12705 SW KATHERINE STREET N
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ISSUIS SNIKSHTVN MS SOLIT
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CITY OF TIGARD BUILDING INS. PECTION Mlv'!:SION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
—_--� Date Requested '- /? —CLQ SUP
AM - --
— �M
Location 'a l �� � � �"�c2 t-?�'r�4 cy `; ' — SLD _
Sint? MEC ;?C c)
Contact Person —
Ph (adv _ PLM _
Contractor Ph SWR - --
�IJILDING Tenant/Owner ?
ELC -.;?G7VU
Retairmq Wall - - -- - ---
Footing — ESR
Foundation Access.. ----
Ftg Drain FPS
Crawl Drain I ispection Notes: SGIN
Slab ---- �_
Post 8 Beam -------- ____ C=- -- __-------_- _ _ SIT
Ext Sheath/Shear `--
Int Sheath/Sherr �----�-
Framing --_---
Insulation ---
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd('piling -
- ._._.__._------------
Roof --�-
Misc:
Final
PASS PART FAIL
PLUMBING
Post& Beam
- --- -
Under Slab '+
Top Out -- --- _-------- - - - �` _
Water Service
Sanitary Sewer - -- --_-------- -- --- ---- -
Rain Drains
Final - -- --------- - -
PA PART FAIL
— --_
CHANIC L -- - - --_ --
Post&Beam
Rough In -- -
Gas Line _--
S oke Dampers
R
ASS PART FAIL
ICA — ----
Service ---
Rough In
UG/Shb
Low Voltage
Fire Alarm
PART FAIL
SITE —
Backfill/Grading
Sanitary Sewer -'
Storm Drain ( j Reinspection fee of$ required before next inspection. (gay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for.reinspection RF:
ADA ( j Unable t)inspect-no access
Approach/Sidewalk
other Date Inspector / �t.{.G----�
Final Ext
PASS PART FAIL DO NOT REMIOVC this inspection record from the job site.
i
C1�� �� ������ _ ELt=CTRICALPERMIT
PERMIT#: ELC2000-00103
DEVELOPMENT SERVICES DATE ISSUED: 3/14/00
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S104AA-07700
SITE ADDRESS: 12705 SW KATHERINE ST
SUBDIVISION: BEI-LWOOD NO. 2 ZONING: R-4.5
BLOCK: LOT : 108 JURISDICTION: TIG
Protect Description: Install ! branch circuit in single family dwelling
RESIDENTIAL UNIT _TEMP SRVC/FEEDERS i ;3CE! I A"!EyUS _
—1000 SF OR LESS: U 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LrG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR; 601+.,-,cops -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER —_� BRANCH CIRCUITS ADD'L INSPECTIONS
0 • 200 amu: 1/b/SERVICE OR FEEDER: PER INSPECTION:
# 201 - "On amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADr)'L BRNCH CIRC: IN PLAN r:
601 - 1000 amp: PLAN REVIEW SECTION _
1000+ amp/volt: --� >=4 RES UNITS: > 630 VOLT NOMINAL:
Reconrect only: SVC/FDR >=225_AMPS: _ CLASS AREA/SPEC OCC_
Owner: Contractor:
BONNIE ST JERMAINE GRF ELECTRIC
12705 SW KATHERINE- ST 15460 SE PARADISE LN
TIGARD, OR 97:23 MUI_INO, OR 97042
Phone: Phone: 503-829-4146 (`
Reg#: LIC 76701
SUP 16555 I T ! I NIAL
EL E 3-484C
FEES _ _„- Required inspections
Type By Date Amount Receipt1
Elect'I Service
PRMT KJP :.3/'1 00 $37 50 0000654 Ele:t'I Final
5PCT KJP 3/1,+100 $3.00 9000654 'f
— -- Total --- $40.50 - --
This Permit is issued subject to the regulations rxontained in the Tgard Municipal Code. State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. This perm-t will expire if work is not started within 180 days ct issuance,or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon litiliti Notification Center Triose
rules are se,forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct gr-estions to OUNC (503)
246-1987 / J`
PERMITTEE'S SIGNATURE �a> �,� � ISSUED BY: /-
—OWNER INSTALLATION ONLY
The installation is being made on property I ,wn which is not intended for sale, lease, or rent.
OWNER'S SIGN/,TU'2E: —__-- __ r—_ DATE:--.-
CONTRACTOR
ATE: -.-CONTRACTORINSTALLATION ONLY_
SIGNATURE OF SUP R. ELEC'N: __��_ 3a '�� I __ DATE:
LICENSE NO: ---
Call 639-4175 by 7:00pm for an inspection the next business clsy
05/07/1995 06:4R 5038295747 GRF ELECTRIC F':- 'IE X11
I
CITY OF TIGARD RECEWEaical Permit Application Pl•nch.dt.__
'L%126 SWI HALL BLVD. Recd Ey
TIGARD OR 57223 MAR �nr?F� nate Redd_
Phone(503)6394171, x304 r Dow to P.E. — T
Inspection(i503)639-4175OMM1 Ll VI►Y L!f VFLUI MkN7
Data t4 DST
Print of Type Perms 0 Eu.1-cm 00/ve
FRx(503)583-1980 Incomplete or Illegible will not be accepted celled
Job Addrww: 4. Complete Fee Schedule Below:
hbane.d 04webpmMtt p _ Ntvnbar of ISM!alioe ed
Name(or name of bualness) j:ja.n r'elf Service Included: Morro Cwt Sum
Address 11 4 S GJ i -a i'L,�n pe-i r M. .per unk
Crtyl3W&zP:L(Atd�� 4"?Z2 3 ,ach adeq. liR.or to"5 a ,1 r.7s
Each.ddfuon•t eco w.n.or
CommrKdal ❑ Rssldenital portion°MND 1 28.26
�j��1!`(� ;j�E� Each Mwmgd Item•or ModWr
Ta. ContTiCapr hn r on owy: Owl!"1110^'A or Feeder 1 72.76 2
IPrIor to par"1•er w—.1191-I mutt provide ow*wshx Plcerse 41).amloae or►wders
Ink,rn obw for COT dabs boew, L.�. In•tabeon,aharnlon,air rr,krcaikx+ —
Elea3rlCa1� flf—a 200 amps or Ise• _ s 84.20 s 2
Addh1lss ( 201 amps IA 400 amps $ 86.60 -�' 2
City $ti4e fl[� �p Y -01 amp.to eco amps a 128.60 -� 2
c1 .� 801 amp*to 1000 amp* 1 102.80
Ph"PhMO. z L±Lg __ Over 1000 amps or vola 1 707.76 —
Job No _ _ _ R•connso" a 87.60 _ 2
Elec. Cont. lice, NoQete v -"
SV,---SV,---Crci R No. 1 � _ 4e.Temporary llernrk�e or Foods n;
OR
Reg, EJIp.L�lete cJ0 Inelaaaboo,alb-stlon,or,Moratlr.n
CO"Rusirless Tax or Metro No. ; —.Date 200 arnpr',hm a 07.60 _ 2
tot•meg to 400 amps 1 $0.25 _ 2
401 amp*to soo amps Ii 107.00 2
Soomium d Supt. Elec'n Over am amp*to 1000 vou,
License No. F.Yp.Dats "a"b"above.
�
Ph No 4d.9nnch CIMuhn
New,arwabon or srrtaraion per panel
•)The be for branch ci wltt
21b. For owner Installations: wq►p thaea of sowlea or
Maar An.
Pnnt Owrltrr's Name Each brench drwM $ 6.16 a
Andress �—' b)The ia*for bwoll eirouiu —._—�
erftltevi purdww of swvko > 7
Ph"No `- State LP- First arte/11
Each arlMton*I branch cirall 1 6.78
The imtallatlon Is being made on property I wn which Is not 40.1 Aseelyrreom -
intwx ra fzw sale,Iewre or rient IP.t*m at better nor hcILmue)
Eudr pump or Inhason drde a 42.75
CNOWs SipnWUre _ Ffich•len or oLfto No" / 4275
131pne1 drnrl(a)or a Iln>1bd sr+r0y
3. Plan Review section (N nequlrs 4:" w�1 ('ser'°r°thio mir-on - = 160.00
.00
Phase check appropft m Itarn and enter fee In section$8. 41.Each adolttonal Inepacaon over -�
4 or mare reeklardel Units In one strweurs the e0wasble In any of the ebmm
Per lnap*Atr n f 50 co
_..Fiervtae and 1**kt•r 22+3 If11D*or more Per/tour a 60..11
Sys'-M over sea vols nerrdn•I In P1•M — --"'
a 69,tt
_Clawll M er•e or smock"affftwtfnp*10 omrpQnoy e* ----- ---'
deur bed in N.E.0 Chapter s S. Fees: y�
tte.Enter mal of above lees
Submit 2 soft of ptus with ap;Ak*bon 04UNS am of Vo•Does apply. Q '^Ru;har"(05 x 10141 has) a _
Mot required for utmparsry rzonvoru km ewvia*e. b subtotal a
fta,Enter 2611 of Iha M for
NOTIf:E 1„en 119v4nr( (80c J) •
PERNt1(S BECOME VOID IF MRK OR COf,NUC 1ON AUTHORIZED
IS NOT COMMENCED VMfMIN ISO DAYS,Oil IF CONSTRUCT)ON OR
vvMx IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS �Treat Arsaount 0
AT AN I TIME AFTER WORK IS COMMENCER TO1YtI ite/ance Due
r�dsnUomu�ciccVic.duc
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT'#: MEC200000075
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 [/ATE ISSUED: 03/10/2000PARCEL: 2S104AA-07700
SITE ADDRESS: 12705 SW KATHERINE ST
SUBDIVISION: BELLWOOD NO. 2 ZONIN 3: R-4.5
BLOCK: LOT: 108 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HE/'TERS: VENT FANS:
OCCUPAN+:Y GRP: R2 VENTS W/O APPL: VENT SYSTEMS:
STORIES. BOILERS/COMPRESSORS HOODS:
_ )-,'ter-TYPES _ _ 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX IiJP6 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS, OTHER UNITS.
FURN >=100K BTU: <= 10000 cfm GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of an air conditioning unit. A/C unit cannot be placed within the required setback areas.
Owner: _ FEES
BONNIE S T JERMAINE Type By Date Amount Receipt
12705 SW KATHERINE ST PRMT GEO 03/10/20( $50.00 0000586
TIGARD, OR 97223 5PCT GEO 03/10/20(. $4.00 0000586
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
(CCB EXP 6/2002) RE-QUIRED INSPECTIONS
TIGARD, OR 97223 Cooling Unt Insp
Phone:503-624-6895 Final Inspection
Reg #:I IC 00002734
1 l M 26-60p
This permit is issued subject to the regulations containers in the Tigard Municipal Cade. 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 espies f,#iese r4t�es or direct questions to OUNC by calling (503)246-9189.
Issue BY: Permittee Signature:
�
Call (503 39-4175 by 7.00 P.M. for inspections needed the nP-.c business day
ati
MAR-02-;20do 13 43 r.L71
CITY OF T11 ARD Mechanical Permit Application PECEIVrd By�_
13125 SW HALL lr3LVD. Commercial and Residential ate Redd __
f IGARD, OR 97223 Date to P.E.__
-I�MAR t.) 8 416 to DST
-
503)
503) 639-4171, x304 Permitt�/Ilf�.��-a47�S
0/eA/0 35 9,P"-7 Print or Type COMMUNITY DEVEL0Nh*,,
Incomplete or illegible applications will not be accepted
Na •M Deveic,/rnentlP, DeseripGon price Amt
�Germaj Table 1A Mechanical Code Q
A) PertnIt Fee M 16.00
SU••I AddnHf c r_ —
Job ` \ n'} rI nt 1) Furnace to 100,000 BTU
Address oZ J_ 1 '�f� includin ducts&vents see footnote 1,2 9.65
eldga C.hy'Sute zip 2) Furnace-100,000 BTU+
I including duds_&vents see footnotu 1,2 12.00
'— Nemc for none d e��nee �,J J) Floor Furn ice
including vont_ _ see footnote 1,2 5.6r
�
Owner ��Q,r -�L4) Suspended hoater,wall heater
Matting Addro7s or floor mounted heater_ ceo footnote 1,2 965
_ 5 Vent nut included in a Ilance ormlt _ _ 4.75
71tyr9tato- zip Phone Check all that apply: 'Boller Heat Air
For items 6-10,re• or Pump Cond Ory Price Amt
Name(Or name o1 Wsln[ye) footnotv>s 1,2 - Com
6)<3HP;absorb unit to
100K BTU 9.65
Occupant Melling Addrofa � 7)3-15 HP,absorb unit
100 to 500k BTU 17.65
City/Sid,e z p Pnons 8) 15-30 HP,ansorb
unit.5.1 mil BTU 24.15
9)30-50 HP; absorb
Contractor "'A1° unit 11,75 mil BTU _ - 36.00
� li � Ob r-1075—OH—P. bsorb unit
Poor to permit MaAC3.C�SL� l 1- �^ I1.75 mil handling
i — 60.15
� �(.� f S 11 Air handling unit l0 10,000 CFM
issuance,a copy �` _ 7.00
of all licenses e1r 1Ale z1 Phone�t __
are requited If r C,� �a , y 12)Air handling un l 10,000 CFM+-
expired n COT n, Con et.Coal.Dome LIC N Cr<p Cate ^_ 11 05
database 13)Non-portable evaporate cooler -
_- --- ._—_ 7.00
Architeol Name -
14)Vent fan connected to a s nple dud
4.75
or Melfing��ae�c•.— -
15)Ver.titatlon^y^!cm r., I included In
_____ __ ;,p Dance ermlt 7.00
Engineer /stain — - Lv 16)Hood served by mechanical exhaust
7.00
t,escribe work to be done: 17)Domestic incinerators
12.00
N ii Repair 0 Replace with like kind Yes O Nr;O 18)Commercial or Industrial type Incinerator
Res nt al�ll Commerwi O 48.25
19)Repair un is 840
Additional information or description of work - - -- —
20)Wood stove/gas FP/other unitsidolhe dryer/etc
CUf c 0 o r- ,C L(fit-1--t, ----_ 7 00 _
NOTE: For Commerclal projects only.Units over 400 Ibi mvu''" �21)Gas pipirg one to tour outlets
structural gas talc!. !iso footnote 1 _ 3.7.r
1 ype of fuel: oll O natural pas O^LPG O electric O 22 More Than 4-per outlet(e.ash) J .75
Minimum Permit Fee 550.00 SUBTOTAL -1N#
hereby acknowledge that I have read this application,that the inlormalion _ °/.SURCHARGE " i CC)
lwen is correct,that 1 an,the owner or nuthonzed agent of PIAN REVIEW 25%OF SUBTOTAL
he owner,Mat plans submitted are ht compliance with Oregon State laws ^--_ Required for ALL commercial permits only
TOTAL rw00
;Ignatu Owner/Agent Date �— -- -
C` -t Clthcr Inspections and Fees:
ta,L,O\�—J 1. Inspections oubslde of normal business hours(minlnurn rharpo-two �
hours) $50.00 par hour
S
�on ct Person ams _ - Phone T
t Inspections for which no fee rs specifically Indicated (minimum
charge-holt hour) $50.00 per hour
s far �. Additional plan review requited by changes,additions or revisions to
Fooratreommertla projects only:
plans(mtn mum charge-one-halt hour)$50.00 per hour
1. Provide full schematic of existing and proposes qas line and pressure.
2 Proykc drnw,npn to arnlet aho..,ng existing and Grlpooed nWahanjwl 'State Contractor Oudvr Certlfcnhon rcquued
units.+_ __---�_ "Residentlal WC requires site plan showing placement of unit
I.Vnechperm doe rev 7/19/09
MAR-02-2000 1'-:44 r.e1
C3
J
0 �
G�
...-nom
V'
TOTAL P.02