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14795 SW 91ST AVENUE ADDRESS: ._. tali s9/ ir W Av, ►r� LL J iskecords\microllm\targets\l)uilding.doc C;TY OF TIGARD BUILDING INSPE%TION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-417 �.ca j( —� p B wQ Date Requested_ - -�� CL PM -- BSD Location "7 �� S t,� C� - Suite RgEC Contact Person 1 Ph 3 PLM _ Contractor_ `J Ph — SWR BUILDING Tenant/Owner ELC _! Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection K.)t.es: Slab -- _ SIT Post& Beam Lxt Sheath/Shear Int Sheath/Shear Framing —_--_ -- --- Insulation Drywall Nailing — Firewall Fire Sprinkler ---- Fire Alarm Susp'd Ceiling -- ---- --�p _ — -- - - ---- Roof Misc Final PASS PART FAIL ---- ---- -— - -- PLUMBING Post& Beam --s-_- Under Slab Top Out Water Service ----- - - - ---- - --- —_ — — Sanitary Sewer Rain Drains Fina' PASS PAFLJ FAIL MECHANICAL Rough In Gas L ne ----------- - — --- S : Dampers PART FAIL IrMtEre— r Rough In ,rn UG/Slab --_---__ �— -- -- > Low Voltage Fire Alarm PART FAIL _ — --- .__. - -� Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspect?.m. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ) Please call for reinspection RF p Fire Supply Line Unable to inspect-no access ADA Approach/Sidewalk C; - Date � -G`Inspector---- _ Ext Other Final PASS PART FAIL LSO NOT REMOVE this inspection record from the Joh site. CITY MJF TIGARDELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0252 DATE ISSUED: 05/12/98 13125°W Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 2S 1 1 1 All-14700 SIi'E ADDRESS. . . : 14795 SW 91ST AVE SUBDIVISION. . . . :MALLARD LAKES -LON I NG:R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :013 .JURISDICTION: TIG Pro j ect Description: Add a first branch circuit, to an ewisting re Aence. - --F�ESIDENTIAL UNIT---- ----TEMP SRVC/f EEDERS----- -------MISCELLANEOUS----- 1000 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 ar.. . . . . . . . . : 0 S I GNAL./PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1300 volts. : 0 MINOR I.ABEL ( 10) . . . : 0 -----SERVICE/FF-FDER----- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS--- 0 - 200 amp. .. . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 .201 - 400 amp. . . . . . : 0 1st !!/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA V,VD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION------------------ 1000+ amp/volt. . . . . : 0 ) =4 RFS UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . i Reconnect Only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ___--- ---------------_...- --- -__________-_ - --------- FEES ------------------ TOM CURRAN type amount by date recpt 14795 SW 91ST PRMT $ 35. 00 GEO 05/12/98 980305680. TIGARD OR 91224 SPCT $ 1. 75 GEO 05/12/98 980305686 Phone #: Contractor: ------_-___--------------- -- SMARPE ELECTRIC INC $ 36. 75 TOTAL 22605 SW RIGGS -- --- -- REDUIRED INSPECTIONS --- - BEAVERTON OR 97007 Elect' l Service Phone #: 642-7937 Elect' 1 Final Reg #. . : 00081.5 This permit is issued subject to the regulaticns contair:ed in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be dune in accordance with approved pla,.s. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatinn Center. Thule rules are set forth in OAR 952-001-0010 through OAR 952-001-1907. You may obtain a copy of these rules or direct questions to OX ti-1 La;.:^g (503)246-,x97. Permittee Signature :�/��t.�.LQJ _ Issi-ied By• N - -- __--- ----------- --------.OWNER INSTALLATION ONLY----------- The installation is being made on property I own which is not intended for �- sale, lease, or -ent. J OWNER' S S I GNA"FURE: DATE: 03 LD ---------- ------------CONTRACTOR INSTALLATION ONL.Y---------------------------- SIGNATURE OF SUF'R. ELEC' N: C�'� DATE: f.-T CENSE NO: +++.+++++++++++++-+++++++++++++++++++++++++++++++++++++-�.++++++++++++++++a+++.++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business .day +++++++++++++++-F++++++++++++++++++++++++++++++++++++++++++++++.++++++++++++++++ cvey OF TIGARD Electrical Permit Application Plan Check# - 1312.5 SW HALL BLVD. Recd By TIGARD OR 97223 Date Ree'd_ Date to P.E.__ Phone (503) 639-4171, x304 Print or Tyne Date to DST < _ Inspection (iO3) 639-4175 Incomplete or illegible will not be accepted Permit# Fax (503)684-7297 Called_ i+'. Job Address: p� 4. Complete Fee Schedule Below: Name of Development� LC /c.v �/� �' Number of Inspections per permit allowed Nar to(or name of business) 1 b rK" ltd i t a K. Service included: Items Cost Sum Addrcss�4-17R5 5IL) q1 at C�1(7y. 4a. Residential-per unit 1000 sq.ft.or less $110.00 4 City/State/Zip �gLLY /")K, 97��3 Each additional 500 sq.ft.or Commercial ❑ Residential ►❑ Limited thereof $25.00 1 mited Energy $25 00 Each Manul'd Home or Modul<r Dwelling Service or Feeder $68.00 2 2a. Contractor irstallafion only: s (Attach copy of rill urrent license qb.Services or Feeder. ��� Installation,alteration,or relocation Electrical Contractor �" e&- t- L r1 cam_ �,. �- 200 amps or loss $60.00 _ p Add re _ ') (1) ,(-.) 10 nT, 201 amps to 400 amps � $80.00 2 City State T��7 7_ipT-7G'(7 401 amps to 600 amps $120.00 2 Phone No. / 601 amps to 1000 amps $180.00 2 Job NO. Over 1000 amps or volts $340.on 2 Elec.Cont. Lice. No. 14- Reconnect only $50.00 2 OR State CCB Reg. No. I k Exp.DateS '� 4c.Temporary Services or Feeders COT Business Tax or Metrc No '`- I Exp.Date u�_T ` Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n T 1,c,,t0 �' 201 amps to 400 amps $75,00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 3 3 V 66S Exp.Date see"b"above. Phone No.-_-&-q'V 9�ri) ._.__ 4d.Branch Circuits Now,alteration or extension per panel 2b. For Owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 b)The fee for branch circuits City_ State Zip w/thout 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 `. $40.00 _ Each sign or outline lighting � $40.00 2 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension $40.00 -- 2 Minor Labels(10) $100.00 V. Pleast,check appropriate Item and enter fee In section 5B. I or more residential units in one structure 41.Each additional Inspection over �- Service and feeder 225 amps or more the allowable In any of the abovr System over 600 volts nominal Per Inspection `_ $35.00 _ Classified area or structure containing special occupancy Per hour $55 00 5 00 - as described in N.E C.Chapter 5 In Plant $5 Submit 2 sets of plans with application where any of the above apply. 5. Fees: �- Not required tot temporary construction services. 5a.Enter total of above fees $ Z� 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Ente,25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If re uir (Sec 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 $ t tOSTSELC9N APP CITY O F T I G A R ® MECHANICAL F, DEVELOPMENT SERVICESI PERMI r PERMIT #. . . . . . . : MEC98-0169 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 05/11/38 PARCEL: 2SI11AD-14700 SITE ADDRESS. . . : 14795 SW 91ST AVE SUBDIVISION. . . . : MAL.LARDLAKES ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :013 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 APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------ 0-3 HP. . . . - I DOMES. INCIN: 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. . . : FPO+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : o FURN ( 100K BTU: 0 10000 cfm : 0 GAS OUTLETS. : 0 FURN 1 =100K BTU: 0 > 10000 cfm : 0 Remarks : Curran air conditioner Owner: ----------------------------------------------------- FEES --------------- TOM CURRAN type 8MOLIT)t by date recpt 14795 SW 91ST PRIVIT $ 25. 00 JSD 05/11/98 93-305650 TIGARD OR 97224 5FICT $ 1. 25 JSD 05/11/98 96-305650 Phone #: Contractor: ------------------------------ SPECIALTY HEATING & FABRICA"rio 9528 SW TIGARD ST --------- ------------------------------ $ 26. 25 TOTAL TIGARD OR 97223 Phone #: 620-5643 Reg #. . : 006657 -------- REDUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Cooling Unt Insp Tigard Municipal Code, State of Ove. Specialty Codes and all other Final Inspection apphrablp laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 180 days. ATTENHON; Oregon ' jw requires you to foilow rules adupted by the Oregon Utility Noti.ication Center. Those rules are set forth in CAR 952-001-90I0 through OAR You may obtain copies of these rules or direct questions to OLK by calling (503)246-9187. Issue Permittee 9ignatLtre: ............4+-+-+............................................................... Call 639-4175 by 7:00 p. m. for inspections needed the next business day .............4..............................4......4-4-++++4................. ...... Plan Check�f- lZ_ CITY OF TIGARD Mechanical Permit Application Re '13126 SW HALL BLVD. Commercial and Residential Date Recd �1i TIGARD, OR 97223 Date to P.E. (603) 639-4171, X304 Date to DST Print or Type Permit _ Incomplete or illegible applications will not be accepted Called Name of DevelopmentlProiect -� Description � Table 1A Mechanical Code I QTY PRICE AMT Job Street Address Su ON A) Permit Fee 0 -0- 10.00 Address 11)-7 q5 SL,v giz4 Avi I _ eldgacirnstata rJ zip 1 ) Furnace to 100,000 BTU 6.00 4.rd including ducts&vents Name(or na ie of business) 2.) Furnace 100,000 BTU+ 7.50 Owner TL'YYL f"Lily VCS tt including duds&vents Mailing Address p /I 3.) Floor Furnace 6.00 including vent City/State zip Phone 4.) Suspended heater,wall heater 600 I 1- R re( �R 77g.2 G 1C)-,563 or floor mounted heater Nam (or name of business) 5.) Vent not included in appliance permit i 3.00 Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond. f 6.00 to 3 HP;absorb unit to 100K BUT" _ C tyrState Zip Pnone 7.) Boiler or comp,hest pump,air Gond. 11.00 3-t5 HP;absorb unit to 500K BTU"_ ConiractOr Name 81 Boiler or comp,heat pump,air Gond. 1500 c p 16L l+ P Qpt I n q 15-30 HP;absorb unit.5-1 mil BTU" Prior to permit Mailing Address _ ^ 9) Boiler or comp,heat pump,air Gond. 2250 issuance,a ,5,2 r 30-50 FIR absorb unit 1-1.75rnil BTU"' of al!lirenses Ci )Slate Zip ' Phone 10.) Boiler or comp,heat pump,air cond. 37.50 are required if ' >50 HP;absorb unit 1.75 roil BTU" expired in COT r nonst.Cont.Board Lic 0 Exp Date 11 i Air handling unit to 10,000 CFM 4.50 f datab se 5 _ Architect Name 13) Non-portable evaporate cooler 4.50 or Mailing Address 14.) Vent fan connected to a single dud 3.00 Engineer CityrStatezip Phone 15) Ventilation system not included in 450 _ appliance perrmit Describe work New O Addition O Alteration Repair O 16.) Hood served by mechanical exhaust 4.50 to be done Residential Q/ Non-residential O _ Additional Description of work. 17.) Domestic incinerators 750 18.) Commercial or industrial type 30.00 Incinerator Existing use of , 19) Repair units 450 building or property .><; _ 20.) Wood stove 4.50 � Proposed use of ) 21.) Clothes dryer,etc. 4.50 -� Nbuilding or property > 22) Other units 4.50 j Tyle of fuel-oil O natural gas& LPG O electric O 23) Gas piping one to four outlets 2.00 LI: I herrby acknowledge that I have read this application,that the information 24.) More than 4-per outlets(each) 50 I M given is correct.that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State laws QTY SUBTOTAL Signature of Owner/Agent Date *SUBTOTAL s/4, 1 a a E%SURCHARGE J Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL �" Required for all commercial permits only. S 1't.e Y l YV1 Q-1 k P,1 v to a7.b-rJ' b 4 J TOTAL 'Minimum permit fee is$25+5%surcharge "Residential A/C requires site plan showing placement of unit I lmechprmt doc rev 4/98 1 ,�' � __ �_� � - ---�_�_ �__. __-_ � r ___�--_ � � r � - --� ,, J G'�' C7 �! .1 w►. 15 L, U CITY OF TIGARD BUILDING INSPECTION DIViSION 24-Hots Inspection Linc: 6394175 Business Phone: 639.4171 Date Requested: _ 2- 7` 9 _ M. P.M MST: Location: / 7 ��L� �iQi BUP: — "Tenant Suite: Bldg: MEC: ---�� —� Contractor: }'hone: PLM: Owncr.� Phone: EL C: ELR: SIT: BUILDING BLDG(con't) PLUMBING ECHANICAL_ <�, LECTRICAL,,; SITi Site Post/Beam Post/Beam Post/Beam fiver,c-7�ice SeNc r/Storm Footing Roof UndFl/Slab Rough-ha Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsrnt Damp Drywall Stonn Furnace Temp Service MISC. Masonry Ceiling Rain Drr.;;i A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl'Found Dr I scat Pump Low Volt .Approved Approvedppmvcd Approved Appr/Sdwlk Not Approved Not Approved of rove Not Approved FINAL FINAL A! FINAL I a t•- N I-- r� .-r W LL) J Caoreinspection O Reinspmtion fee of 3_ required before next inspection O Unable to inspect Inspector:__,z4f Date:_s,�t Z 7 Page_ of