14435 SW HALL BLVD-1 i �1 r 1jx'
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
,
Footing Susp. Ceiling Spr k. Roug n Appr/Sdwlk
i
Foundation Plbg. Underslab ec Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out jesc. Rough in ? FINAL:
Post/Beam Mech. San. Sewer in -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
j Alarm Water Line Insulation = ec
Underflr. Insul. ShearW II Gyp. Bd. -Elect. �I
Date Requested: '� Tirne t - f s
Address: , L/
Builder. (n Z� j -Permit #f �� -OCJ 47
THE FOLLOWING CORRECTIONS ARE REQUIRED: C �'- U 1144
7922 7-9
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Inspector: � Date: 'Z-- !' !q 4.j -
d-1rPPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
-- — —Call For f'einsp.
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CITY OF TIGARD MECHANICAL r
F��Rh" 'r
PERMIT #. . w . . . . : MEC96—'0047
COMMUNITY DEVELOPMEW Dl PARTV-7NT DATE i tiSUED: 02/23/96
13125 SW Hall blvd.Tigard,Oregon 97223.8199 (503)839-4171
T PARCEL. 2S111AA-04100
1, 1 F11.11J 1'�,:.`..�iJw . 1'�f k.:�,J JIN �"�1-iL l_. 1��LVU ,
_BDIVI SIGN. . . . : GREENSWARD PARK ZONING: R--4.
...00K. . . . . . . . . . . LG1.. . . . . . . . . . . . . : sC
LLASS OF WORT',. . :AL.T FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. w : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FULL TYPES'___ _.__... .__.__..__.... 0 WP. . . . : 0 DOMES. I NC I N. 0 �
/CTAS/ / / 3'--15 HFA. . . . : 0 COMML. 1 NC I N: Sl
MAX INPUT: 0 LTU 15--30 HP. . . . : 0 RLLPA I R UNITS: 0
F-A RE: DAMPERS?. . : 30'--50 HP. . . . : 0 WOODSTOVE:S. . : 0
GAS PRESSURE. . . : 50+ Hp. . . . : 0 CLO DRYERS. . : 0 �
j NO. OF UNITci' —'--'--_- -- AIR HANDLING UNITS OTHER UNITS. : 0
TURN t 1001-4, ITU: I 10000 cf`m: 0 GAS OUTLETS. : 1
FURN ) =100K BTU: 0 > 10000 c f m: 0
Remarks : I111.itall f�.►rnac:e and px}.)2.ny
Owner:
NANCY GOE'TZ type ,amoltnt by date recpt
14435 SW HALL. BLVD r'RMT $ 25. 00 JSD 02/23/96 96--2'7623,--1
3PCT $ 1. 25 JSD 02/253/96 96'-2-17,'" s i
TIGARD OR
Phone #: I
Contratctor:
POR7LAND METRO'--AIRE:
10010 SW BE:AVE;RTON HILLSDALE HWY
i BEAVERTON OR 97005
I
Phanr #: 626. 7BIB 26. 23 'TOTAL
Req ft. . 61219
__...._._._ REQUIRED INSPECTIONS
----_
This permit is issued subject to the regulations contained in the Lias Lint- Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other llec:htzn i c A 1 1 n s p
applicable laws. All work will be done in accordance with Final I n s j)ect i an
approved plans. This permit will expire if work is not started __
within 18? days of issuance, or if work is suspended for more
than 180 days.
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Permittee Si rye . '4(4 W)0'-101 —)&3jz
' I s s l.r e d By .
Cal far i.nspec:tion 633--4175
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City Of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
ascription
Table 3A Mechanical Code QTY PRICE AMT
AAk
Job oh Z/ `f o 5 J LJ r+•i,'l 1) Permit Fee -0- -0- 10.00
Address ■• I zip
r"i 2 D�.� 2) Supplemental Permit 3.00
T. o „ .. urnace o TfT`�
1) incl ducts &vents / 6.00
Ph.. Furnace I 00,001J B I U + �
Owner Ft
incl. ducts &vents _ 7.50
oor Furnance
3) incl. vent 6.00
.,. ,,,�.m•„ .......T suspended TeaTer, w--Tia Treater
4) or floor mounted heater 600
Phwe ent not inc. in
Occupant 5) appliance permit 3.00
epair of heating, re ng.
6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air cond.'—
1 (� p{�C, �1�•r• 7) to 3 HP; absorp unit to 100K BTU 6.00
■ „ ... Boiler or comp, ieaTpump, air cond.
�i rO 1(-,) 3 W YJ<'mi-P11I-Jkt t'y.(-, '7r 1
$1, 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor ■. Boiler or comp, heat pump, air cond.
c O'�Trfr j 9) 15-30 HP, absorp unit .5-1 mil BTU 15.00
-.17-17-Tv"",.. o ■■ • offer or comp, iea pump, air con
' 1 �ft• 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
) � � —
-T-Fer—eby ac now a ge that I have res tis app Ecation, that trie Boiler or comp, heat pump, air cond. a
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1 75 mil BTU 3750
agent of the owner, that plans submitted are in compliance with Air handling Unit to
State laws, that I am registered with the Construction Contractors 12) 10,000 CFM 450
Board, that the number given is correct. (If exempt from State Air Fandling unit
registration, please give reason below) 13) 10,000 CTM + 750
Non portable
14) evaporate cooler 4.50
Vent taFconnecTe3�
15) to a single duct 3.00
Ventilation system no
16) included in appliance permit 4.50
• .,„,.•, _ ■• --Aoo
served hy
,7 ?3- 17) mechanical exhausi 4.50
Describe wdrK new addition ( aeration W repair tj Commercialor u. us n.
to be done residential 0 non-residential U 18) type incinerator 30.00
Existing use o er i e., woo sow:, v,a er
building or property ___-.__,__, 19) heater, solar, clothes dryers. etc 4.50
Proposed use of 20) Gas piping one to fc outlets / 2-00
building or property
?.) More than 4-per outlet (each) 2.00
:L_
Type of fuel -oil Q natural gas W LPG O electric O ��
TICE
Minimum Fee $25.00 SUBTOTAL
?�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION q t_
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE G
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMF PLAN REVIEW 25% OF SUBTOTAL '
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issr,ed by
H%0G1"5TTMECHPMT
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14435 SW liH1_L LAI_.VIJ
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ELECTRICAL PERMIT
CITY OF TIGARD PRMDATEIISSUEDIeLQ'2/2.3/96
COMMUNITY DEVELOPMENT DEPARTMENT
13126 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)631 11
aTL ADDRE:53. . . : 14435 iiW 11NLL. 1:+Lvu
LUBDIVTSION. . . . : GREENSWARD PARK ZONING: R-•4. 5
. . . . . . . . . . LOT. - - ; 36 s
Project Description: Install branch circl.tit
_--RESIDENTIAL UNIT--- -
--TEMP :ERVC/FEEDERS------ ---•--MISCELLANErOUS--.---
1+i�k'++C ri.: ('R 1._CaS. . . . �+ 0 00 amp. . . . . . . : +Zi F°liMP/'IRRIGATIO14. . . . : 0
E:ALF4 ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE:: LTG. . : 0
LIMITED ENERGY. . . . . : 0 4V71 600 amp. . . . . . . : 0 GIGNAL/PANNI... . . . . . . IZr
MANE. HM/ SVC/FDR. .- 0 601+-ainp5- 1000 Volts. : 0 MINOR LAPEL ( 10) . . . s 0
--DRONCH (',APCU ITG _...-AICD' L I1,4SPE CT , -
QI 200 amp. . . . . . : 0 W/GE::RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
X01 - 400 amp. . . . . . ; 0 1 s W/0 SRVL OR FDR. : 1 E-`E? HOUR. . . . . . . . . . . . k+
4+01 — 600 amp. . . . . . : 0 EA ADD' L RRNCH CIRC: 0 IN PLANT. . . . . . . . . . . s S
mr
601 1000 ramp. . . . . : rt ____._.__.._..__...__.____._..-_PLAN REVIEW SECTION-----
1000+
ECTION----1000+ amp/volt. . . . . : +l+ ) =4 RES UNITS. . . . . . . . : > 60+0 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 :QVC:/FDR ? `2,5AMPS. . : CLASS AnLA/SPEC OCC:.
Owners ______._._._..._..__..._._.._._._ ...._.__..._.___._.._....._._ .______..___.._ ..____. _._ .__.__..__ .-• FEES ___.._.__.. ._.__.....__._...
NANCY GOLTZ type amar.tnt by date r rcpt
144;35 SW HALL_ BLVD PRM'T $ 35. 00 J'SD 02/�:3/96 9E�- c7b: 3.y
5PCT $ 1. 75 J 5D 96.--276233
TIGARD OR
Phone #:
Contractor:
PORTLAND METRO A I RE $ 36. 75 TOTAL
10010 SW 9EAVEwRTON—HL1.3DL HWY
__. ...__. REQUIRED INSPECTIONS
_--
BLAVERTON OR 97+1+05 Ceiling Cover- Elect' I Final
Phone #3 Wall (';over
- RegI. . .
This permit is issued subject to the regulations contained in the _.___./ �-i4t
1Tigard Municipal Code, State of Ore. Specialty Codes and ail other 1-ermi , t Gxgr .. -rrc
applicable iaws. fill work viii be done in accordance with
approved pians. This permit will expire if worn is not started
wittrin 180 days of issuance, or if work is suspended for more ��
than 180 days.
IN STALL(ZiT I ON UNLY--__..____. ._.._..___...___.
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNLR' S SIGNATURE: DATE:
INSTALLOTION
IGNATURE (Jr- SUPR. LLEC' N: _..------_......_._._.__...__..__ _......._...._. ._.._ DA f E.:
I L;E.NSE NO:
Call for inspection
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. j
Tigard, OR 97223 Planck/Rec. # j
Permit #
Phone (503) 639-4171 Date Issued
�► FAX (503) 684-7297 Issued by _ 0
CITY OF TIGARD TDD No. (503) 684-2772
i
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name, of Develo�p/ment _ Number of Inspections per permit allowed -•-
Address I-elI J.7 � 314V Service included items Cos:(ea) Sum
City/State/Zip r) �, 4a. Residential-per unit �- 4
1000 aq It or less $11000
Each additional 506 art it or
Name (or name of businessL portion thereof $2500
LimitCommercial❑ ResidenFach Energy $2500 tial® _
Each Manul'd Home or Modular w
Dwelling Semen or Feeder $6800
!a. Contractor Installation only: 4b.Services or Feeders
Installation,afteration,or relocation 2
E=lectrical Contractor ku,k M&TT, Al ir, 200 amps or lass -_ $6000 2
�, 201 am to 400 am "0 00 2
Address !!�(.� t'� ��I )��cUtl--�t�tl(�^-��', `' ao1 amp�sto90oamp2
e $12000
City Irk ca V State • Zip 7�K'�� 601 amp;to 1000 amps $18(100 2
Phone No. 6 L2-b-- -7 I L Over 1000 amps or volts $34000 2
Contractor's License No. 3N-- 367 Reconnect only $5000 _
Contractor's Board Reg. No. C:l 2 I 4c.Temporary Services or Feeders
Installation.alteration,or relocation 2
Signature of Supr. Elec'n � ,�� 200 amps or less $5o oo _
License N0. Phone N0._ 6?r]—SRI 201 amps to 400 amps $7500 --
.� 1 1 _` sot amps to 600 amps -- $10000
Over 910 amps to 1000 volts
2b. For owner installations: see•b•above
4d. Branch Circuits
Print Owner's NameNo- r(L_ t r•: New,alteration or extension per panel
Addressn) rhe lee for branch prcuds with
purchase of servke of Amder gee.
City _ State Zip_ Each branch circuit $500 _
Phone No. b)The fee for branch circuits without
The installation is being made on property I own which is purchase of sorvke or Moder Me.First branch circuit -� $3500 _ 2
not intended for sale, lease or rent. Each nddeiorwl branch circuit $500 .
Ownpr's Signature —_ 4e. Miscellanaous
(Service or feeder not included)
3. flan Review section (if required): Each pump or irrigation cirrie $40 00 _
Etch sign or outline lighting $40 an
signal circuit(s)or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000
_4 or more residential units in one structure Mnror I mels(to) $10000
Service and feeder 225 amps or more
System over 60n volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per Per hour hourinsplron $35 0o
E55 00 _
In Plant $51,00
Submit 2 sets of plans with application whe•e any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5r. Enter total of above fees $
5%Surcharge(05 X total fees) $ Ir5/
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec 3) $ 1
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Account ff $
Balance Due $
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