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Contact Person _ h��'�_ iZ_ _ Ph PLM PLM — Contractor Ph _ x y�''1✓ SWR BUILDI VG Tenant/Owner ELC Retaining Wali ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab - -- SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear — 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 Service Sanitary Sewer -- - -- --- _ — -®^ Rain Drains Final —_-- PASS PART FAIL MECHANI AL Post& Beam --- -- - - --- Rough In Gas Line ---- - --- --- Smoke Dampers WA PART FAIL CTR CAI: _. -- --- --- — — -- �iWff Service Rough In UG/Slab — — Low Voltage Fire Alarm An PART FAIL- Backfill/Grading -- - --- ---_--�_ ` -_-_-- Sanitary Sewer Reinspection fee of$ required before next inspection. Pa at Cit Hall, 13125 SW Hall Blvd _ Storm Drain 11 P ---_-�_ 4 Y Y Catch Basin [ ] Please call for reinspection RE: Fire Supply Line [ ]Unable to inspect no access ADA Approach/Sidewalk - Date Inspector l _ �Ext Other -,04Z, Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . � CITY O F T I G l!R® PEELECTRICAL PERMIT :. PERMIT#: E 00306 DEVELOPMENT SERVICES DATE ISSUED: 5/24/9924/99 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S136AD-03001 SITE ADDRESS: 10555 SW 69TH AVE SUBDIVISION: VILLA RIDGE ZONING: R-4.5 BLOCK: LOT : 006 JURISDICTION: TIG Proiect Description: Add first branch circuit to an existing dwelling. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPhRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR I-ABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS_ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BRANDT BL ODGETT GRF ELECTRIC 10555 SW 69TH 15460 SE PARADISE LN TIGARD, O 97223 MULINO, OR 97042 Phone: Phone: 503-829-4146 Reg #: LIC 001015 SUP 3003S ELE 2.6-878C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT GEO 5/24/99 $35.00 99-315631 Elect'I Final 5PCT GEO 5/24/99 $1.75 99-315631 -- Total $36.75 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuanm,or rf work is suspended for more than 180 days ATTENTION Oregon law requires you ti, follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obeain copies of these rules ordirect questions to OUNC at(503) 246-1987 Permit Signature: Issued By: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE:-- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:— LICENSE LICENSE NO: .3ro 3 S11---.-- -- Call 639-4175 by 7:00prn for an inspection the next business day • 05/24/1.999 13:25 50382*ECEIVED SPF ELE_.TRII P96L 03 en-V OF TIGARD MAY 2 4. 1999 1 1225 SW HALL g COMMUNITY DEVELIy�;ivo P OF, 972 LVD, CC c� hone f503 Z� � � 639.4�, ppllcatifan lnspeCfion C x304 °I"ncn�,a F 031 639.4175 peed gy _ 503)664-7297 �n Pri r /( Dare R�:� + �p� Print or ype �`� J�Dela 10 P C. _— plete or illegible / Date to DST �� JOb Address: 9 lois will not be$.:oepted Per IF a t- _ D(„ --- Cgtled�_ Name of Dovlcl 11• Complete Fee Schedule Be/ow. Name(or narno of business) Number or I- Per-lions--+ _ 1 LP4:.e Deafens per r+�rmlt allowed Addfe�s_ 5 S S A ` Service Included Items; Cost Sum Cify/St81rf/Zip` --- _ _ ur. Residential r7 Z 10Un sq.It or logs per Unit COMMorcln) ���- Each addylnnel Soo s - E n OU R@SidentlAi Donlon thereof q 11.or F Limned Energy - V5 00 28. Contl�Ctor IriSta//BtJOn 0I1IY: F"ch Menurd f�ms or Modular s?i o0 1 Dwelling Service or Fuoder _ (Attach copy of alt current Ilcanses) - fres.oo Electrical Contractor�� 6-1 4b.Bervicsa or Fowler, ' Address 1 S '�I e C-J Ct� In. Alteration,nr relocation M 200 is or lees CIN 1�c1LlQA__State___Q f� —Ilp 201 amps in too am -- S80,00 Z Phone Nra._ g_ Z Q- �{ -- sol Amps ro 600 on, S8000 z Job N0. 60t Amps to 1000 Amps — $120.00 Jver 10o0 amps or unite _ f1eo.0o 2 Elec.Cont.Lice. No � Etc — i— •--._ sa+n no �- -�� R p Date HIVOrino l only 150 00 ` OR State CC6 Reg, No.-4 i r �Ezp.Dete__ — COT Business Tex or Metro No. 14c Temporary setvtcea or Feeder, ZE[p.Dalri�_i Installation,alteration,at rolncalian 200 amps or lees 150.00 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 - — 401 amps to arta amps f to0,0o v� 2 License No . 7 Over 000 amps to n000 vett,, _ Phone No. - Exp.Date _ ase-V above. ----�" - la-- — Id.Branch Circuits Now.Alloratim or ndonsivn par penes 2b. For owner installations. At rho fen for branch circuits with Purchase of,Hutto Of Print Owner's Name _ foods)r I'« Address t Arh branch circuit $5.00 _- 2 lel the foe for branch circuits CITY___ 5ltltt) _ Zip_ without purchase or Phonq No. _—. service or feeder fie I na branch circus _ 4 $35.00 3 5 2 The Installation Is being made on property I own which is not E ash nddmonal brAn,;h rtrr wf _ V00 r intend-4 for sale,lease or rent. 4e.Miscellaneous (service at feeder m Incturtod) Owners Sk nature tech pump of Irrigation rlrclA __ too 00 F.ach sign or rwtllrw•lighting 660.00 ? 3. Plan Review section(if required):' ylgnal circuh(e)m a limited enorgy� panel,aaarstinn er odanslon foo 00 . Miner lwbele(10) _� 8100,00 Please theca appropriate Item and anter fee In section SB 4 or mom rmIdentlrnt units In one structure 41 Each,ddltlnnal tnepectlon over Service and feodw 725 amps or more the allowable In any of the above 635 Systern over 600 volt nominal P.,Insr,artinn $ 5.00 Classified asp a alruelurn containing special occupancy Per hour _ 155.00 as described In N E.C.Chapter.0, in n'IAn! 1155.00 Submit 2 sats of plane with application where any of the above apply 5. Fatted: Net required for temporary a,)nstructlon services. %a.Pillar total ret owrj laws 5%Surcharge(05 x folht Ine,) 6 --- NOTICE subrofd 6b.Enlw 25%of line So for PERMITS pECOME VOID Ir WORK OR CONSTRUCTl'114 AUTHORIZED 15 plan Review ttrogulM(Ark 3) : NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTR'_CTION OR WORK subs I 5 - IS SUSPENDED OR ABANDONED FOR A PERIOD OF 11110 DAYS AT ANY Ft Ac .,,f e TIME AFTER WORK IS GOMMtNCFO (019 Total balance Dua • ,vNrrvicw„«o ee.ass CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES //�� PERMIT#: MEC1999-00201 13125 SW Hall Blvd., Tigard, OR 97223 (503)�f U TE ISSUED: I S13 9 ��� PARCEL: 1S136AD-03001 SITE ADDRESS: 10555 SW 69TH AVE i•, SUBDIVISION: VILLA RIDGE ZCNING: R-4.5 BLOCK: LOT: 006 JURISDICTION:. TIG 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: B(,iLERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: I_PG 3 - 15 HP: COMML. 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 UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks. Owner: FEES _ RONALD BLODGETT Type By Date Amount Receipt 10555 SW 69TH ST PRMT DRA 5/11/99 $25.00 99-315271 TIGARD, OR 97223 5PCT DRA 5/11/99 $1.25 99-315271 Total $26.25 Phoria: Contractor: FIRST CALL MCCALL HEATING + COOLING 1650 NE LOMBARD REQUIRED INSPECTIONS PORTLAND, OR 97211-4798 Cooling Unt Insp Phone::31-3311 Final Inspection Reg #: LIC 102030 This permit is issued subject to the regulations con,ained in the Tigard Municipal Code, State of Ore. ;? Specialty Codes and all other applicable laws. All work will be done in accordance with approved w plans. This permit will exp'.re 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 n7By.0 btain-d pies of these rules or direct questions to OUNC by calli 03)246-9189. Issu Permittee Signature: =xz i Call (503) 639-4175 by 7:00 P.M. for inspections needed the neA business day • •• 503 598 1960 CITY OF hIGARD IA002 RECFWF' ` Plan Chock oITY OF TIGARD Mechanical Permit Application Recd lay 13125 SW HALL BLVD. N!AY 1 19 Commercial and Residential - Date Rec d - TIGARD, OR 97223 Date to P.E. i uillIVIUNITY UEVEL&MENI Date to DST_ (503) 639-4171, x304 ' ��� Permit#Nfz1 99-0-090/ Print or Type called Incomplete or illegible applications will not be accepted Narro d Oevel-1- n iProled Description Table to Mechanical Code O Price Arra A Permit Fee 10.00 Jobe11E� serer 1) Furnace to 100,000 BTU Address U -> -U C,k )t incfudin-gducts vents 6.00 ply citylswe Zip 2) Furnace 100,000 BTU+ including- ds&vents 7.50 Name for norne of business) 1 Floor Including e 6.00 �r t ng vent Owner C�)r i `�L ��� 4) Suspended heater,wall heater MUM Address or floor mounted heater 6.00 c 0 C^s` �j 5) Vent not included in appliance permit Clty/Stare ZIP Phone 3.00 n Cr_- _Z CHECK All Boiler Heat Air \ t�J C� THAT APPLY: or Pump Cond Qty Price Amt Name nems or business) Comp 6)<3HP;2bsorb unit to McIWnq Address 100K BTU _ 6J0 = OCCUpant i)3-15 HP;absorb unit Cityrs%Ae Zip ne 100k to 500k BTU 11.00 0)15-30 HP;absorb 15.00 _ unit.5-1 mil BTU Contractor Name 9)30-50 HP;abso U unit 1-1.75 mll BTU 22.50 �- 10)>50HP;absorb drift Prior to permit Mei Addrou Cl' r 11.75 mil BTU 37.50 r\ \(HCl C issuance,a copy 1 Prone 11)Air handling unit to 10,000 CFM of all ficenses FSnyrsuw Zip Phone � C'i � \ ') t�'�t are required if - — expired In COT Omgon Const CoM te � — - © d p Date 12)Air handling unit 10,000 CFM+ 7.50 �- database L' > -' � Architect Name 13)Non-portable evaporate cooler 4.50 14)Vent fan connected to a single dud 3.00 or Mailing Address — _ 15)Ventilatlor system not included in 4,50 Engineer cayrsrate LP Phone applianrm permit —Y' 16)Hood served uy -echanical exhaust 4.50 Deskxibe work to be done: �L 17)Uomestic indnerators 7.50 New U Repair O Replace with rJco kind: Yes O No O 1B)Commerual or industrial type incinerator Residential Cornimerraal0 30.00 _ 19)Repair units 4.50 Additional_ infomtation ur desorption of work 20)Wood stove 4.50 / ?1)Clothes dryer,etc. s 4.50 n Type of fuel: oil O natural gas LPG O e,edric O - 22)Other un'Rs 4.50 _ - 23)Gas piping one to four outlets I hereby acknowledge that I have read this Application,that the information 2.00 given is carred,that I am the owner or authorized agent of 24 Moro than 4 per outlet(each) the awner,lha!plans submitted are In compliance with Oregon Slate laws. ) .50 Slgrtature of OwnerlAgent ~�^ Date Minimum Permit Fee 525.00 _ SUBTOTAL L > - IL` 1 I 5%SURCHARGF �Z OF SUBTOTAL Contac Pelson Name Phone PLAN REVIEW 25°/. Required for All commF,cial permits on 2S 3 I<ILI 'I TOTAL ,L 'State Contractor Boiler Certification required -Residential A/C requires site plan showing placement of unit I:Vneahperin.doc rev 07/20169 Job Site P an e� A9S37 Additio!!�aistructions- -- $ e rat i�onl line i eJU 1C 05jensate Pump New Registers Vibration Pals New Grills Add Return Duct Add Supply Duct Special Needs ................... ....... .................................................. ......... ................ CITY OF TIGARD BUIL ING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: - (:W-3/74 A.M. P.M. MST: Location: t�Q. 'S��— � BUR -- Tenant: _ Suite:- __ Bldg: ME..C:— Phone: r — z Sz',?, PLM: Phone: ELC: �Qi� — --- STT: _ BUILDING BLDG(con't) PLUMBING MECHANICA t, _ ELECTRICAL SITE Site I'ost/Beatn Post/Beam Post/I3cam Sewer/Stone Fooling Roof- UndFl/Slab Rough-hr Ceiling Water Line Slab Framing Top Out Gas Line Rough-In 1 IG Sprinkler Foundation Insulation Sewer f IaxUi htcl Reconnect �' mtlt Bsnt Damp Drywall Storm Furnace 'fent)Servic Sc. Masonry Ceiling Rain Drain A/C UG Slab Shcar/Sheath fire Spkh/Alm Crawl/Found Dr I[eat pump Low Volt Approved Approved approved Approved Approved — Appr/Sdwlk Not Approved Not Approved Not Approved No )roved Not Apprnved FINAL FINAL FINAL IN FINAL -- ------- ---- J r-. Il! O Call for reinsN.- ti ra--. O Reinspection fee of S-__ __- --_ te(jutted before rent hmpection L7 Unable to inspect Inspector_ page of Att CITY GF TIGARD ELECTRICAL_ PERMIT DEVELOPMENT SERVICES PERMIT #: I-:1-C98-0258 13125 5W Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/18/98 PARCEL...: 1 S 136AD-•03001 SITE ADDRESS„ . . : 1O555 SW 69TH AVE SUBDIVISION. . . . :VILLA RIDGE Z ON I ING: R--4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO6 JURISDICTION: TIG Project Description: Installing first branch circuit --RESIDENTIAL UNIT.-.._-._— _.--_.TEIrIF' SRVC/FEEDERS--- - - 1000 SF OR LESS. . . . : 0 0 — 2200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L-Tu. . : 0 LIMITED ENERGY. . . . . : 0 401 --- 600 amp. . . . . . . : 0 SIGNAL./PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LPPEL ( 10) . . . : 0 _.__SERVICE/FEEDER -____ ----BRANCH C.IRCL.IITS------ ----ADD" L INSPECTIONS—- 0 -- 200 amp. . . . . . : 0 W/SERVICE OR f=EEDER: 0 PIER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/0 SRVC: OR FUR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 --.----------------PLAN RFV IE.W SECTION--_----._--_----- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/S1='EC OCC. : Owner: RYAN BOYD type amount by date recpt 10555 555 SW 69TH AVE PRMT $ 35. 00 B 05/18/98 98-305807 f T CARD OR 97223 5F'CT $ 1. 75 B 05/18/98 98--305807 Phone #: Contractor: -----_—.___--------.--_---_--- OWNER 4, 36. 75 TOTAL. REQUIRED INSPECTIONS ._.__._..._.. Rough-in Elect' 1 Final. Phone #: El.ct' 1 Service Reg #. . : 00000 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will he dcne 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Permittee Si gnatur-e Issued By :.- ' n� -----------------------------OWNER INSTALLATION The installation is be g made on pro erty I own whir_h is riot intended for sale, lease, or rent OWNER' S SIGNATURE: DATE'.: __.________________ ONTRACTOR INSTALLATION ONLY—_--__------------------_—.--. SIGNATURE OF SUM ELEC' N: DATE: LICENSE NO: +++++++++++++++A-++++++++++++++++++++++++++++++++++++.+++++++++++++•r+mss ++++++++4+ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++•f++++4•++•F4•++++++++++++++++++4++++++++++++++++++ CITY OFTIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Recd By X>/ TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit ttrL �� J7�;j Fax (503) 684-7297 Incomplete or illegible will not be accepted called 1. Job Address: 4. Complete Fee Schedule Below: l Name of Development K Number of Inspections pp.-permit allowed Name (or name of business) �� Service included: Items Cost Sum Address D J rJ J Sl,_1 ��y9 T t^ A U f.:• _ 4a. Residential-per unit 2 1000 sq.ft.or less $110.00 _ 4 City/State/Zipr Gv�l r0(2- � -� Each additional 500 sq.ft or Commercial ❑ Residentialportion thereof $25.00 _ --- i Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 _ 2a. Contractor installation only: (Attach copy of all current Ilcenses) 4b.Services or Feeders Electrical Contractor Installation,alteration,or relocation ---- --- - - 200 amps or less _ $60.00 2 Address T� -- 201 amps to 400 amps $80.00 2 City State ,_Zip__ 401 amps to 600 amps $120.00 2 Phone No. 601 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.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No._ ^Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n 401 amps to 600 amps - $100.00 2 Over 600 amps to 1000 volts, License Nr _ Exp.Date _ __ see"b"above. Phone N _ _ -- --- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with C �7 / purchase or service or Print Owner's �5 Qr feeder fee. Address s Each branch circuit $f�.00 2_ h)The fee for branch circuits City State Zip 7 2 2 25 without purchase of Phone No. K►� _3 2`{ 154 service or feeder fee. z[[ Cl r First branch circuit J_ $35.00 2 ' 2 The installation is being mad n property I own titch is not Each additional branch circuit� $5.00 2 intended for sale, lease or, en )l 4e.Miscellaneous L, (Service or feeder not Included) Owner's Signature ` /L, Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 2 3. Plan Review secti (if required):' Signal circuit(s)or a limited energy panel,alteration or extension $40.00 _ ? - Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $3500 Classified area or structure containing special occupancy Per hour $',500 as described in N.E.C.Chapter 5 In Plant $5500 _- Submit 2 sets of plans with application where any of the above apply. Jr. Fees: Not required for temporary construction services. Se.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ -- 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviewfi regulred(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 TIME AFTER WORK IS COMMENCED. Q dust Account a L Total balance Due -- -- - - 11n5T;,F t CIW Mrs n,w!lnF