12275 SW SUMMER STREET-1 .� ...', , .,,,,.. � M-t , t v3+ r��i.... .y, ..e+.rgs. .. .,,a• w-• 'A A,.. vr.,r, ..�y,,,r.M►'".,:.'►•.M•, r.+..w�r�rr wr..i„ .�, �,
a x r? r
r,r ,
x ,n,
)6
1.
kee(I
ADDRESS:
I
s
ZEJ 1 IrY1 I�QY � .Q' �..� Mb
i
I
I
i:\records\microflm`dargefs\building.doc
r
r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone:639-4171
Footing Rain Drain Cover/Service FINAL:
Foundatior Water Line Ceiling -Plumb. I
Post/Beam Mach. Shear/Sheath Framing - ec
Plbg.Und/Flr/Slab Plbg.Top Out Insulation ec
i
Post/Beam Struct, Mach. Rough-in Gyp. Bd. Bldg. E
San. Sewer Gas Line Appr/Sdwlk Reins.
'
-. Other: i /qC '
Date: ?2:� A.M. _R Entry:
Address: I a c��� ���'W�Y�'LQ-C_•)
Tenant: Ste:_ MST: —___ -
BUP:
Con;!v1G' "�7 �� MEC: EI
PLM:
ELC:
THE FOLLOWING COi+RECTIONS ARE REQUIRED: ELR: _
i
Inspector: Date: 4C`
I _APPROVED DISAPPROVED/CALL FOR REINSP. CF CO '
f
�• 1 I d�ll
"l
1
P
- --�� MECHANICAL
. CITY OF TIGARDPERMIT
PERMIT #. . . . . . . : MEG96--0163
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06 /04/96
13125 SW Nall Blvd.Tigard,Oregon p:223@811P9 (503)039-4171
PARCEL: 1 S 1.?,4CB--.00800 i
SITE ADDRESS. . . : 12275 SW SUMMER ST
SUBDIVISION. . . . : SUMMER HILLS PARK ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :6
----------_----------------------_-_---------.-.----------------------------_-----------
CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANC`� GRP. . :AI VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-_.._-...______.__ 0-3 HI:.. . . . . 1 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0 I
MAX INPUT: 0 BTU 15•-30 JAP. . . . : 0 REPAIR UNITS: 0
FIRE DAMFIERS?. . : 30-50 HP. . . . : 0 WOODS 'DVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
IJO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FUPN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarlts : Installing one 3HP 1_tnit or an .absorp i.tnit to 500K E3TU.
Owner: ---------------------------------------------------------
RICK BAROWAY type amot-tnt by date rer_pt
12275 SW SUMMER ST PRMT $ 25- 00 CJS 06/04/96 96-28016
", PCT $ 1. 25 CJS 06!04/96 96--28016
T I GARD OR 97223
Phone #:
Contractor:
PIONEER INTF_RNATIONAI-, INC.
70 NE GLISPN
PORTLAND OR 97220
Phone #: 254--8385 E 2:6. 25 TOTAL
Reg #. . . 057813
REC "'RED INSPECTIONS --------
Th1� permit is i!.sued subject to the regulations contained in the Mechanical Zn_
Tigard Municipal Cot_, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started _
within IN days of issuance, or if work is suspended for more
than 19e days. - -- —
Ger'mittee Signature : rI'rr< r
l s s t t e d By:
Call for inspection - 639-4175
r
1�
H
P
tc 1
05/31/96 16:24 V501 684 7297 CITY OF TIGaD Id1002/002
City of Tigard MECHANICAL PERMIT Planck/Rec. # �V;-a,00 i
13125 sw Hall Blvd. APPLICAT1 ION Permit # -o ils
Tigard, OR 97223
(503) 639-4171
Uescrip
•_ Table 3A Mechanical Code QTY PRIDE AMT a
Job " - 1) Perrrut Fee -0- -0- 10.00
Address .., _ —
1 r or- ' > J > > 2) suppip"*ntal Permit 3.00
Furnace to 100.000 BTU
1) incl. ducts b vents 6.00
— iwurnace Tom'—•
Owner 2-2 _75 S iy 2) incl, ducts d vents 7.50
+ Floor Furriance
3) incl. vent 6.00
uspen of eater, wa eater
�, a) or floor mounted heater 6.00
^' �`'^� ant noilnc-Tn
Occupant 5) appliance permit 3.OA
epair of heating, re rig.
6) cooling, absorptlon unit 6,00
Boiler or comp, heat pump, air con
1 O, 7) to 3 HP: absorp unit to 100K BTU 6.00 0V
Boiler or comp, eat pump, isr cona.
Contractor 7 t511 8) 3-15 HP; absorp unit to 500K BTU 11.00
o;er cr comp, heat pump, air cond.
7-', 9) 15-30 Hv; Wxorp unit 5-1 and BTU 1500
« •" ^ ,^ • Elotler or comp.Teat t pump, air cond..
10) 33-50 HP; absorp unit 1-1.75 mil BTU 22.50
ere y a now dge thaai I have read this application, that the Boiler or comp_ eat pump, air ccn . 1.
information given is correct, that I am D.1 owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 37,50
agent of the owner, that plans submitted are in compliance with Air handling unit to —r
State laws. that I am registered with the Consvuction Contractor's 12) 10.000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air an rng unn
reolstratton, please give reason below,l 13) 10,000 CTM + 7.50
Non poijable
14) evaporrte cooler 4.50
Vent tan conneue
15) to a single duct _ 3.00
Ventilation s)stem not _—
16) included in appliance permit 4.50
o..o.�
Hood serve y
17) mechan!cal exhaust 4.50
e5cn e wont neWZ'r a�R on a terat on repair Commercialor m ustrta
to be done residential � non-residential QI 16) type incinerator 30.00
xisting use o Other i.e., woo stov,. water
budding or property 19) heater. solar. clothes dryers. etc- 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
i
Type of fuel -oil natural gas Q LPG 2t) More than 4-per outlet (each) 2.00
Q electric O ,
NOTICE
PERMITS BECOME VOID IF WORK OR CONSTRUCTIONMinimum Fee 525.00 SUBTOTAL---'
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Special Conditions ——--
I
Date issued
_ // by
1111 OGIMp;frw(MYT
. CITY OF TIGARD PERMIRI#: ELC96110336
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/8/96
13125 SW HeN Blvd.Tigard,Oregon 97223.8194 1503)839-4171
C'ORCEL: 1!31.34CS-00800
SITE ADDRESS. . . : 1;`c75 SW SUMMER 51
SUBDIVISION. . . . : SUMMER HILLS PARK ZONING:R-4. 5
BLACK. . . . . . . . . . : LOT. . . . . . . . . . . . . :6
Pr^o.ject Descr-iption: Installing one service or- feeder-, tc 200amps and five branch
cir^c�_tii�.
---_-----------------------------
- --RESIDENTIAL --
UNIT------ ---TEMP SRY /FEEDERS---- -- ---MISCELLANEOUS---- --
1000 SF C .-SS. . . . : 0 0 200 amp. . . . . . . : 0 PUMF,/I RRIGAT ION. . . . : 0
EACH ADS) 10SF. . . : 0 201 - 400 wimp. . . . . . . : 0 SI3N/OU'T LINE LTG. . : 0
LIMITEC 6y. . . . . t 0 401 - 600 amp. . . . . . . : 0 q? 3NAL/PANEL. . . . . . . ... 0
MANF. n•. JC/FDR. . : 0 601+amps-1000 volts. ; 0 MINOR LABEL ( 10) . . . : 0
-----SE RV.Lt/FEEDER------ -----BRANCH CIRCUITS-•--•-- ---ADD' L INSPECTIONS---
0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 5 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1 st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 ;imp. . . . . . : 0 EA ADD' L BRNC;H CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ---_ ________.____--FLAN REVIEW SECTION-----------------
10004- amp/Volt. . . . . : 0 ) =4 RES UNIT=. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR )= 22:5 AMPS. . : CLASS A-11- )/SPEC OCC. a
Owner: -__._____-______._.__...___._____.__._.____________.________._..____- FEES
RICK BARDWAY type amount by date r•ecpt
12275 SW SUMMER `3T PRMT E 85. 00 CJS 05/28/96 96--L19877
51' CT $ 4. 25 CJS 05/28/96 911-279877
IIGARD OR 97223 ?
Phone #:
Cantvactor.
ADAMS ELECTRIC CO I NL It 89. 25 TOTAL 1
X340 SE CLATSOP
-- ----- REQUIRED INSPECTIONS --- --- -
PORTLAND OR 97202 Wall Cover E:lect' l Final
Phone #: 503-234-9651 I:_lect' 1 Service
Rey #. . : 596
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Per^m i t t e e S i gnat ure
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more _�hsx:l,pt__.� ►mi � __.______ .....�_.�...._._.....__.
i than 188 days. Issued By
INSTALLATION
The installation is being made on pr'oper^ty I own which is not intended for-
sale, lease, or rent.
OWNER' S SIGNATURE: DATEe
__.._-•-_--__----_.--__-_--._--._CONTRACTOR INSTALLATION ONLY._--_.---_-____._-.______._-_ ._._
S I GNnTURE OF SUPR. EIEC' N: � ;� ien �_ _ DATE: 15- . _gam_
1-.1 CENSE NO:
Call for- inspection - 639-4175
i
Community development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # E cgif,�6 _
Date Issued _5 .1,Y- 96 _v
Phone (503) 639-4171 1
FAX (503) 684-7297
. CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: �4. Complete Fee Schedule Below:
Name of Development el f Lam. Number of Inspections per permit allowed !►
Address l��Z,l_� �• ��/77,�' E�/�, Service included Items Cost(ea) Sum
Cit /State/Zi
y per/V�/�rj - Di'e �j Z•�� 4a. Residential -par unit
1000 sq, it fir le3s $110.00 4
Name (or name of bwiiness)_ %C Bud" Each additional so0 sq ft or
portion thereof $2500
Commercial ❑ Residential 1Y1 Limited Energy $ 500 _, 1
,!v Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 _ 9
2a. Contractor installation only:
sr�/ ^ -fes 4b. Services or Feeders
Electrical Contractor z��m _.lei `/��
Installation, or les on,or relocation � � ��
200 amps or less $80.00 �` 2
Address MA �<- � I D� __ 201 amps to 400 amps $9000 2
City_2;�r- State ZI �� 401 amps to 800 amps _ $12000 _ 2
y �.'�=R-- -�- p- 60 i amps to 1000 amps $180 00 2
Phone No. ��� —_ _ Over 1000 amp.or Vons — 3340.00 2
Job NO. Reconnect only $5000 2
contractor's license NO. -
4c. Temporary Services or Feeders
Contractor's Board Reg_No. Installation,alteration,or relocation
Signature of Supr. Elec' i'3, 200 amps or lea z
License No gj�,57L—,�5 Phone N .,33 201 amps to 400 amps $5000 __:_ 2 i
401 amps to 600 amps $75.00
Over 600 amps to 1000 volts $10000 ---—
2b. For owner installations: see"b"above
4d. Branch Circuits !
Print Owner's Name New,aMeratlon or extension per pane
Address _ a)The fee for branch circuits with
purchase or service or reader fee. 2
City_—__ State Zip_ ' 7 :,, 1
Each branch circuit $5.00 -�`���'v ,
Phone No. - b)The fee for branch circuits without
The installation is bell Ig made on property I own which is purchase of service or Feeder First branch circult $35 00 2
fee. 2
_
not intended for sale, lease Or rent. Each additional branch circuit $500
Owner's Signature4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or irrigation circle $4000
Each sign or outline lightirg $4000
Signal clrcull(s)or a limited energy —'
Please check appropriate item and enter fee in section 513. panel,aMeratlon or exten,lon __ 340.00
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System n ter 600 volts nominal 41. Each additional Inspection over
__— Classified area of structure containing special occupancy the allowable in any of the above
as described in N E.C. Chapter 5 Per inspectinn __ 33500 _
Por hour $55.00
Ir, it $5500 — —
Submit 2 sets of plans with application where any of the Ebove —� —
apply, Not required for temporary construction services. 5. Foos:
NOTICE 5a. Enter total of above fees $
5%Surcharge (05 X total fees) $ fr
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
Sb. Enter 25%of line A for $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
required (Sec 3)
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if req $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED - m�m .�. �_� Trust Account #
_-
Balance Due $ c `
F 1,
1 fr:
K " .I �' r
� .,
.d � . 7 !,'r�Yy7r � • � �� �� h�' il� �i �•k. 'lei,
JY
J ,
1 Y
t
CITY OF TIGARD BUILDING INSPECTION NOTIi;E
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundatinn Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
I ,
Plbg.Und/Flr/Slab Plbg.Top Out Insulationlac ytry rt'0,40M411'f
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk
Other:
Date: � e A.M. _P.M. Entry: cL
Address: .—�
Tenant: Ste: MST
BUP: ( ;
Con/Own: — �J ' MEC: ,
PLM:
ELC:
THE FOLLOWING CORRECTION'ARE REQUIRED: ELR: _
i
Ic
� h
Inspectr- r _ LDate-
JROVED/CALL
FOR REINSP. CFr CO
r ,
d4�'�