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15061 SW 91ST AVENUE ADDRESS: 15 4E 0GI qiVAviD� - N H J N CD LA.) J lAi e��,)rds\rnicroflmMargctsVwilding.doc d 0 z m 'a az o � = J M Of cy Q� 0� O a n a o a CD n < Q a a a co 0- 0 a a a ca a s a" Q, U ro L. °- co O .o N d N Q � A n R: N Ln Y F— J ti n] LD LL 0 OZ � Z Z + Q p z z LL R LL z LL LL Q) In to rn m 0 O O Q N N N N D a a a s a a a m m m m m m n 00 \ \k k \\ >_ 0 ® ° z \ \ ) k 2 2 § 2$ $ m m E $ % n A9 [ § 8 § D § § q % 7 $ @ 4 q 2 CL k $ \ ) 7 k \ \ \ � f f 0 o » I = I z z z � � Cl T \ \ \ \ / \ \ o a = z o & o | 00 cr) £ � . W j k \ % ( \ § \ � 2 � $ )o % $ � k L- © k \ a k § ¢ $ � k $ � § % S q $ $ � § � ± a � 3 % '> k ) \ / 2 / 7 a b \ ) M m 7 : \ ) \ ) r § R % E / '05 # \ ƒ ) 2 \ E / $ r # a ) of« q % oE § gfk 6 / § ) j WWWWm d G d d a 0 z a � a v w Z Z am < < 7 -0 N O > Z W J N 11 '^ a aa. 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Suite MEC — Contact Person ` �X� v Ph �_� Z PLM Com, Contractor_ ',_,� , c; � Ph i�_S _ SWR G� BUILDING Tenant/Owner ELC Retaining Wall ELR — Footing Access: Foundation FPS Ftg Drain --- SGN Crawl Drain Insoection Notes: -7– Slab --�I�C_ Gi.�4 -- SIT _ Post& Bnam Ext Sheath!Shear -_ Int Sheath/Shear Framing Insulation -- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Sust)'d Ceiling - -- --- -- Roof MISG: --- Final PASS PART FAIL --- -- ---- �-c--- — PLUMBING Past& Bean _ __------ — --- -- ----_- -- Under Slab >•oN Out _ __-------- --- - - -- Water Service Sanitary Sewer - Rain Drains Final PASS Pr%RT FAIL MECFANICAL _ Post&Eearn ---- -- ----- --- Rough In Gas Linc ` ---- - — Smoke Compers Final - — PASS PART FAIL LECT Rough e R r� Rough In v UGlSlah I ow Voltage Fire Alarm --- - -� 'Fit- c� S PART FAIL Backfill/Grading Sanitarj Sewer Storm Drain I I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f 1 Please call for reinspection RE: _ [ � Unable to inspect-no access AOA _ Approach/Sidewalk � Date z Inspector Ext Other - --- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.. A CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 (.L LLl Plan Check# C-! Y OF TIGARD Mechanical Permit Application Recd By--:L/_Al V'125 SW HALL BLVD. C D7t11 r .i and Residential Date Rec'd _zf� T ARD, OR 97223 Dale to P.E. (503) 639-4171 X304 Date to DST_ JUN Print or Type t Permit# /9E `,� - Q Called incomplete or,illp9ible applications will not be accepted Narne of oevelopmen fed Descripbor, -- -- Table 1A Mechanical Code QTY rPR;,'C�E AMI Job sass Address BuNe! A) Permit Fee --- 11 10.00 Address 1 G�,� 1citylstate Zip B) Supplemental Permit Name(or narne of busbies,) I Furnace to 100,000 BTU 600 Owner C ' l ICT 1 l I 'S ind.ducts&vents Mauh�ddreu n� 2.) Furnace 100,000 BTU A 7.!J incl.duds&vents Gjtylstale Zip "Woo 3.) Floor Furnace 6.00 1 1 or Io t��``�� I (O '�O�I�t� incl_vent — ht.rte(a rtran.of 4) Suspended heater,wall heater 6.00 or floor mounted heater Occupant Mailing Address 5.) Vent not incl.in 3.00 appliance permit cnylstate Zdp Rtotre 6.) Baler or comp,heat pump,air Gond. / 6.00 _ _to 3 HP;absorp unit to 104K BTU - -- ! T 6A ' )oewC� " 7.) Boiler or comp,heat pump,air coed. 11.00 3-151<P;absurp unit to SOOK RTU Contractor MaArq (�18,) Boiler or comp,heat pump,air Gond. 1500 - 15-30 HP;absorp unit.5-' mil BTU Attarh copy of Cuyistate 7,v,Zlp Phan 9.) Baler-r comp,heat pump,air Gond. 22.50 Current Licenses )( l I • (,1. �l rW30-50 HP,absorp unit 1-1 75 mil BTU Cxegon Cana.Cont.Board Lkrl lap.DWA r• 10.) Boiler or comp,heat pump,air coed. 37.50 Cry c` �? >50 HP;absorp unit 1.75 mil BTU _ COT BlpirrusTubtor • Fes►. , 11.) Air nartdlingunit lo — 4.50 10,000 CFM Architect frame 12) Air handling unit 7.50 10,000(,TM+ — or Mailing Addreiii 13.) Non portable 4.50 3 evaporate cooler Engineer CRY/sate zip Ptwne 14J Vent fan connected 3.00 — _ _ to a single dud _ Describe work New O Addition O Alterrtion O Repair O 15.) Ventilation system not 4.50 to be doneResidential O Non-residential O included in appliance permit Additional Descriptlnn of work -- 16) Hood Served by mechanical exhaust 4.50 17) Domestic incinerators 7.50 Existing use of 16) Commercial or i,x ustrial 30 00 building or property__— pe incinerot 19.) Clothes dryers,etc. 450 Proposed use of 20) Other units 450 building or property -— ,--_—_- Type of fuel-oil O natural gas O LPG O electric O 21) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) 50 information given is carred.that I am the owner or authorized agent of i the owner,that plans submitted are in compliance with Oregon Slate QTY.SUBTOTAL laws Signature of OwrwdAgent Datte,, 'SUBTOTAL 6%S URCHARGE �> r Nam Pharle PLAN REVIEW 25%OF SUBTOTAL f 1 St L M lT Y�_ TOTAL i.ldstvrachpmt.dae — 'Mlnlmtmt permit fee is$25+5%surcharge Rev 7195 JUN--22-913 MON 14 :25 D&T r"S SERVICE INC 5036422802 P. 01 B & rT GAS SERVICE (503)642-7243 8528 SW 190th /avenue FAX (503) 642-2801 Beaverton, OR '97007 Kcb HA-cp.1s s�- T 12 r, , ►�cu�rrCAA .I-P -f ® Orlmed on Pocyclod P �r CITY OF TIGARD DEVELOPMENT SERVICES 13125 5 yr Mall Blvd., Tigard,OR 97223 (503)639.4171 CITY OF TIGARD Electrical Permit Application Plan Check 1l 13125 SW HALL BLVD. Recd By_ Recd r Date TIGARD OR 97223 Date to P.E. Phone (503) 639-4171, x304 Date to DST Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permittf Fax (503)684-7297 Caped_ 1. Job Address: 4. Complete Fee Schedule ,below: Name of Development___ -.- Number of Inspections per permit allowed Name(or name of business) I\, Service included: Items Cost Sum Address 10 6 I 5T ' 4a. Residential-per unit CitylState,Zip j c A'rA- n I !,h't Each additional 500 sq.ft.or � $110.00 4 �1 portion thereof _ $25.00 _ 1 Commercial E] Residential Q Limited Energy $25.00 Each Manuf'd Home or Modular 1 Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of till current licenses) 4b.Services or Feeders Electrical Contractor- �'J P> )P G rl C_- Installation,alteration,or relocation Address I j AS r 200 amp• or less $60.00 2 201 amps to 400 amps $80.00 2 City State Zip � 1X5 __ 401 amps to 600 amps - $120.00 _ 2 Phone No. 2 -7 601 amps to 1000 amps $180.00 2 Job No. Gvcr 1000 amps or oils $340.00 2 Elec.Cont. Lice. No. - Date r' ) Reconnect only __ $50.00 2 OR State CCB Reg. N0. 'Exp,Date ( L, 4c.Temporsry Services or Feeders COT Business' ax or Met No. xp.Date_ _ Installation,alteration,or relucation 200 amps or less __ $50.00 2 eOl amps to 400 ampa $75.00 2 Signature of Supr. Elec'n _ a.� - 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. `_ _Exp.Date_ -r see"b"above. Phone No. 4d.Branch Circuits Nr,,,,,allegation or oxlenslon per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name___ feeder fee. Address Each branch circult $5.00 b)The fee for branch circuits City _ State Zip without purchase of Phone No. service or feeder fee. First branch circuit ! $35.00 i 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 Sigr ature Each pump or Irripallon circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy- $40.00 2 panel,alteration or extension Minor Labels(10) $100.00 Please check appropriate item and enter fee In section 5B. _4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above J System over 600 volts nominal Per Inspection _ $35.00 �. Classified area or structure confaining special occupancy Per hour $55.00 °? as described in N.E.C.Chapter 5 In Plant $55.00 LO Submit 2 sets of plans with application where any of the above apply. J. Fees: Not required for temporary construction services. 5s.Enter total of above fees $ ---- 5%Surcharge(.05 X total fees) S NOTICE Subtotal $ 5b.Enter 2596 of line Be for PERK"TS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reauired(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 Accouit N TIME AFTER WORK IS COMMENCED. _ Total balance Due r\DSTSIELC96 Anl` nev 9/95