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11700 SW 134TH TERRACE a ADDRESSW j/700 SW 13#8,rw Ln l areeord-lrtticm(hAto rgo(slt)uild(ng.doc w J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 BusinesE Line: 639-4171 — 5`9 0 BUP Date Requested_. _AM 7 D PM _ BLD J Location / / 2an SLS � Suite MEC Contact Person / Ph PLM Contractor J0 C0 j9�?3G D�`,t—A Ph _ — SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation FPS Fig Drain — Crawl Drain Inspect;on Notes: SGN Slab _ _— _ _ SIT Post& Beam --- --- Ext Sheath/Shear Ir,t Sheath/Shear — -v— Framing Insulation Drywall NailingFirewall Fire Fire Sprinkler - Fi�e Alarm Susp'd Ceiling _- Roof Misc: - Final —� — PASS PART FAIL .PLUMBING _ Post& Beam Under 'p --------- -- -------- --- —- - Under Slab TopOut ------------__--� —.._._ ---- -- Water Servicc Sanitary Sewer Rain Drains Final PASS PART FAIL eAf,4 �r _ I ✓1 _` ` — MECHANICAL Post& Beam _--- - --- - Gas Line Smake Dampe s iA_ S�S_ PART FAIT_ ELECTRICAL Service Rough In ------ - ---- - -- — --- UG/Slab -- —._ - — --- — - -- Low Voltage Fire Alarm _ r Final PASS PAR? FAIL J SITE Backfill,Grading w Sanitary Sewer -' Storm Drain I 1 Reinspection fee of$- -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I Please call for reinspection RE: Fire Supply Lim, � ]Unable b inspect- no access ADA Approach/Side walk V/X A/ Other Date Inspector '�-� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD RI-';',DING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-41 i'5 Business Line: 639-4171 —� _ BUP Date Requested_ � ��AM 'T PM --- BLD Location + ;' ;' .��� S(1) �3���1 Te--.e z nr Suite MFC Contact Person / _ Ph PLM Contractor , , let tea(, Ph --L SWR BUILDING Tenant/Owner j�l h r/ S -6�`�7 ELC f7 -e,, 9 Retaining Wall ELR _ Footing Foundation AC bcav c�` FPS Fig Drain NOT REQUESTED Z C' Crawl DainIng FOUND DURING RESEARCH SGN Slao NO INSPECTION(S) IN FILE SIT Post&Beam Ext Sheath/Shear -- - Int Sheath/Shea, Framing - Insulation Drywall Nailing -�"�- ------ Firewall Fire Sprinkler _--- - -- Fire Alarm Susp'd Ceiling _ -- - Roof Misc - -�Misc: -- Final - PASS PART FAIL - --- - - - - - -- -- PLUMBING Post&Beam -- ------- - �� - ---- Under Slab t=_- TopOut --._.- - - ---------- --- --- - ---- Water Service _ Sanitary -::wer --- -- ---- Rain D,ains _ - Final ----- PnSS PART FAIL MECHANICAL Post A beam --- ':cugh In Gas Line — ---- - -W_..- -- -- - _ - Smoke Dampers Final --- PASS PART FAIL ELECTRICAL - Servia' - -_--- — ---- Rough In CL UG/Slab - re Low Volteige V) Fire Alarm _-- _-- -- r- _ ,' PART FAIL ° Backfill/Grading --- -- - W Sanitary Sewer -j Storm Drain l 1 R«inspecuv., fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Cath Basin I please call for reinspection RE:_ [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date --Inspects �.�Ext Other _ r, LPASS PART FAII"_ DO NOT REMOVE this inspection recc►rfd from the orb Site. CITY O TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . . MEC97-0142 13i15SWHallBlvd,, Tigard,tIR97223 ,503)639.4Pj DATE ISSUED• 05/23/97 PARCEL: 1S133DL-08000 SITE ADDRESS. . . : 11700 SW 134TF1 TERR S1JBDIVISION. . . . : WINTER LAKE ZONING: R-1.2 BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . : 11 JURISDICTION: TIG CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 , OCCUPANCY GRP. . :H` VENTS W/O APDL: 0 VENT SYSTEMS: 0 ISTJRIES. . . . . . . . ; 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------..- - ---------_--_- 0--:3 HP. . . . : 1 DOMES. INCIN: 0 COMM_. I NC I N: 0 MAX INPUT: 0 BTU 15-30 HID— . : 0 REPAIR UN?TS: 0 FIRE DAMPERS?. . : 30-50 HP— _ 0 WOODSTOVES. . : 0 GAS PRESSURE_. . . : 50+ Hr'. . . . : 0 CLO DRYERS. . : 0 IVO. OF UNITS---•-•-•------ AIR HANDLING UNITS OTHER UNITS. : 0 F=URN < 100K RTU: 0 (= 10000 cfm : 0 GAS OUTLETS. : 0 FURN > =100K BTU: 0 > 10000 cfm : 0 Remarks : INSTL BOILER/COMP/HEAT PUMP I/ AIR CONDITIONING UNITS CANNOT BE PLACED OUTSIDE SETBACKS Owner,: ___________________.___._._________._---_.-----___.---___.______- FEES ------ ---- ---- .JOANN FORBES type amol_rnt by date recpt 11700 SW 134TH TER PRMT $ 25. 00 TAT 05/23/97 97-295050 TIGARD OR 97223 5PCT $ 1. 25 TAT 05/23/97 97-295050 Phone #: 524-6095 C o n t r-.actor•: ---------------------------------- SERVICE NOW OF OREGON INC PO BOX 551 WEST LINN OR 97068 Phone #: 655-7358 $ 26. 25 TOTAL Rey #. . : 001102 -- -- -- REOU I RED INSPECTIONS - - ----This permit is issued subject to the regulations contained in the Mechanical Ins p Tigard Municipal Code, Stale of Ore. Specialty Codes and all other M i sc. Inspection applicable laws. All Mork will be done in accordance with Final inspection _ C- approved plars. This permit will expire if work is not started Cif within 180 days of issuance, or if work is suspended for more than 180 days. 4 P e r m i.t t e e S i g n a t r_r r e : w I s s i_r e d B Y Call for inspection - 639--4175 CfTY OF TtGARD Plan Check to Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. (503) 639-4171, X304 Date to DST_ Print or Type Permit A —T Incompleie or illegible applications will not be accepted called Narrr Of MnuPMj*0 Description Table 1A Mechanical Code QTY PRICE AMT .lob smraem Aoutasf Suae/ A) Permit Fee 0 -0- 10.00 Address Stu, 1 )NfMTerr _ ewge cewsumu LP B) Supplemental Pennd 300 Nammr lo►"�°1 a"r'arrl 1.) Furnsmce to 100,000 BTU 600 Owner e' ►� -� incl.duds A vee its Me+r :�l gAaorerr 2.) Furnace 100.000 BTU+ 7.50 Tt? incl.ducts Q vents Cewt a to t'n01w 3.) Fk-x Fuma�e G.00 —_ r C•r 7 �5 __ inU .ermt I �rw l n�of tx+sr»sal — 4•) Suspended heater.wan heater 6.00 Occupant ' *�+ or Plow mounted heater 5.) Vent not nd.in 3.00 -- -- appliance permit � - I oro 6.) Boiler or comp.heat pump,ar cow. 6.00 i to 3 HP:absorp unit to 100K BTU T.) Boiler of comp.heat pump.air cow. ab!2T In to 5"BTU Contractor _�� � e.) �Bciler or - -� comp.heat pump,air cond. 15.00 S u 'C-0'..( x 15-30 HP.Amwi p unit.5.1 mil BTU Attaccopyd CeNstre � Plsmer9.) Boiler or co .heat pump,air conal. 2250 Current urttnt Licenses rrp30-50 HF'-absorp and 1-1.75 mi BTU PaK Lies Dau 10.) Boder or ctmp.hent Pump.ar cord. 37.50 ` J_L_. - . -97 __ >50 HP.at corp unit 1 75 and BTU COT ttrumrsa Tar or Moro t bap.Wu 11.) Ar harx" in$to 4.50 t -t 10.000 CFR Architect Name 12.) Ar harrr'',my and 750 or o peons. 10.000 CTM+ 13) Non portable 4.50 Engineer est" zZ�ipl�. � �Cooler 14.) Vent fan connected 3.00 to a single dud Describe work New O Adddbm O Alteration O Repan(5--1 15.) Ventilabon system not 4.50 to be done Residential Q No 14"idential O inckx*d.n appliance perind Additional Description of wait `-- 16) Hood served by medwiczil exhaust 450 1 T1 Dornesuc rmrrerallors 7.50 (—Exmshng use of t8) Cormrrmerrral or r,eustnal 30.00 budding or property __ type inclnetatof 19.) Clothes dryers,etc 4.50 Proposed use of building or 20) Other writs 4.50 ung property--- Type of fuel-ail O natural gas O LPG O electrx O 21) Gas piping one to tour outlets x.00 I hereby acknowledge that 1 have read thinsapplication•that the 22) More than 4-per outlet (each) 50 inkxmabon given is corretz,that I am the owner or authorized agent of the owner,that plans submitted are in compriance with Oregon State QTY.SUBTOTAL L �. l6.clo Signature of erfAge Date /) 'SUBTOTAL le ��.�,,7.--- SX SURCHARGE ,F0 Contact erson Name Phone PLAN REVIEW 25%OF SUBTOTAL 00 �1lrrmecJmpmtda TOTAL 'Minimum permit file is$25•Ski surcharge 7196 LL rt J C W RECEIVED MAY 2 2 1997 COMMUNITY DEVELOPMENT CIT` ( OF TIGARD ELECTRICAL. PERMIT D 7VELOPMENT SERVICES PERMIT #: ELC 97-0291 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 05!23/97 PARCEL: 1S1373DC-08000 SITE ADDRESS. . . : 117O0 SW 134TH TERR SUBDIVISION. . . . :WINTER LAKE ZONING: R-12 BLOCV. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11 JURISDICTION: TIG Pr,o J ect De scr,i pt i on : install 2 brae ch circuits // job N 5391 - - -RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----- ------MISCELLANEOUS---.------ 1000 SF OR LESS. . . . : 0 0 - 1'_00 amp. . . . . . . : 0 PUMP,/I RRIGATIf_1N. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL/PnNEI.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0 -----SERV ICE/FEEDER----..- ------BRnNCH CIRCUITS--------- -----ADD' L 1 NSPECT I ONS---- - 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . 0 401 - 600 amp. . . . . . : 0 EA ^nn' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 --_------ --------F'I_AN REVIEW 1000+ amp/vol' . . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: --------------------------------------------------------- FEES ___________________ _TOANN FORBES type amoi_tnt by date r-ecpt 11700 SW 134TH TER PRMT $ 40. 00 TAT 05/22/97 97-294955 TIGARD OR 97223 SPCT" $ c. 00 TAT 05/2.='/97 97--294955 Phone #: Contractor: ATLAS ELECTRICAL CONTRACTORS $ 42. 00 TOTAL_ 4403 SE ROETHE RD REQUIRED INSPECTIONS MILWALIKIE OR 97267 Ceiling Cover Under,gv-oi.md Cove Phone #: 659--2212 Wall Cover Elect' .l Strvice Reg #. . : 000015 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm ' t ee SignatIV7a 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 susaended for more !� than 190 days. I s 4,.ted By INSTALLATION ONLY-­- The NLY- __The installation is being made on property I own which is not intended for- V) orV) .'ale, lease, or rent. > OWNER' S SIGNATURE: DATE: --------------------------CONTRACTOR INSTAL_LATTON ONLY-------------------•--------- w SIGNATURE OF SUPR. EL.EC' N: DATE: I.I CENSE NO: Is Call for, inspection - 639-4175 08/211/96 13:1.4 V503 684 7297 CITY OF TIGARD Q't002/002 Community Development ELECTRICAL PERMiT APPLICATION 13125 SW Hall Blvd. � C Tigard, OR 97223 Permft# ' Phone (503)639-4171 Date Issued O�1ICiARD TDO (503) 664-7297 ©n No. (503) 654-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below., Name of Development__-_____ ___— Numb of inspections per p'ernM mid Address 11700 SW 134 t_h Terr acp 5erAw Odu.ted: 111" COsttea) sum CitylStatefZJp V vird, nt=-eyon 'x-11223 p -per unit :110.00 1000 sq. ft.wnae Name (or name of business) ,John Fol-hc•s t:*Maddit-wSOwtr It ar pardw U14"f tai o0 Commercial ❑ Realdentlal CA ►110611E EW X00 1 each~d MWM m alO&JW Dow4 Sow"or F06 Woo 2a. Contractor installation only: 41L lsorvlCaa or FoadaKs MrWlak altaraYon,or MWA*n Electrical Cpr At-i �s F;I ectr i-cal Cc utr act _>rs 2OO�or%M po.00 2 1771117, 7777 --- Feu no Address L '!' _ 2Q1 avo ro 400 air i 7 City MiIwauki State OP Zip 9721 67 `° W"to�"°"low Wr" 1116000a Phone No. _ - �'T7 ---- OVW 110M wR•or vala saao.oO 2 Job NO. Y- — -- a..a,r»a ony �, woo 2 contractor"% license NO. 1512 �� 4<Tem r, �acvtres a Feeders Contractor's Board Reg. No. - � �.rsza.UM.r T � wr 2 Signature of Supr. Ele�n s: ;/, rs__ 2[ wM9orNo- ----- 2 License No. 25815 Phone Mn 659-2212r 201 ar„ra a 40o anal Woo _ 2 401 an,oa to coo-Mm rsao ooreao ansna m tow AMM iloc.ao 2b. For owner Installations: ata V 41d.Branch Ctfvuft Print Owners Name _ __ �— rww.aasasaM er a.+ -1- Pa Iwo Addrr_ss _ al,The No rot NO PC arm"%ares 2 Cfi State Zp� Gfnow tff��.rsl..atirna. i aa.at Phone No. _ _ b)TA4 r.s ror nnvo s7Mpd4 w0gow Tie installabon is being made on property 1 own which is psrcl*veorairfe.orftoftr&a. I not intpnded for salr, lease or rrnL "W�'d'em,, as w 3 •UU reo11 addIWYY aranrlr tldM —r sb.00 � owner'sS nature!_ 4w. trial (Swim or feeder not included) 2 -1. Plan Review section (if required): train W r " I tai '� f'0°0 2 Eidl Oen Or OInY"a/PIMP l40.W _ SAVW eisdl(p)or a kneed anarpp Please chsct approprtatra ihwn and enter fes in section 58. oana.street^cr serwul�s tafi.00 4 or nxuw rsesidonW tette%, hs one MCM6 AMno►Lob"!10) Jim W �— Service and feeder 225 amps or morn 41.EP.tr alddi vimal Impaction ovw _Systern over 600 volt no mina) Cla -tified area or structure containing smdat occupancy the allowable h1 Arty of the abavo as desmbed In N I-C. -.h;V 5 Par hrpac�ars M00 w Par sw�P eR.lq _ In Pkm tlla.00 Sutantt 1 sets of pians vw4h appgcatlan whom tarry of the abaw apNtY. NrA reQvi-er1 for k-wonery mrWouction services. 5& enter foul or @" fvM : 40.00 NOT1C' rj%Surzitsrge fol [tet-' fee) 2 CLQ ijFRMrTS OECOME VON)IF WORK OR CONSTRUCTION Sb.Enter 5Suer 225 d7 C1C] X d tae A for AUTHORIZED IS NOT COMMENCM WITHIN 180 DAYS. OR IF lalen Revkw if required (Sec3) ' CONSTRUCTION OR VMFtK IS SUSPEMMn OR ARANnONFD FOR SYbto{r 8 A AFRIOD OF 19t)DAYS AT ANY TIME AFTER WORK IS COMMENCED. Trust A000unt 0 ' PM Wo notonce Due 42.00