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9860 SW RIVERWOOD LANE-1 ADDRESS: i:\records\microfilm\targets\buiIding.doc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-417' 1 Footing Rain Drain Cover/Service Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing ei Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk ins. Other: Date: P.M. Entry: c - Address: _ _ _i+tee �4.tc Tenant: Ste.____ MST: _ Con/Own: �7 ' f� T MEC ��� MEC: PLM: I ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: Date: PPROVED _DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL. Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg.Top Out Ins,-lation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer (� Gas Line A Appr/Sdwlk Reins. Other: 1'l �'1/�tk' CX-t L• ,&,--< Date: P.M. Entry: Address: Tenant: Ste: MST: Con/Own:_. BLIP: MEC: PLM: THE FOLLOWING CORRECTIONS ARE REQUIREC: ELR: S'Pcea - Inspectar: _ Data: C '�T .SAB190VED __DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICEr Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service IFINA .Foundation Water Line Ceiling . Post/Beam Mech. Shear/Sheeth Framing ec . PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mach, Rough-in Gyp Bd. -Bldg. San. Sewer �5,[y Gas Line Appr/Sdwlk Reins. Other: ---�..--•-�L � © C�i,� Date: _,� – /!� – ? A.M. P.M. Entry Address: U �u�_ iLL) -�a(tL�Gr . Tenant.— s _ 2-L-�,� Ste: MST Con wn: BUP:MEC _ PLM: ELC: _—_-- TOLLOWING CORRECTIONS ARE. REQUIRED ELR: _ inspector: r _ _ Date: APPROVED DISAPPROVED/CALL REINSP. CF CO CITY OF TIGARD MECHAN IT I('nL P FR 1,,l DEVELOPMENT SERVICES PERMIT #. . . . . . . . IIEC97­17(f,71;-18 13125 SW Hall Blvd., Tigard,Of?97223 (503)639.4171 DATE 1993I.WD. Ck.-V07/97 PARCEL: 2511.1iBD-01.200 SITE ADDRESS. . . : 0913E,0 9W RTUFRWOOD LN SUBDIVISION. . . . :. . . : PICKS LANDING S 70NING: R-4. 5 DL.00-1. . . . . . . . . . : LOT. . . . . . . . . . . . . :7; CLASS Of. WORT, :ALT FLOOR FURN_ . .- 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UN I T HEA TP R5. . : 0 )ENT FANS. . . . 0 OCCUPANCY GRP. . . R3 V[:,N,TS W/(I A P F,1, 0 VFNT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEI... TYPES-­­­­­­­ 0- 3 HID. . . . . 0 DOMES. INrTN: 0 . /GAS/ 3—V-.; HF.. . . . : 0 COMML. INCIN. 0 110X INPUT: 0 STO 1.17J­:?,1'A 1.1 P. . . . 0 REPAIR 1INTT5- 0 FIRE DAMPERS?. . : 30--510 HP. . . . 0 WOODSTOVES. . : 0 3AS PRESSURE. . . . 50+ I-IF.. . . . 0 CLO DRYERS. . . 0 110. OF UNITS— ---- AIR HANDLING UNITS OTHER UNITS. : I TURN ( 100V RTU: 0 10000 C-fm : 1/1 GAS OUTLETS. : I r-'1 !RN > =J.0CAK BTU: 0 > 10000 efin : 0 Rpmai,ks - Installing ga,., fiv,eplace Ownvr-: FEES '!.;T(-)N TORRENCE type amoi-int by d At r-erp-1 9860 SW RIVERWOOD LN PRK( $ 25. '30 B 02/07/97 97-290073; JPCT $ 1. 25 8 17.12,10 7/9 7' 97­290073 I-TGARD Or 972'E'4 1--Ihone #- 684-1='056 DEAN STODDARD INSTALLATIONS 12803 NE 471-1.1 STREET VANCOUVER W.) 98682 Flhonp #: 360-737 W-349 26. 25 TOTAL Re Ll #. . .- 82299 REPUTRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Dre. Specialty Codes and all other Final Inspection applicable laws. All work will be dune in accordance with approved plans. This permit will eypire if work is not startjd within 180 days if issuance, or if work is suspended for more 1han 180 days. ID e.,r-m i t t e e y r i a t i-t v-P - TSSIAed Py : for, inspection 619-4175 Plan Check tt CITY OF TIGAR"-) Mechanical Permit Application Rec'dBy x16- 13125 SW HAL'. BLVD. Coinrnercial and Residential Date Recd 2"� 17 TIGARD, OR 97223 Date to P E (503) 639-417 i, x304 Date to DST Print or Type Permit ar'lt�_ G _ _ Incomplete or illegible applications will not be accepted Called -` N e ut[�eveioOmenVP o14 t r , ,.riolion IC ,�� t_ Tail. IAMechanical Code aTr PRICE AMT Job Street Address ,idea t\1 Permit Fee — 0- 1000 Address CSC bVertAkto _ Bldgs Cdy)State Zip 8) Supplemental PerrT t 300_ MCU s ae �7,),-)� Name for name or busmessi - 1 1 Furnace to 100 000 BTU 600 Owner - g r ._ r r r t ncl duct;.S vents j Mailing Address 2 I Furnace 100.000 BTU I 750 l) ,ep-,�^q�./ttf /t/ Incl.ducts R vents Cayr-LAC tats Zip Phone 3 ) Floor Furnace 600 7,9411 C,Sly Incl,vent Namd r Home of business) 4 1 Suspended heats•.wall heater 600 LI.S CL ; or floor mounted neater Occupant Mailing Address 5) Vent not incl.in 300 appliance permit City stateZp Phone 6 1 Boder or romp,heat pump,air cons 600 to 3 HP absorp unit to 100K BTU Contractor N7 7 1 Boller or comp,heat put np,air Gond t t OQ (Pnor to Cl AC(rA 3.15 HP;absorp unit to 500K BTU ssuance Flailing Address 8 Boder or comp.heat pump.air rond 1500 applicant 1/�� 15-30 HP absorp unit 5.1 mil BTU must provide all Cay tato ZI Phone 9) Boder or comp,neat pump, air Gond 22 50 contractor ;1� Gt�r� E 37_y�/J 30-50 HP;absorp ural 1-1 75 and BTU license Oregon Const Cont Board la# Exp Date 10) Boder or comp,heat pump,air Gond 37 50 information _ >50 HP;absom unit 1 75 and BTU for COT COT Bus-ess rax or Mean,a E,p cmis 11 ) Air handling unit to 4 50 database) _ 10.000 CFM Architect Name 12) Air handling unit 710 _ 10,000 CTM or Me ipq a ddress 13) Non portable 4.50 _ evaporate cooler Engineer ctpstate Zip Phone 14.) Vent fan rannected 300 _ 'o a sLegle duct Deszribe work New O Addition O Alteration Repair O 15) Ventilation system not 4 50 to be done Residential 0---Non-residenti3l O included to appliance permit Additional Descnpuon of work 16 1 Hood served by mechanical exhaust 4 50 17) Domeat c incinerators '50 t xisting use of ~^ 1B) Sommerc al or mdustnattype 3C '0 building or property incinerator 19) Repair units L 4 50 Proposed use of 20) Woodstove 4 50 budding or property 21) Clothes dryer etc 4 5U Type of fuel-oil O natural gas 0---LPG O electric.j 22) (Diner units � r� 4 50 I hereby acknowledge that I have read this application that rhe 23) Gas cicing one!o four outlets I 2 00 information given is correct.that I am the owner or authonzed agent of l the owner,that pans submitter.+!,are in.ompliance with Oregon State 24) More than 4.,er outlet teach) 50 laws Sigrature of Owner/Agent Gate UTY.SUBTOTAL 1 t)n "SUBTOTAL Contact Person Name Phone 5%SURCHARGE PLAN REVIE-W 25"6 CJ SUBTOTAL ---- TOTAL V 14 ) C i.)dst,,mechpmt doc ,rev -.961 Minimum pe,mit tee s 325-51/6 surcharg CITE' OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL_C97­007,4 13125 SW H311 Blvd., Tigard,OR 97223 (503)639.1171 DATE TSSUED: 02/07/97 PARCEL.: .-SI14BD--01200 SITE ADDRES"-) 09860 SW t_N SUBDIVISION. ,. . . : PTCKS LANDTNIG ZONINGR-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :73 ProJect Description : Installing first branch circuit: UNIT---- ---TEMP SRVC/FEEDERS------ __--__MISCELLANEOUS-_-__. 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION....: 0 EACH ADDIL 500SF— t 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 qTGNAL/PANEI.. . . . . . . : 0 NONF, HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 HINOR LABEL (10) . . . : 0 ------ADDIL INSPECTIONS---- 0 NSPECTIONS—0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . . 0 2,0 1 400 amp. . . . . . : 0 15 , W/O SRVC OR FDR. - I PER 1-40UR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL SRNCH CTRL: 0 IN PLANT. . . . . . . . . . . : 0 _01 1000 amp. . . . . : 0 --PLAN PFV T EW Cir-_f7T I ON--­­ 1.000+ amp/Volt.....: 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reuannec�t and y., . . . I,'h f-:)Vr,'FDR ) =: F,.2n) nmrs. . : CL14SS3 AREA/SPEC OCC. : Owner: FEES STAN TUPPENCE type amol.int by date rac-pt 9860 SW RIVERWOOD LN PPMT f, 35. 00 B 02/07/97 97-290086 I-OCT $ 1. 75 B 0?/07/97 97-29017inr TIGARD OR 97224 Phone #: 684-2056 Contt-actort ---------------------------------------------------------------------------- OWNFF? $ 365. 7.5 TOTAL_ REQUIRED INSPECTIONS Ceiling Covet• Elect' l Service Wall Covet- Elect' l Final Req This peroit is issued subject to the regulatinns contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other 1:1. m i t t e e Signatixv-e applicable laws, All warty will be done in accordance with tt,_ approved plans. This peroit will expire if work is not started within IN days of issuance, at, if work is suspended for tore —,m,J t----- than __than IN days. Issiled By OWNER TNSTAI.A..nTION The installat, ion is bein ir-de nn property I own which is not intended forte i n .,ale, lease, ot, rent OWNER' S SI.'JNATURE.- DATE: a INS7("iLl_ATf0N ONl..Y--­­-- --­­-- .......----------- 3IGNnTURE OF' S1JPR. EI-ECIN: DATF. 1 .1CFENSE NO. - Call for inspection - 639--41'15 CITY OF TIGARD Electrical PermK .Application Plan Check 13125 SW HALL BLVD. Rer,'d By A TIGARD OR 97223 Date Recd Z --I-A-7 -- Date to P.E. Phone (503)639-4171, x304 Print or Type nate to DST Inspection (503) 639-4175 Permit u -L�47 - Q� 741 Fax{E )3j 684 7297 Incomplete or illegible will riot be accepted called 1. Job Address: 4. Complete Fee Schedule b,low: Name of Development dc,of _&,.10 L to _ Number of Inspections per permit allowed Name(or name of business)c 0 ,LV 1Q I V j✓ZW001-1 c N Service included: Items Cost Sum Address _ _ 41. Residential-per unit I ow sq.It or less i_ $110.00 4 City/State/Zip I/6,6/20.� 01Q, cf 7 z "z Each additional 500 sq.h.or Commercial❑ Residential® Limitedportion thereof $25.00 t Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 __ 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Installation,alteration,or relocation Address200 amps or less $6000 2 201 amps to 400 amps $&t.00 2 City__ State Zip 401 amps to 600 amps $120.00 2 Phone No. 60 t amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. _-Exp.Dat6 4c.Temporary Services or Fenders COT Business Tax or Metro No. EXp.Date` Inslallation,alteration,or relocation 200 amps or less __ $50.00 2 Signature of Supr. Elec'n, - 201 amps to 400 ampa _ $75.00 _- 401 amps to 63o amps $100.00 Over 600 amps to 1000%,olta, License No.____ __Exp.Date see"b"above. Phone No. 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name i0l` r-r o Lam. feeder fee. AddressC � Each branch circuit $5.00 P f WILT r r~ State 2i b)The fen for branch circuits City TI C �Q- p � �- without purchase of Phone No.��61 *ovvice or feeder fee. First branch circuit $35.01 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended fr,r sale,lease 9x r t 4e.Miscellaneous Owner's S; natu �Z --�� (Service or feederrri notncircle included) - 9 �(� '� Each pump or Irrigation circle $40.00 Each sign or outline fighting $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 225 ampc or more the allowable In any of the above System over 600 volts nominal Per inspecurin $35.00 Classified area or structure containing special occupancy Per h.ur $55.D0 as descrit ed In N.E.C.Chapter 5 In Plsnt $55.00 *Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a Enler total of above fees $ �� .,1%Surcharge(.05 X total fees) $ y NOTICE Subtotal $ 5b.Enter 2500 of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reauired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY n trust Account TIME AFTER WORK IS COMMENCED. Total balance Due MSTMELC96 AN' nm 9/96, _.._-