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10987 SW GENEVA STREET
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CITY OF T I^A^D _— ELECTRICAL PERMIT
TIGARD PERMIT#: ELC2003-00336
DEVELOPMENT SERVICES DATE ISSUED: 6/9/03
13125 SW Hall Blvd—Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134AC-06800
SITE ADDRESS: 10987 iW GENEVA ST
ZONING: R-45
SUBDIVISION: JEFFREY ESTATES
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: lrgtallation of(2)branch circuits for new a/c 8 receptacle.
RESIDENTIAL UNIT_ TEMP SRVC!FEEDERS _ s MISCELLAN,7US
1000 SF OR LESS: 0 - 200 amp: _ PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUTLINE LTG:
LIMITED ENEPGY: 401 - 600 d;,,N: SIGNAL!PA.NEL:
A1ANF HM/ SVC!FDR. 601+amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp. W/SERVICE OR F=EDER: 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+ amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: _ SVC!FDR>= 225 AMPS: CLASS AREA!SPEC OCC:
Owner: Contractor:
OPATRNY, FRANK J JR+JENNIFER R GARNER ELECTRIC
10987 SW GENEVA ST 2920 SW 247TH AVE#A
TIGARD,OR 97223 HILLSBORO,OR 97123
Phone: Phone: 503-648-4552
Reg#: LIC 121 159
SUP 1707S
FE_=.S _ _ LLF 34-305C
Description Date Amount
Required Inspections
i ELPRMTj ILC'Permit S53.50 11
I"I \xj 8 Statc Tax 6,');U? $4.28 Rough-in I
Elect'I Final
Total $57.78
This Permit is issued subject to the regulations contained in the Tiga,d 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 ib suspended
for more thorn 160 days. ATTENTION: Oregon law requires you to follow rules adopted by 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 direst questions to OUNC at(503)246-6699 or
1-800-332.2344
Issu4d By: ; / Permit Signature: <_
OWNER INSI ALLATION ONLY
The installation is being made on property I own which is not inti nded for sale, lease, or rent.
OWNER'S SruNATURE': ____ __— DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: =��� r�2'`� J �w� � DATE:._
LICENSE N7:
Call 639-4175 by 7:00pm for an inspection Cie next business -lay
07/19/2001 23:15 6427925 PAGE 01
Tlectricao Permit Application ��
Date receivor_' Permit no. J,
Ali A City of Tigard Project/appl.no.: Expire date:
CiryrlfTignrd Address' 13125 SW Hall Blvd,Tigard,OR 9722-1 Date issued: t3y:i' . Receip[7o
Phone: (503) 639^4171 —
Fax: 1503) 198.1960 Case file no.: Payment type:
Land use approval:
1 &2 family dwelling or accomsory ❑Commercial/industrial O Multi-family ❑Tenant improvement
U New constriv iii,n i I Addition/altet-atinrt/replacement r Other: J Partial
Job address- ci , Bid .no.: Suite no.: ITax ma /tax lot/account no,:
Lot: Bl A- Subdivision'
Project n I Description and location of work on premises:
F itimated date of coin letinn/inspection:
IM U1111
Job not Pa's max
rr- -- - Dmcriptiar Qty- tas Total no.Ins
Buniness name: I L
-y 1 L, — New reeldetttW-t�Mtgienrmultl•funlly{rer
Address' /_t`- dwelWrgudt.lorludm attar hm geraw
City:L:ff 1��'bt- rf I2IP: T1143 Serdeeincloded:
Phone Jr Fax; — ';JE-mail: 1000 sq.ft.or less 4
Each additional 500 sq.ft.or portion thereof
CCB no.: 61ec.sue iic,no: Limited enargy,_Midential,_Midenlial _ 2
Cit.lmt iic.no.'. _ Limited energy,non--widential _ 2
Foch manufactured home r r modular dwelling
_ ts+etafl' required)_ Dale ��-J--� Service and/or feeder _ 2
Sup,elect.name(print).,, rn� 7Lt 7"C �^cerorfasden-iarita'41af1ua,
alteration rx relocation:
200 sm c or lees 2
Name(print):'�y� f�
) -_04-t--v — 301 amps to 400 amps 2
�- — — 401 am s to 600 snips 2
Mailing address: _ 601!MU to 1000 amt 2
f'ity; State: ZIP: Over I o00 ars s of volts 2
D Fax E-Mail: Reconnectorly I
Owner installation:The installation is being made on property I own Temporary rerIkes or fenders-
which is not intended for sale,lease,rent,or exchange n"e rding to installation,alteration,orr.fort tion:
URS 447,455,479,670,701. 200 amps or It" 2
201 amps to 400•;nps 2 _
Owner's si nature: Date:
Brach circuits-new,alteration,
or extension per panel:
Name. A. Fee for branch circuits with purchase of
Addmss. service or feeder fee,each branch circuit 2
City, State;_ ZIP
Pea for ranch circuits without purchase I
of service or feeder fee,firal branch circuit, 2
Phone I.r - f mail Fach,ddittonalbranchcircuir
c.ff*nlee or feeder aot lac tided)i
❑Service over 225amps-commercrsi lJ Hcald cla..ilrtr Each um oiled adoneine 2
O Service.over 320 snips-rating of 1 R2 O Hazard.oa location Uch sign or outline lighting 2
family dwellings O building over io.o00 square feet four of Signal cireuit(O or a limited energy panel,
O System over 600 volts nonunal more retidantial units in one awcture alteration,or exleruion• 2
❑Buildin8 over thrrr stories Cl Feeders.400 amps or more *Description
O Occupant load over 99 persons O Manufactured rVucturrs or RV Dai 17ch additional ineperfleh over the allowahle in any of the above: _
0 rgressAightingplan 0 odw ,. --- Perinspection
Snbmif acts of plans with amy of the above, Invadgetionfu -
the above are not applicable to temporary :orstr iction service. other
._ --._T�_ Pennit tee......•........•.•. .$
Nor all lurlaciconno Kerr credit c ,plr rdi i�nubcuna fm mrne iof&Qdw. Notice:This permit applieatlnr Klan review(at �) I;
visa Ll M expires if a permit is not obtained
within 180 days at-r it hu been State surcharge(d9b) S
('rc t cod num •
/ �6a] its accepted as complete. TOTAL .......................$ —
`t
$�t_c
_- C nr riguty_ __,_Amari 440-felt 16H1t1COMl
CITYO1 TIGARD `_ MECHANICAL PERMIT
DEVELCP'MENT SERVICES PERMIT #: MEC2003-00292
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6;,3-4171 DATE ISSUED: 6/3/03
PARCEL: 13 34AC-06800
SITE ADDRESS: 10987 SW GENEVA ST
SUBDIVISION: JEFFF.EY ESTATES ZONING: R-4 5
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APP/_: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS_ HOODS:
FUEL TYPES 0 3 1-1 P: 1 DOMES. INCiN:
3 '15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLINC:� UNITS C
FURN >=130K BTU: _ <= 10000 cfm: � OTHER UNITS:
>
GAS OUTLETS:
10000 cfm:
Remarks: Installation of a/c unit.
Owner: FEES _
OPATRNY, FRANK J JR +JENNIFER R Descriptivi Date Amount
10987 SW GENEVA ST [MSCI-I] Permit Ice 6/3/03 $72.50
T'IGARD, OR 97223
[TAX]S',� titute'fax 6/3/03 $5.80
Phone: ,_ Total $78.30
Contractor:
SPECIALTY HEATING 8 COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 Cooling Unt Insp
Final Inspection
Reg#: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-00 .0'tflG—,,You may obtain copies of these rules or direct questions tc; OUNC; by calling
(50red
46-6699. -% — r
Iss By: - -� Permittee Signature: �� �
7V�
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
._� Date received: � O mitno.:�f�i�?.
City of Tigard Prgieadappl.no.: rxpiradate:
,.irvor I Cord Address: 13125 SW Hall Blvd,'119ard,OR 97223 Date issued; 9
Prone: (503)639-4171 y: Receiptno.:
Fax: (503)598-1960 case Me no.. 1 Payment type,
Land use approval- Building permit no,:
2 family dwelling or accessory U Commercinl/industrial U Multi-fancily ❑'tenant improvement I
N^v
construction ❑Addition/aheratioNmplac:emc•at q Other.
Job add•ess; (' } �-� toy d. �� Inlicate equipment quanhdes in boxes below.Indicate the dollar
Bldg.nt -utte no.: value of all mechanical materials.equipment,labor,overhead,
Tax mol Aa.x lot/aczuunt no.: profit.Value$ _
Lot: 131ock: Subdivision: 'See checklist for important application information and
Pro'ect t:eme: jurisdiction's fee schedule For rr•sic.-ntinl permit for..
:
tCity/ ou �
Descript(on andoctttion�of wort on ptemiscs: _ t s ! t r
- , Frt(ea.) Total
FAt.date of completion/inspection: pew
Qty. Res-only Res.otdy
Tenant i,nproventent or change of use: IV
1; existing space heated or conditioned?O Yes O No Air handling unit CFM_
i� existing space i-,:'ated?O Yes ❑No awn ition ng(site plan rcqui ) ,_ Q,v
A temuon o existin system
!MMIM our/compressors - -- -'
fiusinrss narric. t i/�f� ��i M G Rtgfe boiler permit no..
HP Tons BTU/H
Address: p/ �j t/e IQ B,A� p Irelsmoke dam act smoke detectors
Cl : / State: STP; 7/ eatpum (Rite am err
Phnnr.: g O Pox.. >," 3 E•malI: nsr rep ace arna umer__
CC>3 no.; S7 Including ductworktvent liner U Yes U No
Install/replace/rclocatc esters-suspend ,
Ci /meta 5 8C.nn.: Q wall,of floor mounted
Name 1:ase tint), cnt for a Ifance other an urnaeo
RIM 2 Bern
Absorption units BTC1M
Name_/.��ft!�� HP
Address: _&C ro�iO�° 1Psm Q Com ors HP
virnmitenta txltaast and renttlatton:
Ci i 5 Sta ZIP: Q�7/9.3 APPliance vent
Phone:&V6G abe F,vc: gy p7Q3 E-mail: O'crexhaust
Hoods,Tvpe 111re's.kiinfiicn7i-iaamat w
hood firc suppression system
Name'{ Y �� �✓/i I?*hautt fan with single duct(bath fans)
Matting ut dress: — -— x Crust system a art ro�`ni hsa or AL
Ci _ State: - Pae Ing and ft"b ti n(up to 4 outlets
Phone: Fay: Email: Type!
I-PG NG _ _ oil _
Fuc i tog . i aaditTonal over 4 out etv
1Pt•iceaspiping(schematic
rcquirt: .�
Name; Number of outlets
utpgeot:
Addr*ss: �" Pt—)Tst�e ap-pejo ur cq
_ Decorative fireplace
City: State�E�-m --
VMCF;nsert-tie __-`- `
Phone: F c stove/pe�l`eistov'o
A plicant'a aisnpturc: sw,Z, Date;
Name (print): ,typtt�!@N v /I✓Ntr'
Na all luriidkdi a acoap C"t cw a,Plea+e alt) bo I&neon intft'"doe. � Permit fee.....................S ^��•
0Vlsa 01 fastervaitt Notice;This permit application Minimum fee................$
Credit card ru,ad w, expires if a permit is not obtained
within 180 dr ,ifter it has been Plan review(at 96) $ _
Stetr.sun it R°k 41
--`Nem'e n7 canuwid�r e:.n„�n M,groat o..a accepted at c Acte. - +uKt•( 1 ....
_Z Atram TOTAL .......................$
t tid+tnrtua -- --
sar.t617(tiba�COM1
T •d BTGO 969 EDS 2U12eaH Rzle[oadS d2* : 10 Co 20 unr
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503,1 X09-4175
INSPECTION DIVISIffAN L usiness Line: (503) 639.4171 MST
/ BLIP _
Received __ - Date Requ sted__... _��AM—/�— PM___ BLIP
�LLocation __ �_- _J,_ Suite MEC .Za--
Contact Person -_ _ Ph( ) r!D �f d — 07 PLM
Contractor __._ Ph( ) SWR _
rPUILDING r—� Tenant/Owner _ ;_ ELC � 3
Footing
Foundation EL.0
Access: �-,
Ftg Drain �� ��� ELR --
Crawl Drain
Slab Inspection Nab : 1_7 SIT
Post&Beam /�J �'�-- `' T.'�� ✓Shear Anchors
Anchors -
Ext Sheath/Shear _
Int Sheath'Shear
Framing ---- - -- -- -
Insulation
Orywall NaCing --
Firewall
Fire t,prinkler -- �—
Fire Alarm
Susp'J Ceiling -- — -- - - —
Ro(,f
Other: _
Final -
PASS PART FAIL �— --— -
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service -- —__ —
Sanitary newer
Rain Drains — - -- -
Catch Basin/Manhole
Storm Drain - - -
Shower Pan
Other:
Final
PASS_ PART FAIL
MECHANICAL
Post&Beam
Hough-In
Gas Line
Smoke Dampers ----- --- —
na
ART FAIL -- — — --
ICAL
Service
ll
11TK8% )p
Rough-In _
UG/Slab
Low Volta^e
Fire Alarm
ART FAIL [] Reinspection fee of$— _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection 13E: E] Unable to inspect-no access
Fire Supply Line Com_
ADA �- _ V t� '� "1 1
Apprc-h/Sidewalk Data_._ L i 1 Inspet:tor
Other:
Final DO NOT REMOVE 'VAIs Inspection record from the Job site.
PASS PART FAIL