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CITY OF TIGARC� _ _ ELECTRIC^.1 PERMIT
PERMIT#: ELC2004-I 1324
DEVELOPMENT SERViCES DATE ISSUED: 6/8/2004
13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-417" PARCEL: 2S112(A-08900
SITE ADDRESS: 07540 SW ASHFORD S1 ZONING: R-7
SUBDIVIbION: RENAISSANCE WOODS
BLOCK: LOT : 015 JURISDICTION: TIG
Project Description: Install (2)branch circuits.
r ___RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
^000 SF OR LESS: 0� 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL./PANEL:
MANF HM/SVCI FDR: 601+amps - 1000 volts: MINOR LABEL (10)'
SER_VICEIFEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS.
0_ 200 amp: WISERVICE 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 PLANT:
601 - 1000 amp: PLAN KEVIEW SECTION
1000+ amp/volt. �>=4 RES UNITS: > 600 VOL.' NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
VVILLIAM GRAY SOHLER ELECTRICAL CONSTRUCTION
7540 SW ASHFORD ST 41131 SW BURGARSKY RD
TIGARD,OR 97223 GASTON OR 97119
Phone: Phone: 971-832-0807
Fog #: I IC 158285
_ I LE 34-667C
FEES SUP 5945
Description Date Amount _ kequired Inspections
(ELI1RMTJ ELC Permit 6/8!2004 $5350
[TAX]8" Elecfl FState Surcharge 6 9 2(104 $4.28 Rough-in
t'l Fi
_ nal
Total $57.78 _I
Fhis Permit is issued subject to the regulatioris contained in the Tigard Municipal Code State of OR Speaatty Codes and all other applicable laws
All work will be done in accordance with app- ved plans This permit will expire if work is nr ,farted within 180 days of issuance, or 4 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 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
246-6699 or 1-8 00-3322344. /
Issued By: v �' L'ZC. _ Permit Signature:
OWNER. INSTALLATION ONLY
The installation is being made on property I ewn which is riot intended for sale, leAse, or rent.
OWNER'S SIGNATURE —.— _ _ —_ — DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUrJR. ELEC'N: _ _._�___ — _ DATE:
LICENSE NO: --
Call 639-4175 by 7:00pm for an inspection the next business day
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_ MECHANICAL PERMIT
CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT#: MEC2004-00335
13125 SW Hall Blvd,, Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/3/2.004
SITE ADDRESS: 07540 SW ASHFORD ST PARCEL: 2S1 12CA-OR000
SUBDIVISION: RENAISSANCE WOODS ZONING: R-7
BLOCK: — LOT: 015 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: i —� EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRE: TORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 11P: COMML, INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: s0 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING_ UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUT LETS:
Remarks: lw.i;,ll
Owner: �^_. -- — — — ---- — FEES —_—
WILLIAM GRAY Description Date Amount
7540 SW ASHFORD ST —
TIGARD, OR 97223 [MECH] I'crmit Fee 6/3/2004 $72.50
[TAX]S% State Surcharl 6/3/2004 $5.80
Phone: Total $78.30
Contractor:
SPECIALTY HEATING ° COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 Mechanicallnsp
Reg #: LIC 66578 Final Inspection
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 952-001-0100. You may obtain copies of these rules or direct ouestions to OUNC by calling
(503)240-6699.
Issued By: � u �.(: Perrnittee Signature: __, _.L L
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
L
Mechanical Permit A iication '
Received Mechanical
_i LG EU DatwB : _ Pcrmtt NoiA G t Z0H, Q 0 3s
City of Tigard Planning Approval 8ti lding
Datc.. Pemrlt No,:
13 1;5 SW Hall Blvd. i t��04 Flan Review Other
Tigard, n-eenn 97223 Dotw l : Permit No.:
Phor.c: 5( 3-639-4171 FAYOYTYst4"AHL Post-Rcview Land Ilse
Interntt: l vww.ci,tigard.orrtlg �1�; !v Dat" Cast No.:
24-hour lrspection Request. AW3.1475'S1 Contact lutia.: Crn Page?for
NamrJMethod: Su lementalInformation.
TYPE OF WORK COMMERCIAL Nkx,SCHED E- SE CRECKLIST
Clew c onstruc(ionDemolition Mechanical pertnit fees*arc based on the total vAluc of the work
t'.dditlon/alteration/re lace'ment ❑ Other: performed. Indicate the value(rounded to the nearest dollar)of all
— CATEGORY OF CONSTAXICTION . • mechanical materials,equipment,lubur,overhead and protit.
I & 2.•Family dwelling Conimercial/Industrial Value: S See Page 2 for Fee Schedule
[_DAaS1;!1q Building Multi Family RESIDENTIAL EQ
MMMMMYSTENIS 1rEE•SCB.EDULL
Nla3tc.•Builder tDthet: Uoscri tin.. Cee ea.l I Total
_ J)B SITE INFORNIATi0N and'LOCATION r tin Conlin
— Furnace- •on air condition •• 14,00
Job site a_c._dress: -N o as h ho-4.• ,ST Gas heat pum 14 ou
Suitc#: fitd ./A to Duct work _ 14.00
Pro'ect Ni me: Hvdronic hot water system 14.00
—
Crow stru:t/Dirt'ctions to job site: Residential boiler
for radiator or h dronic system) 1400
Unit heaters(fuel,not electric)
in wall,in-duct,suspended,etc.) 14.00
_ Flue/vent for any of above 1 U.00
subdivis1'c"n ^` dot#: Repair units
pthir Fuel A cas
Tax nlap/Earcel #: \'ater lianheater "—
�_ DESCRMTION OF W()R.K Gas fire lace I 10,00 _
�� Flue vent(water hcater/us fire I.,c� 1 10.00
�"t-azLLE1 , La lighter( as) 10•0
W ood/Pellet stove 10.00
-------- Wood ftrevlace/insr:rt 10,00
_ Chi mne /liner/nuc/vent 10.00
R�ffI* EPT LQWNER _LCTENANT
Namt__� ad._ ('�,7 Environmental F,ahaust St ventilation
Addrt:ss: _
Range hood/other kitchen equipment 10.00
City/:;tatt:'Zip: Clothes dryer exhaust 10.00
Phones `L- 5-10 `— Slagle duct exhaust
(bathrooms,toilet compartments,
API'LICI.NT ���C; A `[ PERSON utili rooms) 6 so
Named Artir/erawl space fans 10.00
Address: - other. I 10.00 -
Fuel Poing
Cit tate/Zip: _ •"(,5.40 for first 4.S1.00 each additionall
Phone: Far; - Furnace,etc. �` ••
E;-niai 1: Gas heat pump ••
-- — --- Walbaua ended/unit heater •*
_—CONTRACTOR water heater ••
Busint;ss 'N acne: �_ 1�,�c }i , F,re ►aye ••
Address: (ttt, l •z ,r
_ BB Y•
City/Slate/!1p: �{) ( JJ`.y l� C% -
- �— Clothes cr as) ••
Phone o .5, } Fax: (,IS"i- 11 T`i,3 Other:
CC13 I.ic. i;: �r� `� is Total: L
AuthoNzed y! //' Mechanical Permit Fees'
Sigitatur: ( 4b..cL t.:,2 • �!�G -�.- _ Dater CKSu—biotal: rS
Nlinimum Permit Ece$72.50 1 S1
—.. . Plan Review Fee(25%of Permit Feta) S
(Please print name) State Surcharge 8%of Permit Fee) I S
TOTAL PERMIT FE_E�S ',
vnaee: 1 his pe mit application expires it a permit ill net obtained within *Fee methodology set by Tr-County Building Industry.ervice Soard-
180 days.trter it has heen accepted as complete. •*Sit*plan required for exterior.1/C units.
i OstsTetmitFomcWleePe...tApp.doc 01/03 ' n
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Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Ti crar.d, OR 97223
Phone 503 .620.5643 Fax 503 .598.0718
Hilh bo:ro Phone 503.640--3607 Fax 503 .681 .0793
E: -Cl SILO ass EOS SutaeaH RzieloadS d20 =2O i►O iO unC
CITY OF TIGARD 24-Hour
BUILDING Inspection Li 3) 639-4175
INSPECTION DIVISION Busines e: (503)61, -4171 14IST
BUP ----
-
Received ._ -__ Date Requested .42 AM ipM _,_ __ __ BUP
51[Location >vj Z-�.. Suite - - -- - _ MECt�SL--� �
Contact Person _. Ph(__ ) PLM _
Contractor Ph( ) - SWR -_
_BUILDING Tenant/Owner .___— _ -_ __- ELC
Footing
Foundation ELC
Ftg Drain Access:
ELR
Crawl Drain ----
Slab Inspection Notes: -- SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing } L L V-V-\Z , (y
O -2-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — -- - --- - - - — —
Roof
Other: - --- — _
Final
PASS PART _FAIL - -_ - - -- ---- -
PLUMBING_—_ —
Post 8 Beam _- --- ---- -- — -- -- —.—
Under Slab
Rough-In —
Water Service
Sanitary Sewer
Rain Drains -- _
Catch Basin/Manhole
Storm Drain - - -- —
Shower Pan
Other: - -- -- —
Final
_PASS-_PART FAILPost X11earn
- - --
A>tECHANICA
Rough-In __—.. —___--- — —•—__-- ---___.-_
Gas Line
Smoke Dampers
1i .
PASS PART FAIL — - — —
_ RICAL —
Service - — �— ——
Rough-In -- _
UG/Slab A -- --- —
Low Voltage
Fire Alarmi---- ---' --
Final Reinspection fee of$_ ___ require,'before next inspection. Pay at Cl(Hall, 13125 SW Hall Blvd.
PASSPART FAILEl Please call for reinspection RE: GI Uinspect-no access
Fire Supply Line
ADA
Approach/Sidawalk Date —__/r 61 Inspector
Other:
Final DO NOT REMOVE this inspection cord from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIViSION Business Line: (503) 639-4171
BLIP _
Received .Date Requested___ �L -- AM - _ _- PM -_-_ __ _ BUP -_-
Location U� 5_40 � (chi `t�Lc� Suite— -- MEC - --- - —_--
Contact Person — Ph( ) c� "t— PLM —
Contractor__—.. — Ph( ) _ ___ G� SWR -- _
BUILDING Tenant/Owner
Footing ELC
Foundation Access:
Ftg Drain ELF! -
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - - -
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - -- -- -- -
Insulation
Drywall Nailing - -- ---- - - - --
Firewall
Fire Sprinkler - - -
Fire Alarm
Susp'd Ceiling - ---
Roof
Other '-
Final
_PASS_PART FAIL
_PLUMBING
Post&Beam ._ ---------- ---
Under Slab
Rough-In
Water Service --- - —
Sanitary Sewer
Rain Drains - --- - - —
Catch Basin/Manhole
Storm Drain ---- --- --- -- - --
Shower Pan
Other: - ---- __ _--_--
Final
_PASS PART FAIL - - ------- '- ---
MECHANICAL ---
Post& Beam
Rough-In — ---- -- ---- -- - - -
Gas Lino
Smoke Dampers - - ----- - - -
Final
PASS PART FAIL -- -- -
L LECTRICAL —_
Service -
Rough-In —
UG/Slab
Low Voltage
F
3 PART FAIL F I required before next Inspection. Pa Reinspection fee of$ y at City Hell, 13125 SW Hall Blvd.
--r
g [_1 Please call for reinspection RE: _- E] Unable to Inspect-no access
Fire Supply Line
ADAN80 L5
Approach/Sidewalk Dab JS^`o- Inspector-__ _._Ext--_
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL