14183 SW MISTLETOE DRIVE ZiC1 20'RUSIW MS COM
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14183 SW MISTLETOE DR
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Bushiess Line: 639-4174
7 c� ` , BUD
—
Date Requested5' 'tet-� / AM PM l�( BLD
Location NhD-�'�� Y Suite MEC 'a UL?_
Contact Person L aahn ( Ph -&20-S& ?j PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC Z.4 b
Retaining Wall ELIR
Footing --
Foundation Access:
FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post&Beam -----
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall —"
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING — —
Post&Beam
Under Slab
Top Out -
Water Service
Sanitary Sewer ---
Rain Drains
Final -
PASS PART FAIL
fflLCIjA!!2j
Post& Beam
Rough In
Gas Line —
Smoke Dampers
?inSS PART FAIL
9L Service
R Rough In
F- UG/Slab
N Low Voltage
Fire Alarm
na
m S ' PART FAIL
t;3 SITE
J Backfill/Grading — --
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE:_ [ )Unable to Inspect-no access
ADA
Approach/Sidewalk e
Other Date SS-- 2�'.9 Inspector enC Ext
Final
PASS PART _EAILJ DO NOT REMOVE this Inspection record from the fob sits?.
CITY OF TIGARD MF"CHANIC.•AI..
DEVELOPMENT SERVICESFIE'RMI'T
F'E:RMT.'1' N. . . . . . . : MEC98--0182
13125 SW Hog Blvd.,Tigord,OR97223 (503)639.4171 DA1'E. ISSIJE:D: 0'J/20/98
F'ARC.E I...: 2':1)104C(:--00600
ST.l'E ADDI IH*SSi. . . » 141.83 FW MIST'I_.E:'TOI- DR
SI.JPDIVISION.. . . . » HILI_SHIRE E:SI'ATE:S NO. 2 ;TONING: R--7 PD
07*. . . . . . . . . . . . . s 111. JIJRISDICTION: TIG
DI...C1CF'.. . . ,. . . . . . . » L.
C:I...AS") OF" WORT:. . :ADD F-I...00R F'IJRN.. . . . » 0 E:VAP C:OOI_E:RS: 0
1'YPE: OF:' USE:. . . . :SF l.1NI'1' HE:.ATERS. . » 0 VENT F'ANSi. . . - N
C.I(:;C LJPANC:Y ORP. . :R3 VE::N'T(.3 W/O OPPI_» 0 VENT SYS'TE IIS s 0
STORIES. . . . . . . . : 0 I:OILE::RS/COMPRF_SSiORS HLODS. . . . . . . : 0
'i'YF'E(3.........._._....._...._......_____. 0-3 HP. . . . : 1. DOTES. INC:IN: 0
: 3•-•1.5 HP. . . . : 0 C:OMOIL, INCIN» 0
11AX INPLYF: 0 C'('TU 15•-•:30 HP. . . . » H REPAIR UNI1'S: 0
FIRE: DAMPE::RS?.. . : 30-50 HFA. . .. . » 0 WOODST"OVE:S. . » 0
GAS) F'RE:SSUR Ell . . . 50+ HP. .. . . . 0 (1-0 DRYERS. . 0
NO. OF l.)NI1'S;_...___.__._---..__.. AIR HANDLIN(3 UNI'T'S 01'HE:R UNITS. » 01
F:'l.1RN < 1.00K PTO: 0 (nn 1.0000 (::fm: 0 GAS OIJTI_E:'TSi. : 0
F:•IJRN )!-n1.00K P*TU: 0 > 1.0000 (7fm» 0
R ema-rks: Add Air condition unit to an existing single fmily dwelling. A/C
units cannot be placed within the required setback areas.,
Owner» _.....__......__...__....__,...__._.._...___....__._.._._...___........._._.__. ______ ___ ______.___ _____._. F:'F.:E:S
TKLA)A, KEN R 11()R1._I'wNE type amount by date •f•eept;
1.4183 SW 111611.E:TOE: DRIVE: PRM'1' $ 25.00 OED 05/20/98 98-305911
'1'TO()RD OR 97223 SPC:T $ 1.25 GEO 05,120/98 98-305911.
Phc)ne 0: 590-531.2
531.2
("c)nt•rAeta-r: _..._..__..__..__._..._W..._.._._....._.........._........_..____..._.._...__..._....
SPE:(:JAL1'Y HE:A'TING
9`528 SW T T CARD SJ'
$ 26.25 TOTAL.
"1":I:(30RD OR 97223
Phanr-.. 0.- f'-120-•5643
Req ii.. .. : 006657
RE:CH,11.RED INSPECTIONS
This permit is issued subject to the regulations contained in the Coa:li.nq Unt In-'P
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc�. Inspection
applicable laws. All work will be done in accordance with F'i.na 1. I ns peet i c)n
IL approved plans. This perwit will expire if work is not started
f. within IN days of issuanre, or if work is suspended for more
N than IN days. ATTENTION: Oregon law requires you to follow -!,les
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-**-Nl8 through OAR 952-M-ON. You rAay
m obtain copies of these rules or direct questions to OUNC by calling
(583)246-9187. _ _ _. _ ____.._._... .............
J
_....,......�.-....,_/.................._...._.................... I
Dy.. 6�ermittep Sy.gnatrrre:� !ld/'�,....:..-J_._ -
......._......
.}"+."}.4..hi•.{•{..{..}..}•"}••p++.}..}..+ h+i h+++++++•h++++•h+tf••+•+t++++t+++++++++++t++++•hf•++•h+++++•h+++t••h+
6:39 41.75 by 7:00 p.m. far inspections needed the next br.rsiness day
}..}..}..}..}..}..}..�.}..}..}..{..}..h}•-}••}••}••}••}"h"+f i+h+ h++ h++ h++ +i+h+++++•h hi++i•+++++++•h+•h•+•+i••h•h+++++++•i•+i••+•++
Plan Check•_
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd_
TIGA,RD, OR 97223 Date to P E _
(503) 639-4171, x304 Date to DST
Print or Type Permit 041111SMET20—1 S«
Incomplete or illegible applications will not be accepted called
Name of Devefopmemprelsio Description
Table IA Mechanical Code Cry PRICE AMT
Job treat->ddrese Sun A) Permit Fee -0- -U- 1000
Address 141 % 35u) M t d leb
BIdq$ —
T—IL
ly'Slae 'IV B) Supplemental Perrot 00
r k 9 7j
Name for name or businesiftJ Furnace to 100,000 BTUy 800
Y�1 'P �z incl ducts S vents
Owner 1�j
Mailing Address Of 2.) Furnace 100,000 t rU+ 750
md,ducts b vents
C. fsmae Zi Phone 3) Floor Furnace 6.00
7,Z,:' L31 Ind.vent _ _
N name a busxiesem 4) Suspended heater,wall heater 6.00
t or floor mounted heater _
Occupant Mufti drestl s 5) Vent not incl in I 3.00
appliance permit —t
cdycsmae Zip Phone 6.) Boiler or comp,heat pump,air cord. 8.00
to 3 HP:absoT unit to 1 OOK BTU
Contractor N•rtie 7) B-3der or camp,heat pump,air cond 11.00
(P-tor to �s1 L(� 3-15 HP:absorn unit to SWK Sri
ssuance Mail g address c ` 8) Boiler or comp,heat pump,air Gond. 1500
applicant r'' ` _.J or4a 15-30 HP absorp unit 5-1 mil BTU
must provide all C (State Zip Phone 9) Roder or:imp,haat pump,air condom 2250
contractor ( a 62D 54 30-50 FIP;absi unit 1-1.75 mil BTU
license Or Const Cont Board Lie Is Exp oa• 10.) Boiler or comp,heat pump,air Gond. 37.50
information ' t >50 FIR absorp unit 1.75 mil BTU
for COT COT&isness tax or Mehl• E tp Dae 11.) Air handling unit to 4.50
database). 10,000 CFM
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Meiling rddre 13.) Non portable 4.50
__ evaporate cooler
Engineer CityrSute Zip Pnane 14) Vent fan connected 3.00
_ to a single duct _
Describe work New O Addition O Alterat.on Or Repair O 15) Ventilation system not 4.50
to be done Residential O Non-residential O included in appliance permit
Additional Description of work 16) Hood served by mimhenical exhaust 4.50
17) Domestic incinerators 750
Existing use of 18) Commercial or industraltype 30.00
budding or prr_rerty let'---> incinerator _
19.) Repair units 4.50
Proposed use of 20) Woodstove 4.50
a building or property
H 21) tithes d er.etc. 450
rn Type of fuel-oil O natural gas ie LPG O electric O _) Other units 4.50
I hereby acknowledge that I have read this application,that the 231 Gas piping one to four outlets 200
J I information given is correct,that I am the owner or authorized agent of
ED the owner,that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50
0 laws
W
Signature of Owner/Agent Date QTY.8USTOTAL
'SUBTOTAL
Contact Person Name Phone _ 5%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
TOTAL
i:kfsttmechpmt.doc (rev 7,96) 'Minimum permit fee is S25+5%surcharg
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CITY O TIGARD ELECTRICAL F'E:RMTT
DEVELOPMENT SERVICES PERMIT a» ELC98--0265
Ai� 4 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4174 DA'T'E T SSUED s 05/20/98
PARCEL: 291.O4CC••-00600
SITE ADDRE:SS. . . »1.4183 SW IrIIS'T'L_E:'T'UE DR
EX)r3DIVISTON. . . . rHIL..I_SHIRE. E:STOTES NO. r.'.? ZONINGsR-7 PD
Fil._OCK. . . . . . . . . . .. LOT. . . . » . .. . . » . »111. JURISDICTION» TIG
P-r-Ca,jertDescri.ptions Add a first branch circuit to an existinq single family
dwelling.
...........F{E::SIDENTIAL. l.1NI'T'•_..___.... -•-•-••"T'EMFI SRVC/F'EE.DERS-•-••__ ._._.___-_MISC:ELI_ANEUI.I3i.....
__...._..
1.000 Sr-:' OR I F'S S. . . . » P 0 - POO Amp. . . . . . . s 0 F'IJMF'/IRRIGATION. . . . » O
EACH ADD+L 50013F. . . : 0 201. 400 Amp. . . . . . . s 0 SIGN/0I.1T LINE" LTG. . » 0
LIMITED D E:NERGY. . . . . c 0 4O1 -- 600 Amp. . . . . . . s N SIGNAL./F'ANE::L.. . . . . . ., » 0
MANF". HM/ C•iVC/F=•DR. . » 0 801.+•Ampri 1.000 vol.t•ps. » 0 MINOR LABEL. (10) . . . » 0
- CiERVICE:/F"E:E:DE:R---- •---.___BRANCH (::.T.RCL1ITS-----•..-.- _..__.._ADD+L.. INSPECTIONS....,..._..
0 200 Antly. . . . . . » 0 W/SE RVICE OR T-"EEDERt 0 FIE:.R INSPECTION. . . . . » 0
2O:1. - 400 Amp. . . . . .. s 0 I st W/O SRVC OR FDR. s 1 FIEF; HOLM. . . . . . . . . . . » 0
401 600 Amp. . . . . . » 0 EA ADD+I_ BRNCH CIRCs 0 IN PLANT. . . . . . . . . . . » 0
.1.000 Amp. . . . . .. 0 ----________________F'I...ON RE"VIFW SECTI7N--
1.000+ IJmp/vc)Jt. . . . . .. 0 >t-4 RES I-JNTTS.. . . . . . . . . ) 600 VUI._T NOMINAL. . s
Rercorsneet only. . . . . s 0 SVC/FDR >- 2P5 AMPS-- CLASS AREA/SFIEC; OC:C. c
Owne•r» ...............__......_...__........__.__..................................._................................_..._........_....._..._..._.._.._._._.....__.._........ FEES _..........._._...__.._.. _.....__.._......._
IKEDA, KEN 8 MARL..ENE: type Amot.tnt by date reept
1.4183 SW MISTLETOE DRIVE. PRMT $ 35.00 GEO 05/20/98 98-30591.1
TIGARD OR 97PP.3 SMIT $ 1.. 75 GE:O 05/20/98 98-305911
Phone M» 5905312
C c)nt-rar..tor»
SHARPE:: ELECTRIC INC $ :36.75 'TOT'AL..
rw R605 SW RIGGS
RE:C TIRED TNSF'E::CT:IONS
BITOVE RT(:1N (:)R 97007 E:l.ec.�t:+ 1. Service
Phc.»vte On 642--•7937 E:leet+ l Final
Reg ". . n 000815
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 in
days of issuance, or if work is suspended for sore than 169 days. ATTERTIONa Oregon law requires you to follow the rules adopted by
the t)regon Utility Notification Center. Those rules are set forth in OAR 95291-9819 through OAR 952.4181-1967. ou may obtain a copy
of these rules or direct questions to OIINC by calling (58.3)246-1967,
aa—, F'} rmi.t:t;eac '.:ii.c]nAttira:�» �� L�\ ..►. -�1,frC <J :L!s!st.tci By
F-
N
OWNER INSTALLATION
The i.r��sstA:I.l.Atiort is bei.nll mad} on prope -rty I yawn whietl i.s not intended fo.-r
m ssal.e, Tease, or rent.
U' QWNE:Rl s SIONATI.IRE» DATES
a
.........._...... _ ------CONTROCTOR INSTALI_ATTON
f.;.T.CiNA'rl.l) E:: CIF 911.lFIF<. E:I._EC+M» .(�"�'L,� ... .. .. DATE:a
L..l:Cr.-NSFW NO: .._.�_. __ _...._._....._...._._...._..............._..._...._......._... ____ ____ ___...........__.........
+++++++++-#...........#-++4-4-++4 } +++}+} ++}+{{++{++•}++}+++•}••}#•++++++++++++++++++++•+•#•++
Ca 1. 639--41.7 by 7:00 p.m. fo-r an i.nspeeti.on needed the next bt.tsiness day
{•{••}..}..}..}-•H.+ 1++++} }.}{.}.{..}.{..} +•+++{+}{..}#.}..}.}•#•r.}..}+++++++•+•++++++•+•+++++#•#•{•++•t++•}•++•F++++++++
CITY OF TIGARD Electrical Permit Application Plan Check 11 _
13125 SW HALL BLVD. Rec'd By _
TIGARD OR 97223 Date Recd
Date to P.E.
Phone(503)639-4171, x304 Print or Type Date to DST
Inspection (503)639-4175 Incomplete or illegible will not be accepted Permit _ f__e,
Fax (503)684-7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development_ jC_Ni7f_ " X36 Number of Inspections per permit allowed -
Name(or-Aa► eiResa) y�7f SIF f).C Service Included: Items Cost Sum
Address I y r��' ,) r 4s. Residential-per unit
City/State/Zip 1 L1n_.rd ok'_ �_'7IZ3 loco sq. orless $110.(10 4
�___. T Each addittional 500 aq.ft.or
Li
Commercial ❑ Residential �.l portion thereof $25.00 1
Limited Energy i $25.00
Each Manurd Home or Modular
Dwelling Service or Feeder ___ $1311.00 2
2a. Contractor installation only:
(Attach copy of 94,apirront IlcenseaI 4b.Services or Feeders
Electrical Contracto -IP' C_ r� r!L_- Installation,alteration,or relocation
Add s _� ( 200 amps or less $60.00 2
201 amps to 400 amps $8000 _ 2
City State 'zipU - 401 amps to 600 amps _- $120.00 _ 2
Phone No. BOt amps to 1000 amps $180,00 2
Job No. Over 1000 amps or volts $340.00 2
Elea Cont. Lice. No. Exp.Date - Reconnect only -_ $50.00 2
OR State CCB Reg. o. Exp.Date„SL-_� - 4c.Temporary Services or Feedsrs
COT Business Tax or Metro No. __Exp.Date Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2
_ - 401 amps to 600 amps - $100.00 2
Over 600 amps to 1000 volts,
License No.__ 77 3 L{b{ Exp.Date__I�o�j see"b"above.
Phone No.
i A -- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The lee for branch circuits with
purchase of service or
Piint Owner's Name _ _ _ feeder fee.
Address Each branch circuit �. $5.00 2
b)The Ise for branch circuits
City_ State _ Zip without purchase of
Phone No. service or feeder lee. S
First branch circuit I $35.00 �J __ 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature _ Each pump or Irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):• Signal circuits)or a limited enemy
4 panel,alteration or extension $40.00 i 2
Minor Labels(10) $100.00
Please check appropriate Item end enter fee In section 5B.
fn 4 or more residential units In one structure 4f.Each additional Inspection over
a `Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal PHr inspection $35.00
-I Classified area or structure containing special occupancy Per hour $55.00 _
_m as described in N.E.C.Chapter 5 In Plant _ $55.00
J *Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $ -f- �
NOTICE Subtotal $
5b.Enter 25%of Iin9 5e for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviewif_reguirad(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �/ s
TIME AFTER WORK IS COMMENCED. ❑ Trust Account N_
Total balance nue f
MDSTSTLC96APP nm wm