10274 SW ELISE COURT 10271 :A4 ELISE C,)JAT _
CITY O F T'GAR® _ MECHANICAL PERMIT
Y_
DEVELOPMENT SERVICES PERMIT#: MEC1999-00269
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/22/99
PARCEL: 2S114BB-19300
SITE ADDRESS: i0274SWELISECT
SL'gDIVISION: RIVERVIEW ESTATES ZONING: R-1
BLOCK: LOT: 039 JURISDICTION: TIG
CLASS OF WORK: AL I FLOOR FURN: 1 EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX. INPUT: BTU 15 30 HP:
REPAIR UN;-,S:FIRE DAMPERS?: 30 - 50 HP:
WOOD
STOVES:
PRESSURE: 50 + HP: C RS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
>
GAS OUTLETS:
10000 cfm:
Remarks: Installation of a floor furnace and an air conditioning unit. A/C units cannot be placed within the required
setback ares.
Owner: v FEES
GIL HARDING type By Date Amount Receipt
10174 SW ELISE COURT PRMT GEO 6/22/99 $50.00 99-316306
TIGARD, OR 97224 5PCT GEO 6/22/99 $2.50 99-316306
i
Phone:670-7059 Total____ $52.50---
Contractor:
PIONEER OIL
9270 NE GLISAN ST
PORTLAND, OR 97220 EXPIP17ry REQUIRED INSPECTIONS
1��.•.•►► Heating Unt Insp
Phone:2.54-9595y Cooling Unt Insp
Reg #:LIC 00057813 / / / 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 expi a if work is not started within 180 days of issuance, or it work is suspended
for more than 180 days. A TENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAP. 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct :uestions to OU NC by calling (503 46-9189.
Issue By: Perrr ittee Signature:
Call (503) 63 - 175 by 7:00 P.M, fo inspections needed the next business da,
CITY OF TIGARD RECEI1�echanical Permit Application Plan Check#
RR
13125 SW HALL BLVD. jUN 1. Recd By
gCommercial and Residential Date Recd
TIGARD, OR 9-223 Date to P.E.
(503) 639-4171, X304 COMMUNITY nftlROPMEN) Ll Date to DST
Print or Type Permit
Incomplete or illegible alic_ations will not be accepted Calle'
Nemo of Development/Pro�eci DeSCription
Table 1A Mechanical Code aty Price Amt
Job street address sures A Permit Fee TG 00
Address ';,�) W S I 1) Furnace to 100,000 BTU
Including ducts&vents see footnote 1,2 9.65
Bldg# -cg�ylstate Zlp 2) Furnace 100,000 BTU+
-t
1 ( �; ( 1 ��72 y including duds&vents see footnote 1,2` 12.00
Name(or name of business) 3) Floor Furnace
Owner L I L E I(k I -j, n- (� includingvent see footnote 1,2 9.65 `?4
Mailing Address r �� � —' 4) Suspended heater,wall heater
II () or floor mounted heater see footnote 1,2 9.65
`- 5) Vent not included ina liance ermit 475
CnylStete Ip Phone Check all that apply: 'Boiler Heat Air
W ' q'7224 ' 10-16 SCI For Items 6.10,see or Pump Cond Qty Price Amt
Name(or name of business) footnotes 1.,2 Com
6)<3HP;absorb unit to
Occupant Mailing Address 100K BTU 9.65
p 7)3-15 HP;absorb unit
100k to 500k BTU 17 59
Cnylstate Zip Phone 8)15-30 HP;Absorb
unit.5-1 mil BTU _ 24_t5
Contractor
Name 9)30-50 HP;absorb
unit 1-1.75 mil BTU 36.00
.t
10)>50HP;absorb unit
Prior to permit Mallin rose >1.75 mil BTU
60.15
issuance,a copy i( �[_ f Sal 11 Air handling unit to 10,000 CFM
of all licenses citylpt.rie - zo Phate 7.00
are requited if t 12)Air handling unit 1C,000 CFM+
expired In COT Oregon const Cont.Board Lle.0 Exp,nate 11.75
database ,) C 1 `3 13)Non-portable evt,porste cooler
Architect "aRfe 7.00
14)Vent fan connected to a 4ingle duct
or Mailing Address — 4.75
'>,,'"�^ y � 15)Ventilation system not included in
appliance permit _ 7.00
Engineer Coy/state Zip Phone 16)Hood served by mechanical exhaust
_ 7.00
Descritxi work to be done: 17)Domestic incinerators
12.00
New b Repair O Replace with like kind: Yes O No O 18)Commercial or Industrial type incinerator
Residential Commercial 48.25
19)Repair units
Additional Information or description of work: 8.40
f it t I I/ ( I 20)Wood stove/gas FP/other units/clothe dryer/etc.
7.00
NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets
structural gas rales. See footnote 1_ _ 375
Ty,>e of fuel. oil O natural gas O LPG O electric _22)More than 4-per nutlet teat .75
_ Minimum Pe mlt Fae$60.00 SUBTOTAL
I hereby acknowledge that I have read this application,that the Information 5%SURCHARGE
givr n is correct,that 1 am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are In compliance with Oregon Stale laws. Required_ for ALL commercial permits only
TOTA
Signature of Owner/Agent, Date
Other I►rspections and Fees:
1. Inspections of tslde of normal business hours(minlnum charge-two
Contact Person Nhme Phone hours) S50,017 per hour
2. Inspections 'or which no fee Is specifically Indicated (minimum
chargo-half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional pian review required by changos,additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure pians(minimum charge-orte-half hour)W.00 per flour
2 Provide drawings to scale showing existing and proposed mechanical
units. *Slats-Contractor Boiler Certification required
'"Residential A/C requires site plan showing placement of unit
lAmechperm.doc rev 02/4/99
10 2. -714 LJ Iru C-
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lina: K9-4175 Business Line: 639-4171 BLIP
_
Date Requested. �' AM__�_—___PM aLD _ Cr
Suite MEC
Location
Contact Person Pit —G��r ° C PLM
_ Ph
Contractor
BUILDING Tenant/(�Gv _ �� i1 l '
ELR
Retaining Wall
Footing Access: FPS _—
Foundation
Ftg Drain C SGN — —�
Crawl Drain {nspec1.ion Notes: �v3 �? u2� ,� SIT __—_—
Slab - -- _
- -- —
Post 8 Beam ' ?c (; -------------
Ext Sheath/Shea-
Int Sheath/Shear
Framing ----------- -- ------.
-- _
Insulation G ' - -��JU
Drywall Nailing --
� - L_.�L -
Firewall
Fire Sprinkler — - -
Fire Alarm
- --
Susp'd Ceiling - -
Roof YA)
Misc:
Final [L-tJ S -A�� rn��sr�C. _ t 6CL
PASS _PART_ FAIL '
PLUMBING --"�--
Post&Beam
Under Slab --- --"
Top Out
Water Service
Sanitary Sewer
Rain Drains -
Final
PASS PART FAIL
—
AN
Post& Ream
Rough Ir. —
Gas Line -
Smoke Dampers --
PASS A FAIL
CTR -
Service -- - - - -
Rough In
UG/Slab
Low Voltage - - ----
Fire Alarm --- --- - -
P s P R FAIT_ - --
8ackfiA!Grading
Sanitary Sewerre ,aired before next inspection. Pay at City M1all, 13125 SW Hall Blvd
Storm Drain [ J Reinspection fee of$--__-_— U
Catch Basin -_-,_ [ j Unable to inspect-no access
Fire Supply Line [ J Please call for reinspection RE._
ADA Ext
AppreF!ch/Sidewalk I Date .[, Inspector
Other
Final �-
PASS PART FAIL J OO NOT REMOVE this inspection record from the job site.
CITYOF TIGARD ELECTRiCALPERMIT_
{\ PERMIT#: ELC1999-00400
DEVELOPMENT SERVICES DATE ISSUED: 7/6/99
13125 SW hall Blvd., Tiqard, OR 97223 (503) 539-4171 PARCEL: 2S1141313-19300
SITE ADDRESS: 10274 SW ELISE CT
SUBDIVISION: RIVERVIEW ESTATES ZONING: R-7
BLOCK: LOT : 03!� JURISDICTION: TIG
Protect Description: f=irst branch circuit and one additional circuit.
RESIDENTIAL_UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS1000 SF OR LESS: 0 200 amp: _ PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINF LTG:
LIMITED ENERGY: 401 - 600 amn: SIGNAL/PANEL:
MANF HMI SVC/ FDR- 601+amps - 1000 volts: MINOR LABEL (10):
_ SERVICE/FEEDER _V BRANCH CIRCUITS
—._. _ _ADD'L INSPECTIONS _
0 200 amp: W/SERVIOE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W'O SR1 ORF,-',R: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CII:', 1 IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amn/volt: >=4 RES UNITS � `^> 600 VOLT NOMINAL:
Reconnect only: _ __ SVC/FDR >:1 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor.
GIL HARDING ADAMS ELECTRIC CO INC;
10274 SW ELISE CT 2340 SE CLATSOP
TIGARD, OR 97224 PORTLAND,OR 97202
Phone: Phone: 234-9651
Reg#: LIG 00000596 ) RIGINA L
SUP 2056s
ELE 26-5C
FEES Required Inspections
Type By Date Amount Receipt_ Elect'! Service
PRMT BON 7/6/99 $42.85 6007 Elect'I Final
SPCT BON 7/6199 $2.14 6007
Total $44.99
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 expire if work is not started within 180 days of issuance,or I work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adoptod by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001 0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at 1503)
246.1987.
Permit Signature: r � _ Issued By:
OWNER INSTALLATION ONLY
The installatior 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. F'_EC'N: /!V\ "'14b'v� DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
06/21/99 HON 13:10 FAX 503 598 1960 CI'I'V OF '11GARD [it 002
CITY OF TIGARD Electrical Permit Application Plan Check @_
13125 3W HALL BLVD. Recd By
TIGARD OR 97223 I l �1 6 `t�i�!•, Date Recd
.� Date to P.E.
Phone(503)R394171, x30 r.rrtctn�`"rNl Date to DST
Inspection(503)639-4
Print of TyFr? Pem,nrzil-L r-,
Fax(503) 598 1960 Incomplete or Illegible will riot be accepted called - -- -_
1. Job Address. 4. Complete Fee Schedule Below:
Name of Daveiopinsnt_ __ Number or Inspection* r psnnit allowed
Name(or name of business) Service Included: Items Cost Sum I
Address / 0-:d 1 17 S'- C4-). jCLe,dcr C r 4a Raaklbeftl•par unit
CltylState/Zip__ Qlf<,? U{� 9 7��� _ 1000 ay.n.or less _ _ $ 117.75 4
�- Each addillonal 500 sy (t or
poillon Iliereor $ :'0.25 1
Commercial❑ Residential lu tlmited Fnergy V -$ 60.00
Each Manvfd Home or Mudulai
2a. Contractor installation only: Dwelling Ssrvica nr reader $ 72.75 _ 1
(Prior to panntt Issuance,appllcarits must provide contractor Ili oriae 4b.Service*or Feeders
Information for COT data ee). Installation,adoration,or relocation
Elec-trical Contractors L ��FGi�! L, ___ 200 amps or lase _-_E 61.25 - 1
Addr1_? 79 �) sr.: I 21)1 amps to 400 amps -- - $ R5.,".o ------ 2
r� --- /� 401 AMPS to 000 emus $ 126.50 2
City State Zip 7 3 ' "� 801 amps to 1(00 Imps $ 19250
Phone No. , 3 L_ Over 1000 amps or volts $ 363.75 Y �- 2
Job Na. ..7 C) 7�� Reconnect ontyT_� $ 53.50 ------ 2
Eloc.Cont. Lice, No,-2 6 �2 CExp.Date ;1 :Z25C 1. 4c.Temporary Services or Feeders
OR Stale CCB Req,Na 1_ ,,,__Exp.Date-? i 1-0/ Inslallauon,alteration,of v4lormnr,n
001 Business Tax or Metro No, /��!�Exp.Date?.L(X 2201 amps or les. S 53.50 - 2
01 amps Iv 400 Amps �3 00.26
Signature of Supr. EladWt) 401 amps to 600 amps - $ 107.00 -` - 2
..
-� Over 000 amps to 1000 units
ass°b"above.
Ucensia No. U U SExp.DelelO / L�/ 4d.erenchclroula
Phonn No. � c7��_L� / I New,allbrallon or extension per panel
a)Tlx fee for branch clrvilia
2b. For owner ir11_stallatlons: with pruchase of service or
feeder fee.
Print Owrlpr's Name Each branch dmult is 6.35 _ 2
Addiess b)The fee for braxh Circuits
- --- -- --- without purchase of eery/ca
lacy_ _- -__ -- State _-.Zip -- or feeder fea
Phone No. First branch circuit / S 37.60 t�7
Earb aWtional branch druill S 5.35 yry� i
The instiin dation is being made on property I own.whlch Is not 4a,alllacetaneous
Intended for sale, lease or rent, (urtrvlce or feeder not InotuJed)
Each pump or Irrigation circle S 42.75
Owner's Signature_.. _ _ Esoh sign or outline lighting -��S 42.75
Signal dreult(s)or a Ilm'ted enefoy
penal•alteration or extension $ 6U.00
3. Plan Revie'-, section (if mquil ed):e AnorLabe;a(10) ---.___ $ 107.00 ---
Plealae check approlmiate Item and enter fea In section 5B. 41.Each addltaul Inspection ove,
_ 4 or more residential units In one structure the allowable In any of the Above
Service and feeder 225 amps or more Par Iris mcilon - S 50.00
-- Per hour i< 60.00
System over 600 volts nominal In Plant
_ Classirvuf area n,strurtire rnntakiing special oocupancy as
desciibed In N F C Chapter.5 5. Fees:
5a.Enler total of above fees $ S
Submit 2 seta of plots with appllcaUon where any of the above apply. F%Surdtargo(.OB x told fnAl S -
Not required for temporary eorhstructIon sarvlrms. subtotal $ I
6b.Enter 25%of thre Be for
NOTICE Plan Review jfr"lied(sec 31 $
Pr:RMITS BF-'COME VOID IF WORK OR CONSTRUC PION AUTHORIZED Subtotal $
IS NOT WIVIMENCED WI i HIN 180 DAYS,OR IF CONSTRUCTION OR r
WORK IS SUSPENDED OR A13ANDONFD FOR A pERIOD Or 190 DAYS IJ 7 nrel Arrmunt it
AT ANY 11ME AFTER WORK IS CUMMENCED. notal balance Due $ u
i adstMFnrma\eI6etric.dnc