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•12279 SW LANSDOWNE LN
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: EL02003-00288
DEVELOPMENT SERVICES DATE ISSUED: ":,i0/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL. 2S10313C-08200
SITE ADDRESS: 12279 SW LANSDOWNE LN ZONING: R-4.5
SLIBDIt ISION: MLP1999-00005 MOSES PP2000-077
BLOCK: LOT : 002 JURISD.,:TION: Tl:i
Project Description: installation of(1)branch cir ultfor A/C unit.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCEL LANEOUS
1000 SF OR LESS: ri - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT 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/SERVICE CR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 imp: — — PLAN REVIEW SECTION
u+ amp,,,oW >=4 RES ON1T8: >600 VOLT NOMINAL:
��— econnect o7y: — SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:
Own Contractor:
ED BURN GRF ELE(,TP.i%
12 9 SW LANSDOWNE LN, 15460 SE PARADISE LN
TIu*ARD,OR 972 3 MUIJ1`10,OR 97042
Phone: 503-590-74`)0 Phone: 503-829-4146
Reg #: LIC 76751
--- ----- — SUP 1655S
_ FEES _ ELE 3-484C
Description Date Amount
Required Inspections
[f:i.PRMT] ELC Penna � '���i.+ g=f1.85 -- --
[TAX]R44,State Tax S '_n n t $3.75 Rough-in
Elect'I Final
Total $50.60
This PFirmlt is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Code,and all uther applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is no:started within '80 days of issuance,or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow ruics adopter;by the Oregon Utility NoNication Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-001-0100. You may ob:ein copies of these rules or direct question:;to OUNC at(503)2466699 or
1-800-332-2344.
Issued By: d, � Permit Signature: IA,, &zk1L.r C 'yL—K-�/
OWNER INS FA_LLATION ONLY
I h(> installation is being made on property I own which is not intended for sale, lease, or rent.
'WNFR'S SIGNATURE: DATE:
CONTRACTOR INETALL.ATION ONLY
SIGNATURE OF SUPR. ELFC'N: DATE:—
LICENSE
ATE:_I_ICENSE I`I O --------- - ------ — ------ -----------�— - —-
Call 639-4175 by 7:00pm for an inspectivo the next busine7,s day
Electrical Permit.Application
—�� Datereceived: .� 'r'/'r1�3 Permit
City of Tigard Project/appl.no.. Expiredatc;
C'i o Ti and Address: 13125 SW Hall Blvd,T�V 97223
ty f R Date issued: � A Ru;eipt no.:
Foone: (503) 639-4171 ` --- --
rax: (503) 598-19 > . Case file no.: f4ltEeni type:
Land use appro -- J`lC
&2 family dwclliny,or accessory Justrial U Multi-family U Tenant improvement
J New ccnstniction ,f ltiionMteration/rcplacement CI Other:—_ U Panial
JOB r
Job address: c [- L Bldg.no.: ISi count no.. �_ 4
Lot: -� Bleck: _ Subd ,ision: ---- - - — -
Project m(lie: () j'Is�3 _<Description and location If work on premises: -1 A it
da:c of comp)�cfranihass�jx:iitn:
_Job trio: r�re Max
Ck+crfpuon _ (1t'. (ea.) Teal no.ons
Nee residndial-siaGle or multi-family per
Address 1 1���_�� Cj 4�r 4 �qyr e drrcll ngunit.lududrsatWclredgary,e.
City: M LA( I A,, _ State: Q 'LIP:��I tirrv,trincludect
Phone: `�ZA.ty f Fax: E-mail: l(x)asq.ft.orless __ t
CcD no.: / Elec.bus. lic. C Facit additional 500 sq,ft.o:Ixwnion thereof - _
_ 1.1 nil red energy,residential 2
Cil /metro lie.no.: _
City/metro LL.imitru-ucrgy,nun-residauiul — — -- ?
~_ Each manufactured home or modular dwelling
Signature of supervising elec ciao(required) ate Service and/or 15m-der _ 2
Sup.elect.name(print) I.icensrno 1(� cJS_S Servieesurreeden-installation,
alteration or relocation.
id t 2(N)amps of less 2
201 amps to 400 amps 2
Name(print): L s (/•Y 401 amps to 600 amps 2
Mailing address: Z-Z t L` �.,i� [_�-, . -- -
—_.�____�� 601 amps to 1000 amps 2
17ily: ^[State: ZIP: x�-;IZ? Over 1000 snips or volts 2
Phone: Fax: E-Mail:� Reconnect only _—J— � I
owner installation:'11u:instaUation is being made(:)it properly I nwn 9 empornry services or ferden-
which is not intended for sure,lease,ren.,or exchange according to Instillation,alteration,at relocation:
ORS 447, 1,55,479,670,701. 200 Drops or less -- -�
201 snips to 400 nrnps __
OWhen's signature: Datc; 401 to 600 ams _ 2
Branch clrcults-nee,alteration, —
or extenslon per panel:
A. Fee fm branch circuits with purcha,_of i r ----•-----�
Address: service or fredet fee,each branch:ircuit
City: _ �— Slatc: ZIP: — Il fecforbranchcircuitswi,..---r�rchase
—-- —� -- of servtrc or feeder fee,first branch circuit: I 2
Phone: - [-mail: - — —
Each additional branch circuit: _
PLAN RES"]EW(Pleals0elleck sill flint apply) Mitn.(Service or feeder not Included).
fScrvtrr over 22'nrnps-conntx•ruial O Health..are faeiiiny Each pump or irrigation circle -_ 2
L,''e:via over 320 amps rating of t&1 U Ila wdous locmion Fach sign or outline fighting — a
family dwellings U Hudding over 10,(Xg' quite fent font or Signal clrcuit(s)or a liminal energy panrl,— -
*�')Siem over 6110 volts nominal mon!residential u ..is in one structure al,t,adon,or extension" _ 2
J Buil0ing over daec stories U Feeders,400 amps or more
U(X-cupant lurid over 99 persons O Mamil wiured structures or RV park ?A a additional Inspection over the allntvabte In any of the aLive:
U Egrrssllightingplwt U"lrnc _ - Ft inspection
Submit.-__-sets of platys with any of the above. r7, lestignuon fee
The above are not applicable!o tempos iary cointruction service. other
1 Vi III O nru accept
ct _ -- Permit fee.. —...............$
Nd nil lunrdkntms eeoept crrdlt cafds,pkase rJl jvardlcGun fa mac Infomwh�.� Notice'lltis getout application
Mastt
expires if permit is not obtained plan revi':w(at __-_ %) S
Corin cord number --_.1..-_„L within 180 days after it has been State surcharge (8%) ....$
I:xp',res accepted as complete. TOTAL, .......................$ V t!
—Name of cardti alar u rr�......on credit eW '-
'�('ardh-� slputure _ -$
Amount 74,4613(6WC'OM)
l 'd LbL56�HEQS nt��a•i3 -4M9 L100 :90 ED 02 ElsW
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC200-002.59
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/21/03
SITE ADDRESS: 12279 SW LANSDOWNE LN PARCEL: 2S'I 036C-08200
SUBDIVISION: MLP1999-00005 MOSES PP2030-077 ZONING: R-4.5
CLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS'.
TYPE OF USF: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O AP?L: VENT SYSTEMS:
STORIES. _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 1C HP: COMML. IACIN:
MAX INPUT. BTU 15 -30 HP:
FIRE_ DAMPERS?: 30 - 50 HP: REPAIR OYES:
UNITS:
GAS PRESSURE: 50 + HP: CLO URRODYER
FURN < 100K BTU: AIR HANDLING UNITS CS:
FURN >=100K BTU: <= 10000 cfrrt: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: Installation ot'exterior A/C unit I nit sumo t he hlacod within rcquired setbacks.
Owner: _ _ —_ _ FEES
ED OSBURN Description Date Amount
12279 SW LANSDOWNE LN. -- -—
TIGARD, OR 97223 11J]II Pcrnut I cc 5/21/03 $72.50
I AN 1 `{ Slow l a': 5/21/03 $5.80
Phone: 503-590-7490 !-- _ Total _ $78.30
Contractor:
ADVANCED HEATING & AIR COND
5825 SE FOSTER
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone: 503-235-0060 Mechanical Insp
Final Inspection
Reg #: LIC 98573
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all o+her applicable laws. All work will be done in accordance with approved plans. This permit will ,expire if worts is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By _ Permittee Signature: �'i3/ 9ff UiC' j%nom/
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Sera Ely: HP 1_aserlFt 3100; 503 774 4391 ; May-16-03 4:38PM; Paye 1 /3
-uvenced Msatinpp Page 2
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RECEIVED
j P11/08/01 SON 10:19 PAI boa 598 1990 I CI'ty UP T1QARD MAY 16 2003 wool
Me ChWdCR1!#er4pl3csttfon _ CITY OF TIG4SD
} (:qty of 119" �'
efrWa d Addren:13125 BW t(Iup Blvd,Tigard,OR VM3 (O0d' oo: Bltpiteaft
Pteme:(1W)639.4171 Derh..4: .
I Aalr: (..101)598-two NY=71
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et t 7 fantly dwolk"or acoosioty (]coam�ral.11toolwt.d d Multi{aldl
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1 beallooh>tPlse►e�f 0 Oti+et:
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Job addmeu-
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!1 nu. Bdoe ago: valUo of W IIWWN nt W.'twdW$. I
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Lol _Btock� 8ubdlyisitl�: __ "8en dtecMil far itaporml%VUe tion inform'a and
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„u!■w+ 1 Wo"wt�^rar,rr...wi}rf�aeuue br www �w Ndloe:This permit ilea lal rudt Itio............. . ..t
1r4— axpins if pawill U not abbined MlAAMU s 111.0............_..
wilhi»110 da,s.rto.it Iw item Pian review(at 9,) t --
M - •n-M&I r ennpl.ta. 9010 mm.hmp(8%)....$ _ ......--
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Sent By: HP LaserJet 3100; 503 774 4391 ; May-18-03 4:39PM; Page 3/3
-�H-•..... -.s.r.v. ..-uu1'•Mf y AUVEnaeU Hos�].ng; Page 3
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a SITE PLAN
A/C UNITS,IQENERATORSo SPAINOT TLIIS.S OR
ANY NOISE PRODUCING EQDIP!AAElVT
r- REAR PRCWPE
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P(.EASE NCLUDE;
1 1.(XAnON OF
2 LOCAMN OF I�ROI�I� SIDE&RLAR
3 yrs rwrrc t�tot G�o VWf TU FRONT, REAR&SIDE F_C"ItTY UNM, LVOT .
VXOM HOUSE
4 INUICA17ON OF 3T LOCATIONS AND FROtM OF HOtISE ���—`
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (:503)C39-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST ---
SUP _
Received -------.---Date Requ sted_ /��' _ _ AAA . PM_____—_ BUP
Location ____ .� Suite2 --
Cc-itact Person _— Ph( ) � — PLM —
Contractor __— --�_� ph(—) _ SWR
(BUILDING Tenant/Owner
l Footing -- ------ / -- -- ---
Foundation Access s ELC
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
P)st& Beam ----- -- - J�
Shear Anchors `✓/��� A�,'� __-- _
Ext Sheath/Shear
Int Sheath/Shear - ---
Framing
Insulation
Drywall Nailing - -- - - -- -__ — ----- _—
Firewall
Fire Sprinkler ----- - --- --- -- - - - .. -- -- --..
Fire Alarm
Susp'd Ceiling --- - - -- - ----- _ - - -------- - -- -—- _
Root
Other: - ---- -- _ --- --- ----
Final
_PASS PART FAIL -- - - -- - - ----- -- - - -- - -- -.
PLUMBING _
Post& Beam
Under Slab --
Rough-In
Water Service
Sanitary Sewer
Hain Drair --_-_ - --- ---_-< - ----
Cat;n Be;in Manhole
Storm P ain - - -- --------- - -- - -- - -------- ------
Shower Pan
Other: - -. .--- --_ ---— _------ ---- --
Final
PASS PART ;=AIL - - -- -- - -- - �._-- --- - ----- - - -
CHAN L �'
Post& Beam �— --------___. ------- -_..---- -- ----�--
Rough-InI�/ ---- -- ------- ----- — _ --- _.. _..
Gas Line �-
Smr Dampers ---- � -__------. --------------- - -- ------
-----
PARTFAIL ---- --- ----------._.-- --- __ — - ---- ---- — - -----
C RI L
ervice --- --- ---- ---- - — ---- - ---
RoL gh-lo _
UG/Slabp — - - --- — -----— -- _—
Low Voltage
Farm ------------ -----_-_------- -------
Cir naLl, Reinspection fee of$ required before next inspection Pay at City Hall, 1317.5 SW Hail Blvd.
_S PART FAIL
SITE Please call for reinspection RE:_ -__ ---._. Unable to inspect-no access
Fire Supply Line
ADA O b.
Approach/Sidewalk Date -- Inspector
- Ext----- -
Other:.- _
Final DO NOT REMOTE this Inspection record from the Job site.
PASS PART FAIL