9360 SW MARTHA STREET-1 i
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9360 SW MARTHA ST
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received _—_�/9 —Date Requested_.—?YZA AM —PM _ BUP —
Location —� � r �a Suite — MEC
Contact Person Ph(_ ) t 2-4 - 7zAn PLM _ _—
Contractor —__ _ — _ _ Ph( ) SWR
BUILDING Tenant/Owner _ — ELC
Foo!ing — ELC
Fr,undation Access:
Ftg Drain ELR
Crawl Drain /fir
Slab Inspection otP2: S�
Post&Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing —
Insulation 3 6 b� ___— a► 1��
Drywall Nailing -Firewall
Fire Sprinkler --- — �— —
Fire Alarm
Susp'd Ceiling -- - - — -` —
Roof C
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-in - -
a Gas Line
Smoke Dampers ---- --- -- - -- -
H Final
N FAIL -
UEC
TRICA __ ----_—_---- ----
-�
Service--
Rough-in
erviceRough-In I —
UG/Slab —
aLow Voltage — — -- --
Fire Alarm
WAS
PART FAIL F] Reinspection fee of required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd
En n
Plensc,,call for reinspection RE: Flu e o nspect-no access
Fire Supply Line oe
ADA
Approach/Sidewalk lnep�ctor
Other:
Final DO NOT REMOVE this In9PeWonZr01Mrd from the fob alto.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUtt;DING Inspection Line: (5 175
INSPECTION DIVISION Business Line: 3)639-4171 MST
'7 RUP
Received _�� —_ Date Requested-�__!%?�_ AM —PM _-
Location A-56-0 6-0 Suite _ - MEQ: �� -403r
Contact Person -__ Ph(—___) 1'e24 _7s'0 - PLM _-
Contractor ( -)
-------___- ----------------- Ph -- - - SWR
_BUILDING Tenant/Owner - _._-_ ELC —
Footing
Foundation Access: H,,m ,/� ELC
FtgDrain 1/_ r�� /'.lit, Zd�`�" ELR
Crawl Drain TTS 00 D
Slab Inspection Notes: _ SIT ---
Post&Beam -_- .__a e,..J
Shear Anchors
Ext Sheath/Shear
Int Sheath!Shear —
Framing ------- ----- - _ - --- --
Insulation
Drywall Nailing -----.---- - —__�_--.-_ ---
Firewall
Fire Sprinkler -- ---- -- -- -— -•--- ---
Fire Alarm
Susp'd Ceiling --- -- - - - --- -
Hoof
Other: -
Final
PASS PART '_'AIL ---- --- --- "-
PLU_MBING_-
Post 8 Beam -- _ ---_--- --- __._
Under Slab
Rough-In
Water Service - -_--- _
Sanitary Sewer
Rain Drains ---- -- --- -- - --_.
Catch Basin/Manhole
Storm Drain - - - --- — --- -
Shower Pan
Other — -�
Final --
PAS T FAIL —
WE
CHANICA
P -- -
Rough-In ---
Gas Lina
IL Smoke Dampers - -- -- -
OC FT� -_
N ��PASS PART FAIL - - - -
------_TRICAL -_ - ----�
.J Service
Rough-In
UG/Slab
W Low Voltage
-j Fire Alarm
Final F1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:_-_ _ - Unable to Inspect-no access
Fire Supply Line
ADA Det• Inspector —Ext
Approach/Sidewalk
Other: _
Final DO NOT REMOVE I Inspection recd sm tho fob Mo.
PASS PART FAIL
CITYITY O F T I G A R D MECHANICAL PERMIT
r DEVELOPMcNT SERVICES PERMIT#: MEC2004-00318
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 D/'+TE 13SUED: 5127/2004
PARCEL: 2S 114 AB-13300
SITE ADDRESS: 09360 SW MARTHA ST
SUBDIVISION: KNEELAND ESTATES NO.2 ZONING: R-4.5
BLOCK: LOT: 114 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: *v ENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORSHOODS:
FUEL TYPES0 - 3 HP: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: Gas furnace replacement and ACunit.
Owner: FEES
CHAMBERLAIN, RICHARD S+ THERESA Description Date Amount
9360 SW MARTHA ST [TAX] 8%State Surchart 51271200 $5.80
TIGARD, OR 97224 [MECH]Permit Fee 51271200, $72.50
Phone: 504-624-7280 Total $78.30
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWELL B,VD _ REQUIRED INSPECTIONS
PORTLAND, OR 97242 Heating Lint Insp
Phone: 503-234-0611 Cooling Unt Insp
Reg#: LIC 2374 F'nal Inspection
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This permit is issued suoject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued B�/I Permittee Signature: ^ x'Y
Call(503)639-4175 by 7:00 P.M. for Inspections needed the next business day
05/26/2004 08:56 0000000 ABAB:AAAAAA AA PAGE 02
Mechanical Permit A,aalication
City igar@ R ED E I V E D )>� : 1-, o / Permit
13123 Sw Hall ftivd.,Tigard,OR 97 � v
Phone:P03.639.4171 Fax, 303.399 1%0 146"PA tllhr wrntn:
Inspection Lire: 503.639.4175 'l
2 fee
(ntem_t www.Cl.tigard.Orus ayl
�j�Y 1 !1 L u0L oN.�et.Rfey ,, , pk�sffp�1 arornrliaa
PAW
,COMM&ACIIAL Rid+'p111-WDVI.E UfJ CHECKLIST
i�'Naw ccdlatruction Addition/alteration/replacement M.7anical pmnil fees•are based on the value of the uvrk
�] motet{Ort performed.Indicate the value(rounded to thr nearest dollar)of all
Ck
[]Other: trtechtnical materials,a uq ipmem,labor,overhead.and pmlh�
Value:$
I-and 2lhmil dwellers Cornmerci!illinduslrial Rl�smFhfl�l�1 t vWHENTISYMMSFEFSt
Y B [] ❑Accessory building
❑Multi-tamily ❑Master builder ❑Other: _ For,yxc%l i1fornwno r use clnedl7u
_ _- bescripliyn _ Qt) us. 101111
JOB.S '�IROR11(,A'fIEgY A{yU LUCATION y 11, " Nea1I tttolln`
Job site addrIess: �(p �Q ��-� � 4 Air conditioning or heM Pump
Q
=�-=� Rquiroseiu planthowin '1ce1nen1� I4{O
City/State/riP: _ AQ-
DK Oa-1 2Z L{ Eumare 100.000 BTU Id,�uwr<,.I l _ 14.1)O 1 '%
1ln Fum :c IU0,0 +Bllltdltcrrr�trnlsl 17.'NI
SuitvJbldg,/apt.no.: Project name: ( �'1 — Gas brat um _ _ 141,(10
Cross street/directions to job site. m l work 100
H dronic hot water system (3.r)(►
Residential boiler(radiator or
h drunic) 1 1.00
Unit heaters(fuel-type,not electric),
in-Wall.in-duct,suspended.etc, 10.00
Subdivision: _ Lot no,: T_ — Fluo/venl Ax an%"f-aWvv (0 w
- ---_--.. 10.00
Tax map/parcel no. _ _ Other fuel appliances
_ lhW141PTI":OF W61tK Water hexer III(K)
Gas fin lace _ 10.0n
A- L-IL � Flue vent for eater heater tit gas --
— ftrvpltqce 10.1111
— Loy Gabler 1Lta;1 u).Un —^
---.. WootVpellct slava — In Un
Wood G lat:e/insert _ 10.00 —
_PROPERTY_OWNER ❑ Chimne/liner/l)de/vent 10.00
Other 10.00
Name 's i fvk m a„'aj n� Environmental e)1h1uP1 nd ventlltttius -
Address: Range Ix,od/other kitchen
b IN a ui mein_
In rx)
CU5/5tate/ZIp: — t _ Clothes dr xr eshausl
—
Phone:(��) Sinple-duct"llaust(bathrooms.
2 Z Fax ( ) tolict con artntents.uliliti,rooms) A,MI)
❑ AP'LICANT' CONTACT.PER80Ff• Anlc/cnwls t(_aco fans 10.UI1
Business name: - Other: In.(xt
_ Fuel Plops
Contact name: -,S'60 for neat r"U r'.31.00 Ibr each additional
L Addnms: Furnnce.etc -
- Uas heat um -
_ C'ily/Stagg/'IIP: _
%knit/skisficnJuditinnhealer
PI►onl 1 1 Fac::( l µatcrheater
-11witlacc
3 � Ranke _
CONTRACTOR tlarth car 1
C'luthen dncr(gas) y
t dJ - Other: -
Vd MECHANICAL rERNOIT PUS*
il"titrlci�IV }�� C17ZC�L Subtotal ] —�
Plum¢:(5 0-31234 -Du IFar:($Oas1 � 3,f Oil 13Minimum pernift lire IS72 1n1
'—" Plan rcelew Qs".III. rmit IeeI
col 11c.- 15-1'-1 -- -
State urelmryc(8•+ul'pvnnit 1icl D
[1�{ ^ TOTAL PER,%"'r F44F I-72 �
-Authorltcd/lyrtalUfL -� �:- , l� Th1[Pcrmh upplicanon ei1"I'"Ira 01rarit is not obtained 4%ohin Ima,
JJ �— daYs after it Ins heen accepted as centpltre.
Print name: �1Ln0. b ��Dott: ��nV i fce nhlh&xk,lov
bvoS � b) CbUllh®uddlnit InJuvin ;or,ice Na:p(i
b.W,{Mm ..11 r.r,••,. .krn d,K cm,
a�AJrt 17T I I t.r2'CtlMrW an t
05/26/2004 1:5:44 0000000 ABAB:AAAAAA AA PAGE 01/01
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CITY OF T I GA R D ELECTRICAL PERMIT
DEVELOPMENT SERVICES [SATE S UIED: 6/2 2004 00306
13125 SW Hall Blvd.,Tigard.OR 97223 (503)639-4171 PARCEL: 2S114AB-13300
SITE ADDRESS: 09360 SW MARTHA ST
ZONING: R-4.5
SUBDIVISION: KNEELAND ESTATES NO.2
BLOCK: LOT: 114 JURISDICTION: TIG
Project Description: (2)branch circuits for a/c r1:furnace.
RESIDENTIAL UNIT TEMP ERVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICEMEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - Ann 1st W/O SR.VC 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-_____j
Owner: Contractor:
CHAMBERLAIN, RICHARD S+THERESA WESTMORELAND ELECTRIC
9360 SW MARTHA ST F.O.BOX 82865
TIGARD,OR 97224 PORTLAND, OR 97202
Phone: 503-624-7280 Phone: 503-238-5362
Reg#: ELE 26-10500
LIC 140551
_ FEES SUP 46385
Description Date Amount _ Required Inspections
IFLPRMTj LLC Permit 6/2/2004 $53.50
ITAX)F"n State Surcharge 6/2/2004 $4.28 Rough in
Elect'I Final
Total $57.78
IL�
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 bYAmiein accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or N work is
suspe for more thaftA80 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rule are set forth in OAR 9 001-O�a q thr gh OAR 952 001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
2 -6699 or 1-800-332-2344
a I sued By: Permit Signature:
OC
U OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
La OWNER'S SIGNATURE: __ DATE:
t9
J _,-CONTRACTOR INSTALLAMIN ONLY.,
SIGNATURE OF SUPR. ELEC'N: �-- DATE:_
LICENSE. NO:
Call 639-4175 by 7:00pm for an inspection the next business day
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