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11145 SW FQNNE_R STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lire: 639-4175 Business t_ine;,,$39-4171 -- --- --- -
--- auP
_Date Requested -- / 0 —AMPM BLD '--'--a-
Location ILq5 3 1"") `jz�n- Suite MEQ `--- -- -
r% Ph Person Ph �� -��y� PLM —
Contractor Ph ��?_ SWR
BUILDING — Tenant/Owner _ — - ELC
Retaining Wall ELR _
Footing —
Fbundatlon Access: at), FPS -
Ftrd Drain �`- SIGN
Crawl Drain Inspection IJotes:' --
Slab - -- - -----— ------ — SIT
Post&Beam ----
Ext Sheath/Shear
Int Sheath/Shear - ---- --
Framing
Insulation Y %
Drywall Nailing �_1 /�- -'4,�.c-�w-L1„ -
Firewall -
Fire Sprinkler
Fire A!arm -
Susp'd Ceiling ----_-_—�-
Roof ----- -- _�.-------
Misc:_ - --- - ----_— -__-—
Final --_ --- ---- ---PASS PART FAIL - - -- - - -- - - ---
PLUMBING ——
Post& Beam
Under Slab
Top Out - -
Water Service
Sanitary Sewer
Rain Drains
Final - -- - - -
PASS PART FAIL _
MECHANICAL —
Post& Beam _ -,-�--- — -`- —_-
Ro+igh In
Gas Line ---- _ _-_-- -.�--_-
Smoke Dampers
Final — --
P FAIL
ELECTRIC - — — --
Service
Rough In �..-- ---- — --
UG/Slab
Low VoltageFi
—�
_ Afarr�r
ASS PART FAIL —. -_.---- ----___-- ---------
Backfill/Grading - -
Sanitary Sewer
Storm Drain [ 'Reinspection fee of$__required before next inspection nay at city Hall 13125 SW Half Fiv i
Catch Basin
Fare Supply Line [ ]Please call fur reinspection RE: —__�_ ( Unable to inspect-no acces!
ADA
App
Approach/Sidewalk
Other Date _� � - Inspector - f_ Ext
Final -
rASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY C F OrIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0507
13 125 SW Hall Blvd., Tigard,OR 97?23('503)639-4171 DATE ISSUED: 08/26/98
PARCEL: 2SI03AC-01502
Sj. i*E ADDRESS. . . : 11145 SW FONNER ST
SUBDIVISION. . . . :
ZONING:R-4. 5
BLOCK. . . . . . . . . .. LOT. . . . . . . . . . . JURISDICTION: URB
ProJect Description-. Alteration to electrical service for residence.
-------------------------------------------------------------------------------
-----RESIDENTIAL UNIT----- ------TEMP SRVC/FEEDERS----- -------MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMrl/IRRIGATION. , . . : 0
EACH ADDIL 500SF. . . : 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----- ---ADDIL INSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . - : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 REVIEW SECTION---------- -------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . t ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner-: FEES
JOHN VOORHEES type amol-Int by date rerpt
11145 SW FONNER ST PRMT s 35. 00 DLH 08/26/99 98-308605
TIGARD OR 97223 5Pr7 $ 1. 75 DLH 08/26/98 96-308605
Phone #:
Contractor: -------------------------------
REEDIS ELECTRIC CO INC il 36. 75 TOTAL
2002 SE CLINTON ST
REQUIRED INSDECTIONS
PORTLAND OR 97202 ROLIgh--in Elert' l Final
Phone #: 233-6467 Elect' l Service
Reg #. . : 000044
This permit is issued subject to the regulations contained in thf.- Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with appro,,rd plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than t81 days. ATTENTIONS Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-88I-6110 through OAR 952-M-1987. You may obtain a ropy
of these rules or direct questions to OIK by calling (593)246-1987.
1 -1,9- -t lssk(ed By.,
Permittee S i r,nat•Jrle
-------------------------------OWNER IN"")TALLATION 014LY-----------------------------
The installation is being made on property I owy, which is not intended for
sale, least-9 or rent.
OWNER' S -IBNATURE- DATE:
IN^TALLATION
SIGNATURE OF SUPIR. ELECIN-z DATE: 41Z9.001
LICENSE NO:
4..........I.......4..............4................4 .............................
Call 639-4175 by 7-00 p. m. for- an inspection needed the next bi.tsiness day
.............. P..........4............................T............................
8-26-1998 8:56AM FROM RED' S ELECTRIC 5013 233 1291 p l
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Siva.
Tigard, OR 97223 PlancK/Rec. #
Permit # _ LC 9,P-- SO
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 9.
'/
CITY OF TIGARD TDD No. (503) 684-2772 I? / Issued by a i>
Inspection (503) 639-4175 r
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 11 -Vz t -1. .f1Fl Number of inspections 1r71� ,� p per permit allowed
r
Address /L/S Y411 7 _ Service included: Items Cost(sa) Sum
Clly/Statellp_ 4e. Residential•per vnit 4
.� IOon W tl or left $110.00
✓d n/ OY���s Ems+adali,nei WO w.It or
Name (or name of business) -- '--
portion thereof $2300 1
Commercial ❑ Residenrial5a U^+^od6nergy —' S2500
Each Manul'd Mom. -r Modular 2
OwalRng Service u-Feadar _ yf�900
2a. Contractor Installatioa only: 4b.Seng Setyces or Feeders
rof
Electrical Contractor Irslallallon.ahms'4on,or(slocalion 2
O 2013 amps or IK: feo.oe 2
Address ❑� 1S 201 Imps to 400 amps 660 00 2
40' emm
pti to 600 4 pa %120W _ 2
city .��y _�j StatesZip �/ 501br,prto1000:mtr
Phone No. /'Y�" G / cher 1000 umoc or von#. - $34000 - 2
Contractor's license No. �/� Cr �?� Reconnea nnly $5000
Cor tractor's Board Reg. No. !e V!-"Wx lT�/,�7 0't)
- _ Ic. Temporary Services or Feeders
Irrlrllalwn,nhrralion,or rehx:blror1
Signature of Supr Elect' / 20n amp or sus:: _ $6000 2
lr 4
License No,�Q,�� Phon o. _ 1-061,1(-7 ps w
20Amo`1e 400 raps :75
4011 amps to alio ami100MIx;
2b. For owner Installations: le)lV ' °""6D0 fu1P`10 10110 guns ---
sou"b•above.
6d. Branch Circuits
Print Owner's Name New,alteration or eaeneion per pend
Addressa)The lee for brarch nratd► wirh
City f State Zip purchase of aerwoe or feeder it".. 2
Phone No. Each orench cirrxdl :600
h)The lee for brnmh ctreu4a Ywhots
The installation is being made on property I own which IS pUrchaea of aatrke Of he. ,r tee,
not intended for sale, lease or rent. First branch circuit : 2
E=h additional branch circuit Sava
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included) ?
3. Plan Review section (if required): Earn pump or irrigation circle $40.00
Each yon or r ullina hghltng S4000
Signal clroull(s)or a llmhed anergy
Please check appropriate item and enter fee in section 58. panel.alteration or extension feG.oO
4 or more residential units in one structure Minor l.abela(10) 'loo 00 — –
Service and feeder 225 amps or more —'—
System ever 6011 volts;nominal 41, Each additional inspeetieh over
Classified area or structure ounlaining special occxtpency the allowable In any of the above
as described In N E.0 Chaptar 5 Per irspnchon ^^ S 3 W _ —
Per hen 05 a1 _
In plant $5500
Submit 2 sats of plan with application where any of the above --- _-
apply. Not required for temporary construction services. 5. Fees:
NQTICE 6a. Enter total of above toes Z S,;F1
5%Surcharge(.05 X intrl Ift"s) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subpolar $
AUTHORIZED IS NO COMMENCED WITHIN 180 DAYS,OR IF Sb• Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED cOR Plan Review if requlrtld(Sec.9) $
Subro►a! ut/L/?
A PERIOD OF 1e0 PAYS AT ANY TIME AFTER WORK IS
:OMMFNCED "Trust Account
$ I
Balance Due IJA/►"
�+I M1.MNea.nyn{a
1
CITY OF TIGARD BULDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171 -�
Date Requested: P.M. MST:
Location: BUR _
Tenant:_ Suite: Bldg: MEC:
Contractor:_ _ u� _Phone: PLM:
OWDQI: —Phone: — ( ELC:
ELR:
srr: _
BUILDING BLDG(con't) PLUMBING ICAL ` ELECTRICAL SITE
Site Post/Beam Post/I)cam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In ' Ceiling Water Line
Slab Framing Top aitas Lm t� Rough-In UG Sprinkler
Foundation Insulation Sewer 11 ct Icconnect Vault
Bsmt Damp Drywall Storm tuna emp Service MISC.
Masonry Ceiling Rain Drain (�(, UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Beat Pum ,y /I,L,ow Volt
Approved Approved Qrov Approved Approved
Appr/Sdwlk Not Approved Not Approved Notroved Not Approved Not Approved
AiF
FINAL FINAL _ [ FINAL FINAL
O Call for reinspection M Reinspection fee of S_ required before next inspection O Unable to insect
Inspector: `rr _ Date: J Z 'age_ _of_ j _
CITY O F T i G A R D MECHA191CAL
DEVELOPMENT SERVICESPERMIT
13125 SW Hall Blvd., Tigard, OR 97223 1503)639-4171 PERMIT #. . . . . . . : MEC97-0461
DATE ISSUED: 11120197
PARCEL.: 2BI03AC-01502
SITE ADDRESS. . . : 11145 SW FONNER ST
SUBDIVISION. . . . : ZONING: R-4. 5
BL.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTiON: URB
CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS- 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY URP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FJEL TYPES------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0
C
3-15 HP. . . . : 0 OMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS — : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . .- 0
NO. OF UNITS—.---------- AIR HHNDLING UNITS OTHER UNITS. : I
FURN ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfr. : 0
Remat,ks : Install gas insert and gas piping in an existing fireplace within a
SFO.
Ownev-: ---------------------------------------------------------- FEES
JAY VOORHEES type amount by date t-eept
11145 SW FONNER PRMT $ 25. 00 GEO 11/20/97 97-3011c:.Ai
'TIGARD OR 97223 SPOT $ 1. 25 GEO 11 /20/97 97-301120
Phone #: 639-3845
Clontt-actor: ------------------------.--___
PRO GAS
RICK STICKA ------------------------------------__.
686 SOUTH 25TH CT $ 26. 25 TOTAL
CORNELIUS OR 97113
Phone #: 887-3778
Reg #. . : 57r%8
------- REDUIRED INSPEC,rIONS
This permit is issued subject to the regulations contained in the Gas Line In%p
Tigard Municipal Code, State cf Ore. Specialty Codes and all other Mechanical Ins
applicable laws. All work soil: be dono in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 181 days, ATTENTION: Oregon low requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-01-0810 through OAR 952-W40. You may
obtain copies of these rules at, direct questions to W ty calling
(503)246-9187.
e&I, Pet,mittee Signatur-e:
Issue B V
,el*—
++++4.....................(..................4............4............... .......
Call 6313-4175 by 7:00 p. m. for inspections needed the next bi-tsiness clay
++++++++++++++•+-+f• ++4..................4.................................I.........
Flan Check#_
CITY OF TIGARD Mechanical Permit Application Recd By
13125 5W HALL BLVD. Commercial and Residential �t'/�' Dano Rer,'d
TIGARD, OR 97223 Date!o P E �.
(503) 639-417 it x304 Date to DS i
Print or Type Permit#` 1� -11511;
Incomplete or illegible applications will not be accepted Called----`
Name of neveiopmentiProiect Description
Table 1A Mcrhanical Code QTY PRICE AMT
Job street Acdrss suitaA A) Permit Fee -0- -0- 10.00
Address l HIS ..S e-d �nnrr�
t3Idgir city/stale zip 1 ) Furnace to 100,000 BTU 6.00
including duds$vents
Nems(c,r name of business 2.) Furnace 110,000 BTU+ 7.50
Ownery'-rOP/►nr.'S —� sicluding duds&vents
Mailing Address 3.) Floor Furnace _ _ 6.00
(l1/ including vent
Cltylstate zip Phone 4.) Suspended heater,wall heater 6.00
L-'lr?_�G _ (a�`/- �,1 1�� _or floor mounted heater
Name for name tit business) 5.) Vent not included in appliance permit 3.00
Mailing g Address ` 6 j Boder or comp,heat pump,air Gond. 6.00
to __ to 3 HP:absorb unit to 100K BUT"
c tyiswte f—` 7.ip Phone 7) Boller or comp,heat pump,air Gond 11.00
�"7 � _ 3-15 HP;absorb unit to 500K BTU'"
Contractor Name 8) Boiler or comp,heat pump,air cond. 15.00
��>G, G.4-� �_ 15-30 HP;absorb unit.5-1 mil BTU"
Phor to permit Mailing Address 9.) Boiler or comp,heat pump,air Gond, 22.50
issuance,a copy 6,ELI - 30-50 HP;absorb unit 1-1.75mil BTU"'
of all licenses C'iiyistate Zip Phone 10.) Boder or comp,heat pump,air Gond. 3%.50
are required if 1/? 1,f,t' A, 99)-3 Fl 1� >50 HP absorb unit 1.75 mil BTU"
expired in CO? Oregon Const,Cont 3oard Lic.p Exp.Dale 11 ) Air handling Unit to 10,000 CFM 4,50
database
Architect Name 13) Non-portable evaporate cooler 450
or Mailing Address 14) Vent fan conceded to a single dud _ 3.00
Engineer 'C ylstate — 7ip Pha e l 15) Ventilation system not included in 4.50
_ applianu!permit _
' Describe work New O Addition O Alteration O Repair O 16.) Hood staved by mechanical ext.dusr 4 SU
to be done Residential O Non-residanlial O
Additional Description of work. — ,� 17) Domestic.incinerators 750
F i-(A e 1_t n e >� �_ 18.) Commercial or industrial type 3000
_ , ___ incinerator
Fasting use of — t 9) Repair units 450
bw1dmg or property
20) Wood stove 4.50
Proposed use of 21 ) Clothes dryer,etc � 450 —
bu,lding or property_
—r_ 22) Other units
Type r y O natural gas ( LPG U electric O _ 23) Gas piping one to four cutlets 2.00
cdge that I have read this application,that the 24) More than 4-per outlets(each) 50
_(c midtlor,_4nen is correct,that I am the owner or authorized:)gent of
the owner,that plans submitted are o comp iance with Oregon State QTY.SUr%i DIAL
laws. -
Signatu ofOwner/Agent Y Date — 'SUBTOTAL
5%
5%SURCHARGE �
Contact Person Name Phone PLAN REVIEW 250%OF SUBTOTAL
TOTAL �. r
rUnechomt doc (rev 9 'Minimum permit fee is 525+5%surcharge
"R�sidentia!AiC requires site plan snowing placement of unit.