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CITYOF TIGARD MECHANICAL. PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00391
13125 Sr'V Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/28/00
PARCEL: 2S112BB-09100
SITE ADDRESS: 14305 SW FANNO CREEK LP
SUBDIVISION: COLCNY 3REEK ESTATES NO.3 ZONING: R-7
BLOCK: LOT: 073 JURISDICTION: TIG
CLASS OF WORK: GTR FLOOR FURN: T �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:
ELF 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: r; Q DRY FRS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn:
> 10000 cfm. GAS OUTLETS:
Remarks: Installation of new furnace and a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: _ FEES
ENBURG, MARJORY A Type By Data Amount Receipt
14305 SW FANNG CREEK LP PRMT CTR 9/2(/00 $72..50 272000000C
TIGARD, OR 97224 5PCT CTR 9/28/00 $5.80 272000000C
Phone:
Total $78.30
Contractor:
MR FURNACE HEATING 114C
16285 SW 85TH AVE
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:684-9014 Cooling Unt Insp
Reg#:LIC 00087907 Final Inspection
EXPIRiEn
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State ,)I Jre.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work ,s 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)24E-9189.
Issu�By % Permittee Signature: c -
Call (503) 639-4175 by 7:00 P.M. for inspections ntieAd the next business day
CITY OF TIGARD Mechanical Permit Application PIF
13125 SW HALL BLVD. Commercial and Residential Re ��ey�.
TIGARD, OR 9'T223 Date Fc�'r,
(503) 639-4171, x304 Print or Type ���'� Date to,.,s -
Incomplete or illegible applications will not be ccepted PerrrlltiR ha"
Called
Name of Development/Project - Description — -- -- —
Table 1A Mechanical Code _ Qty I Pace Total
JOh Street Address Qp—
ne p 1) Furnace to 100,000 BTU i
Address \ (2t' includingducts&ver rs 14.00
Bldg# CR/ tale � 2) Furnace 100,000 BTU+
including ducts&vents 17.40
Is a ai-AL 3) Floor Furnace
Nau,.(or name of business) __tcludln2 vent 14.00
OWne, Lgrcl / L �^i� 4) Suspended heater,wail heater —
Mamng Addrofa - or floor mounted heater 1400
=S k i'r 5 Vent not included In applianca permit 6.80
Citylstate 21p Phone
�6, .��- (772Z� 6) Repair units 12.15
No or name usofli tress) 6111 Check all that apply: •Boiler Heat Alr
�- "7\ For Items 7.10,see or Pump Co nd I Oty Price Total
Occupant g ddresa footnotes 1,2 Comp
Mallin n 7)<3HP;absorb unit to —�-
100K BTU0.9
,4.1,0
Cnyistate zip TPh.n. 8)3-15 HP;absorb unit
100k to 500k BTU 25.60
ontractor Name J 9)15-30 HP;absorb
�% unit.5-1 mil BTU 35.no
��i(� c-e e - � 10)30-50 HP;absorb --
Prior to permit Mailing Address unit -1.75 mil BTU 52.20
issuance,a 11)>50HP;absorb unit>1.75 mil BTU
copy S(2J 1J --A . z 87.20
of all licenses C y/state ZIP Phone 12)Air handling unit to 10,000 CFM
are required If U.ri (" 1 10.00
expired In COT Ore conal c nt.Br nrd Ur 0
y
64nno Creek hoop
l ox cam,
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C.'ITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line- 639-4171 —
_Date Requested AM v PM BUP —
BILD
Location l 3 u5 GMAC c:�� Suite MEC
Contact Person Ph (;,?o /G l PLM
Contractor Ph SWR _
BUILDING Tenant/Owner _ F —(-�
Retaining Wall EI-R
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: - — -
Slab —__ SIT
Post&Beam
Ext St eath/Shear 2" h G CL YCU i S
Int Sh"-ath/Shear
Frami ig _
Insulr lion
Dryv all Nailing
Fire%call
Fire Sprinkler
Fire Alarm
ousp'd Ceiling
Roof
Misc: --
Final
F ASS PART FAIL �---
PLUMBING
----------------------------- ---
Post& beam -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam -
Rough In
Gas Line ---
Smoke Dampers
Final ----
PART FAIL
CT
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
I
PASS PART FAIL
Backfill/Grading -�
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE: _ [ J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk =-,Y_/��_ p
Other Date L{l (f Inspector ^ Ext
Final
vASS PART FAIL DO NOT REMOVE this in�:pection record from the job site.
ELECTRICAL PERMIT'
TY OF
T I GA R D
PERMIT#: ELC2000-00559
DEVELOPMENT SERVICES DATE ISSUED: 9/21/00
13125 SW Hall Elvd., Tigard, OR 972.23 (503) 639-4171 PARCEL: 2S112BB-09100
SITE ADDRESS: 14305 SW FANNO CREEK LP
SUBDIVISION: COLONY CREEK ESTATES NO.3 ZONING: R-7
BLOCK: LOT : 073 JURISDICTION: TIG
Proiect Description: Two (2)branch circuits.
RESIDENTIAL. UNIT _ TEMP SRVC/FEEDERS__ _ _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER_ BRANCH CIRCUITS ADD'L INSPECTIONS
0�- 200 amp: �W/SFRVICE OR FEEDER: PER INSPECTION:
2.01 - 400 amp: list W/O ERVC OR FDR: 1 PER HOUR:
401 - 600 amu: EA ADD'L BRNCH CIRC: 1 IN PLANT:
501 - 1000 amp: _ _PLAN REVIEW SECTION_
1000+ amplvolt: e >=4 RES UNITS: > 600 VOLT NOMINAL:
Rcconnrct only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC UCCA._______
Owner: Contractor:
E_NBURG, MARJORY A FRANKLIN ELECTRIC
14305 SW FANNO CREEK LP 2889 SE 18TH CIRCLE
TIGARD, OR 97224 GRESHAM, OR 97080
Phone: Phone: 492-4651
Reg #: LIC 140170
ELE 26-1041C
SUP 2260S
FEES _ Required Inspections
Type By Date amount Receipt_ Rough-in
PRMT CTR 9/21/00 $53.50 27200030000( Elect'I Final
5PC T CTR 9/21/00 $4.28 2720)00000(
Total f$57.78`
This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR Spedalty Codes and all other applicable laws.
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 9 work is
suspended for more than 180 days. ATTENTION Oreqon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952.-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE ISSUED BY:
OWNER INSTALLATION INSTALLATION ONLY
The installation is being made on property I owri which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: —__—_ __ DATE:—
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: __ DATE:
LICENSE NO:
Call 639-4179 by 7:00pm for an Inspection the rn •t business day
CITY OF TIGARD Electrical Permit Application Plan Ch.,*#1 /
13125 SW HALL BLVD. Rec', 3y
TIGARD OR 97223 Date Recd 2i oT�
Date to P.E.
Phone 503 639-4171, x304 Print of Type
Date DST
Inspection (503)639-4175 incomplete or illegible will not be accepte Permit
# cro- .:�9
Fax(503) 598-1960 Called
1. Job Address: 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development
Service included: Items Cost Total
Name(or name of business)
Address.1411d�r41 � 4a. Residential-per unit
1000 sq ft.or less _ $147.15 4
City/State/Zip_ Each additional 500 sq.ft.or
portion thereof $33.0_ _ 1
CommercialEl Residential 12- Limited Energy _ $75.00
Each Manufd Home or Modular
Dwelling Service or Feeder $90.90 2
2a. Contractor installation only: 4b.Services or Feeders
(Prior to permit issuance,applicants must provide contractor license Installation,alteration,or relocation
information for COT data base). 200 amps or less $80.30 2
Electrical Contractor ' �a ,,�r 201 amps to 400 amps $106.85 2
AddressZ S N / )4-- _ 401 amps to 600 amps _ $160.60 2
City_ - -e- 40-k- YZip !f.7-0) 'b R 601 amps to 1000 amps $240.60 2
Phone NO. 0..�� �65� Over 1000 amps or volts $454.65 2
Job No.
Reconnect only $6685 2
_ --
Elec.Cont. Lice. NO._ZG-/o U(Uxp.Date /a rot�D� 4c.Temporary Services or readers
OR State CCB Re NO. /YOZ f Ex Date Installation,alteration,or relocation
Reg. Exp.Date 200 amps or less $66.85 2
COT Business Tax or Metro No. _,Exp. ate _ 201 amps to 400 amps; $100.30 2
401 amps to 600 snips $133.75 2
Signature of Supr. Flec'n e Over 600 amps to 1000 volts, --
seo"b"above.
License No. Z Z-t(v0 S Exp.Date -o/'_L 4d.Branch Circuits
Phone No. _ Qy� =y _ _.__ New,alteration or extension per panel
a)The fee for branch circuits
2with purchaa�of service or
b. For owner installations:
(coder fee.
Each branch circuit $6.65 2
Print Owner's Name h)The fee for branch circuits
Address without purchase of service
City State_ Zip J or leerier fee. CJ6'
First branch circuit $46.85 O
Phone No._ --.- Each additional branch circuit $6.65
The installation Is being made on property I own which Is not 4e.Miscellaneous
(Service or feeder not Included)
Intended for sale, lease or rent.
Each pump or Irrigation circle $53.40
Each sign or outline lighting $53.40
Owner's Signature Signal circuit(s)or a limited energy
panel,alteration or extension $7�00
3. Plan Review section (if required):* Minor Labels(10) $125.00
Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over
the allowable In any of the above
,4 or more residential units in one structure Per Inspection $62.50
Service and feeder 225 amps or more Per how $62.50 _
_^ System over 600 volts nominal In Plant $73.75 _
Classified area or structure containing special occupancy as 5. Fees:
described In N E C,Chapter 5 6a.Enter total o1 above fees $ b ,$V
Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $
Not required for temporary construction services. 6b.Enter ubtotal $
Enter 25%of line 6a for
NOTICE Plan Review if required ired(Sec :) $
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR ❑ Trust Account 0
WORK IS SUSPENDED OR ABANDONEf i OR A PERIOD OF 18C DAYS
AT ANY TIME AFTER WORK IS COMbiENCED. Total balance Due $ r-
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