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12497 SW KATHERINE STREET iV 41 4 ' r• air-+ � i� � tnG; � c H �` m ro (ii CID Ft lirl txj 1-3 ct M ° 60 �^ w Gs � vH C�l W i CID � ? 1-3 r a I l � J,S3NJS aNTNSHJ,N>' MS /.567T CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST 24-Flour inspection Line: 639-4175 Business Line: 839-4171 BUP _ Date RE quested ////� Z AM— .PM BLD Location / L �l y Sw k�G tai•P�i ti %� _• Suite _ MECO ;` / ` Contact Penson Ph _.��u 'Z l S PLM Ccntractor Ph SWR -- _ BUILDING Tenant/Owner ELC _ Retaining Will ELR Footing Acceso. Foundation FPS Ftg Drain -- SGh Crawl Drain I Inspection Notes: - — Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall Nailing Firawaii Fire Sprinkler - Fire Alarm --1� Susp'd Ceiling (Roof 1.4isc: — Final PASS PART FAIL PLUMBING Post& Be,mUnder Slab Slab Top Out - Water Sarvice SanitarN Sewer Rain Drains Final -- -- --_ - PASS PART FAIL MECHANICAL ^— _ Post&Bear / -- -- - -- Rough In At:: i,-" /f Gas Line - - Smoke Dampers Final -. _--- - PASS PART FAIL ELECTRICAL -` ,iervlCe Rough In - - - UG/Slab Low Voltage Fire Alarm Fin -_-- ,fA-SV PART FAIL - __ - ------- ---. Backfill/Grading ----- - - Sanitary Sewer Storm Drain ( J Reinspection fee of$ _ requirid before next insnection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin J please call for reinspection RE: I Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk - Other Date y? - —— Inspect t)r ___ _ ...__.- Ext — Final PASS PART FAIL O NOT REMOVE this in,ipec;tion rpcord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BOP — Date ,1equested - Z,� _ AM —__PM _ BLp Location. Suite _ MEC Contact Person — Ph _ Z y V Zmay' 3 PLM Contractor _ Ph SWR — BUILDING Tenant/Owner _ ELC � Retaining Wall ELR Footing Access: -- Foundation FPS Fia Drain — C;Iawl Drain Inspection N;_tes SGN Slab SIT Post& Beam - - -- i--- — -- Ext Sheath/Shear Int Shek:'h/Shear — —i Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: —- --- ---- - �_ Final - -- PASS PART FAIL ---- ------------- - -- _ PLUMBING Post& Beam Under Slab Top Out Water S3rvice Sar nary Sewer ---�---- Rain:trains Final - - PASS PART MECHANICAL Post& Beam — ----- — Rough In Gas Line Smoke Dampers — Final --- - --- PASS PART FAIL ervlce Rough In - --------- UG/Slab Low Voltage Fire Alarm / P SS ART FAIT_ Backfill/Grading - Sanitary Sewer Sturm Drain )Reinspecticn fee of$ _requi,-ed before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE ti Please call for reinspection : Fire Supply Lino ) [ ]Unable to inspect no access ADA Approach/Sidewalk Other Date ..Z Inspector �, Ext Final PASS PART FAIL 00 NOT REMOVE this 'inspection record from the job site. CITYY O 1 TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00221 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/06/2000 PARCEL: 2S103BB-04100 SITE ADDRESS: 12497 SW KATHERINE S1 SUBDIVISION: BROCKWAY ZONING: R-4.5 BLOCK: LOT: 041 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT- HEATERS: VENT FANS: OCCUPANCY GLr': R3 VENTS WiO APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS_ HOODS: FUEL. TYPES 0 3 HP: 1 DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install an air conditioning unit. A/C unit cannot be placed within the required setback areas. Owner: FEES _ NASH, -! C A + TRACY DEA Type By Dant— Amount Receipt 12497 SW KATHERINE S1 PRMT GEO 06/06/200 $50.00 0002719 TIGARD, OR 97223 5PCT GEO 06!06/20( $4.00 0002719 Total � $54.00 Phone: --_-- --- -- Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 771-1145 Final Inspection Reg #:LIC 02734 PLM 26 -0P OR I GNA L This permit is issued subject to the regulations contained in the Tigard Municipal Code, state of Ore. Specialty Codes and all o-Lher applicable laws All work will be done in accordance with L,pproved plans. This permit will expire if work is not started within 180 days of issuance, car It 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,rul6s or direct questions to OUNC by calling (503)246-9139. Issue By: ! � Permittee Signature: Call (503) 63915 by 7:00 P.M. for inspections needed the next business day MAY-19-2000 15: 11 P.01 CITY OF TIGARD Mechanical Permit Applica n RecdHy 13125 .aW HALL BLVD. Commercial and ReS Date Rcc'd TIGARD, OR 97223 `,��y(� Date to P.E. --- 5:)3 639-4179 x304 A� r `� ? �j Dat„to�DST _6C�.Z/ ( , MW uD/O v*165W10CD Print or Type M �vF�oeM�N Called ��be acne coned incomplete or illegible application • � accepted- Nems W pevelopmenUPro Description oty pri0e Amt Tablo 1A Mechanical Code 'Fi-1c, Nash— A) Permit Fee 16.00 i Jobe°'Add"� CC-- \\ 1) Furnace to 100,000 BTU Address l.) ) ,. Includirt ducts 6 vents sae footnote 1,2 9.65 tillage clq/sua zip 2) Furnace 100,000 BTU+ '12 includInducts 3 vents see footnote 1,2 12.00 -'-- -- �;: nam ea(rr nae of business l 3) F!oor Furnace �1�� _ includln�vent see footnote 1,2 965 r her 4) Suspended heater,wall heater Wimp Address or flour mounted heater see footnote 1,2 9,65 5_Vent not Included n a pban a ermit _ 4,75 _ a risers ZIP Pitons Check all that apply: 'Holler Heat Au For Items 6-10,soo or Pump Cond sty Price Amt " Nems(«name a o1ucH+aul 6)<3HP;absorb unit to "-' footnotes 1,2 Cum I LOOK BTU 9.65 — Oc.;u ant Malling Addr@"s 7)3.15 HP;absorb unit P 100 to 500k 9TU 17.65 Crlyr9late �- Zip Phix^e"— 6) 15.30 HP;absorb unit.5-1 mil BTU - 2415 9).M-50 HP;absorb Contractor N'^'• — unit 1-1.75 mil BTU _ 36 00 —_ 110)>50HP,absorb unit >1.75 mil BTU faauanoe, 60.15 Pn• 4 rte petm �Address 11ir h Aandling unit to 10,000 CFM a copy _ L ' Of all i censer s (]�,, ZIP Pn-onne/ — 7.00 are required if ��[ OL7 12)Air handling unit 10.000 CFM+ Uso In%OT Orogrn► mit.Coni.noon,I it @ ixo not 11 1]5 exp database c2 vim_ 13)Non-portable evaporate corder Name �-- 7.00 - ---- ►rch ltect -- 14)Vent fan conneKed to a s ogle duct _ 4.?5 Malting Address or 15)Ventilation syr•tem not included In appl ancep.:rmil _ �_ 7.00 - Engineer ceyrsl,tl• ZIP PhOn' 16)Hood served by mechani al exhaust 7.00 _ rleeseribe woAc to be done: 17;Domestle Ir oris to 12.00 0./C LOsoU64il � Peru I,%, Repair O Replace with like kind: Yes O No O 18)Commercial or industrial typ:incinerator 4625 Residential X Commercial O -- --- — 19)Repair units 6.40 Additional information or description of work: - 20)Wood stovelgas FP/other units/clothe dryerletc. 7.0_0 NOTE: For Commercial protects only,Units ever 400 Itis.require 21)Gas piping one to four outlets structural gas talcs. -- Soo!Oocroto 1 3.75 kype of fuel: nil O natural fas O LPG O electric)( 22 Moro lhL ri 4-per outlet(each) .75 Minimum Permit Fee(50.00 SUBTOTAL I hereby acknowledge that I have read the application,that the information _ __ %SURCHARGE �__ on given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial annib-aril the owner,that plans submitted are in compliance with Oregon State laws 9—---- P--- TO'TAL 'D Slpnature of Owner/Agent Date — — f Other Inspections and Fees: ! 9 Q6 1. Intpectlons outside of normal busaness hours/,minimum charge-two t^ontact Person Name T lPhons hours) $60.00 per hour 2. Inspectlons for which no fee is spoclfically Indicated (mintmum / In /fJ f SLS �a"7` 6Qt�- charge-half hour) f50 00 per hour F•Loo�notss for commercial proJeetr only: 3 Additional plan review requlred by changes,additions or revisions to I Provide full schematic of existing and proposed gas line and pressure. plans(minimum charge ons-hal!hour)fS7.01 per hour 2 Provldo drnwmge to scale @hawing existing and prvposati mo;hen;cpl units, `Slate Contra,br Bailer Certhfice,ion requiredl._ "Residential A/C requir,)S Ede plan showing placement of unit I:Vnechperm dac rev 7/1?!99 MAY--19-2000 15 12 P.02 Geoige Moflan Plumbi'ng and H 0 930,'5 SW Ti urd st. Tlgc>rd Oft 97223 503-624-603 1 Fc3x 503-639-4531 Out door unit site plan Name: L&,tc1 ,iws , _Job no.,.%o67=o Address -n o cfw-, C�y_.���... Lpcode 97,3. i 0 _ .._wr.^.wr..... ,.--«�. .. w.� �-- ...�.•w•��.wr..l'r•. ...rte..«n .. •� r �^ , r �..�'wr...•..�.._�... .`.....' .....L..r 'a.. r fw....-�r.. �..w�•.wn R .�� .. .`w..v .,. .... wj r... ...w.� House a r »r • j i { d Front CITYOF TIGARD — ELECTRICAL PERMIT � PERMIT#: ELC2000-00294 DEVELOPMENT SERVICE, ;p ISSUED: 06/05/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S103BB-04100 SITE ADDRESS: 12497 SW KATHERINE ST SUBDIVISION: BROOKWAY ZONING: R-4.5 BLOCK: LOT : 041 JURISDICTION: TIG Project Description: Install one branch circuit in SF dwelling RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ �V MISCELLANEOUS 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 50USF: 201 - 400 amp: SIGN/OUT LINE LTG. LIMITED ENERGY: 401 - 600 amp: S1014AL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCI4 CIRCUITS -— __ ADD'L INSPECTIONS 0 - 200 amWISER p: VICE OR FEEDER: -___7TP_TRSP=0197-- 201 ap---- 201 - 400 amts: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L ERNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: — >_ - --- > 600 —_ Reconnect only �_— SVC/FDR >= 225 AMPS:_ CLASS AREA/SPEC OCC: Owner: Contractor: NASH, ERIC A + TRACY DEA GRF ELECTRIC 12.497 SVV KATHERINE ST 15460 SE PARADISE L.N TIGARD, OR 97223 MULINO, OR 970.12 Phone: Phone: 503.829-4146 Reg #: LIC 76751 SUP 1655S ELF 3-484C FEES � �- Required Inspections Type By Date Amount Receipt Elect'I Service PRMT SS 06/05/2.00 $37.50 0002685 Elect'I Final 5PCT SS 06/05/2.00 $3 00 0002685 Total $40.50 ORIGINAL 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 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 or direct questions to OUNC at(503)246-1987 PERMITTEE'S SIGNATOR--E ISSUED BY � I 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: _QN 8gz, — DATE: LICENSE NO: 1 ,3 ' _ Call 635 4175 by 7:00pm for an inspection the next business day 05/22/2000 14: 19 5038295747 GRF EL_ECITRIC PAGE 01 CITY OF TIGARD Electrical Permit Application Plan Check 0_ 13126 SW HALL BLVD. Recd By .SSC TIGARD OR 97223 Date Rec'd Z1ev Date to P.E. Phone(503)639-4171, x304 Date to DST _ Inspection (503)639.4175 Print of Type Permit 0_(.gip OoZ9V Fax (503) 598 1960 Incomplete or Illegible will not be accepted called asst- IL -- 1. Job Address: 4. Complete Fee Schedule Below: Name of Development. Number of Inspeetlorw per permit allowed Name(or name of business) — / Service included: Items Cost Sum Address _�ta� R �_S L,s� je-a 1y-11 QLJ41fi s+• Residential-per unit 1000 sq.R.or less $ 117.75 4 City/State/zip f - _ — - -- --- ------ ------ Each additional Soo eq.R or portion thereof _ S 26W5 1 Commercial❑ Residential L1Y Limited Energy 5 80.0U Each Manufd Horne or Modular 2a. Contractor installation only. livening 5ervrne or Fender N $ 72 75 _ _ 2 (Prior to permit Issuance,appllears must provide contractor lieerme 4b.Services or Feeders infomiattion for COT data bslse) Installation,alteration,or relocation L lectncal Contractor F __ 200 amps nr less $ 64 25 - _ 2 Address I ` ,r1 201 amps to 400 amps S 95.50 _ i 2 _-�_.Z i+ 401 strips to 600 ' amps 1 79 50 2 city Mstate 601 amps In 1000 amps f 1g2 S0 Z _ Phone No Ovstr lnon amps or volts f 16175 _ 2 Reconnect only f 53 50 2 Elec. Cont. Lice No, 3 7- 1 4-..' _UP Date L 1 c.Temporary Services or Fosden OR State CCB Reg. No. I 5 l _Exp Date ' 147100 Installatiun,alteration,or relocation COT Business Tax or Metro No -1_*j Dote �'� zoo amps of leas s 53 50 2 201 amps to 400 amps $ 8025 2 401 amps to A00 amps _ $ 107 Uo _ 2 Signature of Supr Elec'n _x _..— .. Over 600 amps to 1000 vnfls, T sea''b"sbnva. License No r,1"_'�_ Fxp Date 1L 1-n1 ._. ad.Branch Circuits Phone No �_����f �'f�tt _ - _ _ New,alteration or rriension per panel C f eat X 1 Zct , 7 4-'7 a)The,fee,for branch Circuits 2b, Fnr owner insttallattons: with purchase of service or Water I". Print Owner's Name Each branch circuit S 5.3` i ._. _____ _.__�_ h)The rep for branch circuits AddreSS __....-- -- - ---- without purch"s,of service CI - State Zip - - or feeder fee. Phone No Kral branch circwf S 37 Sq - — Each additior,al branch clra,il S 5 35 1 he Installation is being made on property I own which is not •e IYaecellansous intended for sale, lease or rent (Firrviat nr feeder not included) Each put-p or litigation ckda S 42 7S owner's Signature Each sign or oulN5 ne lighting i 42 7 Signal circull(r;)or a limited energy panel,alteration or extensionS N On 3. Plan Review Rection (if roquiredl Minor Labels 00) $ 10700 -'---- Please check appropriate,item and enter fee in section 58. 41,Each additional Inspec0on over 4 or more residentlnl units In one alrurtrlra the allowable In any of the above Pat Inspecllon S W 00 _ _ Seivion and feeder 225 amps or mora Per hour i 500c System over 600 volts nominal In Plant S 5900 Glassified area nr atrudura cont;4ining special occupancy as described in N F_C Chapter 5 .5. Fees: Sp 6e-Enter total of above lees S Submit 7 aetiir of plana with triplication where any of fbo above apply. 5%Surcharyle(Ori X total fees) NSA rarjulrad for tamrrnrary construction services, Cubroter 6b.Enter 25%of 11na so Mr NOTICF 'Ian Review I reguued(Sec 3) S PERMITS 3ECOME VOID IF WORK OR CONSTRUCTION AUrHOR12FD Suhfotal S 15 NOT COMMENCED WITHIN 190 DAYS OR Ir CONSTRUCTION OR WORK IS SUSPENDED OR ARANDONFD FOR A PERIOD Or 190 DAYS Trust A sounl N � A I ANY THE AFTER yvORK 15 COMMENCED Total balance Due $ I 61.0orms,eltetrlr•dog