The URL can be used to link to this page

12475 SW 129TH AVENUE t fy .ry• i •i ,Y• 'r • a I� y f Y� eo 712 A I*r'�A va� . t •• r t • • mm ca uj ¢ l PA- rC Page No. 1 CASE HISTORY FOR CASE NO.. BUP92-0223 TOM iANNF.4 12475 SW 129TH AVE 12/11/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Up4 Code S, -1c Done Done Cat� By BUPAo07 Application received / / / / 07/28/9: JLH 08/03/92 BLT SUPA01v Plan check deposit paid / / / / 07/28/5'. JLH 08/03/92 BLT BUPA020 Plan clack by 08/03/92 / / 08/C3/1,: FATS 3RT CA/03/52 BLT BUPA030 Check for prcl. restrict. / / 08/03/92 08 3/92 PASS RT 08/03/92 BLT BUPA0:0 (F) Issue building permit / / / / . ;/07/92 PASS JLH 08/07/92 JH BUPA705 Foot/found Insp / / / / 16/14/92 APP GS 08/14/92 GES BUPA725 Framing Insp / / / '3/29/92 DIS GS 09/29/92 GES SUPA126 Framing cREINSP> / / / / 09/30/92 APP OS 09/30/92 GES BUPA740 Insulation Insp / / / / 10/13/92 DTS GS 10/13/92. GES HUPA740 Insulation Insp / / / / 10/19/92 APP GS 10/19/92 GES SUPA745 Gyp Board Insp / / / / 10/27/92 APP GS 10/27/92 GES RUPA770 Misc. Inspection / / / / 04/l9/93 duct off furnance PASS MS 04/20/93 MRS SUPA79j Final Inspection / / / / 04/30/93 PASS RT 04/30/93 BLT BUPA970 Case Finaled / / / / U4/30/93 04/30/93 BLI r, C]C to T J -C LO W J CITY OF TIOARD D1IILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP II Date Requesrtedl - ASA _P.10 —_� BLD _ I_ocat;or�_I L_14 �( V Z { Suite ��E Contact Person C` �Gl�l,� C�? Ph PLM _ Contractor--- (i�.�h^.moi"' C�.�+r Pn C, "' Z 7(i S R BUILDING Tenant/Owner .. ✓jL( hr� �� 7;-c Retaining Wali ELR — IFooting Access: FoundationSGN FPS �Ftg Drain /s1/�o /� _�� Q"� — Crawl Drain Inspection Notes: Slab -- -----.-- - SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation _ Drywall Nailing __- Firewall Fire Sprinkler Fire Alam / Susp'd Ceiling Roof Misc: — — — — - -------- Find — PASS PART FAIL - NO _,tll�A��✓�A��__ �____�LC�•�+�� __ PLUMBING -- 7& Post& Beam T" "—`— — Under Slab 'Top Out -----— ---- --- - -- Water Servi e Sanitary :,Erwer -- Rra1n Drains ---- rrlal PASS MR-r- FAIL MECHANICN,L - -- — _ `— -- — -- Rough ,n G Gas Line -- — - -- ---- S,'+ae Dampers � Fig,�r � - -------_.-- ------- - -_ 41A:"C' PART FAIL ELECTRICAL ---- Service Rough In ----------------------- -- UG;3lab i Low Voltage Fire Alarm y Fin r�S_ PART FAIL J Backfill/Grading — —--- -- Sanitary Sewer -r Storm Drain [ Reinspection fee of$ required before next inspection. Pay at Ci1v Nall, 13126 SW Hall Blvd Catcn Basin Fire Supply Line I I Please call for reinspection RE _ [ )Unable to inspect-no access ADA Approach/Sidewalk Other Date i `Inspector _ C _ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #% EL_C9Ci_05`5 13125 SW Hall Blvd.,ligard,OR97223(503)639-4111 TATE ISSUED: 09/16/98 r-'ARCF1_: 2S 104AA--1. 1 900 SITE ADDRESS. . . : 12475 ;;W 1 .'3TF1 !AVE SUBDIVISION. . . . :BELLWOOD NO. .?, ZON I NG:R-../.. S BLOCK. . . . . . . . . . . LOT. . . . . , „ . . . . . . : 138 JURISDICTION: TIG Projects Desc ,'i pt ion: Alteration to els:trical service. - RES IDENT IAL UhIIT-----__ _..._ TEMI`' SRVC/FEEDERS_-.__.._. - 1000 SF OR !_ESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/I RR I GAT I DN. . . . : Int CtICH ADD' L 500SF-. . . : 2.01. - 400 amp. . . . . . . : 0 S TC7N/OUT LINE [_TG. „ : 0 LIMITED ENERGY. . . . . 0 401 GOO amp. . . . . . . .. 0 9TGNAL/F'1ANF1_. . . . . . : 0 MANr. HM/ SVC/FDR. . : 0 GOI I-amps--1000 volts. : ID MINOR LADEIL_ ( 1.0) . ,, . : 17' ----SF RVI CE=/FEEDER------ -----RRANCH CIRCUITS-•-__._.._ ---_.ADD' L I NSPECT I ONcj.-.-_ 171 . 200 amp. . . . . . . 0 W/ ERVICC OR FEEDER: rid. PER INSPE•7CTION. . . . . . I� 201 - 400 amp. . . . . . : 0 1st W/O SRVC, OR FDR. : i PER HOUR. . . . . . . . . . . .. 0 401 - 64.10 amp. . . . . . . 0 EA ADD' L SRNCH CT'-",- 2 IN PI.ANT. . . . . . . . .. . . . 0' 601. — 1;`0 0 amp. . . . . . Qt --_______._. _._ ___- r'►_AN REVIEW G)E±CTTON- 1.000+ aMp/volt. . . . . . 171 ) =r;. RES UNITS. . . . . . . . . ) 600 VOLT NOIrITNAL. . Reconnect only. . . . . : 0 SVC/FI;R > _ 225 AMPS, . CLAS,_, AREA/SPEC OCC.: Owner; _._______._._.__.._....___._.__________.... .____. .__....._._...._..__-. . FEES DORIS SMITH type amoUrrt by date rer"pt 12475 SW 129TH PIRM'T $ 45. 00 DI_H 09/16/98 98-7309198 TTGARD OR 97223 S P C T b ='. S5 DLH 09/16/98 98-309198 r"�orc #: Contrartor. WEST C T DE ELECTRIC CO INC $ 47. 25 TOTAI_ t 834 SE STH AVE": - -_-- -- REQUIRED INSPECTIONS PORTLAND OR 972t4 Rol-Igh- in El.er..t' 1 Final Phone t#: 131--1548 Elect' I Service Reg #. . . 13301F, This pertit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all oth— applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work is not started within 190 days of issuance, or if worb is suspended for tore than 190 days. ATTEMTI71: Dregon law requires you to follow the rules adopted by the 9regon Utility Notification Center. These rules are set forth in 9AFi 952-001-0018 through DAR 954-00!-1997. You may obtain a cq, of these rules or direct questions to WK by calling (503)246-1997. r„i.ttee Signratl.trp : �/�� .__._ Isr'red Dy : ..._.. CL _----OWNER INSTALL_.ATION ONL.y._____.. vl--i '"he instCallatinn 1s being mad r:n property T awn which is nut intenried for >_ gale, lease, or rent. �Z 'IWNF=R' S S I(9NATURE. /� l - DATE- C-0 (^pNTRf,CTI]R T NTTAl_i._.AT I ON ONLY —' r,T GNATURE OF SUPR. ELF_C' N: CA/' Ar 000_ ._ i._.e�7. OA/_ DATE. T CENSE NO: F ^F++++++-4 F-F.+4++# F}++++++++++++++4. F F 1++ i 4+++ F-+4-+++ I-+++++++•++4++++F++ i•+►+ CAI 1 635- Ir1 75 by 7:00 p. m. for an inspection needed the trer(t bl.usiness day ++++++f•++++++++++++.+++.+++++-r+++++++++++++++++++++++++++++++++++•r++++++++++•4-+ SEP-15-98 05: 17 PM WEST SI' ELECTRIC 503 736 0677 r. 01 PON CITY OF TIGARD Electrical Permit Application Plan Cr10`4" 13125 5W HALL BLVD, Recd Bw Data Flit d TIGARD OR 97223 ll Dale to P.E. Phone(503)639-4171,x304 I Print or or Type Date to DST Inspection(503)639.4175 Incomplete or Illegible will not be accepted Permit .0 d" r �c� fax(503)684.7297 1. Jcfib Address: 4. Complete Fee Schedule Below, Nava of Development Number of Inspections per permlt allowed Name(or name of business) S��r� _ Service Included Iten,w Coat Sum Address�,/j /29 A•. Resld+nl.i•pe'ung Ar �'x,�9 7 7 2 7 1000 sq.h or lana � $110.00 4 � a` City/Ste IV/Zi P �_. Each additionAl 500 sq,It.or 17 -Commercial❑ Residential 1G7 portion thereriargy $25,00 t l.lmlted Enarpy f25.00 Each Mnnurd Home or Modular 2a. Contractor Installation only: Dwellln0 bervlce or Feeder w $08.00 2 'Attach c,7py atoll current jIca ea) / f eb.Services at Feedera F lecirical Cordrarinr 3 T /[ «j`/t` Inslallallon,ahorallon,or ralocallon dross_ 200 amps or lees $60.00 2 �+— -- 201 amps to 400 Amps180 00 2 City _ Slate Zip �� 401 amps to 800 Amps - f12o,n0 _ 2 Phone No.__2 - /.rr 601 amps to 1nru1 amps $18000 _� 2 Job No 1,e/ " DO over 1000 amps or volts laeC.Oo _ P Reconnect only $80.00 2 Elec.Cont.Lice.No. Exp.Date 4iry OR State CCB Reg.IN;O._ Exp Date 4c.Temporary Services or Feeders CCT Business Tax or Metro No. _[xp.Date Installatinn•nitrrntior.,or mlocation 200 amps or 1-66 $%Oo ------- •— 2 Signature of Su r. Elegy n 201 amps to 400 amps 475.00 7 9 P p 401 amps to 600 amps _ $100.00 _ 2 Exp.Date /D G i �l over 000 amps . 1000 volts, License Nr• see"b^above. 4d.Brsneh Circuits For slleratlen or extcnslon Pei panel 2h. For owner installations: a)The lee for branch clrcutls tallith purchase of service of Print Owner's Name,__•__ feeder fee. Address Each branch circuit $5.00 2 City— _^ Stti!0 zip b)7.19 lee ler branch c1mulls P ts9thout purchase or Phone No. s-trice or Marler;se. First branch curcult I $35.00 _ 2 The Installation Is being made or,property I own which is not Fach adifill nal branch Hrritlt 55.00 2 Intended for sale.lease or rent. An.Miscellaneous (6erNce or feeder not Included) O'rwnpes Signature___ _ ._.__ _ Each pump or Irrigation circle SAO 00 — 2 Each sign or outline lighting $40.00 t 3. Plan Review section(it required):' C+IPonl 1,altor(s)or o tnxien1-00d energy $40.00 _ 2 a, penal,ettarelion or e>rtenalon Minor LAWS(10) �„• $100,00 Please check appropriate Item and enter fee In ser.rlon SB. v~i 4 tar rnore residential units to one structure Or.Fach additional lnsNectlon over y _Service and foodar 225 amps or mere the allowable In env of the above F- Sysinm over 800 volts nominal per Inspection $55.00 5.00 Classified area or.hurture cnntnining special occupancy Per hour $55 70 as desrdbed In NT C Chapter In Plant t Submit 2••ts of plans with appilcatlon where any of the abeve Apply. S. Fees: 57 t Not required for temporary constructlon services. 5a Enter i 5'+<Sunchch of above Peas argrt(.OS X total tees) f Subtotal rb.Em•r 2S'd.of tans 5a for ' PEAtAI�5 9ECOME YOII I IF WOne,OR CONSTRUCTION AUTHOPIZED IS Plan Igo 31 f 1,43".(,04MENCE0 WITHIN 180 DAYS.OR IF CONSTRUCTION 0.1 WORK Subtotal IS SU5pENDED OR ABANDONED 1704 A PERIOD OF tf)0 DAYS AT ANY � Trust Account r _ !._ 7"?s TIME An'ER WOgK 19 COMMENCED Tofrl balance Due 1 �'�ls � CITY OF TIGARD ELECTRICAL_ PERMIT DEVELOMVIENT SERVICES PERMIT tk: ELC98--0962 nATE ISSUED: 09/1.8/98 13125 SW Hall Old, Tiga,d,OR 97223(503)639.4171 PORCEI._.: ��'S 104 AA 1 i X00 ITE ADDRESS. . . : 124'75 SW 129TH AVE GLIDD I V 19 I ON. . . . :BELLWOOD 1\10. 3 ZONING: R.-4i. 5 BL'ICK. . . . . . . . . . LOT. . . . . . . . . ., . . . . I L' J(JRIODII TInN; TIC p'ro, ec:t Descr-iption: addition to electrical service. ...-._nEL)'.DENTIAI_ 1JNIT----...... -----TEMP 5RVC/F7EEDERS--_ __.._.w._..MIS7CELLANEOLIS--. --- 1200 SF OR LESS. . . , : 0 0 - 200 amp. . . . . . . ; 0 PlJMP/IRRIBAT ION. . ,. . ; 0 EACH P_-,JD' L. 500SF. . . : 0 201, 400 amp. . . . . . . : 0 GIr3N/OLJ'r LINE LTG. ,. : 0 LIMITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL._./PANEL.. . . . . . . : 0 MANF. ('M/ SVC/FDR. . : 0 E,t?tl mampt, --1000 vo l.t s. : 0 MINOR I._(IIIEL ( 10) . . . : 0 _._._1iERVT.CE/FEFwDFR--_ - ----ERANCH CIRCLIITT)-._.__.._ -------ADD' L. INSF'i::CTIONS-•---- 0 200 amp. . . . . . : V1 W/SE^VICE:. OR FEFDER: 0 1=1ER INSPECTION. . . . . : 0 '01 - 400mp. . . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOLJR. . . . . . . . . . .. .,. 0 A01. ,OQt amp. . . . . . 0 Erb ADD' i... PRNCH CIRC: 21 IN PL.ANI.. . . . .. . . . . . . : 0 ( G 0 1 -- 1000 amp. . . . . . 0 __.__ ..___-_._.__._.---F'I_AN REVIEW SECTION-----------__._.__--_ 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL.. . : Rsconnec:t only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. Owner-: _.._._...._.._..........._ ......_.__.____.__....__ ._....__._.._.._.____._,....... _..__.._......_.._._....__.__-._........_..._... FEES - DORIS SMITH type araount by elate r,ecp'. i.c'47S SW 129Tt-I PPMT $ 49. 012) CEO 09/18/98 98309277n YICARD OP 97:= , 5r.:'CT $ 2. 25 CEO 09/1.8/98 96-30927a Phone #; ..r1ni:ractor; WEST SIDE F..I._I�CTRI(; rn INC $ 47. .5 TOTAL 1834 SF STH AVE ------- REPL)IRFD IN13PECTIONr ._....._._.._ PORTLAND OR 97214 Eler_t' 1 Service Phone #: 231•-1548 Elect' 1 Final Peg . is permit 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 apprnved plans. This permit will expire if work is not started within ;80 .;-lys of issuance, or if work is suspended for mare than 180 days. ATTENTIONS Oregon law requires you to follow the rules adapted by F Oregon Utility Notification Cer,:er. Those rules ate set fort!+ in DAR 952-001-0010 through DAR 952-001--1987. You may obtain a copy these rules or direct questions to OK by calling (503)246-1987. mittee Sign hi_trec /11Tssl.ted Dy : - a �" f1WNE R INSTALL.nTION v~i ie installation is being made on pr open-ty I own which is nct intended fog• >- 11 q, lease, or r-ent. �1NFR' S SIONATLIRF: DATE:e J IN' 1-riTION W ,�y, , 97 -' T CihIATUh7E OF L�l_I 'R. E'L_EC' N.c �� — DATE; __ r C F NS E N O c t- F-�+++ .!-f•+�++ h+ Fi 1 } F f l °F I i !••h1+•1 +i hi 1-++-1 Cala 639-4175 by 7:00 p in. for, an insper_tion needed the netft bUsinerss day +�.•�•-� —4-+++++4 ++++++++++++4.+-t++++.++++++++++++++++++++-t-+++++++•+• � CITY OF TIG ARD Electrical Permit Applicatiq Plan Check k 13125 SW HALL BLVD. I�cCEIVED Recd By TIGARD OR 97223Dale Recd_ CSP 199,(•Date to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type ".. �,�C� Permit fl ��° �CJ�G•_'` Fax (503) 684-7297 Incomplete or Illegible will not t��aClteld Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development / ��' 1��% � / 3 Number of Inspections per permit allowed Name(or name of business)_1��' ' S �/h i I�^� c„rvice Included: Items Cost Sum 1 Address 12-cl �5 S�� z f 4a. Residential-per unit 1000 sq.ft.or less $110.00 4 City/State/Zip 1 �Q`� `� exp 7-Z Each addirional 500 sq.It.or Commercial El Residential portion thereof $25.00 _ 1 Limited Energy $25.00 Earh Manul'd Home or Modular 2a. Contractor installation only: Dwelling Service o•Feeder $66.00 2 (Attach copy of all currentIce J�ao° 4b.Services or Feeders Electrical CQntractor MP3 C�r�C. illation,alteration,or relocation Address / r L� 200 amps or less $60.00 2 201 amps to 400 amps $60.00 2 City G'r i+c State _zip9-;V y 401 amps to 600 amps $120.00 _ _ 2 Phone No. Z r S-VP 601 amps to 1000 amps $160.00 2 Job No. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. / (-_Exp.Date_ � 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date _ lnstailauon,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n_ ---1_ - - 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License Nr _�� S Exp.Date_ ___^ .. see"b"above. Phone Nr _2_J-T-� S i ad.Branch Circuits New,alteration or extension per panel 2b. For owner installations: n)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address - Each branch circuit $5.00 2 - h)The fee Ic'branch circuits Gity _ Slate_ Zip without)lurchoseof Pt tone NO. _ _ service c r feeder fee. S First branch circuit $35.00 The installation is be,-19 made on property I own which is not Each addltio nal branch circuit Z $5.00 �.lZ- intended for sale,leas:or relit. 4e.Miscellaneous (Service or feeder not Included) Owner's SignatureT Each pump or hrigation circle $40.00 2 Each sign or outline fighting $40.00 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension $40.00 i_ Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units In one structure 4f.Each additional Insoectlon over Of Service and feeder 225 amps or more the allowable In any of the above _ System over 600 volts nominal Psr Iispection $35.00 Classified area or structure containing special occupancy Par hour - $55.00 as described In N.E.C.Chapter 5 111 Plant $55.00 _ Submit 2 sets of pians with application where Gny of the above apply. 5. Fees: J� n Not required for temporary construction services. 5a.Enter total of above lees $ `7 C-0 5%Surcharge(.05 X total fees) $ 7.Z NOTICE Subtotal $ - 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION M1THORIZED IS Plan Review if re uire (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYa TIME AFTER WORK IS COMMENCED. � Trust Account# 01 �� Total balance Due I f'-r•'rl I'N EI'I' Ib '1'9P CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES F'F_RMIT it. . . . . . . . MEC98-21.=,9 -, 13125 SW Nall Blvd., Tigard.OR 97223(503)639-4171 DATE ISSUED: 09/11/9r3 PAW;EL.: 3 1 P ,AA-- 1 1"300 SITE. ADDRESS. . . : 12475 SW 129-H AVE -! IBD I V I S?13114. . . . : BEL LWOOD NO, 3 ZONING: R--4. 5 BLCG:K. . . . . . . . . . . LOT. . . . . . . . . . . . . : 138 .JIJRI!3DICTION: TIG CLASS OF WOF,K. . :AI-T FLOOR FURN. . . . : P EVAP' COOLERS: 0 TYPE OF LISE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP'. . : R,3 VENTS W/0 AF'F'L_: P VENT SYSTEMS: P STORIES. . . . . . .. . : 0 BOII._.ERS/COMPRESSORS 40ODS. . . . . . . : P F LJEI._ TYPES -___.___._---_-.-_ 0--3 F IP. . . . : 1 DOMES. I NC I N: P ..GAS HF'. . . . : 0 COMML. I NC I N: P MAX I NPl.11-: P BTU 15-30 HF'. . . . : P C.r_F'A I R IJN I TS: rT FIRE DAMPERS)?. . : 30-"-50 HP. . . . : P WOODSTOVES. . : P GAS F'RESSLIRE. . . : 50.1. IIP. . . . : P CLO DRYE.RS. . : P NO. OF UNI"I S- -- ------- AIR HANDLING LJN T"f:3 OTHER UNITS. : P FI.JRN ( 100K BTI.J: '?l (= 10000 cfm : P GAS OIJTI_ETS. : 1. FL)RN ) =100K BTU: 0 > 1.0000 rfm : P R e m a r•k s . Installation of exterior heat pump to residence. Unit cannot be placed within the required setbacks. Owner: -_-_..-----_.__.__________..___.___ -.--- ------._-----------------___- FEES -------------- DORIS ---_-.-_ ---__DORIS SMITH type ain0I.rnt try date recpt; 12475 SW 129TH AVE F'RMT $ 25. 00 DL.H 09/11 /98 98-309053 T I GARD OR 97223 5PC'T $ 1... 295 DIJI 09/11'/98 98 .?IjI'ai?Ir;li. F'h o n e #: 590-.2574 Contractor; COL IJMF-I A I lEA'T I NG R. COOLING INC F'0 BOX :-'3O397 -----------------•--------.-------.- $ 2G. 2'.5 TOTAL- T I GARD OR 97223 F'h o n e #: 624--2704 Reg #. . : 000'763 --- - - -- nEQLJ I RED I NSF'ECT I ONS __.._._.._. This permit is issued subject to the regulations contained in the Lias Line Insp Tigard Municipal Code, State of Ore. Specialt, Codes and all other Mechanical Insp applicable laws. All work will be dine in accor+ance with Cooling L.Int Insp approved plans. This permit will expire if work is not started Final Tnsppr_tion within 180 days of issuance, or if pork is suspended for more than 180 days. ATTENTION: Ore3on law requires you to follow rules _ adopted by the Oregon Utility Notification Cent Pr. Those rules are set forth in OAR 95c QpI-0010 thrnugh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling 15031246-9187. r' J T s s l.r e B - _.. F'e r m i t t e e S i g n a t it4e'-- " .HCl +"++++++-F+++++++++++++.+++++++++t++++-♦ t++++++++"+++++++++++ +++++++++++++ +•++++++ Call 639-4175 by 7:00 p. m. for-, inspections needed the next hi.rsiness day +-1-+1++++++++++++++++++++++++++++++++++++++•++++++-+a•+++++ ++•+++++++++ 4 +++++++++++++ Plan Check# CITY Of TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Recd 9G TIGARD, OR 97223 Date to P E. (503) 639-4171, x304 D�te to permit#DST `� a3� Print or Type L=_ F- 3 Called __ _ Incomplete or illegible applications will not be a cepted Name of Development Protect Description TO Table 1A Mechanical Code QTY PRICE AMT Job Street Address Suite# A) Permit Fee -0- -0- 10.00 Address �.� 6W I,�zy h ,V iL Bldg# City/State Zips �t 1.) Furnace to 100000 BTU 6.100 �{ 0 k including ducts&vents Name(or name of business) Q 2.) Fumace 100.000 BTU+ 7.50 Owner 5o, J 7'4 including ducts&vents Mailing Address 3.) Floor Furnace 6.00 1,9�125-_ SiO log qSh NUC including vent City/Ste t0 Zip Phone 4) Suspended heaver,wall heater 6.00 r inc' Q A-2 Q-p�,j;� or noor mounted heater Na (or name of business) 5.)W Vent not included in appliance permit 3.00 Y Occupant Mailing Address 6.) Boiler or comp,heat pump, it cond. 6.00 to 3 HP•absoF5unit10-1 BUT" City/State ZipPhone 7) Boder or comp,heat pump,air cond. 11.00 _ 3-15 HP absorb unit to 500K BTU" Contractora 8) Boder or comp,heat pump,air cond. 15.00 (_Q/Iir01,61(A / 1,Qa�f it (1 15-30 HP, absorb unit.5-1 and BTU" Prior to permitailing A ress 9.) Boder or comp,heat pump,air cond. ^2.50 issuance,a copy 1U 0 30-50 HPi absorb unit 1-1 75md BTU" _ of all licenses c Bute Z" Phone 10.) boder or comp,heat pump,air cond. 37 50 are required if (� L - >50 HP,absorb unit 1.75 mil BTU" _ expired in COT Oreoch Const.Cont Board Lie.M Exp,Date 11.) Air handling unit to 10,000 CFM 4 50 database -* Arr-hitect Name 13.) Non-portable evaporate cooter 456 -I Or Mailing Address 14.) Vent fan connected to a single duct 3.00 1 Engineer cityBtate Zip Phone 15.) Ventilation system not included in 4 50 __ _ appliance permit Die rube work New O Addition O Alteration<5 Repair O 16.) Hood served by mechanical erhaust 4 S, to be done Residential Non-residential O Additional Description of work: 17.) Domestl�incinerators 1 50 �y 18.) Commercial or industrial type 30.00 i l k �t 1 ILLS C()0 A t I I <�45� locinerator Existintyuse of 19.) Repair units 4.50 building or property 20,% Wood stove 4.50 ` Proposed use of 21 ) Clothes dryer.etc 4.50 building or property 22.) Other units - 4.50 { Type of ft lel-oil O natural gas LPG O electric O 23.) Gas piping one to four outlets 2.00 DU J n- cl: t hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50 Ln information given is correct,that I am the owner or authorized agent of _ the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL i-- laws. Signature O ner/Ag Date 'SUBTOTAL a L 9-9-Zi 5%SURCHARGE LO -t arson Name Phone PLAN REVIEW 25°x6 OF SUBTOTAL ✓I��'cJ�\ l LSI(Jn`h/1 � ) TOTAL / i\mechpmt.doc (rev 9 'Minimum permit fee is S25+5%surcharge -Residential A/C requires site plan showing placement of unit HEATING & COOLING, INC. P.O. Box 230397 Tigard, OR 97281-0397 (503) (324-2704 J� a F1 r r F- J ._....... J vr� s �►► i � fl� i��l'7�r' sLv �a9t A ar'd . fes;•'_ 97�a3 F. INSgECTION NOTICE City of Tigard Building DeWteent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Busineae Phone: 639-4171 Inspection:— -- — Tooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINAL: Poet/Benno Struct,. San. Sewer Framing -Bldg. - Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Data Requested: ��-'U 3 Timet AM PH Addresst1 a- / rrmit Builder:r, 7,kl --- THE FOLLOW[NG oORRECTIONS ARE REn?UIRED: 1 r 1 n A r _ A J Inspector: Date. / -� APPROVBD DISAPP1'OVED APPROVED SUBJB@! To Men Call For Reinsp. crnry Tim CITYOFT167ARD m7iFi7 BUILDING PERMIT 04 C6MMUNrrY DEVELOPMENT DEPARTMENT 100N 13125 SW Hidl Blvd. P.O.84=23397,TipM,OreWi 97 (500)M-4175 DERMIT #. . . . . . . : BUP912-02L3 6394171 DATE ISSUED: 08/07/9c,-, SITE PODRE'73S. . . ' 12475 SW 129TI-4 AY PARCEL: 2G104AA--1i SUBDIVISION. . . . : BELLWOOD 3 ZONING: R-4. 5 BLOCK. . . LOT. . . . . . , . . .I . . . : 138 PE I 9S(jE_- FLOOR AREAS EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. jADD FIRST- -- sf N: S: E: W: I'YPE OF USE. . . :SF GFCOND. . . : 5f PROTECT OPENINGS?- TYPE OF CONsT. :bi\i THI' 'J. . . . : sf N: S: E- W: OCCUPANCY ORP, : R3 0 sf ROOF CONST; FIRE RET? : OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED: STOR.. ;2 I-IT. :24 ft GARAGE. . . : sf OCCU SEP. RATED: 11ASM7 ?.- MEZZ?- REOD SETBACKS--_-_--- REQUIRED- FLOOR LOAD. . . . :40 p s.F LEF'r-6 f t RGHT- ft F I P S PF,L- SMOK DET. . - DWELLING UlqITS: FRNTs ft REAR: ft FIR AL.Rivl: HNDICP ACC- DEDRIVIS: SATHS: IMP SLJRFArF: PRO CORR- PARKING: V(4LUL. $ : 3:3"')a 0 Remarks : 730 230 FT ADDITION 70 GARAGE-'. t_-)N D A 1-10 V E (Jwnet': --- -- _ - - _-_ FEES IUM HANNAH type AMOUnt by date 1247r) SW 129111 AVE PPMT $ 211. 00 JH PLCK $ 137. 15) JLH 07/28/92 2299, TIGARD OR 97c-.-.-4 5PCT $ 10. 55 J1 06/07/92 Phone #: Contractor-c -----______---.--_-_----_-_._----- DAN ROESLEP 5915 SW 3811 AVE PORTLf1141) OR 97221 Phone #: 2'4'5')2 ,Q1 $ 35A. 70 10TAL Pevi 0, 2139EI REQUIRED INSPLCTIONs This perNit is imied subject to the regulations contained in the FE10t /fOUtid I 11cp Tigard Municipal Code, State of Erre, Spicialty Codes and all other Ft-Aming I n s p applicable izws. All work will be done in accardanre with Insi.ilAtion Insp acoroved plans. This persit will expire if work is not startpi Gyp Boat-d Insp witnin let tims of isstiuce, or if work is susopndeJ far rare Rain di-aiti Insp than 180 days, Final Inspection CL Call for inqrWLt -ion 639-4175 FA CITY 131L"Sw flail Blvd. PLNCK/RECT #OFTIGARD MBox 23397 PERMIT # .LLrZ— z Z 3 COMMUNITY Tigard,Orcgon97223 (503)639-4171 DATE ISSUED JOB ADDRESS: �`�7 "1' �C <C� — TAX MAP/LOT '5/05/ Iq� — 119u SUB: LOT: . 0 LAND USE: VALUATION: '� 3 T, -5 �O OWNER SPECIAL NOTES NAME: 7 70/;/,1 REISSUE OF: _ �,`' LAST REISSUE: ADDRESS: r''- Z;.L_ �!lI% �l`L� _ — �' FLOOD PLAIN/ PHONE: SFNSITIVE LAND: _ I CONTRACTOR �/ APPROVALS. REQUIRED NAME: 0c 2( "1 PLANNING: &C KL ADDRESS: � 4.�� ;�.�� _ ENGINEERING: 63C -,`A-Zi FIRE DEPT: _ PHONE. _�'i4f cis' ' _ OTHER: /u(.7CONIR. BOARD #: G I J7 1 EXP DATE: ITFf6 REQUIRED SUBCONTRACTORS: PLUMB: _ _ LIST/SUBCGNTRACTORS: MECH: - BUS TAX: _--- ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: �. _ OTHER: PHONE: Ln >- PROPOSED BLDG. USE: J COMMENTS: QD mE w — r v -- APPLI A SIGNATURE ' Received By: �T_. — Date Received: PERMIT # Ai,t.l # DESCRIPTION AMOUNT AMOUNT PD. SA'_. DUE u, _2-017 3 10-432 00 Building Permit Fees �l//� =� ,�l/,�✓ 10-43' 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) /C • ;7 _ U. 55 'ding j Plumbing _ Mechim ical 10-433 00 Pians Check Fee 13 Building Plumbing _ Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-.444 DO Sewer Inspection 25-448-02 Commercial TIF Fees wM 25-448-04 Industrial TIF Fees 25-448-06 Institutional 1-IF fees 25-4d8-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Vater Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) _ TOTAL 7, /5— nm/3587P.WPF