13322 SW CHELSEA LOOP w
N
N
m
y
fD
w
r
0
0
b
1
6
13322 $W CHELSEA Loop
CITY OF TIGARD BUILDING INSPFC'TION DIVISIO14
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
f BUP
Date Requestcd. Z� � l AM_._�____ PM _.-- BLD
Location_ J Z-��Z �. ��c'G ( (-�> Suite r MEC - -! 'C)I��
Contact Person Ph �C�ISb PLM
Contractor_ Ph -T_ SWR _
BUILDIPIG Tenant/Owner ELC
,letaininy Wall ELR
Footing ----------.
Access
Foundation FPS
Ftg Drair, SGN
Crawl Drain Inspection Notes:
Slab
-- ---------._ SIT
Post&Beam - - - -
Ext Sheth/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof _--
Misc:
Final
PASS PART rAIL -----
PLUMBING
Post& Beam - -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final -- --------.._._.._.-------
PASS PART ':AIL—
MECHANICAL AILFiAN1GAL - —. � - -----------
Post& Beam - - - ---
Rough In
Cas Line - -
Smoke Dampers
ASS PART FAIL
El-WRICAL --
Service
Rough In -- - -- ._.- ----- --------
UG/Slab _
------- ------------
Low Voltage
Firm Alarm
Final
PASS PART FAIL - --.-�— ----- _
SITE
Backfill/Grading - ^-- - - - -
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ —required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE: — ( ]Unable to inrnect-no access
Ir ADA
Approach/Sidewalk
Other Date — — - Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspectimn record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639.4171 -
I /
Date Requested -5-Z&
qe� —AM �c PM _ BUPBLD _
Location / � 2 C – —
L�!X a-_ 4- "X� Suite ` / MEC _
Contact Person A ��y� Ph (��- �lY PLM _
Contractor _ Ph SWR ppl}
BUILDING Tenant/Owner ELC 77 .6/
Retaining Wall ELR
Footing �---- -----
Foundation ;cceSS:
FPS
Ftg Drain _---
Crawl Drain Inspection Notes: SGN _
Slab _
Post 1f, Beam SIT
Ext Sheath/Shear
Int Sheath/Shear —_._
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm ` _` _ --
Susp'd Ceiling ��_ C �'--f�Z�c� q[
Roof —
Misc:
Final
PASS PART FAIL
PLUMBING j" ----
Port& Beam — —6/ _ _—.--- __-_-
Under Slat
Top Out — -- -
Water Service
Sanitary Sewer -__-
Rain Drains
Final
PASS PART FAIL
MECHANICAL --
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
- E91RfC_A -- - -- -
Service _
Rough In — - --
UG/Slab
Low Voltage —
F.e Alarm
PASS PART FAIL _
SI
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: I j Unable to inspect-no access
ADA
Otheoach/Sidewalk Date - �( _Inspector 7
Ext
Final
PASS PART FAIL DO riGT REMOVE this inspection record from the job site,
CITY C TIGARD ELECTRICAL DERMIT
DEVELOPMENT SERVICES PERMIT #: ELC99-0142
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 03/16/99
PARCEL: 2S102DB-05000
SITE ADDRF_.SS. . . : 13322 SW CHELSEA LP
SUBDIVISTON. . . . :CHELSEA HILL ZONING: R-12
BLOCK. . . . . . . . . . . L0T. . . . . . . . . . . . . :02*7 ,JURISDICTION: TIG
Pro.j ect Desr_r,i pt ion: Add two 12) branch circuits.
......-RESIDENTIAL UNIT-•--•-- ----TEMP SRVC/FEEDERS--•--•- -----MISCELLANEOUS-----
1000
ISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . a 0 SIGN/OUT LINE LiL3. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . .. . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
- ---SERV 1 GE/FEEDER---- ----BRANCH C I R(-.I.!I TS----•--- -----ADD' L INSPECTIONS-
0
NSPECTIONS-
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . ; 0
A: - 40? amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
+01 - 600 amp. . . . . . : 0 EA ADD' L RRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 - ----------_-----PLAN REVIEW SECTION-------------- -
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 EVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: - ----_____._________.. _._._.____._________.____.____....._....___-- FEES --------------.-
S'fUART MANN, KAREN type amoUnt by date recpt
13322 SW CHELSEA LOOP PRMT $ 40. 00 GE:O 03/16/99 99-313724
TIGARD OR 97223 SF,CT Z 2. 00 GEO 03/16/99 99-3137:'4
Phone #:
Contractor.: ------------------•--------___-.
PHOENIX, ELECTRIC CO $ 42. 00 TOTAL
7379 '-PW TECH CENTER DR.
- - - -- REQUIRED INSPECTIONS
--
TIGARD OR 97223 Elect' 1 Service
Phone #: 664-3600 Elect' l Final
Reg #. . : 000522 —This permit is issued subject 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 180
days of issuance, or if work is suspended for more than 18) days. ATTENTIONS Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAP 952-001-NIO through OAR 9M-M1-1987. You may obtain a copy
of these rules qr direct questions to OX by calling ( )246-1987.
Permittee SignatUre: _ -?>+. Issued Py :,4,
-------------OWNER INSTALLATION
The iTista: .ation is being made on property I own which is not intender) for
sale, lease, or, rent.
OWNER' S SIGNATURE: DATE:
--CONTRACTOR INSTALLATION ONLY-----------------l-`--
SIGNATURE OF SUPR. ELEC' N: Ar. t ewtpe, --_ _ DATE: _ 3`lr• __..__---__ _
LICENSE NO:
*+4-4.+++++++++++++++++++++++++^�'+++i-+++++-+++++++++++t++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day
+++++++++++++++++++++++++++++++.+f-++++++4-+++++4-++•++++•++++++4-++++++++++-++++++++++
MAR-16-99 TUE 07; 11 AM PHOENIX ELECTRIC CO FAX N0, 15036843611 P, 02
REL'Ei.VF-C,
CITY OF TIGARD Electrical Permit Application Par.Check M_
13125 SW HALL BLVD, MAR 16 1999' RP Ree'd By
TIGARD OR 97223 ��M Date Recd
Phone(503)639-4171, x3t7�1 MUNIIV Uj,gLUPMlN1 Date to P,E.___`
Date toST
Inspection (503) 639-4175 Print or Type Permit arc°t •a/y,�
Fax (503)684-7297 Incomplete or illegible will not be accepted Called
1. Jr.b Address: 4. Complete Fee Schedule Below:
Name of Development - Number of Inspections per permit allowed --
Name(or name of business)� N-k-0 f YA111L1 Service Included,. Items Cost Sum
Address \'_;-.Qa- `.�1.� C\A (V_ ")on 4a. Residential•per unit
City/State/Zip j<h '�a.3 1000 sq.ft.or less $110.00 `_-__-- 4
rEach additional 500 sq.it.or
Commercial L. Fle'sidentlal LJ� portion thereof $25.00
Limited Energy $25,00 _ t
Each Manuf'd Home or Modular
J Dwelling Service or Feeder $66,00 2
2a. Contractor installation only:
(Anach copy-of�I current Ilcenses 4b.Services or Feeders
Electrical Contractor f- r 4 '(�pl Installation,alteration,or relocation
Addre ) e ;. ` 200 amps or less $60.01; 2
-- -- 201 amps to 400 amps $80.00
City \_� _ State (Till__ Zip }_ � 401 amps to 600 amps $120,00 2
Phone No ,Q U 601 amps to 1000 amps $180.00 2
Job No.� _rJ 0 - Over 1000 amps or volts $340.00 2
Reconnect only
lec.Cont. Lice, No,•_ - Exp.Date y $50.00 ; 2
OR State CCB Reg. No, i Exp.Date_ 4e.Temporary Survlcae or Feeders
COT Business Tax or Metro No. Exp.Date Inv[,illation,alteration,or relocation
200 amps or les% _-- $80.00 2
Signature of Supr. Elec'n_� 201 amps Io 400 amps $100.0 2
401 amps l0 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. L Exp Date _ see"b"above.
Phone r4o, (:sVtL- _4f.0 CW -- 4d.Branch circuits
New,alteration or oxlension per panel
2b. For owner Installations: a)The loo for branch circuits with
r purchase of service or
Print Owner's Name`_ / _ feeder fee.
Address Each branch circuit $6.00 _ 2
City State tip_
b)The fee for branch circuits
Phone No.,= without purchase of
-.� service or feeder fee.
First branch circuit t $36.00 ib 2
The Installation is being made on property I own which Is not Each addillonal branch circuit�_ $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature _�. Each pump or Irrigation circle S40,00
Each sign or outlino lighting $40,00
3. Plan Review section (if required):* Signal clrcult(s)or a limited energy
panel,alteration or extension i $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 structure 4f.Each additional Inspection over
Service and foeder 225 amps or more the allowable In any of!;•e above
Systom over 600 volts nominal Per Inspection $35.00 -_
Classified area or structure containing spec;ol occupancy Fat hour $55.00
as described In N_,C.Chapter 5 In Plant $55.00
Submit 2 sets of plans with application where any of the above apply. S. Fees:
Not required for temporary construction services. Se.Enter total of above fees 5 _
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 25%of line Se for
PERMftS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rhe ulmd(Sec,3) $ --�-
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTrust Account AJ�`ao lr�
TIME.AFTER WORK IS COMMENCED. /
Total balance Due
"n515tlCW TPP A,v rya%
CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC99-0109
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 03/18/99
PARCEL: 2S1O2DB—O5O0Qi
SITE.' ADDRESS. . . : 13322 SW CHELSEA LP
SUBDIVISION. . . . : CHELSEA HILL ZONING: R-12
BLOCK. . . . . . . . . . .I I L-OT. . . . . . . . . . . . . :027 JURISDICTION: TIG
CLASS OF WORK. . -ALT FLOOR FLIRN. . . . : 0 EVAP COOLERS: 0
TYRE OF LISE. . . . :SF UNIT HEATERS_ : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRE:SSORS HOODS. . . . . . . : 0
FUEL TYPES-- -----_--- 0-3 ;.P. . . . : 1 DOMES. I NC I N: 0
3-15 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE RE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HR. . . . : 0 CI__.O DRYERS. . : 0
NO. OF UNITS - -- ------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1O0K BTL,: 0 <= 10000 cfm : 0 GAS OUTLETS. : 0
FURN ) -1O0K BTU: 0 > 10000 cfm : 0
Remarks : Installation of an A/C unit. A/C units cannot be placed wilhin the
required setback areas.
Owner:
STUART MANN, KAREN type amol_int by date rerpt
13322 SW CHELSEA LOOP PRMT $ 25. 00 GEO 03/18/99 99-313795
TTGARD OR 97223 SPCT $ 1. 25 GEO 03/1.8/99 99--313795
Phone #:
C o n t r actor: -------------------------------
A--TEMP HEATING & COOL-I NG
16000 SF_ EVELYN ST _._-----------------------------------
$ 26. 25 TOTAL
CL_ACKAMAS OR 97015
Phone #: 650-501.4
000718
- - -- -- - REQUIRED INSPECTIONS
- -
This permit is issued subject t% the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and aP other Final Inspection
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 frr more
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-81-8818 Pirough LIAR 952-881-8888. You may
obtain copies of these rules or direct questions to OUNC by calling
(583)246-9187.
g4�Iss1.1e By : —� Permittee Si gnati_ire:
++++i++++,f+++++++++++++++++++++++++++++++++++++4•++++++++++++++++++++++++++++++�
Call 639--4175 by 7:00 p. in. for- inspections needed the next business day
++++1+++++++++.+++++++++++4++++4•+-F++++++++++++++++++++++++++t++++++++++++++++++
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd By__ _
13125 SW HALL BLVI)iECENLU Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E�
(503) 639-4171, x304 MAR 181999 Date to DST
Permit#/llE F �('t G7jOy
COMM NITY WFLOPMLNI Print or Type Called
Complete or illegible applications will not be accepted -
___--- Name of oeveapmsntlprojW _ Descnption -
�J 1�l c !�rc•i �.nn Table 1A Mechanical Cade OTY PRICE AMT
.lob BWW Address Subea A) Permit Fee -0- -0- 10.00
Address ;.�.i >?� ('h eJ L
BkV CityrStme� ZIP B) Supplemental Permit 3,06
Name(or nerne of business) 1 ) Furnace to 100 000 BTU - 6.00
Owner '111a,- krre,, j ,1 n Ind.duds&vents
MONAdftft -2.) Furnace 100,000 BT7j+
7.50
� 1 L� 'be" 1 ind.duds 6 vents
Citymate ZIP Phone 3.) Floor Furnace -
6.00
incl.vent
^- N (ownarne of ,siness) 4.) Suspended heater,wall heater 6.00
or Noor mounted heater
Occupant Mailing Address 5.) Vent not ind.in - - 300 ---
appliance permit
Cnylstate Zip Phone 6.) Boiler or comp,heat pump,air Gond. 6-00 -
� � -- to 3 HP,absorp unit to 100K BTU_ -'r
Na'ne 7.) Boiler or comp,heat ---
pump,air Gond- 11.00
f) 3-15 HP;abso�r unit to 500K BTU _
j Contractor Marring Adams 6.) Boiler or comp,heat pump,air coed. 15.00
✓L'/c S� 15-30 HP,absorp unit.5-1 mil BTU
Attach copy of City/state -� Phww 9.) Boiler or comp,heat pump,air Gond -- 22.50 -
Current Licenses I ,;Wei 1 (- -�) � 30•-50 HP;absoip unit1•1.75 mil BTU
Oregon const C,"•Board Lk;010.) Boiler or comp,heat pump,air Gond - 37.50
��"O� >50 HP;absorp unit 1.75 mil BTU
COT Business Tax or MWo R Exp.Dab 11 ) Air handling unit to 450
_ 10.000 CFM
Archltsct NBR1° 12.) Arc handling unit 7.50
i10,000 CTM+-- -
or Ma"Address 13.) Non portable 4.50
_ evaporate cooler
Engineer CityrSute Ztp Phone 14) Vent fan connected 3.00 -
___ _ to a sir le duck
Describe work New O Addition¢ Alteration 0 Repair O 15) Ventllatim system not _ - 4.50
to be done Residential 13 Non-residential O included in appliance.permit
Additional Description of work 16) Hood served by -
f�,]_. yA:'- ,' 'j mechanical exhaust 4.50
14 C�o� CL r /'oma'/"�, f�c��Pr -1 7F Domestic incinerMors 7.50
Existing use of -�-- ------
u---- -- 16.) Commercial or industrial 30.00 -----
building or property.__ incinerator - -- -
19.) Clothes dryers,etc 4,50
Proposed use of 20) Other units - - -- 450 ---
building or property---
Type of fuel-oil O natural gas O LPG O electric 0 - 2 1) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) _ .50
infon,,otion given is correct,that I am the owner-authorized agent of
the owner,that plans submitted are in compliance with Oregon State -QTY.SUBTOTAL _
laws
SignaW__m of OtrtfnerfAgen_t Date - - 'SUBTOTAL ,syr r
j r/C6L �. ���L/(l • C j//S/r`J j ---- -!
5%SURCHARGE
Contact Person Name Phorm PLAN REVIEW 25%OF SUBTOTAL
TOTAL
i Wstlmechpmt doc 'Minimum permit tee is$25+5%surcharge
Rev 7196
1�0
22