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12356 SW 114TH TERRACE s N W UT Cr) U) ..a X m n m X' �t k { 12356 SW 114T'-' TERRACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 639-4171 BUP — _ Oatz Rf quested_ / AM_S_PM BLD Suite MEC Location_ f �"_` --�-� PLM Phr� Contact F erson Ph SWR Contractor _ --- ELC 7.t;UU B UILDING Tenant/Ownor _ --- ELR ll _ FPS FInspection s: � -� C�. �� / - SGN - — Crawl Drain Notes SIT Slab -- -- -----_ — - Post&Beam Ext Sheath/Shear Int Sheath/Shear - Framing — Insulation - - - Drywall Nailing Firewall Fire Sprinkler ---- Fire Alarm --- - Susp'd Ceiling ---- Roof Misc. _ - Final _ — PASS Ph,E;,T FAIL - PLIJME,INr ,,._ --- Post&13ernn Underf;lab Top OL t ----— —--- - Water Sorvice Sanitary Sewer Rain Drains ---- ---- __.—.------ Final IPASS PART FAIL MECHANICAL Post&Uean, Rough In Gas Line Smoke Dampers -_- _---- --.-___ Final PASS PART FAIL -----� __ --.- ES�.�rR� ICA Service Rough In UG/Slab _--- Low Voltage Fir term - --�-"- --- — AqW PAR'S FAIL Backfill/Gradin j —� Sanitary Sewer required before next inspection Pay at City Hall, 13125 SW Hall Blvd Storm Drain ( ]Reinspection fee of$ _— y Catch Basin _ _ Unable to inspect-no a�:cess ( ]Please call for relnspection RE. Fire Supply Line ADAy, Ext _ Approach/Sidewalk date ¢'v Inspector ��..�.•�1 Other ::FAIL] Final PASS PART DO NOT REMOVE this inspection record from the job site. CITE( OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MFC2000-00130 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639- DATE ISSUED: 4!17/00 PARCEL: 2/17/00 04400 SITE ADDRESS: 12356 SW 114TH TERR ' SUEDIVISION: WALNUT GLENAZONING: R-4.5 BLOCK: LOT: 002 / ' JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: AP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOIL_ERS/COMPRESSORS HOODS: FUEL TYPES 0 3 HP' 1 DOMES. INCIN: FLE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: WOODSTOVES: GAS PRESSURE: 50 i HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of a/c unit. Placement of a/c unit must be at least 5'feet from side or rear proporty lines. Owner: _ FEES ARNOLD MAZUCK Type By Date Amount Receipt 12356 SW 114TH TERRACE PRMT DEB 4/17/00 $50.00 000-1479 TIGARD, OR 598-9970 5PCT DEB 4/17/00 $4.00 000-1479 Total $54.00 Phone: Contractor: TRI TECH HEATING 6603 NE 137TH AVE VANCOUVER, WA 98682 REQUIRED INSPECTIONS Cooling Unt Insp Phone:360-891-2002 Final Inspection Reg #:LIC 101873 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and a!I other 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. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0080. Yomay obtain co ies o these rules or direct questions to OUNC'by calling ( 3)246-2189- Issue )246- 189.Issue By: '� I' Permittee Signature: ^�- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next businoss day CITY n' TIGARD Mechanical Permit Application PlanCheC.M "'� Rec'd 13y 13125 SW HALL BLVD. Commercial and Residential 4 a Date Rec'd y-/,e- TIGARD, OR 97223 — � Date to P.E. (503) 639-4171, x304 \ Date to DST -- Print or Type Permit#I liCAgx! x30 Incomplete or illegible applications will not be accepted Called Name o}DevelopmenvProject y Description rJ ' I I'1 - j Table 1A Mechanical Code Q Price _Amt ,)DU Stmet Addrosa Suxea [A) Permit Fee 16 00 Address ) Furnace to 100,000 BTU saga- cay:state Zlp — Includino ducts 8 vents see footnote 1,2 9.65 2) Furnace 100,000 BTU+• Including ducts&vents see footnote 1,2 12.00 me(or name of business) _ 3) Floor Furnace Owner [I /..7 (� ( including vent see footnote 1,2 9.65 ailing Address 4) Suspended heater,wall heater l j or floor mounted heater see footnote 1,2 9.65 CnyrBtato 5 Vent not Included in a Bancepe 4.7.5 ZIP Phone Check all that apply: "Boller AirFor Items 6-10 see or Cond Oty Price Arnt e or name f business) footnotes 1,2 Com •• 6)<3HP;absorb unit to / OcCUpant Melling Address 100_1 BTU r / 9 65 7)3-15 HP;absorb unit 100k to 500k BTU 17.65 City:State ZIP Phone 8)15-30 HP;absorb unit.5-1 mil BTU 24.15 Contractor Name 9)30-50 HP;absorb ( , I _-T r (t I I l C7�w unit 1-1.75 mil BTU 36.00 Prior to permit Mailing Addres1s I 10)>50HP;absorb unit Issuance,a copy J` I t 4)L) >1.75 mil BTU 60.15 of all licensesZip Phone dystete 11 Air handling unit to 10,000 CFM - -_ are required IfL,L; ,�iy,ujo ! by, {. ,X` ,xC 12)Air handling unit 10,051''i 4:M+ database 7.00 expired in COT Oregon Const.Cont Board Lk.a UP Date, database U 3 ? 111/00 _ 11.85 Architect Name / 13)Non-portable evaporate cooler 7.00 14)Vent an connected to a single duct or Mailing Address 4.75 15)Ventilation system not Included in - Engineer fly/Stale ZIP Phone— appliance permit 7.00 18)Hood served by mechanical exhaust Describe wort to be done 2. 0 17)Domestic Incinerators `��.: � _ 12.00 New 0 Repair O Replace with like kind: Yes O No O 18)Commercial or industrial type incinerator Residential Commercial O 48 25 __ FGane its Additional—Information or description of work. 8.40 e/gas FP/other units/clothe dryer/etc NOTE: For Commercial projects only;Units over 400 lbs require one to four outlets7 OUstructural gas calcs. _ ote 1 type of fuel: oil O natural gas 0 LPG O electric O 75 4-per outlet "1 3 5 _ Minimum Permit Fee$50.00 SUBTOTAL • i hereby acknowledge that I have read this application,that the information 8e/s_SU RCHARt r I .+r ft _L11,given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTn 0! i the owner,that plans submitter)are in complidnce with Oregon State laws to ulred for ALL commercial permits on _ TOTAL Slpnahrre�wnerlApent �a ate _ O a _1___L7—_ J Other Inspections and Fees: Contact arso ' ____ �/ :.) 1. Inspections outside of normal business hours(mininum charge-two Phn Name _ one hours) $60.00 per hour m 2. Inspections for which no fee Is specifically Indicated (minimum /�) V�__ I charge-half hour) $60.00 per hour Foo Was for commercial projects only! — 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and proposed gas line and pressure plans(minirnum charge-one.-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. A 'Stale Contractor Boiler Certification required —_ "Residential A/C requires site plan showing placement of unit I lmechperm doc rev 7/19/99 4 1 _ L 1 .� � .�... , .. �� ' i .._,.. fi�j � i -- - �. ii I � i �` � � � � I 1 �s y i ��.� � `:, � \� � � �� 1 //, y�• ' 4 � � i ` � � �,� �;' � �i � -��. �� ' i `7� ti.t' �... ` �J / � _. __.. ...... �- .� 1 1 -� �� (C CITYI�� '��® _ ELECTRICAL. PERMIT PERMIT#: ELC2000-00178 DEVELOPMENT SERVICES /� DATE ISSUED: 4/13/00 13125 SW Hall Blvd., Ticlard, OR 97223 (503) 639-411 / PARCEL: 2S103AB-04400 SITE ADDRESS: 12356 SW 114TH TERR / SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT : 002 ISDiCTION: TIG Proiect Description: Installation of one branch circuit for a/c unit. RESIDENTIAL UNIT TEMP S_RVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 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 SRVC OR FDR: PER HOUR: 401 600 amu: EA ADD'L BRNCH CIRC: IN PLANT: i 601 - 1000 amp: _ PLAN REVIEW_SECTION 1000+ arno/volt. — >=4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect oniv: SVC/FDR >- 225 AMPS: _ _ CLASS AREA/SPEC OCC: Owner: Contractor: RIVERSIDE HOMES INC ALL-WAYS ELECTRICAL 15455 NW GREENBRIER PKWY S7,E 1 6032 SE BREWSTER PL BEAVERTON, OR 97006-2115 MILWAUKIE, OR 97267 Phone: Phone: 513-6614 Reg #: SUP 1287S LIC 0049032 ELE 3.229c — _ FEES —_ _ Required Inspections Type By — Date Amount Receipt _ Elect'I Service PRMT DEB 4/13/00 $37.50 0001393 Elect'I Final SPCT DEB 4/13/00 $3.00 0001393 Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other 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 ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-0010080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 1 I ERMITTEE'S SIGNATURE ^� ISSUED BY: It lye _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE __ _ �_ —�—._ _ —�__— DATE:__. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ' ,;,�1CCl�'L. — —__ DATE:__. LICENSE NO: f 6 ------ - ---- ---- . Call 639-4175 by 7-00pm for an inspection the nex; business day CITY OF TIGARD Plan Ch �- Electrical Permit Application Recd B'- 18125 SW HALL BLVD. Date Recd TIGARD OR 97223 Date to P E. Phone(503)639-4171, x304 Date to DST ""- Inspection (503)639-4175 Print of Type Permit# i1- 2C _C�C Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development Name(or name of btuusiness) ,p p Service included: Items Cost Sum Address 3 J =.5, J, � L1� 4a. Residential-per unit 1000 sq ft or less $ 117.75 - 4 City/State/Zip it Each additional 500 sq ft.or portion thereof _ $ 26.25 1 Commercial ❑ Residential Limited Energy $ 60.00 Each Manurd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4bInstallation.s oalter Feedergelocation Information for COT data 1_ 200 amps or less $ 64.25 2 Electrical Ct0 �/ -� 201 amps to 400 amps $ 85.50 2 Address _ jj 7/�- 451 amps to 600 amps $ 126.50 2 City / e State Zip�---- 601 amps to 1000 amps $ 192.50 2 Phone No. -3-4 4 3 _ Over 1000 amps or volts $ 363.75 2 Job NO. Reconnect only _ $ 53.50 2 Elec Cont. Lice. No, 22y G Exp.Date�(0- 'Oo_ 4c.Temporary Services or Feeders OR State''CB Reg. No. U Z- ExN.Date - -rPl Installation,alteration,or relocation COT Bl isiness Tax or Metro No. Exp.Date 200 amps or less $ 53.55 2 _ --/--� 201 amps to 400 amps _ $ 80.25 2 GJ.� /Olt / 401 amps 10 600 amps $ 107.05 _ 2 Signature of Supr. � Over 600 amps to 1000 volts, `' tlV see"b"above. License No. �o Exp Date LOLZ 4d.Branch circuits Phone No. --- - Now.alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder tee. Each branch circuit _ $ 5.35 _ 2 Print Owner's Name -__ _�--- b)The fee for branch circuits Address _ -- without purchase of service J City .__.State Zip __ or feeder tea. s First branch circuit $ 37.50 Phone No. --- Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous Intended for sale,lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Each sign or ou"ine lighting - $ 4275 _ Owner's Signature. Signal circuit(s)or a limited energy panel,alteration or extension $ 6000 3. Plan Review section (if required):* Minor Labels(101 _ $ 10700 Please check appropriate Item and enter fee In section 5B. 41.Each additional inspection over the allowable In any of the above _4 or more residential units in one structure Per inspection $ 50.00 Service and feeder 225 amps or more Per hour $ 5000 System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy as 5. Fees: SV described in N E C Chapter 5 So.Enter total of above fees $ „ Surcharge Submit 2 seta or plans with application where any of the above apply. �1 g (05 X total fees) $ Not required for temporary construction services. ubtotal 5b.Enter 25°x+of line 6a for NOTICE Plan Review it required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR El Trust Account 0 s-d WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i`dswlorms`electric doc �c CI T 1 OF 1 I G A R® MECHANICAL PERMIT DEVELOPMENT SERVICES PERFJII'i'#: MEC2000-00130 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/17/00 SITE ADDRESS: '12356 SW 114TH tERf? PARCEL: 2S 103AB-04400 SUBDIVISION: Jl iT GLEN ZONING: R"4 5 BLOCK: LOT: 002 JURISDICTION: TIG- CLASS IGCLASS OF WORK: OTRv FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES DOMES. INCIN: FCL--- 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 - Hp: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: c '– OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of a/c unit Placement of a/c unit must be at least 5' feet from side or rear property lines Owner: _--- __ _ FEES -- --- RNOLD MAZUCK Type By Date Amount Receipt— ?356 SW 114TH TERRACE _ __ IGARD, OR 598-9970 PRMT DEB 4/17/00 $50 n0 000 1479 - 5PCT DEB 4117,100 $4 00 000-1479 Phone: Total $54.00 Contractor: — RI TECH HEATING 603 NE 137TH AVE ANCOUVER, WA 98682 REQUIRED INSPECTIONS Cooling Unt Insp Phone:360-891-2002 Final Inspection Reg#:LIC 101873 Pn 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 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. ATTENTION: Oregon law requires you to 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 these rules or direct questions to OUNC by calling (503)246-9189 Issue By: Permittee Signature: Call(503) 639-4175 by 7:00 P.M. for inspections rleded the next business day 0 BUP - Building Permit _ ELC - Electrical Permit Inspection Description Date Passed B Inspection Description Date Passed B Footing/Setback Underground cover _ Foundation walls Wall cover Footing drain Ceiling cover e Waterproof bsmt walls _ Electrical rough-in Slab _ Electrical service Crawl drain _ Electrical final Underfloor insulation Post/beam structural Shear walls/anchors _ ELR - Restricted Energy Permit _ Roof nailingInspection Description Date Passed By Firewall Low voltage _ Tilt-up panel _ Electrical final Masonry/Reinforcement Framing MFG-Structure set-u MEC - Mechanical Permit _ Insulation Ins tion Description Date Passed B Drywall nailing Post/beatn mechanical Suspended ceiling Gas line Engineered soils � Mechanical rough-in Welding Lab Final _ Fire damper _ Concrete Lab Final Duct work Bolting Lab Final Smoke detector _ Fireproofing Lab Final Mechanical final Der, 4--y.-a Structural observation _ Final inspection — PLM - Plumbing Permit EX P I R BUP - Fire Protection System Permit Ins ction Description Date Passed B _ Plumbing underslab Ins ection Description Date Passed B Crawl drain_ Sprinkler underfloor/slab Post/beam plumbing _ Sprinkler rou h-in Plumbing to -out Sprinkler final _ RP/backflowrp eventer Fire alarm final Rain drain _ ___._.J Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footigs _ _ Pump/till septic tank Foundation walls Plumbingfinal _ Sj�rinkler supply lines Sprinkler underfloor/slab Catch basin/Manhole SWR - Sewer Permit Engineered soilsInssection Descri tion Date Passed_ B 1 _ Engineeringacceptance Sanit�!y sewer Final ins ection Final ins tion V y INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR., MEC, SIT PERMITS