11334 SW COTTONWOOD LANE e
N
W
W
LO
E
t
n
U
C1-
c
O
E
C
O
Q
r
w
a
m
11334 :'q COTTONWOOD LANE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
q 7 BUP _
Date Requested — 7' ) L,� � / _AM PM �. ] BLD
Location 113�� CSU Lk) �>n Suite _ MEC �L�C-r�c, Z
Contact Person m Gil- Ph -5-,j -02-t-��� PLM
Contractor Ph SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR .
Footing Access— -- — ---
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN —_
Slab ,
Post& Beam _�---- ----- --�---- ---- SIT _
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing C_ 1r,'\ .r
Firewall _
Fire Sprinkler �^ X � � N„_ C�
Fire Alarm Cj`Z
Susp'd Ceiling
Roof
Misr; —
Final
PASS PART FAIL. `
[lost& Beam
Under Siab
ITop Cut '� L� ✓ ``� lo
Water Service
Sanitary Sewer �—
Rain Drains
1
ISASS PART FAIL
Post& Beam _
Rough In
Gas Line
Smoke Dampers
PA PART -' FAIL
TRICAL ---- -- ---- — _._
�ervicp
Rough In --
UG/Slab
I ow Voltage —
Fire Alarm
Final —
PASS PART FAIL
SITE �---
Backfill/Grading
Sanitary Sewer
Storm Drain ( ] Reinspection Me of$_— required before next inspection. Pay at City Hall; 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE' _ [ ]Unable to inspect no access
ADA
Approach/Sidewalk
Other _ Date _ -- -- Inspector — _ _Ext
Final
PASS FART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF T I G A R D ELECTRICAL PERMIT _
PERMIT#: ELC1999-00448
DEVELOPMENT SERVICES DATE ISSUED: 7/22/99
13125 !:W Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S134AC-02659
SITE ADDRESS: 11334 SW COTTONWOOD LN
SUBDIVISION: ENGLEWOOD NO.3 ZONING: R-4.5
BLOCK: LOT : 225 JURISDICTION: TIG
Proiect Description: Installation of 2 branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF. 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10).
SERVICE/FEEDER _ BRANCH CIRCUI i S ADD'L iNSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER !NSPECTiON:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REV'7 SECTION _
1000+ amp/volt: >=4 RES UNITS: > 600 VOL'i NOMINAL:
Reconnect ons SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MARTY CRANE HEBERLE ELECTRIC
11334 SW COTTONWOOD LN 19680 SW NEUGEBAUER ROAD
TIGARD, OR 97223 HILL SBORO, OR 97123
Phone: 521-0249 Phone: 628-2095
Reg#: SUP 3053S
LIC 0042841
ELE 34-160C
FEES _ Required Inspections _
Type By Date Amount Receipt Elect'I Service
PRMT DLH 7/22/99 '$42.85 99-317061 Elect'I Finai
5PCT DLH 7/22/9" $3.00 99 L 17061
Total $45.85
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Spedalty Codes and all other ap,)!icable laws
All work will be done in accordEnce 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 rules adopted by Nie Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246,-1 987
Permit Signature: 0AI 1,41yz Issued By:
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent
OWNER'S SIGNATURE: _ _ 'tll"q _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF CUPR. FLEC'N: L'i✓ ���� ' `' "� �'�/ _ DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGA61D RECEIVEMectrical Permit Application Plan Check k
13125 SW HALL BLVD. flec'd vy_2 E.� L LH
TIGARD OR 97223le Recd 9 �
__
JUL,AUL 0 91999
Phone (503) 639-4171, Y304 Date to P.E.
Inspection (503) 639-4175 COMMUNITY DEVELOPMENT Print or Type Date to DST `
Incomplete or illegible will not be accepted Permit N��c/9917 Ooyyl
Fax (503)684-7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of DevelopmentNumber of Inspections per permit allowed
Name(or name of business) /}"/�k'T �'� �/ Service included: Items Cost Sum
Address ` a 4a. Residential-per unit
1000 sq It,or less $110.00 4
City/State/Zip 1 1 ' 7-�Cit�] �� Fach additional 500 sq.it,or ~V
Commercial ❑ Residential �� ? 7`n:�' portion thereof $75,00 _ 1
Limited Fnergy $25.00
Each MAnuPd Homo or Modular
2a. ContractoPlnstallation only: Dwelling Service or Feeder $68.00
7
(Attach cop o}ell cumm T 4b.Services or Feeders
Elechical Contractor ��E�o Inslallation,alteration,or relocation
Address \� 200 amps or less $80,00
r 201 amps to 400 amps 60.00
City _ '''_ 401 amps to 600 amps $$120 OU
Phone No. �_ 601 amps to 1000 amps $180.00 _ 2
Job No. Over 1000 amps or volts $340,00 7
Elec.Cont. Lice. No . Exp.Date-1 o lleconnoct only ___�_ $50.00 2
OR State CCB Reg. No f Exp.Date /Irx) 4r".Temporary Services or Feeders
COT'Business Tax or Metro No.1Q'7 "Z.. Exp.Dete C?^ Inslallalion,nlleralion,or rolocation
200 amps or less $50.00 2
Signature of Supr. Elec'n (i' �1 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
y Over 600 amps to 1000 volls,
License No. a ... + r. to f _ sae"b"above.
Phone No.
4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a) the fee ler branch circuits with
prrrcheae of service or
Print Owner's Name � J fonder fee,
Address Each branch circuit $5.00 2
City State_ Zip
b)'1 he ten Inr branch circuits
_ without purchase of 9.1• 3 7 S
Phone No. N service or feeder fee.
First branch circuit / $36 f717 ' 2
The installation is being made on property I own which is not Each additional branch citcuit 00r. ___ 2
intended for sale,lease or rent. 4e,Miscellaneous �� 5
(Service or feeder not included)
Owner's Signature _ Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3, Plan Review section (if required):' Signal circuil(s)or a Ilmite,l energy
panel,alteration or extension $40.00 2
Please check appropriate Item and enter fee In section 58. Minor Labels(10) $100.00-- '
4 or more residential units In one sliuclwe 4f.Each additional Inspection over
Service and feeder 2.25 amps or more
p the allowable In nny of the above
System over 800 volts nominal Por Inspection $35.00
^_Classified area or structure containing special occupancy Per hour $55.00 i
as described In N.E.C.Chapter 5 In Plant $55.00
Submit 2 sets of plans with application where any of the above apply. Jr. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ CQ
S%Surcharge(.05 X total fees) ,() ,7 $ '
NOTICE Subtotal $
5b.Enter 250n of line 5a for
PERMITS DECOMF VOID IF WORK OR CONSTRUCTION 4UTHORIZED IS Plan Review If reaulrej(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ mist Account a
Total balance Due $
1.1b5TWLC9b ArP nn-91"
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BUP
— Date Requested,— _�1�- AM PM BLD
Location f ! Jar+ ► - ;�Suite _ MEC
Contact Person _ Ph PLM
Crit ac _ Ph SWR
BUILDING Tenant/Owner jhoiL ELC
Retaining Wall (G J fX -6)S,5-(-) ELR
Footing
Foundation Access: FPS
F Ig Drain -- --
Crawl Drain Inspection Notes: SON
Slab —
Post& Beam
---- ---- - -- SIT
Ext Sheath/Shear
Int Sheath/Shear - ------ -
Framing
Insulation - �- ---------
Urywali Nailing
Firewall -- -- - -- -
Fire Sprinkler '
Fire Alarm --
Susp'd Ceiling
Roof --
Misc:
Final ----------
_PASS PART FAIL -- -_ _---------------..�_-__-_
PLUMBING --------- ---__ _
Post& Beam -- -- - ----- -- -- - --- ---
Under Slab
Top Out ---- -
Water Service
Sanitary Sewer - - --- --
Rain Drains
Final - -- -��--
PASS PART FAIL
MECHANICAL
Post& Beam ---s_.--- ---- ---
Rough In -- - - -- --- ---- —
Gas Line ------ -
Smoke Dampers
Final -
PASS PART FAIL
ELECTRICAL -
Service
Rough In
UG/Slab c ---- - ----
- ---- --
Low Voltage _-_-
Fire,Narm
(irAS PART FAIL
Backfill/Gracimn -- - - _ —
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: _ [ ]Unable to inspect-no access
ADA f
Approach/Sidewalk 1
Date ate __.g. inspector_ Ext
Final
PASS PART FAIL 00 NO REMOVE this inspection record from the job site.
r
CITYOF T I G A R D MECHANICAL PERMIT —
DEVELOPMENT SERVICES ORIGINAITIS'smu'E T#: MEC1999-00292
13125 SW Hall Blvd., Tigard, OR 97?.23 (503) 639-4171 D: 7/8/99
PARCEL: 1 S134AC-02659
SITE ADDRESS: 11334 SW COTTONWOOD LN
SUBDIVISION: ENGLEWOOD NO.3 ZONING: R-4.5
BLOCK: LOT: 225 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: � EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ANPL: VENT SYSTEMS:
STORIES: `BOILERSICOMPRESSORS _ HOODS:
_
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of furnace, a/c unit and gas piping. Placement of a/c unit must comely with standard setbacks.
Owner: FEES_ _
MARTY CRANE Type By Date Amount Receipt
11334 SW COTTONWOOD LN PRM-C DEB 7/8/99 $50.00 99-3167C3
TIGARD, OR 972235PCT DEB 7/8/99 $3.50 99-316703
Total $53.50
Phone:521-0249
Contractor:
GAROKEN ENERGY COMPANY
3565 182ND
BEAVERTON, OR 97001 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:848-0197 Cooling Unt Insp
Reg #:LIC 000431 Final Inspection
F LM 34 1 13pb
This permit is issued subject to the regt lations contained in the Tigard Municipal Code. State of Ore.
Specialty Codes and a,l other applicabl; laws. All work will be done in accordance with approved
plans. This permit will t;cpire if work is -ot started within 180 ;,ays of issuance. or if work is suspended
for more than 180 days. ATTENTION Oregon law requires you to ioliow rules adopted in the Oregon
Utility Notification Center. Those rul,.:s are set forth in OAR 952-001-0010 through OAR 952-001..0080.
Yomay obtain copies of thgse rules or direct questions to OUNC b6.—
_y calling (503)2 -9189.
Iss a By: , �� �. ✓ ' Permittee Signature: r
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
r
CITY OF TIGAPD Mechanical Permit Application Rec'o Be
13125 SW HALL BLVD. Commercial and Residential Date R eccd
d >
TIGARD, OR 97223 Date to P.E.
(50?) 639-417.1, X304 Date to DST
Permit# �'ZLi J. -q�
Print Or Type -
Incomplete or illegible applications will not be accepted Called
Name of 0eve opn enuwrolect Description
Table 1A Mechanical Code OTY PRICE AMT
Jo h Street Address A) Parma Fee
Address
Magill CM(State ZIp
1.) Furnace to 100,000 BTU
I,,, �/ includinq ducts&vents
Name for name of byainesal" 2.) Fumace 100.000 BTU+
7.50
Owner l�t j .
t ct r-� F including duds 8 vents
Mailing Address 3.) Floor Furnace
6.00
l Iq Ji" �� �r••t�l. - +' �� incluoing vent
CtyiStneI _
ZIP Pt Arte 4.) Suspended heater,wall heater
1 ` K+ r `�-A 3 D or floor mounted heater 6.00
Name Idr oma of business) 5) Vent not included In appliance permit
3.00
Occupant Mailing Address
6.) Boder or comp,heat pump,air Gond
to 3 HP;absorb unit to 100K BUT" �s!T�'•
CrtyrBtate Zip Phone 7.) Boder or comp heat pump,air cond. 11.00
3-15 HP;absorb unit to 500K BTU" _
Contractor f _ 8.) Boiler or comp,heat pump,air cond. 15.00
C�L{ ✓l> wl [r��1 r r 15-30 HP;absorb untt.5-1 and BTU"
Prior to per-on I Mailtrtg Address j 9.) Boder or corn heat um air Gond. s
issuance a co P• pump, 22.50
PY _; p r4 `� SLl J�c�� ) / i. {' 30.50 HP;absorb unit 1-1 75mil B'U`
of alt iic iced i Crtyl�Slats ZIP Phone
z, r 10.) Boiler or comp,heat pump,air Gond. 37.50
ane required if - rZi - ,3! >50 HP:absorb unit 1.75 mil BTU"
expired in COT Oregon Const.Cont.Board ueN Exp. at
calabase e y 11.) Air handling unit to 10,000 CFM 450
_ =7
Architect Name 13.) Non-portable evaporate cooler
P 450
or Mailing Addresa 14.) Vent fan connected to a single dud 300
Engineer CMrStatezip Phone 15.) Venbiation syseem not included in 4.50
appliance permit _
Descnhe wodAdrjltion t New (5 Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residential Q/ Non-residential O
Additional Description of work: 17) Comestic Incinertors 7 p
It 7-1, c,-irlci 18.) Commercial or industrial type 30.00
Incinerator _-�
Existing use of _ 19) Repair units 4 50 -'
building or propeR .
y ,� � - -
20) Wood stove 4 50 -1
Proposed use of21.) Clothes dryer,etc. _ 4 50�-" I
building or property
22.) Other units 4.50
Type of fuel-oil O ratural g81>0
a LPG O electric O 23.) Gas piping one to four outlets
i
I hereby acknowledge that I have read this application,that the 2? ) More than 4-per outlets(each) 50
information given is Correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws.
Signatum of Owner/Agent Date *SUBTOTAL
S1;RCHARGE r
r ,
Clo-nTact Person Name L• Phoneme/ PLAN REVIEW 25%OF SUBTOTAL
TOT/
i:Vmechpmt.doc (rev 9 'Minimum permit fee is S25+5%surcharge
-Residential A/C requires site plan showing plarxmnent of unit
GAROKEN ENERGY CO . INC .
SINCE 1 979
3565 SW 1 B2No AVE • BEAVERTON, OR 97007 • TEL (503) 646-3939 • FAX (503) 356-9002 • CCB# 431 24
Iv
l�
1
l
f
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICE AGINALDATE PERMIT#: PLM1999-00207
13125 SW Hall Blvd.,Tigard, OR 97223 (5 ISSUED: 7/8/99
SITE AI'^G'F3S: 11334 SW COTTONWOOD LN
PARCEL: 1 S134AC-02659
SUBDIV . JN: ENGLEWOOD NO.3 ZONING: R-4.5
61LOCK: LOT: 225 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 CLOSET S: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replace electric iter heater with new gas water heater.
FEES
Owner: --- -- -
-
MARTY CRANE Type By Date Amour.t Receipt
11334 SW COTTONWOOD LN PRM1 DEB 7/8/99 $50.00 99-316703
TIGARD, OR 97223 MISC DEB 7/8/99 $3 50 99-316703
Total $53.50
Phone 1: 521-0249
Contractor:
GAROKEN ENERGY COMPANY
3975 SW 113TH
BEAVERTON, OR 97005
REQUIRED INSPECTION-q
Phone 1:
Top-out Insp Reg#: LIC 00043124 Final Inspection
PLM 34-113pb
This permit is issued subject to the regulations contained in the Tigard Municipal 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 started 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 obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Is ed Byt �_ � �_ GC-r Permittee Signature: L � 1 � \LA
Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Recd Byj,
13125 SW HALT_ BLVr). Commercial and Residc-ntial Date Recd 7- P
TIGARD, OR 9.1223 Date to P.E.
(503)'639-4,171 Date to DST
Permit# k_-M ITTIT
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted caller—
Name of Development/Project On back Indicate Work Performed by fixture.
Job FIXTURES (individual) QTY PRICE AMT
Address Street Address Suite Sink 9.00
Lavatory 9.00
BI g# City/State t w Zip -r Tub or Tub/Shower Comb. 9.00
Name Shuwer Only g 0,
--LCit t Water Closet 9.00
Owner Mailing Address ( Suite Dishwasher 9.00
IL,g— f ce'1 11 Garbage Disposal 9.00
City/State `Z.ip Phone Washing Machina 9.00
Name Floor Drain 2' 9.0
'_�G C') 1 tom. _ 3" 9.00
Occupant Mailing Address Suite 4'
_ 9.00
City/State Zip Phone Water Heater X
conversion O like kind /z;
Laundry Roo Try 9.00
Nam G Unnal 9.00
ne( 'YL" Cther Fixtures(Specify) 9.00
Contractor Mailing AddressSuite'
Prior to permit City/State Zip Phone 9.00
issuance,a copy 1" L -N ` nl7"o.4., kile 3 9.00
of all licenses are Oregon 09 t.Board Lic.# Exp.D to — 900
required it - 0
/�' `/Y ---- 30.00
Sewer-1 sl 10
expired in COT Plumbing Lic.# Facp ate
database DQ Sewer-each additional 100' - 25.00
Name Water Service-1 st 100' 30.00
Architect Water Service-each additional 200' 25.00
or Mailing Address Suite Storm b Rain Drain 1st 100' 30.00
i Storm R Rain Drain-each additional 100' 75.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention De0ce or Anti- 25.00
Describe work New ZF Addition O Alteratiurl O Repair O Pollution Device_
to be done Residential&L Non-residential O Residential Backflow Prevention Device' 15.00
Additional description of work:
� I i Any Trap or Waste Not Connected to a Fixture 9.00
t --
Catch Basin 9,00
Insp.of Existing Plumbing 40.00
per/hr
Existing use of �. `� Specially Requested Inspections 40.00
building or property I _
per/hr
Rain Drain,single family dwelling 30.00
Proposed use of Grease Traps 9.00
building or property
QUANTITY TOTAL
I hereby ackno•.vledge that I have read this application,that the information Isomeft or riser diagram is required If Quanity Total is >9
given is correct,that I am the owner or authorized agent of the owner,and -- "SUBTOTAL ��
that plans submitted are in compliance with Oregon State Laws. r{'
stun of owner/ Date
7 c SURCHARGE �y
'l v.; _
l l�Z _ — N
Co pt Person Nome Phorm PLAN REVIEW 25%a OF SUBT
uued oOTAL
R only if rlxturegt ..total is>9
Y
'Minimum permit fee is$25+51,surcharge,except Residantial Backflow
Prevention Device,which is$15+5%surcharge
tldHstpin+app.doe sm?
'LEASE COMPLETE:
,
— Fixture Type Quantity by Work Performed
New FIloved Replaced Removed/Capped
Sink —
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet _
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3'r
Water Heater
Laundry Room Trav
Urinal _
Other Fixtures (Specify) —
COMMENTS REGARDING ABOVE:
I 1Caubh,a0p dm W