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10500 SW 69TH AVENUE ADDRESS : CL" h Cn 1� 1rec:ords\microflm\targets\building.doc \ ) § o LL0 \E -x _ \ c ® 2 } Z \jog )§ o$\ / /± / ) / § 5/-- 0 0 00 00 \ W) k § ® cn k k § CL ) § § 5 § § $ § § = a ( w a C 2 \ Co § \ 2 M ] > \ j \ � o) ) J ) C14 � W = u } /L z j } j � a / U « W )\ \ q k § \ k § 2 � \ \ tn o f/ — n U _ G ® § $ § $ $ § 2 § § 3 § N R3 � c § >_ in G @ ` 0 a § § § § a � m _ \ / a c k 2 e ` g g ) k \ $ k § 2 f I m c m ;L s c ( \ \ CL ƒ $ # G G / q q \ / \ \ \ \ 2 R § / / f © ® J � m d m@ � 2 m m m 2 2 ) a r £] G q ) 2 =5 r7 a > / / @£§ } e)2. 2 ){\) � )Lcl-r: ( � \ » IAI $¥f \ \b\c 3: fLnE vi - CSCcC / §a & C,—> \) £ s `- \ ) \ $ � tt $$t ' 7 {] 2 3 &@eJ= , E k� aR:E \ \ 6) t j Ln k in CD M. ) \ \ \ \& § ƒ § R § ƒ ƒ _ = > )\ T- ce) IRT C) \ \ § \ \ \ \ � � U03 uj j / ƒ 2 \ 9 I E D 0 @ � - m # g U r $ G 2 $ \ $ CL e § z & a a O k § § § § § § $ n o a � 3 > G G % � / a 4 a % » a d § ) @ { a & f y / \ i § \ CD« ` ) \ ) $ / } $ s # 2 2 f ° / © S & \ ) \ j \ \ § \ \ a & 4 $ § $ ? $ § § tsr� CITY OF TIOARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 q Date Requested 5` '�,( AMBUP _ PM 8UP _ Location Suite MEC Contact Person Ph Z5J-JSVR PLM `r Contractor Ph SWR BUILDING — Tenant/Owner ELC S_CX03:Z Retaining Wall ELR Footing Access: Foundation FPS Fig Drain _ Crawl Drain Inspection Notes: SGN Slab -- _ SIT Post&Beam -- Ext Sheath/Shear Int Sheath'Shear Framing1. isulation �4— Drywall Nailing Firewall q: Fire Sprinkler Fire Alarm Susp'd Cei'ing Roof Misc:_ - Final PASS PART FAIL PLUMBING Post&beam ---" - Under Slab Top Out — Water Service Sanitary Sewer Rain Drains Final — PASS PARI' FAIL MECHANICAL Post&Beam - - - - Rough In Gas Une VIJ Smoke Dampers Final -- PASS PART FAIL Service Rough In UG/Slab Low Voltage Fire Alarm V) - - r— $ PART FAIL — J Backfill/Grading - — — LO Sanitary Sewer Storm DrainI [ I Reinsnectwn fee nr$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call far reinspe;hrin tit [ j Unable to Inspect-no at cess ADA Approach/Sidewalk — �~ rtither Date Zoe Inspector Ext Final PASS PART FA;LJ D NOT REMOV'° this inspection record frt;.m they job site. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 V Inspection: �. Footing Susp. Ceiling Sprink. Rough-in Appr/ wik Foundation Plbg. Underslab CWkh. Rough-_ip Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing Plumb. Alarm Water Line Insulation �1ech. ,�D Underflr. Insul. Shear Wall Gyp. Bd. -Elect. 1? Date Requested: /2 S' Time: AM PM Address: Builder: Permit #:M THE FOLLOWING CORRECTIONS ARE REQUIRED: < � A ! LA,- - �r _ Inspector A Date: ! — kAPPROVED `APPROVED ,DISAPPROVED SUBJECT TO ABOVE _Cali For Reinsp. CITY OF TIGARD MECIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC95­0431 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)630-4171 DATE ISSUED: 12/12/95 PARCEL: 10I36AD-1211400 VE ADDRESS. . . : 105JOIZ) SW 69TH AVE ziUBDIVISION. . . . .- VILLA RIDGE ZONING: R--4. 5 SLOCK. . . . . . . . . . L01.. . . . . . . . . . . . . : 1 -------------- CLASS OF WORK. . ,ALT FLOOR FURN. . . 17, EVAP rOOLERS: 0 TYPE OF USE. . . . .SF UNIT HEATERS. . 0 VENT FANO. . . : 121 OCCUPANCY GRP. . : R3 VENTS W/O ADPL: 11i VENT SYSTEMS: 0 STORI ES. . . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . :: ID FUEL 0­3 HP. . . . : 0 I)CIMES. INCIN: Zi : /GAS/ 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 LTU 17j.-3121 Hp. . . . : 0 REPAIR UNITS : 0 FIRE DAMPE"R9% . - 30-50 HP. . . . : 0 WOODSTOVES. . : 10 GAS PRESSURE. . . ; 50+ HP. . . . . 0 ri—in Dr-,yFps. . : o NO. OF LIN IT_s­--­------ AIR HANDL.INCS UNITS OT14ER UNITS. : 0 r"URN < 100K BTU- 1 1111000 (-fin : 0 GAS OUTLETS. : I FURN ) =ioov, BTU: o > -10000 cfm- 0 R en. at-k 5 : Instal. I And riipinq Owliet': ------ FEES CAROL MCCALLISTER t VD. e aamamnt by date r-ecpi; '051710 SW 69TH VIRMT $ 25. 00 JSD IP/12/95 95-273807 51 (.T $ 1. 5 J.;D 12/ 95­273807 TIGARD OR, 97223 Phone # : COLUMBIA HEATING F='0 BOX 2130397 11GAPD OR 97281 Pione #c $ 26. U25 TnTOL Real 1k. . 76:7359 -------- REOUIRCD INSPEcTIONS This persit is issued subiect to the regulations contained in the Mechanical. Ins o Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Inspection acolicatilp laws. All work will be done in accordance with "proved plans. This pewit will expire if work is not started within 180 days of issuanr.t, or if work is suspended for @are than 180 days. Ln ........ Cell for, inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 11@12`0 SW Hall Blvd. APPLICATION Permit # Tigard, OR 9722.3 (503) 639-4171 escnption M 1{C Table 3A Mechanical Code QTY PRICE AMT Job •11 ic, t ^- 1) Permit Fee U- -0 10,00 Address .• tr — �� ) �1 -72,; 2) Supplemental Permit 3.00 • n•m• u. - ur� nate t0 100,000 BTU 1) incl. ducts &vents 6.00 J urnace 100,000 BTU + Owner /('5 � I}� 2) incl. ducts &vents 7 50 / JJ L 4Floor Furnance 1 160 G C � 3) -,r;i vent 600 "• "•m•° �' Suspended heater, wa ea rl-atter 4) or floor mounted heater 6 00 ^'^� •" Vent not nc in Occupant 5) appliance permit 3.00 "'• ^� Repair o ei a ing, re nig 6) cooling, absorption unit 600 offer or comp, neat pump, air cond. F l L 7) to 3 HP; absorp unit M 100K BTU 6.10 "^a °"• Boiler or comp, heat pump, air-35T— X 8) 3-15 HP; absorp unit to 500K BTU 11.00 Contractor offer or comp, heat pump, air cond. ? G 9) 15-30 HP; absorp unit 5-1 and BTU 15.00 •..jobs,•nN. Boiler or comp, heat punip, air cond i `qi 10) 30-50 HP; absorp unit 1-1.75 and BTU 22 50 hereby acknowledge' that I have read this application, that t e Boiler or comp, heat pump, air cond. information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1 75 mil BTU 3750 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws, that I am registered with the Constru 'Ion Contractor's 12) 10,000 CFM 450 Board, that the number given is correct. (If exeml,( from State Air hand Ting—unit registration, please give reason below.) 13) 10.000 CTM + 750 Non portable 14) evaporate cooler 450 Vent tan connected _ 15) to a single duct 3.00 �> Ventilation system not �, r r �( ,,? 16) included in appliance permit 4.50 .,pr•mra iavw,er ar•p e• o0 s@N@ y 17) mechanical exhaust 4.50 escn a work new U addition U aeration repair Commercial or industrial to be done residential f0, non-residential Q 18) type incinerator 30.00 Existing use oOtherwoo stave, water building or property 19) heater, solar, clothes dryers, etc. 4.50 Proposed use of 20) Gas piping r•ne to four outlets 2.00 .VV building or property 2 21) More than 4-per outlet (each) 2.00 r- Type of fuel -oil Q natural ges Q LPG Q electric 0 N NOTICE Minimum Fee 525.00 SUBTOTAL LV il PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5°'• SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR `' ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED — TOTAL Special Conditions Date issued by N LLOOIMOlTl�MlCMMT ELECTRICAL PERMIT PERMIT #: ELCI)5­171632 CITY OF TIGARD DATE ISSUED: 12/15/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-41711 PjARCEL: 13136AD­1�1400 10: C0 LiW *9 illi HVLj J Ll SUBDIVISION. . . . VILLA RIDGE ZONING:R­4. 5 IALOCI-. . . . .. . . . . . . . . . . . . . . . . Plroj ect Description : One branch c cLt i t. UNIT---- ----TEMP cjRVC/FFEDERS----- -----MISCELLANEOUS------ 1.000 SF OR LESS. . . . : 0 171 — 200 amp. . . . . . . : 0 PUMP/lRRiCHAT ION. . . . EACH ADD' L 500SF. . . : 10 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : o LIMITED) ENERGY. . . . . . 0 401 -- 600 kmp. . . . . . . : 0 S I G N A L/I-A N I'l,I.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -_..---SERV I CE/F(7_EDER­­---- —.---BRANCH CIRCUITS.--.---- --.-ADD' L I NSPECT I ONS-- 0 — J,00 a M 1). . . . . . : 0 W/SERVTCE OR FEEDER: 0 PER INSPECTION. . . . . : 0 01 ­ 400 amp. . . . . . : 0 list W/O ERVC OR FOR. : I PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN rLANT. . . . . . . . . . . : 0 601 - 1000 aMP. . . . . : Q) RiZ.Y I E W 10004- amp/volt,, . . . : 1,A ) =4 RES UNITS. . . . . . . . : 600 VOLT NOMINAL.. . .- Reconnect only. 0 SVC/FDR > = 271,15 AMPS. . : CLASS AREA/SPEC 0(-,C. Owner: WL'STSIDE ELUCTRIC type in u,_t n t icy date recot 7518 SW MANADAM AVE PRMT $ _35. 00 CJS 12/15/95 9t5-2,`3954 5PCT $ 1. 7SE CJS 12/13/95 95-273954 1"ORTLAND OR 97219 Phone #.- 503--2'45--_'-'385 l.,Cjrltractor: _—._..____--_._.—....__.. WESTSIDE f-_"L1"-_-CTRIC 36. 7"i; TC)rA1_ II 7518 SW MACADAM AVE- RE­7.0lJIRCf) INSPECTIONS 1-'IORTLAND OR 9*7219 Ceiling Cover Elect, I r1ervice ­tiune Wall Covet, Elect' I Final R e L1.7 #. This permit is issued sub.iect to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signat i-tt-P aotilicable laws, All work will be done in accordance with aooroved plans. This oorvit will excire if ­ork is not started within 180 days of iisuance, or if work is suspended for more than 180 days. B". INSTAL-L-ATION -Fip installation is being made on property I own which ir, not intended for or rent:. OWNER' S lemma. OWNERIS SIGNATUREs DATE- INSTALLATION .;IGNATURE OF SUPIR. ELECINsCjIA�/rr,�/ DA7 E /-S-- 9.5 -ICENSE NO: C a I I for inspection 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 9S--c;,,729- EV f. Permit # Phone (503) 639-4171 Date Issued 12 CITY OF TIGARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Address /VS-00 ��J /� 17 I Servicr included Items Cost(ea) Sum City/State/Zip Z r 4a. Residential- per unit 4 1000 sq it or lose $11000 Name (or narne of business).LC/U/U/-loll e1,10/ Each additional 500 sq It or portion thereof $,",00 1 Commercial Ifl Residential Limited Energy $2500 Each Manut'd Home or Modular Dwelling Service or Feeder $Fe 00 2a. Contractor installation only: / 4b.Services or Feeders / 1 t Imlallalwn,alteration,or relocation 2 Electrical Contractor [ �l 1 /, zoo amps or lose $6000 Address ;7 C R 201 amps to 400 amps $80 00 2 401 amps to 600 amps $12000 City C!/c State Zlp 2 601 amps to 1000 amps $leo 00 — 2 Phone No. Over 1000 amps or volts 934000 Contractor's License No. Reconnect only $6000 4-� H. Contractor's Board Reg. N0. 13 __ 4c.Temporary Sirviees or Feeders Installation,alteration or relccation 2 Signature of Supr. Elec'n 2no amps or lege S5000 T License No. /_���1 lone No. r'= 201 ampe to 400 anips $7900 ` 401 amps to 600 amps $1()(100 Over 600 amps to 1000 volts ^b. For owner installations: sm'b•above 4d. Branch Circuits Print Owner's Name New,alteration or extension per panel Address a)The tee for branch circuits with - _ purchase of seryke or/seder lee. City State Zip Each branch circuit $500 Phone No. h)The fee for branch arcwla wii,,ouf The installation is being made on property I own which is purchase of ssrvke or Reeder fee. not intended for sale, lease or rent. First branch circuit _� $ 500 Each additional branch circuit $500 Owner's Signatulg _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle S400,) Each sign or outline lighting $4000 _ Signal arcutl(s)or a limited energy Please check appropriate item and enter tee in section SB. panel,alteration or extenaio.l S4000 4 or more residential units in one structure Minor Label@(10) $100 00 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. hapter 5 Per impaction $11100 n. . Per hour ---- V15 00 Submit 2 eels of plans with application where any of this above In Plant $55 00 apply. Not required for temporary construction services. S. Fees: 4- -� NOTICE So. Enter total of above fees $ _ 5%Surcharge(.05 X total fees) $ ci PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ Ili Enter 25%of line A for J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Plan Fleview it required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subrot $ A PERIOD OF 1130 DAYS AT ANY TIME AFTER WORK IS COMMENCED Trust Account N $ Bolance Due s _1`