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InitiallyGood s� I o(o AV, rL r.,c V) J co r. C7 LSI _J i kn-cords\jnicroflm\largels'J)uiiding.doc PERMIT CITY OF TIGARD PERMIT : . . . M C9602x7RS#U . COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PARCEL: 15134DA-00900 1 ii I Li1.1 '_ . . . 1 i04141 ;_li LWL 11-i F-i�,, aUBD I V I S ION. . . . : NORTHERN PINE ZONING: R-4. 5 BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :7 -------------------___- -____________-_____w_._______._ I_LnSS OF WORK. . :AUD FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :3F UNIT HEH'TEPS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRT='. . :F'3 VENTS W/O A0E-`1__: 0 VENT SYSTE115: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 0_3 HP. . . . a 0 DOMES. INCIN: 0 3- 15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 1.31'U 15-•30 HP. . . . 0 REPAIR UNITS: 0 17"1 RE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0 G'AS PRESEURL. . . , 50+ HP. . . . . 0 CLO DR YLRS. . . 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. -. 0 TURN ( 100K F3TU: 0 (- 10000 cfm: 0 GAS OUTI_.E i S. : 0 TURN BTU: 0 > 50000 cfm : 0 FEES HANK VULLMULLER type amolvit by date recpt 1.000 SW 106TH PRMT f 25. 00 CJti 07/23/96 96-::01881 5PCT f 1. 25 CJS 07/23/96 96--28180.1 i iwARD OR 912423 Phone #: contr-actor : ----__-_.____________________.__-. ,-EATING SPECIALIST INC, THE 9300 NE HALSEY ,ORT'LAND OR 97220 Phone tt: 251--7000, f 26. 25 TOTAL REOUIRED INSPECTIONS ------- This pereit is issued subject to the regulations contained in the Mei-hanical lnsp Tigard Muricipal Code, State of Ore. Specialty Codes and al' other Mir,c. Inspection applicable laws, All work wi'.i be done in accordance with F inaI Ir►spect ion Y �� approved plans. This pereit all expire if work is not started within 180 days of issuarm yr if work is suspended for sore than 180 days. ........ QV-mitt PP 5ignit1.WL9 /nuLlfec( r, 1i^' Call for- inspec:tion L1,39-4175 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation 'Nater Line Cailing -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. i San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: �70� A.M. Y P.M.�— Entry: Address: Lb !a Tenant: _ _ _ - Ste:_ MST: BUP: Con/Own: ,Trc,—_ --__--„ MEC: --- PLM: -��� ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: R J __._.--------___. CD Linspector,6ff/_ '(_�j_ � 2Date:~ APPROVED _-_DISAPPROVED/CALL FOR REINSP. (ill) F CO CITY OF TIGARD BUILDING INSPECTION NOTIC Inspection Line: 639-4175 Business Phone: 639-417 Footing Rein Drarn Cover/Service ,! Foundation Water Line Ceiling -Plumb. Fust/Beare Mech. Shear/Sheath Framing -Mech. Flbg.Und/Flr/Slab Plbg. lop Out Insulation -eJ Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: — A.M. ,RM.. Entry: Address: —��{ZQ� 6_ Tenant: _ Ste:__ MST: BLIP: Con/Own: �� ,k _ MEC: PLM: ELC: � THE FOLLOWIN:, CORRECTIONS ARE REQUIRED: ELR: In pectora _ Date: ' APPROVED —DISAPPROVED/CALL FOR REINSP. CO A. if 4-ellt. ISI I I?I 1 .1 P I rIll I A 4k I I I il-It A Yl I NRIVIR a 1141'.. 1414.44 F 1141.4 PV'CIPI lll ADS .`;' DRF � 4,_SIAO Nk Wli 111HU"(04F.- OF- PM11FISIr HVIIJUNI 1-11-41 1 I'lioll III $41"ll.0 IN I III,I 1 01 Ulf '-fl N la _j ftIf-.'C9A­0237 1100'A Rw Ift III '10164L. (41100141 11,111) PEI. eS City of Tigard MECHANICAL PERMIT Planck/Rec. # c)r- Z'4921 13125 SW Hall Blvd. APPLICATION Permit Tigard, OR 97223 (503) 639-4171 escnpuo,1 Table 3A Me,.;,anical Cede CITY PRICE AMT Job c�_ I c IC .r 1) Permit Fee 0 -0- 10.00 Address — '� :.Z-z-3 2) Supplemental Period 3.00 •^•,�^ ••• 4.3 q- Furnace to 100,000 BTU 1 ,r- 5' 1 c,r 1) incl. ducts &vents 6.00 ••• - Furnace i00,513FFU + Owner I � "r`' I ' 7j 1 2) incl. ducts 3 vents 7.50 •• Floor Fumane 3) incl. vent 6.00 gym• 6uspended heater, wall eater 4) or floor mounted heater 6.00 Occupant •-a •- �"• 1 I en notmc. m P 5) appliance permit 3.00 Ck"Sw. Repair of heafing, re ng. 6, coolinn ausorption unit 6.00 rum of r ,,r camp, heat pump, air coo . ,,-711 >6X a.E-e max.-7 7) to 3 1-P; absorp unit to 100K BTU 1 6.00 Boiler or camp, heat pump, air con . Contractor '?7",`) N lA KA L s 8) 3-15 HP; absorp unit to 500K BTU 1100 ap Boiler or coma, heat pump, air cond. 7 Z 2 6 9) 15-30 HP; bsorp unit .5-1 mil BTU 15.00 •••^ Q11 am To. Boiler or a imp, beat pump, air conn. -� cc' -ZcS' ( 3 7 v 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 hereby acR-n age thai ave read this app ication, a e Boilgr ar c)mp, heat pump, air cond. information given is correct, that I am the owner or authorized 11) >50 HP; <bsorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with ------XF at-n- n,g unit to State laws, that : 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, pleas,3 give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate cooler 4.50 ent fan conned- 15) to a single duct 3.00 Ventilation system not .�: << �,•y 16) included in appliance permit 4 50 ,.... o... o sery y 17) mechanical exhaust 4.50 escn a worknew rlio�—a leration repair t �ommercia -ir industrial to be done residenliol non-residential O 18) type incinerator 3000 Existing use of Othei i.e., woodstove, water build ng or propert•, I" 19) heater, solar, clothes dryers, etc. 4.F0 N Proposed use o. 20) Gas piping one to four outlets 2.00 building or property r- 21) More than 4-per outlet Type of fuel -oil Q natural gas Q LPG 0 electric Q m LD NOTICE — W Minimum Fee $25.00 SUBTOTAL I J PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE IF CONSTRuc*nON 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 Special Conditions Date issued _ by _ IYMf04-aT 1�MI•M' V CITY OF TIGARD EERMIRI#ALELC9MI0468 COMMUNITYDEVELOPME"!T DEPARTMENT DATE ISSUED: 07/25/­)6 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PARCEL: 1 S 134DA-00900 SITE ADDRESS. . . : 11000 SW 106TH AVE SUBDIVISION. . . . : NORTHERN FINE ZONIhIG:R--4. 5 BLOCK. . . . . . . . . . . 1_01.. . . . . . . . . . . . . :7 Project Description .- Installing two branch cir-cLlits. ----RESIDENTIAL_ UNIT------ SRVC/FEEDFRS------ ------MISCELLANEOUS--­- 1000 SF OR LESS. . . . : 0 Q1 - 200 amp. . . . . . . : 0 F'UMP/IRRIGATION. . . . : 0 EACH AD)- L 500 SF. . . : 0 201 - 400 amp. . . . . . . . 0 SIGN/0UT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 10 SIGNAL/PANEL. . . . . . . . 0 MANF. HM/ SVC/FUR. . : 0 601+amps-1000 volts. : 0 MINFIR LAPEL_ (10) . . . : 0 - _---SERVICE/FEEDER---- -.-----BRANCH CIRCUITS..- ------ ADD' L INSPECTIONS----- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSF'ECTJON. . . . . : 0 201 - 400 amp. . . . . . : 0 1 st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L FRNCH CIRC: 1 IN F='LANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 -------_._...._._.__._._.._FLAN REVIEW SECTION.---___._...______.__..._.___ t 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOIAINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. s Owner _ ___.___ -___.____-___...._____._---.___. ___._______ FEES HANK VOLLMULLER type amol-tnt by date recpt 11000 SW 106TH F='RMT $ 40. 00 CJS 07/25/96 96--282108 5PCT $ 2. 00 CJS 07/25/96 96-28� 1NE3 TIGARD OR 97223 Phone #: Contractor: ----- ----------------------------------- JF'C ELECTRICAL SERVICES INC $ 41=. 00 TOTAL 4040 SE INTERNATIO14AL WAY REQUIRED INSPECTIONS MILWAUKIE OR 97222 Wall Cover Elect' 1. Final Phone #: 503-654-:3325 Eler.t' 1 Service Reg #. . : 9 774 -� This permit is issued sub,ject to the rEgulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signati.tre 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 1 ,�_ Se,.h m than 180 days. IssUed By INSTf-,LLATION The installation is being made on proaerty I own which is not intended for rti scale, lease, or rent. `r' I OWNER' S SIGNATURE: �- _----------------------CONTRACTOR INSTALL-ATIOiV J G] SIt;NATurit 9F SUF'R. ELEC' Ne mc�]�GG --._..._ UATF J LICENSE. NO: Call for inspection - 639--4175 ("I I y VMI NT Rf.-, I- )f.I I NO. 4'� NMI:- 1114 V-b i a 41. 14!. IN IV.RNA'I 1014141. WHY PIAYMV.Nl 01-111 0 7 Ph AJ I I F #14 101 SUBI) V I!j I ol-I of A I WHOV,IE: OP Pl-lib-,OfO OF I--,AY ME.N 1 1141.0 PUPI PIP1 i I LD ui F1 C96-0468 11 moo cl%lW i0f, III OW- tC)INI. I)MOUNI PH11) 47.R5 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. I Tigard, OR 97223 Planck/Rec. # PG- d R,4IQ R _ fPermit # eC-c , - nQ, e Phone (503) 639-4171 Date Issued e FAX (503) 684-7297 Issued by c)-,'C, (c_s CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 - f 4ress: 4. Complete Fee Schedule Below: Name of Development_ - Number of Inspections per permit allowed Address /i C1(�[� `dc c% /Uhar� i4C�E Service included: items Cost(ea) Sum City/State2ip-1-t-6iru 6� �]7.�'�,3 4s. Residential-per unit 4 1 1000 aq It or lase $110 00 portion thereof Soosq h or Name (or name of business)1-1ia/�/hl - '«- Each additional I hereol E25 00 Limited Energy $25 00 Commercial ❑ Residential 1 _ Each Manurd Homs or Modular 2 Dwelling Servioe at Feeder W 00 2a. Contractor installation only: 4b Services or Feeders Insialln.-n alteration or relocation 2 Electrical Contractorz-V-Z-� &- CLC2t? -'- S6601eJ zoo amps or lms $6000 2 �- Ar 201 amps to 400 ari vA $8000 2 Address���c., �E /N;&�^//gTipn/RL. (,ciA�l 2 401 amps 10 600 amps $120 00 City State (9/P_ Zip 7 i!2 a aZ 601 amps to 1000 amps $18000 2 Phone No. fo;;;'i/- S3.J� Fi�K '�5C/-���7 Over 1000 amps orvohs $04000 Y 2 Contractor's License No. 3-7 i,)C Reconnect only $5000 _ Contractor's Board Reg. No. Qc1..3`74c.Temporary Services or Feeders �J Installation,nheration,or reloca ion 2 Signature of Supr. Elec'n zou amps nr lase E5o 00 2 r . — 201 amps to 400 amps $75 00 2 License N0.`r / .s -_"Phone No. �iS y- 3 '� 401 amps to 600°mpe !—_ $10000 Over 600 Amps 10 1000 Vohs 2b. For owner installations: see'b'above 4d. Branch Circuits Print Owner's Name _–_ New,alteration or extension pet panel Address n)Tho lee for branch circuits with purcti of eeryfee or Awdw fee. 2 City State Zip Each branch arcus _ $500 Phone No. b)The fee for branch masts without The installation is being made on property I own which is purchase of swree or Wdrr A". 3 S•Oc7 2 First branch circuli E75 00 riot intended for sale, lease or rent. Fach additional h anch arcuh $500 Owner's Signature 4e. Miscellaneous i (Service or feeder not included) 3. Plan Review section (if required): Fadi pump or irrigation arcle $4000 Eadt sign or oulhne lighting S4000 Signal cirrus(s)or a limited anergy Please check appropriate item and enter fee in section 5B. panel,aherahon or ex+ension $4000 4 or more residential units in one structure Minor Labels(10) $+0000 Service arid feeder 225 amps or more System over 60r)volts nominal 4f. Each addilionsi inspection over Classified aroa or structure containing special occupancy the allowable in any of the above as described In N E C Chapter 5 f'P11�' '"" $9500 t�Flr hrnn $5500 n 1'Imrt $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary convlruction services. 5. Fees: _ So. Enter total of above fees $ NOTICE 51%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal SbEnter AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF . vie of line A for CONSTRUC i ION OR WORK IS SUSPENDED OR ABANDONED FOD Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Su $ Subtotal COMMENCED ❑ Trust Account 0 $ Balance Duet $ - C;j :i© P•n