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CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.41PERMIT #. . . . . . . : BUP96--0491'
iXPIRC-1) DATE ISSUE .i: 1.0/1:1/96
PARCEL: 1 S 1.,33CA--00500
'LITE ADDRF_SCi. . . : 11.61. SW 135TI-I AVIS
SUBDIVISION. . . . : MILLFIRD/VANCHUYVER 'TRACT ZONING: R-25
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . ::32
REISSUE: FLOOR ARF_AS- ---_ — - -- EXTERIOR WALL CONSTRI_ICTI(7N-
CLASS OF WORK. :ALT• FIRST. . . . : 0 sf N: S: E: W:
'TYPE OF USE,. . . :MF SI COIVD. . . : 721 s f PROTECT -
TYPE: OF CONST. :5N . . . . 0 sf N: S: E: W:
OCCUPANCY (3 RF,. :R1 TC1T 1L—_._._.__.__: 71:211 s f ROOF CONST: FIRE RIFT—?
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SER. RATED:
STOR. : 2-` HT1. 0 ft GARAGE. . . : 0 sf OCCU SEP. FATED:
BSMT'? : MEZZ. REDD SF.' fBAC1;S- - ----- - REQUIRED
____._..______-_._.__.-____—_.-...
FLOOR L...OAD. . . „ : Q1 ps f LEFT- 0 ft RGHT: 0 ft F I R SPICI_.:N SMOK DET. . :Y
DWELLING UNIT'S:. 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:N
BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORR:N P.'�RK I NG: 0
VALUE. $: 1:0000
Remail<s : rnciosi.rrg existing patio
Owr7et^: __.__________—____________.__..______________._...._..___...._..._.._._...______. FEES —._..__._.__ ._._..._._._._.._.
GARY NEI-SON type amoi.rnt by date recpt
t [295 CW 1357'11 PLCF! $ 91. 33 B 0 8/27/9 G 96--283324
FIRE $ 56. 20 B 08/1:7/96 96-- ::'83324
TIGARD OR 97223 PRMT $ 140. 50 DRA 10/21 /96 96-285406
PI-ione #: 52.4..•3901 SPCT $ 7. 03 DRA 10/1.1/96 96--285408
Contrac-tor:
OWNER
F11-rone #: $ 295. 06 TOTAL
Reg #. . : OWNF R
_.._._----•_-..- RFOU I RED INSPECTIONS
This permit is Issued subject to the regulations contained in the Foisting Insp
Tigard Municipal Code, Sate of Ore. Specialty Codes and all other Fram i.n g Insp _
appl icahie laws. All work will be done in accordancr with I n s l.r l at i o n I rr s p _
approved plans. This pe-vit will expire if work is not started Shear Wall Insp _
within 180 days of issuance, or if warlr,is suspended for more F i rewa 1 1 InspCL
than 180 days. / I Gyp Board Insp
Appr-/Sdw1l4 Insp
is Final Inspection
"' Call. for ins;per-tion — 639-4175
jn PIE.1-6 1Ce COWLA It) - I -1 �t(�
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd. j l
Tigard, OR 97223
(503) 639-4171 ro)
Jobsite Address: I
Tenant: _ ;—o Office Use—Only
(�
Valuation: r/^j1 Pl�1 anck/Rec # _
Permit#_ �'-�a�f'T
Owner:
t ---- Map & TL: ) 2r� >
Address: 11 � _ (} � A rovais, Re wired
��__._�_
� � X2 0 '► �7Zz
Planning _
Engineering
Other
Contractor: �,. .�✓ /�i I fit! C7
Address:
17/1)4 v Type of const: A !11
�/ l.,/� 4 Occupancy class:
Phone: .� �,L.�-�`-�( ��
Sprinklered? Yes
Contractor's License # _ C
(attach copy of CI.rrent Oregon license) Sq. ft. of project:
Contact name & hone:
p Story (1st,,2nd,;etc.)
�~ I Proposed use: L lU� '>PA CtJ
Architect/Enginepr: . r�-'f�(','1/ fes.<;O
Previous use:
Address: G►
Note: Plumbing & mechanical plans
must be submitted at time of
+��--
Phone: building permit application.
(� �, �' �.�'..� ��
,108 DESCRIPTION; ,11a�J� �" C_�Cl) Z r�M/U
1
AppiiS int Signature Phone number
Received by: ``I ' i Date Received: r Ae
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) �r�-----
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) f '/� ry �j j
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Resident''al TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosiun Planck/COT (EROSN)
TOTALS: 77��r� '�O '(-{�I S?� 7,S 77
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . .. PLM96-0257
1'1!LzWJM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 10/PI/96
PARCEL: 1S133Cn--00500
7 I-E ADDRESS. . . : 1. 1361 SW 135TH AVE
9UII)DIVISION. . . . MILLARD/VANCHUYVER TRACT ZONING: R-2.5
1-1 1.-11
_CK. . . . . . . LOT. . . . . . . . . . . . . :32
(J.-PSS OF WORK. . ALT GARBAGE DISPOSALS. 0 MOBILE NOMI-_ SPACES. : 0
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : I BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRF-?'- - -B FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BA—mTNS. . . . . . . .. CA
FIXTURES-------- LAUNDRY TRAYS. . . . . . 0 GF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 91 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 01
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remav-l�s : Installing a washing mac,[ij.ne
Owner-: FEE0
GARY NELSON type amol-int; by date r-eept
11.2135 SW 135TH PRMT $ 25. 00 DRA 10/2-1 /96 96-285406
5PCT $ 1. 25 DRA to/ .7,1/96 9 6--�185408
'TIGARD OR 97223'
Phone #: 524-3902
con train tor-:
AC CONSTRUCTION & PLUMBING CO
2157 SE HARLOW
TROUTDALE OR 97060
nione #: 761-- 3637 $ 26. 25 TOTAL
Reg #. . . 01.0091 REOUTRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top—oi-tt I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. P11 work will be done in accordai :P 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.
Perm itt (2 Sigi
B C: �J-
B
Call for inspection 639-4175
tea.
City Of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # Ew�-DZ 5 7
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N.-of •�""' New Single Family Residences Only
Job Add
/3,c0 1 RAT'I HOUSE:$140.00 0 2 BATH HOUSE$195.00
❑ 3 BATH HOUSE$225.00
Addressurns.k• �o Fee iicludes :II plumbing fixtures in the dwelling and the first 100 feet
% %".- �2 is G ?2 of water service, sanitary sewer and storm sewer. See fees below.
N. ° ftwn".1 I FIXTURES QTY PRICE AMT
7L)Z Sink 9.00
M•"'w AM... _ Ph- Lavatory 9.00
Owner 11",
'^ � Ly Z-c) ( 1 5 Tub or Tub/Shower Comb. 9.00
Caji91"_ ZIP Shower Only 9.00
Water Closet 9.00
N..,•1a^• .1 h-•••' Dishwasher 9.00
Garbage Disposal 9.00
Occupant Mailing ,a•„ ph- Wcishing Machine 9.00
Floor Drain 9.00
CRY"." Her Heater 9.00
Laundry Room Tray 9.00
1 N' Urinal 9.00
A'N Other Fixtures ;Specify) 9.00
M..,,Add... Phan. 9.00
Contractor //
;�_, ri 1900
GW� _�7 ib / 9.00
7 /Q Sewer 1st 100' 30.00
M.I.R.prh.am No. .� u1y rw..T..N. Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
1 hereby acknowledge that I have read this applicat )n, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Cor struction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number en is correct. (If exempt from State registration, please
give re on below.) Mobile Home Space 25.00
Back Flow Prevenhun
-7 Device or Anti-Pollution Devine 900
"nr•^" ^^•'a..ow) D•'• ^ny T1ap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition ) alteration Q repair Q Catch Basin 9.00
to be done re-_ Jential Q nen-residential Q Insp, of Exist. Plumbing 40 00/hr
Specially Requested inspections 40.00/hr
Existing use of %
building or property �.•� ��. ( _ Rain Drain, single tlmily dwelling 30.00
a Residential backflow prevention
devices 15.00
un Proposed use of 1
building or property ?^
> '(Except residential hacMlow,
prevention devices)
a -
r NOTICE 'Mlnimum Fee $25.00 SUBTOTAL
W PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED /ITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUS .NDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT P Y TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Soeciai Conditions -
�O ZS
Data issued by
CITY OF TIGARD MECHANICAL
PERMIT
DEVELOPMENT SERVICES FERMIT #. . . . . . . : MEC960301
13125 SW Hall blvd,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1012t196
EXPIR19a IS133CA----00500
SITE ADDRE-55. . . : lt361 SW 135TH AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVER TRACT ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :32
CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EIJAP COOLERS. 0
TYPE OF USE. . . . :MF UNIT HEATERS. . : 0 VENT FANS. . . : 2
—
OCCUPANCY GRP. . : R1 VENTS W/O API-L. 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES---------- 0-3 HP. . . . 0 DOMES. INCIN: 0
/ELE/ 3-15 1-1r). . . . 0 COMML. INCIN: 0
.
MAX INPUT: 0 BTU 1530 HP, . . . 0 REPAIR UNITS- 0
FIRE DAMPERS?. . : N 30-50 HP. . . . 0 WOODSTOVES. . : 0
GAS PRE13SLIRE. . . : L 50+ HP. . . . 0 CLO DRYERS..: 0
1\10. OF AIR HANDLING UNITS 33 OTHER UNITS. 0
TURN ( I0011 BTU: 0 10000 c,Fm: 0 GAS OUTLETS. : 111
FURN ) =1Q?10i,' BTU: vi > 10000 c:fm: 0
Remar,ks . Encici:: irig existing patio
Owner-. FEES
G)ARY NELSON t y p e amol-int by date V-ecpt
11295 SW 135TH PRMT $ 25. 00 DRA 10/21/96 96—J''Ac,408
PLCK $ 6. EI DRA 10/21/96 96—c- j408
TIGARD OR 97223 3PCT' � 1. 2°i DRA 10/21 ,- 96 96-285408
111-ione #-.
Cor)tV-a1'_-tot-: --------------------------------
17NGERT ELECfRIC CO INC
r',O T30X 476
r.LACKAMAS OR 97015
F-'tione #: 658--3697 3*C2'. 501 T 0 T A L
REQUIRED TNSPECTTONG
This pet-sit is issued subjert to th;, regulations contained in the Final. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Me^haniral Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This pet-sit will expire if worN is not started
within 180 days of issuance, or if wor+ is suspended for sore
than 180 days.
y I
'--let,mitte13. Signa 1_tt"e
ti
C
Issved By -------
Call for inspec--tion 639--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # -
13125 sw Hall Blvd. APPLICATION �� Permit # ►IM
Tigard, OR 97223 /� C
(503) 639-4171
t
escnption
.m. r—', ►1b� Table 3A Mechanical Code QTY PRICE AMT
Job •"��?� I 1) Permit Fee -0- -0- 10.00
Address els J
1112 / 2) Supplemental Permit 300
".n—. —.# / Furnace to 100,000 BTU---
C�G) 6L D D1-1) incl, ducts &vents 6.00
" ...
�. Furnace 100,000 BTU + I
Owner �_ 1 2) incl. ducts &vents 7.50
• "�— Floor Furnance
3) incl, vent 6.00
"""° '"•" uspen a eater, wall eater
4) or floor mounted heater 6.00
Occupant Vent not Inc. in
5) appliance permit 3.00
Y' Repair o ezit-,—, e ng.
6) cooling, absorption unit 600
of er or comp, heat pump, air cond.
to 3 HP; absorp unit to 100K BTU 6.00
r/x J n of er or comp,Treat-pump, air con
Contractor 'X ��7G �-L4 r�' /y� 8) 3-15 HP, absorp unit to 500K BTU 11.00
"p Boiler or comp, heat pump, air con—T.-
9)
on .9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
"' '""" vier nr comp, eat pump, air cond.
f 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
ere y acknowledge that ave read this app icatton, t at t e Boiler or comp, heat pump, air con..
information given is correct. that I am the owner or authorized 11) > 50 FIR absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with itan it ing and to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Xr an ing uni —
registration, please give reason below.) 13) 10,000 CTM + 7.5C
—fon oortaFi —
14) evaporate cooler 4 5C
en—V nt a�nh—ctetc— -- --
15) to a single duct Z- 300
Ventilation system not "-
16) included in apaliance permit 4.50
on serve ,y --
T _ 1�17 17) mechanical exhaust 4 50
-escri a work n w C1 addition iteration repair Commercial or industrial
to be done residential Q no -residential 0 18) type incinerator 30.00
xisbng use o ter re., woo stUve, water
building or property /�R,Lt 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one ti: four outlets 2 00
hudding or property iL
r��)`'• /a4—
•
Type of fuel - oil Q natural gas Q LPG Q electriwtlet (each) ;!00
c 21) More than 4-per — —
t
NOTIrE -j
Minimum Fee $25.00 SUBTOTAL
FERMI rS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE (Z
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL G L
AFTER WORK IS COMM--NCED
TOTAL
r�
Special Ccnrlltions
Cate issued — by
M LLOGIMDITSNECMPMT
CITY OF TIGARD
BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUF-196-0493
13125 SW Hall Blvd.,T198rd,OR 97223 (503)639-4171 DATE ISSUED: 10/21/96
EXPIRED PARCEL,! IS133CIA--00500
-H
3I TE ADDRESS. 1131-15 SW 1.151 PVF:
SUBDIVISION. .. . . : MILLARD/VANCHUYVER TRACT ZONING: R--25
BLOC�.. . . . . . . . . .
LOT. . . . . . :31 '
REISSUE: FLOOR AREAS- EXTERIOR WALL. rONSTRUCTION---
CLASS OF WORK. :ALT FIRST. . . . : 0 s N: S: E: W
TYPE OF USE. . . :11F SECOND. . . : 721 sf PROTECT
TYPE OF CONSTS: E: W:. :5N 0 sf N: RET'?
OCCUPANCY GRP. : R I TO VA L. 7 r-'t S f ROOF CONST: FIRE
OCCUPANCY LOAD: 0 BASEMENT. : 0 ,qf AREA SEP. RATED:
STOR. HT: 0 ft GARAGE=. . . : 0 S f- OCCU SEP. ROTED:
BSMT') : MEZZ? : REOD sE'rl3ACKS----------
FLOOR LOAD. 0 p s f L E FT: 0 ft RGHT; 0 f:t F'_ I R SP111._:N 13MOK DET. - -y
DWELL-ING UNITE;: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC.N
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PIRO CORP:N .-,nRKING: 0
VALUE. $ 20000
!`lemat-ks : Enclosing existing patio
OwneL:�wnv-:
FEES
GARY NEI.-SON typp a to a i.t Wk, by date t-ec-pt
1. 1295 SW 135TH PLCP. $ 91. 33 B 08127196 96-283324
FIRE $ 56. 20 B 08/27/96 96-12,83:3 '4
TWARD OR 972i23 PRMT $ 140, 50 DRA 1izi/21/96 96-2,85409
F-11-inne #: 57_14--3902 5F'CT $ 7. 03 DRA 10/2t/96 96-285409
Ccintt-actot-:
OWNFR
Phone It- $ 295. 06 'TOTAL-
Rpq ft. - ! OWNFIJ4 -------- RFOUIRED INSPIErTIONS
This perwit is issued subject to the regulations contained in the Footing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fran inq lm:;p
applicable laws. All work will he done in accordanc,, with Irlsijia-tion Insp
approved plans, This pernit will expire if work is not started "hear Wall Insp
within 180 days of issuance, or if work is suspended for tore I.-it-et%fall It-),-,p
than 189 days. Gyp Board Insp
APPt,-/SdWlP ITISP
Final Inspection
Pei m i t t e e ignF'.. 1.01p : 1LV_4.,L
Issl_ted By
J Call fat-, insperl; ion -- 639-4175
LJ
_J
Commercial Building Permit Application
City of Tigard
13925 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 7 ! It.
Jobsite Address: ` ( �
Tenant: _ -r.✓L �'f f U N � # Office Use Only
Valuation: k26 r y� Planck/Rec# .�
Permit
Owner:
� 1I
Address: _
��l2.� %) �'�<7j.�
Map u TL #
1/17� '; ) �'�,j�� Approvals Required,
Planning
Phone: -r '= "�✓ 1 d-z'
Engineerirg
Other
Contractor: r-7-,4 Y) l / 0 —
Address: L/
l
Type of const: j=r� r1 rye�IQ-�^G U --
(" _ Occupancy class:
Phone: ? Q -
Sprinklered? Yes ('No
-.ontractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Story (1st, 2nd, etc.) _- 2e�'
r'
r-� Proposed use:
Architect/Engineer: %( ,_,' J �'1 i t A LaQ C
Previous use:
Address:
Note: Plumbing & rmc,�hanical plarps
i ��T;t�r,.l L�.__ must be sub pitted at time of
- building permit application.
Phone:
L4
JOB DESCRIP T'ON': r�yQ11��.. j N c� Q'a �.''"�►� f�:.'rl/t. �1V T ..J
s
J /
C,
Applicant Signature & Phone number
r
Received by: , JyV�I�� r, �.1 - Date RWAIVed:
Permit# Account Description Amountr-rlAmt Pd. Bal. Due "r
Bldg. Permit (BUILD) ` �� �
V �D
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
d
State Tax (TAX) l �'�— `� •U
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
!Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Perks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF. - 7
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) ,
Water Quality (WQUAL)
11 Water Quantity (WQUANT)
Ln Fire Life Safety (FLS)
Erosio^ Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
W
J Erosion PlancklCOT (EROSN)
TOTALS:
CITY' OF TIGARD rvlr'CHAN I CAL
RM I T
DEVELOPMENT SERVICES PERMIT #. . .PE. . . . : MEC96-0302
13125 Siv Hall Blvd.,Tigard,OR 97223 (503)639'EXPIRED DATE ISSUED: 10,121/96:
PARCEL: 1S1_-13CA--00500
SITE ADDRESS. . . : 1. 1385 SW 135TH AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVER TRACT ZONING. P-25
BI OCK. . . . . . . . . . : 1-01.. . . . . . . . . . . . . .32
CLASS—OF' WORE;. . :ALT--
FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . ., :MF UNIT HEATERS. . : 0 VENT FANS. . . :
OCCUPANCY GRP. . : R I VENTS W10 APPL: 0 VENT SYSTEMS: 0
S-1 OR I ES. . . . . . . . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL- TYPES---•------ 0-3 HP. . . . : 1,71 DOMES. INCIN,'. 0
: /ELE/ 3-15 HP. . . . : 0 CC`*)MML. INCIN: 0
MAX I NPUT: 0 P T[J 15-30 HP. . . . : 0 RCPAIR UNITS: 0
FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WC)ODSTOVES. . : 01
GAS PRESSURE. . . : L 50 f HP. . . . : 0 CL'3 DRYERS. . : 0
NO. OF AIR HANDLING UN I TS OTHER UNITS. : 0
FURN ( 100K BTU: 0 <= 1.0000 r-fm : 0 GAS OLITI_ETS. : 0
FURN > =100K BTU: IZI ) 10000 cfm : 0
Remav,l<s : EncInsing existing patio
Owner: FEES
GARY NELSON type amoi.int by date r,ecpt
11.1-95 SW 135T1--1 PRMT $ ;7`5- 00 DRA 10121196- 96--285409
1_`U C[J $ 6. 25 DRA 9&-285409
TIGARD OR 97223 5PCI $ 1.. x'5 DRA :LO/21/96 96--1Z,85409
Phon(- #: 524-320'1
Contractor:
ENGERT ELECTRIC CO INC
PO BOX 476
CLACKNAMAS OR 97015
Plione #: 658--3(`:,97 $ 32. 50 TOTAL
Reg #. . : 040910 REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Ficial Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Jnsp
applicable laws. PH worP will be done in accordance with Misc. Inspection
approved plans. This perm t will eynire if work is not started
within 180 days of issuance, ar if work is suspended for gore
than 180 da,s.
f-)f-r-M itte Signat'l-Ir-e :
T � -lied By
Call fat-, inspection 639--41.75
"(v I&
City of Tigard MECHANICAL PERMIT Planck/Rec. # �-
13125 6w Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
1 Description
Table 3A Mechanical Code Q'I PRICE AMT
,u
Job 1 ! r—ij I J 1) Permit Fee 0 0- 10.00
Address ,.
T t fU lj 2) Supplemental Permit 3.00
� Furnace to i00,000 BTU
1) incl. ducts &vents 6.00
a ...
Furnace +
Owner i! I r �(r f i 2) incl. ducts &vents 7.50
T1= " Floor Furnance
Fr 3) incl. vent 6.00
""°""°' '° " "'
Suspended eater, wall heater
4) or floor mounted heater 6.00
' ° Ventnot incl. in
Occupant 51 appliance permit 3.00
ZV Repair of heafing, re rig.
P) cooling, absomtion unit 6.00
Boiler or comp, heat pump, air cond,
17) to 3 HP; absorp unit to 100K BTU 6.00
d( � Boiler or comp, eat pump, air cond.
Contractor '�� ` 1/9 c `1��✓ 6) 3-15 HP; absorp unit to 500K BTU 1 100
Boiler or comp, Real pump, air con .
9) 15-30 HP; absorp unit 5.1 mil BTU 15.00
—Borer or comp, heat pump, air cond.
10) 30-50 HP; absorp voit 1-1.75 mil BTU 22.50
hereby ac now a ge that I have read tis app icahon, at t e Boiler or comp, eaTpump, air round.
information given is correct, that I am the owner or authorized 11) > 50 HP; abslrp t.11it 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handiing unit to
State laws, that I am registered with the Construction Contractor's 12) 10.000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 750
Non portable —'
14) evaporate cooler 450
Vent an connected-
15) to a single duct 7 3.00 /
i enh ation system no
16) included in appliance permit 4.50
Hood serve y
17) mechanical exhaust 4.50
scribe worK MW U aclartion T—alteration' 0 repair U CommerEt-al or industrial
to be done r aldent181 Q no -residential 18) type incinerator 30.00
xisting use o (_ -` ter re., woo stove, water
budding or property J r < 19) heater, solar, Jothes dryers, etc. 4.50
C1. Proposed use of _. 20) Gas piping one to four outlets 2.00
.., building or property r-'`--
ct
21) More than 4-per outlet (each) 7..00
✓1 Type of fuel -oil 0 natural gas Q LPG Q electricNOTICE
�)
N _
�— Minimum Fee $25.Or SUBTOTAL S i
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SUi:CHARGE Z/
J IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT L NY TIME PLAN REVIEW 25% OF SUBTOTAL r
AFTER WORK IS COMMENCED
TOTAL 3 Z
Srerial Conditions - ---
—— Oate issued — by_..
Huoomnoerrwta»,T
E
CITY OF TIGARD PLUMBING PER1y'1IT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM36--0258
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 7-0/21/96
PARCEL-: IS1.33CA 005500
SITE ADDRESS. . . : 11'785 SW 135TH AVE
SUBDIVISION. . . . : MIL-L-ARD/VANCHUYVER TRACT ZONING: R-25
BI.-OrK. . . . . . . . . . : 1-01.. . . . . . . . . . . . . :32
C!_ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOB IL-E HOME SPACES. : 0
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : I DnCKFL.r)W PREVNTRS. . . 0
OCCUPANCY GRID. . :B FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 11)
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : lb
LAUNDRY TRAYS. . . . . . 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : 0 UP !ALS. . . . . . . . . . . : 0 GREASE 'rRAPE.. . . . . . . . 0
LAVATORIES. . . . . : 0 0-1 .::R FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER L.-INE (ft ) . . . : 0
WATER CLOSETS. . . 0 WATER t_INE (ft ) . . . : 0
DISHWASHERS— . - 0 RAIN DRAIN (ft ) . . . : 0
Remav,k-s . Installing a vjasl-iiny machine
Owner. FEES
GAInY NEI-SON type amount by date t-ecpt
1129b SW 135TH PRMT $ 25. 00 DRA 10/21 /96 96-289,409
5PCT $ DRA 10/.211/96 96-1'285409
TIGARD OR
Phione #: 524--3902
Cuntt,actat,:
AC CONSTRUCTION & PLUMBING CO
2157 SE HARLOW
7ROUTDALE OR 97060
Pliv)ne #: 761-33637 26. 25 TOTAL
Roil it— - 010091
PEOUIRED INSPECTIONS
Thn.. permit is issued subject to the regulations contained in the Top-out Insp
1:1,3rd Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
w0hin 180 days of issuance, at, if work is suspended far ware
than 180 days,
it Ppl-M i t t e ign tI.lI'eL
i�' - yj Y4
l-_ Issued [A
Call for ? nspection 639--4175
ILI
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # _ -P`1 CZ'Tt�
Tiga-rd, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
No-.1 D.valnn-M INew Single Family Residences Only
� �-�� "
Job
AOO a.. ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
� •�,v� �"'
J ✓ F\ ❑ 3 BATH HOUSE$225.00
Address c.,aaM. r>q Fee inch-;es all plumbing factures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below,
wm.id FIXTURES QTY PRICE AMT
Sink 9.00
Pim Lavatory 9.00
1 _
Owner 1 Tub or Tub/Shower Comb. 9.00
ZIPShower Only 9.00
�. �? Water Closet 9.00
rum.1a of° ...) Dishwasher 9.00
Occupant M.rq An.w. Ph- Garbage Disposal 9.00
Washing Machine 9,00
Floor Drain 9.00
7IP Water Heater 9.00
Laundry Room Tray 9.00
Nano ! Urinal 9.00
�iG�/) _JAC- �/1
1 4 l )) Other Fixtures (Specify) g,QO
M.Fp Add.w phm
Contractor / 9.00
9.00
,�..
ZIPF _ 9.00
Sewer 1st 100' 30.f 0
Silt.R.y.b.uon No Gry 9a.T..N.. Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereuy acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are In compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number gven is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
.J., Back Flow Prevention
Device or Ant;-Pollulion Device 900
Anv Trap or Waste Not
Connected to a Fixture 9.00
Describe work new O addition Q alteration epa(r U Catch Basin 9,00
to be done residential O non-residential O Insp. of Exist. Plumbing 40.00/hr
Existing use of Specially Requested Inspections 40.00/hr
building or property / i Rain Drain, single family dwelling 30.00
Residential backflow prevention
s l devices 1500
L4 Proposed use cf
huilding or property
Y ' Except residential backflow
f-
preventlun devices)
J
r NOTICE •Minlmum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITIiIN 180 DAYS, OR IF 5% SURCHARGE ( r
CONSTRUCTICN OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER. WORK IS
COMMENCED. PLAN REVIEW 251,16 OF SUBTOTAL
TOTAL
Special Conditions
Date Issued by
CITY Cr TIGARv BUILDING PERMIT
DEVELOPMENT SERVICE f-DERMIT 4. . . . . . . .. BUP'96-0490
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4't, DATE ISSUED: 10121196
XPIRED
PARC1:11_: 1 S 133CA--00500
STIE ADDRESS. . . 11327-' SW 135TH AVE
SUBDIVISION. . . . : 11TLLPRD/VnNCHUYVER TRACI' Z ON ING:R-23
P1-OCK. . . . . . . . . . ... 1_01.. . . . . . . . . . . . . :32
REISSUE: FLOOR AREAS------ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORT;. :ALT FIRST. . . . : 0 s N: S: E: W:
TYPE OF USE. . . :MF SECOND. . . : I s 1. s PROTECT
TYPE OF CONST. :5N 0 s 5: E: W:
OCCUPANCY GRP. : R1 TOTAI-----------: '721 s f ROOF CONST; FIRE RET? :
OCCUPANCY LOAD: ili BASEMENT. : 0 sf AREA SEP. RATED:
STOR. HI : Vi i't GARAGE. . ., .
0 s OCCU SEP. RATED:
BSMT'): MEZZ` : REDD SETBACKS---------- REQUI
FLOOR i_onD. . . . : 0 ps f LEFT: 0 f1:. RGHT: 0 ft F I R SPIKL:t,.l SMOK DET. Y
DWP1__I1\1G UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:N
BEDRIYIS- 0 BnTHF).. 0 IMF, SURFACE: 0 PRO CORRIN PIARI(ING: 0
VALUE. $ : 010000
Remarks : Enclosing C-XiStinll patio
Owner.. : FEES
GARY NELSON type amol.tnt by date r-ecpL
11295 SW 135TI-I P L C K $ 91. 33 B 08/27/96 96--283324
FIRE $ 56. 20 B 08/27/9E, 96-.283324
TIGARD OR 97223 PRMT $ 140. 50 DRA 10/2.1/96 96-285405
Phone #: 524-3902 5PCT $ 7. 03 DRA 1.0/0.11/96 96-285405
Contr-actor:
OWNER
Phone fl . $ 295. 06 TC)T(-')L-
Reo #. . : OWNER REOLITRED INSPECTIONS
This permit is issued subject to the regulations contained in the Focii' ing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp
applicable laws. All work will be done in accordance with IIISIAlat ion Insp
approved plans. This permit will expire if work is not started Sheat- Wall Insp
within 180 days of issuance, or if work is suspended for more Fii-ewall Insp
than 180 days, Gyp Board Insp
CL Appt-/Sdwlk -.nsp
Final Inspection
1A
>_ r. )IL"t, _ _(7—
Permittee Sig t 1.1 v'e
_J
Issi.ted By
�—
W Call for inspection - 639-4175
_J
City 0i Tigard _Commercial Building reg miit Application
.
13125 SIN Hall filed.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 7 S�•�i
11 /, Office Use Only
Tenant: J' �%%-�.�T � j �7� (�uit�#
Valuation '' Planck/Rec
Permit# 6)
Owner: /�
Map & TL # i f)o/1 �_��1
Address:
_ 1 Approvals Required
r7 ✓2 �1 U�y Planning _
Phone: Z- Engineering
��•++ Other
Contractor: 1\J"
Address: //��- .�:i `►� (,
A
Type of const: --+ �- )t
Occupancy class:
Phone: •`� .
Contractor's License # Sprinklered? Yes No_
(attach copy of current Oregon license) Sq. ft. of project:
(-;ontact name & phone: Story (1st,(�Z dd etc.) _ JEeGNL7 '�U2
Architect/Engineer: /✓r' l f"1��� ".� �y Proposed use: IV,-,
Previ(.us use:
Address:
U
' FIR C �Z U
Note: Plumbing & mechanical plans
must be submitted at time of
Phone:
/ — building permit application.
i--
JOB DESCRIPTION: f K1�Qf r t'"/�JC� (>>(� �-�( s'r'1iy !
w —
J
Applicant Sign ure ; P one number _
Received by: �, ' Date Received:
Permit# Account Description Amount Amt. Pd. Bal. D, .a /
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) _
Mech. Permit (MECN)
Stata Tax (TAX) n7j
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sower Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) _
Mass Transit rIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL)
y
Water Quantity (WQUANT)
f Fire Life Safety (FLS) j�� ��, �j�
�- Erosion Crtrl Permit (ERPRMT)
J
= Erosion Planck/USA (ERPLAN)
w
-� Erosion Planck/COT (EROSN)
TOTALS: I�{ � �.�3
CITY Off' TIGARD
DEVELOPMENT SERVICES
PLUMBING FIRMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 FERMIT #. . . . . . . : PLM9602155
DATE ISSUED: 10/21/96
PARCEL. 1S1_-,3CA.00500
SITE ADDRESS. . . : 11322, SW 1313TH AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVER TRACT ZONING: R-2'5
BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . .32'
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. 0 MOBILE HOME SPr_'t_-'S. 0
TYPE OF USE. . . . :ly1F WASHING MACH. . . . . . : I BACKFLOW FRE VNTR :). . 0
OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . . IZI TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES-------- LAUNDRY TRAYS. . . . . .. 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWE*RS. . . . 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . - 0
DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . . : 0
Rem,ir-ks : Instal ling a washing machine
Owner. ------------------------------------------------------ FEES
GARY NELSON type amai.trit by date r-eept
112'FJ5 SW 135TH PRMT $ 25.. 00 DRA J0/2'1 /96 96-283405
5PC*T $ 1,, 25 DRA 10/21/96 96-285405
1'IGARD OR 97223
Phone #: 324-.3902
AC CONSTRUCTION & PLUMBING CO
1157 SE HARLOW
-FROUTDALE OR 97060 -------------
I,hone #: 7613637 26., 25 TOTAL
Rey #. . - 010091
REOUIRED INSPECTIONS ---------
This permit is issued subject to the regulations contained in the To p--a t-(t Ins
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Jnspection
applicable laws. Pll work will be done in accordance with
approved plans. This permit will expire if work i, not started
within 180 days of issuance, or j( work is suspended for more
than 180 days.
V1 i t t e s
Call. for inspection 6,39--4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # -( Pl 4h-OZ.
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST SURCHARGE
Nara*.1 DroW rawM New Single Family Residences Only
❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
JGb 7 ( ' ly r" ❑ 3 BATH HOUSE$225.00
Address r w Fee includes all plumbing fixtures in the dwelling and the first 100 feet
� 10,L)G U ►r sanitary� of water service, sanita sewer and storm sewer. See fees below.
Nara.(> at Baum.) FIXTURES QTY PRICE AMT
/J SZ Sink 9.00
M"o
AM- J °A"" Lavatory 9.00
Owner t.� �.J `. Tub or Tub/Shower Comb. 9.00
�"►'B"'• as Shower Only 9.00
i h'Yfr r 1,;
"i"11--(IJ -►l 1 Water Closet 9.00
Nara.la^•ra•at b,-•'l Dishwasher 9.00
Garbage Disposal 9.00
Occupant M.hp,,ayou Pne^. Washing Machine 9.00 nn
Floor Drain 9.00
�^�"'• ze Water Heater 9.00
Laundry Room Tray 9.00
f 4�� dYl "• ^ Urinal 9.00
�t�Q� ' t ��lll�.T�li-I �' Qj,f� �.1 'li;/✓i"�� Other Fixtures (Specify) 9.00
M.&C A•A... Plane
9.00
Contractor +�
5 / l`�lyW_4 el r ~� 'r ,1 l 9.00
uy""'• ZIP 9.00
,�a -
]N.T i( •J' , ;� �. ��. � Sewer 1st 100' 30.00
81.1.A.g b.non N. city Ba..T.Na. Sewer-ea. Addit. 100' 25.00
I Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State reg stration, please
give reason below.) Mobi'e Home Space 25 00
�� , Back Flow Prevention
f Device or Anti-Pollution Device 9.00
--r•^•• ^•^■d•o•^" owe Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new (j addition alteration 0 repair Q Catch Basin 9.00
to be done residential Q no -residential Q Insp. of Exist. Plumbing 4C.00/hr
Specially Requested Inspections 40,00/hr
Existing use of
building or property wL..1 Rain Drain, single family dwelling 30.00
Residential backflow prevention
It Proposed use of
-�f--. devices 15.00
building or property _ .�-�2�_
"(Except residential backflow
F- prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF I.VORK OR CONSTRUCTION i
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE I lS
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL LL�
TOTAL
Special Conditions
Date issued +by
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC96-0299
13125 SW Hall Blvd.,Tigard,OR 97225 (503)639.4171 DATE " SSUED.
PARCEL- IS1333CA00500
SITE.TE ADDRESS. . . . 11323 SW 135TH AVE
SUBDIVISION. . . . .. MILLARD/VqNCHUYVER TRACT ZONING: R--25
DLOCK. . . . . . . . . . . . . . . . . . . . . . . r,32
_.--- __--.-_____.- _.._...__--__----_---,--__--____-.-_._____-r--
CLASS OF WORK. . ALT FLOOR FURN. . . . : 0 E V Af��APLIRtp
TYPE OF' USE. . . . :MF UNIT HEATERS. . : 0 VENT FANS. . . : 2
OCCUPANCY GRP. . :R1 VENTS W/O APDL : 0 VENT SYSTEMS: V,
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. 0 DOMES. INCII'J. 0
- /EL 0
_E/ 3-15 HP. . . . : 0 COMML. INCIN:
'7
MAX INPUT: 0 BTU 15 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : N 30 50 HF'. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : L 501- HP. . . . : 0 CLO DRYERS. . : 0
NO. OF AIR HANDI...ING U N T TS OTHER UNITS. 0
FURN ( 1001-'N BTU: 0 10000 cfln : V1 GAS OUTLETS. 0
FURN 3 =100K BTU: 0 3 10000 rfm : 0
RcmavE(s : E:nclosing existing patio
Owner-.- FEES
GARY NELSON type R0101-Int Ily date r-ecpt
11,2195 SW 135TH PRMT $ 25. 00 DRA 10/21/9,6 96-285405
5PCT $ 1. C`5 DRA 96---285405
rTGARD OR 97223 PLCK $ 6. 2'5 DRA 10/21/96 96-285405
Phone #: 524-3902
C()ntv-actor-:
r-,11JGERT ELECTRIC CO INC
PO BOX 476
CLACKAMAS OR 97015
Ptione #: 6',58--3697 3 32. 50 TOTAL.
Rv!1 tl. . : 040910
REQUIRED INSPECTIONS
This permit is issued subject to the reglillations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. A]! work will be done in accordance with
ioproved plans. This peroil' will expire if work is not started
`.in 180 days of issuance, or if work is suspended for sure
r !80 days.
V)
0 e r-M i t t et rare -
By A:
JL
I_Isl_ked B -mai- ld�
c;_\9� aw_1___4_J__.___._._.
Call for, inspection 639-4175
City of Tigard MECHANICAL PERMIT - Planck/Rec. # )C
13125 sw Half Blvd, APPLICATION Permit # L�1EC �-
Tigald, OR 97223
(503) 639-4171 JI
• •^ escnp ion
p 6 AW 111 Table 3A Mechanical Code QTY PRICE AMT
r .. 7 ,l 1 ?r 1) Permit Fee _ -0- -0- 10.00
Address
:z s''� 12 a 1 F•. 1J �: ' 2) Supplemental Permit 3.00
•�• «� •^••• / urnace to 100,000 BTU
0- 1) incl. ducts &vents 6.00
• o ••• •^• Furnace 1100,000 +
Owner % rr i (- 2) incl. ducts &vents 750
�• Floor Furnince
f., G 7,7�3: 3) incl. vent 6.00
•m• n m•• .,
Suspended eater, wall eater
4) or floor mounted heater I 6.00
•�• ••• °^• Vent not incl. in
Occupant 5) appliance permit 3.00
u •• o
Repair of heating, re rig.
6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air con .
�COY) 7) to 3 HP; absorp unit to 100K BTU 6_00
+� .�-o w •.. •^•
Boiler or comp, heat pump, air con .
�-
�J. - t r�Ai �r1C, -e^ ; 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor —dam w Boiler or comp, heat pump, air cond.
15-30 HP; absorp unit .5-1 mil BTU 15.00
uZ'r:•..• _ 1 •
Boiler or comp heat pump, air cond.
!� 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
hereny acknowlei ge that ave rea tis application, lnat t e Boiler or comp, heat pump, air cond.
information given is correct, that I am the own^r or authorized 11) >50 HP; absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handlinT unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10.000 CTM + 7.50
Non portable
14) evaporate cooler 450
V—entfan connected
15) to a single duct 300
Ventilation system not
16) included in appliance permit 450
.• .•• •u« . --II•,• �Toodservec�iy
}� y �;' 7•) ��, 17) mechanical exhaust 450
escri a work n w addition k, alteration eiation repair (j Commercialor industrial
to be done residential Q nori-residential J 18) type incinerator 30.00
,,sting use of I/ ter re., woo stove, water
building or property 1 �;1J-1 71 i 19) heater, solar, clothes dryers, etc. 450
Proposed use of I J,_ 20) Gas piping one to four outlets 200
budding or property
21) More than 4-per outlet (each) 200
Type of fuel -oil Q natural gas Q LPG Q electric �)
NOTICE ,
Minimum Fee $25.00 SUBTOTAL 5"
PERMITS BECOME VOID IF WORK OR CONSTRUCTION s,
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5416 SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL L y r
AFTER WORK IS COMMENCED
TOTAL
Special Conditions Y
Date issued by
H LLOOIMMI'MMIC►MMt
0
CITY OF, 11GARD -- k1-CLIVI (..4 PAYMENT KEGFAll'1 N(J. 196--c'8540'lj
CHEER AMOUN f a '06. r'+3
tdGa1�1F NC"LSC)N, 6ARY R CASH flMOUNf r 1A. 00
0J)DRLSS a NLLSElN, PAlSY A PAYMLN'l UN1E t 10/21/96
11295 SW 135 r'H SU80 I V (S I UN z
T"IGARD OR
1.4)H POCE4. OF PAYMF.N'l AMOUNT PAT rJ co- PAYMEN'l riMCjIJNI PAID
P1111-IDINCS P kM1l 140. 0 S1 . BUILD Pl--R.__._�.......... 7. 03
MP'CHnN I t:AL FSE MEC96--0299 25.00 sr. BUILD PER 1. 25
Mf'CHAN 1 CAI. PLAN C:HLC:K El. 2`:r PLUMPING P RM NLM96-0255 2y. 00
S I . NU I l_l7 PER 1. r:3
11383 SW 1, STH
lalIP96--9.1490, MECG96--0299, PLM96-025b
TOTAL AMUUN r PAID
CITY OF TIGAR ® BUILDING PERMIT
SERVICES
�a& P,ERMIT #. . . . . . . : BUP196-03':70
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/_`1/96
PARCEL.: 15133CA.--00500
SITE ADDRES,`3. . . 1. 1309 SW i35TH AVE
SUBDIVISTON. . . . MIl._.1_.ARD/VANCHUYVF_-R TRACT ZONING- R -.5
BLOCK. . . . . . . .. . . LOT. . . . . . . . . . . . . :32
REISSUE: FLOOR AREAS-------------- EXTERIOR WALL CONSTRUCTION—
CLASS OF' WORK. :ALT F I RST. . . . : 0 S f N: S: E: W:
TYPIF-"_ OF USE. . . :MF SECOND. . . : 7j_'l s f PROTECT OPEN INGS?
TYF,F- OF CONST. :5N
0 s,f N S: E W
OCCUr,ANCY GRID. : R 1. 'TOTAL--------: 721, s f ROOF (71JNS'T- FTRFS RET? :
OCCUPANCY LOAD: 0 BASEMENT, : 0 sf AREA SEP,. RATED:
STOR. : 2 FIT: 0 ft GARAGE. . . : 0 5f OCCU SEP,. RATED:
BSMT?: ME-Z 7.7 RE=OD SETBACKS-----------
o Ft RGHT: 0 ft FIR 5PKL:N EMOK, DET. . :Y
F I OOR LOAD. . . . 121 psf L 1:7 FT.
DWELLING UNITS: 111 F AT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:N
BEDFRMS: 0 BATH 3: 0 IMF, SURFACE.- 0 F,R0 CORF2.1\1 [.,ARKING: 0
VALUE. E-0000
Reniar-ks . Enclosing existing patio
Ownei,-. FEES
GARY NELSON type amot-int by date v,eupt
-
112:95 SW 135TH PLCK $ 91. 33 T-.. 08/27/96 96 -c83324
FIRF $ 56. 20 B *,18/27/96 96--283324
TTGr)RD OR 97223 EXPIRED PRMT $ 1.40. 51ZI DRA 1.0121196 9f,-2'(15403
F,1-i u i i e it: 524--399' ' 5PICT $ 7. 03 DRA 10/21/96 9F,—x'85403,
Contractor,:
OWNER
I'llone 2.95. 06 TOTAL-
Re[] 0. . : OWNFFII:
REQUIRED INSPECTION S
This permit is issued subject tf regulations containea in the F"o t.i ri da t -1 on Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fr,amiriy Insp
applicable laws. Al' work will be done in accordance with Insi.ilation Insp
approved plans. this permit will expire if work is not started Stiear, Wall Ttisp
within 180 does of issuance, or if work is suspended for more FivewFill Insp
than 180 days. Gyp Board Insp
cl- Appiv-/Sdoilk Tiicip
1 Final Inspect iort
BL A'JAJ
.......... ---------
Sign
By
Call for inspection 639-4175
� f p
1 Commercial Building Permit Application
'City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Tenant: _ �" i c_F; 'f �'uite# Office Use Only
Valuation: _�1n �n,�1 Planck/Rec# "
-- Permit# �,+
Owner: Ak 1!j A Map & TL# a - -
Address: 2&C.l f c/r1
Approvals Required
-f Planning
Phone: Engineedng
Other
Contractor:
Address: cA
Type of const:
Occupancy class:
Phone: 1`13 Cj d
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
antact name & phone: Story (1st, 2nd, etc.)
_ Proposed use:
Architect/Enrlineer: C)A 112._7')ryyl a
Previous use:
Address:
r " / Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
[-hone:
1 - ,
JOB DESCRIPTION: � � Yl'I Uri� `�.x�'�L �'"-••� �C�S' ? Nr �T/
uJ r'
Applicant Signature & Phbne number
Received by: 1 i Date Received:
Permit# Account Description Amount Amt. Pd. Ball. Due,
Bldg. Permit (BUILD) 0.
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX) C ' J1
Bldg:
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mach:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (T;F-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
c_t -
w
—' Erosion PlancklCOT (EROSN)
TOTALS: <' i�`(N I. � - ( (C� ,5j
CITY OF TIGARD MECHANICAL.
DEVELOPMENT SERVICESPERMIT
PERMIT #. . . . . . . . Iit C'?6-0E 98
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 "Pint DATE ISSUED: 10/21/96
�4RCEL: 1 S 1 S3CA-00500
SITIw ADDRESS. . „ : 11309 SW 1325TH AV!':--_
SUBDIVISION. . . . MILI_ARD/VANCHUYVER TRACT ZONING: R--c:'5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :C�_
CI...ASS—OF—WORK. . :A1__T — FLOOR Fl_1RN. . . . 0 EVAP COOLERS: 0
TYPE OF' USE. . . . :MF UNIT HEATERS. . : 0 VENT FANS. . . : 2
OCCUPANCY GRP. . : R1 VENTS W/Cl APPI_: 0 VENT SYSTEMS: 0
STORIES. . . . . . , . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYF'E:S--- - __.__.___._ 0-3 HP. . . . : 0 DOMES. INCIN: 0
/ELE/ / / 3-15 HF'. . . . : 0 COMML. INCIN: 0
IHAX IIVPU'T: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: IZI
FIRE DAMPERS?. . : 61 0-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS F'RF_SSURE. . . : I._ iO-I- HP. . . . : 0 CL.(] DRYERS. . : 0
NO. OF UNIT' — -- _-...__..__.-- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU. o ( 1.0000 c f m : 0 GAS OUTLETS. : 0
F'URIu ) =i.00K BTU: 0 ) 10000 C_f m : 0
Remarl.s : Encl.isi.ng existing patio
Owner-: _._._.___.___.---.____________________._____._._.._______..__--____-- FEES
GARY NELSON type amoi_rnt by date t-er-pt
11295 SW 135TH F'RMT $ 1;'5. 00 DRA 10/21/96 96-_4=85406
PLCK $ 6. 25 DRi- 1.0/21/96 96--285406
T.IGARD OR 970223 5PCT $ 1. 25 DRA 10/21/96 96--285406
P11--trine #: 524--3901-'
Contractor-: ---- _-- -- --
ENGERT ELECTRIC CO INC
PO BOX 476
CI_ ACKAMAS OR 97015 _..____.___.__---._--_--_-----------------__._.
Phone #.- (':,58-3697 $ ? 50 TOTAL_.
Reg #. . : 040910
--- -- REQUIRED INSPECTIONS
This pelmet is issued subject to the regulations contained in the Final Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done io accordance with Misr_. Inspection
approved plans. This permit will expire if work is not started
within IK days of issuance, or if work suspended for more
than 180 day;.
F P P r,m i t t ewlgignat i_r r•e • «-AL
T , 3 r_r e d R �WL44AZ
w Call. for inspecticn - 639-4175
J
City of Tigard MECHANICAL PERMIT Planck/Rec. # ' - q L-
13125 sW Hall Blvd. APPLICATION Permit # ZI
Tigard, OR 97223 �' l
(503) 639-4171 I y
Description
C,. Table 3A Mechanical Code QTY PRICE AMT
Job
Address (``� `�-" 1) Permit Fee -0- -0- 10.00
- /_ 11p 7 ! `� 2) Supplemental Permit 3.00
Furnace to 100,000 BTU— -
-+; 1) incl. ducts &vents 6.00
tl ... m.
Furnace 100,000 BTU +
Owner %�2`/ �' "yJ j ''-incl. ducts &vents 7.50
Floor Furnance
�y 3) incl, vent 6.00
Suspended eater,, wall heat
4) or floor mounted heater 6.00
Mag — _
Occupant ent not incl, in
5) appliance permit 3.00
°r— Repair of hea in;, re ng.
6) cooling, absorption unit 6.00
o�rifer or cum), eat pump, air con .
7) to 3 HP; absoi, unit to 100K BTU 6.00
offer or camp, he.; pump, air cond.
Contractor � YY1 R', 8) 3-15 HP; absorp unit to 500K BTU 1100
Boiler or comp, heat pump, air cond.
%:• '` 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Boiler or comp, heat pump, air cond.
1 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
7Here y acknowlec ge that I have read this application, that the of er or comp heal pump, air cond. -'
nformation given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that lans submitted are in compliance with Air handling and to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is ce..dct. (If exempt from Slateit handling and
registration, please give reason below.) 13) 10.000 CTM + 750
on portable—
14) evaporate cooler 450
Vent fan connected _
15) to a single duct Z- 300
IVentilation system not
16) included in appliance permit 450
Hood serve y
'�•4. �' <"..( y_ �Y 17) mechanical exhaust 450
)Describework q w addition alteration t repair Commercialor industrial
to be done residential Q n -residential 0 18) type incinerator 3000
Existing use o ter f e, woo stove, water
building or property \�.t�_,_ 19) hea.ir, solar, clothes dryers, etc. 450
Proposed use of -� 20) Gas piping one to four outlets 2.00
_ tuilding or property f._.
Ce 21) More than 4-per outlet (each) 2,00
i•- Type of fuel -oil O natural gas LPG Q electric/6 --
T
No tl-CE-
Minimum Fee $2500 SUBTOTAL
r PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS, OR 5%SURCHARGE
W IF CONSTRUCTION OR WORK IS SUSPENDED OR -
J ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL 6 S
AFTER WORK IS COMMENCED
TOTAL ]
,rnrral Conditions ----
Date issued _by i
r/LLOGi1rO7TSMfCHRMT
CITY OF TIGARD PIL.UMBING F,ERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PIL-M96-0254
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: J.0/21/96
r-,ARCEL: IS133CA-00500
I TE
ADDRESS. . . : 11309 SW 135TH AYE
!-3) -25
,-)BD I Y 19 1 ON. . . . : MIL-LARD/YANCl--lUYVER TRACT ZONING: R
P! .00K. . . . . . . . . . .. L-OT. . . . . . . . . . . . . :32
CLASS OF WORK. . :Al.-T GARBAGE DISPIOSALS. : 0 MOBILE HOME' SIDACES. : 0
TYPE OF' USE. . . . :MF WASHING MACH. . . . . . . I BACKFLOW P'REVNTRS. . : t7i
OCCUIDANCY GRP,— -B F-l--OOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . lb
STORIES. . . . . . . . . 0 WATER HI ATERS. . . . . : (A CATC1-A BASIT
NS. . . . . . . : 0
FIXTURES--_________._._.___.. I-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
5INIJIS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREEASE TRAPS. . . . . . . : 0
I-AVATOR I ES. . . . . : 0 OTHFR FIXTURES. . . . : 0
TUB/SHOWERS. . . . 0 SEVER L-INE (ft ) . . . : 0
WATER. CLOSETS. . 0 WA-ER LINE_ (ft ) . . . : 0
DISHWASHERS. . . . 0 RA,'N DRAIN (ft ) . . . : 0
Remarks : Instal. 1- ing a washing machine
Ownet^: FEES
GORY NELSON type amof.tnt by datv V-eCpt
.1. 1295 SW 135TH PIRMT $ 25. 00 DRA 10/21/96 96285406
:=PCT $ 1. 25 DRA 10/1'211 /96- 96285406
'11GARD OR 91223
r'4ionp #- 524-3902
AC CONSTRUCTION & P,LUMBTNG CO
21.57 SE HARLOW
TROUTDAL-E OR 97060
(-''bone 761-3637 $ 26. 25 TOTAL-
Peg #. 010091 ------- RECD UIRED INSPIECTIONS
This persit is issued subject to the r-quiations contained in the Top--oi.At Insp
Tigard Municipal Code, State of [Ire. Specialty Code; and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This pproit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
F,e I.-in i t t P �Iq-TTS t -I r-e • _ .__ _� _ r_.__ _..
T
z-
T
I for inspection 639-41.75
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # pi Nle-oz I;'(
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT NEE + ST. SURCHARGE
New Single Farally Residences Only
❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job ) j ❑ 3 BATH HOUSE$225.00
Address cM v.t. zip 4- Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and sturm sewer. See fees below.
FIXTURES QTY PRICE AMT
tom.✓' �" U1V Sink 9.00
MMN AOQw
j
°Aa:• Lavatory g,On
Owner G
I ✓2 G �d Tub or Tub/Shower Comb. 9.00
a" Shower Only 9.00
/7.) ✓�� (/ �2' '� Water Closet 9.00
N..1."' .1 Dishwasher 9.00
Garbage Disposal 9,00
Occupant o, nnm. Washing Machine 9,00
Floor Drain 9.00
Z10 Water Heater 9.01)
Laundry Room Tray 9.03
w
Urinal 9,00
( / L1J. I �u>I�pj IN� Other Fixtures (Specify) 9.Q0
M.ftp Aftm R+m.
Contractor 9.00
9.Co
,�.�. rb _
oaf t 7 ' L � ewer 1st 100' `-- 9.00
io.g0
stat.Repra.uen No, C11 a,..ru N. Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this ,ipp!ication, that the Water S:,rvice ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
thr_ owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Constriction Contractor's Board, that the ---
Storm& Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State ragislo-ition, please
give rear-on below.) Mobile Home Space 25.00
+ T Back Flow Prevention
Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition 0 alteration C5 repair C) Catch Basin
9.00
to he done residential Q ro -esidential Q Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.001hr
Existing use of
building or property _+ Rain Drain, single family dwelling 3000
Residential backflow prevention
devices 15.00
Proposed use of
budding or property 's--"!L�
residential backflow
prevention devices)
t
NOTICE *Minimum Fee $25.00 SUBTOTAL
Lu LS,Do
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE I ��
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL - Z)
Special Conditions _
Date issued by `G
� r
1
January 26, 1994
CITY OF TIGARD
Mr. Gary Nelson
11295 SW 135th Ave. \ tt
Tigard, OR 97223 7
Mr. Nelson:
This letter is in response to concerns you expressed to Ken Schreindl, our Code Enforcement
Officer, regarding drainage run-off from the adjoining Sunflower Apartments property. I
reviewed the approved plans for the apartment and the conditions of approval for that
project with Greg Berry of our Engineering Department.
One condition of approval required that "storm drainage runoff shall be discharged into the
existing Swale without significantly impacting the downstream property." This condition
was satisfied when they conducted their storm water onto a rip-rap pad in the swale area.
Apparently some local erosion has occurred in the area of the outfall. The property manager
for the apartments, Mr. Woody Koenig, was verbally advised and has agreed to repair that
outfall area. However, this wil! not change the overall drainage scheme.
Since the existing drainage way crosses your property on its way downstream, your property
must accept the upstream water. In fact, if and when you develop your property, you will
be required to provide for the upstream water in the area of the existing swale and convey
it downstream across your property, including providing a public easement for this storm
drainage. The tact that the adjoining property has concentrated its storm water into the
Swale does not change this fact and is therefore considered to not be "adversely" impacting
your property.
In the meantime, the outfall from the adjoining property must be dispersed enough to
prevent erosion. The repairs to be undertaken by he adjoining property should correct the
situation. If such repairs are not undertaken or you have any other questions or concerns,
please call either Greg or me at 639-4171.
Sincere ,
David Scott, E.
Building Official
c: Woody Koenig, Sunflower Apts
Greg Be-Ty
131''5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -
FOREST HIDEAWAY APARTMENTS
GARY R.NELSON
11295 SW 135TH
TIGARD, OR 97223
Phone 407-9532
Home Phone 524-3902
October 08, 1996
City of Tigard
Building Plan Review
13125 SW Ilall Blvd
Tigard, OR 97223
ATTN: .Jim Funk
RE: PC#: 8-86c thru 8-90c BUP#: 96-0490 thru 96-0493, 96-0390
In response to your requested revisions: A bid from Scottco builders is enclosed to
provide estimated true cost of remodeling all buildings.
SITE WORK: We are enclosing a set of the original approved storm drainage
system plans for Forest Hideaway, and as we have noted on the remodeling plans,
we will bo tying into this system.
ACCESSIBII,I'FV:
LA Please see barrier plan letter from the owner.
2.A,B,& C We have enclosed Forest Hideaway's original building plans.
3.A Please note the proposed walkways drawn onto Forest Hideaway's original
parking plan.
FIRE: AND LIFE SAFETY:
1. Additional Smoke Detectors added to remodel plans.
2. Wall Covering type changed to reflect 5/8" Type-X G.W.B. on remodel plans.
3. Type 2-A tire extinguishers added to remodel plans.
STRUCTURAL: Please note Tom Burton, engineer, has provided the requested
engint cr's calculations and specitic�itions for footings supporting the 3 1/8 x 13 1/2
�C. 13 1/2 foot Glu-Lam beam.
r Si erely,
C7
W Gary R.'Nelson
FOREST HIDEAWAY APARTMENTS
GARY L NELSON
1 1295 SW 135TH
TIGARU.OR 97223
Phone 407-9532
Tome Phone 524-3902
October 11, 1996
City of Tigard
Building Plan Review
13125 SW I lall Blvd
Tigard, OR 97223
ATTN: Jim Funk
RE: PC#: 8-86c thru 8-90c BUP#: 96-0490 thru 96-0390
This letter is to identify myself, Gary R. Nelson as the owner of Forest Ilideaway
Apartments. Our barrier removal plan of architectural barriers is to provide an
accessible route to the altered area. This will be accomplished by providing a
marked walkway from the public streets and sidewalks to all accessible entries of
Forest Hideaway's five eight plex buildings. Enclosed is Scot co Builders bid for
the job. This will be accomplished in a timely manner with completion to coincide
with completion of all other alterations.
Barrier Removal Budget: $24,350.00
Scc)ttco's Bid: -21.500.00
Balance: $2,850.00
Sincerely,
W
1
J
Gary R. Nelson
SCOTTCO BUILDING & DESIGN, INC.
October 9, 1996
PROPOSAL FOR HANDICAP BARRIER IMPROVEMENTS
Install 50'extruded curbing, paint designated handicap walk as per plan( approximately 750'), repaint and
mark existing handicap parking parking, install handicap parking signs, install signs marking designated
handicap walkway, install reflective vinyl striping to mark walkway and walkway intersections( approximately
1000')
TOTAL COSTS S 21,150.00
ti
ti
J
C,7
J
11640 S.W. 135th Avenue
Tigard, OR 97223
Telephone (503)524-6777
Fax (503)524-7751
October 4, 1996
Burton & Associates ' CITY OF TIGARD
9226 Sc Fuller Road OREGON
Portland, OR 97266
RE: Forest Hideaway Building Plan Review
11309 SW 135th
PC#: 8-86c thru 8-90c BUP#: 96-0490 thru 96-0493, 96-0390
Submittal documents for the above ref,,,rented project have been reviewed for
conformance with the applicable 1996 Oregon Specialty Codes and other applicable
codes and standards. Please provide the true cost for remodeling eacii building or
submit copies of the construction documen's, sh,,)wing the ,accepted bid prices for each.
The following comments are noted:
Roof storm drainage piping must be connected to an approved storm drainage
system [Section 3207 and 2905(f) and OPSC Section 1401).
1. An amount equal to 25% of the addition cost shall be budgeted for removal of
C architectural barriers within the site [OSSC, Section 1112/1113].
A. Barrier removal is determined in accordance with OSSC, Section
1113.1.1 (ORS 447.241(4). Provide the list of existing barriers and
exp-nditure for removal.
Parking accessible to person with disability shall be provided.
A. Accessible parking spaces shall be located on the shortest practical
accessible route to the building entry[OSSC, Section 1104.4.5].
B. The accessible parking and access aisle shall be located on a surface
with a slope not to exceed 2%.
LL
C. Provide a more detailed parking plan showing elevations and slope of the
accessible parking and route to the building entry.
,,- 3. At least one acces�ib!e route shall be provided within the boundary of tie site,
/ from public transportation and public streets and sidewalks, to an accessible
building entry.
A. Provide a route in accordance with CC3C, Section 1103.2.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
'Forest Hideaway Building Plan Review
PC#: 8-86c thru 8-90c BUP#: 96-0490 thru 96-0493, 96-0390
Page #2
FIRE AND LIFE SAFETY.s':.
/�. Provide smoke detectors in all new and existing bedrooms (bonus rooms) and in
lG the hall or area giving access to each separate sleeping area. Detectors shall
sound an alarm a,edible in all sleeping areas of the dwelling unit in which they are
located [OSSC, Section 310.9.1.4].
n
i
Walls separating dwelling units shall be not less than one-hour fire-resistive
construction [OSSC, Section 310.2.2]. Correct wall covering for wall t•,rpe
G.W. BP. in shear wall schedule to 5/8" Type-X G.W.B.
Provide Type 2-A fire extinguishers throughout so that the travel distance to a unit
does not exceed 75 feet [NFPA 10 3.2.1].
MMQ�7 N' M. .4 Yi• �a ,.
r
Provide an engineer's calculations and specifications for footings supporting the
3 1/8 x 13 1/2 x 13 1/2 foot Glu-Lam beam.
Please submit three copies of revised submittal documents and a letter indicating your
response to the above comments for review. Please call me at (503) 639-4171 if you
have any questions.
Sincerely,
Jim Funk
` PLANS EXAMINER
U:\PRMSYSIDOCUMENTIBUP98_04.90\PC6-86C.DOC
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CITY OF TIGARD
ELECTRICAL. F' TDEVELOPMENT SERVICES DERMIT #: ELC96--0
795
13125!z;'r Nall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED:
PARCEL: 1 S 133CA-•1110500
5 i:1-E: ADDRESS. . . : 11309 SW 1 35TH AVE
SUBDIVISI.ON. . . . : MII_.L..ARD/VAINICHUYVER TRACT ZONING: R r
BLOCK. . . . . . . . . . I_O1.. . . . . . . . . . . . . :3c'
Pt-oJect Description : Installation of 12 branch circl..rits.
--RES I DENT I AL-UhI I T----- ---TEMP SRVC/FEEDERS---- -------MISCELLANEOUS-------
1000 SF OR LESS. . .. . : 0 0 '200 ampl. . . . . . : ih PUWVIRRIGATION. » » . ; 0
EACH ADD' L 500SF. . . 0 x='01 400 amp. : . . . . . : 0 SIGN/OUT LINE LT(3. . : 0
L.I11TTED ENERGY. . . . . . 12' ZI01. - r,00 a..mp. . . . . . . : V, SIGNAL/PANEL-.. . . . . .. . : 0
MANF. HM/ SVC/FDR. . : 0 6014-aMps--1000 volts. : 0 MINOR L.ABEL ( 10) . . . : 0
- -SERV I CE=/f Ef:DEF? _.-.Z1RAhIC11 CI RCl_!T TS- -- _. _-ADD' L I NiF'ECT I ONc;..-__
0 - 200 amp. , . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201. - 400 amp. . . .. . . : 1st; W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . .. .. 0
1101 - 600 amp. . . . . . : 0 EA ADD' L B RNCH CIRC: 11 I N PLANT. . . . . . . . . . . : 0
(x,01 - 1000 amp. . . . . : 0 _.___.._._.._._..______..__._._---F'l._Ahl REVIEW SECT TO!\I-_._...._...__. _.___._ .._..__..._._..._
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : iii SVC/FOR > = 225 AMP:5. . : CLASS ARE WSPEC OCC. :
Owner,: ____._._.------._. _._..___..____.__ _____--_--------.----_.---____-- FEES ---------------.-_-
GARY NELSON type amo1-rnt; L)y dare rer_.pt
11C195 SW 1:?5TH PRMT $ 90. 00 P,RA 12/17/96 96--287863
!iF,c,r '1r 'i. !:50 DRA 12/ 17/96 96E37136Z,
TIGARD OR 97223,
Phone #: 5c!4--3902.:
DAVID JEROr�iE ELECTR:(,' $ `,14. 50 TOTAL_
PO BOX 751
RE OU I RED INSPECTIONS
-_--- --
HIL LSBORO OR 9712.; Ce i l i.nq Caver LlndergrUr-rnd Cove
Phone #: 503-648--514Wall Cover Elect' l Service
Reg #1. . 036051.
This perait is issued subject to the regulations contained to the y- � -- -�1 —- --
Tigard Municipal Code, State of Or•e. Specialty Codes and all other 4='erm i t t ee Sign .t rr e
applicable laws. Al! work will be done in accordance with
approved plans. This pewit will expire if work is not started
within IV days of issuance, or if work is suspended for- ac-�
than 180 days. d 13y
TNTAI_L_ATION
�; 1-he installati.on is being made on property I own whi.ch i.s not intended for
NI ale, lea-,P, or rent.
OWNER' S SIGNATURE: _ DATE°------------------------CONTRACTOR INSTALLATTON
J
;I[3NATURE OF SUPR. FL_EC' N: DATE: ___...._
J -I CENSE NO:
Ca; 1 for inspection - 639-4175
Community Dev.:.-Nment ELECTRICAL PERMIT APPLICATION
r 13125 SW Hall Blvd. _—
Tigard, OR 97223 Planck/Rec. #
"MOM Permit # `
Phone (503) 639-4171 Date Issue
FAX (503) 684-7297 issued by �-
CITY OF TIGARD TDD No. (503 684-27 '.
Inspection (503) 639-41h5 ��� "�?�
1. Job Address: l.� = i Qc 4. :Complete Fee Schedule Below:
Cl�k ck t t+-/ � Number of Inspections per permit allowed ----�
Name of Development �' �T— t
r I f l 1 1 JS /�,• Service included: Items Cost(ea) Sum I—
City/State/Zip
Address— � � �_ 4s. Residential- per unit 4
T_ I G A R U 0 1 Z - 1000 aq It or leve $110 00
Each additional 500 sq It or 1
Name (or name of usiness) portion thereof _—• $2500 -----
Limited Energy $2600 _ 2
Commercial Residential❑ Each Manul'd Home or Modular
Dwelling Service or Feeder $66 00
2a. Contractor Installation only: 4b.Services or Feeders
2
Installation,alteration,or relocation 2
Electrical Contractor U A J E R O M E EL EC TRte_ 200 amps or lase $6000
$60 00 2
201 amps to<'0 amps 2
Aodress PO B 0 X 751 — 401 amps 10 ,1)0 amps $12000 2
City_ Y H I L L S B O R Staten__ Zio g 7 1 2 3_ 601 amps J 1000 amps $18000 2
A_Q 7? c,Over 1 r j0 amps or volts $34000
rhonp No. 648-.5144 FAX F4 Remed only 5.5000
Contractor's License No._ '14-1 1 gr
Contractor's Board Reg. No. � "S.Temporary Services or Feeders
9 — _ — i z
Irolallation,alteratinn,or relocation 2
/l/ 200 amps or lee $5000 2
Signature of Supr. Elec'n 20' amps to 400 amps $7500
License No. 2 8 7 7 S Phone U4�-514 4 401 amps tC 600 amps $+00 C-0 _
Over 600 amps to 1000 volts
.
For-1 ruor installations: see•b•above
4d.Branch C' wits
Print Ownvr's iiia New,alle;ation or extension per panel
a)'rhn fee for branch circuits with 2
Address purchase M
of asrvice or leader e.
City 5ta�
ZiEach branch arcual $500
Phone No. b)The fee fir branch circuits wffhout _ 2
purchase of service a Ibdet Ne. 7
The installation is being rn �ono�perty i own which is First branch circuit "5 002
not intended for salQ, case or rent. �� Each additional branch circuit r $500
Owner s�0anOo _ 4e. Miscellaneous
(Service or feeder tot included) 2
1Each pump or irrigation circle $4000
2
3. Plan Review section (it requires:,., Each sign or outline fighting $4000 —
2
Signet cmuill-)or a IimAen energy
Please check appropriate item and enter fee in so.tion 5B. panel,alteration or extension —� $10000
4 or more residential units in one structure Minor Labels(10)
Service and feeder 225 amps or more 41.Each additional Inspection over
System over 600 volts nominal the allowable in any of the above
Classified area or structure rontLining special occupancy ror inspection $3500 _
as describad in N E.C. Chapter 5 par hour _— $5500
V) In Plant $55 0U _
Submit 2 sets of plans with app. cation where Any of the above
~ apply. Not required i tr tempore,y rwnstruc:iort services. 5. Fees: �/�I Lu
-� 5a Enter to al of above fees
L NOTICE 5%Surcherpe(05 X notal fees) $
Subtotal 9
W PE1,,Mi i S BECOME VOID IF WORK OR CONSTRUCTION
J 5b.Enter 251°of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Heview it required(Sec 3) S
NSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
RIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
1 L J lura Account M $
MENCED. /
Balance Gue $
w.%rm.•.M••+�w pm aD
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
PERMIT #: ELC96-0799
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 12/18/96
PARCEL: IS133CA-00500
SITE ADDRIESS. . . . 1. 1,385 SW 135T1d AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVER TRACT ZONING: R-25
BLOCK. . . : LOT. . . . . . . . . . . . . �-32
Project Description : Installation of 12 branch circuits.
--RESIDENTIAL UNIT---- --------TEMP ERVC/FEEDERS---- -----MISCE:.LANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. 0 PUMP/ IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . : 0 c_'01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
1-IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+ampV-1000 volts. : 0 MINOR L ABEL ( 10) . . . .- 0
--_-SERV ICE/FEEDER--------.- CIRCUITS---._.-_-- -----ADD' L INSPECTIONS--.-
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1. PEP HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADD' l_ BRNCH CIRC: 11 IN PLANT. . . . . . . . . . . .. 0
G01. 100171 --kmp. . . . . : 0 R�VIEW SECT I ON--------------
10004. amp/Volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SV(.'/FDR > = 225 AMPS. CLASS AREA/SVIEC OCC. :
Owner: FEES -----------------...
l;flhl' NELSON type amount bye date rec-pt
I1 5 1_3W 135TH PRMT $ -90. 00 DRA 12/17/96 96-287871
3PCT $ 4. 30 DRA 12/17/96 96-287871
TIGARD OR 97223
Phone #: 524-3902
Contractor:
DOYID JEROME ELECTRIC 94. 50 TOTAL.
PO BOX 751
REDUIRED I 4SPECTIONS
H11,113BORO OR 9714 ? Ceiling Covet, Undergroi-tnd Cove
Phone #: 503-648- 51414 Wall Cover Elect' l Set-vice
Ret] 4. . . 12136051
This perait is issued subject to the regulations contained in the
I i gard Municipal Code, State of Ore. Specialty Codes and all oinet 1--plo",m i t t ur e
applicable laws. All oork 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
fhal. t 180 days. ___4 .red By
:NSTAILLPTION
The installation is being made on property I own which is not intended for
alp, lease, or- vent.
Ln OWNER' S SIGNATURE: DATE:
FOR 119S TALI-ATION ONLY---------
J
SIGNATURE OF SUER. ELECIN- DATE:
UJ
_J
I1 1CJ-hZF NO:
Call for inspection - 639-4175
J 0 5 #
" Community Development ELEC:RICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # 7`'"
• Phone (5031 639-4171 Data Issued
CITY OF TIOARD FAX (503) 684 72�7 Issued
TDD No. (503) 684-2772 --
Inspection (503) 639-4175 f -,
01
I. Job Address: I✓t /��-L Tp -P, —1 4. Com,pletr Fee Schedule Below:
Name of Development� il-e 1- A t(?d u c r Number of Inspections per permit allowed
Address / ( j 1,l) t _ Service included: Items Cost(ea) Sum
City/Statf:2ip T I G A R D 0 R 4a Residential-per unit < r
1000 sqnor less $11000
Name (fir name o)!,business Each additional 500 sq,n.or
portion thereof $2500 1
Commercial Residential❑ limited Energy $2500 `
Each Manuf'd Nome or Modular 2
Dwelling Servos or Feeder $M DO2a. Contractor installation only:
4b.Services or Fe•.ers
Installation,alteration,or relocation 2
Electrical Contractor D A J E R O M E E L E C T R T C 200 amps or leas $so o0 2
Address PO B 0 X 751 201 amps to 400 amps S8000 2
CI HILLS State_M 7 q 7 1 2 7 401 amps to 800 amps - $120 00 2
hr_ 3 0 8 0 ._DH _ r
801 amps to :ciao amps $lea 00 2
Phone No. 648-5144 FAY f;4,9-q72q Over 1000 amps or, is $34000 2
Contractor's License No. 'i4-1 1 g 0 Reconnect only `— $5000
Contractor's Board Reg. No.
4c.Temporary Services or Feeders
Iretallalion,aherahon,or rnbcation 2
Signature of Supr. Elec' 200 amps or Was $50 00 2
License No. 2 8 7 7 S Phone f 6 48-514 4 201 amps to 400 amps 100 oo _ 2
---- 401 amps to soo amps $loci no
. Over 800 amps to 1-,00 vJMa - --
For ner Installations: see•b•above
/ 4d.Brarch Circuits
Print Owners NamN New,alteration or extension per W,+1
Address _ _ _ a)The Ise for branch circuis with
City Siat Zip� purct.-S"of Sam"or hodof he. 2
Phonlo N0. Each branch circuB $5 0 `
_ b)The Ise for branch circuits without
The instpllation is being Mace On operty I own which is purchase of aervics or,.soler Me. C� 2
njt intended for sal ase o rent. First branch circuit ! $3500 2
Each additional branch circuit _ $5 o0 ..Z
Cwner's Si ire As.Miscellanea:a
c —
(S%vice or feeder m,included) 2
3. Plan Fievi%w soctio.f (if required): Each pump or irrigation circle $1000 2
Each sign or ouilins 1'-hfing $4o no
Signal circuit(s)or a limited energy 2
Please check appropriate Item and enter fee In section 5B. panel,alteration or extarnion Soo 00
4 or more residential units in one structure Minor Labels(10) $100 n0 ---
Service and feeder 225 amps or more
ra- 'fstwm over 600 volts nominal 4t. Each additional inspection over
r _Classified area or stnictur9 containing spe(iaf occupancy the allowable in any of the above
V) as dercribed to N.E.C. Chapter 5 Per inspection S3500
Per hour S5500
In Plant $55.00
l- fiub,.lit 2 leis of plans with application where any of the above I
appl,. Not required 1(-r temForary construction services. 5. Fees:
71
NOTICE 5a. Enter total of abs— fees $ '`U
w — 5%Surcharge(.05 X total fees) $
J PERMITS BECOME%')lD IF WORK OR CONSI-RUCTION subfore/ $ `
AUTHORIZED IS NO;"COMMENCED WITHIN 1A0 DAYS,OR IF 5b.Enter 25%of line A �
0STRUCTION OR;'JORK IS SUSPENDED UR.',BANDONED FOR ^Ian Review if required(Sec.3) L
R(OD OF 180;JAYS AT ANY TIM'7 AFTER WORK IS Subtotal $
"MMENCED. ❑ Trust Account X
$ _
Balance Due $ "
CITY OF TIGARD
ELECTRICAL PERMI"f
DEVELOPMENT SERVICES PERMIT #: EL._C96-0798
13125 SW Hall Blvd.,Tigard,OR 97223 (R.-)639.4171 DATE ISSUED: 12/18/96
PfiPCF_L_: 1 S 133CA-00500771
SITZ' ADDRESS. . . : 1.1:61 SW 135''"I-i AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVER TRACT ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . .. . . „ :'1
Pr,o.ject Description: Installation of 12 branch circl_tits.
--RESIDENTIAL_ UNIT------- ----TEMP SRV C/FEEDERS------ ------MISCELLANEOUS------
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
1..I M I TED ENERGY. . . . . : 0 401. — 600 -imp. . . . . . . : 0 S 1 GNAI.../PANEL. „ . . . . : 0
MANF. HM/ SVC/FDR. . : 0 C,01+amps-1000 volts. : 0 MINOR LABEL- ( 10) . . . : 0
_....—_--SF_RVICE/FEEDER._..____ _...- ----BF2ANC11 CIRCUITS._...-_.--- -----ADD' I__ TNSPE'Ci IONS----
Qf — 200 amp. . . ., . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. .. . . . . : 0 lit t,1/0 SRVC OR FDR. : 1. PER HOUR. . . . . . . . . . . . 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 11 IN PLANT. . . . . . . . . . . : 0
f"i01. 1000 amp. . . . . : 0 --------------------PLAN REVIEW SECT I -_•-._---
loon,+ amp/vols. . . . - : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ._-----------------------------------------.__._------ FEES
i;;;RY nIr.L50N type amount by date r^ecpt
11295 SW 1351x; PRMT $ 90. 00 DRA t2/17/96 96-2137868
':PCT $ 4. 50 DRA 12/17/96 96-287868
1IGARD OR 97223
Phone #: 524-3902
rCcntr,actor: -_ ._.__.________.__________.__ __--_----_.--_____•___________.___________ ____
DAVID .JEROME ELECTR T C $ 94. 50 TOTAL
PO BOX 751
REQUIRED INSPECTIONS
HILI. 9BORO OR 97123 Ceiling Cove, Undergroi_md Covv
Phone #: 50:3-648-51.44 Wall Cover Elect' l Service
Reg 4. . . 036051
chis permit is issued subject to the regulations contained in the
Tia3rd Municipal Code, State of Ire, Specialty Codes ane all other _L' mittee Sign sire
applicable laws, All Mork will be done iri accordance with
apvroved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more _
thin 188 days. 1z B y
_____---___._-.-_--_--._-------OWNER T NSTALLAT T ON ONLY
— The instirllati.on is being made on property I own which is not intended for-
sale, leiisr-., or• rent.
OWNER' S 3 I GNATURE: DATE:
INSTAL._I_ATION
J
t
SIGNATURE OF SUPR. EwLE:C' N: DATE
UJ
J
I.._ICENSE NO:
Call for inspection -- 639-4175
JOB #
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # EL-C 96 -717
Phicne (503) 6:39-4171 Date Issued '—
/ I
CITY Of TIOARD FAX (503) 684-7297 lssupd by
TDD No. (503) 684-2772
Inspection (503) 639-4175 q
1. Jub address: 4. Complete Fee Schedule Below:
Name of Development ' Number of Inspections per permit allowed
Address_ 1 � ��� � Z t l.� � zj� /� Service included: Items Cost(ea) Sum
City/State/Zip T I G A R 0 OR 4a. Residential•per unit 4
1000 sq.It or less $11000
Name (or name
of usiness) Each addliorrd 500 eq 11 or t
ponron thsni $25 00
Commercial ❑ Limited Energy $2500 -'
Each Manu1'd Homs or Modular 2
Dweifng Sema or Feeder $6e 00
2a. Contractor Installation only:
4b.Services or Feeders
installation,alteration,or relocation 2
Electrical Contractor D A J E R O M E E L E .T R T f �_ 200 amps or lase $so 00 2
Address PO B 0 X 751 201 amps to 400 amps sea 00 2
401 amps to 600 ampa $120 00 2Ci ry H ILLSBORO State _ zipq] 7 601
amps to 1000 amps $18000 2
Phone No. 648-5144 FAX R4A-97x'1 Over 1000ampeorvofts $34000 — 2
Contractor's License No. Rec•.onnedonly $5000
Contrau'--''s Board R-- No.' _ j 1c.Temporary Services or Feeders
� 'rstallalion,alteration,or relocation 2
Signature of Supr. Elec,99tf � _-/.� 200 amps, less $5o 00 2
License No. 28775 Phone 648-5144 201 amps $00 amps $7500 2
401 amps to 600 amps III co 00
Over 600 amps fo 7000 volts
_V net Installations: see'b'above
4d. Branch Circuits
Print Owner's Nam _ New,sheralion or extension per panel
Address a)The fee for branch circuits wffh
City Stat Zip - purchase of service or leader lee. 2
Phone N0. Each branch circud $500
b)The Ise for branch circuits withotrf
Th,3 installation is being a on operty I own which is purchase or se"ics or boder hwr c� 2
I $35 Oa ��
not intended for S/a�;, ase Of rent. First branch circuit 2
Each addn;onal branch circuil $500 _5=
Owne" Sr re ,� 4e. Miscellaneous
(Service or foeder not included) 2
3. Plan Revfew stiction (if required): Each pump or irrigation cirde $4000 i 2
Each sign or outline lighting $4000
Signal cimuile)or a limited energy 2
Please check appropriate item and enter fee In sxtion 58, panel,alteration or ezfersion tNo 00
4 or more residential units in one structure Mmor Labels(10) $10000
Service and feeder 225 amps or more
_System over 600 volts nominal 41. Each additional inspe-tion over
Classified area or structure containing spacial occupanry the allowable in any of the above
- as described in N E.C. Chapter 5 Per inspection $3500
Per hour $$500
Submit 2 seta of plane with application where any of the above In Plant $5500
apply. Not required for temporary construction services. 5. Fees.
NOTICE 5e. Entrr total of above lees
$ `7 C, .-7
—
5%Surcharge(.05 X total fees) _ �-�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION subroral $
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR IF 5b.Enter 25;;of line A for
SIRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ —
RIOb OF 180 DAYS AT ANY TIME AFTER WORK IS suttoral $
t.�;MENCED. ❑ Trust ACCOLInt tY
$
Balance Due $
•o'rawdr�'.4.pT rPV
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC96-0797
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: IE/tB/96
PARCEL: 1S133CA-00500
S ITE' ADDRESS. . . : 11349 SW 135TH AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVER TRACT ZONING: R--25
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :32
Project Description: Installation of 1"--' branch circuits.
UNIT----- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------
1000 SF OR . . . . : 0 0 200 amp. . . . . . . :* 0 PUMP/TRRIGAT ION. . . . .- 0
EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE I—TG. . : 0
LTMTTED ENERGY. . . . . : 0 401 C,00 amp. . . . . . . : 0 SIGNAL/PIANEL.. . . . . . . : 0
MANF. HM/ SV(:/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
--SERV ICE/FEEDER--,------- -----BRANCH CIRCUITS—- -— ----ADDII.. INSPECTIONS——-
izi — 200 amp. . . . . . .. 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
1. — ZiOO amp. . . . . . : 0 1st W/0 G R V C CTR F"DR. : 1. PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 1. 1 IN PLANT. . . . . . . . . . . : 0
501 — 1000 amp. . . . . : 0 REVIEW SECT I
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > GOO VOLT NOMINAL. . :
Reconner-1, only. . . . . : 0 SVC/FDR ) = 2P..3 A lyl P,S. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------- FEES ---------------
GARY NELSON type amot-int by date rerpt
11295 SW 135TH PRMT $ 90. 00 DRA 12/17/96 96-287866
5PCT $ 4. 50 DRA 1.21/17/96 96--'287866,
TIGARD OR 97223
Phone #- 524-3902
Contractor:
DAVID TEROME El-.ECTRIC $ 94. 50 TOTAL
PO BOX 751
REQUIRED INSPECTIONS
HILLSBORO OR 97123 Cei. ling Cover Undergrot-ind Cove
Phone #- 503-648-5144 Wall Cover Elect' 1 Service
Ppq it. . . 036051
This permit is issued subject tc the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm ' t e v Signa
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 d&ys of issuance, or if work is suspended for more
than IN days. ssi-ted By
IN5TAI. !..ATTON
The installation j.s oeing made an property I own which is not intended for
- _Alv, lease, or rent.
Ln OWNER' S SIGNATURE: DATF:
TOR INSTALLATION
72
`ITHNATURE OF SUP,R., ELECIN: DATE:
! ICENSE NO:
Call for inspection 639-4175
JOB # C, 22-- �
- Community Development ELECTRICAL PERMIT APPLICATION
1;1125 SW Hall Blvd.
`rgard, OR 97223 Planck/Rec. #
Permit # rZ74 7 _
® Phone (503) 639-4171 Date Issued
CITY OF TIGARD FAX (503) 684-7297 Issued by J
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: L -( 4. Complete Fee Schedule Below:
Name of Developmelnt P�-, �A �\ dr Number of Inspections per permit allowed
Address 11 `I ! -5 �_V ��S �iLT` Service included: items Cost(ea) Sum
City/State/Zip T I G A R o OR Z�� 4s. Residential-per unit 4
1000 ev a or wee $1;n 00
Name (or name of uslness) Each arkdrorrl 500 eq ft.or
Portion thereof $2500 1
Commercial Residential❑ Umded Energy $2500
Fach Mamd'd Hoar or Modu4v 2
Dwelling Service or Feeder sm 00
2a. Contractor Installation only: 4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor_ D A J E R O M E ELECTRTE 200 amps or lees $6000 2
Address PO B 0 X 751 201 arnps to 400 amps $8000 2
City H I L L S E O R O State-ng Zip q tr 1_?-� 411 °'ripe to 600 amps $12000 2
PttOne No._648-5144 FAX GAR-q79-1 601 amps to t00oamps $18000 2
7 9.1 Over 1000 amps or Vons $34000 2
Contractor's License No. 1_4 1 1 g r Reconnect only $SO o0
Contractor's Board Reg. No. / 4c.Temporary Solwicar or Feeders
Insldlation,alteration,or relocation 2
Signature of SUpr. Elec' _ 200 amps or less $5000 2
License No. 2 8 7 7 S Phone .�64U-5144 201 amps to 4'C amps $7500 2
401 amps to 600 amp" 1110000 _
Over Wo amps to 1000 vone
For ser Installations: sea V above
4d,Branch Circuits
Print Owner's Nam New,alteration or extermon per panel
Address a)The tee for branch cirwila with
City _, Stat i Zip purchase of service of ifeeder hs. 2
Each branch era A VC 00
Phone N0. b)The fee for branch circum wifhoo
The installation is being giadb on operty I own which is purchsse orservlu or hodsr be, S 2
not intended for sal ase or rent. Brat branch da rn, / $35 00 3-- 2
Ead,additional branch cu
ranch cirit �— $5 00 `
Owner's5r, re 4e.Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Frich pumporirrigation cirds $4000 r 2
Each sign or outline lighting $40 U0
Signal cimuif(s)or a fimited energy 2
Please check appropriala Item and enter fee in section 5B. I panel,anaration or extension $4000
4 or more residential units in one structure Minor Labels(10) $100.00
Service and feeder 225 amps or more
y _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.C. Chapter 5 Per inspection $37500
Per hour $5500
In Plant $55.00
Submit 2 sets of plane with application where any of the above
J apply. Not required for temporary construction services. 5. Fees:
t NOTICE 5a. Enter total of above fans $
C//� .U�
C3 51%Surcharge(.05 X total lees) $ . C_LLS`V
-� PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5�) Suerora! $
Plan Rrwie
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF •Enter?_590 w line A for
STRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR if required(Sec 3)Subr ! $
RIOD OF 180 DAYS Al ANY TIME AFTER WORK IS ora $
r:iMMENCED ❑ Trust Account:Y $
Balance DL'e $
...__..
CITY GF TIGARD
ELECTRICAL PERMIT
DEVELOPMENT SERVICES Pw RM T-r #,. ELC96-0/'16
13125 SW Nall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 12/16/96
PA RCf.-D....; 1 S 13.3CH--krO500
_)ITE ADDRIESS. . . . 1131_:3 SW 13-`51+1 AVE
-;UBDIVISTON. . . . : IhTI_LARD/VANCHUYVER TRACT ZONING. R-2:5
DLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
Project Descr^i.ption: Insta.11Ation of 1'2 branch cirrcr.tits.
- RE S I bEN'f I AL UNIT---- ----TEMP SRVC/FEEI)ERS----- -------M I SCELt_ANEOUS------.
1.000 SF OR LESS. . . . : 0 0 — amp. . . . . . . : 0 P'Uh1F'/IRRIGATION. . , . : 0
1:ACH HDD' L_ 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
I .IMITED ENERGY. . . . . : 0 401 -- E:,OO amp. . . . . . . : 0 SIGNAL_/PANE=L. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601.+amps-1.000 volts. : 0 MINOR L.AHEL. ( 10) . . . : 0
.__._._—,ERV I CF/FEEDER-- -__. ____...-BRANCH C T RCU I Th.--_._._._ ._-----ADD' 1... T l\19PECT r OiVS—
I► 4=00 .-imp. . . . , . : 0 W/SERVICE OR FEEDE=R: 0 PIER INSPECTION. . . . . : 0
201. 400 a rp. . . . . . : 0 1st W/0 SRV(.-, OP FDR. : I I- F' 1101JR. . . . . . . . , . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L RRNCH CIRC: 11 IN P'LANT. . . . . . . . . . .. .. 0
601 - 1000 amp. . . . . : 0 ---_.______—______._..._P'I_AN REVIEW 511=CTIOh.I._. _._._...-__..____....___._._.....__
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 1/7r SVC/FDR ) = i_:25 AMPS. Cl._ASS AREA/Sl:-)EC OCC. .
Owner-: ----------------------------------------------------------- FEES
GARY NELSON type amor_rrnt biy date recpt
I1295 SW 1135TH F'RMT $ 30. 00 DRA 12/17/9G 136-2-87865
)PCT $ 4. 50 DRA 1,2/17/96 96-287865
TIGARD OR 97223
Phone #: 524-3902
Cont r^sir ore
DAVID JE ROME EI_H CTR I C 94. 50 F'L_l l'AI__
PO BOX 751
REOUTRED INSPECTIONS
11T1.1_SDORO OR 9`l1 =:; i.':f i. l irrg Cover, Under-gr-oi.tnd Covr'
L>hone #: 30.3--E-:,48- 5144 Wall Cover, Elect' 1 Ser^vir_e
Reg tF. . . 0.3605)1
This perait is issued subject to the regl,lations contained in the /, 'I)
T:gard Mun?.cipal Code, State of Ore. Specialty Codes and all other ittee 5iynF>
applicable laws. All wr k will be done in accordance with /
approveti plans. This pertit will expire if work is not started
within 180 days of issuaoce, or if work is suspended for sore �.
than 180 days. ed By
INSTAL_LATIOhJ
The installation is being made on property I own whirr, is not intended for
c` sale, lease, or- rFni;.
L' OWNF`:R' S SIGNATURE: DATE:
---._CONTRACTOR INSTALLATION
r _
SIGNATURE OF SUF'R. F=LFC' N: D(I TE s
UJ
TCENSE NO:
Call. far^ inspection 639- 4' 75
JOB # I2_
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Re,. #
Permit #_ �: L-[►!i -0 7`l
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
�1. Job Address: LAW -' _-1 0 4. Compleie Fee Schedule Below:
Name of Development-_ FcxeL-� J '0� Number of Inspections per permit allowed
+ ^`T
Address 1!i�l t ( ,, Service included: Items Cost(ea) Sum
City/State/Zip T I G A R D OR _ 2-2 4a. Residential-per unit +
1000 aq.If.or lees $11000
Name (or name of business) Each additional 500 aq tt or —"—
portion thereof $2500 1
Commercial Residential❑ Limded Eno,gy $2500
Eadi Manu►d Home or Modular 2
Dwelling Service or Feeder Ill 00
2a. Contractor Installation only: 4b.Services or Feeders
Installation,afteration,or relocation 2
Electrical Contractor D A J E R O N E E L E C T R T c 200 amps or lea, $eo 00 2
Addr,'ss P 0 B 0 X 751 201 amps to 400 amps -- $8000 2
City__�� H I L L S B O R O State Zi q 7 T 401 amps le(300 amps $120 0 2
—Dg a 801 amra to 1000 amps $18000 2
Phone No.—
,64 14 4 FAX 64R-9723 Over 1000 amps or volts $,740 00 2
Contractor's License N0. 4_ gr Reconnect only $5000
Contractor's Board Reg. N0. 4c. Temporary Services or Feeders
�j Installation,alteration,or relocation 2
Signature of Supr. Ele,,' �� ti C.� 200 amps or less S5000 2
License No. 2 8 7 7 S Phone 6 4 8_.514 4 201 amps to 400 amps �w $75 00 2
401 amps to 800 amps $10000
00. Over 800 amps to loco volts --�
For dtwner Installations: sea W above
i�
4d. Branch Circuits
Print Owner's Nan�pr Now,alteration or extension per panel
Address a)The fee for branch circuits$Wth
City tate Zip purchsse of service or feeder foe. 2
Each branch circuit $500
Phone NO. b)The lee for branch circuls wirhour
The installation is beit made1Qn property Town which is purchase of serene a food..W. , 2
not intended -gale, lease or rent, First branch circuit i $3500 2
Each additional branch circu0 !I $500
Owngr's<�ignature 4s. Miscellaneous
(Service or feeddr not included) 2
3. Plan Review section (it requl4d): Each pump or irrigation circle $4000 _ 2
Each sign or outline ligh ince $40 00
Sgnat cimult(s)cr a limned energy 2
Please check appropriate Item and enter fee in vection 58. panel,alteration or extension $4000
4 or more residential units in one structure Mirror Labels(10) 11110000
Service and feeder 22.5 amps or more
0� _ _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.C. Chapter 5 Per inspection S1500
Per hour _ $55 00 _
r Submit 2 sets of plans with application where any of the above In Pant $55 1`30
apply. Not required for temporary construction services.
5. Fees:
r NOTICE 5a. Enter total of above fees $ —
r' 5%Surcharge(.05 X total fees) $
tLj PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal a _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
IIMNSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
ERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal E
MENCED El Trust Account# $
Balance Due $ `j l�
CITY CSF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : BUID 96-41491.
DATE ISSUEr : 10/21/96
EXPIRED PARCEL. IS133CA00500
SITE ADDRESS_ : 11349 SW 135TH AVE
SUBDIVISION. . . . : MILLPRD/VANCHUYVER TRACT ZONING:R25
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . :32
RE..I SSUE: FLOOR AREAS---- ------ EXTERIOR W(A-L CONSTRUCTION—
CLASS OF' WORK. :ALT FIRST. . . . : 72:'l sf N: S: E: W:
TYPE OF USE. . . :MF SECOND. . . : 0 sf PROTECT
TYPE OF CONST. :5N . . . : 0 sf N: S: E: W:
OCC(JPANCY GRP. :Rl TOTAL- -----: 7P i. sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: V1 BASEMENT. : 0 sf AREA SEP. RATED:
S3 T 0 R. 2 I-IT : 0 ft GARAGE- - 0 sf OCCU SEP. RATED:
BSMT? MEZZ? : REOD SETBACKS---------------- REQUIRED------- -----_..._..______
FLOOR
EQUIRED------
FLOOR LOAD. . . . - 0 psf LEFT: 0 ft RGHT- 0 ft F I R SPKL:N SMOV DET. - -Y
DWEI.-LING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM.N HNDICP1 ACC:N
BEDRMS: 0 BATHS: 0 IMP! SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $: 20000
Remat,ks : Enclosing existing patio
Owner: FEES
GARY NEI-SON type amot-int by date r-ecpt
SW 135TH PLCK% $ 91. 33 B 03/27/96 96—Z'83324
I--IRE; $ 56. 20 B 08/27/96 96-1:.83324
TIGARD OR 972'23 P,RMT $ 140. 50 DRA 9 F,—ci'8 5 4 0 2
171hone #: 524--3902 5PCT $ 7. 03 DRA 10/21/96 96-263 02
Cant Tactor: ----------------------
OWNER
0 11(3 # $ 295. 06 'TOTAL
Rog #. . -. OWNF.R REQUIRED INSPECTIONS
This pet-nit is issued subject to the regulations contained in the Footing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fi-aming InBp
applicable laws. All work wili be done in accordance with Inst.tlation T n s p
approved plans. This permit will expire if work is not started Shpat- Wall Insp
within IN da; of issuance, or if work is suspended for more Firewall Insp
than 1� days. Gyp Board Insp
Appy-/Sdwll< Insp
Final Inspection
Per-mitte Sign t 1_t t e • __ --
T s s t.i e d
q-
Tsst.ted By�
Call. fat- inspection 639-4175
City of Tigard Commercial Building Permit Application
.
13125 SW Hall Blvd.
Tigard, OR 97223 G I (1
(503) 639-4171
Jobsite Address:
Tenant•t(" (�)( 1 �,�i 1 Y� Suite# Office Usa only
Valuation:`_1�,�r Planck/Rec # ( I
/^ Permit# l�
Owner: �r'�/��• �i..F��/`'��f U ,�_/� f r,4�
Map & TL# -'I ") J� A...- .( (
Address: Approvals Required
/4A J'r'U ��-�+�7lJI� �7Z-Z'72 Approvals
Phone: Engineering —
Other
Contractor: �r1�i �� �Q►`�
Type of const:
Phone: .1! "j oOccupancy class:
Sprinklered? Yes
Contractor' License # _
(attach copy of current Oregon license) Sq. ft. of project: 7� j t`
Contact name & phone: Story (1st, 2nd, etc.) 7- �J
Proposed use: L) V II". C
Architect/Engineer: 6U ,J - �s�
Address:
Previous use: A J
Note: Plumbing & mechanical plans
must be submitted at time of
Phone: f* �, - j `f building permit application.
r
`- '013 DESCRIPTION:
�}fit_ � CLOS � ��C► ��T�r;� � A'
IJ
r
_ -Z
Applicant Signature & Phon4 nutinber
Received b r'
y: _1J��Juaue► ✓- bate Received: -- � ' � I -q(.e
/I
Permit# Account Description Amount Amt. Pd. Bal. Due
r4
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF ;TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality j'AMIJAL) _
y Water Quantity (WOLIANT) _
-c
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN)
il
J Erosion Planck/COT (EROSN) _
TOTALS:
CITY OF TIGARD
DEVELOPMENT SERVICES F'LUMBING PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT ##. . . . . . . . PI_M9Cil.)256
DATE ISSUED: 10/21/96
PARCEL: 1S133CA-00500
S T TE ADDRESS. . . : 11349 SW 1.3TH AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVE-R TRACT ZONING: R--25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .32
CLASS OF WORK. . ALT GARBAGE DISPOSALS. : 0 MOBILE HOMF_. SPACES. : 0
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : i BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRT='. . & FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . Qi
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 LATCH BASINS. . . . . . . : 0
FIXTURES------------- LAUNDRY 'TRAYS. . . . . . 0 SF RAIN DRA T NS. . . . . : 0
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : OTHER FIXTURES. . . . r 0
TUB/SHnWERS. . . . : ti• SEWER LINE (ft ) . . . . 0
WATER CLOSETS. . : 0 WATER I_INF= ( f!: ) . . . : 0
DISWWASHERS. . . . : 0 RATN DRAIN (ft ) . . . : 0
Remarks : Installing a washing machine
Owner: ------------------------- FEES
GARY NELSON type amuunt by date recpt
11295 SW 135TH PRMT $ 25. 00 DRA 10/21 /96 96-285404
5PCT $ 1. 25 DRA 96--20 40%i
TIGARD, OR 971-23
Pl-o n e #: 524-3902
AC CONSTRUCTION R PLUMBING CO
2157 SE HARLOW
TROUTD ALE OR 97060
Phone ##: 76.t :3637 26.. 25 TOTAL
R Fa y #. . % 010091
----•---- REL?U I RFD I NSPE'CT I ON
This permit is issued subject to the regulations contained in the Top--out Insp
Tigard Municipal Code, State of %. Specialty Codes and all other Final Inspection _
applicable laws. All work will be done in accordance with
approved plar,s. This permit will expire if work is not started
within 190 days of issuance, or if work is suspen'-d for more
than If' da-,,s.
1 ,e 1,mitt a Signa
Issued
L
0 Call for inspection — 639-4175
LU
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Nem..f a M
wv0 New Sinale Family Residences Only
Job �•/ ;����� ,7 El BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
`' -'' O 3 BATH HOUSE$225.00
Address carfrftl A+, Fee includes all plumbing fixtures in the dwelling and the first 100 feet
'J !f"F��, ,e 0(2 e,��lJtJ ��,�;� of water service, sanitary sewer and storm sewer. See fees below.
wna e
a of w.ees) FIXTURES CITY PRICE AMT
a
4 �►' � V Sink 9.00
Many Mdr.a Lavatory 9.00
Owner ) > `j >ZY a Tub or Tub/Shower Cor.+b. 9.00
Zia Shower Only 9,00
`F" 7 <✓i"-fv g C 7Z 77, Water Closet 9.00
N'm'f"" '''"""""" Dishwasher 9.00
Garbage Disposal 9.00
Occupant Mar,•�fe„, f,... Washing Machine 9.00 t
Floor Drain 9.00
VP Water heater 9.00
Laundry Room Tray 9.00
Urinal 9.00
r �, f !�� .. (( - 'v1 L ) Other Fixtures (Specify) 9.00
Maly Mfdaaa 1010 9.00
Contractor -�6 lI �� �G 9.00
ZIP��/' ' l ���• r����> _ 9.00
Sewer 1st 100' 30.00
State Reyatraoon No. j7 rnr Sta T.N. Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9,00
cA ""', -�'0""r / �' °•'• Any Trap or Waste Not
Connected to a Fixture 9.00
Uescribe work n w addition , alteration Q repair Q Catch Basin 9.00
to be done residential Q nd'n-residential Q
Insp. of Exist. dumbing 40.001!+,
Existing use of Specially Requested Inspections 40.001hr
I ulding or property A..,f Rain Drain, single family dwelling 30.00
Residential backflow prevention
r- �ILC,11�1 devices 1500
Proposed use of
building or property t
'(Except resldentlal backflow
prevention rfevices)
J
1~ NOTICE 1 'Minimum Fee $25.00 SUBTOTAL
J
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE '•Z '+
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT AN f TIME Ar TER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL r,
TO-'AL LS
Special Conditions
Date Issued _ by
CITY OF T'ICARD
DEVELOPMENT SERVICES 171ERMIT
4�1 ,
10MU2. M&Pffik 13125 SW Hall Blvd., Tigard.OR 97223 (503)639-4171P,E RM I T #. . . . . . . . M E C 9 6 0,�.,',0 0
EX
EYED: 10/21/96
P,ARCEL: IS1.337CW-00500
SITE ADDRESS. . . -. 11.349 SW 133TH AVE
SUBDIVISION. . . . : MILLARD/VANCHUYVER TRACT ZONING: R-25
BLOCV. . . . . . . . . . . LOT. . . . . . . . . . . . . :3c:
CLASS OF WORK. . :ALT 17LOOR TURN. . . . : 0 EVAP, COOLERS: 0
TYPE OF USE. . . . :MF UNIT HEATERS. . : 0 VENT FANS. . . : 2
OCCUPANCY GRP,. . : R1 VENTS W/O 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES---------------- 0- 3 h I I-,. . '. . : 0 DOMES. INCIN: 0
: /ELE/ 3-15 HP. . . . : 0 COMML. INCIN: VA
MAX INF,UT: 0 BTU 15--30 IAP. . . . . 0 REP'n I R tjhi-L rs. o
FIRE DAMPERS?. . : N 30-50 HP*. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : L 50+ HPI. . . . : 0 CLO DRYERS. . : 0
NO. OF AIR HANDL_ING UNITS OTHER UNITS. : 0
TURN ( 1001J, BTU.- 0 (= 10000 cfm : 0 GAS OUTLETS. : 0
TURN ) - I.00K BTU: 0 > 10000 cfm : 0
Reniat,ks : Enc_-.1osi.ng existing patio
Owner,: ---------- FEES
GARY NEI.-SON type Amolint by date t,ec_-pt
11295 SW 135TH P,RMT $ 25. 00 DRA 10/21/96 96285/iO4
F,LCK $ 6. 25 URA 1.0/21/96 96-285404
7'IGARD OR 97223 5PICT $ 1. 25 D f"(.1 10!2,1/96 96--229540
PrinTIEI #: 524—,-,902
ENGERT ELECTRIC CO INC
PIO BOX 476
LLACKAMAS OR 97015
Ptiori p #: 6-58--36-)'7 $ 32. 50 TOTAL
Reg #. . : 040310
REQUIRED INSPIEi'TONS
This permit is issued subject to the regulations contained in the Final IiiFiper_,tinn
Tigard Municipal We, State of Orr. Specialty Codes and all other Mecf)anical Insp
applicable laws. All wcrli will be done in accordance with Misc. Inspect; iori ......
approved plans. This permit will expire if work is not started
within 180 days of isFuance, or if work is suspended for more
than 180 days.
P f3 V-M i t 1,P('1"6'i�un tIJ V P
Call for, inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION 'l Permit # 1JU I'f& - �
Tigard, OR 97223 /I
(503) 639-4171
m•^ •^ Description _
Table 3A Mechanical Code QTY PRICE ANIT
,•U 1
Job 1"*4;�� 17;"S- , 1) Permit Fee -0- -0- 1000
Address
►�`' 0 77, 2) Supplemental Permit 3.00
Furnace o
a �1_ ~^ LS�� 1) incl. ducts &vents 6.00
• ••• °^• Furnace 100,000 BTU +
Owner I l�� ! �2 a 2) incl. ducts &vents 7.50
•• Floor Furnance
r _
2) incl. vent 6.00
(-- •m• ^• ••
-----Tu- ,ended eater, wa eat—
) or floor mounted heater 6.00
••^• °•" Vent riot mcl. in
Occupant 5) appliance permit 3.00
•• Repair of heating, reng
6) cooling, absorption urit 6.00
m• of er of comp, neat nump, air con
U! .
' �• lC 7) to 3 HP; absorp unit to 100K BTU 6.00
i U" n/�, °A• Bollei or ccmp, deaf pump, air cond.
(•, 6 �l,kC !� 8) 3-15 HP; absorp unit to 500K BTU 11 00
Contractor Boiler or comp, ea pump, air con .
1�1; '7 9) 15-30 HF absorp unit 5-1 mil BTU 15.00
f5MWs Boiler comp, heat pump, air-nn
10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
-TIFere y ac now(a ge that ave read is app icahon, a A cler or comp, heat pump, air cond.
information given is correct, that I &m the owner or authorized 11) > 50 HP; absorp unit 1 75 mil BTU 3750
agent of the owner, that plans submitted are in compliance with Air an rn( umt to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. (If exempt from State Air handi7g unit
registration, please give reason below.) 13) 10,000 CTN + 750
on p-rta r
14) evaporate cooler 4 50
-- Vent fan connected
15) to single duct Z 3.00 _
Ventilation system not
* Z �E. 16) included in appliance permit 4 E,,
*7- Hood serve y ---
17) mechanical exhaust 450
escn a work new addition alteration repair (.Tj Commercialor industrial
to be dome residential Q non-residential Q _� 18) type incinerator 3000
xls rng �tse off- / ter i e, woo stove, water
building or property .1,t"� ,( t 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of -�•�'� 20) Gas piping one to four outlets _ 2.00 l
building or property _, •�. 1 II
21) Mere than 4-per outlet (each) 2.00
v~i Type of fuel -oil 0 natural gas Q LPG 0 electric 0NOTICE
- --
r-
_J Minimum Fee $2°.00 SUBTOTAL �S
r PERMITS BECOME VOID IF WORK OR CONSTRUCTION
cv AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 546 SURCHARGE
w IF CONSTRUCTION OR WORK IS SUSPENDED OR —I}
J ABANDONED FOR A PERIOD OF 180 DAYS AT, 'TIME PLAN REVIEW 25% OF SUBTOTAL L
AFTER WORK IS COMIVc-LACED. '-
TOTAL
Special Conditions
Date issued —- -by
H'1r614GST3%MECHPMT