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8705 SW HAMLET STREET co ^4 O S i r 1 � 4 8708 SW HAMLET ST � �r f*`0'I ! A ^F TI GAR n ELECTRICAL PERMIT '�7 j,� PERMIT#: EL C2004-00567 DEVELOPMENT SERVICES DATE ISSUED: 9/7/2004 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S111DD-15500 SITE ADDRESS: 08705 SW HAMLET S f SUBDIVISION: MILLMONT PARK ZONING: R-7 BLOCK: LOT : 032 JURISDrCTION: TIG ( Project Description: Gas furnace circuit,A/C circuit,weather proof outlet. -RESIDENTIAL UNIT _TEMP SRVCIFEEDERS _ MISCELLANEOUS� 1000 SF OR LESS. 6 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM!SVC/FDR: 601+amps -1000 volts: MINOR LABEL !10►: —_ SERVICE/FEEDER _ _ BRANCH CIRCUITS _�- -- ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: II 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amfr _ _ _ _ Pt_AN REVIEW SECTION_ 1000+amplvolt: — >=4 RES UNITS:�— >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS__ CLASS AREA/SPEC OCC: Owner: Contractor: WROLSTAD, KIMBERLY A THE ELECTRIC GROUP 8705 SW HAMLET ST 4726 SE MILWAUK'E AVE. TIGARD,OR 17224 PORTLAND OR 97202 Phone: 503-839-9472 Phone: 503-232.-2499 Reg #: ELE 24-445C -- ---- LIC 43851 _ FEES SUP 2085S Description ^DateAmount Required Inspections I ELPRMT] ELC Permit r ' 1/7/7.1 —_ $60.15 -- ------ ]TAX]8%State Surcharpc 1) 100.1 $4.82 Rough-In Elect'I Final Total $64.97 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. This permit will expire if work is not started within 180 days of issuance, r it work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon lit;Notific on Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of sef S It Ct ques n to OUNC et(503) 246.6699 or 1-800-332-2344 Issued By: tG- ^ � — Permit Signafure: i -.- _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ �— nATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELF.C'N: LICENSE NO: ___—_--- Call 639-4175 by 7:00p-ii for an inspection the next business (fay EleCtriy,al Permit Application FOR City ofTIgdrd DatelB 7 Received m `� PermitNo.: (f('C' ?On j 6 13125 SW Hall Blvd.,"figard,OR 97223 Plnn Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 D.1.18y: Inspection Linc: 503.639.4175 Date Ready/By: Juris IZ See Page 2 for Internet www ci ti¢ard nr us - Notifiedliethod u � Supplemental Information vt'f)RIi ----� —__ —___-- PLAN REVIEW Please check all that apply, F1 New c onsti uction �kAddition,'aIteratum replacement ❑Service over 225 amps,comm'] ED Hazardous location ❑_Demolition ❑Other: ❑Service over 320 amps–rating ❑Buildng over 10,000 sq,ft., CATEGORY OF;CONSTRUCTION of 1•and 2-family dwellings 4 or more new residential I-and 2-family dwelling E]Commer Uindustrial ❑Accessory building ❑System over volts nominal units in one structure []Buildingilding overr three stories ❑Feeders,400 amps or more [] .Multi-family [] ,Nlaster builder El Other: ❑Occupant load over 99 persons ❑Mamumfactured structures or JOB SrrF, IJN QWt,�T[ON AND t APION ❑Egress/lighting plan RV park .,., ---- "7:.� o. �- — i_ + S ❑Health-care facility ❑Other. Job no.: � Job site address: S'Y U J Sk) P/.1h'1 te Submit 12_sets of plans with any of the above. City/State/ZIP: _fil&A /Z 1) O iC[r'6-0U Q T Z 2 y The above are not applicable to temporary construction service iEE* SCHEDULE Fuite/bldg./apt.no.: Project name:1?e 0q,6r4T_ ICI'> ,4 5 4 DacAptian — — 7 Qty. Fee. Total Cross street/directions to job sitar: 5l.l,�RO LL y CV0 - 4- '-flx) MQM New residential single-or multi-family dwelling unit. _ Includes attached garage. _ 1,000 sq.ft,or less 145.15 4 Subdivision: _ Lot no.: Ea.add'1 500 sq.R.or portion_ 33.40 1 - Limited energy,residential 75.00 - 2 T'ax map/parcel no. Limited energy,non-residential _ 75.00 — 2 DESCRIPTION;OF WORD Each manufactured or modulpr ------- -- i '�� dwelling,service and/or feedf r 90.90 2 6-0-n. ,/c+V2�L'— L I-C4A(r- /�li'c '-� ' ��'vr2 GJ Services or feeders Installation,alt(.u, 1,and/or relocation 200 amps or less 80.30 2 20l amps to 400 amps i J6.85 2 _.. PROPERTY OWNk.t ❑ TENANT 401 amps to 600 amps 160.60 2 Name: '(i r U( �A�l 601 amps to 1,000 amps 240,60 2 Ie-4 � Over 1,000 amps or volts 454.65 2 Address: 170 S_ 5 L,,,.) (�!�v" p —_---- Reconnect only _ 66.85 2 City/State/ZIP: t2 Temporary services or feeders installation,alteration,and/or -- relocation Phone:(h 3,) (/39- 9 y t"L Fax'( ) 200 amps or less 66.85 _1 Owner installation:This installation is being made on property that I own which is not rBranch mps to 400 amps _100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701 mps to 600 amps 133.75 2 Owner sl^nature Date: xcircuits–new,alteration,or extension,per panel APPLICANT� ❑ CONTACT PERSON for Lranc'.i circuits with ice or feeder fee,each 6.65 2 Businessname: t nch circuit _ TNG C "E�� '� �,2c.7 t G -- - �-- -- - f! B.Fee for b•anch circuits Contact name: v t G' /f G u S ZFA,/ _ - without service or feeder fee, r 46,85 114 2 each branch circuit _ Address: !/ �4, j� M/LLl/ds•fkz Ae/GT — Each add'I branch circuit 2 _665 /3 2 City/State/ZIP: 02TGa� Zt'GO✓ �.�Z Miscellaneous(service or feeder.lot Included) _ p Pump or irrigation circle 53.40 --_ 2 Phone:($t73),2 37 5'(l Fax' '(SV3 ) ��/ — Sign or outline lighting 53.40 2 E-mail: Signal circuits)or limited- - `^ energy panel,alteration,or extension.Describe Page 2 2 Business name:'774E Ei!r C72i ,(o IONQ, _/'4)G Each additional inspection over allowable In any of the above Address: Y 7 Z 6 ��!e /yf/Cr L(JQef/i/C 4 Vr✓F• _ Per inspection 62.50 City/State/ZIP: -,V,Ak-r4 4 VD � ©ae60A�) � 'Y720 Z Investigation pet hour(I Iv min) 62.50 —�- Inde trial plant per hour 73.75 Phone:('y05)a31. _;I yql� Fax:(SD3 ) 2S'2 - 3/C79 tr CCB Lic.B Electrical Lic. �t+'jyysG Sup".Lic.:aC8tj'�'' - Subtotal �v0 !'.. Suprv. Electrician signature,required: _._ _— Plan review(25%of permit fee) , r_ S �11SFti Date: !?-T.700 State surcharge(8 of permit fee) Print name: T)A vi o j�- H TOTAL PERMIT FEE Authorized signature: TGis pen.U application aspires If s permit Is not nbtaired within Iso days after It has hcen accepted as complete Print name: — Date: ree method(logy set by rn-County Building Industry Service Board •'Number of i mapections pet permit allowed. i`Suddin`mPermiu(ELC-Permi(App doc 12103 440•46l n(l0102/C0&M8 c Electrical Permit Application City of Tigard Page 2 - Supplemental Information 1,1,N1ITFD ENERGY PERMIT FEES: . RES.WIENTIAL WORK ONLY: Fee for all residential sy.,tems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stere(;Systenis* ❑ Burglar Alarm ❑ G,,,,-age Door Opener* ❑ Hea`ing,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: C OMI1vIERCIA.L WORK ONLY: Fee for each commercials stem..................... 1;75.01? (SEE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems [] Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Otl•+:r—� Total nur,+r of commercial systems: _ *No licenses are required. Licenses are required for all othr r ln,u,-;illations i Building PertnoT I M14Apl o:0403 CITYOF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00595 131DATE ISSUED: 9/'/200425 5W Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S11'IDD-15500 SITE ADDRESS: 08705 SW HAMLET ST SUBDIVISION: MILL MONT PARK ZONING: R 7 BLOCK- LDT: 032 JURISDICTION: TIG - CLASS OF WORK: OTR FLOOR FURN: — EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: F3 VENTS W/O APDL: VENT SYSTEMS: STORIES: _ _BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: 1 DOMES. INGIN: _----J 3 - 15 HP: COMMI.. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODS1 OVES. GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K B-,'U: 1 AIR HANDLINGUNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install gas furnace,A/C,gas water heater,gas pipe&vent. Owner: r FEES — WROLSTAD, KIMBERLY A Description Date Arnount 8705 SW HAMLET ST [MECH) Permit Fee 9/7/2004 $72.50 TIGARD, OR 97224 [TAX] M/,.State Surchar� 9/7/2004 $5.80 Total $78.30 Phone: 503-639-9472 --i-- Contractor: R C HEATING & AIR CONDITIONING 2,345 SE 143RD. AVE. PORTLAND, OR 97233 REQUIRED INSPECTIONS Mechanical Insp Phone: 503-760-5940 Heating Unt Insp Reg#: LIC 123660 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 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,ol'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 952-001-0100. You may obtain copies of these rules or dlrEct questions to OUNC, by calling (503)246-6699. Permittee Signature: i Issued By: _1y x--. _� Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day r I Meellanical Permit A 1,i +tioq (.'ity or Figard 11125 SW Hull HIW I ipurd.OR 97221 pluu RC Phone! .`,h,004171 1- V111M9N 11JI40 DNI(l1,. Other Ilernul Inwpeeuun I.mc: Sill 639.1 17> Unle ItwJ,"U,' Jwis. 1 0 the 1'•lie 2 rue "� 1 Intemct Nww o nyurd.,r Us � `�� N,dI1104method -_� �t.tgtemvnt•1 tnrurm•Wm _ T b OF WORK _�— C_OM_MUCIAL VEK* SCHUIULZ - USE CHTtCL+�.lifl' �CQltstruction ddtlion/nllcrntluli/rcplaccma,tMetihngirnl j+ne,mt It•las•lira buArrl un tTc\A ue id lhu awh pert'unno i Indicate the vnluc tnumdod It.ilii'ovJh'rl dollar)til ab ! I1Cn1AhhOn Q Othur- 1110chr111aY1 r4mi¢nnln,wimps-imi,IMInit,t,vurhvml and pn,IltUL ,_.._. CATROORV OF CONSTRUCTIONYOrl......_.._._..___.�._ - -- RESIDENTIAL EQUIPMENT I SYSTEMS FCEBe And'2-fmimily d+vclliny, U f'onuncrceAl/tnllUYtn,yl ❑Act'e!»ry building ""Fur s/rrarl information Iss•cheekltll _ Mull-fafit Ill, Mower bu;ldrr ❑Othcr —`" Lksenputtn JOB NITF INFORMATION ANO Lr.N:ATION lieu;n 1u .�.......".,�1_.O. —._ ,.JQlot Joh stir address M. ,.,nt6 Lepl ng ho innl pump A 1..._ .__. ? ,r _��.. '�' .I11P p1r11 shuwmp place mmn 14 IJII �7 i Y 11� ►� _..._ !'unwur IOt1,(x>v[CIU(Ju ;w'tcnu) I�(N, r.tt /51ae.zNP L _ 1.. _ r SwhllbldS./opt nn. 7— Project name Fwnnuu 1011,0(Nl+1.)h l l 1duv,lvvmeu) 17 4(1 G_y honk 1r 14AXJ 1 Cr^tn yhccUdilutionr to jab site -- -_ _ Uwa worts «- 1,40) I -----... FI dromu hal„slur»llctn 141N1 RPaidenbnl twiler trndullar nr h'drools I 14 lN., _._..... ._.. .. __._..� Unit heuters llhel•(vpu,nut uldntnu), to-wall,a•l-duct,rrAJtwnlYd,Ulm t",UU _.._.-.- 1 rllldvcnl for Any or mi ove IU(ev SIItId111Jr 11 IUI flit -��""��' U I •... C)thur - IUtM) ' Tax mnplpureci no. Other+fuel ills oltalrevem _ D1E9CIt1t'17ON OF WORK Wutur hauler _- _- IU i1(1 , r'�^ ! Oas flrcl11p3C _ _ _ IUllt) S u.r qu- ,� (' 1. / Flue veal fol walur ht•nirr t,r Nm: I y 11eaJ c�A� Il�lnt,r _.. _ 1 �11,,t1 , I Iyllalilylllcl Mien _- I II•I111,1� +Wo1>,11 alh t slut t _.........Ill IN1�_..,_. W11nel hrrjtlnrrlu,+rit IU W Chimoou A,n4wflsow reel II,110 pk R;lTV 6wNVP - ❑ TENANT 1e__•. lQrlfuntncntel� I�Ilwnon �/ �I y y�� (� Itnllµc hu;xUuthnr k ncheii -_ Address. Clothes dncr c'thnu,t III IN_t_-i - f� - Single-duct cttlitmsl ibullimints. Phone !5% -k `1H toilet cwny,aluneptuyut,hty;mans) 6 Ou ' (' APPLICANT © CONTACT PERSON Attic/uruwl'apucu_I_itns_ - to O0 i- _... _ - _ ----- I)Ihcr It,,lq.l Bui iota!to ltc. K .C , H e a t i r1 K -i K n v (:on d i L i oil i It g , Ill(- _ ...-_._ ... ---- Fuel Contact Iitllllc R rj d C u r s u n Sb.40 for firAl four;91.00 lar catch rddlllunal Add'"" 2343 S C 143rd A v • utc ...:.. . . ..,.. __.� (IRA heat pumL _ GitvlStrta/7.IP P O r t 1 a n d , O R . 7!3� Wall/suv>rnllrtUuml hens r _ WNtur hcrtor Phone ( 1;13) 760-594V Fax (50:31 76U-9514 -.-. _._._ .__.... .. 1 —..M..._ _.. _.. . _ 4 _... -M411 AUIV .- i t CONTRACTOR _ _ ri P4tblul: .. . . -------.._.. .._....._. 1.j Business nnmc, H e t!t I n 1? 8 !1 i t (;n n d i L f rJ 11 1 n�, 1 n e . C'lnlheA dryer 1.y lr, __..-- --_.. _ move, Addreu. 2 3 4 5 SK 143rd A v c . , -_ MECHANICAL PE.RMPI'1i VV%0 CInv�lnlrJllP p o r t I o n d , phdnc'1 `ll!;I ) . tl(rSu7:ll 5inlllill1111.1111111 JUU : 7G( - 1r 1 Hour m\wNei CCEI he 1 �( 1l( sal ahlupo km%of purmo Ivt, 4 1'OT/11,pF'R111sn'I'EP �� CJ - - ...._.-_ ._..... Authun/ed 51 attire [^ /7 I1+1A r rndl.ppllcrdun t hot been V A petndr Is stat iolvirsJ ehhln I IU N„/� Ury!rt'rst It hot been raepted a rtentpklr. to w" 1 i t3o bCf-Lk1-d3S t u It-It CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received — _Date Requested— �� ' AM PM BUP J Location i 5 ,�!>L-r�-YJ2.s '0. ' _Suite MEC Contact Person Ph( ) PLM Contractor— _ Ph( SWR BUILDING Tenant/ r _ ELC d U Y Footing I ELC Foundation Access: Fig Drain ,r. ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - --- Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling -- Roof Other: -- Final PASS PART FAIL G ---- --- — — — Po n1 Under Slab - -- -- Ruugh-In Water Service — -- - Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain Shower P r: 'A Ai(q � - PART FAIL WflA Posf-B-Beam Rough-In Gas Line Smoke Dampers - -- PART FAIL -- Service Rough-In — UG/Slab Low Voltage Fire_Alarm 4-F;;& PART FAIL 0 Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE F-1 Please call for reinspection RE:._ Unable to Inspect-no access Fire Supply Line ADA C� Approach/Sidewalk oat Illipoolor Ext--- Other: Final DO NOT REMOVE this Inspection record horn tK.,ob site. PASS PART FAIL s.