11280 SW QUELLE PLACE-1 i
w
11280 SW Quelle Place
� �C ��^
CITY
���/' /� �� ___MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC
8/02 00086
DATE ISSUED: 2/28/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103DB-03400
SITE ADDRESS: 11280 SW QUELLE PI-
SUBOIVISION: GENESIS NO. 2 TONING: R-4.5
BLOCK: LOT: 032 JURISDICTION: TIG
CLASS OF WORK: OTR VFLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 ]ENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS.- HOVDS
_ FUEL TYPES 0 3 HP: 1� DOMES. INCIN.
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU. <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Replace existing electric heat pump with new gas furnace, a/c unit and gas piping.
_owner: FEES
GIANNI, MARK J + JOANNA Type By Date Amount Receipt
11280 SW QUELLE 5PCT CTR 2/28/02 $5.80 2720020000
TIGARD, OR 97223 PRMT CTR 2/28/02 $72.50 2720020000
Total $78.30
Phon;:
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS. OR 97015 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-656-1184 Heating Unt Insp
Reg #:LIC 447 Cooling Unt Insp
PLM 3-2E6PB 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 a cordance with approved
plans. This permit will expire if work is not started within 180 days of is a e, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires u to folio es ac}opted in the Oregon
Utility Notification Center. - ;-iose rules are set forth in OAR 2-001-0 0 rough\\OAR
9.52-001-0080. You may obtrdho s of these rules or dire t questib s to UNC y calling
Permittee Signature
I15sue By:
Call (.503) 639.4175 by 7:00 P.M. for inspections needed the nert business dad
11.20-2001 15:90 FAX 5095981960 ( M'' OF TIGARD Q0002
Mechanical Permit Application
Date received: -% !r
City of TigardR EC E I
V�E D 1,�.�� Permit no.;
: -
1 app Expire dare:
Ciryoffigard Address: 13125 SW Hall Blvd,Tier Q 97223
Phone: (503) 639-4171 F E 9 � 7 M?t?. Data issued: Ely: R.ecoipt no.:
Fall: (503) $98-1960 'Case file no.: payment type;
Land use approval; PIANNINGiiENGCITY OF TICWE Building permit no
III W Iwo UX tuffm
"New
ly dwelling or accessory �Commercial/industrial D Multi-family J Tenant;mprvvcment
uction ❑Addition/altembon/replarcment U Other: .__.
Jab address: {i Indicate equipment quantities in boxes below Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment.labor,overhead,
Tru ap/mx lot/account no.: �_c profit.Value S
Lot; Block: Subdivision: "See checklist for important application information and
Project name: Cj():�R_ jurisdiction's fee schedule for residential permit fee.
City/county' ZIP; t Vl J,j,-1
Description ate location of work on 's e e t
`A-, i I Faah.) ToW
Est.date of completion/nspectiorv. Mlk t: Description Rte. Ra>te,od
Tenant improvement or change of use: t ti C-0 AU -
Is existing space heated or conditioned?U Yes U No Air handling unit ! =CFNi
Is existing space insulated?J Yes U No Alrcondruunin(site -quire d)
terauon of P7,77"a A�_svetetn
of er compressors
Business name; State boiler permit no.:
Address: `�rj�t✓, < �� �r�'y``— HP Tons _BTU/H
----.-�- —fid /--N IJ trelsmokt dam s/duct smoke detectors
City !r State: ZIP: C. I-� Heat imp(site an require )
Phone:a,�� FaE-mail; insta replaceurnace/burner i
CCB no.; `t y Includingductwork/vent liner D Yes❑No
-- Pemdon.
lacette ocatc heaters-suspended,
City/mr:tm lie.no,: - �- uor mounted
Nance(please nnt): pp ;,nee other than nage
I�Wylln units—___ ` TMI/H
1`IP _1
Name: ��.� �.�r1J i'� Chillers-___ ---
Address: Q, Comprcunre HP
Cnvlroruoeutal exhaust and ventilation:
City. v State: ZIP: Appliancevent
Phone: '� Fax: E mtul: rverca aust
Hoods.Type 111 res.kitchen/hazmat
Name: A N N/\ f ,\, hood fare supptcssion System
�� 1]t�_ Exhaust fan with Onglc duct(bath fans)
Mailing address -1-yligust SN stem apart from hcatuig or AC
City; "j k S ZTP' I-. Quel piping and t on tip u,4 outlet i
Tyne: LPG NG pit 4C
Phone: - Fax: E m_il Fuel piping cacti a tions ever 4 vu cr
rFv%;Wm -(cchemaLcrequtrcd
Name; Number ct outi:'s
l)Mer lRe app lanorce equipmentAddress: Decorative fireplace
y; S to ZIP -- 1r,;Zr-ppcChinE-mail:evelpe;letstri c
Applicant'; s attire: _ "_ Date; cJuter: -
IramC (print):T_
K, ail jun,dretion,a;-apt crt t , -r,ey,.e cat'iun,d,:,,on fm mtur Iucrmanon. nemut fee.._.................S
3 Von 0 MaeterCurd Notice:This permit application Minimum fee................$ r 5 L
I
Credit onnl cumber expires if a permit is not obtained---��� Pian review(at _ %) 5
within 180 days after it hes been State surcharge(8%)„,,$
144"M of cardholder rtshown on UWI1 Bard accepted as complete. —1-�G—
w s TOTAL ......................$
` r s aaarta„ nnmuar -”—"""
—` -- 4"17(it)NCO\t)
r
o Liu
IZ9CD
r�
JAC
3
m ` --
iG1 N ` JA IV N
�,�► 07
-- v a)
J
Al
1 �
i
y I
I
CITY C�� T I�7 A�� --- ELECTRICAL PERMIT
PERMIT #: ELC2002-00090
DEVELOPMENT SERVICES DATE ISSUED: 3/5/02
13125 SW Hall Blvd., Tiaard, OR 972.23 (503) G39.4171 PARCEL: 2S103DB-03400
SITE ADDRESS: 11280 SW QUELLE PL
SUBDIVISIO14: GENESIS NO 2 ZONING: R-4.5
BLOCK: LOT : 032 JURISDICTION: '"NO
Proiect Description: 2 bran;,h circuits to A/C and furnace connections.
_ RESIDENTIAL UNIT TEMP_GRVC/FEEDERS MISCELLANEOUS _
1000 SF OR LESS: 0 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF. 201 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL:
MANF HM/ SVC/ FUR: 601+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 WIO 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: _ R+ > 600 VOLT NOMINAL:
_ Rt connect ons:---- SVC/FDR >=225 AMPS: CLASS AREA/SPEC GCC:
Owner: Contractor:
GIANNI, MARK J + JOANNA BOB'S ACTION ELECTRIC INC
11280 SVV QUELLE 2700 NE BURTON ROAD
TIGARD, OR 97223 STE A
VANCOUVER, WA 98662
Phone: Phone: 360-254-7200
Reg#: SUP 43225
LIC 00053136
ELE 37-431C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
5PCT CTR 3/5/02 $4.28 2720020000( Elect'I Final
PRMT CTR 3/5/02 $53.50 2720020000(
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Spedalty Codes and all other applicable laws
All work wi!I 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 U,gon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001.0010 thra,gh OAR 952-001.0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
2466699 or 1.800-332-2344.
Permit Signature: Issued By:
�Ly,6ld�l— 1 1
_ OWNER INSTALLATION ONLY
The Installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNArURE: _ DATE%
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO: ---- — —__ ----------------_ -----
Call 639-4175 by 7:00pm for an inspection the next business day
02/28/2002 10: 18 FAX 5055981960 CITY OF TIGARD Boni
ji��
1 .
Flectric:aa Perinit Appiicatthil
-- r--- '--� I� n-- Date received:_/ �y Permit no.
City o Tigard �1../ ProjecVappl.no,; Expiredatc;
City njTigard Address: 13125 SW Hall Blvd,Tipard,OR 97221 pate issued _ By: ter Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.' Payment type:
Land use apptoval:
TYPE OF ]PERMIT
® 1 &2 family dwelling or ncccssory O Corrlmercial/induauial 3 Multi-family 0 Tenant improvement
0 New construction O Addition/olteration/replacement O Other' CI Partial
1 SITE INFORMATION
Job address; 11280 SW Quelle P1. Bldg.no ii Suite no: Tax map/tax IoUaccount no.: _
Lot: I Block: ISubdivislon, _
Pro eat name: b_escription and location of work on premises: 2 circuits for A/C h f u r ince
Estimated date ofcem letion/inspection: connections.
1CONTRACTOO APPLICATION gas scliFf
Job no: U2-259 Max
_Busincss name. Bob's Action Electric _ n%identt}rcrtiptinn — f�ty. (ea) Total n--
o,tns
W-umkormuttitnmdvrrr i
Address;
_ 2700 NE Burton Rd. "A" eweuingunit includmatuctvdgaMr.
City: Vancouver _ State: WA ZI 98662 Service:nemdedi
Phare 254-7200 jFax. 254-821 E-mail: 10002 f.orless a
Each additional 500 all 6.or portion thereof
CCB no.: 3136 Elec,bus.lie.no: 37-431C Limited energy.residential 2
City/metro tic.n . 0003861 Limited energy,non-msidenthd _ 2
2/28/02TService
chmnnufactumdhomeormodular dwelling
Slgnslurc of supervfting electrician(rcquued)_ pate and/or feeder __ 2
Sup.elect name(print) Kevin I t r :-,t• I I r License no 4 3 2 2 rvtses
or
arc-Installation,
alteration or relocation:
' r 200 amps or lets 2
Name(print): Joanna & Mark U1 attn i —__ 201 amps to 400 amps — 2
401 amps to 600 turps 2
/visiting address 11280 SW Quelle P1. 601 amps to 1000 amps 2
_City Tigard State: OR ZIP. 97223 over IOOaampeorvolu 2
Phone' 598-3090 Fax' &mall. Reeonneetonl I
_
fhviur installation:The installation is(sing made on property 1 own Temporary otHrm or feeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alfrsatlon,ormlor tion;
20amplens 2
ORS 447,455,479,610,701.
J011 ampss to 400 amps — I
Owner's Signature: Date: 401 to Wl am s
Araneh eircuih-new,alteration,
or rxtentlon per panel:
Name: _ _ A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
—' Zip. B. Pee lot branch circuits without purchase
City' It` — "(service or feeder fee,first branch circuit; l 46.85 2
Phone: E mall: Each additional branch circuit -- 1 6.65-
111,1111 kill ii MMMINI Misc.(Serviee or feeder not included):
LI Service over 225 amps•wmnicrcial Oliealth.es»(rciliry bath pump or ifs: adon circle _ 2
O Serweeover320imps-ratingof 1&2 a I I alai dolls location schslgrloroudinelightins 2
familydwellings U Building over 10,(100 square feet four or Signal eircuit(i)ora limited energy panel, I
O system overtiM volts nominal more residential units in one structure alteration,orextenuron• - 2-
O Building over th•re sioriel 0 Feeders,400 unps or m ort "Dari tion: MOW—
O occupant load over 99 persons 0 ManufnctutM stfuctutm or RV-ark Each r dit offal inepecf en ever the all"wr a In My of the above:
0 EgtestAightingplan O Ocher Pet inspection
Submit_—seta of plant with any of the above Inveausation
The above are not appliemble to temporary contuyegon service. 00er _-
--- --- _
Vol-0
�,_.--- -- Permit fee.....................$ 53.50
of ali jurist&uum WOW trsdit errdr,plea-till j00"rim f,r mo.a Intdmari,v. Notice This permit Application
O visa O MutstCard expires if a permit is not obtained Plan review(at -_- %) 3 —
c,dit cvd number �__��___- _ �._ within 180 days after it has been State surcharge(8%) ....S 4.28
accepted as complete 'rOTAL .......... ...I........S 57.78 —,
- Ami: res slto+st oe t tad
S
c�d�we ---- -- , ; 440 11(maucoMl
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)63v-4171
BLIP _._.
Received __ —Date Requested_ — --�__r _— AM-_ PM.----- BUP
Location �� �` r ` �d.�Pp �)L Suite .- MECGU,Z-SCK? ^
Contact Person 0�V)II-4-tA-1- __ Ph '34,,�) ) ? 7 UGC PLM _-
Contractor _ Ph(_ _) SWR
BUILDING__ Tenanv6 — J��G�YWLC.�- ELC
Footing — - -jQ��p H
ELC
Foundation
ACC@S8:
Ft "'�f 36 - 3: 30 ELR
Crawl Drain - _.--
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors — -
Ext Sheath/Shear
Int Sheath/Shear -
Framing -- - -- ------ -- - - —- —..--- ---
Insulation
Drywall Nailing - ----- -- - --.— �_ --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - —- ---- --___-_ -
Roof
Other: --..-----. ----- - - -- -
Final -a--.-- -- -
-PASS-PART FAIL -.----- ---- -----_�__. ---___---
PLUMBING
Past&Beam - ----- - _ -- -
Under Slab - ----- — ----- --- -
Rough-In
Water Service --
Sanitary Sewer
Rain Drains —------ __.-_--.. ---_------ -- - ____
Catch Basin/Manhole
Storm Drain ----�- ---- -
Shower Pan
Other: ---------__ _-._ _ ----_------....._ ---_..._ •_
Final �-------- -- �
PA P FAIL __.� - ---- - - - -- - - -- — -
CHA - - -------- - ---
st&Beam
Rough-In --
Gas Line X
Smoke Dampers
SS l ART FAIL --- -_ --- - ------ -- -----
IMC-IT RI
Service
Rough-In (i
UG/Slab t
Low Voltage �'.wvna �--- -- - -- -------- -----
Fire Alarm
[j Reinspection fee of$--__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS y ART FAIL
Please call for reinspection RE: _-_-__- _—_.._ [] Unable to inspect-no access
Fire Line
DA
Approach/Sidewalk
Date
Other:
Final DQ NOT REMOVE this Irrc,poction record from the job site.
PASS PART FAIL