12020 SW MAIN STREET-2 IS NIVW AAS OZOZ I•
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12020 SW MAIN ST
CITY
ITY O F T I G A R DELECTRICAL PERMIT _
PERMIT#: ELC2000-00356
DEVELOPMENT SERVICES DATE ISSUED: 6/25/00
1.3125 SW Hall Blvd.,Tigard.OR 97223 (803)639-4171 PARCEL: 2S102AA-00603
SITE ADDRESS: 12020 5W MAIN ST
SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD
BLOCK: LOT : 010 JURISDICTION: TIG
Prolect Description: Installation of sign lighting for new sign on North wall face.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
ADD'L INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL-
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
MCCi,LL,W CALDER TRUSTEE ES &A SIGN&AWNING
808 EW 15TH 1210 OAK PATCH RD
PORTLAND, OR 972.05 EUGENE, OR 97042
Phone: Phone: 541-485-5546
Reg#: LIC 111286
SUP 435SIG
ELE 20-255CL
FEES _ Required Inapections
Typo By Date Amount Receipt
Elect'I Service
PRMT DEB 6/9/00 $42.75 0002822 Elect'I Final
SPCT DEB 6/9/00 $3.42 0002822 `11
$46.17
Total Q "�
\�
This Permit is issued subject to the regulations contained in the Tgard Municipal Code,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
AC suspended for more than 180 days. ATTENTIONOregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
H. rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies ofshme rules ordirect questions to OUNC at(503)
U) 246-1987.
,_j PERMITTEE'S SIGNATURE ' /i� �' ISSUE BY: o'
U _ OWNER INSTALLATION ONLY
J The install7ition is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: Ac*'/6 FV
Call 6394175 by 7:00pm for an inspection the next business day
CITY OF TIGARDElectrical Permit Application PIanC ck#_ +
13125 SIMV HALL BLVD. Recd B
Date Recd
71GARD OR 97223 Date to P E
Phone(503)639-4171, x304 Date to DST
Inspection (503)639-4175 Print of Type Permit# Fze&�?
Fax (503) 598-1960 Incomplete or illegible will not be accepted Called
1. .Job Add-ess: 4. Complete Fee Schedule Below:
Name Of Development— Number of Inspections per M= allowe i
Name(or name of business) 'PIC Ly Service included: Items Cost Sum y
Address MW PJ10 tiAIW STI 4a. Residential-per unit
1000 sq.A.or less $ 117.75 4
City/State/Zip�I A _ i ' /`� Z 2 �'-- Each additional 500 sq fl or
portion thereof S 26 75
Commercial 14 Residential ❑ Limited Energy _ $ 6000
Each Manurd Home of Modular
2a. 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 base). Installation,alteralicn,or relocation
I 200 amps or less $ 64.25 2
Electrical Contractor LS�:�''-1 �1�_ �I,�P,�I_I�(�_— —---
I 1 �C EIAc 17 201 amps to 400 amps $ 85.50 _— 2
Address. �� —l..t 401 amps to 600 amps _ S 128.50 _ _ 2
city l State _Zip �, r 1 601 amps to 1000 amps _ S 19250 —, 2
Phone No. F �._ Over 1000 amps or volts _ $ 363.75 —_ 2
.lob NO _— Reconnect only S 53.50 _ 2
Elec. Cont. Lice. No.?_C, r L� CL`_,_Exp Date 4c.Temporary Services or Feeders
OR State CCB Reg No (C___Exp.Date IUf
_ Installation,alteration,or relocation
COT Business-ax r, >tlletro No. �!�___Ex .Date 1 ) 200 amps of less $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. c'n &--._ 401 amps to 600 amps _ $ 100.00 2
Over 600 amps l0 1rJ00 volts,
�21nS(� x .Date I Q101 it 2- see"b"above.
License No. p
Phone NO. S7�3_�I—Ql.�� New,
Branch Circuits
New,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit $ 535 2
Address b)The fee for branch circuits
_ without purchase of se:vice
City State _Zip_ or feeder fee.
Phone No. __ First branch circuit $ 37.50 _
Each additional branch circuit $ 515
The installation is being made on property I own which is not 4o.Miscellaneous
intended for sale, lease or rent (Service or feeder not included)
Each pump or irrigation circle V $ 42.75 7
Owner's Signature— _ Each sign or outline lighting �_ $ 4275
Signal circuit(s)z)r a limited energy
dpanel,alteration or extension $ 6000
oc
3. Plan Review section (if required):* Minor Labels(10) $ 10000 _
Please check appropriate Item and enter fee In section 5B. 4f.Each additional Inspection over
of the above
_4 or more residential unN+ in one structure the allowable in any _--�_
Per inspection E 50.00
Service and feeder 225 amps or more Per hour _ $ 5000 _
System over 600 volts nominal In Plant $ 59.00
m Classified area or structure containing special occupancy as
W described in N E.0 Chapter 5 5. Fees: 7�
� 5a.Enter total or^1,nve lees $
` Submit 2 sets of plans with application whore any of the above apply. 8%Surchaile(08 r total fees) $
Not required for temporary construction services. Subtotal S �_
5b.Enter 25%of line 6a for
NOTICE Plan Review if required(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 A PERIOD OF 180 DAYS ❑ Trust Account#
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $
I:\dsts\farms\elcctr)c.doc
C!TY OF TIGARD MECHANICAL PERMIT _-
DEVELOPMENT SERVICES PERMIT 0: MEC2000-00253
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED. 7/11/00
PARCEL: 2S 102AA-00603
SITE ADDRESS: 12020 SW MAIN ST
SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD
BLOCK: LOT:010 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/0 APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
`AAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 36 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfin: GAS OUTLETS:
Remarks: Replace (1)rooftop mechanical unit
Owner: __ FEES
MCCALL,W CAL.DER TRUSTEE Type By Date Amount Receipt
808 SW 15TH PRMT DEB 7/11/00 $50.00 0003611
PORTLAND, OR 57205 PLCK DEB 7/11/00 $12.50 0003611
5PCT DEB 7/11/00 $4.00 0003611
Phone: Total $66.50
Contractor:
RSITMEIER MECHANICAL INC
7051 SW SANDBURG ST STE 400
TIGARD, OR 97223-8011 REQUIRE 1 INSPECTIONS
Mechanical Insp
Phone:603-0205 Final Inspection
Reg#:LIC 000632
9RIGINAL
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This permit is issued subject to the regulations contained in the W
Tigard Municipal Cods, State of Ore
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You m obtain I pies of these rles or direct questions to OUNC b ling 6-9189.
Issu By: Permittee Signature: ,`,Z+✓
Call (503) 9-4175 by 7:00 P.M. for inspections nee ed the next business day
CITY OF TIGARD Mechanical Permit Application Recd Be
13125 SW HALL BLVD. Commercial and Residentia; DateRec'd 7, 9-0�
TIGARD, OR 97223 Date to P E -7 1-on L
(503) 639-4171, x304 Date to DST tv 27 U
Print or Type Per„ C-C
✓'tom Q 1"''rm ', Called
�' tMCalled "'-7-e"0 �j-'i'. s
Incomplete or illegible a plications will not be accepted "A"A
Name of Dev"pmenvPmLrcy Description
{ r Table to Mechan-cal Code foTly PRICE AMT
y Job Street Address 1 Sudea A) Permit Fee 0 J 10.00
Address Iluzo 5w d��t►J S1
Bldg$ Crty Stale Z,P B) Supplemental Pemvl 300
Mame(or name of busmess) 1,) Furnace to 100.000 BTU 6.00
Owner - incl duds&vents /
Mailing Address 2.) Furnace 100,000 BTU+ -- l 7.50
incl.duds&vents
cityrst■te zip Phoria 3.) Floor Furnace 8,00
incl.vent
Name for nametwsinessi 4.) Suspended heater,wall heater 6.00
1A __ or floor mounted heater
Occupant Madmg Addres 5.) Vent not incl.in 3.40
--
appliance permit
citylstate Zip Ph.xte 6.) Boiler or comp,heat pump,air cond. 6.()D
to 3 HP;absorp one to 100K BTIJ
7.) Boiler or comp,heat pump,air cond. 11.00
KCAMEik& V tcAl (NL 3-15 HP;absorp unit to 5WK BTU _
Contractor Mailing Address 8.) Boiler or comp,heat pump,air Gond. 15.00
'7 bt v 15-30 HP,absorp unit 5-1 mil BTU
(Prior to Cay1state ZIP Phone 9.) Boiler or comp,heat pump,air Gond. 22.50
issuance a copy rr 2 Z p L.2 30-50 HP;absorp unit 1-1 75 mil BTU
of all kenses are aConst Ga+t Board Lic M Exp Date 10.) Boiler or romp,heat pump,air Gond. 3750
required � Y/ >50 HP;absorpunit 1.75 mil BTU
expired in C O T CO;T Business Tax or Memo a E::p Date 11.) Air handling unit to 4.5C
data base) -� 10.000 CFM
Architer„t Name 12.) Air handling unit 7.50
10,000 CTM+ _
or Marking Address 13.) Non portable 4.50
evaporate cooler _
Engineer City/State Zip Phone 14.) Vent fan connected 3.00
_ to a sinQk dud _
Describe work New O Addition O Alteration O Repair O 15.) Ventilation system not 4.50
to be done Residential O Non-residential included in appliance permit
Additional Dascnption of
work 16) Hood served by mechanical exhaust 4.50
E f rl VA ul�t t _ 17) Domestic incinerators 7,50
Existing use of 18) Commercial or industrialtype 30.00
building or property _ incinerator
191 Repair units 4.50
Proposed use of 20) Woodstove
a
4.50
building or property
21) Clothes dryer,etc._ 4,50
(A Type of fuel-oil O natural gas O LPG O electric® 22) Other units 4.50
}
H I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 2.00
information given is correct.that I am the owner or authorized agent of
m the ow ,that pita s-ftipmitted are in compliance with Oregon State 24) More than 4-per outlet (each) .50
(9 laws. /J
Signature of Owner/Agent Date QTY.SUBTOTAL
� 1VC, [i C-03-02-0 � 'SUBTOTAL
Contact Pprson Name Phone 5%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
TOTAL
i:Wst\mechpmt.doc (rev 7/96) *Minimum permit fee is S25+ surcharge
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
hUP
Date Requested_ —AM _PM _ BLD
Location %Z0 2-0 5'/ M6 h 5 Suite MEC
Contact Person (,vc-✓ ,tf' Ph (of/ 9'q 7 Y PLM
Contractor Ph SWR
BUILDING Tenant/Owner
ELC
Retaining Wall AJ ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN _
Slab — SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -- _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling --
Roof
Mise, ----
Final
PASS PART FAIL - — -
PLUMBING _
Post&Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final .
PASS PART FAIL
MECHANICAL
Post& Bears
1
Rough In
Gas Line -
Smoke Dampers
Final j
P RT FAIL
L ELECTRICM
C Service
Rough In
LIG/Slab —
Low Voltage
J F' arm
0
9 PASS PART FAIL — -- ---
u 11
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Backfi!I/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line [ ]Please call for reinspection RE: ]Unable to inspect no access
ADA
Approach/Silew ilk Date �Q Inspector Ext
Other _ _
Final
PISS PARS FAIL DO NOT REMOVE this Inspection record from the job site.