6905 SW VENTURA DRIVE-1 ADDRESS:
hret )rds\mfcroflm\targets\t uilding.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mew. Rough-in Fireplace
Post/Beam Strucl. Plbg. Top Out Eiec. Rough-in FIN
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation - Ac .
Underflr. Insul. Shear Wall
Gyp. Rd. -Elect.
Date Requested: &Req l c/ �_
� Time: AM PM
Address:
coo.S V _ —X�
Builder: Z ;� _ ��3�i 3 _Permit # U3 ray
THE FOLLOWINr CUHRECTIONS ARE REQUIRED: C' *",ant Cb�rly�
Inspector: Date.�7L
L-APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
11AFN 1111''
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection I..ine (Rec-O-Phone): 639.4175 Business Phone: 639.4171
Inspection: Alf-j - •C. ,
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Bear, Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Pain Drain Framing Plumb.
Alarm Water Line Insuiadur -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. c5!-Z
Datt: 71equested: �G 1 - 5— Time: AM PM
Addrr s:
Builds{(,-lx4 42t ' D L(,5 3 Permit #:0—C11.�v3 If
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ e / E
i
A 6>
Inspector: � ,. ��. [f� Date:.G - C-�
,64PPROVED _DISAPPROVED —APPROVED SUB17CT TO ABOVE
_Call For Reinsp.
MINJKWIM I
CITY CSF MECHANICAL
TIGARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMT7 #. . . . . . . . MEC95-031Z
13125 RW Hall Blvd.Tigard,Oregon 97223.8199 (503)039.4171 DATE' ISSUED: 01)/05/95
PARCEL: IS1251)D-02500
ITE ADDRESS. . . : 06905 SW VENTURA DR
UBDIVISION. . . . : WASHINGTON SQUARE ESTATES A-ONING.- R--4. 5
LOCl/. . . . . . . . . . : 1...OT. . . . . . . . . . . . .
:LPSS OFWORK. . :ADD FLOOR FURN. . . . : FVAP COOLERS'
' YPE OF' USE. . . . :SF UNIT HEATERS- . : VENT FANS. . . :
1CCUPANCY GRP. . :R3 VENTS VJ/O APPL: VENT SYSTEMS:
:TORIES. . . . . . . . . DOILERS/COMPRESSORS HOODS. . . . . . . ..
UEL vi-3 HP. . . . : 1 DOMES. IIVC IN-
/GAS/ 3-15 HP. . . . . COMML. INCINc
,!AX INPUT' 13TU t75-30 1-1P. . . . : REPAIR UNITS:
IRE DAMPERS7. . : 30-50 HP. . . . : WOODSTOVES. . :
,AS PRESSURE. SO+ IIP. . . . : CLO DRYERS. .
10. OF AIR HANDLING LIN I TS OTHER UNITS.
rURN ( 1 V10 BTU' (= 10000 cfm : GAS OUTLETS.
'-URN > =100K BTUi > 10000 c f m :
emar,ks - One addition of bo i. 1.er f),- (:omp, I-laet pLtmp, A/C to 3 HP absorb '.Init b
00K BTU.
1wrier,". - FEES
Oil BOYER ty[)e a M 0,-(n t Icy dat P )-ecpt
905 SW VENTURA PRMT j,5. 00 CE.; 09/05/95 r'5-47014,,
5PC T 4 1. 25 CS 09/05/'35 ')5----27014'
"IGARD OR 97L23
,hone 0-:
.ontt----ctoi-: .......
:LIMATE CONTROL HTG & A- C
',315 NW J;!6TH AVE
ORTLAND OR 97210
",hone #: 22�3 -'6.-,6. --1:3 TOTAL
,700 #. . . 6219E, REQUIRED INSPECTIONE
I nis p@rvit is issued subject to the regulations contained it the Misc. Inspection
'igard Municipal Code, State of Ore. Specialty Codes and all other Final I n,, pect i a r,
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is Pat started
oithin IN days of issuance, or if work is suspended for
than 180 days.
Call foi- inspection — E39--4175
l�91
City of Tigard MECHANICAL PERMIT Planck/Rec. # •;s- -.;l,aa % ,iS'
13125 sw Hall Blvd. APPLICATION
PO Box 23397
Tigard, OR 97223
(503) 639-4171
Table 3A Mechanical Code CITY PRICE :SMT
r '12 Job Y*U1) Parm.t Fee -0- -0• 10.00
Address w• _
C r �) 2) Surplemental Permit 3.00
urnace to 100,000
a 1) incl. ducts& vauts 6.00
— �� Furnace 100,000 BTU +
Owner ^_) incl. ducts& vents 7.50
Mf X r. —'—T_ Floor urnance
3) incl, vent 6.00
—I n..«. Suspended seater,wallater —
4) or floor mounted heater 6.00
Uil.v pl— Vent not Inc. In
Occupant 5) appliance permit 3.00
sr» Repair of heating,re ng.
6) cooling,absorption unit 6.00
1 rYl
Boiler or comp, heat pump,air con
d.
7) to 3 HP absorp unit to 100K BTU 6,02
wv A"« Boiler or comp, heat pump,air con .
�> ✓,V 8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor367er or comp, heat pump,air c—o—(U r
tV 9) 1530 HP absorp unit.5.1 mil BTU 15.00
I—TIVookn .,N Boiler or comp, heat pump,air cona.
r r 10) 30-o0 HP absorp unit 1-1.75 mil BTU 22.50
sere y acknowIllr go"that I have read Is application, that me Boiler or comp, eat pump, air conte
information given is correct, that I am the owner or authorized agent 1 1) > 50 HP absorp unit 1.75 mil BTU 31.50
of time owner,that plans submitted are in compliance with State Au handling unit to
laws,that I am registered_ with the Construction Contractor's Board, 12) 10,000 CFM 4450
that the number given is correct. (If exempt from State registration, Air an Ing untt
please give reason below.) 13) 10,000 CTM. 750
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
SWOUJ opm Hoodserved y
17) mechanical exhaust 4.50
escnbo wo new 0 addition U alteration repairCommercial or Industria
to be done residential Q ' non e ' ' ntial 0 18) type incinerator 30.00
Existing use o 1 D Other i.e.,woodslove,water
building or property 19) heater, solar,clothes dryers,etc. 4 50
Proposed use of 20) Gas piping one to four outlets 200
building or property
21) More than 4-per outlet .50
Type of fuel-oil Q natural gas LPG Q electric Q — -
NOTICE
Minimum Fee$25.00 SUB fOTAI. ix r
PERMITS BECOME VOID IF WORK OR CONSTRUCTION I r
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
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. I ---
KK
Special Conditions�� U� lJ1 I1 C l� l( t I r TOTAL
Data issued by
AI.'M rI;NAAI
�ord'oo..Mr
TIMECI-IAN I CAL.
CITY ���'+OFPE
EI T , , • ME
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/01/95'.J
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (5o3)8384171
PPRCEL.: 1 S 125DD--02500
LTE ADDRESS. . . 06905 SW VENTURA DR
JSDIVIGION. . . . ; WASHINGTON SQUARE: ESTATES ZONING: R-4. 5
_OC'I-1. . . . . . . . . . LOT. . . . . . . . . . . . . : 1[•
i.-AGE OF WORK,. . ;ADD FLOOR FURN. . . . : EVAP COOLERS:
YIPE OF USE. . . . -zIF UNIT HEATERS. . : VENT FANS— :
CCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS:
TORIES. . . . . . . . : 1 POI LE RF)/C0MPRESSO P6 HOODS. . . . . . . :
.JEL TYPES- _ _. . 0 _3 HP. . . , . 1 DOMES. I NC I N
/GAS/ / / 3-15 HP. . . . ; COMML_. 1 NC I N:
J'IX INPUT: LTU 1.5--30 HP.. . . . : REPAIR UNIT':
E RL HAMPERS% . : 30---50 HP. . . . WOODSTOVEC . . :
iaS PRESS URE. . . . 0+ Hp. . . . . CLO DRYERS..;
NO.. OF AIR HANDLING UNITS OTHER UNITS. :
F"URN ( 1001' RTI I: (= 10000 c f m : GAS OUTLETS.
I-URN ) -100K PTU: > 10000 cfm
Remark, : INTSAI._1_ BOILER OR COMPRf::5 1-R, HEAT PUMP, A/C TO 3I-P; 1170M DTTU-
Dwrte.r: -._.__.__._._.__._._._..__ __..__.____ _. ._._..___ _......._._ .__..._._.._.__.._.__..._._._._._.._.___..__._.. FEES ----_-_
TOM BOYER type amc -int by date r"ec:pt
6905 SW VENTURA F',RMT $ 25. 00 CS 09/0! /9b- 95-27009n
5PCT $ 1. 25 CG O /01/`"t5r '35 =701709
TIGARD OR 97223
Phone #:
Contract yr .
CI-IMATF CONTROL. HTG R A-C
-3315 NW 26TH AVE
PORTLAND OR 971!'10 ......
r'inGne #: -`23-4393 I. �.,. :.5 TOTAL.
Req #. . 62196
_.___._._.._. REOUIRITD INSPECTIONS -_...___._....
This permit is issued subject to the regulations contained in the Gas Line Insp
TiganMunicipal Code, State of Ore. Specialtv Codes and all other Met.4hanir_al
applicable laws, All work will be done in accordance with Final Inc;pect ior,
approved plars. This permit will expire if work is not Started
within 180 days of issuance, or if work is sl.sspended for more
than 180 days.
;�rmitteef,ign� t.+_1r e • , t.1P
, _1 a d L
Ca.l. l fctr- inspect iorr - 63,9-4175
City of Tigard MECHANICAL PERMIT Pianck/Rec. # ��� _
13125 SW Hall Blvd. APPLICATION Permit # /-WP/- "%USI
PO Box 23397
Tigard, OR 97223
(503) 639-4171
�� -" — •�• - escnption
Table 3A Mechanical Code QTY PRICE AMT
,y -
Job z 1) Permit Fee `o -0- 10.00
Address �•
2) Supplemental Permit 3.00
Furnace to 100,000
incl. ducts&vents 6.00
UAWVA&A, � Furnace 100,000 +
Owner vftA y � 2) incl ducts&vents 7.50
oor urnance
r c I _ 3) incl. vent 6.00
Nom. ,.-�.. •,«- SuspendGd heater, wall boater
4) or floor mounted heater 6.00
•v �• �• Vent not incl. In
Occupant 5) appliance permit 3.00
-rte_ a Repair of heabi,g,refrig.
6) cooling,absorpt on unit 600
oiler or comp, peat pump, air cond7
O7) to 3 HP absorp mit to 100K BTU 6.00
M•v�•� ,,y� ,
Boiler or comp, a pump,alr COI I .
32.10;) b w 2-L r"' �j 8) 3.15 HP absoru unit to 500K BTU 11.00
Contractor. / y.a� Boiler or comp ear pump,air cond.
9) 15.30 HP absorp unit .5.1 mil BTU 15.00
W ••—N. Boiler or comp,heat pump,air con .
C 10) 30.50 Hr absorp unit 1.1.75 mil BTU 2250
-FVe-r-9b—yacknowlodg,d that I have read Is application, at t� ter or comp, io-T at pump,air con7—
information givon is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil RTU 31.50
of the owner,that plans submitted are in compliance with Stele Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling urnt
please give reason below.) 13) 10,000 C'I M + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connect —
15) to a single duct 3.00
enU ation system not
16) included in appliance permit 4.50
.,,,.... V- _ Rood served y --
17) mechanical exhaust 450
Describe work new additionyj additionalteration repair —Commercial or industrial
to be done residential 0 n -re dential 0 18) type incinerator 30.00
Existing use of Other i.e.,woodstove,water
building or property _ 19) heater, solar.clothes dryers,etc. 4 50
Proposed use of 20) Gas piping one to four outlets 200
building or property
21) More than 4-per outlet
Type of fuel -oil O natural gas K LPG O electric O --
NOTICE
Minimum Fee$25 00 SUBTOTAL ({
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR S%SURCHARGE I i4
IF CONSTRUCTION OR WORK IS SUSPENDED OR -�
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 259E OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL �
Speciaf Conditions
Date issued by
M*4AWHPMT
•oRhpld.r
g2
Community Development ELECTRICAL PERMIT APPLICATION
I
13125 SW Hall Blvd.
M Tigard, OR 97223 Planck/Rec. # _
Permit
Prone (503) 639-4171 Date Issued _ ,
FAX (503) 684-725+7 Issued by
CITY OF TIGARO TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development An i",-,1.��^1i_ ''" ` / Number of inspection' s per permit allowed
Address �f-� Sf!J L���� 'I`� �7+ Service included Items Cost(ea) Sum
City/State/Zip liq 4/e� Gf�C' 7 r 2, 3 4a. Residential• per unit 4
loon aq nor less $11000
F_arh eddAioral 500 6Q ft or
Name (or name of business _ ____ po.tion thereof ser,00 '
Limited Energy 52500
CommercialEl Residential Fach Manufd Home or Modular 2
Owelhng Servvv or Feeder Sf+B 00
2a. Contractor installati%n only: 4b. Services or Feeders
Inslallalim, alteration,or reluc:ahon ?
Electrical Contractor /� C 200 amps or 1066 y_ $so 00 _
Address CI CI�r t r 201 amps to 400 amps
$t5P000 2
0 00 2
401 amps to 600 amps
City .r f State L'iE _ Zip 601 amps to 1000 amps $180 no 2
Phone No. �r� ) ❑ -)� Over 1000 amps or volts $111000 2
Contractor's License No. ' • ��_ Reconnect only 55000
Contractor's Board Reg. No. � __. . 4c. Temporary Services or Feeders
^ Inslallnhon.alleration or relocnhon `
r` 200 smpn or leas $5(100
Signature of Su r. Elec'n —
g p-( / �r �- ? 201 Amps l0 400 arnpa $75 00
Jcense No, /S .J{r . — hone No. 7� 401 amps to 600 amps S10000
Over 600 amps to 1000 volts
2b. For owner installations: see W above
4d. Branch Circuits
Print Owner's Name _ T_ Now alteration or eatenewn per panel
Address r J a)The fee for branch circuits Will
pu►chsse of service or Asada Ars. r
City State Zip Each branch circuit $500
Phone No. b)The fee for branch arcurts without
The installation is being made on property I own which is purchase of aervlce or Ands►An.
2
First branch circuit $3500 2
not intended for sale, lease or rent. Each additional branch circuli $5 00
Owner's Signature 4a. Miscellaneous
(Service or feeder not Included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4001)
Each sign or outline fighting $4000
Signal circuit(B)or a limited energy
Please check appropriate item and enter fee in soction 5B panel,arlerahon or extension SAO no _
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more 4f. Each additional inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C. Chapter 5 Per hourinspbon :6500
_
Per hour $66 DO
In Plant 1155 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: / l
Sq. Einer total of above fees $ " )
NOTICE I 5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR A13ANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subf al $ T
COMMENCED. Trust Account# / SLS $
Balance Due $
. .�««ne,ISM