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11580 SW BURLCREST DRIVE
r-"E R 11 IT
PE RM I T #. . .
C1TY OF TIGAR® DATE- ISSUEJ: . 07/31/96 6-0259
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard,Oregon 9/223so199 (503)639-4171 PARCEL: IS1341',A07600
: Ill . i 0 SW BURLIERC-ST DR
SUBDIVISION. . . . . BURLWOOD NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT'. I . . . . . . . . . . . 16
CLASS OF WORK. . :ADD FLOOR 1-URN. . . . : 0 EVAP COOLERS: 0
T YPE OF USE. SF UNIT HEATERS. . : 0 VENT FANS. . .
GCCUPANCY GRP. RI], VENTS W/O Al"'PL: 0 VENT SYSTEMS-. 0
TORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
ULL 0 -3 HID. . . . : I DOMES. INCIN: 0
- /GAS/ 3-15 HP. . . . : 0 COMML. INCIN: 0
110X INPUT : 0 BTU 15-30 Ill'. . . - : 0 REPAIR UNITS: 0
F Kr DAMPERS''. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . �0+
�J HP. . . . : 0 CLO DRYERS. . - 0
NO. OF AIR HANDL!:,._i UNITS OTHER LINITS. - 0
F'URN ( 100K BTU: I <= 10000 cfin: 0 G(--45 OUTLETS. . lZ'
FURN ) =:IQ)4.'K "': 0 > 10000 cfm : 0
Reniav,ks : Installing one A/(-- .rnit to 31-ip and a fl-kir-nace to J.00K BTUS.
Owner-- FEES
PHIL 1-01WER type amo,_tnt by date r,er-pt
11580 SW BURLCREST PRMT $ 25. 00 CJS 07/31/96 96-282356
5PCT $ 1. 25 CJS 07/31/96 96-282356
IlGiARD 0H '37212,3
Phone #:
Cants-actor,:
CLIMATE CONTROL HEATING
3315 NW 26TH AVE
PORTLAND OR 97210
Phone #: 233-4393 $ 26. c5 TOTAL_
R e q 62196
REQUIRED INSVIFCTIONS
This permit is issued subject to the regulations contained in the Gar Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and 611 other Mechanical Insp
applicable laws. All work will be done in accorUdnce with Mi SC. Inspect ion
approved plans. This permit will expire if work is not started F-incl Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
e r�In i L t e e S i rI 11a t l.t t-e a -In
15-,,..ted LAY :
Call for inspection 639-4175
,City of Tigard MECHANICAL PERMIT Planck/Rec. # R8a356
13125 SW Hall Blvd. /�\ APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
ry'n r—P. escnpUon '-
Table 3A Mechanical Code QT'S PRICE AMT
Job Tj ► ` �Q I Permit Fee A— -0- 0- 1000
Address — —
I 2) Supplemental Permit 300
url' nace to 00.000
11 inci ducts &vents 600
Furnace 100,000 BTU "
Owner 2) incl ducts &vents 7 50
11 incl vent 600
—r- -_
Suspendedator, wall neater
er —
4) or floor mounted heater 600
"•"y"''""' T• Vent riot nc rn
Occupant 5) incl ante permit 300
-" Repair or heating, rend - --)
6) cooling, absorption unit 600
n er or comp, heat pump, air cono, ---
7) to 3 HP. absorp unit to 100K BTU— 600
' •
Boiler or comp, neat pump, air cond.
r _ 3) 3.15 HP, absorp unit to 500K BT(I 11 00
ContractorBoiler or comp, heat pump, air cond
•• 0 1 �� � 9) 15-30 HPabsorp unit .5.1 mil BTU 1500
'• •,°"•101 •. •• �o�e�or comp, eat pump. air Con
14 10) SO HP absorp unit 1-1 75 and BTU 27 50
ereby ac now W7ge 11 have rea t i9 app Ica ton, a. the — oB ie—ror w7-_,-_7 a1 p
eump, air cone
information given is correct, that I am the owner or author-,-!ad 1 1) > 50 HP absorp unit 1 , .7' RTU 3750
agent of the nwne-, that plans submitted are in compliance witha and mg and to
State laws, that I am registered with the Construction Contractor's 12) 10 000 CFM 4 50
Board. that the number given ;s torrent. (If exempt from State Air nano ing unit -{
registration. please give reason below.) 13) 10.000 CTM + 7 50
Non portable -- ---
141 evaporate cooler 4 50
Vent fan connectedIE) to a single duct 300
entuaticn system not
161 included in appliance permit — 4
Hood served by
7) mechanical exhaust 4 50
escn a work new addition aitera ion 0 repair _______C_0_mmerciaI or;.,Idustriai
to :e done residential Q non.-res ntial Q 1.91 v pe %nerator 30.00
Existing use o r' > - ether i a, woo stove. water
budding or property �,_IJ 1(. 19) heater solar, clothes drirers, etc. 4 50
Proposed use of 2Ci Gas piping one to tour outlets 2 00
building or property
Type of fuel -oil natural gas� LPG Q e1ec21) More than aper outlet (each) 200tr�c i
NOTICE I _
Ilinimum Fee S25 00 SUBTOTAL
'ERMITS BECOME VOID IF WORK OR „ONSTRUCTION
AUTHORIZED IS NOT COMMENCEn WITHIN 180 DAYS. OR
IF
_ 5°o SURCHARGE ,ZC
IF CONSTRUCTION OR WORK SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25" OF SUC-CTRL
AFTER WORK IS COMMENCED —�-
Scecial Conditions -- TOTAL --'
_ Date issued ?='��_ � _by� —
'711 +►
Home Layout
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_WindowsWindows Q_qQ rs___ ___.__Walls _ Rocf ______F__loors__
ELECTRICAL. PERMIT
CITY OF TIC-YARD DATE PERM11-
ISSUED:#: ELC96 -05,40 16/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 PARCEL: 1 S1 34CA--0760l,-i
',,W b(_1kL(,,1I Lti I Lli
BUND I V I S I ON. . . . : NURLWOOD IVO. 2 ZONING: R-4. 5
EALl3Cl:. . . . . . .. . . . . L-01.. . . . . . . . . . . . . : 16
1=lroject Description : Installing two branch circ-tits.
_-RESIDENTIAL vNI"f- _-- ---TEMP SRVC/FEEDERS-----.-. -_---•-MISCELLANEOUS-------.
i000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 HUMP/IRRIGATION. . . . -. l(1
EACH ADD' L 5006F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE. LT'G. . : 0
i.-.IMII-FAD ENERGY. . . . .. : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LAPEL ( 10) . . . ; 0
.._-_.-SERV I CE/'FEEDER---.- C I RCLJ I TS-----.- --_ADD' t_ I NSPECI-I L)h.S---•-
�'1 _ 00 amp. . . . . . : 0 W/SERVICE: OR FEEDER: 0 PIER INSPECTION. . . . . 0
1 400 camp., . . . . . : 0 1 st W/O GkVC OR FDR. : 1. PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN GLANI.. . . . . . . . . . . : 0
E.01 - 1000 ramp. . . . . : 0 - --PLAN REVIEW SECT ION--•-- - -- ---___.•.___--
! 000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : 600 VOLT NOMINAL. . :
(reconnect only. . . . . : 0 GVC/FDR ) = 225 AMP'S. . : CLASS ARCA/SPEC OCC*,. :
!)wner,; _._ _.___.__.__._._._._._._._._____---- ---•---_.____.____________.___ FEES
IIHII._ HOWER tvpe amol.int by date 1�ecpt
1 580 SW PURL.CREST PRMT' 40. 00 CJS 06/16/96 96--282963
PCT It 2. 00 CJS 08/16/96 96-28.296.*`
I'I CARD OR 97223 -
�Ihone #:
(;onty-actor;
14EU' 5 ELECTRIC CO INC 4. . 00 TOTAL
'002 SE CLINTON ST
REQUIRED INSPECTIONS ---- - -
PORTLAND OR 971:20e Wall Cover Elect' 1 Final
! ,hone #: 503-233--6467 Llect' 1 Service
Opg #. . . 0.1443 I
)his permit is issued subject to the regulations contained in the
ligard Municipal Core, State of Ore. Specialty .odes and all other F'er,mittee Signati_n•e
applicable laws. kll work will be done in accordance with
approved plans. This permit will expi�e if work is not started
within 188 days of issuance, or if work is suspended for sore �� X 12vi.c.z;t
than 180 days. I s s Ll ed B
OWNER INSTALLATION ONI_Y_
(he installation is being made on property I own which is not intended for
. ale, lease, or- rent.
1-1WNE R' S SIGNATURE: DATE:
--.-.--_-CONTRACTOR INSTALLATION
Y'.-.. �1 _
_s I GNATURE: OF SUF��R. E LEG' IV: 1 ' r DATE:
ICENSE NO
r_11 for, inspect .on - 639--4175
8-15-1996 6:05AM FROM RED' S ELECTRIC 503 233 1281 F
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Wall Blvd
Tigard, OR 97223 Permit # 7, ��V�-2-1:�4' _
Date Issued q l �C
Phone (503) 6394171 --
CITY 4F TIGORD FAX (503) 684-7297
TDD No (503) 684-2772
Inspection, (533) 639-4115
1 Job Address: 4. Complete Fee Schedule Below:
Nagle of Development _ Numbor of Inspections per permit ailowad
Address_ S(,L/_ VI, k, i_r"r-,o i Service included Items Cosl(ea) Sum
City/State/Ztp_zi 4�j7�_�-�_Z? as Residential -
prr unit
1000 sq ft rx las►
Narrie (or name of business) Foch additional Soo sq R or -
--- p,rflon thrnsof $Zti.00
Commercial _� Residential Limned energy - szs 0e
Each Menurd Home or Modular
. Dwelling Service or Feeder ENR o0 -
?.r Contractor installation only:
ab. Services or Feeders
r instelleti,:,n.aMerabnn m rel,ratlnn
r
F lectrical Contractors arxt amps or It s $6u ou
A,ddr s 5 ' _ 201 amps to 400 amps 190 10
GIN � L � _ Stat _� 401 amps to 000 amps $1io no
e Zip
�!T Bot amps to 1000 amps $160,00
Phone No f► Over 1000 amps or vrRs 11340,00 1
Job NO Reconnect only She 00
contractor's license NO 4c. Temporary Services or Feedrts
Contractor's Board Reg. No �y Installation.allerahon or relocation
Signature of Supr Flec' soo amps or Iso
License No - ('hone 201 amps to 400 amps $50.00 `
401 amps to 800 amus $75 oo ---
Over 600 amps to 1000 Voll$ Sion no -
2b_ For owner installations: Sea"b"abnve
4d. Branch Circuits
Pent Owners NPlR1E_ New,aseiallon or aetansion per pane
Address__ e)The for for thrsnch circuits with
Clty— _,_ — State _ 7ip__ - pureeasaofservice orfasderfes,
Each branch circult $11,00Phone No._ _ b)She res for branch ctmufts wh mior
The instsllatlon is being made on property I own which is Purchase ofservkeofreader fee
not intended for sale, lease Or rent Fest branch vtrcult 33500
additional txsnch clrcuk _+ 1500
Owner's Signature_- __ `T _ do. Miscellaneous
(Service or feeder not included)
3. Plan Review section (it required): each pump or irrigation chole $4000 _
Each i jn or oallne IfOtltkp _ $40 00 -
Signal c rwM(s)or a Nmksd wmrgv
Please chock appropriate Item and enter fee in section 58 panel.alteration or ertemism S40 01-
4
4 or more residential units in one structure Minor Labels(10) _— :,00,00 -
Service and feeder 2.25 amps or mora
System over 600 volts nominal 4f. Each acdl8onal inspection over
Classified area or structure containing special occupancy the allowiiI In any of the above
as described in N F C Chapter 5 ''e/msm-fMn sus 00
Per hour $5500
In Plant $5900 _--
Submit 2 sets of plan4 with application *here any of the above -- -
apply Not required for temporary construction se-rtcas S. Fees:
r�c
NOTICE 5a, Enter total of above fees S L�
5%Surcharge (.05 X total fees) 5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal t
AUTHORIZED IS NOT COMMENCED WITHIN 1130 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED rOk plan Review if required (Sec 3) 5
p'1`RIOD OF 180 DAYS AT ANY TIME AFI FR WORK IS Subtotal S _
CoMMENCEO - �. ^a. �v. ]�J Trust Account s
p^'Mf• / � S -may
'I
Balance Due 5 D`
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Fcoting Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect,
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Other:
Date: �Q ^�7 A. P.M. Entry:
Address: 5 —
Tenant: _ _ Ste:.-__ MST:
i
Con/Own: � _/–Sp MEC:
BUP:
PLM:
ELC:
TI .•,kLOWING CORRECTIONS ARE REQUIRED: FLR:
A7 I'lien
Inspector: /�/� � Date/Q^
APPROVED DISAPPROVED/CALL FOR REINSP. CO