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CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., 71gard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: ELR97-0340
DATE ISSUED: 11/24/97
PARCEL: 2S1O3DB-07400
SITE ADDRESS. . . : 11175 SW EDEN CT
SUBDIVISION. . . . :GENESIS NO. 3 ZONING:R-4. a
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :059 JURISDICTN: TIG
Pr,o.ject Descr-i pt ion: Installation of heating, ventilation and air conditioning
system at
A. RESIDENTIAI.---------- B.
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . .-
BURGLAR
AGING. . :BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : L.ANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . .. . . . . . . . . : X DATA/TELE COMM. . . NURSE CAL-L_S. . . . . . . . .
VAC1I;.1M SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDbC LITE:
OTHER: . . HVAC. . . . . . . . . . . . . i'ROTECTIVE. EIGNAL. . .
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 0
Otrner; ---- -•-- --.__________—______.__....__.----.__-._..._.__._ FEES
ROB CALLAN type amol.int by datc recpt
11175 SW EDEN COURT PRMT $ 40. 00 TJH 11/21+/97 97-3O1181.
TIGARD OR 97223 5PC'T $ 2. 00 TJH 11/24/97 '97-301181
Phone #:
Contractor: - - _.__________._.____......___.__.____.__-----._..___. _._.... ---.--._._..-----.__.--•---_.________._____
THE HEATING SPECIALIST t 42. 00 TOTAL
9300 NE HALSEY
-- ---- REQUIRED INSPECTIONS
— --- -
PORTLAND OR 97210 Ceiling Cover Low Voltane Insp
Phone #: Wall Cover Elect' l Final
Reg #. . : 000566
This permit is ►ssuec subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All wort{ will be done in accordance with approved plans. This permit will expire if worth is not started rithin 180
days of issuance, or ,f work is suspended fir enre than 188 days. ATTENTION- Oregon law requires you to follor: rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-@01-000 through DAR 952--N01-0089. You may obtain copies of
these rules or direct questi{rs to OLIN!' at 1583)246-1987,
Isst.{ed by Pet-mittee Signatl.{re _� _A
___-___---•-------- ---____..__nWNFR INSTALLATION ONLY-------------------- ------------
The installation is being made on prope"ty I own which is riot intended for-
sale, lease, or rent.
OWNS.R' S SIGNATURE: DATE:
____._.____---__—•-_—.-------f'ONTRAC'TOR
INSTALLATION ONLY ---------------------------
SIGNATURE OF SUPIR. ELEC' N: d�e—1 DATE ---
LICENSE NO:
+++4•+++++4++++++4+4+++4•&-++++4-+++++++++++++++..I t++++++4-+++++++++++++++++++•F{ h++++
Call 639-4175 by 7:00 P. M. for- an inspection needed the next bi-tsiness day
+++++++++++++++++++++++++++++++++++•4-++++4.•+++++++++4+++++•F+++++++++++++++++++-F+++
fa
11 21.97 FRI 11:21 FAX 5113 598 196o CITY OF TIGA" Ij002
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by. T '
12125 SW HALL BLVD pate Rec'd._ I -
rIGARO OR 97223 PRINT OR TYPE n
V- 503-639-4171 X304 Perrnd 0 CLR9
F - 5C3-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd!w�a c.�'
WILL NOT BE ACCEPTED
Name or bevoiopment Proloct TYPE OF WORK INVOLVED - PESIDENTIAL ONLY
--Nastrlcbd orgy Foo............»» ........»... S40.00
(FOR ALL SYSTEMS)
JOB Salem AddWS Ste
ADDRESS /i/ 7S 6&r )Clew ct- Check rype ofwork Involved
CitJState
y� y,71 � Phone N Audio and Stereo Systems
�T Name Z z S Burglar Alarm
11 !r rex 110
OWNER Mailing Address Garage Door opener*
III 7 5 S Lr•J `v:"c,e�� C#
CI�y/ fate Phone E Heating,Ventilation and Ai,conditioning System'
Nam a s 4 n Vacuum Systems'
S Qr•_cal i S i [� Other
CONTRACTOR MaNingnddreaa
3 c�c1 �Q TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Pi or to issuance aC, r/Stilts p hone x e for qch system.. $40.00
LOP/Of all licenses L1'r-TlcL-a �{-1)-4, 157- 700 (SEE OAR 918-260-26C)
are required if Oregon Contr.Ord Lic.0xp a 0
expired in C 0 T. 5(,(n a 9 I`%� Chock Type of Work Involved
data base) Electrical Contr. e. Exq Date
r'r r(17 0 Audio and Stereo Systems
C.O T or Metro Lic 0 Exp�� Date a
I I. ), 'I`f 1 Boiler Controls
Owner's Name
0 Clock Systems
OWNER- Mailing Address
APPLICANT 0 Data Telecommunicabon Installation
CitylState 71p Phone R� r—_'_ L1 Fire Alarm Instaltatiun
Th s permit is issued under OAE 9.18-370-370.This applicant agreec to
make only restricted energy installations(100 volt amps or less)under this 0 HVAC
permit and to do the following
Instrumentation
1 Only use electrical licensed parsons to do installations where required.
Certain residential and rxner transactions are exei ipt from licensing [ 1 Intercom and! ,,ng Systems
These haus 4stensl.s(') All others need licensing,
? Call for inspections when rnstallahon under this permit are ready for Landscape Irrigation Control'
inspection at 503-03"175; Medical
3 Purr_hase separate permits for all installations that are rive ready for Sri L� Nurse Calla
Ir soection when the Inspector IS out to insp". ander this pv-,mil.
4. Assume raspnnsihility for assuring that aB corrections required by the n Outdoor Landscape Lighting'
inspector are done,and, ❑
Protective Signaling
5 Assume responsibility tot calling for a final inspection when all of the
corrections are completnt El other
Permits aro non-transterable and nonrefundable ane-xpire if work is not
started within 180 days of issuance or if wertc is suspended for 160 days —,--Number of Systems
The person signing for this permit must be the applicant it a persori No Ikxne ern snunmt r,(inure are reriu,rad fnr all other nstiva6rnt
authorized to bind the applicant
fEES�
ENTER fEES
Signature —�
5;1 SURCHARGE(.OS X TOTAL AB 7VE) $_ e
Authority if other than Applicant TaTAt. $
14213v"Oe doc 7107 _`_
RECEIVED
NOV 2 4 1997
CDt.4A°');iITY DEVE1UPr
CITY O F T I G A R D MECHANICAL
DEVELOPMENT SERVICESPERM I T
PERMIT #. . . . . . . : MEC97-0466
13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 11/424/97
PARCEL : i2SI03DB-07400
STTE ADDRESS. . . : 111.75 SW EDEN CT
SUBDIVISION. . . . : GENESIS NO. 3 ZONING: R-4. 5
BLOCK. . . . . . 1_.OT. . . . . . . . . . . . . :O59 JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATI.*RS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R31 VENTS W/O APPI : 0 VENT' SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL C-3 HP. . . . 0 DOMES. INCIN: 0
_PG 3-15 HP. . . . 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . - 0 REPAIR UNITS: 0
F 1RE DAMPERS?. . : 30--50 I-IF,. . . . : 0 WOODSTOYES. . . 0
GAS PRESSURE. . . 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF LIN I TS------------- AIR HANDL TNG UN I TS OTHER UNITS. : 0
FURN < 100K BTU: 1 1,0000 cfm- 0 GAS OUTLETS. : 0
FURN ) =100K Bl-U: 0 > 10000 ufm : 0
Rppiar,ks : Replace gas furnace and venting at existing STD.
Owner,: ---------------------------------------------------------- FEES
ROB CALLAN type amount by date r-eept
111.75 SW EDEN COURT PRMT $ 25. 00 TJH 11/24/97 97-301182
TIGARD OR 9722-3 5PCT $ 1. 25 TJH 11/24/9*7 97--301182
Phone #: 503--620-2258
("'oritt-actot-:
THE HEATING SPECIALIST
9300 NE HALSEY
26. 25 TOTAL
PORTLAND OR 97220
Phone #: 257--7000
Reg #. . : 000566
REQUIRED INSPECTICNS
This permit is issued subject to the regulations Contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will he 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 iregon Utility Notification Center. Thosv rules are
set forth in OAP 952-001-8810 through OAR 952-88I-9888. You may
obtain copies of these rules or direct questions to OW by calling .............
(503)246-9187. _
issue By . a
........................+++-4.........4-++++-1......4.............4 .....4.......
Call 639-4175 by 7:00 p. m. for inspections needed ' fie next business day
+1-++++4-++++If....4++++++++++•1......4-+++4-+4++++++++++++••1 + 1 +++•f++++++++++++--+•f+++++++
Plan Check#
CITY OF TIGARD Mechanical Permit Application Reed By %I Ct*1SV,
13125 SY'i h.=.LL BLVD. Commercial and Residential Date Rec'q
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to Dc �rl
Print or Type Permit#-M t r-,3'7-o�
Incomplete or illegible applications will not be accepted Collect lvlaiux�__
Name of DeveiopmenuProtect Description
Table to Mechanical Code CITY PRICE AMT
Job Street Address States A) Permit Fee -0- -0- 1000
Address
Ridge City/Slate — Zip 1 ) Furnace to 100,000 BTU 6.00
including ducts&vents '
Name for name of business) 2.) F umace 100,000 BTU+ 7.50
Owner X i&' b C�� �_e.�I.,t J including ducts$vents
Meiling Address ' 3.) Floor Fumactt 600
/i l 7 r � -including vent _
Crtyistne zip Phnne 4) Suspended heater,wall heater i 600
`-- l e ,� f if- q 7;2-23 -Z4S,� or floor mounted heater
Name t -name of business) 5) Vent not included in appliance permit 300
Occupant Mating Address 6) Boiler or comp,heat pump,air Gond. 6.00
to 3 HP.absorb unit to 100K BUT"
c,ty 5ute Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP,absorb unit to 500K BTU" _
Contractor Narne 8) Boiler or comp,heat pump,air Gond 1500
(Pnor to tom_ �tYE Q.z�r �� 15-3C HP;absorb unit.5-1 mil BTU"
issuance Me"Address 9.) Boiler or comp,heat pump,air coed. 22 50
applicant /•_' -v 30-50 HP absorb unit 1-1 75mil BTU"
must provias all cllyLsute Zip Phone 10) Boiler or comp,heat pump,air Gond. 37.50
contractor /tl.kA_ "'a" `N>AZ„20 aS7- )44)e-, >50 HP,absorb unit 1 75 mil BTU" _
license Oregon Const.Cont.Board Lic N Exp.Date 11.) Air handling unA to 10,000 CFM 4.50
information -�6-G_-4p �i09 P
for COT CDT Business Tax or Mefrc a Exp.Date 12) Air handling unit 10,000 CFM 7.50
database) /3
Architect Nemo 13.) Non-portaolee evaporate cooler 450
or Mailing Address 14) Vent fan connected to a singlo dud 3.00
Engineer Crtyistm'e' `zip Phone 15) V: tiulation system not included in 4.50
appliance perm',
Dasc-be work New O Addition O Alteration O Repair O 16) Hood senyev by mechanical exhaust 4,50-
to
50to be done Residenttal)1 Non_-residantial O
Additional Description of work~ 17) Domestic incinerators 7.50
18) Commercial or industrial type 3000
Incinerator
Existing use of —T� 19) Repair units ~� 4 50
building or property -
2C) Wood stove 4 50
r1roposed use of 21 ) Clothes dryer,etc — 4 50
building or property
22 1 Other ur l s 4 50
Type of fuel-oil O natural gas j9 U'G O electric O 1 23 1 Gas piping one to four outlets 2 01
I hereby acknowledge that;have read this aoplication that the 24) More than 4-per outlets leach) 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State A QTY SUBTOTAL
laws
Signature of Owner/Agent Date R 'SUBTOTAL v
—i—--- 5%SURCHARGE
f
Contact Person Name Phone PLAN REVIEW 25°x6 OF SUBTOTAL y
TOTAL
i:idstYtxehpmtdoc (rev 9 *Minimum permit fee is S25+5%surcharge 4
"Residential A/C requires site plan i'towing placement of unit
RECEIVED
NOV 2 .l 1997
COMMUNITY DEVELOPMENT
�gz
CITY ON TIGARD BUILDING INSPECTION DIVISION
2A-Hour inspection Linc: 6394175 Business Phone: 639-4171 k� ����►
Date Requested: _ `-/(.' C�� _ A.M. P./M. MST:
--- l / 175 -Slit Ct7L-(� -1,ocation: BUR
Tenant:_— Suite: Bldg: �JCk
Contractor— Phone: o -57- 7000 PLM:
Phone:
_. - ---- — — ELR:
—- - I SIT: C
BUILDING BLDG(con't) PLUMBINGECIIANICAL / SITE
Site PosUl3cam I'osUBeam os eam C ver/Se ce Sewer/Slone
Footing Roof UndFl/Slab Rough-In C 'ling Water Line
Slab Framing Top Out 0;.s Line Rokgh-q I JO Sprinkler
Foundation Insulation Sewer Ifood/Duct Rmknq6ct Vault
Bsmt Damp Drywall Storm <` Umace Teml Service MISC.
Masonry Ceiling Rain Drain A/C U
Shear/Sheath Fire Spklr/Alm Crawl/Found Ir eat Pump a V It
Approved ApprovedA rrov, Approved
App,/Sdwlk Not Approved Not Approved - ALA roved ved N,)t Approved
FINAL FINAL INA Ck FINAL FINAL
0 Call for minspecti 17 Reinspection ree of S required before next inspection C3 Unable to inspect
Inspector: _ Date: Z-�d��-- Page---of�