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9050 SW SCHOLLS FERRY ROAD-1 b —.9050 SW SCHOLLS TERRY RU. — �` _ELECTRICAL PERMIT n� C I T`r' O F 1 I G A R® PERMIT M ELC2002-00139 DEVELOPMENT SERVICES DATE ISSUED: 3/29/02 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126BC-01700 SITE ADDRESS: 09050 SW SCHOI_LS FERRY RD SUBDIVISION: GEORGETOWN MANOR APT ZONING: R-40 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Wiring for dehumidifier, bas pail and two fans: 1 panel and 4 branch circuits RESIDENTIAL UNIT _TEMP SRVCIFEEGERS MISCELLANEOUS --i-00-03—FOR LESS: 0 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANE HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS_ _ _ ADD'L INSPEC_TION_ST __ 0 - 200 amp: 1 W/SERVICE OR FEEDER: 4 PER INSPECTION: 201 400 amp: 1st WIC iRVC OR FDR: PER HOUR: 401 600 amp: EA AD','L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: `=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only__ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MCGILL, ANITA M TRUSTEE AND GEMCO ELECTRIC: INC MCGII L, ROBERT ESTATE OF PO BOX 230072 1662 GRAFF CT TIGARD, OR 97281 SAN LEANDRO, CA 94577 Phone: Phone: 503-579-7930 Reg #: LIC 61331 ELE 34-504C SUP 4589S FEES _Required Inspections Type By Date Amount Receipt _ Wall Cover PRMT CTR 3/29/02 $106.90 2720020000( Elect'I Service 5PCT CTR 3/29/02 $8.55 2720020000( Elect's Final Total $115.45 This Permit is issued subject to the regulations contained in the T igard 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 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 2466699 or 1-800-332-2344 Permit Signature: i l a., Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNAL URE: _ DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 4 ,kX► — DATE:_ LICENSE NO: -- Cali 639-4175 by 7:00pm for an Inspection the next business day ti 03/26/2002 16:52 5795930 GEMCO PAGE 01 08/13/2001 09: 1n FAX 50101`4729" 1710, of TIRArd ®002/0a Electrical Permit Applic-.Ation patcreuived r, --, Pe mltno.: " - 3�. L ik-.s:,, 11„- c c i City of Tigard Project/appl no___- - Bxpimdate: Cary„JTiKard kddreu: 13125 SW Hill Blvd.Tigard,OR 97223 DAteissue4 By:. Receipt no.: Photic: (503) 639.4171 Csee CNe no J Psyteont type: F'nx (503) 398.1W I-and use approval: MAIL I J I Rr 2 fumlly dwellu,K or ACCCS301`7 J Ccmmer,lai/inrlusn,al )"Uhi•farrlily J'I'enxnt Irnprnvernenl O New cunecrurtum LJ ^tiAilinr/alteratiurtlrel)lac.-merii O Other U Paftini Ioh address' tiU 1 S bldg nu Suite no Tac me tax lot/account no.: Lot: Block: ubdivistow __ _ L _ i. Fm act name r' ►') w. P - �-� t►) t=NyeM rr�ri _ �, o� � [kderl tion and location of work on remises: Estimated date of tram letion/ins ction: 6AJ "A4 > 7'w J ^)S Job ro:,�L.9 —. hie I►tas Business name / t« �� teacYl lo„ fn itioW no. 1 Nr.. ru .Inek or twkt ta�nT 1`n Address _2,-3G?c'7 1. _-_ daeltlr�onk Inttwb+utuhrdpvsse CI!Y:. 41.1 State d ZIP:974♦ / !:orHaWdrided: Phone'ST`S 5795 1730 1 Fix: 5 e L-mllil - I000 sq.R or leu - 4 Mono.- 7'/ �3 lilac. bus. IIc. no, G FecheddutonslSooaq tl orp�rtiontheren! _ p , - .3 Ay-S Y LtnU1W ate .rraldcnull 2 Cit /metro lic no.: _ Umtledenergy,non-midenuol - 2 3 e S.ach manufsauted home or modular dwelling I�nawre o au vli_In� ectrielan(Rquir-dl ____ DOW Service and/or feeder _ 2 ! ,aloof name(print), ,of "6 C J /I License no�y f ti.ervlees or teedin-instaltetlon. tdtareltoa or relacutlon 2t)Dun or C! C3 2 None( nnn 2 1- 1 em 00un s J 2 —� -- 101 snipe to 600 smps 2 Malin addrnas 601 unps at IOOO snips 2 City Sate. T,lP:^ _ Over UW Aro or volu --- 2 Phone Fait: E-mail: Reconnect only I Owner tnsu mition:I hr.in$U Radon tt being made un property 1 own ToOmportiry Services ertaadom- which is not intended for sale.lease,rent,or exchange according to Mritellshoo,eu'er'nan'nrr'larrtion: ORS 441,455,479,670,701. 2Ib amps or lege 2 201 amps to 400 VMS 2 Owners ,) tare: Date: 101 to rn s : Prieneh area b•Mw,ehenrloa, of esteaslen per Paact- Natne: w. Fee for branch circuits with purchase of Addrrm sorvlos or reader Its.itch breach circuit 2 Clt_y'—�� i Sutc. 7dP: 0 Wte(OF bmnchClresttuwithout purehue - -- - �� - or_reMost or seder tee,F1rst branch timult. 2 Phone; (`aX: L^-null' 'gash additional bruteh eirwil' bc.(Servlrrartwdernot inchlded): - •Services mw 224 amps eemttrn•-tal U 14"th-CAM twilit% Foch pump or tM suon circle 2 O Scr ne*over 120 amps rau its of I Al U Hwrdoue lncanon Each Olin or outline ljhunj Z (on-dlydwellings U Oulldina over 10.000 equua test Pout of Sig nal eimultfelor a Itfrured tinervy panel -- D S.atrm over 6O0 votu oorrjnrJ mere residential units to nns strvnute altertuan,Oreelanuen• _ 2- *building over throe Stories U Foedsrt.100 e►nps or mOn ebeacn Ston'C'j _ - Q(",pant IoM aver o9 rterutne 3 MmUother elurtA sWeleres m RV rail .,erittenet Inipsrllen='Ata atte.M ram cur 1 :e►ewe U FjtestrltghungplYt Outer - Pertnereeboti Rubult, sale of plass with any et Ire above. - nvuugatjon Lw, ` 'flee above mire mot epoleable to temryM+ry cometrmction smite. Oth`et - _-_- - -- -— S JtL 4 o ' Not il. io/sMrw esMneagae�r � furl yura�.►i. tallr�elMnlbars.,t,1,..r�nee NoUtx Thrttrtt tepeappltrlUVirmnit fee...... . ....•..... 1 on . 0MOA 0MsatWCWd expires ire permit is not obtained Plan rcview(at — %) n120 d.. sue nobs T_.. _ /�---L within t 00 days after it hat been Slate surcharge(Bib) S "LOMA &C'Mpted u I MP'ete. T02'AI. ...................... S K AA-- CITYO F T!GARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: M -00110 DATE ISSUED: 3/19/0219/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126BC-01700 SITE ADDRESS: 09050 SW SCHOLLS FERRY RD "' SUBDIVISION: GEORGETOWN MANOR APT ZONING: R-40 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP. d VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _FUEL TYPES 0 3 HP: DOMES. INCIN: LPG- 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: L 50 + HP: CLO DRYERS: FURN t 100K BTU: 0 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: 1 <= 10000 cfm: 1 GAS OUTLETS: > 10000 cfrn: Remarks: Installation of heat recovery system in pool area. (1)duct furnace, (1)air handler and (2)exhaust fans. _Owner: FEES MCGILL, ANITA M TRUSTEE AND Type By Date Amount Receipt MCGILL, ROBERT ESTATE OF PRMT CTR 3/19/02 $317.90 2720020000 1662 GRAFF CT PLCK CTR 3/19/02 $79.48 2720020000 SAN LEANDRO, CA 94577 5PCT CTR 3/19/02 $25.43 2720020000 Phone: Total $422.81 Contractor: RIEHL INDUSTRIES, INC 16076 SW F_VELYN PO BOX 1460 REQUIRED INSPECTIONS CLACKAMAS. OR 97015 Mechanical Insp Phone:655-7632 Final Inspection Reg#:LIC 64198 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be clone in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Ut0ity..Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 01-0080. You\mayobtain copies of these rules or direct questions to OUNC by calling sue By: lh t 1' /� Permittee Signature:i1 6D. f4 Cell(5 )639-4175 by 7:00 P.M for inspections needed the next business day Mechanical Permit Application IDateeceived: �� p;2, Permit no.: Cit of Tigard City � ProjceUappl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no Fax: (503)598-1960 Case file no.: Payment type: 1,and Use approval- Building permit nr, ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction J Addition/alt rration/replacement U Other: .109 SITt t Job address: fl Indicate quipn)rnt quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: Q value of all mechanical materials,*ipmem,labor,overhead, Tax map/tax lot/account no.: profit. Value$ A/ zlee , . LAW I Block: Subdivision: *See checklist for important applicution information and Project name: %L jurisdiction's R." 'u•hedule for residential permit fee City/county: -na �n 'LIP: 7 Description and location of work on premises: mfg sr t tjLAI FAIWil t tRes. Q�c.O��c faa-r r t!&" s u Po o c. A Q l5aA_ Fee(ea.) otal Est.date ol'completion/inspection: DesvrQtiption y. Res.onl onI Tenant improvement or change of use: 11VAU _ unit CI•M g Is existing space heated or conditioned?0Yes U No Air handling conditioning(site p an requtre�Tr) -- Is existing space insulated? Yr. -1 Alteration of rxistin C system _ o er compressors Business name: Slate boiler permit no.: - - HP Tons BRIM ass: .ei p _ •ir smo a dampers/duct smoke detectors City:`- A Stale: 71 I' C3 eut ump(site plan required) Pho,re. °W4,.5 2 1 Fax: •-mails nsta rep acefurnac umcr - " CC4 no: f 4 l g B Including ductwork/vcnl I.ner U Yes U No r instalrep ace rcro-c-ateTreadrs-suspcn r . Citylnletro lie.no.: A 9 7 13 _ _ wall,or floor mounted Name(please rinl): ent fora iance other Man furnace -- — e gent on: Absorption units BTU/H Name: �3v� �,� ��,i7 o Chillers_ _ _.__ HP Address: lVO-lb S•rx,,ac, Com rrssors_. HP �— Environmental exhaust and ventilation: L City: A Statc: ZIP: Appliancevent Phone: - �, I at F-mail: Dryerex aust Hoods,Type res. tc a azmat �— hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mailing address: Exhaust system a an from heating or AC City: _ Slate: ZIp; - ue p p ng and distribution(up to 4 out ets Tylle: __LM NC Oil Phone: E-mail: Fuel pipingeach laMillonal over 4 outlets roeessp p ng(sc ematicrequire ) Number of outlets Name: _� � «� ter d appliance or equipment: Address_t _t 4 t g,I t L, :� :�t Decorative fireplace City: IS H � State:o,-LZIP:R7OA0_ Insert-type Phone: wid 07 Fax: ..mail: oo stuv pe etc?-ii stove Ol cr: Applicant's signature: Date: _ 9 n-t ter; Name (print): Na all JrMsdldlons accept crntil cards,plena call iuriutiction tom mar InfamaHcm Permit fee.....................$ Notice:'Phis permit application "-- L)Visa UMaalerCard Minimum fee............... $ expires if a permit is not obtained Credit card numher: _L_[ Planrl'VieW(at 96) $ _ --W Expires within 180 days after it has been Stale surcharge(8%)_..'e Name of cardholder as,shown on credit cud -- accepted as complete. $ _ TOTAL .......................$ Cardholder sipalure _ --- Amount 4141617(&&COM) ry n A y fo a r � ' 4 , V G a ;� o O �1:3 -term I CL ri b f x--- x T A T+ _ r .__ ,wr.raww.■ a. w.� I CITLI 7 OV SERIES DUCT FURNACES The OV Sones duct furnaces are the newest addition to MCOEL OVD our 80% efficient line of Indoor gas fired heating r,clud-s standing ;3;out, auturnatic control valve, high products Our commitment to Duality and Value has Amit control, and 24 volt transformer ,'Model GVD peen carried forward to produce an appliance which is offer; bottom access for burner sere ting low In first cost. easy to install, dependable in perform- ,ince,ind endowed with long life under normal oyer`{t MODEL OVED ng conditions J model OVD. the new Enerpak QV2 mod21 features Integral power venting, sealed flue collector Dur[furnaces are designed for ducted air applications and electronic spare Ignition Annual fuel savings and These are typically built up systems using a separate aIr seasonal effc ency are increased while reducing moving device,:ind may be heating nnly or heating rend Installation time Certified by A.G A and C G A and air conditu;rnno applications PII Sterling duct furnaces approved for use in California i1 • are A.GA certified for Installation upstream or downstrr, err from cooling tolls MODEL OVS �\ MEAT EXCHAGERS Similar to model CVb except chat the OVS offers a side access burner drawer ;vhich slides out for serocing. 440eat e;.cfianyert,ory fully welded and feature 20 reducing bottom cit, r,c_e requirements gauge tubus and 18 gauge headers Three materials ire•wadable 11 Aluminized steel Istandardl 121 4017 MODELS OYES 1talnless steel and (3) 32 I Stainless steel. Wer Enerpak !eatures with.-i side access burner recummend stainless steel for •applications where.1P entering airs below 40° F and/or duct furnaces •:ttd located downstream from cons ng coils !\�` ENERGY SAVING OPTIONS AVAILABLE MODELS •' ' ; •- 'i Nlectrornc so•�rk ignition lfactory In>t, ; a drzftor r'iay be field �-. i r` r _rr_rl I If: 'r 'TICS Ff�irTl '�: r r�Jr' 'lulpf`Cd nth electronic 1f)U Ji;i I iP All m, 1,_�Isv, `,t liwo it �'�° r "alifcrr•nid I,rctory, ,, he ordered (2qurpl:r , `or LP ;r n,itw,u .)rr Iiw testi,.; operate against � hes ,v,rnrr orossure rind may be ordered �yht c,tct r r tt r"wnd control orientation 7 I MODEL OVD MODEL OVES CITY OF TI A t�D � ELECTRICAL ENE f- _— - (V+ Rk-STRICTEU ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00045 13125 SW Hall Blvd.. Tiqard, OR 97223 15031 639-4171 DATE ISSUED: 3/25/02 PARCEL: 1 S 126BC-01700 SITE AD^RESS: 09050 SW SCHOLLS FERRY RD — SUBDIVISION: GEORGETO1 'N MANOR APT ZONING: R-40 BLOCK: LOT: 'URISDICTION: TIG Proiect Description: Low voltage HVAC in pool area. A. RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM. OUTDOOR LANDSC '.ITE: OTHER: HVAC,: x PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS:___?v,�_ Owner: Contractor: MCGII_L, ANITA M TRUSTEE AND DDC UNITED MCGILL, ROBERT ESTATE OF 8930 SE 42ND AVE. 1662 GRAFF CT MILWAUKIE,OR 97222 SAN LEANDRO, CA 94577 Phone: Phone: 503-786-9634 Reg #: ELE 3-474CLE LIC 136491 FEES Required Inspections _Type By Date Amount Receipt Wall Cover PRMT CTR 3/25/02 $75.00 27200200001 Low Voltage Inspection Elect'I Final 5PCT CTR 3/25/02 $6.00 2720020000 Total $81.00 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by Permittee Signatur,. f/" �� 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 DATE:__ LICENSE NO: - Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day Electrical ]Permit Application _ -_--- -- I)ate received.' �`,�--��- Permit City Of Tigard Project/appl.no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: gy. f�) RCcl;iptno.. Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: _- Payment type: Land use approval: 1 U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U T-nant improvement U New construction U Addition/alterration/repl,t rnn•iii _I()1urr 'i Partial .1011 SI I E INkORMATION Joh address: Se�oLlS Ft�r� /i'D. 131(ig. nu.: wite no.: fax map/tax IoUaccountno.: Lot: Block: _ Subdivision: Project name:GerAree 74- )escription and location of work on premlWs: .6-s "-?Wo Estimated date of conlpletionilnspct I-,I: 'Z t ] Job no: "Ce afar BUsineSSllarnC: _Description Qty. (en.) 1i61n1 no.ius ti v' Nen residential-shngN or multi-famiiv 1wr Address: % jp G° %Z ALf doellinguult.lnciudesattaclwdgarage. City: Slate: f'le ZIP: f"7 2 z Service included: Phone:5"J 75' i'E�Y I Fax:5kf-> l»r iIKio sqI ft.or less 4 /3 6 Y 9 Fach additional 500 sq ft.or onion thereof CCB no.: w-':Y Fila.bus.li:.po: 3 y)1/ 'CLC Lirnitedeuergy,residential 2 City/rnetrolic.no.: 61el --r 4-, Limited energy,non-residential 2 I3 73 p Z Fach manufactured hone or modular dwelling Signature of supervising eledrician-(required) hate Service and/or feeder 2 Sup, p X,E� /_8 T Set -Ices orfeeders--installation, Su elect.name(print): ✓� a License no: alteration or relocation: 200 amps or less 2 201�ams to 400 amps '- Name(print): 401s to 600 ampsMAiling A(1dreSS: 601s l0 1000 maps 2 City: Slate: ZIP: Over 1000 amps or v6'hs _ 2 Phone; i'ax: F n1AlI: Reconnect only 1 Owner installation:The installation is being made on property I own Temporary ervices or feeders- which is not intended for sale,lease,rent,or exchange according to Install■tion,alteration,orrelocation: 2(N)amps or less __ 2 ORS 447,455,479,670,701. 201 amps to 400 amps Owner's si mature: Date: 401 In 6(x)ams 2 lot A l Branch circuits-ness.alteration, or extension per panel: Name: A. Fee for branch clrcuns wuh purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: ZIP: R. Fee for branch circuits without purchase I e F- til: of service or feeder fee,first branch circuil. 2 Phone: "' Foch additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-conn ercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous to ation Each sign or outline fighting 2 familydwell ings U building over 10,(xx)square feet four or signal circuit(s)m a limited energy panel. U System over 611(1 volts nominal mote residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders.41x1 snips or more *Description: _ U Occupant loot]over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U F:gress/lightingplan U Other: _..- -- per inspectionSubmit-___seta of plow with any of the shove. Investigation fee The above are not applicable to temporary construction service._ Other Permit fee..................... 0No all)urisdlcnom accept credit condi,please call)uriahction Gu tow information Notice.This permit application $ _ I S ond0 _ U Visa U MasterCard expires if a pcmtil is not obtained Plan review(at Credit earl numhec —L_. within 180 do)'s after it has been State surcharge(876)....$ (Q 00 — ----------- . pifes accepted as complete. TOTAL. .....$ A 1 Name Rof cardholder u shown on cmVil car! S — —`–Cardholdet rignatum — Amount 440.4615(MM OM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PE MIT FEES: --- —�� _ TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 _ Number of Inspections per permit allowed (FOR ALL SYSTEMS) ;ice included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less — $145.15 _ 4 Audio and Stereo Systems' Each additional 500 sq ft.or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System* installation,alteratioq,or relocation 200 amps or less $80.302 ❑ Vacuum Systems' 201 amps to 400 amps $106.85 _ 2 401 amps to 600 amps $16060 2 ❑ 601 amps to 1000 amps $240.60 — 2 Other Over 1000 amps or volts _ $454,65 _ 2 Reconnect only — $66,85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits l with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit —_ $6.65 ❑ Data Telecommunication Installation b)The fee fr,branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 _- HVAC Each additional branch circuit $6.65 Miscellaneous ❑ Instrumentation (Service or feeder riot included) Each pump or IrTigatlun circle $53.40Intercom and Paging Systems Each sign or outline lighting $53.40 ❑ Signal circull(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control Minor Label^(10) _ $125.00 Each additional inspection over ❑ Medical the allowable In any of the above ❑ Nurse Calls Per Inspection $62.50 Per hour $62 50 In Plant $73.75 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other— 8%State Surcharge $ --J---Number of Systems 25%Plan Review Fee ' No licenses are required, Licenses aro required for all other installations See"Plan Review"section on $ front of application _ _ —�- Fees: Total Balance Due Enter total of above toes $ ❑ Trust Account q _ — I 814 State Surcharge $. J Total Balance Due $ All New Commercial Buildings require 2 sots of plans. iAdsts\formsklc-fees.doc 09/30/01 CITY O r P �� ELECTRICAL PERMIT_ PERMIT#: ELC2002-00099 DEVELOPMENT SERVICES DATE ISSUED: 3/12/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 151263C-01700 SITE ADDRESS: 09050 SW SCHOLLS RD SUBDIVISION: GEORGETOWN MANOR APT ZONING: R-40 BLOCK: LOT . JURISDICTION TIG Project Description: Job #4186 Install new 100amp service in PGE. room. _RFSIC�FNTIAL UNIT_ _ 1 LMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS _ 0 200 arnp: a PUMP/IRRIG'.TION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL./PANEL: MANF H.v1/ SVC/ FDR: 601+amps - '1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS_ ----- ___— ADD'L INSPECTIONS _ 0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: p — 201 400 amp: list 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: — --�> 600 VOLT NOMINAL: -- Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC O( Owner: Contractor: MCGILL, ANITA M TRUSTEE AND GEMCO ELECTRIC INC MCGILL, ROBERT ESTATE OF PO BOX 230072 1662 GRAFF CT TIGARD, OR 97281 SAN LEANDRO, CA 94577 Phone: Phone: 503-579-7930 Rec, #. LIC 61331 ELE 34-5040 SUP 4589S r`---_— FEES — _ Required Inspections Type BVN Date Amount Receipt Rough-in PRMT CTR 3/12/02 $80.30 :72002.0000( Elect'I Service Elect'I Final 5PCT CTR 3/12./02 $6.42 272002.0000( Total $86.72 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable i ;F 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 - ility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may)btain copies or these rules ordirect questions to OUNC at(503) 246.6699 or 1-800-332-2344 Permit Siunaturw ( — — Issued By: OWNER INSTALLATION ONLY— The installation is being made on property I own which is not intended for snip, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _�_� x 4 _ DATE: LICENSE NO: _— --- ---- - — — _ — ------ Call 639-4175 by 7:00pm for an inspection the next business day ESCO Faxr15035257180 Mar 11 '02 9:48 P.01 Electrical Permit Application -— Duo roniftd: Permit n4.: City of Tigard / Pro)eoua�p6 ex - dace _J Addresa: 13125 5W Ball Blv . na---------- 7n— ei>sraai By - r itatelprno. City elTlta►d I phorate (%1)09.4171 Cato Hie no Payment ype Fix; (50) 595.1960 Land use approval. Multi-faintly 0 Teum Improvement 0 1 3c 2(Milt'dwtlhlll Or StCrasory O Co►nmcrcf[ ndutttia! .,✓wtial 0 New construction V Addition/altentionireplaocmeni D Uthu Job addrua: yDb'0 1st✓ sra+a��s 17v Blaii. no.: Suite no.; �Tu map/tar lOdarcount no.. i l.ot: Block; Subdivision:_ prp'ect nam..&" a rAw,v�j,o,dp,e fkscnption and location of-otic on prer,iles: / /od_�ih� Fitittlated Oats of comvletionhntpectinn: 3 i{. :- a R ratio r Fa Hltrt Job set (ea) TK•l %a inap Butrinesa acmerw� eraaglq t N► Addmitr Z G��2- __ �wUYt�at�L•IoMrmcr�.t�.o. City: Stat:o i ZIP: 72 Q S.dcolrtoVtl+1 , TE•mtul: _ 1000eq.11 er ia� th.d&uend 500►a h or Portion rh�ut— CCB no,: Elec.bus tic.nod y-�y C _ r,,,,,c�a .mtdm;uoj_ 3 Ciry)nWfa C.no•. k� l trtuted non-rc3rdenual 3 loch menuractured home m madolw d-o G --• SeNIC•anger Lr fc+aier '� c z S� uYurT of sU rtcnl uv:a-e-n�c•awrae; Lwc__ ✓v 0�-u gw'na'rx-e�iTsn-v►ru1L 1 ,moi Sup.oto"earns onntififird l�rarrbe nn,yf S alweliorr••roloartlan: 100 or 301 IMP m eoo 1 Mailin addtets - sot to 1100em z Oraf IOWONGPhonez �r at rnlu 2 _ I F\7t: 6 ttti [eeoruroctwl _--- I Umtter installadon:The ifutallation it being made on prropnrty l Own •npwttl at fee/•n wtticb is not Intended for rale,lease,rent,of axphaase 3ecording to �a 4 w IeuIWA IW ere •m ORS 441,455,479,610,101. 201 to�400ame1 z Owners ai ro; Date: aIG w eW tin1 2 eeM tlrntlle ww'silientiva. or e[IMt11oe pK mel• I r, Fee Ta brrwh aimety with Pureh[ae of Addteaa: aervia or reader fee,each trench oiruru 1 Ci _-- rstue: _ ZIP _ g Wet'otbloahCDC-Utz wutpurth"A P110at tarts of reeds fee lira prtnch cirtuir 2 W .. _ f1X' - E.rnail: EtchadClno it, - Misc. or fewer xal r r rialpump h er un exon rima 2 Q te..ief•nr rr 2M amp►CninmovieJ .�rte elt}►r�re tepitty — --- O Sarvioa ova 310 wwr-ropee of I t.; U Wnrdnw IMWOR wd)can or ouUt�ir1hunr 1 Areuy dwwiw J ovildine am 10.000puor•!col tow a SitnU Circuit($)or a limited ewsy PWA. 0 3y1t•m over t300 vo:u nominal floor$reildential W911 In we nruuure .t enrto_ti orattenat n• - 1 O s ilius over oxer Iron" D pavoem 400 amp1 a morn •hnarn wa �� — O Ooo40AM load oval oa Penrrru Q membetrwed ranter«er Rv pwtr e a lewal hupettlee erw a"0a,"me rr aa4'e t e[hoes Q�naNi[Mdnt{p1[n O CLOW __ Perm w Submit errU•1 plst0l the11 ut.d(/IM above. Ime•taawk-NIS [lee sbarm an rat*"me to temewurs y COGMU i M tervlp -- -- • _ ora dl)w%d A1w sera'MedA tae4 /ruga can W-601;M ra•MM•M u \rM Vp/fr>A Thio perm[s"Ikarim Plan 1 r its..................... O p A#" #" Q 11100 errpira[1.a p�umlt is eel obtained StmPlea tsurch (At (W... S CREW ew r,w„s,r /Y t L z wl"110 days aft it bu barn TO tnitrohatUa(t!i)....f ti A L- .�;... sampled as wNWI . TOTAL ... .........S._ 1,.ZZ `4nmew wars 1 t(GOD CONT x CITY OF T I GA R D _ ELECTRICAL PERMIT / \ PERMIT#: ELC2001-00456 DEVELOPMENT SERVICES DATE ISSUED: 9/13/01 13125 SW Hall Blvd.. Tigard, OR 97223 (-031639-4171 PARCEL: 1S126BC-01700 SITE ADDRESS: 09050 SW SCI DLLS FERRY RD " SUBDIVISION: GEORGETOWN MANOR ART ZONING: R-40 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(2) branch circuits to A/C (rooftop). RESIDENTIAL UNIT TEMP SRVC/FEEDERS —� _MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp �` PUMP/IRRIGATION: —_ EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1900 volts: MINOR LABEL (10): SERVICE/FEEDER —_ BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: list W/O SRVC OR FDR: 1 PER HOUR: 401 600 amu: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ Pr_AN REVIEW SECTION 1000+ amp/volt: >=4 RES_UNITS: �— > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:___ Owner: Contractor: MCGILL, ANITA M TRUSTEE AND GRF ELECTRIC MCGILL, ROBERT ESTAT E OF 15460 SE PARADISE LN 1662 GRAFF CT MULINO, OR 97042 SAN LEANDRO,CA 94577 Phone: Phone: 503-829-4146 Reg #: LIC 76751 SUP 1655S ELE 3-484C FEES — Required Inspections Type By Date Amount Receipt Ceiling Cover Y _ PRMT CTR 9!13/01 $53.50 2720010000( Wall Cover Elect'I Final 5PCT CTR 9/13/01 $4.28 2720010000( 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 law3. All work will be done in accordance with approved pians. 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 952-001-0081. You may obtain copies of these rules or direct questions to Permit Signature: ^-- 17y Issued By: (Y ;�� ti' - 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 ATE:CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ; ,1L O of _ DATE:____ LICENSE NO: da`E S'S Call 639-4175 by 7:00pm for an inspection the next business day !;Pp IP 111 07: 1 Ga GRF Electric 5038295' 47 P. 1 Electrical Permit Ap#katic n i Ft) terecetved:' iZ Pcrtnit no.;, L,,kl,; • [t::')(p City Of Tigard Project/appl.ri .: Expire date: City(if Tigard Address: 13125 SW Nall Blvd,Tigar Date issued: [i lteceiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: t I &2 family dwelling or accessory ommercial/industrial U Multifamily U Tenant improvernent New constnlctioo U Addition/nitcratir,rJrcpl;tr tm n U Odder U Partial tU l It SITE NFORMATION Job address: C S1de'. nu.: Sulle nu.: Tax inap/tax lot/account no.: Lot: lock: Subdivision: - _ - Project name: Description and location of work on pre es: _ _ imas;l �.inn tictiottiirtslx::irt. Z 7� 1 1 1 b )1r l Job Ito: I ve Business nnrtte: G Q F CL�y��j T — lksuipnon Qly. lea.) total no.inti Address: Nervre-denial-single.rmulli Notilyper Address: 6t C(r c doeliingunlLlncludrsatlachMrarngr. City: State: Q Zip: Seniteincludcd �y Phone: q- Fax: g 7 E-mail: 1000 sq.n.or less _ -- 4 CCB no.: ( ��Elec,bus.tic.no: 3 �y �' Each additional 500 s .ft.or onion thereof _ —L f Limited energy,residential 2 City/metrolic.no.: Limited energy,non-residendul 2 a Each manufactured home or modular dwelling 1Service and/or feeder Signature of supcn'ishng elec •cion(requoed) Date _ Sup ele, numc(print): Ucenseno; �(o Services or Feeders-installation, aheratlun or relocatlon: OWNER 200 amis or less 2_ Name(print): 201 amps to 400 amps—_ --- 2 401 amps to 600 amps— 2 Mailing adtiress: C7 0 l S e 601 amps to 1000 amps 2 City: 11 StatC: ZIP: ? C)ver IUW ampsonol� —---- -- 2 Phone: _ ?�J 0 Flat: v Ismail: Iteconnectonly 1 Owncr ir.::nllution:The installation is being matle on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent,or cacharge ar ling to installaflun,alteration,urreltwation: URS 447,455,479,670,701. 200 amps or leas _ 2 201 amps to 41x)amps 2 Owner's signature; barn: _ 401 to 600 amps 2 Branch circuits-ne",Aieration, or extension per pane!: Nat11C: _ A. Fee for branch clreuita will,purchase cif Address: service or feeder fee,each branch circuit 2 City: State: 7_II': - n. -ec for branch circuits without purchase 4,t I-- n(servlce or feeder fee,first branct:circuit: 2 Phone: -- Fax: ►` ttcol Gch oddilional branch circuit: Mise.(Service or feedernol Included): U Service over 225 amps-:omnwrcial U I1C:d01-.:tic facility Gtch pump or irrigation circle 2 *Service over 320amps-intingof1&-2 UHmMdouslocstion hnchslpnorawline.lighting - _ 2 family dwellings ❑Building over 10,000squatefeetfouror Signalcircuit(s)oralim:-rAenerWItancl. *System over 600 voWs nominal more residential wins in one sintctiar alteration,or extension' _ 2 LI Building overUueestories LJ Feeders,4fAlstrips ormore *Description: ❑Occupant load over V)persons U Manufactured structures nr 12V perk FInve-stigation ditional In"tan over the allowable In any of the above D tsgress/lighdngplan U diner' �_— eceion - - Submit___sets of plans"ith any of the above. fee _The above are not applicable to temporary construction serytce. NM all iunadietinm"it credit ratds,please call jurisdiction for more infonnaroo Notice: Phis pemtit application Permit fee..................... U Visa U MastctCud expires if a permit is not obtained Plan review(at _-_ %) $ -7 Or Credit cad nurntxr; within 180 days after i1 has been State surcharge(896)....a. t` l'v sptrcr accepted a.compInte TOTAL .......................$ Name or cadholdeeras shown on cci it card S � Cardholder riftaso c Ameunl �MD�QIS M) //A\ CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2001-00328 DEVELOPMENT SERVICES DATE ISSUED: 9/11/01 13125 SW Hall Blvd..Tiqard. OR 97223 (503) 639-4171 PARCEL: 1 S126BC-01700 SITE ADDRESS: 09050 SW SCHOLLS FERRY RD — SUBDIVISION: GEORGETOWN MANOR APT ZONING: R-40 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: sf N: S: E:� W. OCCUPANCY GRP: R1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RED_D SETBACKS _ _ REQUIRED__ _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: PFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: R,!tnarks: Demolition of existing retractable roof over swimming pool. II Owner: Contractor: MCGILL, ANITA M TRUSTEE AND BOB CARLSON INC MCGILL, ROBERT ESTATE OF PO BOX 63 1662 GRAFF CT HILLSBORO, OR 97123 SPS LEANDRO, CA 94577 one: Phone: 640-3623 Reg #: uc 5113 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 9/11i0'I $62 50 27200100000 5PCT CTR 9/11/01 $5 00 27200100000 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Cone, State of OR. Specialty Codes and all other applicable law. 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 the rules adopted by the Oregon Utilitv Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-f1 4.? Permittee _ Signature: ?` G 14ued By: --__ __--- - — - -- - Call 639.4175 by 7 p.m. for an inspection the next business day Building Permit Application -- — I)ate received: Permit no.:i="l/ City of Tigard Projecl/appl.no.: _ Expire date: c'iryry Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ----- Phone: (503) 639-4171 Date issued: By: 1 Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 1&2 family:Simple complex: U I & 2 family dwelling or accessory U Commercial/industrial _j %lulti-family U New construction ii1 Demolition U AdditiotValteration/replacement J'I'rn,uii improvement _j I ur sprinkler/alarm U Other:IJOB SITE NFORMATION 51 Joh address: ° ' �'t 2 t kv` Bldg. nn.: Suite no.: Lot: Block; Subdivision: '— Tax map/tax lot/account no.: - Project name: Descriptio d anlocation(it work on pren)ises/spec' I conditions: ( iT�� - 4oWIT (?7r Name: Floodplaill. solar,septic Mailing address: s )7 I & 1 famil.s d"elline: City: I State: p ZIP: Z % Valuatii of work........................................ Phone: I I-ax: E-mail: No.of ted aths..............................,,�/ Owner's representative: o. Total number MAI Phone: o r Fax: ga. F.Tfrail: New dwelling arca(sq.ft ............... ; APPLICANT Garage/carport- sq.ft.)............... `-____ Name: Covered WSarea(sq. ft.) .................... .... Mailing address: Iarca(sq. 111 .......................... ............. --- -- City: State. ZIP: Other structure area(sq. ft.)...... Phone: Fax Email CommerciNUlndwilrial/multi-family: Valuation of work. $ Exis 'n bldg.area( t1. ft l ........... --- Business name: 7 New bldg.area . Address: ---- Number of stories.......... . ..................... City: State:- ZIP: 9 a/ Type of constru -- Phone: I aI:: r :} r f mail: �. 0' 1111c Exist CCB no.: - New: City/metro lic.no.: - Notice:All contractors and subcontractors are required to i licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the Address: jurisdiction where work is being performed. If the applicant is Cit State: LIP: exempt from licensing,the following reason applies: y: Contact person: Plan no.: -- Phone: Fay L-mail: - - Name: (lmtact person: Fees due upon application ........................... Address: Dale received: City: J.State, ZIP: Amount received ......................................... $ Phone: Fax: &mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards.plea*call iutisdicnon for more information attached checklist. All provisio nd ordinances governin this Uvisa U Mastercard work will be complied r ted herein or not. Credit card numbs __ _ � •.spires Now Authorized signature: __ Date: Ne or eardhotder as shown on credit card S " Print name: '" Cardholder signsiure Amount— Notice:This permit application expires if a permit is not obtained within IRO days after it has been accepted as complete. �( "t�Mt 4 t-)Q St) �"Ammlrr } t °" c3u��L COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). TYPE OF SUBMITTAL. Total # of (Includes New, Additions or Plans Alterations) Submitted Site Work (must include location of 4 all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I\dsts\forrns\CUM-nmtdx doc 9!4101 �►RD - BUILDING PERMIT CITY OF TIG - PERMIT#: BUP2001-00336 DEVELOPMENT SERVICES DATE ISSUED: 9/14/01 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126BC-01700 SITE ADDRESS: 09050 SW SCHOLLS FERRY RD SUBDIVISION: GEORGETOWN MANOR APT ZONING- R-40 BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: OTR FIRST sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED. BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: It FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: ; 11 Remarks: Re-roof patio roof. Owner: Contractor: MCGILL, ANITA M TRUSTEE AND BOB CARLSON INC MCGILL. ROBERT !-STATE OF PO BOX 63 1662 GRAFF CT HILL.SBORO, OR 97123 S% LEANDRO, CA 91577 one: Phone: 640-3623 Reg #: LIC 5113 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR — 9/14/01 $158.50 27200 i00000 Pre-roofing inspection 5PCT CTR 9/14/01 $14.98 27200100000 Total $173.48 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cudes and all other applicable la'N. All work will be done in accordance with approved plans. This permit will expire if work is not started within '180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-66 99or 1-800-332-2344. Permittee !i Signature: _- 1 Issued By: Call 639-4175 by 7 p.rn. for an inspection the next business day Building Permit Application City of Tigard Date received: `2 D/ Permit no.: t(P�0/r/ L)D k Addrrss: 13125 SW Hall Blvd,Tigard,OR 97223 Pt'oject/appl.no.: Expire date: City njTigard Phone: (503) 639 171 Date issued: B)>' Receipt no.: Fax: (503) 598-1960 Case file no: Payment type Land use approval: , _ _ _ 1&2 family:Simple Complex: TVPE OF PERMIT ❑ I &2 family dwelling or accessory ❑Commercial/industrial U Multi-farnily 1] New construction ❑ Demolition ❑Addition/alteration/replacement ❑Tenant improvement ❑Fire sprinkler/alarm ❑Other: —_ 11 SITE INFORMATION Job address: C Sri ..�W ;]�- ll, I-e r 1 �� Bldg. no.: Suite no.: Lot: Block: Subdivision: --rTax map/tax lot/account no.: Project name: � (Zrtr✓ri,�Q 7r!„�+, : vc, _ �yati -- -- —IN scripdon and l(xadon of work on premises/special conditions: Rtl.roa �G_ rc�c,c�s OWNER FOR SPECIAL INFORMATION, _Name: r�arc� ,r P'�z. v;nt ..fi , Mailing address: .c) 1 &2 family dweWng: City:— ft.,41"k—al State:(. "LIP: Lf-7,))N' Valuat,-„,or work........................................ Phone: I Fax: E-mail: No.of bedrooms/baths. ............................... Owner's representative: f*,4$ 'Total number of floor . . .................. Phone: .;- `I yL,,l IFFM Q 31 E-mail: New dwelling area(sq. ft.) . ........................ Garage/catport arca(sq.ft.) ........................ Name: Covered porch arra(sq. ft-) ...................... .. --------___--- -� Deck area(s ft. Mailing address: q. ) ............... ........................ _ City: State- ZIP: Other structure arra(sq. ft.)......................... Phone: -- Fax: Email: — Commercial/industrial/multi-family: t111 Valuation of work........................................ Business name: ; Existing bldg. area(sq. ft.) .......................... -- -------- New bldg.area(sq.ft.) Address: J (3,k ................................ �' Number of stories........................................ City: �I �A.c, State:, 4' ZIP: `� 7 L?� .......... Phone: (,,If) of construction?• Fax: 4v tib��' E-mail+ -- _ Occupancy group(s): Existing: — - -- --- New: _ City/metro lie.no.: Notice:All contractors and subcontractors are required to tic ARCHITIAWDESIGNER licensed with the Oregon Construction Contractors Board under Name: N /rk'3 provisions of URS 101 and may'„e rrquirrd to be licensed in the Address: — —— jurisdiction where work is being performed. If the applicant is City. State: ZIP: —� _ exempt from licensing,Oie following reason applies: Contact person: state: no.: _--_ — Phone: Fax: E-mail: — ---- --- OEM 10 A M to 7ATd t Contact person: Fees due upon application ........................... $ : -- y Date received: State: ZIP: Amount received ......................................... $_�--v Please refer to fee schedule. _ hereby certify l have read and examined this application and the Na all jurissiki m sroV rRd;,cards,please un rurisr!"on for morr udonnauon. attached checklist. All provisions of laws and ordinances governing this ❑visa ❑MasterCard work will be complied with whether specified herein or not. Cr"I card num Authorized signature: ' i, . ,. Date: __ Nam d cardtrokt.r n d,e,;w aedii erd_ Print name: L"„" —tom . � — ----- — .1._ —. -- y� Cwdbcrder dpasa a -- Amouo, Notice-This permit application expires if a permit is Trot obtained within 190 days after it has been accepted ars complete. 4404611(~'0W RE-ROOFING PERMIT CHECK LIST RESIDENTIAL ONLY - Class of Work: Alteration REPAIR (MAJOR) (plan review required by plans examiner) Building permit is required when spaceu sheathing is covered by solid sheathing and/or changes are made to roof line. SUBMIT TWO (2) SETS OF PLANS SPECIFYING: A. Roof area and nearest street. B Attic vents. Pr wide 1 so. ft. for each 150 sq ft. of attic space. Vents shall be located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic venting is provided. Note: No permit is required for residential re-roof if, (1) not more than three layers of roofing will exist upon completion of the re-roofing or, (2) sheathing is not being applied over spaced sheathing (spaced sheathing usually exists when wood shingles were initially _ a flied). COMMERCIAL ONLY - Class of Work: Repair STEP 1: Uf RE-ROOF (circle A, B or C)' A� Existing built-up roof covering to be REMOVED and deck repaired. B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineer's review of the roof structural elements. Review shall bear the seal (or starnp)of the architect or engineer licensed in Oregon. _ C. Anhalt or wood shin Iq_e/shake._ (PROCEED TO STEP 2) COMMERCIAL ONLY - Class of Work: Repair STEP 2: NEW ROOFING ASSEMBLY Material Documentation UBC Appendix 15� Please fill out applicable section and attach copy of roofing specifications. Listed Assembly (Circle and complete A, B or C): _ A. 1 Specification #: /✓ X— I - - 2. Manufacturer: V`� , 3a. UL Classification:__ t _ Listed Ut. Ruilding Materials Directory Page#: 370, !'"�' V OR 3b. Warnack Hersey: Listed Warnock Hersey Directory Page _ 'COPY OF ASSEMBLY REQUIRED B ICBO Research _ Dated: C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Review required byIp ans examiner.)^ VALUATION OF PROJECT: ft. of roof area $ I 41 C) Permit Fee based on valuation: _ see Building Permit Fees charts 5r� rJ L 8% State Surcharge: $ (11 . 65% Plan Review Fee: (Required for major repairs of Residenti;-' or Assembly item"C"above_ - TOTAL: i $ c ;) I dstslfortnslroofcheck1ist.doc 10/05/00 1999 Roofing Materials and Systems Directory 390 ROOF COVERING MATERIALS (TEVT) ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TG FU)—Continued ROOFING SYSTEMS (TG FU)—Continued Adhesive"at 1 to 1-1/2 gal/sq. Insulation (Optional):Polyisocyanurate,glass fiber, perlite,wood fiber Surfacing:Gravel,400 lbs/sq.,embedded in"Matrix SB Cold Adhesive"at any thickness, 4 al/sq. Base Sheet (Optional): Type G2 (modified bitumen), mechanical) 8. Deck: NC Incline: 1/2 fastened or adhered with hot roofing asphalt. Base Sheet:Type G2 or G3 inverted, mechanically fastened. Membrane: "INTEL/FLEX FR2" (modified bitumen), adhered with hot Membrane:Two or more layers Type G2,adhered with Geo Industries"No. roofing asphalt. 902 Permanent Bond Adhesive"or Henry Co."No, 200 Cold Pro Cement" Surfacing: "INTEC/FLEX FR3" (modified bitumen), adhered with ho'- at 1-1/2 to 2 gal/sq. roofing asphalt. Surfacing: Gravel, 400 lbs/ sq, embedded in Geo Industries "No. 621 9. Deck:C-15/32 Incline: 1/2 Emulsion"or Henry Co. "No. 107 Emulsion"at 3-4 gal/sq. Insulation (Optional): Polysocyanurate, glass fiber, or perlite. Class B- Ballasted Base Sheet: Type G2 (modified bitumen), mechanically fastened. 1. Deck: C-15/32 Incline: 1/2 Membrane: "INTEC/FLEX FR2" (modified bitumen), adhered with hot Base Sheet: Type G2, mechanically fastened. roofing asphalt. Ply Sheet:Type G2,adhered with Henry Co,"No.403 Adhesive"at 1-1/2 Surfacing: "INTEC/FLEX FR3" (modified bitumen), adhered with hot to 2 gal/sq. roofing asphalt. Membrane:"INTEC/FLEX S", adhered with Henry Co. "No. 403 Adhesive" 10. Deck: NC Incline: 1/2 at 1-1/2 to gal/sq. Insulation (Optional):Polyisocyanurate, glass fiber, perlite,wood fiber Surfacing:Gravel,400 lb/sq embedded in Henry Co."No. 107 Emulsion" any thickness. at 3-4 gal/sq. Base Sheet: Type G2 (modified bitumen), mechanically fastened of adhered with hot roofing asphalt. Class A - Fully Adhered Membrane-"INTEC/FLEX FR-4.5.","INTEC/FLEX 190 FR","INTEC/FLEX 250 1. Deck: NC Incline: 1/4 FR", "INTEC/FLEX FR-3" or "INTEC/FLEX FR CAP" (modified bitumen), Insulation (Optional): Polyisocyanurate, perlite, glass fiber or wood adhered with hot roofing asphalt. fiber, 2 in. max. 11. Deck: NC Incline: :/ 2 Base Sheet: Type 15 asphalt organic felt, Type G2 or "Flex Base 60" Insulation (Optional):Polyisocyanurate, glass fiber, perlite,wood fiber, (modified bitumen), mechanically fastened or adhered with hot roofing any thickness, mechanically fastened. asphalt. ( Membrane:ane Two INTEC/FLEXplies FR 4T5,"NTEC/FLEX 190 FRpe GI, adhered with �t"INTEC/FLEX h2 U Membrane: INTEC 84", INTEL SP-4" or INTEL GBSP•4" modified bitumen). FR", "INTEC/FLEX FR-3" or "INTEC/FLEX FR CAW' (modified bitumen), Surfacing: Karnak Chemical Corp. "Karnak No, 97 Fibrated Aluminum adhered with hot roofing asphalt. Asphalt Roof Coating" or"Karnak No. 97 Asbestos Free Aluminum Roof 12, Deck:C-15/32 Incline: 1/2 Coating" at 1 to 2 gal/sq. Insulation: Pol isoc anurate, lass fiber, perlite, 3/4 in, min 2. Deck: C-15/32 Incline: 1/4 mechanically fastened. 9 Insulation:Two layers glass fiber (staggered joints), 1 in, each. Ply Sheet:Two or three plies Type G1,adhered with hot roofing asphalt Base Sheet:Type G2, mechanically fastened or adhered with hot roofing Membranes"INTEC/FLEX FR-4.5","INTEC,IFLEX 190 FR","INtcC/FLEX 250 asphalt. FR", "INTEL/FLEX FR-3" or "INTEC/FLEX FR CAP" (modified bitume:,1 . Membrane:"INTEC SP-4" or"GBSP-4" (modified bitumen). adhered with hot roofing asphalt. Surfacing: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum 13. Deck: NC Incline: 1/2 pp As halt Roof Coating"at 1 to 2 al/ Pr g„ gat/sq, insulation (Optional):Polyisocyanurate, glass fiber,perlite,wood fiber, 3. Deck: NC Incline: 1/4 any thickness, mechanically fastened. Membrane: "INTEC SP-4"or"GBSP-4" (modified bitumen). Base Sheet: Type G2 (modified bitumen), mechanically fastened o Surfacing: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum adhered with hot roofing asphalt. Asphalt Roof Coating" at 1 to 2 gal/sq. Ply Sheet (Optional):Type G1, adhered with hot roofing asphalt. 4. Deck: NC Incline: 1/2 Membrane: "INTEC SP-4" (modified bitumen) , heat fused. insulation (Optional): Perlite, wood fiber or glass fiber, 1 in. max, Surfacing: Grundy Industries"Al MB". 1-1/2 gat/sq. mechanically fastened or adhered with hot rooting asphalt. safe sheets Type G2 or"Flex Base 60"(modified bitumen), mechanically 14. Deck:G 15/32 Inclines 1/2 t fastened or adhered with hot roofin asphalt. Insulation: Polyisocyanurate, glass fiber, perlite, 3/4 min, mechanically fastened. Membrane: onsey rod "INTEC SP-4 u or"INTEC GBSP 4", heats fused. Base Sheet: Type G2 modified bitumen mechanical) fastened of Surfacing:Monsey Products Co.'Endure Aluminum Roof Coating","Weather YP ( ). Y Check" or "Pro-Grade Aluminum Roof Coating", 1.5 gal/sq. adhered with hot roofing asphalt. 5. Deck: NC Incline: 112 Ply Sheet:Type G1, adhered with hot roofing asp ralt. Insulation (Optional): Perlite, wood fiber, glass fiber or isocyanurate/ Membrane: "INTEC SP-4" (modified bitumen), heat fused. urethane board, 2 in. max, mechanically fastened. Surfacing: Grundy Industries "Al MB" r Alco "ALUM-A-GARD", 1.1/2 Base Sheet: Type G2 (modified bitumen), mechanically fastened or gal/sq. adhered with hot roofing asphalt. 15. Deck: NC Incline: 1/2 Membrane: "INTEC-B4", "INTEC SP-4" or "INTEC GBSP-4" (modified Insulation (Optionat): Perlite, glass fiber, wood fiber, isocyanurate, bitumen), heat fused. urethane or composite, any thickness. Surfacing:Monsey Products Co."Dura-White', "Endure White Elastomeric Base Sheet: Type G2, mechanically fastened or hot mopped. Roof Coating"or 'Pro-Grade White Elastomeric Roof Coating", 3 gal/sq. Membrane:"INTEC 4",114","BSP-4"or"INTEC SP-4"(modified bitumen), 6. Deck: NC Incline: No limitation heat fused. Insulation (Optional): Polyisocyanurate, urethane, glass fiber, perlite, Surfacing: "Al M9 Aluminum Roof Coating" at 1.2 gal/sq. wood fiber, any combination in any thickness, mechanically fastened or 16. Deck: NC Incline: 1/2 adhered with hot roofing asphalt. Insulation (Optional):Polyisocyanurate,glass Fiber,perlite,wood fiber Base Sheet: Type G2 (modified bitumen), mechanically fastened. arty thickness,mechanically fastened or adhered with hot roofing as0l( Membrane: "INTEC GBSP-4", heat fused, "INTEC/FLEX M"or"INTEC/FLEX Base Sheet:Type G2, mechanically fastened or adhered with hot roofin 190" (modified bitumen), adhered. asphalt or 'Matrix SB Cold Adhesive"at 1 to 1-112 gal/sq. Surfacing:"Tuff-Corp"Held mixed insulating coating composed of 6-2/3 Ply Sheet (Optional): "Flex Base 60 FR", adhered with "Matrix SB Col cu ft of perlite, 7 lb of"TC-500 Masterbatch", 94 lb Portland cement and Adhesive' at 1 to 1.1/2 qal/sq or hot roofing asphalt. 17 gal of water spray applied to min 1/2 in. Membrane:"INTEC/FLEX FR-3"or"INTEC/FLEX FR-Cap"(modified bitumen) 7. Deck:C-15/32 Incline:No limitation adhered with "Matrix SB Cold Adhesive" at 1 to 1-1/2 gal/sq or h Insulation (Optional): Polyisocyarurate, urethane, glass fiber, perlite roofing asphalt. any combination in any thickness, mechanically fastened. Oeck-C-15,132 Incline: 1 Base sheet: Type G2 (modified bitumen), mechani-ally fastened or Insulation (Optional):Polyisocyanurate,glass fiber, perlite,wood fib . adhered with hot roofing asphalt. any thickness,mechanically fastened or adhered with hot roofing asphal Membrane:"INTEC GBSP-4", heat Fused, "INTEC/FLEX M"or 'INTEC/FLEX Base Sheet: Type G2 or "Flex Base 60 FR", mechanically fastened o 190" (modified bitumen), adhered. adhered with hot roofing asphalt or "Matrix SB Cold Adhesive" at 1 t Surfacing:"Tuff-Corp"field mixed insulating coating comprised of 5.2/3 1-1;2 gal/'sq. cu ft of perlite, 7 lb of'TC-500 Masterbatch", 94 lb Portland cement and Ply Sheet: 'Flex Base 60" FR,adhered with"Matrix SB Cold Adhesive,.a 17 gal of water spray applied to min 1/'2 in. 1 to 1 1,2 gal/sq or hot roofing asphalt. 8. Deck:NC Incline: 1,2 Membrane:'INTFC'FIFX FR-3"(modified bitumen), adhered with"Mat' --------------- LOOK FOR THE UL MARK ON PRODUCT r' - BUILDING PERMIT CITY OF TIGARD / PERMIT#: BlJP2001-00335 DEVELOPMENT SERVICES DATE ISSUED: 9/14/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S 126BC-01700 SITE ADDRESS: 09050 SW SCHOLL.S FERRY RD SUBDIVISION: GEORGETOWN MANOR APT ZONING: R-40 BLOCK: LOT: JURISDICTION: TIG - REISSUE FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N:v S: E: W: TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS_? TYPE OF CONST: LINK sf N: S: E: — W: OCCUPANCY GRP: R1 TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: R_EQ_D SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING 'A4ITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC' BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Re-roof center flat roof. Owner: Contractor. MCGILL, ANITb M TRUSTEE AND BOB CARLSON INC MCGILL, ROBERT ESTATE OF PO BOX 63 1662 GRAFI= CT HILLSBORO, OR 97123 SQ LEANDRO, CA 94577 Phone: 640-3623 SQ Reg#: LIC 5113 FEES REQUIRED INSPECTIONS______ Type NSPECTIONS___ _Type By Date Amount Receipt Final Inspection PRMT CTR 9/14/01 — $235.30 272.00100000 Pre roofing inspection 5PCT CTR 9/14/01 $18.82 27200100000 — --'—Tot a I Total$254.' ;, ---- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wort; is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct q,-estions to OUNC by calling (503)246-6699 or 1-800-332-2344. i Permittee Signature: AIssued By: Call 639-41'5 by 7 p.m. for an inspection the next business day Building Permit Application Date received: /y (+/ Permit no.:t-'af DOl e; city of 'Ilgard Ptoject/appl.no.: Expire date: City of7igard Address 13125 SW hall Blvd,Tigard,OR 97223 - -Date issued: BY' Receipt no.: Phone: ",113) 639-4171 Fax: (503) 59$-19601` Case file no.: Payment type: Land use approval I&2 family:Simple Complex: _- 1 U I &2 family dwelling or accessory O Commercial/industrial Ll Multi-family U New construction U Demolition L7 Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm Q 01her: It SITE INFORIVIATION. Job address: cin 50 .J 3 e,n.e11 Eot; -IBlock: Subdivision_ _ 1'ax map/tax lot/account no.: - I Project name .pr - oar �anL r' - bLscripdon and location of work on premises/special conditions: 1161 1 t 10 fill I 1.00pa _Name: ri tk 3 f 0^e^} _.- Mailing address: trj / o___�^� ` _ 1 &'l[amity dwelling Cityo,�rel Statc:p ZIP: '1�ttY Valuation of work.................................. ..... Phone: I Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: �I r t Total number of floors................................. : a. —-- Phone: It) - 9SL 4- Fax: 13 9-(. !s E-mail: New dwelling area(sq. t.) .......................... _. Garage/carport amst(sq.ft.)......................... _ Covered porch area(sq. ft_) ......................... -__-- Name: ----- Derek area(sq.ft.) Mailing address: - State: ZIP: Other structure arca(sq.ft.)......................... City: - CommerciaUndustrial/multi-[amity: Phone: Fax: F mail: Valuation of work................. ...................... $ _`�----- 1 a Existing bldg-area(sq ft.) .......................... Business name: b Cmr lsen Inc . -- New bldg.area(sq.ft.) ............................... Address: r p Job Number of stories........................................ City: , State:0"K Z[P: ! �_-� .1- 1'YPc of construction.................................... _. Phonc:(. o•36LS Fax:`yo -4?40 E-mail: Occupancy group(s): Existing: - —_--- CCB no.: �_- New: - CU/metrn lic.no. Notice: All contractors and subcontractors are requited to be AW 1111-10-71OLSIGNER licensed with die Oregon Construction Contractors Board under provisions of ORS 701 and may be required to lie licensed in the Name: _- - jurisdiction where work is being performed.If the applicant is Address: -- exempt from licensing,the following reason applies:_Contactperson: Plan Phone: Fax: E mail: Name: Contact person: Fees due upon application ........................... $ --_--�- Address: Date received: - City: State: 7.iP: Amount received ......................................... - �� Please refer to fee schedule. Phone: - - I hereby certify I have read and examined this application and the. Nor all iuriar ictiau accept cif card.,t�csi1 junsd"on row nioi lifa"""1On attached checklist. All provisions of laws and ordinances governing this U Visa ❑Master<'ard work will he complied Wit.111whether spe5ifred herein or not. o"`li`tid - —'- t--hpi� Date: — ! ' / Name of carAM lder u.horn on caeAn crd s Authorized signature: Com. Cardholder algtunre Amount Print name: caws}_ (iii �-- - _ - -.--- - Notice:ibis permit application expires if a permit is not obtained within 190 days after it hds peen accepted as complete. 44p-4613(~'ONO RE-ROOFING PERMIT CHECK LIST fRESIDENTIAL ONLY - Class of Work: Alteration_ _ ❑ REPAIR (MAJOR) (plan review required by plans examiner) �- Building permit is required when spaced sheathing is covered by solid sheathing and/or changes are made to roof line. SUBMIT TWO (2) SETS OF PLANS SPECIFYING: A. Roof area and nearest street. B. Attic vents: Provide 1 sq. ft. for each 150 sq ft. of attic space. Vents shall bG ated in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave arid c venting is provided. Note- No permit is required for residential re-roof if, (1) not more than three layers of roofing will exist upon completion of the re-roofing or, (2) sheathing is not being applied over spaced sheathing (spaced sheathing usually exists when wood shingles were initially applied). _ COMMERCIAL ONLY - Class of Work: Repair STEP 1: __ RE-ROOF (circle.A, B or C): _ _ ____ - 'Existing .)uilt-up roof covering to be. REMOVED and deck repaired — B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineer's review of the roof stru..tural elemerits. Review shall bear the seal (or stamp)of the architect or engineer licensed in Oregon. _ C. Asphalt or wood shingle/shake. (PROCEED TO STEP 2 COMMERCIAL ONLY - Class of Work: Repair STEP 2: NEW ROOFING ASSEMBLY Material Documentation (UBC Appendix 15) Please fill out applicable section and attach copy of roofin� ecifications. Listed AssemblyCircle and complete A, B or C): _ A. 1. Specification #: M - y t . RI 2. Manufacturer. U �~- 3a. UL Classification: _ Listed UL Building Materials Directory Page#: /jf j U L--- c�70k V .._- /�It ZC3 OR 3b. Warnock Hersey:_ Listed Warnock Hersey Directory Page 'COPY OF ASSEMBLY REQUIRED —� B. ICBG Research #:_----- _------- ----- --�-- C. SPECIAL PURPOSE ROOFING: WOOD SHAKES - Review required by plans examiner.) _v VALUATION OF PROJECT: $ sy. ft. of- roof area Permit Fee based on valuation: $ p _ (see Building Permit Fees chart) 8% State Surcharge: $ $ 2- 65% 65% Plan Review Fee: $ (Required for major repairs of Residential or Assembly item"C"above. —--- ----- -� TOTAL. L7 r �- i:dstMfonnslroofcheddist doc 10/05/00 1999 Roofing Materials and Systems Directory ROOF COVERING MATERIALS (TEVT) ROOF COVERING MATERIALS (TEVT) 203 ROOFING SYSTEMS (TGFU)—Continued ROOFING SYSTEMS (TG FU)—Continued B or C systems.Type G1 Intec/Permaglas"Tough Ply IV"is a suitable alternate "Type 45 Smooth", mechanically secured. spot attached or hot mopped. to Permaglas"Ultra Ply VI" in these systems. Ply Sheets:2 layers Type G1 Intec/Permaglas ply sheets-"Ultra Ply VI", Intec/Pern aglas "Flex Base 30" may be substituted for any of the "Tough Ply IV"or"Super Ply", hot mopped Intec/Permaglas base sheets specified in the following systems. Surfacing: 1 layer Type G3 Intec/Permaglas Ultra Cap Sheet", hot Coal tar pitch may be used as an alternate to hot roofing asphalt in Class A mopped. insulated or uninsulated systems utilizing a minimum of 3 layers of asphalt 7. Deck: C-15/32 Incline: 3 coated glass fiber mat and surfaced with gravel or slag. Insulation (Optional): Glass fiber faced urethane, perlite/urethane Red rosin paper (not UL Classified) may be added as a bottom layer in the composite, glass fiber :a perlite, 3 in, max, optional taped joints. following Class A, B or C systems. mechanically secwiu or hot mopped. Only UL Cl,-�sified insulations are to be utilized in the irculated systems Ply Sheets:4 or more layers Type G1 Intec/Permaglas ply sheets-"Ultra described belo, '.Vhere insulations are specified in these systems,isocyanurate Ply VI", "Tough Ply IV" or"Super Ply', hot mopped. may be utilized as an alternate in the same thicknesses specified for urethane. Surfacing: Gravel or slag. Type G2 Intec/Permaglas"Permanent"may be substituted for any G2 product 8. Deck: NC Incline- listed below. Insulation (Optional): Glass fiber faced urethane, perlite:urethane Min 3/4 in.thick U.S.Intec Inc."USIROC"Baseboard"and"USIROC Capboard" composite, glass fiber or perlite. 3 in. max, optional taped joints, insulation products are suitable alternates to any of the insulation products mechanically secured or hot mopped. listed in a given system. Surfacing: 1 layer Type G3 Intec/Permaglas "Ultra Cap Sheet", hot Type G3 Intec/Permaglas"Ultra Cap Sher""may be used in lieu of any Type G3 mopped. .cap sheet. 9. Deck: NC Incline: 1/2 Type G2 Intec/Permaglas"Ultra Base Sheet"may be used in lieu of any Type insulation (Optional): Glass fiber faced urethane, perlite/urethane G2 base sheet.Trumbull"Perma Mop"may be utilized with any of the following composite, glass fiber at perlite, 3 in, max, optional taped joints, "Asphalt Felt Systems with Hot Roofing Asphalt" or "Single Ply Membrane mechanically secured or hot mopped. Systems". Ply Sheets:2 or more lavers Type Gi Intec/Permaglas p'y sheets-"Ultra Type G2 base sheet mey be used as an underlaynrent in all insulated systems. Ply VI", "Tough Ply IV"or "Super Ply", hot mopped. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Surfacing.1 layer Type G2 cap sheet, Intec/Permaglas"Type 40 Smooth" Unless otherwise indicated. constructions incorporating Intec/Permaglas or"Type 45 Smooth", hot mopped. "Perma Poly Pty Sheet" may utilize any thickness of perlite, glass fiber, 10. Deck: C-15/32 Incline: 2 isocyanurate, combination isocyanurate/perlite, hot mopped or mechanically Insulation (Optional): Glass fiber faced urethane, perlite/crethane fastened. composite, glass fiber or perlite, 3 in. max, optional taped joints, Class A mechanically secured or hot mopped. 1. Deck: NC Incline: 2 Base Sheet:Type G2 Intec/Permaglas base sheet-"Bondable Base Type Base Sheet:Type G2 Intec/Permaglas base sheet - "Bondable Base Type 28","Combination Base","Ultra Base","Insul-Base","Type 40 Smooth"or 28"."Combination Base',"Ultra Base"."Insul-Base", "Type 40 Smooth"or "Type 45 Smooth", mechanically secured, spot attached or hot mopped. 'Type 45 Smooth", mechanically secured, spot attached or hot mopped. Plv Sheets:2 or more layers Type G1 Intec/Permaglas ply sheets-"Ultra Ply Sheets: Two layers Type G1 Intec/Permaglas ply sheets - "Ultra Ply Ply V1 'Tough Ply IV"or 'Super Ply", hot mopped. VI", 'Tough Ply IV" or "Super Ply", hot mopped. Surfacing: I layer Type G3 Intec/Permaglas "Ultra Cap Sheet", hot Surfacing: One layer Type G3 Intec/Permaglas "Ultra Cap Sheet", hot mopped. mopped. 11. Deck: C-15/32 Incline: 2 2. Deck: C-15:32 Incline: 3 Insulation (Optional): Glass fiber faced urethane. perlite/urethane Insulation (Optional): Glass fiber faced urethane, perlite/urethane composite, glass fiber or perlite, 3 in. max, optional taped joints. composite, glass fiber or perlite, 3 in. max, optional taped joints, mechanicatIv secured or hot mopped. mechanically secured or hot mopped. Ply Sheets:4 or more lavers Type G1 Intec,'Permaglas ply sheets-"Ultra Base Sheet: Type G2 Intec;Permaglas base sheet-"Bondable Base Type Ply VI "Tough Ply IV" or"Super Ply", hot mopped. 28","Combination Base","Ultra Base", "Insul-Base","Type 40 Smooth"or Surfacing: 1 layer Type G3 Intec/Permaglas "Ultra Cap Sheet% hot "Type 45 Smooth", mechanically secured, spot attached or hot mopped, mopped. Ply Sheets:2 or more layers Type G1 Intec/Permaglas ply sheets -"Ultra 12. Deck: C-15/32 Incline: 1,'2 Ply VI", "Tough Ply IV" or "Super Ply", hot mopped. Insulation (Optional): Glass fiber faced urethane, perlite/urethane Surfacing: Gravel or slag, composite, glass fiber or perlite, 3 in. max, optional taped joints, 3. Deck:C-15/32 Incline:3 mr-chanically secured or hot mopped. Insulation (Optional): Glass fiber faced urethane, perlite/urethane Bae Sheet:Type G2 Intec/Permaglas base sheet -"Bondable Base Type composite, glass fiber or perlite, 3 in. max, optional taped joints, 28", "Combination Base","Ultra Base". "Insul-Base",'"Type 40 Smooth"or mechanicall3 secured or hot mopped. "Type 45 Smooth", mechanically secured, spot attached or hot mopped. PlySheets: 2 or more layers Type G1 Intec/Permaglas ply sheets-"Ultra Ply Sheets: 1 layer Type GI Intec/Permaglas ply sheets - "Ultra Ply VI', Ply VI To Ply IV" or "Super Ply", hot mopped, "Tough Ply IV"or"Super Ply", hot mopped. Surfacing: Gravel or slag. Surfacing: 1 layer Type G3 Intec/Permaglas "Ultra Cap Sheet", h-. 4. Deck: C-15,32 Incline: 3 mopped. Base Sheet:type G2 Intec'Permaglas base sheet - "Bondable Base Type 13, Deck: C-15/32 Incline: 2 28"."Combination Base". "Ultra Base". "Insul-Base",'Type 40 Smooth"or Insulation(Optional):Glass fiber faced perlite composite, glass fiber or "Type 45 Smooth". mechanically secured, spot attached or hot mopped. perlite, 3 in, max, optional taped joints. mechanically secured or hot Ply Sheets:2 or more layers Type G1 Intec/Permaglas ply sheets-"Ultra mopped. Ply VI", "Tough Ply TV" or "Super Ply", hot mopped. Base Sheet: Type G2 lntec/Permaglas base sheet - "Bondable Base Type Surfacing: Gravel or slag. 28", "Combination Base , "Ultra Base","Insul-Base", 'Type 40 Smooth"or 5 Deck: NC Incline: 2 "Type 45 Smooth", mechanically secured. spot attached or hot mopped. Insulation (Optional): Glass fiber faced urethane, perlite/urethane Ply Sheets:2 or more layers Type GI Intec/Permaglas ply sheets-"Ultra composite, glass fiber or perlite, 3 in. max, optional taped joints, Ply V1", 'Tough Ply IV"or "Super Ply". hot mopped. mechanically secured or hot mopped. Surfacing: 1 layer Type G3 Intec/Permaglas "Ultra Cap Sheet", hot Base Sheet(Optional): fype G2 Intec/Permaglas case sheet-"Bondable mopped. Base Type 28", "Combination Base", "Ultra Base". "lnsul-Base", 'Type 40 14. Deck: C-15/32 Incline: 1 Smooth' or"Type 45 Smooth",mechanically secured,spot attached or hot Base Sheet: Type G3 Intec/Permaglas "Ultra Cap Sheet" nailed. mopped. Ply Sheet: One or two plied Type G1 "Intec/Perma Glas". Ply Sheets:2 or more layers Type G1 Intec/Permaglas ply sheets-"Ultra Surfacing: Type G3 Inter/Permaglas "Ultra Cap Sheet". Ply VI". "Tough Ply IV" or "Super Ply', hot mopped, 15. Deck:C-15/32 Inclirm: 1/2 Surfacing: 1 layer Type G3 Intec'Permaglas "Ultra Cap Sheet", hot Insulation:Glass fiber faced urethane, perlite/urethane composite,glass mopped. fiber or perlite, 11116 in. min. optional taped joints, mechanically 6. Deck: C-15/32 Incline: 2 secured or hot md3RT— Insulation (Optional): Glass fiber faced urethane, phenolic. perlite/ Base Sheet(Optional):Type G2 Intec/Permaglas base sheet- "Bondable urethane composite, plass fiber or perlite, any thickness, optional taped Base Type 28", "Combination Base", "Ultra Base", "Insul-Base. 'Type 40 joints, mechanically secured or hot mopped. Smooth"or"Type 45 Smcath",mechanically secured,spot attached or hot Base Sheet: Type G2 Intec/Permaglas base sheet- 'Bondable Base Type mopped. 28 "Combination Base". "Ultra Base", "Insul-Base "Type 40 SmootF it Ply Sheets: 2 or more layers Type GS Intec/Permaglas ply sheets-"Ultra LOOK FOR THE UL MARK ON PRODUCT 1999 Roofing Materials and Systems Directory 202 ROOF COVERING MATERIALS (TEVT) ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS(TGFU)—Continued RUOFING SYSTEMS (TG FU)—Continued 1NSULFOAM R9045 Surfacing: See note. 1215 W IST ST, THE DALLES OR 97058 Note: Classification (A, B or C) will be the same as that for the original "Perform Guard" is an acceptable alternate to all EPS insulations utilized in insulation/membrane roofing system. Maximum incline and surfacing shall be the following Classifications except"Perform 2", "Contour Taper Tile", "Perform in accordance with the classification established for the insulation/membrane 3", "Perform Plus"and "Perform Plus Ply'. roofing system. Base sheet (if any) shall be in accordance with the classi- fication established for the insulation/membrane roofing system. Class A 2. Deck: NC Incline:See note See note) Insulation: EPS/perlite or EPS/wood fiber(perlite or wood fiber 1/2 in, 1. Deck: NC Incline: 3 ( min thickness or 1/2 in. min USG Interiors' "Micore MC 180", Huebert Insulation: EPS/perlite or EPS/wood fiber, any combinations, any wood fiber, Georgia-Pacific Corp. "Strudi-Top", Wood Fiber Industries' thickness of the following: A.)"Perform 1" (uniform thickness EPS) field "Structodeck", Celotex wood fiber, Temple-Inland "Fiber Base" or other covered with 1/2 in.min perlite or wood fiber.B.)"Perform 2"(EPS/perlite wood fiber at 1 in.min thickness),any combination,any thickness of the or EPS/wood fiber), C.)"Contour Taper Tile"(EPS/perlite, EP /wood fiber following: A) "Perform 1 (uniform thickness EPS) field covered with 1/2 or EPS field covered with 1/2 in, min perlite or wood fiber). In. min perlite or wood fiber; B "Perform 2" (EPS/wood fiber or Ply Sheet: 3 to 5 plies Type 15, GI or G2. EPS/perlite factory laminated); C) "Contour Taper Tile"(EPS/wood fiber. Surfacing: Gravel or Type G3 mineral surfaced cap sheet. EPS/perlite factory laminated or EPS field covered with 1/2 in.min wood Note: incline is reduced to 1 in. when Type G3 mineral surfaced cap sheet is fiber or perlite). used as the surfacing, Membrane: Any UL Classified EPDM, CPE, CSPE, PVE, CR, NBP or PIB 2. Deck: C-15/32 Incline: 3 (See note) membrane system suitable for use with any roof insulation. Insulation:EPS/perlite,any combinations,any thickness of the following: Surfacing: See note. A.)"Perform I" (uniform thickness EPS) field covered with 1/2 in, min Note: Classification (A. B or C) will be the ;ame as that for the original perlite or wood fiber. B.)"Perform 2"(EPS factory laminated with 1/2 in, insulation/membrane roofing system. Maximum incline, attachment of min perlite or wood fiber).C.)"Contour Taper Tile"(EPS factory laminated membrane, and surfacing of membrane shall be in accordance with classi- with 1/2 in,min perlite,wood fiber or EPS field covered with 1/2 in.min fication established for membrane/insulation roofing system. perlite or wood fiber). 3. Deck: NC Incline:See noie Ply Sheet: 3 to 5 plies Type 15, G1 or G2.. Insulation: Perform Plus or Perform Plus Ply, any thickness. Surfacing: Gravel or Type G3 mineral surfaced cap sheet. Membrane:Any UL Classified modified bitumen system (minus base play Note: Incline is reduced to 1 in. when Type G3 mineral surfaced cap sheet is with Perform Plus Ply) suitable for use with any roof insulation. used as the surfacing. Surfacing: See note. 3. Deck:C-15/32 Incline: 3 (See note) Note: Classification (A, B or C) will be the same as that for the original Insulation: Perform Plus Ply or Perform Plus with G2 base sheet, any insulation/membrane roofing system Maximum incline and surfacing shall be thickness. in accordance with the classification established for the insulation/membrane Ply Sheet: 2 or more plies Type 15, G1 or G2 (glass plies required with roofing system. Base sheet (If any) shall be in accordance with the classi- Type G3 cap sheet). fication established for the insulation/membrane roofing system. Surfacing: Gravel or Type G3 mineral surfaced cap sheet. 4. Deck: NC Incline: See note Note: Incline is reduced to 1 in. when Type G3 mineral surfaced cap sheet is Insulation: Perform Plus, any thickness. used as surfacing, Membrane: Any UL Classified EPDM, CPE, CSPE, PVC, CR, NBP or PIB SINGLE PLY MEMBRANE SYSTEMS membrane system suitable for use with any roof insulation. Class A - Ballasted Surfacing: See note Unless otherwise indicated, insulation may be loose laid or mechanically Note: Classification (A, B or C) with be the same as that for the original fastened; membrane may be loose laid; mechanically fastened or adhered in insulation/membrane roofing system.Maximum incline,attachment of membrane place, and surfacing shall be in accordance with the classification established for the 1. Deck:C-15/32 Incline: 2 membrane/insulation roofing system. Insulation: EPS/perlite (perlite or wood fiber must be Ij2 in. min and Class A, 8 or C (See note) - Mechanically Fastened joints in insulation must be offset 6 in.with joints in deck),"Perform 2". 1. Deck: NC Incline: See note Contour Taper Tile", "Perfc m plus "Perform Plus Ply" or "Perform 1° Insulation: EPS/perlite or EPS;waod fiber (perlite or wood fiber 1/2 in. field covered with min 1,12:n.perlite or wood fiber.any thickness of EPS. min thickness or 1/2 in. min USG Interiors "Micore MC 180," Huebert Membrane: Any UL Classified membrane system. woad fiber, Georgia-Pacific Corp. "Sturdi-Top", Wood Fiber Industries' Surfacing: River bottom stone (3/4 to 1-1/2 in, diameter), 1000 lb/sq. "Structodeck", Celotex wood fiber, Temple-Inland "Fiber Base" or other Deck: NC Incline: 2 wood fiber at 1 in.min thickness),any combination, anv thickness of the insulation:One of the following,any thickness:A.)"Perform 3"(Foil/Kraft following:A) "Perform I"(uniform thickness EPS)field covered with 1/2 faced EPS). B.)"Contour Taper Tile" (EPS/perlite or EPS/wood fiber), In. min perlite or wood fiber; 8) "Perform 2" (EPS/woor! fiber or C.)"Perform 2" (EPS/perlite or EPS/wood fiber). 0.)"Perform Plus". EPS/perlite factory laminated); C)"Contour Taper Tile (EPS/wood fiber, E.)"Perform Plus Ply". EPS/perlite factory laminated or EPS field covered with 1/2 in.min wood Membrane: Any UL Classified membrane system. fiber or perlite). Surfacing: River bottom stone (3/4 to 1.1/2 in. diameter), 1000 lb/sq. Membrane: Any UL Classified EPDM, CPE, CSPE, PVC, CR, NBP or PiB 3. Deck: NC incline: 2 membrane system suitable for use with any roof insulation. Note: Deck must be one of the following: A.)Mono(ithic poured cementitious Surfacing: See note. deck. B,)Steel covered with gypsum board or perlite board, 1/2 in, min. Note: Classification (A, B or C) will be the same as that for the original C.)Structural decks with all joints covered with Type 30 base sheet, extending Insulation,,membrane roofing system. Maximum incline, attachment of 6 in. (min)on each side of joint. D.)Metal deck covered with cellular concrete, membrane. and surfacing of membrane shall be in accordance with Classi- gypsum concrete, vermiculite concrete, or perlite concrete. fication established for membrane iinsulation roofing system. Insulation:Any combination,any thickness of the following:A.)"Perform 2 Deck: NC incline:See note 1" (uniform thickness EPS). B.)"Contour Taper Tile" (tapered EPS). Insulation: Perform Plus, any thickness. C.)"Perform Plus". D.)"Perform Plus Ply". Membrane: Any UL Classified EPDM, CPE, CSPE, PVC. CR NBP or P15 Membrane: Any UL Classified membrane system, membrane system suitable for use with any roof insulation Surfacing: River bottom stone (3/4 in. to 1.1/2 in. diameter), 1000 Surfacing: See note. ib/sq. Note: Classification (A, 8 or C) will be the same as that for the original Class A, B or C (See note) - Fully Adhered insulation/membrane roofing system.Maximum incline,attachment of membrane Incline is reduced to 1 in. when Type G3 mineral surfaced cap sheet is used and surfacing shall be in arcordance with the classification established for the as the surfacing, membrane'insulation roofing system, Unless otherwise indicated, insulation is mechanically fastened in place. 1. Deck: ne:See note PERMAGLAS, DIV OF U S INTEC INC R6529 Insulatat ion:EPS/perlite or EPS/wood fiber,er.any INTECny combination,any thickness / of the following: A,)"Perform 1" (uniform thickness EPS) field covered 5210 NE ELLIOTT CIR PO BOX 1438, CORVALLIS OR with 1/2 in. min perlite or wood fiber. B.)"Perform 2" (EPS/perlite or 97339 EPS/wood fiber). C.)"Contour Taper Tile"(EPS/perlite, EPS/wood fiber or Type G3 Intec/Permaglas"Ultra Cap" 'Ultra Cap Sheet"or"Cap"may be applied EPS field covered with 1/2 in. min perlite or wood fiber). with the granule side down as an alternate to Intec/Permaglas base sheets Membrane:Any UL Classified modified bitumen system suitable for use "Bondable Base Type 28","Combination Base'."Ultra Base","Ultra Base Sheet", with any roof insulation. "Insul-Base". 'Type 40 Smooth"and"Type 45 Smooth"in the following Class P, LOOK FOR THE UL MARK ON PRODUCT CITYOF T'IGARD _ _MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2.001-00296 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/21/01 PARCEL: 1 S 126BC-01700 SITE ADDRESS: 09050 SW SCHOLLS FERRY RD SUBDIVISION: GEORGETC WN MANOR A,P r ZONING: R-40 BLOCK: LOT: JURISDICTION: TIG CI-ASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE Or USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: _ FUELTYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: 1 COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C FURN >=100K BTU: <= 10000 cfm: _ UNITS: > 10000 cfm: GAASSOUTLETS: Remarks: Installation of roof-top A/C Owner: _ ---��—� FEES MCGILL, ANITA M TRUSTEE AND Type By Date Amount Receipt MCGILL, ROBERT ESTATE OF PRMT CTR 8/21/01 $72.50 272001000C 1662 GRAFF CT 5PCT CTR 8/21/01 $5.80 2720010000 SAN LEANDRO, CA 94577 PLCK CTR 8/2.1/01 $18 13 272001000C Phcne: Total $96.43 Contractor: T SKY HEATING + AIR CONDITIONING 1637 SE NEHALEM PORTLAND, OR 97202 REQUIRED INSPECTIONS Mechanical Insp Phone:235-9083 S.D. Shut-down inspection Reg #:LIC 50244 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. --cialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not staned 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 952-001-0010 through OAR 952-00 -u080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: �\ �. L ( . _ Permittee Signature: L�/�f Call (503) 639-4175 by 7:00 P M. for inspections needed the next business day 0310';O] ml'!:U 08:25 FAX 503 599 1800 CII'1' OF T1CA14D� x- � �I •OI 4002 Mechanical Per plication Date received; 1p/ PetTnit no.: i- 6.26R�M% City of Tigard/ 1 ( �- I Project/appl nn: Expiredate: � Ciry oJTigard Address: 13125 SW Hall Ivd,Tt ore . R 97223 Dateisaucd: Hy:V9 i Receipts.. p Phone: (503) 639.4171 Fax: (503) 599.1960 Cam file no.: Payment type: Land use approval: , Buildingpermitno.. t� Cl I &2 family dwelling or accessory Comm,•rcial/industrial U Multi-family U Tenant improvement U New cun,uvctt;ort Additit Naltenation/replacentent O Other: Job address: - r r PICT 1�(' 1 l Indicate equipment quantities in boxes below Indicate the dollar Bldg.no.: _... Suitee no.: _ value of all mechanical serials,equipment,labor,overhead, , T&x map/tax lotlaccount no.: —�, froth Value f l ot: IHIQCk: Subdivisiun: *See checklist fer imrortant application ieforimation and Project name: jurisdiction's fee schedule for residential pennit fcc. City/county! (.OI ZIP: W M-ticti on and I ation of otk u 1 ni sesIM I Wk � r ec(r�.) Told HSL date of cnmpletio:Jirs ctiun: �— Ik�criptitK► I Res.oNv Rn.only Tenant improvement or change of use; Y Air hondlutg unit CMM Is existing space heated or conditioned?U Yet U No Aro con3ilion,ng site plan require j_ � �Is existing space insulated?U Yes 0 No h t _ wat Ion of ex stiIKLMIA ng H systrrn ore compressors 7P ,e- Ci State builrr pelmll no Business name:' Y HP Tons B'I•WH I Address: C '}'' tre.Sinn a pt�ductsma a etectors ty: )► Slate: 1, i eat urn (s?tin�mrgLire _ f Email: Osla rep ace urnacee/burner—HTUTfr Phone; < Fax:. c Including ductwork'vent liner O Yes O No _ CCB no.: fnsta replaca�oeate eaters-suspende , City/metro lic,no.; ( Nall,or flo•r mounted Plaine(please print): ? O f)f "� e tt icor a ,ranee nt er lin umace sen on: Absnrphor.units _` BTUIH _ Chillers Hol Nanta: ',r lYl� -'- --�� — Com.ressors._�_ ._ lip Address: _ _� rav onaleuta ex aust en van at on: City: State: :'iP: Apphancx vent _- I'ttone Fax: Email: etex aust oo'lc�pc res. IRTie hal-1191 hood free suppression system rName:r j I I ,o o I ffyff Exhaust fan with angle d-1.(111111th:fano) AC L Mailing address: " ' ( j Aust systrm i wtrontTiei State: (� t :'.1 r� >) MPP ng s r ort on(up V, out els) City: [' _- 'lyfc LPCI ._ NG _ Oil Phone: Fax: F-mail •uer7ain ea—T3diilanal over 4 out Cls rocessplsrt6 sc emrtrcrequire ) _ Number if ou:lcts Name: ter rter app atace or Agit meat: i Address: __ Decoxativefire lace City: Slate: !IP csert type _ ,�__..---- oouove Po et Cove Phone: - - fax. E.-mail -- Applicant's slgrtature: a ,i ) Cate: " _!__. ter: _ Permit fee............. .... Nnt MI Jurad6cuom accept ctuarl cordo,;)IMW:YI tudtdlcdnn rm move Ino rro.aam. Notice lids perinit appli%.Atiot nlinimum fee ..• O visa ❑Maeter<"ard expires H'a pernn is not obtamcd , credit cad numb": Man review(at ._ 'k) f _L L_ widti.t IRO days athel it has:wort State surcharge(8%) $ _ - -- accepted as complete �.� TOTAL .............. Nrrnr ut u r4rhuw+unr•Rdir;rd $ P ... ... i rdholdrr slurs Am was 41 "17 IrtltlriCOM l WEIGHTS ,t �. RKKA t ., N,• .. RKMA Unit Shipping Operating .,Shipping Operating Ibs Ikgl lbs[kgl Ibs Ikgl Ibs(kgl A036"08 520[236] 513 1233) 550(249) 543 12461 A036"12 529[240) 522(237) 559[254] 552[250] A042"08 53612431 5291240) 577[2621 57012591 A042"12 545[247] 538[244] 58612661 57912631 A048"08 58012631 _ 573 1260] 587(266) 580(263] — _ A048"10 580(263] 573(260) 587[266] 58012631 A048"13 585[265] 578[262) 592(2691 585(2651 A060"10 58012631 573[260) 597[2711 59012681 —� A060"13 58512651 578[262) 604[274) 597[271) A072"10 615(2791 608[2761 — — A072' 13 62112821 614[2791 — — A085"13 . 714[324] 705[320] — — Acceaory •8hlppeng--Ibs(kg]• Operating—Ibs(kg1 ' CENTER OF GRAVITY(C.G.) —� Economizer 70 Est.[32) 65 Est.[29) Capacity Tons IkW] A In.(mm] B In.(mm] Power Exhaust 30 Est.[13) 25 Est.(11) 3.6(10.6-21.1) 381/4(972) 253/4[654) Fresh Air Damper(Manual) _ 11 (5) 9 (4) 7.5(26.4) —(991) 261/e 16641 Fresh Air Damper(Motorized) 13 (6) 11 (5) Roof Curb 14' 921421 88[40J Copselty Tots 101 Comer WelpMt by PereenUge --� Roo1 Curb 24' 1081491 104(471 A B C D 3.6(10.6-21.1) 22% :7% 23% 28% CLEARANCES 7.5 126.4) 23% 29% 21% 27% (3 to 7.5 Ton[10.6 to 26.4 kM Models) The following minimum clearances must be observed for proper unit performance and serviceability. .� LIFTING DETAIL Is Recommended Lucatlon Cloam"In,(mm] 48 112191 A-Front SPREADER BAR LIFTING BEAM 18(457] 8-Condenser Coil / 12305 NOTE:Supply duct may be Installed 12(3051 C-Duct Side Wllh"0'Inch Clearance t0 combustible CABLE OR CHAIN 36(914) 0-Evaporator End materials,provided 1"125.4 mm] �`� 60115241 E-Above minimum Fiberglass insulation is applied either inside or on the outside \ 'Weboul Economurr 57'1141e mml Weh Economizer of the duct. A C a/ 4e'116 mml SHACKLE `\ \ (EACH CORNER) X \ C i E CLEARANCE c.� . B \ j, r 1 n«atnn«t«�NAh�Nr Cnr+v«.rtlnnie G co oTa(,--h AP T-0 P V ic"w 7.2 X– —� rot, (� KKA 0GU <- zo S Tor) � 5 IZ N e ew, R k� p c) /wL0 A-l" CL/PS —_— - use A/Ravod LA y/f*" ROOF cG r rs r�Daf c t,✓ /� ! tirrok St�tccr /�1ovy7rv/ LN L7v�� worK, '� 7 , CITY OF TIOARD Approved...... ................................................ Conditionally Approved.....................................( ): For only the wo as described in: PERMIT NG.� r. d'��. —�D--- See Lettor to:Follow..........................•:•.••••••••••�l(, ) J9b Address: By: � 1__- CITY OF TIGARD November 15, 2001 OREGON Associated Consultants, Inc. 7 Structural Engineers 1750 SW Skyline Blvd., Suite 20 Portland, OR 97221 RE: George Town Manor- Swimming Pool Roof Replacement PROJECT INFORMATION Address: 9050 SW Scholls berry Rd. Number of Stories: 1 Permit Number: I3UP2001-00399 Sprinklcred: No Occupancy Group: NA Fire Alarm: NA "Type of construction: VN Rated Corridors: NA Floor Arca: NA The City of Tigard Building Division has reviewed the submitted building plans for the above referenced address in accordance with the Oregon Structural Specialty Code(OSSC), 1998 edition. The plans for this project are approved subject to the following conditions. 1. Special inspection for the field welding of the threaded stud to channel embeds as shown on Detail 1 of Sheet S5.1 will be performed by Carlson Testing. Reports shall be sent to Hap Watkins, Inspection Supervisor at 13125 SW Ball Blvd., Tigard, OR 97223. Any discrepancies shall be brought to the immediate attention of Associated Consultants, Inc. A final signed report shall be submitted to the City of Tigard Building Division in accordance with OSSC 1701.3 2. A roof nailing inspection is required prior to installing any roof covering. 3. A copy ofthe approved plans shall be on the job site at all times and available to the City of Tigard inspectors for inspection purposes. OSSC Section 106.4.2. If you have any questions regarding this review, please contact me at(503) 369-4171 ext. . Sincerely, ,(� (.7 t'.�'" Gary Lampella Building Official C. Bob Carlson, Inc.—FAX(503) 640-4846 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 — CITY 0''-*TICARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _ — S U P — Received Date Requested_t Z� v 7— AM__ ___ ___-- PM Blip _ Location �SZ� -� --- &�C- Suite - --�_'"'��J 2:90 Contact Person _ - Ph(--___-_ ) _ PLM Contractor ._ - Ph( ) -__ SWR BUILDING Tenant/Owner '� '_-�i�� _�_ EL(; - _-- Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain _ Slab Inspection Notes: ^/ C__ SIT Post&Beam VL%—V- \ /tet" Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ----- Insulation Drywall Nailing --- --- -Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof v Other:_ _ ----- Final — PASS PART FAIL — - —� PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole 'r Storm Drain -- — Shower Pan i Other: — ---- -- Final PASS PART FAIL E Post 8 Beam �� --------------._—.__.--- --__-- ------_— Rough-In __�_ ---- ---- — Gas Line Sm Dampers - ------ ----- -- -- — inal SS�i PART_ FAIL RICAL _._ _ Service — — —� Rough-In -- _ UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Fj Please call for reinspection RE: u Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Date. 6"d 1— _ inspector Other: Final — 00 NOT IREMOVE this Inspoction record from the Job site. PASS PART FAIL -_--- BUILDING PERMIT CITY OF TIGARD PERMIT M BUP2001-00399 DEVELOPMENT SERVICES DATE ISSUED: 11/19/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126BC-01700 SITE ADDRESS: 09050 SW SCHOLLS FERRY RU SUBDIVISION: GEORGETOWN MANOR APT ZONING: R-40 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: �L' FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? 'TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft J FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 31,000.00 Remarks: Construction of new roof over swimming pool Owner: Contractor: MCGILL, ANITA M TRUSTEE AND BOB ;ARLSON INC MCGILL, ROBERT ESTATE OF 560 SW MAPLE 1662 GRAFF CT HILLSBORO,OR 97123 S�( LEANDRO, CA 94577 Phone: 640-3623 one. Reg #: LIC 005113 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Plumbing Permit Required Framing Insp PLCK CTR 10/30/01 $213.40 27200100000 Roof naiing Insp FIRE CTR 10/30/01 $131.32 27200100000 Gyp Board Insp PRMT CTR 11/19/01 $328.30 27200100000 Structural welding final rept 5PCT CTR 11/19/01 S26.2G 27200100000 Final Inspection Total $699.28 This permit is issued subject to the regulations contained in the Tig-,rd Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee L{ Signature: s!- Issued By: Call t39-4175 by 7 p.m. for an Inspection the next business day Building Permit Application City of Tigard - -- Date received: Permit no. Address: 1 1125 SW Hall Blvd,Tigard.OR 97223 Project/appl.no.: Expiredate: Cay u/1,gurtl Phone: (503) 639-4171 Date issued: By: Receipt no.: � Fax: (503) 598-1960 Case file no.: Payment type: Land use approval - I&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition XAddition/alter.itioii/replacement U'renant improvement U Fire sprinkler/alarm U Other:'JOB SITE INFOlIMATION r Joh address: -90 5o S W. SC 16_ Bldg.no.: Suite no.: S_ Lot: Block: Tubdivision: cr -71.ir map/tax lot/account no,- Project name: o Sw,r►�rh; <<.GI _ �' " Descriptign and location of work on prem,ses/special conditions:_ eAu — ooe* _ Slvly% i^ ty3 Name: Mi.6,11, M �,r . 7 Mailing address: j _ _ 11 &2 famHy dwelling: City:.� ,i tr0 Statc:(' 'LIP: g4l�L;7 Valuation of work........................................ $— Phone: Frx: E-mail: No.of Ixdrooms/haths................................. �— Owner's representative: dT CA-ef-11 Total number of floors................................. Phone: SV 7oj-`i5(PJFax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name. 806 Covered porch area(sq.ft.) ......................... _ Mailing address:P,;J 12y>< &3 Deck area(sq.ft.)........................................ Cit 11State:t ZIP: Q713 Other structure area(sq. ft.).................._.. y: Phone 503 (oyu-3G.)-> Fnx: (�yit 0�kgj E-mail: Commercial/industriallnui(ti-(amii�: Valuation of work........................................ $ I - Business name: (cam �,� ', Existing bldg.arra(sq.ft.) .......................... �. New bldg.area(sq.ft.) Address: i W- City: ► Slate:CGR ZIP: Y r%a Number of stories......... _ Phonet.%3 (o4p Fax: (040 4946 E-mail: Type of construction.................................... Occupancy group(s): Existing: CCB no.: 11 _ New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be 111 W1 licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to he licensed in the Address: -- jurisdiction where work is bring performed. If the applicant is Cit State: 7_IP: exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Fay - E-mail: Name: , r}S Contact person:j brit k �, Fees due upon application ........................... $ Address: ).7jgo SLI 11 ) _C Date received: City: , Statc:OK 'LIP: (i7)al Amount received ......................................... $_-_• ---- Phone: 3gil- pw(Dp Fax.. ty- y E-mail: _ Please refer to fee schedule. hereby certify I have read and examined this application and the Not all jud"ctiom arcept credit cards,please call jutisdicti m for mote inforntallon attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will be complied ,whether s cified herein or not. Credit card number -r:spfrcs Authorized signature: —-- Date: 1J ;IO%` ---Name or cardlioldet as shown on credit card Print name:_� .>~ws Cardholder sipature E- Amount Notice:This permit application expires if a permit is not obtained within 190 days atter it has been accepted as complete. WAM 3 t69WOM, I Commercial Plan Submittal Requirement Matrix 0. City of Tiga►d TYPE OF SUBMITTAL # of Plans l (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 -- - - - - _. - — ---------- Plan review is dependent upon submittal of a completed application and plans. Atter plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. Vd'.ts\1om!s\C0k1 matrix do( 9!24!01 WY OF 11GARD November 15, 2001 ,. �.- y,f OREGON f Associated Consultants, Inc. Structural Engineers 1750 SW Skyline Blvd., Suite 20 Portland, OR 97221 RE: Oeorge Town Manor– Swimming Pool Roof Replacement PROTECT INFORMATION I Address: 9050 SW Scholls Ferry Rd. Number of Stories: 1 Permit Number: BL1P2001-00399 Sprinklered: No Occupancy Group: NA Fire Alarm: NA Type of Construction: VN Rated Corridors: NA Floor Area: NA The City of Tigard Building Division has reviewed the submitted building plans for the above referenced address in accordance with the Oregon Structural Specialty Code(OSSC), 1998 edition. The plans for this project are approved subject to the following conditions. 1. Special inspection for the field welding of the threaded stud to channel embeds as shown on Detail 1 of Sheet S5.1 will he performed by Carlson Testing. Reports shall be sent to Hap Watkins, Inspection Supervisor at 13125 SW Hall Blvd., Tigard, OR 97223. Any discrepancies shall be brought to the immediate attention of Associated Consultants, Inc. A final signed report shall be submitted to the City of Tigard Building Division in accordance with OSSC 1701.3 2. A roof nailing inspection is required prior to installing any roof covering. 3. A copy of the approved plans shall be on the job site at all times and available to the City of Tigard inspectors for inspection purposes. OSSC Section 106.4.2. If you have any questions regarding this review, please contact me at(503) 369-4171 ext. . Sincerely. Gary Lampclla Building Official C. Bob Carlson, Inc. —FAX(503)640-4846 13125 SW Hall Blvd., llgcard, OR 97223(503)639-4171 TDD(503)684-2772 — Associated Consultants, Inc. Structural Engineers November 12, 2001 Mr. .1ini Wiard, CPM Guardian Management Corporation 4380 SW Macadam, Suite 380 Portland, OR 97201-6486 Re.: Swimming Pool Building Roof Replacement (Permit tio. Itt'112001-110399) George Town Manner 9050 SW Sc.holls Ferry Rd. Beaverton, Oregon Dear Jim. Following is our response to the Plan Examination by the City of Tigard of the above referenced project. Items arc numbered in accordance with the review comments. Item 1 'Truss "engineered" drawings are enclosed. Item 2 Boundary nailing is clarified in the framing plan. Item 3 Special inspection will be provided for oeld welding. Item 4 Two H2.5's have approximately the same vapacity as H 10-2. It was changed for ease of installation Please see the revised calculation page 8 (enclosed). Item 5 The attic space will loo ventilated through cave and ridge openings. Please see details 2, 3, 4, and 8 on sheets S5.1. Item 6 Skylight data sheets are enclosed. We trust (lie above is satisfactory for your needs. Pleasc do not hesitate to call me if you have any questions. Sincerely, abrak Amit i, l . Associated C'ot�sult, .. Inc. 1750 SW SKYLINE BLVD. SUITE 20 PORTLAND, OREGON 97221 PHONE: (503) 384-0460 • FAX: (503) 384-0499 November 5, 2001 Associated Consultants, Inc. r OF TIGARD Structural Engineers 1750 SW Skyline Blvd., Suite 20 Portland, OR 97221 OREGON RE: George Town Manor--Swimming Pool Roof Replacement PROJECT INFORMATION Address: 9050 SW Scholls Ferry Rd. Number of Stories: I Permit Number: IIUP2001-00399 Sprinklered: No Occupancy Group: NA Fire Alarrn: NA Type of Construction: VN Rated Corridors: NA Floor Area: NA The City of Tigard Building Division has reviewed the submitted building plans for the above referenced address in accordance with the Oregon Structural Specialty Code(OSSC), 1998 edition. The following information is required prior to issuance of the permit. 1. Please provide engineered truss drawings to the City of Tigard Building Division. 2. Sheet S2.1 indicates boundary-nailing 3" on center while Sheet S5.1 shows 4" ori center nailing. Please clarify. 3. Detail 1/S5.1 indicates threaded studs welded to channel. All field welding requires special inspection in accordance with OSSC Chapter 17. 4. Sheet 8 of the structural calculations call out Simpson 1110-2 bottom connections for the brace. Sheet S5.1 shows Simpson 112.5. Please revise to match the calculations. 5. Please show the method of roof ventilation that will be used on the plans. 6. Please submit manufacturer's information on the proposed skylights. If you have any questions regarding this review,please contact me at(503) 369-4171 ext. Sincerely, 14 Gary Lampella Building Official C. Bob Carlson, Inc. -FAX (503)640-4846 13125 SW Nall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2.772 — - -- Main Office Salem Office Bend Office P.O.Box 23814 4060 Hudson Avo.,NE P.O.Box 7918 Tigard,Oregon 97281 Sair;m,OR 97301 Bend,OR 97708 Carlson Testing, Inc• Phone(503) 84.09 4 Phone(503)589-1252 P:AX (541)30.916 5 FAX(503)684.0954 FAX(503)589-1309 FAX(541)330.9163 Special Inspection FINAL SUMMARY LETTER January 21, 2002 T0108535 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Georgetown Apartments 9050 SW Scholls Ferry Rd. - Tigard, OR Permit No : BUP2001-00399 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 2,1.20, Title 24. we have performed special inspection of the following item(s) per our inspection reports only: Structural Steel — Field, Includes verification of Welder Certifications,Material certifications and Weld PlocedurPs All inspections and tests were performed and reported according to the requirements of Project Documents .arid, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Cade and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfuy submitted, CARL-SO ESTING, INC Jam F Hietpas Qu ty Assurance Manager JFH/Is cc Zurbrugg Construction Associated Consultants P 1WORMREPORi51FINL M1010l575 ELECTRICAL PERMIT CITY OF T;,rte�ARI PERMIT#: ELC2001-00423 DEVELOPMENT SERVICE.) DATE ISSUED: 8/21/01 13125 SW Hail Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S1268C 01700 SITE ADDRESS: 09050 SW SCHOLLS FERRY RD LAUNDRY SUBDIVISION: GAVRY, MTOWN MANOR APT ZONING: R-40 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(5) branch circuits in the laundry room. Job No 4099 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: �Y 0 - 200 amp: — PUMP/IRRIGATION EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE r.TG: LIMITED ENERGY: 401 - 600 amu: SIGNAL/PANEL: MANF HM/ SVC/FDR: 601+amps - 1000 volt,: MINOR LABEL (10): SERVICE/FEEDER ,i BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: — 201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+ amp/volt: -- >=4 RES UNITS:— - > 600 VOLT NOMINAL: —� Reconnect only: SVC/FDR >- 225 AMPS: CLASS_AREA/SPEC OCC: Owner: Contractor: MCGILL, ANITA M TRUSTEE AND GEMCO ELECTRIC INC MCGILL, ROBERT ESTATE OF PO BOX 230072 1662 GRAFF CT TIGARD, OR 97281 SAN LEANDRO, CA 94577 Phone: Phone: 503-579-70) Reg#: LIC 61331 ELE 34-5040 SUP 4589S FEES Required Inspections Type By Date Amount Receipt — Rough-in PRMT CTR v 8/21/01 A $73.45 2720010000( Clecl'I Final 5PCT CTR 8/21/01 $5.87 2720010000( — - Total $79.32 Phis Permit is issued subject to the regula'ions contained in the Tigard Municipal Code State of OR Speaalty 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 Mquires you to follow rules adopted by the Oregon Utility Notification Center Those rules are 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) 246-6699 or 1-800-332-2344 (( L Permit Signature: r�1 lLILL t( Issued By: f OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: _ —____�T��_ DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: —��.t ��-� c —_-------- ------_-- DATE:— _-- ,-ICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Fax:15035257180 Aug 14 '01 8:06 P.01 Electrical Permit Application Date received: _ Ptermitnn.• City �f Tigard RECEIVED PmjWVlkppg na. R-upimdaia, — —Y Crryt,(Tipird Addrru 131:.5 SW Hall Blvd,llgard.OR 972223 -- -- Date il3uadU F'twne (SD t) 639417l9 _ Y Receipt no hex (501) 59R-146p AUG ' SKI Cate file no - - G,lymcatType: Land use appfoval; —. COMMUNIll' 1XJLO!'MENI MM i 1 1 Se 2 CeRuly dwelling or accrxsnuy ']Comrrrrrcual/industrial �I h1ulll-famlly Z)TCnant impmvement 7 Now conetrurnon iJ Add ition/al teration/replacement Z)()cher - —_ U Partial Job address: Suite no.. Tax MWW lotiacuwnt no.: �-Lot �Blnrie- ubdrvtylan — `— Prejeet name; � AA;kEPDetcription and location of work un pttmises' /1UN/J� /y► ---� Esumalrd date of Coif plrtion/impection Cdr 7 -57r .l — Job no: p�9 Ftp, Mit Business name: � r� RCB 2�LG /N[ u°'"�P""' _ thy. (aL) Twat oo.w Address; AoX Z3o07Iv.�reMderatw emgbeoranultf raatNrRrr Clt d.4l4 � StateIwellltig.nk.4+rwnrn.,tu►redgu.ae . p/ 21Pc9 y2 f%/ s r.+rauuwaa Phone. loco 1 n.or less 4 fl9 f93 o Fax; �_�E•mall; P�rrtti7W -lie . �L_ CCB no.: Bach adouional 500 .ft or on thereof t'I!3,3/ _ $lees bus, lac. n0: y-jai/G L,,,,,tedetwr ,res(drnG.t 2 City/meirn lac.n0.' Limitedenergy.non•residendll 2 f 4 a PAM mane aetured hnme of modular dwelling Slynature of'u-rvistn .letytelan(required) Due Servlcalndlor feeder _ � 2 tiup,elect name(pnnr) ��[. [ �VV,$jrr I.ignlat107 s flerelreanrfesden-lesullslloe, akaveflon or nMral{on: /. 100 am 'got leer 1 None f print): : 1 lmpe 401 1mµ1 In 60t1 am 2 M:ultn� address: _—__ --- -- _ -- --- _ 601 unm to I(!(1(1 nmf'- -2 City. SUItI: : _liver Iom m of vntte 1 plurnr troll: Rm�nn+etoN� _� t Owner installation:'Che instnllauon is Ming matte on properly I own temporary aervim oe feerkrs- which is Oat intended for We,lease,rent,or ex..inafl¢e according to lniti14uoe,alteretlon orrvloaltien: ORS 441, 455,477,670,701. 1a)+rn�•"'tr" _ _ 1 201 amps to 41X1 turps Owners lignanirr: Dain: 401 to 600 unpl _2 stanch circuits-new,elteretloe, et attenalaa per prelr Mime: for hunch circttn Na h purrhtse of Address's Mrvfce of feed=(ae,aat:h hriru:h urcurt City, atc: "�= B fere fu•branch circuits without pumbase -_ of ervlce..or fedar fee,first brunch ctraWL / a) 2 Phone: Fax: Fi mail: RhrhsddWonalInUKhcimulI. o MIse.t Servirs or fomaee net inchdrd): U%arvice over 225 entre eonrnerntl U Healnc�wm feetliry fi•ch um nr tin coon circle _ d 9ervnce over 11i1 antp/4wolf of 1 R2 U Harardous locltlon h si n ororUina hni_ 1 famly dw,ilings O Ruilding over 10.00(1 square Fat four or Signal mmult(1)or a limned enerri panel• O system over 600 vnlls nominal mote tesrdantlai umos in one muctum tllenuoo otettettuon' _ 2 0 Building over three lenries O Feeders,I(Y)amps of more •�� tion, � '� 0 l Rra+pt ti load oval 99 petauru U Mlnufacturr-d savctrrer of RV par! Rxh aeteltlotsal iesoeetMo ever aha aU.1weltle r my el on aMoree O Fgmrtfllghtingplan J Cxher �.._ pninspecLon _ sol6esit _aws of paean with may of tlw above n nvatu,atiofes -- ~-- L _ —Tiro atone ere not rtppllCAMO to Iempearary eon timctloo advice, Ocher -- -- — — ---- -- — Fetmit fee. . ........ .. . $ >•all!wiWtrw>.w B terry e+drr eetalt,para•• all)re1•dr./lrm far aceta r�r-:�,.;.1 IVOIiCN.71111 perlr,il appI1C.4Lott via. t7 Mas.et(' -• expires if a pr;mlt is not obtained Plan review(at fit) S Cndd rod na.TbN- „ � Qvl within I Bt'days after it has been Suter.surchafje(11%).-S S•T7 ctrl �' accepted as complete. TOTAL .......................S _ :Zfj-2- — - (- 1i LSM Fax:15035257180 Aug 14 'O1 108. 13/2001 oil: II PAN 503864729' City of Tigard ®00,9'003 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES. Complete Fee Schedule Below: (14IR ALL 3YSTFM5)TYPE SIAL ONLY Number of Inspe par permit allowed Restricted WOReeNVOLVED •RESIDENTIAL.._._,.. $75.00 Service included: Items Cost Total ChCcJr f ypC Of Work InvoWed'. Rgidentlal-per unit •"'�"`--- 1000 sq ft or less star, 15 4 f Audio and Sterno Systems* Fath xd6tional 500 eq ft w Portion therMf L Imlfaa UnergY $75 On - lJ BurWlar 4Jarrr, rmc!i Manufd Heme or Mnrtular UwslGnq Sarvirw or Fnadpr - 39C 90 2 Ll Garage Door Opener' Setvluos , or relora5on Feeders Inxtallntlr>.,, n Heating,Ventilation and Alt Conditioning System' allernitUr,, 200 an,prs or less a80 30 Jot amps to 400 amps �� $toG 85 - - - 2 U vacuum Systems' 401 amps to 600 amps 5580 80 7 801 amps l0 1000 arrtpx 5240W ----�_-_ ? LJ 01her_ Aver 1000 amps ur volts _ _ $454 G5 _J 2 w Rantmul only `` $66", 2 Temporary 5ervtoes or Fenders TYPE OF WORK INVOLVED -•COMMERCIAL ONLY nnlauatloo.alleraBnn,or relocation Fen for each system . . .. I....I.............................. :70,00 910 amps or lass $8ri.e5 _ 2 (SEE OA4 91e-2(;O.260) 201 amps to 40n ampe $!00.30 + 2 401 amps to 000 amps $133 75 1 Chsck Type of Work.Involv6d over Poo art,ps to 1000 volts. Mea••h-above, Audio and Stereo Systems Branch Circulta Now,attereNnn M arteneinn par panpi aciiier contruis a)The fee for txAnch circuits with purchesa ofaervhas tw clock Sysitams feeds♦fee. F.Ach Drench clreult _T $6.65 b)tt,e(as kir branch nrruilic _ _ 1 E7 Data TelacornmunicAlion Installation l wMhouf purchase of 3avv/C0 or teeder tea © Fire Alarm InetailaHnn First taanch circuit / $4685 yd.P Foci;addttkxul bmndi vi,cud J1 $6 035 _ � HVAC Mlscamnnoua u Inon-imentallnn (Service or Mader not Inrludmt) Each pumd or InlOstion circle $5340 - i acts Quit or outllne lighting $53 40 Inlero0m and Piping Sy9teme Slpnel rwralfr(s)or a limited energy penal,sltaragen or elnenslon $7500 Landscape Im®slion Control' Mlnor Labels(10) $125 00 _ Each additional Inalwtlon over _ - Medical I the allowable In any of the above Dor Int motion $ry2 50 Nurao Calle Per hair -.---..__ - $62.50 it,p4tnt $73 75 _ Outdoor Landscape Lighting' Few C pmtertiva SlOnnhnW Enter total or above fees s .. �� 0thpr R%State Surcharge Numhar of Systan„ "5%Mart Review Fee Sas Tian Review iettlon pn s ' No IKvtistrs sr*required I icoil spa ere required kr all Mher IneteuaUcns aunt of applkstson _ Total Balance Due Enfer total of above fans s— -- Trust Account 0 ---•. 111%State Surcharge S ---- feta/Aalance Due ,4blc\fnr,nti nl; ¢rs dos: OCsr07t01 CITY OF TIGARL. 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received - - Date Re uested AM- --- PM - BUP _ Location C' Suite MEC Contact Person Ph( ) _7 SZ' �% PLM Contractor-__- _ '' Ph( ) ?� -Std SWR BUILDING _ _ Tenant/OwELC ' ZZ 132 Footing ELC Foundation Access: _ Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear --� Framing Insulation �I�S Drywall Nailing - Firewall )i&m it vk Fire Sprinkler - - -- -- Fire Alarm Susp'd Coiling - - ----- -..-.- --- - Roof Other: _ --- --- ----- -- Final - PASS PART_ FAIL --__._-------------_.____--...�- - --- ___-- _PLUMBING -- Post&Beam _ Under Slab __.__-_---- _-- -_--- ---------_ Rough In Water Service - --- - Sanitary Sewer Rain Drains -- -- -------- - - -- - Catch Basin/Manhole Storm Drain -ShowerPan Other: -- Final _PASS PART FAIL - MECHANICAL --- --- --- - -- - - ---------- ------ Post&Beam Rough-In -- --- - -- ---- ---- - Das Line Smoke Dampers - �) /_ z- ----�� -- Final �� Vd ��71 '-��. "- -- � J - PASS PART FAIL _ 1 ELECTRICAL Service Rough-In -- UG/Slab Low Voltage Fire Alarm F-Slar- PART FAIL aRelnspAction fee of$ - require+befort, next Inspection. Pay at City Hall, 13125 SW Hall Blvd, u Please call for reinspection RE Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Date -- -�-- InspAct �L? --Ext- Other: Final SPO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILL'NG Inspection Line: (503)639-4175 MST INSPI_C-i•ION DIVISIUN Business Line: (503) 639-4171 - BLIP PM BUP _ Receive ' ` - Date Requost/ed_ 9 a - AM Location 67� ," /A �.2/w� Suite------ - -.. _ MEG '5-_qO Contact Person _—___ � ? Ph( ) S~� �i'� 3 PLM Contractor -_ 4e , - Ph( j _ SWR BUILDING _- _ I Tenant/Owner ` E ELC Footing I ELC Foundation Access: Ftg Drain ELR Crawl Drain -_ - Slab Inspection Notes: SIT Post&Beam --- - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - _ - - -- - --- Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm f Susp'd Ceiling Root 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: Final PASS PART FAIL V CRANI -- --- _-. ---- -------- -- ---- ------- u6t&Beam Rough-In -- - -- - ------------------ -- -------------- - - Gas Line Smoke Dampers ------- ----- ------ -- - ---_ _ %' S: PART FAIL --- _--...._-----___--------- ---- ----- --- ELECTRICAL Service Rough-In UG/Slab UG/Slab Low Voltage Fire Alarm t Final lPART FAIL 1 Reinspection fee of$ _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSSITE L] Please call for reinspection RE:- - [] Unable to inspect-no access Fire Supply Line ADA Aprroach/Sidewalk Dab -- / '/ Inspector Oth,ir: Final f DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILr)ING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received _� ` c'�LDate/1Requested ____-__ _ AM_ PM BLIP Location _ 512 �f"► � 5 Suite MEC Contact Person Ph( ) _- __ PLM Contractor �1��1 _��_ __ Ph( ) '� -�___ SWR _ BUILDING Tenant/Owner ELC Footing � --�- Foundation CLC . Access -- Ftg Drain ELR U _cxs Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear \ Int Sheath/Shear Framing Insulation Drywall Nailing - 11V �� U��I.� ; �V1m�p1�►tr 1�- 11�� Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling ( (- Roof Other: --- Final PASS PART_ FAIL — PLUMBING Post&Beam Under Slab _ Rough-In Water Service ---------- Sanitary Sower Rain Drai,is - Catch Basin/Manhole Storm Drain ------- Shower Pan Other. - --- Final — PASS PART _FAIL - --- - MECHANICAL_T— _ Post&Beam Rough-In Gas Line Smoke Dampers ----- - Final PASS PART FAIL ELECTRICAL_ Service Rough-In UG/Slab - Low Voltage _— Fire Alarm Final Reinspection fee of$__ required before next ins PASS PART FAIL > - Inspection. Pay et City Hell, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data- r b Inspector--,- rxt Other: - Final �— DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 539-4171 -_ 2 BUP ReceivedDate R ue ted - AM _ PM BUP Location __ _ v '� _Suite _ MEC Contact Person Ph _) 5-7!2 523 Pum Contractor----- ---- - --- Ph 1---- --) - WR BUILDING Tenant/Owner -- ---- ---- ELC _ Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain -_ _ _---.----- -- Slab Inspection Notes: SiT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing - T / -_Firewall Fire Fire Sprinkler Fire Alarm Susp'd Ceiling - -- - Roof — __- Other: - -- --- Final - PASS PART FAIL "----- -- --- --- -- PLUMBING __ ---- -- - -----------_ _ - -- Post& Beam Under Slab - Rough-In Water Service -----`-_-- Sanitary Sewer Rain Drains --- Catch Basin/Manhole Storm Drain -- - Shower Pan Other: Final PASS PART FAIL - — MECHANICAL - Post&Beam Rough-In ------ -- - -- — ------ - - Gas Line Smoke Dampers --- --- -- -- -- -- -- - ------ Final PASS PART FAIL -- ----- ----� -- ----- ----- --- EL_ECTRICAL - --__._"_ - ---- -- - -- -- ----- -- - ,ervice I!ough-In ---------- - -. — --- --- - - --. IIG/Slab I ow Voltage ----- ----- - ------ - --- --- ---- --- Eim Alarm Fina Reinspection fee of$__----_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL SITE —— +n Please call for reinspection RE:- -__ - Unable to inspect-no access; Fire Supply Line _ ADA - * Dat b C Inspe lk Approach/Sidewa -�-- - Final DO NOT REMOVE this Inspoction recoid from the jab site. PASS PART FAIL CITY OF 9 IGARD 24-Hour BUILDING inspection Line: (503) 639-4175 MS INSPECTION DIVISION Business Line: (503)639-4171 BU _ O_�._ AM-.-. PM _ - BLIP -_ Received -�.---------- Date RF�queste( - � ' O C, c� 1 c _ �- -Suite-- MEC - Location © � � .s �'--�.4� t� D Contact Person _ � -�- ---_ _ - - Ph ��) ) � �ll P � PLM ----- Ph C -- -) - SWR -- -- Contractor Tenant/Owner ELC BUILDING ELC Footing __----------- Foundation Access: ELR Ftg Drain Crawl Drain ---- SIT - Slab Inspection Nates. Post&Beam �- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _-- Insulation - Drywall Nailing Firewall Fire Sprinkler I Fire Alarm _ Susp'd Ceiling �'- Root - Other: Final _ PASS PART FAIL PLWRING Post&Beam 1fly) __ J -- -- Under Slab --��- Rough-In -__ Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole - Storm Drain Shower Pan -- _ - Other. _-�-- Final -- - ---- --- --- -- --- PASS PART FAIL M_E_C_HANICAL - - -- Post&Beam --- -- Rough-In - Gas Line Smoke Dampers - ---- Final _ RT FA!I_ ---- - - - _ L-Et TRI ,. Service - Rough-In _--- - UG/Slab ——---------- Low Voltage ---------- -- -- -_. *F'reAlarmReinspection fee of$_____ required before next inspection. Pay at City Hell, 13125 SW Hall BlvPART FAIL Ir Unable to inspect-no access � Please call for reinspection RE:� --- L� Fire Supply Line / ADA _ Q 1,- lln�speCter. --Ext " Approach/Sidewalk �� Other: JO NOT REMOVE this inspection record from the 16b site. Final PASS PART FAIL fi CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP tel --60 3?r �w Date Requested -( �J AM.-6 PM BLD _ Location C7� -� s L,�- uite MEC ' Contact Person ` /.:�c�-1,� Ph lw / �• �� C._ v PLM _ - Contractor _ Ph SWR BUILDING tenant/OwnerELC __----_-_.-..—__- Retaining Wall ELR Footing Access - - ---- --- Foundation FPS Ftg Drair Crawl Drain Inspection Notes. SGK _ Slab SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear -- Framing Insulation Drywall Nailing rT` �C{- (, U )-rK�E ah C N �S Firewall — Fire Sprinkler AJ67- !AJ Cr0nf7l?/ 4- Fire Fire Alarm Sus 'd Ceiling R Misc: -77 Final PAIS PART FAIL ----- - - 'PLUMBING Post& ♦=Beam -- Under Slab op Out Water Service Sanitary Sewer - -- _ Rain Drains Final — "- PASS PART f'AIL MECHANICAL. Post&Beam ----- Rough In -- Gas Line - -- - Smoke Dampers Final - -- --- -- PASS PART FAIL ELECTRICAL - - .ei vire Rough In - - -- UV/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITEBackfill/Grading -- - - -- -- - -- Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before nex'inspection. Pay at City Hall, 13125 SW Hall Blvd Catch BRSIn Fire Supply Line [ ]Please call for reinspection RE:_ _ [ J Unable to inspect-no access ADA Approach/Sidewalk Data / / Inspector � ' ,Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 639-4175 Business Line: 639-4171 BUP -- -- Date Requested �� `D AM —.—PM BI_Q - — --- --- Location ► l�,D �- �1�, —r /1/Lr Suite MEC Contact Person _ ,_,L�r, (� Ph PLM _ Contractor <?fr� Ph WR � Tenant/Owner LC BUILDING _ Retaining Wall El R Footing Access: FPS Foundation Ftg Drain _ I SGN Crawl Drain Inspection Notes: Slab ___ _e - SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing �. _•r i�')C /� u Y�., a �S y_ Firewall /� Fire Sprinkler = f -4f, n� i l�,Q�? V r-P1fj -J,-) `f:. . Fire Alarm Susp'd Ceiling _ f - —�C)4' 7'c-) !`moi-t2j, 7 1G •�"`.i Z Roof4L1: Misc: -- - e4 . 6 �d art " ' ba�K 1 r'C P cam' Final — - r PASS PART FAIL ii��+�`L 14 T�r`�ni/It —rYoQ i' 1 h:7c.'I� � U � IF PLUMBING Post&Beam Under Slab2 ��^� � Top Out r Water Service -.1 c�� T R �"I, T p — Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL _ Post& Beam - Rough In Gas Line --- — _ Smoke Dampers Final PASS PART FAIL ELECTRICAL �— Service — Rough In UG/Slab -- Low Voltage Fire Alarm -- -- PART FAIT- _ SI _ Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$— required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to Inspect-no access Fire Supply Line l ]Please call for reinspection RE:— — _ _ _ ] ] P ADA _ Approach/Sidewalk Other Date L�'� :15��; ,c .��`Y�� Inspector � ci (:► 1 _Ext Final [_PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175P.- INSPECTION DIVISION Business Line: (503) 639-4171 MST _ MM /� G Received Date Req ested__-_�ld2-AM-- PM BUP �I .f,— I nration �V _ _ � '.. Suite MEC Contact Person Ph(-) ___ PLM Contractor: SWR UILDIN _ TenaTenant/Owner _ ELC --- Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Nates: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --_-_�__— Insulation Drywall Nailing ---- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ ---- -- - ---- ----- —_.-------- ---— - -- Roof Other. n _— SS ART FAIL P_MBINQ ---Y----—— --- ------ Post&Beam Under Slab --- - ---- ----- +- -�- - Rough-In Water Service -- ----- — - Sanitary Sewer J slain Drains Catch Basin/Manhole f Storm Drain --- -- '— `--- Shower Pan Other: Final PASS PAff _ FALL -- - — - ___----- _MEC_HANIC14L Post&Beam — Rough-In -- Gas Line Smoke Dampers ----- - -- - --- Final PASS PART FAIL EL_ECTRICA_L e* Servic --. Rouc+h-In UG/Slab Low Voltage Fire Alarm Final L-� Reinspection fee of$ __required before n6'1 inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE: — _ _— _ Unable to inspect-no access Fire Supply Line ADA 70l ! / Approach/Sidewalk Date---f 2 S V Z- Inspectc,r v Ext Other: Final -� - 00 NOT REMOVE this Inspection records from the jots site. PASS PART FAIL .iAR a 24-Hour- 0-I DING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 � MST Received _ Date Requested__�, ?'AM—_ PM -- - BLIP Location �aS� __1_d/IS _ Suite—_ MEC Contact Person _ .-...--.-_- Ph (------__-.) _--- --_-_-_ PLM Contr Ph ( ) — SWR Q I1-DIK_ Tenant/Owner ELC Footing FoundationELC Access: Ftg Drain ELF! Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation _. Drywall Nailing Firewall Fire Sprinkler - -- Fire Alarm Sus 'd Ceiling Ot in AS _PART FAIL PLUMBING Post 8 Beam ----- ----- --- -----_�. Under Slab - Rough-In :K__ Water Service Sanitary Sewer Rain Drains ----- Catch Basin/Manhole Storm Drain - - --- -- -------- — Shower Pan Other: ---- — —- Pinel --------- PASS PARTFAIL -` ------`i — MECHANICAL Post&Beam -- - --- ---- ------- ----- — Rough-In Gas Line Smoke Dampers Final PASS P. 7T FAIL ELECTRICAL, _ Service — -- -- Rough-In UG/Slab Low'Joltage Fire Alarm _ Final l Reinspection fee of$___ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL. SITE — I j Please call for reinspection RE _ ._. ._ __. [—� Unable to inspect-no access Fire Supply Line ADA ate l Q Z. lospo)ctor '� 1 Approach/Sidewc_.i D. `- Other F-;n�l DO NOT REMOVE thi:i Inspection record from the Job site. PASS PART FAIL CAT`If 4F TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST Received ___ Date Requested �r d PM BUP Location _ 0) S S ��S Suite__ MEC Contact Person __, -__ Ph( ) _ PLM Contractgt Ph ( ) _ SWR F(UILDING, 'Tenant/Owner 6-4-Zr� ELC Footing Ei_C Foundation Access: Fig Drain 77-- ELR Crawl Drain - 1G C Slab Inspection Nott;;: SIT Post&Beam / ___ Shear Anchors r Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - - Fire Alarm Sus 'd C 'ling - 00 then. _ f ---------- - - --in PASS PART FAIL - _UMBINGi^ Post& Beam ^� Under Slab Rough-In Water Service -- Sanitary Sewer Hain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final �— PASS PART FAIL MECHANICAL_ Post&Beam Rough-In Gas Line Smoke Dampers ----- ---- —_ Final PASS PAPT FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$.__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ i ( � Please call for reinspection RE: _— Unable to inspect-no acce�,, Fire Supply Line ADA O/ C../� 7 Approach/Sidewalk Date � � 2�- - In+��reaao, _ Ext � 1 - Other: Final CIO NOT REMOVE this Inspection record from the job site. PASS PART FAIL