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11190 SW 125TH PLACE I ADDRESS: qo SJAJ A 2 d' Ln Y N lWoords\mlcrr flm%targa(s\butlding.doc cD W J CITY OF TIGARD BUILDING INSPECTION DIVISION 24--Hour Inspection Line: 6394175 Business Photic: 6394171 I'Ate Requested: A)M. l/ P.M. MST: _ I,ncation: �l l 10 5u) i-�L f T-,d22- BUP: Tenant: Suite: ���� Bldg: MEC: Contractor:_ Phone: �a&t,� PLM: 7 n c,✓ Owner: Phone: ELC:1 / —(i 517 //lJ_�C G{✓��1-�% GC ELR: SIT: BUIILDIN(. BLDG(con't) PLUMBING MECHANICAL :�--ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam `-czVc/80vtce Sewer/Stone Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top(hut Lias Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Stone Fwnace Temp Service MISC. Masonry Ceiling Rain Thain A/C 116 Slab Shea/Sheath Fire Spklr/Alm Crawl/Found Dr Heat 1'tunp Low Volt Approved Approved Approved pprove Approved Appr/Sdwlk Not Approved Not Approved Not Approved cd No Approved FINAL FINAL FINAL AA FINAL CL V J J CJ W f7 Call for reinspection 0 Reinspection fee of S ,required before next inspection l7 Unable to inspect Inspector — _ I)atc: - I—'' / Page of yrl� CITY OF TIGARD PUILDING INSPECTION DIVISION 7 24-}-lour Inspection Linc: 639-4175 Business P c�6 9-A 17� 9- Date Requested: y 7 A.M. P.M. MS 1: Location:,1 / I Q r3� �� .� BUR Tenant: Suite: _Bldg: ME02 7—Q3o�C/ Contractor: Phone: 3 PI Iv1: _ Owner: _ Phone: �— r ` ELR: ��--- ---$1T: --- BUILDING BLDG(con't) PLUM91N— G z'—b1ECJOICAL__ TRI SITE Site Post/Beam PosUl3eam Post[Heam Cov r''orvi c Sewer/Storni Footing Roof UndFI/Slab Rough-In Ceil ng Water Line Slab Framing Top out Uas Line Roll 1-I UG Sprinkler Foundation Insulation Sewer I-lood/Uuct cc( ct Vault lismt Dump Drywall Storm ac.c 'fen ervice MISC. Masonry Ceiling Rain Drai-,i A/C UG ab Shear/Sheath Fire Spklr/Alm Crawl/Found Ir cal Pum Lo oU Approved Approved pprove A pro ed Approved Appr/Sdwlk Not Approved Not Approved No i roved Not A roved Not Approved FINAL, FINAL 1 NA FINAL a. LL 17 Call for reinspection O Reinspection fee of _prequired before next inspection M linable to inspect Inspector: _..e Date: !=c,'c_ Prge of,-- CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT IL 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERMIT #. . . . . . . .. MEC97-0320 DATE ISSUED: 08/25/97 PARCEL: 1S134CB-08000 SITE ADDRESS. . . : 11190 SW 125TH PL SUBDII)ISION. . . . : ANTON PARK ZONING: R-7 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :42 JURISDICTION: TIG ------------------------------------------------------------------------------------ CLASS OF WORK. . :()TR FLOOR FURN. . . . : 0 EV,AP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIEC. . . . . . . . : 11, BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0---3 HP. . . . : 1 DOMES. T NC I N: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15- 30 HP. . : 0 REPAIR UN I'T 3: 0 F IRE DAMPERS?. . : 30-50 HP. _ . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS— : 0 N'1. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0 TURN ( 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) =100K PTU: 0 > 10000 cfm: 0 R e m ar,k s : Install air conditioning unit. Air conditioning units cannot be placed inside the required set vacks. Owner: -- ---------------------------_ - ------------ FEES MERLE MARI-ING type amount by date r-ecpt 11190 SW 125TH PLACE F'RMT $ 25. 00 GEO 08/25/ 3-1 97-298644 TIGARD OR 97424 SPCT $ 1 . 25 GEO 08/25/97 97-298644 Phone #: Cont ractor,: -------------------------------- SUNSET FUEL CO PO BOX 42287 ------------------------------------ $ 26. 25 TOTAL PORTLAND OR 97242 Phone #: 503-234--0611 Reg #. . : 000023 --- -- REQUIRED INSPECTIONS - --- -- This permit is issued subject to the regulations containeu :n the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Ins p applicable laws. All Mork Mill be done in accordance with Duct Inspection — approved plans. This permit will expire if work is not started Mi sc. Inspection within 180 days of issuance, or if work is suspended for more Final Inspection than 188 days. ATTENTION: Oregon law requires you to follow rules �- adopted by the D egon Utility Notification Center. Those rules are _ set forth in OAR 552-MI-NIO through OAR 952-A81-ARAB. You may �_— F- obtain copies of these rules or direct questions to OUNC by calling -� 15A31246-9187. Issue By : _ - — Permittee Signature : _---- ---- ++++++++++++++++++++++f++++++++++++++++++++++4- : ++++++++++++++++++++++++++++++++ Call 639-4175 by 6:0ro p. m. for, inspection, needed the next business day C.ity of'Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # yjW,f-- Tigard, OR 97223 (503) 639 1171 Table 3A Moc ii-lical Code (.TTY] PRICE AMT Jot) Iq� 35� P 11 Permit!'1., 0 _0- Addres- 2) Supplem,ital POW"t 3.00 777in—R-e—H i-0-0.0-050TTIT— cA v-4h r)c4- 1) incl.ducts I vents 6.00 ... (TOO 4" B .. Owner Furnace incl. ducts&vents 750 oor r—uriTY-00 Ct 1 3) incl. vent 600 Suspend(-- heater,wall hoator 4) or floor mounted heater 6.00 Vent not ircl.III jccu,ml —5) ipplianr,#-.r-rni;t 3.00 ------------------------------ I3171.5�tlng'ref rig. cooling,absorption unit , 6,00 Boiler or comp Heat pump,air cond 7) to'3 lip absoip unit to I OOK BTU 6.00 Boiler or comp, heat pump, A4 Oko 8) 3-15 lip absorp unit to:00K PTU 11.00 Contractor 'A Boiler or comp,heat pump,air cel qr'\Ac"Aa Ole- 411-;L4�6 9) 15 30 HP absorp unit.5-1 mil 8711 15.00 T__ ­_95iler—®r comp.heat pump,air—cond. A-4 10) 30-50HPabsorp unit 1-1.7r,,mil BTU 22.50 th — -c ,, acknowl- Igo at I have road tills application, that the teror5mP_Fe .pump,air cond. information giv)n is correct, that I am the owner or authorized agent 11) >50 VP absorp Unit 1.75 mil BTU 31.50 of die owner, that plans submitted are in compliance with State Air hanling unit to laws,that I am registered with the Construction Contractors Board, 12) 10.000 GFM 4,50 that the, onibor given is correct. (If exempt from State registration, —Air handing una please(jivo reason below.) 13) 10,000 C TM 4 7.50 Non pornble 14) evaf-walle cooler 4.510 Vent an connected 15) to a single duct 3.00 Veriblation system not (k V" .JL r"n Cn 16) included in appliance permit 4.50 o_o_a sWii;a by 17) mechanical exhaust 4.50 Describe work new-Mclition alteration 0 repair 0 GommeTaal�or in lustnal to be dont) resicientiai (;r- non-residential(j 18) typo incinerator 30.00 -_011,18f—Io,wocustove water building or property 19) heater,solar,clothes dryers,etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 01-1 building or property 2 1) More than 4-per outlet CL� Type of fuel -Oil 0 natural gas 0 LPG 0 electric use 0 property building u' P osd use I [b,'7ild'.g or ri.�nly NOTICE Mininium Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK On CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION an WORK IS SUSPENDED On W ABANDONED FOR A PERIOD OF 160 DAYS AT ANY 11ME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED v TOTAL Special Conditions I Oal�?ismod by _ 7 I _i- I 7 J � 3 r C4 e- 2 W CL �9 a J L C7 W J CITY O TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL-C97—O579 13125 SW Nall Blvd., Tigard,OR 97223 (50Z)639.4171 DATE ISSUED: 08/25/97 PARCEL: iS134CB—O8O00 SITE ADDRESS. . . : 11190 SW 125TH PL SUBDIVISION. . . . :ANTON PARI'. ZONING:R-7 BLOCK. . . . . . . . . . . LOl.. . . . . . .. . . . . . . :42 JURISDIC-TION: TIG Pt-o.j ect Des cr,i pt ion : Add first branch circuit. _—.-------------------------------------.---_------------------------------------ - --RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS---- -----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 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---- ir — 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 i 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 _----------- -----FLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect o>>l y. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: ------------------------------------------------- FEES --- MERLE MARTING type amoLtnt by date recpt 11190 SW 125TH PLACE PRMT 0 35. 00 GEO 08/25/97 97--298642 TTGARD OR 97224 SPCT $ 1. 75 GEO 08/25/97 97--298642 Phone #: Contractor: —_--_.------------------------------------_---_-----_----__ f 36, 75 TOTAL ------- REQUIRED INSPECTIONS — - -- Roo-igh—in Elect' 1 Service Phone #: Underground Cove Elect' 1 f=inal Reg #. . : This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All Mork will be done in accordance with approved plans. This persit will expire ;! work is not started within 180 days of issuance, or if work is suspended for sure than 180 days. ATTENTION: Oregon law requires you �u follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00:0 through OAR 952-411-1987. You say obtain a copy of these rules or direct questions to OUNC by calling 3)246-1987. Clermittee Signature : �?!�i _- M Issi-ted By : ---------------------___--__—OWNER INS—ALLA': ION ONLY------------- -------------------- The .--------_—_ --.------_._---___-_The installation is being made on property I own which is not intended fo, ' sale, lease, or rent. OWNER' S SIGNATURE: DATE: --- -- ------------------CONTPACTOR INSTALLATION SIGNATURE OF SUPR. ELEC' N: &—PV _ �^ DATE LICENSE NO: 4•+++++++++++++++++++++++++4++++++++++++++++++++++++++++++++++++++++++++++++-H+++ Call 639-4175 by 6:00 p. m. for an inspection needed the next business day ++++a++++++++++}..}+++++++++++++ ++++++ +++.+++++++++ A CITY OF TIGARD Electrical Permit Application Plan Check N 13125 SW HALL BLVD. Recd?y Date Recd TIGARD OR 9722: ,te to P.E. _ Phone (503) 639-4171, x304 Date to DST Inspection (503) 639-4175 Print or, Type Permit NF4,1,0gj7 --6 F9 Fax (503) 684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development �j / /• .,,,� Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum r Address JC 4a. Residentia'•per unit T 1000 sq.ft.or less $110.00 4 City/State/Zip �i/t Each additional 500 sq.It.or portion thereof $25.00 r 1 Commercial ❑ Residential limited Energy $25.00 Each Manuf'd Home or Modular D _ 2a. Contractor installation only: welling Service or Feeder $6H.00 (Attach copy of all current II nses) // 11 4b.Services or Feeders Elertrieal Contractor 4 < e Installation,alteration,or relocation 200 amps or less $60.00 Addres r G Qro� r 201 amps to 400 amps $80.00 Cit y" 4 k L State Zips_ _ 40, amps to 600 amps $120.00 2 Phone No. '/ - 3 601 amps to 1000 amps $180.00 2 Job No >- Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. /JS C Exp.Date - Reconnect only $50.00 2 OR State CCB Reg. No. /S?66. Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installaticn,alteration,or relocation �- 200 amps or less $50.00 _ 2 Si nature of Su r. Elec'n fir. 201 amps to 400 amps $75.00 2 9 P ---�.��� 401 amps to 800 amps $100.00 Over 600 amps to 1000 volts, License Nr -� S _Exp.Date_ see"b^above. Phone N, - 4d.Branch Circuits Now,alteration or extension per panel 2n. For owner installations: a)The lee for branch circuits with purchase or service or Print Owner's Name feeder fee, Address_- Each branch circuit $5.00 - - b)The fee for branch circuits City State Zipwithout purchase of Phone No. 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. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature__ Each pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 3. Plan Review section (if required):* Signal circult(s)or a limited energy panel,alteration or extension $40.00 Please check a'rIipropriate Item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over rr Service acid feeder 225 amps or more the allowable in any of the above Ln System aver 600 voiis nominal I'm inspection $35.00 _.-- Classif t)d area or structure containing special occupancy I'm hots $5500 >- as desclbed in N.E.C.Chapter 5 in Plant $55.00 "Submit 2 nets o.plans with applicat;:r.where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of PWve fees $ C.0 5%Surche ge(.05 X total fees) $ w -� NOTICE Subtoti/ f 5h. 4%of line 5e for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED 13 Clan Review If required(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 13 COMMENCED. Trust Account M i Total balance Due __l 1105TSTLC66 APP Rsv W46