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MOUNTAINROAD
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
\ / BUP
_Date Requested �� `AIA PM SLD
Location 3 u � Suite _ MEC
Contact Person Ph PLM =
Contractor _ Ph _ SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Acce , L'
Foundation C�-'C� 1 FPS —
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post& Beam
Ext Sheath/Shear ------------- --
Int Sheath/Shear
Framing -_-_ - -�__-_G v -_�
Insulation
Dr;wall Nailing
Firewall
Fire Sprinkler -- ---- ---- - - - - - -- -
Fire Alarm
Susp'd Ceilini; ----._._---- - -
Roof
Misc: --
Final _
PASS PART FAIL -- -- - - - ----
PLUMBING
Post&Beam ---------
Under Slab
Top Out
Water Service
— -------- - --- -
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL. _
MECHANICAL
PosjAjLearn
u h In
Gas ne ` -
S ke Dampers
f!
in
AS, ) PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm —
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain J J Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ]Please call for reinspection RE:_ [ J Unable to inspect-no access
Fire Supply Line -
ADA /
Approach/Sidewalk
Other Date � � _ _.. inspector a �. I � _ Eta
Final
PASS PART FAIL VO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEG97-0336
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 9/09/97
PARCEL: 2S109AB-01500
SITE ADDRESS. . . : 13350 SW CAUL{_. MOUNTAIN RD
SURD I V I S i ON. . . . : ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION. URB
-----------------------------------------------------------------------------------------
GLASS OF WO"<K. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : Ir VEN-f'=ANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W10 APPL-: 0 VENT SYSTEMS: 0
STORIE:S. . . . . . . . : 0 BOILERS/COMPRESSOPS HOODS. . . . . . . : 0
FUEL TYPES- - -- - - --- - 0-3 HP. . . . : 1 DOMES. INCIN: 0
-15 HP. . . . : 0 COMML. INCIN: r
MAX INPUT: 0 PTU 15-30 HP. . . , : 0 REPAIR UNITS: 0
F I RE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UP41 TE OTHER UNITS. : 1
FURN ( 100K BTU: 1 (= 1.0000 cfm: 0 GAS OUTLETS. : 0
FURN ) =1.00K PTU: 0 > 100010 cfm : 0
R e m a r,k s : replact existin furnace and add new air conditioning uni'c to existing
single family dwelling. Air conditioning unit cannot be placed outside the
required setbacks.
Owner: -__------- --______ _ -- - ---._.._..- ------------ ------ FEES ----------•-----
GRIFFIN. EL_MER R .JEAN type amok_rnt by date recpt
13350 SW BULL MT RD PRMT $ :6. 50 GEO 09/09/97 97-299067
TIGARD OR 97224 SPCT $ 1. 33 GED 09/09/97 97-299067
Phone #:
Cont r-actor: -----------------------------------
SPECIALTY
-- -•-------------------------
SPECIALTY HF_ATING R FABRTCATIO
9528 SW TIGARD ST
f 27. 83 TOTAL
'TIGARD OR 97223
Phone #: 620--5643
Reg #. . : 006657
- - ----- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contaiied in the Mechanical Insp
Tigard Municipal Code, State of Ore, Specialty Codes and all other Heating Unt Insp
applicable laws. All work will he done in accordance with Cooling Unt Insp
approved plans. This permit will expire if work is not started Duct Inspection
within 188 days of issuancr, or if work is suspended far more Misr. Inspection
than 188 days, ATTENTION: Oregon law requires you to follow rules Final Inspection
adopted by the Oregon Utility Notification Center. These rules are
set forth in OAR 952-881-8818 through OAR 952-API-8888. you may
obtain copies of these rules or direct questions to OIMC by calling
(503)246-9187.
i
I s s o e By : �..._.. Permittee S i g n a t i-ire , 1,1 I,4, �✓t/'�C.��,pY
++++++++++++-F++++++++++++++++++++ + 1-++++++++++•h+++++++++++++++++++•++++++++++-+-++
Call 639-4175 by 6:00 p. m. for- inspect i ons needed the next bl_isiness day
+++•++++++.4++++++++++•++++++: ++++++++++++++++++++•++++++++++++++.F+++++++++++ +++++
Plan Check 4
CITY OF TIGARD Mechanical Permit Application Recd By _
13125 SW HALL BLVD. Commercial and Residential Cate Recd
TIGARD, OR 97223 Date to P E
(503) 639•4171, x304 Date to DS
Print or Type Pe,mit a 3 3�
Called
Incomplete or illegible applications will not be accepted —�
Name of Development Project I Description
Table 1A Mecnarncai Code 2T`r PRICE aMT
Job Street Address Sudea AI Permit Fee 1000
Address
B dqM CitvrSute Zip B) Supplemental Permit 300
1 I 4 rdQk q7.ad S
Name for name of business) 1 ) Fumace to 100 000 BTU i,00
Owner i , t G LL,-41,' mci.ducts&vents
Mailing r p„S� LZLLIG. � 2 I Furnace 100,000 BTU� � — 7 50
6l rkoelincl ducts&vents
C,lyrslate Zlp r Phone 3.) Floor Furnace 600
I l r of 4 IQ (p -5 !t _incl vent
Nanta a name of businessi -� 4) Suspended heater,wall heater F,CO
)(.7.ii r' or fluor mounted heater �JI
Occ-ipant Mailing Address 5 1 Vent not incl in 300
appliance permit
GtyrState zipPhone 5? Boder or comp,heat pump,air cond j 600 /
to 3 HP absorp unit to 100K BTU (p
Contractor Name 7) Boiler r comp,heat pump,air cond 11 00
tPnor to ' ► H elfh Pt14 3-15 HN absoip unit to 500K BTU
issuance Mailing Address s 1 Boder or comp, heat pump, air cond~ 1500
applicant c"' ^ ' `)4 15-30 HP absorb unit 5.1 and BTU
must provide aa Slate zip Phone 9) Boder or comp,heat pump,air cond 2250
ontrador ( (p.ZD (o tf 30-50 HP,absorp ur•.it 1-1 75 and BTU
license OreqW Conti Cont.Board Lc M Exp Oslo 10) Boiler or comp,heat pump,air cond 37 50
information (a(o b7
511 i II >50 HP;absorp unit 1 '15 mil BTU _
for COT COT Business Tax or Marro a Exp Dna 11 ) Air handling unit to 4 50 ,
Jatabasei �'7 �,��� ! r� 10 000 CFM _ _ _
Architect Name 12.) Air handling un c 7 50
r0 A 10.000 CTM
or Mailing Address 13.) Non pc~ nfr — 450
evaporate Coale, _
Engineer CnyrSute Zip
Phoria 14) Vent fan connected 3.00
to a single dud
Describe work New 0 Addition 0 Alteration(Y Repair O 15) Ventilation system not _ 4 50
to be done Residential 0 Non-residential O 1 Included in appliance permit
Additional Description of work 16) Hood served by mechanical exhaust 4 50
171 Domestic ncinerators _j 750
Existing use of 113+ Commercial or mdusinaltype 3000
budding or property /i1 4 _^ _ ncrnerator
19 i Repair urvts _ _ 4 50
Proposed use of 201 Woodstove 4 50
bu idu,C or property
_ 21? Clothes dryer.etc _ _ VS 50
Type of ruel-oil O natural gas LPG 0 electric O 22) Other units V— 1 y
1 hereby acknowledge that I have read this application,that the 23+ Gas pioma one!o four outlets 200 7
information givens correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State 241 More than 4-per outlet leacnl 50
laws
Signature of Owner/Agent Date CITY SUBTOTAL
y
Q I t.� ✓
7 /q f/f� 7 -----~ *SUBTOTAL --
Contact Person Name Phone u 5%SURCHARGE
.5 PLAN RSAEW IEw 2511e OF SUBTrjTAL
TOTAL
4st'mechpmt doc rev 7 96? Minimum permit fee is S%*5%surcharg _ �+
......- -----
CI
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested:
A.M. P.M. MST:
BUP:
Location: _
Tenant._
Suite: Bldg: IvIEC:
Contractor: 7---- �,_,Phone: fQ _ - _ PLM:
Owner:
�V Phone: ELC:
— ELR: _
-- SIT:
IC
BUILDING BLDG(coe`t) PLUMBING MECHANICAL r ECTRAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Servt� Sewer/Storm
Footing
Roof Undl'I/Slab Rough-in Ceiling Water Line
Slab 1'ratning Top Out Cies Line Rough-in IIG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace -temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm CrawVl'ound Dr neat Pump 1'ow Volt _
Approved Approved Approved Approved
Rvecl Not Approved
Ap;tr/Sdwik Not Approved Not Approved Not Approved
FINAL FINAL FINAL �� FINAL
0 Call for reinspection 7 g ateinspection fee of S— —required bet'ore next inspection D l)nable to inspect
Page _of —
Inspector:
-----
CITY OF TELECTRICAL F'FRMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-0600
DATE ISSUED: O9/O3/97
13125 5W Hall Blvd., Tigard,OR 9723 (503)639.4171
PARCEL: 2SI09AB-01500
SITE ADDRESS. . . : 1335O SW BULL MOUNTAIN RD
SUBDIVISION. . . . : ZONING: R--7
BLOCK,. . . . . . . . . . . LOT.. . . . . . . . . . . . . . JURISDICTION: URB
Pro j ect Descr i pt i on : Installing first branch circuit
--RF_S'IDENTIAL UNIT---- ---TEMPI SRVC/FEEDERS------ -----MISCELLANEOUS------
1000 SF OR LESS. 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L. 507.' r . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 c--ip. . . . . . . : 0 SIGNAL/PANEL. . . . . . : 0
MANF. HM/ SVC/FDF'. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVI(:E/FEEDER------ -----BRANCH CIRCUITS---.-..-- -----ADD' L INSPECTIONS-----
0 - C2,00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : N
201 - 400 amp. . . . . . : 0 1st W/O SRVC CR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : to EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -------------------FLAN REVIEW SECT I ON---- -- ---------- -
1000+ amp/volt. . . . . : 0 ) =4 RES UNIT'S. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMFIS. . : CLASS AREA/SPEC OCC. :
Owner: -•---------------------------------------------•--------- FEES --------------._
GRIFFIN, ELMER 8 JEAN type amoi.rnt by date recpt
13350 SW BULL MT PD PRMT f 35. 00 B 09/03/97 97-298903
IIGARD OR 9722' 5F'CT f 1. 75 B 09/03/97 97-298903
Phone #:
Contractor: ----•------------------------------------.-------------------------
SHARF'E ELECTRIC INC f 36. 75 TOTAL
22605 SW R I GGS
------ REQUIRED INSPECTIONS
BEAVERTON OR 97007 Roi_rgh--in Elect' 1 Final
Phone #: 642-7937 Elect' 1 Service
Reg #. . : 000815
This permit 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 pewit will expire if work is not started within 190
days if issuance, or if work is suspe d for lore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 4'2481-8818 through DA" 952-801-1987. You say obtain a copy
of these rules or direct questioinflo, 0Vby calling ( 3)246-1987.
Permittee Signati_rret � _/[ssi_red By:
_- -_----_-_-__.__---_--____--__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 INSTA,�.LQLP T I ON ONLY---------_-- - ---- ------
SIr'1AQTURE OF '3UPR. ELEC' N: C �t l� , �( QLt Y G DATE: ---
fl
LICENSE NO:
++++++-1-++++++++++++++++++++++++++++4+++++++-#-++++++++++++++++++++++++ .-++++++4 ++*
Call 639-4175 by 6:00 p. m. for an inspection needed the next bi.rsiness da;
+++-f+++++++++++++++++++++++++++++++++++-+++++++++-++++++++++++-f++++++•+++++++++i++
CITY OF TIGARD Electrical Permit Application Plan Check
13125 SW HALL BLVD. Recd Dy-� * �-
TIGARD OR 97223 Date Recd
Date to P.E. _
Phone (503)639-4171, x304 Print or Typo, Date to DST_
Inspection (503) 639-4175 Permit#
Fax (503)684-7297 incomplete or illegible will not be accepted celled _ -
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 Surn
r
Address .i - �� 1 t' 49. Residential-per unit
1000 sq.It.or loss $110.00
City/State/Zip / t. a I Each additional 50n sq,1t.or
Commer,:ial❑ Residential portion thereof $25.00 _ I
f � Limited Energy $25,00
i
/ Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder � $6800 2
(Attach copy of 0,99irrent licen ) 4b.Services or Feeders
Electrical Contractor r + - C /f L. Installation,alteration,or relocation
Addr ,� 200 amps or less $60.00
201 amps to 400 amps $80.00
City State ^ ,ZiP1_1 �2 r 401 amps to 6D0 amps $120.00
Phone o. 601 amps to 1000 amps $180.00 _.
Job No. Over 1000 amps or volts _,_ $340.00
Elec. Cont. Lice. No. Exp.Date JL - Roconnec'only $50.00
OR State CCB Reg. No. Exp.Date4c.Temporary Services or Feeders
COT Business Tax or Metro Exp Date - Installation,alteration,or relocation
200 amps or less $50.00
201 amps to
amps $75.00
Signature of Supr. Elec'n _ _ 401 amps to 600 amps _ $100.00 ^A
Over 600 amps to 1000 volts,
License No. .� Exp.Date�, r� see"b"above.
Phone No. C1 7 - 4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name_ feeder tee.
Address Each branch circuit 745.00 _.
bl The fee(or branch circuits
City Stat@ Zip without purchase of
Phone No. _ _ service or lb loop lee.
V first branch circus' r� $35.00 _,.l ^'�- 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
(Service or feeder not included)
Owner's Signature _ �._ Each pump or irrigation circlo $40.00
Each sign or outline lighting $40.00
1 3. Plan Review section (it required) Signal circull(s)o a limited energy
panel,alteratirn or extension $40.00 2
Minor Labels(10) $'��
Please check appropriate item and enter fee in sectiolr 58.
4 or more residential units in one structure 4f.Ea^h sdJlt+onal inspection over
Service and feeder 225 amps or more the allow ole in any of the above
System over 600 volts nominal Per inspection $35.00 - -
_Classified area or structure containing specir,l occupancy Per hour $5500 --
_ as described in N.E.C.Chapter 5 In Plant $5500
*Submit 2 sets of plans with application where any of the above apply. .rJ. Fees: e:
Not required for temporary construction services. 59.Enter total of above fees $ - ----
50%Surcharge(.05 X total fees) $ -------
NOTICE Subtotal S - --
5b.Inter 25%of line 5s for
PERMITS BECOME VOID IF WURK OR CONSTRUCTION AUTHORIZED IS Phn Review it rectuir ,Sec,3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK SuWofal $ -
IS SJSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. El Tnr3t Account flr�_
total b3lance Due
�`�u`r Rev 4'9A