12585 SW PACIFIC HIGHWAY-1 ADDRESS:
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CITY CF TIGARD
DEVELOPME14T SERVICES ELECTRICAL PERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC97-0265
DATE ISSUED: O5/O6/S7
PARCEL: 2SIORBA-01200
SITE ADDRESS. . . : 12585 SW PACIFIC HWY
SLIBD T V I S I ON. . . . :NO. T I GA RDV I L.I_E ADDITION AMEND. ZONING:C-G
BLOC . . . . . . . : LOT. . . . . . . . . . . . . :53 JURISDICTION: TIG
Pr-o.ject' Descri pt ion- instl sign or outline lighting
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 ramp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 3
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MANF. HM/ SVC/'FDR. . - 0 601.+amps-•1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
---SERVTCE/FEEDER------ .-------BRANCH C164,UITS----- ---ADL',' L INSPECTIONS---
0 - 200 amp. . . . . . : 17.1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . .. . : 0
201 - 400 amp. . . . . . : 0 1.st W/n SRVC OR FDR. : 0 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 on 1.y. . , . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owne-; ----------------------------------------------------- FEES --------------- -
GEORGE MORLAN PLUMBING type amount by date recpt
12585 SW PACIFIC HWY PRMT $ 120. 00 TAT 05/05/97 97-294104
TIGARD OR 97223 SPCT $ 6. 00 TAT 05/05/97 97-294104
Phone #:
Contractor: -__--------------------------------------------------_-_____--_
METRO ELECTRIC INC 126. 00 TOTAL
1105 NE 239TH PL
--------- REQUIRED INSPECTIONS
-----
TROUTDALE OR 97060 Ceiling Cover Underground Cove
Phone #: 666-2159 Wall Cover Elect' 1 Service
Reg #. . r 000781
1
This pereit is issued subject to the regulations contained in the
Tiqard Municipal Code, State of Ore. Specialty Codes and all other Perw i t t e Si.gnat'A'7
applicable laws. All work will be done in accordance with
app-oved plans. This pereit will expire if work is not started
within IN days of issuance, or if work is suspended for Bore a,� -�+�
than IN days. I s s -Ked B
y
- _--- -- --- - -----OWNEi. INS'.-ALLAT ION ONLY---- ----_._-----_-_-----_--__-
The installation is being made on property I own which is not intended for
sale, lease, or rent.
nWNER' S SIGNATURE: DATE:
---------------------------CONTRACTOR INSTAL_L_ATION ONLY-------------------------------
S T GNI�TURE OF SUPR. EL-FC' N: '(� 7 _ DATE: S�`
L..1 CENSE NO:
Cali for inspection - 639-4175
CITY OF TIGARD Electrical Permit Application -Ian Check N_ .
13125 SW HALL BLN/D. Recd By
Date Recd
TIGARD UR 97223 Date to P.E.
Phone (503)639-4171, x304 Prirt or Type Date to DST t
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit a
Fax (503) 684-7297 Called
1. glob Address: 4. Compleie r"ee Schedule Below:
Name of Development___-___ �� Number of Inspertin-,ppr pe,mit allowed
Name(or name of business)_" �G � `"c Service included: Items Cost Sum
-CA)
r Z
Address_z-C t > > co-
Address 1� _ 4a. Residential-per unit
_ rf� 1000 sq.It.or less $110.00
City/State/i Ipr 7i7- -.__ Each additional 500 sq.ft.or --
-�y ir portion thereof $2-5.00
Ea--
t
Commercial l_I Residential ❑ Limited Energy $25.00
Each Manul'd;lome or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
(Attach copy of all cur1t��t Ic nses G Ins Services or Feeders
Electrical Contractor V • C, Installation,alteration,or relocation
Address 1 ` �- r _ 200 amps or lass $60.00
201 amps to 400 amps $80.00 _ 2
City State Zip U �� 401 amps to 600 amps $120.00 2
Phone No._a�t ka Z.! J 601 amps to 1000 amps $180.00 2
Over 1000 amps or volts $340.00 _
Job No. Reconnect only $50.00 _
Elec.Cont. Lice. No._ u Exp.Date l2
OR State CCB Reg. No. ' d f 7 =' Exp.Date ' 1 4c.Temporary Services or Feeders
COT Business Tax or Metro No. u 5 Exp.Date �- Installation,alteration,or relocation
200 amps or less $50.00
Signature of S1 r. Elec'n , _� 201 amps to 400 amps $75.00 L
9 P 401:.mps to 600 amps $100.00
Over 600 amps to 1000 volts,
license Nr
.L _- Exp.Date 0 ` see"b"above.
-.._
Phone N 4d.Branch Circuits
New,alt9ration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner' Name feeder fee.
AddreSSEach branch circuit $5.00
--- -- b)The fee for branch circuits
City----- State.,_-- Zip __ without purchase of
Phone No. _ _ service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch clrault $5.00 _- 2
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature _ Each pump or Irrigation circle $40.00 _
-� Each sign or outline Ilghting ✓ $40.00 (_I a
3. flan Review section (if required):' Signal 1,alteration
limited energy
penal,alteration or extension $40.00
( Minor Labels(10) M0.00 -
Please check anpropriate item and enter fee in section 58.
4 or mote,estdetial units in one structure 4f.Each additional Inspection over
Service and 16ede•225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
_Classified area or structure containing special occupancy Per hour _ $55.00
as described in N.E C.Chapter 5 In Plant $55.00
Submit 2 sets of plans with appllcation where any of the above npply. 5. Fees:
Not requlrPd for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $ - -
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Ssc.3) $ -NOT COMMENCED`.NITMIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY El
TIME AFTER WORK IS COMMENCED. Tnist Account#_-. 'Z.�. Cr(.,
Total balance Due
CITY OF TIGARD
DEVELOPMENT SERVICES
13 25 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 S'I.GIS r.)E:RM T
PE:RM17 #k: SGN97• 0044
DATE IS5UEr). . .. . : 04/18 97
PARCEL... . . . . . . . . . 261 02SA-..0 l 200
ZONE. . . . . . . . . . . « C---G
.7lJR]:SuTC'T IOh�„ . . TI�_i
BLJSINE3S NAME. . : GEORGE MORL.AN PI._UMBING
j 7 T CSP• I._OCAT T(7N. . : 12.585 SW PACIFIC HWY
nPPI..ICr4i,JT/AGEI'\ITs GE=ORGE. MORLAN PI_L1MR. INO
BLIS I NF_SS TAX NO:
x�—.:e=_•ea:'_ --•e:c^.�'-: :a.•��xrxc............_. �.�sr.-::sceraxc^:a:.��-�zc:=r:^..:�:s:x-c-��:r;.-:�.::c:•�:s:::-.�:_.^aa�:-,..
SION: � -
PERMANENT (X) FREESTANDING ( ) FRFEWAt' ( )
TEMPORARY WALL. (Y) E.L.FUTRONIf ( )
OTHER ( ) BIL.L.SOAPt) ( ) BALLOON ( )
S T(.3N Ti T.MENS T ONS. . . . « . ; 6' X 5O'
TOTAL. SIGN AREA. . , . . . : 300 sq. ft.
WAIL AREA. . . . . .. . . . . . . . 2210 sq. ft.
WAI..(.. FACE (D I RECT I CIN) : F
SIGN HEIGHT. . . „ . . . . . . « 17 fl:;.
PRO.JE:C T 1 nN FROM WALL_. s i s i n.
I1_LI_IMItic)rION. . . . . . . . . s EXT
DF5CRIF-JUIN OF STEN: Replari.fig iaoocieri SJi.gn With i ] ] UMinai�erl iieon unci metal.
sign.
COPY: GF::,IRC-F- MORL_AN PL.1_IMPINf3 13L:r"'PL.Y A. SHOWROOM, +I-ie water 1-is.ater, king.
MATERYAL..S. . . . « « . . . . . . : SH IlTi..%NE:UN
EXISTT NG R)ICIhIE . . . , . . . .
FL-ECT R L CAT_ PERMIT REQUIRED- Y
E1U 1.I...D T NG PERMIT RFOU I RF.D. . : r.l
AI)MINISTRATIVE. FXGUTT:ON9. : N/A
PERM:T FEE: # 50. VIS
This permit is issued subject to the regelations contained in the
Tige I Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved
aj,�roved plans. A sign permit shall expire 90 days fres approval date.
4 tekporary sign shall expire 30 days from approval date. A balloon sign
shall expire 10 days from approval date.
APPROVED BY:
PERMITTEE 51"TURE:
DATE: 04/18/97
CITY OF TIGARU BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Ph-me): 639-4175 Business Phone: 639-417 .
Inspection--
Footing Sus . e ing Sprmk. Rough-in Appr/Sdwlk
Foundation Plbg. Ur derslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
!last/Beam Mech. San. Sewer Gas Line -Bldg.
Pibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Und-rflr. Insui. Shear Wall Gyp. Bd. -Ele:t.
Date Requested:_ 1.�Time: AM PM
Address: ,
Builder: !_ Permit#` '( "C)z�-O
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insppctor: Date: 7-
PROVED DISAPPROVED APPROVED St'BJECT TO ABOVE
Call For Reinsp.
CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _4�e� 7 l ��i� �o
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/rieam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Merh. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mec-Ti_j
Underflr. Insul. Shear W II Gyp. Bd. -Elect.
Date Requested: -1 Time: �M PM
Address: v�5 �� � —L-� ff
U
Builder: '�_ �j 7j Permit �� S f3o� 3 d
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I`ns/pectora Z
Date: rS_p4
v APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Heinsp.
CIT` OF TIGARD BUILDING p'ERMIT
PE:RMI: T ##„ . . . . , . : DUF'94-02c:t
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/10/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
iil7.
PARCEL. : BA-01200
SITE ADDRESS. . . : 5W t'ALH IC "WY
SUBDIVISION. . . . : NO. T.TGARDVILLE: ADDITION AMEND. ZONING: C-G
FLOCK. . . . . . . . . . . LOT. . „ . „ . . . . „ . . . :53
REISSUE: `V ^�-- FLOOR AI'tLAS- -__ -- EXTERIOR WALL_ CONG'TF'.UC'T I(Jlq--
CLASS OF WORK. :ALT FIRST'. •F N: 6: E: W:
TYPE OF USE. . . :COM SECOND_ . Sf F''RO'TECT OPENINGS?---•- _--_-._...
TYPE OF C0NST. :5N THIRD. . . . S N: S: E: W:
OCCUPANCY GRP'. :B2 TOTAL ----: 0 s f ROOF CONST:F FIRE RE•T ? :Y
OCCUF'ANCY LOAD- 16 BASEMENT. : s f AREA SEF,. RATED:
STOR. : I HT. : 12 ft GARAGE_ . . : sf OCCU SEF. RATED:
BSIh F?:N ME Z? :N RE UD SETBACKS---------- REUUI RED--_.._
FLOUR LOAD. . . . :.`50 ps 1 LEWF-'T: f L RGHT : ft FIR SPKI-:Y SMOK DET. . :N
DWELLING UNITS: F•RNT: ft REAR: ft FIR ALRM:N FiNDICF-I AC:C:Y
BE:DRMS: BATHS: IMF"' SURFACE: PRO COR12:N PARKING:
VALUE. $ : 10107
Remar-[<s : Morlan r'1+_rmhing - r,e- roof
Owner,: FEES; -- _.....______.-..._.._..
RICK K\RAMIEN ty(--re .AM0 Unt by date ).-,ecpt
55c'9 SE F us'rER ROAD RRMT T 136. 5 ► KS 08/10/94 -
5F-',CT $ 4. 33 KS 08/10/94 -
PORI-LAND OR 97206
P+,one #: H--,4--7381
Contractor.:
CONTRACTOR N']T' ON FILE
$ 90. 83 TOTAL
Reil it. .
- - --- -- RE(,U I RED I NE;F'ECT i ONS ---
This pernt is issued subject to the regulations contained in the Ihisc. Inspection
Tigard Municipal Code, State of lyre. Specialty Codes and all other F ina1 1nEipectian ___„•—_�__ _ .__.,_ _____..
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.
er,mittee 5ignati_rr^e :
r
l SS'_led Fly : i
Call for, inspe(� t ion - 639•-4175
Commercial Building Permit Application
City of Tiga -d
13125 SW Hall Blvd.
Tigard, OR 97223
(50:;,) 639-4171
Jobslte Address:
Tenant:
W) A I / RAN Suite #_ ONire Use Only
Valuation:
O r) z Planck/Rec# _
f .�
/. �/ n,. r + ( Permit # F '�
Owner: G1EDoe 1"1 Q eL,m 1 �� Ill V�� Map& TL#
Address: Z� �`� '17 W �'1 l'` ApprovaI3 Re wired
,=N_ � � �Z—�-- Planning
Phone: Engineering
Other
Contractor:
Address: t Lj C5 W 6�tt I W C
Type of const:
Oxupancy class:
Phone: V
l/t�(`—�) Sprinldered? Yes No
Contractor's License # 1./� ) 7J
(attach copy of current Oregon license) Sq. ft. of project:
Story (Ist, 2nd, etc.)___
Archltect/Englneer: , �- Proposed use:
i
Address: Previous use:
Note: Plumbing & mechanical plans
must be submitted at time of
Phone: building permit application.
COMMENTS: _ V.,UIA0k PvLl,_ l�`7�l�lr lzoo F1, po i m JZ,) b, E[k� _L
J� SOL P —� ��� T �� �Q_
0 -
Applicant Signature & Phone number
Received by:_ Date Received:
` Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) - —
Plumb. Permit (PLUMB)
P tech. Permit (MECH) �_..
estate Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: _
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Storm Drainage Ch(l (SDSI')C)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) __--
Water Quantity (WQUANT)
Fire Life Safety (FLS) _
Erosion Cntri Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
C
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f 41,41)1
Will'. 1-)NY MA N1 it II I Ht )k Ii\,I I
ADDRU st; a I r16!-jO -A 1.1111 f N. All-Ift. I Ott,, j I 9XI
11 1.V 11-J.ON
HA U), 1.)1-0
PURITWit. CO I:lf4YMI-.N r f-111P it IN I I 1.1 J 1.11 1ItlYIIII N 1 1111`11 1 If-I 1)
HLl I L If,NO 14, Myl
1 ;'-*.5- 8"'j V4 POCIF: 11, HWY
! 1110L. AM'ltINI P(M)
SUPPLEMENTAL BUILDING PERMIT
.PERMIT APPLICATION
REROOFING r
This form must be filled out if you are reroofing a structure
Location of work y
Applicants Name S� f�OT—j .- • _ —
Description of work: Roof recovering ='Tear off
# of squares: Valuation of work:$
Description of existing work: ' Deck type: WOW)
Insulation type:
Condition of insulation: wet_dry_ damp_ -
# of roof coverings: # of plies:
.. - ,I.•l.. ...
Roof surfacing matorialAl't CS
Were cores taken: yes no ~`
Specification for preparing roof surface:
oc:;'j(T TD p�Z IC e
Specification for new roof covering: -Type A Type B "Type C `J`
UL Ciassific.ation #: IC80 research report":
UBC fire retardant roof composition: Base sheet_ MOSS
, Ply sheets G77
�2 - - :. - . � - . = • - _: =� -
SUrfacing
FT
• - _ •rr--..i w.
Signature: ` c
.. _ YT.--
ate: Inspection of roof deck and final installation is required. Call 796-7303 to arrange for -' "' =-.'b2
=-:
spection. This form to be filed withthe Building Permit after final approval of the work.
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388 ROOF COVERING MATERIALS (TEVT1
ROOFING SYSTEMS (TG FL))—Continued
SINGLE PLY MEMBRANE SYSTEMS I n''
class A-Mechanically Festeneo si
1. Deck:C-15/32 Incline: 1 r'
Barrier Board: 5/8 in, gypsum board with all joints staggered a min. of 6 in, from the ply.
wood joints.
Membrane:"Impact CX/R"(TPEI,mechanically fastened with metal disco and festervrs. 1
I
PECORA CORP, HARLEYSVILLE PA 19438 R14703 (N) 1
FLUID APPLIED COATING SYSTEMS
Class A
1. Dock:NC Incline:unlimited
Primer Nc.:808 A&S at 125 Sq ft/gal.
Beee^•oat:802 at 50 sq ft/gal.
Top Cost:808 at 100 sq ft/gal.
Aggregate:35.65 mesh at 10-12 lbs/sq.
2. Deck:NC Incline:unlimited 2
Primer No.:809 A&S at 125 sq ft/gal.
go so Cost:802 at 50 sq ft/gal I
Intermediate Cost:804 at 100 sq ft/gal.
Top Coat:BOB at 100 sq ft/gal-
Aggregate.20.30 mash silica sand at 10.12 lbs/sq.
PEMCO ADHESIVES INC, AUBURN IN 46706 R14100 (N)
SINGLE PLY MEMBRANE SYSTEMS
Class A-Ballasted.
1 Deck:NC Incline°2
Insulation:Wood fiberboard.glass fiber,polyisocyan u rate on phenolic any thickness. 1
Membrana:Any UL Classified EPDM or CSM adhered to the insulation with 'PEMCO 1638"
or "8504" bonding adhesive at 1.0 gal per BO sq It or "PEMCO 8010" bondin7 adesive at
1.0 gal per 75 sq it
Surfacing:River bottom stone 13/4 to 1 1/2 In.diameter)at 1000 lbs/sq.
PERFORMANCE BUILDING PRODUCTS INC, KANSAS CITY R13327 (N)
KS 66106
Unless otherwise indicated, these constructions may utilize any thickness of perlite, glass fiber,
polyurethis a, polylsoeyanurate, combination polylsocyenurate/periite or polyurethane/perlite, phe• 1
nollc. phenolic/perlite and EPS with min 1/2 in. perlite or wood fiber cover board. Insulations and
base sheets installed with hot roofing asphalt or mechanically fastened. Wood fiber Is a suitable
substitution on noncombustible docks only.
"Fiberplus Baseboard"or"Flberplus Capboard"mineral fiber insulation may be used as an alter-
nate Insulation In any of the fallowing noncombustible systems.It may be loose laid,hot mopped or
mechanically fastened. -
Unless otherwise indicated,noncombustible decks incorporating"Permax A-Economy',"Permax A.
Special".-'Permax A-Xtra"."Permax A-Special Mineral"or"Permax A-Xtra Mineral"membranes may
be heat welded or adhered with"Permestic 71.1"or Imperbel America Corp.'s"7U"adhesive at 1.1/
2 gal/sq.Combustible decks incorporating"Permax A-Soecial","Permax A-Xtra","Permax A-Special 1
Mineral" or "Permax A-Xtra Mineral" membranes may be heat welded or adhered with "Permestic
7U"or Imperbel America Corp.'s"7U" adhes,ve at 1.1/2 gal/sq,"Permax B-Economy'."Permax B. f
Special" or 'Permnx B•Xtra' membranes may be adhered with hot roofing asphalt.heat welded or
adhered with 'Permesti,7U"or Imperbel America Corp.9"7U"adhesive at 1-1/2 gal/sq.
Unless otherwise indicated, base sheets may be mechanically fastened, hot mopped or adhered S
with"pormestic 7U"or Imperbel America Cap.'s-7U-adhesive at 1.1/2 gal/sq.Ply sheets may be
hot mopped or adhered with "Permestic 7U" or Imperbel America Corp.'s "7U" adhesive at 1.1/2 2. C
1
gal/sq.
For all FR grade membranes the inethod of attachment may be heat welded or hot mopped.
"Permax e.Esse FR-II", "Permax Modified Base Sheat' or AIB Technology "LayflaVSBS LF-25" f.
may be a substitute for a base sheet on noncombustible decks only.
Nord Bitumi U.S..Inc. 'Nord Board" insulation may be used in lieu of Perlite/Type G1,Type G2, 8
Type 15 or Type 30 asphalt saturated base sheets in noncombustible deck roofing systems'n which 3. D
tho modified bituminous membrana product is surfaced with a roof coatlnq. In
ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT
Class A.B or C(See Nob)—Fully Adhered W'.
1. Deck:C 15/32 Incline: 1(Ses Note)
insulation(Optional): 'Fiberplus Baseboard",perlite,glass fiber,polylsocyenurate,phenolic or at
polystyrene,any thickness.
Barrier Board:"Flberplus Cooboard",3/4 In.min.
Membrane. Any UL Classified modified bitumen membrane system including base and ply S
sheets(min one ply Type G 1 base sheet required)suitable for use with any roof Insulation. 1 t
Surface:See Note.
Note:Classification(A,B or C)and maximum Incline will be same as that for the original Insulated.
Membrane roofing syrtem but not to exceed 1-in. Limitations regarding noncombustible deck are ; H
not applicable. Surfacing shall be In accordance with the Classification established for the original
insulated membrane roofing system. Nt
2. Deck:NC Incline:(See Notal
Insulation(Optional):"Flreplus Baseboard", perlite,glass fiber, polylsocyanurete, phenolic or
polystyrene,any thickness. q �'
Barrier Board: 'Fireplus Capboard".3/4 in.min.
Membrane: Any UL Classified modified bitumen membrane system Including base and ply
shoots(min one ply Tyre G 1 base sheet required)suitable for use w'th any roof insulation.
Surface:See Note. it
Nine-Classification(A,8 or C)and maximum incline will be same as that for the original insulated
LOOK FOR MARK ON PRODUCT
r
ROOF COVERING MATERIALS (TEVTI 389
ROOFING SYSTEMS (TGFU)—Continued
membrane roofing system. Limitation regarding noncombustible deck are not applicable. Surfacing
Shall be in accordance with the Classification established for the original insulated modified bitumen
roofing system.
6 infrom the ply- MAINTENANCE AND REPAIR SYSTEMS
Class A
and las7eners. 1. Deck:NC Incline: 1/4
Existing Roof System:Cines A,B or C gravel smooth surfaced or granulated surfaced covered
R14703 (N) with
Insulation (Optional): "Fiberplus Baseboard", "Fiberplus Cepboard", perllle glass fiber, per.
Ina/EPS composite,polylsocyanurate,perlite/polyurethane composite,phenolic or wood fiber,
tiny thickness.
Base Sheet(Optional except when insulation Is added):Type G1,Type G2.Type 15 or Type
30 sheet
Membrane: "Permax A.Xtra". "Permax A-Special "Permax A•Xtra Mineral". "Permax A-Spe.
cial Mineral",-Permax B-Xtra"or"Permax B-Special"(modified bilumenl.
Surfacing:"Permaluma M8"or Grundy"AL MB Aluminum Roof Coating"at 1.1/2 gal per sq
2 Deck:NC Incline: 1/4
Existing Roof System: Class A. B or C gravel.smooth surfaced or granulated surfaced cov-
e
retl with
Insulation (Optional): "Fiberplus Baseboard", "Fiberplus Cepboard", parllte, glass fiber, per.
Ina/F.PS composite,polylsocyanurale,penile/polyurethane composite,phenolic or wood fiber,
any thickness
Base Sheet(Optional except when insulation is added):Type G1,Type G2,Type 15 or Type
R14100 (N) 30 sheet
Membrane: "Permax k-Special", "Permax A-Mrs", "Permax A•Economy", "Permax A-Species
Minereior"Permax A•Xtra Mineral"(modified bitumen) i
Surfacing:Grundy Industries'or Put@ Asphalts-20 F Emulsion"at 2 gel/sq 1
•ry thickness. Class B I
i Dock:C 15/32 Incline: 1/4
with"ing ad 1ve a Existing Roof System:Class A,B or C gravel smooth surfaced or granulated surfaced covered
'0' bonding edeslve at with
Insulation(Optional):
t0 Base Sheet(Optional except when Insulation Is added):Type G1,Type G2,Type 15 or Type
30 sheet
TY R13327 (N) Membrane:"Permax A Xtra', "Permax A-Special","Permax B-Xtra","Permax B.Special% ,par.
max A Specht Mineral'or"Permax A-Xtra Mineral"(modified bitumen),
d partite, glass fiber,
Surfacing:"Permaluma MS"or Grundy"AL MS Aluminum Roof Coating,or 1.1/2 gal/sq
� Claes C
itethsne/parllte. pha 1 Deck:C-15/32
pard. Insulations and Incline: 1/4
Existing Roof System:Class A,8 or C gravel smooth surfaced or granulated surfaced covered
d fiber is a suitable th
be used as on eller- Insulation IOptlonall
lard,hot mopped or Belie Sheet(Optional except when insulation Is added);Type G 1,Type 02,Type 18 or Type
30 sheet
Membrane:"Permax A-Xua'."Permax A-Special","Permax S.Xtra "P@rmax B-Spsolal", "P
=rel"membranes may"Permax A. Muir er
conommax A•Special -al" erei"or"Perms.A-Xtra MinImodifled bitumen)
7U"adhesive at 1-1/ SINGLE PLY MEMBRANE ROOFING SYSTEMS
a","Permax A-Special 1 Deck:C 15/32 Class A-Ballasted
eared with "Parmostit Base Sheet:T y Type Incline:3
-conomy',"Permax B. Type G1,Type G2.Type 15 or T e 30 sheet.
,,halt,heal welded or Membrane: "Permax A-Eeonomy", "Permax A-Special", "Permax A•Xtra," "Permax A-Specia(
1/2 pal/sq, Mineral',"Permax A-Xtra Mineral","Permax S-Economy","Patinas B-Special","Permax B-Xtra
i me oed or adhered or"Permax B•Xtia 260"lmodified bitumen)
sq.P. thesis may be Surfacing:River bottom stone(112 to 2.1/2 In.diameter)at 1000 1.1a per sq
U" At Alive at 1-1/2 2 Deck:NC Incline:3
Insulation IOptlaneQ:
or hot..,oppod. Base Sheet:Type G1,Type G2.Type 15 or Type 30 sheet.
"LayfleVSBS LF-25" Membrane- "Permex A-Economy", "Permax A-Special", "Permax A•Xtra.' "Permax A-Special
Mmeroi "Permax A•Xtrs Mineral","Permax S-Economy","Permex B Special","Permax 8-Mrs",
ne/Type G1,Type G2, or"Permax B.Xtra 250"(modified bitumen)
ofing systema In which Surfai3 DeckcCng:3rsvel•applied loosely or in hot roofing asphalt
Incline:2
r1ALT Insulation: Perlite. 3/4 to 3 min, Polylsocyanurats, 4 in,max polystyrene, 3 in, max covered
with Perhle.I In.max.
tall Base Sheet:0.2 or Type 15.
,cyanurate,phenolic or Membrane: "Permax A-Xtra', "Permax B.Xtra", "Permax B-Xtra 250 "Permax A•Special'
'Permax A-Special Mineral", 'Pernax A-Xtra Mineral", "Permax B-Special "Permax A ccono-
mv' or"Permax 8-Economy"(modified bitumen(
,eluding bags and pit Surfacing:Concrete pavers, 10 Ibs/sq It.min, 1/8 in.spacing ben•.een pavers max.
,ny roof insulation. 4 Deck:NC Incline,b
Insulation:One or more layers of "Fiberplus Baseboard'or "Fiberplus Clipboard', any thick.
r the original insulated cess,hot mopped or mechanically fastened.
ncombustlble deck are Base Sheet(Optional):One ply of Type 15,Type 30,Type G1 or Type G2 hot mopped or me.
,blished for the original chanically fastened.
Membrane: "Permax A•Xtre", "Permex B•Xtra "Permax 0'-Xtra 250' "Permax A-Special-,
a) 'Permax A-Special Mineral-,"Permax A-Xua Mineral", "Permax 8•Specint","Permax A-Econo-
ocyenurste, phenolic on my' or'Permax S-Economy' (modified bltumen).
Surfacing:River bon;,t alone(3/4 to 1.1/2 in.die.), 1000 Ib/sq,
5 Deck:NC incline:3
including base and ply Insulation:One or more layers of"Fiberplus Baseboard", any thickness,hot mopped or me•
any roof insulationchamcally fastened.
Barrier Board:One or more layers of'Fiberplus Capboard".hot mopped or mechanically fag
-or the original Insulated tened
LOOK FOR MARK ON PRODUCT
390 ROOF COVERING MATERIALS (TF-VT)
ROOFING SYSTEMS (TG FU)—Continued p
Base Sheet (Optional); One ply of-iype 15,Type 30,Typs,Gi or Type G2,hot mopped or max B-Xtra 250"
mechanically fastened. or"Permax S-Ecc
Membrane:Any UL Classifibd membrane. BeesCost:Therr
,
Surfacing:River bottom stone 13/4 to 1.1/2 In.dig.), 1000/sq. at 150 Ib/sq,
6. Dock:0.15/32 Incline:3 Surfacing:Therm
Membrane: "Permax A•Economy", "Parmax A-Special", "Permax A•Xtre", "Permax A-Special 50 Ib dry mix,6
Mineral","Permax A-Xtra Mlnerel","Permax 8-Economy","Parmax B-Special","Parmax B•Xtra" ` 9. Deck:C.I!/32
or"Permax B-Xtra 250"(modified bitumen)heat welded. Insulation(Optic
Slip Sheet(Optional):Dry inorganic glass fiber mat. fiber,polyisocyar ,
Insulation: Dow Chemical "Styrofoam PD, RM, SM, TO,Groyboard" or"Slyrorib"(plastic), 1 Bess Sheet:Typ.
in.min. Ply Shoot(Optic.
Scrim (Optlonel): "Febrena", ' national Paper D880" or "Rufon Polypropylene Scrim", 2 coated glass fiber
o7/yd. Membrane: "Perm
Surfacing:Crushed stone or river bottom stone 13/4 to 1.3/4 In:diem), 1A00 Iba/sq,concrete max B-Xtra 250".
blocks 10 Ib/sq min,spread not more than 1/8 in.apart or T Clear Corp,"Llghtguard"panels or"Permax 5-Econ
surfaced with 5/16 in,min concrete mortar,butted together. Same Coat:Therr
Class A-Fully Adhered tj, at 150 lbs/sq,
1. beck:NC Incline: 1 Surfacing:Therm
Insulation(Optional): 50 Ib dry mix.5
Base Sheet:Type G 1,Type G2,Type 15 or Type 30 sheet. 10 Deck:NC
Membrane: "Permax A-Economy', "Permax A-Special", "Permax A-Mrs", "Permax A-Special Some Sheet(Opt
Mineral","Permax A•Xtra Mineral","Permax S•Economy'","Permax S-Special","Permax B-Xtro" Ply Sheet:Type
or 'Parmax B•Xtra 250"(modified bitumen). Membrane:"Parr
Surfeeing:"Permalume MB"or Grundy Industries"AI MB Aluminum Roof Costing"at 1.1/2 I 1 Deck:NC
gel/sq. Insulation IOptlo.
2. Deck:C-15/32 Incline: 1 Base Sheet(Opti.
m
Barrier Board:Gypsn wallboard, 1/2 in.nominal.Joints in wall"ord offset 5 In.with Joints ly mopped,
in deck, Ply Sheet: Type
Insulation(Optional): bathed,spot or fu
Mese Sheet:t:Type G1,Type GT,Type 1B or Type 30lheet. Membrane:"Pere
Membrane: "Parmax A•Econortty'", "Permax A•Special", "Permax A•Xtr9 "Permnx A•Special 12. Dac k:015/32
Mionral","Permax A-Xtra Mineral "Permax 8-Economy","Permax B-Special","Permax B•Xtra" Insulation: Polyi•
or'Parmax B-Xtra 250"(modified bitumen). composite,any cc
Surfacing:"Permafume MIV or Grundy Industries"AL MS Aluminum Roof Coating"at 1.1/2 Base Sheet:Type
gal/sq. Membrane:"Perm
7 Deck:NC Incline:1/2 13. Deck:C,15/32
Ins !effort:Glass fiber,perlite or H sod fiber, i-1/2 In.max. Base Sheet:Type
Base Sheat:type G1,Type G2.Type 15 or Type 30 sheet.
I Pio Sheet:Type C
l Membrane: "Pemex A•Ecanomy', "Permax A•SDeelel", "Permax A•Xhe", "Parmax A•Speclsl Membrana:"Perm
Mineral",'Permax A-Xtra Mineral"(modified bitumen). 14 Deck:C15/32
Surfacing:Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating" Insulation:Wood
or 'Karnak No.97 Nort-Asbestos Aluminum Roel Coating"at i to 2 gai/sq. with joints In deck
4, Deck:NC IncliN• 1 Base Shoot:Type
Insulation(Optional):"Flberplus Baseboard","Fiberplus Capboard"perilts,glass fiber,parlitei Ply Sheat:"Parma.
EPS composite.polylsocyanurele,perlite/polyurethane cornomi .ohenolle or wood fiber,any Membrane:"Parma
thickness. t5. Donk:NC
Base Sheet:Type G1,Type G2,Type 15 or Type 30 sheet. Mase Sheat(Option
Membrane: "Permax A•Speclal", Permax A•Xtro", "Permax A•Economy, "Parmax A•Speciel Ply Sheet:'Parma+
Mineral"or"Permax A-Xtra Mineral"(modified bitumen). Membrane: Terror
Surfacing:Grundy Industries'or Pure Asphalt's"20 F Emulsion'at 2 gal/aq. 18. Deck:NC
5. Deck:NC Incline: 1 insulation(Optiont,
Insulation(Optional):"Fiberplus Baseboard","Fiberplus Capboard"partite,glass fiber,peNile/ Base Sheet(Optior
EPS composite,Polylsocyanurete,perlite/polyurethene composite,phenolic or wood fiber,any or fully moppad.
thickness. Ply Sheet: 'Parmax
Bass Sheet:Type G1,Type G2,Type 15 or Type 30 sheet. Membrane:-'Parma.
Membrana:"Permax A-Spacial", "Permax A-Xtrs", "Parmax A•Spocial Mineral"or"Parmax A. 17. Deck:C-15/32
Xtra Mineral"(modified bitumen) Insulation: Polylsoc
Surfacing,Monsey Products Co.'s"Aqua-Brite Aluminum Asphalt Emulsion" 1.1/2 ga1/sq• composite,an car
6. Deck:C•15/32 Inc9no: 1 Bess Sheet:any
Poly)socyanurate, polylsocyanurats/per+rte composite, phenolic, phanolle/perlite Membrane:"Parma-
comrosits,fiberglass,perlite,any combination,2 In.thick min,EPS with min 1 In,perlite cov. IB Dock:615/32
joints In insulation offset 6 in.with joints In deck. Ineu(atlon: Wood G:
Base Sheet. iype G2. w th mints in deck.
Membrane:"Permax A•Soacial", "Permax A-Xtra" "Permax A•Special Mineral"or"Parmax A. Bas-.Sheet:Typo G
Xtra Mineral"(modified bitumen). Ply Sheet: Permax
Surfacing: Tormalurne MR"or Grundy"AL MB.ljuminum Roof Casting", 1.1/2 gal/sq. M+mbrene:"Permax
7 Deck.NC h,�lina: 1.1/2 19 D rck:015/32
Ins,letion Motional):Perlite.glass fiber,perlite/EPS comps:fa,polylaocyanursts,perlite/poly Bois Sheet Type G
,r ethane composite,phenolic or wood fiber,any thickness. Ply Shoot:-'Permax k
dace Sheet Type G2. Membrane:"Pormaxl:
Ply Sheet(Optional!:Type O1 or G2. ,0 Dock:NC
Membrane: 'Permax A•Special","Permax B•Spoclel","Permax A-Mrs","Permax B•Xtra"."Pen Insulation: Polyiso-
max 6 Xtra 250"."Permax A-Special Mineral"."Permax A•Xtra Mineral","Permax A•Economy composite,glass fit
or Permax S-Economy'(modifled bitumen) min, t in perlite or.
Mase Coat(Optionall:Thermo Materials'"202 HS"at 1.2 gal/sq. Bess Sheet:Type G
Surfacing:Two scats Thermo Materiels'"Super Prep IP'at 1.2 gsl/sq/cost or one test at 2.3 Membrane: "Perm.;
gal/sq when base coat Is listed. Mineral',"Permax A
B. Dock:NC Incline:Unlimited or"Parmax S•Xtre
Insulation(Optlonall:Perlite.polystyrene,polyurethane,perlite/polyurethane composite,glass Surfacing: Karnak
fiber,polyisocyanurale or phenolic,any thickness, coating, 1.1/2 gal,,
Bess Sheet Type 132. 21. Deck: 15/32
Ply Sheet(Optional):One or more layers of asphalt coated glass fiber or modified bitumen Bsse Sheat 2 plies
coated glass fiber. Type G2 nailed or t•
Membrane:"Parmax A-Special", "Parmax B•Speclal "Permax A•Xtro", "Permax B-Xtrs", "Per. Membrane: "Parma
LOOK FOR MARK ON i'RODUCT
as
392: ROOF COVERING MATERIALS JTEVT)
ROOFING SYSTEMS (TGFU)--Continued
R0.
Mineral"."Permax A-Xtra Mineral","Permax 8-Economy","Permax B•Special","Permax B•Xtra"
or"Permex B•Xtre 250"(modified bitumen),heat welded or hot mopped.
Surfacing:Karnak Chemical Corp.,"Karnak 97 AF"aluminum roof coating or"Karnak No,97" 1. Deck:,15/32
fibrated aluminum roofing costing,2 gal/sq. Insulation:C;lase flit
22. Deck: 15/32 Incline: 1/2 Base Shaer.Type 1,
Insulation: Polyisocyanurete, polYlsoeyonurate/pulite composite phenolic, phenolic/parlite Membrana; "Parma
composite,2 In,thick min,Joints In Insulation offset 8 in,with Joints in deck. I Mineral',"Permax r
Base Sheet:2 plies Type 01 (first ply nailed or hot mopped,second ply hot mopped)or 1 ply ser"Parma,B-Xtra
Type G2 nsilad or hot mopped,
Membrane: "Formax A-Economy", "Permax A•Special", "Permax A-Xtra". "Permax A•Special
Mineral","Permax A•Xtra Mineral "Permax 9-Economy","Permax B•Spe^'al" "Permax B-Xtra" PERMASEAL CORF
or"Permax B•Xtra 280"(modified bitumen),hest welded or hot moppod.
Surfacing:Karnak Chemical Corp.,"Karnak 97 AF"aluminum roof costing or"Karnak No.97"
fibreted aluminum roof costirg,2 gel/sq. 1 Deck:NC
23. dock:NC Incline: 1/2
Insulation: Polyisocyan u rate, urethane, glass fiber, parlite or wood fiber, any thickness, hm Insulation: .Typo
I
Base Sheet:Type -1
mapped or mechanically fastened.
Baso Shoot:One or more plies of Type G1 or G2,hot mopped In place. N,emhing: 3910 C
Membrane: Performance BuildingProducts Inc„"Permax A -Economy". "Permax A-S ecial", Surfacing:#3910 F
Y P 2. Deck:NC
"Permax A-Xtra","Permax A•Speclel Mineral"or"Permax A•Xtra Mineral"modified bitumen. Insulation:Polyiaoe..
Surfacing:"Henry Company's 220 Fibered Aluminum"roof coating applied at 1-1/2 gal/sq. Same Sheat:Type G
Clean 0-Fully Adhered Membrane:Nord Bit
I Deck:C-15/32 Incline: 1/4 Swfecin9:*3910 F
Insulation:Glee.fiber, 1.1/2 In. 3 Deck:NC
Base Shwat:One of the following Type 132:Celotex Corp."Vaporbar G-8',Owens-Corning Fl. Insulation:polyisocv
borglao Corp.,"Fiberglas Roll Roofing No.45",Lundy Thegord Oil Co.-No.35 Base",Malarkey Base Sheet:Type G
Roofing Co."Premium Some Shut".or Consolidated Fiberglass Products Co.,Inc,"Prebses"or Membrnne:U.S.Into
"Utility Base. Surfacing:*3910 F
Meml:rene: "Parmax A•Economy' Permax A•Spoclal", "Permax A-Mrs", 'Permax A•Special
Minerai'or"Permax A-Xtra Mineral"(modified bitumen).
Surfacing: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roofing Cost- PITTSBURGH CORN
at 1 to 2 gal/sq.
2. DOW C•15/32 Inalinet 1 ASPHA
BeIN rhlleb Typo 0.2.
Ply Sheen One or more plies of Type G•2 1, Deck:C-15/32
Membraf it"Permax A•Special","Permax A-Mrs","Permax A-Special Minaral"or"Permax A. Insulstlon:"FOAMGL.
Xtra Mineral"(modified bitumen). Cally fastened or adhr
Surfacing:"Permelume MB"or Grundy"AL MB Aluminum Roof Costing",or Monsey Products Ssao Shut:Connolu
Co.'s"Aqua-Brite Aluminum Asphalt Emulsion", 1.1/2 gal/eq. G Ii nailed or adhere^
3. Dock:C-16/32 Incline: 1 Ply Shut:Consolldat
Insulation: Polylsocyenurate, p'lyisocyanurste/perlits composite, phenolic, phenolic/parlite Cep Sheath Consolida
Composite,fiberglass,parlite,a r combination,2 in.thick min,EPS with min 1 In.parlite eov. Uniform thickness or tepee
er joints in insulation offset 8 in.with Joints In deck. not exceed the indicated inc
Base Shoot:Type G-2.
Deck:C-3/4
Membrane:"Permax A•Special","Permax A-Xtra","Permax A-Special Mineral"or"Permax htsUletlon:(Optionap Ar
Xtra Mineral"Imodifled bitumen). mechanically fastened,
Surfacing:Monsey Products Co.'s"Aque•Brita Aluminum Asphalt Emulsion", 1.1/2 gel/sq. Base Shoot:Two plies T
4. Deck:C•15/32 Incline: 1 Plies Type 15 perforate,)
Insulation: Polyisacyanurats, polylsocyenurete/parlite composite, phenolic or phenolle/parlite Surfacing:Gravel,sten.•
composite,any combination, 1.1/2 In.thick min,jointf In insulation offset 6 in,with joints in 3. Dock:NC
Insulation:(Optional)A
decks. Ply Shoot:
Soso Sheet:type 0.2,mechanically attached,spot or fully mopped. Glaeply IV".Type 15 as
Membrane:"Permax B-FR"(modified bitumen),hot mo pad.
Surfacing:Manville Sales
S. Dock:015/32 ^aline: 1 4, Deck:NC
Base Sheet:Type G-2 or"Permax B•Bass FR-11",mechanically attached
Membrane:"Permax 8-FR"(mod)/led bitumen),hot mopped, toned or h t mopped Any
toned or hot mopped.
8. Dock:016/32 Incline: 1 Bou Sheet:Manville Say
Insulation:Polyisocysnurate, polylsocyenurete/parlite composite,phenoh: or phenolic/perlaft ified bitumen),nailed or h
composite,any combination, 1.1/2 In.thick min.)opts in Insulation offs*,6 in.with joints In Ply Sheet:Two or more
decks. hot mopped.
Base Sheet, pormax B•Sase FR-11",mechanically atteched,spot or fully mopped. Surfacing:Gravel,crushe..
Membrane: Parmaz B•Si,ecol FR-11-or"Permax B-FR"Imodifled bitumen),hot mopped. 5 Dock:NC
7 Deck:C 15/52 Incline: 1 Insulation:(Optional)Any
Insulation:Wood liber,glees fiber or perllte, 1 In.min,Joints In deck offset 8 in,with Joints in mechanically fastened.
deck. Baso Shoat:Manville Sale
Base Sheet:"Parma.8-Base F11•11",mechanically attached,soot or fully mopped. /fled bitumen),nailed or h
Membrane- Perrnax 8 Special FR-11"or"Permax B-FR"(modified bitumen),hot mopped, Ply Shsetl One or more pl
8 Dock:C.15/32 Inell is: 1 hot mopped.
Base Shoat: Permax B-Base FR-11 mechanically attect•.i. Surfacing:Manville Solea
Membrane: P..rmax 8-Special FR-11"(modified bltumm),hot mopped. B. Dock:NC
9. Deck:NC Incline: 1 Insulation:(Optional)Anv
Insulation(Optlonall: mschenlcally fattened.
Bose Sheet;Optional/:Type G•t,G-2 or G•2 vented base sheet,mechanically attached, spot Ply Shoot Two or more
or hct mopped. nailed or hot mopped.
Pty Sheet:Typr G-2 or"Permax B•Baso FR•11",mechanically attached,spot or hot mopued, 7, Surfacing:
g:MManville Sales
Membrane:"Pi rmax B-FR"Imodifled bitumen),hot mopped.
10. Deck:C•15/32 Inullne: 1 Insulation:(Optional)Am.
Insulation (Op fonal): Polyurethane, polylsocyenurete. phenolic hot mopped or mechanically mechanically fastened.
fastened. Bass Shoot:One ply Ma
Insulation:Perllit 3/4 in.minimum,hot mopped or mechanically fastened. G2"Glssbese"or 'Vantr
Bose Sheet:Type r32,hot mopped or mechanically fastened. Ply Shoot:Two or more
Membrane:"Permax A-Special FR",heat weldedhot mopped.
Surfacing:Gravel,arushr
LOOK FOR MARK ON PRODUCT
LO(
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 63I9-4175 Business Phone: 639 4171
Inspection: - .4 ( c� h
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd, E�Ie
Uate Requested: I' Time: AM PM
Address:_ �-- _� �,, ; � -/�.•+�,�
Builder:— — Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
Inspector:_.C f /1 Cd Llats:
`APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 P ,- ick/Rec. #
Permit # I LJ.— 7-001
Phone ;503) 639-4171 Date Issued_ 7-i_-- _
CITY OF TIGARD FAX (503) 684-7297 Issued by I �r�� 1-k�,L_ Ax v--
_
FAX
No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development_C11Qt-�L \"f\ lid Number of Inspections per permit allowed —
AddfeSS a 5� �4J C'[.C'.►4�c 4��w/,� Service included. Items Cost(ea) Sum
City/State/Zip_ );C (:�r���_ 4a. ilesidenlisl-per unit 4
1000 sq 11 or less $11000
Name (or ame of business) Each additional there)f sq It or
portion thereof $25.00 1
Commercial Residential Limited Energy $2500
_e^h Manufd Home or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor installation only:
4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor lJ4,gC.A.,rCl—AE/—+ r-r 200 amps or less _ $6000 _ 2
�-- \ 201 amps to 400 amps $8000 2
Addr@$S �` ` "'r 401 amps to 600 amps $12000 2
City,j.�, State 0i _ 7ip 1 ;,r,,,_ 601 amps 10 1000 amps $18000 !� 2
Phone Over 1000 amps or volts $34000 2
'2�1 `__a y'jC. Reconnect only $5000
Contractor's License No. ,s C —
Contr?ctor's Board Reg. No._ „rj ,2,ay 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'n� 200 amps or less $5000 2
License No. Mono No. -"z r 2o1 amps to 400 amps $7500 2
4r, u,,ps to 600 amps $100 or
Over 801 amps to 1000 volts
2b. For owner installations: see W above
4d. Branch Circuits
Print Owner's Name Now .lieralion or extension per panel
Address (,) the fee for branch circuits Wth
city Siate Zip purchase of sonke or Aseder W. 2
Each branrh circuit $500
Phone No. h)The fee for branch Circuits without
The installation is being made on property I own which is purchase of servke or feeder W. , 00 2
not intended for sale, lease or rent. First branch cncu't / $3500 y 35— 2
Each additional branch circuit $500
Owner's Signature — 4e. Miscellaneous
(Service or feeder not included) 2
3. Pian Review section (if required): Each pump or irrigation circle $4000 2
Each sign or outline lighting _ $4000
Signal cimutls)or a limited energy 2
Please check appropriate liar end enter fee in section 58. panel,alteration or extension $40 oo
_ 4 or more residential units in . ^structure Minor Lntnls)10) _ $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f.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 Per inspection $35 n0 _
Per hour $5500 _
Submit 2 sets or plans with application where any of the above In Plant $5500 '—
k apply. Not required for temporniy construction services. 5. Fees:
� v
5a. Enter total of above fee., $
NOTICE 5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTiIUCTION Subtofol $
AUTHORIZED IS NOT COMMENCED WITHIN 1P0 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED CR ABANDONED FOR Plan Review if required(Sec 3) o
A PERIOD OF 180 DAYS AT ANY TIME AFTEF,WORK IS subtotal $
COMMENCED D Tnrsl Acrount# $
Balarxe Due $
y�I•
f"17Y OF T I CYEIRD — RECF I PT OF PIYMF'.NT RECEIPT NO. o 9!5--;?66A-39
CHECK: AMOUNT 36- 75
NAMI:--- r PHOENIX ELECTRIC CO. CASH AMOUNT s 0. 00
ADI)PESS a 7379 w,W TE(.,H CENTER DR. F-,AYMV'iA'i DATF 07/.?5/9 5
TIBARD, OR :UBDIVIC1ION c
97E*,,23--
PURPOSE. -OF PAYMENT AMOUNT PAID PURPOSES OF VlAYMENT AMOUNT PA1D
�iL PERMIT 35. 00 gT. ItIL.D PER 1. 75
r
L
'a
,-iW PACIFIC HWY. — f3EORrE MORLON C=11 UMBING
rc.a�'cai.. AMOUNT PAID _ _.. _ ._..� 36, 75
CITY OF TIGARD MECHANICAL
PERMIT
PERMIT #. . . . . . . : MEC_9E
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/14P)"S
13126 SW Hall Blvd.Tigard,Oregon 97223*81%09 (503)639-4171
PORCEL: 25102BA-012-00
12533 SW PACIFIC 1 IWY
_1DD I V 15 1 ON. NO. T I GARD V I LLE ADDITION AMEND. ZONING.- C G
-1 - :5 3'
. . . . . . . . . . LOT. . . . . . . . . . . .
CLASS, Or- WORK. . :ALT FLOOR FURN. . . E=VAP COOLERG:
TYPL OF USE. . . . .COM UNIT HEATERS. VENT FANS. . .
OCCUPANCY GRP. . :B2 VENTS W/O APV,L: VENT SYSTEMS:
STURIES. . . . . . . . . I D 0 1 L E R 0/C 0 P I P R E 5 1),0 R 5 HOODS. . . . . . .
FUEL TYPF_'S---------- 0- 3- 1.1p. DOMES. INGIN.
-/GAS/
3-15 HPI. . . . : 1 COMML. INCIN-
MAX Ih1P'UT: BTU 15--—,Ql 11P. . . . . REPAIR UNIT5:
F-I RE DAMPERS?. . : 30-- 30 HP. . . . - WOODSTOVES. . .
(.';nS PRE:;SURE. . . "50-1- HP, . . . . (-,L 0 1)RY C.R 7). . -
NO. DF' A I R HANDL I NG UN 17 S, OTHER UNITS. :
FUPN �' 10171K BTU- 1001c'10c:fm. GAS OUTLETS3.
FURN " -100K BTU: > 10000 cfm :
Renlatck,�i - Mor-1,An P-111-mbiTig .. i-eplace 5 ton c:ompr,e!5sor.
Owrier. FEES
rRIC!,, KRAMIEN type amount by date t-ec.pt
552') SE F`Oc.:)TER RLAD PR M T $ : 0. 00 .JD 07/14/95 95-268068
PLCK $ 112). Q10 JD 07/3.4/95 95 --J26 0 0 6 C:J
V-',DR'TLANr) OR 97206 5PCT $ 1. 25 JD 07/14/95 95--268060
Ptiuile :4: 61-214-7381
Contractor:
JnCOLA'S 11E(�TING
143 5E HOLGATE BLVD
PORTL(IND OR 97202
Fol orie M ; .-.,34 '73,31 $ ]76. -.25 TOTnL
Rpg 001441
—------ REOU I PED INSPECTIONS
pervit is issued subject to the regulations contained in the mecl.lartl(_,al Iris[)
yard Yunicipal Ccde, State of Ore. Specialty Codes and all other Final Irtt>pvctior)
--licable laws. All work will be done in accordance with
iro,ved plans. This pet-sit will expire if work is not started
,-hin 180 days of issuance, or if work is suspended for sore
�In 180 days.
..........
e
L,.ill fore inspection 639--4175
L
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # IgI
Tigard, OR 97223
A) 639-4171 /
T503criptron
iL Table 3A Mechanical Code QTY PRICE AMT
Job Z,-;i 5... We. ,vt.. . 1) Permit Fee -0- -0- 10.00
Address -TIA119 or
� �•�+Z�1 '� 7 Z 'iC• 2) Supplemental Permit 3.00
.m. «^.m.• ••• Furnace to 100,000 BTU 7
k v rte.._ 1) incl. ducts &vents 6.00
—Milino m ... Furnace 100,000 BTU +
Owner 2) incl. ducts &vents 7.50
•• LO Floor Furnance
3) incl. vent 6.00
.m. a n.m.^ •••
Suspended ea er, wall heater
4) or floor mounted heater 6,10
Occupant o not incl. in
•� °^• en
5) appliance permit 3.00
•• LP Repair of Re—affi—ng,FFIF—ig.
6) cooling, absorption unit 6.00
•m•
Boiler or comp, heat pump, air cond.
�/j '(ti►�,�
14 TL-"4/d 7) to 3 HP; absorp unit to 100K BTU 6.00
• u Ad Boiler or comp, heat pump, air con .
Contractor "4-11 : jr'L_Grl1Z` 8) 3-15 HP; absorp unit to 500K BTU 11.00
•° of er or , s
compeat pump, air con .
1 (1 0,:—fi_ c j J 4' 1 9) 15-30 HN; absorp unit .5-1 mil BTU 15.00
•R.Oftsw. Boiler or comp, heat pump, air ion .
1 4- 1 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
are y acknowledge that ave read is application, that t Boiler or comp, heat pump, air con .
nformation given is corre:t, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance withit-1C'raFian ling urn to
State laws, that I am registered with the Construction Contractor's 12) 1Qf 00 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
—Non
portable
14) evaporate cooler 4.50
7 Vent fan connected
15) to a single duct 3.00
/
Ventilation system not
16) included in appliance permit 4.50
•'�• •'"' ^'• oo serve y
17) mechanical exhaust 4.50
esc a Wo new U addition aeration repair Commercial or industrial
to be done residential 0 non-residential n 18) type incinerator 30.00
Existing use o _ Other i.e., woo stove, water
building or property I' '- ' ' ' 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
Type of fuel -oil Q natural gas ® LPG 0 electric 0 21) More than 4-per outlet—
NOTICE
Minimum Fee $25 J0 SUBTOTAL �U
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE '
IF CONSTRUCTION OR WORK 1S SJSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL L�
AFTER WORK IS COMMENCED — f _
TOTAL 36-C. ��
Special Conditions --
Date issued _by
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wwd�com0n
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Base unit dimensions -- 50TJO04-007
STD UNIT ECONOMI;.ER T CORNER CORNER CORNER CORNER
UNIT
UNITWEIGHT WEIGH" WEIGHT(A) WEIGHT(B) _ WEIGHT(C) WEIGHT(D)
Lb Kg Lb Kg Lb Kg Lb Kg :b Kg LA Kg
004 365 165.6 34 15.4 126 572 89 40.4 111 50.3 39 17.7
_005 375 170.1 34 15.4 128 58.1 90 40.8 114 1 '1.7 43 19.5_
006 395 179.2 34 15.4 132 59.9 94 42.6 120 _ 54.4 49 22.2
007 470 213.2 34 15.4 148 67.1 103 46.7 15S ,'0.3 84 29.0
CONNECTION SIZES 'Indicates horizontal center of gravity.
)ndicates vertical center of gravity.
A i 5v die(28.6)field power supply hole NOTES.
B Y."-14 NPT condensate drain 1 Dimensions in( J are in millimeters
C 134'die(351 power supply knockout
D 2"die 150.81 power supply knockout 2 Confer of gravity.
3. *Direction of airflow.
CONTROL Box 4. Ductwork to be attached to accessory root curb only,
Af.CE55 COVER5. Minimum clearance(local codes or Jurisdiction may prevail):
461513/1b^- a. Bottom t combustible surfaces(when not using curb)0 inches. hor-
izontal discharge units with e!sctric heat t In clearance too dud-
0 a• work for 1 R.
1203) u. Condenser coil,for proper airflow,36 In,one side,12 In.the other.The
side getting the greater clearance Is optional
C. Overhead,60 in.to assure propar condenser'an ooeratlon.
caNDENSER 0011. d. Between units,control box side,421n.per NEC(Nat,)nal Electrical Code).
e. Between unit and ungrounded surfaces, control box side, 36 In. per
2'-9 S/16' I NEC.
1946,S) I 2'-fi1�si 16- f. Between unit and block or concrete wells and other grounded surfaces,
OF UNIT control box side,421n.per NEC.
g. Horizontal supply and return end,0 Inches.
I 6. With the exception of the clearance for the condenser coif as
-- stated in Notes 5e,b,and c,a removable fence or barricade requires no
clearance.
I 7. Units may he installed on combustible floors made from wood or class A,
JJ
0 ri 1s�e6 l �'3'-5 3/16' B,or C roof covering material.L rrP (10461
(65' LEFT SIDE
REAR ourslOE A1R
15/16' -0'-4,112'
(6331 - f l 14
FILTER/ECONOMIZER ACCESS PANEL
CONDENSER COIL ECONOMIZER MOOD
CORNER "A" �j COMPRESSOR 1'-4413/6*
-j��iLJ ACCESS COYER f4161 /
�-r'COMFR 'B' � 1'•11N'
i 7'-1 11/16• 0'-3 3/16" if,t.7 I
LEFT i i' _ _ _ _ - (fis21 tan SI n
SIDE iii I RETURN-AIR OPENING I UIS/I6' 1�m At URN AIR
_VER ICAL --'1 a1
11 11371 CONTMII. YIq IN6 \ 0-_ /4•
- - - - - W-1- 1 I RIGHT °
40'-2 9116'
p,�pL T cpo�,pe��TE I , 1651 51 DE A
II _ / IIJ Af�ASEP.[HI (SUPPLY-AIR' 1'-5 3/4' 5UI'PlY AIR
I'-1/2- I / / OPENING 14511 3 1/16-
(6221 I I ODA,003,007 // I VERTICAL I l - I ,-T3)
I �E EVAPORATOR J C
p/py /VIEY A-A-• COIL I )
f� (1381
CORNER CONTROL BON ACCESS PAIF( 192
FRONT I � VIEW A_A
0. I/16-JI -3 3,16-CORNEP 'C'
f7B1 (3061 tall 0'-7 1/4"
fBe91•-____ _._6'_1 ll/16' 1'-5 Si16• 't10,1]il ' 0'-/ 1/16'
f 1P,721 43S 7j� 1271,61 I103.21
2'-5 5/16= 0' 0 Tia'
17441 /l FILTER ACCESS
_ - Y
IEL
CONTROL Bg>AN11CCE55 _ ___� /--POYECVCpTTRAC�LYIRE _ I - - ... __
P EEII AACC CC55S5 VP 1 l I _
---- I 1 7'-I II/16' HOOD FILTER
i ELECTRICAL I RETURN-' (652.5) �
nISCONNECT AIR I
I tOCAtION I OPENING
EVAPORATOR FAN MOTOR/ -1- - - - - : HOPI-
ELECTRICHEATAND I I ZONT/L I 13-I I/4
BLOWER ACCESS PANEL A -TI t/R• I SUPPLY-AIR\ 1 2, 1 1 5 61
1101.61 OPENING I I
n7r.e1
I HOR 120NML I I OU1511 AIR
1- - - ` '
U O
eLore 0'-s 1/4' 1 15/11 6' `T-I
O'-S IL/tfi'
11461 (658.6 (111.3)
/1 T 0'•2 1(/1"OTA put IDE
FRONT (TVP BSPI ACES) OF OANEL SALT AIR RETURN AIR R I GHT 51 DE
B Sip. CONDENSATE (MAIN
1O
Base unit dimensions -- 50TJO04-007
UNIT STD UNIT ECONOMIZER CORNER CORNER CORNER CORNER
UNI _ WEIGHT WEIGHT WEIGHT(A) WEIGHT(B) WEIGHT(C) WEIGHT(D)
Lb Kg Lb Kg Lb Kg Lb Kg Lb Kg Lb Kg
004 365 165.6 34 15.4 126 572 69 40.4 1 1 1 50.3 39 17.7
005 375 170.1 34 154 128 56.1 90 40.6 114 51.7 43 19.5
008_ _395 179.2 34 15.4 132 599 94 42.6 120 54.449 222
007 470 213.2 34 15.4 148 67.1 r 103 46.7 155 70.3 64 29.0 _
CONNECTION SIZES tlndicales vertical center of gravity.'Indicates horizontal center ct gravity.
A 11/4"die(28.6)field power supply hole NOTES:
B Y."-14 NPT condensate drain 1. Dimensions In( J are in millimeters.
C 13A"die(35)power supply knockout
D 2"die(50.8)power supply knockout 2. � Center of gravity.
3. Direction of alrllow.
CONTROL BOX 4. Ductwork to be attached to accessory root curb only.
0, 1 IJ/16• ACCE55 COVER 5. Minimum clearance(local codes or)urisdiction may prevail):
t+6.st a Bottom to combust'ole surfaces(when not using curb)0 Inches.On hor-
izontal dischargc -snits with electric heat t In, clearance to duct-
work for 1 ft.
2ov b. Condenser coil,for proper 91!;uYY,3R in.one side, 12 In.the other.The
side getting the greater cl,erance Is optional.
C. Overhead,60 in.In Rssl,re proper cond,mser fan operation.
CONDENSER COIL d. Between units,control DiA side,421n.per NEC(National Electrical Code).
o. Between unit and ungrounded surfaces, control box side, 36 in. per
2 -9 5/16" 71
NEC.
19+6.5) 2'1 4 �16' f. Between unit and t•,;ock or concrete walls and other grounded surfaces,
OF TUNIT i control box sirlc,42 In.per NEC.
g. Horizontal supply and return end,0 Inches.
6. With the exception of the clearance for the condenser coil as
stated in Notes 5a,b,and c,a removable fence or barricade requires I.o
C clearance.
7. Units may be installed on combustible floors made from wood or class A,
0 (115/BI•
B
3'-S J/16"-� ,or C roof covering material.,YP (I046)
0'-2 9/16'
(651 LEFT SIDE pyo
REAR y/h ouTsrof AIR
2'-0 Ivy/I6" 0'1-4)112'
!6331 � ( <� �t •
FILLER/1 -.nitEP ACCESS PANELI \'
C(VA a IQ COIL ECONOMIZER HOOD \ •'
CORNER 'A' COMPRESSOR 1'-413/8*
ACCESS COVER (+161 l
V-41/4"
--_____ _ =1 T 2•-I 11/16' 0'-3 3/16" VErr
1 i 1652) fel) Ie�l
CCL-EFT
_J I DE iii I I RETURN-AIR OPENING 0'-10 IS/16" RE'URN AIN
VIRT ICAL _ �- t278i ' O•_5 3,18' CMANN�L FOR 24V 0'- /1"
(1371 CONTROL WIRING 7
3. 9. I f* ------� 1221
RIGHT ^' _
1) / I I I 0'-2 9/16•
IC.___ _ _ _ �%/ 9 I 1651
1 - .-__�// (�A7IR,1I, CQol�a ENNSA All I SIDE
II r i/ IN ABAS[`'111M1 ' (SUPPLY-AIR I I'-S 3/4' v�l>IJw SUPPLY AIR A
I'-I/2' I / OPf NTNG I (4$11 r��/ 1'-33)/Ip'
16721 II(104,OM,007 I VCR
I I J
SEE EVAPORATOR --- - -- --_ I - C -- -_
II 0QA �VIEW A-A-+ COIL L -_
O'-57/16'
11391 ('
A -0977 5/a'
r;-�
CORNER
CONTROL Bpx ACCESS PANELFRONT IIEK A_
. '
0'-J 3/15 CORNER •C" 0'-7 1/4"
(781 (3C61 fell
[809] 6'-1 11/Is" '-S S/16' '-104j3/1
(IR72) - -1
-
0'-0 3/B" 1439.7 1274.6) 1103.2)
(744)A --- Y f 101 (FILTER AWAVSFI PANEL
CONTROL. BRA ALCE55 POAEC/SONpA41WIRE I . _ _ _ _..__
NE AALC EE 55 �A1IFF , , I
2'-1 I I/I6"
I ELECTRICAL I RFIURN-I 1652.51 HO 00 FILTER
01sco'!, cl AIR I /
' I.00ATP N i OPENING I -
EVAPORATCxI FAN MOtOrU I- - -� HDAI-
ELECTRIOHEATAND . r 2ONIAL 1 I I/4'
f �OWERACCFSS PANEL R -11'1�e• I SUPPLY-A IP' I 7" 61
1X01 LI 1 OPENING 1(177.81 1 OUtyI JF AIR--_ l
I I I NORIZONI AL
O -_-------- ._-_ 0 12061.71
FORK LIFT 81.0780'.5 -I IS/16: 0'-5 II/I6"
0'-7 1/4'DIA 1146) (658 61 (1+1,31
(571 OUI IOf SUPPLY AIR RFTUIN AIR
FRONT (IYP B PLACES) OF PANEL RIGHT S 1 DE
e f.TO. CONDENSATE DRAIN
10
PHONE 234 7331 OUR SERVICE DEPARTMENT FEATURES
S
7 DAY 24 HOUR SERVICE
---FAX 234-6852 EVEN DURING WARRANTY PERIOD
E HEATING & AIR CONDITIONING
i
SNC »5z RESIDENTIAL COMMERCIAL INDUSTRIAL
.onstructior Board Registration 1441 1421 S.E. HOLGATE • PORTLAND, OREGON 97202
,—&r "'` ��u�"''� AGREEMENT
QLOArGF_/�D�'(s( �I^l.! /✓L� _ _ -- __ Buyer(Phone) MV /M./ +,whose address i�
/?S flys s �✓_��113�/I'/_G //!✓✓t the following personal property to be installed at
__Zip Code 91 '-0 .—_Date
Billing Address __ ^—
We reserve the right to terminate this proposal within 30 days from the above date. JNU Z �q j Fri WD
Type of Other Installatkiit I
[I Manuf/Brand U)_. [t/�7P _ _ lAemove+dispose old equip. Cordensate I I Pump k4ravity
❑ Furnace ❑ Model_ _ U Customer keeping I I tiolecutting I I By homeowner
❑ Heat Pump L) Model _ Venting: i i To existing I I To liner I I Air cond.pa 1 1 Pea gravel hale
CI Water heater ❑P.V.C.to exterior Electrical bnehook only
❑ Air Conditioning Ll Model '� 1O�IDUy�_ Gas Pipe: Iiyifurn. I J Water heater I I From adequate panel
❑ CapacityO [-1 Blus Tons r I. Firepl A I_I Key valve I Plug for pump I I Plug for E.A.C.
Ci Range t 10.8.0. Other Fan Venting l_I Range
-Air System I Ductwork ,Comb.air: [_1 01 Needs more via _f I I Baths M
-
' t x' fh ostat K New I Dryer fl Laundry
r.�r_
f Modify existing ductwork to new furnace Reclaim Refrigerant Permits obs I I Homeowner
Modify new cooling coil to existing ductwork ❑ Refrfg.Ifne Ft.via___ Final igspection:
I Supply outlets n Fossil Fuel Kit fpNn towner to schedule
1 " —_ — =— — -- BASE INVESTMENT AMCLINT s ,�j
C7 Return grilles
."10 tions
❑HQNEYVVEL.L Thermostat
II HJNEY1VELL Air Cleaner-----
CI Flectrostatic Filter _
❑Gas Water Heater' D Gallons
F]Planned Malntenancd Agreement
,» El HEAT-N-GLOW Hreplace
j, _ U Carbon Monoxide Alarm
Eart quake Sensitive Gas Valve_
Alt of the above work to be completed for the sum of 3 dollars, with payment to be made as follows:
1/3 on acceptance,balance on Installation. 1000-0' ---
t
� __
Exclusions to the work above Include: thank you forgiving us this opportunity./sincerely hc;)e we can be of service,
upgrade of exst'g electrical system If found ingdequate IAtiestos abatement Respectfully submitted,Jacobs Heating&Air Conditioning
Cl Responsibility for exst'g debris in ducts vyVpgrade of exst'g ductwork insulation
IpIKerformance of exlting duct system -- Submin byw
0
------ ---- - - — — Sales naper
ACCEPTANCE
You are hereby authorized to furnish all materials and labor required to complete the work in ed in the abov praposal,fur which the undersigned
agrees to pay the amount mentioned in said proposal,and according to the terms thereof.This agreement shall become a bindin3 contract when signed
by sales manager.No work can commence until this agement and lien notice have been signed,Mail white copy to Jacobs Heating&A.C.
Dated 19__._. XBUYER _
ill
❑Terms of Payment:Met hanic to pick up check X BUYER
' - BUYER'S Rt;HT Of RECISION:The buyer(i)may,Ancel this transaction stony time prior to midnight of the 3rd business day of this transaction,Buyerw
�
cancellations after the 3dayright of recision shall incuracancellation penalty nttlessthan 15Ydthe total agDe
nmentamount against buyer for settees expenses.
u^rararw.,�C�i`rt. (r`4L•L 'tE
FROM : EMMERT INTERNATIONAL PHONE NO. : 503 655 3933 Jul. 14 1995 09:18AM P1
ANOMM
A#ER.r
` TINTERNATIONAL
DIVISION OF EMMERT INPOSTRIAL CORP.
11811 S.E. HIGHWAY 212, CL.ACKAMAS, OREGON 97015
PHONE(503) 6557191 FAX(503) 655.3933
TELE FAX MESSAGE
TO: 1 i ! FRom u
CO: DATE: f7 r�t g5
FAX# �' � � # OF,PAGES LIVCL UDnVG COVER,2--
RE: Aden house move
1. We are ohaa" ,g..the move date to JULY 23rd 1995
2. We have also changed the height from 15' to 15' 10"
_�We axe also nuving the detached garage on the same date (JULY 23rd) '
Please see attached additional permit. The Tout- is the same as the house.
We you have any questions please give me a call. I will call you on Nbnday
t-, verlfx the information, and find out when the permits can be picked up.
Sorry for any confusion. �I think we got it right now.
Thank you.'- I ! ! !
FROM : EMMERT INTERNATIONAL PHONE NO. : 503 655 3933 Jul. 14 1995 09:19AM P2
r
04/10,,95 15:59 $50:1 684 7287 (.1T.' OF TIGARD 2001/001
-� oVER�SILB LOAD PS MIT
CITY01" TIFARD CJTYOf RD Permit #:
COMMUNITY MVELOPMENT DEPARTMENT osrwi 1Lt)ao�e Oate:�_
,„�S*�wn a��a ae.mv,llprd��erm(smf sem•,rs
Item to be Mom:—._ 1 frame detached garage
Use or purpose of Item (If to be located in the City):
construction of Item: Wood
owarall Dinenfioge (Leaded an vehicle):
width: 246LK Height:_ 15'$” Length:_ 62 1.42n
Stem to be moved From: West of 18685 SW Vicent St naA«rr�n nR _
1:-em to !Loved To: 63 rnrsted r Wi 1smvil1gOR
Enact Route of Kove: go-e attar-
Proposed Date of Move: .T„lty?';" Proposed Time of Bove: 9:OOam
Tow vehicle: See attached
Year: make:
Fee: 5
OwneZ- Kent & Jackie Aden
Address. 6395-SW Hcrmsteader Receipt
City: �i1sonv e
State-. ego L zip: 97070
Phone: � 3 58()3 _ rats. re,.Le 1. l.saen n,eHeee to ebe fordatu..f
aa.tain.d La tbe :lgwxd K&*ULva7. gado. State .f
(loving 'Contractor: F^9mr_t International and .Il otb.r app.LLeabl. La... All -ark will
to fans La w=w* o. vtth t#. paaLvL OM et ta"
Address: 11811 SG:'�I�7y' peewit_ The. Lommmw of tU& y.wmLt 4 no .Qt
City_ .veAorirr the aXter.tlos, wvwseal or omdamoftmw2gt or
state: Dream _giP" 97015 _ eec.-i..e .wicce.atr.R.l.. �Id. v—w-W „air
Phone: .r p.else ..tasty_ rein pewit aswLawe ales dw
Contractors Board f 805 _,, Laesar..eea e°'a tate.
Insurance coulmay: (-}
(Current copy of an 1►�cm is-8 certificate of imourance met bin attacb")
Pormi.ttee
Approved by: _ Date:__`_ �_
cii,y OF 'ricf)RD RECEIPT OF PAYMENT RECEIPT NO. :9--R680614
CHECK AMOUNT s 36. 2.11
NAME s JACOJAS HEArINO & AIR CASH AMOLINT t 0. 00
ADDRESS n UONDITIONING, INC. PAYMENT DATE a 07/14/95
1421 SE. HULGATE SLVD SUSD I V I S I ON
PORTLAND OR 97;OP---
PIRPOSE OF PAYMENT AMOUNT PAID PURP0S)E OF PAYMENT AMOUNT PAID
M- 1-CSAN ICAL. PE MFC95--orP30 25. 00 ST. BUILD PER
Pl-nN CHr-CK FE 1a. 00
t
-V SW PACIFIC HWY
MORLAN PLUMBING
TOTAL AMOUNT PAID 36. 25