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Permit �! CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Pe COMMUNITY MEC2011 -00340 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/19/2011 Parcel: 25111 DD11300 • Jurisdiction: Tigard Site address: 8720 SW AVON ST Project: Evers Subdivision: Lot: Project Description: Replace furnace. Contractor: CLIMATE CONTROL INC Owner: EVERS, RICHARD 16500 SW 72ND AVE 8720 SW AVON TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503 - 453 -4822 PHONE: 503 - 620 -8349 FAX: 503 - 968 -7224 FEES Specifics: Description Date Amount Furnaces < 100K BTU 07/19/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 07/19/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/19/2011 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �(/7� Permittee Signature: �� /VG/ t��d� ��' e Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Jul 18 2g1 1 2:24PM CLIMATE CONTROL INC 5039 p.2 / PP;rifirT Ep irivE t t. City of Tigard 4.1 Li Receives ________ 13]25 SW Hall Blvd., Tigard, OR 97223 Pb DatelB /��f� PemritNo �g 039 Phone: 503.639.4171 Fax: 503.598.1960 JUL 1$ 2 011 y "" Other l ennit •( (t; A, R I , Inspection Line: 503.639.4175 Date ReadylBy; Internet: www.tigard or.gov Jr ': BI See Page 2 for CITY OF r � G A Nohfiecladalad: . 6 S Information l�J - ..r�� : i II is 1t f /j1•t s.U dark ... :. , M.h t `t ,s�,arl% x .k a.s- I� - > a a ? Q ° l ' m .* , . 1 rM TO I 1..�; r - -- G , i::,, t 1?ii" - , l f y - rr>;t .k,.�.7:. J. .,.. _. 1 r.,. 'r ` x `ar tk:l tl. 1`i +/ ❑ New co nstruction , ddltion /a] terahon/replacernent Mechanical permit fees* are based on the value of the work ❑ Demolition ether performed. Indicate the value (rounded to the nearest dollar) of all q 3 k , Ky r y* , mechanical materials, equipment, labor, overhead, and profit -ii r w+'rA r'uJ adl li}t,.,4iT y O �t? .' +. a R x.11:0#, -_- - ?aatagaet x... V - al!: $ Er1 and 2 dwelling ❑ Commercial /industrial p Accessory building r Ala e �Jyp °� sl a) r� For special information use c)iecklut. ❑ Multi family ❑ Master builder 0 Other: + �� E I Qty. 1 Total ` MW ` r M i `e "e �;) 1 47 . aT} >, rT t Descri Fa . �sry M_ s"! s wa:,r Heatsaq/ewollag Job site address: 132 2.6 S• A- o s- Air conditioning City/State/ZIP: (requires cite plan stowing placement) 46.75 7 t?Y 9'7 ZZ y Furnace 100.000 BTU (ducts/vents) 1 46.75 c4(,•7r Suite/bldg. /apt. no.: l Project name; b-xc _Furnace 100,000+ BTU (ducts/vents) 54.91 Ev Cross street/directions to job site: Heat pump 61.06 Duct work 23.32 Hydronic hot water system 23.32 - Residential boiler (radiator or hyd onic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46,75 Subdivision: Flue/vent for any of above Lot no.: 23.32 Tax map/parcel no.: Other: 23.32 ih J Other fuel appliances ;:. ` Iii i::.' �s "P.P ate +e`i Yi �a a3 "! /c) 7 " r, ,, s" Water heater 2332 7k-64 Ca R C - _ Gas fireplace 33.39 Flue vent for water heater or gas fireplace _ 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 u r. z'f'ra :fie? `c` ' 2„ (, f,V , u ` , M a : r mry/luner /flue/veast a c 3_.�. s 23.32 Name: !K f G 4.�Y'Y) EvEYS Chin tither: 23.32 Environmental exhaust and ventilation Address: S, d S•1 • Rangehood/otherkitchen City /State: equipment 3339 776 � e"� 97 2 •/ Clothes dryer exhaust 33.39 Phone ( ) r� - $ 4 /9 Fax: ( ) Single -duct exhaust (bathrooms -_�= :'�y"'..e =�. ,+e'r \a 1b `.2''t ,. z �� " �F�f I ' e `."• f..�.� - � . - .� *.' r.�,F'a"7,' t(NIdCOIitp$ttmtTtS . utllftyrOOms) 23.32 ; �,,,._.,,; ' _; ,y,. , n1 a r �, 4 1.. Attic /crawlspacefans 2332 Business name: 6.0 MAT - to n ?TOL I l7L Other. 2132 Contact name: O r Ln 1 r IS Am piping ��'- $14.15 for first four; $4,03 for each additional Address: t 65a) Sw --p Y%O AVE- Planate, etc. City/Statc /ZIP: r ( r�V ^7 227� Gas heatpu Phone: (�3) ys3 „ �r Wall/suspended/unit a teeter heater yRr?2• I Fax ::(Sp3)gU'S- - 7Z2.y Water heater E (`0 1 t Fireplace .�-� ti € G Mop - - e. c o n� Inc c o n.1 E �' r* `•' E4s ..5 � '2'''c �"^ f C? p+.,t"° t f :1µ }�"s±tr,- 474 .Y Y ."*r'D_°.w7c Dube r . t •M� �, h C _ c,Y«Y ...� s� }''s. Barbecue Business name: e_Ll !ry) 47E Co t1 f r n C . Clothes dryer (gas) Address: /(0500 �tc.) n� (, _ Other' ,t v 1 o t j y i ter S Subtotal Csty/State /Z1P_ purr -1 a n G f 2 P bnc: (�j ) � � -Z � Su - !� • 7r ` . 3 y53- L. f 2Z i Fax: (b3) of to y - - 7 Z Zy Minimum permit fee ($90.00) �,0. � i CCB lie.: ( 7...k of L Plan review (25% of permit fee) State surcharge (12% of permit fee) / II. 8v Authorized signature: 1z;v TOTAL PERMIT FEE /6o, BD t/ This pe rmit application expires If a permit Is not obtained within NO Print name: days after it has been accepted as complete. .r /4 {/j Dale: 7 i® fi • Fee methodology set by Tri.County Building Industry Service Board I: 113UildingkPermisV.4EC- PomitApp.doc 10/01 /p9 4 • .461 7T (11 /02/COWWEB) (151 4 091 • �t CITY OF TIGARD ELECTRICAL PERMIT C '= COMMUNITY DEVELOPMENT Permit #: ELC2011 -00399 13 125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/19/2011 TIGARD Parcel: 25101 CB00500 Jurisdiction: Tigard Site address: 12670 SW HALL BLVD, BLDG# 2 Project: Apex Industries Subdivision: BEVELAND CORPORATE CENTER Lot: • Project Description: (1) 200 amp service, (4) branch circuits for air compressors and roof top units. Job No. 40 -1071 Contractor: ACCURATE ELECTRIC OF OREGON INC Owner: TCTPI LLC PO BOX 2155 1205 NW 25TH AVE OREGON CITY, OR 97045 PORTLAND, OR 97210 PHONE: 503 - 631 - 3507 PHONE: FAX: 503 - 631 -3544 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 07/19/2011 $100.70 Specifics: amps or less 4 crt Branch Circuits w /Purchase 07/19/2011 $29.68 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 07/19/2011 $15.65 Electrical Type of Const: Occupancy Grp: Total $146.03 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / /97 /2G, e'�; /O� Issued By: . _ � %/ l � Per mitte e Signature: Q OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Jul 18 11 12:46p ACCURATE ELECTRIC OREGON 5036313544 p,1 c vp Electrical Permit ApplicationRP El t FOR OFFICE USE ONLY City of Ti and t� Received ,�/ g 1 , Date/8•: 7 / 9 // /4f'r" -- Permit No.: EL C_2/ / ., 03 �." 13125 SW Hall Blvd., Tigard, OR 97223 '1 1 UL 18 201 Plan Review Phone: 503.7182439 Fax: 503.598.1960 DateB •: Other Permtr/ ° 0// ODo2 TIGARD Inspection Line: 503.639.4175 �-� MA RIO DateReady /By: - NM @ See Page2 for NO Internet: www.tigard Or.gov CITY OF .i 6 A Notified/Method: Supplemental Information syty pp��i pw r+rtllle'@lt TYPE OF W't71RIQ�LD1l' Irt v t ire• - PLAN REVIEW 'P ❑ New construction Addition/alterationlreplacement Please check all that apply (submit 2 sets of plans w /items checked below): / ❑ Service or fccda 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,008 amps at 150 volts or ❑ Floating buildings. �r - less to ground, or exceeds 14,000 ❑ Commercial - use agricultural ❑ 1- and 2- family dwelling Commercialiindustrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 ", • "1 -3", Job no.: ,0D _ /07 1 Job site address: // t 10011P or more. occupancy. �r 7 �f O S W ��fi ❑ Six or more residential units. ❑ Recreational vehicle narks. City /State/ZIP: / r L, /� �V � � ❑ Health -care facilities. El Supply voltage for more than hh _ / �l 7 ❑ Hazardous locations. 600 volts nominal. Suitelbldg. /apt. no.: Project name: fU / e 7 / / / ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description (p y. I Fm I Tout J - New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. II. or less €68.54 4 Ea. add'l 500sq. R or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 J� I Limited energy, multi- family 75.00 1 2 Y . / ;=tea 9 ;:.4? � y` �� residential (with above sq. 8.) 75. 1 • Services or feeders installation, alteration, and/or relocation 06 A 11Allin �//� �! 200 amps or less MI 100 r , 1 • 2 ❑ PROP " TY OWN : R ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 402 amps to 600 amps 200.34 2 601 amps to 1,000 amps - 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /State/ZIP: Temporary services or feeders installation; alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less ' 59.36 1 Owner installation: This installation is being made on property that I own which is not 207 amps to 400 amps € 725.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps f 168.54 2 - Branch circuits - new, alteration, or extension, per panel Owner signature: Date: ^ A. Fee for branch circuits with B�APPLIGIN F above service or feeder fee, 7.42 (p 2 [] CONTACT PERSO _� Gj each branch circuit r a` J Business name:4( rl 6U✓LC / /A n Tf ! C ! (� J C- /fJ . / f I Qr ... ,� B. Fee for branch circuits without �/ r service or feeder fee, first 56.18 2 Contact name: )0.� branch circuit Each add'1 branch circuit 7.42 2 Address: ( 7 1/ �� Miscellaneous (service or feeder not included) City/State/ZIP: /� //� Each dwelling manufactured service or and/or modufender lar 67.84 2 C.�� ,V � Pltone: (0 ) k. I / , ? ] ax • • (G1 Reconnect only 67.84 2 ) L �� Pump or irrigation circle 67.84 2 E - mail: L 46r. L L��G2ted. t,e,,t', - az:c iz., A., / y 3r-. G4117/ Sigrtor outline lighting 67.84 � 2 CONTRACTOR � ' Signal circuit(s) or limited-energy Business name: f 2� 4 TJ 4 / ,' y .e, -7-, panel, alteration, or extension. Page 2 2 `c t- �r{i� C / / L�/ /4 % / Each additional inspection over allowable in any of the above Address: po / , Additional inspection (1 hr min) 66.25/ hr y /) 0;71_," ✓ € __ ' j L - Investigation (1 hr min) 66.251 hr City/State/ZIP: (/ � c , J f Industrial plant (1 hr rain) 78.18i hr Phone: t 3) / � (} J ax: ( / _ Inspections for which no fee is CCB LiC.: / � �sPecifically listed (V hr min) 90.00) hr t Ele ctrical Lic. :, Suprv. Lic.5 ,) J ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: "gnaw- l - Subtotal: rte. 3 Plan review (25% of petTnit fee) Print name: VC - 1 - Date: 7/1 Q l State surcharge (12% of permit fee): 1/, to s- ��r�/ :1772„...72e2 ( u / L TOTAL PERMIT FEE: 4 Authorized signature F This permit application expires if a permit it m is not obi within 180 bra /lOr + Jaye o it has been as complete. Print name: (•,JG J Date: 7/8/i f Number of inspections allowed d permit. per permit. tlBuildinePermits`,EL PrmitApocioc 0710 1 /10 440- 4615T(I I /OS/COM/WEB Jul 18 11 12:46p ACCURATE ELECTRIC OREGON 5036313544 p.3 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other. COMMERCIAL WORK ONLY: Fee for each commercial $75.00 sys tern (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ T andscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations lipB uilding \Prnnits1ELC.PermitApp.dac O7 /O1/t&