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NSpEC.'TION NOTICE \� y
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 37223
Inspection Line jpoc-O-Phons�% 639-4175 Business Phones 639-4171
i
Inspections_____.
Footing Plbg. Underalab Hach. P.ough-in Appr/Sdwlk ,
y Found. Plbg. Top Out Gas Line FINAL:
a
Post/D-am struc!.. San. Sewer Framing -Bldg.
/ Post/Beam Hoch. Rain Draln Insulation -Plumb.mw
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Plbg. Underfloor Neter Line Gyp. ed. - h.
Date Requested:_ ' J V :T����s PN
Address. C, SC�ir l - C +k- Pe/reit it //Ll�-/`(Q/ X05
Builders-���i✓aSe/� �/ect /n 2 L-PryJ 6 i/ 0 /
THE FOLLOWING CORRECTIONS ARE RZWtREDt ex-,01 / �� • I
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Inspector: // Dates r — `
APPROVED �� DISAPPROVED \.'APPROVED SUBJECT TO ABOVE t
Call For Reinsp.
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DEPARTMENT OF LAND USE&TRANSPORTATION
WWASHINGTON LAND DEVELOPMENT SERVICES DIVISION
A 155 NORTH FIFST, HII.LSBORO,OR 97124
ratat�
COUNTY, PHONE:T503/t348-9781 S. 503/540-3W- I/693-4503/540-3W- I/693-44503/540-3W- I/693-4415
Dae I 1 of 1
OREGON
Date s 06/23/94
11'ime 1 16147
Permit # 1 UbUb494'.,
Permit 'Type ltc sicaet:tlal Electrical Permit Applied : Ob/23/94
YeimxL Status AVPk(UVEU
Situs Adcliess 1lb9fi 5W SURREL DUCK C.'1' '1'1 issued : Ub/23/94
' ' Completed
11 iEEC/UNE C:1MCU11' 1'o F'xpireYeLmit
s 1l/lU/94
Veimlt Ueocr.
t project 'Title SFR - LLLC/UNIT CIRCU1'1. project # P004V J8 �
project UesCr. s
* EROSION
s
tatrcel Number 15111 — Land Use District :
valudttion U
ueYell Uescr.. :
owner : INSPECTION - '1'IUAFID Construction : c.1'1'H
ti,Nplicant Name : BECK ELEC'TRic ClassificatlO.t ` uU
:l,pp.Llcant Ar3(11 . : 9316 5E CHUI.<CH Occupancy : K3
C:LAC:KAMAS, UK 9 /U1b Validated by KF
tipplica::t Phone: b'.)b-/39b Inspector Area :
I:UN'1'MAC'1'UF( : bEC:K ELECT. INC. Lic. C: 3--bC 26b-'l29l
tee desc:rlptlon Units Fee/Unit Ext tee Data
----------------------
--------------------------------------- yt
l:.:t branch W/out Feeder LLnter # 1 1 3b . U0 3 , CU
Subtotal Electrical tees : 35 . '10
State 5uichargF 01 b% 1 . /b
Total Electrtcd . Fees : 36 . /5 `
k** F'ees Required *** *** Fees Collected & Credits
--------------------------•-- -----------------------------
Method Check # Receipt No, Date Payment
CK lU1:31 06/23/94
TOTAL THIS DA'1-L ********* 36 . 75
Fees : 3b , '/b
Adlustments : . UU 'Total Credits : . U0
Total Fees : 3b . '/5 Total Payments : 36 . '/b
Balance Due : . 00
NOTIW: Tide penult bwomae'gull and void If the work or construction for which it Is Issued Is not ,ommenced within ISO days. Once construction ties started,
the permit been o null and void II construction Is Interrupted for a period o1+80 drys. 1 certify that the Informatlon presented by the applicant acrd
his agent or ageots In support of this perm"Is Inn and correct to ttw best of our knowleege. t acknowledge that the Building Department's reliance
upon false and mblesdlng Infurmatlon may Invalidate this perm". All provisions of rpplicable laws and ordinances govemhg the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correctlon sh,.ets. I acknowledge that
the granting of a perml does not grant authority to access prlrste prgwry or to use easements. t further acknowledge that the use or occupancy of
the structure or bulldfrI permitted depends upon my calling for Inspections et various times during the I nffemu of construction and the buliJing
Inspection staff verifying compliance with the various codes. Use or occupancy of the building o►structure pennMod prior to spprcvat by::is
Building Department Is solely a:the risk w the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
spprwa!Is given by the Building Offlcle. I further acknowledge that a Ilan may be placed on the 1111e of the property upon which the permit Is Issuen
specifying that the use o;oce,!-,ency of the building or structure h provisional and revocable until the satisfaction of all Inspacllon requirements.
APPUCANT'S SIGNATURE i
.y^
►p
WASHINGTON COUNTY Use
ELECTRICAL PERMIT
_ Departrnent of 1 and Use & Transportation a
Electrical Inspection Section APPLICATION
156 North First Avenue, x350-12
Hillsboro, Jrtgon 57124
Information: (503) 640.3470 Fax: (503) 693-0412
Permit S �l�//f='" (r;, 13
_ `, Number `7 J D1e&.A E
INT
.er plete all se
t�i 4. Complete Fee Schedule below f
Number of Inspections per permit allowed j
1. Location of mstaliation - — -
Address_ �� s w So r-re.1 Do ck CX—, Service included: Items Cost(ea.) Sum
Buildingg A. Residenftal-per unit
City �a R D !, ^ Suite fJ0. --
1000 sq.ft.or loss y1 tr),00 4
Tenant Name Each additional 500 sq.ft
(if commercial) — �— or portion thereof $25.00 --------
Limited Energy $25,00 ----. t
Map No. _ Tax Lot Each htanuf'd Homo or faodular
Dwelling Service or Feeder $66.00 _ -- 2
Thomas Map Book: page: 63 S Section: 6�_
Directions - ---- B. Services or Feeders
Installation,aliarations or relocation
200 amps or less $60.00 - 2
Commercial ❑ Residential 201 amps to 400 amps $80.00 _ — 2
401 amps 10 600 amps $120.00 _ -- 2
2a. Contractor inst.0afto {�nit/ amps to 1000 amps $180.00 2
• � ./• Ov Ovur 1000 amps or��urts $340.00 � 2
Electrical Contractor eek Ge'c /C Roconnb;',v,ay $50.00 —. 2
Address _y i 5 2-,-70 1,5
Dme t - J b Number _ZYte.T 8 C. Tempornry Serv'ces or Feeders
Property Owner yt� 4PCeS may— Installation,alteration or relocation
��
Contractor's License No. _ 200 ampb or less ___ $50.00 2
Contrar ;Board Reg. No. _�j6 201 amps to 400 amps ^_ 675.00 _ 2
401 amps to 600 amps $100.00 _ 2
Signature of Supr. EIPc'n Over 600 amps to 1000 volts see'8'above
I/L _ _
License No. y344 S Phone D. Branch Circuits
New,alteration or cxiension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or feeder fee.
15rinl Owner's Name hone — — Each branch circuit $5.00 2
h) Tho fee for branch circuits without
purchase of service or feed r fee.
First branch circuit $35.00 3`� _ 2
City ~' Stale dip Each add'ni branch cirruit_-- $5.00 2
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property I own Each pump or irrigation circle $40.00 2
which is not intended for sale, leaso or rent. Each sign or outline lighting $40.00 2
Signal citcuit(s)or a limited
Owner':.Signature _ energy panel,alteration
or ex ansion $40.00 2
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection _ $35.00
Please check appropriate Item acid enter fee In section 58. Per hour $5500
In Plant _ $55,00
4 or more residential units in one structure
---Service and feeder, 800 amps or more 5. Fee." of
System over 600 volts nominal A. Enter total of above fees g _3 --
_Classified area or structure containing special 5 Surcharge (.05 X total fees) $ .
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with apnllcatlon where any of the Plan Review if required (Section 3) $ — —
above apply. Not required for temporary construction Subtotal $$U
services. Less Bulk Label Fee $ «
Balance Due $
For inspections call This permit becomes null and void"the work sulhorl:sd by the permit is not commenced
640-3561 or 693-4415 within 190 days from date or Issuance o1 such permit or If the work sulhorl:ed Is
suspended or abandoned al any Ilmra after work Is )mmenced lot a period of 190 days,
24-hour recorder, one working day in advance of need 5lecirkal permho are non-refundable and non-transferable.
4/94
L
a, ..� •,Q
MECHANICAL
COTE OF TIGARD PERMIT
PERMIT M. . . . . . . : IIEC94-0165
COMMUNITY DEVELOPMENT D�P`Is� ���iT DATE ISSUED: �6/2�'/94
13125 SW Hall Blvd.Tigard,Oregon 972^3.819 3) X 71
PARCEL; 1 S 13314n-1 4700
SITE ADDRESS. . . : 12698 SW SORREL DOCK GT
SUBDIVISION. . . . : SUMMERLAKE ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :28
------------------------------
---
CLASS OF WORA— ZADDFLOOR FURN. . . . : EVAP COOLERS:
TYPE: OF USE. . . . s SF UNIT HEATERS. VENT FANS. . . :
OCCUPANCY GRP. . aR3 VENTS W/O APPLa BENT SYSTEMSa r
STORIES. . . . . . . . : BOILERS/COMPRESSORS H0073. . _ . . . . :
FUEL TYPES------------- 0 -3 HP. . . . : 1 Drmk7S. I NG T N a
:/ELE/ i / 3-15 HP. . . . : COMML. INCINI
MAX INPUT: BTU 15-30 HD. . . - : REPAIR UNITSe
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50•f Hip. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FUFN ( 100K BTUs (= 10000 cfm : GAS OUTLETS. :
FURN > =100K BTUs > 10000 cfm:
Remarks : (',►R GUNDITIONER
Owner: _-- ----- ---------------- _------ ------- -------__ FEES
BILL
--
BILL HERSHEY type amount by date rrcpt
12698 SW SORRELL DOCK CT PPMT $ 25. 00 SW 06/2;2/94 -
5PCT i 1 . 25 SW 06/22/94 -
TIGARD OR 97223-
Phone k:
Contractors -----------_.-_-.--------------
BEL_L HEAT I NG
t5550 SE PIAZZA AVE
CLACKAMAS OR 9701 _-______•______--•--_.____-•------ --_-__--
phone 4: Is 26. 25 TOTAL
Rey N. . t 00447 �
1, ------- REQUIRED INSPECTION; •-------
This perait is isRued subject to the regulations contained in the Mechanical I n s p
Tigard Municipal Codes 9tate of Oro, Specialty Codes and all other Final Inspection
applicable Im. Ali Nark Mill be doev in accordance with -
apprwed plans. This pkrit "ill eapi-e if work is not started r_
within IRS days of issumt, or if work is suspended for sore i
than 10 days.
Permittee Signatures
T i s u e ri Py e
Call for inspection - 639-41.75
City of Tigard
MECHANICAL PERMIT Planck/Rec. # _ �L l 4616!
13125 sw Han Blvd. APPLICATION Permit #
PO Box 23397 �J 3 —7
Tigard, OR 97223
(503) 639-4171
K,, �6escnpuon
Table 3A Mechanical Code_ QTY PRICE AMT ) _
' �MI
1) Permit Fee 0- -0- 10.00
,Job ������ , 1Si.l �CrREu_� �.,, �
Address 3.00 T
Q C71—���� 21 Supplements'Permit _
Wm
r u E s �E 11 incl.ducts 8 vee hts 6.00
»» urnace 100.000 BTU+
2) incl.ducts d vents 7 50
Owner �y '.Sl,/=Log fit a 67 _
imFloor umance
n incl. vont 6'00
guspended beater,wall h9ater
"S( 4) or floor mounted heater F.00
Lov.A 1
»» Vent not incl.in
Occupant 5) appliance permit 3.00
_ ----To—pair of heating,reng.
6) cooling,absorption unit 6A0
.Mer or comp, eat pump,air
7) to 3 HP absorp unit to 1GOK BT _ 6 i
i er or comp, eatpump,air
Evoilwk (� O
n A - 81 3-15 HP abaoip unit to 500K BTU 11.00
Contractor Boiler or comp,heat pump,air cond
C:k y 9) 15-30 HP ebsorp unit.5-1 mil BTU 15.00
W TMM Boiler or comp,heat pump,air cond. p
L 10) 3050 HP absorp unit 1-1.75 mil BTU 22.50 }!
re y ac now ga .at ave res is app kation,that a of er or comp, at pump,au ccr .
information given is correct,that I am the owner or authorized agent t 1) r n absorp unit ' 'S mil BTU _ 31.50
of the owner,that plans submitted are in compliance with Mate it an mg unrt to
laws,that i am registerod with the Construction Contractor's Board, 12) 10,000 CFM °50
that the number given is correct (If exempt from State regia.%tion Ain ,-.Qs ing unit I
please give reason below.) 13) 0,000 C' + 7.50 V
on pont I
14) evaporate cooler 50
--` _ ant an connected
15) to a single duct _
"-
Ventilation system not
/-7 1C) irn.luded in appliance permit 4.F.0
Hood served by
,t #
,..,
17) mechanical eyhau, 0.50
Descripa work new addition a terser Commercial or industns
to be done reside— Hort shdeMip' 19) :;pe incinerator 30.00
ns ng usp of ---CV.Fer hie.,woods ve,water
building or poperry 19) h later,solar,clothes dryers,etc. 4-54�
{{ Proposed use of 20) Gas piping one tc four outlets
i building or property
1) 21) More th r outlet �
Type of fuel•oil Q natural gas J$j I-Pt _�� �cc/
NUTICE
Minimum Fee X60 SUBTOTAL_
PERMITS BECOME VOID IF WORK OR CONSTRUCT10"O
AUTHORIZED IS NOT COMME'!