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12320 SW 127TH AVENUE ADDRESS: r J i:lrecordsVnic;v;;m\large(sV)uilding.doc co LO J v 0 z r r r r r r P m m m 0 m 4 0 a m G C) O 0 (D a (D 7 M TJ 'O ti TJ a 'o a`a o 0 0 0 o o o o > x x x x x x x z° z z z z° z° z° O � c0 O y o o 0 0 a a C) o a o o a. a M U --� o° o o cW7 4 C�7 Cm7 Ll,l � o 4irn0 Q� vii `- U) Q m m © O O O O O a N m � � P r P CV r 0 0 0 r P P F,1 cc V) T f^ ui C c Ll c_ a € - (`v Q a w w '� w QU P U J J J J J J W W W W W W W ELE%TRICALPERMIl CITY 4F TIGARD PERMIT#: ELC1999-00605 DEVELOPMENT SERVICES DATE ISSUED: '10/13/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104AA-04300 SITE ADDRESS: 12320 SW 127TH AVE Sr,BDIVISION: BELLWOOD ZONING: R-4.5 BLOCK: LQ JURISDICTION: TIG Proiect Description: Installation of one branch circuit. Job No. R261Pq/A/RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: ` 0 - 200 amp: PUMPARRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED '_NERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL 1101: SERVICE/FEEDER BRANCH CIRCUITS - --- _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTIO14: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 arrip: _ _ PLAN REVIEW SECTION _ 1000+ Amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: - — Reconnect oni SVC/FDR >= 225 AMPS: CLASS AREA/SPE(: OCC: Owner: Contractor: BONNONO, DENNiS ROBERT AND SHARPE ELECTRIC INC CAROL LYN 22605 SW RIGGS 12320 SW 127 I r! BEAVE RTON, OR 97007 TIGARD, OR 97223 Phone: Phone. 642-7937 Reg #: LIC 0008'5 SUP 3344E ELE 34-217C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 10/13/99 $37.50 00-319041 Elect'I Final 5PCT DEB 10/13/99 $3 00 00-319041 Total $40.50 This Permit is issued subjec!to the regulations contained in the Tigard Munidpal Code,Stale of OR. Specialty Codes and all other appl'^able laws All work will be done in accordance with approved plans This permit will exp;re if work is,.otstarted within 180 days of issuanoe,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follo ules adopted by the Oregon Utility Notification Center Those n rules are set for",in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies cf these rule4lordirect questions to OUNC at(503) r 246-1987 ' y PERMITTEE'S SIGVATURE 4 1 ISSUED BY: Q ' _ OWNER INSTALLATIO bML _ The installation is being made on property I own which is not intended for sale, lease, or rent. w OWNER'S SIGNATURE: _____ DATE: _ CONTRACTOR li.STALLATION ONLY SIGNATURE OF SUPRJ�LEC' �-� - _ DATE:_ LICENSE NO: ----- Call 639-4175 by 7:00pm for an inspection the next 'jusiness day CITY, OF TIGARD Electrical Permit Application Plan C6 # 13125 SW !-TALL BLVD. Recd TIGARD OR 97223 Date Recd Date to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503)639•-4175 Print of Type Permit# L�/�1Y,' Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business)-U,6t 1�t� _ I d1 OkI 0 Service included: Items Cost Sum Address_ G' (/�— -- 4a Residential-per unit City/State/Zip I ( CliICP CJ !� q 7�}-,� 3 1000 sq.n.or less $ 117.75 a cath additional 500 sq.ft.or portion thereof _ S 26.75 _ 1 Commercial ❑ Residential Limited Energy $ 60.00 _ Each Manufd Home or Modular 2a. Contractor installation orly: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data bas ). / Installation,alteration,or relocation Electrical Contractor J �� L j'ii�' 200 amps or less $ 04.25 - 2 Addie .2-1 G�S � (� 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 _ 2 City State _Zip Q 70Q7 601 amps to 1000 amps $ 112.50 2 Phone No.y�3 z/ 2- - Z 93 Over 1000 amps or volts 75 2 ,lob NoReconnect only '50 2 Elec. Cont. Lice No. 3�V -,!Aj 7C Exp Date �_ O/ O 4c,Temporary Services or Feeders OR State CCB Reg No. I S! S Exp.Date 15/c/o/ Installation,alteration,or relocation COT Business Tax or Metro No. ;Z5 p3 ate 200 amps or less $ 53.50 2 y� 201 amps to 400 amps _ $ 80.25 Signature of Supr Elec'n (I1 401 amps to 600 amps $ 107.00 — — 2 — � Over 600 amps to 1000 volts, License No. 3`t"7� Expsee"b"above. .Date a�`�� -_ 4d Branch Circuits Phone No. _ �` 2"73 7 _ - New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b)The fee for branch circuits --- ----- - -- - - without purchase of service City State _Zip _ or feeder fee. Phone No. First branch circuit _ $ 37.50 Each additional branch circuit $ 5.35 The installation ir,being made on property I own which is not 4e.Miscellaneous intended for salt, lease or rent. (Service or feeder riot included) Each pump or Irrigation circle $ 4275 A2 Each sign or outline lighting $ 2 75 Owner's Signature --- -- Signal circult(s)or a limited energy if required):* panel.alteration or extension $ 6000 3. Plan Review sectionMi nor Labels(10) $ 4107 04 /00.00 Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over 4 or more residential units in one structun the allowable in any of the above V) Service and feeder 225 amp,,or more Per Inspection _- $ 50.00 Per hour _ $ 5000 System over 600 volts nom'lal In Plant - $ 5900 —Classified area or structure-ontaining special occupancy as -� described in N E C.Chaptur 5 5. Fees: >^ 5a.Fnter total of above fees $ Submit 2 sets of plans with application where any of the above apply. o Surcharge 1.05 X total fees) S Not required for temporary construction services. Subtotal $ 5b Enter 25%rf line sa for NOTICE Plan Review If required(Sec 3) S __ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S -v IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENCED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account aK _ c` AT ANY TIME AFTER WORK IS COMME14CED Total balance Due $ I 16t0brmsNelectric dmc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 4?BUP _Date Requested_ /��� /� _ AM PM EILD Location 44 3rd ��� �! Suite OMEQ Contact Personq&It(. el�� 't'�C�� 1 �'1Ph (ado � '`�3 PLM contractor ( Ph SWR BUILDING Tenant/Owner ELC Retaining Wali ELR Footing �— Foundation Access: T'"�N 6-C.L FPS Ftg Drain � Crawl Drain Inspection Notes: SGN Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear c- Framing �l�NP-�4 Insulation Drywall Nailing Firewall Fire Sp�:it,'er Fire Alai Susp'd Ceiling — — -- _ — Roof Misc --- —-- — — — Final PASS PART FAIL -- -- - -— PLUMBING Post& Beam - ---- ------------ — ----- Under Slab Top Out ------- C—./t;. ---_---v- _ —__----_--,_, Water Service �i- —___ L/ �✓ — _ —_ Sanitary Sewer Rain Drains Final ----- ----- — ---- PASS PART FAIL ECHANICAL Post&-Bld�tri- Rough In Gas Line ------ Smoke ----Smoke Dampers ASS PART FAIL - TRICAL - — ------------- Service ------- -- —___--- - ---------- Rough In LL UG/Slab Low Voltage Fire Alarm > Final ~ PASS PART FAIL SITE Backfill/Grading -� W Sanitary Sewer Storm Drain [ ]Reinspection fee of$__---,requires before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspe-tion RE: ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewai'k Other Date �C� Inspector �f� Ext --- - � -- Final PASS PART FAIL DO NOT REMOVE this inspection record From the job site. CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00432 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-'1 DATE ISSUED: 10/13/99 P/,3 PARCEL: 2S104AA-04300 SITE ADDRESS: 12320 SW 127TH AVE SUBDIVISION: BELLWOOD ' /UZONING: R-4.5 BLOCK: LOT: 02.3 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT Fi NS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOOD STOVES: PRESSURE: 50 + HN: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > 10000 cfm: GAS OUTLETS: Remarks: Install gas furnace and a/c unit. Placement of a/c unit rnust comply with standard setbacks. Owner: FEES _ BONNONO, DENNIS ROBERT AND Type By Date Amount Receipt CAROL LYN PRMT DEB 10/13/99 $50.00 99-319041 12320 SW 127TH 5PCT DEB 10/13/99 $4.00 99-319041 TIGARD, OR 97223 — -- — Total $54.00 Phone: Contractor: c'PECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 972.23 REQUIRED INSPECTIONS Heating Unt Insp Phone:620-5643 Cooling Unt Insp Reg #:SUP 257ORET Final Inspection LIC 006657 ELE 34-341CR CL LL r— l/7 T This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work i3 suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through QAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling ( 3)246-9189. ] f Issue B ; /. fYiq ermittee Signature: Call (503) 6341-4175 by 7:00 P.M. for inspections needed the next business day Planeck CITY OF TIGARD Mechanical Permit Application Recd y 13125 SW HALL BLVD. Commercial and Residential Date Recd /'- TIGARD, OR 97223 Date to P.E._ (503) 639-4171, x304 Date to DST Print or Type Permit# Incomplete or illegible applications will not be accepted called Name of DevelopmenVP Jed _ Description Table 1A Mechar;cal Code Qty Price Amt 64�" , f� d� -- - 1. ;:.a;,, 16.00 Job Street Address suites A) Permit F_ee �� �(�( 1) Furnace to 100,000 BTU Address / - inc!uding ducts&vents see footnote 1,2 9.65 Bldg# CdyiState Zip 2) Furnace 100,000 BTU+ iLl")a"i O,�° q�;z1 including ducts&vents see footnote 1,2 12.00 Na e(orname�tbu;!nes 3) FloorFulnace Owner 6`7 11110-0 including vent _see footnote 1,2 9.65 4) Suspended heater,wall heater Mailing Address - I or floor mounted heater _ see footnote 1,2 S.65 / "N,3, r S O 12 5) Vent not included in appliance permit 4.75 _ City/Stale Zip Phone j► Check all that apply: 'Boiler Heat Air For items 6-10,see or Pump Cond Qty Price Amt Na (o 8 of business) footnotes 1,2 Comp 6)<311P;absorb unit to I 00K BTU ' ( 9.65 _ Occupant MaI gAddress 7)3-15 HP,absorb unit 100k to 500k BTU 17.65 City/State Zip Phone 8)15-30 HP,absorb unit.5-1 mil BTU __ _ 24.15 _ 9)30-50 HP;absorb Contractor unit 1-1.75 mil BTU 36.00 N°m .PC( C 10)>50HP;absorb unit Prior to permit Agal wl�dpreSSss 1 X1.75 mil BTU 60.15 issuance,a copy _ U � I 11 Air handling unit to 10,000 CFM of all licenses State rip Phone _ - 7.00 are required ifl Gvt Q� -� o�G 3 12)Air handling unit 10,000 CFM+ expired in COT Ortgon Const.Cont.Board Lick Exp,Des 11.85 database _ 4, �57� �/�� 13)Non-portable evaporate cooler Architect Name 7.00 14)Vent fan connected to a single duct _- 4.75 Or Mailing Address - -- 15)Ventilation system not included in _ appliance permit 7.00 Engineer CRY/State Zip Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done17)Domestic incinerators 12.00 New,$- Repair O/Replace with like kind YeyC No O 18)Commercial or industrial type Incinerator 40.25 Residentia ' Commercial _- ]� 19)Repair units Addition I Information or description of work: __ 8.40 4,16 4 a« A le__ 20)Wcod stove/gas FP/other units/clothe dryer/etc. 7.00 NOTE: For Commercla projects only;Units over 40U lbs.require 21)Gas piping one to four outlets structural gas ceics. See footnote 1 -__ 3.75 ° Type of fuel: oil O natural gas LPG O electric 22)More than 4-per outlet(each) .75 Minimum Permit Fee$50.00- SUBTOTAL _ V) I hereby acknowledge Wit I have read this application,that the information 8%SURCHARGE given Is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL ~ the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits onl TOTAL . r Slgnatpre of OvmerlAgent Date -- -- --------- Other Inspections and Fees: w �(� /J / / 1. Inspections outside of normal business hours(mininum charge-two - hours) $50.00 per hour Contest Pe n Name - Phone 2, Inspections for whluh no fee Is specifically Indicated (minimum ;-'' charge-half hour) $50.00 per hour F notes for commercial projects only: 3• Additional plan review required by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans(minimum charge-one-Half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units. "Residential A/C requires site plan showing placement of unit 1:1rmechperm.doc rev 7/19/99 J L>' T 1 v ' n a T F- i.0 C7 W J