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11055 SW 119TH AVENUE w�msrwl�+ '�R�1:ems -lW'4AK 1116TT PIs SSOTT CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line-: 639-4175 Business Line: 639-4171 jy'1 BUP _ Date Requested 3 I%It�� AM- —PM BLD — Location j� C ' c� I � Suite _ MEC -;!(,C,)0-C:XX) 7 Contact Person % Ph c PLM Contractor Ph — SWR BUILDING Tenant/Owner __ LLC Retaining Wall ELR Footing Access: EPS Foundation - Ftc,Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing �/ � �G�crl2i C`.1� C��t.C�Gt C—� %•����� �- �/,�s� Insulation Drywall Nailing ��j' �• �y / ?t,C Cat aC. _ Firewall "7 Fire Sprinkler ( 2 l Zvi'. rv�.���c yi S i�1A�5s*+�:�� Fire Alarm Susp'd Ceiling � SyF'/'c 2 r- �yi�i�7���'rA�" � •.vG) �aTl� 1/�2TJ�Ac. Roof Final PASS PART FAIL — - PLUMBING _ Post&Beam - Under Slab _ - Top Out --+ -- Wate Service _—_..------ Sanitary Sewer — Rain Drains _ - _--- -- -- - Final FAIL - --- -- - ----,- - ECHANIC --�_--- --- -^— Post& Beam --- — - Rough In Gas Line Smoke Dampers --_ --- --- —` - �� _ —•- AN;' FAIL —_-__— ELECTRICAL ---�__--___—_--- - r- Service — --- -- --- Rough In UG/Slab ----- - -- _ Low Voltage Fire Alarm Final PASS PART FAIL - 8ITE Backfill/Grading Sanitary Sewer Storm Drain j Reinspection fee of$ required before next inspectio Pay at City Hell, 13125 SW Hall Blvd Catch BasinUnable to Fire Supply Line i ]Please cell for reinspection RE: inspect-no access _ __- I ] ADA Appronch/Sidewalk DateInspector_ __Ext OU►ei - - Final PASS PART FAIL. DJ NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-417 Business Line: 639-4171 — BUP Date Requested .✓ AM PM _ BLD Location_ �' j t, _ Suite _ !►1 � c. "f, _,�- r_� Contact Person Ph Sq 0—S �0( — PLM _-- Contractor Ph _ SWR _ BLDING _ Tenant/Owner -�-�- /�i✓ _ � UIL Retaining Wall ELR Footing Access: FPS Foundation 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:-! ---- - -- ---r---—--. Final _ PASS PART FAIL - -'- -T PLUMBING _ - �.- -_-._.---._-_-- Post&Beam v Under Slab Top Out Water Service - _____ - -------- - -------- Sanitary Sewer Rain Drains - ----.---- -------------__-___ _- _ . - Final PA PARI FAIL ost& Beam Rough In _ --- ------ - __-- Gas Line i rno a Dampers ARTT FAIL RIC - Rough In LIG/Slab _- - -- -- - -- -- ---- - Low Voltage Fire Alarm - -------Final PART FAIL --- - ----- ----.---- Backfill/Grading ---------- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _ required before next insper•tion. Pay at City Hall, 13125 SW Hall Blvd Catrh BasinUnable to inspect no access Fire Supply Line ( ] Please call for reinspection RE -.- -._--.� f ] P ALTA Approach/Sidewalk - - Inspector Ext Other - Date _ J- _ P . Final PASS PART FAIL_ DO NOT' REMOVE this inspection record from the job site. \ CITY OF TIGARD _ _MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00073 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/09/2000 SITE ADDRESS: 11055 SW 119TH AVE PARCEL: 13134CA-00509 SUBDIVISION: PANORAMA NO.2 ZONING: R-4.5 BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: _ EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: Y_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 + lip: WOODSTOVES: FURN < 100K BTU: _ AIR HANDLING UNITF CLU DRYERS: FURN >=100K BTU: <= 10060 cfm_ 1_ OTHER UNITS: > 10000 cfm: GAS OUTLETS: K-narks: Instplling a heat pump and air handllny un l Owner: --- _ FEES REDMOND, DAVID S + PATRICIA E Type By Date Amount Receipt 11055 SW 119TH TIGARD, OR 97223 F. BON 03/09/20( $50.00 0000550 5PCT BON 03/09/20( $4.00 0000550 Phone: Total $54.00 Contractor: TRI TECH HEATING 6603 NE 137TH AVE VANCOUVER, WA 900682 REQUIRED INSPECTIONS Mechanical Insp Phone:360-891-2002 Misc. Inspection Reg#:LIC 101873 Final Inspection ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, 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 copies of these rules or direct questions to OUNC by calling (503)24 9189. Issue By: ( �� �f'a� L-_ Permittee Signature: �Y� /c Cali (503) 639-4175 by 7:00 P.M. for inspections needed the � x 1 t business day „ ,�;mi CITY OF TIGARD Mechanical Permit Application Plan Check,rt;_ _ 13125 SW HALL BLVD. Commercial and Residential Rac'd By 22? -}rt7 TIGARD, OR 97223 Date Recd_ (503) 639-4171, x304 Date to P.E. Date to DST 'Tint or Type Permit*P 97 uxt,7 2r73 Incomplete or illegible a plications will not be accepted called I Nam or D*velopmenuProlect Description jr) '(,(/ I ' /A �1' Table 1A Mechanical Code �^ I Amt Jots :treat nadr•ss` g nen A) PermitFoo Q Price 16 00 Address 1) Furnace to 100,000 BTU em a includin ducts&vents see footnote 1,2 9.65 g CRyr5lete Zip --.� 2) Furnace 100,000 BTU+ -- --- includin ducts&vents sea footnote 1,2 12.00 N e(or na—_eof business) - 3) Floor Furnace �1Agt@r Q� l l r1LtC( �r, alt : including vont see footnote 1,2 9.65 MalnngAddroas 4) Suspended hoal(-,r,wall heater /655 LLQ fh or floor mounted heater see footnote 1,2 9 65 city/state 5) Vent not Included Ina:C'oni.p ance permit 475 e Zp Phone Check all that apply Boiler Heat ir ^_ -- -- �Z t`CT C�'7 J�J_ �j`�rn'�r(J�{ For Itorns 6.10,see or Pump CA,nd Oty Price Amt Na a(or nam of business) f00tnotus 1,2 __ •• -91—<3HP;absorb unit to Occupant Mailing Address — ------- 100K B rU p 7)3-15 HP;absorb unit - 9.65 9.G 100k to 500k BTU _ 17.65 cdyrstal° Zip ui,o�u 8) 15-30 HP;absorb unit 5-1 mil BTU 24 15 Contractor Nano �- 9)30-50 Hf';absorb — -� -Tr )- HCl t t"C( �j -Unit 1-1.75 ml 137U --- Poor to permit Malting Addross ------ 10)>50HP;absorb unit - 36 00 copy /: ?._ > >1.75 inti BTU r iu:,uance,a co 1-f{ 60.15 of all licenses any/Slate 11 Air handling unit to 10,000 CFM sre required IfI ) r none b� =� `� unit 10,000 CFM+ 1,00 J �+ expired in COT nregnn C_onel Conl uoeM uc.q UP.ON ----- _ database _Alf-IL— _ databArchiase Naf e/ rJ r`�— �r C 13)Non-poltahle evaporate a cooler 1 75_ 00 or Meiling Address 14)Vent fan conn,-led to a single duct Z7.00 15)ventilation system not included In ___ --- Engineor CrtyrSlnte zip Phone _a glance ermit __ IF) 'load served by mechanical exhaust Uescdbe►norfc to be done _ __ 17)Domestic Inch®raters � '� New O Repair 0 Replace with like kind. Yes 0 No O 16)Commercial or industrial type erator incin12_UO Reside,ntlal)Q, Commercial 0 46.25 1 _ Additional InfOrma110 or description of wo8)Repair units rk: 2b)W 8.40 Wood FP/other units/clothe dryerlatc. NOTE: For Commercial prulerts only,Units over 400 lbs require 21►Gas piping—one to four outlets __ 7 00 _ structural gas calry See footnote 1 3.75 Type Of fuel, ell O 'natural O LPG 0 electric 0 22)More than 4-por outlet eac _ .75 D e > Minimum Permit Fee$60.00 SUBTOTAL t ' I here'jy acknowledge that I�Have road this application,thej the Information 5°,b SUIUBTOTAL given is wnect,that I am the owner or euthoriied agent of -'--- 'x the owner,that plans submitted era in compliance with Oregon State laws. PLAN REVIEW 25°d,OF SUBTOTAL _ Required for ALL commercial permits only Signature of Owner/Agent baro TOTAL Other Inspections and Fees; Contact � _Pf,rsOrlN__-ama"-`- --- - - - ------ _.-- 1. Inspections Outside of normal business hours(mininum charge two Phone hours) $50.00 per hour _ 2. Inspectiuns for which no lee Is specifically Indicated (minimum FOonotes forcommercial projects only: — charge-half hour) $50.00 per hour 1. Provide full schematic Of existing and proposed gas Noe and pressure 3. Additional plan review required by changes,additions or rev slons to 2. Provide drawings to scale showing existing and proposed mechanical plans(minimum charge-one-half hour):50.00 per hour _ units -` — 'State Contractor Boller Certification required 1.lmechpenn.doc rev 0214/99 "Residential IVC requires site plan showing placement of unit 1 i 1 I' , r I � � �� � � t �._. _ I i I i � I ! � �� �. �, � -� i � �� i 1 �" C p � n /� J , � :� w ...Q � I � i M ELECTRICAL PERMIT \ CITY OF 1 T I GAR D PERMIT#: ELC2000-00087 DEVELOPMENT SERVICES DATE ISSUED: 03/01/2.000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S134CA-00509 SITE ADDRESS: 11055 SW 119TH AVE SUBDIVISION: PANORAMA NO.2 ZONING: R 4.5 BLOCK. LOT : 020 JURISDICTION: TIG Proiect Description: Add two (2) hranch circuits. RESIDENT IAL. UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMPIIRRIGA iTION: 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 LABEL (10): SERVICE/FEEDER _ _ _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER- PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: 1 IN PL ANT: 601 - 1000 amp: _ _ PLAN REVIEWSECTION 1000+ amp/volt: Y >=4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC J Owner: Contractor: REDMOND, DAVID S + PATRICIA F_ BOB'S ACTION ELECTRIC INC 11055 SW 119TH 2700 NE BURTON ROAD TIGARD, OR 9722.3 STE A VANCOUVER, WA 98662 Phone: Phone: 360-254-7200 Reg#: SUP 4322S LIC 00053136 ELE 37-431C FEES Required Inspections �^ Type By Date Amount Receipt Elect'I Service PRMT GEO 03/01/200C $42.85 0000369 Elect'I Final SPCT GEO 03/01/200C $3.43 0000369 ORIGINAL Total $46.28 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 SIGNATUREISSUED 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 ATE:CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: 3 LICENSE NO: --- — Call 639-4175 by 7•OOpm for an inspection the next business day CITY OF TIGARDPlan Check# _ RECIAcal Permit Application Recd By 13125 SW HALL BLVD. Date Recd TIGARD OR 97223 MAR Date to P.E. Phone (503)639-4171, 014 '� Date to DST_ Inspection (503)1339-4113 COMMUNIly UEVEEOPMEN,Print of Type V emit# &CRam-0aziw Fax(503) r-98-1960 Incomplete or illegible will not be accepte Called Fl. Job Address: 4. Complete Fee Schedule Below: Number of inspections per permit allowod Name of Development�• Service Included: Items Cost Sum Name(or name of business) Address 11055 SW 119th Ave. 4a. Residential-per unit 4 1000 sq.11,or less S 117.75 City/State/Zip Tigard. ;x_27.22 3 Each additional 500 sq.ft.or 6.25 0 S 2 portion thereof 26 Commercial El Residential� $ .00 Limited Energy Eac`n Manurd Home or Modular 2 Owoltlnp Serv{re or Feeder S 72.75 2a. Contractor installation only: (Prior to permit issua ice,applicants must provide contractor license 4b.Services or Fenders information for CO': •ita base). Inslaliallon,ailerallon,or relocation 2 lea 200 amps or s $ 84.25 Electrical Contractor J; r Ac i n►Z F1 r t��i c_ - 200 amps to los amps $ 115.50 2 Address "A". 4n1 amps 10600 amps S 126.50 2 City_-Vnnrr i _n ver__._State WA Zip 98662_ 601 amps to 1000 amps $ 192.50 - Over lnon amps or volts S 323.75 Phone No, R 2 _ 360-254-7200 $ 53.50 2 Job No._ 00-201 � Rn-connect only Elec.Cont. Lice. No. 37-431C Exp.Dale 10 O 1 00 4c.Temporary Services or Feeders OR State CCB Reg. No._ 53136 Exp.Date 6 0 03 installation,olterntinn,or relocation S 53.50 2 200 amps or less COT Business Tax or Metro No. 3861 Exp.Date6 1 00 201 amps to 400 amps _ S 80.25 2 401 amps to 600 amps $ 107.00 2 I Signature of Supr. Elec'n - /(L Ovnr G00 amps to 1000 volts, see"b"above, License No. 43225 Exp.Date 10 O1 01 __ 4d.Branch Cirrults Phone No. 360-254-7200 New,allrration or extension per panel a)The fee tot branch circuits with purchase of servlco or 2b. For owner installations: feeder fee. Erich hranrh circuit _ S 5.35 2 Print Owner's Name.__-- ---- b)The fen fnr branch clrcults Address _ ---- without purchase of service City Stale_-Zip ._ or feeder fee. rirstbranch otreull $ 37.50 Phone No. -- Each additional branch circuit S 5.36 The installation is being made on property I own which is not 4a.MI(Service or tender not Included) intended for sale,lease Of rent. Each pump or Irrigation circle s 42.75 _ Farh sign or outline lighting S 47..76 _- Owner's Signature_ signal rlrcult(s)or a limited anergy panni,altpralion or extension S- 0000 �. 3. Plan Review section (if required):" I Minor Labels 100) s 107.00 _ ro riate Item and enter fee in section 5©. 4f.Each additional Inspection over Please chock app p the allowable In any of the above _ 4 or more residential units In one structure FL-r Inspeoiun S 50.09 -------. Service and tender 225 amps or more Per hour S 6000 System over 600 volts nominal In Plant __ S 59.00 _- Classified area or structure containing special occupancy as $. Fees: described in N E C.Chapter 5 6s.Enter total of above tors S 42.85 Submit 2 rets of pians with application where any of the above apply 5%Surcharge(.05 X Int.;f;a► S � - Subtotal S 4Fi 7A Not required for temporary conslructlon services. 5b.Enlef 25%of line 50 for NOTICE Plan Review If ten tired(Sec 3) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S IS NOT COMMENCED WITHIN IPO DAYS,OR IF CaNSTRUCTION OR El Trull Account 0 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS --"- 3 46.28 AT ANY TIME AFTER WORK IS COMMENCED Total balance Due J i ,r. rn'+.+•�hrrrir rin'. 1I11VJ l,l. :I11 x,1.1.1 0061 Alis COs 1VA Wil Itltl 00/►0/90 i.1111