13376 SW CHELSEA LOOP ADDRESS:
133*210 8LJ CA-eJ
i1rerordslmicroflmltargetslbuiIding.dor,
��ITS PE 'L
CITY OF 71GARD EUILDI +SINSPECCTIO- N NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phona: 639-4171
Inspection: ,� c—
Footing Susp. Ceiling Sprink. Rough-in Appr/ k
Foundation Plbg, Undersiab Mech, Rough-in Firepl _
Post/Beam Strurt. Plbg. Top Out Elec. Hough-in FINAL.-:
Post/Beam Mech San. Sewer Gas Line
Plbg. Undertl.)or Rain Drain Framing -Plumb
Alarm Water Line Insulation Q; 3U ec
Underilr. Insul. Shear Wall Gyp. Bd. )off •V -Elect.
Dale Requested:T �_Time: SAM _ PM
Address:) 3.3 —7 _''`-�-tom o_-c-
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ni G
L
Inspector: — Date:/
PFRnVED DISAF�'ROVED ___APPRC%IED SUBJECT TO ABOVE
Call For Heinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Ph63/9175 Business Phone: 639-4171
Insoection:_ i r
Footing Sued: Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Gireplace
Post/Beam Struct. Plbg. Top Out Elrc. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plhg. Underflaor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. �. Oct.
r
Date Requested: �c TimeKf),� PM
Address:_
r1�
Builder:_
Permit
THE FOLLOWING C)RRECTIONS ARE REQUIRED:
r
Inspector:–
APPROVED —DISA"PROVED _APPROVED SUBJECT TO ABOVE
--Call For Hemsp.
WASHINGTON Land
ELECTRICAL PERMIT
L,el.�artment of Land Use & Transportation
Elec!rical Inspection Section APPLICATION
155 S4orth First Avenue, /t350-12
Hillsboro, Or:rgori 97124
Information: (503)640440 Fax. (503) 693-4412
Permit
PRNumber LC g � Date (�
Please coniplete all-sections J through 5.
4. Complete Fee Schedule below
1. Location of Installs on Number of Inspections per permit allowed
Address 3 31 l�. '�_� o Q. �_ Service Included: Items Cost(ea.) Sum
Building A. Residential-per unit
City ; Suite No.
1000 sq.fl.or less _ $110.00 — __ 4
Tenant tyle r� \ Each additional 500 sq.k
(i}commercla:) —___—JJAers>,I"t, or portion thereof $25.00
21 Limited Energy _ $25.00
Map No. —_ —_Tax Lot Each Manurd Home or Modular
Thomas Map Book: Page: Section:
Dwelling Service or Feeder __ $6.8.00 _ 2
__
B. Services or Feeders
— — ----- Installation,alterations or relocation
Commercial ❑ Rnsidential 200 amps or legs �_. $60.00 2
201 a-,ph to 400 amps _ $80.00 2
d'c i am`d to 600 amps .6120.00 _ 2
2a. Contractor kn,stallatlon on . 601 amps to 1000 amps $.40.00 2
Over 1)00 amps or volts _ $340.00 �— 2
Electrical tracto � '�C� . Reconnect only $50.00 2
Add
City ince r ZI C. Temporary Services or Feeders
^ll — Installation,alteration or relocation
Date. '• Joh .. lm r . _
Property Owr,^r t C la_— �6:� 200 amps or leen $50.00 2
201 amps to 400 amps $75.00 _ 2
Contractor's License No. - _ 401 amps to 600 amps _-! $100.00 _ 2
Contractor's Board Reg, No. _J,� al C�_ _ Over 600 antp- to 1000 volts see'e•above
Signature of Supr. Elec'n ALI-df _ D.. Branch Circuits
License No.�� P ie N .;i __ B o1 New,alteration or extension par panel
eI) The fee for branchircui s
c t. with
2b. For owner Installations: purchase of service or feeder fee.
Each branch circuit $5.00 2
Print b) The foo for branch circui's without
ot nor-s Name 4 flon—eN6— purchase of service or feeds les.
First brnnch circuit � .�S.
}i'dd'res's -- ------------- $35.00 � 2
Each s+d'nl branch circuit_____ $5.00 2
ci -"-- -�inte —ZIP—� E. Miscelh mous (Service or Fooder riot included)
Each pump of Irrigation circle $40.00 _ 2
The installation is being rnade on property 1 own Each sign or outn,.,lighting $40.00 _ 2
wriich is not intended for salf?, le,3se or rent. Signal circult(s)or a lin„ed
energy pane!,alteration
OH ier's Signature — or Wension $40.00 2
F. Each additional Inspection over the allowable
In any of the above
3. Plin Review section (If required) Per inspection �_ $35.00
Per hour $55.00 -,
Please check appropriate Item and enter fee In se Alon 58. In Plant _ $55.00
__4 or more residential units in one structure 5. Fees
—Service and feeder, 800 amps or more
System over 600 volts nominal A. Enter total of above fees $
_._Classified area or structure containing spec al 5% Surcharge (.05 X total fees) $ 1• r7 S
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 2511116 of line A for
Submit 2 sets of plans with application where any of the Plan` eview if required (Section 3) $ -
above apply. Not required for temporary construction SUbt 'al $
services. Trust Account $
ff'a Mince Due $ -1,1111s-
This
r s
For Inspections call This permh becomes null and void H the work authodred by the Permit is nol comme.rced
640-3561 or 693-4415 w0hln 150 days from date of Issuance of ouch parmll or if the work authorlted Is
Suspended or abandoned of any time after work Is.rominenced for a period of 1110 eaye,
24-hour recorder, one working day In advance of need lleetrkal Permits ere non refundable and non-transferable.
8/44
CITY OF TIGARD -- RE-.CFIPT OF F)PYMFNT RFCF.T$:,T NO. e,)5---,F*66A60
CHECK AMOUNT e 73. 50
NOME i PHOLNIX ELECTRIC CASH AMOUNT r 0. 00
ADDRESS i P 0 BOX 1432 PAYMENT DATE 06 16/95
TUOU-)TIN, OR SUBDIVISION
97062---
PURPOSE OF PAYME-.NT AMOUNT PA 11) PURPOSE OF PAYMENT F-IMOLINT PAID
35. 00 ST. BUILD PFR 1. 75
FLE'CTRICAL PERMIT 35. W 91'. BUILD P(--:R
9717 SW OAK LANE 13,7376 SW CHr—l—SFA LOOP
TOTAL AMOUNT PWD --- —
CITY OF TIGARD MECHA;VI
PERIhIT'T
COMMUNITY DEVELOPMENTNT PERMIT #. . . . . . . s MEC95-0173
R ATi DATE ISSUED: 06/l2/9!-'P
13128 3W Hell Blvd.Tigard,Oregon 97223.8199 (503)$39.4171
- "'TCEL: 2S 102DB-0310th
SITE ADDRESS. . . : 1.3376 SW CHELSEA LP
SUBDIVISION. . . . : CHELSEA HILL ZONING: R-117'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :a
---------------------------------------------
CLA'.3S CIF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . -SF UN?T HEATERS. . : VENT FANS. . . :
OCCUPANC'y GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STCRIES. . . . . . . . :2 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPEa --__------- 0-3 FIp. . . . : 1 DOMES. I NC I N:
: /EL.E:/ / / 3--15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS-,
FIRE DAMPERS% s 30--50 HP. . . . : WOOD STOVES. . s
GAS PRESSURE. . . : 50+ Hp. . . . . CI_0 DRYERS. . :
NO. OF UN 1 TS- ------ -- AIR HANDL I NI3 UNITS OTHER UNITS. -,
FURN ( 100K BTU: <= 1.: 000 cf in : GAS OUTLETS. ;
FURN ) =100K BTU: ) 10000 Cfm:
Remarks : INSTALL RESIDENTIAL AIR--CONDITIONING UNIT
Owner: __.__________.____________.._--•---------_--___.-__-•-- FEE.
__.._ _ �
CHUCK CALHOUN CALHOUN type a.mol_lnt by date rec:pt
13376 SW CHELSEA LOOP PRMT $ 25. 00 SW 06/12/95 -
5P(;T t 1. 2C SW 06/112/95
TIGARD OR 97223
Phone #:
Contractor:
HEATING SPECIALIST
9300 NE HALSEY
PORTLAND OR 97220 ---------------------_.____---_._.___.__._..._
Phone #: 257--7000 E 26. 25 TOTAL_
Reg #. , 0566L'B
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Dre. Specialty codes and all other Final Inspection
applicable laws. 011 Mork will be done in accordance with
approved plans. This permit will expire if work is not started — - �-
within 100 days of issuance, or if work is suspe,rJ A for more
than 190 days.
Per-mittee
I 5 s i_t e d B y :
Call for inspectiori - 639--4175
a
city of Tigard ,,A` MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd, APLICCATION Permit # We
PO Box 23397 �^
Tigard, OR 97223
(503) 639-4171
acnpaon
iabl•,3A Mechanical Code CITY PRICEAMT
Ad*.. - -7
Job 13 3-7 e, SW C he 1) Permit Fee -0- -U- 10.00
Address
_t< ctc A Es-t' `}?l 21 2) Supplemental Permit 3.00
urnace to M000 BTU—'
yluc k �'cc� �1uu;r� 1) incl.ducts&vents 6.00
Usk*Ad*.m Furnace 17,WWW_+
Owner pct r►'tA-J 2) Incl.duds d vents 7.50
ap Floor umanco
3) incl. vent 6.00
Suspended teatar,w eritr�r
4) or floor mounted heater 6.00
enI nor .rn ____M__. � -
QCGUparlt 6) appliancm permit 3.00
ee: opair o 11 dating,rn ng. ._.. _.._._
6) cooling,absorption unit 6()o
-2.1s 7_-7ne,) Mile(or camp Tiaat pump,p,aTc6fid.'-
fL2 t -'tyre C.tag�,a-t. 7) to 3 HP absorp unit to 100K BTU 6.00 ly��
"' of er a-'f "r comp, eat pump,air rzt�
(J r_. 1-t p L�f .{ 8) 3.15 HI,absorp unit at&)OK BTU 11.00
Contractor Boiler or romp,hoat pump riarccon .
220 9) 15-30 HP obsorp unit.5-1 mil BTU 15.00
»" •• � r ear or compTieat pump,air conch.
`>(0(.:1 fj r�� D 13'-1 T 10) 3050 HP absorp unit 1-1.75 mit BTU 2?.50
tT�ere y ac ow go that have red is apt ica ton,t ta`t t to Tor comp, pump f, cod
informatics given is correct,that I am Ute owner or authorized agent 11) >50 HP absorb unit 1.75(nil BTU 31.50
of the owner, that plans submitted are in compliance with State Tkir handling unit to w
laws,thst I am registered with die Construction Contractor's Board, 12) 10,000 CFM 4.50
that the rrumber given is correct. (1f exompt from Stale registration, _ rran inr3f-g unit —
please give reason beluw.) 13) 10,000 CTM+ 7.50
on portaFTa
_ 14) evaporate cooler 4.50
w� Vent tan connected '"-
_
IS)- to a single duct _ 3.00
NVVT__enttj ion system not —�
•q �,,Z,u�� -,2-95 16) includedin appliance permit 4.50
.» ___ 160 Servet by .._..�._ ..-. —�.
17) mnrhanical exhaust4.50
De0bee worms--new-0- addition UA leration U repair Commercial or m istna _—_ -� I
to be done residential O non-r"den!ial O 18) type incinerator 30.00
xtT"sungusq ZT— Other i.e.,wo stove,water
building or property-_ _ 19) heater, solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property_ - ---- -
-� t
Type of fuel -oil U 21) More than 4-per outlet natural gns Q LPG O electric e) Moro
-- -
___ff rjTICT__
Minimum Fee$25.00 SUBTOTAL 25nr,
PEaMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE ( S
IF CONSTRUCTION OR WORK IS SUSPENDED OR "—
PBANDONED FOR A PE"RIUD OF 180 DAYS AT ANY TIME PLAN REVIEW 2s%of SUBTOTAL
AFTER WORK IS COMMFNCE"D. ---
TOTAL
Special Conditions -- ---n----
Date issuedi Z -1 5 by
IUMrl7/PMT
�aWswe»v
OUTDOOR UNIT PLOT PIAN
I .SPSCM.1sr Name: IdFA
�1
9300 N.E.HaWey.Portland.OR 97220 Address: 13Y16 LLA)
(503)257-7000
Corner Lot: YDS (Jjj) Job #
Indicate footage to the two nearest property lines frau the outdoor unit.
Indicate where the street is located and the property lines. (�
__. .._.�...........
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall FIlvd.T19ard,Oregon 97223*8199 (503)639-4171 PLUMBING PERMIT
PERMIT #. . . . . . . : PLM95- 1711r/.3
639--4171 DATE ISSUED: 06/12/95
PARCEL: 'S 102DB•-02 100
SITE ADDRF_SS. . . : 13.376 SW CHi:LSEA LP
!SUBDIVISION. . . . : CHELSEA H1LL ZONING: R -12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
CLASS OF WORK. . :ADD GARBAGE DISPOSALS- - MOBILE I•-IOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . „ : BACKFLOW PREVNTP3. .
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPG). . . . . . . . . . . . . . .
STOR IES. . . . . . . . :2 WATER HEATE'RS. . . . . . : 1 CATCH BASINS. . . . . . . .
F1 XTURES-_..-...•-.-..-_—._.___--..-_- LAUNDRY TRAYS. . . . . . : SI` RA I N D R A I NS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . .
I_AVATOPIES. . . . . : OTHER FIXTURES. . . . . .
) ;JP/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WINTER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : INSTALL RESIDENTIAL WATCR HEATER
Owner.: -.___._______.___.______________________-__-- - FEE,.
CHUCK CALHOUN type amol.Int by date recpt
13376 SW CHELSEA LOOP PRMT $ 25. 00 SW 06/12/95 —
5PCT $ 1. 25 SW 06/1.2/95
TIGARD OR 97?23
Phone #:
Contractor: --- _—___----..—.---____._.-------•_---
HEATING SPECIALIST
9300 NE HALSEY
VIOR'TLANU OR 9722.0
Pli o n e #: 257-7000 26. 25 TOTAL
Rey #. . : 05662a
------- REQUIRED I N SPE:.0"f I ON5 - —--This persit is issued subject to the regulations contained in the T o p—ol.It Ins p
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 perelt will expire if work is not started
within 1(19 days of issuance, or if work is suspended for sore
than 180 days.
Permittee S i g n a t i_I r e :
I s s t.I e d b y
(d 11 for- inspection -- E39--4175
pity o�Tiyard PLUMBING PERMIT APPLICATION Planck/Rec. 1 .
13125 SW Hail Blvd. Permit # Plt'►1a'�
Tigard, OR 97223
(503) 639-4171
MINIh1UM $25.00 PERMIT FEE + ST. SURCHARGE
.1 C-. New Single Family Residences Only
Aa 0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job 3 3 -1 , 0 3 BATH HOUSE$225.Co
Address c..ew ar Fee includes all plumbing fixtures in the dwelling and the first 100 feet
�i�Ctrs ✓ `1-7 2-2 of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES _ QTY PRICE AMT
�.�1(wC_ , Cat Y\U UL r) 'TO 72- Sink _ 9.00
M."Ad*- ph• Lavatory 9.00
r ��.'� 7 b 5LJ C h.2.�5 cx{ J OCt Tub or Tub/Shower Comb. 9.00
Owner
are+w. ar Shower Only 9.00
_
-71z3 Water Closet 9.00
N a.nw.l Dishwasher 4.00
Garbage Disposal 9.00
Occupant � A,,, ,• FhW• Washing Machine 9.00
Floor Drain 9.00
a< Water Heater I 9.00 q OU
Laundry Room Tray 9.00
Urinal 9.00
)� t`,^,i �„„� IC.'s'r 01C- Other Fixtures (Specify) 9.00
M."imw
"' `�: na. 9.00
Contractor 9.00
9.00
a.a4 Sewer 1st 100' 30.00
C&j e..T•'No. Sewer -ea. Addit. 100' 21.00
2C,LlI j 4 PB rrla v<A
Water Service 1st 100' 3 0.03
I hereby acknowledge that I have read this application, that the Water Service ea. AddiL 200' 25.00
information given is correct, that I am the owner or authorized agent of Storm Rain Drain 1st 100' 30,00
the owner, that plans submitted are in compliance with State laws, that _
I am registered with the Construction Contractor's Board, that the oto-.-n $Rain Drai,, Addit- 100' 25.00
number given is correct (If exempt from State registration, please --
give reason below.) Mobile Homo Space _ 25.00
-- Back Flow Prevention
Device or Anti-Pollution Device 9.01
,a•„• w r �• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q Addition (D alteration O repair Q Catch Basin 9.00
to be done residential Q non-residential O Insp. of Exist. Plumbing 40.00/hr
SpedaN Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property - 7-
Residential backflow prevention
devices 15.00
Proposed use of
building or property *(Except res]dential hackfiow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL 2Sck)
PERMITa BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF ( z,j
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED _
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%. OF SUBTOTAL
COMMENCED. _
TOTAL Flo.L:
Special Conditions --
Date Issued ��Z "j by
CITY OF TIGARD PEC,Flrjl* Or PAYMPNT RFrF*lr'T NO. 195-p666918
CHECK AMOUNT 7a. 7 ti
NAME 3 14EATING SPECIALIST, INC, CASIA AMOUNT t 0. 1",
C)f)Dr?pss t 9300 NF HALSEY PAYMFNT E)ATF' a 06 12 95
PORTLAND, OR SUBD I V I S TON
97280-
1--.1URPOSE OF P'AYME'NT PMOUNT PAID P(JRPnsE OF' PNYMENT PMOUNT PAID
F-15
INVXHANICAL PE MEC95-017i? 5. 0 0 ST. BUILD PER 1. 2Z5
MECHAN I CAL PC- MEC915-01 /3 25. 00 ST. BUILD PFR 5
V-1376 GW CHELSEA 1-00P 9717 5W OAKS 1,00
TOTAL AMOUNT PAID •7A. 7!.,