InitiallyGood i
I
z
i �
l
�_435 SW BRENTWOOD PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 pBLD Business Line: 639-41ja MST _
UP
Date Requested ' �� �J _AM� / PM B _
Location Suite
— MCC
Contact Person n % Ph _ PLRII _
Contractor !( Ph Gad -X70 SWR
BUILDING Tenant/Owner `- ^;�C�-• ��� ELC
Retaining Wall ELR
Footing Access - -
Foundation FPS
Ftg Drain - ----
Crawl Drain Inspection Notes: SGN
Slab ---
Post&Beam —a- -` --- ---- SIT
Ext Sheath/Shear
Int Sheath/Shear --- --- —
F raming
Insulation -- ---- - — —_-----------
Drywall Nailing —
Firewall -- - --- - -------__.
Fire Sprinkler
Fire Alarm - ------ _ — —_--_--------
Susp'd Ceiling -_---.------.-------__- -
Roof - - `--- --—
Mise
Final --- ----- ---- --- ---_._.-
PASS PART FAIL — - --- ------- --- ---------
PLUM_BING -- - --- --- —�—
Post& Beam -_ ------- -- _— ------ --- -- ---
finder Slab
Top Out ------- - ----- ----- --- - --
Water Service --
Sanitary Sewer ----- --
Rain Drains
Final -- -- ----
PA FAIL
Post& Beam
Rough In
Gas Line __ --- .-- _--
S ke Dampers ------- ----- _- --_-----------
Fin - ---- -- --- ---- _ ____
8 ART FAIL
_ ICAL - - _-- __. --- -- ------ — -- - .Service
Rough
Rough In -..__ - - ------- _--------
UG/Slab
Low Voltage — --- --------___
Fire Alarm
Final �---_—
PASS PART FAIL ___ _---- --__-- --
SITE
BackfilUUrading - ------ ------ -- --------
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection F, : - _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other r _ Date �'— Inspector_ t' _Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
GARD ELECTRICAL P
CITY OF TIERMIT
DEVELOPMENT SERVICES PERMIT #:DATE ISSUED: 10/ELC98-0653
29/98
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171
PARCEL : 2'SI11DC-05800
SITE ADDRESS. . . 0943tf) SW BRENTWOOD PI_
SURDI V I S I ON. . . . :SUMMERF I ESLD NO. 9 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . . :5136 JURISDICTION: TIG
PIroJ ect De sc r i pt i on : First branch circuit
UNIT---- SRVC/FEEDEI?S----..- -------MISCELL(--4NEO(J!3-------
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PIUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . - 0 .-"Zll 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . . 0 401 600 amp. . . . . . . : 0 SIGNAL./FIANEL. . . . . . . 0
MANF. HM/ SVC/FDR. . : Ib 6014-aMps-1.000 Volts. : 0 IIINOR LABEL ( 10) . . . 0
----SERV I CE/FEEDER---- CIRCUITS------ ----ADD' L. INSPECTIONS -
0 200 amp. . . . . . : 0 W,/SERVICE OR I-EEDER: 0 PER INSPECTION. . . . . : 0
01
1 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. : J FIER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . 0 EA ADD' L BRNCH CI RC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 -PLAN REVIEW SECTT
1000+ amp/.",)lt. . . . . .. 0 ) =7:4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . -
Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner. FEES
ROBERT
RT RENNICK type amoi.int by date recpt
9435 SW BRENTWOOD Pl- PIRMT $ 35. 00 B 10/29/98 98-310403
FIGARD OR 97224 `;PCT $ 1. 75 B 10/29/98 98--310403
Phone #. S24-4813
Contractor:
WEST SIDE ELECTRIC CO INC It 36. 75 TOTAL
1834 BE 8TH AVE
REDUIRED INSPECTIONS
PORTLAND OR 97214 Roi.ighin F-'.1ectl 1 Final
Phone #: 2311-1548 Flert' l Set-vice
Reg #. . : 13306
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 arcordarre 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 !80 days. ATTENTION: Oregon law requires you to foPow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy
of theca rules or direct questions to OtJNC by calling (503)246-1987.
1
Fier m it t u P q J.gnat 1-tre (or Issi-ipd Bv :_
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 i
----------------CONTRACTOR INSTALLATION ONLY------_-----_______________
S I GNATURE
NLY---------------------------SIGNATURE OF SLIFIR. El ECI N- qjt&
DATE
LICENSE NO:
-++++++++•++++++..�++++++++4-4-+++++•++++++++++i+ 4-4-+4.++++++++++•++•++++++4+.+-+++++++++++
Call 63S--4175 by 7:00 p. m. for an inspection needed the next bi-isiness clay
....................................4-++'4...............+++4............4........
OCT-28-98 05 : 116 Pm WEST SIDE ELECTRIC 503 736 0677 P. 01
CITY OF TIGARD Electrical Permit Application pl`:iG'°°It
13125 SW HALL BLVD. Ra`'d sy
' �0-
Data Rec4 �
TIGARD OR 87223 Date to P.E.
Fhone(503)639.4171,x304 Print or Type Date to DST`
Inspection(603)6,39-4176 Incomplete or Illegible will not be accepted Permit a� � ..1_
Fax(503)684.7287 P p Called
1, Job Address: 4. Complete F"Schedule Below;
Name of Development_ Number of Inspeotlotts psi permit allowed
Name(or name of business'/) Cr1 r �<<< Service Included: Items Lost sum
Addrn. &_J 3S SeY e6-1J1
+/A1d#44 P� 4a. Residential•per unit
Clly/Stale/Zip r ' 7 2-Z y 1 M sq n.or less sl lo.o0 4
_ f_ach additional 500 sq ft or
portion thorent 525.00 t
Cnrr martial❑ Residential® umllcrd Errmigy $26.00
Each Manuf'd Home or Modular _-Y
Dwelling Service or Fmedw Sell 00 2
2a. Contractor Installation only:
(Attach,.opy of all currentllce4b.Services or Feeders
Flectrlc it Cnr ractor / ,�/r� CTI_ _ Instillation,,00rstlon,or relocation
+ddrels i r ZOO amps or loss $60.00 2
s� 201 amps to 400 amps J sale 00 _ 2
City, Q: a Stale Ip401 amps to 1400 amps $120.00 2
Phone No. Z - /.."1 601 amps to 1000 amps r 118000 2
Job No. i 0 2 G-Z O -_'- Ovnr 1000 amps or volts 6340.00
-- Reconnect onty �---,- $60 O0 _. _ 2
Elec Cnnt Lice No��_� Exp,Date_
OR State CCB Reg No 1�2 _Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Fxp.DatQ Installation,alleratton,or relncatinn
200 amps or less 150.1.10 _ 2
Signature of Supr.Eler'n,_ L ^- 201 amps to slip amp$ 675.00 2
- - 401 amps to 6W amps $100.00 _-___ 2
/ Over Boo amps to 1000 volts,
Iicilnse Nr Exp.Date__ ase"b"above•
Ph,1ne Nr /_ ._.r
4d.Branch Circuits
New,adtorslien or extenslon per panel
2b. For owner Installations: a)The lee for branch circuits with
purchase ►services
Print Owner's Name ifoodern.
Address Each branch circuit S500 2
Cfi'. -- b)The fee to branch circuits
_ State Zip without purchase or
Phone No. service or reeeer rae.
-� First Manch circuit $35.00 3 2
The installation IF being made on property I own which is nc Each additional branch circuit_, $500 _ 2
intended for sale,lease or rent. 4e.Miscells-nacus
(gmrvice or loader not Included)
Owner's S'.gnntur0 _ Each pump or Irrlpatlon circle 140 - 2
Each sign or outline lighhn9 $40.00 2
3. Plan Review section(if required):' Signantyl clicuh($)or a limited energy
pa ,sheretion or oxlenalon $40.00 - 2
Plesse check appropriate Item and enter fee In section 58. Minor LaMb(10) 1100.00
4 or more residenllaf units In one structure 4f.Each additional Inspoellen over
Service and leader 225 amps or more the allowable In any of the above
Bysimm over 600 tc4ts hommal Per Inspectbn 135.00
Classlfled area of st ircturn cpnlainit)g speclal occupancy Her hour $55.00
as described In N.E.C.Chapter 5 In Plant $55,00 -
a Submit 2 sets of plans whit application where any of the above apply. 5. Fees: f
Not required for temporary constructlon serviced. So.Enter total of atr7ve forms $
5%Surchargo(.05 x tato)tees) S
KID" Subtotal 1 -
6b.4nler 26'+L c7 Ilne 8e Inn
of ITr��FGOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review N WsMI_W(Sac 3) S
NOS GO1hMENC.EQ WITNIN ISO DAYS.OR IF CONSTRUCTION OR WORK Subtotal / S
IS SUSPENDED OR ABANaONED FOR A Pr Or 180 DAYS AT ANY Trust Account MJ ✓� f� �j, KTIME AFTER WORK IS COMMENCED : -
Total balance Due
r
CITY OF TIGARD MECHANICAL,
PERMIT
DEVELOPMENT KRVICES PERMIT #. . . . . . . : MEC98-0479
13125 S W Hall Blvd., Tigard,OR 972?3(50-3'639-4171 DATE ISSUED: 10/28/98
PARCEL...: 2SI11DC-05800
51TE, ADDRESS. . . : 0914,35 SW BRENTWOOD Pl-
'j
SUBDIVISION. . . . : SUMMERFIELD N0. 9 2ONING-. R-7
BLOCK. . . . . . . . . . . I-OT. . . . . . . . . . . . . :536 JURISDICTION: TIG
CL.fiSS OF WORK. . -ALT FL.00R FURN. . . . : 0 EVAP COOL..ERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . - 0
OCCUPANCY GRP. . : R3 VENTS W/O APDL.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . . 0 COMML- INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS'. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAfI PRESSURE. . . Fjo+ HP. . . . : 0 ('.L.O DRYERS. . : 0
NO. OF AIR HANDI-ING LJ N I TS OTHER UNITS. : o
FURN ( 100K BTU- 1 10000 cfm : 0 GAS OUTLETS. : I
FURN ) =100K BTLJ: 0 > 10000 cfm : 0
Remarks : Rennick
Owner- FEES
ROBERT RENNICK type Amai.int by date reept
9435 SW BRENTWOOD PL. FIRMT $ 25. 00 JSD 10/28/98 98--310365
TIGARD OR 97224 ;PCT $ 1. 25 JSD 10/28/98 98-13103F�,5
Phone #: 624-4813
Contractor:
COLUMBIA HEATING 9 COOL-TNG INC
PO BOX 230397
$ 26. 25 TOTAL.
1IGARD OR 97223
i-'ione # .- 624-2704
Peg #. . : 000763
REQUIRED INSPECTIONS
This pereit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be done in accordance with Final Inspection __
approved plans. This pervit 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 rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-00)-8818 through OAR 952-88I-8888. You say
obtain copies of these rules or direct questions to UUNC by calling
(503)246-918'7.
Permittee Signatl-ire -
.
++++++++++++++++•++•+++f•+•++1-+-+-4-+++++-+-++++++++++,++4.....4..........4•...............
Call 639-4175 by 7-00 p. m. for inspections needed the next: business day
...........................I-+++++4...................4-4,-+-+..............4-++4- : ........
CITY OF TIGARD Mechanical Permit Application Plan Check# _
PP �Recd By -�-
13125 SW HALL BLVD. Commercial and Residential Date Recd-d—i6z-
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type Permit#.0`16 C
_ Incomplete or illegible applications_will not be accepted Called _ r-,j L
Name o1 Uevelopme Project Description
1+,•C)1 ) 1 ,k Table .A Mechanical Code Ot Price Amt
JobA Permit Fee -
Street Address Suite# ) 10.00
Address G1) Furnace to 100,000 BTU
J` geln C gjac including ducts&vents 6.00
Bldg# CRY/State Zip ---- —
2) Furnace 100,000 BTU+
r ",U(J '7a including ducts&vents 7,50
Name(or name o!business)0 3) Floor Furnace
Owner • O(K, r f I including vent 6.00
Malting Address I 4) Suspended heater,wall heater
- o AII or floor mounted heater 6.00
5) Vent not included in appliance permit
CHy/State Zip Phone 3.00
�_ �r4 012 q CHECK ALL *Boiler Heat Air --
Nam r name of business) THAT APPLY: or Pump Cond Qty Price Amt
Occupant Mailing Address 6001{BTU -&00 unit to
_ s 00
7)3-15 HP,absorb unit
Crly/State -� Zip Phone 10nk to 500k BTU 11 00
8) 15-30 HP;absorb --
unit 5-1 mil BTU 15.00
Contractor
Name 9)30-50 HP;absorb
it unit 1-1.75 mil BTU 22.50
Prior to permit Ailing Address 10)>50HP,absorb unit
issuance,a copy I A ox >1.75 mil BTU _ 37.50
of all licenses C /State. ZipPhone 11)Air handling unit to 10,000 CFM
are required if ( ) J- y-r" 4.50
expired in COT Ore on Const.Cont.Board 1.1c.# Exp.Date 12)Air handling unit 10,000 CFM+
database ^3.S 7.50 _
Architect Name 13)1N-on-portable evaporate cooler
4.50 _
or Mailing Address - 14)Vent fan connected to a single duct
3,00
15)Ventilation system not included in
Engineer Cny/State^� zip Phone appliance permit _ - _4.50
16)Hood served by mechanical exhaust
Describe work to be done 4.50
17)Domestic incinerators
New,p Repair O Replace with like kind. Yes O NO _ 7.50_
Residential,,O- Commercial O 18)Commercial or industrial type incinerator
30.00
Additional information or descripi'on of work: V 19)Repair units
7,61 i ou Br-( — 4.50
��`J 20)Wood stove -
e�e7 S -1L %r1Cl e -se_-- _ — 4.50
21)Clothes dryer,etc
4 5n
Type of fuel oil O natural gq-10--LPG O electric O 22)Other units
4.50
1 hereby acknowledge that I have read thisapplir•ation,that the information 231 Gas piping one to four outlets
given is correct,that 1 am the owner or authorized agent of ) 2 00
the owner,that plans submitted are in compliance with Oregon State laws 24)M-
ore than 4-per outlet(each) A
50
Signatu �f Owner/AR16nDate
Minhnum Permit Fee$25.00 _ SUBTOTAL Cz
o,
5oSURCHARGE
arson Na
Phone PIAN REVIEW 25%OF SUBTOTAL
Required for ALL commercial permits onl
_ TOTAL
'State Contractor Boiler Certification required
"Residential AIC requires site plan showing placement of unit
1:\mechperm.doc rev 07/20/98