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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Flour Inspection Line: 639-4175 Business Line: 639-4171 MST
G ) BUP
__-_-_ Date Requested 2- / Am_� O C PM BLD
Location Ar `�^ 1",�/ !/iC �
Suite
�-
Contact Person -,�!i^5 a c- ¢ Ph L'y� ,� ��� _ PLM _
Contractor Ph 5iNR
BUILDING T�nant/Owner _ f- /�r � t ELC
Retaining Walt —�- -
Footing - ELR —
Foundation Access:
FPS
Ftg Drain
Crawl Grain Inspection Notes: SGN
Slab
(Post& Beam ----- - --- — - SIT _--
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation - — - --_- -- ------------..__— -- -- -
Drywall Nailing
-firewall
Fire Sprinkler
Fire Alarm -------- - -- -�— ---- ----- ------ _—.. —
Susp'd Ceiling
Roof - ---- — -------._---
Mise:
Final _—._ --- -- --- ----
PASS PART FAIL.
PLUMBING
I ast& Learn -- -----Under Slab --- -�--�------------�----
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final -
PASS PART FAIL �-----_---`-
----- -
HANICAL
Post& Beam
Gas mne -- —
PART FAIL - ------ __-_ ---- ----------
ELECTRICAL -- —
Service
Rough In --- — -- _._..—.--
UG/Slab _
Low Voltage
Fire Alarm
Final - -- -
PASS PART FAIL _ - y-
SITE _---
Backfill/Grading - -------------- _ —_ --_
Sanitary Sewer
Storm Dain ( ] Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i ] Please call for reinspection RE: _ _ _- — ] ]Unable to inspect-no access
ADA
Approach/Sidewalk Date,
'C r
Other Inspector
Final
--- - �_ ,.. _-.. _.—_Ext
PASS PART - FAIL_ DO NOT REMOVE this inspection record from thej ob site.
CITY' OF TIGARD t
MECHANICAL
PERMIT
COMMUNIT"r DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . MEC96--0176
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171 DATE ISSUED: 06/IE/96
SITE ADDRESS. . . : 10395 SW HOODV I EW DR PARCEL: 2S11ICB-01743
SUBDIVISION. . . . : HOOD VIEW N0. 2 ZONING: R--3. 5
ESI-OCK. . . . . . . . . . . LOI.. . . . . . . . . . . . .
4 c=.
CLASS OF WORK. . - ADD FLOOR TURN. . . . : 0 E:VAP COOLERS: 0
TYPE OF USE• . . . .SF• UNIT HEATERS. . : 0 VENT FANS. . . r, 0
OCCUPANCY GRP. . :A1 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . s 0
FUEL TAPES__________._._.___ 0-3 HP. . . . : 1 DOMES. INCIN: 0
: /ELE/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 I3ru 15-•30 HR. . . . : 0 REPAIR UNITS: 0
F-IRE DAMPERS?. . .- 30-50 HF'. . . . s 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . ll 0 CLO DRYERS. . : 0
NO. OF UNITS----- -- --- A:'R HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 0
FURN )=100K FTU: 0 > 10000 cfm: 0
Remark�, c Installing 3Hp air cond. 1-init.
Owner: _-------_.-•--_____..__._.___.___._______.___._______.__. FEES -------_---_.___
ULRICH HUGEL type amor.int by date recpt
10:.39::• SW HOODVIEW DR PRMT f 25. 00 CJS 06/iii�/96 96-280500
T 1 CARD OR
`PCT f 1. 25 CJS 06/12/96 96-2811;-00
9 7.';.'3
Phone #:
Contractors -----------------------------------
PIONEER
------_.__-._----___.-------------PIONE ER FURNACE.
3615 NE BROADWAY
PORTLAND OR 97232'
phone #: 249 -5000 26. 25 TOTAL-
Reg
OTALReg #. . : 36102
--------- REQUIRE=D INSPECTIONS -------
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sc,. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if work is suspended for mere
than 180 days.
I' ,m i t t e e
Call for inwpect i On - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # <_5-(1-YO-Wo
13125 5w Hall Blvd. APPLICATION Permit # /71 f-C4E-01 Zi
Tigard, OR 9722"
(503) 639-4171
ascnptlon
Table 3A Mechanical Code QTY PRICE AMT
Job I. 139 d' V v 1) Permit Fee - -0- -0- 10.00
Address
2) Supplemental Permit 3.00
umace o — -
U r 1) incl. ducts&vents 6.00
'" ----Furnace --
Owner �J" (J �t 2) incl. ducts&vents 7.50
Floor Furnanoe - -
_ Ly� 3) incl. vent 6 00
- -
Suspended heater,ww I�ieater --
c. ,
4) or floor mounted heater 6,00
Occupant C, en no inc. in --
1y.Q--�-"" 5) appliance permit 3,00
�- Repair o eating,rre rTig:_-----
6) cooling,absorption unit r6.00Tor comp�e�pump,air con .
7) to 3 HP absorp unit to 100K BTU i er or comp, eat pump,air co .
Contractor i5 ' `lj8) 3-15 HP absorp unit to 500K BTU
or or comp,heat pump,air con �-
Cl { �R 9) 15 30 HP absorp unit.5.1 mil BTU 15.00
,� -
Boiler r or comp,hi;at pump,ad 67, --
(Q &� Q Ln10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
re y ac ow ge i�aCT avFi—a re`a is application,that in@ i er or comp, ea pump,aicon —
information given is correct,that I am th owner or authorizad agent 1 1) >50 HP absorp unit 1.75 mil BTIJ 37.50
of the owner,that plans submitted are in compliance with State Air handlinq n-un'To ---
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, --
please give reason below-) a handling um
13) 10,000 CTM+ 7.50
Non porta - —
_---_ ------ - 14) evaporate cooler 4.50
Vent an c- onnnec
_ 15) to a single duct 3 00
--
-- ventilation stiy— spm not
W _� 7ZZ341> —16) included in appliance permit _ 4.50
T1_00Tsery
17) mechanical ex'iaust 4.50
NSCribew now U a i on f7 alteration U repair MmmeraTorin us na —
to be dono residential® non-residential O 18) type incinerator 30.00
Existing use o "- Other i.e.,woodstave,wa er '_ - — -
building or property 19) heater, solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets - L W
building or property ---_-- ---� - -
T of fuel-oil 2r) More than 4.per cutlet
Type O natural gas Q LPG O electric —
NOTICE
Minimum Fee$25.00 SUBTOTAL /9
4•_
PERfv'ITS BECOME VOID IF WORK OR CONSTRUCTION ---- -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE r Z�
IF CON13TRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2S%OF SUBTOTAL
AFTER WORK IS COMMENCED.
STOTALpecial Conditions ---
- ---
Date issued y� by.�.l.L-
..vra,wr
T LM Al S
T
PNONEEIR IFURNA 2" -
3615 N.F. Broadway 0 P001.111d, Oregon 7A
t 503/249-5000 FAX 503/249-8261 "l~_
�A�TD
JOB#
TVDATE
Ilj 0?. PHONE
d -'-'9!'-'3
<
WE PROPOSE TO FURNISH A � AND PERFORM A L<QE:)ECVS=Y'02T`O COMPLE'M THE
FOLLOWING 4
I
Removal and disposal of existing equipment jas piping /0' >0 lor
A I (' air 7
Removal and disposal of asbestos Thermostat We'ifisp- Ell.
Electvcal wining raw- - a%!.M—% -- V)
ar- N% ..%.%.AAr, all-
ew eq mei,t �,' be installed ... M11 of-- -
04 A
Ah
win AC
Base investmcntam'ount
AVAILABLE OPTIONS:
ms water heater
Air conditioning
Electronic 40-ctilelEr
Digital programmable thermostat
P er-Vac duct cle service loom
�%
LIU% U9
,of the above work to q5 -1"J
ALLARS,with payment to,,e made as follows
All I t d for 0
.e sum
'�e c.orqp e e - of S-
V
$50.00 discount for cash on acl qk'`F-4anc-on instant?fion)
Bank finaricing(on approved credit): $0 down,no prepayment penalty,
APR: I -60 months: -%, APR:60- 120 months:
Financing rate jbject to change Liu, I clubw I q(P,?A
Other payment option__ 6'10(� 7( q(e
EXCLUSIONS TO WORK ABOVE:
Pioneer Furnace is :got responsible for the upgrading of existing duct work or insulation unless mentioned above, nor any dju
caused by current debris in duct work,nor any upgrades to electrical system if found to EqLVe;t codes. PI initial''
na'
'THANK YOU FOR CONSIDERING PIONEER HEATING AND COMING. BY: A Q- -% %-
This proposal is valid for thirty(30)days ou
ACCEPTANCE: ?%N K 0%A
You are hereby authorized to furnish all material and labor required to complete the work mentioned in the above proposal,for which
the undersiped agrees to pay the amount mentioned in said proposal,and according to the terms stated. It is fin-ther agreed that if the
charges made remain unpaid tor a period of 30 days beyond the pay period ab(ve,that any balance re. mining;unpaid,bear interest at
the highest legal rate permitted by law. In the event that any suit or action is instituted to collect any amount due under my account,
whether principal or interest or b, t d tion to the costs provided by law,a reasonable sum for attorneys fees
DATE. CLIFNt.
HYA THTR
H DATE SOURCE
ADDRESS - - DIRECTIONS
EXISTING EQUIPMENT AGE_ ,n
OILPL�J�FLO
ELECTRIC SOFT. 1/ AGO,
LOWBOY UORZ ATTIC
BASEMENT GARAG RAW CLUSEI WAL -_
11 j, � � .1 L} • GLASS 1 F�FET
FLUE INFO _ 'f
PANEL INFO
T•STAT _i� w j_ 1 y� �� ((�� .'
METER LOC `i r�
PERMIT PORT W/CNTY C.CNTY �� s + •
ow
DUCT SYSTEM EXISTING NEW r X
MAIN FLO R UPSTAIRS 7y ti•�" ' `
4x,0 {�I j 4x,0
4x,2 N 4x12
4x14 404
CI RANGE ...__. ^efmook ur ;1,,t ?m
CI RANGE
CI RANGE
O
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O I
r n
ELECTRICAL PERMIT
PER #: 0399
CITY O� TIGARD DATEMIT ISSUED:ELC9606/20/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Otogon 97223*8109 (503)839-4171 PARCEL: 2S111CB-01743
bil-E kl)DRESS. . . .' 103'_15 SW IAOUDVIEW UR
SUBDIVISION. . . . : Hrir,., 'JIEW NO. 2 ZONING:R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :42
Project Descrip' ion: Installing one branch circuit for a 3Hp air, cond. �tnit.
UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-- —
1000 SF OR LESS. . . . : 0 CA 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . ,. 0 eOl 400 amp. . . . . . . : 0 516N/OUT LINE LTG. . : 0
i-imiTED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/P;4NE.. . . . . . . : 0
MANE. HM/ SVG/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
------SERVICE/FEEDER---- -----BRANCH CIRCUITS—— ---ADDIL INSPECTIONS,---
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTIUN. . . . . 1 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . s ka
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 -----_.____.__.__-__PLAN F.ZVIEW
1000+ amp/volt. . . . . : 111 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner,: FEES
ULRICH HUGEL type amount by date reept
10395 SW HOODVIEW DR PRMT $ 35. 00 CJS 06/20/96 96-280844
5PCT $ 1. 75 CJS 06/20/96 96-280844
TIUARD OR 97223
Phone #: 503-624-3710
Contractor: -----------------------------------------------------------------------------
COOPLFR ELECTRIC $ 36. 75 TOTAL
11845 SE 34TH ST
REQUIRED INSPECTIONS
MILWAUKIE OR 97222 Wall Cover Electll Final
C:'Ihone 503-653,8803 Llace' l Service
h e g #. 42918
This permit it issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Pet-mittee, Signat etre
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 sore Charles
than 180 days. ISSUed By
INSTALLATION
The installatiin is being made on property I own which is not intended for,
sale, lease, ar rent.
UWNERIS SIGNATURE: DATEs
INSIALLATION
SIBNA"TURE OF SUPR. ELECIN: DATE e
I.- ICLNSE NO:
Call for inspection 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
Co y p
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #a6- D PoPq��
Permit # �ZC')6 D 399
P,tone 503 639-4171 ~�
( ) Date Issued F
CITY OF TIGARD ,=AX . (5 ) 684- 7 Issued by
TDD No. (.,03) 6Et4-2772
Inspection (503) 639-4175
1. Job Adoress: 4. Complete Fee Schedule Below:
Name of Development__ Y—_� Number of Inspections per permit allowed —
Addressf(Q;3 _:�i ee- _/V Service Included Items Cost(eal Sum
City/State/Zip,z/e�r'4 t� �� . _ 4a. Residential-per unit 4
1000 nq It or less $11000
Name (or name of businessEach additional 500 sq It or
portion thereof —.� $2500 ��.
Commercial❑ Residential Limited Eno-gy $25 00
'` Each Manurd Home or Modular 2
e - / 3710 Dwelling service or Feeder Et 8 00 _
2a. Contractor installa!ion only: ✓�
4b.Services or Feeders
/z C Installation,alteration,or relocation 2
r C.-�C-�L I I �� 2
Electrical Contractor 6_11' . 200 amps or lose _ SW 0a
Address - �
101 amps to 400 amps _ $80 0L 2
- — 401 amps to 600 amps __ $12000 2
City /�ii���// � Stat E![� _ 7ip SUI amps to 1000 amps $18000 2
Phone No. _ Over 1000 amps or volts $34000 2
Contractor's License No� Reconnedonly $5000
Contractor's Board Reg. N 4c. Temporary Services or Feeders
Installation aderatlon,or relorahOn
Signature of Supr. Elec'n _/ _ ` 200 amps or loss _ _ $50 00low 2
License NoI12-, lVd. 201 amps to 400 amps too$7500 —
rJ 401 amps to f100 amps $100 00
r�C `FJ —1 Over 600 amrz;to 1000 volts. —
2b For owner installations: soo•h•above
4d. Branch Circuits
Print Owner's Name _ New nlfern.on or extension per panel
Address The!ee for brooch circuits with
Purchase of service or btlta Ago,
Clty State Zip Each branch circuit $5 00
Phone No. b)The fes for branch arcuds wffhotn
The installation is being made on property I own which is pumhe"of"mko e'°"'dr""1e•
not Intended for sale lease or rent. Foal branch arcuil br $3500
� Eacl•,additionalanc!I Grcu4 111!!100
Ownar's Signature 44). Miscellonecw
(Service or feader not included)
3. Plan Review section (if required): Each ul,mo or irrigation circle 94000
Ead1 epi or outline lighting $4000 _
Signal cln:udis)or a limded energy
Please check appropriate item and enter fee in section 5B panel,alteration or extension _ $4000
4 or morn residential units in one structure Minor IahslR(In) $10000
Service and feeder 225 amps or -ore
System ovar 600 volts nominal 41. Each MdRional inspection over
Classified area or structure containing special occupancy the allow^�;;e In any of the above
as described in N.E C Chapter 5 Per insfxKaon $3500
Per hour $5500
In Plant —.— $55 no
Submit 2 fasts of plans with application where any of the above
apply. Not required for temporary construction services. S. Feeq
So. Enter total of above fees $_ ✓• .='�
NOTICE
5%Surcharge(05 X total fees) $
$
PERMITS BECOME VOID IF WORK.OR CONSTRUCTION Subtotal --
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.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 a _
COMMENCED ❑ 'rust Account M
Balance Due $
.ndcendrrvM�cpm�o "'�'�