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14565 SW MCFARLAND BLVD
,CITY OF, T I GA R D __-ELE',;TRICAL PERMIT
AFEF?;dIT#: ELC2004-00286
,I CE.!"EL.OPMENT SERVICES ISSUED: 5/21/2004
131':5 SW Hall Blvd.,Tinard, OR 97223 (503)639-4171 PARCEL: 2S110BA-05100
SITE ADDRESS: 14565 SW MCFARLAND BLVD
ZONING: R-2
SUBDIVISION: SHADOW HILLS
BLOCK: LOT: 014 JURISDICTION: TIG
Project Description: 9 branch circuits.
RESIDENTIAL LINIT TEMP SRVC':-tEDER,S _ MISCELLAWFOUS
1000 3F OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL':'4NErL.
M 4N:HM/SVC/FDR: 601+amps-1000 volts: MINOR LAE'EL (10):
SERVICEWEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 . 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVCIFCR>=225 AMPS: _ CLASS AREA/SPEC OCC:
Owner: Contractor:
ANNAD DURAIRAJAN WEST SIDE ELECTRIC CO INC
14565 SW MCFARLAND 1834 SE b 01 AVE
TIGARD,OR 97224 PORTLAND, OR 97214
Phone: 503-639-5440 P'Aone: 231-1548
Reg#: LiC 13306
SUP 26635
_ FEES ELE 26-135c
Description Date Amount Required Inspections
[TAX]R%State Surcharge 5/21/2004 $4.81 --
I FI,PRMTj ELC Permit "21/2004 $60.15 Rough-in
Eiect'l Final
Total $64.96 _
This Permit is issued subject to the t,-gulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other app:icabie laws
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct quest'ons to OUNC at(503)
2466699 or 1-8=,, 2-2344.n' Issued By �� =J%�C /L Permit Signature:
IX --
F—
N OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
r
_m OWNER'S SIGNATURE: __ DATE:_
L7
a CONTRACTOR INSTALLATION ONLY
SIGNATURE OF Sffpp FI EC'N: DATE:
LICENSE NOy
Call 6394175 by 7:00pm for an in3pection the next business day
.Fiectvic-31 Permit Apj)1iCa1i&:(;E1v, D •
City of`Tigetrd 04 l6bUldmtl-Oa
1 112.`;SW I h1l Tigard.OR 972)'.1 MAY :11�J,01111 view
1-hiloc
-irwlitisof I ins: 501.6.19.417-S I lilt I(ellawlilp -Fa-s7t pow a lbsMulillow-dootod: Suplik-own oat in fit rinliflu"
(nICI,ICt: WWW.CLIIg111lI,IN',1t11 UI- )11!!00 ..
TYPL Or WO PLAN KKVIKW
—i-Tv;ae check all that alotily:
—ffNCW COMM cliol, (J%trvicu liver 225 jitiqu.imunni'l [31 Iurao dentol hwailt"I
Lj Dulliolitloll ❑Other
0,401vicuillev 1170011111-4 I-41111t; 011110411111,(Ivt:r
CATEGORY OF CONST UCTION ool'l-and 2-family JW011119-1 4 or olvinvilt!W lext-Jetilial
[39yortem over(AW vollit nisivional (mile In tale 1111WIll V,
1,and 7-11sinsily dwelling i J 0111111turcial/Industrial ❑Accensory building [311ulldilto UVO'lliret 9101`10 ClIleedLM.400 411%14 AW Mot
M till Wlalllily M;islet builder 011101-: liver'.$)imsom-N rl Mall"la"I'is"it Artioulures too
JOB SITE INPORMACION AND LOCNI'lON C]II'LovVS/fir'bling pluol It v putt
Job no.: q"7 2/ b site juklivis:JL4 oi;bil; Stj I.t. aAi j&j Ullvidth-care Witty notbiw
, Suhnlil neln III'plans With ally lifilit!Alive.
C% t A 7 z z G1
'I lie abuivu Jill!NIL 911plivabic lit le.o�vistivry saaninicl isms service.
-
Suitellsidg./api,two.: flalllc: KJ
fck I!.tl (I C ori.!!i
Orom,%x1rect/dircetion6 Its joh mile: No-*millleallal jolligh-or nould-roolloolly dwelling unit.
I A0 qtl.11.or lees 145.1ot 4
SulsoIlitiossion: I All no.. Ila.WWI 11.ur.livorlitwis
Limited energy,rusillenflal 7.1.M
Tax rita(s/parccl nu.;
.-I.irniitsl is copy,nisti-rexiduntial ISAXI
DUNICRIMON OF WORK Fisch rnionillucitowd oil livinholut
dllliv1lio%sj.-_wt vice andAir-I'volci-j- ON),III)
A(1 4 Services or f4-piliteoi inxtellellen,allootrisfillson.and/or rothoralissid
2111I al"p-i Ill.Icsk-
Wrom E] TFNAN-1 201 a., 10 allip.,—
.401 an1±121!L)0 amps 1(10.141
N11111c; &A f-4 ri, 001 allipt;141 I.OUO 111111% 240.
Over I,1KJ0 tilltps air MAIN 43416
Address //
Itvcqnlilkv'only fM.liti 2
'frtnposrar�servlcvx�or feeflon I 1INIXIINI Ion,0111rorso I III",all Wool
?.(X)Q,fmx(so-lens
—... -I
itivilcor Installation-This insitillatioll is being niulle on properly that I town which is not 101 unju lit 4(N)anjis IM-10
inicsided lbr salc,lease,tool,or exchang. 401 arMis too 600 ui qiv 14.73
,;-,;lcoctor4jilig to ORS 447,449,070,and 70 1.
Owner signulure: Date; Branebeirejollso slow.allerbilon.or 4-111111411116111.per Ila lIvI
it,r4)r is,,
C3 APPOCANT CICONTAVI- FEMON circuits ittills
service C)r fi%xlur 11%.,Crich 0.05
hr rich citeiiii..
11.[let-kw brofich virettitti
Contact nortiv: WAf#U1 Service or fccolve Irv. 46.045elicit btaiocli eireiiit
Addiess; Cifelill
Miseellatiormillso(ser-vice or feeder no.(Included)
('limp or is-ripAl Ion cilvIv
Fax: 71-1-11 or atiffirsou,limblinr-
4w litilitcli-
energy puitcl.pliermiltors.orCONTRACTOR -------- Paget 2
1.1u:;i1jess rs:iiiv:WESTS110F ElACTRACCO.
Address; 1!131 SK 811*14 AVE. Rech addillolialInspection over allowable In any of the above
tour imil erih)n 6
QD (.,ity/statetzw; rowriAND,OR 97214 IllveNflitalit)II per illskir(I III noin) 62..S(1.
lntluv(�J!Lt�ril pc�hour
71,73
Uj Illiontu:(503)2.11-1548 Fail;(5111.1)7.164671
-j .— I — FlAti TRICAL-PYAMIT V K F.%-
I cctric.11 1'A* : UPI'v.
1A s Lie.: 2663S
CCD Lic.: 13306 26.135 In
I'lectrician sig quirood: Ilion reviuw %nrv;;;niit(cc)
State sairv.1sno
Suprio.I nultire,re
-Its.(M%til'two-osil ripe)
Print name:
TOTAL ritiRmIrr FVIF.—
Authuri/ell signature: This pi-roitif Ainslication rviolm 11;I pernift Is not oblattlell within 160
days,oforr it low,Ler„pv,rpl,,I a%mutillet,
Plillt 4111MC: Daic'. 1; Oat by I,;(4-0y 111.0
I ,11111;
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LL90-9CLfC09) '03 31.1140al--1 apts Isam dTC !CD *0 02 Rew
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00284
13125 SW Hall Blvd., Tigard, OR 97223 (503)634-4171 DATE ISSUED: 5/17/2004PARCEL: 2S11OBA-05100
SITE ADDRESS: 14565 SW MCFARLAND BLVD
SUBDIVISION: SHADOW HILLS ZONING: R-2
BLOCK: LOT:014 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
GAS PRESSURE: 50+ Hp: CLO DRYERS:
S:
FURN < 100K BTU: AIR HANDLING UNITS
FURN >=100K BTU: <= 1000(` �fm: — OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: install exterior A/C. Do not place within the required setbacks
Owner: FEES _
ANNAD DURAIRAJAN Description Date Amount
14565 SW MCFARLAND IMECH] Permit Fee 5/17/200, $72.50
'TIGARD, OR 97224 [TAX]8%State Surchart 5/17/200, $5.80
30 Total $78.
Phone: 503-639-544() _
Contractor:
JACOBS HEATING + A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: 503-234-7331
Final Inspection
Reg#: LIC 1441
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W 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. ATTENTICN' 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 direct questions to OUNC by calling
(503)246-6699.
f
Issued By: r Permittee Signature: Q
Call( 03)639-4175 by 7:00 P.M. for Inspections needed the nexf b siness day
FROM :JacobsHeatin9 FAX NO. flay. 14 2004 12:50PM P2
Mechanical Permit Application
.. Received
p.te/D�: Pcrrtdt No. `'r'_t T
Planning Approwl Building
City of TigardDalelBY: __ Permit No.* —.--
13125 SW Hall Blvd. Plan Review Ocher
TDam_. _ Permit
Tigard,Oregon 97223 —_
Potl•Revicw find Use
Phone: 503.639-4171 Fax: 503-598-1960 Do -cue
Internet: www.ei.tigard.or.uc C.nntact Juris.: CM See lase 3 for
2 hour Inspection Request- 503-639-4175 Nninc/Method _Supp-eMet cal lnformation.
I� y�rt,�. . T1.,.. b�i14 Iii� �F'', ,1'• ' 1. .-'-. 1 f...- rvy�.' _.' t.. fl f•' I1Mkoffit
��
New construction T3emolltlon Mechanical permit fees•arc banod on the total value of the work
Addidon/alteralion/re laoenlcnt OthCl: � perfortned. Indicate the value(rounded to the nearest dollar)of all
i,`, i, mechanical materials,equipment,labor,overhead and profit.
G ST.
&2�Pamil dwellin Co _merclaUIndustrial Value: S _ See Page 2
mfor Fee Schedule
ttESIriEN'Ci I+EQ .v,hikNTlSxS�EM
Accq!. Huildin& MU1'iFatnilYpescrl Non —� ,rre ea. T•tat.
Master Builder Other If" Co ice_
Rib htl" `TY +, '!" I Furnuce-add-an air ennditionin .. 14.00
Job site address' Gail!swum �14.00
131c ./A L#: Duct work 14.00
Suite#: P ' ({ ronlc hot watt t system 14.00
Pro'eet Narne' -- Residential boiler
Cross street/Direc ons to job site for radiator or h dronic system) 14.00
Unit heatem(fuel,not electric)
(in wall,in-duct,sue ended etc. 14.00
Fl%Wvent for any of above 10.000
units 12.15
Subdivision: iDtil' eN' 11ixa ::
Tax ma mel#: _ Water heater 10.00 _
i.... I
"r N (Its flEmlace _ 10.00
Pluc vett water heater/Ess flreplacoZ 10.00 _
LoE li +ter(qaa) __�0•� --
- � ' Wood/Pellet stove 10.00
_ _
- Wood fi lace/irsert r 10.00
Chimil /liner/tlueftnt10.00
i''�r1
other: 10.00
L01-0 ii ti1 '1/e li it
3[ne: f Range hood/other kitchen equipment 10.00
Address: Clothes dryer exhaust 10.00
Cit /State/Zi ' _ -- Single duct exhaust
p e; Fax: (bathrooms,toilet compartments, 6•90
3% ; i unlit roonte - —-
Name: f' ��-�-{ - --- 'c/crawl stiaee tarts 10.00
cam.`.1�`'�..�- ��=�� —(=� other _ - to-00
Address: {- t- — -- ---- ltd letaEs
city/state/zip: ,�li�.; J .._ ,•(15.40 Ibr Ilrs_t 4 $1.00 each addiflonaD
Furnace,etc. *0Phone: l �
' ' — 00
eras heat PM
E-mail: Wa1Usu�s+ended/unit heater _ e'
Water heater - e.
Business Name: !4f" - �� "+ Fi lrcp ace- ••
e
Address: RRangeae
r. Jc.t.�_ -
Clt /$tate/Zip: -; �-1 ._�.. Clothesd er as �� -
Phone: rax' �,1 X3`3 other: Tow:
J CCB Lic. #: — _
ei: xb ttii Tet'inif,lt�{
nuthorited Subtotal:
Signature: UaMinimum Permit Fee$72.50 '
Plan Reviaw Fee 25%of Permit Fce S
(Please Itrint name) _ State Su arse(BSG of Permit Foe S
TOTAL.PERMIT FEE
Notice.- This permit appitration expires If a permit le not obtaHxr within "Pec methodology met by Trl-County Building lndasi+ scrvlee oarA.
Igo days after It has been accepted as complete. -aIle plan required for exterior A/C units.
1:\Dxts\Permit forms\MecPermitApp.dm 01103
FAX "FI. May. 14 2004 12:50PM P3
SITE PLAN
7�6
OI RECCION
HOUSE
L--4
1�RuKr
Job Name
4. Address ����5 S(� ��f-/� 14t, aL-
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- - —
N () y � 2. y
Model N 0 .fib
m Make
J
JACOBS HEATING & AC
4 174 SS Mil vnulde Ave.
Portland, OR 97202
(604) 234-7331
(803) 813-9257 fax
CITY 0 rI�GiARD 24-Hour
BU UI�aG 0 Inspection Line: ( )639-4175
INSPECTION DIVISION Business Line: Q3)639-4171 MST
•'S_< i BUP -- --
Received _ .Date Requested _ AM--- PM _ BUP
Location �`_ S( f ( ��Suite MEC
Contact F�rson _ Ph( 5�7)3 )�3�7 � PLM
Contractor — _ Ph(_ _) _. SWR
BUILDING Tenant/Owner _ ELC
Footing
Foundation ELC
Ftg Drain ACC65Fi: � )►�1j;
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam _ /1 B eZ C.e (,{�/ vl —
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 ---J — —
PLUMMNG
Post& Beam v
Under Slab
RoughSe
Water Service '00 IT
—
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain -- —
Shower Pan
Other: -
Final —
PASS PART FAIL —`
Poster Beam
Rough-fn
Gas Line /�
a Smoke Dampe 1 -- --- —
N S ART FAIL --- --- —
EbWTRICAL
J Service
m Rough In
UG/Slab e —
J Low Voltage —
Fire Alarm
Final Reins ection f�
PASS PART FAIL p ----required before next inspection. Pay at tty Hall, 13125 SW Hal!Blvd.
SITE F] Please call for reinspection RE:_ Un bWty inspect—no access
Fire Supply Line
ADA ' 0 --3
Approach/Sidewalk14� __ ►especter
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING f� Inspection Line: 160M0391-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
// BUP
R eeived f Date Requested AM PM —__ BUP _
Location 1 42R45- "`,V Ac 4 -Suite MEC _
Contact Person — Ph( � ) - L1PLM
Contractor — Ph( ) _ SWR
BUILDING-_ Tenant/Owner _. ELC
Footing
Foundation x ss: ELC
Ftg Drain + ELR _
Crawl Drain V
Slab Inspection Notes: SIT
Post&Beam -------,_- C.G2L'104�_--
Shear Anchors
Fxt Sheath/Shear
Int Sheath/Shearr-
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 PART FAIL
MECHANICAL _
Post&Beam
Rough-Ii
Gas Lir e
i1 Smoke t_mpers -- - --
Final
N PASS PART FAIL
ftrvmF
TRICA
J
m Rough-In
5 UG/Slab
W Low Voltage
Fire Alarm
ma ❑ Reinspection fee of$- _ required bAfore next inspection, Pay at City Hall, 13125 SW Hall Blvd.
AS PART FAIL
SITE F] Please call for reinspection RE:_____ ❑ Unable to inspect-no access
Fire Supply Line
ADA Q A
Approach/Sidewalk Dab `-_ ._ _ Inspador_ N Ext _
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL