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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line- 639-4171 --�
_ _Date PmEte e� Ar7: —_— 'AM_� PM , BUD — —
Location i -� $ �/\.2._�" — Suite MEC �b it(i2
oM erson /� I� _ Ph I �!>r.��W� PLM
' Y �7��`f ' ( A� Ph SWR
ontractr
ri3UILDING _ Tenant/Owner Trl ���U> " �"1�-1 L� ELC
Retaining Wall ELf, _
Footing Access:
Foundation FNS
Ftg main -- SGN
Crawl Drain Inspection Notes: ��►.� '� ��
Slab I'R.�G SIT
Post 8 Beam n l lAs �� O
Ext Sheath/Shear �,(y /"'`1
Int Sheath/Shear
Framing —
Insulation
Drywah Nvilinc, y✓� S` �.�.�1 �� `�ti� ��C�O c��C_ _-'�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Misc:
Final ( -Olt
PASS PART FAILS -
PLUMBING .
Post&Beam — —
Under Slab
Top Out ,_/— �1 � _ - - — -------
Water Service Q � V --a!Q 6--•y`�A �;
Sanitary Sewer --. . _.. � -- _-.----____--
Rain Drains
Final
PASS P FAIL
Er_HAJ
Po!,t& Beam — _-•-
Rough In
Gas Line
Smoke Dampers f'
SS PART FAIL
TRICAL -
5rorvice
Rough In ---------_. ___
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfi;i/Gtading
Sanitary Sewer
Storm Drain I I Reinspection fee of$ required before next inspection. Pal,at City Hall, 13125 SW Hall Blvd
Catch Basin I ]Please call for reinspection RE I'Jnable to inspect no access
Fire Supply Line
ADA \
Approach/Skfewalk Date Z d 0 Inspector /�v �-� �.��'' ExtZ �
Other _ - —
r•final
PASS ', MART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF T I G A R D _ ELECTRICAL PERMIT
PERMIT#: ELC2000-00074
DEVELOPMENT SERVICES DATE ISSUED: 02/25/2000
13,125 SW Hall Blvd., Tigard, OR 97.223 1503) ",09-4171 PARCEL: 2S103AC-01600
SITE ADDRESS: 11130 SIN FONNER ST
SUBDIVISION: 'ZONING. R-4.5
BLOCK: LOT : JURISDICTION: URB
Proiect Description: Add a first branch circuit.
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERSMISCELLANEOUS
1000 SF OR !.ESS: 0 - 200 amp: ~� v PUMP/IRrtIGATION:
EACH ADD'L 500SF: 201 - 400 arnp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL-/PANEL:
MANF HMI SV01 FDR: 601+amps - 1000 volts: MINOR LABF. - (10):
SERVICEIFEEDER BRANCH CIRCUITS
_�. __ ADD'L IN: PECT'IONS_
0 - 200 amp: WISERVICE OR FEEDER: PER INSPE,;TION_
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR.
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT
601 - 1000 arnp: _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS. > 600 VOLT NOMINAL:
Reconnect onl SVC/FDR >=225 AMPS: CLASS AREA/SPEC UCC: _
Owner: Contractor:
GROSS,JOHN H + ELIZABETH WEST SIDE ELECTRIC CO INC
11130 S'vV r=ONNER ST 1834 SE 8TFI AVE
TIG.ARD, OR 97223 PORTLAND, OR 97214
Phone: Phone:
231-1548
Reg #: LIC 13306
SUP 1556s
ELE 26-135c
FEES Required Inspections
Type _ By rDate Amount Receipt Wall Cuver
F'RM3 GEO 02/25/200C $37.50 00-321847 Elect'I Final
5PG2 GEO 02/25,1200( $3.00 00-321847
Total $40.50 ORIGINAL
L
This Pe,mit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or K work is
suspended for more than 180 days ATTENTION; Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503)
246-'987.
�h >�!
r'cRMiTTEE'5 SIGNATURE _h ..__ ISSUED BY: j
OWNER INSTALLATION ONLY
7h.3 instillation is being made on property I own which is not intencied for sale, lease, or rent.
OWN'=R'S SIGNATURE: DATE:
CONTRACTOR INE,'ALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: c's r I
LICENSE NO:
C 11639-4-175 by 7:00prn for ,3n inspection the next business clay
FEB-25-00 08 :51 AM WEST S I UE EL _CTR I C 503 736 06 77 P . It 1
CITY OF TIGARDPlan Check S
13 :25 SW HALL BLVD. Electrical Permit Application Reo'd By
Dale Recd _
TiARD OR 9722:3 Dale to P F
Ph rye (503)1539-417'1, x304 Date to DST
Its action (503)6394175 Print of Type �� Permit
Fa 1,503) 598-1960 incomplete or Illegible%III not be ac.epR.ed celled
11l . Job Address: 4. Complete Fe® Schedule Below:
afr 6 of Development r Number of Inspections per rmlt allowed
a (or neuro of buaIn;$?) Tn.a`j� "`�wP Service Included: Items Cost Sum
dd as Q `JI^?D�^ 2�Z 4e, Resldenbal-p'r unit
-- 10DU sq.0,or leas f 11275 4
Ity welZlp G(�fl,(]
-- Each audlllanal 509 by 0.or
portion thereof ZE'25 1
o erclal ❑ Residential Limited Energy 1 60 00
iEach Manufd Home or Modulbr
Ria. Contractor Installation only: Dwelling setvlce or Feeder T s< 72 75 2
Prio,to fermi:1si-ance,appllcan*-j must provide contractor license ab.Services or Feeders
rijor firitticit,int CCt'r data base). Installation,allernhon,or relocation
I Cel Contras-tvr / -' �7/.✓C �'L 200 amps or lees 5 D4,25
l ( ice-`-V 201 emp9 to 400 amps Y 85 5C �» 2
kddi se cj a01 amps to 800 apps S 129 50 2
IN -_.t`�._ "� (ate %�--Zip !7� / , 601 amps to 1000 amps i 192 50
:'hoi a No ;?>L- Over 1000 amps or vnlls >< 303 7S - 2
Ob 0 ,c�(� Reconnect only S 53 SU - 2
I Coni LICA No � � Exp Det e, w 4c.Temporary Services or Feeders
R tete CC6 Reg,No, D Date_ Insiallbuon alteration,or relocellon
d Business Tax or Metria No. Exp Date 200 amps or less S 53 5c
201 amps l0 400 amps 1 0025
I lure of Su r Elec n 401 amps to 800 amps 5 107 00
g p Over 800 ampR 10 1000 vnite
-- -
Ice se No �- Exp Date see"b"above.
ro
h0 ed.9na h COeulea
New,ellerehon or extension per panel
a)The fee for branch circuits
� b. For owner Installations: with purchase oftarvlc•or
feeder fee.
�rin Owner's Name Fach branch urcuil _ i 5.3f,
dd SS b)The Ire-for branch circuits
wlthour aurchase of service
Ity ... ._._State _ZIP or feeder fee
h0 ie No _ Firs',brerinh circuit - _^ 37 50 - -
Each additional branch circuit $ 5 35
+ he installation is being made on properly I own which is not 49.Miscellaneous
nter dad for Bale. lease Or rent (5ervlrn or Mader not tnrludyd)
Fach pump or Irrigation circle 11. 42.75
W r 8 Signature— Each sign or outline lighting S 42.75
Signal rircull(s)or a limned energy
t3, Plan Review section (if required):' penal,eller` 01
)ion or extension `�-- - 3 eD _
Minor lebelc 1U) i 107 0c.
P ase check appropriate Ilam and enter fee In tl stile 1 SB. 14f.Ea^h addltlonal Inspectl°n o%or
4 or more residential unlit in one slruclure the allowable In any of the above
F r Per hs(•ecrlon _ __ E 50 00
_Service and feeder 275 smps or more Per hove - S 50 Do
System over 800 volts numinel Fiam t SQ o0
-Clesslfled area or structito corlaining special occupancy as
described in N F C Chapter 5 6a Fees:
aa,Enter total of above Inas
S colt 2 sets of plana with opplicatioc where any of the above apply. i 556 Surr)rarge(OS X Iola,lett)
N t renulred for temporary coristructlon services. Subtotal s _
iSb.Fn!er 251K of line On to-
N9.71 Flan Review II rroulred(Sec 3) 3
I PFR OITS BECOME VOID IF WOAX OR CONSTRUCTION AUTHORIZED Subtotal 5
ISN T COMMENCED=11`114 140 DAYS,OR IF CONST RUC IION OR r-1/ r ;ct,
I O K 1; SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS L?� T.'t accouM 0
AT Y"`I;;c AP WORK IS COMMFNCFO Total balance Dw? S ..Sabf..v�
,, �I� 'i��utrry.lri Irlc der
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00061
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/28/2000
PARCEL: 2S 103AC-01600
SITE ADDRESS: 11130 SW FONNER ST
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: JURISDICTION: URB
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/0 APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUY
_EL TYPES v 0 3 I-?P: DOMES. INCIN.
LP-13— 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
OD
GAS PRESSURE: 50 + HP; CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS C
FURN >=100K BTU: <= 10000 cfm:_ OTHER UNITS:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Furnace and gas piping
Owner: _ FEES
GROSS, .iOHN H + ELIZABI=rH Type By�Y Date Amount Receipt
11130 SW FONNER ST PRMT BON 02/28/20( $50.00 MANUAL
TIGARU, OR X7223 5PCT BON 02/28/20( $4.00 MANUAL
~
Phone: Total $54.00
— - --
Contractor:
ALL TEMP PROFESSIONAL
8230 SE 72N ST
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Gas Line InSn
Phone: Misc. Inspection
Reg f#: l_IC 000585 Final Inspection
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codi- and all other applicable law,. 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 111.0 days. ATTENTION: Oregon law requires you tc follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00'1-0080.
You may ol..'.ain copies of these rules or direct questions to OUNC by calling (503)246-9139.
Issue B t �__ � � l
By: 2�1�'il6 - Perm ttee Signature: � 1t(e-Ah(!2 i'�'lat
Call (503) 639-4175 b• 1 -00 P.M. for inspections ne^ded te ' business day
02,123/00 WED 11 :42 FAX 503 595 1980 CITY OF TIGARD 002
Pla-.Check k
CITY OF TIGARD Mechanical Permit AppliccVLfL%lVEp Recd By low .._
13125 SW HALL BLVD. Commercial and Residential Date Reed
TIGARD, OR 97223 FEB 2 .5 ?00,1 Dat"to P F
(503) 8394171. X304 Date to DST
Print or Type COMMUNITY W.W1,01)MINi Permitk t' (
Incom late or illegible applications will not be acre ted c.fled --- -_
t ane of Cev eloprnanLr�oJeat DEACSIptiOn —
Table to Mechanical Code oty Price Amt
t e dan�t, .1 SuuaM A Pe'mii Fes
Job
�Uv 11 Furnace to 100,000 BTU
Address vv including ducts 8 vents sw footnote 1,2 285 q.�0.
fildo clivi cra Zia 2t Furnane 100,000 BTL+ —�—
Inchudm ducts&vents see footnote 1,2 2.JD
N a(oi yr rc twlneee) 31 FbIN Furnace !^
Owner ' including vent see footnote 1,2 955
wu m� 41 Suspended heater,wttA hsater
or floor mounted heater see footnote 1 9 5`
5 Von!not included in appliance permit 4 75
Cite au Lp Phcne Check al that apply '8oller Feat Air
For Items 6.10,aN or Pump Cond qty P-Ice Amt
Name(or nana nt tw=8]e) _footnotes 1,2 Comp,
(�� yy��/�,A ��( 01�3HP;ebsorb unit to
^
_L�.11!!-1!�_[}L1Z►�D`r� LOOK BTU _ ?fSS
Occupant Mail noAadlege -- — 713-15HP;absorb unit
1 OOK to 606k BTU
city'Srate — tip Phone ap 15-30 HP;absorb
int.S•t nn BTU _ 2415
9)30-50 HP,absorb
Contractor "'" in 1-1.75 mi BTU 19.00
� L ---.. -_ - -
101�SOF1P•,absorb unit
Pro,to rerrrtty 11.1t ITA "sus X1.75 mil STL' C00015cQuanc,t arcpZ 11 Air handling
unit to 1 D,000 CFM
cf yI1 a masss e Ir p _ - 7.00
are requited if S - 12)Air hindlirig u 1010,000 CFM-- —�
"XDired nC07 oiepp Co board Lic,0 E.p 7e'e 11,55
yatsbase L I 13)Ncr-portable evaoorrits cooler
Althitill Name
f41 Vert fen ccrnected to a elrtgle duct
At add-eu - 4.75
or 15)Var'tllatlon system not Lnr-lud+vl in--
_ s iares perrnt _ 7.oc
I
Engineer cny9tats rrc Pncne —� 15)Hcod server by mechanical exhais: 7.00
Describe work to be done: � -- 17)Domestic incinerators —�—
'2.Oti
New 0 Repair O R9plar9 vrlth like kind Yat O No 0 18)Ccmmem el or induslriel type inc.ne-ato-
ReeiderdielO- Com nernial O _ T_. 4825
19)pepalr units
Arldltl:)ne Information o'de pbon pr wurk 640
j� 1 t 20i Wood Movel_ s FP'other unitsiclothe d erleto
Ca5
700
NOTE Foi Com rt al projects only Jnits over 400 lbs regwre 21)Oat oiling one to`ot.r outlets I E
stri:11U4 gas celas, _ sea foot-lote 1 3 75 3 1]
Tvpe)f fuel oil 0 nxura gas O LPG O soc.,rlc Q � 22Lklore then 4-per outlet(escm) 75
Minimum Permit Fits$60.00 SU1370TAL p
r I hereby acknowledge that 11-ave roes this aoolication•test the Information 8%SURCFARGE r
given is correv.the'i err the owne-o-author zed agent of _ — PIAN REVIE�N 25%OF SUBTOTAL lull i
fie _
tris owner,that plane sulmitled ars in compliance w,th Oregon Siete laws 9-ul,ed for ALL commercial permits only------� -
rctraL�"' t 4:4 p�
igns of wrtenA�nn!
Date -- --- --- l
Other Inspections and Fees:
J Z 1. Inspections 'Maide of normal b�islnsss hours trmrinum cherpe-two
I�QDots 1 Parson tame ptsorte hours) +60 00 per hour
2 inspections for which no fee Is!kperltically Indicated (mmi rum
_��u �� r,(1f�_� q_ t charge-half hour) 960 00 per hour
Ftwnotes for commKcis protects only;-y—�1 V 1� 3. Additional plan review required by charpea,dddltk ns or rsvlvlor,s to
1 Frovide fu I sc1`19'rSt L of ex:sling and iropused gas fine and pressure Piens(mlmlmum charpe-orts•half hour)$50 00 peg hour
7 r-ro irda drar.'InQs to!irarr sttowkp etdstlnp and Frnpcaed mec:hanlcal
L _urntt _ 'State Contractor Boiler Certficatiorl required
"Residential AIC regi res site plan showing p)ecame,t of unit,
I%mechperrr doc rev 7,19199
CITY OF TIGARD BUILDING INSPECTION DIVISION `''` MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
SUP
Date Requested _ AM PM BLD `
Location 2- (D `1 � .9- Suite MEC 2LM
Contact Person Ph CO� Y- // O PLM
Contractor Ph 8V1►
BUILDING` Tenant/Owner EL Q > 0 c C) 7
Retaining Wall Et R
Footing Access:
Foundation &� ����tirrT FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing "�,� 1 S J �•� --
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling —
Roof
Misc: «t
Final
PASS PART FAIL -- - - -- -- -
PLUMBING
Post Beam �^ -
Under
Slab
Top Out -
Water Service
SanitarySewer
Rain Drains JC,
Final �.
P RT FAIL
-CHANIC
,42
Post& Beani - _- -------_------__— 6 - -- - —
Rough In /
Gas Line
SmokeDampers
PASS PART FAIL
e e -- --- -- - — - --
Rough In
UG/Slab
Low Voltage
Fire Alarm
PASS PART AI --
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ _requires'before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE _ ( ]Unable to inspect-no access
ADA
Approach/Sidewalk Date Inspector Ext
Other --
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.