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CITY Of TIGARD BUILDING INSPECTION NOTICE
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 41
d /
' Inspection'
b �
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ech. Roug Fireplace
Post/Beam Struct. OIbg. Top Out Elec. ugh-in AL:
Post/Beam Mech. San, Sewer Gas Line BI
g•
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation - ect�
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Daty Requested:? �3 `9 Time:
7KAM PM
Address:
Builder:- Permit #:w��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
dp
Insp ^tor. Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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MECHANICAL
CAL E
CITY CSF TIGARD PEP .IT
COMMUNITY DEVELOPMENT DEPARTMENT DATE'T OUCC : MEC95- +i +i
DATE IrSUra: 0~;,r1:'J/05
13125 SW Hall Blvd.Tigard,Orpon 07223.8199 (503)838-4171
PARCEL'. %S 1 1 1 SD-01 BBQ"
':TATE V?645OW SATTL ER ST
SUBDIVISION. . . . s DARMEL ZONING: R 5
f LOC} . . . . . . . . . . : LOT. . . . . . . . . . . . . . 13 !
CLA,S or k;jto . :ALT FLOOR FUPN. . . . r: EVpP Cool-ERG:
:
'tYpE OF USE. . . . -.Or UNIT HCATERS. . : VENT F=ANS. . . s
OCCUPANCY GK. . .R?; VENTS W/O At'PL: VENT SYSTC:MS s �
STORIES. . . . . . . . c BOILER:/CBMPRESS)OR~ HOODS. . . . . . .
FUEL TYPES_ . . __._. _ 0 3 14P. . . . : DOMES. INCIN:
: /OIL/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUTS TITU 15-30 HP. . . . : R>»F -)TR UNITS:
FIRE JAMPERS% . : 30-50 HF'. . . . I WOOD'.."TOVGS. . s
OAS PRESSURE. . . : '30+ CLO DRYERS. . .
NO. Of UNITS- -- - - - AIR HANDLING IJNIT5 OTHER UNITS. s
(`IJRI,I : 100K PT(J: 1 t 10000 c f m : i GAS O"JTLr"TS. :
}=URN ) =100K E1TU: > 112+000 cfm:
►;pm�5rks: Replacing oil furnace with new nil fs.it-nace and adding cpnti-al air
conditioning.
Owner-s FEES _......_ .__._...._...._..
ARYAN ►IANSON type Ramo_.tnt by date �-ec:P'
h645 SW BATTLER PRMT 4 J.5. 00 D 05/115/9) -
Pl CK t f: 2: S erg;/15/15
TIGARD OR 97Z'24 5P(.:T t 1. ,'`i E', it'+ri 15/95
Rhone #:
MCM)L.t. HEAT I MM & C:?OI..I NG CO
165e. NE LOMBARD
PORTLAND OR 9"cl l _.._-._..._.__..__..__.__._.._.
Phone 1( : ^ '1 .';311 t 3(';:. 5!O TOTAL.
Reg #, . I 10i:W310
-- -- REQUIRED IN13PECTIONG -._. _ ..
Th's perelit is issued subject to the regulations co"ttained in .tie Mec,.hanir..al In,;p
Tigard Muni�Ipal Code, State ;f Dre, Specialty Cadet and all other Final Inspection __.._..._._ . _.w_....... ____...
app,icable laws. All work will be done in accordance with
&Waved Flans. This parvit %ill expire if n)rk is ^ot !carted
within 130 days of issuance, or, if work is suspende, t.- tore _
than 180 days.
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0111 fat- inspection 639-4175
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4 -City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
Table 3A Mechanical Corti QTY PRICE AMT
Job 9645 SW Sattler 1) Permit Fee -0- -0- 10.00
Andress — P--
- Tigard Or 97224 2) SupplementalPerrnit 3.00
Furnace so to 1
Br an Hanson 639-1609 1) Ind.ducts&vents 1 6.00 6,0
Furnace 100,000
Owner 9645 S.W. Sattler 2) incl.ducts a vents 7.50
C�A_ Floor rnanCe
Tigard Or 97224 3) incl.vent 6.00
`— spe7 lWR6ate(,wall Beater
Same 4) or floor mounted heater 6.00
Occupant w Vent not i -in —
5) apprrance permit 3.00
Repair o eating.reti-g.
6) cooling,absorption unit 6.00
Boiler or comp.IXW W, civ co
McCall Heatile_ 231-3311 7) to3HPabsorp unitb100KBTU 6.00
EGler or comp. at pump,—570-0
Contractor 1650 N.E. Lombard 6) 3-15 HP absorp unit to 500K BTU 11.00
W
Boiler or comp,heat pump.air cond.
Portland, Or 97211 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
•» ." Boiler or comp.heat pump,as
1.02030 3408 10) 30-50 HP absorp unit 1-1.75 mil BTU 2250
_TTWre y ac ow go that T mad this application.ftt the i er or comp,heat pump,air coixf.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air ng ural lo
Taws,that 1 am registered with the Construction Contractors Hoard, 12) 10,000 CFM 1 4.50 4.50
that the number given is correct (if exempt from State registration, Air handing unit
please give reason below.) Replace oil furnace wit 13) 10,000 CTM. 7.50
new oil furnace. Add central air condi. on porta - -- -
14) evaporate cooler 4.50
V e(an conn ——
to new furnace 15) to a single duct 3n
enb anon system not
5 3-95 16) included in appliance permit 4.50
Hood
17) mbchanical exhaust 450
Describu wcA new addition a teration U repay 0 Commercialor industrial
to be done residential non-residential O 18) type incinwatnr
sting use o — x.00
bwWing or property Residence Other i.e rove,water
19) heater,solar,ciolhes dryers,etc- 4.50 I
Proposed use of
i
buildiing or property 20) Gas Piping one lo tour outlets 2.00
Type of fuel-oil a natural gas 0 LPG Q electric 21) More than 4-per outlet
NOTICE _ h
j F
1 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL 25.00
l AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE 1.25
IF CONSTRUCTION OR WORK IS SUSPENDED OR
J ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME
PLAN REVIEW25�G OF SUE TOTAL 6.2 5
AFTER WORK IS COMMENCED. 1
Special Conditions _ DOTAL il32.50)
— — -- Date issued__ by
u w� DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION �
155 JORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/340-3561/693-4415
nXXXXXXXX- 640-34 /u
14 OREGON I of I
Uatey US/10/95
Time 17 : 00
Permit. 'Type C'ununercial Electrical Permit Permit # 05067560
Permit. Status APPHOVEU Applit�!d 05/10/95 �Me
5ituo Address 964`) SW SAT'I'LLH 5'1' 'I'l Issued 05/10/95
Permit 'Title 8HYAN HANSON -- 1 CIRCUITS Completed
Permit Uescr. '1'0 Expire 11/06/9b
Project 'Title bRYAN HANSON - L CIRCUITS Project # P0049H6'/
Project Ve.scr .. EROSION
Parcel Number 2x1'1'1 - Land Use District
Valuation U
Legal Ue ocr ,
Uwrler 1NbPECTiON - '1'IGARL) Construction O7'H
Applicant Name : Gk' F ELEC H..C' classification 900
Applicant Adt-lu . : 11.346U S PAKAUlSE LN Occupancy
MULINU, OR 9'/041 Validated by PH
Applicant. Phone: 819-41.46 Inspector Area
k''ee desct iptiurr Uni t :, Fee/Unit Ext fee Data
1st branch W/out Feeder LEnter #1 1 35 . 00 35 . 00
Addl. tit anct► W/out r'eeder 1 Enter # J 1 5 . UU 5 . 00
Subtotal Electrical Fees : Y0 , 00
State 5ucchar'ge of �'%2 . 00
Tuta.1 Electrical Fees - 42 . 00
* Fees Required Fees Collected & Credits **k
Method Check # tdtrr_'ei.pt. No. Uat;e Payment -
CK 1416 US/10/95 41 . 00
'1'UTA L '1'M 1:> llA 1'E A a*r. * k ,w* 42- 00
Yee42 . OU
Adjustments : . 00 'Total Credits : 0U
Total E'—es: 42 . 00 'Total Payments : 42 . 00
Balance Due: . 00
Y.
NOTICE: This permit becomes null and Vold It the work or construction for which it Is Issued Is not commenced within 160 days. Once construction has started,
t the permit becomes null and void If construction Is Interrupted for a period of 160 days. I certify that the Information presented by the applicant enc•
his agent or agerKs In support of this pe,-"It Is into and correct to the best of our krowledge. I acknowledge that the Building Dapartment's reliance
upon false and misleading Information mai Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
i the st'ucture or bul:ding permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection stiff vertfylrg compliance with the various codes. Use or occupancy of the'building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy N revocable until all Inspection regidrements are satisfied and
approval Is given by the Building ORSclal. I further acknowledge that a Ilan nay be placed on the title of the property upon which the permit Is Issued
speclh ing that the use or occupancy of the building or structure is provisional ano revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
No
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
ElectricalFirst en Section APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 97124
Information: (503)640,3470 Fax: (503) 693-4412 _
Permit
Number �` 4� Date s-l UPlease y
` " 'll sections, 4. Complete Fee Schedule below
Number of Inspections per permit allowed
1. Location of Installation —
Address (f At-ti Lt,� `�c�i 'f e r Service Included: Items Cost(ea.) Sum
Buildingg
City uite N0. 77 A. Residential-per unit _
/-� 1-1�'� S
Tenant Nam 7 1000 sq.ft.or loss $110.00 — 4
(if���) ��� � v� Each additional thel Sof sq.ft `—
_[_Ll Jn_�i.�L1.�'1.�.1�— or portion thereof $25 00
Limited EnergY $25.00 1
Map No.— Tax Lot Each Manurd Home or Modular
Dwelling Service or Feeder e_ $68(X) __ 2
Thomas Map Book: Page: Section:_
Directions ___ -- B. Services or Feeders
Installation,alterations or relocation
200 amps or less $60.00 2
Commercial Residential❑ 201 amps to 400 amps -- $60,00 _ 2
i
13pr 61EC,rp:l 1, 401 amps to 600 amps $120.00 2
601 amps to 1000 amps —— $180.00 — 2
15460 S PARADISE LANE
I`1UL I NO Over 1000 amps or volts $340.00 2
r OP '370,$2 Reconnect only $50.00 -- 2
829--4 14F,
C. Temporary Services or Feeders
r ON'TA1-:1'(7F S L j[ENS Installation,alteration or relocation
�E- *' 26-8790 200 amps or less $50.00 2
1_:ONTPAI-'TOE'S E{OAFLt F..'E�'r�, N 101543 201 amps to 400 amps $75.00 2
' SUPERV I SOP # 30003-S 401 omps to 600 amps $10000 2
— Over 600 amps!o 1000 volts see'9'above
Signature of Supr. Elec'n
License No. ;�00 3 .S Phon No. D. Branch Circuits
_ New,alteration or extension per penal
a) The fee for branch circuits with
2b. For owner Installations: purchase of service or feeder lee.
Eech branch circuit $5.00 2
Xnnt nets NamePone N o. b) The fee for 1-anch circuits without
purchase of service or feeder f".
At c e s-- — First branch circuit _>�/ $35.00 — 2
Each add'nl branch circuit� $5.00 - �� 2
i1r — —daleZip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 _ 2
The installation is being made ori property 1 own Each sign or outline lighting $40,00
which is not intended for sale, lease or rent. signal circuit(s)or a limited
energy panel,alteration
Owner's Signature _-_ or extension $40,00 2
F. Each additional Inspection over the allowable
In any of the above
3. Plan Review section (If required) Per inspection 535.00
Per hour $55.00
Please check appropriate item and enter fee In section 5B. 1n Plant $55.00
or more residential units in one structure
l _Service and fePdpr, 800 amps or more 5. Fees
_System over 600 volts nominal A. Enter total of above fees
__Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ -
above apply. Not required for temporary construction Subtotal $
services.
Trust Account $
�–
For inspections call Balance Due $
640-3561 or 693-4415 This perm"becomes null and void"the work authorized by the perm"I.net commenced
within 1 W days from date of loouanw of such p,,,"or"1M work out fwd Is
24-hour recorder, one working day In advance of need Elo pondIrk-1 Permba•a non t oned s dtime
abhr ondrn nrk Is O'mad for a p of 190 days.
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kk A�rr1 CMH HISTORY FOR CASE NO.: MEC95-0141
r.l -' Page 140. BRYAN HANSON
z'r
•':,i7..'�fl 09645 SN SATTLSR 97' .
•
�I 05/18/98
Action Ueeciiption Req/ :...:.%. End/ Action Noten Dicp BY Update Upd
Sent Done Done Date By r �(
codes
---—------------------ -- ---------------------------------------
------- - -
MSCPOIO Plan chock by / / / / 05/15/95 05/15/95 B '
BON 05/15/95 H
MIZC.A060 (P) IsOUO permit 05/15/95
PASS TLP 07/03/95 TLP
Mor-A715 Mechanical Insp 05/15/95 / / 07/03/95
PASS TLP 07/03/95 TLP
MRCA799 Final Inmpection / / / / 07%03/95
MYCA800 Cane Flnaled / / / / 07/03/95 PASS TLP 07/03/95 TLP
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