14905 14911 14917 14923 SW 106TH AVENUE �N
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PERMIT
CITY OF TIGARD PERMIT 4 . .
. . . . . . MEC96-0334
'COMMUNITY DEVELOPMENT DEPAR*rMENT DATE ISSUED:
13125 SW Hill Blvd.Tigard,Oregon 9722348199 (503)1,339-4171 PARCEL: 071300
Z.-JW 10 -TH OVE
SUBDIVISION. . . . : LANG PILL 140. 2" ZONING: R--12
S!...nrK. . . . . . LOT. . .. . . .
CLASS OF WORK. . oALT FLOOR rURN. . . . 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . . 0 VENT FnNS. . . - 0
OCCUPANCY Grp. . : R17 VENTS W/O CIIIIPL: Q1 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 SOILERS/COMPRESSORS MOODS. . . . . . . : 0
0-3 1,: 0 DOMEC-. INCIN: IL
: /GAS/ 3 -15 [Ar'. 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 175-30 11P. . . . : it, REPAIR UNITS: 0
r-TRE DAMPERS''. . : 30-30 H'. . . . 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ 1-1r. . . . 0 CL.O DRYERS. . : 0
1\10. OF AIR HAND'-INC UNITE, OTHER UNITS. : 0
PORN ( 10OR BTU,4 1 10(1100 cfql .. 111 GAS CUTLETS. : I
TURN ) =iom B"ru: o 10000 cfm : 0
;'einai-Ks : Install gas fliv-nace A piping.
3vqnev,: —.- - FEES
POP BEPLJDPY type amo'.tnt by date r-ec:pt
17, SW 106TH PRMT $ OT-5. 00 DRA J.0/01/96 96-284564
5rCT 1, '.. '.-25 DRA 10/1711/1)6 9G-2''134504
V1 WARD OR 97224
'"'hone
7NERGY MASTERS
7470 SW 76 TV-1
"'ORTL.AND OR 97c-'2'4
!"'hone it -, ;'2'/44-8080 R "16. 25 TOTAL
?eq 05Wi56
REOUIRED INSPECTIOW7,
this permit is issued subject to the regulations contained in the Mec4hAnical Insp
Tigard F--ricipal Code, State of Ore. Specialty Codes and all othhr Final Inspec.-tion
applicable laws. All wzrk will be done in ac:ardarcp with
approved plans. This permit will expire if work is not started
i,ithin 18e days of issuance, or if work is suspended for more
thar let day 5.
e v-m i t t e ".iiqi t1-tl'e :"J
ti
CIO
LO Call for inspection 6339 417 "
CITY OF TIGA RD BUILDI INSPECTION NOTICE
Inspection Lnu 639-41-5 Business Phone 639-4171
Footing R,Jn Drain Cover/Servire FINAL:
Fowrdation Water Line Ceiling -Plumb.
Post/Beam Mech. Sheat/Sheath Framing -Meeh.
Plbg.Und/Flr/Slab Plbg lop(dui Insulation -Elect.
Post/Beam Struct. Mer.h. Rough-in Gyp. Bd -Bldg.
San. Sewir Gas LOP Appr/Sdwlk Reir,s.
Other: __—
Date: . l A.M. P..M�. _ Entry:
-,Tl-k,
Address: `� _1 (o r"kt _
Tenant: Ste: MST:
BUP:
Con/oww :_�e_39 (1,N.�� MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
_
iL
Y
l:
InspectorW( S t s u e Date:
APPROVED DISAPPROVED/CALL FOR REINSP� C CO�
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service
Foundation Water Line Ceiling -Plumb.
Post/Beam Meeh. Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg. 'Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other
Date: _1 _ �- A.M. P.M.__ Ent
p/ _
Address: _—_ —./_I_Z7 S?_!%.._�D� —_—
Tenant: �' Ste: T:
�e: MS
Con/ w : -_L y y ��� �1�L BUP:
-- P1 ;JI:
ELC:
THE FOLLOWING CORRECTIONS APE REQUIRED: ELR:
II
Inspec _ Dater
(f _ PPR 0 ___DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTIC
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Sei:,ice FINAL:
Foundation Wate;Line Ceding -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meth.
Plbg.Und/Fir/Slab Plhg. Top Out Insulation <jo
POSVBeam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Ga,. Line Appr/Sdwlk Reins.
Other: ___
Date: ���-.Z1_1-1�— A.M�—P.M. Entry:___
Address: � ?
Tenant: _ _ _—_ Ste:_ MST: _
-y� A � BLIP:
Con/Own: Y. ___ MEC:
--- PLM:
YC> '�� ELC:
NG
THE FOLLOWICORRECTIONS A E REQUIRED: ELR: ._
RC1-Qy� /-�iy7G-• -- --------
CL
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J
Inspector, - Date:
APPROVED ISAPPR('i'v FD/CALL FOR PLINSP. CF CO
10
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MOUN I i2rn.
NOME t Fitlh RGY I L.PI NL CASH AMUUN F 0. I/io
MWRLM, 1 7470 r-0.4 C PAYMENI DAI E 10 01
POPTI ANCI C.IP �.4ULAD I V IS ION
PAlD I 'iLlYll I L-.Wl AMOUNT I,Pjr)
OL I L to I-'!- f
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7 11W 111161`II
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Flan Che #, /<t
CITY OF TIGARD Mechanical Permit Application Recd By ' / _
13125 SW MALL BLVD. Commercial and Residential Date Rec'd_h'
TIGARD, OR 97223 Date to P.E,111C�
(503) 639-4171, x304 Date to DST
Print or Type Permit#
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
15 g F) Table to Mechanical Code CITY PRICE AMT
.lob Street Addreu T i} Sua°a A) Permit Fee 0 -0- I 10.00
Address Iq�� l� S.W• IU<<�
Bldg# City/State zip B) Supplemental Permit 3.00
1\L4)1/(D on, 0-722 1 _
Name(or name of business) 1.) Furnace to 100,000 BTU / 6.00
Owner ,06 5IFo"C-)! incl.ducts&vents / L
Mao Address Thf" 2.) Furnace 100,000 BTU+ 7.50
1-A I- S,c� lO� incl.duc'.3vents
cityistate Zip Phone 3.) Floor Furnace 6.00
-t� qA (n r o(/. Cf�2 017-704/ incl.\ent _
Name(or name of business) 4.) Suspended heater,wall heater 6.00
or floor mounted heater _
Occupant Madu�q Address 5.) Vent rot incl.in 3.00
appliance permit
Cdy,Siate Zip Phone 6.) Boiler or comp,heat pump,air cond. 6.00
to 3 FSP;absorp unit to 100K BTU
Nang7.) Boiler or comp,heat pump,air Gond. 11.00
E -Y1 �T`
rff ? ik 0, 3-15 H";absorp unit to 500K BTU _
Contractor Med Address Tf, 8.) Boiler or comp,heat pump,air Gond. 15.00
rq 5 w' 7 15-30 HP;absorp and 5-1 mil BTU
Attach copy of Buts Zip Phone 9.) Bo-ler or comp,heat pump,air cond. 22..50
Current Lirp.nses t-I D Of � 'f�� ?j Z44-60) 30-50 HP;absorp unit 1-1.75 mil BTU _
OregonConst t Board Lic# x�at� 1 n) Boder or comp,heat pump,air cond. 37.50
> _ >50 HP:absorp unit 1.75 mil BTU
Cor Bu rax a Mgro# Exp.Date 11.) Air handling unit to 4.50
fti�P / r s�6, SQ 10,000 CFM
Architect N8"i° 12.) Air handling and 7.50
10.000 CTM+
or Mailing Address 13) Non portable 4.50
evaporate cooler _
Engineer rc-lty/slale Zip Pnone 14.) Vent fan connected 3.00
t3 a single duct
Descnbe work New O Adf rt,on O Alteration Repair O 15.1 Ventilation system not 4.50
to be done Residential O Non-residential O _ included in appfance permit
Additional Description of work 16) Hood served by mechanical exhaust 4.50
17) Domestic incinerators 7.50
EA sting use of o � 18.) Commercial or industna!type 3000
budding or property _ __ incinerator
19) Repair units _ 150
Proposed use of - I '20) Woodstove 450
building or property _
21) Clothes dryer,etc 450
N Type of fuel-oil O natural gas'�, LPG O electric O 22) Other units 4.50 �f
I hereby acknowledge that I have read this applination,;hat the 23) Gas piping one tc four outlets 2,00 -✓ 0 O
-.1 atfom ation given is correct,that I am the owner cr authorized agent of
1:13 the uwner that plans su mrttcd at+in compliance with Oreton State 24) More than 4-per outlet (each) 50
laws \ n,
LLI � ,., Gj - �- 1 _
An
J Signature o llvvner/A ent Date vQTY.SUBTOTAL
�Q 1r�N �jI �°� -Il el�t5c 'SUBTOTAL
Cot ct Person Name Phone 5%SURCHARGE
PLAN REVIEW 2°.%OF SUBTOTAL
JT TOTAL ,
I 1dst"echpmt doc (rev 7196) *Minimum permit fee is S25 *5%surcharge
- F TIGARD ELECTRICAL PERMITCOMMUNITY DEVELOPMENT DEPAR FIENT RESTRIC'�CITY OEl) ENERGY
13126 MHall Blvd.Tigotrd,Oregon 97223*8190 (503)o,o-4171 PERMIT 4- ELR96-0152
DATE IS- : 05/13/96
PARCEL: 10AD-07200
SITE ADDRESS. 14923 SW 106TH AVE*-
SUED I V I S I ON. . . . LANG H I LL NO. .::' ZONING: R--12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . :64
P',,oject Descr-iption :
----------------------------------------------------------------------------------- -----
A. REST DENT I 1*-)L----------- B.
AUDIO & STEREO. . . - AUDIO & STEREO. . : INTERCOM & PAGING. . '
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/I RR I GAT. . .-
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . .
1AVAC. . . . . . . . . . . . . . DATA/TELE COMM. - : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE AL-ARM. . . . . . : OUTDOOR LANDS " Ll 'E-
OTHER: H V CjC. . . . . . . . . . . . . PROTECTIVE SIGNAL.
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: 0
Owner: FEES
NANCY PETTIT type amol-tnt by date r'ecpt
1491 '3 SW 106-TH PRMT $ 40. 00 CJS 05/13/96 96-279•.3`.)
5PCT $ 2. 00 CJS 05/13/96 96--279289
1*JGARD OR 97224
Phone #: 503-639-4031
Cont r,actor:
BRINKS HOME SECURITY $ 42. 00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Wall Cover- El-ct' l Final
Phone 0: 502'.-641-05/4 Elect, I Service
Reg #. . : 44421.
This permit Is issued subject to the regulations containr.l in the
ligard Municipal Code, State of Ore. Specialty Codes and all other Pet-mitee Signat i.il,,le
applicable laws. All work will be none 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. ISSued By
OWNI;=R INSTALLATION
Che installation is being made on property I own which is not intended fot-
CL sa 1 e, lease, or rent .
OWNER' S SIGNAIURE: ....... DATE:
M,
Ln ----------------CONTRACTOR INSTALLATION
SIGNATURE OF c
SUPR. ELEC' Nz DATE- 5 13- 9A
(M 1--ICENSE NOs
U)
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Call for, inspection 639--4.175
i
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1 .114•.1;4�Y fll'�11u.I1Vl m •►�'.. �'
NAME-: a c-'r.:I I I I , NI1t'll. Y + 11:,4 I 411,1111 IN 1 a 0. Wid
1•IDDHER, c%V) IkA(, I t IIVI I'tt'YPH I'I l 1+111. s �y .�i 1,+� ':rf.
( TI 44111) fm I V 1:,I1 I11 y
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A Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13)25 SXA/ Hall 31vd.
Tigard, OR 97223 PERMIT# CLR
Phone (503) 639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY Chir-_1c� .Sc hrn:
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address RESIDENTIAL—Restricted Energy Fee . . . . . . . . . $40.00
WOR At L SYSTEMS)
City JState lip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
tettDAYS. Burglar Alarm
Garage Door Opener'
2. CONTRACTORAPPLICATION���� � "(4
❑ Heating,Ventilation and Air Conditioning System'
C tree or ype ❑ Vacuum Systems'
o ❑
Address Other_��'y� �t __.
Date COMMERCIAL—Fee for each system . . . . . . . $40.00
(SH:OAR 918-260-260)
Property Owner Q _ QvAA Typr,of Work Involved:
Contractor's Board Reg. No. ❑ Audio and Stereo Systems
❑ Boiler s
Phone# (Q ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER P PPLICATION
❑ Fire Alarm Installation
❑ HVAC:
Print Owner's Name Phone No
❑ Instrumentation
Address – ❑ Intercom and Paging Systems
❑ Landscape Irrigation C.-)ntrol'
City State Zip ❑ Medical
This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy instalk;Ions(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following
1. Only use electrical licei. •d persons to do i-stallations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other v_
asterisks(•).All others need(IcensinR).
2. Call for an inspection when all of tine;nstallatlons ender this permit are wady
for inspection at 503-639-4175.
❑ Number of Systems
I Purchase separate permits for all installa!ions that are not ready for inspection
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations
4. Assume responsihility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the S. FEES
corrections are completed.
f The person signing for this permit must be the appli.:ant or a person a. Enter Fees $__�y
,ruthr,rirnd to bind the applicant.
b. 5% Surcharge (.OS x total above) $
Signature , TOTAL $
Authority if ether an app
lirant
FNERGAP.CHP
2 OW �a ,1tsPECTzoN NOTICE —
City of Tigard Building Depaxlmwt
13125 811 Ball Blvd. Tigard, Oragoa 97223
Inepec n L ni (Roc--O-Phone): 639-4175 Busineas Phon 6 -4171
s G eCy.:,c
Inspectiont
Footing Plbg. Underelab h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ? Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg,
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. nndertloor Watvr Line Gyp. Bd. -Hoch.
Date Requeetodt y 2 / Time:- AM PM
Address: /7 �L�� /U[Y ! Permit
Etuilderl � �
THE FOLLOWIPA CORRECTIONS ARE REQUIRRDs
A ,C
L
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�7
Inspect rs ��
Date I
APPROVED DISAPPROVED APPROVWD SUBJECT TO ABOVR
Call For Reinnn.
CITY OF T I GARD - RECF I PT UV PAYMFNT REMPT NO. 03-240546
CI-tE m AMC]UNT c 6. =:5
NAME s ENE:.RUY M(V3TE_RG CASH C1MOUNT s 0. 00
PDDRfyr s PAYMFN'. DATF s 05.1E6/93
SUADIVI5111N
i
o I PURE'I:I' E OF PlrWllFN"F AMOUNT RAH PUPPOSF OF PAYMENT AMOUNI^ PDATD
a
(A MH.C:HAN T(:Cal_ f'f_ 25. 1r0 ST. BU 1 i_1) PER 1. 25
J
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14923 5W 1 -1G P I
TWAL. AhIO'_!NT t',nT.C? L5
CITY' OF TIGARD
Cti, WINITY DEVELOPMENT DEPARTMENT
'3125 L r all Plyd.Tigard,Oregon 97223.6199 (503)639-,s171
;+H 01
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