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12115 SW LINCOLN AVENUE-1 i N r (/1 J � 1 r 0 r f , 1 1 ,�yR♦ 4 12115 SW LINCOLN AVE CITYOF TI "-ARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00468 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4'171 DATE ISSUED: 7/16/2004 PARCEL: 2S102A13-00501 SITE ADDRESS: 12115 SW LINCOLN AVE SUBDIVISION: NO. TIGARDVILLE ADDITION AM,-NO ZONING: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG CLASS OF WORK: OFR FLOOR TURN: 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 - 3C HP: REPAIR UNITS: FIRE DAMPERS'?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO t3RYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU- <= 10000 cfm: G > 10000 Cf m: AS OUTLETS: Remarks: Install gas furnace and A/C,(existing gas line). Owner: FEES CAROL D. SCOGIN Description Date Amount 12115 SW LINCOLN [MF.('1I1 Permit Fee 7/16/200, $72.50 I IGARD, OR 97223 STA., /,State Surcharl 7/16/200, $5.80 Phone: 503-888-4510 __ Total $18_30 — Contractor: HEAT RELIEF CO 1311 NE 116TH AVE. PORTLAND, OR 97211 REQUIRED INSPECTIONS -----REQUIRED - _— - Phone: 503-260-0077 --- Reg#: LIC 122424 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 Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next busi e9s day I, 1 3 2004 11152RM Haat Relic�f P . 1 Me Pert Appi�lfttn 1r.n..►a.l y ��?16� City of Tigard 1''"'Os 13175:iW A,alBlvd, Tipp.( rw*osu WM Raftisr �M t1Ye Pinna: 503-639-4171 l?� SM-M-1960 24-hour MAPwlion Repnesat: 503-639-4173 — NOW Ounpouction Dawrldw M NkpclfltAit NjW us bond aO is bhl vidna of dw wdd lO� Min 1 �6! .(.�.D�1�d b X10�t�t d011pf�O� r...� .wl c V&%M s s,. twr rM Sd4 G� A� Build I E 2 W:, jobshe>4dtem. 1400_ Suite ii: . `- llc] t _- 14.00 Nam � 60 (`t+ree b job wti - R,e.laaeeW b�e1Lr _ lll.it Irrhf-��i,eat a�Mio j 14_00 +* 14.00 ftftm*a MY 1000 Subdf risiQu: `- Lut 0- u-- .. 77 TIM EM900MMd It i Floe yam 1_ Q� 10.00 MMMi W777 ,y - - - I0.00 Nam: � <• �,. �, . . .,, ~'-*- ;� -".' .-�co 1i�1►ellKlAa�r�Ad M 10.00 Addmu: 1 /i c am_ c�l _ — 10JI0 Fhtxte: o Fax: c �.,*Am comp, mp, 6 Naxna__-_----I _a.�� 4u odormot M--- 1 Addnw: 4M ( M : a ? sl PhWO:Stb-,moo -00� 7� Firms: sr -Yt�diff— OW --- c►~ on&tnsil: 00 .. Buatnm Nww. N e d+ sq.U c4- µ Addrees� OUG M21,b1, 8 • TOWL.E_ ----- .. 1 CCB uc.. #f: / ..._......-- mrj rood. S Sir u"M JR r ^+ 1�� vwa T l3 •t P /y _ /^ aws XL� S O*bMF"� -- -son F NOAM 'I%b Owed go- A *XV6 Ifs vwIwf At area"bMa d w11b1• `PMS 'uk Trs.�tltvwlls4 al" tie.D"r 1 N ds)v%nar tt bw Uw a**qIM w aw p l i •"W.,Visa regAt d Ar adowler AMG u■Ata. 1"lytuq'krtfnkPcu7fr'�.doo 01RI'1 I r � Jul 2004 1 1 : 52RM Heat Relief ----- - — 503-261-99814 p. 2 01/09/2000 07:58 Fax 003/003 n LI 7C 1 � � m G • • it CITY OF T i G w R D _ ELECTRICAL PEQMIT— H PERMIT#: ELC2004-00455 -', DEVELOPMENT SERVICES DATE ISSUED: 7/23/2004 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AB-00501 SITE ADDRESS: 12115 SW LINCOLN AVE ZONING: R-4.5 SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND BLOCK: LOT : 063 JURISDICTION: TIG Project Description: Install (2)branch circuits. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ i.".ISCELLANEO_U_S 1000 SF OR LESS: 0 200 amp: PUMIJ/IRRIGATION:—� EACH ADD'L 500SF: 201 - 400 amp: SIGN/C UT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR 0%9EL (10): SERVICE/FEEDER BRANCH CIRCUITS A1:01 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: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: -4 RFS UNITS: > 600 VOLT NOMINAL: Reconnect only--_--_____— SVC/FDR— 225 AMPS: _ CLASS AREA/SPEC OCC: _ Owner: Contractor: CAROL D.SCOGIN GRF ELECTRIC 12115 SW LINCOLN 15460 SE PARADISE LN TIGARD,OR 97223 MULINO,OR 97042 Phone: 503-888-4510 Phone: 503-829-4146 Reg#: I.IC 76751 SUP 16555 FEES _ _ FLE 3-484C Description —Date Amount _ Required Inspections I I I.PRMTJ 1{1-C Permit T'23/2004 $53.50 — I 1,\Xj 8"4,State Surcharge 7/2;,'21104 $4.28 Elect'I Final Total $57.78 This Permit is issued subject to the rep'ilations contained in the Tigard Municipal Code, State o`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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centdr. Those rules are set rodh in OAR 952-001.0010 through OAR 952.001-0100. You may obtain copies of these rules or direct questions to OUNC at(503) 246-0699 or 1$00-332-234A--,— Issued By' 2 '1 4wPermit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or -nt. OWNER'S SIGNATURE: DATE:—_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ___T__—____.___-- ------_---_— DATE:__.---____----- LICENSE NO -- --.— -----_---- - ------- - ------ Call ----Call 639-4175 by 7:00pm for an inspection the next business day It� l P':i f14 0Li: 55a GRF Electric — _50J8?95747 Y p. 1 EO s s slec,t.rical Permit catio>Q .--- H:ccived rlmtneal / UatdBY: /[� PermitNo.C'�� Q 0 City of Tigard � Planning Approval Sign Date/By: _ E'crmit 1Jo.: 13125 SW Hall BEL. `�C7�\CJ\4 Plan Review Other Datr✓ Tigard,Oregon 972::3 F �\ B : Permit No.: Phone: 503-639-401 Fax: 503- � C Post-Review Land Use Dale/B Cast:No.: Internet: www.ci.tigard.or.us �� —�` Contact Ju ' ,: See Page 2 for 24-hoar Inspection Request: 503-104175 Name/Method: supplemental Information. TYPEOF'WORK PLAN REVIEW Please check all that a 1 Service over 225 amps- Health-care facile New construction _ Demolition p ti commercial El Hazardous location k Addition/alteratior►/re lacernent Other: ❑Service over 320 amps-ratinL of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential unity in 1 &2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure Accesso ❑ uildin r Multi-Family ❑ Building over three stories ❑Feeders,400 amps or more B _�. Occupant loud over 99 persons ❑Manufactured sttvrtur<t or RV perk Master Builder Other: ❑Egress/lighting plan ❑Other:,Y_ JOB SITE'INFORMATION and LOCATION Submit_sets of plans with any of the above. _ — The above are not applicable to temporary construction service. Job site address: Z j� � /,�, I ✓ FEE*SCHEDULE Suite#:_ � Bldg./Apt.#: 4umber of ius ectluns per pomit allowed Project Name: :i.xrl thou Qq Fee(ea.) Total New residentlal-single or mulll-famay per Cross street/Directions t lob site: dwelling unit.Includes attached garage. Service included: 1000 sq.IL or less 145.15 4 Each additional 500 sp.ft.or portion thereof' 33.40 1 SUbdlYrglOn: Lot#: Limited energy,residential 75.00 2 Limited energy,non residential 75.00 2 Tax map/parcel#: Each manufactured home or modular dwelling h:SCRIPTION OF WORK service and/or feeder 90.90 2 _ Servires or feeders-Installation, cl C. siteradon or relocation: 200 am s or less _ 80.30 2 -- 201 am s to 400 ams _ 106.85 ~� 2 401 ams to 600 amps 160.60 -� 2 RO t TY OWN T ANT 601 amps to 1000 am s 240.60 2 t, Over 1000 amps or volt 454.65 _ 2 Name: Reconnect one 66.85 2 Address: Z / J_ rJej Temporary services or feeders-Installation, alteration,or retucallon: City/State/Zip! ►L 200 amps or less 66.85 I Phone: — g Cj 1'ax: 201 amps to 400 amps 100.30 2 APYI.I CONTACT P RSON 401 to 600 ams 133.75 2 -- Branch circuits-new,alteration,or Name: extension per panel: Address: A.Fee for branch circuits with purchase of _- service or feeder fee each branch circuit 6.65 2 City/State/Zip: B.Fee fat branch circuits widtout purchase of jec service or feeder fee,first branch circuit 46.85 K' -2 Phone: . I'ax: _ Each additional branch circuit 6.65 2 E-mail: Misc.(Service or fader not included) 0111 OR --- Each tun or irrigation circle 53.40 2 Each signor outline lighting_ _ 53,40 _ 2 Job No: Signal circult(s)or a limited energy panel, • alteration,or extension Page 2 2 Business Naine: , Description: — Address: S Cl /StatC/Z1 �-� Each additional Inspection over the allowable In an of the above: _ p: /V I iii v tc- 7 t7 Ir Per inspection r hour min. I hour 62.50 _ Phone: - {4 Gt u i�f o Fax: 5V 3- tJ Lr -7�r7 Investigation fee: CCB Lie.#: -7 b 1.ic. #: 3- �.4 C other: 2 Electrical Pe� Supervising electrician ___ Subtotal al* S si ature required: "�"'� � _ Plan Review 25%of Permit Fee 5 Print Name: j I;G,,,, Lic, #: E _State_Surcharge(8%of Permit Fee S _ TOTAL.PERMIT FEE I S Authorized Notice: This permit application expires If a permit Is not obta ned within Signature: _ Date: INTI days after it bas been accepted as complete. 'Fee methodology set by Trl-County Building Industry Service Board. — -(Please print name) _ - i:�Nts\Permit Forms\ElcPermitApp.doc 01/03 CITYOF T I V A R D _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00361 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/6/2004 SITE ill DDRESS: 1211.5 SW LINCOLN AVE PARCEL: 2S102AB•00501 SlouuIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-4.5 BLOCK: LOT: 063 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: 3F RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES- OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE. ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install gas water heater. FEES Owner; Description Date Amount CAROL D. SCOGIN — 12115 SW LINCOLN [PLUMB] Permit Fee 8/6/2004 $72.50 TIGARD, OR 97223 [TAX] 8%State Surcharl 8/6/2004 $5.80 Total i� $78.30 Phone : 503-88F 4510 Contractor: F & F PLUMBING & HEATING INC 6810 SE 85TH AVE PORTLAND, OR 97206-7787 REQUIRED INSPECTIONS Phone : 503-774-5140 Rough-in Insp Final Inspection Reg #: LIC 101473 PLM 26-526PB This permit is issued subject to the regulations contained 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 than 180 ra:tvs. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: �i2 "----- Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Flus 004 11 : 21RM Neat Relief 503-261 -9814 p. l AU �z RFCFIVED Aft'WL 13123XWPM'b?vL'1CWIlM x'MAUG 2004 DO,: ��•a r D•ii�lt�pde.► Lmd=a r^�rvn�Tl 1r ih C�r�hta.: "� r - w� s Z Mk4r ar 9r C1ld�W.�wi�r LI T&TOW impure w" we"MOVIM Jds ub"m J j//j 's� LL— -� E Toted . Tea �ioi�lrre.�r�� oM�n PoThiaeowt aa: - y Lnt �adr �bdl.Mar Mi 1ooRlla�d� �� — �i� an Pir OSS . _._.. _..�...�,.._. SIIiR 7.sp- Omkdm�m .OW gnu 7mon Sam that2110 — ---- M-,MO--*jI771 allow Ck X. lbww d !rc Mr — ee1�i �iirt' w;�ko�..k bbyp�ar�s��a good ,gym br q►�w - ar +kAw ear is I onIm 1�QRde 4�7. IL Mom IM rlJr�ir1s�rtie..M1..rM..��Y1ryk..�r >w1MAMe ?�1 1�� Ov1. v N,t1" �W rr•VA"0>,ern Not�iww(wt W WR NM*e&Air k II=%M s _ AMP"r QUOUL �-- - - --t_15L.LQ__ D ------------ CITY OF TIGARD 24-14,our BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP ------- ----- Received - - - _Date Requested AM---- PM BUP Location ----Suite _ MEC '/ 1/-/1 DU77. ` 06) Contact Person rill �Y= -- Ph( ) PLM CJD 7 I Contractor -__ Ph ( ) - SWR BUILDING TenanVOwner - __..__.____ _ ELC _ Footing ELC Foundation I�1CCe Ss: 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 - - - - - - ----------v_ _ __-_---- 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 -- - ASS PART FAIL - ---_----- - - _ - - - --- _M_ CHANICAL Post&Beam Rough-In Gas line Smoke Dampers - Final PASS PART FAIL _ - - ---- ELECTRICAL T _ Service Rough-In UG/Slab Low Voltage ---- Fire Alarm Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd PASS _PART FAIL �] SITE Please call for reinspection RE:._ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data _Cz Inspector Other:-- ----- I -� Db NOT RFMOVE this Inspection record frdm the job site. *ART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 c r� BUP ------- - Received _ -_ - Date RequestedAM - ___ PM BLIP Location _ of I S �a;, ,11�,rQ Suite_a MEC Contact Person , Ph( j .� lJ_ GC> PLM Contractor _ Ph( ) __ SWR BUILDING Tenant/Owner __ ELCQ4 '/IS S Footing ELC _— Foundation Access: Ftg Drain ELR _ - Crawl Drain Slab Inspection Notes: SIT - ----. Post&Beam Shear Anchors Ext Shoath/Shear Int Sheath/Shear Framing ---- ------- _— — - - - - - ----- - Insulation Drywall NailingFirewall Fire Sprinkler -- --� — Fire Alarm Susp'd Ceiling _--- ---- Roof - Other:---- -- --- ------- — Final _ PAPT FAIL —_— PLUMBING ---- -----— — - - Post&Beam Under Slab — -- -- — -- — — - Rough-In ' Water Service -- ----- ---- - -- - — San'tary Sewer Rain Drains -- --_-- -- — -- Catch Basin/Manhole _ Storm Drain — "- -- — Shower Pan Other: � t _ PART FAIL - MECHANICAL - — — Post&Beam — Rough-In —. ---- — — — — Gas Line Smoke Dampers -- — --- -- — — --- Final PASS PART_ FAIL - -- —"-- - L — Service --- — ---___—.— — Rough-In - UG/Slab Low Voltage — Fir arm in I PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall: 13125 SW Hall Blvd. SITE Please call for reinspection RE:—__—___- ❑ Unable to inspect-no access Fire Supply Line ADA paw 8 -�r✓ d -- tnapector �r `�`'� EXt Approach/Sidewalk - — Other:---__— Final — DO NOT REMOVE this Inhor-.tion it txcT rd from th"Ob site. PASS PART FAIL