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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection} Line: 639-4176 Business Line: 639-4171 MST
� BLIP Date Requested_,_ 7 AM FM BLD T
Location— L� .,� _ Y ' ,� Suite --- --- MEC --_ -
Contact Person -A:--4:' �.1L1% --=.tea Ph _ Pl.M --
Contrac!c,r - -- Ph t/ - - - SWR
BUILL71Nv------ Tenant4�wne, - _ _ W_ - ELC
RE.taininq Wall ELR _
Foo.hig Access. —+—_
Foundation I FPS N _
Fig Drain _- ) 1, ,1J
Crawl Drain ;,-Is section Notes:
!'f SUN
Slab - ----- — - -- ----- SIT
Post&r eam
Ext SheathiShear
Int Sheath/Shear -- -
Framing _
Insulation
Drywall Nailing --- �r.Q�L •CCt-� -- ---.LC -` .-
Firewall
Fire Sprinkler ZeT
Fire Alarm
Susp'd Ceiling -- _- ------_----
Roof - ---i----
Misc:_
Final
PASS PART FAIT. ---
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 ---- --- ---
P. PART' AIL
EC7AL ----- - - -------- -— --
.Service
Rough In — ------ - -__ _---- -
UG/Slab - _ -- -------_ - - -- -_
Low Voltage
Fire Alarm --
Final -
PASS_ PART FAIL
E
Backfill/Grading -- - ------- -- --- -
Sanitary Sewer
Storm Dram ( ) Reinspection fee of g required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RF -- - -__-- [ J Unable to inspect- no access
ADA /
Apprcach/Sidewalk / J
Other Date -_ / - _ inspector _ f�.�--�_-Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 635-4175 Business Line: u39-4171 MST _
BLIPDate Requested v2AM PM BLD
Location Z U Suite MECO e)0157/
Contact Person % C., p — Fah 5 .�r� PLM
Contractor ` Ph — 5-7 SWR
BUILDING -tenant/Owner __- f-f) ELC
Retaining Wall ELR _
Footing -Access:
Foundation -
Ftg DrainiA FPS
Crawl Drain Inspection Wes: SGN
Slab
Post& Beam - ---- S17
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation --_ ---- -- -- -- — ------- —
Drywall Nailing
Firewall _--
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —�!i.` /rCis�_— JI�� / C � ✓7'r�C
Roof
Misc:
Final -- -- --- - --
PASS PART FAIL
LUMBING
Post& Beam ----"- - --
Under Slab V v ,• ,
Top Out --- -- -
Water Service _
Sanitary Sewer --- --
rains
--
ASS PART
MECHANICAL
Post& Beam --- ---� _
Rough In
Gas Line
SMgKe Dampers
PART FAIL
ELECTRICAL -
Service \
Rough In — —
UG/Slab
Low Voltage
Fire Alarm —
Final -- ——
PASS PART FAIL
SITE ------—
Backfill/Grading ------ — —
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE: - ( j Unable to inspect. no access
ADA
Approach/Sidewalk Date
Other _ _ �� Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site,
_ ELECTRICAL PERMIT _
CITYOF TIGARD PERMIT#: ELC1999-00241
DEVELOPMENT SERVICES DATE ISSUED: 4/22/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CA-00239
SITE ADDRESS: 13220 SW ASH DR ZONING: R-4.5
SUBDIVISION: VIEWCREST TERRACE
LOT - 006 JURISDICTION: TIG
BLOCK: 02
Proiect Description: Residential electrical alteration
TEMP SRVC/FEEDERS _ MISC_ELLANEOUS _
RESIDENTIAL UNIT — — PUMP/IRRIGATION:
1000 SF OR LESS: 0 - 200 amp:
EACH ADD'L SOOSF: 201 - 400 amp: SIGN/OUT LINE LTC
401 - 600 amp: SIGNAL/PP NEL:
LIMITED ENERGY: MINOR LABEL (10):
MANF HM/ SVC/ FDR: 601+amps 1000 volts:
SERVICE/FEEDER _ _ BRANCH CIRCUIT.S _ ADD1 INSPECTIONS
W(SERVICE OR FEF-DER: PER INSPECTION:
0 200 amp:
201 - 400 amp: 1st W(O SRVC OR "DR: PER HOUR:
1
EA ADD'L BRNGH CIRC: IN PLANT:
401 600 amp: _ PLAN REVIEW SECTION
601 - 1GJ0 amp: --- ,� RES UNITS: > 600 VOLT NOMINAL:
11000+ amp/volt: CLASS AREA/SPEC OCC:,,__
_ _Recon_nect onl _—.. — SVCIFDR >= 225AMPS:_
Owner: Contractor:
GASTON, GREER ALL ELECTRICAL SERVICE
13220 SW ASH DR PO BOX 68712
13220 S, A DR OAK GROVE, OR 97268-0712
TIGA
Phone: 626-6831
Phone: Reg#: SUP 4313S
624-6157 LIC 124045
ELE 26-963C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
Flect'I Final
5PCT BON 4/22/99 $1.75 99-314757
PRMT BON 4/22/99 $35.00 99-314757
Total $36.75
This Perrnit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Speaalty 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 180 days of issuance,or if work is
les
ed
y the
suspended for more
in than 95 0010010 through days ATTENTION
O R 52-001.0080mYouu may obtain s you to follow uoo�es oftthese rules Oregon d�ecttlqueslity tions to OUNC on at(5031se
rules a�: set forth
246 1987
7 � l Issued BY: , /►� l�t� 1�LG'��� --___.
Permit Signature: /
OWNS INSTALLATION ONLY —
The installation is being made on property I own which is not intended for sale, lease, or rent.
DATE:-.
OWNER'S SIGNATURE: _ ----.--�
CONTRACTOR INSTALLATION ON Y
DATE: �'
SIGNATURE OF SUPR ELEC'N: �h1�,q��- -
LICENSE NO: J
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd ByFO—_
TIGARD OR 97223 Date Recd q-2Z
Phone(503)639-4171, x304 Date to P.E.
Ins action (503)639-4175 Print or Type Date to DST
p Incomplete or illegible will not be accepted Permit# ELC I I —pO2y1
Fax(503) 598-1960 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development____` _ Number of Inspections per permit allowed
Name(or name of business)S�0 fie. _ Service included: Items Cost Sum
Address. �f�_ ! _ 4a. Residential-per unit
Cit /State/r/Zi ' ^ /jn �� Each
adsq. it or less $110 00 4
Y P "2�i2Each additional 500 sq,ft or
Commercial El ResidentiaLimited portion thereof _- $2500 �^ 1
\ mlted Energy $25,00
Each Manufd Home or Modular
Dwelling Service or Feeder $6800 2
2a. Contractor installation only:
(Attach copy of all current licenses) _ 4b.Services or Feeders
Installation,alteration,or relocation
Electrical Contractor
� 200 amps or less
Address�,� ,� Yet-,t- - ' _ — $60.00 2
- 201 amps l0 400 amps _
City i 5-tate Zip — $80.00 401 amps to 600 amps $120.00 2
Phone No. 601 amps l0 1000 amps _- $180.00 2
Job No. — Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No ��� E—xp.Date
OR State CCB Reg Plo./,��� Exp. )ate 4c.Temporary Set alces or Feeders
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
200 amps or less _. $5000 2
201 amps to 400 amps _ $75 00 11_
Signature of Supr. Elec'n4 401 amps to 600 amps � $100 00 --- z
Over 600 amps to 1000 volts,
License No. Exp.Dat _ see"b"Above.
Phone No. / /_— '�z II 4d.Branch Circuits
�°a( L, �� f New,alteration or extension per panel
Z o d er InStallat/onS: a)The fee for branch circuits with
purchase o/sereico or
Print Owner's Name feeder los.
- Each branch circuit $500 _ 2
Address b)The fee for branch circuits -
city __ - State _ Zip _ without rurchase of
Phone No. service or feeder foo.
-- - -- First branch circuit
.1_ E35 00 ��00 2
The installation is being made on property I own which is not Each add,ltonal branch circuit_ $5.00
intended for sale, lease or rent. 4e.Miscel,aneous
(Service or feeder not included)
Owner's Signature__ Each pump or irrigation circle $4000
Each sign or outline lighting $4000
J. Plan Review section (if required):*
Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over
4 or more residential units in one stricture the allowable In any of the above
_-_ Service and feeder 225 amps or more Per inspection $35 00
-^�System over 600 volts nominal Per hour $5500
Classified area or structure containing special ocCL ancy In Plant $5500
as described in N E C Chapter 5
5. Fees:
Submit 2 sets of plans with application where any of the above apply. 58.Enter total of above fees
S
Not required for temporary construction services 5%Surcharge(05 X total fees) $
Subtotal $
NO rICE 5b.Enter 25%of line 8a for
- - Pian Review if.required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal $NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 0 Trutt Account# 1
TIME AFTER WORK IS COMMENCED Total balance Due _ $
I
I:\DST\ELEC98.DOC RKV 4/98
CITYO F T I G A R D _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00101
DATE ISSUED: 4/12/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S 102CA-00239
SITE ADDRESS: 13220 SW ASH DR
SUBDIVISION: VIEWCRF_ST TERRACE ZONING: R-4.5
BLOCK: 02 LOT: 006 JURISDICTION: TIG —_
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of gas water heater.
FEES
Owner: — — Type By Date Amount Receipt
GASTON, GREER APPL DRA 4/12/99 $25.00 99-314449��
13220 SW ASH DR MISC DRA 4/12/99 $1.25 99-314449
TIGARD, OR 37223 — ---- —
Total $76.25
Phone 1:624-6757
Contractor:
All as :!�lt iC5
9-79J
REQUIRED INSPECTIONS
Misc. Inspection
Phone 1: Final Inspection
Reg #: q$ 1-
.51
This permit is issued subject to the regulations contained in the Tigard ML, iicipal Code, State of OR.
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 start9d within 180 days of issuance, or if work is suspended for more
than 180 days ATTENTION Oregon law requires YOU to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may-Qbtain copies of these rules or direct questions to ;UNC by calling (503) 2.46-1987.
( - �f�, �
Issued By: ll __ C<_1V — Permittee Signature:.a; , ��- —� c
Call (503) 6f 94175 by 7:00 P.M. for an inspection needed the next business day
------- ------ ----------- -----
-------------------------- -- -
FRI 16:39 FAX 503 598 1960 CI I % t11 I111\klt _- 2002
ASD RECEIVED Plumbing Permit Application Recd
i,,ITY OF TIG 9Date Recd y �9
13125 5W HAUL BLVD. APR it 1901 Commercial and Residential Dote toPE. -------
TIGARD, OR 97223 Date to D
( 03) 639-4171 CJP;iMUN1jY UEVLWhit(i, Permit
Print or Type Related SWR
-
Incomplete or illegible applicat;ons will not be accepted Called
Name of Development/Project FIXTURES (individual) p PRtcE AMT
f
Job ------ Sink 4� 9.00
Address Street Address Suite Lavatory _ 9.00
13 5 W Tub or Tub/Shower Comb. 9.00
Bldg# citylState Zip Shower Only �^ 9.00
Nam Water Closet -! 9.00
(j-Tt C4- __c�dt V 11, Dishwasher 9.00
Owner Meiling Address L�hZ.n;
uite Garbage Disposal 9.00
13 b W H►k- Washing Machine 9.00
City/State ZIP -
1 wfd C 17J , 6 �� Floor Drain W 9.00
3" 9.00
Nem
j G i+�e- 4" 9.00
Occupant Mailing Address Suite Water Heaterversion O like kind 9.00
City/State Zip Phone
Lalmdry Room Tray 9.00
Urinal 9.00
Name Other Fixtures(Specify) 900
may- G w --- 9.00
Contractor Mailing s Addres _ f Suite ----- --- - T---- - -
`l d" C_ /a 9.00
9.00
Prior to permit City/ tote Zip Phone
issuance,a copy 1✓Ii I i1Z- f 7�2 16 goo
of all licenses are Oregon Const Cont.Board Lic.# Exp.D to Savior-1st 100" 30.00
required If 1-4 h- l3 I !S- � Sewer-each additional 100' 25.00
expired In COT Plumbing Lic.# Exp.Dal30.00
database r (1 -5 � �� 3 1.1 Water Service-1st 100'
Name i Water Service-each additional 200' 25.00
Architect Storm 8 Rain Drain-1st 100' 30.00 _ 1
or Mailing Address Suite Storm&Rain Drain-each additional 100' 25.00 j
Mobile Homo Space 25.00
Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Describe work New O Addit`on O Alterstlon Repair 0 Residential Backflow Prevention Device' 15.00
to be done. Rssldentlal Non-residential O Any Trap or Waste Not Connected to a Fixture 8.00
Additional description of work. Catch Basin 9.00
e°r to E4- Insp of Existing Plumbing 40.00
L(Cts r L `fU U- P�-
erlhr
Specially Requested Inspections 40.40
per/hr
Existing use of 30.00
building or property._ 7 Rain Drain,single family dwelling
Grease'Traps 00
Proposed use of f! _
building or property QUANTITY TOTAL
Isomet-c or neer d e ran is realx'ed d Guandy T ate'is >"
I hereby acknowledge that I have read this application,that the Information *SUBTOTAL '
given is correct,that I am the owner or authorized agent of the owner,and 47 1,69
that la_p ns submitted are in compliance with Oregon State Laws. 5%SURCHARGE
Signature of Owner/Agent Dz7/11
PLAN REVIEW 25%OF SUBTOTAL
Contact Person 7, Phone Re u,•ca onlyc�h if Imur !oral is>9
S vV •'l� TOTAL' s .-73� _ . -��
'Minimum permit fee Is$25+SA surcharge,except Pr,s dentia'Barkflnw
Prevention Device,which is$15+5%surcharge
Work Performed b fixture.
_
t back Indicate y^--
11Lst51rlmam ac-54111
CITYOF T I GA R® _- MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00151
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/12/99
PARCEL: 2S 102CA-00239
SITE ADDRESS: 13220 SW ASH DR
SUBDIVISION: VIEWCREST TERRACE ZONING: R-4.5
BLOCK: 02 LOT: 006 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 3 HP: 1 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX 1.14 PUT: BTU 15 - 30 HP: REFAIR UNITS:
FIRE DAMPERS? 30 - 50 HP: WOODSTOVES.
GAS PRESSURE: 50 + HP: CLO, DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of furnace, a/c and gas piping. Placement of a/c unit must comply with standard setbacks
Owner: _ FEES
GASTON, GREER Type By Date Amount Receipt
13220 SW ASH DR PRMT DRA 4/12/99 $25.00 99-314449
TIGARD, OR 97223 5PCT DRA 4/12/99 $1.25 99-314449
Phone:624-6757 ,Total $26.25
Contractor.
P60.TL-kN)'b r �� q7AI !P REQUIRED INSPECTIONS ____
Gas Line Insp
Phone: 25 3 _ 7 7,4 9 Mechanical Insp
Reg #: i Heating Unt Insp
Cooling Unt Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Staie of Ore.
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 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow riles adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You/Amay obtain copies f these rules or direct questions to OUNC by callin (503)246-9189
l
Issue By: � Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the nest business day
Plan��(,+t�ieck ty
CITY OF TIGARD RL.- Mechanical Permit Application Rec'd8y �
13125 SW HALL BLVD. Commercial and Residential Date Recd Y y 9
TIGARD, OR 97223 APR I; �! 1K . Date to P.F "--
(503) 639-4171, x304•UPDate to DST
LiiMUWIiY 0EVELUI,h4EKT Permit
Print or Type
_ Incompletecaned
Name
illegible applications will not be accepted - ---
Name of Development/Project-� Deschptlon
Table 1A Mechanical Code QTY PP.ICE AMT
Job Street Address - --^TSuneg A) Permit Fee -0- -0- 10.00
Address 1 3;2;1?1-1 .5-1 tbk_ N
Bldg# crtyistate Zip 1.) Furnace to 100,000 BTU 6,00
including ducts&vents
Name(or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner Cr f e e'r Lr c.Sj U t�'- including duds&vents
Mailing Address 3.) Floor Furnace 6.00
1 3 v1 a o 5w �-- Dk�• _ including vent__
C"yistats Zip I Phone 4.) Suspended heater,wall heater 6.00
_1 ; yt 1-.-d, U f 1 7 2 6,)N 6 '67 or floor mounted heater
Name-( ame of business) - 5) Vent not included in appliance permit 3.00
" -1'✓�
Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond. 6.00
to 3 HP;absorb unit to 100K BUT" O_ � Q
CitylState Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
_ 3 15 HP;absorb unit to 500K BTU"_
Contractor Name II 8) Boiler or comp,heat purnp,air cond. 15.00
4��y,-_ 6 l v L� J�� 15-30 HP,absorb unit 5-1 mil BTU**
Prior to permit Mailing Address 9.) Boiler or comp,heat pump.air cond. 2250
issuance,a copy �2`1 of jG U-`� 30-50 HP;absorb unit 1-1.75mi1 BTU"' _ -
of all licenses cpAstall J Zip Phone 10.) Boiler or comp,heal pump,air cond. 37.50
are required if Ver'll 04 >50 HP;absorb unit 1.75 mil BTU"
expired in COT Oregon C nit.Cont.Boer t.ic# Exp Da 11.) Air handling unit to 10,000 CFM 4.50
database 1 `5 _ _ _ _
Architect Namc 12) Air handling unit 7.50
10,000 CTM+ _
or Mailing Address 13) Non-portable evaporate cooler 4.50
Engineer City/Slate zip phone 14) Vent fan connected to a single duct 3.00
Describe work New O Addition O Alteration O Repair O 15) Ventilation system not included 450
to be done _Residential O Non-residential O in appliance permit
Additional Description of work: -1r_ - (r,qS FJ(r,-(C_ 16) Hood served by mechanical exhaust 450
C Fvtl Fn;( f1IC rot,_,j
17.) Domestic Incinerators 7.50
Existing use of i r2 18) Commercial or industrial 3000
building or property �`- type incinerator _
19.) Repair units 450
Proposed use of 20) Wood stove 4.50
building or property 5 CL r+')C.,
21 ) Clothes dryer,etc v 4 50
Type of fuel-oil O natural giis LPG O electric O 22.) Other units 450 i
I hereby acknowledge hat I have read this application,that the iriforrnationT 23.) Gas piping one to four outlets 200 oo
given is correct.that I am the owner or authorised agent of
the owner that plans submitted are in compliance with Oregrn State laws. 24) More than 4-per outlet(each) i 50
1 Signature of Owner/Agent Catr 'SUBTOTAL
V
Y l `( f / IN!V I S �,��r I L- �_I 5%SURCHARGE
q +
Contact Person ame Phone PLAN REVIEW 25%OF SUBTOTAL T.
_ Required for all commercial permrts only. N
S GI' ? TOTAL
Minhmtm permit fee is$25+5%surcharge
"Residential A1C requires site plan slowing placement of unit.
1:lmechpnnt.doc rev 4/15198
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