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12310 SW 131ST AVENUE 4 � r Mm A ADDRESS: I /;3-10 sw /s/!TAMUx i H N r F- J O I:Vc-oords%rnicroilm\targetsVwilding.doc w J CITYOF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- — BUIR _ _Date Requested ?>k ,AM�� PM BLD — — Location �-��%� _ Suite MEC _ Contact Person �.�y Ph L) �L `7C PLM C)ntr3ctor_ Ph SWR BUILDING Tenant/Owner Retaining Wall ELR _ Footing Access: — — Foundation FPS _ Ftg Dral r SGN _ Crawl Drain Inspection Notes: - - - Slab _ ---- -- -- --- SIT Post& Beam --- Ext Sheath/Shear _ Int Sheath/Shear Framing -- ------ ---------- Insulation Drywall Nailing --- Firewall Fire Sprinkler _-,-- --- -_._ -- —_-- _ Fire Alarm Si Ceiling ----_- Roof Mise Final ---- PASS PART FAIL ------ ----- ------- PLUMBING Post& Beam -------- - -- -------- -- -- - Under Slab Top Out Water Service Sanit: •y Sewer --A Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough -- -- -- -- - �- -- - - --- - Rough In _;as Line -- --- -- - - -._ _- -` — _—._-- Smoke Dampers Final ------ ---- PA F_AII_ jiUE-CTF;ICAL :iP.rvice LL Rough In -------- _..-- --- -- -- �- UG/Slab � Low Voltage ^.-- `n Fire Alarm !T/�_ - ------ --_....--- ------ -- - - -- ---- — — _ '- ina �- J ASS PART FAIT- --------- - -- - — --- -- -- SITE c 7 Backfill/Grading - - — -- --- ----- -- - Sanitary Sewer Storm Drain j ] Reinspection fee if$^ required before next inspection Pay at City Hal:;, 131"-5 SW Hall Blvd Catch Basin Fire Supply Line f ] Please call for reinspection RF - — _ _ [ ]Unable to inF iect-no access ADA ` J Approach/Sidewalk ' Other Date --Inspector__ � Ext _ Fina! PASS PART FAIL- 00 NOT REMOVE this inspection record from the job site. CITY OF TIGAIRD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 -- Date Requested_ A� ;'.P _PM BUP--_— BL LocationI`�. � i � Suite „— MECO (� ��•S S Contact Person nl't?� Ph � �,�-�jQ � PLM Contractor _ — Ph SWR BUILDING — Tenant/Owner ELC _ Retaining Wall ELR Focting Access: Foundation FPS Ftg Drain ---- SGN Crawl .)rain Inspection Nctes - Slat; - — _ — -- SIT Post R Beam Ext Sheath/Shear Int Sheath/Shear - Framing Insrdation Drywall Nailing — ---------- - ------- --- - ---- Firewall ? �' Fire Sprinkler _✓-" ?— _—._ Fire Alarm Susp'd Ceiling Roof Misc - -- - Final PASS FART FAIL --- PLUMBING Post&Eeam -- _---� Under Slab _ Top Out Water Service Sanitary Sewer -� Pain Drains FinFJ PASS P T_ FAIL ! A.NICAL ' — Pc Rough In Gas Line - - - ------- Smoke Da milers i ASB PART _FAIL .ECTRICAL - - - ---- - Service - - ---- - --- Rough In L- UG/Slab Z Low Voltage v� Fire Alarm __----- - Final "- PASS PART FAIL SITE Backfill/Grading --' w Sanitary Sewer J Storm Drain t ]keinspection fee of$r required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin )Please call for reinspection RE: — ; J Unable to Inspect-no access Fire Supply Line ADA �1 , Approach/Sidewalk Other Date hl Inspector- ��.,�i' Ext!_ Final PA. PART FAIL b0 NOT REMOVE this inspection record from the job site. CITYOF TIGARD ELECTRICAL PERMIT PERMIT#: EI.C1999-00760 DEVELOPMENT SERVICES DATE ISSUED: 12/27/1999 13125 SW Hall Blvd.,1-mard, OR 97223 (503} 639-4171 PARC=L: 2S 104AB-09400 SITE ADDRESS: 12310 SW 131ST AVE SUBDIVISION: MORNING HILL NO. 6 ZONING: R-4,5 BLOCK: LOT : 123 JURISDIC"ION: TIG Proiect Description: First branch circuit RESIDENTIAL UNIT TEh1P SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: ~� 0 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: S,3NAL/PANEL: MANF HM/ SVC/ FDR: 601 ramps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O :;RVC 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: > 600 VOLT NOMINAL: Reconnect only_ _SVCIFDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: ^ Owner: Contractor: JIM WASHBURN GRF ELECTRIC 12310 SW 131 ST 15460 SE PARADISE LN TIGARD, OR 97223 MULINO, OR 97042 Phone: Phone: 503-829-4146 Reg #: LIC 00101543 SUN 3003S ELE 26-878C FEES Required Inspections Type By Date Amount Receipt _ Elect'I Service PRMT BON 12/27;199E $37.50 99-32067'/ — Elect'I Final 5PCT BON 12/27/199 $3.00 99.320677 Total $40.50 ORIGINAL This Permit is issued subject to the re;urations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other aprlicable laws. A11 work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 1P0 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR;52-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 Ln PERMITTEE'S SIGNATURE dr A� ISSUED BY: 1 OWNER INSTALLATION ONLY t The installation is being made on property I own which is not intended for sale, lease, or rent. w —� OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N:`�i ` � ' '�`�`V,'` ` DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 02/19/1995 09:20 5038295747 GRF ELECTRIC PAGE W_' CITY Oc TIGARD Electrical Permit Application wan Cnaat, 13125 SW HALL BLVD. Rac'd ey .L TZaARD OR 97=3 Dago-)o'd 7- 77-Phone(503)630.4171,x304 Data to P.E Inspection(503) 639-4175 Print or Type Data to DST_ Fax (503)684.7297 Incomplete or illegible will not be accepted Parrm S-f- I-1 - _ called 1. Job Address: 4. COMPIete F0.9 Schedule Below: Name of Development. LNumber of Instiecoona 99 per p4wrmlt allvwsod Name(or name of busim.$)—j/ ---- --..- �Z�jn S*Mce Included: Address �3- 3 S Lo - -}- Rema Coag gum I -� I 1a. Rwldenwl-prA unit Cify/5t8t Jp /,.:4 A a Z Z -J tool aq.n.or le.a 11111110.00 J Each SM1100ill%- �N 0 N.ft.or Commercial ❑ ReeldentieJ Portion thereof _� $25.00 Umhed Energy $25.00 -'—' 1 t4ome or 2s. Con&vcto lna��o�hl �' E a lb Service or Feeder $55.00 • (A+�copy of all clin,"t Ih>anass) y 4b.Sow-vlo»a or Fee"M - 2 EIactncA)Cpnt,Clpr IneWletbn,alteration.or relocation AQdro 1ta,ILS 200 amps or lore 201 amps to 400 amps2 ap-----z-�S�` _ 401 amps to 600 amps � - 2 Phone Na. _ g2-W L �t $120.00 _ sol amps to 1000 amps 2 .)00 NO. Over 1000 amps or volts ---- S1180.00 2 tuo.ao w Alec.Dont.liras. No. Exp.Oate ^,-- Reconnect only -,_ $60.oq 2 OR State CCB R -z - --- 2 O Exp,Date 4c.Temporary Senrit:as or Feodip" COT Business Tax or Mefro No.-,, Exp.Dere Installation,eiteratron,or relocation 200 amps or less 550.60 Signature of Supr. Elec'n 201 amps to 400 amps JIM= --- — 2 401 amps to samp $100.00 ` Liasnse NO.�)�-_� op_ _ExIJ Over 600 amps to 1000 Vohs, 2 Date Phone No, see-b"above. _ ��It w..!-��..., 4d.Branch giro ilia 2b, For owner InVallatlons: New,sherallon or ertension per panel a)The fee for brand)chcuhs rMfR Print Owners Name Swrchoas of foondep or hear$Ars. Address Each branch dreult Lr.gO 7 City_—_- State __ 7Jp b)The toe for hranch circuits Phone No._ admout purchase of 7 MMn ar raper Am. I J- y� .;13 Flat branch dn;uh -SLI -lQ5 00 �7 2 The instailadon is being ma.!e on property I own whl.,,Is r,ot csch math dir branch rlrsuit SS.00 2 intended for sale, lease Or ren w.Mtaallaneous Ownees Signature (Servloa or I not IncCdod) Each pump or Irrigation j:Irrte S4a.00 2 Fw.h sign or oumne ioung $40.00 �- LL 3, Plan Review sect.on (if required):• Signal circull(s)or a ltmlted energy 2 panel,aharatlon or.noncan sao.00 2 vl- Please check spproprfa le Item and enter fee In section 58. Minor�' a(lo) $100.00 4 or more reeklentlal txwha In ons smimfe of.Each addldonal Inspection ova► Sa^Ace and faatfar 223 srnpta 0r more the allowable In any c'r*e above Srtrtem ovt•600 vglts nxnhW Per Inspectlon $3i 00 Classified arm of stnulurs corTtelnln0 sP r'Pj 0=Uperxy Per hour -- $55.W u deeaitxd In N E.0 f hapter 5 In Plant SbS 00 _ Uj Sub-It Z sats of plana wtrrt application where any of the above app!y. 5. Fees; Net rsqulred for Wmpornry oonstructfon sartices. go.�ntar total of shove foaa ' S �� x eur ,ero.(ff.x ZMW rI tion $ _ � tsuerrood : — - PERMfT9 BECOME VOID IF'/JORK OR CONSTRUCTION AUTHORIZED IS bb.Enter 25%of Arw is forPlan Rev1•w If IVOL111 (Sec.3) s .40T COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK s roar : IS SUSPENDED 091 ARANDCAdED FOR A PERIOD OF 1110 OAY8 AT ANY TIME AFTER WORK 19 COMIv1ENCED, Tn,r1 Account M 1'61*1 belancv Due j CITYITY O F T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00559 13125 SW Hall Blvd.,Tigard, OR 97223 %'503) 639-4171 DATE ISSUED: 12117/1999 PARCEL: 2S 104AB-09400 SIZE ADDRESS: 12310 S4N 131ST AVE SUBDIVISION: MORNING HILL NO. 6 ZONING: R-4.5 BLOCK: LOT: 123 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O;PPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ _ HOODS: FUEL TYPES _ 0 • 3 Hr: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HAND_L!NG UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installat on of an air conditioning unit. A/C unit.,: cannot be placed within the required set back areas. Owner: I FEES _ JIM WASHBURN Type By Date Amount Receipt 12310 SW 131ST PRMT GEO 12/17/19 $50.00 99-320529 TIGARD, OR 97223 5PCT GEO 12/17/19f $4.00 99-32052.9 Total $54.00 Phone: -- -` -- Contractor: GEORGE MORLAN PLUMBING + HEATING 12585 SW PACIFIC HWY (CCB EXPIRES 6/19/2002) REQUIRED INSPECTIONS "GARD, qR 97223 Cooling Unt !.-,::p Phone: Final Insr)ection Reg#:LIC 00002734 PLM 26-60P07 ORIGINAL i— v� 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 bo (-,,jne 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 'J follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of ese rales or direct questions to OUNC by calling (503)246-9189. �.�= , � � Issue By: � % �� Permittee Signature: =� Call (503) 639-4175 by 7:00 P.M. for insp4)ctl'--ns needed the next business day DEC-15-1999 14 13 F•Lil A.ti z 2'J r" 11liAr\V fill IGVa1afuVae a tCe11119IL rlJJFl„4x.fL1 it Rec'dBy — 13125 SW HALL BLVD. RECEIVED Commercial and Residential . Date Recd TIGARD, OR 9722: Date to P.E. (503) 639-44,71, X304 DEC 119 1999 Date to DST_ l,c),6 ��!�." Print or Type T,ef—pe rmltx�lE� to �� `�'llI�IUNIIY UEVELUf MUNI Called Incomplete or illegible applications will not be accepted Name orOevelopmen ro)en Description eJ [�, � Table 1A Mechanical Code City Price Amt Job Street nacres. bunco A) Permit Fee _ r, 16.00 C,- )2 3� � 1) Furnace to 100,000 BTU Address QQ,3/V y_(�J / � Including ducts&vents see footnote 1,2 9.65 Slags Clryrslate ZIP 2) Furnace 100,000 BTU+ r Including duds&vents see footnota 1,2 1 12,00 Nage(or name of busln,rsf) 3) Floor Furnace Owner including vent Roe footnote 1,2 9.65 M�IIL^g Aeeras� 4) suspended heater,wall healer or floor mounted heater see footnote 1,2 9.65 5? Vent not included in apr liarre ennit 4.75 cny/stme zIP atone Check all that apply "Boller Heat Air —_ For Items 6-10,gee or Pump Cond City Pnce Amt Name(or norma W buflneul footnotes 1,2 Com 6)<3,W'absorb unit to 100K BTU 9,65 Occupant Memng Addresi 7)3-15 HP.absorb unit 100 to 500k BTU — _ 17.65 ctly/stale ZIP Phone B) 15-30 HP;absorb unit.5-1 mil BTU _24.15 9)30-50 HP;absorb Contractor Nan`" �y�� unit 1-1.75 mil BTU 36.00 / / /01-1 Qn Pl arab 10)>50HP;absorb unit Prior to pen-nit MaIIIn Add esf C� � ,1.75 mil BTU 60.15 _ Issuance,a copy o &)-I/ �_. 11 Air handling unit to t0,00u CFM of al,licenses Carrs to ZIP Phone _ 7.00 are requi rd if 12)Air handling unit 10,000 CFM* expired In COT u sn on-m cont,board tic M r Lxpt DO _ 11.85 database r j4 7. OCD 13)Non-portable evaporate cooler Archlteat Nam^ 7.00 14)Vent fan connected to a single duct — 4,75 Mailing Addrnof - Or 15)Ventilallon system not Included In _ 2ppliance permit 7.00 Engineer CRY/State ZIP Phone 16)Hood served by mechanical exhaust Dtlsrnbe work to be done:_' L 17)Domestic Incinerators J r'�t t-a I- C u n L,(.7 _ 12.00 New O Ref air O Replace with like kind: Yes O No O 1 B)Commercial or industrial type Incinerator i:esidential l�. Commercial 0 48 25 _ 19)Repair unit5 Additioral information or descfiption of work 8.40 20)Wood stove/gas FP/other unit�,lciothe dryer/etc. 7.00 NGTE: For Commercial projects only;Units over 400 lbs require 21)Gen piping one to four outlets _ structural gas rales See footnote 1 375 ry(ee of fuel: oll O natural gas O LPG O electric 2 Mort,than 4-per outlet(each) 75 _ Minimum Permit Fee$50.00 SUBTOTAL M G, 1 hf reby acknowl,dge that I have read this application,that the Information %SURCHARGE 1 y,VkVll. t?Q livnn is correct,that I em the owner or nuthon?ed agent of PLAN REVIEW 25%OF SUBTOTAL �tt" ~ Required for ALL commercial ermlts only he owner,that plans submitted are in compliance with Oregon State laws. - -- ---- TOTAL 14 00 ~ figuturoOwner/Agent Data -- --- r' Other Inspectlons and Fees: 1. Inspections outside of normal businesis hours(minlnum charge-two C-0 :ori ct Person Name Phone hours) $50.00 per hour w 2. Inspections for which no fan It speclfically Indicated (minimum J �� vis ( _&POO charge-half hour) (50.00 per hour oonotes for commercial prvJects only: 3. Add;tlonal plan review raqulred by changes,additions or revlslons to Provide full schematic of existing and proposed gas line and pressure. plans(minimum charge-one-half hour)(60.00 per hour Provide drawings to scale showing existing and proposed mechanical 'Slate Contractor 9oiler Certification required units.un . AIJ rrqulr's site plan showing placement of unit I rriechperm.do^, rev 7/19199 DEC-15-1999 14: 14 r e� 3�5 i Vr1 O c✓ � cJ' �.� j ,t TOTAL P.02