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12262 SW LANSDOWNE LANE-1 �q i I r N N N � r � r r � -- L2262 SW LANSDOWNE LANE r � C:"rRIGAL. PERMIT CITY OF TIGARD FLE: FERMI r #: 1DEVELOPMENT SERVICES Dr. E ISSUED: t21/239 7 13125 SW'Hall Blvd.,Tigard,OR 972,23 (503)639.4171 PARCEL: 2S 103BC-A_7300 SITE ADDRESS. . . : 12P62 SW I-ANSDOWNr" I SUBDIVISTON. . . . :FYRESTONE Z0I4ING:R--4. 5 B1_CCK. . . . . . . . . . . L_0- . . . . . . I . . . . . . :01P JURISDICTION: TIG Pro j ert De sr..r i pt ion: Installation of two (2) branch circuits. ---RESTDENTIAL_ UNIT----- ---TEMP SRVC/FEEDERS---- -- . --MISCELLANEOUS------ 1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 TACH ADP' L 5005F. . . : 'it 201 - 400 amp. . . . . . . : 0 SIGr1/n1_!T LINE L_-1•6. . : 0 LIMITED ENERGY. . . . . . 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MflNF. HM/ SVC/FDR. . : 0 601+camps-1000 volts. : 0 MINOR I._AREI_ ( 10) . . . : 0 ----SERV I CE/FEEDE:R----- -- ---BRANCH C I RCUI I S-.--.--- ----ADD' L I NSPECT IONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 101 - 400 amp. . . . . . : 0 ist W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: .L IN PLANT. . . . . . . . . . . : 0 E 01 - 1 000 amp. . . . . : 0 ----------PLAN REV I EW l d00+ am, /volt. . . . . : 0 ' =4 RES UNITS. . . . . . . . : > 600 VOLT 1,10MTNAL_. . Peronnect only. . . . . : 0 SVC/F'DR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. ",iner: - --.—.._______.______._._____...______._.__._____..____._._.__._._____.__. ___ FENS .____.._._.._ . . _____ _--•_-.-_. BARRY REYNOLDS type amol_1nt by date r ecpt 1 ''i?62 SW LANSDOWNE LN PRMT t 40. 17-10 TJH 1.2/23/97 97-301988 TIGARU OR 97223 5PCT �-_,. 00 TJH 12/23/97 97-301986 Phone #: '2106-338-7114 Contractor: ----------------------------_.----.----.--------_-----__—_--_—_---_-----_ EL.EC:TR I CAL- DIMENSIONS INC f 42. 00 TOTAL PO BOX 12146 3961 SW WILLAMS AVE --- -- -- REPUIRED INSPECTIONS ----- PORTLAND OR 97212 Roi.tgh—in Elect' l. F. nal. Phone #: 2'82-7E.515 F1 ec,t" 1. Service Recd #. . : 000440 This Dervit is issued suhject to the regulations contained in the Tigard Munic;nal Ccde, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This F-reit Nill expire if work is not started within 180 days of issuance, or if work 1s suspended for tore than 180 days. ATTENTION; Oreorn law r+quires yoi.i to follow the ruler adoptee by the Oregon Utilit!• Notitication Center. Those rules arc set forth in OAr 952-001-@010 through OAR 95?-001-1987. you lay obta," a my of thest rules or direct questions to DJW' by calii„g (5?i!�hl-1gA7. i , f''ermi.ttee Signat'.1re: dlt �+�L!' �i �1a�, l�c �l�lss�.led 9y: . ._nWNFR IN5TnL.'_ATION The installation is being made on property I own which is riot intended for sale, .Lease, or rent. OWNER' S SIGNATURE: DATE ---------- ---------------CON RACTOR INSTALLATION ONLY--- -------------------'----- SIGNATURE: OF SUPR. E'LE"' N: <11_ ,,,�,,/fr DPTE: _�� LICENSE NO: 2�1F'9 5.____...._..._._. . +++++•++++++++++++++++++++++++444++ ++4++++++-1.+++++++++++++++++++•+++++++-F++++-4 + Call 6j9-4175 by 7:00 p. m. fo►- an Inspection needed the next bl_tsiness day +++++4444++-1-++•F+++-#-++++4-++++++ +++++++-►++++.+++++.1 ' ++++++++++++++++++++++++++-I +++ I� Community Development ELECTRIC.,,'- PERMIT APPLICKnON 13,125 SW Hall Blvd. U Tigard, OR 97223 Permit # _ q�—� 0(� -e � _ Date Issued _ 117 10'2 Phone (503) 639-417 i FAX 1503) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: r4. Complete Fee Schedule Below: Name of Development T Number of Inspections per permit allowed Address I (—a S Service iridtided Items cost(ea) Sum Cityi'State/Zip�t_fir;, yfr. / q 7 2 2 3 4a. Residential -per unit tn� 1000 sq. ft or less $110.00 _ 4 Namla (or name of business) 1""�� o Each additional 500 sq n or __ -- _ —T' portion therm $25.00 _ _ Commercial ❑ Residential Limned Energy $25.00 �_ 1 Each Manurd Home or Modular Dwelling Service or Feeder $61100 A).3. Contractor installation only: 4b. Services or Feeders Electrical Contractor Lr (rC�✓1 Co, ( (� L"' Installation.alteration,or relocation 2 lvYt eh'�f QrM 4 200 amps or lees $s0 00 Address PO 13QK 1 Z-t t-t([+ 201 amps to 400 amps __ $8000 — City_t��+y-t(a�.� r State'_ Zip.ell L t 2 _ 401 amps to;00 amps $120 00 _ z 601 amps to 1.00 amps $180 00 Phone NO._ L �a 7Z5 6- over 1000 empe or volts -- $34000 _ 7 Job NO 73 r� 7 _ Reeonnertonly $5000 contractor's license NO. 2-6 -- &/ 3L 4c. Temporar/ Services or Feeders Contractor's Board Reg. No o Installation atteralmn.or relocation Signature of Supr. Elec'n �� 200 amps or less __ P 201 amps to 400 amps $50 2 License No. 2'; t.(I 57_ Phone No, x Q 7.. - 7z}`�; 401 amps,$suo amps -- $75 0, — -- 2 Over 600 amps to 1(100 volts $100 00 ---- cb. For owner Installations: sep"b"above 4d. Branch Circuits Print Owner's Name__ _ New,alteration nr at-tension per pane Addres=s n)The fee for bren^h circuits with 7 purchase or service or feeder fee. City — _ State _ip - Each branch circud $500 _ Phone No. b)The tee for branct circults without The install tion is being made on property I own which is purchase of service or Mader fee. ? 2 not interded for sale, lease or rent. Esti branclonalbrcircv, —L $$500 �S �� Each+ddlllonel branch circuit _�, $5 00 Owner's Signature __-_ 4e. Misrellaneous (Se vice of 1p-der ivi Incluaod) ` 3. Plan Review section (if required): Each jump or Irrl,,ailon circle __ $40.00 Earl•sign or outl,no lighting _ _ $40.00 Signal clrcult(s)ra a limned energy Please check appropriate Item and enter tee in section 513 panel,anerallm or extension �_ $4000 4 or more residential units In one structure Minor Label!,10) _ $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspersion over Classified area or structure ^ontaining special occupancy the allowable in any of the above as described in N E r ;hapter 5 Per inspection __ $35 00 Per hour $55 00 In Flans $5S 00 �T Submit 2 sets of plans with application .vhpre any c the above - apply. Not required for ta;..porary constru,:tton sro,ces. 5. Fees: 6a. Enter total of above fees $ NOTICE 5%Surcharge 105 X total fees) $ 2- PERMITS PERMITS BECOME VOID IF WORK OR CONSTRUCTIONSubtotal $ _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for CONSTRUC1TION OR WORK IS ZUSPENDED OR ABc.NDONED FOR vl.+n Review If required (Sec 3) $ A PERKIL)OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED F1 Trust Account # Mm MP __..l Balance Due --- __a Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # — 0 `�_ _ Date Issued j1 ,? 2 Pho-ie (503) 639-4171 0 FAX (503) 684-7297 CITY ns TIGARD TDD No. (503) 68,,-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Beiow: Nam3 of Development Number of Inspections per permit allowed Address 1 (01 L!�N its r4o�, ,r• _ Service included Items Cost(ea) Sum City/State/Zip I 1g_•rQ Gr- 9 72 7- 3 4a. Residential -por unit 1000 sq h or less $110.00 4 Name (or name of business)_ v A Each additional 500 sq It or T portion thereof $26.00 Commercial ❑ Residential I-Imlled Energy $25.00 1 Each AAanurd Home or Modula. Dwelling Service or Feeder $6800 _ 2a. Contractor installation only: 46. Services or Feeders CC�Y 1 ( r, J Installation,alteration or relocation Electrical Contractor 1 r�_.Qr j f OK 200 snips or less '00 Address PO J 1 2-(Lt i0 201 amps to 400 amps _ 00 ? Cit to♦,[� State Zip c L 401 amps to 800 amps $120 00 y - p—iI—�-- 601 amps to 1000 amps $18000 2 Phone No.— Z. `d a, 27-t56" _ .. Over 1000 amps or volts $34000 Job NO. -.73,17 _ Reconnect only $5000 contractor's license NO.�-s,/ �Z �_ _--_ ._ 4c. Temporary Services or Feeders Contractor's Board Reg. No. `L O Installation,allerah n,or relocation Signature of Supr. Elec'n 200 amps or less License No. _2. (/ Phone NoZ P Z - 7 z 9! 201 amps to 400 amps $50 00 . _.. —L� _. 401 amps l0 800 amps $7500 Over 600 amps to 1000 volts $1"^^0 2h. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name.—.- _ New,alteration or extension per pane Address a)The I've for branch circuits with City State-, Zip_ _ purchase of service or feeder fee. Loch branch circuit _ $500 Phone No. _ _ _ b)the fee for branch circuits without The installation is being made on property I own which is purrk,asaofservice orfeeder fee. Flyd branch circuit _L $35 00 5 not intended for sale, lease or rent Each additional branch circuit ,� $500 S mo Owner's Signature__ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review Sect/on (if required). Each pump or Imgation circle $4o no Each sign or outline lighting $4c nr, Signal clmult(s)or a limited energy s ? Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor labels(10) -_� $too 00 Service and feeder 225 amps or more System over 600 volts nominal 4t. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as aescribed in N E C Chapte• 5 Pef 1"'pe h°" $3500 _ l'er hour $55.00 b,r'lant - $5500 Submit 2 sets of plans with application where any of the above — apply. Not required for temporary construction services. 5. Fees: Fa. Enter total of above fees $ NOTICE 5% Surcharge (05 X total fees) $ 2- C PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ -- AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR I Plan Review it required (Sec.3) g __ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal COMMENCEDm�m�. ❑ Trust Account # Balance Due CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97-01.24 DATE ISSUED: 05/08/97 PARCEL: 2SI02SC-07300 SITE ADDRESS- - - : 12262 SW LANSDOWNE LN SUBDIVISION. . . . : FYRESTONE ZONING- R-4. 5 —RI—OCVI. . . . . . . . . . : LOT. . . . . . . . . . . . : 12 T..JRTqDTI--'I-TOI\I- TTG --------------- CLASS OF WORK. . :ALT FLOOR FLIPN. . . . : 0 EVAP 1-10OLERS: 0 TYPE OF USF-. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY CARP. ,. :R3 VENTS W/O APF11—: 0 VENT SYSTEN'St 0 STORIES. . . . . . . . : 0 BOIL.ERS/COMPRFSSGRS Hr.)ODS. .. . . . . . 1 0 FUEL TYPES--.—.--..------- 0-3 HP. . . . . 0 DOMF13. INCIN". 0 :GAS 3-15 HP. . . . - 0 (.nMMI . TNCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . - 0 UNITS: 0 FTRE DAMPERS?. . -. 30-50 HP. . . . : 0 WOW)STOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . - 0 CLO DRYERS. . 0- NO. OF UNITS----------- AIR HANDLING ON I TS nTHFR UNITS. 0 FURN ( 100K BTU: 0 10000 cfm : 0 OUTLETS.:P FURN ) =100P STH: 0 > 1.i7j000 rfrn: 0 Remarks: Instal) gas log fjreokce and gas line for dryer Owne, : FEES BARRY REYNOLDS type amoi-int by date rerpt 12262 SW LANSDOWNE LN PRMT $ 25. 00 JSD 09/08/97 97-294338 TIGARD OR 97223 5PCT $ 1. 25 JSD 05/08/97 97-294338 Phone #- 206--338-7114 Contractor: ABLE MECHANICAL INC 3345 NW GLENCOE RD HTIA-SSORO OR 97124 Phone #s 640-4141 $ 26. 25 TOTAL Req 000691 REDUIRED INSPECTIONS ----- ThiS nermit is issued sub,'ect to th, replations contained in thio Mechanical I n s p Tigard Municipal ^ode, State of Ore. Specialty Cores and all other Final Inspection applicable laws. All work will be rune in accordance with approved plans. This pervit still ripire if wor4 is not started within 180 days of issuance, or if qork is suspended for, tore tha- 180 days. Call for inspection 6.--,9-4175 Plan Check CITY OF TIGARD Mechanical Permit Application Recd By_ -7 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit A r" c rj'17 Incomplete of illegible applications will not be accepted Called /_'7rr7 Name of Oswbpmen )ed DesCnpi ion Table 1f_Mechanical Code QTy PRICE AMT Job Street A9areas a $odeN A) Pernd Fee -0- 0- 10.00 Address '1'," n � Lfwo N _ Bldg* rity/state1 Zlp t H) Supplemental Permit 3.00 _— Cr °►-I J _ � _ Name(or name of bush ss) 1.) Furnace to 100,000 BTU 6.00 Omer 9_ , ( " �t��r1 incl.duds&vents Mailing Atlt)ke sa 2) Furnace 100,000 B'1 U+ 7.50 incl.ducts&vents city/state 1 Zip Phone 3) Floor Fumaee 6.00 f C0(� -+ r�1 �1�� 3���-11\`4 incl.vent �Nsme Ilof name of business) 4) Suspended heater,wall heater RAO or floor mounted heater Occupant Mailing Address 5.) Vent not incl.in appliance permit cayistate Zip Phone 6.) Boder or romp,heat pump,air Gond. 6.00 to 3 HPabsorp unit to 1GOK BTI1 I�QCI 7) Boiler or comp,heat pump,air cc td. 11 !10 � 3-15 HP;absorp unit to 500K BTU Contnictor 4J.'11Address 8) Boiler or comp,heat pump,air Gond. 15.00 1 U ( i —1 15-30 HP;absorp and 5-1 mil BTU Attach copy of estate n Zip Phone 31 Boiler or comp,heat pump,air Gond. '2.2 50 Current Licenses �t � } '�t._a �( i �i.I 30-50 HP;absorp unit 1-1.75 mil BTU Oregon Const,Cont.Bostd Uc.N Exp.Date 10.) Boile �om�,;,eat).vmp,air cond. 37.50 17) '% ' I >50 HP;absorp unit 1 75 mil BTU j BusineTax or Metro 0 Exp.Date 11.) Air handling unit to� 50 _ ss 10,000 CFM _ ArchitectFkl.,, em" 12) Air handling unit 7.50 10,000 CTM+ or lnq Aa.'ross 13) Non portable 450 _.. �__ evaporate cooler Engir,eer t "State zip Phone 14) Vent fan connected 3.00 1 —_ _ _ to a single duct Describe work New 0 Addition 0 Alterat of n 3 Repair 0 15) Ventilation system nui ,.50 h.be don: Resiosnti Non-residential 0 included in appliance permit Adddiona-,"Itliscription of work 16) Hood served by mechanical exhaust — _ 4.50 17) Domestic incinerators 7.50 Existing u,,e of v 18) Commercial or industrial 30.00 budding.,r property type incinerator 19) Clothes dryers,etc 450 Proposed Use of 20) Other units buildatg or property Type of fuel oil O natural ga !-rG O electric 0 21) Gat piping one to foul dets 2.00 9. I hereby acknowledge that I I'ave reac this application,that the 22) More than 4-per outlet (each) .50 information given is corecf, nat I am the owner or authorized agent of the owner,that plans s,,hm sed are in compii:nce with Oregon State QTY.SUBTOTAL ' qn laws. _ _ _ Signature of Owner/Agent Date i _ 'SUBTOTAL V r 5/x SURCHARGE Contadt Person Name Phone TPLAN REVIEW 25%OF SUBTOTAL TOTAL i Wsttrtiechpmt doc 'Minimum permit fee is X25+5%surcharge Rev 7;96 M CITY OF TIGARD BUILDING INSPECTION DIVISION 7.4-Hou;Inspection Line: 6394175 Business Phonx 639-4171 Date Regnested: _ A.M. P.M. MST: Lavation: � _ B[JP: - 'fenant: _ Suite: _F Idg: MI:C:c�1 62 Contractor: E ' 'jtone: 8� 7C�U PLM Owner: Phone: _ _ ELC:_ — )JLTi: SIT: BUILDING BLDG;^ PLLMBING ` HANK ELECTRICAL SITE Site Post/Bea: Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab :'lough-In Ceiling Water Line Slab Frarning Top Out (las Line Rough-In UG Sprinkler Foundation Insulation Sewer IlocxUDuct Reconnect Vault Bsmt Damp Drywall Stenn Furnace Temp Service MISC. Masonry Ceiling Rain Thain - —mr''rte UG Slnb Shear/Sheath Fire Spklr/Atm Crawl/Found Dr '71cnt Prnnp Low Volt _ Approved Approv AP!F!� Appro`ve,3: Approved Approved Appr/';dwlk Not Approved Not Approve 77 _u roved Not Approved Not Approved FINAL, FINAL � FINAL, FINAL FINAL O Cali for reinspect' 0 Reinspection fee of S _required before next inspection O Unable to inspect Inspector:.. —. Date: /- Z'- —� 7_- Page of__ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 i Date Requested: — ` ` / — A.M. _ _ P.M. MST: — I.cxation. 4 ��_�� / /l/,5�1 BUP: - 1'enanl:— �'Z�'% /V�L�� --__ _ Suite:-- ---Bldg MF,C: --- Contractor— _ Phone: _ PT.M: _ 7wucr Phone: E.LC: (} 34/ SIT: _ BUILDING — BLDG(coni) PLUMBING MFCHANICALELECTRICAL SITE Site Post/Beam Post/Be, Post/Beam ov. . Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water Linc Slab Framing Top Out Gas bine Rough-In UG Sprinkler Foundation Insulation Sewer I100(l/Duct Reconnect Vault Bsmt Damp 1"all Storni Furnace Temp Service P HSC. Masonry Ceiling Rain Thain AX U13 Slab Shear/Sheath Fire Spklr/',Im Crawl/Found Dlr Meat Ptunp It Approved Approved ApprovedA vrd Approved Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved FINAL FINAL FINAL FINAL) FINAL 0 Call for reinspection emspection fee or S— required before next inspection C3 Unable to inspect Inspector-- _ Date: ��_ Page i of�_�_