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12665 SW HALL BOULEVARD
CITY OF TIGARD SU DING INSPECTION DIVISION MST
24-Hour Inspection Line: 635-4175 Business Line: 639-4171 - ---__--
BUP
Date Requested 17- � �'_ C � AM --PM BLD
Location v- &5> PLft-kV_-P-J'i
— Suite MEC
Contact Person —T ST��-� 1 Ph ��� -� SPLM _
Contractor A-1 e� �Q�- �c. Ph _ SWR a
BUIING Tenant/Owner Et-C
LD
Retaining Wall ELR
Footing Access:
Foundation FPS
�' E�11r(� /
Ftg Drain C SGN
Crawl Drain Inspection Notes:
Slab SIT
Post&BeF,n --
Ext Sheat'i/Shear
Int Sheath/Shear
Framing - ---- - - -- -- -- ' -- - - --
Insulation /
Drywall Nailing
Firewall - � —_---___---- -
Fire Sprinkler
-----------------
Fire Alarm
Susp'd Ceiling -__ - 1�••�' i<L----_-.-____.__..
Roof
Misc: _ --- -
Final
IL-PASS PART FAIL -- - -
PLUMBING
Post 8 Beam --- --- — - - -, _-
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final h/
PASS PART FAIL /r
MECHANICAL r r=
Post&Beam -
Rough In VA
Gas Line -
Smoke Dampers
Final - --
PASS PART :AIL
C-LJirCT -
Rough In
UG/Slab
Low Voltage
Fir® rm
Fi
A PART FAIL
SITE-
Backfill/Grading
I EBackfill/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 Line I J Please call torr Inapec:lon RE: _ [ ]Unable to inspect no access
ADA
Approach/Sidewalk— pate S ' InspectorExt
Other p
Final
PASS PART FAil- 00 NOT REMOVE this inspection record from the job site.
CITY
�� �I^��D ELECTRICAL PERMIT _
F PERMIT#: ELC1999-:,0396
4 ,+t DEVELOPMENT SERVICES DATE ISSUED: 7/1/99
13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 PARCEL: 2S102AD-00700
SITE ADDRESS: 12665 SW HALL. BLVD
SUBDIVISION: ZONING: CBD
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of 2.00 amp or less temporary service.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS 0 - 200 amp: 1 PUMP/IRRIGATION:
EACH ADD`L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
_ SERVICE/FEEDER BRANCH CIRCUITS _ADD'L INSPECTIONS__ _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRN!CH CIRC: IN PLANT:
601 - 1000 arnp: PLAN REVIEW SECTION
1000+ amp/volt: —! >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _— SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
EHRENFELT,TRACY T + M ELECTRIC INC
LUTZ, DOUGLAS 033 NE BALDWIN ST
12665 SW HALL BLVD Hll_LSBORO, OR 97124
TIGARD, OR 97223
Phone: Phone: 648-6556
Reg #: SUP 28215
LIC 00063428
ELE 34-148C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
�PRMT DEB OV99 $64.25 5765 Elect'I Final
5PCT DEB 7/1/99 $4.49 5765
-- Total --$68.74
This Permit is issued subject to the regulations fontained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws.
All work will be dona in accordance with approved plans. This permit will expire if work is not startwithin 160 days of issuance,or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule"db ted by'the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-Wl0 through OAR 952-001-0080 You may obtain,,o6pies of these rules or d? ct questions to OUNC at(503)
246-1987 r`
i
Permit Signature: E! �Z Iss�ed By: I
OWNER INSTALLATION ONLY
The Installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR 13 ALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: r_ _—__..__ DATE:
LICENSE NO- _ — - ------- —
Call 639-4175 by 7:OOpm for an, inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Ch �� :__J -
13125 SV: HALL BLVD. Recd
TIGARD OR 97223 Date Recd
Phone(503)639-4171, x304 Date to P E -
Date to DST -- _
Inspection (503)639-4175 Print of Type Permit# &,e_1,f y!o
Fax (503) 598-1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development_-_ �� Number of Inspections_per permit a9owed
Name(or nzme of bus nes,)_� Service included: Items Cost Sum
Address 1 6 l-J A h IL R(, ,X 4z. ResSdential-per unit
1000 sit H or less a 117.75 4
City/State/Zip - --- --
--- Each additional 500 sq ft.or
���77 portion thereof _ $ 26.25 _ 1
Commercial ElResidential R I.imited Energy _ $ 60.00
Fach Manufd Home or Modular
2,a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
("rior to pennit issuance,applicants must provide contractor license 4b.Services or Feeders
nformation for COT data base). installation,alteration,or relocation �r j
Electrical Contractor_ I- -f *,� El i,.,. :rn c 200 amps o2r less _ S 64.25
r - 201 amps to 400 amps $ 85.50 2
Address b -fill E" �� Al '�.•) 401 am s to 600 am -'-
City�, n. _State n,t.[ Zlp i p amps _ S 126.50 2
801 amps l0 1000 amps _ $ 192.50 2
Phone No. Over F J�L �U /��/e _ Over 1000 amps or volts $ 363.75 _ 2
Job No. __ _ Reconnect only N_ ' 53.50 2
Elec. Cont Lice. No. / IH 4 C _Exp.Uate I 4c.Temporary Services or Feeders
OR State CCB Reg. No. if cR� Exp.DatInstallation,alteration,or relocation
COT Business Tax or Met,o No. .c Exp. ate le, 200 amps or less 3 53.50 2
201 amps to 400 amps $ 80.25 2
c 401 amps to 600 amps y S 107.00 2
Signature of.�upr. Elec'n Over 600 amps to 1000 volts,
License No. J seo"b"above._Exp.Date 7 v /
4d.Branc Circuits
Phone NO _ `_���- / �j/ New,alteration or extension per panel
a)The fee for branch circuits
2b. For owner,installations: with purchase of service or
fe der fee.
Print Owner's Name Each branch circuit $ 5.35 2
Address b)The fee for branch circuits
-- without purchase of service
City State- -Zip- or feeder fee.
Phone No. First branch circuit S 37.50
Each additional branch circuit $ 5.35 -
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease Or rent. (Service or feeder not Included)
Each pump or irrigation circle S 42.75 _
Owner's Signature. _--,_ Each sign or outline lighting _- $ 42.75
Signal circult(s)or a limited energy
panel,alteration or extension $ 80 00
3. Plan Review section (if required): Miner Labels(10) - $ 107.00 -`
Please check appropriate Item and enter fee in section 5B. 4f Each additional Inspection over
_ 4 or more residential units in one structure the allowable in any of the ab(-•.a
`�--
Service and feeder 225 amPer inspection $ 50.00ps or more Per hour y 50.00
System over 600 volts nominal it Plant $ 59.00
-Classified area or atructure containing special occupancy as -
described in N E C Chapter 5 5. Fee3:
6a.Enter total of above fees G i6
Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(05 X total feesil $�� ���7 S
Not required for temporary construction services. Subtotal S
Sb.Enter 25%of line So for
NOTICE Plan Review if required(Sec.3) S _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal
IS NOT .,OMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED JR ABANDONED FOR A PERIOD OF 180 DAYS U I rust Amount 0
AT ANY TIME AFTER WORK IS COMMENCED Total balanco Due $/n X`�(
�f' v
i dc6�fhrinoclectric doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BLIP
Date Requested ' AM —PM BLD
Location_1 �-4(.0 ( TYT� .[� : (�hl 4 Suite MEC
Contact Person -G Ph PLM C�G��7�
Contractor — ,,� -AT,' T Ph 7G' ���� 'VUR _
BUILDING_ _ Tenant/OwnerGzy1,c,G ,: ELC
Retaining Wall ELR W
Footing Access. FPS
Foundation —
Ftg Drain SGN
Crawl Drain Inspection Notes: --- —
Slab ----.-_-_ —._ _—.__.._ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailig _-
Firewall
Fire SprinklerFire Alarm
Alarm
Susp'd Ceiling —_-- __-_-- --_--�— —
Roof
Final /
CP FAIL
rn
Unde
Top Out
Water Service /
Sanitary Sewer `
Rain Drains
W
SS ART FAIL
ASS
Post& Beam -- ------- __
Rough In
Gas Line -- - -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab -_
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading - —
Sanitary Sewer
Storm Drain [ )Reinspection fee of$_ required L efore next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reirspe n RE: __-- [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date 2L Inspector Ext
—.__—
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job .site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMPING PERMIT
13125 SW Hall Blvd,. Tigard,OR 97223(5c)3)639-4171 PERMIT #. . . . . . . .. PL1199-0032
DATE ISSUED: 02/17/99
SITE ADDRESS. . . : 12665 SW HALL BLVD PARCEL: 2S102AD-00700
SUBDIVISION. . . . : 'ZONING: CPD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: 1-16
_-_
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0---- - -
MOBILE LEHOMESPACES. :�0__. _ .
TYPE Of-USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRF'. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 1 UR I Nv ILS. . . . . : 0 GREASE TRAPS. . . . . . .
0
LAVATORIES. . . . . 0 OTHER FIXTURES. . . . . 0 .
TUB/SHOWERS. . . : 0 SEWER LINE (ft) _ . :. . : 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : P11-rmbing l'l - moving sink
Owner: ------------------------------------------------------- FEES --------------
TRACEY S EHRENFELDT type amount by date recpt
LUTZ, DOUGLAS PRMT $ 25. 00 GED 02/17/99 99-312977
12665 SW HALL BLVD 5PCT f 1. 25 BED 02/17/99 99-312977
TIGARD OR 97223
Phone #:
Contrac:tor--- •-•-_
HALF MOON PLUMS I N(3 INC
11720 SW SUMMERCRFBT DR
t
TIGARD OR 97223 __------------------------------
Phone #: 703-7449 f 26. 25 TOTAL
Reg #. . : 128288
------ REUUIRED INSPECTIONS ------ -
This persit is issued subject to the regulations contained in the Tap--ol.it Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection -M
applicable laws. All work will be done in accordance Kith —
approved plans. This pereit will expire if work is not started - - --
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 Center. Those rules are
set forth in OAR 952••0001-0010 through DAR 992-MI-Aw. You say -�—
obtain copies of these rules or direct questions to 01-W by calling
(503)246-1987.
I s s _i e d P Y ✓ '�_._.____-.__ Permittee S i g n a t U r e
+4++F+++++++++++++++ +f ++++++++++++++ ++
(:all 639-4175 by 7:00 p. m, for An inspection needed the next business day
++++++++++++++++++4++++++++++•++++++++++++++++++++++•)-++++,}+++++++++++++r ++++.f++
- I
CITY-4F TIGARD Plumbing Permit Application Plan Check
'13125 SW hALL_ BLVD. Commercial and Residential 1� Rec'd By
TIGARD, OR 9727.3 ' �� Date Recd Z- `
(SC-) 6; '-4171 �' �► Date to P.E. _
Print Or Type iJ Date to DST
Incomplete or illegible applications will not be accepted Permit 0�Im_ 13L
Related sWR f
Called�o Z- ►b
Nam f DevelopmenUProied i(FIiTURES (IndlVldtFali�, "!r s' ;QTY: ¢PR(CEI IAMT
iObI� Sink ,V I�L 9.00 �'/LC)
Address ( ������jjj
Street Sult Lavatory 9.00
Tub or Tub/Shower Comb. 9.00
Bldg I Cf /State Zip Shu rver Only 9.00
Name Water Closet 9.00
_ Dishwasher 9.00 -
IJ c',vnr_r Mailing Address
Suite Garbage Disposal 9.00
pity/State Zip Phone Washing Machine 9.00
Floor Drain/Floor Sink 2' g.00
-----_,__ Name 3' 9.00
4" 9.00
Occupant Mailing Address SuBe Water Floater O conversion O like kind 9.00
Gas piping requires a separate mechanical pet*mIt.
City/State Zlp Phone Laundry Room Tray 9.00
�inal _ 9.00
N l'
{ (� �. f � Other Fixtures(Specify) 9.01.1
Contractor Mailing Address ySytte 9.00
i I )9,J 9.00
Prior to permit C(ly/State L Phone Sewer-1st 100, 30.00
Issuance,a copy
of all licenses are re o ons._Cont.Board Llc.t Exp.Date Sewer-each eddltlonar 100' 25.00
required if xkj ?sj-,�� Water Service-1st 100' 30.00
expired In COT Plubing .* Ex .Date Water Service-each additional 200' 25.00 !�
database '� ,` J -�7j _ - Storm&Rain Drain-1,1100' 30.00
Name > Storm&Rain Drain-each additional 100 - 25.00
Architect Mobile Home Space 25.00
OrMalllnp Arldreda Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.uo
(Irrigation timing devlces require a separate
Cesrribe work to be done. -- restricted ener9y permit.) _
New O Repair O Replace with like kind Yes O No O Any Trap or Waste Not Connekied to a Fixture i 9.00
Residential O Commercial O _ Catch Basin g.00 --
Additional description of work _
In:p.of Existing Plumbing 40.00
peer,?v
Specialty Requested Inspections 40.00
errhr
---- Rain Drain,single family dwelling 30.00
Are you capping,movinoor replacing any fixtures?
Yes 0 No O Grease Traps 9.00
if fres,see back of form to Indicate work pariormed by QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isomebtc or riser diagram Is required If Quant Total Is >9
WORK COULD RESULT IN INCREASED SEWER FEES. •SUBTOTAL
I hereby acknowledge that I have read this epolication,that the information-
>'L
nformation L�7
given is correct,that I am the owner or ardhodied agent of the owner,and 6%SURCHARGE 1
that pfansfi6bmItted are In compliance with Oregon State Laws. l
Stu f Own rIAgent Date ••PLAN REVIEW 26%OF SUBTOTAL
Required only M fixture qty.total Is>9
cAt&W Person Name Phone TOTAL Z� l
3 -
'Minimum -permit fee Is$25+5%surcharge,except Res�dentlal Backfloww
Prevention Device,which Is$15+5%surcharge
"All New Commercial Buildings require plans with Isometric or riser diagram
and plan review
i WsteVit"app doc7aw
Accumulative Sewer Tally
Tenant'Name: \0 I S This SWR# oo
5 _
Address: , Iy This PLM*
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total hew
# Value Capped off value added# added #s total
Count off#s count value values
Baptistry/Font 4
Batn-Tub/Shower 4
-JacuzziANhirlpool 4
Car Wash-Each Stall 6
-Urive Through 16
Cus idoNWater Aspirator 1
Dishwasher-Commercial 4
-Domestic 2 _
Drinkin Fountain 1
Eye Wash 1 _
Floor Drain/sink-2 inch 2
3 inch 5 _ ^_
4 inch 6
-Car Wash Drn 6
Garbage Disposal 16
Domestic to 3/4 HP)
-Commercial(to 5 HP) 32
Industrial(over 5 HP) 48
Ice Machine/Refrigerator Drains 1
Oil Sep(Gas Station) 6
Rec. Vehicle Dump Station 16
Shower-Gan Per Head) 1
-Stall 2
Sink - Bar/Lavatory 2 _
_ Bradley 5 J� _
_ Commercial 3 71'
_ Service 3 _
Swimming Pool Filter 1
_Masher-Clothes 6
vvater Extractor 6
Water Closet-Toilet 6
Urinal 6
P�(
TOTALS I I,.V � �vi z ,ta' �� ( L,
Total fixture values __divided by 16 = _ __EDU
HISTORY
PLM# EDU# _ SWR# PLM# EDU# SWR# _
PLM# _ EDU# SWR# Y PLM# _EDU# SWR# _
PLM# _ EDU# SWR# PLM# _ _ EDU# SWR# _
PLM# EDU#� SWR# PLM# _ EDU# SWR#
i\dsts\5wrtaly 4oc