6666 SW OAK STREET ADDRESS::
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CITY OF TIGARD BUILDING INSPECTION NOTICE j
Inspection Line: 639-4175 Business Phone: 639-4171
I Footing Rain Drain Cover/Service FINAL:
Foundatirii Water Line Ceiling -Plumb.
Y
Post/Deam Mach. Shear/Sheath Framingech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. ech. Rough Gyp. Bd. -Bldg. '
w
San. Sewer as ine Appr/Sdwlk Reins. I
Other: —
i Date: A� —___ A.M. P.M. Entry: _
Address: - - -
Tenant Ste:_--_- MST:
Con/Own: MEC:
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELF.
Inspector: -__ -__- — Date: Z
( APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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I
CITY OF TIGARD BUILDING INSPECTION NOTICE
1
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Calling -Plumb.
Post/Beam Mach, Shear/Sheath Framing-
j Plbg.Und/Fir/Slab Plbg.Top Out Insulation lect.
1� Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. w
i
i Other:
Date: _I!,0 /-�/ A,M. v_P.M. Entry:
fAddress:
Tenant:_ _�. Ste: MST:
BUP:
i Con/Own: -2-�_-79
7 9111 /] — PMECC
LM
REQ ELC,
THE FOLL WING ORRECTI NS ARE REQUIRED: ELR:
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Inspector: --- --- - --- - -- — Date: - '� -A9
_APPROVED —DISAPPROVED/CALOR R, INSP CF CO
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-- f
MECHANICAL
CITY OF TIGARD PERMIT
REKNIT #. . . . . . . : MEC96-0198
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/25/96
13125 SW Hell Blvd.Tigard,Oregon 07223.8199 (503)839-4171 PARCEL: 15136AD-00600
SITE ADDRESS. . . : 06666 SW OAK ST
SUBDIVISION. : . . .- VILLA RIDGE NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :7
I CLASS—OF WORK. . :REPFLOOR—FURN. . . . :-0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :Ra VENTS W/O APRL: 0 VENT SYSTEMS: 0
a STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. PYRES---_---.__.___ 0-3 HP. . . . .. 0 DOMES. INCINy 0
i : /GAS/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX I NI='UT: 0 BTU 15—:30 HP. . . . : 0 REPAIR UNITS: 0 I
I FIRE DAMPERS?. . : 30-50 HP. . . . e 0 WOODSTOVES. . : 0
' GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . ' 0
NO. OFF UNITS—•--__-••- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 1 <w 10000 cfm: 0 GAS OUTLETS. : 0
FURN )=100K BTU: 0 > 10000 cfm: 0
I�rzmar 1��, : too, 000 BTU OR LESS GAS FURNACE (GAS TO GAS)
FEES
'3CHULTZ t),pe amol.lnt by date t-ecpt
6666 SW OAK PRMT $ 25. 00 JMH 06/25/96 96-LB0992
5PCT $ 1. 25 JMH 06/25/96 96--280992
TIGARD OR 97223
Phone #:
C:ontractara
CONTRACTOR NOT' ON FILE
Phone #: $ 26. 25 TOTAL.
Reg #. . I
--a------- REWIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line I n s p _.....
_____
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p _,____�_-•_ ___ _._.__
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 100 days of issuance, or if work is suspended for morethan 180 days.
f!er••mittee Git;
I s s Lted By: _ _ ....__. _ _�__ _ _ _.._.. __.____._.__-_-- _.______._ __._____
Cull for inspection - 639--4175
t
City of Tigard MECHANICAL PERMIT Planck/Rpc. # .�
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
escription
Table 3A Mechanical Code QTY PRICE AMT
Job �� � i L1�1- 1) Permit Fee 0- 0- 10.00
Address T,."
__�'"72_=.� 2) Supplemental Permit 3.00
.o .........1 Furnace to 100,000 BTU -or.'
1)
1) incl. ducts &vents 6.00 �)
2) incl. ducts &vents 7.50
Owner — — —
„�, „ Floor Furnance
3) incl. vent 6.00
o —.,, – Suspended eater, wall heater
4) or floor mounted heater 6.00 —
p ,,,.., Vent not inci. In
Occupant 5) appliance permit 3.00
-p Repair of heating, rere rf ig.—
6) cooling, absorption unit 6,00
of er or comp, eat pump, r con—fc —
���. 7) to 3 HP; absorp unit to 100K BTU 600
Boiler or comp, heat pump, air con .
M O IC) ',� 8) 3-15 HP; absorp unit. to 500K BTU 11 CO
Contractor ,. w offer or comp, eat-purnp, air cond,
9) 15-30 FIR abEorp unit .5-1 mil BTU 1500
. .,.,� dy Fk.. Boiler or comp, heat pump, air cow- ^–
�� �b 10) 30-50 HP, absorp unit 1-1 75 mil BTU 22 50
hereby ac no Ige that ave rea is app kation, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1.75 mil BTU 1 3750
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) 1G,000 CFM – 4,50
Board, that the number given is correct. (It exempt from Slate 1rhan ing uric
registration, please give reason below.) –13) 10,000 CTM + _ 750
on porta e
14) evaporate cooler 4.50
-- ant an coiinecreF
15) to a single duct 3,00
---- ---- —Venli 5–tion sys em no i
16) included in appliance per,nit 450
17) mechanical exhaust 4 50
Describe worK new tj addition alteration repair ZomrnerciaT ur in�Tc us na
to be done residential Q non-residential Q 18) type incinerator 30.00
xistingu'—use of t er i e., woo s ove, water
building or property __ 19) healer, sola(, clothes dryers, etc 4 50
Proposed use of 20) Gas piping one to four outlets — 200
building or property
21) More than 4-per outlet (each) 2,00 —
Type of fuel -oil Q natural gas fx LPG Q electric Q —
Minin.um Fee 525.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVIEW 251%OF SUBTOT.kL -
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Dale issued _�_by
H 1L001M05TMMFCHPMT
J.
1011
PERMT
CAL
CTY OF TIGARD PERMITI#: ELC96I.0418
COL jNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/25/96
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PORCEI_: 1'3 136AD-00600
SITE ADDRESS. . . : 06666 SW OFAK '.Jf
SUBDIVISION. . . . : VILLA RIDGE NO. 2 ZONING.- R-4. 5
s
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :7
Project Description: REPLACE EXISTING GAS FURNACE. WITH NEW UNIT
THIS PERMIT FOR NEW WIRING
------------------------------------------------_-----------____-_-------------__-
j ---F2FSIDcNTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS———
1 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . » : 0
EACH ADD' L 5,ZIOSF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
1 MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : i,7
a
-----SERVICE/FEEDER---- -----BRANCH CIRCUITS-._--___ _---ADD' L INSPECTIONS_...__
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION-----------------
10004. amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR >a 225 AMPS. . : CLASS AREA/SPEC OCC. :
1 Owner: _.__._____---__._____.___._.___.___.._._.______.________.._______.____ FEES -----------____.____
CONRAD SCHULTZ type amount by date recpt
6666 SW OAF; PRMT $ 35. 00 JMH 06/25/96 96-28099
5PCT E 1. 75 JMH 06/25/96 96-28099L
T I GARD OR 97223
Pho,ie #.
i
I Contractor.
PORTLAND METRO AIRE $ 36. 75 TOTAL
i 10010 SW BEAVERTON-HILLSDALE HWY
- - - --_ REQUIRED INSPECTIONS
-- ---
BEAVERTON OR 97005 Wall Cover Elect' l Final
Phone #: Elect' 1 Service
Reg #. » : 61,_'19
1
This permit is issued subject to the regulations contained in the .,-
Tigard Municipal Code, State of Ore. Specialty Codes and all other Reim itte16 Si gnat Lire
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. I ued By
INSTALLATl
i
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNF R' S SIGNATURE: __-- _ �. __. �_ _ DATE:
INS'TALLA'TION ONLY----
SIGNATURE OF SUPR» ELEC' N: �� - -` U TE:
! I
LICENSE NC]: _— I„s
Call for- inspection - 639--4175
-d
�omrita.-iity Development ELECTRICAL PERMIT APPLICATION
' 13125 SW Hal; Blvd I
Tigard, OR 97223 Permit # _ rL
Date IssuedIF f
Phone (503) 639-4171
CITY OF TIOARp FAX (503) 684-7297 ;
TDD No. (503) 684-2772 1
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Develupment__ Number of inspections per permit allowed
Address 9-1&) Oo r` Service included Items Cost(ea) Sum
City/State/Zip r C 4a. Residential -per unit
1— 1000 sq. ft. or less _ $11000 4
Name (Or name of business) Each additional 500 sq ft or 42500
portion thereof -- .——
Commercial �_ Residential Limited Energy $25 00
Each Manurd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
4b. Services or Feeders
G� n_ Installation,alteration,w rebCstlon
Electrical Contractor Tor M&AN-0 .R►�C`�' 200 amps or less $60 00 _ s 2
Address Mr, 10 ��:� >>� �f� 201 amps to 400 amps _— $80 00 2
Cit ,�1 _ Mate �zip–'1'7b� 401 amps to 100 ampmps $12000 2
Y _ �` 401 amps to 1000 amps $180 00 —
Phone No , 2 G —?a 1 Over 1000 amps or volts $340.00 — 2
.Job NO. Recunnectonly $5000 2
contractor's license NO-- 71. ) 4c.Tem,iorary Services or Feeders
Contractor's BOnf Reg. No. - Installation.alteration,or relccstlon 2
•
r• ��,,� 200 amps or less
Signature of. ��� n .r __ 2
License No. Phone No. 201 nmps to 400 amps $5000 401 amps to 600 amps __ $75 00 2
6 4-?Z t E: Over 600 amps to 1000 volts $100.00 --
2b. For uN ner nlstallations: see"b"above
4d. Branch Circuits
Print Owners Name_,_ _ New,alteration or extension per pone
Address a)The fee for branch circults with
Purchase of service or feeder foe.
Gity State Zip—___ Each branch circuit $5.00
Phone No. h)The fee for branch circuits without
The Installation is being made on property I own which is
purchase of service or featMr he. Z 1
First branch circuit �_ $3500
riot in'ended for sale, lease Or rent. Each additional branch circuit $5 no _
Owner's Signature _.� _ 4e, Miscellaneous
(Service or feeder not included) ;
3. Plan Review section (if required): Each pump or irrigation circle $4000
Each sign or outline lighting $40.00 ,�.
Signal circult(s)or a limited energy
Please check appropriate Item and enter fee in section 6B. panel,alteration or extension $4000
_ 4 or more residential units in one structure Minor Labels 1101 $10000
_ Service and feeder 225 amps or more
4f. Each additional inspection over
System over 600 volts nominal
Clessified area or structure containing special occupancy the allowable in any of the above
ahour
s described in NEC. Chapter 5 Per lion $35 00
P Per hour $55 f.]
In Plant $55.00
Submit 2 nets of plans with application where any of the above _
apply. Not required for temporary construction services. S. Fees:
5o. Enter total of above fees $
f NOTICE 5% Surcharge (.05 X total fees) $ J
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ J
AUTHORIZED IS NC t Plan Revieww line A for
COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR if required (Sec.3) $
A PERIOD OF 180 DAIS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. wmAeemdnMla —1Trust Account #
Balance Due
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