11050 SW SUMMER LAKE DRIVE-1 3
11050 SW Summer Lake Drive
CITY O F TIG /� R� - _ MECHANICAL PERMIT
DEVELOPMENT SEPV;CES PERAlff#: MEC2002-00295
13125 SW Hall Blvd., Tigard, OR 97223 (50.3) 639-4171 DATE ISSUED: 7/10/02
PARC E L: 1 S 1330 A-00600
SITE ADDRESS: 11050 SW SUMMER LAKE DR
SUBDIVISION: AMART SUMMERLAKE ZONING: R-7
BLOCK: LOT: 0 8 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FUFN. EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUF!.TYPES ^0 3 HF:: DOMES. INCIN:
LPc; 3 15 HP: COMMI_. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
GAS PRESSURE. 50 + HP: CLO DRYERS:YER
FURN < 100K BTU: AIR HANDLING UNITS CS:
OTHER UNITS:
FURN >-n1001< RTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm.
Remarks: Install gas piping and outlet,
Owner: FEES
RICHARD CALDWELL Type By Date Amount Receipt
11050 SVr1 SUMMER LAKE PrRMT CTR 7/10/02 $72.50 2720020000
5PCT CTR 7/10/02 $5.80 2720020000
Total $78.30
Phone: --- -- - - ---
Contractor: _
JEFFS HEATING + COOLING
9415 SW LEHMAN
PORTLAND,OP 97223 REQUIRED INSPECT IONS
Gas Line Insp
Phone:503-246-6420 Final Inspection
Reg #:LIC 00099132
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 fo'low rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
l
Issue By: --� '' '� _ Permittee Signatwe'
Call (503) 639-4175 by 7:00 P.M for inspections needed the next business day
SENT BY: SK BOOKKEEPING; 503 557 3870; JUL-3-02 8:41AM; PAGE 2/3
�
71"
_-. Jtr ur lltr/►KL
X1002
I1r1[ecnatti Permit Application
dcity QA J.■ .. ....,. , — Datc troelrcd r.vmn nn.:
1'rajecUsppl•ts0.�� __ f!%pirodate
ClryrrfT7eard Address: 1317 5 fiaU Blvd,'j"i6ard,OR 9772-1 - tI __
1'hort�: (503) 639 )71 DaelJturx!. — --- + yyi� Rae{ptn0
Fax: ('103) 5148-1 Case file no. - — Pnytnrnt type
Land mestir 'fr.: Buildingperrmtno.. —
1 nc 2 family dwelling of isc c,ry U Comtoerctai/industriwl C]Mula•ftmily U T'cnazu Improvement
Cj Now mu"Isalitumn C]A"td(ssJltlltrrtrJ%trtipl■asa:ant
Job adtl,caA �Iz lndt We ryuiprnnat quantities in troxes below.1nAivate the,dells,
111Ayr nu _ suite no.: 1116 of All mech■vica]m,trenal!,cqutprneni,lal*,r, nverhtAd.
Tex ma Ux IoVeeaotsnt
no.: profo. Value S
.r_—.._.._ - I
Lot: — 'See ched!iq for tntporwnt applica an infofmar:on And
Dmie""ante: _ _... lu.lsdicUon's fee saedulr, for rettdential permil tee.
City1crnrnry�/L`e-1W toe 7[P:
Demnption and I on of work prenuscs: — -
j� _•
rw(00.11 Tom
P.rt.dote. of cum lettunfiuspectiur 11Z r nes�tldou
- �- Rea ntJ Rrt��nlyJ
errant improvement or C6■srg6 o se, - � �(��— 1
Is axlsting Apace haatrjrl or mommy'Q Yes U No Nir h■ndlio unit
Is exisun spam Insulated U Yrs Ll Nn A cora t I J m-Tan required
A i—m-ifnn nt cx'S'll _Z systan-
�la wits sw:am'
Ru■ineal name: � S(ltn t.)flat pecmlt no.:
Address 7_ �1 y - - --- 11PTNn� e t-TUM
SLL� !['� ;=a---
Gty: G. aDum041h r r
--� -
PhCAe' Part. ,t' rnal!. — Inas eQ su(urn■ neOJA _
'y — "! Itroludlo ru
drwork/vent liner O Yes C1 No
CCII no.' .�
Ci !rt►tlr0lie.Ito.: "' ' �p JcalreloC■te�-kxL-suaprn�,--
_._.� _ y.d�. �+sV.ort m mounted
Nimo(Isley a()! --;�� ___ �-_, ,,,,V—tr Wr
__li ol�rtnu�umoca -
91110
�,..�- ���r Ahavrlydranunit _ DMIN
lip '4
Addmm J nw;,a►�- D C,ampteua�rsa�m� I{p
CI �+.Gtsti .r a+-M.i +w�;r eel-,rmt r■pt ln1�iM:
State-� �__ A Ilam■vert
N`hens i u Few I��r esu__' suet --
Mimi-WDWS.I�'ype'Ti1Vre3:k3tc e1i ttlf�armst _ 1
I+rnx1 fire puppreeasirm ey■frm
Nlltlts:�'� :jgA0_4p L.��,LJ - ExbAuu fan wtth s tc duct oth Csns
Mailln address: S SYiIN/•t L! .✓c. ,SIL - use 1 mT■��re- mR1 eadng �_
Ya 4fi" L NO Ur1 r0 OU�Fitt
G �4�"'!!� 5tstte.(f 7k ZI3' TLl
l.pn No _ Oil
Ptrt oe: F1,: - a e■.It tons over tout to
ac tna rrepnrrr ---' 1.
Number of oalets
AdOr+ui:�
f7aroorulreflt 1s�c J
city: _1__F_stw _7
or�iGior seov _
A�f Jiasutt s siir Attire: --
arrt _
Nanrr.�tint)��--
Ma dl 1'trntlt fee . .,... .
tj VW ❑msowf'=d I I'1euu:This permit■pptlC■tl(`O -
etpirlt If■permit to not obminrA
Van rY('1Cw(Yr — ,) S
wrthte leo days■nee it has bce.t ---- _
ern I^ Stare lumhmVis(Rml S
maw r en rSw•w„ wT_ +cr�otrtd u r le. —
iisrir E
a40 4■11(6001420160t)
CITY OF TIGARD 24-hour
BUILDING 'Ttk e i) Inspection Line: (593) 639-41.75 MST
INSPECTION DIVISION r,)01 Business Line: (503) 639-4171
� � f3UP
Received _- ~1 �' ? Date Requested ey —AM—._--____ PM REP --
Location --_
r �J � �c�Y12 —LLL. �� Suite � - MEC
Contact Person Ph( ► ---- PLM —
y -4� 30�` - - -- - -_
Contractor� ___ _�/�.— Ph( �. � SWR
BUILDING _ Tenant/Owner ___-_L____— -- ELC
Footing ELC
Foundation Access:
Ftg Dmin ELR
Crawl Liam
Slab Inspection Notes: SIT -.
Post&Loam _-
Shear Anchors
Ext Sheath/Shear - -.
Int Sheath/Shear
Framing ------ ---._
Insulation
Drywall Nailing -- -- /��►�-- —� -
Firewall
Fire Sprinkler —
Fire Alarm � � (� I„/ -
Susp'd Ceiling T -`-
Roof
Other.-----___.._--.-- _
Final
PASSPART FAIL
LUM_
PBING; _--
Post&Beam '-
Under Slab -
Rough-In
Water Seivice -- - - -
Sanitary Sewer
Rain Drains -- - -�
Catch Basin/Manhole
Storm Drain -- - - - -- -
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL _. _ - -- - ------- --- --- -- -
Post&Beam
Rough-In
Ras Line
Smoke Dampers ---
Final
PASS _PART FAIL
ELECTRICAL
Service
"dough-In _ ---
I!a/Slab
Low Voltage
Fir Alarm
aIPARFAIL Reinspoction fee of$___—_--_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
T
SITE EJ Please call for reinspection RE: _ -_ __- Unable to inspect--no access
Fire Supply LineADA / �� -r,
Approach/Sidewalk fD� �!! -y� Inspector
- -__-`� -� ✓ /-_
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
TY OF
T I G A R D _ELECTRICAL PERMIT
CIPERMIT#: ELC2002-00279
DEVELOPMENT- SERVICES DATE iSSUED: 6/20/02
13125 SW Hall Blvd.. Ticiard, OR 97223 (50?) 639-4'171 PARCEL: 1S133DA-00600
SITE ADDRESS: 11050 SW SUMMER LAKE DR
SUBDIVISION: AMART SUMMERLAKE ZONING: R-7
BLOCK: LOT : 028 JURISDICTION: TIG
Proiect Description: Add circuits for freezer, landscape, shop, kit. can lights, plug at laundry.
RESIDENTIAL UNIT TEMP SRI/CiFEEDER_S _MISCELLANEOUS _
1000 SF OR LESS: 0 • 200 amp: PUMPIIRRIGATION:
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 t_ NSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: 1 PER INSPECTION: —
201 - 400 amp: 1st W/O SRVC OR FDR: 6 PER HOUR:
401 - 600 amp: EA ADD'L BRINCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/vol!: >=4 RES UNITS: �> 600 VOLTNOMINAL:
Reconnect oil_ SVCIFOP. >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
RICHARD CALDWEL.L BUCKAROO ELECTRIC
11050 SW SUMMER LAKE 16780 S UNION MILLS RD
PAULINO, OR 97042
Phone: Phone: 503-880-6326
Reg#: SUP 3954s
LIC 89524
ELE 34.361c
FEES _ Required Inspections —
Type By Date Amount Receipt Rough-in
PRMT CTR 6/20/02 $86.75 272002000 1( Wall Cover
Elect'I Final
5PCT CTR 6/20/02 $6.94 2720020000(
Total $93.69
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,or ii 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 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-6699 or 1-800-332-2344.
Permi' Signature: Issued By:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot inte•,dnd for sale, lease, or rent.
OWNER'S SIGNATURE� DATE: —
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: �� 7 .. _— — DATE:____
LICENSE NO: —_—
Call 639-4175 by 7:00prn for an inspection the next business day
06/9.8/2002 07:12 15038293853 BUCKAROO ELECTRIC PAGE 01
9 00/18/2002 08:10 FAX So�6o81800 –
CITY 01' rIGARD '—
I ®002
F;lectr eW Permit Application
City Of 11gard (t 1/ f'rolteUs/pl.n_o.: s tglrr due:
Ci(ya'Meard Addreu `
: 13125 SW Hall Blv T6k Olri 97223 psle�ttledt
Morin, (503) 639-4171 ' j Br; r ne..
j
Fax (S03) 598.1960
t � I (-- Care file no"."_... __�.._ P•yrr,eMtype•;
Laird use a
pproval:
family 4welllnp or uccaoryQ Cnmmsrrialhndurrto, G Muld-family
w ns
U Nccotruction U 1"nanl fmpmvcment
�Arldrdon/nllcnuoNreplaeemeni a Other: _ M Partial
4Q1.0m
nddrell' 61d . rw.. Suite no Tax ma tax lot/ac¢ount no.:
t
Block: Suhdivlaien _
i nntne: ___ Dt!st riptlon and hxatlon of work nn premiecs: 1
mEstimat id-dale cotllpleltrrVina;xt Ilon. J '
t
1
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� - it Mu
Buaipes3 eaMt DO Ii flotr (rr 1.0M1 nu_,nt r
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�tt -
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• d rid lith unM.larluder rrrtsrhed prstr.
SWIG, ZIP: swSavitsiwNeMQ
PhrIndtQ- 1 Fut; 2 - gS E-moil• 1001164 n.or lots 4
j
CCB no! 2 nec.bus.lie.no, L ch a uional Si>V ui r, ur ri�mon u,enet
LI ieedY,
encr r,tU. 1
--J
CItX/ afro lic.no.: j
r Umite_d�4ne y,nor-laaldaaial
achmanrfrctsmrrhanuormo In welllnt
j re IAP-e ylnp c IctrlciUt(ncp red) Qa!e Service andle•r•sdcr 3
Sup A'a rtun$(prmt) N r I-r-1N All/ Lteenxrlo: '$ Mcaierrmesem- u
dleraMon or relocation:
IW AIMPI or leu ,
Nnme(pnnq: r tZfi�•- �.' l Zo)am lo-"�':'�`-"_.
I
Mallig addrtas; -
City. Stine: ZIP: -- �e1n low_l000 pmol -+�–
iOvu I Otq vnp,a o u_
Phoao: pain B-mai L• newnp to r
Owner InitAllalion:The instaUntloh is being lmde on property 1 oN,n etepaesryarcticee erfrode+."
-hi(-h Is not Intended for sttk,leaf!,rent.or ruhrutts nCColdinS to Itdattaslsl allarallaehorrsbratMle;
ORS 447,455.419,ern, 701 JWorst of 2
Ovir'er's 7i'natuir -
raich c#railr nrw,a knfinh,
Narita: er eatenelan ptr NMI:
- -- _ A. Fee for arum!clreulu with pufchue or
lelddfbaa: Fill, fervlry er feeder lam,arch(+renuh arCtat
9 I've#xtrue dKYlu M7thotn pu r►wc -
phone TLIx' ti ntvl ddill enalbrardl rq r_—�
Mtrr.(ltor+ erle+�e-twrfecir r
t,�C�nln•nve.JJ7rnt�n.a;frooc�c.,t1 "J II-elth�eftaci.,lr 94rh"or11"L9bntdale =
LIsenlcat-g'"Uattrrr,Wn1of1&2 OIluwdourlaced- Jc ci�trotout:rac �a n - �,� -_-
fanulydwlUnp 094Writ owr 10,0Uosquare vert tow M SteMU 111MU110)er a lllhlted ertar�y lrarrrl,
t]sysal600VON notnnal mumrrddeaddunlulaamstrwrum altrreuan,OrcelMYeM 1
Cl buildlettwer Whirm 44oriM (hreader 401 an"tv tron •!!fain um _
O trantpetr low owr"persons U MywfxturM rtrucnttw or av'perk
0 l..araroAlebetvii n U Ck)*r t11Cb ederl InrpotKlow arar rhe alletrobte MIeh1 -
....---._ tn.q+atwm -
810141t.�vets orptainrMlimyef/hea►sve. �I,,.,u uo.,f,r — . - -
"w above arts Met ft+p0lkaW to Ieupor ary eemrstlbo service. cite -
hot rh lendie"ft,neige ago rd.Ileal tell leripet tea ft Nov 1wer"Nim N011tt.Thd"it application Per"M fen..-._...,.....,.. �
O Mma 0 magarewd explrin If 1"Mit U not t)btatned plan Mview(at
Credit aM nutmovl __._ .,, wlthfn I It days after It hu twit Stott lurrhnrge(s%) S - -y
— tear
W. ow�fi- -- accepted u wniptete. TOTAL s
--� Pr�eyei opaara ' :�'r ase.datl teietYCCMI
CITY OF Ti IGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP
Received _ Date Requested 3 AM_`_____ PM f'rkQ BUP —
Location _�/ O SU Scar .Scr N+ A�4 Suite Suite---___, MEC 2d -D u C?J---
Contact VersonPh(--) }` _�G 3 PLM
Contractor -- -_.�. _ Ph(—) -------- SWR ----
BUILDING 'Tenant/Owr.ar _. ELC
Fooling
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain -- - -
.`ilab Inspection Notes: SIT
Post&Beam _ — —
Shear Anchors
Ext Sheath/Shear - ~
Int Sheath/Shear ---
Framing ;4C/ n5 _�r i�J,�.C t'�'7: T� _j I l-'S• , c,�> f`
Insulation /
Drywall Nailing /"WU� k� f/y�4r � �5��3 �i 4-i S -'� -r- 1
Firewall _
Fire Sprinkler
Fire Alarm v
Susp'd Ceiling
Roof
OthAr: ---- -----
Final - ----------- _...�
PASS PART FAIL -
PLUMBING -^
Post$Beam--- -- -— — - - -
Under Slab
Rough-In --"- -
Water Service
Sanitary Sewer _ --
Rain Drains -- ------.---- .
Catch Basin/Manhole
Storm Drain --------
Shower Pan
Other:
Final ----.._.�-- ---
PASS PART FAIL ---
-�—�._
Post&Beam
Rough-in
as i
tSmoleDampers
ART FAILICA
Service - -`— ----
Rough-In
UG/Slab --� --- -�"-`— —
Low Voltage
Fire Alarm -�----- ---'- -
Final f 1 Reins
PASS _PART FAIL pection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE - Please call for reinspection RE:_ ❑ Unable to Inspect-no access
Fire Supply Line
A0A
ApproachJSidewalk
-------- ._ Ext
Other: _
ri:ial DO NOT REMOVE this Inspection record frotr the Job sit®.
PASS PARI F-'AII_