Permit n CITY OF TIGARD
ELECTRICAL PERMIT
2 ,•:- COMMUNITY DEVELOPMENT Permit #: ELC2009 -00545
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 639 4171
Date Issued: 10/15/2009
Parcel: 2S114BA15700
Jurisdiction: Tigard
Site address: 16175 SW COPPER CREEK DR
Subdivision: Lot: 0
Project: LEONHARDT
Project Description: (2) branch circuits for a/c & outlet
Owner: FEES
LEONHARDT, CHRISTY D & FRED W Quantity Description Date Amount
16175 SW COPPER CREEK DR
TIGARD, OR 97224 2 crt Branch Circuits 10/15/2009 $63 60
wo /Purchase Service or
PHONE Feeder
1 ea 12% State Surcharge - 10/15/2009 $7 63
Electrical
Contractor:
TYLER ELECTRIC LLC
PO BOX 807
MULINO, OR 97042
PHONE 503 - 829 -2498
FAX
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71 23
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will
be done i ordan ith approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days ENTION Oreg• I- • - quires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 -0 -0010 through OAR • • -001 -0 01 ou may obtain a copy of the rules or direct questions to OUNC by calling 50 • •6699 or 1 800 332 2344
Issu d By: - ∎� �t 4 / `
Permittee Signa re: T _._.A j WOW /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATIIDN ONLY
i
SIGNATURE OF SUPR. ELEC' o � V 4f #' c .......________, Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Oct 12 09 12 GRFELECTRIC 5038295747 p.1 • Electrical Permit Application l'S)i „r r 11.1 , �i ;.t , �r . \ ,
City of Tigard EC r p - s
IN .- ` " 1 3125 SW Hall Blvd , Tigard_OR 97')73 P1 ew 404, nerndc No.: �i /,/ A.
Phone: 103.639.4171 Fax 503.598.1960 Darr1B ; 8y: ' Qth= Pt:tnut
' tl'; i t'1 :1) insp Line: 503. 639,4175 0 O 12 r t'b r ReEtd Tut If See Papa 2 Par
171tamct: www,tigard- or.gov olAtd/Methed / S
pptem end) Inform aeon
TYPE 'OF WORK
■
$ j ' .1)VARD I OPW -
� t : r . T.,,..":" . : •
C New construction dditioniallcrationlrep ' DI VISION Plcesc check all Mnt apply (submit a sets of plans %Mem/ eheekXd'below):
El 17e[TOUhOn 0 Service or feed= 400 amps OT m vr ore ❑ Budding ov three stones .
❑ Other: where the sva Iablc fsoli aurrnt
❑ Manna' and }warynrdc
CATEGORY OF CONSIRL CTION exceeds 10,000 amps at 150 volts or ❑ Ftoatiag build.nps.
Ices ro ground. Or caeeeEa 14.000 0 Comm meintnwc atoiailtural
and 2- family dwelling C Commercial /industrial C Accessory building
amiss Nor all ether enstallariona. b,ldiaga.
Multi- family 0 Master builder C Other: ❑ Fire polo ❑Instanaaar,
JOB STI E INFORMATION AND LOCATION ID Emergency syaeern larger sep�u ly *rived ed aye=.
❑Admllon of new male :Iced of ❑ "A" 'E". •'7.3 .. .
106Np or more. occupancy.
.. lob no.:
Job site address, I (6' 1 '? 5 ' p n D snc or mate rca donna units. ❑ Recreational .chicle parka
City; SnateJZ1P:T; 4 ' { 7 L
� ' 1 Z y - �r � " 0 Hazardous -eat c ; i nos ❑ Supply voltage al mere h>r
1" f �, f � r� r - QFlezatda•,u In;ativna 600 wits nominal.
5uite/b1dg. /alt. no.: Project name: e.....? v V` _ el v ,a CI SeDree or feeder 600 amps or more
Cross street/directions to job site: D. •ei,,,• � Sf fJLlE 7m iota •
- New residential single- or multi - family dwe311rag unit.
inch/ des attached garage.
Subdivision Lot no : 1.000 sq. ft or less 145.15 4
Tax map/parcel no.. Ea add'I 500 sq. ft. OT Durum'. 33.40 I
Limited energy, residential
. DESCRIPTION O 'WORK - - Swath above 69. R) 7$.00 2
L.mitcd energy. multi - family
75.00 2
2-- {_, ,- 6 „, ` k- / /7 LA Or residential (with above sq. R.)
Services or feeders mrtallnt5on alteration. and /or relocation
200 amps or less 80.30 2
' C PROPERTY. OWN111 J ❑ rEvArfr , 20] amps to 40D amps 105.55 2
Nartte 1/ 401 amps to 600 amps 160.60 M 2.
P �� V n f -� C sT �� 601 amps to 1,000 amps 240.60 2
Address: 1 ( t --] ;--- S (.....0 e,r, C -re _ / 0 ver 1 000 amps or volts 454,65 " 2
City/State/ZIP: /� L C.2i. `c' r O Tcmpers�. servites or feeders installation, alteration, and/o
T. 6 • a � ` { reIocation
Phone' ( ) 1
V Z ' 24 . / Fax: ( ) 200 elope or lese 66.85 1
Owner installations This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale. lease, rent, or exchange, according to ORS 447. 449, 670, and 701 401 tarps t o 5 amps )33,75 2
Branch circuits- new, alteration, or extension, per panel
Owner signature:_ Date; A. Fee for branch circuits with
' ISCAPP'LICANT ❑ CONTACT P RSOIN above service or feeder fee; 6.65 2
each branch : ircurt
Business name: T� i e,1,.. E1 e ;414 r LL_ C B. Fee fat branch circuits V
without service or feeder fa,
Contact name: L i y1 /1 it.- first branch circuit /" " 2
Address: 15 addrl branch circuit 6,65 / 2
15 z-' `rG J I VDacellaneouasserviee or feeder not eluded) v �
City/State/ZIP: (�1 . 1 . 1 , 1 (' k_ Ct G `f- 1- Each manufactured or modular
_ _ dwelling, service at /or feeder 90.90 2
Phone: (Lou)) 3G> - 4-1 t r' . Fan. : ('`• 3) ',- L1 - `7 � -7 Reconnect only 66.85 2
E -mail: - Pump or irrigation catt 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Susaaes$ name: r� Signal urgings) or limited-
1,. j f y 1 r Wit_. energy panel, alteration. or
Address: 15 t1 • Cc C f extension. Describe: I Fage2 2
City/Stare/ZIP: i' L„,, i 4,-.., , c- f 6 7 't� Each additional inspection over 2)h-rumble in a of the above
s 1 - Per inspection 6L50
Phone: (t31; >) S' - Li- i `f, G , Fax: ( t) ? A — �� { c"- lavestigatioc per hour (l lirmil) 62.50
CCa Lic,; \AA30 � 1 .Electrical Lic.:3 --4 C• i c 9uprv. Lic.lc �::\S industrial plant per hour i i 73,75 1
�........ /: I - ELECTRICAL -PERROT FEES -
Supry Eiectrician signature, required. T ` � ✓ � 1 1 � Subtotal: � (3 ( e ° ; � , Plan review ( 2 5 % permit fee): •
� ‘a Print name: ; , ..,,„..-.-./. Date. ' � 1 Q r t 2 ) b
, state surcharge (12% of permit Pee), -4'
Authorized signature: _� ' i ([ TOTAL. PERMIT FEET -
Print Warne . ��L Date: This pnrm■t,rpphcation expires if a permit,, riot obabnnd within 180 Z1 l •
' 0,2N, � Z� d ay% titerittweboonacceptedn ,
` - • Number of inscctione allowed ba wren.
l:stulldlnB - iApp,dat o <jZ,1,111 440.4615T(I loos, ovAirsD
m µ y n
CITY OF TIGARD MECHANICAL PERMIT
°' m COMMUNITY DEVELOPMENT Permit #: MEC2009 -00499
Date Issued: 09/22/2009
,TICrARIL► 13125 SW Hall Blvd , Tigard OR 97223 503 639.4171 Parcel: 2S114BA16100
Jurisdiction: Tigard
Site address: 16215 SW COPPER CREEK DR
Subdivision: Lot: 0
Project: Swanson
Project Description: Install a/c within side and rear yard setbacks
Owner: FEES
SWANSON, DOUGLAS Description Date Amount
16215 SW COPPER CREEK DR Air Conditioning or Heat Pump 09/22/2009 $14 00
TIGARD, OR 97224
12% State Surcharge - Mechanical 09/22/2009 $8 70
PHONE: Minimum Fee Adjustment - Mechanical 09/22/2009 $58.50
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
TIGARD, OR 97223
PHONE 503 - 624 -2704
FAX• 503 - 598 -0270
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types
Gas Pressue•
Total $81 20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION Oregon law requires you to follow the 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 a copy of the rules
or direct questions to OUNC by calling 503 246 6699 or 1 800 332 2344
Issued By: �� 2 ti k Permittee Signature: BJ
A
t ' \ Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
' . ENC a Mechanical Permit Apphca ' ';` D oE ru ciCi: VI:4 c►MA ' •
City of Tigard C CI II Recervx1 p est No ' 02
Date.By, m t2 `X) l •
• 13125 SW Hall Blvd , Tigard, OR 97 2_ Plan Revew
8 ,';' Phone. 503 639 4171 Fax 503.5981960sEp 2 221309 Date/By Other Perrot
iIGAIItD. Inspection Line: 503 639.4175 f DateReady/By J rts. 163 See Paget for
Internet. www.tigard- or,gov TIn \R0 Notified/Method. ` 1 1G e
Supplemental ieforruar,o
TYPE OF St/W) 0� G l
I ®
CITY EV1v!`�N COSIMERCIAL FEES SCHEDULE - USE CHECKLIST
❑ New construction Additionialterationlreplacemcnt Mechanic l permit fees` are based on the value of the WWI,
performed Indicate the value (rounded to the nearest dollar; cc :d'. i
❑ Demolition ❑ Other: mechanical materials, e.ui.me-tt, 1:..r, overhead, and .rofit '
CATEGORY OF CONSTRUCTION
....,21 and 2 family dwelling g RESIDENTIAL EQUIPMENT ! 'YSTEMS FEES`
❑ Commereialiindustrial ❑ Ac cessory bun cst
❑ Multi family [11 Master bu 'de: ❑ Other: Forspecral rnformauor, use checklist
Description Qty 1 Ea 1 '1 eta! ,
I JOB SITE INFORMATION AND LOCATION Ileating/cooling
I �� � Air pump 1
lob s.te add ess 4 1PZ 5 V �� e'er I ___
�1 - Air co n site plan wowing placement) 4 OU
Cit' /StateJZIP: r[ 1 1.,-441_4 -7 Furnace 100,000 BTU (ducts/veins) ' 14 00
Sul te bldg.iapt. no : Furnace 100,000+ BTU (ducts/vents) 17 0
i Project name: 5Li (\ n Gas h eat p � 14 (.0
Cross strec fdirections to jcb site Duct work [4 CO
Hydronic not waxy system ; ! 14.60 _
Residential boiler (radiator or
hvd:onic) , 14 uU i _
Unit heaters fuel -type, not electric), ,
in -wall, in -duct, suspended, et: 10,00 ' __
Subdivision: Lot no Fluc/vent for any of shove 10 CO -
Other: 10 60
W
Fax map /parcel no • Other fuel appliances
DESCRIPTION OF WORK Water heater 1000 _
,A ,� Gas freploce 10.01)
J+`D0 1, L b 6 6 r C- �� r 5 Flue Neat for VI stew heater or gas
, fire-lact 10 09 ,
---- I Lae lighter (gas) 10 00
Wood/pellet stove 10.03
Wood fireplace/insert 10 DO l
_2- PROPERTY OWNER Chimacylliner;Flue / vent 10 0t) ❑T ENANT
Other: 1 00
Name: +kA, /11, -c`'�-,...... f Environmental exhaust and ventilation
f
Ad ress. Range hood/other kitchen .
equipment IC GU
Cityr'StateJZlP: Clothes dryer exhaust 10 00 _
Single -duct exhaust (bathrooms,
Phone ( ) I Fax: ( ) , toilet compartments, utility rooms) 6 80 .
0 APPLICANT ❑ CONTACT PERSON Attic,crawlsoace fans 10 00 __
Other: 1000
Busiress name:
I Fuel piping _
Contact name v !.1 C
I K 55.40 for first four; 51.00 for each additional
Address. ' Furnace, etc. I 1
Gets hest; pump -
City /State/ZIP: I Wallisuspended/unit heater i
?hone: - 63 ) b 3- 9 - 2 7 L Fax:: 93 )s (?.- o ) /» Water heater 1
Fireplace
E -mail:
Range -- -- _ - - -
CONTRACTOR B arbecoe
J b, ! / f
Clothes dryer ; as)
Business name.
/ C1f', G„. t'r Ir�� (�poflr7 c} ✓tL, g
V 6 'Rhcr
Address: go % b X ) 3 0 3 i, -7 MEC11ANlCAL PERMIT FEES' T
City /State?ZIP to �vL? / r 9 J -7 Z �Y, Subtotal '
?hone: (J �f la T
J) / �) ' 0 C� 3 � d Minimum permit Fcc (372.56) — 7 Z jC)
.7 �v ?� wax: ( ) �!
p - � 3 � t Plan review (25% of permit fcc)
CCB lie.: i 5 , 9 State surcharge (12% of permit fee) 7Q
TOTAL PERMIT FEE ,. `•ZQ,
Authorized signature: This permit application expires a a permit is col obtained within 180
_ ' q days after it has been accepted as convict, t f p '
' Print name: f �A 1 i ' Date: I 11 (2_ J ty . Fee nethodulugy so: by T ri•Cuunt) BuilSrng Indusu} Service Dyad
I iBu,Idtng\➢rrrntts1UEC -Pc rmtApp coe 04 440.4617T (11101/COMA B)
Z OLZO i eigt.unio3 e9E• I. 60 ZZ deS
d� Ok` tr\ C(et r V_
, ,_
..
. , 0 ,
r, j • . .
HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624-2704
Sin; PLAN
\S 1
ADDRESS; 1 ( I 5 ,'-' G
£•d OLZO 6uIIOOO /6uneeH elgwnjo e9£: L I. 60 ZZ des
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