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12960 SW GLACIER LILY CIRCLE N CD C:V C) r D n m r F n 9 0 r- 00 00 S'1J�lI� )VII7 H31,)d70 MS 095ZT CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----�"-" 1Z%LX� BLIP _ Date Requested cr j I �M _PM BLD Location_ ( Z--l��� �i�G{L�I�� -__�_— Suite MEC Contact Person _ U Ph S 2 f'� �t��PQ� PLM _ Contractor Ph --- SWR BUILDING TPnant/Owner ELC Retaining Wall ELR _ Footing I I�Acoess: FPS Foundation IFtg Drain SGN drawl Drain Inspection 'votes Slab _._- ___— _ _ ---- SIT - Post& Beam Ext Sheath/Shoar ._--.- Int Sheath/Shear Framing ------.._.. - - --- Insulation Drywall Nailing - - - __ — - -- - Firewal! Fire Sprinkler - - - --- - Fire Alarm Susp u Leiling - - - --- _— R jof tAisc: -- --- - ---- _� - Final PASS PART FAIL - - PL UMBING Post& Beam Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL .HA IC L Post& Beam Rough In Gas LineSnioke Dampers L W-27 ----- . ASS PART FAIL_ ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm _ --- -- Final PASS PART FAIL - - - SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspriction. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date ?____.Inspector _Ext Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record f-ui:. the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Insnection Line: 639-4175 Business tine: 639-4171 - p BLIP --- _ Date Requested �� " ' l AM _—_PM BLf3 Location �1 C,a C�LCi C 4 L� (_( 11 C.,?-lr, Suite _ MEC Contact Person _ �ral, Ph (� r`� "�ZD� r J� PLM Contractor — Ph SWR [BUILDING Tenant/Owner _ N ELC Retaining Wall ELR Footing Access: FPS Foundation --- Fig Drain - SGN Crawl Drain Inspection Notes. Slab - -------- ---- -- SIT' Post&Beam Ext Sheath/Shear --- -- - Int Sheath/Shear Framing Insulation - Drywall Nailing - — -- - Firewall Fire Sprinkler --- - - -_ Fire Alarm Susp'd Ceiling --��--- - - Roof Final — ;'HSS PART FAIL -- __ _ ----- -- - - PLUMBING -- --- – G� --- -_--- 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 ECTRICAI� Service _ Rough In UG/Slab - Low Voltage Fire.4-1arm V 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 ]Please call for reinspection RE. ]Unable to Inspect-no access Fire Supply Line - ADA Approach/Sidewalk pate —/70t/-- Inspector _ 1' E,-.t Other _ 7`---- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF P 1nr.CFHnNICALTA ®EVEWPMENT SERVICES Ff_RMIT #. . . . . . . . MEC99--0136 13125 SW Nall Blvd., Tigard,OR97223(,503)539-4171 DATE ISSUED: 04,101/7,9 FARCE'..: 1 S 133DA-06100 ADDFIL.F E-. . . : IL,I)GO ISW GLACIER L.II_Y C'l:R SURD I V I c I ON. . . . : AMART SUMMF_RL.AKE ZONING: R-- BL.00K. . . . . . . . „ . . LOT. . . . . . . . . . . . . :083 JURISDICTION: T I G CLASS OF WOW/. . :OTR FLOOR FURN. . . . . 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . 0 VENT FANS. . . : 0 OC'CUPANC' GRP. . : Z.3 VENTS W/0 APPL.: 0 VENT SYSTEMS: N STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . ,: 0 FUEL 0-3 HP. . . . : l DOMES. INCIN: 0 Gf1S 3-15 HP. . , . . G?i COMML. INCIN: 0 MAX INPUTS 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 F'I RE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVFS. . : 0 I. AS PRESSURE. . . : 50+ HP. . . . : 0 CLQ DRYERS. . : 0 NO. OF UNITS __._.___..___.- AIR HANDI-ING UNITr; OTHER UNIT;. : 0 F'URN 1 00K BTU: 1 (= 10000 cf m: 0 GAS OUTLETP). : 0 TURN > -100K BTU: 0 > 10000 cfm : 0 Remarks : Replacetent of gas furnace, installation r:f a/c uiii. Placetent of a/t unit must cotply with standard setbacks. Owner: -._- . _.. .___________.________._____-_____.. ._.._..____._..____.____.___.._. - FEES ROBERT HEIDT type amo"nt by elate recpt 12960 SW GLACIER LILY CIR PRMT $ 25. 00 DEH 03/31/99 99--314.129 TIGARD OR 97„ ._s '";PCT $ 1. 25 DEB 03/31/99 99—:31.41.:''.3 Phone #: Contr�Ctor: SPECIALTY HEALTNG & FABRICATIO 9528 SW TIGARD ST $ 26. 25 TOTAL. TIGARD OR `37223 V'hone #: 6 _'0-5643 Reg #. . : 006657 ------ REQUIRED I NSPIECT I ONP ---- --- -- This pertit is issued subject to the regulations contained in the Mer_hanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. All work will be done in accordance with Cooling Lint Insp _ approved plans. This perait will expire i' work is not started Final Inspection within 180 days of issuance, or if work is suspended for tore than 180 days. ATTGNT[ON: 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 95,1014080. You tay obtain copies of these rules or direct questions to OUNC by calling Permittee Signat,_Ire -++4-++++-++f+++++++++++++++++++++++++++++++++++++.A ++++++++++++•'•.f+++++++M+++++++1- Call 639--4175 by 7:00 p. m. for inspections needed the next b,-Isiness day +++++++ti-++4-++++++++++++++++++++++++++++++++++++++a-+++++++++++++++++++++-1•+i-++++ Plan Cllr'( OF TIGARD Mechanical Permit Application Re�d�y 13125 SW HALL BLVD. Commercial and Residential Date T'IGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Pe,-nit a _ Incomplete or illegible applications will not be accepted Cai ed - Namo of Development/Project Descriptiin Table 1 A Mechat,cal Code Qt Price Amt Job Street Address Su eft ) Permit Fee 10.00 C. 1) Furnace to 100,000 BTU Address �1 (e)�'C �h including ducts&_vents 6.00 I ga CRY/State Zip I 7) Furnace 100,000 BTU+ - -�^ le( ,(' Kl ' ,;J-9 including ducts&vents _ 7.50 Name(or name ur business)f 1 3) F;.)or Furnace Owner �- ;' y including vent - 6.00 Mailing Address 4) Suspended heater,v.d(i heater or floor mounted heater 6.00 c7 Gt} C'(C ! (�r /C 5) Vent not included in appliance permit CRy/State Zip Phone _ 3,00 CHECK ALL - 'Boiler Heat Air Na (or name of business) THAT APPLY: or Pump Cond Qty Price Amt ffne �-� Com I Y I c- _ 6)<3HP;absorb unit to Occupant Mailing Address — 100K BTU -_ -� 6.00 7)3-15 HP;absorb unit MylState Zip Phone 100k to 500k BTU_ 11.00 8)15-30 HP;absorb unit.5-1 mil BTU 15.00 r tractor Name 9)30-.50 HP;absorb unit 1-1 75 mil BTU _ 22.50 Prior to permit Mag Address 10)>50HP;absorb unit issuance,a copy) //G/,4,t-' 1.75 mil BTU _ _ 37.50 of all licenses Cn I tats �/J ZI- Phone J 1 1)Air handling unit to 10,000 CFM u are required if r� �'( !' j (F`P _ 4_.50 expired in COT 0-ggfiConn.Cont.Board t"Ic.N Exp.nate 12)Air handling unit 10,000 CFM+ _database G J p C/ i _ - 7.50 Architect Name 13)Non-portable evaporate cooler 4..50_ or Mailing Address - — 14',Vent fan connected to a single dud 3.00 15)Ventilation system not included In Engineer Cny/Statezip Phono appliance permit 4.50 16)Hood served by me�haniral exhaust [lescribe work to be done 4.50 17)Domestic incinerators New O Repair O Replace with like kind. YeNo O 7.50 Residential Commercial O / 18)Commercial or industrial type incinerator 30.00 Additional Information or Oegcrip to^Tof Work: 19)Repair units �. �� r! Cs.. _ 4.50 20)Wood stove 4.50 21)Clothes dryer,etc. _ 4.50 Type of fuel oll O natural gas LPG O electric. 22)Other units 1 hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given Is corer,thaO I am the owner or authorized agent of _ 2.00 the owner,that plans submitted are in compliance,with Oregon State laws 24)More than 4-per outlet(each) - .50 Signat_ure of Owner/Agent Date —� r,lc) Minimum Permit Fee$25.00 SUBTOTAL 5%SURCHAr?;E Contact Person Name Phone PLAN REVIEW 25%OF SUB1 ' kL �n / I' Required for ALL commercial�►ermits.nlr- .(�✓! D✓ r�0�' V `I.(r1..Ql S �✓�� SIO`t3 TOTAL 'State Contrador Boiler Certification recwired -Residential A/C requirrs site.plan showing placement of unit 1•Vnechperm doc rev 07/20/98 ,i �� ..4 6� G L � t_ R �` � � V � _ _ � s _----- - - __ -_ -. t 6� � C. - � CITY OF TIGARD ELEC'TRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99-0180 13125 SW Hall Rlvd., Tigard.OR 97223,1503)639.4171 DATE ISSUED: 03/31 ,,99 PARCEL: 1S133DA­-06100 SITE ADDRESS. . . : 1'_`96 (.3 0 SW LAC I ER L I LY Ca I R SUBDIVISION. . . . :nMART SUMMERLAKE ZOh,ING:13­7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :283 JURISDICTION: TIG Project Descri pt 4, on : installation of one branch circuit. UNIT----- ---TE-.MP SRVC/FEEDERS----- 1000 SF OR LESS. . . . 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L. 500SF. . . 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MT NOR LADEL ( 10) - - - : 0 -.---SERVICE/FEEDER---_-._ ----BRANCH CIRCUITS--.-.---- ---ADD' L- INSPECTIONS. -- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPE.CTTON. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . . 0 401 600 amp. . . . . . : 0 EA ADD' L_ lARNCH CIRC: 0 TN Pt ANI.. . . . . . . . . . . .. 0 F,21 1000 amp. . . . . : 0 REVIEW SECT t000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES _-.-------__----_ ROBERT HEIDT type amoo-int by date recpt 12960 SW G -.A(:IER LILY CIR PRMT $ 35. 00 DEB 03/31/99 99-314129 TIGARD OR 372k 5PCT $ 1 . 75 DEB 03/31/99 99-314129 Phone #: Contractor: $ 36. 75 TOTAL SHARPE ELECTRIC INC 22605 SW RIGGS -------- REDUIRED INSPECTIONS BEAVERTON OR 97007 Roi.igh—in Elect' ] Final Phone #.- 642-7937 Elect' l Set-vice Req #. . : 000815 This permit is issued sunject to the regulations contained in the Tigard Municipil Code, State of Oregon Specialty Codes and all other applicable laws. All mark 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 19 days. ATTENTION: Oregon jaw-requires you to fallow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952--001-9010 through OA 92-09I-1987. You may obtain a copy of these rules or direct questions to 91JNC by calling (5,@3)246-1987. I to i t,1;e u, S i gnat Lire:X&w_.Z/ -——----—————————————----OWNER INSTALLATION ONLY-------•--------------------. . NLY---------------------------- This installation is bs?ing made on riv-OPPY'tY I own which is not intended for s;- e, lease, or rent. DATE: owojtE RI S S I GNATURE INSTALLATION SIGNATURE OF SUPR. ELF(-' N- DATE: LICENSE NO: ................. ..............................4....................... Call 639-4175 by 7:00 p. m. for an inspection needed the next bms iness day ++4............................................................................. CITY OF TIGARD Electrical Permit Appiication Planheck ' 13125 SW HALL BLVD. Rec' Date Rac'd TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Date to DST Print or Type Inspection (503) 639-4175 Permit# Fax (503)684-7297 Incomplete or illegible will not be accepted Called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspectlons per permit allowed Name(or name of business) Service included: Items Cost 6'um Address c� �Cc 6;�4C E��f✓L �/ _ 4a. Residential-per unit r 1000 sq.ft.or loss $110.00 City/State/Zip-X.--1,re-l( �� 7 L F.ach additional 500 sq.ft.or Commercial ❑ 7 Residential portion thereof $25.00 l Limited Energy $25.00 Each Manul'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00 (Attach copy of all curylant licenses) 4b.SerVice3 or Feeders Eir,ctrical Contractor < 1' '( r' -dc � Installation,alteration,or relocation Address .:�«� Ct < �1 5 200 amps or less _ $6000 _ 2 201 amps to 400 amps $80.00 City ,OrYc*-r'1 State Zip 401 amps to 600 amps 4 $120.00 Phone No. 6" - 7U 601 amps to 1000 amps -_ $160.00 Jot)No. Over 1000 amps or volts $340.00 Elea. Cont. Lice. No. Exp.Date D Reconnect only $50.00 OR State CCB Reg. No Ya 8r_Exp.Date�' 4c.Temporary Services or Feeders COT Business Tax or Metro No. 5-3 / Exp.Date Installation,alteration,or relocation 7 j 20U amps or less $50.00 Signature of Su r. Elec' - �a? hiQ�� 201 amps to 400 amps $75.00 2 9 p rk,�--�� -- 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date ©t see..b„above. Phone No. 4d.Branch Circuits New,altei.dion or oxiension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee Address 4 Each branch arcult $5.00 b)The fee for branch circuits City State Zip _-_ without purchase of Phone No. -__ service or feeder fee. First branch circuit $35.00 The installation is being made on property I own which is not Fach additional branch circuit w $5.00 _ intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 3, Plan Review section (if required):' Signal circuit(s)or a limited energy' panel,alteration or extension $40.00 Minor Labels(10) $100.00 ------ Please check appropriate item and enter fee in section 5B. -- 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 2i5 amps or more the allowable in any of the above System over 600 volts nominal Pet inspection $35.00 Classified area or structuio containing special occupancy Per hour $55.00 as des,ribed in N E C Chapter 5 h Plant $55,00 Submit 2 sets of plans with application where any of the above noply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICfi Subtotal $ 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r (Sec.3) $ NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION On WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED Trust Account#_____ $ Total balance Due I�DSTSNELC96 APP Rev 9i96