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aria sW AYONI STREET
CITY OF TIGARD BUILDING INSPECTION MINION
24-Hour Inspection Line: 639A 175 Business Phone: 639-4171
Date Requested: _ ' I �`C/I� -7 A.M. P.M. ,`.QST:
Location: _ y 5 In ✓ BU':
Tenant: _ _- Suite: Bldg: MEC: 0—
(4
—(4 -- Phone: — C� � _ PLM:
Owner: __^_ Phone: ELC: 17 — G'(�
ELR:
Sri':
BUILD.NG BLDG(con't) PLUMBING MECHANICAL LECTRIC ) SITE
Site Post/Beam Post/Beam Post/Beam Co Service Sewer/Storm
Footing Roof (Ind. I/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Rough-In UG Sprinkler
Foundation Insulation Sewer Duct Reconnect Vault d C
Bsmt Damp Drywall Storm -utnac Temp Service MISC.
Masonry Ceiling Rain Thain C UG Slab �� p _ Z�
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved "Net Approved �APT ved Not Approved
FINAL FINALFINAL F" INAFINAL
C1 Call for reinspectReinspection fee of 5_ _required before next inspect,on 0 Unable to inspect
Inspector:— --- --- _ Date:
1,071 Page of_ _____
/^ CITY OF TELECTRICAL PERMIT
/ DEVELOPMENT SERVICES PERMIT #: EL.C'
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10 10//2098i 97
0
PARCEL.: 2S 1 1 1 DD- 1 t 800
4.ITTE ADDRE :=,. :'Z18(z I8 SW i-)V(JI'd J.I.
. .
Str9DIVISION. . . . ..CHESSMAN DOWNS ZONING: R7
BLOCK. . . . . . . . . . . L.OT. . . . . . . . . . . . . :044 JURISDICTION: TIG
r'r j j ect Desci-i pt i nn : Add a first branch circuit to an existing single family
dwe'ling.
... ..-RESIDENTIAL UI\IIT- ---•- ----TEMP SRVC/FEEDERS...----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACIA ADD' 1... 5009F. . . : 0 201. - 400 ramp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0
I_ IMITED ENEPGY. . . . . .. 0 1111 — 600 amp. . . . . . . : 0 SIGNAL/PANF1 . . . . . . . . 0
MANF. HM/ 1-JC/F=DR. . : 0 601+amps -1000 volts. : 0 MINOR LP'.C.L ( 10) . . . : 0
_._. ...__SERVICE/FEEDER------ ----.BRANCH CIRCUITS-.-------. -ADD' L INSPECT TONS.---
0 — 200 ramp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
1_01 - 400 amp. . . . . . : 0 1st tJ/O SPVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
/+01 — 6001 amp. . . . . . : s< EA ADD' L 3RNCH CIPC: 0 IN PLANT. . . . . . . . . . . : 0
E,O 1 --- 1000 amp. . . . . : 0 ____—~_ - -- ----- - FLAN REVIEW SECTION------------------
10004-
ECTION._---------------
10004- amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOI...1 NOMINAL. . -
Reconnect
OMINAL. . :Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
7wTler- ; _._...__.__________._.________-__._.._—____•---•-_.__.._.._...._ .... ._....-... .._.._._._ F'EFS - - ----- -- - ___..
9ANDEPS type amr)Unt by dat a r•ecpt
3618 SW AVON ST PRNT $ 30. 00 GEC10!20/97 97--3OO200
TIGARD OR 97223 5PCT ? 1. 75 GEO 10/20/97 97-300200
Phone # : 636--0945
Contractor: _____.__.._._ _._.______.._---._-______.______....__..___._________.______.--•_-----._.___...--•
GR,'" ELECTRIC f 36. 75 TOTAL_
154601 SE' PARADISE LN
REPO T RED T NSPECT I ONS
MULINO OR ^7042 Elect' I Service
Phone # : 503--829..,4146 E l ect' l Final
Reg #. . : 0101015
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othe,
applicable laws. R11 work will be done in accordance with approved plans. This permit will expire if work is not started within 190
days of issuance, or if work is suspended for more than 180 days. ATTf_NTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules ,are set forth in OAA 952-001-0010 through DAR ?52-001- 987. You may obtain a cop,
of these rules or direct questions to ODIC by calling (503)246-1987.
P e r•m i t t e e S i g n a t l..i r e : T...___.. ._... I s s i_i e d By :
INSTALLATION
The int�tallation is being made on property I own which is nrt intended for,
sale, lease, or rent.
OWNER' S SIGNATURE: _ — -- DATE:
-__-__._._-CCINTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPP. ELEC' N: 401.0/ — DATE:
L.I CENSE NO: _ 300
1 -F41 -4 ++++ F+-1+++++++4+++++++++++++-++++++++++++++++++++++++++++++++++++•++++++++++
.Q.. 4 75 by 7.00 p. in. far n inspection needed the next bgsiness day
++.+++++++-++.+++++I-+++++++-f++++++++++++++++•++++a-++++++++++++++++++++++++...++++-�++
� j
10/15/1997 21:03 5058295747 GRF ELECTRIC PAGE 01
CITY OF TIGARD Electrical Permit Application Plan(;our*0
13125 SW HALL BL D. Recd By
TIGARD OR 97223 Date Race
Phone (503)839-4171, 04 Date to P.E.
Inspection (503) 639-4 S Print or Type Date to DS
Fax (503)684-7797 Incomplete or Illegible will not be accepted permit r G = �t
-- - Celled
1. Job Address: 4. Complete Fee Schedule B91ow, _
Name ref DevelopmanL Number of In"adons
per pefrritt ele'7lgred
Nnrno(or name ofbucin la)_, �rl �
Address !3srvloe Included: Items God
/_ ` S � Burma
1�,� 1
T _ 4s. Flaal6entl,l-per unit
CitylSteTeIllp - r 1000 sq,ff.or 1asA — $11000
rn ,g ,l - Lach addlflonal 500 ao n of - -- 4
rlercial 13 Ret3idsntlal L!C — portion thereof $25.00
Limited Energy — f2R.00 '- I
Each Manuf'r1 H•rme or Moriular
29. Contractor Ina 1lallon only: LNmIlIng Ssrvlra nr Fooder $68.00
(Attach copy of all rrenl licenses) db S rMoes or Feeders z
Electrical Contractor _ � Inatsllaflon,Merallon,or rel c:ahcq
Addrn^A_ 1 �� g� — 200 Amps or 10001 $8n A0
201 smog Io app amps 2
City tate _ P 401 amps In SM Amps - — 2
Phone No - - $12000 "- 2
"- Amps 10 1IXY.r amps � .00
$190 --
Job No. Over IoCo amp.,or volts $180OD '— 2
Elec. Cont. Lice. No. -- seanrina(t onlyVU0 2
- Exp.iJetG-- _ Sea ro 2
OR State CCB Reg No. Exp.oate,__-
COT Bu4c.Temporary Stlrwpcass or Fn•Feeders --�
Business Tax or M 0 O. OV Date_ - Inatalletlon,alterallon,or ralrx allon
3Y77- i00 ampa or leas SS0.00
Signarure of Supr Flec' -- 201 4mpA to 4f)o ampa
401 smog to 000 Amps 00
1100.00 1
I-icense No_ `.S Exp.Detn o0 Over een"to Iox1 volts, --- 2
Phonn No -----�./-,. _ _ ----
sea'•b'•soove,
4d.Branch circuits
2b. For owner Ina !latlona: la+v,sheraflon nr extension per panAl
sl The Iwo for rn'Anch circulls wtrh
Pnnl Owner's Nerve purchase of aervlce or
- - -- -._ _ Fo der My
Address Fnch branch,ircult $5 0fj
City - State j� b,The fee for brAruh circuits
Phonn No. —
_ P—_ Wthout purchatse of
- ` -
` serrlca or Asocial,he.
f Irst blench circuli f75 0D 35—
The Installation Is being ode on property I own which Is not E ACh oddiflonsl hrancn rirrill, 2
SS.00
mtendod for sale, lease rent. 2
"—
4e.Miscellaneous
Ownw b Signature— (�3ervlce or leader rot Included)
- —'- ---- — Fach pump or Irrigation rtrclo $40,00 _
Each Alyn or outline lighting — 140 00 r
I Plan Revlew s Non (I1 required) Signal clrsuh(s)or 4 Ilmlled.nArV,
panel.slMr-ttlon or extension "0 rxi
Please check appropr to Item and enter fee In section SB. Minor Labels(f w S 100 00 : y
4 nr more ra-,ldanh unft In one etrvaurn dr,�ecR gddhlonN inspection�,var
SArvicn and f(,gder S Amps of rrxxe the sch Dfs In any of the above
--_ISr.IAm over wy) ", ninal
ClPer Ingpectlnn 171 00
_—, wnsifisid art1B Cr A -Jura ronImInlna sprKw nccllpancV E'er hour ---- $65 00
se daerrlyed In N E Chopper 5 in riahf
Submit 2 Rets of plana It^sppllcellon where any of the above apply, 5. Fees:Not required for tempo construction somesa Es Fn!or I o wlnl of above tows
5%Surcharge(o5 X total fe.•,I �-
ClSu10k subtotalgo
s --
PERMITS BEr=OME vr.11)If ORK OR CONS1 RUCTION AUTHORIZED 15 6b.Prater ZSSo of Hna�'Review�tpgy(►jr for
NOT COMMENCED WITHI BO DAYS,OR IF CONSTRUCTION OR WORK QQ lSoc,!t E
IS SUSPENDED OR ARAN NED FOA A PERIOD OF 1110 DAV$AT ANY 8upfotal ti
TIME nr'TER WORK IS( O ENCEP. 1l, �'/{/
'MINI A.-MIih1 � )
(((T -L_/J_ $ -7
Tate►beFsnc.duo
i
I
i
RECEIVED
OCT 16 1997
COMMUNITY DEVELOPMENT
CITY OF T IhFCHAN I CAL.,
DEVELOPMENT SERVICES PERMIT
ta125 SIN Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC97--0.:99
DATE ISSUED: 10/15/97
PARCEL: �'S 1 1 1 DD—1 1800
SITE ADDRESS. . . : 0861 . SW AVON ST
SUBDIVISION. . . . : CHESSMAN DOWNS ZONING: R- 7
»L.00K. . . . . . . . . . . 1.(IT. . . . . . . . . . . . . :0414 JURISDICTION: TIG
CLASS OF WORK. . :ADD FLOOR TURN. . . . : 0 EVAP COOLERS: 0
-TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3, VENTS W/0 AF'f='L: o VENT SYSTEMS: 0
"TORIES. . . . . . . . : 0 BCIL.ERS/COMPRESSORS HOODS. . . . . . . : 0
1.71JEL TYPES— ------- -___ 0-3 HP. . . . : 0 DOMES. I NC I N. 0
3--15 HP. _ . . : 0 C':OMML. I NC I N: 0
MAX T NPlJT: 0 BTI.) 15--30 HP. . . . : 0 REPAIR UNITS: 0
f' I RE DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
(7AS PRESSURE. . . : `=,0+ HF'. . . . : 0 CLO DRYERS. . : 0
NO. OF UN T TS------ -- - AIR HANDLING UN I TS OTHER UNITS. 0
F URN ( 100K BTU: 1 ( 1.0000 r_f m : 0 GAS OUTLETS.ETS. : 1
FURN ) -1001; F'.TU: 0 > 10000 cfm : 0
Remarks : Install new furnace including ducts and 'rents and gas piping for-
outlets for an existing single family dwelling.
,-)wn er- : -- --- - -- .___________._____.____ .___._.______._.__.......____.---____._..._._ ._. FEES
'-;ANDFRS type amol-int by date rer-pt
A618 SW AVON ST PRMT $ 25. 00 COED 10/15/97 97--300091
f IGARD OR 97223 5PCT $ 1. '5 GEO 10/15/97 97-30009.-
Phone
7—.:0009,_Phone #:
',IORTHWEST HEATING R COOL-I NG IN
-'C:'00--4 NW BI RDSDAL.E
$ 26. 25 TOTAL
`,RESHAM OR 97030
'hone #: 618--0724
Reg #. . : 001172
REQUIRED I NSP ECT I ONS
This permit is issued iubject to the regulations contained in the Gas Line Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp -J
applicable laws. AN work will be done in accordance with Heating Unt Insp
approyed plans. This permit will expire if work is not started Dt.rct Inspection
within 188 days of issuance, or if work is suspended for tore Mi sc. Inspect i on —�
than 180 days. ATTENTION: Oreyan law requires you to follow rules Final Inspection
adopted by the Oregon Utility Notification Center. Those rules are
sit forth in OAR 952-NN1.0@19 through OAR 9Sc-NN! ANAP. You may
obtain copies of these rules o, uirect ques}inns to RX by calling —
(503)216-9187.
++++.++++++4-+++a-+++++++-+++++++...++++++++++++++-F+++++++++++++++++a-+++•r-+++++++++
Cal. 1 6..39--4175 by 7:00 p. m, for inspect i ons needed the next bi.rsiness day
+-t++,+++-F++++++++•+ t-++++++++++++++++41-+++++++++ +++• + ++ ++ ++ +
+:ITX OF TIGARD rl)01)2 ou
Pla,Cheok e._
C17 OF TIGARD Mechanical Permit Application Ae�dBy
13125 SW HALL BLVD. Commercial and Residential Onte rtn d,_
TIGARD, OR 97223 Dae to p E -
(603)639.4971, r304 nab to m
Print or Type pomm0
IncoTplete or illegible o plications will not be accepted cauw --
_-_-_ nrR:a►Otreropn�milvroKa ----- -----
Dseageon
Tate 1A Mac Wu 00 Cods cry PMUE ANT
I Jim Nung-- Ad Pwmk Fqv
Address '
Inew duo.a w++a c
_ . fa-wrr p wsnawr
2) "ace 100.000 -- 750
r)rrlRl�r � "�� C utchrdrrr0 duets+�verb
Adwasr ) FIaor Funaca - - — 8 0f`
inolud vNN
_ PWO A) SWMnd d 1190W-Wall'ftOp a 06 -
or%or mOYnbd hMgar _
v nlrs a SUM001 S i�7drit riot�noludetl In nos VsmNt 3.00 —
OCOuwrlt 8) dodp or M1 ""I pump,airoen0
to 3 NP %beorb unit to 100K BUTT'
aMaUu - P ars .)-Tdi—rrdr two.hest pump,it avid --- t1 00
3.15 MP;abWt unk to SOW BTU-
Conowtor OJ edlsr or Comp,asst purnp,air conA 1600
(Prior toou)Lm. 15.30 MW absorb uMt.5.1 mN STU-
9) WW or uvrrw,heat pWW.air cond. 00
awkmri -- Lis 1:_ ' c- I - 70.00 Hp,mbmb unit 1-1.76mil BTU"
must PMW da on w one 10.) 80asr or WT haat pump,air CWW --- �--
I e� ri, G X03 Be NP;01t 44 1 75 mo 11ru-
r x• 11.1 AF herNP u 10 10,000 CfM 490
.rnmaRien � I� � _ _
CNtat101e ' a — - __ It* - 12) T,'i hdndM+p unil 10.o00 .
L
ArChroct "' - 13.) Non-poets evaporate cyder _ E4
Or +• 14 Vm4 ran conntlrgts duct 7.00
Ertptnor �a 1 y)"!�'ir t+wtnn Bysl:m net W—In a -
_ apphervoy M 10
orsix"work Noun O Addition# AKra4an O Rrpsk 0 16) Hood wrrred 0y mad+on"whaust a
two be ft* —N-a-O dWff sl A Nori-m deniial O
AdWw—al L7elGTphOrl or WON ----- ------ , ) 71eabC indl**v* --
19) ammartiel or ftu*W typo 3000
uM ems' -— —--- +9) IROW WWA �- -- ---- 4 5C —
buMinp
I 20.) lNbod am —— 400
Pr�ppod Wo or V ) Cloths drew,rite w
buWg or pmmft —W
u nft 4.
Type d tlisi•0 o mAusi giaa'9 LPG O aleaft O--- - 23) vas Wnp--one to1in ouOMa --- 2 W
1 erAr1[,wtedpe got 1 haw rod the the 24) Mors n 1 par tb rich) J
Mamlydan gww is corrud.that 1 wn Me awm r of auawvW spent of
Ow nwwr,OW vom suornitlad are M een pkerce weh Oreoon State ----'��� MMITOTAl
lams Q
SWa6M at OwnedAowW t3ate -- - — — - U
^
Y
_I -- 2SX OF SUAtt7TAl� 1
Al
i. dao ( 'ItNrMmun permit tai is ub s
�""WieMiar NC r"wres 9%plan ehok"loan K of WA
RECEIVED
OCT 1 �r 1997
,Oh1MUNITY DEVELOPMENT
lV w l 1 r�t-
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL IBLVD. �� Rec'd By_
TIGARD OR 97223 Date Reed_
Phone (503)639-4171, x304 Da o P E.
Print or Type ate to DST�_�
Inspection (503) 639-4175 IncoPermit#__
Fax (503) 684-7297 Called
or illegible will not be al Called__
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of business) M i'_r S U�� E 1-5 Service included: Items Cost Sum
Address S (,it.) _ v 4a, Residential-per unit ��
Ci /State/Zi Z Z 1000 sq.ft.or less $110.00 _ d
ty p. Each additional 500 sq,ft.or
Commercial ❑ Residential "r portion f $25.00 t
Limited Energy
$25.00
Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $6800
(Attach copy of all current licenses) 4b.Services or Feeders
Installation,alteration,or relocation
Electrical Contractor�Xt_ Z. vk P1c�T11i�- 200 amps or loss $60.00
Address 201 amps to 400 amps $60.00 _
City State_ 1 jL lip 1 7y Y - 401 amps to B00 amps $12000
Phone N0. ' �i `r (v _. 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340,00
Elec. Cont. Lice. No. Ex Date Reconnect only $50.00
p. ___
OR State CCB Reg, No. U/ 2 _Exp.Date__- 4c.Temporary Services or Feeders
COT Business Tax or Metro No. UV'�'�+t'A4!<xp.Date Installation,alteration,or relocation
, 7 7 200 amps or less $5000
Signature of Supr. Elec'n / _y _ 201 amps to 400 amps $75.00 „
401 amps to 600 amps $100.00
- Over 600 amps to 1000 volts,
License No. 3O,7 _? Exp.Date_______ see"b"above.
Phone No, 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a1 The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 -
b)The fee for branch circuits
City State Zipwithout purchase of
Phone No._ T service or feeder fee. r
First branch circuit �_ $35.00 _� 2
The installation is being made on property I 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 pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuits)or a limited energy
panel,alteration or extension $40.00 2
---
Please check appropriate item and enter fee in section 5B. Minor labels(10) $100.00--
4 or more residential units in one structure 4f.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 _ $11100 �--- -
Classified area or structure containing special occupancy Per hour _ $5500 -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. S. Fees:
Not required for temporary constructlon services. 5a.Enter total of above fees $ r
5%Surcharge(.05 x total fees) $ ---�--7
NOTICE Subtotsi $ -
5b.Ente,25%of line Se for
PERMITS BECOME'VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Pla,i Review if reaulred(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. rust Account 0 a
Total balance Due
I MSTST,C9B APP Rev VA
-
CITY''' OF TItaARDI.ECTRTCnL. PERMIT'
.�IERIIIT #: ELC97-0522
DEVELOPMENT SERVICES DATE ISSUED: 08/05,/97
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171
PARCEL:
0 A F,I a SW AVON
S
C1 IESSMAN DOWN!7, Z ONI NO: R-7
1 0 1. . . . . . . . . . . . . :'r4 JtJRISDICTION: TIG
1; i ri Add first hranch circuit.
f RF -TEMP SR111C/FEEDFRS
7.Sj I D!-`.:' '. j- ! I..NIT N T - -
000 133 F D R L1-15S. . . . : 0 QA 200 amp. . . . . . . . 0 PLJMP/IRRIGAT ION. . . . :
110111 AUDI I. 5009F. 0 c 1 400 amp. . . . . . . : 0 TION/OUT I..TNE L-TG. . : 0
IMITED ENERGY. . . . . 0 401 COO amp. . . . . . . 0 STGNv1L_/P1nr'E1_. . . . . . . .. 0
'ANF. HM/ SVC/FDR. . 0 601 �-,Afll ps----1000 volt '.,. 0 MINOR LABEL ( 10) . .
SERV IrE/FEFDER-- -------BRANCH CIRCUITS----- ----ADD' L... INSPECTIC'
�,74410 'Amp. . . . . . . 0 W/SERVICE OR rr (A PER INSPECTION. . . .
01 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : I r-1ER HOUR. . . . . . . . . . . , (A
01 600 amp.. . . , . . •- 0 EA ADr,' 1_ PPIAC;! (,,Tp, . 0 IN PI.ANT. . . . . .. . . . . . .
,01 1000 amp. . . . . 0 r,(..ArQ REV T F'.W SFCT
0004- .AMp/Nj()j'11. . .. . . 4!1 RES UNTT93. . . . . . _ - ) GOO VOLT NOMINAL—
lecanin.vet 0 SVC/FDR 22'5 nMPS, . Ct_.A99 AREA/SPFr nrf'
f rES
'-;ANDERS type amul.knt by date
3GI.8 1,1W AVON. PRMT $ 71!5. 00 GFn 06/05/97 37-Jq7
TIGARD OR 9722_7' 5PCT $ 1. 75 GF0 08/05/97 97--P97
rfiofle #: 636- 0,J45
clilt r ac,t(-)t-:
�AL_L_.AG_,ER El..ECTRIC $ 3G. 75 TOTAL_
895 NE DIVISION
,0 PDX 70 RFOUTRED INSPECTION!
.IRESHAM OR 97030 Elect' l Ser-vice
8/116 Ccive Flect' I Final.
000528
'lis permit is issued subject to the regulations contained in the T d Municipal Code, State of Oregon Specialty Codes and all other
-pplicable laws. All work will be done in accordance with approved plans, This permit will expire if work is not sU:rted within 180
ays of issuance, or if work is suspended for more than 180 days, ATTENTION: Oregon law requires you to follow the rules adtpted by
ie Oregon Utility Notification Center. Those rules are set forth in MR 952-601-00!O You may obtain a
F 'hPse rules or direct questions to OLAC by ca.Ilin I5 46-1987.
�1111 :'! iciri is being mAde (.it, pi-oper-ty -, t)k,;T1 t.11i1:1 i not itiler
tl T U R F I)(ITF"
TN1-','nl I-nTTI-114 (7—
nr i r-r-1 -14
f +-4 f- 1 4 4-J I 1 4 -f.f 4 1 1 -f 4 4 4 4 4 4+4+4 4 4-4+++4+ •+++4 4 r +..+-1 4 1 .f + t 4
417 by 6:00 p. m. -r,)r .1n I i ri s p c-j(--t i ,j r. ri e P d P d t e y)F, L)
L
Cemmunity DevolopMorit:;'' ;! ' 'ALA ICAO PERMIT APPUC,ATiIflN
13126 SW Hall SW.
Tigard, OR 07223 Ft'IAI?CItIrRi ,�„��
PermIt
Phone (503) 839-4171 DOW lut gad
CITY OF TIC3ARD �� (603) 884.7207 108Ued by,_ .---- -__
TDD No. (903) 884-2772 _
Ingpection (503) 839.4179
1. Job Address: 4. Complete Foe Schedule Below-
NAm" of Developnrrnl_ Number of kwpeotiww pa perrrrit:a,lowwd _—
Address t� .• 6orolr>.fnalucw+: towns Cotges) Sum
City/Sittlp/Zip� t r :-1 ...0 -,Oct4 +an RoofMnttel-pM dnir
r000 e4.�.er hom �r+o cr
Nrtmr. (or name t7f husinPs�+)� Nn -YI S ANA adieiMe'1 Win h ow
i0YM1 WrrsA =y In
Cortimorclal Ej Rr'hidnnfial AA
�'+*r tlrtrryy �� ws.m -
E%*ANIMf11 How*or Mnfi Am
Ova"aerrMr a!bre.• sew ern
2a. Contractor Installation only: ft Mairwe" a reedws
Electrical Cunt r or GALLAGHER ELECTRIC � n bekomw..h.«ro.r .r awn a
PCi � To- Il�7�t so 0"
Addre.ut _ got arras Is wo rr*a _
City— �� State ?I'—'97U`�CT4401 011 Amu Mlowwas
ar"P
—pii�-,• p.---.......+w 1010 re reoo.mpr e
Phone rJo Ow te0a Amp W weft �- pow t
Conlrnclor'A License Nu. - Amen sat orr4 spa
Contrnutor's Boar! ting No, 52852 ��—
�..,. oQ.Tempomy,ltrervla"w reedsm
Sigrlahlrp of Supt. Elea,it r eoP�tl#&W~ ~ "
"e'" """
Ucemp No. 61&q phonen0. "I to we smaa
sat NO
1
run C � �� S
401 00
WAVO o o v0s -� treeeo _._...�.
2b. Aar owner I fel allons: am V sb ve
Print Owner's Name AiL lrw h ohmsts
----
Mw. 'm .1 rh er•**r*4n p,rr rand
Address _ _ y TM 1"00 iwwt*�0010
cify� 3fate____ ZIP, M++wsM"AfteWhowAm. 1
kyrh ii;r .rtrw,w 06.00
Phone No. y The W har 6%%h"rhs of eft
The Installation ig belog made un properly I own which Is /-Ause at •ar Wai rr►saw
not Interrcled for @aW, lease or rent nit tarawh Of" _ all 00 !
Rohr err#Ww awelW Stam re 00
Owner's signature r_. _. 4a I111"We Mus
I Plan Review section (If rvqulrvd): Wsu k"a tom. r,**WIN MP 0
eye4 s►a tMAN
Please theok appropriate hem rand 0"140#00 in*Wien et. sr W
eAswdrsrr� � �� �"
�
e or many ;sirfarnllel unite In one$111.101Ms fArery tt� .�. tlt3f0
3wrvir*e*rod►eller Pps Amps or more
Slretom ever OW Yoke nominal 0.so*NtNel-- inepee00"+ria
Clesslfled area w AtnRt n eontAlydng spa.081 oaouperAW to M*V"IN my of NM a wee
as door dhad In N E.C.Chapw s ow Kreek^ M na
Pot No ..w.�. On" -w
Submit Z sets of IAns with 1A Muni snr o0
eppNealien whe►o any of 11M rifts - -
apply. Not required for b"otary oortetrMllon eeMaft S. Pot
NOTICE I&LIW of abaft fells S 3 r
*W$hU"(alit X teal Is") a �.T.-
PUIMltS RFCOME V(YO IF WOUK Orl OONBTRUCTION
AUT 4OAl2ED 19 NO1'COMMENCAD M-MIN Iso DAYS,OR IR �! �K*tAft M B'w A Ow
CONSTRUCTION OR WORK 19 9U9PENUED OR ARANOONED FC>Mr � ����(l M41~(91400.91 st
A rFn")OF teo DAYS At ANY TIME AFTCR WORK IS
COMMENCED. a TRM R,actiunl A
�alMlM"ar J�Nb A ,�.-7 r-
•.w�rM-AYw MA�1
.:i
I
RECEIVED
AUG U 4 1997
COMMUNITY DEVELOPME Nt
CiTY OF TIGARD MECHANICAL.
C'WELOPMENT SERVICES T
PERMIT #.. .... .. .. . . Mf_-C97--O21i4
13125 SK 'all Blvd., Tigard, OR 97223 (503)639.4171 DA f E ISSUED. 07/2'I/Sl
PARCEa_: 2S 1 1 1 DD--1 1800
SITE: A' DRESS. . . : 08618 SW AVON S-f
SI-16D I Y f.�a I ON. . . . : CHESSMAN DOWNS ZONING: R--7
E :CK. . . . . . . . . . . LOT. . . . . . . . . . . . . :44 JURISDICTION: TIG
"_ASS OF WORK. . :t'IDD FL-OOR FURN. . . . : 0 FVAP COOI-ERS: 0
T'Y1'E OF USE. , . . .SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
GRF'. . : R3 VENTS W/0 Ar-'PL..: 0 VENT SYSTEMS: 0
3"fO. A. c. . . . . . . . : 0 BOiI_.ERS/COMPRESSORS HOODS. . . . . . . r'
i FUEL YPES-------------- 0--3 HP. . . . 1 DOMES. I NC;T N: V_i
2-15 HP. . . . . 0 COMML. I NC I N: 0
'+IA X INPUT : 0 RTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
FIRF.-L DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOYE:S. . : 0
iAS I='RESr'IRE. . . : 50+ HP. . . . : 0 CLC] DRYERS. . : 41
NO. OF UNITS------------- AIR HANDL-.I NG UN 1 T C OTHER UNITS. : 0
f"URE`! ( 100K BTIJ: 0 (- 10000 (.-f m: 0 GAS OUTI-ETS. : 0
TURN )-100K BTU: 0 > 1O000 cfm : 0
R e m ar-k s : inst) 1 boiler/coop/heat puep/a-c unit // air conditioning w,'�s cannot
be placed inside setbacks
flwner: -- ------- ----__-________.___-_____.-•---•--.--..---. _._._..__..___.__....-___ FEES)
'SANDERS type amoo.int by date r,er_pt
[ 618 SW AVON ST PRMT $ 25. 00 TAT 07/14/97 97-297O93
FIGARD OR 97223 5PC7 $ 1. 25 TAT 07/14/97 97--297-347
�'hane #:
r:ontr^actor:
NORTHWEST HEATING, RCuO1_ ING IN
_00-4 NW BIRD--DALE ----___--•----___-- ------.._....___ ________,
$ -'6. C'S TOTAL
3RESHAM OR 970-70
E'hone #: 618--0724
I7eg #. . : 001172
------- REOUIRFD INSPECTIONS
This permit is issued subject to the regulations contained in the Mechariic.al. Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be done in accordance with Cooling Unt Insp
,proved plans. This permit will expire if work is not started Final Inspection
thin 180 days of issuance, or if work is suspended for more _
than 180 days. ATTENTION: Gregor, law requires you to follow rules �-
adopted by the Oregon Utility Notific•at'm Center. Those rules are _ —
_et forth in OAR 952 001-NIO through GAR 952-001 0080. Yoi may
obtain copies of these roles or direct questions to OUNC by La"ing
(503)246-9187.
0
Tssr_re By : y_ P•t?r,mittee Signati-ire :
44.+4-++4.++++'}'++++++++++++++'r +"++++++++++++++++f"r'++++++4"4"f+J-++.#-++++++-t-4.++++++'}+++
Call 639-4175 by 6:00 p. m. for inspections needed the next bi-rsiness day
+
+++4-4+++4-+++-f-+4++++4 +++++++++..1-+-j-+++++-F+++++++++++++++++++++++++++++++++++++++
(16Ao .91 10'34 V503 684 7297 ( 1TS OF TIGARU
f0)nu2 uu2
CITY OF TIGA,RD Mechanical Permit Application Plan Check#— —
13125 SW BALL BhVp, CRecd By
Commercial and Residential Date Recd _
TIGARO, OR,97223 --
(503) 639-417. 1,639-417. 1, "ate to P F1, x304 Date to DST
Print or Type Perm"s-
Incomplete or illegible a plications will not be accepted- celled_
NeTe Deor e�ItJpnlenUPrDled —__--�—..��
Descnpbon
,Job keel Ade ee• — Table 1A fiilecharl"I Code ory PRICE AMT
Sunie } Prlrrni' p_— a
Address Aa 10 00
m� emBt -ZIP Furnace to 100 000 STV
`I / `� Including ducts d cots Sao
Nam•(tx isms nr�•me•sl -s.���r-_
OWI1Yt J 2) Pomace 100.000 ATU• 7 Sp
including ducts d vents
3! Floor Fumatb G 00
including vent _
Lp goons 4) Suspended heater.wall Mater -----
___ or floor mounted heater 6 l>0
Na*w to,nems of susM•u) S.) Vent not Included in a Rano!
pp permit 3.00
Occupant
0.) Boiler or comp,heat pump,arr coed 600
ciryrstare 1 J nine to 3 HP;absorb unit to t 00K_BUT-
7.) Boiler or comp.that pump,2Ir rind 11 CO
COrltraCtor NbM! -- 3.1_5 MP;absorb unit to 500K BTU"
(Prior to �� 8.1 Boller er ramp.plat pump _
,
air a+nd - -- 1500
< < 15.30 HP:absorb jnn 5•1 mIl BTU"
Issuanrr Moiling Arfrlr
applic' 9) d011er ur Tromp heat pump air rid - - 2250
must plovrde all C4,r t✓tte W-50 HP,absorb unit 1-1 75m,i EITU"
G JP 10) Boder or co heat u
wnirattor O � mp pump.air cons -- 37
license oreaon Cenot. nt Boom Lloa — '50 HP;absorb unit 1 75 and BTU—
mfermation _
° ~' 7 11 ) Air handling unit to 10.000 CFM 450 =
�� ./ -
for COT m slit" M"etre a alp aM / _
database) Air handling unit 10 000 C 50
Architect N • --- -L' _
13.) Non p able evaporate cooler 4 50
_
4) Vent fan connseted to a single duct 3.00
Engineer C r to ZIP phone
15) VeMileuon system not InGuAld m 4.50
te a _ _ appALQ permit
be
work New nt Adddron pl Alteration 0 Repair Ow 16) Hood served try mect+anlml exhaust
too be don! Residential @--_Non-r�iden6al 0 O • 0
Add N'Onal scnptpn of work ---
17) Domesticincinlraton — 7.% -
r 1 e) emmarciel o'r indusMal type — 3000
Existing use or Inclnerstor
building or property_ 19) Repair urmts
20.) Wood fvo "- 4 -
Proposed use of
badulrg or property` 21.) Clothes dryer.nfc 4 50
2Z) Other units _ 450
Type o�toil-rni O nafur I gaf O LPG 0 •latbie 0 23) Gas piping one M four outlets�- ---
_ _ 200
I her'hy ad nnwladge(het I have re0d fhiin,that the
information given is conA that I sin the oMmer or authonted agent of 24) M-re Man p per outlets(each) --
Ihe nrmer.Mat plans subnutted ars in centphonw will,Oragon State --
laws OTr SUBTOTAL --"
Signature of(>,I nierfAgem bate --_---
f *St l L
5%SURCHARGE
0 0 PhotN / +
�EVIEW 259.OF SUBTOTAL
TOTAL 0
r vlstv?l pmt am (rev 0
'A"Im"um permit far•Is$25.5S6 surcnarpe -----�
"Res dlnhol aC equvea s le phnshnwlnq piacameM of urttt.
W F
Heating &.. Cooling, Inc.
2.200-4 NW BIRDSDALE GRESrIAM, OR 97030
s
Phone (503) 618- 0724 (503) 674-942 3 Fax
((Ra IIIIS,
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TO
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RECEIVED
AN 19 1997
l
COMMUNITY DEVELOPMENT