8650 SW GREENSWARD LANE N
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8650 SW GREENSWAFD LINE x'�
CITY CSF TIGARD ELECTRICAL_ PERMIT
PERMIT #: D: 03-01.x8
DEVELOPMENT SERVICES
ik DATE ISSUED: /23/98
13125 SW Hall Olvd., Tigard,OR 97223 (503)639.4171
PARCEL.. 2,91 1 1 AA-02900
SITE:. ADDRESS. . . :08650 SW GREENSWARD L.N
SURD 1 V I S I ON. . . . :GREENE"WARD PARI', ZONING:R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :009 JURISDICTION: TIG
Project De scr,i pt i ori• Installing first branch ,ircuit to an existing SFD.
____
__-RESIDENTIAL-UNIT----'--- TEMP SRVC/FEEDERS-...___-..._. ----`MISCEL_LANFOUS-__-_-.
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . ; 0
EACH ADD' L_ 500SF-. . . : 15 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
L..IMITED ENERGY. : . . . : 0 401 - 600 .-imp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL.. ( 10) . . . : 0
------SERVIC:F/FEEDE:R---- .----RR0N( H CIRCUITS--_.._..__ ---.ADD' L INSPECTIONS
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC: OR FDR. : I PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : )C --- - ------- ------F'L.AN REVIEW SECTION.--------
1000+ amp/volt. . . . . : 0 > -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL_. . :
Ro connect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
C_lwr'er: __._____ _.______._____.__.___.._.__..______-- FEES ___.__----------------
GARY LEE type amol_tnt by date recpt
865V SW GREENSWARD LN PRMT $ 35. 00 DLH 03/23/98 98-304352
TIGARD OR 97x-2.3 5PCT $ 1. 75 DLH 0.3/23/98 98-304352
Phone #:
Cant, actor: ----
A & E FLEL:TRIC INC $ 36. 75 TOTAL.
2536 SE: R I SL_EY (i V L
------- REOUIRED INSPECTIONG;
111L.WAUKIE OR 97267 E=lect' 1 Service _
Phone #; Elect' l Final -
Reg #. . : ----------
This permit is issued subject to the regulations contained in the Tigard Municipal Code, bia.e of Oregon Specialty Codes and all nther
applicable laws. All work wA l 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 188 days. ATTENTIn:.: Oregon law requires you to follow the rules adopted by
the Oregon Lltiiity Notification Center. Those rules are set forth in OAR 952-991-8818 through DAR 9.552-891-1987. You may obtain a copy
of these ruled or direct questions to [ 1NC by calling (593)246-1987.
ss I)
F'Prmittee Siynatur�t / ti 1-11 f?v : L
INSTALLATION
The installation is being made on property 1 own which is; not intended fo+
sale, lease, or rent.
OWNER' S SIGNATURE: DATE
_.___._.___._.__.__---___._---•.----�,ONTRACTOR INSTALLATION
SIGNATURE OF SUF'R. E:LE C' N: . e.lvl /a -�0L-/C'lnVQAI DATE: ,e 2 3�
LICENSE NO: _
++++++++++++++++4-++++-++++-f++++++++r+++++++•+++++++++++++++++++++++++++++•+-+++++++
Call 639-4175 by 7;00 p. m. for an inspection needed the next b(.isiness day
I ++++++.++.++++++.f+++++++++++++i-++++++++++++i•+++++i-i +t 4 ++±+++++++.4-+++++.++++++.1-+++
afttt�
CITY OF TIGARD Electrical Permit Application f Ian Check q
1;025 SW HALL BLVD. 'aec'd By t-/`/
TIGARD OR 97223 Date Recd _
Date to P.E. _
Phone (50' 639.4171, x304 Print or Type Date to DST
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit"
Fax (503) 684-7297 r-alled
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development___ Number of Inspections per permit allowed
Name(or name of business)
/ A /,/ Service included: Items Cost Sum
Address Vr� �y lam(-' � N/ /to L/J 4a. Residential-per unit
City/State/Zip- 1/t'x191" OnD 1 U 1000 sq.ft.or fess ^_ $110,00 _-�-_-- 4
f Each additional 500 sq ft o
Commercial ❑ Residentlai E Limited portion thereof $25.00
Energy $25.00 -,
Each Manuf'd Horne or Modular
�
2a. Contractor installation onl�t: Dwelling Service or Feeder $68.00
(Attach copy of ail current licenses) �7 4b.Services or Feeders
Electrical Contractor c v/'/7,L Installation,alteration,or relocation
�jtJG
Address . O. �C d- 200 amps or less $60.00 2
-eta L- ---. ----- 201 amps to 400 amps $80.00 2
City��GyZ_ _ State Zip_ z!. _._ 4101 amps is 600 amps $120.00 2
Phone No. (, ,5!j-b7,71;1' 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec.Cont. Lice. No. 2-Z----X I C Exp.Date/O-f EE
Reconnect only $5000 2
OR State CCB Reg. No..4ti1-b3_Exp.Date_ :5-/'1 _Y$ 4c.Temporary Services or Feeders
COT Business Tax or MeUQ.No Exp Da Installation,alteration,or relocation
\ ----- 200 amps or less $50.00 2
Signature of Sl Ipr. Ele �--k. _ 201 amps to 400 amp3 $75.00 2
401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts,
License Nr -3-7 Z S' Exp.Date�QI_ set^b^above.
phone Nr _.�,. ���� ._ -- 4d.Branch Circuits
Now,uiteration or extension per panel
2b. For owner installatiorm: n)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Each branch circuit $5.00
Address 10 The fee for branch wruits
City State_ Zip_ without purchas?of
Phone No. service or feeder fee. 7 Q 1
First branch circuit $35.00 %�• _ 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale,lease or rent. 4s.Miscellaneous
(Service or feeder not included)
Owner's Signature_- Each pump or irrigation circle $40.00
Each sign or outline lighting $40.00
3. Plan Review section (if,equired):' Signal circult(s)or a limited energy
panel,alteration or extension $40.00 2
� -
Please check appropriate Iteni and enter fee in section 5B. Minor Labels(10) $10000
_4 or more residential units In one structure 4f.Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 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 sets of plans with application where any of the nbove apply. 5. Fees. r'J�
Not required for temporary construction services. 5s.Enter total of above fees $ �
5%Surcharge(.05 X total fees) $ /
NOTICE Subtotal $
5b.Enter 25%of line 5s for
PERMITS FECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r2guired(Sec.3) $ - -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDON[D FOR A PFgIOD OF 110 DAYS AT ANY
TIME AFTER WORK IS COMMENCED ❑ Trust Account
Total balance Due
I NDSTSIELC96 APP Rev 9.96
0906
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 639-4175 Business Phonc: 639 1
_ a: Ju
Date Requested: _3 c:'e �" A,M. M. _ _ MST.
Location: ----
Ienanl:_ Suite: 13ldg: _ iC: /
Contractor: (�� ptto11e �i I 1
---- �(, �._ PLM:
Phone: '�`� � ' ---�j�-"673-6
- --- _—�� PLR:
SrE
Site TNG BLDG(ma't) PLUMBING _ ECHANICAL ECT SITE
Site Post/Nzam Post/licmn PovUl3eam Serv1C.e Sewer/Storni
Ftw(ing Roof UndFUSlab •Ceiling Water line
slat) Framing fop Out (.as I.ine� _ Rough-In 1 J Sprinkler
Foundation Insulation Sewer u Recxmnect Vault
l3srnt Damp Drywall Storm «rno•� Temp Service MISC.
Masonry Ceiling Rain Thain 11C;Slab
Shear/Sheath Fir.•Spklr/Alm Crawl/Found Dr Ifeat Ptu Low Volt
Approved Approved rov xov Approved
Appr/Sdwlk Not Approved Not Approved uvcd n ed Not Approved
F'INA[. FINAL. �IINAL PIN A, FINAL
0 Call fo in 0 Reinspection fee of S,_ required before ne t inspection O Unable to inspect
Inspector:_ —�- -- — Date _ Page —of
;'044ITY OF T I G A R D MECHANICAL.
m; PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC'98-0091
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DOTE ISSUED: 03/ 11 /r__,4B
PARCEL.: 2SIIINA-02900
SITE ADDRESS. . . : 08650 SW GREENSWARD I-N
SUBDIVISION. . . . : GREENSWARD PARE. ZONING: R-4. 5
81-OCK. . . . . . . . . . : L-OT.. . . . . . . . . . . . . :009 JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0
'TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . ; 0
FUEL TYPES— 0-3 HP. . . . : 0 DOMES. INCJNz 0
:GAS 3-15 HP. . . . : 0 COMML. INCINz 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS.- 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 ;AOODSTOVES. . : 0
UPS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . .* 0
NO. OF UNITS-----—--— AIR HANDLING UNITS OTHER UNITS. : 2
FURN ( 100K BTU: 1 10000 cfm: 0 GAS OUTLETS. s I
FURN ) =100K BTU: o > 10000 cfm: 0
Remarks : Installing furnace, gas insert, gas freestanding stove, and gas piping
Owner: -EES
GARY LEE type .:,mount by date recpt
8650 SW GREENSWARD LN PRMT p 27. 00 B 03/11/98 98-304014
TIGARD OR 97223 5PCT $ 1. 35 B 03/11 /98 9 8--- 0'1 V, I -'i
Phone #:
Contractor:
DAKiR HEATING IANC
PO BOX 56327 ------
irR8. 35 TOTAL
PORTLAND OR 97238
Phone #: 288-8980
Reg #. . : 008725
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Collet and a!l other Mechanical Insp
applicable laws. All work will be done in accordance with Mise. Inspection
approved plans. This permit will expire if work is Pst started Final Inspection
within IN days of issuance, or if work is suspended for more
T.._.-
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. These rules are
set forth in DAR 952-01-881@ through OAR 952-001-0@80. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
I ,s 1.�P B y Permittee Signati-tre
+++4•............................................................................1--++++4-
Call 639-4175 by 7:00 p. m. for- inspections needed the next business day
+++++++++++4.....................&............................................4
Plan Check
CITY 4F TIGARD Mechanical Permit Application Reed By , -�,y---
13125 SW HALL BLVD. Commercial and Residential Date Rec'd �"f G
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST.
Print or Type Permit#j
Inco_m_plete or illegible applications will not be a accepted Called____
Nar.
alled _ -
Nar. of Uevelopment/Proieci Description
Table 1A Mechanical Code IaTy PRICE AMT
Job Street Address Suiteg A) Permit Fee 0- 0- 10.00
Address r, G ✓S wf �1-1,
Bldg# I City/State zip 1 ) Furnace to 100,000 BTU 6.00
1 GP44�� l 11112 including dud:;&vents � i
Name for name of businesal2) Furnace 100,000 Bl'U+ 7 50
Owner R F� including duds&vents
Mailing Address // 3) Floor Furnace 6.00
S)A V,R- _ Including vent
CrtyiState zip Phone 4.) Suspended heater,wall heater 6.00
or floor mounted heater
Name(or name of business) 5.1 Vent riot Included in appliance permit 3 00
Occupant Mailing Address 6) Boder or comp,heat pump,air rand. 600
to 3 HP:absorb unit to t OOK BUT"
city/State zip Phone 7) Boiler or comp,heat pump,air cond. I 11 00
3-15 HP:absorb unit to 500K BTU"
--`ontractor Name / } 8) Boiler or comp,heat pump,air cond 1500
15-30 HP:absorb unit.5-1 and BTU"
Prior to permit Moiling Address —— 9.) Bolter or ramp,neat pump,air cond. 22.50
ssuance,a copy ro 8,y. 30-r0 HP absorb unit 1-1.75md BTU"
of all licenses Crtyiitate zip Phone 1t.') Boder or :oino,heat pump,air cond 37.50
are required If (i'vi . Qll, r ,
50 HP;.:ti,eora unit 1 75 and BTU"
expired in COT Oregon Const Com Board Lica Exp Cate 11 ) Air handling un!to 19 000 CFM 4K
database
Architect Name 13) Non-portable evaporate cooler — 4.50
Or Melling Address 14) Vent fan connected to a single dud 3 00
Engineer C tyi5tate Zip Phone 15.) Ventilation system riot included in 4.50
appliance permit
Describe work New O Adrtiticn O Alteration O Repair O 16) Hood served by mechanical exhaust --4-50---
to be done Residential O Non-residential O
Additional Descnp on of work: 17 1 Domestic Incinerators
PC 1 7 50
Nis✓ (,1�5 Lr.i l > USPS /,L S�� 1
18) Commercicl or industrial type
Incinerator 30.00
Existing use of 199) Repair units 450
building or property - 20 Wood 1 Wood stove —}� 450
Proposed use of 21 ) Clothes dryer,etc
bud4 50ding or property �l
22) Other units /NrAIT 450
-a& rp.6"i 5,fr�"_of -L
Type of fuel-oil O natural gas jR" LPG O elednc O 23) Gas piping one to four outlets �- 2 0_0
I hereby acknowledge that I have read this application,that the 24) More than 4-par outlets(each) 50
nformation given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are In compliance with Oregon State QTY SUBTOTAL
laws
ignature of Owner/Agent Date 'SUBTOTAL
�► �/i /�- Z r� A 5%SURCHARGE
CcWtact Person Name Phone I FLAN REVIEW 25%OF SUBTOTAL
�(C1 tot /r �`' � 5�1 ��C' ` q7 n --- TOTAL A
i/Un\echpmtldoc (relv.9' V jf j 1f C — um —
Permit to,?is S25+5ia surchaae
-Residential AJC requires site plan showing p anem:nt of unit