13355 SW BRITTANY DRIVE-1 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:____
Footing Susp. C cling ' Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslah Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eloc. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas I ine -Bldg.
Plbg. Underfloor Rain Drain Framing -Plurnb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Ele'
Date Requested: 2 a t 1 7 Time: AM �PM
Address:_ 3_ �-ST
Builder: (o T,3� –7,; T �—Perm /o
THE. FOLLOWING CORRECTIONS ARE REQUIRED:
r C�
` Inspector Il(, 1L :L Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
/`� _Call For Reinsp. EcA
CITY OF TIGARD BUILDING INSPECTION NOTICE Wim;
Inspection Line (Rec-O-Phone): 639-2175 Business Phone: 639-4171
i
Inspection:_ iVj (� L' LQ
Footing Susp. Ceiling Sprink. Rough-in Appr//SSd—w`ll]
Foundation Plbg. Underslab Mech. Rough-in / Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas 1_ine -Bldg.
Plbq. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation eCJ
Underfir. insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ Time:--AM PM
Address:_
Builder: Permit #: �s
THE FOLLOWING CORRECTIONS ARE REQUIRED:
. �'�------
Date:
In,
APPactorROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
/� _Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): C39-4175 Business Phone: 639-4171
Inspectio,i: J'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation •Merh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: —M _qS_ Time: AM PM
Address:
Builder:_1u�371j�� e--� t11CLNAy/</Pbrmit #:`fLC �S=CJ�� y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'b� i�•�._ f O K� -r-Zyr...r y It l�.v c.��
A r'TL:m4-�
[ ".STZa/--L- T-,
Insspecr: �
to _ Date: yc�—CfS�
�APPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 639-4171
Inspection.
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Faeplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in (R�
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. v-9C ~
Date Requested: (�C, Time: AM PM
Address:--1-3
Builder:_ 5--3 Permit #: �C / ��03`�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
42
117
Inspector: Date:_
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
MECHANICAL
CITY OF TIGARD PERMIT
PERMIT #. . . . . . . : MEC9S-0194
COMMUNITY DEVELOPMEMT DEPARTMENT DATE ISSUED. 06/272/95
13126 SW Hall Blvd.TIgard,Oregon 97223.8199 (5831 639.4171
PARCEL: 131339E-05400-)ITL. ADDRESS. . . : 133;5.:, SW BRITTANY DR
.SUBDIVISION. . . . : BRITTANY SQUARE NO. 1 ZONING: R-12,
BLOCK;. . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF WORK. . 9ADD FLOOR FURN. . . . : EVAP, COOLCRG:
-EF
1'YP'E OF USE. . . . .5 UNIT HEPTERS. . . VENT FANS. . .
OrCUPANCY GRP,. . :R3 VENTS W/0
10 ARI`',. VENT SYSTEMS:
STORIES. . . . . . . . S2 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------- 0—3 HP. . . . a DOMES. INCIN:
3-15 HP,. . . . - COMML. INCIN:
MAX INPUT: BTU 15- 3t7 HP,. . . . : REF,ATR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . ; WOODSTOVES. . r
GAS P,RESGURE. . . : 504- 1-1p. . . . : CLO DRYERS_ :
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. :
FURN ( 1001e STU-. 1 10000 c f m: l GAS OUTLETS. ;l.2
FURN ) =100K PTU: > 10000 efl's.
Remarks : INSTALL RESIDENTIAL AIR-17ONDITTONING UNIT AND GAS FURNACE.
Owner: FEES
DECRY GILLETT type amol-tnt by date reept
13355 SW BRITTANY P,RMT $ 25. 00 SW 06/22/95
PLCK $ 6. 25 SW 06/22/975
TIGARD OR 97223 $ 1. 2!1 SW 06/22/95
Flhone #:
Contractor:
B & T GAS SERVICE, INC.
S88!5; SW 177TH AVENUE
ALOHA OR 97007 ----------
FI-1 o T-1 e tk. 3". 5k4) TOTAL
Reg #. . : 91104
REQUIRED INK--4:1ECTIONS
This pe-mit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, St,-e of Orp, Specialty Codes and all other Meehan ical Ins p
applicable laws. All work will be done in accordance with Final Ins pectioyi
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more
than 180 days.
ormittee Signature :
issi.ted By ;:
wall for inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # _
13125 sw Hall Blvd. APPLICATION Permit # _ At"'C' `3-fit
Tigard, OR 97223
(503) 639-4171
_^ ^�^ �esciiphan
Table 3A Mechanical Code QTY PRICE AMT`
Job / Q Z 1Z 3� 1) Permit Fee -0- "0- 10.00
Address -� -- p
2) Supplemental Permit 3.00
-� ur,nacee o 66�BTL1—'
,) Incl duras 8 vents _ 6.00
uniace"j�WBTIT+
Owner /g/l 2) incl..+acts d vents 7.50
�roFloor Furnance
3) incl. vent _ 6.00 _
•, «^•ti »• uspendoidbeatter,waTY@aier
4) or floor mounted heater _ 6.00
en no Inc. in
Occupant 5) appliance permit 3.00
� - --�-T �epaii oofheatln'-g,rTg. - -
6) cooling,absorption unii 6.00
i er or comp,heat pump,air conk.
q'T j _51 fl)16- qC 7) to 3 HP;absorp unit to 100K BTU 6.00 —
comp,host pump,air c5nU.
Contractor M) / �� _ 8) 3-15 HP;absorp unit to 500K"BTU 1100 `
boiler or comp,heat;urn ,air con .
� X7 9) 1530 HP;absorp unit .5.1 mil BTU 15.00
Boiler or comp,heat pump,air cond.
� 10) 30-50 HP;absorp unit 1-1.75 a mil BTU 22.50
ri
ere y ac 'ow ge a lave read this Ica ton, a iEfe— i er or comp, lea pump,air co
information given is correct,that I am the o%ner or authorized agent 1 t) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 1C,000 CFM 4.50
that&,a number given is correct. (If exempt from State registration, —' a hanalin6 urn
please give reason below.) 13) 10,000 CTM+ 7.50
— on portable
14) evaporate cooler 4.50
---^�'— --- --^-- en ,an conneC
15) to a single duct 3.00
_ -Ventilation sys em no -
�, 16) included in appliance permit 4.50
a —moo 'sery y -- --
17) mechanical exhaust 4.50
esrn'Foww -new U a i lon nliera ron _ repair ommerciTr industrial
to be dune residential O non-residential 0 18) type Incinerator 30.00
Existing use of Other i.e.,wo s rive,wa er
building or,property _ 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of :70) Gas piping one to four outlets z 2.00
building or property
Type of fuel .o8 O natural gas Q LPG(D electric Q 21) More tlran 4-per outlet
Minimum Fee$25.00 SUBTOTAL ,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGEj'�
IF CONSTRUCTION OR WORK IS SUSPENDED OR — - -- -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. --- -- - -- -
TOTAL 3.7.950
Spodal Conditions �— /-�—� `-{ \- n , ,
Dace issued_�_1,Z� L J_by , l/A,1�R.t��-�/�-
rad%m d.
6 & Y CAS SERVICE
(503) 642-7243 8528 SW 190th Ave. FAX (503) 642-2802
Beaverton OR 97007
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CITY OF TIGARD — RECEIPT OF PPYMFNT RECEIPT NO. s95—L?67148
CHECK AMOUNT ;.32. 50
NAME a B & T GAS SERVICE INC. CASH AMOUNT CA. 00
At)DRFf:;L-'; 8528 SW 190TH AVE PAYMENT DATE a 06/PP/95
BPAVERTON, OR SUBDIVISION
,),.* 507—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE [IF PAYMFNT AMOUNT PAIL)
MECHANICAL.- PE MEC93-0194 25. 00 PI—AN CHECK FE 6. P
T. BU I L.0 PE R 1. 25
13355 SW BRITTANY
TOTAL. AMOUNT PAID 32. 50
CTTY OF 71GARD RECEIPT OF' Pi-WMENT RF':Cr-*IP-,'T NO. :,:oS-266666
CHECK AMOUN-; a 4-'�=. 00
NOW s JARMER ELECTRIC, INC. CASH AMUNT 0. 00,
ADDRESS 5105 SW 413-741 AVENUE PAYMFNT DATF t 2,f,✓1:3x'95
BUDD I V I S I ON
PORTLAND, OR. 91=.21 -
PURPOSE OF PAYMENT (MOUNT PA I D PURPOSE OF PAYMENT AMOUNT PAI I?
-E.t_EC1-FtTCAI —F—,F-,—R M- 40. 00 97. SUILD PER 2. 00
�iims 1.33555 R-W SHITTANY
TOTAL AMOUNT PAZ[) 4F. 00
WASHINGTON COUNTY ELECTRICAL PERM17
Departmen� of Land Use & Transportation
Electrical Inspection Section ® n
155 North First Avenue, #350-12 APPLICATION" TION
Hillsboro, Oregon 97124
hif+')rmation: (503)6403470 Fax: (503) 693-4412
Permit
Number L_l�_�.�1� DatePRINT
Plea".cothplele all s6citions, 5.
4. Complete Fee Schedule below
1. Location of Installation _Number of Inspections per permit allow d
Address �JL 0 Service included: Items Cost(eas) Sum
Building A. Residential- per unit
City- ` C ,�'�_ Suite r1o. _-._- _
1000 sq.ft.or less $110.00 4
Tenant Name Each additional 500 sq.ft
(if commercial) 1 y� /, _ or portion thereof $2500 -- --
5 % l V L' 00 Limited Energy -- $25.00 -- — 1
Map No._ _ _ Tax Lot V�� Each Manufd Home or Modular
Dwelling Service or Feeder .—_ $68.00 — 2
Thomas Map Book: Page: _ Section:
DirectionsB. Services or Feeders
,.— — — Installation,alterations or relocation
200 amps or less $80.00 2
Commercial ❑ Residential❑ 201 amps to 400 amps _— $80.00 _ 2
J1 amps to 600 amps —_ $120.00 —. — 2
2a. Contractor installation onl 601 amps to 1000 amps --- $180.00 -- 2
Y"� Over 1000 amps or volts ____ $340.00 _ .— — 2
Electrical Contractor 1'p 11,1 l _ � C_ ; Reconnect only — $50.00 — -- 2
Address It
City ' _ — State-6N— ZIP qz12,,2 1 C. temporary Services or Feeders
Date Job Number zr' _— Installation,alteration or,alocallon
Property Owner_ - _ 200 amps or less _—_ $50.00 2
Contractor's License No. _ 201 amps to 400 amps $ .00 2
Contractor's Board Re N _ ao1 amps to 600 amps $+00.00
Reg. o. Over 600 amps to 1000 volts see W above
Signature of Supr. Elec'n — D. Branch Circuits
License No. .3gR6 Phone No. New,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations? purchase of service or feeder fee.
Each branch circuit $5.00 2
-- --- — -- b) The fee for branch circuits without
Print Owner's emEi --- Tshorlo. purchase of service or feeder fee. _� t
First branch circuit -. $35.00 > >, Ii 2
Address �— Each addw branch circuit_._.- $5.0o E�.LT
L 2
E, Miscellaneous (Service or Feeder not includes
Each purr?or irrigation circle__ $40.00 _ 2
The, installation is being made on property I own Each sign or outline lighting __ $40.00 2
which is not `r-itended for sale, lease or rent. Signal circuit(s)or a limited
energy panel,alteration
Owner's Signature or extension $40.00 2
F. Each additional inspection over the allowat le
in any of the above
3. Plan Review section (.if required) Per inspection -- $95.00 --Per hour . $55.(Yj — _...
Please check appropriate Item and enter fee In section 5B. In Plant $55.00 _
___4 or more residential uniis in one structure 5. Fees
_Service and feeder, 800 amps or more
—System over 600 volts nominai A. Enter total of above fees $
_Classified area or structure containing special 5% Surcharge !05 X total fees) $ _ 2- 90
occupancy as described in N.E.C. Chatter 5 Subtotal $ —.
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ - —
above apply. Not required for temporary construction Subtotal $ _ _—
services. ❑ Trust Account $
Balance Due $ I J
For Inspections call This permit becomes null and void N the work suthnrired by the permit Is not eonrm. sad
640-3561 or 693-4415 within tOC days from date of Issuance of such permit or N the work aulborized Is
auapended o,abandoned at any time sftor work Is commenced for a period of ISO da •
24-hour recorder, one working day in advance of need Electrical permits ars non-refundshie an.1 non-transferable.
1194