11916 SW ELEMAR COURT rn
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11916 SW SLE,MAR CT
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-- EL._ECTRJCAL. F'ERMJT
CITYOF TIGARD PERMIT #: F_LC97-0478
DEVELOPMENT SERVICES DATE ISSUED: 07/21 /97
13125 S W Hall Blvd, Tigard,OR 97223 (503)639.4171 F'F i R C E L : 1_S 1 1171 B D-0 4 50 0
f TE. 10DKESS. . . : 1191 F, SW ELEMAR C'C
i.)DDI V I S I ON. . . . :A3PEN R I DOE Z ON I NG: R -4. 'i
LOCK. . . . . . . . . . ; I_-OT. . . . . . . . . . . . . : i i1.Qr 7lJRI�SDICTIghJ: TIG
r^o.j ec,t; Des�.r i pt i on : instl 2 branch circuits w/o feceers // job 12064-96
-RESIDE N"I IAI_ UNIT----- ------.TE'MF' SRVC/FE'EDERS----- - - - MISCELLnNEOUS..__......_._..
1000 SF OR LESS. . . . : 0 0 200 amp^ . . • . . •
• 0 PUMI-,/I RRIGA•f ION. . . . : 0
EACH ADD' L. `:012ISf-. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/00T LINE LTG. . : 0
LIMITED ENFRGY., . . . . : 0 401. -- 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1.000 volts. : i1 MINOR LABEL... ( 10) . . . : 0
----•-SERV I CE/FEEDER------- __-BRANCH CIRCUITS---•--- ---ADD' L I NSPECT I ONS
0 - ;:00 amp. . . . . . : 0 W/5F_RVICL OR FEEDER: 0 1-'ER 1N SF'E'CTION. . . . . : Vr
;x'01 - 400 amp, . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HQLJR. . . . . . . . . . . : 0
401 - F,OO amp. . . . . . : 0 EA ADD' L_ DRIVCH CIRC. 1 IN FLAN r. . . . . . . . . . .. : 0
601. - 1001d amp. . . . . : 0 -- - - ___.__.__.___..___--F'LAnI REVIEW SECT ION---_--
10004- amp/vc•lt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL— :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
FEES
CHARLIE ^ROUGE
__-_.__.......______....-_----.--. tYPe amoi_int by date recpt
1 1 1f SW F LMAR CT PRMT t 4,'... 00 TAT 07/21 /9'7 '
'37--29'734
TIGARD OR 9722/+ SF,CT s 2,. O0 TAT 07/21 /97 97- '9734c_'
EXPIRED
f'LiOENIX ELECTRIC CO 4c'. O0 TOTAL.
7,::,79 SW TECIA CENTER DR.
REOL!T RFD l N5F ECT I QNf-., ---- _.
1 I.TGARD OR 97223 Roi_rgh-•in Elecct, 1 Service
Phone #: 6194-::3600 1_Ind(-►,grol.rnd Cove Elect' 1. Final
000`'22
This permit is issued subject to Vie regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and .111 other
Applicable laws. All work will be done in accordance with appro'•ed plans. lhi� pernit will expire if wm,-;, is not started within 190
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Qregon law requires you to follow thp rules adopted by
the Oregon Utility Notification Center. Thnse rules are Set forth in OAR 952-00a-0010 through OAR�952-001-1987. You may obtain a. copy
J those rules at, direct questions to ODIC by calling 1503)246-1987. ;
B y r _.
- r
INSTALLATION ONLY---- ---- _____----•----•-._._---•--.___._..
The installation is being made on I.►r•opprty I own whikch :s not :intended for-
sale,
orsale, lease, or^ rent.
(" WNER' S SIGNATURE:
DATE_: _-
_._....._-._._-.-.-CONT tACTOR IN`9TAL.I_.ATTQN ___._...___...-
__ -E-OF' SUPR. ELEC' N: L DATE:
5I GN,ITLIR ---��
1_ !CENSE IVO:
+++++•P-4.4++f•+i++++-h++++++++++++•F+++i•++++t+++•F++.
Call 639 -•4175 by 6:00 p. m. for an inspection needed the next bi.isiness day
+++++-i +++++i-+++•++++-F ++++ 1 ++++++++a-+++4 + ++-t..+.+4-+a-++++.+++4-++++++++-++-+++++++++}i•+4 1
- MO-18-97 FRI 01 :27 PM PHOENIX ELECTRIC FAX N0. 503 684 3611 P. 02/02
CITY OF TIGARD Elertriral Permit Application Ilan Chi ._
13125 SW HALL BLVD. Rec'd ey
Dare Reed
TIGARD OR 97223 Date to P E.
Phone(503)639-41.71,x304 Print or Type Date to OSTType
Inspection (503)639-4175 t- Perrrot r L l It
-
Fax(503)684-7297 �-
Inor.tplete or illegible will � �t be accepted calldd _
1. Jab Address: 4. Cor.plete Fee Schedule Below:
Name of Dr'velopmorit _ Number ot'nspo tions per permit allovvW
Name(or name of busines�)� Service included. Items 0091 Sum
Address .i 4a. Residential-per unit
�A1000 sq.it or less 4
-+
City/StateOp �-x�-- Each additional 500 sq.h.or
Commercial❑ Residential�g Limited erg f s, 00 1
S;15 00
-- G Each Manuf'd:come or Moe,Qv
1 Dweiling Service or Feeder �Ln 2
l rac r nista ation only:
(Attach cop It erurmilt Ilon r1 4b.Services or Feeders
Electrical Contract Eit)
Installation,alteration.or+elocjuon
200 amps or le:.; S ,00 �__ 2
Add SS tot amps to 400:unps i 580.00 _ 2
CI State Zip ! __ 401 amps to foo amps $17000 T 2
Phone N - sot amps to I000 amps $1W00 _ 2
Joh No. Over i000 amps or volts 5340.0) 2
Reconnect only S50.00 2
Elec.Cont.Lice.Plo.L_-._ _Exp.Date_ (g _
OR State CCB Rug. No. Date!. 4c-Tempwary Swicas or Feet
COT Business Tax or Metro N -S ..np.Date installation,alteration or relocation
Zoo amps or less 550.00 _ 2
Signature of Su r. Elec'n 20 i amps to 400 afros $75.00 2
Si
g p —.+ -—_ 401 amps to 600 amps $100.00 2
4 Over bur,)amps to 1000 volts,
License No. e- 0SS Exp.Date,_ _ see"b"above.
Phone No. -_ - 4d.Branch Circuits
New,alimrabon or ett+:rision per panel
2b. For owner installations; r. al The tea for branch ccrmft wM
t pu►chaw of wrvfw or
Print Owners Name _ _ feeder fee.
Addre3s____� _ Each branch cirrurt S5.00 2
b The fee for brancri rzrcwts
City_ State 7!p__- without purchase of
Phone No.— _ service or faecfer feel 2a%
First bmnch rirr:ud $35.00 --CJS ` 2
The installation is being made on property I own which is not Each additional branch orcun .l_ $500
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owners Signdture__ Each pt.mp or irrigation citc10 $40.00 2
Each sign or outhne lighbrig S40•00 - 2
3, Plan Review section (if required):• Sii nal circuits)or a limned energy
panel,alleradon or ertectsion $40.00 2
Hinor labels(10) $100.00
Please check appropriate item;*nd enter fee,in section 59.
4 or more residental units in—.,la structure 41.Each addttlonal Inspection o~
Service and feeder 225 amp,-,or more the allocable in any of the above
System over 600 vols nominal ( Per insvi rT on E iy n
Classified area or structure containing special occupancy or-r hroir Ss"r
as described in N.E.C.Chapter 5 in PI Anr S's 00
i
'Submit 2 sets of plains with sprlication wham any of the above apply I 5. Fees:
Not required for temporary construoton .orvIcca Su.Enter total c1 above fees S
5%Surcharge(.06 X total fees) s
NOTICE Subtotal S
Sb.Enter 25%of fina Sa for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS F ian Rewiow if r r (Sec.31 $
NOT COMMENCED WITHIN trio DAYS,OR IF CONSTRUCTION OR WORK ubteraf
is SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY eTm st ACcot+nt M�TIME AFTER WORK IS COMMENCED. j
Total balance Due
I_
RECEIVED
JUL_ 2 1 1991
COMMUNITY DEVELOPMENT
CITY ® F TIGARD MECHAN I CAL
PEERMIT
DEVELOPMENT SERVICES PERM'T #. . . . . , . . MEC97_0267
13125'W Hall Blvd., Tigard,OR 97223 (503)639-1171 DATE ISSUED: 07/30/97
PARCEL.: L2,S110BD--04500
SITE ADDRC="SS. . . : 1. 1916 `_=,W EEi... MAR CT
UADIVTSIOM. . . . : ASPEN RIDGE. ZONING: R .4. 5
BLOCK. . . . . . . . . . . I.-OT. . . . . . . . . . . . . .010 .JURISDICTION: TIG
CL.fi O CF WORK. . :ALT r'C.00R TURN. . . . : 0 Em" cnou-.RS: 0
TYr'EE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R", VENTS W/O APPI._ : k? VE1+IT SYSTEMS: 0
'11TORIES. . . . . . . . : 0 BOIL..C:RS/COMPRESSORS HOODS. . . . . . . : 0
'_Ur--'I_ TYPES--.._.__..___.___-.... 0--3 HP 0 DOME'S. INCTN: 0
:GAS 3-15 HP. . . . : 0 COMMC_. I NC I N: 0
MAX INPUT: 0 PTU 15-30 HP. . . . : 0 REPO T R UNITS: 0
F"IRE DAMPERS?. . : 30---50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . : 17.1 CI_.0 DR'YERG. . : 1a
NLI. OF UNITS)------ ATR HANDL I NC UNITS OTHER UNITS. : 0
TURN ( 11716."11! BTU: 0 ( = 10000 cfm : 2 GAS OUTLETS. : 0
r`1 1RN ) =:100K BTU: 0 > 10000 c f m : 0
1femar,ks : Install 2 a/c and roil
Owner-,.- __....___._.__._.___._....._______._.______._.._..________.__.______-- FEES
CHARLIE ROUrGE type amot_1nt by date r•ec.=pt
1191E SW EL.EMAR CT PRMT $ 2.5. 00 J SD 07/x:4/97 97--297515
1�IGARD 13R 972214 EXPIRED 5PCT $ 1 . JSD 07/24/97 97--x 3731`i
r'tlnrry #: 'V7 (00
.ur l.r,actor-: _.___._._..._._._.______.._..•___...._......_____.__,...._..._
JACOIAS HEATING R• A/C
1 421 SE HOLCATE FL.VD -------._______._.____-.___._.__ _._.__....--•--
! 26. 25 TOTAL.
PORTI_..AND OR 972,W
Pfi n n e #: 503•-234-7331
R f?g W, , 00171014
_._..__..__._..._ REQUIRED INSPECTIONS
This pr,.,i is issued subject to the regulations contained in the Merhaniral In-,p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cool ing Unt Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This pet-wit will expire if work is not started
Ir ithin 180 days of issuance, or :f work is suspended for wore
char, 1.80 days. ATTENTION: Oregon law requires you to follow rules ___•_ __�._ ___.__ ___ __ _._.__ . _..
adopted by the Oregon Utility Notification Center. Those rules are
et forth in OAR 952-001-0010 through OAR 952-001-0080. You eay
obtain copies of these rules or direct questions to OUNC by calling
93)246-9187.
l �,r/0.�'' r
I ,>:�r-r r.? i'a Y � .__ _. ._.___.__......__.� r'e r•m i t t e e S a x g n a t 1.11^e
+4 •h+t++tt F++•++4++++++•+++++++4++++++++++++•!•+++-!•+++++++-f-t+++•++4•++++++-1 ++++1-++-f r
Call. C39-•4177) by 6:0631 P. M. for inspections needed the next bl.Isiness day
+•+••f•++•++•+++++•+-++•+•+++++++a-•1++++-1•++++++++++ F+ t + F++i +•f•-F++1 t F+}++++++++++++++t+++++
Plan Check is
r'"i Y OF TIGARDMechanical Permit Application Reco By �-
13125 SW HALL BLVD. Commercial and Residential Date Recd r-777 '
TIGARD, OR 97223 Date to P E.
(5n3) 639-4171, x304 Date to DST,
Print Of Type Permit Ncalled
Incomplete or illegible applications will not be accepted
Name of DevelopmenUPm)ea DCScrlption
Tat`;e 1A Mechanical rode OTY PRICE AMT
Jo b st ddreu Sun•• APermit Fee -0- -0- 1000
Address 11 (I i�?
Bidga t • p 1.) Furnace to 100,000 BTU 600
including duds 8 vents
N (cc nam•of builnea) 1 2) Furnace 100,000 BTU+ 7 50
Owner ��/ / � including duds&vents
Mailing Address , 3) Floor Furnace 600
/ !f ' �l7 inclvdm vent
atylst e ZIP Phone 4) Suspendea heater,wall heater 600
or floor mounted heater
Name(or n"of business) 5) Vent not included In appliance permit 300
Occupant Ma'u"o Address — 6) Boiler or comp,heat pump,air rand 600
to 3 HP,abRorb unit to 100K BUT"
City/State Zip Phone 7) Boiler or comp,heat pump,air arid 11 00
.3-15 HP,absorb unit to 5000'BTI1" _
Contractor Narpe . 8) Boiler or comp,heat pump,air rand 5 00
(Prior to 1 1, 1_4� ,4 -t- 1 �� 15-30 HP,absorb und.5-1 mil BTU"
issuance M ' 9 Aodrou 9) Boder or comp,heat pump,air;rind 2250
applicant 1/ lam ^ 30-50 HP.absorb un_d 1-1 75m1 BTU"
must provide all Cityiq �P 7N.,
a 10) Boder or comp,heat purnp,air coed. 37.50
contractor !► 7 >50 HP.absorb unci 1 75 and BTU"
license Greg C Cont.Bo rd Lic• e 11 ) Air handling unit to 10,000 CFM 450
informationfor COT cor Business Ta or /'
ll-- Exp Dale 12.) Air handling unit 10,000 CFM 750
database)_ L' �� _
Architect Name 13.) Non-portable evaporate cooler 4 50
cir Mailing Address 14) Vent fan connected to a singe duct 300
Fngineir CrtyBweZip Pnune IS) Ventilation system not included in 4 50
appliance permit
Describe work New O Addition O ABeratiRepair O 18.) Hood served by mechanical axhaust 450
to be done Residential O Non-residential O
Additional Descnp i n of work ' 17) Domestic incinerators 7.50
� 18) Commercial or industrial type '30 00
EXPl t .-D—_ !ncinerator _ —
Existing use of 19) Repair units 4.50
building or property _ _ —
20) Wood stove 4 50
Proposed use n` 21 ) Clothes dryer,etc. -�_-- 4 50 T
building or property- I --
22) Other units 450
i
Type of fuel-oil O natur gag b LPG O electric O 23.) Gas piping one to four outlets 200
I hereby acknowl:dge Itfat I ave ad this application,that the 24) More than 4-per outlets(each) PO
information given 'hall am the owner or authorized agert of _
the owner,that pl ns ubr jiffcompliancr-with Oregon State QTY SUBTOTA..
laws �- // __ _
Signaturf#'of nt Date 'SUBTOTAL
1 —�^ 5%SURCHARGE
Contact Name, Phorle PLAN REVIEW 2516 OF SUBTOTAL
TUTAL
klst\mechpmtdoc (rev 9 I 'Minimum permit fee is 525 +5°'6 surcharge
"Residential A/C requires site plan showing placement of unit.
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