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13098 SW CHIMNEY RIDGE ST
CITY OF TIGARD MECHANICAL PERMIT
DEVFLOPMENT SERVICES PER MIT#: MEC2004-00307
13125 SW Hal{ Blvd., Tigard, OR 91223 (503) 639-4171 DATE_ ISSUED: 5/21/2004
F 4RCEL: 2S104AB-05200
SITE ADDRESS: 1:3098 SVV CHIMNEY RIDGE ST
SUBDIVISION: MORNING HILL NOA ZONING: R-4.5
BLOCK. LOT:081 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: i J� EVA7- COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCC.!JPANCI" GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 • J hp, 1 DOMES. INCIN:
Fl_F _ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS'?: 30 - 50 HP: WOODSTO`/ES:
GAS 'ak:SSURE: 50 -1- HP: CLO DRYERS:
FURN , 10LIK BTU: AIR HANDLING UNITS_ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks:
Owner: FEES
_ _
TRACHSEL, DONALD H/KAREN L Description Date Amount
13098 SW CHIMNEY RIDGE ST �NIFUIll Pcrmit Fcc 5/21/2001 `072.50
TIGARD, OR 97223
�',n\I x"„5uitc Surchprl 512112OOz $5.80
Phone: 5113-5911-26110 _
Tota $78.30
Contractor:
SPECIALTY HEATING &COOLING
1601 SE RIVE? RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-(,i0-360i Final Inspection
Reg#: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other apolir;able laws. All work will be done in accordance•.vith approved plans. This permit will expire if work is
not started within 180 days of issuance, or if;cork is suspended for snore than 180 days. ATTENTION: Oregon law
,equires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to CUNC by calling
(503)246-6699.
Issued By: ' >� Permittee Signature: L ,
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next bus!nasc day
d
Meclianical Permit Application
Raccived Meahanicel ,,/�
` ' r Dncert?1 PermitNo.rAY -(w
P.-Y o: Tigard Planning Appro I Building
131 z5 SN/Hall Blvd, Date/g: Permit No.:
Plait Review Other
1,IIt.rd, t^,rngon 97223 Date/ii : permit Nu.:
�s Pho te; 5)3-639.4171 Fate: 533-598-1960 Post-Review Land Use
Internet: www•ci.tigartl,ut,U$ Date/By: Case No.:
24-hour Ii tspeetton Request- 503-639-4175 Contact Jnns,: Se•P40C 1 for
NamerMethod: / Su .lementallnfarmat1.o.
f TYPF.OF WORK _ - COMMLKCI FEE UL.E-USE CAECk1.IST
(�1ew_:onstruetion _ Demolition Mecl-nical pernut fees'arc based on the total value of the work
I f�ddl: on/altt ration/re lacement Other: perrortncd. Indicate the value(rounded to the nearest dollar)of all
CATKGOR'K OF CONST UCS. mechanical materials,equipment,labor,ovc•head and profit.
1 & ?•Famil dwellin Commercial/Ittdustrial Value. S See Pale I for Fee Schedule
f�ccCsso Building Multi-Family ItESIDENTIAI.•E UIPMEN78YSTEM.S)FFE•SCHEDULEw-1
1\lnatcrDuildCt t7ther: 1)eacrt non tv 1 Fce�en.l Total
_J]B SITE[NFORMATION and LUCAT.ION "�j3eali Cook _ --�
Job;ite a�ldress: �—� Furnace—add-9 «• _14.00
Z �d /
. 00,scatSuitt u a St.#: :uctwork
11.00
Pro
N ime: Hvdronie hot waters stem
Cros; strest/Dtrectit;ns to job site: Residcntial boiler
"or radiator or hydroni,ayatem) t=VO
Unit heaters(fuel,not clectnc) -
in wall in-duct su ended,etc.) 14 Ot
_ Flucrvont fat wt ufabove 10,06`
Subdivisit n: _ Lot#: Repair units 12.15
Tax rnM/ arcel #: Other Fuel A Nantes _
_ DSBC„ I4Li'T10N OR WO�ttC 'dater stet- .__ 10.00
Gas fire Tare 10.00
_ Flue vent wnter heater/gas 6-t-place 10.00
Lox
o Ig tghtcr(gas) I 10()o
0o P1Uet stove 10.00
` - Wood fire iacc/insert 10.00
Chimne /liner/flue/vcnt 1000
PR'JPEFTIi OWNER —TIITENANT Wier: 10.00
Na (1: !a+G°�__So ` Environmental Mwst,tc v entilatinn
Address: _ ` a;•i Range hood/other kitchen equipment �'—i0 00
Cit /;ilxlt 'Zl): - (-I oches diycr exhaust I0.t TO—
SingleFax: — Single duct exhaust
.� o~ 6 L� (bathrooms,toilet compartments,
APYLIC'�.NT SQNTACI P SON utili rot-. s� _ 6.80
Name: Attic/crav's ace fans_ 10.09
�Addrt:SS: Other; 10.097
('.'I It /s,tAte,zl : — — Friel Plot
•"
.` 35.40 for first 4,$1.00 each additional
Phoneme Fax' Furnacc.rite. ..
E-mail: _ ass heat pump
CONTRACTOR 7Wallrsuspcndcdrur.It heater •• '
Busirn:ss1` ,: — Water heater
lame •.
S � �� L-�C`f1 • Fire lace ,e
Address: Lr l'c _ v.Q rK'r P.an o
Ci /State/_i —;�—�( ee ••
Clothes J Cf a5) ww
Phone: ( t i F
CCB I-it } a'C' 1' 0 T 53_ Other ..
kc Total:
4uthon:ed Mechanical Permit Real'
:gnatur i.L.�l t��. �r�iC:� S
l.' Cnic: .Q p1f Subtotal: I S
�1 t ,,t ;•` L� ( ��..� Minimum Pcrmit Fec 2.50 S L�
t ____ Plan Review Fra(25%of Pe nut Fee S
(Please print name) Stare Surcharge 8%of Permit Fm) S J
notice: 1'hia Pe-mit application expires it a permit is not obtained within TOTAL rVR,,11T FEE $
•Fec methodology set by Tri-County 8uildinq Industry service Board.
IN days Iter i has been accepted■s complete. •.
I\Dstl\Pe:mit Ft ms\MecPerrnitApp.doc 01r03 Site plan required for exterior A/C units.
Z 'd 8ILO 069 609 Slutz_ati R-ZIptoacIS cILO : 10 b0 OR ROW
SITE PLAN
---—
PL \�.
it
PLS �t 5 PL
��TREET
opecialty Heating & Cooling, Inc.
9528 SW Tic,ard Street
Tigard, OR 972.23
Phone 503 .620.5643 Fax 503 .598 .0718
Hillsuoro Phone 503.640.-.3607 Fax 503 .681 .0793
'd stLu ass ens 9u12eaH R21010ads eae =sU *o at unr
CITY OF TIGARD _ELECTRICAL PERMIT
PERMIT#: ELC/2 04-00292
DEVELOPMENT SERVICES DATE ISSUED: 5/26/2UC4
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104AB-05?00
SITE ADDRESS: 13098 SW CHIMNEY RIDGE ST
SUBDIV'SION: MORNING HILL NOA ZONING: R-4 6
BLOCK: LOT : 081 JURISDICTION: TIG
Project Description: 2 branch circuits: AC and plug.
F_ — — --
- _RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LL SS: 0 - 200 amp: PUMP/IRRIGATION:
EACH A!1D'L 500SF: 201 400 amp: SIGN/OUT LIVE LTG:
LIMITED ENERGY: 401 - 6t 1 amp: SIGNAL/PANEL:
MANF HMI `.` FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPEC110NS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: to.ADD'L BRNCH CIRC: I IN PLANT:
605 - 1000 amp: _ _ PLAN REVIEW SECTION
1000+amp/volt: :-4 RES UNITS-^ >600 VOLT NOMINAL: —�
_ Reconnect ons_ — SVC/FDR 225 AMPS: CLASS AREA/SPEC OCC:
Owner. Contractor.
TRACHSEL DONALD H/KAREI"L HILLSBORO E LECTRIC
13098 SWC:HIMNEY RIDGE ST 21185 NW EVF,RGREEN PARKWAY
TIGARD,OR 97223 HILLSBORO, OR 97124
Phone: 503-590-2600 Phone: 503-435-9666
Reg #: ELC'. 34-4399C
LIC 134481
FEES _ SUP 49415
Description Date Amount
Rertuired Inspections
(1.1_PRMT] 1.1,( I'crnul 5/20/2004 $53.50 —
11KJ 8%'cak ;uicharge 5/26/2004 $4.28 Rough-in
Flect'I Final
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard PALM, pal Code,State of OR Specfaity Codes and all other applicable laws
All work will be done in racc.'irdanos with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for mora than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utilitv Notification Center. Those
rules are set forth it OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct gw`stions to OUNC at(503)
246-0699 or 1-80jb232-2344.
Issued By:-Jtt '« S���r l{.Z, Permit Signature:_ f-'1 qtr f ; t '�i 1.( r 1-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE- _ DATE:
CONTRACTOR INSTALLATION ONLY
SiGNATUR, OF SUPR. ELEC'N:
LICENSE NO: _-.—
Call 639-4175 by 7:00pm for an insp,, )n the next business day
i:HILLSBORO ELEUTRIC LI-C. 5036013680 05/25/2004 10:12 #919 P.001
xi:e;Wcal Permit Application Iteoolw
Electrical
City of TigalydREGEI Planning Appro-V-4 sign
13125 SW Hal;Blvd. DateB ' Permi N°•:-
1 I Plan Review Other
Tigard,Oregon 97223 �,[,{ Z�.I te/A � Permit
Phone: 503.639-4171 Fax. 503=59$-1 60 Post-Review nd Use ` ---
Internet: www.oi,tiprd.or,usV1jY 0 v TIGA natr_/S . Case No.
c•: Sec t'ags2 fo -
24-h6ur Inspection Request: 5 pjaLIV
Contact ]urir
�� Nemc/Mctitud
Sunnlprnpnfnf information,
S"YPE OF WORT( PLAN REVIEW lease check all that a,»
New construction Demolition Service over 225 amps• Health-care facility __
Ad::,tion/alterlation/re laeement Other: commercial Hazardous location
CATEGORY OF CONSTRUC rT0 D Service over 320 amps rating of ❑Building over 10,000 square feat,
� . I &2 family dwellings four or more residential units in
&2-1Fami1 dwellin Ci;immercial/Industrial ❑System over ISM'J nominal one structure
1Jesso Building Multi-Family 13ACCBuilding over three stories Feeders,400 amps or more
Occupant load over 99 persons 8 Manufactured structures or RV parl
Master Builder Other: Egress/lighting plan other
JOB SITE INTORMATION and LOCATION_ Submit sett of plana with any of the above.
Job site address' ` �I S i„�; The above are noApplicable to tem ora uon ructi n sery ca
� _,___ `_ •,� • • FEE"SCIiEDUL
Suite tM: $ld ./Apt.#: Nutnber of tete ectlonc perpermit allows
Pro ect Name: Qty I F@s Torii
Cross street/Oirections to job site: resldential•eiat to n, nu,lri tomo}pa,
dwelling unit.Includes attached esrae�.
Service Included:
1000 mg. R or lets 145.15
eh sddlt on I$00 g tt,or pardon thereo 33-40
_Subdivision: Lot#: Limited energyiresidential
L' ed ever non residen
71lX 1178 sacci #: manufactured home or modular siding
U '; E5CRIPTION.OF WORK, - service attd/or feeder 90.90
SoMe@e or feeders-iostaliation,
alteration or retocado si
ZR? s or losl 10.30
—
LOI amps ro400arrip, 106-85
13 401 am to 500 am r, 160,
I—Addesq
ERTY'.Ci+1ti►1VER y TENANT , 601 aceto 1000 amps 210, --
n civ loonA—or vola ---- 4 a,
1.+•'�e U v.. A Gil.• V"` d tom, ___ eeurwtct on 6G.85
: `t) tom. t> Int LiJ Temporary services or feeders-inarsllation,
tl.�Zl � Tr�r^ alterction,or relocation:200 am or lees 66.15
5c • a`,G�� Fax: 201 amos to 40o amps.._ 100.3
40:to 500 empaM 71
CAN _ CON.TACT�P 01\ i" Brasei:circuits-new,alteration,or
1`TatC1C: extension per panel:
Address: A.Fee for branch circum with purchase of
-- service or feedor fee each branch circuit 6,63
City/atStC/alp: N.Fee for branch circuits without pruchase of
service or feeder fee,first branch circuit I 46,15 Phone: - Fax: -- -----
---- - --- _ Cash additional bmnch circuit S
E-mail: Mise(Service or f1seder not included):
Each
ah MQTO)k csi tv ou �
i hong S
on circle
jub No. Sign)eirotdt(s)or a limited energy panel,
Business Name: Hr/ aiteratlo oras ion
Address: � N"'�Eyc -� I Description: Pan 2
�__��
city/state/Zi tEachadditional Insoection over the allowable In an of the abovet
5� s edon r hots min I bout, 62.50
Phos , 3 ax O —
CCD 1«10, L Li0 C o M. ---- --
Supervising electr c n _ -- Electttcal Pervilt•Fee,� :
Si las�btotal ture to u:red: _ Plan Review(25%of Permit i ae $
Print Nelne: �( _ _L • ic.#: I ei _State Surcharge(8%of Permit Fee) S Lt. d S--
Authorized _ TOTAL PERMIT FEE S -7 if
Notteat This permit application expires if a permit is not obtained within
Signature _ Date I y 180 days aft@•It has been accepted as complete.
•Rae methodoiclY art by Tri-County Building Industry Service Board.
4 : (please print Warne•
i'DsuTemiitForms\ElcPermnApp,doc 01/03
i
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received - ?� —_Date quested—� � PM—. BUP
Location �3p� �� �l �f fiSuite_. MEC � .3d 7
Contact Person h PLM —
Contractor _ — _— Ph( ) ._ —_ _ SWR
BUILDING_'
Footing Tenant/Owner —. .il _ — ELC--
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: w1 - SIT
Post&Beam _
Shear Anchors ,- L� D , { G(J -�/�
Ext Sheath/Shear ` _
Int Sheath/Shear
Framing eaG :Al,
Insulation
Urvwall Nailing -------
Firew0l
Fire Sp�inkler -- ---- -
Fire Alarm
Susp'd Ceiling - ------ - --
Roof
Other: --- ------- - -
Final
PASS_ PART FAIL
IN - - - -- -_-" —'
PLUMBG —
Post& Bears_---- ----- --------Under Slab
Slab
Rough-In
Water Service --- ---- - -- ----_
Sanitary Sewer
Rain Drains - ----- --- .�- --- - -----
Catch Basin/Manhole
Storm Drain -- --- - ------- - --
Shower Pan
Other: - - ---- - - - —
Final
P PRT FAIL --- ---- - -
Post& Beam
Rough-In -- - --- ---- --
Gas Line
jSe Dampers8 PART FAILTRICAL -
Service
Rough-In
UG/Slab -- --
Low Voltage -___-
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL _
SITE - Please call for reinspection RE:- — F-] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date-_7- �-��- _ Inspector _—Ext
Other:
Final — — DO NOT REMOVE this Inspectlon record from the fob site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BI IILDING Inspection Une: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP ---- --
Received p—_Date Re!%'Ak
d_ AM_ PM BUP
Location —� �qO itA� ; MEC
Contact Person — _— Ph( ) .�Jl�_ PLM
Contractor_ __.-_ Ph ( __) _ _ SWR _--
B_UILDI_NG Tenant/Owner — ELC v
Footing _
Foundation Access: ELC
Ftg Drain ELR _
Crawl Drain
51ab Inspection Notes: 3SIT
Post& Beam
Shear Anchors ---
Ext Sheath/Shear
Int Sheath/Shear 11
Framing N V�_ _ V�R4._ri�'►� b -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - --- - --
F're Alarm
Susp'd Ceiling -- - --- -
_
Roof
Firal p S
PASS PART FAIL
PLUMBING f^'
Post& Beam--- -- ._- ------ -----
Under Slab
Rough-In
Watrr Service
Sanitary Sewer
Rain Drains ----- --
Catch Basin/Manhole
Storm Drain - -
Shower Pan
Cther
Final
PASS PART _FAIL
MECHANICAL_
Post& Beam
Rough-In --- --
Gas Lire
Smoke Dampers
Final
PASS W
FAIL
Svice � - --------___�_ ___— -- ----
Rouh-In
UG/Slab ��-�- ---- — -- -
Low Voltage —_--_--
Fire Alarm
16255
U Reinspection fee of$ -—_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SPA_R_TFAIL
SIT - -a C, Please cal for r inspection RE: Unable to inspec!-no access
Fire Supply Line
ADA '\\
Approach/Sidewalk Dat! _� _ V _ __ InspectorQ— N ___ Ext
Other:
Final — DO NOT REMOVE this Inspection record from the job site.
AASS PART FAIL