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13,165 SW LAURMONT DRIVE.
CITY OF Til'o—ARD
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COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Orpon 97223+6109 (603)830-4171
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DEPARTMENT OF LAND USE 6 TRANSPORTATIC,4
WASHINGTON LAND DEVELOPMENT SERVICES 15DIVISION
5 NORTH FIRST,HILLSBORO,OR 97124
COUNTY,NTINSPECTION REQUESTS: 503/640-3561/693-4415
v V T PHONE: 503/649-8'761
OREGON
i'�iyc 1 of 1
Date U5/111`J
'Pirne • 11 : 06
>,ermit Type Reoidential Electrical Permit Permit # 0!'-)0402J')
PwCtlllt, Status APPHOVEU Apy'i11.ed 05/11/93
Situs Address 131tib tiW LAURMON'l. UR '1'l l.ssued 05/11/93
Perm:.-. 'Title : SFR - A/C UN1'1' C'.[RCUi'I' Completed
Permit Otnsr..r , 'I'o Expire 111()7!9,3
'Pi.tie . SFR - A/C UN1'1' CiRCU1'1' Project # ; PU03) 052
Nroject Defer. * FkUS.LON
Pal rt.1 Number ; 'Z'Zi1'1'1 - Land Uoe Uistrict :
Va . lation : U
:,t' il. Uescr ..
i..iwti�rr ll`,yPEC"J'lUN - '1'1CiA1tU Construction U'i'H
Applicant Name SHARPE E:LEC"J'P.1C C1Urcupaupanc'y
icatic)n : 90U
Apr-l'i c"ant Ar..dr .. : 2215(..!, 'Llw HiGGS
BE:.AVER'FuN, �, )700'/ Validated by PH
Applicant Phone : 04,1-79J/ lr,spector Area
C0N1'RAC'1'U8 : SHARPE, ELECTRIC ",ic . t 34-Z17C'
Fee desctiption .1nits Fee/Unit: Ext fee Laittci
l :t - Bratiuh W,Iout-Feeder-( Enter-# 1-- 1 35 . U0 35 . 00
Subtotal E:lectrica . Fee!:-, : 0 35 . 00
State Surctiarge of 5% 0 1 . 75
'1'ot.al Eler.trieaJ. F'ee:3 :
k * Fee kequit ed *** # k Fees Collected, C''eedi t
-------------------------------
Rt2ceipt No , Date Pavment
05/11 /93 36 . 7!y
1oTAL 'PHIS DATE k* k***** * 36 . 7!'
11<:11�Istment:.: : . 0c1 t'ata.l. Credit: : 0u
't'otal Ftles : 3r, . 75 11at:al Payinent:, : Jb • '/`7
ba Lance Due : 00
NOTICE: This permit becomes null and volt)It the work of eonstrueflon for Whtch If Is Issued Is not commenced within 190 days. Once constriction has started,
the permit becortles null and void II construction Is Interrupted for a pe lod of 190 days. 1 certify that the Information presented by Cie applicant cnd
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building:epartment's reliance
upon false and misleading Information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plana correction sheets. I acknowledge that
the granting ul a permit does not g•ant authority to access private property or to use as emenle. f further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted pilor to approval by the
Building Department Is solely at tht,risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building 0111clsl. I further acknowledge that a Ilan may be placed on the t of the property upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable unit IstectlonVIIXectlon requirements.
IICANT SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electric al Inspection Section APPLICATION
155 Narih First Avenue, 11350••1?
Nillrbo'•o Oregon 971«
Information: (5(131' 640,141170 Fax: (5a3) v"93-4412 Project/Permit
Number __. =�0. �S Date
PLEASE PRIN1'
. . sect ,ns
4. Complete Fee Schedule below
Please complNumber of Inspections pas permh allowed
1. Location of installation Service included: Items Cost(ea.) Sum «�
Address / �-�_ _.-- (-_-) 1L-7
A. gesidcriral per unit —
-�' Building
City - ��^a._ Suite No. _ _ -- 1000 sq.ft.or lose _._.^ $(15.00 _ 4
Each additional 500 sq.ft
Tenant Name or portion thereof $15.00 -
(if commercial) _ Umited Energy $20.00 -_-- 1
Each Manuf'd Home or Mwuiar
Y- - —
Directions Uwuiung Servicp r Feeder --_ $40.00 ---_- 2
�_-r
B. Services or Feeder:
�- Installation,alterations or rr,oca ion
200 amps or less --_ $50.00 - ----- 2
Residential ll ,, 201 amps to 400 amps $60.00 ^_—.____. 2
Commercial
_ Ale V l 1 1 � 401 amps to 600 amps $100.00 __. - 2
601 amps to 1000 amps $13000 --- ---__ 2
2a. Coatractor�tallation init/' over nec amps or vena �_ $30).00 -- Y --.--
�'1 1 ! Reconnect only --- $40.00 - --- 2
Electrical Contractor ►� : �� �'
Address .211)&Q's r s' �1 C. Terriporafy Services or Fncdci e
Date,S_[Q—19 ,Job Numt9r _ Installation,alteration or relocation --
Property Owner _ n r� ,Sem -�—_ 20 amps to 400 amps or 6M -- $55$50 0U0 —---------- 2
Contractor's License No. —, 401 amps to 600 amps $A0 00 2
Contractor's Board Reg. No. ._ i - Uver 600 amps to 1000 volts see•A• stove
,..
Signature of Supt. -leen D. Branch Circuits��
License No.3 �- Phone No. New,alteration or extension per panel
- a) The fee for i anch circuits with
purchase of sarv►ce or feeder lee.
2b. For owner installations: Each branch circuit _--__ $2 00 _.___ __ 2
b) The fee for branch circuits without
purchaso of service or feeder fee. C
rinl(5wner'seme ---- leo- �n-tea - First brnr;;h circuit - $35 W i J. (X 2
Each add til branch circuit- $200 _.___ 2
Address E. Niscelianeous (Service or Feeder not included)
- -- -Zip- - ------— Eich pump or irrigation circle
$4000 - 2
City `tete Each sign or outline lighting $4000 __ 2
Signal circuit(a)or a limited
The installation is being made on property 1 own energy panel,alteration
which is not intended for sale, lease or rent or extension _- -- $10 00 __— 2
Owner's Signature - F. Ea:fi additional inspection over the allowable
in any of the above, per inspection
3. Plan Review section (if required) .�._- — $35.00 --
5. Fees
A. Enter total of above fees $ �1
5% Surcharge (.05 X total fees) 5 7_-3
Subtotal $ _..
13. Enter 25% of line A for
For inspections call Plan Review M required (Section 3) $
640-3561 or 693-4415 Subtotal $
Less Bulk Label Fee $
24-hour recorder,
one working day 0 advance of need Balance Due $ Q,
This perrmlt becomes null and vold 11 the work author red by the permit Is not commenced wlthlr. 180 days from date of Issuanre
of such permit or If the worn suthorlrrd Is suspends, or abandoned at any time after work Is commenced for a period of 180 days.
Electrical Permits are nor-refundable and non transferable. 10/' 1
CITY OF TIGARD
_ _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-_)0189
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417' DATE ISSUED: 05/18/2001
PARCEL: 1 S 133D(,-18600
SITE .ADDRESS: 13165 SW LAURMONT DR
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK Z03NING: R-12
BLOCK: LOT: 041 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURH: 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 _ 0 3 HP: Y DOMES. INCIN:
LPG — —�— 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: 1 AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU <= 10000 cfm:
>
GAS OUTLETS:
10000 cfm:
Remarks- Replacement of furnace with like kind.
Owner: — --- --�-�-- —� ---�-FEES_
SOPER, RONALD D +CONSTANCE M Type By Date Amount Receipt
13185 SW LAURMONT DR PRMT DST 05/18/20( $50.00 0002287
TIGARD, OR 97223 5PCT DST 05/18/20( $4.00 0002.287
— Total $54.00 —
Phone: ---.— -- --. _-_�—_
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:620-5643 Final Inspection
Peg#:SUP 257ORE i
LIC 006657
=LE 34-341CR
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by
calling (5"12-46-9189
Issue Fly: y�L��f�L4� _ Permittee Signature: -` 1,(n.� _____
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application PlanC cK#
�F7 on Rec'd B�
13125 SW HALL BLVD. Commercial and Residential Date Recd fi /It
TIGARD, OR 97223 Date to P.E.
(503, 639-4171, x304 Date to DST . —
Print or Type Permit
Incomplete or illegible applications will not be accepted Called _
Name of Deve oomenVFro)ect Description �—
Table 1A Mechanical Code Price Amt
Job Street Address ? S rteY A) Permit Fee dl +tM `�WO_14 16 00
Address L_�•S xtf �u �.�?�,1d l-I 1) Furnace to 100,000 BTU
including ducts 8 vents see footnote 1,2 9.65
Bidgx �—,C/9-
ttyi,tate zip 2) Furnace 100,000 BTU+
Id Ole-y' including ducts£vents see footnote 1,2 12.00
Name)or name of,buspter.$) - 3) Floor Furnace
including vent see footnote 1,2 9 6- _
Owner c y c��'1l.(.(_. c�.��"t,�
Address 4) usp Sended heater,wall heater
M brig
or Floor mounted heater see footnote 1,2 965
.5(,t/ 2 C� n t �r 5) Vent not included in appliance permit 4.75 _
Y fe Zip Phone Check all that apply: 'Boiler Heat Air
Z xl 0tn 4'7..� :)--? _ F I For items 6-10,see or Pump Cond Qty Pri,;e Amt
Na ;(orname of business) footnotes 1,2 Camp
6)<3HP;absorb unit to
Q' 100K BTI-I 9.65
Occupant Mading Address 7' 15 HP;absorb unit
100k to 500k BTU _ 1765
City/State Zip Phone 8) 15-30 HP, absorb
unit 5-1 mil BTU 24.15
-- 9)30-50 HP,absorb
t~ontractor Name /J�/ �,! , unit 1.1.75 mil BTU _ _36 00
S - �` N r74 t( l 10)>50HP, absorb L nit
Prior t0 permit Main �ddrer , �r
_ r _
P g� � >1.75 mil BTU __
_ 60.15
issuance,a copy 5 //_qq'f s7 1 Air handling u sit tr, 10,000 CFM
of sll licenses - mate-' A — z—` Phone
are required if / 4';L Q7a 61-ow'SL y�.3 12)Air handling un,t 10,000 CFM+ 7,00
expired in COT o/r-egon st Go t epi a Exo U to 11.85
_database tP �Co�7� _ $7O/ 13)Non-portable evaporate cooler
Architect Name � 700
14)Vent fan connected to a single duct
or Malting Addrass 4.75
15)Ventilation system not included in
F_nginqer ctyrst�,e appliance permit 7 00
zip Phone 16)Hood served by mechanical exhaust
7.00
I Describe work to be done 17)Domestic incinerators
12.00
New O P.eoair 0 Replace with like kind Yes 440 r) 18)Commercial or industrial type incinerator
j ResidentiaVJ` Commercial G _ 48.25
19)Repair units
Additional inform it or descnpt n of work. 8.40
G_!L— 20)Wood stove/gas FP/other undsiclothe drys-/etc.
7.00
NOTE: For Commercial pro)ects only,Units over 400 lbs require 21)Gas piping one to four outlets
structural gas talcs. See footnote 1 _ 375
Type of fuel oil O natural gas -LPG o electric O 22)More than 4-per outlet(each) 75 -
_ Minimum Permit Fee$50.00 SUBTOTAL
I hereby acknowledge that I have read this apolicatiu-i that the information 8416 SURCHARGE_ '
given is correct,that I am the owner or authorized agentLA
of PN REVIEW 251,9 OF SUBTOTAI
the owner.that plans submitted are in compliance with Oregon State laws _ Required for ALL commercial permits only
TOTAL s,
Signature f Qwner/Ageit Date
Other Inspections and Fees:
1;7 �8'G� 1. Inspections outside of normal business hours (mininum rharge-two
Contact Per�wln Name phone hours) $50.00 per hour
/ 2. Inspections for which no fee Is specifically indicated (minimum
"S!13 Gdo-zs'� charge-half hour) $50.00 per hour
Foon es for commercial projects only; 3. Additional Flan review requimd by changes,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure, Plans(minimum charge-onn•half hour)S50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical
units 'State Contractor Boiler Certification required
"Residential A/C requirr:s site plan showing placement rf unit
I:\mechperm.doc rev 7119/99
I CITY OF TIGARD BUILDING INSPECTION DIVISION 'K �
MST
24-Hour !nspection Line: 639-4175 Business Line: 639•-4171
BLIP
Date Requested �/T�l (�/ AM_ PM BLD
Location ��_ -1L t,( ►' v1 C� ZYSulte M'_=C �J
Contact Person �.� �p Ph60�� PLM
Contractor Ph SWR
BUILDING ---� Tenant/OwnerELC
Retaining Wall — _ — ELR
Footing Access: FPS
- ---A
Foundation
Ftg Drain SGN
Craw! Drain Inspection Notes: -- ------
Slab I - 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
Final -
P $;i_ PARE- FAIL
ECHANIy
Post& Learn ---- ------- -- _. -
Rough Ir,
Gas line - -- - - - ----- -
e Dai^pers
rn-
ASS
- -- - _ - - —
_PART FAIL
RICAL - -. --- ---- --- -- _... - -----
Service
Rough 1
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL -----.--..-------------
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ - _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( J Please call for reinspection RE. - [ J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk ��
other Date ZS InspectorExt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.