10618 SW GARDEN PARK PLACE 00
U)
10618 SW CAROM PARK PL
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC97-01
DATE ISSUED: 05/23/97
PARCEL: 2SI03DD-06400
Sim ADDRESS. . . : 10618 SW GARDEN PARK Pl-
SUBDIVISION. . . . : KAREN PARK ZONING: R-4. 5
BLOCK. . . . . . . . . . : L..0 T. . . . . . . . . . . . . :4 JURISDICTION: TIG
------------
CLASS OF WORK. . :ADD FLOOR FURN. . . . 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY (37RP. , :1-42 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES----------- - 0-3 HP. . . . I DOMES. INCIN: 0
3-15 HP. . . . 0 COMML. INCIN: 0
MAX I NPUT 0 BTU 15-30 11 P. . . . 0 REPAIR, UNITS: 0
FIRE DAMPERS 1. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UN I TS OTHER UNITS. : 0
FURN ( 100K BTU: 0 10000 cfm : 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remat-ks : JOB 0 88073 // INSTI- I BOILER/COMP/HEAT PUMP A/C AIR CONDITIONING
UNITS CANNOT BE PLACED OUTSIDE SETBACKS
Owner.: FEES
GEORGE HUGHES type amol.int by date r-ecpt
10616 SW GARDEN PARK PL PRMT $ 25. 00 TAT 05/23/97 97-295054
TIGARD OR 97223 5PCT $ 1. 25 TAT 057/12'3/97 97--295054
Phone #: 624-7024
CLIMATE CONTROL INC
3315 NW 26TH
PORTLAND OR 97-.10
Phone #: 223-4393 $ 26. 25 TOTAL
Reg #. . - 000621 REQUTRFD INSPECTIOHS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Copes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
4U
1 'pt-mittee Signati.tre :
I -,-,1-ted By :
Call for itisper-tion - 639-4175
Plan Check 0 ---
CITY OF TI'GARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST
Print or Type Permit N
Ino7omplete or illegible applications will not be accepted called
—- Nin.ofDescript on
( 77tM C` Table 1A Mechanical Code QTY PRICE AMT
Job $"M ( / ( A) Permit Fee 0 -0- 10.00
Address ALL, i 1 l-L (,�l Yd RV - 1
Bldg* Cityrsrare DO 8) Supplemental Permit 300
4wm(or narred 1 1.) Furnace to 100.000 BTU ' 6.00
Owner C �� <' ;rid.duds b vents
2) Furnace 100,000 BTU 7.50
and ducts d vents
Z4 3.) Floor Furnace 6.00
unit.vent _
�—' Nalm or"M at buslowull 4.) Suspended heater.wall heater 6.00
_ or floor mounted heater
Occ jparit Ma"kms 5.) Vent not unit-in 3.00
appkance permit
—5;s-um zio agme 6.) Boiler or comp.heat pump.air rand. 6.00
to 3 HP;absorp and to 100K BTU
Boder or comp,heat pump,air cond. 11 00
3-15 HP;absorp unit to 500K BTU
Contractor Aamsu, 8.) Boiler or corttp.heat pump,air wnd. 15.00
v "I ' 15,30 HP:absorp unit.5-1 nit BTU
Anach copy of / L 9.) Bader or camp,heat pump,,nr coed. 27.50
Current Licenses _ l 1 1 3(1-50 HP;absorp unit 1-1 75 and BTU
rx�par+` Cohsi.Capt,Bow Le.A EAP.0 • 10.) Boder or comp,heat pump,as gond 37.50
>50 HP;aosorp and 1 75 and BTU _
GOT t y Msaa a F,sp _ 11.) Ar handling unit to 4.50
1 l l 10,000 CFM
Amfiftect Nerve 12.) Air handling ural 7.50
10.000 CTM* _
Or Ma"Add"„ 13) Non portable 4 50
evaporate cooler
Engineer Gyrstere vv aha» 14) Vent fan connected 300
to a Or a dud
Desraft work New O Addition Nte,bon O Repair O _ 15.1 Vent 4lbon system not 4.50
to be done Re_sd+,ural V Nan-resr_lential O inclut ed in appliance permit
rAdditional Cescrption of work 16) Hood served by
mechanical exhaust 4 50
17) Domestic incinerators 7.50 --
Fxtgtsg use of _ t@.) CommerciW or ndus"d 30.00
building or property _ _ type incinerator _-
19) Clothes dryers,etc 4.°0
Proposed use of 20) Other unit; 450
building or property
Type of fuel-oil O natural gas LPG O elecitfc O 21) Gas ptp,ng one to four outlets �— 2.00
I heresy acknowledge that I have read this application•that the I 22) More!fan 4-per outlet (each) 50
mfom-labon given h correct,that I am the owner or authorized agent of
Me mvner,that plans ubmitted are in compliance with Oregon State QTY.SUBTOTAL �K
'aws.
Signature of Owner/Agent Date — 'SUBTOTAL
�.
SK SURCHARGE
i Contact Pe - n Name Phone PLAN REVIEW 25%OF SUBTOTAL
TOTAL
1dstY;n pmt doc 'Minimum permit fee is$25+5%surcharge
Rev 7196
Home Layout
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Windows Midows Doors Walls Roof Floors
CITY OF TELECTRICAL PERMIT
DEVELOPMUNT SERVICES PERMIT #: FLC;'97-029'0
mzowm 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 05/23/97
PARCEL: 2SI03DD-064OO
SITE ADDRESS. . . : 1O618 SW GARDEN PARK PL
SUBDIVISION. . . . :KAREN PARK ZONING:R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4 JURISDICTION: TTG
Description: instl 2 branch circuits // job1 2859-252
, Pro.ject
---RESIDENTIAL_UNIT---- `- -- TEMF�-SRVC/FEEDERS---- - `----•--MISCELLANEOUS---�-
1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 r3IGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVCiFDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER------ -----BRANCH CIRCUITS------- ---ADD' I_ 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 BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 - 1.000 amp. . . . . : 0 --. ____-_____-____PLAN REVIEW SECTION--___--------.--....
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) _ 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: -------------------------------------------------------- FEES ----.- _---__--_-
GEORGE HUGHES type amofint by date recpt
10618 SW GARDEN PARK F'L. PRMT $ 40. 00 TAT 05/22/97 97--2949-ti
TIGARD OR 97223 SPCT $ 2:. 00 TAT 05/22/97 97-94975
Phone #:
ContTact or: ----------._----- --.__________________________________---_----_-___-
FHOEN I X ELECTRIC CO E 42. 00 TOTAL
7379 SW TECH CENTER DR.
--- - --- REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Underground Cove
Phone #: E84-3600 Wall Covet, Elert' 1 Service
Reg #. . : 000522
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itt a Signator
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days. IssiAed By '
---
INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale,, lease, or rent.
OWNER' S SIGNATURE? _ __ __ DATE: r
.-------.-__-_------_--_-_--CONTRACTOR INSTALLATION ONLY--------__-.--._____________
SIGNATURE OF SUPR. ELEC' N: 071 V e DATES
LICENSE NO:
Call for inspection 639-4175
M(.Y.2?-97 THU 10:27 AM PHOENIX ELECTRIC FAX N0, 503 684 3611 P. 02/02
ciTY OF TIGARD Eler:trical Permit Application Plan Check
Recd 6y
13125 SW HALL HLVD. Date Recd,
TIGARD OR 97223 Date ro P.E. -
Phone(503)639-4171, x304Date to DST
Inspection (503) 6Print or Type Permit
Incomplete or illegible will not be accepted
callr3d!__._
Fax(503)684-7297
1. lob Address: 4. Complete Fee Schedule Below:
Name of Developmentr__
1:,-mber of Inspetctlon,per permit allowed
Name for name}of ousines )_G �, Service included: Items Cost Sum
Ls��"
da. Residential-per urmit
Address�� k _. l000 sq,n.or Irss — $r to rte _- 4
q � _-.�_ Fach additional 500 sq.it.or
City/Slate Zip__. , portion thereof $25.00 -- t
LommF;rcial❑ Residenti� Umded Energy _ $25.00
n c�� Earn Manui'd Home or Modular
NSL�.a. \,\ �Ij y � Dv plling Servire or FRttdtir
a. ont aefe7r insta tattoo only: 4b.Services or Feeders
(i.nach copy esRi+I curriml icnnse$) Insrallation,alteration,or reloeauon
Electrical Contracto__-_. ` 20U amps or teso $f0.00 — 2
`_ —
Ad 55� . _ -- 201 amps to 40o amps $&).00 _ ,-- 2
City- _ST _ �ZP _ 601 amps to 600 amps — $120 00
Phone N -�(� 601 amps to to00 art ps — $1Ko 00 — 2
- r y r,ver vx)c amps or volts A360 otm 2
Job No. -� —LReconnect only — $50.00 ___._ 2
F;F:c.Cont. Lines. No.nNo 'i4
F .Date ct _
OR State CC13 Reg xp.Date \� > 4 4c,Temporary Services or Feeders
COT Business?ax or Metro No. Ezp.DateEIns ailation,alteration,or relocation
3 200 amps or less $50,o 2
201 amps to 400 amps 575.00 -__ - 2
Signature of Supr. EIEc'nj;L sol amps to 600 amps 5100,00
Aver 1300 amp-,to 1000 volts,
license No. J'S _ Ex Uate___ see"b"above.
- _�.._ F
Phone N0_ _ : 4d.Hrench Clrculrs
N,,-w,alteration or extension per panel
2b. For owner installations: a)The tea Tor branch circuits with
purchase r+t service or
feeder toe.
Print Owners Name Each branch circuit $5,00 __ t
Address--__- - -- -- b)The too for branch circuits city_..___ Srtte Zp_ whnout purchase of
_---_ -- —- -- �-
service or feeder fee. 2
Phone No,---- --- _— ----_.__ — First branch ci cud 535.00
The installation is being made on property I own which is not
Each additional branch circu-t•-,1 $5.00 �-� 2
intpndtsd for sale,lease or rent. I 4e.Miscellaneous(service or fem-der not included) $4000
Owner's Signature ._ Each pump or irnviion circle `
_.. __ - --�- 540.00 _
F.tch signor outlier lighting
Signai cirrwt(s)or a limited energy
3. Plan Review• section (if required):' panel,aliaralinn or esionsion $60.00 _
Minor Libels(10)
Phase cheer.Appropriate item and enter fee in section 5B.
4 or more residential units,n one structure 4t t ach additional inspection over
Service and tee26 der 2amps or more the allowable In any o}the above 115.00
-� System over 600 volts nominal Per inspection —. Y55.00
_ Classified area or stnJciure cont2ining spacial occupancy Per hour _--- $,5,00 _
-~ as described in N E.C.Chapter 5 In Plant
�Submit 2 sets a1 plans with application where+any of the above apply, Jr.
Fees:
Not required for temporary construction services. 5a.Enter total of above teres 5
5%Surcharge(,05 X total tees) $
NCF Subtotal s
5b.Enter Z5Y.of line 5a for $
PERMITS EFC:UME vOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reauirA(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal p�
IS SUSPENDED OR AEtANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account p.c�
TIME AFTER WORK IS COMMENCFD E
Tot-it balance Duc
'! v+ e✓j
CITU OF TIGARD BUILDING INSPECTION DIVISION
24-11our Inspection Line: 6394175 Business Phone: 6394171
Date Requested: 6, A, 7 AM. _ P.M. MST: _—
Location:
'tenant: Suite: Bldg:
C'ontsactor. Phone: 2� ,� FLM:
Owner_ Phone; ELC:
ELR:_-
�
-�– l vrt i D C?AR Q&, o f n�t�„�.n� Guti sur:
BUILDING BLDG(const) PLUM GE1 CHANICA�L ELECTRIC SITE
Site Post/13cam Post/Beam PosUBeam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Lute
Slab Flaming Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C IK;Slab
Shear/Sheath Fire Spkir/Atm Crawl/Found Ih I lent 2umv Low Volt _
Approved Approvedpproved Approved Approved
App,/Sdwlk Not Appnw,d Not Approved oved Not Approved Not Approved
FINAL FINAL FINAL' FINAI, FINAL
�
uo , - -
O Call for reinspection F einspection fee of S_ /required before next inTection C3 Unable to inspect
Inspector: w -- – Date (Q"G–� J Page_ of
T
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: -W/ ' ! ? A.M. P.M. t/lam MST:
Location' 7�n c�)t�(_/1 (� �/ BUP:
Tenmit Suite: Bldg: MEC:
Contractor_ Phone: � � �7��� PLM: _
Owner: ( _ Phone ---- ELC: !q 7-(22-21r,a
ELR:
_ SIT:
BUILDING BLDG(coe't) PLUMBING MECHANICAL ECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Stonn
Footing Roof UndFi/Slab Rough-in Ceiling Nater Line
Slab Framing Top Out Gas bine Rough-In UC Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace 'Temp Service MISC.
Masonry Ceiling Rain Drain A/C 1JG Slab
Shear/Sheath Fire SjAh/nhn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved raved Not Approved
FINAL FINAL FINAL F[NAL FINAL
T/ME -
YtO ONE OM97
0 Call for reinspectio cinspection fee of S_ required before next inspection 0 Unable to inspect
Inspector:— Date: �� Page of_
l
CITY OF TIGAkD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date kegnested: O - /', �y7 7 ,�_ _ A.M. P.M.
DW;ation. � [A 1 L1dc�L�. - -------- ---- BUP: --
Tenant:_ _ Suite Bldg: MFC:
Contractor._ _ L�'L�yu �� Phone - / PLM: --�
Owner Phone
-- - — �fJ'--- -- _ - - ELR:--
____ _ —--�, srf:
BUILDING itLDG(con't) PLUMBING MECHANICAL --'Z F.LF,CTRICA_�,�It SITE W
site Post/Beam Post/Besarn Post/Beam cr,ervlce Sewer/Stoma
Footing Roof llndFUSlah Rough-In Ceiling Wate, Line
Slab Framing Top Chat Lias Line Rough-lit I R Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall ;.1orm Furnace 'temp Service MISC.
Masonry Ceiling Rain I)raua A/C UG,Slab
Shear/Sheath Fire Spklr/Ahn Crawl/Found Dr I lent 11111111) Low Volt _
Approved Approved Approved Appail�> Approved
Appr/Sdwlk Not Approved Not Approved Not Approvedo tl, )
ved Not Approved
FINAL FINAL FINAL INAFINAL
LIS
i
0 Call for reinspection R inspection fee of Sgwied )c1ore nest in-4lkctlon O Unable to inspect
Inspector_. _ Dat- ! Page of _