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11470 SW GREENBURG ROAD 1 r r V hi m CD V v' G rt f r� QtT013 ONf1HNRM MS OCITT CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7.4-Hour Inspection Line: 6^09-4175 Business Line: 639-4171 BUP __.Date Requestecl-- _AM---- --PM BLD ---------- ---- Location //V Icy f-< < �;/_,�, Suite --- —. MEC - /' PLM_ Contact Person Ph �"---�----�-—� l i �( � SWR Contractor :lG/;Its �" �� i� Ph ,� ��-j� ELC BILDING Tenant/Owner U Retaining Wall ELR Footing A(,( FPS Foundation NOT REOUESTED -- Fog Drain – FOUND DURING RESEARCH SIGN Crawl Drain Insl Slab NO INSPECTION(S) IN FILE SIT Post& Beam Ext Sheath/Shear -- - - Int Sheath/Shear Framing,insulation Drywall Nailing —_---- Firewall - Fire Sprinkler ��✓J � v t� � Y Fire Alarm — - Susp'd Ceiling Roof _�_-- Misc: - -- Final — PASS PART FAIL PLUMBING Post 8 Beam --�-- - - � - Under Slab ---- --- Top Out Water Service Sanitary Sewer Rain Drains ------..-------_�-- _. ___- Final PASS PART FAIL_ "---- ME_CHANICAL___ _ Post t! Beam _ — Rough In _ - - Gas Line --- - Smoke Dampers _ Final - 5 FAIL — ELECTRICAL rvice - - - -- Rou UG/Slab Low Voltage Fire Alarm - - F AS PART FAIL - - - - Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ req fired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA f Extll� Approach/Sidewalk Date Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0466 DATE ISSUED� 07/1.6/97 13125 SW Hall Blvd., Tigard,OR 97223 (:03)639.4171 PARCEL: IS135CA-02400 SITE ADDRESS. . . : 11470 SW GREENBURG RF SUBDIVISION. . . . :BOETCHERS ADDITION ZONING:R--12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 JURISDICTION: TIG Project D e s cr i pt ion: Add 6 branch circuits ------------- UNIT----- ____TEMP SRVC/FEEDERS- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/ IRRIGATION. . . . : 0 EACH ADD' I._ 500SF. . . : 0 201 - 400 amp. . . . . . . :" 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FnR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ------SERVICE/FEEDER----- ----BRANCH CIRCUITS------ ----ADDIL INSPECTIONS—- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 1210 1 400 amp. . . . . . : 0 1st 1410 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 5 IN PLANT. . . . . . . . . . . : 0 601 1000 0 REVIEW SECTION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL... . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS- 1. CLASS AREA/SPEC OCC. : flwnev-.- FEES MARGARET DAVIS type amount by date t-ecpt 1. 1.470 SW GREENBURG PRMT $ 60. 00 GEO 0*7/16/97 97-297165 TIGARD OR 97223 5PCT $ 3. 00 GFr) 07/1.6/97 97-2971.65 Phone #: Contractor: ------------------------------------ -------------------------------- JARMER ELECTRIC INC $ 63. 00 'TOTAL 5105 SW 45TH ------- REQUIRED INSPECTIONS I-`ORTLAND OR 97221 Rough-in Elect' l Service Phone #: 246-5381 Under-gr-ound Cove Elect' l Final Reg #. . : 000069 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. chis 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-*l-*18 through OAR 952-401-1967. You may obtain a copy of these rules or direct questions to O[K by calling ( 1246-1987. Per-mittee SignatIAV-e: Iss,_ied By - -----------------------------OWNER INSTALLATION ONLY--------•--------------------- The-installation is being made on pt-opet-ty I own which is not intended for- sale, lease, at- rent. DATEt OWNER' S SIGNATURE: __ CONTRACTOR INSTALLATION pp 07 SIGNATURE OF SUPR. ELECIN. DATE: - / -7 7- 1TCENSE NO: _ 3C1V$- 5 +++44+444 #.............4.................................. Call 639--4175 by 6c00 P- m- for an inspection needed the next business day ++4...................4................................................4........ Pa Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Planck/Rec. # Permit # f C(0 _p Phone (503) 639-4171 Date Issued �.ITY OF TI!'YARD FAX (503) 684-7297 Issued by TDD No. (503) 664-2772 Inspection (503) 639-4175 1. .lob Address: 4. Complete Fee Schedule Below: Name of Development_— /.�, __— Number of Inspections per permit allowed Address I I L tj ) L-� --I J' bfi�f1 Ll)) 4+rvlcN Inr.luded Items CoM(F.a) Surn — City/State/Zi p V S C,r". ro 179 4s. Residential- per unit 4 1090 sq It or less Name (or name of business)/S portion E additional f eq II or portion therned Ep`00 Commercial El Residential❑ t.meed Energy Each Manul d Home or Modular Dwelling 8ervine or Fimder 16800 2a. Contractor installation only: 4b.:ervices or Feeders Installation,alteration,or relocation Electrical Contractor Q fX ' 'ti i 2.00 amps or leas $8000 ? At�dr�r S �' t" c 1. , ,L}� 201 amps to 400 amps $10 00 401 amps to 600 amps 20$1 00 City -3 ) State(^,n Zip 601 amps to 1000 amps $10000 — Phone No. -,I'- Over tool amps or volts $340110 Contractor's License N0 1. RP onned only $6000 Contractor's Board Reg. No. 2 L 4c. Temporary Services or Feeders Installation,alteration or relocation Signature of Supr. Elec'n ✓ 200 amps or less $6000 -�h ` Phone N0, -C I 201 amps to 400 amps 10000 License No. �L1...� - 401 amps to 800 amps $10000 Over 800 amps to 1000 volts 2b. For owner Installations: see W above 4d. Branch Circuits Print Owner's Name N— alteration or extension par panel Address a)The fee for branch circuits with City StateZip purchase of service or Nader Ase. 2 ---- ---- Each branch circuit $500 Phone No. _ b)The fee for branch-rrcurte without The installation is being made on property I own which is pumhese or service or Nader Ne. 2 First branch circuit $3500 2 not intended for sale, lease or rent. Each addconal branch circuit _ $5 oo �- Owner's Signature __-___-_, ____._.__._ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): `a`h pump or irrigation circle *AO 00 — 2 Tach sign or outline lighting $4000 Signal clrcull(s)or a limited energy 2 Please check appropriate item and enter fee in section 58. panel alteration or extension ,� $4000 — 4 or more residential units In one structure Minor Labels(10) -- $10000 _ Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per inspection __ $35 on Per hour $55 on In Plant f55 no Submit 2 sots of plans with application whets any of the above apply- Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ Igo _ 5%Surcharge(05 X total fees) $ _ - PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal E AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FON Plan Review if required(Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account M $ Balance Due $ � rad�endwwrcara 4e 1 ' r 1 ' RECEIVED JUL 1 6 1991 COMMUNITY DEVELOPWN? CITY OF TIGARD BUILDING INSPECTION DIVISION M:s r -Hour Inspection Line: 639-4175 Business Line: 639-4171 �-- ---- r [//j 1, .-V --� B U P Date Requ sted - CT_AM 4M �— BLD Loc tion Suite EC Contact Person `` 0� Ph &J 3 7 "C- ?.32- PLM _ Contractor L 1 Ph 1lJ o�-' 7�-4 SWR -_ BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing ACCeSS: Foundation n n 0 n Fig Drain ,U- /'IJ��u% �� JT �t�� FPS 4 --- - Crawl Drain Inspection Notes: ; SGN Slab �T - SIT Post& Beam Ext Sheath/Shear ` Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Hoof Misc I-inal PASS PART FAIL PLUMBING Post& Beam -- �— Under Slab Top Out - - Water Service Sanitary Sewer ` Rain Drains Final --- --- PAS -.PART FAIL _- ECHANICgI. Post earn - -- - - - - Rough In Gas Line Smoke Da Fin ASS ART FAILE'M TRICAL ------ - -- ------- -------- - - - --- - _ _ Service .� - -- - Rough In - - ---_-------___ -_ --- _ UG/Slab Low Voltage -------- -- -- ---- - - Fire Alarm Final PASS PART FAILSITE Backfill/Grading Sanitary Sewer Storm Drain [ 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 _ ApproachlSidewalk Inspector ns ecor Other Date `� 1J �t -- p L -�_�.� _�._� - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT S ��f�"�"5 13125 SW Hall Blvd., Tigard,OR 972 3� �jMEC97-0113 QSS @ 05/97 PARCEL: IS135CA-02400 SITE ADDRESS...: 11470 5W GREENBURf; RD SUBDIVISION....: BOFTCHERS ADDITION ZONING: R-12 BLOCK........... LOT............ :3 JURISDICTION: SIG Cl_AS5 OF WORK-ADD FLOOR FURN....: 0 EVAP COOLERS: 0 TYPE OF USE....:SF UNIT HEATERS-: 8 VENT FANS...: 0 OCCUPANCY GRP..:H2 VENTS W/O APPI_: 0 VENT SYSTEMS: 0 STORIES........: 0 BOILF_RS/COMPRFSSDRS HOODS.......: 0 FUEL TYPES------------ 0-3 HP....: 0 DOMES, INCIN: 0 :GAS 3-15 HP....: 0 C(MM1, INCIN: 0 MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNI1S: 0 FIRE DAMPERS?..: 30-50 HP....: 0 WOODSTOVES..: 0 Wi PRESSURE...: 50+ HP....: 0 CIO DRYERS..: 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS.: 0 FUI� ( I0W BTIJ: 0 (= 10000 cfe: 0 GAS OUTLETS.: I FURN )=IW, PTU: 0 ) IN00 rfe: 0 Remarks: INSTL GAS PIPING OUTLETS Ownera -.___._----.__________..._._----_._.-----.._.___.....___._._.__..._.._____---____-- FEES MARGARET DAVIS type amoi-int by date recpt 11470 SW GREENBURG PRMT $ 25. 00 TAT 05/05/97 97-294085 TIGARD OR 97023 SPCT $ 1. 25 TAT 05/05/97 97-294O85 Phone #: 639-6932 Contract or a B & T GAS SERVICE INC KEITH TEASDALE 8528 SW 190TH AVE BEAVERTON OR 97007 Phone #: 642-7243 $ 2r,,. 25 TOTAL. Reg #. . : 00091. 1 REWIRED I NSPEC:T T ON5 ----This permit is issued sub)ect to the regulations runtained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and a)) other Mechan i r_a l Insp applicable laws. All wor4 will be done in accordance with Misc. Inspection approved plans. This permit will expire if wor4 is not started Final Inspection _ within 180 days of issuance, or if work is suspended for more than IN days. P p r•In i t tee S i q n.a+t a11 for inspection - 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # Qj66!7-N2) Tigard, OR 97223 (503) 639-4171 •^'•° "° °gym•^ 1 esrnptron Table 3A Mechanical Code OTY PRICE PMT Job 1 C �7• 1) Permit Fee -0- -0- 1000 Address 2) Supplemental Permit 3.00 0 WO-4) Furnace to 100,000 1) incl ducts 8 vents 6,00 a ••• Furnace + Owner j ILI' 7 / 2) incl. ducts &vents 750 Y7 Floor Futnance 3) incl vent 600 «^•^• G.T1— uspeen eco eater, wall eater `- 4) or floor mounted heater 600 Ventnotincl. in Occupant 5) appliance permit 300 F T�^rrZIP Repair o ealrry, ro ny. 6) cooling, absorption unit 600 Boiler or comp, neat pump, air con •)� VU C Q vi U 7) to 3 HP, absorp unit to 100K BTU 6 00 ---- Mon ••• — Boiler or comp, heat pump, air con �C" C >'' 8) 3-15 HP, absorp unit to 500K BTU 11 00 Contractor T •. Boiler or comp, heat purnp, air con t.l-� f( /Y� �7(�_T 9) 15-30 HP. absorp unit 5-1 and BTU 1500 •� •« N. _LdS_LST -Boiler or comp, eat pump, air con /�?t/O���KI 10) 30-50 HP, absorp unit 1-1 75 mil BTU 2.2 50 hereby ac note edge at I neve reefs this app Icat on, t a e of er or comp, at`Pump, air con information given is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1 75 mil BTU 3750 agent of the owner, that plans submitted are in compliance with Air handling unit o State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4 50 Board, that the number given is correct (If exempt from State Air handling unit registration, please give reason below) 13) 10,000 CTM + 750 —" on portable 14) evaporate cooler 450 " —Vent fan connected 15) to a single duct 300 Ventilation sys em nn—oF— ��� / ) C 16) included in appliance permit 450 • • °■^ a — Hood serve _ 17) me hanical exhaust 4 50 Describe work new addition a ere ionrepair _ ommercia oin us na to be done residential Q non-residential f,) 18) type incinerator 3000 Existing use of er i e, woo s ove, water budding or property _— 19) heater, solar, clothes dryers. etc 450 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet (each) 200 Type of fuel -oil Q natural gas ! LPG Q electric U NOTICE Minimum Fee '�25 00 SUPTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME Pt ',N REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. -- — — TOTA L � Special Conditions ------ — ---�� —.--� Date — -- _ by ----- N y(SQI/M6T61NElH°NT 1 RECEIVED MAY 0 5 1997 COMMUNITY OEVELOPMENI