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15410 SW OAKTREE LN
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CITYY O F T i G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00162
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 251119
PARCEL: 2S111 UB-08600
SITEADDRESS- 15410 SW OAKTREE LN
SUBDIVISION: SUMMERFIELD NO.10 ZONiNG: R-7
BLOCK•. LOT: 547 JURISDICTION: TIG
CLASS OF WORK: ALT' FLOOR FURII: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATER;: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERSICOMPRESSORSHOODS:
FUEL TYPES 0 3 HP: 1 DOMES INCIN:
GAS 3 15 HP: COMML. ING,y:
MAX INPUT: BTU 15 -30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP:
OD
GAS PRESSURE: 50+ Hp: CLO
FURN < 100K BTU, AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Ir-talling exterior A/C unit. Unit must not encroach into 5'side or rear yard setback.
Owner: � FEES
HARLAAD MOY Type By Date Amount Receipt
15410 SW OAKT REE I.N PRMT BON 4/15/99 ^$25.00 99-314541
r TIGARD, OR 97224 5PCT -30N 4/'15/99 $1.25 99.314541
Phone:520-4870 ___ , Total $26.25
Contractor:
SUNSET FUEL CO
PO BOX 42287
PORTLAND, OR 97242 _REQUIRED INSPECTIONS
Mechanical !nsp
Phone:503-234-0611 Final Insp,3ction
Reg M LIC 00102374
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W This permit is issued subject to the regulations contained in the Tigard Mu;iicipal Code, State of One.
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 if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may )btain copies; of these rules or direct quescons to OUNC by calling (503)246-9189.
Issue By: de Permittee Signature: )M1LrDr(l1�1 �pIL
Call (503) 639-4175 by 7:00 P.M.for Inspections needed the 46 business day
CITY OF TIGARD RECEIA"hanical Permit Application Plank
Rec'd By
13125 SW WALL BLVD. Commercial and Residential
TIGARD, OR 97223 APR li 9 q Date to Rec'd
Z-�-
199., b8te to P.E.
(503) 639-4171 :.304 Date to DST_
COMMUNITY UEVROPMf Nl Print or Type Permit rr l(�Z
Incomplete or ills ible a pllaations will kiot be .accepted c.►led
I Name d De%.tbpww*Pro0d bescription
Table to Mechanical Code P� Amt
Job weer Aadrsss sultes A Perk Fee ~ —_ 10.00
Address 5 /D _5;W. E do 1) Furnace to 100,000 BTU
BkW osy/swe Zip including duds 6 vents see footnote 1,2
0.00
2) Fumace 100,000 BTU+
--- Includingduds b vents 3"footnote 1,2 7.b0
Name(or narne d huskresr,, 3) Floor Fuma(v
Owner � r n!� including vent see footnote 12 800
MaNhp Address - 4) Suspended hePter,wait heater
Sy/p sW. lf9X 1ftE (per_ or fkwr mounted heater ase footnote 12 6.00
_
C- —/ 5) Vent not included M appiiano►stern
�gy CcdD y�7h r.necik ou tply: •eviler �Hostar 3.00
►,at ao
N (or name d hushess) -- For Items 8-10,see or Host
Cond qty Price Amt
footnolar 1,2 ••
Occupant Mating Address - 6)<3��baorbb unit to
7)3-15 HP;absorb unk 8.00
crryK.We ZIP phone 100k to 500k BTU 11.00
8)15-3C;ft";absorb - - - - -
contractor unk.5-1 mil BTU 1500
r. / 9)30-50 HP;absorb ---
Aea� u A 1-1.76 mil BTU _ 22.50
Issuance,a "� J > r� 1))>50HP;absorb oink
Pt1or to perky � I `,b '"'� � / >1.75 mil BTU
of all licenses rears/ 'a+ Phan 11)Air handling unit to 10.000 CFM 37 50
ars requireri If ,
r �(
edatabaseedInO cC-"-� �.Dowd L�s Eq.�je
C, 12)Air handling unit 10,000 CFM+ 4.50
Architect Name __ 7.50
13)Non-portable evaporate cooler
_ 4.50
or M•Mrng Address 14):rent fan c iniocted to a single dud
Engineer CtrY/Srale Zip t x>ne 15)Ventilation system not Included In 3.00
appliance permit 450
18)Hood served by rrxtchanical exhaust
Descxibe work to be done: - _ 4.60
17)Domestic IncineratorsNew P.,pair O Replace with like kind Yes O No O 7
Res retial O Commercial O 18)Commerdal or industrial type Indneretor
Additions:i .50
nformation or description of work: u�-��-- 19)Repair unks 30.00
--
stove
EZ NOTE: For Commercial projects only;Units over 400 lbs.require 4.50
20)Wood 450
structural as calks __ 21)Clothes dryer,eta ---��i
Type of fuel: oil O natural gas LPG O ek..dric O _ 4.510
22)Other unks
the Information y
I hereby acknowledge that I have read this application,that 450
given Is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets
m the owner,that plans submitted are in compliance with Oregon State laws, See footnote 1 200
C7 _ 24)More th;c.
tlet(each)
W Signature of ownedagerft i c, -
.50
V` Minimum $25.00 SUBTOTAL
Contact Person!:anus Phone "—'----
c /Z 5%SURCHARGEEVIEW 25%Of RldFt�tnj
Foonotes fc r coot erclsl projects only: —RequL commercia�ermits onl
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL
2. Provide drawings to scale showing existing and pml.-Wd mechanicalunks. State Cooller Cert►ficMionrequired
Residential AIC regktires oke pian 0 owing placxrent of link
l:4nechper.doc rev 0214/99
R`l EIVED
APR U "1 1994
OMIMUNHY DEVELOPMENT
surw)
FUEL CORIPArn
1944 S.E.POWELL BLVD, P.O.BOX 42287 PORTLANG, R 97242-0287 TELEPHONE 234-w FAX M ra03-2.34-t`w
C)AK ANE.
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ELECTRMCAL PERMIT
PERMIT M ELC1999-�0193
DATE ISSUED: 4/6/99
PARCEL: 2S111 DE•08600
SITE ADDRESS: 15410 SW OAKI REE LN
SUBDIVISION: SUMMERFIELD NO.10 ZONING: Z•1
BLOCK: LOT : 547 JURISDICTION: TIG
Proiect Descrmtlon: Install one branch circuit.
F'ESIDENT;AL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF Q LESS: 0 - 200 amo: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENS?RGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/=DR: 601•i-amps - 1000 volt MINOR LABEL 11011:
_ SERVICEIF►.EDER BRANCH CIRCUITS
-- ----- _ ADD'L INSPECTIONS _
0 - 200 amp: W/SFrVICE OR FEE'.?ER: PER INSPECTION:
201 - 400 amp: 1s°W/O SRVC OR FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC C"'.�:___
Owner: Contractor:
MOY, HARLAND F AND
ALTHEA R 125q 6t t',-
15410 SW OAKTREE. LAME pntrL*s�)-b do- 9791 y
TIGARD, OR 97224
Phone: Phone: A 51 .15'!r
Reqs: �S$Dev
FEES' _ Required Inspections
Type B Date Amount Receipt (� Eleut'I f3ery;ce
_ YP Y _ P I Elcct'lIFI;ial
PRMT DRA 4/6/99 $35.00 99-314268
513CT DRA 4/6/99 $1.75 99-314268
Total $36.75
This Permit is issued subject to the regulations contained in the Tigsrd Municipal Code,State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit wiil expire if work is not started within 180 days of issuance,or A work is
suspended for more than 180 days. ATTENTION: Oregon law reuuires you to follow rules adopted 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 or direct questions to OUNC at(503)
d 246-1987.
W Permit Signature: Issued�y: i
SSP— , .
J
OWNER INSTALLATION ONLY
m The installation is being made on property I own which is not intended for sale, lease, or rent.
t7
!� OWNER'S SIGNATURE: _ _. DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: =--iloo _ DATE:
LICENSE NO:
Calll 6394175 by 7:00pm for an Inspection the next business day
APR-02-99 03: 11 PM WEST SIDE ELECTRIC 503 736 0677 P.01
RE(T I"!-�)
CITY OF TIGARD APR 0 51999 Electrical Permit Application man che `'
1312S SW HALL(1� y n1111y_edd _
Tr�AARD OR f�7�'AhyRry UEVELOPMENI ata Wd- _ --.
Dau to P.E.
Phone(503)639.4171,X304 Dat*to DOT
In9peetfon(503)830-417b Print or Type 93
Fax(soon (603) 3 Incomplete or Illegible will not be accepted can
1. Job Address: w c compiete Fee Schedule Below:
Name of Developments—Numbs of Inspection•per permit spewed
Name(or name of business) ;i1'g17 9ervtce Included: Mems Coat Sum
Address S1/D .S!✓ (,� .roc 4e. R.ale.nu.l-pv►unit
logo W.A.or less $110.00 —_�_w 4
City/Stalemp_ 71 15V 27_z rom awllonal soo w n.or
Commercial D Residential Pa"l"m threat —.._
I_imiNd Energy
Each Manurd Home or 00dular
OwsN;np Service Cf F,MdeP � :telt 00 _...
?s. Contractor Installation only:
(Attach copy of all cu rentIco es 4b.SoMese ar Feed*►*
Electrical GIOf / 4AIL Installation,aherarbn,or roW alkM
Address s - 200 amps or less — $60.w
201 amps to 400 Ampa !MOM — 2
Cly. a ISM aP 401 on"to Ego amps 5120.00 — 2
Phone No. a 601 NMI to IWO amps ,_ $100,00 _ 2
Job NO. - Over loon amps or volts S340.00 e
Elec.Cont,lice,No, 26 Exp.AalsReconnect only _-- $60.00 -— 2
OR Stab CCs Reg.No. Exp.DateAt.Temporary Services o•Fo*dws
COT Business Tax or Met-oNo, —Exp.Date—_ __ Installation,alteration,or ralocellon
200 amps nr less M-00 -----_ 2
Signature of Supr.Elec'n T_ _ 20l arnpa to 400 amps -- $760.00 2
00 2
401 amps to 600 Amps _-__
tT4b!` Over 600 amps to 1000 Molle,
Ucense Nr S EXp.Dtleass"b"above.
Mone Nr T / _ 4d,Drench:Circuits
2d. For owner installatit— r. N.) he fell for
or anch circ par panel
s)The lea ler branch drcuhs w1tA
Purchase of sor-4ce,or
Prim Owners;Name_. 1*~^r',
Address -V Each branch CNcuh IF,00 2
b)The fee for branch cireults
City >silclla Zip Mrhov,purrhaso of
Phone No. .«vAee er feeder It"
First branch eireult 035.00 1 2
The Installation is being made on propefry I own which Is not Fath s"por sl braneh circuli �•� 2
Intended for sale,lease of rent. 49.Miseellen*ous
(sefvw or feeder nae Inciudad)
d. Owners Signature Each pump or Irriptlan curds $40.00 2
Each sign or eu0lns NyANnq $*0.00 2
3. Flan Review section(If requlnd):' egret clrnih(s)er a Ilmsad ensroy�
panel,rAwatlon m eslendw 2
Minor Labels(10) $100.00
Please check appropriate hem and enter be In Section$9.
4 or more residential aryls In one sinxttee 41.Each additional InApscflon ever
liervice and leader 225 amps or more 110 allowable M any of the above $35.00
System over am Vohs nominal perhispecIon —'- $55.09 -
ClagMcd area or structure containing special eoeupamy Pat hour $55,00
as desoAted in N.E.C.Chapter 5 in Plant
submit 2 tats of plans with application where any of the above apply.
Not Inquired for temporary conoburnon swOm. $a.EMB OW of above toes t
S%&ftharpa(.OS X Intel toss) i
I� If E
"few
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Bb.Enter 26%of M»so far '
pFAMI'i S BECOME VOID Ir WORX OR CONSTRUCTION AUTHORIZED IS Plan FlrAAow M (See.3) $
NCSs UMOLWEtl,*I 110 180®AYS,OR If CONSTRUCTION OR WORK Subtotal.
IS SUSPENDED OR ARANCONEO FOR A PERIOD OF 140 DAYS AT ANY rust Aocouni t '-,�-
TIME AFTER WORK is COMMENCED. a
T0921 balarlca Due
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST --- --
BUP
Date Requested__ 'AM___��__PM OLD --
Location Suite .0 M, C�Q`7—ey
Contact Person 0ln )6 I'1 Ph 2,1>L4 d(p f _ PLM
Contractor _ C 2.____ Ph _ SWR -
BUILDING Tenantl� �_ �f� (p'ZQ +]� ELG d�j��7Iy 3
Retaining Wall
Footing Access: ELR
Foundation FPS
Ftg Drain
Crawl Drain Inspection (Votes: SGN
Slab
Post&Beam SIT
Ext Sheath/Shear
Int Sheath/Shear ----
Framing _
Insulation
Drywall Nailing
Firewall — -
Fire Sprinider
Fire Alarm A --
Susp'd Ceiling
Root —
Misc: _
Final �—
PASS PART FAIL
PLUMBING
Post&Beam Under Slab
Top Out ——- - -
Water Service
Sanitary Sewer e -
^din Drains
Final --
PASS PART FAIL
Post&Beam
Rough In
Gas Line -—- -----_—-- ----- --
Smoke Dampers
PASS PART FAIL
IL Service -- --- --------- ____—_w._ ----
Rough In
�,. UG/Slab _-
U) Low Voltage ---- ^-— _ -
Fire Alarm
A PART FAIL
f9
W Backfill/Grading
Sanitary Sewer
Storm Drain [ )Reinspoction ff,e of S required before next inspection Pay at City Hall, 13125 3W Hall Blvd
Catch Besin
FULFInal
Supply Line [ )Please call Mr reMpection RE: [ )Unable to Inspect-no are ns
ADA
)achi sidewalk
Date _�Inspector Ext
S PART FAIL ( DO NOT REMOVE this inspection record*orn they jjob site.