The URL can be used to link to this page

8915 SW COMMERCIAL STREET i c 0 3 n H r vl H 1 I 8915 SW COMMERCIAL STREET CERTIFICATE OF OCCUPANCY CITY OF TIGARD PERMIT#: MST1999-00165 DEVELOPMENT SERVICES DATE ISSUED: 4/29/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AA-03900 ZONING: ''FSU JUR11DICTION: TIC, SITE ADDRESS: 08915 SW COMMERCIAL ST 31 SU9DIVISION: CASCADE MOBILE VILLA BLOCK: LOT: CLASS OF WORK: NEW TYPE OF USE: SFM TYPE OF CONSTR: UNK OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Replacement of existing manufactured home with a new manulactured home. Final Inspection Approved 5/26/99 by Tom Plescher, Building Inspector Owner: WILLIAM DAVID30N 8915 SW COMMERCIAL TIGARD, OR 97223 Phone: 639-4650 Contractor: S + S MOBILE HOME REPAIR 1197 NW MARTIN ROAD FOREST GROVE, OR 97116-8008 Phone: 640-6607 Reg #: LIC 00053474 Y'rrs Certificate grants occupancy of the above referenced building or portion thereof and confirms tf at the building has been inspected for complance with the State of Oregon Specialty Codes for We group, occupancy, and use under which the referenced permit was isr*ub j BUILDING INSPEdf OR BUILDNG OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD MASTER PERMIT PERMIT#: MST1999-00165 DEVELOPMENT SERVICES DATE ISSUED: /l.,'29/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08915 SW COMMERCIAL ST 31 PARCEL: 2S102A/'.-03900 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG REMARKS: Replacement of existing manufactured home with a new manufactured home. Setbacks as required by Oregon Manufactured Dwelling Standards. BUILDING REISSUE: STORIES: FLOOR AhEAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: of BASEMENT: of LEFT- SMOKE DETECTORS. TYPE OF USE: SCM FLOOR LOAD: SECOND: of GARAGE: of FRONT: PARKING SPACES 'TYPE OF CONST: UNH DWELLING UNITS: FINBSMENT: of RIGHT: VALUE: OCCUPANCY GRP: PI BDRM: BATH. TOTAL: of REAR: PLUMBING SINKS. WATER CLOSETS. WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS. SEWER LINES: SF RAIN URAINS: CATCH BASINS'. TUB/SHOWERS: GARBAGE DISP, WATER HEATERS: WATER LINES: BCKFtW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOILICMP<OHP: .-.: FANS: CLOTHES DRYER: FURN-100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSrOVES. GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVCIFEFDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPEC flONS 1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: tat WIO SVCIFDR. SIGNIOUT LIN LT: PER HOUR LIMITED ENERGY: 401 600 amp: 401 300 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVC/FDR. 601 • 1000 amp: 6011-amps-1000V: MINCR LABEL: 1000.amplVolt PLAN REVIEW SECTION Reconnect only. -4 RES UNITS SVCIFDR-225 A.: >600 V NOMINAL. CLS AREA/SPC OCC: ELECTRICAL.•RESm RIOTED ENERGY _—_ A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 4 STERED. VACUUM SYSTEM: AUDIO&SI FRED: FIRE 11ARM: INTERCOMIPAGING: OUTDOOR L NDSC LT, BURGLAR ALARM: OTH: BOILER: !NAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DAl A/1 ELF COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 201.65 WILLIAM DAVIDSON S+ S MObil_E HOME REPA,R This permit is subject to the regulations contained in the 8915 SW COMMERCIAL 1 197 NW Ow ARTIN ROAD all other Municipal le law State of OR Specialty Codes and TIGARD.OR 97223 FOREfi GROVE,OR 97116-8008 all other applicable laws. All WL)plans will be done it acairdance wi'h approved pians This permit will expire if work is not ME rted within 180 days of issuance,or if the work is suspe lded for more than 180 days ATTENTION Phone: Phone: Oregon law re lubes you to follow rules adopted by the Oregon Utility'Notificdlion Center Those rules are set Reg a 11C ^' tI'+ forth in OAR 952-001-0010 through 952-001-0080 You may obtain Copies of these rules or direct questions to OUNC by calling(503)246-1987 RFQUIRED INSPECTIONS Misc. Inspection MFG Home Set-Up Fin n Issu d By : 1Jf-fl�G,� Permittee Signature Call (503) C39-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIriARD Manufactured Dwelling Permit Application Plan Che 1312:,aW HALL BLVD. Single Family with Carport or Garages— Recd By TIGARD,OR 97223 New Construction, Additions or Alterations Date Recd V 503-639-4171 Date to P.E. F 503-684-7297 Date to DST �'# Permit# / W/6",5 Called Print or Type Incomplete or illegible applications will not be accepted Name c;'r Project(Subdivision) Manufactured dwelling: i Job C675c/,(,li ,;([ Newer"' Addition O Repair O Address Site Address , 1! ` -' Desribe Carport/Garage: " Name � � Q/ Work New O Additio Q._-AI!er9F6n_O_J Repair O Owner Flailing Address � Additional description of work: `, � '�� (�'►P� LACI �� City/State Zip Phone e'-,k 15 r Name PROJECT Mailing Address - VALUATION Carport/Garage: -�-- Dwelling _ Nc- Mfr. City/State Zip Phone Dealer Name: Dealer Phone Installation Name -- Sy. Ft. Carport: Sq. Ft. Garage VA Contractor i -,4a cl Mailing Address Corner Lot YES NO Flag Lot YES I NO (check one) je chuck one) -� Prior to permit 4Z C; issuance,a copy City/State zip Phone Restricted Audio/Stereo Burglar of all licenses 7C� �/ ;t� 4 v Energy System Alarm are required if Oregon Const.Cont.Board Exp.Date Installation Other: expired in COT Lic.#!�-��y (check all that database ✓ 7 / apply) Plumbing Nam 10Will the electrical subcontractor wire for all YES NO Sub- ` restricted energy installations? Contractor Mailing Address — / Has thq Subdivision Plat recorded? N/A YES NO Prior to perms! C ty/Stah Zip Phone issuance,a copy , C'Jll 3 4,W 54-rea 9plsr Oemp♦erose of all license are regon Const.dont.Board Exp,Date I hearty acknowledge that I have read this application,that the required If Lic.# ,, information given is correct,that I am the owner or authorized expired in COT ageni of the owner,and that plans submitted are in compliance database Plumbing Lic.# Exp. Date with Oregon State laws. rj_ yyr,3 Signe er/AyepN Date/� Electrical Nan'( ont Person Phone# Sub- Contractor Mailing Address y��5t� City/State Zip Phone ,*" FOR OFFICE USE ONLY: Prioi to permit 1,i L (� 616 C 4y5- --- issuance,a copy Oregon Const.Cont.Board E. Dale . Plat#: (��//�� t of all licenses are Lic.# %�J;5 j ,! �"'�d'� _c J��Q required if Electrical Lic # Exp.Date Setbacks: � Zone: Now expired in COT 3–Y.–q 6' -, database Electrical Supervisor Lic # I 4.1Exp.Dae Engineering Approval: Plannivg Approval: TIF: - / _57 /c / I\MrDWAPP.DOC(UST)9199 lti W W W I ` - m I t I � � U w Ir ` r � I I � _ k i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Q t� BUP _ _Date Requested_ -5 `( 1 AM PM BLD r• Location �F.` t > 1�Y2�l.t°/Irr,{ Suite S1 MEC Contact Person W l � SDY't.Ph CP � (p PLM ��"L'D b _ Contractor �� ph � (o SWR BUI _ TenantiOwner _ ELC Ret ening Wall V ELR _ Footing Access- Foundation r, 1 U ,� -�( ,n r,y �!�O� ) FPS Ftg Drain ` I l SGN Crawl Drain Inspection Notes: Slab ---- Post&Beam SIT Ext Sheath/Shear Int Sheath/Shear " 77 Framing Insulation Drywall Nailing Firewall R� Fire Sprinkler _ _._ l �/�S c� //'(C/ Fire Alarm Susp'd Ceiling Roof Misc ---- in PART FAIL - Post&Beam Under Slab Top Out ----- -- Water Service _ Sanitary Sewer -^ Rain Drains AS PART FAIL. MEC ANICAL Post& Beam ----- - - Rough In - Gas Line I ---- — Smoke Dampers Final ------ -- PASS PART FAIL Rough In __--------------- UG/Slab Low Voltage Fire Alarm Final P � ART FAIL. _ S Backfill/Grading ----—-- - - -�—— Sanitary Sewer Storm Drain [ ]Reinspection fee of$ —_required before next inspection. Pay at City Hall, 13125 SW liall Blvd Catch Basin F=ire Supply Line [ ]Please call for reinspection RE: [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date r f f Inspector Ext _ Final PASS PART FAIL DO NOT NEMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2004-00005 DEVELOPMENT SERVICES DATE ISSUED: 1/8/0; 1 s125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AA-03900 SITE ADDRE;,S: 08915 SW COMMERCIAL ST 28 ZONING: CBDSUBDIV1310,': CASCADE MOBILE VILLA BLOCK LOT - JURISDICTION: TIG Project Description: Replace receptacle for RV. RESIDI I_TIAL UNIT TEMP SRVC/FEEDE.RS __ 'y11SCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 11 - 400 amp: 1st W/O SRVC CR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1009 amp: -�_ _ PLAN REVIEW_SECTION 1000+ amplvolf. >=4 RES UNITS: > 600 VOLT NOMINAL: _Reconnect on,y: _ SVC/FDR>= 225 AMPS: CLASS AREA/SPEC OCC:_ Owner: Contractor: DAVIDSON,WILLIAM C AND DIXIE L PARKIN ELECTRIC;INC 8915 SW COMMERCIAL 14001 FIR STREET TIGARD,OR 97223 OREGON CITY, OR 9%045 Phone: Phone: 503-657-4959 Reg #: SUP 42415 -- -- - I IC 35151 FEES 1 1.1. W-A' Description Date Amount Required Inspections j I.LI'Ithl'l j ta_('1'rnnu n.l $46.85 TA':j S Slate surcharge s n I $3.75 Elect'I Final Total $50.60 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 rot started within 180 days of issuance,or 9 work is suspended for mere than 180 days. ATTENTION: Oregon law requires you ti follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in 01-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC,at(503)246-6699 or 1-80 32-2344. Is ed By: �1�_.^ Permit Signature._✓Ac �py� i(� �-•�- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGOATURE: _- DATE:— CONTRACTOR ATE:CONTRACTOR INSTA LLATION ONLY SIGNATURE OF SUPR. ELEC'N: ---. '`+t --_ DATE:------- LICENSE ATE: ___---.LICENSE NO: ____._.__ a —6 — Call 639-4175 by 7:00pm fo, an inspection the next business day W /07, 2004 29:17 FAX 5038574953 PARKIN ELECTRIC 12J002 Elei _ ';;cal Permit Application TrRecciv"rd " - — EElectrical= Permit No.. City Of Tigard RECEIVED Planning Xppro4al Sian DatdB : Permit No. 13125 3W Hall Blvd. Plan Review Other Tigard,Oregon 97223 JAN u 2004 Da c/1 : Permit No.: Phone; 50'�'1-639-X171 Fax: 503.598-1960 Post-Review Land Use Iniernrt: www,ci,tigardor, us OFT Cuntac CascNo.: untaCt J Scc Page:2 for 24-flour InapeCtlOn Request: 5��1� Nanx'Iviethod: Su Icmenral Information. -�TY_PEDY WOR.IC 'PLAN:REV.MW.tPleasc check rll that aPPly) NCW COnStruction ❑ lJelholit10n S;=':aver 225 amps- Health-care facility commercial ❑Hazardous location Addition/eltcratiot�lreplaeement Other: ❑Service over 320 amps-rating of .Q Building over 10,000 square feet. CATEGORY;OF,, QNSTRUC:TION 1 &2 fumily dwellings four or more residcnusl units in NC & 2-Famil 'dwellin CommercialAndustrial El System over 600 volts nominal one structure CSSO BLuldin Multi-Farnil Q Building over three stories rl Feeders,400 amps or more E]Occupant load over 99 persons ❑Manufactured structures or RV pork Master Builder Other: [l Egress/lighting plan ❑Other: JOB.CITE INFORMATION: •�" .LOCATION' Submit_sets of plans with any orthe above- Thu above arc not Applicable to temporary construction service. Job site address; -7EE!'. SC Suite#: Bid ./A t,#: 4 41 Number of Ins ecttons per perolit allowc.i 1 Firo'tct Nsme' Description Qty I Mee(ea,) oa, Cross Strl'et/l�lreCtiOnS O job sit(;: New resldeotlel-single or multi-famlly per dwelling unlL rnNudes attached garage, 9ervico included 1000 s .R,or 141s 145.1 S 4 ---y�-�- additional 50tL II or portion lhercof 33.40 1 Su13diV1510t7: (, Lot#' Limited ener dentia) 75.00 2 i imited enetly,non residential 75. 0 2 Tax.map/parcel#: Each manufactured home or modular dwelling DESC R ill N.;OE?NR]�RK` _ y`•, so, and/or feeder _ 90.90 2 Se;vices or feeders-Instaualioa, alteration or relocation:. 200 ams or leu 10.30 2 — -- 201 ams to 400 am 106,85 2 _ 401 arta s to amp) .60 2 I'RO•PERrY OWNER', �T,ENAN'T ,' —' 69hiamps to I0Q9 ams 240.60 1 Name, - - Over 1000 am or volts 454.65Do 2 r% r Reconnect only _ 06.85 2 Address: %g/5 ,$`, d"rN Gam/ Temporary services or feeders-Installation, city/state/zip:r� alteration,or relocation: 200 am s or less GG 85 1 Phone: i Fax: 201 amps to 400 amps 10 0. o 2 M. 401 to 600 ams 133.75 2 AP.PLif;ANT z. '. CONTACT-PI•}RSON Branch circuits-now,alteration,or Name: extenalon per panel: Address: A.Fee for branch circuits w�,h purchase of Wtvice or Feederesch branch Gitcult 6.6S 2 Cit /State/zip: _ B Fee for brunch c ri cuite without purchase of rvice or feeeeder Itrst bran'circuit 46. 5 2 Phone: _ Fax: Each additional branch circuli 6,65 2 Misc.(Service or feeder not included) Each pump or irrigation circle 53.40 3 Parkin Elt•eiri., Inc. 14001 FirSty-pet FAch sign routline lt tin $3.40 2 Oregon City,OR 97045 503-657-4958 fax: 557.1059 Signal eircult(s)or a li:rited energy panel, ' Contractors License ii- 344C exp. 10-01-03 alteration or extension — 2 2 Supervi3ot: 4241-S exp. 10-01.04 Dcirriplion. Contractors Board Reg M:35151 exp. 10.12-04 Each additional luspection over the allowablein any of the above: Metro# 2416 exp 11-01-03 Per inspectionr hour(min. I ho-.W) 62.50 Owner: lnvatlgation r - Other: ' Supervising electriciaSubtotal . / + _ rctriciaP t�N t a �, �_ --��` S sl s 'N d_tore uire — ` j Plan Review 25°/a of PctTttit Fre S Print Name: _ Lie. #: State Surchtuc 8%of Permit Fee S TOTAL PERMIT FEE ,_S_ Authorized Notice: 71ds permit application expires if a permit Is not obtained within Signature- i Date: _ 180 days after It has been accepted as complete. 'Fue methodology set by Trl-County Building industry Service Board. �. ....�� t:•lunae prto�,,..u,al i•\Dstslperrnit FormslEl a'clrnitApp.doe 0110 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _. BLIP -- Received /D'aV Dat Requested Z— l Z—0!�4- AM PM BLIP Location 1 L4 (-C/LC,C !-� _ Suite— Z MEC Contact Person ) b ,�t�ati Ph� i ) S — �7 � PLM Contractor -- Ph(57"3 B Lp S:VR BUILDING Tanant/Owner —__ — ELC 6e)J Footing Foundation Ar:cess: ELC _ Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors ----- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — - — -- --_ Roof Other: Final ----_�- --�- PASS PART FAIL — PLUMBING Post&Beam __ --- Under Slab Rough-In — Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ----- -- Shower Pen Other: -- Final _PASS PART FAIL — MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL — - - — ELECTRICAL UG/Slab — Low Voltagb LO Fire Alarm - _ PART FAIL El Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI;E F-1 Please call for reinspection RE: F] Unable to inspect-no access Fire:supply Line ADA2� Approach/Sidewalk Dab---- — Inspector Other: Final DO NOT REMOVE this Inspection record from tho i9b,11111111s. PASS PART FAIL CITY OF "TIGA,RD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVIS1011 Business Line: (503)639--#171 MST BUP Received Date Requested W=( — 2.aAM._____.PM— BLIP _- Location V _--. MEC - ---------- -- Contact Person a � _`?�'y 34/5 �� ( _) PLM Contractor— - ----_--_-__ _ Ph(---) — SWR BUILDING — _ -- Tenant/Owner __-- ----____-- — ELC Footing ELC Foundation ---- — Access: Ftg Drain ELR Crawl Drain — Slab Inspection Notes. SIT Post&Beam - -Shear Anchors --- - --- ------ Ext Sheath/Shear Int Sheath/Shear _ - Framing --- - _— Insulation Drywall Nailing ---- Firewall - Fire Sprinkler -- --_--_-___--- -_. --_ - _-- Fire Alarm Susp'dCeiling ---- - �-�-�.��'�� ---- -- - - Roof Other ---- Final - PASS PART FAIL V --�- �F--- -- - PLUM9ING _ Post& Beam Under Slab — --- --- Rough-In Water Service ---.--_--_-- Sanitary Sewer Hain Drains - - - -- - ---- Catch Basin/Manhole Storm Drain ----- ------- __- Shower Pan Uther: _ --- —- — Final — PASS PART FAIL -- - ------__._..-__—_-- — MEC_H_ANI�AI.------ Post& Benm - --- -- -- --- Rough-In - - - ---- ----- Gas Line Smoke Dampers ---- Final PASS _PART FAIL ELECTRICAL — _ Rough-In UG/Slab --• ----- - ------ Low Voltage — Fire Alarm ---_---- Final NtIncr bon fee of$ before new ins required PART FAIL _� 4 pectfon. Pay at City Hall, 13125 SW Hal, Blvd. — I1 Please call for reinspection RE: Unable to inspect-no access Fire Supply Line fl ADA r! > Approach/Sidewalk Dute�_��.,� InMpector � ,��-�� 1_ _ _tact_ Other: r-im,i DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIOARD ELECTRICAL PERMIT _ PERMIT#: EI_C2002-00579 DEVELOPMENT SERVICES DATE ISSUED: 1114102 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AA-03900 SITE ADDRESS: 00915 SW COMMERCIAL ST 11 SUBDIVISION: ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Prnrect Description: Reconnection for space 11 of RV park. RE.PIDENT'IAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: V11/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O pVr OR FDR: 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: Reconnoct only: 1 SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DAVIDSON,WILLIAM G AND DIXIE I_ 8915 SW COMMERCIAL TIGARD,OR 97223 Phone: Phone: l Reg #: FEES Description Date Amount --_— [I:I .PRN11 I LIA, 1'11C111111 11/4/02 $66.85 — ---- [TAX 18 State Tux 11/4/02 $5.35 Elec:'I Final Required Inspections Total $72.20 �I This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State.of OR.Spec„elty 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. ATTENT ION 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 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(50?; 246-6699 or 1-800-3322344. Issued By: ==� 1 Permi' jignature: 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: LICENS_ NO: --- - — --- _-- --- - ------- - -.�_� Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Datereceived:!� Permit no.:r� �_,, City of Tigard Project/appl,no.: _ JExpire d lc: Ciryn(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateiss.ied: H ; X, Phone: (503) 639-4171 . ecelpt no.: Fax: (503) 598-1960 Case file no.: Paynmeet type: Land use approval: —�— U I & 2 family dwelling or accessory Commercial/industrial U Mulli-family U Tenant improvement J Now conslniction U Addition/alteratioiVreplacemcnt ier: _- U Partial Wy 111 address: G " �'��/ ; Bldg.no.: J I I Suite no.: ITax map/tax lot/accouni no.: Lot: Block: Subdivision: Project name' cription and location of work on premises: L'stimated dale o completion/i6t;ection: Job no: Ice Moe Business name: --- Dcscriplion Ob. (em) total no.insp Address: --" New reslrlenlial-single or munt-famils per duelling unit.Includes allached garage. City: State: ZIP: Senicelncluded: Phone: Fax: E-mail: 1(X10 sq.ft.or less 1 CCB no.: Elec.bus,Ilc.ne: Each additional 500 sq.ft.or portion thereof .Imiled energy,residential 2 City/metro IIC.no.: Limited energy,non-residential 7 Each manufactured home or modular dwelling SI nature of supervising electrician(required) Date Seryice and/or feeder , SuP•elect.name(Print): ImServices orfeeders-installatioa, ---- alteration or relocation: 200 amps or less 2 Maine(print):, •j& C, 2'i t <�:��" 201 amps to 400 amps _ — 2 Mailing address ej �jkl �-��c-��v ��q�'r 40;amps tc600amps — 2 --� 601 amps to 1000 amps 2 City � ZiP: C „'7y,� Over I(x)o amps or volts 2 Phone: 3s" Fax: E-mail: tool t Owner installation:The installation is being made on property I own Petmperrary servicim or feeders- which is not intended for sale,lease,rent,c-ex ange according to Instailatlon,alteration.orrelocation: ORS 447,455,479,670,7(4.. ' 2(x1 amps or less 2 OWners sl nature i �i;� 201 amps to 400 amps - 2 401 to 6(10 ams ",- Rim IQ Branch circuits-new,alteration. Name: or extension per panel: -- - - - - -- --- A. Fee for branch circuit with purchase of Address: service or feeder fee,each branch circuit -- - - city: _ State. ZIP: N. Fee for branch circuits without purchase Phone: I:I K ___FE-mai,: of service or feeder fee,first branch circuit: 2 Each additional branch circuit: Mise.(Service or feeder not Included): Q Service over 225 amps-conmtercial U Health facility Each pump or iniRe•ion circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outime llig,ting - 2 family dwellings U Building over 10,(1(10 square feet four or Signal circuit(s)or a lim.ted energy panel, U System over 600 volts nominal more residential units in one structure alteration,orextensiop'• 2 U Building over three glories U Feeders.400 amps or more "Description: U Occupant load over 99 persons U Manufactured structures or RV park Inch additional In pMion over the allowable m any of the shore: ❑Fgress/lighlingplan U other Perinspection Submit—sets of plans with an of the above. �- �— T—� -- p Y Investigation fee —11te above are not applicable to tefnpe.-ary construction service. Other ------ Ntv all jurisdictions accept credit cards,plcaw call jurisdiction rrx mote infrxrrtation. Notice:This permit application Permit fee.....................$ U visa U MuterCard expires if a Plan review Crtdit cart number:_-__- p permit is not obtained �n r c (at __ 96) $ within Igo days after it has been a urcharge(R%)....$ 2- - ---- accepted as complete. kL ......................$ Name of c r y shown on c it tri - - S `Cardhdder NguIUR� - Amount 1 4-110-e61s 1601YCOM1 I ELECTRICAL PERMIT FEES: LIMNED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY ----- Restrictt.0 Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL.SYSTEMS) Service included: Items Cost Total Check Tyne of Work Involved: Residential-per unit 1000 sq it or loss $145 15 --_ 4 ❑ udio and Stereo Systems' Lach add..unal 500 sq it or portion thereof $3340 1 Limited Energy $7500 — �❑ Burglar Alarm Each Aanurd Home or Modular Dv.—ng Service or Feeder $90.90 2 ❑ Garage Door Open,--P Services or Feeders ❑ Installation,alteration,or relocation Heating,Ventilation and Air Conditioning System' 200 amps or less $80,30 2 20'.amps to 400 amps _ $10685 2 ❑ VaClium Svstems' 401 amps to 600 amps _ $16060 2 601 amps to 1000 amps $24060 2 ❑ Other Over 1000 amps or volts $45465 2 Reconnect only $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system........... .............................................. $75.00 200 amps or less _— $66.e5 2 (SEE r)AR 918-2.60-260) 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 Now,alteration or extension per panel Boiler Controls a)the fee for branch circuits with purchase of service or Cloc!,Systems feeder fee. Fach branch circuit $665 2 ❑ b)The fee for branch circuits Gala Telecommunication Installation without purchase of service or foodur fee. Fire Alarm Installation First branch circuit $4685 _ Ea.',additional branch circuit _—_ $665 _ ❑ HVAC Miscellaneous (Service or feeder not included) ❑ Instrumentation Each pump or irrigation circle _ $5340 _ Each sign ci outline lighting $5340 — ❑ Intercom and Paging Systems Signal circuit(s)or a limited enargy —� panel,alteration or extension _ $7500 ❑ Landscape Irrigation Control' Minor Labels(10) — $125.00 Each additional Inspection over ❑ Medical the allowable In any of the above Per inspection _ $62 50 — ❑ Nurse Calls Per hour $62 50 In Plant ___ $13 75 T ❑� Outdoor Landscape Lighting' Fes: ❑ Protective Signaling Enter total of above fees $ ❑ — Other 8%State Surcharge $ ___Number of Systems 25%Plan Review Fea See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application ---------- FEes: Total Balance Due $ Fr,ter total of above fees $ ClTrust Account# -- 8%State Surcharge $ All New Commercial Buildings require 2 sets of plans. Total Balance Due $_ r dsts\formsklc.fees.doc 08i30/01 CERTIFICATE OF OCCUPANCY CITY OF TIGARD PERMIT#: MST1999-00164 DEVELOPMENT SERVICES DATE ISSUED: 06/19/2000 13125 SW Pr 11 Blvd., Tigard, OR 97223 (503) 639-4171 PARC-FL: 2S102AA-03900 ZONING: CBD JURISDICTION: 'FIG SITE ADDRESS: 08915 SW COMMERCIAL ST 2 SUBDIVISION: CASCADE MOBILE VILLA BLOCK: L.OT: CLASS OF WORK: NEW TYPE OF USE: SFM TYPE OF CONSTR: UNK OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Replacement of existing manufactured home with new manufactured home. Owner: WILLIAM DAVIDSON 8915 SVS COMMERCIAL #2 TIGARD, OR 97223 Phone: 639-4650 Contractor: S + S MOBILE HOME REPAIR 1197 NW MARTIN ROAD FOREST GROVE, OR 97116-8008 Phone: 640-6607 Reg#: LIC 00053474 This Certificate issued 1116/211/2111111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occup ncy, and use,under which the r ferenced)permit w s Issued. ILDING INSPECTOR BU11-b NG)OFFICIAL POST IN CONSPICUOUS PLACE CITY OF T I C A R D CERTIFICATE OF OCCUPANCY PERMIT#: MST1999-00164 DEVELOPMENT SERVICES DATE ISSUED: 06/19/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AA-03900 ZONING: CBD JURISDICTION: TIG SITE ADDRESS: 08915 SW COMMERCIAL_ ST 2 SUBDIVISION: CASCADE MOBILE VILLA BLOCK: LOT: CLASS OF WORK: NEW TYPE OF USE: SFM TYPE OF CONSTR: UNK OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Replacement of existing manufactured horne with new manufactured home. Owner: WILLIAM DAVIDSON 8915 SW COMMERCIAL #2 TIGARD, OR 97223 Phone: 639-4650 Contractor: S + S MOBILE HOME REPAIR 1197 NW MARTIN ROAD FOREST GROVE, OR 97116-8008 Phone: 640-6607 Reg#: LIC 00053474 This Certificate issued 06/20/2000 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State ^f Oregon Specialty Codes for the group, occ Fandcuse under which the re't� ..ed permit w issued. i B IL ING LECTOR BUILD—IN 4a FFICIAL POST IN CONSPICUOUS PLACE D m �n m m D D D m m m m m m m m m m m m m < tJ (D -1 O O O O O -1 O O O O O O W O , NjN3JJ -4 NWON �0 ul . O W W N N O Oi un _ T -n O A n (D N N -O (D b p O C) a XMm �. c c cV m too v < > > m g tD W O m o (D z too y m -51 �. (D a o F �_ m N v �» c c o (� m y m 8 N 2 Q 8 o m g o o ' o v, 0 3 3 m c;. 9 (D W m s2 m c O t^ yy� S2 U O N tf5 N O a N C -0 N Z »1 o OJ (n N 10 C. CD 'DD o Q N (n (gyp. T C V O J (n C N O T .� N 7. a 9 CL v m m c o =. a m m Gam, (D °i o CD m ° } 3 0 3 �. N (n 0 rJ Z A O N p (n (D Ot A n r* o 0 <. o �N d cWD W N W W O O O O O O O O O O O pp r7 O Npp op pp oo oo pp 0 lT T D, to Clt O v U, Ut A T A A D A A r3 " O O N O 0 N A 1) N hi r� N N N IJ Dp( 1 (o D Qo rnN vt tc o tD cc+ w tv N to N N N N N /1 O O O W (D W W W W W W t0 W W tD t0 W `, O O U O O O O (D W W W t0 tD tp tD to tp w 0 tD O7 O O U O t:) O O W W W W tD tD tp (D (D W (D (D tD (A p O(o 7{ r m •• CL X X 07 0 U 0 cn _0Tl T T Z Z H D D T m T D 1 D o7 to W � O D O 0 0 0 0 0 D m m 0 0 C O C U0 O O 1p i z (n z Z z Z z z (n n n z z Z z z z z z z v m (n m m m m m m (n U o m m m m m rn m m m C .a Z z z Z Z Z Z z z Z Z Z Z z z z z z Z z Z O O O O O O O O O O O O O O O O O O O O O _ 2 S S S S S S S 1 S S S S 2 I S 1 S S S 2 < C O O O O O O O O J O J O O O O O O O O U O (Y d a n a a a a a a a a a a a a a a a a a a a C D ` ` ` D r ` 0 O �O7 0 0 0 IOU' v U -0t -4 ?zz � D D T T T T D F � T � (D CL 0) � Ln Lh co o u R N S R R N O O N O O N N N N N N N N N y O O tD tD W oD o0 to (T 91 (P W O tD W W (D tD (D (D a tJ N N N N IV N -+ - � N O O O O O O O to W W z co ((pp to O W (p W (O W W (p o O O O O O O to co (D W tD t0 to C cU tD W t0 t0 W a C) O O O O O O W (D to to W tDD W O W tb tD tD W W t�oNm� �' n3 � � o ��' ' x� z 0043 0 a1 O - 0 � � v �o �6_' to d o (o_pp O fD N O - (D W ' Z w N_' N O O N (D N 2�pCL a OX OX ? C x ? a (DCD O(D O(D Cl- z o N p O1 3 V71 a i C: C:) 00 �_( 3 67 0 d O C 0 m S (p 7 [) (CL J A O O O 1 0 O, (D O a 0 j ,�d J Tj 2 00 th th 4 Ocn cD N 6i U fD - a � (D CITY OF TIGARD BUILDING INSPECTION DIVISION Msr �" 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested_L27DIOD AM PM _ BLD Location CCDM MIM OC- -�Y- Suite -!�I- MEC Contact Person (,� (C(.,/ L Ph PLIrA Contractor Ph SWR UILDING .' Tenant/Owner ELC — Retaining Wall ELR Footing Access: FPS Foundation - Ftg Drain VDi�� lSt� Lt -- Crawl Drain Inspection Notes: SGN _ -- Slab - — SIT Post Beam �! — Ext Sheath/Shear / l� Int Sheath/Shear Framing ------ - -- — - -- - --- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof MisR: - - - — -- r .JWPART FAIL_ - -- - BING Post&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 ----------_�_-__ � -_-� UG/Slab ---------_..—..- ---- Low Voltage Fire Alarm Final PASS PART FAIL ----- --- -- -------- --_ -------- SITE Backfill/Grading - ---- - ---- -- Sanitary Sewer Storm Drain I 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: -_ [ ]Unable to inspect-no access ADA Approach/Sidewalk + Other Date 2,6 Inspector __ _ Ext f Final PASS PART FAll j DO NOT REMOVE this inspection record from the job site. CITY OF T I G A R D MASTER PERMIT PERMIT M MST1999-00164 DEVELOPMENT SERVICES DATE ISSUED: 4/29/59 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08915 SW COMMERCIAL ST 2 PARCEL: 2:;102AA-03900 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG REMARKS: Replacement of existing manufactured home with new manufactured home. An alternate 3 foot setback from the park street Is allowed. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: of BASEMENT: of LEFT: SMOKE DETECTORS: TYPE OF USBt SFM FLOOR LOAD: SECOND: of GARAGE: of FRONT: PARKING SPACES: TYPE OF CONST: UNK DWELLING UNITS: FINBSMENT: of RIGHT: VALUE: OCCUPANCY GRP: H3 BORM: BATH: TOTAL: of REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS. LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS GARCAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: 01,4ER FIXTURES: MECHANICAL rUEL TYPES FURN<10OK: BOILICMP<THP: VENT FANS' CLOTHES DRYER: FURN>=10014: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 400 amp: 201 400 amp: 1 a WIO SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 607 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDW Sol 1000 amp601-;:"nrs-1000v: MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: >=1 RES UNITS: 5VCIFDR>=225 A.: >600 V NOMINAL.: CLS AREA/SPC OCG: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMMAGING: UUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LAP405CAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OFENER: CLOCKS INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS- Owner: Contractor: TOTAL FEES: $ 201.65 WILLIAM DAVIDSON S+ S MOBILE HOME REPAIR This permit Is subject to the regulations contained in the 8915 SW COMMERCIAL 1197 NW MARTIN ROAD Tigard Municipal Code,State OR Specialty Codes and TIGARn,OR 97223 FOREST GROVE,OR 97113-8008 all other applicable laws. All work will be done i accordance with approved plans. This permit will expired work is riot started within 180 days of issuance,or if the work is suspended for more than 180 drys ATTENT!ON Phone: Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg«: uc Ono53474 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)248-1987 REQUIRED INSPECTIONS Misc, Inspection MFG Home Set-Up Fir Iss ed By : . Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day CITY o; TIGARD Manufactured Dwelling Permit Application Plan eck - 131^5 SW HALL BLVD. Single Family with Carport or Garaa(, Recd y w TIGARD, OR 97223 New Construction, Additions or Alteratioi,,i Date Recd _- V 503-639-4171 Date to P.E. 1 F 50:3-684-7297 Date to DST Permit#H;77??9 Called�'a 9' Print or Type _ Incomplete or illegible applications will not be accepted _ Name of Project(Subdivision) Manufactured dwelling Job 675c,lV i IJl/L�l��(� New CK AdditionO, Repair O Address Site Adiress 1 0 __ - 1i 5 G'�`�JiJJ�i:'d'!�'� c •�l Desribe Carport/Garage: Name 0(,1 '-� F //Z c' Work New O Addition O_ Alteration O Repair O Owner Mailing Address �� Additional description of work �.. l.� s'VA-CF H�I irk 'r j? c F City/State Zip Phone - T��.�� J ��'; y�s:- _ ��s t��,� ;gal,I�. k� l��L .�• Name J - PROJECT nnail�ng Address - — VALUATION Carport/Garage: Dwelling Mfr. City/State Zip Phone Dealer Name. Dealer Phone --- Sq FtCarport Nl)� Sq Ft. GarageInstallation N2m Contractor 5 y ,�/'!�' , �'', 4 1 Corner Lot YES NO Flag Lot YES NO Mailing Address �i �. _ ', , (check one) _ (check one) _ Prior to permit C"l , / - issuance,a copy City/State zip PhoneRestricted AI'dio/Stereo Burglar of all licenses ��- ,�/�j+t,1 `��'� �, Energy System Alarm are required if Oregon Const Cont.Board Exp. Date Installation Other: expired in COT Lic# (check all that database -- Plumbing Name Will the electrical Subcontractor wire for all YES NO Sub- l - restricted energy installations? Contractor Mailing Address /� Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/Stale Zip Phone issuance,a copy �L L�jll 3 �' �`Qsd 9t7f., Sep""me _ or all licenses are Oregon Const Cont.Board Exp,Date I hearby acknow!edge that I have read this application,that the required if Lic.# {( information given is correct,that I am the owner or authorized expired in COT V J .; agent of the owner, and that plans submitted are in compliance database Plumbing Lic.# Exp Date with Oregon State laws. ig tOwner/A t �at Electrical Namp �-� 'A 7�/ i ontar�Perso Name hone# Sub- 2��r 35 yCS�; Contractor Mailing Address yJ7VI City/State Zip Phone '� [�1'4 6." oe' FOR OFFICE USE ONLY: Prior to permit r� issuance,a copy Oregon Const Cont. Board Exp.Date - Plat#: Map/TL#: _^ of all licenses are Lic# required if Electrical Lic.# Exp Dale Setbacks Lone: won expired in COI database Electrical Supervisor Lic # Exp Dae Engineerinq Approval Planning Approval: 71F: i\Nfl l AVAI'I'WC(DS'I)9/99 ,pez* %. w eL e4 vi u � bf3 W h ,� � (c v rPae✓ep771,1 u dY C/2 A1Yfl� �„i f u h� ►'�fHtr �� S S� '�' b ot �� h I i I 1 I CITY OF TIGARD BUILDING INSPECTION DIVISIONMsr (0q 24-Hour 24-Hour Inspection Line: 639-4175 Business Line: 639-4'171 BUP _Date Requested L AM PM BLD _ Lor -�� I tion � y-AC 'acn 1 ;� MEC C intact Person �.�( �, ( �(.�'� �/ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: - Foundation FPS Ftg Drain - Clabwl Drain Inspection Notes: 1 i CQ ^ SGN i'` — SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing - Insulation - -- Drywall Nailing - Firewall C I - Fire Sprinkler ^-_--- _ Fire Alarm - Susp'd Ceiling Roof -- — Misc --- --- -- - Final PASS PART FAIL PLUMBING Post Beam --- A- — 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 ---------- -- j _____-- _ -_ ---_-_. Service Rough In ------ - \------- - --- -- --- UG/Slab ---- -- ` `� - --- - — Low Voltage --- Fire Alarm Final ---- -- --- - - PASS PART FAIL SITF. --- --- Rackfill/Grading ------ - -- ------ - - Sanitary Sewer Storm Drain [ ] Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Gatch Basin Fire Supply Line [ ]Please call for reinspection RE: - _ [ ]Unable to inspect- no access ADA IL �` Approach/Sidewalk Date Other Inspecto�_-- _—Ext Final \ PASS PART FAIL 00 NOT REMOVE this Inspection reco from the joky site. CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC200300656 DEVELOPMENT SERVICES I DATE ISSUED: 10/28/03 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AA-03900 SITE ADDRESS: 08915•5W COMMERCIAL ST 04 SUBDIVISION: CASCADE MOBILE VILLA ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Project Description: Job No, 2167 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: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 15t W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'! BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION_ 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PETER GERTSCH HILLSBORO ELECTRIC 8915 SW COMMERCIAL#4 21185 NW EVERGREEN PARKWAY TIGARD,OR 97223 HILLSBORO,OR 97124 Phone: 503-624-8931 Phone: 503-439-9666 Reg#: ELF 34-433( LIC 134481 FEES slip 4941S Description Date Amount Required Inspections IELPRMTJ FI-C I'crnul In ,� lit $46.05 r'-- IAXj 8%Stale Surcharge In , , n3 $3.75 Elect'I Final Total _ $50.60 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 N work is suspended 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 952001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By: <<__ Permit Signature: --e ) I o_; T 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: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day f FrolI:HILLSBORO ELEi:TRIC: LLG. 5036013680 10/27/2003 13:57 #217 P.001 Electrical_Permit ApplicationReceived Electrical DateRy;: Perm t CU City of Tigard ` $ '` Planning Approval Sign Date/By: I Permit No.: 13125 SW Hell Blvd, Plan Review Other Tigard, Oregon 97223 Data/B : Pmnit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date./Ry. Case No.: Internet: www,ci.tigard.or.us Contact luris.; 9 Sec Pnge 2 fur 24-hour Inspection Request: 503-639-4175 Name/Mcthod: Supplemental Informztion, TYPE OF WORK _ REVIEW. lease check ail that a�,yJ _ New construction Demolition ❑ twice aver 225 amps- Health-core facility commercial ❑Hazardous location Addition/alteration/r laaement I Q 0&.,:r: C1 Service over 320 emps-rating of 1-1 Building over 10,000 squ ire feet, CATWORY OF CONS C, O�it- N • l 1 &2 family dwellings four or more residential un'ts in �1 &2-Family dwellingComma:ciai/Industrial [3 System over 600 volts nominal one structure ACCC$S Buildin Multi-Family ❑Building over three stories ❑Feeders,400 amps or mot,: _ ❑Occupant lwd over 99 persons ❑Manufactured structures o,•RV park Master BuddroT Other: ❑Egrest/lighting plan ❑Other _ JobI INFO t1I1 LOCATI Submit_mete of plane with any of the above. The above are not applicable to tem orw construction service. Job site addra98: 0 - _ )Fiit1" - Suite#: 1 Bld ./A t.#: _ _ Number of In$Peetioue per permit allowe Pro'ectName: Desorl tion _ Qty Fee(tn.) Tout Cross street/Dirmcions to job site: Now rng unit.Inc a de or attacmultihed per dwelling unit.Includes attached ge:age. Service Ineludedr 1000 15A, R.or less _ 145.15 Esc additional 500 eq ft,or pottion t ereof _-_ 33.40 - Subdivision: Lot#: 4imitad energy,residential 75.00 iced energy,non residential 75.00 Tax rna / arcel#: Esch in red home or modular dwelling �i 'r - service and/or feeder 9090 ORM WORK71Services or feeders-In;tsllatlon. _ alteration or relocation: 200 amps or less I 80.30 201 amp-m 400 amps-- —106,65 401 amoi to(r00 amps160.60 601 amp to 1000 stripe _ 24 . 0 _ G 1 -- — Over 1000 trips or volts 454.65 Name: !k it v- c, —_� Reconnect only 66.85 Address' l�V C r Temporary services or feeders•installation, alteration,or relocation: City/State/Zi9_ 200 ams or less 66.95 Phone: Fax: 201 amps to 400 empp- too,3ZJo 401 to 600 unpe 133.75 Ar?LICl NlTi,' CONT A I�IlIIS N Branch circuits-new,alteration,or Name: extension per panel: -------- - A.Fee frr brunch circuits with purchase of Address: _ service or feeder fee.each branch circuit 6.65 C:i /State/Zd �W B.Fee lbr branch circuits without purchase of service or(ceder lee.tint hooch circuit_ 46.83 y(i_7 ? Phone: FaX: h additional branch circuit 6.65 7 E-mail: Mlsc.(3ervice or feeder not included): ounip or irritation circle 53.40 or outttr^lighting 13.40 Job No: Signal circuit($)or a limited energy panel, -- ---- Iteration or extension -- -- _P e 2 _ z Business Name: ell 5 - I�i d -1��!'1L._t �L-� eription: Address: I1$35 N"'rEve..rCc Irl _Y Ilk• I10_- -- Each additional inspection over the allowable In any of the above:_ C�ty/State/Zip• IA I'lk ' sn q-71-94-4- _Ver—incoon par hour(min. 1 hour) __ 62.10 Wt1 -_ . x Investigation fee. _. CCB Vic. 0 Lic. L cher: __tnlC _. . e-: Electda►I�er �etBi" 4 hu •, _ s : ''� Supervising electnclan r — _Subtotal 5 � signature require _ Plan Review(25%of Permit Fee) S -- - gr tie Surcharge(8%of Perrrtit Feed S Print Name: _ - 1C. #: __ _ _ - -- 1�-- -- _ 'r0_TAL PERMIT FEE Aitthr%rized Notice: This permit application expires If a permit is not obtained wllhin Signature M Dote. 180 d-yoafter It has been accepted as complete. "Fee methodology et by Tri•Coun" Building Industry Service Board. (Please print name', i:\Dsts\Permtt Formv\PlePnmitApp.doe 01%03 CITY OF' TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #: ELC96--0782 DATE ISSUED: 12/12/'j6 PARCEL: 2S102AA-0Z?900 iTE ADDRESS. . . : 08913 SW COMMERCIA1 ST #11 CPURD I V I S I ON. . . . : ZONING:CBD BLOCIV. . . . . . . . . .. LOT. . . . . . . . . . . . . F'r-oject Description: Reconnect ---------------------.. _RESIDENTIAL.. UNIT-------- - ---TEMP SRVC/FEEDERS----- 1.000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANE.. . . . . . . : 0 MANF. HM/ EVC/FDR. . : 0 601+amps----1000 volts. : 0 MINOR LABEL ( 10) . . . : it SERVICE/FEEDER---- --------BRANCH CIRCUITS----- -----ADDIL INSPECTIONS---- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 FIER INSPECTION. . . . . : 0 201 400 arp. . . . . . . 0 1st 'A/O SRVC OR FDR. : 0 FIER HOUR. . . . . . . . . . . : 1401. 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN FILAN*T. . . . . . . . . . . . In 601 1000 amp. . . . . : 0 ----- REVIEW SECT I ON— 1.0004- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 JOLT NOMINAL.. . : Reconnect only. . . . . : 1 SVC/FDR > = 225 AMPS. . ; CLASS AREA/SPEC OCC. : Owner : FEES RICHARD AMOS type amount by date reept 8919 SW COMMERCIAL ST PRMT $ 50. 00 B 1-2/12/96 96287657 5PCT $ 2. 50 B 12/12/96 96287657 TIGARD OR 97223 Phone #: 620-7208 ("ontvactov': OWNER $ 52. 50 TOTAL. REQUIRED INSPECTIONS Elect' 'L Service f-"hone M--. Elect' l Final Reg ri This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Flet'm i t t PF- 5 i gnat applicable laws. All ware w!' be lore in accordance with This permit will expire if work is not started el approved plans. N1,1. within 140 days of issuance, ur if work is suspended for more - then IN days. Issued By INSTALLATION ONLY------------------------------- Tfiv installation is being made on property I own which is not intended for leas,,, or- rent. v FIWKIFRI S 61 GNATURE: DATE INSTALLATION ONLY---- '.-")IGNATLJRE OF SUPR. ELECIN: DATE- ! .TCENSE NO: Call for- inspection — 639-4175 CITY OF TIGARD Electrical Permit Application Plan Check l 13125 SW HALL BLVD, Recd By r- TIGARD OR 97223 Date Recd 12 12 i lf' Date to P.E. Phone (503)639-4171, x304 Date to DST Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit# LL 1�b,'. Fax (503) 684-7297 Called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ Number of Inspections per permit allowed Name. (or name of business) Service Included: Items Cost Sum Address Fy / `' L"u-!. v tiZ L- S f , Wil. [L 4a. Residential-per unit 1000 sq.ft.or less $110-00$110.00 4 City/State/Zipl r' /�'/z' ''7u c� l Z. 3 Each aduitionnl 500 sq.ft.or Commercial ❑ Residential ❑ portion l - $25.00 1 Limited Energy $25.00 Each ManuPd Home or Modular Dwelling Service or Feeder �_ $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Installation,alteratior,or relocation ---- 200 amps or lass $60.00 2 Address_ ---_ 201 amps to 400 amps $80.00 _ 2 ('ity_ State_ Zip 401 amps to 600 amps - $120.00 _ 2 Phone No. 601 amps to 1000 amps - $190.00 2 .lob No. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. _-_Exp.Date -- Reconnect only $50.00 -Ah c . C. C 2 OR State CCB Reg. No. Exp.Date__ - 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date________ installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n - 201 amps to 400 amps $75.00 - 2 401 amps to(300 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date____ see^b^above. Phone No.------ -- '--� � 4d.Branch Circuits New,alteration oT extension per panel 2b. For owner installations: a)i he fee for branch circuits with purchase or service or Print Owner's Name `<i� l�0 Rd i', rte W�< `=> I feeder fee. C I Cach branch circuit $5.00 _____ 2 Address J rl,� �,L<, L_��r In L, /. -'f. l ( h)The feu Ir,r branch circuits City4,N¢.j Statim ' �( Zip (' 7 1 a- without purchase of Phone No._ c, 2 'ly F service or feeder fee. V irst branch circuit $35.00 _� 2 The installation is being made on property I own which is not Each additional branch circuit- $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous 1 (Service or feeder not included) Owner's Signature. �fx e� 0'►b L[t2� Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 - 2 3. Plan Review section (if required):' Signal circuit(s)or a limited energy panel,alteration or extension $40.00 ----- 2 Please check appropriate item and enter fee in section 5B. Minor l,ihels(10) $100.00 4 or inure residential units in one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above -System over 600 volts nominal Per inspection $35.00 - _Classified area or structure containing special occupancy Per hour $55.00 as described In N E C.Chapter 5 in Plant $55.00 *Submit 2 sets of plans with application where any of the above apply. S. Fees: rc_ Not required for temporary construction services. 5a.Enter total of above fees $ 1�1jL 51b Surcharge(.05 X total fees) $ 1-�- NOTICE Subtotal $ 5b.Enter 25"a of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if raauired(Sec 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -- :S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME.AFTER WORK IS COMMENCED 0 Trust Account q $ Total balance Due I�UtiTSIEI C9fi l,'" HFv 9'9fi r MCCHANICAL CITY OF T I ARD PC PM I T PERMIT #. . . . t",EC96--037` COMMUNITY DEVELOPMENT DEPARTMENT DOTE ISSUED: 13125 SW Hall Blvd.Tigard,Oregon 9722396199 (503)839.4171 Pr)PCEL. Tfw ilDr)NE115. . . 00015 SW COMMERCIAL ST #14 BDILVI';ION. . . . ZONING: CSD OCR. . . . . ,, . . . . . . . . . . . ASS OF WORII'_ :AI_.T FLOOR rurt4. o ,r.,E or USE. . . . :SF UNIT HEATERS-- 0 VENT rANS. . . 0 CUPANCY (;F%1- . . . R71, VI-NTS W/O APPI_: it VENT SYSTEMS : 0 ORILS. . . . . . . . . 0 POTLERS/COMPRESSORS 11001)a. . . . . . . . 0 EL TY1 Es HP. . . . : 0 DOMCS. INCIN: 0 GAS/ 3-175 H'. . . . . 0 COMML. INCIN: 0 X iwuT: BTU 1",,�O 11P. . . . : 0 PCrOI7 UNIT'., : 0 RE DnMPERW. . t :30-50 w-,. . A 0 WOOD STOVES. . : 0 :S PRIL-:135URE. . . - �0 A. Fir!'. . : 0 CLO r)RYE-"PS. . : 17, 1. OF UNTTS-------------- AIR HPNE)LING UN I TS OTHER UNITS. : 0 !RN ( 1Q014' 1 TU: 0 10000 (-- ,Cm: GF4S OUTLETS. ; I RN > -100K STU: 0 > 1004 c:,f M: 0 mai k4, - 5W7 PIPING !1"111 --- N DUTOOPI type i�.rp c 1.int y (J at e r e C-p IS SW COMMERCIAL #14 PPMT f .215. 12;0 P 10/03/96 96--2847. 5 P C T 1, 1. 'I:5 r 101073P)r, 96--Z'8 It 71" G A R D 0P 9722, -one #: 614-404'-, :NCR prepTOTAL #. . . 1=1,2 RE OU I PCD INSPECTIONS is pe-eit is issuee subject to the regulations contained it the Gai; Linp Iri-.p Ard MLricipal Code, State of Ore. Specialty Codes and all other F-.nal Inspect ion Aicable last. All oorl; will be done it accordance with ,-roved plans. This Pere4t will expire if viorli is not startecj hin 180 days of issuance, or if work is sus�?nded for more it@ days, Call for inspection E,29-4175, Plan Check 8 CITY OF TIGARD Mechanical Permit Application Recd By__h N f- 13125 SNI HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit# P1cc Inr:omplete or illegible applications will not be accepted Called Name of DaveiopmenoProieci Description ,5 A inn - '-.r c,•` Table 1A Mechanical Code QTY PRICE WT .lob Street Address Suite# A) Permit Fee -0- -0- 10.00 Address Bidgis GryrSiVe Zip B) Supplemental Permit 3,00 Name to name of business) 1 ) Furnace to 100.000 BTU - 6.00 Owner 2:c:" incl.ducts&vents Mailing Address 2.) Furnace 100,000 BTU+ 750 ' Ct. \C.,<C j 4 Lt in--l.ducts&vents cuyrst■te Zip Phoria 3.) Floor Furnace 6.00 '),Q.C I Or,- V'f? incl.vent Name for name of business) 4) Suspended heater,wall heater 6.00 -' 4 el-I t J4,1 .,t. or floor mounted heater Occupant Mailing Address 5) Vent not incl.in 3.00 appliance permit _ city/stain Zip Phone 6.) Boiler or comp,heat pump,air Gond. 5.00 to 3 HP;absorp unit to 100K BTU Name 7.) Boder or comp,heat pump,air Gond. 11110 _ 3-15 HP;absorp unit to 500K BTU Contractor Mailing Address B.) Boder or comp,heat pump,air Gond. 1500 15-30 HP;absorp and.5-1 mit BTU Attach copy of C ryrstate zip Phone 9.1 Boiler or comp,heat pump,air Gond. 22.50 Current Licenses 30-50 HP;absorp unit 1-1.75 mil BTU Oregon Const.Cont.Board Lic a Exp.Date 10.) Boiler or comp,heat pump, air Gond. 37.50 >50 HP;absorp unit 1.75 and BTU COT Business Tax or Metro a Exp.Dais 11.) Air handling unit to 4.50 _ 10.000 CFM__ Architect Name v v 12.) Air handling unit 7.50 10.oao CTM+ Or Mailing address 13.) Non portable 4.50 evaporate cooler Engineer City/State z p Phone 14) Vent fan connected 3.00 _ to a single dud Describe work New W Addition O Alteration O Repair O 15) Ventilation system not 450 to he doneResidential W' Non-residential O included in appliance pemid Add tional Description of work 16.) Hood served by mechanical exhaust 4,50 4 '*) h I f F' 17) Domestic incinerators 750 Existing use of 18) Commercial or industnaltype 30.00 budding or property L S L 1 l rJ l-IA L incinerator 19) Repair units 450 Proposed use of 20) Woodstove 4.50 budding or property 21) Clothes dryer.etc. 4 50 Type of fuel-oil O natural gas LPG O electric O 22) Other units 4.50 .`ll I hereby acknowledge that I have read this application,that the 231 Gas piping one to four outlets ' 2.00 information givens correct,that I am ane owner or authorized agent of " the {Y�ner that oIWIT submitt'e3 are in co pliance with Oregon State 24) More than 4-per outlet (each) 50 law¢ r t iD - - gnaWfe of Owner/Ag6nt Date QTY.SUBTOTAL � 'SUBTOTAL � I Contact Person Name Phone 5%SURCHARGE i PLAN REVIEW 25%OF SUBTOTAL TOTAL 4k L� Wst\mechpmt doc (rev 7x96) •Minimum permit fee is S25+5%surcharge CITY OF TIGARD MECHANICA, PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00611 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/16/03 PARCEL: 2S 102AA-03900 SITE ADDRESS: 08915 SW COMMERCIAL ST 04 SUBDIVISION: CASCADE MOBILE VILLA ZONING: CBD BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STOWES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + Hp: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install I urnacc. Owner: _ FEES PETE GEASCH Description Date Amount 8915 SVJ COMMERCIAL ST 44 TIGARD, OR 972.23 INIFUIIl Permit I-ce 10/16/03 $72.50 I'M X1 H sulic fay 10/16/03 $5.80 Phone: 503-624-8931 Total $78.30 �_ Contractor: OREGON HEATING + AiC !NC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Phone: 538-2953 Mechanical InspFinal Inspection Reg#: LIC 125815 This permit is issues' subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applir.able 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 riles aie set forth in OAR 952-001-00 i Issued By: ��4 �� Permittee Signa'.Are: Obi/ .�,�'/'�aC_'ff �r ,✓ Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day Oct 15 03 10: 54a Oregon Heating and Air 503-53--2172 p. l Mechanical Pennit Application MUAMIMmMOM �+. -- - --- Date received: City of Tigard Permit rto.�ft '�W3�to/ ,- Cify a/'Ti};cool Address: 13135 SW I fall Blvd.Tigard.OR 97333 ProjuuUappL no.: F,Kpiit Jaw: - Phnne: (50.1) 659-4111 Data issued: Ft ' Ruruipt no.: Fns: (503) 5914.•1960 Case rile no.:�- -Payment type: -- Land usr approval: Building permit no.: TITE OF PERMIT I & :� funilydwellingorncccssory IJ C.'ornmerciallindustrial UMulti-l'arnily U'fcnant improvement U New c011.4tntction UActdition/alteration/replacement U Othrr Job address 11Z1I_S SW Indicate Crlurprru:nt yuautiltes in boxes below. indicate the rinllar Bldg, no.: Stute no.. _ value of all mechanical materials,equipment, labor,overhead, Tax map/tax tot/necount no.. prolit.Value S Lot; I Block: I SubdivisioW *See checklist for important appticntiun information and reject name: jurisdiction's fee schedule for residcoual permit fer.. City/eutudy 1 Description and Inc.t for nl'work a remises __ 1 t ---'�inn't" 17 `"'I 1111"g I rr(csr.) Total Eat.date of completion/inspection: -__- — � _ Ueacrlptlon --- Qty, Res.only Rrs.only Tenant improvement or chauge of used Air handling unit CFM Is existing space heated or conditioned'?U Yes O No ---: Is existing,puce insulated'?0 Yes ❑Nn Ai(conditioning(site plan requireiij —" I reranou o ex sttng7lVyglem____._ _ Boiler/compressors - - -' Business name: State boiler permit no.: OREGON HEATING -- ltP Tons BTUM _ s Addrrs: - _-._ _&.ALRCONDLTi0JY1N -WC,. -1•r�iiiuke r rnpni—er�i tictssmo a defectors City: P.-Q. S97 ziPt eairim Ylte -doe 0 _ �p p pan rcquue`-T- Phone: ( 0. rrat3.2953 E-mail: - smll/rioface l'uroace/ tinter / - __ -` -- _Includingductwork/vent liner 7 Yes�U No CCH net .-nos -- Iosta rep ace/r"_eo ate u7uteri -suspen er. City/metro Ile.no. �Z ~' wall,or floor mounted Nam.:(plrnsc print) -- V-n T CorapU' Ce other than ftu•nnce ' / t e gefri nt o Ab4orption fonts _ BTUM CJnwc _ Citillers _ _ FlP 4dclress. _-- Compressors _ F{p ev roameolal exhaust and ren Int oar State:— ZIP Appliance vent I tt,n I F-urail f7 - eTinust - -- -- Mi s,Type /res. itc en-tnrmat Name: �- -q ,,, E- MCM ood Fitt suppression system _l`�!'�4r`''- xhaust fan with single duct(bath fans) binilingaddress gGt (S �� --- �1 t . Exhaust system apart From heating or AC " Cil -'telnet pipinP-anter d!ctr utien(up to 4 out ern) �St-a(e: LIP: t� Mane YPe I,t'C� iVG Oil .� ue i to eac m ar r ii(onal over< nut is prrrtR(stnnttcrcgiurerr-Ij - Name: Number of outlets :ldtlress: — -- — - her a app ance or eqa mrnl: — Decorative fireplace City:plinne --- Stale: IP: Insert,type ----- ntcll; oar.4mvr pe u1 vrovu Applicant's signal - (Joie: D s Ot er:_'- - -— pate t Name(print): 0 -- -_ —..— ---- _. - Nut ill pandktiunt accept credlr cant+,plrn.�call pa�rdkrbn ttK more ermit fee..................... . Inaematum. P •�� Qvie, t]MretterC'nrd Notice: 11%1.4 permit application .50 0,4111 c,nl number. expires if a permit is not uhtain P ,, Minimum lee -- within IKD lan review(at 0,4640.4 .11.11-VIE e N:une of unlfNr6ldr.0 eFbrrn ua�ritrhZ cavil' - ._ ecce t r� !� (• ) ..•S- . 5 C07r1L........................ :S T30 i.',iiilhnfddr+iynsUrre - ;Ciruirini .. M44 TY OF TIGARD _— UILDINC,01VISION CITY OF TIGARD 24-Hour BUILDING 11, Inspection Line' (503)639-4175 MST — INSPECTION DIVISION Business Line: (503)639-4171 SUP Recei red 2 '�'`� ate Requested Z45 3 AM PM— _ Btvo Location T1 G�'lll�Z .0[�(�� Suited MEC Contact Person Ph PLM Contractor / Ph( ) SWR BUILDING 4niovOwner Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam 4 Shear Anchors C� LC Z C t ciL�- Ext Sheath/Shear _ Int Sheath/Shear Framing insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab — Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain '— Shower Pan Other: - Final P RT FAIL — CHAN Post&VMTm Rough-In — — Gas Line Smoke Dampers -- - RT IL .E --- IC Service Rough-In UG/Slab Low Voltage 44 f m FI [] Reinspection fee,of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 41010 PART FAIL SITE F-1 Please call for 7respection RE: Unable to inspect—no access Fh a Supply Line ADA / Approach/Sidewalk paAb'Z `� — Ext Other: Final DO NOT REMOVE this;inepwition roo*4 fro •Job sites. PASS PART FAIL