14500 SW MCFARLAND BLVD-1 I
aAlfl aNVIUVJOW MS OOSV6
A
I
CA .
i�
�y J
� m
y � Z
LL
t7 U
cn
o
L
14500 SW MCFARLAND BLVD
i
l
CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0056
1;1125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 02/05/48
PARCEL: 2S11OBA-02700
SITE ADDRESS. . . : 14500 SW MC FARL-AND BLVD
SUBDIVISION. . . . :SHADOW HILLS ZONING:13-2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :037 JURISDICTION: TIG
Project Description: Add a first branch circuit for pool boiler :;;,ti r crxling.
-------------------- ---------------------------------------------------- -----------
---RESIDENTIAL UNIT----- ---TEMP SRVC/FEED_RS---- -----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . " . . : 0 PUMP/IRRfGATT9N. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT '._INF- LTG. . : 0
LIMBED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MNNF. HM/ 9VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS----
0 - 2O0 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . r 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 REF UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: --•----------_----------------------------------------- FEES
MITO, WAYNE & CARLA type amount by date recpt
14500 SW MCFARLAND BLVD PRMT f 35. 00 GEO 02/05/98 98--303071
TIGARD OR 97224 SPCT $ 1. 75 GEO 02/05/98 98•-303071
Phone #: 684-6064
Contractor. ---------------------•-------------- ------ --------_----------------------
OWNER a 36. 75 TOTAL
------- REQUIRED INSPECTIONS -----
Rough-in
Phone #: Elect' l. Final
Reg #. . : 000000 -This permit permit is issued subject to the regulations contained in the Tigard Nlmicipal Code, State of Oregon 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 186
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-61-6816 through OAR 952-all-1987. You may obtain a copy
of these rules or direct questions to y calling (563)246-1987. 11 Z14
0. Permittee Signature . _ kc�rf Issued By:
r`
U)
INSTAL_L.ATION ONLY-------------------------- -----
J The installation is being made on p,,opPrty I uwn whish is not intended for
ED sale, lease, or rent.
W OWNER' S SIGNATURE: DATE:
J
--------------------------CONTRACTOR INSTALLATION,, ONLY---------------------------
SIGNATURE
------------------- ------SIGNATURE OF SUPR. ELEC' N: �:'w�1� ' - _ DATE: ..-._.
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next bu•iiness day
+++++++++++++++++•F++++.++++++++++++++++++++++++++++++++++++++++++++r++++++++++++
CITY OF TIGARD Electrical permit Application Plan Check#
13125 SW HALL BLVD. R9c'd By_
TIGARD OR 97223 Date Recd
Date to P.E.__
Phone(5t 3)639-4171, x304 Print or Type Date to DST
Inspection (503)639-4175 Incomplete or illegible will not be accepted Permit# C
Fax (503)684-7297 Called
1. Jab Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of business)_ L to ti( Service Included: Items Cost Sum
Address_ 1 U`J fTD , uk) mC, R4Y,-tA-jp 4a. Residential-per unit
City/State/Zip_ /C) P fL-13 C')t '� �>7 1000 sq.h.or less $110.00 q
Each additional 50.0 sq.It.or
r f� portion thereof $25.00
Commercial Residential L,�ll Limited Energy $25.00 _
Each Manuf'd Horne or Modular
?a. Contractor installation only: Dwelling Service or Feeder $68.00--
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contracto Installation,alteration,of relocation
-�- ------- 200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 _ 2
City- State_ _Zip_ 401 amps to 600 amps _ $120.00 _ _ 2
Phone No. 601 amps to 1000 amps $180.00
Over 1000 amps or volts 2
Job No. _ LL p � $340.00 _ _ 2
Elec.Cont. Lice. No. Exp.Date F- Reconnect only $50,00 2
OR State CCB Reg. No.__ Exp.Date__ 4c.Temporary Services or Feeders
COT Business Tax or Metro No.� Exp.Date _ Installation,altoration,or relocation
2.00 amps or loss $50.00 2
Signature of Supr. Elec'n 7.01 amps to 400 amps $75.00
401 ampf to 600 amps $100.00 __ 2
Over 600 amps to 1000 volts,
License No. -Exp.Date see"b"above.
Phone N0. 4d.Branch Circuits
New,alteration or extonsion per panel
2b. For owner installations: a)The fee for branch circu'rs with
purchaae of service or
Print Owner's Name
CoO A!Z- f{ Xf/ TZ� feedor fee.
Address_ Each branch circuit $5.00
City 7� l�i� f� State L)/�-- Zip "7 7 >-> q b)The fee for branch circuits
without purchase of
Phone No. l A14-f�UG� _ service or feeder MF.
First branch circuit $35.00 35 2
The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2
intended.or sale, lease or rent. 4e.Miscellaneous
--) (Service or feeder not included)
Owner's Signatu _;A i) Z A ___" Each pump or irrigation circle $40.00 _ 2
Each sign or outline lighting $40.00 _ 2
a 3. Plan Review stiction (if required):* Signal circuits)or a limited energy-
panel,alteration or retension $40.00 2
F- Minor Labels(10) $100.00
to Please check appropriate Item and enter fee In section 5B.
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
J _ System over 600 volts nominal Per inspection $::5.00 __-
m Classified area or structure containing special occupancy Per hour $55.00
a as described in N.E.C.Chapter 5 In Plant $55.00
W
J I *Submit 2 sets of plans with application where any of the above apply. S. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ .5
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 250%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYI
TIME AFTER WORK IS COMMENCED. 0 Trust Account# ?/
Total balance Due $ -'
IADSTS%ELC96 APP Rev
CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT At: ELC98-0094
DATE ISSUED: 02/26/98
13125 SW Hall Blvd., Tigard,OR 9'223 (503)639.4171
PARCEL: 2S110BA-02700
SITE ADDRESS. . . : 14500 SW MC FARLAND BLVD
SUBDIVISION. . . . :SHADOW HILLS ZONING:R-2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .037 .JURISDICTION: TIG
Project Description : Installation, alteration or relocation of a 200 AMP
service/feeder for an existing single family dwelling.
---RESIDENTIAL. UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD'L 500SF. . . : 0 201 - 400 stop. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
L.TMITF.D ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601*amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER----- ----BRANCH CIRCUITS---- -ADD'L INSPECTIONfi---
0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : C
201 - 400 amp. . . . . . : 0 let W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 '
401 - 600 amp. . . . . . : 0 EA ADD'L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ------------ ------PLAN REVIEW SECTION----------------
1000+ ramp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner : ------------------------------------------------------- FEES -------------- --
MTTO, WAYNE & CARLA type amount by date recpt
14500 SW MCFARLAND BLVD PRMT 9 60. 00 CEO 02/26/98 98-303652
TIGARD OR 97224 5PCT 5 3. 00 GEA 02/26/98 98-303652
Phone d : 684-6064
Contractor : -------• ---- ---- --- - --- --- - -- --------- --------------------- ------
GARNER ELECTRIC 9 67. 00 TOTAL
21787 SW TUALATIN VALLEY HWY
SUITE L - ----- REQUIRED INSPECTIONS -----
ALOHA OR 97006-124P Elect ' l Service
Phone # : 591-1320 Elect' 1 Final ------____
Reg AF. . : 001211
This permit is issued subject to the regulations contained in the Tigard Municipal rode, State of Oregon Specialty Codes and all other
applicable lava. All work will be done in accordance with approved plans. This permit will expire if work is not started within 186
days of issuance, or if work is suspended for more than IAA days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-1910 through OAR 952-801-1987. You may obtain a copy
CL of these rules or direct questions to OUNC by calling ( 46-1987.
GC
NPermittee S{gnat.urr�: __ _.__---._-- Issued Ay:
-OWNER INSTALLATION ONLY-------- ---
— -------------------------•- -----________.
m The installation is being made on property I own which is not intended for
W sale, lease, or rent.
_J OWNER'S SIGNATURE.: DATE:
- - ------------ -------------CONTRACTOR INSTALLATION ONLY-------------------- -------
SIGNATURE OF SUPR. ELEC'N: C9`�J 4�2/*� DATE:
LICENSE NO:
..................................... t+}................1 .....................
Call 639-4175 by 7:00 p. m. for an insoection np.eded the next bumineE3a dag
t++++f+++++ f++++t, ++♦+t♦t.++t f t t t t 4 4++i.+t+t+4+t++t v.........................1-+
F t- r: .'r-.-9H 02 :21 PM GARMER. EL.ECTRI C 303 64.2 7925 P. 01
CITY OF.TIGARD Electrical Permit Application Plan Chock 0
13195 SW HALL. BLVD. Recd By
TOARD OR 97223 Date Recd
Date to P.E.
Phalle (503)639 4171, 8304 Print Or Type Date to DST_
Inspbclion (503) 639 •1175 ! lncomptete lar llleglble wlll >7ot be accepted Permit N
1. **b Address: 4. Complete FeeSchedule Below:
Nr ,of Development.—.---..---. _ Number of:nspectiona per permit allowed
NemO(Lir name of business)._-_A4VQ- __ _ __. Service Included: Items Cost sum
Addr$ss 1 4s �]T���/J �/•/, FL.4J _ ea- Residential per unit
Gily/ 1" Ite/;ip i(P 1000 ea It.or lose *110-00 4
Each additional Soo sci It or
Cort"16,31 ❑ Residentialcoportion thereof $25.00
$25,00
l_imlied Energy 625,00
Each Mao ul'd Horne or Modular
29., , ntraetor Installation only: Dwelling 5ervir.e of Feeder I"Or) 2
ttoch copy of a current licenses) 4b.Services or Feeders
j �C .! . -� Inelallallun,allvrallun,or relocation
Ele I Contractor t_[ .. �Ci c '901)amps or less ,L ho 00 ?
Ad �� `� tT-L� _T
"la 201 amps l0 400 amps 1010.00
City slatet� zip C1-1g--,t., 401 amps to 600 amps 9120.00 _._ 2
Ph. O.. '-Ass l_ 601 amps to 1000 amps =160.00 2
P
Job Over 1000 amp;or volts $340.00 2
Ele nt Lice No xp 6a-te t c �7j neecnnorl only i 150.00 2
0 CCB Reg. Nn. 111 1 Exp.Date? ow 4c.Temporary Services or Feelers
co siness Tax or Metro N Exp.Daie Co installation,aitetalton,or relocation
2oo amps or loss $50,00
Si a of Supt. Efec'r r __ eat amps 10 400 amps S75.on
401 amps In Goo amps =100.00 ---------
W10
Cver 800 amps to lom volls,
Lic No. 3 C) '_ Exp.Datesae V above.
Php q.,� -
4d.Branch Circuits
Now,alierallon or extonsion per panel "
2b, r owner ins(aliation9: a)The lee for bianeh rirrulls w1fh
purchase or service or
PH nets Name feeder fee.
A Each branch circuit 116,00 alrii
b)Thu los for branch circuits
Cl Stale-- Zip _ »trneur vu►ahase of
P 0, _ service or feeder roe.
First branch circuit 1815.00
ation Is being made on property I own which is not Each additional branch circuit M 16,00
In or sale,lease or rent. 46.Miscellaneous
(Service or feeder not included)
Each pump or irrigation circle 11,40 00
Each sign or outline lighting 1N0.00
3. Review section (if required):' Signal circu4(s)or a limited energy •,
t'l in Labels(tion ion or extension $40.00
M
'theck appropriate Item and enter tee In section SO,
F. or more residential units in one structure If,frisch additional Inspection over
CO) s and fender 22S amps w more the allowable In any of the above
y%tem ovor 60(1 volts nemineil Per Inspecllnn 11315 00
asslfied area or structure containing special occupancy Per hour 1f55,0o
J JU described In N EC Chapler 5 In Plant 165•00
m t
V e It 2 seta of plane with application where any of the above apply. 5. Fees: 0
W quired for temporary construction service!. So.Erle,total of above fees :
t' 5%Surcharge(.05 X total fees) i
F Subtotal 1 _�-
5h.Enter 25%or line.Sa for
PEii6ftS DLCOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reuuire (Sec 3) S
NOT QMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTION OR WORK Subirolol
IS 13i$PENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY -9f ..
TIW ArTFn WORK IS COMMENDED. T ust Account T
Ofal balance Me �
CITY OF TIGARD MECHANICAL.
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-51039
13125 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 02/05/98
PARCEL: 2SI10BA-02700
SITE ADDRESS. . . : 14500 SW MC FARLAND BLVD
SUBDIVISION. . . . : SHADOW HILLS ZONING: R-2
BLOCK. . . . . . . , . . . LOT. . . . . . . . . . . . . :037 JURISDICTION: TIG
--------------------------------------------------------------------------------
Cl-ASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ a-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : 1 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UN 1 TS- ------ -- A I R HANDL.I NG UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 0
TURN > =100K BTU: 0 > 10000 cfm: 0
Remarks- Add 35115 residential pool boiler for an exist O) single family
dwelling.
Owner.. -------------------------------------------------------- FEES ---------------
MITO, WAYNE & CARLA type amount by date recpt
14500 SW MCFARLAND BLVD PRMI t 25. 00 GEO 02/0!/98 98-303071
TIGARD OR 97224 5PCT 9 1. 25 GEO 02/05/98 98-503071
Rhone #: 684-60(4
Contractor: -------------------------------
OWNER
s 26. 25 TOTAL
Phone #:
R a g #. . : 000000'
-------- REQUIRED I t SPECT I ONS -----This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
4. approved plans. This permit will expire if wore is not started _
F- within 180 days of issuance, or if work is suspended for more
N than 180 days. ATTENTION: Oregon !am requires you to follow rules __...
adopted by the Oregon utility Notification Center. Those rules are
J set forth in OAR 952-101.9010 through OAR 952. 01-M. You may
m obtain copies of these rules or direct questions to O191C by calling
W (503)246-9187.
Issue By. Permittee Signat� re :
+++++++++++++++r++++++++++++++F+++++++++++++++++++++++++++++++++i.++++++++++++++
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
++ !-++-+++++++++++++++++*-++f+++++++++++++++++++++++++++++++++++++++++++++++++++++
Plan Cherk e
CI N OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type Permit r - ,3
Incomplete or illegible applications will not be accepted
called
Nam of Development/Proied Description
Table 1A Mechanical Cafe _ QTy PRICE AMT
Job street Address sudor A) Permit Fee -0- -0- 10.00
Address /y,",r,94
Bldg* CRY/State ZIP 1.) Furnace to 100,000 STU 6,00
___ %/c',>�►� f� q 72� y Including ducts a vents
Name(or nerds of business) 2.) Furnace 100,000 BTU+ 7.50
Owner '-0 including ducts b vents
Maury Address 3.) Floor Furnace 8.00
/ 5('r 1 :5� /-."c- including vent
clty/state Zip I Phone 4.) Suspended heater,wall heater 6.00
161--w 4i /Z or floor mounted heater
Name(or name of busMnss) 5.) Vent not included In appliance permit 3.00
Occupant Mailing Address 8.) Boiler or comp,heat pump,air Gond. 6.00
to 3 HP;absorb unit to 100K BUT"
CRY/State zip Phone 7.) Boiler or comp,heat pump,air cond. 11.00
3-15 HP;absorb unit to 500K BTU"
Contractor Norne 8.) Boiler or comp,heat pump,air Gond. 15.00
0- > y am/ 15-30 HP;absorb unft.5-1 mil BTU-
Prior to permit Mailing Address 9.) Boiler or comp,heatu
p mp,air Gond. 22.50
issuance,a copy 30-50 HP;absorb unit 1-1.75mil BTU-
of all licenses CRY/State ZIP Phone 10.) Boiler or comp,heat pump,air coral. 37.50
are required If >50 HP;absorb unit 1.75 mil BTU-
expin+d in COT Oregon Const.Cont.Board t.ic.a Exp.Date 11.) Air handling unit to 10,000 CFM 4.50
database _
Architect NaT° 13.) Non-portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer C"Istate rep Phone 15.) Ventilation system not included in 4.50
a Ifanm permit
Describe work New JIA Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50
to bo done Residential 0 Non-residential O
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property _
20.) Wood stove _ 4.50
Proposed use of 21.) Clothes dryer,etr:. 4.50
building or property _
0. 22.) 011ier units 4.50
NType 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 4-per outlets(each) .50
J information given is correct,that I am the owner or authorized agent of
Up the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws. 1 115
W Signature of Owner/Agent Date -SUBTOTAL
J _
el � 5%SURCHARGE
Contact Person Name PLAN REVIEW 25%OF SUBTOTAL
TOTAL � A-
i.\mechpmt.doc
(rev 9 A 'Minimum,"termit fee is$25+5%sumharge
-Residential X'C requires site plan s' swing placement o!unit.
. CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEt-98-0034
13125 SW Hall Blvd., Tlgard,OR9!223 (503)6394171 DATE ISSUED: 01/30/98
PARCEL: 2S11OBA-02700
SITE ADDRESS. . . : 14500 SW MC FARLAND BLVD
SUBDIVISION. . . . : SHADOW HILLS ZONING: R-2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O37 JURISDICTIONS TIG
-----------------------------------------------------------------------------------
CLASS Or- WORK. . :AI.T FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : el BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS'?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF' UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 1
FURN ) =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Mito gas piping only
Pwner: -----•----------------------------------------------- FEES — ------ --- ____
WAYNE MITO type amount by date reept
14500 SW MCFARLAND BLVD PRMT $ 25. 00 JSD 01/30/98 98-302913
TIGARD OR 97224 5PCT $ 1. 25 JSD 01/30/98 98-302913
Phone #: 684-6064
Contractor.: ----------------------------•-----
MARK STUART
DBA STUART PLUMBING -------------------------------------
24635 SE STARK STE 110 i 26. 25 TOTAL
GRESHAM OR 97030
Rhone #: 618-9497
Reg #. . : 123180
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with _ v
approved plans. This permit will expire if work is not started
a within 108 days of issuance, or if work is suspended for more _
than 108 days. ATTENTION: Oregon law requires you to follow rules -------
adopted
.adopted by the Oregon Utility Notification Center. Those rules are
U) set forth in CPR 952-8N1-8818 through OAR 952-881 x!94. You may
obtain copies of these rules or direct questions to OIK by calling
—i (583)246-9107.
m
a , ---
lsr1-IB By- - _. Permittee Signature: ` _ .....__ _
+++++++++++++++++++4+++++4-+++++++.++........t.++++++++++.....S++++++++.+++++t..4++
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
...........................4•+++++++++++++++.++++.4...............................
Plan Chack 0
CITY OF TIGARD Mechanical Permit Application Recd By
13125 WHALL BLVD. Commercial and Residential Cate Rec'd� 0/3
TIGARD, OR 97223 Date to P.E._
(-03) 639-4171, x304 Date to DST
Print or Type Permit 0 )4 •c -o03Y
Incomplete or illegible a plications will not be accepted Called
Name of DevelopmenvPro)ect Description --
Table 1A Mechanical Code CITY PRICE AMT
Job SO"Addresi ,� suit aN A) Par it Fee -0- 0 10.00
Address -�0 SSV/A0C.r-,,� Ott
e11:190 L Cay/State Zip r 1.) Furnace to 100,000 BTU 8.00
including ducts&vents _
Name(or name of"'J.")V 2.) Furnace 100,000 BTU+ 7.50
Ownern ;�0 including ducts&vents
'11
Mailing Ada 3.) Floor Furnace 8.00
L?150V Stitt re,-14 including vent
-r/Stals Zip ahgr Y 6L 4.) Suspended heater,wall heater 8.00
c elVP 01( (o® or flour mounted heater
N n of busines/s) 5.) Vent not included in appliance permit 3.00
Occupant Mail"Add LST ` 8.) Boiler or comp,host pump,air cond. 8.00
A,tr /VL4) to 3 HP;absorb unit to 100K BUT- _
CTrSlots f 7.) Boiler or comp,heat puma,air Gond. 11.00
c e T ,/ Zip - 3-15 HP;absorb unit to 5WK BTU"
Contractor C 1° 8 J BoiNrr or comp,heat pump,air cond. 15.00
I 15-30 HP;absorb unit.5-1 mil BTU"
Prior to pernft Walling AddrTossBoiler or comp,heat pump,air cond. 22.50
issuance,a copy 5 G K 30.50 HP;absorb unit 1-1.75mil BTU"
of all licenses City/State Zip Phorlo 10.) Boiler or comp,heat pump,air cond. 37.50
are required if 1'» V >50 HP;absorb unit 1.75 mil BTU-
expired in COT Oregon Conl.Cont.Dowd Lle.a Exp.carer 11.) Air handling unit to 10,000 CFM 4.50
database a.
Architect Name 13.; Non-portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single dud 3.00
Engineer CnyrState Zip Phone 15) Ventilation system not included in 4.50
_ appliance permit
Describe work New Odation O Alteration O Repair O 18.) Hood served by mechanical exhaust 4.50
to be done Residential( Non-reside.itlal O
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator _
Existing use of i 19.) Repair units 4.50 _
building or property S R _
20.) Wood store 4.50
Proposed use of ,/ 21.) Clothas dryer,etc. 4.50
building or property
22.) Other uniis 4.50
a - -
Type of fuel-oil O natural gas LPG O electric O 23.) Gas piping one to four outlets 2.00
N
N 1 hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) 50
Hinformation given is correct,that 1 am the owner or authorized agent r f
J the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
in fawn.
Signature of Owner/Agent Daft 'SUBTOTAL ;
IAS / / V 5%SURCHARGE r�
{ ,.0
Contact Person Name / Phone PIAN NEV1EW 25%OF SUBTOTAL
L1 ✓ �� k� d'' �1 �7 TOTAL (/
L A
Ornechpmt.do, (rev 9 Winimum permit tee is$25+5%surrhar" J
"Residential A/C requires site plan showing placement of unit
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Insppmion Line: 639-4175 Business Phone: 639-4171
Date Requested: . 13 -- — 94P A.M. —_ P.M. MST:
Location:_Pf_,co o " r- =a=,Q L/1 N D__ BUR
Tenant: /� Suite: Bldg: _ _ MEC: _
Contractor CAA IYE& EkLCT, _Phone: PLM:
Owns: —Phone: ---- —= ELC:_%B+ Q o
ELR:
SIT: _
BUILDING BLDG(con's) PLUMBING MEC'NAN[CAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFVSlab Rough-In Ceiling Water Line
Slnb Framing Top Out (has Line Rough-In Ur Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp ')ymll Storm Furnace Temp Service MISC.
Masonry Ceiling !fain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found IN heat Pump Low Volt
Approved Approved Approved Approv Approved
Appro idv,lk Not Approved Not Approved Not Approved ,ved Not Approved
FINAL FINAL FINAL FINAL. FINAL
Y1/1� ' ..�.- S-� - --,-- -- --- -- -- ---
C1 Cali ror reinspection Reinspection fee of S_ required before next inspcztion O Unable to inspect
Inspector: / Date: �_�`' - ._ Page of
CITY OF TIGARD NG PERMIT
DEVELOPMENT SERVICES PLUMBING
PERMIT #. . . . . . . : PLM98-0266
13125 SW Hall Blvd., Tigard,OR 97223 (503)0394171 DATE ISSUED: 08/04/98
PARCEL: 2S11OBA-02700
SITE ADDRESS. . . : 14500 SW MLFARLAND BLVD
SUBDIVISION. . . . : SHADOW HILLS ZONING: R-2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O37 JURISDICTION: TIG
-----------------------------------------------------------------------------------
CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF' USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . .. 0 WATER HEATERS. . . . . : 0 CATCH BASIN'S'. . . . . . . : 0
FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTUf ES. . . . : Q,
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks: Add residentionial backflow prevention device.
Owner: ----•------------------------------------------------- FEES --------------
MITO, WAYNE & CARL.A type amount by date recpt
14500 SW MCFARLAND BLVD PRMT $ 15. 00 GEO 08/04/98 98-307767
TIGARD OR 97224 5PCT t 0. 7�j GEO 08/04/98 98-307967
Phone #: 684-6064
Contractor-------------------------------
CONCEPT LANDSCAPES INC
PO BOX 1583
BEAVERTON OR 97075 -------------------------------------
Phone #: 646-5781 ! 15. 75 TOTAL
Reg #. . : 00007O
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the RP/Backflow Prev _
Tigard Municipal Code, State of Ore. Specialty 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
IL within 180 days of issuance, or if work is suspended for ear@ _
OC than 180 days. ATTENTION: Oregon law requires you to follow rules _
N adopted by the Oregon Utility Notification Center. Those rules are
-88
set forth in OAR 9521-8818 through OAR 952-41001-0880. You may
U) -
obtain copies of these rules or direct questions to OUNC by calling
—J (503)246-1987.
J /
IIssued B Permittee Signature:
++++++ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++t.++++++++++++++++++++++++++++++++++ir+++++++++++++++++
CITY OF TIGARD Plumbing Permit Application Plan Check N_
13125 SW HALL BLVD. Commercial and Residential Recd By
TIGARD, OR 97223 DateRec'd
(563) 639-4171 Date to P.E.
Print or Type Date to DST 7�
Incomplete or illegible applications will not be accepted Permit axP-��f/�
Related SWR 0
Called
Name of Development/Project FIXTURES (Individual) GTW tPRIC90 AW
Job Sink 9.00
Address Street AddleSune Lavatory 9.00
/
We r�al laAd Tub or Tub/Shower Comb. 9.00
Bldg t c Ista a zl Shower Only 9.00
c ld� Or, R7z�� -
Name / Water Closet 9.00
LvCI 14 Get r1&, h1�-6, Dishwasher 9.00
Owner Mailing AdcliressSuite Garbage Disposal 9.00
145,C1171 5L.) Yi �a�iQ Washing Machine 9.00
City/State zl Phone
T arae tir gr1Zzq a /_�� Floor Drain/Floor Sink 2" 9.00
Name `I c' cov 3" 9.00
.SCt_i N Q. 4" 9.00
Occupant Meiling Address Suite Water Heater O conversion O like kind 9.00
Gas piping requires a separate mechanical permit.
City/State zip Phone Laundry Room Tray 9.00
Urinal 9.00
Name ,(
cp11 ce ��Cill[}' P �n C Other Fixtures(Specify) 9.00
Contractor Mailing Address Suite 9.00
V,c), Box Iii 9.00
Prior to permit City/Slate ZIP Phone Sewer-1st 100' 30.00
Issuance,a copy &Ayu full C1' 1 , 0`,-,�7F
Sewer-each ar
of all licenses are Oregon Const.Cont Board Lic.0 Exp.Date 1 tional 100' 25.00
required ifA-31- y Water Service-1st 100' 30.00
expired In COT Plumbing Llc.# Exp.Date Water Service-each additional 200' 25.00
database Storm&Rain Drain-1at 100' 30.00
Name Storm&Rain Drain-each additional 100' 25.00
Architect _ Mobile Home Space 25.00
or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Enc
ineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 to
(Irrigation timing devices require a separate
Describe work to be done: restricted energy permit.)
New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00
Residential O Commercial O Catch Basin 9.00
Additional description of work
Insp.of Existing Plumbing 40.00
Per/hr
Specially Requested Inspections 40.00
�er/hr
Are you capping,moving or replacing any fixtures? RkIn Drain,single family dwelling 30.00
Yes O No O Grease Traps 9.00
If yes,see back of form to indicate work performed by
QUANT'TY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
Isometric or riser diagram is required H Quem.y Total Is >9
WORK COULD RESULT IN INCREASED SEWER FEES. •SUBTOTAL15 co
1 hereby acknowledge that I have read this application,that the Information
given Is correct,that I am the owner or authorized agent of the owner,and 6%SURCHARGE .75,
that
75-
that plans submitted are In compliance with Oregon Slate Laws.
Signature of Owner/A t Date -PLAN REVIEW 26%OF SUBTOTAL
774 k/IY1-f(,- /--j_9 '1 Re cared on H fixture t teal Is>s _ __} _____j
Contact P on TOTAL ame Phone l
�f 'Minimum permit fee is$25+5%surcharge,exo-pt 9-sidential Backflow
Prevention Device,which is$15+5%surcharge
(
**All New Commercial Buildings require plans with isometric or riser diagram
and plan review
I Wstslplumapp dor.7/2/98
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory -
Tub or Tub/Shower Combination —
Shower Only
Water Closet - -
Dishwasher
Garbage Disposal _
Washing Machine --
Floor Drain/Floor Sink 2" -
3„ ---
411
Water Heater -
Laundry Room Tray v
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING A$OVE:
a1s s phn„arr
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL_ PERMIT -
13125 SW Nall Blvd., Tigard,OR 97223 (503)6394171 RESTRICTED ENERGY
PERMIT #: ELR98-0204
DATE ISSUED: 013/04/98
PARCEL: 2S11OBA-02700
SITE ADDRESS. . . : 14500 SW MC FARLAND BLVD
SUBDIVISION. . . . :SHADOW HILLS ZONING:R-2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .037 JURISDICTN: TIG
Project Description: Landscape irrigation control
----------------------------------------------------------------------------------
A. RESIDENTIAL--------- P. COMMERCIAL---------------------------_._---.____-__._
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGNT. . :X
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . :
HVAC. . . . . . . . . . . . . . DATA/TEL-.E COMM. . . NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: , . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 1
Owner: -------------------------------------------------------- FEES -----------------
MITO, WAYNE A CARLA type amount by date? recpt
14500 SW MCFARLAND BLVD PRMT t 40. 00 GEO 08/+64/98 98-307967
TIGARD OR 97224 SPCT $ 2. 00 GEO 08/44/98 98-307967
Phone #:
Contractor: --------------------------------------------...--------------_..---.-
CONCEPT LANDSCAPES INC $ 42. 00 TOTAL
PO BOX 1583
------ REQUIRED INSPECTIONS
BEAVERTON OR 97075 Low Voltage Insp
Phone #: 646-5781 Elect' l Final
Reg #. . : 0000170
This permit is issued subject ti the regulations contained in the Tigard Municipal Code, State of Ore. Spe�!ialty Codes and all other
applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 188
days of issuance, or if wor(, is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-#818 through OAR 952-KI-8888. You may obtain copies of
these rules or direct question o at (583)246-1987.
IL T sued b T -- Permittee Si gnats-gyre
OC
F, _.----------.-----------------OWNER INSTALLATION ONLY----------------------------------
The installation is being made on property I own which is not intended for
sale, lease, or rent.
J OWNER' S SIGNATURE: DATE:
io
(D ------------------------CONTRACTOR INSTALLATION ONLY---------------------------
SIGNATURE OF SUF'R. ELEC' N: DATE: . or
LICENSE NO:
++++++++++++++.+++++4+;-++++++++++++++++++++++++++++++++++++++4•++++++++++++++++++.
Call 639-4175 by 7 :00 P. M. for an inspection needed the next business day
+++++++.++++++++++++•1-+i++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:
13125 SW HALL BLVD RECEIVED Date Recd:
TIOARD OR 97223 TINT OR TYPE ,�
V- 503-639-4171 X304 p�u�,` tt Permit#: EeRf R-0;"I
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONSc9�' Cust.Call'd:
WILL NUT BE ACCEPTED
Name of Development Project TYPEDFWGRK INVOLVED -RESIDENTIAL ONLY
Rdstricted Energy Fee........................................ $40.00
iu 5 Lnr ,g 57-- (FOP.ALL SYSTEMS)
JOB Street AddressSte#
ADDRESS 1�I5G0
Jl�t rnC Check Type of Work Involved:
1 r'
Cystate Z' Ph o e# F-1Audioand Stereo Systems
Cy
-��l
Nam ❑ Burglar Alarm
Lt�n�l r e a (a r la. 1'l JV ❑
Garage Door Opener-
OWNER Mailing Address 1 e �ar�ul�
l H�Or? Sir im ❑ Heating,Ventilation and Air Conditioning System'
Cit /State Zip Phone
71 a l"d Of' 77z� 4�y oF� ❑ Vacuum Systems'
Nam
0c.nek f kAltd60a 'Sl Efic- ❑ Other
CONTRACTOR Mailing dress � 3 TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to issuance a City/State 1 Zi _ hf�r,e Fee for each sy-:em.............................................. $40.00
copy of all licenses C to It�l► �'r ���'�✓ 7(c' (SEE OAR 918-260-260)
are required if Oregon Cont. Brd Lic # Exp Dae
expired in C O T. LIM_i -,31- , Check Type of Work Involved.
data base). Electrical Contr. Lic # Exp.Date ❑
Audio and Stereo systems
C OT.or Metro Lic f Exp. Date ❑
Boiler Controls
Owner's Name
y ❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone# ❑
Fire Alarm Installation
This permit is issued under CAE 918-320-370.This applicant agrees to ❑
make only restricted energy installations(100 volt amps or less)under this HV
permit and to do the following ❑
Instrum -i-ion
1 Only use electrical licensed persons to do installationrwhere required
Certain residential and other transactions are exempt from licensing. ❑ Intercom ane Paging Systems
These have asterisks(') All others need licensing;
Landscape Irrigation Control'
2 Call for inG)ections when installation under this permit are ready for 1Z
inspection at 503-6391175; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit;
4 Assume responsibility for assuring that all corrections required by the F-1 Outdoor Landscape Lighting'
~ inspector are done,and'
❑ Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the ❑
Other
„J corrections are completed. _
W
Hermits are non-transferable and non-refundable and expire if work is not
a
W started within 180 days of issuance or if work is suspended for 180 days. Number of Systems
J
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for ill other installations
authorized to bind the applicant.
�1FEES:ENTER FEES i_
Signature
5%SURCHARGE(.05 X TOTAL ABOVE) S
Authority if other than Applicant TOTAL S r CD
i\&Wresele doc 7197
ITY OF TIGARD BUILDING INSPECTION DIVISION '� -- Q
our Inspection Line: 639.417, Business Line: 639-41 /_� 8T
'� uP' !3U P -057027
l��C) Date Requested `��� . �Q - � PLD
BLD '
LocationM_ Stk ' CCC- i&, B Suite _ ME Q _
Contact Person aulfi . A�o Ph &gy (P
Contractor Ph (��'G y g -
'BUILDING�_— Tenant/Owner �,��� � v m�COU3
4 Retaining Wall �FPS
LR
Footing �Foundation Access: n (•Cf A
Ftq Drain l'
Crawl Drain Inspection Notes: tV tpGN
Slab r
Post& Beam SIT
Ext Sheath/Shear L_Yk�Tt614Ca , rt � , a l I (�
Int /Shear n A
Framing ming "X/l�u J � �
Insulation " � ?
Drywall Nailing ��'�X (,(��'�,Q (�{Q� 1
Firewall , „ 6 L C
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
disc:
i� T FAIL
f.LU42=::�.!.B
Post w Beard
Under claL .�,e•��—
Top Cut
Water Servicew
Sanitary Seewerr - - --
Ra' Drat s
PAR1F FAIL _
Post& Beam --
Rough In
Gas Line --
Smoke I's .__;{ p
F —
A FAIL
Service
a Rough In ---
UG/SIS IIII�� J
N i 1_w Volta a �,✓C"�_ C
Fire larm r
co final r,,. C:�.,�..
co SS PART
SITE �..��i� ve.�►yC .�t.�r 1�
W Backfill/Grading --�
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before text inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin � -`�
Fire Supply Line i�}flease call for rPrnspection RE: �•� �� I ]Unable to inspect-no access
ADA �-
Approach/Sidewalk
Other Date /U_ Zl_7g' Inspector _ Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the fob site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 6394175 Business Line: 639.4171 -
� J I ?,*A*0 BUP _
__Date Requlestedr' `I - `�/ AM Y _PM BLD y
Location _�'-1 ,�
I✓I� "L -K61 �4Q1Vk &V- Suite ^^
/�, I MEC _
Contact Person l W LA Pig j0 (QCx PLM
Contractor _ Ph _ _ SWR _
BUILDING Tenant/Owner ELC
?etaining Wall ELR
I ooling Access:
Foundatio,-, Fps
Ftg Drain '—
Crawl Drain Inspection Notes: SGN
Slab I SIT
Post&Beam —
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing �
Firewall - -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _..
R oof
Misc:
F inal
PASS PART FAIL
PLUMBING
I lost&Beam -
Under Slab �j/, D Q / S
lop Out _ -
Water Service
Sanitary Sewer --
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam --
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL ' —
CL Service
Rough In -
I UG/Slab
Low Voltage
Fire Alarm
m PASS PART
C7 s
W
J Backfill/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 ase call for reinspection RE: [ ]Unable to inspe:i-no access
ADA �j'
Approach/Sidewalk Dat4 _0 Y - ( InspectorIM il IN Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-0337
13125 SW Hag Blvd.,Tlgnrd,OR 97223 (503)6394171 DATE ISSUED: 06/05/97
PARCEL: 2S110BA-02700
SITE ADDRESS. . . : 14500 SW MC FARLAND BLVD
SUBDIVISION. . . . :SHADOW HILLS JURISDICTION:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :37 JURISDICTION: TIG
Pro.j ect Description: instl 2 branch circuits // job i ?
_
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/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 FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 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 OCG. :
-------------------------------- -•
- ------ -------
HARLEY SMITHtype amount bydate recpt
14500 SW MCFARLAND BLVD PRMT $ 40. 00 TAT 06/05/97 97-295568
TIGARD OR 97224 SPCT $ 2. 00 TAT 06/05/97 97-295568
Phone #:
Contractor: ---- -------------•-----------------
JPC ELECTRICAL SERVICES INC f 42. 00 1.OTPL
4120 SE INTERNATIONAL WY REQUIRED INSPECTIONS -----
STE A--107 _
MILWAUKIE OR 97222 Ceiling Cover Underground Cove
Phone #: 654-3325 Wall Cover Elect' 1 Service
Reg #. . : 093774 l
This permit is issued subject to the regulations contained in the _ _ Alg Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit t nat ur�
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
4. within 188 days of issuance, or if work is suspended for more —
athan 188 days. Issued By
-----------------------------OWNER INSTALLATION ONLY------ ---------------------
The installation is being made ori property I own which is not intended for
sale, lease, or rent. DATE:
M OWNER' S SIGNATURE:
—�
ku ------ ---- -------------CONTRACTOR INSTALLATION ONLY------------'---------------
-
SIGNATURE OF SIJPR. ELEC' N: DATE-
LICENSE
ATE:LICENSE NO:
Call for inspection - 639-4175
Jut-l — 5 -97 THU 10 : 02 JPC P . 01
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # L
Phone (503) 639-4171 Date Issued
CITY O�TIOARD FAX (503) 684-7297 Issued by
TDO No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: I 4. Complete Fee Schedule Below:
Name of Development Ali 0YluhA, Number of Inspoc.lona per permit allowed
Address_ $ 15 W d �u� Service included: Items Cost(sa) Sum
City/State/Zip ri Q ar- 0 r 9 1 A1q4s. Residential-per unit •
U 1000 Oct h or to" $11000
Name (or name of business) Each portioionn therhenal 500 art N Of
ad $2600 1
Commercial❑ Residential cff Limited Ener'0r $2500
Each Manurd Noma or Modular =
Dwelling Service or Feeder $88.00
2a. Contractor Installation only: 4b.Services or Feeders
♦ Installation,alteration,or relocation z
Electrical Contractor,1PC . .. � A - p1 1-t zoo amps or les. $8000
Address 1 S S �nrnn}'vita I Ljoa ff t 7 201 amps to 400 amps W 00 z
� tr 101 amps to 800 amps $12000 z
City-�L� .State_..-Q!*-,_ Zip 801 amps to 1000 amps $18000 _ z
Phone No. La 54- 3 3.A S Over 1000 amps at volts $34000 2
Contractor's License No. _ '34-3-1 C- Reconnect on -- $.W00
Contractor's Board Reg. No. Qq-A7 7T_ 4c,Temporary Services or Feeders
InstaOelion,_Aeration,or relocation z
Signature of Supr. Etec'n 200 amps Of lees _ $$0.00 _ 2
License No. q 1 ri -S iPfflln 0. 201 amps to 00 a
0 amps $15.00
101 amps b coo amp. $100.00 _
Over 690 amps to 1000 volls
2b. For owner Installations: alt V above.
4d.Branch Circuits
Print Owner's Name. Now,a8aralion or extension per panel
Address a)The Ise for Manch eirarAs with
City State Zip puroMse of service or beds me. 2
Each branch dfcuit $500
Phone No. b)The fee for branch circuits without
The Installation Is being made on property I own which is purchase or service or hoder Am. -3,5--00
m.
not intended for sale, lease or rent. First branch dnarrl 1 $3500 3s Da 2
Each addltional branch circuit $600
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation drds $40.00 2
Each sign or Duffin-rpMing $4000
Q. Signal cireult(s)or a limited anergy 2
a Please check appropriate Hem and enter fes In section 5B, panel,Offera'�on or extension ___ $40,00
N _4 or more residential units In one structure Minor labels(10) $10000
Service and loader 225 amps or more action over 4f. Each additional ins
System over 600 volts nominal p
J _Classified area or structure containing special occupancy the allowable In any of the above
Per inspection CD as descrlbad In N.E.C,Chapter 5 Per hour $35.00
$ss.0o
ro
Submit 2 seta of plans with application where any of the above In Plant -� $56.00 _
-► I apply, Not required for temporary construction servicee. "Jr. Fees:
NOTICE Sa.Enter total of above fees $ ki 0"U o
5%Surcharge(.05 X total lees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $Sb.Enter 2596 of line A fern
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF pian Review If required(Sec.3) :
CONSTRUCTION OR WORK Is SUSPENDED OR ABANDONED FOR subtotal _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. ❑ Trust Account R III
Balance Due $
s
CITY QF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
PERMIT #: ELC97-0337
13123 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/11/97
PARCEL_: 2S110BA-02700
SITE_ ADDRESS. . . : 14500 SW MC FARLAND BLVD
SUBDIVISION. . . . :SHADOW HILLS 70NING:R-2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :37 JURISDICTION: TIG
Pro J ect Description: instl 2 branch circuits // job # ?
---RESIDENTIAL UNIT---- ----TEMP SRVC/FF_EDERS---— ------MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 — 200 ramp. . . . . . . : 0 PUMP/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
MANE. 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 FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : IF EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ---------------------PLAN REVIEW SECTION-----------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVG/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------- FEES --•--------------
HARLEY SMITH type amooint by date recpt
14500 SW MCFARLAND BLVD PRMT $ 40. 00 TAT 06/11/97 97-295812
TIGARD OR 97224 5PCT t 2. 00 TAT 06/11/97 97-295812
Phone #:
Contractor: ---------------------------__---------------__---
IFIC ELECTRICAL SERVICES INC $ 42. 00 TOTAL
+120 SE INTERNATIONAL WY
cTE A-107 -------- REQUIRED INSPECTIONS -- -- -
MILWAUKIE OR 972222 Ceiling Cover Underground Cove
Phone #: 654-3325 Wall Cover Elect' l. Service
Reg #. . : 093774
This pewit 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 done in accordance with approved plans. This persit will expire if work is not started within 188
days of issuance, or if work is suspended for sore than. 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notifi of Center. Those s are set forth in OAR 952-801-8818 through OAR 952-801-1987. You say obtain a copy
0. of these rules or direct stArons to OIINC ca ing (503)246-1987. -
)/1 L�
}}�
I s s��ed By : ��� Permittee Signature: A/1 _
i—
---------OWNER INSTALLATION ONLY---------------------------
ca The installation is being made an property I own which is not intende_' for
iusale, lease, or rent.
A OWNER' S SIGNATURE: DATE:
---------------------------CONTRACTOR INSTALLATION ONLY-----------------------------
SIGNATURE OF SUPR. ELEC' N: it �� ___— DATE: �' z_
LICENSE NO:
** Call 639--4175 by 6:00 p. m. for an inspection needed }I,e next bi.:siness day**
Community Development ELErTRICAL PERMIT APPLICATION
.. p
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # _
Permit # '(.•
Phone (503) 639 4171 Date Issued
CITY OF TIOA►RD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
. Job Address• ' c�a A-r�C�, j1 4. Complete Fee Schedule Below:
Name of Developme ); (' Number of Inspections reef permit allowwd
Address `�t�Cab �% ms Fug 1u.,� �fU� Service included: Items Cost(ea) Sum
City/State/Zir Q c9 ]1 2�{ 4a. Residential-per unit +
1000 eq It or less $11000
Name (or name of business) Each mWilion°I 600 on It or
portion thereof $2600 1
Commercial❑ Residential Cff Limited Energy $2500
Each Manurd Home or Mod4ar 2
:welling Service or Feeder $151100
29. Contractor Installation only: 4b.Services or Feeders
4xitallatwn.aMeratron,or relocation 2
Electrical Contractor,)Pci— Loft[r w j p�Utee 200 amps cr lees Soso 00 2
Address_ I-1 l 16 -C; � -7 Q f�yt I.0..,11I Wad I}1 7 101 a201 amps to 400 wraps 00 �_! 2
mpg to 800 amps $120120 00 2
City�A1AALA- AA State-�� Zip q 7.131 601 amps to 1000 amps $18000 2
Phone No. (� 3 2 "3 Over 1000 amps or voMe $34000 2
Contractor's License No. 3`i- 3 1 LS= Racrinnecf only JIM
Contractor's Board Reg. No._ C_)rt 37— 4c. Temporary Services or Feeders
Irntaliation,alteration,or relocation 2
Signature of Supr. Elec'n i 200 amps or less $5000 2
License No. p 701 amps to 400 amps $7500 2
401 amps to 800 amps :100 00
Over 800 amps to 1000 vo#s
2b. For owner installations: ase•t.•above
4d. Branch Circuits
Print Owner's Name _ _ New,a4ern!ton or extension per panel
Address e)The fee for branch arcude with
City_ State Zip purchase of service or Andw Am. 2
Each branch arced tis 00
Phone N0. b)The foo for Manch crcids wfthouf
The installation is being made on property I own which is purchase of mmks of tiradw a.. 2
S
not intended for sale, lease or rent. First branch circuit 1 $3500 3 �U 2
Each addoional branch arcuil 1_ $600 �)
Owner's Signature 4e.Miscelinneous
;Service or feeder not included) 2
3. Plan Review section (it required): Saar pump or nrfgation arch $4000 2
Each sign or outline lighting $4000
Signal crcuds)or a limited energy 2
Please check appropriate item and enter fee in section 58. panel,aneration or extension $4000
4 or more residential units in one stnlcturp Mmm t_abels(10) $10000 _
Service and teeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 pe/1fx`wfion __ $3500
Per how $5500
Submit 2 sets of plans with application where any of the above In Plant $5600
apply. Not required for temporary construction services. 5, Fees:
NOTICE So. Enter total of above fees $
5%Surcharge(.05 X total fees) $ V
PERMITS RFGOMF VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS A i ANY I iM[- Af I LR WORK V, SishtnfMl $
tMMENCED n Trust Account 0 $
Balance Due $
1YOIAILMIOM�MtpT IfOtf
41
CITY OF TIG&D BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 6394171
INte Requested: _0Oy� � c _ - M 9p -
/ MST: _
_&&_ - c �//
Tenant _ _ f-_�_ Suite: /_Bldg: MEC:.
Contractor Phone:_�`7 4(a V _ PLM:
Owner,---- Phone: r 1.C: '2-0337
FLR:
SIT: _
BUIL D4NG _BLDG(con't) PLUMBING — MECHANICAL SITE
Site Post/I3cam P0043cam Post/Bcam Cover/Service Sewer/stotm
Footing Roof UndFI/Slab Rough-In Ceiling Water I,ine
Slab Framing Top Out Gas bine Rough-In IJG Sprinkler
Foundation Insulation Sewer Hood/Ihtct Reconnect Vault
13smt Damp Drywall Storm Furnace Temp Service M15C.
Masonry Ceiling Rain Drain A/C U(i Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt _
Approved Approved Approved Approved Approved
Appy/Sdwlk Not Approved Not Approved Not Approved _ Not Approved
FINAL, FINAL FINAL FINAL,
U)
J
LU
O Call for reinspection einspe tion fee of S--_ required before nejQnspection 0 Unable to inspect
Inspector: Date: Page `_of
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT # : ELC97--0715
13125 SW Hall Blvd.,T198rd,OR 97223 (503)639.1171 DATE I a'rUED: 10/29!17
PARCEL: 2S 1 10Pn--0^700
Tr OW MC FARLAND BLVD
'nr)TVTSION. . . . -SHnDOW HILLS ZONING: R--S
^CI'„ , . . . . . . . . . 1..QT. . . . . . . . . . . . . :'2137 JURISDICTION: TIG
3ject Descl,iption: Add first branch circuit to an existing single family
REGTDF'NTIAL UNIT-_-- .-----TCMP SRVC/FEEDERS-.--.. - MI^CCLLANEOUS-••-.----
',il0 SF OR LEOS, . . . : 0 0 - x110 amp. . . . . . . : 0 DUMP/IRRIGATION. . . . : 0
' rlI ADD' L. 500sr. . . : 0 C01 -- 400 amp. . . . . . . : 0 STGN/OUT 1_..INE LTG. . : P
'MITER ENERGY. . . . . . 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . . 0
;()Nr_. IIM/ SVC/FDR. . : 0 601+ampt. 1000 volts. : 0 MINOR LAECI_ ( 10) . . . :
ICE/FEEDER------ -------BRANCH CIRCUITS----- ---ADD' L INSPECTIONS•---
t ^00 ,4mp. . . . . . . 0 W/GrRVICC' OR rI'CDCR: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : i PER HOUR. . . . . . . . . . . m 0
401 600 amp. . . . . . : 0 CA ADD' t. BRNCH rTRC: 0 TN PLANT. . . . . . . . . . . . r
. : 0 ---PLAN REVIEW SECT ION-
10004 amp!volt. , , . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
�eronnect only. . . . . : 0 SVC/FDR > - 225 AMPS. . : CLASS AREA/SPEC OCC. :
nwr ,,•,• ; _ ._ ._ __._. ... - - _._.. _.. _ _ FEES -. . .. _ .._ -........_._...
rnR!_A MTTO type amount by date recpt
114700 ^:..! MCF'ARL..AND PRMT $ ?5. 00 GEO 10/.`.x;'37 97 -3,00`5021
7',^n RD OR 77^;''4 SPCT 9 1. 75 CEO 10/29/97 97-300500
nhone #.
Trr CLCCTRICAL. riFRVICES INC $ 36. 75 TOTAL
h 1 E'O OE I NTE RNnT S nNAI_ WY
rTr A.. 1117 --------- REOU I RED I NSPECT I ONS; - --
MTL-.WnUI'TE OR 37.^;' -' Underground Cove Elect' 1 Fina;
shone 4#: 654.•-33211 r3cct' I ret~vi.cp
ReU It. ; 09,,774
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all ot*
applicable laws, All hcrk will be done in acccrdarce wi',` approved plans. This permit will expire if work is not started within 18A
days of issuance, or if work is suspended for more than 180 days. ATTFNTION: Oregon law requires you tr, follow the rules adopted by
tie Oregan Utility Notification Certer. These rules are set forth in DAR 952-•001-0010 through OAR 9S2-001-1987. You may obtain a copy
IL of these rules or direct questions to OX by calling (SO3)246-1987.
N
U) t r ittee Signature : _ S
__._ .____.. Issued y
--
TN aTALLATION ---
a) Tho instal.latiot is tieing made on pt•operty I own which is not intended fore
W , leA';ey or rent.
R' S STSNATURE: DATE:
IPJZ3TnLL.nTION ONLY
S T GNATURE OF SUPR. ELEC' N: — _ _ DATE:
1 17-NSF NO
4- 1-4-4-4 4 4.t. fi++4 4 4.+ f A -1 4 ++44 4-+-f +++-1+++-14.......4 4+4 4 ++++++i ++++ +-4 F { 1-+4 4 F+-F.+ r I h•t t f t
Call 6335 by 7,410
{_-�+.{. .-4++f +f +++++ {+1 t .a �.. t.++-{.++-4•-f•Hii F+} + ♦ ++++ fa +• 4 4+++tF+++ 4 +-ti ++i F++++++++F+ F+ h+f♦
CITY OR TIGARD Electrical Permit Application Plan Check# _
13125 SW HALL BLVD. Recd 6,-
_
Tlf'ARD OR 97223 Date RecdDate to P.E. _
F hone (503)F39-4171, x304 Date to DST
Inspection (F03) 639-4175 Print or Type Permit# lE��"'� �< '
Fax (boa) 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 allowed
Name(or name/of business) 1 (Y t(7kt"�t � VL: Service Included: Items Cost Sum
Address '7 ,)-C � S LS�i to y C;Y 1,Q�l C k 4a. Residential-per unit
City/State/Zip __ Q G C ] 0.9
j r- '4 1000 sq.0.or less $110-00 4
TQ �- Each additional 500 sq.it.or
Commercial ElLi
Residential® portion thereof $25.00 1
Limited Energy ^_ 525.00
Each Manul'd Home or Modular
Dwelling Service nr��;;�;+r $6800 2
2a. Contractor installation only:
(Attach copy of all current licenses) At. ervlc9s or Feeders
Electrical Contractor j f. 0, Installation,alteration,or relocation
Address "10 Q ` C - 200 amps or less $80.00 2
201 amps to 400 amps $80.00 - 2
City 1'�d i 1�,�.'(t k,:c State ('W 1 zip 401 amps to 600 amps $120.00 2
Phone No. to - 33d 5 601 amps to 1000 amps $180.00 2
Job No. r 0O-�)J Over 1000 amps or volts $340.00 2
Elec.Cont. Lice. No. 3 1 r/ Exp,Date-- Reconnect only $50.00 _ 2
OR State CCB Reg. No. /07.5, coCy Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Me'ro No,_ Exp.Date Installation,alteration,or relocation
_ 200 amps or less $50.00 2
Signature of Supr. Elec'n �+ -`!te -- 201 amps to 400 amps $75.00 2
--- r 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. (,c J Exp.Date see"b^above.
Phone No. 3
- 4d.Branch C)rcults
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 _ feeder W.
Address Each branch circuit $5.00 _ 2
h)The fee fnr branch circuits
City _ _ State Zip without purchase of
Phone No. service or feeder fen. CU
- First branch circuit 1_ $35.00 2
The installation is being made on property I own which is not Each additional branch circuit Y $5.00 2
intended for sale,lease or rent. 4e.kllscellsneous
(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 1,alteration
or ale tented energy $40.00
panel,alteration or extension 2
._
Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00
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
_ Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.0 Chapter 5 In Plant $55.00
*Submit 2 sets of plans with application where any of the above apply. 5• Fees: vL
Not required for temporary construction services 5a.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'z Plao Review if Muir (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
t#t Accoun
TIME AFTER WORK 15 COMMENCED. LJ Trus $
Total b9lance Due
l
I\05T i!FLC96 APF nm w9F
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394173 Business Phone: 6394171
I)ate Requested: — / / "/�7�/ �7 n , A A.M. P.M. MST:
Location: � �1�i.�-L AOD y _BUP: ---
Tenant: _ // �— Suite: I NEC: _
Contractor: jcp_�IcI r_�l✓ —�-- Phone: 33a s PLM:
Phone: ELC:.!!7 7—0 7L.5
SIT-
BUILDING BLDG(con't) PLUMBING MRCHANICALLECfRICAL SITE
Site oost/Ream Post/Beam Posb'Heam ,over ervtce Sewer/Storm
Footing Rocf Un1Fl/Slab Rough-fin Ceiling Water Line
Slab Framing Tnp Out Gas Line Rough-In UG Sprinkler
Foundation Insulaticm Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Ihain A/C UG Slab
Shur/Sheath Fire SpklriAlm Crawl/Found Ih I lent Pump Low Volt
Approved Approved Approved raved Approved
LAppt/Sd,%flk Not Approved Not Appioved Not Approved ved Not Approved
FINAL FINAL, FINAL FINAL FINAL
177 Call for reinspection O Reinspectio fee of S required before next inspection 17 Unable to inspect
r _ 7
Inspector: /%GLS'(� f' / Date: _ _ Page_---__of�—