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13348 SW CHELSEA LOOP
s
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-417 MST
Le/= BUP no3
Date Requested AM \ PM BLD
Location '� ' C: �uZ �' c7 _ Suite � �. _MEC ,S—
Contact Person / Ph ,� ZL��I%LM —
Contractor
_ Ph _ SWR
U[� Tenant/Owner _ 191XC,-ELC ��> C19 0/
Retaining Wall
Footing —-_
Foundation Access: ELR
FPS
Ftg Drain —
Crawl Drain Inspe tion Notes: (� SGN
Slab — �r SIT
Post&Beam { �-
Ext Sheath/Shear
Int Sheath/Shur —
am'
Insulation" ` — —
Dr;,wall Nailing (7J77 Glt
Firewall _
Fire Sprinkler Ac. S / ►1. AZA
Fire Alarm
Susp'd Ceiling —
Roof j
Disc
ASS ART FAIL
PLUMBING
Post&Beam — -- —.— _
Under Slab
Top Out
Water Service
Sanitary Sewer -----
Rain Drains , ,
Final — ----
PASS PART FAIL
ANI — —
Post& Beam
Rough In
Gas Line -- -- _
S ke Damp rs
in
SS PAT FAIL
Fervirp
UG/Slab
Low Voltage —
Fi,v Alarm i
i
SITE
PASS PART FAIL
Backfill/Grading ---- ---- _
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
F:--e Supply Line ( ]Please call for reinspection RE:_ — ( ]Unable to inspect-no access
ADA
Ap3roach/Sidewalk
Other Deter^ y'7�- I Inspector_2zli- _ Ext
Final
PASS PART FAIL DO NOT REMOVE this, Inspection record from the job site.
MWIR
MECHii, :Ci+_
R M I T
CI1Y OF T I GARD PERMIT #. . .PE. . . . :
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/10/95
13125 SW Hall Blvd,Tigard,Oregon 97223e8199 (503)639-4171
PARCEL: 2SIOEDB-032200
nDDRLS13. . . : 1 - �46 aW LIiLL` Lf- P
I TIS ",.-I 0 4 L
JBD I V I S T ON. . . . : CIALLS)EA HIL ' . 2014ING: R-12
LOCI;. . . . . . . . . . : LOT. . . . . . . . . . . . 9
UI" wow. . :nDD FLOOR FURN. . . . EVAr COOLERG:
YPE OF USE. . . . :SF UNIT HEATERS)— : VENT FANS. . . :
-CUPANCY GRP. . 11113NT SYSTEMS:
VENTS W/O APDL: VE
0 R I E-3. . . . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . . .
JEL TYPES.-- - 171-3, HP. . , . : 1, DOMES. INICIN:
/ELE./ 315 HP. . . . COMML. INCIN:
AX INPUT . BTU 13 30 HP. . . . REPAIR UNITS:
IRE DAMPER:)'. . : 30-50 HP'.,. . . . WOODSTOVES. . :
01'3 PnESSURC. . . i0+ lip'. . . . . CLO DRYERS. . :
0. OF!' UNITS------ AIR HANDLING LN I TS OTHER UNITS. :
URN ( 100K BTU: 10000 (:fm: GAS JUTLLI !'.
URN ) =100K BTU: 10017.10 c-Fni :
1Remai-k,- INSTALL Rr'SIDENTIAL. i)IR -CONDITI(3hI1!A15 UNIT.
Owner: ....... FEES
JEWEL. i r4urrMAN type amot it by data 1,ecp 1
13346 SW CHELSLA LOOP, PR M T $ x'5.. 00 SW 07/0 7 9!�
5PC7 $ 1 SW 07/07/07)
TIGARD OP 97J-73
Phone #:
ant r,ac,-tcit- .-
D-L HE(ITING
755bO SE PIAllA AVE
.-ACI-/AMAcj' OR 9701.5
656 11134 t a6. TOTAL
12100447
PEOUIRED INSPECTIONS
-is permit is issued subject to the reg!ilations contained in the Me(;.,harlic..41 Irlsip
�gard Municipal '.dde, State of Ore. Specialty Codes and all other Final Ivicpectic)n
.plicable laws. All work will be done in acLcrdance with
_;;provt-d plans. This permit will expire if worl. is not started
':thin IN days of issuance, or if work is sl;spended for more
,an 1N days.
mi t b E w E.3 i 'AT) t 'v-P
�9x�x tukt,
CA11 for inspec-tiori r,719-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
131-'b sw lull Blvd. APPLICATION Permit # �i)�C ,j/
Tigard, OR 97223
(503) 639-4171
»aII4 'scn'pbo, - _—
Table 3A N, ;hanic;al Code OTY PRICE AMT
JobJrfC, 1) Permit Fee - -0 0 1000
Address - -- _
a_2> 2) Supplemental Permit 300
qua:as •Furnace -
1 YI.14 /I 1) incl ducts 8 -ents 6.00
Furnace 3Wt T +Q�
Owner /3?y.5 -s et'i "-Ivre $4'q Zj,) 2) incl ducts& vents 7.50
-7w#511IN I*_ um or TInco ----
7j� 3) incl. vent _- 600 —
�i�spc+n eu-dealer, wa eau�r
4) nr floor mounted heater _6.00_
-'rQnl nor . rncT. - -
Occupant �' P �/c 5) applianoe
_ permit 3,00
� --- eparr a eating,re ng- -'
6) rnoling,absorption unit 6.00
or comp, aT purrs,air cond.
7) to 3 HP;absorp unit to 1001f$T11_- 600 n c
r er or c mp,-F�at pump,air con J -
Ccmtrac'or -S l' v f lAze,' 65('i//eV 8) 3 15 HP,absorp unit to 500K BTU 11.00
._ boiler or comp, a pump,au .cor, -
�IAV4/rxL, J ,X(13- 9) 1'•-30 HP;absrxp unit .5-1 mil BT11 1500
� 7 _-_ r w or cornFfeat-pcmp,arr conn. -- -
�- 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50
T y ac now ge ahave-
, read this application, that ffie —Borer or coon
p, a pump, err cont.
infomration given is correct,that I am the owner or authorized agent 11) r 50 HP,absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State r handling unit to—
laws, that 1 am regi .erid with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number rj ren ie correct (If exempt from State registration it han0ing unn7__- --�-----
I)lease give reason below.) _ 13) 10,000 CTM+ 7.50
�� ---- --� -- 14) m.aporate cooler 450
'v4nt tan connected -" - ---
��-�— - -_ 15) to a single dud 300
`\C L� CenV ti aTnon system not -
16) included in appliance permit 4.50
v<. - Hood sereed by----
17)
y 17) mechanical exhaust 450
escn wu new y a Rion 07-a terauonv-repair Commercial or rn s`tnT----
to be done residential Q non-residential (D l 18) type incinerator
3.:.CC
Existing use of —' ---- �— Othei ra.,woods ve mar
building or property- _ , 19) heater, solar, dcthes dryers,etc 4 50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property,
T, .e of fuel -oil O na�.,ral gasO
p LPG Q electric 21) More than 4-per outlet ----- -_-
—.al
Minimum Fee$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION --
AUTHORIZED IS NOT COMMENDED WITHIN 180 DAYS,OR --�� S%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPE14CED OR - - - - --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED
-- TOTAL
Special Conditions ------ — - ^_
WYif)1/IfT
�sdoend►
Community Development ELECTR►CAL. PEWIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Planck/Rec. #
Permit # E L C,6K - Q Iji 9
Phone (503) 639-4171 Date Issued 7 I J q< _
FAX (503) 684-7297 Issued by ut"y-
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: a. Complete Fee Schedule Below:
Name of Development rn Number of Inspections per permit allowed --
Address /33V$ 5 w CNE( .SEA LOolo Service Included Items Cost(ea) Sum
City/State/Zip TIG AR O IQ 177 2 x 3 4a. Residential• per unit 4
l eon aq It or leas E t t o 00
Name (or name of business) k6k term I,--.,_
Ea
a t ere f sq it or --
portionn thereof 1;25 00 1
Commercial❑ Residential[�— Limited Energy $25 no
Fach Manul'd Home or Modular 2
Dwelling Service or Feeder $rvr no
2a. Contractor installation only:
4b.Services or Feeders
Installation,alteration or relocation 2
Electrical Contractor `j Eek E7(-E(-'FR)C4 INC, 200 amps or less __ $60 00 2
Address,��I1 5 C L!'telt R r-H 201 amps to 400 amps $8000 2
Cite �i4C I'N MAS _ State e)�p Zi �.0/ 401 amps to 600 amps $12000 2
City _� .{L:L p 801 amps to 1000 amps $18000 2
Phone No._�,5-1, ---7 'S 9 6 CNer 1000 amps or volts $34000 2
Contractor's License No. 3- SL Reconnect only $5000
Contractor's Board Reg. No. 0 0 _ 4c. Temporary Services or Feeders
Installation alteration or reloral,on
Signature of Supr. Elec'n200 amps or lose $5000
License No. 13 26- SP e No. �-7 39� 201 amps to 400 amps $2500
401 amps to 800 amps $10000
:!i/
Over 800 amps to 1000 volts
2b. For owner installations: see•b•above
4d. Branch Circuits
Print Owner',j Na New alteration or erttenoion per panel
Address A412( a)The lee for branch circuit@ with
City State Zip purchase of service or Arsder hs,
Fnch bmwh circuit $500
Phone No. b)The fop for branch cucu,ls without
The installation is being made on property I owrl which is purchase,of service or loader ice.
not intended for sale, lease or rent. Fast branch circuit /Fart, sas on 3 S
adddionril branch arcurt $1,00
Owner's Signature4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or irrigation circle $4000
Fach sign or outline lighting $4000 _
Signal c,mud(s)or a limited ener,,y
Please check appropriate item and enter fee In section 5B. panel alteration or extension $4000
4 or more residential units In one structure Minor Labels(10) $10000
Service and feeder 225 amps or more `J
System over 600 volts nominal 41 Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
tis described in N L.0 Chapter 5 `"', "1...... S<500
r'e,hour Rb500
in Plant $5500
Submit 2 sets of plane with application where any of the above
apply. Not required for temporary construction services. S. Fees:
5e,. Enter total cf above fees $ 3S v o
NOTICE 5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Suhtofal $
En 15%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb, PIaI review if required(Sec 3! $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED ❑ ..ust Account t1 $
Balar ce Due s 3
------------
��
PIERMI I
CITY OF" BUILDING TIGARD PERMIT #. . . . . . ..
. . . . . . . : BUpc)C,-O.!5J'i
COMMUNITY DEVELOPMENT rEPARTMENT DATE ISSUED: 07/08/96
13125 SW HrIl Blvd.Tigard,lirogon 972,2,8199 (503)639-4171
FE: ADDRESS. . . : I_34135W CHELSEA LP PAPCEL: 2S1021)B-03200
,UBDI VI Sl ON. . . . : CHELSEA HILL ZONING: R--12
{LOCI',. . . . . . . . . . . 1-01.. . . . . . . . . . . . .
HE I S)SUP: FLOOR AREAS------ LXrv'RIljR WALL.- CONSTRUCTION
CLASS OF WORK. :ADD FIRST. . . . :, 0 Sf N: S: E: W:
I YF'L OF USE. . . :SF SECOND. . . : 0 sl' PROTECT OPEN INGS?-
TYPt. OF CONST. :5N 0 Sf N- S1 Es W:
GPPI. : R3 TOTAL-----: o SIF ROOF CONST: FIRE RF-T'? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREA SEP. RATED:
S TOR. . I H'I : 4 f-t GARAGE. . . : 0 S1- OCCU SEP. RATED:
k-ASM r? . MEZZ7_ READ REQUIRED--------------------
FLOOR LOAD. . . . : 60 l)s F LEF1 1 5 ft RGHT., 5 ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: 0 FRNTi 0 ft REAR: 15 ft FIR ALRMs HNDICP ACC;:
BEDRMS' : 0 BATHS: 0 IMP, SURFAC"E.- 0 PRO CORR: PARKING: lzi
VALUF:. $ t 6000
Remarks : BUILDING A NEW DECK APPIROX 630 SO FT.
Owner : FEES
JEWE !.. KAUFFMAN t VIDe alnoi.(it by date recpt
13,348 SW CHELSEA LOOP P FR M I $ 68- 50 BON 07/01/96 9b-28099-i
PLCK $ 44. 53 SON 07/01/96 96-2809921
TIGARD OR 97223
5 PC T $ 3. 43 BON 07101196
1-1 -1 n e #:
Contractor:
FRICK' S cusrOM FENCING
4543 SW TV HIGHWAY
14ILLSBORO OR 97123
I-Ifione #: 503640543 116. 46 TOTAL
Req 50088
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Footing insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Frost/Beam Insp
applicable laws. All work will be done in accordance with Framing I n s p
approved plans. This permit will expire if work is not started Final 'Inspection
within 180 days of issuance, or if work is suspended for mor+
than 180 days.
ormittee Signatk.tre :
._- sk.ted Dy :
Call f 0 r inspection 6:39-4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 3 ?
Subdivision: Lot# Office Use Only
Valuation: f��C�� Contact Date I lel& Initials V
Result
New Construction Only: (Square Footage) Planck/Rec # 60" I CCP
hir e /
Garage: Permit # &P4�- 03-5 1
e: _
g Reissue of
Corner Lot? Y N Flag Lot? N Map & TL# c - ! r. 3 L
•{ z
T� II Zone i
Owner: J Gwt 1 k A..4n.'trrrr 1ple" Plat #
Address:
133 y3 S Approvals Required
Planning Setbacks ' Solar ' �t
IQ J 172 ,223 Engineering <
,,
Other
Phone: ( SOS ) 999 - VC) 2
Contractor: Items Required
_ 7L� Cus�a�.ti ���L ����
Address. q jSubcontractors
Truss Details
Other
Phone: Notes
Contractor's License # 500 yi�
`1 ' jattach op f c rent Oregon license)
Contact Name , rte_ _
Contact Phone: .5-N 3 __ --
Subcontractors: Architect/Engineer:
Plumbing: _ Address' _
Mer`,anical:
(attach copy of current OR Contractor's License)
Phone:
JC a DESC ION.
Apc,1icant ignature Applicant Phone number
Received by: �� 6ibi-4 f1 Date Received:
�byn•anneo
i
Permit # Account Oescriptlon Amount Amt. Pd. Bal. Due j
Bldg. Permit (BUILD) Sb �pg`)- _ t
Plumb. Permit (PLUMB)
Mech. Permit (MECN)
State Tax (TAX) ( 3 �_
Bldg: 13
Plumb:
Mech:
Plan Check (PLANCK) v' S `
Bldg: u• 5 3
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (ER 0SN)
TOTALS: �'� 1 I6
E37
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