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7080 SW LOLA LANE
CITYOF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00406
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DA1F ISSUED: 11/13/01
SITE ADDRESS: 07080 3W LOL.A LN PARCEL: 1 S125DB-09600
SUBDIVISION: THE RAZBERRY PATCH ZONING: R-4.5
BLOCK: LOT: 016 JURISDICTION: TIG
CLASS OF WORK- ALT FLUOR FURIJ: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VFNTS W/G APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: 1 VOMFS. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPER'S?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp; WOODSTOVES:
FURN < 100K BTU: 1AIR HA14DLING UNITS CLO DRYERS:
FURN >=100K BTU: _ <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUT! ETS: 1
Remarks: Change out electric furnace to gas and add A/C
Owner: FEES
KELLY, .JOHN R ELIZABETH A I Type By Date Amount Receipt
7080 LOI PRMT CTR 11/13/01 $72.50 272001000C
TIGARD,U, OR 9 972222 3 5PCT CTR 11/13/01 $5.80 2720010000
Phone: Total $78.30
Contractor:
ROTH HEATING
ROTH ZACHERY HEATING INC
PO BOX 1265 REQUIRED INSPECTIONS
CAI:dY, OR 97013 -- -- ---'
Gas Line Insp
Phonp:503-266-1249 Heating Unt Insp
Reg #:L IC 14008 Cooling Unt Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other appilcable laws. All work will be doge in accordance with approved
plans. This permit will expire if work is riot 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 952-001-0080.
You may obtain copies �of�tthnea rules or direct questions to OUNC by calling (503) 46-9189.
Issue ey:�( ' Permitt>�� Sigrature:
Call (5031639-4175 by 7:00 P.M. for inspections needed the next business day
Sent by: ROTH HEATING & A/C 503 288 3478; 11 /08/01 9:20PM;JJLFau #753;Page 2./3
Rucelvoa: 11 / 7/01 3:13PM' 5036081980 -> ROTH HCATxNO & A/O; rape 2
1107 1J01 15: 15 FAX 5035981880 CITY OF TIGAIt>"\ I4002i000
Mechanical e on
"Dwarwmved:t I > t Paint no.:M F_2XI-�B
Citi► of Tipr I'ttjmdanPl no! etcppve date: _
Address: 13123 SW Rail Blvd.? gid.O1. 972 1 ,
Coy Uf fipard t " GA 5101"
1 nits itaucd: ar�� Receipt no:
Phone: (503) 639.4171 ---
Fax- (903) 198.1960 C�IY ,�j S`�� (:A&e We no.. Paymcnttypc:
Land use approval: LP _ - BuIlJiny patnut no.y
1 &2 family dwelling or aec"Sory 0 Cnmmr-Wrial)industrial O Nvlti-fe+nlly U Tenant improvernent
.J New n01Ls lLWULn Li AddtGogfalte•ratiatdteplaccmtnt 1-1r]thrt
_Job addrrss: "7b 541V ! LA Indicate.eyuipntcnt quantiti4s in boxes below.lndlcate M.P.dollar
Bldg. W.: _ suite no. � value of all mechanical materials,eyuipntrnt,141x11,nverleaa,
Tax trap/W,t Itx/ttccount no: profit. Value S _-------- --_
Lot: plotk: �5ubdivision: 2�ngY •See chcckhst for important Rpplwation information andPm. ""name. jur�QlcUon's Scc uhedule for residc,ttial perm jt fee
Descri tion and location o work on pmnliaes. jrT�tK fid _
1 t dale.of co:n lrtion/iosl�cpom !I_.�O-D� Iteaaiptioo -- f_ RI 111INNIAlraffil lira 11
est.or►ly Ren.onlI
Tcnant impruvclrttnt or chattrt of use:
l Is extsda sue heated or eondittoned?O Yes ZI NO A airidtf�unit
8 p A icondtdonjtl (aTtc` Fn r utre�) .Iz
Is exis"S space insulated''O Yes U No Alterauon of131 K&I
E1101:01SNIM ez
T;kr%compressors
I;ttafmiI nsutte O HEATNI a i t L1 Swto ballet petsttit rev.,
Addrese: 0RQ� f UCLRmO LCltelf Ctor1
City, Ad State- '�7 A+ eat cp�l fs��lte.pp_an rcciu ten
Phalle: Fes: = T►rttail: installheppec�naedtnutu:t /H .,..
�0l'�13Y9_- 2t .. Includin ductwa4Jvent lir,ef�Ycs U No
1-:CH nn.: n�Utcp tau ,ata-6caien 4ttapenr7eii�
City/rawo lie. � � - �_ _- Nall,or 00(w mountcd
Name(Please, dnt): 'vt
anan amz of r-d an furnace
(_'billers � IiP _
[CO: VIdfifltC_ _ — (tm, reseuro - - - Hp -
A_ddieta:_ ____ -- -- iaae4iihntnt sa rr•
_;"tlp
_ � tate.: Z1P: A,pin_mt�xvent - --
P
hone, Fax: P mail: txhAust _--
Duds,Type Illus. c.:fiamt�t
hrxtd 111 t supptassfrin systcrn
_- Q N/�� -- C44K- Exhaust fan Witte !!g1C duct(bslh hos) _
►r(> address: ' S -exhaust i nictn from lica n or —
t �1�1--- - kue ao a up w 4 Tutl_1 s —
- _N,
City: _ '`/� 2d S;ic:�R7 U_ �� 3 Ire: _)C NG ou S40
Phone; fax: 'f.17►v1: to t tnUteu a tnonaTovai:�: i _ - -
trocesip�stf(echetna4cttgmre�l) _
Number of outla_a
Nan1c: •--•-- .--_ Olha--1�ed areae -
- - --_ ttVP'Q�� egtall�
Addtcab: _ Decontiye_fu_�
City Setter --]=EP
tout/pal U"t
Motu: it � — - ---- �_�
�1j:FL rAper. —
Apfhoanrs
Marne (ptitit).
Noc VI Jrndeuaro ku{N gOda ortls,ptoia HniyriiduJoa for teort Inrana<<on' laeritt(t fee.... ................$ —_-
171/1ta 4MUMu4 N ce:ilei$patsait appliaauon Afinimttm fae....,, Z X2 ] U _Le' WS if a P-N-Mit is lint nbteined Plan rrvmw(lit 96)a i _�_J fW - uithan ISO Qa s attar It hay been Vt►ers tr4 as oomplrtestate 'W" a• �i era —' 3(1 P TOTAL •... zo
w ----- Ar~ 41104617 tCRamm)
!;exit by: ROTH HEATING 8 A/C 503 288 3178; 11 /08/01 9:;?1PM;Jg mA--#753;Page 3/3
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0`A t ANE'
CITYOF T I GA R D ELECTRICAL PERMIT
PERMIT#: ELC2001-00566
DEVELOPMENT SERVICES DATE ISSUED: 11/14/01
131e'S SW Hall Blvd.,Tigard, OR 97223 (503) 639-4'171
PARCEL: 1 S1250B-0900
SITE ADDRESS: 07080 SW LUL,-, LN
SUBDIVISION: THE RAZBE=RRY PATCH ZONING: R-4.5
BLOCK: LOT : 016 JURISDICTION: TIG
Proiect Description: Install 2 branch circuits for HVAC
RESIDENTIAL UNIT _ ___TEMP SRVC/FEEDERS _ _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG-
LIMITED ENERGY: 401 - 600 arnp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS
G - 200 amp: W/SERVICE OR FEEDER: 0 PER INSPECTION:
201 - 400 amp: 1st W/O SR'JC OR FOR: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: FLAN REVIEW SECTION _
L1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect ons �_— SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
KELLY, JOHN R + ELIZABETH A CANDY ELECTRIC INC
7080 SVV LOLA LN 790 S IVY
TIGARD, OR 97223 CANBY, OR 97013
Phone: Phone: 266-7873
Reg # LIC 26071
SUP 2123S
ELF 3-112C
—_ FEES Nequired Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 11/14/01 $53 50 2720010000( Elrsct'I Final
SPOT CTR 11/14/01 $4.28 2720010000(
Total $57.78
L- -- - ---___
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specially Codes and all other applicable laws.
All work will be done in accordance with approved plans This permit will expire if work is riot 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 Center. Those
rules are set forth in OAF.952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246.6699 or 1-900-332-2344
Permit Signature: r' � L -- Issued By:
r
— __OWNER INSTALLATION ONLY
Thr installation is being made on property I own which is not intended for sale, lease, or rent. —
OWNER'S SIGNATURE: DATE:--
CONTRACTOR
ATE: —CONTRACTOR INSTALLAI ION ONLY
SIGNATURE (IF SUPR. ELEC'N: ,– a� 'z a -
��------- DATE: .-- ---
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
uv.:/vv,)
Electrical PerWtn
-- Datereceived:1L-,t�-01 Permit no I- 5(ob
ProJee
City of TigarG Uappl no,: Exprrectuee
rd Addresit, 13115 SW HaM11 1V rd.O q[ � Date+ jued: �By � Rccalptno
GJryoj7ign phone: (503) 639-4171 1 0 Payment Fax- (503) 598.196() 0 Case :no.: ym nt type.
• �i use approval:
�CiA,�
Lar pp 6 Q
7 1 A 1 family dwelling or accessory =-)Commercinl/industrial ®M1t1ti-family D 1 cnant improvement
J New ccattsavctic•u J AdditicN.rlterntirn�replaceutcnt �J f)dye.r: 7 Pttrrlal
t
Job LV.LA- L,-J Bldg.no,. _ Soite no.: Tax Map/mi lot/acco int no.: _ T
Lot: aleck 5ubdi ision:^ _-
Pmjcct Descriphou ntrd location.of work on prm4es_ ttA
rss'timated date of i�+tnplcno�L/i1)-W!I putt.
Job no: _ � M"
13usituss ntunc: +� --� ,,��, y 1kscrt nen i ga l(�} Dotal no.trap 1
�i`S31T - — eNr�slden I-s 11!}o0t tntlti f7arnty trr
rAddress: " -Q S� drpltm6unit includesatachtdptap.
State:ofZ 2[P: -tis, ' Scrvimiocladee,
-Z� 1~ax_2�ob�SSa3 Ema[l: I000sq.ft.orlase
_Phone: 6� - Each additlonul 500 eq.ft,or portion thereo _
CCB no,, Mac.bus.lic,no: 3-1k 2 C-
lic,
lic,no.: 1�r-1 r1 Limitedmmi-Cy,non-residential 1~
rn Foch manufactured how or modular dINCIHng
Siennture df tupenlsing t ec�triccian(requirr_i)__^ Data 5cr+roti andlor feeder
s,lcynse n. ?12 3 S_ erviect or f en imtslhition,
Su .elect-Marne tprint)i)Ar. t of N t'jjA alteration or nelamfiana
Lim W fill _ 200 am c Qt-1CA9 __ 3
�\ . .. 1_unm to 400 ttmpe — 3
Name ft : sot amps to e0U rrups 7.
Mli4Addf668' .� 0 S,lai `�°► ►ten" 601 amps to 1000 ams — 2
C1
�Stnte: : -- ova:loon amps or v 91t,, 3
Phone, Fax: E-mldl: teonnrctuNv I
Owner installation;The instillntion is being ooade on property own Temporary alterterviation,
or ferrelo
which is not invaded for,alc, Icase.rent,vr exchange goeording to 200 o ps of■iteration,orrciocngOn:
200arn surlrss
ORS 447,455,479,670,701, zOl AMVI to soli ftnpr, -� 3
wner's 51CMM: _ hate:_ aol-t�anips _ 2
Btntnch crrcu is•new,Alteration,
or exteroion per panels
Name: A Fre ri,r branch circuits with purehust of
Address: s&Ntev(it feeder fee,each branch circuit 2
C1 Sta[G. IP: -- R Fero for hrnnch oircuits without purehme
-� —�--- -- of aarvice or redder fee,flr■t branch circuit:
Phone: Fax fi•rns]lt Each additirmdbt chcirrcuit._ )
Mlec.(Service or feedernot Inela6QF.
O Sandceover 7.25smp -enmroere,ai J Wenith-carefaellity EhPomp otlmgadoncircle
O Somier astir 8,10 Wnps•ronng of IR_ O Hazardous tocedon 54ch sign or outline ligh wil -`
fornilydweilierm Q Ruildingovcr 10,0Wsquare feet fouror Siprkal circuit(s)or&hmrcdenergy
panN
*Systelnoverf00solmnonunal more residential unusino.-testrutture alteradon,oreuension,
O8uUdingov►,ttlueastotira UFeeders,400amps ormore •gesrnptlure
O tkcu mt^load nvV 94 rotas U Manufocturcd structuw_y or RV auk -- J
P tx p Each atlditiunAl in,perijon ovtr the allowable[n Any of t chest
O HXms-0igh6neY::,� ]thl,cr Per ins ectiun ~ �a
Subndt _aero nt piasil rvltls any of IhC above, Itivesdgation fee -
"1'lie above are not applioAble to Ir mpoonary cotattrttcdon service. Other .__..,
Net all jutirtliM •W"I":Tm ,.•ei t w•c,nn}uu.dkaon Wr mor rnfutma—u n Notioc:'fhis permit application Pernitt f"t _,��1• •�U
Q via xosae -•a expi;cs if a perniii is not obtained Plan rrvtr" rt
t: tcam eutnber 5.�_1-1 _r__- ��. "' �.�t-.lcf.1�� ) . l� l $tat:
. .,;thin 180 days■Rea it has been ?..-.
L t.4 p`n °• ucrepted as complete. >C 07 Al. .. ,�.. •-1_g
�bSS99� ON dNOHd ONI D1slosh ANUD WOaJ
id Wd6t:1:T TR�7i? 60 no N
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Busiaiess Line: S39,4�T --- --
BU _
— — Date Requested � �——_---ANI__--- PI1� � B D — ---
Location_ 2�/�v 5ui �l��Q.���-r' — Suite _ �.� %'�M//EC �XO
Contact Person — _ l0 Ph 2G��� -- PLM
Contractor _— Ph — _-- _ _ SWR
BUILDING — TenantJOWner — — LC
Retaining Wall ELR
ualCCeSS: L( I �' FPSFondtion 1/3rt, (
Ftg Drain -- ---- -
C`
SGN
Crawl Dram Inspection Notes: I,?�i ------
Slab — SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Fram-ig
Insulakion
Drywall.Nailing — -- -- ----__-___--- —_---
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _---
Root
Misc: --
Final ----- -- .
PASS PART FAIL - - -- ---- ------
PLUMBING
Post& Beam - - --- - -— r --
Under Slab
Top Out -- --- —_--_ I ---
Water Service
Sinitary Sewer N
Rain Drains
Final --------.�—_----- — -
PASS PART FAIL
Post R eam — -- --- -- — — ----
Rough In
Gas Line ---- - ----- --- ---�— -- -
Smoke Dampers
Fir -_----------- ---- -�� - —
ART FAIL
Servicf'. —
Rough In
UG/Slap — -- -- ---- - ------- --
Low Voltage
_ am-, —
G r�
PASS PART FAIL --- -- ----- --- --..- ------- ----
Eackfill/Grading _ -- -- -----.__._---__—_- ----------..----•
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required befor,next inspection. Pay at City H,-JI, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f 1 Please call for reinspection RE:_ -- --_ [ ] Unable to inspect no access
ADA
Approach/Sidewalk / Z _�.
Other — — Date / — Inspector_ —_— — _—Ext
Final
PA.S5 PART FAIL DO NOT REMOVE this inspection record from the job site.