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11735 SW FAIRVIEW LANE
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—MEMO
CITY C F T I G A R ® MECHANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-0108
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 03/27/98
PARCEL: 2SI03CD-06400
SITE ADDRESS. . . : 11735 SW FAIRVIEW LN
SUBDIVISION. . . . : TERRACE 'TRAILS ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :0c4 JURISDICTION: TIG
---------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS— . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. TYPES------------- 0-3 HP. . . . : I DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
TURN ( 100K BTU: 1 10000 ufm : 0 GAS OUTLETS. : 1.
FURN ) =100K STU: 0 > 10000 cfm : 0
Remarks : Initallinq exterior A/C unit, furnace, and gas piping. A/C unit must
not encroach into 51 side or rear yard setback.
Owner: --------------------------------------------------------- FEES ----------------
GREGORY F GARDNER type amount by date recpt
11735 SW FAIRVIEW LN PRMT $ 25. 00 B 03/24/98 98-304373
TIGARD OR 97223 5PCT $ 1. 25 B 03/24/98 98-304373
Phone #!
Contractor: ---------------------------------
CLJMA*TE CONTROL HEATING
3315 NW 26TH AVE ----------------------------------- -
26. 25 TOTAL
P(IRTLAND OR 97210
Phone #. 223-4393
Peg #. . : 000006 ------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty CoJes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
wilhir 180 days of issuance, or if work is Suspended for more
than 188 days. ATTENTION- Oregon law requ,res you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-MI-NIO through OAR W,-ftl4W- You may
obtain copies of these rules o,, direct questions to OUNC by calling
(503)246-9187.
Is s u e B y �_ _- _�. _ Permittee Signature :
f�
......................I......4....................................................
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
...................4........4.........+++..................4................
Plan Check s
CITY OF TIGARD Mechanical Permit Application Recd By — r_
13125 SW HALL BLVD. Commercial and' Residential Date Recd_ ^_
TIGARD, OR 917223 Date to P E �V
(503) 639-4171, 004 Data to DST
Print or Type Permit S
r linfccalledomplete or illegible applications will not be accepted —
r---- � � -' Descnpnon — — —
Table 1A Mechanical_Code OTY PRICE AMT
Job SWM A) Penn4 Fee w -0- 1000
Address Y
i36dga Cily/Stalta Zip B) Supplemental"ermit 300
�(}m.tar nW n d 1 1 ) Fvmace to 100,00 BTU - 6,00
Owner 1- Ort Y( Ks- ind.ducts b vents
2.) Fumace 100,000 BTU+ 7.50
ind.ducts S vents _
3.) Floor Furnace _ 6.00
1 ` 0 rnd.vent _
i Wrrr n.m.of .n.aral 4.) Suspended heater,wad heater 6.00
_ or floor mounted heater
OCcripant Madrn Ad""� 5.) Vent not nd.in 3.00
appliance permit
Cawstau Ztp PhMV 6.) Baler or comp.heat pump.air coed. 6.00
to 3 HP;absorpun4 to 100K BTU
7) Boder or comp_heat pump,air coed. 11.00
3-15 HP,absorp unit to-SCM BTU_
ContractorJ, 8.) Boiler or cot. ,Heat pump.ar cond. 15.00
- ) } C' �1 1 15-30 HP,absorp un4.5-1 and BTU
Aldsrlf cagy of `a �y 9.) Boller or corrv,heat purnp.air cord. V-50 —
Cunlrnt Licenses "L -f 3G-50 HP:absorp and 1-1.75 mil BTU
Orspon Conic 8orkr,xs
P.Om 1G) Boiler or comp,heat pump,au coed. 37 50
Lill �U 'i 50 HP:absorp unit 1.75 and BTU
COT
l_ T or Mera r F.�p` 11 1 m handling CFM to i 4.50
11
Architect N'"" 12.) Air handiing unit 7.50
10.000 CTM+
i or k4ft"Ad**U 13) Non portable 4.50
evaporate!conler
Engineer urst" ro Priorie 14) vent tan connected 3.00
_ to a single duct
Destnbe worts Never O Addition O Altefation O Repai•O 15) Venbtabon system not 4 50
to be done Residenbal O Non-residential O indixted in appliance permit
Additional Description of work 16) Hood served by
n*Lhaniral exhaust 4 50
17) Domestic i XcXw*rators 7.50
Exrstxx)use of 18) Conw*mial or industrial v" _ 30 00
oudding or property -- type incinemtof
19) Clothes dryers,etc. 4 50
Proposed use of 20) Other units — - --�-- 450
jbuilding air property
i
Type of fuel-oil O natural gas LPG O electrx,0 21) Gas ppng one to four outlets 2.00
I hereby acknowledge that I have read this apprrcation,that the 22) More than"-r outlet (each) i0
nforr mWn green is cortect,that I am the owner or authorised agent of
I*owner,that plans subornMed are in compliance w i Oregon State — QTY.SUBTOTAL
I'm. c _
i
Signature of OwnerfAgent D to _ 'SUBTOTAL
5%SURCHARGE
CaritWIPOWn'Nartrie
_ Phone PLAN REVIEW 25%OF SUBTOTA'.
TOTAL '
'dstVnechpmt-doc 'Minimurrl permit fee m$25+5%surcharge
rev 7196
MAR-23-98 MON 08:26 CLIMATE CONTRO[ Kv, NO, 1093713606962302 P. o
41(07 CUMA TE CONTROL 3315 NW 26th Avenue Portland,OR 97210-1839
HEATING & AIR CONDITIONING 503-223-4393 FAX:223-4494
AW
tic
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S YS TfM DFSOV — INSTALLATION SERVICE MAjfVTFNAA!cr
REAVERTON! TIGARD • 626,3517 ST. HELENS - p-q-
J 1 -501 PORTLAND - 223-4393 VANrr)l IVF:P - ')C;A.1091
CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERVICES FIE RM I T #: ELC98-014.1.
13125 5W Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE IS'J0F'11: 03/25/98
F,ARCEL: 2SI03CD-06400
SITE ADDRESS. . . : 11735 SW FAIRVIEW LN
SUBDIVISION. . . . :TERRACE TRAILS ZONINu: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :024 JURISDICTION: TIG
F'r o J e c t D e s c r i r t i o n : Installing first branch circuit and one add'1 circuit.
----RESIDENTIAL. UNIT----- ---TEMPI SRVC/FEEDERS---- -----MISCELLANEOUS---——
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 F'UMP/IRRIGATION.. . . . : 0
EACH ADD' L.. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401. — 600 amp. . . . . . . .. 0 SIGNAL/PANEL.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0
._--.--SERVICE/FEEDER------- f.IRCUITS-----_— ----ADD' L INSFIECTIONS----
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: r PIER INSPECTION. . . . . : 0
201 400 amp. . . . . . .. 0 1st W/O SRVC OR FDR. : !. P,ER HOUR. . . . . . . . . . . • 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PL-ANT. . . . . . . . . . . : 0
601 — 1000 amp. . . . : 0 -----------------PLAIN REVIEW SECTION-----------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner. ----------------------------------------------------------- FEES ----------------
GREGORY E GARDNER type amount by date recpt
11735 SW FAIRVIEW L.N PRMT $ 40. 00 B 03/25/98 98-304373
TIGARD OR 97223 SPCT f 2. 00 B 03/25/98 98-304373
Phone #:
Contractor: ------------------ ------.---_--...--.----------------------------------
CLIMATE CONTROL f 42. 00 TOTAL
3315 NW 26TH AVE
------- REQUIRE.D INSPECTIONS - --
F,ORTLAND OR 97210 Rough-- in Elect' 1 Final
Phone #: 223-4393 Elect ' l Service
Reg #. . : 000621 --- --This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if Mork is not started within IN
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Dreoon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to Ol1NC by calling (503)246-1987.
Permittee Signature : cM�e ��� � rl � Issued By:
----------------------------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 INSTALLATION ONI-Y--------------------------_
SIGNATURE OF SUPR. ELEC' N: 1-N' (! ' " J 1C'1 1 N�r't��� DATE: 'Z L _�
TT
LICENSE NO:
+++++++++++++++++++++++++++++++++ -++++++++++F++++++++++++++++++++++++++++++++
Call 6 ;9--4175 by 7:00 p. m. for an inspection needed the next business day
++++++++++ , L++.+++++++++++++++t+++++++++4++++++++++.4•+++++++++++++++++++++++++++
CITY OF TIGARD Electrical Permit Application Plan Check#
131k5 SW HALL BLVD. Recd By
Date Recd
TIGARC OR 97223
Date to P.E.
Phone(503, 639-4171, x304 Print or Type Date to DS
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit#
Fax(503)684 7297 Called_-�_ _
1. Job Address: �l 4. Complete Fee Schedule Below:
Name of Development 1 Number of Inspections per permit allowed
Name(or name of business) Service In�lUded: Items Cost Sum
Address I tx 4a. Residential-per unit
1000 sq.ft.or less $110.00 4
City/State/Zip Each additional 500 sq.ft.or
Commercial ❑ Residential portion thereof
$25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder v $68.00 2
(Attach copyf u r t lip s) 4b.Services or Feeders
ElectriC81 ntract 0 Installation,alteration,or relocation
200 amps or loss $60.00 2
Addre s l 201 amps to 400 amps $60.00 2
Ciry State Zip_ 401 amps to 600 amps $120.00 2
Phone No. - 601 amps to 1000 amps $180.00 2
.lob No. Over 1000 amps or volts $340.00 2
Elec.Cont.Lice. No. •-2 xp.Date Reconnect only A $50.00 2
OR State CCB Reg. No. Exp.Date � G 4c.Temporary Services or Feeders
LOT Business Tax or Metro No. _Exp.Date t installation,alteration,or relocation
n1, 200 amps or less $50.00 2
Signature of Su r. Elec'n )r/J�M 1 201 amps to 400 amps $75.00 _ 2
9 P 401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts,
License No. Exp.Date see"b"above.
Phone No. - 4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a)The lee for branch circuits with
purchase or service or
Print Owner's Name_ _ _ feeder tee•
Address _ Each branch circuit $5.00 2
b)The fee for branch circuits
City �_ State_ Zip _ without purchase of
Phone No.--_ service or feeder foe. "/r
First branch circuit ` $35.00 2
The installation is being made on property I own which is not Each additional branch circuit_� $5.00 z
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature _ Each pump or Irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circult(s)or a limited energy
panel,alteration or extension $40.00 2
Minor Labels(10) � $100.00 -
Please check appropriate Item and enter fee in section 5B.
4 or more residential units In one structure 4f.Each additional inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour $55
as described in N.E.C.Chapter 5 In Plant $55.00
Submit 2 sets of plans with application where any of the above apply. Jr. Fees: Il L 1
Not required for temporary construction services. 6a.Enter total of above fees $ l•
5%Surcharge(.05 X total fees) $
NOTICE subtotal $
5b.Enter 2501e of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) $ ---
VET COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
rlME AFTER WORK IS COMMENCED. Trust Account k_-
Total balance Due t
110SMELC96 APP neV 996