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CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
131255W Hall Blvd., Tigard,OR 97223 (503)639.4171 F'ERM I'r #. . . . . . . : BUF19 7-041
DATE ISSUED: 1.0/07/97
:SITE ADDRESS:;. . . : 0758E SW HUNZ.IKER RD PARCEL: 2S 101 DB-002 01
ISUBDIVISION. . . . : ZONING:C-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:T I G
------------------
REISSUE: FLOOR AREAS--------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . : 0 =f N: S: E: W:
TYPE OF USE. . . :MF SECOND. . . : 0 s f PROTECT OPEN I NGS9.-.________._._
TYPE OF CCiNST. : ? . . . : 0 sf N: S. E: W:
OCCUPANCY GRP. :M1 TOTAL—---.-: 0 sf ROOF CONST: FIRE RET I :
OCCUPANCY LOAD: 0 BASEMENT. : 0 s;f AREA SEP. RATED:
STOR. : 0 HT: 0 ft GFRAGE. . . : 0 sf OCCU SEF'. RATED:
BSMT?: ME 7 Z? : REDD SETBACKS--.-------.--
FLOOR
ETBACKS--.-------.--FLOOR LOAD. . . . : VI ps f LEFT: 0 ft REPT: 0 ft F I R SF'KL: SMOK DET. . :
DWEI...L_ING UNITS: 0 FRNT: 0 ft ROAR: 0 ft FIR AL.RM: HNDICF' ACC:
BEDRMS: 0 BATHS: 0 IMF' SURF—ACE: 0 F'RO CORR: PARK I 111E: 101
VALUE. $ : 50000
Remav-14s : Re-roof
Owner: --_________.____.__.____
--___._____._____. _. _ _.___________-_--. FEES
CHERYL NESSLER pe amol-int by date recpt
`j14 NW MARLBOROUGH AVE F'RMT f 56. 50 B 08/25/97 97-298640
PORTLAND OR 9721.0 5F'CT $ 2. 83 B 08/5/97 97-29BE,40
F'RMT $ r-2. 6O BON OF3/25/97 97-298640
Phone #: F'RMT $ 203. 90 JSD 10/07/97 97--299829
l 5PC-1 $ 11. : 2 JSD 10/07/97 97-299829
Contractor-: Cw....__-.-
INTERSTHTE ROOFING
15065 SW 74TH AVE
11GARD 0R 97223
Phone #: 684 -5611 E `97. 15 TOTAL_
Reg #. . : 000554
- ------ REQU I RCD INSPECTIONS
- - ---This pertit is issues subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will he done in accordar�e with
approved plans. This perait will expire if Mork is riA started
within 18@ days of issuance, or if work is suspended fc, tore
than 180 days. ATTENTION: Oregon I,m requires you to follow the —
rules adopted by the Gregon Utility "Notification Ce-,iter. Those
rules are set forth in OAR 9Y2-@01-@810 through OAF 452-00101987.
You my obtain a copy of these rules or direct grilstio% to OLINC �-
by calling (583)246-1987. — -
i
Permittee Sigt;atUre : _ , Iss•..Ied By ;
E ++++++++'+++++++++++++++'++++4 4 ++++++++++++++++++.. +++++f'++++++++•++++++•++++ `
Call 639-4175 t - 7:00 pm. for an inspection needed the next bi_Isiness day I
++++++++++++++++++i*•++++++++++++++++++++•F+++++++++++++-!++++++++++•I-++
BARD COMMERCIAL Pernut#
HALL BLVD. Date Recd:
OR 9722.3 RE-ROOFING PERMIT Bldg: $ _
j39-4171 X304 APPLICATION Plan Chk: S r_
.684_7297 St Sur. Chrg:$
2 (P ��— Incomplete or illegible — ications will not_h_e_accepted (J"
Name of Development/Busin�ss ,
le HIES 7 Date work Is to begin: Date Completed _
JOB Address1 NEW ROOFING ASSEMBLY
SITE -) ?_ T
Building Use
` LIF.t- STEP 2
Name ) New Roofing Material Documentation (UBC Appendi( 15)
Name Now
'1,- ��� F'✓ Please Fill Oui Applicable Sections &
OWNER Mailing Address Attach Copy Of Roofing Saecifications
City/StateZ11- Phone
-- Name Listed Assembly:
ROOFING Mailing Address 1. Specification #:
�CONTRACfOR _
(All licenses City/Stale Zip Phone Manufacturer: r:_3 * Akkoe-4-
have to be
current at State Constr.Contr. Board# Exp Date t)t. Classification:—UL-
time
lassification: L-
time of
Issuance) COT Bus.Tax or Metro Lic# Exp.Date (or)Wamock Hersey:
STEP 1Listed UL Building Materials Directory Page#:
Descrihe work to be done: (circle one) " ,. Listed Warnork Hersey Directory Page#:_
RE-ROOF
- ---.-- - (PROVIDE COP v OF ASSEIVF)LY)01
�--_--
.A. Existing roof covering to be REMOVED and deck ( OR
repaired - PROCEED to STEP#2.
2. ICBO Research#: —
ti
B. Existing roof covering to REMAIN: NOTE:APPLICANT Dated:
MUST SUBMIT AN ENGINEER'S REVIEW OF fHE ROOF STRUCTURAL --- —_—_ ( PRG ADE COPY OF ASSEMBLY )
ELEMENTS. REVIEW SHALL BEAR THE SEAUSTAMP OF THE
ARCHITECT OR ENGINEER LICENSED IN OREGON. 3. SPECIAL PURPOSE ROOFING: WOOD SHAKES'
(PROCEED TO STEP M 2)
'RE-VIEW PEOUIRED FY PLANS EXAMINER
REPAIR (MAJOR) -
wiv.N STRUCTURAL ELEMENTS OTHER THAN SHEATHING IS TO BE
REPLACED A PLAN REVIEW IS^EQUIREP._"ETS QF PLANS MUST VALUATION OF PROJECT:
91ti-WWAtrfE.Q•
Existing Deck Type: -
I HEREBY STATE:THAT THE ABOVE INFORMATION IS
TRUE AND ACCURATE
Combustible - --
I SIGNED: --------------------___
Non-Combustible ( )
DATE..:
I`mol cud I/97 (I)ST)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP �,��1
,Date Requested ��
— 0d AM PM D
Location Z1 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UILDIN Tenant/Owner ELC
RiWrf ng Wall - ELR
r
Footing NOT 14FQ11ES'I'E1) .2 ria, S5S'V'A .
Foundation FPS
Ftg Drain FOUND DURING RFSEAI1CII `
Crawl Drain NO INSPECTION(s) IN FILE
SGN
Siab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear 1 �� ¢ 0-"
Framing _
Insulation
Drywall Nailing _-
Firewall
Fire Sprkikler
Fire Alarm
Susp'd Ceiling -- -- -- —.—.—_.— ___
Roof
na
PASS ART FAIL
Pos18 Beam
Under Slap
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam --
Rough In r —
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 ------------------------- ----_------•------ ----
Sanitaiy Sewer
Storm Drain ( Reinsp action fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:_,— __- —_-___ _________ I I Unable to inspect- no access
Fire Supply Line
ADA
Anproach/Sidewalk Date Z? Inspector Ext-z'
'er --- —_.—_ -- — ---
at
PASS PART FAIL DO NOT REMOVE this inspef-tion record from the job site.
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES ERMI
PERMIT
T ##.. .. .. . F. . . . : T;UF'97•-Q�41.:,
13125 SW Ha,f 131vd., Tigard, IR 9*1223 (503;539.4171 DATE ISSUED: 06/25/97
PARCEL: OSOOOX X-00000
SITE HDDRESS. . . : 07582 SW HUNZIKER RD
SUBDIVISION. . . . : ZONING:
pl_C1CK. . . . . . . . . : LOT. . . . . . . . . JURISDICTION:
-- ----------- - ---------- -----------------------------------------
REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :PLT FIRST. . . . : 0 s f N: S: E: W:
TYPE OF USE. . . :MF SECOND. . . : 0 s f PROTECT OPENINGS '-----------
TYPE OF CONST. : ') 0 sf N: S: E. W:
OCCUPANCY GRP. :M1 7.OTAL- -----: 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 5f AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEF'. RATED:
BSMT? : MEZ7.?a REOD SE.'.BACKS---------- REQUIRED-
FLOOR
EGIUIRED--------•----FLOOR L_OAD. . . . : 0 ps f LEFT: 0 ft RGHT: N ft FIR SF'KL: SMOK DLT. . :
DWEI ' .TNG UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS^ 0 BATHS: 0 IMF' SURFACE: 0 PRO CORR: PARK I Nl i: N
VALUE. $ : 5500
R e m N -k s : Re-roof
--------- FEES
CHERYL. NESSLER ---- - - - -- .
________ _____ type amount by date r^ecpt
514 NW MARLBOROUGH AVE PRMT $ 56. 50 B 08/25/97 97-298640
PORTLAND OR 97:_'10 FIRE $ c�'. 6O B 08/25/'37 97-298640
5PCT $ .2. 83 B 08/25/97 97-29864O
Phone #:
Contractor-: ---____---..-__---- ----------
INTERSTATE ROOFING
1.5065 SW 74TH AVE
TIGARD OR 97223
Phone #: 684--561 1 f 81 . 93 TOTAL
Rpg #. . : 00055 +
--------- RFCaU I RED INSPECTIONS
------
This permit is issued subject to the regulations contained in the Final InspPct i on _--
Tigard Municipal Code, State of Ore. Specialty Codes and all other —
applicable laws. All worth will be done in occordance With ----
approved plans. This permit will expire if work is not started — --
within 188 days of issuance, or if Work is susoended for more
than 180 188 days. ATTENTION: Oregon law requires you to follow the -----
rules adapted by the Oregon Utility Notification Center. Those - —
rules ve set forth in OAR 95? 881 f1818 thrnegh OAR 952•-28181987.
you many obtain a copy of these rules or direr, questions to OLMC _ ----
by callinq 15831246-1987. — —
I ermittree Signature : IssI-led BY : �L -"��---
'
++++++++•+++++++++++++++++++++++•F+++++++++++++++++++•1-++++++++++--4......4+++++-F+-1
Call 639-4175 by 6:00 p. m. for- an insper-tio-i needed the next bLtsiness day
++++++++++++•...+++f•+++++++++++-r+++++++++++++++•+4++++++.+•++++++++++++++++++++++++
CITY OF TIGARD COMMERCIAL Permit#
13125 SW HALL BLVD Date Recd: 14t
TIGARD'OR 972123 RE--ROOFING PERMIT Bldg: $_�
V- 503-639-4171 X304 Plan Chk: $ 7d loh
F-503-684-7297 APPUCATIOPf St Sur. Chrg:$ "' .`
Incomplete or Illegible applications will not be accepted
Name of Development/Business C��%Y'►� `� —
Date work Is to begin: �`t Date Completed _
JOB Address NEW ROOFING ASSEMBLY
SITE _75(�oL
Building Use
_ STEP 2
Name New Roofing Material Documentation (1.18C Appendix 15)
(2 N L N A/C-as Ve_. C-E/c' _ —_ Pleas,! Fill Out Applicable Settlors R
OWNER !Mailing Address �,!! � ; Attach Copy Of Ruofi�ig Specifications
00
City/State Zip lj�4/1 Phone
Name Listed Assembly:
ROOFING Mailing Address 1. Specification # 1 - / 7.1 C ,
CONTRACTOR ,/ _S tc ' ✓c
(All licenses City/StateZip Phone Manufacturer_
have to be f? c1 v ) e _S
current at State Constr. cnir. Board# Exp Date UL Classification
time of - ,.�
issuance) C'OT Bus Tax or Metro Lic# _xp.Date (or)Warnock Hersey
STEP 1 —�/ Listed UL Building Materials Directory Page# . d.-_.
Describe work to be done: (circle one) LstPd Warnock Hersey Directory Page it_
RE-ROOF
(PROVIDE COPY OF ASSEMBI.Y)
L. Existing roof covering to ne REMOVED and deck ( OR )
repaired - PROCEED to STEP#2.
2 ICBO Research#
S. Existin j roof covering to REMAIN: NOTE APPLICANT Dated
MUST S1, OMIT AN ENGINEER'S REVIEW OF THE ROOF STRUCTURAL _ ^ ( PROVIDE COPY OF ASSEMBLY )
ELEMENTS REVIEW SHALL BEAR THE SEALSTAMP OF THE
ARCHITECT OR ENGINEER LICENSED IN OREGON 3. SPECIAL PURPOSE ROOFING: WOOD SHAKES'
IP?OCEED TO STEP#2)
'REVIEW REQUIRED BY PLANS EXAMINER
REPAIR (MAJOR) -- - - ---------- --
'Wt1EN STRUCTURAL ELEMENTS OTHER THAN SHEATHING IS TO BE
REPLACED A PLAN REVIEW IS REQUIRED. -3 SETS OF PI,.AC M_U54
VALUATION OF PROJECT: $ •�a�%'C^` '
Existing Deck Type:
I HEREBY STA TfiAT E ABOVE INFORMATION IS
TRUE AND C Y14AYE
Combustible ( ,�)
SIGNED: ��-f-�-
Non-Combustible
Vroof cod 1/97 LDST)
M RUBEROID`I Specification N-1-1-TG N-1-1-TS, and N-1-1-TSC
ronvon�noe
i� sufficient heat must he applied to the granule-surfaced RUBEROID membrane
i to cause the granules to sink Into the lop surface coating to assure a receptive
NI 11I I surface for bonding to the overlapping next roll of RUBEROID membrane,
I ilk 1 3. For smooth surfaced installations where a coating is desired,between 1.4
weeks after Installation of the RUBEROID sheets apply WEATHER COAT*
I Emulsion at a rate of approximately 3 gallons per 100 square feet;Premium
Fibered Aluminum Root Coating at a rate of approximately 1 Ih-2 gallons per
100 square feet;or other GAF Materials Corporation approved coating;see
"UL Systems'Ratings Chart,"page 6. The RUBEROID membrane surface
Side must be clean,dry and free of all louse dust and dirt at the time of^oaring,
' I•p nUSEn010 UL Classifications
Aide tap UL Close Surfacing Substrate Slope Specification
sBvr ! A K97 r, l;" N-1-1-TSC
tB+n° A None NC 'h" N-1.1-TS and N-1.1-TG
A GPFARC NC 'h' N-1.1-TSC
A GWCE NC '/I N -1.1-TSC
~mi•µ GAFGLAS 075 RUBER010 Teich
eu•shell For more extensive 11L classifications,sec page 8.
--- - - -- ----_ —_ _. -1 Ul.Chert Key
Substrate-- y,Inch 11dmimulm plywood,gypsum,slrurtulal wood fiber, 1 Surfacing
lightweight Insulating concrete. K97-Karnak A'97 Flbrated Aluminum Asphalt Roof Coating
Slope--Up to 1 Inch per loot for lightweight Insulaling concrete. GPFARC OAF Premium Fibered Aluminum Root Coaling
(See"Lightweight Insulating Concrete Decks,"page 10.) Up to 3 inches GWCE -GAF WEATHER COAT*Emulsion
per loot lot other decks. 2 Substrate
_ C=Combustible and Noncombustible
Combustible-Wood planks,boprds,etc„plywood(min."h,inch thick-
ness),oriented strand board(min.1h Inch thickness).
GAFGLAS 075 Base Sheet NC=Noncombuslible only
RUBEROID TORCH(Smooth or Granule Surfaced) Noncombustible=Steel,poured or precast structural concrete,lightweight
Surfacing(t desired) Insulating concrete,gypsum,structural wood fiberboard,etc
3.Slope
Approximate Weight Per Square Total 115-130 lbs. Maximum slope allowed,In Inches per fool
General
Ueslgn and Application Co11sidelalions delalled In this Manual shall apply in
addition to Iia following r0alnunendatlons and specifications.
Application Reconimendallons
1.' one ply of GAFGLAS"A'75 Base Sheet or STHATAWNI"Nallable(lot wet
IIF eight Insuialing culcrele,talks,see page 10)lapping each sheet 2 Inches
at the edges and not less Ilia"6 Inches at Iia end laps Nall along the 2 Inch
side lap of tine base ply at InlervaN not In exceed 9 Inches and stagger-nail
down the center of Ills sheet If,Iwo lows with nails spaced at 18 Inch Intervals
II each row, Nails should have 111109131 metal heads at least 1 Inch square or
found.
2.Starling at the law point of the root,set the foil of torch-applied FIUBFR01D
menlhrane in the course In be followed and unroll 11,111 the full where practlrat.
f'os111011 the rinnnhlanr,10 pnlvlde a 3 Inch side lap and a 6 Inch and lap Using
the prmp311e 1011,11,,1ppty I11e IIRnlO to Ilia stufare of I11e culled poflion of Ilia roll
until Ilia surface ranches the proper application lemperatur0(approxlmately
350-F) The side lap and end lap areas of Ilia previously applied sheet must
also he heated to prnvide proper adhesion. The plastir,film must be melted off
Ilia selvage edge of glen tile-suffaced producls.Move the flame limn side to
side and up the side and end lap areas of the previous sheet Slowly unroll the
itlellllfRile While III essing onto the llndeflylllg%ill fare, Re sine than the surface
of the roll Is healed sulliclently so that It develops a sheon and file texture-
backed product loses Its sharp definition Avoid generating heavy snlnke Guaran;aeft,Available
because It IndicRles that the surface,Is overheating. When this half of Iia roll Is Speellleellon RUBEROID Liberty RUBER010 '
secure,reroll the other hall of the roll and torch In place In Ilia same manner.A N-1-1-TS 10 10
minimum of'h Inch flow out o1 mndilied bitutnen compound Is required a1 all N-1- -TSC 12,10 12,10
seams. Field seams should not be tr0wehed At the 6 Inch minimum end laps, N-11_ivTG _12.10 12,10
32
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T W T
CITYY O F T I G A R D _ PLUMBING PERMIT _
PERMIT#: PLM15/3/99 9 00136
DEVELOPMENT SERVICES
t DATE ISSUED: 5/3/99
13125 SW Full Blvd., Tigard, OR 9722' (503) 639-4171
PARCEL.: 2S101 DB-00201
bITF_ ADDRESS: 07582 SW HUNZIKER RD
5LJBDIVISION: HILI 17REST APARTMENTS ZONING: C P
BLOCK: LOT: JURISDICTION: 71G
CLASS OF WORK: Al_T GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW FREVNTRS:
OG,CUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: -- 'JRINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE- ft
WATER CLOSETS: WATER LINE: i 2(10 tt
DISHWASHERS: RAIN DRAIN: it
Remarks: Replace existing water i.ne for an apartment complex.
FEES
Owner: Type By Date Amount Receipt
SUSAN PETRUSHKIN PRMT GEO 5/3/99 $155.00 99-315026
7010 SE 36TH MISC GEO 5/3/99 $7.75 99-315026
PORTLAND, OR 97202 Total $162.75
Phone 1:
Contractor:
BRUNER PLUMBiNG
PO BOX 23985
TIGARD, OR 97281 REQUIRED INSPECTIONS
Water Line Insp
Phone 1: Final Inspection
Reg #: LIC 81837
PI M 26-445PB
ORI
U PA
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 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 by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 552-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Permittee Signature: �a� -�
Issued By:
Call (503) 680-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Plan Check#_ _
13125 SW HALL BLVD. Commercial and Residential Recd By______
TIGARD, OR 97223 Date Recd
(503) 639-4171 Date to P.E.
Print or Tyre Date to DST _. _
(k w!/�� ;�
Incomplete or illegible applications will not be accepted Permit# ao/Related SWR#
Called
Name of Development/Project FIXTURES (individual) _ aTY PRICE AMT
Job 5 �5;,7 ¢/un1�j ��E' Sink
Address Street Add sLS�ull�e .,�� Lavatory _ 9.00
I,t/ n I f�-�'/`� ( ` _ Tub or-rub/Shower Comb. 9.00
Bldg# City/State Zip Shower Only 9.00
_ Water Closet 9.00
_ N/art7e �r 9.00
rX, T[''l e �� Dlshwashnr
OwnP.r Mailing Address r�ySuite Garbage Disposal-_ 9.00
/G y J'G Washing Machine 9.00
State Zip Ptl4� c Q Floor Drain/Floor Sink 2" 9.00
- v ��jj 1 3" 9.00
Natre
/,C L�P+C�Y' AP r 4" 9.00
Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00
Gas piping requires a separate mechanical permit.
CltylSlale Zip Phone Laundry Room Tray i 9.00
_ Urinal 9.00
Nam" �� N Other Fixtures(Specify) _ 99.00
_�IS� ►'I�✓ 00
Contractor M Iling A rens Sun
'v `18 9.00
Prior to permit City/S I le / ZPhone Sewer-1st 100' 30.00
Issucnce,a copy A .11-L Z 6zyywo Sewer-each additional 100' 25.00
of all licenses are Oregon onst.Cont.Board Lic.# Exp.gate Water Service-1st 100' /U O 30.00 Z
required II Z-7 0�
expired In COT Plum n Llc.# _ n E p. a Water Service-each additional 200' Opp 25.OU Z
database zj "�� � % _ 3/ Storm&Rain Drain-1st 100' 30.00
Name Storm R Rein Drain-each additional 100' 25.00
Architect Mobile Home Space 25.00
Or r tailing Address Suite Comme•clal Back Flow Prevention Device orAnti- 2500
_ Pollution Device
City/Slate Zip Phone Residential Backflow Prevention Device" 15.00
Engineer
(Irrigation timing devices require a separate
Describe work to be dons: i restricted energy permit.)
Waste Not Connected to a Fixture 9.00
New O Repair O Replace with like kind: Yes O No O Any Trap or
Resident.al O Commercial O Catch Basin 9.OU
Additional description of work: c Insp.of Existing Plumbing 40.00
`�•���'� � �-�/
Specially Requested Inspections 40.00
error --
Rain Drain,single family dwelling 30.00
Are you capping,moving or replacing any fixtures? Grease Traps 9.00
Yes O No O
If yes,see back of form to indicate work perfonned by QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram 131>e
WORK COULD RESULT IN INCREASED SEWER FEES. "SUBTOTAL 15
1 hereby acknowledge that 1 have read this application,that the Information
given Is correct,thai I am the owner or authorized agent of the owner,and 6%SURCHARGE
tha plans submitted are in compliance with Oregon Stale Laws. -
SIrInsture of Owner/Agent Date ""PLAN REVIEW 26%OF SUBTOTAL
1.5
Required only N fixture qty total is>9 TOTAL Y /
Confect Pemcn Name- -- P ono
'Minimum permit fee is$25+5%surcharge,except Residential Backflow
Prevention Device,which is$15+5%surcharge
..All New Commercial Buildings require plans with isometric or riser diagram
and p;an review
fW11aiVkxnWp doc 7/11W
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed _
New Moved Replaced Removed/Capped
Sink_ —------- --- — �--
Lavatory _ _ _ --—
Tub or Tub/Shower Combination
Shower Only
Water Closet —
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain/Floor Sink 2" ___ _ _ _ _
411
Water Heater
Laundry Room Tray
_Urinal _ __ _ _v— -------- ---
Other F ixtures (Specify)
COMMENTS REGARDING ABOVE:
I UWAVA'm der Aix'1!!mn
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP
Date Requested M _—PPJ1 Bt_n
I�Z
Location r uite MMEC-, ,—
Contact Person �4 e 'h
Contractor � 1- Ph SWR
BELC
UILDING Tenant/Owner -
Retaining'JVall ELR
Footing Access FPS —
Foundation
Ftg Drain SGN
Crawl Drain Inspection Noies:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheeth/Shur
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm �s/•��� �
Susp'd Ceiling i
Roof — —.
Misc: _
Final —
RT FAIL
BI G ) J Sc:� --
Post&Berm
Under Slab
Top Out
Water Service -
Sanitary Sewer
RILOrains —
SJ PART FAIL _ —
MTcHANICAL —__—
Post&Beam
Rough In _
Gas Line ---
Smoke Dampers
Final —
PASS P/.RT FAIL -
ELECTRICAL —
Service --
Rough In _
UG/Slab --
Low Voltage
Fire Alarm �-
Final
PASS PART FAILSITE -
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ j Please call for reinspection RE. — ( J Unable to inspect-no access
Fire Supply Line
ADA
Appreach/Sidewalk Date _Inspector Ext
Other —
Final
PASS PART FAIL Do NOT REMOVE this inspection record from the job site.
l�
I
_ ELECTRICAL PERMIT
CITYOF TIGARD PERMIT#: ELC1999-00435
DEVELOPMENT SERVICES DATE ISSUED: 7/16/99
13125 SW Hall Blvd.,Tigard, OR 97'223 (5031 639 4171 PARCEL: 2S101D6-00201
SITE ADDRESS: 07582 SW HUNZIKER RD ZONING: C-P
SUBDIVISION: HILLCREST APARTMENTS
LOT : JURISDICTION: TIGBLOCK:
Proiect Description: Add three (3) branch circuits to an existing apt building.
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _MISCELLANEOUS
1000 SF OR /_ESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 5005F: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: OR LABEL (1 L:
MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (101:
SER_VICE/FEEDER A BRANCH CIRCUITS _ ADD'/- INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: JPER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT:
601 - 1000 amp: — PLAN REVIEW SECTION_
1000+ amplvolt: >-4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PETUCHKIN MANAGEMENT SPARKS ELECTRICAL
7582 SW I IUNZIKER 17397 SW MCEWAN
TIGARD, OR 97223 SUITE 220-B
TIGARD, OR 97224
Phone: Phone: 701-7822
Reg #: LIC 00128994
SUP 4394S
ELE 26-997C
FEES Required Inspections _
Type By Date Amount Receipt _ Wall Cover
PRMT GEO 7/16/99 $48.20 99-316933 Elect'I Final
5PCT GEO 7/16199 $3 37 99-316933
Total $51.57 ORIGINAL
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 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 by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952 -0080. You may obtain copies of these rules or direct questions to OUNC at(503)
246-1987. / -,�
��' Isaued By: r/ 7 I'll 1�
Permit Signature:
cc<
Perm g r _
-� �---., - OWNER INSTALLATION ONLY
The installation is being made�n property I own which is not intended for sale, lease, or rent.
OWNER 5 SIGNATURE: DATE:_
CONTRACTOR INSTALLATION ONLY _
SIGNA1 URE OF SUPR. ELEC'N: v — DATE: r
LICENSE NO:
Call 639-4175 by 7:00pm for an Inspection the next business day
` r,
CITY OF TIGARD Ele:,trical Permit Application Plan Check#
13125 SW HALL BLVD. Rec d Ey
TIGARD OR 97223 Date Rec d
Phone(503)639-4171, x34Date to P.E.4 Date to DST_ —
Inspection (503)639-41'5 Print of Type Permit a
F-ax (503) 598-1960 Incomplete or iliegible will not be accepted Called _
1. Joky Address: / 4. Com
Complete Fee Schedule Below:
A
Name of Development ���� y S/7 �' /,1,,—Cel fir/I ___ Number of Inspections per permit allowed
Name(or name of business) Sgt C4 _ Service included: Items Cost Sum
Address 4a. Residential-per unit
City/State/Zip T% rf oi,-00� _ _ 1000 sq n or less $ 11775 4
I ach additional 500 sq it or
portion thereof _ $ 2625
Commercial ❑ Residential ❑ Limned Energy $ 6000
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder — $ 72 75 z
(Prior to permit issuance,apphcarts must provide contractor license 4b.Services or Feeders
information for COT dba e). Installation,alteration,or relocation
Electrical Contractor data .i �- - I7 .+� C o�.✓v. I 200 amps or less $ 64.25 '
Addres3_,// (7 Q- 201 amps to 400 amps $ 85.50 — 2
City Y` 2,-t"r.4' —State e=O �ZIP 401 amps to 600 amps $ 128.50 2
Phone IS& 70/- 7d2.t. 601 amps to 1000 amps _ $ 192.50 2
Over 1000 amps or volts $ 363.75 2
,lob No D�___ Reconnect only _ $ 53.50 2
Elec. Cont. Lice No _76' Y'i'! C Exp.Date /0-114c.Temporary Sen•Ices or Feeders
OR State CCB Reg No. S7e-y Exp.Date Installation,alteration,or relocation
COT Business Tax or Metra No, i E Date 200 amps o-less $ 53.50 2
201 amps to 400 amps $ 80.25
e t 401 amps to 600 amps $ 107.00or ?
Signature of Supr. Elec'n - Over 600 amps to 1000 volts,
License No. 3y'y �•IV' Exp Date n '/- see"b"above.
4d.Branch Circuits
Phone No /_
�. 2
—" --
--771,- - -------- — New,alteration or extension per panel
a)The fee to; branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit $ 5.35 2
Address _ _
b)The fee for branch circuits
- without purchase of servile
City _State_._ Zip_- or feeder fee.
Phone No. _ First branch circuit $ 37.50
Each additional branch circuit _ - $ 535
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 $ 42.75
Owner's Signature Each sign or outline lighting _ $ 42.75 --
Signal circult(s)or a limited energy
panel,alteratinn or extensionS 6000
3. Plan FZeviety section (if required): Minor labels(10) --- $ 10700 - - —-
Please check appropriate item and enter fee in section 5131. 4f.Each additional inspection over
4 or more residential units in one structure the allowable In any of the above
_
5ervicn and feeder 225 snips or more Per inspection $ 50 00Per hour $ 50.00
System over 600 volts nominal In Plant _ $ 5900 i
Classified area or structure containing special occupancy as
described in N.E.0 Chapter 5 =5. Fees: � II
Be.enter total of above fees $ ,�V
` Submit 2 sets of plans with application where any of the above apply. 7 'n At Surcharge(05 X Iota)fees) $
Not required for temporr.ry construction services. Subtotal $
5b.Enter 25%of line Sa for -
NOTICE Plan Review if required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSI RUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Tnist Ac,nunt#
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due — $ j `"
dstslfbrmslcleclrlc.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ►dST --- ---- ---
BUP
Date Requested) I. �y _AM__ —PM _ BLD
Location �7 � g 2 �-�cl'1 Zt �/l 5r�i!e '– -- -- -----
MEC
Contact Per.= �� I wC � Ph � - 2�„ PLM —_- - —
Contractor — Ph SWR -- — _ -
BUILDING TenanUOwner ELC
Retaining Wall
Footing ELR
Foundation Access:
Fig Drain FPS
Crawl Drain Inspection Notes' -- SGN
Slab --- ---
Post& BeamSIT
-- - - - _
_-_--
Ext Sheath/Shear -
Int Sheath/Shear
Framing
Insulation ---- -- ---_
Drywall Nailing
Firewall --- - ---
Fire Spr'nkler
Fire Alarm - - —
Susp'd Coiling
- —`
Roof
Misc:
Final --- ------
PASS _PART FAIL. _
PLUMBING — ---
Post& Beam -- - --
Under Slab _ ------ _._.`-- --.-_-_
Top Out -----�-='-�- ----
Water Service
Sanitary Sewer --------
Rain Drains ------___—_T_
Final _ - --
PASS PART FAIL.
MECHANr--AL
Post& Bearn
Rough In
Gas Line
Smoke Dampers
Final
PASS P T FAIL___
LPE�ECTAML2
Service
Rough In - -
UG/Slab
Low Voltage -- ——
Fire Alarm ,
p
RT FAIL
SIT
ng — -
Sanitary Sewer — —
Storm Drain I I Reinspection fee of E required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I I Please call for reinspection RE: Unable to Inspect no access
ADA
Approach/Sidewalk DateA� —
Other Inspector _
- GC Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.