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8805 SW HAKLET ST
C'T'�/ OF
T I G ,AAR D _�_ MECHANICAL PERMIT
Y 1 PERMIT#: MEC2004-00079
DEVELOPMENT SERV!DES DATE I"SUED: 2/25/04
13125 SW Hall Bi*d., Tigard, OR 9'223 (E03) 639-4171 PARCEL: 2S1 11 DD-03000
SITF ADDRESS: 08895 SW HAMLET ST
SUBDIVISION: STR.^TFORD ZONING: R-4.5
BLOCK: LOT: 028 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ 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 DFS ERS:
FUF:N < 100K BTU: 1 _ AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 c'm:
Remarks: Install furnace and ACunit.
Owner: _ _ _ FEES
HOUK,C SUZAN NE Description Date Amount
8805 SW HAMLET
TIGARD, OR 972'2! \ll l III I'riinu I rr 2/25;04 $12.50
IAXIS ~tate 2125/04 $5.80
Total $78.30
Phone:
Contractor: _
D'.LUXE FUEL OIL INC
1013 NE 82ND
PORTLAND, OR 97213 REQUIRED INSPECTIONS
Phone: 503-287-6688 Heating Unt Insp
Cooing Unt Insp
Reg #: LIC 49457 Final Inspection
This permit is issued subject to the regulations contained i,i the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All wort: wil' 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 follaw rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. Yot., may obtain corles of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued By: i Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Feb-24-04 10:08A Deluxe Fuel Inc 503 287-0614 P . 02
Wchnim cal Permit AVR cation
CItJ. ofTigFird l✓�'�/ lRem!ved
'/o7J PermoN.,
111'5 SW I(all Hlvd.,'IYgard,(1K 97223 V Plan Review ()that Pernut
1%,m- 501619 4171 I ax 5(11 59R 1960 ��� naWBY --_-
Inspection l.ine 50.16394175 Date Ready/13y taw 0 Ret P•tt+'-r•tr
Internet www ct tigatJ or its Natitiad Method (t Wppkmrnul InfortnewMwt
.tl
` AddtUott altcrauon/rCplacetrlttll Mechanical permit fcese are lwsed on the veltw of the work
❑New construction performed Indicate the value(rounded to the nearest dollar)of all
[)etlroliliuru ❑Othcr tnechantcal materials,equipment,laltor,overhead,an profit
CA7<'AQMY� CIQflIIrTC'lft1 -- — Veltte 3 _
ci Vmdustrial Accessory buil(in �
®
I-and 2-family dwelling ❑f'ommcr e Q B J•br Iprrta!orforniti(i,m u r he,khct
Multi-famiiv E]Master budder ❑Other Description - „� -
_ �Z.• I a foul
Air conditioning or hat pump
Job sur•address h8W SW Hamlet - - _ r�uea srte.plan showmaylacem it) 1 14 O(1 %�"r
Citi/SteIdZIP TiRarA,OR 97224 — Furnace 100,(100 11111(ductiyvenla) 14.00
Furnace 100,(100+B'11J(dueltyven� 17.90
Suite/Mdg./apt.no Pngcct nantr
-_ (Jasha�+timp 14 O(1
Cron stmi/diroctiona to job%tic Duct work 1400
ryatem _ 14.110
Residential boiler(radiator or
hydromc) _ 14.00
Unit heaters(final-type,not electric),
in-wall,in duct,i nwpended,!!E-- 10.00
Flue/vent for of above 10.00
Subdvt ision I!,t ria
_- Other 1(1.(10 _
Tax timpiparccl no UUter Mel aP011anon
Water heater 10.00
(►es fireplace W W
Inatall furnace and air condttiwr Flue vent for water hater or gas
- -
firtiplaoc I0,IN_1
---- -- ---
-LAS b tet 10.00 _
Won/pellet stove 1000 -
Wood lace/insert 1000
Chi ntner/nue/vent MW
Other 10 01.1
None:Susan Houk Invirenmenhl eshaual sail vedW6ft
- -- -- Rnnge hiwd/olher kitchen
Address 9805 SW Hamlet eft r„er,t lo,a)
City/StatatZlP Tillardw OR 97224 Ckithea n exfnetut 10.00
— -— Single-duct exhaust(hathroons,
Phone ( ) - Fax ( ) toilet twmpttrttnents,utility nxwnn) _ b.80
,rertrlMlA
1!k Attic/crawlspaci fano 1070(I
other
Business rianne RMaI Plptit
Contact name 33.40 for Aral four,31.60 for mach addidmrl _ -
Furnace,do -
Address: Ong heat _-- -.
pornp
City/StatdZlP' WelUsrupendal/unit he
—- - —-- _ —
Phone ( 1 Fax: W attt matt r
F-mail Ran e
Harhecue - —- - --
Husmcss ttarnr. 1lcluse HeatlnR.Y ('rwdlnX Clothes drys(ass)
Address 1013 NE 62"e Avenue
Crty/Suto/ZIP Portland,OR 97113 Subsea)
Minimum ptxmit fie(372 w)
Phone (503)207.WM I Fe. (303)287 IMI i - - _. _ --- .
------_--- _-- __— -- -� plat)review(15%of pamillLe)
CCB tic 49457 State surcharge(AX of permit f«1 W
TOTAL PER rEE
Authorirgd ei811a1We,�/c-�,� ti /�T - (/"S'�r r days a ftr tt as be M n perdl Y twat motto. wI1Nn 1110
_-h days ager H lue twwtw acctpM r wratlMtt.
r-
Feb-24-04 10 :08A Deluxe Fuel Inc 503 287-0614 P .03
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SW �A CA.M
�• CITY OF TIGARD __. ELECT,flCAL PERMIT
PERMIT#: ELC2004 00090
DEVELOPMENT SERVICES DATE ISSUED: 2!25/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DD-03000
SITE ADDRESS: 08805 SW HAMLET ST
SUBDIVISION: STRATFORD ZONING: R-4.5
BLOCK: LOT . 028 JURISDICTION: TIG
Project Description: Corrective wiring, service panel replacement.
_ Job No. 25826 _
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'!_500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 660 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICEiFEEDER BRANCH CIRCUirS ADD'L INSPECTIONS
0 - 200 amp: 1 W/SERVICE OR FEEDER: 1 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTION
1000+ amp/volt: i 4 RES UNITS: �i > 600 VOLT NOMINAL:^�
Reconnect only: SVC/FUR—225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
HOUK,C SUZAN NE DRYER ELECTr..IC INC
8805 SW HAMLET PO BOX 86369
TIGARD,OR 97224 PORTLAND,OR 97286
Phone: Prone: 503-771-5667
Reg #: DLL: 216-11420
-- --
LIC, 153466
_ FEES _ _ SUP 2976S
Description � Date ` Amount
ti�are If ��I , _ Required Inspections
Surchur6c . � n.t $6.95
— -
II 1 1-1t\1 I I I Ll'Permit nl $86.95 Rough-in
_ Elect'I Service
Total $_,',,9Q Elect'I Final
This Permit is Issued subject to the regulations Luntarned 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 issuance,or If work is suspended
for more tha -180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth it 952-601-f3Q10 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or
1-8 -332-2344.
tss ed By: t Permit Signature: 3k
_ 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: DATE:
LICENSE NO: --
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit ADDlication Jzccived Mecal
i fht_ e/B Pemut No.: 4
City of Tigard 1 E C Planning/�provol Sign
Ihtrl9 Perrmt No.:
13125 SW Hall Blvd. Plan Review Othc
Tigard,Oregon 97223 iFQ -2 ' S g�� _D&%VB Pe�;tNo-: _
Phone- 503-639.4171 ax e - 60 Post-Rc icw [ted Use
Int=et: www tiAii _--
�y�y,i Contact — line See Page S for
24hour lnspt3ctiloA :�IlJt� Nemdldetifad. ,LLSf Su lealsntal IDrormat „ion
S SGEI@ 7F,WORK I' t PLAN'Rb1W7F:ll! 1 "
' �-.,_�lltfMlCl�ilC�aAiWa 1' T`:.�c7.v!
New epl]StfUCtion Demolition Sen�ce over=5 amps- Health-cam f2clity
cotrut:er:ial I U Hazudow li adrin
Addition/alteration/r lacement Other. __ I SS'ice over?20 amps-rating of l]Building over 10,000 square Tett,
11."y9°P SS'i;= w CA.�EGORY,OIr'C�1lYSTIiIIfMON Ido 2 family dwelbrip four or more residc=l unit-in
1 &2-Family dwelling I El Commercia0ndustrial ❑Sysirm ever 600 volts norniTW , one structure
❑Bwldmg over thrn stories ❑Feeders,400 amps or mor^
AcC Building Multi-Family Occupant load over"pvxms ❑Manufaettueit mermen or kV park
1�Iuater Builder C)ther ErtWighttag plaii I ❑Ottxr
,; SOK . Submit segs of Plash with any of the Atom
The above art not sppucabls to arnpoconarnctioo strricn
Job sift addrts9: r , ' f .
LLUi IMA sr-EMME
Suite#: Bld J #: Number_o1 ins codons er t�mtt allneed
Project Name: _14111 M Il (( 7_c 9 Z dL 4�— w o^ — on Pee tsea Teel
New msidential.iiagle or neuld-tartWy per
Cross streeUDirections t0 job Site: dwallint unit.Includes attached gar-ag^e.
Ses+ies included:
1000 W.it or leu 145.15 4
Each iddinontl 500 s4 R ar portion thcrrai I 33.40 I
Subdivision: —�� y limvetmorzreaitlmual 1 75.00 2
l.ot z: _ Limitedurian reside>mal i 7s.00 1
Tax man/nareel#: Each mseuhctur d home or modular dwsllin4
D HSCII,IPrI$JM OBNVURK vezvtce and/or feeder I I 90.90 2
— Servieu or f4eden-IGetailatlsst,
1 I - _' e alta adae or relscation:
200 a less _ r
60.30 2
201=pa to 400 since i a---
_A54.65
1
401 600 am _"ONMECZ a• t�j1;QiAk�Y'l. bot snips ro 1000 am sem � 2N3$Ie: Ova 101x1 amps or vnln 2
�__. ._
Etsnanect only
Address: Temporary sernees or freelm inatallu;un
alte•ulon,or relocation:
Ci /State/Kie:1 •) 20a amps or __ _______ 6&95 I 1
Phone: .' 7-p in/ Fax: —1 201 tamps o 400 snit# I i 100.301 2
IJ�PPLIGAlY?
TO l CONTACT PF60JV 401 to 600 serve 133.75 I 2
Branch cimults-new,alteration,or
Name:_ cttrruson per pallet:
Address: _ A.ren rot branch cirrwp with purchase or
service or feeder fee.each branch cccun 6.65 ! 2
Cl !State/Zl : B Fee for hrmcb=mutts without purchase of
service of feeder fee.Mm brune's circuit 4&35 l_ 2
Phone: Fax: Uch addmowsi branch=wt — 6.65 -- 2-
E-mail: Wsc.(Sc vicc or reefer not included):
CO11ird'8ILTGA "e eh Pinup or impircion circle 53.40 2
Job No: - -- Each o Eaa MAI i s. litha_t_ _ 53.40 S
Signal cif-it(s)sea limited merry panel.
Business Name: R'iER ELECTRT hA R0�FI_ i> or e`1emicn Pe 2 - 2.
Address: 4012 NE CULLY BLVD C _
Ct /State/Zl : r Rach suldidanidcedou eve the suowable In an r of the Aleem
Pa on tins (gyp
Phone: 503 287Fax: 5(1'1 m inAn a W�^f-
CCB Lic.#:15 3 4 6 L.ic.# 17_ 1 / ,. other -
I:Hkt�L'�'ei�llClkts• .
Supervising electrician �� --_ - - Subtotal S
sI d _ plan Reviewer 25%ofPermitF.- $
print WA= D &IOwlA 1_J Lic.#:_Q8105 _ Stue StrtElW(8%of Pcj=t Fee) S
TOTAL PIMAUT FEE
� � S
Ntda: This permit sppikedna*KWWS If it per■sk is not streamed wlttb
SigIIallut: _ i Daec -- IN dW atter It arse bow aerupfed se ewmpleu.
•bee inelhodolugy sed by Tri-Coaory Rumnig Industry Service BMrd.
•• ——_ (Flcax pant nsmej --
iADm\Ptrmit Fm=\ElcPt rttitApp.dec OIM
C6 Y OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST - -_
BLIP
�_Lll_!_L2_1.'�"Received Date Reques d _`' G M_ _ PM __ 1
LocationL.L?/� l Suite (r,IEC _-yvQ�
Contact Person _ II '' - -_ Ph ( ) __ _ PLM
Contractor ��lei _- Ph(5� ) 7�� SWR _
BUILDING TenanVOWner __-
Footing
Foundation ELC
Ft Drain ACCHSS: � ,t- 1_
ELR
Crawl Drain
Slab Inspection Notes: _ ,/�� SIT _
Dost&Beam - ---..__
Shear Anchors -- ---
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing ---
Firewall
Fire Sprinkler - --
Fire Alarm
Susp'd Ceiling - --- t;-- -
Root V
f.
Other. - _ - -------- ----._ -
Final
_PASS_ PART FAIL
PLUMBING - --
post S Beam
Un,lQr Slab
Roliyh•h
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain - -- --- ------..—--- --- ._
Shower Pan
Other. --
Final
PASS___P T FAIL
ECHA
Post& Beam '
Rough-In --
Gas Line
Smglw pampers - -
PART FAIL - — -
RICAL
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
[�PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AST§.
_TE__ _ Please call for reinspection RE: U Unable to inspect-no access
Fire Supply Line
ADAv
Approach/Sidewalk Duty f Inspector, 1f' j'] IIXt
Other:
Final DD NOT REMOVE this Inspection record from the job site.
PASS PART FAIL