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10935 SW MIRA COURT-1 10 V8IW MS SE606 � v m � w cn M O O r 10935 SW MIRA CT MECHAR -AL PERMIT CITY OF T DATEIISSUED:• 05/20/966-0139 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S iO3DA-06800 13126 BW Holl Blvd.Tigard,Oregon 07223.6190 (603)839-4171 SITE ADDRESS. . . : 10935 SW MIRA CT ZON1NGs R-4. 5 SUBDIVISION. . . . : MIRA PARK BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .6 -----------------•---------------------- — CLASSOF WORK. . :ADD FLOOR FURN. . . . • 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES----------•-- 0-3 HP. • • • : 0 DOMES, INCIN: 0 : /GAS/ / / 3--15 HP. . . . : 0 CG.,.AL. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP, . . . 1 0 REPAIR UNITS: 0 FIRE DAMPERS?_ : 30-50 HFA. . . . s 0 WOODSTOVES. . s 0 GAS PRESSURE. . . : 50+ HP. . . . s 0 CLO DRYERS. . s 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 1 <= 10010 cfms 1 GAS OUTLETS. s 1 FURN )=100K BTU: 0 > 10000 cfms 0 Remarks : Installing one furnace to 100K BTUs, one air handling unit to I0K CFMs and gas piping to four outlets. Owner: --------- FEE.'; JUANITA MUNTZ type amount by date recpt 10935 SW MIRA CT PRMT 11 25. 00 CJS 05/20 ,96 96-279617 SPCT f 1. 25 CJS 05/20/96 96-279617 TIGARD OR 9722: Phone #: Contractor: -------•--------------__---__------ B & T GAS SERVICE INC TEASDALE, KEITH 852E SW 190TH AVE BEAVERTQN OR 97107 --------------_5 TOTAL Phone #: 642-7243 f 26. Reg #. . : 091104 ---------- REUU T RED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Gas Lina I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Mpehanica l Insp -- -- applicable laws. All Mork will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more --- IL than 190 days. -- - riermittee Signatkire: - _J ca Issued By: _J Call for inspection — 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13'125`sw Hall Blvd. APPLICATION Permit # CYl Ec96-.6139 Tigard; OR 97223 (503) 639-4171 Table 3A Mechanical rode Q 1'7 PV1IC 1 AMT Job log 3SsLp M"Ap tj . 1) Permit Fee -0- -U- 1000 Addrnss �— — l . 0 6 L, 1;1 2) Supplemental Permit 3.00 Furnace, to WMV BID a A_ o- 1) Ind ducts tl vents wnace + - -- OwrPr Ova 2) incl. ducts &vents 7.50 umaiice —_ 11W.C­ VP 3) Incl. vent 8.00 •^^ ° ^•^'•^ '•^•� Suspended bestir, wall ;vial 4) or floor mounted heater 8.00 Occupant 51 evoiance oertnit 3.00 8) (mling, absorption unit 8.00 Boikir or comp, heat pump, air conO. 7) to 3 HP; obsorp unit to 100K BTU 8.00 — ••• RQr or comp, heat pump, air con . �1 aCX_ )N ih 8) 3-15 HP; obsorp unit to 500K BTU 11.00 C ontractor or comp,"fi`ee plump, air con . Q lcb"7 9) 15-30 HP; abserp unit .5-1 mll BTU 15.00 No Boiler or comp, P.a�purnp, a rcon . ((v 10) 30-50 HP;absorp unit t-1.75 mit BTU 22.50 TFare y acknowledge trial I have read s app!ca ion, that the 801Wor comp, hoot pin'Tx%s r co into^mation given is correLt, that I em the owner or authorized 11) >50 HP; :.bsorp unit 1.75 mll BTU 37.50 agent of the owner, that plans submitted are in compliance withr a(i-m n ng-u_nTFo—_ V II State laws, that I am registered weh the Construction Contractors 12) 10,000 CFM 4.50 4 )() 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 Wopoffa_W— 14) evaporate cooler 4.50 Writ n connected 15) to a single duct 3.00 k� Ventilation sys em not 18) included In appliance permit 4.50 aFIBM itervR by 17) mechanical exhaust 1.50 Describe worknew addition alteration roper ,omrnerae or Industrial to L. don. rea:denticl Q -ion recidart!sl O 1A1 rover. Inclnerptor 30.00 Existing use of Other Ia., we s ove, w r CL building or property 19) heater, solar, clothes dryers, etc. 4.50 - Proposed use of 20; teas piping one to four outlets 2.00 U) bu11d!ng or property — 21) More than 4-per outlet (each) — 2.00 _ Type of fuel -oil (; natural gas Q LPG electric Q J_ NOTICE Ur Minim Fee$25.00 SUBTOTAL J PERMITS BECOME VOID IF WORK OR CONSTRUCTION ___-- AUTHORIZED IS NOT COMMENCED WI;HIN 189 DAYS, OR 5%SURCHARGE 2 IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 26%OF SUBTOTAL. AFTER WORK IS COMMENCED. - TOTAL ._ Special Conditions Date Issued _S dip 96 by C.�S /111001 MD9T91MElY1FMT B &T GAS SERVICE i�6 5885 SW 177th (503) 642-7243 Aloha, OR 9700 ► (503) 244-9779 (71 a� M URT Z IDo�. SCJ M ir/j Ct 'Ti&A it D, C-) i2q12 0 4.5 I. Ir c`a Sal ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC96---0312 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/16/96 13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171 PARCEL: 2S103DA-06800 SITE ADDRESS. . . : 10935 SW MIRA CT SUBDIVISION. . . . s MIRA PARK ZON1NGsR-4. 5 I BLOCK,. . . . . . . . . . . I_OT. . . . . . . . . . . . . :6 Project Description: Tnstalling two branch circuits. ---RESIDENTIAL UNIT---- ---TEMP SRV ::/FEEDERS---- -----MISCELL_r4NEOUS------ 1000 SF OR L.ESS. . . . : 0 0 •- 200 amp. . . . . . . : 0 PUMP/IRRIP�,FION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . s 0 SIGN/OUT LIIVE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MJNOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER------ ------BRANCH CIRCUITS----- ---ADD' L INSPECTIONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDERs 0 PER INSPECTION. . . . . 1 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. - 1 PER HOUR. . . . . . . . . . . . 0 401 -- 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANK. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ---------.--------FLAN REVIEW SECTION--------------.-._ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . 1 0 SVC/FDR ) := 225 AMPS. . : CLASS AREA/SPEC ')CC. : Owner: --------------------------.------------------- --------- FEES ----------_...------ JUANITA MUNTZ type aninunt by date recpt 10935 SW MIRA CT PRMT t 40. 00 CJS 05/16/96 96-279490 5PCT $ 2. 00 CJS 05/16/96 96-2'79490 TIGARD OR 97223 Phone ##: Contractor: -____---_____---.------_------.___---------_--------__-.--._------------------ JARMER ELECTRIC INC t 42. 00 TOTAL. 5105 Sw 45TH ------- REQUIRED INSPECTIONS -- -- - PORTLAND OR 97221 Wall Cover Elect' l Final Phone #t 503-246-5381 Elect' l Service Reg #. . : 6924 This permit is issued subject to the regulations contained in the Tigard Municipal Lode, State of Ore. Specialty Codes and all other Permittee Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if wort; is no( started / within 188 days of issuance, or if work is suspended for more than 188 days. Issued By _---OWNER INSTALLATION AC The installation is being made on property i own which is not intended for F- ,ale, lease, or rent. OWNER' S SIGNATURE" DATES J ---CONTRACTOR INSTALLATION ONLY_____________________.______ _m O W SIGNATURE OF SUPR. ELEC' N: 0_„_n CLP, P _ DATE r - I. ICE:NSE NO: Call for inspection - 635-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 96 Permit # czr, d�c2 Phone (503) 639-4171 Date Issued /r or CITU OF TIGARD FAX (503) 684-7297^ TUU No. (503) 68684-27727f2 Issued by CA,!e_s ","f�_]r` Inspection (503) 639-4175 _ 1. Job Address: �4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed - Address I Oq 3 5 Si.J�. � Service included: Items Cost(ea) Sum - City/State/Zip 9 2�Lu— 4a. Residential-per unit 4 1000 Ma 1t or Net $110 00 Name (or name of siness) Y FadM additional Son eq It or 1 portion tzreol $2500 Commercial❑ Residential t i,imlted Energy $2500 Each Menun'd Horne or Modular 2 Dwelling Service or Feeder _ Sea 00 2a. Contractor Installation only: 4b.Services or Feeders InniRllehan,AMerntion,or relocathm 2 Electrical Contractor_S(,c Moj- t✓1 eco f►c. 7,�L 200 Amps or leen Sm 00 _ P. A ddress r' �,l , Z �{,- ,4t 201 amps to 400 Amps $so on —-�— 2 city State��Zi _ 401 amp• o 0m $12000 — 2 801 amrw to 11000 a0 ampria s $19000 2 Phone No.4L4(�' �� Over 10n0 amps or voMe $940.00 2 Contractor's License No._l9L(„_-[4 y C _ _ Ramrinact only $io 00 — ---- Contractor's Board Reg. No. '1 4c.Temporary Services or Feeders InfRilation,alteration,or relocation 2 Signature of Supr. Elee'n 200 amps or Nee $6000 2 License NoaPhoneJo��34s1 — '01 anrpe1o400911Qe $ 0Q — - 2 401 amps to 800 amps $100 00 (Tier 800 AMPS o 1000 volts 2b. -For owner Installation : Bee'b'above Prin; Owner's Name4d. Branch Circuits New,Alteration or extension per panel Address a)The lee for branch circuits with City StateP Zip —_ purchase of esrvke or Armley ries. 2 Each branch circn4 $500 Phone No. _ h)The fon Ion branch circuits lttthow The installation is being made on property I own which is puncha"of awrvks or feeder ABs. ,` 2 not intended for sale, lease or rent. First branch circuit $3500 i�-tJf�-) 2 Farh additional brarwh circvlt $500 Owner s Signature 4e. Miscellaneous (Service or leader not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $4000 2 Each sign or outline lighting $40 00 _ Signal cimuil(e)or a limited energy 2 Please check appropriate Item and enter fee in section 58. panel,alteraticn or extension $4000 IL f _a_4 or more residential units in one structure Minor Labels(1.0) $10000 Service and feeder 225 amps or more 4 System over 600 volts nominal f. Foch additional inspection over U) Classified area or structure containing special occupancy the allowable In any c the above as described in N E.C. Chapter 5 Per hour iron $950 Per parr $5500 $55 00 m In Plant Submit 2 sets o"plans with application where any of the above — apply. Not required for temporary construction services. 5- Fees: WNOTICE 5n. Enter total of above fees $ 596 Surcharge(U5 Y,total foes) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION `tubtorel $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A fcr CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Flan Review if required(Sec.3)I $A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK!S Subtotal COMMENCED. LJ Trust Acirmint 4 $ Balance Due $ w WamMArNdw.pm�p