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CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT —
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: ELR98-0056
DATE ISSUED: 02/23/98
PARCEL-. 2SI02:AA-01300
SITE ADDRESS. . . : 11-935 SW GPfJ:_Nn1JRC, Pr)
UBDIVISION. . . . :KINGSTON ZONING:C—P
BLOCK. . . . . . . . . . . L171 . . . . . . . . . . . .. . JURI SDICTN: TIG
C'roJect Description' Install protective signaling for an existino commercial
tenant occpy.
--------------
A. RESIDEN'TIAL------------ B. ,__...__—.____._.__
AUDIO & STEREO. . . • AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . .. MET)ICAL.. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE At-ARM. . . . . . : OUTDOOR LANDSC L I'tF:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECT IVF_ SIGNAI._. . :X
INSTRUMENTATION. : 0rHE.R. . : : _
TOTAL # OF SYSTEMS: 1
Owner: __ __ FEES ---------------_
LUNE—bORFWINC_—�------__.________—_---__.._._—tYPe amr)IAnt by date recpt
1. 1895 SW GRFENBURG RD PRMT $ 40. 00 GEO 02/23/98 98-30.3491
TIGARD OR 97223 5PCT 0 0. 00 GEn 02/23/"38 98-303497
Phone #:
Contractor: ------
SON I TROL PACIFIC --^ ----- $ 42. 00 TOTAL
1.975 SW 6TH AVE
------ REG?U I RED INSPECTIONS
------_
PORTLAND OR 91201 Low Voltage Insp
Phone #: 223-5822 Elect' l Final
Reg #. . : OOO935
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable lasts. All work will be done in accordance with approved plans. This permit still expire if work is not started within 180
days of issuance, or if work is suspended for more than 198 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-801-8018 through OAR 952--001-0088. You may nbtain copies of
these rules or d' t dost .�KNrC it 15031246-1981.
'' � :. ...
Pe r m i t t e e f;i n n at t.i r e
INSTALLATION f1NL
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE:
_ DATE:
---CONTRACTOR INSTALLA-T ION ONLY ---- ---------_— --� -- - _...
SIGNATURE OF SUP'R. EL EC' N: DATE: -----_,�'
'1 3.._.
LICENSE NO: -- . .._----. ..
++++•+++++•++++++.f+++++++++++++++++++++++++++++++++f•++++++++++++++++++++++++++++++
Call 639--4175 by 7:00 P. M. for an inspection needed the next bi_isiness day
+++•+++++++++++++;•+++++++++++++++++++++++++a•+++++++++++++•f+++++++++++++++4 +++ � + +
Lr
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 9722323 PERMIT #
Phone(503)639-4171 DATE ISSUED
FAX(503)684-7237 ----- -- --- ----- –— ----
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INS LLATION 4. TYPE OF WORK
Amite / 6R ,1-7\� RESIDENTIAL—Restricted Energy Fee . . . S4D.Qf!
(FOR ALL SYSTEMS)
Of Cit State zip .Check Tyne of Work Involved:
PERMITS ARE N0N-TRANSFERA8LE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener'
2. CONTRACTOR APPI ICATION ❑ Heating,Ventilation and Air Conditioning System*
Contractol'V_19d6'f)ye_ . Type—__ ❑ Vacuum Systems'
.54 —
'GG ❑ Other- -- --
Address /%(� (�/y
Date 4 0COMMER(IAL—Fee for each system . . . . . . . . . $40.01
---""--" (SEE OAR 918-260-260)
Property Owner __- Checker ne of Work Involved:
Contractor's Board Reg. No. J �� __ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# — ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
_
C3 HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit is Issued under OAR 1118-320-370 This applicant agrees to make only
❑ Nurse Calls
restricted energy instillations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following: 0-4?P0ective Signaling
1. Only use electrical licensed persons to do Installations where required.(Certain ❑ Other
residential and other transactions are exempt from licensing.These have __
astedsksM.All others need licensing).
2, Call loran Inspection when all of the installations under this permit are ready
(or inspection at 503.639.4175. ❑ _Number of Systems
v Purchase separate permits for all Installations that are not ready for inspection
when the inspector Is out to Inspect under this permit. •No licenses are required Licenses are required for eg other Insullstims.
4. Assume responsibility for assuring that all correction.,required by the inspector ----- ---—
are done,and
5. Assume msponsibility for calling for a Ona)inspection when all of the 5. FEES
cormctions are complelvd.
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bi'}�the applicant. r/V
b. 5%Surcharge(.05 x total above) $__ Cx 4 �
Signature' TOTAL $_
r
i
Authority if other than applicant
ENERGAP.CHP
�21y
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 6394171
_ � A.M. MST:
:
Date Requested: _ ___ --- --
i
Location: l3`✓ ,c I __.----- -- BUR
—
Tenant: -61Suite----�_131dg: NEC:
Contractor C� / Phone: PLM:
Owner_ _ _ _ Phone: ELC:
Sf I':
BUILDING BLDG(con't) PLUMBING MECHANICAL { F,LECTR ACI L SITE
Site Post/13cam Post/Ilemn Post/licarn -over.ervtce Sewer/Storni
footing Rtxtf Ilndfl/Slab Rough-In Ceiling Water Linc
Slab Framing Top 0111 Gas Linc Rough-In IJ0 Sprinkler
Foundation Insulation Sewer 1lcxxl/I)uct Reconnect Vault
lisuit Damp Drywall Stonn Furnace Temp Service MISC.
Masontv Ceiling Rain Irain A/C UG Slab
Shear/Sheath lire Spklr/Alm Crawl/found Dr I teat Pump ow o
Approved Approved Approved Approved ) Approved
Appr/Sdwlk Not Approved Not Approved Not Approved ed Jvt Approved
FINAL FINAL FINAL � FINAL,
(3 Call for reinspectionReinspection fee:of S_ -_required before next inq=tion O linable to inspect
inspector I late �� __ Page of
SEE 35MM
ROLL # 20
FOR
OVERSIZED
DOCUMENT
r________.
CITY O F T I G A RD BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BLIP98-01431
13125 IN Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE. ISSUED: 03,/30/98
PARCEL: 2Sl02AA-01300
, - ITE ADDRESS. . . : 11935 SW GREENBURG PI) ZONIIqG'C'--P
)HBDIVISION. . . . : KINGSTON
13 0 C K. . . . . . . . . . LOT. . . . . . .. . . . . . . :001 JURISDICT ION:T IG
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. .-AL.1 FIRST. . . . ' 0 Sf N. S: E. W:
TYPE OF USE. . . :COM SECOND. . . - 0 'sf PROTEC-r OPENINGS'?--_._...__...._..__
TYPE
PENIN(3S'?------------
TYPE OF' CONST. -5N DECK . . . 600 sf N: S. E: W.
OCCL)PIANCY GR1'=1. -B 600 s f' ROOF CONST : P-IRE RET?:
OCCUPANCY LOAD- 0 BASEMENT. : 0 S f AREA SEP. RATED-
5TOR. : 0 HT: 0 ft GARAGE. . . : 0 s OCCU SEP. ROTED:
BSMI ') : MEZ7 ) : REDD SET BACKS- REDU I
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIKL: SMOK DIET— :
DWELLING UNITS: 0 FRN-1 : 0 ft REAR: 0 ft FIR ALRM- HNDICP ACC:
BEDRMS: 0 BATHS- 0 IMP, SURFACE: 0 PRO CORR: PARKING: (1)
VALUE. $ : 6000
Remav-ks . Tenant Improvement - ADA access/Deck/Parking. No change in occupant
load no C of 0.
FEES
BPTTERN, ROBERT R MARL.A type Amoo.int by date t-eept
21818 SW MART INAllI pRMT $ 56. 50 GEO 03/30/98 98---,"04492
15PCI $ 2. B3 GEO 0,3/3o/98 98--1304492
TUALATIN OR 97062 PLCK $ 36. 73 GEO V13/30/98 98-304492
Phone #: 691 -2485 FIRE $ 22. 60 GEO 0:s/30/98 98--304492
Contr-actor-:
C:ASCADE CUSTOM FENCING & DECK
9220 SW PARBUR BLVD #119-135
PORTLAND OR 97219
Phone #: 460-01,73 $ 1 18. 66 TOTAL
Reg #. . - 120570 ACTIONS or- INSPECTIONS----
This pe.-mit is issued subject to the regulations contained in the Foot/Foi.trid Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Post /Beam Insp
applicable laws. Ail work will be done in accordance with Framing Insp
approved plans. This 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 DAR 952-MI-NIO through OAR 952-90I81987.
you many obtain a copy of these rules or direct questions to rAW.
by calling (503)246-1987.
rye?
1 .
e'.
issi-ted By
Flei-mittPe Signatl..Ir-e
++++++++•++++++++++++++++. . . +++4_4++++++++-4.................4...........4-
Call 639-4175 by 7:00 P. M. for, an inspection needed the next bi.itsiness day
.++- +++++ ..........
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION O:: PROJECT 'I^I 7A
CLASS OF WORK f-+�-'r' FCOOR REAS: EXTERIOR WALL CONSTRUCTION
I �
TYPE OF USE. Co '"'� FIRST SQ, FT. 1 N: S:—� E: W:
TYPE OF
CONSTR: ��1? - SECOND SQ, FT. 1 PROTECT OPENINGS?:
pp i i
OCCUPANCY GRP. 'rJ THIRD SQ. FT. 1 N:_ S: E: W:
OCCUPANCY LOAD: r i TOTAL SQ. FT i ROOF CONSTR:_— FIRE RET:
I i
I I
STOR: HT: FT i BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT'?: MEZZ?: GARAGE. SQ. FT, OCCU.SEP RATED:
FIRE FIRE SMOKE HANDICAP
SPRiNKLER: ALARM: DETECTOR: ACCESS
COMMERCIAL INSPECTION ACTIONS FEE MENU
r Foot/Found ��Post/Beas) S ,o Permit Fee
r/ "Framlr 73
Masonry S 3� Plan Review
Insulation Shear Wall S 7-g3 5% State Surcharge
Firewall Gyp Board S 17, FLS Plan Review
Suspended Ceiling Sprinkler Rough-in $ Add'I Permit Fee
Sprinkler Final Fire Alarm S Add'I FLS Pln
Smoke Detector Approach/Sidewalk $ Inspection
Miscellaneous81 S MIS Fee
f
FOR OFFICE USE ONLY —
,
TYPE OS USE:OPTIONS(COM=commercial: CMS=commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW-new:Add=addition: ALT=alteration: ACS=accessory.FND-foundation:
OTR=other. DEM=demolition: REP=repair. FPS=fire protection system. NOTE: USE OTR FOR FENCES. RETAINING
WALLS. DETACHED DECKS. SIGNS. AWNINGS. CANOPIES)
hovrcntr2.doc (DST) 4197
CIT.' OF TIGARD Commercial Building Permit Recd By
13125 SW HALL BLVG. New Construction and Additions Date Recd
Date to P.E. _
TIGARD, OR 97223 Date to DST
(503) 639-4171 Permitil 3
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted Called _
Name of Development/Project Existing Building_21 New Building ❑
Job bwt,W kL(. f-t "
Address Street Address suite — Building
i t,12 - 'ani L'I;�i'V l yy_I r" i Data
Bldg S City/State Zip Existing Use of Building or Property
rill 2,V,, ( � t�►�ca�k 21)Vo (a t«i
Name Proposed Use ofd ilding or Property:
Property .I,h�Y{ i �(nVl krA
Owner Mailing Address Suite i (�
2_Mi� civil) M rj L L' No. Of Stories;,I
City/state Zip Phone T b )a
I Uc��rt f► /t��t'1C(p2 �)I 2`t(C;F Sq. Ft. Of Project:
t" I
Occupant Name
' O
► err ccupancy Class(es)
_ I ,A�r �
Name
Contractor raITA, C uML)IOj(I ) Type(s) of Construction
Piior to permit Mailing Address 81.1118
issuance, a copy ,/,�rz Will this project have a Fire Suppression System?
of all li^enses Q _W jVV p.I.0 w V 11"I'l 3(
Yes ❑ No.,[]
are required if City/State Zip Phone
expired In C O T Americans with Disabilities Act(ADA) —
r o
database 1"(_A/ (1010 l Yom•"Irl 11 j 4 t _C 1r1, Valuation X 25% = $ I j_ t . Participation
Oregon Const.Cont.Board Lic.* Exp.Dale Complete Accessibility Form —
i 244 1 Project. $
Name Valuation ,
Architect ( CIC(,
Mailing Address Suite Plans Required See Matrix for number of sets to submit
on back
CdyiShle 71p Phone —� —'--- -
I hereby acknowledge that I have read thin application that the in`ormation
liven-s correct,that I am the owner or authorized agent of the owner and
Engineer Name i` Ina,plans submitted are in compliance with Oregon Stats Laws.
Mailing Address Suite Signature of Owner/Agent Date
rCity/8tale Zip Phone Conte t Person Name Phone
- -- - -- �rE I _ No sr _ I IL) 01I 1
Indicate type of work New O AdditionC, Demolition o FOR OFFICE USE ONLY
Accessory Structure Or Foundation Only O Alteration U MapfTLfl� Land use.
Hepair o Other o --- ,�. /o:t alt, �,L 3 o O�.—
Descriptlo►i of work: Notes
I'tlrl�tl req f t J1 �1�. TIF
Parks: Estimated*of Employes
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I�COMNEW DOC (DST) 8/97
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL_ CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j.o.u) -- --
13 (New or Add) 1 1 -- - 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3
N1 (New or Add. or Alt) 1 1 - -- (j,o)
B & i\,I (New or Add) 1 1 -- -- 3 (j m.w) -- --
P (New, Add. or Alt) 2 -- -- -- 2(j o) --
B & M & P (New or Add.) 2 11 T -- 3 (j.o.w) 2(j,o) --
E (New. Add, or Alt) 2 -- -- I 2 -- -- 2(j,o)
B & 141 & P & E (New, Add) 3 1 1 l 3 (j.o. ) 20.41► 2 (j,o)
B or B & N1 (Alt) I 1 -- -- 20.o)
B & %I K P(Alt) 3 1 2 -- 2 (j,o) 2 (j,o)
B & M & P& E (Alt) 3� 1 1 1 l 2 0,0) 2 (j,o) 2 (i.o)
VOTE S: KL)
a. Before returning to DST. Plans examiner gets appropriate j =Job B = B1:P
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f= Fire P = PI—M
u = USA E = ELC
b. Shaded areas designate ALT submittals onl,,. w= Wash. County F = HIS
FPS is a new permit category set aside ti)r fire sprinklers a.td Fre alarms.
d. Effectivc- 2lugust 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of ar roved fire sprinkler and tire alarm plans with
calculations.
n'matnc Doc
March 19, 19P'
I
CITY OF TIGA RD a
Kari Miss
Garden Rooms OREGON
11935 SW Greenburg Road
Tigard, OR 97223
RE: Minor Modification to the Garden Rooms at 11935 SW Greenburg Road
Dear Ms. Moss:
This letter is in response to your request for a Minor Modification to the existing site at
11935 SW Greenbury Road. The Modification request is to add an access ramp and
deck in order to provide better access from the parking lot in the rear of the site, to the
building entrance in the front of the building. The total deck area is proposed to be 660
square feet.
This property is zoned Professional Commercial (C-P). The present use of the site (retail
sales of garden decor) is listed as a limited, permitted use for this zoning district. Retail
sales are permitted in only 20 percent of a site in the C-P zoning district. The owner must
limit the retail sales area to 20 perc--nt of the total building square footage. Because the
deck is to be used for convenience and architectural purposes only, it does plot count
toward the building square footage calculations in figuring the percent of retail use
permitted. The City of Tigard Community Development Code, Site Development Review
Section, states: "If the requested modification meets any of the major modification
criteria, the request shall be reviewed as a new Site Development Review application."
Section 18.120.070(B) states that the Director shall determine that a major
modification(s) will result if one (1) of more of the following changes are proposed:
1 . An increase in dwelling unit density, or lot coverage for residential
development. The proposal does not involve a residential development-,
therefore, the standard does not apply.
2 A change in the ratio or numbe, of different types of dwelling units. As
previously indicated, this criteria is ,iot applicable as this reques! does not involve
a residential development.
3. A change that requires additional on-site p:,rking in accordance with
Chapter 18.106. 'The proposed deck will be for architectural purposes only,
therefore, parking will not be either increased or decreased as a result of this
modification. There are presently nine (9) regular parking spaces. The proposal
will convert one (1) of those spaces to a handicap accessible stall in compliance
with current ADA standards.
13125 SW Hall Bled„ Tigard, OR 97223 (503) 639-4171 TDD (503)684-2772 ---
Page 1 of 3
4. A change in the type of commercial or industrial structures as defined by
the Uniform Building Code. No change in the structure of the building is
proposed.
5. An increase in the height of the bui!ding(s) by more than 20 percent. No
change in the height of the building is proposed.
6. A change in the type and location of accessways and parking areas where
off-site traffic would be affected. The proposed change will allow better
access from the rear of the building to the entrance, however the changes will
not affect off-site traffic in any way.
7. An increase in vehicular traffic to, and from the site, and the increase can
be expected to exceed 20 vehicles per day. The proposed modification will
not increase the sales area. The deck and access ramp are for the convenience
of customers only. Therefore, the proposal will not result in an increase in traffic
to or from the site.
8. An increase in the floor area proposed for a non-residential use by more
than 10 percent excluding expansions under 5,000 square feet. The
proposal is to construct a deck and ramp only, there will be no increase in the
floor area of the structure. In addition, there are no expansions of sales or office
areas as the deck is for architectural and convenience purposes only.
9. A reduction in the area reserved for common open space and/or usable
open space which reduces the open space area below the minimum
required by this code or reduces the open space area by more than ten (10)
percent. The proposed handicap ramp and deck will result in the removal of
some landscaping, however, the site will continue to provide the required 15
percent landscaping. Therefore, this standard has been satisfied.
10. A reduction of project amenities (Recreational facilities, Screening; and/or,
Landscaping provisions) below the minimum established by this code or
by more than 10 percent where specified in the site plan. As stated above,
the proposal will result in a decrease in landscaping, however, the required 15
percent landscaping will still be required. No other project amenities will be
altered.
11 . A modification to the conditions imposed at the time of Site Development
Review approval which are not the subject of B. 1 through 10 above. There
is no original Site Development Review on file at the City of Tigard, therefore, no
prior conditions of approval are found to be applicable.
3/19/98 Kari Moss, Garden Rooms Letter Ro: Page 2 of 3
Minor Mod. Appi oval for the Garden Rooms at 11935 SW Greenburg Rd.
This request is determined to be a minor modification to an existing site. The Directors
c;,:�signee has determined that the proposed minor modification of this existing site will
promote the general welfare of the City and will not be significantly detrimental, nor
injurious to surrounding properties provided that, development which occurs after this
decision complies with all applicable local, State and Federal laws.
THIS REQUEST HAS BEEN APPROVED SUBJECT TO THE FOUOMNO COMMON OF APPROVAL:
1. Obtain a building permit for the construction of the proposed deck and ramp.
When applying for the required permits, please provide a copy of this letter. The fees for
the required permits can be obtained from the Development Services Technicians at the
City of Tigard, Community Development Department at (503) 639-4171 x304.
If you need additional information or have any questions, please feel free to call me at
(503) 639-4171 x407.
Sinc ely, �
Julia Powell Hajduk
Associate Planner
i:`curpin\iuliMgardenrm.doc
r: 1998 Planning correspondence file
11935 SW Greenburg Road minor mod. file
3/19/98 Kari Moss, Garden Roorns Letter Re: Page 3 of 3
Minor Mod. Approval for the Garden Rooms at 11935 SW Greenburg Rd.
Dg q Z 17 CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: S-`T' q t A M _ 1,.M._ MST: -
Location: -----
BUR
Tenant:�_� Suite:-7--Blddg: MEC:- —
Contractor: l_,C.(�l�ca CU J Phone: (0 PLM:
(honer: EhC:
Elk -
-_ _ — _ _ SIT: _ --
BUILDING L coni) PLUMB C MECHANICA ELECTRICAL SITE
Site Post/13eam PostAicarn Potit/13cnm Cover/Service Sewer/Storm
Water lime
Fooling Roof Ilndl-1/Slab Rotmgh-hi Ceiling
Slab Framing Top Out (las Linc Rough-In
11G Sprinkler
Foundation Insulation Sewer Hood[Ihmct Reconnect Vault
13smt Damp I)rvwall Storin Furnace Temp Service MISC.
Ma%onry Ceiling Rain Dram A/C UG Slab
Shear/Sheath I ire S mklr/Alm Crawl/Found I h I Zeal Pump Low Volt —
r Approved Approved Approved Approved
Appr/Sdwlk Not A r ttoved Not Approved Not Approved Not Approved Not Approved
INAIFINA1. FINAL. FINAL FINAL
C1 Call for reinspection I C7 Reinspection fee of S _meequired before next inspection O Unable to inspect
Inspector:_ - — Late:-- __ — Page_--.—of
CITYOF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00589
13125 SW Hall Blvd.,Tigard, OR 97213 (503) 639-4171 DATE ISSUED: 12/19/02
PARCEL: 2S 102AA-01300
SITE ADDRESS: 11935 SW GREENBURG RD
SUBDIVISION: KINGSTON ZriNING: C-P
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG, 3 - 15 HP: COMML. INCIN:
M'►X INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
CLO DRYERS :
FURN < 100K BTU: 1 AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace.
Owner: e FEES
K.ARI MOSS Description Date Amount
11935 SW GREENBURG RD INILCIIJ ICI-11111 I cc — 12/19;02 $72.50
TIGARD, OR 97223
1 I'A\j R'!;.Stale l a\ 12!19102 $5.80
Phone: 503-603-0311 ---- Total $78.30---
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 He::,ing Unt Insp
Final Inspection
Reg #: LIC 66570
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100 You m� y obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
J Permittee Signature: _
ISSIIeU By: LL 1 �� u:.«L _ �. _ _
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
llec 18 02 07: 5i_Ia Spec ialt_i Heat inr� 503 598 0718 p. 2
Mechanical Permit Application
0alereceived: Pennit 1101 fill—Ir
City of Tigard RECEIVEC,
Vrojcci.tappl no.: Expiiedatc;
City qfTig,,d Address: 13125 SW Hall Blvd,Tigard,OR 97223 bate issuedRer:'eip' t no.: �i.
Phone; (503) 639-4171 JEC 18 2002
Fax: (503)598 1960 c nae rete nn.. hlymtnt type: ,
CITY OF TIGARD
mutoilklir, Plvaa= L II-klilding pCitilit no..
Land use approval:
X1 &2 family dwelling or accessory U Commercial/industrial LJ I'Aulu-family UTc.nant int llovelilcill
o c
Cl New constniction itiordaltei ation/replacernesit U Other:
�d Add
.1011 SITE INFORNAA-1110S I'AutIATION SCI M44
lob address://9wyv(I-T -Indicate equipment quantities in boxes below. li),licate tbc 611ar'61,
Did&no.. value of all nict.14illi'LAI Ilkilt 'if-, , tupinctit,lal,or,overhead,
-Tax.nlap/tax lot/account no.: pmolit.Value$ .4- - __;1
Lot: JBlock: ISubdivision: *See checklist lbr important application informa tion and
--won-.
- .� �&'
Project name. r-17 jurisdiction's fee schedule for residential permit fee. ledi
city/county: j-1 lj zip:
Des Option pd[xifion of work on promises: h)I I If L&I III 101111WK3 M him 160
XX
Est.date67 comp.1 tiotdinspection: 1441y. Ress.atily R�ts;.tuAnlyv
Te.n.itif Wilmovement or chwk2e of use: TIVAC`
/ —_
Is existing space heated or conditioned 9 J Yes UNo kit handling unit CFM
Is existing space insulated?U Yes 0 No
IAfteration of"Wing HVAC system
ILI I Ka I L104 r
of compressors
State boiler permit no.-
Business name: SPk--f:44try
H11 __ tons.__BTU/14
-Address_:A/,o/ _soe I�IVPiQ T?e)*D -Rrc/smoke diffl-pc-r-&7duc—tsiiiokedeteclors
Cit S1 (ado plan rcMk1iFcd)
7F' q3J E-mail:
9T
Including ductwork/vent liner Y�.0 No
Instal Ureplace/telocale heatcus-sus pendrd,
-city/tIletm tic. wall,or floor mounted
Nime(please,prillt): ))LrA?4 NN Vent for appliance other than furnace
' 'FACT ON PERSON Itetrigermtign: L11111/11
Name: k,' lip
th�_e tY
Address: &WVex 'RolorD
EnVIEE-1141r,2111-21 oxmilid anti vent llation;
City:
Appliance vent/
ryercxhaust
ood%,l'ypc I/11/res.Idwhen/hizinat
------ hnod firetuppre-q-tion qyt:t--m
Name- rixhaust fan with ningle duct(bath falls)
Mallin lipart from eating or AC
g address: lliq_a_4
Furl piping and dlit"bution(V to
City: 46;&�4 atc: Typc LK; NO Oil 04.
LS I 0_1 L
F]Rllw� Fax: L�rnail: 111'�
ion�. 0-5 -01 Fuel pipinp epi Fycr4 out
Irocm piping(schemotic requircd)
Number of outlet:;
officirr lifted app k1nH_Ceor_._q_UFp_Wen1.
Address:— D"orativi;fireplace
7city: State: ZIP: In--sen-:—ty PC
Phone. E-mail Other.
PI gnature:
Na all Juril&cdoox weep C"I Carl,*Me call Jurisdiction for likit Infentuillm, Permit fee........... .. ....
❑V1,ka 11 MaslarCtu-d Notict:11iis priniitapplication Minimum fee........
-,Gt coed nu.k—, expires if a permit is no,l0bt6mcd PhA review(at
0, Fxplre3 within ISO days niter It Im,been State surr.hargc(89to) ....$
Nnincti(catdht4iW-tis-i—b—owa-on-creditcWti 1cccptcd as corripictc TOTAL .......................$
-&i@& M
%.-- CK rI isnature Amount 4404617 MWO I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP --
Received _____ Date Requested-- - -`--L— AM------ PM -— BUP — — gq-
/ �
Locationf Suite_-_-__--. MEC
-__�1 �-- -
Contact Person Ph _ —) D � o PLM —
( _
Contractor _---------- -- - - --- Ph ) ---- SWR ---
BUILDING -
fenanVOwner __ ELC
-----�---
Footing --- --- ELC ------_-__—�—
Foundation Access: - ELR _
Ftg Drain E�.gte�:
Crawl Drain SIT - ---
Slab Inspection N
Post& Beam ---*=r•- j�' --- ---- ------_Y
Shear Anchors ------
E.xt Sheath/Shear
Int Sheath/Shear _ - --- --
Framing - -
Insulation _
Drywall Nailing - -
Firewall _ - ---
Fire Sprinkler -
Fire Alarm -— --" -
Susp'd Ceiling
Roof --Other-
Final
ther Final _ - - -- -
PASSPART FAIL ------
0LUM_BING --__ -_-
Post&Beam ----
Under Slab
Rough-In ------"
Water Service
Saritary Sewer
Ran Drains -
Catch Basin/Manhole -
Storm Drain
Shower Pan - - -
Other:_
Final -- -------- ---
PASS PART FAIL
MECHANICAL
Post&Beam -
Rough-In - - - -
Gas Line -
Smoke Dampers
P PART FAIL - -RIC AL -- ---- --
Service -
Rough-In -- -
UG/Slab
Lnw Voltage
Fire Alarm
Final Reinspection feP of$_-_ _ _- - -- required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
--PASS PART FAIL Unable to inspect-no access
SITE LJ Please call for reinspection RE:__- _-_.-_---- -
0/
Fire Supply '^ Ext -
ADA
y Inspector _-
Approach/Sidewalk Date --- s
Other
Final DV NOT REMOVE this inspection record from the job site.
PASS PART FAIL