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11650 SW Clow, Court
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CITY OF TIGARD 24-Hjur
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION BusinessLine: (503) 639-41" -
/3
BLIP
Received --------.--Date Requested _ AM___-- - PM _.- - _ BUP _ r
Location /1 _� __Suite— MEG
Contact Person — Ph(— ) �7_a d`5 T PLM —_
Contractor _ Ph( _) _ __ SWR _
BUILDING - TenanUOwneN'-�� --- —- ELC _ d
Footing ELC
Foundation —
Ftg Drain Access. �"� rj ELR ----_ _
Crawl Drain
Slab Inspection Notes; a, SIT
Post&Beam _ _ ��(
3hear Anchors
Ext Sheath/Shear
Int Sheath/Shear /
Framing l �l
Insulation
Drywall Nailing -- - —-- - - -
Firewall
Fire Sprinkle.
Fire Alarm
Susp'd Ceiling
'hoof
Other
Final
PASS PART FAIL
PLUMBING_
Post&Beam
Under Slab - - - -
Rough-In
Water Service
Sanitary Sewer
Rain Drains - -
Catch Basin/Manhole
Starr.Drain
Shower Pan
Other:_
Final
FAIL
Rough-In — ----_ _ _. ___ .__._._.—.--- --- _,__— -
Gas Line
e dampers ----- ----— ---- ---�_�
Fi
TIART FAIL ---- --- _—----- -- -- -
tee TRIC
Service --- --- — --- --
Rough-In _-- ---- ---- -------
UG/Slab
Low Voltage
Fire Alarm
in [�S PART FAIL Reinspection fee of$�-__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
El Please call for reinspection RE:__ — _ __ Unable to inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 A _Inspector � 2--� Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITE'- OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MSTBLIP
Received Date eq stedL - AM.�___-___ PM BUP
Location l SD �,� '
-----�� Suite- - MEC
Contact Person - ��� � PLM _
Contractor ___-- Ph( ) SWR --_-_-_--�—
BUILDING Tenant/Owner ELC
Foundation ELC
Ftg Drain Access: f�}!� - - - -
Crawl Drain '_' / •..t ELR
Slab [InspedWNotes: SIT
Post&Beam --
Shear Anchors - - -- - --- _
Ext Sheath/Shear
Int Sheath/Shear
Framing -
- -
Insulation --- -- - —
Drywall Nailing —_-.
Firewall - -- - -
Fire Sprinkler
Fire Alarm - - -- -
Susi-,'d Ceiling -
-�✓L
Roof / -----
Other:
Final -------� --- - - ---
PASS_PART FAIL -
PLUMBING--------- --
Post& Bearn _-
Under Slab _
Rough-In - — ---- -
Water Service
Sanitary Sewer --
Rain Drains --
Catch Basin/Manhold - ---- -
Storm Drain -- -
Shov,er Pan ---
Other. --- -
Final - - - --
--PASS PART FAIL
MECHANICAL
Post& Beam �- - -- - - -- -
Rough-In -_
§CC__fR__1CAL
e6ampers ---S PART FAIL -
Service --
Rough-In � -
UV/Slab - -- -- _---- --- ---- ----
Low Voltage -
Fire Alarm ------ ----- --- ------_
Final u Reinspection fee of$_ __ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL_
SIT_E__ E] Please call for reinspection RE:_ _ F-1 Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dote ) _ Inspector Ext -_-
Other: mq��_
Final -- DO NOT REMOVE this Inspection record from the Joh site.
PASS PART FAIL
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00452
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/14/02
PARCEL: 2511 OBA-02800
SITE ADDRESS: 1 1650 SW CLOUD CT
SUBDIVISION: SHADOW HILLS ZONING: R-2
BLOCK: LOT: 036 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS-
STORIES: _BOILERS/COMPRESSORS _ HOODS:
FUELTYPES 0 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfrTi:
Remarks: Install gas firnace, water heater vent and exterior A/C unit. Do not install A/C unit with the required setback.
Owner: FEES _
KELLER, BOB M +SUSAN D Description Date Amount
11650 SW CLOUT CT I .('l l l
TIGARD, OR 97223 I'rrniit I cc 10/14/02 $72.50
I ML•('li 1 I'11C111111 Fug 10/14/02 $0.00
JTANI x" statcTilX 10/14/02 $5.80
Phone: ITA X18" StatcT,i\ 10/14/02 $0.00
Contractor: _ Total $78.30
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211-4798 REQUIRED INSPECTIONS__
Gas Line Insp
Phone: 11-3311 Mechanical Insp
Reg #: I02030 Duct Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: _ 4� Permittee Signature:
Call (5 3) 639-4175 by 7:00 P.M. for inspections needed the next bu ness day
Mechanical Permit A,pplicaaon
Pottimi� - 15assrttocis�d: _ t
City Of 11gffid pro)ect/aMl.ao.: Expire date:
City ofTirard Address: 1312,5 SW Hall Blvd,Tigard.OR 71223 Date issued: By Receipt no:
Phone: (503) 639-4171
Fax- (303) 598-1960 Caaefikno t'aytnentrype:
Land uSe approval: __-_- __-_- _ Buildin6 permit no
1
;CUINew
amily dwelling or accessory CornmtrciiUindustriA U Multi•fatnlly U Te�tarlt improvement
nstruction UAddition/altetauon/reti&cement O Other:s: �- �� (t Indicate equipment quantities in boxes below indi:.ate the dollar
Bldg.no,. Suite no.: value of all mechanical materials,equipment,lab,
ovett►cad.
Tax mae=lot/account no profit.Value S ...
Lit fount -7�S--ubdivision: *See chvklist for important application information and
1 jurisdiction's fele achedltle for residentiai permit fW-
Pmjoct name. _—
Description and Io6donof work on premises: -/-,I 77---
/ -� Fote(ca.) Trial
QaRrs.Doty Rea.ori
Pit.-d_ateofccwn ledow/ coon: —_ HVAC - —
Tenant irnptov�ment Dir change of use Ait haudlliI umt CFM
Is exisawg%pace heated of randitioacd?U Yes I 1 N. tco t n8 n (site on required)
Is existing spare in61datrd"U Yea O No `ATterati`o•,o7eststing
-VO—jcoT�mptowni
State hoikr permit no.:
BLLaiOCSs Hp Tons BTI UH
Addrt as' a smoTcc im{iar, duct smoke datecuon —
-- -_
Ci State: A- licat mp(site plan requirrd,i —.
Phooe: ��Z` iex: E Mail: Including duetworVvent bner Yas U No 1 1
CCR no,: i _. tnsWureplac mJocnteheattn-st:tpe
City/fWAM lie.no.: _- __---- will,or flout mounted
Vent for ap+�Bance ether than utTtsee
Notate(plem PdUQ: *,eeabow
AbsorptlonunW__.. BrUM .—
�ilkxs
Name:
Address: _ l�rmwtaiioRa � —
O - — - Stale: ZIP: _ _ Apphancr.vent
1'hooe: —- -- Fax: 13 ani1: -hirer exhaust
a Aooan ype l7uTee. tcTi cbeni�aunu-
hood tore suppreumn system
Name: —T— - F-UUUst fan with s ISduct(bath fans)__
- aua a stem a anAC
ressm to
Msiltng add . _._.� of ;Ap to 4 Outlet")
City: ----- �Statc: 7fI' TIP
LPGNG ,- Oil
_.�. Fax. [?-mail el _.encb dduioail ovK 4 onticts ` .`«'
Phone:
Numt» ouutex(as
Namt "f C
msnr rnqu re �
_ aPP -at �t:
Address: Dccorativefu Lace
M --- - —
lasers-ry
- ate -i_ i
__- s � •stout
Phone: Fax. L retail: _
A_pplicstnfe aignatttrc: Da�c. �
Name rine):
_M '
No as*6&daal smtpt exert utds,phaco-11 i b&-Am hx sen ittoxsosn«ti Notice Tlda smile arrucation MintmUM fee. ... .........S
L)Vii O MuVjr.ard , expires if n permit it not aMained Plan review(at %)
t`rdil mni reefer Within I So it has beet
�t� d"4'afar State arn*Wp(11%) ... S —
MWOeM a agora r slaw;�st d.._.. coapted lit p0asplete
-- s TOTAL, - .... - S
440 4617 went:aso
1�
S,Lk)
ff • • e r • __ -
;V
ELECTRICAL PERMIT
�. CITY OF TI "'ARD PERMIT#: ELC2002-00568
DEVELOPMENT SERVICES DATE ISSUED: 10125102
1:.125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-02800
SITE ADDRESS: 11650 SW CLOUD CT ZONING: R-2
SUBDIVISION: LOT 036 JURISDICTION: TIG
BLOCK:
Project Description: Installation of 2 branch circuits,AC and furnace.
MISCELLANEOUS
RTEMP SRVCIFEEDERS
RESIDENTIAL UNIT -- PUM IP IRRI IGATION:
0 - 200 amp:
1000 SF OR LESS: 201 - 400 amp: SIGN/OUT LINE LTG:
EACH ADD'L 500SF: 401 . 600 amp: SIGNAL/PANEL:
LIMITED ENERGY: MINOR LABEL (10):
MANF HMI SVC/FDR: 601+amps 1000 volts: ADD'L INSPECTIONS
SERVICE/FEEDER BRANCH CIRCUITS _ ----
--- PER INSPECTION:
0 200 anip: WISERVICE CrR FEEDER: PER HOUR:
201 - 400 amp: 1st W/O SRVC OR FDR: IN PLANT:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 PLAN REVIEW SECTION
601 - 1000 amp: ----" r=4 RES UNITS--- > 600 VOLT NOMINAL:
1000+ amp/volt: CLASS AREAISPEC OCC:
Reconnect only'
_SVCIFDR > 225 AMPS:
:
Contractor:
Owner: GRF ELECTRIC
KELLER,BOB M+ SUSAN D 15400 SE PARADISE LN
1'1650 SW CLOUT OT MUL INO,OR 97042
TIGARD,OR 97223
Phone: 503-829-4146
Phone: Reg #:
FEES
Description Date Amount ,Required Inspections _
�— in 1•; it �-- $4.28 ` --
I AX(g^h titatr'I'a� Rough-in
l').-112 $53.50 Elect'I Final
�-
Total $57.78
R Specialty
cable
This Permit is issued subject to the regulations contained in the Tigard Municipal wok is State
ot started within 180 days sof and
ssuance,or 6 wlork is laves
All work will be done in accordance with approved plans. This permit will expire i workthe
suspended for more than 180 days ATTENTION Or goon la requi
OOresyou
may flow rucop'es ofted by these ru es ord�ectlq questions to l OUNC Center. se
to t(03)
rules are set forth in OAR 952-001-0010 through 0 1
246-6699 or 1-800-33 344` Permit Signature:
Issued By: --
OWNER INSTALLATION ONLY —
n which is not intend/ed for sale, lease, or rent.
The installation is being made on property I ow
DATE:
OWNER'S SIGNATURE:
CONTRACTOR INSTALLATION ONLY
---_ --- DATE:
SIGNATURE OF SUPR. ELEC'N:
/t�'5
LICENSE NO:
s _ _
Call 639-4175 by 7:00prn for an inspection the next business day
Oct 22 02 11 : 36a GRF Electric 5038295747 P. 1
Electrical Permit Application
� ` Datereceivul: C- j,rT�Z Permit no.
City of Tigard . U t I 'b 0.— Project/appl,no,: Expire date:
Cit,v4Tigard Addrrss: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By:tL;1 Receipt no.:
Phone: (503)63913171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: -
1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
O New construction O Addition/alteiation/replacement U Other: Cl Partial
/ ' SITE INFORMATION-
Job address; U [ to a BWg. no.: Suitt no.: ITax map/tax lot/accourn no..
Lot: Block: Subdivision: —�--__-
Project name: L e. i i&r Description and location of work on premises:
E;..imau:d date of c•nmplcuanhnspe^tion:
r
Job C.s: _ Fes Mu
Business name:
[irscri tlon _ Qt . ca,) Total no.Imp��-y.i� 1
Address: S. het ra � New residential-sinRkorinuldfamilyper
L �_t_e? dnellingwill.Includesattached ptrage.
City: M LA I I an 0 State: OR-1 ZIP: S.nicrfstcludnL 1
xis Phone: q. Fax: _ E-mail: 1000 sq.ft.or leis _ 4
Uch additional 500 sq.ft,or portion thereof
CCB no.: ( Elec,bus.lic.no: Limited energy,residential 2
Cit /metro lic.no.: Limiiedenergy,non-residential 2
„ _ / L� ) Each manufactured home or modular dwelling
Si nsttae of supervising elee 'cion(required) WX Service and/or feeder _ 2
Sup.elect.name(print): VVj Liccase no I(0 5 c; S Services or feeders—Installation,
alteration or relocation:
1 1 200 amps or less 2
Name(pont): k !N s' 201 amps to 400 amps 2
1 461 amps to 600 amps 2
Mailing address: 1 ) _
601 amps to 1000 amps 2
City: r State: ZIP: Z Over 1500 amps or volts 2
Phone: z- Fax: I E-mail: Reconnectonly I
Owner installation:The installation is being made on property I own Temporary services or feeders-
which is not intended for sale,lease,rent,or exchmmge according to Installation,drenlloa,orrelocation:
ORS 447,455,479,670,701. 2W am s or less — 2
201 snips to 400 amps 2
Owner's signature: Date: 401 to 600 ams 2
Branch circuits-new,alteration,
or extension per panel:
Name: A. Fee for brtu,ch circuits with pwchase of
u
Address: service or feeder fee,each branch circuit 2
City: State: s ZIF H. Fee for branch circuits without purchase
of service or realer fee,first branch circuit: 96•� 2
t dx' 11-mSll' Each additional biardch crows
+ Mise.(Service or feeder not included):
❑Service over 225 amps-u amirtvial U Health-care fa hly IEach pump of irrigation circle 2
UService ever 320snips-inwigof1&2 UHuxardouslocation Bach sign or outline.lighting 2
fmdlydwell(ngs O Buildingoves 10,000 square feel four or Signal circuit(:)or a limited energy panel,
*System over 6W volts ntotrunal mere residential units in one structure nictation,or extension• 2
O Building over three stories (3 Feeders,400 amps or more vDcurition.
G Occupant load over 99 persons U Manufactured structures or RV park Each additional tocpedion over the allowable In any of the above.
O EgressAighdngplan U Other — Per inspection
Submit_sets of plaits Kith any of the above. Invests ation fee
Ile above are not applicable to temporary construction service. Olhet
Not all jurisdictions woept credit cards,please call)niedictidn for nacre idmnstion. Notice:This permit application Permit fee.....................$
XVII D MutetCasd LU C> expires if a permit is not obtained Plan review(at r %)
C.aii'a,S n tiler. —= V alto R, D`+11 _-_tIt a within 190 days after it has been Slate surcharge(8%) .... -r
i a_ Eaplrea accepted as complete. TOTAL .......................$
11
2
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