12609 SW SNOW BRUSH COURT-1 '-Mir Or- r•- 41 � .! , . ••w
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ADDRESS:
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CITY OF TA6.ARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL: ,+
Foundation Water Line Coiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Fir/Slab Plbg. Top Out Insulation lec r
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line, Appr/Sdwlk Reins.
Other: '
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Date: _. ���_ A.M. P.M. Entry:
Address: — 1
Tenant: --�y� Ste.—_..__. MST:
Con! �N �_ MEC: .._
^�• 71—�' PLM:
r�4 5 ' ?3�� ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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n actor:
APP OVED —DISAPPROVED/CALL FOR REINSP. CO
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ELECTRICAL PIERMIT
PERM - 507
t.;ITY OF TIGARD DATETISSUED1:C96k7/31/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tlgerd,Oregon 97223e81N (503)539.4171 PARCEL.: 1 S 1:33DA--08700
SITE ADDRESS. . . : 1.'609 SW '.iNOW BRUSIA CT
SUBDIVISION. . . . : AMART SUMMERLAKE NO. 2 ZONING: R'-•7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 147
ProJect Description: ln3'.a111ing one branch circitit.
-RESIDENTIAL
UNIT---- ----TEMP SRVC/F'EEDERS------- -----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 Limp. . . . . . . : 0 PUMF1/1pRIGATION. . . . : 0
EACH ADD' L `.5005F. . . : 0 201 - 400 amp. . . . . . . : 0 51GN/UUT LINE LTG : 0 �
LIMITED ENERGY. . . . . : 0 401 - 600 amP. . . . . . . . 0 SIGNF•r../PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps'•- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
_._SERVICE/FEEDER-__...._._ __--_.-BRANCH CIRCUITS------ - - ADD' L. IN5P'ECfIOIVr.,._.__
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSF'E:CTION. . . . . : 0
21x1 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER 1-LOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . _ . . . . . . : 0
61?11 1000 amp. . . . . : 0 _._._..______._..___.____-F'LAhI REVIEW SECT ION-_______...____---.--__. .__
1000•s- amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL, . : �
Reconnect only. . . . . : 0 SVC/FDR > = 22,5 AMP,S. . CLASS AREA/SPEC OCC. :
Owner: ------------------------_--_--_----- _-.__..__._.-_______-- FEE,
FRANKLIN type amol.tnt by date ,,e^pt
12609 SW SNOW BRUSH CT PRMT $ 35. 00 CJS 07/31/96 96-28234E
5PCT $ 1. 75 CJS 'u1/31/96 96-282348
-a 1GARD OR ';7223
Phone #:
Contractor-:
WE:STS I DE ELECTRIC >1 36. 75 TOTAL
7518 SW MACADAM AVE
REQUIRED INSPECTIONS
'"ORTLAND OR 97L19 Wall Cover Elect' 1 Final
Phone #: 503-245`.3q5 Elect' 1 Service
Reg #. „ . 133C6
This pewit is issued subject to the regulations conte ned in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Si gnat i.tre
applicable laws. All work will be done in accordance with
approved plans. This pewit will expire if work is not started {
within 188 days of .ssuance, or if work is suspended for Pore
than 188 days. I s s _ted By
INSTALLATION
The installation is being mace on pror :, u�, I own which is not intended for
Sale, lease, or rent.
OWNER' S SIGNI URE: DATE:
INSTALLATION ONLY-
SIGNATURE Of' SUPR. ELEC' N: _n'1{�i1Qc� _._ DATE: 3: ._.� �
LICENSE NO%
Call for, in-pection - 639-4175
„: fi +
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit #
Date Issued
Phone (503) 639-4171
CITY OF TIGARD FAX (5`3) 684-729" �' � � � 3 �U
� TDD No. 503) 684-2 772 �
Inspection (503) 639-4115 r
1. Job Address: 4. Complete Fee Schedule Below:
Number of Ins ctio�
Name of Development J � s r' � permit allowed
Address l�60 9 Sit/ o r� Service included Items l-ost(ea) Sum
City/State/Zip ! �C�`K 1 4a. Residential -per unit
�^ /� tsq It or less — $11000
Name (or Hama of business) -- -- A
!� /�7 o Each additional 500 eq h or
porlinn thereof $2500
Commercial ❑ Residential Limited orgy $2500
Each Manuf'd Horne or Modular
Dwelling S!rvice or Feeder $6800 _
2a. Contractor installation on y:
f 4b. Services or Feeders
Electrical Contra or 't.��1 �� 7 / Installation alteration or relocation
1 C /C _ 200 Amp,or less $6000 2
Addres L !i l--!C ee .F 201 amps to/d0 amps $8000 2
( City �/ State Zips /� 401 amps to 600 amps $12000 2
601 amps 10 1000 amps $18000 2
Phone No. C,ver 1000 amps or volts $34000 2
Job NO.
Reconnect only $5000 2
contractor's license NO. `j 4c. remperary Services or Feeders
Contractor's Board Reg. No. Irntallaticn,alteration,or relocation
Signature of Supr. Eleen_ 200 amps or less 2
License Pio. ' ,J ne No. ' - 201 amps to 400 amp $5000 _
-j-.-C,r jK----- 5!\_{ 401 amps to 600 ampss $7500 2
Over 600 amps to 1000 volts $10000 1
2b. For owner inst.0la?ions. see"b"above
Print Owner's Name4d. Branch Circuits
New,alteration or extension per pane
Address a)The fee for branch circuits with
City_ State Zip purchase of service or/seder fee.
•h branch circuli $5.00
Phone No. _ b) ,fee for branch circuits without
The installation is being made on property I own which is purchase or service or feeder tee, i
First branch cln ud �— $3500
not intended for sale, lyase or rent. Each additional iranch circuit $500
Owner's Signature_ _ _ 4m. Miscellaneous
(Service or fe:-1er not included)
3. Plan Review section (if required): Each pump or irrigation circle _ $4000 ?
Each sign or outline lighting $4000
Signal circult(s)or a limited energy - 2
Please che& appropriate Item and enter fee In section 5B. panel,Alteration or extenslor, $4000 _
4 or m,ne residential units in one structure Minor Labels(10) $100 on
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per Inspection _ $35 on
Per hour $5500
In Plant _ $55 oil
Submit 2 sets of pia,.s with application where any of the above -
apply. Not required for temporary construction services. Jr. Fees:
NOTICE 5a. Enter total of above fees _� t
5% Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ —-- -
AUTHORIZED IS NOT COMMENCE,)WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK I.: SU:;PENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
Subtota
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS _ $ ------
COMMENCED Trust Account 0
71
Balance Dille $
t
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CITY OF TIGARD BUILDING INSPECTIO14 NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
r
Foundation Water Line Cei°ing Plumb. i
j Post/Beam Mach. Shear/Sheath Framing (;:M0 D.
1` Plbg.Und/Flr/Slab Plbg. Top Out Insulation est.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: —
Date: __7' 1-9'- A.M. � .M. E ry:
'i Address:
Tenant: Ste:_ MST. —.
BUP: �-w
i Con10w_- __. MEC'�l4=
--- ---- PLM:
ELC: -------THE LLOWING CORRECTIONS ARE REQUIRED: ELR:
I �
Inspector: ___ C ate.
iz
APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO
.11 i-1 Y ... . ... .. .� • ..ypy.y,... ,10*
. ........ . . ..... ........................
s`F PERMITOft A ►-'•
'
Clrf OF TKMARD
DATEI SUED; 07 MEC96-0246
DATE ISSUED: 07/2:6/96
COMMUNITY DEVELOPIVFNT DEPARTMENT
1,126 8W Hall Blvd Tigard,Ovigon 97k'3•8199 (503)839.4171 PARCEL: 1513.3DA-08700
SITE ADDRESS. . . : 12609 SW SNOW BRUSH CT
SUBDIVISION. . . . : AMART SUMMERLAKE NO. 2 ZONING: R-7
BLOCS!. . . . . . . . . . . LOT. . . . . . . . . . . . . : 147
CLASS OF WORK. . :ADo FLOOR FURN. . . . EVAP COOLERS: 0 �
TYPE OF USE. . . . :Sr- UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : F'"; VENTS W/O APPI_: 0 VENC SYSTEMS: 0
STORIES. . . . . . . . : BOIL.ERS/COMPRE:Sr30RS HOODS. . . . . . . : 0
FUEI... TYPES ----__.. ___._. 0 HP. . . . : 0 DOMES. INCIN: 0 S
} .� : /ELE:/ / / 3-15 HP. . . . 0 CUMML. INCIN: 0
MAY INPUT: 0 BTU 10-30 HP. . . . : 0 REPAIR UNITS: it
-IRE DAMPERS?. . : 30-50 HP. . . . : 1 WOOUSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS_ : 0
NO. OF UNITS----------- AIR HANDL 1 NG UNITS OTHER UNITS. - 0
FURN ( 100K BTU: 0 (= 113000 c.f m : 0 GAS OUTLETS. : 0
Al j FURN ) =1.00K BTU; 0 i 10000 cfm: 0
Remarks: Ft-anklin r-e!sidence heat pl.imp
Owner- _ _.____.______ _---._.___......._---------_____ FEESFRwI ---
1 OwneKl_IN__._ ._.----_____—_ ___ type r�mol.lnt by dace -- _recpt_
1`609 SW SNOW BRUSF, CT F'RMT 32. 50 JSD 07/26/96 96-282183
SPCT 1. 62 JSD 07/26.196 9 6--28 R 181-5
TIGARD OR
1
Phone #:
Contractor- : -----------------------------•---
COLUMBIA HEATING
PO BOX 23'I13'.
TIGARD OR 97281
Phone #: 62:4•-2704 34. 12 TOTAL
Req #. . : 76359
- ---- REQUIRED INSPECTIONS
-This permit is issued sub'iect to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expi.e if work is not started
within 180 days of issuance, or if Mork is suspenozO `ar more
than 180 days.
�I Permittee S i y n a t i.1 r e :
IssLied le
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Call for in6pection — 639-4175
i
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City of Tigard MECHANICAL PERMIT Planck/Rec. # 6f
13125 sw Hail Blvd. APPLICATION Permit # 4�=��6-d ''�
Tigard, OR 97223
,503) 639-4171
—� escrlptlon -- ---
C' ; n Table 3A Mechanical Code OTY PRICE AMT .
Job /1;Z(� ��r�l h 1) Permit Fee _ _ 0- 0- 10_00
Address urriliw
2) Supplemomtai Permi' 3.00
urnaceo TOZTtR u b l u
r1 7 1) incl. ducts S vents C.00
Vic® 100,000 UIU +
Owner � �(I�7 /7 2) incl. ducts&vents —_ 7.50
Ficior wnancs 1
3) incl. vent 6.00
M» Suspended heater, wall eater
4) or floor mounted h nater 6.00
—Vent not incl.in—
Occupant 5) appliance permit 3.00
Repair of heating,refrig.
6) cooling,absorptior unit 6.00
———
Miter or comp, hiat pump,air con
7) to 3 HP;absorp unit to 100K BTU Soo
i er or comp,heat pump,air con
CC 1traCtOr �/ i( 8) 3.15 HP;absorp unit to 500K BTU 11.00
1 er or comp. hen pumpcond.
air j
9) 15-30 HP:absorp unit .5-1 mil BTU 15.00
1 er or comp,
heat pump,air con `
10) 30-50 Hr';absorp unit 1.1.75 mil BTU 22.50
ereby 3c now ge a, ave ea is app icatic , a e 1 er or comp, ea pump;air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the ownoi that plans submitted are in compliance with State Air handling unit to 1
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM
that the number given is correct. (It exempt from State registration, Air handling unn ---- _
pleasc give reason below.) 13) 10,000 CTM+ 7.50
Non portable -
-_� 14) evaporate cooler 4.50
Vent an conneclod 15) to a single duct 3,00
Fb atT ion system not
16) included in appliance permit 4.50
^" --Ho seal rved by i
17) mechanical exhaust 4,50 `
escn woo _new addition 0 aeration repairu— Gommorcial or industrial
to be done residential 7 non-residential O 18) type inci.ierator '0,00
x1'sTg use uT--- -- �i er 1.e.,woo S ove,water
buil ling or property_ 191 heater,solar, clothes dryers,etc. 4.50
Proposed use of 20) Gis piping one to tour outlets 2.00
building or property! —
Typo of fuel -oil 1 natural as LPG X11 Morn than 4-per outlet —
YP �. 9 O O elHctr-
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK CR CONSTRUCTION —'—
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. —
TOTAL f
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Special Conditions,
Date issued by a_
WAEQIPMT
"Mdn6n
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f-ape Na. 1 CASE HISTORY FOR CASE NO.: MEC96-0246
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FRANKLIN
12609 SW SNOW BRUSH CT
05/04/98
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Action Description Req/ Schd/ End/ Action Notes Jisp By Update Jpd
comms Sent Done Done Date By S
--- ---- -------- -•-
0
MECA007 Application received / / / / 07/26/96 PASS JSD 07/26/96 JD
MECA060 (F) hews �
rmit / / 07/26/96 PASS JSD 07/75/96 JD r�
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PECA715 Mechanical im^n / / ! f 07/29/96 N-1- installation not complete DiS KS 08/03/96 rG S II
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MECA715 Mechanical Insp U8/17/96 / 1 08107/96 pending electrical final PASS RB 08/07/96 RB II
MECA799 Final Inspection 08/07/96 / / D8/07/96 pending electrical final PEND RB 08/07/96 RB
m
MECA800 Case Finaled / / / / 08/14/96 ELECTRICAL FINAL APPROVED 08/14/96 JF
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