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14590 SW MCFARLAND BLVD-1 aAl9 aNVIUVJ"'.W MS Ov'v, rJ V V r- r I a ac � o J _i m m O l,9 Z W cc cr- L� V 3 .n ci rn 14590 SW MCFARLAND BLVD 10 • MASTER PERMIT ���y OF T I G A R D �+ • • PERMIT#: MST2000-00041 DEVELOPMENT SERVICES DATE ISSUED: 02/25/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4 SITE ADDRESS: 14590 SW MCFARI-AND 131-VE) 0'RIGINALPARCEL: 2S11013D-00200 SUBDIVISION: SHADOW H11.1_S ZONING: R-2 BLOCK: LOT:041 JURISDICTION: TIG REMARKS: Modify sxisting basement into I edrooln. BUILDING REISSUE: STORIES: FLOOR AREAS _REQUIRED SETBACKS REQUIRED CLASS OF WORN: ALT HEIGHT: FIRST: of BA&cMENT: of LEFT: OMOKE DETECTORS: Y TYPE OF USE: SF F'OOR LOAD: SECOND: at GARAGE: at FRONT: F r KING SPACES: TYPE-�r CONST. 5N DWELLINu UNITS: FINSSMENT': at RIGHT: VALUE: 56,1000 OCCUPANCY GRr .XJ SDRM: 1 BATH: TOTAL: of REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES. D'SHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: nARr.^.E DISP: WATER HEATERS: WATER LINES: BCKFLW PRFVNTN: GREASE TRAPS: OTHER FIXTURES. MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP t]HP: vEN r FANS: CLOTHES DRYER: FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR. PUMPORR!GATION: PER INSPECTION: EA ADD'L 5005F: 201 - 400 amp: 201 - 400 amp: let WtO SVC/FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 WO amp: 401 600 amp: EA ADDL BR CIW. SIGNALIPANEL: IN PLANT MANU HM/SVC/FDR: 001 - 1000 amp: 6014AMPS-1000v: MINOR LABEL: 1000+amp/volt PLAN REVIEW SECTION Reconnect only: 1=4 RES UNITS: SVC/FOR>a225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ S.COMMERCIAL AUDIO S,STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFIRP'G: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL.0 SYSTEMS: Owner: Contractor: TOTAL FEES: S 207.01 VIRANOND,NONGNUJ RIVER RIDGE CONSTRUCTION 8 REThis permit is subject to the regulations Contained in the Tigard Municipal Code,State of OR Specialty Codes•and 14590 SW MCFARLAND BLVD 13141 NE SAN RAFAEL all other applicable laws. All work wi!1 be done in TIGARD,OR 97224 PORTLAND,OR 97230 accordance with approved plans. This permit will expire.f work is not started within 180 days of issuance,or if the LL work is suspended for more thnn 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the F.. Oregon Utility Notification Center. Yhose rules are set N Reg 0: Ur. 137957 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direr;questions to J OUNC by calling(503)248-1987. M _ REQIIIRcD INSPECTIONS W Electrical Service Final inspection ,.I Electrical Rough In Framing Insp Misc.Inspection Electrical Final Issued By -� ���r^Q.-� PermitteR Sigr, re : t 11L — - — Call(503)639-4175 by 7:00 p.m.for an inspection n ceded the next business day CITY OF TIGARD Residential Building Permit Application Plan Check#.a _g i7 13125$ Recd By W HALL BLVD. Alteration - Interior Only Date RecdUO TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. oc) V 503-639-4171 Data to DST - '0a F 503-684-7297 Permit# Print or Type Caned I-;Z;Z 0 0 Incomplete or illegible applications will not be accepted Name of Project n Name Job ✓�, Vt j((A�� /Q.a..S/C&,t,C ---- Site Address Architect Mailing Address Address 0 V_�� IH�D City/State Zip Phone N4rqe ._.� � ViVh^0rJ — Name Owner Mail'n Addres �I `" �1�^`'—�'� Engineer MailingAddrees �.Stat ip �,! Pho _ _ 1 qr t��R 7a) / -1-9-''��5 Clty/State Zip Phone General Na a Contractor I✓t4 /C�f��rb� � ,P,.► , � Describe work New O Addition O Alteration Repair O Ilin Ad4re�5s ` / to be done: _ Prior to permit /jJ�� N t- Ja r\ )17 Add-'o I D scrip'on of'Vork: �~ issuance,a copy C' /Stat Zip Phone ^'� _ / o^ • of all licenses r� A ,) Ll 2 are required if Oregon Const. 'ont.Board Exp. atPROJECT 7 t7- expired in COT Lir,.# / -3-7 9 5 1 /o�t� VALUATIO_N $ 6f database e Mechanical I Name — NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: Sq. Ft.Garage Contractor Mailing Address -- -- Prior to permit _ Indicate the restricted energy installation by the electrical issuance,a copy City/State Zip Phone - subcontractor in the follow-ng areas of all licenses Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp.Date EnergyS sy tem Alarms expired in COT Lic# mstallations Vacuum Irrigation database S stem _ System Plumbing Name (cher k all that Other: Sub- apply) Contractor Mailing Address Corner Lot YES f2O Flag Lot YES NO check one check one Has the Subdivision Plat recorded? NIA I YES NO Prior to permit City/State Zip Phone issuance,a copy SAiar Compliance T of all licenses are Oregon Const.Cont.Board Exp. Date (Calculation Attached) required if I_ic.# expired in COT I hearby acknowledge that I have read this application,that the database Plumbing Lic.# Exp. Date information given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with a _ Oregon State laws. ficSignature �, wne�r/ ent Date/ Cn Electrical N;Trie�l C�ec � _ x fc--� M� ~ 3 0a HSub- Mailing Address Contaci c�q�nNe Pit n #.7v Contractor S(/J Teck Ck. & . FOR OFFICE USE ONLY: C0 City/State Zip Phone Plat#: ,ll MaplTL#: I� WPrior to peni,;t p ( 60J CT" a 5 Q -�'G0 x0 J issuance,a copy �� G( 1/� O of all licenses are Ore on Co st.Cont Board Ex Date Setbacks: Zone: '�7 Solar: required if Lic# 1 p� p n_ 2 r~ expired in COT A a1,joul Engineering Approval: Planning Approval: TIF-:-- database Electrical Lic.# .�y 7 Exo to Electrical Supervisor Lic.# Exp. to J � L7US UU Ji 4�) 5� i formslsflntak.doc(DST)10/23/98 CITU' OF TIGARD BUILDING INSPECTION DIVISION MST ?ffi�-000 / 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 j� BUP Date Requested GSD —AM--PM BLD _ Location _� L� l� � ' /� /1G� suite MEC _ Contact Person Ph i r_ PLM Contractor Ph _ SWR BUILVING ^ — Tenant/Owner ELC Retaining Wall ELR Footing Acress: Foundation FPS —. Ftg Drain SGN Crawl Drain Inspection Motes: 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 Sanitary Sewer Rain Drains — Final PASS PART FAIL -- MECHANICAL Post& Beam - ---- -- - ---- --- — — Rough In Gas Line -- -- - — - -- --- __ -- Smoke Dampers Final - ----- s- _--- - --- PA ART FAIL IL LECTMMAQ_ (� a ----- -- ------------ -- �' -' H Rough In UG/Slab Low Voltage J Fire P:arm _ __ - -- --- __ ---- --- -- -.._----- m � SS ART FAIL W Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Bf sw -- ( J Unable to Inspect-no access Fire Supply Line [ ] Please call for reinspection RE: . ___ _.— ADA APPIuacti;iidewalk Date Insp@CtOr Ext Othar - Firnd PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ?.4-Hour Inspection Line: 639-4175 Business Line: 6394171 BUP _ Date Requested _AM�PM _ BLD Location C d Suite (!E -CO 9'j 1 Contact Person Ph 70(p.')- PLM Contractor Ph SWR morbiNr� Tenant/Owner ELC e i rng aii ELR Footing Access:- FPS �- Foundation i ' •� Ffg Drain V ) (' Crawl Drain InspeC SGN - Stab SIT Post&Beam - Fxt Sheath/Shear Int Sheath/Shear _ Framing Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc. -- in PART FAIL PITNI ----�" GING Post&Beam - Under Slab Top Out Water Service Si� ritary Sewer -- -- --- - - -----.-�._ - Rain Drains Final ----- PASS PART MEQHANIUNC5 i,ost& Beam Rough In Gas I ine Smoke Dampers rna --- - - ---- -��_- _ tTM PART FAIL IL Service- Rough In h- UG/Slab ----- --- _ - -----..-_-.._,_.. _ -- ---- _ Low Voltage :3 Fire Alarm OD Final (j PASS PART FAIL J SITE Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ -� required before next inspection. Pay at City Heil, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RF -. _ - j Unable to inspect-no access Fire Supply Line ADA 3i Approach/Sidewalk Date 3130 100 Inspector �y� Ext Other �-- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION ST17tre —'Mee // 24-Hour Inspection Line: 539-4175 Businesa line: 635-4171 r� � l� BUP lt1 7 S ,Date Requested I _ AM PM _�� RLD Location 1�5~�C' j 4� Ine� Suite MED Contact Person -7 _ Ph S't,� 7D Z- PLM JF Contractor Ph SWR _ ^- Tanant/Owner ELC Retaining Wail ELR Footing Access. Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes' — Slab — _ _ SIT Post&Beam - Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing ----------- _�—____�.. _ Firewall Fire Sprinkler Fire Alarm Susp`d Ceiling Roof in PART FAIL GING Post& Beam Under Slab Top Out Water Service Sanitaiy Sewer Rain Crains Final PASS PART FAIL MECHANICAL Post&Beam — Rough In Gas Line - - - --- --- _ Smoke Dampers Final -- PASS PART FAIL ELECTRICAL -.-- ^-- -� - d. Service — ix Rough In }- UG/Slab -- U) Low Voltage Fire Alarm J Final m PASS PART FAIL (9SITE Backfill/Grading --�-- —� —` — Sanitary Sewer Storm Drain ( ]Reinspection fee of$^ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line i ]Please call for reinspection RE: � ( ]Unable to inspect-no access ADA Approach/Sidewalk (a r jig Other Date Av`' _,!___,_�—.Inspector , CJ��_ Ext _ F nal PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0046 DATE ISSUED: 01/26/98 13125 SW Hall Blvd., Nord,OR 97223 (503)6394171 PARCEL: 2SIlOBD-00200 SITE ADDRESS. . . : 14590 SW MC FARLAND BLVD SUBDIVISION. . . . :SHADOW HILLS ZONING:R-2 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :041 JURISDICTION: TIG Project Description; Add 11 branch circuits to an existing dwelling unit. ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- ( 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IP,RIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FPR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS------- ---ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 10 IN PLANT. . . . . . . . . . . . 0 601 -- 1000 amp. . . . . : 0 --------------------PLAN REVIEW SECTION---------------- 1000+ ECTION---------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS.. . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= c'25 AMPS. . : CLASS AREA/SPEC OCC. - Owner: CC. :Owner: ---------------- - --------------- ___ ___ FEES NONGNUS VIRANOND type amount by date recpt 14590 SW MC FARLAND BLVD PRMT $ 85. 00 GEO 01/26/98 98-302754 TIGARD OR 97224 5PCT $ 4. 25 GEO 01/26/98 98-302754 Phone #: Contractor: ----------------- ----------------.-------------------------------- CHANDLER ELECTRIC INC f 89. 25 TOTAL 3521 SW CARSON ST PO BOX 80696 ------- REQUIRED INSPECTIONS PORTLAND OR 97280-1696 Underground Cove Flect' l Final Phone #: 245-7774 Elect' 1 Service Reg #. . : 000949 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 181 days of issuance, or if work is suspended for more than 181 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952(d11 1111 through OAR 952-01-1987. You may obtain a copy of these rules or direct questions to OIK by calling (513)246-1987. a. Permittee Signature: �?Zof- Issued By: CA L --__.----------------- .------ OWNER INSTALLATION ONLY----__.-------_________—._—_------. � The installation is being made on property I own which is not intended for ED sale, lease, or rent. t7 OWNER' S SIGNATURE: DATE: lu _.._. ___.____--------------_CONTE 'TOR I NSTALLAT 70N ONLY---------------------------- - SIGNATURE --------------------_---____SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE N0: 6 �1S_ ++++++++++++++++++++++++++++++++++++++++.•-++++++++.+++++i++++++++++++.4++++++++++ Call 639-4175 by 7:00 p. m. for an inspection neoded the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ rd Community Development ELECTRICAL PERMIT APPLICATION 13125 SSV Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # 4F 4C 2E—Ooy4- Phon6 1,503) 639-4171 Date Issued CITY OF TI(;RA6tD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (W3) 639-4. /5 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_"_ n I Number of IneW.tions per permit allowed -- AddressS1 0!5'w4772>-V�7 �4✓/►� Service included Items Cost(ea) Sum City/State/Zip 7 L Z Z-7 4s• Residential-par unit 4 1000 W it or lase $11000 onaName (or name of business) e Each addt ere f eq It or ' portion$Mored $2500 Commercial❑ Residential LH' — Limned Energy -- $2500 --- Each Manul'd Home or Modular 2 Dwelling Service or Feeder $ea DO 2a. Contractor installation only: 4b.Services or Feeders Installnhon,alteration,or relocation 2 Electric Contractor t c zoo amps or Mss $ec 00 2 201 amps to Oro amps $80 00 2 Addie s 401 amps to eco amps $12000 2 city State Zip 801 amps 10 1000 amps $18000 2 Phone No. 7 YS-7771( over 1000 amps or voMe $340.00 Contractors License No.-2j__LTIZ4 Reconnect only W 00 Contra )r's Board Reg. No. ?� Y o� 4c.Temporary Services or Fssders W Dig *SS'g f Installation,allerahon,or relocnimn 2 Signature of S pr. Elec'n k 200 amps or less W 00 2 201 amps to 400 amps $7500 2 License No. YS Phone NoZ,(j6-]]_'j !j_ 401 amps to NO&trips $10000 Over 000 amps to 1000 Vona 2b. For owner installations: see W above 4d.Branch Circuits Print Owner's Name _ Naw,alteration or extension per panel Address a)The fee for branch circuits with City _ State Zippunchoss of senlce or Aeed4r he. 2 Each branch c-mirt _ $500 Fhone No. b)The fee for branch circuits without The installation is being made on property I own which is purchase of service or AkxW Me. �- 2 rim$branch nalbranch $35 00 not intended for sale, lease or rent Erich addnimnal branch cireud $.500 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan '?eview section (if required): Each pump or crigation circle $4000 2 Each sign or outline lighting $4000 Signal circud(s)or a limited energy 2 Please ehe.,w appropriate Item and enter tee In section SB. panel,alteration or extension $40 00 _ CL 4 or more residential units in one structure Mmnr Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over — the allowable In any of the above Classified area or structure Chapter 5it>g special occupancy _— �C as described in N.E.C. Cha ter 5 Per hour ton $3500 P Per hour $5500 J In Plant $5500 m Submit 2 sets of plans with application where any of the above apply. Not required for temporary consituction services. 5, Fees: / W So. Enter total of above fees $ J -t NOTICE 5%Surcharge(.05 X total fees) $ Z PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of ine A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal E COMMENCED n frust Acccunt 0 $ Qalance Due $ AMEAS .oR+bame.,•,.i.o,xm re CITY OF TIGARD BUII.,DING INSPECTION DIVISION 24-liour Inspection Linc: 639-4175 Burincss Phonc: 6394171 _` // II NOVA Datc Requested: _ ` 7 - _ _— CP_M,� MST: Location: y S(.(J ,��, BUP: Tenant: Suite: Bldg- MEC: Contractor: Phone: 777J PLM: G (homer: hone ELC: ELR: BUILDING BLDG(con't) 6VLUMBING MECHANICAL XL&CTBIGAL___ > SITE Site Po". eam Post/Beam PosUBeam Cover/Service Sewer/Storm Footing Roof Undl-l/Slab Rough-In Ceiling Water Line Slab Framing Top out (Sas Line Rough-In U0 Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Rsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Appmv Approved Appr/Sdwlk Not Approved Not Approved Not Approved L n ved Not Approved FINAL FINAL FINAL FINAL 1.tlI t,r4 d- l Yl l- f I,G7�l4 11apof (�&�2 7 mot0- See At L T va o c"-/ 0 L n u C1 Call for reinspection Reinspection fee of Srequired before next inspection 0 i finable�'o inspect _ Inspector:` Date: �D Page_— of CITY OF TIGAR D MMIANICAL DEVELOPMENT SERVICESPE RM T PERMIT'MTT it. . . . . . . 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 MITE 13r)LIEDz 11 ".2, PARCEL : 2311 013D -0011`00 I JUPT!-MAICTION. TIC 17 EVAP Cool-ERG: 0 IINT"- 1FATIE-W3. 0 VENT FnNS. . . . 0 V!-NT'7 W/C� X:1-1.. ." 0 V E=N T S N'13)T E MS): 0 '/C0Mr'M-S30,Rc- Hnnns. . . . . . . : o N C 'N-. 0 I)OMP.,. ' COMM. INCIN: 0 15, 30 1 ';'. PEPnIP UNITS: 1b 7 Ij 12! 0th !-!r'. . . .. . V, 4 1 V ('1_0 DRYEM 0 MR 73' OTLIF';1 t.JNITS). a I looeo Fol, . 0 t by dat E rpLpl, PRMT `5. 0 0 DRA It /l."/97 1)PA I 1 0 07 20. 253 TOTAL R E 0.U I RED T NGPFtT I ON^ buf: Et tc 4 t, i ca I Ir1s,Fi Elate of Die, Spe�iall�j '.,Aos ar-. C�t E ri ,o lnspLnction i'l t1f dw; iP accc--Ga"%,e " ii riapect i or t-h A.: eAp i I i- WGI_t is not s�artef is ;�iSppneed for scre -a, 'E1.101- jou tc Follow rules �n :uitv. `,!,ose vIes we 7' S!74C' N-'?, YLI 18y F ru I F.I :t ur t t in at ur a 4-1 4 4 -f 1 4 {..q...{.4 ++.4 •f f.4.d + .4.+++ 4-4-4-+i +4 m,. Fc.,' i nspc�.tions deader' the Tle)<t i ne s s day q..,-.1.,4 1.+4 + (-4-++ F•+++-4 +4,f-+4-+++4 +-4 4-4 -1 4 1 +..F 4 4 + 1 1 -0 1 4 E.4 f- +..+ +..1.+-4 4..C..j -1 4 J-j Plan Ch CITY OF TIGARD Mechanical Permit Application Recd Br 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. (503) 639-4171, X304 Date to DST�2� Print or Type Permit 0 Incomplete o_r illegible applications will not be accepted Called Name of DevelopmenvProlect Description Table 1A_Mechanical Coate QTY PRICE AMT Job Street Address Table Permit Fee -0 0 10.00 Address 14 5 90 S w Me Rt Nea BbaN CRY/ P 1.) Furnace to 100,000 BTU 8,00 7-1 Q y 7 2 N including ducts&vents Harr»(a nen»Of bu-riass) 2.) Furnace 100,000 BTU+ 7.50 owner V I KA N U iU n, ^I U N(y,N 0 S including ducts d vents Mailing Adana 3.) Floor Furnace 8.00 1 V�; `f 0 SW M c FA RGA Au, R Lir tS includin vent 4,) Suspended heater,wall heater 6,00 T I C1,A (It b Y 7 22 S'yg_10 71 o:floor mounted heater Name(or name of business), 5.) Vent not included in appliance permit 3.00 Occupant Mailing A,hes- 6.) boiler or comp,heat pump,air Gond. 6.00 to 3 HP;absorb unit to 100K BUT- CMylSta s Zlp TTinp» 7.) Boiler or comp,heat pump,air coed. 11.00 L _3.15_H?:absorb unit to 500K BTU" Contractor Nam 8.) Boiler or comp,heat pump,air coed, 15.00 15-30 HP;absorb unit. -1 mill BTU" Prior to permit Maung Address 9.) Boiler or comp,heat pump air coed. 22.50 issuance,a copy 30.50 HP;absorb unit 1.1.75mil BTU" of all licenses City/State tip Phone 10.) Boiler or comp,heat rump,air coed. 37.50 are required if >50 HP;absorb u,A 1 75 mil BTU" expired in COT Oregon Conies.Cont.Board Lic.x UP Dete r 1.) Air handling unit to 10,000 CFM 4,50 database Architect Nan» 13.) Non-portable evaporate cooler 4.50 cv 14- 7& Or Marling Address 1:j Vent fan connected to a single duct 3.00 Engineer caytState Zip Phone 15.) Ventilation system not included in 4.50 appliance permit Describe work New O Addition O AReration Repair O 16.) Hood served„,mzchanical exhaust 4.50 to be done Residential O Non-residential O Additional Description of work: 17.) Domestic incinerators 7.50 w C d 18.) Commercial or industrial type 3000 _ Incinerator Existing use of 19.) Repair units 4.50 building or property 20.) Wood stove 0_50 Proposed use of 21.) Clothes dryer,etc. 4.50 building or property _ Q" 22.) Other units ! 4.50 � 1 V) Type of fuel.oil O natural gas LPG O electric O 23.) Gas piping one to four outlets 2.00 I hereby acknowledge that I have road this ap7llcation,that the 24.) More than 4-per outlets(each)-, 50 J information given is correct,that I am the owner or authorized agent of m the owner,that plans submitted are in compli nce with Calgon State QTY.SUBTOTAL laws. _ W Signature of Owner/Agent pate 'SUBTOTAL y 7 5%SURCHARGE Contact Pilirson Name Phone PLAN REVIEW 25%OF SUBTOTAL til- 1<iii IU O N b �[`I2i4) S 9 -/O7sr -�� TOTAL i:\mechpmt.doc (rev 9 "Minimum permit fee is S25+5%surcharge "Residential A/C requires site plan showing placement of knit. _ i 4X5 GL ell F, til• 4� GLAZEn INSULATED- UNITs � _ _ 1 a 0" ---- ------ - ALL U N 1 T S — "INSULATED' 4'–(f I V -I 4=0 _ ------ l i 6x4' ►yilA , SL.Unit 3x4rF.GL. I pG-1 1_-- r 4F --- ` Hof Air ha r � ---_.6�.• I LEISURE RM � .g �e�8 n• I -tai - °Lamm •r I ,�,�e�'X\ I �---'-j�'' \ � \Qyees arch� • I I I re i I Of Place vs PM 3 I F.G.Mleurafron Chs ISEWING ROOM _ Fooli Lrne For Ljpper a Lower Fir#Pk"O ,� I IO,r 1- 5 Ti b a e o `~ U \ Shr. Comb. S o do Bp 6 =3 IEx.Fon � �� Z Q II BATH ,-•� I I U C� L] I �-_ --- .— --• -;-t � /yeti , I g --� F-- C1d. R`6 I I ��� M�� '�" 511 t•1 f _ / � . rrO � 1 Ink � WORKCL � a –1 —5=6 i it -O I • Q C9 1 J°M rr r �– W �. 4aa�e� If oott 3o��e�t<�• F„_- Y • V CJ I VJ� r (A 1 �. ��� Y _ W v� 7 a�' I -- ----- a m \ - ®ENC r� 1 o—r O r r i . + . 4xli' GL. f. OL Z GLAZED INS LA UNIT 1 40" UNITS 'INSULATEDf` � ALL I 1 4:-0 - 1060 0 - (— r �f 6rx4 1> SL.Unit 3jr GL. 10 I — Hot I lair homb r 6-46L, L SURE R Mor I s 0 + Of replace I ' �,. 7^bA SEWING ROOMno I 14 1 ,� I o r V G; (, ,� � For Upor l� Lo�.r Fir�Dla'es +�0 r t 5—6 • I � � rr I I Iy / 51011 lk , 241 On 9—8" tu -, Q _ 5' Tu b e VV RAGE IRM 6T" f Shr. Carib. i Ex.Fan .,y • r I I BATH I ST o AGE i N rr --'8-' • l WORK ink W f0=ori I i 8'43 DENC ---28 _ t f i 1 I r , � r