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13951 SW HILLSHIRE DRIVE f I F-r W Ul N E x H C" x H d i 1 r 13951 SW HILLSHIRE DR CITY OF TIGAPD BUILDING INSPECTION DIVISION 24-Hour ;,ispection Line- 639-4175 Business Line: 639-4171 MST BLIP _ Date Requestedlc1!( �1`} AM � PM _ BLD Location Suite __ MEC _ Contact Person Ccs�r / �yi lx"Q 'ety c• Ph SWo ( _ PLM — Contractor Ph SWR BUILDING Tenant/Owner _ FLC 707 Retaining Wall — ELR Footing Access, FPS Fig Drain _ crawl Drain Inspection Notes: SGN Slab Post&Beam - --------------------------------- SIT — Ext Sheath/Shear Int Sheath/Shear Framing In;ulation _— -- Drywall Nailing Firewall Fire Sprinkler 4 �_. --- Fire Alarm Susp'd Ceiling _ ------- --_ — ` Roof Misc: ----- Final PASS PART FAIL ---- PLUMBING --------- ---- -- Post& Beam __-----_-- Under Slab Top Out - Water Servile Sanitary Sewer Rain Drains final PASS PART FAIL MECHANICAL Post& Beam - --- - - -- ---..—_ Rough In I ^- --------_ Gns Line - - - - Sr,•^ke Dampers Final --...._ PASS PART FAIL. ELECTRICAL _ — – < Service J Rough In -- --- + UG/Sl2b Low Voltage 1 - Fire Alarm V PASS ART FAIL _ Sim - - Backfill/Grading — _ -- -----._.----- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Rlvd Catch Basin [ ] ease call for reinspection RE. _ Fire Supply Line Please _._ --__ ( ) Unahle to inspect no access ADA _ (Approacf.:Sidewaiic l 'D/— —(% Other _ Date ` �� tnspF:ctor— rit�J --� Ext Final PASS PART FAIL DO NO i REMOVE this inspection record froan the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspectioti Line: 639-4175 Business Line: 639-4171 —'- '— �: BLIP Date Requested �� i tiM / PMBLD Location S I Suite MEG 't' . Contact persons �� PML �l�►�g Fn '--7�d o,7�� P:M Contractor r Ph _ SWR BUILDING ^! Tenan`/Owner ELC _ Retaining Wall ELR Footing Access: -' F=Aation �� 9 3 FPS Ftg Drain SGN Crawl Drain Inspection Nosses: Slab �;' ✓ C( t U l��? /l 1}IK-e; �i� n lrr' _ SIT - -- Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firevrall L Fire Spr,,rkler _ -- Fire Alarm ' Susp'd Ceiling - -- Roof Misc: -- Final PASS PARI FAIL - — PLUMBING Post&Beam Under -- --_ ...- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ____ — ----- -- -- ---- -- MECHANICAL Post & Beam - - -- —- - — ---- ------- Ro ake Dampers PART F all. C ELETRIGAI. _~r Service - - -- Rough In UG/Slab I_ow'Joltage Fire Alarm Final PASS IPART FAIL ----- -- - - -- -_ -- --- --- - - ---- - ---SITE Backfill/Grading -- —�—" --` Sanitary Sewer Storm Drain I ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I )Please callfor reinspection RF ] J Unable to inspect no acrecs ADA Approach/Sidewalk pate - M, Inspector ✓ Ext _ Other -- 41 Final PASS PART FAIL 00 NOT REMOVE this inspection record frnrn the jour site. o. CITY O F T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00522 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/29/1999 PARCEL: 2S 104CC-02400 SITE ADDRESS: 13.951 SW HILLSHIRE DR SUBDIVISION: 111LLSHIRE ESTATES NO. 2 ZONING: R-7 BLOCK: LOT: 130 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT FEATERS: VENT FANS: OCCUPANCY GRP: P,3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS _ '.FOODS: _ FUEL TYPES _ �^ 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <== 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of a gas line for a power generator Owner: _—_ FEES STAN MINOR Type By Date Amount Receipt 13951 SW HILLSHIRE DR PRMT CEO 11/29/19 $50.00 99-320058 TIGARD, OR 97223 5PCT GEO 11/29/19f 54.00 99-320058 Total $54.00 Phone: Contractor: D & G PLUMBING 4636 N ALBINA PORTLAND, OR 97217 --REQUIRED INSPECTIONS ___ Gas Line Insp Phone:503-282-0993 Final inspection Reg #:LIC 465 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)246-9189. Issue By: Permittee Signature: Z Call (503) 639-411775 by 7:00 P.M. for inspections needed the next usiness day CITY OF TIGARD Mechanical Permit Application Plan Check#_ PP Recd By 1312.5 SW HALL BLVD. Commercial and Residentia! Date Recd 'IUARD, OR 9-223 Date to P.E. (503) 639-4171, x304 `(�r�'� Date to DST Print or Type " Permit#�1 / /��-ti-� Incomplete or illegible applications will riot be accepted called — —- Name of Development/Pro)ec! Description r Table 1A Mechanical Code P•ice Amt Job StreerAddress vQ,( suite# _� Permit Fee 10.00 1) Furnace to 100,000 BTU Address �>/ S i t L7t' including ducts&vents _ 6.00 Bldg# CRY/State Zip 2) Furnace 100,000 BTU+ '— ,(' LU2_3 L2_3including ducts&vents 7.50 Name(or name of business) 3) Floor Furnace Owner including vent –� _ 6.00 Mailing Address �— 4) Suspended heater,wa'r heater or floor mounter!neabtr _ _ 6.0_0 5) Vent not Incl,.jded in cpplianc_e permit CRyrStete 71pPhone CHECK ALL 'Boller HeatAir Name(or name of business) – THAT APPLY or PumpTCond Qty Price Amt _ ComP •• 6bsorb unit to Occupant Mailing Address 100_K BTU 600 7)3-15 HP;absorb unit trr t GLS ' ' City/Stwo Zip Phone 100k to 500k BTU / 11.00 8)15-30 HP;absorb unit 5-1 mil BTU 15.00 COnfraCtor Normunit 30-50 HP;absorb �uw unit 1-1 75 mil BTU T22,510Prior to permit Mating ress 10)>50HP;absorb unitissuance, – a copy >1.75 mil BTU _ _ 37.50 of all licensesrstate lip Phone 11)Air handling unit to 10,000 CFM ff are required 'r/� �QN1) -22�' ' 1 4.5 expired in COT Crop-"onst.Con(.Swid Lit.# Exp,Date 12)Air handling unit 10,000 CFM+ _database_ y�,,�� f 3� C _ _ 7.50 _ Architect Name — 13)Non-portable evaporate cooler 4.50 or Mailing Address — —" 14)Vent fan connected to a single duct 3.00 15)Ventilation system nedot includin Engineer CMylState Zip Phone a /lance permit _ 4.50 16)Hood served by mechanical exhaust Describe work to be done 4.50 _ 17)Domestic Incinerator New O Repair Replace with like kind. Yes O No O __ 750 Residentialy Commercial O 18)Commcrcial or industrial type incinerator 30.00 Additional information or description of work: �,�-.,,�,� 19)Repair units 4.50 �i ltk 6_ "(A41TX 20)wood stove —__ _ 4.50 21)Clothes dryer,etc. 4.50 Type of fuel oll O natural gasN' LPG O electric O 22)Other units 4.50 1 hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets -- given is correct,that I am the owner or authorized agent of _ 2.00 the ownet,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each) .50 Signature of OwneNAgent Date — – Minimum Permit Fee$25.00 SUBTOTAL 7v 5%SURCHARGE Contact Pers n Name –� y PIAN REVIEW 25%OF SUPYOTAL _ Required for ALL.commercial permits onl TOTAL 'State Contractor Boiler Certificat on required "Residential A/C requires site plat,showing placement of unit f Vnechpemt.doc rev 07/20/90 . n i a y o� x w AS cr cfl Z�. 74� -�.0 R zrnn n, p rn T til vZ C O m ? � r �r w L-) co w2 own Z > �' C) ; N CITY OF TIGA�D ELECTRICAL PERMIT PERMIT#: ELC1999-00709 DEVELOPMENT SERVICES DATE ISSUED: 11/29/1999 13125 SW Hall Blvd..Tipard, OR 97223 (503) 639-4171 PARCEL: 2S104CC-02400 SITE ADDRESS: 13951 SW HII_LSHIRE DR SUBDIVISION: HILLSHIRE ESTATES NO 2 ZONING: R-7 BLOCK: LOT : 130 JURISDICTION: TIG Proiect Description: Electrical alteration RESIDENTIAL UNIT TEMP SRVCIFEEDERS_ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: i PUMP/IRRIGATION: EACH ADn'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ---- — ADD'L INSPECTIONS _ 0 - 200 amp: 2 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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: MINOR, SIANLEY P-r- BETTY J FRIBERG ELECTRIC CO 13951 SW HILI_SHIRE DR 4636 N WILLIAMS .AVE TIGARD, OR 97224 PORTLAND, OR 97217 Phone: Phone: 288-5161 Reg#: LIC 000013 SUP 2543S ELE 26-51C FEES _ _ Required Inspections Type By Date Amount Receipt Elect'I Service 5PCT BON 11/29/199 $10.28 99-320088 Elect'I Final PRMT BON — 11/29/193 $128.47 99-320088 - Total $138.75 OWGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR Specialty Codes and all other applicable laws All work will be do ie in accordance with approved plans This pe mit will expire if work is not slzrted within 180 days of issuance or I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE r` ) c . �I\� )\ hlil 1 ISSUED BY: _ OWNER INSTALLATION ONLY The installation is being made on properly I own which is not intended for sale, lease, or rent. ^ OWNER'S SIGNATURE: _— DATE:_.--_ CONTRACTOR INSTALLATION ONLY SIGNATJRE OF SUPR ELEC'N: _ Z I �� 4 l( __. - . _� �- DATE:---- LICENSE NO: Call 639-4175 639-4175 by 7:00pm for an inspection the next business day Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Han Blvd. RECEIVE$ � Tigird, OR 97223 lanck/Rec. # rmit # _-VC 1111 -DO-101 Phone (503) 639-417' NOV 19 ate Issued 11 - 21' `-Il FAX (503) 684-7297 CITY OF TIGARD I TDD No. (5Q3) 684-2f��MUNllY ULVLLU�I�fiY ed by Inspection (503) 639-4175 1. Job Address: s 4. complete Fae Schedule Below: Name of Development Number of Inspections per permit allowed — Address /'�°/t% S 1C' jAA#—<A,_c Vi , _ Servla ncluded Items Cost(ea) Sum City/StatefZip_i islets p _ 4s. Residential-per unit �9 1000 sq It or lase $11000 Nameor name of business)__ Each additional 500 eq It or Name ( portionthereot 12500 Commercial❑ Residential® bolded Energy $2600 Each Manufd Home or Modular 2 Dwelling Semoe or seeder $6800 'a. Contractor installation only: 4b.Services or Feeders (,yJ1� ` �. Installation,alteration,or reloca0on h' - ,„„thy 2 Electrical Contractor r +a r j, e(r d- _ 200 amps or lees _/'z C 2 Address 34, IV tt++tl r'nrks 201 amps to 400 amps __ $8000 y 2 401 amps to 000 amps $120 00 2 Cityt State e>4 Zip 9 7Z 17 601 amps to 1000 amps — $18000 2 "hone No. Ac­j L t,6- •F'/ Over 1000 amps or Vona $34000 2 Contractor's License No. zj ­/ e neconned only $6000 Contractor's Board Reg. No. .1 4c. Temporary Services or Feeders Installation alteration,or relocation 2 Signature of Supr. Elec'n 200 amps or lees $5000 2 201 amps to 400 amps $76 00 2 License No Phone No.Lbb �,i/b/ 401 amps to eoo amps $10000 Over 800 amps to 1000 Vohs 2b. For owner (ns!allations: see W above 4d. Branch Circuits Print Owner's Name Now alteration or extension per panel Address e)The lea for branch swards Wirt, CityState_. Zip_ --- purchase or service or boder Iw. 2 Each branch circuit $500 Phone N0. b)The lee lot branch arcuds without The installation is being made on property I own which is purchase of @arks or Nada Ars. 2 Errs)branch circuit $3500 2 not intended for sale, lease or rent. Each adddnmwl brans,circuit $500 Owner's Signature r 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or imitation circle $40 o0 2 Each sign or oulline lighting $40 00 Sgnd nrcuttls)or a limited energy 2 Please check appropriate item and -inter fee in section 58. panel,alteration or extension $4000 4 or more residential units in ons structure Minor Labels(10) $10000 Service and feeder 225 amps or more System ove•600 volts nominal 41 Lech additional inspection over Classified area or structure containing special occupancy the Ellowable in any of the above as described in N E C Chapter 5 "' "'I P $3500$5500) 3500$5500 tv„•r $5500 Submit 2 sets of plans with application where any of the above - apply. Not required for temporary construction services. 5. Fees: NOTICE So. Enter total of above lees $ #%Surcharge(.(f X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enteerr 2 2 vi of line A for nrov lS SUSPENDED OR ABANDONED FOR Plan Review If required(Sec 3) $ _ CONSTRUCTION OR N'.. Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS �� -- COMMENCED El Trust Account tM $ —' Balance Due S eeremne.w4c a.op