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11680 SW NORTH DAKOTA STREET-1 1S fiO)ida HIHON MS 09916 r co a r O Y 4 A Z r O z 3 cn 0 ao 0 11680 SW NORTH DAKOTA ST CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT M. . . . . . . c MEC98-0459 13125 SW Flail Blvd.,7798id,OR 97223(503)63941;+ DATE ISSUED: 10/12/98 P14RCEL: 1 S 134CA--0349"i SITS ADDRESS. . . : 11860 SW NORTH DAKOTA ST ZONING: R-4. 5 SUBDIVISION. . . . : BURLWOOD NO. 2 BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . :007 JURIl3DICTION: --- ____ ------------------- CLASSOFWORK. . :ALT — — FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :k3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL_ TYPES-----------'-- 0-3 HP. . . . : 0 DOMES. I NC I N: 0 -GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : i FURN ( 100K BTU: 0 (= 10000 cfim: 0 GAS OUTLETS. : 1 FURN ) =100K BTU: 0 > 10000 cfms 0 Remarks: Installation of gas tirtplace insert. --- FEES ----•---------- JILL C GOODHOUSE type amount by date recpt 11860 SW NOR•rH DAKOTA PRMT ! 25. 00 DLH 10/12/98 98-309924 ! 1. 25 DLH 10/12/98 98-309924 TIGARD OR 97;'23 SPCT Phone M: 590-2703 Contractor: ----------------------_-- JOSEPH FETTERS ____ ------------- THE FLUE BUG 3540 SW EASTWOOD PL_ ! 26. 25 TOTAL C RESHAM OR 97080 Phone #: 667-9019 Reg k. . : 52104 _ _ _--- — RE@UIRED INSPECTIONS -- .---- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p applicable laws. All Mork will be done in accordance with Final inspection a approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more N than 198 days. ATTENTION¢ Oregon law requires you to fallow rules adopted by the Oregon Utility Notification Center. Those rules are !� set forth in OAR 952-881. 818 throu,h OAR 952-81•-t898. you BAY m obtain copies of these rules or dirrA questions to QUC by calling 15831246-9187. ---- W J Issue By: A0 _.__ __ Permittee Signature +++++++++i•++++++++++++++++++++++++i-+++++++++++++++++++++++++f+++++.•++++++++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next business day ++++++++++++++i•+++++++++++++++++++•1•++++++++++++++++++++++++++4+.•1++++++++++++++ CITY OF TIGARD Mechanical Permit Application Plan Check t, _ PP Recd By 13125 SW HALL BLVD. Commercial and Residential Date Ree'd TIGARD, OR 97223 Dstp to P.E. (503) 639-4171, x304 I D&Wto DST Print or Type j #&C-g: Incomplrte or Illegible a plications will not be accepted Cam — Name of Developnent/Proled Description - Table 1A Mechanical Code (h PdrA Amt Job Street Addr°es — Rea A) Permk Fee 10.00 Address p S 1) Furnace to 100,000 BTU / /A Including ducts a vents 8.00 eldgN cRy/staie Z4) '_.t 2) Furnace 100,000 BTU+ CJ7J including ducts it vents 7.50 Name(or name of business) 3) Fhor Furnace Owner J 111 G 16 oe dAincluding vent 6.00 Mailing Address 4) Suspended heater,wall heater or floor mounted heater 6.00 /��'3 5) Vent not Included In appliance permit CM tale zip phone Q 3.00 I ✓j Q+� % v.Z70_5 CHECK A!L •Boiler Heat Air Name name or bus sa) — THAT APPL`/: or Pump Cond Qty Price Amt i II i G. dh u crNn - 8)<3HP;ebsorb unit to Occupant Melling Address 100K BTU _ _ 6,00 r4 4) S Id r� `A ( 7)3-15 HP;absorb unit CRY/ ale zip Phone 100k to 500k BTU 11,00 ;7-a GJU_Z p�� B)15-30 HF_absorb unR.5-1 mil LiTU 15,00 Contractor ° i 9)30-50 HP;acsorb unit 1-1.75 mil B):l _ 22.50 _ Prior to permit Mailing Address —_ �� 10)>50HP;absorb un' issuance,a copy 37 ole - � u ' >1.75 mil BTU 37.50 _ of all licenses fns // zip hone 11)Air handling unit to 10,000 CFM are required If i ye.5 H d l�r�. 6 S -}fit j 4.50 expired in COT OregonC° et.cons a rd Lk.N Exp.Date 12)Air handling unit 10,000 CFM+ database_ J Z Z y — — _ 7.50 Architect Nan- 13)Non-portable evaporate cooler _ 4.50 or Melling 4ddruss 14)Vent fen connected to a single dud 3.00 15)Ventilation system not Included in Engineer CRY/State zip Phone a pliance permit _ 4.50 16)Hood served by mechanical exhaust Describe work to be done' 4.50 17)Domestic incinerators New O Repair O Replace with like kind: Yes O No O _ 7.50 Residential O Commercial O 18)Commercial or industrial type indroerator 30.00 Aoqitional infom a:! c,description of work: 19)Repair units 20)Wood stove —4.50 P44 ct 1 N SQ (� / 21)Clothes dryer,etc. _ 1Z _ 4.50 Type of fuel: o110 natural gas LPG O electric O 22)Other units _�. - ----- 4.50 I hereby acknowledge that I have read this application,that the Information 23)Ga.t piping one to four outlets J given is coned,that I am the owner or authorized agent of 2.00 m_ the owner,that pians submitted are in complianoe with Oregon State laws 24)More than 4--per outlet(each) W Signature of CWnerlAgqpt Date ` Minimum Perm!(Fae:25 SUBTOTAL 5%SURCHARGE ontact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits �J ✓ V d D��GZ�S/� j �3y '1 7 D 3 TOTAL *State Contractor Boller CertNkatbn rttpuhad "Residential A/C requires eke plain silo M 1 pbcerrtent of unit 1:lmechperm.doc rev 07/20/98 CITY OF TIGARD BUi,.DING INSPECTION DIVISION MST 24-Hour Inspection Line: 639;175 Business Line: 639.4171 '— /- �1� SUP 2 Date Requested � ]quested «!� AM _PM BLD Loca;,an— Suite EC Contact P3raon _ Ph, Contractor Ph SWR I BUILDING Tenant/Owner ELC „ Retaining Wall ELR _ Footing A 'ces Foundation /Iz?M Q a,+ �� FPS Fig Drain SON Crawl Drain Inspraction Notes: Slab — y� SIT Post&Beam 'Ext Sheath!Shear Int Sheath/Shear Framing Vag 6z"',%.e5' 'Z' 1-7 7I94.rT' � ��.- �sc+r� �S►�—� Insulation 'l Drywall Nailing ��T �j, Firewall Fire Sprinkler l AXZ-IW Ll�/L. T 2__ — Fire Alarm Susp'd Ceiling Y-d l��X�S T'i i 041—fit-_ Roof Misc: -- _ Final PASS PART FAIL --- ------ PLUMBING Post&Beam - - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final — PASS FAIL _ __— i Post&Beam n -- -- Rou h In., ,� as Li �' --- -- - — -- Smoke Dampers V !� OAW> PART" Atr ELECTRICAL - - — a Service Rough In N UG/Slab Low Voltage - -- — Fire Alarm Final m PASS PART FAIL W� SITE ..J Ba kfill/Grading - --- Sanitary Sewer Storm Drain [ ]Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW He"Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:— - — [ J Unable to inspect-no access ADA Approach/Sidewalk Date pe Other ./ In>s Ctor !Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 631-4171 BUP Date Requested AMP LD _ Location 1 � �C ty Lek AtEK Suite MEG A Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing — Foundation Ar FPS Ftg Drain in NOT REQUESTED - SGN Crawl Drain FOUND DURING RESEARCH Slab NO INSPECTION(s) IN FILE SR Post 8 Beam Ext Sheath/Shear Int Sheath/Shear y Framing _ Insulation Drywall Nailing 'C✓ X66 12' f l C.a�►Z [ CAL . n ^l i& Firewall Fire Sprinkler Fire Alarm ') Susp'd Ceiling s zx/s Roof Misc: Final 3 PART FAIL — —_ PLUMBINGJ��r�`I'��`1 't��Z. I=MA:1 s S Post 8 Beamm Under Slab Top Out — Water Service Sanitary Sewer Fain Drains Final PASS PART FAIL MECHANICAL Post$Beam -- --- Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL — Service Rough In W UG/Slab _ Low Voltage Fire Alarm Final PASS PART FAIL WSITE Backfill/Grading — — Sanitary Sewer Storm Drain [ ]Peinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW HON Blvd Catch Basin on Please call for reins RE: Fire Supply Line [ ] I _ [ ]Unable to Inspect-no aoceaa ADA Approach/Sidewalk Other Date /� 5_ O (� Inspector f ! 1 Final PASS PART FAIL_j DO NOT RE61OVE this Inspeation rsoeid*am the job oft. CITY Q TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Nell Blvd.,77prd,OR 97223 (503)W4171 PERMIT #. . . . . . . a MEC96-0369 DATE ISSUED: 10/29/96 PARCEL: 1S134CA-03400 SITE ADDRESS. . . : 11860 SW NORTH DAKOTA ST SUBDIVISION. . . . : BURLWOOD NO. 2 ZON I N(;: R-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :7 --------------------------------------------------------------------------------- CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERSs 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . t 0 OCCUPANCY ORP. . :A1 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . 1 0 FUEL_ TYPES------------- 0--3 HP. . . . a 0 DOMES. I NC I N: 0 • 3-15 HP. . . . a 0 x COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . a 0 GAS PRESSURE. . . : 50+ HP. . . . a 0 CLO DRYERS. . : 0 140. OF UNITS---------- A I R HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 1 (= 10000 eFm: 1 GAS OUTLETS. : 2 FURN >=100K BTU: 0 > 10000 cfm: 0 Remarks : ADDING NATURAL GAS LINE TO LOCATION Owner: --------------------------------------------------- FEES -------------- JILL GOODHOUSE type amount by date recpt 11860 SW NORTH DAKOTA STREET PRMT $ 25. 00 TAT 10/29/96 96-285830 5PCT t 1. 25 TAT 10/29/96 96-285830 TIGARD OR 97223 Phone #a Contractor: ------------------------------ CONTRACTOR NOT ON FILE ------ Phone #: : 26. 25 TOTAL — Reg #. . : ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all 0her Mechanical I nsp applicable Ims. All work Mill be done in accordance t4th Mise. Inspection IL approved plans. This permit Mill expire if work is n(t started Final Inspection within 189 days of issuance, or if work is suspended `or uvre _ N than 189 days. m Permittee Signa arLe. Issued By: _ J � ' 11 for inspection — 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # _ aa- Tigard, OR 97223 (503) 639-4171 scrip ion Table 3A Mechanical Code OTY PRICE AMT Job < <^ 1) Permit Fee 40- -0- 10.00 Address / ., IC• _ Z '� 2) Supplemental Permit 3.00 Furnace o 100.000 STU ZI.—W 1) Incl. ducts d vents 6.00 •^• urnace luu,000 STU+ Owner 2) Inc;. ducts &vents 7.50 •• * Floor Furnance 3) Oet. vent 6.00 •T• �•�•• • -5—uspinded heater, wall heater 4) or floor mounted heater 6.00 .... ••• Vent not incl. in Occupant 5) appliance permit 3.00 .-7 - Repair of heating, re g. 6) cooling, absorption unit 6.00 m. Boiler or comp, ea pump, air cond. 7) to 3 HP; absorp unit to 100K B11J 6.00 Boiler or comp, a pump, air con . 7 8) 3-15 HP; absorp unit to 500K BTU 11.00 Contractor . Boiler or comp, nest pump, air con . 1 - 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 • .,. • - oiler or comp, hCat pump, air cond. L L14 aij10) 30.50 HP; absorp unit 1-1.75 mil BTU 2250 ',ereby ac now a ge that I have read is application, inat th@ Boiler or comp, ea pump,-airy cond. info-nation given is correct, that I am the owner or authorized 11) >50 HP; absorp u,•it 1 75 mil BTU 31.50 agent of the owner, that pians submitted are in compliance with Air handling uni o State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 rJ lJ Board, that the number given is correct. (If(,xempt from State Air handling unit registration, please give reason below.) 13) 10.000 CTM+ 750 -- on portable 14) evaporate cooler 4.50 Vent an connecte 15) to a single duct 3.00 Ventilation system no C4 A Cl� &LA 16) included in appliance oermit 4.50 .. aVow Hoodserved by 17) mechanical exhaust 450 Describe work new ) ad io aeration repair Commercial or in us ria to be done reside dia non-residential Q 18) type incinerator 3000 Existing use of Other i.e., wriodstove. wper IL building or property 19) heater, solar, clothes dryers, etc. 4.50 Proposed use of 2M Gas piping one to four outlets 1 2.00 .w t4- - building or property � 21} More than 4-per outlet (each) 2.00 JType of fuel -oil Q natural gasq� LPG Q electric Q M 0_ � � Minimum Fee $25.00 SUBTOTAL J PERMITS BECOME VOID IF WORK OR CONSTRUCTION - AUTHORIZED IS NOT COMMENCED WITHIN 1.80 DAYS. OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 26%OF SUBTOTAL. AFTER WORK IS COMMENCED. In TOTAL Special Conditions Date issued by M 1LOGWOSTlVAECHNAT 1-20�•� ACiz f!'- EA i 1 N Cs I L( 7-1 S G 0 o-L C,4 - �dC.✓U f old'_T r-Di2 -7 :�Z Qrto vc-n r� L,�c 1 D►nECr I �QvPCR�v 30 3�cc W 5T-e C�-T- N o. o se AI.c z ca .�08 �7orc.�c_ �� cam.► . �_O,P Ccs, •� q 'Z.) CITY OF TIGARD • DEVELOPMENT SERVICES ELECTRICAL PERMIT 19125 SW Hail Blvd.,17pard,OR 97M (503)=4171 PERMIT #: ELC96-0708 DATE ISSUED: 11/04/96 PARCEL: 15134CA-03400 SITE ADDRESS. . . : 11860 SW NORTH DAKOTA ST SUBDIVISION. . . . : BURLWOOD NO. c ro,. ZONINGeR-4. 5 BL.00H. . . . . . . . . . . LOT. . . . . . . . . . . . . :7 Project Description: adding c branch circuits ------------------------------------------------------------------------------------ - --RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 2201 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . e 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 ----SERV ,CE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L. INSPECTIONS--- 0 — 200 amp. . . . . . 1 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . 1 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ---------_--_----PLAN REVIEW SECTION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . e Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . r CLASS AREA/SPEC OCC. : Owner: ------------------------------------------------------- FEES --- - JILL GOODHOUSE type amount by date recpt 11860 SW NORTH DAKOTA STREET PRMT f 40. 00 TAT 11/04/96 96-286070 5PCT $ 2. 00 TAT 11/04/96 96-286070 TIGARD OR 97223 Phone #: Contractore ---------------------------------- -----.------------------------------ PHOENIX ELECTRIC CO $ 42. 00 TOTAL 7379 SW TECH CENTER DR. -------- REQUIRED INSPECTIONS -- - ---- TIGP91) OR 9'1223 Ceiling Cover Elect' 1 Service Phone #: 503-684--3600 Wall Cover Elect' 1 Final Reg #. . : 2647 This pereit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i S i g n a t applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work is not started ` within 188 days of issuance, or if work is suspended for mere _ than 188 days. I s ed By INSTALLATION ONLY----- — -----_._----------------.__ The installation is being made on property I own which is not intended for sale, lease, or rent. 3 OWNER' S SIGNATURE: DATE: 0 - -------------------- ------CONTRACTOR INSTALLATION ONLY---------------------•--------- SIGNATURE OF SUPR. EL.EC' N: DATES LICENSE NO: _ Call for inspection — 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Date Issued Phone (503) 6394171 CITY O�T14ARD FAX (503) 684-7297 TDD No. (503)684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Develop, -nt Number of Inspectlone per permit allowed Address Service Included: Items Cost(ea) Sum City/State/Zip. V C 4s. Residential -per unit 1000 sq R. or loss 1 Name (or name of business) Each additional 500 sq h or hill porllnn tharoo/ $25 00 11 Commercial ❑ Residential L"ad Energy -- $25.00 Each Memurd Hone or kl!Wular Dwelling Service or Feeder be11.00 2 2a. Contractors installation only: 4b. Services or Feeders Electric+ Co tra or Installation,gn mss,'or relocation or Fgss ileo 00 2 (( �� 701 amps to 400 amps $110.00 2 Address t A3 lot amps to 400 amps f120.W 2 City- State i 801 amps to 1000 amps -"" $1111000 2 Phone NEA7f,I - Over 1000 amps or voRL -__ $340.00 2 Job NO. Reconnect only $50.00 2 contractor s license NO. 4c. Temporary Services or Feeders Contractor's Board Reg. No. Inslatlatlon,alteration,or rorocstion 2 Signature of Supr. Elec'n o-� 2W amps or"res 201 amps to 400 amps $50.00 2 License No. Zf/ 6. S one No. 401 amps to eoo amps 575.00 2 Over 800 amps to 10W volts $100.00 2b. For owner installations: see"b"above. nd. Branch Circuits Print Owner's Name ___ _ Now,sllerstion or extension pc pane Address a)The fee for branch circuits wf h Purchase or seMce or edisr An. 2 City StateZip hEach branch circult $5.00 Phune No. b)The fee for branch circuits wfMouf The installation is being made on property I own which is purchase ofaerviceorPsadsrfw. dO 2 Fern Manch c not intended for sale, lease or rent. $35.00 Each additional branch circuit _ $5.00 Owner's Signature _._. 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump ocyAl"14lon kV $40.00 2 Each sign or cxrillne Ilght"q 110.00 SI,-al clrcull(s)or a limited energy 2 Please check appropriate Item and enter fee In section 6B. p-nel,atlerstion nr extension _ $40.00 ta. 4 or more residential units in one structure Minor Labels(10) $100.00 Service and feeder 225 amps or more 411.Each additional Inspection over System over 600 volts nominal _ Classified area or structure containing special occupancy tiro allewahle in any of the above as described in N E C Chapter 5 PPeer hour n =� $35.00 our $55.00 In Plant $55.00 Submit 2 sets of plans with applications where any of the above apply. Not required for temporary construction services. 5. Fees: W 6a. Enter total of above fees S J NOTICE 5%Surcharge (05 X total fees) 9 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal ti - AUTHORIZED IS `NOT COMMENCED WITHIN 180 DAYS, OR IF 6b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) S A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Su6totaf s COMMENCED. -A�d uor,c Trust Account# mm S Balance Due : r---