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11370 SW COTTONWOOD LANE n F-, F-� W v O t Ln n 0 ct cr o 'E 0 a r CD 11370 SW COTTONWOOD LANE C� Tf�.S CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: 3--��' - M. P.M. NIST: Location: 1131,oG/ �_ BUP: '-- Tenant: Suite:__ Bldg: MEC: Q Contractor: _ Phone: 25 7- 7000 PLM: Owner: _Phone: _ EL9: ox) ELF.: SIT: BUILDING BLDG(con't) L ELECT..RICAL SITE Site Post/Bewn osUlicam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFl/Slah Rough-In Ceiling Water Line Slab Framing Top Out Gas line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault lismt Damp Drywall Storrs � Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm C :wl(Found Dr Ileat F' Low Volt Approved v rove Approved Approved Appr/Sdwlk Not Approved Not proved Not Approved Not Approved FINAL, FINAL N FINAL FINAL C1 tall for rein C7 Reinspection fee of S. _-required before next inspei tion C7 Unable to inspect t Insprctor:--- -- - --- Date: - - - -- Page——of- - i CITY OF TfGARD BUIL :ZING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date.Requested: _-) `Cf 9 A. P.M. MST: _ Location: 1 3 r BUP: Tenant: Suite: Bldg: NEC: Contractor: Phone: - '115,67- 7600 _ PLM: Owner:-- Phone: _ ELC: y-- ELR: (J" SIT: -- BUILDING (con't) PLUMBING MECV 0ICAL �ELECTRICAL , SITE Site Post/Beam Post/Beam Post/Bear► Cover�79itc`. Sawer/Storm Footing Roof UndFI/Slab Rough-Ir Ceiling Water Line Slab Framing rot)Out (las Linc Rough-In Uri Sprinkler Foundation insulation ewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnas;e Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/l�ound Dr Heat Pump LAW Will Approved Approved Approved pruvec Approved \ppr/Sdwlk Not Approved Not Approved Not Approved laved Not Approved FINAL FINAL FINAL 90-j-FAL FINAL O Call for reinspection �' C3 Reinspection fee.of S required before next insr ction O Unabl-i_,inspect Inspector:___- Dae' 3 — — t - _— Page of _— CIT11 OF TIG ELECTRICAL PERMITA R D PERMIT #: ELC98-0114 DEVELOPMENT SERVICES DAIS ISSUED: 03/10/9& 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PARCEL: t S i.34BD-07007 SIAL AUDRI.:SS. . . : 1. ] a/0 faW I1[)-f_1 C)NW001) Llai SURD I V I S I ON. . . . r E.NGLEWOOD NO. 3 ZONING.- R-4. 5 BLOCK. . . .. . LOI.. . . . . . . . . . . . . :2 :,�� JURISDICTION: TIG Project Description : Milliren ----------------- ------------------------------------------- RETS I DEN T I AL UNIT--- -'T F'hIF' SRVI:/F ELDE R8------- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 Er-ICH ADD' I... 500SF. . . : 0 201 •- 400 amp. . . . . . . : 0 SIGN/our LINE L'f G. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 0 MARIE. HM/ SVC/FDR. . : 0 601 +amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER __ ----BRANCH CIRCUITS—— ---ADD' L. INSPECTIONS— Q) NSPECTIONS--- -- 201T amp. . . . . .. :, 1.-1 W/SE RVICE OR FEEDER: 0 F'E:.R INSPE.CTION. . . . . : 0 201 - 400 amp. . . . . . :; A in W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 40 1 - 600 amp. . . . . . : 0 EA ADD" L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 -- 1000 amr.. . . . . . 0 _________________PL_AN REVIEW SECTION----------- - -.____ 1000+ amp/volt. . . . . : 0 )=4 RES UNIT'S. . . . . . . . : ) 600 VOLT NOMINAL. . Reconnect only. . . . . : SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ____________-_ _____._____.__.___________._____._.__.......__..__ FEES --_--__---------._. ROBERT MII LIREN type amol-int by date recpt 11370 SW C0TI ONW00D LN PRMT $ 40. 00 ,JSD 03/10/98 98-303578 TIGARD OR 97223 5PC"I $ 2. 00 JSD 03/10/98 98--303978 Phone #: 590-3755 Cent Tact or a --____ ----•----_.___._______ BE:CK ELECTRIC INC `0 42. 00 TOTAL 9318 SE CHURCH ST _._ _......_.__ REDUI RED INSPECTIONS CLACKAMAS OR 97015 Roi-tgh-in Elect' 1 Final Phone #: 656--7396 Elect' 1 Service Reg #. . : 000026 �- This pewit is issued sohject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Coops and all other applicable laws. All work will be done in accordance with appr ved plans. This pereit will expire if work is not started within 188 days of issuance, or if work is suspended for tore than 180 da s. ATT ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule are et f rth in .52-Q10: Q�vJlB through DAA 952 7. You say obtain a copy of these rules or direct questions to Ol1HC Ing 1531 6-11987. I ', rmi.ttee Signatt.�re : � IssLied By`��_ _.__-__-_._.--------__.______.---OWNER INSTALLATION ONL` The installation is being made on property I awn which is not intended far sale, lease, or rent. OWNER' S SIGNATURE: w _ - DATE: - _- - -- -- ------- -------CONTRACTOR INSTALLATION ONLY----•------------------------_-, b I GNATURE OF' SUPR. ELEC' N a _ W_ DATE a LICENSE NO: e ++++++++++++++++4•+++++++4+-+,+++-1•+•+++++++t 4••F++++•+++++++-h+++++++++4•++++++++++++++•a Call 6.39-4175 by 7:00 p. m. f'or an inspection needed the next busiress day h+++4.++++++++++++++++++++++4-•f++•} 4•+++++++++- ++ • +++++•+++++++++++++++•}+++++++++++4 } Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hal' Blvd. Tigard, OR 97223 PlanckiRec. # Permit # Phone (503) 639-4171 Date Issued _ �-5 rcr ;It clnr o�Tloaae FAX (503) 684-7297 Issued by _ �T TDD No. (503) 684-2772 ` inspection (503, 639-4175 1. Job Address: 4. Complete Fee Schedut,, Below: Name of Development Number of Inspectiortr,par permit allowed Address ^��(��t-7VJ�.I-x Service Included Iter* C0911(94) 'Aim City/Statefzip,.�cL " , - . l i k 4s. Residential-per unit — 4 10,4 sq It or*" V11000 f Each additional 500 sq rt or Name (or name of business) pomwnther" $2500 Commercial ❑ Residential Limited Energy $2500 - Each Manul'd Homo or Modular2 Dwelling Sernce or Feeder i Ila 00 2a. Contractor installation only: 4b. Services or Feeders Installation,aserstion,or relocation 2 Electrical contractor i ��1-�-� _. 200 amps or less 38000 2 Address 201 amps to 400 amps $8000 2 401 amps to 900 amps $12000 2 City (_1���,'�.1�1.C-U)_ State & Zipa-1 I J 901 amps to 1000 amps $leo 00 2 Phone No. LE)W- '11,0 Over 1000 amps orvolls $34000 2 Contractor's License No. ' Rermnnect only $5000 Contractor's Board Reg. No. (-O�& 4c. Temporary Servicess,. Fesden 7 Installation,ahsration,or relocation 2 Signature of Supr. Elec'n ,�;—�,�-� �c•� "� 200 amps or,ssa $5000 201 arrive to 400 License No. 1 3c�Ci? ,�� Phone No. - deoampa s s� 02 401 amploar, $1000000 00 _ Over 9amps to 10(X'volls 2b. For owner installations: ^°°'b'a'°°° 4d. Branch Circuits Print Owner's Name_ _ Now aseralxon or eutenuon per panel Addr3Ss a)The tee for Manch anise with �. purchase of service or header to& 2 State Llp Each brarw,i arcus :600 Phone No. b)The fee for Manch arcurts without The installation is being made on pro,ierty I own which is purchase of service at Rieder Am, � 2 First Manch arms $3500 l f not intended for sale, lege or rent Each additional Mand,arrx,n $600 Owner's Signature — 4s. Miscellaneous (Servi-a or feeder not included) 2 3. Plan Review se0ion (it'required): E.,ix pump irhgrtwn and° -- $t000 --- 2 Em3x Nn o xA "i iyMmg —_ $40 00 Sr,nal cirrod(:i or a limited evorpy ' Plee„e check appropriate!lam and enter fee in section 5B. )anel an-xratxon or extension $4000 is or more residential units in one structure Minor Labels(10) $10000 Service and feeder 22.5 amps or more ;.✓stem o-w 600 volt%nominal 41. Each additional inspectlon over Classified area or stricture containing special occupancy the allowable in any of the above as described in N E G Chl.ofor!i I pBn erx+c+'on - $350u — 'ei hour S6500 n 'tanl $5500 Submit 2 sets of plans with application wires any of the above apply. Not required for Itrmporary construction services. ;S- Fees: NOTICE Sa. Enter total of above fees $ 5%Surcharge(.05 X total te4s) f _a PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5b. Enter 25%cl line A for CONSTRUCTION OR WORK IS SUSPENDED OR.ABANDONED FOR Plan Review it required(8ec.3) $ A PERIOD'OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED El Trust Account M s Balance Vue $ an CITY OF TIGA►RD DEVELOPMENT SERVICES ;.� 13125 SW Hall Flvd., Tigard,OR 97223 (503)639.4171 44/ ox (adul, - mt�-' I Plan Chec CITY OF TIGAKO Mechanical Permit Application Recd By 1— 13125 SW HALL SLV" Commercial and Reside:ttial Gate Recd TIGARD, OR 97223 Data to P E. ;503) 639-4171, x304 Date to DST Print or Type Permit a _ Incomplete or illegible applications will not be accepted Called _ Name of oeve,opr•+emProjed Description Table 1A Mechanical Code OTY PRICE AMT .lob Strese Address — � Sudea A) Permit Fee 0- 0 1000 Address I ?5 "1 o C I 0nw F. r(yr7,1111e Zip 1.) Furnace tc 100.000 BTU — 600 -- inGudmg ducts&vents I r Nams la name of Dusinessl 2.) Furnace 100,000 BTU+ 7.50 Owner + I .. including ducts&vents Meuting Address 3.) Floor Furnace I 1 1)1 el Z LL.) Le TTo-n LA jc)rx+ l.,) s o0 including vent cd�rstat• zip Phone 4) Suspended heater,wall heater 6.00 q 122 3 1`)o -3) or floor mounted heater Name for name cf business) 5.) Vent not irJuded in appliance permit 3.00 Occupant Matlk+g Address 6) Boiler or comp,heat pump,air cond. 6.00 to 3 HP;absorb unit to t 00K BUT" c 4 sr•r• - IP 7) Boiler or romp,heat pump,air Gond. 11.00 3-15 HP;absorb unit to 500K BTU" Contractor N•r"e 8) Biller or comp,heat pump,air cond. 15.00 (Prior to ))I,. ),Jlti G.r� -2 e.e 15-30 HP;absorb unit.5.1 mil BTU" issuance Mailing Address 9.) Boiler or comp,heat pump,air cond 22.50 applicant 30.50 HP;absorb unit 1-1.75m1 BTU" must prcvide all 44Y.-si tie Zip Phone 10.1 Boiler or comp,heat pump,air Gond. 37.50 co'draetor c"-Q t re,riet S1--7 oae) >50 HP;absorb unit 1 75 mil BTU"_ _ license Oregon Comet.Cont.Board Lic a Exp.Dater 1 1 ) Air handling unit to 10 000 CFM 450 information i 8 =T A?A for COT COT BusMss Tar or Metros Exp.Date 12.) Air handling and 10,000 CFM 750 database) i Architect Name i 13) Non-portable evaporate cooler 4.50 or Mailing Address 14.) Vent fan connected to a single duct 300 Engineercrty'sime : 7 Phone 15.) Ventilation system not included in� 4.50 __ _ appliance permit ___ _ DescnbP work New O Addition U A teration O Repair O 16) Hood served b)mechanicai e)haus+. 4 50 to be done Residential,10 Non-residertt,al O Additional Descr,ptron of work — 17.) Domestic incinerators 7.50 ry r;96-� 1 Commercial or industrial type 3000 ,�1rt� :� c� •�1e+ L Ge�kx.t t L• � c.a c,r1�c e� �� Incinerator Existing use of -!� Repar units 450 building or property 20 j Wood stove 450 Proposed use of 21 ) Clothes dryer,etc 450 building or property P 22 i Other ands 450 Type of fuel-o,l O—natural gas 0 LOG O electric U 231 Gas piping one to four outlets I hereby acknowledge that I have read this-,,,plication that the 24 ) More than 4-per outlets(each) 50 ---JJI information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State CITY SUBTOTAL laws Signature of Owner/Agent Date SUBTOTAL ,,'S r.IURCHARGE 116 Contact Person Name Phone PL4N REVIEW 25%OF SUBTOTAL �5>- 7ocx) 2(v26 ---- Till AL � i drt—,mechpmt doc (rev 9 - 'Minimum permit fees S25+5°o surcharge -Residential AJC requires site pla f show••,nq placement of unir ME Mmm tw.ET PU" PLAN HEA rING Ar WNam: spEcm L Is r 9300 N.E.Halsey-PortleM.OR 9:220 Address: I I'VeD (503)257.7000 Oc)rner lot: YM NO Jd.) Indicate footage to the two nearest property lines from the outdocx unit. Indicate where the street is located and the property lines. F ........... .... I............ ................................. .......... ................... ..........................................................................- If .......... ................. ................ t .......... .......... .......... .......... .... ......... ......... ........ ..................... ................. ........ .... ............ ............................. 4.......... ........... ........ ...... ........... ........ ...........-1......... .................. .......... . ............. ........... .. ............. .................... ....... .............. ........................... .......... ................................ ........... .................... .......... ........ ...... 7 .............. .......... ..............- ........... ............ ..................... .. ......... _ _ t_. �_ _. __ __ _..._.. _ _. _ _ _ ........... ............... .......... ------ ................... ............ JI...... ............ ....................... CITY OF TIGARD DEVELOPMENT SERVICES 131:5 SW Hall Blvd.,T,gard,OR 97223 (503)63Q•4171 Mui Lie . City of Tigard PLUMBING PERMIT_APPLICA TION Planck/Rec. # 131265 SW Hall @'vd. Per-nit # - 7-7 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARG=E o "W"M New Single Fam11y Residences Only MOM ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job 11 -3 7v Ce)TlL)n ❑ 3 BATH HOUSE 3225.00 Address opw. ar FLe includes all plumbing flxtvm in the dwelling and the first 100 feet \J lLl of water service, sanitary sewer and storm sewer. See fees below. NM(W 110 Ani1°"""r FIXTURES QTY PRICE AMT Slnf 9.00 lavatory 9.00 Owner it 3 7,-) .,&w C-.rTTavnLo,,,-,j l,,,., i Tub or Tub/Shower Comb. g,p0 Shower Only 9.00 '-) 7.12-3 Water Closet 9.00 raw Ir tiw M rrr�l Dishwasher 9.00 Garbage Disposal 9.00 nCCrp "'a""r'� °""' Washing Machine 9.00 Floor Drain 9.00 Water Heater t 9,00 (,x� Laundry Room Tray 9.00 ,�2 5 7- -7 C,e.,ci Urinal 9.00 ku- �O�Q a f- » u-t el[JA a.L. Other Fixtures (Specrfy) 9.00 w�Arrrr t+e"r �� Contractor 9 ki a-L,. 9.00 ab+wr. ar ___ 9.00 � 9 7-2 If) Sewer 1st 1C0' 30.00 °CV"" T.N. Sewer-ea. Addit 100' 25.00 '4 U '` r 'Water Service 1st 100' 30.00 I hereby aacnowledge that r have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner• that plans submitted are in compliance with State laws, that Stone &Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storm b Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, plo.ise orve reason below.) Mobile Horne Space 25.00 Back Flew Prevention L '�3- 6, -VR Device or Anti-Pollution Device 9.00 W 8"M °" Any Trap or Waste Not Connected to a Fixture 9.00 Descnbe work new Q addition <7 alteration Q repair (l Catch Basin 9.00 to be done residential 0 non-residential O Insp. of Exist. Plumbing 40.00/hr Specially Ret-rested Inspections 40.00/hr Existing use of building or property _ Rain Drain_, single familydwelling ;0.00 Residential backflow prevention devices 15.00 Proposed use of t,uiiding or property _ *(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 GAYS, OR IF 5%SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ---FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Pt..,,N REVIEW 25% OF SUBTOTAL TOTAL_ Speci..l Conditions �L Date issued _ __by_ __