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10455 SW RIVERWOOD LANE ADDRESS: i:\records\microfilm\targets\building.doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: --7 — / I ` ! —7 A.M. P.M. MST: _ Location: Z o L/55 7S 5 BUR. -- Tenant: Suite: Bldg: _ MEC: !�! 7-0--) 3..•? Contractor. Phone: ��^ ,�'+ PLM: _ Owner: Phone: �— �7 Jr - f_ -, ELC:_ c l inn,Cu gin(-'t J BUILDING BLDGfcon't) PLUMBING -C E" 1�CtIANlC'AL j LLBCIRICAL SITE Site Post/Beam Post/Beam —Tos _ Cover/Se ir. Scwer/Storm Footing Roof 13ndF1/Slab r ou •hr Ceiling Water Line P Slab FramingTo Out Rough-In 116 Spruill er Foundation Insulation Sewer IloodAhict Iteccr,,uxl Vault Bsmt Damp Drywall Storm Furnacc 'temp Service Misc. Masonry Ceiling Rain Thain f�_) 116 Slab Shear/Sheath Fire Spklr/Alm CrawVl-ound Ik I[Cal ILow Volt Approved Approved pproved Approved Appmveel Appr/Sdwlk Not Approval Not Approved t+�FTgrriIved Not Approved Not Ainwoved FINAL FIN,IL FINAL FINAL FINAL. O Call for r 'rshe n C1 Reinspection fee of Srequired before next inspection O I Inable to inspect t Inspector: Date:_ ✓ < �' Page_ of CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT 4: ELC97--0444 DATE ISSUED: 07/09/97 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 PARCEL: 251 14B—El 148 5l-TE ADDRESS. . . : 10455 SW RIVL-:RW00Tl DR SUBDIVISION. . . . :SWANSONS GLEN "LORI I NG:R--4. 5 P:_DCK... . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: Project Description : Installation of one branch circuit. ----------------------------------------------------------- - — -RESIDENTIAL UNIT---- ---TEMP SRVC.'FEEDERS----- ------MISCELLANEOUS----- 1000 SF OR I-ESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ ` 00SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . ` LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : t` MANE. HM/ SVC/FDR. . : 0 601+a.mps--1.000 volts. : 0 MINOR LABEL- ( 10) . . . : 41 -- --SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS—•-- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . C <<4'tl 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1. PER HOUR. . . .. . . . . . . . : 0 401 - 600 amp. . . . . . : ?t EA ADD' L BRNCH CIRC: 0 IN PLANE. . . . . . . . . . . : (3 601 - 1000 amp. . . . . . • n -----------------PLAN REVIEW SECTION-.-.--------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FUR > = 225 AMPS. . : CLASS AREA/SPEC OCC. s Owner: -- -- ___---.- -----.------.---__._. ._.____.__.--_-- __ ___________—_ FEES ------------- VELASQUE7., DAN & LYNETTE typf, amor.rnt by date recpt 10455 SW RIVERWOOD DR PRM" f 35. 00 DRA 07/09/97 97-29694`: TIGARD OR 97224 5Pr"i $ 1. 75 G:2A 07/09/97 97-296945 Pf-ione #: C0TItF'aCt0r: SHA RPE ELECTRIC INC f 3C. 75 TOTAL 2r_605 SW R I GGS -------- REOU T RED INSPECTIONS - -- BEAVERTON OR 97007 Elect' l Service Phone #: 642•-7937 Elect' 1 Final Reg #. . : 000815 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. Ttis permit will expiry if work is not started within IPA days of issuance, or if work is suspended for more than 198 days. ATTENTION; Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ac les are set forth in OAR 95 -001-8918 thr,.ugh OAR 952-861-1981. you may obtain a rnpv of these rules or direct questiolling (503 246-1987. Per-•m i t t e e S i g n a t r_r r e —__ _. ..s l u e d B I --------------------------------OWNER INSTALLATION ONLY-------------------------------- The ins":zl.lation is being made on property I own which is not intended for- sale, lease, or, r^ent. OWNER' S SIGNATURE: _ � DATE: iNV,STT_yA[L�LAST I ON SIGNArLIRE OF SUPR. ELEC' N: , '��f=�=' �cC Itn� _ DATE: _ �._... I._I CENSE_'. NO ------- ++++++4++++++++++f+++++++-h+++++++++++++++i++++++++++-1 ++t+-h+ +++.++++++++++++++++ Call 639--4175 by 6:00 p. m. for an i.rspection needed the nevi: bs.rsi.ness day +++++++++++++++++-h+4-++++++++++-F++++++-f++•+-1•++++-i-++•F+i+++++++++++++++4+++++++++++ CITY OFTIGARD Electrical Permit Application Plan Chec 13125 SW SW HALL BLVD. Recd By TIGARD OR 97223 Date Rec'd Data to P.E.- Phone (503)639-4171, x304 Gate to DST= Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit If. Fax (503) 684-7297 Calked________ _ 1. Job Address: ^� 4. Complete Fee Schedule Below: Name of Development_ Number of Inspections per permit allowed -- Name(or name of business)_ / 1 '_ Service included: Items Cost Sum Address_AQ Y S _ 4a. Residential•per unit 1000 sq.It or less $110.00 q City/State/Zip � Each additional 500 sq.it.of ❑ I ,,,///111 ponicn thereof $25.00 Commercial Residential / 1 _ Limited Energy $25 00 I Each Manut'd Home or Modular Dwelling Service or Feeder $6&01 2a. Contractor installation only: � (Attach copy of all urrent license 4b.Serviceni or Feeders Electrical Contractor, 10 r" C' I&. It I Installation,alteration,or relocation 200 amps or toss $6000 201 amps to 400 amps $80.00 2 City State Zip 4-�Uc� 401 amps to 600 amps $120(x) _ 2 Phone No, r c 601 arra;s to 1000 amps $160.00 2 Job No. Over 1U00 amps or volts $340.00 2 Elec. Cont. Lice. No. ::?V- j-), . Exp.Qate Reconnect only $5000 2 OR State CCB Reg. No. 5?) k Exp.Date —1 4c.Temporary Services or Feeders COT Business Tax or Metro Exp.Date _c Installation,alteration,or relocation 200 arnp^or less $5000 x--1 201 amps to 400 amps $7500 2 Signature of Supr. Elac'n 401 amps to 600 amps StO0.00 f' L E Over 600 amps to 1000 volts, License No. Exp.Date-_ 26 see"b"above. Phone No.--- � _ �- 4d.Branch Circuits I New,alteration or extension per panel 2b. For owner Installations: U1 rho fee for branch circuits with purchase of service or Print Owner's Namefeeder foo Address _ Each bran:h circuit $500 b)Thq fee for br-inch circuits City_ _ State Zip tj I0h,,uf Nuh•hase of Phone No. _ _ service or leader lee. -7 r First branch circuit $35,00 The installation is being made on property I own which is not Each additional branch circuit $5 OC intended for sale,lease or rent. 4e.Miscr'lsneous O\NI1er'S Signature (service w;eeder not Included) 9 _.. Each pump or irrigation circle y $4000 2 Each�;gn or outline lighting $4000 2 3. Plan Review section (if required) Signal circuits)or a limited energy' panel ®Iteration or extension $40.0 2 _ Please check appropriate Item end enter fee In section 5B. Minor lahels(10) $100,00—�- 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 0 Classified area or structure containing special occupancy Per hour $55.0 as described in N.E.C.Chapter 5 in Plant $5500 _-- *Submit 2 sets of plans with application where any of the abcve apply_ 5. Fees: r y. Not required for temporary construction services. 59.Enter Ictal of above fees S � 5%Surcharge(.05 X total fees) $ ND TICS Subtotal $ 5b.Enter 25%of line 5a for I ERMII S BECOMF VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan 9eview if reg in d(Sec.3) S NOT COMMENCE(,WITHIN 1110 DAYS.OR IF CONSTRUCTION OR WORK subtotal IS SUSPENDED 0 1 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust A,!count M _ 5 Total balance Due I\D£T,'FLC9fi APP nev 4196 CITY OF TIGARD MECHHNICAL DEVELOPMENT SERVICES PERM T T PERMIT #. . . . . . . : : MEC97-OL32 13125 SW Hall Blvd., Ujprd,OR 97223 (503)639-4171 DATE ISSUED: 07,108/97 PARCEL: 2,S1 14B-B IxoB SITE ADDRESS. . . : 10455 SW RIVERWOOD DR SUBDIVISION. . . . : SWANSONS GLEN ZONING: R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION,., ---------------- CLASS OF WORK. . :AL*T FLOOR TURN. . . . : 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 FUEL TYPES------------ 0-3 HP. . . . : I DOMES. INCIN: 0 :GAS 3-15 HP— . : 0 COMML. INCIN: 0 MAX INPUT: LA BTU 1.9-30 HP. . . . : 0 REPAIR UNITS: V FIRE DAMPERS?. . : 30-5 0 HP. . . . : 0 WOODSTOVES, . : 0 GAS PRESSURE. . . : 50-4 HP. . . . :: 0 CL.O DRYEF.S. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER mi"rs. : o FURN ( 100K BTU: 0 (­ 10000 cfm : 0 GAS OUTL_UTS. . 0 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remav,ks : Installing gas A& unit. Unit oust not encroach within 51 of side or rear yard setback. Owner,: ---------- --------------- FEEE VELASOUEZ, DAN & LYNETTE type amount by date V.@CP4, 10455 13W RIVERWOOD DR PRMT 4 25. 00 B 07/08/97 97-296885 'TIGARD OR 97224 5PCT $ 1. 25 13 07/08/97 97-P96885 Phone #: SPECIAL,ry HEATING & FABRICATIO 95E.'8 SW TIGARD ST --------------- _-------------------- t 26. 25 TOTAL TIGARD OR 97223 Phone #.. Req #. . .- 006657 REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. Thi, permit will expire if work is not started within IN days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificatiun Center. Those rules are set forth in OAR 952-0@1-*1@ through OAR 952-01-068@. You say obtain copies of these rules or direct Questions to O(W by calling (503)246-9187. IFsi.ie By: 13iqnature :. ..........V++++++++++++4.......................4-++++4......4........#. ............... Call 639-4175 by 6:00 p. m. for inspections needed the next bl-isiness day F+++++++++++++++++++++++++++++++++++++++-+-++ Plan Chec 0 CITY OF TIGARD Mechanical Permit Application Rec'dBy_ 13125 SW! HALL BLVD. Commercial and Residential Date Recd -1 TIGARD, OR 97223 Date to P E (503) 639-4171, x304 Dale to DST Print or Type Permit#caned MFC�'� -b7? 1L Incomplete or illegible applications will not be accAated _ --- — Name or Cevmooment P o ci. �u -i Description -T ��� tom," (� �-dam 1)r( PRICE AMT tX1Y�,/ Table 1A Mechanlc�)Corte Job Streal Address su fee AI Permit Fee— 0- 0. 1000 Address (v45 c `�(t? lCI1lPrrt>A. �_ Bldgs I iay'state :m 8)S pplemental Permit 300 !t t.� `�Z�� Name,or name of nusmes 1 Furnace to 100 000 BTU 500 Owner bXK-a L n.e H e- 61elt64 u + incl ducts s vents Mailing Addrels 2 I Furnace 100 000 BTU • 7 50 �bq rz ,a((� �1ye,-,j-)o6 t incl ducts S vents I state ''P Phone 3 I Floor Fumace I Ord 0� 97"24 �2�� 557 Incl vent ht a Hama of busxressl 4 I Suspended heater wall heater 8 00 LZ. or lour mounted heater Occupant I Mailing Addres! 5 I Vent not incl in 300 appliance permit cityislata 'm Phone S 1 Boiler or comp,neat Gump au cond ` 800 to 3 HP absorp unit to 100K BTU 1 Contractor Name 7) Boiler or comp.heat pump air Gond 1 1 00 (Pnorto > > 115 HP.absom unit to 500K BTU Issuance Address 8I Boder or comp neat pump air Gond 1500 applicant S'llng 1d 11 t ja rCL 15 30 HP absorb unit 5-1 and BTU must provide all 4ofstefe jzw Phone 9) Boder or comp,heat pump air cond 22» contractor I r c�Y� �� 1 71 (p„�rJ r 30 50 HP.absorp unit 1-1 75 mil BTU license Ore4ah Cam Cont Board�>c as e.o oats 10) Boiler or comp,Most pump,air cond 37 50 info,-nation C 5 11 In >50 HP;absorp ung 1.75 mil BTU for CLT COT Business Tax or M j!1 lit a E*o Data 11 ) Au handling unit to 450 database+) y - ��I r_j- 10 000 CFM �__ e� Architef;' Name 12) Air handling ung ?50 _ 10.000 CTM or Malting Address 13) Non portable 450 evaporate cooler Engineer cavesute Zip I Phone 14) Vent fan connected 300 to a single duct _ �Describe work New O Addition Q Alteration 15 Repair O 15) Ventdatior�y_tem not 4 50 i to be done Residential O( Non-resident,ai O included In apps ante permit Additional Description of work 16) Hood served by mechanical exhaust 450 17� Domestic incinerators 'S0 Exisling use of � � � 18) Commercial or ndustnaltype 30 00 building or property nunerator 19 1 Repair ur,ts 4 50 Proposed use of 201 Wondstove 450 I building or property— u 1z _ _ 211 Clothes dryer etc _ 4 50 Type of fuel-cd O natural ga LP( ; eiectr c O 22) Other units III _ 4 50 I hereby acknowledge that I have read this application,that the 23) Gas piping one!o four outlets I 290 information given is correct.that I am the owner or authorized agent of _ the owner,that plans submitted are In compliance with Oregon State 241 More than 4-per%tlet (each) 50 taws. �_�-- 1 r 1 Signature of OwnerlAgent Date OTY.SUBTOTAL -- *SUBTOTAL I L- Contact Person Name Phone 5%SURCHARGE � L PLAN REVIELV 25'6 OF SUBTOTAL TOTAL iAdsttrnecf pmt doc (rev 7 96) J 'Minimum permit fee is 325•5%surcharg C f F I � .._�..,......._..�._.. .._ _.... _... .a.� V� Y d„ \/^1 L1 1 ul �� , _. vl � �'` __ . __ O U � 1 1 I � --.._.—_d_,.._ _._ ..._ .. I d --_____ --— f __ I j