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CITY OF TIGARD BUILDING iNSPECTION DIVISION MST
24-Hour Inspection Line: 539-4175 Fusiness Line: 539-4171
t3UP _
-- _ _Date Requested - _AM f>A %� BLD
Location-20L� ( kl1-
Suite MEC
Contact Person Ph PLM
Contractor Pli SWR
BUILDING Tenant/Owner
Retaining Wall 9 qq-0&-s-c/7
Footing Access:
Foundation FPS _
Ftg Drain
Crawl Drain Inspection Notes: n D, / SGN -
Slab ------ ---- C (.USC.. '��T..,,i//J y w,� �j�_ ,tS SIT
Poct 8 Ream -�-
Ext Sheath/Shear
Int Sheath/Shear
Fra ning _ ----- - ---- -- --- - _�_
Insulation
Drywall Nailing
Firewall �J
Fire Sprinkler __M_ 1y��/�u -c-tc
Fire Alarm
Susp'd Ceiling
Misc:
Finel
rVe
PASS PART FAIL I -_-- ----- _ �3 L-- ._-
PLUMBING
Post&Beam
Under Slab _ 30
Top Out ------ ------1 �
--- _
Water Service A_.l • E 9914. IOC66K2"MAJ
Sanitary Sewer
Rain Drains
Final
PASS FART FAIL -- _T -_ _ rD�e'� N
MECHANICAL
Post& Eeam
Rough In !� f
Gas Line -- -- -- -- - -�:�L-- •
Sm ke Dampers
-- - -----_ > �lr.l e.- ----
A. iPARr- FAIL � _._ d1
_LEC•i RICAL — n -
rntce t,t%B a ,f S,rf'� U
Rough In
UG/Slab
Low Voltage Y -_�L __
Fire Alarm
AS PART FAIL __---- _ _
SITE InA 0)
Backfill/Gr,iding y j -
Sanitary Sewer ►.'I
Storm Drain [ J Reinspection fee of`F required before next inspection. Pay at City Hall, 5 4W Hall Blvd
Catch Basin i
ll f
Please call reinspection RE:
Fire Supply Line [ J p [ J Unable to Inspect no access
ADA
OtheoachlSidewalk� Date �V/1 ' Inspector_ 4v< Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record front the job site.
CITYOF T°IGARDE-LECT'RICALPERMIT
PERMIT #: ELC1999-00597
DEVELOPMENT SERVICES 1 T ISSUED: 10/7/99
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-Q1�11� I G 1 ��U, RCEL: 2S110DD-10500
SITE ADDRESS: 10960 SW HIGHLAND DR ''e�,,.•�� 1 1
SUBDIVISION: SUMMERFIELD NO.6 ZONING: R-7
BLOCK: LOT : 321 JURISDICTION: TIG
Proiect Description: Installation of one branch circuit. Job No R25499
_RESIDENTIAL UNIT TEMP SRVC_/FEEDERSMISCELLANEOUS
v 1000 SF OR LESS: 0 200 amp: a PUMP/IRR!GA ION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINF_ LT G:
LIMITED ENERGY: 401 600 amp: SIGNO-.,,PANEL:
MANE HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL_ (10):
SERVICF_/FEEDER BRANCH CIRCUITS _ A_Op'L INSPECTIONS
0 20U amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FUR: 1 PERHOUR:
401 600 amp: EA ADD'L BRNCH CIRC. IN PLANT:
L601 - 1000 amp: _ _ FLAP: REVIEW SECTION _
x000+ arno/volt: >=--4 RES UNITS: > 600 VOLT NOW
_Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC t,
Owner: Contractor:
RAY ROGERS SHARPE ELECTRIC INC
10960 SW HIGHLAND DR 22605 SW RIGGS
TIGARD, OR 97224 BEAVFRTON, OR 97007
Phone: 620-4661 Phone: 642-7937
Reg #: LIC 000815
SUP 3344S
ELE 'A-217C
FEE:__,^ Required Inspections__
Type By Date Amount Receipt YS
_ Elect'I service
PRMT DEB 10/7/99 $37.50 99-318906 Elect'I Final
5PCT DEB 10/7/99 $3.00 99-318906
otal $40.50
This Permit is issued subject to the regulations contained in the Tgard Municipal Code,£tare of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance w!th approved plans. This permit will expire if work is nit started within 1PJ days of issuance,or if work is
suspended for more than 180 days. A-s-TENTION: Oregon law requires you to follow rules go9pted by the Oregon Utility Notif';ation Center. Those
rules are set forth in OAR 952-001-OU10 through OAR 952-001-0080. You may obtai pies of the les or direct questions to OUNC at(503)
246-1987.
PERMITTEE'S SIGNATURE IS�UEU BY:
_ OWNER INS' No
The installation is being made on property I own which is not intended for sale, lease, or rent. _
OWNER'S SIGNATURE _ _ _ _ _ DATE:-
CONTRACTOR
ATE:CONTRACTOR INSTALLATION ONLY-.---
SIGNATURE
NLY __SIGNATURE OF SUPR. ELEC'N: -� - DATE: i y�9
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business clay
CITY OF TIGARD Electrical Permit Application Plan Ch ck#
13125 SIIV HALL BLVD. Recd
TIGARD OR 97223 Date Recd /c- 7-
Date to P.E. �—
Phone(503)639-4171, x304 Date to DST
Inspection (503)639-4175 Print of Type Permit# i_C IQ99:d2!EE
Fax (503) 596-1960 Incomplete or illegible will not be accepted Called _
1. Job Address: 4. Complete Fee Schedule Below
Number of Inspections r m-d allowed
Name of Development _ _ � ��.�� ►'e �
Name(or name of bLsiness) a
AService included: Items Cost Sum
Address_/0.%..C � Qi%) b/" 4a. Residential-per unit
City/State/Zip__�� t 000 sq.It or less _ _ $ 117 75 ---— 4
Each additional 500 sq.it.or
portion thereof $ 2615 1
Commercial❑ Residential Limr;ed Energy $ 60.00
Each Manufd Home or Modular —
2&. Contractor installation only: Dwelling Service or Feeder _ $ 72 75 _ 2
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
Information for COT data has . r1 ,y Installation,alteration,or relaxation
Electrical Contractor to �r—ry °- i 200 amps or less $ 64.25 2
Addre s_.? :1605 .5 rti? i t,Z S 201 amps to 400 amps $ 85.5n 2
Cit 2 State 0 °�I Zi Q 7Oe -7 401 amps to 600 amps _ $ 128.50 _ 2
y �"''^�'�-- p- 601 amps to 1000 amps $ 192,50 _ 2
Phone NO. G y1. 7q 3� _._ Over 1000 amps or volts $ 363.75 _ — 2
Jt "o. a $ '? Reconnect only $ 53.50 _� 2
Ei_ Cont. Lice. No J.V-A/ :2 Exp.Dateb _ 4c,Tempo,iry Services or Fenders
OR State CCI(Reg. No. B[j / 8 Exp.Date 6ZeY / Installation,alteration,or relocation
COT Business Tax or Metro No. a 3l xp.Date 200 amps or less $ 53.50 2
201 amps to 400 empc $ 80.25 2
,,,�� � 401 amps to 800 amps � $ 107.00 � � 2
Signature of Supr. Elec'n I Over 600 amps to 1000 volts, —
see"b"above.
License No. 3 3 4,N Exp.Date_ /O 0
Phone No 4d.Branch Circuits
[, J.1 ' `l! New,alter ition or extension per panel
a)Thr lee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Farah branch circuit $ 5.35
b)Tho fee for branch circuits
Address without purchase of service
City State---Zip or feeder fee.
Phone No _ _ ^_ First branch circuit I $ 37.50 ,
Each additional branch circuit $ 5.35
'The installation is being made on property I own wh-h is not 4e.Miscellaneous —
intended for sale. lease or rent (Service or feeder not included)
I ach pump or Irrigation circle _ $ 42 75
Each sign or outline lighting
Owner's Signature $ 42 75 9 _
— Signal circuit(s)or a limited energy
60
3. Plan Review section if required):* panel, els(1flon or extension _- _ $ 07
Minor Labels(10) $ 107.00
Please check appropriate item and enter fce in section 5B. 4f.Each additional Inspection 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 $ 59 00
Classified area or structure containing special c:cupanry as _
der•ribed in N E.0 Chapter 5 5. Fees: '7 �-(.
So.E ter total of above fees $ 7
Submit 2 sets of plans with application where any of the above apply. e) Surcharge(05.t total tees) S '--e
Not required for temporary construction services. Subtotal $
6b.Enter 25%of line 6a for
NOTICE Plan Review if required(Sec.3) S _
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 p
AT ANY TIME AFTER WORK IS COMMENCED. rota(balance Due $
1 1,1, Innen dcoric doc:
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES �� PERMIT#: MEC1999-00+18
131`25 SW Hall Blvd.' Tigard, OR 97223 (503) 639- IGINAi�
&DATE ISSUED: 10/7/99
RCEL: 25110DD-10500
SITE ADDRESS: 10960 SW HIGHLAND DP
SUBDIVISION: SUMMERFiELD NO.6 ZONING: R-7
BLOCK: LOT: 221 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 P 0 - 3 Hr': 1 DOMES. INCIN:
3 - 1F HP: COMML. INCIN:
MAX INPUT: BTU 15 - .^,0 HP: REPAIR
FIRE DAMPERS?: 30 - 50 HP: OODS UNITS:
GAS PPESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN >=100K BTU: <- 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Instailation of furnace, a/c unit, gas insert and gas piping. Placement of a/c unit must comply with standard
setbacks.
Owner: FEES
RAY ROGERS Type By Date Amount Receipt
10960 SW HIGHLAND DR PPMT DEB 10/7/99 $50.00 99-318906
TIGARD, OR 97224 5PCT DEt3 10/7/99 $4.00 99-318906
Total $54.00
Phone:620-4661 - —
Cuntractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone:620-5643 Mechanical Insp
Rey #:SUP 2570RET Heating Unt Insp
LIC 006657 Cooling Unt Insp
ELE 34-341CR Misc. Inspection
Final Inspection
This permit is issued subjact to the regulations contained in the Tig 3rd 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 startad within 180 days of issuance, or if work is suspended
more than 180 days. ATTENTION: Oregon law requires you to `ollow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0080.
You m y obtain copies of thIse r es or direct questions to OUNC by calling 1501)246-9189.
�
Issue l/ % Permittee Signature:-_ 1 ►Q C.cl�
Call (503) 639-4175 by /.00 P.M. for inspections needed the ntxt business day
TIGARD Mechanical Permit Application Plan Cho
CITY OF Mh
_
� PP Recd By
13125 SW MMOL BLVD. Commercial arlc Residential DateRec'd
TIGARD, OR 97223 Date to P.E.
(503) 639-4,'71, 00-4 Date tr, DST
Print or Tvpe Permit# i tC['/99'x-QxII�I
Incomplete or illegible_as,niications will not be accepted Called
Name of Development/Project I Description
Table 1A Mecl a_nical Code Qfy Price Amt
A Permit Fee
.lot) Slreel Address SuNek- including ducts 8�
1) Furnace to 100,000 BTU
Address I o 9(Q O_5W d if IA-Mb _ see footnote 1,? 9.65
—� —
_ �9_nts_
Bldyfr City/stats Zip 2) Furnace 100,000 BTU+
eDA2 (77.2,;LL{ including ducts&vents see footnote 1,2 _ 1200
Name(or name of business) 3) Floor Furnace
6164 /S includin .nt see footnote 1,2 _ 9.65
Owner Y "
Melling AddressV 4) Suspend 1 heater,wall heater
/ or floor mounted heater_ see(footnote 1,2 9.65
10 760 5 (f/ 01 _5) Vent nr,(included in appliance ermit_ 4.7_5 —
City/State ZIP Phone Check a',that apply. 'Boiler Heat Air
For items 6-10,see or Pump Gond City Price Amt
Ne dor name of business) footnotes 1 2 __ Comp _
N V 6)e5HP;absorb unit to
vtk— _ 100K BTU Y _ _ 965
Occupant Maung Address 7)3-15 HP absorb unit
100k to 500k BTU _ 17.65 _
Cnylstets
7ipTPhoneV� 8) 15-30 HP;absorb
unit.5-1 mil BTU 24.15
—j - 9)30-50 HP;absorb
Contractor Na
me / unit 1-1.75 mil BTU _ 36.00 _
10)>50HP:absorb unit
Prior to permit ��'- >1.75 mil BTU _ 60.1•`
Issuance,a copy 1?5 ;4 5LA) T I 6M 11 Air handling unit to 10,000 CFM
of al!licenses kordijon
q/state p lip Phone — _ 7.00 _
are required If Gl �/� (��J J a SGS 12)Air handling unit 10,000 CFHri}
expired In COT Const Cont.Board Lic.0 Ex Date
database (i' I _ 13)Non-portable evaporate cooler —
�Architect Name _- 7.00
14)Vent fan connected to a single duct
4.75
or Melling Address --
-15)Ventilation system not included in
appliance permit 7.00
Engineer csylstate lip Phone 16)Hood served by mechanical exhaust
—.
7.00
Describe work to be done: "•Domestic'ndrerators
_ 12.00
New O Repair O Replace wt!.:.like kind. Yesp No O i 1 fk%Commercial or industrial type Incinerator 48.25
5
Residential W Commercial O
19)Kepa'r units
8.40
Additional Information or description of work: -r
20)Wood stov as FF Cher units/clothe dryer/etc.
7.00 _
NOTE: For Commercial projects only;Units over 400 Ibis require 21)Gas piping ore to four outlets
structural gas tales. See footnote 1 3.75
Type of fuel: oil O natural 9asX LPG O electdcp 22)More than 4-per outlet(each) .75
Minimum Permit Fee$50.00 SUBTOTAL
I hereby acknowledge that I have read this application,that the Information 7%SURCW-rAGE
given Is correct,that I am the owner or authorized-igent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commensal permits c nil
TOTAL
Signatupdof Owner/Agent Date —
Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-two
Contact Parson Name _ Phone !/ hours) $50.00 per hour
l
Inspections for which no fee Is specifically Indicated (m
2 rn.��t.m
w�/Y1G1 — charge-half hour) $50.00 per hour
Fo otos for commercial projects wiiy: 3. Additional plan review requird by changes,additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$60.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. 'Statc contractor Boiler Certifi.ihon required
"Residential A/C requires site plan showing placement of unit
1:4nechperm doc rev 02/4199
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