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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested /7 AM PMS BLD
Location ry�5 '7� y �i7�� CGvU Suite M
Contact Person _ Ph PLM
Contractor - �'���2 /��r� _ Ph SWR
BUILDING Tenant/Owner �— �YR
Retaining Wall
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab — SIT
Post$ Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation �\
Drywall Nailing
(Firewall — \
Fire Sprinkler
Fire Alarm 5 ��r
Susp'd Ceiling ---------- ---- --10
— ---
Roof
Misc:-- --- --- --
Final
PASS PART FAIL ------ - — —
PLUMBING
Post& Beam -- _-- - --
Under Slab
Top Out - ------- .—.—_ — --
Water Seniice
Sanitary Sewer
Rain Drains —
Final
PA PART FAIT_
Rough In
L:
Gas Line --------------- ----- ---— -- --
e Dampers
T FAIL
TRICA --- - __-- - ---- —
vice - --— - ---------
Rough In
UG/Slab -- — -- - --- --
Low Voltage
Fir arm —
J
r-+
S. PART FAIL
LL SITE
J Backfill/Grading
Sanitary Sewer
Storm Drain [ 1 P,c.nspeclion fee of E_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: ( ] Unable to inspect-no access
Fire Supply Line -
ADA �.
ApproachlSidewalk Date 'Inspector - Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY C F T I G A R D MECHANICAL
DEVELOPMENT SERVICES PERMITPERMIT #. . . . . . . : MEC39-0087
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 03/02/99
PARCEL: 2S111AC-0.1600
SITE ADDRESS. . . : 14545 SW 921\11) AVE
SUBDIVISION. . . . : PINEBROOK TERRACE ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O57 JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOOR FUnN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEA-PERS. . : 0 VENT FANS_ - 0
OCCUPANCY GRP. . : R3 VENTS W/0 APDL: 0 VENT SYSTEM'2: 0
STORIES. . . . . . . . : 0 BOILER5/COMrRESSORS HOODS. . . . . . . : 0
P
FUEL TYPES--------.----- 0-3 HP. . . . : I DOMES. INCIN: 0
-GAS 315 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT': 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVE.S. . : 0
GAS PRESSURE. . . : 50+ HP. .. . . : 0 CLO DRYERS_ : 0
NO. OF' UNITS---------,-- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 10000 cfm ; 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remay-l�s : Exterior A/C unit. Unit must not encroach into 5' side or rear yard
setbacks.
Owner,: FEES
CRAIG WILAND type amol-crit by date t-ecpt
14545 SW 92ND AVE PRMT $ 25. 00 B 03/02/99 99-313368
TIGARD OR 97223 5PCT $ 1. 25 B 03/02/99 99-313368
Phone #:
Contractor:
SPARKS HEATING It COOLING
ORIAN JOSEPH SPARKS JR
6636 SE 91ST $ 26. 25 TOTAL
PORTLAND OR 97266
Phone #;
Reg #. . : 89946
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Misc. Inspection ......
Tigard Municipal Code, State of Ore. 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 more
Ln than 180 diys. ATTENTION: Oregon law requires you to follow rales
adopted by the Oregon Utility Notification Center. Those rules are
set forth in DAR 952-00I-0018 through OAR 952-901-9880, fou may
obtain copies of these rules or direct questions to OLK by calling
CM
Iss�_le BY- Permittee Siqnati-tre :
+4.........*++++++......+++++++++++++-1..................+-+++++++4-A.......4 4..........
Call 639-4175 by 7:00 p. m. fat- inspections needed the next bmsiness day
.................I.....................4•...........4................................
PI
CITY OF TIGARD Mechanical Permit Application h
Recd r
13125 SW HALL BLVD. Commercial and Residential Date Recd 1,5-2 1
'TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST, _/
Print or Type Permit#N I
Incomplete or illegible applications will not be accepted Called _
Name of Development/Projed Description --T_
Table 1A Mechanical Code Qt Price Amt
Job Street Address Suite# A) Permit Fee . 10.00
Address � 5 < �� 0A 1) Furnace to 100,000 BTU
Z including ducts&vents see foc,tnote 1,,i 6.00
Bldg# CflylState Zip 2) Furnace 100,000 BTU
including ducts&vents see footnote 1,2 7.50
Name(or name of business) 3) Floor Furnace
Owner C - including vent _ see footnote 1,2 _ 6.00
Mailing Addresr, �� 4) Suspended heater,wall heater
r or floor moulded heater see footnote 1,2 6.00
5) Vent not included in appliance permit
�Cit-yy//S'tate ^ -'f Zip Phone -O
3 00
L,
c. q f LI_ �DL�-O - Chock all that apply: 'Boiler Heal Air
Name name ofusiness) - For items 6.10,see or Pump Cond Qty Price Amt
footnotes 1,2 Comp ••
Occupant Mailing Address GOOK BU
P, bsorb unit to r o
_ 6.00 ('
_ 7)3-15 HP;absorb unit
City/State ZipPhone 100k to 500k BTU 11.00
8)15-30 HP;absorb
Contractor Name unit.5-1 mil BTU 15.00
—
„ •` ( +� ` 9) tabsorb
unitt 1-1.1-1.755 mil BTU 22.50
Prior to permit Melling AAdbr`ess 1 _ s— 10)>50HP;absorb unit _
issuance,a copy 7I_ >1.75 mil BTU _ 37.50
of all licerses cit rata zip"Date
11)Air handling I nit to 10,000 CFM
are required if r- nvu 72 4-ri) _
expired In COT Oregon Const Cont Billiard uc# 12)Air handling unit 10,000 CFM4database q 9 y _ 7.50
Architect Name 13)Non-portable evaporaiL oler
4.50
Or Mailing Address 14)Vent fan connected to a single duct
_ 3.00
15)Ventilation system not included in
Engineer CitylState zip Phone appliance permit _ 4.50
_ 16)Hood served oy mechanical exhaust
Describe work to be done: 4.50
17)Domestic Incinerators
New O( Repair O Replace with like kind: Yes O No O 11 5_0
Residential d Commercial O 18)Commercial or Industrial type incinerator
3000
Additional Information or description of work: 19)Repair units
4.50
20)Wood stove -
NOTE: For Commercial projects only,Units over 400 lbs require 4.50
�1. structural gas calcs. 21)Clothes dryer,etc.
N Type of fuel oil O natural gas� LPG O electric O 4.50
22)Other units
I hereby acknowledge that I have read this application,that the information 4.50 _
�- given is correct,that I am the owner or authorized agent of 23)Gas piping one to'our outlets
e owner,that plans submitted are in compliance with Oregon State laws See footnote 1 _ 2.00
24)More than 4-per outlet(eat..1)
Signalture of O rlA ant Date ij
W --- — __2--q Mlnlmum Permit Fee 525.00 SUBTOTALon ame Phone y�j / C _ 5°�SURCHARGE rl 5 �I l` � PLAN REVIEW 25%OF SUBTOTALFoonotes for com ercial projects only• Required for ALL commercial permits onl1 Provide full schematic of existing and proposed gas line and pressure TOTAL2 Provide drawings to scale showing existing and proposed mechanicalSl
units *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I lrnechpemi doc rev 02/4/99
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CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC99-0116
DATE ISSUED: 02/24/99
13125 SW Hall Blvd., Tigard,OR 97223(50.3)639-4171
PARCEL: 2SI11AC-01600
SITE ADDRESS. . . : 14545 SW 92ND AVE
SUBDIVISION. . . . :PINEBROOK TERRACE ZONING.-R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O57 JURISDICTION: TIG
Proj ect De scr i pt i on : Install a first branch circuit.
----------------------------------------------------------------------------------------
UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-------
1000
----MISCELLANEOUS———1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PIUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/PDR. . - 0 601+amps-1000 Volts. : 0 MINOR LABEL. ( 10) . . . : 0
------SERVICE/FEEDER------ ----BRANCH CIRCUITS—— -----.ADL)IL INSPECTIONS—-
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER- 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 REVIEW SECT I
1000+ amplvolt. . . . . : 0 )=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL.
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: FEES
CRAIG WILAND type amol-(nt by date reept
14545 SW 92ND AVE PRMT $ 35. 00 GED 02/24/99 99-313225
TIGARD OR 97223 5PCT $ 1. 75 GED 02/24/99 99-313225
Phone #:
Contractor: -----------------------------
CRAIG WILAND $ 36. 75 TOTAL
14545 SW 92ND AVE
------- REOUIRED INSPECTIONS -----
TIGARD OR 97224 Elect' l Service
Phone #: Elect' l Final
Reg #. . :
This permit is issued subject to the regulations cintained in the Tigard Municival Code, State of Oregon Specialty Codes and a)] other
applicable laws. All work will be done in accoidince with approved plans. This hermit 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 in GAR 952-001-0010 through OAR 952--001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
1_(1r,�_\ r -
Permittee Pli 11TIat Issi-ted By
Ln
INSTALLATION
The installation is being made on property I own which is not intended for,
sale, lease, or ren k__,L,,
OWNER' S SIGNATURE: DATE:
f
_______.___.-------------CONTRACTOR INSTALLATION ONLY-----------------------_--_-
SIGNATURE
NLY----------------------------
SIGNATURE OF SUPR. ELECIN: DATE:
1__ICENSE NO:
...................+++++++i.++++++++++++.4+.....4 4++++.....+.f.+++++.............4Cal 1 6313-4175 by 7:00 p. m. for An inspection needed the next bi.is iness day
................................................................................
CITY OF TIGARD Electrical Permit Application Plan Check n
13125 SW HALL BLVD. Recd By
Date Rac'd
TIGARD OR 97223 Date to P.E.
Phone (503)639-4171, x304 Date to DST
Print or Type �,,�
Inspection (503) 639 4175 Permit# ��C/�" Cs//fc•�
Fax (503) 684-7297 I^complete or illegible will not be a��Anted Celled
1. Job Address: 4. Complete Fee ,�,chedule Below:
Name of Development_ _ _ Numbe u'Inspectlons per per...::allowed
Name(or name of business)6R416 /1144 _ Service included: Items Cost Sum
Address 17, 16 S11N ND AtIC-r 4a. Residential-per unit
1000 sq.ft.or less $110.00 _ 4
City/State/Zip 7-16PIL _ 6a 97�2 Fach additional 500 sq.ft.or
portion thereof $25.00 __ 1
Commercial ❑ Residential Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor Installation,alteration,or relocation
-- - 200 amps or less $60.00 _ 2
Address - -__ - - -_ 201 amps to 400 amps $80.00 _ 2
City___ State _.___-_Zip_ _ 401 amps to 600 amps $120.00 2
Phone No. _ _, 601 amps to 1000 amps $180.00 __ 2
Over 1000 amps or volts _ $340.00 _
Job No. �- - Reconnect only _ $50.00 L
Elec.Cont. Lice. No. Exp.Date _^__ ?
OR State CCB Reg. No._ Exp.Date -_ 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date _ Installation,alteration,or relocnlnm
200 amps or less $50.00 _
Signature of Su r. Elec'n _� 201 amps to 400 amps _ $75.00
i
9 p 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts,
License No._ Exp.D ite__ _ see"b"above.
Phone No.____ -- --- -- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name LAA«i wit-A N feeder fee.
Address_ /'�fYt T W, 9f-t!R /4 E Each branch circuit $5.00
b)The fee for branch circuits
City_-aG'-AI Staten- _ Zip_ 2- _ without purchase of
Phone No. 2'/�__�_ service or feeder fee.
First branch circuit $35.00
The installation is being made on property I own which is not Each additional branch circuit_ $5.00
intended for sale, lease or rent. A 4e.Miscellaneous
(Service or feeder not included) _
Owner's Signature -- Each pump or irrigation circle $40.00
Each sign or outline lighting $40.00 '
a 3. Plan Review section (if required):* Signal 1,alteration
i or o limited energy
,._. penal,alteration or extension $40.00 2
rc Minor Labels(10) __ $100.00 ------
v~i Please check appropriate Item and enter fee In section 5B.
y 4 or more residential units in one structure 4f.Each additlonal Inspection over
H Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
�^ Classified area or structure containing special occupancy Per hour $55.00
C.0
as described in N.E.C.Chapter 5 In Plant $55.00
L
Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ -35,00
5010 Surcharge(.05 X total fees) $ -1;7y
NOTICE Subtotal $
5b.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED-OR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account k_
TIME AFTER WORK IS COMMENCED --- $ 36,75
Total balance Due
wsrMELcee APP n@v 9/96
CITY OF TIGARD MECHAN I CA1_
PERMIT
Ct'MMPNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC93-0334
1,3125 SW Hall Blvd.Tigard,Oregon 97223.8169 (io#d39-4171 DATE
ISSUED: 12/07/93
Pf'R .E:L: 2S1 11A—C 160
OB�IVISI�S. e : 14545 SW 92ND AVE ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . : R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES—_._.______.___.... 0 HP. . . . : DOMES. I NC I N:
: /GAS/ / / 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. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
TURN ( 100K LTU: 1 (- 10000 cfm : GAS OUTLETS. : 1
f L.3RN ) =100K BTU: > 10000 cfm :
Remail<s; :
Owner•: ------------•---------------------•------------------- FEES --------------
CRAIG WILAND type amo1-int by date recpt
14545 SW 92ND AVE PRMT $ 25. 00 JH 122/07/93 —
5PCT $ 1. 25 JH 12/07/93 —
TIGARD OR 97223
Phone #:
Contractor,:
PIONEER FURNACE
;,61:� NE BROADWAY
PORTLAND OR 97232Phone #: 249 -5000 $ 26. 25 TOTAL
F2ey #. . 36102
_----- REQUIRED INSPECTIONS ------
This pewit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. 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 issuanc►, or if work is suspended for more
than 180 days.
Permittee Signati.rre :/
I s s i_r e d B y : _
�J
Call for inspection — 639—•4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # _
13125 SVS Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
—Tj•^• Description
Table 3A Mechanical Code QTY PRICE AMT
Job •p 1 `,n � (� h d i) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
/�^»a^�» �• Furnace to
1) incl. ducts d vents 6.00
M.ftv 11 Ma ^• Furnace 100,000 +
Owner 1�` `� � .� i%) 2) incl. ducts&vents 7.50
Floor Furnance
o 9?p 3) incl. vent 6.00
J' •^»p •e& Suspended rwall heater
4) or floor mounted heater 6.00
I
M.
Occupant •y »• — '-'—� Vent not incl.to
5 appliance permit 3.40
epan of heating,refrig.
6) cooling,absorption unit 6.00
_
Boiler or comp, eat pump,air con&.—
ALCir _ 7) to 3 HP absorp unit to 100K BTU 6.00
ro »• n,,f
Boiler or comp,heat pump,air cond.
8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor P
J � Boiler or comp,heat pump,au con .
U ir t (I 1,/\C'G �/k rl 1G:�' 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
/ Caty 1ka,lax No Boiler or comp,heat pump,air cond.
C L1 10) 30-50 HP absorp unit 1.1.75 mil BTU [2.50
—FTsere y ac n owl 1kc1go that I have're9dthis application,that the Boiler or comp,heat pump,air co
information given iss` tZ ,-Ihbf l am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with Slate Air handling unit to
Laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
pleasa give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
Vent fan r- qoctod
15) to a sing) ;t 3.00
Ventilation system not
C AU /)C'e—N o� 16) included in appliance permit 4.50
4 py,.• w q•m •rO Sor y
17) mechanical exhaust 4.50
Do-cribe work new addition alteration 0 repair Commercial or industrial
to be done residential non-residential Q 18) type incinerator 30.00
Existing use of Other t e.,woodslove,water
building or property t 3--Y_r' 19) heater, solar, clothes dryers,etc. 4.50
r•. +
in Proposed use of 20) Gas piping one to tour outlets I 2.00 `
y building or property
21) More than 4 per outlet
Type of fuel -oil Q natural gas r LPG electric Q
w
NOTICELD
�5
ut Minimum Fee$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCAAROE �
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 Lr`'_ �V 1(� L'\�. r7C► �—L{f V]A GQ-
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