14896 SW KENTON DRIVE I
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14896 SW KFNTON DR
CITY OF TIGARD 24-Hour
BUILDING Inspk ctior. Line: (503)639-4175 MST —
INSPECTION DIVISION Business Line: 1503)639-4171 —
BUP — ---—----
Received .Date Requested__ _ _� AM..._— PM Djup
Location — __- S w° •�__.__- Suita__.._._ — MEC
Contact Person _ _ _—_ _-- Ph (—_) --- PLM _--
Contractor 1.-^�y�_` — Ph 5VJl 7-- swR _—�--- -—
I BUILDING' Tenant/Owner 4"'
` Footing -
Foundation ELC ___
Ftg Drain Access: ELR
Crawl Drain ---
Slab li,spection Notes: SIT —
Post " Beam
Shear Ancnors _-
Ext Shoath/Shear
Int Sheath/Shear ---�---- -- -
F,aming - - -.._-------- -- .-- -
Insulation
Drywall Flailing
Fire S `-
FirewallY �� Ov
�:rinkler
Fire Alarm /
Susp'd Ceiling -_-_-_ —_- -
Roof
Other -_—
Final L
PASS PART FAIL ---- -- - - - - - -
PLUMBING
Past& Beam
Under Slab _
Rough-hi --_ - - -- -- .= � ---_--- -----------
i
Water Service - - ---- _-- - -- _- _
. nitary Sewer —
Rain Drains -
Catch Ba-,in/Manhole
Storm Dain ---- - __ ---- -_-._ - _
Shower Pan
Other. ----.-_-._-
Fina! -- �-- -
_4. T FAIL
Post 8 Beam -----_-_ —__----._--- - - ---- -- - - - ----
Rough-In --
Gas Line -
Smoke Damper,;
_PA
T FAIL - - - - -__- _-.. --- -- --_
_F_CTRICa
Rough-In
UG/Slab --- ---- --- ------ --- ---_
Low Voltage _-
Fire Atarm -- -------_ -____ _. _ ---------- - -
rr areouired br..o Reinspection fee of$-.-_ _
k PAS ` PART FAIL p next inspection. Pay at City Hall, 13175 SW Full Blvd.
SITE - - [� Please call f f reins ection RE: Unable to inspect- no access
Fire Supply Line
ADA
h /
Approach/Sidewalk Da - / Inspects Ela __--
Other: /
Final DO NOT RFMOVE this Inspection record 46'm the job site.
PASS PART FAIL
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00418
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 7/23/03
SITE ADDRESS: 14896 SW KENTON DR PARCEL: 2S112CI3-13300
SUBDIVISION: ASHFORD OAKS NO. 3 ZONING: R-7
BLOCK: LOT: 142 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP- VENTS W/O APPL: TENT SYSTEMS:
STORIED: v BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: - OTHER UNITS. 1
> 10000 cfm: GAS OUTLETS:
Remarks: In,l,ill r�irri�n •� (' unit. I)O nit in:;talI %\Hliin Ili• rcyuirccl setimcks
FEES__ _
EKBF RG, TIMOTHY l + LILLY M Description Date Amount
148968W KENTO1`. 0R --- - - -- --
TIGARD, 0':' 47'.24 I'rl'n it I rr 7!23!03 $72.E0
[TAX] 8",,titatc'l 7/23/03 $5.80
Phone: 503-n84-5092 _ Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HIL.L-SBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 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 n les are set forth in OAR 952-001-00
Issued By: Permittee Signature: _AL
Call (4 03) 639-4175 by 7.00 P.M. for Inspections needed the next business day
Mechanical Permit Application
�- Datereceived: F'ennitno. D i.ba
Clity of Tigard Prolccr/app! no.: rspirc date:
Cir)orTigird Address: 13125 SW. Hall Blvd,"Tigard,OR 972:3 "-m issued -
Phone' (503) 63931'11 baBY' Rcceiptno,:
Fax: (503) .59R-196r) Cdsc fiL-no.
��- Payment type:
I.iuld use approval: _ _-- Building perm:[no
�'I &; family d yelling or accessory Q Commercial/industrial Q Multi-tvriily Q Terant improvement
Ca
N r w :onstruction 0 Addition/alxracion/n.pl:ir_Prnent I-]athe" _
EM 1� t
Job adds ss: r
� ��-��t':r.i[7►�� �h[Br. F�Y-�, `• ,ndicate equipment quantiles in boxes below.Indicate the dollar
Bldq_no._ -- Stlitc no.: !- — value of all mechanical materials,equipment.labor,overhead,
Tv mapi nx lot/account no.: -- profit Value g `�
La t Block: `�Suhdivisiou: _ _ y 'See checklist for i,,ipor=t application infrnmation and
L
Project fit roc: - jurisdiction's fee schviule for residential perriit fee.
Citi/countyc p., d ZIL- �� �- ��•c, } t
hescrlption and la nn of v•crk on premises:
Fee(m) ToW
Est date(f com lrtion/inspection: Iles.7iption Res.onl
_ _�_._________ 12tY• Y Re:.only
Ten,trtt improvement or change of use: T AC:
Is p misting g r ace heated or conditiorted'I�Yes Q No Air handling uT ntng(sit CFM y,
Vr coadidoniie n
piorequir)ed --
Is 1:xisdOs space Insulated?1:1 YeQ L7 No r
Alrernuo'n of�.:cTsd�rgTiyAC.tystem � �-
�. 1 1 Budt:r f,nmpreaars —'—
"M nets fame: 0 t eti�f , r o"`;(� State Boiler pctmir no.:
HP Tons_ _BTU/"
Address: I (�G 1 - k . U e, p - _ -
L- �- Firrlsm�n ce dam eti/duct smoke c�etertors
City: , Stat e:ti,r_ ZIP: 5_/aT eat um`sue plan req wred)
-- - -
Phoac: to e-5 L,o . Fax: t E mail: ll�
nstapiace urnac urner�- U-1T`` LIZ -- Includiwork/vent liner O Yea O No
r —•---=•�---- n�t
InstalUrcDlace/te ocatehcaterr.-suspendod.
City/metm lic.no I >�(, (a wall,cr floor mounted
�' 13e print): _ r �(.v e' r(S Q Vcnt Mora Mance other than funtace
/ 1 Re ere dirt `-'-
Abaprpuon units__. _ B I V/li _
Namr. Chi'.IctsHP
Addlr asr .—_ -- - _- Co. !;��s lip -_
---- kti ituaetttal exhtsuaiind renti non:
City_; Sten,: Zr.
Appliance Vent
Mont:: Fax: E-mail - txvvrcxrausi -
_ _ ' - - _
tn �s_}�ltchen/tarmac
hnnd fire suppression ryr tem
Nanu: �C rv.� L1 b•Q v �t Edtatut faa with single duct(bftth fans)
Maili,.tg adlt:toss: - Eathausr a'ystcm a art trtim hrating or A- LT� -
- kueTPt�p ag� stn on(up to 4 out as)
City: �_1—_. ��__. f Type: LM NG _ tail
Ph I-S 5% Fax: Email: T�- uc t ing�h`addtu X----I over4 outleis
P P14(schrmatir,ttquirrd)
0 IM
Name Number of outlets
Address:
-- ---- ----- ►sti.j Mvpttwi'--cr cir egtrii ifent:
_ A— ,
City: YStBtC ar t -typeF,-mail; - movr�p e1.zitsi vePh rFru:A litany, si ature: L ,�,. , .
Name (print):
-
a al�bor s-a-s-xp credt ants,Plee WI jurlxN � pennit fee ......,... ......... -�•_��_.�.
Nod",-this permit application Minimum fee................ -
expires if a prrmlt is not obtamcd plan review(at 9t;) $
vvithiu 180 days after it has been State surcharge 8% $
acccpted:ts complete. 8 ( ) .... --•+y�-^
TOTAL ............... .......S _ Q-
H0•+617(0A7tM�M)
gut%eaH R*41etvadS Lp*.130 I.O i,z 3nr
SITS; PLAN
PL
3
t 7
PL �l(
FL
STREET
Specialty Heating & 'C;ooling, Inc
9 5 2 8 S W Ti gard Street
Tigard, OR 97223
Phone 51)3 .620.5643 Fax 503 .598.0718
1-fillsboro Phone 503 .640.3607 Fqx 503 .681 .0793
� 'a SILO 969 EOG 2U12RaH R21gToadg w2* teo 60 22 Inr
CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT#: ELC2003-00453
DEVELOPMENT SERVICES DATE ISSUED: 7/25/03
13125 SW Hall Blvd.,Tiqard, OR 9722.3 (503) 639-4171 PARCEL: 2S112CB-13300
SITE ADDRESS: 14896 SW KENTON DR ZONING: R-7
SUBDIVISION: ASHFORD OAKS NO. 3
BLOCK: LOT : 142 JURISDICTION: TIG
Project Description: JOB NO. 1886
Wire A/C and add GFI plub --
_ _ _ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS f.dSCEL_L_ANEOUS
1000 F OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SiON/OUT LINE LrG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANI HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER IN`+PECTION:
201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: --� __— PLAN_REV!EW SECTION
•1000+ amp/volt: —4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: _ SVCIFDR — 225 AMPS: CLASS AREAISPEC UCC:
Owner: Contractor:
EKBERG,TIMOTHY L+LILLY M HILLSBORO ELECTRIC
14896 SW KENTON DR 21185 NW EVERGREEN PARKWAY
TIGARD,OR 97224 HILLSBORO,OR 97124
Phone: 503-684-5092 Phone: 503-439-9666
Reg #: ELE 34-4330
LIC 134481
FEES _ SUP 42405
Description Date — Amount
Required Inspections
JELPRMI-1 LLU Pcmut _'; nt $53 50 -------
ITAXj 8°fo Stale"rax �34 8 Elect'I Final
Total $57.78
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 a^•cordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or 9 work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utlilty 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 at(503)246-6699 or
1-800-332-2344.
Issued By: ���'1't _ _ Permit Signature: —
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale, lease, or rent.
OWNER'S SIGNATURE: ___ _ — _.. DATE:_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL EC'N: DATE:__________._
LICENSE NO: ----- --- -------------- - -- ---- — — -
Call 639-4175 by 7:00pm for an inspection the next business day
From:HILLS60R0 ELEC'iRIC LLC. 5036013680 07/24/2003 12:57 #154 P.002
Electrical Permit AppUication
Nte received: Pernik IIo.�,K _ s
City of Tigard Prvjectlappl.no,: Expire date:
,;icv of]Yhtttd Address: 13125 SW Hall Blvd,Tigard,OR 97/1.23 Date issued: �~ By. P..ipt no.:
Phone: (3031 6394171
Fay: (503) 598-1960 Case file no.: Payment type:
Land use approval:
,l(I &2£unify dwelling or accessory U Commemial/industrial Q Multi-fpmi y 0 Tenant improvat.eat
(:J New cotsstivetitrn ❑Additiaa/alternt{oniteplacrment l)Outer. (a Partial
1oh address /L/ u) Bldg,no.: Suite_no: Tax trap/tax lot/aeeount no.-
Lot: Block: _ Subdivision. _
Project name. Description and location of work on premise:i;
EvImatod date of cwrnpletionJins cdon, _ ---�
Job Mrs
H111sbor � lrlectriC, LLC _ ' �°° �'' " TOW °e't—'v
Bt,siaeee name: Na.tnrlieatid-shrRMrrrasOW��per
Address: 21135 NW Ever reen FkWy S{;@ _ d� leH.t>xll..tov»�atbdprrae.
city U;Li 1._4_l Q r o State ZIP: 97 124 ke 6
onel}3 9— 6 la Faxg p _ g B•mail: sono�-tt of tau — _
Ph --
_.._� � �_ _ .•+u
tl' tlrneof
CCBDD.: 134481 Elec.bus.lie.no: 3 _ g C -
!ate arldidorul 500 eq.ft.of
C{ / efro lic, no,: Alied enerp, residential z
_---.� _ _ � Lim+ted_eaeryy, irotiresldaotinl _ 1
Fath maulbcturad Moo or moMar dint!ine
i of tvisin� electrician (requhcd) D t - 9ervico m+drm (rider 2
3arrrlccs�t forams-IneUruedrrr.
Sup.okm
ot nae(lit): J O v 1acco [.Item t nos 4 9 415 deeraHor.rreieewdow
700 ertl�i tx Is7e - Z
Name(print): 201 am to 400 amps 2
600
Meiling address: _ 601 artrps to 1001)am 2
C1C;✓: Sln1C' 7.1P' Over IWp orwiu _- 2
Phone: _ Fax: E-mail: aoconrwt only 1
Owna installation: The installation is being made on property I own Temporary eers4eesorfeeders-
which is not intended for sale,lease,ient,or exchange according to °dOn"th1°uD`o.retocrttes
ORS 447,455,479, 670, 701. 201 amps to 400 ertrps - - 2-
Owner's si tur'e _ Date: 40110 600 amps _.- 2
Mroach cirruhs-new,alteratlee,
or extension per parelt
Name: A. Fee fbr hrenah chemoi with p=hase of
Address: m-gce or loader fee,each try circuit 1
City: �L sutra: ZIP: e. Fee fot br%wh circuits witt,aa puntvar j
Phone: pax; pans{l; of aervtce or feeds fee,tint bench cimtir: 1 2
Each additional brunb cim-wr
lam
Msec.(Serrtaortenderootirelyded)
*9crvlee ova 221 ampe•ammfmfW CI Heahhrare fMeility Each pttmp a irtlptrirm cicala 2
U Service over 120 aerpe•rsting of Idr2 O Hazar&w basion _Nath ai;o or oii!fi- 62L _ - - - 2
(Milt, dvwltinp 3%WdbV over lu,Uw square that fb'tr or Signal clrcult(s)cn n limttod emreTU pomi,
Syelem ovq 600 Volts nominal nicer roklanlal Units in tare Ihuehue alletation, or extendan"
U ea
8ulld'nF war three stories to F'eedmi,400 amps cr roam "Deaeri Sinn! _
D Owiram Iosd ovs 94 petxorm O Mmurhtuted atria mets or KV park FAeb additlaZ a p d"i Mar the aaovrl im Ir wq orale a —
C]Foreed(ibhting plan GI f)thes+ �. Pcr int on
- -
So wwN_-._a*a vt plana watts>tn7 of ffie stere. �n _ d.� _ - -
Tbtt above are not appilemble to tempotray cut rsMog sere Otter
smtior—---. _
VJW 09dic000s accept eredir cads.phut"ru Womemri NT more Ineormstim Notice: This permit npplic°tirm Permit fee.._..................5 _
-6 VI" ❑Mastotcod expim If a permit H not ahoined Plan review tat_ 1A) S--
Credit card number._ -_ _L_L_ - wittlin l Ot,days Fitter it has bead State surcharge
Bawer accetmd as compl-10� TOTAL
'IJim'oic a der ns s �� .......................• _.
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e r r genus Amnni W(�aU fb4)OrCOM)