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12245 SW 127TH AVENUE-1 IN ADDRESS: 12Aq5 SW 197f# Av-6vL4r,—, o i\r�cxxds\rnlcro(Irn\lnrr (sV�uildir�d.doc Page No. 1 CASE HISTORY FOR CASE NO.: ELC99-0036 THOMAS HALE 12245 SW 127TH AVE 02/26/99 Action Description Req/ Scud/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By .-LIVA. ---- --- -------- --- ELCA001 Application received / / / 01/15/99 MAIL DLH 01/15/99 DLH ELCA003 Permit created / / / / 01/15/99 DONE DLH 01/15/99 DLH ELCA500 (F) Issue permit / / / / 01/15/99 DONE DLH 01/15/99 DLH ELCA700 Rough-in / / / / / / 01/15/99 DLH ELCA730 Elect'l Service / / / / / / 01/15/99 DLH ELCA799 Elect'1 Final / / / / 02/01/99 wiring of a/c unit 20 amp cb - fps panel PASS BRP 02/02/99 CD ELCA800 Case f+naled / / / / 02/02/95 02/02/99 VIV D. v7 r F— J W J Page No. 1 CASE HISTORY FOR CAS. NO.: PLM99-0006 THOMAS HALE 12245 SW 127TH AVE 02/26/99 Action Description Req/ Schd/ End/ Action Notes nisp By Update Ul"I Code Sent Done Done Clay- Hy PLMA003 Application received / / / / 01/12/99 RECD DLH 01/71/99 DST PLMA005 Create Permit / / / / 01/12/99 DONE DLH 01/12/99 DST PLMA050 (F` Issue permit / / / / 01/12/99 DONE DLH 01/12/99 DST PLMA79? r'inal Inspection / / / / 01/22/99 ELC99-0036- Req'd sign-off. FAIL RB 01/25/99 RB Sediment trap on wrong side of shut-off. PLMA799 Final Inspection / / / / 01/29/99 PASS RB 01/29/99 RB PLMA600 Case Finaled / / / / 01/29/99 01/29/99 VLN CL r.r cc F-- L7 E-- e c0 W J i I' .3 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 635-4175 Business Line: 639-4171 MST BLIP Date Requested_ 1 ! �� AML�` PM __ BLD Location / ��S �, -� 'Z Suite MEC Contact Person Ph PLM Contractor LIZAej-�_ �- _ Ph z S Tz f WR BUILDING Tenant/ r - �nG g�' ELC Retaining Wail 1 LR Footing Access: Foundation �,,,�,�,,�, ��'�'� FPS _ Ftg Drain 144j - ,7 ) _G Crawl Drain SIT Inspection Notes: -•—, Slab _ � SIT Post& Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation DrSrwall Nailing ------- � _ (�,�d; _ Firewall Fire Sprinkler Fire Alarm • / f c/r - , -� 2G1 Susp'd Ceiling �"��' Roof — 1LL-`= Misc: ._ �J Final PASS PART FAIL ,----- - --_-_-- __�--- -- PL;tMB1NG ----,�r��/��0' Post&Beam Under Slab Top Out - -- -- -- —� -- -- --- Water Service Sanitary Sewer Rain Drains Final -,- PASS PART FAIL MECHANICAL. Post& Beam - -- Rough In y Gas Line Smoke Dampers Final -- — --- — PASS P,,RT FAIL ELECTRICAL Service _ C. Rough In — Ly UG/Slab ( t�' _ ►- Low tal;I4�� Fir-Alarm NASS PART FAIL C co Backfill/Grading - Sanitary Sewer Storm Drain ( [Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: _ [ Unable to inspect-no access ADA Approach/Sidewalk Date Inspector100�2 '� Ext Other p - - Final PASS PART FAIL DO NO REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 539-4171 C -� BUP �. Date Requested y�-� AM 117 PM — BLD _ Location_ �- _ 1 1`7 � Suite MEC 22 O U O�2 Contact Person _ �_ C�c_ _ Ph �I �'�� ( O / PLM Contractor _9. _ Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall L S•LQ — ELR Footing Access: % r' Foundation ��/ 1�,. rN a CS + , s FPS Ftg Drain � ��V �+^J SGN Crawl Drain Inspection Notes: , — Slab _ SIT Post& Beam �� — Ext Sheath/Shear Int Sheath/Shear / Framing Insulation r f r DrywallNailing Firewall Fire Sprinkler 094 0=i Fire Alarm Susp'd Ceiling % Roof Misc. Final 7 PASS PART FAIL �' Com-^�� PLUMBING C L'� �-'- .� C Post&Beam Under Slab Top Out - Water Service Sanitary Sewer ` Rain Drains _ Final PASS , j FAIL Pest&Beam --- / — Rough In Gas Line Q — — S ke Dampers ina ' ---- PAR F I -- Service Rough in ---�— ��---- V-- a UG/Slab cl: Low Voltage Fire Alarm — Final r- PASS PART FAIL -" SITE Backfill/Grading ---- — Sanitary Sewer UJ Storm Drain [ ] Reinspection fee of$ required before nex',inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Pleese call for reinspection RE: Fire Supply Line ( p _��_—__ _ [ 1 Unable to inspect-no access ADA Approach/Sidewalk1 �� Other Date �. Inr:pector_ k Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 6�9-4171 MST --- BUP J Date Requested_ �l AM PM _ BLD Location - -- Suite ME Contact Person -F �"=-�.. � Ph �� `� E2 LAI- � GUO Contractor �� }f �� Ph BUILDING TenantiOwner `/ *;(%"C ELC Retaining Wall L ELR Footing Access: Foundation FPS Fig Drain SIGN Crawl Drain Inspection Notes: Slab _ ' SIT Pos.&Beam Ext Sheath/Shear y� Int Sheath/Shear Framing �. Insulation Drywall Nailing Firewallr_y_� Fire Sprinkler --- Fire Alarm Susp'd Ceiling - Roof Misc: _ - --- Final PAS ,- RART FAIL - -- �` PLUMBING Post-&-Beam Under Slab Top Out Water Service Sanitary Sewer --- -----�--- Rain Drains Fines ---- ASS ) PART FAIL M ANICF,L Post& Beam - Rough In Gas Line ---- - -- - - — Smoke Dampers Final ----- ------ PASS PART FAIL ELECTRICAL - Service Rough In UG/Slab Low Voltage �- Fire Alarm ---- Final F PASS PART FAIL SITE Backfill/Grading - - --- -- Sanitary Sewer LIJ Storm Drain I I Pvinspec tion f('e of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I I Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk I L, ` i = I I ._ Other Date Inspector Ext Final PASS PART FAIT_ 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BLIP Date Requested ,;-., / i AM_ PM BLD L.ocation ( �-- 4-4'� I �--7 $-(/� Suite ( � �q MEC Contact Person Ph �.��_L -= —f- PI_M _ Contractor --�p_ Ph SWR BUILDING Tenant/Owner ELCy C , Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes Slab SGN Post& Beam R SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm r�- C U vl I _ D d Susp'd Ceiling � j Roof ll Misc: Max X C8 - !.'5., YYt C. Final PASS PART FAIL PLUMBING U�c�c> r �'� �> - ��i� rel L _ C; rc,,✓i _ Post& Beam Under Slab 6% ko r_ C� Top Out Water Service 41 Sanitary Sewer Rain Drains -� - 6/ n 1 *� C Final PASS PART FAIL _ MECHANICAL — Post& Beam — _— Rough In Gas Line Smoke Dampers Final ------ PASS PART FAIL ELECTRICAL Service Rough In l - --- - ~� UG/Slab Low Voltage Ln Fire Alarm ti JrPASS- 'PART FAIL i� Backfill/Grading ---- -- --- -�- - - Sanitary Sewer Storm Drain [ ] Reinspection fee of$ _ required before next inspe^lion Pay at City Hall, 13115 SW Hall Blvd Catch Basin [ 1 Please call for reinspection RF [ I Unable to ins ect no access Fire Supply Line - -- p ADA , Approach/Sidewalk i Other Date '` .- Inspector/-.-...- Ext Final PASS PART FAIL_ DO NOT REMOVE this Inspection record from the joh site. CITY OF TIGARD E'LECTRTCnL PERMIT j DEVELOPMENT SERVICES PERMIT #: ELC99-0036 DA-rE ISSUED- 01/1.5/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL. F'S 1 04nA--05300 TE ADDRESS. . . : 12245 SW 127TH AVE: `_:,UBD I V I S I ON. . . . : DELLWOOD NO. ` ZON T Nf_,: R-4. 5 OLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :074 JURISDICTION: fIC Pro,j ect De scr i pt i.on : Alteration to electrical service. -RES I DONT I AI__ UNIT---- - --TEMP SRVC/F"C_'F_DERS--_...-_ -----MISCELLANEOUS----- 1000 ISCE:L_LANEOUS-_.._..._.1000 SF OF LESS. . . . : O 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 50@SF. . . : 0 201 - 400 camp. . . . . . . : 0 SIGN/OUT L_INF_. LTG. . : 0 !_ IMITED ENERCY. . . . . : 0 401 - 600 amp. . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps--.101110 volts. : 0 MINOR LABEL ( i0) . . . : 0 . -----SER':I CF"/FF_.EDER----- -----BRANCH CIRCUITS------ ---ADD' L I NSPECT I ONS-..- 171 - 200 amp. . . . . . : 0 W/GERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 ,-'01 - 400 amp. . . . . . • 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 A01 - 600 amp. . . . . . : 0 EA ADD' I-.. BRNCH C T RC: 0 TM PLANT. . . . . . . . . . . : 0 001 - 1.000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION--------------- 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. ., . . . . . . : ) 600 VOLT NOMINAL_. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -------------------------------------------------- FEES _.-.-__.--____.--_ - T'HOMAIS HALE type amount try dente -ecpt 1.22451 SW 127TH PRMT $ 35. 00 DI_F-1 01/15/99 99-31.E2 rIGARD OR 97223 5PPCT $ 1. 75 DLH 0.1/15/99 99-312227 "hone 4: HOMESTEAD ELECTRIC $ 36. 75 -TOTAL. 00 PDX 13237 ------- REQU T RFI) INSPECTIONS -- "'OR rl._AND PR 97213 Rough -in F_lect' l Final -,hone it: 'L57-4989 Elect' 1 Servi.r.•e Flog #. . : '!00420 ":rs pewit is issued subject to the regulations contaiied in the Tigard Municipal Code, State of Oregon Specialty Codes and all othr.r ?pplicablP 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 the rules adopted by the Oregon Utility Notification Center. Those 1'UIP.S 81-e set forth in OAR 952-PNI-0010 through OAR 752-001-1987. You say obtain a copy f these rules or direct qutitions to OUNC by calling (503)246-1987. "ermittee:. Signature : i`1_�%.L.� _ Issued Lay :�� --------------------------OWNFR INrTAL..L nTION ONLY rhe installation is being made on property I own which is not: intended for .ale, lernse, or rent. F- ')WNER' S SIGNATURE: /✓�/� DATE: _ INSTALLATIONONLY _..._......___ .._....._...._..... .__..._..._____.._._._. w 1 C'dLJAT URL. OF SUPR. ELEC' N: t'.)1/ _��i/�! j Q DATE-. ' ICENSE NO: f f+++++++++++4 f++f-f4 1-i.f f.+4 +.f+4++++++.ff+ffIf4+ff+,_-F-F Ff ++f++++++++++++++ff++?+++ Call 539--41.75 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++++•++++++++++++++++++++++++++++++++++++++++-E+++++++++++ RECON! ;- CITN4OF TIGARD Electrical Permit Application Plan Check# 4 13125 SW HALL BLVISQh1 I Recd By D Date Recd TIGARD OR 97223 / lINIIN UE ut L ��6r', Date to P.E.-_- Phone (503)639-4171, Date to DST Print or Type Inspection (503) 639-4175 or Incomplete illegible will not be accepted Permit Fax (503) 684-7297 p g Called__-. _ �1. Job Address: oe% y 5 5 W-07 T 11 � 4. Complete Fee Schedule Below: Name of Development _ 1 Number of Inspections per permit allowed Name(or name of bu5ii iess)Tj/ D M,4 S Service included: '.ems Cost Sum Address,�,;-- 4a. Residential-per unit 1000 sq,ft.o;less $110.00 4 City/State/Zip.___ _ Each additional 500 sq.ft.or Commercial ❑ Residential portion thereof i $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $66.00 ? 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Installation,stallation,alteration,or relocation Electrical ntractor � _ y t_'5r 1 u �= �`�% r�ZIL 200 amps or loss $60.00 2 Address ! C>, BB A.13.'i `>;� ___ 201 amps to 400 amps _ $60.00 ____ City VoltrZ4n(h _State Qg _Zip401 amps to R00 arnpv $120.00 2 Phone No. 5 V-9 �4__T9_ 601 amps to 1000 amps $160.00 2 Job No. Over 1000 amps or volts $340.00 _ 2 Elec. Cont. Lice. No. ^ G Ex Date Reconnect only $50.00 2 OR State CCB Reg. No..�• L_.!f i-Exp.Dateq�Y�? 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp,Date Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 419rBr,, 201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 2 V- 2 Over 600 amps to 1000 volts, License No,,3 6 Exp.Date '01 - 0 1_ see"b"above. Phone No.¢_54i7 -tIpp 4 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or Print Owner's Name------- feeder tee. Address Each branc!i circuit $5.0c _ 2 b)The fee for branch circuits city State Zip without purchase of 6 Phone No. se•vlee or feeder tee. First branch circuit 1 $3500 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.',Aleceils000u: (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,alterutlon or extension $40.00 Minor Labels(11) _ $100.00 Please check appropriate Item and enter fee in section 5B. 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above n System over 600 volts nominal Per Inspection $35.00 - Classified area or structure containing special occupancy Per hour s $55.00 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 $ -- ,� 5%Surcharge(.05 X total fees) $ 1- NOTICE Subtotal $ --- 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review 11 Le u r�(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.IS COMMENCED. El Trust Account k _ $ Total balance Due --+_ f - CITY GF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Nall Blvd,, Tigard,OR 97223(503)63d-4171 PE RIA I T #. . . . . . . . PLM99-0006 DATE T.OSUED: 01/1.2/99 "'ARCEL: 2SI04AA--05300 SITE ADDRESS. . . : 12245 SW 127TH AVE_ SUBD I V I S I ON. . . . : FEI_I..WOOD NO. 2 ZONING- R.-.4. 5 BLOCK%. . . . . . . . . . . LOT. . . . . . . . . . . . . :O7A JURISDICTION: TIG CLASS OF WORE;. . :ALT GARBAGE DISPOSALS. : 0 MOBILE I1O1rIE ISPACES. : 0 TYPE OF' USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . : R3 FLOOR DPATNS. . . . . . : 0 TRAPS,. „ . . . . . . „ . . . . „ 0 S)TOR I EC. . . . . . . , : 0 WATER HEATERS. . . . . .. 1 CATCH BASINS. . . . . . . : 0 F I YTURF S--- -------_- LAUNDRY TRAYS. . . . . : 01 SF RiTi I N DRA T NS„ . „ . , : 17.1 SINKS, . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS.. . . . . . . , 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . . 0 SEWER LINE (ft ) . . . : 0 WATER CLOt3ETS. : 0 WATER LINE (ft ) . . . : Id DISHWASHERS. . . . : 0 RAIN DRAIN (fit ) . . . : 0 Remarl•ts : Installation and coversion of water, heaiter. owner, _______._.___.____.__.._____---._.__.._.____.__.__.__.___-- -----•-- ----__-•-- FEES TOM HALE type amoi_rnt by date recpt 12245 SW 127TH PRMT 0 25. 00 Dl_H 01/12/99 99--31.2098 TIGARD OR 97:23 SPOT $ 1. 25 DI-11 01./12/99 99-31,1098 F'h o n e #: 590-.8102 C',o n t ract or- P. H HEATING tt• COOLING, INC 3P16 NF 78TH ��'ORTI._AND OR 97213 Phone tt: 2:52-9672 $ 26. 25 TOTAL_ [Ing ##, . . 61932 RFPU I RED INSPECTIONS -- This permit is issued subject to the regulations contained in the Final. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pet-wit will expire if work is not started �___...__.•,_,_�,_�_..______ _ _ __ ., ____ _. within 1.80 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to fol. < rules adrpted by the Oregon Utility Notificatior Center. Those rules are Lf) set north in OAR 952-0001-0010 through OAR 952-0001-0080. You way obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. L U ( n 1 sl.red Py : _ -� -- Permittee Sigr,at:lir.e :1 - +•4•+i+•+•+++++++++++++++++++++++.4-+++++++++•4•++•+-++++++++4.4-+•+•+CC++?T+"++++++•1•++++++i ++ -4 Call 639-41.75 by 7:00 p. m. for an insper_tion needed the next bi_Isiness ri +++ + -+++•+4 +++++++++++++++++++++++++++++++++++++++++++++++++++++•+•+++++++ '-++++ 4 :ITY OF TIGARD Plumbing Permit Application FlanChedc Lam_ 3125 SW HALL BLVD. Commercial and Residential Recd By ]GARD, OR 97223 Date Recd / z 503) 639-4171 �� Date to DST �~ Print or Type Permit c/x>99-DOOw Incomplete or illegible applications will not be accepted Related SVR« Celled_, Name of Daveiopment/Project uRES' !!411 TOM RALE Sink a o0 Job -- Address 1.avafory -- 9.00 St�sp!�e SW 12 7th Suite �_ or Tub/Shower Comb. 9.00 Bldg 11 �t1�A-RD,OR z�7223 5howerOnly 800 _ Water Closet 900 _ Name Dishwasher 9.01 TOM HALE Owner til n Address Sul Garbage Disposal 900 /��1�15 SW 127th pp�� LVashfip Maahmo 9.00 Crly.l6�RDeORZ��7223 `�y6-81t)2 FloarDralnlFknnrSink 2" i _ 9.00 3• 9.00 Name — SAME AS ABOVE a' 9.00 Occupant Mailnrg Address Suite Wale,Heale, aconversion O like kind 1 9 r0 001 Gas i Ir refires a sriarate mechankal permit, _ City/State Zip Phone Laundry Room Tray Urinal 9.00 Name R.H. HEATING & COOL Other Fixtures(SperUy) 9.00 9.00 Contractor P_1%^Wr 713th Surae - �— 9.0o Pnor tc permit City/Slate Lip Phone Sewer•tat 100' 3000 issuan.v,acopy PTLD.OR 97213 252-967 Sewer each additlonal 100' 26.00 —j Of all licenses are Oregon Const,Cont Board LIc.A Exp.Date Wafer 3ervioe•lot 100' �25 00 reowed it 619 3 2 1 expired In COT Plumbiny Uc,ae :��1)31/00 .Dale water Service!-ear:i addtliona1200' _ 00 database 26-41.3 PB_ /' Starm&Rain Drain-tst 100' 30 00 Name Storm 6 Rain Drain-each additlonal 100' 25.00 Architect Mobile Home Snarx 25.00 Or Melling Address T` Sults Commercial Back Flow Prevention Device or Anti- ?5.00 _ Pollution Device Engineer Chy/Stale Ilp Phone Reaidential nacklicw Pmventlon Device' 1500 (,nigation timing devices require a separate D°S be work.to be done — — r^siddei envgy pemtit) _ New dF Repair C Replace w'th like kind Yes O No of Any Trap or Waste NO(Connected to as Fixture 9.00 Residential (K Comrrlorctal O Catch Basin 9.00 _ Add,tionsl descrlpllon of work Inr,p.of bxtstin i Plumbing 40.00 rhx ',pedally Requested Inspections 40.00 error _ _ _ --- Rain Drain,s,ngle famliy dwelling —v— 30.00 a Are you capping,moving or replacing any fixtures? — Yes O No Grease Traps -- 900 U') If yes,see back of form to Indi tats work performed by QUANTITY TOTAL } i rixture. FAILURE TO ACCURATELY REPORT FIXTURE Iso,;aetccrriser d is Iredrouant T61a b .v 1 �- WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL J I herby acknowledge that I have read this applicetlan,that the Informai!on _ - •o ` q ren is corrori.tha,I am the owner n•aulhodzed agent cf the cyvner,and �6"A SURCHARGE .4 I Z/ ;r rrittai are In coin Ilan with O den 5tete Laws th _ Stpnst re o r _ / Date "'PLAN REVIEW 26Y.OF SUBTOTAL. w rte' rr.J�� R only fwwra .laAl Is-o (0' _j /11/99 TOTAL. 26 2 Contact Person Hams _— Phone 519-8989 'Nllnlmum permit fee is$25+5%uxcheige.except Residential Backllnw DAVID VFLEY Preventon Devioe.which Is 1115+5%surcharge -- -- — "All New Commercial Buildings Ie.quire plans with i-ac)etric or riser diagram and plan review t vrrt.>Owrnwo rax rnrse :0u) f0s; £7s lta 7s:71 \()k t16 Il It) CITY O TIGARD MECHAN T CAL DEVELOPMENT SERVICES PERMIT A01 13125 SW Hat Blvd., Tigard,OR 97223(503)639-4171 DATE I t ISSUED: DATE 01/12/99 PnRCFL: 2s i oA AA-1 5.300 ^ITC. ADDRESS. . . : 1:.":245 SW 127TH AVE SBD I V I S I ON. . . . : BELLWOOD NO. 2 ZONING: R-4. 5 BLOCK. . . . .. . . . . . . L.OT. . . . . . . . . . „ . :074 JURISDIC:T'ION: TIG CLASS OF WORK. . :OTR FLOOR TURN. . . . : 0 EVAP COOLERS: 17) TYPE OF U iE. . . . :SF UNIT HE=ATERS. . 01 •JENT F'ANS. . . : 17..1 0UCUP1PN17,( GRP. . :A?, VENTS W/O nPPL: 0 VENT SYSTEMS; 0 STORIES. . . . . . . . : 0 BOILERS/COMFIRESSORS HOODC. . . . . . . : 0 FUEL TYPES- —_______.___. 171- HP. . . „ : 1. DOMES. INCIN: 0 -GAS -.. -1`, HFA. . . . : 0 COMMI._.. INCIN: 0 MAX INPUT: 0 BTU 15- 30 HP. . , „ 0 REPAIR UNITS: 171 F I RE DAMPFR S?. . : �?0 -50 HF'. . . . 0 WOODSTOVC=S. . : 0 GAS PRESSURE. . . : 50.+ HP. . . . : 0 CI..-fl DRYERS. . ; 0 NO. OF I.1N T T S__.___.____._ AIR HANDL.I Nf.i 1..IN T Tr, OTHER UNITS. : 0 TURN ( 1O0K BTU: 1 != 10000 cfm : 17.I GAS OUTLETS. : l FURN ) _:101OK PTU: 0 ) 10.000 r_fm: 0 R e m a r^I.1 s : Installation of furnace d gas piping, and exterior A/C unit. A/C unit cannot be placed within the required minimum setbacks. Conversion frne electric to gas. Owner: _._. ____ _____.______. ____. _ __ _ _______ ____ __,— FEES THOMAS HALT type aino,.lnt by date reccpt 1 245 SW 1.27TH AVE PRMT $ 25. 00 DEB 01/06/99 99—:311967 T TGARD OR 97223 SPCT t 1. 25 DEB 01106199 99-311967 Phone #1: Contractor-: RH HEATING R COOLING INC =:1.6 NE 78TH '6 26. 25 TOTAL.. PnR'TI_.AND OR 9- 727,13 GS,-1. Ph n n e t/ : ;2'52-9672. Reg #. . ; 1I0061.9 RE=I:�I.IIRFD TNSPF:f'TTONS This perait is issued subject to the regulations contained in the Gas Line Tnsp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical. Insp applicable laws. All work will be done in accordance with Heating Unt Insp approved plans. This perait will expire if work is not started Final Inspection _ within 180 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Ce•r • Those rules are set forth in OAR 952-001-0010 through pR" 080. You aay obtain copies of these rules or direct questiuns to OUNC by calling 15031246-9187. Tssue B, `-- �:"�h�- '�.. Permittee SignatLtr :UGrrwt � I ++++++++•1-+++++++++++++++4-+.+++++++++...+++++ + +++i•+-4-++++++++++++++++++++. + 1 Call 6313-4175 by 7:010 p. m. for inspections needed the ne>:t bl.lsiness day .++++++++-+-+4.4-4-+++4-+++- . 01/12/1999 12:10 5032576653 RH HEATING PAGE 02 V Ll W a Ell I n L 1 �r7 erre t SO 1-),r7+-" CIT Y OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: El C99-0013 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 01/08/99 PARCEL: 2S1.04-AA-05300 SITE ADDRESS. . . : 12245 SW 127TH I-E 2 SUED I V I S I ON. . . . :IAEL-t-WOOD NO. le' 7ONING:R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . ,. . . . . . :074 :07� JURISDICTION: TIG Plvo.ject Description " Add a first branch circuit. -----RESIDENTIAL_ UNIT---.- SRVC/FEEDERS----- _-~-MISCELLANEOUS___..._._ 1000 5F OR LESS. . . . : 0 0 - 200 amp. . . . . . . . 0 PUMP/IRRIGAT ION. . . . 0 FACI-A ADD' L 5009F. . . : Z 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 STGNAL/PANEL. . . . . . . 0 f' NF. HM/ SVC/FDR. . : 0 601+amps -1000 "'olts. : 0 MINOR LABEL ( 10) . . . 0 .___-----BRANCH CIRCI ADDIL INSPECTIONS—- ---SERVTCE/FEEDER------io - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 FIER TNSr-,ECTIorj. . . . . . o 201 - 400 amp. . . . " . 1Z( 1st W/0 SRVC OR FDR. : 1. FIER HOUR. . . . . . . . . . . : 171 11-01 600 amp. . . . . . : 0 EA ADDIL BRNCIA CIRC: IP IN PLANT. . . . . . . . . . . : 0 601. 1000 amp 0 REVIEW SECTION-----__..______..__.._____.__. 1000+ ECTION-------- le.OID4 aMp/Volt,. _ . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect. only. 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES rHOMAS L type amoLint by date reept 1;21245 SW 127TH AVE PRMT $ 35. 00 GEO 01 /08/99 HAND RECPT TIGARD OR 9722--,,3 5PICT $ 1. 75 GEO 01/08/99 HAND RECPT r,honc., #: Contractor. -------------------------- HOMESTEAD ELECTRIC $ 36. '75 TOTAL. P0 BOX 13387 REQUIRED INSPECTIONS PORTLAND OR 97213 Elect' I Service Phone 257-.4989 Elect' I Final r4pg V. 0004 '-10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. n11 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 the rules adopted by the Oregon Utility Notification Center. Those/r,les are set forth in OAR 952-01-0010 through BAR 952-001-1987. You may obtain a ccpy of these rules or direct question b 11ing 31246-1987. Pei-mittep E ignatlAt`t.' T=9 1.1 e d EA"21- --------------- --OWNER I NSTnlA_AT I ON The installation is being made an property I own which is not inteneed for sale, 1 pase, ot- rent. rll.JNFRI S SIGNnTURF: DATE: -CON-1 RnCTCR INSTni i.-nTI.oN ONI Y SIGNATURE OF SUPIR. ELEC' N: DATE L I CrNSE NO: 4++4+4--I-++++-4-+4+++4-+++-f-+4++++i 4.+++++++++++++.F+1+++-+++4-++4-++44+.i +.+++4-4.+4-++4.+44++.+ Call 639-4175 by 7:00 p. m. for an insppction needed the next boisiness day .................4............4...............4•..............++++++.............4-4-+ 01/04:99 KU-S' 11:23 PAX 503 598 1990 CITY OF TICAM _ It 002 cmr OF TIGARD Electrical Permit Application Plan Check 0 13126 SW HALL BLVD. Reed By________ TIOARD OR 97223 Data A.d'd Date o P.E. Phone(603)639-4171, x304 Print or Type dot•t0 osT_ Inepec�Ion(603)6N-41715e accepted Incomplete or Illegible will not be perm"o-C� °di3 Fax(603)684.7297 Called 1. Job Addrwa: 4. Complete File Scheduto Below: Name of 0e Numbw of Inspao8arte par pernlM allowed Name(or manse of buelnssa) I 1"h5 4 E Service Included- hme Ooet Sum 1 Address 1 2.? Y S T M. Rookies ttlal-per wilt _._____ 1000 eq.ft.or Ina 11 10.00 _ 4 Clly/8taCfJ�P Each additional 500 eq.h or PWON Cornmerclal❑ Reeldendal[a' Urnaed Ener _ j4�ado , Each Moturd home or Modular 2a. Contmotor Inatlhllatlon only: DwW9 loner or Feeder _ NOW 2 (Attach copy of ah outset licenses) j 4b.lerylose or►eedwe Elsotrloa!Convector 1-4n�1�s Tr o /_ 1 rCi fl ;rtatawiwn,"oration,or reloca;lon or Was Adde+eM tom. r (',, 1 3 � ?_ 10 am�pr o 400 amps r INO.(10 2 r State Y 7J 2 City f =r L ti,, p�.•1-'.1..� tOt naps to eco am 11Ao.00 � p Phone No. �; y U WI amps to t000 amps $180.00 2 .lob No. Over 1000 amp-or vab III== 2 Elco.Cont.Doe.No. �,51:',� Exp.Date /a -1 7,771 RoorwHw 0* --- t�0a 2 OR IM99 CCB fRep,No. Exp.Date_<.J'-O dj_ 4o.Tempo"MMom m Madera COT Suslneee Tax or Metro Exp.Data_ Immea bn,alienation or relocation / .�_./ 1100 amps or bee 1150,00 2 Signature of Supr Medrt / 201 amps to 400 amps .� 07500 2`fid i 401 amps to 600 amps 111111110.00 2 Tr Ucenee No._ � S Exp.Date /O-/ 0/ ies, as m toss zona, Phone No. 4d Ir.naft cir"No Nov,altendor or aetarWan per panel 2b. For ownlr Inatollatlorm: a)The fee for branon arouits Wffh pwvhm of sort*#of Print Own"Name fodw Aw Address Each rranah cl aun 111118,00 2 irc t.Its City State ZIP o) f�oranoP"hos ,of Phone No._,, ...tilos orhe. First b,-noh drouh _L 1195.00 ' 2 Tho Installation Is being made on property own whloh Is not Esor Oda lard Wench orarrt 18 00 _ 9 Inilarlded for Salo,ksate of rent. 4e.Uleaaleneous Owners 919nature (:west yurnpor�r11�on nI�) /40,00 y Each sign Or OLAN a" 1140.00 2 9. Plan Review soodon(111 niqulred):" 519re'droLn(e)or a krih.d an.vr pwwi,altireUM or eM#ns on $40.00 2 Mina lab#te(10) _.__. {1C0,00 Please check approprirte�tetn and efti,fee h#salon 5e. 4 or more reelderttta:,rule Ir xv,atruahrre 0.14oh addhional Inapsotlon ever ttervlos ane feeder Sia amps or-nae the FAR ,Mbto In any of dw above System over 800 vdb nominal Per limpeotlon $31.00 _ Classified arm or stwt%,*owWnnq#pedal ocoupsncy Par ftt r i 1156,(6 as dMtttbad in NF C.Chgda►0 in#,cern 8ubn+t s sera of plans w14bt eopllootlon where any of the aMove appal. 5. Fimv: Not rqulredtm lerrtpaory eowtroetion seMese. M.Erthr toned of above fese / e��M4(08 X tda Faso)) 6 WAIQEs W.Enter 28%d Arta Is for PERMITS WCCME VOID IF W04X OR OONBTPUCTION AU"I OPIZEO 0 Plan Pavlew)(mJM(Sec,2) {NOT COMMENCE D WITM 180 DAVE,CM IF COW TRUCTIUN OR WORK #ebkw -- 3 SUSPENDED OF ABANDONED FOR A PERIOD OF t 8o DAYS AT ANY nMR AaTtA YJofuc l8 01a1NM41lNQID. ❑ Truer A000urN a ToW balenoo Duo • CITY OF TIGARD DATCI TS (.JED: . 11 /06/995-0 ,76 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: ES1O4AA--05300 1312 }�a�Blvd.Tigard,Orspon,D722 •81 p 5p3�830 4171 IT1 �� r.., - t� �,:t IAVL- SU1:1llIVISION. . . . : BEL_L_WOOD I I ZONING: R-4. c 5I....00K. . . . . . . . . . . 1-01.. . . . . . . . . . . . . : 74 --------------------------------------------- t;L..ASIS CIF WORK. . :ADD I=I__OOR FURN. . . . : 0 F.VAP (;OOL_ER 5: 0 TYPE: OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :A3 VENTS Alf.) A1=,F,L.: 0 VENT SYSTEMS: 0 3TORIES. . . . . . . . : 0 BOILERS/COMP,RESSORS HOODS. . . . . . . : 0 FUEL •TYPES-•---------•----- 0-3 HF.. . . . 0 DOMES. I NC I N: 0 .3-15 HF'. . . . 0 COMML . INCIN: 0 IMAX I NPI.JT: 0 DT 11 15--30 1-1P. . . . 1) REP,A I R 1..1N I TS: 0 FIRE: DAMF,ERS?. . : ?,0 50 ►IP. . . . : 0 WOODSTUVES. . : 1 GAS PRE`:33URE. . . 50+ HF,. . . . 0 CLO DRYERS. . - 0 NO. OF UNITS--------- AIR HANDLING UNITS OTHER UNITS. : 0 1=URIV ( 1.00K BTU: 0 (= 10000 Cf in : it GAS OIJI-1._ETS. Vi FURN )=1O0K LTU: 0 > 1O000 cfm : 0 Woodstove insert FEES THOMAS HALE type amoi_cnt by date recpt 1.2245 SW 127TH AVE F'RMT $ 25. O0 B 11/06/95 95•-272549 cipc"f $ 1. 25 B 11/O6/95 95-272549 T I GARD OR 97,223 Plhone #: C:cintractcrr: OWNER ---------------------------------------- F11-ione #t: $ 26. E5 TOTAL Recti #. . : 000000 REQUIRED INSF'E_CTIONS This permit is issued subject to the regulations contained in the WoorJstove Insp Ticard Municipal Code, State of Ore, Specialty Covs and all other Final Inspect ion 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 enre than 180 days. in , ttee Sl at1.1re: CC �_ceri Bv : fti_ V) r �- CG-all for inspection - 639-4175 J L C7 - W J CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: � Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab ech. Rough in Fireplace Post/Beam Struct. Plbg. Top Out Eiec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Lire -Bldg Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation 0Aech. Underflr. Insul. Shear Wal Gyp. Bd. -Elect. Date Requested: a `'� Time: AM PM Address: f Builder: Permit t/2")�—��,�G� THE FOLLOWING CORRECTIONS ARE REQUIRED: �� CL C (,' W Inspector._ �' —i'�ate: "MFD _DISAPPROVED —APPROVED SUBJECT TO ABOVE ��TT Call For Reinsp. City Of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 " .1 U., Uescription 7 7lU t't� Table 3A Mechanical Caiv QTY PRICE AMT Job ys o1- Ila 1) Permit Fee -0- -0- 10.00 Address �/ ap %� N r! (��a 2) Supplernental Permit 3.00 "• """•° m Furnace to 100,000BTU Zl. 1) incl, ducts & vents 6.00 Furnace 100,000 BTU + Owner 1 "f 51,1-1 2) incl. ducts &vents 7.50 Y '• •" Floor Furnance 71 C, 3) incl. vent 6.00 4) or floor mounted heater 6.00 ° "• °^• ent not Inc. in Occupant �r ilt J 5) appliance pe-i--it 3.00 epau of heating, re ng. 6) cooling, absorption unit 600 Boiler or comp, heat pump, air cond. 7) to 3 HP; absorp unit to 100K BTU 6.00 "• L) I Boiler or comp, heat pump, air cond. Contractor "` 11/, 8) 3-15 HP; absorp unit to 500K BTU 11 00 Boiler or comp, eat pump, air con . 9) 15-30 HP' absorp unit .5-1 mil BTU 15.00 7,tv But " oyer or comp, heat pump, air cond. 101 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 ',ereuy acknow eage that I ha-v-e—r-e-a-? this application, that the Boiler or comp, heat pump, air cond. information given is correct. that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 3750 agent of the owner, that plans submitted aro in compliance with Air handling unit to Slate laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct. (If eyempt from State Air handling unit registration, please give reason below.) 13) 10.000 CTM + 7.50 Non portable 14) evaporate cooler 450 Vent tan connected 151 to a single duct 3.00 Ventilation system not 16) included in appliance perm.+ 450 Y,,.,,,.._.,., ,"•,,�, Hood 3erved bv ;i- 17) mechanical exhaust 450 -7escribe work newU—additiona erauon Commercial or industrial to he done residential CD norf-residential Q 18) type incinerator 3000 Existing use cf Other i e., woodstove, water budding or Drooertv M 19) heater, solar, clothes dryers, etc 4.50 1 l �- Proposed use of 20) Gas piping one to four outlets 2.00 budding or property --- vh � Type of fuel -oil Q natural gas i(-) 21) Mnre than 4-per outlet leach)I_PG (� ?leciric fJ 2-00-J r-- _ I -► N 0 ME— t Minimum Fee 525 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION w AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 544 SURCHARGE + )� J IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW'!5"o OF SUBTOTAL AFTER WORK IS COMMENCED TOTAL Special Conditions Date issued by �LLCOIMDlTS1MECHOMT