13668 SW MICHELLE COURT-1 1
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13668 SW MICHELLE CT
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour inspection Line: 639-4175 Business Line: 639-4171
BILIP
Date Requested / 0���Z AM_ PM BLD
Location � �(n���'L"< Suite _ MEC
Contact Person 'V Ph CO`s PLM -
Contractor _ Ph .,1NR
BUILDINGy Tenant/Owner. ELC
Retaining Wall ELR _
Footing Access.
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN _--
Slab --�..�- -- wr
Post&Beam ( ---
Ext Sheath/Shear �3J � j2. �,4✓ -. ---
Int Sheath/Shf.dr
Framing
Insulation
Drywall Nniling
i Firewall �A —
Fire Sprinkler _—
Fire Alarm
Susfi d Ceiling _ —
Roof Je1`�T
Misc: ,---- �r----------------
Final
Final --- ---`
PASS PART FAIL
PLUMBING
Pc st&Beam
Under Slab
Tr p Out — -- --
Water Service
Sanitary Sewer
Ra n Drains
Final !� —
PASS PART FAIL
(IRCHANICA
Post&Beam --- _ - —_
Rough In
Gas Line — --
Smoke Dampers
/"rKS-V PART FAIL
IL Service
� Rough In
UG/Slab
Low Volta;2
J F.iu Alam
AS PAR r FAIL
W
J
Backfilo/Grading —
Sanitary Sewer
Storm Drain ( ;Reinspection fee of$_—_—� required betore next inspection. Pay at City Hall, 13125 SW hall R.Ivd
Catch Basin
Fire Supply Line [ )Please call for reinspection RF._—_ _ [ )Unable to inspect- no arr. ss
ACA
Approach/Sidewalk
Other Date _ Inspector,_;� �Xt
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
L
• C'TY OF TIGARDELECTRICAL PERMIT
PERMIT#: ELC2000-00284
DEVELOPMENT SERVICES DATE ISSUED: 06/01/2000
AO- 13125 SW Hall Blvd..Tigard.OR 97223 (503)6394171 PARCEL: 2S104CA-05100
SITE ADDRESS: 13668 SW MICHELLE CT
SUBDIVISION: IILLSHIRE ZONING: R-7
LOT : 051 JURISDICTION: l IG
Prosect Description: Install a first branch circuit.
_ RESIDENTIAL UNIT TEMP S► VC;i EED::RS MISCELLANEOUS
1000 SF OR LESS — 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTr3:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL ("0):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
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: J
Owner: Contractor:
SMITH, MARK H SHARPE ELECTRIC INC
13668 SW MICHELLE CT 22605 SW RIGGS
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: Phone: 642-7937
Reg#: LIC 000815
SUP 33448
ELE 34-217C
_ FEES
_ Required Inspactlons
Type By Date Amount Receipt Elect'l Service
PRMT GEO 06/01/200C $37.50 0002615 Elect'l Final
5PCT GEO 06/01/200( $3.00 0002615 ORIGINAL
Total $40.50
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws
IL 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
p� suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Nctification Center. Those
rules are set forth in OAR 952-001.005 0 through OAR 952.-001-0080. You may obtain copies of these rules or dkect questions to OUNC at(503)
2.46-1987. r
—1 PERMlT3'EE"5 SIGNATURE .kL +�00 �.�,Gt..tJ-� ISSUED BY:
F _ OWNER INSTALLATION ONLY _
W The insta]ation is being made on property I own which is not intended for sale, lease, or rent. ^�
OWNER'S SIGNATURE: __ s_ _ DATE: _
CONTRACTOR INSTALLATION ONLY _
S''IGNATURE OF SUPR. ELEC'N: _ ey DATE:-J� �-
LICENSE NO: 3�C"S -------------__��__
mall 639-4175 by 7:00pm for an InfpRction the next business day
CITY OF TIGARD Electrical Permit Application Plan Check 0
13125 9W HALL BLVD. Recd By-
Date Recd
TIGARD OR 97223 Date to P.E.
Phone(503)639-4171, x304 fi Date to DST
Inspection (503)639-4175 Print of Type PermitaFGC'rt00�
Fax(503) 598-1960 Incomplete or illegible will not be accepted Caned
1. Job Address: 4. Complete Fee Schodule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of business) t2 km Service Included: Items Cost Sum
Address 3 fi G Y �5l.(�- c- Aff/_ �_ 4a. Residential-per unit
CI /State/ZI �[ �� JZ_ 10:^,q,ft or less $ 117.75 _ 4
City/State/Zip P�� -=•� Each additional 500 sq fl.or
portion thereof $ 26.75 1
Commercial ❑ Res dential � Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor installs tion only: DNelling Service or Feedei _ $ 72.75 _ 2
(Prior to permit issuance,applica its must pr)vide contractor license 4%.Services or Feeders
Information for COT data br- )
asp . In0ailation,alteration,or relocation
Electrical Contractor 'Ll'L`' "�(-'L- 200^Rips or less E 84.25 2
��� 201 amps to 400 amps _ $ 85.50 _ 2
Address���� -� 401 amps to 600 ampr $ +28.50 2
City - _State (:)de Zip tt 7C� 7 _ 601 amps to 1000 amps _ $ 192.50 2
Phone No. r.J . 7 _-_ Over 1000 amps or volts S 363.75 _- 2
Job NO. 00 Reconnect only S 53.50 _ 2
Elec. Cont. Lice. No. Exp Date /C^ _�/� 4c.Temporary Services or Feeders;
OR State CCB Reg. No. Exp.Date��4;�p�/ Installation,alteration,or relocation
COT Business Tax or Metro 1\o.Tn "JA
/ Exp.Date a / 200 amps or less $ 53.50 t
201 amps to 400 amps _ $ 8025
Signature of Supr. Elec'n _ 401 amps to 600 am?s $ 100.00 2
Over 600 amps to 1000 volts,
_� �� see"b"above.
License No.A,3V� Exp.Date�v/&
'hone No.�C� �.Z ��. 4d.Branch Circuits
New,alteration or extension per panel
a)The fee for branch circuits
,fib. For owner installs tions: with purchase of service or
feeder fee.
Print Owner's Name _ Each branch circuit $ 5.35 2
- - - h)The fee for bra w h circuits
Address _ without purc.ras!of service
City ____p___ State Zip �._ or feeder fie.
Phone.NO. First branch circuit t S 37.50 3��
- - 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 _ S 42.75
Owners Signature-__ _ _ _ Each sign or outline lighting $ 42.75
Signal cirruit(s)or a limited enei 2v
a f required):" panel,alteration or extension S 80.00
3. Flan Review sectioni
� Mlr,or i_abels(10) � S 100.00
Please checlk appropriate ite n and enter fee In section 5B. 4f.Each additional Inspection over
4 or more residential unrs n one structure the allowable in any of the above �-
Per inspection $ 50.00
Service and feeder 225 ar os or more Per hour _ $ 50.00
'j System over 600 volts nor. final In Plant $ 59.00 _
00 ---
Classified area or structure containing special occupancy as
described in N.F C Chant,r 5 5. Fees:
W Sa.Enter total of above fees $ T 2
Submit 2 sets of plans with applic ation where any of the rbove apply. 8%Surcharge(08 x total fees) $
Not m quired for temporary constr uction services. Subtotal $
5b.Enter 25%of line Fa for
NOT CE Plan Review if reouired(Sec.3) S
PERMITS BECOME VOID IF WORK CR CONSTRUCTIGN AUTHORIZED Subtotal $ !_
IS NOT COMMENCED WITHIN 180 Df YS,OR IF CONSTRUCTION OR
WORK.IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS ❑ Trust Account# _
AT ANY TIME AFTER WORK 13 COMN'ENCED Total balance Due $ 7�•��
i'dsls`f onm;electric doc
CITY OF TIGARD MECHANICAL PERMIT
DEVELt')PMENT SERVICES PERMIT #: MEC2000-00215
13125 SW Hall Rlvd.,Tigard,OR 97223 (503)639-4171 DATEI06/01/2000
PARCEL,.,
EL: 25104CA•-05100
S.;E/'ADDRESS: 13668 SW MICHELLE CT
SUB-DIVISION: HILLSHIRE ZONING: R-7
BLOCK: LOT:051 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS_ HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP:
FIRE: DAMPERS?: 30 -50 HP: REPAIR UNITS:
GATS PRESSURE: 50+ nCLO
OO
FURN < 100K BTU: AIR HANDLING UNITS CLO DRRYERYERS:
S:
OTHER UNITS:
FURN >=100K BTU: <- 10000 cfri:
> GAS OUTLETS:
10000 cfm:
Remarks: Install an air conditioning unit. A/C units cannot be placed withir, lh!�required setback areas.
Owner:_ FEES _
SMIT;;' MARK H Type By Date Amount Receipt
1366813W MICHELLE CT PRMT GEO 06/01/20( $50.00 0002615
TIGARD, OR 9722.3 5PCT GEO 06/01/20( $4.00 0002615
Phone: I Total $54.00
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:620-5643 Final Inspection
Reg#:SUP 257ORET
LIC 006657
ELE 34-341 CR
a
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within till days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to fellow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain-eppi se rul :,or direct questions to OUNC y calling (503)246-9189.
Issue By: C� Permittee Signature• �.t,U9
_ Call(503) 634"-4'175 by 7:00 P.M.for Inspections needed the next business day
4, 12
Plan Check#_ _
CITU; OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Data Recd _
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304q-1-Date to DST _
Print e,Type Permit##&;z W-W 6�
Incomplete cl illegible a plications will not be accepted called
Name of DevelopmenUProject Description
Table 1A Mechanical Code Oty Price Amt
Street Address ��- r Suite# A Permit Fee _ d 1660('
Joy d 1"m&_ 1) Furnace to 100,000 BTU
Address including duds&vents see footnote 1,2 9.65
Bldgs u"/Slate zip 2) Furnace 100,000 ETU+
7.7}L 3 including duds&vents see footnote 1,2 12.00
Nam° rneme b�ni s) 3) ri00f FUmaCe
Owner 9 Including ent 9,00 foutnote 1,2 9.65
Mwling Address 4) Suspended heater,wall heater
or floor mounted heater see footnote 1,2 9.65
5) Vent not included in it /lance rmit 475
C (Slate Zip Phone Check all that apply: "Boiler Heat Air
C e1$e q 711 .3 j &_1715 For items 6-10,see or Pump Cond Qty Price Amt
Narille(or name of business) -' footnotes 1,2 Com _
6)<3HP;absorb unit to
_lea7�� 100K B n)
Occupant Mailing Address 7)3-15 HP;sbsorb unit
100k to 500k BTU 17.65 _
CxylSlrte _ Zip Phone 8)15-30 HP;absorb
unit.5-1 mil BTU 24.15
9)3050 HP;absorb
Gc ntractor Name9)
1-1.75 mil BTU_ 36.00
�G
14,11V -P (/Yl 9 10)>50HP;absorb unit
PriartOpermit Mei gAddress - "7+ >1,75mi18?U 60.15
issuance,a copv Sod // zs T 11 Air handling unit to 10,000 CFM
of all required
ioms state O� GPhoneov�` ) g 7.00
are required if l ,Q�IG� Q7r2 o^-'i t� 12 Air�,andlin unit 10,000 CFM+
expired in COT Oregon Co st.C t.Board LIc N Exp Df'�e 11.85
database tp ?A J�J 0 1 13)Non-portable evaporate cooler
Architect Name 7.00
14)Vent fan connected to a single dud
Or Mailing Address 4.75
1 S)Ventilation system not included in
appliance permit
Engineer cityislale zip Phone 16)Hood served by mechanical exhaust
7.00 _
Describe work to be done 1?)Domestic incinerators
_ 12.00 _
New tjo� Ra.-pair O Replace with like kind Yes O No O 18)Commercial or industrial type incinerator
Resir ential 0 Commercial p 484
19)Repair units
AJ�kional information or de cription of work: Y 8.40
G ` a�/ �� 20)Wood stove/gas FP/other units/clothe dryer/etc.
n:.I 7.00
4- NOTE: For^ommercial projects oni i.Units over 400 lbs.require 21)Gas piping one to tour outlets��
s'ruc,ural gas calcs. See footnote 1 3.75
N Type of fuel oil O natural gas 0 LPG O eledn 22)More than 4-per outlet(each) .75
Minimum Permit Fee$50.00 SUBTOTAL 1
I I hereby acknowledge that I h�ae read this application,that the information _8%SURCHARGE
given is corse rt,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
m Required for ALL commercial ermits onl
(� Ithe owner,that plans.,ubmitted are in rompliance with Oregon State laws g---- -
TOTAL y
W LSi
ggnnattuure of 0 .,ner/Agent Date -
Other Inspections and Fees:
1. Irspections outside of normal business hours(mininum charge-two
Contact Perwn Name Phone hours) $5(`.00 per hour
2. Inspectlrns for which no fee Is specifically Indicated (minimum
d0
1i4ti charge-half hour) $50.00 per hour
Foon s 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(minlmum charge-one-half hour)$80.00 per hour
2. ProvVe drawings to scale showirg existing and proposed mechanical
units. -Residential
Cont!adot Boiler Certification required
"Residential A/C requires site plan showing placement of unit
IA mechperm doc rev 7/19199
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