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12265 SW MAIN STREET-2 •I 133HIS NIVW MS 99ZZL w W H U) Z a ac N N J N m N w .J 12265 SW MAIN ST ' l CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00422 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 6394171 DATE ISSUED: 10/31/02 SITE ADDRESS: 12265 SW MAIN ST PARCEL: 2S102AB-03600 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Back flow preventer FEES Owner: Description Date Amount JOHNSON, WARREN W + BETTY TRS AN — JOHNSON, PEES C + MARYANNE G I f AX] 8`%,State'rax 10/31/02 $5.80 3112 SW SANTA MONICA ST ITAX] 8%Statc"fax 10131/02_ $0.00 PORTLAND, OR 97201 IPLUMBI Permit Fee 10/31/02 $72.50 IPLUMBI Permit Fec 10/31/02 $0.00 Phone 1: — ---� Total $78.30 Contractor: CRICKET'S PLUMBING 480 NW BROOKWOOD AVE HILLSBORO, OR 97124 REQUIRED INSPECTIONS Phone 1: 503-846-0134 RP/Backflow Preventer Reg #: PLM 34-315PB SUP 5777JP LIC 124236 a ac t aJ—o This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. t� Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. J 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 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: Permittee Signature: Call (506)639.4175 by 7:00 P.M. for an Inspection needed the next business day Building Fixtures Plumbing Permit Applicatie.:: Date received: 0 3f e'k Permit no.(-M 4 vb)� -ovY1Z Cit of Tigard Y tv Sewer permit no.: Buildira permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City u%Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.. Land use approval: Case file no.: Payment type: U I &2 family dwelling or accessory XCommercial/industrial ❑Multi-family 0 Tenant improvement U New construction U Addition/alteration/feplacement ❑Food service U Other: Job address: Deacri tionFa a. Total Bldg. no.: Suite no.: ew -and - am y dwellings;only: — -------- (Include%100 ft.for each utility connection) Tax map/tax lot/account no.: _ _ SFR(1)bath _ Lot: _ Block: Subdivision: ,SFR(2)bath " Project name: _ _ SFR(3)bath_ City/county: Z'2:2 4,z ZIP: Each additional bath/kitchen Description and toe ion of work on premises: Siteutilities: _ Catch basin/area drain _ Est.date of completion/inspection: Drywells/leach line/trench drain Lei Footing drain(no.lin. ft.) _ Manufactured home utilities Business name: Xj C/tEi S w �%' Y Manholes Address: ✓:✓ ii eel(4or0ed .A✓eT Rain drain connector City: e' Stater ZIP: 5� 71 JY Sanitary sewer(no.lin. ft.) Phone: ,Iyy I Fax: E-mail: Storm s,wer(no.lin. ft.) CCB !2L2 2 3 6 Plumb.bus.reg. no: 3 y- 3/S Water service no.lin.ft. Cit eti-olic.no.: 7 Z 6 Fixture or item: Contractor's representative signature: z��,..« �, Abso tion valve Back flow preventer Print name: �a��-f' '��o<if FT"` Date: Backwater valve Basins/lavatory _ Name: ,/ ( ,%�<J c�FSTQ Clothes washer Address: /Z Z ,sem a,. + Dishwasher Drinking fountain(s) City: c �✓ State:C.� ZIP: Ejectors/sump Phone: 5 j_,bj_j:4, Fax: E-mail: _Expansion tank _ Fixture/sewer cap Floor drains/floor sinks/hub _ Name(print): Garbage disposal Mailing address: Hose bibb City: State: ZIP: Ice maker Phone: Fax: E-mail: C Interceptor/greasetrap� — Owner installation/residential maintenance only: The actual installation Primer(s) _ 0 will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ jUwner's si•nature: Date: Sump 0 Tubs/shower/shower pan _ Urinal UName: Water closet _ Address: _ _ Water heater City: State: ZIP: Other: Phone: Fax: E-mail: Tota Not all jurisdictions accept m credit cards,%lease call jurisdiction for ore InformNotice: This permit application Plan review(at� %)) S ation. Minimum fee..............PlS U visa U MasterCard expires if a permit is not obtained ° Credit card number: within 180 days after it has been Name of cardholder u shown on credit card State surcharge(8/o).... S Ea irca p accepted as complete. TOTAL........................S _A _ S _ Cardholder signature Amount 440-4616(6WCOM) PLUMBING PERMIT FEES: , PRICE TOTAL Now 1 and 24amily dwellings only: FIXTURES (individual) QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (as) AMOUNT Lavatory 16.60 for each uIIII!y connection Tub or Tub/Shower Comb 16.60 One 1 bath $249.20 _ Two(2)bath _ $350.00 Shower Only 16.60 Three Q)bath Y _ 399.00 Water Closet 16.60 — Urinal 16 60 SUBTOTAL 6%STATE_SURCHARGE _ Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal _ 16.60 _ TOTAL Laundry Tray 16,60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" _ 1660 PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16,60 Quantity b I Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed) permit. _ Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory _ Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only _ Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal _ Dishwasher Garbage Disposal — Laundry Room Tray Washing Machine Sewer-1 s,100' 55Floor Drain/Sink: 2".00 3" Sewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46,40 �— Other Fixtures Slone 8 Rain Drain-1st 100' 55.00 (Specify) Storm 3 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 62.50 Requested Inspections _ r/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling L 65.25 Grease Traps 16.60 — QUANTITY TOTAL --' `— IL Isometric or riser diagram is required if -- ��— Quantity Total is >P f, "SUBTOTAL — - s%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL m Required only If Podure qty,total is>8 TOTAL $ J -- - --- — AMlnimum permit foe Is$72 50+8%stain surcharge,a<cepl Residential Backflow Prevention Device,which is$3825+8%state surcharge "All Now Commercial Buildings require 2 sets of plans wHh Isometric or riser diagram for plan review. 1:ldstslforinskllm-fees.doc 12J26/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (543)639-4175 O MST INSPECTION DIVISION Business Line: (543)6394171 BUP Received -------Date Requested // AM PM __ BUP Location __—_ ��- �J al) ,Jt--- Suite MEC Contact Person ___ G1�f . Ph(— ) 3!y 9— N-30 PLM �.2 Contractor_ __ Ph(—__ SWR e PR,UILDING Tenant/Owner _ �OfELC Footing v"ej" Foundation Access: V ELC Ftg Drain ELR — Crawl Drain — Slab Inspection Notes: SIT Post&Ream Shear Anchors - — - Ext Sheath/Shear Int Sheath/Shear Framing _—__-- Insulation Drywall Nailing - Firewall Fire Sprinkler -- Fire Alarm 44 rj;12 Susp'd Ceiling Roof Af Other: - — Final PASS PART FAIL PLUMBING Post ABeam — -- ------ -- Under Slab Rough-In .-- Water Service/ Sanitary Sewer Rain Drains -- -- Catch Basin/Manhole Storm Drain j - -- - --- — Shower Pan Other: - 7 ASS PART FAIL - --- -- --- -` -- MECHANICAL Post 8 Beam -� --- - - - Rough-In Gas Line a Smoke Dampers - — ---- -_—^ _-- Final PASS PART FAIL — --- -- -- ELECTRICAL J Service m Rough-In j UG/Slab - — _ ---- -- W Low Voltage ---- ----_-�--- - �__- - ___ -- Fire Alarm Final F] Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS _ PART FAIL SITE - F] lease call for reinspection RE:-_ Unable to inspect-no access Fire Supply Line ADA Approac'i/Sidewalk Date — 1efP �' Other: _ _ Final DO NOT REMOVE this Inspection (record from the job site. PASS PART FAIL CITY GF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL_C98-0303 13125 SW Hall Blvd.,Tlgerd,OR 97223 (503)8394171 DATE ISSUED: 06/03/98 PARCEL: 2S102AB-03600 SITE ADDRESS. . . : 1. 265 SW MAIN ET SUBDIVISION. . . . : ZONING:CBD PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Project Description: Yan's Restaurant ----------------------------------------------------------------------------------- -----RES I DENT IAL L)N I T----- -.---TEMP SRVC/FEEDERS---- - -- MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5009F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. 1-1M/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ----ADD' L INSPECTIONS---- 0 _. 200 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+ ECTION---------•-------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ---------------------------------------- FEES -----------.-----_ YAN' S RESTAURANT type amni_mt by date recpt 12265 SW MAIN ST PRMT $ 35. 00 JSD 06/03/98 98--306243 TIGARD OR 97223 5F'CT $ 1. 75 JSD 06/03/98 98--306243 Phone #: Contractor: _.__-------------------------- CHR I STENSON ELECTRIC INC $ 36. 75 TGTAL 1 1 1 SW COI_.UMB I A STE 480 ------- REQUIRED INSPECTIONS ----- PORTLAND OR 97201 Ceiling Cover Elect' l Service Phone #: 241-4812 Wall Cover Elect' l Final Reg #. . : 000458 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 work will be dnne in accordsnel with approved plans. This permit will expire if work is nO started within 189 days of issuance, or if work is suspended for mo e t an 1 ys. ATTENTION: Oregon law requires you to follo he rules adopted by the Oregon Utility Nclification Center. Those ru es re et rth in OAR 952-881-9818 through OAR 1- 98- You may obtain a copy of these rules or direct questions to DUNE by •a i g )� 6-1987. / IL Permittee Signati_rr _ Issi_red r~ N ------------------------------OWNER I NSTALI_AT i ON ONLY-------------------------------_... The installation is being made on property I own which is not intended for =0sale, lease, or, rent. F0 ! OWNER' S SIGNATURE: DATE: W ---------------------------CONTRACTOR INSTALLATION ONLY---- - - ----------___ SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO: f++t+++-F++++++++-F++++++++++++-f.+-F++++++.++++++•t+.}++++.++++-F+1-++++++++++++++++..4- Call 639-4175 by 7:00 p. m. for an inspection needed the next business day r-.++++++++++++++++4.+++++++++++++++++++++++++4•+++++++++++++++++++++++•H+++++++++.- CITY OF TIGARD Electrical Permit Application Plan 13125 SW HALL BLVD. Recd By S Date Rev'd TIGARD OR 97223 Date to P.E. _ Print or Type Phone (503)639-4171, x304 Date to DST-� Inspection (503) 639-4175 Incomplete or Illegible will not be accepted Permit II_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) YANS RESTAURANT Service Included: Items Cost Sum Address 12265 SW MAIN ST 4a. Residential-per unit TIGARD 1000 sq ft.or less $110.00 ___ 4 City/State/Zip _ Each F,dditional 500 sq.it.or Commercial 13 Residential ❑ portion thereof $25.00 1 Limited Energy � $25.00 Each 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 ContractorCHRISTEN SON EEL,CTRIC, INC. Installation,alteration,or relocation Address III SW COLUMBIA.SUITE 480200 amps or less $60.00 2 -- 2n1 amps to 400 amps $80.00 2 City PORTLAND State OR Zip 97223 401 amps to 600 amps $120.00 2 Phone No. 241-4812 601 amps to 1000 amps $180.00 2 Job No. 221-4329 Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. $73S _Exp.Date Reconnect only �. $50.00 2 OR State CCB Reg. No. r u Exp.Date 4c.Temporary Services or Feeders COT Business Tax or ro o. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supt. E \ 401 amps to 60 amps$ 100.00 s $75.00 -- 2 8 7 3 S Over 600 ams to 1000 volts, License Nr Exp.Date_ see"b"above. Phone Nr - 241-4812 ---- - 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b)Tho fee for branch circuits City_ StateZip _- without purchase of Phone No. _ service or feeder lee. 1 35. First branch circuit $35.00 2 T";�installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Or✓ner'S Signature _ Each pump or irrigation circle $40.00 2 Er.ch sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuil(s)or a limited energy a panel,alteration or extension $40.00 _, 2 Minor Labels(10) $100.00 Please check appropriate Item and enter fee in section 5B. N _ 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 $35.00 - System over 600 volts nominal Per inspection Classified area or structure containing special occupancy Por hour $55.00 m as described in N.E.0 Chapter5 In Plant $55.00 C7 J *Submit 2 sets of plans with application where any of the above apply. S. Fees: 35. Not required for temporary construction services. 59.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ 5 NOTICE :'ubtotal $ 5 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review i r uirgd(Sec 3) $ --- �5 NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account N Total balance Due 36.75 11DSTS1ELC96APF' nfw W9fi CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,779ard,OR 97223 (503)6394171 PERMIT #. . . . . . . : MEC98-0207 DATE ISSUED: 06/09/98 PARCEL: 2SI02AB-03600 f')ITF' ADDRESS. . . : 12265 SW MAIN ST SUBDIVISION. . . . : ZONING: CBD PD BLOCV. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG -------------------------------------------------------------------------------------- CLA13S OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . -.COM UNIT HF-ATFRS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :A3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . .. : I DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 STU 15-30 HP. . . . -. Q1 REPAIR UNITS: 0 FIRE DAMPERS". . .- 30-150 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : M 90+ HP. . . . : 0 CLO DRYERS. . - 0 NO. OF UN I TS---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K STU: 1 1.0000 rfm- 0 GAS OUTLETS. : I FURN ) =100K PTU: 0 > 10000 cfm: 0 Remarks : Add one 3 ton, 344 lb. gas paces 9 thermostat Owner-: ---------- FEES WARREN JOHNSON type amount by date recp-'c 311;-? SW SANTA MONICA PRMT $ 25. 00 B 06/04/98 98-306289 PORTLAND OR 97201 PLCK $ 6. 25 B 06/04/98 98--306299 5PCT $ 1. 25 B 06/04/98 98-306289 Phone #: Cont rant or: --------------------------------- HUNTER—DAVISSON 3410 SE 20TH AVE ------_---------------------------_.-.._ f 32. 50 TOTAL PORTLAND OR 97202, Phone #: 234-0477 Reg #. . : 000016 REQUJRED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 189 days of issuance, or if stork is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9152-001-8818 through OAR W-MI-ON. You may obtain copies of these rules or direct questions to OL1NC by calling (503)246-9187. Issi-ie By : Permittee 9ignati-tr-e: ......................f-++.#........4.........................................4-++ Call 639-4175 by 7.00 p. m. for inspections needed the next bUSiness day ++4..........4.......4..........4-4-+++4.............................................. HUNTER-DAVISSON, INC. .roe •�A�s ' CH�r!ESE �STquR�►rT -12265 S.k MAV, Heating • Air Conditioning • Refrigeration SHEET NO. 3410 S.E. 20th Ave. PORTLAND, OREGON 97202 CALCDUITEDBreDt) .- DATE V2-7f'8 (503) 234-0477 FAX (503) 236.1625 CHECKED 8V_�� DATE_ SCALE &^d &P-Z. p "o 'Z-5 " GAS► AACX 00 uEw i1 GP-2 4, F�6. Boor` S`e fKA�J 1 00I Tofj, a4�pr Ved. .. ~A oVed.......... irt•. von itionally Pkras describe the WU a For m �� _ ...... .. 9 MiT NO to..Fo!toW....... Se fetter JC D C7 GAME QOvI►1 W J E NTe RA-q T r^� � r 1 48SS018-042 WITH OPTIONAL.BASE RAIL 1 i T caro(471 ligss�n trr �r v7c' v7If u,rla.{1 aff y 09.7 g a C OPTIONAL RETURN OPENING OPEMI � elol[R Accrss �- ----�J 7- • PANCI. Er COIL ^�(17a) I BURNER AND COaox 1 �.itMT stp[rlcr AccEss PAWL CG // sT' 19 9/I9' 73' I KTURN u12o.e) 1,7ss.n �/ / 11851 I REGO CLEARANCES FOR SERVICING.In.(mm) 1 �• 14 7/16' Duct panel 0 ! (2131 Unit top 36((9 14) Side opposite ducts 36(914) --- - S Compessoraccess 36 9L1(Except for NEC req ants) I I r ltARr 10 b!6' I I 17ae.91 n REO'U CLEARANCES TO COMBUSTIBLE MAT'L.in.(mm) Maximum extension of overhangs . . . . 48(1219 Unit 10pp 14 356 f 0 t Duct eMe of unit . . . . . . . . . 2 51 4 r i1i�7i{ (46-2) Side opposke ducts . . . . . U(�56 t �l , IS/1{' !(t WS. Bottom Of unit. (19.y Flue panel . . . . . .36(914) NEC REQ-1)CLEARANCES.in.(mm) COPt1oNAl lPPlr Between units,control box side 42(1067 AIR OPENING Unit and ungrounded su•faces,control box side . . .36(914j Unit and block or concrete walls and other grounded surfaces,control box side .42(1067) 1S/16*5/1{• Ol.751 ALTERNATE POWER ENTRY 001POWISOR ACCESS PANEL rF 1 7/0' (12.2) CIA. 1 1/9' (26.6) DIA. FLUE 11000 EMAP COIL ACCESS 07/0) CONTROLENTRY POWER ENTRY --- I ALTERNATE LP EMIR 64' I CG E 1e v16 2 <ISa.il I, 5 37 G` QeT,77 11 S/I{ I S 5/e' ` (10.91 OAS MAY 11!16 ,U' 112.1) Ori.11 i1 �tls) 112' - 11 APFTIO PAWL (l9.6) (253.01 17/9 7/1'NPT (19.0) I {AS CON47CTION (3N 9) (MAIN OutlrT _.� LEFr eltx rlEy -2]!ec' LI!2r�1Lr UNIT ELECTRICAL UNIT WEIGHT CORNER WEIGHT UNIT HEIUHT HT CHARACTERISTICS (Iblkg) (In.1mm) -- 8 18040 b g A C E 6/230-1 60 1 48SS0240A0 208x230.1-60 _ 327 149 103/47 49/22 ---129T59 ---r612-7- .41697 CL -48SSO24060 20P2301.60 339 1 5 106%48 52124 132,60 4922 �� +-4:.55030040 208/230-1.60,208/230-3-60 344 157 106148 324 132/60 53/24 ---r74/697 4 208230-1.60,208!230-3-60 356 162 102/46 71/32 123/56 6027 -2T4(697 N I0SS0 SS03606W080 208230.160,208230-3-60.4603.60 360 164 92142 --T.1/37 If 7/53 69!31 27.41697 48SS0 619 00/120 208/230160,2082303-60,460-3.60 372 169 95/43 85/39 120755 72/33 27.4/69 e� I �8SSp42060f080 208230-t-60,206/2303-60,460-3 60 399 181 101146 92/42 125/57 81/37 31 4/798 t i 48SSO421001120 208230.1.60,208230.360,460-3-60 411 187 104147 95/43 728r5C 84;38 31.4/798 UNIT F G CENTER OF GRAVITY In./mm In./mm Inimm X Y �-- ILI 010 4 2/ „J 48'2404( LEGEND 26.90/6833 20.17/512.3 Codo • Z S024060 26 82/681.2 20.22/513.6 CO -- Center of Grawy MAT'L - Material 48SS030040 19'1n1504 8 22117565.4 26.57/674.9 20.1/509.3 13,67334 3 GOND -- Condenser NEC - National Electrical Cone 48SS030060/080 LV - !.ow Voltage REO'D - Required 2693/684 21.1/535.4 SSO 080/080 27.31/693 7 21.0/532.6 1 NOTES °r 18 5036100/120 1. Clearances must be maintained to 27.23/691.6 21.0/ 33.1 prevent recirculation o1 art from r)- 8SS042060/080 26.87/682.5 21.0/533. outdoor fan discharge 4OSSO42100/120 231*,606 4 261/./666.6 -21-07933.1t4 86/380 2 Adequate clearance around air openings Into combustion chamber 26.811661 , 7 must be provided. 785 r 9 Plan ,hec CITY OF TIGARD Mechanical Permit Application Redd By 13125 SW HALL BLVD. Commercial and Residential / Date Recd _ TIGARD, OR 97223 Date to P.E (/0 � (503) 6:39-4171, x304 A Date to DST Print or Type Permit N �� Incomplete or illegible applications will not be accepted Called Name of DaveIlopmenl/Proier;t Description Table to Mechanical Code CITY PRICE AMT Job Street Address Sutlea -- A) Permit Fes -0- -0- 1000 Address J1 ` Iii`' 5L-i Ww"1� I Bwtgllt Cnyrsute Zip 1 ) Furnace to 100,000 BTU 6.00 G inciudin ducts&vents Name(or nama R:#,sine•-) 2.) Fur Lace 100,000 BTU+ 7.50 Owner ("AiCea^j co W"S6 N inclut;ng duds a vents Mailln Address 3.) Floor Furnace 8.00 3 l` 3W Z AAM ;'Mc.N r r A including vent fststezip Phone 4.) Suspended heater,wall heater 8.00 _C LA\0 _ 9? l 1 or floor mounted heater Name(or name of business) 5.) Vent net included in appliance permit 3.00 Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond. 6,00 to 3 HP;absorb unit to 100K BUT" (� City�Stals 21p Phone T) Boder or comp,heat pump,air Gond. 11,00 3-15 HP;absorb unit to 500K BTU" Contractor NaR1e 8.) Boiler or camp,heat pump,air Gond. 15.00 2 Q&AWJ 15-30 HP;absorb unit.5-1 mil BTU" Prior to permit Mailing jL Address - , 9.) Boiler or comp,heat pump,air Gond. 22.50 � " issuance,a copy i �L ( 30-50 HP;absorb unit 1.1.75mil BTU" of all licenses CRY/Stele T 2I Phone 10.) Boiler or cemp,heat pump,air coed. 37.50 are required if 0,11 00 17�Q,,t if it/)) >50 HP;absorb unit 1.75 rnil BTU" expired in COT Oregon Conn.Com.Bord 1.10.0111 p fe G� database )/ Air handling unit l0 10,000 CFM 4.50 Architect Name / 12.) Air handling unit 7.50 10,000 CTM+ or Mailing Address 13.) Non-portable evaporate cooler 4.50 I Engineer �Cffyfslato -zip 1-ph-110 14.) Vent fan connected to a single dud 3.00 Describe work New O Addition O Alteration O Repair O 15,) V-r tt ation system not inclu(+sd 4.50 to be done Residential O Non-residential O in appliance permit Additional Description of work: 16.) Hood served by mechanical exhaust 4.50 17.) Domestic.incinerators 750 Cr=�S Jf>c Existing use of✓ _ 18.) Commercial or industrial 30.00 building or property type incinerator 19.) Repair units 4.50 Proposed use of 20) Wood stove 4,50 building or property L 21.) Clothes dryer,etc. i 4,50 C Type of fuel-oil O natural gas O LPG O electric O 22.) Other units 4.50 I hereby acknowledge that I have read this application,that the information 23.) Gas piping one to four outlets 2.00 j given is cored,that I am the owner or authorized agent of the owner,that F;an's�arejn compliance with Oreg�grl State laws. 24.) More than 4-per outlet(each) .50 U Signature of Owner/Agent D� - 'SUBTOTAL J 5- QJ4-0417 5°�SURCHARGE L Contact Person Name :t Ph01N PLAN REVIEW 25°rU OF SUBTOTAL I Required for all commercial rmits on j TOTAL p 'Minimum permit fee b 52.5+546 surcharge "Residential A/C requires site plan showing placement of unit. 1 lrmechprmt.doc rev 4/15/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �((�� SUP � '7t�Date Requested �0��-0��� AM —PM BLD Location (21V5 Suite MEC Contact Person Ph -7R 3- 1-7 7 PLM Contractor Ph SWR _ BUILDING Tenant/Owner YAO i115 ELC - Retaining Well ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: i SGN Slab /•Z'1 i7 SITPost& Beam i - Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alann Susp'd Coiling _ Roof Misc: _ Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top OutWater Service Service Sanitary Sewer -- Rain Drains Final PASS PART FAIL. CHANICAL Post&Beam -- — - — Rough In 09 Gas Line -- — - - -- S ke Dampers SS RART FAIL EtWTRICAL C Service � Rough In UG/Slab Low Voltage �~ Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - - ---- -— Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line ( p __ _ ( ]Unable to inspect-no access ADA Approach/Sidewalk ` �'- Other Date _Inspector ' ' _t -_Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line. 639-4175 Business Phone: 639-4171 C.M1 41j7 . G U Date Requested: --�� M. P.M. MST: —�---- IAXation: v _ BiTP: _ Tenant: _ ,4 Suits: `Bldg: _ MFC: Contractor: — Phone: PLM: --.— Owner: _Phone: _ _ ELC: ELR: __ SIT: _ BUILDING BLDG(con't) PLUMBING M MECHANICAL �LECT�RIC�AL SITE Site Post/Beam Post/Beam PosUBeam uvC er/Service Sewer/Storm Footing Roof UndFVSlab Rough-In Ceiling Water I..ine Slab Framing Top Out Cias Line Rough-In lJ0 Sprinkler Foundation Insulation Sewer Ifood/Duct Reconnect Vault F3smt Damp Ihywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C 11CIRIA 1'V y-C `W Shear/Sheath Fire Spklr/Alm Crawl/round Dr Hmo-MV, eat Pump rt Olt (�(/j0[ Approved Approved Approved v VApproved Appr/Sdwlk Not Approved Not Approved Not Approved pproved Not Approved FINAL. FINAL FINAL FINAL a 00 W O Call for reinspectio "' O Rein.VectiorLfeq of S —_required before next inspection O Unable to insptct Inspector: Date: /'0' - Page__ of CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL. PERMIT — 13125 SW Hall Blvd.,Tlgsrd,OR 97223 (503)6394171 RESTRICTED ENERGY PERMIT #: ELR98-0146 DATE ISSUED: 06/09/98 PARCEL: 2S102AP-03600 911'E ADDRESS. . . : 12265 SW MAIN ST SUBDIVISION. . . . : ZONING:C:BD PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TIG Pr•o.j er.t Description: HVAC system A. RESIDENTIAL--------- B. COMMERCIAL-------.-.-------------------------•------- AI..ID I 0 R STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : F31JRGL-AR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE At-ARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . :X PROTECTIVE SIGNAL.. . : INSTRUMENTATION. : OTHER. . : . . TOTAL_ # OF SYSTEMS: 1 Owner-: -- ____ --------------------____---- --- -- ----- —------ FE=ES ------ ---- -_— _ WARREN JOHNSON type amount by date recpt 3112 SW SANTA MONICA PRMT f 40. 00 B 06/04/98 98-306289 PORTLAND OR 97201 5PCT f 2. 00 P 98-306289 Phone #: Contt-act or-: ----_-----•----------------------------------------------------------- I]UNTE6k ­DAV I SSON f 42. 00 TOTAL 3410 SE 210TH --- --- RE01.1I RED INSPECTIONS ------- PORTLAND OR 97202 Ceiling Cover- Low Voltage Insp Phone #: 234--0477 Wall Cover Elect' 1 Final Reg #. . : 000161 This permit is issued sdbject 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 181 days of issuance, or if work is suspended or more than 198 days. ATTENTION: Oregon law requires you to follow rale adopted by the Oregon Utility Notification Center. Thole les are set forth in OAR 952-881-8818 through OAR 952-81-8898. You say obtain copies of these rules or direct questionsto 9A at 2%-19997. . t I s s f-led b y _-- Permittee Si gnat a r, OWNER INSTALLATION ONLY ---------- --- -- The installation is being made on pr^operty I own which is not intended .l=or sale, lease, or rent. OWNER' S SIGNATURE: DATE: __._-._.-----------------------CONTRACTOR INSTALLATION ONLY--------------.---------------._ SIGNATURE: OF SUPR. ELEC' N: DATE: LICENSE NO: +++++++++.+++++++++++++++++++++++++++++++++++f++++++++++++++++++++++++++++•++f•++•++ Call 639-4175 by 7:00 P. M. for an inspection needed the next bi-isiness day +++++.+-+f++f++++++++++++++++-f.f+++++++++++++++++++++++++++++++++++++++++++++++++++ I CiTY OF*rIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: , 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE ,, v V-503-6394171 X304 Permit*: F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ( Restricted Energy Fee........................................ .00 r r 0 1I (FOR ALL SYSTEMS) JOB Street Address Ste N Check Type of Work Involved: ADDRESS ,�r h� -,, ) • ^J City/Stale I Phone A ❑ Audio and Stereo Systems -1 _ �z2�� Name ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener' City/State Zip Phone N Heating,Ventilation and Air Conditioning System' Name ❑ Vacuum Systems' 'lut ❑ Other CONTRACTOR Mailing Address H l � TYPE OF WORK INVOLVED-COMMERCIAL {Prior to Issuance a City/State Phone 0 Fee for each system.............................................. $40.00 copy of all licenses I T, u U � J4 U't)7 (SEE OAR 918-260-260) are required if Oregon Contr.Brd Lic.N Exp.Date expired in C.O.T. 6 16 1 r A_ lis Check Type of Work Involved: data base). Electrical Contr.Lic 0 Exp.D to r o_ r )�.t- ❑ Audio and Stereo Systems C.O.T.or Metro Lic.0 Exp.D e o m [ ), ❑ Boller Controls Owner's Name CJ Clock Systems OWNER- Mailing Address ❑ APPLICANT Data Telecommunication Installation City/State Zip Phone N ❑ Fire Alarm installation This permit is issued under OAE 918-320-370.This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ Landscape Irrigation Control' 2 Cell for inspections when installation under this permit are ready for inspection at 503-639.4175; ❑ Medical 4. 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls a inspection when the inspector is out to Inspect under this permit; ~ ❑ � 4 Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling J 5 Assume responsibility for calling for a final inspection when all of the r l�`✓ �,I m corrections are completed. ❑ Other V 0 W Permits are non-transferable and non-refundable and expire if work Is not J started within 180 days of issuance or if work is suspended for 180 days. -Number of Systems The person signing for this permit must be the applicant or a person No licenses are required. Licenses are required for ell other installations authorized to bind the applicant. FFPQ; ignature ENTER FEES = w 5%SURCHARGE(.06 X TOTAL ABOVE) $ y d J Authority if other than Applicant TOTAL $ 7- i Vesele - i:lresele doc 12/98 — CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hail Blvd.,Tigard,OR 97223 (503)899.1111 PERMIT N. . . . . . . s MEC97-0361 DATE ISSUEDa 10/03/97 PARCELS 2BI02AB-03600 SITE ADDRESS. . . s 12265 SW MAIN ST SUBDIVISION. . . . : ZONINGS CBD PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . -. JURISDICTIONS TIG --------•------------------------------------------------------------------------ CL.ASS OF WORK. . -.ALT FLOOR FURN. . . . : 0 EVAP COOLERSS 2 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . 1 0 OCCUPANCY GRP. . :A3 VENTS W/O APPLs 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : i BOILERS/COMPRESSORS HOODS. . . . . . . 5 1 FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCINS 0 :GAS 3-15 HP. . . . S 0 COMML. TNCINs 0 MAX INPUT: 0 BTU 15-30 HP. . . . 1 0 REPAIR UNITSS 0 FIRE DAMPERS% . : 30-50 HP. . . . 1 0 WOODSTOVES. . S 0 GAS PRESSURE. . . -. M 50+ HP. . . . : 0 CLO DRYERS. . -. 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN < 100K BTU: 0 <= 10000 cfm-. 2 GAS OUTLETS. s 0 FURN > =100K BTU: 0 > 10000 cfms 0 Remarks: Yan's Restaurant - replace type 1 hood Owner: ------------------------------------------•-------- FEES -------------- HUA K YAN type amount by date recpt 12265 SW MAIN PRMT $ 32. 50 GED 09/23/97 97-299469 TTGARD OR 97223 PLCK $ 8. 13 GED 09/23/97 97-299469 5PCT f 1. 63 GED 09/23/97 97-299469 Phone #: Contractors -------------------•----------- CRISCO PRODUCTS INC POBOX 605 ------------------------------------ 42. 26 TOTAL JREGON CITY OR 97045 Phone #: 656-1890 Reg M. . : 072829 ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Shaft Inspection applicable laws. All Norte will be done in accordance with Hood Inspection IL approved plans. This permit will expire if work is not started Duct Inspection F within 181 days of issuance, or if work is suspended for more Final Inspection than 181 days. ATTENTION: Oregon law requires you to follow rules Final Inspection adopted by the Oregon Utility Notification Center. Those rules are _ set forth in OAR 952-01-011 through OAR 952-111-1181. You may obtain copies of these rules or direct questions to OUNC by calling m (913)246-9187. W J Issue By: Permittee Si na►turee — Y 9 ._.s, +++++++++++•#+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 6:00 p. :a. for inspections needed the next business day ++++++++++++++++++++++++i.+++++++++++++++++++++++++++++++++♦+++++++++++++t++++++ Plan Chock N 9 CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and ResideAtial Date Recd . TIGARD, OR 97223 Data to P.E. (503) 639-4171, x304 Data to DST_-�r��- r/,'Gf `rint or Type // (� YP loom late or illegible applications will not be accepted CZ of Dw"oMrtartuPr"a D�paon 1 a v�5 R K' Table 1A Mechanical Code Qr PRICE AMT Job sr..h^ddr*" strata A) Pei., Fee -0- � to.W Addressi?.122'6:v- ,5 M" I H saga cusum ZIP 1.) Furnace to 100,000 BTU 6.00 I/ ►'L r"/ d g- ducts a vena Name la nary a busmou) 2.) Furnace 100,000 BTU* 7.50 Owner 14(4/ 4 N G YA N including ducts a vena Mai"Addrmu 3.) Floor Furnace 6.00 fnkduding vent Cayman Bp Ph" 4.) Suspended heater,wait Mater 6.00 or floor mounted heater Nara la norm or buerm") 5.) Vent not Included in appliance panni 3.00 Oompant A! 11 Adareu 6.) Boiler or ow*,heat pump,air cons. 6.00 _ to 3 HP;absorb unit to t00K BUT" cMyrstau uP wtona 7.) Boiler or comp.Mat pump,air pond. 11.00 3.15 HIP;absorb unit to 500K BTU" Contractor W _ 6.) Boiler or comp.heat pump,air coed. 15.00 (Prior to �-► ISCL, ?r-o d vt6+y�Z h L• 15-30HP:sbsorbunX.5-1mNt3lU- Issuance 9) or comp,heat air concl. 22.50 applicant OS 30-50 eHP absorb unit 11-1.75mil S TU" must provide all Cnyrsute Zip Pnbne 10.1 ao0w or oomp,heat pump.ale Gond. 37.50 contractor At 91 &!i("'-ibr` z) >50 HP;absorb unit 1.75 mit BTU" license cora.Cont.floefd ue a Exp.Pow 11.) Air handing unit to 10,000 CFM 4.50 t infomution H expired in COT COT Buw*u Tax or Wo a 12.) Air handing unit 10,000 CFM 7.50 database). Architect Nara 13.) Non-portable eveporab cooler 4.50 L or McWig Add1e" 14.) Vent fan connected to a single duct 3.00 Engineer City/stale Zip Phorw 15.) Ventilation system not included in 4.50 appliance permit Describe work New O Addition O Alteration O Repak 16.) Hood served by.,led anicell exhaust I 4.50 4 to be done Residential O Non•+esidential O Additional Description of work 17.) Domestic fnclnerstors 7.50 i✓Q r (a C .-- C 16.► Commercial or industrial type 30.00 / e d 100 filo pr�n Incinerator Existing use S r 191 Repair unix 4.50 building or property 20.) Wood stove 4.50 Proposed use of 21.) Clothes dryer,etc. 4.50 building or property 22.) Other units 4.50 I Type of fuel..oil O natural gas O LPG O electric O 23.) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read this application,that the 24.) More than"r outlets(each) .50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State OTY.SUBTOTAL laws. Signature of Owner/Agent Data 'SUBTOTAL -! ,?�, / 7 15%SURCHARGE C ' Ict Person Name Phone �� PLAN REVIEW 25%OF SUBTOTAL W s '`/l 15t -f(f y� TOTAL i:ldst4nechpmt (rev 9 'Minimum permit lase is$25 75%surcharge "Reaiderdial A/C equNss sit pan elw Ace paoernent of unit OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: R104714« 1WrAe1 ,&t-J 2JOP I Jk /hrA� d 4-1, no A4 A L .CLL f er���`e_ �► ,� C�.c �1 J&M Class of Work: f' Floor Furnace: _ Evap Coolers: �- Type of Use: Cyfi Unit Heaters: Vent Fans: Occupancy Grp: 4, Vents w/o Appl: Vent Systems: _ Stories: o p\d Boilers/Comprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: 6441 ! / / 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units CIO Dryer: Fire Dampers: — _ < = 10000 cfm: '1 Oth Units: Gas Pressure: H / / L > 10000 cfm: Gas Outlets: No. Of Units: _ Furn < 100k Btu: Furn >=100k Btu: NOTES: COMMERCIAL INSPECTION ACTICINSSEE M NI1 S72. Permit Fee Gas Line Inspection � Plan Review Mechanical Inspection $ '� 5%State Surcharge Cooling Unit Inspection $ Additional Permit Fee Shaft Inspection s Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneous Fee Duct Inspection - y � Fire Alarm Inspection - Fire Damper Inspection REMARKS: Miscellaneous Inspection A/Ar 11 ©/yb!O CAi,1M L Fire alarm Inspection 2f,4AAt f1 tJ Final Inspection F�f �♦Y�� ��, FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial,CMS commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMrrS(NEW=new;ADD-addillon;ALT Q aaeration:ACS=accessory: FND=foundation:OTH=other,DEM=demolition:REP=repair FPS-ffre protection system.NOTF-USE OTH FOR FENCES, RETAINING WALL,DETACHED DECKS,SIGNS, AWNINGS,CANOPIES 0ovrcntr doc(dst) 8/47 1 a a ca J_ m , W J . CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT M. . . . . . . a BUP97-0456 13125 SW Hell Blvd.,Tlgerd,OR 97223 (503)6391171 DATE I SSUED a 09/24/97 PARCELa 25102AB-03600 SITE ADDRESS. . . : 12265 SW MAIN ST SUBDIVISION. . . . : ZONING%CBD PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . % JURISDICTION:TIG ------------------------------------------------------------------------------- REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :FPS FIRST. . . . : 0 sf Na Ss Es Ws TYPE OF USE. . . :COM SECOND. . . s 0 sf PROTECT OPENINGS?----------- TYPE OF CONST. :5N . . . a 0 sf N: So Es Wo OCCUPANCY GRP. aA3 TOTAL------: 0 sf ROOF CONST% FIRE RET?s OCCUPANCY LOAD: 0 BASEMENT. % 0 sf AREA SEP. RATED% STOR. : 0 HT: 0 ft GARAGE. . . .- 0 sf OCCU SEP. RATEDs BSMT?: MEZZ?s READ SETBACKS--------- REQUIRED___________________ FLOOR LOAD. . . . : 0 psf LEFT4 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACCs BEDRMSs 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. f a 1000 Remarks: Yon's restaurant FPS for type 1 hood. Owners ---------------------------------------------------- FEES -------------- YAW S RESTAURANT type amount by date recpt 12265 SW MAIN ST PRMT $ 25. 00 JSD 09/24/97 97-299508 TIGARD OR 97223 5PCT f 1. 25 JSD 09/24/97 97-299508 FIRE f —AV, 0• JSD 09/24/97 97-299508 Phone t#: Contractor: --------------------------- CRISCO PRODUCTS PO BOX 605 OREGON CITY OR 97045 — -----__-- --z--------------------- Phone #: 655-3094 $ TOTAL Reg ##. . : 000728 ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Sprinkler Final Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work Nil) be done in accordance with a approved plans. This permit will expire if work is not started !_ within 189 days of issuance, or if work is suspended for more Nthan 189 days. ATTENTION: Oregon law requires you to follm the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95291-9919 through OAR 952-9191987. -� You many obtain a copy of these rules or direct questions to UK m by calling (593)246-1987. 0 LU J Permittee Signature: Issued By:�/ Call 639-4175 by 6:00 p. m. for an inspection needed the next business day ++++++++++++.....+++++++++++++++++++++++++++++++++++++++++++++++++++++++.+++++ CITY OF TIGARD 0. DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hell Blvd.,77g1rd,OR 97223 (503)639171 PERMIT N. . . . . . . s BUP97-0456 DATE ISSUED: 09/25/97 PARCEL: 2S102AB-03600 SITE ADDRESS. . . : 12265 SW MAIN ST SUBDIVISION. . . . : ZONING:CBD PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : JURISDICTION:TIG --------------------------------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :FPS FIRST. . . . : 0 sf Ns S: E: Wt TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?---------- TYPE OF CONST. :5N . . . : 0 sf N: S: E: W: OCCUPANCY GRP. :A3 TOTAL------: 0 sf ROOF CONST: FIRE RET?s OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATEDs STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS-----• REQUIRED------------------- FLOOR LOAD. . . . 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKLtY SMOK DET. . s DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRMt HNDICP ACCs BF_DRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORRt PARKING: 0 VALUE. $: 1000 Remarks: Yan's restaurant FPS for type 1 hood. Owner: ---------------------------------------------------- FEES -------------- YAW S RESTAURANT type amount by date recpt 12265 SW MAIN ST PRMT $ 25. 00 JSD 09/24/97 97-299508 TIGARD OR 97223 5PCT $ 1.25 JSD 09/24/97 97-299508 FIRE $ 6. 25 JSD 09/24/97 97-299508 Phone k: Contractor: -------------------------- CRISCO PRODUCTS PO BOX 605 OREGON CITY OR 97045 -�'----------------------------------- Phone M: 655-3094 $ 32. 50 TOTAL Reg M. . : 000728 _ - REQt?T TED INSPECTIONS This permit is issued subject to the regulations contained in the Sprinkler Final Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with a approved plans. This permit will expire if work is not started _ within 191 days of issuance, or if work is suspended for more _ Nthan 181 days. ATTENTIONt Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those t rules are set forth in OAA 952-11-111 through OAR 952-!1111987. _ J You many obtain a copy of these rules or direct questions to OUNC _ m by calling 1513)246-1987. LU IB Permittee Signatures, s l sued y: Call 639-4175 by 6:00 p. m. for an inspection needed the next business day ++++++.....+++++++++•F++++++++-r+++++++++++++++++++++++++.++++++++4+++++++++++++ all Fire Protection Permit Application ,Plan tI OF TIGARD • Commercial or Residential Ly � Rei e►, a� 1 129 SW HALL BLVD. 9 Oft Reed TIGARD, OR 97223 Print or Type oaa to P.E. (03) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted oaa to osT Called Name of Deveb nt/Prolect Type of System(Complete A or B as applicable) Job x pt-S Address 217% mct c to A.)Sprinkler Wet Chu DryO StandpipesNa Owner Mailing Address Additional Halard Group City/State zip I Phone Information Density Name Design Me Occupant Mailing Address K Factor Cny/state Zip Phone Sprinkler Project Valuation $ Vic) COT Business Tax or Metro 0 Exp.Date B.) Fire Alarm Contractor mo Submittal Shall Include Battery Calculations YES❑ (Sprinkler or 1 V ISc T("o N C' Individual Component YES p Alarm Company) Asifingran O S, Cut sheets ppb Fire Alarm Pro ect Valuation aduer" 9F I'm"K0 plow so" City/Stall G z C�mfPho I YD j ProJeat Valuation Subtotal(A or®) Staid Cons Cant.Board Lk:. Exp.Date `- Permit tee based on valuation COT d.ese.s 1, COT Business Tax or Metro M Exp.Date (ell chart on back) Name 5%Surcharge $ Architect Mailing Address FLS Plan Review 40%of Permit $ City/State zip Phone TOTAL $ PLANS MUST BE SUBMITTED.approved wed a permit Issued prior to inweaeticn. to be done: Describe worts A.)New Addition O Alteration O Repair O Three sets or Plens and sits pion(and vtdreily crap)requkW whid skitter 1o�tlon o/ nearest B.) Basement O HoodfVent O Spray Booth O 1 hereby ack iMAWlie that I haw read this application,dW the inlbma0on given is Complete O Partial O Exitway O Cot, teat I am Cee owns or suutonzed agent of the owner,and that plans arW tW m to oonepNwece with Orepon State laws. Additional Description of Work: St Date r� +1 .Q C�u.. cl 1106tt FV- 4 S St— �-Z3 -'?"r7- A.)In Existing Building 1p New Building C7 Cifritact Person Nerne Phone >- Building 6?�Tj ' %p Data B.) Commercial ip Residential o FOR OFFICE USE ONLY: m Plat* Mapffl i W No. of stories: .J Sq.Ft: Notes Occupancy Class Type of Construction 1:TIRESUPR.DOC (DST) SM j CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES 40% 5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 '10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4.001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 a. 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 cn 30,001-31,000 197.50 79.00 9.88 286.38 F- 31,001-32,000 202.00 80.80 10.10 292.90 m 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 w 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 26,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 FIRESUPR.DOC (DST) SM 2 CITY OF TIGAD BUILDING INSPE ON DIVISION ;a 24-Hour Inspection Line: 6394175 Business Phone:639-4171 Date Requested: 10- 6(o - 107 7 M. _ P.M. MST: Location: _ s zz BUP:. Tenant: -- Suite: Bldg: NEC: Contractor:�-�-� Phone: _ PLM: Owner: dfl� .� �: �� ELC: ELR: _ SIT: BUILDING n'Q PLUMBING MECHANICAL ELKC-MCAL SITE Site -Vo- Beam Post/Bea 7 PosUBeam Cover/Semce Sewer/Storm Footing Roof UndFUSlu, Rough-In Ceiling Water Line Slnb Framing Top Out Gm Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Lsmt Damp Drywall Storm Furnace Temp Service MISC. Masoms Ceil, Rain Drain A/C UG Slab Shear/Sheath ,ire Spk Alm Crawl/Found Dr Heat Pump Low Volt v _ Approved Approved Approved Approved Appr/Sdwlk -ITot-AppMad Not Approved Not Approved Nd Approved Not Approved L FINAL FINAL FINAL FINAL a N -- J_ m W J f7 Call for rein. ti C1 Rein^pectio of S requi fnext in ion O Unable to inspect 7 inspector: Date: Page of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 / Date Requested.4 '- 'T 7 A.M. _ P.M._ MST: -- Location: f a s_ r� c��n gtin Tenant: _�N,I r J CI� 5��P-6rp� lig: ME . Contractor: Phone: -n. S PLM: Qw�n/er:: _ Q i C__:ff Phone: ELC: ` M no n2 ELR: Wt PCOM iT M rc q7—03�A�-zc�r BUILDING BLDG(coni) PLUMBINGXRo �LECCRICAL�j S1TTt� Site Posl/Bcam Post(Beem Cover/Sernce Sewer/Storm Footing Roof UndFl/Slab Ceiling Water Gine Slab Framing Top Chit Rough-In LTG Sprinkler Foundation Insulation Sewer Reconnect vault Bsmt Damp D ywall Storm Temp Service MISC. Masrn,.ry Ceiling Rein DrainZAA UG Slab Shear/Sheth Fire Spk1r/Alm Crawl/Found Dr Low Volt Approved Approved Approved Approved Approved LApp,r/,-S,dwlk Not Approved Not Approved Not Approved ved Not Approved FINAL FINAL FINAL / FINAL FINAL -- a ac -- N �J m to J O Call for reinspection O Reinspection fee of I _ _ req-uirreed before next inspection O Unable to inspect inspector:-7�r�^�'t - XL- lite: 1 =�L _�� Page of CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT Ns ELC97-0645 13125 SW Hail Blvd., Tigard,OR 97223 (503)&V4171 DATE I SSUED s 10/01/97 PARCELS 2S102AB-03600 SITE ADDRESS. . . : 12265 SW MAIN ST SUBDIVISION. . . . : ZONINGsCBD PD BLOCK. . . . . . . LOT. . . . � . . . . . s JURISDICTION% TIG Project Description- Installation of 3branchcircuits. -------------------------------------------------------------------------------- ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS --- -----MISCELLANEr)US----- 1000 SF OR LESS. . . . s 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATI011. . . . s 0 EACH ADD' L 5005F. . . s 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG.. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . 1 0 SIGNAL/PANEL. . . . . . . % 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL (10) . . . 1 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD'L INSPECTIONS—- 0 - 200 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 CIRCs 2 IN PLANT. . . . . . . . . . . s 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. . s CLASS AREA/SPEC OCC. : Owner: --------------•------------------------------------ FEES ---------------- YAW S RESTAURANT type amount by date recpt 12265 SW MAIN ST PRMT $ 45. 00 DRA 10/01/97 97-299707 TIGARD OR 97223 5PCT $ 2. 25 DRA 10/01/97 97-299707 Phone #: Contractor: ---------------- ---------------------------------------------- PIONEER ELECTRICAL SERVICES IN $ 47. 25 TOTAL 615 14TH ST ------- REQUIRED INSPECTIONS ----- OREGON CITY OR 97045-1610 Ceiling Cover Elect' 1 Service Phone #: 657-9666 Wall Cover Elect' 1 Final Reg #. . : 010548 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 work Mill be done in accordance with approved plans. This permit will expire if Mork is not started within 191 days of issuance, or if work is suspended for acre than 191 days. ATTENTION: Oregon last requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9W-NI-611 through OAR %I-M1-1987. Ynu may obtain a copy of these rules or direct questions to ng (3!3""_'997. (� a. Permittee Signature: Issued By OC N -----------------------------OWNER INSTALLATION ONLY----------------------------- J The installation is being made on property I own which is not intended fear, CD sale, lease, or rent. w OWNER' S SIGNATURE: DATE: ..— ------------------------CO T INSTALLATION ONLY----------------------------- SIGNATURE OF SUPR. ELEC' N: - DATE: _ LICENSE NO: +.++++++++++++++f-+++++++++++++.f•++++++++++++++++++++++++++++++++++++++++.+++++++ Call 639-4175 by 6:00 p. m. for an inspection needed the next business day CITY`OF TIGARD Electrical Permit Application Plan C 13125 SW HALL BLVD. Rued B _ -- TIGARU OR 97223 Date Rec'd 1 -1 Date to P.E. Phone(503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit tr ,(_L.C. Fax(503)664-7297 Incomplete or illegible will not be accepted called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections par permit allowed oo Name(or name of business) A I N CSE _ Service Included: Items Cost Sum Address -L.-L C6 �1� M A (�/ _ 4a. Resldentia.-per unit Ci /State/Zi �1 Y�l C 1000 aq.fl.or less 6110.00 4 ry p � Each additional 500 aq.It.or Commercial Li Residential ❑ portion thereof $25.00 1 Limited Energy 525.00 Each Manul'd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $88.00 2 (Attach copy of all current Ilcenses) 4b.Services or Fwders Electrical Contractor 111cE6Z E�-Ecl Qi Cd�-S-�e Vim". Installation,alteration,or relocation Address S 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 City u. . State -Zip_ 401 amps to 600 amps $120.00 _ 2 Phone N . 5 - _ 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. - 't Exp.Date 1 V-l- Reconnect only $50.00 2 OR State CCB Reg. No.10s 4 9" _Exp.Date-4-5-9 4c.Temporary Services or Feeders COT Business Tax or Me '29S Exp.Date*A-%--M Installation,alteration,or relocation 200 amps or less _._ $50.00 2 Signature of Su r. Ele 201 amps to 400 amps $75.00 2 g p 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 4o 3 J Exp.Date 10-1-9 8 ase"b"above. Phone No. GG"1 - _ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The lee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b)The fee for branch circuits City State Zip without purchase of ? (� Phone No. _ _ service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit, $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation 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 (L panel,alteration or extension $40.00 2 Minor Labels(10) $100.00 H Please check appropriate Item and enter fee In section 5B. rq _ 4 or more residential units in one structure 411.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 J _Classified area or structure containing special occupancy Per hour $55.00 m as described in N.E.C.Chapter 5 In Plant $55.00 W *Submit 2 sets of plans with application where any of the above apply. 5. Fees: bD Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ Sb.Enter 25%of line 5a for PEPr IlTc;BFCOMF VOID IF WORK OR CONSTRI_Ir_,TInN Al ITHORI7ED IS Plan Review if required(Sec.3) $ NOl COMMENCED WITHIN Isn DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONcD FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account M _ It Total balance Due I.DSTSTLC96.APP Rev 996 CITY OF TIGARD BUILDING INSPECTION DIVISION I .. 24-Hour Inspm ion Line: 639-4175 Business Phone: 639-4171 Lj � Datc Requeded: / -� /-'7 _ A.M. ,� P.M. - MST: Location:*_ R4j 1U41N ST = BUP: Tenant: C�//(nf � /Suite: Bldg: MEC: Contractor: AL ���i Phone: (/` J '-q���1�� � PLM: Owner: `-Phone: 7 20_7 _/pal-G� ELc: *7 � f' E AZIE ,�6• ��-5 M2- ELR: --- SIT: aU11DING BLDG(con't) PLUMBING MECHANICAL t4LECTRICALD SI'Z'E Sire Post/Beam PosdBearn Post/Beam Sewer/Storm 'rot,':ng Roof' UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out On Line Rough-In UO Sprinkler Fouadntion Insulation Sewer Hood/Dwt Recontact Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UO Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approval oved Approved Appr/Sdwlk Not Approved Not Approval Not ApprovedNot Approved FINAL FINAL FINAL "-3L FINAL a — tn J W — 0 Cali for reinspection 0 Reinspect' fee of$_ required before next inspection O Unable t inspect �O Inspector. _ Dete: 07/ —,/:;,—,/:;, page-of 'i CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT N: ELC97-0612 13125 SW Hell Blvd.,Tigard,OR 87223 (503)63!4171 DATE ISSUED: 09/12/97 SITE ADDRESS. . . : I.2265 SW MAIN ST PARCEL: 29102AB-03600 SUBDIVISION. . . . : ZONING:CBD PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : JURISDICTION: TIG Project Description: Install four (4) b,•anch circuits to existing commercial tennant occpy. --------------------------------- ---RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 RUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FPR. : 1 PER HOUR. . . . . . . . . . . e 0 401 - 600 amp. . . . . . : 0 EA ADD'L BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION-------- 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/cDR )- 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: --------------------------- ------------------------ FEES ---------------- YAW S RESTAURANT type amount by date recpt 12265 SW MAIN ST PRMT $ 50. 00 GEO 09/12/97 97-299177 TIGARD OR 97223 5PCT $ 2. 50 GEO 09/12/97 S7-299177 Phone M: Contractor: ----------------------------------------------------------------- ENDERS ELECTRIC $ 52. 50 TOTAL 14805 SW WALKER RD ------- REQUIRED INSPECTIONS ----- BEAVERTON OR 97006 Ceiling Cover Underground Love Phone 1f: 626-4813 Wall Cover Elect' 1 Service Reg M. . : 000267 p This permit is issued subject to the regulations contained in the Tigard Nuniri 1 Code State of Oregon Pe J g Ia Pa , g Specialty Codes and all ether applicable laws. All Mork Mill be done in accordance with approved plans. This permit Mill expire if work is not started within 191 days of issuance, or if work is suspended for more than IN days. IONt Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rulesa set fo i 952-11-NII through OAR 952-11-1987. You may obtain a copy IL of these rules or direct questions to OUNC by n 151312 Permittee Signature: ,sued By -► ---------------------------OWNER INSTALLATION ONLY----------------------------- m The installation is being made on property I own which is not intended for sale, lease, or, rent. W OWNER' S SIGNATURE: DATE: -------------------------CONTRACTOR INSTALLATION ONLY----------- -- --------------- SIGNATURE OF SUPR. ELEC' N: _ DATE: LICENSE J0: _�a� -S i ++++++++++++++++++++- +++++++++++++++++++++++++++-d•t+++++++++++++++++++++++++++++ L Call 639-4175 by 6o@@ p. m. fgy, an inspection needed the nlxt businsas dag ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++t+++++++++ft++t+♦ GENNEENEW CITY�OF TIGARD Electrical Permit Application Plan C wck 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Data Recd Oats to P.E. Phone(503)639-4171,x304 Data to DST Inspection (503)639-4175 Print or Type Permit N Fax Inspection (503) 3 Incomplete or illegible will not be accepted Permi a Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) Y42 A L5 Service Included: Items Cost Sum Address4a. Residential-per unit 1000 sq.It.or less $110.00 4 City/State/Zip Each additional 500 sq.ft.or E] Limited thereof $25.00 1 Commercial Residential Umited Energy _ $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $86.00 2 2a. Contractor Installation only: (Attach copy of all current license ) 4b.Services or Feeders �I@Ctncal Contractor r. Installation,alteration,or relocation / r 200 amps or less _ $80.00 2 Address DS 54y �.�i� :r- 201 amps to 400 amps $60.00 2 City State LV,-,C Zip T 7r i:� 401 amps to 600 amps $120.00 2 Phone No. � L�.�- 4'!L/ 601 amps to 1000 amps $180.00 2 Ji.D No. Over 1000 amps or volts __ $340.00 2 Elec.Cont. Lice, No. 3q,16 S'C-._Exp.Date Reconnect only $50,00 2 OR State CCB Reg. i Jo. 2 L T _Exp.Dat Y 4c.Temporary Swvlcss or Feeders COT Business Tax or Metro No. E ate Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 201 amps to 400 an,'ns $15.00 2 401 amps to 600 amps $100.00 2 2 L1 / yC Over 600 amps to 1000 volts, License No. * Exp.Date_�_ see"b"above. Phone No. ? -f/-2-( 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ _ ceder fee. Address Each branch circuit $5.00 2 b)The fee for branch circuits City A State_ Zip without purchase of Phone No. service or feeder tae. 3�v First branch circuit �_ $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 ! 2 intended for sale,lease or rent. 4e.Miscellaneous !Service or feeder not included) Owner's Signature Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):" Signal circuits)or a limited energy apanel,alteration or extension $40.00 2 Minor Labels(10) $100.00 tY Please check appropriate Item and enter fee In section 5B. N 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 J 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. 5. Fees: ♦� JNot required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of Tina 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if Tguired lSec.31 $ NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account#r Total balance Due I MsrsTI.C96 APP Rey.ass CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspoixion Line:339-4175 Business Phone: 639-4171 Date Requested: (� / ' `� A.M. P.M. MST: Location: /.�.tel (� 5 �' �.� �ia , 9l,' � - BUP: c Tenant: �a !L'.�i Suite: Bldg: _ NEC: / 7^ Contractor:_ Phone: _ PLM: _ Owner:_ Phone: ELc: ELR: SIT: BUILDING BLDG(con't) PLUMBING LLEC7WCAL SITS Site Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MIW. Masonry Ceiling Rain Drain A/C IJG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved *FINAL rov Approved Approved Appr/Sdwlk Not Approved Not Approved ved Not Approved Not Approved FINAL FINAL FINAI, FWAL IL F- m — _ W J O Call for reinspectio O Reinspection fee of S required before next inspection 0 Unable to inspect Inspector:_ �`-C"�� �. Date: 1 I ` Page of P O Boit 7146•Route 29 North 13" ChatlotteaviUe.Vitpnla 229% (804)9734361 Fa:(804)973.1589 November 8, 1995 TO WHOM IT MAY CONCERN: Please be advised that Range Guard has obtained several NEW UL listings due to continued product testing. These NEW coverage listings are as follows: 1. Split Vat Fryer Listing ( LOW PROXIMITY) Nozzle Height: 16" min. to 27" max. Hazard Size: 15"X 14"vat only 21"X 14" including drip board Nozzle Type: AAP - 1 flow point Aiming Point: Midpoint of protected hazard Installation Placement: Within appliance perimeter 2. Griddle Listing ( LOW PROXIMITY) E Nozzle Height: 13" min. to 48" max. Hazard Size: 42"X 30" Nozzle Type: ADP - 1 flow point Aiming Point: 3"offset from center of hazard Installation Placement:On the perimeter of appliance 3. A.+ Control Head • Now operates up to 5 cylinders of any size • Now can use up to a total of 20 feet of copper tubing o. All the above coverage may be used iMMcdUmLy. 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