14780 SW 83RD AVENUE a
ADDRESS:
r AVFJ40E
- 1-4790
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�VTTVinn`7nadk�� Uv � l luX /Tct OF TIGARD BUILDING INS CTION DIVISION
V 24-Hour inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: _ 8 -��s / 7 A.M. - _ P.M. MST:
Location: l-_-7 3 0 3 -- — BIJP:
Tenant: Suite: Bldg: _ MEC:e
Contractor: Phone. _ PLM: _
Owner: �Y►nt,�°rL I'honc: ^ n e� _ ELC: Ip - 0
--L a L' F,I.R:_
SIT:
BUJI.DING EFLDG(con's; PLUMBING C, ECHA. ELECTR[CA SITE
Sit, Post/Beam Post/Beam POS r.un eF Nor/Storm
Foo ag Roof UndFI/Slab Rough-In Ceiling Wat r Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Il(WA)uct Reconnect Vault
Bsmt Damp Drywall Storni Furnace Temp Service MISC.
Mas 3nry Ceiling Rain Drain A/C UG Slab
Sh:;ar/Sheath I,ire Spklr/Aim Crawl/1*ound Dr I leat Pump Low Volt
Approv,•d Approved Approve roved Approved
Appr/Sdwlk Not Approved Not Approved Nn. proved ved Not Approved
FINAL FINAL <jTN FINAL FINAL,
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CA
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C7 Call for reinspection ❑ Rem3pectlon fee of s required before next inspection ❑I Ina'ile to inspect
Inspector _ Date: es-- I'ege —of—
CITY %0F TIGARD MECFIANICAL
PERMIT
DEVELOPMENT SEF VICES P,ERIYIIT #. . . . . . . : MEC97-0260
13125 SW Hall Blvd.,Tigard,OR 97223 (;.,03)639-4171 DATE ISSUED: 07/30/'�7
PIARCEL: 2S112BC-04000
q1TE ADDRESS. . . : 14780 SW 83RD
'RD AVE
SUBDIVISION. . . . : HAMBACH PARK ZONING: 13-4. 5
BLOCK. . . . . . . . . . : I OT. . . . . . . . . . . . :24 JURISDICTION: TIG
-------------------------
CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EYAP, COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 O'NT FANS. . . .- 0
OC(-,I.JI-IANCV GRP'. . R'3 VENTS W/O AF-IPIL: ID VENT SvE''.EMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPIRESSORS HOODS. . . . . . . : 0
FUEL 0--'11 11P'. . . 0 DOMES. INCIN: 0
GAS 3-15 HP,. . . . : 0 COMML. INCIN: 0
MAX N I-,U 1 0 BTU 15--30 Hr-,. . . . : 0 REPIAIR UNITS-. 0
FIRE DAMPERS% . : 30-50 HP'. . . . : 0 WOODSTOVES. , : 0
GAS PRESSURE. . . : 50.+ HF'. . : 0 CLO DPYERS. . : 0
NO. OF UNITS--------------- AIR HANDLING UNITS OTHER UNI"I*S. : 0.
FURN ? 1.00K BTU: 0 (= 10000 cfm : 1. ,AS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Install a/c air handling unit
Owner: FEES
I"AY HENDRICKS type amol.mt I-)y date r-ec.pt
14780 SW 83RD P,RMT $ 25. 00 DRA 07/24/97 97-:97516
TIGARD DR 97224 F)PCT $ 1. 25 DRA 07/24/97 97--2975I6
Plhcme #:
C0T1tV-a(_'t0t-:
JACOBS HEATING 9. A/C
1447`1 SE HOLGATE BLVD
$ 26. 25 TOTAL
r-IORTLAND OR 97202
P11--icTie #: 503-L7_2A 7331
Rey 4. 4'000114
------- REPUIRED INSP,ECTTn1,,I
This permit is issued subject to the regulations contained in the MeUI1 tlical I1.15p
Tigard Municipal Codi, State of Ore. Specialty Codes an'. all other Cooling Utit Tnsp
applicable laws. All work will be done in accordance with FiTial Inspection
approved plans. This periit will expire if wcrk is not started
within 180 days of issuance, or if work is su-pended far more
than 180 days. ATTENTION: Oregon law requires '-ou to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set fmrth in DAR 9512-001-0010 through OAR 952-001-0080. You say
obtain copies of these rules or direct questions to OUNC by calling
cc
LLI
r,e
1A 0 B y Pler-mittee Giijna -
4- +4-+++++4-++4+++++++......1-4.++++++4...........4........................
Cali 639-4175 by 6:00 p. m. for inspert imis needed the Tte>(t bi.tsiness day
++++++++++++++++f.+++++++++++++++•+++•-f-++•++++++++++++4+++4+++++++-1•++++++++-F -f-f.a--f+++
Plan Check* _
CITY OF TIGARD Mechanical Permit Application Recd By
'13125 SIN HALL BLVD. Commercial and Residential Date Recd ��c
TIGARD, OR 97223 Date to P.E.
(503) 6394171, x304 Date to DST
Permit# r91C C
Printor �l"ype • �
Incomplete or illegible applications will not be accepted called
N of Deveiopmenuprot Df!SCriptlOn
I n �l Table 1A Mechanical rode On' PRICE AMT
Job Street A d s Sudety A) Permit Fee - -0- -0- 10.00
Address
Bags cityistete Zip 1.) Furnace to 100,000 BTU 6.00
�_ including ducts&vents
Nam(or name of bu;mess) 2.) Fun•ace 1n0.000 BTU+ 7.50
Owner € 1 f/1 d /I /f••G" inOuaing duds& ents
Meiling , -• -• 3.) Floor Furnace 6.00
including vent _
City state _it, Phone 4.) Suspended heater,wall heater x.00
or floor mounted heater
Name(or home of business 5) Vent not included in appliance permit 3,00
Occupant Marling Aadnee 6.) Boiler or comp,heat pump,air Gond. 6.00
to 3 HP;absorb unit to t00K BUT" _
Cdyisi■te Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP.absorb unit to 500K BTU"
Contractor N'A1e 8) Boiler or comp,heat pump,air cond 1500
(Prior to - 15-30 HP;absorb und.5-1 mil BTU"
issuance U60ing Address 9.) 9oiler or comp,heat pump,a,r cond. 22.50
applicant '- j a //1 11 � 3l;50 HP;absorb unit 1-1 75mil BTU"
must provide all C /�we Zip 10.) Boiler of �rmn. ,t pump,air cond. 3750
contractor -'n >50 HP;absorb unit 1.75 mil BTU"
license 0 a onst.Cont.Board Lic x Up.Vete 11.) Air handling unit to 10,000 CFM 4.50 t 1 z
information /I-- J
for COT COT Bus ass r or Metro K Eap,Date 12.) Air handling un t 10,000 CFM 7.50
database). (_�'f""�
Architect Name 13) Non-portabie evaporate cooler 4 50
or Mailing Address 74-1 Vent fan connected to a single duct 3.00
EngineerCitylsiste - Zip Phono 15) Ventilation system not included in 4.50
apri',nce permit
Describe work New O Addition O AReiationb' Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O/
Additional Description of work 17.) Domestic inuneraturs 1 50
18.) Commercial or industrial type 30 00
Inur orator
Exist!ng use of ( A / ►/i / 19.) Rep ar units 4.50
building o,property l 1 t
yY 20) Wrid stove � 450
P,,00sed use of
building or property 21 ) Clothes dryer,etc 4 50
:^
i--
22) Other units 450
Type of fuel-oil O natural gas LPG--6- elecinc O 23) Gas piping one to four outlets 2.00
J I hereby acknowledge that I have read this application,that the 24) More than aper outlets(each) 50
c
information given is correct 1 am th%owner or authorized agent of
the owner,that plans su int lionm with Oregon State CITY. SUBTOTAL
i, laws
Signature of Owner/A ant 1 Date 'SUBTOTAL
5%SURCHARGE
Contact Person Nam Pho PLAN REVIEW?r'.4 OF SUBTOTAL
1 47 TOTAL
1:1dsl4nechpfr,t.doc (rev 9 'Minimum permit fee is S25+5%surcharge
"Residential A/C requires site plan showing place;nlent of unit.
Jul -29-97 G3:08P P _ O3
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CITY OF TIGARD EL_.ECTRICAL PERMIT
. DEVEL.OPIViENT SERVICES PERMIT #: ELG97--0468
13125 SW Hall Blvd., Tigard, 1R 97223 (503)639.4171 DATE ISSUED: 07/16/97
PARCEL: 2S 1 112BC-04000
SITE ADDRE:SS. . . : 14780 SW 83RD AVE_
SUDDIVISION. . . . :HWMBACH PARK ZONING: R--4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : ;+ URISDICTION: TIG
Project D,]scr^t,,zion : instl 2 branch circuits without feeders
----RESIL'ENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- ---- --MISCELLANEOUS----- --
1.000 SF OR ESS. . . , : 0 0 - 2,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L :it'�OSF. . ._ c �+ 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . . 0
LIMITED ENEI'GY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SI0NAl_/PAiUEI.. . . . . . . : 0
MANE. HM/ SlC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER------ -----BRANCH CIRCUITS----- ----ADD' c.. INSPECTIONS—-
0 - 200 amp. . . . . . : 0 W/SEQYICE OR FEEDER: 0 FUER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRYC OR FDR. : 1 PER HOUR. . . . . . . . . . . . 0
401 - 6O0 amp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 1 Ihl PLANT. . . . . . . . . . . : it
6t.' - 1.000 amp. . . . . : 0 -.-__ _._.___ -_.__---PLAN REVIEW SECTION-_---_.----_----_..
1k00+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SV(,,'c7DR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-: --_-.__-_--.____._-___.._-_-.-_ _-__--_._-_- -._--------.___-__._____ FEES ------_-__-------._.-.
KAY HENDRICKS type amount by date reept
14780 SW 83RD F'RMT $ 40. 00 TAT 07/16/97 97-2971.69
TI6ARD OR 97224 SPCT $ 2. 00 TAT 07/16/97 97-297169
Phone #:
PHOENIX ELECTRIC CC $ 00 TOTAL
7379 SW TECH CE=NTEP DR.
---- -- - REQUIRED INSPECTIONS
-----
TIGAPD ,)R 97223 Rough-in Elect' 1. Service
Phone #: 684-2-600 Undergr-ound Cove Eiect' l Fina
Reg #. . : 000522
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. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for erre than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are ;et forth in DAA 952-001-6010 through OAA 952-Ml--1387. You may obtain a copy
of these rules or direct questions to 6�' by callin; 15031246-1987.
r'pr mij;tew Si nat�.rr a :
g Issued B Y/�..:.___--__.__
----------------.-------------OWNER INSTALLATION ONLY-------------------------
ril The installation is being made on pr•oper-ty I own which is not intended fat-
-,ale, lease, at, rent.
LL; OWNER'S SIGNATURE: , DATE:
--------------------- ----CONTRACTOR INSTAI-L_ATION ONLY---------
13I CNATEJRE QF SUPR. F_LEC' N: DATE:
I-ICF_N;F NO:
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ .+++++
Call 63�-4175 by 6:00 p. m. fat- an inspection needed the next business clay
++++++++++++4+++++++++++•f++....++++++++++++++++++++++++++++++++++++++++++j +++++++
S-97 TUE 04: 31 PM PHOENIX ELECTRIC' FAX N0, 503 684 3611 P. 02/02
CITY OF TIGARD Electrical Permif Application Plan Chock r
15125 SW HALL BLVD. Hec'd By
TIGARD OR 97223 oat®Roed
Phone(503) 639-4171, x304 Date to P.E.
Inspectian (503) 639-4175 Print or Type Date to DST
Permits
Incomplete or illegible will not be accepted L- e , _ ..
Fax (503) 684-7297 p �II»d
11, Job Address; 4, Complete Fee Schedule Below:
Name of Development,_._ Number of inspections pet,permit allowed
Name(or name of bl1usiinnee,., Service included: (tams Cost SUM
�aJ J Uw
AddrRssJ aa. Resldenr(al-p or unit
City/State/zp_ 1000�q.ft,or less $110.00 _ a
Each additional 5C.)sq.I' or
�� -~ -- portion thereat $Z,5.00
Commercial ❑ Residential �_ Limited Energy -- $25.00 r
Esch Manut'd Home or Mod:llar
Dwelling Sorvx�
2a. Contractor installation only Dwe9` or Fewoe. — SM.00 z
'Attach cgpy current licenses 4b.Services or Feedum
Electncal Contract fnsrallailoh.altaraoon•or rnlootnon
Add S$ 200 amp or Ibss $60.00 2
C' Sia Z 201 amps to 400 amps 580.00 -- 2
—ZP 401 amps le 600 amps $120.00
Phone __� ---- -- z
601 amps t_,1000 amps $180.00 2
Jub N0. `- – �� _��j� Over I OW amps or votes 5
Flet.Cont. !icNo. ttllsv q' nnnaonly y2
Exp. c .
OR SOre CCE Reg. No.Ii 2
Date_ q 4c-Temporary Services or Feeders
COT Bustness Tax or Metro 1, p.Date_ installation, Itnrapon,or nNocation
200 amps or Iwsc S50.00 _ 2
Signature of Supr. Elec'n .01 sumps to 400 amps 175.00 2
101 amps to 600 amp.; 1100.00 Z
�L O" Cver 600 amps to 100p voft,
Licctnse Na. -� EXp.Date nee"b"above.
Phone No.
4d Branch Circuits
25. For owner installations: Nnw,alteration or ertens,on por panni
a)The fee for branch circuft wfth
purchase of service ar
Pnr1t Owners Name_ _ Metter fee.
Address __ Facn branch circuit $5 00 _ 2
b)-,h#4 m fop for branch c5its
City+ State LD,�. without purrhaseof
Phone MO. service or feeder hm. _
Fret branch ortud S35 00 2
the installation is being made on Pr I own which is,lot Each addQional branch circuit 3_V 55.06 �_�_ 2
intended for salt-, lease or renr_
4e.Miscellaneous
Owners Signature_` (Setiro)or fewern not inciudnd)
Each rump or Imgapon r_i;dw $40.00 __ 2
Fach SIQn or nuffine;;ghaN ` .Sd'0 00 2
3. Plan Review section (if required):' Sigra1 circuit(s)or a limited enorgyr
panel,atteralion or extension 510.00 `
ehil Please check appropriate item end enter fee in section 58. Minor labels(10) 5100.00
_ 4 or more residential units in onu structure+ 4f.Each additional Inspection ova
Service anA feelder?25 amps or mom
-j __ System over 600 volt,nominal
the allowable in any of the gtzove
Per mct>ttc-hon 53.+.00
Clasaf ed area or smiclure cortlaining%000aJ occupancy F'?r hour N 555.00
as dascnbed in N E.C.Chari 5 I to Pram 555 00
lli 1--e 'Suhmlt 2 sees of plans with Application wnwrw any of the hoove apply. S. Fees:
Not roqulred for temporary canstruction srnlcwa Sa.Entpr total Tf above fens S
I+ 5' SurthaaMe(J5 X total f"s) S
I NICE Subtotal
S
Sb.Enter 25%of line Ss for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORI7FD 1; Plan R9view it rqutraq(Sec.3) S
NOT COMMENCED WITHIN 1A0 DAYS,OR IF CONSTRUCTION OR WORK btetal S I
;S SUSPENDED OR ABANDONED FOR A PFRIOD OF IAO DAYS AT ANY
TIME AFTER WORK IS COMMENCEC. Trust Account A
'oG7f balance Due t 1