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7665 SW FIR STREET :.;��.. .� ,. _: _. ..__......:.......1 ..'.:.d .. .irw :..,1.I ...��:.„,..,_, :,.:., a.:,�+ .I M� ^ 3kst'vv.Wr:�a�lYi+rww:.�'w.eE.Ad.F a.Mvi.i'. .. _,.-..�.9.If�lkia� 4u.4wc�}•,,A.c�.i�i.nC:W'.�;.'��4'.i'w#.�w`w'.:.:....: J �yI F i 1665 9W FIR ST "s CITY OF TIGARD BUILDING INSPECTION DIVISION MST z4-Hour Inspection Line: 639-4175 Business Line: 6394171 �j BUP Date Requeste i / _AM PM _ BLD Location lti� �iY `;� T- Suite MEC 2C,7C 'ZED Contact Person _ -3 Ph _ PLM Contractor 1'I' UPh w 2 7 SWR --- BUILDING Tenant/,Jwner ELC Retaining Wall ELR Footing Access ~� A 1 Foundation L°-yj Ftq Drain rr Z•>[4.I ;YC. _ IS FPS - - Crawl Drain Inspection Note: 1 , SGN Slab - - ----� tik�'L .C1 (�v .c-1 SIT Post& Beam �/ —t ---- -� Ext Sheath/Shear0�1 47 Int Sheath/Shear _ Framing - Insulation /� Drywall Nailing - � /�.�' si ��-It- Firewall ` _— - -- --- -- F irewall Fire Sprinkler Fire Alarm -- -- _----�_ --- Susp'd Ceiling Root ----�.—---- Misc: - ---- --- Final -- PASS PART FAIL --- - - ----- - PLIIMBiNG Post& Beam ------ - - - ------ -- --- Under Slab Top Ota' -- - — Water Service Sanitary Sewer Rain Drains Final PAST PART FAIL L Smoke Dampers --- ART FAIL IEL RICAL. ---� — — ----�_— Service Rough In � y — UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading '— -- ---— Sanitary Sewer Storm Drain [ ]Reinspection ice of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Lin. [ ]Please call for reinspection RE: —_ _ _— [ ]Unable to inspect-no access ADA Approach/Sidewalk �t_jj_C� prOther Date41 Inspector �„Z Ext Final PASS PART FAIL DO NOT REMOVE this inspectilon record from tke jab site. ":TY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 .-- BUP _ -- Date Requested '' ''r t,— _ —AM----PM -- BLD Location- �U�i S ,�� t r _ — --� Suite MEC Contact Person Ph PLM _ Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspertion Notes. ------ Slab — SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear - - Framing Insulation Drywall Nailing Firewall Fire Sprinkler __.-.--- Fire Alarm Susp'd Ceiling — —� -------- Roof Misc: ----- Final ^ PASS PART FAIL - PLUMBING Post& Beam ---- - --- '---- Under Slab TopOut -----------------------_-_ --_ ____ — _------- Water Service Sanitary Sewer --- _- _..- -_--_-- ---------- _ _. _ Rain Drains Fina! ---- ---- — PASS PART FAIL N AL� Post& Beam - -- - -- --- -- ------ Rough In Gas Line - ----- ------------ S Dampers AS PART FAIL R I C A L - --- -- .. ---- Service Rough In UG/Slab _------------_-_— ___-- _-_ Low Voltage Fire Alarm Final - - - - - PASS PART FAIL. -- -- _-- _.- -_-- ---- ___-- SITE Backfill/Grading — - ----- -- — Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ Please call for reinspection RF — ( ]Unable to Inspect-no access Fire Supply Line -- ADA / - I L Approach/Sidewalk Date I `�_I lnspa,ctor___ Ext Other _ Ficial PASS PART FAIL 00 NOT REMOVE this inslection record from the job site. Gl"Y OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Insprrc ion Lire: 639-4175 Business Line: 639-4171 BUD Date Requested � ____AM PM BLD L.ocat+on i'/S� S�^! �__'j —_ _ Suite MEC Contact Person Ph >�. �� S� �!( PLM Contractor _ Ph SWR 6UILDING^ Tenant/Owner _ y ELC Retaining Wall — ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Note; - – Slab — -- -- --- ---- — SIT Post& Beam --— — Ext Sheath/Shear Int Sheath/Shear Framing — - -_ -- �— Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - --------- -- _ -- Roof ---- --- __--- ----_- Misc -. — Final PASS PART FAIL -- PLUMBING Post&Beam Under Slab Top Out Water Service. Sa'lltary Sewer __-- Rain Drains Fin-I — ---- - PASS PART FAIL MECHANICAL Post h Beam --- Rough In Gas Line ----- -- - - - -- Smoke Dampers Final ------- — PASS PART FAIL �r- Service i Rough In UG/Slab Low Vollaye - - --�-- __---� Fir arm -- S;AES!S�'_j1AQT FAIL - - --- ---- — - Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$--__�required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Si apply Line [ ]Please call for reinspection RE:—_ _—] ( I Unable to inspect-no access ADA ApprOther Date Datey L Inspector I ke, Final -� PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION 'DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MS i - - Date Requested____�52,-----,AM.—PMBUP -- ----- --- _ Location G j� Sy. /✓ BLD Suite — —� -- - _ MEC Contact Person _ Ph J7 �`7 yli/ � PLM Contractor Ph _ SWR BUILDING Tenant'Owner ELC — Retair-Mg Wall — FootingELR Foundation Access. Q h F - > 72 w 0� ---- - F,g Drain FPS _ Crawl Drain Inspection Notes SGN Slab Post& Beam - --- - -_ --______ --- SIT _ Ext Sheath/Shear -' Int Sheath/Shear _ Framing Insulation Drywall Nailing Firewall — ----- -- --- _ __ Fire Sprinkler — - Fire Alarm —--- ----- ..-_ — — Susp'd Ceiling Roof Wsc: Final PASS PART FAIL. ` LUMBIN Post& Beam -- _— Under Slab r~ Top Out ---- ''`" w ✓1 S/ a_ Water Service Sanitary Sewer —` Raim.Dr-:jins 'e A- ci -- S PART FAILblE,CIANICAL — Post& Beam Al Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL — Service J Rough In _ UG/Slab Low Voltage `�- Fire Alarm Final -^-�- ---�- PASS PART FAIL SITE Backfill/Grading - - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before nbxt inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspecticn RE: _ [ J Unable to Inspect-no access ADA Approach/Sidewalk _ oOz / S/ ' Other Date !�Z[nspeetor, Final _Ext PASS PART FAIL DO NOT REMOVE this Inspectic;;j from the job site. CITYOF TIGARD PLUMB114GPERMIT DEVELOPMENT 1,3ERVICES PERMIT#: PLM2001-00175 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/27/01 SIVE ADDRESS: 07665 SW FIR ST PARCEL: 2S101 UB-00609 SUBDIVISION: ROLLING HILLS ZONING: R-3.5 BLOCK: LOT: 017 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE- SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of c;as water heater. _ FEES _ Owner: - —' -� — Type By Date Amount Receipt GUTHRIE, GEORGE DEREK + DOLORE PRMT CTR 4127/01 $75.00 27200100000 7665 SW F!R ST TIGARD, OR 97223 SPCT CTP _ 4/27/01 $6 00 27200100000 Total $81.00 Phone 1: Contractor: T & K MECHANICAL 20565 SW TV HWY#346 ALOHA, OR 97006 REQUIRED INSPECTIONS Phone 1: 09/30/00 Final Inspection Reg #: LIC 121165 PLM 34-319PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: � � ' 1 �_ Permittee Signature: �� Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Plumbing Permit Application Datereceived: ! ,7- n Perndtn000l/yam/0 /i City Of Tigard Sewer permit no.: Building permit no. Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 // Project/appl.no.: Expiredate: Fax: (503) 598-1960 ��! Date issued: By eceiptno.: Land use approval: Case file no.: Payment type: CA 1 &2 family dwelling or accessory U Ctrnuncrcial/industrial U Mulli-lamily U Tenant improvement U New onstruction U Addition/alicralion/replarcnurtt U Food service U Other: .10.11 SUIT"INI 01111 k I ION FE.E information u%e check I-t) Job address: "1 LD w �'t Descrl Non Qt . Fee(ea.; 'Total Bldg.no.: _ _ Suite no.: New 1-and 2-family dwellings only: Tax map/tax lot/account no.: I 1 C)6• C)0 CD(> (includes 100 R.for each utility connection) SFR(1)bath Lot: _- Block: Subdivision: SFR(2)bath --�-- Project name: SFR(3)bath City/county: T, C�qr W ZIP: Each additional bath/kitchen Description and location of work on premises: e�q s krA<4 Siteutilitles: 7_ !/7czf'. Catch basin/area drain tAd te of completion/inspection: Drywells/leach line/trench drainFooting drain(no.lin.fl.)Manufactured home utilities :s name: r w �Q C h G n i Lc Manholes s: aQ; leS 5w T I�w.� c Rain drain connector (a►� State: ORS ZIP: -�`l Lj0 (C Sanitary sewer(no.lin.ft.) - Phone: -35 l 4tr Fax: tie,zo' a I s E-mail: Storm sewer(no.lin.ft.) CCB no.: 1-LI t to 5 I Plumb.bus.reg.no: Water service(no.lin.ft.) --- - City/metro lic.no.: y-ja lr y z^ZG Fixture or Item: Contractor's representative signatAbsorption valve - Back flow preventer Print name: A l� ..c, V, Date.%4- -a-i- o I Backwater valve -- Basins/lavatory Name: q L'.r,4 W H n n Clothes washer Address: mac,5 T" v N w 3 Dishwasher _City: P,l0 6� _ State:oea ZIP: rl,-1 obu Drinking fountain(s) i'hone: cr ly Fax: rria tis15 j E-mail: Ejectors/sump Expansion tank RW Fixture/sewer cap Name(print): ; `�r ,�� V {h ILr i .Q- _ Floor drains/floor sinks/hub_— --- - Mailing address: garbage disposal t •;� r � t:' r S� Hose bibb ~— City: -j i c c,.� State: 0a ZIP: r-' Ice maker _-- Phone: Fax: E-mail: Interceptor/grease trap (honer instal lation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(cotttmercialj employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),WOO Owner's signature:_ Date: Sump Tubs/shower/shower pan — Name: Urinal --- --- _ Water closet Address: — _ — Water cater City: _- !ate: 7_IP: Other: -- Phone: �=Enrail: - Total Not all juriutictions accept credit cards,please call jaristlictim for more niforrnatiooNolicc:'llus pcl.art application Minimum fee................$ U Visa U MasterCard Plan review(at _ %) $ creelit card number: expires if a permit isnot obtained — — FL�-- within 190 days atler it has been State surcharge(8%)....$ - p accepted as complete. TOTAL. .,$ Narne of cardholder m shown on c"dit cnrd---- P "" """ S _ -- Crdhcdderdguture------ Amormr MDlblb(bA101t)OM) PLUMBING PERM17 FEES: - PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES incllvtduaq_ QTY (eal AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 1660 for each utility connection) Lavatory One(1)bath i $249.20 _ Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Three 3 b) ath _ $399.00 Water Closet — 16.60 -- SUBTOTAL Urinal — 16.60 "%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ 16,60 _� TOTAL Garbage Disposal -- Laundly Tray 16.60 Washing Machine 16.60 Floor Drain/Poor;ink z" - 16.60 _ �-- PLEASE COMPLETE: 3" 16.60 4" 16.60 Water Heater O conversion O like kind 16.60 QUantit b Work Performed Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/ permit. -_ --- - -- Gapped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewor 4640 Lavatory Tub or Tub/Shower Hose Bibs 1660 _ Combination Roof Drains 16.60 Shower Only _A Drinking Fountain 16.60 Water Closet _ Urinal Other Fixtures(Specify) 16.60 _ Dishwasher Garbs a Dis osal _ -" Launder Roofs Tray ---- Washing Machine _ Floor Drain/Sink: 2" _ _ Sewer-1 st 100' 55.00 3" _ Sewer-eachadditional 101' 46,40 4" Water Service-I 100' 5500 Water Heater _ _ Other Fixtures Water Service-each additional 200' - 46.40 (Specify) —_ Storm R Rain Drain-1st t0u 55.00 Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 -- Residential Backflow Prevention Device27 55 — -- Catch Basin 1660 Inspection of Existing Plumbing or Specially 72 50 Regueslod Ins eclionsper/hr — _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 -— ---------- — - QUANTSTY TOTAL Isometric or riser diagmrrm Is required if Quantity Total is >9 'SUBTOTAL —- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL R�uiie(j only It flxtur"total ie_a TOTAL $ *Minimum permit fev is$72 50•9%state surcha,ge,except Resldrnlial Racl,low Prevention Device, which is$36 25+8%state surcharge "All New Commercial Buildings require plans wkh isometric or riser diagram and plan review IAdsts\fomuV)lm-fees.doc 10/10/00 CELECTRICAL PERMIT CITY OF TIGARD PERMIT#. ELC2001-00210 DEVELOPMENT SERVICES DATE ISSUED: 4/24/01 13125 SW Hall Blvd.,Tiqard. OR 97223 (5G3) 639-4171 PARCEL: 2S101DI3-00609 SITE ADDRESS: 07665 SW FIR ST SUBDIVISION: ROLLING HILLS ZONING: R-3.5 BLOCK: LOT : 017 JURISDICTION: TIG Proiect Description: Installation of one branch circuit for transfer switch for NG generator. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: _ PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GUTHRIE, GEORGE_ DEREK + DOLORE OWNER 7665 SW FIR ST TIGARD, OR 97223 Phone: Phone: Reg #: _ FEES ~— Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 4/24/01 $46.85 2720010000( Elect'I Final 5PCT CTR 4/24/01 $3.75 2720010000( Total $50.60 This Permit is issued subject to the rec,ulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance wV.h approved plans. This permit will expire if work is not started wd hin 180 days of issuance,or If wL,k is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0G10 through OAR 952.-001-0080 You may obMin copies of these pules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344 Permit Signature: k ° nor c �.� sued By: OWNER INSTALLATION ONLY ire installation is being made on pr erty I own which i not intended for sale, lease, or rent. OWNER'S SIGNATURE: -� - _ __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: R�. v _ _ DATE: _ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application 1D!!te�receivcd_-: TPermito.:�LC`1�''r-/-GE'�ol ? City of Tigard Project/app!.no.: Expire date: _ ret t,(fiu,rrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rtxeiptno.: Phone: (503) 639-4171 — _ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: -- _�- ;Newcon, y dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement nlction U Additian/alteration/rcplaccmenl U f)Ibcr: ❑Partial ;,L_1 ] °s v✓ f- f r S tr C t Bldg,nu.: Suite no.: Tax map/tax lot/account no.:2..9 V D U)t: �iil ock: Subdivision: b09 Project name: I-1� � e Description and location of work on premises: „ sfo/� /V Q e-4 tr e-04 v Y 13slimatcd date of cera letiort/ins ction: / Q Z, (1 ` Job no: Fee Max Business pante: F Descti�on— "Y. (e2.) '10121 no.Inc --------- New residential-%angle or mu'd-family per Address. dwellingunit.Includes attached gnmge. City: _ State: ZIP: Service Included. Phone: I ax: E-mail: 1000 sq n.or less t Each additional 500 sq.ft.or portion thereof CCB no.: Elec.bus.lic.no: - -- - - Limited energy,residential _ City/metro lic,no.: Limited energy,non-residential Each manufactured home or modeler dwelling Signature of supervising electrician( uimd) Date Service and/or feeder Sup.elect.name(print): I iu rase w. Services or feeders-Installation, alteration or relocation: 200 amps or less Namc.(print): Y(?p e e • A r c'e- 401 amps to 400 amps `-- 401 amps to 600 amps 7 Mailing address: 7 L L P&.,VN F , tr r f 601 amps to 1000 amps 2 City: 1 Slate:D R ZIP: Z L3 Over 1000 amps or volts 2 _ Phone: -js i Fax: E-mail: Reconnectonl 1 — Owner installation:The installation it,being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,anerallon,orrelocation: 2naps on less 2 ORS 447,455.479,67 7 01 % — --- 201 amps l0 4W apps 2 Owner's si nature: " -^_! Date: 2- D' 401 to fdx)amu - - - , Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit (l ly: Stale: ZIP: B. Fee for branch circuits without purchase !!// -- - -- -- -- -- of service or fteder fee,first branch circuit: 7� Phone: I';n x: I pati L Each additional brunch circuit. Me.(Service or feeder not Included): U Service over 225 amps commercial U Health care'acility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each si n or outline lighting 2 fanolydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units In one structure alteration,or extension" -�_- U Building over three stories U Feeders,400 amps or more *Description _ __— U Occupant load over 99 persons U Manufactured structures or IAV park Fich additional Inspection over the allowable In any of the alcove: U EgressAightingplan U Iter. _ Ile[inspection Submit—sets of plans with any of the above. Investigation fee—The above ire not applicable to temporary contdnrction set rice. Other -- Permit fee.....................S ruck,Not all jurisdictions accept c,-tit please call jurisdiction fa mcee iuiorn anion Notice:This permit application U Visa U MasterVard expires if n permit is nut obtained Plan review(at _ %) $ Credit card number . __. �_�__ within 180 days after it has been State surcharge(8%)....$ t:°p1e° accepted us compete. TOTAL $ 027,�r'•_ Name of cardholMr as shown on credit card _ _ S Cardholder signature AnwrW! 440,4615(6000000M) Electrical Permit Fees: Limited Energy Fees: --^ — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: i-- Restricted Energy Fee...................................................... $75.00 Number of inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved. Residential-per unit �I 1000 sq.fl.or less $145 15 _ 4 L J Audio and Stereo Systems Each additional 500 sq.fl or portion thereof $33.40 J 1 ❑ Burglar Alarm Limited Energy _ $71 00 Fach Manufd Home or Modular El Garage Door Opener' Dwelling Servi;e or Feeder $90.90 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80,30 _ 2 u Vacuum Systems' 201 amps to 400 amps _ $108 85 _ _ 2 401 amps to 600 amps $160 60 2 r-1 601 amps to 1000 amps _ $240.60^ _ 7 l-1 Other Over 1000 amos or volts _ $454.85 2 Reconnect only $66.85 — 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66,85 ? (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 401 amps to 600 amps $133.75 7 Check Type of Work Involved- Over nvolvedOver 600 amps to 1000 volts, see"b"abnvc Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension Fir panel a)The fee for branch circu,is ❑ w10 purchase of serylce or Clock Systems feeder fee. Each branch circuit $6 65 Data Telecommunication Installation b)The fee for brr ach circuits without purchase of service off, Fire Alarm Installation or feeder fee, First branch circuit I $46.85y HVAC Each additional branch circuit $6.65 _ Miscellaneous Instrumentation (Sdr vice or feeder not includod) Each pump or Irrigation circle _ $53.40 F-1 intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy ❑ panel,alteration or extension $75.00 _ Landscape Irrigation Control' Minor Labels(10) $125.00 r� LJ Medical Each additional Inspection over the allowable in any of the above Nurse Calls Per inspection $62.50 Per hour _ $62.50 _ ❑ In Plant $73.75 Outdoor Landscape Lighting' Fee£• Protective Signaling Enter total of above fees r �(I �� Other 8%State Surcharge $ 4 _Number of Systems 25%Plan Review Fee No licenses are required Licenses are required!oral!other installations See"Plan Review"section or� $ front of application. C �) Fees: Total Balance Due $ Enter total of above fees $ _. ❑ Trust Account# 8%Stale Surchate, $ _- `' Total Balance Due $ i vlsts\forrns\elc-fete doN: 10"090) CITYOF T I G A R D MECHANICAL PERMIT diDEVELOPMENT SERVICES PERMIT#: MEC2000-0035.1 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/29/00 PARCEL: 2S 101 DI3-00609 SITE ADDRESS: 07665 SW FIR `3T SUBDIVISION: ROLLING HILLS ZONING: R-3.5 BLOCK: LOT: 017 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERSICOMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP- WOODSTOVES: GAS PRESSURE: 50 + HI-. CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Conversion of oil to gas furnace, replacement of a/c ur�' and associated gas piping. Placement of a/c unit crust comply with s`andard setbacks. Owner: _ FEES _ GUTHR; EORGE DEREK + DOLORE Type By Date Amount Receipt 7665 SW FIR ST PRMT CTR 8129/00 $50.00 272000000C TIGARD, OR 97223 5PCT CTR 8/29/00 $4.00 272000000C Total $54.00 Phone: — Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Gas Line Insp Phone:692-1565 Heating Unt Insp Reg#:LIC 000051 Cooling Unt Insp ELE 34-47CLE Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance. or if worts is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct queefions to OUNC by r,alling (503)246-9189. !� 1 Permittee Signature: -✓�� Issue By: ,,___ - -- _ _ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Plan Che CITY OF TIGARD Mechanical Permit Application Recd B "•.3125 SW HALL_ BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E._" (503) 639-4171, x304 Date to DST=_ Print or Type Permit#M£C� Z'-CD.�k$� _ Incomplete or illegible applications will not be accepted — cellae Name of Deve!:)pment/Pro)ect Description Table 1A Mechanical Code Qt Price Amt Job Street Address surae A) Permit Fee _— 16.00 Address (r,�pcj SW 1^� S�. 1) Furnace to 100,000 BTU U ,�w including ducts&vents see footnote 1,2 9.65 Bldg# Cnylslale Zip 2) Furnace 100,000 BTU+ Ti erd 0/Z 172.2-3 including ducts&v9nts _ see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace includin vent see footnote 1,2 9.65 Owner orae. Gu-�hri Q 4) Suspended heater,wall heater — Mailing Address or Floor mcunted heater see footnote 1,2 _ 9.65 (o S W __F,',- -S-T• 5) Vent not included in appliance permit 4.75 City/State Zip Phone Check all that apply: 'Boiler Heat Air' _ -7 1 q A r c 0/2 C?% 2 Z.3 For Items 6-10,see or Pump Cond Qty Price Amt — Na (or name of business) footnotes 1,2 Com 6)<31-1P,;bsorb unit to 100_K_BTU _ 9.65 Occupant Mailing Address 7)3-15 HP:absorb unit 100k to 500k BTU 17.65 Cny'State Zip Phone 8) 15-30 HP absorb unit.5-1 mil BTU 24 15 Contractor Name -- 9)30-50 HP,absorb / unit 1-1.75 mil BTU _ 3600 10)>501-!P,absorb unit Prior to permit Mailing Address >1.75 mil BTU _ 60 15 issuance,a copy 10330 5 W f Ua 11 Air handling unit to 10,000 CFM of all licenses City:Slate Zip Phone` _ 700 are required if �� a fi n/ L)2 `j,?Q �c9Z'/I�1— 12)Air handling unit 10,000 CFM+ - expired in COT Oregon Const Cont Board Lic# Exp Date 11.85 database 5 f 9 3 _ 13)Non-portable evaporate cooler Architect Name _ - 7.00 14)Vent fan connected to a single duct 4 75 or Mailing Address 15)Ventilation system not included in appliance permit _ 700 _ Engineer Cnylsiate Zip Phone 16)Hood served by mechanical exhaust 7,00 Describe work to be done — 17)Domestic incinerators 12 00 _ New u Repair O Replace with like kine Yes O No O 18)Commercial or industrial type incinerator Residentia% Commercial O 48 25 19)Repair units Additional information or description of work _ _ _ __— 840 _/o olj o.1 4r,9„ <edar.s a�. P p1. t All. 20)Wood stove/gas Mother units/clothe dryer/etc 7.00 NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets structural as calks See footnote 1 — 3 75 Type of fuel o,10- natural gas'@ LPG O electric O -- 22)More than 4-per outlet(each) .75 _ Minimum Permit Fee$60.00 SUBTOTAL I hereby acknowledge that I have read this application,that the information — _ 8%SURCHARGE given is cnrect..that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL tie uired for ALL commercial permits onl the owner,that plans submitted are in compliAnce with Oregon Stale laws --�----- TOTA1. 5, / Slgnaturejobwnr/A Date l— — --� --- " yOther Inspections and Fees: 4� 1. Inspections outside of normal business hours(mininum charge-two ContactPers Name Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum e7Z -,�rG 3- charge-half hour) $50.00 per hour 1 Additional pl?n reviow required by changes,additions or revisions to Foonotes for commercial projects only: 1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boder Certification required units k -- ----— - "Residential A/C showing plan site requires q p g placement of unit I Vmechperm doc rev 7119/99 i 0 N .o Q Ln pJ l!1 c5 C � �• Jh -4� p �' �s It v U d \Y d 1 S �C CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00137 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/27/01 PARCEL: 2S101 DB-00609 SITE ADDRESS: 07665 SW FIR ST SUBDIVISION: ROLLING HILLS ZONING: R-3.5 BLOCK: LOT: 017 JURISDICTION: TIG CLASS OF WORK: AI-T FLOOR FURN: EIIAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas piping for exterior generator, water heater and gas fireplace insert. Generator carinot be placed within the required setbacks. Owner: FEES —� GUTHRIE, GEORGE DEREK + DOLORE Type By Date Amount Receipt 7665 SW FIR ST PRMT CTR 4/27/01 $75.00 272001000C TIGARD, OR 97223 5PCT CTR 4/27/01 $6.00 272001000C Total $81.00 Phone: -- Contractor: T + K MECHANICAL 20565 SW TV HWY#346 ALOHA, OR 97006 — REQUIRED INSPECTIONS _ Gas Line Insp Phone:503-357-4614 Mechanical Insp Reg#:LIC 121165 F;nal Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable !aws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended fo, more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain curies of these rules or direct questions to OUNC by calling (503)146-9189. Issue By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business ay K Mechanical Permit Application Date received: ?7 / Permit no.: City of Tigard ProjecUappl.no.: Expire date: CitytrfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: eceipt no.: Fax: (503) 598-1960 Case file no.: _ Payment type: Land use approval __—_- -- - Building permit n.,.: 4� 1 &2 family dwelling or accessory U Commercial/industrial , U Multi-family U'fenant improvement U New construction U Addition/alteration/replacement U Other: Indicate equipment quantifies in boxes below. hidrea(c the dollar Bldg.no.: Suite no.: value of all mechanical malcrials,equipment,labor,overhead. Tax map/tax IoUaccprofit, Vaf lue$ Lot: Block: Subdivision: *See checklist for important application information and Project name: -- .jurisdiction's fee schedule for residential permit ti•e. City/county: r,• ..., .1 r.�r.�,t^_ ZIP: imilml ME Description and location of work on premises: Y.y •,fir.__ Lim In 111111 r v c c,A(-C L"4A 'VP - Fee(ea.) Total Est.date of complelion/inspection: Description Qty. Res.ord Res.only Tenant improvement or change of use: AV Air handling unit Is existing space heated or c,4'nditioned. Yes U No Air conditioning(ste plan required) Is eyisting space insulated?U Yes U No Alteration of existing HVACsyslem ---- or cr compressors Business name. State boiler permit no.: rl G C h f1Y\t C ', _ Ht' Tons^_BTU/11 Address: z cr 5 w %V N w it•smoke dampers/duct smoke electors City: G 11 t State: (_) + ZIP: 't-70 0(v Heat pump(site plan rcyuire ) Phone: c Vx tq I Fax: (,, E-mail: Instal I rep ace furnace/burner Including ductwork/vent liner I . ,es U No CCB no.: ► Z r Install/rcpinre rctocutchea(ers-suspended, Cit /metro tic.no.: c.4'S a LD wall,or floor mounted Name(please print): I , �, I_i+� Q Vent for ap iance other than furnace c r g"talon: Absorption units BTU/H Name: i a Chillers _ Hp Address: �� Cont ressors HP Z. v 3-"c— nv ronmenla ex ust an ventilation: City: RY'1� State:cr6L ZIP: R-7OC''(j Appliance vent Phone: LA utq Fax: r-A ck11 E-mail: )rver,-x aust —�— ll-oti s, ype I%res, itche-nAiazmat hind fire suppression system Name: �QLf L e_ C s u t �N QY t C- lixhaust fan with single duct(bath fans) Mailing address: - 5 t,J : MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FiiMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: - Description: Price Total $1.00 to$5,000.00 _ Minimum fee$72.50 Table 1A Mechanical Code oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Pomace to 0 BTU $1.52 for each ad&(ional$100.00 or including ducctsls&vents 1x.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ Includingducts 8 vents 17.40 $_1 Cy000.00. _ - $10,001.00 to$25,000.00 $148.50 for I'm first$10,000.00 and 3) Floor Furnace $1.54 for Bach additional$100.00 or including vent 14.00 Y, fraction thereof,to and including 4) Suspended heater,wall healer _ ___ _ _$25,000.00. _or floor mounted heater 1400 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and_ 5) Vent not included in appliance permit I $1.45 for each additional$100.00 or 680 fraction thereof,to and including 6) Repair units _ 12.15 $50,000.00 - $50,001.00 andup _ $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for earh additional$100.00 or For Items 7.11,see or Pump Cond _ If thereof. _ footnotes below. Comp" 7)<3HP;absorb unit to 10OK BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE:- 8)3-15 HP;absorb Value I-olal unit 100k to 500k BTU 25.60 _ Description: _ Ot ! �aJ_ Amount 9j 15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU _ 35.On ducts&vents -- 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents __ 11)>50HP:absorb Floor furnace Susinciud�vert 955 unit>1.75 frill BBTU87.20 pended heater,wau;,eater or 9bs 12)Air handling unit to 10,000 CFM floor mounted heater--- _ _ _,__- 10.00 Vent not Included in applcance -445 13)Au handling unit 10,000 CFM+ per mit 17.20 _ Repair units___ 805 _ 14)Non-portable evaporate cooler - <3 hp;absorb.unit, 955 1000 to 100k BTU --.--- 15)Vent fan connected to a single duct 3-15 hp,absorb.unit, 1,700 6.� 101k to 5001%BTU --- 16)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit _ 10.00 mil.BTU ----- 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, _ 3,400 10.00 1-1.75 mil.BTU - 18)Domestic Incinerators >50 hp;absorb.unit, �^ 5,725 17 40 >1.75 mil.BTU 19)Commercial or industrial type incinerator Air handling unit to 10,000 cfm 656 Air handling unit>10,000 cfrn 1,170 20)Other units,including wood stoves Non-portable evaporate cooler 656 _ _ 10.00 Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not included In 656 5.40 appliance permit _ 22)More than 4-per outlet(each) Hood served by mechanical exhaust 655 1.00 _ Domestic incinerator 1,_170 _ _ Minimum Permit Fee$72.50 SUBTOTAI a Commercial or industrial Indneralor 4,590 Other unit,Including wood stoves, 656 - R%State Surcharge $ Inserts,etc. _ _ Gas piping 1-4 outiets_ __ _ _-_360 `- 25%Plan Review Fee(of subtotal) $ Each additional outlet _63 _ Required for ALL commercial permila only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION` OtherInsoe tFIons andL a: 1 Inspections outside of noimal business hours(minimum charge-two hours) $72 50 per hour. 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 So per trour 3 Additional plan review required by changes,additions or revisions to plans(Ininirnum charge-one-half hour)$72`o per hour "Slate Contractor Boller Certification required for units>200k BTU. "ResWenaal Air rerlulres site plan showing placement of unit. i:\dsts\forms\mech-fees.doc 10l11I00 Closest AdjacentTHouse is 62'. ca 122.52' 01 0 ° 1 � � bo 1 a o er 1 v a N ° v 1 toCL I �, 0 I v U > o � v v N w I E � z wN Gcn CL V I I Gni U v C~ I w �. 1 p� N I .� c3f rq O O 11' Easement 125.42' SW Cherry Drive NAME: ('reorge Derek Guthrie PRONE # : (503) 639-5241 STTEI ADDRESS: 7665 SW Fir Street MAI' ter TAX LOT T NI 1MBEK: 2S 1 1 DB-(x)6(K) s - STTE SIZE: 16,364 St trare Feet DATE: I,ON1;: R 3.5 SCALE: 1" = 20' 3 �bm a � V • r 0 Z zl 'co a w M- ry Wcn v c 6 � ,r H € g r1^1 a { (J ? clu LL UJ R ••1I O ;t Y c _ .. r / C LL m yp� O g a e W z � WA Q all '� � � i •� v E ro � v or.� c b 7EI7, - v o acvc � cv rC o L E E Sa v c y v Err,, u�uu 8962cya � ELa, v { o ro v j c v ro o ro y i E ,;B I rtS in = rL L � v E w c Tj 7S 0 �' — �.n o c =- ro - E E j fU N < v r`v o L L j - i' 0 C 1vC, C p C •� L 67i G v+ E 3 y YG� C