InitiallyGood . 1
N
�P
4
(J1
CN
X
0
71
n
c
12475 SW BROOK COURT
I
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-1lour Inspection Line: 6394175 Business Phone: 094171
Date Requested: A.M. P.'M. NIST:
Location: / 7-1 — ----
-- —�---- 13UP:— —
Tenant: Suite: Bldg' _ NEC: _
Contractor: a'
Phone: �1Q'
=5-9—. 1..,._ PLM:
Owner: �FTPh.�ne: _ . ELC-_ �--�-�-f-�—
EL R:
_ --=-�- SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL�j SITE
Site Post/Beam Post/I3eam Post/Beam 06vei-Mem,!- Sewer/Storm
Footing Roof UndF''Slab Rough-In Ceiling. Water line
Slab Framing Top Ob Gas Line Rough-In UG Sprinkler
Foundo' i Insulation Sewer Ifood/Duct Reconn-°.:t Vault
Bsmt Drywall Storm Furnace Temp St; ,ice MISC.
1' Ceiling Rain Drain A/C U(.,Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pun,p Low Volt
Approved Approved ,Approve 1 ` APFlroved_ Approved
Appr/Sdwlk Not Approved Not Approved Not,1 plrroved --Not A,tptoved Not Approved
FINAL FINAL FINAL FINIAL ", FINAL
t
!!::1
or
O Call for reinspection /. n Reinspecti op fee of Srequired before next inspection D Unable to insly_
Inspector: Doteelo, -� Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: s -7/4� y- -7 1 A M. __—_ 1'M. MST:
Location: � `^ I -- - - BUR
Tenant: Suite:_ IildF: MEC:
Contractor: l/ Lam!e-L- Phone: ,x �'J��cf PLM:
Owner: Phone: ELC:_
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICA�y ELECTRICAL Sill E
Site Post/Beam PosUBcam Post"emn Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing 'fop out Cas Line Rough-In Uta Sprinkler
Foundation Insulation Sewer Hood/Duct Rewtnect Vault
Bsmt Damp Drywall Storm Furnace 'Temp Service MISC.
Masonry Ceiling Rain Drain A/C IIG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved rov Approved Approved
Appr/Sdwlk Not Approved Not Approved �IntA=Iovre Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
W.MMM"Momno.
0 Call for rein, ti 0 Reinspection fee of S_ required before next inspection M Unable to inspect
Inspechrr: - Uate ��,��L Page -of—
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES DTEPERMIT E1_C06/30,197
6/301t�
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 0E,/?, ;97
PARCEL: 2S 10.?BB-01800
;I TF ADI)pFaS. . . : 12475 SW BROOK CT
'.;UBDI V ISI ON. . . . :BROOKWAY ZONING: R- 4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 18 .JURISDICTION: TILT
f'ro.ject De c:v,i.pt ion: add first branch circuit
_.__RESIDEhdTIAi_ UNIT--•-- -•----TEMP SRVC/FE:EDE:RS___.._- ------MISCELLANEOUS---_-
1000
----_MISCELLANEOUS------ -
1000 SF" OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
1' ACH ADD' L. 500SF. . . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT LINE L-TC. . : 0
1_. T.MITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
- -SERVICE/FEEDFR----.. __. ---.-.BRANCH CIRCUITS------- - --ADD' L INSPEC'TIONS-----
kA 200 amp. . . . . . : 0 W/SERVICE: OR FEEDER: 0 PE Fr INSPEC1-TON. . . . . : 0
:'01 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : i. PER }-TOUR. . . . . . . . . . . . 0
401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 ______.____._.____.___---PLAN REVIEW SECTION-------------._.--_
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner __---___...-------.--•_______________________.____________ FEES
DOUGLAS 1 FE OUGH t ype amor-tnt by date r-ecpt
12475 SW BROOK COURT PRMT $ 35. 00 TAT 06/30/97 97-2966- 1B
1IGARD OR 97223 `PCT $ 1. 75 TAT 06/30/97 97-296618
i-'hone #:
r'ont Tact or:
ROSE CITY ELECTRIC CO INC $ 36. 75 TOTAL
4012 NE CULLY BLVD
__.__-_....._..- REOUI.RED INSPECTIONS
)='ORTL.AND OR 97 :13 Ror_tgh--in Elect' 1. Service
Phone #: 287--6164 Under•yror_tnd Cove Elect' l Final
r?eg #. . . 000035
This oersit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 95C-001-0010 througo l 952-01-1987, Y� may obtain a cope
of these rules or direct questions to OUNC by caU ing (503)246-1987.
h'ermitt;eec.,iyrrat�rr E : '_L y?,LL is5�_ted By:
c'
---------------------------OWNER INSTALLATION ONLY--------------------------------
rhe installation is being made on pt-aperty T own which is riot intended for
,�le, lease, or rent.
OWNF=R' S SIGNATURE: _ Y DATE:
INSTALLATION
'=' ' DATE:
i
T(:rNATURE. OF SUPR. ELE:C N �h G�u�-"n�
LICENSE NO: � —v J Z
h+++++•+++++•++--+++++++++++++++-•++++++++4+++++++++++++++++++++++•++++++++++-r-++++++++
Call 639-4175 by E:CO p. m. fo► an inspection needed the next hr_ts iness day
++i++++++++•++++++++++.++•++++++++++++++++++++++++++++++4-4-+-+++ +-+-+-+++++++±+++4-4-+±±±
td
06.27%97 07:57 %T503 684 7297 CITY OF TIGARD lQjuu2 002
CITY OF TIGARD Electrical Permit Application Plan Check 0 —
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd
Date to P.E.
Phone (GUS) 63W-41Y1, x304 Print or Type Date to DST,^___��y
Inspection (503) 639-4175 �I? P0rmI10FG!°
Fax($03) bH4-7291 Incomplete or illegible will rwi be accepted called_____.
1. Job Address: 4. Complete Fee Schedule Below;
Name of Development Number of Inspections per perrnit allowed
Nemo(or name of business) [� i.-.,{\ Service included: Items COst Sum
Address 1�1 IS S r � /l_ 4i. nesldwrtlal-mer unit
City/stats/Zp� �1��
I(=sq Itru"6 _ $1;o 00 ,� a
E•acri adolilkinil 500.-,q n.or
Commercial ❑ Residential prnmKro�Npr'f $'li 00
1imhed FnnrW $25,D0
Fach Maua,rd Horne ur Modular
558,D^
aa. Contractor installation Only- Tvfirr;;Semite or Feederr
(Attauh copy of II current sloe 6) 41).Gwvkvw or Feeder;
Elects iosl Contractor L, insralUtim,alteration,or relrroabun
Address zoo a(,Iw IN M99 $00.00
CI o a h 2n 1 amps In 400 amps $80.00 !_ 2
City S to G TJp 301 amps to 600 amps X120.00 2
Phone No. a-C 1 _ FUl art"to 1000 ams:; __
$1 eo.00 _ 2
Job No. _ nemOvel um amps or vnh6 __ $340,00 2
Else.Cont.Use.No.��. Exp.Dats �_� neWru..t nntY _— $50.00
OR State CCS Rag. No. F_rp bate 4c.Terrrporary Sorvicee or Feeders
COT Business Tax or Metro No.'- Exp,Date 1 Inelallatkn aheratiun,or relLcaliun
RR 2Mamps or less $50.00 2
Signature of Supr. Flee'n O b
V. w,t- Pot arntxe tv 400 a•nps $75.00 2
401 amps to 600 snips $100.00 2
Over OM amps to 1000 vulty,
Ucsnsp No. �� ��' Exp.!]ate 1 ase"b"abova.
Phone No.
4d.U arxh Cimultx
New,ahetail or Artension per panel
2b. For ownllr installations: a)The lee for hrannh rucuits with
pufuhs"or aerviep or
Print Owner's Name ft-.Nw pee.
Address Cauri hmnch circuit $6.00 2
Cityb) the too for branch clrculis
�T_ ` Stale /jp—_ — Uiyl(Aa purchase or
Phone No,---- _ _ "Ovim or fanner roe.
Rryt hrafv:h rlrcult 335.00 2
Tho Installation is being made on properly I own which is not EAM ad&,onal branch circuit $5.00 2
intended fcr valet, lease or rent. 4s.rtitoetteneous
Owners Signature (5ervirA or(infer r.ut Incluueu)
9 _...._ _ Filch pump or irrigation circle $40.01 2
4 ach sign in outline lighting '— 340,OC 2
'• Plan Review section (if required):' Signal uirgt.4e;or a limited energy
penal,aBpratiom or extension $4000 2
�
Please check appropriate Item and enter fee in section 59. minor Labels(10) $10000-- ��
d or mora rnsidantial units in one structure 4f.Em i eddMoriml Inspection ever
Service and teed6r 225 amps or more the allowable In any of the above
System over A00 volts nominal her Inspection $35.00
Classified area or structure contalnln9 special occupwir V ver hour $55.00
As descdhod In N III Chaptut 5 In Plant -- $55 Do
Submit 2 sets nt plane with application where any of trip above apply. b. Fees:
Not required fir temporary oor1t8Uotlan services. So.Enter totat of above tales 3
5%Sun:twrpa(05 X total fees) S
NOTrCL SuhrOtaf E
5b.Enter?55I,of lima in for ---
PERMITS RFCOMF VOID IF WORK OR CONSTRUCTION AUTHORIZED 19 Plan HeNnew it riliguiled(Sec 3) $
NOT COMMFNCPD WITHIN 160 DAYS.OR IF CONSTRUCTION OR WORK Subhxtar S a
IS SUSPENDED OR l.SANDONED FOR A PERIOD OR 160 DAYS AT ANY I rust,tocaunt M
TIME AFTER WORK IS COMMENCED.
Total balance Due S
RECEIVED
JUN 3 0 1997
COMMUNITY DEVELUPMENT
CITY OF TIGARD MECHANICAL.
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97-0159
13125 SW Nall Blvd., Tigard,OR 97!23 (503)639.4171 DATE ISSUED: OG/03/97
PP.RCEL.: 2S 103BB-01800
SITE ADDRESS. . . : t2475 SW BROOK CT
SUBDIVISION. . .. . : BROOKWAY ZONING: R-4. 5
ctLOCK. . . . . . . . . . . i._.OT. . . . . . . .. . . . . . : 18 JURISDICTION: TIG
CLPSS OF WORK. . :ALT FLOOR FUPN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 'DENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPI_: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOIL.ERS/CGMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--_.__-_..-.—_.-.._... 0_3 HP. . . . : 0 DOMES. INC1N: 0
:ELC —15 HP. . . . : 0 COMMI_. INCIN: 0
MAX I NPU T: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: Q)
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PP.ESSURF_. . . 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF L1N I TS-------- — - AIR HANDLING UN I TS OTHER UNITS. : 0
F"URN ( 1.00K BTU: 0 (= 10000 cfm: 1 GAS OUTLETS. : 0
FUR14 ) -100K BTU: 0 > 10000 cfm : 0
Remark s : installing A/C
- ------------------------------------------ FEES
DOU13LAS KEOUGH type amoi-int by date recpt
12475 SW BROOK CT PRMT $ 14. 50 GEO 05/30/07 97-295243
r I CARD OF 97224 SPCT $ 0. 7.? GEO 05/30/97 97-29;j24,31
PRMT $ 10. 50 GEO 06/03/97 97-295410
Phcne #: 5PCT $ 0. 53 GEO 06/03/97 97-2954
10
Co-itr^actor:
ROSE HEATING CO
9945 NE 6TH DR
PORTLAND OR 97211 —.--_--------------------------------
Ph o n e #. 503--283518_,, $ 26. 25 TOTAL
Reg #. . : 000020
------- RELIUIRED INSPECTIONS
This perm} is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All Mork will be done in accordance with _
approved pians. This perait will expire if MorN is not started
within 16P days of issuance, or if worts is suspended for tore
than 198 days.
Gr+-mittee SignatlAre :
Issl_iL Ak
Call far inspection — 639-4175
Plan Check
CITY OF PGARD p !�
IVlechanical Permit Application Recd By
13192:, :SW HALL BLVD. Commercial and Residential Date Reed
TIGARD, OR $7223 Data to P.F-.
(503) 639.4171, x304 Date to OST
ri-int or Type Pemitl�_r�ECG 7
Incomplete or Illegible applications will not be accepted Cailed_
i Naafi 01 Dev4rOpment/�rutaef -- ____-_
t7esCnption
Joh titra5t AOan V Table 1A Mechanical Cade QTY PRICE ATAT
Sun° A) Permit Fee 11 0 10.00
Address
_� mp! Ilyr uta B) Supplemgntat Pam it
- 3.00
Nervi(a nim•o 1.) FUMTC4 to 1U0,u00 B1 U
_ 6.00
OwnerCr CCPV Ind.data 5 vents
Mailing Aaarul _ 2.) Fumace 100,000 BTU+
L-ILIA_1 - b0
ClryiBtau 21 �Wena � Ind.duds d vents
�'l ;� 3.) Floor Rumaca
Ind.vert
N5m4�rr nerve el bu .nus) -- 4.) Suspended heater,wall heater
8.00
_ or floor mounted Mater
Occupant adlnp Aeenu 5.) Vent not inti,in
3.00
appliance permit
CttyrBuu ZipPhone 6.) Boller or Comp,heat pump,air Cond, B.00
to 3 HP;absorp unit to 100K BTU
N•m•_ _ 7.) Boiler or comp,heat pump,air Gond. 11.00
___ 3-15 HP:absorp unit to 500K BTU
Contractor afunq Auonas - 5.) Boiler or comp,heat pump,air cond. 15.00--
15-30 15.30 HP;absorp unit,5-1 mil BTU
Attach copy of citylowe iphon. 9) over or comp,heat pump,al;tend. 12,50
Currant Licenses 30-50 HP;sbsorp unit 1-1,75 mil BTU
QM10M COMn,ConL Kant Ue.a p.0514 10.) Boiler ur oornp,heat pump,air cond. 37.50
>50 HP;absorp unit 1.75 m(I BTU
Co 9uetnem Tax Or goo M lop Dile 11.) Air handling unit to
07
10,000 CFM 4.
Architect Nerve 12.) Air handling unit 7.50 '
pr uur,p iieena• O00 13.) Nonportable+
CTM
4.50
Engineer efty1suillevaporate cooler
Ip Phone 14,) Vent fan connected .00
to a single duct
Desorlbe work New O Addlt On Atleratlon O Repair O 15.) Ventilation system not 4.50
to bo done Residentlei O Non-resldenttal O included in appliance permit
Addwenal Deecnpti`on of work \ 1 .) Hood Served by
(7k i r C�'a�C!1 W)k"%'NC mechanical exhaust 4.50
17) Domaldc incinerators 7.60
Existing use of18.) Commercial or Industrial 3 . 0
building er aroperty_ tyre incinerator _
19.) Clothes dryers,etc. 4,5U
p";ioosed use of 20) Other units 4.50
rg or property
'Y04 e4 k+l1-oil 0 natural gas O LPO O electric 21) sa piping one to four outlets 2,00
'lreny SWOwledge that I have read this application,that Ve 22) Moro than 4-p!r outlet (each) b0
^'b"00n given It oor+ert.that I am the Owner or suthorued agent of
ewnlf,Mgt plane submitted are In compliance with Oregon State QTY.SUBTOTAL
signature of N Qlnt Dat• � -SUBTUTAL
1- L• � N"'V''-- �����'t \ ' _ _` 5;:5URCtiARGf= r7J ( Ila
1 •J I,��
Con120 Person Nerne Phone PLAN REVRW250%0FSUB 00IA L
• - TOTAL a
`�detVnechpmt oe \ Minirnum permit fed is 25 5116 surctarye
FIRST NAME: DOUG LAST.NAME: KEOUGH PHONE: 590-1485
ADDRESS: 12475 SW BROOK CT CITY: TIGAERD STATE: OR ZIP: 97223
PROPERTY LINE
-------
20E-r:
aF
--- 6 Irr: - IOrr:
I�'lt014T
L -T'
15 Fr:
PROPERTY LINE
X = OUTSIDE UNIT
RECEIVED
MAY 3 01997
COMMUNITY DEVELOPMENT