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9400 SW HILL STREET r, A y, 4 J 1 i, I TIN MS OOK, CITY OF TIGARD BUILDING INSPECTION DIVISION MST _- 24-Hour inspection Lire: 639-4175 Business Line: 639-4171 BUP — Date Requested 4 AM_—:r'—._PMi BLD LocationrA � (' Suite MEC Contact Person ZOCX� _�C — J Ph ' - PLM - (�!� h ---- SWR Contractor _.-- UX ELC �._ l`�C�L:O BUILDING—� Tenant/Uwner ------- ELR Retaining Wall .- Footing Access. FPS --- Foundation SGN Ftg Drain -- Crawl Drain Inspection Notes: SIT - Slab - - --- - - - — Post&Beam Q i i�h(; l' - Ext Sheath/Shear - •- -- '- �" Int Sheath/Shear — Framing — Insulation Drywall Nailing ---_-- Firewall - - Fire Sprinklar - Fire Alarm Susp'd Ceiling Rout - -' Misc. _ Final PASS PART FAIL ------- PLUMBING ----.. _-- Post&Beam Under Slab Top Out Water Service Sanitary Sewer - - - _---- - Rain Drains Final - -- PASS PART FAIL Post 8 Beam ----_—___-�___---__-- Rough In - Gas Line Smoke Dampers PASS PART FAIL — _ __-- - -------- --- FL cTRI 'AL Service - --- Rough in - —•-- UG/Slab ---- Low Voltage - -- Fi Alarm -- — PASS PART FAIL SITE _ - - - Backfill/Grading -- Sanitary Sewer _required before next inspection. Pay at City Hall, 1 Storm Drain 3125 SW Hall Blvd to [ J Reinspectior fee of� -_ toUnable to inspect- no access Catch Basin I [ J Please call for reinspection RF._- Fire Supply Line ADA /r� _ r� Ext Approach/Sidewalk Date iL�- 0 1_""'o Inspector — Other Final � PASS, PART _ FAIL 00 NOT REMOVE this inspection record from the jobs e. CITE` OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175MST Business Line: 639-4171 ---- _ " --------_Date RE esje KJ % �G BIP L.cation Eil-D _ - __-- Suite MEC CJCG< Contact Person .�' Ph _ Contractor _ /?��� — -- PLM _ % �G71�7-- Ph _ SWR BUILDING l"enant/Owner Retaining Wall ELG- Footing El_R Foundation Access: -- Ftg Drain FPS Crawl Drain Inspection Notes: SGN ' Slab Post&Beam -�- ----- SIT Ext Sheath/Shear I r%/'o Int Sheath/Shear Framing Insulation Dryw;,II Nailing Firel.rall _ — Firs Sprinkler — Fire Alarm Susp'd Ceiling - - Roof -- Mise: (,J Final -l SS PART FAIL MKSGR Beanies-r SlabOutr Service Sanitary Sewer -- ---�--- Rain Urain3 - � Final -�---�� PA RT FAIL EGHANI 'A _ Post& 13eam _ Rough In — ---- Gas Line oke Dampers nal a _ PASS PART FAIT i ELECTRICAL -- Service -' Rough In UG/Slab Low Voltage _ Fire Alarm -"`— Final — PASS PART FAIL _ SITE - backfill/Grading - Sanitary Sewer - Storm D Catchrain ( j Reinspection fee of$ Basin _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Fire Supply Line ( ]Please call for reinspection RE: ADA — _ [ ]Unable to inspect-no access Approach/Sidewalk Othur - Date ���/ Inspector))/ Final Ext — PASS PART FAIL J DO NOT REMOVE tilis inspection record from the job site, CITYOF TIGARD MECHANICAL PERMIT PERMIT #: MEC20(iU 00009 DEVELOPMENT SERVICES DATE ISSUED: 1/10/00 13125 SW liall Blvd., Tigard, OR 9#223 (503) 639-4171 PARCEL: 2S102DB-01000 SITE ADDRESS: 09400 SW HILL ST SUBDIVISION: BURNHAM PARK ZO NG: R-4.5 BLOCK: LOT: 004 JURISDIC ION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS: A STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ _ _ 0 3 HP: 1 DOMES. INCifj; 3 - 15 HP: COMML. INCIN,,� 4. F_ w:`A MAX INPUT: BTU 15 - 30 HP. REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOOD-1 i OVE'.3: GAS PRESSURE: 50 + HF: CLO DRYERS: FURN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS: FURN —100K BTU' <= 10000 cfrri4 _ GAS OUTLETS. > 113000 cfm: Remarks: Insta!! furnace < 100,000 BTU and 1 air condition unit. AJC units cannot be placed within the required setback areas. Owner: FEES LOPEZ. ANDRE J + JANICE R Type By _ Date y Amount Receipt 9400 SW HILL ST PRMT GEO 1/10/00 $50 00 00-320156 TIGARD, OR 97223 5PCT GEO 1110/00 $4 00 00-320156 Tot-al $54.00 Phone: Contractor: GEORGE MORLAN PLUMBING 9806 SV\1 TIGARD (CCB EXP 612002) REQUIRED INSPECTIONS TIGARD, OR 97223 Heati,g Unt Insp Phone:503.624-6895 Cooling I Int Insp Reg #:LIC 00002734 Final Inspection PLM 26-60p ORIGINAL This permit is issued sub ect to the regulations contained in the T igard 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 lJtility Notification Center Those rules are set fort, in OAR 952-001.0010 throughQAR 952-001-0080 You may obtain copes of these rules of direct questions to OUNC by calling (503)246-919�-. Issue By: Permittee Signature. Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day para-06- 000 10 �� P.01 CITY GF TIGARD Mechanical Permit Applicat EIVFr_' Rec'dBy 13125 SW HALL BLVD. Commercial and Residential Date Recd_ TIGARD, OR 97223 Data to P.E. `� '� 0 7 100E Date to DST (503) 639-4171, x304 �Z ooQ- Ot�u� Permit It / 10/0 4-- U fJ q50& Print or Type WIII1MUM11Y LWYncrmf ri' coiled , Incomplete or illegible applications will not be accepted _ No or Qe,alopm[nVPM)ed Description Table 1A Mechanical Codc U. Pricy Amt A) Permit Fer:_ 16.00 Job ' l�dreSC sudorr 1) Furnace to 100,000 BTU Address C 4f x u� I 1 Includ n ducts&vents roe footnote 1,2 I 9.65 ! — e IgM cs;,siaa ilp 2) Furnace .JOO©TU+ including ducts&vents ace footnote 1,2 - 12.00 Name(or name or bu&nessof bu&nless) ` 5�• I 3) Floor Furnace _including vent aav footnote 1,2 _ 9.65 Owner �. h7U _ - 4) Suspondod heater,wall hontnr i! ►Aofhng Address or floor mounted heater see footnote 1,2 8.65 5) Vent not included in app Ilance pr!rrrtlt _ 4.75 c ty/stoic `-- i P Fnone Chock all that apply; 'Boiler Heat Air For items 6-10,see or Pcrrp Cond Qty PricO Amt Name(or Memo o/'Ri;lne,xl footnotes 1,2 Com _ 6)%bHP;absorb unit to r/ 100K BTU 9.65 Occupant Mnunp Aaares, ---- - 7)3-15 HP,ausorb unit 100 to 50ok B U 17.65 Tpriorin 8) 15-30 HP, obsorb -^ unit 5-1 mil BTU 2415 9)30-50 HP, absorb Ggntractor N""" r unit 1-1.75 and BTU 36.00 10)>50HP,absorb unit Prior to permit Meiiir Adddr"ess C1� >1.75 mll BTU _ 60.15 issuance,a copy c� I�GCJ ;"Qar 11 Air handling unit to 10,000 CFM of all licenses Cn%E3wto 21P Phone 7,00 are required 1 �I�� (90 12)Air handling unit 10,000 Ci expired in COT or n cont%. ore rta,�.a �,r .00 a 11.8. database3 d 13)Non-portable evaporate cooler Architect Name r?�L�_.� - -- 7.00 14)Vent tan connected to a single dud _ 4,75 or Mulling Address 15)Ventilation system not included in _ Bpplionce permit 7.00 Engineor cM�a1s 7jo Phone 16)Hood served by mechanical exhaust 7.00 5e9cribe work to be done 17)Domestic Incinerators _ 12.00 New 0 Repair O Replace with like kind; Yes No 0 18)Commercial or industrial type Incinerator 48.25 Residential Commercial _ 40 19)Repair units 8.40 Additional Information or dosicnpt)on of work: 20)Wood stove/gas Mother unitslclolhe dryer/etc. I f1S4Q,ll_ �h-� t'1ac e 0-/C a 0,L t' --- 7.00 VOTE: For Commercial projects only;IUnits over 400 Iba require 21)Gas piping one to four outlets etructurat gas calci _See footnote 1 _ 3.75 _ 22)More than 4-per outlet(each) .75 —I type of fuel: oil O natural gee LPG O eledP- nc O Minimum Permit Fee$50.00 SUBTOTAL It hereby adcnnwiedge that I have read thLa applientlon teat the information °,6 SURCHARGE di,;iirt4 liven is correct.. that I am the owner r„ authorized agent of ^PLAN REVIEW 25% OF SUBTOTAL , he owner,that plans submitted arc in Poi npl ance with Oregon State laws. RequlT, fnr ALL commercial permits onl TOTAL ) },}rf �j signature OwnerlApent - Data _— -- ��' 71 Other inspections and Fees: 1. Inspections outride of normal business hours(minr,um charpn-two hours) $50.00 per hour :.onn rt Person Name Phone 2. Inspections for which no fee Is speclllcally indicated (minimum Da v/ �a 4_ &6130 charge-half hour) $50.00 per hour =oonotes for commer>rlal projects only: 3. Additional plan review required by changes,social)ns or rovr,ionr to I Provide full schematic of etushng and propowd gas line and pressure plans(minimum charge-one-half hour)$50 00 per 'dour i. Provide dnwlngs to scale showing ex,Mn9 and prot,otnd mgehfn rel 'State Contractor FICI er CenlflCAt10n requited unit. - _�_�W-�_ _-- -Residontial A/C re u res sde ��++�5 wi 1 nl of unit I vnechperrn doc n+v 7119199 C t A y CITY �� �I���� ELECTRICAL P►_RMIT PERMIT#: ELC2000.00006 DEVELOPMENT SERVICES DATE ISSUED: 01/06/2000 13125 SW Hall Blvd.. Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S102DB 01000 SITE ADDRESS: 09400 SW HILL ST SUBDIVISION: BURNHAM PARK ZONING: R-4.5 BLOCK: LOT : 004 JURISDICTION: TIG Proiect Description: Circuits for r/C and furnace RESIDENTIAL. UNIT _ —__�- TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS_ _ _ v� 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'l- 500SF: 201 400 amp: SIGWOUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANE 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: ^31 400 amp: 1st W/O SRVG OR FDR: 1 PER HOUR: 401 - 600 amp: EA AOD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: __ _ _ PLAN REVIEW SECTION 1000+ amp/volt: >.-4 RES UNITS: -- > 600 VOLT NOMINAL: Reconnect onlyl__ ___SVC'FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: LOPEZ, ANDRE J + JANICE R GRF ELECTRIC 9400 SW HILL ST 15460 SE PARADISE LN TIG.ARD, OR 97223 MULINO, OR 97042 ' Phone: Phone: 503-829-4146 Reg #: LIC 00101543 SUP 3003S ELE 26-878C — FEES--- --� Raciuh ed Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 01/06/200C $42.85 00-320948 Elect'I Final 5PCT BON 01/06/200C $3.43 00-320948 Total $46.28 ORGINAL This Perint 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 issuanoe,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 aie set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copiEs of these rules ordirect questions to OUNC at(503) 24r 1,387 PERMIT'TEE'S SIGNATUREQ ISSUED BY: Lc 11ycV . L L— 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 4 1 11 ltt �C _ —____ DATE: LICENSE NO: _--- -- ----- - _—_._ Call 639-4175 by 7:00pm for an inspection the next business day 02/28/1995 15:15 5039795747 GRF ELECTRIC; FADE 01 CRY OF TIGARD Electrical Permit Application Plan Check I � 13125 SW HALL BLVD. Rev'd By TIGARD OR 97223 Data Revd Phone(603)639 4171, x304 Date to P.E. _ Inalpection (503) 639-4175 Pr1nt Or Type Date to 0 UT__ Fax (503)694-7297 Incomplete or Illegible will not be accepted Permit I t-l r. Called, 1. Job Address: 4- Complete Fee Schedule Below: Name of DevelupmenL_ I Ln ( -C— L U nc Nvmpar o1 Inapecbona par pen.11 at owed Name(or name of businesa) Service In tided: home Cwt Burn Address- ,7/r�� � .t Pj fy j 4. Residential-pat unit City/5tettllTJp ! 1 �7 � L-?- 1UW aa.M.or Was 6110.00 7 Each adollional 500 sq.h,or a Commercial Rosldenbal portion thereof —_ S25.o0 1 r limited Energy 323.00 �� <Y �1 , / Esch MaAul'd"ame or M""ar / � 7-��y3a/j,00 2a. Coniractor Installation only: — r (Attach c py of all currant Iloeneee) __ I 13"Iling!service or Fssder 1 2 4b-sorvfcase or f4aw I EGrtrh; lectrical xacr_- �� - In iakdon,shentoon,or relucatlw, Address l < 2W Imps or less !.^ 6,60.00 Ctty�] -mac 2u 1 amps to 400 amps RIO an 2 ,�rState _� �p sol amps to 600 amps $120.00 Phone No. l._ (.41LL 601 amps to 10ou amps $190W 2 2 Job No. _ Over 1000 amps or voMs V0 00 Elec.Cont. UCe. No.r,)ijy =jLC Exp.Date Raconnect only tso.00 2 OR State Ct 0 Rep. Ste_.—Exp.Date X rc.Temporary Swvlcae or Reedery COT Business Tex or M6tro No, 201 Imps to 400 amps $75.00 EspTZ7 ,Date Inataltalbn,alteration,or relocatInn 200 arhps or leas 00.00 2 Signature o1 $upr.Elec'n 401 amps to am amps 3100.00 2 CN Ors;Swamps It, 1000 vone. Ucense Nc, Exp Uate _ see"b'show. Phone No._ k;P 41 4to 4d.station Circuits New,alferetlon or ortsnalon per pons) EXPIRED 2b. For o rvner Installations: s)The I«lo,branch chruhs wivi pwrcrlsss of sorwee or Print Owners Name _ toodw r.. Address____ „^ Each branch elrault tL7.U0 y D)The Ise for branch circuits city_ _ State,. _ 71p without purchase of Phone No service or feed.I'e ^� !— F Irl brarlct+circuit ( j067� _ 2 The insiallntlon is being made on property I own which Is riot Each additional branch circuit Ssatf _ _ 2 intended for sidle, lease or rent. 4e.Miscellaneous (service or heed►not Included) Owners Eignnture __ .`- _. Each pump or IrAgailon Nvcle W.00 — 2 Each sign or outllne tighllrr,,i _ 340.00 _ 2 3, Plan Review soetlon (If required):' Signal dreult(s)or Iion gavanorgy el,aMsralion o or exteA aYtsnsbn 340.00 2 Minor labels(10) .— 3100.00 --- Please check appropriate Item and enter fee In&*"Ion 68. 4 or mor*rareldendai unit In ons n1..ucturs 31,Each addhlonal Inspection own Savvlaa and leader 226 amps or rt 6 Uwe allowable In any of el4 above $yetcm ever 600 vofp nOtllVtal Per ktapectlon _M_ 633 00 CasaeMled area a structure conralning speclnl aocupancy Per hour BSS 00 as deacribarl In N E C Chapter 5 In Plant 11455 00 _ "submit 2 sats of plans with aPOICAtlan where Iny of the above OP0. S• Fees: Not npulnad services.mponry construction services. 6a Enter total of nerve Ions i r 1K 9urcher"(05 x low tows) 3 t QTIQ SuNrost 3 6b Entail 25 of I rw 64 for PERMITS BECOME VOID IF WORM.OR CONSTRUCTION AUTHORIZED IS Plan Rsvlew fjsij M IS-31 3 NOT COMMENCED WITHIN 1130 DAYS,OR IF CONSTRUCTION OR WORN Subrou/ t -- 15 SUSPENDED OR ABANDONED t OR A PEM00 OF Iso DAY AT ANY 1�True!Account 1_Y _Y TIME AFTER WORK 13 CCWMENCED 6 Tore/balance 008