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9335 SW CORAL STREET
CITY O TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #:DATE ISCUE :D0146
003/3/25/98
ARMERA 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
PARCEL: 1S126DC-03701
SITE ADDRESS. . . :09335 SW CORAL ST
SUBDIVISION. . . . :L.FHMANN ACRE TRACT ZONING:R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG
Pru J e c t Det c i pt i on: Installing first branch circuit
-----------------------------
---RESIDENTIAL UNIT---- ---TE01P SRVC/FEEDERS---- ----- MI9CELLANEO1JS-------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/UT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. „ . . . . . : 0 SIGNAL/PAWEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- CIRCUITS------ ---ADD' L INSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERVILE OR FEEDER? 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O ERVC OR FDR. : i PER HOUR. . . . . . . . . . . : 0
4CI - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 -- 1000 amp. . . . . : 0 - -_-------- - -PLAN REVIEW SECTION- ---------------
1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS IRFA/SPEC OCC-, :
Owner: ------------------------•------------------- FEES
LARRY ZIMMERMAN type amount by date reept
9335 SW CORAL. ST PRMT $ 35. 00 B 03/25/98 98-304414
TIGARD OR 97223 5PCT f 1. 75 B 03/25/98 98-304414
Phone #: :-?34-8039
Con:;ract or. ---------------------------------._-------------------------------
NW ELECTRICAL C"JEC I AL.T I ES f 36. 75 TOTAL
ROYAL EDWARD STEARNS 11
616 SE 69TH CT - ------ REQUIRED INSPECTIONS -----
HILLSBORO OR 97113 Rough-In Elect' 1 Final
Phone #: 848-8678 Eleact' l Service
Keg #. . : 001213 —�
This paMmit is issued subject to the regulations contained in the Tigard Nunicipal Cede, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plfns. This permit "ill empire if work is not started within 188
days of issuance, or if worth is suspended for more than 181 days. ATTE)IION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth iii OAR 952-01-011 f;hrough OAR 952-111-1987. You may obtain a copy
of these rules or direct questions to OIK by calling-(513)246-1987.
Permittee Si gnat-trefl � �a7lle'1� Isso-ted By :
-----------------------------OWNER INSTALLATION ON:..ti-----•----------------------------
The installation is being made on property I awn which is not intended fcr
sale, lease, or rent.
OWNER' S SIGNATURE- t C (O-h I�'� � DATE: _z 7
-------------------------CONTRACTOR INSTALLATION ONLY-------------------------------
SIGNATURE
•---•--------------------------
S1GNATURE OF SUPR. E:LEC' N: DATE:
LICENSE NO:
+++++-4.4•++++•f-+++++++++i ++++++++++++..$+++++++++++++++4-++++++++•1-+ta+++++++i+++t++4•
Call 633•-4175 by 7:00 p. m. for an inspection needed the next business day
++ �++++++++++++•++++++++i.++++++++++++4•++++++++++++++++++++++++++++++++++++++++++
1
CIT: OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALK. BLVD. Recd By RECEIVE.1-i
TIG:ARD OR 97223 Date Rec'd
�f
Phone(503) x30Date to DST 939-4171, 4 Date )��
Print or Type �
Inspection
Fax(503)ggg3)2�9-4175 Peg
Incomplete or Illegible will not be accepted cal 'd#
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of business)Ln V ` (i Nal, Service included: Items Cost Sum
Address_ �, r � fnc)
Residential-per unit
City/State/Zip _JC'_ll�(Ci nc) In'2- Ee n additional or le500 sq.ft.or $110.00 _ 4
Commercial ❑ Residenti;dioporton thereof $25.00 1
Limited Energy $25.00
Each.Manui'd Home or Modular
Dwelling Service or Feeder � $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractorf�lu.) F_1F"1 & �tL � DECInstallation,alteration,or relocation
Address `t - I -I k A C_ 200 amps or less $80.00 2
N - 201 amps to 400 amps $80.00 2
CItJ_ ite 4-V�-_zip 1-1KA 401 amps to 600 amps $120.00 2
Phone No. t'-f F"-1 S'7n _ 601 amps to 1000 amps e $180.00 2
Job No. Over 1000 ampr or volts $340.00 2
Elec.Cont. Lice. No,
-� ` Erp.Date Reconnect only $50.00 2
� _
OR State CCB Reg. No_l_�2L; Exp.Oate 4c.Temporery Services or Feeders
.QT Business Tax or Metro No. i=Xp.Dgte Installation,alteration,or relocation
2C0 ampm or less _ $50.00 2
S gnature of Supr. Elec'n .�{� fr`ms's 201 amps to 400 amps _ $75.00 2
401 amps to 60n amps $100.00 2
Over 600 amps to 1000 volts,
License No._ Z j Exp.Date ','' Y see"b"above.
Phone No..�
-- 4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
Ci State ZI h)The fee for branch circuits
city __ P_� without pr rrhase of
Phone No._ service or feeder 199. QC
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 Signatljre_ _ _ 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,alteratinn or extension $40.00 2
please check appropriate Item and enter fee In section 58. Minor Labels(10) $100.00
4 or more residential units In one structure 4f.Each additional Inspection over
Seivice and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00 _
Classified area or structure containing special occupancy Per hour $55.00
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. b. Fees:
Not required for temporary construction services. So.Enter total of above fees $ _T
5%Surcharge(.05 X total fees) $
NQT19,.E Subtotal $
Sb.Enter 25%of line So for
PERMITS BE!:OME VOID IF WCgK OR CONS':RUCTION AUTHORIZED IS Plan Review if reguire (Sec.3) $
NOT COMMENCED WITHIN 180 GAYS, :)R IF C ONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDON(^FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account# d .,,Zf LI13j
Total balance Due �-
I V;TS%ELC98 APP Rev 4W
CITY OF TIGARD BUILDING INSPECTION DIVISION �f l
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested:
Location: L7 3 35 .SL< _ �. _
BSP:
Tenant_ –� o luuite: _$I
Contractor: o" v%1 tr_ Phone: f PLM:
Owner: _Phone:c�_`3 7'- a3F EEC: — Q
Srr:
BUiLbING BLDG(coni) k IN /� ECHANICAL �ELECTRISITE
Site Post/BeamT'�Fllflcam r l-o l6eyerl,L' ce Sewer/Slom
Footing Roof I lndl l/Slab '►r� Ceiling Water Line
Slab Framing Top Out we Rough-In Uta Sprinkler
Foundation Insulation Sewer Hood/Dact RLconnect Vault
13snrt Damp Drywall Storm Furnace., ', 'Femp Service MISC.
Masonry Ceiling Rain Thain Hip" UG Slab
Shear/Shoat}. Fire Spklr/Alm Crawl/Found Ir Meat Pump
Approved A roves :..pl�rtcueac4� Approve- Approved-
Appr/Sdwlk Not l.pprovedt �rovcd slut luevcd .oved Not Approved
FINAL�'F1lfiiAl, �HNA�IFINAL FINAL
Id Art
C;III Irn icrosl ion / n Remspection fee of 4 _required before next inspecti n Unable to inr}rect
� z �� f
Intilkc!ar - Date , � Pme�of
CITY OF TIGAR.O BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business PhRne: 639-4171
Date R oast xl: 3 ��``iC - %Y
e9 P.M. MST:
Location: c?3 3 Az, -- _ BUT:
Tenant: — Suite: Bldg: MEC:
Contractor: �S GC. P Phone: F7R PLM:
Owner: %
t tam Zd Phone:
_ ELR:
_
"t4k
BUILUING BLDG(con't) PLUMBING M ANICAL ` SITE
Site Post/Beam Post/Bcam Post/Ream Beam - vtCASewer/Storer
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing 'fop Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Srab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I Icat Pump Low Volt
Approved Approved Approved 63prov_ Approved
Appr/Sdwlk Not Approved Not Approved Not Approved NO ved Not Approved
FINAL FINAL FINAL FINA FINAL
'SSS —
4.J
13 Call for reinspection C3 Reinspection fee o, S. _required before next inspection O Unable to inspect
Inspector: �— Date. AV L—— Page_ of ---
i
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICESPERMIT
PERMIT *k . : MEC98-0106
13125 SW Hall Blvd., Tigard,OR 9724 (503)639.4171 DATE ISSUED: 03/24/98
PARCEL: 1S11,6L-..-03701
SITE ADDRESS. . . : 09335 a'W CORAL ST
i
SUBDIVISION. . . . : LEHMANN ACRE TRACT ZONING: R-12
BLOCK. . . . . . . . . . . I-OT. . . . . . . . . . . . . ..002 JURISDICTION: TIG
---------- ---------------------------------------------------------------------------------
CLASS OF WORK. . :A[-T FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT' FANS. . . : M
OCCUPANCY GRP. . : R;_' VENTS W/G APPIL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. .. . . — . : 0
FUEL 0-:3 HP. . . . : CA DOMES. INCIN: 0
.GAS 3-15 P::,. . . . : 0 COMML. INCIN: 0
MAX INPUT : 0 PTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FI RE DAMPERS?. . : 30-50 HPI. . . . : 0 WOOT)STOVES. . : 0
GAS PREGGIARE. . . 50+ HP. . . . . 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 (= 10000 cfm: 1 GAS OUTLE-rs. . o
FURN ) -=100K BTU: 0 ) 10000 cfm: 0
Remark s : Installation of 2 112 ton air conditioner to furnace system.
Otooner: -- FEES -------- -------
LARRY ZIMMFP.I,iAN type amount by date reept
r335 SW CORAL. ST PRMT $ 25. 00 DEB 03/24/98 98-304344
.9,
TIGARD OR 97223 5PCT $ 1. 25 DEB 03/24/98 98-304344
Phone #: 234-8039
Contractor;
SUN GLOW INC
2428 SE 105TH AVE --------------------------- -- -
$ 26. 25 TOTAL
PORTLAND OR 97216
Phone #: 253-7789
Reg #. . : 000461
-------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations cnntained in the Merhanical I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Ingp
applicable laws. All work will be done in accordance with Misr. Inspection
anproved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 188 days. ATTENTIP4: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in DAR 952-081-0010 through BAR 952-*I-8888. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
Is s i.te Plermittee Signati.ire :.,4JJaJ.--L/- 1-0-ty—AACL.—
........................................4-+-#.........................................
Call 639--4175 by 7:00 p. m. for inspections needed the next blASiness day
...................................4.......... . ..I.................................++
City of Tigard MECHANICAL PERMI i Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
escnpuon
Table 3A Mechanical Code CITY PRICE AMT
1M
Job �7 – -5 C'd v_ 1) Permit Fee -0- 0- 10.00
Address
2) Supplemental Permit Z 00
umace to 100,000 BTU
�^ 1) incl. ducts &vents 600
..q ...
Furnace 10U,000 BTU +
Owner 3 3 4) , (/l�r" CA 2) incl. ducts $vents
7.50
•O Floor—Fu—mance
LA C 12 22 _j 3) incl, vent 6.00
Suspended heater, wa eater
�L 4) or floor mounted heater 6.00
Occupant Vent not mc. in
••' 5) appliance permit 3.00
epair of Fe—atin—g, re ig-
6) coolinq, absorption unit 6.00
Boder or comp, heat pump, av con .
L j h C/ 7) to 3 HP; absorp unit to 100K BTU 6.00
oiler or ccmp, eat pump, air con .
Contractor O's
8) 3-15 W': absorp unit to 500K BTU 11.00
�O
Boiler or cnmp, heat pump, air can .
C 9) 15.30 HP; absorp unit .5-1 mil BTU Y 15.00
" Boiler or comp, h iat pump, air con .
„7 (� 1U) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
hereby acknowledge that f have read this app kation, that the Boiler or comp, eat pump,air cond.
information given is correct, that I am the owner or authorized 11) ,50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans sut mitted are in compliance with Air,I.andling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. rif exempt from State Air handFing unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
/ on portable
r 14) evaporate cooler 4.50
( \ Vent fan connected
U v, �^-_� �� 15) to a single duct 3.00
Ventilation system no,
lA� i►�Qom, v 16) included in appliance permit 4.50
Hoodserve y
17) mechanical exhaust 4.50
Describe work new a Ilion alteration repairCommercial or m ustna
to be done resir:ential Q non-residential U 18) type incinerato• 30.00
isting use of Other i.e., wu stoo3 ve,water
building or property _ 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four nutlets 2 C
building or property
Type of fuel -oil O natural gas O LPG0 electric 21) More than 4-per outlet (each) 2,00
Q
NOTICE
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee $25.00 SUBTOTAL
AUTHORIZED IS NOT COMMENCED WITHIN 18, DAYS, CR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 26% OF SUBTOI A!-
AFTER WORK IS COMMENCED. _
TOTAL
Special Conditions —
Date issued _ by
N LLOOIMC9T3`MpCrPMT
5
- __. tri e/
CITY OF TIGARD P'L_UMBING PERMIT
DEVELOPMENT SERVICES FIERMIT #. . . . . . . : PL.M98-0078
13125 SW Hall Blvd., Tigard,OR 9V23 (543)6,1.9.4171 DATE ISSUED: 03/24/98
4,ARCEL.: 1 5 1 2 6DC-03.701
SITE ADP^E_` S. . . : 09.335 SW CORAL ST
SUBDIVISION. . . . : LEHMANN -+CRE TRACT ZONING: R-1:
BLOCK. . . . . . . . . . . L.Gt f. . . . . . . . . . . . . :00L., JURISDICTION: T I G
CLASS OF WORK. . :ALT ,' BA[s'E DISPOSALS. : 0 MOBILE HOME SPACES. : 0
T'YP'E OF' USE. . . . :5F J .RING MOCH. . . . . . : 0 BACKFLOW P'RE.VNTRS. . : 0
OCCUPANCY (;RPS. . :Rs ; )P DRAINS. . . . . . . 0 TRAPS. .. . . . . . . . . . . . . . 0
STORIES. . . . . . . . .. @ R HEATERS. . . . . : 1. CATCH BASINS. . . . . . . 0
FIXTURES ------------ I ADRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 t.�,I NALS. . . . . . . . . . . . 0 5REASE T RAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
"TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : @ RAIN DRAIN (ft) . . . : 0
Remarks : Waiver heater, ronversi.on.
I_)WTler: - -- ___---______._.___._ ._ ___....__ _.__._.___._._._.__._._.....--•---•-----__-•.- FEES •--------------
LARRY ZIMMERMAN type amount by date recpt
9335 SW CORAL. ST F•'RMT 1 25. 00 DEB 03/23/98 98-304344
TIGARD OR 97223 5PICT G t. 25 DEH 03/03/98 98-304344
Phone #: 234-8039
SUN GLOW INC
2428 SE. 1.051H AVE
F,ORT1_AND OR 97'16 ___.______...________•--_-----•----.__._______._
Phone #: 253-7789 $ 26. 25 TOTAL
Reg #. . 04.0461
------ - REQUIRED I NSPECT I ONS ---- --This permit is issued subject to the regulations contained in the Mi sc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection --._..--_.,._
applicable laws. All work Mill be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, rr if work is suspended for more
than 188 days. ATTENTION: Oregon ]sit requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-8881-8818 through DAR 952-8881-9888. You Pay
obtain copies of these rules or direct questions to OIINC by calling
(583)246-1987.
Issue BY: Permittee Signature : �
++++++++++++++++++++++++++++++.-++++++•+•++++4-+++++++++++++++++++++++++++++++++�+
Call 639-4175 by 7:@@ p. m. for an inspe,rt ion needed tFte next business day
++4.......*............! +++++++++++++++++++++4++++++++4.4•++++++++4-+++-!++++++..+++
--- ------ -------
FRI 16:39 F*AX 503 5.98 1960 CITY OF TMRD Q002
CITY UF TIGARC, Plumbing Permit Application Recd 13y
13125 5W HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P E.
Date to DS -'""'•-
(503) 639-4171 Perm!!0 tZE2 -�
Print or Type Related SWR 0
Incomplete or illegible applications will not be accepted called
Nome of Develcpmont/Pro)ect F1XTUttE3 gindlvidual) QTY PRICE ►tMT-
Jab Sink 9.00
Address Street,address `i Suits Lavatory 9.00
rut,or Tub/Shower Comb. 9.00
Bldg# City/State Zip
Shower Only 9.00
N - - Water Closet - 9.00
7e ✓ LA, �! V. i ( a Y. Dishwasher 9.60
Owner Mailing Address ults Garbage Disposal 9.00
_Cl !State d Phon Washing Machine 9.00 -
` � 3 ¢+ Floor Drain 2" 9,00
Narrw / 3" 9.00 __�
Occupant Mailing Addressi Suits Water Heater comsrrslon O Ilk*kind 900 U
GitylState -'Zip Phona -7 Laundry Room Tray 9 00 it
Urinal 9.00
Other Fixtures(Specify) 9.00
!tel
UJ r- 9.00
Contractor Mailing Address 1� '� Sults —
J'j :00
Prior to perm t �ItylSt to Zjp Phone S 9.00
Issuance,a copy J Q „ --- 8
00
of all licenses arc Oregon Const.Cont.04ard Li.# Exp.Date
required if Sawar-1st 100" 30.00
expired in COT Plumbing Lic. Exp Date Sewer-each additional 100' 25.00
.(� W 1+L 5 Cc-} iu
database Water Service•1st 100' 30,00
Nome Wr.or Semite-each additional 100' 25.00
Architect Storm&Rain Drain-1st 100' 30,00
or Mailing Address Suite Storm&Rain Drain-each additional 100' 25.00
Mobile Homo Space 75.00
Engineer CltylStete 21p Phone Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Describe work New 0 Addition O Altereflon O Repair O Reskfential Backflow Prevention Device' 15.00
to be done: Residential O Non-residential O
Additional description of work: -
Any Trap it Waste Not Connected to a Fixture 9.00
Catch Basin 900
Insp.of Existing Plumbing 40.00
per/hr
Specialty Requested inspections 40.00
Existing use of rlhr _
building or property_ Ran Drain,single family dwelling 30.00
Proposed use of Grease Traps goo
building or property _
`-- QUANTITY TOTAL
I hereby acknowledge that I have read thin application,that the Information Iso net-:c or nser d e ran is requ:•ed If QuanR Tote' s >9
given is correct,that I am the owner or authorized agent of the owner,sr.d "SUBTOTAL
that plans submitted are in compliance withOre on State Levis.
Signature of Owner! ent Date; 5%SURCHARGE
`�t --- PLAN REVIEW 25%.OF SUBTOTAL
Contact Person Name Ph ne R ;u rt:only if fuRure c.f.,!nl s>9
TOTAL
*Minimum permit 4e Is$25+5%surchargo,except Residential Backflow
Prevention Device,which is$15+5%surcharge
t back Indicate Work Performed by fixture. T'
I'WOMplmapp.doc 5197
:r
7
0:1/20,'98 IRI 16:41 FAX 603 Z98 1960 CITY OF TIGARD 1 00;.
PLEASE COMPLETE:
Fixture Type Quantity b Work Performed
New Moved Replaced Removed!Capped
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet _
Dishwasher
Garbage Disposal
Washing Machine _
Floor Drain r 2"
3"
4" _
_Water Heater
Laundry Room Tra r�
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I ldsWplmapa doc S'd7
CITY OF TIGARD MECHANICAL
PE RM I T
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-0094
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 03/12/98
PARCEL: IS126DC-03701
SITE ADDRESS. . . : 09335 SW CORAL ST
SIJBDIV15ION. . . . : LEHMANN ACRE TRACT ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..002 JURISDICTION: TIG
---------------------------CLASS—OF WORK. . :ALI FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF. UNIT HEATERS. . 0 VENT FANS, . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SrSTFMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESEORS HOODS. . . . . . . : 0
FUEL TYPE'S--------------- 0-3 HP. 0 DOMES. INCIN: 0
.GAS 3-15 HP. . . . : 0 COMML. IN( 0
MAX INPUT: 0 BTU 15-30 HP. . . . -. 0 REPAIR tJl\ll"T'S: 0
F IRE DAMPERS?. . : 30-50 Hr-,. . . . - 0 WOODSJOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 'kb
NO. OF UNITS-----—----- AIR HANDLING UN 1-1 S OTHER UNITS. : (B
FURN ( 100K BIU: 1 10000 efin : 0 GAS OUTLETS. , I
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Instillation Of OdS furnace.
Owner : --------------------------------------------------- FEES --------------
LARRY ZIMMERMAN type amount by date recpt
9335 EW CORAL ST PFMT $ 25. 00 DEB 03/12/98 98-304038
TIGARD OR 97223 5F--CT $ 1. 25 DEB 03/12/98 98-304038
Phone #.- 234-8039
Contractor: -----------------------------.
SUN GLOW INC
2428 SE 105TH AVE
$ 26. 25 TOTAL
PORILAND OR 97216
Phone #: 253-7789
Reg #. . : 000481 REOUIRED INSPECTIONS ------
Thi,, permi, is issued subject to the regulations contained in the Gas Line 7nsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mec--hanir-al Insp
applicable laws. All Work will be done in accordance with Heating Unt Insp
approved plans. This Dersit will expire if work is not started Misr... Inspection
within 180 days of issuance, or if work is suspended for onre Final. Inspection
than W day,,. ATTENTION: Oregon law requires you to follow rules
adopt�� b) the Oregon Lftility Notification Center. Those rules are
set `nrth in MR 952-00I-0010 through DAR T2-Wl-@W. You Bay
obtain copies of these rules ac direct questions to ODIC by calling ------
(503)246-9187.
S SLt By : Permittee Signati-tre :
........................................f++4•..............4....... +++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
............4.....................................4.................................
Plan Check# —
CITY OF TIGARD Mechanical Permit Application Rec'd By r
13125 SW HALL BLVD. Commercial and Residential ��� Date Recd_
TIGARD, OR 97223 kCC,v Date to P E.
(503) 639-4171, x304 Date to DST
�,
Print or Type �R Permit#�
i, Incomplete c.. illegible applications will �a�e! �cepted Called��
Name of Development/Project Descnp%,
Table 1A echanlcal Code U7Y PRICE AMT
Job Street Address Suite# Al Permit Fee -0- -0- 10.00
Address f' .2j 1 �>u-J (,,r c�
Bldg# ciryfstate Zip 1.) Furnace to 100.000 BTU 6.00 (,
including duds 8 vents `
Name for name of business) 2.) Furnace 100,000 BTU+ _ 7.50
Owner (, r i r r v 1 p . y-e-q including duds&vents
Mailing Address 3.) Floor Fuma,;e — 6.00
6� 1 ' 0 ' a ( _ including vent _
City/S1813 1p Phone — 4.) Suspended heater,wall heater 6.00
t L 'j' or floor mounted heater
Name(4r ame of business) 5.) Vent rot included in appliance permit 3.00
it "V
Occupant Mailing Address l�-- (3.1 Boller or comp,heat pump,an Gond 600
to 3 HP,absorb unit to 100K BUT—
Boiler— zip Phone 7) Boiler o comp,heal pump,air cond. 11.00
_ 3-15 HP;absorb unit to 500K BTU"
Contractor 8) Boder or comp,heat pump,air Gond. 1500
A.ti
10 _ „ C 15.30 HP,absorb unit.5 mil ETU**
Prior to permit Meiling Address 9) Boller or comp,heat pum�i,air Gond 22 50
issuance,a copy I t,-( )_ fir- / Cl�� Y� 30.50 HP;absorb unit 1-1.75mil BTU"
,if all licenses --c4ist t° Zip Phone 10) Boiler or comp,heat pump,air Iona. 3750
ere required if I C,--2'))Q,I ) 3 1-�'Y >50 HP;absorb unit 1 75 mil BTU" _
expired in COT Oregon Const oni Bo Li a Exp U31e _ 11 ) Air handling unit to 10,000 CFM u 450
database `
Architect Name 13.) Nor-portable evaporate cooler 4.50
Or -Marling Address 14) Vent fan connected to a single duct 300
Engineer Cityisiate zip I Phone 15.) Ventilation system not included in 450
appliance permit _
Describe work New O Addition O Alteration O Repair O 16.) Hn, ,cr.d by mechanical exhaust 1
_ 4.50
to be done Residential O Non-residential O
Additional Description of work 17) Domestic incinerators 7 50
18.) Commercial or industrial type 3000
Incinerator
Existing Use of i—� 19) Repair units 450
building or property
20 1 Wood stove 450
Proposed use of 21 ) Clothes dryer,etc 4 56
budding or property
_-- 22) (?cher units ---� -- 5,5,0 —
Type of fuel-oil O natura!gas U LPG O electric U i 23) Gas piping one to Four outlets 200
I hereby acknowledge that I have read this application, ,hat the 24) More khan 4-per of.tiets(evch" 50
information given is correct,that I am the owner or authorized ager!of
the owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL
laws
Signature of Owner/Agent Dat 'SUBTOTAL — I
- ,////q —— 5%SURCHARGE - — —
a
Contact Person Name Phone PLAN REVIEVV 25%OF SUBTOTAL
TOTAL
\,nechpmt doc (rev 9 •Minimum, !rmit fee is$25+5%surcharge
"Residential c iC requires site flan showing placement of unit