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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: b3S-4171 MST
BUP
_
Date Requested �- 12 --c'n AM � PM —
- - BLD
Location- Suite _- MECOL't�
Contact PerFon r�CJ �Zt Ph L PLM _
Contractor A-741,4914 Ph SWR
BUILDING Tenant/Owner ELC ;?eZ'V
Retaini^i Will ELR —
Fc,oting Access:
Foundation FPS
Ftg Drain _ -- --
Crawl Drain Inspection Nctes. - SGN
Slab ---
---- --- -�1_L.—_ SIT
Pos!& Be 'n
Ext Sheath/Shear
Int Sheath/Shear - ---
Framing
Insulation ----- -- _ - —_— -- ----- - ------Drywall Nailing
Nailing
Firewall ----- --- — — --- --- -
Firg Sprinkler
Fire Alarm
Susp'd Cei!ing
Roof ---- — - -- ---- --
Mise: - -- -- ---- ------ _— -
Final
PASS PART_ FAIL - _ -- _ ----- ------ •---`-� -�
PLUMBINC
Post& Beam
Under
- ---- - ---- - ---- ------ -------
Under Slab
Top Out
Water Service
anitary Sewer - - -,
Pain Drains
Final -
PASS PART FAIL
-
Post& Beam
Rough In _--
Gas Line
Smoke Dampers
S PART FAIL _
fICA — _ - -------- -
Service
ROugh in ' - -- — —_— - —-- —--
UG/Slab
Low Voltage - —- - -----—~
Fire Alarm
PART FAIL
SITE —
Backfill/Grading -- —--- - ----
Sanitary Sewer
Sinrm Drain ( I Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 W Hall Blvd
Catch Basin
Fire S-ipply Line ( ]Please call for/rrainspection RE _ __— — ( ]Unable to Inspbc• no access
ADA /
Approach/Sidewalk 7 '
Other Date �f f ._L - Inspector `
Final / 1 P _ /._ (.il.C.�' _'' �-- _Ext
PASS PART FAIL j DO Nn.T REh.O VE this inspection record iron,, the job site.
CITYOF TIGARDELECTRICAL PERMIT
PERMIT#: ELC2f JO-00230
^' DEVELOPMENT SERVICES DATE ISSUED: 05/0512000
13125 SW Hall Blvd.. Tigard, OR 97223 (503' - -4171 PARCEL: 2S104DC-05'100
SITE ADDRESS: 13458 SW GLEARVIEW WY
SUBDIVISION: f3ENCHVIEW ESTATES ZONING: R-4.5
BLOCK: LOT : 051 JURISDICTION: TIG
Proiect Description: Ir!ata,: 1 branch circuit i- single family dwelling.
_ RESIDENTI:' UNIT TEMP SRVC/FEEDERS MISCELLANEOU:i
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/FL'R: 601+amps - 1000 volts: MINOR LABEL ;10):
SERVICE/F_--_EDER _ BRANCH CIRCUITS ADD'L !NSPE(.TIONS _
0 - 200 amp: W/SERVICE OR F':EDER: 0 PER INc PECTION:
201 - 400 amp: 1 st WIO SRV , OR FDR: 1 f'ER HOUR:
401 600 amp: EA ADD'L BRNCH .;IRC: IN PLAN f:
601 - 1000 amp: _ PLAN REVIEW SECTION _
1000* dr.iplvolt: —� >=4 RES UNITS: > 6('J VOLT NOMINAL.
Reconnect only: SVC/FDR >= 225 AMPS: CLAS AREA/SPEC OCC:
Owner: Contracter:
DAL.EBROUX, DONALD J + LAVERNE GRF ELECTRIC
13458 SW CLEAR VIEW WAY 15460 CE PARADISE _N
TIGARD, OR 97223 MUI11\10, OR P7042
Phone: Phone: 503-829-9146
Reg #: LIC 76751 ORIGINAL
SUP 1655S
ELE 3--184C
FEES _ Required lnspectiuns
Type By nate Amount Receipt
—_ Elert'I Service
PRMT KJP 05/05/200( $37.50 0001938 Elect'I Final
5PC:T KJP 05/05/200( $3.00 0001938
—�-- Total $4" 50
This Permit is issued subject to the regulations contained n the Tigard Municipai 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 lu more tnan 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
ruk.,s are set forth in CSAR 952-001-0010 through OAR 952-001-0030 You may obtain copies of these rules ordire^,t questions to OLINC at(503)
246-1987
PERMITTEE'S SIGNATURE ISSUED BY: �+
OWNER INSTALLATION ONLY
The installation is being made on properly I own vvhicn is not intended for sale, lease, or rent. �—
OWNER'S SIGNATURE: _ DATE: _
CONTRACTOR 114STALLAI ION ONLY
SIGNATURE OF SUPR. ELEC'N: I ' ta- �` a`— —_� DATE:__
rc-
LICENSE NO: .S��. ' _._-- — —
Call 639-4175 by 7:00pm for an inspection the next brv:iness day
05/27/1995 08: 32 5038295747 GRF ELECTRIC FACIE I)1
CITY OF TIGARD Electrical Permit Application Man Check 0 _
13125 SW FALL BLVD. Recd By
TIGARD OR 97223 Onto Recd
Phone(303)6394171, X304 Dab to P.E
Inaptxtion(503)639-4175Date to 8T
Print of Type Permit a
Fax(503) 592 1960 Incomplete,or Illegible wlll not be accepted called—_
1. Job Address: 4. ColnplsN Fee Sche&,,fI Below:
time of Uerelopme►1t _ Nurnk'W rA Inep�d�one pN pa,mtt anoasd
Name(or name of business) a�erh _ Senlce Included: Items Cost Sum
Address, S C.t� � �r^V I p�) Raaldlern�sl-per unit
Citylstate/ZJp q,.,n1 - 9 2 2 3 w R.o►I•as : ,17.76
-+ - - Each additional r�0o p,fl.or
potion thereof _ f 20,26 1
Commercial❑ Residential UmKed Energy t 00.00
Each Manufd Horne or Modula► _
2a. CAnb'ietor i s -10
on
only I`� owstlir,q Sen,tos or Feeder tt 72.75 2
(Prior to prim"h ismic atppllsartla must pttvvlde conMscsor Ilconae ib.8ervlcse or Feeders
intwmatuon for COT data beaol. Installation,alteration,cr rr location
E)Ktical Cont;Wor / CC'tLiGc_ 200 amp•o►loss 2 8425 :—— - 2
201 amps to 400 ampa f 60.60 2
Address�� (!Q �e I A!ra r' [�,. - 431 amps to Soo amps s 128.60 2
Statte-�[� - Zip Sol amp•to 1000 amps _ s 162.50 - '� 2
Phone No. Z Over 1000 amps or wfls 6 303.75 -- 2
.lob No — _T-�7--- - Rec on t wi only f 53.50 _ 2
Elec Cont Linz. No CExp.Date J r 4c.Tem —
ponry servleea or Far►Oeett
OR State CCB Reg. No __�• _Exp.Datn V Inetasatlon,alteration,or relocation
COT Bufiness Tax Ot Metro' .o. Exp date p 200 amps or less -_ ,_ s 83.50 2
201 wWo to 400 amps 111 60.25 2
S19nrt_lre of Supt. Eleen �� I 40/ to poo 0103 { 107 op - z
�+- WO
Over 000 amps l0 9000 volts,
l.Ioe ee No. Ezp.08de l> c.
also 1e^•Dere.
Phone No. 2-q -q-1' r+
f to 4d-Branch on or is D
- ---T-_------- a ,alteration or etcMerulon per panel
a)The he for branch c rods
2b. For owner Installations: WW:pwvh ae oraarvree or
heave.NR
Print Owners Name _ -_M --- s 535
Address b)The he for Mandl ara,Aa
ity
c --- - .�——._State _.ZJP. —. or wed«No. 50Phone NO. ----- First branch circuit S U.60
Eadt addhlonal branch drrult
The Installation Is being made on property I own whllch is not ae."heel--.Gua — -—
Intended for sale, lease or rent. (Service or!'seder not kdu fool
Eads pt:nlp a►krlgnllon circle S 42.75
Owner's S,OnaturP Each sign or oulline Ilghling $ 42 75
-- — Signal cYcvii(s)or a Mmhsd oft!PJ -�
.7. Plan Review section (If required):sparol,aiteration or-Idension _ f 6000 -
IA'Ac-!•bele(Int _ f 107.00
Please check appropirlate item and anter fee In section �B 41,Each arldlOonal Inspection over —
4 or more residential unha In one stricture the ollmnble In any of the above
Sarva*and foeder 275 amps or mora Per inspection 5 50,116
--- � .00
_
�rystern over am voha nominal In Plant Per hour � 8 S 50$0 00 --
_ClostWed area or structure nonUlning special occupi ncy as '-- - —
desrrlhW in N E C Chapter 5 5. Feel:
M.Enter total of above lass = -17. -
' Submit 2 trine of dans vetth r pplicsCon*hers env of the above appy. J5nI u charge 1.05 X total lees) :
NM required Por�.spnrey ranstructyon services. 9ubrowl 0
ab,Enter 26%if One M for
NOTA flan RevM r Mrjgy(kW(Ret 3) !
PFRMTTS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COIWMENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PF.RiOD OF 180 DAYSrust Aceeunt 4
AT ANY TIMF AFTER WORK 19 COMMENCED 0181 ttlelanca Due t
1 Ndii0fnrm0ekaric doc
CITYOF TIGARD MECAANICAL PERMIT
PERMIT#: I"EC2000-00162
DEVELOPMENT SERVICES
,Y DATE ISSUED: 05/04/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DC-05100
SITE ADDRESS: 13458 SW CLEARVIEW WY
SUBDIVISION: BENCF-IVIEW ESTATES ZONING: R-4.5
BLOCK: LOT: 051 JURISDICTION: TIG
CLASS OF WuPK: ALI F'_OOR FURN: f_VAP COOLERS:
TYPE OF USF: SF Ul� IT HEATERS: VENT FANS:
OCCUPANCY GRID: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMMI_. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTI1: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 1000U Cf m: GAS OUTLETS:
> 10000 cfm:
Remarks: It „tallation of an air conditioning unit. A/C units cannot be placed within the required setback areas.
Owner: _ _ _ FEES
DALEBROUX, DONALD J - L.AVERNE Type By Date Amount Receipt
13458 SW CLEAR VIEW WAY PRMT GEO 05/04/20( $50.00 0001895
TIGARD. OR 91223 5PCT GEO 05/04/20( $4.0C 0001895
Total $54.00
Phone: - ---- -
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 771-1145 Final Inspection
Reg #:LIC 02734
PLM 26-60P
K! GNAL
This permit is issued subject to the reguiations contained in the Tigard Municipal Code, State 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. Al TENTION: Oregr , law requires you to follow rules ad;opted in the Oregon
Utility Notification Center. Those rules are set .)rth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtainc ie o es�jules or direct questions to OUNC by calling (503)246-9189
Issue By: Permittee Signature:
Call (503y$39-4175 by 7:00 P.M. for inspections needed the next business day
RPFl-26-2000 lE�_j4 r.N�
RMFI V ED Plan Check k
CITY OF TIGARD Mochanicel Permit Application Rec'dBy
13125 SW HALL BLVD. APR 2 F %jnp ,ommercial and Residential Dale Frec'd
TIGARD, OR 97223 �� ( - Date to P.E.
COMMNTY JFVFLOPMFN) Cb Data to DE''T—
(503) 639-4171, x304 � ( l ' Portrait x��000_0C/C.9
Lop #16,5 �� Print or Type
Incomplete_ ov illegible applications will not be accepted Called _
Name off DeveapmetMlProied Description
Ups Table 1A Mechanical Code Q Price Amt
A Permit Fee 16.00
.lc b street Adarvu - —
8 Cervi 9 W 1) Furnace to 100,000 BTU
Addre�5 includln Lducts 6 vents see footnoW 9.65
etdaa Gry/9tr,e Zp 2) Furrace 100,000 BTU+
9 inr uc'in ducts 8 vents sae footnote 1,2 12.00
Nerve(or name of bushes) J 3) Floor Furnace
Owner )>�_— ^�
including ed ti In vent aoo footnote 1,2 9.6
Hoeing Adda.0 4) Suspendassn.wall heater
or floor me heater Gee footnote 1,2 9.65
5 Vent J In ap lianois permit 475
t ryrstate rap phone Che&an L apply: 'Boiler Heat Air
For Items 6.10,see or Pump Cond Oty Pnce Amt
Name(or n"a0lWelness) footnotes 1,2 Com
6)r3HP:absorb unit to
130K STIJ 9.65 r'
Occupant Martina Address 7)3-15 HP;absorb unit
100 to 500k BTU
Clyr5rnte Lp Phone B)15.30 HP;absorb
unit.5-1 mil BTU 24.15
9)3450 HP;absorb
Contractor N.rn. unit 1-1.75 mil BTU _I 36.00
Gro, _M191U1Xb1 10)>50HP;absorb unit ___J
Prior to permit MarkV Address f >1.75 mil BTU fin 15
issuance,a copy <<jr� , 11 Air handlic unit to 10,000 CFM
of aN hicenses N Zip Phone 7.00
era required S tqo/ �_ �C� 12)Air handling unit 10,000 CFM+
Wired In COT ore corn;+.cont.send tic s Epp URI 51.05
database_ 0?2 34� 0 13)Non portabtc evaporate cooler
Archltrct N•"� _ 7.G!1
14)Vent fan connected to a single duct
4.75
or Maeing Andress ----- ---- —
15)Ventilation system not Indtidod in
_ a lienee permit 7,00
Engineer
~�— Zlp1 Phone �--�-
16)Hood served by mechanical exhaust
7.00
Describe we*to be done- !T17)Domestic incineralnra
tt oA r C 6m i I Cr1/lQ-#-1 Q _ _ - 12.00
Newki Repair O Replace with like kind Yes 0 No O 1S;Cnmmefclal or Indu_strial N. De incinerator
Resenbal* Commercial0 48.25
rd
1a)Repair units
8.40
Additional Information or desulpbon of work.
O'L` d1no 111- 0-/C 20)Woad stove/gas FP/other uniLUrJothe dryer/etc.
7.00
NOTE: For Commords!projects only,Units over 4or lbs.require 11)Gas piping one io four outlets
structural gas rain.. See footnote 1 3.75
'I ype Of fuer oil O ,rafuraf gas O LPG O elects 22)More than 4—per outlet(earh� .75
Minimum Nertr,lt Fae$SO.00y SUBTOTAL
1 hereby acknowledge that I,lave read this apphcat:on,that the Inlnmiatlon — — BrA SURCHARGE
given is coned,that I am the owner or authorized agent of PLAN REVIEW 25`f.OF SUBTOTAL
the owner,that plans submitted are M compliance with Oregon State laws _.__ Required for ALL cornmrrclal permits ant
TOTAL
Signature Owner/Agent Data _--- — —
r. 4f' Other Inspections and Fees:
— /(//(�,(Z:., . `670 1. Inspections outside of normal buslness hours(minlnum charge-two
Cof1b t Pereon Name —{ Phone hours) $60.00 per hour
!- 2. Inspections for which no fee is 6peclfimally Indicated (minimum
03o charge-half':our) $50.00 per hour
Ftsonotes for commerclat protects only: 3. Additional plan review required by changes,additions or revisions to
1 Provide full schematic of existing and prnposod gas line and pressure plans(mIr irnum charge-one-half hour)$50.00 per hour
2. Provide drswings to scat@ showing existing and propmW mechanical
units 'Stale Conlraaoi Boiler Certification required
— "Residantis!A/C requires site plan showing plocement or unit
Llmechperm doc rev 7/19/99
2e*d luso
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CITY OF T I GAR® 771 ,
COMMUNITY DEVEL")PMENT DEPARTMENT MECHANICAL
13125 SW Hall Blvi.Tigard,Oregon 97223*8199 (503)630-4171 P ERMIV
PERMITMEC94-0349
-)--41 71 DAIE ISS6ED: 12/05/94-
PARCEL: 2S104DC-05100
TL ADURLSS. . 134-,—,G SW CLEAR)IEW WAY
LAD I V I ci I ON. . . . : BENCHVIEW EsrArES ZONING: R.-4. 5
i. . . . . . . . . . . . LOI.. .. . . . . . . . . . . . :51
LLASS OF WORK. . :ADD FLOOR TURN. . . . t EVAP COOLERS:
I I Yi-+. OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
UCCUPANCY GRP. . :R3 VENTS W/O APDL: VE'm*_, SYSTEMS:
I U R I ES. . . . . . . . .. 2 BOILEPS/COMMIRFSSORS HOODS. . . . . . .
FUEL 0-1]. Fir.-,. . . . * EOMES. INCIN:
. /GAS/ 3-15 HFA. . . . : COMML. INC IN,,
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRL DAMPERS% . : 30-50 HP. . . . : WOODST0VES. . : 1
(405 P-'RESSURF-. . . 50+ HP. . . . : CLO DRYERS. . :
NU. OF AIR HANDLING UN I Tt", OTHER UNITS. :
r URN ( I OOK BTU: 10000 cfn, : GAS OUTLETS. :::
i URN )=100K BTU: > 100QIO com :
Remarks : GAS LOU & NEW GAS Bt1',NING INSERT
Owner: FEES
DON DALEDROUX type amomlt by dat e l,-ecot
13458 SW CLE.ARVIEW VIRMT $ 25. 0124 JG 12/05/94
5PCT $ 1. 0215 JG 12/05/94
1 (30RD OR 91cii�'3
ione #:
,,fitr,act.or,
RE-SIDE DlSTRIBUTORS OF OREG.
.383 SW BOONES FERRY RD
R I L"NI) OR 9 lLe4
hone #: 684—8535 26. 25 TOTAL.
Pea #. . : 40979
REQUIRED INSPECTIONS
;�-is permit is issued subject to the regulations contained in the bas Line lnsp
Tigard Municipal Code, State of Ore. Specialty Codes and all nthor Mechanical Insp
applicable laws. All work will be done in accordance with Woodstove I n s p
approved plans. This permit will expire if work is not started Final Inspection
within 181 days of issuance, or if Piork is suspended for more
":an 180 days.
_ _ _ __
-mittee Signati-tre: Or&VVr4
u e CJ L�
Call for inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. �a'APPLICATION ry� Permit #
Tigard, OR 97_23 JA
IY
(503) 639-41 / . /�(i, �•Yt �� �� _
= a 1. •---- - escnpuon �2 — -
Table 3A Mechanic,.l Code QTY PRICE AMT
Job Y 5- S�, G��� 4 1) Permit Fee -0- -0- 10.00
Addi ess II -
/ . r 1 7 2 7 3 2) Supplancintal Permit 3.00
—Furnace li TDZf,�6'IITU- --
p 1) incl, ducts&vents 6.00
urnace +
--i—L
Owner -T`f S S 5- C/GAY U l .v 2) incl. ducts d vents 7.30
ooruma�ce --- — —"-
/, 4 L d , G14, �9 7 7 z 3) incl. vent 6.00
Suspended heater,w�a Neater
4) or floor mounted hector 6.00
�— -- �n no incl. in -- --
Occupant 5 i M 5) appliance permit 3.00
�— Repair of heating, re ng.
_ 6) cooling,absorption unit 6.00
3oTer or comp,-Ti "eat purnp, air cond.
h t r r S� �� ( i� 7) to 3 HP ab_oro unit to 100K BTU 6.00
- Foier�:n h3-5
Contractor 8) 3-15 HP absorp writ to 500K BTU 11.00
boli ei or comp,heat pump
,ar con —
�G f 9) 15-30 HP absorp un t.5-1 mil BTU 15.00
, Boller or :omp, eat pump,air con --
� r 10) 3050 HP absory unit 1.1.75 mil BTU 22.50
ere y ac ow g4-T7a I have react this app.u:a ion,—that I — i er or comp-,Fo-aTpump,air cond.
information given is correct,that I am the owner or authorized agont 11) > 50 HP absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in complianco w',th State Air handling unit to -- —
laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from Sta•e registration, -- yn ing urn-- — —
p!eato give rsiason below.) 13) 10,000 CTM + 7.50
—
14) evaporate cooler 4.50
en an connec -
_ _ 15) to a single duct 3.00
Ventilation system not
16) included in Pppliance permit 4.50
Hood ser/ed by --- -
��( 17) mechanical exhaust 4.50
Uescnbe work new addition a era A repair —rommercia or in us;na — - -
to be done residential(D non-residential Q 18) type incinerator 30.0:
xis5-g use oT-- -- -'-` —` herTa wo s ova,wa-T—
building or property I . c c' - 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to fou, jutlets 2.00
building or property _-- ---
Type of fuel -oil O natural gas Q LPG Q electric Q 21) More than 4-per outlet - -
Minimum Fee$25.00 SUBTOTAL
?F7,i.'ITS BECOMc VOID IF WORK OR CONSTRUCTION
r1!,'i HORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CQONSTRUCTION OR WORK IS SUSPENDED OR -- -- —
ABANDONED FOR A PERiJD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%Oc SUBTOTAL
AFTER WORK IS COMMENCED -- --
TOTAL
Special Conditions ----__ — ---- - --_ --
Date issued— by
krMW4PMT
r°rtbnM.�