14803 14805 14807 14809 SW 106TH AVENUE 6 i �
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
/I 13�
Date�Requested AM __PM _ > BLD
Lobation >l�' >l;r } / 7- �t!��� Suite / MEC
.ontact Person '� �v( �^i� l,(� Ph 4k /-7 7 7/ PL q S
lCc 1i,� _
Contractor Ph SWR
BUILDING Tenant/Owner — ELC
Retaining Wall I ELR
Footing
Foundation Access:
/,q �// FPS
Ftg Drain ( LZ(: � /<V 1, (t&WC-
Crewl Drain Inspection dotes: ;1 SGN
Slag `-`fi''`g" 5 (-�"`�-
SIT
Post&Beam
Ext Sheath/Shear �n� (�tp�
,-
int Sheath/Shear /
Framing
Insulation ,,/
Drywall Nailing �-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd(,ailing
Roof
Misc:
Final _
PASS-PART FAIL
Post& Beam --�-� - —
Under Slab
Top Out — ----
Water Service
Sanitary Sewer ---
RairLDrains
Final
4ME2 FAIL
MEeRANICAL - - -
Post& Beam
Rough
---- --- -- -
Rough In
Gas Line -- -- -- - --
Smoke Dampers
Final -- — - — -- ---- -
P/,SS PART FAIL
a
ELL CTRIC A". --- _— -------- -- —
R Service
~ Rouoh In
N UG/Slab
Low Voltage
Fire Alarm
Final — ---
PO SS PART FAIL _
SITE
Backfill/Grading ---
Sanitary Sewer
Storm Drain [ j Reinspectlon fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin FireCatch
I_in, [ j Please call for reinspection RE: [ j Unable to inspect-no access
ADA 1 � L Ext r]
Approachl;Idcwalk Date 1
omer Inspector
Final
PASS PART FAIL 00 NOT REMOVE this Inspection record from the Job site.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service I
Foundation Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing ec
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Ele
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other-
Date:
ther: —
Date: SLC _ A.M. P.M.
D1,TeAddress: � _�-- 161,
Tpnant:
nant: _ _ Ste:__ MST:
BLIP:
Con/Own: — _ -_ —_— MEC:
PLM:
EL&
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _---
J
!nspec _ Date:
PPROVED ___ -)ISAPPROVED/CALL FOR REINSP. C O
CITY O F T I G A R ® MECHANICAL
L DEVELOPMENT SERVICES PERMIT
k13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97-0107
DATE ISSUED: 04/29/97
PARCEL-: 2SI10AD-08200
(31 -E ADDRESS. . . : 14809 SW 106TH AVE
SUBDIVISION. . . . : LANG !-TILL NO. 2 ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :74 JURISDICTION: TIG
-------------------------------------
CI—ASS OF WORK. . :ALT FLOOR TURN. . . . d 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R'3' VENTS W/O APDL: 0 VENT SYSTEMS: 0
;TORIES. . . . . . . . :. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 IAP. . . . - I DOMES. INCIN: 0
:ELE 3-15 HP. . . . : 0 COMML. JNCIN: 0
MAX INPUT- 0 BTU 15-30 HP. . . . : 0 REPAIP (JN ITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . -. 0 WOODSTOVES. . : 0
GAS PRESS1JRE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS—----- AIR HANDL- ING UN I TS OTHER UNITS. : 0
f=URN < 100K BTU: 0 1.0000 c f m : 0 GAS OUTLETS. : 0
FURN ) =100K PTU: 0 > 1.0000 cfm- 0
Re mar-k s : Install heat pump 151 from side property line
Owner-: ---...______._.______—__—_______.----------•------ FEES
a
.Tim riiiI...LIFS type ntoi.mt by date r- _ec
pt
1.4809 SW 106TH AVE PRMT $ x:'5. 00 JSD 04/2c3/97 97-293860
TIGARD OR 97224 9PCT $ 1 . 25 JSD 04/2'9/97 97--293860
1-11hone #:
f7antr-artrit-:
01—L 'TEMP PROFESSIONAL-
8230 SE 72N ST
PORTLAND OR 97206 -------------------------------------
V-1hone #: $ 26. 25 TOTAL
Peg #. . : 000585
------- REQUIRED TNSPECTJONS --------
This pet-nit is issued s-ibiert to the regulations contained in the Mechanical Tnsp
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
than 180 days.
//�
C-0
U! I
o l'm i t t e e Signati-tv-
ssiled BY-4
Call for inspection 639-4175
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd 6 —
13125 SW HALL BLVD. Commercial and Residential Date Rey
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST
Print or Type Permit# Ince" pfo
Called
_ Incomplete or illegible applications will not be accepted
Name of DevmopmenuProiect Description
Table 1A Mechanical Code CITY PRISE AMT
,Job Street Address sunes A) Permit Fee
Address o o- 100
eldgo p 1 ) Furnace to 100,000 BTU 600
��/ including duds&vert,
Namname oto sinessl 2) Furnace 100 000 BTU+ 750
Owner,i
.j� ncluding duds&vents
Kms
�
mg Address
�AAad
� . 3.) Floor Furnace 600
L�' J4 2 /�� L'C including vent
M race Zip P�hWife 4) Suspended heater,wall heater 600
/��'�yKI or floor mounted heater
Name to�irne�busmesst 5 1 Vent not included in appliance permit 3.00
Occupant Mailing Address 6 1 Boiler or comp,heat pump,air cond. 6.00
to 3 HP;absorb unit to 100K BUT"
C tyrState Zip Phone 7) Boder 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 cond. 15.00
(Prior to 7,�'/ 15-30 HP;absorb und.5-1 mil BTU'*
issuance M g Addro 9) Boder or comp,haat pump,air cond 22.50
applicant 2 3&) �� 30-50 HP;absorb unit 1-1 75md BTU" _
must provide all 6J tole Zip Phone 10) Boder or comp,heat puma,air cond. 37 50
contractor T f�G2'� v7'!�j/i% >50 HP,absorb unit 1.75 and BTU"
license Oregon Const.Cont.board Lica Exp.Date 11. ) Air handling unit to 10.000 CFM 4 50
information j 1-5-_1/3 26 --js-
for COTCO/T i9usneas Ta or Metm a ,,4p.Date 12_) Air handling unit 10,000 CFM 7 50
database) L1G
Architect Name 13) Non-portable evaporate cooler 4.50
or Mailing Address 14) Vent fan connected to a single dud 3.00
Engineer cMistate Lo Phone 15 1 Ventilation system not included in 4 50
_ appliance permit
Descnbe work New O Addition O AlteratioryW Repair O 16) Hood served by mechanical exhaust —450--
to
50to be done ResrdentiapiOK' Non-residential O
Additional Description of work 17) Domestic incinerators 7 50
18) Commercial or industrial type 3000
Incinerator
Existing use of 19) Repair units 450
building or property
20) Wood stove 4 50
Proposed use of 21 i Clahes dryer,etc 4 50
budding or property
v
22 Other units 4 50
Type of fuel-oil O natural gas O LPG O electric Of 23 i Gas piping one to four outlets u 2.00
J I hereby acknowledge that I have read this application,that the 24 i More tr.n 4-per outlets leach) 50
co information givens correct.that I am the owner or authorized agent of
LD the owner,that plans submitted are in compliance with Oregon State oTY SUBTOTAL
laws
Signatur-01*0—erlAgent Date 'SUBTOTAL
5%SURCHARGE
D i
otrtact Person ring
/ Phone PLAN REVIEW 25%OF SUBTOTAL
TO1AL G7
i dstVmechpmt doc (rev 9 'Minimum permit fees S25+5%surcharge
"Residential A.IC requires site plan showing placement of unit.
CITY MJF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SIN Hall Blvd., Tigard, OR 977.23 (503)639-4171 n'E RM I T #: ELC97-021.58
DATE ISSUED: 04/. 0/97
PARCEL.: 2S1. 1 0AD-08r'-_10
SITE ADDRESS. . . : 14809 SW 106TH AVE
SUBDIVISION. . . . :LANG HILL N0. 2 ZONING: R-,1
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :74G JURISDICTION: TIG
Project Description - install 1 branch circuit job # 29318-R
---RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- ------MISCELLANEO(JS--------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGA'TION. . . . : 0
TACH ADD' L 500SF. . . : 0 101 - 400 amp. . . . . . . : 0 SIGN/OUT LINF LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR. LABEL ( 10) . . . : 0
---__SERVICE/FEEDER----- ----BRANCH CIRCUITS--—- ----ADD' L INSPECTIONS----
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER- 0 PER 1N9PECTION. . . .. — 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER FOUR. . . . . . . . . . . . 0
+A1 - 600 amp. . . . . . : 0 EA ADD' L.. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 _._____________.____PLAN REVIEW SF_CTION- ------------- --
1 _100+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > f:00 VOLT NOMINAL. . -
Reconnect
OMINAL_. . :Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS— :: CLASS AREA/SPEC OCC. :
nwner: ___.____.___________.________.___.__________.._.___________._.__ FEES ----------------__
JIM/ANN PHILLIPS type amount by date recpt
1.4809 SW 106TH ST PRMT $ 35. 00 TAT 04/30/97 97-293932
TIGARD OR 97224 5PCT t 1. 75 'TAT 04/30/97 97-29303:'
Phone #:
Contractor: -----------------------------------------------------------------------
- - - - --- t .36. 75 TOTAL_
REQUIRED INSPECTIONS
-- - -
C.ei 1 inq Cover Underrlro+.ind Cove
Phone #: Wall Cover Elect' Service
Req #. . .
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perrt;i tt ej S i gnat U e
applicable laws. All Mork will be done in accordance with
approved plans. This permit will ewpire if work is not started
within 180 days of issur _e, or if work is suspended for sere L
than !80 days. I s si.aed By
------------------------------OWNER INSTAL.L.ATION ONLY----- __-____.____--_
The installation is being made on property I own which is not intended for
sale, lease, or rent.
m OWNER' S SIGNATURE: DATE:
--------------------------CONTRACTOR INSTALLATION ONLY------_-_-__-_______---___-
SIGNATURE OF SUPR. ELEC' N: � _ DATE: ,.' D�zz _V__
IICFNSE N0: C
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
1: .?5 SW Fall Blvd. �,/ /1
trd, OR 97223 Permit # L �."t �✓ __
Date Issued
Phone (503) 639-4171
CITY OF Tlrt-RD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of DeJveellopmennt 1'�fy,.►,,lt,lll� Number of Inspections per permit allowed
Address /7�Q / s. r 1�1,6 / TTS-` Service inc'uded Items Cost(ea) Sum
City/State/Zip 4a. Residential -per unit
1000 sq. fl.or less $11000
!.. ^
Name (or name of business)_ Each additional 500 sq.ft or $2500
portion thereof -- ---
Commercial Residential Limited Energy $2500
Each Manurd Home or Modular
Dwelling Service or Feeder Y_ $13800
2a. Contractor installation only:
4b. Services or Feeders
Installation,alteration,or relocation
Electrical Contractor, tA-. 200 amps or less $8000 2
Address /,�7 .S•T 201 amps to 400 amps 30000 _ 2
401 amps l0 800 amps 3120 00
Oily ' State &V Zip ! O" -- $18000 2
` _ 801 amps to 1000 amps
Phone No .7 __ over 1000 amps or volts $340 00 2
Job NO.—_�9 /d _ Reconnect only — $5000 2
contractor's license NO.__. 141 4c. Temporary Services or Feeders
Contractor's Board Reg N Z---- _ installation,alteration,or relocation 2
Signature of Supr. Elec' 200 amps or less
�► 201 amps to 400 amps $s0 00 2
License No. �D 5 S Phone No +1.L 401 amps to 800 amps 875 00 —
Over 800 amps to 1000 volts $10000 --
2b. For owner installations: see"b"above.
4d. Branch Circuits
Print Owner's Name New.alteration or extension per pane
Address n)The fee for branch circuits with
purchase of aervlce or feeder fee.
City _ stat® zip Each branch circuit _ $500
Phone No, b)The fee for branch circuits without
The installation is being made on property I o-Nn which is purchase branch circuit or feeder lee.
not intended for sale, lease or rent. Firstadditional
branch
� $$500
Each addltlonal branch circuit $500
Owner's Signature^_ 4e. Miscellaneous
(Service or feeder not Included)
3, Plan Review section (if required): Each pumpmutlineonting $4000
Each sign or outline lighting 34000
Signal circult(s)or a limited energy
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000
4 or more residential units In one structure Minor Labels(1nl $10000
_Service and feeder 225 amps or more 4f. Each additional Inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable in any of the above
)-.- per inspection ___ 335 00
as describt!d in N.E C. Chapter 5 per hour $55.00
In Plant $55.00 —�
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
6a. Enter tutal of above fees $
NOTICE 5%Surcharge (05 X total fees) $ .�
el
PERMITS BECOME VOID IF WORK OR CONSTRUCTION tib. Enter Subtc�tf g
al
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan R5% f line A for
oo g
ii required (Sec 3)
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT AN r TIME AFTER WORK IS
COMMENCED. ❑ Trust Account#
prn xOP
Balance Due $ 3 J�,