11375 SW LAKEWOOD COURT-2 ADDRESS:
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INSPECTION NOTICE
City of. Tigard Building DepartmenL
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-0hone): 639-4175 Business Phone: 639-4171 I
Inspection•____
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line C FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
1
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plt7. Underfloor. Water Line 1 Gyp. Bd. ('. _._-Mech.
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Date Requested: _ 13._ 1 PM
Address: 1 I_1 � L1�� I c-ujc)GC AM t.9
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Builder: L I Q— _-
THE FOI.L.OWING CORRECTIONS ARE REQUIRED
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Ineperto.: ef-� ' 1� --- — Date:__.��L_,� `7
APPROVED �^ DISAPPROVED APPROVED SUBJECT TO ABOtR
—_Call
For Reinsp.
INSPECTION NOTICE 51
City of Tigard Building Department
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 635-4175 Business Phone: 639-417
Inspection:,_') l(_ l V"y,) ( r` _� 1 d Ca-Yl ck 1 ON-%�_
Footing Plbq. Underslab Mech. Routh-in Appr/Bdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Benin Rech. Rain Drain Insulation -Plumb. jl
Plbg. Underfloor Water Line C� Gyp. Bd. -mach.
Date Requested:___\ .! 1,,` Time: _ C�1W/� PN
Address: 1--1 ~� 1 l l JUS�� P yrmit f. 1
Builder: l I,V�S� CL-
THE
.�,��I C)(r: L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors y 'JIk�"' "f Date
APPROVED " DISAPP/"D __ "PROVED SUBJECT TO ABOVE
Call For Reinsp.
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ki 1 DEPARTMENT OF LAND USE&I RANSPORTATION
WASHINGTON
Yx. LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
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C''JUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/648-8761
OREGON Vage 1 of 1
Date U5/l6/94 1
'Time 15 : 35
Permit 'Type Hesidertiai Electrical Permit Permit # 0b0h38'/2
Permit : :atus APPROVED Applied 05/Z6/94
bitus Address 113 /5 6W LAKEWOOD CT Ti Issued U5/Z6/94 f
PeLmlt 'Title SN'H - ELEC/UNE C1HCU1'T Completed
Permit- Descr. '1'o Expire 11/'l.G/94
P1:0ject 'i': tl s bf•'H - ELEC/UNE CIRCUIT Projuct # P00408bl
ezo-iect Ue:;cr . * EN. )b ION +r
Parcel Numbei Z51'1'1 - Land Use Di'.3trict
Valuation 0
Legal Descr ,
uwrier 1NbPEC'TlON - TIGARD Construction O'I'H
Applicant Name PAHK1N ELEC:'1':11C Classification 900
" Applicant Adur. . : Z()ZSU S MULALLA A V I I` Occupancy H3
OREGON CiTi OR 9'/045 Validated by Kr'
Applicant 2hone : 65'/-4968l inspector Area
CONTRACTOR : PAHKIN ELECT. INC:. Lic . C 34-4C Z46-1301
Nee description Units k'ee/Unit Ext fee Data
-------- ----------------------------------------------------------------------
1st branch W/out t'eeder [Enter # J 1 35 . 00 35 . 00
6ubtotal Electrical Nees : 35 . 00 ;
.tate Hurcharge of b% 1 . '/5
Total Electrical Nees : 36 , '/5
Fees Hequlxed *** *** Nees Collected & Credits r**
-----------------------------• ----^------------------------ -----------------
Method Check # Receipt No , Date Payment
CK 464 U5/L6/94 36 , '/;+
TOTAL 'TH15 DATE ********* 36 . 75
r'ees : 3E . '/5
lid justments : . 00 'Total Cre(,i.ts : 00
Notal Nees : 36 . '/5 'Total Payments : 5 ,
Balance Due :
NOTICE; This pe;mlt becomes null and void If the work or construction for which his Issued in not commenced will.,n 1110 day. Once construction has started,
the purmil becomes null and void If construction Is Interrupted for a period of 130 days. I certify that the Informrtlon prevented by the applicant and
his agent or agents In support of this permit Is true and correct to the test of our knowledge. I acknowledge that the Nullding Department's reliance
upon false and mldesding Information may Invalidate this permit. All provislono o:applicable laws and ordinanc.s governing the construction and use
of this building or structure will be compiled with whether or not specified on the plane or poled on the pians correction sheets. I arknowiedge that
the granting of a permit does not grant Authority to access private property or to ties easements. I further acknowledge that the use of occupancy of
the structure or building permitted de;ends upc n my tailing for Inspections et various times during the process of construction and the building 1
Inspection ateff verifying compliance with the various codes. Use or Occupancy of the building or stnicturo permitted prior to approval by the
Building Department Is solely at'tie risk of the applicant and•uch use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. 1'-jrther acknowledge that a lion may be placed on the title of the property upon which the permit Is Issued
specifying that the use or Occupancy of the bulldirg or stricture In provisional and revocable until the satisfaction of it,.inspection requirements.
APPLICANT'S SIGNATURE
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WASHINGTON! COUNTYOAft= ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Soctlon AP P LI CXf I O N
155 North First Aven:je, #35t)-12
Hillsboro, Oregon 97124
Information. /503)640,3470 Fax: (543) 693-4412 Pro ect/Permit �` C ---z�
�� ` y
Number 7 ! -.'0 `Date
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Please complete 4. Complete F-ae Schedule below
Number of Inspections per permit allowed
*. Locationof insWla>Qn
Address � s -
) 1-L-!/ --IC Service included: Items Cost(ea.) Sum
. .._� -
� Buildingg A. Residential-per unit
Ciry /1 _ Suite No._ _ I
1 w ay.it.or lass $110.00 4 f .
Tenant N Each additir nal 500 bq.ft
(if commercial) _ or porton thereof $25.00 1
Limited Energy $25.00
Tax Lot--- Map No. _ - Each I'vianufd Home or Mod filar
Dwelling Service or Foedor $6b.00 -- - 2
Thomas Map Book: Page. -_ Section:
Directions---------.-----.-. ---- - -- - - B. Services or Feeders
Installation,alterations or relocation
200 amps or less ----- $60.00 - 2
Commercial �� ResidentialZI 201 amps to 400 amps _-__- $80.00 _ - 2
401 amps to 600 amps $120.00 2
2a. Contractor Installation only: 601 amps to 1000 amps -_ $ 0.00 2
(war 1000 amps or volts $34340.W 2
Electrical Contractori I(, Reconnect only $:10.00 - 2PARKIN' raIGCTQ1
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Address pwnn s MCA .11 1 A
Date Job umber . r�FfFr,oN 0th'JU C. Temporary Services or Feeders
Property O-ner r2 Installation,alteration or relocation f
Contractor's License No. - 2'W amps or less _-_ $50.00 2
_
Contractor's Board Reg. Nc. - 201 amps to 400 amps $75.t)0 2
/ 401 amps to 600 3mpa _- $100.00 2
Over 600 amps to 1000 volts see'9'above
Signature of�p tn��
License No. � Phone No. D. Branch Circuits I
New,alteration or extension per panel
2b. For owner Installations: a) The tee for branch circuits with
purchase of service or feeder fee.
�riM�wnor's flameho-lam ne No. - Each branch circuit $5.00 _ _ 2
b) The fee for branch circuits without
purchase of service or feeder fee. �yi '
tit+ A3dress Firal branch circuit 1 $35.00 2
1 city State Zip Eacl ndd'nl branch circuit $5.00 _ 2
} E. Miscellaneous (Service or Feeder rot included)
The installation is bring maL'e on property 1 own Each pump or irrigation circle $4200 _- 2
which is not intended for sale, lease or rent. Each sign or outline lighting $40.00 _-__ 2
Signal circuit(s)or a limited
Owner's Signature energy panel,alteration
or extension $40.00 2
_ F. Each aa,itional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00
Please check appropriate hem and enter fee In section 5B. Per hour $55.00 _-
In Plant $55.00
4 or more residential units in orie structure
SeIrvice over 800 amps; feeder 800 amps or more 5. Fees
- over 600 volts nominal "
f
_System A. Enter total of above fees �
Classified area or structure containing special 5% Surcharge (.05 X total fees) $ I 7 J
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of lino 1 for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ -----
above apply. Net required +or temporary constructlon Subtotal $ -
services. $
Less Bulk Label Fee
Balance Due $
For inspections call This permit lu some*null and void M the work authorized by the permit Is not Uwrimenoed
640-3561 or 693-4415 within I so days from date of lasuance or such permit or it the work erdhorlired kr
suspended or abandoned at any I.me*flet work le commenced for•period of I r?t day$
24-hour recorder, one working day In advance of need Eloorkal Permits are non refundable and non hanatarebM.
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MECHANI(:;AL
CITYF T IGARD *.JYI
F��EIhiIT t3. .. .. » . . . » I-:EC:94012
COMMUNITY DEVELOPMENT DEPARTM9NT DATE IS,-3UIwD: 05/20/94
13126 SW Hall Blvd.Tigard,Oregon 07223.9100 (503)639-4171
P(-IFiCEL: 1.S1.i34AD_•(�:l+:00
t3I'i E ADDRESS. ,. . : 11375 SW LAKEWOOD L:
SUBD1VISi1014. . , . s El ZON:LNf.?: R 4. 5
BL,OCK. . . . . _ „ » LO'T'., . ., . . . . .. . »56
CLASS OF WORK— :ADD F'I...OGR TURN. . . . » EVAP COOLERS:
TYPES OF USE. . . . :SF UI-41T HEATERS— : VENT FANS. . . s
OCCUPANCY GRI'-". . »R3 VENTS W/O AF'I'L: VEN T SYSTEMS s
STORY ES. . . . . . „ . . BOILERS/COMPRESSORS :40ODS. . . . . . . s
I-'UEL 0-•3 1AP. . . . : 1 DOMES. INC:IN:
;./I:L.E./ / / 3•-15 FIP. . . . : COMML. INCIN:
MAX INPUT: I+T I.3 1.5-•30 HC'. . . . » RF.:.PAIR UNITSv.
FERE DAMPEW). . : 30-50 1.4P. . . . : WOODSTOVES. . s
iiAS PRE:SS)URE. . . » 504- HP. . . . s CLO DRYERS. . ■
NO. OF' L1NIT5- --- _- - „ ATN HAND,-':H(.':3 'j I+1 i S OTHER UN11 t,.
l='URN < 1.0011, BTU: 0= 100110 c:fm: GAS OUTLET;. »
F'URN >=:1.001/. B'T'U: > :1.li0k,0 c,-fri:
Remarl•!.s: A?:R CONDITIONER
Owrie-r: ___..... ....._......_._._.__ __.. _.__._...._..._._.._._..__.._..........._._......_..._.......__..__._...w.._....._........___ FEES µ .__._._._ _..._.__.._.....
FIC:HARD MUL.L.E::N typt% aIII c:)ckrIt toy (Date rec!r)t
1.1375 SW LAKEWOOD CT PRMT $ 25. 00 JG 05/20/94
4
`:,FACT $ 1.. :'5 JIG 05/20/94 _
TIGARD OR 9'/223
Phone a:
SUNSI. T FUEL. CO
PC: BOX 42287
PORTLAND OR 9'/242 _........._....._._....._....,....,.._..___..___.._._____._.._....._....._..._............
I-Ihrane On 2:14 0011. 1s 26.23 'TOTAL
Rr q #. . o (42,374
...._.......„..__..._ REQUIRED :INSPECTIONS
This permit is issued ;object to the regulations contained ,n the McC1)ci)'1:iCa1 lnsp •„.,_„„._......... ___..........
Tigard Munici.pal Code, State of Ore. Specialty Codes ar,d all other F'i.ria 1. 1nt.pecti.ur1 „ __.� •,_.•,•___ __.•„
applicable laws. All work will he done i-I accordance with
approved plans. This permit will expire if work is not started
within 189 days of issuance, or it work is suspended for more
than 189 days.
_._._.___.... ..__ _._..._, ..._._..... _.. _.._.... __.._..... .
Ca.l1. fcor i.ris;,per..•tin11 _ 639-4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Wali Blvd. APPLICA ION Permit #
Tigard, OR 97223
(503) 639-4171
Table 3A Mechanicai Code QTY PRICE AMT
Job 1) Dermic Fee -o- 10.00
Add ess 3.00
2) Supplemental Permit
umace to 1 ,OOO I
1) incl. ducts 3 vents 6.00
urnace 100,000 BTU +
1 ��c� ` I 1 (�O c { 2) incl.duds&vents 7.50 P
Owner W, FloorLP Furnance
6.00
7; � 3) incl. vent
„ AwaSuspended heater,wall heater
d �Qllfl� 4) or floor mounted heater 6.00
Fa. qent not incl.in
Occupant5) appliance permit 3.00
7epar of heating,refrig.
6) cooling,absorption unit 6.00
Boiler or comp, eat pump, air con .
7) to 3 HP absorp unit to 100K BTU 5.00 (y�-�L�
Boiler or comp,heat pump,air cond.
yf-1 r , 8) 3.15 HP absorp unit to 500K BTU 11.60
N*'
Contractor ,. oiler or comp, eat pump, Bacon .
, L 9 15.30 HP absorp unit.5.1 mil BTU 15.00
C V4ClJ�1C� ,� (�� ) - �
,..o, _ T. o. ai,er or comp,heat pump, air wr,,,.
I�t.ulCu 1'3 (2, rt k� z 3�� �yS� 10) 30.50 HP absorp unit 1.1.75 mil BTU 22.50
ere y ac ow edge at lave rea :rs application,that the Boiler or coma, eat pump,air coni
information given is corrb 1,that I am the owner or auti)odzed agent 1 1) >SJ HP absorp unit 1.75 mil BTU 31.50 w
of lice owner,that plans submired are in compliance with State Air handling unit'
laws,that I am registered with the Construction Co,itractor's Board, 12) 10,000 CFM 4.50 }
that the number given is correct. (If exempt from Mate registration, r han ing unit
please give reason below.) 13) 10,000 CTM+ _ 7.50
Non portable
14) evaporate cooler 4.50
Vent tan connected
15) to a single dud 3.00
�Ventilatir.n system not
16) included in ap,iliance permit 4.50
o F
sery �,
17) medianical exhaust 4.50
as work new ddition aTration repair Commercial or Industrial
to be cone resir.lantial non-residential O 18) ^/pe incinerator 30.00
mbng use o ger law stove,
building or property _ __—_ 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 -^
buildin-or property_ _ _-
21) More than 4-per outlat
Type of fuel -o1 O natural gas O LPG 0 electric
-
NOTICE
Minimum Fee$25.00 SUBTOTAL r'(j )
PERMITS BECOME VOID IF WOFX OR CONSTRUCTION
t
l,UTHORIZED IS NOT COMMENCED WITHIN IPO DAYS,OR 5%SURCH/+RGE L-)r'j
€: IF CONSTRUCTION OR WORK IS SUSPENDED OR — l
ABANDONED FOR A PERIL D OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
Al TER WORK IS COMMENCED.
/1 TOTAL
rJ Special Conditions K
Date issued_ -^— — —by-
..,,,ECF;UT ✓
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CITY OF T I CARI) kV.r-F'I FST OF PAY*N T HF-' E I P 1 NO. t 9A--e°,`iPmoi"7.5
NMI 11.JN 1 n 86. 25
NAME n SUNSET FUEL GO (:;A ;f1 AMUI.IN 1 a 0. 00
ADDRESS s VIO BOX 4P.267 PAYMENT U{11l- a 0.5/20/94
SUBDIVISION
PORTLAND, CIR 9 7c 42-Oc'_KI
PURPOSE OF PAYME NT RMOUN"F PAIL) PURPOSE OF PAYMENT AMOUNT FSH 1 D
C205. (ho ST.�SUII_D V+R._
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11375 9W I.._AK W17130 CT
10IRL AM(:IUN'F PAID - - - -) c:E.» 25
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