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16205 SW COPPER CREEK DRIVE o Ln 0 O m X a n M m m X 0 16205 SW COPPER CREEK DRIVE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24--Hour Inspection Line: 639-4175 B:isiness Line: 639-4171 - PUP Date__ Re//quested 4 )' _ AM PM Bt 0 -- Location lGl 2-y/C'� ���� - ,k- Suite MEC Contact Person e/-f, �> (.� Ph �'�� �b PLM Contractor _ — Ph SWR BUILDING — Tenant/Owner C;ELC S Retaining Wall' ELR _ Footing Ac^ess� FPS Foundation --- Ftg Drain SGN _ Crawl Drain Inspection Not P.s. Slab ___ Post& Beam Ext Sheath/Shear -- Int Sheath/Shear Framing - --- -- ---- ------- —�._ Insulation Drywall Nailing - - - ------ -- --- -- --------- Firewall Fire Sprinkler ----- Fire Alarm Susp'd Ceiling _ - -- -- --- --- Roof Misc: - ----- - - - ——-- — Final PASS PART FAIL - — - ----� - - — PLUMBING -- Post& Beam Under Slab -rop out Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL -- - - MECHANICAL Post& Beam - - Rough In Gas Line Smoke Dampers _—- Final PASS PART FAIL E ICAC: -- -------- ��--- -- _.-------__ Service _ ---- -- Rough UG/Slab Low Voltage Fire Alarm _ -- — F' PART FAIL ---- -- - — Backfill/Grading --- Sanitary Sewer Storm drain [ J Reinspection fee of$ —required before next inspection Pay at City Hall, 1312 SW Hall Blvd Catch Basin [ J Please call for reinspection R1 __ [ ]Unable to inspect-no access Fire Supply Line - ADA ApproachlSidewalkDate c C�� Ins FPector Ext Other 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 _ Requested U _AM _PM BLD Location AO Suite MEQ q y9- S7L _ Contact Person /iS r'"f��� PLM �`-1C�J� Ph Contractor Ph SWR BUILDING Tenant/Owner CLC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain _ SIGN Crawl Drain Inspection Notes: ,�� / — ------ Slab Jll� l SIT Post& Beam - ---- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: - - -- — -- Final - ---- ---- - ---- PASS PARTFAIL. -- -- ------ ------ PLUMBING Post&Beam - -- - --_ Under Slab Top Out - - ----- . _-- ---- Water Service Sanitary Sewer - - Rain Drains Final - - PASS PART FAI! HANICA Post& Bearll - -- Rough In , Gas Li Smok I)- r ASS_,/ PART FAIL ttMTRICAL —_ _----- �- Service Rough In ----�_T ---- — — UG/Slab Low Voltage — -- Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- �--- -- - Sanitary Sewer Stone Drain [ )Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk t Date Inspector Inspecor Other Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY Ca F TIGARD ELECTRICAL PERMIT PERMIT#: ELC2000-00005 DEVELOPMENT SERVICES DATE ISSUED: 01/05/2000 13125 SW Ha" Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S114BA-16000 SITE ADDRESS: 162.05 SW COPPER CREEK DR SUBDIVISION: COPPER CREEK STAGE 4 ZONING: R-7 BLOCK: LOT : 125 JURISDICTION: 'FIG Proiect Desrription: Install 2 branch circuits in single family dwelling. RESIDENTIAL UNIT TEMP SRVC/FEEDERS ! _ MISCELLANEOUS _ 1 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 HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL. (10): SERVICE/FEEDER BRANCH CIRCUITS ----- --- ____ � ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 am7: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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 UCG: Owner: Contractor: NORDGREN, WARREN E + DORA D TR PORTLAND STATE ELECTRIC 16205 SW COOPER CREEK CT PO BOX 230933 TIGARD, DR 97224 TIGARD, OR 97281 Phone: Phone: 233-8030 Reg #: LIC 96644 ORIGINAL -S1 IP 4125s ELE 26-854C FEES _ — _ Required Inspections Type By Date Amount Receipt ---_--_..—_. — Elect'I Service PRMT KJP 01/05/200C $42.85 00-320908 Elect'I Final 5PCT KJP 01/05/200C $3.43 00-320908 Total $46.28 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 N 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) 246-1987. PERMITTEE'S SIGNATURE ISSUED BY: 1.�� 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: L"n ��-'1��-C�k`-C va_� DATE:— LICENSE NO- //; 5- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Pian check# 13125 SW HALL BLVD. Rec'o Py TIGARD OR 97223 Date Recd Date to P.E. Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit#E/-C-MoU Fax (503) 598 1960 Incomplete or illegible will not be accepted Called ?. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name �of business) � O ri `�rA T Service included: Items Cost Sum Address 2—e) 5 . .O/�PE�2 e 4a. Residential-per unit City/State/Zips_ / G— ARte_ > �I 7zZg Each a ft or less $ 117.75 4 Each additional 500 sq fi.or portion thereof $ 2625 1 Commei pial ❑ Residential Limited Energy $ 6000 Each Manufd Home or Modular 2a. Contrinctor installation only: Dwelling Service or Feeder $ 72.75 . (Prior trrrarmit Issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data ase). Installation,alteration,or relocation Electrical Contractor ebex. S7->g7S �t..6'C . 200 amps or less $ 64.25 _ 2 Addre—s�s^ /0 Q .�— Z� 3 201 amps to 400 amps — $ 85.50 2 bit / /G State 401 amps to 600 amps _ $ 128.50 2 y _zip 2 601 amps to 1000 amrs $ 192 50 2 Phone No. — Z33 — 40W Over 1000 amps or vclts $ 363.75 � 2 Job No Reconnect only $ 5350 2 Elec. Cont. Lice. No. �- Exp.Date /0—1 —00 .Temporary Services or Feeders 4 OR State CCB Reg. No.N _Exp Date. - —Qf Installation,alteration,of relocation COT Business Tax or Metro No.,5j rLO Exp.Date —00 200 amps or less $ 53.50 2 201 amps to 400 amps _ $ 80.25 2 Signature of Supr. Elec'n X „�//��' 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, _ '112-6--5 Ex see"b"above. License No _Exp.Date Date�O—/—Q Phone No 2.,.3 3 — 103 O 4d.Branch Circuits -- New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 535 _ 2 Address b)The tee for branch circuits without purchase of service City_ _State _Zip _ or feeder fee. } Phone No. First branch circuit / $ 3750 Each additional branch circuit �_ $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent (Service or feeder not Included) Fach pump or irrigation circle $ 42.75 Owner's Signature _ Each sign or outline lighting _ $ 4275 Signal circuit(s)or a limited energy required):* Panel alteration or extension $ 60.00 3. Plan Review section (if _ � Minor Labels(10) $ 107.00 Plea9e check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 5000 Per hour _ $ 5000 _ System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees:;. n� Enter total of above fees $ 4 Submit 2 sets of plans with application where any of the above apply. If/.Surcharge 105 X total fees) 3 V $ _ Not required for temporary construction services. Subtotal ,1 $ ¢- 5b.Ente;25%of line 8a for Ire NOTICE Plan Review if re wired(Sec 3) $ —�- PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHC .ZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account 0 AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i`dq.%4orms\rlrctric doc MECHANICAL PERMIT CITY OF TIGARD -- DEVELOPMENT SERVICES /r/'� PERMIT#: MEC1999-00576 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417,1 DATE ISSUED: 12/30/99 PARCEL: 2S114BA-16000 SITE ADDRESS: 16205 SW COPPER CREEK DR SUBDIVISION: COPPER CREEK STAGE 4 ZONING: R-7 BLOCK: LOT: 1251 JURISDICTION: TIG CLASS OF WORK.: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: I PG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLU DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN —100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of gas to gas furnace and new a/c unit. Placement of a/c unit must comply with standard setbacks. Owner: FEES _ NORDGREN, WARREN E + DORA D TR Type By Date Amount Receipt 16205 SW COOPER CREEK CT PRMT DEB 12/30/99 $50.00 99-320806 TIGARD, OR 97224 5PCT DEB 12/30/99 $4.00 99-320806 Phone: Total $54.00 Contractor. COST PLUS HEATING + AIR 7132 N FESSENDEN ST PORTLAND, OR 97203 REQUIRED INSPECTIONS Heating Unt Insp Phone:286-2009 Cooling Unt Insp Reg#:LIC 000479 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 Utiloy Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Yo�r may obtain copi f thes�rulps or direct questions to OUNC by, Iling (503 246-9189. IssWa By: Permittee Signature:_�L �.�� �e}i#._ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Plan Cued _ CITY OF TIGARD Mechanical Permit Application Recd b J v i, 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Perm it#IIf'M29 `- ( Incomplete or illegible applications will not be accepted Called Name of DevelopmenLtProlect D@Seripti0n Table to Mechanical Code Qty Price Amt Job Street Address suneM A) Permit Fee 16.00 Address ' C-1? 1) Furnace to 100,000 BTU includingducts&vents , 9.65 Q�^ Bldgp Cny/Slate ZIP 2) Furnace 100,000 BTU+ t`i� `1 iZy including ducts&vents 12.00 Name(or name of business) 3) Floor Furnace Owner W,C"-C(-f'.► C-v-J Includin vent 9.65 Mailing Address 4) Suspended heater,wall neater k o.' or Poor mounted heater 9.65 5 Vent not included in a 3pliance ermit 4.75 COY/State Zip Phone Check all that apply: 'Boiler Heat Air Its-" For Items 6-10,see or Pump Cond Qty Price Amt �i Name(or name of business) footnotes 1,2 Com 6)Repair units It 1 8.40 Occupant Mailing Addrea 7)<3HP;absorb unit to 9 100K BTU 9.65 Cny/Stale Zip Phone B)3-15 HP;absorb unit 100k to 500k BTU 17.65 9)15-30 HP;absorb 24.15 Contractor Name ,r �v S Nq unit.5-1 mil BTU C'� 10)30-50 HP;absorb Prior to permit Mautn Address unit 1-1.75 mil BTU 36.00 issuance,a copy �/-$l A/ Fr 55 a ctCO 11)>50HP;absorb unit>1.75 mil BTU of all licenses Coy/Slat" Zip Phone 60.15 _ are required if 12)Air handling unit to 10,000 CFM expired in COT Oregon net.Cont Board Lie 0 e Date 7.00 database Ply y b /t-Cvf 13)Air handling unit 10,000 CFM+ Architect Name 11.85 14)Non-portable evaporate cooler or Mailing Address 15)Vent tan connected to a single duct .00 _ 4.75 Engineer riStde Zip Phone 16)Ventilation system not Included in appliance permit 7.00 Describe work to be done: 17)Hood served by mechanical exhaust 7.00 NewQ Repair O Replace with like kind: Yeses No O 18)Domestic Incinerators Residential O Commercial O Modification O CAMM0C1 12.00 19)Commercial or industrial type incinerator Additional information or description of work: _ 48.25 n� N.;<� A�� �" 20) Other units,including wood stoves _- 7.00 _ NOTE: For Commercial projects only,Units over 400 lbs.,located on the 21)Gas piping one to four outlets root, uire structural calcs,prepared b licensed engineer. 3.75 type of fuel oil O natural gasQ LPG O elertric O 22)More than 4-per outlet(each) 75 Minimum Permit Fee$50.00 SUBTOTAL I hereby acKnowledge that I have read this application,that the information 8%SURCHARGE e given Is correct,that I am the owner or authorized agent of - PIAN REVIEW 25%OF SUBTOTAL the ,that p s spbmitted are in compliance with Oregon State laws. Required for ALL commercial permits only ' 4N Cly ` TOTAL Slgnat !of OwneN gent Date + '��• r Other Inspections and Fees Contact Person Name Phone 1 Inspections outside of normal business hours(minimum charge-two hours) S50 00 per hour 5'�('c• S/t r+(��(►' 4'c•1 ^y U q U 2. Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $50 00perhour Foonotea for commercial projects only: 3 Additional plan review required by Manges,additions or revisions to plans(minimum 1 Provide full schematic of existing and proposed gas line and pressure. charge-one-half hour)$50 00 per hour 2. Provide drawings to scale showing existinq and proposed mechanical *State Contractor Boller Certification required units. "Residential A/C requires site plan showing placement of unit I:\mechperm doc rev 11/1/99 t1 � Ca C A.���,r, ____ ----- g -, I,, I �' ( fi 2c,," �.. cam.�p,r c n•-Ir. D r~ Aic �' � �� I Cwe{�'" c��U