13789 SW MISTLETOE DRIVE ?ja 30l3llSIW MS 68L£6
ac
0
W p
Q N �
d W m 0
cn
a 3
>co �
� CY)
e--
13789 SW MISTLETOE DR
CITY OF TIGARD WILDE IG INSPECTION DF 1SION
24-Hour Impection Line: 6394175 Busin
77
Date Requested: _ U/� - I A. _ _ MST: _
l,ex;aticm: _ l — W .—_____ HIJP:
Tenant:_ Suite: BI MFC: -- C�
Contrac 62 Phone: 7 PLM:
()m : "� �-p�' _Phone.: _
ilii �� —— SIT: - - --
BUILDING BLDG(Cori) PLUMBING MI+,CHANICAI. ELECTRICAL SITE`
Site Post/Beam Post/13eam Cover/Se:vicr, Sewer/Storm
Footing Roof UndFI/Slab Rough-in Ceiling Water Line
Slab Framing 'fop that Gas Line Rough-In IJG Sprinkler
Foundation Insulation Sewer Hood/Dmt Reconnect Vault
DaniMas Damp Drywall StoRain
� 1IG S Service MISE.
Masonry Ceiling Rein Drain A/C l)('r Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih eat Pump Low Volt
Approved Appmved ! A Approved Approved
Appr/Sdwlk Not Approred Voi Approved at Approved Not ApIm med Not Approved
FINAL FINAL FINAL FINAL FINAL
IL —
m
Lq -----_ a------ ____.._--- -- --- -
W
J
O Call for reins O Reinspection fee of S required before next inspectiem 01Inable to inspect
Inspector_ ______ _ _ _ Date:__ � �7 74-1 -- Page- .---of-
CITY OF TIGARD Et,UC;TRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: E'LC97- 0538
13125SWHill Blvd.,Tl9srd,ONO= (5Z)6394I'll DATE ISSUED: 00/08/97
PnRCEL s ^5100BA--OC;"00,
17 AnDRF- , . . : 1'1789 CW M I STLETCII DR
130T,'IS:0N, . . . :1111 1_SHIRE ^Lft"MIT #:".: 7.0NINCa.R 7 fin)
OCN„ . . . . , . . . : LOT. . . . . . . . . . . ...:s4 .7URICDICTION: TIr
o,j er t De scl i pt i.on: Add two (2) branch circuits ta an existing SFD.
RE"S l nt NT I AL UNIT--- TEMP G RV(-_/rEEDCRa M T CELLANEOUS_ ..
,100 SF OR LESS. . . . : 0 0 - COQ+ amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
4"11 ADP+ t. 5005r. . . . 0 01011 400 amps. , . . . . . : 0 TGN/OUT LINE LTG. . : 0
?MITED ENERGY. . . . . : 0 401 - 600 F.mp. . . . . . . s 0 SIGNAL/r"INEL. . . . . . . : 0
rilr, i r., '3VC/FDR. , : 0 Gol r amps 1000 volts. . 0 MINOR LABEL (10) . . . : 0
-SERVICE/rEEDER------- -----BRANCH CIRCUI rS--- -- --_--ADD' L INSPECTIONS--
200 amp. . . . . . ; 0, W/URVICE OR rLEDER: 0 PER INSPECTION. . . . . : 0
`1. 400 amp. . . . . . s 0 1st W/0 SRVC CR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
i 600 .imp,. . . . . . . 0 EA ADD' n. I1RNCH CIRC- I IN PLANT. . . . . . . . . . . . 0
'1 -- 1000 amp. . . . . : 0 __._-______-__.___.fiLAN REVIEW SECTION--_.___,______---_
100 -# amp "Vo l '. . . , , 0 ) =4 RD.'S UNITE;. . . . . . . . : ) G0o► VnLT NOMINAL. . :
1'c:onnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . CLASS AREA/SPEC OCC. :
lnev : -- -_._._. ___.___....__....
11 CIIEN type amo+.tnl. by date t-ecpt
.a7Ci'3 SW MI17,T1_.r:T0 !7 DRIVE" F'RiMT $ 40. 00 OFO 00/08/77 97- 0916 O11
CPPD Ot" 9717,2-11 SPCT $ 2. 00 OFO 08/08/97 97-^9f1097
one #:
-ST^IDE E1..C(7TRIC t 4^. 00 TOTAL
',18 SW MACPDAM AVE
- _ - - - RE UL)I RED INSPECTIONS
RTLAND OR 97;21'3 Ro1_cyh-in Elect' 1 '3ervic
Jnlr4 #. i-45-.3-413'o Cove r-ler_t,' 1 "'incl
g #. . . 000133,
Is permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
,,ticable laws. All wrrk will be dot--e in accordance with approved plans. This permit will expire if wirk is not startod within 198
,s of issuance, or if work is suspended for more than 190 days. ATTENTION: Oregon law requires you to follow the rules adopted by
Gregor, Utility Notification Center, Those rules are set forth in OAA 92-081401P Mr 1117. You may obtain a copy
these rules v. direct questions to OX by callint (503)246-1997.
a
a 1 !-
„
11 Siunn"'we . Iysl_led fly d
H
r�
__.._.___•_-___..._...._OWNER I(,ISTFILLATION ONLY-..---__-.-._.__..__.___.._.....___.___.___ ... ... ._..._._._._ -..
.J
ED ir,_,.! 8,l ;.atinrr is being Mode or, lar•open~ty I lawn wl-►ir_fl is not iliter,ried for-
'lea or n ent.
W " �t F" .; IiT" �.,r!TtlRC : DATE#
_. __ __ ___ _.__......_.. _....
CJNTQnr,'TOR TNSTALLATION
(-1,1:1-'JRr OF rltPP. EL_r.rC N: r1I r)AT'
4a-+4-++++-f ++ t+4a -,.}.. .i..Fi.{{.
:439 1L7C by 6:00 p. m, for an ir75pectian nee'ried ttte next hl,lsinP45 day
CITY OF TIGARD Electrical Permit Application Plan Chock III
13125 SW HALL BLVD.
Rer•'d By_��
Data Recd
TIGARD OR 97223 Date to P.E.
Phone (503)539-4171, x304 Date to DST._
Print or Type j� ���
Inspection (503)639-4175 Fermit NGe
Fax(503)684-7297 Incomplete or illegible will not be accepted called
1. Job Address: 4. Complete Fee Schedule Below.
Name of Development _ _- Number of Inspections per permit uilowed
Name(or name of business) C�'�r - Service included: Items Caat Sum
Address� C � +a• P-isldontial-per unit
CI /Sta1../ZI / 1000 sq.ft.or less -_ $110.00 4
ty p Fach additional 500 sq.ft.or
portion
Commercial 1 Residential Llmited Energy
$25.00
y1
$25.00
Each Manurd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00 _ 2
(Attach copy of all u nt II 4b.Services or Feeders
Electrical Contract rrvl / installation,altera.;on,or relocation
Address 7 ^ .J �' =12Lri a-���,Mesa $60.00 2
201 amps to 400 amps 580.00 _ _ 2
cityState _Tp� �/ _ 401 amps to 600 amps _ $120.00 2
Phone No. - 601 amps to 1000 ampsOve $180.00 _ 2
JOb No. ^_�- Reconnect
nett amps or volts _^ $340.00 2
Elec.Cont.Lice.No. ' - ' Exp.Date_ _ Reconnect only $50.00 2
OR State CCB Reg. No. i Exp.Date_ 4c.Temporary Services or Feeders
COT Business Tax or Metro No Exp.Date _ Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Su r.Elec'n / 201 amps to 400 amps $75.00 2
9 P 401 amps to 600 amps $100.00 2
Over 600 amps 7o 1000 volts,
License Nr 1 Exp.Date see"b"above.
Phone Nr 7 y.T- I JR. _ - 4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: e)Tho tee for branch circuits with
purchase of service or
Print Owner's Name_ feeder fee•
Address _ _ - i_J Each branch circuit $.5.00 __ 2
h)The fee for branch circuits
City State Zip _ without purchase of
Phone No. ___ service or feeder I'm.
First branch circuit I $35.00 2
The installation is being made on property I own which is not Fach 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
Q, 3. Plan Review section(if required):* Signal 1,alteration
or o limited energy - -
panel,aMeretlon or extension $40.00 2
Minor Labels(10) $100.00
N Please check appropriate Item and enter fee In section 5B.
4 or more residential units In one structure 4f.Each additional Inspection over
Service end feeder 22.5 amps or more the allowable In any of the above
___System over 600 volts nominal Per inspection $35.00
_ Classified area or structure containing special occupancy Per hour $55.00
r as described in N.E.C.Chapter 5 In Plant V $55.00 _
Wr Submit 2 sets of plans with application where any of the above apply. 5. Fees
Not required for temporary construction services. 5s.Enter total of above fees $
5%Surcharge(.05 X total fees) $ �-
NOTICE Subtotal $ --
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if ro0uired(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Sub 1 $ - ---
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY � 3
TIME AFTER WORK IS COMMENCED. frust Account
Tolial balance Due
ODSTMELC99.APP Rev 9/96
CITY G TIGARD MFCHAN I CnL
DEVELOPMENT SERVICESPERMIT
PERMIT #. . . . . . . : MEC97-029G
13125SWHag Blvd., Tly8rd,OR97223 (503)639.4171 DATE ISSUED: 08/07/9'
PARCEL-. OS109DA--0;000
f1D►'n,PESS. . . : 13781) 5W M i STLETOr DR
UDD I V I S I ON— . . . : I-I I LI_91.1I RE 1-IMM 11- # ZONING: R -7 PD
..07,v. . . . . . . . ., . . LOT. . . . . . . . . . . . . :34 ;011ISDICTION: TIG
------------ ---------------------------------------
r'I_fir;'; or WORK. . :ALT FLOOR FURN. . . . : 0 !`VAP COOLER'S: 0
YPE OF USE. . . . :Sr UNIT HEATERS. . : 0 VENT FANS. . . : PPI
7UPA1\:r'( GRP. . :R-3 VF'NTS W/0 APPI_: 0 VENT SYSTEMq: 0
:TORIEL. . . . . . . . : 0 BOILERS/COMPRESSORI HOODS. . . . . . . : 0
'..1rL TYPF3--._._.-..__.. . _ . .-. 0._3 HP. . . . : 0 DOMES. I NC I N: 0
"-LE 3--15 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 STU 15"30 HP. . . . : 0 RtPAIR UNITS: 0
F i RE DAMPERS'. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAC PRESSURE. . . : Ski+ lip. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITr____ ....__- _ nTR HPNDLING UNITS OTHER UNITS. : 0
TURN ( 100M,, STU: 10 (= 10000 cfm : 0 GAS OUTLE:TS. : P
FURN ) -100K }ITU: rh ? 1010001 cfm : 0.'
nem-it-lis : Installing an outdoor A/C unit. Unit oust encroach into the 51 side or
rear yard setback.
Ovun er: ------------ FEES
0-41 CHOA CI'f'IV type amo1.►nt lay nate! i,ecpt
13789 SW MISTLETOE DR PRMT 25. 00 B 08/07/97 97- Z'98065
TGnRn OR ?70FA• 5PCT t 1. 25 B 081V17197 97-29806'
A -1 !"aiR CONDITIONING CO INC
3435 SF CEDAR ST ._..__...._______--___.-__________----____---
$ 26. 25 TOTAL
HTL.LSI0110 OR 97103
'y': ,�rc ..591Z10'1
Reg #. 000621
REOUI RED INSPECT.ONS -- - - - -
,Lis pereit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore, Specialty Codes and all other F i ria I Inspection _
applicable laws. All work will be done in accordance with
(L approved plans. This permit will expire if work is not started ^^_
within 180 days of issuance, or if work is suspended for sore
N than 180 days. ATTENTION: Oregun law requires you to follow rules
r adapted by the Oregon Utility Nrtification Center. Those rules are
J set forth in OAA 7 : 11 0010 P roug` CAA W-001-"0080. You may
ED obtain copies o` these rules or direct questions to W by calling
'5031246-9187,
!VA'L. ~� E'a r m i t t e e S i gnat 1_t r e :_
i +•-F 4-+-1•+++-$-+ 4.4 4++++r-1--F++4 ++4++++-E+++++4 +++4...+-I...4++4-++4.+++++1 4-1 1 i 4 4 ++4 +-r it F
Call P'39 '1i '7j l:ly (7' :1''11]1 p. n'. fc)r irispec.tiUns SieLfJe(I the ')ex.t f3ltsiT)esS iia
4 A i".+..R...i.-r.+--f ,_.4.}--1...,.{.;...4.. r 4._1.+ ,..1.,1 -1..4.-{.,.++++4++,+++++.+++++44,+# N+++-r"+-f,++-++'{'1 4+".r.+4-f-+++ #4-++++-F
Plan C
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SWI HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639.4171, x304 Dots to DST
Print or Perrot a
called,",
Incomplete or illegible application.,,will not be accepted
N.mm orDev*lopnrxrvPnW0 Desicription
Table 1A Meehan"rods OTY PRICE AUT
Job strsa AO&W" sufts A) Permit Fee -0 4)- 10.00
Address 13 7
Wdo r ceylsWe,oZIPZ 1.) Fumace to 100,000 BTU 8.00
3 J y including ducts&vents
Ior nems of buamatl 2.) Fumo-s 100,000 BTU+ 7.50
Ormer '-�J including ducts A vents
Mrlirp Addm" 3.) Flow Fumsce 8.00
J including veM
cllyrsiste vnrxn a) S1 paraded healer,wall hearse 8.00
��- r . ,,Z.t(-L? or floor mounMd haatka
1p ran» ,Touixnu► 5.) Vwd not induded In appliance pemmit 3.00
occupant F"A Ao1drom 8.) Boiler or comp,heat pump,air.,axW. 8.M
to 3 HP:absorb+snit to 100K BUT"
cumvsrre
MIPhone 7.) Boiler or ocxnp,haat pump,ale cord. 11.00
3-15 HP;absorb unit to 500K BTU"
Co; j actor '" ~�- 8.) Boiler or comp,heat pump,air rbnd. 15.00
(Prior to -3 U 15-30 HP;absorb unit.5-1 mit BTU"
issuance Pilo"Addmu 9.) Boiler or comp,heat pump,air Gond. 22.50
applicant - 30.50 HP;absorb unit 1-1.75mi1 BTU"
must provide all Cltyrsmaal-2 /0,3 10.) Boiler or comp heat pump,air Gond. 37.50
contraclor L. S iit"�r�`_ �j (� �50 HP;absorb unit 1.75 mil BTU"
license Oregon Conn.Com.9oard I k.r p.Oar 11.) Air handling unit to 10,000 CFM 4.50
informrttion if
expired in IV AL -I
COT COT Sumo.Tax or MWa r Exp.Dees 12.) Air hsndkV unN 10,W19 CFM 7.50
database).
Archkect tr""e 13.) Non-portable evaporate cooler 4.50
or MerWV Addrou 14.) Vent fonPecled to a single duct 3.00
Engineer cwr�$r,ry' Lp P^" 15.) Ventilation system not Included in 4.50
_ &ppliance permit
Describe work New Q Addition O ARerstion Repair O 18.) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O
Additional Description of work 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Irlcinamtor
Existing use of 'e t•t- +'�\\ �� - 19) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use a
~ uildr property y_ r•J 21.) CloNxts dryer,etc. 4.50
rn
22.) Other units i 4.E0
J Type of fuel-oil O natural gas C, LPG O ekchic 23) Gas piping one to four outlets 2.00
_m
0 1 hereby edmowtedge that T have rad this application,that the 24) More than 4-per outlets(each) .50
W information giver is correct,that am the owner or authorized agent of
the owner,that plans submitted .ie in compliance with Oregon State QTY.SUBTOTAL
taws.
Signature if Owner/Agent Date •SUBTOTAL
_ 5%SURCHARGE Z�
Contact Person Name ` Phorvj T PLAN REVIEW 25%OF SUBTOTAL
TOTAL
i tdstvnechpmtdoc (rev 9 'Minimum permh fee Is$25+5%surcharge
"Residential A/C requires site plan showing placerrwit of unit
7 4 T-Z: an GAJ