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15220 SW GENTLE WOODS COURT-1 For N N C3 G7 m z r m O 0 ,J 15220 C'N GEN i LE WOODS Cl CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)'5 -'i 5 INSPECTION DIVISION Business Line: 9-4171 MST BUP Received ____ a�j ie Req sled_ 1 �/(5�0 _-lamPM BUP Location _ s� _Q_-- ite Contact Person ,. h`(— 1 l' VG ::5 ea O q PLM Contractor Ph(--) SWR — BUILDING Te,ianVOwner -- - __ ELC Footing ELC Foundation Acce3s: rl 1{' PM r --- Ftg Drain ELIR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors -- Ext Sheath/Shear _ Int Sheath/Shear I ��� jC} (� 0O 22--) Framing - -- -- - - -- - Insulation Drywall(Jailing - -- - - - Firewall _�c__v O1/(� �L Lel_ (f7L-DC-�C Fire Sprinkler - -- Fire Alarm o Vim_ Susp'd Ceiling -' - - Roof Othw:_ Final PASS PART FAit- - PLUMBING — — Post&Beam Under Slab - -- -- Rough-In �` I Water Service - -- - - Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain - -- — Shower Pan Other: - ------- -- ------- - Final PA RT FAIL eCHANICAL P,69TU13eam Rough In — Gas Line �► �! Smoke i�ampers - VS�10�_FAIL ~ o OV e7- ELECTPiCAL _ Service Rough-In UG/Slab Low Voltag i - - __- — Fire Alarm rinal Reinspection fee of$-_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Bivr,. PASS PART FAIL SIZE - Please call for reinspection RE: _ __ [� Unable to inspect-no access Fire Supply Line ADA. prb-L5 Ext l l Approach/Sidewalk _ Inspector _ ___ - Other: Final DO NOT REMOVE this Inspection recor (.*m toe Joh s!t:,. PASS PART FAIL CITY 4F TIGARD 24-hour Y BUILDING Inspectioii Line: (503)6:39-4175 INSPECTION DIVISION Busine.;s Line: (503) 6:'9-4171 MST - _ ^ BLIP Received '� I sy ! Date Requested AM— PM BUP Location _�.,�r�of X4P/lL 1, �ON_ MSC - --- Contact Person ` Ph // --- — ( —) 60 ������ PLM -- --- Contractor -- -VJ Ph(- ---) -- - - SWR BUILDING Tenant/Owner ELC Footing - - ELC _ Foundation Access: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: M. SIT Post& Beam 2-�J Shear Anchorb Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing �� --- _ Firewall Fire Sprinkler --- _- -_ Fire Alarm ' Susp'd Ceiling Roof Other: Final PASS PART FAIL - — - PLUMBING -= f•`ost 8 Beani � Under Slab Rough-In Water Service Sanitary Sewer r Rain Drains Catch Basin/Mc.nhole Storm Drain -- Shower Pan Other: Final PASS PART FAIL MECHANICAL 'Post 8 Beam Rough-In _ Gas Line Smoke Dampers - - - ----- -- Final PASS PART FAIL - ELECTRICAL Service -- Rough-In UG/Slab Low Voltage Fire Alarm _ -- PART FAIL LJ Reinsper. °)n fee of$ required before next inspection. Pay at City Hall, 12125 SW Hall Blvd, I S Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA b• a0 © v2 P O� e Approach/Sidewalk Date— �-_ - IlupectOr _ -_ _Ex{ _- Other: Final DO NOT REMOVE Wis Inspection record from the,fob site. PASS PART FAIL CITYOF TIGARa MECHANICAL PFRMIT DEVELOPMENT SERVICES PERMIT#: MF('2004-00236 DATE ISSUED. 5/4/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112CA-02400 SITE ADDRESS: 15220 SW GENTLE WOODS CT SUBDIVISION: GENTLE WOODS ZONING: R-4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VEN1 S W/O APDL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUELTYPES _ 0 3 HP: DOMES. INCIN: -- 3 15 HP: COMML. INCIN: i MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 rfm: Remarks: AC install _ Owner: _ FEES _ SHELLY, MARY Descripti,)n Date Amount 15220 SW GENTLEWOODS CT [ME011 I'Lrmii 1'ec 5/4/2004 $72.50 TIGF RD, OR 97223 [TAX] 8 Star`urdiali 5/4/2004 W5.80 Total $78.30 Phone: 503-684-9898 —— Contractor: SPECIALTY HEATING &COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 503-640-3607 Final Inspection Reg #: LIC 66578 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 may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. C5 �e��– Permittee Signature: G�7 �t�P �c C 4i ' > > Issued By: — Call (503) 639 4175 by 7:00 P.M. for inspections needed the next business day BVI er l i a_n i e a l Per iL/.JJJP'JWafi0n TT"f p Mechanical e "� FemritNu..li r O ^ CI71 01 rl and Planning p al 9uildng y g In Date/13 : Permit No.; ` 131:15 SV'Hall Blvd. APR 3 )U11 Plan Review Other Tigard, 0-ugon 97223 Dat Permit No.: rost-Phone; 5113.639-4171 Fax: 50Q�B'Q 0r1G Dateme: Land Use Case No.: Intetnet: tnanv,ci.tlgard.or.us BUILDING DIVA Contact Judi.; I E See Puae 2 for 24-hats 1r epeetion Request: $03-639-1175 Name/Method: I Supplemental Information. TYPE OF WORT: COhM)E)KCIAL FEE' SCkMOIJLA;-USE:CHEC iST flew 1'onstrueion Demolition Mechanical permit fees` are based on the total value of the work I A f�ddirntion/replacement Other; performed. Indicate the value(rounded to the nearest dollar)of all t.On/altet CATEGORY OF CONSTRUCTION materials,equipment,labor,overhead and ptorit. _j. 1 &2 Tamily dwellingCommercial/Industrial value: S r See Page 2 for Fee Schedule Ftcce:so Buildin Multi-Famil RESMENTIAL E UMMEMT/SYSTEMS FEE-SCHEDULE Oes°r{ Mon h I've(es)- Total Kibitr Builder Uther Ifieatln coolie J DB SfFE INFORMATION attd LOCATION Furnace-add-on air conditioning" 1400 _ Job cite a_ldress; Z.L. , t(.( u le.� �,'� Gac heat aumn 14.00 Sulti. :_ Bldg./A t.#: Duct work 14.00 Pro t:ct N Mme: Eydronic hot Waters stem 14.00 Residential boiler Cros9 stye et/Directions to job site; (for radlator or h drontc system) 14.00 Unit heaters(fuel,not electric) in wall in-duct.sus en4cd,etc.) 14.00 Flue/vent for any c ubovc) I 10.00 Subdivision: Lot#: Rc air units 12.15 Other Fuel A Ilancca Tax Inger)arcel#: Water heater Il)nn DESCRIPTION OF W IXK Gas fire lace 10.00 Flue vent(wa,er heater/gas fire lace) 10.00 t.0 Log lighter(gas) 10.00 Wood/Pallet stave 10.00 _ Wood fire lace/insert _ 10.00 � Chimnc /liner/tlue/vent 10.00 PNFP-F—..2TV OWNER I C3 TEN.kNT Other 10.00 Env{ronrrcntal Exhaust Sc Ventilation Name: kl\4k _ ---4—=— �--} Range hood/other kitchen cquirment 10.00 AddI ess: Clothes dryer exhaust 10.00 Ci /$tats:/Zi �— Single duct exhaust es Phon11 '(Si ft Fax: (bathrooms,toilet compartments. APPLICANT ONTACT PEPSON urili rooms) 6.80 Nam�; - Att1clutawl space fans 10,00 Address Other. 10.00 11 _ _ Ruel Pieing_ �Phone: i /at !(/Zip: •• $5.40 for first 51.00 each additional) Fax Furnace,etc. - -�--- Cas heat ptinipI " E-mail: _ Walusus tndtaUunit heater _ CONTRACTOR Water heater BuSizICSS value: -�.L Com{ • Fire lace Range 0$ .. City/'-tate/Zip: ��) 6(S L -.Q �' �'l t z. r Clothes dryer(gas) _ Phon',:_I 't_t; :�cr is I (�f4 I- o r 53 Other: _ •• CCH L ic. #' .STotal: Author zed Mechanical Permit Fees* Sigriattre: �f�t^' 5-�`� Date: - 0 t��� Subtotal: S _ Miuitrturn PetTr' Fee 572.30 S 1% Plan Rcvicty Fee(25%,,f Permit Fee) S (Please print name) v _ State Surcharges8%of Permit Fccl I S_ L TnTAI P$%Mrr FEC I S > Notice-. This t crtnit application expires if a permit is not obtained nithin 'Fee methodolop set by Tri-County Building Industry Service 903rd. Igo dart after it hes been accepted as complete. —Site plan required for exterior.a/C units. iADstsTermir I orms\MecPcrm1tNpp.doc 01'03 a .01 B I I D 86S EDS Su t zeaH Rz 1121 1 oadS Q 1 g l i-0 110 OE odd 4 SITE PLAN PL l'L ► % I'1. burn. �o 6APk- Pt. STREET .r, Specialty Heating & Cooling, Inc. 9528 SW Tigard Street Tigard, OR 972.23 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503 .640-3607 Fax 503 .681 .0793 d SILO ass cog 9u;%eaH A%Ietvadg eTGtLO *p OE Jdb ELECTRICAL PERMIT C�TY OF T I G�4 R D PERMIT#: ELC2004-00227 DEVELOPMENT SERVICES DATE ISSUED: 5/3/2004 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112CA-02400 SITE ADDRESS: 15220 SW GENTLE WOODS CT ZONING: R-4.5 SUBDIVISION: GENTLE WOODS BLOCK. LOT : 016 JURISDICTION: TIG n.;ect Deb,-,iption: (2)branch circuits. '__ RESIDEN-IAL_UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PI IMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENErGv. 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS u 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN RFVIFW_SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINALv Reconnect only: _ _ SVC/FDR—225 AM"S: _CLASS AREA/SPEC OCC: Owner: Contractor: SHE=' .Y,MARY HILLSBORO ELECTRIC 15220 SW GENTLEWOODS CT 21185 NW EVERGREEN PARKWAY TIGARD,OR 97223 HILLSBORO, OR 91124 Phone: 503-684-9898 Phone: 503-439-9666 Reg #: ELF 34-4399C — LIC 134491 FEES Slit' 49415 Description Date Amount Required Inspections I I.PRMT1 E l-C•Permit i '1)04 $53.bQ --- 1 Ax1 8'!o Stute Surcharge s i 1004 $4.28, Rough -in Final Total $57.78 This Permit is issued 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 accordanoe with approved plans This permit will expire if work is not started within 180 days of issuance, or it work is suspended for more than 180 days. ATTENTION Oregon law requires you follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 2466699 or 1-800-332-2344 Issued By: �� ><_z < <�_. L (L Permit Signature: 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:— CONTRACTOR INSTALLATION ONLY S;GN 1ATURE CF SUPR. ELEC'N: -__—_—_—_— ____—___. DATE:__.- L_ICENSE NO: �------ ------- -- -- -- Call 639-4175 by 7:00prn for an inspection the next business day .i _�om:HILLSBORO ELECTRIC LLC. 5036013680 04/30/'2004- 09:48 #669 P.002 117111 EIVIED Electrical Eerinit ADQ a0_9 City of Tigard A PR, 3 0 ?Pm Raeived, 7plamentil NI " D to/Ilv; 713125 SW Hall Blvd.,Tigard.OR 9723 Plan Rcvta Phone: 103,6394171 Fax: 503.599,1960 CITY OF Tl(:Inspection Line: 503.639 4175 Date Ready/ y: See Poet2 ror Internet- www.cl,tigard.or.us BUILDING DI Notifed/Method: Iaroratatlon TYPE Of WORK PLAN REVIEW, New construction ,Addition/alteratiolt/replacemcnt Parnas ohwk all that apply: ❑Service over 225 amps,comm'I ❑Iiazardous location ID Demolition ❑Other: (]Service over 3'_0 amps-ming ❑Buildng over 10,000 sq.R., CATEGORY OF CONSTRUCTION of I.and :imily dwellings a or more new residential ❑System over,500 volts nomi,lal units in one structurt jjjtj­:.-d)-family dwelling ❑Commercial/industrial Ll Accessory building ❑a0ding over three stories ❑Feeders,400 amps or more Meitf•thmilV __ _ Master builder Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION'AND)LOCATION ❑Egress/lighting plan RV park ❑Health-epre facility ❑Other: Job no t' Job site address: �.C.1 51,_\ 2 L Submit 1 secs of plans with any of the above. CitylS tateJZl P: T lice, � The above are not applicable to temporary conetrucuotl sen FEE SCHEDULE est Suite/bldg./apt,no,: Dwertad ? oe �. ." directions to job site; New residential single.or multi-family dwelling unit. Cross+ t Includes attached goragu 1,000 sq.ft,or fear 145.15 4 Subdivision; L,nt no.: Fa.add'I 500 sq. ft.or PC-Won 33.40 --- Limited entergy,residential 73.00 2 Tax map/parcel no.: _ __ Limited energy,non-residential 75A0 2 - DMRIPTION Op' WORK. Each manufactured or modular - dwelling.service nd/o r r L, h Services or feeders Installation,alteration,and/or relocation 200 amps or less 90.30 201 emps to 400 amps 106,95 2 [3 PROPERTY OWNER ❑'T6NAh1 t 401 amps to 600 ams 160.60 2 'game: 1 �Qt I-. N r 601 amps to 1.000 amps 140.60 2 Over LOW amps or volts 454 R+ 1 2 .Address: A n,• ,. J Reconnect only ji 66•!3 2 Q ' C ilv/StatdZlP' �' __.. Temporary services or feeders lostallatloe.alteration,and/or — relocation Phone:(Su toC (1 �'9 SJ' 200 amps or less 66,95 I Owner Installatlon:This installation is being made on property that i own which is not 201 amps to 400 ams IJ0 30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133,75 2 Owner signature: Date: _—� Branch cimults-now,alteration,or extension,per panel ❑ APPLICANT ,. ❑ CONTACT.PERSON A Fee for branch circuits w11 service or feeder fee,each 6.65 Business name: branch ciao t B Fee for branch circuits Contact name: withow service or feeder fee, 46 95 Y L 2 each branch circult Address: _ Each add'(breech circuit 1 6.65 L clrz 2 _ City/state/ZIP: Mlseellane)us1iemme or feeder not Included) Pump or irrilption cirole 53.40 2 Phone:( ) Fax: ( ) Si or outlinelightin 53.40 2 E-mail: gra circuit(s)or limited- CONTRACTOR •� enargy panel,alteration,or extension.Describe: Page age Business name:Hillsboro Electric L.L.C. Each additional Inspection over allowable In isni,of the sb^ve Address- 211 85 W Evergreen PKWXto 0110Per inspection 62.50 City/State/ZIP: Hillsboro, OR. 971 24 Investigation FE hour(Ihrrnml 62.50 T _ " Industrial lane r hour 73.75 Phone-(503) 439-9666 Fnx X03 )601-3609— ELECTRICAL PERMIT F Z$* CCs Lic 1 3 4 4 81 Electrical Lic.:3 4-4 9 9 C Suprv,l,{a: 4 9 41 S subrowl Suprv. Electrician signature,required: _ Plan review(26%of permit fee) --- Sate surcharge(su#or permit tee) 41 i Print ntme:Joey 'v i tL CCO Date: J t.� TOTAL PERMIT FEE 7t} rAutharnind signatur This pern.;t appllntlup esplra Ire perm t b as obtained able 190 days aver n Inas Seen aaoptod n complett name t a �NIe�i feFeemethodology set by TN-Cowry Paildinb Induwy Service BoedJ *t- O ' NumkW mepsenon per pennn sllo..waeNtrrelts eLC•rtrmn do ?rte 44tW&14Tr llpll21COMfWZB