11385 SW COTTONWOOD LANE -KW��n.r.n.sr..,...v..rr.�riru�Mne�+�.w.�..wvrw.wriYrNwwM.rrw.��wr.�w.�.....y.wrr..�Ar�+1.:r+Yw+m -�n..,.�rrw....u.�..�...r...•..+�.�.�rwFY+1wr.runAlvMMk arwaNGNYYN�aMkJAI �:
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11385 SW Cottonwood Lane
J
CITY OF TIGARD _. ELECTRICAL PERMIT
PERMIT#: E:LC2003-00022
DEVELOPMENT SERVICES DATE ISSUED: 1/23/03
At k 1311:5 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 'IS134ACO2603
SITE ADDRESS: 11385 SW COTTONWOOD LN
ZONING: R-4.5
SUBDIVISION: ENGLEWOOD N0.3
BLOCK: LOT: 160 JURISDICTION: TIG
Project Description: 2 branch circuits for AC and furnace.
_ RESIDENTIAL UNIT _ _ TEMP SRVC/FEEDERS MISCEL_l P.;;cOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGAT;ON: +i
EACH ADWL 500SF. 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: Z01 - 600 amp: SIGAAL/PANEL:
MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10):
SF—"'SE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEF"ER: PER INSPECTION:
?^.01 - 400 amp: 1st W/O SRVC Or 'OR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp!volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _ _SVC/FDR>=225 AMPS: y CLASS AREAISPEC OCC:
Owner: Contractor:
MACY,J:D C AND JANET C HILLSBORO ELECTRIC
113'35 SMU COTTONWOOD LN 21195 NW EVERGREEN PARKWAY
TI'_.ARD,OR 97223 HILLSBORO,CR 97124
Phone: Phone: 503-439.9666
Rel1#: ELE 34-4330
—^
LIC 134461
SEES SUP 42405
Description —+ Date Amount
Required Inspections
1:LCr'anrit 1/23/03 $53.50 -
11 AN)6 Statc Tax 1/23/03 $4.28 Rough-in
Elect'I Final
_---~ - --
Total S57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Coc e, 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 we rk is not started within 180 days of issuance,or rf work is
suspended for more than 180 days. ATI ENTION Oregon law requires you to follov rules adopted by the Oregon Utility Notificatio i Center Whose
rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtr in copies of these rule,ordirect questions to OUNC at 1503)
246.6699 or 1-800- 2-2344
IS5Ued By- -_iL _ttA.. Permit Fignature:� 1. CZ Z
Com"
OWNER INSTALLATICN ONLY
The installation is being made on property 1 own which is not intended I)r sale, lease, or rent.
OWNER'S SIGNATURE: __ ,—_ —_ �_._ DATE:
CONTRACTOR INSTALLA TION ONLY
31GNATURE OF SUPR. ELEC'N: DATE-_
LICENSE NO: —
Call 639-4175 by 7:OUpm for an inspects )n the next business day
1
Elecu ical PerndtApplication
- LAk reoened: _ _ FamR no.:
City of'Tig g" VV"� Prq-u-Pia, Eipire daw
l.,4 olrkr+� Address: 13125 SW 1 in Dow imued; -Fly: . Rweipt no. .
Pitpr{C: (303)4394171 --- — -- -- ------ - —_
Fax:(503) 5"-1960 ..IAN 2 ] 2003 erne tele t><,.: P�,ertt�: _
Land use appMVM1: -
1r I Ar 2 family dwelling or acceraory Q CommercraUindwtrial ❑Muhi-t�amily C:J'emmt improvement
0 Now construction O Addltioo/slterttioNt�plsc.-tnem O 139kr' --.-0 Partial
fab_address- l �,� _ n Hldg.no.: Suite no.: — Taut mrphax bdaccgtrttt -
I,or
Block: ASrrbdivirion: _ - ------- -------
name:name: At,y Ikscription and IowNsh of work on premises:
_ m �1_--
Etttltnated date of c etion/i ,tiJA:
!tblA laO: Fbe Ilt�r
TOW w.
Businesseamo: Hillsboto E1e-qtr-Lc, LLC ���.i„�" P.
Address: 21185 NW Evergreen Pkwv Ste-t104 IrraY�>rallaclrMaaAretMlalrrraa.
City:, ijlgb o r.oState: ZIP: 9 712 4 ( �
-�- -- low R.rn Ieaa
P Jnr.4 3 9-9 6 bpi--r - E-mail: -- - ----- -- - _
131ec blra lie.Do: Each tdrbtir,nl too .8�apation thereof
lY:i 1 no. 1344 81 —_ 3 4-4 9 9
--- 2
�/1 euO Ne.no. _ _ Limitrrtoowaddeuttel T- -- - - -
- -- - --- -
-Ct Each manilhmnal home or m"4Lds clwcnirry
Service W&W PocrSa 2
9 of _vint�dectriar�(t°Su ) — --
l,oeaae tar 4 9 4 1) ver ar k.Mn-IeraMrM,
Sup.akot,armee(pMItX rlrsrasMtlr►ralsoasl+r
200 or Ina+ 1
Natne(ptint�: 101 w Io 100 atter -- - ._
---- ---- r 401 am�r to 600_ m-
Maul address _ 601 MW KI 1000 - -- - 7
City: $tate' ZIPS-- Over low amp or vnlr 2
Phone: - Fix: E•;tttail: Revumecl MIN -- -- -
Ownrx inetaiW ini:111w insWintion is bring made at►property 1 own raee�aeary wrrMearhedna
which it not imendcd f w sale,lease,teat,a exchange(vxotdittg to �
200 ar le;e 2 -
oRS 447,435,479.670,701- 201 a 400^�r4 - - -� 2
Owna'n r t±: Data: 401 m 600� 2.
tkrrrci dRtYMa•Mw,wWnA1;'
w OwspW lw Mr/Yate
Name: _ _ A Feefrc hn ch eheairr wile Ptoohur of
_ aarvi.e or"!W 1M�arb hnamh circrd� -'
8 Fee Rx bmch ciroula widtw4 paaolMae _
sane: zlr:
city:- ---- -" -- --- ----�_ --- of service a feeds ire Ant brach cAnwt:
Phone: Fax E-ttiril: Erdr sdditlorrsl tRarcfi ohcup M
M1ae.(14arv1oa w/rads►wl krelreAeQv
4"MMI-fte r salty �ch�a �uian Deck -- 1
?
V 9ervioe over 223 arpravrvrwroirl F.ad.d cr eadi>ae �
Ll savloe-Puss X30*eve rabua of 1W U Ranrdrve 10*000 4
%Wlv drrdygOr C2 RUL%ft Drum 10,000 rgaam kat tt&of Rland pmrr(a)or a WMAnd WWW Pavel.
V Ryncm ova 600 mlb*mind mote rfwAff d uabt Is ase at ucam slkndon a-aMntdoa' --
2
U 8uiuhs ever rinse Amo U Feeder.400 rap of mom aUvacrl r.
❑OPaV t load aver"Peruse U Maaubmted svrnm�a or WV pat P harParCsa Ntv lin a#+R+Me V nosy.r Itre absrac
U AM U Other:
Aalkit�_.ars of plh=wi1M ah of 66 airrr. Invealr�aae
71r attars to rwt rp�NtWr b wrpd'�f ctisMltwelltln Mtrlee. raM •-_---_--_
.,-ureM"M Notice 11via NAHM Pesten fee.................
.....s
t+s d Irk�R arrMt ends.raw�Me+�(rot t>R� �' Plan review(ret__- !1r) s �'
etq>ee+t if a permit is not otft*W
OV ifa a 1-27 fnwn o1aL
wMhin 180 drys dhr it bas been :;tate eutCl►arge
_ r
saris« mvepted to Nwnpleve. T E1 A AL............»».........5
t _
AqVY M
To 31-:4d 018103.13 ONOE-111H 999666PE09 60:OT E00L/6T/T0
CITY OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00018
131%5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/17/03
PARCEL: 1 S134AC-02603
SITE ADDRESS: 11385 SW COTI-ONWOOD LN
SUBDIVISION: ENGLEWOOD NO.3 ZONING: R 4.5
BLOCK: LOT: 160 JURISDICTION: TIG
CLASS C.• WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
E LE 3 - I ' HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOOnS;TOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS:
> 19000 cfm:
Remarks: Replacement of furnace and add-on air conditioner.
Owner: _ FEES
MACY, JED C AND JANE'f C Description Date Amount
11385 SW COTI ONWOOD I-N
TIGARD, OR 97223 1Mf011 Permit FCC 1/17/03 $72.50
[TAX] 8", ';tateTax 1/17/03 $580
Phone: Total $78.30 _-
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUI('.ED INSPECTIONS
Phone: 5014-640-3607 Healing Unt Insp
Gooling Unt Insp
P-g#: LIC 66578 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 vwrl �e done in accordance with approved plans. This permit will expire if work is
nut 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 F, set forth in OAR 952-00' 00
Issued By: !� �f ( �.� Permittee Signature:/
-- Call(503)639-4175 by 7:00 P.M.for Inspections needed the next business day
Mechani^al Permit Application
rived Meche deal /
/B 1-7 O Petrat No.: He,4:003-4XI S
Planning Approval Building
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other —
Tigard,Oregon 97223 Date/By: 1 PermitNo.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review [and Use
Internet: www.ci.ti gard.orms Date/By: i Case No.:
� Contact Jwis.: See Page 2 for
24-hour Inspection Reyuest: 503-639-41'75 Name/Mcthod: _ �_ Su lemental Information.
F TYPI %jF WORK COMNIFRCIAL FEE"SCHEDULE-USE CHECKLIST
New construction n Demolition Mechanical permit fees`arc based on the total value of the work
dditionlalteration/rclaccmcnt Oth+r: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTIONmechanical materials,equipment,labnr,overhead and profit.
&2-Family dwellin; Commercial/Industrial Value: S__ See Page 2 for Fee Schedule
-- -
Accessory Building_ Multi-FamilyRESIDENTIAL EQUIPMENT/SYSTEMS FEE'SCIIEDULE
_ Master Builder Other: Descripuon-----�c�i�iFeeea. Total
Heating/Coolin
JOB SITE MVR ATION and LOCATION_ Furnace-add-on air conditioning** 14.00
Job site address: ' -o ,)00 L— Gas heat pump 14.00
Suite#: Bld ./g Apt.#_ vuct work 14.00
Project Name: H dronic hot waters stem 14.00
Cross street/Directions to.) fjob Si; (for radiator ential
boiler
r or hydronic system) 14.00
Unit heaters(fuel,not electric)
in wall in-duct,suspended,etc. 14.00
Flue/vent(for any of above) 10.00
Subdivision:_ Lot#: Repair units 12.15
- --- — Other Fuel Appliances
"fax map/parcel #: _ _ _ _ Water heater 10.00
_ DESCRIPI WR OF WORK _ Gas fireplace 10.00
Flue vent water heater/gas fireplace) 10.00
Log lighter as 10.00
-- -- ---- -- - Wood/Pellet stove 10.00
�._ Woed fireplace/insert 10.00
Chi mne /liner/flue/vent
LROP_EItTY, WNLR TENANT Othet: 10.00
Name: J M (.\ `1 Environmental Exhasst&Ventilation
Address: cp Range hood/other kitchen equipment 10.00
LA�'�'^� Clothes dryer exhaust 10.00
City/State/Zip: ! u1M1 1�+ 'L'Ls_ Single duct exhaust
Phone: Z (p d Fax: (bathrooms,toilet compartments,
APPLICANTt— CONTACT PERSON_ utility rooms) _—_ 6.80
Name: g., 01- Attic/crawls ace fans 10.00
Address: Other:
Fuel Plping -
Cit /State/Zips **($5.40 for nrst 4,V1.00 each additional
Phone:Yu =Fax: Fumace,c' _ ••
- - Gas heal I p ••
E-mail: Wal ted/unit heater •"
CO CTOR Water t„-.er ••
Business Name:sPrG«11�1f��`.�4 _fireplace ••
Address: l ko o 1 SIE ft t vtk rt.D Rang° •'
BBQ •• _
Cit /State/Zip A S n.,,r�p W _ Clothes dryer as •'
Phone: ` �- to 6 Fax: U07 too Met. � •• --
CCB Lic. # s'"1 Y Total:
Authorized �__ __._ Meaunica_I Permit Fees*
Subtotal: 5
(�
Signature: A&_. .M,__ [)ate:L”PI-4 — ---
Minimum Permit Fee$72.50 5 79.'S O
O Rvii.4 ! i 1 S _ Plan Review Fee(25%of Permit Fee) $
(Please pint name) State Surcharge(8%of Permit Fee) $ ?!
l— TOTAL PERMIT FEE $
Notice: This Permit appllcallon expire;If a permit Is not obtained within "F-e methodology set h)Tri-County Building Industry Seryl:e Board.
180 days after it has been accepted as completr. "Site pian required for exterior A/C units.
is\Dsts\Permil Fotnis\MecPcrnutApi�,i�c W,03
Mechanical Permit 4'-k-W ication - City of Tigard
Page 2 - Supplemental Information
'r
Comtr;ercial Fee Schedule:
Total Va�.-gtion: Permit Fee:
$LOU to$5,000.00 Minimum fee$72.50
$5,001.00 to S10.000A) each0dditio a!$100.rst oo and$ti.52
for
thereof',to and includii$10,000.00.
510,001.00 to$25,1)(0.00 $14R.50 far the first SI0,000.00 and
$1 54 for each additional$100-OC or
fraction thereof,to and including
$25,000(,
1$25 d
525,00 K)to$SO,OtX).OG $1 455or eachforeadd'tionnl$100.00 or
fraction thereof,to and including
S50 000.00._
$50,001.00 an J up $742.00 for the first S50,(M.00 and
$1.20 for each additional 5100.00 or
fraction thereof.
Assumed Valuations Per Ap arce: value fatal
Desc )tion: t (ER) /.mount
Fumacc to 100,0(0 BTU,including 955
ducts&vents 1 1"0
Fumacc>100,000 BTU including ducts
&vents — 955
t'loor furnace ineludin v�ent
Cuded heater,wall heater or floor 955
spen
mounted heater 445
Vent not included in apjl,ince ncm;it 905
Re air unit)^ 955
3 hp;absorb unit,
to100kBTU _ 1,700
3-15 ftp;absorb.unit,
101k to.500k BTU 2,310
i5-30 hp;absorb.unit,Solk to 1 Mil
BTU 3,400
30-5o hp;absorb.unit,
I-1.75 mil-BTU 5,725
>50 hp;absorb.unit,
>1.75_mil.BTU
Air haadlin unit to 10,000 cfm_- 656
A;rhandlin unit>IO,OWctm I !�0
Non-portable rugate cooler 6.
446 ----
'lent fan connected to a sin Ig a duct 656
vc—system not included in appliance
I–Permit
Ilcxxl served by mechanical exhaust656— 1,170
Domestic incinerator 4590
Commercial or indushial incinerator — ,65G
Other unit,including wood stoves,
—_ _ --
Gr s t in I-4 outlets 36063
Each additional outlet -----
TOTAL COMMERCIAL _
VALUATION: —-----
i\Ible\permit Po,mc\MecPertrttAppPg2 dac 01101
"ha'itMu'
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IWAT
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)635-4171 MST _-
BUP
Received __ - Date Requested-____ _Z ? F.M.__-- PM _ BUP
Location ___.-- l l 3 gS - �i"� Suite-. - rIPIEC
Contact Person __�-� Ph 3
Contractor __- Ph(-----) _--- SWR
BUILDING _ Tenant/Owner —_ -- ELC �`li C' :2-
Footing ELC
Foundation --
Ftg Drain Access: -
Crawl Drain
Slab Inspection Notes: SIT —_
Post&Beam --- -_ -,- - ---_
Shear Anchors -- --- - -
Ext Sheath/Shear _
Int Sheath/Shear
Framing ----- ---- - --- ---- —.
Insulation
Drywall Nailing --- --- - ----- -------
Firewall
Fire Sprinkler - -- ---- ------- ----------- ._�_--
Fire Alai m
Susp'd Ceiling ----- ---- -- _-- --------
Roof
O!her: - - --- -- __-_--- - --- ----
Pinel -�--
PASS_ FART FAIL ------------_-----.__. ---- --- --------
PLU_MBINC._
Post& Beam ---- ---- - - ----- - -.------
Under Slab
Rough-In
Water Service --- ---- -- -------- --
Sanitary Sewer
Rain Drains -- - - - -__-�
Catch Basin/Manhole
Storm Drain - ---- ---- -
Shower Pan
Other: -- - - -- ----
Fioal --
P ART FAIL - -- - - -- -----.--._..
ECHANIC L
Post& tjeam
Rough-In
Gas Line
S ,Qkp Dampers ----- --- - - --- - -9&.,OART
FAIL
NOW--
Rough-In
--
UG/Slab
Low Voltage
F're Alarm - -�----___-_-
1 �7
S PART FAIL LJ Reinspection fee of$ required before next inspection. Pay at City Hall, 13'125 SW Hall Blvd.
STM Please call for reinspection RE:` --- _ Unable to Inspect-no access
Fire Supply Line
ADA
ApproarIVSidewalk Daft---- { 1-- LL_ _ Inspector - � -- _----------Ext __._..
Other:
Final DO NOT REMOVE this Inspection record flr'om the Joh site.
PASS PART FAIL
s
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)6394175 1 MST
INSPECTION DIVISION Business Line: (503)639-4171
BUtr
Received _ __ Uate Requested— G _ AM-_ PM BUP
Location _�_ Wo-&-d
Suite _ '
MEC
1_
Contact Person _.— �h(_.__—) .=� l�i�[•�_ PLM
Contractor-------__________ Ph(—) SWR
BUILDING ---- TenanVOwner ELC
Footing
Foundation -�i�- -- ELC
rAccess:
Ftg Drain C� C C S y /"j'/ _`�-�.,QJ2/d E .L�P.
Crawl Drain �'
Slab Inspection Notes: SIT
Post&Buam - ----
Shear Anchors — ----- - ------ _- --- --__
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Afarrn
Susp'd Ceiling - ------ ----- - - --- - -
Roof
Other: — -- —.r --- -- ----
Final ---- ---------- ..�
PASS PART FAIL - "— —"-- --
wLUMBiNG _
Post a Beam
l Inder Slab
Rough-In --- - -—
Water Service
Sanitary Sewer
Rain Drains ----- — _— _
Catch Basin/Manhcle !—
Storm Drain ----- ------- - _ __
Shower Pan
Other: -- -- ----- -- — - -- -
Final � - ---- -
P ART FAIL --------- -------
ECHANI L
o eam -
Rough-In — — -- - - - -
Gas Line ----- - --
Srr a Dampers --.-- - -_-- _
rna ---- - _
aggj"RT FAIL ------- ----- — -- ---
CTRI L
Rough-In
UG/Slab
Low Voltage
Fire Alarm -- --� - - — -
S PART FAIL F Reinspection leo of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall r3lvd
S _-__ __-- [] Please call for reinspection RE:_. _ L__I Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Daft- J-/ Inspector . . IC221
Other: --
Final DID NOT REMOVE this Inspectlon record from the Job site.
PASS PART FAIL