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15118 SW KENTON DR
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CITY OF T 1YARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: %IEC2004-0,
13125 SW Hall Blvd., Tigard, OR 47223 (503) 639-4171 DATE ISSUED: 9/16/2004
PARCEL: 2S1 12CB-08800
SITE ADDRESS: 15118 SW KF_NTON DR
SUBDIVISION: AF (FORD OAKS NO. 2 ZONING: R-7
BLOCK: LOT: 102 JURISDICTION: TIC
C,.ASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEAVERS: ✓ENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTr_MS:
STORIES: BOILERS,1COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAI'3ERS7: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 10f'K BTU: 1 AIR HAND-ING_UNITS_ _ OTHER UNITS:
FURN >=1UOK BTU: <.- 10000 cfin: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace furnace&add 1/C.
Owner: _ _ FEES
HOOVER, BJ Description Date Amount
15118 SW KENTON DR
TIC,ARC�. OR 97224 OM1-,C IIS I'crnn hcc 9/160,101 $72.50
TAXI 8'%Stale Surchart 9/16,200 $5.z-.
Total $78.30 J
Phone: 503-67.0-8730 -----�- --� -
Contractor:
A-TEMP I(EATING & COOLING
16000 SE '-VELYN ST
CLACKAM.{S, OR 9701� REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 503-650-9002
Ccir,linn Unt Insp
Reg #: 1-,C 7181-8 Firaf inspection
This permit is issued subject to the regulations contained in 'he Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable ,iws. All work will be done in accordance v.,i,h approved plans. This permit will expire if work is
not Ctoned within 18( Jays of issuance, or if work is suspended for mere tion 180 d3�s. ATTENTION: Oregon law
equires you to follow rules adopted in the Oregon Utility Notification enter. 1�,o,;e Liles are set forth in OAR
952-001-0010 through OAR 952-')01-0100, You may obtain copies of these rules dir,:ct questions to OUNC by calling
(503)246-6699.
Issued By: ;) T/S.!! _ Peirnittee Signa•ure: ,�r ; .0[�
r
Cell (.50311639-4175 by 7:00 P.M. for Inspections needed File next business day
SEF'-14-2004 34:10 AT I NG 5035572990 F.02/03
M
mph a-,, caI.permi _ ' Ilg7-rw
City 4fAigard -,i_, -.i i 17 SCP!Hall laid.,TIVK OR yiwF P• 1. 4 1004 Otherpermit.
Ptrma: 563.639.4171 Fax 503.S9R.1960ins;+ectt�lioc sm.�9.417s , i JF TIGARD lutiu tr se.Pagt2fer
intmxt aww.dtvrd.or.r�
Mechanical permit fees*ere based on die value Mthe%Oltt
J11&VW aonatruCdon . ditionlaltaration/mplaeement performed Indicate the value(muudcd to the nemest dr4w)of all
nL'ticn'>r';;;,; � mechanical materials,cqumen labor Dish end tvfrL
Value:S
d 2.&mily dwethng [I Comma ci0ftclustrird ❑AccWmy building Few cial htformattun U.re chit U.rr.
i-family []Ma�:er builder El Other: 7-"
n 1— 'rJ.__.A'. focal
ioningorheat pump _eo
job lite addirmav i ">`� �?y eplsn ahewiLR ,f leeernn,� 14.00� ?City/StatrlLll': (jC�r c=j "7��q� 00000 E1TU ducr/vener IF 17.90
---- --- -- Furnace 100,0001 HTU duem/—b) 17.90
5uttrJhldgJept.on.: Project carne: t_j,r r,l):p�- Ons homTq _- 14.00
Coss xtreetldiredims to job site _ --++''��'--�� Uun aor� 1`•p0�
-- - )moronic hot wnter s tem 14,M
Residential boiler(radiator nr -
�_. 14.00
-_ Unit heaters(fuel-typo,not electric),
-
in.wldl,in•duc ended etc, ;OdtO
Flue/vent f(x any of above
Stdrdivilltxi i of no.:
Tax.;uap*ml no.: Other the Manes
Water heet�a --- 10.00
qas fireplaoe 10.00
Me vent for weir heater or gas
/Ir..l.ee� C-1 fi lace _-• 10.00
I.0 h terAas) _ 10.00
-- Wood/pcilet stove 10.00 _
— `— Wcod fire lecelinsert _.- 10.00_
Chimp /liner/flue/vent 10.00
Environmental a:hault and ventilatio
Nom, y/�, n _
— r��37 LpQ v - - Range hood/oUier kl!then
Addrm: EL L9.1 �'UL -P_AZV -CM U-C _ I equipment - --- --- _ 10.00
e f Clothes drr r exhaust 10.00
tY' 1. I�Ck �. .. �__--__--_ _._ _.---- Single-duct"Must(bath—ems.
pfiotte *1 Fax:( ) toilet compartments•utilir;morns 6.60
Attic1crowls ace fans
Ftn4i, time: _ Fuel IPE
contritl nmm 55.40 for forst roar;51.00-for cath addidonal _
Fumeee,etc.
_ _-- Ga4 heat pump___
City/ShtL�lZ[I' __ Well/sus cnded/unit heater
Water heater
Ifione:( ) —LFnx::( ) - Fi lace --
f rtta{I: Rm c— --- -- ---
13arbecur.
,�/� Clothes dr r4as) _.---- -
fjUsdrraa Other•
er
Add kL
— ._ ` Subtotal
CitY/StaePl�
Minim,.n pctmh ft(572.50) f
('trona ) (,-,e-- Ion(.O C a'—_ Fax:� rl a;LSS ;'len review(254 n(permit the)�,Z
Stmt surcharge(K%of pCttmt fbe �
Ct F1 Ile: , ��tr - -- TOTAL FERMiT FEE
�,. < y� f (tib prrralt sppiicstlee a:pir"it a permit b aatebt>trred NMhln tae
At
rIM srhr If hsr been serepted u aeeplsea.
!'tint
Date y — p X methodeln�eel . Tr1-('ntmty Attlldlna(namtay 3ervtrn 11rwd
4a0mt1T(nmVc0ww®)
i Wtrifdl .rh.Qoo 12M
_-iEF--14-2PO4 14.*10 ri TEMP HEATIH6 5035572990 P.931/03
1
A-Temp Heating and Cooling-
Site
oolingSite Phali
Pi-q i-cd by-j�i CSL
C�Istol�ic;r Nan�c: � _ Address:l.-5-
custoliier' Phone- 7 .30
.I'rnl1rily 14nintthi y Linc• —
1
-
Lie - ---
Street
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Bushvess Line: 03)639-4171 MST _-
BUP
Received _ Uate Requested_ _ Z' AM PM -- BUP _
Location Suite _ _ MEC
Contact Person .-� — Ph _ ) — PLM
Contractor _ ^_ P ( ) _ SWR
BUILDING
wny _. ELC � ��— U�'� r
Footing � �r ` L' HLC
Foundation Access: 4,4 L � y - -- - -- —_
Dram G'1 E.LR
Cr
awl Drain
Slab Inspection Notes: SIT
Sh, .r, s --- - -- ---
Ext Sheath ohear
Int Sheath/Shear
Framing )INCM -
Insulation . / � p , /
Drywall Nailing -MI Ad," U t_:-1 1e
_ ��� � Y
7 A ��/�G /T 1 '7
Firewall
Fire Sprinkler
Fire Alarm 77C� 1�
',,)usp'd Ceiling -- -- --
Roof
Othnr. -- _—_ ------ - -----
Final
PASS PART FAIL
PLUMBING
Post&. Beam _
Under Slab _ --- - -- ---_-_ —
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain
Shower Pan
Othe.:
Final
PASS_ PART FAIL
MECHANICAL ------_—_--
Post&Beam
Rough-!n
Gas Line
Smoke Dampers
7
PASS --PART FAIL
---._,�_� - --_-- -- -------._____._ --
_ PAS
Service - - - -- — ---- ____------- - _
Rough-In
UG/Slab -- - ------------- ___-�..___ _ _
Low Voltage
Fire A'arm
�� u Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS.. ART FAIL
_ u Please call for reinspectlon RE: Li Unable to inspect-no access
Fire Supply Line
ADAC
Approach/Sidewalk Gats - Inspeeter txt _
Other:
Final - DO NOT REMOVE this Inspection record fk,om the Job site.
PASS PART FAIL
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2000,-00625
DEVELOPMENT SERVICES
DATE ISSUED: 9/29/2004
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171
PARCEL: 2S112CB-08800
SITE ADDRESS: '15118 SW KENTON DR
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7
BLOCK: LOT : 102 JURISDICTION: TIG
Project Description: (2)branch circuits for a/c&furnace.
Job No. 06-3386
RESIDENTIAL UNIT _ TEMP SRVC/FEED_ERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 • 400 amp: SIGN/CUT LINE LTG:
LIMITED ENERGY: -401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 2.00 amp: W/SERVICE OR FEEDER: PER INSPECTION:
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 REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
HOOVER, BJ EVERGREEN ELECTRICAL CONTRACTOR
15118 SW KENTON DR 23861 SE 442ND
TIGARD,OR 97224 SANDY,OR 97055
Phone: 503-620-8730 Phone: 503-668-4608
Reg #: LIC 130111
ELE 3-472C
FEES _ SUP 45815
Description Date Amount
�I 1 PRM11T1 ELC I'ennu � 9/29/2Required InspectionsUU4 $53.50 - - --—
�T.4A'J 8%Slate Surcharec 9/29/2004 $4.28 Rough-in
FlPot'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 accordance with approved plans phis permit will expire if work is riot started within 180 days of issuance, or if work is
suspended for more Lhan 180 days ATTENTION Oregon law requires you to follow ruleE adopted by the Oregon Utility Notification Center Those
rules are.,setr6`ifR 1R OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
2466 9 or 1.800-332-2
Iss d BY: Permit Signature: rJ
OWNER INSTALLATION ONLY
The installation is beinq made on property I own which is riot intended for sale, lease, or rent.
OV1'NER'S SIGNATURE: DATE:
_ CONTRACTOR- tNSTALLATION ONLY
SIGNATURE OF SUPR. EI.EC'N`_ DATE:
i.iCENSE NO: .___--
Call 639-4175 by 7:00pm for an inspection the next business day
L'Iectrical Permit 'lication
City ji ri 8rd 1'ernu(No
BY
13125 SW Hall Blvd.,Tigard,OR 972x, I
f4SG` Ian Review Other Pertrut:
Phone: 503.639.4171 Fax: 503.598. DaMM
Inspwinn Line: 503.639.4175 ,•I(,AFi1) Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.cirus ( Notified(Method Supplemental lnform,r u `
i IP.I,l11Y a.. RIC VMV
❑New construction ❑ Addition/alteration/replacement Please check all that apply,
❑Service over 225 amps,comm'I ❑Hazardous location
❑Demolition EJ Other []Service over 320 amps-rating ❑Buildng over 10,000 sq.ft.
of I-and 2-fatruly dwellings 4 or more new residential
.7-and 2-family dwelling �❑Commercial/industrial ❑ Accessory building []System over volts nominal units in one structure
C] Multi-family ❑Master builder EJ Other ❑Building over three stories ❑Feeders,400 amps or more
❑Occupant le- over 99 persons []Manufactured structures or
rse+ d ON 1Td Ad, `' ❑Egress/lighting plan RV perk
Job no: Job site address r f" ' -
—]Health
facility ❑Other
J L �I �L� >t�C�I � Submit-,t,-sets of plans with any of the above.
City/State/ZIP: The above ere not applicable to temporary construction service.
Suite/bldgApt.no.: Project name: ^'j S NDVLE_
Description IQty L Ra. Tool ��
Cross atreet/directions to job site: New residential single-,or multi-famiip dwelling unit.
Includes attached garage. _
1,000 sq.ft.or less 145.15 4
Subdivision: '�- Lot no.: Be.add'I 500 sq.ft.or portion 33 40 1
- --- ----- ------ Limited energy,residential 75.00 2
Tax map/parcel no Limited energy,non-residential 75.00 2
r
'' �r► � "' `1st � � � ;�" ••y Each manufactured or modular
dwelling,service and/or feeder 90.90 2
Il 1 t , urs Services or feeders Installation,alteration,and/or relocation
200 amp or less_ 8030 2
„ T 01 strips to 40U amps
2 10685 2
r
•� f ' - -- --- --..----- 401 amps to 600 amps 160.60 2
Name -�� 601 amps to 1,000 amps 140.60
Address: Over 1,000 amps or volts 454.65 2
--.-.-. Reconnect only _ 66.85 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
r "--- - relocation
Phone:��`�) 0—k- � Zj�) Fax: 200 amps or leas 66.85 1
Owner installation:This installation is being made on property that 1 own wh'.ch is not 201 amps to 400 amps 100.30 2
intended for sale,lease,rent,or exchpetge,according to ORS 447,449,670,and-701 401 amps to 600 amps 133 75 L2
Owner sign __ature: Date Branch circuits-new,alteration,or extension,per panel-
t � A Fee for branch circuits with
s+ service or feeder fee,each
665 2
tausiness name: branch circuit
- ------- -- - ---- _ -- B Fee for branch circuits
Contact name: without service or feeder iee.
- - 46. 2
each branch circuit 65
Address: - - Each add'l branch circuit 6.65 2
City/State/ZiP: Miscellaneous(service or feeder not Included) _
-- —� - - -- - "--" Pump or irrigation circle $340 2
Phone ( tax: '( ) -
- Sign or outline lighting t 53.40 2
E-mail: Signal circuit(s)or I,mued-
�^° energy panel,alteration,or
- --- - extension Describe. Page: 2
Business name: �?Qn - - T
Address: Z'^ Each additional Inspection over allowable in any of the above
"�` -- Per inspection _ 6250
City/State/Zip: h� investigation per hour(l hr mini 62 50
Phone:(C7(+s) gyp$- �� Fax: � �' X�O Industrial plant per hour 73�5
CCB Lic.: Electrical Lic.:3 y1aG I Suprv.Lic.: L�59SI 5 Subtotal
Suprv. Electrician signature,required: --- Plan review(25%of permit fee)
Print name: rlr a Dat —' .. State surcharge(8%of permit fee) l
TOTAL PERMIT FTE - 1
Authorized signs This permit application expires if a permit Is not obtained within 110
days after It hot been accepted its complete
La
Print name: r" Det Fee methodology set by Tri-County Building Industry Service Board
-- ••Number of Inspections per permit allowrd
BuddinglPer itAUC•PenmtAppdoc Ir/e3 1046I5T(1nfflVC0M/WBB
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