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10275 SW GREENLFAF TERRACE
CITYO F T I GA R D __MECHANICAL PERMIT
DEVELOr, MENT SERVICES PERMIT#: MEC1999-00439
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/18/99
P.`.RCEL: 2S1 I 1CC-19800
SITE ADDRESS: 10275 SW GREENI-EAF TERR
SUBDIVISION: SUMMERFIF_l_D NO.5 ZONING: R-12
BLOCK: LOT: 25-1 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FIJRtV, EVAP COOLERS:
TYPE OF USE: SF UNIT HEATEW<,, VEN7 FANS:
OCCUPANCY GRP: R3 APP, , VENT SYSTEMS:
STORIES: buiLERS/COPli'PESSORS _ HOODS:
_FUEL TYPES_ 0 3 HF' DOMES. INCIN:
i PG! 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIFE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: F00 + HP: CLO DRYEr!3:
FURN < 100K B1.r: 1 _—A!R HANDLING UNITS _ OTHEP UNITS:
FURN >=100K BTU: <= 10100 cfln: GAS OU'T'LETS:
> 10000 cfm:
Remarks: Installation of gas furnace arn,1 gas piping
Owner: FEES_
RADAR, ANNE L Type By Date amount Receipt
PO BOX 534 PRMT DEB lu/18/99 $50.00 99-319144
GLENEDEN BEACH, OR 97389 !,PCT DEB 10/18/99 $4 00 99-319144
Total $5490 J
Phone:
Contractor: _
FIRST CALL MCCALL HEATING +
COOLING
1650 NE LOMBARD REQUIRED 114SPEC_TION_S_
PORTLAND, OR 97211-4798
Gas Line Insp
Phone:231-3311 Heating Unt Insr
Reg #:LIC 102.0::0 Final Inspection
This permit is issued subject to top regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work i,- not started within 180 clays of issuance, or if work is suspended
for more than 180 days. ATTENTh:JN: "Dregon law requires you to follow rules adopted In the Oregon
Utilit4lotification Center Those rules are set forth in OAR 952-001-0010 through OAR 9E 2-001-0080
You �Ilay obtain copies of the$e rL,es or direct questions to OUNC by calling (503)246-9189.
Pewiittee Sigrature:
Call (503) 63 -4175 by 7:00 P.M. for inspections needed the nex business day
08/12/99 THC 11:18 FAX 503 598 1960 CITY OF TIGARD Q002
CITY OF TIGARD Me0anical Permit Arplic Raid ck0
IVF"'
13125 SW HALL BLVD. Commercia! and Re�idenfia Date.TCell
TIGARD, OR 97223 Date to P E - —
(503) 639-4171, x304 WT
Mr' Dale to DST
PI'int or Type COMMUNITY w v, Permit M).j (('
ligons will not be acre ed
Incomplete or ilia able :. ati_ Pt- called --�._
Nome of DevelopmenVnrolca Desc.(ion
Table_1 A Mechanical Code of price gntt
Job Street Addieu $uses _ AL Permit Fee
5 c, 1 1) Fvace to 100,000 BTU
Address mi 1 r (J �P /7�L�1. T r Ir ' Including ducts d vents_ see footnote 1,'L 9.65
BIdVr
CRY/state ZIP 2) t urnace 100,000 BTU+
including duds 6 vents see footnote 1,2 12.00
Name(or name of business) 3) Floor Furnace -
Owner )h 1r• ��,G`�/ including vent see_footnote l,2 9.65
Melling Address — 4) Suspended heater,wall heater
7C 1 gG, K �- c e- /��� �� /4 y. or floor mounted heater see footnotr.1,2 _ 9.65
c /stat• CJ 5 Vent not included Ina fiance emtH 4.75
�? manna Check all that apply: 'Dollar Heat Air
For items 8-10,see or Pump Cond Oty Price Amt
Nerm(or name of business) J footnotes 11,2 Cornp
��✓�� 6,c311P;absorb unit to -
Occupant Meiling Address TOOK BW _ 9.665
P 7)3-15 HP;absorb unit
1 Wk to b"H I U _ 11.65
CMylStste Zip Phone 8)15-30 HP;absorb
unft.5-1 mil BTU 24 15
Name -- 9)30-50 HP;absorb
Contractor �1 unit 1-1.75 roll BTU 36.0r)
- l• [." 10)>50HP;absorb unit I - ----
Prior to permit Melling Ad rets >1.75 mil BTU i
Issuance,a copy / CC�/�h.� 11 Air h inciting unit to 10,000 CFM 60115
of all licenses We Plana
are required If , ? Iry !�� ��y1. ii y ��C'S 12)f handling unit 1 7.000,000 CFM+ --
expired In COT Oregon Corot.COO.Board Lic.4 Exp.Date 11.85
database �� C';3 c ' ;-3-C 3 13)Non-portable evaporate cooler
Arch'tect Na"
14)Vent fan cornrected Io a single duct 7.00
or Mailhg Address 4.75
15)Ventilation system not Included in
Engineer CRYBlale Up ph0f1p i
appliance --mit_ TOO
9 16j Hood servcru by medtaoical exhaust
_ 7110
0,-!scribe work to be done 1 17)Domestic Incinerators
1
_ 12.00 _
New D Repair O Replace with like kind: Yes O No O 18)Comma rdal or industrial type incinerator
Residontihip Commercial O _ 48 25
�_ 19)Repair units '
1 Additional Information or description of lrvork 8.40 _
20)Wood stove/gas FP/other unite/clothe dryer/etc. -
7.00
NOTE: For Commercial 0miccts only;Units over 400 lbs.require 21)Gas piping one to four outlets
structural gas calca. See footnote 1 3.75
Type of fuel oil o natural gas LP(.9 O electric O 22)More than 4-per outlet(each)_ '- 75
_ Minimum Permit Fee:S0,00 SUBTOTAL
1 hereby acknowledge that I have read this application,that the Information --S: ?% UftCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUP FOTAL ?T
the owner,that plans sutxnitted arc+in complianoe with Oregon State laws. Required for ALL commerctaiyermits only A '
TOTAL -
5119sbne of Owner/Agent Dato T �~y
L/ L, ��7 J, , G Other Insne;tions and Fees: w
O �/' i;7 JC/%� S j ' ��� 7 e 1. Inspect! - . outside of normal business hours(rninirum charge-two
Contact Porson N&no Phone hours, $50.00 per hour
2. Inspections for which no fee is specifically Indicated (minimum
-2 Charge-half hour) $ 0.00 per hour
Fdo� t i for commercial projects only: 7. Additional plan review roquired by changes,additions or revisions to
1 Provide ful'schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 pe hour
2 Provide drawings to scale shot 4ng existing and proposed mechanical
units. 'State Contractor Boiler Ceritficabon required
Residential A/C requires SRP plan showing placement of unit
1.lnwchperm.doc rev 7119/99
` CITY OF T I GA.R DELECTRICAL PERMIT
NE:RMIT# ELC1999-00615
DEVELOPMENT SERVICES DATE ISSUED: ;0/18/99
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S1 1CC-19800
SITE ADDRESS: 10275 SW GREENL.EAF TERR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R-12
BLOCK: LOT : 257 JURISDICTION: TIG
Proiect Description: Installation of one branch circuit. Job No. 3094
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MlgCZLLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
' LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (1n!:
SERVICE/FEEDER _BRANCH CIRCUITS ADD'L IN:iPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'; BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amp/volt: _ >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC
Owner: Contractor:
RADAR, ANNE L FIRST CALL_ MCCALL HEAL ING
PO BOX 534 1650 NE LOMBARD STREET
GLENEDEN BEACH, OR 97388 PORTLAND, OR 97211
Phone: Phone: 231-3311
Reg #: SUP 135LHR
LIC 00102.030
PLM 2051-FIR
ELE 408LMS
FEES Required Inspections
Type By Date Amount Receipt — --^--�--�--�- --�--
Elect'I Service
PRMT DEB 10/18/99 $37.50 99-319144 Efect'I Final
5PCT DEB 10/181,99 $3.00 99-319144
Total
$40.50
This Permit is issued subject to the regulations contained in the Tigard Muniapal Code State of OR Specialty Codes ano all other Lopl;cable laws
All wu;R w,'i oe done in accordance with approved plans This permit will expire if woriti0of starlit Within 180 days of issuance,or it vork is
susperued fof more than 180 days ATTENTION Oregon law requires you to fallow rule,adopted by the Ngon Utility Notification Ce Il+ter T,use
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 YJu"obtain cx,pies of these rules or ftect questions t OUNC at(503)
2 46-1987
PERN'ITTEE'S SICNATRE ISSUED BY:
; = YO
-
_ OWNER INSTALLATIQN ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ _ DATE:
CONTRACTOR INSTALLAT ON ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an Inspection the next business jay
06/15/99 TUE 13:56 FAX 503 C98 1960 CITY OF TIC•ARD 4 004
CITY OF TIGARD Electrical Pentnit AppI IQn Plan Check 0
13125 SW HALL BLVD. Recd By ^~'
TIGARD OR 97223 Date Recd
Phone(503)639-417 1,x304 Date to P.E.Date to DST -
Inspection(503)639-4175 Print of T#WMIM I i Permit N
rax(503)598-1960 incomplete or illegible will ncc be accepted caned_
1. 4ob Address: 4. Complete Fee Schedule Below:
Name of Development�_.� Number of Inspections per permit allowed
Name(or name of business) r J1 r� Service included: Items Cost Sum
Address -_ ` C� �lr 1 4a. Residential-per unit
City/State/Zip 1000 sq.fi or Mss - -- - $ 117.75 T - 4
---r - Each ad-litional 500 sq.it,or
portion thereof $ 26.25 _ 1
Commercial❑ Residential Q Umited Energy $ 60.00
Each Manufd Home or Modular - -
2a. Contractor installation only. Dwelling Service or Feeder S 72.15 _ 2
(Prior to permit issuance,applicants m(tst provide curtrartor ficer(se 4b.Services or Feeders
Information for COT data base)- Installation,alteration,or relocation
I-lactrical COntrarfor i / M)amps or less $ 64.25 2
Address �', - 201 amps to 400 amps S 85.50 2
_- 401 ampr,Ic Goo mops $ 128.50 2
City- < ,i<.{ State_,_. _-Zip--- ---- 601 amps to 1000 amps _ S 192.50 2
Phone No. 2 w7-.z5 Over 1000 amps-.i volts $ 363.75 _ 2
.lob No._ 1 , `- / _ Rsconnerl only $ 53.50 - -- 2
Floc.Cont. lice.No. "-`V" _Lxp.Datn_�_,_-. 4c Temporary Services or Fenders �-
OR State CCB Reg.No. _ :, Exp.Date_- C Installation,alteration,or reloculion
COT Business Tax of Metro No.•!06Z Exp.Date A*- 200 amps or less $ 53.50 2
^01 amps to 4W amps i $ 80.25 - 2
Signature of Supr.Elec`n-_ /;Ac l?- f 401 amps to 600 rmps _ "- S 10700 _- 2
Over 600 amps to 1000 volts,
see"'u"above.
Eicense No _`� L /'! _ Fxp.Date fG) r-,�- 4d.Rranc.ir Circuit.
Phone No. �'_�;']_-/ �J __ / :` - New,alteration or extension per parml
a)The,fee for branch circuits
2b. For owner installations: with purchase of sorvkv or
feeder fee.
Print Owner's Name Eadt branch cirLrrl $ 5 35 2
Address b)The fee for branch circuits
_---- .-- -- without purchase of service
City_----------_.-----__._
State - .�P or fender fee.
('hone NO. __-- _-- -- first branch n4c uit _ -�_ $ 37.50 -
Each additional txtnrh circuit $ 5.35 _
I he installation is being made on property I own wNch is not 4c.Miscellaneous -
intended for sale,lease or rent (Service or feeder not nx.Juded)
t-arh Pump or kriFarlon Circle $ 42.75
Owner's Signature. Eaoh sign or outline lightinp $ 42.75
Signal cirCUii(5)or a Gmlted energy
- ------- ----
panel.alteration ur extension
3. Pla►f Review section 1fre uired1:' Minor Labels(10)
f 107.00
Please check appropriate Illew and enter len In section 5B. At.Each additional Inspection over
4 of more residential units in one strtudufe the allowable in any of the above
5ervune and feeder 225 am.s or more Per Inspection 6000
-- Per hour 5 50.00
- -- bystem over 600 volts norninal In Plant - - $ 59.00
-_-Classitted ar(.a or structure ountaininq special occupancy as �^ _
described in I r.E C.Chapter 5 5. Fees:
iia.Enter total of above fees $
Submit 2 sets of plans with application whore any of the above apply. .6%Surcharge(05 X Iola(fees) $
Not required for temporary ronstruetiun services_ Subtotal
6b.Unler 25%of line 6a for
NOTICE flan Review if rcgLARd(Sec.3) $
PERMITS MCOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S -
IS NOT COMMENCED WITI IIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED Oil ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account it
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $
i 6'stsltorms4�lcdric tkx:
CITY OF TIGARD BUILDING INSPECTION DIVISION •\
24-Pour Inspection Linc. 639-4175 Business Phone: 639-4171
Date Requested: - 4'4_/q /_ A,M. •_ P.M.____ MST:
Location: _ l,6 L 15
Tenant:` suite: / /Bldg:
Contractor: Phone: _�i PLM:
Om)cr:
_Phone: _ �
ELR:
inti:' SIT:
BUILDING. BLD (con't) PLUMBING � ELECTRIC L SITE
Site Post/liefun Post/Cearn Vlicam o Sewer/Stonn
Footing Roof UndFI/Slab ,� �n� Ceiling Water Line
Slab Framing Top Out '�l�B .mRT e> Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/(hrct Reconnect Vault
Bsmt Damp Drywall Stonn cum) Temp Service MISC.
Masomy Ceiling Rain Drain �A/�;,�.. lIG Slab
Shear/Sheath Fire Spklr/Alm Crnwl/Found Dr Heat Pomp Low Volt _
Approved Approved ro__ve��,�� rov Approved
Appr/Sd vlk Ned Approved Not Approved ����_oved td�l� w� Not Approved
FINAL FINAL. INAL� FINAL FINAL
l�
0 Call for reins w D Reinspection fee of Sr T
f next inspectic . O Unable to inspect
lnspcctor: Date:
Page of
CITY CF TiGARD ESE
AL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0
288
1312 SW Nal!Blvd., Tigard,OR 97213 (503)639.4171 DATE ISSUED: 05/29/98
PARCEL: 2S111CC-19800
SITE ADDRESS. . . : 10275 SW GREENLEAF 11-HR
Sl_IBDIVIETON. . . . :SUMMERFIELD NO. 5 ZONING.-R-12 PD
BLOCK. . . , . . . : LOT. . . . . . . . . . . . . :257 JURISDICTION: TIG
Pro.j ect De scr i pt i on: Installation of 2 branch circuits.
--RESIDENTLAL UNI1---- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS--
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH HADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/GUT LINE LTG. . : 0
LIMITE:! ENERGY. . . . . : Q1 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERV I CE/FEEDER---- ----BRANCH CIRCUITS-.—.--- ---ADD' L. INSPECTIONS——
0
NSPECTiONS--•--
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCII CIRC: 1 IN PLANT.. . . . . . . . . . . : 0
601 — 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECT I ON----___—_—_----._._..
1000+ amr,/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnr=t only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: —_ -___.___ _-..________.___..___--- -__.__._.._--___-- FEES
ANNE RADAR type amount by date recpt
10275 SW GREE.NLEAF TERRACE PRMT $ 40. 00 DEB 05/29/98 98-03612:8
TIGARD OR 97224 5PCT 0 2.-. 00 DEB 05/29/98 98-036128
Phone #:
Contractor: --_--__----------- --_-----------
GRF ELECTRIC f 42. 00 'TOTAL
15460 SE PARADISE LN
------- REDUIRED INSPECTIONS —
MULINO OR 97042 Rough—in . lect' 1 Final
Phone #: 503-829-4146 Elect' l Service _
Zeg #. . : 001015
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of r1regon Specialty Codes and all other
applicable laws. All work still be done in accor'ance with approved plans. Thjs permit will ewpire J work is not started within 180
days of issuance, or if work is suspended for :ore than 180 days. ATTENTION: Oregon l�p.w requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0010010 throu h OAF. 952-001-1987. You may obtain a copy
of these rules or direct questions to UK by callin 1, 31246-1987. '-n
CA&
Permittee Signature: c1 Issuer' B '� _
I NSTrILLAT I ON ONLY--------------_---__----_.—_
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE. DATE:
CONTRACTOR INSTALLATION
SIGNATURE OF SL1F'R. ELEC' N: CLq DATE:
LICENSE NO: �T
+++++++++++++++++++++. 4•+++4•++++++++4-++++++++++++i•+++++4-+++++++++++++++++++++++4
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
+++++++++++++++++++44 +++++++++++++•F+++++++t+++++++++4.+++++++++++++++++++4•++++++
05/28/1998 22:19 5038295747 GRF ELECTRIC ( PAGE 01
MY OF TIGARD Electrical PF -nit Application Ph chopk-il�,;13125 SW HAIL BLVD. Recd 9tr_
TIGARD OR 97223 Dar"Rec-�_
PhoneDate to P.E
(503)039-4171, x304 e accepteto DST
Date InspWIon(503) 639-4175 Print or Type DaDate tt w ��� 93—t7vZ8�'
Fax �so3) 684-7297 Incomplete or Illegible will not be colica
1. Job Address: / 4. Complete Fee Schedule Below:
Nertte M Development�_M r. .Q,aC 0.Y Numbs of Ina Rlonf
P• per perrnR allowed
Nnrno(or narne of bul.lness) __ RetMaa Included: Items Cott sum
Address 1 Q p� 7 S _ ��re—!e kj ta. gwldentlat-p.•unit
IoW sq.M.or lase $110.00
Cary/StetefZJp TI 1.e,�,��jr_ Each additional SW eq n orThiore
ComiTinrclal �� Residential P_ LiportionmMed Energy
:23,00 t
523.00
ESM MMUN Home or Modular
Atimiling Service or F @oder Sea UO 2
2a. Contractor Installation only:
(Asach copy of all current Ilosnewsj 4b.flaMaos or F«dare
Electficnl Contractor r, AF El -,-r ,i IndtaAallon,alteration,or relocation
Addreas 1" 200 amps or less WOO _ 2
—`� '— �^- F�� 201 ampe to 400 amps M �O,OO
City State _Zip _ 401 amps to 000 amps _ - 2
:120.00 2
Phone No, - �„ _ W1 amps to 1Q amps � $ 00.00 �
Job No. - _ Over 1000 amps or v0ta 12$180.00 2
Elec. Cont Lice. No. d— Ex Date Reconnect only i i50,0o 2
u2ILz1�.-?L_- p -OR SLAIN CCB Rep. NO.-1,0+� - I xp.Dete 4o.Tornporary Servloea or Feedwe
COT Business Tax or Metro No. _Exp.Date_,___i Installation,alterallon,or twincallon
Zoo amps or less _ 550.00
Signature of Supt. E;ec n tot arnos M too 9mps -- $15.00 2
401 amps to em amps _ $100.00 2
Over d00 amps to 1000 volts,
Lmnes No.-3 3`�S Exp.Date _ 's"above.
Phone No. czy,
i 4d.9ranch Circuits
New,alteration or awtonsion per penal
2b. For owner Installations: a) The feeirit branch circuits wart
Print Owner's NAmq I Vw��°f••rrfaa or
Address _ - Each tiranch circuit $5.00 2
b1 The I&)for branch cirmAls
City _ $11119Zip. wOMouf purchaas of
PhOfte NO. __._. .w Mee
or Fedor Fs. �^
Flint branch circult i $35,00 52
1 he inOrkiletion is being made on property I own which is not Fech s"tional branch rlrrud __4 t.
intnrlded for sale, leave or rent. 4e.Mllorltanmous
(Servko or#*odor not Included)
7wr,er's SignAnlrA _ _ Each pump or Irnpetlon circle S4f!,00 2
Fach sign or outllne lighting %Woo 2
3, Plan Review section(It required):* Signal dmun(s)or a I;mhed anerpv
Panel,elterstlon or extension
Plesess check sppropHets item and enter fes In sanction SB. Minor Labsts(/o) 6100.00
ter more residential urft In me ahurtlrm SL Each additional Insper.-tion()ver
Sertice and leader 225 arrcprn or mxvo the allowable in any ce!w,above
System over We Vdis norrilrlal Per Inspot ri $35.00 _
-^Classlftad arae or Rhlxiurm containing apeclai oocupwxy Per hour — $55.00 �-
as descrtbed in N.F.G.Ortolan 1, In Planet $55.00
Subrllh 2 sole of plans with of plication whom any of the Oboe apply. S. Fees
Not required far Unlperary construction servios[a ea.Enter Dotal of above Ieee
6%Sumharpe(,06 x total fop;) :
NOTICE Ubraaf 5 __
6b.tMet 25%olt line Be for
PFRMITS PFCOMF VOID IF WORK OR CONSTRUCTION AUMORIZED IS PIM Review ILMV W(Ror-,1)
N01 G094 IENCED WITHIN 1BD DAYS,OR IF MNSTALC11ON OR WORK lfu4fpF! t
IS S'JSPFNDFD OR A3AN(70NED FOR A P16RIOD OF 180 DAYS AT ANY
TIME AFTER WORK I$COMMENCED. r nccctmt 0
Total balance Duo P C rest r
CITY OF TIGARD MECHANICAL
\ F�'ERMI-f
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 D E RM I T #. . . . . . . : ME:C 98-0178
DATE ISSUED: 05/ 1`,/9A
I
PARCEL: 2S111CC--19800
SITE ADDRL "35. . . : I0*_'75 SW GRE,C_NLF_4F TE.RR
SUBDIVISION. . . . : SUMMERFIELL~ NO. 5 ZONING: R-12 PD
BLOCK. . . . . . . . . . . L_O'i. . . . . . . . . . . . . : 57 JURISDICTION: TIG
CLASS OF -WORK. . :ADD FLOOR FiJRN. . . . : 0 EVAP COOLER 5: 0
TYPE OF USE. . . . :SF UNIT HEATERS,. . : 0 VENT FLANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 H( TI ERS/COMPRE-.SSORS HOODS. . . . . . . : 0
FUEL. TYPES--_—--__---_- 03 HP. . . . : 1 DOME;�. I NC I N: 0
:GAS 3-15 HF='. . . . : 0 COMML. INC 1 N: 0
MAX I NPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS''. . : 30--50 HF'. . . . : 0 WOODSTOVE=S. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
- T R HANG..I NG UNITS OTHER UNITS. : 0
NO. OF UNITS-----------
FURN ( 100K BTU: 1 (- 10000 cfm: 0 GAS OUTLETS. : 1
FURN ) =100K BTU: 0 ) 10000 cfm : 0
Remarks : Installation of new gas furnace, A/C unit 6 gas piping. No exterior
unit.
Owner: -- - -__.________.____________________._____________.___._—_ FEES ----------------.
ANNE RADOR type amour.+, by date recpt
10275 EW GRE:ENLEAF' TERRACE PRMT $ 25. 00 DEB 05/15/98 98 -305761
TIGARD OR 971_;_4 5PCT $ 1. x'5 DEH 05/15/98 98- x05181
Phone #:
Contractor;
NORTHWEST HEATING & COOLING IN
8._,04 SE STARK ST ----------------------------.___-----.__.
$ 26. 25 TOTAL
PORTLAND OR 97216
Pn o n e #: 252-6656
Reg #. . : 001171::
REOLi I RE D INSPECTIONS
This permit is issued subject to the regulations cantained in the GA-, Line Insp
_
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp +_
applicable laws. All work will be done in accordance with Heating Lint Insp
approved plans, This permit will expire if work is ant started Cooling Lint ?r•=_;.,
within 198 days of issuance, or if work is suspen�^d for more Final Insp•rction
than. 198 days. ATTENTION: Oregon la. requires you to follow rules
adnpte:i by the Nego-i Utility Notification Center. Thnse rules are
set forty in OAR 95?.-881-8818 through OAR 952-881-889x. you may _
obtain coi ies of these rules or direct questions to (XINC by cal IIng
(503)24�-9197.
issue H L '��. _. Per'mittPP SignatUre :. /,-
++++++++++++++++++++++++++++++++++++++++++++++++++++.f++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
++++++++++++++t++++++++++++++++++++++++++++•F+++++++++++++++++++++++++++t+++++++
1)6.16,97 10:34 VSC3 894 7297 CITY OF TIGARD 002/002
Plan Choq
CITY OF TIGARD Mechanical Permit Applra
secdsi \/
13125 SW HALL ®LVD. Commercial arld Residen rr OsteRec'd -�
TIGARD, OR 97223 Date to P E
(503) 639.4171, x304 r day 1 1996 Da*to DST
Permit r%'�` ]C
Print or Type ,.,11:I ry r,vrj(); trued
Incomplete or illw9lble a plications will not be accepted
at pt�On uaioprrtar
�� I f ►� (_ Table 1A Mfc:hanK*code ary PRICE 'W
Job rKi ee aaa , -- a Perm-'its_. ---- -a a 1000
Address 71
a°M' cetreaa. 1 � li mage to 1 OD,000 BTU 6.00
Odwin ducts a v" G'^
Man"(rd nen»ar bijarnan 2) urnrLZ 100.OdX1 + ---- 750
Uwnw 11^, irtdudtng dud.d vents
iN�IMie Maef� _ ) Flprr Fumsca�-_•_•- _.�_. . - 800
incl4din V!r>l _ _
uA °R -6) uspanded hraMr w haarOr 6 00
or Noor mwnted flew _ _ _-_ —
ama n/na oc sfnaW _ 5) Vent not included im app4enoe pem1R 3.00
Uoadptutt 'ss 6) Boder or O tisor heat�eet pu rA 1
to_3 Mp;absorb unit to'
ratu7.) Boiler or comp.heat purnp,as rand 11 00
I.15 HP;obeorb unit to 500K BTU-
Con or
TU"Contractof > 6) boiler or ramp,neat pump,air cord is of:
-- 15.30 MP,absorb unK.3.1 mil BTU- - --- -
usuanrY �Norm 9) oE�,or Comp.heel purhp.Lir cOrn1, 6D
applicant 30-50 HP•absofb and 1-1 Amil BTU"
mt;st provide aNo N onr 10) Boder of Camp heat puny,air pond 3750 ---
Con �i� r i)� :50 HP;absorb and 1 75 mfl BTU"
rroerse onwm Crnrt. rn�t xi o w v 11 i An handling un 00
to 10, 0 CFM 450
rnformotion 0 -- -1 d ------
tor COT Tam rx aim0 -- - amp. 72) n �indNry ori 1D,U00 50 -
database) _ 1 1;t-
ANCh1bOCt " 13.) Ntm pati6li weparate cooleri 50
or baa 14) Vent fan connw ftd to a lingie duct 3.UU
ph"ll, 1 S-)-VortiM on system not Included In - --- ♦50 ---
_
appliongRponrilt
0eaorbe wok Now 0 Addition'T ANeraton O Repan O 1e) Hood aerved by mechanical whausl •
to be done PasidenAIA Nwi-"idenbal O _
Additional Dou-0phan of work 17) Domenic incinerator
if\54<AN,Aq)ntrial_o -- -
- 19) omm-mor industrial typw e 3000
Exisling use of Rar-Mr unit'�t- 4 50
'uildirig orpmrarty
20.) Woad srove 450
Proposed use of1 •\ ` ► 1 6 1' I�.c_._ zt ► GIoH,eu dryer-Me-- -�___.- •50
building or p _.
ropriety L _
22) Other units s
ia_—
Type of foci-al O nelurrl gas,Q LPG O Vectric O 23} Grs prni+q one-i;- ur vvtl>vts 200
1I hereiry edrnv;-0 a that1 hove read'.nis anp lbn,that the 2A) More►hen 4-per outlets(each) 30
rroor ratirxt riven is�orrvd that I rd thr owner or author zbJ agent of ---
due owner,that rilons subrnAtej ere in ernnpliance W,Oregon State QTY MMTOTAL
taws r
Sepneture of 0wriodAgenf base -- gruarmAr
—
4.
.t1 �` I I`j - -1%SURCHARGE
-iAA4 A,Verson Phalle hN REVIEW 25k OF SUBTOTAL
,U
TOTAL.
r H iodwil doc (MW 9 - , 's�:nfmmtxn permit lee surcharge
Ra ..,neral AX: r;.aras tole Fan shtrtrv+g plarAnsent of unit.