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13391 SW HILLSHIRE DRIVE I I H W W x H r r x �H1 x7 � f I 13391 SW H.ILLSPIRE DR. - a le e CITY OFTIGARD BUILDING INSPECTION DIVISION U 24-Hour Inspection Linc: 639-4 i75 Business Phone: 6394171 Date Requested: —20 1_(1 _ A.M. J� r P M. MST: _ Locution: —1 '�� 3 ��I 'VV _ /A, IUP: I enant. _ Suite: /Bldg: MEC: " Contractor: t Phonc: �✓3 t. 6, Il PLM Owner:_ Phone: ELC:_ AL h_ S(T: ---- BUILDING BLDG(con't)--�.UMBING CHANICAL ELECTRICAL SITE Site Post/Ream Post/Iltwn Post/13cam Cover/Service Sewer/Storm Footing Roof I IndFI/Slnh Rough-In Ccii:ng Water Line Slab Frarning 'D op that Gas bine Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/1)uct Reconnect Vault^ Rsmt Dump Drywall Stonn Furnace. t 1./ Temp Service Masonry CeilingRain Ilium ��'' 1;6 Slab Shear/Sheath Fire Spklr/Alm Crawl./I ound Ili i cal t Pump Low Volt Approved Approvedppro � Approved Appr/Sdvvlk Not Approved Not Approved u ved Not Approved Not Approved FINAL FINAL f INALC' FINAL FINAL I7 Call for reinspectio ` O Reinspection fee of S rquired before next inspection f11 In,uhle to inSI)CLI Inspector, Date: �� �� 0 Pagc- I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line 639-4175 Business Phone: 6394171. Date Requested: _ p � _— A. ./�, /�� IM. MST: Lu.,ation: —L —_ iN .—� C BUR Tenant:_ _ _ — Suite: —Bldg: Contractor: —_phone: v2 C�01 L_ PLM: t7wnerPhone: i _ ELC: S F. CJ�/1T.CfCt— LR: BUILDING HLDG 't) PLUMBCNG MECHANICAL ELECThiI—�C+ SITE Site Post/Beam Post/Beam Post/Beam Cover/Service ervice Sewer/Storm Footing Roof IhtdFI/Slab Rough-In Ceiling Waterline Slab Framing -fop(hit Lias Line Rough-In U0 Sprinkler Foundation Insulation Sewer flood/Duct Rcc:ormmt Vault Bsmt Damp Ihvwall Storm Furnace Temp Service MISC. I`Iasonry Ceiling Rain Drain A/C �-_ OLG F'F1tE'm1 /� Shear/Sheath Pirc Spklt/Alm Crawl/I'ound Dr Hest Pump �'�;c yr;;.� top- C-0/o rpQ(— Approved Approved Approved Approv Approved Appr/Sthvlk Not Approved Not Approved Not Approved Nol 7C pn red Not Approved FINAL FINAL FINAL IN FINAL —_ /r �-r��_�iQr1- -��_1� _�� � -Cc�.rn ,� JP_ l.`� __�3✓l���e_�'4�_�b�-� L--- Cl Call for reinspection 0 Reinspection fee of S_ required before nextinspectionC3 Unable to inspect Inspector:----_� �i�l Date ! a _( d_ Page of—_— CITY O F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC98-004J, DATE ISSUED: 02/09/98 SITE ADDRESS. . . : 13391. SW HILLSHIRE DR PARCEL: 2S104CA--07400 SUBDIVISION. . . . : HILLSHIRF ZONING: R-7 P1) BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :074 JURISDICTION: TIG CLASS OF WORK. . :ALT `7LOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R31 VENTS W/O APPl._ - 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : I DOMES. INCIN: 0 :ELC 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX I NPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HID. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS—----- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU- 0 10000 (..fm : 0 GAS OUTLETS. : 0 FLIRN ) =100K STU: 0 > 10000 c,fm : 0 Remarks : Installation of carrier air conditioner Owner-: --------- FEES PENNY WISFNER type amoiji-it by date r-erpt 13391 SW HILLSHIRE DR FIRMT $ 25. 00 DRA 02/09/98 98-303140 TIGARD OR 97223 5)P f-,T $ 1. 25 D R A 0Z'!09,198 98-303140 Phone #: SUNSET FUEL CO PO BOX 4.287 $ 26. 25 TOTAL PORTI-AND OR 97242 Phone #: 503-234-0611 Reg #. . : 000023 REWIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt I n s p applirabip laws. All work will he done in accord6rice with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than IN days, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules arp set forth in OAR 952-01-6010 through OAR 992-00I-0898. you may obtain copies of these rules or direct n,---,'.1,1ns to OLINC by calling I s s i-i eB Ly: C444 TLtt�-t Permittee Signatt-:re: '' , z 1 4........q.................................................................. Call 639-4175 by 7:00 p. m. for inspections needed the next bLisiness day 4........4................44-4+4......... ;+++_l......4........4.................. City of T-igard MECHANICAL PERMIT Planck/Rec. # _ _ 13125 sw•Hall Blvd. APPLICATION Permit # Tigard, OR 9722.3 (503) 639-4171oscription _ •M Table 3A Mechanical Codo 01-Y PRICE AMT Job k4 141 11 1-., r 1— 1) Fertnit Fee e -0- 10.000 Address ad• (� ,v 0Q Cj 1 2) Supplemental Permit 3.00 \ — Fur Ioo,0W BTU 1) incl.duds a vents 6.00 +••vim•••• 11 furnace 100,000 BTU t Owner 1 j �C - -V �4, 2) incl. duds d vents 7.50 W� r Floor urnancc \C.L' �L �� .�j 3) incl.vent 6.00 - r•M «�« iw.«. Suspentlod heater,w heater t� er 4) or floor mounted heater 6.00 v »• int not! to Occupant 5) appliance permit 3.00 16F- '31t epalr of cheating,reTrn3."---- - 6) cooling,absorption unit 6.00 Boller or comp,hoat pump,air co- nd _�R �-� �.�1♦ 7) to 3 IIP absorp unit to 100K BTU -_ 6.00 1,,, t. M�.v A,0••• Ebder or conhp,heal pump,air conn Po dL>x /+�O1 a 3L�_pty�11 8) 3 HP absorp unit to 500K©TU 11.00 Contractor - -- et or comp,Tioat pump,air con 9) 15 30 HP absorp unit.5 1 mil BTU 15.00 W «:••••Mr a - *ham 3oiler or comp,heat pump,air Gond. ����, 10) 3050 HP absorp unit 1-1.75 mi!BTU 22.50 -rThcre by n-,chow! ge d6-t have rea h!s app ication,t hal ie Boiler or comp,lyjal pump,air cond. information given is corTort,Mat I hm the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that flans submitted are in compliance with Slate Air handling unit to laws,tfiat I am registered with the C.;nstruction Contractors Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, dr hanl-in-q unit pteaso give reason below.` 13) 10,000 CTM a 7.50 - Non p(xwhle-- 14) evapo(ato cooler 4.50 Vent fan connect 15) to a single dict 3.00 Ventilation system not 1/1C r )Aur-Av,.� •� `I 16) included in appliance permit 4.50 17) medmirikal exhaust 4.50 ec xhtxh work now Cy addition 0 alteration 0 repair Commercial or in stn:,' to Ix,done residential N, non-residential U 18) typo incinerator 30.00 xtsbf.g use of —U her tie.,woodstove.water bttilding or proporty ---_ 19) heater,solar,dothes dryers,etc 4.50 Proposed use of 20) Gas piping one to hur outlets 2.00 building or prriporty — \ 21) Moro than 4 per outlet Typo of fuel -of O natural gas O LPG O electric -- - -- ---. _�--NOTTICf --- - -- -- -- Minimum f-ee$25.00 SUBTOTAL ` C PERMITS BECOME VOID IF WORK OR CONSTRUCTION - - AUTIIORI7ED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE •� IF CONSTRUCTION OR WORK IS SUSPENDED OR `-- - -- ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL. AFTER WORK IS COMMENCED. ( TOTAL_ Special Conditions v � l� S•-` - -_ `- Date issued -- - -b ---- -- ►wrarruT `' I ��1 S �� FUEL COMPANY 2944 S.E.POWEL L SO VD. P.O. BOX 42287 PORTLAND,OR 97242-0287 TELEPHONE 234-0611 FAX tf 503-224-0380 t N J � i L z Si- r44 'ITY OF TIGARD ELECTRICAL PERMIT 057 DEVELOPMENT SERVICES PERMIT #: E: 0 �� DATE :ISSUED:: 020`//099/9/9 8 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: -2S104CA-07400 SITE. ADDRESS. . . : 13391 SW H I L.I_SH I RE DR SUBDIVISION. . . . :HII_.1_.SHIRE ZONING:R 7 PD BLOCK. . . . . . . . . . . L.OT. . . . . . . . . . . . . :074 ,JURISDICTION: TIG Pro j ect De seri pt i on : Add a first branch circuit to an existing SFD. ---RESIDENTIAL UNIT_-._..- _-_TEMP SRVC/FEEDERS----- -.-_.--MISCELLANEOUS--..._-__ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 FACH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT I__INE LTG. . : 0 6 401 00 am 0 SIGNAL./PANEL. . . . . . . : 0 LIMITED ENFRG'Y. . . . . : 0 � P• h,ANF. HM/ SVS:/FDR. . : 0 601+aMp, ;--1.00(A Volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDE:R---- ----BRANC.H CIRCLJITS------- ---ADD' L INSPECTIONS-.___. 0 - 0'00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 :=101 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1. PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . . N EA POD' L BRN(.:H CIRC: 0 TN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . : 0 --------------------PLAN REVIEW 1000+ amp/volt. . . . . : 0 ) =4 RES UNTTS. . . . . . . .. : ) 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR )= J 5 AMPS. . : CLASS AREA/SPEC OCC. :Owner: ------- __._-- FEES - PENNY WISENER type amoi-int by date recpt 13391 SW 'AILLSHIRE. DR PNMT $ 35. 00 GEO 02/09/98 98-::301142 T'IGARD OR 9722.31 5PCT $ 1. 75 GEO 02,/09/98 98-303142 Phone #: Contractor: -------__._.__•---__ •---_._- -------------------------- ------_____ ----------•---------- WEST c I DE ELECTRIC $ 36. 75 TOTAL_ 7518 SW MACADAM AVE REQUIRED INSPECTIONS ------ PORTLAND OR 97219 Elect' 1 Service Phone #: ;_45-x,385 EI.eci;' 1. Final ReQ #. . : 000133 This permit is issue:l subject to the regulations contained in the Tiqard Municipal Code, State of Oregon Specialty Codes and all ether applicable laws. All Mork will be done in accordance with apprnved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more than 190 days. ATTENTION: Oreqon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95r-0A1-0010 throunh OAR W-001-1597. You may obtain a My of these rules or direct questions to OUK by calling (593) 4¢-1987. Flermittee Signati-:i-e : ISSI_ied By- INSTALLATION y-INSTALL.ATION ONLY- -------- -� --- -- -�-� _--The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: __________ --------.-------CONTRACTOR TNSTALL.AT 1ON ONL --- ------ - -- SIGNATURE OF SUPR. 9FLEC' N: � ' /'- DATE: I T rFNSE NO: _-6 ._._5..._—. f ++++++++++-h++-l ++++++++++.4-++++i-++++++++++++++++i++++++-I +++++++++++++++++++++++ Call 639-41.75 by 7:00 p. m. for an in-,pection needed the nest bk_<< iness day +++++•t+++++++++++++++++++++++++++++++ +++++++++++++•+++++++++++++++++-f++++-F++++++ Ip CITY OF TIGARD Electrical Permit Application Plan Check q 13125 SW HALL BLVD. r Ll y -oo I � Recd By 11� TIGARD OR 97223 Date Recd_�x �__•�--�� Date to P.E. Phone (503)639-4171, x304Date to DST Inspection (503) 639-4175 Prin o Type Permit N c_L 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 par parmit allowed Name(or name of business) Service!t/ �r GYfJP/��t Service included: Items Cost Sum Address ��`+� �/ �r. 4a. Resldentiai-per unit �?. 9 72 2 3 1000 sq.It.or le:,s _ $110.00 City/State/Zip moi" Each additional WO sq.It.or Commercial ❑ Residential L7 portion thereof $25.00 Li mited Energy � $25.00 Each Manuf'd Home or Modular Dwelling Service or Fender $68.00 2a. Contractor installation only: (Attach copy of all current licses/ 4b.Services or Feeders Electrical Contractor 71C c' C :C Installation,alteration,or relocation 200 amps or less $60.00 __�_ 2 Address * 201 amps to 400 amps $80.00 _ 2 CityC1101 G e irf State r�Ss Zip �/71/ 401 amps to 600 amps $120.00 _- 2 Phone No. /' F LIE 601 amps to 1000 amps $180.00 2 Job No. i-, ) 1 1-2 Ovar 1000 amps or volts $340.00 2 Elec.Cont. Lice No. E,� / S C. Exp.Date- Reconnect only $50.00 2 OR State CCB Reg. No. ' 'L _Exp.Date___ _,. 4c.Temporary Services or Feeders COT Business Tax or Metro No...--_Exp.Date _ Installation,alteration,or relocation 200 amps or less $50.00 _ _. 2 Signature of Su r. Elec'n ! .%/�- -_ 201 amps to 400 amps $75.00 _ 2 g p 401 amps to COO amps $100.00 _ 2 / r Over 600 amps to 1000 volts, License Nc Stw J Exp.Date - see"b^above. Phone Nr Z 3/-/ S- (' 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchnse of s9rvice or Print Owner's Name feeder tee. AddressEach branch circuit $5.00 2 b)The fee for branch circuits City_ State Zip _ without purchase of Phone No. __-. service or(seder fee. First branch circuit $35.00 2 The installation is being made on property;own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent 4e.Miscellaneous (Service or feeder not Included) Owner's Signature _. Each pum, or irrigation circle $40.00 Each sign or outline lighting $40.00 2 .7. Plan Review section (if required):' Signal clrc0t(s)or a limited energy panel,alteration or extension $40.00 Minor Labeln(10) $100.00 Please check appropriate iters and enter fee in section 5B. 4 or more residential units in one structure 41.Each additional inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35 00 Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total o!above fees 5%Surcharge(.05 X total fees) $ ------ NOTICE Subtotal $ - 5b.Enter 25%of Ione 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) $ -- NOT cnMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK I Subt9 $ IS SUSPENDED OR ABANDONED FOR A PEniOD OF 180 nAYS AT ANY ITrust Account M a3-12k � TIME AFTER WORK IS COMMENCED. $ Total balance Due / ` T�I 1\DSTSTLC96 APS' Rev 49A RECEIVELa FEB9 - 1999 co;�Murar���tv�wNMtnr A CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PL.M97-01.41 13125 SW Hall Blvd.. rIgHrd,OR97223 (503)639.4171 DATE ISSUED: 04/24/97 PARCEL: 2S104CA-07400 SITE ADDRESS. . . : 13391 SW H I I..LSH T RF DR SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD BI-OCN. . . . . . . . . . .I L.OT. . . . . . . . . . . . . :074 JURISDICTION: TIG CLASS OF-WORK. . :ADUr-._-M�GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF UCF. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPrNCY GRP. . :H2 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . : 0 STORIES . . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS•• . . . . . . : i FIXTURES---------••----- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . .. 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORTES. . „ . 0 OTI;ER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEkSR !_INE (ft ) . . . : 0 WATER CUSP "'. : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : instl 1. residential backflow prevention devire Owner: __ _______.---______..________..-------------_._ FEES -------_---_-_ WISENER- -______._-- type amount by date recpt 13391 SW HILLSHIRE DR PRMT $ 15. 00 TAT 04/24/97 97-29369E TTGARD OR 97223 SPr'T $ 0. 75 TAT 04/24/97 97-293696 Phone #: CEDAR LANDSCAPE 14375 SW PATRICIA AVE HIL.LSBORO OR 97123 ------------�--------•-----------------___ Phone #: 503-628-3411 $ 15. 75 TOTAL. Reg #. . : 000058 -------- REOU I RED INSPECT 1 ONS ------ This pertit is issued subject to the regulations contained in int Mi sc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backflow Prev a4phcable laws. All work will be done in accordanc, with Final Inspection approved plans. This pewit will expire if work is not started within IN days of issuance, or if wo-k is suspended for tore than IN days. --- F='e r m i t t A e S i g n a t •e�l-/�. /�_.�:�Ci�_....-. �_... � � - __� _._._.-----y_�__._..... s s u e d B y: all for inspection - 639-4175 :11Y.OF TIGARD Plumbing Application Rec'dBy _ 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. Z503 639-4171 Date DST 1 Permitt Print or Type Related SWR Incomplete or illegible applications will not be accepted Called. Name of DevelopmenVProject FIXTURES (Individual) QTY PRICE AMT Job // Sink _ 9.00 Address Street Address rSuitc Lavatory 9,00 Tub or Tub/Shower Comb. 9.00 Bldg 0 City/State Zin Shower Only 9.00 7 3 Water Closet 9.00 Name DishwashEr 9 ro li ngr SL rens = Owner Matting Address SuiteGarbage Disposal 9.00 WashinC Machine 9.00 CitylState Zip Phone — Floor Drain 2" 9.00 3" 9.00 Names -- 9.00 Occupant Mailing Address Suite rater Heater 9.00 Laundry Room Tray 9.00 City/State Zip Phone Unnal 9.00 Name Other Fixtures(Specify) 900 l_L /7N/' /A✓D�r N i� 9.00 0.3ntractor Mailing Andress Suite 9.00 /q. .i 5 ),, r!4' /C/h' /9t r 900 City/Slate Zip Phone -- — 9,00 Oregon Const.Cont.Board Lic.0 Exp.Dale900 _ _ Attvch Copy of �'7 3 fc' i 9.00 Current Plumbing Lic.a E--(p.Date Sewer.1st 100" 30.00 Licenses ----- —+ _ Sewer-each additional 100' 25.00 COT Business Tax or Metro 0 Exp.Date Water Service-tat 100' 3000 Name v� Water Service each additional 200' 25.00 Architect Storm d Rain Drain-1st 100' 30.00 Of Mailing Address Suite Storm&Rain Drain-each additional 100' 2500 Mobile Horne Space 25.00 Engineer City/State — Zip Phone Commercial Back Flow Prevention Device or Anti- 25 00 Pollution Device _ Describe work New O Addition O Alteration O Rtnair U Residential Backflow Prevention Devic, li 1500 to be done: Residential O Non-residential O Any Trap or Waste Not Cornected to a F ixture 900 Additional description of work — Catch Basin 900 Insp of Existing Plumbing do 00 per/hr Existing use of --� Specially Requested Inspections 4000 i penhr building or property--_ I Rain Drain,single family dwelling 30 00 —� Proposed use of Grease Traps 900 budding or property_ i _— QUANTITY TOTAL Are you capping moving or replacing any fixtures' Yes p No I- Isometric or r ser magram is required d yuan ty Total 13 >9 ;If yes see back of form) 'SUBTOTAL i /S I hereby acknowledge that 1 have read this application.that the information -- given is correct.that I am the owner or authorized agent of the owner and 5%SURCHARGE 7S' that plans submitted are in compliance with Oregon State Laws. Signature o1 Owner/Agent Date PLAN REVIEW 25%OF SUBTOTAL �Reauired o_nty A flrture qty total is>9 _ C_f�-��c- '% � TOTAL Contact Person Name Phone — *Minimum permit fee is 525- 5°6 surcharge,except Residential Backflow C tz)r S /1 ` A? Prevention Uevir.e,which is$15 surchame i.\dsts\plmapp.doc 8/96 A EASE COMPLETE-AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory _ Tub or Tub/Shower Combination_ _ Shower Only Water Closet Dishwasher_ Garbage Disposal _ Washing Machine Floor Drain 2" 3" 4" Water Heater Laundry Room Tray _ Urinal _ Other Fixtures (Specify) OMMENTS REGARDING ABOVE: ----_-_--PLC -IVV r i --------- --A Sys r -----_�. ----- -- —— — — ---- COM19UNIIV _- CITY SOF TIGARD DEVELOPMENT SERVICES ELF_CTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4111 RE;T R I CTE D ENERGY PERMIT #.- EL R97--O 1.29 DATE ISSUED: 04/24/97 PARCEL: 2S 1 O4CA—O74O,'A SITE ADDRESS. . . : 13391 SW HILLSHIRE DR SUBDIVISION. . . . :HILLSHIRE 7ONTNG: R--7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :074 JI.JR I SD T C'rN: T I G Project Description : instl 1 irrigation controller --------------------------------------------------------------------------------- p„ RESIDENTIAL.--- B. COMMERCIAL------------------------.---_____—_—_--_ AUDIO & STEREO. . . : AUDIU & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/I RR I GAT. . : GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . .. . . . . . . . : DATP/TELE COMM. . : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE AL.ARM. . . . . . .. OUTDOOR LANDSC f_.I TF: OTHER: IRGTN CNTR: : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : . , TOTAL # OF SYSTEMS: 0 Owner,: ------------------------------------ _----------------- FEES WISENER type amol_int by date recpt 13391 SW HILLSHTRF DR PRMT $ 40. 00 TAT ?4/24/97 97--93696 TIGARD OR 972223 5PCT $ 2. O0 TAT 04/24/97 97-29369 6 Phone #: CEDAR I.-ANDSCAPE 42. 00 TOTAL 14375 SW PATRTCIA ------- REQUIRED INSPECTIONS - - - HILL_SBORO OR 97123 Ceiling Cover Elect' l Set-vice Phone #: 503-628-34tl Wall Cover Eler_t' l Final 00005A � � h regulations ntained in the ihl5 pere�t 15 ,551ed subject toco Tigard M.:nirioal Code, State of Ore. Specialty Codes and all other Permitee ignatUre applicable laws. All work will be done in accordanr_e with approved plans. This pereit will expire 0 worth is not started within 188 days of issuance, or if worth is suspenued for yore __ _--. than 188 days. Issl_led By _._---------------._--________OWNER INSTAL_L_ATION ONLY-- The i.nstallatinn is being made on property I ow-. which is not intended far sale, lease, or ren+.:. OWNER' S SIGNATURE: ------ DATE: ---------------------------CONTRACTOR INSTALLATION SIGNATURE OF SLIPR. EL.EC' N: DATE: . . I_T CENSE NO: Call for inspection - 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. PERMIT # L `f / Tigard, OR 97223 - Phone(503)639-4171 (�_j '7 FAX(503)684-7297 DATE ISSUED 'TDD No. (503) 684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 133,71 S w Dar _ Address RESIDENTIAL--Restricted Energy Fee . S40.007r�R,-> 6R 9'7-2-2 3 IFOR ALL SYSTEMS) City State Zip Check Type of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNt7ARLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 1140 DAYS Of ISSUANCE OR If WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm ❑ Garage Door Opener* 2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System' Contractor 6*t-, Mg 1AA)DSeVl- Type i4-1-11iS54tee ❑ Vacuum Systems" [I] Other .I RR�ar�o� L'64-f74V4K CQ Address /4 3'1 T ,Su.! Of rRicii� A`f'" N�/s�v,�i Date Q - - q.7 COMMI RCIAL—Fee for each system . . . . . . . . . $40.00 (SEE OAR 918.260-260) Property Owner W/SEN'�/Q _ _ Lbgsk-Typef Work Involved: Contractor's Board Reg. No._ S b'9 3_- ❑ Audio and Stereo Systvms ❑ Boiler Controls Phone # (c D8 " 3 4 It _ - ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No El Instrumentation ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit is issued under OAR 918.320-170 This applicant agrees to make only ❑ Nurse Calls restricted energy installations 000 volt amps or lessl under this hermit and to do the (J Outdoor Landscape Lighting' fullrnving. Protective Signaling 1 Only use electrical licensed persons to do installations where required.Wenaln residential and other transactions are exempt from licensing.These have ❑ Other _ .- asterisks(•).All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at-J3.639.4175. ❑ Number of Systems 1 Purchase separate permits for all installations that are not ready for Inspection —' when the inspector is out to inspect under this permit. •No Ikenses are required. lkemses are required for all other Irntalletloml. d. Assume responsibility for assuring that alt crinertions required by Ilse inspector -- --- --are done,and S. Assume responsibility for calling for it final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must he the.applicant or a person a. Enter Fees $ U -- authorized to hind the applit aril GC i b. 5%Surcharge(.05 x total above) $ �2 Signature TOTAL. $ -4.2 Authority if other Ihan.ippff.int J� ENERGAP.CHP a i �i i I RECEIVED APR 2 4 1997 GOMMUNIfY UEV[.LUYMLNi