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MECHANICAL ✓
CITY OF TIGARD PERMIT #. PERMIT: MEC95--0375
COMMUN'TY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/30/95
13125 SW H&W131vd.Tigard,Or9gon 97223e8199 (503)639-4171
PARCEL: ---'S102';DC-00100
SITE ADDRESS. . . : 13535 SW 1. 10TH AVE
SUBDIVI91ON. . . . : FAIRHAVEN COURT ZONING: R-3. 5
SLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF FLOOR FORN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEA'rERS. . : VENT FANS. . . :
OCCUPANCY GRP. . : R,3 VENTS W/O APPL: VENT SYS'iEMS-
STORIES. . . . . . . . .. BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL ......- 0-3 HP. . . . : DOMES. INCIN:
: /GAS/ 3-15 HP. . . . : CG,'jML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . REPAIR LJNITS-
FIRE DAMPERS). . 50 HP. . . . WOOD STOVES. . :
GAS PRESSURE. . . 50+ Hp. . . . CLO DRYERS- :
NO. OF UNITS-.------.----- AIR HANDLING UNITS OTHER UNITS. :
TURN ( 100K BTU- 1 (= 10000 (--fm : GAS OUTLET,-:). -
FURN > =100K BTU: > 100,210 C-fm:
Pemat,ks : One new rPsidentai I fl.tv-nac-p to 10,&/, B-FU.
FEES
JOHN S-ETITCH type amol.int by date V'ecpt
13535 SW 10TH PRMT $ 25. 00 CJS 10/30/95 95-272248
5PCT $ 1. 25 CJS 10/30/95 95-272248
11GAIRD OR 971223
Phone
',contractor.
SUNSET FUEL CO
PO BOX 42287
PORTLAND OR 97242 -----------------------------------
Phone #.- 1234-0611 26. C'--'5 TOTAL
Req #. . : 002374.
REQUIRED INSPECTIONS
This permit is issued subJect to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All world will be done in accordance with
approved plans. This permit will expire if wor' is not started
within 160 days of issuance, or if work is suspended for more
than 180 days.
Ppr-n.ittee SlqnatLit-p:
Issl-tt:d By :
Call f'ov- ir,spection 639-4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6311-4171
Inspection:
Footing Susp. (;eiling Sprink. Rough-in Appr/Sdwlk
Foundation P!bg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:A—,AM PM
Address:__j_ �2 __
Builder: 56e- .1 5-4e/ c. Permit
7HE FOLLO 'IN CORRECTIONS ARE REQUIRED:
n o2 ajc2 Y_
c
Inspector: _a� �_ Date.
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_—Call For Reinsp. I)A5 15
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing _ lSUs . Ceiling S rink. Rough-'in r/Sdwik
/ PP
Foundation Plbg. Underslab Cgech. RougiFin-) Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Meeh. San. Sewer �Framing
/teli -Bldg.
Plbg. Underfloor Rain Drain -Plum
b.
Alarm Water Lina Insulation ech.
Underflr. Insul. Shear Wall Gyp. Bd. izf
Date Requested: ��- (� J Time:_KAM PM
Address:_
Builder:, (i � _Permit 3 7 S
THE FOLLOWING CORRECTIONS ARE REQUIRED: -05z,3
C-) ,1 2
U _ _
co ZIA
J
Inspector. Date:
__APPROVED —DISAPPROVED , APPROVED SUBJECT TO ABOVE
ell",T\L\t Call For Neinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Ree-O-Phone): 639-4175 `3usiness Phone: 639-4171
Inspectic,n.
Footing Susp. Ceiling Shrink. Rough-in Appr;Sdwlk
Foundatioi i Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech San. Sewer Gas Line -Bldg. V
P(bg. lJnderfioorRain Drain Framing -Plumb.
I
Ala m Water Line Insulation eco
Underfli. Insul. Shear Wall Gyp. Bd. ec .
Dare Requested: L). �' C� Time: AM __>!�_PM
Address:3`:.J 3 Z IL,
O(p(l Permit #:�C' ?5 ci,3 lY
THE FOLLOWING CORRECTIONS ARE REQUIRED: CrI. C
y'.
F—
w
c.o
Inspector: Date: /Z— �
APPROVFD `DISAPPROVED _APPROVFD SJ6JECT TO ABOVE
�/all For Reinsp.
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City of Tigard MECHANICAL PERMIT Planck/Rec. # 7,2aYS
13125"--^ Hell Blvd. APPLICATION Permit # /hc- 45- 03 >S"
Tigard, OR 97223
(503) 639-4171
.r.-�...A.. espuon
Table 3A Mechanical Code EcEPRICE AMT
�
Job , ���)` C �V_} "��'�'�1 1) Permit Fee rl -0- 10.00 1
Address ZIA�^
K, Supplemental Permit 1.00
,, w...., umace to 100,000 BTU
177)177 �'� ���`\ �' 1} incl. duds&vent^.
100,000 BTU +
0'wr Pr 2) Incl. 4ucts&vents 7.50
u -- Floor Fumance
3) incl. vent 6.00
Hrn•(a aw--+<, Suspended
4) or floor mounted heater 6.00
-Vent not incl.in
Occupant 5) nopliance permit _ 3.00
.,. w -@pair of heating,reing
6) cooling,absorption unit !t6.00
6.00
-t »� der or comp, eat pump, air c.�nd.
7) to 3 HP absorp�.iit to 100K BTU
Boder or camp, heat pump, air amd.
8) 3.15 HP absorp unit to .`AGK BTI) 11.00
Contractor oiler or comp,heat pump, air Gond.
9) 15-30 HP abscrp uiiit.5.1 mil BTU 15.00
.• N•. n ��• ��ler or comp, heat pump, air cond.
r�', c •��. 1J) 30.50 HP absorp unit 1.1.75 mil BTU 22.50
erey ac ow edge that I have read this application, that the Boiler of comp, heat pump, air c0nd.
information given is correct, that I am the owner or authorized agent 1 1) >50 HP absorp unit 1.75 mil BlU 51.50
of the owner,that plans submitted are in compliance with State Air handling una to
laws,that 1 am registered with the Construction Contractor's Board, 12) 10,000 CFM 450
that the number given is correct. (If exempt from State registration, Air an mg unit
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
—' ant can connect
15) to a s;..gle duct 3.00
_
Ventilation system not
16) included in appliance permit 4.:J
Rood swved by
17) mechanical exhaust 4.50
esrnbe worn new addttinn aiterahon repair,-C)— Commercial or industrial
to be done rshsidendal non-rasidential O 18) type incinerator 30.00
tsing use o Other i.e.,woodstove,water
building or proparty _ 19) heater,solar,clothes dryers,etc_ 4.5c
rZ —
h Proposed use of 20) Gas piping one to four outlets 2.00
N building or property
21) More than 4-per outlet
Type of fuel •of Q natural gas Q LPG O electric 0
J
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NOTICE
Minimum Fee$25.00 SUBTOTAL
LL; PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR r.Y.SURCHARGE I •��
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOIi OF ISO DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
- U � TOTAL
Spadal Conddons-�--�--� �� � —
G� Date issued l�� _by C S
�ru0on•rt l ry
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # C157- 1 7,;1.2 qY
Permit
Phone (503) 639-4171 Date Issued /o ?D- 95-
FAX
SFAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175 _
r1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 'lumber of Inspections per permit.allowed --
Address I � � `�J G � Service included Items Cost(ea) Sum
�j
City/State/Zi \�y'�J�lAc
' 4s. Resirwntiel-par unit —� ^
1000 sq it or ,n $11000
Each sddsto.lal 500 q It or
Name (or name of businp.ss) portion thereof s25ooLurl — '
Commercial Residential, Each Energy S'z509 2
Each Manul'd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only: 4b.Services or Fesaers
r imoallaticn,alte•ahon,or rolocahen 2
Electrical_Contractors,` �l 1 ._ -1 200 amps or lesr _! sw 00 _ 2
201 amps to 400 amps $8000 2
---c—�. 401 amps l0 600 amps :12120 00 2
City -,4- Ca State Zi(�1^10� 601 amps to 1000 amps $18000 2
Phone Nod I Over 1000 amps or volts $374000 2
-,ontractor's License No Reconnect only $5000
Contractor's Board Reg. _ 4c.Temporary Servic 7s or Feeders
A Installation,alteration,or relocation
.� 200 amps or loss $5000 2
Signature of Supr. Elec'n�� �— 201 amps to 400 amps $7500 '
License No. hone 401 amps to 600 amps $10000 --
Over 600 amps to 1000 volts
2b. For owner installations: see•b•above
4d. Branch Circuits
Print Owner's Name New,alteration or extension nor panel
Address a)The fee for branch circuits with
City State
purchase of swvks or leader 1W. 2
_ Zip Each branch circuit $500
Phone No. b)The tee for branch crc,in without
purchase of owvki..r feeder tee. 2
The installation is being made on property I own wh;^h is Firs)branch cer:uit _� s3500 AS O� 2
not intended for sale, lease or rent. Each additional brat ch circuit $1,00
Owner's Signature _—_— --__ __ 4e. Miscellaneous
(Service or feeder n(,r included) 2
3. Plan Review section (it required): Each pump or trip"''on circle $4000 -- 2
r'ad1 ei;u or outlaw lighting 540 00 _
h
Signer circuil(s)or a limited energy
Please check appropriate item and enter fee In section 5B. P'.nel,alteration or extension $4000
_4 or more residential units to one structure Minor Labr s(10) $loo 00
Service and feeder 225 amps or more
_ 41. Each additional inspection over
_ System over 600 molts nominal
the allowable in any of the above
_ Classified area or structure containing special oc--upancy
as described in N E C Chapter 5 Per h $76 a0
hour
Per hn $55nn
In Plant _ _ x55 na _
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
a 5a. Enter total of above fees $
1' NOT ICE
5%Surcharge(05 X total teas) 9' I I __
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal g _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal g
COMMENCED 0 Trust Account M $
Balance Due $
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