10980 SW 83RD AVENUE 44
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CITY OF TIGARD BUILDIN INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service
Foundation Water Line Ceilii;g -Plumb.
Post/Beam Mech. Shear/Sheath FramingC-tl
.
Plbg.Und/Flr/Slab Plbg, To Insulation t.
Post/Beam Struct, ech. Rough-in Gyp Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Date: — _ A.M. ry: 4_
Address: , 1) 9 k U
Tenant &— ^^ Ste:_ MST:
,Q �L2t � BLIP:Con/Ow`%�GE�G�. MEC:
PLM:
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
z 04 ;/,
Inspector:
__APPROVED _DISAPPROVED/CALL FOF1 REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Pibg.Top Out Insulation �E_I c�
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _ z
Date: _*2*' 26 A.M. -PV- Entry:
Address:
Tenant: Ste: MST:
BUP:
Con/Own: Z - � 5 MEC:_
PLM:
ZL ELC:
THE LOWING CORRECTIONS ARE REQUIRED: ELR: —
OK
J
r� -- ---- - �._
LO
J
Inspector: __. Date:
APPROVED _DISAPPROVED/CALL FOR REINSP. CF) CO
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
ik 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #: El_.C96--0733
Dr ATE ISSUED: 11/15/96
i'ARCS L: 1 S 1 ,GCN—O:�3O4i
SITE ADDRESS. . . 1.0980 SW a3RD AVE
SUBDIVISIOIu. . . . : STEVE 8: HUGHIE' S PLACE ZONING:R--4. `.;
BL_OL:: . . . . . . . . . . . LOT. . . . . . . . . . . . . ..215
Project Description : Hoak—i_rp thermostat
RES I DENT I AL IJN I T-.__— -_.-T1 hIF' SRVF�/FEEDERS.--_..__._. MISCELLANEOUS-.------
1000 SF OR I._ESFi. . . . : 0 0 - 200 amp. . . . . . . : 0 F'Ufrlf='/I RRIGATION. . „ . ; 0
EACH ADD' L 5O0SF. . . : 0 2,01 400 am p. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . ; 1 401 - 6O0 amp„ . . . . . . : 0 SIGNAL/F='ANEL. . . . . . . . 0
MANE, HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 1O) . . . : 0
._.._.. .._LARANCH CIRCUITS--_._--- - - ADD' I_ INSPECTION S-.
0 — 200 amp. . . . . . : Zr W/SERVICE... OR FENDER: 0 PIER INSPECTION. . . . . : 0
2- 1 - 400 anq.). . . . . . . 0 1st W/0 SRVC OR FDR. . ID IDER HOUR. . „ . „ . . . . . . : 0
401 — 600 z+mp. . . . . . .. 0 EA ADL' I_- BRNCH CIRC: 0 IN Pl_ANT. . . . . . . . . . . 0
amp. . . . . . 0 -._ REVIEW SECTION
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : i 800 VOLT NOMINAL. . ;
Rec--annect onl.y. . . . . .. 0 SVC/FDR > 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-: ___._.___---__.._..._______.__._.___.---____.___.____.__ ____._._.____-- FEES
BRENDA WILSON type amor_rnt 1.7y (Jai-,e r^ecpt
10980 SW 83RD "JRMT $ 215. 00 DST 11/1,5/96 9E—::86604
5F'CT $ 1. 25 DST L1/15/96- 9C--2866014
TIGARD OF 97223
Phone #:
Contr^actur;
OWNER $ 26. C-5 TOTAL.
-------- RE'OU I RED I NSF'ECT I ONS --- -
Wal l Cover Elect' I F71nal
PIIUne� it: Elect' 1 Service
R eI y -
1 � ll
Thi sre to the sub subject is issued
permit ulatians contained in the
P J g .���____
Tigard Municipal Code, State of Ore. Specialty Codes and all other F-'ermittoe Siynat .rre
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started I
within 180 days of issuance, or if work is suspended for more
than 188 days. Issi-red
INSTALLATION OPdI._
The installation is being made on property I own whir_h is not intended for
; . 'ial.e, lease, or rent.
9L-JN*1-R' S SIGNATURE: _ DATE:
INSTALLA-1 ION
710NATURE OF SUF'R. ELEC' N: _ DATE:
I._I CF=NSL NO: Y
Call for inspection -- 639-4175
CI1Y 17r 1If�Ak>� - RL-,CF.W*T UF POYMF.N"i RE CF-.II'"i NO. �96 --.'f1E60,,
CHECK AMOUNT
NAML•"•. WII._5C1N, ARFND11 CASH AMUUNT 1 0. 00
ADDRESS t 10980 SW 03RD WAYML N'► DA1 tr' ¢ 1 , ,'""5/96
SUkxDIVISIUN c
11AAP09 oR
"I. PPOSE" UF• PAYME I AMCIUIJT PAID PUR (IbL OF 1 1YM!•Nd AMUIIN'l PAID
F'(:°TFZIC1aL F'E.F�h12l r�'_,. (�1(A ► . FAlIII U PLR
F=I_C96—0'7;3,3
TOTAL. AMUUNI PAID _ _> 26. c!Vl
CITY OF TIGARD Electrical Permit Application Plan Check;;
13125 SW HALL BLVD. Recd By
Date Rec'd j111C/?&
TIGARD OR 9722:1 - 1, ,
Phone (503) 639-4171, x304 Date to P.E.
Inspection (50;3) 639-4175 Print Or Type DST
Permit
Fay (503) 684-7297 Incomplete or illegible wily not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Narne(or name of business) A �_ Service included: Items Cost Sum
Address_ 0S 3.t 4a. Residential-per unit
CI /State/ZI _ 1000 sq.It.or less $110.00 4
tY p I t (k•1 «, 3 Each additional 500 sq.ft.or
portion 25.00 Commercial ❑ Residential Limited Eneergy f $25.00 •o� 1
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 _
2a. Contractor installation only:
(Attach copy of all current licenses) 45.Services or Feeders
Electrical Contractor nstallation,alteration,or relocation
200 amps or less $60.00 2
Address 201, emir:to 400 amps $80.00 2
City State Zip 401 amps to bu0 amps $120.00 2
Phone No. _ 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2_
OR State CCB Reg. No. _ _Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No. _ Exp.Date Installation,alteration,or relocation
200 amps or less $50.00
Signature of Supr. Elec'n 201 amps to 400 amps $75.00
401 amps to 600 amps $100.00 __ 2
Over 600 amps to 1000 volts,
License No.-� _Exp.Date see"b"above.
Phone No.---- -- ----- 4d.Branch Circuits
New,allerarion or extension per panel
2h. For owner installations: a) The fee for branch circuits with
purchase of service or
Print OwnerNae 1�R`ttj �� 1 S o ri feeder fee.
Address 0 q 1,so 0 3-1cyEach branch circuit � $5.00
City- I rN R Stata 0(2 Zip 7 7 3 b)T is fee for branch circuits
without purchase of
Phone No. 3 9- 6 S-A C) service or feeder fee.
First Drench circuit $35.00
The instailation Is bean made on property I own which is not Each additional branch circuit_ $5.00
intended for sale, lea a r rent. 11 4e.Miscellaneous
I Service or feeder not included)
Owner's Signature h 1 { Each pump or irrigation circle - $40.00 -
Each sign or outllne lighting _- $40.00
3. Men Review section (if required):* Signal clrcult(s)or a limited energy
panel,alteration or extension $40.00
Minor Labels(10) $100.00
f Please check appropriate item and enter fee in section 51131. -
4 or more resioontial units In one structure 4f.Each additlonal 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 above apply 5. Fees:
Not required for tempurary construction services. 5e.Enter total of above fees $ -
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 25%of line tie for
P_RMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It reuuir (Sec.3) $
NOT COMMENCED�''rTHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $IS SUSPENDED OR�-- 4NDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK COMMENCED. ❑ Trust Account#
i"otal balance Due
a
�,u�rs�rr roe nrr n��nos
CITY O F T I G A R ® MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 Sir'Hall Blvd, Tigard,OR 97223 (503)639-4171 PERMIT #. . , . . . . : MEC96-0392'
9 DOTE ISSUED: 11/12:'/136
PARCEL: IS136CB-05`00
SITE ADDRESS. . . : 1098CI SW 83RD AVE
SUBDIVISION. . . . : STEVE & HUGHIE' S PLACE ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :25
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVOP COOI, ERS: 0
-, YPE OF USE. . . . SP UNIT HEATERS. . : 0 VENT FANS. . . . 0
OCCUPANCY rRP. . R3 VENTS W/O CIPPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . 0 BOILERS/L;OMi ,RESSORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0-31 HF'. . . . : 0 DOMES. IN(--'IN. 0
: /GAS/ 3-15 HP. . . . : 0 COMIY,--. INCIN-, 0
MAX INPUT: IZI BTU 15 30 HP : 0 REPAIR UNI FS: 0
'-IRE DAMPERS?. . : 30-50 HP 0 WOOD STOVES. . : 0
19AS PRESSURE. . . : 50+ HID. . .. 0 CLO DRYERS— : 0
N5. OF UNITS-------------- AIR HANDLING UNITS OTHER UNITS. . 0
F�jRt\l < 100K BTU- I 10000 ciao : 0 GA's ouTI-FTS. : I
FURN ) =100K BTU: 0 10000 cfm: 0
Remarks : Replace furnace
OwTlet-: FEES
bRL-.'NDA WTI-SON type aMOIAnt by date r-eclot
1,01380 SW 83RD PIRMT $ 2:5. 00 DST :11/12/96 9G,-286362
`_ipcl_ $ 1. 25 DST 11/121/96 96-286,,62
TIGARD OR 9722,33
Phone #-
CrJ11tV-aUt0t-:
ORROW MECHANICAL
10-30 93W TUALATIN RD
TUALATIN OR 97062
Phone #: $ 26. 25 TOTAI..
Reg #. . : 005193
REOUTRED INSPECTIONS
This permit is issued subject to the regulations contained in the Wcmdstave Itisp
Tigard Municipal Code, 1-ate of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance wit!,
approved plans. This permit will expire if mark is not started
within 180 days of issuance, or if work is suspended for more
than IN days.
Lf
Pet-mi.ttee Sigy1atitt-e :
Issued By:
61 Call for inspection 639-4175
f.;I I V 1)17 1 IGARD E+I CI YI'.,T ill I•'f1Y'llf-NI kE.L;F II'1 N1.1. s96- j.,A63E.
r�HI:-:CK OMIJUN I'
NAME s 14RRUW MCCHOWP.-HL C!-+'"Ii 141,11.11.INT
ADD RL S1~ s 10330 bW I UALRI IN RD I'NYMLN 1 DA I L t I 1 % 1 t'%'A,
,�MLILTVISION s
fU>a1-i1'1 IN, fIR 97062--
V'L1Rf'L,g1-. OF I-'AYM011 ill'�u tLlN l I'N I I? I'llk6-'U!iE CiI I'i1YM�hl l AMULINI I'A 11)
MF( I IAN I':AL PE; '..,. 00 9 FO I L rw I kt,
1
M�:I:y6--4►39?
129SO bw 8M41
TOTAL AMOUNT PAID eb
r'
Plan Check 0
CITY OF TIGARD Mechanical Permit Application Rere'd By
13125 SY: HALL BLVD. Commercial and Residential Date Rec �/ 1
TIGARD. OR 97223 Date to P E.
(503) 639-4171, X304 Date to DST
Print or Type Permit As_./),f 02'2773P Z
Incomplete or illegible applications will not be accepted called_
Tzble 1A Mechanical Code aTY PRICE AMT
Job
Address
jQ S. u/ saga A) Permit Fee -Q- Q 1Q.00
e ss
9bp� tate LP B) Supplemental Permit
3.00
rrrr»( nnegal0uyirul `v 1.) Furnace to;00,000 BTL 600
Owner �y7Cl/� vid.ducts&vents
µaiwgAuarus 2.)Furnace 100,000 BTU« 7.50
i.icl.ducts R vents
ceyr5wa Lp Pha+s 3.) Flax Furnace 6.00
ind.vent
nun,a la ran.a a+ana.>il 4.) Suspended heater,wap heater 6.00
/I
--
_ or floor mounted heater
Occupant Many^ 5.) Vent not r+d.n
3.00
appliance permit _
crosiaa Do Phone 6.) Baler or comp.heat pump.air Gond. 6.00
to 3 HP;absorp ung to 1 OOK BTU
7.) Boder or camp.heat pump,aur coral. 11.00
COntt..'tOf !� � D 9.) 3-15 HP absorp unit to 500K BTU
T'A' /C 7 w I�i , Baler or camp.Iwat pump.as care;:
15.00
15-30 HP;absorp unit.5-1 n d BTU
of
9.) Bader or comp,heat pump w Gond. 2250
Current �` _ ( /SZ S 3;150 HP-,absorp ung i-i.75 nul BTU
oyer n Const Gera Yeeiu uca Exp.Oaa 10.) Boder or comp,neat Pump.air wild. 3750
Q�Llq.� >50 HP;absorp unit 1 75 and BTU
co,"Tgq►)Y 0 E.p.0" 11.) Ar handgng ung t0 --- 450
[C `` 1/r/Uu i 10.000 CFM
Architect N'"'a '.) Ar handing ung 7.50
10,000 CTM
or We"AdMaaa 13.) Non portable - -
4.50
evaporate cooler
Engineer coyisum zo ar,onn 14) Veru fan connected 3.00
_ to a suVle duct
Desc-bee work \A/ddiWn O A terabort O Repan 15) Veruetation system not 450
rdenti
to oe done Res aJ)�7 Non-residential O induced in appliance pert
Additional Descripwri of 16) Hood served by
ne,dlanicad exhaust 4.50
17) Doan-stfc rndnerators 7.50
Existmg use ��'�I �f C 18.) Commemnl or inlu t ial 30.00
bk ildng ar Proper" type inch orator
19.) Clothes dryers,etc. 4.50
1 Proposed use ofC, £ 20) Other
buildingunits -- '- - ^- T--i-50-
or property
Type of fuel- oil O natural gas LPG O elec r O 21) Gas pim. q one to four outlets I 200 `
1 hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) 50
information given is correct that I am the owner or authorized agent of
owner.the that plan submitted are in c9n)plom with Oregon taty, QTY.SUBTOTAL
Signature of Apnt Date - -- -� 'SUBTOTAL
5%SURCHARGE
Contact Person Name Phore FLAN REVIEW 25%OF SUBTOTAL
TOTAL
is Rev
7?7N6 ecripmLdoc -Minimum Permit fee n S25+5°r".surcharge
Rev