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15975 SW CENTURY OAK CIRCLE STE 68 ul (0 4 (,11 �V (•4 m Qj 121 Ili �Tj 50 F4 0 � t ►-+ a f� 1� � f � Ui H _ rl 159%5 SW CENTURY OAK CIR-IE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -� 6UP —211 ,h Date Requested �� AM /X —Prvi BLD Location G7 C ��•� CJ yt Suite MEC Contact Person S, PhG��,�� PLM _ Contractor _ Ph SWR �- BUILDING — Terant/Owner — ELC f retaining Wall ELR :ootirg rh,�cesr, FPS — Foundation I I _— Ftg Drain Crawl Drain Inspactlon Notes' , SGN Slab srr Post 8 Beam I I ------ ---—� —` E xt Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- Roof --- — Misc �— ------- - — Final -- ---- — PASS PARI' PAIL -- ---- -- - ----- PLUMBING _ — Post& Beam — - --- - Under Slab Top Out ------ Water Service Sanitary Sewer — Rain Drains Final --- --------- ---- - --- PASS PART FAIL o S eam --- --- -- ----- - — Rough In j Gas Line ---- ---- ---- — -- rlill ampers _R T FAIL RIC --— --- - - ---- Se vice Rough In ------- ------- — --- UG/Slab — —--- —.— — — - - Low Voltage F arm ----- — ----- ---- --- na PART FAIL Backfill/Grading —'— Sanitary Sewer Storm Drain [ J F einspection fee of$ __- required before next inspection. Pay at Cite Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE _. . _- [ )Unable to inspect- no access Fire Supply Line ADA Approp-h/Sidewalk Other — Date Inspector.,_ _ _ Ext Final PASF PART FAILJ DO NOT REMOVE this ir►spection record from the it.. site. CITY OF TIGARD BUILDING INSPECTION !DIVISION 24-Hour Inspection Line: 639-4175 Business I.i,te: 639-4171 MST BUP --_ A____Date Requested AM PM BLD — Location_ 1 `acs 5 _ Suite (:.MEC) Contact Person Y�2e,. l Ph 7L-JpO PLM C^ntractor _ _ Ph _ SWR _ JILDING Y -u ` Tenant/Owner _— ELC Retaining Wall ELR Footing - Foundation Access: FPS / / Ftg Drain d C YZ�1 �z C•r , 0 L7 wl?rl�4 _ Crawl Drain Inspection Notes. SGN _TM Slab _ _ —. SIT Post& Beam — Fxt Sheath/Shear Int Sheath/Shear -- --- Framing Insulation Drywall Nailing _ Firewall -------- ---- � -- Fire Sprinklef Fire Alarm Susp'd Ceiling —.-._---_--_-_-- Roof misc. -- Final PASS PART FAIL PLUMBING Post BBean, -- Under Slab I op Out — -- - -- -- -- Water Service Sanitary Sewer - -' 1----� Pain Drains Final ---- - ----- - ----- -_ PASS PART FAIL CHANIC Poo Sea , — — -- ------- ---- -- Rough In Gas Line -- -- Sm ke Dampers ,- PART FAIL CT"ICAL - Service Rough In — — - UG/Slab I-ow Voltage Fire Alarm _ Final ------- - CASS PART FAIL 8;1'E Backlll/Grading — — - Sanita y Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Cath Basin ease call or reins _ Fire Supply Line Please freinspection RE:i ] P ---_- —_ ( ]Unable to inspect-no access ADA Approach/Sidewalk ] rither Date j Inspector L _L /Z2— Ey.! lFinal PA�SS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITYO F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC1999-00753 DEVELOPMENT SERVICES DATE ISSUED: 12/22/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) C39-4171 PARCEL: 2S111 CC-04500 SITE ADDRESS: 15975 SW CENTURY OAK CIR SUBDIVISION: SUMMERFIELD ZONING: R-7 BLOCK: LOT : 068 JURISDICTION: TIG Proiect Description: Install (1)branch circuit in single family dwelling. _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: MANE HM/SVC/ FDR: 601+arnps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS --- _ __— —__ ADD'L INSPECTION_S 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR VDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reccnnect only. _ SVC/FDR >=225 AMPS: CLASS AREWSPEC OCC: _ Owner: Contractor: O'CALLAGHAN, CLAIRE H TRUSTEE GRF ELECTRIC ACKLEY, JOHN J 15460 SE PARADISE LN 1'975 SW CENTURY OAK CIRCLE MULINO, OR 97042 TIGARD, OR 97224 Phone: Phone: 503-829-4146 Reg #: LIC 00101543ORIGINAL SUP 3003S35 ELE 26-878C FEESRequired Inspections Type By Date Amount Receipt Elect'I Service PRMT KJP 12/22/199E $37.50 99-320602 Elect'I Final 511CT KJP 12/22/199E $3.00 99-320602 Total $40.50 This Permit is issued subject to the regulations contained in the Tgard 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 c,ays. 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 952-001-0080 you may obtain copies of these rules ordirect quPstrons to OUNC at(503) 246-19H7 PERMITTEE'S SIGNATURE ISSUED BY: OWI4ER INSTALLATION 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 SIGNATURE OF SUPR. ELEC'N: �� G"�'7'�1 �-+�t��''J DATE: LICENSE NO: ___ 1-3w 3 Call 639-4175 by 7:60pm for ani inspection the next business day 02/12/1995 06:07 5038295747 GRF ELECTRIf.; PAGE 01 CITY OF TIGARD Electrical Permit Application flan ChwA o 13125 SW HALL BLVD. Recd By TIGARD OR F 123 �} Dale Reo'd Phone(503)639-4171, x304 Date to P.E Inspection (503) 639.4175 Print or Type Date to DST Fax (503)684-7297 Incomplete or Illegible will not be accepter! Permit Oct /f 1 775-, - - Called _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development,. - - L Humber of Inspection*par porrnK sllo�red -- t �-�RC1 Gt Namn (or name of busfnerss) J,_,�,�� ©_ CGS Service Included: Items Cost - dBum Addr"vs L—C 4a. Alsoldentiel-per unh Chy/Steta[Z]p— LZc{ G toxo sq,ti or leas $110.00 Lech addnlonal 500 sq.M.or 4 Commercial Residential portion thereof 82500 L ImltoO Energy 1 S?s,00 _ ' / Y. Esch Ing 1;d,"n or Modular _— ?a. Cont or Ins allatlo on(((JJJL///... �'{'� '' DwNNIng sarvkar nr Fender 5e0.00 (Attach copy of all CUJTOlg Ilcsntse I 4b.services or Feeders Electrical ConiracmrI- _L-Sg_�_ a installation,alteration,or nlouttion Addrest;__1�,�)� 2ri0 amps or less Se0.00 201 amps to 400 amps SAO 00 2 City-_ M r.�l[ L stat e_ Zp- 1 401 amps to 90o amps ----- Phone No.- _ S1W.00 2 3�. _yL__ _ i Sof amps to totes amps -- 5180.f�1I Z Job No._ Over 1000 amps or voile _ S-11110 00 2 Elect. Cont. lire. No e�Ia noconnect only 2 'OCC Exp.Date, E2171--J, y 1450 00 OR State CCB Reg. No. 07 ? _Exp.Dete R atedoirs COT Business Tax or Metrr, No. _Exp Dat" — Ifut�l,gp�alteration,or rel s or Arlon 200 amprs or lees S50 Q0 OT Signature of Supr. Eiec'n_ 201 amps l0 400 amps $7,,00 2 7 44— ——� 401 amps to Win amps 51W.00 2 Ucenso NoEx (1�1 / Over 9amps to Ioo0 unit —� p Dele_� 0c 00 s«"e"above. Phone No_ fes c a 4d.Branch Circuits Now.&natation or arlan-tion per panel Zb. For OWnPf Ins[eIIQPfonS: a)The lee for branch urrutts won purchase of Service of Print C'wnnr, Name_. _ __—�—�— faces fee Address_ _—� Each branch circuit i S5 00 _ 2 cityb) The fm for branch circuits Phone No i State— Zip- _ _— — wlrAc -f purrhare of -7, 5U Phone ,— — —� servlci, or md1or ba Fiml braru,.-,null Th"ingtrtllehnn is being made on property I c,wn which is not Each arxlwonai„ranch circuil Koo 2 intend"d fo. sale, lease or rant. �s.miseell'I'leous f. ervkI&or feeler nos Induded) Qwfler', ;Igneturll— Fath pump or irrigation circle _ _ L1kj 00 _ Fay h sign or oattine lighting Soo 0o ? 3. Platt Rovlew section (I/required): Signal circuit(&)or a Ilmlted energy - panel,alteration or ertaneton 540.00 Please check appropriate Item and enter tee In section 58. Minor tabela(1o) i 1410000 - 4 or more msidarhal units In one structure 4f.Each additional Inepeolon over Y.� 1,ervice and leodry 275 amps or morn he allowable in any of the agora `iyslom over 6W nrGira mlrtial Per inspection $3!00 Cla&vlflsd area o•rrtnxlum ci.italning ipw lal ocr jrwx.y Per hn,ur So•% 10 as Inscribed M N F C ChoDler 5 In Plant S55 rr _ "Euhmlt 2 sats of plans witn application where any nl the shove apply. 5. Foes: Not rsqulrod for temporary coneCructlon services. I $4.Enler total of abovo 1ewF = e%Surcharge(06 X told Inn-,r S NW[Cf. Subtotal S 6h Enter 25%or Nne 6a for PFAMITS PECOMF VOID IF wt OR CONSTRUCTION AUTHORIZED IS Plan Revtrwv11I`2M v9(Sec.3i $ NOT COMMENCED WITHIN t HO uAYS,OR IF CONSTfiUCTION OR WORK S total S IS SUSPFNDFO OR ABANDONED FOR A PFA100 OF 180 DAYS AT ANY - t��/ � !- TIME AFTER WORK IS COMMENCED Truat AccnuM a I � -- Tota[balance Due I CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00560 DATE ISSUED: 12/17/1999 13125 1-;W Hall Blvd., Tigard, OR 97223 (503) 639-4171 S11CC- PAP.CEL: LS111CC-04500 SITE ADDRESS: 15975 S;N CENTURY OAK CIR SUBDIVISION: SI-1MMERFiFLD ZONING: R-7 BLOCK: LOT: 068 JURISDICTION: TIG CL-A;9 OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE. OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANC I GRP: R3 VENT: W/O APPL: VENT SYSTEMS: STORIES: BOILEP S/COMPRESSORS HOODS: FUEL TYPES _ 0 - HP: DOMES. INCIN: 3 - 15 CP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: 1 GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _AIR _HANDLING UNIT OTHER FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:UNITS:: 1 > 10000 cfm: Remarks: Installation of a gas firplace insert. Owner: _ _ FEES O'CALLAGHAN, CLAIRE H TRUSTEE Type�By — Date u Qmovnt Receipt _ _ _ ACKLEY, JOHN J PRMT GEO -12/17/19 $50 00 99-320528 15975 SW CENTURY OAK CIRCLE 5PCT GEO 12/17/19 $4.00 99-320528 TIGARD, OR 97224 — -- Phone: _ 'Total $.:4.00 Contractor: GEORGE MORLAN PLUMBING + HEATING 12585 SW PACIFIC HWY (CC13 EXPIRES 6/19/2002) _ REQUIRED INSPECTIONS _____ TIGARD, OR 97223 Gas Line Insp Phone: Woods'--ve Insp Re-#:LIC 00002734 Final Inspe,tion PLM 26-60P07 ORIGINAL This permit is issued subje^t to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws All work will be done m accordance with approved plans This permit will expire if work is not started within 180 days of issuance of If -)rk is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the 0 gon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-901-0080 You may obtain copi - of these rules or direct questions to OUNC by calling (503)246-9189/./' Issue B;: �.�� I� �'sPC Ferrniftee Signature: --- Call (503) 639-4175 by 7:00 P.M for inspections needed the next business day DEC-1.�-1 X95 1'I sy r eel `� fvl I s err 11%3Ar%U REOINUMIll dl hermit Application Recd By _ 13125 SW HALL BLVD. Commercial and Residential Dale Rer:'d T'IGARD, OR 97223 DEC 1 q 1999 Date to P.E. (503) 639-4171, X304 '�`' Date to DST _ COMMUNITY UEVELOPMENT rint Or Type 11 Permit /00 � 57 00-3Called Incomplete or illegible applications will not be accepted Name of Developmenl/Proect Description Table 1A Mechanical Code ClPrice Amt zTnhn al)a bat]Job Street Address A) Permit Foe 16.00 Cz ' 1) Furnace to 100,000 BTU Address Cr1l including ducts 6 vents aro footnote 1,2 9,65 Bldgs I Ceti/Stare Ip 1 2) Furnace 100,000 BTU+ Including duds 6 vents see footnote 1,2 _t 12.00 Name(or nems or business) 31 Floor Fumare I Owner /y Inclrldn;p vent see footnote 1,2 9.i 5 MaIIIngAddnae �) Suspended heater,wall heater or floor mounted heater see footnote 1,2 9.65 5) Vent no,,included Inapliance ermlt 4.75 CRY/state Zip Phone Check al that apply: 'Boiler Heat 1 Air— For Items 6-10,see or Pump Gond City Price Amt Name to.name or bualness) footnotos 1,2_ Com 61<31112;2bsorb unit to _ OOK BTU 9.65 Occupant Melling Adisress 7)3.15 HP;absorb unit 100N to 500k BTU 17.65 cb/saara Zip Phone _ a)15-30 HP;absorb unit.5.1 mil BTU 24.15 9)30.50 HP;absorb Contractor N ° unit 1-1.75 mil BTU 36.00 eO, PIUAKLI'1`1410)>50HP;absorb unit Prior to permsVC / nea�ss >1.75 mil BTU 60.15 tssusnoB,a copy 1-d 11 Air handling unit to 10,000 CFM 7 03 of aM licenses re zip none _ are required K 17)Air handling unit 10,000 CFM+ are ed i COT ono ern .Board use De - 11.85 expdatabase 13)Non-portable evaporate cooler Architect 14) 7.00 14)Vent fan connected to a single duet 4.75 Or Meeong wenn , 15)Ventilation system nit Ingluded in / 60 appliance permit L P_ 7.00 Engineer cRy/stala ZipPhone 16)Hood served by mechar�:ral exha t 7 oa 17)Domesticinci�erators Deecrft Worka to be d01:j re Uace Lrl se l'�w�W r 12.00 Ln6tNew O R air O Rel with like kind: Yes O No O 18)Commercial or industrial type inrJneretor l oe Residential? CommerclolO 4 " 19)Repelr units 4ddltionel information or des :-,!inn of work: T8,40 �L ��P 20)Wood stove/gas FP/other units/clothe drlrer/etc. Inc e t l-!ie rf '+ C fl Ln-1 n e,1 L L11 e-,-` 7.00 40TE: For Commercial projetz only;Units uver 400 lbs.require 21)Gas piping o P to four outlets structural gas talc. See footnote 1 3.75 ype of fuel: al O natural gas LPG O electric O 22 are than 4-per outlet(each) •75 !� Minimum Permit Fee$50.00 SUBTOTAL hereby acknowledge that I have read this application.that the information — %SURCHARGEL iven Is eornt t,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL to owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial ertnits only TOTAL 800 Ignature f OwnerlAgent J Date Other Inspections and Fees: v 1. Inspectlons outside of,normal business hours(minlnvrm charge-two onto t Person Name Phone hours) (50.00 per hour 2. Inspectlons for which no fed Is specifically Indicated (minimum ✓J S 61;; _�- ) eherge-half hour) $50.00 per hour OOflf7lE!for commercial projects only: "– 3. Additional plan review required by changes,adeltions or revlsiorr to provide full schematic of existing and proposed gas line and press-ire plans(minimum charge-one-half hour)$50.00 per hour Provide drawings to sale showing existing and proposed mechanical units. 'Stale Contractor Boiler Certification regwre.+ "Residential AM requires site plan snowing placement of unit I:vmechpern doe rev 7/19/99 r