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8805 SW Hamlet Street
MECHANICAL PERMIT
/ CITY OF Ta► I G A R D -- ----
PERMIT-#: MEC2002-00354
DEVELOPMENT :,ERVICES DATE ISSUED: 8/15/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 63Q-4171 PARCEL: 2S111DD-03000
SITE ADDRESS- 08805 SN HAMLET ST
SUBDIVISION: STRATFORD ZONING: R-4.5
BLOCK: LOT: 028 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF 1.13i=.: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/C OM PRESSORS HOODS:
_ FUEL TYPES 0 3 HP: 1 DOMES. INCIN.
3 15 HP: COMML. INCIN:
MAX INPUT. BTU 15 - 30 HP: REPAIR UNITS.
FIRE DAMPER,?. 30 - 50 HP: VVOODS•`OVES:
GAS PRESSURE: 50 + HP: CLU DRYERS:
FURN < 100K BTU- 1 _ AIR HANDLING UNITS_
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> 10000 cf:n:
GAS OUTLETS:
Rernarks: Replace gas furnace and add a/c.
Owner: _FEES
HOUK,C SUZAN NE Type By Date Arnount Receipt
8805 SW HAMLET PRMT CTR 8/15/02 $72.50 2720020000
TIGARD, OR 97224 5PCT CTR 8/15/02 $5.80 2720020000
Total $78.30
Phone: — -
Contractor:
DELUXE FUEL. OIL INC
10113 NE 62ND
PORTLAND, OR 97213 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:503-287-6688 Cooling Ur,t Insp
Reg#:LIC 49457 Final Inspection
EXF
Thie 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.lidopted in the Oregon
Utility 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 questignst UNC by calling
(rn,,Y)QR-Q•I RQ
Issue By: ,, ) l,�y Permittee Signature: -----� ----- ---
17all (503) 639.4175 by 7:00 P.M. for inspections needed the ,text business day
Mechanical Permit Application
--- —
"Dat, ived /Say i Permit no.://fdolv�
City of Tigard Ptriect/appl.no.: Expire date:
('ltvof rrgurd Address. 13125 SW Nall Blvd,Tigard,OR 97223 pale issued: [P,�yet
eceipt no.
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: :
Land use approval: Building rwtmii no.:
-_�alimmommmmi
;Jo,b
I &2 family dwelling or accessory 0 Commercial/industnal a Multi-family ❑Tenant improvement
New construction ❑Addition/alteration/replacement O Other.address: _ i Indicate equipment quantities in boxes below.Indicate the dollar
g.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Valu:S
Lot: _ Block: Subdivision: "See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: I T.IP:- 97 '� --
bcs tion And Iticition of wpA on premises:
tAft s Azclfte 4 Fee(ea.) Ictal
Est.date of completion/inspection: Res.od Res.onl
Tenant improvement or change r if use:
Is existing space heated nr conditioned?❑Yes J No Air handling unit CFM _
Is existingspace insulated?O Yes ❑No Airco itioning(site an regtureT-
PAlterationo existing system
Boder/compressors -
Business name77 State boiler permit no.:
UIP Tons RTU/H
Address: ,, Amo e dampers/duct qn_i_o1e7aiw_F,,m
City: Stat Rest pumpvn-7 elan requtr
Phone: " Fax ,/ E-mail: nsta 're�ace�URWc-e/bu-mer Tr
CCB no.: l Including ductwork/vent liner O Yes 31 No
nsta rep ace te tx ate stem su .
City/metro lie.no.: 2 _ wall•or floor mounted
Name lease tint : ent or Mance oilier tTie-in umace
r get
at n:
Ahsorption Unit' _ BTIIlH
Name: ('hilly lip
Address:-- ----- ('om reshurs _- _ HP
--- :nr rotaea►llMa at -_...__r_-_ err
Ci State: ZIP: _ Appliance%ent
Phone: Fax: F-mail: Dryer exhaustf—
n( s, ype I/Il/req. i�iui ltll
hood rite suppression system _
Niumle: Fxhnust fan with sin le duct flleth funs)
Mailing address: �t�� t ' ust system an romle-atin or A(
City_ - r. _ Stat T.IP: Fuelp as lop to outlets)
Type: I.P(J NG _ Oil
Phone: Fax: I E-mail: 1u- in erteh a uonaT-cver 4 outlets
Frearen Pon(schematic req:u _
NLine: Number of outsets
Address: - -- mer ap ace or ace
_— --_ _ necom6%e firMlace ----- --_
Clty: State: Z.IP: Insint type.-WW _
Phone: -- — F E-tr atl: — stove et
Applicant's signature: O -i:
Date:
Name(print): — _---
Not all Jurisdictions smglr credit card,.,gleam call ptriuhnton for more mformstirm Notice: Permit fee .....................S
U Visa U Mamert'ald expThis permit application fee................S
Credit card number L/- expires if a permit is tun obtained Plwi review(at— %I S
rxpina within IRU days after it has been State surcharge(11%).... S
Name of cardholder a shmm on credit card accepted as complete. rn, ,%L .. ... ... ..._... S '
l'ardholder sianalurc AfiIIUM
EXPIRED 4404617(h'004'OM I
i
� I
EXPiRFn
_ ELECTRICAL PERMIT
TY OF
T I GA R D _i
PERMIT#: ELC2002-00394
DEVELOPMENT SERVICES DATE IoSUED: 8/16/02
1312.5 SW Hall Blvd., Tigard, OR 97223 1503) 639-4171 PARCEL: 2S111DD-03000
SITE ADDRESS: 08805 SW HAMLET ST
SUBDIVISION: STRATFORD ZONING: R-4.5
BLOCK: LOT : 02.8 JURISDICTION: TIG
Prolect Description: Install 2 branch circuits.
RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS _ __MISCELLANEOUS
1000 SF OR LESS: 0 200 amr): PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGN aI/PANEL:
MANE HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _— _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 2.00 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 400 amp: -est W/O SRVC OR FUR: 1 PER HOUR:
401 - 600 amp: Eti. ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: _ _ _ PLAN REVIEW SECTION__
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINA'•_
Reconnect only: ___..._._.QVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
HOUK, C SUZAN NE GALLAGHER ELECTRIC
8805 SW HAMLET P.O. BOX 70
TIGARD, OR 90'224 GRESHAM, OR 97030
Phone: Phone: 503-666-8816
Reg #: LIC 127527
SUP 634S
ELE 26-533C
FEES Required Inspections
Type _ By Date Amount Receipt Rough-in
PRMT CTR 8/16/02 $53.50 2720020000( Elect'/ Final
5PC"f CTR 8/16/02 $4.28 2720020000(
Total $57.78
This Permit is issued subject to the regulations contained in the Tgard Municipal Lode,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 issuance,or if work is
suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0t 80. You may obtain copies of these rules ordirect questions to OUNC at(503)
2466699 or 1-800-332-2344.
Permit Signature: ? r-a �)-U(1 1- l 6Y1,_ Issued By: LA
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 Fier/"r E
SIGNATURE OF SUPR. ELEC'N: �' —a � _ ____ DATE:
LICENSE N O: ----- -
Call 639-4175 by 7:00prn for an inspection the next business day
Electrical Permit Application
Date received: �v Pettit no.
City of Tigard Project/appl.no.: Expire date:
City()f'ligard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By;
- -) Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 (� Case file no.: Payment type:
Land use approval: _
7U I &2 family dwelling or accessory U Commerciai/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/repl icement '..1(Wier: U Partial
Job address: J 'I> / 1 7 Bldg.no.: I Suite no.: ITax map/tax lot/account no.:
Lot: Block: I Subdivision:
Project name:" f)Cd Descripti-m and location of work on premises:
Estimated date of cot letion/ins ction:
t
aob no: ler MaxJ
_ Ikucriphun _ (jtt. (ea.) Tote) no.111%p
Business name: E -
�7►��-�� � ' ! New mcic4ential-single or mn!ti lamih Ircr
Address O.8p� �(� Z-I I - dwelling unit.tnrhtde%altached gut age
City: C-7 M State:epc'I ZIP: - 0 ao Servlcehuluded:
Phone: ='" Fax E-mail: laXl sq.n.or less a
Each additional 500 sq.ft.or portion thereof
CCB no.: - > Elec.bus.Ill.no: G- Limited energy,residential 2
City/metro tic.no.: �� " -�'Y Limited energy,non-residential 2
Each manufactured home or modular dwelling
P ----- Service and/or feeder 2
Signature of sup vising electr cion(re fired) Date /�_ -U
Sit elert name( tint) r, r , i Licenseno. ServicesnrGYderv-Installdlon,
S
p p T v alteration or relocation:
t 200 amps or less 2
201 amps to 400 in 2
Name(print): _ �_- �, 401 amps to 600 amps _ 2
Mailing address: 601 amps to 1000 ams 2
City: Staler`/I' I ZIP: Over 1000 amps or volt _ 2
Phone; Fax: E-mail: Reconnect only 1
owner installation:The installation is being made on property 1 own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
20(1 amps or less 2
ORS 447,455,479,670,701. 201 amps to 400 amps 2
Ownees signature: Date: _ -_ _401 to 600 amps 2
TH Id Branch circuits-new,alteration,
or extension per panel:
Name k Fec for branch circuit with purchase of
Address: service or feeder fee,each branch circuit f?° 2
City: - .`,t II r /I I' - B. Fee for branch circuits without purchase
—.- --- i of service or feeder fee,first branch circuit: 1 E>�f 2
{'hone: Fnx: I "''�� Each additional branchcircuic.
Mbc.(Service or feeder nat Included):
O Service over 225 amps-cotomercial U lirullh-care factlav Each pump or irrigation circle - 2
❑Seryice over 320 amps-rating of I&2 U Hazardous location sin or nullIne lihtin
g
ation g g 2-
familydwellings U Building over 10,000 square feet four or Signal circuits)or a limited energy panel.
USystem over 600volts nominal more residential units in one structure alteration.or extension• _ 2
U Building over three stories U Feeders,4(X1 amps or more "tkscti tion:_ _ —
U Occupant load over crit persons U Manufactured structures or RV parse Fjch additional Inspection over the allowable in any of the above:
-
•Egres%flightingplan U Other Perins cellon
Submit___sett of plans with any of the above. Hitler
vestigationfee
The above are not applicable to temporary condmetion service.
---- Permit fem.....................$ S 4. 1s_
Not all Intisdictions accept credit rads,please call jurisdiction tot marc tnfortn;iou Notice:This permit application
U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ r_ _
Credo card number __ within 190 days!Per it has been State surcharge(8%)....$
xpl1et accepted as complete. TOTAL $
.......................
Now of cardholder a- own on credit cr -�� A
Cardholder sianalute Amount 440-015(tL00R.'0s't
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Energy Fee........................................ $75.00
Number of Inspections per permit allowed
(FOR ALL SYSTEMS)
Service included: Iterns Cost Total
Check Type of Work Involved:
Residential-per unit
1000 sq.ft.or less _ $145 15 _ 4 L❑ Audio and Stereo Systems
Each additional 500 sq ft.or
portion thereof _ $33.40 1 ❑ Burglar Alarm
Limited Ene gy _ $7500
Each Man,Pd Home or Modular
Dwelling Service or Feeder _ _ $9090 2 ❑ Garage Door Opener'
Services or Feeders H
Installation,alteration,or ralocation -emoting,Ventilation and Air Conditioning System'
200 amps or less $80.30_ 2 r—�
201 amps to 400 amps $106.85 2 L_J Vacuum Systems
401 amps to 600 amps _ $160.60 2
601 amps to 1000 amps $240.60 2 ❑ Other_______________ _
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,cr relocation Fee for each system..........................................................
200 amps or lees $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75— 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
1e"b"above. ❑ Audio and Stereo Systems
Branch Circuits
New,alteration or extension per panel ❑ Boiler Controls
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch circult $6.65 2 ❑ Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit _ $46.85 ❑ HVAC
Each additioncl branch circuit $6.65 („�,�'
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle $5340
Each sign or outline lighting $53.40 — ❑ Intercom and Paging Systems
Signal circult(s)or a limited energy
panel,alteration or extension _ $75.00 ❑ Landscape Irrigation Control'
Minor Labels(10) $125.00
Medical
Each additional inspection over ❑
the allowable In any of the above ❑
Per inspection $62.50 Nurse Cells
Per hour $132.50
In Plant $73.75 I ❑ Outdoor Landscape Llghting'
Fees: ❑ Protective Signaling
Enter total of above fees $ SA b ❑ Other
81,o State Surcharge $ —__Number of Systems
2546 Plan Review Fee
See"Plan Review”section on $ No licenses are required Licen!<es are required for all other installation,
front of app(rcation -
---- Fees:
Total Balance Due $ S7.7
Enter total of above fees $
Trust Account#.____�,—_ 8'i:State Surcharge
$`
Total Balance Due $
i:4i9ts\fbrms\elc-fees.doc IO/Ogh)O