12285 SW KING RICHARD DRIVE u
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12285 SW King Richard Drive
OF TIGARD 24-Hour
BUILUINa Inspection Line: (503) S39-4175
11J�PECTIUN DIVISION Business Line:
(503) 639-4171 MST
Bl1P _
Re(,eived __ _ Date Requested 1-2-"5
AM PM _________. BUP
Location _ Suite. MEC
Contact Person _ � Ph( ) 9� — � '--.- PLM
Contractor Ph _) SWR
BUILDING Tenant/
.U. _ ELC ,� _G G) C*1�c
Footing ELC
Foundation Access: -- -
Ftg Drain �� ELR
Crawl Drain —
Slab Inspection Notes: p SIT
Post& Beam
Shear Anchors L �—
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing I1 _
Firewall
Fire Sprinkler
Fire Alarm e
Susp'd Ceiling --
Roof
Other:
Final ---- _ ------
PASS PART FAIL _-- —
PLUMBING
Post& Beam �—
Under Slab
Rough-In
Water Service .------.^.__-_--
Sanitary Sgwur
Rain Drains
Catch Basin/Ma.nhule
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL -- --
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service —
Rough-In
UG/Slab —
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of$_______ requirbd before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_
Please call fo reinspectl n RE:_ — Unable to inspect—no access
Fire Supply Line
ADA
Approach/Sidewalk date `�� L.r_ Inspscto l O�� Ext
Other: __--
Final 00 NOT REMOVE this inspection record from the Job site.
PASS PART FAIL._]
CITYI Tom/ O F T I GA R D _ _ELECTRICAL PERMIT
T PERMIT#: ELC2002-00365
DEVELOPMENT SERVICES DATE ISSUED: 8'&1102
13125 SW Hr4!1 Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: ;.S115BC-6800
SITE ADDRESS: 12285 SW KING RICHARD DR
SUBDIVISION: ZONING:
BLOCK: LOT : JURISDICTION: KEN
Proiect Description: 1 branch circuit to A/C unit.
—_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS —
1000 SF OR LESS: r 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 51710SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAl.1PANEL:
MANF HM/ SVC/ FDR: 601i3mps - 100.; volts: MINOR LABEL (10):
SERVICE/FEEDER _BRANCH CIRCUITS _ _ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEELER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L. BRNCH CIRC: IN PLANT:
60'I 1000 amp: _ _ PLAN REVIEW SECTION
lrwol amp/volt: -4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS__ _ CLASS AREA/SPEC UCC:
Owner: Contractor:
AL NORTHRUP AMERICAN ELECTRICAL SERVICE
12285 SW KING RICHARD ST, PO BOX 1057
KING CITY, OR 97224 SHERWOOD, OR 97140
Phone: 503-634-0867 Phone: 204-9864 PAGE
Reg #: LIC 00101587
SUP 4!06S
ELE 3E-99C
FEES Requi.ed Inspections_ _
Type By Date Amount Receipt Rough-in
PRMT CTR 8/2/02 $45.85 2720020000( Elect'I Final
5PCT CTR 8/2/02 $3 75 2720020000(
Total $50.110
This Permit is issilad subJecl to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws
All work will bs done it 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 by the Oregon Utility Notification Center. Those
rules are se,forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246.6699 or 1.800-332-2344.
Permit Signature: Issued B /
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: _ � T� DATE:
LICENSE N O: A.-------- ---J-'�_- ------- _------------_-_.---- .��Call 639-4175 639-4175 by 7:00pm for an inspection the next bvsiness day
PR/03/1995 11:50 15035548506 AMERICAN ELECTRIC 5V PAGE 01
Electrical Perndt Application
Date mcelved: Permit no.
City of Tigard �°-'--
hoJect/eppl, no. Expire date:
rrn ,.f)'i,l;ur,/ Addrrse IJ 115 SW Hall Blvd,Tigard,UR 9722.1 - --
Phone: (507)639-4171 Dau lavued'
Katt: (503)598-1960 raw file tNr, psytnent type
Land use approval:
;ob
& family dwelling of ar•ceaaory UCotnrnereial/induairial U Multi family U Tertanl improvement
ew r;orutntetirnt J Addrtion/alterati(mheplacemetlt L)Uther J partial
dtlreta / Z 8'S ' /' f� pldg,nn, Suite no, I axmap/tnx lut/Accuunt no.:
- -- [clock. 9ubdlvialon:
- -
ihv ect rums: __ - t)eacriptlaIn and location of work an prectiaes:
Eatimstod data of teen lodtxdiru bast: `�
Jo►Mlle e'er 11Aa+
Btuineu nuns: P � n•erlretr a. r�r eta tar
Addreer. 1> x Q Net e�Arw talerbaAr sAn tlrrQr sore t 1
City: 9tN ZIP: dwitatY tetleAeeueerheap�
Phone��^ 0 t(�ia��r e �iter 1
CCB no.: /SS 7 [Bloc buis,lie.eo: - C Each adki mal 50n sq.A at omen thereof
I.Imites eon_V. tetldrptlal 1
CI /rnC1t 1C.n0.: Umlted werEy, ticsyerfdersal 2-
pith niaralfa�aruKtl bate M medulu dtrrlUeA
Si +e �a lett . ((.4tilrod _
) jhte SNr.,ice aodId tela 7
S .olod dome Ip l' ! L eaeae ao strvieeaerANan-IaatalMdsr,
eMKaMq er rdeeNbs�
/ 2(x1 +or iro+ 2
Ne(print 1 tl� 201 s to 4fNl
Me 2
Mailing sddrree: �� Gi-q yn'� 401 to btt(t - 2
A01 rn h I o0u ami2
City: -- ?tAte' _ 1p; fhu Its a vola 2
Phone, __--
--TF-,-x7—: �B tnAid -
(hvner utxtallaUon The invtallAtion is bring made on property lo t elw W07 stil U oe feedere
which is not intended far sale,lease,rent.of exchange according In IeAarltllare.alfrnAea.•rotor eAeral
ORS 447,455,479,690,'101 2nn!mW!w ire+ 2
20l adpl b 1(10 am Z
prvner's a ttsturt. _ Date, Al11 W1
"0 mn 2
preach ttrrelte.hew,01WA".
err r+a.s.rMsserMeeh
A tee to bench rkrum will,purcha+e of
Addreee' wirvice at(emilm ft.eaeh brand thatch 2
('t gtste. Zlp: 1) Pre fa Manch ctreslts -cauda purclWa f
+M1cv tit feeder tee,rirw hftndl CWtll' / 2
PhonC. Fed: F moil' Fjcb addWnw Moth cUtvit v -
Mire.(hervfce of(eeder sot Iectaerl)t
U Service ever 225 erep*< nor iaJ U tlodgh ram fwufv tech r< m one ok le 2
U Savior tole 120 efawntlaa of I A 7 O Hanutllalt laanrvl lecE upl is Wdine Il�uog 2
fmly &A41inp U nolldhil{over In,1a10 veer tevt 104 re, Sistu•caeslf(rl m a lim mil efviry pantl. tit
O 45runt mer fM vnlh Iwrmnal m.rr n.iMttial una+In ase tl,2`111IR e1to alio u.or ertft+inn• j
U nttildare mer twee font V Fenton.4W veer"a room "
a
.1 cvrevp.d lord„tau 99 Ixtwn, U m"tif-tured ttn,ctktn a H v rwrt as a sear iia Ww*4%W he
eemy of the
above:
U ttea■+11ahwif plan Q Olber - _ - Pr: IalDatson I 1 11
Submit `dela of phren itch ter o(tbe alta.. Inv.+tyrtlm fa -—
Thr$INr.e are tot applicable to tewpfnry cewatrmtlnd herr Ice. (Ahor
Nca ui imUdi,a„n ., eM erMN a+hY Ne••c,dl porlrlkMtoe Por mwe O)rminlun !Notice Thle permit Apphcstlotl Penrtit fie ..,.. t
fdvlu U Ma,tnreud ^ d 2/03 expires if a pmnit Is not obtainer! flier,review 1 of %) S _
f NrIN l .n eumt,r, 4ii:i -W6--..Q'r1�t4”_-� _- �-- within Isle days niter it htit kern Stair n,itcharge 18%) .. f
KelKelm_� accepted as complete TOTAL.
Nome iaNho w a'Ii n R
---- ---q e--_ d IN, Aanarue�_. Y4UIli(adNvr01A)
/\ CITY OF TI GA R d _ —MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00320
;3125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/24/02
PARCEL: 2S115BC-16800
SITE ADDRESS: 12285 SW KING RICHARD DR
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
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_T_YPES0 3 HP: 1 DOMES. INC!N:
3 15 HP: COMMI.. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS C
OTHER
FURN >= GAS OUTLETS:
BTU: <= 10000 cfm: �^ OUTLETS:
UNITS:
> 10000 cfm:
Remarks: Install exter, AC unit.
Owner: FEES J� _
AL NORTHRUP Type By Date Amount Receipt
12285 SW KING RICHARD ST. PRMT BLD 7/24/02 $72.50 KING CITY
KING CITY, OR 97224 5PCT BLD 7/24/02 $5.80 KING CITY
Phone:503-634-0867 Total $78.30
Contractor:
FAITH HEATING&AIR COND. INC
15167 NW VANCE DRIVE
PORTLAND, OR 97229 REQUIRED INSPECTIONS
Mechanical Insp
Phone:503-356-8686 Cooling Unt Insp
Reg #:LIC 133911 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OU�v In
l�fl'�17dR_Q�RQ "-�
Issue By: Permittee Signature: "
_.
Call (503) 639-4175 by 7:00 P.M for inspections needed the next business day
Mechanical Permit Application
- Datereceived: Permitno.: _ G �' "U
City of Tigard Projecdappl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 _
Phone: (503) 639-4171 fate issued: By:'. JP Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
I &2 family dwelling or accessory U Commercial/industrial J Multi-family U Tenant improvement
New construction J Addition/alteration/replaccnlcfit J Other:
111191010111A rANirl K"0110
Jolt address: /Z /< ,,,, i2. Gn�d f Indicate equipment quantities in boxes below. Indicate the dollar
Bldg,no.: Suite to.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot_ Block: Subdivisiun: "See checklist for important application information and
Project name: _ jurisdiction's fee schedule i'm- residential permit fee.
City/county: 2 C� r t
Desert tion and location of•vork on premises: _ 2Air
t r t I/9�C r Jta'CrmA'
Fee((-a.)
Est.date of completion/inspection,: Uescri tlon qty. Res.only
Tenant improvement or change of use: :
Is existing space heated or conditioned?fa'Yes U Nodbng unit CFM
Is cxv,ting space insulated"Jl'e,. J tin dittoning(site plan require )
on of existing H ACs stem
MECHANICAL CONTRA(70111 of er compressors �-
Business name: l!i. r 1, N v4 c , /� State bailer permit no.:
Address: i S r 6 �i w, Vts.,xer �- HP Tons_ BTU/I1
/smo c damper uct smoke detectors
City: -%.rr-/ex—cif State: d� ZIP z7(' c,tpump(ritepanre tine )
Phone: 3 ;-6 - -t5 f;t.x:L•r%- E-mail nsta repl�nace/ urner B
Including ductwork/vent liner U Yes Q No
CCB no.: 13,3 / nstal replace/reocate eaters-suspende ,
City/metro lic.no.: j,V 3 Z _ _ wall,or floor mounted
Name(please ring: lent for appliance other-Mar furnace
1 t e gest on:
Ahsarption units_ BTU/14Name: ��,' / surf` r'.��� Chillers Hp -
Address: j 2 = f �' •J n �,L .yd g �- C'um ressurs, HI'
City:K' ^ C'. T' State: Environmentalexhaust an ventilation:
ZIP: 7 2 2 Appliance vent
Phone: e_R4r _ e de Fax: it fill E-mail: )rycrexhaust
7Hoods, ype / /res. itc en/hazmat
fire suppression system
Name: a o, aN.,K� �p,r.rs ust fan with single duct(bath fans)
Mailing address: tustsystem a art from hcatinr ur A(City: State: ZIP: p p ng an st ut on(up to4 out ets)
Phone: Fax: E-mail: : _______LM NO nil
tel n inn!each a itional over 4 outlets _
Process piping(schematicrequire )
Name: Number of outlets
------ —
Other listed appliance or equipment: - -
Address; Decorative fireplace
City: _ State: _ ZIP: nwrt-type
Phone: P;fa mail. Woodslove/pel let stove
Applicant's sig Other:
Date -7/ _y
Other:
Name (print): ,SA, ej
Not all prrisrLctions accept crrdu cards,please call ptnsdicu.m for more inforntaunn Permit fee............... .....$
❑Visa U MasterCard Notice:This permit application
Minimum fee................$
Credit card number: / / expires il'a permit is not obtained --
Plan review(at °h,)
Expirr� actino days aflaril
—
Name of cardhol r as shown nn:redo cord � acceptedd aa s Ca t OMEQ e surcharge(8%) ....$
s 'SAL .......................$ 7
Cardholder signature Amount
440-4617 tNaa/COM1
r
Ih
XPIRED