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12650 SW HALL BLVD Ul 0 0) E: CI3 r-4 O 12650 SW HALL. BOULEVARD r r M r � m orf trn� O r GO �v n ro m m T a1T7 CD CD 0 0 0 0 .ti A b Y a+ L ro � � o �• o o �o 0 0 o � yr A 00 tf ww,� CITY O TIGARD MECHAN I CAL DEVELOPMENT SERVICES DERMIT F'ER.MIT #. . . . . . . : ME.C97- 0228 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE: ISSUED: 07/0-,3/97 PARCEL.: 2S 101 BC--02401 SITE ADDRESS. . . : 1`-650 SW HALL.- BLVD SUBDIVISION. . . . . ZONING: I-L BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAF' COOLER!71: 0 TYPE. OF USE. . . . :COM UNIT HF"ATERS. . : 0 VENT FANS. . . ; 171 OCCUPANCY GRP,. . :I3 VENTS W/0 APPIL: 0 VENT SYSTEMS: 0 !STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUL=L_ TYPES __.__.___._.....___-- 0 HF'. . . . 0 DOMES. INCIN: 0 :CAS 3-15 HF'. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . 0 REPAIR UNITS: 0 FIRE DAMPERS?— : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 504 IAPI. . . . : 0 CLO DRYERS. .- 0, � NO. OF' UNTTS---- -- - AIR HANDLT N(.; UNITS OTHER UNITS. : 0 TURN ( 100K B"fU: 0 (- 10000 cfm : 0 GAS OUTLETS. : 1 TURN > =100K BTU: 0 ! 10000 cfm: 0 Remar-(<s : Install approximately 151 of 1" gas piping to asphalt holding tank Ownerc _._..___- ._-----_------_---__________-- ---_..____-.----.---..__.----- _..--- FEES -___.____-------_- SNYDER ROOFING type amW.int by date recpt 126`-0 SW HALL. BL-VD PRMT $ 25. 00 JSD 07/0:3/97 97--2:76746 TJGr RD OR 9722-3 517'CT t 1. 2:5 JSD 07/03/97 97-296746 Phone #: Cantr-actor: ---------------------------_..---- F'ONDER BURNER CO TAW RAN ENTF_.RF'RISES INC: -.---__.________.__._---.------------- 105211 N LOMBARD $ 26. 25 TOTAL PORTLAND OR 97203 Rey #. . : 003167 RFOU I RE:D I NSPECTT ONS - This permit is issued sdbiect to the regulations contained in the Gas Line Ins p Tiqard Municipal rale, Stote of Ore. Specialty Codes and all other Final Inspection _ applicable laws. A'1 work will be done it accordance with apfroved plans. This permit will expire if work is not started within TBA days of iss.ance, or if work is suspended for morn than 180 days. ATTENTION: Oregon law requires you to follo» rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952--Ni-001F through OAR 952-M1-9080. You may obtain copies of these rules or direct questions to OX by calling �593124b-9187. 13 Y e ;. -_ ~t �__-- rj a r"m i t«e S i g n a t i.i r-e +++++++++-1++++++++++++++++++++++++++++++++++++++++++f•+...++++- +++++++++++++++i-r Call 639-4175 by 6:00 p. m. for i.nsper_tions neede'! the next bi-isiness day +•F++++++++-1•++++-+i-4+++++++++++++++-1-+++++++++++++++ 1-+-1+4-+"-1-++++++++++++++++++++++ Plan Check# CITY OF TIGARD Mechanical Permit Application Recd,y _: 13125 SW HALL BLVD. Commercial and Residential Date Reed -�7 TIGARD, OR 97223 Cate to P E�,�_ (503) 6394171, x304 Date to DST Print or Type Permit# r�� Incemplete or illegible applications will not be accepted Cauctd Name of OeveioprnantiDescription Table_to Mechanical Code QTY PRICE AMT Job Street Address Suase A)—Permit Fee -0- -t)- 10.00 Address otdgx Upstate Zip 1.) Furnace to 100,(J00 BTU 6.00 7 z 7� _including ducts&vents _ Name la name of business) 2.) Fumace 1.00,000 BTU+ 7,50 Owner including ducts&vents Meiling Address3.) Floor Furnace 6.00 1 L ',r S,l.�• l Iit.Up. including vent uayrstna Zip Phone 4) Suspended heater,wait heater 6.00 ZZ _ or floor mountbl heater w'n'6(or narrh of busineslu 5.) Vent not mGudai in appliance permit 300 Occupant Mailing Address A.) Boiler or comp,heat pump,air cond. 6.00 Z L.SCS S.LO, �.jA ` ;'.V D. to 3 HP;absorb unit to I OOK LiUT" Cayrstne Lp Phone /) Boiler or comp,heat pump,air c.and. 11.00 o 3-15 FIR absorb unit to 500K BTU— Contractor N 8) Boiler or comp,heat pump,air coni. 15.00 (Prior to Co. 15-30 FIR absorb und.5.1 mil BTU" issuance Mailing Address 9.) Boiler or comp,heat pump,at(Gond 22.50 applicant tA_ 30-50 Ho;absorb unit 1-1.75mil BTU' must provide all i"/State Zip Phone 10.) Biller or comp,heat pump,air cond.� 3750 contractor > &Q— 3 24,- zYS >50 FIR absorb unit 1.7_5 mil BTU" license i Dragon Const Cohl.Board Lx:h Exp.Date 11 ) Air handling unit to 10,000 CFM 4.50 information -?7(n 7 7 for COT COT Business Tax is Metro M Exp onto 12) Air handling unit 10,000 CFM 7.50 database). _Lc}s'_�y Architect Name � 13.) Non-portable evaporate cooler � 4.50 or Mr.:ing Address I 14) Vent fan connected to a single duct 3.00 Engineer Citylstate Zip Phone 15) Ventilation system not inctudcd in 450 _ appliance permit Describe work New 0 Addition O Alteration O Repair 0 16) Hood served by mechanical exhaust 450 to be done Residential O Non-residential 0 Additional Description of work �— 17.) Domestic incinerators _ 7 50 11vs7,61U,rrr,rd fir- N/Itp:VX i > iii-, 1 (N 18.) Commercial of industrial type 30.00 -- Incinerator Existing use of ^� 19.) Repair unfts 450 — budding or property 20) Wood stove —� 450 — Proposed use of 21.) Clothes dryer,etc. ---� 450 '— buikting or property 22.) Other units 450 Type of fael-ori 0 natural gas 0 LPG O electric O 23.) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read!~rs application,that the 24) More than 4-per outlets(each) 50 ,nformation given is iArect.that I arri the owner or authorized agent of the owner,that plans submitted ate in compliance with Oregon State i QTY SUBTOTAL — laws Signature of Owner/Agent Data — 'SUBTOTAL -r _ 5%SURCHARGE 1 � Contact Person Name — hone PLAN RnlIEW 25%OF SUBTOTAL�^ `dstVnechpmt doc (rev 9 'Minimum permit fee is S25+5%surcharge "Residential A/C requires site plan showing placement of unit CITY OF TIGARD BUILDING INSPECTION DIVISION 24•---Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: ! A.M. P.M._- P4ST: Location: L-2� : BUP: Suite: 131:Ig: _ NM Contractor L4 Phone: PLM: (honer:- Phone: ELC: ELR: �—�_�� SIT: BUILDING BLDG(con't) PLUMBING1A11�£-,h�' ELECTRICAL SITE Site Post/Beam Post/Beam st/13carn Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rou i-In '� �� Ceiling Water Linc Slab Framing fop Out Gas Linc Rough-In UG Sprinkler Foundation Insulation Sewer ct tk-;cconnect Vault Bsmt Damp Drywall Storm Furnace I'emp Service MISC. Masonry Ceiling Rain Drain A/C LIG Slab Shcar/Sheath Fire Spklr/Alm Crawl/Found Ih Low Vole Approved Approved Approvers Approved Appr/Sdw1k Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL - D Call for rein ro / U Ncinspcc ion tcc cif S /cqi bef n tiger D Unable to inspect Inspector: /r= __� Date _ Page of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: _ . A.M. P.M._ MST: ocation: SA BUR Tenant:_ 'StUA '1 — Suite: Bldg: NEC: Contractor: t r1 � � _' Phone: [� ,� 7 _ PLM: (honer: Phone: EI.C:,C'O�� _ ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post,43eam Post/Buun Post/Beam Cover/Service Sewer/Storm Footing Roof 1JndFI/Slab Rough-In Ceiling Water Line Slab Framing Top()ut Gas Line Rough-hr UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Twp Service MISC. Masonry Ceiling Ram Thain A/C iJ ab Shcar/Sheath Fire Spklr/Alm, ('rawi/Found I)r I{eat Pump M l Approved Approved Approved Afproved > Approved Appr/Sdwlk Not Approved Not Approved Not Approvedpproved Not Approved FINAL FINA1. FINAL FINAL FINAL O Call for reinspection 0 Reinvpection fee Pf i required before next inspection 0 Unable t inspect ln.Vector:—, � 1•/ _�1_ Date: =, �.. _ Prge4 of — CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL. PERMIT PERMIT #: EL"97--0345 13125 SW Hall Blvd., Tigard,OR 97223 (563)6N, 4171 DATE ISSUED: 06/06/97 PARCEL: 2S101BC--02401 SI fE_. ADDRESS. . . : 12f� 0 5W HALL BLVD SUBDIVISION. . . . : ZONING: I--L BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pr-o J ect De scr i pt ion : instl 1 service/feeder 1 5 branch circuits - job A 57239 ------------------- - --RESI'iENTIAL UNIT---- ----TEMP SRVC/FEEDERS------ --------MISCELLANEOUS----- 1000 SF OR L.ESS,. . . . : 0 0 - 1?00 amp. . . . . . . : 0 PUMP'/I RR I GAT I ON. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 -• 600 amp. . . . . . . : 0 SIGNAL./PANEL.. . . . . . . : 0 MHNF-. HM/ SVC/FDR. . : 0 E01+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : N -------SERVICE/FEEDER------ -- BRANCH CIRCLIIT•5------ -ADD' L INSPECTIONS---- 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 5 PIER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 Ist W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ------- - -.------•--F'L_AN REVIEW SECTION- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -- --_.___._____._________._---------_-_... ___________._ FEES 15NYDER ROOFING type amol-int by date r-ecpt 12650 SW HALL BL.VD F'RMT E 85- 00 TAT 06/06/97 97-'295594 TIGARD OR 97223 5F'CT $ 4. 25 TAT 06/06/97 97-295594 Phone #: Cont r^actor: FRAHLER ELECTRIC CO $ 89. 25 TOTAL 11860 SW GREENBURG RD ------- REQUIRED IVSPECTIONS ----- TIGARD OR 9722 ; Ceiling Cover Under^nror-end Cove Phone #: 639-4627 Wall Cover Elect' 1 Set-vice Reg #. . : 000..374 (his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other F'erm i t t p� S i gnat _ire - applicablp laws. All work will be done in accordance with approved plans. This permit will expire if work is not started _ within 190 days of issuance, or if work is suspended for more than 190 days. I s s d By --_-OWNER INSTAL.L.ATION ONLY---- -- 'The installation is being mads on property I own which is not intended-for sale, lease, or rent. OWNER' ;3 SIGNATURE: ___�--- ----_ DATE: INSTALLATION ONLY-------------------------- SIGNATURE OF SL.IPR. ELEC' N: y '� - -- DATE: I I Cf"NSE NO: _ -rS Call for inspection - 639-4175 CITY SOF TIGARD Electrical Permit Application Plan Check 13125 SAY HALL BLVD. Recd By- TIGARD OR 97223 Dato Recd Date to P.E.- Phone (503)639-4171, x304 Date to DST�� -�' Inspection (503) 639-4175 Print or Type Permit a G.'.•l 71 / -lJ / V Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: -1 Name of Development S N Y DE R MO F I 1 G _ Number of Inspections per permit allowed - Name(or name of business) SNYDER ROOFING _ Service included: Items Cost Sum Address 12650 S.W. I1ALL BLVD, 4a. Residential-per unit City/State/Zip_ TIGARD OREGON 97223 1000 sq.h.or less $110.00 4 Each additional 500 sq.ft.or Commercial ® Residential ❑ Limitedportion thereof $25.00 _ Energy $25.IX0 Each Manuf'd Home or Modular D , 2a. Contractor installation only: welling Service or Feeder $68.00 (Attach copy of all current licenses) 4b.Services or Feeders Installation,alteration,or relocation Electrical Can,ractor��iL1:R....E.LLC TEiI� 11J.PANY 200 amps or Ions ._L $so.00 ._�0•UO Address_ 11ur,n ctv r8EEN3URG Ro�ID 201 amps to 400 amps $80.00 City__TLQ RU State OR ZIp 97223 401 amps to 600 amps $120.00 _ i 2 Phone No. 639-4627 601 amps to 1000 amps $180.00 Jot,No. 57239 - Over 1000 amps or volts $340.00 Elec.Cont. Lice. No. 34-13C Exp.Date 1 /1_Q /97_ Reconnect only $50.00 OR State CCB Reg. No. 37410 Exp.Date 712197 4c.Temporary Services or Feeders COT Business Tax or Metro NC.. 1987 Exp.Date 1 U 1 198 Installation,altoratlon,or relocation ` 200 amps or less $S0.0o _ Signature of Supr. EIt1r, n !✓ �t i�� _ 201 amps to amps $75.00 401 amps to 600 amps $100.00 Over 600 amps to 1000 volis, License No. 1816S Exp.Date 10/1/98 see,.b„above. Phone No. 4d.Branch Circuits New,alteration or extension per panel 2b. For owner insta I Ions: a)The fee for branch circuits with _' W� a e uCATION feeder too. service or Print Owner's Name ,• reeaer fQe. 25.00 Address 1 Each branch circuit �_ $5.00 2 --- b)The tan for branch circuits City State Ip� without purchase of Phone N0. service or feeder fee. cirst branch circuit $35.00 The installation is being made un property I own which is not Each additional branch circuit_ $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or irrigation circle $40.00 _-- Earh sign or outline lighting $40.00 _ 3. Plan Review section (if required):` Signal Orrult(s)or a limited energy panel,alteratten or extension $40.00 ---- Please check appropriate item;,nd enter fee In section 51B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over _Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 Classified area or structure containing special occupancy Per hour � $55.00 as dnscrihe,d in N.E C Chapter 5 In Plant $55.00 _ 'Submit 2 sets of plans with appllcaLon where any of the above apply. S. Fees: a � Not required for temporary construction services. 6a.Enter total of above fees ( .00 5%Surcharge(.05 X total fees) $$ NOTICE Subtotal $ 6b.Enter 25°x°of line 6a for 'JERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $ IJOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ - S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Ll Trust Account q $ J h Total balance Due ------ _ f I MISTSTI,CuS APP nxv NIA CITY OF TIGARD ELECTRICAL PIERMI-r DEVELOPMENT SERVICES PERMIT #: D: 12/16/9 HATE ISSUED: 12'/1.6/97 131'5 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL_. : SITE ADDRESS. . . : 1 =650 SW HALL BLVD SUBDI V I SI GAJ. . . . : ZUNI NC: I-L- BLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Prn j ec,t ne 5c•r x pt i.on: Installation of one (1) branch circuit to commercial site. ------------------------------------------------------------------ -•---RESIDENTIAL. UNIT---- ---TEMP SRVC/FE:F_.DE:RS---•- -----MISCF'LL.ANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 17-ACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LTMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . : 0 MANE. HM/ SVC/FUR. . : 0 601+amps-1000 volts. : 0 MI`JOR LABEL_ ( 10) . . . : 0 ---•-SERV I CE/FEEDER-- ------BRANCH CIRCUITS---- - A1)D' t_ INSPECTIONS—- 0 NSPE=CTIONS---- 0 - 200 amp. . . . . . : 0 W/5F"RVIC:E OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 LA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 GO - 1000 amp. . . . . : 0 - - -- - ____..-_--•--..._._...---- PL.AN RF:V T EW SECT I 1.000+ amp/volt. . . . . . 0 > -4 RETS UNITS. . . . . . . . : ) 600 V51.-T NOMINAL. . : Reconnect only. . . . . : 0 EiVC/FDR ) = 225 AMP,S. . : CLASS AREA/SFIEC OCC. : Owner: -_____._______._.._..__._.____-..- ._.....__.__________..___.. ______....__-- FEES -_--_---------__-- SNYnER ROOFING type amount by date recp+ 12650 SW HALL_ BLVD PRMT $ 35. 00 TJH 12/16/97 97-301785 TIGARD OR 97223 FiPCT f 1 . 75 TJH 1=,/16/97 97-301785 Phone #: Contractor: FRAHL.ER ELECTRIC CO $ 36. 75 TOTAL 11860 SW GREENBURG RD -- - ---- REQUIRED INSPECTIONS TIGARD OR 97223 Ceiling Cover Elect! '. SPr,v.tL-e Phone #: 639-4627 Wall Co"er Elect' ]. Final Prrl #. . : 000374 This permit is issued subject to the regulations cor,tained in the Tigard Municipal Coop, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accurdar,ce with approved plans. This permit will expire if Mork is not started within IN days of issuance, or if work is suspended for more than IAO days. ATTENTIONS Oregon law requires yn� to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 352-001-RIO through OAR 992-N0I-1987, You say nbtain a copy of these rules or direct questions to OLK by calling 15031246-1387. ,r''r,,.mit;tee Signxture: ate G�'1 �,L�,[.�Ll•V�-� __ I s s�_�e d Bya _A&I 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 INSTAL-LATION ONLY------------------__-_-._-- S 1 UNATURE OF SUPR. ELEC' N: ,..PI' ( �,'( _ DATE: LICENSE NO: -_....A41'.=. +++++++++.++++++++++++++++•+++++++++a••++++++ .+++4 ++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day +++ +++++++ .........................................!+++++++++++++++++++++++++++-F ti CITY C,_TIGARD Electrical Permit Application Plan Check q_ N A 13125 SW HALL BLVD. Recd By T Rcmcr. TIGARD OR 97223 Date Recd_. iI 02,- Date to P.E. Phone (503)639-417 1, x304 Date to DST�i 37 Print or Type - _ Inspection (503) 639-4175 Permit q Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Joh Address: Complete Fee Schedule Below: Name of Development _.,_ Number of Inspections per permit allowed Name(or name of business) SNYDER ROOFING - Service included: Items Cost Sum Address 12650 SW HALL BLVD. 4a. Residential-per unit City/State/Zip TIGARD, OREGON 97?2-3 1000 sq.ft.or less $110.00 1 - Each additional 500 sq.ft.or Commercial E] Residential t__1 Limitedportion thereof $25.00 energy R95.00 Each Manuf'd Home or Modular I Dwelling Service or Feeder � $68.00 _ . 2a. Contractor installation only: (Attach copy of all current Iicen4ei) 4b.Services or Feeders Electrical Contractor_ FH0 I L L R ELECTRIC COMPANY Installation,alteration,or relocation Address_ 1 186(1 S W G R F F NIL I H, l (lAll 200 amps or less $60.00 __ z 201 amps to 400 amps $60.00 2 CityTIGARD State_ ._OR-__Zip___97223 401 amps to 300 amps _ $120.00 2 Phone No. 6 3 9-116 2/ - 601 amps to 1000 amps - $180.00 2 Job No._" 57828 Over 1000 amps or volts - $340.00 2 Reconnoct only $50.00 Elec.Cont. Lice. No._ 34_13C Exp.Date 10/1/98 -- ---- OR State CCB Reg. No._ 3141(1 Exp.Date ]f 2/9R 4c.Temporarysar.•f"s or Feeders CO'i Business Tax or Metro No. 191;7 Exp.Date 121119 Installation,alteration,or relocation ,� /` ,� 200 amps or less $50.00 2 Signature of Su r. Elec'n AZv/d44T'� e, 201 amps to 400 amps _ $100.0 z y P 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. 1816S __Exp.Date 10/1/98 see"b"above. Phone No. 639-4627 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner ins Aw�IICATION a)The res for branch or with Oft# purchase of serviceice or Print Owner's Name__ _ feeder lee. Addr@SS Each branch circuit $5.00 ---- b)The fee for branch circuits City Stafe bip without purchase of Phone No. service or feeder fee. First branch circuit 3_ $35.00 (1 The installation is being made on proporty I own which is not Each additional branch circuit_ $5.00 intended for sale, lease or rent. 4e.Miscellaneous - --a<-- (Service or feeder not Included) Owner's Signature Each pump or irrlgatlon circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required).• Signal circult(s)or a limited energy panel,alterallco or extension r $40.00 2 Minor Labels(10) $100.00 -- Please check appropriate Item and enter fee In section 58. 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per;nspection $35.00 Classified area or structure containing special occupancy Per hour _-- $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of tho above apply. S. Fees: 35.0 Not required for temporary construction services. So.Enter total of above fees $ = - 5%Surcharge(.05 x total fees) $ a--++mss--a---- NOTICE Subtotal $ 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If resulted(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ^ TIME ATTER WORK IS COMMENCED. To Trust Account _ $ Total balance Dueue TEMPORARY PERMIT / 12/10/97 - 12/16/97 r teSTMELCBB.APP Rev WOO RECEIVED DEC 12. 1997 Co.",MUtajT`I pEVEIU►'M�N� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 6394171 -- BUP _—Date Requestedq _— AM—� PM BLD LOC;3tion. u0 Lila-" Suite — MEC Contact Person _ Ph r'; M Cor tractor Ph SWR _ BUILDING Tena_Cit/Owner ��_ ) /L9 ELC Retaining Wall Y� ELIC I?zo Footing Access: Foundation FPS Fig Drain � 5P SGN Crawl Drain Inspection Notes: Slab Pust&Beam SIT _ —T 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 Top Out Water Service Sanitary Sewer —��------- --- Rain Drains — __ Final t,0T T')V1 PASS PART FAIL MECHANICAL ---------- � ._..----- — Post&Beam Rough Iv Gas Line ---- -- - — __ Smoke Dampers Final _ --- ----- — —_.. PASS PART FAIL LECTRIGAt: ---- --------..._. __ Se rce Rough In ---- UG/Slab Low Voltage �— - Fire Alarm 1'A$S-- T FAIL. ---- —_.. Backfill/Grading - - -- - - - ---- Sanitary Sewer Storm Drain [ j Reinspectior fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hatt Blvd Catchease cap for reinspection RE Fire Supplypply Please Line [ j p _ �� [ [ Unable to inspect-no access ADA A roach/Sidewalk PP _ IDaae Inspector G � -",Ext Final I PASS PART FAIL-J DO NOT REMOVE this inspection record frons the job site. i CITY OF TIGARD ELECTRICAL PERMIT 4-11 DEVELOPMENT SERVICES PERMIT #: EL-C97-0615 13125 SW HallBlvd., Tigard,OR 97223 (503)63.9.4171 DATE ISSUED: 09/17/97 PARCEL.: 2S 101 BC-02401 SITE ADDRESS. . . : 12650 SW HAL.,_. LSI_ ',t D SUBDIVISION. . . . : ZONING: I-L BI-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . .JURISDICTION: TIG Pr-oJ er_-t Description : Ado a second 200 amp service end five (5) additional branch circuits to existing tenant ocrpy. See ierrit #ELC97-0345 ---RESIDENTIAL UNIT- --- ----TEMP SRVC/FE:EDERS- - -----MISCELLAIVEOUS------ 1000 SF OR L.ESS. . . . : 0 0 - 200 amp. . . . . . . V'I.IMP/IRRIGATION. . . . : EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. 1IM/ SVC/FDR. . : 0 601+amps-1000 jolts. : 0 MINOR L.OBEL. ( 10) . . . 0 _-...-_...._.SERVICE/FEEDER---•-- -----BRANCH CIRCUITS---- ---ADD' L INSPECTIONS— 0 - COO amp. . . . . . : 1 W/SERVICE OR FEEDER: 5 PER INSPECTION. . . . . : 0 201. 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLAINT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 --- - --- - -- ----_F'LAIV REVIEW ----- 1000+ amp/volt. . . . . : 0 > =4 RES L.INITS. . . . . . . . : ) 600 VOLT NOMINAL_. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : i Owner-: ----------------------------- _______________-----_.-------- FEES ----------___._.__.. SNYDER ROOFING type amotint by date r-eept 12650 SW HALL- BLVD PRMT f 85. 00 GEO 09/17/97 97-2993OI TIGARD OR 97223 ;PCT $ 4. 25 GEO 09/17/97 9,7-299307 Phone #: Contractor.: -_-------------.-------_.-----------------•--------------------------- FRAHLER ELECTRIC CO $ 89. 25 TOTAL- 11860 SW GREENBURG RD --- -- -- REQUIRED INSPECTIONS ---- TIGARD OR 97223 Ceiling Cover Undergr^aUnd Cove Pho;ie #: 619-4627 Wall Cover Elect' 1 Service Req #. . : 000374 This permit is issued subject to the regulations container in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if Mork is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon ;aw requires you to foliur the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9"�-001--0010 through OAR W.-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. 7 1>e r'm i t t e e S i g n a t�_i r e : _ .__.__._. !' _ _ I s s i.t e d By: INSTALLATION ONLY----------- The NLY-------- ---_The installation is being made an property I own which is not intended for sale, lease, or- rent. OWNER' S SIGNATURE: DATE: ----.-.-------.-----------CONTRACTOR INSTALLATION ONLY--------------- - -- ` fir---- -•--- �3 I GNATURF OF SUPR. ELEC' N cDATE � LICENSE NO: __. s e -5 ++++i++++-4-++++++++++-1-+++-f.+++++-f+++++++++++++++++++++t+++t+t+•++t t++ttt+++++t+i-+ Call 639-4175 by 6:00 p. m. for- an inspection needed the next bLtsinass day ++++++++++++++++++++++-+-1-+++++++++++++i-++++i+++++++++++++++t++++++++++++++++++++ UTY Of TIGARD Electrical Permit Application Plan Ctieck# 13125 SW HALL BLVD. rter•'d By__ Date Recd_ _ TIGARD OR 97223 Date to P.E. Phone (503) 639-4171, r.304 Date to DST Print or Type Inspection (503) 639-4175 Incompl-te or illegible will not be accepted Permit#tCO- l 7= Fax(503) 684-7297 called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development .� _ Number of Inspections per permit allowed - Name(or name of business) S fV Y-U-R RU01- 114G Service included: Items Cost Sum Address 12650 S.W. HALL [3LVD, _ 4a. Residential per unit 1000 sq,It.or loss $11000 _ __ q City/State/Zip- TIGARD O Il _ �L Each additional 500 sq.ft.or Commercial ® Residential E] _ime ted Eneon rgy gy $2s $25oo 1 F ach Manuf d Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00 2 (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor?R/\I I LE R E L E C U I C L0. - Installation,alteration,or relocation . _ 200 amps or less Address 1126j1 St1 $60.00 60.00 2 ��;R L E N1111 f;_R(ll�l1�-_ 201 amps to 400 amps $80.00 2 City T I GARD_State Q-__Zip__97?? 40' amps to 600 amps _ $120.00 _. 2 Phone No.. 639-4 62 7 �_ _ 601 amps to 1000 amps $180.00 2 Job N0. 5 Over 1000 amps or volts $340.00 2 Reconna,t only $50.00 2 Elec.Cont. Lice. No. 34-13 C Exp Date-J_Uj LL q] _ OR State CCB Rag. Nc8 7 410 _Exp.Date_ 7/L l 97 _ 4c.Temporary Services or Feeders COT Business Tax or Metre No.- Date_1OL11 ;� Installation,alteration,or relocation 700 amps or less $50.00 2 Signature of Su Si r. Elec'n 201 amps to 400 amps _ _ $75.00 2 9 P � 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. 1886 Exp.Date _.__7! `)f _ see"b"above. Phone N0. 639-4627 -- --.--.-._ 4d.Branch Circults New,alteration or extension per panel ?-b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Each branch circuit �_ $5.00 L 5.iJ 0 City- State Zi )The fee for branch circuits y_ p_.__.._ -_ 'rwithout purchase of Phone No. service or feeder fee. First branch circuit $35.00 The installation is Laing made on property I own which is not Each additional branch circuit $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's SignatureEach pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 _ 2 3. Plan Review section (if required):" Signal circuit(s)or a limited energy- $40.00 -- panel,alteration or extension Minot Labels(10) $100.00 Please check appropriate item and enter tee in scctiun 56. 4 or more residential units in one structure V.Each additional Inspection over l Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Jam. Fees: 8 OI) Not required for temporary construction services. 5a.Enter total of above fees $ r 5%Surcharge(.05 x total fees) $ -4 NOTI(QE Subtotal $ -- 5b.Enter 25%of line 6s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plat,Review If reguired(See.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 1-1 TIME AFTER WORK IS COMMENCED lJ 1uc.t n cunt a_ _ 8,9 Total balance Due r\09Ta1ELCB8 API' Re, 011, M r " E �.F� 1 7 '1997 COMM CUMMUNRY UEVEIUPMENI