9510 SW MILLEN DRIVE-1 i
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9510 SW MILLEN DR
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00143
/261
ARM 13125 SW Hail B,vd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2511 3
PARCEL: 2S114BA-12000
SITE ADDRESS: 09510 SW MILLEN DR
SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R-7
BLOCK: LOT:085 ,JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP 1001.r-RS:
TYPE OF USE: SF UNIT HEATERS: /L 1T FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEM'S:
STORIES: _ BGILERS/COPIPRESSORS HOODS:
_ FUEL TYPES _ 4 - 3 HP: DOMES. INCIN:
LPG 3 • 15 NP: COMML. INCIN:
MAX INPUT: STU 15--30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: Rcplac^gas furnace.
Owner: _ FEES _
MICHAEL_CARTER Description Date Amount
9510 SW MILLEN DR. [MECHJ Permit Fee 3126/03 $72.50
TIGARD, OR 97224
[TAX]8°1°StateTax 3/26/03 $5.80
Phone: Ila Total �u $78.30
Contractor:
SPECIALTY HEATING& COOLING
1601 SE RIVER RD
HILLSBORO. OR 97123 RECIL "RED INSPECTIONS
Phone: 503-640-3607 Mechanical ;nsp
Final Inspection
Reg#: LIC 66578
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W I This permit is issued subject to the regulations contained in the Tigard Municipal C jl-, ;,tate of Ore. Specialty Codes
J and all other applicable laws. All worts will be done in accordance with annrcvau' pans. This permit will expire if worts is
not started within 180 days of issuance, or if work is suspended for more than 180 days. Al TENTION: Oregon law
requires you to fellow rules adop!ed in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: . Permittee Signature:
Call(503)639-4175 by 7:00 P.M.for Inspections needed the next business day
Mar 25 03 10: 16a Spec:ialtti Heating 503 598 0718 p. 2
Mechanical Permit Application pnmm����
City of T=mr E( V E V Date received; �� �"0' -� 'r701 Y
Addrt:ss: 13125 SW Hall Blvd,Ti Pr°ject/sppl.no.. g�rpin date;
Ciry ojT7gard gard.OR 97223 —
Phone: (503) 639-*1�yAR �) �j 20 3 Date issued: By] tteceipino.:
Fax; (503) 598-1900WR ` -
: type;
I.xnd use appto, � Case file no. Psymcnt
)F TIGARD Rulldinliparm.Itno.:
;Jobaddmss:
family dwelling or accussory U CelmmerciaVlndustrial U Multi-family L3 Tenant improN ement
constructlo.: O Addtdonleltonati�m/replacemcnt O t7ttner.
=?�" �y(,v /=,fd l _ indicate equipment quantities in boxes below_Indirarr the'tnllar
Bid _uo•: Supe no.: value of all mechanical materials,equipment,labor, wedtead,
Tax map/tax lot/account nc.: profit.Valur.S
Lot Block: Subdivision: "See checklist far impnrinnt application information and
Pro ect name: jurisdiction's fee schedule for residential errnit fee.
-- City/county- -7 7
IRNM
Description acid location of work on pmmises: -
L data of m l inspection: ��` Fee
ra) TOWB'esctl . Res.oaI >Etes,eaoy
Tenant improvement or change of ngwr-:
Is existing space heated or condldonedyVYes U No Ita'tdlln unl* CFM
existing space insulated? Yes U No r�rotn ib '�° an a
Alteration ofaxistln s�stern —.
o contpttsautb ---
Business name: M State boiler permit no.,
A—�y.Z 4 � Rl NE R m D HP Toru BTU/H
i�/ s� a stno ors
City. State• L1P: /A.$ Beat u (ateantaluTied�" -
Phone: O Fax: b'- E•tttail: ns p ace1ni
CCB no.: lncludi duatworldvcnt liner)'Yes U No
CTnata rep ae reo,*ate Delors-soarer t ,
ity/m011+p lie.no,:/ __�_ ��-- �-- wall,orfloor mounted
Name least,p�,,:;: d!^A'� J� Lo ent a AMC0 Cr an ace
re `-
NameAbsorption units HTU/H
HP
Address: �f>p�-r,_rr j�jDG1t° O 9 00as HP
City: i/.S to Stacepr� Za' 7775 is
ApMance vent
Phone G
a 3v Fax• ' •-610 E•mai1: yerethsUsF -
YpC .+�cn�iaztnn -
Name' �- twat faro suppression system
il&u ( Fixhauet fan with single duct(bath fans) -
MailiaR address: 4�/l3 (.l� / • /!l/e/ st stmt oat a A
4. Ci
� sem'd _I ZIP: ,7,-1a w up a our stn
Phone Fast: E-trail. Tom' —� NG off
to n o over o"4 uUeu
}- him= var phft iac a c requ )
F- Namac Numberofouttcts
•J Address: Otbor a of ,
mDecorative lace
City- _ State: ZIP n - _.
W Phone' t _ -mall: - W 0 oas pe et v —
_I I Applicants signature: _ —
LNam (print):
Na an joria4 cdi rmrpi actin elide,ptew Can iudAcd7an ebr male Ww"Woa. Perm[fee..._ S
QYsa nmwtr fiu,d Notice:This permit application Mmimum fee.'..............S
cmdit can±lemur-,_ _ / expim>;s Ira permit is not obtair-A Plant inview(at ^ %) $
within 180 days after it;un been State mrch
to a oe t c accepted w complex. arge(8%) ...$
..� TOTAL.................. ...$
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 0
INSPECTION DIVISION Business Line: (503)639-4171 MST —
BLIP
Received —_- _ _ Date Requested '„rl _____Pfd____..______ BLIP
Location �QL„fIs -/ Suite ___ MEC
Contact Person , ,
�.—_.._. Ph(_._�) rn 10 :�Aa.0 -7 PLM —
Contractor — —_ - Ph(---) -- SWR
BUILDING T@mnUOwner _ _ _ ELC
Footing ELC
Foundation Access: ---- - --'--�--
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT --- -
Post R Beam -- ----___.----__-- -�_ —�_---
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing — ---- - —�.-- --- - ----- --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - - --
Rout
Other: �—
Final
PASS PART FAIL
PLUMBING_
Post 8 Beam
Under Slab —
Ruugh-In
Wa!er Service - --- — — - - — —
Sanitary Sewer
Rain Drains - -- -
Catch Basin/Manhole
Storm Drain -----
Shower Pan
Other: ---
Fin i -- --
PASS PA AIL +--- _
Post dBeam
Rough-In --
Gas Line
IL Smoke Dampers
F" AS PART FAIL
tn
I7ELTMCAL —_-�
J Service, ,
-- - _ --- ----- ------ ---a-----
Rough-In
� UG/Slab - -- ----___ ----- ---
W Low Voltage
Fire Alarm
Final Ll Reinspection fee of$__ required before next Ins
PASS PART _FAIL pectfon. Pay at City Hell, 13125 SW Hall Blvd.
SITE - Please call for reinspection RE _____�__ l-1 Unable to inspect-no access
Fire Supply Line
ADA nI,* -_ Inelpocter __�__�. Ext
Approach/Sidewslk D —
Other:
Final DO NOT REMOVE this Inspoedon record from the Job Oft.
PASS PART FAIL
r
CITY OF-TIG ARD 24-Hour
BUILDING Inspection Line: (603)6394175
MST
INSPECTION DIVISION Business Line: (603)639-4171 —
0 3•\.\ BUP _
Received Date Requested c13 -a o J%M_— _._ PM—_ BUP —_
Location `_ Ii) au a' .__(eta- ✓ Suite__—__ —__ MEC
Contact Person _r__. Ph PLM
Contractor-- _-______ Ph( —.) L� ` 'a ?� _ SWR —
BUILDING Tenan _— ELC ��-?L
Footing d ELC
Foundation ccew: -
Fti.DrL,n ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - - -
Ext She.„th/Shear _
Int Shrath/Shear
Framing ------- - ----- _ -- ------
';,sulation
Drywall Nailing ------------- ---- -- _ ____._�-..--- ---
Firew.-:i
Fire Sprinkler -- - - .-_.- -- ---- --- -- - _
Fire Alarm
Susp'd Ceiling _.---- --_--__--
Roof
Other: --_ -.- ----- -- _ -----------_-_..__�-�_-------------------------.-----�...._____-___._
Final --m-___--`
PASS PART FAIL - --- ----_..�_-----------__--____---------------- __. ------
PLUMBING
Post&Beam -
Under Slab - ----- - -- — -- --
Rough-In
Water Service --- - ------- ----
Sanitary Sewer
Rain Drains - - —
Catch Basin/Manhole
Storm Drain -- - — —'
Shower Pan
Other: _--- -
Final
PASS_ PART FAIL - - --- —�
MECHANICAL
..-- ----------------------
Post&Beam
Rough-Ire -------- --- -- - -- --- --
Gas Line
IL Smoke Dampers
F„ Final
N PASS PART FAIL ---- - -
ELECTRICAL
J Service -�-
60 Pough-In
W UG/Slab rd*� )
Low Voltage `�”
r Alarm
Final ❑ Reinspection fee of$_--_. required before next inspection. Pay at City Hall, 15125 SW Hall Blvd.
AS PART FAIL
SI Please call for reinspection RE:- __.___ _--__.____- UnaNe to inspect-no access
Fire Supply Line /
AQA �
Approach/Sidewalk Daft - U._r.__�,, Inspector �%� �`-�" Ext--------
Other:
Final DO NOT REMOVE this InspeaJon record tram t9e job site.
PASS PART FAIL
—s —
-CITY
���� �� �I���� ELECTRICAL PERMIT
PERMIT#: EL_C2002-00508
DEVELOPMENT SERVICES DATE ISSUED: 9/27/02
13125 SW Hall Blvd..Tigard.OR 97223 (503) 6394171 PARCEL: 2S114BA-12000
SITE AUURESS: 09510 SW MILLEN DR
SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R-7
BLOCK: LOT - 085 JURISDICTION: TIG
Proiect Dessriptlon: 1 branch circuit to hot tub.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADWL 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - F00 amp: CIGNAL/PANEL_:
MANF HM/SVC/ FDR: 601+axons - 1000 volts: MINOR LABEL (10):
SERVICEIFEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS_
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: M
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 VOL" NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: CLASS AREPVSPEC OCC:
Owner: Contractor:
MICHAEL CARTER A TO Z ELECTRICAL INC.
9510 SW MILLEN DR. PO BOX 3763
TIGARD, OR 97224 TUALATIN, OR 97062
Phone: na Phone: 503.932-5702
Reg#: ELE 34-565C
_ FEES ^—� Required Inspections _
Description Date Amount Rough-in
[L'LPRMT] EL('Permit 9/27/02 $46.85 Elect'I Final
[FLPRMTj EL,C Permit 9/27/02 $0.00
[TAX] 8%.state Tax 9/27/02 $3.75
(additional fees not listed here)
Total $50.60~
a This Permit is issued ,blecl 'n the regulstior3 contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. AM
iK work will be done in accordenr,--with approved plans 1 his permit will expire if work Is not started with'^ 180 nays of Issuance,or if work is suspended
for more than 130 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregor.Utility Notification Center. Those rules are set
N forth in OAR 952-001-0010 through OAR 952-001-0100. You rray obtarn copies of these rules or direct questlo.is to OUNC at(503)246899 or
1-800-332-2344.
m Issued By: Permit S! natur
)dDrCI
OWNER INSTALLATION ONLY __
The if mallation is being made on property I own which is not intended fo,sale,lease,or rent.
OWNER'S SIGNATURE: DATE:_._
CON'TRA O LN.*ALLATION ONLY
c
SIGNATURE OF SUPR. ELEC'N:. DATE: " z -7 - ° -�---j
LICENSE NO:
Call 6394175 by 7:00pm for an Inspection the next but Iness day
` Electrical Perinit Application
�Dste�mrmeceived:C�,�-17 b� Permit aro.: = �ee
City of T Bard Project/appl.no.: Expire date:
Cit I,of TiKelld Address: 13125 SW Hall Blvd,'ilgard,OR 97223 Late issued: B Recei t no.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
=.&, y dwelling or accessory U Commercial/industrial U Multi-fa(mifl�d U Tenant improvement
uction U Addition/alteration/replacement U Other:- i Cl Partial
Job address: "IS U J tU• tri t �t fJ 0 Bldg.no.: Suite no.: Tax tax lot/account no.:
Lot: Block: ISubdivision:
Project nam e:Mi4",i C AE; IL Description and location of work on premises:
Estimated date of completion/inspection: q-
fall U U 11 Iraq 0 11
Job no: Fee R1.x
Business name. Z (� t _ Descriotion car Tnul nn.Ina
New r ed"lial-aingle or multi-family per
Address: o X 1,71 L dwelling unh.inchsdenaltachedprege.
City: State:oq-I ZIP: 8ervicrbcluded:
Phone: 5 70 L Fax:Zt-3 2
E-mail t >n sq.ft.or less
- 4
hddtanal500 sq.nor portion thereof
CCBno.:I ` - t - Elec.bus.lic.no: Limited energy,residential 2
City/m trolic.no.: - /-TV 3 Limited energy,non-residential _ - 2
A6M _ __ 4- -z-1-0 Z-- Each manufactured horse or modular dwelling
signature of superylsi_n electrician ectrician(requirea) - Date S Service and/or feeder 2
Sup.elect.name(print): ( (�� License no:y $ Services or feeders-installation,
alteration or relocation:
Ut flu 200 amps or less 2
Name(print): L 201 amps to 400 amps 2
401 amus to 600 amps
Mailing address: S la M t l dill amps to 1000 amps _ 2
City: State: ZIP:9 7 2z tf Over 1000 amps or volts 2
Phone Fax: E-mail: Reconnectonl l
Owner installation:The installation is being made on property 1 own Tewportryoervimorreeilm-
which is not intended for sale,base,rent,or exchange according to lnimllatlMalteratlrm,orrelocatioc:
200 amps or less 2
ORS 447,455,479,670,701. _— _
201 amps to 400 amps _ 2
Ownces signature: Date: 401 to 600 ams 2
Branch circuits-new,alteration,
or extension per panel:
Name: _ A. Fee for branch c?rcuits with purcham of
Address service or feeder fee,each branch circuit _ 2
City: StatC: ZIP: B. ''ee for branch circuits without purchase
0. of service or feeder fee,first branch circuit 2
Phone: Fax: E-mail: Each additional branch circuit:
Misc.(Service or feeder not included):
U) Each pump or irrigation circle 2
D Service over 225 amps-comrnerciel ❑Health-care facility - —
(G� UO Service over 320 amps rating of IA2 U Hazardous location Each sign or outline lighting 2
J familydwellings U Building over 10010 squarc feet four or Signal cimuit(s)or a limited energy panel,
U System over 600 volts nominal mare residential units in one structure alteration,or exten-ion*� _ 2
0 U Building over threc stories U Feeders,400 amps or more •Aescridon;
lli U Occupant load over 99 persons U Manufactured structures or RV park Each additional hnpection over the allowable in any of the above.
J U Fgreswligl!tingplan U Other -- Perinsintion
Submit__seta os rhm with any of the above. Investigation fec
The above are not applicable to Immporary construction service. Other
Nat all jurisdictiom accept credit cards,pleas call jraimhctien for mar informationPlan re. Notice:This permit application Panr view(al _ %)fee........,."'." ) $
U visa U MasterCard expires if a permit is not obtained _
r'tedit card number:_ __�___ within 180 days after it has been State surcharge(8%)....$ _
Expires accepted as complete. TOTAL $
':acne of canilholder as diown on credit e
S
- Cardholder oi`mure Amount 4404615(610 COM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
—` TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _
------ _ . 178.00 Below: Ftestrlctsd Energy Feu....................................... ..........
....
Number of Inspections per renrnit allowed (FOR ALL SYSTEMS)
Complete Fee Schedule
Service Included: Items Cost Total Check Type of Wait Involved:
Residr•ntlal-per unit 5 4 ❑ Audio and Stereo Systems'
1000 sq,ft.or'-,,s
$145.1
Each addil sq.ft.or $33.40
Pori
1 Burglar Alarrr
Limited Erw ,• _-,_ $75.00 _
Each Marotrd Hemo or Modular 2 Garage Door Opener'
Dwelling Service or Feeder $90.90 --
Services or Feec:ers ❑ Heating,Ventilation and Air Conditioning System'
Installation,altera!ion,or relocation
200 P^;"or loss $80.30 — 2 LJ Vacuum Systems'
201 amps to 400 amps - $106.85
ar I to 600 amps �
amps $160.60! __. 2 _
p $24060 Other
. 1 ------- _ ----------___--__-
601 amps to 1000 amps --- 2
Over 1000 amps a volts $41.65
Reconnect only $66.85 _ 2
— TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Temporary Services or Feeders Fee for each system.......................................................... $75.00
Instaliclion,alteration,or relocation $66.85 2. (SEE OAR 918-260-260)
200 amps or less — $100.30 — 2
201 amps to 400 amps ---- $133.75 — 2 Check Type of Work Involved:
401 amps to 6C0 amps --Over 600 amos to 1000 volts, ❑ Audic and Stereo Systems
s""b"grove.
Branch Circuits ❑ Boller Controls
New,alteration or extension per panel
a)The fee'-)r branch circuits Clock Systems
with purchase of service or
ret-dor fee.
Ef,,ch branch circuit $6.65 2 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 El HVAC
Each additional branch circuit $6.65
Miscellaneous Instrumentation
(Servi✓e or feeder not Included)
Each pump or Irrigation circle $53.40 L�] Interwrr.and Paging Systems
Each sign o;outline lighting $53.40_
Signal circult(s)or a limited energy $75.00 El Landscape Irrigation Control"
panel,alteration or extension _ _ ----
Minor Labe!s(10) $125.00 _ —
Medical
Each additional Inspbction over
the allowable In any of the above $62 50 E, Nurse Calls
Per Inspection Per hour $62.50 C� Outdoor Landscape Llghflng'
In Plant _ $73-75
IL Fees: Pmtective Signaling
Enter total of above fees $ /lY 6 Other_ _— -----
8%State Surcharge $ - Number of Systems
1,,%Plan Review Fee $ No licenses are required. Um nses are required for all other installations
See'Plan Review"section v-, -
font of application. Fees:
UJI� $ J�
Total Balance Due Enter total of above fee% $ ---
❑ Trust Account# -— 8%State 3urchargr; $
Total Balance Due $
All New Commercial Buildings require 2 sets of plans.
i:\dsts\fomu\elc-fees.doc 08/30/01