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13635 SW HALL BLVD.
CITY OF TIGARD PUILDING INSPECTION NOTICE
In CITY
Line (Rec-O-Phone): 639-4175 business Phone: 639-4171 4./
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw(k
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Sti uct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Dain Framing -Plumb.
Alarm Water Line Insulation = ech.
Underflr. Insul. Shear Wal GypLTimle:TAM
Bd.
Date Requested: PM
Address: CL-420"-
Builder:___ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: EL
-- - 5' 3
44
InspectorDateY! 1
E.
�OVED `DISAPPROVED `APPROVED SUBJECT TO ABOVE
--
Call For Reinsp.
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k; �
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec one): 639-4175 8usines3 Phone: 6394171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr1Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elea Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -1 nb.
Alarm Water Line Insulation M ch.
Underflr. Insul. Shear Wall Gyp. Bd. E!ect.
r
Date Requested: �_ ,Tirre: AM PM
Address:��
Builder: Permit #:'G�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
Inspector,.�� C !tLt t_ L' Date:
�f,_APPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE
"C Call For Reinsp.
i
CITY OF TMECHANICAL
PLRIAI
COMMUNITY DEVELOPMENT DEPARTMENT F',ER111 T #. . .. . . .r s MEC96-004
13125 8W Hall EP:,''. Tigard,Orapon 97923*6199 (503)639.4171 DATE ISSUED: 02/14/C46
PARCEL: 2S I OLDD-0I 100
ADDRCS S. . . : 136:35 SW HWLL E1! rsD
,...1BD I V 1"31 ON. . . . .. EDGEWOOD ZONING: R--4. 5
\. . . . . . . . . . Y LOT. . . . . . . . . . . . . 17
C:LASt3 OF WORK. . :NEW FLUOR FURN. . . . : 0 EVAP (COOLERS: 0
TYPE OF USE. . . . :Sr.- UNIT HE=Fa1ERS. . : 0 VENT FANS. . . : 0
OiCCiJrjp NC,Y GRP. . : P3 VENTS W/O APPI-: 0 VENT SYSTEMS: 0
STOPIE:S. . . . . . . . a 0 SOILERS/C.Ot4PRE'SSORS, HOODS. . . . . . . : 0
FUEL. 0 .a HP. . . . : 0 DOME3. TNCIN: 0
/GPIS/ / / 3-15 HP. . . . : 0 COMHL. I NC.I N: 0
MAX INF-U] : 0 S"CU 13-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE; DAMPERS?. . : 30•-50 HP. . . . : 0 WC]ClDs,r0VFF;. . a 0
GAS PRL.SSURE— s 50+ HP. . . . : Qt CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. . 0
F'URN ( 100K !?BTU: 1 (- 10000 cfm : 0 GAS OUTLETS. : it+
FURN ) =100K STU: 0 10000 cfm: 0
Remarks : Instill gas f+_trnrac:ei
Owner: FFES _.___.•�,__k_,_.. w.._
EDGAR `01-1,1 tyFoe amctunt by date rec:Rt
L3635 CW MALL BLVD. PRM1 s 25. 00 J3D 02/14/96 96-it 7 59,--
,"°PCT s 1.. E:5 JSD 02/14/96 96.._;a'75<?
Ic nrri ars 9742,:w
,une #e 598-9547
?.LF. 1-1CCAT I NG R CCIOL I IV(-.) 114C
1 ,.'-:4,20 SW SUMML:RM.- ST DR
LGARD OR 97223
r1n e #. '$ EG. 25 TOTAL
REUUIREL' INSPECTIONS
is pereit is issued subject to the regulations contained in the Mechanical Insp
igard Municipal Code, State of Ore. Specialty Codes and all ether Final Inspec7tion
applicable laws. Ali work will be dont in accordance with
approved plans. This pereit will expire if work is not started _ ._._ �_..- ,._ _ .. ...___._._.........
.___.__._._.._.
r+ithin 18e days of issuance, or if work is suspended for Bore
than 180 days,
emitterc `: i r�n�;tt ,
I J .. ..
C"al l far, inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
1'2125 Sw Hall Blvd. APPLICATION Perr-rut # t}1 LC
Tigard, OR 97223
(503) 639-4171
•mT'.1 Qwm«-1i escnption
Table 3A Mechanical Code QTY PKICL AMT
Job 1 2 , � � 1z� 1) Permit Fee .0- -0- 10.00
Address •• —
r 2) Supplemental Permit _ 300
.m.i^^„�•^ •^•.. ---Furnace to 100,000 BTU
1) incl. ducts &vents 6Adk00 )
••• °^• Furnace +
Owner 2) incl. ducts & vents 7 50
•• Floor urnance
3) incl vent 6 00
Suspended ea er, wail eater
4) or floor mounted heater 600
• - -II -Vent not inc-'-T-n
_--i-
OCCuoant 5) appliance pe,mit 3 00
•• w Repair Tneating, re Ig.
6) cooling, absorption unit 6 0C
Boiler or comp, eat pump, air cond-_'7 nJ e / 29 Z l' 7) to 3 HP, absorp unit to 100K BTU _6 00
Boiler or comp, heat pump, air cond.
Contractor 2 8) 3-)S HP, absorp unit to 500K BTU 11 00
•• offer or comp, Feat pump, air cond.
9) 15-30 HP, absorp unit 5-1 and BTU 15.00
•• •_ -�
Boiler or comp, Fert pump, air condT
10) 30-50 HP, absorp unit 1-1 75 mil BTU 22 50
hereb7 acknowledge that 1 nave read mis-a_p_pTii-cation7TFa7 the Boiler or comp, heat pump, air con
information given is correct, that I am the owner or authorized 11) > 50 HN; absorp unit 1.75 mil BTU 37 50
agent or the owner, that plans submitted are in compliance with Air Fan ing urn to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4 50
Soard, that the number given is correct (If a Tempt from State -, Ir an ing uni - -` -- --
registration, please give reason below.) 13) 10,000 CTM + 7 50
Non porta e
14) evaporate cooler 450
Vent fan connects
15) to a single duct 300
Ventilation system not
16) included in appliance permit 4.50
.puw•,u.n«w•qwn — °" Hcod served oy
17) mechanical exhaust 4.50
Describe work new addition alteration((� repair (_) Commercial Or industrial
to be done residential (g ncn-residential U 18) type incinerator _ 30.00 1
Existing use 0 Other ie, wo3astove, water
hwlding or prooerty ^� �- 19) heater. solar, clothes dryers, etc - 4 50
Proposed use of 20) Gas piping one to four outlets 2.00
[1d,ngfwlor prnoerty 21) More than 4-per outlet (each) 200
Type ofuel -oil Q natural gas ,\ LPG O electric O
NOTICE
Minimum Fee S2500 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE r �5
IF CONSTRUCTION OR WORK IS SUSPENDED OR --- ---
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2.5 OF SUBTOTAL
AFTER WORK IS COMMENCED. —
TOTAL _YG,C>
, _ _
Special Conditions �
Date issued by
H kLDDIMDSTS MIC10MT
OTRIC(-*)L PERMI-1
T #: ELj---Qi093
CITY OF T I GARD DATE PERMIISSUEDPCW02/14/96
COMMUNITY DEVELOPMENT DEPARTMENT PAR(.r.L: :-Sl00'DD---0II00
13125 SW Hall Blvd.Tigard,Oregon 97223*9199 (503)639-071
I_ySW HALL OLVD
El)(JEWOOD ZONINGjR--4- 5
. . . .. . . . . . . : 1_0T. . . . . . . . . . . . . :7
J*oject Desuription: ADD CIRCUIT FOR FURNA'_'E
UNIT-- -----TEMP SRVC/FEEDERS------
. 000 5F OR LESS. . . . : 0 0 2-00 amp. . . . . . . : 0 PULE-`/IRR1(.3ATION. . . . a Qs
ACH (IDD' L 5005F'. . . I 0 201 400 amp. . . . . . . i 0 SIGN/OUT LINE LTG. . 1 0
. imrml) ENERGY-- : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANTCL. . . . . . . : 0
,QNF. HM/ SVC/FDR. . : 0 (�014aMps-1000 volt S. : 0 MINOR LABEL ( 10) . . . : 0
--BRANLI-11 C-I RGU I 7.'; -ADD' L I NSPECT I ONG
— 1200 amp. . 0 0 W/SERVICK OR FEEDER: 0 PER INSPECTION. . . . . :
01 4011 amp. . . . . . & it) 1st W/O ERVC OR Mi. : 1 PER HOUR. . . . a . . . . * - '.
01 600 amp. . . . . . : 0 EA v41)DIL. BRNCF1 CIRCi 0 IN PLANT. . . . . . 0
1111 J.000 iamp. 0 . . . '. 0 HL.V I L.W '1-:A_-U I
10004. amp/volt. . . . . : CA ) -4 RES UNITS. . . . . . . . I ) 600 VOL", NOMINAL. . :
Reconnect only. . . . . : 0 :QVC/FDR > - .225 AMPS. . 1 CLASS AREA/SPEC,
Ownev-a FEES
F I r3C 1-1 E 11 type amot.�nt by date t,ecpt
13635 SW HALL. BLVD PRmT s 35. 00 J111.1 02/14/96 96-275927
5 PCT $ 1. 75 JMH 02/14/96 96--2759J.'i
TIGARD OR 97223
F-tione
Contractor-:
BRIAN E. klZLIFil-_-�R $ 36. 75 TOTAL
P U BOX 383
REQUIRED INSPECTIONS
S E A':':)11)E OR 97138
Phone #: 541 -326-97,130
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other r r m r 5 i
Unat
applicable laws. P11 work will be done in accordance withI A--
approved plans. This permit will expire if Pork is not started b J` � O ,,'
within IN days of issuance, or if work is suspended for more
than IIA days, sued
1011
, tie installation is being made on pr-npet-ty I oiAn which is not intended fot-
Braley lease, or rent.
OWNER' S GIBNATUREs DATE :
INSTALLATION
-,16NIP,ruRL uv SUPIR. ELLCIN: DA I L
Call fot-, inspevti -iv 639-4175
C&C 9 - o� 9
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 9722.3 Planck/Rec. #
P el,m it # —---------------
Phone (503) 639-4171 Date Issued
FAX (505) 684-7297 ISSUbd by
CITY OF TIGARD TDD No. (503) 684-2772 --
Inspection (503) 6'9-4175
t. Job Address: .S/ ����l Ci f �.� 4. Complete Fee Schedule Below:
Name of Develo/pmen Number of Inspections per permit allowed ---
Address / 3G� 7 ��GL A V ,J `service Included Items cost(oa) Sum
Ci
ty'State2i p 49. Residential- per unit —
l000ni1 It or less tlt000
/ / Lad,add4ronal 500 Fq fl or ,
Name (or name of business)_ �f G __ poIron thereof $2500 _
L.mrled Enemy —__ $2500 _
Commercial❑ Residential V Each Manu!d Home or Modular
Dwelling Service or Feeder lies 00
2a. Contractor installation only: 4b.Services or Feeders
r� Installation,alteration,or relocation 2
Electrical Contractor C• _ 200 amps or less 41,6200 2
r
/�/�� _ 201 amps to 400 amps $00 00 2
Address ✓ 401 amps to 000 amps $12000
City �' Sttate�_ Zip fL 601 amps to 1000 amps $18o0o 2
Phon No._ .) T % I t' _�____ I over+00o amps or vona s04o 00 2
Reconnect inly Vo 00
Contractor's Licenst: "0 - _
Contractor's Board Reg. No. — �_ 4c. Temporary Services or Feeders
Installation alteralion ur relocation 2
200 amps or lees $50 00 l
Signature of Su r. Elec'n ✓ = >ti 901 amps to 400 amps tis oo --
License No. 36- Phone No. Z '.- 401 amps to 000 amps $10000
Over 000 amps to 1000 vona
2b. For owner installations: seaW above
4d. Branch Circuits
Print Owner's Name _ N rw.allerati,^or extension per panel
Address The lee for branch circuits Wffh
purchase of service or Ibeder W.
Cit)/ State_ Z.ip Each h•anch cocurt $500
Phone No. h)The Ise for branch circuits without 6n�
The installation is being made on property I own which is pur,!heee of service or feeder Ise.
First branch circuit $3500
not intended for sale, lease or rent. Each add4ional branch circuit i5 00
Owner's Signature _`___ 4e.Miscellaneous 2
(Service or feeder not included)
Each pump or irrigation circle t40 00 2
3. flan Review sec''Non (i! required): Each sign or outline lighting $4000
Signal circud(s)or a limited energy
Ploose check appropriate Item and enlist fee in section 58. panel,alteration or extension _ $40 00
4 or more residential units in one structure Mwor Labels(10) $10000
Service and feeder 225 amps or more 4f. Each additional inspection over
System over 800 volts nominal the allowable in any of the above
Classified area or structure containing special occupancy Pito lv;pw 1,)" _ $3500
as described in N.E C Chapter 5 POr hour — S5500
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5s. Enter total of above fees $ ���
5%Surcharge(05 X total fees) $
$
Subtotal PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter Subtotal of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF plan Review if required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. ❑ Trust Account M $
Balance Due S
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