9695 SW DARMEL COURT C)
co
O�
cA
Ul
Q
D
;7
9
m
n
09695 SW UARI+ EL CT.
CITY OF
Ta GAR D MECHANICAL PERMIT`_
t UEVELOPMEN'T SERVICES PER 1,AlT#: MEC2000-00212
13125 SW Hall Blvd,, Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/31/2000
PARCEL: 2S111 BD-00601
SITE ADDRESS: 09695 SW DARMEI_ C1
SUBDIVISION: DARMEL NO.2 ZONING: R-3.5
BLOCK: LOT:034 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNl'1 HEATERS: VEN', FANS:
OCCUPANCY GRP: R3 VENT3 W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 3 HP: 1 DOMES. INCIN:
3 15 HP: COMMI_. INCIN:
MAX INPUT: BT0 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 • 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS ULC) S:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> 10000 cfm: GAASSOUNITS:
Remarks: Install air conditioning unit in single family dwelling. A/C units cannot be planed within the required setback
areas.
Owner: s FEES
JOHNSON, KENNETH AND Type By Date Amount Receipt
DEBORAH PRMT KJP 05/31/20( y $50.00 0002570
9695 DARMEL COURT 5PCT KJP 05/31/20( $4 00 0002570
TIGARD, OR 97223
Phone: --
Total $54.00
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:538-2953 Final Inspection
Reg#:LIC 125815
E'X � m� - ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes
and all other applicable laws. All work will be done in accordant) 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 QA� 952-001-0080. You may uhtain copies of these rules or dir .t questions to OUNC by
calling (503)2461-91P
Issue By: 1 1 - _ Permittee Signature:-� �///_� �
Call (503) 639-4175 by 7:00 P.M. for insNe:tions needed the next business day
Plan Check A _
CITY OF TIGARD Mechanical Permit Application Recd By._i
13'1'25 SW HALL_ BLVD. Commercial a4R_esidential Dale Recd _
TIGARD, OR 97213 pate to P.E _
(503) 639-4171, x304 '�(� Date to DST
Print or Type FPrr"i1
Incomplete or t.11egible a plications will not be accepted Called --
Narne of Derpno"wVPropd Description _ r —
Table to Mechanical Code Qtv Price Aunt
Job A Permtt Fee —— - _ i' i 'r:., 16,00
sae•taaarr•• Brute __1 .
I AtN�rPiS - 1) Fumace to 160,000 BTu�
Including duds b vents sea footnote 1,2 9-65
akw sf a � 2) Furnwe 100,000 BTU+
incWng duds 3 vents see footnote 1,2 12.00
-Nww(a tem or F)Giam) 3) Floor Furnace
OW�A� `I including vent see footnote 1,2 9.65
Ma"Adds•• - 4) Suspended iuecter,wa/heater ` -
CI' a-floor nned heater see footnote 1,2 9.65
1�1 Vent �not included in a Dphance permit 4 75
'�' rJ Check aid ttap)y.
t a
I me Lp P1+ane . •Br'!er Heat Aur
For Items 6-10,see or Pump Cond Oty Price Arrnt
NOM of uwMsexj footrrotes 1,2 Cone
6)<31-115;absorb unit to i
Oaeupent MMeq Addrams 100K BTU _- 9.65
7)3-15 HF,absorb unit
( ,c, r 100k to 500k BTU 17.55
C•y5�te Zip Rranr`e( R)15-30 NP;absorb
" IIray_+SC( unil.5-1 mill BTU — 24.15
r- --- 9)30-50-1,1,Wi-w )
Contractor unt 1-1.75 mil BTU_ 38.00
c3- I/_ (.0 rd1,d 10)>50HP;absorb unit
Pilot to permit >1.75 and F)nJ _ 6015
Issuance,a copy --T� J� 11 Air handing unk to 10,000 CFM
of all incenses Csy�Star• 7.00
are requlrrxl if ��JL Ern l i 3 •7�i1j .). 12)Air huind!tng and 10,000 CFM-
expired in COT Ore9+n const Curr Swill Mill Errp.000 11.85
�_ aatabase l e1 J� I �?
L),31-0 0 13)Non-portable evaparak.. soler _
Architect �"t° _ 7.00
--- 14)VerM fan conneded to a single duct
,?t M•angAdtlr•sf 4.75
system not Incloded in
— appliance pernio 7.00
Englntler c• stele °h^ 15)Ventilation
, 11'3)Hood served by medrenmal exhaust -
_ 7.00
Describe wort to be done' 17)Dornestic incinerators _
_ 12.00
!.law 0 / Repair O Replave with Il(e kind Yes O No O 18)Cotrtne 0-01 or industrial type incinerator
Resrdenhan�k' Commercial O __ 4825
19)Repair units
Additional inimnstim or description of work — �- 840
1=YlS 1'11 I, (•i. 1 (- CCS(-)(3-s1+(1.X1� � 20)Wood stmelgas Mother units/clothe drycxlelc
NOT[: For Comrnefoal proiects only,Urts over 400 on require 21)Gas 7.00
piping one to four Danita
_ "..r-ii gas,AM See footrwte 1 _ 3.75
type of f* oil O nahiral gas 6 LP(3 O ekgric 22)More then 4-per outlet(each) - 75
_ Minlmtum Pertaft Fee SM.00 SUBTOTAL
I hereby acknowledge that I have read thisapplcation,that the uKcxrnafion _ 8%SURCHARGE
9"n Is coned.that 1 am the ownet or authorhed agent of PU N RF_VIEW 25%OF SUBTOTAL
Me owner,that pians s are in coinpleme with 0�laws. Required to.,ALL¢ornnrereial 0=ft only
TOTAL
i
Sigma ors of OwnrMA pale ►'
f , ,
0111w Inspections M pections and Fees-
' "
' 1 \j � T 1 r��t✓J `�.-: ( '- 1. knpections outside normal busineim hours(rnininum u
charge-tw
III' ��++ Person(tame Mf� ham) $50 00 per hour
2. tnnpecCorrs for which no fee rs spectficar y Indicated (minlmurn
charge has how) $50.00 per tour
corrlttnerc�a
pra)ctts oMy_ - -- -- 3 Additional plan review aeclWred by chs ages,additions or revisions to
:
1. Provide full schwna5e of existing and proposed gas line and pressure p(am(minimum charge-one half hou 1$50.00 per hour
12 Provide drawings to scab show,ng existing and proposed mechanvr.1
tnnifa 'State CorMradar Bolen Certirx atran rr quii'!d
-- --- - - - "Residential A/ requrt►q stie plan shav inq placemeol of unit
I Urx•.chpenn.doc rev 7119199 �,
Job Site Flan
r=
Cl to s J,64d tz.Aqal CT'
T��u�1t1 9'►�►y
Additional Instructions:
Refrigeration line size �y 1 v U11 4. o vl=n
Condensate Pump Yes L] No Lj Box New Registers
Vibration Pads vzw T tFcj New Grills
Add Return Duct
Add Supply Duct ,X --
Special Needs
� y
/\ CITY OF TIGARD ------ELECTRICAL PERMIT
PERMIT#: E 0-00287
DEVELOPMENT SERVICES DATE ISSUED: 06/01/2/01/2 000
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCFL: 2S111BD-0060?
SITE ADDRESS: 09695 SW DARMEL CT
SUBDIVISION: DARMEL NO.2 ZONING: R-3.5
BLOCK: LOT : J34 JURISDICTION: TIG
Proiect Description- I ,stall 1 branch circuit in single family dwelling.
RESIDENTIAL UNIT --'TEMP SRVC/FEEDERS_ _ _ i MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGA-,iON• '~
EACH ADD'L 500SF: 201 - 400 amp' SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL.:
'AANF HM/SVC/ FDR: 601+artips - 1000 volts: MINOR LABEL (10):
_
SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPEC.NO_NS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION _
201 - 400 amu: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADDT. BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ _PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS �> 600 VOLT NOMINAL: �—
Reconnec .nly: _VSVC/FDR >= 225 AMPS__ CLASS AREA/SPEC OCC: _
Owner: Contractor:
DEBORAH JOHNSON NICE ELECTRIC CO
9695 SW DAFFIWEL PO BOX 636
TIGARD, OR 97224 MCMINNVILLE, OR 97128
Phono: Phone: 503-434-5802 0
A
Rog#: LIC 2061 t J f
SUP 857S
EI_E 36-9C
FEES = R„quired Inspections_
Type By Date Amount Receipt Elect'I Service
PRMT KJP 06/01/200C $37.50 0002625 Elect'I Final
5PCT KJP 06/01/200[ $3.00 0002625
Total $40.50
This Permit is issued subject to the regulations contained in the T,ga„Municipal Code,State of OR. Specialty Codes and all other applipble laws
All work will be done in accordance with approved plans This permit will expire if work is not start(A -,'hin 180 days of issuance,or if work is
suspended for more than id0 days ATTENTION: Oregon law requires you to follow rules adopted by tho Oregon Utility Notification Center. Those
rules are sat forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ord -e t questions to OUNC at(503)
246-1987. n
FCRMIT'TEF'S SIGNATURE �__�C�`^� ISSUED BY:
OWNER INSTALLATION ONLY l�
The installation is being rnade on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNA'T URE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF L'UPR. ELEC'N: 61,L �c u, ia. _ DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check# _
13125 SW HALL BLVD. Recd by
TIGARD OR 97223 Date Recd
Phone(503)639-4171, x304 Date to P.E.Date to DST
Inspection (503)639-4175 Print of Type Permit 064_2<Jefl7. p /
Fax(503) 598-1960 Incomplete or illegible will not be accepted Called_
1. Job Address: 4. Complete Fee Schedule Below:
Inspections per permit allowed
Number of Ins p
Name of Development _
Name(or name of business) a ';, n11�r,�o� Service included: Items Cost Sum
Address CI ? � � .tL1Jl�1 c 1Q4a. Residential-
per unit
City/State/Zip— t 1000 sq ft or less _ $ 117 75 4
Each additional 500 sq.ft.or
portion thereof _ $ 26.75 1
Commercial ❑ Residential Q Limited Energy _ $ 6000
u Each Manuf d Home or Modular
IOn
2a. Contractor instar i7nVV Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
Information for COT data base). _ Installation,alteration,or relocation
Electrical Co-tract r _ 1 Lt L-Lt t L C, 200 amps or less $ 64 25 2
* Address f V I. L'.� b (e, 201 amps to 400 amps $ 8550 2
C— 401 amps to 600 amps _ $ 12850 2
city.��1t r�1 L. State—�I Zip 601 amps to 1000 amps _ _ $ 192.50 2
Phone No. S y35/'S Z 4— Over 1000 amps or volts _ $ 36375 2
Job No r_,cl only $ 53.50 2
Elec. Cont Lice. No. i;1-1-1porary
co-5 Exp.Date �Q c`y Services or FeP(j,.rs
OR State CCB Reg. No. (r. I Exp.Date fes} L i i, C;jastallation,alteration,or relocation
Cr)T Business Tax or Metro o. ZbIj Exp.Date X01 200 amp,or less $ 53 50 _ 2
�/ 201 amps to 400 amps $ 9025 2
Signature of Supr. Elec'n,w (t' 1 401 amps to 600 amps -- $ 10000 2
Over 600 amps to 10nC „olts
see"b"above.
License No _� I S Exp.Date_(U
Phone No ^"C;�3 ,?y526 4d.9rench Circuits
New,alle afion or extension per panel
a)The fe,fir branch circuits
2h. For owner installations: with purchase of service or
lender fee.
Frint Owner's Name Each r.•anch circuit $ 5.35 2
Address o)The fee ror branch circuits
-- without purchase of service
City_ State _Zip— _ or feedor fee.
Phone No. _ First h•anch circuit r $ 37.50 3 7. Jb
E•,ch additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or rent (Service or feeder not included)
Each pump or irrigation circle $ 42 75 _
Owner's Signature_ Each sign or outline lighting $ 42.75
Signal circuit(s)or a limited energy
3. Plan Review section (if required)• panel,alteration nr r+xtencion $ 6000
Minor Labels(10) _ _ $ 100.00
Please chi k appropriate item and enter fee in section 5B. 4f.Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 5000
_
System over 600 volts nominal Per hour $ 5000
Plant �� t 59 00
Classified area or structure containing special occupancy as – —
described in N E C Chapter 5 5, Fees:
5a.tinter total of above fees $ 3 7.
Submit 2 sets of plana with applicaiic:,where any of the above apply. 8%Surcharge(08 X total fees) $
Not required for temporary construction services. Subtotal $
6b.Enter 25%of line fla for
NOTICE Plan Review if required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONI-:D FOR A PERIOD OF 180 DAYS ❑ Trust Account#
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $
st
I�d,r.Gahm electric.doc
CITY OF TIGARD BUILDING INSPECTION DIVSION MST
24-dour Inspection Line: 639-4175 Business Line: 639-4171 13UP --
— _Date R,_-quested AM PM 13LD
?cation S^ Gd L N Suite MEC
I
d t Ph _
Contact Person S'�St�? PLM -—-- —
j . SWR
� C- /
Cc ntractor Ph r _ _
FSUILDING Tenant/Owner - -- ELr
Retaining Wall EI_R _
Footing Access: .. FPS
Foundation
Fig Drain ' SIGN
Crawl Drain Inspection Notes:
Slab - - - SIT _
Post& Beam
Ext Sheath/Shear ----- -J" -- --
Int Sheath/Shear
Framing ----
Insulation
Drywall Nailing ----
Firewall - Zt
—
Fire Sprinkler --
Fire Alarm \ _
Susp'd Ceiling --- -- --
Roof
Misc.-
Final
iscFinal
PASS PART FAIL --- — -
PLUMBING ---------
Post& Beam — -- ------ ��
Under Slab _---_—_-- ---- _- - - --- ---
Iop Out
Water Service — — ---.—.—. ----- — --_ ----------- —__
Sanitary Sewer
Rain Drains __ ---- - — - ---
Final ---
PASS PART FAIL -----
MECHANICAL
post& Beam
Rough In
Ga:,Line _-_—._-_.__ ---_-------------- --- --.--
Smoke Dampers -------- --.---------..___ --- — ._.
Final --- ----------- _-
4 RT PAIL --- ------- -- _ ---------
ECT L --- "--
Service - ------ -- --_—_--_— --- -- ---
Rough In
UG/Slab -- ---------- --
Low Voltage _ --
FtaAlarm — --- —
r ASS PART FAIL --
Backfill,'Grading -- —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$—_ —•required before next irspection. Pay at City Hall, 13125 SWHall Blvd
;,etch Basin [ ]Plea ie call for reinspection RE: ( ]Unable to inspect-nr,access
Fire Supply Line
ADA
Ext
Approach/Sidewalk Gate ( _- _ Inspector
Other ��j —
Final
PASS PAR•i FAIL 00 NOT REMOVE this Inspection record from the job site.