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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BUP
-- _ Date Requested______-___ ____AM —PM — BLD
Location SuiteMEC _
Contact Person Ph PLM
Contractor _ Ph `-------. SWR
BUILDING Tenant/Owner ` _ ELC —
Retaining Wall __ ELR _
Footing Access:
Foundation FPS -_---
Fog Drain SGN
C,awl Drain Inspection Notas --- ----�
Slab --�-�-- - - ----- --- i T
Post 8 Bevm _--
Ext Sheath'Shear
Int Sheath[3hear
F raming
Insulation
Drywall Nailing _.__------------_--_-_
Firewall
Fire Sprinkler -_-
Fire Alarm
Susp'd Ceiling - ---------
Roof
Misc: _ ---- --
Final r? �L�i �01-f
PASS PART FAIL -- - -
PLUMBING, "
Post& Bear r -----
U-,der Slab -- --
Top Out
Water Sorvice
Sanitary Sewer
Rain Grains
Final
PASS PART FAIL _
MECHANICAL
Post& Beam -
Rough In
Gas Line -- - -_
Smoke Dampers
-
A PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab -
'_ow Voltage
Fire Alarm _^— -
utal
SS PART FAIL
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ regwred before next inspet;o; Pay at City Hall, 13125 SW Hall Blvd
"atch Basin
Fire Supply Line [ ]Please call for reir spection RF _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk ! �� Ext
Other _ nate . / v Inspector.___4_ __— _ �—
Final
PASS PART FAIL DO NOT R'SMOVE this inspection record frern tii,e job site.
CITY OF TIG A R D ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: EL.C98-0352
DATE ISSUEDr Q17/07/98
11125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL,. 2S11ODD-021000
SITE ADDRESS. . . : 10-485 SW CENTURY OAK DR
SUBDIViSION. . . . :SUMMERFIELD ZONING:R-7
BLOCK. . . . . . . . . .. : LOT. . . . . . . . . . . . . :O27 JURISDICTION: TIG
Project Description: Installation of one branch circuit.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS------ -----MIGCELLANEOUS-------
1000 SF OR LESS. . . . : 0 0 - 200 a-,Ip. . . . . . . : 0 PUMP/IRRIGAT ION. . . . : 0
EACH ADDIL 500SF. . . : 0 201 - 400 mp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 a�mp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- -----ADD' L INSPECTIONS---
@
NSPECTIONS—I? - 200 amp. . . . . . : I? W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. .- I PEP !SOUR. . . . . . . . . . . : 0
401 - 60CI amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ------__-_---_.---PLAN REVIEW SECTION------------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ? 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA,'SPEC OCC. :
Owner: ------------------------------------------------------ FEES -------------- ---
ANDY GALASST type amount by date recpt
10485 SW CENTURY OAK DR PRMT $ 25. 55 DEB 06/29/98 98-306909
TIGARD OR 97224 PRMT $ 9. 45 DEB 07/07/98 98-307115
50CT t 1. 75 DEB 06/29/98 98-306909
Phone #: 620-48119
Contractor: --------------------------------
FIRST CALL MCCALL HEATING $ 36. 75 TOTAL.
1650 NE LOMBARD
------- REQUIRED INSPECTIONS
PORTLAND OR 97211 Rottgh-in Elect' ] Final
Phone #: 231--3311 Elect' l Service
Reg #. - : 001020
This permit is issue'% Fdbjert 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 iN
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon lLw •equires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in BAR th-ra-u" 952-MI-1987. You may obtain a copy
of these rules or direct questions to OtK by calling 1246-1987.
��=�Pprmitt.rie 9iqnitt.tre: ,vv,,_1jLa.,ju0 rAj'o _d* Issued
-------------------------OWNER INSTALLAITON ONLY--------------------------------
The installation is being made on property I own which is not intended for,
sale, lease, or, rent.
OWNER' S SIGNATURE: DATE-
--------------------------CONTRACTOR INSTALLATION ONLY-----------------------------
S I GNATURF_ OF SUPIR. ELECI N , _ __ DATE:
LICENSE NO:
......4-++++-:...............................:-++++++4................#...............
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++t.......4.................i ..................................................
09/30/97 TUE 14:14 FAX 504 598 1980 CITY OF TIGARD Z002
CITY OF TIGARD Electrical Permit Application Plan Check 4
13125 SW HALL BLVD. << Reed
TIGARD OR SIM3 Date Reed
Phone(503)639-4171,x304 Date to P.E.
Inspection (503)639.4175 Print or Type Dat&to DST
b
ill bl
9•
Incomplete or illegible wnot e accepted Calledt x �-- �-
Fax (503)684-729797 � � Called
1. Job Address. 4. Complete Fee Schedule Below.-
Name
elow.Name of Development_•- Number of Inspection per permit allowed
Name(or none of business) Service Included: Items Cost Sum
Address&`,4j hC D,1
4a. Resldentlal•par unit
city/State/Zip T/a w <C �• �! 1000 sq.ft,or less $110.00
d,E' / .�. Each additional 500 sq.h,or -- 4
Commercial ❑ Rtaloential ❑ pardon thatrrof $25,00 1
Umltcd Ena,gy W5.00
Each Manut'd Homo or 1/n lutar
2a. Contractor installation only; Dwelling Service or Foodb, L9s.00 2
(Attach copy of all currant ltconses) 4b.Services or Feeders
Ejectfical Contractor__r t jj I i17 ` C ct (/ Installation,alteration,or relocation
Add.-;e! //'65�) /-1 "- �t v r F.�t<. --- 200 amps or less Se0.00 2
L 201 amps to 400 amps
City L ci,�i ; State ---TJp "1 // 401 amps to boo rumps s$W.002
Phone No._2YA- ! �r 5 _ 601 amps to 1000 amps $120.00 180.00 p
Jot)No. ?_IS C, Over 1000 amps or volts $340.00 _ 2
Eh e.Cont ljre.No 11 c n L/h Exp.Dats__/O /-`i� Reconnect only __ $W-00 2
OR State C:GB Reg.No. 1.o 2-s-) Exp.Date Y 3c)-irk 4c.Temporary Services or Feeders
COT BusirjSs Tax or Metro O C- _Exp.Date i- - Installation,alteration,or relocation
200 amps or less EW-00 2
Signature Of SUpr. 201 kleC' L 401 rmps to 900 ams to 400 ps $100.00 _ 2
�._ 2
Over 600 amps to 1000 volts,
License No. l,Jj L i!/` Exp.Date 10 - I-4 S see"b"above.
Phone No. If
loci.9r Bch Circulto
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of Service or
Print Owner's Name _ feeder fee.
Addtess Each branch circuit $5.00 2
City y State__, 4p b) rhe fes for branch circuits
without purchase of
Phone,No.! _ serv/ce or feeder foe.
First branch ct-cult $35.00 _-a S.C)n 2
The installation Is being made on property I awn which is not Each additional branch circuit._ $5.00 __ 2
Intended for sale,lease or rent. 4e.Miscellaneous
Ovrner s Si nature (Service or feeder not included)
3 --�- Fadi pump or irrigation circle __ 540.00
Each sign or outrina lighting $40.00 ___.-_ 2
3. Plan Review section (if required): Signal circuil(s)or a limited nnerjy�
panni,altaraiinn or axtansior. $40.00 2
Please check appropriate item and enter fee in section SB. Mirror IabeL4(10) $100.00
4 or more it-sidential units tri one structure 41.Lech additiontl inspection over
` -Service and!aedar 225 amps or more the allowable in any of the above
Systsm vws•r 00 volts nominal Per Insocctlan $35.00
Glassified area or structure containing special occupancy Per hour -- $55.00 lj
as described in N.L=.C.Chapter 5 In Plant $55.00 , r
Submit 2 bets of plans wlth application where any of the above apply. S. Fees: l ��
Not required for temporary construction seavicem 6s.Enter total o1 above fees $ L'
By Surcharge(.05 X total ft-$) $
NOTICE Subtotal $
5b.afar 25%of line Iso for
PERMITS BECOME VOID IF WORK OR CONSTRUCIIUN AUTHORIZED IS Plan Review if tr.Ktuil'ed(Sac.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtaral $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK 15 COMMENCED. ❑ Trust Account I
Total hafanee Due =
Iw9tsPtr:9e.APP m«otos
r'
CITY OF T I G A R D MECHANICAL-
DEVELOPMENT SERVICES PERM'�T
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . : MEC98-0254
DATE ISSUED: vit,/29/98
PARCEL: 2SIlODD-02000
SITE ADDRESS. . . : 104B5 SW CENTURY OAK DR
SUBDIVISION. . . . : SUMMERFIELD ZONING: R-7
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :027 JURISDICTION: TIG
--------------------------------------------------------------------------------------
CLASS OF WORK. . :REP FI-OOR FURN. . . . : 0 EVAP COOI-ER'i: 0
TYPE: OF USE. . . . :5F' UNIT HEATERS. . : 0 VENT FANS.. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APF11-: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------• 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . - 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . ., 30-50 HP. . . . - 0 WOODS-TOVES. . : 0
GAS PRESSURE. . . : 517,+ HP. . . . : 0 CL-0 DRYERS_ : 0
NO. OF UNITS—---- AIR HANDL.ING UNJIS OTHER UNITS. : 0
FURN ( 100K BTU: 1 (=7 10000 cfm : 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 ) 10000 cfm: 0
Remarks.* installation of gas furnace. replacement.
Owner-: -------------------------------------------------------- FE"ES
qNDY GALASSI type amount by date .,eept
10485 SW CENTURY OAK DR PRMT $ 25. 00 DEB 06/29/95 98-306909
TIGARD OR 97224 5PCT $ 1. 25 DEE 06/29/98 98-306909
Phone #: 620-4819
Contractor: -----------------------------
F!RST CALL MCCALL HEATING
COO'L I NG
1650 NE L.OMBARD $ 26. 25 TOTAL-
PCIRILAND OR 972 1 1-4798
Phone #- 231-3311
Reg #. . : 102030 REGUIRED INSPECTI,JNS
This permit is issued subject to the regulations contained in the Mechanical . nsp
Tigard Municipal Code, State of Ore. Sperialty Codes and all other Heating Unt :nsp
applicable laws. All work will be done in arcordanre with Final Inspect iun
approved plans. This permit will expire if work is not started
within 18@ 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 952-001-0010 through OAR 952-014W. You may
obtain copes of these rules or, direct questions to OLINC by calling
(503)246-9187.
Issi-ke B Permittee Signature: ACC
.............i........... -++++++++++++++++++++a•++++++++.4•++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for inspections needed the next bUSiness day
++A.............................................................................
CITY OF TIGARD Mechanical Permit Application P'an CnQrak#Recd 8, j- 7 7X7T
13125 SW HALL BLVD. Commercial and Residential DateRec'd
TIGARD, OR 97223 Date to P E.
(50) 639-4171, x30A M��/ Date to D�
Print or Type Permit#_c
Incon'plete Gr illegNe applications will not he accepted Called__
—
w�___ Name of DevelopmenvProle-A r Description
_ in_ble 1A Mechanical Coce QTY •RILE AMT
Job Street Address Sure* A) Permit Fee 0- -0- t0.U0
Address
Bag# - crtyistate zip -- 1.) Fuinace;n 100,000 PTU 6.00
-i'5" , %71-7 includingdu is&vents
Name(or name of ouatnan) -� 2) Furnace 100,00%1 BTU+ 7 50
Owner ., (_u ducts_&vent_s
_
Mailing Add �w 3.) Floor Furnace — 6,00
'�- (",/;; /' --e L-)Ct �� including vent
Clty)stateZip °'Phone 4.) Suspended heater,wall heater 600
t, -2c - •!�' or floor mounted heater _
N (or name of business) 5.) Vent not Included In appliance perTnd 3.00
Occupant Mailing Address 6.) Boller or comp,heat pump,air cond. 6.00
_ -_ to 3 HP:absorb unit to 100K BUT-
Boiler�— zip Phone 7) Boder or comp,heat pump,air cond. 11.00 -
_ _ 3-15 HP,absorb unit to 500K BTU"
Contra;tor Name 8.) Boder or comp,heat pump,air cond. 15.01
15-30 FIR absorb und.5-1 and BTU-
Prior to permit Mailing Adaresa 9.) Boder or comp,heat pump,air cond. 22.50
Issuance,a copy -P)'17-ot/c _ 30-50 HP;absorb unit 1-1.75md BTU"
of all licenses stere zip Phone 10) Boder or comp,heat pump,air cond. 37.50
are required if C 4. /« I ee ?,3 i .3. 3, % —2-56-HP,absorb unit 1.75 red BTU"
expired in COT Oregon const.Cont Board Llc a Exp Date 11.) Air hand'ng and to 10,000 CFM 4.50
database ;1-<-) ),> .J, 3c" 7
Architect Name 13) Non-portable evaporate cooler 450
or Mailing Address 14) Vent fen connected to a single dud 306--
Engineer
00 -Engineer ayrstm. — Zip Phone 15.) Ventilation system not included in - 4.50
appliance permit
Describe work New O Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O
AI mai Description^f work: 1 7) Domestic Incinerators _ - 7.50
Ice-' 't<2 C C'- 18) Commercial or industrial type 30.00
_ Incinerator _
Existing use of 19 i Repair units v 4.50
bwldrng or property _i
20) Wood stove 4 SU
Proposed use of - ZL) Clothes dryer,etc. -�j
budding or property_
22.) Other units 450_
�rype of fuel-oil(D natural gas t LPG O electric O 23.) Gas piping one to four outlets 200
I Hereby admowledge that I have read this application,thai the 24 l More than 4-per outlets(each) SO
information given Is correct.that I am the owner or authorized agent of _
rhe owner,that plans submitted are in compliance with Oregon Sttatte/ QTY.SUBTOTAL
Signature of Owner/Agent Date "SUBTOTAL.
4 -e
5%SURCHARGE
r
Cir act Person Name PLAN R"'IEW 25%OF SUBTOTAL — _a
TOTAL IL
--
I lmechpmt.doc (rev 9 •MInimum permit fee is S25+5%surztarge
"Residential A/C requires site plan showtrg placement of unit
l ik
1