12538 SW 134TH AVENUE ADDRESS:
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CITY OF TIGARD SUIL.MNG INSPECTION DIVISIGN MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - - —
_
BLIP
21) Date Requested" `� t IL—Am ---PM — BLD —
Location 12- S 3$ vU 5r 3 -f {'� il�' Suite EC
Contact Person `0,4 Ph
Contractor_ (!� Lt akv- Ph SWR _—
BUILDING Tenan v;rler ) DAT PI� �j2 - 7CJ1�, LC 01
Retaining Wall `— ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: --
Slab
��' JIT
Post& Beam --
Ext Stieath/Shear
Int Sheath/Shear —
Framing _ —
Insulation
Drywall Nailing
Firewal!
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _--
Roof
Mise. -- - - — -
Final
PASS PART FAIL
PLUMBING
Post& Beam — — --
U,ider Slab
Fop Out __—
Water Service
Sanita,y Sewer
Rain Drains
Final — .__— -------- ---------
P FAIL —_ — --------�_� ------
MECHANIC
Post& Beam — _-
Rough In
Gas Line
;Smoke DampeIP,xr
S T FAIL
LECTRICAL --- ------- - --
Service — --- _ — ---- -
Rough In
UG/Slab
Low Voltage
H Fire Alarm
it
PART FAIL_
SITE
r Backfill/Grading -���— -- — --- - -- ---
Sanitary Sewer
S'xm Drain [ J Reinspection fee of$ —requirod before next inspection. Pay at City Hall, 13125 SW Hall Blvd
(,atch Basin
Fire Supply Line I [ J Please call for reinspection RE _ _— ( J Unable to inspect-no access
ADA
Approach/Sidewalk
Other Dace `�5 �� inspector_ ,-� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
PA
CITY OF TIGARD ELECTRICAL PERMI
DEVELOPMENT SERVICES PERMIT #: ELC98--0199
13125 SW Hall Blvd, Tigard,OR97223 (503)619-4171 DATE_ ISSUED: 04/17/98
PARCEL: 2S1O4AC--02800
SI-fE ADDRESS. . . : 125-;'8 SW ].34TH AVE
SUBDIVISION. . . . :MORNING HILL_ 8 ZfINT.N(3: R--25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 172 JURISDICTION: TIG
Pro j ect De set-i pt i on : Installingg 1 branch circuit.
---RES I DENT I AL UNIT---- ----TEMP SRVC/FEEDERS------ -------MISCELLANEOUS--- -
1.000
------MISCELLANEOUS---
1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 S I GNAL,1PANEL. . . . . . . : 0
MANE. HSI/ SVC/FDR. . : 0 601+amps--100(2. volts. : 0 MINOR LABEL ( 10) . . . : 0
---SERVICE/FEEDER---- ----BRANCH CIRCUITS------- ----ADD' L !NSF'ECTIONS---
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 - ROO amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ------------------•PLAN REVIEW SECTION--------------- -
1000+ amp/volt. . . . . : 0 > -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner- : --______________._.._._...._.._______.__._.___•---._--_------___._______ FEES
DAT RANG type amol-int by dat e recpt
1�538 SW 134TH PRMT $ 35. 00 DEB 04/17/98 98-305028
TIGARD OR 97223 SPCT $ 1. 75 DEB 04/17/98 98-305028
Phone #:
Contractor: ----------------____......_--•__--
THE ELECTRIC GROUP $ 36. 75 TeTAL
472'2, SE MIL.WAUKIE AVE
- --- --- REQU T RE_.L INSPECTIONS ------
PORTLAND OR 97202 Rough--in Eler_t' 1 Final
Phone #: 232-2499 Elect' l Ser-vice
Reg #. . : 000438 - -- -
Phis persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth OAR 1FJ2-001-0010 th 17R 952-001-1987. You say obtain a ropy
9f these rules or direct questions to OUNC, by calling 15031246-1987.
Permittee Signatl.i fin . Issi_red y : � =� ---
------------------------------OWN R IN�JALI_ATION ONLY----------------------------
The installation is being made on p•,-clper-ty I own which is not intended for
sidle, lease, or, rent.
OWNER' S SIGNATURE: --i—_`_--_ DATE:
J
--------------------------CONTRACTOF ?NS
T CATION ONLY------------------------------
SIGNATURE OF SUPR. FLECINs —. DATE:
LICENSE NO: —�c��5 e_� _—. -- - — ----- _
++++++++++++++++++++++++•f++++++-�-+.++++++++++++•F++++++++++++++.....+++++++++f.++++++
Call 639-4175 by 7:00 p. m. for, an inspection needed Lige next bLrsiness day
+++++++++++++++++++fL++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
CITY OF TIGARD WtIectrical Permit Application Plan Chck I1�
13125 SW HALL BLVD. Recd
TIGARD OR 97223 APR 1 Date Recd_ -
Date to P.E.
Phone (503)639-4171, x304 coli.: „ - Date to DST
Print or Type )
Inspection (503) 639-4175 Permit s_ _7
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called_
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development _ Number of Inspections per permit allowed -
Name (er s) T l�.d�ti G. Service included: Items Cost Sum
Address_Lj_ � --'`ati 13 4a. Residential-per unit
��� ��� �Z3 1000 sq.n.ur less $110.00 __ 4
City/State/Zip. ._77�y _ 57� Each additional 500 sq.ft.or
ra� portion thereof $25.00
Commercial ❑ Residentialt;2/ j Limited Energy _ $25.00
-/� Each Manuf'd Home or Modular
Dwelling Service or Feeder � 568.00 _ ?
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contracto - 1 Installation,alteration,or relocation
Address _ k- k i x- r _ 200 amps or less x,60.00 2
201 amps to 400 amps $60.00 2
City State !2A Zip_� C�.3 401 amps to 600 amps $120.00 2
Phone No. -a �' _ 601 ampe to 1000 amps $180.ov
Job No._-' ' - S Over 1000 amps or volts 2
Eli Cont. I ice. No. Ii yy5 L Exp.Dale Reconnect only 9' 2
OR State CCB Reg. No. 4 P, I _Exp.D,ate 4c.Temporary Servicca or Feeders
COT Business Tax or Metro No. Exp D/� Installation,alteration,or relocation
/ 200 amps or less $W00 - 2
Signature of Supr. Elec'r .r= -- 201 amps to 400 amps $75.00
401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts,
License No. 2U S Ex .Date _ see"b"above.
Phone No. --2S Z_
4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchaL.e of service or
Print Owner's Name feeder fee.
Address Each brannh circuit $5.00 2
- b)The fee for branch circults
City State _ Zip without purchase of
Phone No. service or,feeder fee.
First branch circuit $35.00 2
The Installation is being made on property I own which Is not Each additional branch circuit_ $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature _._ _ Each pump or Irrigation circle $tiU.00
Each sign or outline lighting $40.00 -
3. Plan Review secticn (if required):` Signal circuit(s)or a limited energy
panel,alteration or extcnelon $40.00 2
Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00
4 or more residential units In one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any o,n e above
v _ System over 600 volts nominal Per Inspection $35.00
> -_Classified area or structure containing special occupancy Per hour $55.00
F- as described In N.E.C.Chapter 5 In Plant _ $55.00
J 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: 3S �-
Not required for temporary construction services. Sri.Enter total of above fees $
W50%Surcharge(.05 X total fees) $ �_
-� NOTICE Subtotal $ �.
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Seo.3) $ -----NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account
Total balance Due $
I
rlos r61ELC96 APP nev%96
CITY GF TIGARD MECHANICAL_
,—
DEVELOPMENT S .RVICES PERMIT
PERMIT #. . . . . . . . MEC98-0129
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/15/913
PARCEL: `S 1O4A'_—02800
SITE ADDRESS. . . : 12538 SW 134TH AVE
SUBDIVISION. . . . : MORNING HILL L ZONING: R-1-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 172 JURISDICTION: TIG
---•---------------- .
CLASS OF WORK. . :ALT FLOOR FURN. . . . • 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS- - 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL-: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------- 0—C W!-1- . . . : 0 DOMES. I NC I N: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS. 0
FIRE DAMPERS^. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE_. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------- ----- AIR HANDLING UN I T5 OTHER UNITS. : 0
FURN ( 1O0K BTU: 0 <= 1.0000 cfm : 1 GAS OUTLETS. ; 0
FURN ) =1O0K BTU: 0 ) 10000 cfm : 0
Remarks : Installing exterior A/f, unit. Unit must not encroach into 5' side or
rear yard setaack.
Owner --------------------------------------------------------- FEES ----__--- --- -
UHT WING type amot-int by date recpt
12538 SW 134TH PROIT $ 25. 00 B 04/15/98 98-304959
TIGARD OR 97223 SPCT $ 1. 215 B 04/ 15/98 9✓<'-304959
Phone #.-
Contractor:
:Contractor: -----------------------------------
DIRECT AIRE
2208 NW 8I RDSDALF_ ------------------------------
GTE
---------------------- ---_—_GTE 10 $ 2G. 25 TOTAL
GRESHAM OR 97010
Phone #:
Reg #. . : 000744
--------- P,EG?UIREi) INSF'ECTIOhl5 --------- .
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of 0re. Specialty Codes and all other Final Inspection
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 sore __,�._�
C I than 180 days. ATTENTION: Oregon law requires you to follow rules
n adopted by the Oregon Utility Notification Center. Those rules are _.....
r set forth in OAR 952-N1-A01N through OAR 952-001-88A8. You say
J obtain copies of these rules or direct questions to OUNC by calling
t (503)246-9187. -
W _ --
J -
��Y Permittee Signature
/
B y : � - _.__ 9
....+f+f......... .......+++t+.i.-F............... ........1....tt................t
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
+t+t ttt++tttt... ........++f+tt............+tot++t+++......+t
Plan Check
CITY OF TlGARD Mechanical Permit Application Recd By
13125 SVV HALL BLVD. Commercial and Residential Date Recd '� . i571
TIGARD, OR 9T223 Date to P E.
(503) 639-4171, x304 Date to DST
Print or Type Permit>M �71711-1�1
Called
Incomp!ete or illegible applications will not be accepted
Name of oeveiopm..,pro, Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address ,1, Surtea A) Permit Fee -4D- -0- 10.00
Address
Ahgit C ,slate zip v� 1.) Furnace to 100,000 BTU S''t
1 includin2 duras&vents _
Name nor name or business) 2.) Furnace 100,000 BTU+ 7.50
Owner including ducts&vents
°1ling
53A 1. 3.) Floor Furnace 6.00
_qo
�1 _ including vent
Ay/state zip I hone 4.) Suspended heater,wall heater 6.00
or flour mounted heater
la namr,cl business) 5.) Vent not included in appliance permit 3,00
Occupant Mating Address• '"`' 6) Boiler or comp,heat pump,air Gond. 600
to 3 HP:absorb unit to 100K BUT"
crtyistaleZip Phone 7.) Boiler or comp,heat pump,air cond. 11.00
3-15 HP:absorb unit to 500K BTU"
Contractor Name 8) Boder or comp,heat pump,air Gond. 15.00
(Prior to 1 4 15-30 HP.absorb unit 5-1 mil BTU"
issuance Mating Address 9) Boder or tomo,heat pump,air Gond. 22,50
applicant ' Q' t 30-50 HP:absom unit 1-1.75mii BTU" _
must provide aft cityistate ^y�zip Phone 10.) Boder or comp,heat pump,air Gond 3750
contractor t >50 HP:absorb unit 1.75 mil BTU"
license Oregon Conn cont.eoary Lice 2xp Date 11.) Air handling unit to 10,000 CFMI 4.50
inforrnati�n I
for COT COT Business Tax or Mend M Exp.Date 12.) Air handling unit 10.000 CFM 750
database).
Architect N8'1° - 13) Non-portable evaporate cooler 4 50
or Mailing Address 14) Vent fan connected to a single duct 3.00
Engineer crtylstale 7. Zip Pho:e 1L.) Ventilation system nit .icluded to 450
appliance permit _
Describe work Ne;;O Addition O Alteration O Repair O 16) Hood served by mechanical exhaust 450
to be done Residen nal O Non-residential O _
Additional Desc.-iption of work 17.) Domestic incinerators 750
18) Commercial or industrial type 30.00
incinerator
Existing use of 19) Repair units 4.50
building or property'
20) Wood stove 4 50
Proposed use of 21 ) Clothes dryer,etc. 450
building or properly"'
22 1 Other units 450
Type of fuel-oil O natural gas// LPG O electric O 23 I Gas piping one to four outlets 200
1 hereby acknowledge that I have read this application,that it-a 24) More than aper outlets(each) 50
information given.s correct that I am the owner or auP ,razed agent
the owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL
laws
Signature of Owner/Agent Date 'SUBTOTAL
C
5%SURCHARGE
Contact Pers n Nama ' Phone PLAN REVIEW 25%OF SUBTOTAL
TOTAL
t
ldstlmechpmt doc (rev 9 Minimum permit lee is 325+5%surcharge)
"Residential AIC requicaillfi plan showing placement of unit
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