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1.0700 SW BLACK DIAMOND WAY
A CITY O F T I G A R D MECHANT'AL
DEVELOPMENT SERVICES PERMIT
PERMIT " . . . : MEC96-041.121
LUIL21UM 13125 S N Hall Blvd., Tigard,UR 97223 (503)639-4171 DAT�'.-_ ISSUE;": 11/25/96
PARCEL: IS134AD-04300
SITE ADDRESS. . . : 10700 SW BLACK DIAMOND WAY
5UBD I V I S I ON. . . . : BLACK BULL PARK ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .3
-------------------------------------------------------------------------------------------
('.LASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY 13RP. . : R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
,:'TORIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------- 03 HP. . . . : 0 DOMES. INCIN: 0
: /GAS/ 3-15 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . -. 30-50 HP. . . . : 0 WOODSTOVES. . : 0
3AS PRESSURE. . . : L 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
F'URN ( 1.001!. BTU: 1 10000 cfm : 0 GAS OUTLEII-q. : 0
BURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : NEW GAS FURNACE
FIANEL TO SERVE GAS FURNACE. SEE MEC96
Owner-: FEES
RICHARD SWEENEY type amol-Int by date r,ecpt
10700 SW BLACK DIAMOND WAY 1.-,RMT $ 25. 00 JMH 1. 1/25/96 96-286916
5PCT $ 1. 25 JMH 11/25/96 96-286916
1ICARD OR 97223
[phone #:
Cont r^act or.-
I-11ORTLAND METRO—AIRE
10010 EW BEAVERTON HILLSDALE HWY
BEAVERTON OR 97005
!'-,hon(- #: 6215-7818 $ 26. 25 TOTAL
61219
REQUIRED INSPECTIONS
'his persit is issued subject to the rtyulations contained in the Gas Line Ins
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Ins
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This persit will expire if work is not started Fiiia l Itispection
within 189 days of issuance, or if werl( is suspended for sort
than 184 days.
Permittee Si gnat it-e:
By .
Call for, inspertion 639-4175
Plan Chea:#
CITY OF TIGARD Mechanical Permit ApplicatiDr Rec'dBy -
13125 SW HALL BLI'D. Commercial and Residen`ial Date Recd
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Oate to DST
Print or Type Permit a (r,
Incomplete: or illegible applications will not be accepted Galled-
Desc^ohon
Table 1A Mechanical Code OTY PRICE AMT
Job sti Address �1dcc1.� Suotl A) Permit Fee -0- -0- 1, 00
Address :()-7t 1(.-) ,o.W"Vi wi _
Bldg# cowsu" LO B) Supplemental Permit - 300
1'r,.1- 'n
Name is mama of ou"Id"J 1.) Furnace to 100,000 BTU 600
Owner i. c nd.duds b vents ! G�
MarnaAddrtsa 2.) Fum"100.000 BTU+ 7.50 v
incl.duets 6 vents
Ceinsc+r: Zip I Phone 3.) Floor Furnace 6.00
incl.'dem
-
None tar nsrtw a wsrmsi 4.) Suspended heater.wall heater 6.00
or floor haunted heater
Occupant Meer"A04O s 5.) 1I-int not nit.in 3.00
appliance permd _
ZIr Phone 6.) Boiler or comp,heat pump,ar writ. 6.00 ---
to 3 HP;absorp unit to 1 OOK BTU
No
7) Boder or comp,heat pump,arc coed. 11.00
` 3-15 HP;am"unit to 5WK BTU
Contractor Me"A##rrtea 8.) Boder or corp,heat pump.air a)nd. 15.00
�!1< i() S -}�1, .k 15-30 HP,absorp unit.5-1 rmi BTU
Att2d1 copy of UrvaM 1 �i 1 V, ZIP Ptrarr 9) Boiler or cornp,heat pmM.air cond. 22.50
Current licenses j i t�-: (;.;f, "%�i i� 30-50 HP.absorp and 1.1.75 mil BTU
Coni.Caa.Bora loco Exp.Dar 10.) Boder or comp,heat pump.an Bond. 37.50 -
(5),1 +1.17 /L?-r ,50 HP;absorp unit 1.75 and BT1J
COT Bua/rvu Tal Metro a Exp.Data 11.) Ar handling unit to -- 450 _-
__ 10.000 CFM
Architect Nif1e 12.) Air handing ural -- 7.50
_ 10.000 CTM+
or µaar+g Address 13) Non portable 4.50
-_- evapaate cooler
Engineer s'i1° ?� 14) Vera fan connpcted 3.00
to a single duct
Describe worle New U Addition O Alteration fa Repair O 15.) Ventilation lysxm not 4.5C
to be done Residential ONonresidential O rtduded in appianoe perm t
Additional Descnpbon or w,xR --_�- --- 16) Hood served by -- -
mechanical exhaust 450
1 T) Domestic rxurwators - -- 7.50
Exrstmg use of - 18.) Convneraal or ex usItrial- A.t0
btAdng or property - --_-__-� .incinerator
19) Clothes drf"- .etr_ y 4.50
Proposed use of 201 Other units--- ----- - - r--- 4.50 '
building or property
Type of flier-oil O natural 9as,# LPG O ellium O 21) Gas prpng one to four outlets r 2.00 �.
1z
I hereby acknewiedge that have mao this application.that the 22) More than dimer outlet (each) 50
-nfrxmatm given is w"ect.that I am the owner or authorized agent of
the owner.th t plans submitted are in compliance with Oregon State -`� QTY.SUBTOTAL
laws.
Signature of OwnerfAgent Date - 'SUBTOTAL
&C4t ���1tlt>I T 1� I .] �; 5%SURCHARGE
Contact Pemon Name Phone PLAN
PLAN REVIEW 25%OF SUBTOTAL
TOTAL
i:ldstYnechpmt.doc •Minimum permit fee is S25+5%surrharge
Rev 7196
CITY OF TIGARD
DEVELOPMENT SERVICES El..ECTR!CqL PERMIT
13125 SW Hal;Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #: ELC96--0752
DATE ISSUED: 11/25/9E
PARCEL: 1S134AD -0/i300
SITE ADDRESS_ : 10700 SW BLACK DIAMOND WAY
SUBDIVISION. . . . : BLACK BULL PARK ZONING:R-4. 5
Pl-,-o.ject Description.- ADD ONE BRANCH CIRCUIT - MOVING EXISTING WIRING FROM OLD
PANEL TO SERVE BPS FURNACE. SEE MEC96
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLPNEOUS-------
SIGN/OUT LINE LTG. . : 0
�
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS— : CLASS AREA/SPEC OCC. :
RICHARD SWEENEY type amoi.Ant by date tecpt
10700 SW BLACK DIAMONL WAY PRMT $ 35. 00 JMH 11/25/96 96-28691.7
! JGARD OR 97223
Contractor: ----- -�- �- - ��==-~—~�'-----'------------------- --
PORTLAND METRO AJRE ' $ 36. 75 TOTAL
10010 SW BEAVERTON-HILLGDALE HWY
------- REQUIRED INSPECTIONS -------
0E]VERTON OR 97005 Ceiling Cover Elect' l Service
Phone #: Wall Cover Elect' l Final
Reg #' . : E,1219
This persit is issued subject to the regulations nm"mioed in the
Tigard Municipal Code, State of Ore. Specialty Codes at"i all other Permitt@e Signature
applicable laws. All work will he Hone in accordance with -4 -
approved plans. This permit will expire if work is not Jartm1 y
| within 180 days of issuance, or if work ii suspended for sire _
| d 8
-- - ~
than IN days. �y = r
The installation is being made an property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
Call for inspection - 639-4175
U '
CITY OF TIGARD Electrical Permit Application Man Check tt_
13125 SW HALL BLVD. Recd By
Date Recd ___
TIGARD OR 97223 Date to P.E.
Phone(503)639-4171, x304 Print or Type Date to DST
Inspection (503) 639-4175 Incorriplete or illegible will not be accepted Permit# V c.C`7& C4S-j-,
Fax (503) 684-7297 _ Called___
1. Jeb Address: ��/�/ 4. Complete Fee Schedule Below:
Name of Development t'`�",k �� Number of Inspections per permit allowed
Name(or name of business)__ Service included: Items Cort Sum
Address16-71`90 S,W OoA 121a'►r iII We'' 4a. Residential.per unit
1000 sq.ft.or less $110.00 4
City/State/Zip _ T�''�� R* Each additional 500 sq.ft.or
mm3rrial EJ portion thereof $25.00
Co
Limited Energy �. $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder ____ $68.00
2a. Contractor installation only:
(Attach copy of al current licenses) Ins Services or Feeders
Electrical Contractor r S1'1 _ Installation,alteration,or relocation
-
200 amps of less $60.00 2
Address - - 201 amps to 400 amps $8000 2
City '� State $_Zip @ U 401 amps to 600 amps $120.00 2
Phone No., 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Neconnect only -_ $50.00 2
Elec.Cont. Lice. No. ��4- (_Exp.Date
OR State t1C13 Reg. No. 6j z EXPT.ate Ln-'TT 4:.Temporary Services or Feeders
COT Business Tax or Metro No�__Exrn.Date,io-'1:2 li stallation,alteration,or relocation
�
']DM /� 200 amps or less $50.00
Signature of Supr. Elec'n 2L v t 201 amps to 400 amps $ _
� '�"a� 401 amps t.:600 amps $100.100.0 00
311-S Over 600 amps to 1000 volts,
License No. Exp.Date 10 i:l see"b"above.
Phone No. 4d.Branch Circuits
New,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
b)The fee for branch circuits
City_ State_____ __ Zip without purChose of
Phone No. service or feeder fee. f n
First branch c rcuit $35.00 _-
The installation is being made on property I own which is not Each additional branch circuit_ $5.00
ini4nded for sale,lease or rent. 4e.Miscellaaeous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Feview section (if required): Signal circuit(s)or a limited energy
panel,alteration or extension $40.00 2
Minor Labels(10) $100.00
Please check appropriate item and enter fee in section 5B.
_ 4 or more residential units in one structure 4f.Each additional Inspection over
Service 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.0 I Chapter 5 In Plant _ $55.00
'Submit 2 sets of plans with application where any of the above apply. Jam. Fees:
Not required for temporary construction services. 59.Enter total of above fees $
5%Surcharge(.05 X total fees) $ - ----
f TIC Subtotal $ ----___
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reguir (SeC.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. Trust Account M_
$
Total balance Due
11DSTS%FLC98APP R1ry 9'96
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639-41 5 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing ec •,�
Plbg.Und/Flr/Slab Plbq.Top Out Insulation -Elect.
PosVBearn Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk
Other: --- --
Date: r" ���-- A.M. P.M. E;n,try:/
Addre^s:
Tenant: ___._ Ste:. MST: —
BLIP.
Con/Own:— MEC: 1�—�' L
PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector, - Date:ti;i�
XAPPROVED —DISAPPROVED/CALL FOR REINSP. ,i'CFCO