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PERMIT i
t[TY OF TIGARD DATEIISSUED. 07/;:'4E9Gf�_0 3
COMMUNITY DEVELOPMENT DEPARTMENT _
13125 SW Hall Blvd.Tigard,Oregon 97223+8199 (503)839-4171 PARCEL: 2S 1 1 1 CB-00400
.SITE ADDRESS. . . : 146.35 SW 103RD AVE
SUBDIVISION. . . . : DEL MON T E SUBDIVISION ZONING: R--3. 5
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :
CLASS OF WORK. . :NEW FLOOR I-URN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . : R3 VE=NTS W/O APPI_: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRE:SSORS HOODS. . . . . . . : 0
FUEL TYF'cS—_..__ ._..._.____—_ 0-3 HP. . . . : 1 DOMES. INCIIII: V,
3-15 HF'. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15--30 11P'. . . . : 0 REF,AIR UNITS: 0
FI RE DAMPERS ?. . : 30---50 HP'. . . . : 0 WOODSTOVES. . : 0
GAS P'RESSURE. . . : 50+ HF'. . . . : 0 CLO DRYERS. . : 0
NO. OF UN I T.Ca ----- - -- AIR HANDLING UN I T5 OTHER UNITS. : 0
FURN ( 1001-1, BTU- 0 (= 10000 c_f m : 0 GAS OUTLETS. : 0
FURN > =100F< BTU: Ql > 10000 cf m : 0
Remar,I<s : Installing a carrier heat pl.lmp to 31-1p.
Owner: _____.______._._______.___._____.___._______._.___.______.____-- FEES
I'EREVr1R COTER type amol_rnt by ijate r•ecpt
14635 SW 103RD F'RMT $ 25. 00 CJS 07/24/96 96-201997
5P,CT $ 1. 25 CJS 07/24/96 96-081997
T I G A R D OR 97.:' _ ,
F'ti o n e #:
Contractor:
SUNSET FUEL CO
PIG BOY 422:67
F'ORTI_AND OR 9724E --•--•----------•-- ---.---________—._______..___
Phone #1 503--234-0611 $ 26. 25 1-01-AL
Rey #. , : 002'37 +
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Ml�nici ra) :tat of Ore. Specialty Codes an, all other Mi sc. Inspection
applicable law;. All work will be done in accordance wish Final Inspect ion
approved plai,i. This pewit will exoire if work is not started
within 1E10 days of issuance, or if work is suspended for sore
than 1E10 dar.
Permittee Siynati.ir-e :
F
I s s i.red By: _cha-r—_ .._._.
Call for inspection — 639--4175
City Of Tiga;d MCCHANICAL PERMIT Planck/Rec. #Q�7 D8)a9,7
131': SV'd Hall B,vd. APPLICATION Permit # M91W_Q,3�3a
Tigard, OR 97223
(503) 639-4171
Description
Table 3A Mechanical Code OTY PRICE AMT
Job - l t,�,5r 1) Permit Fee -0- -0- 10.00
Address ••
2) Supplemental Permit 3.00
•^. ^^^•^ .•^••• Furnace to 100,000 BTU
C-fQX4,✓1 1) incl ducts 3 vents 600
A4_ Furnace +
Owner ) D��'✓ -ti 1 � -1�$�1 7.) incl. ducts 8 vents 7 51]
•'• Woor�nance
3) incl. vent 6.00
•'^ °•^••
Suspended eater, wall eater
4) or door mo,mted heater 6.00
^•^a •^• °^• Vent not incl, in
Occupant 5) appliance permit 3.00
•• �' Repair of heating, re rif g-
6) cool,ng, absorption unit 600
Boiler or comp, heat pump, air cond.
•^a�J`V �Q� ' 7) to 3 HP; absorp unit to 100K BTU 1 6.00 lq�u
M.-,; Boiler or comp, heat pump, air cons.
Contractor '4 S-,�_e "�'"'�` Q�~0ol 8) 3-15 HP, absorp unit tc 500K BTU _ 11 00
'V-"• -a Boiler or comp, heat pump, air cord.
9) 15-30 HP; absorp unit .5-1 and BTU 15.00
•. •w• •�, r-- n -9uler or comp heat p.,rnp, air con-d. —
-4 a� 10) 30-50 HP, absorp unit 1-1.75 mil BTU 22.50
hereby ac now a ge that I have read this application, that the Boiler or comp, heat pump, air con
information gives s correct. that I am the owner or authorized 11) > 50 HP, absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compuance with it_155-n-a ling 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 conect. '!f exempt from State Air handling unit
registration nlease give rPaacn 13) 10,000 CTM + 7 50
Non portable
14) evaporate cooler 450
Vent fan connects
'15) to a single duct 300
enti aeon system not
16) included in appliance permit 4 50
a. .,..^., •a•^nHood servea by ---
1 i) mechanical exhaust a 50
Describe work new addition l �
alteration j reps+r Commercia or rn ustna
to be done residential Q_ _aen•residential Q 18) type incinerator 1000
Existing use o ter i.e., woo stove water
building or property _ 19) heater, solar, clothes dryers. etc. 4 50
Proposed use of 20) Gas piping one to four outlets 200
building or orouerty
> 21) More than 4-per outlet teach) 200
Type of fuel • oil (D natural oas Q LPC Q electric U
J
t� Minimum Fee $25 00 SUBTOTAL
PERMITS BECCh1E VOID IF WORK CR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5°b SURCHARGES
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED
_ (� TOTAL aJJ
Speclol Conditions 1 4�`��Sx C) -
A iJ Date issued byC_-J
IlcaIfr.osTT MccrroMT
50��
CITY OF TIGARD BUILDING I PECTION NONO CE
Inspection Line: 639-4175 Business F lone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath „_ , Framing -Mach.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. ch. Rough-i Gyp. Bd. -Bldg.
San. Sewer Gas ne Appr/Sdwlk Reins.
Other: _
Date: Z. _ A.M. P.M. E.dry:
Address: _ U _y
Tenant: _ _ Ste:___ MST:
BLIP: _
Con/Own:__ MEC::T .3
PLM;
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
/d
T
_A C vX1477 oN/r
�J
/,C
torDat ZdPROVED __DISAPPROVED/CALL FOR REINSP. CF CO
cAly (m- I'moRl) - R11 * 11PI M- 1lOYMV-141 Hk (T 11-1 1 NO.
tall 1;1' Ami ll-Ir'll
NAME 441
(4DORP-o;
POIMAIND OR
I I-iy Ivil N I AMOUNI P1411) 1,1114PUbf. DI- I,(-lvW-,Nl 1-414)(11,41 l-,11JO
ir"14TA RJCAL r"F1011 I 31t�l IMP lvlF l-HAN I GAI I-It-, M 1�L9 IA ir'3 ie
un St. FAUTIA) PER 00
LL)
MEC96-.02329 EL-C96-0479
34035 SW 103RD
101AL AMUUNT PAID
r .
/ 35
7 6 n c-n 7 Z 211-( I
N �
D ELECTRICAL PERMIT V
CITY OF TIGAR D AT1E�I ISSUEDl: 7/24/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL• 2S 1 1 1 CD--00400
SITE ADDRESS i zi B3 5 SW 1031RD AVE
SUBD I V I S I ON. . . . : DEL. MONTE SUBDIVISION Z Onl I NG: R-3. 5
BLOCS:. . . . . . . . . . . LO1". . . . . . . . . . . . . :
Pro.ject Description : Installing one branch ci1^cl-tit.
__..-- RESIDENTIAL UNIT----_ --1'EMF'�GRVC/FEEDER5----- --------MISCELLANEOUS-_---.__
1000 SF OR LESS. . . . : 0 0 - 2,00 +m]r. . . . . . . : 0 PUMP/IRRIGATION. . . . : k7
EACH ADD' L 500SF. . . : 0 201 - 4121+21 ar p. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
L'IMI'TED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 111 SIGNAL/PANEL. . . . . . . : 111
MANE. HM/ SVC/FDR. . : 0 601•+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 0
_ -SERVICE/FEEDER---- - --BRANCH CIRCUIT';- -_.___ ------ADD' L INSPECTIONS--_.
0 - C'0i amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC:: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ---___ ._ ________..._F'LAfV REVIEW SECTION-
1000+
,:SECT I ON------.--•--- --
1000•+ anlp/volt. . . . . : 4'1 )=:4 REE; UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. .
Reconnect Only. . . . . : 0 SVC/FDR ) = 225 AMPS— : CLASF AREA/ ;'PEC OCC. :
Owner^: -______________-_________----..___, FEEri
TREVOR COTER type amol.tnt by date recpt
14835 SW 103RD F'RMT $ 35. 00 CJS 07/24/96 96--281997
5PCT $ 1. 75 CJS 07/: 4/96 9G--281997
TIGARD OR 972L-23
Phone #:
SUNSET FUEL CO $ 73t_•. 7`'r TOTAL
PCJ BOX 42287
2944 SL POWELL BLVD (97202) ____.____ REOUIRED INSPECTIONS -----
PORTLAND OR 97242-0287 Ceilinq Cover- F_lect' 1 Ser-vice
Phone #: 503-234-0611 Wall Cover-
Reg
overReg #. . . 2374
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other F'er-mittee Signe
applicable laws. All wirk will be done in accordance with
approved plans. This permit will s,xpire if work is not started r
within 180 days of issuance, or if work is suspended for more
than 180 days. Isslled By
_OWNER INSTALLATION
The installation is being made on property I own which is not intended for-
sale,
orsale, lease, or rent.
OWNER' S SIGNATURE: _ _ DATE:
_.- - ---- -_ ------------CONTRACTOR INSTALLATION ONLY-•-_--------------------------
'" I VNATURE OF SUPR. ELEC' N: .�._. DATE
LICENSE NO:
Call for- inspection •- 639--4175
I Y OF TIN-4RD PI OF PAylvil-twi I Int 1 No. c, j 9'.-
(Aw.1 k AMOUNJ a 6,1. 00
NAMEK a SUNSET FIJIA- rf.) CASIA AMUUNJ a ka, 00
i t PAYMEN't
CIDDRESS .U BU X 4c'-1�.',8 7
PORTLAND OR SUBD I V I S I UN
977-4P—OP8Y
PURvUSE OF PAYlIFNI Pf;11) PLIHI.•,ubl 14-110
ELF ?5. 00 MF 1111 111 t
00
1114JUAL PkRMJI
IST. SMU) PER
k.f 1,,16-04 714
AMIRINI P010 ;1'. k40
Community Development ELECTRICAL PERMIT APPLICATION
J s.
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # ELC. )!�—� 7
Phone (503) 639-4171 Date Issued ZI 9
FAX (503) 684-7297 Issued by
CITY OF TiGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
9. Job Address: 4. Complete Fee Schedule Below:
Number of Inspection*per permit allowed
Name of Development Sum
Q — Service included: Items Cosgea)
Andress I`�� S 4
` —=\ O�_ �� 4a. Residential- per unit $11000
City/State/Zip 1000 ey It ar Ieas
��
Each Additional 500 no h or $2500 1
Name (or name of business) `�`� ` ���✓\ portion thereof $2500 _
Limited Energy 2
Commercial❑ Residential Each Manu1'd Home or Modular $68 00
Dwelling Servrar of Feeder
2a. Contractor installation only: 4b.services or Feeders 2
_ n � (� � (\ Installation,alteration,ur relocation >�10 2
r J'- 1 l Imo) 200 amps or less 2
Electrical Contr``alIctol`-����---'¢ 201 amps to 400 amps 62000 2
Addr ss�"4A oA — I 401 amps to f100 amps $120 00 2
_ State Lli]vl�o'l�'_ 601 amps 101000 Amps $19000 — 2
Cilty U _ Over 1000 amps nr voAs $34000
Phone No. �� �VID�t Recunnecl only $5000
Contractor's License No. -
CO,itrac!or's Board Reg. No. 4c. Temporary Services or Feeders
installation,Alteration,or relocation
$5000
200 amps or 1066 b75 00
Signature of Supr. Elec'n_ t 201 Amps to 400 Amps
License No. h��S — f one No._ 401 amps to 900 Amps s+oo 00
Over 90o Amps to 1000 volts
see'b'Above
2b. For owner installations:
4d. Branch Circuits
Print Owner'$ Name _—_— New,Alteration or extension per panel
A)The fee for branch cucuns with 7
Addresspurchees of service or Reeder Ire $5 00
City__,_ � State ZiP Ear,biatrh circuit
Phone N0. _ b)The len lot branch arcuda wffhWf
purchase of*nuke cr feeder fee. \ $3500 J— O 2
rhe installation is being made on property I own which is First brnrrh circuit $500
not intended for sale, I ase or rent. Each Additional brand'circuit
4e. Miucelloneous
Owner's Signature2
(Service or leader not included) 2
Each uump or inigalion cede $4000
3. Plan Review section (it requirsd): Each sign or outline lighting $4000
Sgnal cucud(e)or A limited energy $4000
Please check appropriate item and enter fee in section 5B. pant,Alteration or e11e1"St0n $10000
Minor Labels(10)
4 of more residential units in ono structure
rn_ Service and feeder 225 amps or more 41. Each additional inspection over
N System over 600 volts nominal the allowable in any of the above
Classified area or structure containing spncial occupancy pot noperilon $3500
> described in N E C Chapter 5 Ps ho $5500
as escriur
I— 15500
�--+ In PIAnI
Submit 2 seri of plans with application where any of thea Ave
m apply. N:.i required for temporary construction services. S. Fees: Ot_l
LO 5s. Enter total of abovrl tees $
LLl
� NOTICE 5%Surcharge(05 X total fees) $
Subtotal
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b.Enter 25%of line A for $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review'if required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED rOn Subtotal
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Trust Account N $
COMMENCED.
Balance Due $
.ti.ro.,td.r..tr vine+