Loading...
9075 SW NORTH DAKOTA STREET 1S d1O)ida HIHON MS 5106 i cn a 0 Y a o oc = z m 3 N W Ln J r- O Cf 9075 SW NORTH DAKOTA ST CITY O� TIGARD ����� ELECTRICAL PERMIT PERMIT#: ELC2000-00270 DEVELOPMENT SERVICES DATE ISSUED: 05/24/2000 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 6394171 PARCEL: 1S135DA-04500 SITE ADDRESS: 09075 SW NORTH DAKOTA ST SUBDIVISION: PP1997-057 ZONING: R-4.5 BLOCK: LOT : 002 JURISDICTION: TIG Proiect Description: Install 1 branch circuit in single family dwelling. RESIDENTIAL UNIT _ _TEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: i 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF FIM/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 FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KERRY WILSON PORTLAND STATE ELECTRIC 9075 SW NORTH DAKOTA PO BOX 2.30933 TIGARD, OR 97223 TIGARD, OR 97281 Phone: Phone: 233-8030 ORIGINAL Reg#: L!C 96644 SUP 41259 ELE 26-854C FEES _ _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT KJP 05/24/200( $37.50 0002426 Elect'I Final 5PCT K.IP 05/24/200( $3.00 0002426 Total $40.50 This Permit is issued subject to the regulations 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 suspended for more than 180 days. ATI-ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those N rules are set forth in OAR 952-001-0010 through O 952 001-0080. u may obtain copies of these rules or irect questions to OUNC at(503) 246-1987. .j PERMITTEE'S SIGNATURE ,Q� ISSUED BY: C7 _ OWNERIN5TA CATION ONLY W� The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ _ DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N' �\ G-7�'�- DATE: � _ LICENSE NO: _�__ `� 25-5 Call 639-4175 by 7:00pm for an Inspection the next businsas day CITY OF TIGARD Electrical Permit Application Plan Check M 13125 SW HALL. BLVD. Recd By TIGARD OR 97223 Date Recd_ - Date to r'E Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit N Fax(503) 598-1960 Incomplete or illegible will not be accepted Called ?. Job Address: 4. Complete Fee Schedule Below: Name of vevelopment Number of Inspections r rmit allowed _ __._ _ ------- -- Name(or name of business)� 6 Lt-SoA/ Service included: items Cost Sum Address_ 0 7.`5r--5 ,W-_ Ago 7rr 4a. Residential-per unit �. CI /State/ZI 1000 sq ft or less $ 117 75 4 ry p - - -- Each additional 500 sq R or portion thereof f 26.75 1 Commercial ❑ Residential Limited Energy $ 60.00 _ Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit iesuance,applicants must provide contractor license 4b.Services or Feeders Information for GOT da ase). -CoInstallation,alteration,or relocation Electrical ntractor -� LSC. C 200 amps or less _ $ 64.25 2 Address 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City_ State Zip 601 amps to 1000 amps _ $ 192.50 2 Phone No. 1z Over 1000 amos or volts S 363.75 2 Job No. /0R connect only ^� $ 53.50 2 Elec.Cont. Lice.No. G.Exi to -/ 0 Q 4c.Temporary Services or Feeders OR State CCB Reg. No. ��Exp.Date -0� Installation,alteration,or relo.Ption COT Business Tax or Metro No. ,- /�O Exp.Date '1-� " 200 amps or less - S 53.50 � 2 n ,1��(1 201 amps to 100 amps $ 80.25 _ 2 Signature of SUgr. Elec'n e 401 amps to 800 amps $ 100.00 2 g - Over 600 amps to 1000 volts, License No. Z.57__'S Exp.Date /10-01-01 see"b"above. 2►. -3 -3 O 4d.Branch Circuits Phone No. New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase ofsery►re or feeder fee. Print Owner's Name Each branch circuit _ S 5.35 - Address b)The fee tot branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit _ $ 37.50 jj__ Each additional branch circuit $ 535 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale,lease or rent. (Service or feeder not induded) Each pump or irrigation circle S 42.75 _ Owner's Signature _ Each sign or outline lighting J $ 42.75 _ Signal circuit(s)or a limited energy 3. Plan Review section if required):* panel,alteration or extension _ $ 80.00 CL �rMinor Labels(10) _ $ 100.00 Please check appropriate item and enter fee In section 58. 4f.Each additional inspection over N 4 or more residential units In one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection -�_ $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant S 5900 m __Classified area or structure containing special occupancy as (� described in N E.C.Chapter 5 5. Fees: ?�y tU So.Enter total of above fees 4,�•r l.' Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) E -� Not required for temporary construction services. Subtotal 5b.Enter 25%of fine 6s for NOTICE Plan Review 0 required(Sec.3) E _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS lJ Trust Account 0 AT ANY TIME AFTER WORK IS COMMENCED Total balance Due ^� $4d^' is\dsts\forms\clectric.doc _- CITY OF TIGARD -- MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00172 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 05/08/2000 PARCEL: 1 S135DA-04500 SITE ADDRESS: 09075 SW NORTH DAKOTA ST SUBDIVISION: PP1997-057 ZONING: R-4.5 BLOCK: LOT:002 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP. CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: install 1 air conditioning unit,<3HP;absorb unit to 100K BTU. A/C units cannot be placed within the iequired setback area. Owner: _ _ _ FEES WILLSON, KERRY T + VICKIE A Type By Date Amount Receipt 9075 SW NORTH DAKOTA ST PRMT KJP 05/08/20( $50.00 0001999 TIGARD, OR 97223 5PCT KJP 05/08/20( $4.00 0001999 Phone: Total $54.00 - — - Contractor: COST PLUS HEATING 4 AIR 7132 N FESSENDEN ST PORTLAND,OR 97203 REQUIRED INSPECTIONS Cooling Unt Insp Phone:286-2009 Final Inspection Reg#:LIC 000479 a ORIGINAL co J m t;7 III rhis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of �:)re. Specialty Codas 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 obtain copi these rules or direct questions to OUNC by calling (503)246-9189. Issue By: Permittee Signature:1k 4 f tc"'4-A a�s� Call (503)639.4175 by 7:00 P.M.for Inspections needed the next business day Check 4 �- CITY OF TIGARD Mechanical Permit Application Recd Flan Chh By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. - (503) 639-4171, x304 Date to DST- Print or Type Permit s-_----—_-_ _ Incomplete or Illegible.a plications will not be accepted _ called Nemo M OevabpmenUPro)ect Description -- Table 1A Mechanical Code Price Amt Job Sireell Address SUNSA A) Permit Fee Address %C` 7.5-3A- .JC/K balms 1) Furnace to 100,000 BTU Bklo rey/sute zip - including c-icts 6 vents 9.65 - 2) Furnace 100,000 BTU+ 47t2- 3 _ including ducts d,vents 12.00 Name(or name M business) 3) Floor Furnace Owner %er"O'll LL.-t 4c,,J __including vent ^ 9.65 Mailing Address 4) Suspended heater,wall heater or floor mounted heater 0.65 5) Vent not included in appliance miit 4.75 cltylstate zip Phone Check Ail that a 'Boiler Heat Air �(o iD C 3 PPly e r 5,'h-J v, ° For Items 6-10,see or Pump Cond Qty Prix Amt Name(or name or business) footnotes 1,2 Com ~ __ 6)Repair units Occupant Mailing Address 7)<3HP;sbsorb unit to 8.40 100K BTU A 9.65_ CNylStaie Zip Phone 8)3-15 HP,absorb unit I 00k to 500k BTU 17.65 Contractor Nam ' 9)15-30 HP;absorb s, o4f, a q,;2 unit.5-1 mil BTU v 24.15 10)30-50 HP;absorb Prior to permit Mailing Address �+ unit 1-1.75 mil BTU 36.00---- issuance, 8.00 _issuance,a copy 713'L f-) i�SSrrt�Pn �11)>50HP;absorb unit>1.75 trill BTU of all licensesExp.Dale tate zip Phone are required if r�Ft.J q�au� S6-Z407 80.15 expired in COT Oregon Const.Cont.hard Lie* Exp. Air handling unit to 10,000 CFM _ _ 7.00 database _ y 7Q'7J' -/z�) 13)Air handling unit 10,000 CFM+ Architect Nam- 11.85_ 14)Non-portable evaporate cooler or Mailing Address 7.00 15)Vent.fan connected to a single duct _ 4.75 Engineer cN'tstate tip P11" 16)Ventilation system not Included in appliance permit 7700 Describe work to be done: 17)Hood served by mechanical exhaust 7.00 Now O Repair O Replace with like kind Yes O No n 18)Domestic Incinerators Residential O Commercial O Modification 0 $`ii-ICAC 1(71 12.00 ��_ �_ 19)Commercial or industrial type incinerator Additional Information or description of work. 48.25 Add R I/L- "(('N P 20) Other units,including wood stoves a _-- 7.00 NOTE: For Commercial projects only;Units over 400 lbs,located on the 21)Gas piping one to four outlets r roof,require structural calcs.prepared by licensed engineer. 3.75 N Type of fuel: oil O natural ga$M LPG O electric O 22)More than 4-per outlet(each) .75 1 hereby acknowledge that I have read this application,that the information Minimum Permit Fee$50.00 SUBTOTAL -f given is correct,that I am the owner or authorized agent of 8%SURCHARGE m the owner,that lens submitted are In compliance with O PLAN REVIEW 25%OF SUBTOTAL pOregon State laws Required for ALL commercial permits only Sig ture of r/Agent 00% TOTALU L { 1 P..r�_ Af-'T 17A t' Other Inspectinns and Fees Contact Person Name Phone f 1. Inspections outside kA normal business hours(minlnx,m charge-two hairs) $50 00 per hour .0 ? Inspections for which no fee Is spxMcally IndicatM (rninirnum charge-hate Ixrn) $50.Foonotes for commercial pnigwts only: Additional o al Ola r 1. Provide full schernAtic of exists and s Addlr e-o plan hole)required per hour s,additions or mvlskxes to plans(minimum n9 proposed gas line and pressure. charge-one-half hour)$SO.00 per haK 2. Provide drawings to scale showing existiny and proposed mechanical *State Contractor Boller Cstlilks6on rsgtrltsd units. ~Residential A/C regtdM Nle plan sllosih fosnient of unit 1:lrnechperm.doc rev 11/1/99 �+ M tel/ v r� G � - : Q n ^1 f 1 _J _m �j v� - - 'C CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lino: 639-4175 Business Line: 539-4171 - BUP Date Requested Q0 AM PM _ BLD _ Location �� �( Suite _ MEC Contact Person Ph PLM _ Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: - --- Slab SIT Post&Beam — Ext Sheath/Shear _. Int Sheath/Shear Framing Insulation Drywall Nailing Firewall /� Fire Sprinkler -�Az� Q — Fire Alarm Susp'd Ceiling -- — — ---------- Roof Misc: - Final PASS PART FAIL.- PLUMBING AILPLUMBING Post 6 Beam ------------- ---. -_—.�_- -. -- Under Slab Top Out .--- -- --- —.— _ .— Water Service Sanitary Sewer _.—__—___._-- _ — ------------.--- ------ — Rain Drains Final PASS PART FAIL -----,------.� --— --- _.__. _--- MECHANICAL Post 6 Beam ----------- Rough In Gas Line Smoke Dampers Final -- _ — — - -- -- --- — — PASS PART FAIL IL EL LT.TRIC � ---- -------- - ---- - - -.r pX TeWry j rre N Rough In U) UG/Slab Low Voltage J Fire Alarm ----- ------- -- ---- - m Fin 5 S ART FAIL W _J Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _-- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ _ [ J Unable to inspect no access ADA Approach/Sidewalk Date Inspector Ext Other _ -- Final PASS PART FAIL D /NOT 14EMOVE this inspection record from the Job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-41TS Business Line: 639.4171 BUP Date Requested5 � OD AM PM BLD Location a�� � � Suite MEC ;)4 Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall M ELR Footing Access: Foundation FPS Ftg Drain ,SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam r Ext Sheath/Shear Int Sheath/Shear -- Framing ---- - - ----__ - -_- Insulation Drywall Nailing Firewall 7,, ' • J�'' Fire Sprinkler -�• -..- Fire Alarm Susp'd Ceiling - ---.-_� Roof Final -� PASS PART FAIL ------_------_-_ _ PLUMBING -- -------- -- —�._�—. — ----- Post& Beam Under Slab Top Out -- Water Service --- ---------------- --------------- Sanitary Sewer Pain Drains Final _--_----- `.-- - -- ---------.-_A-.-___ PA PART FAIL - ECHAN Rough In Gas Line --- - ------------ ------ - -- Smoke Dampers Final - PASS PART FAIL ELECTRICAL ------------------------ -------------- ----- d Service Rough In - UG/Slab ------------ ----- -------------- - ---- -- - -- Low Voltage ------- ---------__- _ ----- ----- - t=ire Alarm J Fi to A ART FAIL -__----__..--.------_ ._- _ --- -_--- tiTir JBackfill/Grading -- --- --_"--- -- - ---J_ -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _-__--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for rQinspection RF _ [ ]Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Other Gate Inspector - Ext Final PASS PART FAIL O NOT-14EMOVE this inspection record from the job site. z0 -�- 1 �A1 _ - • �. MPt N FL0 F- ---�- m e rn 1 , ej CL L� — S w its LE i v-c, 2T PYA 09 APPROVED FCh 'STRUCTICN PE'7?IIT sJgt-aosl - =ES3 9os,S" Sw1�•,�, Z l �� �� s-�, BY RT— av„q —CA,rE "'ybr CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 639-4171 Date Requested: �',/�J �7— A.M. — P.M. �s -� MST: � / I,ocation: / BUR Tenant: _ i Suite. Bldg: _ — MEC: Contractor: - Phone -- -- -- PLM' Owncr: -- Pbone. ---- EW: ELR: srr: BUILDING BIDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Bcam Post/Besm Post/Beam Cover/Service Sewer torm Footing Roof UndFVSlab Rough-In Ceiling ffffler Lim Slab Framing T [l�C Out Gas Line Rough-In t er Foundation Insulation flood/Duct Reconnect Vault Bsmt Damp Drywall Furnace Temp Service MISC. Masonry Ceiling am sin A/C UG Slab /� Shear/Sheath Fire Spklr/Alm uid Dr Fleat[lump Low Volt .14)R Approvedved Approved Approved Approved Appr/Sdwlk Not Approved c Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL ,Lek9 .<PdAIJ-t- — —--- ---- y 7`1/r Z-V fiY&S 09 7- A'lk_ _3/Ze-gr7- o.4r/3! S� ' N T 2-71 w a D Call for reO Reinspection fee of S required before next inspection O sp Unable to inect Inspector:_ __ Date'- _��� PW of 7 r✓ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Bub:xss Phone: 639-4171 Date Requested: _ c/,-,o '�•' A.M. P.M.__ MST: Jwation: dVN� _�— BUP:_ Tenant:_ _ Suite: Bldg: _ MEC:— — Contractor: CU &� a2-0 _Phone: 5 1,60_"_ 30 SV PLM: — (hvner (J/ A^ PPhho�ne ELC: —3�L— _ i ELR: -----—— _ _ SIT: _ BUILDING BLDG(con'() PLUMBING MECHANICAL LECTRICAL sin Site Post/Beam Post/Beam Pod/Beam Sewer/Storm Footing Roof UndFVSlab Rough-In Ceiling Water Line Slab Framing Top Out Onix Line Rough-In UO Sprinkler Foundation Insulation Sewer 1{ood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service misc. Masonry Ceiling Rain Thain A/C iJG Slab A�F /�AA� Shear/Sheath Fire Spklr/Alrn Crawl/Found lh I lest Pump Low Volt �./ "'6 Approved Approved Approved A � Approved Appr/Sdwlk Not Approved Not Approved Not Approved Roo-K-ppproved Not Approved FINAL FINAL FINAL FINAL FINAL IL N t d>D W .,J C3 Call for reinspection O einspection fee of S _required before next inspection ❑linable to inspect Inspector: _-- -- Date:-- 9�__-- Page— __ of f CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUIP / C/ 9 S/ (7 Date Requested1-2^ ` 0 AM _ _PM BLD LocationMEC Contact Person PhiV41.,l PLM — — Contractor_— Z �� �y b v L— _ Ph — N���c SWR BUILDING -:;+481[Yew t — Retaining Wall ELIR _ Footing Access: -- Foundation FP's Ftg Drain ------- 3GN _ Crawl Drain Inspe(lion Notes: -- Slab _ _ — __— SIT Past&Bearn Ext Sheath/Shear Int Sheath/Shear Framing _ _ Insulation — Drywall Nailing __- Firewall Fire Sprinkler --_---__— —� Fire Alarm Susp'd Ceiling —_ Roof Misc: — Final PASS PART FAIL — PLUMBING Post&Beam Under ---- Under Slab _ Top Out — — Water Service Sanitary Sewer - Rain Drains Final PASS PART FAIL _ MECHANICAL Post&Beam Rough ---- ---- — Rough In Gas Line — --- --- Smoke Dampers Final --- -- P ART FAIL -- IL Service --- -- -- - - — ---- --------_ Rough In f' UG/Slab N Low Voltage - — — M , ASS PART FAIL 0 Backfill/Grading - ----- -- ----- -- --___.._ Sanitary Sewer Storm Drain [ ]Reinspection fee of$ __—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection P,c: [ )Unable to inspect -no access ADA s Approach/Sidewalk Date t/ �.•Z ' 9 Inspector Ext Other — Final PASS PART FAIL DO NOT REMOVE this inspection Record from the job site.