10180 SW RIVERWOOD LANE 0
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CITY OF T I G As R DELECTRICAL PERMIT
PERMIT#: ELC2002 CO220
'
DEVELOPMENT SERVICES DATE ISSUED: 5115/02
1317.5 SW Hall Blvd., Tigard, OR 97223 1503) 639-4171 PARCEL: 251149C-00800
SITE ADDRESS: 10180 SW RIVERWOOD LN
SUBDIVISION: PICKS LANDING NO.1 TUNING: P-4.5
BLOCK: LOT : 063 JURISLICTION: TIj
Proiect Description: 2 branch circuits to furnace arn1 A/C unit.
—RESIDENTIAL UNIT_ __ i EMP SRVC/FEEDERS _ _ _MISCELLANEOUS
1000 SF OFA !ESS: — 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL-.:
MANF HM/SVC/ FOR: 601+amps - 1000 volts: MING^ LABEL. (10):
SERVICE/FEEDER BRANCH CIRCUITS _ _ _ADD'L INSPECTIONS
0 200 amp: WiSERVICE OR FEEDER: PER INSPECTION —��
?'J1 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
4J1 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 arno: _ PLAN REVIEW SECTION _
1000+ amp volt: >=4 RES UNITS: > N
600 VOLT Oh11NZ
Reconnect only: _ SVC/FDR>=225 AMPS: _-- CLASS AREA/SPEC OCC:
Owner: Contractor:
ANDERSON, GREGORY VJ + WEST SIDE ELECTRIC CO INC
BATTAN, LATIKA D 1834 SE 8TH AVE
10180 SW RIVERWOOD LN PC)f?TI..AND, OR 97214
TIGARD OR 97224
Phone: Phone:
Peg #: WV-1 06
SUP 1556s
CLE 26-135c
FEES _ Required Inspections
Type By Date Amount Receipt Rough-in
PRMT CTR 5/15/02 $53.50 2720020000( Wall Cover
Elect'I Final
5PC-i CTR 5115/02 $4.28 ..120020000(
Total $51.78
This Permit is issued Subject to the regulations contained in the Tiga J Municipal Code State of OR Specialty Codes and all othei applicable laws
All work will be done in accordance with approved plans This perr it will expire if work is not started within 180 days of issuance. )r If work is
suspended for more than 130 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 obtai^. espies of these rules or direct questions to OUNC at(503)
246-6699 or 1-800-332 2344
Permit Signature: Issued By: ✓ `'
_e 1. . / � c�1i l-�i.}� � � I/,��fl• L[ L L�.-- .rr�i-� '
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale, lease, or rent.
OWNER'S SIGNATURE. __� _ _ �____ DALE: —r
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: a f ____._c_L� UATE:____��_�__—
LICENSE NO: i � ----- - -- —
Call 639-4175 by 7:00pm for an inspection the next businc day
Electrical Permit Application ,
e,/¢y of Ci€;ard projecdappl.no.: - ltxplre date: -
llreaa: 13125 SW Hall Blvd,Ti rd,OR 97223 Ii Rw.cipr no..
'YrynJ'Tiy,ard Ad � nate isNuuJ: YF�'
Phone: (503) 639-4171 payment lyfx:
Tax: (503) 598-190
r -
Land use approval;
&2 family dwelling or accessory UCommcrciallinduNtrial U MuIG-fU Tunant improvement
amily
i.0
Cy Now construction Addition/alteration/rcpincoment U Other U I'artlal
tITE INFORMAT16N
A IM
[ , r �., 1 Bldg. no., tiultl no.: Tax maph.u_Int/accotlnt no..
Job uddresF:
l.ot: Illnck; Subdivision:
Project Warne vill I —' C)csl:riptinn and location of work on premises:
t;xlintated dote of curnhlutiuc!Inspcctio�n`: ? '
tray Max
Job tau: S .
rnt.t a..1..r
1111nrles., ,
Vallis: i L♦i'�„-� -���� T1 ,L s._ .. Nowreddential-rleQkormulti.fumitvper
Addrusa: ' iy _ M^trinRre{t.IncliMlevsrtrrhAGrn+rCr.
(;lily State: 7.1P: ' C Scrvlceh�cloJod: e
-
�honc:, 1_ �' t°ax:�]�fL ti4�5 T?-muiL' _ -- -
IO,rh nddil,WO 5M N R.or pnrlu•n,hrnvtl'
V..lcr hos.lie.no: 2 [• t 3S�. .._ I,mdisl Ir IpY. residential
(:lily/ ctru ic.no.: , i.,m hl erlcry,,y,_oon-residenlial
-- - ----
l i,e •hanufaetured home or mttthd:,r dwe lin t
Z Service nillyor Wok
2
•"a '-.T�larnr, alrrlrn..u, (required)
� ldecnu no Ukof 5lervice,torfrod-a le4lellallon,
Cup.elect name(print).t4lN� • C •'.�-- uhera.{nnorrclo.^dim:
r 1 20111auilpa to leas -- 2
1 amps In dl Nlimpr
nI r t
Name(print)• _ _�. r SUI amps In MN1 ata '__ _
i—
Maillnt;ndt+rc�s: I d L .��7 s J/ ' sat y1J�' 601 nm c n,IINNI amts _ 2
ZIP. ly 7 liver talo amps of villa v —
City,
L 1u ttx. muil: Rcconrlcct not
Phtlne: — I rmpurrrr wervlrev or feeder%-
Owner installntiun.The inatallattoll Is being mtldo on pmhcrly [ own (,,,laiatioa.nttnnl+r.,a rel„eanna
which in not intundud Ibr i nlc,Icasc,rcpt,or exchange nccurding to zoo anlQa or ie.� -- 2 -'
ORS 447,455,479,670,701. 201 nmpv In ntNi rntps _
Ownr�r's signature: Mi1e. 401 In IANI:,m ,
Ilrrnnc itiretalla-seat,altemelon,mom I I
nr exlenalon per poiii
Nome. ...... A rtr, tar hrunt:h Circuits with putchnse (it I '
Addrr!�n: slavice or fntalur fie,cut:h hralmh cltcuU ..
L
_ —_...
Pre liIm
,r uwh cilwnhr wRMrn purchn'r'
SLtic: LII': r
City. _ �: � _..__ or rt•rii
•• o of Itw.lLi r«, nr,t hru,eh olteIII;
»hone.
it I. !:•mail. .ad136eh ndd�tinrtai hnlr,<:n uinnil:
M Ile.(service or feeder not IecluderlY
U Itr;,uh tate facility I•ruh pump or imtintlnn rirt.e -� __ - 2—�
U titnviCe over 225 anttlseummof I hath stµn or outline hghhn�_ _�
U Wrviu+over.120:urgls•ialinK of 14: U I1,,.•.u,knls hxxlMn _.
U Itu,4hn y twin 10,00+1 vgWrc IIT1 tun in Signal clRon(v)ur a limilal energy paneh 2
flintily dwelUnQa t --
Li stem over Mill volls nunlittal more residential vmik m one Btructum lhernhm,, .,Y GICMInn• ^__
U lijiddmg over thrm Mines C)FoedeM.4i10.Wipe,» nrrC rlh:sniption. - _
U ticculwnl load my r 90 pemoms ill Manufadllrod alnaaures ur ttv park p•.cAadditi�enstinapecetnnuverThe suawabteinany erlheat" 0:
U hgnrrdliphting plan (1 1lthrr, - per m cillo ( -
Submil _—sett of plrn%with an,of the.ibOve. Invaltilpinnn Ien — _ -
'11m above are cwt applicable to lemporury coawtrualem service. Other _ ---
_..Partrlit fee....... ....•.., -
Nnt:dl iur+vlhh„au Wl'rar pnAll rnnla,pleas gall}unnJnln,n for nu"inrmmtati n.
Notice- This PMA Appliea,tiun Plan review(nil
Viet U Mrstctt'afd i:xpiroa If a rVrmit is not oMoined
9_/� within 0 de Atter it hen berStilte aurcnrg0
tremlCott,,m,,,hrr• , Aeeertld ncItmplete. rornL .•,(•.S..,..n.)..•....,,.,
1 _ 4� kcl
.-
- 1htWr-tin Shu rrhl .n -s J
f /lniarwt 4/11.41•15 lrJ.'r►"hM)
f'rnllydtk, rixnu a,e .,.
t 'd LL90-9ELtEOS1 X00 ot�3oa1 � aPtg zsaM Qtet90 20 80 gew
MECHANICAL PERMIT
CITY O F T I( _ n R _
DEVELOPMENT SERVICES PERMIT#: MEC2002-00204
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/15/02
PARCEL: 2S114BC-00800
SITE ADDRESS: 10180 SW RIVERWOOD LN
SUBDIVISIO'J: PICKS LANDING N0.1 ZONING: R-4.5
BLOCK: LOT: 0(,, JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APDL VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS _ _ HOODS:
_ FUEL TYPES 0 - 3 H?:— 1 DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD YS:
GAS PRESSURE: 50 + HP: R
CLO DRYERS:
R
FURN < 100K BTU: 1 _ AIR HANDI.ING UNITS
O
FURN >=100K BTU: <= 10000 cfm: UNITS:
> 10000 cfm: GASS OUTLETS:
Remarks: Gas furnace replacement and addition of exterior iir conditioner. A/C cannot be placed with' the required set
backs.
Owner: _ FEES
ANDERSON, GREGORY W + Type By Date Amount Receipt
BATTAN, LATIKA D PRMT CTR 5/15/02 $72.50 272002000C
10180 SW RIVERVdOOD LN 5PCT CTR 5/15/02 $5.80 272002000C
TIGARD, OR 97224 - -
Totai $78.30
Phone: —
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Mechanical Insp
Phone:453-4822 Heating Unt Insp
Reg#:LIC 62196 Cooling Unt Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for mcre than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue B,,,: �.
Permittee Signature: , V <
Call (503) 639.417r- by 7:00 P.M. for inspections needed the next business day
May 08 02 11 : 15'a climate control 503 968 7224 P. 2
MechaWcal Permit Application
Date received; 65- ,- 7- Pecmitno.: �/ 1F,fi) L77J
City of Tiga>i d � Project(appl.no.: Expire date:
C'irynfTigard Address: 13125 SW Hall Blvd, Tigard,OR 97223 hate issued: By.. I Receiptno.:
Phone: (503) 639-4171
Fax (503) .598-1960 Caae file no.: Payment type:
Land use approval: L-1-1-1, .,4 Building permit no.:
ra 1
1 &2 family dwelling or ac..essory U Commercial/industrial U Multi family D Tenant improvement
D New construction U Addition/;dterauott/rcplacem nt D Other:
' ttttttttttwo,t i,]R_
Job address: /0/ (,� 1(/ (J�+S/� Indicate equipment quantities in boxes below.Indicate the dollar
-Bldg.no.: _ Suite uo.: value of all mechanical materials,equipment,labor, overhead,
Tax ma /tax lot/account no.: profit. Value$
Lot: Block: Subdivision: "See checklist for important application information and
Project pante: jurisdiction's fee schedule fur r.-i; nti.! t•-;mi:
Cit /cuuut .D (,v �`?It 7ZZe f n t t [ t
Y Y��_ ���:, a t a�• t
Description acrd location f wo;k on premises:, al
-� a :' 'I[ M'I .r y►n 't - t Int Iln:
h _!89ff t'r,(f•a,) 1111.11
Est.date of completiuNinspection: 5 --f-00— HVAC: Description ce.oniti, It-.aul
Tenant improvement or change of use: Air handling unit CIM
Is existing space heated or conditioned?U Yes U No _ it can i on ng(site plan re u re )
is existing space insulated?U Yes D No Altetat on of erWing HVAL system
lioller compressors T
State boiler purr tit no.:
Business name: CCAV/ I1P __'fens___BTU/H _
Address: !Z" S t:u 7z E" _ u smo a ameers/c uct smoke detectors _
P_hn_ne 'J`YS'3(-{/ / t�rte:,�cu:,ul_7P: 1 et un (site an reuirCity; POP-7e
Jnsta re ace urnuce urner_ C
1� uxsj
luciuding ductwark/vent liner U Yes O No
CCR no.: 7- ( lnsta rep s. rrincatehenters-sit spen cd, _I
City/metro lic.no,: �� wail,or floor mounted _
Name(please tint): 4 ,r_ a Ventlnra mnceot err an miace
F + tc r gcrnt ni n:
Absorptionunits_ _ BTU/i-1
hlatnc: /1�/ p Chillers Nl'
- �-- ;,om rarsara� __ HP _
Address: n an a vent 1.Y tut an 1-ent t un:
"hiwl�lltl 7.,IF. APPliancevent. lir erexhaust _
Dods'Py,�e IITiTc�-kitchcNitazmai- —�
Uhl hnod fit .uppression system _
Name �f} / Sp� Nita 1st fan with single duct(b,:th fans)
Mailing address: tL� _ G L � x taunts stem Up rrt from heatit,q or AC
Fuel piping stns dirtribut Itift(up to 4 outlets)
C itv_ T-1 RD _—� State LIP_ Type: 1_113 _ NU _ _ oil
Phone: 6 S F1 X: E-mall: uet pt n,sac a dltianal over 4 outlets I
IrtI Processp p ng(schematicrequed) _
Number of outlets
Name: er[Red appliance of equ ptnent:
Address: _ Decorative fire lace
i=} _ --- j State: 7.IT' _ nsert-type
1'ItonC: F't l; ucidstove/ptliet stove
Other: I
_Applicant's signatur 0u1c
Narne (print)'
Not all Jurfedlm, pr rrriry
T, ,'s,p!eaae all turitdirtion for mm einformation. Permit fee.—.............. ... _Zo•
Notice This permit applicatiun Minimum fee $
O Visa ❑MaaterC:nrd expires if a Permit is not obtained _
Garda Cud number _..__._. ..../ Plan review (at __... °1r) S .�.
---- within
a.days
n it has beet
i -' pve+ y State surcharge(8�c) .,..S ._ S
Nurse of cur of r m shown on arcdn card 4 acceptedZr
MAY
Mati 08 02 11 : 12a climate control 503 968 '7224 p. 3
Zoo
r
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►c�1RG� �Cci k'�►J ew 2.0
L AAAr,
MAY — 8 �
CITY OF TIGA_ 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
_ BUP -
Received _Date Requested T_ _•� -SAM PM BLIP
Location Suite_ Mac
Contact Person . Ph( ) _ PLM
Contractor _—t � Ph( ) 3 is - Pi qQ____ SWR -
BUILDING Tenant/?K-hor _ 1( �%� —�'��� ELC C.'
Footing C
Foundation Access: / �, —
Ftg Drai; 5 ELF!
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear
Framing - - — _---
Insulation
Drywall Nailing — -�fi- as-U-, —
Firewall
Fire Sprinkler -- — — — —
Fire Alarm
Susp'd Ceiling --
Roof
Other:
Final
PASS PART FAIL _-- -- -- -------� - - —
PLUMBING
Post& Beam
UnderSlab ------------ _— _-- -------___-- -.-.--____—..__-_-__
Rough-In
Water Service
Sanitary Sewer
Rain Drains — ------ ----.____�_-----__ _ -------_--- -
Cat,;h Basin/Manhole
Storm Drain --------- �_...----------- ----- - —---
Shower Pan
Other. ------ -- ----- -- ------- -----
Final
BASS PART_ FAIL —_--
MECHANICAL—
Post& Beam
Rough-In �— ------ - - ^._—._---_-- — -- -- --.__
Gas line
Smoke Dampers --------- ---- -- --- -- — — ----
Final
PASS PART FAIL
ELECTRICAL
Service ---------.------------- —_—_— ---
Rough-In —
UG/Slab
Low Vohdge ---
Firlarm
PART_FAIL Reinspection fee of$—___.___ required before next inspection. Pali at City Hall, 13125 SW Hall Blvd.
_
SITE - _ Please call for reinspection RE:-- Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk D •Z �� InsFpeMo __ /nr*
_ ExtOther:Final DO NOT REMOVE this Inspeatl � ltn the job site.
PASS PART FAIL.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 _-
IUIST - --
INSPECTION DIVISION Business Line: (503) 639-4171
_ BLIPReceived ----- --Date Requested AM PM ___ BLIP
Location _-- -_ sem 1 Suite titEC — D
Contact P..son __—_ _ Ph( ) PLM
Contractor _ __— __ Ph(.--)
BUILDING Tenant/Owner _- - _ __ EL:. -
Footing ELC
Foundation Access.
Ftg Drain ELFT ----
Crawl Drain -- -- SIT /
Slab I.ispection Notes:
Post& Beam
Shear Anchors
ExtSheath/Shear ----
Int SheattUShear
Framing -- - —_ - - -
Insulation
Drywall Nailing ----
Firewall
Fire Sprinkler
Fire Alarm
Susp d Ceiling
Hoof
Other:
Final �-
PASS . PART FAIL
PLUMBING - - ---
Post& Beam
Under Slab
Rough-In
_
Water Service _--
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -- --- ----- -- --=—
Shower Pan
Final
PASS PART FAIL
MECHANICAL - __._--- --- - ---
Post&Beam
Rough-In -----_ - ------ --- -
Gas Line
Sm Dampers ------_ _...---_- -- ----- --
ASS PART_ FAIL
- --- -�-i- -�
SRICAL
Service - -
Rough-In __ _ ,_ ---• - -
UG/Slab
Low Voltage -
Fire Alarm
Final u Reinspection fee of$ requited before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ___-_ _ — I Please call for reinspection RE:___ Unable to inspect-no access
pp
Fire Suly Line .11 1
ADA
Date_ Inspector
Approach/Sidewalk
Other.
Final DO NOT REMOVE this .nsipection record from the job site.
PASS PART FAIL