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15414 SW Kenton GR
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P042004-00045
13125 SW Hall Blvd., Tigard, OR 97223 (503) C39-4171 DATE ISSUED. 2/2/04
SITE ADDRESS: 15414 SW KENTON DR PARCLL: 2S112CL-10400
SUBDIVIFION: ASHFORD OAI'\b NO. 2 ZONING: R-7
BLG,'-C: LOT: 118 JURISDICTION: TIC
CLASS OF WORK: REP GARBAGE DISPOGALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
r.-TURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TLIBtSHOWERS: SEWER LINE: ft
WATT'-:R CLOSETS: WATER LINE: 45 ft
DISHWASHERS: 'iAIN DRAIN: ft
Remarks: Replace 45' of water service.
—- � FEES
- ---�--
OwnFr: --
Description Date Amount
DAN WILSON `--
15414 SW KENTON DR I1,1 1'N1111 Permit I ee 2/2/04 $72.50
TIGARD, OR 97224 I 1, State Sul Chan 2/2/04 $5.80
+Total $78.30
Phone : 5111-968-1321
Contractor:
MR ROOTER OF PORTLJr,
P DRTLAND SERV!CES INC
151133 SE MCL.OUGHI_IN BLVD#344
MI_VVAUKIE, OP 97267 REQUIRED INSPECTIONS
Phone . 501-651-5301 Water Service Insp
Final Inspection
Reg#: LIC 138941
PLM 3-4341111
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty 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 if work is suspended
for more trian 180 days. ATTENTION: Oregon law requires you tc follow rules adopted by the Oregon
X-I
&: -1
Isgued B 1`. � Permittee Si nature: /
_ � f —�-- �
:
Y y
Call (5J 639-4175 by 7:00 P.M. furan inspection needed the nextusiness day
Ft'1/O2/2OO4 11: 10 PAGE O1/01
A2!HW 2004 09:53 ?*AM of i as
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 539-4171
// BUP
Received _ 3 `�` ate Requested AM PM_ _ BUP
Location .tom 41r, -1 / ' _,_ Suite MEG
Contact Person , -
Contractor _� - ' ' '' vL , Ph( ) SWR _
BUILDING r Tena Own—e ELC
Footing ELC
Foundation, ACCESS:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: - SIT
Post& Beam
Shear Anchors m ----- --- ---- .-__
Ext Sheath/Shear '��
Int Sheath/Shear
Framing I - ---- ---- - -- -
Insulation
Dryw=°Nailing - -- -�--�- - —
Fire
Fire sur' ,der - - -- - ----- -.. -- —
Fire Awr m
Susp'd Ceiling ----
goof
Other.Final
PASS
L
PASS PART FAIL
PLUMBING -_
Post&Beam UnderSlabSlab - - - --- --— --
Rough-In
--- -
_ �anitarY. ewer
Rain Drains -- - _.. —_--- ---- ----
Catch Basin i Manhole
Storm Drain -
Shower Pan
Cl!t ar:
PAS % PART FAIL
HANICAL ------ ---
Post&Beam
Rough-In - -- - ----- _ - --- - - - -
Gas Line
Smoke Dampers - ------ - - -- - -
Final
PASS PART FAIL - -- - ------- -- - -- _ _. - -
ELECTFkfl
Service
Rough-In
UG/Slab
I.ow Voltage ---p�-
Fire Alarm
Fii'af U Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
-PASS - PART FAIL
- -
SITE ] Please call for reinspection RE -_ Unable to Inspect-no access
Fire Supply i ine
ADA
Approach/Sidewalk Bete G Inspector/ Ext __—
PP T
Other:
Final DO NOT REMOVE this Inspection record from thr, job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BUP _
----_Date Requested AM _PM BLD
Location--_��� `f/' k` 1� A Suite ,—
--��' MEC -•��l-� '�
Contact PETson rfi - �
jr�---' Ph � � �., .� ,Y- �F PLM
Contractor — Ph SWR _
I ILDING — Tenant/Owner _ ELC
Retaining Wall - --
Footing - - ELR
Fr undation Access: y1 —
"',iDrain C42�� o.ft- // . FPS
awl Drain Inspection Netes: SGN
b
Post&Beam -- `- - r /� SIT
Ext Sheath/Shear r
Int Sheath/Shear
Framing
Insulation _--
Drywall Nailing
Firewall - -
F re Sprinkler
Fire Alarm -- --
Susp'd Ceiling
Roof —.�-------
Misc:
Final --- --
PASS PART FAIL --- _ -
PLUMBING -- - - --_-.- -
Post& Beam - -
Under Slab - --- ------- ---------
Top Out
Water Service
Sanitary Sewer
Rain Dr.gins
Final - --- __
FAIL -`
- - -
ECHANICA —�
'r�1-8•f!eam
I'mIgh In /
Gas Line
Smoke Dampers
PART L
ICAL
Service
n
UG/Sldb
Low Voltage
----- ---- L-.
Fkr Alarm
ART FAIL.
BackfilUGrading - - - --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line [ )Please call for reinspection RE: _. [Unable to inspect-no access
ADA
Approach/Sidewalk
Other DateC,l� �'IJ -
Inspector
Final - -- _ ___ _-__— Ext
PASS PART FAIL Do OT REMOVE this inspection record from the job site.
CITYOF TIGARD __MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT 4: MEC2000-00249
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/20/00
SITE ADDRESS: 15414 SW KENTON DR PARCEL: 2S 112CB-10400
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7
BLOCK: LOT: 118 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: _
TYPE OF USE: SF UNIT HEATERS' :ENI'r FANS-
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INC, J:
FLE 3 - 15 HP: COMML. INCIN.
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTIJ: AIR HANDLING UNITS CLU DRYERS:
FURN >=100K BTU: <= 10000 cfm- OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: FEES_
HOFER, DAVID P + KIMBERLEY M Type By Date Amount Receipt
15414 SW KENTON PRMT DEB 6/120/00 $50.00 0003131
TIGARD, OR 97224 5PCT DEB 6/2.0/00 $4.00 0003131
Phone:
Total $54.00
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSP"=CTIJNS
Coding Unl Insp
Phone:620-5643 Final Inspection
Reg #:SUP 2570RET
LIC 006657
ELE 34-341CR
ORJ(;1NAL
This permit is iss,ed subi,_�ct to the regulations contained in the Tigard Municipal Code, E'tate of Ore Specialty Codes
and all other applicai,;e laws. All work will be done in accordance with approved plans. This permit will expire if work is
riot 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)241 =9189.
Issue EY: J Q� /C permittee Signature:-- }�/ ''2�-7�
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGkRD Mechanical Permit A lication Plan C ck
PP Rec'd�8 ✓I .)
13125 SW HALL BLVD. Corr tial and Residential Date Recd �"
TIGARD, OR 97223 Date to P.E.
(503) 639-4,171, X304 Date to DST
Print or Type Permit#i 5Xt:`'�Z^
Incompiete or illegible
eaapplications will not be accepted Called
Name veopmert/ roleC, / I Description
fh Table to Mechanical Ccde Qtv Price Amt
Job S eet Address y l A) Permit Fee 1010" -7-W" 16.00
' 1) Furnace S�eeurnace to 100,000 BTU
Address Ste/ ee8uneu n ✓ in:ludig ducts&vents see footnote 1,2 9.65
eidrla CA,rState Zip 2) Furiace 100,000 BTU+
-C" 7/-9 fncluui>q du,.ts&vents see footnote 1,2 lZ 00
Name-far namepf business) 3) Floor Furnaca
L. O including vent see footnote 1,2 9 65
Owner i 4) Suspended heater,wall heater
anmg Address
t r or floor mounted heater see footnote 1,2 965
5) Vent not included in appliance permit _ 4.75
City/State p / Phone Check all that apply- Boiler Heat Air
�G oe .;I2,2-} � {r.({G�'7 For Items 6.10,see or Pump Cond Qty Price Amt
Name(or name of business) footnotes 1,2 Comp
_ 6) <3HP;absorb unit to / ( ;
iia" l yll{i_ _ 100K BTU 9.65 �' r
Occupant Mailing Address 7)3-15 HP;absorb unit
look.to 500k BTU 17.65
CitylState Lp Prone 8) 15-30 HP. absorb
unit 5.1 mil BTU _ _ 24.15 _
9)30-50 HP; ab3or5
Contractor Name , unit 1-1 75 mil BTU _ _ 3600 _
S �C/ -t2 (/Vl 10)>5UHP; absorb unit
Pnor to permit Mai ng Address �� � >1 75 mil BTU _ 60.15
issuance,a copy _gsa �'— 'S ),��r/� �S� 11 Air handling unit to 10,000 CFM
of all licenses t.lte T— Phone 7.00
are required if � q2 -S 12)Air handling unit 10,000 CFM+
expired in COT or'! on r o ist Name Ca t.Board Lic K Exp D to 11 85
database a 7� 5�� 13)Non-portable evaporate cooler
7.00
Architect l _
14)Vent fan connected to a single duct
Halling Address 4.75
Or 15)Ventilation system not included in
appliance permit I 7.00
Engineer Cityistate tip I Phone 16)F'god served by mechanical exhaust 700
Describe work to be done: 17)Domestic incinerators
12.00
New Repair O Replace with tike kindYes 0 No 0
18)Commercial or industrial type incinerator
Residentlal)� Commercial 48.25
19)Repair units
C
Additi�in{orrnat on or des i n of work: 8.40/t� 20)Wood stove/gas FP:other units/clothe dryer/etc.
7.00
NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets
structural gas talcs. See footnote 1 3.75
Type of fuel. oil O natural gas 0 LPG 0 elects 22)More than 4-per outlet(each) _ .75 _
Minimum Permit Fee$50.00 SUBTOTAL
I hereby acknowledge that I have read this apolication,that the information 8%SURCHARGE `/
given is correct.that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only
TOTAL
Signature f OwnerlAgent Date --
Other Inspections arid Fees:
/07 1. Inspections outside of normal businet.s hours(mininum charge-two
Contact Permian Name _ Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
! �L 1. Sd j GdO�SG charge-half hour) $50.00 per hour
3. Additional plan review required by changes,additiois or revisions to
Foores for commercial protects only:
1 Rovide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)E50.00 per hoar
2 Pr.,,-dc dra,.+ings to scale showing existing and proposed mechanical
units *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I.Vnechperm doc rev 7/19199
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CITY
O� ������ --_ELECTFcICAL PERMIT _
PERMIT#: ELC2ooe-oo345
DEVELOPMENT SERVICES DATE ISSUED: 6/20/00
13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S112CB--10400
SITE ADDRESS: 15-4,14 SW KENTON DR
SUBDIVISION: ASHFORD OAKS NO, 2 ZONING: R-7
BLOCK: LOT : 118 JURISDICTION. TIG
Proiect Description: Installalicn of one branch circuit for new a/%;unit
RESIDENTIAL UNIT TEMP SRV_C/FEEDERS _ MISCELLANEOUS
_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF H%1/SVC/ FDR: 601+amps - 1000 volts: MINOR LAEEL (10):
SERVICE/FPEDER�^ _ BRANCH CIRCUITS ADD'L INSPECTIONS__
0 200 arnp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 61 ) amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION__ ___
1000+ amp/volt: _ >: 4 RES UNITS: v -• 600 VOLT NOMINAL:
Reconnect ongly, SVCIFDR 225 AMPS: ._ CLASS AREA/SPEC OCC:
Owner: Contractor:
Hr =ER, DAVID P + KIMBERLEY M SHARPE ELECTRIC INC
14 SW KENTON 22605 SW RIGGS
,ARD, OR 97224 BEAVERTON, OR 97007
Phone: Phone: 642-7937
Reg #: LIC 000815
SUP 3344S
ELE 34-2170
FEES_ — Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT DEB 6/20/00 $37.50 0003131 Elect'I Final
5PCT DEB 6120/00 $3.00 0003131
Total $40.50
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Stare of OR Specialty Codes and all other applicable laws
All work will be done in acwrdance with approved plans This permit will expire if work is nit 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 by the Oregon Utility Notrficaticn Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001 0680 You may obtain copie atW6i a;vies or direct questions to OUNC at(503)
246-1987 \
PERMITTEE'S SIGNATURE �� ^� ISSUED BY:
OWNER IN2t&LATIOPt ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: -- __—___ DATE:._ __--_—__—_—
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: - % /Ielf '--
LICENSE NO: ---
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF T GARD Electrical Permit Application Plan Che
1.3125 SW HALL EILVD. Recd By
TIGARD OR 97223 Date Recd
Date to P.E.
Phone (503)6394171, x304 Date to DST
Inspection (503)639-4175 Print of Type Permit# '1^ 2 4.'
Fax (503) 598-1960 Incomplete or i'legible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below.-
Name
elow.Name of Development Number of Inspections per pennit allowed
Name(or name of business) Ph 0 _ Sr rvice included: Items Cost Sum
Address C `I r 4 . Residential-per unit
City/State/Zip T/GCf / , 1000 sq.ft.or less _ $ 117.75 4
al 6Y- (�k q7�' Each additional 500 sq.ft.or
portion thereof _ $ X6.75 _ i
Commercial Residential Limited Energy _A $ 60.00 i—
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 2
(Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders
Information for COT data b �I r wstallation,alteration,or relocation
Electrical Contractor C- -L L.:- � 200 amps or less $ 64.25 _ 2
Address�•�,u t (_t� 201 amps to 400 amps $ 85.50 2
���t� C 401 amps to 600 amps _ $ 126.50 _ 2
City L s�41 F�>"�') `State _Zip 1 7G'd 1 601 amps to 1000 amps $ 19250 _ 2
Phone No. r �i'7�79.3 i Over 1000 amps or volts $ 363.75 _ 2
Job No. 00 Reconnect only _ $ 53.50 _ _ 2
Elec. Cont. Lice. No C• Exp.Date 4u.Temporary Services or Feeders
OR State CCB Reg. No._5 ,�%Tr Exp.Date 51d le Installation,alteration,or relocation
CUT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80 25 _ 2
Signature of Supr. Elec'n �JA « 401 amps to 600 amps $ 100 00 _
Over 600 an.ps to 1000 volts,
License No. : _ Exp.Date %d O / see°b°above.
Phone No, 6 4d.Br,nch Circl Its
��—�-F— New,alteration or extension per panel
a)The tee'or branch circuits
2b. For owner installations: with pu•chase of service or
feeder lee.
Print Owner's Name Each branch circuit _ $ 5.35 �` 2
b)The fee for branch circuits
Address without purchase of service
City State___Zip w_ or feeder fee.
Phone No. First branch circuit $ 37 50 J
Each additional branch circuit _ $ 5 35 _
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or rent. (Service or feeder not Inc,jdad;
Each pump or Irrigation circle $ 42 75
Owner's Signature_._ Each sign or outline lighting _ $ 42 75
Signal circult(s)or a limited energy
are ' penal,alteration or extension $ 60.00
3. Plan Review section (if reid : Mi
_
q � nor Labels(10) $ 100 00
Please check appropriate item and tinter fee in section 5B. 4f.Each additional Inspection over
_ 4 or more residential units in one structure the allowable In any of the above
`Service and feeder 225 amps or more Per; spection $ 50.00
Per hour $ 5000
_ System over 600 volts nominal in Plant $ 59.00 _
Classified area or structure containing special occupancy as
described in N E.C.Chapter 5 5. Fees:
Sa.Enter total of above fees
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. Subtotal $ _
5b.Enter 25%of line 5s for
NOTICE Plan Review if require (Sec.3) $
PERN11I5 BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT CUAMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# _ Vp 5n
AT ANY TIME AFTER WORK IS COMMENCED. Total 1 balance Due
.t,l.Irr115'CII'ClrlC.dOC