14215 SW 125TH AVENUE i
14215 Sia 125TH AVE
P
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES P'ERI'IIT
13.125£W Hall Blvd., Tigard, OR 97223 (503)639.9171 P'E FM I T #. . . . . . . . MECg7_0171
DATE. ISSUED: 06/05/97
PARCEL : 2S 1 O9AA—X70500
SITE ADDRESS. . . : 14213 SW 125TH AVE
SUBDIVISION. . . . : ZONING: R-4. 5
BLO(',F',- ...__v. .. LOT
_ . JURISDICTION:-TIC_____--
CLASS OF WOFr(. . :A1_.T FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE 61F USE. . . . :SF KNIT HEATERS. . : 0 VENT FAAS . . : 0
OC'CUP'ANCY GRP'. . : R3 VENTS 1410 AP'PL.: 0 VENT SYSTEMS: 0
STORIES. . . . . . , 0 '3OILERS/COMP'R!--SSORS HOODS. . . . . . . : 0
i IJFI_. TYPES---- •--_-... ._ 0---3 F;P'. . . . i DOMES. I NC I N: 0
3_.15 HP'. . . . : 0 COMML. I NC I N: 0
11AX I NP,UT: 0 BTU 15-30 HP'. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP'. . . . : 0 WOODST OVES. . : 0
GAS r RESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF lJN I TS- - -- ----____. AIR HANDLING IJN I TS OTHER UNITS. : 0
FURN ( 100K BTU: 0 (- 100"10 c f m : N CTAS OITT!.-ET S. : 0
FI_IRN ) =1O0K BTU: 0 10000 cfm : 0
Remarks : inst) I boiler/comp/heat ?ump a/c // air conditioning units cannot Be
placed inside setbacks
Owner,: -- -__________..._______________------•--.-.----• FEES
ROBERT JONES type -amottnt by date-__ `-r-ecpt -
14L'15 SW 125TH AVE PRMT $ 25. O0 TAT 0E,/O5/97 97,-2'35527
TIGARD OR 97223 5P'CT $ 1. 25s TAT 06/05/97 97--L"95527
f='L'--ere #:
Contractor. - ------- - - -- ----- ---...._
SUNS -"T FUEL CO
F'O BOX 42287
PORTLAND OR 97242P'h _.__.____----•-_--__--•-__ _______-. .
ane #: 503-234-0611 $ 2, ,. 25 TOTAL
Reg #. . : 000023
---- - - REQUIRED INSPECTIONS --This permit is issued subject to the regulations ccntained in the Mechanical ''nsp
Tigard Municipal Code, .hate of Ore. Specialty Codes and all other Heating Unt Insp
nppl icable laws Rll work will Be cone in accordance with Cool i ng Unt 1 n s p
approved plans. This permit wail expire if »ork is not started Final Insper_:tion
within 188 days of issuance, cr if work is sltspendsr( for more
than 188 days. _
F e r m i 1:t e e S i g n a�j,e:
I S r,i t r d By :
;77—
all
for, inspection - G39-4175
City of '1igard MECHANICAL PERMIT Planck,/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 9722q
(503) 639-4171
escnpuon
I Table 3A Mechanical Code QTY PRICE AMT
Job y (� .��- c�` �� 1) Permit Foe -0- -0• 10.00
Address w
2) Supplemental Permit 3.00
Furnace to 100,000 0T17
1) incl. duds&vents 6.150
Furnace 100,000 U +
.w.oA,a.
Owner I L.4 c—,)-1<-� c�•�� r�5 2)_ incl. dudr&vents _— 7.50
W. n Floor urnanw
V �r� C)jL C1a � � 3) incl. vent 6.00
Suspended heater, wall heater ,
4) or floor mounted heater 6.00
M—V Add, Vpnt not inTin
Occupant 5) appliance permit 3.00
... Nepair of healing,retrig.
6) cooliog,absorption unit 6.00
. .
Yi er or comp,heat pump,a r cond.
�1 - 7) to 3 HP absorp unit to 100K BTU 6.00 (L
... _ h— — Boiler or comp, heat pump, air cond.
v 't ' �` �• �1 8) 3-15 HP absorp unit to 500K BTU 11.00
1 _
Contractor VIP noTier or comp,heaFlziumI5. air cond,
9) 1530 HP absorp unit.5-1 mil BTU 15.00
so,l • No Cy 11M.(!�� ..No. Boiler or comp, heat pump, air cond.
10) 30.50 HP absorp unit 1.1 75 mil BTU _ 22-50
ere y ac ow ge that I have read is application,that the B01570i corn—p,teat pump, air cond.
information given is correct,that I am the Owner or authorized agent 11) > 50 HF absorp unit 1.75 mil BTU 31 50
of the owner,that plans submitted are in complir a with State Air h�unit to
laws,that� am registered with the Construction .. .n ractor's Board, 12) 10,000 CFM 4.50
that the number given is corrrct (If exempt from State regisranon, a an ung unit
please give reason below.) 13) 10,000 CIM+ _ 7,50
Non portable
14) evaporate cooler 4.50
ant an connected
15) to a single dud 3.-i0
�!� 9 ' Venblabon system not
1 ( t,�ti 1 16) included in appliance permit 4150
17) , ieci,nriic tl exhaust —4,50
Describe work new addition 0 alteration repair omn%6.f I cr is du:anal
to be done residential l$" non-residential U 18) type inrrmerator 30.00
xisbrr�use
-of Other i.a„woodstove,water
building or property 19) heater,solar,clothes dryers,etc. �_— 4.515
Proposed use of 20) rias piping ono to four oinlats 2.00
building or property
21) Mora than 4-per outlet
Type of fuel -o1 1,;,) natural gas 10 LPG U electrc C --
NOTICE
Minimum Fee 525.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR S%SURCHARGE
IF CONSTr1UC11ON OR 4ORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL �k• =�
Special Conditions i.-. .
Date issued by
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CIT` OF TIGARD ELECTRICAL_ PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-03130
13125 SW Hail Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/17/q',
PARCEL-: 1_'.S 109AA-00500
SITE ADDRESS. . . .- 14215 SW 125TH AVE
SUBDIVISION. . . . : ZONING.- R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
'r-o.j ect De scar^i.pt i.on : INSTL 1 BRANCH CIRCUITS / JOB A 72215
---RESIDENTIAL UNIT----- ------TEMP ERVC/FEF_DERS----- --------MISCEL_I_ANEOUS------
1.000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF'. . . : 0 201 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601.+amps-1000 volts,. : 0 MINOR LABEL ( 10) . . . : 0
-.... ..... SERVICE/FEEDER----.-- -----BRANCH CIRCUITS--------- - .-..-ADD' L. INSPECTIONS---.
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
2'01 400 amp. . ., . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . . 0
01 1000 amp. . . . . : 0 --- --- -----._____._PLAN REVIEW SECT
1.000+ amp/volt. . . . . . 0 ) =4 RES UNITS. . . . . . .. . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : F:L_ASS AREA/SPEC OCC. :
Ownev: ----- --------------- ------------__—_-- ---- - - ._..__. - FEES - -- -- ----------..
ROBERT JONES type amount by date recpt
1.42.'15 SW 125TH AVE PRMT $ 35. 00 TAT 06/16/97 'J7—c 9604
TTGARD OR 97224 SPCT $ 1. 75 TAT 06/16/97 97--296047
Phone #:
ContTact or,; _.__.____._.__.._____..__-_-. _.______.__._________-----._..__..----.--.__.__._-----____ --
OREGON ELECT CONSTRCTN/GRP INC; $ 36. 75 TOTAL
1.010 SE 11TH
REQUIRED INSPECTIONS
( PORTLAND OR 97214 Ceiling Cover- Underground Cove
Phone #: 234-9900 Wall Cover Elect' l Service
Reg #. . : 0.:36359
This per•eit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This perait will expire if Mork is not started within 188
nays of issuance, or if work is suspended for eore than 18e days. ATTENTION: Uregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8810 through OAR 952-8811997. You say obtain a copy
of these rules or utrect questions to OLIN] by calling (58)246-1987.
Permittee Signatur e : 1s5�aed BY� ��z.�!�' y.
------------------------------OWNER INSTALLATION
The insktallation is being made on pt-oper�ty T own which is not intended for-
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTAL..L.ATION
w
13IBNATURF OF SUPR. ELEC' Nt Bim`!_- Ci'u� �- DF1TE: C---- --••—t—�--
LICENSE NO: 1 / _ ---_.
++++++++++++++++++t+.+++++++L+++++++++4+++++++4•+++++++-F+++t++++++++++++++•++++++
Call 639-4175 by 6:00 p. m. Fur an inspection needed the next business day
+++.+++....tt+++++++4+++++++++++++++++++++++i+++++i•+++++++++.++++++++++++++-F+++
fd
CITY OF TIGARD Electrical Permit Application Plan Check 4
13125 Slit/ HALL BLVD. Recd By__ _
Date Recd
TIGARD OR 97223 Date to P.E.
Phone (503)639-4171, x304 Date to DST__
Print or Type
Inspection (503) 639-4175 Incomplete
a
Fax (503) 684-7297 � complete or illegible will not be accepted Called_
1. Job Address: 4. Com,.Jete Fee Schedule. Below:
Name of Development Robert Jones/Sunset Fuel _ Number of Inspections per permit allowsd -
Name(cr name of business) __ Service included: Items Cost Slim
Address_ 14215 S.W. 125th Ave 4a. Residential-per unit
1000 sq.ft.or loss $110.00 a
City/State/ZipTi>;arL OR 97224 Each additional 500 sq ft.or
ElResidential ® portion thereof $25.00
Commercial ��= 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feedor $68.00
2a. Contractor installation only:
(Attach copy of all current licenses) Ins Services or'roeders
Electrical Contractor OREGON ELECTRIC GROUP 200
_ Ina alteration,or relocation
lir!0 S.E. 11TH zoo amps or less _ $60.00
Address -- 201 amps to 400 amps $80.00
City Port land State_ OR Zip 972114 _. _ 401 amps to 600 amps $110.00
PhoneNo.-,- 234-9900 601 amps to 1000 amps $180.00
Over 1000 amps or volts $340.00
Job No. 72275
Reconnect only $50.00
Elec,Cont. Lice. No. 26-95C Ex Date
P 7/97/ _ ..
OR State CCB Reg. No.__2W _Exp.Date,1 19 7 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Ern.Date__--.-._ Installation,alteration,or relocation
�r 20o amps or less $50.00 7
Signature of Su f. EIeC'n__- 201 amps to 400 amps $75.00 - ('
9 P 401 arnps to 600 amps $100.00 _
Over 600 amps to 1000 volts,
License No. 218415 _ __Exp.Date see"b"above.
Phone No. 234-9900 - 4d.Branch Circuits
New alteration or extension per panel
2b. For owner ins talk.,tions: a)The fee for branch circuits with
purchase of service or
Print Owner's Nsine _ feeder fee,
Address Each branch circu t $5.00
b)The toe for branch circuits
City State Zip -- without purchase of
Phone No. _ service or feeder fee. 35.00
First branch circuit 1 $35.00
The installation is being made on property I own which is not Each additional branch eireult_ $5.00
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not included) lArl nn
Owners Signature _ Each primp or irrigation circ!-
Each sign or outline Ilghtln j $40.00
3. Flan Review section (if required):' Signal clrcult(s)or a Ilrniteo enr,rgy�
panel,alteration nr ext^nsion $40.00
Minor Labels(1U) $100.00 --._--.-__-
Please check approprinte Item and enter fee in section 5H.
4 nr more residential units In one structure 4f.Eich additional Inspection over
_ +Service and feeder 225 amps or more the allowable In any of the abuve
+System aver 600 volts nominal Per Inspection $35.00
_Classified area or structure containing special occupancv Per hour $55.00
as described In N E C Chapter 5 M Plant $55.00
Suhmit 2 sets of plans with application where any of the above apply. 5. Fell 35.00
Not required for temporrry construction services. 5e.Enter totnI of above fops $ --�-
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
6b.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reaulred(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
TIME AFTER WOF'K IS COMMENCED ❑ Trial Account M _ 10. 75
of
Total halanre Due
I\bSTR\EU:115 AIT Hary APNi
CITY OF TIGARD BUILDING INSPECTION DI'VISICN ��%�
24-Hour Inspection Line: 639-4175 Business Phonc: 639-4171
Date Requested: A.M. — P.M __ �MST:
Location: _ 12-5 _Tl--! BUR
Tenant: - Suite: Bldg: MEC:
Contractor: ALL Ct�liS Phone: �_��--Z2(b PLM:
Owner: _ hone; ELC:
� - ��— F`�E-�' t7 "(Z�c� ELR:
_ SIT: _
BUILDING BLDG(con't) PLUMBINGMECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Besm sbSeam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-hi UG Sprinkler
Foundation Insulation Sewcf Ilood/D uct Reconnect Vault
Bsmt Damp Drywall S►:mm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain /VC '\� UG Slab
Shear/Sheath Fire Spklr/Alm CraW,l/Found Dr I lad 1'nmr / Low Volt _
Approved ApprovedATI rop'• Approved Approved
Appr/Sdwlk Not Approved Not Approved _ wyed Not Approved Not Approved
FINAL FINAL FINAL ) FINAL FINAL
O Call for reinspection O Reinspection fee of S r wired befom next inspection D linable to inspect
Inspector: _ _�� Date:�� Fqe__ of _
'I
CITY OF TIGAP.D DUILDING; INSPECTION DIVISION
24-'r(our Inspcctioc Linc: ( 94175 Business Phony,: 639-4171
I _I I —_ A.M. P.M. I MST:
Date Requested: ___-- — -- _ BUP:_
I oration: 1. I _..�---- _f;ld MEC:-4' --
:itritc: ----
1 enant: V l PLM:
�� -Phone: — �- 0 2U L1
Contractor: .Z ELC:— _
Phone: —
t)wner_ _ p r2 (� -A-i-4,r) P- e&t b Ly ; .R:-----
MECHANICAL ELECTRICAL• SITE
BUILDING BLDG(Con't) PLUMBING Cover ervrce Sever/Storm
Post/Beam Post/Be rn PostBearn Water Line
Site Rough-in Ceiling
Footing Roof UndI�USlabRough-In IIG Sprinkler
To Out Gas Line Vault
Slab Framing P llood/Duct Reconnect
Foundation '.mulation Sewer F lunace Temp Service MISC.
Bsmt Dam �totm P IxAvall A/C IJC Slab
Masonry Ceiling Rain Drain Low Volt --------
Fire S klr/Alm Crawl/Found Dr Ileat Pump
Shear/Sheath P Approved Apprnva Approved
Pproved d Not Approved
A r/Sowlk Not pplrrCwcd
Not Approved Not pproved - PNS FINAL
pp FINAL
FINAL
FINAL FINAL _
/4 VISE-
_ A/0 A/ 0_ L�� A
�,c.
��
r CD V -- —
001 7-0
mmi-V TA
o
re sired bef ..text inspectirm Cj Unable to inspect
C)Call for reinspection Reinspection fee �I'S __ q
f� _ _�_ Date �
Page_of —
InRpector. -------- -
CRDLUU3 I NU PE 1+1�"�t
ITYOFTIGrAct7XOf iF16ARD
EF�. ..lT #. » . . . . .
,'OMMUNHY DEVELOPMENT DEPARTMENT a +
13126 SW FWI Blvd. R.O.Box 23397,Tiyud,Orem 97223 (603)834'-4176 Li PT)
PARCEL. : 51JaAA-4'�V1:+;,'
VE. AV?DRES5. . . l.sii '1 75 W 1r .".rli r TONING: R--4. 5
JB.D J 15 a ON. . . » .
i-OCK. . . . . . .. . . . .
---- - -1- ___._----------.----------------- - -
_raaS-.� _..WORF�. . :IVF W
GARBAGE DISI='��SALf.�. . MOBILES HOME: SPACE-S-
yWL- U�- USE. . . . :SF: WASHING MACH. . . . . . . . PACKFL.OW t=�REVNTRS. , s 1
�c.;. . . . . . . . . Npip . . . . "
'�.:i.;Uf"'AN(..Y ("TRF'» . :R.� FLOOR DF<A I h.". .
lttitIANGY » . . • » WATER HEATERS. . . . . . : CATCH Etf1SINE�. . . . . . .
r LAONDRY TRAYS » » . : ,SF PAIN DRAIiJ5,. . . . »
GREASE TRAPG. . . . . . . .
I NKS. . . . . . . . . . »
URINALS. . . . . . . . » » • . .
AVATORIf-S. . . » • c OTHER FIXTURES. . . . . :
UB/SHOWERS. . . . : SEWER LINE (ft) . . - . s
X TER CLOSETS. . : WATER L-INE (ft ) . » . . .
,iSHWASHERS. . . . RAIN DRAIN (ft) . . . . :
1n<;t., ba k F lawl pe-event ion device for a spr- inkler system-
FEES
+ype amount by date i^ecpt
iurle #t:
ontr^actor
i't Tr'F� COVINGTf N
N. E:. E:.VELYN
130,1( 1396
;itE:aHHM OR 97030
Tb f"UTA
30413 I_.
_.--_---- F2k.;!U I F2F 1:1 INSPECTIONS
.-
'his permit is issued subiect to the regulations contained in the 'Top--mut Insp ______._.__.. ...•..--_---._ -
igald Municipal Code, State of Ore. 5p2cialty Codes and all other F i*1al Inspection
a,olicable laws. All woo will be done in accordance 4ith ---
,lnproved plans. This per-it will eMpire if work is not started _.__._,._,...._ --•—
within 181 days of issuance, or if wo-'k is suspended for more
than IPA days,
f
L. r 1'IYI r
�ti�./� — _ _........._. »....._..._.-
cif t?W , ((