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12405 SW KING RICHARD DRIVE N O w cn C 7 n 7 CL v z' a 12405 SW King Richard Drive i CITY OF TIGARD 24-1-Inur BUILDING Inspectioi, Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _ BUP -- - Received _ __-_ Date Requested /6 _ AM__-- PM BLIP Location 2 —Suite MEC DG"Ztl Contact Person �-/ _ Ph( ) -- PI-M _ Contractor ' Ph( ) _ _ - SWR P1 so, Tenant/Owner - ELC -- _ Footing Foundation Access: ELC Ftg Drain — Crawl Drain ELR - Slab Inspection Notes: SI1 — Post&Be;m _ - -- Shear/„ichors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall — Fire Sprinkler Fire Alarm Susp'd Ceiling ---- �_.—_ Roof Other Final PASS PART FAIL PLUMBING Post&Beam Under Slab Rough-In Water Service Service Sanitary Sewer — Rain Drains Catch Basin/Manhole — -" Storm Drain Shower Pan -- Other: Final — P $S __PJ1AT FAIL - ' Post 8 Bearn -- -- ------- ----- -- Rou h-In — -- -- - - Cas Line ` -- ---- --- ------ Smoke Dampers *CfRICAL PART FAIL - ---— — - --- ------------ Service Rough-In --r- UG/Slab Low Voltage _ Fire Alarm -_— Final _PASS_ PART FAIL Relnspectlon fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P Please 0811 for reinspection RE: -- _ Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Qatar 1 f� Inspector Ext Other: F - --- D PASS PART FAILO NOT REMOVE this Inspection record from the Job site. PASS ELECTRICAL PERMIT L I TY OF T!GA R D PERMIT#: ELC2002-002/G DEVELOPMENT SERVICES DATE ISSUED: 6/18/02 13125 SW Hall Blvd., Titiard. OR 97223 (503) 639-4171 PARCEL: 2S115BC-16000 SITE ADDRESS: 12405 SW KUNG RICHARD DR SUBDIVISION: ZONING: BLOCK: LOT : JURISDICTION: KIN Project Description: Install 2 branch circuits: Bond gas/AC unit. RESIDENTIAL UNIT TEMP SR_VC/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 HMI SVC/ FDR: 601+antps - 1000 volts: MINOR LABEL_ (10): SERVICEIFEEDER _J 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: 1 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: _ _Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: JAMES WYATT WESTMORELAND ELECTRIC 12405 SW KING RICHARD P.O. BOX 82865 KING CITY, OR 97224 PORTLAND, OR 97202 Phone: 503-624-5681 Phone: 503-238-5362 Reg #: ELE 26-1050C LIC 140551 SUP 46385 _ FEES Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 6/18/02 $53.50 2720020000( Wall lt9 Final 5PCT CTR 6/18/02 $4.28 2720020000( Total $57.78 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 issuanoe,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 ordirect 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 property I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �.._)], Gt_-?►.Z Jam' DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day F'RUI We;tmorelpnd Electric FAX NO. Jun. 13 2002 09:04PM P3 -3et/'11/20EI2 e/:33 5036393771 :ITY OF KI�4 CITY PAGE 01/02 Electrical Permit Application Pitt4t)tDo.�h2llev-Gt7 W City of 'Tigard boos-ua il.no.. Upim fth.-' Ci,of'ltxard Addww 13125 SWIL-41Blvd,Tiord.OR 97221, Uateisnnra, $y.' jam' Roceiptnc.: Phnne: (5573)1139 41'/1 Fax: (503) 59ft-1960 i'ter file no,: - P+ty tytle:Land use n{gmwal: "Newdwtt]linq yr acxa:aaaey U(cunlncteialfi, cituati�l Ca Muhl tamtly 3 T enwit irnitrt,vt-ment ation U Atltlidvdilre.,lim/replacement Q other...._. v 1-arhal Job address: J C,���te;. ►Cit 1 :�.nHf :� f. Aldg.na: Strife rro.: Tax lrlt P/W Igt/atRXIWA W.: �- _ne ct naw' Tlbscti{rGan and loesh a of tvelrlt au ytct1113t:S: BNimltted date of aaonha 1t+rlioa: --- --_- -- -- Job yu: _ ]PYw MWt Rtutmnttr name.L. �(7 G .F~ fa IYaal wo,iu.v rt,o'¢1d�1CL? l csr7 �t� New rr.MrWAS r MRr�r..M4fadlf pw ArLltna+,' /..7QF ��� flwft �>il 11K},�t�y afRErt,PAtplfl�. City: •t-�✓�_:—r.�•,�p srooe:v ZZ�:q?�j �„�,.+� P►wor •' Fat: �J� 1E+,utril: IotxjY},(twkw-- -- a CCB Ikr._/gyp 53'/ Rtec.bus iic.nog �, -/pSV ►,�f,.dmoraat soo a mrn a.�,Q,r city,rR1L'tlU UC.0 Lic„iledautYf.taietaaial ,- - — -- (O I imllydanvdy,OpRIeflQeattrl t _0 a eat,a r-pa f ned tome of m Nkdw d caning -. s1 More of sfgi%i tlt e#eclt �c ,h _�� 9arvtoaAeAlor Gsl+r 7 Su nfaa�rtem,(p,mtJ � tiee0�a,>« arfi.sder■� alttt'enea K trlrreatisrr 200 roq,�orlaara 2 Name(prima: ,"r m�.S (`1 st%T 7Ai`-TA k;400 anp - 2 nddr- 4oi 1„cou . 5_:: �N iLx%0*aC-N gip_- dot�toiooa� i City: Ci tC ZIP,�?It; (watwo.np.4rveto � z I3 mail: R,TtronertMN LL _ 1 Orme-InORUMfoe:'IBu In.dxil,arir.tet is beutg nmde rm pmperty I cvwn t &Aril which in not Intendrel Rw salo,few%e,trnt.tw r-xdnwage aWuulint!tn ►+►�Rattae.Nwrwlae arr.itx„lteee ORS 447,4 55,479.670,701. AM 01"of Icra _ Al I wtr to 400 wrin _ _ t)w,trs's lnttute: Darr: 4111 to GM f°W".—_._.. Rnetl�dtr�du-arw.atlrrffb,n. N:ttnc: cr.itsaatoe der�enrt - - _ A pee tet Menet, V"lRwt*'A a of Address 2 City $(�. jd f- d. tea.flrr 4:t+r,rb rtr,x+In widann prirrhw 1 '�'�-V �-- olwviLLEwlrrrtrrEneai„ttlymrl+un-.mr- l Phone: F ttz - — h meal: r .eLtitkmaf lu amdt. wumAffliwagn ClS[MeeOvarY)3.t,ryu.ortrrlreriU 1�eLatfdrx^hvllity Fyleyutayofhrtp?innwiRtt 1 U Sn.loe MtV 320 IMM rein;of 1 ❑H#MM'v.tmAkd ttaeA ur a,ttnr t _ 1M*N rf"hz1 t U kuMn3j!ova 10,0[11 wfl—fM fum to ChLuils)rr a fi>mrnd owayy pmd, U9ytdvu r4w(A)OvoltenmvnAl ne-xeenti0a,tialaeiminuor4nxtmr �I►rt�tloa,nrrxteeMipR� I U t?aiidi,l8:ovrr ttarr ww" U Fwti—,4110 amps rs rmr- - O(kcntren k.�t�rorr ext prtx+nr U l t:tsdanntsd savwrercs or R.Y perk _-- _--'m------ -(i-w-XTMG U t�eeaafflotinp Dlm U clan. _ `�+pMthti av,�t1e allow + r o�et eh �---.-wft at F&M Vd&my$dlhe,»No.v. Vnr AillmMapicn, mnrtcstioa fr: IU above we flit. O�IJ�!_"2mwn""! ss'4!!. 0dw Nd ail bdedeUadwwo-0vwdL Ots"toAAMl�.wo.laAesstm NMiw:'Thin punnh applkmn yn I'ElttUt ft�e•5555...-55,55 ` ...... S p " — t,w.. to 1lf61swCwd --p•,rs If ra pc rmit iti tx't Alf"j "I Plan ftview(4t S u.ar.aa *aL 4 within I?A dnye after it het hdn Stntn"MVIMMP(14%)5555 S .atn ofeambnMw. m aecttftd m cj*M et. 'I'OTAI, ............_........ .3 7 7 4assu Mtt+cttht) EXPI EP i. CITYY o F TIG /` R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00244 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: PARCEL: 2SI1 2S115BC-16000 SITE ADDRESS: 12411-� W KING flICF� r1D L'R SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: OTR FLCOR FURN: EVAP COOLERS: TYPE OF USE: Sr UNIT HEATERS: Vi_NT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: _ _FUEL TYPES 0 3 HP: 1 DOMES. INCIN: LPG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 IIP: R UNI1 S: FIRE DAMPERS?: 30 - 50 HP: ODS S: CTAS PRESSURE: ;0 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING C FURN >=100K BTU: <= 10000 cfm_ OTHER UNITS: GAS OUTLETS: > 10000 cOUTLETS: Remarks: Installation of gas furnace, gas piping and a/c. Owrer: FEES JAMES W YATT Type By Date Amount Receipt 12.105 SW KING RICHARD PRMT DEB 6/7/02 $72.50 KING CITY KING CIT Y. OR 97224 5PCT DEB 6/7/02 $5.80 KING CITY Phone: 503-624-5681 Total $78.30 Contractor: SUNSET FUEL CO PO BOX 42287 2944 SE POWELL BLVD REQUIRED INSPECTIONS PORTLAND, OR 97242 Gas Line Insp Phone:503-234-0611 Heating Unt Insp Reg #:LIC 00002374 Cooling Unt Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. T110se rules are set forth in OAR 952-001-0010 through OAR 52-001-0080. You may obtln opies of these rules or direct quest ns o OUNC by calling r � � Issue By: /' Permittee Signature: Call (903) 636-4175 by 7:00 P.M. for inspegtions needed the next business day Mechanical Permit Application Date received: 7 rQ Permit no.:f l ii',�{�a City of Tigard Projett/appl.no.: Expire date: CiryofTigurd Address: 13125 SW Hall Blvd,Tigard,OR 97223 — Phone: (503) 639-4171 Date issued: :�.y� Receipt no. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: ,Z'I &2 family dwelling or accessory U Coin mercial/industria] U Multi-family U Tcnant improvement U New construction L 1 d(lit,orL/alteration/replacement U Other. Job address: �\ , [ „ -, Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: pit value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: -it. Value$ Lot: Block: Subdivision: 'See checklist for important application information and Project name: jurisdiction's tine schedule for residential permit fee. City/county: \C. zip: 'I� a Description and location of work n premises: t ,, r L,_i[ +,�� am Fee(ea,) Tool Est,date of completion/inspection: Dewirl ]on Qty. Res.00l Res.oN Tenant improvement or change of use: AU: Is existing space heated or conditioned?U Yes U No Air handling unit _ a'm IS rxistiny space in.sulatrd''U Yes U No Arr condruonrng(site plan required) Alteration of existing HVAC system oiler compressors — Business name: ci J(y c F T El J -l State boiler permit no.: Address: — HP —_Tons RTU/11 ` - Cue/smoke dampers/duct smoke detectors City' _ eat pump(rile an re plquired) Phone: — nstal Treplace urnac u •� Fu—m-, / CCI? no.: Including ductwork/vcnt lin_e_r�_Yes U:%o `fin 1 Insta replac relocatehealers-suspended, Cily/tttetro lie.no.: �\ c? wall,or floor mounted Name(please tint): u -gni ora fiance of ei than uurnace e erat on: Absorption unitsBTU/11 Name: Chillers_ HP Address: i Com ressors__ HP Cit ne onmenta exhaust a sent ton: Y_ State: ZIP: Appliance vent Phone: Fax: E-mail: hyerexhaust TOW s, yi'W TUrres. nc a azmat Name: i hood fire suppression system _ �. Exhaust fan with single duct(bath fans) Mailing address: < �� ` aust s stem a art rom coon or AC City: State: Get ZIP: 11,1,1, i ue P PnC on(up to out eta) Phone: ax: E-mail' Type: __--LPG - NG Cil ue piping each additional overou ets Proem png(schematic requirec) _ Name: Number of outlets Address: Otherap or eq pmeeoi.-- - -- — Decorativefireplace e City: _ State: ZIP: insert type _ — Phone: Fax: I E-mail: stov pe et stove " Applicant's signature: --- — PP B �;�'_ Date: othelrl l a Name (print): c —— - — r Permit fee.............. ......$ 4% Noticx:This permit application Minimum fee................S 1.1 L�) expires if a permit is not obtained Plan review(at _ %) S " within ISO days after it has been accepted as complete. State surcharge(8%) ....$ LJ TOTAL .......................$4V 440-4617(600MCoMt 't� ,1, ,�' r;� y� ♦� �� �'+r'•�� 1� - }��.: � BIW _ .,r �� .. .. ° �+tipt• r ,j .i�'i �� •,�; �I ,tib ,�,?� t,... v�.,;. �.. ..1r ,, ��'.. ' )UI iou IF J Z$� STREET ADDRESS 12-V05 yCU 'no, KING CITY 15300 S.W. 116th.-Avenue,hang City,Oregon 97,224•2693 e Phone:(50:3)&39.3082•FAa!t(3031639•:3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW. simple complete the appropriate application legibly and submit it to the King City staff. The Kin;., Cite staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff%gill then create the permit, issue the permit. and perform inspections. Please indicate on the permi: application whether you would like the Tigard staff to call you when the p,.rmit is ready for issuance or %yhether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King Citi staff for correction and no processing %viii-occur until a complete. legible application is received. Ifvour pen-nit application DOES REQUIRE PLAN RE`'IEW, this form must be signed by a King, Cir,.- staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13 125 SW Hall Blvd. Tigard. to submit applications and plans. Development Services Technicians are available at 639-4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the Cite of Tigard. The Citv of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the followino project: A ' ©�+� located at: 1 2,t-( 0 r, !r L..) k`� �y 4A, I Kin L, Ci Representative G 1 DSTSXCt\St DOC