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10135 SW LADY MARION DRIVE O W N v 0 z v X 10135 SWI LADY MARION DR CITY OF T IGA,RU ELECTRICAL.PERMIT PERMIT#: ELC2004-00281 DEVELOPMENT SERVICES DATE ISSUED: 5/21/2004 111111111, 13125 13W Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111C;B-0100 SITE ADDRESS: 10135 SW LADY MARION DR ZONING: R-3.5 SUBDIVISION: MARION ESTATES BLOCK: LOT : 005 JURISDICTION: TIG Project Uescription: 1 branch circuit to AC. _ RESIDENTIAL IJtiiT _ _ TEM.!' ORVCIFEEDERS MISCELLANEOUS 1000 SF OR LF SS: 0 - 200 amp: PUMP/IPRIGATION: EACH ADD'L 500.;F• 201 - 400 amp: SIGN/OUT LINE LT6: LIMITED ENERG(: 401 - 600 amp: SIGNAL/PANE!. MANF HMI SVC/FDR: 601+arnps -1000 volts: MINOR LABEL (10): SERVICE/FE:-DER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION- 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 0 IN PLANT: 601 - i000 amp: PLAN REVIEW SECTION. 1000+ amp/volt: -4 RES UNITS: > 300 VOLT NOMINAL ^econnect only: SVC/FDI? —225 AMPS: CLASS AREA/SPEC OCC. Owner: Contractor: MCGREGOR,MARK D+ LYNDIA J GRF ELECTRIC 10135 SW LADY MARION DR 15460 SE PARADISE LN TIGAr:,), JR 97223 MULINO,OR 97042 Phone: 503-684-4083 Phone- 503-829-4146 Reg #: LIC 76751 - — ----- ---- SUP 16555 FEES _ ELE 1-480' Description Late Amount _ Required Inspections II:I.PRMTj ELC'Permit 5/21/2004 1:46.85 --`— [TAN R State Surcharge 5/21/2004 $3 /i, Rough-in lect'l n F_lect'I Final Total $50.6( This Permit is issued subject to thy regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicabl.a laws All work will be done in accordance with approved plans. This permit will expire if work is not started with.n 180 days of issuance, or if work .s suspended for more than 180 days ATTENTION: Oregon aw requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set f in.OAR 952-001-0010 through OAR 952-rol-0100 You may outain copies of these rules or direr?questions to OUNC at(503) 2466699 800-332 r G— Issued y: i.� ,h,Jr�J�� Permit Signature:, ��t - - OWNER INSTALLATION ONLY I he installation is being niade on property ! own which is not intended for sale, lease, or rent. OWNER'S SIGNATURf : _ _—_ _______—�-- ,__N DATE:----- CONTRACTOR ATE:____CONTRACTOR INSTALLATION ONLY SIGNQ t URE (W SIJPR. ELEC'N: DATE:-- LICENSE NO —__— Call 639.4175 by 7:00pm for an inspection the next business day Electrical Permit Application fifoll 0I.-I.-'ICE USE OtIN -- -- --- tseeta�ea CI of Tigard I'ionning A prov Sign 'J b �. ECEI {.! Uatc/Bw _ _ Permit No.: 13125 SW Hall Blvd. HECEI Review` — ()that — --� Tigard,Oregon 97223 uretdRx: — _ hermit No.: Phone: 503-63913171 Fax: 503-598-10;,9 1 Post-Res rw Land Use Datc/By` Case No,: Internet: www.ci.tigard.or.us Contact ]•sY See Page z for 24-hour Inspection Iteque,t: 503-639-417*TY Name/Method: �, Suirlrltmental Information. F�1.RM11iF1V(�i�11r,FHif+t_, -- --- — TYMOF WORK PLAN REVIEW(Olease check all'that apply) New construction Demolition Service uver 225 amps- Health-care facility commercial ❑Hazardous location Addition/alteration/re 134ement Other-: ❑Service over 320 amps-rating of ❑Building over 10 mut)square feet, CATEGORY OF CONSTRUCTION I d't 2 family dwellings four or more rerrdential units in 1 &2-Farnily dwelling ❑Commercial/Industrial G System over 600 volts numinal ono strdt:ture ❑Building over three stories ❑Feeders 400:mps or more AcccSso Building Multi-Family_ � Y _ ❑Occupant load over 99 persons ❑Manufactured stn.-tures or RV park Mastcr Builder LE Other: ❑Egress lighting plan ❑Other:- JOB SITE INFORMATION and LOCATION Submit_sets of p ans with any of the above. The above are not arplieable to temporary construction service. Job site address: S S r icl :- 14.0 A rj Y r'a FEV SCREDULE Suite M Bldg./Apt.#: 1�y' Number of ins ections er • -mit allowed Project Name: A4y,(' Ds serf tlou Q1 I Fee(ea.) Tout New residential-single or multi-family per Crov.s street/Directions to Job'5lte: dwelling unit.inc'ades attached garage. Service Included: 1000 sq ft.or less 145.15 4 Each additional SQU sQ.H.or nionthereof 33.40 1 SUbdiV;olUn: — --TLOt#: Limited energy,residential 75.00 2 _ Limited energy,non residential 75.00 2 Tax map/parcel#: Each manufactured hone or modular dwelling '- wrvicc and/or feeder 90,90 2 nIESCRIPTION OF WORK Services or feeders-hntallatlon, _♦' !;,Y-L��_,t � — alteration or rtloc&O-m: 200 amps or less 80,30 2 -- --- 201 amps to 400 strips 106.85 2 401 ams to 600 ams 160.60 2 OP TV MAR TENANT 601 amps to 1000 amps 240.60 2 /� Over 1000 amps or volts 454.63 2 Name: r;w �4_ /V C_L�t`e iS t ice' [reconnect only � 66,85 2 Address. / / ? �5 _0• LA / A le% 'temporary services or feeders-installation, alteration,or relocation: 200 arrps ur)ess_ 0.85 _ 1 �Pbone: G Fax: 201 ams to 400 am res _ _ 100.30 2 4111 to 60 AP , : PLICAN -. ' - CONTACT OERSON, Branchcamps 133.75 2 circuits-new,alteration,or Name: extension per panel: Address: A.Fee for branch circuits with purchase of service or_feeder fee.each branch circuit _ _ 6.63 2 City/State/Zip: _ n.Fec fur b..nch circuits wittinut purchase of service or feeder fie-,first branch circuit 46.85 Lf lo 2 Phone: Fach addida 0 branch circuit 6.65 2 E-mail: _ Misc.(Service at feeder not included): r'. COITITRACTOR fachdrumyor irrigation circ!. 5 .40 7 Each si n or outline li hti — 53.40 Job No: Signal circuit(s)or a limited energy panei, alteration or extension Page 2 2 Business Naline: 6 F—CI-C_ _ � Description: — Add"re_s_ �— p Each additional Inspection over the allowable in an of the abovc: _C� tate/Zip:rM � r 1_ Z Per inspection per hour tin.I(tour)_ 62.50 Phone: q Fax: Sb3- jf =�Z Investigation fee: _ 4 C, other: Cf;_$ Lic. #: 'Z Lc.#: 3- Electrical Permit Fees* i Supervising electrician _ Subtotal S Li s pature required:~ _ - Plan Review 25%of Permit Fee $ Print Name: WjiLic. #: r - _ State 5urchar c 8%of Permit Fee - // ' r TOTAL PERMIT FEE S 7 Authorized 1.) i G' FJ—•f Notice: This permit application expires if a permit is not obT Ined within Signature: — _ Date: 180 days after It has been accepted as complete. Ver methodolop•set by TrWounty Building Industry Service Board. _-- -- (Please print name) t\Dsts\F'errnil Fnrm s\i:lcPcrrnitApp.doc 01/03 1 'd LbLS6ZHE0S t���a13 AM9 S1 Few Electrical Permit---�1-A r ication ' ' ON ------ Received L•lectrical DatelB : �) Permit No. lJV _ City of Tigard PEC ��,� Datc/ngANprov Sign atc/By. ^ermit Na.. 13125 SW Hall Blvd. Plan Review Other --- ~' 'Tigard,Oregon 97223 —!late/Ry: _Permit No,: _ Phone: 503-639-4171 Fax: 503-598-146661 Past-Hcview — IA td Ilse Datc/)- ay: _ (ase No.: Internet: www.ci.tigard.orms Contact It'f's See Page 2 for __ 7.4-hour hispection Request- 503-639-41'�IIY Name/Meth /od: r Sun lemcntal Infm oration. TYP&OF WOKK __ PLAN REVIEW t tease check all that apply) New construction I Demolition Service over 225 amp,- 0 Health-care facility commercial El Hazardous locatirn Adu;tion/alteratlt)n/r�]lact mart Other:�_ t]Service over 320 amps rating,if [j Building over 1Q000 square feel, CATFGORY OF CONSTRUCTION I &2 family dwellings tour or more residential units in i &2-Family dwelling [ Commereial/lndustrial ❑System over 600 volts norniaal one structure ❑Building over tbrer stories ❑Feeders,%00 amps or more Ace sso Buildin _M_ulti t anvil _� ❑Occupant load over 9h tictsans ❑Manufau ed structures..r IZV p;trk _ Master Builder _ ❑ Other: ❑Egress/lighting plan ❑Other.• _ _ , JOB SITE INFORMATION and LOCATION ! Submit__sets of plans with any of the above, Tne above are not a r rlicable to tent rorar construction service. Job site address: 3 .5 kl '�G�LI.;! Mr' FEE*SCHEDULE Suite#: i —� Bld ../A _—_ _ _ Nurnher of ins ectionsper�crmit allnwed Project Name: tr :/tscri tio❑ Q13, Fee(ca) Total Ci0S5 SiCCet�lrCCtlOnS IO Ob Slte: New residential-single or multi-famlly per dwelling unit.Includes attached garage. Service Included: I u00 sq ft.or less 145.15 4 Ea_h additional 500 sq.fl.or porticn thereof 33.40 1 Subdivision: —� Lot#: Limited ener ,residential _ 75.00 2 _ Limited end er�y,non residential 75.00 2 Tax ma / areal M Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 ^ 71ces or feeders-installation, ration or relocation: amps or less - - - .r I amps to 400 amps _ 106 35 2 401 amps to 600 amps 160.60 2 ft OP TY.OWNIT T NANT 601 amps to 1000 amps 240.60 2 Over 1000 am is or volts 454.65 2 Name: /leiReconnectonl _ 66.85 2 Address: A,1,4.YI-e tom`, Temporary services or terders-Installation, r alteration,or relocation: Citv+/State/Zip: ( t c -' G! '� S� 200 amps or less 66.85 1 Phone: L 4 - .n o 201 i-em s to 400 ams 100.30 2 _ 401 to 6U0 ams 133 75 _ 2 APPLICANT,; _ CONTACT P'RSON, Branch circuits-new,alteration,or Name: extension per panel: - -- A.Fee fur branch circuits with purchase of Address: _ service or feeder fee,each:ranch circuit 6.65 2 Cl /State/G(j1. B.Fee for branch circuits without purchase of ! service or feeder Ice,first branch circuit 46.85 2 Phone: _- —__ rax: iiach additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included}• CONTRACTOR Each pump or hrigation circle 53.40 2 Each signor outline li hti_y _ 53.40 2 Jub NO: Signal citcuit(s)nr a limited energy panel, • alteration or extension Page 2 2 Business Nallbe: 6 Description: Address: 15- Q_ � �'14 If- A City/State/Zip: /1/�L,,l�. ��,�r ` Each additional inspection over the allowable In an of the above: _Ll L— �IZ Z Per inspection per hour min. I hour) _ 62.50 Phone: 23 Fax: 5D3- � Invesliw'tion fee: _ Other:CCB Lie. #: b?55 Lie. #: 3— C Electrical Permit Fees* r Supervising electrician— — Subtotal S H_4 . se required: � �^' '— Plan Review(25%of Permit Fce S Print Name: W M; ,,, Lic. #: (p S S- _ State Surcharge(8%of Permit Fee) S _- -" Tj� TOTAL PERMIT FEE S J 3` Authorized 11) '1 64 Notlee: This permit application expires If a permlt Is not obtained within Signature: _ —_e— Date: _ 180 days after It has been accepted as complete. *Fee methodology set by 7•rl-County Buildlnp,Industry Service Board. (Please print name) t\Dsts\Pemrit Fr rn&,ElcPcrmitApp.doc 01/03 1 'd LbL5GZ8EOS �t�loal � �yO c4s :ao bu 6I I+wW CITY OF TICARD 24-Hour BUILDINGInspection Line: (503)639-4175 MST' INSPECTION DIVISION Business Line: (503)639-4171 ( Bt1P Received -- —__ Date Request —_ AM________PM Blip _— — Location — 3 S __ _ 11 Suite MEC D Contact Person -�__ _. �.._-- _ Ph(_—_—) '�`�s --. PLM Contractor ---- - --- Ph SWR BUILDING Tenant/Owner ___—_ f __ ELC Footing ill ELC _ - Foundation Access: Ftg t,,ain ELR __- Crawl Drain --- Slab Inspection Notes: SIT Post& Beam __--- !'�C,A�� "--� Shear 1nchors l J , Q 6 Ext Sheath/Shear -- - -- -----— Int Sheath/Shear Framing --- ---- - - - Insulation - -� Drywall Nailing --- Firewall Fire Sprinkler Fire Alarm usp'd Ceiling - -- -- --Roof Other:Other: - -. .-- --�--- — Finol PASS PART FAIL Post& Beam Under Slab -- Rough-In Water Service - Sanitary Sewer Rain Drains - - - _ - - - ----- Catch Basin/Manhole Storm Drain - - Shower Pan Other: - - - Final PASS PART FA:L MECHANICAL ---- -- Post&Beam Rough-In --- -- - - --- Gas Line Smoke Dampers - Final PASS --PARI' FAIL ------- _ _- ---_- ---- ----- -- _ _ t -- - ELECTRICAL Service Rough-In -- - -- - UG/Slab ---- ------ - Low Voltage — ----- --—----- —_ -- --- --- -- Fire Alarm rna 7 Reinspection fee of$_ -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, ASS PART FAIL L] Please call for reinspection RE: Unable to inspect - no access Fird Supply Line ^ ` - ADA L Approach/SidQwalk Onto ._��( _�. Inspector_—_ M1 fl SX Ext -- Other: --_ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour UILDING Ing do e: (503)639-4175 INSPECTION DIVISION Busine ine: (503) 635-4171 MST BLIP Received ---- - . Date Re Rested --�1_.._ AM------ PM .- BLIP Location �j Suite -- - MEC "0�� Contact Person _--_--_- — - Ph(--_-) .2-3PLM ---_-__-- -_--_ Contractor Ph( ) _ SWR _ BWP DING Tenant/Owner — ELC Fncting - -- --- —---- Fc,undation Access: ioc mvcncic-tiELC -_------__--. _.--- Ftg gain Crawl Drain ELF! Slab Inspection Notes: SIT Posi& Ueam _ Shear AnLhor8 �1 --- ----- - —-- Ext Sheath Shear � �v Int Sheath/Shoar Framing - - - .. --------—._ ------ - _. - - Insulation �lj�,� d�Y� ✓-� j` lG ) Drywall Nailing �} ( - Firevvall Fire Sprinkler -- ------- - - - ---- --- .. - -- ------- .. - Fire Alarm Susp'd Ceiling - -- --- — - - - .. -- --- --- ._..._. --- -- --- ..___--- Roof 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 Other: Final - PASS PART FAIL - - - - - - MECHANICAL Post& Beam Rough-In _- - ---- -- - ---- — Gas Line Smoke,pampers - - - _ - -- .1 ff HART FAIL - — - - R CAL Service Rough-In UC?/Slab Low Voltago Fire Alarm -- Final El Reinspection iee of g� _required before next Inspection. Pay at City Hall, 13125 SW'16;i Blvd. PASS PART FAIL SITE Please all for reinspection RE: - Unable to Inspect--no access Fire Supply Line / ADA Approach/Sidewalk Date— �` Inspector - �� Ext Other: _ F incl - DO NOT REMOVE this Inspection record from\he Jab site. PASS PART FAIL CITY OF TIO`ARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00338 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 6/3/2004 SITE ADDRESS: 10135 SW LADY MARION DR PARCEL: 2S111 CR- 3200 SUBDIVISION: MARION ESTATES ZONING: R-3.5 BLOCK: LOT: 005 JRISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOCJS: FUEL TYPES 0 - 3 HP: 1 DOMES. IN'CIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOGDSI'OVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: _ AIR HANDLING_ UNIT CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: -- OTHER UNITS: 10000 cfm: GAS OUTLETS: Remarks: Install AC' Unit Owner: _ _ FEES MCGREGOR, MARK D + LYNDIA,1 Descr,ption Date Amount 10135 SW LADY MARION DR X11 t l l I'rinni I rr 6!3/2004 $72.50 TIGARD, OR 9722: �l A Y:1ir `�111dim! 6/3/200,1 $580 Phone: Total $78.30 Contractor: SKY HEATING + AIR CONDITIONING 1637 SE NEHALEM PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone: '15-im8; Mechanicallnsp Fin iI Inspection Reg #: LIC 50244 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. Issued By Permittee Permittee Signature: ,fy- L �1 _ _4 Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business day Jun 01 04 06: 53p S!Ky Heati.n- & R/C 5032350454 - p. 2 k ID A" ,ICill P . j� lie. n City of Tigard 1 s 125 S W Han Blvd,TiesDR 97273 Reccivod Phone: 503.639.4171 Fax: 03,39 bhp ►Ga t>are/By Kermit NnO Inspection line: 303.639.417 vt• D`v t;10 Plan Review ,(Z 00 - 0 31,,k/ I�OWBY Internet: www. , (hirer f'emrir oi.tigard.or.ua �}�tt._C)1NG Dole Readyroy Notified/Metivxl relu Ed Sae Page 2 ter -_ Supplemental lnterm,rlon TYPE OF WORK ❑New construction Cnr>�ULCIAL FEE SCkIEDULL -- USE '�ddition/wterROoll/replacenient t 71p,CKL1bT ❑hettlohtign Other Mechauit al permit feu•arc based--tire value of tile worts Ixrf`�e`.JaZIr !tc vatic(rounded to the neatmst dollar)of all TECORY OF CONSTRUCTION ---- - ---` m0`__Ncc1U materials,cYL,ment.labor overhead,and profit l-and 2-family dwellin R ❑COMMC-tial/industrial ❑Accessory building •�ElY7IAI Multi-family [3 Master builder ------ EQ�PMF.NC/SYSTEM FEE5• 4 ----__ (hht t /'or spacial ialormonou rtae checklist. J06 INFORMATION ANp LOCATION _'-- lleaaipti„n_------ _ Job xil' a address. /�/ Qh'• E& Total ----L f �" / '3 H 000lln City/StatdZlp: Air crouditionirg or heat pump r uire situ 1M shnwur lacemeru Suite bldg./apt,no,; - Furnace Ion F 14.00 ^- - (dur_tnu 14.00 _ Project name: Furnace 'no000#-13711 ducts/vents Cmss stroeUdirectiona to job sit : (Sashcat��'L- 17.90 14.00 Uun work _- 14,00 onic hot wu_ayYstcni-_ 14.00 �---- Residential boiler(radiator tx - ---- _!!ydrrmic) Unit heatem(fuwtype,not electric), 14.00 511bdivisinw - -- in-wall in-dui au nded,etc. Lot no.; Fludveo!for t of above 10.00 Tax map parcel no.: Other: 10.00 Other MN annllancea 10.00 SCRIP TION OF WORK --------- Water heater Gas fire lace 10.00 Pluc Vernfrn water liramr a gaa Iwo -•-`- ---_-�__-__--_ Fire Ince C (gaa) 10.00 Wood/ ellet glove 10.00 wood fire laoe�inaert 10.00 PROPERTY OWIYL _--_� ----____- 10,00 Nie. O TENANT Chioin i'liner qu-_ate — 10,00 �- Olhcr - ---- 1~nrlronmental esharu,t and v 10.00 - en(W.,on --- --_ Range hnod/other kitchen 'its/State/zip• -- �uipment Clothes a exhaust 10.00 hung:( `�--- 10.00 -� Lax:( ) Single-duct exhaust(halhrnnrtla, ❑ APPLICANT toilet L0111 aninent-x utility rooms usiness name: CONTACT PFRSON Attic/-wls ce fans 6.0 -- - Other•, 10.00 intact name: Feet I Ind 10.00 Idreas. 39.40 ror first rue 31.00 for each additional y/Statd7.IP: Fumace,etc. -- - Oaa heu p_ urnp me:( ) Fax: ( _ W44_112 ended/unit heator tail: --- •- 1 Water heater Fir lace �Y- t. N•1'RACTOR Ran a -__-- ineAa name. -- Barbecue ~ Clothes IL ns: r �- �� dr�crsgas) -r Lother. Statd7,IP: ' - -- MF.CHANICAI.pp. PEES. Z- r. - Subtotal lic.: _� - 'Z- ) _-O f Minimum permit f�SOj — f Ian revie-r(25%of permil fee) ----r— _ _ State aurcharg.(g•%o0�p�it Pee)- nixed signnurrc: ✓/ Q��7ie �..� - -TOTAL PERMIT FEE �- Thh permit appllntinn csplrc f+f+ ,a It la net ohlalned Mthle IAA d,�r ener n hnbarn,eerplyd n aempletr. Jun 01 C14 05: 53P Sky 1-leat;i ng & R/C 5032350454 p• 3 HOMF, I AVOU7'/S1.,,; PLAN •- i lU I I ' ' 7 REE'* _._.._______ ._