9645 SW BRENTWOOD PLACE i
�D
Ln
Ln
c
cn
H
�D
c+
E
O
Q
F-'
1
-1645 SW BRENTVdC)C)D PLACE
_.....-_-.. _...____ _.__._____.,.._.__...r_...._.... ...__._,...__...,,M,
CITY OF TIGARD BUILD.NG INSPECTION DIVISION
'g_Hour Inspection Line: 639-417;; Business Line: 639-4171 MST 41�'/ BUPDate Requested _ - A PM BLDLocation � &��� ny Suite SEC� -,
Contact Person �C ,/L.. _ Ph 5 PLM
Contractor — r' D72� 'i _ Ph SWR _
BUILDING Tenant/Owner av V, Cll'j � � r -7?O ELC_)
Retaining Wall
Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN _
Slab
Al
Post 8 Beam �racr CU,5�r'' �"(_'. IAj Aft" �A
Ext Sh±aa'hlShear �BASF �i�,j�
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler -_-
Fire Alarm
Susp'd Ceiling
Roof —
Misc: - -- -
Final i
PASS PART FAIL - -- -_ --
PLUMBING
Post& Beam
Under Slab
Top Out -- —
Water Service _
Sanitary Sewer —-
Rain Drains
Fine —
PA';S PART FAIL
CHANICAL
Post& Beam -
Rough In
Gas Line -
Smoke-Dampers
rp,ASS PART FAIL.
Service
Rough In - --- --- _ ----- --- - ------
UG/Slab
Low Voltage
F�Alarm
PAS , PART FAIL Wr 15
Backfill/Grading - ---— ----- - —_-.— __
Sanitary Sewer
Storm Drain [ J Reinspection fe,4 of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire S,!pply Line ( J Please call for reinspection RE: _ _ ( ]Unable to inspect-no access
ADA
Approach/SidewalkV/ 9M
-'!her Date _W( F-
Inspertor _ Ext
Fina
PASS-_PART FAIL DO NOT REMOVE this Inspection record from the job site.
r
CITY OF TELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELL'48-0524
1?125SWHall Shid„ Tigard,OR97223(503)639.4171 DATE_ ISSUED: L19/O2/98
PARCEL. : 2S 1 1 1 CD-03100
SITE ADDRESS. . . :O9645 SW BRENTWOOD PL
SURD I V I S I ON. . . . :SUMME RF I ELD N0. 9 7.ON I NG: R-7
BLOCK. . . . . . . . : LOT. . . . . . . . . . . . . :5EO JURISDICTION: TIG
P—oJect l:eacription: Todd
------------------------
-- -RESIDF'NTIAL UNIT---- ----TEMP SRVC/FEEDERS----- -MISCEL.LANEOUS--------
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FAR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- -----BRANCH CIRCUITS------- ---ADD, L INSPECTIONS--
0 - 200 amp. . . . . . : ib W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 4O0 amp. . . . . . : m 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 171 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . .. 0 _________________PLAN REVIEW SECTION------------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : ,
Reconnect only. . . . . : Qi SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC O(M. : I
Owner„ --________._.________________.____._______._._.________.__._.___.__ FEES
MARIAN F TODD type amount by date rer_pt
9645 SW BRENTWOOD PRMT f 40. 00 JSD 09/02/98 98-30878'
TIGARD OR 97224 5PCT $ 2. 00 JSD 09/02/98 98-308789
'hone #:
f'ontrar_tor:
ADAMS ELECTRIC CO INC t X2. 00 TOTAL
2340 SE CLATSOP
------- REQUIRED INSPECTIONS ----
PORTL_AND OR 97E02 Rough—in Elect' 1 Final
Phone #: 234-•9651 Elect' 1 Service
Reg #. . : 000005
This persit 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 perait will expire if work is not started within 180
days of issuance, or if work is suspended for sore th, 1!!11 ys. ATTENTION: Organ law requires you to follow the rules adapted by
the Oregon Utility Notification Center. Those rules 'r« set nth in R 952-801-8010 through OAR 952-801-1987, "ou ay obtain a ropy
of these rules or direct questions to UNIT: h allin� (513 46-198
Lo
Permittee SiRnat1.1(i_e . ..�-o_ Issued By:
------------------------------OWNER INSTALLATION ONLY----_---__-------------------___
The installation is being made an property I own which is not intended for
sale, lease, or rent.
CTWNERI S SIGNA1URE: w _ DATE:
INSTALLATION
SIGNATURE OF S'UPR. EL EC' N: DATE:
LICENSE NO:
+++++++++++•++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
+++++++++++++++++++++++++++-l.++++++++++++++++++++++++•1-++++++*+++i•f•+++++++++...+++
r-
CITY OF TIGARD Electrical Permit Application Plan Check# �) _
13125 SW HALL BLVD. Rec'd By
C
TIGARD OR 07223 Date Rec'dDate to P.E.
Phone ;503) 639-4171, x304 F11 Date to DST
int or Type r--�,
Inspection (503) 639-4175 Permit#
Fax (503)684-7297 Incomplete (;r illegible will not be accepted Called � ��
1-1. Job Address: 4. Complete Fee Schedule Below:
Name of Development ..__ _ Number of Inspections per permit allowed
Name(or name of business)TVPR.►OL- ''7-,`C>D Service included: Items Cost Sum
Address_T -! 5. `'y `��#u c- �`� t _ _ 4a. Residential-per unit
, C. 1000 sq.ft.or less $110.00
Ci /Statc-/zi `T'�Aev> c�� i 7 �.�
ty p r-ach additional 500 sq.ft.or
Commercial ❑ Residential® portion thereof _ $25.00
Li
mited Energy $25.00 ------
Each Manut'd Home or Modular
D _
2a. Contractor installation only: welling Service or Feeder $69.00
(Attach copy of a current licenses) 4b.Services or Feeders
Installation,alteration,or relocation
Electrical Contractor_( �S (��-`T�.1C� - 200 amps or less $60.00 - - 2
Address ZZ-940 %-C- V 201 amps to 400 amps i $0000 2
City�c�k+Yl.r State U C, Zip 1 cQ- 401 amps to 600 amps $120.00 2
Phone N0. 601 amps to 1000 amps - $190.00 2
Job No. Lt,' Over 1000 amps or volts $340.00 2
Reconnect only $50.00 _ 2
Elec.Cont. Lice. No.06 -Sc- Exp.Date_ J b OR State CCB Reg. Flo. _ l� _ _Exp.Date t 4c.Temporary Services or Feeders
COT Business Tax or Metro No. 0`�LExp.Datel� Installation,alteration,or relocation
(� 200 amps or less $50.00
EIPc'r<!��`a v'�''- /�"Z11"4SL- 201 amps to 400 amps _ $75.00
Signature of Supr. --
40: amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. raj Exp.Date- 0 ( • see"b"above.
Phone No_ _ (, 1
4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The ice for branch circuits with
purrhase of service or
Print Owner's Name to?der fee.
Address- _ Each branch circuit $5.00 2
u)The fee for branch circuits
City_ _ State _ Zip without purchase of
Phone No.__ serrlce or leader fee.
First oranch c+r^uit I $35.00 - _T
The installatioi 1 is being made on property I own which is not Each additional branch circuit�_ $5.00
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature _ _______ _ Each pump or Irrigation circle $40.00
Each sign or outline lighting $4000
3. Plan Review section (if required):' Signal circult(s)o,a limited energy
panel,alteration or extension $40.00 2
Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $10000
4 or more residential units In one structure 4f. 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 _
ars descilbed In N.E.C.Chapter 5 In Plant - $5500 _
Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ ----
5%Si,, harge(.05 X total fees) $ -1-=--
NOTICE Subtotal $ -
5b.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reqlLir@d(Sec.3) $ -----
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY _
TIME AFTER WORK IS COMMENCED. ❑ Trust Account H _
S
Total balance nue
�V STS\EI C9fl 1111' HM 99q � -- _
CITY O F T I G A R D MECHANICAL.
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC98-0365
DATE ISSUED: 08/21/98
PARCEL-: 2SIII�D-03100
!33I TE ADDRESS. . . : 0964', SA BRENTWOOD PI._.`SUBDIVISION. . . . : SUMMERFIELD NO. 9 ZONING: R-7
BLOCF. . . . . . . . . . : LOT. . . . . . . . . . . . . :52O JURISDICTION: TIG
--------------
CI-ASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 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 TYPES--_---_----._. 03 HP. . . . : 1 DOMES. INCIN: 0
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
GAS PRESSURE. . . 50+ HP. . . . : 0 CL.O DRYERS. . : 0
NO. OF' AIR HANDLING UNITS OTHER UNlTS. : 0
FURN ( 100K 6TU: I ( z 10000 cfm : 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 ) 1VIO00 cfm: 0
Remar-ks: New furnace and A/C unit. P/C units cannot be placed within 0e
required setback area.
Owner-: FEES ----------
MARAIAN F TODD type amol-trit by date recpt
9645 SW BRENTWOOD FIRMT $ 25. 00 BEO 08/21/98 98-308522
TIGARD OR 97224 `.;PCT $ 1. 25 GEO 08/21/98 98-308522
Phone #:
Contractor: --------------------------------
PIONEER OIL
9270 NE GLI SAN ST
$ 26. 25 TOTAL.
PORTLAND OR 97220
Phone #: 254-9595
Reg #. . : 000578
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line 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 Cooling Unt Insp
approved plans. This permit will expire if work is not started Final Inspection
within IN days of issuaner., or if work is suspended for more
than 180 days. ATTENTION- Oregon law requires you to follow rules
adopted by tip Oregon Utility Notification Center. Those rules are
set forth in OAR 952-00I-0010 through OAR 952-001-0080. You may
obtain copies of these rules or direct questions to OLINC by calling
--
1503)246-9187.
I S s 1-1 P By : Pf -mittee rnignati..tt-p :
.....4 +4•.....................4......114.......................................44 + 1
Call `39-4175 by 7:00 p. m. for inspection-, needed the next bkisiness day
-4-++++++-++-++++4...........4...........................................................
City of Tigard MECHANICAL PERMIT Planc.QRec. # i! �L d,24,.5_
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639--4171
i
Description
_ 1
_— F-- Table 3A Mechanical Code CITY PRICE AMT
1) Permit Fee 0- -0- 10.00
Address ::
2) Supplemental Permit 3.00
Furnace to 100,000 BTU
1) incl. ducts &vents 6.00
Furnace 100,000 BTU +
Owner 2) incl. ducts &vents 1 750
oo�-urnance
3) incl. vent 6,00
uspen a seater, wall heater
4) or floor mounted heater I — 6.00
Vent not incl. In
OCCU(Jarlt 5) appliance permit 3.00
-Re or eanng, reing.
6) cooling, absorption unit 6.00
r� offer or comp, heat purr+p, air cond.
l r ( 7) to 3 HP; absorp unit to 100K BTU 6.00
Boiler or comp, eat pump, a—a cond. -
Contractor 1 -- 8) 3-15 HP; absorp unit to 500K BTU 11 00
i.
osier or rump, eat p(imp. air con
9) 15-30 HP: absorp unit 5-1 and BTU 15.00
of er or com• p.-Fe-5t pump, air con
10) 30-50 HP. absorp unit 1-1 75 mil BTU 22.50
7-5e—FeFy .KrIOI.ITAget ai t I have reaTt is application, that the Boiler or comp, heat pump, air con .
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 rnil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to ---
State law% that I am registered with the Construction Contractor's 12) 10.000 CFM 450
Bard, that the number given is correct. (If exempt from State Air han2ling unit
registration. please give reason below.) 13) 10,000 CTM 750
-- on poitao e —
14) evaporate Cooler 450
Vent fan connect
t 5) to a single duct 300
anti anon system riot
16) included in appliance permit 4 50
17} mechanical exhaust d 50
escn a work new ad lion aderation ( repair (j Commercial or industrial - -
to be done residential non-residential Q 18) type incinerator 3000
Existing use o7 trier i e:, wooastove water
building or property — 19) heater solar clothes dryers. etc. 4 50 J
Proposed use of 20) Gas piping one to four outlets 200
budding or property --
Type of fuel - oil natural gas Q LPG Q electric C21) More than 4-per outlet (each) 200J --
NOTICr—
Minimum Fee S25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION --
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OP, ----—
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 259/6 OF SUBTOTAL
AFTER WORK IS COMMENCED ---- --
TOTAL
Special Conditions ----
Date issued by
H.LCO I MV2T%UFCHCU/