The URL can be used to link to this page

12160 SW 123RD COURT N 12160 SW 123"' Ct CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00387 13125 SW Hall Bled., Tigaid, OR 97223 (503) 639-4171 DATE ISSUED: 11/1/01 PARCEL: 2S103BB-12400 SITE ADDRESS: 12160 SW 123RD CT SUBDIVISION: YE OLDE WINDMILL ZONING: R-4.5 BLOCK: LOT: 043 JURISDICTION: TIG CLAS OF WORK: ')-R FLOOR FURN: EVAP COOLERS: TYPE OF USE' -F IJIVIT HEATERS: VENT FANS. OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ rl1EL TYPES_ __ 0 - 3 HP: DOMES. INCIN: I-PG _ v 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HPC REPAIR UNITS: F:':E DAMPERS?: 30 - 50 HP: WOODSTOVES: GZ PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UIJITS CLO DR NITS: •— OTHER UNITS: FURN >=100K BTU: <_ 10000 cfm: GAS OUTLETS: I > 10000 cfm: Remarks: Install new gas furnace and associated gas piping. Owner: _ FEES FORD, BYRON E AND REGINA G Type By Date Amount Receipt 12160 SW 123RD CT PRMT CTR 11/1/01 $72.50 272n01000C TIGARD, OR 97223 5PCT GTR 11/1/01 $5.80 272001006.' Phone. � Total $78.30 Contractor: CLAWSON HEATING + AIRCONDITIONING 4350 SE 4TH ST REQUIRED IN,iPECTIONS GRESHAM, OR 97080 Gas Line Insp _ ' Phone:618-9646 Heating Unt Insp Reg#:LIC 110307 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. "his pen-nit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 tIlrDI49h OAR 952-001-0080. You may obtain clopies of these rules or direct questions tO -6y calling (x n*A)7dR-Q1R4 � — Issue By: I Per niftee Signature: Al� Call (503) 6394175 by 7.00 P.M for inspections needO"e next uslness day Mechanical Pernnit Appheation r., eceived: Permit no.: City of Tigard Project/appl.no.: - --- Iirpire date: r av /Tigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 late issued: By: I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case pile no.: Payment type: Land u.. c�. •p�'>roval:w Building permit no.: ___— _ _—_—__ _. 7Newall III M y dwcll.ng or accessory U Commercial/industrial U Multi-fanuly U Tenant improvement uction U Ad;lition/alteratiordreplarrnlentU Usher:Mill1111 1:11y'l NMI NUNN2, 2- 3 Indicate:equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Block: Subdivision: 'See checklist tin- important application inlurmation and Project name: I+lrisdiction's fee schedule .`,ir residentic+l permit lir City/county: -nI ZIP: :7-Z.-2-2 1611111111 pescription and location of w'rk on premise, kX ,1 T..�L TVG Fue(m)I Total Est.date )f completion/inspection: De"ption Qty. Res.onl Res.onl Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U No Air conditioning(wile plan required) Is existing space insulated?U Yes U No terauon of exlating system _ tBoilerkompres,cors State boiler permit no.: Business name: L 3 t [-�� i Vl Cs HI Tons BTUIH Addn`ss: •1 tr smo a damper. uct smo a electors _ Cit a - State: ZIP:"l "� O cal pump(site p an regwre y' Q/) nsta rep ace urnace urner Phone: j l Fax &mall: Including ductwork/vent liner U Yes U No I CCB no.: -7 1 nstu /rcpiace�cate heaters-suspended, City/metro lir,.no.: wall,or floor mounted ve Name(please print): �. nt ora lance other than furnace Refrigeration: Absorption units - MAI Name: Chillers til' -- Compressors _ _ HI' Address: EnWronmental exhaust and ventilation: City: Slate: LIP: Appliance vent _ _ - Phone: I ax: Email: -- Drycrexhaust ero s, Yp'F cZ/II/reTfctcL niha:inot hood fire suppression system :Mn :8d Exhaust fon with single duct(ba+fu_' C - .xuaust system a2art mm eaun,of; s: ,� U Fuel p p,ns ana dlgtri uiian u to 4 outlets) L- stat z1P:G�2 fy l.l'(; Ncl c)il � I a I:-mail: -Fuel in onal over 4 outlets roce"spiping(sc tematicrequuc ) Number of outlets Name.: _ ter d app nice or equipment Address: -- , T _ Uccorative fireplace City: -- Slate: ZIP: _ Insert -type — sn E-mail: o�wtTTtetstovc phone: Other: Applicant's signn -- bate: ( - ter: IT�7 Name (print): M r4 W S O Permit fee.....................$ ze �.� Nis all iuriishcllono arce(s cmill cat*,please call J'"it"cnun for mise infw"'al" Notice:'I'hi9ermit application r rr Minimum fee................$ U Visa U MasterCard expires if a permit is not obtained credit card number L.— PI, review(al _ ) $ ----- — --- within I RO days it has Ixen g ( ) _ .ap+�r� Y State surcharge 896 ....$ � N crraflnTs oar � 1 $ accepted as complete. �O r TOTAL .......................$ . ? Cardhol r lidnalare — Aminal 4404617(6MCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: _PERMIT FEE: Description: _ Pr, Dotal $1.00 to$5,000 00 VALUATION: fee$72.50 fable 1A Mechanical Code _- Oty (Ea) Amt $5,001.00 to$10.000.6-0---- $72.50 for the first$ ,000.00 and 1) Furnace to ducts &v BTU includingducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 ETU+ fraction thereof,to and including 17.40 $10 000.00. includingducts&vents -_ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for Each additional$100.00 or includingvent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000-00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and �5) Vent not included in appliance permit 6 A0 $1.45 for each additional$100.00 or - fraction thereof,to and including 6) Repair units 12.15 $50,000.00. - $50__,001.00 and up $742.00 for the first$50,000.00 and Check all thaf apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Co:d fraction thereof. footnotes below. comp Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit 1400 S to 100K BTU _ _ _ - 6•/.State Surcharge $ 8)3 15 HP;absorb unit 100k to 500k BTU _ 25.60 25`/.Plan Review Fee(of subtotal) $ 9) t.5-1 HP;absorb X5.00 Required for ALL commercial permits onlyunit.5-1 mit BTU __- TOTAL COMMERCIAL PERMIT FEE: $ unit 301.7 mi absorb - unit 1-1,75 mil BTU 52.20 _ 11)>50HP;absorb --- --- ------ - -- unit>1.75 mil U 1 67.20 BT 12)Air handling unit to 10,0f.t,GFAJ ASSUMED VALUATIONS PER APPLIANCE: 10.00 Valu-e Total 13)Air handling unit 10,000 CFfd+ Description: at (E,a Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate rwler ducts&vents _ _ 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents _ 6.80 Floor furnace Including vent _ 955 16)Ventilation system not Included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater -- 17)Hood served by mechanical,3xltaust Vent,lot Included in applicance 445 10.00 hermit 805 18)Domestic incinerators 17.40 Repelr units <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU _ _ __-- 69.95 3.15 hp;absorb.unit, 1,700 20)Other unite,including wood stoves 101k to 500k BTU -___- 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU _ 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1.1.75 mil.BTI( 1 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU Alr handUng unit to 10 000 cfm 658 - 8'b State Surcharge $ Air handiing unit>10,000 frri 1,170 Non-portable evaporate cooler _ - 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan�.cnnected to a single duct 446 Vent r,ystem not Included In 658 -- ------ - appliance 3ermit Inso•ctions• dFees: Hord sed b mex echanical haust 656 �'�- ___rve•� -- 1 Inspections outside of normal business hours(minimum charge•iwu hours) CJomestic incinerator 1 170 $72 50 per hour Commercial or Industrial Incinerator 4,590- 2 Inspections for which no fes Is specifically Indicated (minimum charge-half hour) Ohcr unit,Including wood stoves, 658 $72 50 per hour o Inserts,etc. 3 Additional plan review required by changes,additions of revislon3 to plans(minimum Cies i Ip r p 1-4 utlot- _ - 360 ----- Chargettnn-half hnur)$72 50 per hour Each additional outlet 63 _ "$fAtA CnnirTrlor Holler!'.erlill,talrrnr roqulrrtrl for ands>2061,RT'f. -- - - •'Residential ArC requires+Its plan shnwing placemwtl of unit TOTAL COMMERCIAL VALUATION_ All New Commercial Buildings require 2 sets of plans. I\dsts\formsVnech-fees doc 08129/01 _ ELECTRICAL PERMIT _ CITYOF TIGARD PERMIT#: ELC2001-00579 DATE ISSUED: 11!20/01 DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1031313-12400 SITE ADDRESS: 12160 SW 123RD CT ZONING: R-4.5 SUbDIVISION: YE OLDE WINDMILL LOT : 043 JURISDICTION: TIG BLOCK: Project Description: Branch circuit for furnace MISCELLANEOUS (— RESIDENTIAL UNIT — TEMP SRVCIFEEDERS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: 201 - 400 amp: SIGN/OUT LINE LTG: EACH ADD'L 500SF: 401 - 600 amp: SIGNAL/PANEL: LIMITED ENERGY: MINOR LABEL (10): MANF HMI SVC/ FUR: 601+amps 1000 volts: SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS -_ W/SERVICE OR FEEDER: PER INSPECTION: 0 - 200 amp: PER HOUR: 201 400 amp: 1st W10 SRVC OR FDR: 1 IN PLANT: 401 - 600 amp: EA ADD'L BRNCH CIRC: 16PLAN REVIEW SECTION 601 - 0 0 amp: >=4 RES UNITS: > 600 VOLT NOMINAL: 1000+ amnlvolt: SVC/FDR >= 225 AMPS:nCLASS AREA/SPEC OCC: — _Re—co nect r_y_o -_._._ _ Contractor: Owner: GRF ELECTRIC FORD, BYRON E AND REGINA G 15460 SE. PARADISE LN 12160 SW 123RD CT MULINO,OR 97042 TIGARD, OR 97223 Phone: 503-829-4146 Phone: Reg#: LIC 76751 SUP 1655S ELE 3-484C FEES _ Required Inspections Date Amount Receipt Wall Cover Type BY Flect'I Final PRMT CTR 11120101 $46.85 2720010000( �iPCT CTR 11/20101 $3.75 2720010000( —� Total $50.60 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR. Speciaily Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire H work is no►started within 1 RO days of issuance,or if you work is suspended oare set forth in OAR 952-0011-00`100 days. Nhrough OAR 952-001-0080.: Oregon law oYo�may obtaiadopted n copiebY theO��p�s Utility o direct questions to Center. Thoserules Permit Signature: Issued By:PPG �¢ r7�/` _ OWNER INSTALLATION ONLY -The installation is being made on propertv I own which is not intended for sale, lease, or rent. DATE: OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY DATE: SIGNATURE OF SUPR. ELEC'N: lJn� �/'��L'47''d�.J — -- LICENSE NO. __------ — — - — --- Call 639-4175 by 7-OOpm for an inspection the next business day [=,RF Electric /,�. 5038295'147 P. 1 Hov 1 E; O1 09: 15P Electrical Permit Application L„ Date received: // s:0 � permit no.:� G� City of Tigard Project/appl.no.: Erpiredate: _ Address: 13125 SW Hall Blvd,1'i arJ,OR 97223 Date issued; -- tly , )JO R- eiptno.: < ,ryr,J1 Barr( 95 1. 9 20�i Phone: (503)639-4171 Gose file no.: Payment type: Fax: (503) 598-1960 QTY OF..qUAIW Land use approval: at trial U Tenant improvement U Multi-family IK-1 I &2 family dwellim',or a-:cssory U f-ornmercial/indus �— U Pvtial U New construction U ndditirtrt/al(eratioli/rcplaccnte„t U Other: 1 t � Suite no.: ITax mnp/tax lot/account no.: Job address: 4-1L•' S t.✓ �_�� -i �_1 I-1 �y -- Lot: Block: Subdivision: ject name: -� _ ljese,iption and location of work on remises: J 1 S.imatcrl c!xc:f cnmpl;li:,ruinslK-:i„n: t Fee Max Job no: -- --— Descriftion Qtr. (cn) I'olsl no.1.11 Business name: G (Z�_.{�L_Sc=1.r-��— — New res{;knli.;•sinp�e or mnhl-[ramify q'r �1 Q I/a t dwelfingunh.lncludessltaeiwdgsng-- Address: ) 1�.�0© knirri,u►u,k,l: City: State: Q ZIP: --- 1000SE,.ft.rr less Fax: gZ L-mail: FAch sdditianal 500 sq.ft-or rtlon theraof yry Phone: - a- 2 CCB no.: Elec.bus,lie.no: 3 y"� Limite_denergy,rotldentw 2 Llmltedrnergy,non•rmidcntlal _ City/metro lic.no.: -— ,/ Each manufactured home or modular dwelling 2 1 ale Service and/or feeder Si natwc ol'sulx:rviu ICIDH Uequired) S 'S Senlcanrfr-..den-Inalallation, t License no ' alteration or relocation: Sup.elect.name(print)- f -_ t � 200 amps or less 201 amps to 400 amps 2— Name(print): Z'YZIr -- 401 nm s to 6U0 am s �.f� �.�----_.___._— 2 Mullin address. t 3 601 am aro 1ax)wn s _ 2 '— S --- 1 I. r ZIP: 7 L2-3 Over 1(100 amps or volts Cit : Scue: l E-mail: Reconnect any Phone: 5 s(C S 5 Fax: Temporary ser+ion or feeders- Owner installation:The installation is being mule n property I ownkwatat{on,alteration,orrelocation: 2 which is not intended for sale,lease,rent,or exchange according to 200 amps or less 2 ORS 447,455,479,670,701. 201,un s to 400 ams 7 Date: 401 to 600 Amps Qwnel s signature: _ Branch circuits-new.,alteration, or extension per panel: A. fee(ot brunch citcuirc with purchase of l 2 Ntu-nr _._ -- service or feeder fee,each branch clre�t_ _ Address: _ ZIP, B. Fee for branch clrcuits withaut purcha+c f/� 2 Ci[ StOtC�: _ of service or feeder fee,first branch cit G Phone Fax: I F' Illail: Fachadditiondbranchcircuit: --tor feeder mot inclad-0 2 1',,E pum of irripauoncicircle 3 Service over 225 onps-ournrru:rcial U Health-caretacunn Eochsi noroudinellghting U Service over 320 amps-Iating 0(1&2 U Huyartkuancatinn signal circuit(s)or a limited energy pond, 2 fatdly dwellings U Building over 100M)syuarc leer four or alteration,at extension• U System aver 600 vulix nominal mute residential units in ene structure _--— U Building over three stories U Fenders,400 amps or more •1lescri tion: s O Manufactured iltuctwes or RV parte Eich additional fnspeetlon o+=—er the ac W lluwahlany Tthe abor. cctl + U t) pani Iaad over 99 petsuav Pet i_M ion _ :J readlighUngplm ❑outer. -- -- Investl stion fee 3uLatlt__seta o(plans with tray of the above. .------ ,^ caaattrtietlon seMee. Other -- lite above are not applicable to temporary Notice This permit applicationPermit fee.....................b xu - Nd sll yuticuonu script ordit rwd',pl- ew Call lorl'�llction for mare IMmnlioa expires if a permit is not obtained plan review(rat _ %) State surcharge(89F) .. � -{J O Visau Mastercard _ within 1 BO days after it has been / ( [ Crtdu card cumber. _ TOTAL ........................$ ^'1S- - --- _T rt+ accepted as rotnplete. , Sartre ef—c�rdhnTiset u shown an'rr Ir-cant /1 ��A --- l 411HFi11(61UdCOM) Cr r r tae 1 ew CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — �- F3UP —_Gate Requested / — % AM ' I'M — BLD _ Location- / 1 C. / ,_�1�'(" Com" _ Suite Mt_c CC'�g Z Contact Person /I'�/[/.� �_ Ph K14' �t:. PLM Contractor Ph SWR ._ — BUILDING Tenant/Owner ELC —_ Retaining Wall ELR Footing Access: _ Foundation FPS _ Ftg Drain -- SGN Crawl Drain Inspection Notes Slab �.f�-_ l.: �._z�.._r � � "Tt SIT Post& Beam ` - Ext Sheath/Shear r � c Int Sheath/Shear Framing _ -_ - -- - -- - - Insulation r�aG_ pP�ov - Drywall Nailing � IVO e'-,2 Firewall N Fire Sprinkler Fire Alarm Susp'd Ceiling ------- -..- --- ---- ------- -- - Roof Mise - _- --------- - - - Final PASS PART FAIL - - PLUMBING Post&Beam Under Slab Top Out Water Service - -- -- -_ - _-- _ Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL, F'osr& Beam Rua -- - u SmokK�, a SS PART FAIL TRICAL - - - --- Service Rough In UG/Slab Low Voltage Fire Alarm _ Final PASS PART FAIL _ SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspectirm RE: .- __ ( ]Unable to Inspect-no access Ar-A Apprcach/Sidewalk I �q Other Date 1 U Inspector Ext _ , Final _ PASS PART FAIL 00 NOT REM03VE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP _ Date Requested_ �' AM. PM _ BLD Location �' Suite _ MEC Contact Person .�CZ-�� ' Ph 4L PLM SWR Contractor ,T �1� 'f Ph ELC BUILDINGTenant/ ne _ ,; Le t `� Retaining Will � � � t�" ELR FootingCe-IT.i FPS Foundation Ftg Drain -"� SGN Crawl Drain Inspe ction Notes: Slab _ - ---- SIT ------ - --- r Post&Beam '- Ext Sheath/Shear - Int Sheath/Sneer Framing Insulation Drywall Nailing __v-- Firewall � -- Fire Sprinkler - '—"-- Fire Alarm f Susp'd Ceiling Roof c _ Misc Final � `��.--. '`^Z� � �� PASS PART FAIL --..--•-z--�-� PLUMBING _ Post&Beam Under Slab _ Tor Out _ Water Service — - - - - Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam ---A Rough In _----- Gas Line Smoke Dampers - Final PASS PART FAIL ELECTRICAL - -- - Service --- -- Rough In UG/Slab Low Voltage Fire Alarm J — ------- - f�in_. PART FAIL S TE 01lGrading it ry Sewer Swrm urain [ J Refntpection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW H.'1 Blvd Catch Basin j j Please call for reinspection RE. __ _-� [ j Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk pate �,�� L7'"C�f ---Inspector Ext Other Final PASS PART FAIL , DO NOT REMOVE this inspection record from the job site.