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13942 SW HIGH TOR DRIVE r.r w 4a n� x F, c. x E 13942 SW HIGH TOR DR. -- C`TY OF TI GARD _ ELECTRICAL PERMIT PERMIT#: 11-LC2000-00313 (DEVELOPMENT SERVICES DATE ISSUED: 06/08/2000 13125 SWII.ill Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S10913A-02900 SITE ADDRESS: 13942 SW HIGH TOR DR SUBDIVISION: HILI.SHIRE SUMMIT ZONING- R-7 BLOCK: LOT : 014 JURIEDIC:TION: TIG Prosect Description: Install a first branch circuit for an existing dwelling. --RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OP L{_SS: ~– 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: umi'l-CD ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FOR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ __ ADLY) !NSPECTIC NS _ 0 - 200 amp: W/SERVIC:E OR FE►_DER: PER INSPECT ION: T 201 - 400 amp: 1st W/O SPVC OR FDR: 1 PER HOUR: 401 - 610 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLANREVIEW SECTION 1000+ arnu/volt: >=4 RES UNITS: > 600 VOLT NOMINP,L: _Reconnect only: SVC/FDR >= 225 AMPS: , CLASS AREA/SPEC OCC Owner: Contractor: ROBERTS, IAN Z+ SHARON E 13942 SW HIGH TOR DR TIGARD, OR 97224 Phone: Phone. Reg #: FEES `--- —I Required Inspections Type By Date Amount Receipt — Elect', Service PRMT GEO 06/08/2000 $37.50 0002789 Elect'( F;•ial 5F'CT GEO 06/061[001[ $3.00 On02.789 —Total $40.50 ORIGINAL This Permit is issued subject to the regulations conts'�ed In the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in ar -rrdance with approved plans. Thi:,permit will expire if work is not started within 180 days of issuanoe,or if work is suspended for more than 180 days. ATTENTION: Oregon law requirea you to follow rules adopted by the Oregon Utility Notification Center. Those rules are sct forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987z. PERMITTES'S SIGNATURE ISSUED BY: / OWNER INSTALLATION ONLIl The installation is being made on property I own which is nct intended for sale, lease, or rent. OWNER'S SIGNATURE: _ —__�__r•__ DATE: w.. CONTRACTUR IN;i_TALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: /�`. __---.---.---- _.[sv I_.I 'ENSE NO: Call F "' )-4175 by 7:00pm for an inspection the next business d,.v CITY OF TIGARD Electrical Permit Application Plan Check#__ 13125 SW HALL BLVD. Recd By RecA R Date ec TIGARD OR 97223 Da ---- -- Date to F E. _ Phone(503)639-4171, x304 'late to DST_ Inspection(503)639-4175 Print of l ype Permit#��;gem 7/J Fax(503)598-1960 Incomplete or illegible will not be accepted called 11 Job Address: � 4. Complete Fee Schedule Below: — Name ut Development __ _ Number of Inspections per permit allowed Name(or name of business) S h Service included- Items Cost Strm Address 13 q VoL- 7-61' 4a, Residential-per unit 1100 sq.ft.or less $ 11i 75 4 City/State/Zip O,�° Eich additional 500 sq.h.or - ---- ----- _ — portion thereof $ 2625 1 Commercial❑ Residential Iimited Energy $ 60.00 Each Manufd Homo or Mndular 2a. Contractor installation only: Dwelling Service cc Feeder — $ 72.75 2 (Pr,or to permit issuance,applic,,nts must provide corWactor license 4b.Servicer,or-eedem Information for COT data base). Installation,alteration,or relocation Electrical Contractor_ n'7 -1 fl 200 amps or less $ 64.25 _ 2 Addie—SS�^�_41 � 2L{� 201 amps to 400 amps $ 8550 2 CI / Q-t _State_ �- --Zip r-. 401 amps to 600 amps y $ 128 50 2 7— city - 601 amps to 1000 amps _ - $ 192.50 _ 2 Phone N �D 6 q Over 1000 amps or volts _ $ 363.75 2 Job No._ N 10000 Reconnect only $ 53.150 T 2 Elec. Cont. Lice. N). 3Y- 30 C,e xp.Date io /i o 4c.Temporary Services or Feeders OR State CCB Reg No. G6 tjZ fs`__Exp.Date // 0 Installation,alteration,or relocation G COT Business Tax or Metra No. ffa 20b,imps or less $ 53.50 2 Exp. 21,1 amps to 400 amps - - $ 8025 2 Signature of Supr. Elec'n �l�Vl 401 amps to 600 amps $ 107.00 _ 2 Over 600 amps to 1000 volts, �� see"b"above. License No. —_ Exp.Date 0�/ d t5 _ 4d.Branch Circuits Phone No. i_ _---- I New,alteration or extension per panel a)The fee for branch circ;ults 2h. For owner installations: with purchase of service or feeder fee. Print Owner's NameEach branch circuit $ 535 1 Address r —�- b)The fee for branch c)cults without purchase al service City .. r State Zip - or feeder fee. f Phone "'r Firsl branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e Miscellaneous intended for sale, !,*ase or rent. (Service or feeder not Included) Each pump or Irrigation circle _ $ 42 75 1 Owner's Signature_ —_ Ea.:;h sign or outline lighting _ $ 42 75 Signal cite,Will)or a limited energy — 3. Plan Review section if re urcd :* Panel, el!alip(1tlon or extension _ $ 60 A0 i q � Minor Labels(10) $ 4699 _ Please aleck appropriate item and enter fee in section 58. 4f.Each addltlonal Inspection over 1O0 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more F'er inspection $ 50.00Per 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 Jr. Feces: � 5A.'_Me ,otel of above fees $ rj ` Submit 2 sets of plans with application wl•r;e any of the above apply. Q ,Wo Surcharge(05 X total fees) Not required for temporary construction services. O Subtotal $ 5b.Enter 25°x6 of line 6a for NOTICE Pian Review if re.wired(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 4 PERIOD OF 180 DAYS ElTrustAccount# 646 `7C ' �AT ANY TIME AFTER WORK IS COMMENCED-- Total balance Due — $ — i,\dst:\littmslclectric duc \ C �` Y O F TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00229 13125 SW Hall Blvd., Tigard, OR x7923 (503) 639-4171 DATE ISSUED: 06108/2000 PARCEL: 2S 109BA-02900 SITE ADDRESS. 13942 SW HIG�i TOR DR SUBDIVISION: HILLSHIRE SUMMIT ZONING: R-7 BLOCK. LOT: 0'i4 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE- SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERSIrOMPRESSORS HOODS: _ FUEL TYPES 0`? i1P: 1 DOMES. INCIN: 3 15 HP: COMML INCIN: MAX INPUT- BTU 15 - 30 HP: REPAIR UNITS: FIRE -'AMPEPS' : 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIRUNITS: _HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 rfm: OTHER UNITS: > 10000 cfrn: GAS 'CUTLETS: Remarks: Install an air conditioning unit. A/C uniits cannot be placed within the required setba.k areas. Owner: FEES ROBERTS, IAN Z + SHARON E Type By Date Arnount Receipt 13942 SW HIGH TOR DR PRMT GEO 06/08/20( $50.00 0002789 TIGARD, OR 9/%14 5PCT GEO )6/081201 $4.00 0002789 Total $54.00 Phone: - Contractor: SPECIALTY HEAPING + FABRICATIO 9528 SW TI(-.ARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS_____,___,_ Cooling Unt Insp Phona:620-5643 Final Inspection Reg #:SUP 2570RET LIC 006657 ELE 34-341CR ORIGINAL This permit is issued subject to the regulatic is 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 p-ians. This permit will expire if work is not started within 180 days of issuance, or if work is suspendP�! 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 952-001-0000. You may:obtpco oft a rules or direct questions to OUNC by calling (503)246-9189. Issue By: ' — Permittee Signature: u ��`Y'rl-1.�". Call (593)9-4175 by 7:00 F.M. for inspections nee- id the next business day CITY OF TIGARD Mechanical Permit Application PI:nChe�ck# PP Recd By 3125 SW HALL BLVD. Commercial and Residential Date Recd 'rIGARD OR 97223 Date to P.E. (503) 639-4171, X304 Date to D:;T Print or Type Permit# %ok RIM-M Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code _ O Price Amt S,�eet Address urea A) Permit Fee 16.00 Job Address r�Y (,� kilr 1) Furnace to 100,000 BTU including ducts&vents see footnote 1,2 9.65 Bldgn I Cqigtaie zip 2) Furnzce 100,000 BTU+ a.-1W. M 9 7�.�y� including ducts&vents see footnote 1,2 12.00 Name r name of business 3) Floor Furnace Owner C� �� 3 a including vent see foolinate 1,2 9.65 Matting Address 4) Suspended heater,wall heater G� or floor mounteo heater see footnote 1,2 9.65 L 5) Vent not included in ap liance perrlit 4.75 CttyiState Zip Phone Check all that app y: 'Boiler Heat Air rG L-1 Q 7j..1 0-- 3.10 For Items 6.10,nee or Pump Cond Qty Price Amt Na e( ams of business) footnotes 1,2 Com 6)<3HP;absorb unit to 100K BTU 9.65 Occupant Mei g Address 7)3-15 HP;absorb unit 1100k to 500k BTU 17.65 City/State ZIp Phone 8) 15-30 HP;absorb t:nit 5-1 mil BTU 24.15 9)3C 50 HP;absorb Contractor Name unit 1-1,75 mil BTU 36.00 S .ESC _ �fi'i�/Vl 10)>50HP:absorb unit Prio'to permit Mai ng Address >1.75 mil BTU WAS issuance,a copy / ST-`- 11 Air handling unit to 10,000 CFM of all licensesslate A zl Phone �p 7.00 are required if /9 ' ©R° Q)CZ GZ—S6yc3 12)Air handling unit +0,000 CFM+ expired in COT 0/-egos Co st Co t.Board Lie# Exp Dj to 11.85 database tp �� ___ Jr/ 13)Non-portable evaporate cooler Architect Name 700 14)Vent fan connected to a single duct or Mailing Address 4.75 15)Ventilation system not included in appliance permit 7.00 Engineer Cry-state ZIP Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done 17)Domesti,;Incinerators 12.00 NewX' Ripair O Replace with like kind: Yes O No O 18)Commercial o,industrial type incinerato• Resldential0 Commercial 48.25 19)Repair units Additional in'ormation or d s option of work: 8.40 �LV 20)Wood stove/gas Mother unit...-';cne dryer/etc. 700 NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets structural gas talcs. See footnote 1 3.75 Type of fuaf oil O natural gas O LPG O electric +' 22)More than 4-per outlet leach) J5 _ Minimum Permit Fee(50.00 SUBTOTAL S� I hereby acknowledge that I have reap this apNrratlon,that the inforrmal.ion 8%SUR'HARGE _ giver is correct,that I am the owner or authorized agent of PIAN REVIEW 25%OF Sl iBTOTAL orill the owner,that plans submitted are n compliance with Oregon Stam laws. Required for ALL commercial penits TA TOTAL L Signature of Owner/Agent Date --- �j Other Inspections and Fees: 1. Inspectirms outside of nr-mal buuine-ts hours(mininum charge-two Contact Pg n Name Phrne hours! $50.00 per haul 2. Inspections for which no fee Is speci`scally Indicated (minimum "1i •.36 3 �i010�� charge half hour) $50.00 per hour Foon es for commercial projects only: "� 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and-troposed gas line and pressure. plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing ex.ding and proposed mechanical units 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1:lmechperm.doc rev 7119/99 i s s' �. SS .� .� _� ,e i M �� ; y �.._.____ _____ _-----_--- ---___- 0 �`< a CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- - Date Requested tr✓ a AM I CJI __ BLD Locatiu,, __- �,l q 2- �l r 0/'- Suite MEC ZtW-(.)(K -ZC( Contact Pers.-in ' l '1't . Ph Zb—'S401V2 PLM _ Contractor PhSWR BUILDING Tenant/Owner _ ELC _rJal Retaining Wall ELF Footing Access: F. b Ftg Drain SGN Crawl Drain Inspection Notes: -- Slab _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear -' Framing Insulation Drywall Nailing Firewall •�� © � l�.1,s� 7 Fire Sprinkler Fire Alarm �� _..— Susp'd Ceiling Roof Misc: - Final p PASS PART FAIL 000 -- — PLUMBING �'�-----' Poet&Beam -- — -" Under Slab Trip Out -- — _ Water Service S,rnitary Sewer Rain Diains Final P6S& FkRT FAIL C H A 1-4 cc A-!;)— Post )Post&Beem - Rough In Gas Line RT FAIL TRIC ServiLr -- Rough In UG/Slab — — -- Low Voltagc FiMrAlarm �i A PART FAIL Backfill/Grading — Sanitary Sewer Storm Dmin [ j Reinspectionif$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch B9,0n nable to ection s Please call for r iriRE: inspect-no access Fire Supply Line I j p _ j ADA Approach/Sidewalk ,'r Other date �, Inspector -----.�.� Final PASS PART FAIL D NO REMOVE this inspection record from the job site.