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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639
Inspection: 4-ez-,e-+Z
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation PIbS Underslab Mech. Rough-in Fireplace ++ ,
Post/Beam Struct. Plt; fop Out Elec. Rough-in
Post/Beam Mech. San. Sewer Gas Line -Bldg. xg
Plbg. Underfloor Rain Drain Framing -Plumb. ,
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Alarm Water Line Insulation e
Underflr. Insul. Shear Wall Gyp. Bd. I
Data 11equested: Time: PM
Address:_
Builder: Permit#: C�
THE FOLLOWING CORRECTIONS ARE REQUIRED: ��kf'1a fM
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Ins ec;or:_ _ Date:�Q
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
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,� CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Busines.; Phone: 639-4171
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Inspection:
Footing Susp. Ceilin Appr/SdwlkF
Sprink. Rough-in
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested: /D 1�i /�1 $� Time:_�S/AM PM
AddrAss:`_
Builder: CSG' 705 Permit #: cT�%j U4
THE FOLLOWING CO RECTIONS ARE REQUIRED:
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Inspector.
Date��
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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• Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 45 a 7/3�/1. -
Permit # ,F1c9s - pga1
Phone (503) 639-4171 Date Issued ir, 95
-X ir FAX (503) 684-7297 Issued by --hr,-h,--s
CITY OF TIGARD TDD No. (503) 684.2772
Inspection (503) 639-4175 (
1. Job Address: Complete Fee Schedule Below:
Name of Development Number of Inspectione per permit allowed -
1 ��-- 1J l�1 Cx 1j �,raL;' "'ervice included. Items Cost(ea) Sum
Address_ �7 ,(,W - - _ --
i 7 C-`-� 4s. Residential-per unit 4
City/State/Zi p_�� u��� V�— 1000 aq if of less $11000
�1 C`J( Each addsiond 500 art f1 or 1
Name (or name of business) portion thereof $2500
Limited Energy $25 00 _
Commercial 13 Residential Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $66 00
2a. Contractor installation only: 4b.services or Feeder,
2
1`�-�I Inetallalion,nitorahon,or relocation
Electrical Contractor tie4 L� C•"(��f 200 amps or leas $6000 2
201 amps to 400 amps $81C 00 2
Address i I l ,1 u k✓ (3 i 1�- itV, 401 amps to 6U0 amps -- $12000 _ 2
(;Ity_ -•�;7 State �E' Zip i Z Z 601 ampr,fo 1000 amps $180 00 2
Over 1000 amps or volts $.340 00 2
Phone No._ :�Z f ► _ --
�— Reconnect only $5C 00
Contractor's License No._ ,11 ►b o _
Contractor's Board Reg. N0. '�-LLI-1-% — 4c. Temporary Services or Feeders
Installation alteration,or relocation 2
— 200 amps or lees $50 00 2
Signature of Supr. Elec'n $��Uo
201 amps to 400 amps 2 I
License No.,IL'—3'� O NO.rj Z.'f 1 v•j 401 amps to 600 amps _—_ $10000
_- Ove:600 amps to 1000 vnitc
2b. For owner Ions: sea b above
4d. Branch Circuits
Print Owner's Name Nov,alteration or extension per panel
Address n)The fee for branch circuits with
4 —• purchase or Naito or hwf�r he. 2
City State ZIp Ear-h branch arcus $5 00
�4 Phone No. b)The fee for branch wcu•+s without 2
The installation is being made on property I own which is purchase of wrvice or MecW IWe• ? p
First branch arast $'35 00 .?
not intended for sale, lease or rent. Each additional branch chcuil $500 J _
Owner's Signature _—_-�_ 4s.Miscellaneous
1 (Service or feeder not included) 2
yu _•_M 2
P 3. Plan Review section (i/ required): Fach lump or vrigalion nrde $4000
sign or oulline lighting $4000
Signal cimuit(s)or a Ilmitod energy 2
Please check appropriate item and enter fee in section 58. panel,alteration or extension $4000 —
4 or more residential units in one structure Minor Labels(10) $10000 _
Service and feeder 225 amps or more
4f.Each additional inspection over
System over 600 molts nominal
_ the all
Classified area or structure containing special occupancy in any of the above
as described in N.E.C. Chapter 5 Per Per hour hour ection on $3500 _
$55 00
In Plant $1,1500 —�--
Submit 2 sets of plans with application where any of the above
apply. Not required for tempo-ary construction servicer,- 5. Fees:
5a. Enter total of above fees $
NOTICE 5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%,of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED Trust Account 4 $ _
a ` Balance Due $ y �J
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CITY OF TIG,,RD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41.75 Business Phone: 639-4171 y
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab 69k. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-inF� IN
Post/Beam Mech. San. Sewer -Bldg.
Plbg. Underfloor Rain Grain Framing -Plumb.
Alarm Water Line Insulation
Underflr Insul. Shear Wall Gyp. Bd. r -
Elect.
Date Requested: �L� 5 Time�� AM PM
Address:?
Builder: it #:A
_�/��a fit,v C��s s� i���C Perm ) 1 f�
THE FO-LOWING CORRECTIONS ARE REQUIRED:
.i:.1L1��c>�!�>J�:. �T'�"�!7•t,s:. �a�'�C'lc�i�, /-LCJ.1��G-.-�r
Inspector. LZ� Date:_ 1i7 A
APPROVED DISAPPROVED A�D SUBJECT TO ABOVE
_Call For Reinsp.
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MECHANICAL
CITY GF TIGARD
PERMIT
PERMIT #. . . MEC95-03:30
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/28/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171
1
PARCEL: 1S134AD-02400
SITE ADDRESS. . . : 11355 SW IRONWOOD LP
SUBDIVISION. . . . : ENGLEWOOD ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . :64
CLASS OF WORK. . :ALT 1=LOOR FURN. . . . : EVAP COOLERS:
TYPE USE. . . . :SF UNIT HEATERS. - : VENT FANS. . . : !
OCCI 1NCY GRP,. . :R3 VENTS W/O Al-.rL: l VENT SYSTEMS:
STORIES. . . , . ,
. , : BOILERS/COMPRESSOR.; HOODS. . . . , . . :
FUEL TYP'ES- ---__.___...___.__ 0-•3 HP'. . , . : DOMES. I NC I N:
: /GAS/ / / 3-15 HP'. . . . : COMML. INCIN:
MAX I NP'UT: L•'TU 15•-30 HP. . . , : REPAIR UNITS:
g FIRE DAMPERS?. . : 30--50 HP'. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CI_O DRYERS. .
NO, OF UNITS-------- -- AIR HANDLING UNITS OTHER UNITS. :
FURN ( ].00K BTU: 1 i 10000 cfm : GAS OUTLETS. -. 1
FURN ) =1.00K BTU: > 10000 cfm :
Remar-ks : Replace fl_ir-nice with 1_ip to 1011, 000 PTU f1_irnace.
Owner: FEES ______..---•--___--•
MICHAEL-TIF'P,IE________._____.________ type amal_int by date r••ecpt
11355 SW IRONWOOD LP P'RMT $ 25. 00 JSD 09/28/95 95-271074
5P'C1' E 1. 25 JSD 09/28/95 95-2171074
T IGARD OR 97223
Phone #:
Contractor:
GAROKEN ENERGY CO.
3975 SW 113TH
BEAVE:RTON OR 97005
Phone #: 641--641.0 26. 25 TOTAL
Reg #. . : 43124
---- ----- RE[?U I RED I NSP'ECT I ONS
This permit is issued subject to the regulations containeo in the Mecttaniral InsIo
Tigard Municipal Code, State of pre. Specialty Codes and ali other Final Inspection
applicable laws. All work will be done in accordance with _____.__. _.._ ___._.._..._......
approved plans. This permit will expire if work is not started
within IAB days of issljance, or if work is suspended for more
than 180 days.
P e r m i t t e e _
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I s s 1_i a lj E t _. � -_ � r_ _ _. -- --- ..._...._..___
Call for inspec:tinn - 639-•4175
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City Of Tigard MECHANICAL PERMIT Planck/Rec. #
t3125�SW Hall Blvd. APPLICATION Permit # �- �' J
Tigard, OR 97223
I (503) 639-4171
3scnpbon
t able 3A Mechanical Code OTY PRICE AMT
•
Job ` f� L En
�t/vO nWn �, i 1) Permit Fee _0- 0- 10.00
Address T•.
1 L) �1 1 a, � 2) Supplemental Permit 3.00
Furnace to 100,000 BTU {
1) incl. ducts &vents 6.00
Furnace 100,000 BILIa h
Owner
2) incl. ducts &vents 7.50
r oor urnance
�I nr A L-i�. (0-1)', 3) incl. vent _ 6.00
�.m..
Suspended eaer,wa I he.ter
r IVYv�- 4) or floor mounted heater F.00 _
... — Vent incl. in (�O
Occupant 5) appliance permit ` 3.00
.. Repair of heating, re ng.
6) cuoling, absorption unit 6.00
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Boiler or comp, eat pump, air con )
Gal(� (�Y\ �uv1QY L�=L�t 7) to 3 HP; absorp unit to 100K ETU 6.00
o ... �. of et or comp, ea pump, air con .
7 q 5 5�� 1 . G�(� 8) 3-15 HP, absorp unit to 500K 8TU 11.00
Contractor CB y .. Boiler or comp, ea pump, air cond.
C
17005 9) 15-30 HP, zbsorp unit 5-1 mil BTU 15.00
... •w .lam Y offer or comp, bear pump, air con .
0 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
ere y ac now a ge a ave readis application: that e oiler or comp, ea purnp, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp snit 1.7! mil BTU 37.56
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that ti�9 number given is correct. (If exempt from State it handling unit
registration, plea<,, give reason below.) 13) 10,000 CTM + 7.50
on porta e
14) evaporate cooler 4.50
Vent an tonne e
151 to a single duct 3.00
Ventilation system no
16) included in appliance permit__ 4.50
Hood serve y
17) mechanical exhaust 4.50
escnwor naw a ition alteratiorl( repaTITT — ommeicialor in usfn to be done residential .-�. non-residential 18, type incinerator 30.00
s ing usee oF-- Other i e., woodstove, water
building or property , 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 ,00
building or property
21) More than 4-per outlet
Type of fuel -oil Q natural gaNt,LPG U electric Q -
Minimum Fee $25.00 SUBTOTAL_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCHARGE
IF CONS rRUCT10N OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD Or 180 DAYS AT AIJY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued
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