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10340 SW CENTURY OAK DRIVE i •10340 SW CENTURY OAK DR 115 ! I `l5 CITY OF TIGARD _ MECHANICS L PERMIT DEVELOPMENT PERMIT#: 9002-0041;1 PMENT SERVICES /18/0 DATE ISSUED: :1/18102 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CC-02900 SITE ADDRESS: 10340 SW CENTURY OAK DR ZONING: R-7 SUBDIVISION: SUMMERFIELD BLOCK: LOT: 052 JURISDICTION: TIG CLASS OF WORK: OTP, FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 1000%) cfm. Remarks: Reple,;e existing furnace with like kind. Owner: __ FSEs, _ LEE KRAUSE Type By Date Amount Receipt 10340 SW CENTURY 04K DRIVE 5PCT CTR 9/18/02 $5.80 272002000C TIGARD, OR 97224 PRMT C'rR 9/18/02 $72.50 2720020000 Total $78.30 Phone:503-620-7491 Contractor: WESTERN HEATING +A/C 1431 t SV1 ALLEN BLVD STE 220 REQUIRED INSPECTIONS BEAVERTON, OR Heating Unt Insp Phone:648-580 Final Inspection Reg#:LIC 78978 This permit is iGsued subject to the regulatic..s contained in the Tigard Municipal Code, State o� Ore. Specialty Coues and all other 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 more than 180 day:. ATTENTION: Oregon law requires you tc follow rules adopted in the Oregon Utility Motifiration Cent3r. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue �y: r �•�(�Q 1��+'` Permittee Siqnature: .+r Call(503)639-4175 by 7:00 P.M. for inspections nodded the next businefa.day Mechanical Permit Application "Datereceived: JZI Permit no.: City of Tigard !,1rojecl/appl.no.: Expire date: Cityof Tigard Address: 13125 SW Hall Blvd,Tigard,Olk 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ _ Building permitno.: 1 7LINew amily dwelling or accessory U Commercial/industrial U Mule-fall& U Tenant improvement onstniction U A(I(liti:ur/alteration/replacement U Other _- i : 1IN CO�IMFRCIAL, 1SC11kPtJLE Job address: ��.; z.,, ; i� •, i, „ , ,yc _ _ Indicate equipment quantities in boxes below. Indicate the dollat I Suite no.: value of all mechanical materials,equipment,labor,overhead, Bldg.no.: profit.Valu( $ Tax map/tax lot/account no.: Lot: _ Block: Subdivision: 'See checklist for important application information and Project name: -� jurisdiction's fee schedule for residential permit lcc. 111 11� City/county: ZIP: 7 ,Z.,/ 1 t Description an location of work on premises: t 1 I I 1,ev(ca.) Total Est.date of completion inspection: -/?•�+ tk.cripliou Qty- Ren.only llesv.onl Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditionca?A Yes U No Air conditioningTette plan required) ;:isting space insulated LX!Yes U Nu terntion of ex sung system o er compressors 5taw boiler permit no.: Business name: .Nssf, N 1y_ ' }{p Tons BTU/H Address:,y3/N g� ,q��, f air ; e- r smo c nmper uct smo a electors „� State:es,-i. ZIP: Int^t- ret pump(s to p an requ re ) _ City: _ plume; Fax; E-mail: - insta rep ace urnuc mruc gy I l`07ii —y -T•s'"b'i" Including ductwork/vent liner U Yes id No CCB no.: -7 6 9-;75' _. nein rep ace re ovate eaters-suspen e , City/metro lic.no.: _ wall,or floor mounted Name( lenge print): _ Vent or a lance of er than urnace Refrigeration: CONTACTPERSON Absorption units BTII/H Name: .74dyc./SOS I-IP — -- Compressors-- HP Address: Xov A c. Environmental exhaust and vent at on: City: I Slate: ZIP: _ Appliance vent Phone: Fax: -mail: Hoods, Type / res.kitchewhazmat hood fire suppression system Name: i w-,c yy.�etS�: _ __— Exhaust fan with single duct(both fans) —C _ , S—tate:o•,_ ZIP: ,, _ :x Iaust systema art from Mallin a(frcSS:/eMe,p pswo � t• _�n ng andistribution ea(:uinp toor oCu ter e) ity:• p Type: LPG NG Oil � �m:IL nc piping eachadditional over outletsPton t • rocesspiping(st ematicrequirc ) ft Number of outlets Name: Other I ed appliance or equ pment: address: _ Decorative fireplace City: State: ZIP: nsert-type 0o stoN:/pe et stove Phone: Fax: Email: Other: Applicant's signature: - Date:-- t eta _— Name(print): _ - Permit fee........... .........$ _Y Not all jurisdictions accept credit card%,pleae call jurisdiction for more rornnna6on. Notice:Thisricht application Pc PP Minimum fee................$ ❑visa U MasterCard expires if a permit is not obtained Credit card numher-- _ Plan review(at ` 9h) $ _ espi; within 18U days after it hes been State curchargz(89G)....$ --- Name i°c o r s%shown an cn. 1 card $ accepted as complete. TOTAL .............. ........$ —1. thdder iiRnamrc — Amoenl 4404617(MICOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMlT FEE: _ Description. - _ Pricy Total Table 1A Mechanical Code ab (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) ducts&vents 14.00 $1.52 for each additional$100.00 or includin2 Furnace 100,000 encs fraction thereof,to and Including ) Furnace ducts 0 vents 17.40 $10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Includingvent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater _ 25 000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 6.80 $1.45 for each additional$100.00 or -- fraction thereof,to and including 6) Repair units 12.15 _ $50,000.00. $50,001.00 and up $742.00 frir the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or i lump Cond fraction thereof. _ footnotes below. Comp 7)<3HP;absurb unit Minimurr.Permit Fee$72.80 SUBTOTAL: $ to 100K BTU 14.00 8%State Surcharge 5 6) 15 absorb unit 100kk to 500k BTU 25.60 t t 5%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb unit.5-1 mil BTU 35.00 Required for ALL commerci�ermits only_ - 1C)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1,75 mil BTU 52.20 '�_ 11)>50HP;absorb 87.20 ---` ��-- unit>1.75 mil BTU 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10,00 Value Total 13)Air handling unit 10,000 CFM+ Descri on: Qt (Ea) Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Includingvent 955 _ 16)"entilation system not Included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not included in appliance 445 10.00 permit ,_ - 805 18)Domestic Incinerators 17 40 Re air units --- --- <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 1001;BTU __-_ 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU 10.00 _ 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets roll.BTU _ 5.40 30.50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 frill.BTU 1.00 >50 t absorb.unit, o,r25 Minimum Per, Fee$72.50 SUDTOTAL: $ >1.75 ill.BTU - Air handlin unit to 10 000 cfm 656 --- 8%Stale Surcharge $ Airh., dlln unit>10,000cfm 1,170 Non-p,rtable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent far connected to a single duct 446 Vent system not Included in 656 _ a (lance Dermit - Other Inspections and Fees: Hood served b mechanical exhaust _ _656 _ 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,17= $62 50 per hour. Commercial or industrial Incinerator 4 a90 2 Inspections for which no fee Is specifically indicated (minirrwm charge-half hour) Other unit,including wood stoves, $56 $62 50 per hour in9@rts,etc. - 3 Additional plan review required by changes,additions or revisions to plans(minimum 1-4 tl@ts - _ charge-one-half hour)$62 50 per hour Cas piping ou380 Each additional outlet 83 'State Contractor Boller Certification required for units>200k BTU. _ "Residential A1C requires site pian showing placement of unit. TOTAL COMMERCIAL $ VALUATION: _. All New Commercial Buildings require 2 sets of plans. 1:ldsts\forrns\meth-fees.doc 02111102 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 - BNP - Received .Date Requested.- _ _ AM __ _.__ P _ __ BUP _ Location 42 61- Suite— EIEC Contact Person Ph 7 - _r-�� PLM - -- Contractor ,fi ( ) _ _ SWR BUILDING - Fenant.!Owner ELC ELC Foundation Access: Ftg Drain ELR - -_ Crawl Drain Slab Inspection (Votes SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing - - - - ---- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling l' - — lop Roof Other.. --- �� ---- - Final PASS _PART FAIL / PLUMBING Post&Beam .Under Slab -- - - ------ - - ---- -- _—_ -- Rough-In Water Service ------- - -- ------ ------ - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other. - -- - - - -- Final PASS -PART FAIL --- — _MECHANICAL _ — Post&Beam Rough-In -- - - - - - Gas Line Smoke Dampers P PART FAIL -___ ____.----__.-.--.------- ----- - CTRICAL Service Rough-In — UG/S!ah Low Voltage -- Fire Alarm Final [j Reinspection fee of$ ___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE—— Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk (Date � Inspector Ext -- Other: j Final DO NOT REMOVE this Inspectlori p4c6rd from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST r / 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested_ / /AIA Pial BLD � �� (Oa Location "_ ' suite . _ MEC Contact Person Ph y ✓ �� PLM Contractor Ph SWR -- UIL — Tenant/Owner —_ ELC _ Retaining Wall ELR Footing Access: Foundation FPS - Fig Drain GN Slab Crawl Drain Inspection Notes: SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shear Framing ---- --- ---- ------- ---- - Insulation Drywall Nailing _-- _ -- — ----- -- --- ---- Firewall Fire Sprinkler - - ---- --— - Fire Alarm Susp'd Ceiling --- ------------ Roof i S PART FAIL -- - ---- -- — -- PLUMBING Post& Beam Under Slab — Top Out -- - Water Service -- Sanitary Sewer Rain Drains Final PASS PART FAIL - MECHANICAL Post& Beam ---.._.- -- ---- -- -- -- ----- Rough In Gas Line �.-- ---------------- -. Smoke Dampers Final - -------- --- - -- ------- PASS PART FAIL ELECTRICAL ----------- ---- Y - Service _._ ------------- Rough In UG/Slab -- Low Voltage Fire Alarm _--- ----- — Final PASS PART FAIL_ — -- SITE Backfill/Grading -` — — Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin inspect-no access Unable to ins Fire Supply Line [ ]Please call for reinspection RE: _ - C ] P ADA - Approach/Sidewalk Date _��.1 Inspector_ ��-- Ext Other Final PASS PART FAIL DO WOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested AM— —PM BLD Location 0 Suite MEC � it Contact Person Ph l 2-S� � PLM Contractor Ph _ SWR _ BUILDING TenantiOwner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SrN Crawl Drain Inspection Notes: — Slab — —_ SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear Framing —_—_-- Insulation ��a�• _ "i'_ �� �� Drywall Nailing �•N _1.�'�l ____ __ Firewall Fire Sprinkler Fire Alann Susp'd Ceiling — Roof Misc: _ ---- -- -- Final — PASS PART FAIL — ------ -- — — — PLUMBING Post&Beami— Under Slab Top Out ---- -- -- - ---- Water Service Sanitary Sewer — — Rain Drains Final -- ------- ---- — -- PASS PART FAIL ViCHARR Post& Beam -- -- — -- - Rough In Gas Line Smoke DampersI-O —— AS PART FAIL ; CTRICAL --- - — — T Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading --`—— - Sanitary Sewer Stone Drain [ j Reinspection fee of$— required before next inspection Pay at City Hall, 13125 SVV Hall Blvd CatL.h Basin Fire Supply Line I j Plebcall for reinspection RE: _— [ ] Unable to inspect-no access ADA (' Approach/Sidewalk Date b ! I. c 1 Inspector GGia Ext Other Final C VY 1 PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. A� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspect;on Line: 639-4175 Business Line: 639-4171 BUP Date Requested /" ul AM —PM — BLD Location U-L � Q Suite MEC Contact Person Ph _� PLM Contractor Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab — —_ SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _— �,��L Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling — Roof Misc:_ — --- - Final PASS PART FAIL ------ -- ----- --- — PLUMBING Post& Beam --.--_-- Under Slab Top Out ---- --- _--_ --.------ - — Water Service Sanitary Sewer — — Rain Drains ---___—� �— ---- _ -- —_--_ Final PASS PART FAIL MECHANICAL Post&Beam _ ------ --- Rough In GasLine �--..—----- — ---------- -- --- -- — Smoke Dampers Final - — -----—-- — —� -- --- PA PART FAIL Service — Rough In UG/Slab _--__— Low Voltage Fire-Alarm%SS PART FAIL --_—. — — — _-- --- — -- -- Backfill/Grading -- -- — Sanitary Sewer Storm Drain ( I Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hill Blvd Catch Basin Fire Sripply Line ( ]Please call for reinspection RE: —__ ( Unable to inspect no access ADP, '/I � Approach/Sidewalk Date `� 0 1�? —Inspector t Other -- -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the fob site. CITY T I G A R D __ PLUMBING PERMIT DEVELOPIVI cAT SERVICES PERMIT#: PLM1999-00178 13125 SW Hall Blvd., Tigr.rd, OR 97223 (503) 639-4171 DATE ISSUED: PARCEL: 2S111 CC-02900 SITE ADDRESS: 10340 SW cEi4 FURY OAK DR SUBDIVISION: SUMMERFIELD ZONING: R-7 BLOCK: LOT: 052 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS. STORIES: WATER HEATERS: 1 CATCH BASINS- _ _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS. SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES TUB/SHOWERS: SEWER LINE ft WATER CLOSETS: WA rER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Water heater conversion FEES Owner: Type By By Date Amount Receipt CO;JLEY, BILL + ADELE MISC BON 6/10/99 $2.50 99-316051 10340 SW CENTURY OAK DR PRMT BON 6/10/99 $50.00 99-316051 TIGARD, OR 97224 Total $52.50 Phone 1: Contractor: _ COLUMBIA PLUMBING 6626 Sr: HARNEY STREET PORTLAND, OR 97206 REQUIRED INSPECTIONS Top-out Insp Phone 1: 775-8487 Final inspection Reg#: LIC 00117709 PLM 26-603PB ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expi,e if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTEI (TION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC: by calling (50�3) 246-1987. Y� �'{ Permittee Si nature: Issued By: �—�_ _ 9 Call (503) 639-4175 by 7:00 P.N. for an inspection needed the next6usiness day C;TY OF TIGARD Plumbing Permit Application Plan Ghack 13125 SW HALL BLVD. Commercial and Residential Rer:'d Byy — TIGARD, OR 97223 Date t (503) 639-4171 Date too P.E.P. Print or Type Date to DST Incomplete or illegible applications will no: be accepted Permit* 0v1 1't"i -7 1 Related SWR Called____ Name of Development/Project W FIXTURL'-S (individual) qTf PRICE AMT Job Sink -- -- 9.00 Address Street Addres Suite 1:av9tory9.00 l ? �NT 1I r Tub or TubrShower Comb. 9.00 Bldg# CIt /State Zi Only Shower -- -- F 23J �3 y 9.00 m Water Closet 9,00 Dishwasher 9.00 Owner Mailing Address Sut Garbage Disposal 9 00 (13'4.0 (&_ (if fk 0I lt,, Washing rAachine 9.00 ity/State o I1 Phone C �E/ j4r7 4( 71o01`Dra'n/Floor Slnk 2" 900 Nbme i 3' 9.00 _ Occupant Mailing Address Suite 4- 9.00 - 9.00 P Water Heater irconversion O like kind Gas piping requires a separate mechanical permit. I ',/ City/State Zip Phone laundry Room Tray 9.00 No Urinal 9.00 L-1.7t,r'9t_tj T ((i�y1 �l� NL Other Fixtures(Specify) 9.00 Contractor Moiling Address St to I� �" _ 9.00 �Ql & >E L 9.00 Prior to permit City/Slate Zip Phone Sewer-1st 100' 30.00 Issuance,a copy 9(/9 of all licenses are Oregon C nst.Cont.Board Llc.t Exp.Date Sewer•each additional 100' 25.00 required If ` ?-�L�_ Water Service 1 st 10U' 30.00 expired In COT PlumbingLI� n rl Exp.Data Water Service-each additional 200' 25.00 database (/r _ � _ Storm 6 Rain Drain-1st 100' 3('.00 Name Storm b Rein Drain-each additional 100' 25.00 Architect _ Mobile Home Space 25.Uo Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer city/stoto ZIP Phone Residential Backflow Prevention Device- 15.00 (Irrigation timing devices require a separate Describe work to be done: restricted enemy permit) New O Rep it O Replace with tike kind: Yes O NAny Trap or Waste Not Connected to a Fixture 9.00 o� Residential Commercial O Catch Basin g 00 Additional description of work: Insp.of Existing Plumbing 40.00 per/hr Specially Requested Inspections 40.00 _ rmr Are you capping,moving or replacing any fixtures? Rain Drain,single family dwelling 30.00 Yes O No Grease Traps ~— 900 If yes,see back of form to indict work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Isr uired If Quantity TotelIs >9 _ WORK COULD RESULT IN INCREASED SEWER FEES. "SUBTOTAL I hereby acknowledge that I have read this application,that the Information ' given le correct,that I am the owner or authorlied agent of the owner,and 5"/° SURCHARGE that :ens submitted are In co!ppjiaice with Oregon State Laws. Signalimfe of Ow tart ant, ti Date QQ **PLAN REVIEW 25%OF SUBTOTAL Requited only N fixture qty total Is>9 (y / TOTAL Ca 1t Person Nems � Phone 7 Ch rl57;Wv-�/ "Minimum permit fes Is$25+5%surcharge,except Residential Backflow, ---- Prevention Device,which is$15+5%surcharge **All Now Commercial Buildings require plans with isometric or riser diagram and plan review I.kiststpkxr op.doe I/M8 PLEASE COMPLETE: Fixture Type Quantity by Work Performed_ _ New Moved Replaced Removed/Capped Sink Lavatory --- --..._-------- ----- - -- ----- -- T,ab o_r_Tub/Shower Combination Shower Only Water Closet_----- _ --- - __ --- — – Dishwasher – - Garbage Disposal _ _Washing Machine Floor Drain/Floor Sink 2" —_ Y Water Heater i Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 1 W9tv4*n.pp.doc7f?M jl \� CITY OF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: 6/9/99 P9-00245 DATE ISSUED: 6/9199 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1 11 CC-02900 S.,E ADDRESS: 10340 SW CENTURY OAK DR SUBDIVISIO14: SUMMERFIELD ZONING: R-7 BLOCK: r LOT: JURISDICTION. N: TIG — CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCC'JPANCY GRP: R3 VENTS W/O APPL: VENT S`l HOODS:HOOD STORIES: BOILER_SICOMPRE_SSORS S: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: -- --- 3 . 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP- REPAIR UNITS: FIRE DAMPERS': 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP- CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 c.fm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Add air conditioning a ,d gas piping to an existing dwelling unit. A/C units zannot be placed within the required setback areas. _Owner: FEES CONLEY BILL + ADELE Type By Date Amount Fiecelpt 10340 SW CENTURY OAK DR PRMT GEO 6/9199 $50.00 99-316025 TIGARD, OR 97224 5PCT GEO 6/9/99 $2 50 99-316025 Total $52.50 Phone: Contractor: WESTERN HEATING + AIC 14314 SW ALLEN BLVD REQUIRED INSPECTIONS STE 220 BEAVE RTON, OR 97005 Gas line In o Phone:648-5808 Cooling Unt Insp Reg #:LIC 00076978 Final Inspection ORIGINAL, This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other 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 more than 180 days. ATTENTIONS Oregon law requires you to follow rules adopted in the Oregon Utility iJotification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain,copie�,of these rules or direct questions to OUNC by calling (503)246-9189. Issue B —h' �� �( lPermittee Signature: - y Call (503) 639-417 by 7:00 P.M. for Inspections needed the next business day CITY QF TIGARD Mechanical Permit Application Plan Check#,—Y PP Recd By 13125 SW HALL BLVD. Commercial an ' Residential Date Rec'd TIGARD, OR 97223 Date to P E _ (503) 639-4171, x304 Date to DST_ Print or Type Permit Incomplete or illegible _ pplicaticn_s_will not be accepted galled a -_. Name of Development"Irojed Descr-pl ion T.iv,e 1A Mechanical Code _ Price Arnt Job Street Address - SuneN A) Perm!Fee _ N Cit 16.00 1) Furnace to 100,000 BTU Address - c r�.Jw . w,r � including ducts&vent< see footnote 1,2 965 old®p CRY/Stats Zip 2) Furnace 100,000 BTU+ -V" „t, 9 7,2 1 y including ducts&vents see footnote 4,2 1200. Name(or name of budne :t 3) Floor Furnace Owner i4d,rr. 1,.f _including vent _ see footnote 1,2 9.65 Mailing Address — 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 965 w 3uU c• C V_"'r ,, y on d^•=dr. 5) Vent not included in appliance permit 4.75 CRyiState Zlp Phone Check all that apply 'B(jiler Heat Air For Items 6-10,see or Pump Cond Qty Price Amt ams(or name of bwlneaa) footnotes 1,2 6)QHP;absorb unit to 100K BTU _ I / 9.65 Occupant Mailing Address I 7)3-15 HP,absorb unit 100k to 500k BTU _ 17.65 CRY/State Zlp phone 8) 15.30 HP;absorb unit 5-1 mil BTU 24.15 Contractt.: Name 9)30-50 HP,absorb unit 1-1.75 rnil BTU 36.00 i,a.r t ro 10)>50HP,absorb unit Prior to permit Mailing Addreas >1.75 mil BTU 60.15 Issuance,a copy w °ia w enc.✓ �d�: 'r�z� 11 Air handling unit to 10,000 CFM of all licenses CRY/Stale Zip Phone _ — 7.00 are required if - c— r n 97lz S" e 4 7 s'Bog 12)Air handling unit 10,000 CFM+ 1 expired in COT Oregon Corm Cont Board I.lc.N Exp.Date _ 11.75 database 76'.'iS- /c) • '� 13)Non-portable evaporate cooler Architect N8rt1e _ 7.00 14)Vent fen connected to a single duct Of Mailing Address 4.75 15)Ventilation system not included in appliance permit 7.00 Engineer Ctty/State zip Phone 16)Hood served by mechanical exhaust. 7.00 Describe work to he done 17)Domestic Incinerators 12.00 New.© Repap i Replace with like kind. Yes O No O 18)Commercial or Industrial type Incinerator Residential W Commercial O 48.25 19)repair units Additional information or description of work 840 i �,�� , , t N`„r; c,��•-�.�� �` 20)Wood stove/gas FP/other unRcrrlothe dryer/etc. 7.00 NOTE: For Commercial projects only,Units over 400 lbs.require 21)Gas piping one to four outlets structural gas talcs See footnote 1 3.75 Type of ruel: oil O natural gas. LPG O electric O� 22)More than 4-per outlet(eac .75 Minimum Permit Fee$60.00 SUBTOTAL I hereby acknowledge that I have read this application,that the information 5%SURCHARGE , given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits onl TOTAL Signature of Owner/Agent Date __ r _ p Other Inspections and Fees: 1. Inspections outside of normal business nours(minlnum charge-two ontact Person Name Phone hours) $50.00 per hour 2. Inspections for which no fee Is specifically Indicated (minimum �'uc✓ c/Sn 93� / -� charge-half hour) $50.00 per hour Foonotes for commercial projects only: 1 Additional plan review required by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. _ 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1:lmechperm doc rev 0214/99 3� I nP N C&L. '14 ASTER ERMIT CITY OF TIGARD ORIGIN/iLFMIT#PMST1999-001b6 DEVELOPMENT SERVICES DATE ISSUED: 5/10/99 ,Ll � 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 SITE ADDRESS: 10340 SW CENTURY OAK DR PARCEL: 2S111CC-02900 SUBDIVISION: SUMMERFIELD ZONING: R-7 BLOCK: LOT:052 JURISDICTION: TIG REMAR:.S: Single family addition auanlNG REISSUE: STORIES: I FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 64 of BASEMENT: of LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: at GARAGE: of c"ONT: PARKING SPACES TYPE OF CONST: 514 DWELLING UNITS: 1 FINBSMENT: of RIGHT: VALUE: $2.92500 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: of REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: !!^KFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<2HP: VENT FANS: CLOTHES DRYER: FURN>000K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION EA ADD'L 600SF: 201 400 amp: 201 - 400 amp: 1st WIO SVC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 40, 600 amp: 401 -600 amp: EA ADUL BR CIR. SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 601 1000 amp: 601+amps•100ov MINOR LABEL: 1000•amp/Volt! PLAN REVIEW SECTION Reconnect only: _4 RES UNITS: SVCIFDR>•225 A.: >800 V NOMINAL: CLS AREAI3PC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 6 STEREO: VACUUM S"STEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIC NL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL a SYSTEMS: TOTAL FEES: $ 149.01 Owner: Contractor: This permit is subject to the regulations contained in the CONLEY,BILL+ADELE JOSEPH O'NEILL Tigard Municipal Code,State of OR. Specialty Codes and 10340 SW CENTURY OAK DR PO BOX 68140 all other applicable laws. All work will he done in TIGARD,OR 97224 MILWAUKIE,OR 97268 accordance with approved plans. This permit will expired v^:k is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg 0: LIC 50092 forth in OAR 952.001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS _ I Fooling Insp Framin0 Insp Foundation Insp Insulation Insp Underfloor insulation Electrical Final Electrical Service Final Inspection Electrical Rough In Buildang Final > �' Issued By : ` - Permittee Signature ` ess d y Call (503) 63 1 by 7:00 p.m. for an inspection needed i� a next b in 1'ITY OF TIGARD Residential Building Perm�t Application Plan Che 13125 SW HALL BLVD. Additions or Alterations Recd By TIGARD, OR 97223 Single Family Detached or Attacked (Duplex) Date Recd - z z ,27 V 503-639-4171 Date to P.E.-aoe to D$T F 503-684-7297 Permit#/4)`LTi - nFf Wl Print or Type Called j-711 oUc Ap% Incomplete or illegible applications will not be accepted &p&AL w/��- Name of Project flame i Job coir& - �, 0;4`6 — Address Site Adress _ Architect Meiling/+ dress N-m 'lty/�✓�'�' �Ip' P� i Owner Mailipp Address Name 16).7)110SN 7, City/StatePhone Engineer Mailing Address General Nam O� Cfty/Sti,e �-- Zip Phone 1^ Contractor C_ x -t �>� of� � Describe work New O Addition O Alteration O Repair O Mailing Address to be done. Prior to permit p ] &Y ; Additional Description of Work: Issuarcr a copy City/State zi Pe of all licenses //z C,fa14 `/ 'K -`'!"��c)� are required If Oregon Const.Cont. Board Exp.Date PROJECT _ �l expired in COT Lic# l _database �_ (�n`). 3.-(5-&n VALUATION Mechanical Name NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House. �` rJ 1r1,y Sq. Fl Garage Mailin Address 1 1 Contractor g - Indicate the restricted energy installation b the electrical Prior to permit 9Y Y issuance,a copy City/State Zip Phone subcontractor in the followin areas of all licenses Restricted Audio/Stereo are required if Oregon Const Cont. Board Exp Date Energy S Stem Alarms expired in COT Lic# Installations Vacuum Ir igation _database — __ — _ System S stem Plumbing Name (check all that Other: Sub- apply) Contractor Mailing Address - i Corner Lot YES NO Flag Lot YES NO check one check one Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? NIA YES NO Issuance,acopy -- --- -- — of all licenses are Oregon Const Cont. Board Exp.Date required if Lic# expired in COT I hearby acknowledge that I have read this applicati-)n,that the database Plumbing Lic # Exp.Date informatic,ii given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in cornpllar,re with Oregon State laws. Name Signature of Owner/Agent Date Electrical T �.�jlh,�� E.��C /� -----C --- Sub- Mailing Address txt f�Orson Name Contractor '�'`/��" .v4 /4/.1.+�,,Tlo� 57 �—G City/State 21p Phon- - Prior to permit issuance,a copy FOR OFFICE USE ONLY: _ of all licenses are Oregon Const.Cont.Board Exp.Date Plat# Mao/TL# required if Lic.# expired in COT y3I-2j <,?—r � 1 !( ;, /Y�) database Electrical Lic.# Fx Date Setbacks:, Zone: Solar: ElectricalSupervisor Lic.# Exp Date Engi rieering Approval: Planning Approval: TIF: ) r f I:\dsts\forms\sfaddalt doc 11/20/98