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11300 SW FONNER STREET 11300 SW F()NNER STREET _ ELECTRICAL PERMIT CITYOF �i IGARD PERMIT#: ELC19�.19-00535 DEVELOPMENT SERVICES TE ISSUED: 9/1/99 13125 SW Hall 81vd.,Tiqard, OR 97223 (503) 639-4171 �,, Nt PARCEL: 2S103AC-02000 �+��`� SITE ADDRESS: 11300 SW FONNERST ZONING: R-4.5 SUBDIVIGIO14: T JURISDICTION: TIG BLOCK: LOT Proiect Description: Replacement/upgrade electrical service to 200 arnps. RESIDENTIAL UNITTEMP SRV_CIFEEC-ERS _ __MISCELLANEOUS Y -1000 SF OR LESS: C - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: ,L-A - 400 arrio: SIGN/OUT LINE LTG: 401 - 600 arnp: SIGNAL-/PANEL: LIMITED ENERGY: MINOR LABEL (10): MANF HMI SVCI FDR: 601-1-amps - 1000 v��lta. _ SERVICE/FEEDER _ _BRANCH CIRCIIITS ADD'L INSPECTIO14S WISERV!CE OR FEEDER: — PER INSPECTION: 0 - 200 amp: 1 PER HOUR: 201 - 400 amp: 15t VJVIO SRVC OR FDR: 401 - 600 amp: EA ADD'L BRNr.:H CIRC: IN PLANT: 601 - 1000 amp: _______ ___PLAN REVIEW SECTION >=4 RES UNITS: > 600 VOLT NOMINAL.: 10004 amp/volt: CLASS AREAISPLC OCC: Recc,n�rec+ only: SVCIFDR >= 225 - Owner: Contractor: S R TURNER CONSTRUCTif:N LLC + OWEN WEST GENERAL CONSTRACTING WILLIAMS, JAMFS BICAROL L OWEN WEST ELECTRIC 11300 SW FONNf=R ST 8310 NW REED DRIVE TIGARD, OR 97223 PORTLAND, OR 9724E Phone: 297-6375 hone: I Reg#: LIC 00029492 SUP 2885S EIC- 26-389C FEES ___ Required Inspections ryppe �Hy Date Amount Receipt __ Eiect'I Service PRMT DEB 911199 $64.25 95318064 Elect'I Final SPCT DEB 9/1/99 $4.50 99318064 Total $68.75 This Permit is issued subject to the regulations contained in the Tigard Mur'dpal Code,State of OR. Spi;dalty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expi - if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to to,:-w rules adgged._by the Orego1 Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0080. You may obta, roprees of these rules or di ect questions to OUNC at(503) 246-1987 SIGNATUR ^, ISSU) D BY: PERMITTEES �^, _ _ OWNER IN ST4kLLATION ONL The installation is being made on pr--,nerty I own which is not ,ntended for sale, lease, rent. __ --- OWNER'S SIGNATURE: DATE: -- - CONTRACTOR INSTALLATION ONLY -------- -- --- - - ( - .. DATE:— SIGNATURE ATE:SIGNATURE OF SUPR. FI_EC'N: �l LICENSE NO: Call 639-4175 by 7:00p111 for an itrspection the next business day CITY OF TIGARD Plan Che 13125 5W HALL. BLVD. Electrical Permit Application Recd B TIGARD OR 97223 Date Recd .. Date to P.E. _ Phone (503)633-4171, x304 J Date to DST_=- Inspection (503)639-4175 Print of Typer� l� Permitil Fax(503)598-1960 Incomplete or illegible will not be ace 2 Called_ 1. Job Address: _ 4. Complete Fee Schedule Below: Name of Development Number of inspections per permit allowed Name(or name 0 business) Service included-. Items Cost Sum Aderess Or,�Sk-0 D 'E>r 4a. Residential-per unit City/State/Zip' A bP, Q 2a�� 1000 sq.ft,or less i $ 117 75 4 Each additional 500 sq ft or portion thereof $ 2615 1 Commercial, Residential LJ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 2 (Prior to permit Issuance,applicants must provide contractor license 4b,Services or Feeders Infurmation for COT datba ei��11 Installation,alteration,or relocation Electrical Contractor V Vit - �Q J� 200 amps or less $ 64.25 � 2 Addr ss - I C7 �) , 2 41,"A I:)IZAIJ 201 amps to 400 amps $ 85.50 2 � 401 amps to 800 amps $ 128.50 2 7t' City k kCk', _State_ OK Zip g 14 801 amps to 1000 amps $ 192.50 2 Phone No. r -�� Over 1000 amps or volts _ $ 383.75 2 Job NO. Reconnect only $ 53.50 2 Elec, Cont. Lice. NO(e- �y$- _ Exp.Date Id-l 4c.Temporary Services or Feeders OR State CCB Reg. No.e1`]q!j1L Exp.Date 315-o/ Installation,alteration,or relocation COT Business Tax or MetrA3,No. Exp.Date 200 amps or less $ 53.50 2 n 201 amps to 400 amps $ 80.25 _ 2 'nj`r ./ 401 amps to 600 amps $ 107.00 2 Signature of Supr. Elec Over 60U amps to 1000 volts, see"b"above. License No. bgF_A Exp.Date_�o-� "n/ 4d.Branch Circuits Phone No, __. New,alteration or extension per panel a)The fee for branch circuits 2b. F=or owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Addressb)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 is being made on property I own which is not 4e.Miscellaneous Intended for sale, lease or rent (Service or feeder not included) Each pump or Irrigation circle _ $ 4275 Owner's Signature -^ Each sign or 3utline lighting _^ $ 42.75 _ Signal circul,(s)or a limite(1 energy 3. Plan Review section (if required):* panel, ulsNte( 0) or extension $ 80.00 �• Minor Labels(10) $ 107.00 Please check appropriate Item and enter fee in section 58. 4f.Each additional Inspection over 4 or more residential units In one structure the allowable in any of the above Per inspection $ 5000 Service and feeder 225 amps or more Per hour _ $ 5000 System over 600 volts nominal In Plant $ 59.00 _ _-Classified area or structure containing special occupancy as described in N.E,C.Chapter 5 S. Fees: 5s.Enter total of above fees $ T * Submit 2 sets of plans with application where any of the above apply. h /Surcharge(.05 X total fees) $ Not required for tempotiry construction services. / Subtotal $ _ 6b.Enter 25%of line Sa for NOTICE Plan Review if required(Sec.3) $ PERMITS BECOME VOIC IF WORK OR CONSTRUCTION AUTHORZED Subtotal $ IS NOT COMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTION OR r1 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS i Trust Account#_ _ 75' AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i:`,dstsMomimelectric.doc CITYOff' TIGARD - - MECHANICAL r'ERMIT -- DEVELOPMENT SERMES PERMIT#: MEC1999 0:;434 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/14/1999 PARCEL: 2`3103A(,-02-)00 SITE ADDRESS: 1 1300 SVV I-`)NNER ST SUBDIVISION: E I P I R FU ZONING: rZ-4.5 BLOCK: LOT: f JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: 1LNT FAN:i: O'-CUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUELTYPES _ 0 - 3 HP: - DOMES. INCIN: _.— _ 3 15 HP: COMML. INCIN: MAX INPUT: BTU '5 -30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: �- OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: Replace oil furnace w/new gas furnace and add gas line. Owner: _ — ---- _— FEES S R TURNER CON51 RUCTION LLC + Type By Date —Amount Receipt WILLIAMS, JAMES B/CAROL L_ PRMT DST 10/14/19C $50.00 99-319081 1 1300 SW FONNER ST SPCT DST 10/14/19f $4.00 99-319081 TIGARD, OR 97223 Phone: ------ Total --$54.00------ -_---- Contractor: REQUIRED INSPECTIONS Gas Line Insp Phone: Heating Unt Insp Reg #: Final Inspection CO) r--11 This p rmit is issued sub}cct to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is riot started within 180 drys of issuance, or if work is suspended for more than '180 days. ATTENTION Oregon law requires YOU to follow rues adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAF,.�5��001-0080� You may obtain copies of these rules or direct questions to OUNC by calling (503)24(3-11 1 / Issue By: c%->/-Cn- Permittee Signature:tx Call (1503) 639.4175 by 7:00 P.M. for inspections needed the next business day Plan Check# CITY OF TIGARD Mechanical Permit Application Rec'dBy �-- _ 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. 503 6394#171, x30 Date to DST Print or Type Permit# _ Incomplete or illegible applications will not be accepted Called Name of DevebpmertUPro)ao1 Description S _ Table to Mechanical Code d Price Amt �G L A) Permit Fee 16.00 Street Address SUNOM Job 1) Furnace to 100,000 BTI; Address �t'�UC1 �� Q�' Including ducts&vents see footnote 1,2 / 9.65 Bldg# CNy/slate zip ,t) Furnace 100,000 BTU+ 177 Cooc-o q7j 2Q Including ducts&vents see footnote 1,2 12.00 Name(or name A business) 31 Floor Furnace I�fJ�- W I(1 r I ui-P4in_vent see footnote 1,2 9.65 Owner 4) Suspended heater,wall heater Matting Address or floor mounted heater see footnote 1,2 9.65 J M46 EX- LA.) 5) 'vent not included in a liance ermit 4.75 CRY/State zip Phone Check all that apply. 'Boiler Heat Air ,�)L, -r 7 Z l� L �--7�/G For items 6-10,see or Pump Cond Qty Price Amt -- Name(or name or bsinesaj _ footnotes 1,2 Comp r 6)<3HP;absorb unit to 100K BTU 9.65 Occupant Mailing Address 7)3-15 HP;absorb unit Innr•Ic 500k BTU 17.65 city/slate Zip Phone 8)15.30 HP;absorb unit.5-1 mil BTU 24.15 9)30-50 HP;absorb - Name unit 1.1.75 mil BTU 36.00 Contractor - 10)>50HP;absorb unit >1.75 mil BTU 60.15 Prior to permit Mailing Address 11 Air handling unit to 10,000 CFM issuance,a copy 7.00 of all licenses CNy/State Zip Phone tire required if 12)Air handling unit 10,000 CFM+ 11.65 expired in COT Oregon Const Cont Board Uc.M Exp.Date database 13)Non-portable evaporate cooler 7.00 Architect Name 14)Vent fan connected to a single dud 4.75 or Mailing Address 15)2E;;1exhsust not included In 7.00 Engineer chyrstata zip Phone 16) mechanical exhaust Ej7.00 D.escrlbe work to be done. 17) ators 12.00 _ Commercial or Industrial type incinerator Co New O Repair O Replace with like kind. Yes O No O 18) 48.25 Residential' Commercial O 19)Repair units 8.40 A IGnal Information or description of work: „��, 20 Wood stove/ as FP/other units/clothe dryerletc. ��f'i►9[tF c't D Af xA)pc E cr)V,!!,='rst." G�a fl"e ) 9 7.00 pr><" Cay 4-eux' - NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets See footnote 1 3.75 _ structural gas oaks. 75 22)More than 4-per outlet(each) Type of fuel- oil O ^atural LPG O electric O ---- -SUBTOTAL - ges Minimum Permit Fee$60.00 Be/,SURCHARGE c 11 hereby acanowledge that I have read this application,that the information p�N RrVIEW 25%OI=SUBTOTAL. given is correct,that I am the ormer or authorized agent of Required for ALL commercial permlts only _ the owner,that plans submitted are in compliance with Oregon State laws. TOTAL Signature of owner/Agent Date Other Inspections and Fees: i inspections outside of normal business hours(mininum charge-two hours) $50.00 per hour Contact Person Name C3 ib G 5',1 2. Inspections for which no fere Is specifically Indicated (minimum L t rP �J�_ _ charge-half hour) $50.00 per hour `� ��--. 1. Additional plan review required by changes,additions or revisions to otes for commercial protects only: nr.,;;,'m!nimum charge-one-half hour)$50.00 per hour t provide full schematic of existing and proposed gas line and pressure 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required "Residential A/C requires site plan showing p1r cement of ural I-Wechperm doc rev 7/19199