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10512 SW TUALATIN DRIVE-1 TttiAl-ATi� DK\V� -- i ADDRESS: 1 is\records\microfIt Atergets\buiiding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 7 A.M. ✓" P.M MST:BUP: --- Date Requested: --� Location: _—�C.J �'- - Q -7 Tenant:_� _. Suite: Bl MEC: Contractor: Phone: PLM: o� Ovvtter: t CY-� Phone: _. GLC:_ ELR: SIT: BUILDING BLDG(coni) PLUMBING �.L4I_ECHANICAL ELECTRICAL SITE Site Post/Beam PosUl3eam Posecam- Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Rough-in IJG Sprinkler Slab Framing Top Out Gas Linc ugh Foundation Insulation Sewer Ilood/I)uct Reconnect Vault .L� Service MISC. B�.nt Damp Imo^'alI Rain Drain A1C 8Ce UG Slab Masonry Ceilir,q Shear/Sheath Fire Sp,.:r/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Not Appr/Sdwlk Not Approved Not Approved Not A proved Not Approved FINALroved FINAL FINAL A , FINAL C3 Call for reuispect on/J C1 Reinspection fee of S required before naxt inspection 4 Unable to inspect // Date 7`Z ~� - Page -of— Inspector: CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phore: 6394171 Date Requested: 7 A.M. P.M MST: Location: BUR Tenant: Suite: Bldg: 1' EC: --� Contractor: '7Tn1 2 one: oZ 3_1— 1 i A: Owner:-- —Phone: ELC: ELR: _ BUILDING BLDG(con't) PLUMBING MECHANICAL 11tECTRICALL SITE Site Post/Beam Post/Beam Post/Bearnr/'.tervtIT. Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top out Lias Line Rough-In UG Sprinkler Foundation Insulation Sewer flood/Duct Reconnect Vault Bsml Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spkir/Alm Crawl/Found Dr 1 feat Pump Low Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved _ ved Not Approved FINAL FINAL FINAL FINAL FINAL v � y�= •`2 OFA f�F /�.A•Nom"� ------------- C3 Call for reinspection / Reinspection fix of.S uiredMfo next inspection O Unnble to inspect Inspector: /,.1–�' / Date: 7 Page of_--- CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES F'ERMI 'r #: ELC:97-0399 0 DATE ISSUED: E,/23/97 13125 SW Half Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: 2S115AD-00100 SITE ADDRESS. . . : 10512 SW TUALAT I N DR LON]:NG: R-4. 5 SUBDIVISION. . . . :WILLOWBROOK FARM ,JURISDICTION: TIG BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .3 Project Descr^iption: add 1 branch circuit - --RESIDENTIAL UNIT--- -_----TEMP SRVC/FEEDERS---_ -- - -MISrF.I_L_ANEOUS--- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----BRANCH CIRCUITS--------- ----ADD' L INSPECTIONS--___... 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 F'ER INSPECTION. . . . . : 0 201. 400 amp. . . . . . : 0 ir,t W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401. - 600 amp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 E,01 - 1.000 �+mp. . . . . : 0 .AN REVIEW SECTION----------------_ 1000+ amp/v o I.t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > E,00 VOLT NOMINAL. - Reconnect only. . . . . : 0 SVC/F-DR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : FEES FLOYD HATTON type am')r.(nt b y date recpt 10)12 SW 'rUALA'1`IN DRIVE. PRMT $ 35. 00 GEO 06/23/9; 97--29E,312 'f IGARD OR 97224 5^-CT $ 1. 75 GEO 06/23/97 97-296312 Phone #: Cont r^actor.: _._..____.___.__-------_.-____--•--_-_-__.- DELTA ELECTRIC INC $ ?,E;. '7S TOTAL 132:2 SE HAWTHORNE BLVD REG!UIRED T.NSPECr•IONS - PORTLAND OR 972:14 Elect' I 5er^vice Phone #: 2'34--4328 Ilect' 1 Final -- Reg #. . : 000019 This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Code:• and all other applicable laws. All work will be done in accordance with approved plans. This pewit will expire if work is not started within ld8 days of issuwnce, or if work is suspended for Bore than 198 days. ATTENTION: Oregon law requires you to follow the rules adapted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 801-8018 through OAR 952-881-1997. You may obtain a copy of these rules or direct questions to GUMC by calling (5y)246-1987. F'a r^m i t t e e I `>s r.i e d B y :•, -� INSTALLATION The ----------- The installation is being made on property I own which is not intended for- sale, lease, or rent . DATE: OWNER' S SIGNATURE: - _ I.NSTALL_ATION E ru.� D ATE..: �•3-�17 SIGNATURE OF SUPR. EL.EC' N: ` c ------- --" LICENSE NO" -- _`7� •5_ _ _ ...._ _._------ + +a•++•+++++-++•+++•+++++++-t^++++++++++++++++++++ f.........+•++++ +++++4+4-++++._..........4175 by 6:00 p. m. for, an inspection needed the next br.asi-less day Call E, ++++ F++++t++++++ ++ h+ +++++ -+4-+++++i+-1•+++++4-++++++++-+f++++++++++•+++++++++i+ ++++ + I� CITY OF TIGARD Electrical Permit Application Plan Check# - Recd By---- 13125 y -,13125 SW HALL BLVD. Date Recd TIGARD OR 97223 Date 10 P.E. Phone (503)639-4171, x304 Dare to DST Print or Type Permit#���9 % Inspe,tion (503) 639-4175 Incomplete or illegible will not be accepted Fax (503)684-7297 __ Calle.l__ 1. Job Address: �/'w /¢�� 4. Complete Fee Scheduk, Below: Name of Development_ 5102 Number of Inspections per permit allowed - Name(or name of business) .94 AL / Service included: Items Cost Sum Address///f �.y .S ��/��G �� .l ) r" 4a. Residential-Per unit sq.ft. _- 1000 sq.It.or less s $110.00 4 City/State/Zip 7 �' Y y - Each additional 500 sq ft.or portion thereof $25.00 t 25.00 Commercial ❑ Residential Limited Energy - Each Manutd Home or h1odular Dwelling Service or F,eller 2a. Contractor installation only: 4b.Services or Feeders (Attach copy of It curregt licenses) _ installation,alteration,or relocation Electrical Confractor� 200 amps or less $60.00 - 2 Addr SS 1 C'�- /; i:�n�"" J- _ 201 amps to 400 amps $80.00 2 _ 401 amps to 600 amps $120.00 -- 2 City r �' tate&r_-f Zip� 7L-/ /� 801 amps to 1000 amps $180.00 - 2 Phone No._ ,'��� ILL— Over 1000 amps or volts $340.00 __--_ 2 Job No.-4- Reconnect only $50.00 ___..^___ 2 Elec.Cont. Lice. No, 1 Exp.Date _ OR State CCB Reg. No. ;�. ; .Exp.Date s y 4c.Temporary Services or Feeders COT Business Tax or Won No._ to _Exp.Date /1 -L Installation,alteration,or relocation 200 amps or less $50.00 J/ 201 amps to 400 amps $'5.00 Signature of Supr. Elec'n -���- 401 amps to 600 amps $100 00 Over 600 amps to 1000 volts, License No. 7 5-1 41-j Exp.Date. `' ___ see"b"above. Phone No.-__1. Tr/ 2L 2- - 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or feeder Print Owner's Name - --- -- Eaachchbranch circuit $5.00 Address - b)The fee for branch circuits City State Zip without purchase of Phon6 No.____ seryice or feeder fee. $35.00 - I irst branch circuit The installation is being made on property I cwn which Is not Each additional branch circuit_ $5.00 intended for sale,lease or rent. 4e.Mlscellancot e (Service or leader not included) $40 00 Owner's Signature _ Each pump or Irdllation circle --- $40.00 _ Each sign or outllle lighting r Signal circult(s)or a limited energy 3. Plan Review section (if required): panel,alteration or extension $40.00 Minor Labels(10) ___ $100.00 _. Please check appropriate item and enter fee in section 513. 4f.Each additional Inspection over 4 or more residential Units it one structure Service and feeder 225 amps or more the allowable In any of file above $35.00 JMWI-* System over 600 volts nominal Per Inspection --- $55.00 - Classified area or structure 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:Not required for temporary construction services 5a.Enter total of above fees $ P y I 5%SUncharge(.05 X total fees) $ - NOTICE Subtotal 5b.Enter 25%of line So for $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review f r (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTrust Account TIME AFTER WORK IS COMMENCED. I Total balance Due 1�nSTWI C", Arll nw p'AF W MECHANICAL CITY OF TIGARD PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97--0165 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/q2/97 PARCEL: 2S115AD-001.00 SITE ADDRESS. . . : 10512 sw TUALATIN DR SUBDIVISION. . . . : WILLOWBROOK FARM ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :32 JURISDICTION: TIG CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :H2 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: ",i EATU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HF'. . . . : 0 CLO DRYERS. . : 0 1\10. OF UNITS-------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: t (= 1.0000 cfm : 0 GAS OUTLETS. : t FURN ) =100K BTU: 0 > 10000 C.-fin: 0 Remarks : instl furnance ducts, boiler/h.eatpuip/air cond,& gas outiets job#38676 Owner-: --------------------------------------------------------- FEES FLOYD HATTON type anicii.int by date V-Pcl:)t 10512 SW TUALATIN DR PRMT $ 25. 00 TAT 06/02/97 97-295348 TIGARD OR WE"24 5- PCT $ 1. 25 TAT 06/02/97 97-2953411 Phone #- 639-13E.4 Contr-actor-: SUNSET FUEL CO PO BOX 42287 PORTLAND OR 97242 Phorie #: 503-234-0611 $ 26. 25 TOTAL Reg #. . - 000023 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Me&ianical Insp applicable laws. All work will be done in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 days. [71pl-inittee Signat'�Apl By : Cal li for inspection 639-4175 City a; ;gard MECHANICAL PERMIT PlanclVRec. # __ 13125 sw Hall Blvd. APPLICATION Permit # Tigard, OR 9722.3 (503) 639-4171 _ ascription Table 3A Mechanical Code QT'( PRICE AMT /.Y Job V._7�, ���� `L .C-JCAI-A-V ♦ 'I) Permit Fee -0- 0- 10.00 :;L,9-e A 2) Supplemental Permit _ 3.00 - > ornate s 10 — 1) incl. ducts S vents 6.00 .o Ad*.4,_/ umace 100,000 BTU + Owner I 10`_•71';�L•`_X 1 Tln��c.- r. )� 2) incl.ducts 3 vents 7.50 i ,;..,a1w (� DoT'" 1 oor urnanw 3) incl. vent 6.00 — N... .. a..».. Suspended heater,wall heater 4) or floor mounted heater 6.00 —j ... ^,. ,.n' 1 incl. in Occupant. 5) hermit 3.00 w. VI heating,reng. 6) coo6 .�,absorption unit 6,00 -- .. Boiler or comp, at pump, 57 Con . 71) 7) to 3 HP absorp unit to 100K BTU i Goo ISI C oder or comp, heat pump, air Gond. 3`-4 0U U 8) 3-15 IIP absorp unit to 500K BTU11.00 Contractor �,. � p Boiler or comp, heat pump, air con 1.)LN 91 15-30 HP absorp unit 5.1 mil BTU _ 15.00 s .• Mi Mrr.- i—leror comp,heat pump,air Gond. 10) 3050 HP absorp unit 1-1.75 mil RTU 22.50 lar c� y-b� ac crnoN go at ave readis application, at a er or comp, a at pump, air�co- nc — information given Is correct,that I am the owner or authorized agent 11) >So HP absorp una 1.75 mil BTU 3L61 of the owr,nr,that planr submitted are in compliance with State Au handling unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air han7ling unit please give reason below.) 13) 10,000 CTM + 7.50 "Non portable 14) evaporate cooler 4.50 ant an connect. 15) to a single duct 3.U0 Jvendabon system not 16) included in appliance permit 4.50 ,y....a.n.. v. Hood sore Ey 17) mechanical exhaust 4.50 ascribe wcrk new addition U a teratic., raparr , r ornmercial or in sinal to be done residential(?- nori-residential Q 18) type InrAnerator 30.00 tsbng Use o .......... (J ipr' e. woodstove,water building or property 19) heater,solar,clothes dryers,etc. 4.50 Proposed use of 20) Gas piping one to lour ).jlets 2.00 building or properly _ 21) More than 4-per outlet Type of fuel -oil na;urr.l gas V LPG O electric C) - --- OTIC Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 11 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE ) IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. T TOTAL Special Conditions C Cnc C 1 Q'— ��4`'� L Date issued _ by �.,ucawt 1 6� S A 2 7- r a � a 0 .off 30 o 119 4 RECEIVED ,JUN 0 2 1997 COMMUNITY UEVELt1NMFNl