10395 SW JOHNSON COURT s
a
W
co
N
C
O
:r
:3
O
O
7
O
C
10395 SW Johnson Court
I�� O� TIGARD
I���D ELECTRICAL PERMIT
PERMIT#. ELC2001-00642
DEVELOPMENT SERVICES DATE ISSUED: 12/18101
13125 SW Hall Blvd., Tigard, OR f+722 3 (503) 639-4171 PARCEL: 2S102BB-00825
SITE ADDRESS: 10395 SW JOHNSON CT
SUBDIVISION: BROOKSIDE PARK NO. 2 ZONING: P.-4.5
BLOCK: LOT : 001 JURISDICTION: 1IG
Proiect Description: Install wiring for new furnace. Job No. 1902
_ RESIDFN I';AL !1NIT_ -- _ TEMP SRVC/FF_EDERS MISCELLANEOUS
1000 SF OR LESS: — n 2uu amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR; b_;+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 SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 arno: __ __ _- PLAN REVIEW SECTION _
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _.. SVC/FDR >_225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SOLARES, EDGAR U + WILLAMFTI F ELECTRIC INC
LINDA LU-NILSEN PO BOX 230547
10305 SW JOHNSON CT TIGARD, OR 97281
TIGARD, OR 9722;;
Phone: Phone: 624-3631
Reg#: LIC 75059
SUP 1965S
ELE 34-283C
_F_f.ES Required Inspections _
'Type By Date — Amount Receipt Rough-in
PRMT CTR 12/18/01. $46.85 2720010000( EI%ct'I Final
5PCT CIR 12/18/01 $3.75 2720010000(
--- --
Tot-.,i
This Permit Is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Speclafty 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 ft Oregon Utility Notification
Center. Tf ose rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may oble,in copies of these rules or direct questions to
Permit Signature: �. �� Issued By(
�d4J
_ OWNER INSTALLATION ONLY _
The inllation i
stas being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ —__ _. DATE:
_ CONTRACTOR INSTALLATION ONLY
___---_------- —' . p- ,
SIGNATURE OF SUPR. ELEC'N: _ �� DATE:.__
__.M
LICENSE NO:
Call 639-4175 by 7:00pm for aci inspection the next business day
Dectrical Permit Application
?- *,% ' Datereceived: i;,/y1.D/ Pen-it no.:1iC�,pJ-DOG
s y2
City of iI Projecdappl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd,Tigard OR 97223 Dale issued: I3y: Receipt no.:
Phone: (503) 639.4171
Fax: (503) 598-1960 Case file no.: Payment type:
i �1�Jp►�
Lanaul use appru ff 46.D—Txn 910N _ ----
OF PERMIT
ld I &7.faintly dwelhn);or accessory U('ununcn iaUl11dostrial U Mulli-family U Tenant improvement
U New construction U ndrliliun/nllcr:ui,m/trldaccnu nl U Mier: U Partial
11 141ft INVORMATION
Job address: I o3(, , S`j, t -j.j_ Bldg,no.: Suitc no.: Tax map/tax lot/account no,:
C /
------
Lot: I Block: Subdivision:
Pro.ect name: c,w(J., ScIq x, r� Description and location of work on premises:
Ee:imaled dale of crmlpletion/ins ction: -- --
1 1
Job no: fit G } I ee rata[
Business name: (U, � St�r[1 q(� /.c C— llrtcriplinn -__- -_Qfy.I (Pa.) ins
Address; 1 Newre".flat•single or mild lutnil• per
C A � 2 TO T- _ dwellingunN.Includes alUclKdrnrne.
City: 14A110 Stalc:0 ZIP: Zj-/ Servictincluded:
r00 sq ft.or less 4
Phone: 6•Lel.S , I�ax: „7 -t Cdr E-mail:l; il _
Each additional Soo sq.fl.or portion thereof
CCIJ no.: 7'V6 ti I? Flec.bus.lie.no: 3 y- Z F Limited energy,residential 2
City/mel1 lie.no.: / -r1 L Limiledenergy,non-residential 2
;. .LZ _/3 . O I Each manufactured home or modular dwelling
Signature of aupervising elect clan(re aired) Date Service and/or feeder 2
-�/ --- —' Services or feeders-Installation,
Sup,elecl.name(print) r),` ,- (. I Licetse nn /r1 G 1 S
alteration or relocation:
200 snips or less 2
Name(print): 201 amps to 400 amps _ - - 2
401 snips to 600 amps _ 2
Mailing address: -�-- 601 amps to 1000 amps 2
City: SlalC: TZIP: Over 10(x►amps or volt 2
Phone: I ax: [: mail: Reconnectonl _-- _ 1
Owner installation:1he instillation is being made on property I own Temporary w"lces for re"em-
which is not intended for sale,lease,Icnt,or exchange according to Installation,alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps or less 2
201 amps to 400 amps
Owner's signalure: Date: 401 to 600 air)•• 2
Branch circuits-new,alteration,
or eaterrslnn per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or fer,4r fee,each branch circuit 2
City: fate: ZIP: B. Fee for branch circuit without purchase y 4
--- -- - ---- --- - of service.m feeder fee,first branch circuit: y�' y 2
I'honc: I a I'. moil:
lynch additional hunch circuit:Mhc.(Senlce or feeder not included):
U:Service over 22S amm
pe comer,is] U I bu
ald,-ce fs(ilily Each pump or irti anion circle _ _ 2
U Service avrr 120 amps rating of 1&2 U Hazardous location Fisch signor outline lighling - 2
family dwellings U Building over 10,0(x)square feel four or Signal circuit(%)or a limited energy panel.
•Syrtemover 6Wvolts nominal more residential units inone rtrvcture alteration,or extension• 2
U Building over three smrirs U Feeders,400 amps or more al)escription: _
U(kcupant load over 91)persons U Manufaclured structures or RV park Foch additional Inspection over flee allowable in any of The alrohe:
U FgressAighlingplAll U Other. __.. Per inspection
submit__sets or plane with any of fhe above. - J Investigation fee
the above are not applicable to temporary coorttructlon service. Other
NM dl jurisdictions attepredi
credit carts,please call jwisdlc0an fare htfxt
mom Notice:1 his pPermit fee.....................
permit application ----`
U visa U MasterCard evlrires it a pcnmit is not obtained Plash review(at __ %) $
hard;,card rramher __ _1 L___ within I go days alter it has been State surcharge(8%) ....$ __ S
accepted AS COlrlplele, U I'AI. .......................$
amt c N sen on c i cart
f
card ri-ol yde�signature —— - Amorhi 4404613(M'UM)
Electrical +'enTlit Fees: Limited Energy Fees:
TYPE OF WORE: INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: - — —
Restricted Energy Fee............................. .................. $1'x.00
_ Number of Itlspecl!ons per permit allowed (FOR ALL SYSTEMS)
Service Included: Items Cost Total �� Check Type of Work Involved:
Resldentlel--per unit
1000 sq.II or less -__ $145 15 4 ❑ Audio and Stereo Systems
Each add!lional 500 sq.It or
portion thereof $33.40 I ❑ Umglar Alarnl
Lhnlled Energy $75.00
Each Manurd Ilomc,or Morhdar ❑ Garage Door Opener'
f)^telling Service or Feeder $9090 2
Services or Feeders ❑ Healing,Ventilation and Air Condit!uning Sys(-,ur'
Installation,alteration,or telrc�nlion
200 amps or less $00,30 2 ❑ Vacuum Systems'
201 amps l0 400 arnps �^ $106.85 2
401 amps lu 600 amps $160.60 2
--—---- Other
601 amps 10 1000 amps •$240 60 _ 2
Over 1000 amps or volt, _ _ $454 65 i-- ? ----_ . —_—_-------- ----- ----- -—�
Recce nocl only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation
200 amps or less _ _ $66 85 2 Fes for each syslem.......................................................... $76..00
201 amps to 400 amps — $100 30 2 (SEE OAR 918260-.:60)
401 arnps to 600 amps _ $113.i 5 -- _, 1
OCheck Type of Work Involved:
Over 600 amps to 1000 volls,
see"b"above. ❑
Audio and Steres Systems
Branch Circuits
New,allot ,tion or oxlonslon psi pc,ne' ❑ 13olier Controls
a)1 he top for bmr0i rircuils
wllh purchase of sarvlco or ❑
feeder lee. Clock Systems
rack branch circuit $6.65 2
b)l lie tee lot branch clrcuhs - ❑ Data TelecommunicaU011 Ins(allal!on
wilhour purchase of servlrc
or feeder lee. ❑ Fire Alarrn Installation
First branch dreuil -- 546.85 -
Each addllkviat Iminch clrruil $665 __ ❑ HVAC
Miscellaneous
(Service or feeder not Included) ❑ Instrumentation
Each pump or In4galion circle _ $53.40
Foch sign or outline lighling - __ $53.40 __ ❑ Intercom and Paging Syslerns
Signal clrcult(s)or a limited energy
panel,alleratlt.m of extension $15.00 _
Minor labels(10) _ $125.00 _ ❑ Landscr.ie Irrigation Control'
Each addi(Ional Inspection over ❑ Medical
the allowable In any of Ilia above
Per InW.clkxi $62.50 ❑ Nurse Calls
Per hour —_-_—- $62.50
In Plant -_ $13.75 , - -__-- ❑
Outdoor Landscape Lighting'
Frees:
❑ Prolective Signaling
Enter Total of above fads $
❑ Other __ --•
6%Stale Surcharge $ � _
Number of Systems
25%Plan Rcvlew Fee
See"Plan Review'sect-11 on $ ' No licenses are required. Licenses ere required for all other Installatlons
front of application
Total Balance Due $ _ __- FeeS:
r Enter total of above fees
LI Trust Account q_ _____ ___
8%State Surcharge
Total Balance Due
Pdsls\fomuwlc fees Joc IDttiv,lxl
/ CITY O F T I G A R D MECHANICAL PERMIT
CEVELOPAAENT SERVICES PERMIT#: IvIEC2001 00473
13125 SW Hall Bred.. Tigard, OR 97223 (503) 634-4171 DATE ISSUED: 12/27/01
PARCEL: 2S 102EB-00825
SITE ADDRESS: 10395 SW JOHNSON CT
SUBDIVISION: BROOKSIDE PARK NO. 2 ,ZONING: R-4.5
BLOCK: LOT: 001 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: 1
STORIES: BOIL_ERS/COMPRESSORSHOODS:
FUEL TYPES _— 0 3�HP: A_ DOMES. INCIH:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT- BTU 15 - 30 HP: REPAIR UNITS:
I-IRE DAMPERS'?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 -1 HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS_mm OTHER UNITS:
FURN >-100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install gas furnace, piping and outlet
Owner: — FEES__ _
SOLARES, EDGAR U a Type iBy— Date Amount Receipt _
LINDA LU-NILS)EN PRMT CTR 12/� 7'n1 $72.50 2720010000
10395 SW JOHNSON CT
TIGARD, OR 97223 5PCT CTR 12/27/01 $5.80 272001000C
— _
Phone -Total $78.30 J
. ----_--
Contractor:
GRESHAM HEATING
1560 NW 3R.
GRESHAM, OR 97030 REQUIRED INSPECTIONS
Gac Line Insp
Phone:503-667-7594 Mechanical Insp
Rcij #:LIC 81491 Heating rJnt Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Murr cipal Code, State of Ore.
Speci?lty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is -ot 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. ThngP arias are c;Pt forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or d;rect questions to OUNC by calling (503)246-9189.
Issue By: J�1y.- �- Permittee Signature: �� , ' t L 4. s��k
Call (503) 639-4175 by 7.00 P.M. for inspecticris needed the next business day
� I
Mechsnica1 PerluitCUT of T%Pffd
APPS
AA&Ur IM 25 9W Holl Blvd Twvi,OR W=
per;pm) 639.4171
Fes'Gam)-vWyW
Land w appmat �CC1�Y Ul' 1lliAlii�
�
J-
Ca'hr�i�wornema
R i r m�ly mums or*memory
Indk3de�h60 in,"m bolar.Wh Ox*As all vhoof,ore�ead.
due of cuo[bs�+�c=1 wdoslabl,alndpmcs►l.
Tu m.1'.IWIhCYO�M Mo.: -- -sm CJWK*lim CM h"Pw 4*txakm wdbm•boe SM
Ltx 1ai�l: . �. _ -- ud►ctiat, s fee raven J41br TradmeW t inn.:
CIWWI Ulm
Drkorior"ud kno6m at'&m Potdsm __ _ —V J TO
7ymwA"mumpQ fit 4ftqr
b oxime grow homw a ommiM aroO u Ya O no R
V azi+r aPeoo j2"I �nd7 U Yao
�v
L:-4��7
u� +� k,;► 1�hrla da� ONv
rum XTUNI
A!►�o�1a�rte+_.._.—-._—.. 11Ws �-ORO"-
I
Om ap
MOM 4lucA �.7Po "
Mnd f1A eoppbrine sY+IRw�
row—
HsAwre e,r v�1I�dm 6ae)
E'boAa ��•� ��
Ttm■„( '. -.+r�w+r•i:...; -
t4st�w tti P.�+
►K+M�`y�"�` e„viw y.pnr.04 vlllw-d >tip ccviow 1 strX
c*wwAd.+.�. � _ TOTAL
i
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour In:pection Line: 639-4175 Business Line: 639.4171 BUP -- —
_— _Cute Requested _ AM_ I'M - __ BLD
Location / l� G Suite _ MEC 'Z� L � q3
Contact Person Ph PLM
Contractor — Ph —_ SWR
k3UILDINGenant/ — ne C�� ZKO �� — ELC —
Retaining Wal: I ELIR ^_
Footing Access FPS _
Foi indation
Ftg Drain — SGN
Crawl Drain Inspection Notes.
Slab --- SIT
Post&Beam
Ext Sheath/Shear - -
Int Sheath/Shear -
Framing �.,��--1`�=�..��- [..� w', S o�t�_ ,:--- - _-0,.e-I_ . _—
Insulation J
Drywall Nailing --
Firewall -7
Fire Sprinkler
Fire,Alarm
Susp'd Ceiling - — -- -- --- --
Roof
Misc: -- -- - -
Final _---
PASS PART FAIL. - - -- -
PLUMBING
Post& Beam
Under Slab - - -- -
Top Out
Water Service —
Sanitary Sewer
Rain Drr,ins - --- -.. _—_-�--- --
Final
PASS PART FAIL
L_
Rough In
G,.s Line ---
Smoke Dampers -
Fina{ -- -----
g FAIL
l_
Sei—vi ce
Rough In -
UG/Slab
Low Voltage
Fire Alarm -
Final -- --- -- .
PASS PART FAIL -
SITE _ ---—
Backfill/Grading -_-
Sanitary Sewer
Storm Drain ( )Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to insp ect-no access
Fire Supply Line ( ]Please call for reinspecti�,n RF _____.._.. - ( �
ADA
Approach/Sidewalk Date / �_ Inspector _ -Ext
Other _ I .i=
Final
PASS PART FAIL ; DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ------ —
BLIP
_Date Requested /
^�Z—,AX --0/ AM PM--- BLD
Location. 1-0, S 5. (.'. �/p_ �Ga•�— � s ite5."VA MEC W ��
Contact Persor. _,—, // /,,_--_.--�,,yh �-f-- PLM
Contractor yJ C� �1�
BUILDING Tenant/Owner ELC �QQL_1jp,
Retaining Wall — —�-- - _ '---_— ELR
Footing Access: ---- -J---- -
Foundation FPS
Fig Drain --- SGN
Crawl Drain Inspection Notes: - - ---- - -
SlabSIT
Post&Beam ---- --- --- --�--------
Ext Sheath/Shear _
Int Sheath/Shear _-
Framing
Insulation
Drywall Nailing - — --- -- - - ----- --- ------
F firewall
Fire Sprinklers _ S�]_ _ _---L*Fr jn
Fire Alarm
Susp'd Ceiling
Roof
Misc - - -------- -__-.. ---
Final __.�-------- -
PASS PART FAIL - --- - ------- _.. - ----- --- -----
PLUMB114G
Post& Beam - --
Under Slab
Top Out - -- - - --
Water Service
Sanitary Sewer -- --_ - --- -- -
Rain Drains
Final
PASS PART FAIL-
MECHANICAL
Post& Beam
Rough In
Gas 1_ine - - --- --- -- - --- -
Smoke Dampers
Final -- ---- ------ -
PASS PART FAIT_
Servire
Rough In
UG/Slab
Low Voltage
Fire Alarm
PART FAIL _
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd
Catch Basin
Fire Supply Line I 1 Please call for reinspection RE: _ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date
Other _._. _ --- Inspector " / Ext
Final "J -
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.