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9115 SW 66TH AVENUE ADDRESS : QJJ i Sip cp � 7 04AVC000 • a n: H- }_ J C.7 LL) J i \records\micioflm\targets\building.dr.; i � a . 3 N N N O C Q C f9 N N C L �� 3: c N o N p O N N O U N v cr3 'E o NC d Z W S a d w v N a s a Q o 0 041 Z a .gm o o =_ _ o s CL m m m m -o v O > T J LO N Cl ° (i 7 Q F a a a o a a a. a n. 00 � T U m W0 m m m (D m C � N H V) N a m LL i a; m rte. 3 rn rn c� N � Q O O W N V a v 0 N p F-+ N ° r aL d -� C o - cn LL A = _ _ 00 a € z CN a a ° w uw c) M 000 0 0 0 U U U U U U U w w W w w W w �r � C � � ° s � T � b ��ac 3 p ��VV 3[0 5 N C C�/ 3 C 3 a.5 3 0 N N O O 2 J N aN m w0 tC N fp C'yU�J f9 08 m'O.� 7 d �0 Nw wU mu a y=>1 '� �U O a� suJu� m� r'2w z mw tsw£ 3 cava �':E Tfiw a9i rn ori rn rn °1 T =�m Z 0 CL G O D 7 n d o > = J ILO N (O o w w o CL N v Z 2 z CD Of 0 O co 0) T U co v J O J J J W o o o o a r- Lm T ) o� m n. (13 W N •N 6, >_ u Q v 0 a J CC Q; r. 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CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - Date Requested I O-Z �`9S' �y' AMPM BLD Location9//"5- ld Suite _., MEC 2 C� V") Contact Person Ph 13 i 3��_ PLM 9 G-D 3 g V Contractor_ <'-'e�' ��/-� _ Ph — SWR BUILDING Tenant/Owner ELC G L6_ Retaining Wall ELR Footing Foundation Access: FPS Fty Drain Crawl Drain Inspection� Notes: SGN -- Slab _ Post&Beam - -- SIT Ext Sheath/Shear Int Sheath/Shear —�-- -- Framing Insulation ---"--- Drywall Nailing Firewall - - -- -- Fire Sprink'er Fire Alarm Susp'd Ceiling Roof Misc: Final ---�--��- -- PASS PART FAIL PLUMBING Post& Beam Under Slab 3 Z 3 ; Top Out Water Service Sanitar Sewer Rain Drains rn ASV PART FAIL MECHANICAL Post& Beam 0 Smoke Dampers m — PASS PART FAIL .L ' ICA L. - Service Rough In UG/Slab Low Voltage tFlre Alarm maSL PART FAILtIT Backfill/Grading Sanitary Sewer LL; Storm Drain [ J Reinspection fee of$ required Csfore next Insuectio... Pay at City Hall, 13125 SW Hell Blvd --+ Catch Basin [ ] ease call for reinspectio:i RE: Unable to Insracct-no access Fire Supply Line [ ] ADA Approach/Sidewalk, Other Date /C� - ?_9 -S Inspector Ext Final PASS PART --FAIL DO NOT REMOVE this inspection record from the job site. CITY OFTIGARD ELECTRICAL PI_ RMIT DEVELOPMENT` SERVICES PERMIT #. EL C,98-0628 DATE ISSUED: 10/14/98 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL. 1 S 1'L::*5DA-01000 ITE ADDRESS. . . -091 15 SW 6f. TH AVCS '.31._IBDIVISION. . . . : ZONI1\I(3. P7 4. `:; BI_.00K. . . . . . . . . . . LOT. . . ,, . . . . . . . . . . JURISDICTION: TIC Project, De=criptir-i : Alteration to electrical service for residence. .---RESIDENTIAL UNIT---- -----TEMP SRVC/FEEDF_RS— - ---MISCE1_L_ANEOUF,----- 1.000 SF DR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMPI/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L 1111TED ENERGY. . . . . : 0 40t — 600 amp. . . . . . . : 0 SIGNAL./PANEL._. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 IriINOR LOBEL ( 10) . . . : 0 ----SERVICE/FEEDER------ —_.-•—BRA1\ICH CIRCUITS--_--.-- —__._ADD' I.. INSPECTIONS_.___. 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPE'CTION. . . . . .. 0 C.01 - Z100 amp. . , . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN FILANT. . . . . . . . . . . .. 0 601 1000 amp. . . , . : 0 --------------------PLAN REVIEW SECTION—------­ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR 1 - 225 A11PS. . : CLASS AREA/SPEC OCC. : Owner: --- _____.__.__.___._.___..___..._..._.___.-_--.____...___._.._..__._.._______.....__...._...___.__._...__._.._ FEEDS JUDY HE:PL_ER type amount by date recpt 9115 SW 66TH AVE PRMT $ 40. Q,O DI_H 10/1.4/98 98--30997-7 TIGARD OR 97223 5F-',CT $ 2. 00 DLH 10/14/98 98--309977 Phone #: Contractor. --•--•------------------------- WEST SIDE ELECT►2IC CG INC $ 42. 01 TOTAL 1834 SE 8TH AVE ------- REQUIRED INSPECTIONS - - FIORTI._f-,ND OR 97214 Roi_igh—in Llect' l Fina) Phone #: 231-154P, Llect' l Service Reg V. . : 13306 This permit is issued subject to the regulations rentained in the Tigard Municipal Code, State of Oregon Specialty Codes and a)1 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is susmended for lore than 186 days. A ENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952•-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct qiiestions to OLIN: by calling (503)246-1987. Permittee Sig, atl_tre : _ �/GE Iss-..�ed ay : ---------------------------OWNER INSTALLATION ONLY-----------------.------------._._. The installation is being made n property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: ' DATE: _ ---------------------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELEC' N: erAl *0/4L/C'•'o,-r/0A1DATE: LICENSE NO: ++++++++++++++++++++++++++++f-+++4•+++++++++++•+++.++++++++•+•++++++++++++++++4-+++++4- Call •++++++Call 539-4175 by 7:00 p. m. For an inspection needed the next btisiness day +++++++++++++++++++++++++++++-1-++++++++++++++++++++++++++4•++++++++++++++4+++++44 � 61TY OF TIGARD """"Electrical Permit 'Application Plan Check If -- 13125 SW HALL BLVD. Recd By t • OCT 1 � 1998 Uate Recd TIGARD OR 97223 Date to P.E. Y Phone (503)639-4171, x3000MMUNITY DEVELOPMENTIUrn ;�DST_"- Inspection (503) 639-4175 Print Or Type Permit ft Fax (503) 684-7297 Incomp!ete or illegible will not be accep,cd Called 1. Job/address 4. Complete Fee Schedule Below: ' Name of Development Number of Inspections per permit allowed Name(or name of business) /tel)le" _ Service Includ^d: Items Cost Sum Addresses�/� S �/ �O t� ��/ �� 4a. Hesidential-per unit � /��, �� � C _7 3 loco sq.n.or less _ $1 10.0c, -- 4 City/Slate/Zip /f r` _. Each additional 500 sq.ti.or J - Commerciai ElResideniial F Llmiteld on Entergy I $2� W1 Eacn Manul'd Home or h,odutar Dwelling Service or Feeder $66.00 2 2a. Contractor installation only: (At.ach copy of at;current Ice es 4b.Services or Feeders t s Installation,alteration,or retocatinn Elertrical Con or P3 7 �- e /` 200 amps or less $60.00 Add,-es /� Ute__ 201 amps to 400 an?ps $8C.00 2 City /,c State y1Q Zip_ 97Z I V 401 amps to 600 amps $120.00 2 Phone No. Z �.�� 601 amps to 1000 amps $160.00 - 2 'Z �,L_' T[ Over 1000 amps or volts $340.00 2 Job No. !U Elec.Cont. t.ii a. No. LCA !_I S L� Exp.Date_�D 9 Reconnect only 150,00 -- 2 OR Stale CCB Reg. No. / Exp.Date_ 21 4c.Temporary cervices or Feeders COT Rusiness Tax or Metro No._ Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 Signature cf Su r. Elec'n �-- 201 amps to 400 amps $75.00 9 p 401 amp, to 6U0 amps $100.00 tt Over 600 amps to 1000 volts, License No �.�� J _Exp.Da!e /4 D/ ��,L see"b"above. Phone N, X31- / tlE _. -- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a) Tho lee for branch circuits with purchase or service or Print Owner's Name feed9•lee. Address Each branch circuit $5.00 - -- b)The fee for branch circuits City Stale Zip without purchase of Phone No. _ service or feeder fee. First branch circuit $35.00 The installation Is being made on property I own which is not Each additional branch circuit L $5.00 s 2 intended for sale, lease or rent. n,.Miscellaneous r (Sery or feeder not Included) Owner's Signature - Fach pucln or Irrigation cirrle $40.00 Each sign or outline lighting $40.00 3. Plan Review section (if required,`1'* Signal circult(s)or a limited energy $40.00 -- panel,alteration or extension Minor Labels(10) $100.00 - Please check appropriate item and enter fee In section 5B. _4 or more residential units In one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspnclion $55.00 5.00 _. Classified area or structure containing special occupancy Per hour $as described In N.E.C.Chapter 5 In Plant $55.00 "Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above logs $ 5%Surcharge(.05 X total fees) $ Z NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reouired(Sec.3) $ NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ - 15 SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DA's.'11T ANY �f�{ TIMI 4FTE;?WORK IS COMMENCED. fG� Trust Account M notal balance Due i _e __ 1 CITY' OF TIG,ARD ELE"CTRICAL PERMIT DEVELOPMENT SERVICES PIERMIT #: EL_C96-0G,25 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 10/13/98 PARCEL.: IS125DA-01.000 SITE ADDRrESS. . . :09115 SW 66TH AVE SUBD I V 13 1 ON. . . . : 7ONING: R-4. 5 BLOCK. . . . . . . . . . . [_OT. . . . . . . . . . . . . JURISDICTION: TIG 1-",ro j ect De s cr i pt i on Electrical addition SRVC/FEEDERS---- I SCEL-L-AI\IEOUS------- 1.2400 SF OR L.ESS. . . . 0 0 - 200 amp. . . . . . . : 0 P,UMF-,/IRRIGATION. SIGN/OUT E'.ACH ADD' L_ 5005F. 0 20 t - 400 amp. . . . . . . : 0 SIGN/OUT LINE I_TG. 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PIANEL.. . . . . . . : 0 IYIANF. lAtyi/ SVC/FDR. . : 0 U014-amps--1000 volts. : 0 11INOR LABEL- ( 10) . . . : 0 -----SERVICE/FEEDER----- -----BRPiNCH CIRCUITS---------- -.--ADD' [.. INSPECT IONS---_..- Q) NS------ Q) 200 amp. . . . . . : 0 W/SERVTCE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 -1,01 1:00 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PIER HOUR. . . . . . . . . . . : 0 1 4.01 600 amp. — . . . . 0 EA ADD' 1__ BPI.;-'--H CIRC: I IN F-,I-.ANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 REVIEW SECTION---__-- 1000f amQ/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NDIYI',[N(-)I-. Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner. FEES JUDY HEPLER type amoi-trit by date recpt 9! 13 SW 66TH AVE P,RMT $ 40. 00 8 10/13/9B 98-309967 I-IGARD OR 97223 5F,C*T' $ J.1. 00 B 10/13/98 96-309967 1-11-ione #: ':,on' --actor: WEST SIDE ELECTRIC CO INC $ 00 TOTAL 1.834 SE 8TH AVE REDUIRED INSVIECT IONS PORTLAND OR 9721.11 Rot.igh-in Elect' 1 Final P"iore #: 231-1548 Elect' l Service Reg #. . : 13306 This permit is issued subject to the regulation,,, 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 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to Follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 9552-001-0010 through DAR 952-001-1987. You may obtain a cipy of these rules or direct questions to OUNC by calling (5031246-I T7. Flo I'M it t P Q IA T)J-A r : Itu a I s s e d By I In - INSTALI.ATION The installation is being made on property I own which is not i n t P n d ed for in sale, Dt- sale, lease, or rent. DATE:OWNER' S SIGNATURE: -------------CONTRACTOR----------CONTRACTOR T 1\15JP T I ON ONLY---- -------------- LL 14VI SIGNATURE OF SUPR. ELEr_1N-. (_C1-1 DATE I-ICENSE NO ------ {.++.++++++••F......................... f.++++4•........4.++++-I-++-L++-+-++++4-+++-++++4.+4.+.4--# Call 639-4175 by 7:00 p. m. for an inspection needed the next btisiness day ++++.I......4................4.++++4..............4-4...............4 +++++++•++++++++•++ OCT-12-98 05:00 PM WEST SIDE ELECTRIC 503 736 0677 P. 01 ZITY OF TIGARD ElectricM Permit pplication PlanCh*O 13125 5W HALL BLVD. Recrd sylc_"M Dale Recd If) I TIGARD OR 87223 oats to P,E• Phone(503)639.4171,r304 Datta to DST Print or Type Inspection(503)639.4175 'L� , rax(503)684.7297 Incomplete o� Illegible will not be acceptPermit A ed — 1. Job Address: 4. Complete Fee Schedule Below: Name of Devclopmnnt__ .._�_ Number of Inspections per permit allowed Name(or name of business)- « Service Included: Items Cost sum Address //� S of (j6't'' ,¢/'�. �L-ch . Residential-per unit / t^ `7 00 sq.It.or less __ 5110.10 _ 4 City/Stale/Zi p�� �'`/ /� `/7 ✓ J additional 500 aqn.or cportion thereof ___ $25.00 1 Commercial❑ Residentiel Fir Limited Enorgy $25.00 Each Manut'd Home or Modwar I ANelling Service or Feeder 2a. Contractor Installation on/v: (Aaach copy of all current'( es r 4b.Servlcoo or Feedere (� n ff Installation,ahnralion,or relocr;lon Electrical f:pntra�tur �C __ _ Address /f� r 200 amps or IeRs $6o no 2 tot ampm to 400 amps $en,00 _-- 2 City O! le G State zip 401 amps to 600 amps _ $120,00 _ 2 Phone No .2 -' T Y& 601 amps to 1000 amps $1B0 00 __ 2 ,lob No, O 0 Over 1000 amps or volts $110,00 2 Elec.Cons,lice. No. 6' _.ExP,Date —_ Rarnnn"cl only $50.00 2 OR Stale CC©RPq Notxp.J,�IA___ _ 4c.Temporary 5ervfee,.or E�jers COT Business Tax or Metro No. `—Exp Dale _ installation,alteratlnn,nr relocation 200 amp!ar teas $50.00 2 Signature of Supr.Eloc'n --------- — 201 amps to 400 amps $75.00 --- 401 amps to 600 amps $100 DO 2 Over Gott amps to IDoo Vohs, I-lennse Nr ��.5� _ Exp.DRI" see-b, sbnva. Phone Nr7 '� _ _ 4d,Branch Circuits Now,alteration or nstanaion per panel 2b. For owner Installations: a)The tee fnr?tench circulls with purchpoe c r service or Print Own3l's Name _ feeder Ise. Address_ Each Manch chruil $5.00 -.. 2 b)The tea for lrnnch circuits City -- Slate ZIP — Wllhovf pvrrhase of Phone No. __ .orvfce r r feeder rota. Aral brarch circuit $05.00 _ 2 ('he insla(lalion is being made on property f own which is not Each acdiliMtal branch clrcuh.L $5.00 2 Intended for sale,lease or rent, 4e.Mlacellc is (Service cv feeder N-A fncluded) 0wr1Ar's Signature_-_ Cach pump or Irrigation circle ___ $40.00 _— 2 Each sign or outline.lighting „_ $40.00 2 Plan Review sectlon (if required):, Signal 1,a,he(a l er s limited on.rpy� $4000 __ 2 ` S. panel,eheralbn or extension + Minor Labels(to) $100.00 Piensa check epprarf,!ale Item and enter fee In seetlon 56 _4 or more rc;�dential units in orin stmoture 4f.tacit additional inspection over Sw%ice and feeder 225 amps or more the allowable In any of the above $i5 _r-0 nm evrr 600 volts nominal Per Inspection $ss on Clas;lfied area or�truclure rnntnining ipr.clal occupancy Per hour - $55 0f, as described In NT C Chapter 5 In Plant -- 'Submil 7 sets M plans with appllr.+tion where any of the ebove apply. S. Fees: Va Not required tot trmporAry conahuctton nervlcas 5a.Cnlnr total of above lees 3 -- 5%Surcharge(OS X total lees) $ ---�— NQ Subtotal 7 Enlet 2601 of Ilne 6e fnr $ PERM1Ta BECOME VOID IF WORT(OR CONSTRUCTION AuTilonl7rf7 IS Plan mavtow It f99ulIPd(6ec,3) A101 Cr�AM1EfiCte4.4l��M1Al IM DAYS,OR Ir CONSTRUCTION OR WORK Subtotal t^SUSPENDED OR APANDONED FOR A PERIOD OF 160 DAYS AT ANY I Trust Account N ✓1/"` z TIME ATTER WORK IS COMMENCFD, s Total balance Due TiPCrS T MITI( OF TIGARD MECHANICAL PE RM I T. DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-0444 13125 SW Hall Blvd, Tigard,OR 97223(503)639-4171 DATE ISSt..JED.- 10/02/98 PARCEL: IS125DA-01000 SITE ADDRESS. . . : 09115 SW 66TH AVE SUBDIVISION. . . . : ZONING, R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :OTR FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . - 0 000.)PANCY GRP. .. : R3 VENTS W/O APPL: 0 VENT SYSTEMS- 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSiORS HOODS. . . . . . . : 0 FUEL 0—3, HP. . . . I DOMES. INCIN: 0 ::GAS 3-15 HP. . . . 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 1.5-30 HP. . . . : 0 REPAIF UNITS- 0 FIRE DAMPERS ). . : 30-50 HP. . . . : 0 WOODSTOVES. . .- 0 GAS PRESSURE. . . 50+ HP. . . . . 0 CLO DRYERS. . : 0 NO. OF AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 1.00K BTU: 1 1.0000 c-fm : 0 GAS OUTLFTS. : I FURN ) =100K BTU: 0 10000 cfm: 0 Remarks : Installing a furnace, a/c unit and gas piping. A/C unit oust comply with standard setbacks. Owner: FEES JUDY HEPLER type arlic-11-int by date rec.-pt 911.5 SW 66TH AVE PRMT $ 1=5. 00 DED 10/02/98 98-309675 rIGnRD OR 972i---'3 5P(-,7' $ 1. "5 DEB 1.0102198 98-30'x.367`.=, Phone #: Contr-actot-: JACOBS HEATING & A/C 4474 SE MILWAUKTE AVE 11 26. 25 TOTAL :'ORTLAND OR 971 "02 Phone #: 503-234-7331 Reg #. . - 000014 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be d ne in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Cooling Unt Insp within W days of issuance, or if work is suspended for more Misc. Inspection than 180 days. ATTENTION: Oregon law requires you to follow rules Fina) Inspection adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-0el-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling ...... 154306-9187. T s s 1.t Plpt-m itt ee Si gnat i.ire ++++++++f......I F t+t+++++++-1-++++t+++.t++++++++.........4++++++++i-+++i• F.......1-++ Call 639-41.75 by 7:00 p. m. for inspections needed the next bl.tsiness day ++.+++•++++++++++++++++f-++++++4-+1•++++++++ . .++++++++++++++++•+++++++++++++++++++•o-++ Plan Ch CITY OF TIGARD Mechanical Permit Application Recd B� . 13125 SW HALL BLVD. Commercial and Residential DateRec'd •TIGARD, OR 97223 Rr_(;LNLJ Date to P.E. (G03) 639-4171, x304 Date to DST Print or Type �'� I 1998 Permit# Called Incomplete or illegible applications will not be accepted 7 Name of DevelopmenUProiect Description _ Table 1A Mechanical Code OTy PRICE AMT Job Street Address Suite#- A) Permit Fee -0- -0- 10.00 Address Ci l IC: Bldg# city/state Zip 1.) Furnace to 100,000 BTU 6.00 �� f)(Z- G- -A3 including ducts&vents Name(or name of business) 2.) Furnace 100,000 BTU+ 7.50 OwnerJ v �;��y 1 �_-� I-e✓ including duds&vents MailingAddressl (� 3.) Floor Furnace 6.00 q 1 I�-_) f-�'i,-� �0(S"- /"M'c including,vent _ state - p Zip Phone 4.i Suspended heater,wall heater 6.00 _tf 0 C__ or floor mounted heater Name(&name of business) 5.) Vent not included in appliance permit 3.00 I _ Occupant Mailing Address 6) Boder or comp,heat pump,air Gond. 6.00 to 3 HP;absorb unit to 100K BUT** ` lu'n C`O city/State Zlp Phone 7) Boiler or comp,heat pump,air Gond. 11.00 3-15 HP;absorb unit to 500K BTU" Contractor N.M. 9) Boiler or comp,heat pump,air Gond. 15.00 �Ckc 15-30 HP;absorb unit.5-1 mil BTU" Prior to permit Main Address 9.) Boder or comp,heat pump,air cond. 22 50 issuance,a copy IT I (1 ). )a LL�' 30-50 HP;absorb unit 1-1.75rnil BTU" of all licenses Qt q ZIP Phono 10.) Boiler or comp,heat pump,air Gond. 37 50 are required if i`+ C4 =a - 13 7 >50 HP;absorb unit 1 75 mil BTU" I expired in COT Oregon Cont.Board Lica Exp.Date 11 ) Air handling unit to 10,000 CFM 450 database ' 7 _ Architect Name 12.) Air handling unit 750 10,000 CTM+ O1. Mailing Address 13.) Non-portable evaporate cooler 4.50 Engineer cityistato zip I Phone 14.) Vent fan connected to a single duct 360 Describe work New O Addition O Alteration-V Repair O 15.) Ventilation system not included 450 to be done Residential @ Non-residential O in appliance permit Additional Descnption of work: 16) Hood served by mecharecal exhaust 4.50 c h 17) Domestic incinera.ars 7 50 Existing use of 18.) Commercial or industrial 3000 building or property type incinerator 19) Repair units 450 Proposed use of 20) Wood stove v 4.50 I� building or property 21 ) Clothes dryer,etc. 450 Type of fuel-oil O natural gas 4 LPG O electric O 22.) Other units 450 _ I hereby acknowledge that I have read this application,that the information 23.) Gas piping one to four outlets I 2 00 C'11 given is correct,that I am the owner or authorized agent of th ow er,th tplans submitted are in compliance wRh Oregon State laws. 24.) More than 4-per outlet(each) 50 tv Signature of Owner/Agent De 'SUBTOTAL 5%SURCHARGE Contact Person!lame Phone PLAN REVIEW 25%OF SUBTOTAL Required for all commercial permits only. TOTAL 'Minimum permit fee is$25 4.5%surcharge "Residential A/C inquires sitz plan showing placement of unit 1,\me,:hprmt.eoc rev 4/15/98 EL oc 1 �� I Di¢ccTi onJ i 1`RnNT �, l .woe �A c boy I-I CpLe t� ��a«ss ylls- �c� Cs•Co 6 Ue . ��x 9 � 2 z 3 rn ov LL MAKE �z HOLG/?TE j'orzT �R . 972D2_ 503 - 23�/- 7331 pax Sv3-- 23�l- �f�SZ CITYOF TIGARD PL_UMIDING PERMIT � DEVELOPMENT SERVICES PERMIT 4. . . . . . . : PLM96-0384 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: iG:/24/96 PARCEL. : 1 S 1'r_5DA-01.000 SITE ADDRESS. . . : 091. 15 SW 66TH AVE' ZONING: R-4. 5 SUBDIVISTON. . . . : BLOCK. . . . . . . . . • ,_01.. . . . . . . . . . . . . �,ARBAGEFDISF'OSAI_S. c y�0 y' MC1T.1.._F HOMESPACES. : 0 CLASS OF WORK. . :ALT TYPE OF USE. . . . :SF WASHING MACH. . . . . . . 0 BACKFLOW PRE�UTRS. . ? 0 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . .. . . .. . . . 1Z1 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 LAUNDRY 'TRAYS. . . . . : 0 61 RAIN PIRATN5. . . . 11 : 0 SINKS. . , . . 0 UR I NALS. . . . . . . . . . . . 0 GREASE T RAE'S. . . . . . . . I_AVATORIF_'S. . . . . r, 0 OTHER FIXTURES. . .. . : 0 TUTS/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CL_OSE:TS. . : 0 WATER L.I.NE (ft ) . . . : 0 T)ISHWASHERS. . . . : 171 RAIN DRAIN (ft) . . . : I Remarks : Install iny ra new water heater . FEES Owner: _________.___.---.--__ { JUDY HEPI._.FR type amo1.1nt by dai,e reCp 9115 SW ,,6TH AVE PRMT $ 25. 00 B 1,:/24/96 96-2881--`9 `_5PCT 2 1. 25 B 1 :/24/96 96--2681.29 TIGARD OR 97223 Phone #: 24.4-0812 _---___---_----------__ GEORGE MORI-AN PL_UMBTNG '-J5;7:!9 SE= FOSTF'R RD PORTLAND OR 97206 1711-In n e #- '77t--1145 $ 26. 25 'TOTAL. Rey #. . : 02'734 - FEL?U I RF_-D INSPECTIONS -- ',his per•a,t is issued subject to the regulations contained in the Top--oltt Insp _ _- Tigard Municipal Codu, State of ^re. Specialty Codes and all other Final. Inspectiiin _ applicable laws. All work will ue done in accordance with approved plans. This perai,: will expire if work is not started within 108 days of issuance, cr if work is suspended for morethan 18@ days. Call for i.nsper-tion - 631-4175 0 __I :z/16/96 09:11 $503 684 7297 CITY OF TIGARD 10003/004 rITY OF TIGARD 13125 SW HALL BLVD. Plumbing APP lication Redd By 7 i4�" TIGARD, OR 97223 Commercial and Residential OaL Re<',L) 1,(503) 639-4171 OOwe to P E e to OST Print or Type vemnr a _ji Incomplete or illegible applications will not be accepted cauea__ -� i- Name/m`�Oevelopment/Proleq FIxTUR►S (Individual) Job L/f I"J�I'aot' JA ;✓ an�o►r sins QTY P, =E AMT Address street Aaaressswte Lavatory 9.00 Ut Tub or Tupta`nOwer COmD. - 9.00 Bldg• C grStara ZIP Shaffer Only 9.00 �i7�a3 9.00 Name Water Gose1 ()e" il�J e Dienlower 9.00 -- I Owner w.tMng Address - . 9.00 i //s P',., 1.101, SuiteGaraagsDisposal 9.00 iV _ WaNun9 Miduns �/Jtiar. III Phone Floor praut 900 QQ _7323 Z4y�- �z r 9.00 �• 9.00 Occupant Qi_- Atlarlis8-00 Suits Water Healer 9.00 C4WStaia Laundry Room Tray 9.00 Lp Phone Unrtat _�� 9.00 Nanr Omer F'utturea(Spea!y) - orlG✓I - 9.00 ICOritractor m mq Adarass Suits - 8.00 ,2s>rs P� . �iV _ 9.00 zoR Phone [� 9.00 Const.Con-Board Ur-of P Da�s6 9.00 E` n• .� q 7 �twii llcarrwee �'11o°q l�'s ' 1:41L flat $lwsr-t st 100• ----�_ U103 1.4 441 30.00 � COT Business Talc orMeuv aEsp.Dae 'W-earn additional too _ I 23.00 r Ser mn-t gt Na30.00 Norm / N or SerWaa-each addieonaf 200' 2300 ArchRect sutrf„8 Rain Oram-1st tar or Haiunq Address f S�.te Stom,6 R Wn OraM.each addioonv too' 30 0.0000 EnginMot Home Space �� tzer G up Phone Commert5et Banc Floe,Prtrvdnaon penpo or Ann PC, n C'evrce 25.00 OtieQ in"art ver XAddition O Utenoon O Reoav O ResetentW Badcflor Prevention Oeace- be dnne' 7es+oantial O Vort residendat O 13.00 Addelorsr denctI non or uvart .1r1y Trap or Waste Not Connected to a F'ucture 9.00 Gatrn ilosm 9.00 nsv.of Esntn,g Piumomg wthr n0.00 =eraq use eoaqM of SpRucted cnsb Pecdana .00 Lr, aridrq or Drop"-_ Ra u+Crani.sutgie Mmcry dmrfing P"Volo d use of Grease Trips 30.00 - I Su tang ar DfeD�Y 9.00 J .� Are you cooping, --q or reotaeng arty,fUuwres7 Ylu�t No I>arnevt rum OUANTTTY TOTAL V, (tt yff IOA back of forml •� V rL'0Utoo f C"A"TOW is p Ili I rurlee-acxndwledge that i nr.e read u+;s a 'SUBTOTAL PPticatlon.that the;nfom shah 9Nen s cw*ct;list I am the cn.ner or auvioriZed agent of the onrner.ana 5%SURCHARGE 1131 Omni suCmMed are m cCmotiance.",1 Oregon Slats Law,. _ Signature of OvrnerrRent Can PIf1N REVIEW 25%OF SUBTOTAL. I / ground anh,%mury-7rr mar is contact Person Name TOTAL 1S Phone %l'yl i��G11 C✓ SIG 131 _11111 M pennh he Is 525.5%SWUMVq..ascepl Relaentlal eactna. '7 Plevendon Cthncs.which is S1S•S%suratuge ;ldsts+pmapp.doe 3+96