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CITY OF TIGARD BUILDING INSPECTION DIVISION "
24-Hour 'nspection Line: 6394175 Business Phone: 6394171
Date Requested: 1.3 ^ A M. P.M. MS t:
.4.-
1,ocktion: Q,.,?3 S 1A BUR
Tenant: _ Suite: Bldg: MEC:� /Contractor: PLM:
1. / PLM:
Owner: vzl Phone: _(c23�Y LLC: 19P o16 9
_ FLR:_
SIT.
BUILDING BLFIG(con't) FLUMBING UVi&MCAL:� ELECTRIC �,�> SITE
Site Post/Beam Post/Bewn Post/Beam TLYINervice Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Wate Mine
Slab Framing Top this Gas Line Rough-In UG Sprinkler
Foundation Inst:iation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire SpklriAlm Crawl/Found Dr 112 Low Volt _
Approved Approved �i m ec Approved
,1ppr/Sdwlk Not Approved Not Approved Not A procr(Iilk, oec,t Not Approved
FINAL FINAL IN INAL FINAL
C3 Call for reinspection O Reinspection fee of Sr ipred bef next inspection C1 Unable to inspect
�t G
Inspector: �____, late: Page_ of
CITY OF TIGARD BUILDING INSPECTION DWISION
24-Hour Inspection Linc. 639-4175 Business Phone: 639-4171 /
Date Requested: r ,3`1(�(� A.M. 1'.M._ MST. _
,,ocation: ?S ,� �� �� �1 /%i�h i'1%/t, BUP:_—��
Tenant: Suite: Bldg: MEC:
Contractor:_ (, ,% �, '� Phone..5-/ / 1 _ PLM:
^♦� hone: ELC:a=
--- ---- �—�. �_ ELR:
srr:
BUILDING BLDG(con't) PLUMBING MECHANICAL �►: E-CTRICALi` SITE
Site Post/Bearr, Post,13eam Post/Beam "Cover rv� Sewer/Storm
Pooling Roof Undrl/Slab Rough-In Ceiling Water Fine
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault.
Bsmt Damp Drywall Storm furnace 'remp Service misc.
Masonry Ceiling Rain Drain A/C UG Slab
Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved rov Approved
Appr/Sdwlk Not Approved Not Approved Not Approved roved Not Approved
FINAL FINAL FINAL FINAL FINAI
O Call for reinspection / ' O Reinspection fee of S required before next inspection O Unable to inspect
Inspector:— __ _ Date:, ��,�'__ Page of
CITY OF TIGARD EL_E�-TRICAL PERMIT
DEVELOPMENT SERVICES PE=RMIT #: ELC98--016'.)
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/08/98
PARCEL: 2SIlIDD-03100
SITE ADDRESS. . .08B35 SW HAMLc T 5T
SUBDIVISION. . . . :STRATFORD ZONING: R-4.. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0 '7 JURISDICTION: TIG
Project Description: Installation of first branch circuit to residence.
---RESIDENTIAL
_UNIT----- ---TEMP SRVC/FEEDERS— --- ------MISCELLANEOUS------- -
1000 SF OR LESS. . . . : 0 0 2,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L_. 500SF. . . : 0 201 - 40P amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : N
LIMITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL. ( .10) . . . : 0
- _ 'SERVICE/FEEDER------._ ._ - _.—BRANCH CIRI-UITS--•--- ---ADD' L INSPECTIONS-
0 - 2,00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . .. : 0
401 _. 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 ------------------PLAN 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 _.____...-------__-.
CL-.IMATE CONTROL_ type amount by date recpt
3315 NW 26TH AVE PRMT $ 35. 00 DLH 04/08/98 98-30476:3
PORTLOND OR 97210 aPCT $ 1. 75 DI-H 04/08/98 98-304763
Phone #.-
Contractor:
:Contractor :CLIMATE CONTROL $ 36. 75 TOTAL
3315 NW 26TH AVE.
- -- _--- REQUIRED INSPECTIONS _...
PORTLAND OR 97210 Elert' l Service
Phone #: 223-4393 Elect' 1 Final.
Frey #. . : 000621
This permit is issued subject to the regulations contained 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 work is not started within IN
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Uti hty Notification Center. Those rules are set forth in OAR through JAR 3.2-081-1987. You may obtain a copy
of these rules or direct questions to OLINC by calling (583)246-1987.
Permittee Signature: ��/G E�:J Issued By :------------------------------
- ----
---------OWNER INSTALLATION ONLY---------------------------
The installationis bei.ng made on property I own whirh is not intended for
sale, lease, or rent. / y r y�
OWNER' S SIGNATURE: G,A/_ _er4/C'!f 71,eA DATE:
_�
---------------------------CONTRACTOR INSTALLATION ONL_Y---------------------------
SIGNATURE
--•-------------•----------SIGNATURE OF SUPR. ELEC' N: _.._.... DATE:
LICENSE NO: - -
++++++•++++++++++-++t++•F++++++++•+++++++++t+++++-r+++++++++++++++++++++•F++++++-I-++•++
Call 639-4175 by 7s00 p. m. for an inspection needed the next business (Jay
}+t+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
tAA .1vd 000 17Uu Ll1t VP , 116M) iB002
CITY OF TIGARD Electrical Permit Application Plan Check a
13125 SW HALL BLVD. Rec'd By .L1
TIGARD OR 97223 Dale Rec'd y�/9"o
Date to P.E.
Phone(503)539-4171, x304
OSOF)0 Date to DST
Inspertlon(503) 639-4175 Print or Tyke Permit p &[-f?P-G�/�o >
Fox(503)684-7297 Incomplete or illegible will not be accepted Called
r1. Job Address: / I lI�u� l 4. Complete Fee Schedule Below:
,�� i► ► r i1;
Name of Development � 1" Number of Inspections per permit allowed
Name(or me of business) _ I Service included: Items Cost Sum
AddressC) _ 4a. Rooldentlal-per unit
10M sq.ft.or fasc s r,o no 4
City/State/Zip Each additional 500 sq.1t,or
portion thereof $21100 �._.._ _ 1
Commercial - Residential Limited Energy $P5 on
Each Manuf'd Home or Moduhr
Dwelling Service or Feeder � SO8.00
2a. Contractor installation only:
(Attach copy of a c r(ent hcens e) 4b.Services or Feeders
Electrical9or9ac`vr Installation,attpratlon,or relocelon
200 amps or less $60.00 2
Addre 117-
201 amps to 400 amps $00.00 2
Cft vri State Zip_ 401 amps to 600 amps $120.00 2
Phone No. '1 - " 601 amps to 1000 amps $100.00 2
Over 1000 amps or volts $340 00 __. 2
Job NO.- - Reconnoct only $50.00 2
Elec.Cont.Lice.No. Exp.Dete IC _
R State CCB Reg.No. I LA I ClExp.Date 4a.Temporary Services or Feeders
OT Business l-ax or Metro No. e %�PExp.Dste -111 X Installation,alteration,or relocatiun
200 amps or less $5000 ____ - 2
Signature of 5upr.Elec' 201 amps to 400 amps $75,00 2
g 401 amps to 600 amps $100.00 _ _ 2
(� Over Boo amps to 1000 vets,
License Nr 7 Exp.Dats u C O ono"b"above.
Phone Nr4d.Branch circuits
Now,allerallon or extension per panel
2b. For owner installations: n)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder tee.
Address _ __ Each branch circuit $5.00
h)The fee lot branch circuits
City _ Stato _ Zip_ without purchase of
Phone N0. _ service or feeder fee. `�>
First branch circuit $35.00 ✓ / _ 2
The Installation Is being made on property I own which ig not Each additional branch circuli $5.00
intended for sale,lease or rent. 4e,Miscellaneous
(Service or lender not Included)
Owner's Signature �__�__ Each pump or Irrigation circle � $40.01 2
Each sign or outline fighting $40.00 2
" Signal circult(s)or a limited energy
3. Plan Review section(it required):
panel,alteration or extertaion $40.00 2
Minor Labels(10) _` 111100.00Please check appropriate Item and enter fee In section 5121.
4 or more residential units In one structure 41.Each additional Inspectlon over
Service and feeder 225 amps or more the allowable In any of the above $35.00
System over 600 volts nominal Per Inspocifon $55.00
Classified area or structure containing special occupancy Por hour --- $55.00
as described In N.E.C.Chapter 5 t Plant
Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary constructlon services. Set.Enter total of abmre fees $
5%Surcharge(.05 X total fees) $
NOTICE Subtotal
6b,Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if teaulred(See.3) $
NOT COMMENCED WITHIN 150 DAYS,OR IF CONSTRUCTION OR WORK Subtofat $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF ISO DAYS AT ANY Trust Account
TIME AFTER WORK IS COMMENCED. $
Total balance Due
noststeILcre"nh parse
CITY OF TIGAR ® MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 S W Hall Blvd,, Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC98-0122DATE ISSUED: 04/08/98
PARCEL: E'S 1. 11DD--03100
SITE ADDRESS. . . : 088--"1 SW HAMLET Sl
SUBDIVISION. . . . : STRATFORD ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :027 JURISDICTION: TIG
----------------------------
CI ASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UN IT HEATE RS. . : 0 VENT FANS. . . : 0
nCCUPANCY GRP. . : R31 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------.-- 0-3 HP. . . , : 0 DOMES. INCIN: 0
315 HP. . . . : 0 COMML. INCIN- 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR LINITS: 0
F I RE DAMPERS". . - 30—!50 HP. . : 0 WOODSTOVES. . . 0
GAS PRESSURE. n 50-4- HP. . ., : 0 CLO DRYERP. . : 0
NO. OF ATF. HANDLING UN I T 5) OTHER UNITS. : 0
TURN ( 100K BTL): 0 1.0000 efin : 1. GAS OUTLETS. : 0
FURN � =100K BTI.J. 0 > 10000 C:fm. 0
Remav-ks : Addition to residence of air conditioning unit. Unit cannot be placed
w41-hin the required setback areas.
[)Wrier-: ------------------------------ FEES -------------- -
C,I...IMATE CONTROL type anioi.tnt by date 1--ec-pt
3315 NW 26TH AVE PRMT $ 25. 00 DLH L14/08/98 98--304762
PORTLAND OR 97210 5PCT $ 1. 25 DLH 04/08/98 98-304762
Phone #:
Cora r-act or: -------------------------------
CLIMATF CONTROL. INC
3315 NW 26TH
$ 26. 25 TOTAL
PORTLAND OR 97210
Phone #: 223--4393
Reg #. . : 000621
-------- REQUIRED INSPECTIONS
This ppreit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialtv Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if work is suspended for more
than IN days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those -ales are
set forth in 04P 952-Wl-�W@ through DAR 952-WI-*80. You say
obtain copies of these rules or direct questions to WK by calling
15@3)246-9187.
lssl_le By : Permittee SignatLtre: lyllill 1
+ ++ 4 ++ ++++++4......4....4.............................................#-4..............
Call 639-4175 by 7:00 p. m. for inspections needed the next bt.ts iness Hay
...................4-++++4.......4...........4........................
Plan Check M
CI;fY OF TIGARD Mechanical Permit Application Recd By & a H
1?125 SW HALL BLVD. Commercial and ResidenticAECEIVED Date Recd p
TIGARD, OR 97223 Date to P E
(503) 639-4171, x304C� (�[)C APR (1 6 199P Date to DST—
`? Print or Type Permit rt
�i gar
Incomplete or illegible applications vAi n�t%e aal ited called_ -`—�
_ `1 I
a c v Description --� —
Table 1A Mechanical Cade CITY PRICE AMT
"°°c 1°"_°1 / A) Pernd Fee
Job _ f 1111 sicca -0- � 10 00
Address i �6�11 i)
Bay° (SW` `- 8) Supptementat Permit 300 '—
Nana for name an busenesai 1.) Fumacx to 100,000 BTU 6.00
I
Owner incl.ducts 3 vents
Mar'hy"dOi" 2.) Furnace 100,000 BTU+ 7.50
incl.ducts R vents _
c-hiswa zip Phone 3.) Floor Fumaco 6.00
—� - ind.vent _
'y can,e for name at ousn.s.l 4.) Suspended heater,v24;cater — 6.00
_ or floor haunted heater_
Occupant "a'a'^y AOOf— 5.) Vent ry,t md.in
3.00
appliance pehnd
—_�-- Crtyistaro zippPPhona 6.) Boiler lex comp,twat pump.air coed. 6.00
to 3 HP;absorp and to 1 OOK BTU
•74T)7.) Boiler or comp,heat Pump,au coed.
3-15 HP;absoip and to 500K BTU
Contractor 's AOWtM• r f } 8.) Bkxiw or comp,heat pkxnp.arr rand. 1500
P1 j 1 15-30 HP:absorp unit.5-1 miI Bly
Attach copy of O ) ! 4A0"'r 9.) Boiler or comp,heat purnp.air coed 22 50
Current Licenses )� - L��� �> >J 30-50 HP,absorp and 1-1.75 mil BTUConst _
.1 .Boat/Lie a Ex 0 C l 10) Boiler or aynp.heat pump,air con d. n 37.50
1 _ >50 HP:absorp and t 75 mil OTU
co Iax or Mean r I��. / 11.) Air handling unit to 450 ` `^
10.000 CFM
i Archite-ct Ns'ng 12.) Air handling und 750
10.000 CTM_+
or us"A*"ts 13) Non portable
4.50
evaporate cooler
Cay'staa 4.) vent tan coneCied 300
Engineer .� '-"zw—j Pn«,e — 1r,
to a single dtx3
Describe work New O Adddiort Alteration O Repair O 15.) Ventrlabon system rat — 450
to be do6v Residenba Non idential U indudrd to appliance permd
( Adddionat Cesrnption of work 16) Hood served by
� mechanical exhaust 450 �
i
17) Dornesoc iriori&ators 7.50_ 1!
Extsung use of18.) Corrat 3
v-ercial or industn0 00
building or property_._�------- --- -- T - type incinerator
i
19.) Clothes dryers,etc —4!0
Proposed use of 20) Other units -- �--- -__-- 450
building or property
Type of fuel-oil C�naniral gas LPG O electric O 21) Cas pipti rg one to four outlets 200
I hereoy acknowledge that I have read Nis application,that the 22) More than aper outlet (each) 50
rnttxmatran given is airm--.that I am the owner or ai rthonzed agent of
the owner,that plans submitted are in compliance with Oregon State — QTY.SUBTOTAL
- 'aws
Signature of OwnertAgent Date —� 'SUBTOTAL ( ��
5%SURCHARGE
Contact Person Name Phone PLAN REVIEW 25e,:OF SUBTOTAL
-----------_ TOTAL �ll,
Csrfinechpmt Doc 'Minimum permit fee is S25+5%sura harge
ilei 7MIS
Mow
Wl.,Iuws -------- Windaws aors
walls Floars