16163 SW KEERINS COURT .a
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16163 SW KEERINS CT. -
CITY OF TIGARD BUILDING INSPECTION\! DIVISION
24-Hour Inspection Line: 639-4175 Business Lk'ne: 639-4171 MST
BUP _
--_Date Requested �D S 6 0 - AM_ PM BLD
Loca'.lon 1 :, U;f (% � S Suite ` MEC O 1U -u% j
(';intact Person — _ � Ph („''ZY–(X PLM _
Cortractor _— _ Ph SWR _
rBUILDING Tenant/Owner ELC ZQX� DuUO�
Retaining Wall ELR _
Footing ,access: /
roundation / FPS
F'tg Drain I '� Gt ----- SGN -^
Crawl Drain Inspection Notes: - - --
Slob - --- - --- SIT
Post&Beam --
Ext:+hdath/Shear
Int Sheath/Shear -
F raminb -
Isulatior
orywall hailing _
Fire SprinKlor
Fire Alarrn r-
Susp'd ;ailing
QUU1
Misc: - --- -✓ -- -
Final _ - - -
PASS PART FAIL
PLUMBING
- __._ �•
iPost& BEIm -- -- - - - ------
Under Slab
Top Out -
Watt r Service
Sanita y Sewer
Rein,' ains
Final
PASS P FAIL _ -- - --- -- J--- -
ANICAL _
Post& 8enm --- - ----. - - -
Rough In
Gas Line __.-__--�- --- --- -- --- -- -
Smoke Dar,,ners
AS. � PART FAILJELT-
CTRIC ) - - - - - - ---- -
ery cT e` -
Rough In -
UG/Slab
Low Voltage
Fire Alarm _.-
r
!P PART FAIT_ -_-- --- ---•_-�_
Backfill/Grading ------ ------ —
Sanitary'.)ewer
Storm Drain [ ]Reinspection fee of$ required before nest insher tion. Pav at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Ll�,e [ ]Please call for reinspection RE ( ]Unable to inspect no access
ADA
Approach/Sidewalk
Other Date _S `: _—Inspector '�'�C/C-!�--�_ Ext
Final
PASS PART FAIL DO NOT REMOVE this jrasnection reco.d from the job site.
CITYOF I JARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00160
13125 SW H,-,:i Blvd., T;gard, OR 972''3 (503) 639-4171 DATE ISSUED: J5/04/2000
PARCEL, 2S105CB-1420r)
SITE ADDRESS: '16163 SW KEEP,INS CT
SUBDIVISION: KERRO14'S u -,EST NO.2 ZONI14G: R-12
BLOCK: LOT: 075 JURISDICTION: URB
CLASS OF WORK: ALT FLOOR TURN: EVAP rJOLERS:
TYPE OF USE: SF UNIT HEATERS: PENT FANS:
OCCUPANCY GRP: R3 'BENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSXOMPRESSORS_ HOODS:
_ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN.
�— 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HIJ:
REPAIR UNITS:
FIRE DAMPERS?: _,0 -50 HP:
GAS PRESSURE: 50 + Hp: WOOD
STOVES:
< i00K BTU: AIR HANDLING UNITS . LO DRYERS:
OTHER UNITS.
FURN >=100K BTU: <= 10000 .fr- -.
GAS OUTLETS:
10000 cfm:
Remarks: Install an air conditioning unit. A/C units cannot be placed within the required setback areas
Owner: _ FEES _
JOHNSON.. MARK A + MARIE A Type By Date Amount Receipt
16161 SW KEERINS CT PRM4 GEO 05/04/20( $50.00 0001898
TIGARD, OR 97223 5PC2 GEO 05,104/20( $4 00 0001898
Phone:
Total $54.00
- ---- --- —
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD "j`
TIGARD, 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phonp:'71-?1A9 Final Inspection
Reg #:LIC 02134
PLM 26-60N
0 '_ N AL
This permil is issued subject to the regulations contained in the Tigard Municipal Cade, Stale of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within I°J days of issuance, or if w0: is susF,�nded for more than 180 days. A17ENTION: Oregon law
requires you to follow rules adopted in the Oreg,)n Utility Notification Center. Those rules are set forth in OAF
952-001-0010 through JAR 952-001-0080. Yoj may obtain copies of these ruleq or direct quest ins to OUNC by
calling (503)2461-91$ 1. Vii?
Issue By: _��1�� APermittee Signature: �12,C,Z::a
Call k'50 639.4!75 by 7:00 P.M for inspections needed the r ext business day
F,ECEIVED
SPR 2 �' z r Plan Check#
_
CI i' OF TIGARD Mechanical Permit Application ReedBy
h
13125 SW HALL BL !"'061TY DEMON,N Cornmercial and Rasidential 2 Date Recd _
TIGARD, OR 9722:; Date to P.E. _
(503) 639-4,1971, x304 ��R-' Date to DST--W-
15'7
ST15'7 3 Print or Type Permit# Aw�t-/?"o
Incomplete or illegible applications will not be accepted Called
Name of DevelopmcnV rojed _ V Descriotion
/, ✓i�i5�S�,)` Table 1A Mechanical Code Pty Price Amt
Sub Street Address A) Permit Fee _ 16.00
Address 1) Furnace to 100,000 BTU
e including ducts&vents see footnote 1,2 9.65
ttwga cdy/Star Zip 2) Furnace 100,000 BTU+
-�� including ducts&vents see footnote 1,2 12.00
Name(or name or business) 3) Floor Furnace
Owner � n,�� including vent see footnc a 1,2 _ 9.65
-- 4) Suspended heater,wall heater
Mailing Address
or floor mounted heatar see footnote 1,2 9.65
_ jPhone
5) Vent not Included Ina liance ermit 4.7:cityrSiate zip Check all that apply: 'Boiler Heat 'am
For Items 6-10,dee or Pump Cond Qty Price Arnr
Name(or nameRtwsrness) footnotes 1,2 Com
6)<3HP;absorb unit to /
(`,.( ia nt Mailing Address 100K BTU 9.65 -
7)3-15 HP;absorb unit
100 to 500k BTU _ 17.65
CMy/State Zip Prwrne 8)15.30 HP;absorb
w unit.5-1 mil BTU 24.15
Contractor r+a ) 9)30.50 HP;absorb
eG� Y� L)ll unit 1-1.75 mil BTU --- 36.00 _
10)>50HP;absorb unit
Prior to permit Mallin Address >1.75 mil BTU 1 60.15
issuance,a copy t')� rte` 11 Air handling unit to 10,000 CFM v
of all licenses CRY/State zip hone 7.00 _
are required if 12)Air handling unit 10,000 CFM+
expired in COT 1::41anaL Cont Board Lic p Exp Da 11.85
database 13)Non-portable evaporate cooler
Architect Name _ 7.00
14)Vent fan connected to a single duct
or Mailing Address _ 4.75
15)Ventilation system not included:.
appliance permit 7.00
Engineer City/state zip Phone 16)Hood served by mechanical exhaust s -
_ 7.00
Describe work to be done: 17)Domestic Incinerators
12.00
New� Re air O Replace with like kind Yes O No O 18)Commercial or industrial type Incinerator
Residential 37 Commercial 4d.25 -
_ 19)Repair
Additional it rorrmation or description of work: _ _ 8.40
20)Wood stove/gas FI'/other units/clothe dryer/etc.
Cllr C Gl'1C�i Cl (Yl'It?,1`' 1 r1St[t_�:� 7.00 _
NOTE: For Commercial projects only;Units over 400 lbs require 211 Gas raping one to four outlets
structural gas talcs. See footnote 1 _ 3 75
Type of fuel oil 0 natural gas O 1.1313 O electric)k 122)More than 4-per outlet(each) _ 75 _
_ Minimum Permit Fee$50.00 SUBTOTAL > 7Z)�'C7
I hereby acknowledge that I have read this application,that the information %SURCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon Stale laws. Required for ALL commercial permits only
TOTAL �_/fir
Signatu f Owner/Agent Date - _ , )'1_ I
Other Inspections and Fees:
I. Inspections outside of normal business h,uurs(minimum charge-two
Cdntact Persgp Name - Phone hours) $50.00 per hour
�'1` /- 2. Inspections for which no fee is specifically indicated (minimum
`1bI, L Y � l��y -eiL/J< charge-half hour) $50.00 per hour
Foonotes for cummerclal projects only: - 3. Additional plan review requh ud by changes,additions or revisions to
1. Provide full schematic of existing ano proposed gas line and pressure plans(minimum charge-ane-half hour)$50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanir;l
units. 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
HPR-21-2000 12:34 U'4
t� I
W�� C
Jl,
I +
TOTAL 0.04
OFCITYCITY � TIGARDI - ELECTRICAL PERMIT
PERMIT 4: ELC2000-00212
DEVELOPMENT SERVICES DATE ISSUED: 05/02/2000
1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S105C13-14200
,ITE ADDRESS: 16163 SW KEFRINS CT
SUBDIVISION: K.ERRON'S CREST NO.2 ZONING: R-12
BLOCK: LOT : 075 JURISDICTION. URB
rProiect Description: Insall a frr:t branch circuit.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _MISCELLANEOUS
1000 SF OR LESS. 0 - 200 amp: PUMP/IRRIGAT ION:
EACH AF)D'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 arnp: SIGNAL/PANFL:
NIANF HM/ SVC/ FDR: 601+amrs - 1000 110its: MINOR LABE'. (10):
SERVICE/FEEDER ___BQANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: W/SERVICE CR FEEDER.: PER INSPECTION
201 - 400 amp: 1 at WIC) SRVC OR FDR: 1 PER HOUR:
401 600 amp: EA ADD'L BR,\13H CIRC: IN PLANT:
601 - 1000 amp: _ _PLAN REVIEW SECTION
1000+ amplvolt: .=4 RES U 11"S: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: _
Owner: Contractor:
JOHNSON, MARK A +- MAP:[? A GRF ELECTRIC
16163 S`,'d KEERINS CT 15460 SE PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Phony: Phone: 503-815-4146
Rej#: LIC. 76751
SUP 16555
EI_E 3-484C
FEES _Required Inspections
Type By Date Amount R(!ceiRt —Elecf'i Service
PRM3 GEO 05/02/200C $37.50 00018W Elect'I Final
5PC2 GEO 05/02/200C $3.00 0001818
Total $40.50O
R, G I L
This Permit is issued subject to the regulations writained in the Tigard Municipal Code, State of OR Specialty Codes and al!other applicable laws
Xi work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or d work is
suspendeJ for more than 180 days ATTENTION Oregon law requires yc u 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 o, a rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE __ c ISSUED B f:
_ OWNER INSTAI CATION-ONLY��
The installation is bei ; made on property I own w)ich is not intended for sale, lease, or reit.
OWNER'S SIGNATURE: _ �__ __ ___ DATE: __---
_� CONTRACTOR INSTALLATION ONLY
DATE:
SIGNATURE OF SUPR. ELEC'N: - --
LICENSE NO: -
Call 639-4175 by 7:00pm for an inspection the next business day
06/25/1995 10:06 5038295747 GRF ELECTRD-.: PO7E N1.
CITY OF TIGARD Pion cnaric a«
�3�z6 sw HALL e�vn. RECF.1VEiElectrlcril Permit Application Redd By —
USARD OR 97223 Y �n�� �r// Data Recd _
Phone(503)639-4171, x304 �I D Dale M P.C.
Inspection(503)6394176 Print of Type l (/( I s' Date to DST
�MMUNIT`I UFVflOPlNlI Permits o�r90-00� �
FaA(603)588-1' 0 Incomplete or Illegible will not be accepted Caned
1, Jobs Address: I. CornPlote Igoe Schedule Below.
No. of Development � r Number uh Inspections per permit NlowmA
Name(or name of business)!"fd11 � y�spp Service Included: Items Cost Sung
Addraas_ f ' _� l a r .1 S ��; URwldrntkl-pe.unit
Gl:. ffttelzlp taco W.11.or less _ f 117.76 4
---- Each ardditonal 500 sq.It or
oonlon whereof _ 6 2,525 t
Commercial�� l Resldentlat� Limped Energy a 80.00
1 (�v Fact MarnRd Horne or Modular
2a. Contractor iI'►"ies"0 _0`4i 0-4kV SerAm or Feeder 5 72 15 2
(P"W to Wath karuance,applkand m.rat provide convemw 11CMI' s 4b.11119rAces or Feeders
hror wollon row COT tWW tweet. /G� Installation,alteration,or rebrunon
Jectrical COnbactol �.0 l°C 200 amps or Mas i 64.25 2
P rldr>ss Ia a Cz 6 — p ;01 8"1 to 400 ampo S 86.60
401 amp.10 am amps ; 126 50 — 2
C •� Suits SP— 801 amP4 to 1000 ampsPhLwm P40 ! 102.50
---__,-__ $Lq-53-*7 Over 1000 ernes or"oft i 363.75 2
2
Job NCor 1t. I.1Ce. Nb. Exp.Date_O V7 r o. Reconnect°r'" S 53.60 2
OR State CCf3 R NO. ^ 4.Temporary 5mvia m o•Fssdera
Reg �� Fsp.Date Ir N,tMdon,sfterstlon.or relocenw
COT 3usirleae Tax or vide >�
Metro No. f [ .Date ��amps or M•. __ t 53.55 i _ 2
21,4 amps to 400 amps $ 8025 2
Signature gnare of Supr. El,,, 401 amps to 800 amps n 107.00 2
Over e00 amps to 1000 vorla,
•a"etwvs.
Exp.Date�2:D,�, res�d.t sews h Gksufb
PhOrM No _ by� ��'1 _- ,— Niwv. gallon or exlarWon per panel
e;The Ise for bnndl c1naalh
?b. F-or owner instillilations: .rear pureh"s of errke or
foodlr M.
Print Owner's Name Each brands c'rcull ; ,ti 2
Address — b)The fee for brarfch clrcaps - —_
wflthour pwrh.jo of sawke
City _--State_—Zip, -.. aT Amer A..
Phone No ,— _ —_ First branch clw% wM a 31.50 _
Each oadlilonol branch dmAj _ S 5.36
The lnstallet on Is helny made 1x1 property I own which I^not w.e11loasU twoomm
Intended for sale, lease or rent (t enAce err feeder not Inc uded)
Each pu rp or krtpa0on drde __ S 42 75
i Owner's Slgnetufp —� Fads sign or otitllns lighting — ! 42.75
Signal ckaull(a)or•nmlled "'My
3, Plan Review section (if required):'a panel,anarellon or esRan.len _ 1 5u.00
1 Mlnor Labels(10) 5 107.00 _
Pwame check appropriate Item and enter Are In section SEs, at Each additional Inspection over
4 or more re+ldentlal units In one s"dure the allwasNe In any of dor above
_ Srrvks and healer 225 amps or more Per Inapsulon S 70.00
System over Pigg volts nominal Per hour $ 5000
In Plenl i 60.00
Claradkwj arae or structure containing spedai occupancy ss `— —
dr,scrbsd In NA:C Chapter 5 5, F"S; /T 1
Y.Enter total of above fees 11 -�—
v Submp 2 deb of plans wAt?h application hsrherwe any of the abovm apply 516 Surcharge(05 X total fees) ;
New r"ulr•d for temporary eanatnrctlrm sarvtces Subrolul 5 —
ab.Enter 25%or Was as for —
NOTI_E Plan Review If M9illtll9(Sec.3) y
PERMIl5 BECrAAF. VOID IF WORK OR CONSTRUCTION AUTHORIZED lubrolN :
IS NOT COMMENCED WITHIN I W DAM OR Ir CONSTRUCTION CR
WORK IS SUSPI-NDFO OR ABANDONED FOR A PERIOD OF 180 U>,YS rust Account Mt/-'v ✓ )
AT ANY tIME Af•1FR WORK IS COMMENCED Toth/balance Due : C It D S. "
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