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12240 SW KATHERINE STREET I N 0 ya w r ro M ' h'• ro I S49SHIS SPRI9,HLVI MS OflFZT CITY O F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC99-0321 DATE ISSUED: 08/06/98 PA"!CEL: 2SI03BB-10500 'EjITE ADDRESS. . . : 12240 SW KATHERINE ST SUBDIVISION. . . . : YE OLDE WINDMILL ZONING: R-4. 5 BLOCK. . . . . . . . . . . 1-0-r. . . . . . . . . . . . . :V125 JURISDICTION: TIG -------------------------------------------------------------- -------- CLASS OF WORK. , :OTR FLOOR FURN. . . . : 0 EVAP COOLERS; 0 TYPE OF USE. . . . :SF L)NI' HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R'3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS) HOODS. . . . . . . : 0 FUEL TYPES--------,------ 0-3 11P. . . . - I DOMES. INCIN: 0 :ELI-' 3-15 HP. . . . : 0 COMML. INCINi 0 MAX INPUT: 0 BTU t5-30 HF-,. , . . : 0 REPAIR UNITS: 0 FIRE DAMPERS'). . : 30-50 HP— : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50* HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANIA-1Nr UNITS OTHER UNITS. : 0 j7jj'0—kI ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : 0 I FURN ) =100K BTU: 0 > 10000 cfmc 0 Remarks : Installation of I a/c unit, must comply with standard setbacks. Owner: FEES SINHA, RAVI & SARI S type amount by date recpt 12240 SW KATHERINE PRMT $ 25. 00 DEB 08/06/98 98-308079 TIGARD DR 972213 5PCT $ 1. 25 DEB 06/06/98 98-308079 Phone #: Contra-:tor: BELL HEATING (GREG MILLETT) 15550 SE PIAllA AVE 26. 275 TOTAL CLACKAMAS OR 97015 Phone #- 656-11.84 Reg #. . : (AOOOOO REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Spe-ialty Codes and all other Coolirg Unt Insp appliCdbl@ 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. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-88I-0010 through OAR 952-88I-8888. You may obtain copies of thirse rules or direct questions to OLINC by calling J"'ItC) 1. SSPermittee Signature : Ua L- 7 ..............4.........................................4.................144......4 Call 639-4175 by 7:00 p. m. f,.)r inspections needed the ne,4t business day .....................................I.......................4-++4........4....... ns 29/98 FRI 10;05 FAX 503 598 1960 CITY OF TIGARD 14 003 Plan Che r:l"Y OF TIGARD Mechanical Permit Application Recd B:,l � 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. ____ Date (503) 639-4171, x304 Permit#t / # Print or Type Called w incomplete or illegible applications i0will not be accepted Nam.ulow. b 2. D '5'cr / Table 1A Mechanical Code -_ _ QTY r P10E AMT Job Street Address 1� suite# A) Permit Fee 0- -0- 10 00 Address -- -- - - Sidg# Clty/State zip 1.) Furnace to 100,000 BTU 6.00 including ducts a vents Name(or name of business) 2.) Furnace 100,000 BTU+ 7.50 Owner V/ Including ducts&vents Melling Add,m 3.) Floor Furnace 6.00 / 2-10(61 F/U'Lr14- Including vent CRyrstate zip rnone 4.) Suspended heater,wail haater 6,00 v 5,17-) 3 70 or floor mounted heater rName(or name of business) 5) dent not Included In appliance permit 3.00 Occupant Mailing Ad s 6.) Boller or comp,heat pump,air Gond. 6.00 to 3 HP;absorb unit to 100K Bt T•" CAyrsta ,�, zip Phone 7) Boller or comp,heat pum alr 3.15 HP;absorb unit to 500K BTU** -fJ.me 8.) Boiler or comp,heal pump,air Gond. Do Contractor ,�� 15-30 HP;absorb unit.5-1 mil BTU" Prior(,permit Meiling Address 9.) Boiler or comp,heat pump,air cond. 22.50 issuance,a copy m )014-714 30-50 HP;absorb unit 1-1.75m1 BTU'* of all licenses CRyrstet0� zip P one 10.) Boller or comp,heat pump,air cond. 37.50 are required If `'J""' >5011P;absorb unit 1.75 frill BTU" - exp, ad in COT Oregon Const.Cont.eoerd OL-0 F Dat 1 ;.) Air handling unit to 10,000 CFM 4 50 database _ U �O ;architect NOW 1Z) Air handling unit 7 50 _ 10,Uu. -TM, or MailingAaD,ea. 13.) Non-portab., -vaporate cooler 4.50 Enelneer City/State 21p Phone 14.) Vent fan conneced to^single duct _ 3.00 De:..-dbe work New O Addition O Alteration O Repair O 15) Veotllatlon system not included 4.50 to be done Residential O Non-residentlei O In appliance permit Additional Description of work: 16.) Hood served by mechanical exhaust 4.50 17.) Domestic incinerators 7.50 �~! Existing use of ~�^ 18.) Commercial or Industrial 30.00 building or property � _ e incinerator - -- - q 50 19.) Repair units Proposed uee of 20) Wood stove 4 50 i building or property `-- 4.50 21 ) Clothes dryer,etc 22.) Other units 4.50 TypeofIuel-oilO naturalgas0 LPOO electric 1 hereby acknowledge that I have read this application,that the Information 23.) Gas piping one to fo.ir outlets 2.00 given Is correct,that I am the owner or authorized agent of _ 50 the owner,that plans submitted are In compliance v,ilh Oregon State laws 24.) More than 4 per outlet(each) 9lgneture of O vir/afll�gant / /l. ( Date 'SUBTOTAL [+ AV 6°h SURCHARGE / Contar.,t Person Narra Phone PLAN REVIEW-25'/-OF St1BTOTAL Required for all commercial ermits on .TOTAL 'N""mum permit fee is$25+5%surcharge **Residential A/C requires site plan showing-placement of unit. I:Vr echprmt.doc rev 4115198 i� I _ t-- , I CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98--0452 13125 SW Hall Blvd., Tigard, OR 97223 (503)639 4171 DATE ISSUED: 08/04/98 PARCEL: 2S1L13BB-10500 SITE ADDRESS. . . : 12240 SW KATHERINC ; 1 SUBDIVISION. . . . :YE OLDS WINDMILL ZONING:R-4. 5 BLOCK. . . . L_OT. . . . . . . . . . . . . :02`, JURISDICTION: TIG Project De scr:.pt ion: Add two (2) branch circuits to an existing single family dwelling. --RESIDENTIAL UNIT-- — ---'TEMP SRVC/FEEDERS---- - --- -MISCEI_LAIJEOUS---- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 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 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- ---—BRANCH CIRCUITS----- ---ADD' L. INSPECTIONS----- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 20.1 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . „ . . . . = 0 401 — 600 camp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 — 1000 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 SINHA, RAVI & SARI S type amount by nate recpt 12240 SW KATHERINE PRMT $ 40. 00 BEO 08/04,"98 98-307993 TIGARD OR 97223 SPCT $ 2. 00 GEO 08/04/98 98-307993 Phone #: Contractor: --------------------------------- PHOENIX ELECTRIC CO $ 42. 00 TOTAL 7379 SW TECH CENTER DR. ---- -- REQUIRED INSPECTIONS -- TIGARD OR 97223 Elect" l Set-vice Phone #: 684-3600 Elect' l Final Reg #. . : 000522 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sts-t! of R,•egon 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 more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-9818 through OAR 952-881-1987 ou may obtain a copy of these rules or direct questions to OUNC by callin 5831246-1987. Permittee Signature : Issi_ied By. --------------------------OWNER INSTALLATION ONLY------____------____------_.___.._- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURES DATE: INSTAL1_0T'ION SIGNATURE OF SUPIR. EL..EC' N: _d"'7,LL _ DATE: L I CENSE NO: i+.++++++++.+++.+++++++++++++++++,}++++++.+'F+++++++++.++++++++4+++++++i.+++++++++.. Call 639-4175 by 7:00 p. m. for an inspection needed the next business day .....+++ti.+++i.++++,}+.+++f+f+.++f++f+++4-. .+.++++t i......+++-F+-F.....F+++++++f ++++-i +4 AUG-04-98 TUE 11 32 AM PHOENIX ELECTRIC CO FAX N0, 1503684361' P, 02 CITY OF TIGARD Electrical Permit Application Plan Chock N� 13125 SW HALL BLVD. peed By TIGARD OR 57223 //1 Date Recd Phone (503)639-4171, x304 )CF�tI/� ���1 1/ Date to P.E. Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit NEG-C Q- Fax (503)684-7297 Called- 1. Job Address: 4. Complete Fee Schedule Below: NamA of Development If (..1G P E C4 AIPW e I � S Number of Inspections per permit allowed t Name(or name of buslness) c� �r� Service included; Items Cost Sum Address ) SLS •t�� _ 4a. Residential•per unit CI /State/TJ �� Each additional d M.or less $1,10.00 y ty p - Each q.M.oh less 500 sq.IL or ❑ ResidentiafA.l portion thereof s25.00 Commercial Limited Energy 525.00 Each MHomo or Modular J Dwellingng Se Sery+ce or Feeder x68,00 z 2a• Contractor installation on y: (Anach copy oI f a I current licensee ns servleea or Feeders Electrical onlraetOr c� T nstallation,alteration,or relocation 1 200 amps or less 560.00 2 Address 201 amps(0 400 amps 580,00 City c __r 1 e p 401 amps to 600 amps 9120.00 2 Phone No`. �. ���.. a 601 amps to 1003 amp" $IW.00 2 Over 1000 amps or volts 5340.00 2 Job No- — Reconnect only $50.00 Elec.Cont.Lice.No. - xp.Date 2 . OR State CCB Reg. NC —Exp.Dat9 4c.Temporary Services or Feeders COT Business Tax or Metro No.__ Exp.Date Installation,alteration,or relocation 200 amps or less S50.00 2 Signature of Supr. Elec'n v 201 amps to 400 arrps $75,00 2 401 amps to 600 amps _�. $100.00 2 Over 600 amps to 1000 vol(;, License Nc e4 �O� Exp.Date see"b"above. Phonn Nr � � _ __. - td.Branch Circuits New,alteration or ertenslon per penal 2b. For owner installations: a)The lee for branch circuits with purchase or service or Print Ov.nees Name leader fee. Address, Each branch circuit __ 65.00 b)The fee for branch circuits City _ State _ ?Jp_ without purchase of Phone No. service or feeder No, First branch circuit _1_ $35.00 �!� 2 The Installation is being made on property I own which is not Each additional branch circuit �_ $500 2 intended for Salo, lease or rent. 4e.Miscellaneous (Service or fsedsr not Included) Owrines Signature Each pump or Irrigation circle ^� $40.00 _�,_ 2 Each sign or outline lighting 840.00 2 3. Plan Review section (if required):' Signal circult(s)or a limited snarg„j panel,alteration or Mansion 940.00 2 Please check appropriate item and enter fee In section 5B. Minor labels(10) $100.00 _ 4 or more residential units in one structure 4f.Each additional Inspection over Sarvieo and feeder 225 amps or more the allowable In any of the above System over 800 volts nominal Per Inspection $135.00 Classified area or structure containing special occupancy Per hour 11169,00 as described In N E C.Chapter 5 In Plant $5500 Submit 2 seta of plans with application where any of the above apply, S. Fees Not required for temporary corlstructlon services, ba.Enter total of above fees S T 8`/.Surcharge(05 X total fees) $ NOTICE subtotal S Sb.Enter 25•r.of 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review I r ra r (See.3) S NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK subtotal 8 IS SUSPENDED OR ABAf-'DO?.c.0 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK It;COMMFl`;(.ED Trust Aceounl if Total balance Due j 1109t61ELC90 APV Aw gilt _ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — r _ BUP lol Date Requested - - AM� PM BLD Location �� L7 l/�-) y �. eMEQd � n Contact Person —_ Ph LM Contractor _ _ Ph SWR BUILDING - Tenant/Owner 1/��1 ELC Retaining Wall ELR _ Footing Access: i Foundation /�D� � • i1�� q` ' L FPS ----- Fig Drain /� t-C �.� /' l yj1 Crawl Drain Inspecticn Notes: SGN _ Slab _ --- -- --- SIT Post& Beam �- Ext Sheath/Sheer Int Sheath/Shear Framing Insulation c Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final __— PASS PART FAIL - ----- - PLUMBING Post&Beam -- -_. - Under Slab Top Out -- - -- - - Water Service Sanitary Sewer Rain Drains Final - P . FAIL JAE-CMANICAL Rough In 1�7 as me — Se Dampe Final - — --- --- - - J i,S PART FAIL Rough In UG/Slab Low Voltage Fire Alarm A PART FAIL STM Backfill/Grading Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: -_ _ [ )Unable to inspect no access ADA Approach/Sidewalk Date --- '�_ Inspector Ext Other --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-1171 BUP _ - Date Requested_ _7 AM PM _ BLD Location 17- 2, cS66' 6AJ,t. Z _- Suite 'MEC C:nntact Person Ph PLM_ — — Contractor _ .� _ Ph Cl' SWR BUILDING -�� Tenant/Owner j ''r'�� EL.0 Retain —-L ELR Footing Access FPS Foundation Ftg Drain --- SGN — Crawl Drain Inspection Notes. Slab _ -_—---- ...---- -- - SIT --_ Post&Bearn Ext Sheath/Shear ----- - - - - I..t Sheath/Shear Framing -- — -- -- —_-�-- --- ----- ---- Insulation Drywall Nailing Firewall - ---(� , Fire Sprinkler -- Fire Alarm ' Susp'd Ceiling Roof Misc --- -- - ----- ---- ------ Final - `-- - PASS PART FAIT_ ------- ------- _ - ---__. - PLUMBING _-- _ _-.___—_.-------._-- -----_. Post & Seam -- Under Slab --- -- Top Out Water Service - Sanitary Sewer Rain Drains _— -- ---- ----- ._.._.. -- - Final PASS PART FAIL. MECHANICAL Post&Hearn Rough In Gas Line - SRIOke Dampers - Final f ASS PART FAiL ELECTRICAL Service - Rough In UG/Slab Low Voltage Fire Alarm _-- ------.- Fin�a-T- PASS PART FAIL ------ SITE -SITE backfill/Grading � ------- ---------- -_--`-__----- __-.-- Sanitary Sewer Storm Drain [ ]Reinspection fee of$— required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ,r�ninspect- no access Fire Supply Line able to ns lose call for reinspection RE: -_______ �'1� p ADA All Approach/Sidewalk �`� S? R Ins actor d-�� F Ext [nate Other - L___._ . p Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.