BTU 37.50 uance,a copy l Z1p phnne 11)Air handling unit to 10,000 CFM all licenses cn�Stete _ 4.50 _ are required if /,Cs(_� �. tl — expired in COT Or n Const Cont.Board LIC N Exp Date 12)Air handling u tit 70,000 CFM+ 7.50 database V�_-. 13)Non-portable evar,.ate cooler Architect tMallingAddress 4.50 — 14)Vent Ian connected to a single duct Or 3.00 15)Ventilation system not Included in 7Ip Phone appliance permit 4.50 Englmier 16)Hood served by mechanical exhaust _ 4.50 Describe work to be done" F y1.p i p izn 17)Domestic incineratnrs 7.50 R"" '" 1 New O Repair O Replace with like kind. Yes O Nod 18)Commercial or Industrial t�pa incinerator Residential Commercial 30.00 __ 19)Repair units Additional Information or description of work 4.50 2U)Wood stove 4.50 21)Clothes dryer,etc. 4.50 22)Other units Type of fuel: oil O natural gas O LPG O eledn'r _ 4.50 I hereby acknowledge that I have read this appllcatlon,th t the information 23)Gas piping one to four outlets 2_00 given is correct,thei I sm the owner or authorized agent of 24 More than 4- er outlet(each) the ow r,that r�ubmined are in compliance^'thwl Oregon 5tate�law ) p 50 SI lure of ner/Agent Date 2.5 Mlnlnlum Permit Fee$25.00 SUBTOTAL 5%SURCHARGE PPhhon —L� PLAN REVIEW 25°�OF SUBTOTAL Contact Pzrson Name Required for ALL commercial permits onl TOTAL �1 •State Contractor Boiler Certification required -Residential A/C requires site plan showing placement of unit IN-nechperm.doc rev 07/20/98 T sl U r3 n CITY OF TIGAR,D BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requlested" _l—zo—c / _AM _PM _ BLD L_ocation_�� C (� l�G(yL��(/1 G� (/�• Suite .__ _ MEC —� Contact Person PhL7iS/'/� PLM Contractor _ Ph _ SWR BUILDIIV3 Tenant/ q ELC Retaining Wall ELR Footing Access Foundation FPS Ftg Drain _ SGN Crawl Drain Inspection Notes - -- Slab SIT ----------- ------ ---------------- Post&Beam —- ----- Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation 2 Drywall Nailing Firewall Fire Sprinkler _ iFire Alarm _ Susp'd Ceiling Roof 1Aisc:�_ -- --- Final PASS PART FAIL PLUMBING — � Post& Beam - - --i - --- Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final ------------- PASS PART FAIL MECHANICAL Post&Beam -- - Rough In Gas Line - — ----- -- Smoke Dampers Final PA I PART FAIL 'Service r Rough Ir - �— UG/Slab Low Voltage Fire Alarm _ PASS PART FAIL -_- -_----- — i'f" Backfill/Grading - -- -- - "- Sanitary Sewer Storm Drain I j Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i )Please call for reinspection RE. --- 7able to inspect-no access Flre Supply LineADA ApproOther hlSldewalk Gate 7 ^�� — Inspector / �l (/ Ext Other 1 C _— --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job s-te. 7 March 17, 1999r OPY C� OF TIGARD FILL61r West Side Electric OREGON 1834 SE 8th Ave. Portland,OR 97214 Re: Permit E1,C98-0423 for work at 10400 SW Highland Ur. 'Tigard,OR To Whom It May Cone,;nt: It has come to out titcntion that the work pennittcd by EI-C98-0423 has not been inspected as requ�rcd by OAR 918-271-(1(110. OAR 918-271-0010 is reproduced below for your convenience. OAR 918-271-00 10 Calls for Inspection (1)All persons who take out an electrical permit,homeowners as well as electrical a m,.actors,shall request an Inspection within 24 hours of: (a)The completion of any electricap installation intended to be cc vered or concc .ed or which is intend(xl to be placed into service before the final electrical in3pection;and (b)'13te completion of all electrical insta,"kifions for ti a job site covered by a particultu pertnrt (2)"transactions under a master inspection p rtnit are c avered by separate requirements The penalty for failure to request a timely electrical inspection is found in this excerpt from OAR 918-307- 0000 shown below: 3)Civil penidty amounts.A"subsequent violation"is a repeat violation of any electrical statute or rule within a 36- month period of any order for the same violation. (a)A penalty of no less than$250 for th first violation and$500 for subsequent violations shall be charged for violations of: (A)OAR 918-271-11010 for failure to request a timely electrical Inspection;or (B)Electrical Safety;,aw or rule,including Lode,not expressly mentioned in this rule. Please arrange for an inspection of the electrical installation covered wider permit ELC98-0423 within 30 days. You can request an inspection by calling our 24-hour inspection line at (503)639-4175. In order for the inspector to inspect electrical installations at an occupied structure a responsible adult must be on vite to provide access. If necessary for the inspection a ladder must be provide on site. If you have any questions feel free to call me at(503)6394171 ext 356. Sincerely, Chuck Dutton Senior Electrical Inspector 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-417 i MD (503)684-2772 - -- --