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1540• SW OAKTREE LIQ
CITY OF T I CSA R D ___ ELECTRICAL PERMIT
PERMIT#: ELC2004-00653
DEVELOPMENT SERVICES DATE ISSUED: 10/11!2004
13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 2S111DB-11`500
SITE ADDRESS: 15405 SW OAKYREE LN
BONING: R•7
SUBDIVISION. SUMMERF'IELD NO.10
BLOCK: LOT: 593 ,.L'RISDICTION: TIG
Project Description: (1)branch circuit for furnace wiring.
__ RESIDENTIAL UNIT V TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMI--D ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+0mps-1000 volts: MINOR LAB?L (10):
SERVICE/FEEDER BRANCH C!"_^11ITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 atnp: ^st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA AWL BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: !�rrIFOR>-225 AMPS: CLASS ARFAISPEC OCC:
Owner: Contractor:
POLED,MARGUERITE EFFICIENCY ELECTRIC
15405 SW OAKTREE LN P O.BOX 72791
TIGARD,OR 97224 VANCOUVER WA 98687
Phone: 503-639-12.22 Phone: 503-805-5821
R qg*: LIC 10151
?LE 26-87W
FEES SUP 30C,j
Description Date Amount
P.vy;,lred Inspections
[ELPRMT]Ft.0 Permit 10/11/200, $46.85
[TAX]8%State Surcharge I I,II 1/2001 $3.75 Rough-in
_ Elect'l 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 plans This permit will expire if work is not started within 180 stays of issuance. or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Orecon Utility Notification Center. These
rules are set fortff rn 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OWN Cat(503)
246-6699 r 1-800-332-23
CL _
F^C- Issue By: ' _ Permit Slgnaturs�
_ OWNER INST I - V_k_QNLY
The installation is being made on property I own which is not intended for sat, , lease, or rent. _ �~
J_
OD OWNER'S SIGNA•rURE:
u1
9ONTRACTOR INS AL I,ON ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
L'WENSE NO: —
Call 6394179 by 7:00pm for an Inspection the next business day
FROM :EFFICIENCY ELECTRIC FAX NO. :360 e% 2032 Oct. 06 2004 O9:O4ki Pi
�IGAR�
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Electrical Permit AR E� c�t3an
City of T4>Itrd twan
13125 SW Hall Wvd.
T*W,Offerm 9712.1
P6oae 503.4154171 Fax: 59.3-.49&1960 t —--
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` CITY OF �0 IGARD MECIIANICALI'1=FtM1T
DEVELOPMENT SERVICES PERMIT S. ME.l:2004-00584
13125 SW Hall Blvd.,Tigard,OR 97223 (503)839-4171 DATE ISSUED: 8/3',1,2004
PARCEL: 2S111 DB-10500
SITE ADDRESS: 15405 SW OAKTREE LN
SUBDIVISION: SUMMERFIELD NO.10 ZONING: R-7
BLOCK: LOT:593 JURISDICTION: TIG
CLASS OF WORX: OTR FLOOR FURN: EVAP COOLERS-
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VF-`NTS W/O ADPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESS"P'S HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INr;IN:
MAX INF U',. BTU '15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 kiR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Rcp!•ice gas f tmac
Owner: FEES
POLEO, MARGUERITE Description Date Amount
15405 SW OAKTREE LN [MECH] Permit Fee 8/30/21)0,e - $72.50
TIGARD, OR 97224 ['TAX]S%State Surcharl 8/30/2001 x+5.80
Phone: 503-639-1222 1 Total $78 30
Contractor:
SUNSET FUEL CO
PO BOX 42239
2944 SE POWELL PLVD REEQUIP-r%INSPECTION;
PORTLAND, OR 972A2 Heating Unt Insp -
Phone: 503-234-061 1 Final Inspection
Reg#: LIC 2314
CL
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(m-9 This permit is issue) subject to the regulations contained in the Tigard Municipal Code; State of Ore. Specialty Codes
W -1nd all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
no' started within 180 days of issuance, or if worlt 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
9524101-0010 through OAR 952-001-0100. You may obtain copies of these n des or direct questions to OUNC by calling
(503)�46-6699. --�
Issued By: a ri _ } Perrntttee Signature:
Call(503)8394175 by 7:00 P.M.for Inspections needed the next bus n ss day
14/30/2004 14:18 0000000 ABAB:AAAAAA AA PAGE 01/02
Mechanical Permit IA
City of TigerdIDW-11�_IdaMli (1 l POW
13125Phone. S39 41 a•rFpr4�R 9 �I Door,
1 os.r POMW
Inspection Line: S03639.4175 ``(o `' y
tmenuet• www.ci.tigard,ot.us P� P NotlAeiiAAMbed eepgielss nw iehmRs"
ical,erm t foes an on she value•
❑New construction �Asidit�dtl/elteration/reP)eCdtlCtlt ��h4cetc the whre(rounded to the new dolls)of sell
��Demolition []Other: mechanical enee�ials,sguipm leb�,or ovett►aa&and�proM.
Value'S
-and 2-family dwelling []Commemia�ndugi rlal [j Accessory building
Multi.family [�Master builder For- a� rkn rtr ehec�ur.
❑odw; LNscri tion Ea ToW
Y 1leatl coon �
t/� rt„� � Air caedite pl hq M at
lo",sim address: Dr""P
ra else •...nrL _ 14.
City/S,str/ZIP: Furnace 100.000 BTU(doiftmn m 4.00
Fwnwo I TU &wt lv ism _lLr
Sui►e14 1
PoldgJapL no.. Project nate; Ona halt pump 14.00
Cross stmet/directiats to Job site: Duct work W 14.
H dromic hot waters 14.00
Residentiod boiler( iator or
h dmnic 14.00
unit heaters(Q-typ%"elaoWe),In-wall,in-duct,in-ducts etc.
Subdivision: Lot no FluaNvm for RX of above 10.00 �-
— — Other. 10.60
Tax map/poroel no.:
Other led appllietxe
Wetar heater _ _ 10.00
%Dae On lam 10.00 —
Flue vent for water hooter or Ess
f1ince _
- - — ----
L2S 1 ter —� _ 10.00
_
Woodlimilet uoti. _ 0.00 —
Woqd flieplaWltuen _ moo —
x'
Odw. _ 0.00
Name: '0'�1_ P�f Faviroon atal tzkoo4i pad venula a*
Address: - o
Renpr troer d/ th $c Ieft
ui t _ _ 10.00
City/State/2IP: ., iL Clothe dryer exhaust 10.99
•S'S'T
Single-duct exhaust(bathrooms,
Phone:( ) (Q Fee;( ) toilet COMLI&rti2m Idiiity rooms) 6.20
Attir/crawlaptice fame
Business name: Other: 10.00
— F*el_ adna --
Contact name: _ S.SAO 1br fim lhrr.51.10 for ash
6 Address: umam eta _
On bee purm
City/State/ZIP: _ WelVIt"ponded/unk heats _
Phone:( ) Fsx;:( 1 Water heater
-- Fi ace
3 F-mail: Ran
,. ;ClIotFh"
Business name:Sans:er meeting and Cooling
Address:PQ Box 132g9 �--• . ,s�.r
City/$mm21P:Porthed,OR 97242 S■bivul ,Do
Phone:(363).1344611 Fix:(903)234-0439 Minimum pk Ate f72,S0) p
___ Plan tsvkw(2S%ofpamh Nee)
CCB He.:16tH.! ,- Stale WrdtWV(1%of permit tiro)
TOTAL PtRMIT FE
EE
signature: +►@rte a "" at dirsooriaM Nt 1bYillA within 1
days aMr N on boss smopo l is eonsrtew
Print name:Shauna D'Ambroeh Dem; Fn m.rb3dology arty Tri-Cnunty Building 1piitt"m Snubs powd
I1auIIdIVP*nnh9IM6C•P"ftAppdoe ILB] 440-d617rit1101KIWAMaD1
CITY OF TICARD 24-Hour
BUILDING Inspecyon ns: (5013)639-4175
INSPECTION DIVISION Business Line: (503)6391-4171 MST —
OUP
Received _._ Da!e R sted_ �lJ�l� AMPM_ OUP _
Location k– R _
Suite—.-._____—___•�_ MEC
Contact Person Ph(—) _ PLM
Contractor __. _ Ph(—) SWA
BUILDING _-- Tenany(!r r 11 1,G7� � __ ELC SOD y "��� 5 3
Footing (7
Foundation Access: �_ ELC
Fig Drain
Crawl Drain ,,. ELR
Slab Inspection Notes: L SR
Post 8 Beam _ -__�►
Shear Anchors ( ...
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation --___—�---
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Coiling — ----- - ----- ------- _
Roof
Other:_ - ---- - --- -
Final
PASS PART FAIL — —. ---- -- ----- -
PLUMBINJ—
Post&Beam
Under Slab
Rough-Ir, --
Water Service _—
Sanitary Sewer
Rain Drains --
Catch Banin/Manhole
Storm Drain ----- — _ _
Shower Pan
Other:
Final
PASS PART FAIL —
MECHANICAL
Post BeamALA
Rough-tn
Gas Line Alt T�4
IL Smoke Dampers
a CE&)
AS PART FAIL
ELECTRICAL _
Service ---
W Rough-In
UG/Slab
W -ow Voltage
1;;A, larm
1—%
PART FAIL [j Reinspection fee M$ ^required before next inspe-tion Pay at City Hall, 13125 SW Hall Blvd.
S _ ❑ Please call for reinspectlon RE: _ _ --_-__ �]Unable to inspect•-no access
Fire Supply Line
ADA
Approach/Sidewalk Dab
Other:
Final - — DO NOT REMOVE this Inspeetlnn rrscoi 4 flreisrn the 11 sitsi.
PASS PART FAIL