11305 SW 94TH AVENUE e
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394 Business Phone: 6394171
Date Requested: A.M (/ P.M. _ MS'C:
Location: �� �� —__ — BUP: —
Tenant:_ Suite: ^^Bldg: _ MEC '"
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Contractor: � Phone: C '_� PLM: (_-7
Owner: Phone: —_ EL C: % /-0Z 1(
—�— —,_ -- ELR:
SIT: _
BUILDING BLDG(con't) PLUMBING MECHANICAL ' LECT_R_IC�AL SITE —
Site Post/Beam Post/Beam Post/Beam ove�e Sewer/Storm
Footing Roof Undl'1/Siab Rough-In Ceiling Water Line
Slab Franung Top Out Gas Linc Rough-In UG Sprinkler
Foundation Insulation Sewer Iiood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire SpklrrAlm Crawl/Found Dr -1-ICALLU-m p I,ow Volt
Approved Approval t Appro_vedl Approved Approved
Appr/Sdwik Not Approved Not Approval `IJb ed N roved Not Approved
FINAL FINAL AL FINAL
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0 Call for reinspection C]Reinspection fee of S required before next inspection 1711 Inable to inspect
Inspector:�i�,�`�7-W -:r r � — Date:���1�� Pee
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CITY OF TIGARD El..ECTRICAL- PERMIT
DEVELOPMENT SERVICES PFRMIT #: ELC97-05�710
DOTE ISSUED: 08/04/97
13125 SW Hall 610.,Tigard,OR 97223 (503)6394171
PARCEL..: IS1350B 07000
SITE ADDRESS. . . : 11305 SW 04TH AVE
GIUST.)I V T S I ON. . . . :0' NE L.. ACRES ZONING; R- 4. v
BLOCK. . . . . . . . . : LUT. . . . . . . . . . . : 110 JURISDICTION,-, TIG
Pli-oJect Cetzai-ipt:ion : Add one (1) frist branch circuit.
UNIT--.--,--- - -- TEMP SRVC/FEE.DER'"3 -
10100 SF OFZ LESS. . . . 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGnTION. . . . : 0
EACH ADD' I... 5009F,, . . 0 ;201. 400 amp. „ . . . . . : 0 SIGN/OUT I...T.NE I-TO. . : 0
L.IMITED ENERGY. . . . . . 0 401 600 amp. . . . . . . : 0 SIGNAL,/PnNEL. . . . . . . . =7'
MAN!`. HM/ SVC/FDR. . - 0 J-
0 lyl I NCR [..A DEL.. ( 10>
-----SERVICE/F*EEDER----- ----.-BRANCH CIRCUITS---_._----- L INSPECTIONS--
0 _.
NSPECTIONS—0 _ "'00 amp. . . . . . . 0 I4/0ERVTCI7" OR rr-ur-R. o PER INSPECTION. . . . . .
101 'too
I- AAP. . . . . . : 0 15t W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : .
/401 1 G 0 0 �7,m P. . . . . . : 0 EA ADD' I B11114CH CIRC: 0 IN PL.AN'r. . . . . . . . . . . o
601 1000 amp. . . . . : 0 REVIEW SECT
1000+ afilp/V a 1.t. . . . . 0 1 =4 RES ;!NITS. . . 600 VOLT NOIYIINAI-.
Recc)nnect only. . . . . : 0 SVC/FDR > = 2.2'.3 AMPS. . : ,IREP/SPEC OCC.
Ownei- : r-CES
JODY STEED by date
J type 'Amal.tnt r-e(:pt
11303 SW 94TI-I PRh`IT $ Z!575. 00 GEE 0q/04/97 97- x:97931'
TIGARD OR 97223 5PCI $ 1. 75 GEO 08/04/97 97--297930
thione #-. I
colitt-actor-:
WESTS31DE ELECTRTC 3G.. 75 TOTAI_
7,!518 SW MnCPI)nM AVE
RU.OUTRED INsr-,Eurims ----
PORTL.AND OR 9721n R a s_t g h--i n Elect' 1 Ser-vict
Plione It: i-245-3385 Under-wt-tij.ind Cove Elect' I Final
Reg #. . . 000J3_-1
'his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and All other
applicable laws. All worn will be tone in accordance with approved plans. This persit will expire if work is not started within 180
days of issuance, or if work is suspended for tore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Orpiop Utility Notification Center, Those rules are iet forth in OAR 952-41-0018 through OAR 152-00I-1917, You may obtain a copy
of these rules or direct questions to OUIC by calling 31246-1987.
ot,mittpe siyllatl.tt-p : ' Sslled Sy
~ OWNER TNE3TnLLATION ONLY------------
rv, I instcllotiari is, being made (in pt- ,perty I (it-in t-ihic.1-i is not; ititonded fai
.)WNERl S SNATURE-. Df)Tr.
(7)NTRPCTrR INSTF1_!_nTTON UNII.Y
STGt4ATURF 07 SUPP. EI__Er' N: DATE 7
1. ICUNSIF NO.
+4.}.+..{.++.+++.t t +4 4-4+4-1 4-+++1-4,4-+4-4,++f-+++-t..`4 4+-', 4++4-++4+4+-h+++++4A +44, f-++.+4+44-+ ++++ 1-4-1-4.
Call .-,"n-4175 by F,;00 p. m. 'roi- an in= i (iT) Tieeded ttle next business day
I ; t f- I 1 I , 1 4 ; f ' 1 4 4 f ,4 i 1 { -1- ++4 f 4 k 1 I
CITY OF 7IGARD Electrical Permit Application Plan Check 4
13125 SW HALL BLVD.. Recd By
Date Recd_ _
TIGARD OR 97223 Date to P.E. _
Phone (503) 639-4171, x304 _
Print or Tyne Date to DST
Inspection (503) 639-4175 Permit 4,FG���?13
Fax (503) 684-7297 Incomplete or illegible will not be accepted called_ _
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowu(i
Name(or name of business)_.)o L/I,1°//'UL`/ Service included: Items Cost Sum
Address V _ 4a. Residential-per unit
7 1000 sq.ft.or less $110.00 4
City/State/Zip / _ _ Each additional 500 sq.ft.or --
Commercial ❑ Residential E portion l $25.00 1
Limited Energy
� $25.00
Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00 p
(Attach copy of all current Ice Bea) /� 4b.Services or Feeders
Electrical Contractor �' / /C Installation,altaratlon,or relocation
200 amps or less $60.00 _ 2
Addres ' re- ,&.0 201 amps to 400 amps $80.00 2
City_ nil State CW Zip !f 7-21 T _ 401 amps to 600 amps - $120.00 2
Phone No. /Q)- �,A 601 amps to 1000 amps J $180.00 2
Over 1000 amps or volts _ $340.00 2
Job No.-?Z - = - Reconnect only _ $50.00 - 2
Elec.Cont. Lice. No. i G / Exp.Date1 --
ON State CCB Reg. No. ,Exp.nate 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 Su r. Elec'n ( nT - 201 amps to 400 amps $75.00
9 P 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts,
License Nr Exp.Dale_ see"b"above.
Phone N, SS'A - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name_-_____ _ feeder fee.
Address _ Each branch circuit $5.00
State Zip b)The fee for branch circuits
Cit
y _ p _ without purchase of (
Phone No. __ service or feeder fee.
First branch circuit -Z $35.00 2
The installation is being made on property I own which is not Each additional branch circuit_ $5.00 _
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included) l
Owner's Sia_nature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
a 3. Plan Review section (if required):* signal circult(s)or a limited energy
panel,alteration or extension $40.00
rti Minor Labels(10) _ $100.00 _-
N Please check appropriate item and enter fee In section 5B.
4 or more residential units In one structure 4f.Each additional Inspection over
j� Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection 35.00
J -- $55.00 _
Classified area or structure containing special occupancy Per hour
as described in N.E.C.Chapter 5 In Plant - $55.00 _
C)
11, 7
Submit 2 sets of plans with application where any of the above apply Jam. Fees: S
Not required for temporary construction services. 5s.Enter total of above fees $
5%Surcharge(.%X total fees) $
NOTICE Subtotal $ --
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reyiew If required(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Su / $ ��-
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYID �7!
TIME AFTER WORK IS COMMENCED. Trust Account# _
rotal balance Due $
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RECEIVED
AUG U 4 1997
COMMUNITY UEVELOPMENI
M E
CITY O F TIGARD PERM I TA L.-
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97--1-,A;7'7`
4/1 a 0
2=00% 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DOTE" ISSUED: 7/31 /97
• PARCEL: 1S135DB--0701210
TTF ADDRESS. . . : 11305 SW 94TH AVE.
JBI)TVISION. . . . . OINEEL ACRES ZONING:
LILUCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . : 10 JURISDICTION: TIG
CLASS Or WORK. . :OTR FLOOR FURN. . . . . 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF U14TT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY CRP. .. : R3 Vr7NTS W/O APFII—: Q VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOTILERS/COMPRESSORE HOODS. . . . . . . : 0
FUEL_ 0----3 HP. . . . I DOMES. INCIN. 0
• 3-15 HP. . . . 0 COMMI— INCTN: 0
MAX TNOUT: 0 BTU 1.5--.i3O 1 ir-I. . . . 0 REPAIR UNITS: 0
FT RE DAMPERS?. . : 30-50 HP. . . 0 WOODSTOVES. . : 0
GAS r-,R- ESSURr,77. . . 50+ HP. . . . . 0 CL.O DRYERS. . . 0
NO. OF UNITS------------- AIR HANDLING UN I TS OTHER UNITS. - 0
FURN ( i 00 BTU: o 11.017100 0 GAS) OUTLETS. " 0
FURN ) =100K BTU: 0 10000 cfm : V)
Re m iav- (s : Add air conditioner, Air condition units cannot be placed inside
required setbacks.
Owiiet-: FEES
JUDY S T E,r D type amol.int by date r,ecpt
11305 SW 94TH PRMT 25. 00 CEO 07/31/97 97-297794
TIGARD OR 97223 5PCT I 1. '='S GEO 07/31 /97 77--x.:97794
Phone #:
Contr,actov-.
SUNSET FUEL CO
PO BOX 42287
26. 25 TOTAL
PORTLAND OR 97242
,'hone #: 503-234-0611
000023
REQUIRED INSPECTIONS
'his permit is issued subject to the regulatians contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Ins
applicable laws. All wcr4 will be done in accordance with Dtic.,t 1-ispectiori
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 day; of issuance, or if work is suspended for more Final, Ivisipectioil
than 180 days, ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
,et forth in DAR 95c-001-0010 through OAR 932-001-0080, You may
obtain copies of these rules or direct questions to OUNC by calling
I'sst-te Permittee Sigiiati.ire :
.+++4 4+++++.F++4 4-4+-I--f++++++++4 4........h+++-)-+++++-+++++4-++++++4 +4+++4 4+4-4-++4-t+4+
Call 639-4175 by 6-,00 p. m. fat- ins;pect i a-is needed the next bt.As ines s day
F++++++{+4.......4+4-4 4-4++4.+++++++-F++4-+++++++++........... +++++i•++++++++++
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # 97 -Oa-7?
Tigard, OR 97223
(503) C39-4171
' Table 3A INjorhanical Code CITY PRICE AMT
l•K
Joe, I ` �� G �1 � 1) Perm-,'-eo -0- U- 1000
-J C) �� 3 2) Supply;mental Permit 3.00
•»i i p (��� urnaco. to 10,000 MV
1) incl.ducts&vents 6.00
U Furnace 100,000 BTU 4
Owne• 1 `�QS �� G` 2) incl. dud.8 vents — 7.50
ICL 3) incl. ve Rt G 00
+��• • u• «.i Suspended seater,wall boater
4) or floor mounted heater 6.0
w �• — «» ens not iU in
Occupant 5) appliance permit 3.00
6) cooling,absorption unit 6.0
-- Boiler or comp, Real pump,air cond. -
G��.Z� 7) to 3 HP absorp unit to 10K BTU l 6.00
•+•4 k•�• l Q Boder or romp, beat pump,air Gond.
PQ &T-, 1tet x " C1 31-err1J 6) 3-15 HP absorp unit to 500K BTU 11.0
Contractor „r -- of er or comp,float pump,air con .
9) 15-30 HP absorp unit .5 1 mil BTU 15.0
Bor�'�s��•"•� er or comp,beat pump,air Gond.
�A `l5JA 10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
ray ac ow go Iliat I bnve road bis app icatrors,t! t 019 Boiler or comp,float pump,arr conk.
information given is correct,that I am Ole owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of die owner,that plans submitted are in compliance wi',h State Air handling unit to
I•Rws,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 handling unit
please give reason below.) 13) 10 000 CTM 4 7.50
Non portable
14) evaporate cooler 4.50
-` ens an connect
15) to a single duct 3.0
enG anon system not
`X(-Y-)L rn�/ - 16) included in appliance permit 4.50
Hood served y
17) medbanicaf exhaust 4.50
Describe work nowW addition alteration repair _ Commer—cZl or in ustnal
to be done residential%__ non-residential O 16) type incinerator 30.00
-xisnng use o ser i.e.,woodstove,water
building or property - 19) heater,solar,dollies dryers,etc. 4.50
Proposed use of 2.0) Gas piping one to four outlets 2.0
building or property
21) More tlsan 4-poi outlet
F: Type of It •oil Q natural gas n LPG Q electric
J
m OTIC-
c0 Minimuns Fee$25.0 SUBTOTAL
4' PERMITS BECOME VOID IF WORK OR CONSTRUCTION
_J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE •oZ
iF CONSTRUCTION OR IV-IRK IS SUSPENDED OR
ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME PLAN REVIrW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL lo.
dal ConcfiGon
Date issued - by�__
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