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10825 SW HALL BLVD 1 r 0 N Ul CA x w r r I � r c 10825 SW HALL WULEVARD / CITY OF T i GA R D _ ELECTRICAL PERM!T DEVELOPMENT SERVICES ATE IS UIED: 3/8/00 00-00096 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639(��IGJAI� PARCEL: 1S135AD-02100 SITE ADDRESS: 10825 SW HALL BLVD SUBDIVISION: METZGER ACRE TRACTS ZONING: R-12 BLOCK: LOT : 002 JURISDICTION: TIG Proiect Description: Installation of one branch circuit for a/c unit. _ RESIDENTIAL UNIT _TEMP SRVC/FEEDERS_ _ MISCELLANEOUS_ 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER _ _ BRANCH CIRCUITS ----- ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ __ _ L 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:._�Reconnect or l :: __—SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: MICHAEL R. HAND OWNER 11654 SW PACIFIC HWY#2 TIGARD, OR 97223 Phone: Phone: Req #: `EES _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 3/8/00 $37.50 0000541 Elect'I Final 5i CT DEB 3/8/00 $3.00 0000541 Total $40.50 L_ This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR 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 180 days of i;>suanoe,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted-by the Oregon Utilit•/Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct ruestions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE �lXit.rQ1 I,S U E D BY: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_.. LICENSE NO: Y_ Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan eck# _ '13125 SW HALL BLVD. Rsc' By y TIGARD OR 97223 DateRec'd Phone(503)639-4171, x304 Date to P.E.Date to OST Inspection(503)639-4175 Print of Type Permit 0 CY2�GL2 1 Fax (503)598-196U Incomplete or illegible will not be accepted called 1. Job Address: l 4. Complete Fee Schedule Below: Number of Ins per permit allowed Name of Development _ _ Inspections r Name(or name of business)_�? - Service included: Items Cost Sum Address / J _ 4a. Residential-per unit City/State/Zip7 4t n OR Q`7'J,yfi,3 1000 sq.ft or less s �,7 _ 4 - - Each additional 500 sq,ft.or Commercial❑ Residerltial, Limited thereof $ 2s I mped Energy $ 80.0000 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 z (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor _ _ 200 amps or less $ 64.25 z Address 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City State Zip 801 amps to 1000 amps $ 192.50 2 Phone No. Over 1000 amps or volts _ $ 36375 2 Job No. Reconnect only _ _ $ 5350 _ 2 Elec. Cont. Lice. No. Exp.Date 4c,Temporary services or Feeders OR State CCB Reg. No. Exp.Date Installation,alteration,or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less _ $ 53.50 _ z 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps $ 107.00 2 Signature of Supr. Elec'n _ Over 600 amps to 1000 volts, see"b"above. License No Exp.Date 4d.Branch Circuits Phone NO _ New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or cfeeder fee. Print Owner's Name ICA., Each branch circuit $ 535 Address M S Y, ltd b)-.he fee for branch circuits without purchase of service City t 1 State O Zip 17 71 or feeder fee. Phone No. -1 First branch circuit l $ 37.50 ; Fach additional branch circuit $ 5.35 _ The installation is being made on property I own which is not 4e.Miscellaneous w intended for sale, lease or re �"" '*'"I (service or feeder not included) --- Each pump or irrigation circle $ 42 75 Owner's Signature t Each sign or outline ligh!ing $ 4275 Signal circuft(s)or a limited energy panel,alteration or extension S 6000 3. Plan Review section (if required):* Minor Labels(10) $ -- Please check appropriate item and enter fee In section 5B. 4f.Each additional fnspoction over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Pei inspection $ 5000 — - Per hour � $ 5000 System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy as described in N.E C Chapter 5 5. Fees: Be.Enter total of above lees $ « Submit 2 sets of plans with application where any of the above apply. Surcharge!.6661(total fees) $ , Not required for temporary construction services. Subtotal 4 $ 5b Enter 25%of line Ba for NOTICE Plan Review if required(Sec,3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust ACCOUnt#_ AT ANY T14E AFTER WORK IS COMMENCED Total balance Due $ I\dsts\Ibrms\clectrfc doc CITY OF TIGARD ORIG ^MECHANICAL PERMIT DEVELOPMENT SEERVICES PERMIT#: MEC2000-00072 11VA 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 4ATE ISSUED: 3/8/00 PARCEL: 1 S135AD-02100 SITE ADDRESS: 10825 SW HALL BLVD SUBDIVISION: METZGER ACRE TRACTS ZONING: R-12 BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: 'TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W;O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL. TYPES 0 - 3 HP: 1 DOMES. INCIN: L PG _ T 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: ODS GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN --100K BTU: <= 10000 ctm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas furnace, a/c unit and associated gas piping. Placement of a/c unit must comply with standa v setbacks. Owner: FEES MICHAEL R. HAND Type By Date Amount Receipt 11654 SW PACIFIC HWY #2 PRMT DEB 3/8/00 $50.00 0000540 TIGARD, CR 97223 5PCT DEB 3/8/00 $4.00 0000540 Phone:639-9371 Total $54.00 Contractor: ABLE HEATING + COOLING INC 12420 SW SUMMERCREST DR TIGARD, OR 97223 REQUIRED INSPECTIONS _ Gas Line Insp Phone:579-2250 Heating Unt Insp Reg#:LIC 00108535 Cooling Unt Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain cppies of the�s/e�rules or direct questions to OUNC by calling (503)246-9189.oe j Isey: PErmittee Signature: B ��_ 1 - Cep' g ' ,, ��...- nature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Plan C ck# CITY OF TIGARD Mechanical Permit Application Recd _ 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. Date to DST (503) 639-4171, x304 } 9 17.E Print or Type Permit#caned Incomplete or illegible applications will not be accepted Name of DevelopmenUProjed Description Table 1A Mechanical Code QtY Price Amt A Permit Fee 16'00 Street Address Job a 1) Furnace to 100,000 BTU Address 102Z15 5 w Qct) includingducts R vents see footnote 1,2 _ 9.65 Bidgll CRY/'late Zip 2) Furnace 100,000 BTU+ Q _ Q� including ducts&vents see footnote 1,2 12.00 -'- game(or name of usln as) 3) Floor Furnace �j�"I includingvent see footnote 1,2 9.65 Owner /0 t" e1 ` ` ---- 4) Suspended heater,wall heater Mailing Address �/ ,I or floor mounted heater see footnote 1,2 9.65 5 Vent not included in a Italica ermit 4.75 Cnv'State Zip Phone Check all that apply: 'Boller Heat Air c • For Items 6-10,see or Pump Cond Qty Price Amt X37.r3 37 footnotes 1,2 Com Na a(or name of business) 6),3HP;absorb unit to 100K BTU 9.65 occupant Malting Address 7)3-15 HP;absorb unit 1765 look to 500k BTU _ CRY/state Zip Phone 8)15-30 HP;absorb unit.5-1 mil BTU 24.15 9)30-50 HP;absorb Contractor Names //� tr unit 1-1.75 mil BTU 36.00 /7 10)>50HP;absorb unit Prior to permit Meiling Address >1.75 mil BTU 60.15 issuance,#copy �;''r/ r' ! . 4f/j t� 11 Alr handling unit to 10,000 CFM 700 of all licenses CRY/Slade Zlp Phone _ 1 t,� IP. ' '� 12)Air handling unit 10,000 CFM+ are re^aired if �� 17�it 11.75 expired in COT Oregon Const Cont Board Lk M Ex Date, �' 7 r' 13)Non-portable evaporate cooler _database � 7.00 Architect Name -- 14)Vent fan connected to a single duct 4.75 or Malling Address 15)Ventilation system not included In appliance permit 7.00 Engineer CRY/State ZIP Phone 16)Hood served by mechanical exhaust 7.00 17)Domestic incinerators 12.00 Describe work to be done: _ New Re air O Replace with like kind: Yes O No�l - 18)Commercial or Industrial type incinerator 40 25 Resld5ritia Commercial O 19)Repair units 8.40 AddRlonal infomtatlon or description of work: LGas gas FP/other units/clothe dryer/etc. 7.00 NOTE: For Commercial projects only;Units over 400 Ibs require ne tofour outlets 3.75structural as talcs. e 1- er outlet(each) 75 . Type of fuel: oil O natural gas LPG O electric O Minimum Permit Fee*00.00 SUBTOTALL_- A SURCHARGE 1 hereby acknowledge that I have read this application,that the information pLAN REVIEW 25°�OF SUBTOTAL given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance wnh Oregon State laws. Required for ALL commercial permft oniTOTA 1 Signature oAgent Date „�}y/ (� _� hGH Other inspections and Fees: 1. Inspections outside of normal business hours(minlnum charge •two ontact Person Name Phone hours) $50.00 per hour C 2. lnspections for which ro fee is specifically Indicated (minimum A_ charge-half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical State Contractor Boiler Certification required units. -Residential A/C requires site plan showing placement of unit ( 1 ) 1 Vnechperm.doe rev 0214/99 y r I i 1 I I } �I Ifl I i V CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested �� �1 AMPM --- IBLD Location ri 9 Z' 5W !/ iz�k'2 ----- Suite _ _ MEC �G OG 7 Z r _ Contact Person /yIl Ph y – 5 S J� PLM Contractor Ph SWR BUILDING Tenant/Owner — Retaining Wall ELR - Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear - Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - -- Roof Misc: Final PASS PART FAIL - -- PLUMBING _ Post&Beam - Under Slab 6.-------------_._... Top Out _._------- -� Water Service Sanitary Sewer Rain Drains Final P A;5- RAAl3_7L, ) FAIL � MECHeampers fAAT FAII ,_ - -_ - ELECTRIC(Jg ough In Low Voltage Fire Alarm PART FAIL SITE Backfill/Grading — Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE: [ J Unable to inspect-no acces, Fire Supply Line ADA Approach/Sidewalk Date nspector Ext _- Other Final PASS PART FAIL IDNOT REMOVE this inspection record from the job site. CIT`t OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -----�--� BUP Date Requested _ h� _AM PM BLD _�__-------_---_.�� Location C% Z ) �1- � � !�/ v a Suite MEC Contact Person Ph � > >2PLM Contractor Ph i SWR BUILDING Tenant/Owner _ � � _ ELC W GU- Retaining Wall EL.R Footing Access: _ FPS Foundation Ftg Drain Ale SGN Crawl Drain Inspection Notes ( -- -"-- -- Siab _._ ------ - SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Drywall Nailing - -- --- --- — --- - _ Firewall Fire Sprinkler —_.- .... ------ - --- - - - Fire Alarm Susp'd Ceiling -- --- - - - --- - - - - Roof Misc: ___ -- --- -- - Final PASS FART FAIL - -- PLUMBING [lost& Beam Under Slab T op Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ---------------- -- MECHANIC:AL-- _ Post& Beane Rough In Gas Line ---------___.----------------- Smoke Dampers Final ____.._.-------- PASS FSA FAIL , LECTRICAL Rough In UG/Slab — Low Voltage Fire Alarm ---- S PART FAIL SITE. Backfill/Gradwg ------- Sanitary Sewe: Storm Drain [ ]Reinspection fee of ro requir art before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RF -_ _�— [ ]Unable to inspect-no access Fire Supply line ADA �;� '�.� Approach?Sidewalk Date __Ll1 Other nn Inspector � �"�_�_ -_Ext _•_ ----- _ Final PASS PART FAIL DO Idol REMOVE this inspection record from the job site.