9255 SW INEZ STREET CTS
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9255 SW INEZ ST
CITY OF TIGA!.RD 24-Hour
BUILDING Inspectior Litre: 03) 639-4175
INSPECTION DIVISION Business I ine: 503)639-4171 MST
DUP
Received __— -___ --��__Date Requested 5 —AM— _ PM ,-____—__ 3UP
Location L; �JSf Suite_ — �II �U� - `�f�4' 2-
Contact Person ---__ _ Ph PLM
Contractor -- --- - - -------- -- — Ph(— ) -- --- SWR
BUILDING Tenant/Owner __ ELy� ��'� rCC Z
Footing
Foundation ELC
Mc lc
F ELR
Drain Access: = 'S 2
Crawl Drain Gi / ►�, _; � _ _
Slab Inspection Notes: SIT
Post& Beam — — 1 i✓f'`I G� �,�----- ---
Shear Anchors
Fxt Sheath/Shear
Int Sheath/;,iea, y —
Framing -- - _
Insulation
Drywall Nailing -- - -- —
Firewall
Fire Sprinkler ---- --- --------
Fire Alarm
SuQp'd Ceiling -�--� -
Roof
Other: ---- - _-- -
Final
PASS_PART FAIL ------- -- '' — -- -- --
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service - -- --- ---
Sanitary Sewer
Rain Drains --- - - - - - - --- —
Catch Basin/Manhole
Storm Drain ----- ----- -
Shower Pan
Other:
Final
PASS PART FAIL -
VK
Pos eam
Rough-In
Gas Line
Smoke Dampers
ASS PART FAIL ---
CTRIC _
Rough-In
UG/Slab
Low Voltage
Fire Alarm
PAS PART FAIL
❑ Reinspection fee of$_ __�.. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: —_ ___�_____ n Unable to inspect-no access
Fire Supply Line
ADA
Dates. ? — __ Mspsctor -- - Ext
Approach/Sidewalks—
�d
Other:
Final DO NOT REMOVE this Inspection r o6rd from the job site.
PASS PART FAIL
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMfr#: MEC2004-00629
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/20/2004
SITE ADDRESS: 09255 SW INEZ ST PARCEL: 2S111AB-06700
SUBDIVISION: PENROSE TERRACE ZONING: R-4.5
BLOCK: LOT: 012 JURISDICTION: TIG
CLASS OF WORK: OTR^ V FLOOR FURN: v 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP-
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K. GTLI: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm:� 1 OTHER UNITS:
> 10000 Cf m: GAS OUTLETS:
Remarks: Replace air handler.
Owner: FEES
SCOT T, ARLA Description Date Arnount
9255 SW INEZ
TIGARD, OR 9722.4 [MECIII 1'ermit Fee 9/20/2002 $72.50
[TAX]R%State Surchart 9/20/200, $5.80
Phone: Total $78.30
Contractnr:
SPEC IALTI'HEATING &COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS _
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�roih 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.
Issued By: n ; �: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next IsIness day
Mecharil(al Permit An>alication FOR OFFICE 11RE,ONLV,
City of Tig 3rd Reeeived (' �,�1// ^ �n
�^ DetolBy Gf �Qr� /� _ PetlnitNo. ��1►yc�`1'_'� rJ `7
13125 9W Hall Blvd,,Tigard,OR 977 rl Plan Review
Phone: 30 Line: 03 ,.4Fax, 4fi3��.Gi( ;E! V E D Dateay: Other Permit:
Inspection Line: 103.639.4175 LLL-•...``��••��••��tt�.�� _ ,
Internet: vww.ci tigard.ortry,
us Dole Ready Wis.l ® See page I for
200yNotiBed/ht°LGod: Supplemental information
C.'EfhL mkd AL )FEke SCIMDULE - USE-CHECKLIST
❑New constrt ction — ¢t( cument Mechanical permit fees•are based on the vabte of the work
'/f performed.Indicate the value(rounde 1 to the nearest dollar)of all
-❑---D-e-m-o-lition ter: mechanical materials,equipment,Inbar,overhead and tirrifir
6 CATGOR OF C(3N5�LRU�i iON'
t o•. Vabie:S
T RESIDISNtIAI EQUIPMENT/SYSTEMS FEES•
1-and 2-Can ily dwelling ❑Comm rcial/industrial �,J Accer.;ory building _
❑Multi-famtl) ❑ For special information use checklist.
❑Master builder Othc r
-rr--------� Descr.pnon —TQty. Ea. Total
9TfiE'�IYFORII(ATION AND LOCA:rtbN Reatln coolln
Job site address_ 1 � l� —( Air conditioning or heat pump
]_ _ rcQuires site Ian showinglaeenant 14.00
Ciry/5tateJ7.iP � ' ;it , (tJL� Furnace 100,000 BTU(duct/vents) 14.(01
5uttefbld ./ t.n) '- -- Furnace 100 000+BTU duetsivents -17 90
-
_ 8 _ Prosect name:
_ at Gas heu 1400
Cross street/dircc tions to job site: Duct work 1400
H dronic hot waters stem 1400
�--- -- Residential boiler,(radiator or
h dronic) 14.00
Unit heaters(fuel-type,not electric),
_ in-wall,in-duct,suspended,etc. 1000
Subdivision. -- Lot no.: Flue/vent for any of above 10.00
Other L7r 1000
Tax map/parcel n).; Other fuel appliances _
DESCRIPTION OF WUItK. Watorheater ID.00
- '— Gas fireplace 10.00
Flue vent for water heater or gas
sire lace^_ 10.00
!,os lighter as 10.00
Woo&' ellet stove in 00
Wood fire lace/insert 10.03
_Chimney/1--r/slue/vent 10.0J
NamOther 10.00_
Name. y-Ccs L' 4 {iI.FK'� Environmental exhaust and ventlletIon -
Address: Range hood/other kitchen
---— _
equipment _ 10.00_
City/Statc/2iP. _ Clothes dryer exhaust
10.00
Phone:( ) r _ } (? Fax:( ) Single-duct exhaust(bathrooms,
toilet corn artments,utile rooms 6.80
l — [� APRLII AN I y
'mu.mOther ID OU�JrgkVII PER�O}V; Attic/crawl ace fans 10.00
f _Business ria e: �
f1+{ 1 Fael piping -
�Conlact nante: S t ` 1' rkr
33.40 for first four;31,00 for each additional
Address _ l tai {"t_ a - Furnace,etc. -- -
..�
CityGas heatu
/Statc/ZIP: f ! �C> t°�bc i .i�}_/ L 3 Wall/suspended/_unit heater
Phone:(Sq` ) _L'V C Fax 'l ,D s') Water heater
i -
�. ,r ,- _-
E mail: Fireplace
i -w I •.r s,. R o e
Barbecue
Business Baine: Clothes dryer(gas)
t---_ --_ - -__ --— Othcr
Address: MOC'1111ANICAL.PERMIT BEES"
Citylstate/Z:P: _ �� Subtotal
Phone ( ) Far,( ) — M Minimurr. permit fee(572 50) is
I - — Plan review(ZS%oCpemut fee)
CCB lic_—� G r �� A �� State surchnrgc(9°rit of penn,t fee) �� �
?OTA( PERMIT FEE t 1 3 o
Authar(red signatu e: I This permit application expirta If a permit Is not obtained within 130
_ -- days after it has been accepted ss cnmpiete
Print name; �-� t t {'t t� Date 7 ryes— I • Fee methodology tet by 7ri-C,unty Building Industry Strviae OoaM
i 1uiW1n1\PennIu%PffiC-P.r ttAppdet 11/07 edCx6117/';,021COM/WllR)
Z •d BiGo ass EDS lutaQeH R4Iatoeds d*oteo bo Lt des
n ^D _-_ELECTRICAL PERM';T
CITY
OF TIGAK
/ \ PERMIT#: EL.C2004-00609
DEVELOPMENT SERVICES DATE ISSUED: 9/24/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111AB-06700
SITE ADDRESS: 09255 SW INEZ ST
SUBDIVISION: PENROSE TERRACE ZONING: R-4.5
BLOCK: LOT : 012 JURISDICTION: TIG
Pro'ect Description: Furnace reconnect.
_RESIDENTIAL.UNIT _ TEMP SRVC/FF..EDERS MISCELLANEOUS
1000 3F 1.1R LESS: 0 - 200 amp: PUMP/IRPIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIPFITED ENERGY: 401 - 600 amp: SIGNAL./PANEL:
MANF HMI SVC/FDR: 601+amps • 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIPCUITS ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER PER INSPECTION:
201 - 400 amp: 1st W/0 SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: FA ADD'L. BRNCH CIRC: 2 IN PLANT:
601 - 1(,J0 amp: _ _ _ _ PLAN REVIEW SECTION
1000+ amp/volt. -4 RES UNITS: _ >600 VOLT NOMINAL:
Reconnect only: SVC/FDI' :-225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SCOTT,ARLA SOHLER ELECTRICAL CONSTRUCTION
9255 SWINEZ 41131 SW BURGARSKY RD
TIGARD,OR 97224 GASTON,OR 97119
Phone: Phone: 971-832-0807
Reg #: LIC 158285
-- -- --- FLF, 34-6670
_ FEES P 594S
Description Date Amount
Required Ins.necUons
I.I.PRNl l j I:LC Pcrnut 9/24%2004 $60.16 -`--- —
ITAXJ 81/6 State Surcharge 9/24/2004 $4.81 Rough-in
L Elect'I Final
Total $64.97
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 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work h
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 OAR 952 001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)
246-0699 or 1-800-332-2.344.
Issued By: 'A!�9�,�' _ Permit Signature: L i;)
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended to sale, lease, or rent.
OWNER'S SIGNATURE: _ __— - DATE:
CONIVACTOR INSTALLATION ONLY
SIGNATUr OF SUPR EL.EC'N: _ _ DATE:—_— _
LICENSE NO: ------- — -------- -------- -- ---- --_
Call 639-4175 by 7:00pm for an inspection the next business day
ElectricalTermitAcs tic iv F�.�.� . .
City of Tigard
DalNt3y.�..f•J �y [ PemoteNo.:'� -�•Y-/
13125 5W Hall Bbvd.,Tigard,OR 97223 -Plau Review
Phone: 503.639.4111 Fax: 503.598.1960 l`l Date/By CNW Permit:
Inspection Lino: 503.639.4175 nate Rtady/By: 121 Ser Page 2_Nr
IntemeL wWw.ciAgard.or.us Notir*NMcibodt supplemental ln,r.rmariun
�• '1'Y>QE'der�,��'�''t. .^--.----- - ',• : PLANREVI�W -- � -
❑New constriction Additi al(cratiou/replaeetnent Please check a0 that apply: --
O Denrolition Other 03c vies over 225 amps,comm'1 []Hazardous location
_ CATEOQRY 6F'icornt 1tuCTIdN - OStavice over 326 amps-rating ❑quilling over to.000 sq.ft.
of I.and 2-family dwellinPs 4 or more new residential
1-and 2-family dwelling ❑Cumtnercialfindustrial ❑Accessory building E] m Sysl eover 600 vultc normnal units in one structure
❑Multi-family Master builder ❑Other. ❑Builr: