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7485 SW ELMWOOD STREET v �P 00 N m r 5 O O v CA -q m rn i 7485 SW ELMWOOD STREET CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 6394171 Date Requested: A.M. V P.M. MST: Location: �� f'_ c � BUR Tenant: Suite: q nBldg: NEC Contract - Phone.: �J / — 7V PLM: Owner:. Phone: ELC: —�--- __�. ELR: �..c_��_ SIT: BUILDING BLDG(can't) PLUMBING �1ofFCHANICAL ) ELECTRICAL SITE Site Post/Beam Post/Beam i'os!/Heam— ---- Cover/Service Sewer/Storm Footing Roof UndFI/Slah Rough-In Ceiling Water Line Slab Framing Top Out (las Line Rough-In UO Sprinkler Foundation Insulation Sewer I food/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masnm v Ceiling Rain DrainI3G Slab Shrw,Sheath Fire Spklr/Alm Crawl/Found Dr IIeai Pump Low Volt Approved Approved A Proved Approved Approved %ppr/Sdwlk Not Approved Not Approved I ttt- pproved Not Approved Not Apprmed FINAL FINAL FINAL FINAL FINAL O Call for reinspect/ Reinspextion fee of S__ required befor next inspection D Unable to inspect Inspector: _ �__ Date ��2 G0 , Page___ of_ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hoar Inspcction Line: 639-4175 Business Phone: 6394171 Date Requested: / s ' _ A.M, P.M. MST Location: 7�8„� _rQir�//1'n t 7� BUP: - Tenant: Suite: Bldg: MEC: Contractor: _- / Phone: 657-266G _ PLM: owner: �� _._._ �-a-'�-=+ Phonc: __ ELC: / ELR: �4IT: — - BUILDING BLDG(coni) PLUMBING MECHANICAL 71-Il,,ECTRICAL SITE Site Post/Beam Post/Beam rost/Beam -over ery Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Lias Line Rough-In Uta Sprinkler Foundation Insulation Sewer liood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt _ Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved FINAL FINAL FINAT, NAL FINAL, D Call for reinspection einspection fee of S_ _requ Yed }before xt inspection D Unnble to inspect Inspector: rNte 6 �y Pege_^ of CITY O F T I C A R D MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC97-021C'-'.'. 13125 SW,Pall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 06/25/97 SITE ADDRESS. . . : 07485 SW ELMWOOD Sl PARCEL: IS125DB-11000 SUBDIVISION. . . . : ELMWOOD PARK ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..57 JURISDICTION: TIG ---------------------------------------------------------------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 1FUEL. 0-3 HP. . . . : 1 DOMES. lNCIN: 0 :GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 12) CLO DRYERS- 7 0 NO. OF UNITS---.---.----- AIR 14ANDLING UNITG OTHER UNITS. : 1 FURN ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) =100K BTU: 0 > 10000 cfm: 0 1 Remar,ks - Install a/c unit and a& filter to existing furnace. Owner- : --———————--------------------------------------------- FEES RICHARD SMILEY type amount by date r-ecpt 7485 SW ELMWOOD DR PRMT $ 25. 00 JSD 06/25/97 97-296391 TIGARD OR 97223 5PCT $ 1. 25 JSD 06/25/97 97-296391 Plione #: 245-3082 Cant r-act at-: ------------------------------- HODGE HEATING & A/C JACK HODGE --------------------------------------- PO BOX 22207 $ 26. 25 TOTAL MIL..WAUKIE OR 97269 Phone #: 659-7069 Reg #. . : 001642 ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Nunicipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more than 181 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8818 through OAR 952-*I-M. You may obtain copies of these rules or direct questions to OLINC by calling (593)246-9187. Issue By : Permittee S i gnat i-tt-F- ................................4-++++-1-+4....................................... Call 639-4175 by 6:00 p. m. fat, inspections needed the next biisiness day ..............................................................................*44 Plan Check# CITY OF TIGARD Mechanical Permit Anplication Recd By 13125 SW HALL BLVD. Commercial and Residential Date Reid TIGARD, OR 97223 Date to P E. (503) 6139-4171, x304 Date to DST Print or Type Permit* Incomplete or illegible_applications will not be accepted Called-- Name of Development/Project Description Table 1A Mechanical Code ory PRICE AMT Job Street Addra°° A) Permit Fee r 0 0 1000 Address Y?S 5.r.✓ f�r,wuo9 ewge Cnyr5tete Zip 1 ) Furnace to 100.00(,BTU 600 iI e )3�- 3 includin dui ,&vents _ Name(or none of busate ) 2) Fumace 100,000 BTW 7.50 Owner AQ\C V1 njL 1p 5 ch i including duds&vents —� — Mailing Address �1 3.) Floor Furnace 6.00 _ including vent _ cMlstata Zip Plane 4) Suspended heater,wall heater 600 i. V or floor mounted heater Name(or non°of business) 5.) Vent not included in appliance permit 300 Sa VA Occupant Marling Address _ 8.) Eoiler or cninp,heat pump,air Gond. 6.00 to 3}Ir absorb unit to IOOK BLIT** Crtyismtezip Phone 7.) Boiler or comp,heat pump,air cond. 11.00 1 _3-15 HP.absorb unit to 500K BTU"' Contractor Name 8) Bo c;or romp,heat pump,air Gond. _ 15.00 (Prior to I Q11 )l wI ). .A I ter_ 14�t 15-30 HP;absorb unit 5.1 mil BTU" issuance Marling Address 9) Boiler or comp,heat pump.air Gond. 2'.50 applicant -V V, C, } 2_11 U ' 30.50 HP,abs-)rb Lind 1-1.75mil BTU— mu-,t TU"mu,t provide all cRyt5tow Zip Phone rl) Boiler or comp,heat pump,air Gond. 37.50 Contractor Yin \." r i r•,- "I- av-1, 5^HP;absorb unit 1.75 ml BTU" license Oregon Const.Cont Board Lic a Exp.Dale 11.) Air handling unit to 10,000 CFM 1 4.50 infortnation lr e f(' JT COT eusinasass Tex or Metra e E o.Dale 14) Air handling Licht 10,000 CFM 7.50 database). ilii 1 _ Architect Name + 13) Nan-portable evaporate cooler 4.50 --!\I( I _ Of' Mailing Address 14) Vent tan connected to a single dud _10 Engineer Cay' '°t° v Zip Ph«,e 15.) Ventilation system not included in 450 appliance perrnd Describe work New O Addition O Alteration p Repair O 16) Hood served by mechanical exhaust 4 50 to be done _Residential er" Non-residential O Additional Description of work _ 17) Domestic incinerators 750 18.) Commercial or industnal type 30 00 Innnerator Existing use o' �" 19.) Repair units 4.50 1 building or property �-L5101 nl-L ;fU 20.) Wood stove 4.50 Proposed uEe of n`!� 21.) Clothes dryer,etc 4�0 building or prope4` �T _ 22.) Other unds 4 50 Type of fuel-oil O natural gas O LPG O electric O 23.) Gas piping one to four outlets 2 OU I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(ei;ch) 50 information given 13 correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregoc State OTY SUBTOTAL laws. Signature of OwneNAgent Date 'SUBTOTAL 7 5%SURCHARGE Contact Person NarnvU Phone PLAN REVIEW 25%OF SUBTOTAL TOTAL C) I �JfL,rL u / i klstlmechpmtdoC jmv 9 "Minimum permit fee is 525«5%surcharge --�-- -Residential A1C requires site plan showing placement of unit. 57'. 97223 f i � I i I II 1 CITY O TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0406 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/24/97 PARCEL: 1S125DB-11000 SITE ADDRESS. . . :07485 SW ELMWOOD ST SUBD I V I S I ON. . . . :ELMWOOD PARK ?ON I NS:R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5 JURISDICTION: TIG Pr•o.j ect Descri pt ion: Installation of 2 circuits withoui feeder. ----RESIDEN'TIAL UNIT---- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION, . . . : 0 EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT L.INE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0 ---SERVICE/FEEDER----- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . ., : 0 201 — 400 amp. . . . . : 0 1st W/0 SRVC OR FDR. : 1. PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION------------------ 1000+ ECTION------•----------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 6OVZ VOLT NOMINAL. . : Recc inect only. . . . . 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. : Owner-: ----------------------------------------------------------- FEES -- ___------ -- RICHARD SMILEY type amount by date r•ecpt 7485 SW ELMWOOD DR PRM" $ 4w. 00 TFT 916/24/97 97-29636ri TIGARD OR 97223 SPCT $ 22. 00 TAT 06/24/97 97-296369 Phone #: 245-3082 Coirt-,,act or•: --------------•-------------------------------------------...-------- PIONEER ELECTRICAL SERVICES IN $ 422. 00 TOTAL_ 615 14TH ST - -----— REQUIRED INSPECTIONS ----- OREGON CITY OR 97045-1610 Elect' l Service Phone #: 657-9666 Elect' 1 Final Reg #. . : 010548 This pewit is issued subject to the regulations contained in the Tiga-d Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This peroit will expire if work is not started within 180 days of issuance, or if work is suspended for lore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 9°,2-NI-8@10 throw BAS 95P-N1-19B7, I eay obtain a copy of these rules or direct questions lling 15831P�6-1987, r Permittee Signatur• Issued By: ----------------------------OWNER INSTALLATION ONLY----------------------------- The installation is being made on property I own which is not inte:rded for- sale, lease, or• rent. OWNER' S SIGNATURE: _ M _V DATE: INSTALLATION ONLY— ----- - - -------•____________ SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO: +++ ++++++++++++++++++++++++++++ +++++++++++++++++++++++++++++.1•++4•+++++++++++++ Call 639-4175 by 6:0O p. m. fcr an inspection needed the next business day ++++++++++++++++++++++++++++++++4.. .............................................. CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Rec'd By Date Rec'd TIGARD OR 97223 Date to P.E. Phone(503)639-4171, x304 Date to DST_ _ Inspection (503) 639-4175 Print or Type Permit a Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development �- _ Number of Inspections per permit ullowed --- Name(or name of business.)` _ Service Included: Items Cost Sum Address X- �7�tJ M��0� �� 4a. Residential-per unit Ctl�/� 1000 sq.It.or less __ $110.00 4 City/State/Zip- 7- L• Each additional 500 sq.ft.or Commercial Residential r� - kuw,, i �- Limited thereof $25.00 - - 1 l Enorgy $25.00 Each Mani-1'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $66.00 2 (Attach copy of 11 rjrrent licenses) 4b.Services or Feer+�� V ��" Installation,alteration,or relocation Electrical Contractor_PLOWS64-115 wwmi .1CA C7QkL1�� 200 amps o,less _ $60.00 2 Address Lfu - 201 amps to 400 amps $80.00 -__ 2 Clt ��-State Zip q1 401 amps to 600 amps = $120.00 2 Phone601 amps to 1000 amps $180.00 2 Job No. -UI Over 1000 amps or volts _- $340.00 _ 2 Elec.Cont. Lice. No. 3-73 Exp.Date 1 b Reconnect only $50.00 2 OR State CCB Reg. No.ApS-4$ Exp.Date_ 4c.Temporary Services or Feeders COT Business Tax or Metr Exp.Date.'1-%-91 Installation,alteration,or relocation 200 amps or less $50.00 2 201 amps 4UG amps $75.00 2 Signature of Supr. Elec' 401 amps to 600 amps - $10000 2 Over 600 amps to 1000 volts, l-icense NoAo Exp.Date see"b"above. Phone No._(2S:7- _ - - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The to-for branch circuits with purchase or service or Print Owner'.Name reader tee. Addr@ss Each branch circuit $5.M2 h)The lee for branch circuits City _ y State Zip without purchase of Phone No.-__ service or feeder fee. First branch circuit 1 $35.00 2 The installatic;rt is being:nade on property I own which is not Each additional branch circuit_J_ $5.00 _ 2 intended for sal 3,lease or rent. 4e.Miscellaneous (Service or feeder nut included) Owner's Signatu,e Each pump or Irrigation cit,'^ $40.00 2 Each sign or outline lighting $40.00 _ 2 3. Plan� Review section (if required) Signal 1,alteration or o limiteden energy - panel,alteration or extension _. $40.00 p Minor Labels(10) $100.00 - Please check appropriate Item and enter fee In section 5B. 4 or more residential wets In one structure 41.Each additional Inspection over r _ Service and feeder 225 amps or more the allowable In any of the above System over F00 volts nominal Per Inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 "Submit 2 Rets of plans with application where any of the above apply. 5. Fees: 4-6 Not required for temporary construction services. 59.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 2501.of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If rQguireg(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED. Q Trust Account# 42„ Total balance Due $ I�OST91ELC99 APP Rev 9M