13340 SW 136TH PLACE i
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13340 S.+ 136-bi PL _
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
L
AgZ21111119M 13125 SW Hall Blvd.,7798rd,OR 97223 (503)6394171 PERMIT #: EDATE ISSUED: 12/C96-0764
05/96
PARCEL: 2S104CA-08300
SITE ADDRESS. . . : 13340 SW 136TH PL
SUBDIVISION. . . . : HILLSHIRE ZONTNG:R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . 083
Project Description : Adding branch circuit
---RES I DENT I AL UNIT------ ----TEMP SRVC/FEEDERS------ ------MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' !- 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - GOO amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
.-..-.---SERV ICE/FEEDER---- CIRCUITS------ ----ADD' L INSPECTIONS-- -.
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201. - 400 amp. . . . . . : 0 1st W/O ERVC OR FDR. - 1 PER HOUR. . . . . . . . _ . . 0
401 - 600 amp. . . . . . : 0 EA ADDIL BRINICH CIRC: 21 IN PLANT. . . . . . . . . . . : 0
601 -- 1000 amp. . . . . : 0 REVIEW
1000+ amp/volt. . . . . : 0 ) =4 RES UNI rs. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ---------------------------------------------------------- FEES _-__--_-----_-.--_
CHRIS MARSH type Amolint by date recpt
13440 SW 1361H PL PRMT $ 35. 00 CTR 12/05/96 96-L87307
5 P CT $ 1 ., '7 CTR 12/05/96 96-2873CA7
TIGARD OR 97223
Phone #:
Contractor:
OWNER $ 36. 75 TOTAL
REQUIRED INSPECTIONS
Wall Cover Elect' I Finil
Phone Elect' I Service
Reg
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Spe-ialty Codes and all other Pena 1 t t e e i grra't u r e
aEdlicablv laws. All work will be done in ;tc,!ord&ncv with
approved plans. This permit will expire if work is not started
within 180 days of issoance, or if work is suspended for more -____,. �l� G�i�
than IN days. I s s 1.k PAJ E V
-OWNER INSTALLATION
The installation is being made an property I own whi.ch is not intended for
sale, lease, ar rent.
OWNEFIS SIGNATURE: DATE:
INSTALLATION ONI_y-------.-------
SIGNATURE OF SU 'R. ELECINt DATE:
LICENSE NO:
Call For inspection 639--4175
CITY OF TIGARD Electrical Permit Application Plan Check p
Rec'd By
13125 SW HALL BLVD. Date Recd _
TIGARD OR 97223 Date to P.E.
Phone(503)639-4171, x304 Print or Type Date to DST
Inspection (503)639-4175Permit q �
Incomplete or illegible will not be accepted Called
Fax(503)684-7297
1. Job Address: 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development
Name(or name of busini2E
C Service included: Items Cost Sum
Address 6thICU.CCS„• 4a. Residential-per unit -
_ 1000 sq.ft,or less $110.00 4
City/State/Zjp_ 1( �+r�+n0 Each additional 500 sq.it.or
portion thereof $25.00 1
Commercial ❑ Residential ' Limited Energy $25.00 _
Each Manuf'd Horne or Modular
Dwelling Service or Feeder $66.00 2
2a. Contractor installation only: 4b.Services or Feeders
(Attach copy of all current licenses) Installation,altoration,or relocation
Electrical Contractor - 200 amps or loss $80.00 2
'Actress 201 amps to 400 amps $60.00 2
City State
401 amps to 600 amps $120.00 2
_ Zlp 601 amps to 101,0 amps $180.00 2
Phone No. Over 1000 amps or volts $340.00 2
Job N0. Reconnocl only _. $50.00 2
Elec.Cont.Lice.No. Exp.Date_ _
OR State CCB Reg. No. _Exp.Date 4e,,.Temporary
emo orary Salterateion!correlocation or vers
COT Business Tax or Metro No. Exp.DateInstallation,
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of Supr. Elec'n _ 401 amps to 600 amps $1o0.00 2
Over 600 amps to 1000 volts,
License No._
Exp.Date see"b"above.
Phone No. - - 4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner In '11atkons: a)The fere for branch circuits with
purchase of service or
S A feeder lee,
Print Owner'F Narne Each branch circuit $5.00 2
Addre'rj l-51 y 4-� t r^ b)Tho fee for branch circuits
City 1 e^ States?_��,, Zip_-� without purchase of
' L service or leader fee. /l��
Phone -�---- First branch circuit $35.00 �,�.._+�-� 2
Each additional branch circuit_ $5.00 2
The installation is being 0 pet own which is not
intended for sale,le or r (S viceMISor feeders _
(Service or leader not Included) $40.00 2
Owner's Sign ro _ Each pump or irrigation circle
Each sign or outline lighting $40.00 2
G nal circuit(s)or a limited energy
3. Plan Review section(if required):' Signal
alteration or extension _ $40.00 2
Minor Labels(10) $100 00
Please check 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 $35.00
System over 600 volts nominal Per hour $55.00
Classified area or structure containing special occupan( In Plant $55.00
as described In N.E.C.Chapter 5
*Submit 2 sets of plans with appllcetion where any of the above apply. 5. Fees:
5a.Enter total of above fees $
Not required for temporary construction services. 5 Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 251,6 of line Be for $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It renulred(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 0 Trust Account M_
TIME AFTER WORK IS COMMENCED.
Total balance Out
tsba781,E0"APIA FI##W"
ARD
CITY OF
TIG
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 9722300199 (503)039.4171
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3,71UN
CITY OF TI A "t
COMMUNITY DEVELOPMENT DEPARTMENT
13195 SW Hall Blvd.Tigard,Oregon 97223*8199 (603)6384171
ST
I SW 71-2 '-)0DRVS'c'3. R
. . . . . . . . . . . . . . . . . . . .
TENIqN NAME.
UN
SS OF WWIKI N1 W
IAC LISE. . . . . .y NY:':'. f I i"
R
e
e o mn to n y S!5 SW I
.IST 1-�
�'I�j(40b Or?
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6
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of Of Unifito sowage Ageoct, ffif perlit Pxpu'ps A zays (1,01
he joto ls&4fd. Tht t-11ai .t""4 11 t c w 6 4,i 'fjf Icr t f;i v" ,� i,,�
pfr#14 twpi" . 1"hip r.jlvc —;vq not juardritek tt"f e':v--rsc� 0 01
"dioi"'Ar Af 00 �00e)' i' not 4ra�'a�tta ��t t?!j'
aven, tho omcler shsl� pl'otpect 3 feet it'� a,,
Zdp MW Sill SONfe" P00,t 64d the "L a;,
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.............
p i u 1,� b 4 1
13M SW WaN Blvd. PLNCK/RECT #
CITY or TIGARD T��&m97M PERMIT # 05/0- -�-'�
COMMUNITY DEVELOPMENT DEPARTMENT
(503)639417' DATE ISSUED
JOB ADDRESS: 33 D _X36 /�� TAX MAP/LOT Z S
SUB: �rLi��_ LOT: LAND USE: !l� `7 r 17
VAI UAT I ON: s 006 b _
OWNER SPECIAL NOTES
NAME: I „ r e,' REISSUE OF:
ADDRESS: ,1,x.1 fir' �s��� / LAST REISSUE:
/ �� • �P FLOOD PLAIN/
PHONE: .�11= 137 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED 5LA R qb-fes f
�LS�'SeLA,C diC'
NAME: _�'_s�.�¢.s � PLANNING:.. _ G . �.
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER.
CONTR. BOARD #: EXP DATE: // LK
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: �ar C✓_ 1.�_ ��i.,�� LIST/SUBCONTRACTORS:
n.
MEC I-. .4 BUS TAY
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
G'
Received By: nate Received: 4 -
i
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.,WE�
/VJ tjLg,W 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees ✓ GZ•50
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) jy.ZY
aff
Building 0-3• l6,
Plumbing i3 '
Mechanical .z s
10-433 00 Plans Check Fee
Building ,/C' 76
Plumbing
Mechanical
10-230 06 Fire _
SSR 3 -DZ�S� 30-202 00 Sewer Connection 0
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees �R�B
52-449 00 Parks System Dev Charge (PDC) •5 v
31-450 00 Storm Drainage Syst Dev Chrg
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
�,;i�3587P.WPF
CERT (FICAIE OF
CITY OF T I GARD PERMIT #. .OC. . . . .CUPANCY.. MST93-0:3:7'
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDs 05/04/94
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639.4171
PARCELi 25104CA-08300
5i I i;. i4DDRU-.) . t3340 SW 1--'6 1 PL-
C
SIJBDIVISION. . ZONINGsR-7 Pro
SLOCK. . . . . . . . I LOT. . . . . . . . . . s91183
CLASS OF WdRK. :NE0
rypL-'.' OF USE. . . -Sr-
OCCUPANCY ORP, 0-3
OCCUPANCY LOAD I:*:7 4
JENANT NAME. . .
Ramat-ksa PATH I
Ownet-a
MICHAEL. HUMPHREY
12385 SW 121ST ST
TICARD OR 97223 ,,
Phone #1 590-9737
Cont ract or s
M HUMPHREY RUSEWOUD DEVLLOPMENT C1.1
12385 11-14 121ST AVE
TARD OR 97223
Phuno #1 684-9737
Pe,6 #. . li 461568
uc.,ctjpancy of the aboye Y,wf'orencird Witi Idirip it, hei,eby given, and cf.srt if its
the compliance with tj-jp i:,jtate Of t)v,egoti Sportalty Cudes F-w the W*0UP1
occupAnvy, and use mnder which the referenced per-mit wos Ast"'ed,
F IF., E T BUILDIN. I Sr-"'ECTOR
Ali 1
POST IN CONSPICUUUS PLACE
CITY CSF TIGARD
DEVELOPMENT SERVICES ELECTRICAL. PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERMIT #: ELC97-0306
DATE ISSUED: 05/27/97
PARCEL: 2S1O4CA-083OO
SITE ADDRESS. . . : 1340 SW 1.:�F,TH PL
SUBDIVISION. . . . :HILLSHIRE ZONING: R--7 PID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O». JURISDICTION: TIG
Project Description : instl 1 branch circuit // ,lob # ?
_..___.RESIUEhd fIAL UNIT------ -----TEMP SRVC/FEEDERS-- - - -- --MISCELL.'aNEOUS--..---
1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/I RRIGAT I . . . : 0
EACH ADD' L_ 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL-/F'ANE.I... . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 6014amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0
-SERV I'-E/FEEDER-- NRANCH CIRCUITS--------- -----ADD' L INSPECT IONS----
0 200 wimp. . . . , . 0 W/SF_.RVICE OR FEEDER: 0 PIER 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 --__.__.___.________F't_AN REVTEW SECTION-------_-.-_-.---...
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) __ 225 AMPS. . : CLASS AREA/SPEC OCL.;. :
Owner: - _ ___ --------------- -- - -_ ------------- ---- - - --- - FEES ------ - ---- ---
ZHE.NG-YANK LIN ty, 7 amol.Lnt by date recpt
1.3340 SW 136TH PL C RrrT E 35. 00 'TAT 05/27/97 97--295099
TIGARD OR 97223 ,. :.:T $ 1. 75 TAT 05/-7/97 9 7-1.9 5 09 9
Phone #:
Cont tact or
BECK ELECTRIC INC f 3G. 75 TOTAL
9318 SE CHURCH ST
REQUIRED INSPECTIONS
CLACKAMAS OR 97015 Ceiling Cover Under-groo.Lnd Cove
Phone #: 656- 7396 Wall Cover Elect' l Service
000026
This permit is issued subject to the regulations containei it the -
Tigard Municipal Code, State of Ore. Specialty CodQs and all other Permittee{ Signatr.Lr
applicable laws. All work will be done in accordance with 1
approved ;clans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 198 days. I s s ed By / -
OWNER INSTALLATION ONLY--- -41----____._-___.__.-____._-_-_
The installation is being made on property I own which is not intended for
saT ,, lease, or rent.
OWNE'R' S SIGNATURE: DATE:
_-_---._._._---___-_CONTRACTOR INSTALLATION ONLY---------- ---•------__._.._____
SIGNATURE OF SUPR. ELEC' N: I9�2 �'�,.L� /J1 o(O - DATE: 51.9 7- Z7
LICENSE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall B;vd.
Tigard, OR 97223 Planck/Rec. #
Permit # L 7-
Phone (503) 639-4171 Date Issued
CITY OF TIGARD FAX (503) 684-7297 Issuf�i by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Aockess: 4. Complete Fee Schedule Below:
�
Name of Develop' -mli t Number of Inspections per permit allowed
C \
Address ,,, ,,,,,,(((��� �� n \ Service included Items Cost(ea) Sum
City/State/Zip \ � `1 �p�� 1U.00 Residential-per unit 4
• 1000 ey f1 or leas $+10 00
Name (or name of business)��l - —0—im L F po portion th widrelereof aq ft or —
'�'-- po $2500 +
Commercial❑ Residential Landed Energy $2500
Fach Manufd Home or Modular 2
Dwelling Service or Feodar $8800
2a. Contractor installation only:
4b.Services or Feeders
r Installation,alteration,or relocation 2
Electrical Contractor C �_�.0�Q,(� 200 amps or lees t+0o 00 2
Address U 201 amps to 400 gimps $8000 2
City State Zip eo1 amps to 600 to 000 ams $180 00 2
pe pe $tr3oo0 2
Phone No. - COver 1000 amps or Vons $34000 2
Contractor's License No. Reconnect only $5000
Contractor's Board Reg. N0. 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'n /A 200 amps or leas $5000 2
License No. �r�(D P P. No `J 201 amps to 400 amps $7500 2
401 amps to 800 amps $400 00
Over 80o amps to 1000 Vohs
2b. For owner Installations: see•b•above
4d. Branch Circuits
Print Owner's Name New.alter
ah'n or extension per panel
Address a)The lea for branch circuits with
City � State Zips purchase of service or beater M. 2
Each branch arcurt $600
Phone N0. b)The fee for branch circuits WOO
The installation is being made on property I own which is purchase of service or abater be. 2
not intended for sale, lease or rent. First branch circuit $35 DO J — 2
Each additional branch circuit $5 DO
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Fach pump or irrigation circle _� $4000 2
Each sign or outline lighting $4000
Signal crrcuille)or it limited energy c
Please :heck appropriate item and enter fee in section 58. panel,alteration or extension $4000
4 or mora residential units in one structure Minor Labels(10) -- $10000
Service and header 225 amps or more
System over 800 volts nominal 41. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described In N E C. Chapter 5 I'm mrpp-lion 53500
rcpt hour $5500
Submit 2 sets of plans with application where any of the above In Plant $6500
apply. Not required for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees S
5%Surcharge(05 X total fees) f
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Accounts $
Balance Due $
.anesrwhrKpm sou
TIGARD MFPERIMITAL.
FCITYOF MEC97--O 138
n ES PERMIT #. . . . . . . .
DEVELOPMENT SERVICES DATE ISSUED: 05/'2 71%97
13125 SW Hall Blvd., Tigard, OR 97223 (5113)639 4171
PARCEL..: 251.O4CA--08300
SITE AF)DRF-':lS. . . : 13340 SW 136TH F'I. ZONING: R-7 PID
SUBDIVISION. . . . : HILI_SHIRE JURISDICTION: TIG
BLOCK. . . . . . . 1_01.. . . . . . . . . . . . . :0831
CLASS Of: WORK. . :ADD FLOOR FURN. . . . : 0 EVAF' COOLERS: 0
T YF'E OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP'. VENTS W/O AFFIL- 0 VENT SYSTEMS: 0
. :lt�'
STORIr_G. . . . . . . . 0 HOILE:RS/COMPRESSORS HOODS. . . . . . . 0
.__..__ _. 0~-S HF'. . . . 1 DOMES. INCIN: 0
FUEL TYFE .� _._._..___. COMML_. INCIN: 0
. 0 BTU 15--:�0 HP. . . . r v7 RE1"'AIR UNITS: ili
MAX INPUT: WOODSTOVES. . : 0
FIRE DAMPERS?. . : 7.0-50 HF'. . . . : 0
GAS PRESSURE. . . : J0.4- P'. 0
CLO DRYERS. . : 0
AIR HANDL..ING UNITS OTHER UNITS. : 0
NO. OF UNITS— -_..___.___..__ GAS OUTLETS. : 0
FURN ( 100KB"f IJ: 0 (= 10000 cfm : 0
Fl_IRN ) -100K BTU: 0 > 10000 c f m : 0
Remat,l<s : instl 1 boiler/comp/heat pump a/c // air conditioning units cannot be
placed outside setbacks
FEES
Owner.: _ - - - - -____._._____.______. hype amol.rnt by dat e r-echt
ZHENG—YANG LILJ F'RMT $ 25. 00 TOT 05/22/97 97—•294968
133401 SW 136TH F'l_
TIGARU OR 97 :23 F'L_CI'. 9; 6. .'S TAT 05/22/97 97 -294968
5F'CT $ 1. 25 TAT 05/22/97 97-294968
Phone #: 579-57O6
Contractor: _._____._________.__.._________•_._._....
A- TEMP HEAT I NG R COOLING
i F,OOO SE EVEL..YN ST
CL.ACKAMAS OR 97015 —_ �,—^--32. 50 TOTAL
F'h o rr e #: 6.50--501d+
Reg #. . : 071878 -------- REQU I RED I N,SpEC.T I ON S -- - --___
This permit is Issued subject to the regulatinns contained in the Mechanical Insp
i,yard Municipal Code, State of Ore. specialty Codes and all other Misc. Inspection
applicable laws. All Mork will be done in accordance with
Final Insper_•tion
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if Mork is sr',pended for more
than 180 days.
`.:�
At
r i
tf
Issued By :
C� I' for, inspection _. 639-4175
M
Plan Check a
CITY OF TIGARD Mechanical Permit Application Revd By
13125 SW HALL BLVD. Commercial and RP--idential Date Recd_
T IGA'RD, OR 97223 Date to P E
(503) 639-4171, x304 Date to DST
Print or Type Permit ax 0)G(_g 7-0j,.
Called
Incomplete or illeg)ole applications will not be accepted -
�Nxrw of OMiD(XiNnuPlop(J _.- Description -
Table to Mechanical Code OTr PRICE AMT
Job spear AGrfess :;urea A) Permit Fee -0- •0- 10.00
Address
F3" CrryrStara z o — B) Supplemental Permit 3 00
ane id r-Wne or ou"W") 1 ) Fum aces to 100.000 BTU —— 6.00
Owner ;?1 I N 1,1 - `t p N LI U _ nit.ducts a vents
I'l ,
W1-7 -Adereas 2.) Furnace 100,700 BTU• 7.50
-)W 136TH PL- I incl.duets a vents
cMftnis �•1 Lp
C
tenor a 3.) Floor Fumac e — 6,00
-17oZ�J r - MOE ind.verK_
Nerm(or nrrr d dvrinwl a.) Suspended heater,wag heate- --- l-- - 6.00 -�—
L"ILII fA j L n 1 or floor mounted heater
Occupant mar"g AOf1"" 5N Vent not nd.in 300
appliance permit
nil I Prom 6.) Boiler or comp,heat pump,air c:ond. 6.00
to 3 HP:absorp and to I OOK BTU E�
Nan* T) Boder or comp•heat pump,av coed. —11,00
i3.15 HP,absom unit to 500K BTU
Contractor Me"Address 8) Boder or comp,heat pump,ar cond. 1500
1) '('('C �S Lc E V C L VN j T _ 15-30 HP:absorb unit.5-1 and BTU
Cu� coopyof ! i C /�K Fl l ti l�1', t a Boder r or p,heat pump,air cond 22.50
',e, 30-50 HP:abserp unit 1-1.75 and BTU
Oregon Cones.Cant Beare Le a W Oar 10) Boder or comp,heat pump,air cond. 37.50
i 'e 7 F >50 HP:abwrp unit 1 75 and BTU
COT 9uMrN Tan or mom a EqL One 1 t.) Ar handling ung to —--— — 450 —
10,000 CFM
Amhitect Nan" 12.) Air handling un4 i 7.50
10.000 CTM 4 — I
Or Me"AeOn"' 13) Non portable - -- 450 —1
evaporate cooler
Engineer cAwsa zV Vern fan conneaed 3.00 —
___ to a single duct
Desatbe work New O Addition 0 AReration O Repan O 15.) Venbiabon system not 4 50
to be done Ri"O ntial O Non-residential O inckIded in appliance permit
Additional Description of wor% — 16.) Hood served by
ntec wnicai exhaust 4.50
17) Doninsuc r,cirlerators 7.50
ExewV use of —- _ 16.) Cor menoal or ndusulal 30.00
19.) Clothes dryers,etc. --- 4.50 '--
Proposed use of 20) Other units ----_— 4,50
building or property Li-it Cy
Type of fuel-od O natural gas %, LPG O **Crit O 21) Gas piping one w four outlets 200
I befaby acknowledge that I have read the application,that the 2^1) More than 4-per outlet (each) 50
nfon, t,on green is Correct,that I am!he owner or authortted agent of
the ownN,thee plans sutxnrtted are m tnmplfan x with Oregon State _ OTY.SUBTOTAL
laws. O U
Signature of OwrionAgent Date 'SUBTOTAL
3%SURCHARGE
Contact Peron Name Phone PLAN REVIEW 25". i
OF SUBTOTAL
TOTAL _ 1 kr
dstYrmechprr;t clot 'Minimum permit fee is$25•5%surctlarge
Rev 7196
RECEIVED
MAY 2 2 1997
COMMUNITY DEVEWPMENI
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
A.M. _ L-' P.M. MST:
3 I Q suP: (%
Suite: __Bldg:
:ant:
Phone: , "-�C PLM:
ntractor: 4_ ;��_'�`� �-7
rwiier:�llh�4'
t4_41�,�� (. Phone: :� ELC:�
ELR:_
—` --- � S:T:
P
SITE
BUILDING BL1 "(coni) PLUMBING �CHX�L ELRCERI Sewer/Storm f 1�
I'osti__eun Post/Beam ,k
Site Ceiling Water Line
Footing Root UndFUSlah Rough-In
•In L g IJG Sprinkler
Slab I-remiing Top Out Gas pl ine �'� Rough-In
hood/ uct Reconnect Vault
Fonntlation Insulation Sewer Furnace �(,j Temp Service MISC.
Bsint Drum, Drywall Storm f j�
Mason Ceiling Rain Drain A/C l [1G Slab
Masonry p Lo
Shear/Sheath fire S kir/Alm CrawliFound Ih ileal P approved
Approvcd Approve' Pprov�.i�
ro •d Not Approved
LAppr/Sdwlk Not Approved Not Approved o roved FINA FINAL
FINAL FINAL ' IN�T�
Cl Cell for reins inspection fee of S_
r 'ref before xt inv,xxtion [7 I Inahle to inspect
Dade: Page --of—---
Inspector— '"� — -- -
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
[Footing Rain Drain Cover/Service FINAL:
ndation Water Line Ceiling -Plumb.
t/Beam Mech. Shear/Sheath Framing Meeh.
g.Und/Flr/Slab Plbg.Top Out Insulationt/Beam Struct. Mech. Rough in Gyp. Dd. Bldg•
. Sewer Gas Line Appr/Sdwlk Reins.
Other: ___
Date: -�� A.M. _--P.M. Entry: -
Address:
Tenant:—_ __-_-_---_- Ste:___ MST: -
BUP:
Con/Own: --- ----- __-- MEC: —
PLM.
ELC ---
THE FOLLOWING CORRECTIONS ARE REQUIRED: EEL`R�:
- ~--ILS---��--�
kaAPPROVED
pector:/�� DAte:ll
— _—
DISAPPROVED/CALL FOR REINSP. CF .O