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CITY OF TIGARD BUILDING INSPECTION DTVI`MN MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -----
BUP
--- _ —Date Requested e� -� "� `�AMA
PM _ — BLD _ —
Location 1—s- XV uite MEC
f yy9-Cx. l
Contact Person 1 Ph V PLM _
Contractor_ Ph SWR _
BUILDING Tenanti,--:wner ELC _
Re!Gining'hall _ ELR
Footing '� -------- —
Foundation Access
Ff'S _—
Fig Drain
Crawl Drain Inspection Notes: Sr'N ---
Slab — _— SIT
Post& Beam ---
Ext Sheath/Shear
Int Sheath/Shear
i
Framing f,{i. D r�'7- ?c'4 �, r . �su� ts'�T C�'/t j t-�I c-,
Insulation —
Drywa!I NailingFirewall
Fire Sprinkler o.r [i�S✓.��r � `— �� v,� -je r --_
Fire Alarm
Susp'd Ceiling — �� �Nrr-i r✓ — ---
Roof
Misc — --- -' —L4c�Gd L�L.:_cs'FZ-r L'd4S.�_ �r� f v(e.. C Cir 2 C✓i —=—
F inal —
PASS PART FAIL sl t�� � f7 r�r l�bvv.__ �r�/Z e"' r
PLUMBING
�.-----
Post& Beam
Under Slab
i op Out ----- -
Water Service
Sanitary Sewer I ---- ----- --- _— ---_— ---
Rain Mains i - ----- — -- — — — -
Final —
PASS PART FAIL --
H
Post& Beam ------- _—_ _—_. -----
Rough In
Gas LinEj' -- —_.------
Smo, e Dampers ��-
Fir — — -- -- -� -- —
ASS PART FAIL .r(
GTRI CAL --
Service
Rough In ----- - __----
UG/Slab
Low Voltage
Fire Alarm
Final .--+—
PASS PART FAIL _—
SITE
Rackfill/Grading s - -------! -- —
Sanitary Sewer
Storm Drain ( ) Reinspection fee of$— regoired before next irrspt ction. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE
Fire Supply Line [ p -- -�__—__— � — [ Unable to inspect no access
ADA
Approach/Sidewalk
Other Date 5_� S_+� Inspector _ y� ��` —Ext --
_ �,�-- --
Final —�
PASS PART FAIL DO NOT REMOVE this inspection record from the "nb site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC199900178
DATE :ARCED: 4/27199
13125 SW Hall Blvd , Tigard, OR 97221 (503) 639-4171
PARCEL: 1 11)134AC-01400
SITE ADDRESS: 11405 SW IRONWGOD LP
SUBDIVISIGN: ENGLEWOOD ZONING: R-4.5
BLOCK: LOT: 042 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:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 5n HP: REPAIR OVES:S:
GAS PPESSURE: 50 + HPC WOOD
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >--100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfrn:
R,3marks: Change out electric furnace to gas.
Owner: FEES _
ANNA TANADA Type By Date Amount Receipt
11405 SW IRONV`IOOD PRM f DLH _ 4/27/99 `625.00 99-314884
TIGARD, OR 97223 5PCT DLH 4/27199 $1.25 99-314884
1.ita1 $26.25
Phone:590-4190
Contractor:
DAVE FITZPATRICK. HEATING + REFRIGTN
7615 SW CHESTNUT STREET
TIGARD, OR 97223 _— REUUIRED INSPECTIONS__
Gas Line Insp
Phone:245-3870 Mechanical Insp
Reg M LIC 00052335 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 ire the Oregon
Utility Notification Center. Those rules are set forth in 0A.R 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503j2,46-9189. ,
Issue By: ,f/ / _ Z l�_ _ Permittee Signature:
f all (503) 639-4175 by 7:00 P.M. for inspections neisded the next busirle s, 6a ---)
CITY OF TIGARD Mechanical Permit Application Plan Check#
PP Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd� s�
TIGARD, OR 97223 Date to P.E.
(503) 639-41171, x304 Date to DST 4,'ef '� �-GY»;�
Print or Type Perm.f#
Incomplete or illegible applicatio.is will aot be accepted caned —
Nome of Development/Project Descript on
Table 1A Mechanicai Code Cty Price Amt
Job Street Address Suite# A) Permi Fee %00
Address 1) Furnac,to 100,000 BTU
400 includit ducts&vents see footnote 1,2 6 UO
Bldg# Cny/.,rale Zip ---- ----
_ 2) Furnaca 10U,000 BTU+�
]"?o j _includit,g ducts&vents _ see footnote 1,2 7.50
Name(or name of buslr,e 3) Floor Furnace --`
OwnerO including vent see footnote 1,2 6.00
Mailing Address
G 4) Suspended heater,wall heater -
or floor mounted heater _see footnote 1,2 6.00
�� j1LLti hlJrJ /�_ 5) Vent not included in appliance permit
Cny/State ZIP Phone 3.00
f -, CO-y/: `, Check all that apply 'Boiler Heat Air
'Nime(or nae of business) For Items 6-10,see
mor Pump Cond Qty Price Amt
footnotes 1,2Com_
_ _ ••
rc ti� T ff/v14 D/ 6)<3HP;absorb unit to
Occupant Mailing Address 100K BTU _ _
_ _ _ 6.00
7)3-15 HP,absorb unit
city/State Zlp Phone 100k to 500k BTU _ 111.00
B) 15-30 HP;absorb --
unit.5-1 mil BTU _ 15.00
Name
Contractor 9)30-50 HP;absorb
r T •�n7�[k P/,r%r ti unit 1-1.75 mil BTU 2250
Prior to permit M Iling dress 10 — -- -- -- —
�� _ )>50HP;absorb unit
issuance,a copy // .S- ,'/-C = 7t ,, i >1.75 mil BTU _ _ 3750
of all licenses Cny/State Zip Phone 11)Air handling unit to 10,00(;CFM
are required if I iL `�.N') /y i-
_ _ 4.50
erpired in COT gon Const.Cont Board Lic.# Exp Date 12)Air handling unit 10,000 CFM+
_database 9 ' 1 -i t--' _ _ _ __ 7 50
va
Architect Name 13)Mon-portable eporate cooler_ - '
450_
p. Mailing Address i -- 14)Vent fan connected to a single duct
3.00
En
15)Ventilation system not included in
Engineer City/Stale — zip Phone
9 a�liance�e ^—au 4.50
by xh
16)Hood served by mechanical eaust
ato
Describe work to be done: _ 4.50 _
17)Domestic Incinerrs—
New O Repair O Replace with like kind: Yes O No 01 750
Residentialp Commercial O 16)Commercial or industrial type incinerator
30.00
Additional information or description of work: 19)Repair units
7 0 (ry} Fu e,'--'Mr V ['/y�(•ys P Cl _ —_ 4.50
r� 20)Wood stove
NOTE: For Commercial projects only;Units over 400 lbs require _ 4.50
structural gas caks 21)Clothes dryer,etc.
Type of fuel oil O natural gas Iiiiii, LPG O electric O 4.50
_ _ 22)Other units �•- - —
I hereby acknowledge that I have read this application,that the infonnation _ _____ 4.50
given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets
the owner,that plans Submitted are in compliance wit..CGregon State laws See footnote 1 2.00 d (r
24)More than 4-per outlet(each) — -
51 ure of Owner%ent- Date - -__ .50
(4 �.%) �j Mtnlmum Permit Fee$25.00 SUBTOTAL Zj,r'r
Contact Person Na j Phone
- ---- - ----
�� _ 5%SURCHARGE Z
/ 7 C� PIAN REVIEW 25%OF SUBTOTAL
Foonotes for comma lal projects only: _ Required for ALL commercial onI
1 Provide full schematic of existing and proposed gas line and pressure � TOTAL �
2 Provide drawings to scale showing existing and proposed mechanical `'L ,
units. *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I Unechperm dor, rev 02/4/99
CITY OF TIGARD BUILDIWG INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line 639-4171
BUP
._Date Requested 5'S ��_AM_ - —PM BLD
Location_ =.rZL?L. )(z'd L '7 Suite _ _ MEC — —
Contact Person Ph Cr`2� 'J�y PLM
Contractor— _-_— M� L Ph SWR
BUILDING Tenant/Owner ELC �
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftg Drain
Crawl Drain Inspertion Notes: 5GN -- — -
Slab
Post& Beam - -- -- - ----- SIT ---
Ext Sheath/Shear
Int Sheath/Shear --`-- -
Framing
Insulation --- ---- ---
Drywall Nailing
Firewall - - - --
Fire Sprinkler
File Alarm
Susp'd Ceiling
Roof --
Misr, - ----- _- ---_.
Final --------__ - --- ------------
PASS PART FAIL --------- -_ ---..__._` ---_— -- _ --_---
PLUMBING
Post& Beam � --------------- -- — - ------
Under Slat
Top Out __-_-_._-__..- -------____--- --
Water Service
Sanitary Sewer - ----------- -- _--- - - --
Rain Drains
,-inal - --- --- - --- ----- --
PASS PART FAIL
MECHANICAL ------ -_------- —_—_- ---
Post& Beam - --- -- ----_- -
Rough In
Gas Line -
Smoke Dampers
Final -- ..-------- -- -----
PASS PART FAIL
service - -
Rough In '1'W V ioLc- - ---- -- _---.--- --------
UG/Slab -
Low Voltage - -- ` , �_-_--------- -__ -•- --
F'
ina
PASS ART FAIL
- Backfill/Grading -- - -------- - ---- - .-----
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$-- _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
BasiB
Catch n
Fire h Basipnly Line [ ]Please call for reinspection RE: j Unable to inspect-no access
AICA -N
ApprOtheoach!SidPwalk -�� Inspector Ext
Date - --- - -
Final \�
PASS PART FAIL DO NOT REMOVE this inspection record from the ,job site.
CITY
�� TIGARD
I���D _ ELECTRICAL PERMIT
PERMIT M ELC1999-00264
DEVELOPMENT SERVICES DATE ISSUED: 5/3/99
Ill 25 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCF 1S134AC-01400
SITE ADDRESS: 11405 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R-4.5
BLOCK: LOT : 042 JURISDICTION: TIG
Project D-scription: Add a first branch circuit to an existing single family dwelling.
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION.
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG-
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL 110):
SERVICE/FEEDER — BRANCH CIRCUITS _ ADD'L INSPECTIONS _—
0 2,10 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: iN PLANT:
601 - 1000 amp: _ _ _ PLAN REVIEW SECTION _
1000+ amp/volt. >=4 RES UNITS: > 690 VOLT NOMINAL:
Reconnec' only: _SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC:
Owner: Contractor:
ANNA TANADA MT HOOD ELECTRIC INC
SW IRONWOOD LOOP 8900 SW BURNHAM RD
TIGARD, OR 97223 UNIT F-27
TIGARD, OR 97223
Phone: Phone: 639-5833
Reg #- LIC 000011
SJP 3H01S
ELE 34-425C
FEES - Required Inspections --__
Type By Date Amount Receipt Elect'I Service
PRMT GEO 5/3/99 $35.00 99-315013 Elect'I Final
-5PCT GEO 5/3199 $1.7.5 99-315013 ORIGINAL
Total $36.75
This Permit is issued subject to the regulations contained in the Tigard Municipal Code State o OR Specialty Codes and all other applicable laws.
All ;o^ ,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 fc 'ow rules adopted by the Oregon Mility Notifir.ation Center Those
rules are set forth in OAR 952-001-0010 throug .OAR 952-001-0080 You may ob;,in copies of these rules ordirect questions to Ol1NC at(503)
246-1987
i
d B
Permit Signature: t i' Issuey= ' s
r
_ OWNER INSTALLATION ONLY —
1 he installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _. DATE:��
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ----
LICENSE NO: -
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check u
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Rec'd
Date to P.E. _
Phone (503)639-4171, x304 Print Or Type Date:o DS r_ _
Inspection (503) 639-4175 Permit
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called
1. Jr'> Address: 4. Complete Fee Schedule Below:
Name of Develol r,nent.�_ _ Number of Inspections per permit allowed
Name(or name of bus'ness) In-, C4����° Seiltice incl ided: Items Cost Sum
Address_ l 1 y o 5 .✓ �J�_.(�;0 c� 4a. Residents it-per unit j
1000 sq,ft.or Icas $110-00
-_ 4
Ciry/State/Zip�Z �y c-��_ _ Each additional 500 sq.ft.or
Commercial ❑ Residential L7 portion thereof _ $25.00
Limited Energy $25.00
Each Manuf'd Home or Modular
('walling Service or Feeder $68.00
2a. Contractor installation only:
(Attach copy of all CLVr t llcdes) / l 4b.Servicrrs or Feeders
Electrical C ntraCtOr j� o Lac-ry C- L. Installation,altoratlon,or relocation
201 amps to 4b
Address (,�_.� BHT^a� f�? I 200 amps or ions -_ $60.00 2
;amps $80.00 2
City_ State0.ZlpA 2 3___` 101 amps to 600 an.ps $12 0 2
PhoneT601 amps to 1000 amps $18k 10 2
Job No. M _ Over 1060 amps or volte $340.00 2
Elec. Cont. Lice. No._ Z�� Exp.Date I Reconnect only $50.00 2
OR State CCB Reg. No. l 114,( /� -Exp.Date --S C)o 4c.Temporary Services or Feecrers
CGT Business Tax or Metro No. Exp Date 12 : Installation,aitwatlon,or relocation
200 amps or less $50.00 2
Signature of Supr Elec'n - 201 amps to 400 amps $75.00
401 amps to 600 amps $100.00
r Over 600 amps to 1000 volts,
License Nr Mot _-__Exp.Date__-.__ see"b"above.
Phone N, - b _ - ----- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name___ feeder fee.
AdJress Each branch circuit $5.00
- - b)The fee for branch circuits
City -- State Zip_`_ without purchase of
Phone N0. __ _ _ _ __ service or feeder fee. [ q-C
Fust branch circuit $35.00 ✓ 2
The installation is being mac'j on property I own which is not Each additional branch circuit_ $5.00
Intended for sale, lease or rent. 4e.Miscellaneous
Owner's Signature (Service or feeder not Included)
9 --_.- Each pump or irrigation circle $40.00
Each sign or outline light,Tg $40.011 2
3. Plan Review section (if required). I Signal circuits)or a Ilmitt d energy-
panel,alteration or exten.9on $4000 2
Please check appropriate item and enter fee in section 58. Minor Labels(10) $100.00
A or more residential units in one structure 4f.Each additional Inspect'on over
Service and fneder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection - $1 ;.00
Classified area or structure containing special occupancy Per hour _- $55.00
as described in N.E.C.Chapter 5 In Plant _ $5500 -�
'Submit 2 sets of plans with application where any of the above apply. 5. Fees: C-0
Not required for tempora y construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $ s
NOTICE subtotal $ 31
5b.Enter 25%of line 6e for /
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r uired(Sec.3) $ �
NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal �
IS SUSprNOED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY )3
TIME AFTER WORK IS COMMENCED. 11 Trusr Account k
Total balance Due �-
1AD6T61E An APP Rev 9196