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16245 SW COPPER CREEK DR
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CITY OF TIGARD BUILDING INSPECT ION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _
[3UP
_—_—` Date Requested _�—AM _—� BLD
Location__/�S �!E c c Suite
--; -------
Contact Person _ Phl' �Uy�� PLM
- c- —
Contractor _ 1) h /-- 3/ Z/ SWR
BUILDING Tenant/Owner
Retaining Wall ELR
Footing -- -
Foundation ACC2SS:
FPS _
Ftg Drain
Crawl Drain Inspection Notes: SGN A
Slab /
-------------___ -----L---�=-��------ ___ _----------
Post& Beam SIT
--
Ext Sheath/Shear
Int Sheath/Shear —
Framing -------
Insulation - ------
Drywall Nailing
Firewall --_--- ------- ----
Fire Sprinkler -�
Fire Alarm -
Susp'd Ceiling -_.--__--_ — __-- -- - --
Roof
Misc: - - --- ------ �—
Final
PASS PART FAIL --- -- ---- ---�`-'t J - _ -
PLUMBING
Post& Beam - --- - ----- -- - -- -_--
Under Slab
Top Out - -- --- -- --
Water Service
Sanitary Sewer -- - -- _----- ---
Rain Drains -
Final -- - --
PAS -.P. T FAIL
Post& Beam - --- --- __-. _-- —_--__---
Rough In
Gas Line - ... -- - -- ------ -- --
Smoke Dampers
in - _--— - -------AS PART FAIL
Service
Rough In -_ ----- ----- - -------- ----
UG/Slab WC
Voltage --- - - -- -- --
aF' Alarm
PART FAIL -------T--- --- - ----
E
Backfill/Grading - - ----- ----
Sanitary Sewer
Storm Drain [ ]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
Approach/Sidewalk
Other �- Date Inspector --_Ext
Final
-PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001 00094
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/23/01
PARCEL: 2S114BA-16400
SITE ADDRESS: 16245 SW COPPER CREEK DR
SUBDIVISION: COPPER CREEK STAGE 4 ZONING: R-7
BLOCK: LOT: 129 JURISDICTION: TIG
CLASS OF WORK: AL r FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS_ HOODS:
FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas furnace, gas piping and exterior A/C unit. Unit cannot be placed within the required setbacks.
Owner: _ FEES
CAMPAGNA, PATRICK M Type By Date Amount Receipt
16245 SW COPPER CREEK DP PRMT CTR 3/23/01 $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 3/23/01 $5.80 2720010000
Phone:
Total $78.30
— -- -
Contractor:
GAROKEN ENERGY COMPANY
3565 162ND
BEAVERTON, OR 97007 REQUIRED INSPECTIONS
Gas Line Insp
Phone:848-0197 Mechanical Insp
Reg #:LIG 00043124 Final Inspection
PLM 34-113pb
This permit is issued subject to the regulations 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. ATTENTION: Oregon law requires you to follow rules adopted in 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 thole rules or direct questions to OUNC by calling (503)246-9189.
Issue By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
03/21/2001 16:06 5033569002 GAROi<EN PAGE 01
01,21/01 ICED 12:58 HA\ 503 598 1980 CITY of TIGARD 19004
Mechanical Permit.&Application
Date received: 1 C) / Permit no.:/
City of Tigard Projectlappl,no.: Expire date;
CthofTigord Address- 13123 SW Hall Blvd, T'igar1, OR 97223 --
Phone: (503"1 6:39.4111 Date issued; B� Receiptn.
Fax; (503) 98.1960 Case file no.; - Paymeri rype
Land use approval; _ Building permit no.:
{
;bLdn
family dwelling or accession U Comm.•rcialhndusnial '.] Muln-family 0 Tenant improvement
onstruction eAddici(n/alterancNreplacement U Other; l
ss `(e _ t '� Y-�r � Indicate equipment gntustities In boxes below. Indicate the dnllar
Swte no.: value of all mechanical materials,equipment,labor,overhead,1ax map/tax louact:ount no,: profit. Value S _
Lot; Block: Subdivision: •See checklist for important application information and
Project name! �.�,�pA�y�A� jurisdiction's fee schedule for residential permit fee.
City/count y.1l�l4ctd. �IP: _�rl�.2�
Desc.n ftlion and I. ..tlinn of work nn premises! _
Fee(ft.) Total
Est date of cunt letionhns ecrlor, Desert oe► Q4. Res.only Rts•otsl
'Tenant improvement or change ul use: 1AIrndling unit CFM
Is existing space heated or conditioned? Ye r XNn Ir con iUontd-' "nR(aite enret�u re ) r ,vim ---
Is existing Brace insulated• O Yea a tent on Of eXistinj K YAC system
01 to compr�esoro
Bustnese none: Sate holler permit no,;
� Y�_ Q `� -- - HP Tons BTUM
Address:?5 t it amo a am era/ uct smoke detectors -
City; L V State- "c IP. le an ra u r
Phone Fax ) E-mail; nsta rep acs lumscalburrier
Including duetworkivenl liner 0 Yes Nis
CCB no.-
S& as).acf nota rep ac re ocate eaters-•suspen e ,
Cit,/metro lic no t,r will.or floor mounted
Name(please print)' p v, ant ore unceo m Nn furnace
r gera on:
Absorptionurutit _ _ BTL'/H
1` unc; Chillers HP
I
Compressors— HP
Address:_ En"roomelitalM-Must an van atIon!
City�� State: 12. Appliance vent
Pho a I E-mail: oryiereoulaust
Floods,I ypo 17 117res, toe azmat —
hood me suppression system
Name: ..e vv(,c, vv Bxhawt fan with single duct(bath fans) T
Mallinz address: auu cyxtern spur om esun or
mac" ue pppp aR an d r ut nn up to nut eiv�
City: rl r 1 air � :'IF.
--- 3 rye= LPG
#Name01her1life4ippilifRrt
one; _ 3` F'ex E mail -` Fue t ing rac a /nuns river cut cis
Process piping sc ematicrayuirc
Number of outlet. —�
. r_rq_u_ a7 to'enl
I Address
_ _ Decorative
I City. 1 Stare 'fP nsen-t e
rPhone - -- 1 Fax -- Email oo�stov rc rttto�c _� �� J
Applicant's signatu e. _ N -
t Name ( riP nt)
INN di,4ne&CUMA eerepl credi cudt•plebe eYl wntr evan(or more INrou
rrm Permit fee....... ..•..•
in 0 MasterCard Notice:This pemut application Minimum fee•.,...... ..
t
- expires it o p.rm t is not obtained Plan review at _ %r) III
Cndii.erd nunbsr �
S tri a within 180 days after it hes been State surcharge(11191) x
Ydhonon IRru c - _— arc-tried as enmpitie TOTAL
Y t�f`il nh �NSI
•agJa11(6lOD��t
GAROKE.N ENE
Rt3Y CO . INC .
SINCE 1 979
3565 SW 1 82ND AVE • EEAVERTON, OR 97007 • TEL (503) 848.3838 • FAX (503) 356 9002 OB# 31 24
uly,
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CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT ELC2001-00161
DEVELOPMENT SERVICES DATE ISSUED: 03122/2001
13125 SW Hall Blvd.,Tigard, OR 97223 (503', 639-4171 PARCEL: 2S114BA-16400
SITE ADDRESS: 16245 SW COPPER CREEK DR
SUBDIVISION: COPPER CREEK STAGE 4 ZONING: R-7
BLOCK: LOT : 129 JURISDICTION: TIG
Prosect Description: Installation of ole branch circuit.
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 ar,in: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000-alts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
—�_ _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ arnp/volt: >=4 RES UNITS: --- > 600 VOLT NOMINAL: —�
Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC JCC:
Owner: Contractor:
CAMPAGNA, PATRICK M HEBERLE ELECTRIC
16245 SW COPPER CREEK DR 19680 SW NEUGEBAUER RD
TIGARD, OR 9722.4 HILLSBORO, OR 97123
Phone: Phone: 503-628-2095
Reg #: SUP 3053S
LIC 42841
ELE 34.160C
FEES _ Required Inspections__
Type By Date Amount Receipt
.�. _ Rough-in
PRMT CTR 03/22/2001 $46.85 2720010000( Ele,,t'I Final
5PCT CTR 03/22/2001 $3.74 2720010000(
Total $50.59
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
suspendeu 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 952-001.0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
i
PERM ITTEE'S SIGNAT J RE�%4' �7Ffa�'.9 �� ISSUEDBY:
r% rJ-2--
- r
_ OWNER 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: _ �. DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
Datereceived: Permit no.-
City of Tigard I Projecl/appl.no.: Gxpire date:
City(fTigard Address: 13125 SW Hall Blvd,Tigard.OR 97223 Date issued: H
Phone: (503) 639-4171 I ` y cccipt no.:
Fax: (503) 598.1960 / I` Case file no.: Payment type:
Land use approval:
7Ncwly dwelling or accessory J commercial/industrial J Multi-family U Tenant improvement
ruction )"ddition/alteration/replacement J Other: J Partial
3011 SITE INFORMATION
Job address: ZM tap (�',f rr" L I Bldg.no. _ Suite no.: Tax map/tax lot/account no.:
Last: I Block: Subdivision: l ---
Project name: C_' A-41J 0 Description and It -ation of work on premises: -
-_. —
Estimated date of completion/inspection: .Z
Job no:
Fee Max
Business name: —HEBURK-CELECTRIC Description try. (ea.) Total no.fns
Address: 19686 SW N- g"b r Road-- Ne"nwiderttial-singleornndtl-family per
9446 d"elling unit.Inelo(ks allached garage.
City: 15 OfO, Service included:
Phone:47j,-7tv Fax: -?y > E-mail: 1000 sq.ft.or less 4
CCB no.: Z t-I EIeC.bug.lie.no: �z Each additional 500 sq.It.or portion thereof
�� Limiled energy,residential 2�
Cit letro(IC.n .: C' -�(,qu
Limitedenerily,non-residential Each manufactured home or modulardwelling
Si ature o is g electriDalr Service and/or feeder 2
up,elcct. t (print jl 4't� L l,icensenu: 3,_Cr. Services orfeeden-Instal4on,
tl
alteration or relocation:
200 amps or less 2
Name( 201 amps to too ams 2
dress: 401 amps to 600 ams
601 amps to 1000 ams 2
City: Stale: 7.IP: Over 1000 amps or volts 2
Phone: Fax: I E-mail: Reconnect only
Owner installation:The installation is being made on property 1 own 'temporary services or reedrrs-
which IN not intended for sale,lease,rent,or exchange according to installation,alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps or less
201 amps 1n 400 amps - -- -- 2--
Owner's si'nalure: Date: 401 to 600 ams _ 2
Branch circuits-nen,alteration,
Name: or extension per panel:
-- _ A. Fee for branch circuits with purchase of _
Address: _
City: service or feeder fee,each branch circuit 2
r
ilald: ZIP: _ B. Fee for hranch circuits without purchase 1
Phone: Fix: E-mail: of service or feeder fee,first branch circuit: 46y2
Each additional branch circuit:
100111111 a FTTZ Na MIse.(Service or feeder not Included):
U Service over 225 amps-commercial U f'calth-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2
familydwellings U Building over 10,000 square feet four or Signal circutt(s)oralimited energy panel.
U System over 600 volts nominal more residential units in one structure alteration,or extension" 2
U Building over three stories U Feeders.400amps ormore •DL-wri tion: _
U tkcupanl load over 99 persons U Manufactured structures or RV park inch additional Inspection over the ailowable In any of the above:
J Egress/lightingplan ❑(Whet __ F'crinspcction
Submit__sets of plans nUh any of the above. Investigation fee
the above are not applicable to temporary construction service. other
Not all Jurisdictions accept naiit cards,please call Jurialidbxr rot oxxe information. Notice:This permit application Permit fee.....................$
U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _
Credit card number: 1_-Z within 180 days alter it has been State surcharge(8%) ....$ _ 3. -71
Expires accepted as complete. TOTAL .......................$
Name of cudho r u wn on c t c
_
Cardholder i itnamre _ Amoun,
440-4615(6r WOM)
i
G
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service Included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq.ft.or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq,ft.or
portion thereof $33.40 _ 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular ❑ Garage Door Opener'
Dwelling Service or Feeder $90.90 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System*
Installation,alteration,or relocation
0amps r
201 amps o 400 amps _ $106.85 p L� vacuum systems*
401 amps to 600 amps _ $160.60 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85— 2
Ternrorary lRervlces or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
Installation,alteration,or relocation Feu for each systern.......................................................... $75.00
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 __ 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above, Audio and Stereo Systems
Branch Circuits ❑ Boiler Controls
New,alteration or dxtension per panel
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch cirr,.A _-! $665 2 ❑ Data Telecommunicatior Installation
b)The fee for branch circuits
without purchase of service / ❑ Fire Alarm Installation
or feeder fee.
First iranch cir Ot $46.85
Each additional branch circuit $6,65 ❑ HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle $53.40 ❑ Intercom and Paging Systems
Each sign or outline lighting _� $53.40
Signal circuits)or a limited energy
panel,alteration or extension $75.00 ❑ Landscape Irrigation Control'
Minor Labels(10) $12500
Each additional Inspection over ❑ Medical
the allowable in any of the aboveNurse Calls
Per inspection $62.50 ❑
Per hour $62.50
In Plant $73.75 ❑ Outdoor Landswipe Lightiuy'
Faes: C7 Protective Signaling
Enter total of above fees $ LC I ❑ Other
8%State Surcharge $ --Number of Systems
25%Plan Review Fee
See"Plan Review"section on $__ No licenses are required Licenses are required for all other Installations
front of application.
Fees:
Total Balance Due $ '
— Enter total of above fees $
❑ Trust Account 0 8%State Surcharge $
Total Balance Due $
i:Wsts\formsklc-fees Am 10109,100