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8255 SW FAVNO CREEK DR
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2003-00166
DEVELOPMENT SERVICES
DATE ISSUED: 3/25/03
13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S112BB-05800
:.ITE ADDRESS: 08255 SW FANNO CREEK DR
SUBDIVISION: COLONY CREEK ESTATES NO.2 ZONING: �(-7
BLOCK: LOT : 041 JURISDICTION: TIG
Project Description: Installation of(2)b-anch circuits.
_ RESIDENTIAL UNIT __TEMP SRVC/FEEDERS MISCELLANEOUS_
1000 SF OR LESS: 1 200 amp: PUMP/IRRIGATIGN:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FUR: 601+amps '000 volts: MINOR LABEL (10):
SERNICEIFEEDER BRANCH CIRCUITS ADD'L INSPEC-i IONS
0 • 200 amp: W/SERVICE OP FEEDER: PER INSPECTION:
201 - 400 gip: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH !:IRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp volt: >=4 RES L,N:FS: >600 VOLT NOMINAL:
_ Reconnect only: —_SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WENDROFF,DAVID P SHARPE ELECTRIC INC
8255 SW FANNO CREEK DR 22605 SW RIGGS
TIGARD,OR 9722 BEAVERTON.OR 97007
Phone: Phone: 642-7937
Reg #: LIC 81518
— -- SUP 33445
FEES ELE 34-217('
Description Date Amount
+,"I'ARj 8"s,StaleTax 3/25/03 $4:7K— _ Required Inspections
ILLPRM1'jEl.--Permit 3/25/03 $53.501 Rough-in
-- Flect'I Final
Total $37,78
This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR.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 more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
;-800-332-2344.
\Issued B GSignature:
Y� �I'V Permit
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is riot intended for sale, lease, or rent. _
OWNER'S SIGNATURE. DATE:
C ONTRACTOR INSTAL.L4,TAON ONLY
SIGNATURE OF SUPR. Et-EC'N: _— DATE:-----.
LICENSE NO: -------
Call 6.39-4175 by 7:00pm for an Inspection the next business day
Electrica➢ Permit ADDlication ' Electrical
'NLY
_ Received 0�
Permit No.:
C�}� Of Tigard Planning Approval Sign
`J g Date/By: _ Permit No..
13125 SW Hall Blvd. Plan Review Other - - --
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use
Data/By: Case No.:
Internet: www.ci.tigard.or.usA, k Contact .Iu ' • See Page 2 for
24-hour Inspection Request: 503-639••4175 Namc/Method: 'fila- Supplemental Information. J
_� TYPE OF WORK (—� PLAN REVIEW Please check all that apply)
_ ! _ Demolition Service over 225 amps- Health-care facility
commerc,,I ❑I lazardous location
dditior aTeratumi c1lacement Other: �T ❑Serviee aver 320 amps-rating of ❑Building over 10,000 square feet,
_
TEGORY OF CONSTRUCTION I I &2 family dwellings four or more residential units in
1 &2-Family dwellingI _Commercial/Industrial O System over 600 volts nominal one structure
E]Building over three stories ❑Feeders,400 amps or more
ACCCS50fy BuildingMulti-Family ❑Occupant load over 99 personsManufactured structures or RV parts
Master Builder Other: []egress/lighting plan 8 other.
JOB SITE INFORMATION and LOCATION Submit -_sets of plans with any of the above.
The above are not applicable to temporary cons radian service.
Job site address: �'1N PJill �C _ FEE*SCHEDULE
Suite#: Bld ./A t.#: Number of Inspectionser ermit allowed
Project Name: G �e sc i;titl n city Fee(el.) T°nal
Ness residential-single or mull)-I silly per
Cross streetMirections to Job site: dwelling unit.Includes attached garage.
'-_712Z Service Included:
lJ//� ✓ 1000 sq.ft.or less 145.15 _ 4
Each additional 500 sq.ft.or portion thereof 33.40 --v 1
Subdivision. LOt#: Limited energy,residential 75.00 2
Limited energy,non residential 75.00 2
Tax ma / creel#: Each manufactured home or modular dwelling
DESCRIPTION OF WORK service and/or feeder 90.90 2
Services or feeders-Installation,
alteration or W_,ratiun:
200 am s or less 89.30 2
_._` ----- - --- --- -- 201 ams to 400 ams 106.85 2
401 amps to 600 am i60.60 2
PROPE TV OWNER TENANT 601 amps to 1000 amps .— 240.60 2
- -- Over 10(X1 amps or volts 454.65 2
Name: Recon ncct_only - _ 66.85 2
Address: �� ;5 -VTemporary services or feeders-installation,
alteration,or relocation:
Cit /StF,te/Zi : '7_/4 _ _ _ 200 amps sir less 66.85 1
C i 201 am s to 400 amps 100.30 1
P11 P 4,i �a O Fax_
APPLICANT •INTACT PERSON 401 to 600 ams 133.75 2
- - riranch circuits-new,alteration.or
Name: extension per panel:
--- A.Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 6.65 2
City/State/Zip' B.Fee for branch circuits without purchase of
---- service or feeder fee,first branch circuit 46.85 ��^
� 2
Phone: I'a_x_ _ _ Each additional branch circuit6 65 2
E-mail: Misc.(Service or feeder not included,
CONTRACTOR Fach tun of irrigation circle 53.40 2
------ Each sign or outline lighting _ 53.40 2
Job No:_ I�� Signal circuit(s)or a limited energy panel,
Business Name: v7Y/ i; E __ �� alteration, extension P 1 2
_ (lcscriplion:
Address: 2 S-0
/State/ZI Q. Each additional inspection over the allowable in any of the above:
Clt _
y p n C Per inspection per hour(min. 1 hour) 62.50
Phone: 4 rY /1- 3 Fax: C�- Investigation fee:
CCB Lie. #:a<3/ "-/tom Lic. #: / Other:
` Electrical Permit Fees*
Supervising electrics Subtotal
S
signature re wired: Plan Review 25%of Permit Fee S
Print Name: Lic. /: '"t- State Surch�e(B°/a of Permit Feed S _
TOTAL PERMIT FEE S
Authorized Notice: This permit application expires If a permit Is no obtained within
Signature: — Date:` 180 days after It has been acceptrd as complete.
*Fee methodology set by Tri-County Budding industry Service Board.
-- - (Please print name) --- ---- -
i:\Dsts\Permit FormsTIcPetmitApp.doc 01103
Electrical Permit Application -City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor all systems................................I........................... 575.00
check'rype of Work Involved:
Audio and Stereo Systt'ns*
F] Burglar Alarm
(lunge Door Opener*
C1llcaling.Ventilati and Air Conditioning Systcm*
Vacuum Systems*
Other__—��-- --- ----
i
COMMERCIAL WORK ONLY:
Fee for ggc;j system......................................................... $75.00
(SEF.OAR 918-260-260)
1
I
('heck Type of c.'nrk Involved:
0 Audio and Stereo Systems
u Boiler Controls
U Clock Systems
Data Telecommunication Installation
Fire Alarm Instaliati0r.
HVAC
Instrumentation.
Intercom and Paging Systems
Landscape Irrigation Ccutrol*
L J Medical
Nurse Calls
El Outdoor landscape Lighting*
Protective Signaling
Other
Number of Svstems
* No licenses are required. Licenses are required for all
other installations
is\Dsls\Pcrmit Fo,ms\FlcPctmilAppPg2.doc 01103
CITY OF TIGARD _ I 'I-CHANICALPERMIT _-
DEVELOPMENT SERVICES �~RMIT#: MEC2003-00117
PIL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE SSUED: 3/17;03
PARCEL: 25112 1313-05800
SITE ADDRESS: 08255 SW FANNO CREEK DR
SUBDIVISION. COLONY CREEK ESTATES NO.2 ZONING: R-7
BLOCK: LOT: 041 JURISIACTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE" OF USE: SF KNIT HEATERS: 0 VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS_ HOODS:
FUEL_ TYPES 0 - 3 HP: 1 DOMES. INCIN:
LPG _ 3 - 15 HP: COMML. INCIN:
MAX INPUT BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS'?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: ;LO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS_ _ .ETHER UNITS: 1
FURN >=100K BTU: 10000 cfm: GAS OUTLETS: 1
> 10000 Cf m:
Remarks: Installation of neje gas furnace and A/C unit. \ent,and gas piping. AV cannol IW I)laccd \N i(Ili[) the iryuirC(!
setbacks.
Owner: FEES _
WENDROFF, DAVID P Description Date Amount
8255 SW FANNO CREEK DR
TIGARD, OR 97224 �MI:CHI Permit Fee cC 3/17.03 $72.50
TAXI 8%StatcTax 3/17/03 $5.80
Phone: _ Total $78.30
Contractor:
BEAVERTON HEATING + A/C INC
5400 SW 170TH AVE
ALOHA, OR 97007 REQUIRED INSPECTIONS
Phone: 649-1271 Gas Line Insp
Mechanical Insp
Reg #: LIC 118441 Final Inspection
This permit is issued sttbjee, to the regulations inntained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other..pplicable laws. All work will be dune t accordance with approved plans. This permit will expire 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 follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: »i".�.'�-'�, Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
1
Mechanical Permit Application Received , Mechanicals
ate/By: �7/fJ3 Permit No.. O0.3-,W/
l A i_. Planning Appro6al i3uilding
City of Tigard Date/By: Permit No.:
13125 SW 1-lall Blvd. Plan Review Other
Tigard,Oregon 97223
Date/Ely: tAnd-PermUse
Phone: 503-639-4171 Fax; 503-598-1960 Post-Review band Use
Qatc/Dv: ase No.: _ J
Internet. www.ci.ttgard.or.us ContactJ 's.: See Page 2 for24-hour Inspection Requcst: 503 G39 4175 Name/Method: /P Su lemental Information
TYPE OF WORK A __ COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
New construction J El Demolition Mechanical petmit roes*are based on the total value of the work
—-- -— - performed. indicate the v�We(rounded to the nearest dollar)of all
Addition/alteration/replacement Other: mechanical materials,equipment,labor,overhead and profit.
CATEGORY OF CONSTRUCTION
_ 1 & 2-Family dwelling_ Commerrial/Industrial Value: Sec Page 2 for Fee Schedule
Accesso Buildin Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE
ry _g_ — Description h Fee eat Total
Master Builder Other: Hestin Conlin _
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00 oZ
Job site address:ELSL ✓W ee4,11vJ 6*X4_f_2. /Z %/!eRQ Gas heat pump 14.00
Suite#- Bld ./A to Duct work 14.00 /
If.tV
Project Name: Hydronic hot waters stem 14.00
Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,sus en14.00
ded,etc.
Flue/vent for any of above 10.00 /C tro
Re air units
12-15 i
Subdivision: Lot#: Other Fuel Api liances i
Tax map/parcel #: Water heater 10.00
DESCRIPTION OF WORK _ Gas fire lace _ 10.00 ;
�N3TiAGL i^�(> 6W_!�fa'/1Ct o Ail 5�5"s/� wi7N Flue vent(water heater/gas fireplace) 10.00
Log lighter as 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert _ i 10.00
Chitnne /liner/tlue/vent 10.00
PROPERTY OWNER TENANT Other: 10.00
Environmental Exhaust&Ventilation
Name: w tl,e,4'ofP t Range hood/other kitchen equipment 10.00
Address: Z s~S-S040^-Yt, Cl"fllk' '04' Clothes dryer exhaust 10.00
City/State/Zip: T/�A� v�' y Single duct exhaust
P ne: >> -,s`9 ���'S/ FaX: (bathrooms,toilet corr..utments,
APPLICANT CONTACT PERSON utility rooms 6.80
Attic/crawls ace fans 10.00
Name:
tI ZI — Other: 10.00
Address: t s ,7/�/lC'O _ Fuel Piping
City/State/Zip: _ '•(S3_40 for first 4,$1.00 each additional
Furnace etc.
Phone: — - Fax. Gas heat pump •"
E-mail: wall/sus ended/unit heater
_ CONTRACTOR water heater
W
Business Name: Fire lace_ _ •"
Ran e � •"
Address: 7e '4 BB — ••
Clt /$tate/Zi Av1�T.��✓ X7/1 –'�'7 Clothes dryer JSasj '•
— i►
Phone:_-;�)3 Gy`3 / / Fax: _ /y6 other: -- –� --
!/g y /� _ Total:
_CCB (,1C. #: �/ Z �i _ Mechanical Permit Fees*
Authorized Subtotal: 5
Signature: Date:J71-*3 Minimum Permit Fee$72.50 S 7
Plan Review Fee 25%of Permit Fee) S
State Sur_char a 8%of Permit Fee) S
(Please print name) _ TOTAL PERMIT FEE $
Notice: This permit application expires ira permit is not obtained Nithin •Fec methodology set by Tri-County Building Industry Service board.
Igo days after It has been accepted as complete. **Site plan required for exterior A/C units.
i\I)sts\Permit 14,mrsUNecPcrmitApp doc 01103
Mechanical Permit Application - City of'Tigard
Page 2 -Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1,00 to$5,000,00 Minimum fee$72.50
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52
for each additional 5100.00 or fraction
thereof,to and including$10,000.00,
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and
51.54 for each additional$100.00 or
fraction thereof,to and including
$25,000-00.
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and
$1.45 for each additional$100.00 or
fraction thereof,to and including
$50,000-00.
$50,001.00 and up _ $742.00 for the first$50,000.00 and
$1.20 for each additional$100.00 or
fraction thereof.
Assumed Valuations Per APPIIance:
Value Total
Description: Qty (FS) Amount
Furnace to 100,000 BTU,including 955
ducts&vents
Furnace>100,001)BTU including ducts 1,170 +
&vents
Floor furnace including vent 955
Suspended heater,wall heater or floor S55
mounted heater
Vent not included in appliance permit 445
Repair units 805
<3 hp;absorb.unit, 955
to 100k BTU
3-15 hp;absorb.unit, 1,700
101 k to 500k BTU
15-30 hp;absorb.unit,501k to I mil. 2,310
BTU
30-50 hp;absorb.unit, 3,400
1.1.75 mil.BTU
>50 hp;absorb.unit, 5,725
>1.75 mil.BTU
An handling unit to 10,000 cfm 656
Air handlin uhit>10 000 cfln 1,170
Non-portable eva rate cooler 656
Vent fan connected to a single duct 446
Vent system not included in appliance 656
permit
Hood served by mechanical exhaust 656
Domestic incinerator 1,170
Commercial or industrial incinerator 4,590
Other unit,including wood stoves, 656
inserts,etc.
Gas piping 1.4 outlets 360
Each additional outlet 63
TOTAL COMMERCIAL $
VALUATION:
is\Dsts\Permit Fours\MecPermitAppPg2.doc 01/03
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CITY OF TIGARD 24-Hour
BUILEANG Inspection Line: (503)655-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST _—
BUP
Received ---_ _____—__ Date Requested _._3' �� AM----.---- PM BUP
,() ,, 2
Location -_-_- g�--`��''�►'�-d--��2e��C._�'!�—Suit//e--------..__—_._ MEC ✓ �d � �l
Contact Person _ .__ ___-- Ph(_ ._) �rZ 2-71 PLM — ^_
Contractor _--,__.----.— --_- ----__— Ph(__--) — ---- SWR `--
B_UILDING _ TendnVOwner ______..._�—_— _ —�__,—_� ELC
Footing ELC
Foundation Access:
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Sherr Anchors -
Ext Sheath/Shear
Int Sheath/Shoar
Framing - _ - - ---- ------ --------- - ---- --. ..
Insulation
Drywall Nailing --- - - --- --
Firewall
Fire Sprinkler -- --- ------- -- -
Fire Alarm I
Susp'u Ceiling --_- -- --
I -
Roof
Other: -- - - - -
Final
PASS PART FALL
PLUMBING_
Post$Beam
Under Slab -
Rough-In
Water Service --- _--- - ---- - - -- -- -
Sanitary Sewer
Rain Drains ..._-------_--
Catch Basin/Manhole
Storm Drain -- -- - — ---- - ---
Shower Pan
Othnr -- - ----- --
Final
_ PART_ FAIL
Rough-In )(-f
Gas line L — -- -------- - -
Smoke Dampers QC
T FAIL - - - - - -
---
ECTIF .
,,O -- - -- --- --
UG/Slab .t' -------
I ow Voltage G.
Fire Alarm _---- ----.--_---�__�- __-
F1 Reinspection fee of$ required before next insp9ction. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE - L-� Please call for reinspRction RE: __. I j Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dats ._._ �°+' _ Inspector_ . _ ..__ -___ ____ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL