14154 SW CHEHALEM COURT I
I
141.59 -1M. Malan Ct. __
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# &/19S- 0 j;tj_ _
Phone '503)6311-4171
FAX(503)684-7297 DATE ISSUED 9-A D -
TDD No. (503)684-2772 _ --
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY C AP,ler S,&g W
PLEASE COMPLETE ALL SECTIONS
1. LOCATIO 4 OF INSTALLATION 4. TYPE OF WORK
Addr RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00
(FOR ALL SYSTEMS)
City State Zip Check Type of,Work Involved:
I.SENc T ST RT D WITITS ARE HIN tao DAYS OF ISSUANCE ORtIF WORK IABLE DN SUSPEND DXPIRE IF ORK FOR ❑ Audio and Stereo ystems*
180 DAYS. -45=Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
Contractorl�.`rhe! !�o�r ❑ Vacuum Systems*
❑ Other
Address t�� ,/. {,.� �✓_
Date �
S� _ ___ ____ rOMMERCIAI—Fee for each system . . . . . . 140.00
(SEE OAR 918-260-260)
�Property Owner �_ __ Check Tyne of Work Involved:
Contractor's Board Reg. No. ❑ Audio and Stereo Systems*
Phone# tyC
/_, US ,f ❑ Boiler Controls
`I_ 7 Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installativris
❑❑ Fire Al
arm Installation
HVAC
faint Owner's irD0 — O
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This Permit Is Issued rmoer OAR 9111.320-370.This applicant agrees to make only ❑ Nurse Calls
restrk9ed energy installations(100 volt amps or less)under this oermit and to tin the ❑ Outdoor Landscape Lighting*
following.
1. Only use electrical hcenseti persrnrs to do installations where required.(Certain ❑ Protective 59pnaling
residential and other transactions are exempt from licensing.These have ❑ Other
astetisk.�l*I.All others need licensing). -
2. Cali for an inspection when all of the installations under this permit are ready
for inspection at 503-639.4175.
❑ Number of Systems
3. Purchase separate permits for all instillations that are not ready for inspection '
wlien the inspector is out to inspect under this permit •No licenses ,re required. Licenses are required for all other installations.
4, Assume responsibility for assuring that all rormctinns required by the inspector
are done,and
5. Assume responsibility for calling for a final impaction when all of the corrections 5. FEES
are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees
authrnized to hind the applicant.
b. 5% Surcharge(05 x total above) $
Signature
410 TOTAL
Authority if other than applir^t
i
FNERGAP.CHP
CITY OF TIGARD 0UiL.0 ftG INSPE=CTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BUF'
Requested _ r.; AM_" r t PM ---- BLD
Location- `i � ( 1 �.Q !` r_ Suite MEC
Contact Person r�, "e �, y,; _ -7 , —_� Ph - SLC / " �� PLM _
Contractor Ph —_ WR
BUILDING Tenant/Owner LLC
Retaining Wall —� _ ELR
Footing Access:
Foundation /� ! � FPS
Ftg Drain
Crawl Drain Inspec,ion Notes C C SIT
Slab ______`
Post&Beam - - —
Ext Sheath/Shear
Int Sheath/Shear
Framing R —
Insulation /
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm —
Susp'd Ceiling
ROOF � --
r/lisc: _—_ -- -- - - --—
Final
PASS PART FAIL -- --- ----- __ —
PLUMBING
Post&Bearn
Under Slab
Top Out -
Water Service
Sanitary SewFr --- -" - "-- -- -- -
Rain Drains
Final ------� -- � --
PASS PART FAIL
MECHANICAL
I' eam —
ough InC Y.) AL
Dampers
�&�A T FAIT_
ELECTRICAL - -- ---- - --- --- -- -- --------- -----Service
Rough
Rough In - - ---------------
UG/Slab
Low Voltage
Fire Alarm __-- --�-_ --- - ---__-__
Final
PASS PART FAIT_
SITE
Backfill/Grading --- — --- —
Sanitary Sewer
Storm Drain ; J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Caten Basin Please call for reinspection RE
Fire Supply Line [ J p --- ----_ _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk 2
Other Date A Inspector— _ ► �—� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record frrov, :,e job site.
MECHANICAL.
CITY OF TIGARD PERMIT
i-,'ERMIT #. . . . . . . . MEC96-0IEJI
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/18/96
13125 SW Hall Blvd.Tigard,Oregon 9722398*99 (503)639-41171 PARCEL: 2SI04BB--06000
SITE ADDRESS. . . : 14'.:.�4 SW CHEHAL1'--.'M CT
SUBDIVISION. . . . : CASTLE HILL ZONING: R-25 PD
BLOC"1JN. . . . . . . . . . : LOT. . . . . . . . . . . . . ..007
-----------------
CL.ASS OF- WORK. . :ALW FLGOR FURN. III EVAP COOLERS: 0
TYPE: OF USE. . . . :SF UNIT HEATERS. 0 VENT FANS. . . -. Q,
OCCUPAN(-',Y GRP. . ,Al VENT W/O APPL.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 Fi011-r-RS/COMPRESSORS HOODS. . . . . . . : 0
FUF-1- l 0-3 HP. 1 DOMES. INCIN: 0
/GAE.**)/ 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX IWJUT : 0 BTU I t)- 30 HPI. . . . : 0 R Et-'P I R UN I TS 0
FIRE DAMPERS ). 30-50 HP. . . . : 0 WOODSTOVES. . 0
GAS 1--'HE1:*;S1.JRE. . . 504 HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( ltlilliK BTU: 0 <= 11-111000 C'f in : 0 GAS OUILETS. : 0
-URN > =100K STU, 0 ) -0000 cfm: 0
Remarks : Installing one gas comp. to -'Hp.
Owner-: FEES
Di'-)NNY T(.-.) type amol-Int by date r,ecpt
14154 5'W CHEHALEM C7 i:.'RM T $ 25. 00 CJS "S/16/96 96-280695
5PC I' $ 1. 25 Cici 06/ 113/96 96--28069n
TIGARD OR 97223
Phone #-.
Contr-actor:
CLIMAIL. CONTROL INC
3315 NW 26TH
PORT1-ANDOR
Phone #: f 26. 25 TOTAL
Req #. . : 062196
REUUIRED 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 Misc. Inspection
applicable laws. All work trill be done in accordance with Final inal Inspection
approved plans. This permit will expire if work is not started
within 180 da7s of issuance, or if work is suspended for more
than IM days.
Pleir,mittee
Issi-ted By- ------------
Call for- inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # �
13125 SW Hall Blvd. J �, APPLICATION Permit # a)-Cc26-Ott/
PO Box 23397
Tigard, OR 97223 J
(503) 639"-4171
escnpbon — —�
Table 3A Mechanical Code OTY ^..^,ICE AMT
,lob Permit Fee -0- -0- 10.00
Address _
2) Supplemental Permit 3.00
�" 1 A �urna•:e 10
1) irrc! ductss 8 vents 6"00
Furnace 100.000 +
Owner 2) incl. ducts 8 vents 7.50
n — aF1—or Furnance
3) incl. vent 600
uspendu eater,wa e`atorr
4) or floor mounted heater 6.00
Vent not inc in '— -
Occupant 5) appliance permit 3.00
Repair of eating,re ng
_ 6) cooling,absorption unit 600
Boiler or comp,heat pump,au con .
7) to 3 HP absorp unit to 100K BTU 1 6.00Ad* U1 r
JI,�" �1,I n� oiler ur compP eat pump,air cong'—
VJ �l�J L 8) 3 15 HP absor unit to 500K BTU 1 100
Contractor Boiler or comp, heat pump,air con
L rx LG r U { 9) 15 30 HP absorp unit.5.1 mil BTU 1500
Boiler or comp tmat pu�mp•air con .
10) 30.50 HP ab_orp unit 1-1.75 mil BTU 22.50
-TT—er—F)Fy—acknow1Jgo that I havo read is application, that the Wer or comp,eat pump,air co �—
information given is correct,that I am the owner or authorized agent 11) > 50 HP absorp unit i.79(.-,it BTU 31.50
of the owner,that plans submitted are in compliance with Stateit andling'unit to _
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 450
that the number given is correct. (If exempt from State regirtration, I •—fir handling unit —
please give reason omlow) Y 13) 10,000 CTM+
Non portable
_ 14) evaporate cooler 450
Vent tan connected
15) to a single duct 3,00
//-- Ventdat:on system not
�P 16) included in appliance permit 4.50
Hool served y --
17) mechanical exhaust 450
39scirrbe work new rtion — orationrepair ommeraa or in --
to be done residential non-residential Q 18) type incinerator 30_�t
Existing use o er t.e.,wa stove,water ,
building or property_ _ 19) healer,solar,clothes dryers,etc. 450
Proposed use of 20) Gas pipirg one to lour outlets 200
building or pmperty
Type of fuel •oA U natural gas)(
21) More than 4-per outlet LPG Q electric Q - --
�I
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25 00 SUBTOTAL r)-
51.zj
AUTHORIZED IS NOT COMMENCED WITHIN '!0 DAYS,OR 5%SURCHARGE I �S
IF CONSYRUCTION OR WORK IS SUSPENDED UR -
AB'ANDONSD FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL-
AFTER WORK IS COMA .ACED
TOTAL Off•
Special Condifions
Date issued by
b MCOMMT
�WmnWr
i
Home Layout
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Windows Windows --- -- Doors.---_ Walls _ Roof_ Floors
2 K !C 3X4 IZ _
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CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT �CMFO�FioMRD
13126 SW HWI BW. P.O.Box 23397,T19wd,(heW 97223(W3)6394176
1)(4-f'E ISSUED- V
4 j,41a4 W
�i(JVL,I V 113 1 ON. . . . ;: CASTLE HILL ZUNINGg
L-D 1 .
BUILDING
I!:.) U[::t DWI;.LL I NG UN 1 1 . . . . . . . .
OF WORK. t NEW BEDRIvIS.-4 F3 A TH S-3 GARAGE=. . . . . . . . . . .660
'I"Y P�.__ Ur.. U'5 E. L-30" I 1.001i RL QUIRLD SEE'TBOLM'
L '. .
I'lefoiLl OF CON'S"r. :5N F i RSl . L.E.F-1 :7 ft RIGHT.- 98L sl`
�.J-1-UPANC Y UIRP. :H � ciLL'AffilL:'. . . ; 1036 5f PON''. .L 0 ft R1 AI
L L.',;:. . . . . . . .. H I RD, :0 5t RLUU I RED--
lAl I u 1 fl ''t 'I01 NL- L Q I I LiilCJKE LILA-ECTORS. Y
,.-..L.(J(;R L P 1.). . . . f J ALUE. 104 PARK I NG SPACES. . j 1
14 v rvia,,-k s 1 V,4T i I
911'; 11-0OR W4_11N'_;. 0 E.kPCKFL.OW v,r,ZLvi,4"ms. -o
L i-I V f:4 fl)k I E b. . . . . 94 WAIER HEAIEFR13. . . 1 TPF—PS. . . . . . . . . . . . . . . .
I Ljl,r� ':--,E I L)W[-.k a. . . i-AUNDF0 VRAY'.). . . G','.4fcl.A IAAGINS. . . . . .
WO'l ER CLIJt�L. SLWLR -INE ( `t ) . 0 GRL.ASE TRAPS. . . .
1'-il 4WA51 1? j WATLP L INL. i;1, ,: r 100 (.J'T HER I- I X I UREIJ.
RAIN VRflIN t :0
W051liNG M(40i. . . r.JRAIN
MELHAN I U AL. - F'EES
LINI, [ i:y p cr a I tt'_t n t by d a t u
VEN i �, . . . . . 0 1 IF b 1460. 00 JH 0.ti c:,L
1111-4x It , L lu I)r.--N I rl"HNIIJ. . c4 bF,Rl li 445. J;4 03 L-,'-`
1,- UHN t 0 HOOD5. . . . . . . I Fj P L C &'89. 58 JLH 02/2'.s"
> W001)'i l0k)Ls. L8 J11 if.,3 3
R f"UHN. . . 0 CL DRYEI RS. S D Cl 80. 00 JH 0.3
31lP:0 0114-R UNII ;J. i IS00. oe Jit Q'i
U,A L U U I P'F S, I Ivfr Ei l 4 4't. 00 JH
1 JH
<A-'L Lb JH 07
141. :J0 .311
7. 38 JH
M'.WL(-
#
IJ n t t'act Or
lf,q 1414 11-ib I UN LONS T r0,it T 111 i%i
3]L 10. 01
f0*1111 4.i-1lL tikAiJOL; tO t6i CfgiaAcll6jjjj.$ C'OntaltItC irl V}l REUUIRELI INSF-4-CI .L;
ligard Municipal ..ode, State 0 Ort. Specialty Codes and &I] other l'oul'-/found Insp F J t,e p 1 a(_
a0plicablt laws. Pul Park till be dvto accoravce wtn app-oveG rust /Lleam Str-uct- Gas Line J,
I (ist;/Seam flechen I rl S 1.11 a t I ci T
PIM"'Uridslab Insp Gyp board i5cr
L pl/Uri cl e I- f 10 o)- ka'L'I all
Gj
• Watvi L.
' ,.n!
Al� Viumb Top ot.tt APP) .;Ll
1:'t,atming Insp I
C111(OFTIFARD
TWIRD 'GE-
COMMUNITY DEVELOPMENT DEPARTMENT 04110m WiLR CONNEUTION
1312,;SW HWI BW. P.O.Sm 23397,T4ard.Or"m 97223(603)639-41,76 C-7 PE RM 17
_. _____-__.___.__.. __ � iy P-� � L'. a. 1:7 U 1_L: r4.i•.�4..y� .�..J ..—�
i-r.LL)- jW L1-;Lr.:iLL1v1 L I PARLLL. 1-1"b1048B-- &,Wi,
LW)-il-k HILL ZONINU:
(A'K. . . . . . . . . . . .. . 00't,
0 ,N"f' NAME. . . .
At". . . . . . . . . . FIXTURE UNITS.
CL.WL'i OF WORK. INEW DWELLING UN11"'o. ., 1.
TYPE OF WL. . . JGF NO. OF BUILDINGS.I
11'41'-,1 A I-L r Y V'E-.. . BUSWR imp,E'IRv sur�rt4u-- .
fmiat�ks: PAT'H
FLLS ---
type amal-tilt by Jatv
F=lR11"i r.--'100. 00 JH 03/23/93
..:1 00 '1-0 VAL
REWIRED INSPLuriONS
This Applicant agrees to cosply with all the rules and regulaticr-s ';4FWel- '!r1SPRC'f- iC.'r1
of the Unified Sewage Agency. The persit expires ',&) says frog
the nate !c;qed. Tate total asount paid will be forfeitec if the
persit eMpires. The Agency does nct guarantee the accuracy of the
sioe sewer' laterals. if the sower it, not locates: a, the vessuresert
given, the installer shah prospect 3 feet in all directions free
the distance ever. if not so locate, the installer sha*,l purchase
ir; SAF Sewer' Dereit m-L' thp Aup-,,v will ;rsta'! a lateral.
E,39- 4170
3 k�
OF
TIGARD
131155WHA" PLNCK/RECT fCITY 7%"Oregon 9= PEkM IT
C• 'TNIW DEVELOPMENT DEPARTMENT
(503)6"4171 DATE ISS.UED
JOB ki'URESS: I' J c� J G/ �f1 P G I/n^ TAX MAP/LOT
SUB: , �S/���7/ LOT: —7 _ LAND USE: _
VALUATION: 1040-7 0 L
OWNER SPECIAL NOTES
NAME: H�=�'rrlt�t O� (-�C�yt�'S REISSUE OF:
ADDRESS: ��� l.�'�v �o,'tt 7�- LAST REISSUE:
,14* Cr�� "O EIA_ 9 �•�.-sFL000 PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: e– 06t)llPLANNING: a/' -YtG'
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: 7 S� EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: t,17 T LIST/SUBCONTRACTORS:
MLCH: �CC�' � � BUS TAX:
AMKNGINEER / CALCULATIONS:
NAME: ��yi . G �G/'L^ TRUSS DETAILS: _
ADDRESS: _ 1 ^' Lt OTHER:
F0 0>- t ti c C>r 9 7210
PHONE: 2.2:5- - 911
PROPOSED BLDG. USE: 'S1A
COMMENTS:
APPI-I T SIGNATURE
Date Rece
Received By: ` � i ved:,--
-lam
PERMIT k ACCT N DESCRIPTION �AMOUNT AMOUNT PD. BAL. DUE �•
/i 10-432. 00 Building Permit Fees
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 'Li
Building _
Plumbing 7,31
Mechanical o�•L)
10- 433 00 Plans Check Fee
Building .
Plumbing
Mechanical
10-230 06 Fire -----
i
0/a(, 30-202 00 Sewer Coosection �1jU 0 �` v u
30-444 00 Sewer Inspection 3-S -
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees _
25-448-06 lastitutional TIF Fees _
25-448-03 Office TIF Fees
25-448-01 Residential- Traffic Fees 3 S o 50
25-448-05 Mass Transit TIF Fees // U // U
52-449 00 Parks System Dev Charge (POC) S o U _ .7 G 0
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) v�
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water 9ua•itity (Fee in lieu ri )
TOTAL
nm/3587P.WPf
CITY OF T I GARD LL H i LAA I L OF
OC.CUI:'PN(-y
PERMIT #. t"11:11 C,3 -01 i
COMMUNITY DEVELOPMENT DEPARflOtNT DATE ISSLIED'.- '
13125 SW Hall Blvd.Tigard,Oregon 97223s8190 (503)'11339-4171
PARCEL.! 2tA0di8LA--17j6000
1L. (• DDRLSS. 14154 GW 1-'J10-JAL.EM L' i
SUSD I V I S I ON. , CIA91"i F III I.I.- ZONINU&
KOC14.. . . . . . . . . . . . . . . . .. . . .00
I'l.. jGG OF WORR. 'NEW
T'0-'S OF I..)C,:)F . . .
OCCUP(iNCY GNP. IR',3
0(.'(-,(J[",ANC'Y LOAD Ic'22 4
Nj4MF.. . . a
PATIA I
HARRINGTON HOMP5
'18(.'3 SW KlY POINT DF7
1.3111'E OSWEGO OR 9710135
Phone #s
Lo n t.r�a c t o v,
( HEI HARRINGTON CONSTRUCTION INr.
1 .3605 NE B14PZET CT
00PTL.44ND OR 972,3121
Phone #t "..'54-9684
Req 04 795
Oucr.ip,irvuy of the Above i,efpv,enced buildin!j i ,, hev--eby yi,.,eyl, and certifies
t ho co mp 1 i Ancp with t h e State Of llir•egciyi 1,3ptac.,t a I t V (".od P s for t he qr-O Qp,
UQe.'LlpanVy, and Li s e oncIpt, which the t,e fet-encec.; pet-mit was i 5 s 1.1 ed.
F RE ')EPARTMF'N'T UIL1 U INSPECIOR
A
..........
F.ALI I L. IN FF'iC C
(-,OST IN CON9,Pjr:jjnur:)