14365 SW FANNO CREEK LOOP i
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14365 SW EANNO CREEK LOOP
Ci i OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-417 ----- -�
_� /-� ��. L BUP
(�G'(,f�_._Uate Requested ( / AM X� PM — -- BLD
Location_ (`1_ ? MEC �-
Contact Person Ph — PLM — —
Contractor —� Ph 2 4` 06 I_ SWR
BUILDING Tenant/Owner ELC .47
Retaining Wall ELR
Footing Access:
Foundation / 4
/C C mz� 0 C 4�C/ /4/,� FPS _
Ftg Drain GN
Crawl Drain Inspection otes: O to
--
Slab 7
Post& Beam ---- (I �
F�xt Sheath/Shear r,Ci�'J4
Int Sheath,ihear
Framing ----- - ---- - ---- --- ------ - -
Insulation
Drywall Nailing
---------- ---
Firewall
Fire Sprinkler ----------.__--
Fire Alarm
Susp'd Ceiling ---- - -- - -...- ..------ ---
Roof
Misc: ----
F incl
PASS PART FAIL --_--- -----
PLUMBING
Post& Beam _ ----------_- ._---
L,nder Slab
Toa O l' ---_---------
�Vate:bervice
Sanitary Sewer _ -
Rain Drains
Final
MECHANICAL
,Post& Beam -
Rough In
Gas Line - ---- ------------ — --- ------ ------ _.-
_j§M94e Dampers
RMF-S-) PART FAIL
RICAL --- - --- --_— - -- ---- - —
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final -- ---- ----- ---- - —
PASS PART FAI'_
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply I ine [ ]Please call for reinspection HE _ _ [ J Unable to inspect no access
1ADA
Approach/Sidewalk
Other _ DateIrspector
Ext
Final
PASS SART FAIL DO NOT 14VAOVE this Inspection record from the job sitz.
CiT'Y Or TIGARD BUILDING INSPECTION DIVISION MST
24441our Inspection Line: 639-4175 Buriness Line: 639-4171 -- -- —
BUP
—_ Date Requested %_ w ' C AM �7 r —PM — —_ BLD
Location— _ 4nlrJ{L _ Suite
Contact Person _ _ Ph — PLM
Contractor ;.lam l c.S ifJ�_ G�c fk' _ — Ph ..2�/, /S�/� SWR
BUILDING Tenant/Owner _ 1 U /C US �4�2/D �ELC
Retaining Wall ELR
Footing ACreSS.
Foundation FPS —
1=tg Drain
Crawl Drain Inspection Notus SGN
J
Slab - -----_-------�- ------
-- -------- SIT
Post& Baam ---
Fxt Sheath/Shear
Int Sheath/Shear
Framing
Insulation �7
Drywall Nailing
Firewall -
Fire Sprinkler _.__..___-- ---- ----------__--.- --
Fire Alarm
Susp'd Ceiling
Roof
Misc: _ _ - -- — ---- - - -------- ----
Final
PASS PART FAIL __----- -----_�—_._ _—.--.� -. ------------._.__-___.
PLUMBING
Post 8 Beam
Under Slab
TopOut ___. ---_-- - ----- -----------------------
Water Service _
Sanitary Sewer
Rain Drains
Final _—__..-------_-- -�
PASS PART FAIL
MECHANICAL
Post& Beam - ------- --- -._ -- --------- --- -------
Rough In
Gas L'ne -----___..__-._-- --.---
Smoke Dampers
Final ---...--- - - -- --- ------- --- r
P5 ART FAL
SP.n/ICe
F jgh Iii /// -----
UG/Slab /L.� ------ --_-- ----- ----- ----- -----
Low Voltage //
Fire Alarm __----_—-_—_
Fi
S 'PART FAIL - -- --- - -- - ---- ------- — ---- - -- - --- -
E
Backfill/Gras. ig ------- --- -------- -------- -------
Sanitary Sewer
Storin Drain [ ]Reinspection fee of$ _ _required before next inspection. Pay at City Hall, 13125 SW Itall Blvd
Catch Basin [ ]Please call for reinspection RE [ ] Unable to inspect • no access
Fire Supply Line --
ADA
Approach/Sidewalk
Date — Inspector — __-- —_Ext
Other _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF T I G A,R D MECHANICAL
DEVELOPMENT SERVICESPERMIT
PERMIT #. . . . . . . a MEC98-0352'
13125 SW Hall W'.J., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 03/19/98
PARCEL: 2S112BB-09700
SITE ADDRESS. . . : 14365 SW FANNO CREEK LP
SUBDIVISION. . . . : COLONY CREEK ESTATES NO. 3 ZONING: R--7
i"A
-LUCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :079 JURISDICTION: TIG
--------------------------------------------------------------------------------- -
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF UFSE. . . . .-SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-----------_- 0-3 HP. . . . : I DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
F I RE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50-1- HP. . . . : 0 CLO DRYERS. . : 0
NO, OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU.- 0 10000 cfm: 0 GAG iUTLETS. : T
FURN ) =100K BTU: 0 > 10000 cfm: 0
Rema.-ks : Rosario a/c unit. Must comp'-.- with setbacks.
Owner,: FEES ---------------
CRISOSTOMO F ROSARIO type amount by date recpt
14365 SW FANNO GR LP PRMT $ 25. 00 JSD 08/19/98 98-30e402
TIGARD OR 97224 5PCT $ 1. 25 isr 08/19/98 98--30840;7'
Phone #:
Contractor: ------------------------------
SUNSET FUEL CO
PO BOX 42287 -----------------------------.-----.
$ 26. 25 TOTAL
PORTLAND OR 97242
Phone #: 503-234-0611
Reg #. . : 000023
REQUIRED INSPECTIONS
This permit is issued suhjtct to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All wore will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuati", or if work is suspended for more
than 184 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR through OAR Ynu may
obtain copies of these rules or direct questions to 00W, by call)ng
(583)246-9187.
e<
ISSUP By: Permittee Signatures_
.............................................................. ................
Call 639-4175 by 7t00 p. m. for inspections needed the next business day
............4........4..............................1%..............................
CMan
OF TIGARD Mechanical Permit Application Recd By _��
13125 SW HALL BLVD. Commercial and Reside�U*C-IVL(3 Date rkec'dtMl u ,�f
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 A�a M9 Date to DST.
Print ,,r Type Permit N_,dj C C Z
Incomplete or illegible appi ::ationsywill not be accepted called
Name of DevelopmenVProlect Description
Table 1A Mechanical Code Qt Price _Amt
Job Street Address �— sunek — A) Permit Fee — 10.00
` (�z ' 1) Furnace to 100,000 BTU
Address
�,Ar/,�0' f"r l including ducts 8 verits 6.00
BIdgN CRY/Stole zip 2) Furnace 100,000 BTU+ —
Iincludingduds&vents _ 7.50
Name(or name of business) — 3) Floor Furnace
Owner ' f% i /iZ _ including vent _ _ — 6.00
Mailing Address —" 4) Suspended heater,wall heater
/ or fluor mounted heater 6.00
5) Vent not included in apoliance permit
CRY/Stale Zip Phone _ 3.00
CHECK ALL Boiler Heat A,r —�
N me(or name of business) -- 1 THAT APPLY, or Pump Cond Qty Price At-i
_ Com •' _
6)<3HP,absorb uric to
Occupant Mailing Address I100BTU
_ 6.00 C!',
7)3-15 FIP,absorb unit
Ctlylstate Lip n-Inc 100x to 500k BTU __ 11.00
8) 15-30 HP,absorb
Contractor Name
— unit.5-1 mil BTU 15.00
--.
.e-- - 9)9)30-50 HP,absurb
'7j6rf C C� uni! 1-1.75 mil RTI1 77 s;n
Prior to permit sling AQdress 10)>50HP,absorb unit -
issuance,a copy C 6r, x y' ?f >1.75 mil BTU
of all licenses y/Slots, Zip Phone —_ 37.50
rclt � � , 11)Air handling unit to 10,000 CFM
are required if %/y�N%��l f 7y�'y /els// 4.50
expired Ir.COT Oregon Const.Cort Board Lrc N Exp Date 12)Air handling unit 10,000 CFM+
i database /C'Cz 7.50
Architect Name 13)Non-portable evaporate cooler
4.50
Or
Malting Address 14)Vent far,connected to a single dud
3.00
15)Ventilation system not included in
Engineer cnyrstete — Zip Phone
9 appliance permit 4.50
16)Hood served by mech.nical exhaust
"�escribe work to be done -- -- — -- 4.50
17)nomestic incinerators
New Ripair O Replace with like kindYes O No O 7.50
Residential O Commercial O 18)Commercial or industrial type incinerator
_30.00
Additional information or description of work 19)Repair units
)Q/ t I W CII N c d (lY'R r'r �ic l x/ 4.50
20)Wood stove
4.50
21)Clothes dryer,etc
4.50 _
Type of fuel oil O natural gasp' LPG O electric O 22)Other units
_
450 i
I hereby acknowledge that I have read this application,that the information 23%Sas piping one to four outlets
given is correct,that I am the owner or authorized agent of 2.00
the owner,that plans submitted are in compliance with Oregon State:aws 24)More than 4-per outlet(each)
Signature of Owner/Agent Date
'SUBTOTAL
5%SURCHARGE /
Con' ct Person Name Phone
PLAN REVIEW 25%OF SUBTOTAL
J
Required for ALL commercial Dermilts onl
TOTAL
'Minimum permit feels$25*5%surcharge
"Residential A/C requires site plan showing placement of unit
I lmechprm3 doc rr%,06/23198 a
CITY OF TIGAR ® ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98_1010
'3125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/18/98
PARCEL: 2SI1.288-09700
SITE ADDREES. . . : 14365 SW F-ANNO CREEK LP
SUBDIVISION. . . . :COLONY CREEK ESTATES NO. 3 ZONING:R7
BLOCK. * LOT.. . . . . . . . . . . . . :Q179 JURISDICTION: TIG
Project* ,Description:* * " "
Rosario
UNIT---- ---TEMP SRVC/FEEDERS--- - -------MISCELLANEOUS-------
1.000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 01 PUMP/IRRIGATION. ,, . . : 0
EACH ADDII 500SF. . . 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . .. 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVTCE/FEEUER---- ----BRANCH CIRCUITS----- ----ADDIL. INSPECTIONS---
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
c'01 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PIER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . : 0 -----------------PLAN REVIEW SECTION-----------------
1.000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect orly. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPIEL OCC. :
Owner: ------------- --- – ----------------------------------–---- FEES ----------------
CRISOSTOMO F ROSARIO type amount by date recpt
14365 SW FANNO CR LP PRMT $ 35. 00 JSD 08/18/98 98308339
TIGARD OR 97224 5PCT $ 1. 75 JSD 08/18/98 98-308339
I`7Iht,*,ie #.-
Contractor:
WEST SIDE ELECTRIC CO INC $ 36. 75 TOTAL.
1,834 SE 8TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 9*7214 Rough–in Elect' l Final
Phone #: 231-1548 Elect' l Set-vice
Reg #. . - 13306
This pervit is issued subjert to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable law;. All work will be done in accordance with approyd plans. This pervit will expire if work is net started within 180
days of issuance, or if work is suspended for sore than IF* days/ ATTENTION: Oregon law requires you to folio the rules adopted by
the Oregon Utility N,itification Center. Those rules(Are set forth in W. -01-0010 through DAR 92 1 t. You say obtain copy
of these rules or direct questions to OW y callin�l583)24 1987.
permittee Signat Issued ;-Ay:z
-----------------------_.----OWNER INSTALLATION
[tie installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE*. DATE:
-----------------------_.CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELEC' Ni DATE:
LICENSE NO: —-----
......I...............4.....4-4•..............4...................................
Call 639-4175 by 7:00 p. m. for, an inspection needed the next business day
f4...............!........I.......................................................
CITY OF TIGARO Electrical Permit Application Plan Cwk ii
13125 SW HALL BLVD. U" Rec'd�y
TIGARD OR 97223 Date Aec'd 9
t(-• n
Phone (503)639-4171, x304 Date to P.E.r' T9.4
iPrint or Type Dato to DST'
inspection (503) 639 4175 _T
6ncomplete or illegible Will nbt be accepted Permit a ��- ,5s 76/
Fax (503) 684-7297 Called _
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business)�ie' -,,Y en) rLmj t/ Y4/e/ Service Included: Items Cost Sum
Address 1 y E'sI s/ul /-;�,44V e/fE�'� /"P 4e. Residential-per unit
City/State/Zi T/ �f��7 C>� 7 y z y 1000 sq.ft.or less $110.00 _ 4
P ,� ^ r.ach additional 500 sq.ft.or
Commercial El Residential1�' portion thereof $25.00 1
Limited Energy $25.00 _
Each Manuf'd Home or Modular
2a. Cr,ntractor Installation only: Dwelling Service or Feeder $68.00 2
(Attach copy of all current Ice es 4b.Services or Feeders
Electrical Cgnt actor / / � /� Installation,alteration,or relocation
Addres / ` 200 amps or less 0,00 2
g$
201 amps to 400 amps $60.00 2
City, crr c State Zip 401 amps to 600 amps $120.00 2
Phone No. Z /Sr _ 601 amps to 1000 amps $180.00 _ 2
Job No. C i Z Over 1000 amps or volts Y $340.00 2
Elec. Cont. Lice. No. • L, -13 S L Exp.Date_(_ Reconnect only $50.00 2
OR State CCB Reg. No. Exp.Date n 3 if 1Y 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_ r 201 amps to 400 amps $15.00 2
O01 amps to 600 amps $170.00 2
License Nr, _
J b Exp.Date 1 I see"b"abovver 600 amps e 1000 volts,
Phone Nr ' ' � S
4d.Branch Circuits
New,alteration or oxtension per panel
2b. For owner installations: a)The lee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
City State Zip_ _ b)Tcircuits
purchnseiof
Phone No. service or fee-1er fee.
First branch circuit _L $35.00 _
The it stallation is being made on property i own which is not Each additional branch ch-.uit�. $5.00 2
irriended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature (Service;+r feeder not included)
9 Each pump ur irrigation circle $40.00 _ 2
Each sig or outline lighting $40.00 2
3. Plan Review section (it required): Signal clrcuit(s)or a limited energy'
panel,alteration or axlensior __ $40.00 2
� Please check appropriate Item and enter tee in section 5B. Minor Labels(10) $100.00
4 or more residential units In one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more rhe allowable In any of the above
System over 600 volts norninal Per Inspection $35.00 _
_Classified area or structure containing special occupancy Per hour $55.00
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: 5 •-
Not required for temporary construction services. 5e.Enter total of above fees $
5%Surcharge(.05 X total fees) $ i -7 3�
NOT19E Subtotal
5b.Enwr 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It y1guit (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 NCED. XW Trust Account if
Total balance Due s
- --5X�-T3 0/
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