8880 SW SCHECKLA DRIVE-2 1
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing P-in Drain Cover/Service FINAL:
/ Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -31dg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: �� _
Date: � I`1 (0 A.M. _P.M. Entry:
Address: _ R U y l ../
Tenant: Ste:__ MST:
Con/Own: a-3 Ca(F /�_ B
PLM.
ELC: d
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
lilt
Inspector. — - - Date
xAPPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
LL
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CITY OF T�GARD PEYN
FI, 17
RMIT
#: LC96 0
1='[:RMI-( #: ELC:96-0a53 � .a•'
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/06/9:
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
I•'ARCEL.: 2S 1 1 1 A['-00000
SITE ADDRESS. . . : 08880 SW SCHECKLA DR •
SUBDIVISION. . . . : SCHECKLA PARK ESTATES ZONING: R.-•4. 5
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . : 11
Project Description: Installing one branch circLiit.
_____--•-.-----••-------_____._-•-•-.----•--.__..--•-.---_--.-------•-----_____________..___.-----._-_-----
---RESIDENTIAL UNIT---- ---TEMP' SRVC/FEEDERS---- ---•--MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 2,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 eOl - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 •
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL 'gNEI.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR L„NEL ( 10) . . . : 0
._----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- ---ADD' L I NSF'E_CT I ONS----
0 - 200 snip. . . . . , : 0 W/SERVICE OR FEEDER: 121 PIER INSPECTION. . . . . 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : l PER 1-40UR. . . . . . . . . . . : 0
401 - 620 amp. . . . . . : 0 EA AbOI L BRNC•H CIRC: 0 IN PLANT. . . . . . . . . . . 0
601 - 1000 amp. . . . . : 0 _..______________.__PLAN REVIEW SECT I
10004 amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: --------------------------------------------- FEES
KURT RUSMUSSEN type amol-int by date recpt
8880 SW SCHECKLA F'RMT $ 35. 00 CJS 06/06/96 96--28046
5F'CT $ 1. 75 CJS 06/06/96 96--280246
11GARD OR 97223
Phone #:
Contractor,: -------------------•--------------------•------------------------- -----
SURSET FUEL CO $ 36. 75 TOTAL
PO BOX 42287
2944 SE POWELL BLVD (97202) -- ----- REQUIRED INSPECTIONS ----- --
PORTLAND OR 97242-0287 Wall Cover Elect' l Final
Phone #: 503-234-0611 Elect' I EPrvir=e
Reg #. . : 2374 -- ---
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Pler^mittee SignatUre
applicable laws. All work will be done in accordance Pith
approved plans. This permit will expire if work is not started
within 198 Gays of issuance, or if work is suspended for core �j� �c12?LLC
than 198 days. I s si.led By — —
_
INSTALLATION
ONL_Y__.___._-----•--------•-------.__._____
The installation is be.i.ng made on pt,oper-ty I own which is not iritended for,
sale, lease, nr- rent.
OWNER' S SIGNATURE: DATE:
'y---”"----- __-- - C[INTRACTOR INSTALLATION ONLY------------ -------------•--
S i rNATUrRE OF SUPR. ELEC' N: DATE:
LICENSE NO:
Call for- inspection - 639-•4175
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Community Development ELECTRICAL. PERMIT APPLICATION �
13125 SW Hall Blvd.
Tib 1, OR 97223 Planck/Rec. #
Permit #CZe--Q Us'S3
Phos,. (503) 639-4171 Date Issued G
CITY OF TIGARD FAX (503) 684-7297 Issued by Cj, ,-/---c
TDD No. (503) 684-2.772 -
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below: `
Name of Develooment__.. Number of Insliections per permit Mowed --
k AddressService inc•.luded Items Cost(tra) Sum S
City/State/Z -7
4a. Residential-per unit 4
1000 ap it on Nee $11000
Name (or come of business) Ewh amillonal 500 sq It or -- _
podinn lfwr" $2F.00 1
Commercial❑ Residential Q —' limited Energy py 00
Each Mami d fbms or Modular 2
f)wesinp Service or Feeder $6e OU
1 2a. Contractor Installation only: 1 ( q 1 services o:Feeder*
Electricalontract0��` Y f� 1 (_ Installation,aftertiron,or relocation 2
_ 200 amps on less SIX)00 2
Address j���� 20 limps to 400 amps _-- $8000 — 2
CI fJl `♦^-C, 101 amps to OW amps —� $12000 — 2
I ty_ State _ ZI 1�`I—� 601 amps to 1000 amps $16000 - 2
Phone NO. �,�_7-- D ' _ Over 1300 supe on Vohs �— $34000 2
i Contractor's Vicense No. off` '� T Reconnect a+r $5000
Contractor's Board Reg. No. '�► 4c. Twnporer,•Services or Feeders
Installation,aher,tron,or relocadron 7
Signature of Sujpr. Elec'n 200 amps or Was SW pp _ 2
License Pio._ ! Phone No. ?01 amps to 100 amps $7500 2
101 amps to%0 amps $10000
Over 00o amps to woo votes `--
2b. For owner Installations: sea W above
Print Owner's Name 4d. Branch Circuits t
New,sheref-on or extension per panel
Address a)The fee U bunch errands wth
City-` State Zip Pf mho"of eerrics or reader nee. 2
Phone No. Each branch circuit — $5 00
b)The Ise for branch circuits sifhow
The installation is being made on property I own which is ltwche"of ewviee or bedw nee. 2
not intended for sale, lease or rent. First brancharand $31;00
! Eavfi addiliorrs twanch circuit $5 00
I Owner's Signature _—_ 40. Miscellaneous
(Sn-rv"or feeder ro!included) 2
i 3. Plan Review section (if required): Each pump or irrigation arde $+o ro
'ach sign or outlet lighting $4000 I
Please nheck appropriate Item and enter fee In section 58. Signal mrt:W(s)or a limited energy --
panel,aheration a oitenwon $4000
residential units in one structure Minor I.abele Ito) l
4 or more resid -- $1nn oo —
Service and leader 225 amps or more -- ---
System over 600 volts nominal 4f. Each additional inspection ovor
_—_Classified area or structure containing special occupancy the allowable in any of the above,
as desr•ribed in N EC Chapter 5 pef inspection $3500
Per hour $55 00
Submit 2 sets of ens with In Plant $5500
Pl application where any of the above
apply. Not required for temporary conrlrucl'r•,i service$. Jr. Fees:
NOTIc,E 5a. Enter total of above fees =
590 Surcharge(OS X total foes)
17
pERMIrS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $s
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ARANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AF1 ER WORK IS Subtotal $
COMMENCED. ❑ Trust Account N _
$
Balance Due $ 3(0
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CASE HISTORY OR rA32 NO.: 6LC96-03s;
K17RT RUSMUSSBH
08880 SN '1cH8cKLA 'JR
R hd� Alid/ Action Foten Di-p BY Update Opd
k,-tion Description e9/ ScsY
Date
code sent Done Done
e
R&CD CJS 76/05/96 CJ8
XL,a001 Application received / / / / 06/08/16 PEM cis 06/05/96 cis
SLCA00I Permit created / / / / 06/06/1fi .
SL.CA500 (F) Issue permit / / / 06/06'06
PASS CJs 06!06/96 CJS
iL.cA600 case finaled / / / / 07/19/96 PASS MJR 07/27/96 MJR
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MECHANICAL
CITY OF TIGARD
PERMIT #. .. .. .. .. . ..
s MEC96-0167 e
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/06/96
13126 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)638-4171
PARCEL: 2S111AD-08000
SITE ADDRL . . : 08880 SW SCHECKLA DR e
SUBDIVISION. . . . : SCHECKLA PARK. ESTATES ZONING; R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11
CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . eSF UNIT HEATERS. . : 0 VENT F'ANS. . . : 0
OCCUPANCY GRP. . :Al VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRE:SSORS HOODS. . . . . . . . 0
FUEL TYPES- -____.._ _.._._-__ 0-3 HP. . . . 1 'COMES. INCIN: 0
3-15 HP. . . . . 0 COMML. 1 NC I N: 0
MAX INPUT: 0 BTU 15-30 HP. . . . . 0 REPAIR UNITS: 0
FIRE DAMPERS?. . .- 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : S0+ HP, . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 (- 10000 c f m: 0 GAS OUTLETS. : N
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarks : Installing a carrier air- Gond.
Owner: ----------•------------------------------•--------------- FETES
KURT RUSMUSSEN type nmol-Int by date r-ecpt
8"90 SW SCHECKLA PRMT t 25. 00 CJS 06/06/96 96-280246
51--'CT L 1 . 25 CJS 06/06/96 96--280246
TIGARD OR 97223
Phone #:
Contractor,: ------------- --------------__---
SUNSET FUEL CO
GO BOX 42287
PORTLAND OR 97242 _.____._________._..__________---•-----•__-_
Phone #: 503-234-0611 f 2'6. 25 TOTAL
Req #. . : 002374
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Nechanical Insp
Tigard Municipal Code, State of Ore. Specialty Cedes and all othe. Mi sc. Inspection _
applicable laws. All work will be done in accordance with V i na l Inspection -
aCjroved plans. This permit will expire if work is not started
wi'tin 180 days of issuance, or if work is suspended for more
then 180 days.
Permittee Signati_Ir-e : naa_!
I s s ll e d Bye
Call for inspection - 639-4175
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• City of Tigard MECHANICAL PERMIT Planck/Rec # aL/E
13125 sw Hall Blvd. APPLICATION Permit # FY) FC-q6 -016-7
Tigard, OR 97223
(503) 539-4171
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-�.—t. -- Description
Table 3A Mechanical Code OTY PRICE AMT
Job 1 Permit Fee -U- -U- 10.00
Address '�. --
tL �(� W 2) Supplemental Permit 3.00
Furnace to
Zr SA 1 incl. ducts &vents 600 �Ib'
�7c. ••• ^^• urnace10 u BIU +
Owner bD � �' G___ 2) incl ducts 8 vents 750
-f� ^ Floor urnance
t i, ,�'t� 3) incl. vent 6.00
•m• • ••^•••
Suspended eater, wa eater _
4) or floor mounted healer 600
•^. ••• °^• Vent not incl. in
Occupant 5) appliance permit 3.00
Repair of heating, re ng --
6) coolinq, absorption unit 600
•�• of er or comp,Tieat pump, ancon
CQ 7) to 3 HP; absorp unit to 100K BTU 6.00 �j tx1
n�v •�— �/ �t�
Boiler or comp, heat pump, air cond.
-0 ( 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor •,• ^ ` Boiler or comp, eat pump, air cond.
\cO C2 q1r�i 9) 15-30 HP; absorp unit 5-1 and BTU 1500
+!• •+�`
Boiler comp, eat pump, air
tU) 3
0-50 H HF absorp unit 1-1.75 andit BTU BTU 2250
hereby ac nowie ge that I have read this application, that the Boiler or zomp, heat purnp, air con
nformation given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 mil BTU 37 50
gent of the owner, that pans submitted are in compliance with Air handling unit to
laws. that I am registered with the Construction Contractors 12) 10.000 CFM 450 i
'hat the number given is correct. (If exempt from State Air handling unit
please give reason below) 13) 10 000 CTM + 7.50
on portable
14) evaporate cooler 4,50
Vent fan connecte
15) to a single duct 300
enti auon system not
16) included in appliance permit 450
—7-0-ou serve y
(p-,3-c1 V1 17) mechanical exhaust 450
escnbe Wo-K new i Ion alteration OU repair O Commercia or in ustna
to be done residential Ll,"n-residential Q 18; type ,ncinerator 30.00
xisung use o Other i e, woodstove. water
building or property 19) heater solar. clothes dryers. etc. 4.50
Proposed use of 20) Gas piping cne to four outlets 2.00 I 1
building or property
!
Type of fuel -oil natural gas Q LPG Q electric Q 21) More than 4-per outlet (each) 2.00 )
NOTICE
Minimum Fee 525 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHCRIZED IS NOT UOMMENCED WITHIN 180 DAYS OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 251,e OF SUBTOTAL
AFTER WORK IS COMMENCED
/Special Conditions �� ���` �^ 'fir I—
Date issued by [ TS
M'lCO +DSMMECnpMT
,.+�,... ►.. y.�r.� `"'w'",!"""iMr' ` *'fin .w �,�. .-}x .. .w: .,-.y "s!•• - Lit
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page No. 1 CASH HISTORY FOR CASE NO.: MEC96-0167
f (CURT RUSMUSSHN
f� 09880 SW SCNBCKLA DR .
1 OS/lY/fs
f Action Deecripticn Req/ schd/ 'grid/ Acticn NOtse Diep By Update I)pd
Code
Bent Done Dane Date BY ,
-- -------- ---
I
MHCA007 Application received / / / / 06/04/96 RECD CJS 06/05/96 CJS
MRCA060 (F) Issue Perait / / / / 06/06/96 PASS CJS 06/06/96 GJS
MECA799 Final Inspecticu / / / / o,.'.3/96 APP KS 07/23/96 KBS
IAPP KS 07/27/96 RBS
MSCA800 Case Finaled / / / / 07/23/96 A-1- electri:al Einaled
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