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CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 6-'g-4175 Business Line: 639-4171 —
BUP
/-JLf Datc Requested �� �9y AM —PM BLDi
Location /,���_ S� i� /tJL Suite MEC
Contact Person _- Z�� Ph PLM
Consactor � '- � � li. Ph '61- SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation -L� FPS _—
Fog Drain
Crawl Drain Inspection Notes: r SGN
Slab _-- ��lL flL — SIT
Post& Beam - —-
Ext:;heath/Shear
Int Sheath/Shear
Framing
Insulation / /
Drywall Nailing � P IV SE42 ��V�
Fire Sp , '
Fire Sprinkler =_y 6� Al <y
Fire Alarm
Susp'd Ceiling
Roof
Misc: — ---- ----- — -..
Final
PASS PART FAIL — --
PLUMBING /h ._ r✓ -
Post& Beam
Under Slab
Top Out ------ — -- -- ---
Water ServiCL _
Sanitary Sewer
Rain Drains
Final - -- -- --
PASS PART FAIL \
MECHANICAL _ �-
Post& Beam ----- - —-- - — ---
Rough In
Gas Line --
Smoke Dampers
Final -- - -- —
PASS PART FAIL
EA&CTRtCAL
Service
Rough In
UG/Slab
~ Low Voltage
Cr
� +FireAIrn__SS RT FAIL
_� SI
s Backfill/Grading - --
Sanitary Sewer
wStorm Drain [ ]Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE:— ( [ Unable to inspect-no access
Fire Supply Line -�}-
ADA
Approach/Sidewalk
Other Date —Inspector / h1.1J1__ Ext
Final
PASS_ PART FAIL DO NOT REIAOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested 3/5AM PM BLD
LoGa*ion -7 !`�'-e_ Suite M_ ME_C
Contac' Person /� '7A_,-_4Ph ���'-i �� 2Z PLM ��'
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall E'LR _
Footing
Foundation ,�? f �� /� '.''S
Ftg Drain l
Crawl Drain Inspection Notes: h SGN _
Slab _ `�'� �� SIT
Post& Beam
Ext Sheath/Shear _
Int Sheath/Shear '
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm �� /
Susp'd Ceiling ------"----� /2
--y�---- ---
Roof
Misc _ -
Final
ART FAIL --- —, -
Sean, --
Under Slab , I `A�j
P
1.
Tu Out w --- ----- - --- \
Water Service
Sanitary Sewer W
Rain (Drain�-2)
AQQQ APART
.41CAL --------._��
Post& Be,'im
Rough In
Gas Line -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
V) Final
> PASS PART FAIL
J SITE
Backfill/Grading -- -- - - —�
Sanitary Sewer
LLI Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 3W Hall Blvd
J Catch Basin
Fire Supply Line [ 1 Please call for reinspection RE: _ _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL 00 NOT REMOV this inspection record from the job site.
F CITY OF TIGARD
DEVELOPMENT SERVICE PLUMBING PERMIT
13125 SW Hall Blvd,Tigard,OR 97223(503)639-4171 FT-TRMIT #. . . . . .. . :
DATE TSSUED: 02/0` /99
PARCEI...: 213104AA 0500171
TTE ADDRESS. . . : 12652 SW 127TH AVE -4. 5
.IBD IVISION. . . . - BE[-l-WOOD ZONING: R
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :017 JURIS)DICTION: TIC-3
CLASS Of- WORE:. . :REP GARBAGE DTSPOSALn. : 0 MOS TI-C HOME
TYr-',E OF USE. . . . :MF WASHING mnCH. , . . . . : 0 BACKFLOW PRFVNTRS.
OCCUPANCY GRP. . R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . .. . . . . .
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH SOf-ITNS. . . .. . . .
L-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . .. . : 0
53 1 NKS. . . . . . . . . 0 UR I MALS. . . . . . . . . . . : 0 GREASE TRAP5. : 0
I-AVATORIE0. . . . 2' OTHER rTXTURES. . . . : In
TLJB/G)HOWE RS. . . 0 SEWER LINE (ft) . . . : 121
WATER Cf.-OSETS. 2. WATER 1-INE (ft ) - - : 0
DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . . : 0
R(-7marks : Fire repair.
nwnei--: FEES
WAYNE ROBERTS cyf1P amni.int by data_ Pt
3100 SCHAEFFER RD PIRMT $ 455. 00 DEB 02/02/99 99--312579
2. ' F
12 5 7 9
WEST LINN OR 97063
r1honL. it:
Cont tact ov--
R D PLUMS TNG INC
13900 NW SRR INGV ILLE RD
PORTLAND OR 97212!,3
Phone #i FAX F97-7344 47. P5 TOTAL.
Reg :4. . -. 000739 REOUIRFD TN9PFrTTnNr,
This permit is issued subject to the regulations contained in the Rnugti - iii Insf.i
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top-nl-tt Insp
applicable laws. All world will be done in accordance with Misr— Itisrier-ticin
approved plans. This permit will expire if worN is not started Final. Trispec-tion
within 180 days of issuance, ir if world is suspended for more
C36
than 180 days, ATTENTION: Oregon law requires you to follow rules
adopted ty the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-0001-0011 through OAR you may
obtain copies of these ruies or direct qiiestions to tIUNC by calling
-J
5 5 U V Permittee SignAt'111(1
+4-++4 +4 4.+-t+++++++4 t-f 4 4 F++4 4-+++-+4+#-++-4 ++4+4++4 4+-4-+4 4 4-4 +-,++4-4 4++-4-++-1-4++-4 +{.}-++++4
r:R
_ . 11 C-.39-41-79 by 7:00 p.. m. for a.- n inspection nr?(,dr,,rJ the next bi.i-,i.iess day
*-++++++•+•++++++++++++++++++a 4.-#-+-4.4-++++.4-++-++++4++4.+++++++++++++++•I-++-++4•++++++++++
FEB— 2-99 TUE 9:23 AM R. D. P! I]Mb i rig, I o(:, FAX NO. 503 297 7344 p l
04/19/07 (la:55 $909 $84 7207 CITY OF TICARD (2001/001
CITY OF TIGARD Plumbing Application Rera9r
13125 5W HALL. BLVD Commercial and Residential Onto Aecd
IGARD• OR 97223 031eto0It _
.503) 639-4171 Onle to nsT/V�/~,��'d,
Print or Type perrred sWFn s�—+�Gkr
Incomplete or illegible applications will not be accepted Caned_ --
itid
r erarepmenuCro;ea SI;Ttl---- (lMdtv----- ----1 Adtlerea, sopa lrrtstory SW 12rr77t.h rub orruw5ha•erCamo 29'��Tit�ard goo-DB ------ Wrier Closet2Oresa Suite Garvage Qfeteae T—f D Phone
9.GC
_ e�
OCcupanR Ata+a,Olaoresa $y,It waFOrMtMn - 09
h'Slale - truntlryr Room TVf
Zlp - ohOM
otNNtti►wFer ISperr T
R. D. Plumbing, Inc. - 9.00
ContractorNJrll mrvss svnr 9.
N Springville
iPnvr IQ rewrite Cdyr Isre
Zip Plnne
30puantrrrust d OR 97229 297-•7427
oraoiee au 0(iog"n Carat.
Gonl
C lf H
license 3913 . 0 r�Jr --------•— — .�.'T...T_ .9OCtj'
��p 9.
m!oniatien 26-313PB 06 30/99 b�eevtr,i7f 30*a*
fur COT •B�fef MIVO i O4tl�WnM NIP
eftrbastr• 1094 81
� r/99 25.00
Nains -•-••-.__- 'A'�Fir MCY SfC�fOGl6enfl IR?•--~---- --�
Architects as
allkRr .nOraa+-tel loo• �
0► MWtaq Aaa•cu Suwre -` Stt►!i r ibm t3rwn,,sed+a40rlrena!100' 0.00 -
Engineer �SVtA -"—' ---- F�+m• 'sty. 29.00 `�
iro _ Pnenar Colsonrrroat o
ttiGt F-er.Drl�enOM MCR at Arica 29 00
tso'be werM New PoNutivn Q _
Addinen 0 U14auen J Rc;trr C - esgMvs19sU1ars.
to]one; JCctAentral O Nrvi resu'enl al J ewnuoh Cewte � Fl.Otl
=:er.;anm eeso+otrEn t,rwoAr --. Jnr _i tragi or vVrsv tr�tCenrv�ea Iva mus goo
Grtrn?Iastn
ra;ria r se si '- owaft pceutstetl r �_ ervhr i
rNV or aracerry residential �+oeo,one
aa'nCrarn s O' tii
e,ataeo use er '"y r N tlWelY*p W!Mr0.70
wicingofptoveny residential
�-. Ar!-•tlu tlCnrr Tot
nta.1replacing -----f-_ - I v i
9 ny ar any tlxo,r.rtl Year Vn� Inca w;a or nyr e�..M-�newnee ti 0__M_rtma," I 45.0
AL
cG Ill yes eN sack of rennt �^-
n f »age rr:t!hav0 read:his arvrorllo- thu'ne rnronnruon 01
I
7 vin 17[Or1!C J1i1 1 aT ins c\vner 6,gVtnnn7PA Sent 31!n11 owner.and --_---
;> `rt A mi ort 7ampFlance wnn Or •
� ilOFlrrur a1 rgon Slate leMr. _ _ 2.25
1rrye bore
FU►N REY16W % 8U TO --
`_' `�/.: 7 iflti c t�Wc 9n o f ---• --,_
'eYat Derf�n arnr `.� � -
�. 11eM L_ 0 At. —
Pn~�J -7 nae2 7 reffitl ,t _ renrlle..sesot es, ar n sea ew�
e .~eas,s OX •
l'4�1s'pnn�re,tloc yt+t tvrchrt'e
I
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL. PERMIT
PERMIT
13125 SW Nall Blvd., Tigard,0!4 97223(503)639-4171 GERM 7 T 0: k.L..G93-0056PATE I SSOF�:: `r:•�/r�.=/ 9
PARCEL: 2S 104PA-05000
'I T'.: ADDRESS. . . : 12612 SW 127TH AVE
'AJED I V I S I ON. . . . :BELLWOOD 7.ON I NG: R-4. 5
I_.00N.. . . . . . . . . . . LOT. . . . . . . . . . . . . :01.7 TURISDICTION: TIG
roject Description: Fire repair.
RESIDENTIAL UNIT------ -----TEMP SRVC/FEEDERS--.-__. ---- MTSCEI-_L.ANED S--••---
000 SF OR LESS. . . . : 1 0 -- 200 amp. . . . . . . : 0 PUMP/IRRI 7ATinm. . . . : 0
-ACH ADD" L_ 000SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTC— : 0
IMTTFP ENERGY. . . . . : 0 401. 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : Cir
NANF. HM/ SVC/FDR. . : 0 601+amps -1000 volts. : 0 QNnR LABEL. ( tO) , . . : 0
_-----S RVT.O /FEEDER—.--.— ----BRANCH CIRCUITS----- ---ADDIU INSPEC:TIONS•-.-_
200 amp. . . . . . : Qr W/SEr',VIC:E OR FEEDER: 0 PER `.NSPE:CTTON. . . . . : 0
"Ot — 400 amp. . . . . . : 0 15t W10 SRV0 OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
01 1 --• 600 amp. . . . . . : 0 EA ADD' I_ BRN31 CIRC: 0 IN PLANT. . . . . . . . . . . : 171
"01 - 1.000 a m p. . . . . r 0 -----------------PLAN REVIEW SECTION----------------
1000+ amp/volt. . . . . : 0 ) -4 RES UNIT,. . . . . . . . : ) (',0+21 VOLT NOMINAL. . :
'reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS-- CLASS AREA/SPEC OCC. -
iwner: ------ - .___- -._..____.._-____-__..__..._.._._....___-,---......-..__......_-...__.__.._._-_- FEES _..-_._-.__._-_......_____._.
'JAYNE ROBEPTS types amount by date rerrp+t
i100 OCHAErnp RD PRMT 1 110. 00 DEB 02/02/99 99-025C,1._5 C, .
JEST L_INN OR 97068 5PC;T $ 5. 50 DEN 02/02/99 99-31257r,
-hone #:
"IETRO ELECTRIC INC $ 115. 50 TOTAL.
'809 SF MYRTI-EWOnD WAY
--_-- - REOU T RED INSPECTIONS
_--
',RUS1AAM OR 97080 Rough-.in Elect' 1 rinal
,hnn, #a 666--r-'t59 Elect' l r_ �vir_e
Reg #. . . 000781
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 be done in accordance with approved plans. This permit will expire if work is not started within 160
days of issuance, or if wor4 is suspended for tore than 160 days. ATTENTION: Oregon law requires you to follow the rules adopted by
"•e Oregon Utility Notification Center. Those rales are set forth in OAR 952-001-00 rou R ?rj,," 901-1987. You may obtain a
these rules or direct questions to OLAVC ng t5A3)246-1987.
armittee Signatl..tre : _ Issued
a
INSTALLATION
} 'he installation is being made an prnperty I own which is not intender. for
lease, or rent.
i
OWNER' S S T C=rNPTURE: DATE:
__ ..._ .._...._._._.__ CONTRAC.,TOR IMTQL.ATT N ONLY-
Lu _.... ...----..... .
r CINATURF" or !';t.pm MEW N: JLL "G j#1. /�.'i (_(��ti DATE:
TCi-NSE NO:
' +++ +E++-+++ + l++ 4 ++++ + ++i + + ! +++++ l ++h+++-1-+ *++++++++•+++++-++++•+++-I•+•#-+.++•++++++-++++
Call C39 417" by 7:00 p,, m. for an inspection needed the nest business d.+y
++++++-+441+1++++4 + 0+4 0++4 +++V++41+4++1.......................................
ME-rPo. ELETRT-. INC. 503 674 0123 P. 01
CITY OF TIGARD Electrical Permit Applicatlon Plan Cn _
13125 SW HALL BLVD. Recd�
TIGARD OR 97223 pate Rev'd ;1-,7
sDate to P.E.hone (503)639-4f71, x304 Date to DST
Inspection (503)635-4175 Print or Type Permit'!
Fax (503)684 7297 Incomplete or illegible will not be accepted Calle) _
1. Job Address; 4. Complete Fee Schedule Below:
Name of Development Number of Inspectiona per permit allowed 1I
Name(or narne of business) Service included: Items CoFt Sum l
Address J ().j p-17
4a. Residential•per unitI D �5 j4
y� �^ 1000 sq,fl.or suss $1 10 00
City/State/Zip_ / i Y
Each additional 500 eq.ft.or
�y portion thereof $2500
Commercial❑ Residential l_I --
Limited Energy $25.00 _
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only: - - -
(Attach copy of ell c r n-t 1' en-ses) 4h.Services or Feeders
Eleclrics3hC+iOjltr�jactor Lel\,�ytal h' _ Installation, ion,or relocation
Address f p`� i i. Lk 1. Qjoy 200 amps
or loss or leve Srt' Uo201
City. +..� State_ _2ip_ d`.U__ 401 an ps to 600 amps
$120.00 �- -
PhonbrNo. �' t1(P - 3-1` q _ 6U1 amps to loon amps _ $18000
.lob No. Over 1000 amps or volts $340,00
0 3 C Exp bate__ (�4� Reconnect only $so,oO
Flec Cont, Lice. No. -
OH State CCB Reg. No.` 17 F1 7j �Exp.Date \'s °`i 4c.Temporary Services or Feeders
COT Buslness Tax of Metro No.O i^Exp.Date1j•!'- Installation,alteration,or relocation
7 200 amps or less
�l�t,.f 201 amps to 400 amps 575.00
Signature of Supr. Elec'n _ 4u1 amps to boo amps 3100.00
f J Over 600 amps to loon volt.,,
License No. �-4 U$ '� _._ ,_ ______EXp,Date � 1 bl• see•'b"above.
Phone No.--,-.-- - - — 4d.Drench 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 _ loodar foe.
Address Each branch circuit $5,00 ,
- - - - b)The ler,for branch circuits
City _ State----. Zip __ without purchase of
Phone No. service or laeder Me.
First branch circuit $35.00
The installation is being made on property I own which is not Each additional branch circuit $5.00 —
intended for sale,lease or rent 4e.Miscellaneous
t
Owner's Signature. (Service or feeder not included)
q - Each pump or Irrigation circle $40.00 -_-
Each sign or outllne lighting $40.00 i
I
3. Plan Review section (if required):' Signal clrcull(s)or a limited energy
panel,alteration or extension $40.M
Minor Labels(10) __ $100.00 _
Please check appropriate Item and enter fee in section 5B.
4 or more resldentinl units in one structure 41.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over e00 volts nominal Por Inspection $35.110
Classified area or slructuro containing special occupancy Pe, hnnr -_ $55.00
as described in N.E.C.Chapter 5 In Rant 655,00
Submit 2 seta of plans with application where any of tho above apply. 5. Fees:
Not required for temporary construction services. Sa.Enter tutal of above fees $ —
5%Surcharge(.05 X total fees) $ —
710E subtotal S
Sb.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reaulred(Sec.3) $
NOT COMMENCED WITHIN 10 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF leo DAYS AT ANY rr''
TIME AFTER WORK IS COMMENCED. U Trust Actxiunt M.
I
rjrJ Total balance Due -TeD