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CITY OF TIGARD BUILDING INSPECTION NOTICE
��, I ,w, Y•" Inspection Line: 639-4175 Business Phone: 639 4171 ■
°
FootingRain Drain Cover/Se,vice FI
i
Foundation Nater Line Ceiling Plu
Post/Beam Mech. Shear/Sheath Framing Mec
PIbg.Und/Fir/Slab Plbg.T t Insulation
- -I
Post/Beam Struct. Mech. Rough in Gyp. Bd. Bldg. E
Y
San. Sewer Appr/Sdwlk Reins.
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i Other: —
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Date: 7 A.M�.� P.PA. Entry:—
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3 Tenant: Ste: _ MST:
UP
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LC`gd/Own: i _ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE P.EQUIRED. ELR:
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Inspec — -—-- te: 7, _
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�PPROVED� ROVED/CALL FOR REINSP. CF CO '7
,.. :. �..,:', :..,.. .,.....e f.:xni?..#1 it'N:vr, .,.._.; ..o. ,.,.. .. .„n„ :TVrrt,3°CC/>"Ji•M'E .n+ma+.«-.......:... ..... ._ ,. .., ,.r4K.,Y.y1.hT.rn'w ,. . .v;,-„_..
CITE' QF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171
ME. -`�PN J CAL
DERM I T #. . . . . . . : 11EC96-0; 4fl
")ATE. ISSUED: 01/29/97
PARCEL..: c'S11LCH•-13400
SITE ADDRESS. . . : 14874 SW KENTON DR
SUBDIVISION. . . . : P5HFORL OAKS NO. 3 -Z 014I NG: R-7
BLOCK. . . . . . . . . . . i-OT. . . . . . . . . . . . . : 143
CLASS OF WORT;. . :AL_1 FLOOR TURN. . . . : 0 EVAE' C;OOLERIS: 0
T'YF•'E OF' USE. . . . :SF UNIT HEG47`FRS-:). . : 0 VENT FANS. . . : 0
OCC(JF'AN1•=Y GRP,. . : R.3 VENTS W/O AI•='F'L: 0 VENT SYSTEMS- 0
ti"1'OR'.Ff . . . . . . . . „ it BOILERS/COMPRESSORS HOODS. . . . . . . . 0
FUEL_ TYk rr,-_.---_..__...__._ ._._ 0--3 HP. . . . : 0 DOMES. I NC I N: 0
j 2:--1 5 HF'. . . . : 0 COMML. l•NC I N: 0
MAX 0 BTU 15--:30 1-1F'. . . . : 0 REPAIR UNITS: 0
FIRE LAMp'ERS?. . : :30--50 HVI. . . . : 0 WOODSTOVES. . : 0
GAS P'RES'SURE. . . 111+ HP,. . . . : 0 CLO DRYER.S3. . : 0
NO. OF UNiTS__ _.__.__._.......-__..._ AIR HANDLING UNITS O" HER UNIT'S. : 0 j
TURN ( 1.00K BTU: 0 (-- 1O000 c•Fm : 1. GAS OU1-L.E1-S. a 0 G”
FURN > -1O0K BTU: 0 > 10000 cfm : 0
Remarks : Installing air hand 1. ing 1_rni.t
Owner-: _._._.__-------._.._._._.__._.__._._.__._______:_.... __.________________ FEES -----------------
JI 11
-----___-__-.___J•I11 MOLL_ type amo1.rnt Icy date r~ec:pt
,
14874 SW KENTON DR F'RM1- $ 25. O0 B O7/29/96 96-0 48
51—IC1” $ 1. 25 B O7/21) 96 96-O248
1-IGARD OR 97223
Phone #:
Captt-aactor':
B & T GAS SERVICE INC
TEASDALE, KEITH
$528 SW 1901"H AVE
BEAVERTON OR 97007
F'hane #: 642--7243 E 21G. 25 1-0TAL_
Req #. . : 000911
RE_QUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the hlechanical Insp
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Mi SC. Inspection
applicable laws, All work will be done in accordance with Final Inspect ion
approved plans. This permit will expire if work is not, sterted
within 1W days of issuance, or if work is suspended for more
than lflQl days.
_..._.......
i
1 er' mittee 4iyrrat�_cre :
* S'_r E;d By .
Call for inspection 639--4175
a
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City of Titlard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # '!_
Tigard, OR 97223 ,
(503) 639-4171
--nr d oris�rPm.. Description
Table
Tableble 3A Mechanical Code OT`r" PRICE AMT
Job 14874 SW KENTON DRIVE 1) Permit Fee -0- -0- 10.00
Address Clfylst.l. iP
2) Supplemental Permit 3.00
.m. -'- -�ff•— Furnace 100bb=
CAROLINE & JIM MOLL 1) incl. ducts &vents 6.00
• q •aFurnace 1100,000 BTU +
Owner 14874 SW KENTON DRIVE 624-8591 2) incl. ducts &vents ! 7.50
r •• l--rwFloor Furnance
TIGARD OREGON 97224 3) incl. vent 6.00
--' •ff. w ••• — Suspendedheater,wall heater - M
(same as owner) 4) or"oor mounted heater
„„ diff.. - a�a - -Zent not unci. In
Occupant I 15) appliance permit I 300
r •ff �" Repair of iTaating, re rig - -
6) cooling, absorption unit 6.00
ffmff of er or comp, heat pump, air cond.
B & T OAS SERVICE, INC. 7) to 3 HP, absorp unit to 100K BTU 6.00
P +
Ph–. —
er or comp, heat pump, air cond.
Sq 10th Aven ( , 81 3.15 HP; absorp unit to 500K BTU 11.00
Contractor r;, �n offer or comp, heat pump, air con I-
BEAVERTON OPEGON 97007 9) 15-30 HP; absorp unit 5-1 mil BTU 15.00
• •�+ ff ffff ff --'--�� ff To er o� r comp, heat pimp, air con . i
911n4 _ 2376 1 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 i
I hereby�ac -now a ge tis ave rearT-Tit is app(tcv-fior tTiajt Boiler or comp, eat pump, air cond.
information given is correct, that I am the owner cr a.;thurized 11) >50 HP, absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted aro ;-1 c,it A'-rL;e with ! i�Ta-ndfing uni o I
State laws. that I am registered with the Jonstruction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. (If exempt from State Air handling-7-7—
registration,
an ing umregistration, please give reason below.) 1?) 10,000 CTM + 7.50
on—A portaFe
14) evapurate cooler 4.50
Vent an connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 450
„Pn•1„1: a:o-is-.. ,� •. Hood served by
i
1 i) rnecnanicai exhaust 450
escn a wor new C -ad itlon a teration repair� Commercialor industriT' � �
to be done residential (J nor-residential 16) type inci,miator 30.00
xis ing use of ier i e.;woo s ove, War
building or property , _ 19) heater, solar, clothes dryers, etc 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
b,•ilding or property _
21) More than 4-per outlet (each) 2.00
Type of fuel -oil 0natural gas () LPG C) electric (� --
NOTICE - —
Mini mu Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION --�
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OF; 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK.IS COMMENCED -
TOTAL
Special Conditions
Date issued , ---__--by -- ----
H%0G1M03TTMECHPMT
L
7
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B &T GAS SERVICE,
5885 SW 177th a
(503) 042-7'43 Aloha, OR 97007 (503) 244-9779
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PERMT
CITY OF TGAR® PE RM I T ELECTRIC#�Lf-_'I_C96 I 0486
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/25/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
PARCEL: 2 S 1 12CB--13400
911-E ADDRESS— . 14874 OW KENTON Dfl
SUBDIVISION. . . . : PSHFORD OA f , NO. s ZONING:R 7
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . : 1.4:,.
F='r^oJect Description: Installing two hranch ci-^cl.tits__ ______.___._..__.... ...._.___......_._..__..___..._._.._._.
---RESIDENTIAL UNIT-.----. - --TEMP' SRVC./F EE:DE RS-..-__._ _ _.._M I Sr r'LLANE.OUS-.----
i
i 1000 SF OR LESS. . . . : 0 12) -- 200 amp. . . . . . . : 0 PUMP/IRRI'3ATION. . . . : 0
i EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LT("). . : 0
LIMITED ENERGY. .. . . . : t'r) 4.01 60(_71 am1_. . . . . . . 0 52CNA1_/F'Ah1Ei_.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 1-4 601+amps--1000 volts. : 0 MINOR LABEL (10) . . . : 0 �
-.-D RANCH C:[RCIJITS--.---._-- .-.---ADD' L IN9PECTIONG _--
0 - 200 amp. . . . . . : 0 W/GERVICE ON, FEEDER: 0 PER INSPE.C` IL•r'N. . . . . : 0
201 - 400 ramp. . . . . . . 0 1st W/O ERVC OR FDR. : 1 PER HOUR. . . . . . . . . . . . 0
401 - 600 amp. . . . . . : 0 EA ADD' L HRNCH CIRC: 1 IN PLANT. . . . . . . . . . . . 0
61111 1000 amp. . . . . : 0 __._.._._.___.__._-.___._._._.._._-F'I_AIV REVIEW
1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : > 600 VOLE NOMINAL. . :
r
RECOT'rT'reCt only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLOGS ARCA/EPEC OCC. :
Owner: _____...___.---____.____..___.____._.---____.___._.__._._.._.._._._____.______-_-- FEES
J11 MOLL type amol.tnt by date ecpt
14874 SO KENTON DR PRMT 4 40. 00 CJS 07/25/96 96-282113
15PCT 4 2. 00 CJS 07/25/016 96--282113
TIGARD OR 97i:223
Phone #:
Contr^pact or : --__-__.._._.._._......__.._._._._.._______.__.________________ .___....__._...----•--.______.._____ __
JARMER ELECTRIC INC $ 42. 00 TOTAL
5105 SW 45TH
-- - - REQUIRED INSPECTIONS .._._.._.__._._..._
PORTLAND OR 97221 Wall Covet- Elect' l Final
Phone #: 503-2:.465331 E'lect' 1 Set-vice
Reg #, . 6924 J
3
This permit is issued subject to the regulations co-tained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other F'er^mittee Si_ynature�� - - +��
applicable laws. All work will be done it, 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 S7chrrn ,'cf t-
than 180 days. I ssi.ted By
INGTPLL_ATION ONLY- ---______...___._...._..-----._._._____.__.__
The installation is being made on property I own which is riot intended for
scale, leas,Y, or rent.
OWNER' S SIGNATURE: DATE
INSTALLATION ONLY
SIGNATURE OF SUF'R. EL_EEC' N: DATE::
I .ICL-"NSE NO:
Call for inspection 639-4175
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Community Development ELECTRICAL PERMIT APPLICATION :
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # PC-a� i13 t
Permit # F_LC -Go86
Phone (503) 639-4171 Date Issued �� ,fig/cfr,
CITY OF TI4ARD FAX (503) 684-7297 Issued by Ch 'r
TDD No. (503) 684-2772
-� Inspection (503) 639-4175 _
it
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development _ Number of Inspection*per permit allowed
I Address_t� Service included: Items Cost(ea) Sum
¢ City/State/Zip 4a. Residential-per unit 4 u
1000 rut If or less _, $11000 V
Niness)
Each additional 500 so h or
Name (or name of bl 1
a portion thereof $2500
' Commercial❑ Rssl Qfltlal Limited Energy $2600
Each Manurd Home or Modular 2
(hvP14rg Service or Feerinr E69 00
2a. Contractor installation only:
4b.Services or Feeders
r, Installation,alteration,or relocation 2
��
Electrical Contractorynr 200 amps or leas foo ro 2
Address r 201 amps to 400 amps $8000 2
�. 401 amps to 600 amps $12000 2
j Clty State _ tlp r 7.” 1 601 amps to 1000 amps $18000 2
Phone No. - / _ Over 1000 amps or volts $340.00 2
Contra^.tor's License No. o�l y�L _ Reconnect cnly $5000
Contractor's Board Reg. No._(� 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'n ` - _ 200 amps or less $5000 — 2
201 amps to 400 amps $7500 2
License No. Phone ort Vh S_iis l 401 ampe to 600 anos $10000
over 600 amps to 1000 volts
2b. For owner installations: see V above
4d. Branch Circuits
Print Owner's Name Now alteration or extension per panel
Address a)The fee for branch circuits With
City __ State Zip purchase of service or fsodar iiia. 2
Each branch circuit $500
Phnne No. b)the lee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder W. ) _ 2
not intended for sale, lease or rent. Feat adddi circuit / E$500 _-('q�� 2
Each addd�onal branch circuit = E5 DO
Owner's 3 ignature 4e. Miscellaneous
(Service or feeder not included) 2
l 3. Plan h"e view section (if required): Each pump or irrigation circle $4000 2
Each sign or outline lighting $4000
Signal cimuii(s)or a limited energy 2
Please check appropriate ream and enter fee in section 58. panel alteration or extension $4000
1 4 or more residential units in one structure Minor Labels(10) _ _ $10000
Service and feoder 225 amps or more _
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $3500
Per hour $5500 _
In Plant _ $5500
Submit 2 seta of pians with application where any of the above
apply. Not required for temporary construction sarvices. 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) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED Tru,�t Account N
Balance Due S t
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5105 r)W 4., t•I OVI: r,►.rvlYtw.r1I itwtr a 07i
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ITY ®F TIGARD l.L•u;�+���iJ � Pil
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COMMUNITY DEVELOPMENT DEPARTMENT
13115 SW Heal:Blvd.Tigard,Oregon 97223.8199 (502)839.4171
114874 SW KENTON DR
r:GlJ11�tG. f -
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W14SI11N6 Irlhll.H. . . . . . . k;f-li:KN LUW P[•ZEWN`t i'S.
i lrr�l• . . a.c., i_ 00ri Ir. . . , . , . • . . . . . . .
y . • . r r • • :4 1Nrt1 1_.!, +-I�r 1 t i rr..,. . . . . . .. C',0 f UlH LAi'2f51 MS. . r . • .
RAIN DRil
XhI;Ni I. r . r . • • . . 7. r . . .
' ';r-tea(;:.1' ...:.,•�?� . • . . . . �
E.rLa. . . . ki,1iJ ).` iiIN . . .
("i r :_l T'.L iJ 1,; .:i it 1,f,. ,
46'14 L;W l L. 00 JH 04/13/9:;
Ii,jG�'r�17
SiaT'te #:
i 14•.E i�r�9ii�,i Liie iul11 i: s�; I : :.{:: ,
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P�t v rl 0 t4 : :6 i.'.;. ,:,W:, 'i�a T i•�i..
OL t6. .
"15 per*it it issued Subject to tno regiiatlons contamd in The ( ii Hi G'_t t LT1S
Igirc Noici l Gose, :,tate c* +)r'e, Specialty L':des ano a:S ocher r .I.tl,al ln5pec:t iuri
101cable law;. All worn will be done in artoruanee with
aprcved t31a,s. This permit Willi expire if wore is not started
it'sin 180 rays of isiwce, or if work is s:spended `or aore
' "ar. 180 days.
_..._..._._.__.._._.�._.._ ----------
L� r
City of Tigard PLUMBING PERMIT Planck/Rec. # _ I
13125 SW Haii Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223 --
(503) 639-4171 _
escnphon
IN D — ORS 814-21-610 OTY PRICE AMT
Job I FIXTURES +
Address - I` — —
•,,,.«„«,,. ,,,,. Uv—akxy 7750--
Tub or Tub ower..ern —
p LL- Shower Only 7.50 I
,r„„ �, �• afar Closet
q 11
., I< r rDishwasher _ .50
Owner P
_
a oige Disposal
Z?.. Washing Machine 7.50
N—r« L,, .r bor Drain
aier Heator 50 i
n-u—n ry Room ray .
Occv ant iqnal 7.50
they rxtures( pea � 50 —
.50
_ 7.50I
7.50
MISCELLANEOUS
Contractor
Sewer 1st too' 30.00
,.,. ,...„ .. ••r+.. war-ea.Ad.it. 100' 1 .00
ata Service 1st 100' 20.00
I herebyacknowl at ve read is app;cation,that the Vater Service ea-Addit.20Y 15.00
Information given Is correct,that I am the owner or authorized agent of Storm 6 Rain Drain 1st 100' 30.00
the owner,that plans submitted are In compliance with State laws,that! _
am registerad with the Constriction Contractor's Board,that the number Storm 8 Rain Dmin Addit. 100' 15.00
gis correct (If exompt from State registration,please give reason -- —25 00 i
bel � Y Mobile Name Spice
Back FV-:re htwn
Device or Anti-Pollution Device 7.50
Any Trap or Waste Not
Connected to a Fixture 7.50
escn w mnw tion a toraiion repair .a assn
non rosidentaQ
40.Wtc be done
Insp.of E)ist.Plumbing per hr
40.00 I
Specially Requested Inspections per hr
Existing use of rn ram,singe familly
building or property dwelling 15.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'( xcep(resr antral backilow �I
prevention devices)
N0110E 'Minimum Fee$25.00 SUBTOTAL I
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF -- —
CONSTRUC"ON OR WORK IS SUSPENDED OR ABANDONED
OR A PFRIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25x OF SUBTOTAL
Cl)MMENCED.
TOTAL _
Special Conditions
Date issued by
L� .y,
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r z'T"Y p�: r]!�ARz� — f:E_C.:i::.i 4' [ OF pAYMEN'T RF:CE:IPS NO. gra — .,38950
[,I.AE ;K AMOUNT a.5.
CASH AMOUNT s 0. 00
NAME WILL, JAMES ��A`lM�:NT [1AT� o 04, I e:
ADDRESS c 14874 SW KENTON OR ,UC►D I V t 5I CIN s t
I� T 1 GARD, OR 97224— �
PURPOSE". OF PAYMENT
AMOUNT K��a 11:> PURPOSE Or-'
A11(.)L.)N-r PA i v
_ ._._.... —0. 75 1
I P--LMf�Ihl[3 ...�ry RM—.....___.._. '7T. HUILB PER
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TOTAL. AMCLJNT PAI C? _... _� 1` . 7`i
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