10660-10825 SW MURDOCK STREET is AooaHnw tt%s szoo -O4i9;
CITY OF TIGARD • b ELECTRICAL PERMIT
PERMIT 0: ELC2004-001324
DEVELOPMENT SERVICES DATE ISSUED: 12/30/2004
13125 SW Hall Blvd..Tigard. OZ 97223 (503)639-4171 PARCEL: 2S110AD-J8001
SITE ADDRESS: 10695 81."V MURDOCK ST OFFICE ZONING: R-12
SUBDIVISION: PANGRtWA WE:T
BLOCK: LOT: JURISDICTION: TIG
ProJec4 Description: Re-mnunt meters at F: 5-8 8,B: 1-8.
RESIDr_NTIAL UNIT _ TEMP SRVC/FEEDERS 'AISCELLANEOU_S_
1000 SF OR LESS: 0 - 200 amp: PUMP/IRR.Tj TION:
EACH ADD'L 500SF: 201 - 400 arra: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 Limp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LAF,EL (10):
_ SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDErt: PER IN'3PECTION:
201 • 490 amp: 1st W/O SRVC OR FJR: PER HOUR: 2
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+arnp/volt: >=4 RES UNITS: >1300 VOLT NOMINAL:
Rei - ^t only: SVC/FDR>=225 AMPS: CLASS AREA/SPLC OCC:
Owner: Contractor:
TANNER,N' (TRUSTEE .►ARMER ELECTRIC INC
307 POND R 3E LN 5105 SW 45TH AVE
UBANA,IL 61801 PORTLAND, OR 972.21
Phone: Phone: 246-5381
Reg#: LIC (924
SUP 40445
FEES _ _ ELE 26-1440
Dencriptloo gate - _ Amount Regtilred Inspections
[ELPRNIT] Invesrigri^on +" Zr $125.00 —�
Elect'l Service
Tatar t 3?.5.l�0
Thio Permit i3,'SE,-iL - •Aect to the regult loos o.)ntpined in the Tig,?rd Municipal Code,Stator of OR. Specialty Codes and all other applicable laws
All work wi!;ho oont — ordar,x" it; ^,-vc-,mo F,l:ans. This permit will expire if work is not started wdhir 180 days or is,,uance, or if work is
suspcoded for i.,-than 1,.0 days. Ai`F° �'1N: Uregon law requires you to follow ruler adopted by the Oregon,Utility Notification Ginter. Those
,,s are set foit3! 952-001-0010 threti;L•G4k ii;' "n1 r"nq "ou may obtain copies of these rules o trect que, ions to OUNC at(503)
.ROU... •2344.
Inr.,r0sd c-;y; :�-�' Permit Signature:
C; Ll�.�1- _—
_ jN_STALLATeOtj ONLY
1 he ir.illation is being made on property I oA which is not intended for sale, lease, or rent.
.j
LO OWNER'$ SIGNATURE: �__... v_...._..____._.��___ � DATE:
,4,
CONTRACTOR INSTALLATION ONLY
SIC-. ,.'#TURF O:- a',Pk. t•:r.EC*N: DATE: __
L.ICCN ''� NO: ___..___... .____
011 G'9-4175 by 7:00pm for an inspecticri the next business day
ica, Permit A
DVE
City of Tigard Ro %,� ✓d"Gy %(� 1'errritNo:��C;Z alY' `�
13125 SW Hall Blvd.,Tiprd,OR 97223 PlanReviow
Obiter Permit:
Pham: 503.639.1171 Fax: 503.398.1 ((. ^ nn DaMIHY. Asia a set Pas.2 for
Inspection Line: 503.639.4175 1. J U 71Jo �aaRaDIVIS dr: - gapykaaeaul laferaudea
Internet: www.ci.tiprd.or.us _ _
gwaE]New construction ( Plan check all that apply:
0 Demolition Other: EjScrvice over 225 arrtps,comrn'i ❑Harrrdacs location
-V ❑osf 1 ce over anal 2 fainly d%,Tllinp ti ❑4or moss new residentialL,
[] I-and 2-family dwelling ❑C: rci&VinduLtrial ❑Accessory building ❑System over 600 volts wminsl tmits in mw s n,cturc
❑Building over th-et slw;es []Feeders,400 saps or more
JR,multi-ranlily El Master builder ❑Other: r]Occupant load over 99 masons cimanutaclul'z- -rtures or
;f JOB $.�,rr,�, INFORMATION t r rr lE s/li htin Ian RV fork
�^ / / 'jHeal1"-care facility Doth W_.--- --
Job no.: Q j3 Job site address: r�G i `�i �Or^. �- 5
_ Submit sets of plans with an,
of the above.
City/State/ZIP: I The above are nct applicable:o ternporary construction service.
FEE" SCHEDULE_
Suite/bldg./apt.no.: - P jtct nano� >
t--T,1n 7 '•
_ P_«. T«r
Cross vreeVdirections to job site: New residential single-—or multi-fondly dwelling unit,
�-- — --
Includes_attached proge. __
S-g 1,000 sq.fi_or less 143.15 4
Subdivision: Lot no.: Ea.add'I 500 sq.R.or portion 33.40 1
Limited energy,residential 75.00 _2
Tax trap/parcel no.: limited energy,non-residential 75.00 — 2
DESCRIPTION OF WORK �A I• J Eozb rrrnufoctured or modular
--_ -- -- dwelling,:.mice and/or feeder 90.90 2
ke--t!4[ LI} H4 It - Services or feeders installation,alteration,suitor relocation_
200 amps or las 8(1.37 — 1
a1 201 amp•to 400 amps 'W85 2
❑ PROPERTY OyVlVBR Q. 401 amps to 600 amps 160.61 - 2
Nana 601 amps to 1,000 arms 240.60 2
Address: Over 1.000 amps a volts 434.65 2
Reconnect only 2
City/State/ZIP: Temporary services or feeders Installation,alteration,and/or
Phone:( ) a;( ) reloatlon
F
200 amps or less Ej
66.85Owner Installatloo:This installation is being made on property that 1 own which isnot 201 a to Opp am100.30 2
intended for ale,lase,rent,or exchange,according to ORS 447,449,670,and 701. 401 to 600 am133.73 1
Owner signature: Date: Broach circuits--new_alterstion,or estasaMmt panel
ALI , t.. • P6 ;.�'r A.Fee for branch circuits with
'4 tLA1\a /'�
service or fearer fee,each 6.65 2
Business name: branch circuit
B.Fee for branch circuits
Contact narne: without service or fader fee, 46.115 2
each branch circuit _
Address: Each WWI branch - 6.65 _ 2
City/State/ZIP: Miscellaneous( seder not Included) _-
Pump or irriptio, 33.40 2
IL Phone:( ) Fax: ( ) Si or outline light..s — 53.40 2
( E-mail: Signal circuit(s)or ii-nited-
(- - ;
-- 4 1— (COMCTO1it «ti. ertagy panel,alteration,or
N extension.Desen'be: Page 2 1
Business name: ,�R M E2 iELE0_'r&re a ZUG
J Address: S�O S �� y S'�- Sri LO O EKh additional Inspection over apo«able In nes of the above
� _ • _ Per inspection
1 1-62.50
City/Stete/ZIP: /�yZ%/� N/� Q/Q '7 7 2 2 i lri miEbon per hour(I hr ntla) 62.50 /� C7Q►
J Phony:(5-03 ) Z.��(p- ,�3 S/ Flog(S03) 2V q" f U 3 7 Indtutrial plant hour 73.76
CCB Lic /,t;2 q Electrical Lic.: 24,`lyqe4 Supt v�Lic`.: 11011 q subtoesl �:5 pa
Suprv.Electrician signature,required: ! �_. -�- Plan review(25%of permit fee)
-- State sunherp(11%of permit fee) -�>
Print name: % �9-
�? /yl E TOTAL PERMIT FEE
�i 6 (X1
Authorized signature: ?'rte permrt appilretloo espir"If a penult le sat ahsaiaed wtrhta in
days after It has been accepted as twtI I so
Print name: r :%.ue: Fee nwthodology a.•t by Tri-Courcy Bu!ldinif laduaay Service Bard
—. --- r -- •"Nwnber of inspmtkr +oer pernct albwed t,"J/07-
itDulte.,avu
erm \ELC.►Qm:AMdoe 12003ado-�etmtam/col�UwEa -�' ,�ii�lf/�� d
CITY OF TIGARC 24-Hour
BUILDING Inspection Line. (503)631"175
INSPECTION DIVISION Business Line: (5031539-4171 MST .-- —
��`` 8UP -- _—
Received Rate R uestad—__l___� AM- -PM_�_- BUP
Location _-- f `� - 4.� ,,_U,d'—e Suite` MEC
Contact Person _ ? _ — Ph(S t3 -) -53�� PLM
Contractor >�`� _ h(—�) ?OS I t 3 SWR
r•-
BI'ILDINA Te anUOum��� �'�pt ELC aW 7 'd T
-Footing 7 ELC y
Foundation Across:Ftg Drain ELR _
Crawl Drain �/�
Slab Inspection Notes:C�n'- _ 2 �= SIT
Post R Beam �
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- _. _ ----_--.-- -.
Insulation
Drywall Nailing -- -
Firewall
Fire Sp.inkler
Fire Alarm
Susp'd Ceiling ---- ----- --
Roof --- - 17
.or:
Final
PASS PART FAIL -
PLUMBING
Post A Beam _ -----Under Slab -e-
Rough-In
Water Service -- --- -- -
Sanitary Sewer
Rain Drains ------ -- - -
Catch Basin/Manhole
Storm Drain - -- -
Shower Pan
Other. -
Final
PASS PART FAIL -
MECHANICAL
Post&Beam
Rough-In --- - - _. -
Gas Line
Smoke Dampers -- - - - -
Final
N PASS PART FAIL ----- -- - - --- --
ELECTRICAL — ----- - -_ ------ -- — -
_J Service
m Rough-In -
C7 UG/Slab T — - ---- --
Low Voltage
Fire Alarm
Reinspection fee of$ _required before next inspection. Peva City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE LJ Please call for reinspection REu Ursblo to inspect--no access
Fire Supply Line
ADA
Approach/SidewalkDates ,r`7 _ lespise�or _ C� l� ( R7Kt
Other:
Final DO NOT REMOVE this IngWGUOR MWOrd
PASS PART FAIL „ r;
CITY OF TIGARD � ELECTRICAL PERMIT
T PERMIT#: CLC2004-00628
DEVELOPMENT SERVICES DATE ISSUED: 9/'30/2004
Tam1.'.1'25 SW Hall Blvd.,Tigard. OR 97223 (503)639-4171 PARCEL: 2S110AD-08801
SITE ADDRESS: 1082.5 SW MURDOCK ST Al-16
SUBDIVISION: PANORAMA WEST ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
Project Description: Apt//7 only,reconnect only.
_ RESIDENTIAL UNIT TEMP 3RVC/FEEDERS MISCELLANEOUS
1000!;F OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH/,DD'L:500SF: 201 - 40f amp: SIGN/OUT LINE LTG:
LIMI1 ED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HIA/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 BRNCH CIRC: IN PLANT:
601 - 1000 amp: __ _ PLAN REVIEW SECTION
1000+amp/volt: —4 RES UNITS: v >600 VOLT 11MINAL:
Reconnect only: 1 SVC/FDR>=225 AMPS: CLASS AREA/Si-_<f OCC:
Owner: Contractor:
ASPEN SQUARE MANAGEMENT JARMER ELECTRIC INC
10695 SWMURDOCK ST 5105 SW4511i AVE
11GARD,OR 97224 PORTLAND, OR 97221
Phone: 503-639-0523 Phone: 246-9381
Reg#: LIC 692.4
— SUP 40445
FEES _ ELF 26-1440
Description Date Amount Required Inspections
I1,'Ll'RMT] E.LC Permit 9/30/2004 $66.85 Elect'I Final
ITA!!)8",S,State Surchotpe. 9/30/2004 $5.35
Total $72.20
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 aocordance with approved plans This permit will expire if work is not started within 180 days of issuance, or K work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow.ulas adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
246-0699 or 1-800-332-2444.
J
Issued By: ,/ .� Permit Signature:
OWNER INSTALLATION ONLY
The Installation is being made on property I own which is not intended for sale, lease,or ren',.
m OWNER'S SIGNATURE: _ DATE:
W
-J CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _— DATE:
LICENSE NO: —
Call 6394175 by 7:00pm for an inspection the next business clay
Electric=al P_ emit APD11cation IEEE m�lks
City of Tigard
13123 SW H-'I Blvd.,Tigard, `��.r b../ plas Review
Da
Phone: 503.639.4171 Fax: Y II....��M./ paw OIM t'e:sit
Inspection Line: 503.639.4173 Dose RoodyBy: 1**Pair l Oar
Intemst: www 6tigard.or.us No if ed/Wthod:- larrrsrtloa
❑New construction placement Please check all that aptly:
Demolition �I44�' C]Service over 223 anps,corrm'1 ❑hazardous loatim
A• ! t ,_ CjSmnvice over 320 amps-maing ❑Bt MM3 over 10AW sq.ft.,
'�!(iU1ftY OF 1 ; of I-and 2-fernily dwelling 4 or more new rraldantial
.. I-+r.:'12•fllmiiy dwelling ❑Comrrxvci&Vindustrial Accessory building ❑System m er 600 vola nonrrna7 anis in one structure
406
old-ftmlly ❑Master builder (J Other; (]Building r,"three stories OFoedas,400 amps or mese
❑Occ gmnl load over 99 persona ❑Manufachrted structures Of
JOB 81ft INFORMATION AND ❑Egmss/lighting plan RV park
Job no.: �� Jeb site address: �(J�z jqQ
� / ,;fi .�1 ' ❑Healthcare faeiliry .--- --
Ys.� Submit_I sea of plans with any of thr above-
City/State/ZIP: _T/G� J yL g 7 Z z _— The above arc not applicable to temporary construction service.
I Pm ect name: ri4C r r
G 6pS1
Suite/bldg./apt�no_—� j f
ora4u.. t1b•
Cross street/directiom to job site: / A�� r n New resldew1al dagle-or awld-fanYy dwailag aaH.
lneludes stm:hed proge.
_ 1,000 sq.ft.or las 145.15 —_ 4
Subdivision: Lot no.: Ea.add'l 500 sq.ft.or portion 33.40 1
Tax map/parcel no.: — Idrtdled energy`residential _ 75.00
—_- Limitex!energy,nm-residential 75.00 2
_ DE.4CRIP7ION OF WORK °:�>. Each manufactured or modular
dwelling,service and/or feeder 90.90 2
�L- Services or feeders lostallatb_a,alteradow and/or refeatloo
200 amps or less $0.30 2
❑ PROPERTY OWNER �— TENANT 201 amps to 400 amps — 106.95 2
401 amps to 600 amps '60.60 2
Nance: TIC 1 C-, — f .0 ,,,.r,� S 601 taps to 1,000 amps _ 240.60 - 2
Address: I '_�)(:, j (� r ICU Over 1,000 amu or vola - 454.65 2
LA
Itnconnect only 66.93 6 2
City/StatdZlP: ���_ (� ' G z [ Temporary services or feeders lootalladoo,alterstkn,and/or
Phone:( 3 ) J y 3 Fex:( ) _ relocation
eldo or less 66.93 1
Owner Installation:This installation is being made on property that i e%vn which is not 1� 0 urtgs----- 100 30 2
intended for sale,lease,rent,or exchange,a xording to ORS 447,449,670,and 701. epi arrtpt b 600 at►pa _ 1 133.75 2
Owner signature: _ pate: alnaeh climultt-new,alteration,or exteaaloI% pasts)
❑ APPLICANT ❑ CONI TACT A.Fee for branch circuits wUh --
---— service or feeder fee,rich 6.65 2
Business name: service
circuit _
Contact name: _ B.Fe for branch circuits
_ %4thow service or feeder fee, 46.95 2
Address: each branch circuit
-- Each add'I branch circuit 6.63 2
City/State/ZIP: Miscellaneous(serrate or feeder not Included) �^
Phone:( ) Fax::( ) Pump or irrigation circle 33.40 2
Sign or.outline lighthl 33.40 2
E-mail: Signal irarit(s)or Hmited-
t` ,'t; CONTRACTOR OKM panel,alteration or
Business name: I�LECi-r2rC a r+VG
r.t i2 extension.Describe: Pepe 2 2
TR2 E
Address: 15-/O �W (� 7'`- ,Sri j�D Each additional Iaspecdoo over a§mmbk In any of the above
m City/State/ZIP: PaA 97221 htvoad hour(I hr min) 62.50
LU Phone:(So3) 2 y(o- S-3 C/ Fax:(a 3) 2 vy- eo 3 7 hots 73.75
CCB l.ic.: /o�jZ !� Electrical Lic.: ZG—/4 Supr Lic.:
Suprv.Electrician signature,required: __ Plan review(25%of pe mit he)
Print name: xf�S� /2 i � M E�� / O ( State twrchage(Mi of permit fire) 3
TOTAL PERMIT FEE
Authorized signature: ` 11-4 Permit apietleatlaa*sols.N a per.0 Is sal obtslow AWN too
Print name: Date: Foe �aye offer N less bora teeq- as eau 1' -
bQ'set by Td-Conaly Bandits lodr*ay Sonvk*Based
••Number of inapsetiota per paredt alloww.
i1%;MarVw1e*$T.LC-runwApp&x 12/03 M04e1MINMOWMM=
CITY OF TIOARD 24-Hour e4l��BUILDING Inspection Line: (503)639-A175 MST
INSiPECTION'DIVISION Business Line: (503)639-4171 0
(O� BUP ,.
Received _ � Date Requested.—_— _—_ AM__ ___PM — _ OUP
�ocation —1v a o _��6� ,� _Suite!��?��
Contact Person -'y1�? JA-9- _ Ph(_ ) _ 17G' /4 PI.M
Contractor__ _ Ph(��`�' ) SWR
44
FBUILDING Tenant/Owner ELC
ooting
Foundation Access: ^-- - ELC _
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation V'1 C —
Drywall Nailing
Fire Sp
Fire Sprinkler -- —
Fire Alarm
Susp d Ceiling - —
Roof t
Other: - ___---
Final — -
PASt PART FAIL
PLUMBING
Post 8 Beam --
Under Slab --
Rough-In
Water Service --- --- _— —_�_
Sanitary Sewer
Rain Drains ---— -----—
Catch Basin/Manhole
Storm Drain —— _--- -------
Shower Pan
Other:
Final
PASS PART FAIL -- - _
MECHANICAL
Post&Beam
Rough-In —.—— ---— --- _..
Gas Line
Smoke Dampers -- _
Final
PAS PART FAIL ---- --
E ETR IAL�
er
In
UG/Slab
Low Voltage
Fire Alarm
+n Reinsection tee of$_�_� requited before next In""or,"on F
PART -FAIL � p - � s, - 'aY at City Hell, 13123 8W Hell Blvd.
8 —_ E] Please cell for reinspection RF: Unable to Inspect—no access
Fire Supply Line
ADA D - / C
Approach/Sidewalk �� f1�P!!=lA� Mgt_
Other:
Final —- DO NOT REMOVE this Inpoectlon record hom the fob alto.
PASS PART FAIL
Flu z- ti: �v��rr »� T o fu
Inc--�
CITY OF TIGARD PLUMBING PERMIT
PERMIT#: PLM2002-00141
LL DEVELOPMENT SERVICES
DATE ISSUED: 4/30/02
13125 SW Rall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S110AD-08801
SITE ADDRESS: 10695 SW MURDOCK ST B 1-8 ZONING: R-12
SUBDIVISION: PANORAMA WEST JURISDICTION, TIG
_BLOCK: LOT: _
,LASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE NOME SPACES:
2
TYPE OF USE: MF WASHING MACH: BACKFLOW PRCTRAPS:
FLOOR DRAT moo: TRAPS:
OCCUPANCY GRP: R. CATCH BASINS:
STORIES: WATER HEATERS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 80 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install 80+ft water service. New line for building B will tie into line for building C.
Add 2 backflow devices. 5-7-02 ---. - —
_ FEIJ
Owner: Type By Date _ Amount Receipt
TANNER, NANCY TRUSTEE PRMT CTR 4/30/02 $72.50 27200200000
307 POND RIDGE LN 5PCT CTR 4/30/02 $5.80 27200200000
UBANA, IL 61801 PRMT CTR 5/7/02 $75.30 27200200000
5PCT CTR 5/7/02 $6.03 27200200000
Phone 1: notal :159.63
Contractor.
APOLLO DRAIN+ ROOTER SERVICE
2208 NW BIRDSDALE#8
GRESHAM, OR 97030 REQUIRED INSPECTIONS _
RP/BacKflow Preventer
Phone 1: 239-8801 Water Line Insp
Reg#: LIC 00049418 RP/Backflow Preventer
PLM 26-533pb Final Inspection
IL
rK
W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
W Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
J This permit will expire if work is not star':d within 180 day: 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 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987.
Issued By: Permittee Signature: !
Call (503)6394175 by 7:00 P.M.for an Inspection needed 9 next business day
CITY OF TIIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 �.
MST
RNSPECTION DIVISION Business I'ne: (503)639-4171 _
BUP
Received Date Requested l / —AM_ ..PM__ BLIP
bfk
Location ---- _ ._ _ - «-"Mw - ----Suite -�q� MEC 17-
Contact Person --_^�� __—_ Ph(o—_} _L_[—� PLM
Contractor ______._�� Ph(__—) SWR —
BUiLDING _ Tenant/Owner __-� - ELC _
Footing ELC — —__
Foundation
Ftg Drain Access: d C, ELR _
Crawl Drain 7
Slab Inspection Notes: /J SIT —
Pos�&Beam
Shear Anchors `- -
Ext Sheath/Shoar
Int Sheath/Shear
Framing -- �___.. --- --- ------- ---- -.-_ _- -
Insulation
Drywall Nailing --- ---- --- --- ---_ --- __.-...-_ - __.
Firewall
Fite Sprinkler -- --- - -------- -- -- - - ---
Fire Alarm
Susp'd Cr iling - ---- ------- --�! _-_ ----
Roof
Other:
Final �
PA.;S PART FAIL -- -r----- � -- --- -_--
PLUMBING
Post&Beam
Under Slab - --- -
Rough-In
Water Service -- ----- ---
Sanitary Sewer
Rain Drains ---
Catch Basin/Manhole
Storm Drain ----
Shower Pan -40
Other: - _----- ----- ---- -• - --- --
Final __--
PASS FAIL -`- ----_____.__._ _. -- --• -•---
HANICAL
Post
Rough-InP
Gas line
ampere _ -_ - - ---.. ----- _ _--------
I
PART FAIL - - - -- - - - -- -- _ --
LQna
TRICAL _ -- ------- -- —
Service
Rough-in
UG/Slab ------ ---- -- -. _.-.__ - - -
Low Voltage
Fire Alarm
Final 0 Reinspection fee of before next ins;wection. fray at City Hall, 13125 3W Hell Wrd.
PASS PART FAIL
SITE u Pease call for reinspection RE: _' '
E] Unable to inspect--no access
Fire Supply Line 6 / / )r
ADA
Approach/Sidewalks-� - -� � �--- -Ext _
Other:
Final DO NOT REMOVE this Inspection rmwrd frit m fte Joh oils.
PASS PART FAIL
1
OF 71GARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Liner (503)639-4171 MST
BUP -
Received _�____ /-/-�_ __4Date Requested_ J -i,�y AM_ PM BUP
Location -_____� ll l�� 1� — Suite MEC
Contact Person Ph(— ) PLM
Contractor—_ _ Ph(---) -21— SWR --
BUILDING Tenant/Owner _ ELC _
Footing -
Foundation ELC -
Ftg Drain Accest3.
ELR
Crawl Drain _
Slab Inspectiolli N6teg SiT —
Post&Beam -_--
Shear Anchors --
Ext Sheath/Shear _
Int Sheath/Shenr
Framing
Insulation
Drywall Nailing ---- -
Firewall
Fire Sprinkler --- - -- --Fire Alarm f-c `*1�4 IQs..- �G�cJ� ��A✓
Susp'd Ceiling -- --
Roof �/F�1.'cry� y,.�.• �nn.� O w�,
Other:
Final
PASS PART FAIL
PLUMBING -- _
Post&Beam -
Under Slab
Rough-in,Vl
aterervice• ----- - - -
ewer
Rain Drains -
Catch Basin/Manhole
Storm Drain ----- -- --
Shower Pan
Ot _ __ -- ------ -
inal -
PART FAIL A- - ---'
-MECHANICAL_
Post& Beam ----- --- -�--. _ --'
Rough-In - - ------ -
Gas Line
IL Fmoke Dampers -----------_ ------
OC Final
N PASS PART _FAIL
ELECT'11CAL _ --_--- - -- -- --- -- ---- -
Service
m Rough-In
0 UG/Slab ------------ -- - -
J Low Voltage
Fire Alarm
Final Reins fee o14___
PASS PART FAIL P ion required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _-� PI®aae call for reinspection HE:__ -_-_ -- __ Unable to inspect-no access
Fire Supply LineADA
�-
Approach/Sidewalk IDS%
Other:
Final ___._ --- DO NOS'REMOVE this Inspection rocord from the Job sI e.
PASS PART FAIL
\ CITY OF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00456
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10/15/02
PARCEL: 2 S 110AD-08801
SITE ADDRESS: 10695 SW MURDOCK ST(OFFICE
SUBDIVISION: PANORAMA WEST ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRF,SSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLU DRYERS:
FURN < 100K. BTU: AIR HA"DLING UNITS OTHER UNITS: 1
FURN >=10K BTU. <_1000( cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Oh-ce Heat Pump
Owner: FEES
TANNER NANCY TRUSTEE Description Date Amount
307 POND RIDGE LN
UBANA, IL 61801 [MECH]Permit Fee 10/15/02 $72.50
[MECH] Permit Fee 10/15/02 $0.00
[TAX]8%StateTax 10/15/02 $5.80
Phone: [TAX]8%StateTax 10/15/02 $0.00
Contractor: _ 'Total $78.30
APOLLO AIR. INC.
16088 SW FLAGSTONE_ DR.
BEAVERTON, OR 97007 REQUIRED INSPECTIONS
Phone: 503-579-54,55
Final Inspoction
Reg#: 00085975
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. ATTEN"TION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: � � _ Permittee Signature:
Call(503)A9,4175 by T:OQ P.M.for Inspections needed tie next business day
Mechanical-Permit Application
Date received: PermifnrZ:(i,� a.
City of Tigard Prcrject/appl.no.: Expire date:
CityojTig•ird Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Recciptno.:
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Case file no.: Payment type:
Land use.approval: _ Building permitno.:
all&I SUAL"M
U I A 2 family dwelling or accessory JfCommercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other:
Job address: O ., 7 �/G7�pC s>` Indicate equipment qu^,rtities in boxes below.Indicate the dollar
Bldg.no.: Suite nn.: value of all meclvu.ical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value
Last: Block: Subdivision: *See checklist for important application information and
Prrject name: Ile c ��—� jurisdiction'; fee schedule for residential permit fee.
City/county: r' ZIP: 72 c/ In
scnption and location of work 01,) ns: :,Y N
d f prem " T01110Feellest.
Est.date of completion inspection: t - -�C Deacrlptit>• N . Res.onl Rer.onl
Tenant improvement or change of use:
Is existing space heated or conditioned?Y(Yes U No AirAir conditioning
unit --CFM
-
Is (site p�dn erqulred) —
\ Is existing space insulated?U Yes U No Alteration of exisu-�Z system
I 11111LIM at er compressors
Business name: C _ State boiler permit no.:
HP Tons BTU/H
Address: -Firelsmokrdamper uct amo a oetecteors -
1 City: eat rump(oite plan require ) -
Phone: E-mail: nets!rep nceturnac ie�irner
Including ductwork/vent liner O Yes U No
L� CCB no.: _� nsta rep ace re ocate heaters-suspen e ,
City/metro lic.no.: L Z V- wall,or floor mounted
Name(please print): e'_ ent for a ii mance other than furnace
e gerat o—� n: -
Absorption units BTU/H
Name: L,•y e5 Chillers--—-- HP _
Address: /
Compressors HP
aA4 Environmentalex uet an real at nn:
City: e7 State: ZIP: Appliancevent
Phone: Fax: I E-mail: erexfaust
s,Type res. itc a azmat
hood fire suppression system
Name: Exhaust fan with single duct(bath fans)
Mailing address: Exhaust system n art from eaten or�Ti C
Cit i State: ZIP: Fuelpiping ae,rdistribution(up to outlets)
Y: _ Ty LPG NG Oil
Phone: Fax: E-mail: Fuelpiping eac a ditional over 4 outlets
mDempiRn—g(7cemaUcre(lmra ) _
Number of ou.lets
Name: _v t app nee or equipment: ^�
Address: _ Decorative fireplace
City: _---�State: ZIP: Tnsert-ty
Phone: Fax: E-mail: stov pc etstove
Mer:-
Appli^ant's signature: o / Datc: tMOther
Name(print):
Na ell Jur
. isdicrlons aoccent credit coda.please call Juriedi tion for marc Mm
fouslun. Permit fee.....................$ —.--
C!Visa U MasterCardcepot Notice:This permit application
Minimum fee................$
expires if a permit H not obtained Plan review(at _ %) $
Credit card number:--__
umber — iris within 180 days ager it has been -
P State surcharge(896)....S
-- None at cerdholder as ahowr on c-- i�--V s accepted its complete.
TOTAL .......................$ ---
Cantbolder sipwrare --- Amraet 410.4617(6R)WOM1
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 'I & ;e FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: -' Price otal
$1.00 to$5,000.00 Minimum fee$72.50 - Table 1A Mechanical Code Qty (Ea) /Unit
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or Includinaducts&vents i_ 114.0p` _
fraction thereof,to acid including 2) Furnace 100,000 BTU+
$10,000.00. Including ducts&vents 17.40
$10,001.00 to 325,000.00 $148.50 for the first 310,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or Including vent 14.00
fraction thereof,to and Including 4) Suspended heater,wall heater
$25,000-00. or floor mounted heater _ 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent riot Included in appliance perm
$1.45 for each additional$100.00 or 6.80 `
fraction thereof,to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
_ fraction thereof. footnotes below. C p
Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit
s to 100K BTU _ 14.00
B•/.State Surcharge 8)3-15 HP;abso
s unit 100k to 50 BTU 25.60
10)
25%Plan Review Fee(of subtotal) $ 9) HP; sorb 35.00
Required for ALL comrnercial permits only unitt.5.5-i i m TU _
- 30-5 P;absorb
TOTAL COMMERCIAL PERMIT FEE: $ � j � 52.20
�J unit 1- 5 mil BTU
11) OHP;absorb
U0>1.75 mil BTU 87.20
ASSUMED VALUATIONS_PER AP IANCE: )Air handling unit to 10,000 CFM 1000
alue ~Total 13)Air handling unit 10,000 CFM+•
Description: _ Qt _Amount 17.20
Furnace to 100,000 BTU,Including 14)Non-portable evaporate cooler
ducts S vents _ 10.00 _
Furnace>100,000 BTU Including 1,17015)Veno fan conneried to a single duct
ducts 6 vents 8.80
Floor furnace Including vent 955 16)Ventilation ,Ae
sym rot inrlude(I in
Suspended heater,wall heater or 955 appliance pe.rmft 10.00
floor mounted heater 17)Hood served by mechanical exhaust
Vent not Included in appliance 44 10.00
ep iits 05 lt Domestic insnera'ors
R _117.40 -
<3 hp;absorb.unit, 955 19)Co erclal or Industrial type incinerator
to 100k BTU 62.95
3-15 hp;absorb.unit, 1,700 20)Other units, ding wood stoves V
1101k to 500P BTU __ 10.00
15-30 hp;absorb.unit,501k to 1 42,310 -Ti-)Gas piping one to four ou e
mil.BTU ___ - 5.40
30-50 hp;absorb.unit, 3,400 22-►A-ore-than 4-per outlet(each)
1-1.75 mil.BTU_
>50 hp;absorb.Lit It 5,725 Minimum Permit Fie$72.50 SUBTOTAL: $
>1.75 mil.P.'.'! _
Air handldlin :,nil to 10,000 cfrt 656 8%State Surcharge $
Air handling;Inst>10,000 cf 1,170
Non- ortablc evaporatecopler 656 TOTAL RESIDENTIAL PERMIT FEE: $
i Vent fan con.tected to a le duct 446 _
7
'Dent system notrclud in 856 -- ----1--. - - •--
appliance permit Othens a a _Hood served b me apical exhaust 656 tsAnj :
1 Inspections outside of nomral business hours(minimum chargr-two hours)
Domestic inclnerat 1,170 $62.50 per hour.
Commercial or Irtiustrlal Incinerator 4,590 2 Inspections for which no fee is specifically Indicated (minimum charge half hour)
Other unit,incl ing wood stoves, 656 $62.50 pot hour
Ina@rtS,QtC. 3 Additional plan review required by changes,additions or revisluns to plans(minimum
Gas i In 4 outlets 30charge one-half hour)$62.50 per hour
Each a Itlonal outlet 63 1 "State Contractor Boller Cmil icstion required for unth>200k BTU.
TOTAL COMMERCU�L "Residential AIC reg=uires alta plan throwing placement of unit.
;
VALUATION: All New Commerclat Buildings require 2 nets of plana.
1:wstslforrrtslmech-fees.doc 02/11/02
��� �
I
a �
v
v
`J_ � �
� i
d �
U
_--_,�� �
f!
1 \�
c\
V
_�
- --_-____----._� _ .._P..
a
o�
as
m
c�
uo
J
CITY OF TIGARD MILDING INSPECTION DIVISION MST _
24-Hour Inspection Line: 639.4175 Business Line: 639-4�11 ''k ;r OUP
---Date Requested PM - OLD - -- --.
Suite, �C _
Ph _ PLM
Contaut Person ___�i�
SWR
ContraPh
?r� �Q�iN —
ELC
eul�p Tenant/Owner __-----
ELR
Retaining Wall
Footing ElnspeEctionNote!s:
ss: IFPS
Foundation
Fig Drain SON
Crawl Drain '; �r SIT
Slob —
Post&Beam
Ext Sheath/Shear man
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _
Firewall _
Fire Sprinkler
Fire Alarm
Sus 'd Ceiling
U01• --
--
PART FAIL
PLt1MBING
Post&Beam —
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains —
Final _
PASS PART FAIL
MECHANICAL
Post&Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL — —
a ELECTRICAL
Service
Rough In
UG/Slab
I nw Voltage
m Fire Aiarm
Final _ --
W PASS PART FAIL
SITE -
Backfill/Grading
Sanitary Sewer required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Storm Drain [ ]Reinspection fee of��___ 4
[ J Unable to inspect-no access
Catch Basin
[ J Please call for reinspection RE:
Fire Supply Line
ADA
Approach/Sidewalk pate 7— �. yl _inspector Est
Other -
Final PART FAIL 00 NOT REMOVE this inspection Irecon91rom the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lina: 639-4176 IBusiness Line: 639-4171 B U P J ('l-00 706
Date Requested (?-'D(?-'D'?p7 AM�4 DPM BLO
Location f��(P ( S m wtdy� &icelln G'1 MEC
Contact Person {/0)�\ Ph (dU& PLM
Contractor Ph SWR i
ZUILDINCD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
foundation FPS
I tg Drain
(-',r awl Drain Inspection Notes: St3N
Stab S�
Post&Beam
Ext Sheath/Shear
Int Sheath!Shear
Framing _
Insulation
(Drywall Nailing
Firewall
Fire Sprinkler
F=ire Alarm I �
Sind Ceiling
hoof
Misc _ _
F inal
PASS PART FAIL.
_ —J�
PLUMBING
Post&Beam --
Under Slab
1 op Out —
Water Service �► ___ _
Sanitary Sewer
Rain Drain,
F
PASS �
PASS PART FAIL
MECHANICAL
Post&Beam
R., gh In
� ~ _G
Ga.;Line —
Smoke Dampers
final —l••r
PASS PART FAIL
IL ELECTRICAL - --- -
R Service
N Rough In
UG/Slab
Low Voltage
F=ire Alarm
m Final
�j PASS PART FAIL
W SITE
J
Backfill/Grading —� -- — — ---
Sanitary Sewer
!;corm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: _ [ ]Unable to inspect no access
ADA
Approach/Sidewalk ✓ _
other Date Ins ctor Ext
Final
PASS PART FAIL DO NOT REMOVE this !ns Ion rM90rd M thr job s11ts.