8040 SW CHURCHILL COURT-1 1
a
41c
c
rn
G
+� n
7
r�
r-�
r
rt
i
i
i
i
iy I
i
f
i
8040 SW CHURCHILL COURT
CITY OF TIGARD BUILDING INSPECTION DIVISION
4-Hour Irlspeci:,on Line. 639-4175 Busines 9 rine: 639-4171 KIST --------- -- ----
IBI Irl
_Date Requested--j-1,11 - ANL��PM _ _� BLD —�_-__—`---_
Location �C �s� C.h,GG2 __--- Suite A_ ME0
Contact Person ., �] _ Ph 2 _ PLM
Contractor_ I Iq -,Wa �►(.�� !` Ph J' /-7 -5 SWR
BUILDING Tenant/Owner 11C
Retaining Wall FLR —
Footing ���-�� --- ----
Foundation Access:
FPS
Ftg Dra-n ---- ----"--------
Crawl Drain Insp%ction Notes: SVN
Slab -- — — — �_ --- - SIT
Post& Beam —
Ext Sheath/Shear t (i
Int Sheath/Shear
Framing � �, /J
-------------—-----------
�Lt
C L y'—o r+
Insulation
Drywall Nailing _ ✓��
Firewall
Fire sprinkler
IFire Alarm 'J —
Susp'd Calling
roof
. isc:
Fir al .—
PASS PART FAIL
PLUMBING
Post& Beam `— -- -
Under Slab
Top Out —�
Water Service
Sanitary Sewer — —"
Rain Drains
Final
P T FAIL
ECHANICAL
Post edam —
Rough In
Gas Line
e DajFrpars
Final
PART FAIL
ELECTIRMAr
Service
Rough In ---
UG/Slab
Low Voltage
Fire Alarm _
Final
PASS PART FAIL
SITE
F-ickfill/Grading — — —
Sanitary Sewer
Stom.Drain [ )Reinspection fee cf$ required before next inspection. Pay at C6Y Hall, 13125 SW Hall 61vi
Catch Basin
Fire Supply L ie [ )Please call for reinspection RE:_ _ [ )Un jble!o inspect-no access
ADA } C� ,,,�
Approach/Sidewalk Oats /` -J - �D Inspector ✓ Cg'r __—Ext
Final
PASS PART FA" DO NOT REMOVE. this inspection record from the job site.
CITY pF TIGARD MECHANITCAL
PERMIT
DEVELOPMENT W"VICES PERMIT #. . . . . . . : MEC98-0541
13125 SW Hall Blvd., Tigard,OR 972,.,.,J3)639-4171 DATE I'S'SUED: 12101198
F,)ITE ADDPESS. . . : 08040 SW CHURCH ILTL CPARCE'L. 2S,112CC-0359.10
SUBDIVISYON. . . . : BOND PARK NO. 3 ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :063 JURISDICTION: TIG
----------------------------------
CLASS OF WORK. . :AL.T FLOOR FUR. N. . . . : 0 EVAP COOLERS: 1 ---------
TYPE OF USrE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . . 0
0CClJP(-"iNCY GRP. . : R3 VENTS W/O ADPL: I VENT SYSTEMS: 0
5 T W3 I F,'S. . . . . . _ : 0 BOILERS/COMPRESSORS HOODS. . . . . . . 0
FUEL TYPES---------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0
GAS 3—t5 HP. . . : 0 COMML.. INCIN: 0
MAX I NPUT: 41 BTU I F -30 HP. . . . : 0 REV AIP UNITS: 0
FIRE DANDER.31. . 'J0-1,:0 IAP. . . . : 0 WOODSTOVES. . : 0
GAS PRES!,JRE. . . 50+ HP. . . . : 0 CLO DIRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
TURN ( 1001' TATO: 1 t0000 cfm : 0 GAS OUTLETS. : I
TURN ) =1 -OK Bs'U-, 0 > 10000 cfm: 0
Re mark s- Insta!1 new forced air HVAC systes with a/c unit 9 ductwnrk. Placelent
of a/c unit must cooply with stindard setbarks.
Owner: -------------------------------- ------------------------ FEES
BOB DITTMAN type amount by date recpt
8040 SW CHURCHILL CT PRMT $ 25. 50 DEB 12/01 /98 98-311197
rIGORD OR 97224 SPCT $ 1. 28 DEB 12/01/98 98-311197
Phone #: 620-0602
At-LIED MECHANICAL CONT
1300 NE 48TH AVE
ZTE 1000 $ 26. 78 TOTAL
HILLSBORO OR 97124
Phone #.- 693-7553
Reg #. . . 005807
REDUTRED INSPECTIONS
This pirmit is issued subject to the regulations contained in tt.e Gas I.-ine Insp
Tigard Municipal Code, State of Ire. Specialty Codes end all other Mechanical Insp
applicable laws. All work will done in accordance with Heat itig Unt Insp
apCroved plans. This persit will expire if work is not started Cooling Unt Insp
within 180 days of issuance, or if work is suspended for tore Duct Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules Misc. Inspection
adopted by the Oregon Utility Notification Center. Those rules are Final Inspection
:�t forth in OAR 952-00I-00I0 through MR 95c 001 0080. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246-91P7.
I'l Permittee SignatLire .,
4.............4..............4............................. .......
,—.all f-39-4175 by 7000 p. m. for inspections needed the next business day
4�ltz�,
+4..........*+++-$..........4•........................................4.............
CIT'.' OF TIGARD Mechanical Permit Application Plan(In
pp Re 'd E _
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 6139-4171, x304 Date to DST
Print or Type Permit#A �-D5y/
,ricomplete or illegible_applications will -iot be accepted called
Name ol0evelopmenVProjed w rDescription i
Table to Mechanical C- ie tY Price Amt
Job Street Address— Suite# A) Permit Fee 10.00
/ 1) Furnace to 100,6:'"BTU
Address _,_—_ includin ducts&wants _ 6 00 �'
Bldg# City/State ZIP 2) Furnace 100,100 f:rTU+
includingduces&vents 7.50
Nerve(or name of busingss) 3) FloorrFurnace
Owrer includin
Mailing Address ) p vsit
1�►Q� 4 Sus end ad heater,wall heater -- — 6.00
�ol-16
SW „/Kk /-�1,` or floor mounted heater _ _ 6.00
Com/! C--7 5) Vent nr,t i cluded in appliance permit
City/Stale ZIP Phone
� v; �•
11;W 1Je g70V/ 6 -o1, 2 CHECK ALL 'Bor,-r Heat Air
_ N (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Com
Occupant Melling Address 100K B1;Jbsorb unit to
_ 6.00
7)3-15 HP;absorb unit
City/state Zlp phone 100k to 500k BT U
1) 15 HP;absorb
unit.5-1 mil BTU _ _ 15.00----
9)
Contractor N8rt1°f �J ,�J, 9)30-50 HP, absorb W
)X c ��4�T V,1C,4 unit 1-1.75 mil BTU _ _ 22.50
Prio,to permit Mailing Address r Z 10)>50HP;absorb unit _
issuance,a copy I� A L�,f Sk!*[' l�a� >1.75 mil BTU _ —_
of a" .tenses yr/tte ZIP Phone -- � 37 50
q f/,� ✓Cl q�i2y (�,q'�-7553 11)Air handling unit to 10,000 GhA
are uired if 4.50
expired in COT Oregon Const Cont.Board Lk.# Exp.Date 12)Air handling unit 10,000 CFM+
database ��'� - cFaOL. _ 7.50
Architect Name 13)Non-portable evaporate cooler
_ 4 50
or Mailing Address _ 14)Vent fan connected to a single duct
_ 3_00
15)Ventilation system not Inciuded in
Engineer City/State Z, Phone appliance permit 4.50 _
16)1food served by mechanical exhaust
_
Describe work to be done: 4.50
17)Domestic incinerators i
New a Repair O Replace with like kind: Yes O No*
ResidentialA( Cc mmercial O l 18)Commercial or industrial type Incinerator 7—
_ _
3000
Additional informations orrfPescription of work: �� 19)Repair units
A4s , fi✓c e. x iK /I/V4 . ji;yx v"Z - 4.50
20)Wood stove
C �' ��C�Lt••f?✓� _ 4.50
21)Clothes dryer,etc
Type of fuel: oil O natural gas LPG O electric 22)Other units
4.50
I hereby acknowledge that I have read this application,that the Information 23)Gas piping one to four outlets
given is correct,that I am the owner or authorized agent of 2.00 G t
the owner,that plans submitted ate In compliance with Oregon State laws. 24)More than 4-per outlet(each)
.50
Signature of Owner/Agent Date
_9- Minimum Permit Fee$25.00 — SUBTOTAL Z5 sc
_ 5%SURCHARGE
Cont ict Person Name Phone PLAN REVIEW 25°o OF SUBTOTAL
�--�---� C Required for ALL commercial p)rmits one
-7
/ SJ j I --- — TOTAL
'State Contractor Boiler Certification required
"Residential A/C requires site plan showhig placement of unit
1 lmechperm doc rev 07/20/98
4
9
�. � o
��
`'� _�
� �
F-�"'
c��
��
I
I
���
CITY O F TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0708
13125 SW Hall Blvd, Tigard,OR 97223(503)639.4171 DATE ISSUED: 12/18/9P
PARCEL: 2SI12CC-03500
SITE ADDRESS. . . 408040 SW CHURCHILL CT
SUBDIVISION. . . . :BOND PARK NO. 3 ZONING:R-12
BLOrK. . . . . . . . . . : LOT. . . . . . . . . . . . . :063 JURISDICTION: TIG
Pro Ject Description : Installation of 2 branch circuits.
UNIT---- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS——
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : V,
EACH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601.+amps-1000 volts. : 0 MINOR LABEL 0
---.-SERVICE/FEEDER---- ----BRANCH CTRr'UITS----- ----ADD' L INSPECTIONS----
0 200 amp. . . . . . . 0 W/SERVICE OR I)ER: 0 PIER INSPECTION. . . - . : 0
201 400 amp. . . . . . : 0 1st w/o sr . FDP. : I PER HOUR„ . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: I IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION---------------
IOOQI+ amp/volt. . . . . : 0 1 =4 RES UNTTS. . . . . . . . : ) 600 VOLT NOMINAL. . :
25 AMPS'. . : CLASS AREA/SPEC OCC. :
Reconnect only. . . . . : 0 SVC/FDR )= 2L
Owner: FEES
BOB DITTMAN type amot.int by date recpt
8040 SW CHURCHILL CT PRMT $ 40. 00 OEB 12/18/98 98-311.642
TIGARD OR 97224 5PCT $ 2. 00 DEB 12/18/98 98-311642
Phonp #: 620--0602
Contractor: ------------------------------
CRAFT ELECTRIC INC $ 42. 00 TOTAL
I1077 N. VAh'COUVER WAY
SUITE 21, --------- REQUIRED INSPIECTION5
PORTLAND OR 972!7 E I ert 1 1 Service
Phone #- 283-2784 Elect' l Final
Reg #. . : 006845
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othe,
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 suseended for sort than 189 days. ATTENTION-. Ore Q11-14#4 quires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 18 throughI U-1 9 8 7. You may obtain 3 copy
of these rules or direct questions to OK by call' )(583)24-1987.
Permittee Signat,,tre : ,J 7 1,11t
0&4 X, 'Is I s s o e d B1 y
TT
INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION
qTnNATLIRE OF SUPIR. ELEC9Ni
DATE /,p
LICENSE NO: �8C f;
+4-++++4-4....4................................................ .....4-+++4-1-+4+++4 + I
Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-tsiness day
......4+4..................4 ...................4........4-++4.....................4-+-+
DEC-03-19913 08: 11 CRAFT ELECTRIC: X03 2479313 P.01
CITU' Z'F TIGARD Electrical Permit Application Plan Ch
13125 SW 'HALL BLVD. Recd B
TIGARD OR 91123 Data Rac'd � 1 77
Phone (b03)639-4171, 004 Data to P.E
Inspection(503) 6;111-4175 Print or Type Date to DST —-
Incom Incomplete or illegible wail not be accepted aCalled---
1.
ler
Fez(503)684-7?97 P 9 P called _
1. Job Address: r4. Complete Fee Schedule Below:
Name of DevelopMer-rt r Number of Inspections our parch allowed
Name(or name of business)D'1�fmQ�,566 _- Service inrluded: Items Cost Sum
Address- SC)4--) ` �� Ck,\ 'CL11�� (I `�- da. Residential-per unit
to 1000 as I.ur less 37 10 rU t
CitylStatt�2ip_ ��()j(l�A[ (�r_y( �� Each additional 500 sq it,or - - --
Commercial Residential ❑ portion thereof
Limited Energy g<<,(10 t
Each Manul'd Home or Modu-dr -
Dwelling Service or Fe mer 2$6t?.00
2a. Contractor Installation only: --- --
(Attrich copy of all current licenses) 4b.Services or Feeder.-
Electrical Contractor C'rm f i- 1 Installation,alteration,or relocation
�r xRC 2W amps or less 560.00
Address 1 7 D77 N vancc�uv air_ --Sl e�--21_— - ---- 2
City_pp�1,a ne3 __State - a 201 amps to 4ou amps �o-�
,� Zp g 7 1 7 dol amps to 600 empe $120.00
Phone No.- 261-2786 60' amps to IOW amps S1 an,00
.lob No. O1 or I,=amps or-alts 2
_ 5340,00 --
Flec.Cont. Lice.No. 2 6-5__7.9 Ex bate Fieconherl only $6o.rxi 2
_ p. _�L1Lja_
OR State CCB Reg. Nu.__ILB 6 4 5___Exp.Date__9j2_ILQ_Q Ic.Temporary Services or Feeders
COT Business Tax or Metro No, 1 A R 9 Exp.Date 1 11 I Installation,alteration,or relocation
2%amps or less S5000 -_ 2
Signature of Supr. Elec'n \ a 201 amps to 400 amps $7500
401 amps to 600 amps $100.00 7
GVar coo amps to 1000 vnns,
License Nc, t d 80-q 6p.Date 1,p.( 1 j 1111an"b"above.
phone No 283-2784 _�.� -- 4d.Branch Circuits I2b. For owner installations: r New,alteration or extension per panel
I ori The fee for branch circuits wl&
purchase of derv/"or
Print Ownel'c Name feeder fee.
t i
Each branch crcui5.00
�1i�1955 _ � Z ?
- bi The lee for branch circuits
C;rty-_..__ _ S6te _---- Lip- wlrhour purchase of
Phgni?No service or feeder too
— -- - -—
rlrs(branr_h circuit t M.00
The installation is being made on propert,r I own which is not Each additional branch circuit S moo /`�� 2
intended for sale,lease or rent
48.MlscMlaneoua
Owi ier'S Signature (Se vion�r leodor nat indud"d)
9 -__.- _. Each pump or irrigation circle _ - $44000
Each sign or outline lighting $40.1A
3. Plan Review section !if required):' Signal circurt(s)or a limited anergy
panel,alteration or extension Seo Of) 2
Please check appropriate ".nm Minor Labels(I o) $100.00m and enter fee in section 5B. -�
4 or more residew!W unts!r one structure 4f.Each additional inspection over
S®Mce and fesi 225 amps or more the allowable in any of the above
System over 600 volts nominal Per Inspection $35 0o
-_Classified area or structure containing special occupancy Per hour $55.00
as described In N E.C.Chapter 5 In Plant ss5 00
"Submit 2 seta of plana with application where a,,y of the above apply. 5. Fees:
Vat required for temporury construction services. Sa.Enter total of above tows S - {O
g%Surcharge(.05 X total fees) $
NOTICE Subtotal .- S-
5b.Enter 25%ul line Sa Inr
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS i;sr,gPview,if reeuueut(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 'G
TIME AFTER WORK IS COMMENCED. E;KTnrat Account N (D (j b t�
f
rota!balance Due
TOTAL F'.01
CITY OF TIGRRD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---�----
-, I �l BLIP
Date Requested ��-fd" AM— PM BLD
Location- Suite Suite MSC
Contact i'�rS�n' N��^-"^'►►►CONI _ Ph X39 PLM
Contractor _ � Ph SWR
80ILDING --� T enan+/Owner ELC
Retaining Wall v — �— ELR
FootingACC2s';:
Foundation / I %1i) [/ /-- FPS
Fig Drain I / cc// SIGN
Crawl Drain Ir,grF;,ction Notes:
Slab ------- - �_ ----- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear ya
Framing _
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: - -- ------ --- _..-.
Final
PASS PART FAIL --------
PLUMBING
Post 8 Beam � �------__�-- _ --
Under Slab
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
ELECTRICAL �--------- -- -_--
Service
Rough In
UGISIab
Low Voltage
Fire Alarm
Final
PASS PART FAIL.
SITE
Backfill/Grading —--' -'
Sanitary Sewer
Storm Drain ( J Reinspection fee o' $ 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 1-Z 3 U 1�6" In �spector 6/• Ext
F
ASS PART FAIL DO NOT REMOVE this inspection record from the job site.