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InitiallyGood N film O cn W C X r- 0 X m in 0 X N 11720 SW BURLCREST D ('!TY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP Date Requested 3- / _AM PM _ ___ BLD MEC Locational zv SW (�cry/Cr-6 /� ,9Y' Suite _ Contact Person _ Ph _ D3 GFL/3 Guy PLM _ Contractor rh SWR BUILDING Tenant/OwnerELC 1 -c-y F J 77 Retaining Wall - ELR Fooling Access. s For-.dation �,�F ri � � FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab - --_ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulatior —^- Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof — - - - - Misc:_ _— Final PASS PART FAIL _ PLUMBING 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 - - - P PART FAIL 'ELECTRIC - — — — ----- - 5ervfce Rough In - -- -- -- — - UG/Slab _ Low Voltage Fire Alarm S PART FAIL Backfill/Grading - — Sanite Sewer Storm IJrein ( j Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE. --- - — [ ]Unable to inspect-no access ADA Approach/Sidewalk �� Other Date - _� �= Inspector �- Ext _ Final PASS PART FAIL DO NOT RUMOVE this Inspection record from the J-b site F211 CITYOF T I GA R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#. MEC2001-00023 13125 SW Hall Blvd.,,Tigard, OR 97223 (F;131 639-4171 DATE ISSUED: 1/22/01PARCEL: 1S134CA-07000 SITE ADDRESS: 11 720 SW BURLCREST DR SUBDIVISION: BURLWOOD NO. 2 ZONING: R-4.5 BLOCK: LOT:010 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: COILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP- REPAIR UNITS: FIRE DAMPERS?: 30 -50 H": WOUDSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 _ _AIR HANDLING_ UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of(1)air conditioning unit, (1)gas fui nace and gas piping. Owner: _ _ FEES WOLF, RAMEY LEE + Type By Date Amount Receipt WOLF, CHARLES E PRMT CTR 1/22/01 $72.50 2720010001 11720 SW BURLCREST DR 5I-`T CTR 1/22/01 $5.80 272001000C TIGARD, OR 97223 — Total $70.30 Phone. Contractor: CLIMATE CONTROL INC 16500 6W 72ND AVE PORTLAND, OR 97221 REQUIRED INSPECTIONS Gas Line Insp Phone:453-4822 Heating Unt Insp Reg #:LIC 62196 Cooling Unt Insp Final Inspection This permit is issued subjP_( to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ether applicable laws. All work will be done in accordance with approved plans. This permit w`,j expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You m� obtain copies of these rules or direct questions to OUNC by/calling (503)246-9189. Issue 81t: /: `, 't f^' �- Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Date received: Permit no.: � �3 City of Tigard Projcct/appl.no.: Expiredate: City ofTignrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 C-,se file no.: Payment type: Land use approval: _ Building permit no.: all III ounimilm &:?F.:mily dwelling or accessory U r-ommerzial/industrial U Multi-family U Tenant improvement U Plew t omstruction U Addition/alteration/replacement 0 Other: JOB.SITE IN 1-01011%I'M COMMERCIAL a Job address: ?L C' -W N,eL C ZIT Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: _ Suite no.: value of all mechanical materials,equipment,labor,overhead, 7 ax map/tax Ic tirr.:ount no.: profit. Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: /�U& jurisdiction's fee SL I edule for residential permit fee. City/eountY: -' w ZIP: 7,2-23 I t Description and location of work un premises: t 1 t t Fee(ea.) Total Est.date of completion/inspection: — 4-Q/ Description Res.onlRes.onl Tenant improN e.ment or change of use: A(.: Air handling unit CFM Is existing space heated or conditioned?U Yes i7 No Is existing space insulated?0 Yes U Not Ircon conditioning(site pan required) q9 Alteration ofexisting HVAC system of er compressors State boiler permit no.: Business name: Ce- /�yjg7►g ,"CNT> HP Tons__BTU/H Address; [,U��`Wy Ir smo a amper uctsmo a detectors City: Stale; 'LII': 477,2Z Heat pump(site plan required) Phone:5ei_,/53•r Tv_ I Faxa--e;V-72 E-mail: nsta repace urnac urner CCB no.: GZ/46 Including ductwork/vent line• O Yes U No nsta rep ac reiocatele—T aters-suspended, City/metro lic.no.: /4// wall,or floor mounted Name(please print): /jMIKI K 62{' Will Fora fiance other than furnace e goat on: Absorption units _ BTUM _ Name: N"W 'rC-(- ZL Chillers-_ _ HP Address: UCi SG. ,Z Com ressors__.____ HP City: Stater. ronmenta ex taust an vents ventilation: Appliance vent Phone: 53"1/9' Fax: E-mail: Dryerexhaust - Dods, ype res,k tc a nzmat hood fire suppression system Name: an with single duct(bath fans) Mailing address: //7,,7Q fLC,QF 57-,[x Exhaust s Istemapart rom ieatingorAC City: 776"KD State:Q/C 'LIP: X�3 ue p p ng an sl tor.(up to outlets Ty : —__LI'G NU Oil Phone:--,e13 f� -p Fax: E-mail: Fuel piping cote a dt Dna over 4 outlets L111 1101 if I I Process pining(sc emauc required) _ Name: Number of outlets Address: Other appliance or equipment: _ _ Decorative fireplace City: _ _ State: Insert-type Phone: x: LE '1: . o stov pe I let stove � .. — Applicant's si mato� Other. Name (print): / u Not all jurisdictions accept credit cards,please can jurisdiction for mote informatinn Notice:This permit application Permit fee.....................$U Viso U MasterCard expires if a permit is not obtained Minimum fee................$ 72 5G Credit card number �_�_ Plan review(al _ %) $ _ expires within 180 days after it has been State surcharge(8%)....$ Nanx of cardholder as shown on crrdit card accepted as complete. _ $ TiJTAL .......................$ 7,930 — Cardholdet signature -- — Amount 440.4617(ISAMOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: -- - -- -- 7 V_kLU4TION: FEE: Description: "rice dial TAL $1.00 to$5,000.00 Minimum fee$72.50 - Tabie 1A Mechanical Code Qty (Ea) Amt $1,,001.00 to$10,000.00 $72.50 for the fit sl$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Inciuding ducts&vents 14.00 fraction thereo`,to and including 2) Furnace 100,OOC BTU+ $10,000.0c. Including ducts&vents 1-t.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000-00. or floor mounted heater 141)0 _ $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or __ 8.80 fraction therr ,f,to and including 6) Repair units _ $50,000.00. 12'15 $50,001.00 and up $742.00 for the tirst$50,000.00 ana Check all that apply: Boiler Hevt Air $1.10 for Each additional$100,00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Com R R* ---�- -- 7)<3HP;absorb unit to 100K BTU _ 14.00 _ ASSUMED VALUATIONS PER APPLIANCE: 8)3.15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Description: City _Ea Amount 9)15-30 HP;absorb Furnace to 1007000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 _ unit>1.75 mil BTU 87.2(1--- Suspended 7_2(1Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater_ _ t0 00 Vent not Included In applicance 445 131 Air handling unit 10,000 CFM+ emUl _ 17.20 Re air units805 14)Non-portable evaporate cooler <3 hp;absorb unit, - 955 i 10.00 to 100k BTU 1 b)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.00 101k to 500k BTU - 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, I 3,400 _ 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU - 19)Commercial or industrial type incinerator Air handling-unit to 10,000 cfm _ 656 89.95 Air handlingunit>10,000 cfm 1,170 _ 20)Other units,Including wood stoves Non-portable evaporate cooler 6:6 10.00 Vent fan connected to a single duct 44U 21)Gas piping one to four outlets Vent system not Included In 656 5.40 applianoeyrmit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial incinerator 4,590 Other unit,Including wood stoves, 656 b%State Surcharge $ Inserts,etc. Gasi in 1-4 outlets 360 _ 25%P1 in Review Fate(of subtotal) $ Each additir,nal outlet 63 Required fir ALL commercial permits only 70TAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: --- Other Inspections and Fees: I Inspections outside of normal business hours(minimum charge-twt;h-urs) $72 50 per hour 2 Inspections for which no lee is specifically indicates (minimum ehafge-hslf hour) $72 50 per hour .1 Additional plan review required by changes,addition&or revisions to plans(minimum charge-one-half hour)siz 5n per hour 'Slate Contractor Boller Certification required to,units>?00k BTU. "Residential A/C requires site plan showing placement of unit Odsts\IormMmech-fees.doc 10/11/00 CLIMATECONTROL 16500 SW 72nd Avenue Portland, OR 97224 503.453-4822 FAX: 968-7224 HEATING & AIR CONDITIONING 503-453-HVAC Wolf - S" I OC)3 .} 1 t70 �,as 0 t I � I I I I ' I SYSTEM DESIGN-- — --- INSTALLATION --- -- - — SERVICE---- ---- - MAINTENANCE PORTLAND •453-4822 VANCOUVER •360-254-3063 T" �� TIGARD I��® _ ELECTRICAL PERMIT T PERMIT#: ELC2001-00025 DEVELOPMENT SERVICES DATE ISSUED: 1/17/01 13125 SW Hall Blvd.. Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S134CA-07000 SITE ADDRESS: 11720 SW BURLCREST DR SUBDIVISION: BURLWOOD NO. 2 ZONING: R-4.5 BLOCK: LOT : 010 JURISDICTION: TIG Proiect Description: Two branch circuits. Job#2074.40 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amu: PUMP/IRRIGATION: _ EACH ADD'I ', ,F: 201 400 arae: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS --- —_.--� _ _— _ _ ADD'L INSPECTIONS_________ 0 200 amp: W/SERVICE OR FEEDER: PFR INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIR!,': 1 IN PLANT: 601 - 10( '! amp: PLAN REVIEW SECTION 1000+ amp/volt: _ 4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WOLF, RAMEY LEE + PHOENIX ELECTRIC CO WOLF, CHARLES E DBA/ENCOMPASS ELECTRICAL TECH 11720 SW BURLCRF ST DR 7379 SW TECH CENTER DRIVE TIGARD, OR 972:.�) TIGARD, OR 97223 Phone: Phone: 684-3600 Reg #: LIC 00052288 SUP 4140S ELE 34-247C FEES Required Inspections--___ Type BV Date Amount Receipt Rough-in ^^i PRMT CTR 1/17/01 $53.50 2720010000( Elect'I Final 5PCT CTR 1/17/01 $4.28 2720010000( - Total $57.78 This Permit is issued sul !ct to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable lave. All work will be done in accordance with approved nuns. 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 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 PFRMITTEE'S SIGNATURE ISSUED BY: 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. FLEC'N: _ — DATE:_ LICENSE NO: — _ Call 639-4175 by 7:00pm for an Inspection the next business day JAN-15-2001 MON 11 :01 AM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02 Electrical.Permit Application City of Tigard Projed/a 1,no.: l:x irc date: �' R�CEIVE.G � rr _r' C.iryofl}gnr11 Address: 13125 SW Hall Blvd,Tigard,OR 97223 Datclssucd: h Receipt no.: Phone: (503) 639-4171 Fax: (503) 598.1960 JA'��, 1• '. LQr�1 Critic file ori.: Puymentlypc: Land use approval: ill* MM t &2 family dwelling or accessory U Commercial/intlus nal ❑Multi-family U Tena-t imprnvement D New cnnsttvelion C3/addition/altcration/replaccrncnt 1I Odler: `- ❑Partial JOB Is I 10 Inh addrebs:,- esti p u t _ _ idg.no._A� Suite•It„ _ '17:5x map/lax 1OL/account no: --- I.AA Block: Subdivision:_ __ r � �LI•srti tion rand location o[work on trcmiscs; [ro act mune: s r_ w� Estimated dale of completion/inspection: seall Jf1b pt1: � , `� _ _ I. Mac LL:LQ Description Qty (e+) 'Poral no-insp i;usiness Aa1nC. *Lz ryer.nidon lal.ZkgkorntulM-r■mifyper AddrvsV.�^?� r � �V .Y1 y- j - dncllingwdt.Include;offachedearW. Cityi K� _ SL1lc; ZIh: � ? &rvimincluMA: Ifiuue: � � luC?l 1?ux: �y E•mltll: 1000sq.itatlo,5a -... E.101 additional 500 sq.ft.or portion thereof _ CCO mo.; d,-1 Hhc.bus.lie.no: I,hniteAenorRY,rutaenttat 2 CSt /I I fn ie.n o 1.tmliodcneray,non-rcatdondal 2 M '-,— "- - Foch manuracturcd homo or mafulardwcilin� 4njiuiu of ruhcrviain,cicc,"clan(ru ulnrl_) nate service and/car f(wJ" 2 Sup,elcc4 nwue(priuU; i lw ►� C.r�t�r IArcwe nn:'3 Y d Y S, Services or feeders-hula lel un, Aeration orrelocaflon: 200 amps or leas 2 IYmne(prim): \ 4 l limps to 100 amps _ 2 ..fes,. �—""`---� 401 limps to G00 amps 2 Mailing address: `� U n av 601 limps to 1000 am s 2 Cili-A .� Stag IL I ZIP:C Over IOW nm s or voila 2 Phone:C Katt: F mail: Reconnwlon 1 Owner installutina:The installation is being made on pruperty 1 own Temporary services orresiders- which is not Intended for sale.,lease,rent,or exchange according to lussallution,alferaflnn,orrelocaliont ORS 447,4.55,479,670,701. 201 amps or less _ 2 201 amps to 10n snips Z Owner'; S1 nalure: Mile; 401 to 600 ams 3 pranc c res is•new,alteration, lir enlenilon per panel: Namc: _ A. Fcr for branch circuity with purchaso of Address: Soviet or Seeder it*.Stith branch Circuli. 2 City: Slate: Zip: _ B. tie for branch circuits svilhout purchase Fi ntai l of service of fer.ler fee,nmi hr cnoh circuit: \ it �2 Phone: I a} Lach additional branch circuit: _ Misc.(Serrlevorreader Pol ne u )s 0 gerviceuvet'd2:amlis-conlm„rrial U 111:n11h-cmI f;uilily VAch Pumporirrigation circle 2 CASetviecover 320umps-radngof1&2 QlintnnlouslaLalloo Fuchsip'noroutlinclf Mina fandlydwnllingv U Building over 10,000 silmm:fuel four or Signal clrcull(s ora limitod energy panel, 0 System over600 vults 11011111111 nlum roaldcntial units in one alructurl alteration,orestenaloua Q huilaig river three slnrics i.7 1-i•edcn,110 amps or nx,ro •Desert tion: Q(h cupaul lural over 99 persons U Manufactured slruoutes or RV park a eddnionel iasireefion over Ute allowable in any of the.bore: C1 katesvAlrhtine.111a11 U Other. Per Inspection Submit•.-. go(5 el plans with ally of file above. Inveslt a6 rvu 11le uburr arc nut applicable to temporary construciion serrlce. do lar Not� all pni,Jietion reequ1x111 cads.pirate call larl.,,ttcllrin far"We infamstlaft. Nntieet lids pemllt aPl pplieatlen nttit fee.....................S _OMNI Cl mlistelcat eapires if a permit is not obtained Plan review(at AiE within 190 days after It has beenSlalc surchnrgc(R%) __....._._...,...._---�.r lis Its v accepted w complete. TOTAL .......................$ Noneof carUilord0r a!111~1 en c100"Me S s t<anlbolder d natarc woual Nrt 4615 lOM) CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639.4175 MST p • • Business Line: 639-4171 _� ` 6�'-BUP _ _— Date Requested p _ AM PM BLD T Location �-�J ��11� `j��! l C-4 'Q C Suitea Contact Persona - Ph �fQ_ b Z¢ PLM _ Contractor_LLvv--e�T LLv-"— �d l Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing -- - Foundation Access: C�.� �� ( .-.��Q`�' nK� � FPS Ftg Drain V �/3 t 1 (L h) Crawl Drain Inspection Notes: SGFill Slab - /�� { f�1C-t— C.t ZC.tt, SIT Post&Beam R--� Ext Sheath/Shear Int Sheath/Shear Framing InsulationI Drywall Nailing j Firewall 1 2� Q 1 (.��S V OSA--r--r— — OF Fire Sprinkler Fire Alarm �— Susp'd Ceiling _ Roof Misc: Final ---_--� PASS PART FAIL PLUMBING Bost& Beam -- -- Under Slab Top Out — - — Wa,ur Service Sanitary Sewer -- — -_ Rain Drains Final PASS PART FAIL _ ---------- CHAMJ.0 — �— Post& Beam Smoke Dampers jila:) ------ -------- P101 A PART FAIL ELECTRICAL -- 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 ( J Please call for reinspection RE:_- __ ( J Unable to inspect-no access ADA Approach/Sidewalk JZ Q 1 ' Other Date Inshe�c�or 4 �. _ ExtS Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.