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8283 SW Langtree St
CITY O TIGARD
DEVELCOPMENT SERVICES
13125 SW Hall Blvd„ Tigard,OR 97223(503)639.4171
RECEIVED
CtyofTigard FEB 199VECHANICAL PERMIT Planckac.. f �
13125 SW Hall 131vd. APP( ICATION Permit #
COMMUNITY DEVELOPMENT
Tigard, OR 97223r 0&v
(503) 639-4171 h(�i'�`YD
Table 3A Mechanical Code QTY 'RICE Ah1T"
J
Joh �',� 3 �. �►n� J/, 1) Permit Foe -0- 0• 10.00
Address M,sW. JI(i
Q� 2) Supplemental Permit _ 3.00
.1
Furnace to 100,000 BTU
--- �,"�j 6A 454 1 _ 1) incl.ducts&vents
T,�1 ,o'-',,,,J/ - urnace 100,( )4 ItTLI ,
Owner i - _f—/T� 6l IGS' ,�� 2) incl.ducts& I?n1:;
. •.. - -our urnan,:;T_----_ ___._.__.-_._ .... ._. ---- . ..-----
tjGd �775� 3) incl.vent r,.UO
N— —L--- -- ---- -- ------ - —
""""°"""""' Suspended seater,wall eathir
41 or floor mnunted heater ..00
Occupant
•" `•• — '`"� Vent not int.in - — -
_ 5) appliance permit 7.00
" Repair of heating,re ng.
/ 6) cooling,absorption unit 6.00
Boiler or comp,float pump,atr con . —
�t_ 7) to 3 HP absorp unit to ICOK BTU 6.00
" '°" "" -�— Boiler or comp,heat pump,air cond.
Contractor PO &-0 y;Q'%-1 e1-Y4'01011 8) 3-15 HP absorp unit to 500K BTU 11.00
bp Boiler or comp.heat pump,air con
por4 1C,Adi OC- 011 244 a O) 15.30 HP absorp un,t.5 1 mil BTU 15.00
'"r N. Boiler Boiler or comp,heat pump,air cond. -1
p2 �� 1-4 10) 30-50 HP absorp unit 1.1.75 mil BTU 22.50 ! —�
hereby a,:knr vlodga Wat I have read hsapplication, t i1 at e Boiler or comp,final pump,air cont- - -
Informmion given is correct, th:.l I am thr?ownnf or nuthoriz-ld a ,nt 1 t) > 50 HP absorp unit 1.75 n.,(r TU_ 1.50
of tho owner,that plant submitted are in compliance with StateI —Air haridling unit to--�
laws,that I am registered with the Construction Cuntractor's board, 12) 10,000 CFM 450
that the number given is correct. (11 exempt from State registration, irk t�;;r9 urnc- -
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable —
14) evaporate cooler 4.50
Vent fan connect
15) to a single dura 3.00
Ventilation not —�
16) included i-,appliance permit 4.50
17) mechanical exhaust _ 4.50
esonbo work new a ition alteration repair .� Commercial or in assn _
to be done reside ial Q nor-residential Q 18) type incinerator 30.00
Existing use o `� ter i.e.,woodstove,water
building or property_ 19) heater,solar,clothes dryers,etc. 4.50
I
Proposed use of 20) Gas piping one to four outlets 2.00
building or property —•
Type of lust•oil Q natural ga� 21) More than 4-per outlot
LPG Q electric Q
—R0-11C'-
M1 rimum Fee$25.00 SUBTOTAL
PERMITS BECOIAE VOID IF WORK OR CONSTRUCTION -- -
AUTHORIZED IS IJOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION On WORK IS SUSPENDED OR _— —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. — -- —
TOTAL Al.)`�
Special Conditions - -------- _
Date issued -- ---by --_--
�.na�csrr».n
«.e.h».ne..
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour, Inspection Line: 639-4175 Business Line: 639-4171 -
/ 3JP
Date Requested_ �i� ,y —AMX'X—PM BLD /
Location__ le _ Suite MEC
Contact Parson _ Ph y 06 _ PLM
Contracts- Ph __ SWR
9UILDING — Tenant/Owner — —� ELC . .l
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab — -- ������ -- SIT
?ost& Beam
Ext Sheath/Shear -___-
Int Sheath/Shear ,,�`
Framing --- - r-�`"" - ��- � � 0,ve --- ---
Insulation
Drywall Nailing
Fi�awal! -_-'- ------
Fire Sprinkler -----_--------_-------.�-_._---
Fire Alarm
Susp'd Ceiling ----- - _------- -- - ----
Roof
misc. ---- -- ----- ----- _._�- ---- -- -- -- -
Final
PASS PART PART FAIL
PLUMBING
Under Slab
Top Out ---.—.----------------
Water Service
SanJary Sewer
Rain Drains
Final
PASS PART FAIL
CHANICAL
r'osl R Beam -
ouq-h n�)
asine - -- -- -- - --- - �_.. ---- ----- - -- - ----
S ke Dampers
S ART FAIL
ELECTRICAL - _ _ --- ---- - -_---- ----------- - -- -----
Service
Rough In
UG/Slab
Low vc1tage
Fire Alarm ------- ------ --_ - - --- -------- - -
Final
PASS PART FAIL. --- -- - ---- ------- .. --- --- —__-SITE
Backfill/Grading ----- -----.---- ----- -----------�-..-- ----..---.
Sanitary Sewer
Storm Drain [ J Reinspection fep_of$_ _ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ) Please call for reinspection RE: -_ ( ]Unable to inspect no arress
ADA
Approach/Sidewalk
Other Date 1Inspector— _--_----_-Ext
Final
PASS PART_— FAIL-J DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0314
13125 SW Hall Blvd., Tigard,OR 97223 (503;6394171 DATE ISSUED: 06/08/98
PARCE1_: 2E,112CC-10700
.1-ITE ADDRESS. . . :08323 SW LANGTREE ST
SUBDIVISION. . . . :L.AN3TREE ESTATES ZONING-,R-12'
SLOC,v. . . . . . . . . . : LOT. . . . . . . . . . . . :039 JURISDICTION: TIG
Pro.je-ct Description : Alteration to electrical for single family residence.
___-.—_______ _
I DENT IAL UNIT----- ---TEMP' SRVC/F7_F'.DERS---- —---M I SCELLANEOUS——-----
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . r 0 PUMP'/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT L.7,NE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANCTL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps--.1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS-- INSPECTIONS--
0 — 200 amp. . . . . . : 0 W/SFRVICE OR FEEDER: 0 PER INSPECTTON. . . . . : 0
2101 — 400 amp. . . . . . : 0 1st W/O SPVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
60t 1000 amp. . . . . S 0 -----------------PLAN REVIEW SECTION-----------__--_..
1000+
ECTION----------------
1000+ amp/volt. . . . . : 0 ) =-4 RES UNIT9. . . . . . . . : ) 600 VOLT NOMINnL. . i
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CL.OSS AREA/SPEC OCC. :
Owner: FEES
ERIC THOMAS type amoi-tnt by date reept
83P3 SW LANGTREE ST PRMT $ 35. 00 DLH 06/08/98 98-306340
TIBARD OR 97223 5PCT $ 1 . 75 DLH 06/08/98 98--306340
Phone #:
Contractor:
NORTHWEST ELECTRICAL SPEC IALT $ 36. 75 TOTAL
ROYAL EDWARD STEARNS II
616 SE 69TH CT REDLITtPED INSPECTIONS
1-.;T.LL-SBORO OR 97123 RL, igh—in Elect' 1 Final
Plhuiie #- 848-8678 Elect' l Service
Reg #. . : 001213
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 vork will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if ;4ork is suspended for more than 180 days. ATTENTION: Oregon law requires you to f-illow the rules adopted by
the Oregon Utility Notifici,tion Center. Those rules are set forth in OPP 952-001-0010 through OAR 952-00I-1987. You say obtain a ccpy
of these rules or direct qtestions to OLK by calling (503)2461987.
Permittee Signaill.11"T : Ry :
INSTALLATION
The installation is being made on property I own which is not intended For
sale, lease, or rent.
nWNFPIr SIGNATURE: AJ11 Dr,rF
INSTALLATTUN
friNn'TURE nF SUPR. ELECINs � 11�1010.0 de*770� DATE: e......
rCENSE NO:
+++4++++++++++++4..........4++4-+-1......4-4-++4-++++4...........444.......4-,F+4-++4 I
Call. 639-4175 by 7:00 p. m. for an inspection needed the next blASineFs day
1-+4++++++-1+++++++++++++++++++++++++++++++++++++++-F+•+++++++++++++•++++++•-+-I......
CITY OF TIGARD Electrical Permit ApplicVftl�E® Plan Check#
13125 S%I HALL BLVD. Recd By
Date Recd_ 7 P
TIGARD OR 97223 JUN O 8 19 Da e to P.E. /
Phone (503) 639-4171, x304 Print or Type I ate to DST
Inspection (503) 639-4175 1�N T E4.LU ' n)Permlt#L�,C`7�
Fax (503)664-7297 Incomplete or illegible will nolil ����p a called__
1. Job Address: 4. Complete FeC Schedule Below:
Name of Development _ Nimiber of Inspections per permit allowed
Name (or name of bus►n ^`I-(. -�.� =��� ► 1/- -1 Service included: Items Cos: Sum
Address. r 4a. Residential-per unit
1000 sq.N.or less $110.00 _ 4
City/State/Zip _ Each additional 500 sq.ft.or
porton thereof $25 00
Commercial ❑ Residenti .. Limited Energy $25.00
C EacFHome or Modular
J Dwellinging Se Service or Feeder $68.00 ?
2a. Contractor installation only: 4b.Services or Feeders
(Attach copy of all current licenses) Installation,alteration,or relocation
Electrical Contractor_1! I�.�_ c ( L •` �1 I f)t 111 200 amps of less $60.00 2
Address 201 amps to 400 gimps $60.00 2
CitylState s� Zi � 1 s 401 amps to 600 amps $120.00 _ 2
P"one No. ✓Cf! '.� � _ 001 amps l0 1000 amps $180.00 _ 2
Over 1000 amps or volts -_.__ $340.00 __ 2
Job No. - - Reconnect only _ $50.00 _ 2
Elec.Cont. Lice. No. <�c i �(� �- Exp.Date- 'o ' _
OR State CCB Reg. No. 1 I -'� 2`t Exp.Date X 4c.TemN,irary Services or Feeders
COT Business Tax or Metro No._ Exp.pate Installation,ai oration,or r,�,,,cahcn
900 amps or less $50.00
20 i amps to 400 amps $75.00 ____.__ __ 2
,gnature of Supr. Elec'n �� 401 amps to 600 amps $100.00
Over 6r)amps to 1000 volts,
License No. �/� 1 ` Exp p.Date /d// �� pee"b"above.
Phone No.__ _ - 4d.Branch circuits
Now.alteration or oxtenslon per panel
2b. For owner installations: a)The lee for branch circuits with
purchase of service or
Print Owner's Name__- J _ feeder lee.
Each branch cucui! _. $6.00
Address____ - h)The fee for branch rircuits
City _ State, Zip__---- without purchase of n
Phone No. -_-_--__ _ service or feeder fee.
First branch circuit $3.9•00 ` ---
The installation is being made on property I own which is not
Each additional branch circuit__ $5.00 -
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Own(.r'S Signatute ___ __ a Each pump or irrigation circle $40 n -_ 2
Each sign or outline lighting $40.00 2
+ Signal circuit(s)car a limited energy
3. Plan Review section (if required): 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 allowaableble In any of the above T_
$35.00
System over 600 volts nominal Per inspection i
Classified area or structure containing special occupancy Per hour $55.0(1 --$55 00 -
as descrtbl3d In N.E.C.Chapter 5 In Plant --
' Submit 2 sets of plans•e3h application where any of the above apply. S. Fees:
Not required for temporary construction pervlces. 5a.Enter total of above fees $
5 Surcharge(.05 X total fees) $
N 9J,I Q Subtotal $
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review re it (Sec.3) $
"i ----
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $IS SUSPENDED SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account# t,i) ,
TIME AFTER WORK IS COMMENCED. $
Total bat:nce Due
I%DSTMELC96 APP Rev 9196 7- 7 _ d/J a 5
CITY O F T I G A R D MECHANICAL
P
DEVELOPMENT SERVICES FERMI' #. . ..
. . . . . .ERMIT. : MEC98-0203
13125 SW Hall Blvd.,Tigard,OR 9722, (.03)639-4171 DATE ISSUED.- 06/04/98
PARCEL: 2S] 12CC-10700
SITE r4r)T)RESS. . . : 08323 SW LANGTREE ST
T)IJBDIvISION. . . . : LANGT REE ESTATES ZONING: H -12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0.39 JURISDICTION: *TIG
----------------------------------------------
ICLASS 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. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. IIVC IN: 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 orHER UNITS. : 0
FURN ( 100K BTU; 0 10000 cfm: I GAS OUT(..ETS. : 0
TURN ) =100K BTU: 0 10000 ef'"I : 0
Remarks : installation of 3 ton a/c unit.
Owner: FEES ----------------
ERIC THOMAS type amount by date reept
8323 SW LANGTREE PRMT $ 25. 00 DEB 06/04/98 98-306256
TIGARD OR 97224 FJPC7 $ 1. 25 DEB 06/04/98 98-306256
Phone #: 649-7442
Contractor:
SUN BLOW
2428 SE 105TH AVE $ 26. 25 TOTAL
PORTLAND OR 97216
Phone #- 2,53-7789
Reg #. . : 000481 REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of are. Specialty Codes and all other Cooling Unt Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will empire 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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-00I-00I0 through OAR 952-00I-9080. You may ------
obtain copies of these rules or direct questions to OUNC by calling
(503)246.-9187.
Permittee Signa` ure :s."
ssue
.......................4.+++.4-++4--4...............................4...... +++++++++++
Call 639-4175 by 7:00 P. M. for inspections needed the next business day
................................4............. ..............4.................
Plan Checks _
CITY OF TIGARD Mechanical Permit Application Rec'd B ��
'13125 SW HALL BLVD. Commercial and Rec;de;lti'E�E1,40 Date Recd L -y7
� Date to P.E.�-
TIGARD, OR 97223 �
.�L�•�-.l t' Date to DST
(503) 639-4171, x304 �,[;t� 30C' 0 Permit#
Print or TypeF�E�ppt�'ENl Called
_
Incomplete or illegible applications will 'ce ted
Name of Development/Project Description
Table 1A Mechanical Code QTY °RICE P1u1T
S, ex A) Permit Fee -0- 0 1( 0.09'
I
Job Street Address �------•�
Address
Bldgs c�yrstale zip 1.) Furnace to 100,000 BTU 6.00
Including ducts&vents __ M
Name(or name of business) _- \ 2.) Furnace 100,000 BTU#- 7.50
Owner J including ducts 8 vents
ailing Address 3.) Floor Furnace 6.00
including vent
eye a _ zip h rhe r 4.) Suspended heater,wall heater 6.00
)rt 1 or floor.-nountedheater
Na e; r name of business) 5.) Vent not included in appliance permit 3.0
Occupant Mailing Address 6.) Boiler or comp,heat pump,air cond. 6 00
to 3 HP;absorb unit to 100K BUT"
MlState zip Phone 7.) Boiler or comp,he.'purt p,air cond. 11.00
3-15 HP;absorb unit to 500K BTU"
Contractor lJt'"° �1 / 8 1 Boiler or comp,heat pump,air . rid. 15.00
\ `� ^\ 15-30 HP;absorb unit.5-1 min BTU"
Prior to permit -1/i d'l C `6 /' 9) Boiler or comp,heat pump,air cond. 22.50
L 30-50 HP;absorb unit 1-1.75mil BTU"
issuance,atopy --
of all licenses 1 e zip 10) Boiler or comp,heat pump,air cond. 37 F0
are required if >50 HP:absorb unit 1.75 mil BTU"
expired in COT Oregon Gon1 Bo rd Lich 4 50 D 1e� 11.) Air handl;n, unit to 10,000 CFM j�4 �
database 7 50 I J l
Architect Name 10,000
Air handling unit
10,000 CTM+
or
Mailing Address 13.) Non-portable evaporate cooler 4.50
Engineer
City/Stale Zip Phone 14.) Vent fan connected to a_•I y,e dud 3.00
Ventilation stem not included 4 50
Describe work New O Ad 'ion O Alteration O Repair O 15
done Residential Non-residential O n appliance permit
A
Additional Description of work:
--'! 16 1 Hood served by mechanical exhaust 4,50
17) Domestic,incinerators 7.50
Existing use o
18.) Commercial or industrial 3000
building or property ryes incinerator ___
19) Repair units 4 50
Proposed use of 20) Wood Stove 4.50
building or property 4 50
21 ) Clothes dryer,etc.
Type of fuel-oil O natural gas O LPG O electric O
22.) Other units 4 50
I hereby acknowledge that I have read this app kation,that the information 23.1 Gas piping one!o four outlets 2.00
given is corre(t,that I am the owner or authorized agent of 50
the owner,that plan's subm,tied are in compliance with Oregon State laws 24.) More than 4-per outlet(each)
*SUBTOTAL
5f9nature of Owner/Agent Date •w
5%SURCHARGE . +
Phone PU1N REVIt 1IV 25%OF SUBTOTAL "+
Con ct Person Name +!
_Required for all commercial permits on1 . •., : r.
(. TOTAL
_ � " -� •n/
1Y 'Minimum permit fee is$25+50.4°surcharge --M-F'
"Residential A1C requires site plan showing placement of unit.
I Vnechprmt.doc rev-11115/98
? 5,
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