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13090 SW LAURMONT DRIVE .wnw,.�,y,�,.`.;,w.n.nt�.w.,n ..rn�-•�� ,..A+a�v4uaa.uwrz..,we4O�•KikW•Mia�i:�'AMt:.VfNYYVR'i1"�"••'.�'ii/(JW:,6Yk:98'��'�'°-u�.:•b.�3.��zx-iiMtt;ta ,., W O O Ml r D c O z G i 1 13090 SW LAURMONT OR CITY OF T I C�A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00293 DEVELOPMENT SERVICES DATE ISSUED: 06/06/2001 12125 SW Ball Blvd., riciard, OR 97223 1503) 639-4171 PARCEL: 1S133DC-16600 SITE ADDRESS: 13090 SW LAURMONT DR SUBDIVISION: Vlr_LAGE AT SUMMER LAKE PARK ZONING: R-12 BLOCK: LOT : 021 JURISDICTION: TIG Project Description: Installation of(1)branch circuit to A/C. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LT'G: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: rAANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS — ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 ar.- EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC Owner: Contractor: E_VANS, JIM L + LYNN C GRF ELECTRIC 13090 SVS LAURMONT DR 15460 SE PARADISE LN TIGARD, OR 97223 MULINO, OR 97042 Phone: Phone: 503-829-4146 Reg#: LIC 76751 SUP 1655S ELE 3-484C FEES v Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 06/06/2001 $46.35 2720010000( Elect'I Final 5PCT C•TR 06/06/2001 $3.75 272.0010000( Total $50.60 L— This Permit is issued subject to the regulations containcA 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 1;,,w,permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you ro'ollow rules adopted by the Oregon Utility Notification Center Those ruL:s 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) 246-6699 or 1-100-332-2344 Permit Signature: _ Issued By: _ OWNER INSTALLATION 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 El_EC'N: 1 /�•T- c' G� _j- , ► DATE:_ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day CITY O F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00293 DEVELOPMENT SERVICES DATE ISSUED: 06/06/2001 13125 SW Hall Blvd.,Tiqard, OR 97223 (503{ 6394171 PARCEL: 1S133DC-1660r SITE ADDRESS: 13090 SW I_AURMONT DR SUBDIVISION: VILLAGE AT SUMMER LAKE PARK ZONING: R-12 BLOCK: LOT : 021 JURISDICTION: TIG Proiect Description: liistallation of(1) branch , cuit to A/C. RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANF.OUS _ 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 HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS _ADD'L INSPECTIONS 0 200 amp- W/SERVICE OR 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 amp- _ PLA_ N REVIEW SECTION _ _ 1000+ amp/volt: >=4 RES UNITS > 600 Vr , IOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS ARL,'\F' °SEC UCC: Owner: Contractor: EVANS, JIM I_ + LYNN C GRF ELECTRIC 13090 SW LAURMONT DR 15460 SE PARADISE I N TIGARD, OR 97223 MULINO, OR 97042 Phone: Phone: 503-82.9-4146 Reg #: LIC 76751 SUP 1655S ELE 3-4840 _ FEES Required Inspections _ Type ^By Date Amount Receipt Rough-in PRF'i CTR 06/06/2.001 $46.85 2720010000( Elect'I Final 5PCT OTR 06/060001 $3.75 2720010000( Total $50.60 This P.rmit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR 6,pecialty 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 than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utiidy Notification Center Tho-,e rules are set fort,in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503; 246.6699 or 1-800-332-2344. Issue i B Pdrmit Signature: , t �� ,,; l y: �'•S r, �?1�� y'' y�.f� �� —_ OWNER INSTALLATION 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: DATE:_ -_— LICENSE NO: — — --- ------ — Call 639-4175 by 7:00pm for an inspection the next business day Jun CIS 01 013: 41a GRIP Electric . /S- n B295747 p. l Electrical Permit Application Date received: ( Permit no.:ac �� •p �, City Or l Tigard lgard ProjecUuppl.no.: Fapire data: OtyujTigard Address: 13125 SW Flail Blvd,Tigard, OR 97723 Date issucd: By:-IReceiptno.: Phone: (503) 639-4171 Fax: (503) 598-1460 Case file no.: Payment type. Land use approval; 1 >d�I &2 farnily dwelling or accessory U Commercial/industrial J Mulli-farni', U Tcnanl improvement J New construction J Addition/niteratiori/replaccnnt•nl U Other: U Pari al INFORMATIONJOB S111'k, Job address: 0 ` W Hldg. nu,; Swlc no.: fax maplout lot/account no.: Lot: Block: Subdivision: pr , pn K cj L2' Project Warne: �� i Description and location of work on remises: Estimated date of coin plelion/inspection: �. UONTRA; C-FOR APPLICATION FEE SCHEDULE Man 61 "C` — -- 1.►aycnpriuu y. tc'a•I tonal pro.rnsp Business none: New residndlal-sinRk or mtdti-lar oily per Address: 5 L16, dwellingunit_lncludr.Attached ganyte. City: State:p 7.IP: (j -L Servicenrludetf Phone: jTJ Zq- y Fax: 6�7A E•maiL IoW sq.n.urlc,s _a -- 4 Each additional SUIT sq.ft.or portion thereof CCH no,: -2 (0-7 us,tic.no: C. Limited energy,residential City/metro lic.nu.: Lri,: Limited energy,non-roaidenlial _ 2 Each manufacluted home or mndular dwelling Signn�Tire oikupery s ng (required) ate Scrvlceand/urfeeder _ 2 7 License no: I Services or focders-installation, Sup.alae'.name(prior): r ■Itenlion or rclocalion: 1 1 700 amps or less 2 (p ) flu 400 amps 2 Name riot : ---- la 600 unps2_Mailing address: I I(xw ampsCity: _ Stale •L1P: amps or vol is 2 Phone: Fad L' mail: Reconnectum i Owncr installati .n:The installation is being made on property I own lemporaryservlcesorfredars- Inotillation,attention,„ relocation: which is not intended for,tale, (case,rent,or exchange according to zamps or Icss 2 ORS 447,455,479,670,'101. W 201 amps to 40_0 Owner's signature: _ _ Date: 401 to 600 amps 211a I 111111M 1 Branch cir uily-new,alteration, or extension per panel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each brooch circufl 1 i --`— 9. Feer rh Ynch tirr_itt ^itheet purch� ��11 City: _ _ Stase, zip: of service or feeder fee,first branch circuit 2 Phone I':Lx f;-1TLtil' Each additional branch circuit: Misc.(Service or feeder not included): U Serv,ce over 225 amps-commercial U licnitlrcarc facility Each pump or imgation circle — 2 U Service over 320 amps-rating of 1 Art U Hazardous location Each sign or outline lighting 2 flintily dwellings U Building over 10,00(lsquwe feel four or Signal circuir(s)or a limited energy panel. U System ovrr600valtcnominal mnmresidential units inane structure alteration,or extension' 2 7 Building overthreestories U Feoders,400ampsorFoam *Description: J Occupant load over 99 persons U Manufactured structures or RV pvk Fach additional inspection over the allowable in any of the above: U Egress/1ighang plan U Other. _ —__ Perins ecuon Submll_sets of plata with any of the shove. Investigation fee Ilse above are not applicable to lemparary construction service. Other _ IL Na VI jtaisdeUens ooeept credit cards,please call Jur"crion rap marc information. Notice:This permit application Permit fee................... .$ ._ U Viso ❑Mastercard expires if a permit is not obtain:d Plan review(at __ 96) $ — � Credit card number: within 180 days after it has Feen State surcharge(11%) ....$ r'p"e" accepted as complete, TOTAL $� �U of cardholder u abowa anerrAir card s ` a CarMddv sipaturr Amoum 144dr+15 trvlltYCOM1 CITYOF T I G A R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00194 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/16/2001 PARCEL: 1 S133DC-16600 SITE ADDRESS: 13090 SW I_AURMONT DR SUBDIVISION: VILLAGE AT SUMMER LAKE PARK ZONING: R-12 BLOCK: LOT: 021 JURISDICTION: TIG CLASS OF'.vORK: ALT FLOOR FURN: 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 R 0 3 HP: 1 V DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Insattation of exterior A/C Cannot be placed within required .,etbacks. Owner: FEES — EVANS. JIM L + LYNN C Type By Date ,mount Receipt 13090 SW LAI,RMONT DR PRMT CTR 06/06/20( $72.50 2720010000 TIGARD, OR 97223 5PCT CTR 06/06/20( $5.80 272001000C To'-iI J�$i8.30 Phone: Contractor: FIRST CALL HFATIN-, & COOLING 1650 NE LOMBARD PORTLAND, OR 97211-4798 REQUIRED INSPECTIONS________ Mechanical lw,p Phone:231-3311 Final Inspection Reg #:LIC 102030 This permit is issued subject to the regulations contained in the Tigard Municipal Code State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with appr2wed plans. This permit will expire if work 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 nregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtapp codes of these rules or direct questions to OUNC by calling (503)246-9189 Issue B ( Permittee Signature: Call (5031639-4175 by 7:00 P.M. for inspections need3d the next business day a. Mechnu cal Permit Ap Dation / aeeeiv . GDWPamitno. City of Tigard �� Projeot/appl.po.: fispirodat� Cifyofnd-d Address: 13125 SW Hall Blvd,Tigard,OR Phone: (503) )39-4171 Dtteiented:�_ fiocoiptno.: Pax:(343)598.1960 U� Cue Ale no.: Payment type: I srA_use approval: � ptl��\\1 _ Building pornitno.: Vj '41&2 family dwelling or accessory 0 Commer�:iaUtndustrial O Multi-family O Tenant improvement Slew construction tiodltlletnuodteplacemeot C Other elm am 1[1111010111� Job address: r' , 15" n �� Indicate equipment quantities in boxes below.Indicate u,e dollar B .no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax m lot/account no.: profit Value$ Lot: Hlock 5ubdivisioa •See checklist for important application information and _Piojw time: jurisdiction's fee schedule for residential permit fee. Cl /county: c ( ZIP a 3 Descdpdnn and Idtition of work on premises:r iz s if cc c/ f. Fee(ow) TawEst.date of completipnlinspcction: )Desct*bw Mr. nes, Rw,nay Tenant improvement or change of use: CF Is existing spier boated or conditioned?0 Yes 0 No Air handlingunit CFM Air hon on a (rote lea ut — Is existing space insulated?0 Yes 0 Noono aY stem i 1 Coospt'e1aoA — Stato boiioapanredt no.: Businell>4�0' �[ HP Tons BTU/H city: e" Stater ZIP:`' Heat on Phone: ti �� Fax:2ab-,57/'91(1&mail: — tnsulureplace sc titre, Including duatworlt/veat liner 0 Yee 13 No CCl4 Do.: m rep ec a ovate a.tas—suepe City/melte uc on.: ,c 0 wail,or floor mounted Name(please ): .� r l S 00 S enc r a ana�s spa unaee Absorption units_ _BTUM Name: gym— HP Address• on HP d 2_ t-rs+ass State v suss Bance vent _ Phone: Fax: &mall: exhaust TypeVITru:>dicVETU—Mat hood lire supprer.dion system Name: •�i .i E v t:r Exhaust fan cilth sinete duct(batt,tons) Ma1Nng address: / ) p , use system apo m'he-tial or AC — Cit : / ore ptpaC up to ou eta 9tatc:f�k' 2IP: f 7 2 Type: LPG NO Oil phone: f ' r &mail: Fual1 e on over outlets sura requ 1V— _ Nance: Ntrmba of outlets aU noe or iwiwebft Address: _ Decorativefrr_e�ilaoo City _ State: ZIP: - Phone: �; — ov dove APPHCAtlr3 alga• Date- Name t): Na dt).t.saeoor "a`n"&PkM e10 tlOtettau Nd@&"for tns+ifiPermit foe.....................S r C— Notice:ibis pormit application 0 VISA ❑PtnterCud 1vUtt nlmm fee................S c�A water `� expires if a permit is not obtained Plan review(at , %) S within 180 days after it hes been State surcharge.(896)....$ m. n w efta ead accepted U complete. TOTAL ......................s — - ua.et,tmomCOK 7nnM n.y%*TT in Ci T'1 to+it-onenr rut rr•nn nnn+ -nn n♦ / LJ i I � jF TIGARD BUILDING INSPECTION DIVISION MST inspection Line: 639-4175 Business Line: 639-4171 — BLIP -- Date Requested -7 - t 0- o i _AM ---,�— 'PM BLU Location t �oCi� /4n�ra�a,.r-�' „� � _ Suite MEC ;s;� 4 L � Contact Person Ph , _ PLM _�— Contractor_—__ _ _ Ph _ SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access Foundation FPS Ftg Drain _ Crawl Drain Inspection Notes: SGN Slab - __--- --_ -------- - SIT Post&Beam '-�— Ext Sheath/Shear Int Sheath/Shear — - Framing - -- -_-_..------------- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ---- Roof ----------------- Misc: -— -- - ----- Final --- ---- ----------._......------ PASS PART FAI� ---- .___ -- PLUMBING Post8 Beam __ - --------------- - ------ ------------- --- ----- -- -- -- --------------- ------ Under Slab Top Out - --- _ - - Water Service Sanitary Sewer Rain Drains Final P 6 Pq T FAIL Post& Beam — - ---- - -------- ----- ---- Rough In Gas Line - Smoke Dampers t-lbiD -- `PART FAIL ELE=RICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ 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 -A Other Date `7 —� j �_ _ Inspector_ __ _ Ext Final PASS PART Fail DO NOT REMOVE this inspection record from the job site. CFT)' OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Line: 639- 175 Business Line: 639-4171 ----�— — C7_ BLIP -__Date Requested _AM —PM �— BLD --— —_� L-ocation c C � 4 u U r ✓! _— Suite _— ME(. CorLact PersonJ� ►� - �,: V/� N a, Ph �_2G PLM _ — Contractor Ph 3 _ .�i c [_ SWR BUILDING — Tenant/Owner _ — E L C Retaining Wall ELR Footing Access: - Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGN --- ---------- Slab - -------- -- - — - SIT Post& Beam / ----- Ext Sheath/Shear Int Sheath/Shear ^, - Framing Insulation ---------- --____..__.__ Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - --------- Roof Misc. --- Final PASS PART FAIL PLUMBING Post&Beam ----- — Under Slab Top Out ---_------- ----- Water Service Sanitary Sewer Rain Drains -- -/ �� _ tl --- -----_ Final PASS PART FAIL MECHANICAL Post& Beam _—._�—_ - Rough In Gas Line - _— ----- — Smoke Dampers Final -- ---- , -- __ - FAIL C JELECTRICAL," Rough In ---- -- — - ---- - ___. UGiSlab Alar final 1 ---- --- --- PASS ART F k SITE ac ill/Grading Sanitary Sewer corm Drain [ )Reinspection fee of$ required befor next inspection ay at City Hall, 13125 SW Hall Blvd Catch Basin ' Fire Supply Line i lease call for reinspection RF: ,^__ --__ L_ __ �[ Jnable to inspect-no access ADA r�7 (�`Approach/Sidewalk � ��J Date l Ins ector �%1�Other p ----�•-1_ _ Ext — - Final PASS _ PART—FAIL 00 NOT REMOVE this Inspection record from the jobsite.