The URL can be used to link to this page

15380 SW 109TH AVENUE r ArN " r . D9 Ayjw.-. afi J, I:Vec . . .. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 6394171 — SUP Date Requested ` /� AM PM BLD Location 2 t_ �- UC� Suite MEC Contact Person Ph __ PLM T , Contractor � Ph SWR BUILDING _ Tenant/Owner Retaining Wall ELR Footing Access: Foundation FPS Fig Drain I e, ;,4- acv 4 SGN Crawl Drain Inspection Notes: - Slab _. — — S:T Post&Beam , — Ext Sheath/Shear _ Int Sheath/Shear Framing —_— Insulation Drywall Nailing Firewidl Fire Sprinkler lv ` Fire Alarm Susp'd Ceiling - Roof Misc: -- F nal PASS PART FAIL — PLUMBING Post& Beam -- �Under Slab - -- ---- -- ------- _ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & team Rough In Gas Line ----__.--____-- Smoke Dampers Final — PA $__.. PART FAIL I LECTRA1, � IC rt I Service Rough In UG/Slab --- ------- -- -- -- �- Low Voltage Lire Alarm ---- — — - ---_ ---- ---- —_— a� Girt A PART FAIL -- -- - --------- --- -- - 9ackfill/Grading - -- !-— — Sanitary Sewer Storm Drain ( J Reinspection fee of$_— required before next inspection. Pav a!City Hall, 13125 SW Hall Blvd Catch reS pply ( j Please cYforeinspectiori RE. ( ] Unable to inspect-no access Fire Supply Line ADAApproach/Sidewalk Dete � `�cl inspector Ext Other -- - -- Final PASS PART FAIL DO NOT REMOVE this Irspaction record from the jab site. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL- PERMIT 13125 5W Hag Blvd., T@ard,OR 97223 (503)639.4171 PERK' :T #: EL..C97-01 C;8 DATE- .15SUE'D: 03/07/97 PARCEL: 2S110DA•-0070e !'TE ADDRESS. . . : 15380 SW 1.09TH A'JF IBDIVISION. . . . : WIL!_OW BROOK FARM ZONING. R-2,". 5 LOCF1. . . . . . . . . . „ 1..nT. . .. . .. . . . . . . . :4 Project Description: job # 305-010 instal 3 branch circi_tits RrSIi'f:hITIAI__ UNIT----._ _..----TEMP SRVC/FEEDERS- -- -------MTSL'EL1 ANC'OUS-.--- .1.000 SF OR LESS. . . . 0 0 - 21210 a, p. . . . . . . : 0 PUMP/I RR i CATION. . . . : 0 EACH ADD' L 500SF. . , 0 201 - 400 am[.. . . . . . . : 0 SIGN/OUT LINE: I._T0. . : 0 LIMTTED ENERGY. . . . . : 0 401 - S� ) amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 11ANF. HM/ SVC/FDR. . : 0 (501•+amps - 1000 volts" 0 MINOR I f1BF_1-- ( 10) . . . : 0 SERV I C'E/FEEDER----- ----BRANCH CIRCUITS----- ---ADD' L I NSPECT T ONS------ - 200 amFr. . . . . . „ 0 W/SERV ICC OR r-rEDE:Ft: 0 PER INSPECTION. . . . . : 0 1 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FT)R. : 1 PER HOUR. . . . . . . . . . . : 0 01 - 600 amp. . .. . . " 0 EA fIDD' L- PPNCH CTPC i ' IN PI...ANT. . . . . . . . . . . . 0 1�1 - 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION Lmp/volt . . . . . .. rC ) =h RES UNITS. . . , . .. , „ ) 600 V01-T NOMINAL_. . : ,.,connect only. . . . . 0 SVC/FUR ) = ccs AMP'S. . : CLASS AREA/SPEC OCC. : .�nar ; _. .._... ........ .... -- - ___ _.__ .._.. _.. FFFt-) t-ANE HAMILTON type am Crr.tnt by Clate recpt 1.53130 SW 109TH nQE PRMY $ /r`i. 00 TAT 031/07/97 97. 2.91.406 SPCT $ 2. 25 TAT 03/0'7/97 97-^91406 TT.CARD OR 97223 (Tone #: 1-'ontractor: WrSTOTCE rLECTP' C $ 47. 25 TOTAL 7518 SW MACADAM AVE REDUIRED INSPECTIONS '1R1"LA1\1L:) OR 9721 ".1 Ce i l i nr, Cover Undergrol.rrrd CovL, lone #: 503--245--3385 Wall Cover Elect' 1 Service y 0001 33 perait is issued subject to the regulations contained in the yard Municipal Code, State of lire. Specialt, Codes and all other Perm ' e S i gnat /'] -plit:able laws. All worN will be done it arr• r•dance with plays, This perait will expire if wa0 is not started / W `him IN days of issuance, or if wars '•s suspended for sore v, 3n IN days. I sa s l.t e d 7 y _. _.-OWNER INSTALLATION ONLY _ to installation is tieing made an property I own whic,l: is not intencip. d for xle, lease, or rent„ •INER' S S T GNATURF : r DATE: Cr LLL _J IN9TAl_1_..ATT0N ?:GNATURE OF SUPR. ELE"_:' N: i_ DATE: FNSE. NO: Ca'I I far ].nspection -- 539-4175 . attttltttt� Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. �l / Tigard, OR 97223 Permit # .�,( Date Issued _ P;ione (503) 639-4171 CITY OF TIGARD FAX (503) 634-7297 TDD No. (503) 634-2772 Inspection (5031 639-4175 1. Job Address: 14. C4. c plete Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed Address_ CS_�`� _ Service include. Items Cost(ea) Sum City/State/Zip lre 4a. Residential -per unit 7j777 //�/ r 1000 sq. ft. or less $11000 _ 4 Name (-)r name of business) 4He /7 ,wl/ /1� Each a t eel f cy n or portion n Ihrenl $2500 Commercial ❑ Residential L Limited Energy $2`:00 1 Each Manurd Home or Modular Dwelling Service or Feeder $6800 ? 2a. Contractor installation owy /,�// {/�� y/w 4b. Services or Feeders r.�;ectrical Contractor `"� ��✓'� �f�C//�C Installation, or lesirn,or relocation 2 200 amps or less $80.00 _ Address %,'Lf r f!L �I/N `P, 201 amps to 400 amps �- $80.00 2 City Asf c State Zip 2 7?[ � 401 amps to 6UG amps $tzo 00 2 601 a,.,ps to 1000 amps _ $180.00 2 Phone No. 1 Over 1000 amps or villa $ 4400 2 Job NO. ) 0 Reconnect only $5000 _ 2 contractor's license NO. 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,a%eraoon,or relocation Signature of Supr. Elec'n 200 amps or less License No._.L,�-s-6 r $75 one No. 2-f/J=3��'T 201 amps to 400 amps 00 401 amps to 600 amps $75 00 Over 600 amps to 1000 volts $10000 - --- 2b. For owner installations: sea"b"above 4d. Branch Circuits Print Owner's Name — New altaratlon or extension per pans Address a)The fee for'ranch circuits with Cit" — StateZip purchase of service or feeder fee. __ _ — Each branch circuit $5.00 Phone No. h)The fee for branch circuits without The installation is beirg made on property I own which is purchase of service or feeder tee. t J not Intended for sale, lease or rent. First additional branch $35.00 Each addlllonel branch circuli . $5.00 Owner's Signature_ — _– 4e. Miscellaneous i Service or feeder I,it Included) 3. Plan Review section (if required): Each pump or irrigation circle $4000 Each sign or outline lighting $4000 Signal circuh(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(10) $10000 _ v1 Service and feeder 225 amps or more System over 1300 volts nominal 4t. Each additional Inspection over �- Classified area or structure containing special occupancy the allowable In any of the above as described In N E C Chapter 5 Per Inspection $:f5 norer hour –_— $55 on CAO In Plant E55 Cn c� Submit 2 sets of plans with application where any of the above 4I ;,pnly. Not required for temporary ^onstruction services. Jr. Fees: ( NOTICE 5a. Enter total of above fees $ J� 5"i Surcharge (05 X total fees) $ PERMITS BECOMI'VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IF,NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter vi w line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONFD FOR Plan Rsvietnr K required (Ser,.3) $ A PERIOD t'� 180 DAYS AT ANY TIME AFTER WORK IS St-►btts! $ COMMENCED. r L`7�rtTrus:Account # Balance Due $ ' L�•J_ CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PERM T."T PERMIT #. . . . . . . . SWR9•+-031.`: a::9- 4171 DATE ISSUED: 09/1.5/94 PARCEL: 2S 1 10DA-0( 700 I TE ADDRESS. . . 13380 SW 109 TH AVL :','UPDIVISION. . . . WILLOW 3ROOK FARM 701ING- R-3. 5 BLOCK. . . . . . . . . . " LOT. . . . . . . . . • . . . :4 I-ENANT NAME:. . . . . USA NO. . . . . . . . . . . FIXTURE UNITS. . . . ,,LASS OF WORK. . . :ADI) DWELLING UNIT moi. . : i IYPE OF USE. . . . . .SF NO. OF BUILDINGS: INSTALL TYPE. . . . :BUSWIR IMP'ERV SURFOCL. . : sf !d e m ar k s: CCINNECT EXISTING HOUSE TO SEWER -- SEPTIC MUST BE PUMPED, FILLET', ', R I NSP"EC TED. e� which/is \\ l �X" he applicant propo es to coni tri_ic+ the�extensi�n of N�4re 5t ^eet to exc:ee t:he rnax ' m m slope allow cl f approximately/314110 t; with Al str^erg7ope ranging I etweer 1G nd 1'7. 5%. j l^� Jwner^, ------________._.___________. _.__.--.---___._____.___________.___-- FEES --__- BRUCE "AW type amol.int by date reent 15400 SW 109 TN PRMT E 2200. 00 JG 09/15/94 1NSVI 35. 00 JG 09/15/94 TIGARD 013 97224 Phone #: Contractor: GVS 3815 COFFEY LN NE:WBERG OR 97132 _.__.--._-__-_-_--_..--_-_-_-__-_._---_-_-- Ph o n e it: $ x'235. 00 TOTAL Reg #. . : 54340 ------- REQUIRED INSPECTIONS ------- rhis Applicant agrees to comply with all the rules an,' regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from Septic Tank Fill the date issued. The total amount paid will be forfeited if the permit expires, The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at th• measurevnt given, the installer shall prospect 3 feet in all d:eections from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency wil instal a lateral. r"ermittep Signatt-ird: By Call for in5pectior. - 639-AI75 T . . . C17YOFT MECHANICAL I�� PERIhIT' C17y0fTWAR9 PERMi T #. . . . . . . : ME•:C92:-0003 COMMUNITY DEVELOPMENT DEPARTMENT ancon 13125 SW Hall Blvd. P.O.Sox 23397,nA.rd.ca.00r, �ao3)'e i 75 DATE I'�S tJ l�J�: 01/0 G/9 2:1 SITE Fi1)DRE.SS. .i5381zr aW 109TH AV PARCEL: 2S110DA--00700 UBDIVI51ON. . . . : WILLOW LAROOK FARM ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4 CLASS OF 1•jOPK. . :ALT FLOOR FURN. . . . .. EVPP COOLERS: TYPE OF USE. . . . :SF UNIT HEATERS. . : 1 VENT FANS. . . : OCCUPANCY GRP. . : R3 t.'WNTS W/O APDL: VENT SYSTEMS: STORIES BOTLE"RS/COMPRESSORS HOODS. . . » . . . : FUEL TYPES----- 0-3 Hp. . . . DOMES. I NC I N: : /GAS/ / / 3-15 HP. . ., . : COMML. INCIN: MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS: FIRE DAMPERS% . : 30—•50 ISP. . . . . WOOD5TOVGS. . : GAS PRESSURE. . . 1 50+ r-X'. . . . : CLU DRYERS. . . NO. OF UNI 'f 5-----_•----- AIR Hf-'.NI L I Nf.', LJ"4 7 T S3 OTHER UNITS. F-URN < 100K RTU: <- 10000 cf;a: GAS OUTLETS. : 1 F URN ) =100K 1:a'T U: > 1.01?100 c.f m : Remarks : NEW GAS HEATER (STOVE) AND PTPING Owner,. - - -- ------.______._._.__.._.__.____._____._._ ____.______.__.__.__._ FEES AUDRA LAID Type amor:-irt by data recpt 15380 5W 109TH FIRMT $ 25. 00 J1.H 01/09/92 — SPCT $ 1. R5 JLH 01 /09/92 - T I Gr4RD OR 97224 Phone #: Contractor-: OWNER ------------------ Phone 1t: 26. 'S TOTAL Rey -------- REQU I REL INSPECTIONS This permit is Issued suhiect to the regulatirns contained in the Final Inspection Tigard Municipal Cade, State of Ore. Specialty Codes and all other applicable laws. All work wiil be done in accordance with _ approved plans. This permit will expire if work is not started within 18O days of issuance, or if work is suspended for more - than 160 days.Ln J Permit' ee Signatr.rre : GO •. I s s�-red F3 y : c� _ J Ca11 for inspection — 639-4175