11748 SW SWENDON LOOP-1 3: Y
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CITY OF TIGARD BUILDING INSPECTION NOTICE ,
Inspection Line:639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Ph'mb
M Post/Bearn Mach. Shear/Sheath Framing ech.
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Plbg.Und/Flr/Slab Plbg. Top Out Insulation ec'
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk ein
Other: A 1. , -;30 —,3 • 3
Date A.M. P.M. Entry:
Add,-ss:
Tenant: Ste: MST: _
U_ BLIP: ,
Con/Own: ` 7 '� MEC:
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1 PLM:
ELC: —
THE FOLLOWING CORRECTIONS ARE REQUIR U ELR:
Inspe or: J�� — Date: -F--�
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--A PROVED —DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
' Foundation Water Line Ceiling -Plumb, ,
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -F.lect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: --
Date: A.M. P.M. Entry: ---
Address: 17
Tenant: _ Ste: MST: __--
BUP: �7
Con/Own:_�__ _—e*// � 21101 PLM::M
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR.
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Inspector —y�� '� Date:
APPROVED _DISAPPROVED/CA FO�R"l CF CO
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ELECTRICAL PERMIT
CITY OF TIGARD DATEIISSUE['I b6/21/96 � 1
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Orogon 07223.8194 (503)639-4171 PARCEL: 1 S 1 33CD-01.000
SITE ADDRESb. . . : 11746 SW SWENDON I_I-'
SUBDIVISION. . . . : COTSWAL.D MEADOWS ZON.ING:R-25
BLOCK. . . . . . . . . . . I-OT. . . . . . . . . . . . . :8 ie
Project-Description:-.Inst.illinga0neVbranch r.ir•cirit for ya-Carrier A/C-wrnit. -_--
1
---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 �
w` MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) ,. . . : 0
Y, ---•----SERVICE./FEEDLR----- -----BRANCH CIRCUITS---- .__ .----ADD' L INSPECTION:,--.-
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 ti)
L01 - 400 amp. . . . . . : N 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC% 0 IN PLANT. . . . . . . . . . . : lit r;
601 -- 1000 amp. . . . . : 0 --------------------PLAN REVIEW 5F_CTIgIV_______.-_____.__._
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : > 600 "OLT NOMINAL. . :
s
Reconnect only. . . . . : 0 SVC/FUR > = 225 AMP'S. . : CLASS A3EA/SPEC OCC. :
Owner: _._-.-.---.__.--------___________.___._______._.-------•-.---•.•_--- FEES ---- "`
MARK POULIN type amol_lnt by date recpt
11748 SW SWNEDON PRMT f :35. 00 CJS 06/21/96 96-280860
5PCT $ 1. 75 CJS 06/0-1/96 96-280860
TIGARD OR 97,223
Phone #:
Contractor: -------- --------------•------------------------------------
SUNSET FUEL CO $ :36. 75 TOTAL
PO BOX 42287
2944 SE POWELL BLVD (97202) ------- REQUIRED INSPECTIONS -- -----
PORTLAND OR 97242-0287 Wall Cover Elect' l Final 1
Phone #: 503--234-0611 Elect' l Service
Reg #. . : 2.374
This permit is issued aub,)ect to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Si gnat lire
appli_able laws. All work will be done in accordance wit.i
approved plans. This permit will expire if work is not started
withi^ 188 days of issuance, or 1f work is suspended for more � rl�_•_•_S.____-___..._.._.._.____�_____....._....
than 188 days. Issi.led By
INSTALLATION ONL_Y---____________-----.-•--_---._--_—____
The installation is being made on property I own which is not intended for-
s a I e,
orsale, lease, or rent.
OWNER' S SIGNATURE» i DATE:
INSTALLATION ONLY--------•--------------•------
SIf.3NATlJRE UF' SUF'R. ELFC' N: __[)'/CAlled ____ _ DATE: .6--W—QC
LICENSE NO:
Lall for inspection — 639-4175
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW liall Blvd.
Tigard, OR 97223 Planck/Rec. # QC ?,9646o
Permit # �� OYC7 a
Phone 1903) 639-4171 Date Issued f- AO -9K
CITY OF TIGARDFAX (503) 664-7297 Issued by r / S.
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. .lob Address: 4. Complete Fee Schedule Below: i
Name of Development _ Number ii,�pections per permit allowed
Address t� �� ,J,Qiy'�� Service included Items Cost(ea) Sum 0
City/Staie/Zip -Tti Gte;IL ,[j Q a��_ 4s. Residential-per unit +
'--' U 1000 sq If.or lase $1 7000
J1 Each additional S00 art It or --
Name (or name of business) I3)� rf� 10L Ir (] portion thereof $2500 1
Commercial❑ Residential m--, l.imsed Enerw $25on
Each Manurd Home or Modular
Dws"Service or Feeder $6800
2a. Contractor Installation only:� .^ 4b.Services or Feeders
Electrical Contractor �� �A<��.7y -/`^► CQ Intalla7an, or loswn,or relocation 2
`r L� 200 amps or less 1370 VO _ 2
Addr�$}S�C) l t' �Qa� 201 amps to 400 amps $9000 2
Ci h�F" t (A _ S to c) Zi q 1� 401 amps to 600 amps $12000 2 I
`1 p 601 amps to 1000 amps $10000 2
Phone No. Over 1000 stripe or volts $34000 2
Contractor's License No. —_ eiOonned o* W 00
Contractor's Board Reg. No. )3 4c.Temporary Services or Feeders
Installation ,Natation,nr relocation 2
Signature of Supr. Elec'n x 2a1 amps or leas $6000
Li„ense No. ({'S ` Phore No. 201 amps to,00 strips C75 co 2
401 amps to 600 amps 1110000 %(
Over 600 amps to 10(10 volts
2b. For owner installations: gee•b•above ti
4d.Branch Circuits `
Print Owner's Name New,alteration or extension per panel
Address— a)The Ise for branch circuits with
City_ State Zip purchase or serrke or feeder Asa. 2
-- Each branch circ rt 15 00
Phone N0. r b)The lee for branch circuits without
The installation is being made on property I own which is purchase of ssrvks or feeder fee. 2
not intended for sale, lease or rent. First branch arcurt --,— $9500 5 C�O 2
Each additional branch circuit $500
Owner's Signature _— _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (i/required): Each pump or irrigation circle $4000 _ 2
Each sign or rsAlirw lighting $4000
Signal cimult(s)or a Invited energy 2
Please Beck appropriate Item and enter fes in section 5B. panel,alteration of exlangion S+0 00
4 or more residan;;al units in one structure Minor I abrr,s(10) -- $10000
_Service aril feeder 225 amps or more
System over 600 voltb nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.F.C. Chapter 5 Per inspection $9500
Per hour _ _ $55(10
�
Submit 2 sets of plans with application where any of the above In PIa H f55 00 —
apply. Not required for temporary constructir,9 services.
5. Fees:
NOTICE Sa. Enter total of above fees $ `3_ .Cx7
5%Surcharge(.05 X total fees) $ 1• 'Z�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS"OR IF 5b.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 AT ANY TIME AFTER WORK IS Subtorsi $
COMMENCED. ❑ Trust Account N
i
Balance Due
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PERMIT'
CITY OF TIGARD D aTEI ISSUED:• 06/21/9696-0192 �
COMMUNITY DEVELOPMENT DEPArTMENT
13125 SW Hall Blvd.Tigard,Oropon 97223.8199 (503)839.4171 P,ARC:EL: 1 S 1 3.3CD-0 1 000
SI-fE ADDRESS. . . : 11148 SW SWENDUN LF'
SUBDIV13ION. . . . : GOTSWALD MEADOWS ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
----------------------------------------------------------------------------------------
CLASS OF WORK. . :ADD FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYF'E OF 6.;E. . . . :SF UNIT' HEATERS. . : 0 VENT FANS. . . : 0
UCCUF'ANCY GRP. . :R3 VENTS W/O APF'L: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. TYPES-------------- 0-3 HF'. . . . : 1 DOMES. I NC I N: 0 i y
3-15 H�', . . . : 0 COMML. INCIN: 0 '
MAX INPUT.- 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVE:S. . : 0
13AS PRESSURE. . . : 50+ H1='. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UN ITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 <= 1.0000 cfm : 0 GAS OUTLETS. : 0
FURN ) =100K ETU: 0 > 10000 cfm: 0
I
Remarks : Installing one Carrier A/C 1.Init. r
Owner: _--.--.------------------------------------------------ FEES -------------- r
MARK GOULIN type amount by date reccpt
11148 SW SWNEDON F'RMT $ 25. 00 C1S 06/21/96 96-280860
5F'CI $ 1. 25 5 CJS 06/21/96 96-280860
I+1(3APD OR 972;2.3
Phone #:
Contractor: -------.__----- -- ._--_ - -- -
SUNSE.1 FUEL CO
PO PDX 42287
6
PORTLAND OR 97242 ----._--------------------.-------.---- .
Phone #: 503-234-0611 $ 2_6. 25 TOTAL
Req #. . : 002'374
-------- REUUIRED INSPECTIONS -------
This permit is issued subjert to the regulations contained in the Mechanical Insp
Tigard M,,nicipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
Kithin 188 days of issuance, or if work is suspended for morethan 188 days.
Permittee Signati.lre: 17►a�led _ � ...._ -__ !_�-
Cell for inspection - 639-4175
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Cit ,of Tigard MECHANICAL HAN I CAL PERMIT Planck/Pec. # 9(�����G
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13125 sw Hall Blvd. APPLICATION Permit # O'I>;"CTQ14� �
Tigard, GR 97223
(503) 639-4171
Table 3A Mechanical Code. QTY PRICE AMT
Job �'��►.�'�-� �,� � l JQ f�G�Or 1) Permit Fee -0 -0- 10.00
Address •"•�
2) Srpplemental Perrot 3.00
^.m.^ .«... -rurnace to 100,000 BTU
('Y\C'A'C PU L'-�(1 1) incl. ducts &vents 6.00
G ^^• iurnace +
Owr=,r O S� — 2) incl ducts d vents 7.50
Floor urnance
3) incl vent 6.00
.T. w^. •' .�•••
Suspended eater, wall eater
4) or Poor mounted heater 600
Vent not mei. in
Occupant 5) appliance permit 300
-r. -- Repair outing,�eriTig. —
6) cooling, absorption unit 6,00
Boiler or comp, eat pump, air cond.
7) to 3 HP, absorp unit to 100K BTU 6.00 to•0�
... _
Boiler or comp, heat pump, air con .
8) 3-15 HP; absorp unit to 500K BTU 11 00
Contractor •,• �' of er or comp, heat pump. air con
Or 9-7,;;L44 9) 15-30 HP; absorp unit 5-1 and BTU 15.00
•v^_+ C41 3.. 71,N. Boiler or comp, heat pump, air con .
c�43 1 C7t ti 10) 30.50 HP, absorp unit 1-1 75 and BTU 22.50
hereby ac now a ge that I have re3d this app ication, t at t e Boiler or comp, heat pump, air co—nc
information given is correct, that I am the owner or authorized 11) > 50 HP. absorp unit 1 75 mil BTU _ 37.50
agent of the owner, that plans submitted are in compliance with Air an ing uric to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 1
Board. that the number given is conert. (If exempt from State —Airaiann�ing unit
registration, please give reason below) 13) 10,000 CTM + 7.50
Non portable r
14) evac.gate cooler 4.50
enc an connected —
15) to a single duct 300
Ventilation system not
16) included in appliance permit 4.50
Hood serve y
1 7) mechanical exhaust 4 50
escri a wore new 1 i inn l5 alteration repair �_ Commercial or industrial
to be done residential (;r;_.non-residential 0 18) type incinerator 3000
existing use of ter i e. woo stove. water
building or property 19) heater. solar. clothes dryers. etc 4 50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property _ �-
21) More than 4-per nutlet (each) 200
Type of fuel -oil Q natural gas ') LPG Q electric Q
NOTICE
Minimum Fee 525.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOr COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE J vZ
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 250.'^ OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL cZ
Special Conditions
Date issued by (.
N lC01M 0lT4•'.IECM4!'t
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FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND,OR 97242-0287 TELEPHONE 234-0611 FAX#503-234-0380
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