8212 SW MATTHEW PARK STREET-2 IS )IHVd M3H11VW MS ZV8
Y
a
oc
� a
cn
m N
� r
W coo
8212 SW MATTHEW PARK ST
J
�IRD ELECTRICAL PERMIT
CITY OF TIG
PERMIT#: ELC2000-00430
DEVELOPMENT SERVICES DATE ISSUED: 7/28/00
13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4111 PARCEL: 2S112BC-10400
SITE ADDRESS: 08212 SW MATTHEW PARK ST
SUBDIVISION: MATTHEW PARK ZONING: R-4.5
BLOCK: LOT : 003 JURISDICTION: TIG
Protect Description: Installation of(1)branch circuit w/o feeder
_ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS `
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp. SIGN/OUT LINE LTG:
LIM1l ED ENERGY'. 401 - 600 amp: SIGNALIPANEL:
MANF HMI i;'CI FDR: 601+amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDEP. 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:
Owner: Contractor:
DUNC�AN, PAULA J CONDUIT ELECTRIC
8212 SW MATTHEW PARK DBA DUIT LEVEL TOOL CO
TIGARD, OR 97224 2074 NW ALOCLEK STE 405
HILLSBORO, OR 97124
Phone: Phone: 466-9754
Reg#: SUP 4501-S
LIC 109669
ELE 26-905C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Final
PRMT GWL 7/28/00 $37.50 0004060
5PCT GWL 7128/00 $3.00 0004060
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
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
LL suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
IX rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain cupies of these rules ordirect questions to OUNC at(503)
N 246-1987.
PERMITTEE'S SIGNATURE ISSUED BY:
m
OWNER INSTALLATION ONLY
WThe installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: — DATE:
CONTRACTOR INS ,'.ALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ DATE:
LICENSE NO: —
Call 639-4175 by 7:00pm for an Inspection the next business day
r PIAM : CONDUIT ELECTRIC FA: NO. : 4669825 Ju 1. 20 2000 11:03AM P1
CITY CIF TIGARD Plan rneck st
13125 SW HALL [3LVD. Electrical Permit Application --- _
Rer_'d er E,4
TIGARD OR 97223 if lJ j DateRec'd�_;
Phone(503)639-4171, x304 1 Date to P E.
Inspection (503)639 4175 Date to DST
Fax (503) 598-1960
R6nt Type Pe'nh o C nr�`)
Incomplete or Illegible will not be accepted Ca lad 1 " / I-r
I. Job Aderess. i 4. Complete Fee Schedule(Below.
Name of GeveloDment _ Number of Inspections permit allow4d
Name(or name of business) u.y��� Service included: Items Cost Sum
Address Z. Z 5 ui F'Yl,�fy�y �c,Y _ S�'t 4v, Residential-per unit
City/Stan?/lip 1 A-1✓Yl���p 1000 sq.R or leas y i 117 7 s v 4
--�`` Each additional 500 sq.it.or
Comrnerciel Q Residential ® pon!on thereof _
Limited Energy j woo
Each Mahurd Home or Modu.,r
2a. Contractor installation only. Dwelling Service or Feeder : 72,75 2
(Prior to permit Issuance,applicants must provide contractor license 4b.SoMe"or Feederse
information for COT data base). Inetsllation,alteration,or relocallen
Electrical Contractor ��_'� -�-t�� l� 200 amps or less s 64,25 2
Addre%s QLL)"ly 201 amps to 400 amps Z
City l 1�Lx State tea— Zip 401 amps to B00 amps $ 424 50 2
Phone No. 1-1 S�- 601 amps to 1000 amps __ s 192.70 _ 2
^_ Over 1000 amps or watts 1 3!13.76 2
Job No _ `1h`r Recon►red only t 113.60 2
Elec. Cont. !_ice. No._:Lia' Exp.Date_ ITQ 4c,T ,ii gervkee or Feeders
OR State CCB Reg. No. 0 (o(, 1�Exp_Date . i/� Installation,alteration.orrebcanon
COT Business Tax or Metra No.__— _Exp.Date 200 amps er less $ !13.50 2
201 amps to 400 amps 3 110.25 2
Signature of Supr. Elec'n 401 amps to 600 amps -- : ,17.00 2
- --^— Over 600 amps to 1000 walls,
S _ D0
License No. Ex_�.�(i f _ p. to see"b"above,
Phone No.------- � �(o_� �j"� — Ad-Branch Circuits
New,alteration or ettension per panel
e)The fee for branch clroutts
2b. For owner installations: wren purchase ofswwce or
feeder Ire.
Print Owner's Name _ Each branch clrcult f 5.35 2
Address b)The foe for branch circults
City __State wiMout Purchase orservier
--- _Zip —�_ or FeederAw. _
Phone N0. _ First branch dreuN _ S 37.60 '-SQ
Each additional branch circuit $ 535
The installation is being made on property I own which is not ae.Miscelisneotm —�
intended for sale, lease or rent. (Ser Ovi or feeder not Included)
Each pump or irrigation circle _ f 42.77
Owner's Signature Each sigh or ouli'ne lighting _� 3 42.77
Signal drwR(s)or a limited"orgy
I paw,eR (10)n or exterorion _ - s so 00
Plan Review section (if required):' _
Minor Labels(10) �` 5
Please check appropriate item and enter ft-to In section 58. 4f.Each additional insprrction over
4 or more residential units in one structure the allowable In any of Dae above
Servi(x and feeder 225 amps nr more Per Inspection _ f 5000 _
SyRfem FDO 0 volts nom $
In Plant inal Per hour 70.00
Classified area or structure containing special occupancy as ___ 59.00 �-
described in N.E.C.Chapter 5, Fees:
I 58.Enter total of above fees
Submit 2�.ts of plants with application where any of the above apply. 0,&%S"r-harve 16 talar fees)
ti
Not required for temporary consttvctlon sorvines. Subtotal .lor
db,kn6 tar 25 of fine 5a for
NOTICE r'lan Review
Irte..4l(4Q 156r..3) :
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORt2ED Subtotal
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR _
WORK IS SUSPENDEn OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account R
AT ANY TIME AFTER WORK IS COMMENCED Toral balan a Due $
i\dstclfonns\clrctric doc
CII ( OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 6 -4171 -
Blip
Date Requested//I� AM PM BLD
Location BZ,�a S�v `�Qtfhei" t Suite MEC _
Contact Person _i Ph _'�G G f,7 y PLM
Contractor Ph SWR
BUILDING—' Tenant/Ownei ELC 2,ev01 - lu x/50
Retaining Wall _ ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: --
;lab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing !' _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: _ 4 _
Final 11
PASS PART FAIL —....
PLUMBING
Post&Beam i — —'
Under Slab _��/��' 715Z-5—
Top Out - —
Water Service
Sanitary Sewer -
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Post&Beam —
Rough In
Gas Line
Smoke Dampers
Final
FAIL
LEC ---- —�� --_
IL Service
� Rough In ------_-- - ------- —
F-
in UG/Slab
C Low Voltage
J Fire Alarm
P T FAIL
W40KSS
IT
Backfill/Grading --
Sanitary Sewer
Storm Drain J J Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RF- [ ]Unable to inspect-no access
Fire Supply Line
ADA /
Approach/Sidewalk Date �L ^�Inspector Ext
Other —
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
/ q BUP
Date RequestedrrU! L _AM PM BLD
Location CEJ :1 I d 5W 1 Q'�'�'JZU ) PCV 1� S Suite MEC 9
Contact Person 0 A&'Y►''S Ph 3G0-8 3S= 3540 PLM
'Coi r?ractor Ph SWR
BUILDING Tenant/Owner ELC
rwitaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain �—
Crawl Drain Inspection Note SGN
'
Slab Sl1 - lr`c.n -5 SIT
Post& Beam J
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -7, 1
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- T
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post& Beam _--- —�
Under Slah
Top Out
Water Service
Sanitary Sewer - — - — --
Rain Drains
Final � ---- --- —
PA RT FAIL
Post& Bean ---- ------ — ----- ---
Rough In
s L.in , —- — —
Smoke Dampers
S4 PART FAIL
RICAL - — ---
a Service
& Rough In
F- UG/Slab _
U) Low Voltage
Fire Alarm
J Final
m PASS PART FAIL —
U SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ]Unable to Inspect-no access
Fire Supply Line
ADA 17` �(
Approach/Sidewalk Date
Other 1 v �v Inspector_Cj EX4� I
Final
PASS PART FAIL j DO NOT REMOVE this inspection record from the job site.
CITYITY O F T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICFQ PERMITS: MEC1999-00433
Arvallft 13125 SW Hall Blvd.,Tigard,OR 972..?:0 (503),,oa '171 DATE ISSUED: 10/13/1999
PARCEL: 251128C-12BC-1
0400
SITE ADDRESS: 08212 SW MATTHEW PARK ST
SUBDIVISION: MATTHEW PARK ZONING: R-4.5
BLOCK: LOT:003 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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
GAS PRESSURE: 50 + HP: CLO DRYERS:
S:
FURN < 100K BTU: AIR HANDLING UNITS C
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 1
GAS OUTLETS: 1
> 10000 cfrn:
Remarks: Install new gas fireplace insert and gas piping.
Owner: _. FEES
DUNGAN, PAULA J Type By Date Amount Receipt
8212 SW MATTHEW PARK PRMI KJP 10/13/19 $:50.00 99-319054
TIGARD, OR 97224 5PCT KJP 10/13/19E $4.00 99-319054
Phone:
Total E54.00
Contractor:
GP + W SYSTEMS, INC
732 MARBLE RD
WASHOUGAL, WA 98671 REQUIRED INSPECTIONS
Gas Line Insp
Phone:360-835-3516 Misc. Inspection
Reg#:LIC 108176 Final Inspection
ORIGINAL
a
oc
_J
m
W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
i 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 Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain c ies of theserulesor direct questions to OILINC by calling (50 46-9189.
Issue By: Permittee Signature: C�
Call(503) 6394175 by 7:00 P.M.for Inspections needed the next business day
Plan Check ty__�__
CITY OF 1 IGARD Mechanical Fermit Application Recd By
13125 SW HALL BLVD. Commercial and Residential RECEIVED Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 1�� 0('1 1999 Date to DST__
Print or Type PermftN /hQL I4 Q�"rl� '
Incomplete or illegible applications will ma"ISAA" Called _
Name of DevetopmenWro)ect Description
Table 1A Mechanical Code Ot Price Amt
Job Street Address u",
A) Permit Fee - _16.00
1) Furnace to 100,000 BTU
Address �SL1) _ Includingducts ucts& ients see footnote 1,2 9.65
Bldgft ClryrState zip 2)�Fumace 100,(X0 BTU+
including ducats&vents see footnote 1,2 12.00
NWA,546J
or nsme of business) 3) Floor Fumace
Owner includingvent _ see footnote 1,2 9.65
Melling Address /I__
�r 4) Suspended heater,wall heater
(�:+>t�- dl or floor mounted heater _ sere footnote 1,2 9.65
5) Vent not Included in a lianc� nnit - 4.75
CltyrStue zip Phone4?,W Check all that apply. 'Boiler Heat Air
TYCO For Items 6-10,see or Pump Cond Qty Price Amt
N (or name of business) 6)
1,2 Com
6) <2lWaasorb unit to
CJ/JGf� 100K BTU 9.65
Occupant Mailing Addrea 7)3-15 HP;absorb unit
100k to 500k BTU 17.65
City/State Zip Phone 8)15-30 HP;absorb
�- unit.5-1 mil BTU 24.15
Contractor Nn unit
30-50 HP;absorb
Contractor Nnunit 1-1.75 mil BTU 36.00
P v SuSleM S . �
10)•50HP;absorb unit
Prior to permit �n!?9 Address I -T >1.7! mil BTU 60.15
Issuance,a copy .S Z „/at-h"k 44 11 Air i andling unit to 10,000 CFM
of all licenses Cttyr tate LL .. zip fihone _ 7.00
are required H hLw 12)Air handling unit 10,000 CF M+
expired In COT Oregon C��"`j'�C a/nd�Lic.0 Etp,Date _ 11.75
database_ /'J�sMo /7 Q 13)Non-portable evaporate cooler
Architect Name 7.f10
14)Vent fan connected to a single duct
4.75
Or Meiling AAd ass
15)Ventilation system not included In
appliance permit 7.00
Engineer Cnyrstme l `Z, Pr1O"e 16)Hood served by mechanical exhaust 7.00
Describe work to bs done. 17)Domestic incinerators
12.00
New Repair O Replace with like kind. Yes O No O 18)Commercial or industrial type Incinerator
Res er tial/ commercial 0 48.25
19)Repair units
Additional information or description of work �~ 8.40
20)Wood st lgis FP Qther un /clothe dryer/etc. 7
_ 7.00 _
Q, NOTE: For Commercial projects c,mly;Units over 400 lbs.require 21)Gas piping one four outlets
structural as calcs. See footnote 1 3.7 37 Type of fuel oil O natural gas LPG O electric O 22)More than 4-per outlet each)Minimum Permit Fee$50.00 SUBliif
hereby acknowledge that I have read this application,that the information q%SURCgiven is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUm the owner,that fans submitted are in compliance with Oregon State laws Required forALLcommercial perm
Sig u otOwnerl/ --- - Date
/90" Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-two
Contact a on Name Phone hours) $60.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
charge-half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to
1. Provide full schematic of existing and proposed gas linr, and press,ire. plans(minimum charge-one-half hour)$50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanicrml
units. "State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
1:lmechperm.doc, rev 02/4199