12765 SW BULL MOUNTAIN ROAD r A
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CITYOF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00223
13125 SW Hall Blvd- Tiga!d, OR 97223 (503) 639-4171 DATE ISSUED: 4/30/2004
PARCEL: 2S 109AD-01000
SITE ADDRESS: 12765 SW BULL MOUNTAIN RD
SUBDIVLAON: ZONING: R 7
B'_OCK: LCT: JURISDIC s ION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: `DENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS—.— HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 Vo;-. COMML. INCIN:
MAX INPUT: BTU 15 30 HP:
REPAIR UNITS:
FIRE DA10PERS?: 30 50 HP:
OU
GAS PRESSURE. 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING, UNITS C
--- OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: (-,AS OUTLETS:
> 10000 cfm:
Remarks- Installation of a, Anil and rehU,ce turnacc
Owner: FEES _
SCHAER,JOHN ARLEN + CHRISTI A Description Date Amounty
12765 SW BULL MTN RD \11 ( I I PermitI cc 4/30/200 $7250
TIGARD, OR 97224 „Mate surcharl 4/30/200-, $5.80
Phone: _ __Total $78.30
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWELL BLVD REQUIRED INSPECTIONS _
PORTLAND, OR 97242 Heating Unt Insp
Phone: 503-234-0611 Cooling Unt Insp
Reg tl: LIC 2374 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicabl? laws. All work will be done in accordance with apF roved 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 Carter. 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 by calling
(503)246-6
IssueBy: Permittee 3lgnature: r
Call (503) 639-4175 by 7:00 P.M. for Inspections needed the t business day
ea/29/2004 VJIX 2000000 ABAB:AAAAAA AA PAGE 01
Me meal Permit A -cation Received Mechanical
�tt'J Dat" f% !eF Permit No. /7f.
(pity of T1gar4REGPlrnningApproal 17 Building
13125 SW Hall Blvd. Date/B
Plln Rcvicv Other
Tigard, Oregon 97223 p,P k< D.WHY _ Permit No:
Phone: 503-639-4171 Fax- ��� � Poet-R.view Gtnd Use
Internet: www.ci.rigard,wkh 1 (' 01V1S10N uaWB : Case No..
24-hour inspection RegWtl-91f�39-i 175 Content / ser aaef a for
Narne/Method _ 1171a- 5applementall information.
_ _Plg1F�Ii6CIli�Y1C -'USJQC �KIdST'
New COnStTIlChon Demolition Mechanical permit fees*are based on the total vabte of the work
AdditioNalteratioll/ laCen Other: performed. Indicate the value(rounded to the nearest dollar)of all
' - mechanical materials,equipm-ent,labor,overhead and profit.
&2-Farruly dwel ling Commercial/Irtdustri_al L value: $ _ See Page 2 for Fee Schedule
Accesso Building I Multi-Family a
Master Builder Other: neacription _ Feeea. Total
n Heatifialcoolln
Furnace -add-on air conditionin •• 14,00
Job site address: _ Gas heat pymp _ 14.00
Suite #: Bld ./A t.#: Duct work 14.00
Project Name: —- H runic hot water system 14,00
Cross street/Directions to job site: Residential boiler
for radiator orbydronic a tem 14.00
Unit healers(fuel,not electric)
in will,in-duct,suspended,etc.) 14.00
Flue/ventfor an of above 10.40
Subdivision: -- --^ _ Lot#: Repair smite -----J—
Tax
_Tax ma / arcel #: water heater
! _— - -O-.�� ier 10,Oo
; ' - —
t3as fireplace 10.00
ti a v_Riga" 1!"C vent Witter heater/.,fire lace 10,00
—Log 10.00
Wood/Pelle:stove t0.00
Wood fireplace/ioaert 10.00
Clifte /liner/_flut;/vent _ 10.00
Other 10.00
Name: u1n h 4yt lip l` rrmentiirmkoj I&venutatto -
Address: T Range hood/other kitchen equipment 10.00
l 1 _ _ -
Ci /S11 a/Z_i Clothes dryer exhaust 10.00
-- --Cp__�ti �� -- --
hllpgc: • O t I ,i .7_ Jingle duct eAhAatit
i ax: (bathrooms,toilet compartments,
• i° I utility rooms) 6.80
Name: - - -Attic/Crawl space runs ---� ---Io.06
Address: Other: 10.00 -
Ci /State/Z1 _ _ _ -�---�=�-�= -- --
�_. ^Y -^ "•(35.40 for Arst 4.$1.00 each Additional)
Phone: f Tax: _^— Fumace,etc - ••
E-mai1: - Gag h_eet pot .•
WaIV9uspended/unit heater +•
Business Name: 11�t,4 t Water heater •+ ----
� Fire lace ++
Address: a�4_SD,><t► -Range
-
City/State/Zip: Q H� g7Z0_ _'r
Phone:,.,2 d er as ••_
•oZ3Uttt{ 'Q Fax: 3y43q --__ •.
CCB Llc. #: 37y Total:
Authorized Mechoulpl Permit Feea•
Signature ante'4JZgJUy Subtotal
Quj Minimum Permit Fee 572.50 S 5p _
Plan Review Fee(2596 of Permit Fee) S
(Please print nanw) State Surchar ail' of Permit For S
TpTAL�BItMTT F>eB S
Notice: This per mil application explra if.permit I• dot obtained wllhtA IFee methodology set by Tri-County Building Industry Service hoard.
100 days after It he+been accepted as compiete. *"Site plan required for exterior A/C units.
i\Dsts\Pram,!P.wms'MecPertnitApp.doc CI103
04/29/2004 08:18 0000000 ABAB:AAAAAA AA PAGE 03
NIC, 6vLt- tAoutjT-A,w c- c
CITY OF TIGARD 24-Hour
BUILDING Inspection Lire: (503)639-4175
ItISPECTION DIVISION Business Line: (503)639-4171MST
BUP ----- - - -
Received - - _--_ Date Requested_ y_1 y AM - ___` PM - BUP
Location __-� _�2�-____ _172t�_------ -5t,;ie __.._-- MEC -
Contact Person _ _ _ Ph(-) _ PLM 0-0.3-06
Contractor _-- Ph(________) - SWR _
BUILDING ��- -� Tenant/ e71_j" _ ELc: QD�-OCA
F6oting - � ELC
Foundation Access:
Ftg Drain
R
Crawl Drain SI
Slab Inspection Notes: I��,\ -_
Post&Beam -- - --- --- - ------- --
Shear AnchorsK -- ---- -- -
Ext Sheath/Shear
Int Sheat;i/Shear
Framing - - -
Insulation
Drywall Naif ng
Firewall
Fire Sprinkles --- -- -
Fire Alarm
Susp'd Ceiling --
Roof
Other:
Final
PASS PART FAIL
U_M_BING
Pot& Beam
Und Slab
RougIn
Water rvice
Sanitary ewer
Rain Drai -
Catch Basi Manhole
Storm Drai — ----
r • '
Shower P �
Oth _�- - - ---- - - --- -
in
_AS PART FAIL
ME _A_NICAL
Po & Beam
ugh-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL -
ELECTRICAL
Service -
Rough-!n
UG/Slab -
Low Voltage
Firearm rr��
AS_ PART FAII. LJ Reinspection tee of$y-_ _required before next Inspection. Pay at City Hall, 13125 SW Hall k3lvd.
IT Please cell for reinspection RE:_ F] Unable to inspect-no ac- :s
Fire Supply Line
ADA
Approach/Sidewalk Data � �' J ,�, Inspector
Other:_ lJ
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 539-1175
MST
INSPECTION DIVISION Business Line: (503)63e••4171
BUP - ---
Received -- Date Requeste"d� AM _P'A - -_- BUP
Location -- l : r�.�/ ILS Suite --_ MEC ----_ _-- -----_.
Contact Person _ _� __- Ph(_ ) 7� C' � 1 PLM
Contractor__ _-_ __- Ph( �) - SWR _
BUILDING Tanant/Owner -_ ELC
Footing
Foundation ELC -__—
Access:
Ftg Drain ELF!
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ---- --
Ext Sheath/Shear
Int Sheath/Shear r�
Framing
Insulation
Drywall Nailing --------- ---- --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling J-�-- -- -
Root
Other. - -�
Final
PASS PART FAIL. - ------ - -V----
PLUMBING_
Post_&Beam --
Under Slab
Rough-In
Water Service - -
Sanitary Sewer
Rain Drains - - --- -- — --
Catch Basin J Manhole
Storm Drain - -- -- —
Shower Pan
Other.
---------- -----
Final
_ ASS PART FAIL --
MECHANICAL _.
Post 6 Beam
Rough-In ------ --- - - ---- -- - --
Gas Line
Smoke Dampers ----------— - -.---
Final
PASS PART FAIL -- ---- --- -
ELFCTR_ICAL
Service -._- -- ------- --- --•—----
Rough-in -
UG/Slab
Low Voltage —
Fire Alarm
�n
PART FAIL Reinspection fee of$—_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
n Please call to,reinspection RE:— Unable is Inspect-no access
Fire Supply Line
ADA Za
��
Approach/Sidewalk Daft- -(� Inspector "�'''� —Ext
Other: ___--
Final DO NOT REMOVE this; Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hous
EUILDING InGpection Lint: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP .--- —
Received ____Date Requested 6 - 7 _ AM _ PM _____ B
Location ---.suite---� MEE ,&C Y`d-O
Contact Person _ TZ! d '�� Ph( �s >�Z PLM
Contractor._. -------- --_ _ Ph(0p--v �S - 7/ '_. SWR ------ - —
BUILDING Tenant/KDt _. __ _ _ ELC
Footing
ELC
Foundation _
,Access:
Ftg Drain LAN -- --
Crawl Drain _
Slab Inspectiotr cotes:
SIT __-__--
Post&Beam _—
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear ��� Q r L>
Framing , . , v� ,
Insulation L U`'( '�(/O
Drywall Nailing --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Other:_ --- ---- - - - --- -.__--.- ---- —
Final
PASS PART FAIL
PLUMBING _
Post&Beam
Under Siab
Rough-In
Water Service _ - - - -- -
Sanitary Sewer
Rain Drains - —
Catch Basin/Manhole
Storm Drain
Shower Pan
Other.
Final
PASS T FAIL
1i1CHANI - --
Post3.8e`em
Rough-In tn.�
Gas Line
Smoke Dampers --
I
PASS ART FAIL --- - - - - -
ELECT
Service - -_- ---- --,. .----
Rough-In
UG/Slab
Low Voltage
Fire Alarm -- - -- - —
Final Reins ection fee of$ required before next ins
PASS PART FAIL p Inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: h Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Data G�7"'--� -� Inspector /_ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PARI FAIL
CITY OF TIGARD ELECTRICAL_ PERMIT
PERMIT#: ELC2004-00232
DEVELOPMENT SERVICES DATE ISSUED: /5/2004
13125 AW Hall Blvd., Tigard, GR 97223 (503) 639-4171 PARCEL: 2S109AD-01000
SITE ADDRESS: 12765 SW BULL MOUNTAIN RD
SUBDIVISION: ZONING: R-7
BLOCK: LOT : JURISDICTION: TIG
Project Description: AC circuit.
RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 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/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FUR: 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: SVCIFDR—225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
SCHAER,JOHN ARLEN +CHRISTI A WESTMORELAND ELECTRIC
12765 SW BULL MTN RD P O.BOX 82865
TIGARD,OR 97224 PORTLAND, OR 97202
Phone: Phone: 503-238-5362
Reg#: EL E 26-10500
---- -- - LIC 140551
_ FEES SUP 4638S
Description Date Amount
Required Inspections
I L.PRMTJ ELCPcrnut 5/5/2004 $46.85 — --�
i I:\XJ 8%State Surcharge 5/5/2004 $3.75 Rough-in
Elect'I Final
Total $50.60
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 F tans. This permit will expire if work is not started within 180 days of issuance, or if work rs
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 )r direct questions to OUNC at(503)
246-6699 or 1.800-332-2
Issued By: _ Permit Signature: d2i 4-1—
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 INSTALLATION ONLY
SIGNATURE OF SUPR. EL.EC'N:
LICENSE NO ---- --------- -------- ---
Call 639-4175 by 7:00pm for an inspection the next business day
FkUM Westmoreland ElPctrir FAX NO.
May. 04 2000 07:20PM P1
PROM FAw N0 Mar. 15 2W4 06:4341 Pt
eia:Yl�sooi"'i:e'�si"t�1ll!"b a a VIn&"hv.op'rYciltD. ..........................•.........•............. �e04, ..................
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�'�� �� ������ ELECTRICAL PERMIT
PERMIT tr. ELC2002-00374
DEVELOPMENT SERVICES DATE ISSUED: 8/7/02
13125 SW Hall Blvd.,Ticiard, OR 97223 (5031639-4171 PARCEL: 2S109AD-01000
SITE ,P DDRLSS: 12765 SW BULL MOUNTAIN RD
SUBDIVISION: ZONING: R-7
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Install 2 branch circuits in family room.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 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/SVC/ FOR: 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 SRV(' OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ arno/volt: >=4 RES UNITS: > 500 VOLT NOWN:-.L:
Reconnect only: _ _ _.SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SCHAER, JOHN ARLEN + CHRISTI A S & A ELECTRIC, INC.
12765 SW BULL MTN RD PO BOX 218
TIGARD, OR 97224 BORING, OR 97009
Phone: Phone: 503-658-5358
Reg #: ELE 3-5200
LIC 148014
SUP 4833S
FEES _ e Required Inspections _
Type By Date Amount Receipt Rough-in
PRMT CTR 8/7/02 $54.50 2120020000! Elect'I Final
5PCT CTR 8/7/02 $4.36 2720020000(
Total $58.86
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)
246-6699 or 1-800-332.2344
Permit Signature: Issued By:
OWNER INSTALLATION ONLY
The installation is being made on propert;, I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: — _ _.- _ DATE: __._
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N: (LII (.1�f1�iJ.S.. ('Nf 22 DATE:___.^—_r.__-
LICENSE NO: __ _ _--
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application /3 let
-- - _ — ;/
City of Tigard Project/appl no., _ Expire date
Ory o/7rgdrd Adriresl: 13125 SW Hell Blvd,Tigard,OR 91221 Date Msued By Receipt no.
Phone. (503) 639.4171
Fix- (503) 598.1960 Gu file no Payment type
Land use apploval.
r
2 family dwelling or eeeessory O Comm[rtlelhnduslnol C7 Multi family U Tenant improvement
❑New construction O AddittoNllteranoNrrplacemenl 3 Other _D Parhel
1
)ob Address- W,�' t• ' l:✓L"Clt\ Bldg.no. 5uua no. Tax mapARx louaccounl no
Lot. Block; Subdivision; _ _I
Pro act game _ Description and 10 ation of work on premises__ IF
Estimated due of completion/In!,pection
ATOR AIPPLICAT2N
Job 110: l' Fir Mu
Businc33 ntme _� pncr,pb,.n _ Or? Jews Teal tie iwsr
f Nrw ralderubl•drab ormolu career per
Address-� �_�._� __ dncllingunit.Intlultnrrnrbrd�mirwl;a,
f`ity, Stott ZIP SrnieeineludeM
10_00�q,n,or leu e
Phone Fe E-mail: -
Eich oddillonill 300 11 n or portion Natof
CCD no 14,4eZ j 4 IE14C bus.lit "A. Lunr,ed goer . randcnnnl 2
C,tylmetro l,c.no - _. Lumrd energy, nen rutrdenual_r )
Uch m4n,QehJed home Or medular dwelling
itcute onnen (re antDt_c
Service nndor feedar
rte- -�e
� LL - LaTreno ? Seraeaertee/en-Intulbt{on.
Sup noel �,uoc iiinnO A Crr/L�%' Act •l�� dterHioh Or rrlenlloai
7W as t or oat _
� "� 201 amps W 400 cops_ � _ 1 I
!Jame tint) ',jG.ti"�A (tom _. 01 em a to 00 ant 1
Milling address 601.mPt a 1000 eTM
CIR 5lale' _ Z1Y: ower 1000 ore tri or wmlui
Phone Fax -Mal I; Recoutel only1
Owrlet Insullanon The htstallation is being made on prooerry I own Tvwipurarysertkuorfrederi-
which,s not Intended for smile,leve,rent,or exchange according to WtulaUan,eharel{ea,errelenrlon:
2110 maga or lou Z _
ORS 041 455 479,670, 701 701--unips to 400 ams 2
Date 401,o 600 d---.s.-�
Jwner'i st aNre._ 2
Broach circuits•mow,alteral on,
of i steaslanPot panak
Name _ A Fee for bnnth eiree,te mid,putthue or
Addrc11 - - _ IelNtt a rrtder ret,ouli btaach Ottcurt I _ I
B Foe for bruMh clrcd,tt wldioul Putehue 1 I
`�iry -- $Etta ZIP� of,er-we or feeder fey fila b fteh circuit. I7
Phone T E-mall
$ach additional It aneli circuit
Pitt.(Service or(Mer-not Include ):
U Serv,fr nvri i25 unprcun,morual O Hca1N-tate foullry Fath pump Or IttQlhen tulle _ )
0 Ser.re owrr 110 empt•r+lina of 1V U Natsrdout location Euh t nor anhne h hung 2
nim.ty d+oninp a 9u.4n1 ova 100011 rquore Rel emu or S.arud r,rtot(t)or a l6nued energy panel,
U System ovc•600+olu nominal more rebdennn'un,u.n one.w writ tl,tronon,or eawntieee _- 7
7 bviia,na a.p twig.lana Q Feedun,eau ampf or m,01e •Deetn non --- --
0ccvpenrload0var"TWKWA UMlwohewod+eruewctatRVput Earle,aldiilurulinapret:earevorlMallewabtrisanynft►ealii
0 rVvo,glum/ plan O olber _ per I en
SubmN__eau of plates with any or the above Invglialg ,nn rK
The above,are nM appikisisle to temporary toeftrucUon service. ower _
---•---� Permit fee S r
Np 111 ianWurM cede,mo,ore,.pitNc tali IvnM,adea h,gen lahent,-OA, Nor= Thie permit A"Iscanon
Plan review(at
ua 71MN
d Ir. "� !�� rxput;e if a perrnn Is not obtaa+ed State surchar a Abe S
i6 arM,wr '� v-�+ ��, `!� unLLun 110 dayl atlet a ties been 8 ( )
����aaalll� 1 }-�" jr accepted b conrPlete t0'I<'AL S l!
ry r ,v.�u til/u r•� ^^-�V --�
_.� y e Jtr r cure e,nwm te0•aH S Hg0•CONi
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