10285 SW HILLVIEW STREET � ;t���� ��'�� r i-. ..,•r' ''11;,,1.'A "5';�°:'°�r�kliE f.4'M.!'�•�` }�}f'� ',f'`.�.
ADDRESS. ,•
,u
Ale-Lo 4�N*Yxa
w
w
s
n
r`
i:\recards\microfilm\ta rgets\building.doc
�,3t
e
4 V
CITY OF TIGARD BUILDING INS!"ECTION NOTICE e
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. i
Post/Beam Mech. Shear/Sheath Framing -Mech.
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: ` • -4so '2! <e- A.M. P.M.}_ Entry:
Address: 2-- ,L .
l '
Uc�
Tenant:_ —_ Ste: MST:
Con/Own:l 3 MEC:
PLM:
ELCI +
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
;
Inspector:
�� Dat �.
APPROVED —DISAPPROVED/CALL FOR REINSP. F CO
I
J1,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
i
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plum
Post/Beam Mech. Shear/Sheath Framingech.
•
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Bearn Stru o�r'� Gyp. Bd. -Bldg.
San. Sewer GasLineAppr/Sdwlk Reins. •
Other: _
Date: �1_`� l�r �_ A.M. P.M.-- Entry:
__ Q use -� s.S' •
Address:
Tenant:_ __ Ste:v MST:
Con/Own:. �. ��" 3 Jy MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
r �.—_��e�!�� - c ------g*.dam--
P.
i Y
Inspe r: '`
Date:
PPROVED __DISAPPROVED/CALL FOR REINSP. CF CO
r. -:. r v
r
I-f_R Ivl I T
CITY GF TIGARD DATE1ISSUED: 08/2�I/96 0`9Z:
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)839.4171 PARCEL: 2S 102CC-01 X0111
ADDRLSSa. . . : 10285 3W HILL VIEW SF �
SUBDIVISION. . . . : F RE:LE:ON HEIGHT'S N0. w ZONING: R---3. 5
SLOCK.. . . . . . . . . . . Lt)1 . . . . . . „ . . . . . :2171
CLASS OF' WORK. . :ADD FLOOR FUl`RN. . . . 0 EVAP COOLERS: 0 •
TYPE OF US)E. . . . :SF UNIY HEATERS). . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : F23 VEKTS W/0 Ap'PL: 0 VENT SYSTEMS. 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
F"ULL 0—:a HP. . . . : 0 DOMES. I NC I N: 0 •
/GAU/ / / 3-15 HF'. . . . : 0 COMML. I NC I N: 0
MAX INPUT';; 0 BTU 15-30 HES. . . . : 0 REPAIR UNITS: 111
f;IRE DAMPERS?. . : 30-50 HP. . . . : 0 WOUDSTOVE S. . : 0 w
OAS PRESSURE. 0+ HP. . . . 0 CLO DRYERS. . - 111
NO. OF UNITS---•--------- AIR HANDLING UNITS OTHER UNITS. : 0
1 LJPN ( 100K B'fU: 1 (= 10000 C:f•m : 1. G14S OUTLETS. ].
F=URN ) =100K BTU: 0 > 10000 cfm : 0
ire marl(, : Adding a air I-)andling �_lnit to 101,1' (*1-Ivl, g.a5 pipiTtg sand a f1.lrnace to 1Ow,I,,
f�
Owner. _.___._.._.__.__.__.________._.____._.__________.______—_.____.______.__._ FEES ____—_-__—_--_—_
I=RANCIS BRI)JAIN type amol-int by date recpt
1.02A5 SW HILLVIEW PRMT $ x'5. 00 CJS 08/23/96+ 96-283260
5PCT $ 1. 25 C:,JS 03/2 /96 9C_+-28..:;26F i
I1tiARD OR 9./x23 i
Phone #:
*000 %:ontractor :
111C•CALL HEATING R COOLING CO
1650 NE. LOMBARD
y' I:,ORTLAND OR 97211
1-,hone #: 503-2,31-3311 1 $ 25. 25 'r07 AL
P e r.1 #. . : 102030
----- REUUIRE;ll INSPECTIONS ---__--_.
chis permit is issued subject to the r,gulations contained in the Comas Line Insp
Tigard Muoicipal Code, State of Ore. Specialty Codes and all other Mechanical I n s l.r
applicable l�iws. All work will he done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started f= inal insper_tion
within 180 days of issuance, or if work is suspended for more
than180 days. •--___._..._.____..._ _.._._.________ .._...._______...__.�____.__._._�...
I ,ermittee Si nat,_;re: 4.1
l s s,.a e d By:
Call for inspection — t.39-4175
,
I
i^ _� >��4 'f,.4 r y�: } t -. 1} i -, ISR f�, r yst•� ,i
rt
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Han Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
- - - estnption
Table 3A Medtanical Code CITY PRICE AMT
Job 1) Permit Fee -0- o- 10.W
ACt(jfeSS
2) Supplemental Permit 3.00
Furnace to 16
1) incl.ducts a vents 6.00 1",c (,
•v +�� Furnace 100,000 B r t
Owner ~ ��' 2) incl,du As S vents 7.50 �
.« ooh Fumanco
3) irr_I.vent 6.00
�. .�» •w speheater.wall heater
4) or floor mounted heater 6.00
«.v «• Vent not WO.eh
Occupant 5) appliance permit 3.00
G.K— Ap epair of heating,mfr-q-
6) cooling,absorption unit 6.00
•^•
2A t-3.31 i ar or comp.twatt pimp,air
(�(\c r r 7) to 3 HP absorp unO to 100K BTU 6.00
o b*«• boder or comp,heat pump,air coed.
L 00-1 8) 3-15 14P absorp unit to 500K BTU 11.00
Contractor Boiler or comp, heat pump,atr co .
1 l Ct.r ). `i(' `I 1 1 1 9) 15-30 HP absorp unit.5-1 mil BTU 15.00 E
ti. ....cow -"^ — Bold or comp,heat pump,air cord. t
1 t_� `, z,�, `{c h y5 r', 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 {
hereby ackno Igo ffiat I have read is application,that e i or or comp,heat pump,air m .T—
Information
.Information given is-orrect,that I am the owner or auU•(rized agent 11) >50 HP absorp unit 1.75 m,:9TU I 31.50
of the o.vner,that plans submitted are in compliance with State Air handliro unit to
laws,that 1 am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is c(xTecL (If exempt from State ragistratlon, — Air handling unit E
please give reason below.) 13) 10,000 CTM+ 7.50 f
�— Non portabie
---- 14) evaporate rorler 4.50
ent an cv-onected
15) to a si'sale dud 3.00
r" Ver7lntion system not
e.Z_ n - (k 16) included in appliance permit 4.50
----Food served by
17) medianical exhaust 4.50
srxt w new
addition Lj alteration V repair Com mr>iMTar dusFe7i
to be done residential Q non-residential O 18) type incimmator 30.00
sbng use o — Nler i.e.,wood SIOVe,watUr — —
buikfing or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 201 Gas piping ono to four outlets 2.00
building or property -
21) More Than 4-per outlet
Type of fuel -oil Q natural gas 0 LPG Q ek ci6c U --— -- -'
NOTIC -4
Minimum Fee$25.00 SUBTOTAL C� ,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE �„ C
IF CONSTRUCTION OR WORK IS SUSPENDED OR -- �- —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN PEVIEW 259 OF SUBTOTAL
AFTER WORK IS COMMENCED.
TO rAL
Special Conditions
Date issued , L� a15-
Wuf�ru r
I
WrjI ,,fir wee d v
{.. Job Site Plan ;.... ... ..{ :i.p(�{. ...... ..
.eT...• ..
ti• ..
.. ..{.. ..r....�.. ..r. ..f....�.. "{'
; j•. ..{•...�.. ..{•.. ..•..•. , ..�....j.. .......... ..{....j.. ..{...•j•
. ..j.• .�•. ..j.. ••1 .I• •f •.�.
't. {. ..}.. {.. {.. { {.
............ .... ... ...
Additiould Instructions:
Refrigeration line size
r No Box New Registers
Condensate Pump Yes � � New Grills _--
(� Vibration Pads
Add Return Duct
? Add Supply Duct —
" Special Needs
1.
h'
1
r
!• ...
wi
g
Y{.
h f"
.I
h"
1111.
•
1
I
1
t�t
f
(1J 1 'Y (JF f 3O 'lR ) 1{EI :k iI'I If, i4.1rIvif 1"I1 i:i 1 t ! t t i1!1, p146 w'F.i,'.. 'F!,,
J 1ME= {+1t;f:r 11..1., 1-11:AJ f NO IJAO!_S NO li ll :( 114 1
F�� )1}ht�:r�fti � 1ta`'�� i'dhi..(.►f'A1��-Ifni) I't"1'PI�iL,�Fl1 itr;I1 s 4""� ,,
Pd7f3IT."NO OR i1i�t ' y t;.>; t;:•�
47.'11,--411)1.1
F;I �Mf.7�J IL
f4h9OL11`,11 F40 h V'( IWI J�ifr i.li' i'►-l'V Iri6 t•1 I 1+hll 11 Itd i I 'I h
Mi. ( H6=1hF+ , ! MF',i'14, .l1e.c; r"i. lelvi SA , ful I I i! I''1 t I , r';
i
I
ii
Ia
('fJ7t1(„ F';1141'ILJi"II [:kot'1!
i
Ali—
Ii
I
i
1
6
1
i
EE'LEC'"f RIC'AL. PERMIT
CITY OF TIGARD DATEr 1 ISSUEDI L 06/22/96 •
COMMUNITY DEVELOPMENT L EPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)639.4171 1-'A RCEL: `a 102CC--01700
SITE ADDRESS. . . : t026'b SW HILL VIEW ST
SUBDIVISION. . . . : F RELE ON HEIGHTS NC), c'_ %ON I NG: R -,Y;. 5
DI_UL;K. . . . . . . . . . . 1-01 . . . . . . . . . . . . . ..
r,clject Description: Installing one br^anch circuit.
•----RE'SIDEN'TIAL UNIT---•--- ------------EMP SRVC;/FE E=DERS-----. -----_Mlal_F_l_LANE OUS--•---.-_.
1000 SF OR LEGG. . . . : 0 QI - iC:V'i71 -.4mp. . . . . . . : 0 PLIM(='/I RR I GIST ION. . . . Ili
EACH ADD' L 500SF. . . : 0 201 -- 400 amp. . . : 0 SIGN/OU'T LINE L T'G. . : I)
LIMITED ENERGY. . . . . : 0 41111 -- 600 ramp. . . . . . . : 121 SIGNAL/PIANEL. . . . . . . : 0 •
MANF. HM/ SVC/FDR. . : 0 601 *amps.--10140 volts. : k' MINOR I._A E:L ( 10) . . . : 0
CIRCUITS---- -----ADD' L
0 200 amp. . . . . . : 121 W/SERVIC'E OR FEEDER: 0 PER INSPE=C:TION. . . . . : 0
_:01 - 41110 :.Amp. . . . . . : 0 1.s W/O S R V C DR FDR. : J. PE:R IJClUF2. . . . . . . . . . .
: ILI •
i01 61110 amp. . . . . . : 121 EA ADD' L BRNCH CIRC:: 0 IN PL.ANT. . . . . . . . . . . : 0
60J. - 111,011, amf . . . . : IZI ___....__._.._._____.._____- ----1='LAN REV IE W SEC
lIl100+ -�mF,/volt. . . . . : 0 > =4 RETS UNITS. . . . . . . . . > 60111 VOLT NOMINAL. .
Reconnec',: only. . . . . : 0 SVC/FDR > _ 225 AMP'S. . : CLASS AREA/SPEC U1'C .
Owner- - ___._.__.__._._____.__.___.___._._..______--••--...__._____________-- FEES
F'RANC;IS BRIT•TAIN type amount by data recpt•
10285 SW HII_LVIEW PRM'f $ 35. 1210 CTR 06/19/96 96-283008
5PC;T $ 1. 75 CTR 08/19/96 96-cE3301LIE3
T I GARD OR 97223
I Phone ii:
Contractor,:
uRF--- LLE;CTRIC; t 36. 75 TOTAL
15460 SE PARADISE LN
-- - --- - REQUIRED INSPECTIONS
-- _---
MULINO OR 9704::: Wall Cover- Eler_t' I Final
Phone ti: 503--829-4146 Elect' l. Service
Reg t1•. . . J.01543.
This permit is issued subject to the regulations contained in the _
Tigard Municipal Code, State of Ore, Specialty Codes and all other Feer^mittee S:ignatut-e �—
applicable iaws. All work will b? done in accordance with
approved plans. This permit will expire if work 1s not started
within 180 days of issuance, or I work is suspended for sore
than 180 day` Issued BV h
INSTALLATION
The installation is being made an property I own which is no' intended for
>alE, lease, o.' r-ent.
OWNER' S SIGNATURE.- _ DFITE s
CONTRAIE FOR INS'TALI_AT I014 ONLY-_..._..___._._.__
SIGNATURE: OF' =UPR. ELE=C' hl: •TE%
LICE~NSL 1\10:
i
Call for inspection - 639-4175
1
jJ'f i
ifY
. ,�,,*,�-+.�er�•s+M•.•r.-'•--.,.. .r,,,.•-•..r,++�,sr.•e,res�r,, �•7;;tkn �r-�:,.H,,,.::�•w..._ .
- r
L-7—._ - _ ,• .. _ ..
J'
t'
. .........
a ! ,
dp
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # FLr 4/-,; N3
Date Issued ,P - I n - ;4C:
—
Phone (503) 639-4171
CITY OF TIGAR® FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 539-4175
i1. Job Address: 4. Complete Fee Schedule Below-
Name of- m1mit L,1 yam[S�� r Number of Ins ecticns i
// C, �1 a per porrlit allowed
Address V W 1/1 �Cil,r Service included Items Post ea Sum
City/State/Zip _R �_1_�¢__(�' _ 4a. Residential -per unit 4
✓ 1000 s ft or less $11000
1 Name (Or name of bUSIneSS).— Each nimflonal 500 sit rt.or
— ponion thereof _ $25.00
Commercial ❑ Residential Limited Energy � $25.00 � t
Each Manurd Home or Moduter
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only: Ib. Services or Feeders
installation,alteration,or relocation
Electrical Contractor ��G �✓ 200 amps or less $60 00
Address S ( 201 amos to 400 amps $80 oo _ 2
City_ to I �' State 4)n Zip_ 7., �,• r 401 ei,tps to 600 amps $12000 2
--c 14 _ �T�= —��r 601 amps to 1000 amps $180.00 2 i
Phone No. �` �+� over 1000 amps or volts $340.00 2
Job NO Reconm.donly _ 35000 2
contractor's license NO. a(p-
4c. Temporary Services or Feeders `
Contractor's Board Reg. No. _ L 5 Installation,alteration,or relocation
Signature of Supr. Elec'n_ ✓ 200 amps or less _ _ 2
201 amps to 400 amps _ $50 00 2
License iJo. !)1 �" Phone o ��[ / t,d 7 401 amps to 600 amps $7500
Over 600 amps to 1000 volts $100.00
2b. For owner installations: see"o"above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per pane
Address a)The fee for branch circuits with
City_________ .,tate Lip purchase of swrvlce or feeder fee.
Fact branch rircult _ $500
Phone NO. _ _ _ _ _ b)The fee wr branch circuits without
The installation is being made on property l own which is purchase arservice orfeeder fee
. ? z
.�
not intended for sale, (ease Or fent. First branch circuli $1500 2Each additional branch circuit $500
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included) 2
Each pump or Irrigation circle $40.00 2
3. Plan R@V/eW Sect/an (I�required): Each sign or outline lighting S40 00
Signal circuits)or a IimNed energy
Please check appropriate iter and enter fee in section 5E'. panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) _ $100 00 — —
Serv,,m and feeder 225 amps or more
System over 600 volts nominal 41. Each additional Inspection over
Classified area or structure contai ling special occupancy the allowable In any of the above
as described in N E C Chapter 5 Pei inspection s_+5 00
Per hour _ 355 00
In Plant i $51100 '-
Submit 2 sets of plans with application where any of the above - �—
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ S
NOTICE 5%Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OP ABANDONED FOR Plan Review it required (Sec.3)
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED �,�. .� Trust Account #
Mm ono $ -
Balance Due $
i
77
i
G;:r. '1 'r OV, .1.WORD 1l >iYMI:'N1 Nt r:F 11, 1 NI). a9t;