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12765 SW BULL MOUNTAIN ROAD-1• 4 1 , y 1 12765 SW BULL 1 CITY OF TIGARD BUILDING INSPECTIrNi D,VISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ Date Requested__ '�' BUP AM M ------ ELD Location Z? l(•�r ,$r�,, f�� ,�. IL- Suite — --- --- ------ — MEG Contact Person Ph G� ;) —' --- G—t civ �uu/ly� Contractor _ Ph "...Y_ SWR BUILDING Tenant/Owner ELC Retaining Wall— — -- IFooting Access: ELR Foundation Acc - Ftg Drain FPS crewl Drain Ir,spection NTte SIGNSlab _ Post& Rpam --- --- - SIT Ext Sheath/Shear int Sheath/Shear (Framing ------- -- --- !r.sulation ---------- -- --- Drywall Nailing Firewall ------ -_—__----------- -- Fire Sprir,;;!c -- - - - Fire Alarm ------ -- _ --- - ---- .- - Susp'd Ceiling - Roof - - --- -----_ --- ------ - ---- - Misc: - - Final P/,$ PAR7 FAIL. - --_-- - PLUJIQ¢ING.. -- _ ost& Beam Under Slah h •Top Out Water Service ---- Sanitary Sewer Rain Drains AANICAL PART FAIL - -- Post R Beam - - Rough In Gas Line -_ - Smoke Damr irs -- - - ---- Final PASS PART FAIT. --- ELECTRICAL - - -- Service --- - Rough In -._--- . UG/Slab --` Low Voltage Fire frlarm Final PASS PART FAIL - - SITE -- -- - - Backfill/Grading --- _ Sanitary Sewer Storm Drain [ )Refnspectlon fee of$ required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin - Fire Supply Line [ )Please call for relnspectinn RE: [ J Unable to inspect-no access ADA Approach/Sidewalk /� a Other _ Dane -L>— Inspector Ext Final -._ PASS -PART FAIL DO NOT REMOVE this Inspection record from the joky site. CITY OF TIGARD BUILDING INSPECTION (DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested AM� PM BLD Location Zoll- 5 `"�' ��_K��I� PN .3uite _ -- _ MEC — Contact Person Ph —; ? 3 2 r V PLM — Contractor _^ -_ r-h SWR BUILDING Tenant/Owner FSC �!✓rry-vy�. � �" Retaining Wal; - ELR _ Footing Access. Foundation FPS Ftg Drain — Crawl Drain Inspectior Notes: SGN _ Slab Post&Beam ------ -- _ ----..._--- --- SIT ---� Ext Sheath/Them Int Sheath/Shear - Framing - -� Insulation - - Drywall Nailing Firewall Fire Sprinkler 1z' Fire Alarm - Susp'd Ceiling ------------------ Roof _ --- -- Misc.: ------- - -- --- � '"--- Final PASS PART FAIL __------ -------------_--- ------- _-_-- PLUMBING Post& Beam Under Slab Top Out - —----------- -- - - Water Service Sanitan/Sewer Rain Drains Final --- - PASS PART FAIL MECHANICALS - - - -- Post& Beam ---------- _ - Rough In — (,as Line moke Dampers Fi,al --- -- - ---- _ PASS -E T FAIL. Service Rough In - UGrSlab Low Voltage Firelqrm -----------.�. ------ - - _ --------------_ --- -- in S ART FAIL _- Backfill/Grading - ---------- Sanitary Sewer Storm Drain I J Reinspection fee of$ required before next inspection. Pay at City Hall, 13525 SIN:-+all Blvd C.Ach Pasin Fire Supply Line [ J Please call for et'nsJection RE: _ [ J Unable to inspect-no access ADA Approach/Sidewalk / Date �" Ins ertor_ '� Other D _ — P _ -�-------_._ Ext Final PASS -PART__ FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- r'' BUP __Date Requested '(� Z-� / -AM_ PM -_ BLD _ J Location _ C Z E.•1.,('Q r 't L�_f� Sui_6 -/ / MEC ��L � Contact Person LPh �G��'T lt�� I'LM -------- -- Contractor Ph — SWIR _ BUILDING _ — Tenant/Owner -- LLC Retaining Wali ELR Footing Access: FPS Foundation ---- --- Ftg Drain SGN Crawl Drain Inspection Notes. -- - -— ISlab ___ �_--- _ SIT Post&Beam ---- -... Ext Sheath/ShearI Int Sheath/Shear Framing �'��4 �L��1 --.sG ��t�',�S_� =1i•GT� crs" !e 0 Insulation _ Drywall Nailing ----- Firewall r i' Fire Sprinkler _ _— Fire Alarm -- Susp'd Ceiling ------- Roof Misc:_ --- ---- --- --- ----- Final ----------- PASS PART FAIL --- --— -- --- --- --- -- — --- --------- PLUMBING --- --.. --- --_— — ---------- Post&Beam Under Slab ------ --- - _------ ------- - Top Out Water Servi,,,e Sanitary Sewer Rain Drains Final --- -- --- PASS PART FAIL - --- - ------------- -------- -�- _ Post&Bea,n --- --- ---- - --_- - - - - -- Rough In GasLine - - ------------....---- --- --- ---- ---- --- Smoke Dampers WSSASS FAIL . CTRICAL -- -- -- - ------_- ..-- .-.. -- Service _ _ -- ------ -- - Rough In UG/Slab ---- --..- - --- --- -- Low Voltage Fire Alarm _-. - -- - -- Final PASS PART FAIL_ -___- -- SITE _ Backfill/Grading --_-- - Sanitary Sewer Storm Drain f )Riinspection fee of$ __— required before next inspection. Pay a,r,ity Hall, 13125 SW Hall Blvd Catch Basin ect-no access Unable to i�.s Fire Supply Line I ] Please call for reinspection RE: —_� —_� ) ) P ADA L� Approach/Sidewalk Dateector Ins Ext _ Other _--- — C� ---._ p _ -- - - -- Final PASS PART FAIL DO CiOY REMOVE this Inspection record from the job site. CITYO F TI GA R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: P�lEC199900163 13125 SW Hail Blvd., Tigard, OR 97223 (5031 n,9-4171 DATE ISSUED: 4/15/99 SITE ADDRESS: 12765 SW BULL MOUNTAIN RD PARCEL: 2S109AD-01000 SUBDIVISION: ZONING: R-7 BLOCK - LO r: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: _ EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VEN rS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: _ FUEL TYPES0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 • 30 HP: FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS: GAS PRESSURE: 50 + Hp: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDL NG UNITS CLo DRYERS: FURN >=100K BTU: <= 10000 cfrn:� OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installing furnace Owner: -----FEES SCHAER, JOHN ARLEN + CHRISTI A Type By Date Arnount Receipt 12765 L MTN RD PRMT BON 4/15/99 $25 00 99-314542 TI��ARD, URR 97224 5PCT BON 4/15/99 $1.25 99-314542 Phone: _ — Total _ $26.25 Contractor: SUNSET FUEL CO F0 BOX 42287 PORTLAND, OR 97242 _ REQUIRED INSPECTIONS Mechanical Insp Phone: 503-234-0611 Final Inspection Reg #: LIC 00002374 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 180 days of issuance, or if work is suspended for more than 180 clays. ATTEN-t ION: Oregon law requires you to follow rales adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-X1080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: �Vl�✓_AL.U-ti Permittee Signature: l '�� (�•1`` ��- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day RECEIVIED Plan Check# (CITY OF TIGARD Mechanical Permit Application Recd By 13'$25 SW HALL. BLVD.APR U _ 19'' Commercial and Residential Date Recd _ TIGARD, OR 97223 COMMUNITY UVEi nit"M Date to P.E. (503) 639-4171, x3104 Date to DST Print or Type Permit#jyre 11,11 0-165 Incomplete or 'illegible applications will not be ar cepted Called – _ Name of Devt:upment!Projoat DeLcription Table lA Mechanical Coae_ _ _ Oty Price Amt_ Job / DNIStreet Addrer• p p SufletY A) Permit Fee 10.60 Address / .) 7&5 it [� 1) Furnace to 100,000 BTU C� inrludin ducts&vents see footnote 1,2 6.00 BWglr Cnystate ZIP 2) Furnace 100,000 BTU+ including ducts&vents see footnote 1,2 7.50 Name(or name of>�Ina ) 3) Floor Furnace Owner t.�Z,h II -,!X',,-h/?to including vent see footnote 1,2 6.00 Mailing Address4) Suspended heater,wall healer or floor mounted heater see footnote 1,2 6.00 5) Vent not Included in appliance permit Cnyistate JP Phone 3.00 _ Check t 1 that apply: 'Boller Heat Air Na (or name of business) For Item.•6-1ee 0,sor Purnp Cond Qty Price An it footnotes 1,2 Com "" _ 6) 3HP;absorb unit to Occupant Mailing Address 100K BTU _ 6.00 7)3-15 HP;absorb unit cnylState Zip Phone 100k to 500k BTU 11.00 8)15-30 HP;absorb unit.5-1 mil BTU _ 15.00 Contractor Na' I 9)30-50 HP;absorb ��f/IjE� r•f� - unit l-1.75 mit BTU 22.50 Prior to permit Malling Address I G'r/ess ,, 10)>50HP;,absorb unit issuance,a copy 15 t d+- I >1.75 mil BTU _ 37.50 ^ 7 of all licenses rState P�t�+� I 11)Air handlin•i unit to 10,000 CFM are required if t *b f"rCa r`A 4.50 expired In Co,r conn.Cord.e�►�� FxP•Dat d — 12)Air handling unit 10,000 CFM+ database _ 3 "1 7.50 Architect Name 13)Non-portable evaporate cooler _ 4.50 1 _ or Ma,irty Aadroes J– 14)Vent fan connected to a single duct 3.00 15)Ventilation system not Included in Enginf,er CRY/State zIv Phare SPPIien a It _ 4.50 16)Hood served by mechanical exhaust 4.50 (k+scrit�e work to be done -- -- 17)Domestic incinerators New* Repair O Replace with like kind: Yes O No O _ 7.50 Residential O Commercial O 18)Commercial or Industrial type incinerator 30.00 Additional information or description of work 19)Repair units 4.50 20)Wood stove NOTE: For Commercial projects only;Units over 400 lbs.require 4.50 structural gas calcis 21)Clothes dryer,etc. Type of fuel oil O natural gas LPG O electric O 22)Other units I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or ouihorized agent of 23)Gas piping one to four outlets the owner,that plans subrnitted are in compliance with Oregon Stale laws. See footnote 1 2.00 24)More than 4-per outlet(each) Signature of Owner/Agent Date .50 � tZt Minimum Permit Fee$26.00 SUBTOTAL Contact Person Name Phone l 5%SURCHARGE PLAN REVIEW 25%OF SUBTOTAL Foonotes for commercial projects only: Required for ALL commercial permits only _ 1 Provide full schematic of existing and prnposed gas line and pressure. TOTAL 2 Provide drawings to scale showing existing and proposed me;hanical _ 1� units. _ 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1 4nechpemi.doc rev 02!4199 _ ELECTRICAL PERMIT CITYOF T I C3Z A■ �R D PERMIT#: ELC2000-00292 DEVF_Lr1PN!1ENT SERVE^ES DATE ISSUED: 6/5/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 PARCEL: 2 S 109AD-01000 SIT1r ADPRr.SS: 12765 SW BULL MOUNTAIN RD SUPUIVISIGN: ZONING: R-7 BLOCK: LOT : JURISDICTION: TIG Proie,:t Description: Insiari 1 service/feeder and 4 branch circuits in single family dwelling. RESIDENTIAL UNIT — _ _TEMP SRVC/FEEDERS _ _ MISCELLANEOUS F. —1000 SF OLESS: _ 0 - 200 atrp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: L MITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANS HM/SVC/ FDR: 601+amps - 4,000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS__ 0 - 200 amp: 1 W/SERVICE OR FEEDER: 4 _ PER INSP7CTION: 2U1 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - '1000 amp: _ PLA_ R REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ _ SVC/FDR >= 225 AMPS: CLASS ARFA/SPEC OCC: _ Owner: Contractor: SCHAER, JOHN ARLEN + CHRISTI A CRAFT ELECTRIC INC 12765 SW BULL MTN RD 11077 N. VANCOUVER WAY TIGARD, OR 97224 SUITE 21 PORTLAND,OR 97217 Phone: Phone: 283-2784 Reg #: LIC 006845 ORIGINAI SUP 3480S ELE 26-579C FEES _--� Required Inspections Type By Date r Amount Receipt Elec1'I Service PRMT KJP 6/5/00 $85.65 0002677 Elect'I Final 5FCT KJP 6/5/00 $6.85 0002677 _-- - Total $92.50--1-_- This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR 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 180 days of issuance,or if work is suspended for more than 180 days ATTENTIONOregon law requires you tc follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9c;2-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.1987. PERMITTEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. El_EC'N: L�Z C`� J -- DATE: -- --------- LICENSE NO: —_ �—_�_ ---------- Call 639-4175 by 7:00pm for an Inspection the next business day JUN-02-2000 15:57 CRnFT ELECTRIC CITY OF TIGAIRD Electrical Permit Application Plan Check� 13125 SIN HALL. BLVD. Recd By TIGARD OR 97223 Date Recd Phone(503)63"171, x504 oats to P.E. Date to DST _ Inspection (503)639-4175 Print of Type Permit# Li ta> (!Z �_r1_i_• Fax (503) 558.1960 Incomplete or illegible will not be accepted Called - 1 1. Job Address: 4. stump/etre Fee Schedule Below: Name of Development T __ Number of Inspections per permit allowed Name(or name of business) ire, Service included: Items Cost Sum Address - 0G-� �1+,� ,bQ Q ENS .'Residential•per unit 1000 sq,fl.ur less S 117,75 n City/Stdtel1lp _ -1 i�(� _ Each addWonal 500 sq.N or - - portion thereof _ S 26.25 _ Commemal ❑ Residential llrrmhed Energy f 60.00 Fath Manuf d Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder S 72.75 2 (Prior to permit issuance,applicants must provide conitaclor license 4b.Services or Feeders Infomsadon for COT data bass). Installation,alleration,or relocation Electrical Contractor Craft Electric 200 amps or lees _�_ $ 64,25 1j 2 Address 11077 N Vancouv t--��-S..�e_:_z1. 201 amps to4U0amps S 85.50 2 � - 401 amps to 000 amps = 128,50 2 City_paz tLand State---OR --. .Zip 97217 Flat amps to 1000 amps f 102.50 2 Phone No 283-.2784 / Over 1000 amps or volts -`� s 363.75 _ 2 Job No -V "l a 01 _ Reconnect only f 53.60 _ 2 Elec, Cont. Lice, No.2 6-5 7 9 C Exp.Date 110 4c.'remporary Services or Feeders OR State CC13 Reg. No 68695_____Exp.Date it a' I 1R11a alteration,or relocalion COT Business 1 ax or Metro No. ��_E�tp.Dete� 200 amps or less $ 5350 2 201 amps to 400 amps S 00.25 2 Signature of Supr. Elec'n_ ✓ 401 amps to 600 amps s 10700 2 Over 600 amps to 1000 volts, license No. 3 4 8 0 S _Exp.Dete i i lot nee"b"above. Phone No. 283-2784 ext, 11 ad.BranchCin.uits New,alteration or enension per panel a)The fee for branch circuits 2b. For owner installations: WIth purchase of service or feeder fee. .-1 �I Pent C)wner's Name Each branch circuit f 535 Q 1 ,' 0 2 - - -- h)The fee for branch circuits Address without purchase of servlcP City -_.- State Zip or feeder fee. Phone No. First branch druuls - 1 37.50 Each additional branch circuit $ 5.35 The Installation is being made on property I own which is not 40.Mtecananeourr Intended for sale, lease or rent. (Serving or feeder not inducted) Each pump or Irrigation circle S 42 75 _ Owners Signature- ---�_ _ _.-,----- Each sign or outAne lighting 1 42 75 - Signal draiills)or a limited energy tlon required):*f panel,alteration or r ctension _ f 60.00 3. Plan Review seC �, Minor Labels(10) L ta3,A0 Please check appropriate item and enter No in section 58. 4f.trach additional Irapec.-Uon over 4 or mote rrrsidenbal units in one structure the allowable In any of the above _--^ Service and feeder 225 drnps or more Per Inspection - -^ f 50.00 Per hour $ 5000 System over 600 volts nominal In Plant 1 5900 Classifred arena or%trudure containing special ucv.upai1ry an desctlhed in N F C Chapter 5 5. Fees: � So,Enter total of above fees Submit 2 sets of plans wittt appllcarlon whore any of the 41hnve apply. AW Surcharge(e16aUgtal fees) f lo, 1,-)Not required for Esnlporary eonstructlon servicers Subtotal 'O S _ 5b.Erne►25%of Ina so for NOTICE Plan Revkew i(required(Sac 3) f PERMITS BECOME VOID IF WORK OR CONSTRUCTION ACfiT40WE-U subtotal f � 15 AOT COMMENCED WITHIN 160 CLAYS,OR IF CONSTRUCTION OR C'1 Trust Acco�nl r,S,Q Q� � WORK 15 SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED Total balani Due $ C1 -- - - ----- - .t4r-i f% _'"4.r%v.A A* r, , r,... hr it. -t 1^a..A 11 l TnTHL P.01 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00201 1312.5 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 5/25/00 PARCEL: 2S109AD-01000 SITE ADDRESS: 12765 SW BULL MOUNTAIN RD SUBDIVISION: ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: RYS: FURN < 100K BTLI: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS > 10000 cfm: OUTLETS: 1 Remarks: Kitchen remodel - move gas for cooktop. Owner: __ FEES SCHAER, JOHN ARLEN + CHRISTI A Type By Date Amount Receipt 12765 SW BULL MTN RD PRMT DEB 5/25/00 $50 00 0002461 TIGARD, OR 97224 5PCT DEB 5/25/00 $4.00 0002461 Total $54.00 Phone: ---------- Contractor: OREGON CITY PLUMBING E 1 1 7TH ST OREGON CITY, OR 97045 _REQUIRED INSPECTIONS Gas Line Insp Phone:656-8558 Final Inspection Reg#:LIC 2132 () This permit is issued subject to the regulations contained iii the Tigard Municipal Code, State of Ore. Specialty Codes and all ether applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 1E0 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law require, you to follow rules adopted in the Oregon Utility Notific;attQp Center. Those rules are set forth in OAR 352-001-0010 through OAR 952-001-0080. You v ay obtain dies of hese rules or direct questions to DUNC))�y-t:an' g (503)246-91 Iss�e By: �� Permittee Signature: all (503) 639.4175 by 7:00 P.M. for inspections needed the next business day ,. CITY 4F: TIGARD Mechanical Permit Application Plan C ck# 1:3125 5'N HALL BLVD. PP Recd By and Residential Date Rec'd_u TIGARD, OR 97223 Date to P.E. (503) 639-4171, X304 Date to DST Print or Type Permit V Incomplete or illegible applications will not be accepted Called e Name of Development/Prolect DQSCriptron -- Table 1A Mechanical Code OTY PRICE AMT ,Jolt' Stroet Addrese - SudeN A) Permit Fee -i Address Z-� lot) _ -0- 10.00 EIdg71 CRY/State Zip 1.) Furnace to 100,000 BTU - _- f� 472 Zl� 6,00 - Name(or name of business) - L _including ducts 8 vents - Owner 2.) Furnace 100,000 BTU+ -750 including duds 8 vents Maung Address _„_ _ 3.) Floor Furnace 6 00 including vent p rtr�r;;tate z Phos° 4.) Suspended heater,wall heater - (v - 6 U0 _ or floor mounted heater Name(or name of buaineast 5.) Vent not included in appliance permit �'�-� •IC�rs� y}{3G1� � 3.00 Occupant Mailing Address _6T Boller or comp,heat pump,air c:ond. 6.00 to 3 HP;absorb unit to BUT cnyr,tee, zip phone 7.) Boim ler or coa.heat pump,,a air Gondd _ 3-13 HP;ab r,)rb unit to 500K BTU- 11.00 Contractor Name / 8.) Boder of camp,heat pump,air Gond. - _ ✓ 15.00 �+��+ 1 C / - r 15-30 FIR absorb unft.5-1 mil BTU" Prior to permit Maeing Addreaa ---`7� 9.) Bodsr or comp,heat pump,air cond. issuance,a copy J . 22.50 30-50 HP;absorb unit 1-1.75rnil BTU'" of all lia+r.3ss cnyrstme -- z Phone 70.) Boder or comp,heat pump,air Gond. are required if t�Jez(mOIV Bo �¢ � ".- D >50 HP;absorb unit 1.75 mil BTU- 3750 expired in COT Orogon Connt.Cont.Board .ic 0 Exp Date OGT- 11 ) Air handling unit to 10,000 CFM database _ Z( ;;Z 1 Grp 4.50 iArchitect Nome 12.) Air handling unit -- 10,000 CTM+ - 7.50 or Mailing Addre,gc - 13.) Non-portable evaporate cool6r 4.50 Engineer Cnyrst,n° Zip Phone 14) Vent fan connected to a single dud -300-- Describe 00Describe work ^sew C Addition O Alteration p, Repair O 15.) Ventilation system not included to be done Residential O N)n --'{ -residential O 4.50 -_ _ in appliance permit AddRtonal Description of work: 16.) Flood served by mechanical exhaust 4.50 17.) Domestic incinerators 7.50 Existing use of 18) Commercial or industrial -- building or propa.,ty,- pe incinerator 30.00 ---- _ 19) Repair units-_______-----_ _ 4 SU Proposed use of 7.0.) Wood stove building or property - - - 4.50 21.) Clothes drier,etc. - -- 4.50 Type of fuel-oil O nat WgasK LPG i) electric O 22.) Other unds 4 50 I hereby acknowledge that I have read this application,that the information 23.) Gas pip;ng one to four outlets - - given is correct,that I am the owner or authorized agent of pinve 61:5 200 _ the owner,that plans submitted are in compliance with Oregon State laws. 24 More than 4-per outlet(e�-- 50 Slg%i!na of Owner/Agent Date • - --�-- SUBTOTAL i - �J Olt 7t/ Cr A' w.•. /Z S�Q]�l ----- 5%SURCHARGE 1 ':X"> - Contact Person.. - Phone PLAN REVIEW 259�o OF SUBTOTAL ; _ ILIA p �-� Required for all commercial permits only +) � j - G`� - p,5�- ---- TOTAL yuW$25 , Y Minimm permit fee is 325+5°46 surcharge "Residential A/C requires site plan showing placement of unit, 4'-, e, I:\mechpmtt.doc rev 4115198 / CITYOF TIGARD __ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00169 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE. ISSUED: 5/25/00 SITE ADDRESS: 12765 SW BULL MOUNTAIN HD PARCEL: 2S109AD-01000 SUBDIVISION: ZONING: R-7 BLOCK: LOT_ — ^_ JURISDIC r 11N: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R31 FLOOR DRAINS; TRAPS- STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRANS: LAVATORIES: OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Kitr;,en remodel -other fixtures are hose bib and ice line. _Owner: _ _ FEES SCHAER, JOHN ARLEN + CHRISTI A Type By Date Amount Receipt 12765 SW BULL MTN RD MENU DEB 5/25/00 $50 00 0002461 TIGARD, OR 97224 5PCT DEB 5/25/00 $4.00 0002461 Total $54.00 Phone 1: _ -` -- Contractor: OREGON CITY PLUMBING 611 7TH ST OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone 1: 656-8558 Top-out Insp -----------_--- Reg #: LIC 0002132 Final Inspection PLM 3-20PB nR1C1 �� f; �.. This permit is i:;sued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and al! other applicable laws. All work will be done in accordance with approved pians This permit will expire if work is not st,-ted within 180 days Of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregol 1w requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 throragh OAR 952-0001-0080. You n}ay obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issue y: permittee Signature: ` Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGAR.D Plumbing Application Recd 6y 13125 SW HALL LAND. Commercial and Residential Date Rer,'d sem..—.00 to P.E. ---""—"' TIGAF(D; OR 97223 Date e to D.S (503) 63;,4171 Permit#_Nil Print or Type Related SWR# incomplete or illegible applications will not be accepted Called_--__ Name of Development/Pro)ect On back Indicate Work Performed by fixture. .lob FIXTURES (individual) a QTY Pf210E AMT Address S:,eat Address Suite Sink — t 9,00 2 _ Lavatory 9.00 Bldg# CitylStaie Zlp --- - / Tub or Tub/Shower Comb. 9.00 N.me Shower Only 9.00 — - Nater Closet 9.00 Owner Mailing Address Suite Dishwasher _—` 9.00 a7 — _ , P— 4 /� — Garbage Disposal 9.00 c City/State Zip Phone i 3 Washing Machine Ai- 9.00 -- Name -- Floo Drain 2 9.00 Occupant Melling Address Suite 4'— s o0 City/Siete Zip Phone Water Heatei O conversion O like kind 900 --~ _- Laundry Room Tray 9.00 Name / Urinal 900 c% (6 1F ff�f r,�{)j f,� _ Other Fixtures(Specify) - 9.00 Contractor Mailing Addres'liT Suite 9.00 Prior to permit City/State Zip Phone /_fes t -It 9'00 issuance,a copygm�Cc F X'-'oe y+ (o .�� — 9.00 of all licenses are Oregon Const. > nt.Board Lick Exp.Date 9.00 required If x L Sewer- A 100" 3000 expired In COT Phamt,ing Lic.# Exp.Date ------ database .3- ?- }'? Sewer-each additional 100' _ — 25.00 Name Water Service-1 st 100' 30.00 -� Architect Water Service-each additional 200' 25.00 Or Mailing Address Suite Storm&Rain Drain- 1st 100' 30.00 ~� Storm&Rain Drain-each additional 100' 25.00 Engineer City/Slate Zip -i Phone Mobile Home Space — 25.00 IL— Commercial Back Flow Prevention Device or Anil- 2500 Describe work New 0 Addition O Alteration,1111_ Repair O Pollution Device _ In be done: Residential O Non-residential O _ Residential Backflow Prevention Device 1500 Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00 Catch Basin! 9.00 Insp.of Existing Pluml'nq 40.00 per/hr Existing use of / Specially Requested Inspections 40.00 building or property_ J _ per/hr Rain Drain,single family dwelling 3000 Proposed use of - — luild,ng or property Grease Traps 9,00 QUANTITY TOTAL I hereby acknowledge that I have read this application,that the;nfomiation Isometric or riser diagram is required if puenity Total is .>9 given is correct.that I am the owner or authorized agent of the owner,and -"-- - _ that plan,•submitted are in compiianue with Oregon State awe. -- "SUBTOTAL r- r Slgna;uro IIf nor/Ago -- - Dao 5/ SlRCH_AR_GE s L - L PLAN REVIEW 2516 OF SUBTOTAL Contact Person Naffwl Phone �l Required only N fixture gty_totat Is>9 _ re t'c5�r F - -- TOTAL 'Minimum permit fee is$25+5%surcharge,except Residential Backflov�' Prevention Device,which is S15 4 5%surcharge i I VitlilvimxW doe SM RL.—EASE_QDRP1,ETFY. Fixture Type _ — _ Quantity by Work Performed _ J _ — New Moved— — Replaced Rem%red/Capped Tub or Tub/Shower Combination — Shower Only —� Water Closet — i Dishwasher - --- --- -- -- - --r — - -- Garbage Disposal Washing Machine —_-- --�- _---- - ---- �--- - __— _-- Floor Drain— 2„ Water Heater ------- �-�- ------ ----- — —_�_ Laundry Room Tray �— -- ----- Urinal__ -- — — Other Fixtures (Specify) COMMENTS REGARDING A3'*OVE: sroylmaop dm". 7 /^\ CITY OF TIGARD — ELECTRICALPERMI'r PERMIT#: EL02000 00274 DEVELOPMENT SERVICES DATE ISSUED: 5/26/00 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S133DD-07100 SITE ADDRESS: 12682 SW DANBUSH CT SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 ZONING: R-4.5 BLOCK: LOT : 110 JURISDIrTION: TIG Proiect Description: Ir..ta,lation of three branch circuits. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY-. 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: J .)caner: Contractor: JIM ESSENBERG PORTLAND STATE ELECTRIC 12682 SW DANBUSH CT PO BOX 230933 TIGARD, OR 97223 TIGARD, OR 97281 \\` Phone: Phone: 233-8030 Reg#: LIC 96644 ` `$ SUP 4125s ELE 26-854C FEES Required Inspections Type By Date Amount_ Receipt Elect'I Service 5PCT DEB 5/26/00 $3.86 0002488 Elect'I Final PRMT DEB 5/26/00 "x48.20 0002488 v— Total $62,06 This Permit is issued subject to the regulationp contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work wil;be dote in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or 1 work is suspended fir mora than 1P0 days ATTCt4TION Oregon law requires you to follow rules adoptegl_b�the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain oopi" _fthese ytrles ordirect questions to OUNC at(503) 246-1987 > ( I PERMITTEE'S SIGNATURE ISSUl3p BY: � ,/ /�` /��` U_ L/ . OWNER INSTALLATION ONLY _ I lw of tallation is being inade on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPS! ELEC'N. "0-CL ) _ DATE:— LICENSE ATE:LICENSE NO: 4;7�J Ca., 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan ch 13125 SW HALL BLVD. Recd TIGARD OR 97223 Date Recd 37'4'6577- Date to P.E. Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit# ` �_L Fax (503) 598-1960 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) .� 5� Ems_ Service included: Items Cost Sum Address 1.2_(p :L 'S•YJ• �RN '3�lLS r►01r• 4a. Residential-per unit City/tate/Zip _CCq7 z 1000 sq.ft.or less _ 117.75 _ 4 / Each additional 500 sq.fl.or r-v portion thereof $ 26.75 1 Commercial ❑ Residential L Limited Energy _ $ 60.00 _ Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit is,suanre,applicants must provide contractor license 4b.Services or Feeders Information for COT data ase). /^1 - Installation,alteration,or relocation Electrical ontractor T . &*re C, leo• 200 amps or less $ 64.25 2 Address __•_�djnX Z 30 9 3.3 201 amps to 400 amps - $ 85.50 2 City_T 0 Prg�p State -� ZI - 401 amps to 600 gimps _ -_ $ 126.50 2 1 9 -� 601 amps to 1006 amps _ $ 192.50 2 Phone No. -9,53_-403 ^ Over 1000 amps or volts $ 363.75 2 Job No.-__ __ _ __ Reconnect only V_ _ $ 53.50 2 Elec. Cont I.ice. N0 _ v .651 'fCExp.Date 0-01-00 4c.Temporary Services or Feeders OR State CC13 Reg No 60 62 Exp. 2-8-O I Installation,alteration,or relocation COT Rusiness Tax or Metro No. 3/''D Exp.Date 200 amps or less - $ 53.50 2 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps $ 100.00 2 Signature of Supr. Elec'n _ ` Over 600 amps to 1000 volts, see"b"above. License No �'2�'�� _Exp.Date��[-9� 4d.Branch Circuits Phone No _ 2 =�, New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder tee. Print Owner's Name Each branch circuit 4. $ 535 < --.-- - - - b)The fee for branch circuits Address -- ---- without purchase of service City _ -- Stale_- ---Zip or feeder fee. Phone No. _ _ _ _ First branch circuit $ 37.50 -- Each additional branch circuit �a� $ 5 35 1Q The installation is being made on property I own which is not 4e.Miscellaneous Intended for sale, lease or rent (Service or feeder not Included) Each pump or irrigation circle $ 42.75 OwnrWs SignatureEach sign or outline lighting $ 42.75 Signal circuit(s)or a limited energy * panel,alteration or extension $ 60.00 3. Plan Review section (if required): Minor Labels(10) - $ 100.00 -- Please check i.ppropriate item and enter fee In section 58. 4f.Each additional Inspection over _ 4 or more;residential units in one stru-ture the allowable in any of the above Service and'eeder 225 amps or more Per inspectinn $ 50.00 Per hour $ 50.00 _System owr 600 volts nominal m Plant $ 59 0�) Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 6a.Enter total of above fees $ .20 ' Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) c •Q6 Not required for temporary construction services. Subtotal $ 5z• o(p 6b.Enter 25%of line Ba for NOTICE Plan Review if requi (Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 5 5u IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR rr,, WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS U Trust Account# AT ANY TIME AFTFR WORK IS COMMENCED total bola9nre Due $ ( lAdsts\formskelectric.doc i