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11338 SW IRONWOOD LOOP I I 2 `' �.V ��k .. ... . .. . . ... IMAGE IS NOT AS CLEAR AS THIS NOTICE 1-1 1 f I I I I I III Jill III NOTICE: IF THE PRINT OR TYPE ON ANY 1214L 10 12 ' �1�Ct , . y �d�� 9 ITIS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT �II�II ll 116ZIl IIIIZIIII IIIf 11 1 it I 1�dd 1,111 111[ 16 1 tj 1 N W W LO U7 E: H h O O E O a a 1 d007 QOOMNOMJ MS nEcTT CITY OF TMECHANICAL DEVELOPMENT SERVICES PIERM I T #F'ERM I T . MEC97 01310 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE 19 S UE D: 1115/C'23/97 FIARCEL: 1S134AA-00600 E")ITE ADDRESS. . . : 11-338 ��W IRONWOOD L...I> SUBD I V I 5I ON. . . . : ENGL_EWOOD ZONING: R--4. 5 III-OCK. . . . . . . . . . : L-OT. . . . . . . . . . . . . : 1. JURISDICTION: T I G CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP, COOL-ERS: 0 ---- TYF',E OF USE. . . . :SF UNIT HEA TFRS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRE,. . :1.-ic VENTS W/O AF'F,I__: 0 VENT SYSTFMS: 0 STORIES. . . . . . . . : 0 PnIL_ERS/COMF'RE:SSOi S HOODS. . . . . . . : 0 FUE:I_ TYF!E5- -- --_.__..___.._ 0 HP. . . . : 1 DOMES. I NC I N: 0 �- 15 HF'. . , . : 0 COMML. I NC I N: 0 MAX INPUT: 0 DTU 15--30 HF'. . . . : 0 RC_"F,A I R UNITS: 0 F IRE I)AMF,F RS ). . : 30-50 HP'. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HFI. . . . : 0 CLO DRYERS. . : 0 NO. OF UN 1 T5- -- -- AIR HANDLING UNI T5 OTHER UNITS. : 0 F URN ( 100K CITIJ: 0 ( = 10000 c f m : 0 GAS OU TI__ETS. 0 F URN ) =:100K 1)'I;..;: 0 > 10000 c f m : 0 Remarks : INSTL 1 BOILER/AIR COMP/HEAT PUMP // AIR CONDITIONING UNITS CANNOT BE PLACED OUTSIDE SETBACKS Owner: - .....__ _._._.__.__.__....__----_--._____._____.__ FEES DAVID JENKINS -- -- -type- rn -amor_ t �by data_ - - -recpt 113138 SW IRONWOOD LP F,RMT $ 25. 00 TAT 05/16/97 97-29471C T 1 GARD OR 97223 5F'CT $ 1. 25 TAT 05,116/97 97-x'94'71 F, F'hone #: 524-4451 Contr-actor; Mi' FURNACE HEATING INC 162Bb SW 85TH OVE T I GARD OR 97E23 Flhone #: 684-9014 $ 26. 25 TOTNL. Reg #. . : 087907 - REQUIRED INSF'ECTTONr This peroit is Issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sc. Insper_t ion applicable lards. All work will be done in accordance with Final Inspection - approved plans. This pereit will expire if work is not started within 180 days of issuance, or if work is suspended for Gore —than IN days. �- - - - Permittee Tssi_red By : Ca 1 for inspect i.on - 639-4175 Plan Che,-A N CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Dale Recd TIGARD, OR 97223 n I Date to P E. (503) 639-4171, x304 'v 1 Date to DST Print or Type Permit IEir L Incomplete or illegible applications will not be accepted Called—"_ Name of DevebprnenuProyxt Description Table 1A Mechanical Code CITY PRICE AMT ,lob street Add" surer► A) Permit Fee -0- -0- 1000 AddressI 1� C�,J _ , taldge Ceyistale Zip 1.) Fumece!o 100,0`10 BTU 6.00 4 ' including ducts 3 vents _ Nr1([ne(or name of business2.) Furnace 100,000 BTU+ 7 50 Owner iA 0 n `, P^�)k I N including duds✓L vents Mailing Address �- 3) Floor Furnace 6.00 .T S ,S Lai including vent Cttyrstate Zip Phone 4) Suspended heater,wall heater 6.00 /"C'' -) -,-e �j �j i or floor mounted heater Name(or name of business) 5) Vent not included in appliance permit 3.00 c' Occupant Mailing Address �_— 6.) Boiler or comp,heat pump,air coed. 6.00 to 3 HP;absorb unit to 100K BUT" t/O Crtylstale -- Zip Phone 7) Boder or comp,heat pump,air Gond. 1100 3-15 HP absorb unit to 500K BTU" Contractor Narm 8) Boiler or comp,heat pump,air Gond. 1500 iP nor to f/ v rq 2 151-30 HP;absorb und.5-1 mil BTU— issuance Mailing Address 9) Boiler or comp,heat pump,air Gond. 11 .50 applicant ("-- j St F�J 1 3'���- 30-50 HP;absorb unit 1-1.75md BTU" must provide all 1!0:o-�nconst p Prate 10) Boiler or comp,heat pump,air cord 3750 contractor �: y�� Ql"' ������' >50 HP;absorb unit 1.75 and BTU" license Cont.Bossu Lic a tap onto 11 ) Air handling unit to 10,000 CFM 450 information ( i U _ for COT COT Busness Taw or Metro a Exp Onto 12) Air handling unit 10,000 CFM 750 database) Architect Name — 13) Non-portaole evaporate cooler 450 or Mailing Address -- 14) Vent fan connected to a single dud 3.00 Engineer Crty/state — zip Phone 15) Ventilation system not included In 450 - _ appliance permit_ Describe work New O Addition O Alteration O Repair O 16) Hood served by mechanical exhaust 4.50 1 to be done Residential O Non-residential O Additional Description of work 17) Domestic incinerators 7.50 18; Commercial or industrial type 30.00 _ Incinerator Existing use of 19) Repair units —v 4 50 —� building or p,operty _ --�-- 20) Wood stove I Proposed use of 21 ) Clothes dryer,etc :50 building or Property 22) Other units 450 Type of fuel-oil O natural gas O LPG O el-iUnc O 23) Gas piping one to four outlets 2 00 I hereby acknowledge that I have read this application,that the — 24) More than 4-per outlets(each) 50 information given is coned,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL ) laws I u� Signatulle of OwnedAgent" Date 'SUBTOTAL �) i 97 5%SURCHARGE Contact Person Name Phone PIAN REVIEW 25".OF SUBTOTAL l �'Ll r -- ---- —__— TOTAL — - .� i wstvmchpmt-doc (ni6 9 'Minimum permit fee is 525• 516 surcharge "Residential A/C requires site plan shoNing placement of unit. SEE 35MM ROLL #20 FOR OVERSIZED DOCUMENT CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 C Date Requested: �j ( � -- A.M. —� P.M. MSI': Location: Z1333 6=►iZ) ' ------ -- BUP: _ 17 Tenant:---- _ Suite: lildg: MF.C: 7 Contractor: Phone, r _ PLM: �I Phone: "- s71 _ FLC:,Z SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/licam Post/13c:am Post/Beam Cover/Service "-.ver/Storm Footing Roof tJndFUSlab Rough-hi Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer IIaxUDuct RcumnLct Vault Bsmt Damp Drywall Stomi Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C --�� j7 UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found DT cat Pun 1/` Low Volt Approved Approved rove Approved v, (t._ Approved Appr/Sdwlk Not Approved Not Approved Not yved Not Approved Not Approved FINAL FINAL FINAL' FINAL 41) FINAL C1 Call for reinspection 0 Reinspection fee of$ required before next inspection C7 Unable to inspect �. Inspector: L-� _--_--- Dstc --- �— Page of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Lille: 6394175 Business Phone: 6394171 A.M. I P.M. _ MS7': Date Requested: — 1 BUR l.,tJ Location: r Suite: Bldg. &� k 'Tenant:J_ - PLM: — Phone: Contractor: ELC: ! (7 J E.if'f'S �-L"rte- Phone: -'1-'-:---- Owner: ----7 cte7 EI R: V or - _ Srr: / MECHANICAL ELECTRICAL SITE BUILDING^ BLDG(con's) PLUMBING Covcr/Service SewerlStonn Post/13eam Post/llcam 1 osUl3eam Water bine Site Rat rin Ceilinv, Footing Root [)ndl�l/Blah � Rough-In 11(i Sprinkler {'taming Top Out Gas Linc Vault Slab Sewer I lood/D uct Reconnect Foundation Insulation •1-cmp Service MISC. Ilsmt Damp Irywt 11 Storm Furnace A/C UG Slab Masonry Ceiling Rain Drain law Volt =FINAL Crawl/Found I ' I lent Pump Rhear/Sheath Fire SpkL Alm A roved Approved Approved Approved �Not A roved Not Approved Appr/Rdwlk Not Approved Not Approved FINALFINAL FINAL. FINAL, ---------------------------- lU ------- ____---- ----------- -�^--- C1 llnahle to inspect O Reinspection f o S required before next in%. =t►un Cl Call for reinspection �1• �— Page ��f Date:_ Inspcctor: CITY CSF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC97-O264 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/13/')PARCEL: 1S134AA--00600 SITE ADDRESS. . . : 11338 SW IRONWOOD LP ZONING:R-4. 5 SUBDIVISION. . . . :ENGLEWOOD JURISDICTION: 11.G BLOCK. . . . . . . . . . : Pro,j ect De scr i pt i on: instl 1 branch circuit // .lob M 507-007 �----------- --------------------------------------- ------------------------ ._ --RESIDENTIAL UNIT ----- ---TEMP SRVC/FEEDERS----- ._----MISCELLANEOUS---_. : 0 PUMP/IRRIGATION. . . . : 0 1000 SF OR LESS. . . . : 0 0 - X00 amp. . . , . . . 0 SIGN/OUT LINE LTG. . : 0 EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGNAL_/PANEL.. . . . . . . : 0 I...IMITE.D ENERGY. . . . . : 0 401 - 600 amp. . . . . . . MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 1@) . . . : 0 __SERV I CE/FEEDER- -- -.----BRANCH C I RCU[ 1 G___.-__ __ -ADD' L INSPECTIONS— 0 NSPECTIONS-.- 0 - 20Q1 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 p m . . . . , . • 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 2O1 - 400 s . 401 - 600 amp. . . . . . .. 0 EA ADD' L BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . : 601 - 1000 amp. . . . . .. 0 ----- ----"--__-----PLAN REVIEW SELTION_----------__..-- - .. > 600 VOLT NOMINAL_ 1000+ amp/valt. . . . . . Qi > =4 RES UNJTS. . . • • . . . : CLASS AREA/SPEC 0(1(,. : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS• • : FEES DAVID/LAUR .JF_NKIN'.; - _._._�-_ type "-amount by date recpt 1. 1336 SW IRONWOOD ENIN L_L, PRMT f 35- 00 TAT 05/13/97 97-294381 TIGARD OR 3 SACT $ 1.. 75 TAT 05/13/9.7 97-?94361 Phone #: Contractor: �6. 7� TOTAL_ WESTSIDE ELECTRIC 7516 SW MACADAM AVE_ REPUIRED INSPECTIONS -- PORTLAND OR 97c 19 Ceiling Cover Underground Cove Wall Cover Elect' l Service Phone #: 245--3365 Pert it. , . 010133 This permit 15 r,saed subject to the regnl3t,,,ns contaired in the - Tigard Municipal Code. State of Ore. Sperialty Codes and all other Permittee Signature applicable laws. Ali work will be done in accordance with Approved plans. This permit will expire if work is not started within 180 dans of zs5uanre, or if work is suspended for sore issued B y than 180 days. — - ______ INSTALLATION Theµ installation in- being made on property I own whirr riot intended for Sale, lease, or rent. DATE: OWNER' S SIGNATURE: -- _-_-_-.-__..__..___._._._.._ INSTAI_I_ATION ONLY- ---- -- - ---____-----.-.----. T(MATURE OF SUPR. EL_EC' N: _ __�__._._.______._ DATE: LICENSE NO: Call for inspecti -- 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. f� Tigard, OR 97223 Permit # ..�,, Date Issued _ Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development— Number of Inspections per permit allowed Address 3 r/o ry LUO Service included Itemo Cost(ea) Sum City/State/Zip_ _7[9a,-W-,- V __ _____ 4a. Residential -per unit r 1000 sq, ft or less $11000 4 Name (or name of business) ea iEach additional 500 sq if or - - _ _ portion thereof $2500 Commercial F1 Residential - Limned Energy --- $2500 =_ Each Manurd Horre or M"dular Dwelling service or Fe"-sr —__ $6800 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocation Electrical Contractor , _ � /� 16000 z 200 amps or less Address ,� „ 1�lC aG 4A►+ 201 amps to 400 amps s6o 00 _ 2 Celt _ / K C State Zip.- 401 amps to 600 amps $120 00 2 City —- — p- �- ' 601 amps to 1000 amps $180 00 2 Phone No r/ — e __ Over 1000 amps or volts $34000 —_— 2 Job NO. SO 7-OO v Reconnect only -- $5000 2 contractor's license NO. Z'6- 4c. Temporary Services or Feeders Contractor's Board Reg. No �_ Installation,alteralion,or relocation Signature of Supt. Elec'n 200 amps or less License No. /,SSS__.. Phone No_Z XT�3 201 amps to 400 amps 700 `f 401 amps to 800 amps $75 00 Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name_- —_—_ New alteration or extension per pane Address a)The fee for branch circuits with Cit State Zj purchase or service or feeder fee,City p"-- -- - Each branch circuli .nn Phone No, h)The fee for branch circuits without The installation is being made on property I own which is purchase of service orfeedarhe. First branch circuit not intended for sale, lease or rent. � Each additional branch clrcult S00 r $5,00 Owner's Sionature 4e. Miscellaneous (Service or feeder not included) 3. Platt Review section (if required): Each pump or irrigation circle $40 00 Each sign or outline lighting Son nr1 Signal clrcuff(s)or a limited energy Please check appropriate Item and enter fee in section 58. panel,alteration or extension $40 00 4 or m0 er,dentlal units in one shucture Minor Labels(10) $1nn oo Service a-J feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal Classified area or structure containing special occupancy the alloy able in any of the above -- Per rneper.l'on $35 00 as described In N E.C. Chapter 5 ,,e,fill,,, $55 00 rla"r �. $55 00 Submit 2 sets of plans wit11 application where any of the above apply. Not required for temporary construction services. 5. Fees. Ss. Enter total of above fees $ NOTICE 5%Surcharge (03 X total fees) $ ;,o-- PERMITS PERMITS BECOME VOID IF 'NORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WIT''AIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Revie if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subfo S COMMENCED. r^^4�aea, Trust Account 0 � ,,,Mini, 77 Balance Due T,Z��J1 S ---