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8995 SW EDGEWOOD STREET no ca " L ) P� C-4 cin 1-a P-3 c- q � � � Fn t� F►++ 'a� � �. ;u r N m m L, s H �� I ,1 ] C? :ti=71 [Ung h c, LLt11f L M s' FUFS�) !4 o N F r 'H I 1 � I 8995 SW Edgewood St . CITYO F TIGAR D _ ELECTRICAL PERMIT DEVELf�PMENTRVICE$ PE=RMIT#: ELC2000-00214 vATE ISSUED: 05/03/2000 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 08995 SW EDGEWOOD ST PARCEL: 2S 102DC-00503 SUBDIVISION: EDGEWOOD ZONING: BLOCK: LOT : 012 JURISDICCIDN: TIG Proiect Description: Install ten (10) 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 FUR: 1 PEP HOUR: 401 - 600 amp: EA ADD'I_ BRNCH CIRC: IN PLANT: 601 - 1000 amp: __ PLAN REVIEW_SEC__TION _ 1000+ amp/volt: >=4 RES UNITS > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225,`MPS: _—_ __CLASS AREA/SPEC OCC: Owner: Contractor: ------��—_— _..--.-.-_ ABBOTT, TERRY A + LAURIE J PAGEL ELECTRIC 8995 SW EDGEWOOD ST 1927 21 ST AVE TIGARD, OR 97223 FOREST GROVE, OR 97116 Phone: EXPIRED Phone: 357-4013 EXPIRED Reg#: LIC 00021574 SUP 1+b49S _ ELE 34-52C - -" ---- Required Inspections _-- --- -- Type By Date FEES Amount Receipt Elect'I Service PRMT GF_O 05/03/200C $85.65 0001856 — Elect'I Final 5PCT GEO 05/03/2000 $6.85 0001856 Total $92.50 ORIGINAL This Permit is issued subject to the regulation3 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 arispe,ndPd for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rulas are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 ) PERMITTEE'S SIGNATURE / ISSUED BY: rs OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNE'R'S SIGNATURE: .- - DATE: C NTRACTOR INSTALLATION ONLY SIGIJATIJRE OF SUPR. ELEC'N: DATE: `J " 3`CSC�J LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARDRE-EvaElectrical Permit Application Plan Check a __ Recd By 13125 SW HALL BLVD. Date Recd _ TIGARD OR 97223 APR. 2 " 700,fi Date to P.E _ Phone (503)639-4171, x304 Date to DST_ Insp.^ction (503) 639-4175 COMMUNITY DEVEEUNMENI Print or I T y�e Permit If Er e;?Ctv. Incomplete or illegible will not be accepted Fax (503)684-7297 1. glob Address: .+ 4. Complete Fee Schedule Qelow: Name of Development f)�0/r ____-_ Number of Inspections per permit allowed -- Name(or name of business) _ Service included: Items Cost Sum 0 I.� �1 UJ �L �(`� 4a. Residential-per unit Address 1000 sq.ft.or lass __.__- $110.00 City/State/Zip- `("(q Each additional 500 sq.It.or portion thereof $25.00 Commercial ❑ Residential Limited Energy __ $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $56.00 _ 2a. Contractor installation only: 4b.Services or Feeders (Attach copy of_all current licenseV Installation,alteration,or relocation Electrical Contractor «r �.4 1 cN��' 200 amps or less $60.00 Address_ r (� V� 201 amps to 400 amps $60.00 _ 2 ciry�rTrest C�rw a State _Zip 171( 401 amps to 600 amps _ $120.00 2 Phone No. �J�- 1 3 601 amps to 1000 amps $160.00 - 2 Over 1000 amps or volts $340.00 2 Job No. 3 117 Reconnect only $50.00 2 Elec.Cont. Lice. No.. .34- Y 1U Exp.Date i o c 0000 OR State CCB Reg. No. _Exp.Dato-J �LL_L� 4c.Temporary Services or Feeders COT Business Tax or Metro No.�_Exp.Date r e i Installation,alteration,or relocation 200 amps or less $50.00 (� Q 201 amps to 400 amps $100.0 Signature of Supr. Elec'n ULA 401 amps to 600 amps $100.00 1 Over 600 amps to 1000 volts, License Ne 45 -4�-_Exp.Date 0 C', 1 0 see"a^above. Phone N, 351 '�� t 3 - 4d.Branch Circuits New,alteration or extenslun per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or feeder fee. Print Owner's Name __-.__ � Each branch circuit _- $500 - Address b)The fee for branch circuits v City State ZIP _ without purchase of 3 ✓ v Phone N0._. _�____ service or leader tee. First rst branch circuli 2 Each additional branch circuit� �'�' _-�_ � 2 The installation is being made on property I own which is not Sal ,1�,�`j intended for sale,lease or rent. 4e.Miscellaneous 7 (Service or feeder not Included) $80.00 Owner's Signature__ Each pump or Irrigation circle $40,00 - Each sign or outline lighting Signal clrcult(s)or a limited energy $40.00 2 3. Plan Review section (if required):* panel,alteration or extension Minor Labels(10) _ $100.00 Please check appropriate Item and enter fee in section 51B. 4f Each additional Inspection over 4 or more residential units In one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection _ $35.00 System over 600 volts nominal Per hour _ $55.00 Classified area or structure containing special occupancy In Plant = $55.00 - as described In N.E.C.Chapter 5 "Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for tempornry construction services. 59.Enter total of abov9 fees $ 5%Surcharge(.05 X total fees) $ NQj1QE Subtotal) $ , ✓ 5b.Enter 25%of title Be for $ PERMITS BECOME VOID IF WORK On CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $ NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account TIME AFTER W(jRK IS COMMENCED, S Total balance Dui 10SMELCAfi API' CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2000-00155 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/27/2000 SITE ADDRESS: 08995 SW' EDGEWOOD PARCEL: 2S102DC-00503 SUBDIVISION: EDGEWOOD ZONING: BLOCK: LOT:012 JURISDICTION: T16 CLASS OF WORK: ,ALT FLOOR FURN: — FE-VAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1 OCCUP'%NCY GRP: R3 VENTS W/O APPL VENT SYSTEMS: STORIES: BO_ IL_ERS;COMP_RESS_CRSHOODS: FUEL TYPES _ 0 - 3 HP _ DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: 30 • 50 HP: REPAIR UNITS: GAS PRESS'JRE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: t Remarks: Installing hood vent and gas piping Owner: _ FEES -------- ABBOTT, TERRY A+ LAURIE J Type By Date Amount Receipt 8995 EDST PRMT BON 04!27/20[ $50.00 0001741 TIGARD, ORR 97223 97223 5PCT BON 04/27/20( $4.00 0001741 Phone: Total $54.00 Contractor: DARRELD FLECK CONSTRUCTION 1100 NW PADGETT RD HILLSBORO, OR 97214 REQUIRED INSPECTIONS Gas Line Insp Phone:503-640-0370 Misc. Inspection Reg #:LIC 107304 Final Inspection ORIOINAL 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 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obt ' copies of these rules or direct questions to OUN�y calling (503)246-9189. Issue By: _L"` LUV�v- Permittee Signature. a&q.� _ Call (503) 639-4175 by 7:00 P.M. for Inspections; needed the next business day Plan Check CITY OF TIGARD Mechanical Permit Application Rec'dBy 13125 SW HALL BLVD. Commercial ;end Residential Date Recd q TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print Or Type Permit# -b015� Incomplete or illegible applications will not be accepted Called Y Name of Devehpment/Project . I Description 15 Ba r- V,es�A Table 1A Mechanical Code _ at Price Amt Jab Street Address _ �,tr n A Permit Fee _y 16.00 Address S'L �.� 1) Furnace to 100,000 BTU N1�C� _-- Including ducts 8 vents see footnote 1,2 9.65 Bldg# Cny/St.te zip 2) Furnace 100,000 BTU+ I�jC41_J I Including ducts&vents bee footnote 1,2 12.00 Name(or name of business)) 3) Floor Furnace Owner rY includingvent see footnote 1,2 9.65 _ Mailing A ass 4) Suspended heater,wall heater or floor mounted heater •as footnote 1,2 9.65 5 Vent not Included in appliance ermit 4.75 Cny/state zip Phone Check all that apply: 'Boiler Heat AI. For Items 6-10,see or Pump Cond Oty Price Amt T Name(or name of business) footnotes 1,2 Comp I 6)<3HP;absorb unit to ty��n�+'✓ __ 100KBTU 9.65 Occupant Mailing Address 7)3-15 HP;absorb unit 100k to 500k BTU 17.65 CRY/State Zip Phone 8) 15-30 HP;absorb unit.5-1 mil BTU _ 24.15 Name 9)30-50 HP;absorb Contractor unit 1-1.75 mil BTU _ _ 36.00 _ i>(rLk 10)>50HP;absorb unit Prior to permit Melling Addrers >1.75 mil BTU 1 60.15 _ issuance,a copy /I f W P 11 Air handling unit to 10,000 CFM of all licenses City state zip Phon 7.00 are required if Id r aot- 6 l I L �� 7U 12)Air handling unit 10,000 CFM+ expired In COT Oregon ;onst.Cont Board Lic Exp, file _ 11.85 database 13)Non-portable evaporate cooler Architect Nam,, 7.00 kA �A 7 2-1i 14)Ven fannnecteIto a single duct Mailing Add ss V _ 4.75 Or 15)Ventilation system not Included in appliance permit _ 7.00 Engineer CRY/State zip Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done: 17)Domestic incinerators 12.00 New O Repair Replace with like kind Yes O No O 18)Commercial or Industrial type incinerator 48.25 Resldentia10 Commercial O 19)Repair units Additional Information or description of work 8.40 20)Wood stove/gas FP/other units/clothe dryer/etc. 7.00 NOTE: For Commercial projects only;Units over 400 ibs require 21)Gas piping one to four outlets structural gas tales. See footnote 1 r 3.75 Type of fuel: oil O natural gas LPG O electric O 22)More than 4-per outlet(each) .75 _ Minimum Permit Fee$50.00 SUBTOTAL I hereby acknowledge that I have read this application,that the Information 8%SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are In compliance with Oregon State lawsRequired for ALL commercial permits only TOTAL Ct Sign tore of Owner/Agent Date -- Other inspections and Fees: i ���- j/ > �) 1. Inspections outside of normal business hours(mininurn charge two Contact Person Name i Pholfie (tours) $50.00 per hour r 2 Inspections for which no fee Is specifically Indicated (minimum -r-0 I-l-e-A- � )�-& 7Ct charge-half hour) $60.00 per hour Foonotes for commercial projects only: - 3. Additional plan review required by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. -Residential Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I:Onectiperm doc rev 7/19/99 CITY O TIGARD MECHAN I CAL DEVELOPMENT SERVICES PERMIT 1312.5 SIN Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT #. . . . . . . DATE ISSUED: 10/11 /95 PARCEL,. 21S1O2DC--OO503, S] TE ADDRESS. . . : 08995 SW 1.=_DGE:W0OD ST SUBDIVISION. . . . EDGEWOOD ZONING: R-4. 5 BLOCK. . . . . . . . . . LO!. . . . . . .. . . . . . . : 12 CLASS OF' WORK. . : REP, FI-OOR TURN„ . . . : 0 EVAP COOT-ERS: 0 TYPE Or USE. . . . :SF UNIT HEATERS. . : L7i VENT FANS. . . : 0 OCCUPANCY GRP. . :Al VENTS W/O APPL.: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESGORS HOODS. . . . . . . : 0 FUEL.. TYPES---- 0-3 HF'. , : 0 DOMES, T NC I N: 0 • :3--15 HFI. ! � COMML. I NC I N: 0 MAX INPUT: 0 BTU 1.5---30 HP. . . , : i `t I .'a REPAIR IJN I TS: 0 FIRE DAMF'E135% . : 30-50 1-IF=". . . . : 0 �` WOODSTOVES. . : 0 GAS FRES SURF.. . . : 50+ HIS'. . . . : 0 CI_O DRYERS. . : 0 NO. OF LJN I TC- --------- AIR HANDL.I NC; UN I TS OTHER UNITS. : 0 F'URN ( 100K BTU: 1 (-•- 10000 r-f m: 0 GAS OUTI_E:TS. : 0 TURN ) =-1O0K BTU: 0 > 1V_tOrovi cf`m : 0 Remarks : t,epl.ac:.in^ ice t-eplacinq fl.irnance Owner: -_____.._.__...___ ___...___ __ ____.___.__________..______._._--___-_ FEES PATRICK MAHONEY type amaiant by date r-ecpt E1995 5W E_DGEWOOI:) '' F�RM'T $ .�'S, 00 1.O/1O/r3E, 9Fj F.'85O4 i `iF'C;T '1 l.. 25 TAT 10/10/9C 9 E•,-;=:8'-i 17111 1 TTGARD OR 97224 Phone #: HEAT I NC SPECIALIST INC, THE 9.300 NF'. I iAF_SE:Y PORT1_.AND OR 97220 PI•i o n e #: 257-7000 $ 26. 25 TOTAL REDO I RFD I NSV,ECT I ONE. This permit is issued subjert to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all Oher Final Tnspection _____�•_ ____._ applicable laws. All work will be done in accordance with approved plans. This permit will erpiro if work is not started within 180 days of issuance, or if trorh is suspended for more than 180 days. ____. _, __—•-- P e t'•m i t t e e 1.5511'd By : ------ Cal _ Call for inspection 639-•4175 City' of.,Tigard MECHANICAL_ PERMIT Planck/Rec. # _ 13125 SW Hall Blvd. APPLICATION Permit # Lo- L ` 3 Tigard, OR 97223 (503) 639-4171 17 • ••�^wrDescription Table 3/1,Mechanical Code QTY PRICE AMT job a -0- 10.00 Address Tt qf1.4- A 2) Supplementa Permit 3.00 •^• ^•^•• '•' Furnace to 100,00 BTU 1) Incl. duds &vents I 6.00 ••• Furnace 100,000 BTU Owner �' `•�'W ¢ yo A k-�:�a 2) incl. ducts 3 vents 7.50 •• Floor Furnance -TI c, 7 2.z 3) incl. vent 6.00 ---- -- ^• ^•m• •^••• Su!pended heater, wail eater 41 or floor mounted heater 6.00 •w Vent not incT. in Occupant 5) appliance permit 3.00 �,. •• �^ Repair of heating, re ng. 6) cooling, absorption unit 6.00 ^» Boiler or comp, neat pump, air con . t d. ,L¢.�,, 1-Q-��-a�•-•� 7) to 3 HP; absorp unit to 100K BTU 6,00 • 1 ••• Boiier or comp, neat pump, air cond, ( ,. , r� 9— 8) 3-15 HP; absorp unit to 500K BTU 11.00 Contractor ,,�,,. o offer or comp, heat pump, air cond. l�, ✓�r� Com! 72-2 U 9) 15.30 HP; absorp unit .5-1 mil BTU M4.50 • •a•••� Boiler or comp, neat pump, air tend. 10) 30.50 HP; absorp unit 1-1.75 mil 3TU ereoy ac now edge at ave rea this app icabon, that the Boiler or comp, neat pump, air Gond. Information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU agent of the owner, that plans submitted are in compliance with it and ing unit to Slate laws, that I am registered with the Construction Contractor's 12) 10,000 CFM Board, that the number given is correct. (if exempt from State it handling unit registration, please give reason below.) 13) 10,000 CTM+on portab e 14) evaporate cooler I Vent an connected 15) to a single duct 3,00 Ventilation system not 16) included in appliance permit 4.50 ayvp.• w a�w^� 'r• o serve y r a �y /6 �• `ice 17) mechanical exhaust 4.50 escnbe wor new addition U altera;ion—U repair U Commercial or rncusma to be done residential Q non-residential Q 18) type incinerator 30.00 Existing use of Other i.e., woodstcve, water building or property 19) heater, solar, clothes dryers, etc. 4.50 Proposed use of 20) Gas piping one to four outl^ts 2.00 building or property -- 21) More than 4-per cutlet Type of fuel -oil Q natural gas Q LPG Q electric Q -- -10779— Minimum Fee 525 CO SUBTOTAL PERMITS BECOME VO:") IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5°'i SURCHARGE. I vZ IF CONSTRUCTION OR WORK IS SUSPENDED OR I ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 257: OF SUBTOTAL AFTER WORK lS COMMENCED. --- --'-"- `- TOTAL Special Conditions _ Date issued by Ir4tES{4'MT rerQ,erm••v City of Tigard MECHANICAL PERMIT Planck/Rec. 13125 sw Hall Blvd. APPLICATION Permir Tigard, OR 97223 (503) 639-4171 escnption ••• _ Table 3A Mechanical Code I — Job Address 1) Permit Fee ..o 2) Supplemental Pennit ... ". .. ,,, ---- -- ——Furnace to ,u 1) incl, duds a vents --•ur�ce fMrj + Owner 2) incl. duds &vents •,dor urnance 3) incl. vent • • "•""„'••” 7u,penci heater, r—T'eater 4) or floor mcuntM heater �n�not incl. in I -- 000U))allt 1 1 1 appliance permit I •• V— ^paeo7Fies'ung, rerrig. 6) cooling, absorption unit " o�Ter or comp, neat pump, air cond. - 7) to 3 HP; absorp unit to 100K BTU oder or comp,—neat pump,—air sono. Contractor h,,,,, 8) 3.15 HP; absorp and to 500K BTU SD�ier or comp, heat pump, air cord. 9) 15-30 HP; absorp unit .5-1 mil BTU '7U. Sciieror comp, neat pump,air sono. 10) 30-50 HP; absorp unit 1-1.75 mil BTU hereoy acknow edge that I nave read this apps cation, at7i—tie =3i r or romp, neat pump, air cond, intorrnation given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU agent ^•f the owner, that pinns submitted are in compliance with Air handing unit io Slate laws, that I am registered with the Construction Contractor's 12) 10,00n CFM Board, that the number given is conect. (If exempt from State it nand ing unit registration, please give reason below.) 13) 10,000 CTM + —Y — an prnab e 14) evaporate cooler —fit Tin connevea 15) to a single duct Ventilation system nct 16) included in appliance permit cid serve y 171 mechanical exhaust Lescnoe wor new (-) addition alteration repair Uommercia or,ncustrial to be done residential Q non-residential Q 18) type incinerator Existing use of otner i.e., wo stove, water building or property _ 19) heater, solar, clothes dryers, etc. 1 Proposed use of 20) Gas in one to four outlets building or property piping g -- Type of fuel -oil Q natural gas Q LPG Q electric Q 21) More than 4-per cutlet Minimum Fee S25.0 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS IS NOT COMMENCED WITHIN 180 DAYS, OR 5°.4 SURCHARGE IF CCNSTRUCTION OR WORK IS SUSPENDED OR — ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME PIAN REVIEW 25% OF SUBTOTAL. AFTER WORK IS COMMEI4CE0. -- — TOTAL Special Conditions — — -- Date issued ---by ---- Ar AteU4i+T , .adcama..