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15785 SW HIGHLAND DRIVE
i V �o Ln N g i z v 0 i 15785 SW HIGHLAND CT CITY OF TIGARD 24-Ncur BUILDING Inspection.Llne: M3)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 �j BUP _ Received Date Requested— I ( AIA___ I'M_ — BUP L,�cation 44 Suite MEC Contact Person — �G — Ph PLM —_ Contractor __ Ph( ) SWR ._ BUILDING Tenant/Owner __ — ELC Footing ELC _ Foun,lation Access: Ftg Drain ELR Crawl Drain - FIT Slab Inspection Notes: / '"– Post&Beam ___ 2-� '� � Shear Anchors Ext Sheath/Shear - — +- Int Sheath/Shear L Framing ---- - - Insulation Drywall Nailing --� / -- Firewall !,(LL��L/�_ Fire Sprinkler — --- ! i.n Alarm / Susp'd Ceiling -- "- `- Roof Other: Final _PASS PART FAIL i'DLUMBING _ -- - ------ --- Fost&Beam Under Slab Rc,igh-In We ter Service Sanitary Sewer Rain Drains I _. Catch Baein/Manhole Storm Drain -- — ` Shower Pan _ Other: `- Pinel - PASS PART FAIL MECHANICAL _ Post& Beam " Rough-In -- Gas Line Smoke Dampers --- - --- Final PASS PART FAIL ------- ------� -_ Service Rough-In - UG/Slab Low Voltage --- Fire Alarm Reinspection fee of$ _—___requir9d before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE:— _ Unable to inspect--no access Fire Surety Line ✓ I 7 / ��f ADA Date ._ Inspeetor- / `- Approach/Sidewalk t— Other: _ Final _ DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TICARD 24-1-1aar BUILDING !rospection Line: (bO3)639-4175 MST INSPEC-PION DIVISION Business Line: (503)633-4171 BIiP . Received --Date Requested JI At.. _- -_ PM _ — BUN _ Location ' �S 715 r1X Suite _- MEC Contact Person _ Ph(_—) PLht _ Contractor -- _ Ph( ) - SWR _�. — BUILDING TenanVOwner /�� � �Z 7 �3 � � - ELC Footing ELC Foundation Axess: ELR Ftg Drain - Crawl Drain SIT Slab Inspection Notes: - Post&Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - -- -_ - ---- Insulation Drywall Nsi'ing Firewall Fire Sprinkler - Fire Alarm _ Susp'd Coiling Roof Other: Final -- -- - --- --- PASS PART FAIL PLUMBING -- Post&Beam Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - --- Shower Pan _ - Other: _ Find, - -_--------- - - .- PAS PART FAIL A—E--Q— -_ �- C � -- ----- Post&Beam Rough-In ------ -- Gas Line Smoke Dampers - -- - --- �- ft!+13F; APART FAIL -- --. --- --- ----- -- - -- - RICAL ��----- --.-_ - - ---- -- - Service Rough-In ----- ------- - _- _-- -- - UG/Slab Law Voltage --- --- -- - —- -- ---- Fir B Alarm Ir'r'al Reinspection fee of$-_ -required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - � Please call for reinspection RE:-_ - Unable to inspect-no access Fire Supply Line ADADate - InxpertQr / Ext - Approach/Sidewalk Other:_- Final DO NOY REMOVE this Inspection record from tho Job site. PASS PART FAIL MECHANICAL_ PERMIT CITY ®F� T I GA R T' DEVELOPMENT SERVICES PERMIT#: MEC2004-00568 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/20/2004 PARCEL: 2S 11 ODD-09500 SITE- ADDRESS: 15785 SW HIGHLAND CF SUBDIVISION: SUMMERFIELD NO.6 ZONING: R-7 BLOCK: LOT: 311 JURISDICTION: TiG CLASS OF WORK: OTR 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: _ FUEL TYPES 0 - 3 �HF_ 1 DOMES. INCIN: �^ ^� 3 - 15 HP: COMML. INCIN: MAX � 4PUT: BTU 15 - 30 HP REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE: 5CLO DRYERS: 0 + HP: OD RYS: FURN < 100K BTU: AiR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: — > 10000 cfm: GAS OUTLETS: Remarks: Replace heat pump with same. Owner. FEES ^— BALOGH,ALEXANDER+ Description Date Amount JOYCE I TRUGTEES IMF.CIII Permit Fee 8/20/2002 $72 50 15785 SW HIGHLAND CT ITAX] 8%)State Surchart 8/20/2002 $5.80 TIGARD, OR 97224 Phone: Total $78.30 Contractor: JACOBS HEATING + A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTION'S Phon.: 503-234-7331 Cooling Unt Insp Final Inspection Reg#: LIC 1441 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-UQi-0ffi0 throw R952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (50,2'9246-6699. I wed By: Permittee Sig natLue. '4' Call (503)b -4175 by 7:00 P.M.for Inspections needed the next business day FROM :JacobsHea t:.iC, Aug. 19 2004 01:08PM P2i3 munwo e ha cal Permit A licatiUn Ratti ed <. PermilNo: /? rf--D�� (o ty 9f Tigard hw"'Rr L 'L`5 W Hill Blvd, 'Tigard,Olt 9;1729 .r4 � !'len Review Other Permit ins: 503,5'149.4171 Fax 503i;S".1,mb Dntdnr -- Date ReadylnY,. J+n'N: ® See page 7(.r Pectis(bine: 503 639.4175 r, Nndned/Method Supplement;;tnformellon fMet. www.ci.tigard,or.ua "I Jill �OLI, t IDD, ,1J1fRCt�flrls'1+ ffl Ir '' machenieRl permit fees•are has!w on the value of the work �_] Addition/ollarr+tion/replacement performed Indicate the vRlur(rounded ur the neRroRl do11M) all Other meehol I rnato11Rt tx�uipmentt labor,nvcThoad,and gall(. . nr nnlutorr 1 , Value:11 �,. f'> � k «;'� 1,jI! �1� r�1 l 111Ci+YJ' d 2-R+mily dwelling ❑Commercial/lndustriul []Apoaaaory btdltllnA For special In brm"don u.te cherfklte. _ Master builder L�other: DuwlI+uon C t Le µl'w.al ]Multi family © _— "h "utswl lleatin Co611nR Air conditirming of heat pump e ,� J rr,luiree Sita Dutl,�ltowlna place rtlent1400 Ih Rite addrsee I i t�" _ 14,00 _Funtoco_I00.1M IM venu! ity/Stote/yIP �Q[n/a _- "I 1 ._._.- pomace 190,000+d'1'U(dttct✓vents) 11.90 uite/hldy./apt. .00 no: "�'— = ProJcct none. (Jos heat pump 14,110 purl work •, _ _... �. :roll atreer/direcdm'ts to Job she' Hydronic hof wateLr ustenl 14.00 Residential boiler-(rsdi■tor or 14.1410_ I inif healers(fuel-type.not electric), --—� in-wall,ln•duct,su dad etc, 10.00 _ - - Fe/vent for any -- -- - —I_ — of above 10:00 Flue/vent lutxiiviairnt: Lot no.' • __—_---- OUtcr;ry_ .,.___- ...140:00 arash/parcel nom. Other f}ret spnllaneee r, . r 'Tr Water heater _. I O tltl _. TWO - !" fin)c �... I _ .. Gas the isce - —. _ -- I Flue vent for wstsr hester or gas _ - — Tire laceI0.00 ' L402 li htcr(PRI I000 Wo(xUpellet stove I Il.tal - Wood Elteplscelmscrt •,10.00 „ �yrn Chimnc /lineriflue/venl Ti lC 'yi ' JRtne J ll I vninental exhaust sod rentlialloo _ -1 Call 1A �._._.. • _ ^- `lenge hooNother kitchen .eyulpmenl IO.iH - r Clothes dt exhaust 10,00 City/StateMp.- ��"_ _ -!1 `' - Single-fillcx`h.unt(hathroutru, Pltone: _�) _ Fax:( 11tnilot corn artmcnts,uull4y rounu� 4.40_ - r „ •; Altie%rawls sec fang _ 1000 MAPr ,_o . Other: _- Business nam : GH 4,t eil _ Fuel a ip nl Contactname. - 55.40 rnr first foul $1,130 for each a-dttionel Furnace Cie. L, Address: Q ✓ ,_ Oso heal pump - —_-- lstata/ : �1 7 Wa1VIWpended/unit heater CityZIP _ _ _ ,..._ �^�... . Water hoster — - r Paw:I ) - Phone: !� 1J." Pi�...1 Fi lace _ .. ..., P_-mail �,✓t: :,.,, Barbecue r r bar Clothes dill(gaq BusinPis Ramo - _ . . .-_ -- Other: - Aftew Subtotal C,1ty19;tate/7.fP: _ Minim+tmperrnif fee(g72.S11 Phone!( ) -- -._ Pax:I, 1 - Plan review(.S°A of permit ILc) CCB iia, State surcharge(9,A of errilit fee) _ �TOTAI,PF1J FEE Ye1e permit sppilre tin"rxpinr if a permit Sf nal nbldned wlt Is Authorised dilinstu aeye Sher it bite be+n accepted ae template: Print Warne: - q Dote: - Fee rnethodolnly fet by Tn•Cottnrr nuildina htduetry 9orviet Bnerd .� •' -. terduMa�rrmaNettvnlc.r»,,,aAppdnt Irror 440.461rf(IIMIC'OWW!s{ FROM :JacobsHeating FAX N0. Aug. 19 2004 01:0°FM P3:3 Z/ .1 l � >"1 ._ A}s c_.) r'- L h,2,2C 00 r SITE PLAN 11 I; DIRECTION HOUSE VRONT Job Name N-4-7( _ Address ^ L? (� l Model 0 Make JACOBS HFrA'lING & AC 4474 SE Mllwaukle Ave. Portland, OR 97202 (603) 234-7331 (503) 813-9267 fax CITY OF TIGARD ELECTRICAL'ERMIT PERr.ilT#: EI_C2004-00535 G EVELOPMENT SERVICES DATE ISSUED: 8124/2004 13125 SW Hall Blvd.,Tiaard. OR 97223 (503) 639-4171 PARCEL: 2S110DD-09500 SITE ADDRESS: 1578E SW HIGHLAND CT ZONING: R-7 SUBDIVISION: SUMMERFIELD NO.6 BLOCK: LOT : 311 JURISDICTION: TIG Project Description: (2)branch circuits for 2 112 ton heat pump&furnace. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ MISCELLA14EOUS 1000 SF OR LESS: !� 0 - 200 amp JPUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: +amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W7EERV;CE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: PLAN REVIEW SECTION 601 - 1000 amp: 1000+amp/volt: '>-=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only-:: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: BALOGH,ALEXANDER+ BADGER ELECTRIC INC. JOYCE I TRUSTEES PO BOX 51 15785 SW HIGHLAND CT BEAVERCREEK,OR 97004 TIGARD,OP 97224 Phone: Phone: 503-632-1925 Reg 4: 1 IC 156851 _FEES Description Date Amount Required Inspections _ iI.I.PRM"1'1 FLC Permit 8,14/2004 $53.50 Rouo'i-in i I AX)8%State Surcharge 8/2�/2004 $4.28 Elert'I Final Total $57.78 This Permit 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 wit►, approved plans This permit will expire if work is not started within 180 days of issuance, or I work;% suspended for more the 180 days. A-TENTION Oregon iaw roquires you to follow rubs adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001.00,0 through OAR 952-001 41 LO. You may obtain copies of there rules or direct questions to OUNC at(503) 246-6899 or 1.800-3'2-2344. Issued By, ��• �- .A _ Permit Signature: _ _OWNER INSTALLATION ONLY The installation is being made on property I own which is no'.intended for sal- IPase, or-ent. OWNER S SIGNATURE: _ DATE: -- C`NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N __ _ ___ DATE: _ --- t.ICENS E NO: — Call 639-4175 by 7:00pm for an Inspection the next business day Permit Na city of Tigard Date/B 13125 SW I fall Blvd.,Tigard,OR 97223 A04 Platy Review other permit. Phone: 503.639.4171 Fax: 503.598.19611 Date/n Inspection Line: 503.639.4175 Date Ready/By m 8 See Par 2 for Internet: www.ci.ligard.or.us NdifiaVMcdrnd - 5appler. anallaPorratiea TYPE OF WORK PLAN REVIF''t �— cw construction ❑Addition/alteration/rcplacement Please ice o all that apply: Demolition Other: ❑Service over 225 amps,axnm'I ❑Harardous location ❑ ❑ ❑Service over 320 amps-rating ❑Bulking over I0j"sq.ft., CATEGORY OF CON9rRl1CT1ON of I-and 2-family dwellings 4 or more new residential I-atncl 2-family dwelling ❑Commercial/industrial ❑Accessory building []system over 600 volts nominal units in one structure ❑Building over thrcr stories ❑Feeders,400 amps or mon: ❑Multi-linmily [I Master builder ❑Other: ❑,kcupant load over)9 persons []Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park ❑Healthcare fac%lity []Other —_—.--—-- Job no.: Job site address: ,j j `JY�- Submit Z sets of plans with any of the above. City/StalelZlP: ""� 9L-A-4--Z , The above am nut applicable to temporary construction service. FEF* SCHEDULE Suite/bldg./apt.no.: Project name: N„ Qb. Fee. Tottt Cross street/dimctions to job site: New residential single-or multi-family dwelling unit. --- — Includes attached garage. ,000 sq.fl.or less 145.13 4 Ea.add'I 500 sq.Il.or portion 33.40 1 Subdivision: Lot no.: Limited energy,residential 75.00 2 Tax map/parcel no.: Limited energy,non-residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling,service and/or feeder 90.90 2 (Z Services or feeders Installation,alteration,and/or relocation 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 ❑ PROPERTY OWNER ❑ TENANT _ 401 amps to 600 amps 160.60 2 Name: � �._ �� Qk n ��,,/ _ 601 amps to 1-000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation,alterkdon,andira relocation _ Phone:( 1 Fax:( 1 200 amps or less J 6685 1 Owner installation:This installation is being made,on property that 1 own which is not 201 amps to 400 amps 10030 2 intended for sale,Icasc,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps(it 600 amps 133.75 2 Owner signature: _Dale: _ Branch circuits-new,alteration,or extension,per panel ❑ APPLICANT ❑ CONTACT PERSON A.Fee rot branch circuits with service or feeder fee,each 6.65 2 Business name: branc' 'rcuit B.Fee for branch circuits Contact name: without s,rvica,or feeder fee, 1 46.85 ��f 2 each branch cirmit_ Address: Loch add'I branct circ-;it k 6.65 2 City/State/ZIP: Miscellaneous(seek:or fader not Included) �� Pump or irrigation circle 53.40 _ 2 Phone:( 1 I 'ax: ( ) Sign or oulline lighting _ _ 53.40 2 E-mail: Signal circuit(s)or iimitcd- CONTRACTOR enc-gy pan.1,alteration,or — ----_ extension,Describe: Paget 2 Business no ne. �__ Each addUM.al inspection over allowable in any or the above Address: �,(': Per inspection 62.50 City/Stete/ZIP: ��P`(r f EU Ok .L Investigation per hour 11 t min) 62.50 mtre: Fax: Z(� 6 �' q'Zs (tr�p�j} 1 Industrial plant per Ionto I E Ph '� -Mia _ _ ELECTRICAL PERMIT FEES' CCR Lic.: � 1 Electrical Lic.: ?, -'j"iry(„ Suprv.Lic.: suhtolalT-S -_�U Suprv.Electrician signature,required: - Plan review(25%of permit fee) Zf— State surcharge(R%of permit fee) Z Print name: ale: a ---- Q TOTAL.PI7RMIT FF'F. 57, Authorized signature: Thh permit apptaestios etplrr.N a perreit io not abtdnrd within iso -- day+arta It Ant Nwr accepted as complete Print frame: Date: • Fee n%MKKlolrhry set by Tri-Couldy Building InduYn Cervice Boo rd _ - ••Ntuntxt mf msaertimm+tKY txtrtrt!allnwnl t