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13355 SW GENESIS LOOP 1 G li I 13355 SW GeF,esir. Loop CITY OF TI--IARD 24-Hour BUILDING Inspection l inc: (503)639-4176 MST -- - INSPECTION DIVISION Business Line: (503)639-4171 BUP -- Received -_�_ __ Datti Requested— _ AM PIA _ BUP Location JA& Suite __ MEC contact Person _— — — Ph( ) -S�a a PLM Contractor_ — Ph( _) _ SWR r BUILDING _ Tenant/Owner _—_—_— — ELC 06 Footing �.� ��. EL,. - Foundation Access: 'U b ) S / ELR —` Ftg Drain Crawl Drain - �2 i SIT -- Slab Inspection Notes: 4 -- Post&Beam ----- - — —► — Shear Anchors Ext Sheath/Shear " — Int Sheath/Shear — Framing -------- Insulation — Drywall Nailing -- Firewall ----- Fire Sprinkler — - Fire Alarm Susp'd Ceiling ---- �------- - ---- Roof — Other:.. __ Final ------ -- PASS ART__FAIL_ -� • -, PLUMBING — Post&&,am _ Under Slab --------— — 'Rough-In Water Service — - - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL — MECHANICAL -- Po-.t &Beam Rough-in ---- — — -- Gas Line Smoke Dampers -- - Final --_ ---_ —--------- -- ��—_PAR FAIL — - ELECT_RIt1 -- Service Pough-In — -- - U&,"Iab —------ --- Low Voltul-e — — ' arm R a Reinspection fee of$_--__— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. `ASS PART FAIL Si -` � Please call for reinspection RE:.—____--�---------- � Unable to inspect-no access Fire Supply Line ADA Approach/`sidewalk Daft�—- - - Inspecfia;; Other. _- -__ Final DA NOTf2E10A01N'E this Inspectlan record from the Jerb site. PASS PART—FAIL �� CITYOF TIGARD MECHANICAL PERMIT DEVELC�'PrItNT SERVICES PERMIT#: MEC2003-00048 13125 SW Hall Bivd., Tigard, OR 97223 (503) 63S-41. 1 DATE ISSUED: 2/6/03 PARCEL: 2S 103DB-05900 SITE ADDRESS: 13355 SW GENE:IS LP SUBDIVISION: GENESIS NO. 2 ZONING: R-4.5 BLOCK: LOT: 027 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: 'VENT FANS: OCCUPANCY GRP: R3 VENT'S W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 - 3 1-1 P: 1 DOMES. INCIN: IPG -� - 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 _ AIR HANDLING UNITS FURN >=100K BTU: <= 10000 cfm: d UUNITS: > 10000 cfm: GASSOUTLETS: Remarks: R Owner: -- ---- - ---------_FFE_S --- WAI.TERS, FREDERICK DAND Description JYi Date Amount ANNA 1 13355 SW GENESIS LOOP rn )3\11 ('I I I I'ciit [-cc 2/6' $72.50 TIGARD, OR 97223 1 !t 'Stair fay 2/6/03 $5.80 L Total $78.30 Phone: -- — -- - - Contractor: COLUMBIA HEATING + COOLING INC P.O. BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Phone: t,24-2704 Heating Uni Insp Cooling Unt Insp Reg#: LIC 76359 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 00 Issued By: — _L4&I, ,It/,4 : Permittee Signature: Call (503) 636.4175 by 7:00 P.M. for inspections needed the next business day �,, Mecharucal'Permit Applicatiurl —�- Date received: � (� ,^%, Permit no,: City of Tigard Project/appl.no,: Expitedate: City(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B Receiptno,: Phone: (503) 639-4171 Fax: (503) 598.1960 Case file no.: Payment type: Land use approval: Building ocrinit no.: =New dwelling or accessr� 1 Commercial/industrial U Multi-family J Tenant improvernent ction4.Nddition/alteration/replacement U Other: t ' N OMMERCIA VAPAT60NSCHEDULE Job address: �af�,'f3' p le" �� b Indicate equipment quantities in buxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: v ~ profit.Value$ _ L.ot: Block: Subdivision: 'See checklist for important application information and Project name: jurisdiction's fc•, r,chedule for residentirl permit fee. City/county: IgZIP: Del',c iptitm,111(1 luc Ion of work on premises: __ t Ate/ ��Jt>�d.�L �• _ _ -- i Lll st.date of completion/inspection: Uecc•ription (1t Res.only Res.only Tenant improvement or change of use: `fit Is existing space heated or conditioned?U Yes U NoAll handling unit _ --.CFM Is existingace insulated')U Yes O Na Air con ition ng(site plan required) space Alteration of existing HVAC system Boiler/compressors Business name: " Suite boiler permit no.: __ HP 'Eons B`I'U/H Address: a ox 1 s oire smo a •tmpers uctm soke detectors City: Statc: ZIP: 7/a�L eat pump(site an require ) Phone: Fax _ E-mail: nsta rep ace urnac urne i / Including ductwot k1vent liner U Yes U No -CCU ,tit.: f` -suspep ne City/metro lic.no.: t/AZ,R _ wall,or floor mounted fj O c / o IS e -Vent orappliance other than furnace Name (case rine 1 e grrat on: Absorption units BTU/H Name: �AM Ogq�V Q°ate Chillers_ HP Address: Compressors HP to ronmenta ex taust and ventilation: City: - Slate: ZIP; Appliance vent Phone: tj• Fax: l;-niail: Dryerexi gust Hoods,Type res. tc to azmat hood fire suppression system :Naaust fan with single duct(bath fans) Mailing address: /,3! f� s'pJ x laust s stem apart fro heat ng or City: ,Slate: IIP: Fuelp ping andistribution up to ou!etsl �L Type: LI'G _ NO —_ Oil Phone: Fax: E-mail: Fuel nipingeach a itiona of ver 4 outlets Ifl 101roce:t p p ng(schematic required) Name: Number of outlets Other[hied appliance or equipment: Address: Decoroti%afire lace City: State: ZIP: insert-ty 3c Phone: lax: E-mail: Woodstove/pellet stove Applicant's signature: Date2 -d Other: K: Name (print): Q-4i b N,4 ell jutirdictinu accept credit cards,please call juri"cdon fm rune Information. Permit fee.....................$ U Vixn U MaterCrrd Notice:Phis permit application Minimum fee............. ..$ --- Credit card number: �1—� expires if a permit isnot obtained Platt review(at _ %) $ — -- ' Expires within Igo days after it has been State surcharge(8%)....$ r+one of cardholder as shown on credit cup accepted as complete. Cardholder signature-- -- Amount 4141617(tvUOCOM) Columbia Heating & Cooling, Inc, P.O. Box 230397 Tigard, OR 97223-0397 Phone: 503-624-2704 Fax: 503-598-0270 ^I ! 1 OF TIGARD _— ELECTRICAL PERMIT / PERMIT#: ELC2003-00054 DEVELOPMENT SERVICES GATE ISSUED: 2/6/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103D13-05900 SITE ADDRESS: 13355 SW GENESIS LP ZONING: R-4.5 SUBDIVISION: GENESIS NO. 2 BLOCK: LOT: 027 JURISDICTION: TIG Project Description: (i) It�C�Jf Cr0.euT �E��r�i1��7 P,�P1.Ire>s Itt�� ut►�1r}et, _ —RESIDENTIAL UNIT _TEMP SRVCIFEEDERS _ MISCELLANEOUS i000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH A7D'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG. LIMITED ENERGY: 401 - 600 arip: SIGNAL/PANEL: NIANF IJM/ F,/C/ FDR: 601+amps -1000 volts: MINOR LABEL- (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: PER HOUR: 20, - 400 amp: 1st W/O SRVC OR FDR: � IN PLANT: 401 - 600 amp: EA ADD'L BRNCH CIRC' 601 - 1000 amp: --_ ______�___.-____--_-. PLAN REVIEW SEC1fON 1000+ arnplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnoct only: SV"1FDR—225 AMPS: ,R CLASS AREAISPEC OCC: Owner: Contractor: WALTERS,FRFDERICK D AND OWNER ANNA 13355 SW GENESIS LOOP TIGARD,OR 97223 Phone: Phone: Reg #: _ Y FEES _ Description Dato — _ Amount Required Inspections 11(1.1'NMTJ ELC Hermit 2l6%113 $46.135 /f„Ira $3.75 Rough-In I .X] 81,I,StateTax Elect'I Final Total $50.60 This Permit Is isvied subject to the regulations contained In the Tigard Municipal Code,State of OR.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 by the Oregon Utility Notification Center. Those rules are set forth in 06S-9&2-0914010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800- -2344. ri By: Iss Permit Signature: K �Jw� -- OWN_ER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: i"L '(( f � ' - - ------ ---- DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: --. — _ DATE:_ -- LICENSE NO: --------- ---- --- ----_ ---- Call 639-4175 by 7:00pm for an inspection the next business day i Elect'-` -1 Permit-A-pDlication rDatc[B ived Electrical / Permit No.:.:LC(!' Planning Approval Sign City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: _ Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review LaUse Date/B Case �Jo.: Internet: www.ci.tigard.or.us Contact luris.: See Page 2 for 24-hour inspection Request: 503-639-4175 Name/Method: — Supplemental Information. TYPE OF WORK PLAN REVIEW Please check all that apply) New construction _ Demolition Scrcice over 225 amps- Health-care facility commercial C1Itazardous location r Addition/alteration/re lacem�nt Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in _ 2-Family dwellir_;t� Commercial/Industrial — ❑system over 600 volts nominal one structure 1 & dwe Multi-Fantll ❑Building over three stories []F'ecdets,400 amps or more ACCe5S0 ____ ❑Occupant load over 99 persons ❑Manufactured structures or R park Master Builder _ Other: ❑Cgress/lighting plan ❑Other: Submit--sets of plans with any of the above. JOB SITE INFORMATION and LOCATION The above are not applicable to temporary construction service. Job site address: ,,,3;g S*w a "� _ FEE*SCHEDULE Suite#: Bldg./Apt.#: Number of Ins ectionsperpermit allowed Project Name: Descrl tion Qty Fee(e:a Tots — - New resldential-single or multi-family per Cross street/Directions to job site: dwelling unit.Includes attached garage. Service Incbtded: 1000 sq,fl or less 145.15 4 Each additional 500 sq.n.of portion thereof 33.40 I Subdivision: Lot#: Limited energy,residential 75• 2 Limited energy,non residential 7500 2 Tax map/parcel #: reach manufactured home or modular dwelling DESCRIPTION OF WORK 9u.90 service and/or feeder 2 Services or feeders-Installation, alteration or relocation: -- — —---- --------- - 200 am s or less _ 80.30 2 — —�_ ____—---- ---- 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 _ 2 PROPERTY OWNFIt7 Q TENANT 601 amps to 1000 amps 240.60 2 -- - Over 1000 amps or volts 454.65 2 Name: 2,6,fj.fes.4.4"_ 7,4--,Q- < _ Iteconnect onl 66.85 2 Address: / ss- sw 6��(6-Si s A-10 'Temporary services or feeders-Installation, l alteration,or relocation: Cit /State/Z�I /?Cl�� _ Jrg f2 *� 21)ll amps at less ---------_ 66.85 —J 1 PhoneSa3-�? •rG Fax: _10t a_mEpstc40oamps ---. 00.30 2 401 to 600 ams 133.75 2 A_PPLiCANT CONTACT PERSON Branch circuits-new,alteration,or Name: — extension per panel: ��---- — - A.Fee rot branch circuits with purchase of Address: _ _ service or feeder fee,each branch circuit 6.65 2 City/State/Zip: B.Pee for branch circuits without purchase of service of feeder fee,first branch circuit 46.Bi 2 Phone: FBX: _._ Each additional branch circuit _ 6.65 2 E-mail: Miso.(Service of feeder not included): 51 40 2 CONTRACTOR Each Pum at irri ation circle __ ------ Ea:l:sign or outline lighting 53.40 2 Job NO: �,QM —�_ _ Signal circuit(m)or a limited energy panel, alteration,or extension — Pre 2 2 Business Name: — _—_ Description: Address: rFees* -- Supervising F:acb additional Inspection over the allowable In an of the above:Cit /state/ZI : Per insaction pct hou(min. I hour)Phone: Fax: Imes ij tionfeeCCB Lic.M Lic• k____ —Electrical hermielectrician Susignature required: _ _Plan Review 25%of Permit.Fee) $ State Surcharge Print Name: 5 _ Staa 8%of Per mit Fee $ 3.7 #: -------� � — �.- - —" t_�._-__� TOTAL'PERMIT FEE S (L'p�__. Authorized �n Notice: This permit application e.plres ire permit Is not obtained M!hin 'f Signature: —rL� _ __ Date:___.: �'3 180 days after it has been accepted as complete. *Fee methodolop set by TrWounty Building Industry Service Board. — ---- (Please print name) — ------- i:\Dots\Permit Forms\ElcPetmitApp.doc 01!03 1?1ectrical Permit Apt lication - (11N of Tigard Page ? - Supplemental Information LIM1'11h'D ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fu for all systems............................................................ $75.00 Check Type of Work Involved: Audio and Stereo Systems* Burglar Alarm Ouruge Door Opener* Ile wing,Ventilation and Air Conditioning System* Vacuum Systems* UOther — _----.. COMMERCIAL WORK ONLY: Fee for each system.......................................................... S75.00 (SEI:OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems EjData Telecommunication Installation Fire Alarm Installation E] IIVAC instrumentation intercom and Paging Syslcros Rlandscape Irrigation Control* Medical Nurse falls F1 Outdoor Landscape Lighting* Protective Signaling Other - -— - -- - Number of Systems * No licenses arc,required. Licenses are required for all other inctnllations c\Dots\PermilFonm\ElcPermitAppPg2.doc 01103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPFCTION DIVISION Business Line: (503) 639-4171 BUP Received Date Requested. —__-.—� r �. AM _ PM - BUP Location ---1.3 3 _ suite____ MEC Contact Person Ph( —) __ -- -- PLM Contractor_— _ __ Ph( ) SWR --- BUILDING Tenant/ *r, w &A",:::�, C Z d — ELC - Footing ELC - Foundation rAccess: ELR Ftg Drain / / / G-0 Y-11 Crawl Drain SIT Slab Inspection Notes: Post&Beam -•�' ��"�� - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Oth. r: - Final _ _ - PASS PART FAIL J — PL_UMBING - Post&Beam Undor Slab - -- -- - Rough-In -` Water Service Sanitary Sewer Rain Drains ----- -�-__ -"- Catch Basin/Manhole Storm Drain _-- -- -- -� Shower Pan - - Other: -- -- -- - - - FinalANIN — -- Po ea Rough-In -._ ---- - -- --- Gas Line ,L _ Smoke ropers ----- -- __--— - AS, , PART FAIL - --- - -- - - - -- -- TR!CAL Service Rough-In _ - -- - ---- -- — — - UG/Slab Low Voltage ------ _---- --- _ -- Fire Alarm Final Reinspection fee of$ _-required before next inspection. Pay at City, Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ [� Please call for reinspEc,irm RE: Unable to inspect-no access Fire Supply Line APA 7 Approach/Sidewalk Date > I I-' � Inspector_ -- Other Final DO NGT REMOVE this; Inspection record from the Job site. PASS PART FAIL