The URL can be used to link to this page

13369 SW CLEARVIEW WAY 1 �A) W Ul C~„ Ch N H V) S S K A .� 13369 SW CLEARVIEW WAY CITY of TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4174-- -- — _ 11 � AUP _ �— Date Requested —� _�� _AM— M 1_255 '/gLL� Location�;> j tc C ( � c alt2 _ V EC Contact Person PLM Contractor — —_—_ —_--. Ph SWR — — BUILDING Tenant/Owner ELC Retaining Wall �---- - - ELR FootingAccess ,` -y� -44 NU L LU Iw' �'` t FPF — Foundation _ Ftg DrL�n — ----- SGN Crawl Drain Insr,ection t4otes — '^lab __..--- _ —__—_._--__ -- SIT i ,st& Beam —- Ext Sheath/Shear I _ Int Sheath/Shear C Framing Insulation Drywall Nailing � '�� 'C.l�� Firewall Fire Sprinkler Fi,e Alarm Susp'd Ceiling Roof Final — — P,;oS_P_Ar:T FAIL PL UMBING Post 8 Beam __._— --- -`--- —'— -- — - --- Under Slab 1 op Out -- Water Service Sanitary Sewer — — '— Rain Drains Final PASS TAIL HA Rough in Gas Line --- -- - --- --- --- �_— �_. -- ----- Smoke Dampers PART FAIL ICA L' -- -- ------- - --__ _ _ _—..— — Service RoughIn �" --- -------- ---------- - --------------- UGrSlabLow Voltage (Fire Alarm Final I PASS PART FA.!L rSiIL _ Backfill/Grading -------------- — — — —` — Sanitery Sewer stns n C ain ( i Reinspection fee of$ __ —required before next inspection. Pay at City Ha I, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE' _ _ _ ( ]Unawe is inspect-no access Fire Supply tine -- - ADA Appraar.hiSidewalk Date �� Lr1 ' rr,, ff � Other -- �_-- - :__V-� _ Inspect�,r-- r l.L' L../ ---- Ext J 1 Final PASS PART FAIL_J DO NOT REMOVE this ivispection record from the job site. ELECTRICAL CITY OF TICt R D RE TRICTEDFENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001 00188 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUEV: '/5/01 SITE A;JDRESS: 13369 SW Cl_EARVIEW WY PARCEL: 2S 104DC-02500 SUBDIVISION: BENCHVIEW ESTATES ZONING: R-4.5 BLOCK: LOT: 025 JURIS DICTION: Tl(:, Proiect -)escription: Installation of low voltage lighting. A. RESIDENTIAL _ _ B.COMMERCIAL AUDIO & STEREO: -- AUDIO & STEREO: INTERCUM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDIAL: HVAC: LATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OU"DOUR I-ANDSC LITE: OTHER: X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: r L.--- _. TOTAL #OF SYSTEI%IS: Owner: Cc r,tractor: LABS, JEFF &MARY OWNER 13369 SW CLEARVIEW WAY TIGARD, OR 91223 Phone: 503.590-5064 Phone: Rey #: T FEES T v _ required Inspections _ _Type By Ddte Amount R-Leipt Lovv Voltage Inspectit- —� PRMT CTR 7/5/01 $75.G0 27200/0000 r=lect'I Final 5PCT CTIR 7/5/01 $6.00 2720010000 -- 1 otal —$81.00 L This Pe mit is is3ued subject to the reciulationz, contained in the Tio 3rd Municipal Code, State of OR Specialty Codes and all other applicable laws. All wr)rk will be done in accordance with approved plans. This permit will a rpire if H,oric is not star:ed%,vRhin 180 days of issuance, or if wort[ is suspended for more than 180 days ATTENTION Oregon law requireF, you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in GAR 952-001-0010 through OAR 9.52-001-0080. You may obtain Conies of these rules or direct questions to OUNC at (503) 246-19E'7. 7 � Issued by141151=71-lcPermittee Signature 4 _ OWNLR MSTALLATION ONLY The installation is being made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE. ter, DATE: _ CONTRACTOR INSTALLATION ONLY IGNA f URE OF SUPR. EI_EC'NDATE: .ICENSE NO: -- _-- Cali 6394175 by 7:ffs P M. for an inspection needed the next business day G d Id V-0 4- 779 Cr-ig- Electrical.Permit Application 16 Date received: Q Permit no.:rLjz?dpf-6p(Q� City Of Tigard -- Project/appl.no. Expircdate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Byj#//I Receipt no.: W Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.. Payment type: Land use approval: W 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family u Tenlnt improvement New construction CSAddition/altcration/replacement CI Other: U Partial .1011 SITF INF RM11-110N 1- Job address: /,336 So' cr c AFAR 1//#-A I Bldg. r,u` Suite nu. Tax map/tax IoUaccoutt no.: Lot: I Block: Subdivision: Project name: Description and location of work on premises: Estimated date of completion/inspect ion: ,lob no: Pee Max Business name: 0 L,A_l til e-,[- _._ Description Qty. (ca.) Total no.insp New resi&ittial-single or mulli-family per Address: dwelling tin it.lnchArs altached garage. City: State: ZIP: Servirrhtcluded: Phone: _ Fax: E-mail: 1000"y it or les` — F:ach udrhtional 500 sy.ft.ur pusuon thereof CCB no.:Y Elec.bus.lie.n0: — Limited energy,residential 2 Cit&etro lic.no.: Limited energy,non-residential _ 2 Each manufactured home or modular dwelling Si retire of ,pervising electrician(rcyuuecC Date — Service ancVnr feeder 2 Su .elect.name(print) I.icenaeno: Serviranrfeeden-Installation, alteration or relocation: 200 amps or less 2 1 201 amps to 400 amps 2 i Name(print): �t� — Mailin address: 7 amps to 600 amps 2 g601 amps to 11100 amps 2 CPV: State' ( ZIP: 77401 SOver 1000 amps or volts 2 Phone:56t Reconnect onlyI Fax: E-mail: Owner installation:The installation is being made on property I own Temporary services or Seeders- which is not intendeu for sale,lease,rent,or exchange accordion,to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2011:ny,•.m lessM 2 �p top �) S 201 amps to 41x)amps _ 2 Owner's si nature: r^'� pate: - _ 4011 to 6at am s 2 Id KC Branch circults-new,alteration, or extenslon per panel: Name:-----, A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit I _ 2 CRY-: State: ZIP: _ H. fee for branch circuits without purchase - - of service u!f,xder fee,first branch circuit: 2 Phone: Fax. f'-mail: Fachadditioualbranch circuit: Misc.(Service or reeler not Included): U Serviu occ _ 5„n ps-commercial U Health-care facihh Each pump or irritation circle _ _ U Service user 320 amps-rating o.1&2 J Hazardous location Each don or outline lightin family dwellings U Building over 10,000 square feet four tit Signal circuits)or a limited energy panel. U System over 600 volts nondnal more residential units in one structure alteration,or extension" — 2 U Building over three stories U Feeders,400 amps er more *Description. _ U occupanr Inod over W persons U Manufactured structures or RV park Foch additional Inspection over the allowable in any of the above: Farr.:slhehnngplan 'J Other: .._ --._—_ Per inspection -�5-- Submit -__- sels of plans with any of tlw above. Investignuon fec The above are not applicable to temporary eowtwclion service. I Other -- _---_ _ riot.rl;s,rsdicuosu accept credo sands,pleax call judsdictinn for more tnm rorrion. Notice- chis permit application Permit fee............. $ �• _ Plan review(at _ '>F j $ U Viso ❑Mesred'erd expire if a permit is not obtained State surcharge (89E•) ....$ Ctedit card number: __.... L 1 within 180 days after it has been g — Expires Lr' ri accepted as complete. T07 AI. ....................... .— Nang of cu older as shown on credit cud s _ Cardholder signature— ---_ A,nount 4404;IS t6Af"Al, ELECTRICAL PERMIT FEES: LIMITED ENERGYPERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule jw: /� , Restricted Energy Fee.................... .......................... ...... $75.00 Number of In ipections per permit allowed (FOR ALL SYSTEMS) Servize included: Items Cost Total Check f,rpe of Work Involved: Reside,:!lal-per unit 1000 sq R.c-less _ _ $145.15 _ 4 Audio and Stereo Systems* Each eduitione!500 sq fl or ponior.thereof _ $33.40 1 Burglar Alarm Limited E,:crgy —� $75.00 _. Fach Manul'd Home or Modular ❑ Dwelling Service or Feeder $9090 _— _ 2 Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' hrstd'iaton,alteration,or relo"fion 200 amps or less $80.30— _ 2 201 amps to 400 amps —_— $106.85 --__ 2 Vacuum Systems z 01 amps to 600 amps $160.60 2 301 r,mps to'r000 arnps $240.60 _— 2 I/ tOther Over ',OGO amps of volts — $454.65 2 l� Reconnect only $66.85 2 Temparary Service z or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Insta,iation,alteration,or relocation Fee for each system.......................................................... $75.JO 200 amps or less _--_ $6685 _ 2 (SEE OAR 918-260-260) 201 amps to '00 amp, _ $100.30 2 401 amps to 600 amps $133 75 — -- 2 Check Type of Work Invo ad: Over 600 amps to 1000 volts, see"b"above. Audio and stereo Systems Branch Circults New,alteration or extension per panel Boile Controls a)The fee for hianch circuits with purchase of ser•Jce or Glock Systems feeder fee. E,c;h branch circuit $665 , 2 Data Telecommunication Installation b) the fee for branch arcuits without purchase of service Fire Alarm Installation or feeder fee, First branch circuit $16,85 Each additional branch circuit — $665 HVAC Miscellaineous ❑ Instrumentation (Service or l.,eder riot included) Each pump or irrigation circle __ $53.41 --- ❑ Fach sign or outline lighting $53.40 _ Intercom and Paging Systems Signal circuit(s)or a limited anergy panel,alteration or extension _ $75.00 _ C� Landscape Irrigation Control' Minor Labels(10) _ $125 OJ _ Each additional Inspection over — ❑ Mediad the allowable in any of the above �� Per inspection $6250 Nurse Calls Per hour _ $62.50 In Plant $73 75 _ _ _ Fl Outdoor Landscape Lighting* Fees: E j Protective Signaling Fntr!r total of above fees $ Other __— ----- -- 6%State Surcl.arge $ -. _ — Number of Systems 25%Plan Revw Foe See"Plan Review'section on g No i, "uses are required. Licenses are required Wall other Installations front of application ---- --- Fees: Total Balance Due ----- Enter total of above fees : ❑ Trust Account 0 - - 1%Slate Surcharge = ------------.. ---------------------- Total Palanre Due : i\dsts\fnmi;klc-fees doc 06/07!01 ELECTRICAL PERMIT / \ CITY OF TIGARD PERMIT#: ELC2001-003,)1 DEVELOPMENT SERVICES DATE ISSUED: 715/01 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DC 02000 SITE ADDRESS: 13369 S\N CLEARVIEV'WY SUBDIVISION: BENCHVIEW ESTATES ZONING: R-4 BLOCK: LOT : 025 JURISDICTION: TIC Proiect Description: Installation of �ne branch circuit. RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEUUS _ 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION EArH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE L.TG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS -- ---- __ —.__ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDEP PER INSPECTION: 2.01 - 400 amp: 1st W/O SRVC OR F 1 PSR HOUR: 401 - 600 amp: EA ADD'L BRNC Il� PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: r_ CLASS AREA/SPEC OCC_: _-- Owner: Contractor: LABS, JEFF &MARY OWNER 13369 SW CLEARVIEW WAY TIGARD, OR 97223 Phone: 503-590-5064 Phone: Reg #: FEES _ _ Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 7/5/0 i $46.85 2720010000( Elect'l Final 5PCT CTR 7/5/e $3.75 2720010000( Total $50.60 This Pcrmit is issued subject to the regulations contained in the i igard Munidpal Code, State of OR. Spedalty Cod ac and all other applicable laws All work will be.done in acmrddnce with approved plans This pe .', ,w;'l exnina if work is not started within 180 days of issuance,or K work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules cdopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344 Permit `Jgnature: > Issued By: _.A. _OWNER IN_STALLATIO14 ONLY _ The installation is being made on property I own which is not intended for tale, lease, or rent. — OWNER'S SIGNATURE: _ I-V_—_— _—. DATE: FT 7 CONTRACTCn INSTALLATION ONLY SIGNATURE OF SUPR. EL-EC'N: _ _ _._._ _ DATE: _.__— LICENSE NO: — Call 6394175 .:)y 7:00pm for an inspection the next business day Electrical Permit Application utereceived: 7 S p7Expire Cit of Tigard `1y r = Project/appl.no.:CirvrA,"�/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Uateiasued:Phone: (503) 639-41''1 eceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval _ 118c 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New c .nrstniction Addition/alteration/replacement U Other: U Partial Joh address: > S 6 i+J ;uite no.: Tax map/tax lot/account no.: tut: Block: Subdivision: %E/l_�'y ,E i�J tsT,q 7�S _ Project name: I Description aro location of work on premises: Estimated:date of com,letion/inspc tion: — r � Job no. Fre M1tax Business name: Dascri Ion /I/�� IVewtr�Hal- ��- "Y• (cam) Total no.ins Address: dwelYn�tatM.Incl .ttachedp�n r� City: State: LIP: Setrvlalnchukd I Phone: Fax: E-mail: 1000 sq.ft.or less 4 CCB no.: Elec,bus.lic.no: Each additional 500 sqft.or ponion thereof Limited energy,residential 2 City/metro I' .n0.: Limited energy,non-residential - 2 Fach manufactured home or modular dwelling Signature of st rvlsin electrician(re wired) Date Service and/or feeder , Sup.elect.name(print): License no: Ser•vlcesorfeeders-Installation, - - alteration or relocation: 200 amps or Ics,- 2 Name(print): _j e LIL'6 Ma. 's 701 amps to 400 amps Y - 2 Mailing address: i i to sc i <- e� (� 401 amps to 6011 amps 2 601 amps to I M)amps 2 City: -1-j �Slale ZIP: 4 Z? Over I(N)o amps or volts 2 Phone: Fax: E-mal: Reconnect only - I Owner installation:The installation is being,pride on property 1 own Temporaryservices orfeeden- �— which is not intended for sale,lease,rent,or exchange according to hurtallation,alteration,orcelocation: ORS 447,455,479,670,701. 200 amps or less 2 Owner's si nature: Fj - ,� 201 amps to 400 ampsi - - - 2 dale: 401 to 6W ams , Branch circuits-new,alteration, Nance: or extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City _— — .tale: ZIP: B. Fee for branch circuits without purchase Phone: Fax: I E-mail: of service or feeder fee,first branch circuit: Bach additional branch circuit. - Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Healthcare fa illty Fach pump or irrigation circle U Service over 920 amps-rating of 1&2 U Hazardous location trach sign or outline lighting family dwellings U Building over I 01M square feet four or Signal circuit(&)or a limited energy panel - U System over 600 volts nominal more residential units in one structure alteration,or extension* U Buildinp over three stories U Feeders.400 amp,or more •lkscrition: U Occupant load over 99 persons U Manufactured suucturea or RV park Fich:ddIdonal Inspection oyer the allossabie ht anv of the wbove: U Egres0ightingplan U Other - Perinspection - Submit_sets of lu►s with an of the above. - --L ---� P y Investigation The above are not applicable to temporary construt.11on service. other ----- _-_—�� Na all Jurisdiction,wcept credit canis,please call jurisdiction for rx,rr infrxmatton Notice:This permit application Permit fee.................... U visa U MasterCard expires if a pe.7nit is not obtained Plan review(at — 9(,) $ _ Credit card number; - within 190 days alter it has been State surcharge(8%)....$ xpira accepted as complete. TOTAL .......................$ --- Name of .car oar u shown on credit rand —_- P P Cordlw',dei sijnrlure - - Amount 440415(6100V nmj ELECTRICAL, PERMIT FEES: LIMITED ENERGY PERMIT FEF--"S: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY l B l d h S F Complete Fee Schedule Below: ---- --- — p Restricted Energy Fee...................................................... S75.0 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service inciuded: If,ins ,est Total _ Check Type of Work Involved. Residentliil•per unit 1000 sq ft or less J_— $145.15 4 ❑ Audio and Sterec Systems' Each additional 500 sq.ft or portion thereof $QAU_ ❑ Burglar Alarm Limited Energy _ _— $/5.00 Each Manufd Home ui Mudular Door Gare e 0J ener' Dwelling Se vice or Feeder $90.90 9 P Servi,es or Feeders ❑ Heating,Ven ilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80 5 2 201 amps to 400 amps $10685 _�- 2 �, Vacuum!zystents' 401 amps to 600 amps $16060 2 601 amps to 1000 amps $240.60 _ 2 Oil err Over 1000 amps or volts $454.65 2 Reconnect only $66.8P 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY installation,alteration,or relocation Fee for each system................... ...................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps — _ $100.30 —' 2 401 amps to 6U0 amps $133.75 2 Check Type of Work Involved Over 600 amps to 1000 volts, _ see"b"above. ❑ Audio and Stereo Systems Branch Circuits IJew,alteration of extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder foe. Each branch circuit -� $6.65 _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation Fiisl branch circuit J $46.85 ":, Each additional branch circuit $665 ❑ HVAC Miscellaneous ❑ (Service or feeder not included! Instrumentatlon Each pump or irrigation circle $53.40 Each sign or outline egrting _ $5340 Intercom and Paging Systems Signal circuits)or a limited energy Y panel,alteration or extension $75.00 landscape Irrigation Control' Minor Labels(10) $125 0) Each additional Inspection over ^� — ❑ Medical the allow.ble in any of the above Per inspection _ _ $62.50 Nurse Calls Per hour $62.50 in Plant $73 75 W �� Outdoor Landscape Lighting' Fees: (C ❑ Protective Signaling Enter total of above fees $ �,� ' d-� Other R%Stair Surcharge $ ,-s _ _Number of Systems 25%Plan Review Fee See"Plan Rovrew'section on $ ' No Ilcensos are required Licenses are required for all other installations front of application _--__�--- -� Fees: Total Balance Due $ �D• lr D Enter total of above fees Trust Account# 8%State Sfrrrharge $� Total Balance Due S. iAdstslformsklc-fees.doc 06/07/01 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Busir-ess Line: 639-4171 — BUP _ Date Requested _��,z _ AM ✓ PM BLD L ovation ) `"' '�^� .�-t.Qc.�� Lt✓CY ti Suite _ MEC Contact PE �'Ph '� C �fb�, �f PLM _ — Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wali ELR (-')C11 Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear �1 T7 __// , Framing / -!2 r:.1! �C2--- Insulatio., �} Drywall Nailing — �£� � Z1.4 Q2Lt — Firewall Fire Sprinkler __- Fire Alarm _- �. / L/ Susp'd Ceiling ___. .� ,,- ` Roof - Misc: --- Final PASS PART FAIL ----- --- -- - -. PLUMBING Post&Beam -"- — `- Under Slab Top Out Water Service ----�' Sanitary Sewer - -� Rain.Drains Final PASS PART FAIL MECHANICAL _ Post&Beam _ Rough In Gas Line __.._..-- --- ---- -- � Smoke Dampers Final - - --- -- PASS PART FAIL. ELECTRICAL -- - -- Service Rough In UG/Slab _ Low Voltage - - Fim Alarm PART FAIL ---- - - - _ _ ----- ----- Backfill/Grading - ----- - - Sanitary Sewer Storm Drain ( J Reinspection fee of$_— required before next inspection. Pay nt City Hall, 1312 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: _ ( J Unable to inspect-no access ADA _ Approach/Sidewalk Mier Date �p12- 1C11 -Inspector__25c.L C-- acs Ext 011ier `J -— - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job 0te- I CITYOF TIGARD _A MECHANICAL PERMIT — DEVELOPMENT SERVICES PERMIT#: MEC2000 00197 13125 SW Hall Blvd.,Tigard, OR 97223 (5C3) 639-4171 DATE ISSUED: 05/19/2000 PARCEL: 2S 104F)C-02500 SITE ADDRESS: 13369 SW CLEARVIEW WY SUEZ viSION: BENCHVIEW ESTATES ZONING: R-4.5 BLOCK: LOT: 025 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VEtrT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ _FUEL.TYh F3 0 - 3 HP 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: _ GAS OUTLETS: > 10000 cfm: Remarks- Install an air conditioning unit A/C units cannot be placed within the required setback areas. Owner: !_ _ - —v_ PEES JEFF LABS Type By Date —�` Amount Receipt�I 13369 SW CLEARVIEW WAY NRMT GEO 05/19!20( $50.Ou X002319 1IGARD, OR 97223 5PCT GEO 05/19/20( $4.00 0002319 Phone: Total $54.00 -- Contractor: PIONEER OIL 9270 NE GLISAIJ ST PORTLAND, OR 97220 REQUIRED INSPECTIONS Cooling Unt Insp Phone:254-9595 Final Inspection Rea #:LIC 00057813 oRIGINAL This permit is ir;ued subject to the regulations contained in the Tigard Municipal Code. State of Ore Specialty Codes and all other applicable laws. All work will be done in accordc-uice with approved plans This permit will expire :f 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 copies of these rules or direct questions t(, OUNC by walling (503)246-91$9! fj Issue By: ��' � - � Permittee Signature: Call (503) 63 .4175 by 7:00 P M. for inspections needed the next business day 05/17/00 WE1) 08: 49 FAX 503 598 1960 CITY Ul' 1tUAKU yjVvc CITY OF TIGARD Mechanical Permit Applica�� Recd Check# 3125 5W HALL BLVD. Commercial and Re&1400 �I ° Data Rei d TIGARD, OR 97223 i 710 Date to P.E. (503) 639-4171, x304 Dale to DST Print or Type `V4�,pPMFN1 Permit rtVfftu-Od15- Incomplete or illegible applica onsr litl�Y1?�t�e accepted called _ Name of Develownent/Proled Description — Table 1A Mechenical Code 0 Price Amt Job Street Address Sudety A Permit Fee 16.00 3Ah_� l (F'QI S 1) Furnace to 100.000 BTU Address 1/I e A t includin ducts&vents see footnote 1,2 9.6.5 Bldg# (;ityrstrim zl 2) Furnace 100,000 BTU+ 'Ti'q ckrd 1 Q72 q 72 3 _including ducts R vents see footnote 1,212.00 Name(or name of business) 3) Fi00r Fumace I — Owner Te-4 LA b S ncluding vent see footnote 1,2 9.65 ---- 4) Suspended heater,wall heater Mailing Address or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 cayistale zip Phon• Check all that apply. *Boiler7 Heat Air For Items 6-10,see 01 Pump Cond Oty Price Amt footnotes 1,2 Comp Noma for name of buslneaal - --"� 6)<3HP,absorb unit to _ 100K BTU _ 9.65 Occupant Massing Address 7)3.15 HP;absorb unit 100k to 500k BTU 1765 r_,ryrslNe —-zip Ptana- 8) 15.30 HP;absorb - _- unit.5-1 mll BTU 24.15 _ 9)M-50 HP; absorb contrintor Nene () unit 1.1 75 mil BTU_ 36.00 (,�y�Q tr (�, I L0 _ 10;>50HP;absorb unit Prior to pen-,,it 'ling Addi Ran >1.75 mil BTU 1 6015 issuance,a col 1- 2-70 Ill - /1J 11 Air handling unit to 10,000 CFM of all licenses i:It/statZip Pno"e 700 ans,-qulred if O/ U L 172)()----� 121 Air ndling unit 10,000 CFM+ expired in COT Oregon const.Cont.Board Lie a Exp oat 11.8.5 _database _ (4 06) 13)Non-portable evaporate cooler Architect Name 7,00- '4)Vent tan connected to a single duct 4.75 Mall Addresl ----- �' ut 15)Ventilation system not included in _ appliance permit 700 Engineer tristate zip Prone r16)Hood served by mechanical exhaust 700 Descnba work to be done. - 17)Domestic inn.nerators ___ 1200 New O Repair O Replace with like kinr. Yes O No O 18)Commercial or industrial type inunerator .25 ResidentiaA Commercial O 4840 19)Repair unns— Additional information or desc:nption of work 8 40 20)Wood stove/gas Mother units/clothe dryer/etc 7 00 NOTE: For Co.ninerual projects only, Units over 400 Ids require 21)Gas piping one to four outlets __structural as sales. See footnote 1 3.75 Type o`fuel oil O natural gas O LPG O electric O M 241 More than 4-per outlet(each) _Mlr/morn Permit Fes$60.00 SUBTOTAIt Ihereby acknowledge that I have read this application.;hat the information e%SURCHARGgiven is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAthe owner,that plans submitted-ire in compliance with Oregon State laws Required for AL L commerclel permlta on! TOTASignature of OwnerlAgent Date Other Inspections and Fees: 1. Inspections outside of normal burliness hours(minlnum charge4wo Contact Person Name — Phone hours) $50.00 per hour c 2. Inspections for which no fee is specifically indicated (minimum charge-half hour) $50.00 per hour Foorotes/for commerrial prnjects only: 3. Additional plan review ruqulred by changes,additions or rev*jns to 1. Provide full schematic of existing and prop,.,ed gas line and pressure plans(minimum charge-one-half hour)$50.01,per hour 2 Provide drawings to cc:ale showing exisi icy and proposed mechanical 'State Contractor Boller Certification:equired unds '"Residential A/C requires 0ni plin show ng placement of unit I VneehDerrn doc rev 7119'99 1 ,�� - � � `�, �� Z � U c� VJ �� . c� ..�.-� ..� V �7'..� C.� 1 `�