12445 SW 129TH AVENUE r
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12I M5 SV%l `,:�CI AV Et !E
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CITY OF TIGARD BUILOING INSPECTION DIVISION
24-Hour I.,.Il,, ,;__. :,ine: 639-4175 Business Phone: 639-4171
Date Requested: , _��_ �l- Z) -17 _ A.M. (/ P.M._ MST: _
Location: � w �-� _— �.��• — _ f3lIP_
Tenant:_ _ Suite: Bldg: MEC:
Cca ctor: —.� Phone: PLrQ:
Owner:_ Phone: �o2�S— ELC:
�1✓1ST ,_ ELR: _
SPI': _
BUILDING BLDC(coni) PLUMBING MECHAELECTRICAL,: SITE
Site i'ost/Bcam Post/Beam Cover crvtce Sewer/Stor
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Jut Gas Line Rough-In UG Sprinkler
Founda0n !nsulation Sewer Ilood/Duct Reconnect Vault
Bsmt Di inp laywall Storm Furnace Tmiip Service MISC.
Masom; Ceiling Rain Drain A/C UG Slab
Shear/Si,eath _Fire SpkinAlm Crawl/Pound Dr Heat Pamr, low Volt
Approved Approved droved approved
1 ippr/Sdwlk Not Approved Not Approvedp ed �— No roved Not Approved
I FINAL FINAL, FINAL FINAi.
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t�('1111 for re c. n ) ❑Reinspection fee W1 required before next in..pection O Unable to inspect
Inspector,_ Date _ j� Page _of
CI'T'Y OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
_ II _C I
,
Date Requested. � f _A—� A.M. . L� P.M. MST: _
I,ucatio c -- —��� cel �� y 7 / 1 -- _.— -- fiUP:
Tenant: — _ Suite: Bid : WHOEN—CaS
Contractor: __ _ — Phone: —S'� PLM:
Owner: - �=s� � Pl.one: ELC:
ELR:
_ SIT:
BUILDING BLDG(con't) PLUMBINGECHANICA ELECTRICAL SITE
Site Post/Beam PosVBeam Cover/Service Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top Orrt Gas Line Rough-In UG SprinkILr
Foundation Insolation Sewer Hood/Duct Reconnect Vault
f3smt Damp Drywall Storm Furnace 'Cemp Service MISC.
Masonry Ceiling Rain Drain A/C U0 Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I lent Pump Low Volt
Appravcd___ Approved Approved Approved Approved
Appr/Sdivlk <<. No' Approved--, Not Approved oved Not Approved Not Approved
FlR FINAL FINAL FINAL FINAL
f AXS-j �GTZ C1 4,1
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-ff&flII Cor reinspect" / 0 Reinspection fee of S.__ �;��29re next inspection rl Unable to inspect
Inspector:_ Date: 7 Page_ of-
- CITY OF TIGARD MECHANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97--VjLCL'
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/09/97
PARCEL-.: 2S 104AA-1. 1.700
SITE ADDRESS. . . : 1.2441 SW 1.2:9TH AVE
EUBDIVISION. . . . : DF_I_LWOOD 3 ZONING: R--4. S
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 136 JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 F_VAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BO'' -ERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL `i'YPES-.-----•---------- 0-3 HP. . . . : 1 DOMES. I NC I N: 0
:ELC 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 13--30 Hf-'. . . . : ('' REPAIR UNITS: 0
f.IRE DAMPERS?. . : 30--50 HP. . . . : 0 WOOD STOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 f, O DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS ',. . HER UNITS. : 1
FURN < 100K BTU: 0 C- 10000 cfm : 0 GAS OUTLETS. : 0
TURN ) '--100K BTU: 0 1 10000 cfm: 0
R e m ar,k s : Install electronic air cleaner and heat pulp
Owner-: --- ----- _._--'----_-__------____—_------___.____.---__._—.___-- FEES _...___---_-----
MAX STEIGHT type amof_rnt by date r-ecpt
12445 SW 129TH PRMT $ 20. 00 JSD 07/09/97 97-296915
TIGARD OR 97223 SPCT $ 1.. 25 JSD 07/09/97 97-296915
PIi o n e #: 225--6864
Contr'actor-: ---- ---------------------------
M I LWAUI;I E HEATING & COOLING
1396tA HWY 21.2
$ 26. 25 TOTAL_
C LACKAMA S OR 9701.5
Pfi u n c #: 557-556o"
Reg #. . : 1041.02'
------- REQUIRED INSPECTIONS
- -- -- -
This pertit is issued subject to the regulations contained in the Mechanical. Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. qll work will be done in accordance with
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for tore
than 100 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utilrcy Notification Center. Those r❑lps are
;et forth in OAR 952-001-0010 through OAR 952-001-@080. You vay _
obtain copies of these rules or direct questions to DUNC by calling
(503)246-9187.
�,�-- ,,. -1, 1- _
15s._re By : J' I='nrmittee Signature:
4 v
+'++++++;++++++++++++++++++++++++++++'.+++++++++'r'+--+T' ...........................
C_.11 639-4175 by 6:00 p. m. for- inspections needed the next br.rsiness day
+++4+++++++++++++++-f+++++++++44'++++++ F++++++++++++++++++++++++++++++++++++1++'*+
la- ;.teck#
CITY CF TIGARD Mechanical Permit Application Recd By -IdA- _
13125 SW HALL BLVD. Commercial and Residential Date Re,;d�C1 �
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Permit# ff. •� � .�'"G� .�ti
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of DevelopmentiPmtect Description
_ Table 1A Mechanical Code QTY PRICE AMT
,lob Street Address Surtee A) Permit Fee •0- -0- 10.00
Address Y 5 n
tdga city/slate Zip 1.) Furnace to 100.000 BTU 6.00
including ducts&vents
Name for name of ousmesi<y 2.) Furnace 100.000 BTU+ 7 50
Owner rf 6- including duds&vents
Mailing ddressc c ¢�� 3.) Floor Furnace 6.00
including vent
c,rtyistws Zip Phone 4.) Suspended heater,wall heater 5.00
7Q or floor mounted heater _
Name,ror name of business) 5.) Vent not included in appliance permit 3.00 i
Occupant Mailing Address 6.) Boder or coin ,heat pump,air Gond. 6.00
to 3 HP:absorb unit to 100K BUT"
CrtyBtate —' Zip Phone 7.) 3oder or comp,heat pump,air Gond. 11.00
3-15 HP:absorb unit to 500K BTU"
Contractor Name 8) Boder or comp,heat pump,air Gond. I 15.00
(Pnor to d 15-30 HP:absorb unit.5-1 mil BTU"
issuance ailing Add rosa � n 9) Boiler or comp,heat pump,air Gond. 22.50
applicant 7� ,real ) 30-50 HP:absorb unit 1-1.75md BTU"
must provide all Cdyrstate ZI Phone 10.) Buller or comp,heat pump,air Gond. 37.50
contractor 1 L(J/�(y�i f •� s� >50 HP:absorb unit 1.75 mil BTU" _
license O gon Conn.Cont.Board t.k.11 Exp Dot 7,
11,) A.•handling unit to 10,000 CFM 4.50
information U (�
fcr CUT COT Business Tax or Metro a Exp.Oats 12.) Air handling unit 10,000 CFM 750
_database). �g(0; -
Architect I'am 13.) Non-portable evaporate cooler 4.50
or Mailing Address 14) Vent fan connected to a single duct 3-00
Engineer Crtps'ate v Zip rhone 15) Ventilation system not included in 4.50
_ appliance_ permit
Describe work New O ,ddi!ion O Alteration O Repair O 16) Hood served by mechanical exhaust . 50
to be done Residential O tvon res:Jential O
Additional..escnption of work 17) Domestic incinerators 750
,1
�"� �/ k 18) Commercial or industrial type 30.00
%/L'.,cstGCL ` Incinerator
Existing use of 19) Repair units _ 450
budding or property
20.) Wood stove 4.50
Proposed use of 21 ► Clothes dryer,etc. 450
budding or propertj
22) Other units 4 50
Type of fuel-oil O natural gas O LPG O electh 23) Gas piping one to four outlets 200
I hereby acknowledge that I have read this application that the 24) More than 4-per outlete(each) 50
information given is coned.that I am the owner or authorized agent of
F- the owner,that plans submitted are in ciompliance with Oregon State QTY SUBTOTAL
J laws
Signature of Owner/Agent Date 'SUBTOTAL if
51/6 SURCHARGE
J �
ontact 115erson Name Phone PLAN REVIEW 25%OF SUBTOTAL
TOTAL ,C
c'aistvnechpmt.doc (rev 9 'Minimum permit fees S25+5%surcharge
"Re"ential A/C requires site plan showing placement of unit
CITY
OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-0403
3125 SW Hall Blvd., Tigard,OR 97223 (503)639.417 DATE ISSUED: 06/23/97
PARCEL: 2S1 4AA- 1170
ITE AuirRESS. . . : 1244`:� SW 129TH ST
SUBDIVISION. . . . : ZONING:
BLOCK. . . , . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTION:
Pi-o.j ect Descr•i.pt i on : add 1 branch curuit / job t? /
---RESIDENTIAL UNIT----- ---TEMP' SRVC/FEEDERS-_.-- ------MISCELLANEOUS---------
1000 Sr- OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' I_- 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MAt HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0
- -.SERVICE/FEEDER---- ----BRANCH CIRCUITS--- ---- ---ADD' L INSPFCTIONS----
-- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . 0
01 - 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : 1. PER HOUR. . . . . . . . . . . . 0
401 - f.:,0O amp,. . . . . . . 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0
601 - ..000 amo. . . . . : 0 ------- REVIEW SECTION- --- -__._-_____-.._
1000: amp/volt. . < . . : 0 ) =4 RES UNITS. , . . . . . . : > 600 VOLT NOMINAL. .
Reconnect only. . , . , - 0 SVC/F1)R > = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner,: _____-----.___.-.._.__..__._______----_.___--•------ --------________- - FEES
MAY STEIGHT type amol-int by date recpt
1.2445 SW 129TH STREET PRMT $ 35. 00 GEO 06/23/97 97- 296326
-F'IGARD OR 972c3 5F'CT $ 1. 75 GEO 06/23/97 97-296326
Phone #:
ContTactor-: -----------..----------------------------------•------------------------
GRF ELECTRIC $ :76. 75 TOTAL.-
1546O SE PARADISE LN
-- ----- REDU T RED I N SPECT I ONS - - ---
MULINO OR 9704; Undergro�md Cove F_lect' l Fi.rial
Phone #: 503--81-9 -4140, Elect' l Service
Reg #. . : 001015
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all otter
applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not s►aried 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 rriles are set forth in OAR 952-001-0010 through OAP 952-001-1987. You may obtain a copy
of these rules or direct questions t;r &,7 by calling l )246-1987. j
I er,mi.1,tee 5ignat�_rr'c ; � ,,x- / — Ts9Aed 8y �7
i:c.
INSTALLATION ONLY- __------•----.-----.--------____-.
Tile installation is being made on property I sawn which is not intended for
sale, lease, or- rent.
OWNER' S SIGNATURE: _ _ �- DATE:
c� _---__- -----CONTRACTOR INSTAI_l_ATION Uh Y-- --------
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SIGNATURE OF SUF'R. ELFC' N: —7i,. ' G�� DATE..: e� _^ '
7
I_T CENSE NO: .�C C_3-
.S
++++++++++.a++++++++++++++-L+++++++++++++++++++++++++++++++++++++++++4....++++++++
Cail 639-4175 by 6:00 p. m, for an inspection needed the next business day
+Ft F++++++ h........+-F.-Ft•F.i•...4........•f-Fi•t.•f-1•++4......++t++t............ .......
06/23/1997 14:03 5038295747 GRF ELECTRIC PAGE U1
4117Y OF HARD Electrical Permit Application Plan Onom»
3125 SW HALL BLVD. RCA ft—
f IDARD OR 97223 Dots Aso'ct_„
Date to P.E.
phone(503)638-4171, x304 print or Type Data to DST
Ihspe tlon(503)638-4175 permit if
(5W)684-7297 Incomplete or Illegible will not be act-optedpermit
_
. Jab Address: 4. Complete F-ay Schedule glow:
i
�Ir.me otz*"opt 40 i,12 Number of;nopetitkq rm per pwmit tWowad
11
Mame(or nems of oualneea) _ SerAos Included: Items Cost sum
�ddresb 4 Lt S I Aa !_a7-g �^ 4a PFrfdemial.po►-in"
Ity/Statelzp_
1000 sq.R.or le•• $110.00 _
C Each addhbnal 500 sq.h.or
Portion�ommerclal G Residential L41 r4o nstgy 925.00
-00 1
LrnRad Ensrpy i2:.Op
Each Mimed Home or•Ao&L%r
Pa. Contractor Installation only: Nalti q Serv"or Feeder — x.00 z
(/utaeh loopy of oil to-Int Ilr1 11 4b_Barvlos+or Feedwo
Electrical Contactor - -1 [�
Installation,amp or ke p 4on,a rdocatkn
Address 200 amps to I,.r � tteo.00 z
-� 201 amps to IoiD amps �0,G0 2
Cit/ Site Zip 401 arM A to tloo amps $12o.c>o 2
Phone No,_ T- 4-�rT— 801 amps m 1000.mw _ $160.00 -' _ z
ob No.___ Ovv 1000 amps or Voll __ �•D,ap 2
f 1p:.Cont. Lioe.Na. Exp.Dals I Rxonnect onty $50.00 _ 2
bR ftte CCB Reg. No. Exp.Dats 4c.Tornpo►ary awvlo.r or Feeders
COT Business Tax of Meso NO, Exp-Date Instillation.,ahsrarbn,or rsbcauun —
200 amps or less W.00 2
Signature of Srjpr. EIAc'n___� _ 201 snips to 400 amps $75.00 2
401 amps to 600 amps $10o.W 7
Over 200 amps to 1000 volts,
cense No. _ _,_Esp.Date—Laku_ am-b'above.
01
hone No.
4d.Branch Cimulto
New,ala•ration or ezt•nsion per panel
;'b. For owner installations: a)The fee for brand,drouhs wan
or
Print Owner's Name _ led fte.ASSO of �
Pddre6s _ Each branch Bradt _ $6.00 2
`��--— Zip — b)The No for blanch circuits
ar#6*W purchase d
hone No,..� — aa>rvferr or Amodw F•u 2
rind branch clrt:uh llm'00 2
the installation is being made on pmpe'ty I own which la not F.ach aa.fltional hrancr draw; 2
`ntonded for sale. lease or rent,
i w.MltseNla wou•
�wnees Signature _ (BeVice or leader na r,mus.m —_
Each pump or IrAps"on cirde $40.00 2
Eton soon or ourlins bent! iK1.00 2
0- M Plan Review seelon (If requlrr►d):• 6 w aI�zanero►
2
CL
Please check appropriate Item and enter flee In section so, Minor t.b-r,f tn) � $1W.00
_ 4 or me."rukkntlal Wits In one stniett,rs 41.Rach adAhlonal Inapwction over
Servloa and fowler 225 arz7pt or r►+orn Ow allowable In any of ow above
Syatam over 600 rdb nominal Par Inspection t3b.go
_OwMed arae or otruett nt arilairiln6 swiw o[clJparlcy der(l" $55.00
c 1 as deauflbad In N.E.C.Chgitar S In P1Mtt
LD
w Submh Z no of plans whn appitution who,*any 7f Ufa stere apply. 6. Fees: 3
Not nqulrW for a•mporary raDnaRycdon ear/kat, $a.Enter k"d above fees
$
ItIQI1sE I 61 SUrdWW(06 x til fens) $
i $t.Enter 2691,d lire$a for
PERMITS BECOMF VOID IF WORK OR CONSTNUCTICNd AUTHORIZED is Wan Revtew 13M&W(AW 3) i
`3T COMMENCED Wil WN 180 DAYS,OR IF CONSTRUCTION OR WORK Su tel $
.;JSPENDED OR ABANDONED FOR A PERM(Y160 DAYS AT ANY
E AI' � � r
TIME! WORK l6 0041 [NCED. W�Tn+aI AcuuvA» `
Total balance Ow $ ..
, -// 5 /5 Y/-Z/E (,�y C/4-'421 �
CITY OF TIGARD Electrical Permit Application Plan Check ii
13125 SV►: HALL BLVD. Recd By
Date Rec'd
TIGARD OR 97223 Date to P.E.
r'hone (503) 639-4171, x304 Date to DST
Print Or Type
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit u
Fax (503) 684-7297 walled
5. Job Address: 4. Complete Fee Schedule Below:
< -�Name of•Zau4lopcneut_�; t'1 c; � _ Number of Inspections per permit allowed
Name(or name of business) �r J Service included: Items Cost Sum
Address � �� C-� c�-1 4a. Residential-per unit
1000 sq.ft.or less $110.00 4
City/State/Zip__ Z Each additional 500 sq.It.or
,--�/ portion thereof $2, (1) _- 1
Commercial ❑ Residential Limited Energy $25.00 _
Each Manuf'd Home or Modular
Dwelling Service or Feeder __ $08.00 2
2a. Contractor installation only:
(Attach copy of all current licensos) 1b.Services or Feeders
Ey� r- Installation, oralteration,or relocation
Electrical Contractor-
-+- -- 200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
City 1.,t I I e,:3,B State Zip_ (n� 401 amps to 600 amps $120.00 _ 2
Phone No.. 601 amps to 1000 amps $180.00 - 2
Over 1000 amps or volts $340.00 2
Job No.
Reconnect only $50.00
Elec.Cont. Lice. No. Exp.Date /0 L __ 2
OR State CCB Exp.Date Z 4c.Temporary Services or Feeders
COT Business Tax or Metro No. L- Exp.Date Installation,alteration,or relocation
200 amps or less $50.00 _
201 amps to 400 amps $75.00 ^
Signature of Supr. Elee'n _. 401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts,
License No. ( Exp.Date_(j� /�- see"b"above.
Phone Nu.- 1^ - 4d.Branch Circuits
Nr New,alteration or extension pe,panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name_ feeder fee.
Address Each branch circuit $5.00 _
- b)The fee!or branch circuits
City _ State_ Zip _ without purchase of
Phone No. __ service or feeder fee, j 5
First branch circuit ' 05.00
The installation is being made on property I own which is not Farh additional branch circuit $5.00 __- 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signabjre_- Ea^h pump or irrigation circle - $40.00 _
Each sign or outline lighting $40.00
'` Signal linter()or a limited
exten energy
3. Plan Review section (if required):
panel,alteration Er extension - $40.00 2
Minor Labels(10) - $100.00
Please check appropriate Item and enter fee In section 50.
c' 4 or more residential units In one 9!ructure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
v~i _ System over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
h as described In N.E.C.Chapter 5 In Plant $55.00
Submit 2 sets of plans with application where any of the above apply. S. Fees:o.Enter total of above fees $ `?
Not required for temporary construction services. 5
w 5%Surcharge(.05 X total fees) $
J
NOTICE Sb.
$
5b.Enter 25%of line 5a for
PERMITS BE COME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review,I g941!:',11(Sec.3) $
NOT COMM( NCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENE ED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY a
TIME AFTEF WORK IS COMMENCED. uJ'Trust Account ft �
$
Total balance Due
1 08MELC96 APP Rev OM