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11852 SW MORNING HILL DR
o CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00464
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10/17/02
PARCEL: 1 S'133CD-07100
SITE ADDRESS: 11852 SW MORNING HILL DR
SUBDIVISION: CO rSWALD MEADOWS NO 2 ZONING: R-25
BLOCK: LOT:069 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNI;HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W10 APPL: VENT SYSTEMS:
STORIES: _ BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replacing gas furnace.
Owner: _ FEES
KOONS, DAVID KEITH + CORA JANETT Description Date Amount
11852 SW MORNING HILL Dft
TIGARQ, OR 97223 [MECH]Permit Pee 10/17/02 $72.50
[MECH]Perm;t Fee 10/17/02 $0.00
[TAX] 8%StateTax 10/17/02 $5.80
Phone: [TAX] 8%StateTax 10/17/02 $0.00
Contractor: Total $78.30
DELUXE FUEL OIL INC
1013 NE 62ND
PORTLAND,CR 97213 REQUIRED iNSPECTIONS
Phone: 503-287-6688 Heating Unt Insp
Final Inspection
Reg#: 49457
IL
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to
m
This permi': is issued subject to the regulations contained in the Tigard Municipal Code, State of O,
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 suspenc:dd
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 952-001-010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699
Issued By: �,�z,� Permittee Signature:
Call(503)639-4175 by 7:00 P.M.for Inspections needed the next buslness day
Oct- 16-r2 11 : 57A Deluxe Fuel Inc 503 287-0614 P.01
Mechanical Permit Application
City of Tigard. �. Date received:10-171Pem►it rx,.�1�E. �Gv,- -QS ff
Address 1)125 SW Ilall lilbd #ti . tt.. (1 F �U�_-no� -,-_ Expire date-
Om of 77Kurd lrvr`+f R
Piume: (503) 639-4171 Date iwtteel: ___'_ ';y& I Receipt no:
Fax: (5173) 598-1960O`.1 Case file no.: Psyme",type:
Land use approval: f-i t r 91 Building permit no.: _ �
2 family dwelling or accesaory Lel Commercial/industrial J Multi-family 0 7 orient improvement
O New construchtm U Addition/alteretion/replacentent ❑Other: _--_
Job address: 1165-1, St, Horni vii i i indicate equipment quantities in boxes below.Indicate the dollar
I Suite no.: value of all mechanical materials,equipment•labrn,overhead,
Tex mapitax lot/account no.: - profit.Value f
._ Subdivision: — -- "See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit lee.
City/county T,IP: _17123
Description and stion of wo on premises:
t�Ly` ' - � r',A`. Wa faa) Told
Fst date of complchon/invpectinn 'O Toff—__-_ _ MAL
Tenant improvement or change of use -
Is existing space heated or conditioned9 C]Yes C3 No A hsud(ir,Q,mit ___CFM -
Is existing space insulated?D Yes I No mArt c nooriaot eext lunte an regw�--
sys►nn
WAler cornprew wo
Business name n aj� Starr boiler pertnit no.:
b- - HP To..- RTU/11
Ada,es s: 1W _ rre/smt ua smokr�ta.c
('sty
let I ItSt■te ZIP: 213 -
. L1 �L -- - -- -------- Haiti pump sP�rew�
e ttstalrep ace�Phonlacludint ductwork/vent liner
?
to O No 40 Lw0
_CCno: Zs sc reBen s
City/metm lic.no.: 11,
or!soar mounted
Name(please print): Dr I CUN r6- - - _eni F0_rirace o steer r�i wr►�ie --- --- —
Absttrptinn units --_ --_- 8TU/1:
Name _r i_G.I\ Chillers IIP
HP
oW exlessall modr
City State: it P: Appliance vent
Phone: b Fax: E-mail: ereuat
ype res. ucTtlr�emtet -- --
hood fire suppression system -
Name: _ _',.,-- i Exhaust fan with stele duct(bath fans,
Mailing address: uat system Churn- talc i w AZ----
aal (u►110 9 etv)
('try: _ state: Zlh: T LPG NG Oil
L Pbon G' FOR: --- _over 4out at$ - —
rhiessesissofttic reqs )
Name: Number of worts _
--- ----- --- er q' s-"or Ms�ie�--
Address: _ Decorative Place
City Seafe-- Z.1P: tit +ert type- "— -- --- _
ex stove
D Phone. FOR. E-mail: ve
Applicant's signature: Date:
JName(print):
__-- �
Nnl III!1.dlnwln•IlciEtll t"f1d11 tl1rL,t1rMM C.II IIIfMt)ICIIOII([M TMf:IIIaKT�f♦(111. Permit fee .....................
Notice: TNs pmmit application S 1�
ilu u M. .res if a t is not obWmi Planirevr Minimum
(at _ S
y9co o�4to8'l,�l L-�� �a � "
cu Iro within 180 days Pfler it has beer) -
� State surcharge(8%).... S _
r,;nb a own" card accepted lift complete. TOTAL_...........
COM1udder.Ian.nlm �_T. S A 1M1-11.17(IJ111M1'f)MI
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUS'
Received Date Requested _1 -3V —.AM —PM A11 P
Location ._ �l S w / �11 Suite_ MEC �L Z-�v G�,
Contact Person ._ _ Ph(— ) ?-� � � PLM
Contractor _ _ Ph( ) SWR
BUILDING rI Tenant/Owner _ ELC
Footing
Foundation - e`- ELC —
Rccess:
Fig Drain 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
PASS PART FAIL --
PLUMBING _
Post&Beam
Under Slab ___—
Rough-In M
Water Service —�
Sanitary Sewer
Rain Drains - --
Catch Basin/Manhole
Storm Drain - —
Shower Pan
Other:
Final
PASS PART FAIL -
ECHAN L
Post&Beam
Rough-In
a Gas Line
Smoke Dampers - —
.r AS PART FAIL — -----
CIRMTRICAL
'j Servic
M e - — -
Rough-
W
UG/Sla I - -
J Low Voltage
Fire Alarm — ---
Final Reinspection fee of$ rR uired before next Ins
PASS_ PART FAIL ❑ p - `� Inspection. Pay at City Hall, 13125 SW FfaA Blvd.
SITE _ Please call for reinspection RE:— __ l Unable to inspect-no wo"M
Fire Supply Lino
ADA �
Approach/Sidewalk Date 6j InsPwclor—� Ext
Other:_ __
Final �- DO OT REMOVE this Inspoaon record trona the job ON&
PASS PART FAIL
CITY CF TIGARD
DEVELOPMENT SERVICES
13125 SW Hell Blvd.,77pd,OR 97M(503)6394171 ELECTRICAL PERMIT —
RESTRICTF_D ENER9Y
PERMIT #: EI-R98-0230
DATE ISSUED: 08/4/98
PARCEL: 1S133CD-07100
SITE ADDRESS. . . : 118 2 SW MORNING HILL DR
�
SUBDIVISION. . . . :CCTSWAL.D MEADOWS NO. 2 ZONING:R-25
FLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O69 JLIRISDICTN: TIG
Project Description: Installation of burglar alarm in residence.
(I. RESIDENTIAL--------- P. COMMERCIAL------------------------------------------
AUDIO
--------_-_.-_--_-------.____--------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . - . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CL.00K. . . . . . . . . . . .I I MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . .. DATA/TELE COMM. . : NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: . . HVAC. . . . PRO-I FCT I VE S I GNAL. . .
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEM" , 0
Owner: ----------------------------------•------------------- FEES ----------------
DAVID KOONS type amount by date recpt
11852 SW MOP.NING HILL DR PRMT $ 40. 00 DLH 08/24/98 98--308540
T IFIRD OR 97223 SPCT $ 2. 00 DL.H 08/24/96 98-308540
Phone #:
Contractor: -- - _..___________._._---__._-___----------------------.-.-__---_-_----_-__-_-_
AL.LTI=C SECURITY $ 42. 00 TOTAL
PO BOX 55310 ------ REQUIRED INSPECTIONS --------
F,ORTI_AND OR 97E38-5310 Ceiling Cover Low Voltage Insp
Phone #: ?,31-2626 Wall Cover Elect' l Final
Reg #. . : 001188
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 rule adopted bi the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9W-001-0088. Yoe may obtain copies of
these rules or direct est ions to OUNC at 15031246-1987.
Iss,ied by Permittee Signature
a
4),✓
-------------OWNER INSTALLATION ONLY-------______---_-___._.--------
N The installation is being made on property I own which is not intended for
sale, lease, or rent.
J CIWNER' S SIGNATURE: DATE:
--------CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. EL_EC' N: � DATE e
LICENSE NO: _
++++++++-+++++++++++++++++++++++++++++++++++++++++•++++•+•++++.+++++++4++++++++++++++
Call 639--4175 by 7:00 P. M. for an inspection needed the next business day
++++++++++++-4.++++++++++++++...++++++++++++++*+++++++++++++++++.}-++!•+++++++++]-++++
T '`j '�TR;CXEL ENERGY LLLCTRIC,%L APPLICATION
u 13125 i9ivd. RrCEIVEQ1:MiT#
Tigard, W X7223 --�
Phone(591)639.4171
FAX(503) 6114.1297 AUG 2
M!� TDD No. (5031 6134-2772 L�
CITY UF1 IOi.I'ly Inspection ( 03)639-'1r1MUhln UEVELUNE4?) ----
PL£HSE COMPLETE ALL SETRII
1. L0C,6-::)N OF INSTALLATION 4. 1YPE OF WORK
—#I-s - ---Dk/-'-''"'-' n —`� RESIDENTIAL—Reslri0ed Ener* F,?I: . . . . . . . . . ,`�4SLS1Q
Adtlr ,.ti q 7 23 (FOR ALL SYSU S)
Citya §- e _ f
City S Zip Is Tvap of Work Invu ved:
PERMITS AkE NON•TRANSrrRAIlLE AND NON•REFUNDAIILE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
15 NOT STARIED WITHIN 101)DAYS OF ISSUANCE OR IF WURK IS SUSPENDED FOR
100 DAYS. Burglar Alarm
❑
Garage Door Opener•
2. CONTRACTOR APPLICATION ❑ Heating,Vertilation and Air Conditioning System*
Contractor Alltee SCgUrType _ _ 13 Vacuum Systems*
❑ Other-
Address PO PDX 55.3_110 – Portland, 0111.n7M3t3-�31
DateJ�L__�_o� COMMERCIAL—Fee for each system . . . .
rn� SC (SEE OAR 91 tl-ZGO-260)
Property Owner—Do- �J
Contractor's Board Reg. No. ____ 118839 _._�
❑ Audio,,nd Stereo Systems
❑ notler Controls
Phone # 331-2620 __ _. 1'J Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑
HVAC-
Print
VACPrint Owner's Nan Phone No [) Instrumentation
❑ Intercom and Paging Systems
Address ❑ Landscape irrigation Control"
City
State Zip ❑ Medical
❑ Nurse Calls
1 his peinuee
i is issued undet.ClA1t 910.3'0.370.This applicant agrs to make only ❑ Outdoor Landscape Lighting"
restricted energy installations 1100 volt amps or less)under this permit and to eo the
followings ❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Ccnain (, Other —
IL residential and other transactions are exempt from lit v6ssg.These have
asleriskW).All others need licensing).
2. Call for an inspection when ail of the installations untlar this pp.mit are ready
N lot inspection at 503.639.4175. ❑ Number of Systems
3. r utchasp separate permits for all insta':ations that r.rrt not ready for inspection ^—
ch. •No Ilrerses are rrtwreJ. licenses arc required far all other Installations.
when the inspector is(,ut to inspect under this per
Q, 4. Assume responsibility for assuring that all corrections rquired by the Inspector —-
are done,and
J S. Assume.responsibility ror calling for a fin I Inspection when all of the S. FEES
corrections are completed. , asi
The person signing for I:tls pvmit rni st l Mile applicant ora person 7. Enter Fees
authorized to bind tradpiicST'L M
"' I b. 5%Surcharge ,.05 x total above) $__ r_c
Signature TOTAL
Aulhonly if 01111:1'than Applicant
CNCRG\P.CI�I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639.4175 Business Line: 639-4171
eur'
30 W 5 7 Date Requested ��-.� - � AM —PM
M5
BLD
Location Suite MEC
Contact Person Ph �'�[� - �,� PLM
Contractor ob jj+tIF
- _545CVPh _ SWR
BUILDING Tenant/Owner r_ �_ ELC _
Retaining Wall ELR
Footing Access: FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab - SIT
Post&Beam
Ext Sheath/Shear —
Int Sheath/Shear
Framing —
Insulation
Drywall Nailing h -
Firewall
Fire Sprinkle --- - -
Fi;e Alarm
ISusp'd Ceiling ---- '� - ---�'-
Roof
Misc: _- _ - -- - v - -
Final —
PASS PART FAIL ---� -
PLUMBING
Post 8 Beam -- ^----- --
Under Slab --
Top Out
Water Service -- —- ---
Sanitary Sewer
Rain Drains
Final -
PASS PART FAIL - ----------
MECHANICAL
Post& B-iam - - -
Rough In
Gas I .
SmoKe Dampers
Final - -
P PART FAIL --- _-- -----
LECTRICA
9L Servic -- --
rz Rough In
F" UG/Slab -
N Low Voltage -
larm - —
� c FI
m _)PART FAIL - - - -'
V SITE
to --- -
-� Backfill/Grading -- -�- -
Sanitary Sewer
Storm Drain r "spection fee of$_�- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to inspect- no access
Fire Supply Line !'lease call for reinspection RE:.__,__ -_ - I 1 p
ADA
Approach/Sidewalk Date Inspector -�_ Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Insgmatlon record from the Job sits.