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CITY OF TIGARD MECHANICAL
PERMIT
DEVELOPMENT SERVICES F,L :MIT #. . . . . . . : MEC97-0166
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/03/97
FIARCEL.: 1 S 135CD--•0x_,700
SITE ADDRESS. . . : 0970.14 EW LONDCN CT
SUBDIVISION. . . . : LONDON SQUARE NO. 2 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 19 JURISDICTION: TIL=,
CLASS OF WORT;. . :ADD FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYFIE OF' USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . . 0
OCCUF,ANC;Y GRP,. . :H2, VENTS WHO AFFIL.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : O BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 1 DOMES. I IVC I N: 0
3-15 HF,. . . . : O COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 1AP. . . . : 0 REPAIR UNITS: 0
FIRE DAMF,ERS". . : 30-50 HF'. . . . : 0 WOODSTGVES. . . 0
GAS PRESSURE. . . : 50+ HFI. . . . : 0 CLO DRYERS. . : 0
NO. OF UN J TS - --- ----- AIR HANDLING UNITS OTHER UNITS. : 0
FH5N )(=18sk RTH: (= 10000 cfm : 0 GAS OUTLETS. : 0
> 10000 cfm : 0
R e m ai+s : INSTL 1 BOILER/COMP/HEAT PUMP A/C // AIR CONDITIONING UNITS CANNOT BE
PLACED OUTSIDE SETBACKS
Owner: _____--__.___._.__-__---___.---•---_._.__---.-----_.----•-___-__ FEES --------- -
RON LINDSAY type amol-int tv/ date r-ecpt
9724 SW LONDON CT FIRMT $ 25- 021 "FAT 06/03/97 97-295384
TIGARD OR 97?(=3 SFICT $ 1. , L'S TAT 06/03/97 97--,-29Fj384
F'h o n e #: 620-3004 HEAT.ING SPECIALIST INC, THE
•3.300 NE HALSEY
PIORTLAND OR 972;2O -.____._._____________---_-_------__-•-___--
Phone #: 257--7000 t 26. 2c TOTAL.
Reg #. . : 000566
-------• REQUIRED INSPECTIONS
- -This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. 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 expire if work is not started
within IBB days of issuance, or if work is suspended for more
than 188 days.
Permittee Sirina ux^�s
I s s IA e d B y . /
'/ 11 for inspection - 639--4175
Plan Check a
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential DateRec'd_
I i IGARD, OR 97223 Date to P E
(503) 639-4171, x304 Date to DST
Print or Type Pemvtn `� '_
Called
Incomplete or illegible applicadons will not be accepted
Name of DeveiopmowIlrojec] DeS�av on----
Table 1A Mechanical Code CITY PRICE AMT
JOG Street Addruss sudsto - A) Permit Fee -0- -0- 10.00
Address t `1 �2-9 v w L-,6rn `
Adige clyistate 7jp - 1 ) Furnace to 100,000 3TU 600
including ducts 6 vents
^_--- Naner(o name of business) 2) Furnace 100,000 BTU+ _ - 7 50 --
Owner p ,," I n d `ter i including ducts&vents
Maung Address 3) Floor Furnace
-/ t L{ v L.J LO Y1 c\v-1 LZ 6 00
includinwent
Ctly18100 Zip Phone 4) Susperded heater,wall heater 600
--r'% ci-.,- Oy- Y 71 a.; 1-,i_3or floor mounted heater
Name(a name of buanea) 5) Vent not a icluded in appliance permit 3.00
Occupant Ms,ing Address 6.) Boiler or comp,heat pump,air cond. 600
Cnyrsute phone
__ _to 3 HP;absorb unit to 100K BUT"
Zip t ) Boiler or comp,;teat pump,air cond 11 00
__ 3-15 HP;absorb unit to 500K BTU"
Contractor Norris 8) Boller or co rip,neat pump,air coed. 1500
(Prior to 15-30 HP;auaorb und.5 1 mil BTU"
issuance Matlinit Address I 9) Boiler or comp,heat pump,air cond 2250
applicant rC�0.>Zr2Y 30-50 HP;absorb unit 1-1.75mil BTU—
must provide ail Cdyrstale Zip haw 10) Boiler or r)mp,heat pump,air cond. 37.50
contractor 1-i>rc. L. `6 11 2-c, AS7-?a- >50 HP:at, )rb unit 1_75 mil BTU-
—
license Oregon Conn.Corn.Spero Lit$ up.OMa 11 ) Air'iandii to 10,000 CFM 4.50
information J`Ir 4+ z
for COT COT 8uudess taxe Media it Esp.Dau 12.) Air handling it10,000 CFM 750 -
database) ( 3-1 o l'U-r1A
Ar;hitect Nems 13) Non-portable evaporate cooler 450
Or Mating Address - 14) Vent tan connected to a single duct 3.00
Engineer Cmrrstate tip Phone 15) Ventilation system not included in 450
I appliance permit_ _
Descnbe work New O Addition O A"enation O Repair O 16) Hood served by mechanical exhaust I 4.50
to be done Residential 0 Non-residential O
Additional Description of work 17) Domestic incinerators 750
18) Commercial or indust,al type 3000
. 1- Incinerator
Existing use of S 19 Repair units 4 50
building or property
20) Wood stove _ 450
Proposed use of `• 2t i Clothes dryer,e Ic 450 -
building or property _> r-
22 Other units 4 50
Type of fuel-oil O natural gas O LPG O eledirlOP 23 ) Gas piping one to four outlets 2 00
I hereby acknowledge that I have read this application.that the 24) More than 4-per outlets(each) 50
information given is correc4,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State _ QTY SUBTOTAL
laws
Signature of OwnertAgent Date - `SUBTOTAL
—-- -- 5%SURCHARGE ----
.�•
con ct Pe on Name Phone PLAN REVIEW''59te OF SUBTOTAL
TOTAL
i klst)rrwchpmt doc (rev 9 'Minimum permit fees S25+51*surcharge
"Residential AIC requires site plan showing placement of unit.
The Heating Specialist Project
HEATING COOLING PLUMBING
9300 NE HALSEY STREET PORTLAND,OREGON 97220
(503)257-7000 Fax(SO)237-7702
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CITY OF TIGARD EL. EL:"RICAL P,ERNIT
DEVELOPMENT SERVICES PIERM'IT #: ELC97--0328
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/03/97
PIARCEL: ISI.35CD-06700
SITE ADDRESS. . . :0`:'37'4 SW LONVnN CT
SUBDIVISION. . . . :LONDON SQUARE NO. 2 ZONING: R-25
BLOCK. . . . . . . . . , , LOT. . . . . . . . . . . . . : 19 JURISDICTION: TIG
.ject D INSTL I BW^H CIRCUIT // JOB 1 18941
---RES I DENT I AL. UNIT- -----.TEMP' SRVC/FEEDERS----- ------Mlc,;CELL..ANEOL),----------
1000 SF OR LESS. . . . : 0 01100
I . amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L. 500SF. . . : 0 201 400 amp. . . . . . . : U, SIGN/OJT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 Amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/F'EEDER---- - ----BRANCH CIRCUITS----- IN-�PECTIONS
0 200 amp. . . . . . : 0 W/SERVICE OR FECDER: 0 PER INSPECTION. . . . . : 0
2:01. 400 amp. . .. . . . : 0 1st W/O SRVC OR FDR. : I PER 140LJR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 REVIEW
1000+ amp/Vol't. . . . . .. 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR 225 AMPS— : CLASS AREA/SPEC OCC. :
Owner: FEC9
LINDSEY type amol-tnt by d,..t e V,eept
9724 SW LONDON CT PIRMT $ 35. 00 TAT Of:./03/97 97-29538-'
TIGARD OR 97223 5PICT $ 1. 75 TAT 06/03/97 97-2953(A..',
Flliolle #:
contr-actot-:
BECK ELECTRIC INC $ ]3. 75 TOTAL
9318 SE CHURCH ST
REQUIRFD INSPECTIONS -----
CLACKAMAS OR 97015 Ceiling Cover Under,gt-oi.tnd CovF,
Phone #. 6367396 Wall Cover- Elect' l Ser-vice
Reg #. . : 000026
This permit is issued subject to the regulations contained in the
Tigard Muaicipal Code, State of Ore. Specialty Codes and all other Plet-in tS i gnat I-o-
applicable laws. All work will be done in accordance with
approved plans This permit will expire if wok is not started
within 180 days of issuance, or if work is suspended for more
than 180 bays. Iss _�ed By
--------OWNER INSTALLATION ONLY41-- -----------------------
The installation is hi-ing made on property I own which is not intended for
sale, lea-,e, or- rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION
SIGNATURE OF SUPR. ELEC' N: DATE: � ��/� �__�_
LICENSE NO:
Call for inspection 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
/ 13125 SW Hall Blvd. --s
Tigard, OR 97223 Planck/Rec. #
Perf7lit # - )
Phone (503) 63941711
FAX (503) 684-7297 Date Issued _ --
CITY OF TIGARD TDD No. (503) 684-2772 Issued by
Inspection (503) 639-417--
1.
39-417;1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
(
Address I I&(-A �7� t„�1�(,1(�1� t..•C�- Service included Items cost(ea) Sum
City/State/Zip �� �L;� t F i� � 4a. Residential•per unit
1000 sq It or loac $11000
Name (cr name of lousiness) �u1 � Each e 500
eq It or
portion n there
ol S2500
Commercial❑ Residential Limited Energy $2500 _
� Each Manut'd Home or Modular 2
.l -� ' Emelling Seivice or Feeder $8800
2a. Contractor insta lation only:
4b.Services or Feeders
Iredallabon,alteration or relocation
Electrical Contractor ` 200 amps or lose S6000 _
Address t 201 amps to 400 amps $tio 00 r
City('Q,0-U-0jN)CL� E �State Zips 401 amps to 600 amps $120 on _—
v 601 amps to 1000 amps $1 R0 00
I.
Phone No. 2(o - t. Over 1000 amps or volts $14000
Contractor's License No. 3-bC Reconnect only $5000
Contractor's (Board Reg. No. cDLLPa9r 40. Temporary Po ry Services or Feeders
Installation alloration or relonnlion
Signature of Supr. Elec'n 6 1� 200 amps or lase $5000
License No. aU - -PhohwNo. 17171 201 amps to 400 amps $M0a __-
401 amps to 600 am pa $100 0o
(Ner 600 amps to 1000 volls
2b. For owner installations: sea W above
4d. Branch Circuits
Print Qwnpr'S Name. New.alteration or extension per panel
Address a)The tae for branch circuils With
city state Zip__
Purchase of serrfae or Mede, Ne.
- Each branch circu" $500
Phone No. _ b)The lee for branch circuits WflhM
The installation is being made on property I own which is I purchase of service or boder Ase. �J
First branch circuit $35 00 C
1 , - 2
not intended for sale, lease Or rent. Each additional branch circuit S500
Owner's Sit nature __ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle S4000 __ 2
Each Sign or outline lighting $4000 _
Sigrid circuit(s)of a limited energy �� 2
Pies"check appropriate item and enter fop In section SB. panel,alleralion or extension $4000
4 or more residential units in one structure Minor Label$(10) $10000 _
Service and feeder 225 amps or more _
_System over 600 volts nominal 4i. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per inspection $3500
Per hoes $5500 _
_
Submit 2 sets of plans with application where any of the above In Ptart $5500
apply. Not required for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees $ Z)b
5%Surcharge(05 X total fees) $
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 FOR Plan Review if required(Sec.J) $ _
Subtotal $ _�
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS ,� G. J
COMMENCED ❑ Trust Account tM
` Balance Due 1`,
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