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13275 SW ASH DRIVE
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES FERMI
13125 SW Hall Blvd., Tigard,OR 91223 (503)639-4171 PIFRMTT #. . . . . . . : MEC97-006P
DATE' ISSUED: 03/21/97
PARCEL : 2S102CA.-MM-06
,)TTF-.: ADDPF9�3. . . : 13P-75 9w Asi-i r)R
RUBDIVISION. . . . : VIEWCREST TFRRACF 70NING.- R-4-9
BI-OCK. . . . . . . . . . LMT.. . . . . . . . . . . . . :4
CLASS (IF WORK. . Al-T FLOOR FURN. . . . : 0 EVPP COOLERS: 0
TYPE OF USE. . . . SF UNIT HEATERS. . : 0 VENT FANS— : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPI. : 0 VEm'r SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS . . . . . . : 0
FUEL TYPFS....... 0-3 HP. . . . 0 DOMES. INCIN: 0
- /(3AS/ 3-15 HP. . . 0 rOMML. INCIN- 0
MAX INPUT: 0 STU 15-30 HP. 0 PFPA'JP UNITS: 0
FIRE DAMPERS?-- 30-50 HP. . . . 1A WOODSTOVES. . .- 0
f-JAS PRFq- 31JRF. . . - 1. 50+ 11P. . . . 0 rLO DRYERS. . 0
KIO. rlF ATR H(ANDI-ING UN T Tc-) OTHER UNTTS. 0
[.-*URN ( 100K BTU: 1 10000 cfm : 0 GAS OUTLETS. I
FURN ) =100R BTU: 0 > 10000 cfm: 0
Remav-Ps : NF.61 GAS FURNACE DUCTWORK TO REPLACE ELC BASEBOARD SYSTEM/new qlas I
at..itlet -- new forced ai.r fl.irnance J flue located in garage//with a/c units Cann
of
ho l:)Iac-ed nitt%ide -,etbacks
Owner. FEFS
I I MMONS type Amol.Int by date recpf-
1 ,3F-'7k,5 SW AFJ4 DR PRMT $ 85. 00 TAT 03/20/97 97-292060
5PCT $ 1.. 2'5 TAT 031P.0197 ':37-29,R'0611
1TBARD OR 972".!i-'-"3
not rArtor:
JARDY PI-1.)MBING 8: 1AFATING
, 4E,A9 INIF mUNTRYSItA:
�uRnPIA LIP 97002
"'hones #: #::'f-,R---96!34 $ 26. 25 TOi'rL.
REOUTRED INSPECTIONS
his persit is issued subject to the regulations contained in the Mechanical Tnsp
ligard Municipal Code, State of Oro. Specialty Codes and all other Misr— Inspection
-4oplicable laws. All work will be clone in accordance with Finpl Inspection
approved plans. This persit will expire if work is iot started
,41thir 189 days of issuance, or if work is suspended for tore
'hat 10 days. ......
............
F-,Pl I for inspection 639-4175
Plan Check#
CITY OF TIGARD !Mechanical Permit Application Recd By l
13125 SW HALL BLVD. Commercial ano Residential Date Recd
TIvARD, OR 97223 � J� f �� Dace to P F
(503) 639-4171, x304 Date to DST
Print or Type Permit#
Inco+nplete or illegible applications will not be accepted 1
Name of Geveiopment,i-,ciect Description
_ Table 1A Mechanical Code _^ —�QTS' PRICE AMT
.lob Preel Andress Sines A) Pemid Fee — -0- -0- 10 00
Address T 7S- i-r it)S4
Bldgs Cilyistate ap B) Supplemental Permit 3.00
Name(or name of busnessl ---� 1 ) Furnace to 100,000 BTU 600
Owner /1` r-j incl ducLi 3 vents
Mailing Address 2.) Furnace 100,000 BTU+ 7.50
incl duras$vents —
CdyiSlate ZipPhone 3) Floor urnace
6.00
llqil incl v+nt _
Name(or memo of bunrpaes) 4) Susp tnded heater,wall heater 600
-lC' ---- —or fl,or mounted heater —
Occupant Mailiig Address 5) vent riot incl in 300
appliance nerd _
Cnylstale zip Phona� 6) Boder or comp,hoat pump,air condom 660
to 3 HP absorp unit to 100K BTU
Name 71 Boder or comp,heat pump,air Gond_ 11 00
3-15 HIP absorp unit to 500K BTU
Contractor "ailing Addre a 8) Boder or comp,heat pump,air coed 1500
)'I ( ' —'i' Cc^G�-'Th 15-30 HP,absorp unit 5-1 and BTIJ_
(Prior to City/stalsIp P ,e 9.) Boder or comp,heat pump.air Gond. —22.50
issu-nce a copy - V( [,")a t )_)) `�L.S t 30-50 HP,absorp unit i 1 75 mil BTU_
of aY licerses are OregonWill.Cont Board Lic N Exp.On. 10) Boder or comp,heat pump,air Gond 3750
required d �,e rt L/ I" >50 HP,absorp unit 1 75 and BTU_
expired in C O 1' COI Business Tax w MMM M Exp Date 11 1 Air handling unit to 450
data base) L % lar I �� 10 000 CFM
Architect Name 12) Air handling unit 7 50
10.0000 CTM+ —I
or Mailing address 13.) Non portable 4,50 1
evaporate.rnnlwr
Engineer c rl yrState Zip Phone 14) Vent fan connected 3.00 Y`—
_ to a single duct
Uescnbe work New n Addition Alteration O Repair O 15.) Ventilation system not 4 SO
I
o be done Residential K Non-residentiai O included in appliance peer ut
Additional Description of wont 16) Hood served by mechanical exhaust 4;
� f f-' C.7�� I (X17L.C? •. ,� t
I oRef,9 Pr rz F,t c' 1 F t_ k -
_ t 7) Domestic incinerators 7 50
ExistintJ•use of O 18) Commercial or mdustnaltype 30.00
building or property, l` 17 � _ incinerator
19 1 Repair units _ — 4 50 —
Proposed use of 20) Woodstove 450
building or property
21) Clothes Cryer.etc.
Type of fuel-oil C natural gas t: LPG n� electric O 22) Other units 450
1 hereby acknow.edge that I have read this application,that the 23) Gas piping ore to four outlets 200
information given s correct,that I am the owner or authorized agent of
the owner,that piens submrttt�t are in compliance with Oregon State 24) More than 4-per outlet (each) 50
laws 1 ' I
-7 '�' - 7
Signature of OwnerlAgent Date QTY.SUBTO fAL
- , 'Sl'BTOTAL
Contact Person Name Phone 5%SURCHARGE %
PLAN REVIEW 25%OF SUBTOTAL
------ -—TOTAL J�
i V-tst`vnechpmt doc i,rev 7196) Winlmarn permit fee is 525+5%surcharge E-
CITY GAF TIGARD
DEVELOPMENT SERVICES r:!_FCT9TCAL PERMTT
)k 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RFRM T T 4+: FLC0*7—017,,
nAT' ISSUED! 03/26/77
ITTE (aCIIPFSS, . ., : 1327r--) SW ASN DR
•>tl13t)'i'JT TON. . . . :VTEW("RF!7'T TFRPACE 70NTNG:R--/4. 5
3LOCK. „ . . . . . . . . 1. I...0T. . . 1. , . . . . . . .. . J'1J1?Ir,DTCTInN: 7,Tr,
ec,t Desc,rilat i.rorr: T„s1 -al 1 At i on of 1, br^anc-t) c!ir^cr.ri.t.
--RFF31T)FNTTA1_ UNIT--__._. SRVC/FF_EUFRS.._---_ ------
000 Pr 01; t.FSS. . . . . 0 0 _ 2,00 amp. . . . . . . . 0 r,1JMP/TRRTG2ATTr.W,. ,
YgrJ.r E'1DT}' i._ 5006,r. . . , 0 :, 1 4:30 amp. . . . , , . 0 ;T ON/Cn11T l.T NE I. Tia. . . Ch
!_IMTTFD ENr_RGY. . . . . 0 401 600 amp. . . ,. . . . 17r STONAI./PANFI.- . . . . . .
arli,.IF , " 1M/ R. . : 0 61711 +AMne;�--1.000 'sol t -,,, � MT�lOR L..gAFI_. ( 10} . . , ..
_r4"W)TCE/F'FPIN-R-..._.._.. C'TRCIJTT _.-.._..._- -_..-._Al)D' I._ TN�,I"'Ft'TTCIPP
r:
' '00 P. . . . . . ¢ 0 W/SFRVTrE nR FEEDER: 0 PFR TNSRECT'TON. . . . .
7
0J 1,017! ,amt1. . . . , . . tst W/G SRV: OR FDR. _ 1 PF-P HOUR. . . . . . . ..
f,0!h rami, . . . , . 0 r A1]D' 1- SRNC� CIRC;: 0 TN PLANT. . . , . . . . . . ,
,AMP. . . . . :
100Qr•! .:,mfg/volt. . . . , : 0 } =4 RES 1..INITS. . . . } E'+00 '% -1. T NOM TNAL. ;
!lpronnprt nril.y. . . . . . 0 rVC"/FDR } - ='C AMPS— t'I...ASS ARCA/SG'”
lwnar: . ..._._.._--..,__-_.._........__._.__-.._._ _ ._.______._.._______._.._._._._.__.__.__....... FEES
)0PTL ANri ST r-'_.E"CTRTC #;ypQ .amount by dAte rer^Rt
'IC1 rAC1Y, 14 ,r, PRMT A 35, 00 ORA 03/2S/97 '77 -c;;Rr''O4
"C)RTl_ r� CiP 97214 )CT !i 1. 7c DA 07 7,C,/17
..,f'1pTi._A1J1'! S'rn•,-i-. ,_ .. ; , _ ! .._-r.�1
''n 131'1}( 14E,4F,
RF'OU T P _D I NSRECT I ONc _._.. __....
" OR71.AND nP q-7! EIrc:t. ' 3. Ser-ViCe
Ohfjrlf' #'. lr,',f.j 7 1 Fir, l
Req 4. , : 96644
-his De,-sit is iss!ar'r+ iub.,'.pct to the regulations contained in t? �_�x•e j�
Tigard Municipal Code, State of Ore, Specialty Codex and all We � �n,�: . ;•
aopiicable laws. 411 wor4 will be done in accordance with
ippvn.ved Tana. Thi; pe-rit will �vpire If wor4 is not started
within 140 days of issuance, or if worts is suspended for sore
than 18@ days.
nt orP TNSTr?!..! -
h bping 111nr.9e on pt-or'rpr•ty I hwn whi.r_h is not i.nterirled
r:T GN1PTr !17F"F T)ATC'r
!ii..r, (;! .. )') i''+IZ. 1..F>'' "�• T}ATr
' r
7 f"ri..!nt" lelr1.
7al 1 fur° r pip c• ri r,31�- 417!5
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 972.23 Permit # _�� Z_._O_� 70
Date Issued
Phone (503) 639-4171
CITY OF TIGARI) FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development — Number of Inspections per permit allowed
Address ly- ��ysw1 kb 1)Clu-e Service included Items Cost(ea) Sum
City/State/Zip-�-,(a o-,\d OT` 4a. Residential -per unit
1000 sq it or less $110 X ^
Name (or name of business) Each additional 500 sq it.or $25 00
portion thereof
Commercial ❑ Residential o Limited Energy $2500
Each Manurd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
4b. Services or Feeders
Installation,alteration,or relocation
Electrical ontractor � t I 200 amps or less $6000 2
Address 201 amps to 400 sinps $60.00 2
Cit State C Zi 401 amps to 600 amps $12000 2
Y --� p ( — 601 amps to 1000 amps $18000 2
Phone No. c+) - Over 1000 amps or volts $340.00 2
Job NO.�5Fl- 5 1!6 Reconnect nnly $5000
Contractor's license NO._��,� pl t lln- / 4c.Temporary Services or Feeders
Contractor's Board Reg No` (I 1-I Installation,alteration,or relocation
Signature of Supr. Elec'n)( — "-rzl 200 amps or less
License NoA4 Phone No. 201 amps to 400 amps $5000
401 amps to 600 amps $7500
Over 600 arnps to 1000 volls --
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name - New,alteration or extension per pane
Address a)The fee for branch circuits with
CitState Zi purchase of service ur feeder rue
Y — p---- Each branch circuit __ $500
Phone No. b)the fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee
First branch circuit $3500 2`j c
not intended for sale, lease or rent. Each addltlonal branch circuit $500
Otimer's Signature 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or irrigation circle `_. $4060
Each sign or outline lighting $4000
ignal circuit(%)or a IlmPed energy
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4,100
_4 or more residential units in one structure Minor Labels(10) $10000 _^—
_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 $3500
Per hour $5500 _
In Plant $5,900
Submit 2 sets of plans with application where any of the above -- --
apply. Not required for temporary construction services. 5. Fees:
Sa. Enter total of above fees $ gyp`)
NOTICE 5%Surcharge (05 X total fees) $ 1 -1 1.,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR flan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED m<umnrnw< ❑ Trust Account N
rxm nrx�
Balance Due a