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CITY
�A.. ������ — ELECTRICAL PERMIT
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PERMIT#: ELC2 002-00486
DEVELOPMEN f SERVICES DATE 1;=.)UED: 9/17/02
13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639- 1171 PARCEL: 1 S 134BD-07600
SITE ADDRESS- 11651 SW PENN CT
SUBDIVISION: PENN LAWN ESTATES ZONING: R-4.5
BLOCK: LOT : 004 JURISDICTION: TIG
Proiect Description: Change out fed. pac. panel
I _ RESIVEN I iAL UNIT _ TE141P SRVC/FEEDERS MiSCELLANEOUS_
� 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION`
EACH ADD'L 500SF: 201 - 400 amp: SIGNrOUT LINE LTG-
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL:
MANE HMI SVC/ c^!;' 601+wTios - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDEITBRANCH r.1r7'.1JITS ADD'L INSPECTIONS _
0 - 200 amp: 1 W/SERVICE OQ FC'EDER: PER INS'ECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BENCH CIRC: IN PLANT:
601 - 9000 amp: _ _ PLAN REVIEW SECTION
100(+ amp/volt: —4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFUR >=225 AMPS: � CLASS AREA/SPEC OCC:
Owner: Contractor:
MIKE RIENSCH MIKE'S ELECTRIC
1651 SW PENN CT 17050 SW SHAW STREET
TIGARD, OR 97223 BEAVERTON. OR 97007-1813
Phone: 503-624-8017 Phone: 649-6991
Reg #: LIC 00050209
SUP 42305
ELE 34-18c
F— FELS Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 9/17/02 $80.30 2720020000( Elect'I Final
5PCT CTR 9/17/02 $6.42 2720020000(
Total $86.72
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all,ether applicable laws.
All work will be done in accordance with approved plans. -'his 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 932-001-0080. You may obtain copies of these rules ordirect querlions to OUNC at(503)
246.6699 or 1.800-332-2344.
Permit Signature: Issued By:1 ' 7 y • f r i"�'�t
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, o ren'..
OWNER'S SIGNATURE: ____...— —_—_ __,.. DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'd. DATE-
.
LICENSE NO:
Call 619.4175 by 7:00pm for art Insiom7tior, the next business day
Sent By: MIKE'S ELECTRIC; 591 7847; Sep-12-02 1 .05; Paye 1 /1
... .. ....... �.a i.J u , A A,a i 4 I4Y U U r
Electrical Permit Appl kation
Usle recdved Permit no. am-z-0
City of rtigart(! Proloct/appl W.: Hspiredate:
Clryorngard Addreaa: 13125 SW Hall Blvd.'1'i,ratd,OR 91]73 natriaaued: By: Reotsip(no:
Phone: (503) 639-4171 "--
Fs r.. (503) 598 1964 ,1 t.•:. c sac tilt tnA.. Payment type:
!. Ind use approval.
i,
x�l I A 2 fItunly owellisig rm acce4nory U i.orntnncctWintidstriot (_j multi farndy U'Cenaw Impn+vrmenl
U New txlntttaction U Atiditiorgal:r.mliodrelifaccrnnnt I_ Other U)'arttel
lttb addtcar 1'c N N CT �S_uie n I : Tan maP/talt lothccount no.:
Lot: I Stock: Subdiviston: _
. Pr emu 11woe: _ Descnption and location of wont on premisrr: V .)LLL
utinuttonl do of Dora etiotum3 tion:
` I IRIS KU 1911idid It= I
AM
Yob 1ao: p, n KIAN. Fee M.>
Utufttwe names e: aI ON 'CR. CO. MIKE'S ELEC '
tti �""" )0A _ �_ (�) 1 ae.11w
_ QM . �le 1N WON 4awltr pet
_ .
Addm_— Alle—n—Brvd. tweafteekladWesetNeltWtrrattr-
City: Beaver un 3iii, P-97Q05 e.r.te.ntrwe.�l
)3 Phone: 649.6991 Fax: 0 19'1 H•mdl: 0 Goch tddlUo 100oaq el. r R.or refer.rltetao/
CCS no.: 050209 1 m bua.tic.no: 34_1 I.lrtiitederAmy,rutsidaettid 1
ci /tttotro tic.no.: 36 3 , _ litnitcalc Au loon teaiderAW !
Pjch manufxrured hnMe or modular dwelling
S pervl.ln (requim — :[)ie ! Sm inn&"or frdet 7
.star:1.nwetprint %ig as J Miller uan+e'A' 42305 setetoeaorl"Arn-bLtollaloa.
altsrsUoa or rtllrxttea:
20U s os Inn _ I I it2
Nsnw(pint int): 701 twl�`to 400 ani_ — -- 1
['_._ M j k e _ s c h e -- 1 u .w 600.mpt _ 7
MaI l IaK addrea{: 1 1 6 5 S W Penn t 601 amp,to 1000 atrtps
__-- State: 7.1PC 1 Over melt an4w or wells 2
1'11f�ne:F )L fJ 1 t 5 C Itna,ln.rt only I
00
Owner installaboow Dwi installation ie S mate on pmrwrty 1 own Tet n.t10 srf rn
which is not inlnn&A Gu salt,lease,rent,or escharspt accortlinq to 2mpr.,dbxraloo.srrelor+stun:
200�or
ORS 447,455. 179,674), 701 1 b
U Virtbte.% si re: Date: 491 to 600 amt,+ —
Nine6cirraln aew,allaraliaa,
at I-ionstoe per•steel:
Name! A Fen to r.. Tints with purrhw of
Addmsn:!- - aavtee or'eorlcr foe,each brwch circuit - 7
City: 1 State: LLP: 8. Feefor branch elteulu without purchue
! —fir-of ttxvire of fenki tea,fins brwidh eircun 7
[ilalnG: FAX: &-rlaati: Satre add.�vMi bfMlL�l t'drt'Wt- --- r. - -
mvc.(Se►.ktt or Ge&raet ise ):
1.%t or irti don circle !
C]Swvke mn 325 ampa cotur••aria: �]iteotha�tttscillty _ ----
L)Savlee ova 370 arrqu49lnb of I,4: L)Narxddus kteaeoll Emch also Of outline tlehiins _ _-
6ntit7dvrea18p O nuild100 over 1(',000 square(ev four or Signal circutim or*honl rd encrSy rtuies,
C)Sy.um nvw 6M vdu r.tr.iirul rtwws nwitimlial ntru in one structure attention,Otlsteasioa� --- 7
O 9UH(On!oar three.e-wirs 0 FAmwi n,4911 arnw or mtwe •t)Wdtyt _
O Occupant hod V-1Wrn —B ,I Mutarrturm.t".--et RV part n r.r tb.ai.o t-1- ere
G I.a :,ta)11i111tias1slan LI Usher- --- PevecNee
I. t"rwltnN ort,of plans"tib My of dw arays,
TiI1t�aU adania� —
Tie Witte W" appurAbfe to lemporm?COUNUMetloe service. other
�__ --- --
Notice:'chis permit.
petrritit fee. ..., . .... .,161 S
. ... 841 11--
I'M nr bllYricdow tremor txaw ertY.trturc ens tsrti sc++t.,kw t..�rrtttsa.um ppllcatltm Plan review fat
expires ire permit is not obtalncd
within Ito days■finr it hay been State sumborte(8%) S L 4
sce"Ortlinroraplete TOTAL. . .....5 jb__I
attry�tl I i ta'n0'i'-�'
CITY OF TI(aa��'•✓� 24-Hour
BUILDING Inspection Line: (503)639-4175
MST ---
INSPECTION DIVISION Business Line: (503)639-4171
BUP _
Received _ —Date Requested --_ L-�AM PM BUP
Location --�-AL- Suite — MEC
��orlC Crgpn,� — Ph( ) PLM _—
Contractor _ Ph(_ ) 70 _Lf SWR —
BUILDING Tenant/Owner . —__ _ ELC G
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT -- -----
Post&Beam
Shear Anchors
Ext Sheath/Shear __—
Int Sheath/Shear
Framing --- - -- -- —_.-------------- --- --
Insuidiiur.
Drywal;Nuiling
Firew-all
Fire Sprinkler ------------ -- -- — --
Fire Alarm
Susp'd Ceiling - -- �- - - -- ---- --- - --- - -__
Root
-------
Final ------ -----
PASS PART FAIL
PLUMBING_
Post&Bean- —Under Slab -------
Rough-In
Water Service ----- --- - -- - ---
Sanitary Sewer
Rain Drains - -------- -- - - -
Catch Basin/Manhole
Storm Drain - —- -`
Shower Pan
Other: --- ------ --_
—.—.- -----
Final -----
PASS PART FAIL — - — --- -
MECHANICAL_ --
Post& Beam —
Rough-In —�_— ------ — -- - —
Gras Line
Smoke Dampers -- -- ----------- -- - -- �— __
r-Inal
_ FAIL -
LECTRICA
Sere , -
Rough-In ----
UG/Slab
Low Voltage
Fire Alarm
-f1 eT l Reinspection tee of$ —__required before next inspeuticn. Pay at City Hall, 13125 SW Hall Blvd.
ASS ART FAIL
[1 Please cell for reinspection HE:___—_—___.,_ _— _ r Unable to inspec'-- no access
Fire Supply Line
ADA r
Approach/Sldewalk DAttr—.� Z �— , � l _ 1asp+act4�r -- _-_ Ext
Other:
Final DO NOT REMOVE this Inspection record from the job spte.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
IBUILDING Inspection Line: (503) .;39-4175 MST
—
INSPECTION DIVISION Business Line: (503) 639-417',
INSPE
BUP
Received -____ _Date Requ sted- AM PM BLIP _
Location (0 15-y " '' _ Suite__ _-_� MEC O Got `I Z
Contact Person -0&� V ut-___ Ph(_ ) .� 8 Z PLM -
Contractor - —,T--
-- `" - -- Ph(- - —) - -- SWR - --- _—
BUILDING _ _ Tenant/Owner -_ ELC
Footing -
Foundation "-` ELC ,
Access
Ftg Drain . ELR
Crawl Drain __
Slab Inspertian N��tc:. SIT _
Post&Beam
Shear Anchors -
Exi Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Firu Alarm
Susp'd Ceiling - - —- - -
Roof
Other: - _ ---
Final _
0S5 0ART FAIL -
PL MBING T -
Poot& Beam - —
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -- -- - --
Shower Pan
Other: -
Final
PASS _PART FAIL
MECHANICAL
Post&Beam ------- _ --
Rough-In --- --- - ---- -------
Gas Line
.,Mke Dampers --------------------------_--_-- ----i
PASS PART FAIL - - - - --- -- - --
ELECTRICAL_
Service
Rough-In --
UG/Slab
Low Voltage --- ---— _ ------ ------- --- --
Fire Alarm
Final n Reinspection 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
Approach/Sidewalk Date- .3 O3 Inspector �.- Ext _
Other:
Final - DO NOT REMOVE th!9 Inspection record from thr. ;ob site.
PASS PART FAIL
CITY
"'' Y OF" T I G A R D MECHANICAL PERMIT
�DEVELOPIVii-1NT SERVICES PERMIT #: MEC2003-00242
13125 SW Hall Blvd., Tigard, OR 97223 (5( 639-4171 DATE ISSUED: 5!12/03PARCEL: 1S13413D-07600
SITE ADDRESS: 11651 SW PENN CT
SUBDIVISION: PENN LAWN ESTATES ZONING: R-4.5
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WiO APPL: VENT SYSTEMS.
STORIES: F.OILERS/COMPRESSORS_ HOOD?:
FUEL_TYPES 0 3 HP: DOMES. INCIN.
3 15 HP: :;OMML. INCIN:
MAX INPUT: pTU 15 30 HP:
REPAIR UNITS:
FIRE DAMPERS'. 30 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLU DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cftn:
Remarks: Installation of A/C•unit. t'iut cannot oe placed%�itlon required tietbacks.
Owner:
FEE_S
RIENSCHE, MIKE R JAN Description Date Amount
11651 SW PENN CT. i IA X 191%State'I'ax 5/12/03 $5.80
TIGARD, OR 97223
S M I 11 1 1'ernut Frr 5/12/03 $72.50
Total W $78.30
Phone: _
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLANC, OR 97224 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 503-453.•4822 Final Inspection
Rey #: LIC 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
9.52-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
;F03)246-6699.
Issued By: _ /. _ �i Permittee Sign,'ri,re:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the nest business day
May 09 03 03: 34P c 1 t fnat.e nrtntro 1 503 968 7224 P. 1
Mechanical Permit Application
�- -- - Datereceived: -:5nd3 Nermltno.:��Z ge 2zl r_
1 City of Tigard Project/appl.no.: Expire date:
City(if Tigard Address: 13125 SW Hall Blvd,Tigard,UK 97223
Phone: (503) 639-4171 Datetbaued: Fly eceiptno,:
Fax: (503) 598-1960 ��" Cane file no.: Payment type:
Land use approval! 9uildtngpermit no.:
O I &2 family dwelling or;..cebsory O Ccmmercialnndusuial ❑ Muld•family ❑Tenant irrtpruvenienl
O New eonstructinn ❑Add ition/alteration/repl aceme it O Other: _
JOB SITE I
Job address: 1 I tt51 SU-) rQ G+-• _ Indicate equipment quantities in boxes below.Indicate the dollar
Bldg,no.: I Suite no.: f value of all mcchanicn!materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: ZBock: Subdivision: *See checklist for important application information and
Project �„`aC 3(j junsdictlon's fee schedule t.rr residential permit ice.
City/cuuuty:Tl �_ LIP: 17' x3 -- _ t
Description and ocat1 of work on premises: _ t i x t
i nsl .l I ty. Pre(r .) i oral
Est.date of completiortlinspection: Dexon tion q! . Res.only Res.onP
Tenant improvernen'or change of use: 1VACs
Is existing sp ice heated or conditioned?O Yes U No %tIr handling unit _ a)
Is existing,s,,acc Insulated?0 Yrs i]Nt n rcunditiuntng(sit anr�qutreT4
�t ation�of existing iIVAU system
CONTRAC111OR, 1rtTec compressors _
:Irate bailer permit no.:
Business name: C k'% r%jn ta., C O AA 0 1
- - - - HP ___ Pons --- B'ftJ/H
Address: W50C) S5LO 7a , 4-- tr• smo adampers/ductsmo a etectots
City: PO rtl a.vv CA Ialc:OK 141-M ct 700aq 1Te amp(erre p an rhqurr - -
Phone:t -6-L4"_-L4& Fax:cl on-7�. C:mail nstn[/rep acefurnace/burner ��J1lf[
- Includin ductwork/vent liner LI Yes U Ne
n° (o�I 9 CD nsta rep uce tc ocate teeters-suspended,
City/metro lic.no.: 14 19 _ _ vall,or floor mounted _
Name( lease print)- /A m PP,41 -, F__en��t f�or ttpp lance of er t an uinace
CONTACT r efr�-igeraltum
4hsorption units _ _ BTU/14
_Name: 1--hillers _ NP
Address, 12um ressors _
_ 71I'. - v ronmenta exhaust an vent at on
City: - ----- L,1. -�__ Appliance vent
['hone: Fax. E-mail: I Drycrexhaust —
Floo s, y-3^1 pelTlDre's. Itcheik iiazntat`
hood fire suppression system
Exhaust fan with single duct(bath fans)
Malling address: 11 o 3W Fxhnust system apart from heating or AC
City: T-_�.`ca --�5tatcvfo ZII: 9? 0 a_5
ue piping andistribution(up to outlets)
Type: _ LF'G NO __ Oil
Phone, E-mail: mei n in�each additional over 4 outlets r
Process p p ng(3cher 7MLreywrcr _�—
Numbcr of outlets
Name: - _— _---_ etI-f1ietlan lance orequ pmen:
Address: _ __ Decorativeftre lacy
City: - v-�---- Mate: 7.I P: nlnaert-i c
Phone: �t..:X: E-mail: WOO %tovr pe etstnve -
t er:
Applicant's signature: GL ,- Uate:�-"►-03
Name (print): A Cwt'
Nor all jurisdictions wept credit cards,pleatr c,Jt jurisdiction for more inforrrunimt. Pennit fee.....................$
UVisa UMasa!rCard Notice:Thi;permit application Minimum fee................$
Credit card nun,lr
expires if a perm It i�not obtained -
r:_ ---_ _, __._ .- _LL— Plan review(at _ %) $
Expires within I a s.S clays atter it has been State surcharge(8%) ....$ r� V
"`fie M car�F,nl u shown nn cte r c i accepted :omplrae.
I-WIMIN,sure _ _-Amount
440 4617 taruWcol
t
M-riy 09 03 03: 34p climate control 503 968 7224 p. 2
Horne Layout
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