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12330 SW ALBERTA AVENUE
oma.
- ELECTRICAL PERMIT
CITY l'
OF TIGARD
PERMIT #: r
-
9DEVELOPMENTSERVICES DATE ISSUED: 09/24/ 8
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171
SITE ADDRESS, . . : 1.2330 SW ALPE:RTA AVCS PARCEL.: 2S 10i3BC--0 4010
SUBDIVISION . . . :CANOGA PARK Z.ON I NG:R-4. 5
BLOCK. . . . . . . . . I.. {aT. . . . . . . . . . . . . .01118 JURISDICTION: URB
Project Description: Installation of 2 branch circuits.
---RE SIDE.hIT I AL UNIT----- - - -TEMP SRVC/FEEDER.13-._•---• --- ---MISCELLANEOUS----
1,000
-- --•MISCELLANEOUS-_--._.1.000 SF OR LESS. . . . : 0 0 - OO amp. • . • . • • : 0 PUIYIP/IRRIGATION. . . . : 0
EACH ADD' I_ 500SF. . . : 0 201 - 4010 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
i_IMI"FED ENERGY. . . . . : 0 401 •- E00 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 07
IrIANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 11INOR LAPEL ( 10) . . . : 01
-----SERVICE/F"EEDER----•- _..____BRANCH CIRCUTTa_.__.-_ -----ADD' L INSPECTIONS .--.
0 _. 200 amp. . . . .. . : 0 W/SERVICE: OR FEEDER: 0 PER INSPECTIO`J. . . . . : 01
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FI?R. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L. PRNCH CIRC: 1 11\1 PLANT. . . . . _ . . . . . . 0
601 - 1000 amp. „ . . . : 0 --- REVIEW SECT ION------_
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . . ) Fsoo V(JI._-F NOM I NAL. .
Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC OCC.
IOwner: -- -- _____.___-. __.__..._________ _____---__-•-- FEES
GENIA FINCH type amoi-int by date _ r ecpi--�-
1._,.,30 SW ALBERTA �»XPIRiED PRMT $ 40. 00 DEB 09/24/98 96-309448
T I=;ARD OR 97223 L/ SPCT $ 00 DEB 09/--;,4/98 r98-2;0944H
Phone #:
Contractor: ------_---_--•------_--------_-
WES T SIDE ELECTRIC CO INC $ 42. 00 TOTAL.
1834 SE 81H AVE:
------- REQU I RED INSPECTIONS
- -
PORTLAND OR 57214 EI-ect' 1. Service
Phone #: 231.-1548 El.eet' l Final
Req #. . : 13306
Chis permit is issued subject to the regulations contained in the Tigard Municipal 1t4de, State of Orfgon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This per•rit will expire if Mork is not started within I"
days of issuance, or if "irk is suspended for more than 180 days.. ATT.F.NTION: Oreian law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-88IAA118 through OAR 952-881-1987. Y91i may obtain a copy
of these rules or direct questions to RK by calling 15831246-1987.
k-
INS'
Permittee 'moi nati_ira • Iss�.ied 8 1 AL1_ATI ON
lire installation is being made on property I ot•in which is riot intended for
sale, l Fuse, or rent.
(lW F R' S SIGNATURE:
._ DATE..
-----------------------CONTRACTOR INSTALLATION
UhILY- --_ - ___---•-----_-__-
SIGNATURE OF SIJF'R. ELEC' N: if
��aR'T
DATE: -
L_l CE N aE NO:
+*+-1-++'4'•++f+++++++++++•i•++++-+++++++++++•+++++++++i++++++++++++++++++++++++++++++++
Call 539-4175 by 7 :00 p. m. for an inspection needed the next bi.isiness day
Ir ++++•f++++++++++++++++•.++++++4.++++++•aY+•++•+++++++++++++++++++.i +++++++•t+++++-+•+++
l
MECHANICAL.CITYIGARD PERM 1'T
DEVELOPMENT SERVICES rT PMTT #. . . . . MEC..98-039i,
13125 SW Hall Blvd., Tigard,i1R97223(503)639.4171 DATE ISSUED: 09/11/98
PARCEL: wS 103BC-�03400
S'I'TC ADDRESS— : 12330 SW RI_1�ERTf=1 AVE
SUBDIVISION. . . . : C'ANOGA PARK, ZONING: R-4. 5
BLOCK,. M. `. . . —______------.I-- T__. . . . . . . . . . :_0_0`1
JL.1P,I SD I CT I ON: URB
CLASS OF WORK. . :ALT FLOOR TORN. . . . : 0 —_______•EVAP�COOLERS:L0 —�~—_.—_-
1 YPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS- - it
CICCIJF'ANCY GRP. . :R3 VENTS bJ/O APDL: 0 ')ENT SYSTEMS. 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUE1_ TYPES--- ___._...__. 0- HP. . . . q1 DOMES. I NC I N: 0
:GAS 3-15 HP. . . . 0
COMML. 1 NC::I N: QI
MAX INPUT: 0 13TI_I .15-30 HP. . . „ 0 REPAIR UNITS: 0
F.T.RE DAMPERS". . : 30--50 HP. . . . : 0 WOODSTOYE'S. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS— : 0
1\10. OF lJN 7 S--- -- ___.__. AIR HANDLING LJN 1 T OTHER UNITS. : 0
Fl_IRN < 100K, B'TLI. 1 (- 1.0000 c fm: 0
F GAS OI.JT LETS. : 1.
URN > -100K BTU: 6 > 1 0000 of m : 0
Rr'marks : Alteration to residence.
FEET
IJJIA FIt\IrH ---- .__type
---amount_--hy date
--- --r'er-pt—
i.2_330 SW ALBERTA PRMT $ 25. 00 DLH 09/11 /98 98-309055
T I GARD OR 97223 5PCT $ 1. 25 DLH 09/1 1./913 '38-30'?tTc�
r•'h n n e it: 5`qi-8c-36
(-OLUMB I A HEATING 9 COOLING INC; _
I`'0 BOX 230397
TIGARD OR 972'23
't 26. 25 TOTAL — -- _
Phone #: 624-2704
Reg #. . . 0007631
--_ - REDU I RED INSPECTIONS
This pe!-eit is issued subject to the regulations containrd in the Gas Line Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanir_.al Insp T'-
applicable laws. All Murk will be done in accordance with Heating Unt Insp 'M _—
,Approved plans. Th s perait will expire if Mork is not started Final Inspection
within SAP days of i;suanre, or if work is suspended for sure ---
`han 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Qregon Utility Notification Center. Those rules are
1 set forth in OAR 9152-401-ple through OAR 912-WI-AA89. you guy
,btain copies of these rules or direct questions to OUiC by calling
r5031246-9187.
Tssoie By :
+.+++++++•+•+++++++++++.;-+++++•+++ 4++++4+++{ ► ++++++++++++++ ++++++++++A-++++.++++++++
Call 639--4175 by 7:00 p. n1. for inspections needed the next b1_Isiness day
+++++++++++++++++•+++••++++++•++++++++i•++++•++++++++++-+++++++++++++++++-r•+++-I-++•+ 1 s +
Plan Cheek#
Cf T'Y OF TIGARD {Mechanical Permit Application* Recd By– Z 4-/7" —
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 l' Permit# /c1'-^>ip �n3 9J
_— Incomplete or illegible appl4cations will not be accepted Called
-
NaWe of D6velopmenuPro)ect Description
,� Table 1A Mechanical Code CITY PRICE AMT
Job Street Address Suited- AI Permit Fee _ -0- 0• 10.00
Address ) -?j 50 :5C ) ,L- 1
Bldg# City/state Zip 1 ) Furnace to 100,000 BTU 600
-/;a ___LncIuqLn9 duds&vents
Name(or name of business 2.) Furnace 100.000 BTU- 7.50
Owner (I L LJ including duds 8 vents
Mailing Address 3.) Floor Furnace 6.00
L• _ including vent _
Cttyrstime Zlp Phone 4) Suspended heater,wall heater 600 -
_ /l/ _ 3 ' or floor mounted heater -
Nome(or name of businoss) 5) Vent not included in appliance permit 3.00
Occupant Mamng Addre,s — 6.1 Boder or comp,heat pump,air cond 6110
_ to 3 HP;absoro unit to 100K BUT"'
cirti state- _ Zip hone 7) Boder or comp,heat pump,air cond 11.00 1
3-t5 HP;absorb unit to 500K BTU"
Contractor �R° 8.) Boiler or comp,heat pump,air tend. 15.00 -t
r I l 15-30 HP;absorb unit.5-1 mil BTU"
Prior to permit ding Address 9.) Boder or comp,heat pomp,air cond 22.50
issuance,a copy 1,� j r ,� 30-50 HF;absorb unit 1-1.75mil BTU"
of all licenses C ts)ete yip Phone - 10) Boiler or v,1mp,heat pump,air cond. 37.50
are required if C� ! C ) 7 f >50 HP;absorb unit 1.75 mil BTU"'
expired in COT reg onst.Cont Board Uc,,l Exp.Date 11 ) Air handling unit to 10.000 CFM 4 50
database_ 12 C� I�ro-cv-
Architect N8T° 13.) Non-portable evaporate cooler --
4 50 —
or Mailing Address -- 14) dent tan connected to a sinqle dud 300
Engineer Citylstate =ono 15.)Ventilation system not included in 450_ rl�' appliance
� Describe work New C Add_itfon O Alteratio - Repair 0 16) Hood serveded by by mechanical exhaust 450
to be done Resider iall.eY Non-residential O
Additional Description of work: L.1 n Jc�_s7 e 5e 5'q-i I17) Domestic incinerators—� 750
1
ICZ5 �i4(Il[t� t �l LUcx-'v f Ke(xiv r 18) Commercial or industrial type 30.00
_ Incinerator
Existing use of 19.) Repair units 450
building or proporty--- --------..-- ---- --- --- ----
20 1 Wood stove 450
l Proposed use of 21.) Clothes dryer,etc. 4 50
building or proper•,v
22 1 Other units — 450
Type of fuel-oil O natural gasi I_PG O electric 0 23; Gas piping one to Four outlets 200
I hereby acknowledge that I have read this appocatior,that the i 24) More than 4-per outlets(each) — -5.�—
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are ir.compliance with Oregon State — CITY,SUBTOTAL
laws
Slgnatu Owner!Ag M1 Date — "SUBTOTAL
+.GE
-Ct7ftifac3 arson Name Phone PLAN REVIEW 25%OF SUBTOTAL
_< ) L
TOTAL —
Ornischpmt doc (rev 9 'fVlinimum permit fee is 525*5%surcharge
"Rea dential AIC requires site plan showing placement of unit.
1