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13789 SW ASHBURX LANE
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125SWHall l910., Tlgard,OR97223 (503)63941i1 RF9TRICTED c�Nr:RGY
PERMIT #L ELR97-07'1::;
MATE ISSUED: 0-7/30/97
PPRCELc 14133GD- 110N0
`-ITE ADDR(7SS. . . ; 137813, ,W ASHPURY LN
7LIBD I V I S I ON. . . . e COTSWAL_D MEADOWS NO. 3 70N I NG: R-c 5
, -OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 142 JURIE;DICTN: TTG
"'roject Description: Add burglar alarm to existing single family dwelling.
„ -RF_SIDENT IAL-------_- D. COMMERCIAL--_•----- - --------- -_'
AUD I O & STEREO. . . - AUDIO & STEREO. . , INTERCOM & PAGING. . ;
F'URTI-AR AL.ARN. . . . : X POILER. . . . . . . . . . : L.ANJSCAPE /IRRIGAT.
.
GARAGE OPENER. . . . . CLOCI.... . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . .,
!-vnC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE:. CALL 5. . . . . . . .
VACUUM SYSTEM, . . . : F71RE ALARM. . . . . . : OUTDOOR L_ANI)SC LITE:
OTHER: s : HVAC. . . . . . . . . . . . : PROTECTIVE 5IGNAI_. .
INSTRUMENTAT110H. OTHE::R. . :
TOTAL # OF SYSTEMS: �Z,
(-lwner: FEES _ ._..._.
JAMES TONG type amol.lnt by date recLrt.
1.2789 SW A"31-]BURY LANE PRMT 1 40. 00 GED 07/30/97 137 -,__'J7771-
TIGARD OR 97223 5PCT '4 2. 00 GED 07/30/97 97-:'97'753
Phone #:
CC)lltr'r'1CtC?r•; ___.....__...__.�--..__._.__......._._____....._._.__...._.____......_-•---.---_..__._____...___.______._.__._ -
WESTAR SECURITY E /12. 00 TOTAL.
WESTINGHOUSE 57CURTTY SYSTEMS
9655 SW SLINSH I tVc CT #1 100 --- -- - RE PU I RE=D I NSPECT I r'N�-
BEAVERTON OR 97005 Ceiling Cover' Elect' 1 Set-� J.'.
Phone #: 350--2700 Wali Cover Elect' 1 Final
Rey #. . : 11E1GL2
This pe-mit 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 issuanri. or if work is suspended for more than 180 days. ATTENTION. Oregon le.w require: you to follow rule adupted by the
Oregon Utility Notification Center. Those rules are set forth in DAR 952-KI P010 thrcugh OAR 95t 001-0080, You may obtain copies of
4J,Fse rules or direct qu ns 0Nr at (503)24 -1987, t
; llat.te!d by _„_ Permittee c,ic, t�_crE• _ ..
L�
_._....._....._. .._OWNE=R INSTALLATION ONLY--
The
NLY The installartion is being made or property I own t•rhich is not intended for,
sa-1:Ie, lease, or rent.
OWNER' S SIGNATURE: DATE:
CONTRACTOR I NSTALLAT I OKI r't l Y-
(:,NAITURE OF SLIPR. CLEC' N.- � ______�______ DATE
LICENSE NO:
++•++•+•+++++•++•+++++++++•1-+•+++++++•+++++4+++++ 1-+++++4-4 +-+•+++++++++++++++++++
Call 639-4175 by 6:00 P. M. for Win i.nspF :tion needed the next bl-csi.nes'; d•ay
►++++++•++++++++++++++-►-++++++++++4++,+++4++++++•h+•+++-+++++i•+++++++•++++-+++++++++4.4++
CITY OF T,GARD RESTRIC FED ENERGY ELECTRICAL APPLICATION Rer:'d by:
13125 SW HALL BLVD Date Recd:
riGARD OF. 97223 PRINT OR TYPE
V-503-639.4171 X304 Perm t#: F4R 9z-0a/?
F-503-684.7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust-Call'd:
WILL NOT BE ACCEPTED —
Name of Dovelopment Project TYPE OF WORK INVOLVED -RESIDENTIAL
Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEM))
JOB Street Address Ste#
ADDRESS _g-791j < < L Check Type of Work Involved.
�C►ty/Slate / Zip Phone# ❑ Audio and Stereo Systems
C4 C44c )7- �� 0�
Na -
Burglar Alarm
❑OWNER Mailing Address � Garage Door Opener'
City/State :ip Phone# E] Heating,Ventilation and Air Conditioning System'
�–
Name ❑ Vacuum Systems-
0 Other -- --
CONTRACTOR Mailing Address ) 00 —
C— 5 �',S���t, A'- TYPE OF WORK INVOLVED -COMMERCIAL
(Prior to issuance a tate Phone# Fee for each system............................................. $40.00
copy of all licenses 35LN :?7vL) (SEE OAR 918-260-260)
are required if Oregon Contr.Brd Lic # Exp.C-,o
expired in C.O.T. Lk;z L213( 7 Check Type of Work Involved.
data base). ElectNcal Contr.Lic.# Exp.Dale
31}__ 4A37 C-1 E (-A "31 Q2 ❑ Audio and Stereo Systems
C O.T.or Metro Lic.# M Exp.mute
0 7 i ❑ Boiler Controls
Owner's Name
❑
OWNER . Meiling Address Clock Systems
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone#
_ f� Fire Alarm Installation
phis permit Is issued under OAE 918-320-170 This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit end to do the following:
❑ Instrumentation
1 Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑
2 Call for inspections when installation under this prrn�l,are,reedy for Landscape Irrigation Control'
inspection at 603-6394176; ❑ Medical
3 Purc.)ase separate permits for all installations that are not ready for an
inspection when the inspector is out to inspect under this pemlit; ❑ Nurse Calls
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and;
❑ Protective Signaling
5 Asvume responsibility for calling for a 5nnl inspection when all of the
corrections are completed ❑ Other
Permits are non-transferable and non-nsfundable and expire if work is not
started within 180 days of issuance or work is suspended for 180 days. ___Number of Systems
The person signing for this permit must be`hP applicant or a person No licenses are required Licenses ere required for all other Installations
authorized to bind the applicant.
FRES:
Signature — ENTER FEES $
7 5%SURCHARGE(.05 X TOTAL ABOVE) $ o�• __
A thonty if other than Applicant TOTAL- :
I:lresele doc 12/86
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST - --
INSPECTION DIVISION Business Line: (503)639-4171
BUP -
Received ______._-Date Requested_-3� w,1_
PM BUP
Location �T � O �t 'U--`�-- -'^ --Suite- --- MEC u Z -GZ73!/lj
Contact Person -_ -_ _ Ph( ) _ ��'- c/ _ PLM
Contractor _-____- - Ph(-.-) _- SWR
BUII DING Tenant/Owner --_ _ _-_ _ ELC
Footing- ELC -__--.
Foondation Access:
Ftg Drain ELR _
Crawl Drain -- SIT
Slab Inspection Notes:
Post& Beam __ —_--_-_-- -
Shear Anchors
Ext Sheath/Shear / -----
Int Sheath/Shear /`t`i -L �G�2r1'�L j/t�t t '�1QcG_ 1�1� � • C SS4"
Framing
Insulation ^oG� e"12 C . —�
Drywall Nailing - - ---
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling
Roof - - --- - ---_-.-_------ - ----
Other:
Final --- _ ------- - ------- ---- -
PASS PART FAIL
PLUMBING _ - --- ---- - ---- ---- -
Post&Nearn
Under Slab - - -- ---- -- _.. - - - --
Rough-In
Water Servics
Sanitary Sevrgr
Rain Drains -----
Catch Basin i Manhole
StormDrain -_-__ , ---------- - _--_-------- ----..--------
Shower Pan
Other:------------_.
Final
PASS T FAIL
CHANT - - -- -
'Ms-t&Beam
Rough-In -.___J_ -
GaE Line
Smoke Dampers -
Fin
FAS� ART FAIL--
ELECTRICAL
AILE ECTRICAL
Service
Rough-In - - --
UG/Slab -
Low Voltage - --- - - - -
Fire Alarm
Final ( �J Rsinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_ PASS __PART FAIL.
SITE - l� Please call for reinspection RE:__- Unaole t:.inspect-no access
Fire Supply Line
ADP. cGrlC `2_ - —
Ext
-
Appro h/Sidewalk
Other: --
Final DO NOT REMOVE this Inspection record from the jab site.
PASS PART FAIL
CIT` OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00345
13125 SW Hall Blvd.,Tigard, OR 97223 (.503) 639-4171 DATE ISSUED: 8/8/02
SITF ADDRESS: 13789 SW ASHBURY LN PARCEL: 1 S 133C D-11 000
SUBDIVISION: COTSWALD MEADOWS NO.3 ZONING: R-25
BLOCK: LOT: 142 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: BOILERS/COMPRESSORS HOODS:
FUEL I'YPES_ 0 - 3 HP: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS'?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURF: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replaace gas furnace and install AC. AC cannot be placed within the required setbacks.
Owner: FEES ---
TIFFANY CLEARY Type By Date Amount Receipt
13789 SW ASHBURY PRMT CTR 8/8/02 $72.50 272002000 '
TIGARD, OR 9722.3 5PCT CTR 8/8'02 $5.80 2720020000
Phone:503-89 -6467 — Total $78.30
Contractor: a
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone:620-5643 Heating Unt Insp
Reg#:LIC 66578 Cooling Unt Insp
Final Inspection
This permit is issued subject to the regula:.ions contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
Issue By: � _ Permittee Signaturo: Z ` ¢�
Cell (503) 6394175 by 7:00 P.M. for inspections needed the next busine s d
RUC 06 02 12: 09p SpeCIZIttl Heating 503 598 0718
P. 2
Mechmdcai Permit Application
Date:rcac:ved; a PertWt tta.:
City of Tigard
Address: 13125 SW Hall Blvd,Ti
City of?tga� Bard,OR 97223 Prolect/appl.no,: Expire date:-—
Phone: (503) 639-4171 Date issued: By:?j 6 I Rt ccipt nc
Fax: (503) 598-1960 Case file no.: Payment type:
Land use Approval' _ Building permit no,; -
1
6i!•1 8t 2 family dwelling or erre-miry 0 p_ntnmercial/industrial Cl Muld-fancily O Tenmt improvei Hent
G New construction 41Addition/altemtion/replacemeut U Othcr.
MOW=113191 � 1 ,Job - —
Bld address: Iadicntc cquipmeat quantities in b0xc3 bcIOW.indi:atc the dollar
Bldg.no.: Suite _ value of all mechanical mater-LA,equipment,labor,o'erhead,
Tax ma tax lot/account no.: '` profit.Value$
Lot: Block: Subdivision: *See checklist for important application infbn:cafion end
�— �.._„�_„ _ sdiction's fce schedule for residential pernlit fee.
Cl /c-un ?'P-,' l -
criptitm and adoll f work on prt�mises: Q�Dla.e 4 l
W11 T
Est.date of completiva/inspextion: Fce(e a') Tow
� I Qty. Res,c my )Zea.only
Tenant improvement or change of use / ��:
Is existing space heated or conditioned?Ullyes U No AJr handling unit CFM
Is existing space insulated!U Yes U No r con uoang(Iite an requ
Alt on o cxistin system
1 oiler compressors
B tsiness nary. ( State boiler parfait no.:
At'dtzae��' � ti/ 9 UP
s O' Tons_ BTUM
tucco•e tnpr UctsmO c ctoctors
Cry ! Q/1 Stas;:0 Zff': 7, a 3 e ti pum (s to p an rc a rc
Phonentepacenaceucr' � /t --
t '.'CB no.: 6 7 b including duchvorWventiinerYO es U No
City/metro lic., — nst stip acct rcTocsfxheaters-suspen c ,
wall,or floor mounted
Natnc(pleast print): / rtf el-9 enc for Applianceo er than furnace
CONTACT PENSON
on
o,.:. ,�••;' Absorption units BTUM
e: i �c 7 P l� CWUM
NamHP
Ad3eeese r.�t $�• `S / eY V—r;z-- ois gp
Cltiv-t .. - :.; t'w-; S (,1 ?�i97aL vent, wittn ren on:
Plaine. -c A liaiiaevent
3. -S( Fax..,9 IC1! + aitil �f. cr anal -
ccs. tc c azma[
NAR i 11'"AL1211 M-0aw Type 17
t IM•: ( fi !'w,7,, t! w'v++�•lvSy": i hood flteaupprculonsystem _
Exhaust Eich•whh single.duct(bath fans
M �� .�. Y wtaya ma att�it�om ea ng or
p C A�� ut on up to ou,w
Phorie:_ ...,.1.�� Type '.',W,.:.x�+3.PG NU cit
'A It FaX: -M P�,•t?•Y 2�,1.. M�Yi.Wi1 • lN•hY.v.•A 1,,..•�:
uc p agt;ae:ha oualovct ou els �•,
¢ t� !V!j",pinw(sc a ma ccequ t )
l�ii}ItE Mbt; '�,�""-�'"�' bU,+�.y r�'i+�n. ,�,I,:�,r•.+ .:,�''A�a F at;r�c;l .«� fNwn�eraEt7i1 etS``.,:1. .; ., ", :,
♦,�,a�.y�Z \ J ��': r t.. t �n t}, Jl�pl'p�q�t_tp���1� Ol�ltlpmell• r.
,l�ddfva¢ n�, •1_ _ I to '�'ice_ � t � :Zt10CtXXiltil�fl{EplacC i�c� •? .
Clay._..1, i �ltnte. 7.11 a a,.• baa •Y — — _ t i��
Pht>nc: )� g-maU: . eo t•1 stove^, -
t Ilcanttd SigtlaNte: r:�•> I.
Name t): Art ry1fth p _
Hot all brisd Blow.mpx anent aide.pt aw call Jta9l&oon for mane Mfaeatetlad 'Permit fee.....................$ _7
Nota if
w t appliention
Cl Visa ❑MtUtrt(ani Minimum fix................$
Ciotht clad ttombe exp a not obtalned Plan review(at -
-T within 180 days after it has ti,xxt
wtc�t cactlbn!tter a iwrla oo crt t — acceptedoomplate. State surcharge(86)....$
—�TOTAL .......................$
---. •-_ .�. ttatrttt
W 1�a17(d0att�M)
Rut 06 02 12: 09P Spec i a 1 tb Neat f nC 5113 598 0718 P . 3
SITE PLAN
V\
f .
STREET
Specially Heating & Cooling, 111c
`-)528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phom 503.640.3607 Fax 503 .68 l .079 3