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CITY OF TIGARD BI;ILDING 174SPECT1:ON DIVISION
�- 24-Hour Inspection Line: 639-4175 Business i=1 one: 639-4171
Date Requested: / &�i�'// 7 A.M. (/ P.M. _ MST:
Location: lC y 70 .Stk) ka � t,'�C DUP: _
Tenant Suite: �Byldg: • MEC:f
Contractor:�& i?��i�rlf2 Phone: 2-Z �3 7 3 tun PLM: _
Owner. —Phone: FLC: t'' 1 �
I ELR:
BUILDING BLDG(con't) PLUMBING 'MECHANICAL–` <ELECTRIC SITE
Site, Post/Beam Post/13eam _D o team orlBERriice Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing rop out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer liood/Duct Reconnect Vault
Bstnt Unntp Drywall Storm Furnace Tatip Service MISC.
Masonry Ceiling Rain Drain A/C UO Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ir I lent Pum Low Volt
=Approved Approved i,rrvcd ,,ro I I Approved
Aper/Sdwlk roved Not Approved No _ ved ,TiC�ijSFAgh_d Not Appro FINAL INAL 11TV1, FINAL
Ll Call for reinspect' n r]Reinspection ris;of$ required before next inspection I.1 I InaF,Ic to inspect
Inspector: _—__ ---__— —Date _�� Page of
CITY OF TICA►RD ELECTRICAL PERMI'l
DEVELOPMENT SERVICES PERMIT #: El..,C9'7-0351:"
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/09/9" 7
PARCEL: 2Sl11CB-0172'6
SITE ADDRESS. . . : 10470 SW FABLE ST
SUBDIVISION. . . . :1400D VIEW NO. 2 ZONING: R-3. 5
PLOCK. . . . . . . . . . : 1-0 T. . . . . . . . . . . . . :25 JURISDICTION: TIG
Project Description: inst 1 2 branch circuits // job # 2959-319
UNIT---- ---TEMP SRVC/FEEDERS------
10017, SF OR LESS. . . . : 0 0 I.:]I00 amp, . . . . . . : 0 PUMP'/I RR I G()T I ON. . . 0
EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 STGN/OUT LINE LTG. . ,. .1
LIMITED ENERGY. . . . . : 0 401, 600 amp. . . . . . . : 0 S I(-'-JNAI-./PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . .- 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
---- ---SERVICE/FEEDER---- CIRCUITS------- -----ADDIL INSPECTIONS—-
0 200 amp. . . . . . : 0 W/SEPVICE OR FEEDER: 0 PER INSPECTION. . . . . 0
2-'01 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . , : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: I IN PLANT. . . . . . . . . . . : 0
6 17,1. tQOO ramp. . . . . : 0 REVIEW SECTION---------
1000+ Ar,p/volt. . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AFEA/SPEC OCC. :
Ownet— FEES
TERRY/FERN SMITH type amal-Int by dat,r t-erpt
10470 SW KABLE ST PRMT $ ho. 00 TAT 06/09/97 97-1295675
TIGARD OR 9712123 5PCT $ .2. 00 TAT 06/ 09/97 97-295F,75)
Phone # :
Cont Tactor,:
PHOENIX ELECTRIC CO b 42. 00 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
f1GnRD OR 9,� 2�23 Ceiling Cover- Uncic,--!oi.ind Cove
Phone #: 684-3600 Wall Covet- Elect' l Service
Reg #. . : 001121522
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other, Perm i t t @0 i gnat t.tr
7
applicable laws. All wirk will be done in accordance with
This permit will expire if work is not started
approved plans.
within LBO days of issuance, or if work is suspended for more du t'0
than 180 days. Issi-ilipcl By
INSTALLATION ONY
------
The installation is being made nn property I own which is not intended for
sale, lease, ot- rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION
SIGNATURE OF SUPR. ELECIN: _w_/JL sJa'('1Z7A&Z
DATE
1. 10ENSE NO:
Call fur- inspection 639-4175
rseaaerp�r.s
CITY Or TIGARD Electrical Permit Application Plan Check
13125 SW HALL BLVD. Recd By_�!
Ua:e Rec'd--
TIGARD OR 97223 Date to P.E.--
Phone
.E. _Phone (503)639-4171, x;304Date to DST—
F'�ii11 „r Type Permit ft_
Insoection (503) 639-4175 Incomplete or illegible will not be accepted Called__.
Fax (503) 684-7297 ---- �_ -----_-�-- - _ -_-
1. Job Address: 4. Complete Fee Schedule Below:
Name Of DevelOpm@nt __ Number of Inspections per permit rdlowed --
Name(or name of busi , s ( (� � Service included: Items Cost Sum
Address "1(� - I 4a. Residential-per wilt -
��� I 1000 sq.ft.or less $110.00 4
City/Stat@/Zip_ __s�- _. I Each additional 500 sq.ft.or _--
portion thereof $25.00 1
Commercial 13 Residentia Limited Energy $25.00
Each Man•"d Home or Modular
L.�r vya viCi Dwelling Service or Feeder -_ $6800 _ 2
2a. Con actor n ;tion only: 4b.Services or Feeders
(Attach copy all current licenses) Installation,alteration,or relocation
Electri Contr acto �^ 200 amps or loss $60.00 2
Add_r t��i 3aL Y 201 amps to 400 amps ,._ $80.00 2
City .1r State Zip l �_�_. 401 amps to F amps _ $120.00 2
Phone t T- 601 amps to J amps _ $180.00 2
Over 1000 or volts $340.00
Job No. ' Reconnect,, $340.0 2
Elec.Cont.Lice. No. -I xp.Date to _
OR State CCB Reg. No. Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro Nd:.--��Exp.Date I 1 c - In200 amps alteration,
��e�on,or relocation $5000 2
201 amps to 400 amps $75.00 2
Signature of Supr. Elec'n- -__-- 401 amps to 600 amps $tuu.Po - 2
Over 600 at to 1000 volts,
License No. y/4 _-_Exp.Date____- see"b"above.
Phone No. _ - ----- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fen for branch circuits with
purchase of service or
feeder tee.
Print Owner's Name^.-_.__ - - Each branch circuit - $5.00
Address - b)The fee for branch circuits
City State_ _ 7_ip- without pc (hash of
__- -__-_.._. service or feeder fee.
Phone No.-.------
First branch L:Ircult $35.00 2
The installation is being made on property I own which is not
Each additional branch circuit= $5 t10 --�-`-'� 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included) $40.00 - 2
Owner's Signature_--------- Each pump or Irrigation circle _ $40.00 2
- -
Each sign or outline lighting ^_
s Signal circult(s)or a limited energy __---
3. Plan Review section (if required): panel,alteration or extension $40.00 2
Minor Labels(10) $100.00
Please check appropriate Item and enter fee in section 5B. 4f.Each additional Inspection over
4 or more residential units in one structure
Service and feeder 225 amps or more the allowable In any cf the above $35.00 --
-System ova,600 volts nominal Per Inspection $55.00 -
a Classified area or stricture containing special occupancy Per hour - $55.00
as described in N.E.C.Chapter 5 In Plant
Submit 2 sets of plans with application where any of the above apply. 5. Fees: y0
Not required for temporary construction services,. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 25%of line 5a for $
PERMITS BECOME VOID IF WORK OR CC,NSTRUCTION AUTHORIZED IS Plan Review r uirgc�(Sec-3) $
NOT COMMENCED WITHIN 180 DAYS,OP IF CONSTRUCTION OR WORK Subtotal l
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY EJ Trust Account
TIME AFTER\NORK IS COMMENCED. $
Total balance Due
1\09T1;,ELCR6.APP Rev VA,
CITY OF TIGARD MECHANICAl_
DEVELOPMENT SERVICES . . . .pERMIT
pi".P1v1IT # . . . : MEC97015,'�',
13125 SW Hall Blvd., 'ngard,OR 97223 (503)639-4171 DATE ISSUED: 05/27/97
PARCEL:
GT TE PODRESS. . . : 1.17.1470 SW KABLE ST
SUED I V I S I ON. . . . : HOOD VIEW NO. 2i( N.�
,) NG: R— 5
3.
BLOCK,, : LOT. . . . . . . . . . . . . ..25 JURISDICTION: TIG
CLASS OF WORK. . %AIDD FLOOR FURN. 0 EVAPI COOLERS: 0
TYPE OF USE. . . . 013E UNIT HFATERS. . 0 VE NT FANS. . . : 0
OCCUPANCY GRp. . -142 VENTS W/O P1PP%._: 0 VENT SYSTEMG: 0
STORIES. . . . . . . . . 0 BOIL.ERS/COMP,RESSORS HOODS. . . . . . . r 0
FUEL TYPES-- --,-------- 0-3 lip. . . . : 1 DOMES. INCIN: 0
1qS 3-15 HP'. . . . : CA COMML. INCIN: 0
M(),' INPUT: 0 3TU 15-30 Hp. . . . Z) RErIAIIR UNITS: 0
Tr,1_7 DAMpERS?. . .
30-50 HPI. . . . 0 WOODSTOVES. . : 0
GAS P,RESSt..JRF. . . 50+ lip,. . . . 0 CLO DRYERS. . : 0
NO. OF AIR HANDL INU UNITS OTHER UNITS. : 0
FURN ( 1001; BTU: 1 10000 cfm : 0 GAS OUTLETS. : 0
FURN ) 100K BTU: 17A > 10000 rFm: 0
Remar,ks : instl I furnace ducts/vents, I boiler/coop/heat pump a/c // job # 88081
Owr.ev-: FEES
TERRY/FERN SMITH type arnoLtnt by date t-er-pt
10470 SW KABLE S1 pRly1T $ 25. 00 TAT 05/27/97 '37-295103
TIGARD OR 97223 '5P,CT $ 1. x_.5 TAT 05/27/97 97-2951
phone #: G39--5893
$ 26. Ci'.5 TOTAL
REQUIRED INSPIECTIONS
This permit is issued subject to the rpg6ationi contained in the Gas Line Insp
Tigard Municipal Code, State of Grp. Speciaity Cadts and all other Mechanical Insp
applicable laws. All work will be done 0 accordance with Misc. Inspection
approyed plans. This permit will expire J worth is not started Final Inspection
within 180 days of issuanep, or if work is oispended for sure
than 190 days.
P'Pt"MitteP S)ignatIjr,e)- _14k,
Isstied Sy :
C931 for inspection 639-4175
Plan Check A
CITY nF TIGARD Mechanical Permit Application Recd By
13125 5W HALL BLVD. Commercial and Residential Date ReCd
TIGARD, OR 87223 Date to P E.
(503) 639-4171, x304 ' )�_ � Date to OST
Permit At
Print or Type calked
Incomplete or illegible applications will not be accepted
_ or1 I Destnptroi
y Table 1A Mechanical Code OTY PRICE AMT
Joh Sifaat Addrillas Suua A) PenrA Fee -0 -0- 10.00
Address
a" CtyrState Lo B) Supplemental Permit 300
Nane for name or busmas1 I 1.) Fumac7 to 100,000 BTU 6.00
Owner incl.duds 3 vents `
I � 2.) Fumaoe 100.000 BTU+ 7.50
ind.duds 3 vents
C ) J 3.) Fkmty Furnace 6.00
_ It I incl.vent
Nara or nann d misnessf 4.) Suspended heater,wad heater 6.00
or!loon mounted heater
Occupant Me"Ad"U 5.) vent not incl.in 3.00
_ applianoe permit
ctwsbm ZIP P.."
-. 6.) Boiler Cr comp,twat pump,air=.,d. 6.f10
to 3 HP;absorp un•to 1WK BTU
7.) Boder or cnimp,heat pump,air w,id. 11.00
3.15 HP,absorp unit to 500K PTU
Contractor 8.) Bonet or oomp,he;d puny,ar pond. 15.00
15.30 HP;absorp I w*.5-1 mil BTU
Atttch copy ofno at+on r 9,) Boiler or comp,her t punp,air cond 22.50
Curttnt Licenses ( 1 ` I�,� �; J.i.)j I I� �� 30-50 HP;absorp tnd 1-1.75 mil BTU
Conu_.Cores_Board L.,cs P.Data 10.) Boder or comp,heat u
` pump,as coed. 37.50
>50 HP;absorp unit 1.75 and BTU
Cr,T Business Tatyor meso s Eap. 1 1.) Air handling unit to -� - 4.50
C; �I 10.000 CFM _
j� Architect Nfrrn 12.) Air handling unit 7.50
10.000 CTM
or Mar.,t,Ador"ss --- -- 1.1) Non Portable 4.50
evaporate cooler
Engineer CRy'state -zm 14) Vent fan connected 300
_ _ _ to a single dud
Descnbe work New O Addition Alteration O R..tpair O - 15) Ventilation system not - 4 50
to be done_ Resdemial 6 _N -(IIIisidential O inchxied in appliance permit
Additional Descnotion of wq6rk 16) Hood served by-
1medmanicW exhaust --- 450
17; DomesCc wicinerators 750
Existing use of '- --^- - 18.) Commercial or industrial 3000
building or Property�_- type incinerate
19.) Clothes dryers.etc. 450
Proposed use of 20) Other units
450
budding or property.
uildi -.
Type of h,e1-od p natural gasLPG O elednc O 21) Gas piping one to four outlets 200
I hereby achnowWge that I have read Umis applicatron,that the 22) More than 4-per outlet (each) 50
information grven is coned,that I am the owner or authorized agent of
the owner,that plans submitted are in cr^mpliance with Oregon State QTY.SUBTOTAL_ ,)
laws __ /
Signature of OvvnerlAgent Date _ 'SUBTOTAL
C' tJ - 5%SURCHARGE4 �� I All[111. L � , )I")
-
ConbdPerson Nada Phone PLAN REVIEW 25%OF SUBTOTAL
YOTAI_ A 2T)_
'dstYnechpmtdm •Minimum permit fee is 525+5%surcharge
,ev 7196
RECEIVED
MAY 2 7 1991
COMMUNITI UEVEI.UI'MEN�
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