16820 SW CAMINO DRIVE M�
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16820 SW '..'AMINO DR.
KING CITY
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- ---
-
BLIP BLD
_ Date Requested_— �� AM ?< --PM
I --
Location 1-y Suite
Contact Person r J�G�2�1C� Ph 7q- 32? I PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC -_-
Retaining Wall ELR
Footing ,c:cess:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ----
Slab —. � ------ ----- SIT
Post& Beam (` y ----- --"
Ext Sheath/Shear
Int Sheath/Shear �--____--
F"raming
Insulation
Drywall Nailing
---------------------------------------------
Firewall --
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling
Ronf
roisc -
Final
PASS PART FAIL -------- - __ - -
PLUMBING
Post& Beam -----
Under Slab
Top Out
Water Service
Sanitary Sewer -- - -- -- -- ----
Rain Drains
Final
PASS PART FAIL r —
NICAE-,
Post& Bean,
Rough In
Smoke Dampers / T
PART- FAIL
:EnCTRICAL --' - -
Service /
Rough In - ...__--- _----------
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading -- - ------- -- - ------ --- - - --
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ — required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please pan for rcinspection RE: , -_ - ( j Unable to inspect no access
ADA
Approach/Sidewalk1/ ? il
Other Date Inspector -_- __--_--_- _ Ex!
Final
PASS PART –FAIL DO NOT REMOVE this inspection record from the job site.
svr
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --
-�1'�t BUP _
--A.— Date Requested-_ � ,� AtJI_—_--_PM — _ BLD
Location,—�l(� Zo _ Suite - -- MEC —__--
Contact Person _ ��---- Ph r �L-1_L�2 PLM
Contractor _ _ Ph _ �'�SViR,
BUILDING— Tenant/Owner r E,LC'
Retaining Wall ELR _
Footing Access
Foundation FPS _
r-tg Drain
IG, viwl Drain Inspection Notes: - SGN -- _
Slab --- — --- ----- SIT
rest&Bebrn
Ext Sheath/Shear
Int Sheath/Shear - -
Framing -__ _ --
Insulation
Drywall Nailing
-------_.—._._.—
Firewall ---------
Fire Sprinkler
------------- ----- -----
Fire Alarm
Susp'd Ceiling
Roof
Misc: --- --- -------�- —---- - _ -----
Final
PASS PART FAIL - ------_ - ----------
PLUMBINC
Post& Beam _ —
Under Slab
Top Out _ ._._—._------- -- ------- —
Water Service
Sanitary Sewer -- ------ -- ---------------- - --- —
Rain Drains
_--_--------------
Final --- ------------_------------------
PASS PART FAIL
MECHANICAL �-
Post& Beam - -------- ------__-__ -_�__
Rough In
Gas Line - _.-.--
Smoke Dampers
Final - -- -
PASS PART FAIL
C T R I -- ------•------T---
Service
Rough In -__- -----.-•--- --
UG/Slab
Low Voltage
Fire Alarm
i PASS PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ -__required before rnaxt inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin PI•' pacti
Fire Supply Line ( 1 ase call for reins on RE:— ( ]Unable to inspect no access
ADA
Approach/Sidewalk
Other Date _ OG`1 _ Insaector _ Ext --_
Final
PASS PART FAIL DO NOT REMOVE thi. Inspection record from the job site.
CITYO F T I G A R D _— ELECTRICAL PERMIT
PERMIT 4: ELC2000-00039
DEVELOPMENT SERVICES DATE ISSUED: 01/28/2000
13125 SW Hall Blvd..Tigard, OR 97223 (503) 6394171 PARCEL: 2S116AD-23300
SITE ADDRESS: 16820 SW CAMINO DR
SUBDIVISION: KING CITY NO. 19 ZONING:
BLOCK: 26 LOT : 011 JURISDICTION: KIN
Project Description: One circuit for gas furnace
RESIDENTIAL UNIT _— TEMP SRVC/FEEDERS—— _MISCELLANEOUS
_
1000 SF OR LESS: _ 0 200 amp: V PUMPIIRRIGATICN:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.:
MANF HM/SVC/FDR: 0 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ — -BRANCH CIRCUITS _ ADDT. INSPECTIONS_
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 arno: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 an-.p: PLAN REVIEW SECTION _
1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL.:
Reconnect onSVC/FDR>=225 AMPS: CLASS AREA/SPEC UCC.
Owner: Contractor:
PATRICIA NUGEN1 PARKIN L ECTRIC INC
16820 SW CAMINIO DR 20250 S MOLLALA AVE
KING CITY, OR 97224 OREGON CITY, OR 97045
Phone: Phone: 246-1301
Reg #: SUP 4241S
LIC 35151
ELE 34-4C
~FEES __— Required Inspections
Type By Date— — —_ Amount Recek'pt _ Elect'I Service
PRMT KJP 01/28/200L $72.75 00-321470 Elect'I Final
SPOT KJP 01/28/200C $-)-4? 00-321410
Total _.-- $78.57 -
This Permit is issued subject to the regulations oontained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws
All work will be gone in accordance with approved plans This permit will expire if work is not started within 180 days of issuance or if work is
suspended lot more than 180 clays ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Canter Those
rules ark 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:
_.—____ — QWNER INSTALLATION ONLY
The installation is being made on property I own,,Nl,,;ch is not intended for sale, lease, or rent. --
OWNER'S ,':SIGNATURE: __.-- —_�—_ DATE:----
CONTRACTOR
ATE:_w_—CONTRACTOR INSTALLATION ONLY
SIGNATURE: OF 'SUPI:t. ELE:.:'N:
LICENSF NO:
Coil 639-4175 ;)y .OU7m fir an inspection the next business day
arse
02.'91/2000 15:06 5571059 PARKIN ELECTRIC INC PAGE 02
In 21114q 0:p 14 Of, FAX SOS 588 1t1'Pn CVFY OF TIGARD
CITY OF TIGARD D0'
Electrical Permit Application plan Chsfx It
13126 5W( HALL BLVD. Recd By _
TIGARD OR 97223 hole Rasc'd
l hone(503)t33@ 4171, x304 oats to P E.
pato to DST
Inspection (5G3)639-4175 rldnt of Type Permit 0
f-ax (503) 598 19W InCsytlllPIOU or Illegible will not be acce:lted
1. .lob Address: 4. Complete Fee Schedule Below:
Name u(Dewkapmem '�� _ Nunetw,of Inspectionsi per pannit allowed
Name(or name of buslnpas) Bervice included, Items: Cost Sum 1
Awfess 1J� - 4a Rsidem8al-par unit
Cifvr:ittat&?Ip 1000 so.I'L or IQ" --- s
0 -- Each addi,onal 500 ea It.o,
IIII portion thereof 3 79 1
Lofnnlsn:..!al ReBidental LlrrdtadEnergy s
Each Menura Home or Modulut �
C1Mell 9ervlrb at reader 2
2a. Contractor ir►stallatllon only: tro � � _ � 7z.zs
- - ----..*+
—.. .--r�'s+�wsus►d estlteaaeet. 4kx Services or Footles
Parkin Electric, Inc 20250 5 Molall8 Ave. InMallallon ailefatlon•nr eelocoli.rn
Oregon City,OR 97045 503.6514958 fix 557.1059 200 amps or last _ __ 1 64,25 z
Contrarltors Ucense 0: 34.4C bx 1001-00 701 amps Io 40U amps _ I R1 50
401 afnD5 M 6W RmpR 5 128.50 2
Supervisor; 4241.5 exp 10•U1 01 Rol amps to,wa amps `— s 1 ez.so — 2
Contractors Board Key# 35151 exp 10 12-00 Over toxo"no rx volts l s ss„r6 x
Metro# 2416 exp 11.01-99 Rocorneeton:y C 53,50 --_- 2
Ownerac.Tampomry&ervlcas or rowdors
Inalalatlol,ate,vIlan,o•relocation
COT Business Tax or Metro Noe�pLt�- col amps or lana .--- --= s S].'.0 ^_ 2
lot amps to apo amps f 80.26
Signature of 3upr Flec'n_ W*47I 401 amps 10 000 arape
-- Over 600 amps to 1000 voltr,.
License No. �._ _ Exp Datasee-b"
Phone No 4d.t6ramh Circuits
--- - New,altwaUcn or exlenvlon per psnfrl
o)The fair for Manch circuits
2b For owner Installations: I wlfh pun haat or serv?ce of
r4edw M.
f'nrrt Owner'-4 Name Each bran,A dreull 5 5 3-5
Addrvis - — - -- bJ The fee for branch ckcults
w4mout pumhas•of awvrre
City ._ _._. St.b'9—. Zfp _ —v or reader raw. D
Phone No Firm brerwh circuit �� 3 37.50
teadt addltbnal brands clrcuR ! 636
rhe Irt6tmIl01jtrn Is beryl racy)@ wi i,*Topeny I C*m%Woh IS not 4a Mlscellerarous
intendava for trate,lease or rent (Sarver:or feeder not included)
Farr pimp or Wgalinn drela S 42-75
C)vvrwfx S gnatum, Fadi*n or olrlllne IIQMIng S 42.75
FlOnal drcu f16)or a rlmhed erwVy
3. Plan Revlow slnGHon (H nr l'Itsd)?" Dana1•eftermlon or eeaenr.Inn 16 60,00
Miinw labels(10) 4 iso;98
Pteava check wpproprltrtm Item and ants►fN In 09911111011,11 so. 41.Each addlNonal Inspection over -- fab
a br rnors rearden:Ial unls in ono strur+tUrs the allo rabke In ny of the abown
Ser+Ice ono feeder?25 amps ur rrore I Per Inemcflun 3 $0.00
5 tism ever SM voih notrnnal Per hour S 50.00 _
_ y I In Fler'd S 5000
Cleasirrae or"ur gtUrWre tsrrltalr4bg wpeolal Comm cy ao —
dem1bsd in N F Cha$w 5 J. Fees:
aa.ErMar t(rtal 0 above fee, t J
SUbmr!2 east of plans wrath IppAc.etlnn whas+,etly b1-if�selrlllOYa apply. E-"surcharge f X�191111 fess) 5
Nor requ rea for lemporary canstructlon aalvebaa Subtotal r:14-6 $
NAGE 6b.Fnlar 2:S iv of Ina 6a hr
Plan Review M rogryred(Sac 1) S
P5Rld1T5 BEC^ME VOID IF WORK OR c0N8t0k11CT10%Wf t•IORI2:(-- Subroral S
O
IS NOT COMMENCED IINTRN 180 DAYS,Ok V Q0"$ tqN QR
WORK IS OWMENDEG OP AlaMDONED FORA PM66011r 1 J Trusl Accoura R
AT ANY 71ME AFTEP VdC)RK IS COM FMC'3v. 1 Toral balance pw s
1�Ql1rJr.rm�kkA►b Sor
� r
CITYOF T'IGARD MECHANICAL PERMIT
/ DEVELOPMENT SERVICES PERMIT#: MEC2000-00032
'i3125 SW H.?11 Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 0'1 126/2000
PARCEL: 2S1 16AD-23300
SITE ADDRESS: 16820 SW CAMINO DR
SUBDIVISION: KING CITY NO. 19 ZONIR 3:
BLOCK: 26 LOT: 011 JURISDICTION: KIN
CLASS OF WORK: ALT 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 TYPES0 3 HP: DOMES. INCIN:
L.PG — 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: u ,AS OUTLETS: 1
> 10000 cfm:
Remarks: Furnace and gas piping
Owner: ---.— FEES —
PATR,CIA NUGENT Type By Date Amount Receipt
16820 SW CAMIAO PRMT BON 01/26/2)( $50.00 KING CITY
TIGARD, OR F 1223 5PCT BON 0'1/26/20( $4 00 KING CITY
Phone:503.624-0422 -- Total $54.00--
Contractor:
EASTSIDE HEATING
1200 SW JOHNSON CREEK
PORTLAND, OR 97206 REQUIRED INSPECTIONS _
Gas Line Insp
Phone: Heating Unt Insp
Reg #:LIC 00003258 Final Inspection
ORIGINAL,
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 worts 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by
ca!5ng (503)24(-9189.
Issue By: ��1�'nLLJL u �ti�"" Permittee Signature: j zt Il/
Call (503) 639-4175 by 7:00 P.M. for inspections needed the xt business day
JAN-25-i.) ) TUE 03:09 PM City of King Pity FAX:503 639 3779 PAGE 2
Plan Check S _
CITY OF TIGARD Mechanical Permit Application Recd By_ �
13125 SW HALL BLVD. Commercial and Residential Date reed 11-24-W
TIGARD, OR 97223 Date to P.E.
Date to DST
(503) 639-4171, x304 1'2S-
Printor'Type Permit0R1AC =-
Incomplete or illegible applications will not be accepted caned _
--- - _`
Name M 0evelopmenVProlect - Description
Table 1A Mechanical Code Ot Price Amt
A) Permit Fes J 16.00
Job street Address 8uMe1f 1) Furnace to 100.000 BTU
Address ineludl ducts 8 rants eee footnote 1,2 9,65 R tr
eidya ctrvrsh•h• Zip 2) Furnace 100,000 U+BT �!
� . y 7 includina ducts 3 vent, see footnote 11.2 12.00 _
N
(or nanh•orbusiness) 3) Floor Furnace
including vent sae footnote 1,2 9.65
Owner ftT i 0% r�N f a)-Suspended heater,wall heater
Ma by A°dr-t or floor mounted heater sea fa.tnot•1,2 9.65
f(a g ZO Skd CA- 4AW '� 5 Venl not included in■ lianw it 4.75
cnyr hob ZIPpie Check all that apply: 'Boller Heat Air
G• 0 4 72.2 r( &Zy-&4 ZZ For Items 6-10,see or Pump Cond Qty Prins Amt
-- Name(a ar business) footnotes 1 Z Comp
6)c3HP;absorb unit to
100K BTU 9.65
Occupant MaanQ Aderess 7)3-15 HP,-absorb unit
100k to 500k BTU 17.65
cnyrsur• Ip 8)1530 P.abs"unit.5.1 mil BTU 24-15
9)30-50 HP;absorb
Contract0f Name unit 1-1.75 mil BTU 36,00
_
10)s50HP;absorb unit
Prof to pennR M"no Address >1.75 roll BTU 60.15
issuance,a copy '7 Z�so K _Obio t.CW� i^L DLJ D 11 Air handling unit to 10,000 CFM
of all licenses /Scar. zip °ns 7.00
are required It r lrLANc7 02 `P 7204, '171 3 12)Air handling unit 10,000 CF +
expired in COT Ore9orh on N.Cw". cud 1.10.0 ■p. 000 _ -- 11.85
database � 2 f 1 17 0( t 3) on portable evaporataJ
7.00
Architect Norm
14)Vent fen conneotad b a single dud
I 4.75
or Aderess 15)Ventfistlon system not included In
__ a lianw permit 7.00
(Engineer Ity/aisle 1p hwe 15)Hood served by mechanical exhaust
7.00
Dec work to bs done:' 17)00rnesfic incinerators _
12.00
New O Repair O Replace with like kind: Yes O No O 18)Commetciai or industrial Iyps Incinerator
48.25
ResMential O Commercial O 19)Repair unKs
_ 8_40
AddNfonal informatlon or deaetiptlon o wow- �! 20)Wood stove/gse FP/other units/clothe dryer/eta
7.00
NOTE: For Commefcial projects only;Units over 400 lbs require 21)Gas piping one to tour outlets
Sae footnote 1 3.75 =?�
structural gas talcs. _ 75
type of fuel: oil O natural gas O LPG q electric O 22)More than 4-�r out oath
1x1 nimum Pstntk Fol 60.00 S BTOTA
8 SURCHARGE
I hereby acknowledge that I have read this application,that the Information PUN PtEV1EX 25%OF�sU�TAL
given is correct,that I am the owner or outhortted agent of Reaulted for ALL commercial permlb on _
the owner,that plans submitted ars in compliaree with Oregon State laws, TOTAL
signet f Agent nate Other
ection$ ons and Rtes:
Vh
x1. Inspections aublds of normal bwlnass hours(mininum charge-two
Carttact Pelson Name ne hours) t350.06 per hour
2. Inspections for which no he is specifically Indicated (minimum
chargedtsH hour) $90.00 per hour
fkr 8c-- - 3. Additional plan review tequlfed by chsngss,addklona or rovisions to
Foawtos fare tmercla projects only: plans(minimum eharp-one-half hour)$50.00 per hour
1. Provide full schematic of existing and proposed gas line and pressure.
2. Provide drawings Io scale showing existing and proposed mechanical *State Contractor Boller C+ertilication required
unAs.� "Resideetial AIC requires site plan showing placement of unit
I.vnechperm.doc rev 7119/99