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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 339-4175 Businuss Phone: 639-4171
Footing Rain Drain Cover/Service NAI
Foundation Water Line Ceiling Plumb.
f
Post/Beam Mach. Shear/Sheath Framingech.
Plbg.Und/Flr/Slab Plbg.Top Out In3ulation -Elect. I
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Ga,$Une A�ppr/Sdwlk Reins.
Other:
Date: _ A.M. ^P.M._--_ Ent
Address: _) _ —
Tenant: ____ _ Ste: MST:
BLIP: . _
Con/Own:. _— __-- __. MEC: _—__.--
ro ELC: (J 5
THE FOLLOWING CORRECTIONS ARE FIE4UIPEC: ELR•
1
Innsppect/or.. – ---- Date: l
APPROVED ___ DISAPPROVED/CALL FOR REINSP CF CO
- - - H N I L.H_.
CITY OF TIGARD . .
F�ERMIT #. . . . . . . MEC96-21 '921
DA TL 1SSUED: 08/x.../96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 07223.8196 (503)639-4171 F-'(SRC'EL: 2S 1 1 1 BA--02,0 Cr0
SITL : Olic)iti aW VIL:.w ILkit
SUBDIVISION. . . . : INGEBRAND HEIGHTS ZONING: R--3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
CLASS OF WORK. . ;ADD FLOOR FURN. . . . : 0 E:VAP COOLERS: 0
TYPE OFF USE. . . . .-SF UNIT HEATERS. . : 1 VENT FANS . . : 0
OCCUPANCY '3RP. . :R3 VENTS W/0 APF'L: 0 VENT' SYS i EMS: 0
STORIES. . . . . . . . : Ill LAOILERS/COMPREGiSORS HOODS. . . . . . . : 0
1*UE.I_ T YF�E 3-- _ __._____-- -. 0-3 HCS. . . . : Ill DOME'S. I h1::I N: 0
: /ELE/GAE/ / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT : 0 BTU 15-30 HP. . 0 REPAIR UNIT'S: 0
I::1 RE DAMPERS' . . It .3111-•521 HP. . . . : 0 WOODSTOVEES. . : 0
CTAS C,RESSURG. . . : 50-+• HP. . . . : 0 CLO DRYERS. . - 0
IVO. Ur' UNITS------------ AIR HANDLING UNI.rS OTHER UNITS. : 0
H'IJNN ( 11110K BTU. 1 (= 1017100 C.-fm : 16 GAS OUTLETS. 1
r'I.1RN > =100K BTU: III > 1017100 c:fm: Ill
,einar^ks : Add incl a fl.trnacer 1•ilratet- and gas piping to fo .it- o1.tt1ets.
Owner.: - __._.___.______._ .__. ._.__._._.____._.__.___.____.__.__._ ___.____..._ FEES
DUN FLLLER type amol.tnt by date recpt
`:)875 SW VI[.'W TERR PRMT $ 31. 521 CJS 210/2L/96 96-283192
5PCT $ 1. 56 („JS 08/C-72/96 96-28,319c:
1' I6ARD OR 97223
Phone Oe 503-639•-•1816
Conty-actor^: — - - _. _._._._.._...___._.. .._-.....__...__...._._...._......_..
MATTSON HEATING & HIR GOND
I'O BOX 7e
WF_ST LINN OR 9-''&,f1
Rhone #: 5 13--•6'556—.2884 $ 33. 08 TOTAL
Reg #. . 58940
--- --- - REQUIRED INSPECTIONS
— -This permit is issued subject to the regulations contained 1n the Edits Line lnsp
Tigard Municipal Cute, State of Ore, Specialty Codes and all other hlecharnical lnsp
applicable laws. All work will be done in accordance .i1th hli s;r . In 7 pert ion
approved plans. This permit will expire if work ,, not started f incl Inspect inn
within 180 days of issuance, or if work is suspenoed for more
than 190 days.
1IermitteeBy
Call for inspection - 639--4175
I
City of Tigard MECHANICAL PERMIT Planck/Rec. #,7
13125 sw Hall Blvd. APPLICATION Permit # 1719:G46-0 agn
Tigard, OR 97223
(503) 639-4171
or
Table 3A Mechanical Code CITY PRICE AMT
Jot) 1 :2- 1) Permit Fee -0• A• 10.00
Address
0. 6- _ ,: q-7 2) Supplemental Permit 3.00
---- Furnace to
U T_ � 1 ,,- 1) incl. ducts 3 vents 8.00
-Furnace I 00,0M 8 1 U+
Owner "C3 .vim--�- 2) incl. ducts 3 vents 7.50 -7.50
Floor Fumanco
3) incl. vent 8.00
span eater, w`a9ater
�-�a— 4) or floor mounted heater / 6.00 C,L'?
--14@nt not incl, m
Occupant 5) appliance permit 3.00
--Repair a eating,re ng.
6) cooling,absorption unit 8.00
------ '-' Boiler or cvmp,,iea pump,ai-sa .
7) to 3 HP,absorp unit to 100K BTU 8.00 ("190
v T Ph— i or or comp,heat pump,ai cond.
y 8) 3 15 HP;absorp unit to 500K BTU 11.00 �I
Co itractor �� - x -- Ter or comp,heat pump,air cond.
15-30 HP;absorp unit .5.1 m;; BTU 15.00
`� MG ry
Boiler or comp, ea pump,
iULEQUd
10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50
ere y ac ,ow ge a eve read is application. alea i er or comp,heat pump,air cond.
information given is correct, that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with StateiA rTian_Xn_g un—iT15
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling un-T
please give reason below.) 13) 10 000 CTM + — 7.50
Non porta e
14) evaporate cooler 4.50
-- --- en an connec
15) to a single duct 3.00
-- -- — enu auon system not
16) included in appliance permit 4.50
,y mrnr oHood served y —
3tR5, M t q(o 17) mechanical exhaust 4.50
-09scribe worx new U addition Qq a t uon u repair Commercial or industrial
to be done residential O ncn-residential Q 18) type incinerator _ 30.00
xis ng use o - --Other i.e.,wo. s eve,water
building or property Y' C S A0-►'1Ge_ 19) healer, solar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 (�
building or property moo►��
21) More tl•ian 4-per aidet
Type of fuel - oil Q natural gas LPG 0 electric
EC Minimum Fee$25.00 SUBTOTAL
PERMfrS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE S
IF CONSTRUCTION OR WORK IS SUSPENDED OR --- -'�
9ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AF-.::7 WORK IS COMMENCED �
TOTAL 3
Special Conditions _
Date issued by
I.MECH-W
rp,1'cemd�v
ELECTRICAL PEktli I
CITY OF TI �1ARD PERMIT #: ELC9-&--0' i,3
DATE ISSUED: 08/121EI/96
COMMUNITY DEVELOPMENT DEPARTMENT
1.1125 SW Hall Blvd.Tigard,Oregon 9722S-81S19 (503)639-4171 PARCEL: 2SI11BA--02000
I.TE . . . : 0,jbi2j aw VIEW ]Llfli
:_UBD I V 15I ON. . . . : INGEBRAND HEIGHTS ZONING:R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . „ . . . . . . : 1
Pv,oject Description : Installing two br-anch cilr-cttits-
UNIT------- SRVC,,,FEEDERS----- -------MISCELLANEOUS-----
1000 SF' OR LESS. . . . : 0 0 C-100 amrj. . . . . . . : 0 PUMI-/I RR I GATI ON. . . . 0
EACH ADDIL 500SF. . . - 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE. LT'G. . 0
LIMITE.1) ENERGY. . . . . : 0 401 600 amp. . - - - - - '- 0 GIGNAL/PANEL. . . . . . . III
tyl(ANF. HM/ SVC/FDR. . : 0 601+amps-.1000 volts. : 0 MINOR LABEL ( .121) . . . 0
-•----5ERVIC1`-_./1=EEDER------- - _..._-BRANCH CIRCLJITS--------- INSPECTIUNC
0 200 amp. . . . . . . 0 W/c3ERI; !CE OR FELDER: 0 PER INSPECTION. . . . . : 121
201 400 amp. . . . . . : lb ist W/O ";RVC OR FDR. : I PER HOUR. . . . . . . . . . . : V1
401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: I IN PLANT. . . . . . . . . . . : 0
01111 ilaolzi amp. . . . . : 0 ___.-_._........... REVIEW S E C7 10 1\1
1000-1- amp/volt. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. .
Reconnect only. . . . . : 10 SVC/FDR > 2,25 AMPS. . : CLASS AREA/SPEC OCC. t
Owner-: F'EES
DON F--ELLER type Amol.tnt by (J At e t-eapt
9875 SW VIEW TERR PRM-( s 40. 0101 CJS 08./02/96 96-282477
Fj ID C T ok'.1 CJS 08/02/96 96-282477
TI13ARD OR 97223
Piorte #- 503--639-1816
OWNER 4 00 TOTAL-
REUU I RED I NSPECT I UNS
Wall Cover 1".-lect' J. Final
r,iione ABOVE (..1ec:t1 I aervi�e
R e p -0.
This permit is issued s,hject ;o the regulations contained in the
Tigard Municipal Code, St it@ of Ore. Specialty Codes and all other permittee SignatLtre
applicable laws. All work will be done 7 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.
INSTALLATION
The installation is be rig male pet-ty I own which is -rot ini-.ended far-
sale, lease, or- vent.
OWNE'N' S SI GNAT UNE, DATE:
INSTALLATION
1UNPFURE, OF: SUF-`R- LLEGIN: DATL:
LUENSE 110: ........... ------ ..........-
Call for inspection 6394175
Community Developmeni ELECTRICAL PERMIT AP'P'LICATION
13125 SW Hall Blvd
Tigard, OR 97223 Permit # may' J 9l 3 __
mite Issued S- -a - IF) ------
Phone (503) 639-4171
FAX (503) 68'-7297
CITY OF TIGARD TDD No. (503) 68,;-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Number of Inspections per permit al.owed
Name of Deveiopment_r_
Items Co_frea Sunt
Service included, )
Address
��G ,f i� I 4a. Residential -per unit
iliy/Statel7_ip $11000 �- '
000 sq it or less
Name (Of name Of business)
Each additional 500 sq.H or $2500
- portion thereof - - 1
Limited Energy $25 00 __
Commercial ❑ Residential Each Manurd Home)r Modular
$6800
Dwelling servicenr Feeder ----- -
2a. Contractor installation only: 4b. Services or Feeders
Installation,aneratron,or relocation $6000 2
Electrical Contractor_________ _ _ __ 200 amps or leas $8000 2
201 amps to 400 amps 2
Address - - 401 amps 10 600 amps ___ $120 00 2
City State ZIP not amps to 1000 amps SIBO 00$340 00 2
Phone NO. over 1000 amps or Vons $50 00 2
Peconnect only
Job NO.-- ---
contractor's
O._ _----
contractor's license NO. -- - 4c. Temporary Services or Feeders
Contractor's Board Reg. No._ __ installation.alteration,or relocation 2
_�_-
Signature of SUpr. EI@C'n -- 200 amps or less 2ol amps to 400 amps _-- °'o no 2
_- _______— 2
License No.— Phone No 401 empe to 600 amps $'`00
over 600 amps to 1000 Vons $10000
2b. For own r installation see"b"above
4.. �:
4d. Branch Circuits
Print Owner's Nam �/ Newalteration or extension per pane
Address_ L7Y a'�I� TL �,C a1 The tee for branch circuits with 2
Ly
purchase o/service or reader lee.
City 9-�R p Stateo0 2 ZIPV �A Each branch circuit $500
Phone No. 50 3 ��3 / - _ b)The fee for branch circuits without 2
�i purchase of service or feeder lee C
rhe installation is being made on property I own which Is First branchrircult 1 $3500 3)
not intended for sale, or rr Each adlitional branch circuit _�_ S5 00
_
��—•------ 4e. tmiscellaneous
Owner Signature
(Service o, feeder not included) ,
F.ach pump or hrigation circle $4000
3. Plan Review section (if required): Fath sign at owline lighting $4000
Signal circull(s)or a limned energy
Please check appropriate item and enter fee In section 5B. Mlnon Labeledlot ion w extension $$40 00 "-
4 or more residential units in one structure
00
Service and feeder 225 amps or more 4f. Each additional inspecticn over
System over 600 volts nominal the allowable In any -)f the above
Classified area or structure containing special occupancy Per inspection $3500
as described in N E C Chapter 5 Per hour ass 00 _
In Plant $5500 _
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5- Fees:
5a. Enter total of above fees $ �•
NOTICE 5%Surcharge (o5 X total fees) $ _
Subtotal $
PERMITS BECOME vOln 1F WORK OR CONS rRUCTION 5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 3) $
CONSTRUCTION OR WORK. IS jUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK ISmram ek` n Trust Account #
COMMENCED $ ----
<Pr
Balance Due $
Ck r//2vV F.I.