10797 SW 115TH AVENUE i
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MECHAN I CAL
r.M I CITY OF TIGARD PERMIT #. . . .
MLCcj"__j
COMMUNITY DEVELOPMENT DEPARTMENT DATE ILqUED. 06 1
13125 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)639-4171
PARCEL: IS134BD-49600
TE A D D R E cS 3. . . : 1071)7 SW 115TH A V E
3UBDIViSION. . . . : PENN LAWN ESTATES NO. 2 ZONING: R--4. 5
3LOCK. . . . . . . . . . : LOT. . . . . . . . . .24
"LASS OF WORK. . :ADD FLOOR TURN. . . . :
EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. VENT FANS— :
"')CCUPANCY ORP. . : R,�, VENTS W/O Ar'P'L. '.)ENT 5YSTE11'" .
,;'TORIES. . . . . . . . :
--i.TORIES. . . . . . . . . DOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL TYPES.—------- 3 HP. 7. 1 DOMES. INCIN:;
/ELE/
3-15 I.-IP. COMML. INCINt
i4AX IIqF,UT. BTU 115- 30 111 1-- .
R'EPA I R U 1',11 T
F1 FRE DAMPER—S7..: 30-50 HP. . . . WOODSTOVES. . .
(.]i--)S PRES�GURE. . . 30-F IAP. . . . rLO DRYERS— :
NO. OF UNITS---------- AIR HANDLING UNI TS OTHER UNITS.
FUIRN ( 100K BTU: 10000 c f m : GAS OUTLETS.
'-URN ) =10011 BTU: 1000121 c:fm :
'temai-ks : INSTALL RESIDENTIAL AIR—CONDITIONING UNET.
Owner-: FEES ---------------
-tOSANNA SCII14EITZER type amol.int by dale t•e C Fit
' 0797 SW 113TIl AVE PRMT 25. 00 OW 06/21/95
SPCT $ 1. 05 OW 06/21/95
_IGARE, OR 9722:`3
":'hone #:
cuy1tt-acto-:
OAROI-"E'N E`,t:.R3GY CO.
3975 SW 113TH
BEAVERTON OR 97005
F11--i-one 9 , 641-6410 26. "'S TOTAL
Reg 4314
REOWFIED INEPECTIONS
This permit is issued subject to the regulations contained i., the Mect'iariic-al IUSP
Tigard Municipal 'ode, State cf Ore. Specialty Codes end all other Final Ins pest ic)n
applicable All work will be be done in accordance with pplicable laws.
,pproved plans. This permit will expire if work is not st.-ted
,Ahir, 180 days of issuance, or if work is suspended for more
:han 1612 days.
CC et-Inittee SigTIEtt1_k1'e .*
ssi-ted By -. �JA
Call for inspect .ion639-4175
MY 1 Y OF T I GARD -• RF-C,l..I F,T OF RE:CF I PT NO. :95--P.67 i 09
CHECK W-10UNT
NAME: a :0ROKCN I.NF=ROY CO. , T NC. CAstA fWoulV 1 00
AiJt.1RESS a 3975 SW t I I TH PAYMENT DATE a 0(,/21/9`'i
8!"(`4VI RTC)N, 00 FlusD I V I S I ON o
97f1105--
PURPnf-:iF. OF PAYMENT 01,10UI IT PAID PURPOSE (1F" PAYMENT AMOt.I O T PIP I D
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MEC:HAN I C 11L. VIE MFC,9,5-01 c-P Ps. 00 ST. N-I T t.D PER
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10797 5W 11 TIA AVE
1'C)T' It AMOUNT PAID - _ > 26. 25
City of Tigard MECHANICAL PERMIT Planck/Rec. # ,_�
13125 sw Hall Blvd, APPLICATION Permit # f�-�,�--ol�Z
Tigard, OR 972.23
(503) 639-4171
N."° escription
Tab:e 3A Mechanical Code CITY PRICE AMT
-
Job /Q 79 � 5 &e• 1) Permit Fee -0- -0- 10.00
Address
i GtrcLU r? rf 7 23 2) Supplemental Permit 3.00
me iv n me° aFurnace to 100,000 BTU
Ru Senna a. 1) incl. ducts &vents 6.00
�• Furnace 100,000 BTU+
Owner /V of 7 .$� 115 �-� 2) incl. ducts &vents 7.50
oorurnance
3) incl. vent 6.00
°'^�^•° Suspended heater, wall heater
Sam P_ 4) or floor mounted heater 6.00
Occupant �. Vent not incl. in
5) appliance permit 3.00
�• Repair of heating, re ng.
6) cooling, absorption unit 6.00
^• (� _
Boiler or comp, heat pump, a r con .
7) to 3 HP; absorp unit to 100K BTU 6.00 �Q
"q • oiler or comp, Neat pump, air con .
3ei`1 - � -O3W 8) 3.15 HP; absorp unit to 500K BTU 11.00
Contractor „• " Boiler or comp, ea .
pump, air cnn
e et. 1,17601::)- 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
•'• "• rn(ro
Boiler or comp, heat pump,-57r con .
10) 30-50 HP; absorp unit 1-1.75 ml(BTU 22.50
hereby acknowleage that ave read tis application, that the tiof er or comp, heat pump, air cond.
information given is correct, that I am the owner or authorizes 11) >50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are In compliance with Air handling un of
State laws, that I am registered with the Construction Contractors 12) 10,000 CFM 4.50
Board, that the number given is corre.-A. (If exempt from State Air han ing unit
registration, please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4,50
Vent an connected
15) to a single duct 3.00
- en i a ion system no
16) included in appliance permit 4.50
aw.u. —d•o•nt) Hood serve y
17) mechanical -xhaust 4.50
Describe work newRq aG i ion alteration reps r Commercial or Industrial
to be done gsid ntiainon-residential O 18) type h-inerator 30.00
Existing use o_ Other .e., woodstove, water
building or prope,ty 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) Mc,e than 4-per outlet
ic- Type of fuel-oil Q natural gas Q t.PG 0 electric
�n
CE
Minimum Fee $25.00 SUBTOTAL 5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORI2:F.D IS NOT COMMENCED WITHIN 180 DAYS,on 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR I ��
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL G �7
Special Conditions _
Date IaatredLn t L I I by
w
wMEar ���"'TTT
aaAewnfw
I TY -IF T T r3f
4Rf) f'?r,'C(7 I J:) CO.. f 01 1,4[ t4-1 P1'-.U-FtPT NO. .05-4,669'(1r,
AMOUNT a "if-," 7;
HEBV:Rl_-E EL,ECTR f COSH AMOUNT Q. QA 0
G! a 1 )610 SM ITplfi O )ENt."'. PAYMU'-N r DATV 06 1.9/911
TIC301M, OP. SUAD T V 19 1 ON
OP PAYMr-WT 0MOLINT PPID FIURC-h9F. Of PflYME-NT (IMOUNT PAID
I'A"EFFiftAL P.F.RMTT 5. 00 F',T. BUT,[ ') PER 1. 75
0,717 fl;W I 15TIA 10)i..
I ii f AL ANOINT 1710M 75
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: :M-4171
Inspection: &t )_ 10 _
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 -Mach.
Underfir. Insul. Shear Wall Gyp. Bd. lect.
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Date Requested: Zu?7 t��_l ince: AM PM
Address. / 7 47 7 //' S- Y-tL
Builder: S-4-� L TJ Permit #: FzC if,S —O06.�_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: !
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
--Cali 1'or Reinsp. 5c7A
CITY OF TIGARD BUILDING INSPECTION NOTICE )
Inspection Li.-* (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection; G/ (- 41 d - —_
Footing Susp. Ceiling Sprink. Rough-in Anpr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Scruct. Plbg. Top Out Elec. Rough-in `E_bAL
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mac
Urderfir. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested:_ 2 Time:�AM PM
Address:_ 7f 7 ZU
Builder: �-r -. /a J Permit #:NzJ c9s= d/92-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins,jeccttor. Date:
`'APPROVED `DISAPPROVED APPROVED SUBJECT TO ABOVE
_,Call For Reinsp.
WASHINGTON COUNTY
tLECTRICAL PERMIT
Department of Lar:'+ Use &Transportation +'
Electrical inspectiont APPLICATION
P P LI`•✓ATI O 1 V
155 North First Avenue,,t350-12
,t350-12
Hillsboro,Oregon 97124
information: (503) 640-3470 Fax: (503) 693.4412
OL.EA.§E PRINT
Permit
• Number SLG �jS OD(�Z Date
1. L,)cation of installation �,� A •4. Complete Fee Schedule below
Address 10 7!-7 Z>�_ 1,%�_ f� _ Number of inspections per permit allowed
BuildingService included:_ Items Cost ea.
City���__ Suite No. Cost(ea.) Sum
Tenant Name A. Residential-per unit
r (if commercial)
1000 sq.ft.or less _ $110.00 1
Each additional 500 sq.ft
Map No. Tax Lot _ — -- or portion thereof -- $25.00
Thomas Marl Book: Page: . ' Section: G _ Limited Energy —_ $25.00
Each Manuf'd Home or Modular
Directions _— Dwelling Service or Feeder $68.00 —_-_._.__._—_ 2
B. Services or Feeders
Commercial Residential Installation,alterations or relocation
200 amps�r!e" $60.00 2
2a. Contracf,or i .stallation only: 201 amps to 400 amps $80.00 2
401 amps to 600.amps $120.00 2
Electrical Co tractor X� . �t -L 601 emps to 1000 amps $180.00 2
--
Address l Iw �"r r_ .�
Over 1000 amps or volts _ ,. $340.00 ____... 2
City _ State-U 21P Z__S Reconnect only _ $50.00
Date L-14. -4 Job Number
Property Owner J"4- SZ] L)�T'LJ✓ 3"7� C. Temporary Services or Feeders
Contractor's License No. 13111CI Gi kistallation,alteration or relocation
Contractor's Board Reg. No, y L 24 1 _ 200 amps or less $Fa.00 _
c `I 201 amps to 400 amps _— $75.00 2
SignLicese No. ,c•rte S_ Phon 401 amps to 600 amps _ $100.00
Signature of Supr. Elec'n � n Over 600 amps to 1000 volts see"B"above
I - --5 Z II-
1). Branch Circuits
2b. For jwnr r installai ons:` New,alteration or extension per panel
Q ZS6'D al The fee for branch circuits with
r nt wne s em�Fl a Phone No. purchase of service or feeder fee.
Each branch circuit $5.00 2
- p h) The fee for branch circuits without
purchase of service or feed ►fsa. ��•
7)P First branch circuit $35.00✓ ' _
Each add'nl branch circuit $5.00
The it(stallation is being made on propel ty 1 own E. Miscel,aneous (Service or Feeder not included)
wh;--h is riot intended for sale, lease or rent. Each pump or irrigation circle $40.00
Ownvr's Signature Each sign or outline lighting $40.00 _ 2
Signal circuits)or a limited
energv par iel,alteration
3. Plan He;riew section if required) ore%tension --_ $40,00
Please check apprc priate Item and enter fee In section 5B i F. Each additional Inspection over the allowable
z
_4 or more residential units in one structure in any of the abovr.r ,r inspection $35.00
N _Service and feeder. POO amps or more Per hour _ -- $5500
_System over 600 volts nominal In Plant $55.00
Classified area or structure containing special
occupancy as described in N.E.C. Chapter 5 5. Fees _
f Submit 2 sets of plans with appllcatloo where any of the A. Enter total of above fees $ 5�0
wabove apply. Not required for temporary construction 5% Surcharge (,05 X total f .es) $ (s�
_jservices. Subtotal $
This permit becomes null and void If the wonh authorized by the permit is B. Enter 25% of line A for
not commenced within 180 days from date of Issuance of such permit or Plnn Review if required (Section 3) $
if the work authorized Is suspended or abandoned at any time after work Subtotal $
Is commenced for a period of 1130 days. Electrical Permits are non-
refundable and non-transferable. F1 Trust Account
For Inspections call Balance Due $ ' -7 4o� ~
681-3699 or 681-3698 -----
24-hour recorder, one working day In advance of need
HL28 - 3199
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box "3::97
Tigard, Oregon 97223
Phone: 639-4175
Typ• of Inspection 'A�f .
Date Requested,_ 7 TiA.M. / P.M.
I
Address �,� 2 7" —��—r- 277
Permit
Owner a Lot #
Guilder 1
The fdbwing Building Code deficiencies are required to be corrected:
!' G
a
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_.1
W
W
Presented to ❑ Approved
Inspector ,_ P
d '-Disapproved
Date —8 7-
CALL
CALL PORR REINSPECTION
&I YES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
fuf
P.O. Box 23397ff, Tigard, Oregon 97223
✓ f�. Phone: 639-4175 'j
Type of Inspectioci _ l
—r —
Date Request"d _ me `�A.M. P.M.
Address _-_ i 1Permit
Owner _ _ - ._.__ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
u.
�7
C7 -
W
Presented to [7 Approved
Inspector ✓ [l Disapproved
Date
CALL FOR REINSPECTION
0 YEs C7 NO
CITY OF TIGARD BUILDING INSPECTION NOTIr.:E
Inspection Line (Rec-O-Phone): 63,99-4175 Business Pho:,e: 639-4171
Inspection: (�/�i'1 l� °'Yle-
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 _ine Bldg. x'
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. lect
Date Requested: G �; ? I� _Tim' e:-4AM PM
Address- C 72 7
Builder: L l� CJ Permit#: C y GCUCe
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a.
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V�
F: Inspector: _ Date:��/
/LAPPROVED DISAPPROVE ) APPROVED SUBJECT TO ABOVE
LU `Call For Reinsp.
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