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CITY CSF TIGARD _ELECTRICAL PERMITRESTRITED ENERGY
'COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #s ELR96--0204
13125 SW Hall Blvd.Tigard.Oregon 97223.81 99 (503)639-4171 DATE ISSUED: 06/18/96
PARCEL: 2SI03BB-09400
SITE ADDRESS. . . : 12285 SW KATHERINE ST
SUBDIVISICN. . . . : YE-OLDE WINDMILL ZONING:R--4. 5
BLOCK. . . . . . . . . . : LOT.. . . . . . . . . . . . . ..B
Project Descr,iption.
A. RESIDENTIAL- -__-- --- B.
AUDIO & STEREO. . . : AUDIO & STEOEO. . .- INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . : I-AlqDSCAPE/IRRIGA'r. . -.
GARAGE OPENER. . . . - CLOCKo . . . . . . . . . . : MED I CPi.. . . . . . . . . . . . ..
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . , NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . .- FIRE ALARM. . . . . . : OUTDCUR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: 0
Owner-: FEES
STEPHEN MERCER type amol.1-it by date recpt
12ii:8'5 SW KATHERINE ST P RMT $ 40. 00 CJS 06/18/96 96-230689
5PCT $ 2. 00 cis 06/18/96 96-2800, 89
11GARD OR 97223
Phone #:
Gore tractor,,-
ODT SECURITY ALARMS $ 42. 00TOTAL
*703 NE HANCOCK
REQUIRED INSPECTIONS
PCRTLANID 011 97212 Wall Covet- Elect9l Final
V.,hure #: 503-284-326' Elect' l Set -i ,.0
Req #. . 1 59944
This ppreit is issu-.,d subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other F-Wrm—;-t-ee Signsire
applicpWe laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of ssuance, or if wort, is suspended for more
than 180 days. Isstied By
-----(UvNER li,:STAL.LATION
The installation is being mad ? on -)t-oper-ty I own which is not intended f
sale, lease, oi, ',ent.
OWNE141S SIGNA-1URE; DATE
---------------- ---CJNTRACTOR INSTALLATION
SIGNATURE OF SUPR. LLE'-' N-. Op DATE:
LICEN� 1 NO:
Call for,- in:-,pect ion 6L',`3--4. 7'--)
M
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall 111v(L `
Tigard,OR 07223 PERMIT# a{:ZIQ`9 ! ---
�`• Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCAs ION OF INSTALLATION 4. TYPF OF WORK
Addles--60,*,-- ����� RI.SIDENTIAL—R �R At IdSYSTElv1S)Energy F� . . . . . . . . . �Il
City State Zip Check Type v
_L!N_wk lnvalv":
PERMITS ARE NON-TRANSFERABLE AND NON-RFFUNDARLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
15 SIARTFD WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FON y
-urglar Alarm
2. iiONTRACTOR APPLICATION ❑ Garage Door Opener"
❑ Beating,Ventilation And Air Conditioning System*
Contractor i�OTSfCt1RiT1'SY',TEMS,iI ,G � ❑ Vacuum Systems'
--i91 NF HAir/ 1E
IIW AND,OR 91212 ❑ Other—
Address
ther
Address (503)2843165 —� —
Date _ A _ COMMERCIAL—Fee for each system . . . . . . . . . -40M
- —-- —
(SII ()AR')18-260-260)
Property Owner � _ �_ eck Tyj2e cit VALrk Involved;
Corlractor's Board Reg. No. � F1 Audioand Stereo Systems
❑ Boiler Controls
Phone# _ ❑ Clock Systems
3. OWNFR APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name — Phone No
❑ Instrumentation
Address —^ ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
Thls perm is Issued tinder OAR 918-320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy Installations(100 volt amps or less)under this lwrmit and to do the ❑ Outdoor Landscape Lighting*
following
1. Only use elertrical licensed persons to do installations where required.((ertain EJ Protective Signaling
residential and other transactions are exempt from licensing.T hese have ❑ Other_
asterisks(•).All others need licensing).
2. call for an inspection when all of the installations under this permit are ready
for Inspection at 503-639-4175. Numher of Systems
3. Pur-Imse separate permits for all installations thai are not rea•ty for inspection
whet. 'ie inspector is oml to Inspect under this permit. •No licenses are requlreti. Licenses are required for all other installations
4. Assume resit nsihility for:assuring that all cormriions required by the inspector
are done,and
S. Asinine responsibility for calling fora final inspection when all of the 5. FEES
corrections are completed. �) ,�/'�
1 he person signing f this permit must he the applicant ora person a. Enter Fees $ !/ 'C:'(9
authorited to hind t ct a pii(ant.
b. 5%Surcharge(.OS x total above) $ ofdy
Signature — TOTAL $ QQ
Authority if other than applicant
ENERGAP.CHP
CI i Y OF 1 I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC200d-00232
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/5/02
PARCEL: 2S1031313-09400
SITE ADDRESS: 12285 SW KATHERINE ST
UBDIVISION: YE OLDE WINDMILL ZONING: R-4.5
BLOCK: LOT: 008 JURISDICTION: TIG
CLASS OF WORK: OTR 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 TYPES 0 - 3 HP: 1 DOMES. INCIN:
L PG� - 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 _ AIR_ HANDLING UNITS CLU DRYERS:
FURN >=100K BTU: _ <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas furnce, a/c unit and gas piping.
Owner: FEES
FRANK AZALONE Type By Date Amount Receipt
12285 SW KATHERINE ST PRMT CTR 6/5/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 6/5/02 $5.80 272002000C
Phone: 503-579-6686 Total $78.30
Contractor:
SUNSET F=UEL CO
PO BOX 42287
2944 SE POWELL BLVD REQUIRED INSPECTIONS
PORTLAND,OR 97242 �---------- --� __---
Gas Line Insp
Phone.503-234-0611 Heating Unt Insp
Reg #:LIC 00002374 Cooling Unt Insp
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 100 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 9.52-001-0010 through OAR
952-0 9-0080. You ma ftt in copies of these rules or direct questions to OUNC by calling
AA-T AQ
Issue y: �•-.`G_` Permittee Signature:_, r' A� l-- - -_-
Call (503) 39-4175 by 7:00 P.M. for inspections needed the nex bttslness day
05/28/2002 14:48 2340380 SUNSET FUEL CO PAGE i
05/21/2nn2 09'42 YAX 5035V81960 CLIW U!'' '11(iAHl) V-1(Il
Mechan ieaf Fermit ApAcation 7te 1�71ftr00CrVC[1:[� r
OtyO# Tigard Proyeot-apps.no.: dAddrvimz 13124 SW Hall B1vd,1'i and,OR 97223 --
C7ry oj'r v nrA S WtcIssued:Phrn,r (S03) R39r1t11 _ $Y tno.:
Pax: (503) 598-11, r�aetllono.: Paymenttypu:
Land use approvat, ._ � � Bu(ldingperntltaw —
=N(,w
amely dwclhng nt acv xaq (a a"n erciallindusninl O Multl family O Tenartt improvement
nstnudondtvnn/altrrnfiott/teplacerrlent U f�[hcr:
Jub addtrss: 1 .�,,�, c�; j t, , ,L��� indicate equipment quantities in tmxc%hHow. Ind;,;atr.thr_dollar
BIdA nn.:- S-u I ti n0.: vAluc of all m-llnnical materials,r_qulpment,latent,overhead,
7 ax m ux l,idacCoUnt no.: prnflt V slur
LAI; _ Block: `�Sutxliviticm: •Cae checklist for important application infnrmatlon and
P%deet name' i'CL..9 furl dir tiort's fee slaledl:le fir reel�tentlal ptnmit fee.
Cit y/county_- �;,' a CJ..h�� _ Ip:— q -1 i,a 3
Dmdption and location of work on prciniscs: .a�u o�-e,.S 1
1'110((x(.) 'Gaal
t.dam o compledoo/lns'aet on: Dftctipdonv Qty. ties.only A �t
Tenant improvement or change of use: �'AC! --
1s existing space heated or eondltinnem D 1''ac O No nnhetWhn�undt �_. _(fit;vt_.
rcnn ono efie')rn,�u re
Is existing space lruulaterlT O Yes t]No Altt3t'tltlon o'f a tI-�F VAC system110.CU
fill
1ioTaelenetsprecu
Business name: 5 State builct permit no..
Address: r' - --_ HY _Tons T_BTU/H
X944 _ '..mo
tit uctlmokedetectors -
- Hilt primp a 1-0 plan Mqu
Phone: - nete►ITtepTicefum lttlter_ , S1i�11R
pt dewC1[�I $7242 - Inciulling Auctwnttk/veat liner Yps l7 No
� i,t)i r
fifty/metro Itc n� c��.. .1 ,� - Inifwlw IRCylu:chclocalcheat=3- suttieiiacctTr — —
wall nrflnnrrt,nunted
IVattAs�lCtl sc print): ens or e I Ianed nthnr Ihall funlzwe —
rruan[1�t1
Al�tnption units MOM
NIJ
NAme: (htll0rlt. HP
AdthC.+s' �_- •-- (rout twin.
-- ---" —_ :e rotua stet au ten 4om
Ci State. L'C': Arplisnoe vent _
Pllutle: FAJt: F3 mtil: l'lt}'a rxall.
11wds, res w 1 run
hcwxl flit cuppmmiotl>ygtem
e. \ O r,-- � L�- PAluuat fan with single dart(beet,fww
Mailing eddrraa: ��a 8 `,� G► tkjlt�S et%uiuu a .tem a an(men hMunor
Gcity: C Slate : p'PA -i6l _-an up to 4 rwlets
Lfxo NO All ,LAC)
flhrtee:c Y to Nut: &ttlall: tern in s�icdluanat over4 outieis •-
rltcenp tr�(s�:llemat cratlu r __ _
Marne: Number M outlets
-- — Other ratedap61ulri%e or eqn pinata:
Addir..as• V�Uve fLmpin
Cit _.,..r. Strut: ZIF'•� lDiott-ty�! —_ — -
Phone: Fax: mail: e
Applicant's signature: --
Nam(print):
Ix N}widirbm/Icory,l rnf�l twirl,priese JlteYdkAao rel sero lafnratala►1 `Mnlu t fee_..................S
Uohrr.Ibic ,it Minimum tee................S
vi,a D M■ rx*n Iwplictltion
ezpl"If a P"1(19 not obtained plan tevde'w(et — 96) $ _
Parra N't11it1 160 days after k tits(teen
aw c 1 ;W';;--6A t rsm -` a tad a!o0lnptaM. �utb antuhatge(P.%)....$
r.................
ASK
44n4617(Wak"M
05/2H/2002 14: 49 2340380 ,UNSET FUEL CO PAGE 03
cl
CITY OF TIGARD 21-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (50) 639-4171
SUP
Received _ —_— Date Requested - AM—_._ PM BUP -_--
Location ----- / l j i�._-�.. /_C%1.CyC. _ Suite - - MEC
Contact Person __-- __ Ph(---.) _ - - - _- PLM
Contractor , - - -- Ph(- ) SWR -
BUILDING Tenant/Owner - ✓���.5 l-- �°CO -- ELC
Footing E L C
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notcs: ��� SIT
Post& Beam -- — -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear GL�er�2<<'AC• - r L ae zS
Framing
Insulation
Drywall Nailing --"
Firewall
Fire Sprinkler
Fire Alarm
Susp'r'Ceiling —
Root
Other: --
Final
PASS PART FAIL
PLUMBIN_G - -- --
Post&Beam
Under Slab - — -- ---
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storni Drain _—
Shower Pari
Other: ----- --_- _---
Final
PSRT- FAIL --------- ----_- -- ----_ _ _ --- - -- - _. __-. .___
ECHANICAL
&
Post Beam
Rough-In _--. — _ --—--- -- -------- -- -— -----
Ras Line
Smoke Dampers
i
AS PART FAIL ----_._.----�.__--------------__.._ __ __
ELECTRICAL ----
Servire
Rough-In
UG/Slab
Low Voltage —
Fire Alarm
Final Reinspectica fee of$_-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL _
SITE [] Please call for reinspection RE: Unable to inspect-no access
-- --- --
Fire Supply Line
—
ADA � . ext
Approa;:hi5idewaik
uate -�• -
Other: __-
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL