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13112 SW LAURMONT DRIVE-1 N n. T,Nogdnvg MS ZMJ Nib, 1A CITY OAF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: E'LC97-032 13125 SIN Nall Blvd., Tigard,OR 97223 (503)F39.41?i DATE ISSUED: 06/02/97 PARCEL: 1 S 133DC-••1 r-,-/0 Z1 SITE ADDRESS. . . : 1311'-' SW I_AIJRMONT DR SUBDIVISION. . . . :V I LI_AGE AT SULIMMER I-AKE PARK ION I NG:R--12 BL.OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :22 JURISDICTION: TIG ProJec:t Descr-ipt ion: INSTL 2 BRANCH CIRCUITS // JOB 1 ? ---R'_,IDE NT I r 4L. UNIT--__..__ SRVC/FEEDERS------ - 1000 SF OR i_CSC. . . . : 0 0 t-!00 amp. . . . . . . : 0 PUMP/IRRIGATIgN. . . . 0 F'ICH PDD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 1101 - 600 amp. . . . . . . . 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL_ ( 10. , . . : 0 _-..__-SERV ICE/FEEDE=R---- .--- --._._.._BRANCH CIRCUITS.------ - -ADD' L. INSPEC`-TONS __...... 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. , . . . : 0 i._01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 4111 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: i IN PLANT. . . . . . . , . . . : 0 601. - 1000 amp. . . . . : 0 ------ -----------PLAN REVIEW SECT ION--_____..._.. 1000+ amp/ ..,lt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL_ : Reconnect .-nly. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEI, OCC. : Owner: _____.____.__.______-----_______-----_._-___..--.---.-_________._.. FEES PPUL F:VERETT type amol.tnt by date r,ecpt 13.L12 SW LAURMONT DR PRMT $ 40. 00 TAT 06,'02/97 97--295317 TIGARD OR 97: 23 SPCT $ 2. 00 TAT 06/02/97 97--295317 Phone #: Contractor: __._______.___._____..___..__.---------.---.______._ __- -----.----•-----------__.____....-_._...... GRF ELECTRIC $ 42. 00 TOTAL 151160 SE PARADISE LN ------- REQUIRED INSPECTIONS - - - ".ilJl_.INO OR 97042 CEsi 1 ing Cover- Undergrol.tnd Cove Phone #: 503-829-4146 Wall Cover F_lect' 1 Fier vice Reg #. . : 001015 This et-sit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Per•mittele Si.gnat re applicable laws. All work will be done in accordance with approved plans. This pertit ri:r expire if work is not started // , within 180 days of issuance, or J lork is suspended for tore 11t L than 180 days. IssL4d By _._.__._._.-----•__--•_._._._.___._____..__._OWNER INSTALLATION ONLY The installation is tieing made on property I own w'�ich is not intended for- sale, orsale, lease, or rent. OWNER' S SIGNATURE- _ ��._. _. DATE: ------_____------------•-.___--CONTRACTOR IN3TALI_i;TION ONLY-------- ____.-•---•------.._____- SIGNATURE OF SUPR. ELEC' N: �J y�/L ----- DATE: C L LTCFNSE NO: Call for inspection -- 639--4175 CITY OF TIGARD Electrical Permit Application Plan Check# 11,25 SW HALL BLVD. Recd By _ TIGARC OR 97223 Date Recd Ph?nDate to P.E.(503)639-4171, x304 Date to DST Print or Type -:.tion (503) 639-4175 Permit#- ! �'Jax (503) 684-7297 Incomplete or illegible will not be accepteri Called 1. Job Address: _ 4. Complete Fee Schedule Below: Name of DevelopmentNumber of Inspections per permit allowed Name(or name of business) Pil41A I E IV ' e�f Service Included: Items Cost Sum Address 3 s Lk,) G f_4 i-wz1IA=a 4a. Residential-per unit 1000 sq.ft.or less $110.00 -_ _ 4 City/State/Zip :1 C4 -- L�_ Each additional 500 sq,ft.or portion thereof $25.00 __- 1 Commercial Residential Limited Energy $25.00 Each Manurd Home or Modular 00 2. 2a. Contractor installation only: Dwelling Service or Feeder $68---- �i-- (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor C- f,.'t L ) er.fi j�j S _ Installation,alteration,or relocation Address 7 i! S, ' „ - 200 amps or less $60.00 _ 2 1 L" u-� a T 201 amps to 400 amps $80.00 _ 2 City__1 State -zip C 401 amps to 600 amps $120.00 2 Phone No. 7� : k 4 I L- - ��--- 601 amps to 1000 amps Y $180.00 __ 2 Job No. _ - Over 1000 amps or volts $340.00 2 Elec. Cont. Lice No., L, .e'?K C_ Exp.Date-- Reconnect only $50.00 2 OR State CCB Reg. No.4 't L�-'Ij Exp.Date___ _ _ _ 4c.Temporary Services or Feeders COT Business Tax or Metla o. Exp.Date _ Installation,alteration,or relocation /7 200 amps or less -+ $50.00 Signature of Supr. Elec'n - 201 amps to 400 amps $75.00 2 --- 401 amps to 600 amps Y $100.00 j � ,m? i Over 600 amps to 1000 volts, License No. L U U J -Exp.Date see"b"above. Phone No.--� L I I'-- -' - -- -- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ _ feeder fee. Address Each branch circuit $5.00 _� p --- b)The fee for branch circuits City _ State Zip without purchase of Phone No. _ service or feeder fee. ` 7 r First branch circuit I $35.00 _- The installation Is being made on property I own which is not Fach additional branch circuit � $5.00 _ T�_ intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature_ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 _ 2 3. Plan Review section (if required):' Signal circuit(s)or a limited energy panel,alteration or extension $40.00 2 E'easA check appropriate item and enter fee in section:. Minor Labels(10) $100.008. -- _4 or more residential units in one structure 4f.Each additional Inspection ov 3r Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 �_Classifled area or structure containing special occupancy Per hour __ $55.00 as described In N.E.C.Chapter 5 In Plant $55 00 `Submit 2 sets of pians with application where any of the above apply. 5. Feces: Not require d for temporary constructlor Rerv',es. Sq.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ ---1--- NOTICE Subtotal $ ------- 5b.Enter 25%of line 5e for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) $ ------NOT COMMENCED WITHIN ISO DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDJNED FOR A PERIOD OF 180 DAYS AT ANY I TIME AFTER WORK IS COMMENCED. U Trust Account# Total balance Due I.V 5TSTLC96 APP anv WRF CITY OF TIGARD BUILDING INSPECTION DIVISION 24-1-lour Innspe/ction Linc: 639-4175 Business Phone: 639-4171 Date Requested: _ /-7 ( I A.M. W_ P.M. MS't: Location: —J - �� BIJP: Tenant:- Suite: Bldg: -�- - MFC. ~- Contractor. _Phone: Z 31 -Z'31 ( _ PLM: Owner.- - --_Phone: `--- ELC: -- ---- —__ ELR: SIT: RIl1I,DIN BLDG(coni) PLUMB —�MECHANIC'AL _ SITE Site Post/Beam PostA3eam PosiMeam Sewer/Stonn I ootiug Rarf Undl�l/Slab Rough.In Ceiling Water Line Slab Framing Top Out Lias Line Rough-In My Sprinkler Loundation Insulation Sewer Ifood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rainlhain A/C IJGSlab Shear/Sheatli Fire Spklr/Alm Crawl/Found Or I leaf Pt Low Volt --- Approved Approved �r r,roved Approved APprov .Appr/Sdwlk Not Approved Not Approved Nu t,vcd No roved Not Apt,,.ve,, FINAL FINAL lALk , FINAL C1 Cell for reinsReinspection fee of _required before next inspection 0 Unable to inspect Inspector:-- - - - I�te: -1:e7` of Ai City -of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Han Blvd. APPLICATION Permit # Tigard,'-OR 97223 (503) 639-4171 .m. r1r rDescription Table 3A Mechanica, Code CITY PRICE AMT AM— Job n U_ c I^1 1 1) Permit Fee -0- -0- 10.00 Job a" -_ Address •• C k- r ' 2 2) Supplemental Permit 3.00 m. ., - .,... umaca o l 1) incl. ducts R vents 6 00 1-, (` xt: , ... - urnace + 2) incl. ducts &vents 750 Owner Floor Furnance ^T c�rC C 3) incl. vent 6.00 - p F ,us� ended epi-ate wa ea er 4) or Moor mounted heater 6.00 ... Vent not incl. in Occupant 5) appliance permit 3.00 • Repair of heating. re ng. 6) cooling, absorption unit 6.00 —Toor comp, heat pump, air cond. 7) to 3 HP; absorp unit to 100K BTU 600 Boiler or comp, beat pump, air con f. ,� �• 8) 3-15 HP, abscro unit to 500K BTU 11 00 -_ Contractor Boiler or comp, eat pump, air conJ.—'— C 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 ( ar `J �I .. .a,.. •+ oier cr comp, heat pump, air con . 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 ere ry ac now a ge at have readt Is app kation, that the Boiler or comp, ea pump, air conS.— information given is corrPrt, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 mil BTU 37 50 — agent of the owner, that plans submitted are ir compliance with — Ir an Ing unit to — \ State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4_50 Board, that the number given is correct. (If exempt from State Air handhng unit registration, please give reason below) 13) 10,000 CTM + 750 -� on perta e 14) evaporate cooler 490 Vent fan 7onnecte 15) to a single duct 300 enh anon system not 16) included in appliance permit _ 4.50 Hood serve y 17) mechanical exhaust _ 450 Describe w - new addition al eratlon ,.) repair ) Commercial or Industria to be done residential (Sj non-residential 18) type Incinerator 30 00 xlsting use o .� ter i.e., wo stove, water building or property 19) heater, solar, clothes dryers, etc __ 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet (each) 200 Type of fuel •oil O natural gas (,g LPG Q electric U Minimum Fee $25.00 SUBTOTAL , PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORI1'ED IS NOT COMMENCED WITHIN 160 DAYS. OR 5% SURCHARGE IF CONSTRUCTION OR WORK IS SUGFENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED - — TOTAL Special Conditions -- Date issued _ by —_-_-_ M'LLOOI M09T 9iMECM'+M T ,,u., .. � ,,., ..... .,.,, .. , . ,. .. . ., ,: ' y1 y::�_ ., . °� `'�,��fir— q�� vA�t� ,� / ,1 Y `� \, ,,,,,,, 1 ;,c ':. w., .. _... _., ... ..._.. __ .... _. �� ,�l 2 SCS �d ��,,�o,,,� ; D r. ' J- �.� '..� CITY O TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT F'ERM'i T #. . . „ . . . ihEC97-0158 13125 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/30/97 L"'ARCEL: 1S133DC-16700 SITE ADDRES 13112 SW I_AURMONT DR SUBDIVISION. . . . : VILLAGE AT SUUMMER ..AKE PARK ZONING: R-12 BLOCK. . . . . . . . . . . 1._CI T. . . . . . . . . , . . . :22 JURISDICTION; TIG CLASS OF WORK. ALT FL_OOP FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . ; 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :H2 VENTS W/O APDL : 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 3-15 Hr'. . . . 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 Hip'. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS ). . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50-+- HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 1O0K BTU: 1 (= 10000 cfm: 1 GAS OUTLETS. : 0 FURN ) =1O0K BTU: 0 > 10000 cfm : 0 R e m a r k s : instl furnance ducts 6 vents, I air handling unit // air conditioning units cannot be placed outside setbacks Owner: - -______...__. ______.___----____._____.___.-----------___--- FEES PAUL EVERETT EVERETT type amol.+nt by date r,ecpt 13112' SW LAURMON`f DR F'RMT $ 25. 00 JDA 05/30/97 97-: 95200 TIGARD OR 97223 SPCT $ 1. 25 JDA 05/30/97 97-21952:00 Pf,one #: 598-8412' MCCAI_.L_ HEATING R 70OL'I NG CO 1650 NE L_OMBARD f='ORTLAND OR 97211 Phone #: 503-231-3311 $ 2:6. 2:5 TOTAL Req #. . : 001020 --- ---- REQUIRED INSPECTIONS --- This permit is i,sued subject to the requlations contair.^d in the Cooling Unt Tnsp Tigard Municipal Code, State of Ore. Specialty Codes and all other Di.+ct Inspzr_t i :in applicable laws. All Mork will be done in accordance with Final I n s Fe ct , on 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. -.- - 1 o r•m i.t t e p S i y n l k r e : i s s l.i e d By : Call for inspection - 6,x,9--4175 t . .- ••- : + .y TS =;i A; ,yG �1�' �,.,wr .•r••, - .- - `', 1.,r,,�,,Ad 'moi ' , , • , a .r r i .r�].�•;'.. - �'11' 7 e�'tS• S_ - :. �1Y'".Y l'�'►!i•.r 'i ' City of lgard L� � MECHANICAL PERMIT P'anck%Rec`# 131S1N Hall Bivd '' <,�f APPL1CaTIQN 1� ,P t .r eFT . wo� gard, OR 97223. r (503) 639-417 1 tt escnpnon �- \\ DQ .J Tabb 3.6.Mectuatuical Code ` OTY PRICE AMT Job 2�,9 :.�11J Val" Y-. - , �.7 � 'u t) Petrrrna Fee -a- -o- 10.00 Address' � " 1 K► a (d am' 2) Supp"vintai Pei.. 3.00 at Ck umace to i00.000 13M 1) ind. duds b vents 5.00 Q ' I Fumace + Owner 2\ S UD "f 2) ind. ducts a vems �^ 7.50 .,. v oor rumanre L A Q7 3) incl. vent 6.00 >..o•••-M+ uspenaeo neater, wali neater 4) or flonr mounted heater 6.00 �o�-• Vent not inti. in Occupant 5) appliance permit 3.00 • Repair of heating, tering. 6) cooling, absombon unit 6.00 r6aruer or comp. now pump. ac sono. 7) to 3 HP, absorp telt to 100K M "." 6.00 •..•� BoiFW or Comp, neat PtmP, air cDncL .ti rn.• - t 0 L Q ? 8)'. 3.15 HP; absarp unit to 5o0K STU : ' 11.00. I'D Contractor .4 r or comp, neac pinup, an CorotK ;,; , r. c• 9):' 15.30 FIP; absorp unft .5-1 mil BTU' :.:t : : 15.00 DoT or txmP, hm ptum, air co 10•I r 10) 30-50 HP; absorp tnII 1-1.75 mil BTU 2250 7hereny acinpireoge that i nave reaa this application, tnat We Boller or Comp, heat pump, an conn.., i information givain is correct, that I am the owner or authorized 11) >50 HP; absorb urd 1.35 mil BTU '* 37.50 agent or the owier, that plans submitted are in compliance with Airing unit to State taws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 , Board, that the number given is correct. (If exempt from SUter ran incl Linn registration. *-ase give reason below.) 13) 10.000 CTM + 7.50 l 14) evsoorate cooler 4.50 er,t ran cwnnectea 15) to a single dud 3.00 ventilation system om 16) included in appliance permit 4.50 W..,......... w• ow served by 17) mechanical exhaust _ 4.50 1 LSescnoe w new U as ninon U arterauon U �re`ppaairr ij Commercial or industrial to be done -residential non-residential Q 18) I-V incinerator 3000 Existing use of i i.e., woclastnve, water 4uik:ing or property _ 19) hevt_r, solar, clothes dryers. etc <50 Proposed use of 20) Gat pibirg ore to four outlet �� 200 Q!�1 building or property _ !'a. r 'F 21) More than 4 for r ,tiet (each) ?._00 Type of" -00 Q rwt ral gas LPG U electric Q ---- "- NOTICE Minkrium Fee 525.00 SUBTOTAL , PERMITS BECOME VOID IF WORK OR CONEiRUCTION ..0 HORM-M IS NOT COMMENCED WITHIN 180 DAYS, OR.Ex S7.SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERiCD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER%I ORK IS COMMENCED. TOTAL Special Conditions Date issued by _ '�Y116,MC1STS4FCN1rt , CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: l (�i 21� — A.M. P.M. MST, location: M_m-,,f�A , 13,J]': Tenant: Suite: Bldg: MEC: Contractor:—_ -ST- CA-LL-MC-(A-cWhone: 2 .3 PLM: ow"m F F C Phone: YG17 COMPLMef�—' T.>F-AZ> BUILDING BLDG(con't) PLUMBING MECHANICAL LFCTIUCALst 1: SITE Site PostIBLarn I"ost/Be4m Post/Beant Cover/Service Sewer/Storni Footing Roof lJndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas I,inc Rough-in I ICY Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault f3sint Dwnp L)rywall Storm Furnace Temp Service misc. Masonry Ceiling Rain Drain AIC UG Slat) Shcar/Sheath Fire SpkIr/Ahn Crawl/Found Dt heat Pmnp (,ow Volt Approved Approved Approved Approved Approved Pro Not Approved Not Approved Not Approved pproved Not Approved ES,Iwlk FINAL FINAL FINAL FINXV FINAL r7l Call for reinspection Q Reinspection fee of S required Wore next inspection 0 Unable to inspect Inspector Date: Page of