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Page No. 1 CASE HISTORY FOR CASE NO. : M'iC97 0315
HINNEY
15890 SW GREENS WAY
10/26/98
Actljn Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECA007 Application received / / / / 08/20/97 RECD DRA 08/20/97 DRA
MECA008 Create Permit / / / / 08/20/9" PASS DRA 08/20/97 DRA
MECA014 Plan checked/Approved by P.E. / / / / 08/20/97 Bob P reviewed what information in REVD B•P 08/20/97 DRA
regards to mounting unit on roof.
MECA060 (F) Issue permit / / / / 08/110/97 PASS DRA 00/20/97 DRA
MECA715 Mechanical Insp 08/20/97 / / 08/22/91 Mech insp - "Note" requires engineering PASS RB 08/22/97 J*H
for seismic tie downs to be on site for
mech insp approval, any questions see
Bob P.
APPROVED AS NOTED: Seal condensation
line at exterior siding (caulk as
needed) .
MECA730 Cooling Unt Inep 08/20/vi / / 08/22/97 Bryant high efficiency roof mount 2-ton PASS RB 08/22/97 J•H
AC unit.
Serial #22997E14965, MOdel#594DN024-B
MECA799 Final Inspection / / / 1 08/22/97 PASS RB 08/22/97 J•H
MECA800 Case Finaled / / / / 08/22/97 PASS PP. 08/22/97 J•H
Page No. 1 CASE HISTORY FOR CASE NO.: ELC97-0573
KINNEY
15890 SW GREENS WAY
10/26/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update "
Code Sent Done Done Date J,,
ELCA001 Application received / / / / 08/22/97 RECD GEO 08/22/97 GEO
ELCA003 Permit created / / / / 00/22/97 PASS GEO 08/22/97 GEO
ELCA500 (F) Issue permit / / / / 08/22/97 PASS GEO 08/22/97 GEO
ELCA700 Rough-in 08/22/97 / / 08/22/97 by RB PASS MJR 08/22/97 MJR
ELCA7g9 Elect'l Final 08/22/97 / / 08/22/97 by RB PASS MJR 08/22/97 MIP
ELCC800 Case Finaled / / / / 08/22/97 PASS MJR 08/22/97 MJR
Page No. 1 CASE HISTORY FOR CASE NO.: MEC97-0086
KIN14EY
15890 SW GREENS WAY
10/26/98
Action Description Req/ Srhd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECA007 Application received 04/02/97 / 04/02/97 04/02/97 TAT
MECA060 (F) Issue permit / / / / 04/02/97 PASS TA't 04/02/97 TAT
MECA795 Gas Line Inep 04/02/97 / / 04/11/97 #-1- gas piping pt test=20 psi for 15 APP KS 04/15/97 K13S
minutes
MECA715 Mechanical lnsp 04/02/97 ! / 04/11/97 APP KS 04/15/97 KBS
MECA799 Final InsPection 04/02/97 / / 04/11/91 APP KS 04/15/97 KBS
MECA800 Case Finaled / / / / 04/11/97 RPP KS 04/15/97 KB8
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES FIE RMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)539.4171 PERMIT . . : MEC97-0315
15
DATE ISSUED: 08i2'O/97
PARCEL: 2S111CC-11100
SITE ADDRESS. . . : 15890 SW GREENS WAY
SUBDIVISION. . . . : SUMMERFIELD NO. 2 ZONING: R--12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 138 JURISDICTION: TIG
CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :H2 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0 HF'. . . . : 1 DOMES. INC 1 N: 0
:ELE 3-15 HP. . . . : 0 COMML.. iNCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF IJN I TS------------ AIR HANDLING UN I T s OTHER UNITS. : 0
F7 URN ( 1O0K BTU: 0 07 10000 cfm : 0 GAS OUTLETS. :
TURN ) =100K BTU- 0 > 10000 cfm: 0
Remarks : Installation of A1C unit on roof.
Owner: - -- --.___-___._____.__ --____.___-----.____.____.---._____----- FEES
KINNEY type amol-int by date recpt
15890 SW GREENS WY PRMT f 25. 00 JSD 08/0/97 97-298471
TIGARD OR 97224 SPCT t 1. 25 JSD 08/20/97 97-298471
Ptione #: 624-8980
Contractor: ----------------------.---___----
B & T GAS SERVICE INC
KEITH TEASDAL.E
B528 SW 19OTH AVE f 26. 25 TOTAL.
BEAVERTON OR 97007
Phone #: 542-7243
Reg #. . : 00O911
-------- REDUIRED INSPECTIONS ------
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt I n s p —
applicable laws. All work will be done in accordance with Final Inspection
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. ATTENTION: Oregnn law requires you to follow rules
adopted by the Oregon Utility Notification Center, Those rules are
set forth in OAR 952441-018 through OAR 952-881-8888. you may
obtain copies of these rules or direct questions to OIK by calling _
(583)246-9187.
15s1-1e � -� � ____ Permittee Signati_ire : �
+ f++++++++++++++-++++++i+-h+++++++++•++++++i+++++++++++++++++++•F++++++++.f-+++t+++++
Call. 639-4175 by 6:00 p. m. for- inspections needed the next bi-tsiness day
++++++++++++++++++ ++++++++++++++++-f+- .++++++++++++++++++++++4-+++++++++++++-++++
Plan Ch
CITY OF TIGARD Mechanical Permit Application Rec'd BLf V�
13125 qW HALL BLVD. Commercial and Residential Date Recd "q�-
TIGARD, OR 97223 Date to P E.--_-
(503) 639-4171, x304 Date to DST_
j Print or Type Permit
Incomplete or illegible applications will not be accepted Called—
Name of DeveloprrieriVP�opd— Dascription -- -- MT
—
_ Table to Mechanical Code QTY PRICE A
Jab $trees Address SciNdr A) Permit Fee. - --- -0- -0- 10.00
Address _
--�-- Brdrpy — Cfly/Stele --- B) Suppiemental Permit -
100
me
Na (w d s► 1) Furnace to 100,000 BTU - 6,00
Owner I j LU �} r p,Lt 4# I lu incl.ducts 3 vents
MaYYq ACdrr 2.) Fumace 100,000 BTU+ 7.50
6r'&C'/is _incl.duds 8 vents
c tyistaa r r 7Jp 3.) Floor Fumaca ---- --- - 6.00
I. ilb('I i i � incl.vent
NarFie(or nsn a burr n►• c' 1_) Suspended heater,wall heater --- 6.00 --
_or floor mounted heater
Occupant MaIIMipeaa 5.) Vent not incl.in _ 3.6-0
_ _appliance perrnN___
Oeyrsrere zip Phone 6.) Boiler or corrp,hent pump,air Blinn-- - 6 00r
- - - to 3 HP;absorp unit to 100K BTU Ct
7. Boiler or
comp,:•,eat pump.air coed. 1100
` t U i cL ----il 3-15 HP;absorp unit to 500K BTU
Contractor Mat"waft` ' 8) Boiler or comp,heat pump,air Bond- 15.00
�• Z�i c7 � -- 15-30 HP;absoip unit 5-1 mil BTU _
Attach cupy of 5G70TBuZrZTax
Zip Phu» 91 Builer ur caxiip,Iwdl punip,air Bund. 22.:,0
Current Licenses ex 1A 4 ' '1Z4 30-5_0 HP;absorp unit 1-1.75 mil BTU
�# C /QM 10.) Boiler-P comp,heat pump,au Bond. 37.50
r, >5U HP;absorp unit 1.75 mil BTU
or etro r Exp. a 11 ) Air handling unit to 4.50
10,000 CFM
tj Architect Name —� - 12.) Air handling unit +� -- 7.50
_10,000 CTM+
Or MOkV Adrim" — ---- 13.) Non portable! 4.50
I _ evaporate cooler
Engineer cxyrsw _— ---no Ptwne t4) Vent fan connected --- — 300 —
I- -_�-_ to a SR Ia duct
Describe work New O Addition O Alteration O Repair O 15) Ventilation system not 4.60
to be done Residential O Nen{esidential O included in appliance permit
c
Additional Description of work--- �- 16) Hood served ty- - - -
mei-hanical exhaust 450
17) Domestic inrinerators - 7.50
Existing use of - - -� 18.) Comme.mal or industrial 3000
building or property -._-- _�- type incinerator _
19) Clothes dryers,etc --- 450
Proposed use of 20) Other units 450
building or property--_-i_- ---�---
Type of fuel-oil O natural gas—0LPG O electric 0 21) Gas piping one to four outlets- -2.00
I Hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) 50
intonation given is correct,that I am the owner or authorized agent of
the owner,that plans ib miffed are in compliance with Oregon State QTY.SUBTOTAL 1
laves__
Stgnaturs of OwnerfAgent - Date -� _- -- *SUBTOTAL
c - -- 5%SURCHARGE
Coml;@&Pmon NaVn#s Phom PLAN REVIEW 25`K or SUBTOTAL
TOTAL
i.ldst%miechpint doc ---- - 'Minimum permit fee is$25+5%surcharge -
Rev W96
f
X
i
i I
CITY OF TELECTRICAL PERMIT
DEVELOPMENT SERVICES V,ERMIT #: ELC97-0573
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE 19SUED: 08/2'2/97
PARCEL: 2S1. 11CC-11100
:SITE ADDRESS. . . : 15890 SW GREcNS WAY
SUBDIVISION. . . . :SUMMERFIELD NO. 2 ZONING: R-12
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 138 JURISDICTION: TIG
F'r••o.j e c t De scr i pt i on: Add two (2) branch circuits to existing SFD.
----------------------------------------------
---RESI1)EhITIAL UNIT----- ---TEMP SRVC/FEEDERS------ -----MISC"ELLANEOUS—----
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 P,UMF'/IRRIGATION. . . . : 0
EACH ADD' I__ 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MIPJOR LABEL. ( 10) . . . : 0
-----(3ERV I CE/FEEDER---- ------BRANCH C I RCLJ I TS------ •---ADD' L INSPECTIONS—-
0
NSPECTIONS- -
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' I_ BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : Qi - --- ---- -._____.._.___FLAN REVIEW SECT ION--- -__.____-__.-.--_
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR 1 = E25 AMPS. . : CLASS AREA/SF-'EC OCC. :
Owner: ------------------------------------------------------- FEES ----- - - ---- - -
KINNEY type amount by date recpt
15890 SW GREENS WY PliMT f 40. 00 GEO 08/22/97 97-298571
TIGARD OR 97224 SPCT $ 2. 00 GEO 08/22/97 97-298571
Phone #: 624-8980
Contractor:
JARMER ELECTRIC INC $ 42. 00 TOTAL
5105 SW 45TH
------- REQUIRED INSPECTIONS --
PORTLAND OR 97221 Rotrgh-in Elect' 1 Service
Phone IN: 246--5381 Hndergroi.ind Cove Elect' 1 Final
Reg #. . : 000069
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
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 sore than 188 days. ATTFIV ION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8818 through OAR 952-881-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling 15831246-1987.
!_'e r m i t t.e e R31 gnat I_i r e : _ T s s ir e d B y :
INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
- - - ----------- ----------CONTRACTOR INSTALLATION ONLY----------,«-�---- ----- -- -_-
SIGNATURE OF SUPR. ELEC' N: �`�_ DATE:
LICENSE NO: �37
++4++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++ 1+++++44
Call 639 -4175 by 6:00 p. m. for an inspection needed the next business day
4++++++++++++++ate++t+++++++++. ++f+++++++e•+++++ ++++++++
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # _
Permit #
Phone (503) 639-4171LL Date Issued_T`� q
CITY OF TIGARD FAX (S03) 684 7297 Issued by
TDD No. (503) 684-2772 ----
CSy�) Inspection (503) 639-4175
t. Job Address: 4. Complete Fee Schedule Below: I
Name of Development Number of Inspections per permit allowed
Address-1 ' Service included Items Cost(OR) Sum
City/State/Zip 1 I ` f k. C
4s. Residential• per unit 4
1000 eq it or lees $11000
Name (or name of business) _ Each additional 500 aq It or -- --
portion thereof $2500 1
Commercial ElResidential _ mled Energy $2500 — -
F ach Manul'd Home or Modular 2
[)welling Service or Feeder Sha 00
2a. Contractor installation only:
4b.Services or Feeders
Electrical Contractor
(t Installation, or loItrati alteration,or relocation 2
]^ 200 sone $0000 2
Address 1 C ' �� 201 amps to 400 amps $8000 _
City Slate k Ziff/ ] 1:� i 401 amps to 600 amps $12000 2
Phone No. ,,ZU _ -�; *-r+�+" 601 amps to 1000 amps $18000 2
f Over 1000 amps or vont S14000 2
Contractor's License No. 31 L-I y i(L Reconnect only -_'_ $5000
Contractor's Board Reg. No. (clijq 4c.Temporary Services or Feeders
Installation,alteration or relocation 2
Signature of Supr Elec'n / ---- 200 ampe or less $5n on 2
License No. _ Phone Ko. [, -J _ 201 amps to 400 amps $;s no 2
401 amps to 600 amps $10000
Over 600 amps to 1000 volts
2b. For owner installations: see•b•above
Print Owner's Name 4d. Branch Circuits
New.alteration or eidension per panel
Address a)The fee for brairch circuits with
City State 7_Ip purchs"of service or feeder tee 2
Phone No. - Each branch circuit _- $5 on
b)The lee for branch circuits without `
The installation is being made on property I own which is Purchase or aarvlce or fbeder hw. 2
not intended for sale, lease or rent. First branch circuit $K,00 2
Each additional branch circuit $500
Owner Signnturp _ 4e. Miscellaneous
(Service or feeder not included) ?
3. Plan Review section (i1 required): Each pump or irrigation circle �_ $a0 00 2
Each sign or outline lighting __ $4000
Signal circurt(s)or a limited energy — - 2
Please check appropriate item and enter fee in section 58. panel,&"station or extension $4000
4 or more residential units in one structure Minor Labels(10) --` cion on
Service and feeder 225 amps or more
— --
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described In N E.0 Chapter 5 Per'fir—I-, _ _
Per horn $S5 00
v'
Submit 2 sate of plane with application where in Plant $5500
any of the above .
apply. Not required for temporary construction services. 5. Fees:
NOTICE
Sa. Enter total of above teas $ jj
�
5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust AccountIll
$
Salance Due $ .�
RECEIVED
AUG 2 1 1997
COMMUNIfv UtHLOPMENI
/� CITY OF TIGARD MF:r'HA?4T(7
PFR M T T
DEVELOPMENT SERVICES PFPMTT #. . . . . . M E C.:c'7 -i•h(71 A f:,
)�Immm 13125 SW Hall Blvd.,Tigard,0.197223 (503)639-4171 f)A,rF 17S1P7D! 04/02,"q
P A P(7 F-.,1. : ?F-3,I I I r r 13.
T T;7 n.r)r), 1--W (',PFFNS WA'
q1!0MFPFTE1.P NO.
v i,)r y.
: 1.1P r 11 P T S P 7 C"TON T
Fl.nnR FURN. 0 FV AP rn(7)1 EPC7' 0
F I'NT',' HFATFRS. 0 VENT FAN!7. . . fT
J VENTS W10 APPL ' 0 VENT SYSTEM,!'.
,TORT . . . . . . . . . 0 n,r t,Et p r _n
1)!.. . . . . . .
0 r1r)MFt;. TN(-TN : 0
f;Aq 0 CnMMI . 7NrTN ! M
-1
'AX TNrjJT 0 ST11 '30 14P, . . P, PEPATR I,JN*Tr"-
,. TPF DAMPFPC',". -10-'n(A 1-1 p. . . . 0 WOOD!77TnVF,S. . .
- T'Prq1";1,1PF, `Of 0 HP. . . . P. rj. n !)pyFRr..
OF 11NTTr' AIP HANDI.THr.) I jN 7 T17 OTHER I!Nl"
.9N - 100Y 11111 : 1 100061 r-fpt- 0
10000 -fn,- Q,
in0l fi!rnanrr —00111H>" Anti IRA PiPina n0lote
+ y pl.� 1111 by rant
PRMT Rift: TAT 04 /P''
P r-T `5 TAT 041,-
T t4
W A rjpr,7 I
i n i I r7 A 1.
12;
r-(A A"3 T n T
. . . RFQ11TRFr, 1NC711C(-'rTnN,
pprmif jp issued rubiW to the regul9ti-onP cnn+:.iinpd in thp r, ]-I I ns, T 11!-,
,rd Municipal rode, State of Ore. 9pp�ciI
ql}v Codes and 411 nthP7
icable laws. All work will be done in nrcordlncP with
nved planet, This 'pervil will Pvpirp if work if not ptat'.0.
."ir In dapsof issuance, at if work is suspended for Rerp
Plan Check a
CITY OF TIGARD Mechanical Permit Application Recd C1Y_
13125 SW.HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P 11
503 639-4171, x304 Dale to DST
i
l
Permit#
Print or Type � .
Called
Incomplete or illegible applications will not be accepted
Name or Leve, .n-nUProteci Description
Ane to Mechanical Code t]Tr PRICE AMT
Job �Ifeet Addre:f 5u iea AI Permit Fee -0- -0- 1000
AddressC
t3t� Cavistate Zip B) Supplemental Permit 300
L- �- _
Name for name of business).j 1 ) Furnace to 100 000 BTU 600
Owner -N V'%E'A-
//--
incl.ducts&vents �J
Man Address 2) Furnace 100.000 BTU+ 750
C3_ �
incl duds&vents
CilyiState Zp Phone 3 1 Floor Furnace 6.00
L) incl vent _
T Nam_a or name of business) 4 1 Suspended heater wall heater 600
or floor mounted heater _
Occupant Mailing address 5) Vent not incl in 300
appliance permit
Cdylstate Zip I Phone 6) Boder or Comp,heat pump,air coed 600
to 3 HP absorp unit to 100K BTU
Contractor /N 7) Boder or comp.heat pump,air cond 11 00
IPrior to L-` V-r < -- 3-15 HP absorp unit to 500K BTU
ssuance Maiiing Addrrss 8) Boder or comp.heat pump,air cond 15 00
applicant m c ,Y F� l�t:�. 15-30 HP absorp unit 5-I mil BTU _
must provide all cityistate kA f Zip Phone 3(a0 9.) Boder or comp,heat pump,air cond. 22 50
contractor 3S-' 1 30-50 HP absorp unit 1-1.75 mil BTU
license 0i"on Conal Cant QdAM Le a Exp Deis 1 n i Rrnler nr romp heat num air cond 37 50
information GS 17 , gj 1-/1`!Y __>50 HP;absorp unit 1.75 mil BTU
'or COT COT Susiness rax etro Exp Dale 11 ) A-r handhng unit to 450
dataoasel _ �j 1 `� I 10.000 CFM _
Architect 'ame 12 1 Air handling unit 750
_ 10 000 CTM+
or Mailing Address 1 3) Non portable 450
__evaporate choler
Engineer Crtyistate Zip Phone 14) Vent fan connected 3 00
_ to a single duct _
Describe work New AdditionCi Alteration O Repair O 151 Ventilation system not 4 50
to be done Residential Non-residential O included in appliance permit
Additional Description of pork 1 16 1 Hood served by mechanical exhaust 450
(YIS'�I I 0.5 Av cvllr t Q_
CN� 1v' Q C P rr1 F� 3CJ 17) Domestic incinerators '50
Existing use of 18) Commercial or industnattype 30 00
budding or property_ incineratc,
19) Repair units _ ^_ _ 4 50
Prr-oosed use of 20) Woodstove 4 50
but-ding or property
21) Clotnes dryer.etc. _ 4 50
Tyce of fuel-oil O natural gask LPG O electric O 22) Other units v 450
1 iereoy acknowledge that I have read this apphcahon.that the 231 Gas piping one to four outlets I 2 00 �2 --
information givens correct.that I am the owner or authorized agent of
the owner.that plans submitted are in compliance with Oregon State 24) More than 4-oer outlet (each) 50
laws
III It of ownertAgent Date oTY.SUBTOTAL 'k
1
3Ia '7/5 7 SUBTOTAL
Contact arson Name `1 Phone 5`16 SURCHARGE
(n," -S35-3SII PLAN REVIEW 25%OF SUBTOTAL I '
TOTAL
osrmechpmt.doc irev 7;96) Mitnmum permit fee is S25+5%surcharg