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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: -- 4-13 —qP.M. _ MST:
Location: 1, �V C ( � ' /
'"
Tenant:` _ Suite:_ Rid MEC:
Contractor:
� t Ah( /,I- Phot►e: --� PI,M;
(honer:-_ Phone:
ELC:
— FLR: C .1
_ SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL —ECTR_ICA SITE
Site Post/Bcam Post/Beam Post/Beam Co memw Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceilir:g Water Line
Slab Framing Top out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer I food/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC. ,
Masonry Ceiling Rain Dram A/C W-U, k
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump
A;gm)ved Approved Approved G� ved� Approved �—
Appr/Sdwlk Not Approved Not Approved Not Approved blot A roved Not Approved
FINAL FINALFINAL AL FINAL
ICall for reinspection /4tion fee of S _—required before next irmpection 0 Unable to inspect
Inn spector: -.--- C?ate: �jrG- 2_._�O_ Pege- of--
CITY MJF TIGA►RD
DEVELOPMENT SERVICES ELECTRICAL PERMIT —
13125 SW Hall Blvd., Tigard,OR 97223 (503,1639.4171 RESTRICTED ENERGY
PERMIT #: El-R97-0205
DA,rE ISSUED. 07/21/97
(-:,nRCE[._: 2S102DD--05G00
SITE ADDRESS. . . - 1-1705 SW llnl.A._ DLVD
SUBD1VTSInN. . . . :MLP95- 000B Z ON ING: R-4. '5
RL.-OCK. . . . ;. . ... . : I-OT. . . . . . . . . . . . . :001. JURTSDICTG
N: TI
Pt-oJect D scr iption: instl I burglar alarm
A. RES I DENT I AL..------ B- COMMERC I AL_
AUDIO & STEREO. , . : AUDIO 9. STEREO. . : INTERCOM & PAGING. . :
PURGI-AR Al_..ARM. . . . :X 13011-ER. . , . . . . . . . . I ANDSCAPE/IRRIGAT. . -.
GARAGE OPENER. . . . i CL..00K. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . ..
HVAC . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CAI-I....S. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE Al.-ARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . : PROTECT I Vf.'.:' SIGNAL.. . :
INSTRUMENTATTON. : OTHER— :
TOTAL.. # OF SYSTEMS. 0
Owner: .... .... --------- FEES
KATF4l_.EEN HUDSON type amoUnt by date t-eept
1-3705 SW HAI.J_ BI.VD PRMT $ 40. 00 TAT 07/21 /97 97--297357
TIGARD OR 97223 5PCT $ 2. 00 TAT 07121197 97-297357
1-11-tone #.
BRINKS HOME SECURITY $ 42. 00 TOTAL_
81A -_9 SW CIRRUS DR
REQUIRED INSPEC11ONS
BEAVERTON OR 97008 Wall Cover, Elect' l Final
Pf)one #- 641-0574 Elect' 1 Service
Reg #. . . 000444
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Speciaity Lodes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expSre if work is nLt started within 180
days of issuance, or if work is suspended for more than 180 days, ATTENTION: Oregon law requires you to follow rule adopt:-d by the
Oregon Utility Not fic on Center. T1,I)e rules are set forth in OPR 952-001-0f10 through OAR 952-0014680. You may obtain copies of
these rules or dir ct q�u sti^ons to �t (5@3);-146-1987.
Permittee Signato.tr-e
-,-!---__ I---OWNER NSI-A[J_ATION
The installation is being made on pv-oper,ty I own iit-iieti is not intended for-
sale, lease, or v,ent.
OWNER' S SIGNATUR=_: DATE:
INSTOL.1-ATION
SIGNATURE OF SUPP. ELECIN: DATE:
LICENSE NO:
+++++++++++++4-&4.........4-4....4...........#-+++1-++++++•+++++++++•+++f+++•+-i•+++-F+4+-+++
Call. 639--4175 by 6 :00 P. M. for an inspection needed the next bi.isiness day
+4.++++++.+++++-1 ++++++++++++++++i +++++4.......F++++4++-4........4+-+4-4......4+-r....
M
Community Development RESTRICTED ENERGY ELECTRICAL APPLIGkTION
13125 SW Hall Blvd. �• U -os
Tigard,OR 97223 PERMIT#_ G L
Phone(503)639-4171 DATE ISSJED G
FAX(503)684-7297 --
TDD No. (503)684-2.772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLA ION 4. TYPE OF WORK
�-_- — RESIDENTIAL—Restrided Energy Fee. . . . . . . . . 140„00
Add (FOR ALL SYSTEMS)
LitState l -Zip ct+eck Tvne of Work Involvdd:
Y
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio anr'Stereo Systems
15 NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDEU FOR
1 W DAYS. Burglar Alarm
❑ Garage Duor Opener*
2. CONTRACTOR APPLICATION ❑ Heating,Ventilafion and Air Conditioning System*
ContractoARINKS HOME SECURLTYpe_ ALARM Cl Vacuum Systems*
❑ Other_
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008
Date COMMERCIAL—Fee for each system . . . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner -- Check Type of Work Invglved:
Contractor's Board .8. No. _��_��__ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# (503) 641-0574 ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
_ ❑ IIVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ Landscape Irrigation Control*
City-- State Zip ❑ Medical
This permit Is Issued under OAR 918.320.370.This applicant agrees to make only
❑ Nurse Calls
restricted energy installations(too volt amps or less)under this permit and to do die ❑ Outdoor Landscape Lighting•
folk wing: ❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain ❑ Other
residential and other transactions are exempt from licensing.These 1-we
asterisks(•).All others need licensing).
2. call for an inspection when all of thr.installations under this permit are ready
for inspection at 503-639.4175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other Installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
S. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed. �^
The person signing for this permit must be the applicant or a person a. Enter Fees
authorized to bind the applicant.
b. 596 Surcharge(.05 x total above) $
Signature �o) TOTAL $_
— '
Authority i other than apNlican
ENERGAP.CHP
t
RECEIVED
JUL 21 '1997
MMMUNITY DEVELOPMENI ��
MECHANICAL
CI TY OF TIGARD PIE RMI T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC95-0432
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 DATL' ISSUED: 1.-:'/ 13/05
PARCEL: 2S10J_'0D-@I00@
3ITE' ADDHE1:.*)S. . . 1. 1Vi SW lil�LL LAL.,A)
SUBDIVISION. . . . : EDGEWOOD ZONING: R-.4. 5
BL-OC'K. . . . . . . . . . I_OT. . . . . . . . . . . . . :7
CI-ASS OF WOW— :NEW Fl..00n FL1P1q- EVAP COOLERS: 0
TYr'E OF USE. . . . :SF UNIT HEATERS. . : 171 VENT FANS. . . : 0
OCCUPANCY GRP,. . :Al VENTS W/O APP'L: Q, VE.114T SYSTEMS: 0
S T'O R I E C3. . . . . . . . : 0 BOILERS/COMP'RESSORG HOODS. . . . . . . : 0
F-LJEL. 0-3 HP. . . . I DOMES. INCIN: Vj
/GAG/
3-15 HP'. 0 C'OMML. INCIN: 0
MAX INPUT: 171 BTLJ 15 -•30 Hr'. 0 REP,AIR UNITS- 0
FTRE; DAMP,EPSI. . : 30-50 W. . . . 0 WOODSTOVES. . : 0
GOP) P,R17'5'3(JRE. . . - '.i0-#- HP. . . . - 0 ("1-0 DRYrFRG. . 0
NO. OF AIR HANDL. ING UN IT CS OTHER UNITS. e.
FURN ' 100K BTU: I (mg 10000 cfm : 0 UAS OUTLET S. : 0
FURN ) -100K BT*U: 0 10000 c.-f*m : 0
RemArks : Instia.1. 1 new fi..o-nac-e to 100K BTU and A\C to 10011 DTLI.
Owner., FEES
KATHY HI.A)SON tV00 amol.mt, by date -ec:i.)t
1371,15 SW HALL BL_VD PPMT $ cis 12/13/95 95-273859
5F C;7 ffi 1. 10 CJS 12/13/95 r) '...'7 3 85,9
TIC AnD OR 9722-,.,
V-1horip #:
Contrac-torr
SUNSE-T F(JEt-. CO
P,D BOX 42287
PRTLAND OR
10 TOTAL.
Rpo 002374
REIDUIRCI) INSVIECTIONF)
This permit is issued subject Lo the regulations :ontained in the Gas L ine Irisp
Tioard Municipal Code, State of Ore, Specialty Codes and all other Mecfia.-iic-al Inso
aoDlicaole laws. All work will be done in accordance with Irlsopf--tion
approved olons. This Pei-sit will expire if work is not started Final Inboection
within 18@ days of issuance. or if work is suspended for sore
than 180 days.
Permittee iinat-k.,
1. C.1 LA
Call for inspection 639 4175
City Qf Tigard MECHANICAL_ PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171 -- _
Table 3A Mechanical Code al y PRICE AMT
Job II{�0� J\`j 11tC��' 1) Parmit Fee -d- -0- 1000
Address -�-���-
2) Supplemental Permit 3.00
Furnace to 100,000
BTU 1) incl. ducts s vents I 6.00 (.
Furnace 100,0109TU +
Owner ��`\1 2) incl. duds 3 vents 7.50
,.,. C� Floor urnan�
7- \C 1 C� � C-A-7 a 3) incl. vent 6.00
` -
-- .,.r»1«Ikb,d..,..., Suspen ed neater,wal heater
4) or floor mounted heater 6.00
.n ,,, ��•» _ Vent-rwt rnc.in —' -- --
Occupant 5) appliance permit 3.00
■„ '- �- - Repair of heaulig,re ng.
6) cooling,absorption unit 6.00
■„, '— - Baiier or comp, ea:pump,air cond.
` ( r7) to 3 HP absorp unit to 100K BTU _ 6.00 l{}
„o «. Boiler or comp, heat pump,air Gond.
�.� �� 8) 3-15 HP aL..orp unit to SCOK BTU 11.00
Contractor .,. w of or or comp, eat pump, air cond.
- 'C c 11;- � 9) 1530 I-IP absorp unit.5.1 mil BTU 15.00
■ ��� n u N.. Soller or comp,heat pump, air coed -
�.��� 10) 7, 30 IIP absorp unit 1-1.75 mil BTU 22.50
I heregy acloowledge that I nave read ujis application,that the Boiler or camp,heat pimp,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State !.r handling unit to
laws,that I am registered with the Construct( Contractor's Board, 12) 10.000 CFM 4.50
that the number given Is correct. (If exempt from State registration, II u handing unit
please give reason below.) ! 13) 10,'x)0 CTM+ _ _7 50
Non portable
14) evaporate cooler 4.50
-went ion connected
d -----
15) to a single dud 300
enGlaUon system not
16) included in appliance permit 4.50
17) mechanical exhaust 4.50 _
Describe work new addition
alteration repair C r;k,1 wl ororin�r ustnal
to be done resider 'al 0 non-residential 0 18) type iocinerator 30.00
xsbng use-OT ier tet,w stova,water
building or property —_ __.,______ 19) heater,solar,clothes dr,,ers,et(;. �- 4.50 --�
Proposed use of 20) Gas piping one to our outletV-^ 2.00
building or pioporty
21) More 7�an 4•per outlet _ y.
Type of fuel -of Q naturar l gas 0 1.PG( electric C) `�`�
NO C'_
Minimum Fee$25.00 SU3TOTA1. Cl
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SUPC,,QRGE I c
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED FUR A PERIOD OF 190 DAYS AT ANY TIME PIAN REVIEW 25%OF St1BTO rAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date is:tued�/ /3 '!T S_ by
.wTmn«.
sense
FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND,OR 97242-0287 TELEPHONE 234-0611 FAX H 503-234-0380
4
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CITY OF TIGARD BUILDING, INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41/5 Business Phone: 639-4171
Inspection:! 4 1 — ,C _ —
Footing / Susp. Ceiling Sprink. Rough-in Appr'Sdwlk
Foundation Plbg. Underslab Mech. Rough Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in�: FINAL.-
Post/Beam Mech. San Sewer was Line` Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulationech.
Underflr. Insul. Shear Wali Gyp. Bd. I ' L'-Elect.
Date Request)ed: /,;l- I ) Time SAM �__PM
Address: S7 �411_rl� /__�3 '— I
Builder:_ _ Permit #
THE FOLLOWING CORRECT IONS ARE REQUIRED:
_323 �i�
-\"O,
Ins�.eclor
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
s
ADDRESS:
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