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12372 SW MILLVIEW COURT-1 13 MMATIM MS ZLEZ t f F i Gn M N W J I 12372 SW MILLVIEW C7 CITY �� � ��� � - ELECTRICAL PERMIT T —_ R PERMIT 0: ELC200a-00540 DEVELOPMENT SERVICES DATE ISSUED: 8/25/2004 13125 SW Hall Blvd.,Tigard, OR 97223 (50;,)639-4171 PARCEL: 1;:34CD-13300 SITE ADDRESS: 12372 SW MILLVIEW C1 ZONING: R4.5 SUBDIVISION: MILLViW E BLOCK: LOT: 033 JURISDIC710N: TIG Project Description- Kitchon remodel,rolocate(4)branch circuits. _ ,lob No. 288 RESIDENTIAL UNIT TEMP SRVCIFEEDERS �— MISCELLAi.EOUS J 1000 SF OR LESS:^ 0 - 200 amp: PUMP/IRRIGATION. I EACH AWL 500SF: 201 - 400 amp: -,GN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGKAL/PANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUIT: ADD'L;NSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 PES UNITS: >600 VOLT NOMINAL- Reconnect only: SVC/FDR>a 225 AMPS. �- CLASS AREA SPEC OCC: Owner: Contractor: MYSHAK, TIMOTHY& BARBARA GAW ELECTRIC INC 12.372 MILLVIEW CT. P.O BOX 3414 TIGARD,OR 97223 TUALATIN,OR 97062 Phone: 503-691-9878 Phone: 503-620-5655 Reg*: LIC 150495 ----- --- ELE 34-586C - FEES SUP 3939S Descriptle", Date Amount _ Required I!ispections [ELPRMT] ELC Perniit 8/25/2004 $66.80 [TAX]8%State Surcharge 8/25/2004 55.34 Rough-In Elect'l Final Tetal $72.1 it This Permit is isstied subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applKsble laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 186 days n,issuance, or if work is suspended for mora tht n 180 days. ATTENTION Oregon law r,quires you to follow rules adopted by the Oregon Utility Notification Center. Those rules set f.rrlh In OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct quF,stions to OU. Cat(503) 24 899 or 1y -800-332-21 IL I sued B • Permit Signature: OC - F N —__- OWNER INSTALLATION ONLY The installation is boing made on property I own which is not inte d for sale, lease,or rent. J _ al OWNER'S SIGNATURE: BATE: _ J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �2a��� T r.---= DATE: LICENSE VO: 9 _ _ C al!639-4175 by 7:00pm for an Inspection the next business day E12c'.rical Permit Application City OE TigardRec fty: Permitrlefl.� j!�_ 13125 SW liall Blvd, I igard,OR ')722 f Plan Review Phone: 503.639.4171 Fax 5(13.599.1960 Date/B (steer PtaatiL Inspection Line: 503.639.4175 time Reedy/By 1 A ■ See Page 2, Internet: w%,%.ci.:igwd.nr.us NatifM/RdethM �V 3ypwmen4llaarmadNa TYPE OF WORK _ PLAN 1111iV" (�New construction - ®Addition/alteratiori/replacemcrit - Please check all the.;apply�- ❑Dcmolilion ❑Other: 0-Service mer 225 amps,c omm'1 ❑lls7ar lous location �_— ❑Service river 320 amps-rating ❑Buildng over 10,000 sq.ft., l'.ATKGORV OF CONISTRUCTTON of I•and 2-family dwellings Y or more new residential ® 1-and 2-famil., dwelling El Commercial industrial F1Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories []Feeders,400 amps or more ❑Molt family ❑Mas!er buil:'er ❑Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE 000111MATWN AND LOCATIIIN ❑1 gress/lighting plat RV park ❑Health-care facility ❑other Job no.:288 Jnb site address: 12372 SW MILLVIEW CT. Submit 2 sets of plans with any of the above. City/State/ZIP:Tk;ord,OR The above ere not apylictdhle to ternptKarry urhstructitn smiee. Suite/bl;lg./apt.no. Pmjed.K name.SI-S-MVSHAK Cross stroet/dirextions to job site: 121"'dr SUMMER CREST New residential%bRk-or meld-famlly dweOlos malt.- --- - ---- — lacledes attached garage. I,OfA; ft.or lees 145.13 4 Subdivision: — -- -- Y -- Lot no.:40 t "a Wfl 500 sq.ft.or portion 33.40 1 Lit.-.:!ed energy,residential 75.00 2 Tax map/parcel no.:_ Limited energy,ndn-residential 75110 2 DL9CRIPTION OF WORK_ Each inenufactured or modular KITCHEN REMODEL-RELOCATE EXISTING CIRCUITS dwelling,service and/or feeder 90.90 2 Services or feeders installation,alteration,and/or relocation 2-KITChEN APPLIANCE ac 2 15 AMP LIGHTING 200 amps or less 90.30 _ 2 i] PROPERTY ONNt<R ❑ TKINA14T 201 strips to 400 a cops- 106.95 2 -- -------- 401 amps to 500 tangs 160.60 2 Name: �IAY Y r i 601 amps to 1,000 mops 240.60 2 Address: -t— Over 1,000 corps or volts 454.65 2 --- --- Reconnect only 66.95 2 City/State/7.IP: Temporary serekcs or feeders Iaahllatlon.alteration,andtor _ f itune: -- ?17 Fax: reloatlo� ( ) 200 amps or less 66.95 �Et2 Owner installation: tis installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 intended for sale,lease,rent,or exchange.according to ORS 447,449,670,and 701. 401 romps to 600 amps 133.75 Owner siguatme: bate: _ Broach circuits-new,alteration.or extension,per panel AKLICANT ® C014 'ACT rMtlR801t1 A.Fee for hranch circuits with --- -- service or reek"f-c.each 6.65 2 Business name: branch circuit —. B.Fee for branch circuits Contact name: wirlroui service or feeder - each branch circuit { 46.95 I Address: Each add'I brunch racuit tli6.63 2 City/State/ZIP: — - Miecelhae(1e_s_dKrvke or feeder■o incladed) Pump or irrigation circle 53.40 2 0- Phone:( ) _ Fax: '( )_ Sign or outline lighting 53.40 2 a E-mail: Signal circuit(s)or limited-— --- I- N CVR MCTIOR energy peel,alteration,or - t Business name:GAW Ekextension.Describe: Padre 2 trie Inc. Address:P.O.BOX 3414 Each additional loopectloa ever allowable In say of the sbene ---- - -_-- Per inspection 62.50 1 1 �r LU City/State/7.IP:Tualatin,OR 97062 Investigation pet hour(� ren) 62.50 I Phone:(503)692-3540 Fax:(503)217-6236 Industrial plant per hour 73.75 CCDrr Lic.: 150495 Electrical Lic.: 34-5860 Suprv.Lic: 3 Subtotal O Suprv.Electrician signature,required: _Plan review(21)%of permit fee) - State surchxV(IDX of permit fee) ,3 Print name: bat /. -- TOTAI,PF.RM17'FEE Authorized Signature: Thin permit application espim If a pewmh M all aMaioed trlfhln IM Rays after N lice been ateephd es eemplek Print name: � I / Date: 08n-" • Pee mdhn lnMgy ser by Tei-Canty Building IndtwryService Board ••Number of inv. wtiom ver rw mit slowed CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00382 131253W Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 8/23/2004 SITE ADDRESS: 12372 SW MILLVIEW CT PARCEL: 1S134CI3-13300 SUBDIVISION: MILLVIEW ZONING: R4.5 BLOCK: LAT: 033 .JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MCSILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIE.i: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1�~ - URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUIVSHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISH:!ASHERS: 1 RAIN DRAIN: ft Remarks: Relocating plumbing fixtures. Other fixture: ice maker. FEES Owner: - �' Description Date Amount Ml SHAK (PLUMB]Permit Fee 8/23/2004 $72.50 12372 MILLVIEW CT. TIGARD, OR 97223 (TAX)V14 State Surcharl 8/23/2004 $5.80 Total $78.30 Phone: 503-691-9878 Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone: 503-692-4139 Top-outlnspFinal Inspection Reg#: LIC 87852 PLM 34-166PB IL N m This permit is issued subject to the regulations cont Mined in the Tigard Municipal Code, State of OR. iu Specialt% Codes and all other applicable laws. All work will be done in accordance with approved -' I ;�:.s. T;iis permit will expire if work is not staited within 180 days of issuance, or ' ;work is suspended for more than 130 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these Hales or direct questions to OUNC by ca 'ng (503) 246-6699. Issued By: Permittee Signature: Call (503)639.4175 by 7:00 P.M.for an Inspection needed the next business day 'Plumbing Permit Ap► !' City of Tigard IVEQ Datc received: O 3 Permit mower Permit No. Buildu)Y Permit No. 13125 SW Hall Blvd. Tigard,0g722� �ooy Proiect/Anal.No. Expire Date Phone:503 639.417'.Fax 503 960 -L?JdA Jame S:J Y Re ' t N.-1 Land Ilse Approval X 1 &2 Family dwelling or accessory U CommerciaLlindustrial U Multi-hastily U Tenant impmvemcnt U New construction I!.Addition/alleratu,n/replacement U Food service U tither:_ 1113LIMIENEW W�� M= Uescriprinn _ Qty Fee Total Job address: 12372 SW Millvievv Court New I&2 rnolly dwelling only:/4.IMI ft Bldg. No.. Suite no.: SFR(1)Hath Y 3249.20 a Fax map/tax lot/account no.: SFR(2)Bath $350 0 SFR(3)Hath $399 0 Lot: Block: Subdivision: Each additional bath/kitchen $ 0 Project name: Myshak �w site UNNtka:Catch basin/area drain 516.60 0 Dry wells/leach ling/tremh dmi'r S 0 City/county: Tigard Zip: 97223 Footing drain(no.Lin.ft) _ $ 0 Description and Location of work: Swap Sink W/Dishwashtx Manufactured Home utilities.each $46.40 r 0 MenMrlcs S 0 Date of Co mpietion/inspection: Rain Drain connector S 0 Sanitary Sewer(no.of linear rW)100' $55.00 0 Business name:RAYBORN'S PLUMBING Storm Sewer (no.of linear f 0100' 555.00 0 Water Servicc (no.of linear fem)100' S55.00 0 Address:P.O.BOX 69 Fhtnre or item City:TUALATJN State:OR Zip:97062 Absorption valve $16.60 0 Back fl,)w prevemer $27.55 0 Phone:503 6924139 Fax:503 691-2328 Hackwah,r valve $16.60 0 F Mail Address: Basins i Lavatory 516.60 0 Clothes washer $16.60 0 CCB no. :87852 Plumb.Bus.No. :34-110 A Dishwasher I 516.60 tE.6 City/Metro Lic,No.: 001806 EDrinkingntain(s) $16.60 0 Contractor's signaturep 516.60 0 nk 516.60 0 Print name: nent.�th A.Pmvan her Date:8/23/04 er cap SW60 0 poor sinks/Hub $16.60 0 Garbage Disfosal 1 $16.60 16.6 Name: Mys�dk Hose Bibb $16.60 0 Address: 12372 SW Millview Ct Ice maker 1 S16.60 16.6 city: Tigard State:OR Zip:97223 Interceptor/Grease trap $16.60 0 Primer _ $16.60 0 Phone Fax: Roof drain(commercial) $16.60 0 L Sinks(s),Bosin(s),Lav(s) 1 $16.60 16.6 r Sump _ $16.60 0 yJ Notice:'i his permit application expires if n parmi►is not obtained Tubs/shower/shower pun S16.6b 0 M within 180 days after it has been acxpted as complete. Urinal $16.60 1 0 J Water Closet $16.60 0 Include Fixture fee breakdown sheet. water hearer $16.60 0 a Commercial permits require Sewer Tally sheet. Other: S16.60 0 U TOTAL 66.4 J Residential Backflow minimum Minimum Fee$72.50 72.50 S36.25• Plan review(a)25% Visa on credit card authorization sheet. Commercial requires 2 set:of Iso/ r1.4er. State charge.08% 5.80 Total 78.30 CITY OF TIGA!RD 24-Hour BUILDING Inspection Line: (503)639-41'15 INSPECTION DIVISION Bvr,�ness Line: (503)639-4171 MST SUP _ Received _Date Requested /() c�-cl AM PM,_�___ SUP Location �A,__> • o) cite--- MEC - Contact Person .. /�-c�,�� Ph( ) (Q PLM Contractor Ph SWR BUILDING Ten-int/Owner . �, _ _._ _ EL.C _ Footing Foundation FLG — ACGe8 Ftg Drain 8,,/ //� ELH — Crawl Drain �/� Slab inspecti rotes: SIT Post&Beam Shear Anchors _ Ext Sheath/Shear All Int Sheath/Shear Framing Insulation Drywall Nailing -------------- _ ___ —�_. Firewall Fire Sprinkier — -- — -- --- ---- -- — Fii:Alarm Susf'd Ceiling Roof Other. Final PASS PART FAIL - PLUMBING Post&Beam Under Slab Rough-In Water Ser✓ice Sanitary Sewer Rain Drains —- --- Catch Basin/Manhole Storm Drain — ----- — Shower Pan Other: PARY FAIL -- — MECHANICAL Post 6 Beam — Rough-In a Gas Line Ix Smoke Dampers W Final PASS PART FAIL --- --- — .� ELECTRICAL IQ Service Rough-In W UG/Slab Low Voltage --- Fire Alarm Final U Reinspection fee of$,_- __—_—_required before next inspection. Pay at City hall, 13125 SW Hail Blvd. PASS PART FAIL SITE Please call for reinspection RE:_ -- Unable'a inspect—no access Fire Supply Line ADA J — ft Approach/Sidewalk — I"spectm Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 241-Hour BUILDING 0 0 Inspection Ling: (503)638-4175 INSPECTION DIVISION Business i_Ins: (503)638-+117? MUT " "Up .. .._ Received —Date Requested___l �.�_ AM PM_ Blip Location -_I— a l -Sui`te�, MEC Contact Person -- )--I r-% /2 -- i _- Ph( ) ;_ ~ PLM Contractor- ---- -��- - Ph l ) Syy _ BUILDING w Tenant/Owr er _ Y_i_ aUU y" der Footing SLC Foundation Access: Fig Drain ELR Crawl Drain ' �,. �J Slab Inspection Notes:�'�� SIT Post&Beam Shear Anchors - --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _— Fire Alarm p ` Susp'd Ceiling U Roof Other: - - — Fina! -- � -� PASS PART FAIL - `--- PLUMBING Post&Beam - Under Slab Rough-In Water Service -- — Sanitary Sewer Rain Drains — --- —_ Catch p^sin/Manhole Storm Drain -- -- - --- - Shower pan Other: — --- Final --�^--- PASS PART FAIL MECHANICAL Post&Beam - ---- ,—_� —^ Rough-In a Gas Line Smoke Dampers — --- _ _— }� Final Cn PASS PART FAIL - -- - — t�T6 C1 Rough-In J Low Voltage F Alarm Reir.a in tion fee of$�_ _required before next AAT FAIL ❑ Pe" -- inspection. Pay at City Hell, 1312.;SW Hell Blvd. SITE _ r] Please call fgr reinspection RE: _ Unable to Inspect-no access Fire Supply Line AA �� ADprc.ach/Sidewalk Dab/0//Z 0 lesp�tor/Q" �� Other: Final _ DO NOT REMOVE this Inspection re"rd ftrolm the Jo site. PASS PART FAIL MECHANICAL PERMIT CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: MEC2000-00250 13125 SNS Hall Blvd.,Tigard, OR 97223 (503)639-4171DATE ISSUED: 06/2G/2000 PARCEL: 1 S 134CB-13300 .,ATE ADDRESS: 12372 SW MILLVIEW CT SU13DIVISION: MILLVIEW ZONING: R-4.5 BLOCK: LOT:033 JURISDICTION: TIG CLAS YORK: ALT FLOOR FURN: EVAP COOLERS: TY e — JF USE: SF UNIT HEATERS: VENT FANS: OCCUPY'NC 7 GRP: R3 VENTS WIO ADPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 FSP: , 1 DOMES INCIN: 3 - '5 HP: COMML. INCIN: MAX PAPU'i. BTU 15-30 NP: �iRE DAMPERS?: 30 -50 HP: REPAIR UNITS: GAS PRESSURE: 50+ HP: CLO DRYERS: S: FURN < 100K BTU: AIR HANDLING UNITS C FURN >=100K BTU: <=10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Install an air conditioning unit. A/C units cannot be placed within the required setback areas. Owner: FEES TIM MYSHAK Type By Date Amount Receipt 12372 5v. MILLVIEW CT PRMT GEO 06/20/20( $50.00 0003138 11GARD, OR 97223 5PCT GEO 06/20/20( $4.00 0003159 Phone: Total $54.00 -- Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 771-1145 Final Inspection Reg#:LIC 02734 PLM 26-60P ORIGINAL J _m wJ This permit is issued subject to the regulations contained in the Tlgaro 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 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 O:-egon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain espies se ryjss or direct questions to OUNC by calling )246-9 i89. Issue By: _- Permit; Signature: Call(503) -4175 by 7:00 P.M.for Inspections needed the next business day JUN-14-2000 10: 13 F.�J 3 Plan Check CITY OF TIGARD Mer.hart:ical Permit ApplicaticipRECEIVED d RBed-- 13125 Sohl HALL BLVD. Commercial and Residential D.Ie Reda _ TIGARD, OR 97223Data to P.E. (503) 639-4171, ,004 JUN 2 0 2000 Date to DST Op ' LOACXq /0 rj 8 �/ Print or Type COMMUNITY act 101,lMEat Permit s�- � _ Incomplete or illegible app ications will not be acce tp ed Nemo or prnarVPre)ear Description 'T ih/1 Tabic!tAMechanical Code t] Prioa Amt Job Skr"N ^'� L u , A Permit Fee - -� 16.00 Address eL� tL 1) t-umace to 100,000 STU Induding ducts&vents see footnote 1,2 9.65 ` fir-"* zo 2) Furnace 10 .000 BTU+ includi duds 6 vents see footnote 1.2 12.00 ova No(,r nsrn•of Moines) - 3) rloor Fumaos Owner including vent sew footn•.t_e_1,2 9.65 M•IMnp Ad**" -- 4) Suspended homier,wall heater or fbok mounted healer see footnote 1,2 9.05 _ 5 Venl not included in a lianee nnR CrWSu+e zip Check all that appy: 'Bailer Heat Air For Items 6-10,set or pump Cand Qty Price Amt - N%"@((r nim of business) / nates 1,2 ^om 6)<3HP;sbsob unit to lt0. 1 OOK STU / 0.65 / --- Occt,pant Milling Address 7)3-15 HP;abserb unit 1 v SOOk EM "-" 17,65 cpy►amt• zip coon• 8)15.30 HP;absorb unit.5-1 mil BTU 24,15 w 9)30-50 HP:absorb M Con"s'tor unit 1-1.75 mil BTU r 36.00 Gino , fYl©rLwi P(urnbl n 10)>50HP;absorb unll Prior to perrnitAddreu >1.75 mil BTU 80.15 IA ssuance,a copy __, r b-1�.. S 11 Air handling unit to 10,000 CFM of a1 licenses chyr • ���� 2 P Ph" 7.00 w are required if ( eq • q 4X0_ 12)Air handling unit 10,000 CFM+ expired in COT crop M.C".Ba rd Me Exp.Osie 11.65 database 7 34 13)Non-portable evaporate cooler Architect ^=^'s 1--t 7.00 14)Vern fan connected to a singh dud 4.75 Ad or Me" dress 15)Ventilation system not Indudwd in _ _ appliance permit 7.00 Engineer ceyisr•r• zl� phone 16)Hood served by mechanical exhaust 77^00 escaibe work to De done: _/C ' 1 Domestic Incinerators 1200 New O Repair O Replace with lice kind: Yes O No 0 16)Commercial or industrial type incinerator ResidentCommercial0 _ 48.25 ial ' 19)Repair units dditional intormaWn or description of work: 8.40 20)Woos!stove/pea Mother uniWcbthe dryer/eta 7,09 N OTE: For Commerrlal pro)eds only:Units over 400 lbs.require 21)Gas piping one to four outlets structural gas calcis. See footnote 1 3.75 rpe o!fuel: al O natural gas 0 LPG O elekarl 22 More than 4-per outlet(each 75 .J Minimum Penult Fee$50.00 SUBTOTAL c� _m iereby acknowledge that I have read this application,that the infomtation S I A SURCFiA E - 0 ven is correct,that I am the owner or authorized agent of PLAN REVIEW 25`/.OF SUBTOTAIUJ . _J a owner,that plans submitted are in ennplianoe with Orogon State laws. Re ulred far ALL cly anmerclal rtlllts on TQTAi. � _- gnu of Owner/Agent Data Other Inspections and Fess: 1. Inspections outside of normal business hours(minlnum charge-two I IrPerson,Name Phone hours) ;60.00 p+r hour 2. Inspeetlo for which no lee Is specifically Indicated (minimum e-h chargaltif htwh =50.00 per hour ►orates fov commerdaI projects only: 7. Additional plan review required by changes,additions or revisions to Provide hA schematic of existing and proposed gas line and pressure. Plans(minimum charge-one-half hour)150.00 per hour Provide drawings to scale showing exiting and proposed mechanical tfnni 'State Contractor Boller Ce+tlncallon required - - ------ -Residential A/C require=site plan showing placement of unit I:Intechperm.doc rev 7/19/99 JUN-14-20;30 10:14 ►' � • oilmmorkamum" u • 980e> SW T* card st. TlC;arcl 97223 503-624-fa0�0 Fac 503-635'-453 1 Out door unit site pian Name, , ::M,,,- ., Job no, i Addrem CRYLL,- Op code .. `. ,..y ..yi••,.•yw.,• ..:.,,,. .r w�.r.,,.I�. ...f. ..1..• ,.,..I,».�� ,rr.)v.r.r rw•.•(,•.,.r�..,,,...i.,r�r•r.�..... • t, a ... �.•. ..., i_ ..fit, VW Ora. .�i►• ' �•'. ` 4 • .�a+w-!• w.... .Nr�..,wok.. ..1r......:•'s... • r ,• House. ; Front TOTAL P.84 f�rr ELECTRICAL PERMIT TY OF T'GA R D PERMIT#: ELC2000-00347 DEVELOPMENT SERVICES DATE ISSUED: 06x21/2000 13125 SW Hall Blvd..Tigard. OR 9722.3 (503) 6394171 PARCEL: 1S134CB-13300 SITE SUBDIVISION: MILLVIEW MILL.VIEW CT ORIGINAL ZONING: R-4.5 BLOCK: LOT : 033 JURISDICTION: TIG Proiect Description: b istaliation of(1)branch circuit RESIDENTIAL UNIT _ _ TEMP SRVCIFEEDERS MISCELLANEOUS _ 1000 SF OR LESS. 0 - 200 amp: PUMP/IRRIGATION- EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL./PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): - SERVICEWEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTiON_S 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS- >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIM MYSHAK GRF ELECTRIC 12372 SW MILLVIEW COURT 15460 SE PARADISE LN TIGARD, OR 97223 MULINO, OR 97042 Phone: Phone: 503-829-4146 Reg#: LIC #'6751 SUP 1655S ELE 3-4840 FEES Required Inspections Type By Date Amount Receipt Iect'l Final PRMT GWL 66/21/200C $37.50 0003162 5PCT GWL 06/21/200C $3.00 0003162 Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Nlunicipal Code,State of OR Specalty Codes and all other applicable laws All work will be done in accordance with approved plans This permit wil!expire if work is not started within 180 days of issuance,or if work is s suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules a.re set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questik;ns to OUNC at(503) 246-19f 1. i PERMITYEE'S SIGNATURE M � �r !W ISSUED BY_ C�G-- I I OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ DATE: CONTRACTOR INSTALLATION ONLY m� SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 539-4175 by 7:00pm for an inspection the next business day 06/20/2000 22:48 5038295747 GRF ELECTRIC PAGE 01 I CITY OF TIGARD �iectrical Permit Application Plat'Chad N 13125 SW HALL BIND ROCA By TIGARD OR 97223 Dale Recd �I�Z°10,2 Phone(503)839-4111, x: 4 Oete to P E. '1 Det-to 06T Inspection (503)639-41 5 1 Print of Type, n+nnit M EL C 2cloo Fax(503)598-1900 incomplete or Illegible will not.be accept Called 1. Job Address: C Complete Fre Schedule i9elow: _ In. Name of Development Mumbr of �orts=prarrrtle aflotired Nevis(or name of business) jkvn a. Servle*Included: home Cost gum Address�� �. n Z- 1p t* M. Re►ifdMttlal.per role T IOM sq.W.of bas 8 117.7'5 City/State/Zip v _ a - - - ZZ -- Each additional n0n sq n.er portion themol 1 26.25 1 Commercial❑ Reed ientlal Limited Energy s 60.00 �Q Each Manufd Home at Modular 2a. Contractor In b n only: ' Doelfino Aerie.or Foodw 2 72.75 2 (Prior to permlt Wwnce>appNeanta muet piolrlda"108t. f llcertae Ola.servloea or FOG&I Information fw COT data bato). Installation,anaration,or reloesilon Electrical Contractar F e 200 amps or leas s 64.26 2 Address 1 f 201 amps to ate amps { 45,00 2 401 amps to am amps : 124.110 2 City M id 1 r j3., State_Q�L„}Ip 601 amps 10 1000 Snips ! 1e2.eh r` a Pl.one No _ Z-41 tE 1 14-(� M Over 1000 amps to vens 1 363.73 a Job No._ Reconnect eN1 >i 33.00 2 Elec, Cont. Lice.No " EJep.D IG' GO ac.Tomp3rary Servicee or FaeQaea OR State CCB Reg. No._3A 7 5 I Exp,t1pDato te 7 7100 Installation,akeratim or relocation COT Business Tax or Metro No. 311L C1 h 10 7Do amps or lots { 53.60 � 2 CC'' 201 amps to 480 emps 5 60.25 2 Signature of Supr Flec'n .sem 401 amps to SW amps _. $ 107vo 2 Over t10p*mpg to 1000 voles, see"b"above. License No. Exp-DA*,1L>-Qj Irl.BranchCircWls Pho No. Q 2►I - 4�` ����_.._ ._ New,timrstion or extension pet panel ` N "7 4-'7 a)The rest for branch drvA@ 2b. For owner Installations: inlet ptrrthage el.eWfee gr Feedlot,ft@, Print Owner's Name Each erancn rxoull s 5.35 r 2 b)Tho two for branch circuits Address - without purch"o of aswrce City Stl:4 stip _.._._ or leader he. Phone No. First branch drunk 111 37,50 ^ - - Foch additional branch ckarll - 8 8.35 The installation is being made on property I ow4 wNch is not ft.Mlecellaneom ----- intended for bale,lease or rent. (satvko or%a 4w not itickided) Each pump or Irrigation circle = 42.75 rJwrleez Signature _ Foch sign or outline ligrtlkg - ! 42.79 —" Signal c:ircull(s)or a 4mkad anargy -�— panel,en or extension : .60 3. Plan Review section if required):a' Minty tobell(10) s 107.00 Please check approprlavo Ilam and enter feelln sectlon 58. 4f.Each additional Inspection over 4 or mora ree4lential unlla In one struduie the allowable in any of Vw above our Service and feeder 225 amps or mora Per hour Par ileo 5 50.00 i 50.00 �_--System over 600 vo8a nominal In Plant ! 6e.00 Classified area or structure c ontainwig ape W o=pancy as _ described to N.r C Chapter 5 S. Fees: {� 6e.Enter total of ebovrr 0600 >r 3�• `�- Submit 2 sob of plans with application whore any lot tut above appy. 5%Surcharge(05 x total lees) 1 r Not required her tomparary cons rue"an eervirme. 3vbRratl ! sb.Enter 24%of Inst as for NOTICE Plan Revlow Ifr"uh (Sec 3) 4 PrAMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subk.hf ! IS NOT COMMENCED WITHIN 1110 DAYS,OR IF CONOTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEft100 OF 180 DAYS Trugt Account R AT ANY TIME AFTER WORK IS COMMF4'CFD Total bolenr o Dere : a S"?) i\djnu'orr sWcdrle doe CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 638-4175 Business Line: 63$-4171 BUP 7� Date Requested 'S� '�� AM A PM BLD _ t_ocation_ �?--A-yam/� //1-- Suite _ MEC Contact Person Ph P!M Contractor Ph SMR -. BUILDING Tenant/Owner __ ELC atXJO" �� 7 Retaining Wall ELR —� Footing Access: Foundation FPS ----- Ftg Drain SIGN Crawl Drain Inspection Notes: G SIT Slab Post&Beam Ext Sheath/Shear — - — �nt Sheath/Shear Framing - ---- - Insulation Drywall Nailing -- -- -- - Firewall Fire Sprinkler —.— --- ---- Fire - �► .�U �, ,'} Susp'd Ceiling ---- L�-L•L -- - Roof Misc: — Final v— z�-- - --• J PASS PART FAIL - —�--^ PLUMBING Post&Beam Under Slab Top Out4 Water Servir3 Sanitary, Seger — ` Rain Drains - linal PASS 1 FAIL --_-- - --_-- — HANK Post& Beam — Rough In Gas line - �- -`-- -- Smoke Dampers ;ASQ DRT FAIL IL E TRICA -- --� �— .ervice -- ---- ,��— —_ — —� N Rough In Y UG/Slab i— Low Voltage ---_ JjFij&AJarm -- m PART FAIL — W E Backfill/Grading --`- - — Sanitary Sewer Storm Drain [ j Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin [ j Please call for reinspection RE. j Unable to inspect-no arcess Fire Supply Line ,- ADA Approach/Sidewalk Date Inspector Ext Other _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. i