Loading...
15855 SW 80TH AVENUE E. S' ADDRESS: aW WolN Avg N/ U 9: 01 LAJ a I:Vecordsktticrotlmktargetsybuilding.doc CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT it. . . . . . . : MEC98-034.0 0i 13125 SW Hall Blvd., Tigard,OR 97223 (603)6394171 DATE ISSUED- 08/12/98 PARCEL.: 2SI12CC-04300 SITE ADDRESS. . . : 15855 SW BOTH AVE SUBDIVISION. . . . . BOND PARK NO. 3 ZONING: R-1 C' BLOCK. . . . . . . . . . . L_01.. . . . . . . . . . . . . .071 JURISDICTION-, TIG ------------- CLASS OF WORK. . :OTR FLOOR FURN. . . . - 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY ORP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS;COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES--------- 0-3 HP. . . . : 1 DOMES. INCIN: 0 .GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?— 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 1016K BTU: 0 <= 10000 cfm : 0 GAS OUT' E T S. % 0 FURN >=I0011 BTI_): 0 > 10000 cfni: 0 Remar-ks : Installation of a/c unit, oust comply with standard setbacks. Owner-,. FEES SEAN VANDERHEIDEN type aMOIAnt by date recpt 15855 SW BOTH AVE PRMT $ 25. 00 DEB 08/12/98 98­30B22:11 TIGARD OR 97223 5FICT $ 1. 25 DEB 08/12/98 98­30822.1 Phone #: 620-5705 Contractor: -------------------------------- (I It A HEATING & COOLING P. 0. BOX 1266 ---_—__—._-----._---_.__________________ $ 26. 25 TOTAL SANDY OR 97055 Phone #r Rey #. . : 000870 REQUIRED INSPECTIONS This permit is i, -und subject to the regulations contained in the Cooling Unt Insp ligard 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 within 1B8 days of issuance, or if work is suspended for more than 180 days. ATTFNTION: Oregon law requires res you to follow rules rn adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 through OAR 952-80I-0080. You may obtain copies of these rules or direct questions to O11NC by ralling _J (503)246-9187. I -,s t.i e, By - P r mi. ttee Signatt.tre : 11<� "__ 4..............4...................................................4-++-f.........++ Call 639-4175 by 7:00 p. m. for inspections needed the next bl.isinesr day ..........................................4 +A..........4........4.........4...... A Plan Che CITY OF TIGARD Mechanical Permit Application Recd BvFK�x ___ 13125 SW HALL BLVD. Commercial and Residential Date RecdEt,;� — TIGARD, Ok 97223 Date to P E (503) 639-4171, x304 Date to DST Print or Type Permit a_ � _n r Incomplete or illegible applications will not be acceptftd Called_ -- Name of CeveioomenvProiect ^� Description —� Table to Mechanical Code oTY PRICE AMT Job Street Address suite* A; Permit Fee -0- -0- TO-0 0 Address �i" `��i ',>w 1blt 4�10_ . Bldgs I CdyiStale Z. B) Supplemental Permit 300 )v- U J 72 j.'1 Name tor name of busir t 1 ) Furnace to 100 000 BTU 6011, Owner Q 9 incl ducts 3 vents Mawng address f 2 1 Furnace 100.000 BTU+ — 110 CL rlf, incl ducts&vents _ Cit tStateup Phone 3) Floor Furnace 6.00 (. 6. -51'1 incl vent Na[[t-e for name of busnessi 4) Suspended heater,wall heater 600 Ir52�_ or floor mounted heater Occupant 1 aiiny aadrefs 5.) Vent not incl.in 3.00 _ appliance permit C,tyrsime i Zw Phone 6.) Boder or comp,heat pump,air cond I 5 00 to 3 HP absorp unit to 100K BTU Contractor Na1T1e 7) Boiler or comp,heat pump,air cond 11 00 (Pnor to c"IV 1 3-15 HP:absorp unit to 500K BTU issuance M dmA Addresses 8) Boder or comp heat pump air cond 1500 applicant ((J f! Q(�(.L 15-30 HP.absorp un-t 5-1 and BTU must provide all �r8tate Zlp Phone 9) Boder or comp heat pump,air cond 2.2 50 contractor 1 Y (J r37,. " r( ) 30-50 HP absorp unit 1-1 75 incl BTU license o Const Cont Board Lic$ Erp Daie 10) Coder or comp, heat pump,air cond. 37 50 information �t U) // t >50 HP.absorp unit 1 75 and BTU for COT C Business ax dr, erre a EX 11 ) Air handling unit to 41, database) _ "1 10.000 CFM Architect Name 12) Air handling ri,t 1 7.50 10.000 CTM+ _ C,r M.ding Address 13) Non portable 4.50 evaporate cooler Engineer Cdylsfate Zip Phone 14) Vent fan connected 3.00 to a single duct Describe work New C Addition O Alteration 16 Repair O 15) Ventilation system not 4 50 to be done Residential O Non-residential O included in appliance permit Additional Description of work 16) Hood served by mechanical exhaust 450 171 Domestic incinerators _ _ 7 50 Existing use of 18) Commercial or mdustnaltype 3000 budding or property -� J incinerator 19) Repair units 4 50_ Proposed use of 201 Woodstove 4 50 budding or property i-- 2t 1 C,othes dryer.etc 450 V, -- — — Type of fuel-oil O natural gas LPG O electric�) j '.21 Other units 450 H I heresy acitnowleage that I nave read this application,that the 23) Gas pioing one to four outlets 2 00 information givens correct.that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) u0 t' laws Signature of Owner/Agent Date i QTY.SUBTOTAL –C7 �5 ^^ 'SUBTOTAL ll Contact Person Name Phone ~V 5%SURCHARGE PLAN REVIEW 25°,OF SUBTOTAL TOTAL dst mechpmt clot rev 7,96) �� Mirnmum permit fee is 525 w 5 o surcharg C-D CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0486 13125 SW Hall Blvd., Tigard,OR 57223 (503)639.4171 DATE ISSUED: 08/1.2/98 E'ARCE:L: 2S 1 12CC-04300 I SITE ADDRESS. . . : t5855 SW BOTH AVE SUBDIVISION. . . . :BOND PARK NO. 3 ZONING: R-1 BLOCK,. . . . . . . . . . . LOT.. . . . . . . . . . . . . :O71 JURISDICTION: TIG F'ro.j ect De scr i pt i.on : Installation of 1 branch circait for a/c unit. --------------- ----------- ---RES I DF_NT I AL UNIT---- ----TEMP SRVC/FEEDERS—_.-- ---.--MISCELLANEOUS----- 1000 --.--MISCELLANEOUS------ 1000 SF" OR LESS. . . . : 0 0 — 00 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401. — 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601-+amps-1000 volts. : 0 MINOR L.-ABEL ( 10) . . . : 0 -------SERVICE/FEEDER-•--- -----BRANCH CIRCUITS-----_ ---ADD' L INSPECTIONS------ 0 ._. 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 --__.__.__-_.__..—_—_—_F'L.AN REVIEW SECTION— __________.-.---.._.__ 1000-+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : CC. :OReconnect only. . . . . : 0 SVC/FDR ) = 225 AMT'S. . : CLASS AREA/SPEC OCC. - Owner: wner: ___________..__.____________.___.____-_—_---.___._______.___._ FEES -----_.______-_—_-- SEAN VANDF_RHE:IDEN type amoLrnt by date recpt 15855 SW 80TH AVE PRMT $ 35. 00 DEP 08/12/98 98-3082=1 TIGARD OR 97223 5P,CT $ 1. 75 DEB 08/1.2/98 98-3O8221 Phone #: 620-5705 Contractor: ----------------------------- SHARPE ELECTRIC INC $ 36. 75 TOTAL. 22605 SW RIGGS -------- REQUIRED 1 NSF'ECT I ONS ------ BE.AVERTON OR 97007 Elect' 1 Set-vice Phone #: 642-7937 Elect' 1 Final. Reg #. . : OOO815 This permit is issueu ',ubject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 10 through OAR 2-001-1987. You may obtain a copy of these rules or direct questions to OUNC by cQa-llliing �(5j031�4G-1987. �+ p e r m i t t e e S i.g n a t i_i r e : r.: F— ---------------OWNER INSTALLATION ONLY--------------------------- _ The installation is being made on property I own which is not intended for sale, lease, or rent. —' OWNER' S SIGNATURE: DATE: --- m co LL; —__-----_.-.----------------CONTRACTOR INSTA LATION ONLY-----------_---_.__--_------ J � �G y I GNATURE OF SUPR. ELEC' N: LICENSE NO: 53�VS1 +++++++++++++++++++++++++i++++++++++++++++++++++++++++++++-F++++++++++.1++.++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi_isiness day +++++++++++++++++-++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ CITY OF TIGARD Electrical Permit Application Plan CI�Ck a 13125 SW HALL BLVD. Recd KNV Date Rec'd TIGARD OR 97223 Date to P.E.-• Phone (503)639-4171, x304 Date to D �� Inspection (503) 639-4175 Print or Type Permit# . Fax (503) 684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development, - Number of Inspections per permit allowed Name(or name of busines`s)_ C'(/� 7 Ny 2 �hr] Service included: Items Cost Sum Address_ '25 5(U C�"' /` �1/✓r- _ 4a. Residential-per unit 1000 sq.ft.or less $110-00 4 City/State/Zip- 7 1 _ Each additional 500 sq.h.or ❑ Residential portion thereof $25.00 1 Commercial Limbed Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of al rrent licen 5( Ins Services or Feeders r ���✓ (�t t Installation,alteration,or relocation Electrical Contractor - 200 amps or lass $60.00 2 Addre 5 ' n J 201 amps to 400 amps $80.00 2 City 63, State Zip ` � _._ 401 amps to 600 amps $120.00 - 2 Phone No. L'1..2 • 7"t 3 601 amps to 1000 amps -_ $180.00 2 7 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 __ 2 Elec. Cont. Lice. No. ""�Exp.Date - ` ri _ ���L�LS_ Exp.Date 4c.Temporary Services or Feeders OR State CCB Reg. N�0 COT Business Tax or Metro No. 1 / _Exp.Date I- Installation,alteration,or relocation 200 amps or less $50.00 s- 2 Signature of Su r. Elec'n �1a, C_/ 201 amps to 400 amps $ 00.0 Si - g p 401 amps to 600 amps $1 t 00.00 _ 2 Over 600 amps to 1000 volts, License No. 33q Exp.Date it)-l- see"b"above. Phone NO. ----- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _.__, feeder tee. Each branch circuit $5.00 Address --------- b)The fee for branch circuits City ___ State __ Zip without purchase of ? 1 Phone No. _ service or feeder fee. I irst branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature_ Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 3. Plan Review section (if required):' Signal clrcuit(s)or a limited energy 3. alteration or extension $40.00 a Minor Labels(10) $100.00 Please check appropriate item and enter fee In section 5B. FR- _4 or more residential units in one structure 41.Each additional Inspection over N Service and feeder 225 amps or more the allowable in any of the above y System over 600 volts nominal Pw inspection $35.00 .~, Classified area or structure containing special occupancy Per hour $55.00 r~ as described in N E.C.Chapter 5 In Plant $55.00 LL 'Submit 2 sets of plans with application where any of the above apply. Jr. Fees: J Not required for temporary construction services. 5e.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ Z NOTICE Subtotal $ 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Sec.3) $ ----- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account M > TIME AFTER WORK IS COMMENCED. $ �1�r Total balance Due I W5TMELC96 APP "ft 9/9A CITY OF TIGARD BUILDING INSPECTION DIVISION 7� T Sr 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested - AM M h � BLP Location I�n J 5 W r�n-fl't Suite MEC iJ v Contact Person _ Ph PLM Con`ractor F-Pi Ct— c_ Ph y -7` 37 SWR BUILDING Tenant/Owner Retaining Wall f ELR _ Footing ACces sj- FoundationCn Mt S � C FPS Fty Drain X. .� � (,J (fi� Crawl Drain Inspection Notes: / h SGN Slab _ ��u,N h j SIT Post&Beam Ext Sheath/Shear _--- -- Int Sheath/Shear r Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: — Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains _ Final -' PA FAIL MECHA .._-- Post& Beam Rough In Gas lineP Dampers S'b` PART FAIL -- = Service Rough In UG/Slab Low Voltage Fire Alarm r FREES:54ART FAIL S Backfill/Grading - Sanitary Sewer Storm Drain j J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin j ]Please tail for reinspection RE: Fire Supply Line — ( J Unable to inspect- no access ADA "� Ext Approach/Sidewalk Date �1- _- Inspector Other -7 _�- p _ _ _ _ - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.