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7961 SW CHURCHILL WAY
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_—ELECTRICAL PERMIT
CITY OF
TI GA RD —
F'E'iMIT#: ELC2002-00162
�y. DEVELOPMENT SERVICES DATE 133UED: 4/10/02
-y-2� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S112CD-06600
SITE ADDRESS: 07961 SW CHURCHILL WAY
SUBDIVISION: BOND PARK NO. 2 ZONING: R-12
BLOCK: LOT : 046 JURISDICTION: TIG
Praiect Description: (1) branch circuit for garage lights.
_ RESIDENTIAL UNIT TE_MP_SRVC/FEEDERS —� _ _MISCELLANEOUS
1000 SF OR LESS: J 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp. SIGNIOUT LINE LTG:
LIMITED ENFRGY: 401 600 amp: SIGNAL/PANEL:
MANF HMI SVC "DR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INS( ECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
4U1 - 600 amp: EA ADD'L BP,NCH CIRC: IN PLANT:
601 - 1000 amp: _ _ _ PLAN REVIEW SECTION _ _ __i
1000+ amp/volt. >=4 RES UNITS: > 603 VOLT NOMINAL
Reconnect only: --_SVC/FDR >= 225 AMPS:_ CLASS AREA/SPEC OCC:
Owner: Contractor:
FC" EY, JAMES J + MARY ANN G +L ELECTRIC, INC.
7961 SW CHURCHILL WAY PO BOX 1047
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: Phone: 656-5623
Repo: SUP 2662S
LIC 88069
ELE 3-161C
FEES + _Required Inspoctions
Type By Date Amount Receipt — Rough-in
PRMT CTR 4/10/02 $4b.85 2720020000( Elect'I Final
5 CT C fR 4/10/02 $3.75 2720020000(
Total $50.60
This Permit is issued subject to lh .Ppuialions contained in the Tigard Municipal Cine,Siote of OR. .3peciaRy Codes and all other acpliu-1ble
laws. All work 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 follow rules adopted by the Oregon Utility Notification
Ce nter. Those rules are set forth in OAR 052-001-0010 through OAR 952.001.0080. You may obtain copies of these rules or dired questions to
i.l
Permit Signature: Il �Jl � I Issued By:
_ OWNER INSTALLATION ONLY
The ins!allation 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: __ ___-_' 1~ __ — DATE:__
LICENSE NO: -- -- —� > --------- — ---
Call 639-417'.) by 7:OOpm for an 'nspectioa 'he next bisiness 0y
`4
04/10/02 13:40 I-AX 5036501918 D&L- lii.l•;C'I•NIC, INC zu
(;4 '19,12,002 13:08 FA5035981960 CITY OF TIGARD 0001
Elecirical Permit Application
Darnrrwelvod: Q ,y Parmltno.:
City of Tigard Pio)Oct/apPI.no.:g ex data.
Ciry�J7tserd Address: 13123 SW Ball Blvd,7itaM,OR 97223Dore Issued_ D Rmelptno.:
Pitons (,501) 639-4171
Fax: (503) 598-1960 Cate f11c no. Payment type:
Land use approval-.
r
( A. 7 family dwrJling or ecceaeor• C3Cnmrnetrial/ifuiustriel Ci Muld-family U Tenant Improper»col
J etv consttuction D Ad�Jtion/alcerutlottirrpiarentenc C1 01h.m. U Pariinl
I
lob addmss 71(,L_54/ -_L4Ct;6 CT- IDidg.no.: Suite no.: Tut ma tax lodaccount no.:
Loc Block: Sutxllvlslon:
Prajcct name: _ Description end locAtion of work an premise,:
#Job
timated data of oom laion/Ins oo:
_ _ not
Business name: �•c R/L ,F�G f)earrt I"" _ a total ea lnor
N. r Kk R of an JY
Address: (� _ drclsrratmM.lnolyderaftadwl4af-.t.
r Phone: 6•air jr Ftv,, O /p &melt: I xxl w r, (If pert 4
Eich utrfluoenl 30tt sq. yr portion thetr0f_ _
CCP no.: floe 7 Elan.bile.Iic.no: 3/C�— C lirttilcdtner�y m4ldentW ——
CitylmeUo sic.na: Y7v9 _ , Lirrdtedertaf�y,nM•ralderttiol 2
S O p
Each mutufsetntedMmeormoduludwelllna
SI etureofru rvisin eleUricls^. wu� e _ Serviccandtotf4edfr 2
r. _
Sup.elemname at1lJtanuooZC.f alt nlloeerntsntlau
200 Amps of Ins 2
_ 201 am to fro s 2
t t
Mat U&aQ dtel1: 7 9, C�i4�<f // G/ '.l roils to 1000 2
r
city: IState ZIP; Z -_Csr Moo arrZt or vola
Phone: I flax. H-mail: Rownaectonly
Uwntx installation:TM Iftmelladoo is being made on Prot+erty I own Tompetary norview or kodars-
wysich is not Inendod for a�J•t,taara, . -kLI-aete actrtiott,aibrsttass,wrdor�sLrn
1 ntrrm ,tr rcotdirW to I0
0 smimrLorku _ l
URS 447,455,479,610,701 101 corps W t titps�— 2
Ownees el tum Data: 401"_hr 60�1mPa
reach drtatlts•naw,emrstfaq
or eslsasloa tsar pod'
Nmm .4. res for branch olrntilrs with pturhue of
Addmss: r — m vino or(fader foo,oath branch dMit 2
City: SI71tet �7�: _ A. Fee fat bmrJt olroaw t mitt pwchue i t 1
of eervfca or faorler fon,tint branch rucui
Phone- f n><:— E-tna11 Earb. ttional tranchcitru t:
MIK.( reararnotlaeludadlt
paah mot Im on t Lde 2
O Strtvia Doss 2]5 sun nvrtsrtial U flaaldsrire fadOrY �--�—
�� chsi noro%Wml' h 2
O Servibe Drat•)10 tmpo•ratloa el•W U Ftattardrrut loeulen .e_
ftmitydwtWNell
a o adlriowt M000 squije rira four at 5ilnsl eut:utt(s)tx a mltfe erwly panel•
r Systam ever 5W vcAU nominal note asidetelal MIA In MW stn,rnrr. atteratlot4 o,afanaioa• — 2
U Sulldtoe ever three satinet O rdedut,am imps or mmr. •�� tom
t J O"arw toad over 99 pawns m Mtnntae�urm sevetur.s or P V perk Fick midw.1 a ere,tM dlnw+tttr in my at above
Cl Pyessnl/Adnaplsn U Otho- Pvinspoedoo _ --1
Subrolt —stts of pleae V41h ray of tho sbov c. nwssupuoo too
Ths"Nor.we sat app AWA to tvmpottssy earsdreadoe serniea, other
Pervdlfix.....................S
Nm hil.lr%&-q4_ 'w"t.n,tlt ends,rts.,.ea"wdrd,tuaa Is r,a.wr«euuoa. Notice:This parmlt applirAttoo Flea tevlew
U"As p n Maof am expires ire permit is not obuined
eState sttrcharle(11%) .... 3
ends,taro asms,rs- _ _— ssithlm I Yo 010"sitar It bu bawl
Tt" "— seeepted as compicte. TOTAL ................. .... S�
----' •fie r two
1 S o- I
a t — t4rDA61S(600 M)
•
---------------- - -- — M ,HAr.I T CAL
CITE( OF TIGARD EC
DEVELOPMENT SERVICES FERMI T
F'FP,MTT it. . . . . . . : MEr99-0':'
PAW 13125 SW Hall Blvd., Tigard,OR 97223(503)63.9.4171 DATE I SE?UEn: 01 /19/99
r-"'ARCEL : 2S1 ! ".: ) •-06600
TE ADDREOG. . . 079r6t SW CHURCHTL-.L WAY
'RDIVTSI0'N. . . . : BOND PARK NO. 2 ZONING: R 1 T'
i ']CK. . . „ . . . . . . : LOT. . . . . . . . . . . . :04G 71-1RT aDICTIriN: TTG___
A53 OF WOW,. . -nl_.T FLOOR FCJRN. . . •, : 0 E.VAP COOLERS: 0
'PE OF IJNE'. . . . :SF LIN IT HF'ATE RS. . : 0 DENT FANS. . . : 0
CUF'APJrY GRP. ., :R.3 Vr_`NTS W/O AF'F'I_: 0 VENT L Y'JTF. 'r: 0
"ORIE'S. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . . o
JEL TYF'F"; _ ________._ - 0- 1-IP. . . . : 0 D()MES. INCTN: 0
3-1.5 HP. . . . : 0 COMML . INCTN: 0
X INPLIT: 0 BTIJ 15•-30 11P. . . .. :, 0 RFPI()TR '11\1T"''.3: 0
"Ir_" DnMPFRr^. . . 7-110--50 VIP. . . . . 0 Wr7UnSTO�rS. , . 1.
PRE5SIJRE. . . _-,, I I IP. . . . : 0 CLO DRYERS— : 0
"l. OP L)NITS------ AIR HANDL INC; HNITr OTHER UNITr. : 0
+RN ( 100K ST1..I 0 (- 1001710 r_fm 0 GAS OUTL_ET5. : 0
IRN i =:1(A0K STLI: 0 > 10000 rfm : 0
Remarks : Install woodstove insert
,Ticar: ____-._._. --______.__.__.__._.___._.__._.___.____._.__._ ....---.-___----.-.___._._. FFES
1mF-7 .r ,T FO'_rY t: frP m11r)t. lay r;At:e rnr=pF
161 SW CHL.I9CH I i_L. PRMT t 25. 00 CEO 01 /1.911,99
; GARD OR 972"2,3 5 P C T 1.. 7:�5 GEO 01 /19/9"; 99-31.2,"89
Phone #: 684- 193t
.TOHN Cl BRANCH FIRFPI..ACES R, MOR
jnHN OSCAR RpnNCF1
PO PDX 23E.9(1 'TnT01.
TIGARD OR 97PA1
Phone #: 620 0255
Rp #. . . 0039511
__.. ... ._ RE DW RED T Nr,'cCT T.ONf
This pewit is issued subject to the regulations contained in the Woodstove, Tnsl.
Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Tnshprtion _•� ,_��_w`
applicable laws. All work will be done in accordance W.
approved plans. This permit will expire if woo is iot started _-.__•_• ___. __r...- ____.. _ . _
within 190 days of issurnce, or if wore is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules ate
set forth in OAR 952-0W1-m-9 through OAR 952-N01-00N. You ray
obtain copies of these r.'ies or direct questions to OUNC by calling
(503)246-9187.
7 / /7
s'A a La}' = � � �/'� -- F'r?i rn i. k t:v rn 5 i i r
J..+44-++4 +.a.. {.++4 }P-+f .1-+-44.1-4..f4.+_ 4++4•+i..+.+.}+ 1-1 +.+++++.1•+4 p.+ {C. f-4 r_1-4.441 1 t-++ 1-+4++++4.4+4-
C I ] 6,39 .11t75 by '7:00 p. m, for- insspr±r.tions rteaedred tat+sinprs Hay
i i-+i-++ r-+-�•�•••1-+d +++}+4-+++•t++...+ F•++++-h+.+..F+•++++t••+•}+++++ r_ r ' ' r 1 r ! � � t 1
Man L neck 4
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd_
TIGARD, OR 97223 Date to P.E.
��-
(503) 639-4171, x304 Date to DST
Permit#,.�IJ<f 1 Cd��
Print or Type Called
_ I:rc,)mplete or illegible app'ications will not be accepted
sme of DevelopmentlP*•lad Descnptlor
I � L� y
1 am; (,11 u -( ,\ Table lA Mechanical Code OTY PRICE AM?
Job Street Address,.r� Surter A) Pe.lnit Fee -0- -0- 1000
Address _
Bldgs —i CRY/Slate Zip 1 j Fumaw t)100,000 BTIJ — — 600
l (.t including ducts ti gents
—� Name(or name of buauresa) 2.) Furnace 100,000 BTLI+ 7.50
Owner )is t i\_k' <_. f U{ F including duds&ve!tts
Mailing Addneas 3) Floor Furnace 6.00
19 �.t (� V. C \ including vent
CnylBtate ZipInorre P 4) Suspended heater,wall heater 600
Z t c C. ; A u-)C or floor mounted heater
Name(o,hhme of bu "U) 5.) Vent not included in appliance pe mit 3.00
Occupant Mailing Address— Ql_ 6.) Boller or comp,heat pump air cond. 600
to 3 HP:absorb unit to 100K BUT—
C lylatata Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
3.15 HP,absorb unit to 500K BTU"
C(ntraCior Name t 8.) Boller or comp,heat pump.air coed. 15.00
15-30 HP',absorb unit.5-1 mil BTU"
Prior to permit Malloy Address .JI( ` 9) Boiler or comp,heat pump,air cond. 22.50
issuance,a copy '( - C. ��C 30-50 HP:absorb unit 1-1_75mr1 BTU"
of all licenses Cnylstate Zip Phone 10.) Boiler or comp,heat pump,air Gond. 37.50
are required If r�rf -C'A'-1 >50 HP:absorb unit 1.75 and BTU" _
expired it COT on dnot. ,om.Board Lic.N 00 Exp.Date�] 11.) Air handling unit to 10,0CFM 4 50
database _ �C{ -_j y I —
Archi:ect Name 13) Non-portable evaporate cooler 4.50
or Wiling Address 14.) \i?nt tan connected to a single duct 3 00
Engineer Cnyl3tare - 21p Phone 15.) Ventilation system not includ.*'In 4 50 )
_ appliance pemid _
Describe work New O Addition 07 Alteration O Repair O 18J Hood served by mechanical exhaust 4 50
to be done Residential O Non-residential O -
Additional Description of work: 17.) Domestic incinerators 750
18.) Com-^ercial or industrial type 30 00
'tcinerator
Existing use of 19.) Repair units 4.50
building or property_ _ 4 50
20..)) Wood stove t,\Se i �
Proposed use of 21.) Clothes dryer,etc. a 50
building or property -
22.) Other units 4 50
Type of fuel-oil O natural gas O LPC O electric O 23.) Gas piping one to four outlets 200
1 hereby acknowledge that I have read his application,that the 24.) More than 4-per outlets(each) 50
information given is correct,that 1 2m the owner or author Led agent of
the owner,that plans submitted are to compliance with Oregon State CITY SUBTvT.',L /
laws
Signature of Owner/Agent Date 'SUBTOTAL
1 ); URHA
r� J\� 5%SCRGE _ / -
1 r __
Contact Person Name (\ Phonoi PLAN REVIEW 25%OF SUBTOTAL �` (C
4
TOTAL �� U
eUneOraechpmt.doc (rev 9 permit rmit fee is S25+5%surcharge 0
"Residential A1C requires site plan showing placement of unit � ) C
tC l I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received _ Date Requested AM AMF'M--- BUP
Location �L �,.�,1d.1,� /' Suite L& _ MEC
Contact Person _— Ph(--) PLM
Contractor y Ph(—) SWR —
BUILDING TenantlOwner "L �,a.-&') -- ELC 60160
Footing ELC
Foundation Access:
Ftg Drain ` ELR -
Crawl DrainPr -
Slab Inspection Notes: SIT —
Post&Beam
Shear Anchors %: -
Ext Sheath/Shear --
Int Sheath/&&ear
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
Water Service ------- -- ----- -—
Sanitary Sewer
Rain Drains -- - -- - - -
Catch Basin/Manhole
Storm Drain - - - --- - --`-- -
Shower Pan
Other: -- - -- -- -- -
Final ------ ----
PASS PARTFAIL ------ ------ -----� � -
MECHANICAL —
Post&Beam
Rough-In ------ - --- -_--
Gas Line
Smoke Dampers -- --- - ----
Final
PAS FAIL ---- -- -----------------�. ----- ------ - -----
LXE
CTRIC -------- -- -- — -- -- — -- -----
hough tri -- — — ---- - - -- -- --- -
UG/Slab
Low Voltage _ -- -_--_ _------- --- ---
Fire Alarm
Reinspection fee of$ - _required before next inspectiun. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE— u Please cali for reinspection RE:. -.—__.__— — Unable to inspect-no access
Fire Supply Line
ADA I G 1 6 -Ext
Approach/Sidewalk Date �1_ Inspector ___
Other:
Final DO NOT REMOVE this Inspection record from the fob site.
PASS PART FAIL