Permit CITY OF TIGARD
i - Avit DEVELOPMENT SERVICES PLUMBING PERMIT
' PERMIT # RLM97 -0236
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/20/ 97
PARCEL: 2S1O3CA -00601
SITE ADDRESS...: 13465 SW HOWARD DR
SUBDIVISION • ZONING: R -4.5
BLOCK • LOT • JURISDICTION: al
CLASS OF WORK.. :ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •SF WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS • 0 TRAPS • 0
STORIES • 0 WATER HEATERS • 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0
SINKS • 0 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 0 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Installing a water heater
Owner: FEES
JACK WEEKS type amount by date recpt
13465 SW HOWARD DR PRMT $ 25.00 B 06/20/97 97- 296266
TIGARD OR 97223 SPCT $ 1.25 B 06/20/97 97- 296266
Phone #:
Contract or
COLUMBIA HEATING
PO BOX 230397
8900 SW BURNHAM ST STE E -110
TIGARD OR 97281 -0397
Phone #: 624 -2704 $ 26.25 TOTAL
Reg #..: 000763
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect ion
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 Utility Notification Center. Those rules are
set forth in OAR 952 -0001 -0010 through OAR 952- 0001 -0080. You may
obtain copies of these rules or direct questions to CI1NC by calling
(503)246 -1987.
l
�^�
Issued By: g P ermittee Signat� , %( �►, . . �� � ���.. /
++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + ++ +
Call 639 -4175 by 6:00 p.m. for an inspection needed t e next business . -y
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TGARD Plumbing Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
Date to DST
(503) 639 -4171 Permit r 'L4V1 '7'7- Dr--
Print or Type Related SWR x
Incomplete or illegible applications will not be accepted Called
Nam at D pmenvProlect FIXTURES (Individual) QTY PRICE AMT
Job J aGk We - k 5 Sink 9.00
ry
Lavato 9.00
Address Street Address Suite
/ `J' CW , ttukurel br Tub or Tub /Shower Comb. 9.00
Bldg s Ci /Saate Zip ShowerOnly 9.00
- TIC/ ard , Off -- 73 Water Closet 9.00
Name c. I - (.L.e t o <$ Dishwasher I 9.00
Owner Mailing Address '!� / ' i'
1� R / Suite
Garbage Disposal J I g 00
l 391,6 5u) AOlt_[ Z !r . Washing Machine 9.00
(State . Zip Phone Floor Drain ' 2" 9.00
rd r j / 9 ..- X570 -1 q '76
3" 9.00
Set n `2- 4" 9.00
Occupant Medina Heater
Address Suite 9.00 q,ot,
Laundry Room Tray 9.00
City/State Zip Phone Unnal 9.00
Na / Other Fixtures (Specify) 9.00
' .)(11,11 1 b I a-- l e L ..�" l a c/ 9.00
Contractor Mail Address Suite
9.00
I Zo A3o3R ` 7 9.00
i
II /State Zi Phone 9.00 (fi r ret n12 4 7c.- (a� J'7G� 9.00
ed nC Cont. and Lic.a Ex o. Date �7
Alba. Copy of / 4 3� y / � a - qJ 1 9.00
Current Plumping Lic. / Exp D to 9 Sewer - 1st 100- 30.00
Licensee 3 / / �'� J �" _ /V / Sewer - each additional 100' I 25.00
C Busine Tax or Metro # Exp. Date
_ 5 &O I,_ I Water Service - 1st 100' 30.00
Water Service - each additional 200'
Name 25.00
Architect Storm & Rain Drain - 1st 100' 30.00
or I Mailing Address S ;e Storm & Rain Drain - each additional 100' 25.00 I I
Mobile Home Space Y5
Engineer ! City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.30
Pollution Device
Describe worts New 0 Addition 0 Alteration 0 Repair O Residential Backflow Prevention Device' 1 I 15.00
to be done: Residential$ Non residential 0 Any Trap or Waste Not Connected to a Fixture I 9.00
Additional description of work Catch Basin 9.00
1 Insp. of Existing Plumbing 40.00
penhr
on; use of Specially Requested Inspections 40.00
oerihr I j
xrikltnq Rain Crain, single family dwelling 30.00
Proposed use of Grease Traps f 9.00
building or property
QUANTITY TOTAL
Are you capping , moving or replacing any fixtures? Yes O No 0 Isometnc 31' riser diagram is reouireo r Cuanity Total is > 9
(If yes see back of form) ''SUBTOTAL -6' 6%6
I hereby acknowleage that I have read this application, that the information
given .s correct. that I am the owner or authorized agent of the owner. and 5% SURCHARGE ' '
that clans su• i itted are in compliance with Oregon State Laws. / ,2,S ,
Sig�� ner/Agent Date PLAN REVIEW 25% OF SUBTOTAL I
1 1 I & ► / / / , 4eoui ed only 1 nature city. total is > 3
I
.� �_'_'_ ..--, i _ '�, 4 i TOT
• • • - " rson Name Phone l C9 '
' I 'Minimum permit fee is 525 + 5% surcharge. except Residential Backflow
-�Q �) n - rf 1 n ( / 4 ' 2 q a 7° Prevention Device, which is 515 . 5% surcharge
iadststplmapp.doc 3/96
PLEASE COMPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON Page : 1
Date : 05/20/97
Time : 16:54
Permit Type : RESMECH Permit # : 05095'055
Permit Status : APPROVED Applied : 05/20/1997
Site Address : 13465 SW HOWARD DR TI Issued : 05/20/1997
Permit Descr. : SFR - GAS PIPING Completed :
1 TO 4 OUTLETS To Expire : 11/16/1997
Project # : P0068823 Valuation : $.00
Parcel Number : 2S1 03CA 00601
Legal Descr. : ACRES .35 (FROM A &T:05 /10/96)
Owner : WEEKS, JACK A ELIZABETH EConstruction : OTH
Applicant Name : COLUMBIA HEATING Classification : 800
Applicant Addr. : P. O. BOX 230397 Occupancy :
TIGARD, OR 97281 Validated By : TLM
Inspector Area :
Applicant Phone : 624 -2704
Applicant Fax : Also is CONTRACTOR
Permit Fee Obligation Permit Account Status
Mechanical Fee.... : 12.00 Fees Calculated : $12.60
Fees Due $12.60
State Surcharge... : .60 Payments to Date: $12.60
PERMIT BALANCE $.00
•
NOTICE: This permit becomes null and void if the work or construction for which it is issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction is interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department'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 plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I 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 prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all inspection requirements.
APPLICANT'S SIGNATURE
MAY -20 -97 05:04 AM P.02
0 WASHINGTON COUNTY RESIDENTIAL
Department of Land Use & Transportation
155 North Inspection Section MECHANICAL PERMIT
155 Nor[h First Avenue, #350-12 °%(.2'3
Hillsboro, Oregon 97124
Information: (503) 640 -3470 Fax: (503) 681 -3993 Project) � �� f n • x y
Inspection Requests: (503) 681 -3699 or 681 -3698 Permit Numbet U G0q, ¢ �7._ . . - Date VJ 'I
PLEASE PRINT and complete all sections.
PERMIT FEE SCHEDULE
Name of Dev lopment - - --
/1 tff��� Lam 1 iV - PERMIT ISSUANCE FEE r 10.00 e,
AddreS , . \ y� ��/' DESCRIPTION QTY. cosT (Ea.) AMOUNT
../346, 6 d r C.lil.i-1 I^CI FURNACES
Ma No, Tax lit
p to 100 ,000 BTU s.o0
Job �n /// ► �� ductwork u
including .. ..... -
-, �_x /go - ductwerk over 100.000 BTU 7.50
Address orTtas age Section and vents "" ""- - - -' •••
Map Book _.... - Flt :)OR -- - ._._._... 6.00 - - - --
Directions to Site HEATERS suspended, well or floor- mounted 6.00 __
or Cross Street AIR HANDLING
- UNIT up to 10,000 CFM 4.50 - -
AIR CONDITIONER over 10,000 CFM 7.50
Name (or Name of 8 iness HEAT PUMP 7,50
....... -- ALTER EXISTING SYSTEM 4.50
M Address ... • - --
Owner '`��!��" REPAIR OF EQUIPMENT LISTED ABOVE 6.00
C.It State i Zip Non portable EVAPORATIVE COOLER _ -- 4.50
Ph rd • , VENT FAN connected to single unit 3.00 -
6'9o-199& ' __. -.. VENT not included in Appliance Permit 3.00
Naf
Wilk)/ 0- I _ VENTILATION SYSTEM not incl. App. Pmt. 4,50 -
r ` roes
HOOD served by mech. exhaust _ 4.50
Y. - ^ J 7 — DOWN DRAFT FOR RANGE - 3.00 _ -.
Contractor City/ tate Zip
r if WATER HEATER VENT 4.50
Phone NCINERATORS dornestic type - -- 7 SO
k )c 4_a��1y WOOD STOVES FIREPLACE -... -. 4 50
State - - - - — —
Registration No. Ci - 1 SOLAR SYSTEM 4
I hereby acknowledge that I have read this application, CLOTHES DRYER - 4 so ___ ___,_ -_
that the Information given is correct, that I am the owner
GAS PIPING 1 l0 4 outlets i 2.00
or authorized agent of the owner, that plans submitted -
are In compliance with State laws, that I am registered each additional 50
with the Stare Builders' Board, that the registration - -`
number given is correct. (If exempt from State registra- OTHER
tion, please give reason hero) OTHER
, . SUBTOTAL -- 9
' i 6% of subtotal for State. Surcharge
Print Nr TRUST ACCOUNT
r_ 4 et../ / Receipt No. TOTAL FEE DUE ,a,
• uth� e Signet Da c
APPROVED BY
DA 1•e work O new El addition n alteration [repair
to be,,. d<xre
Date Date
Submitted .._ -_ ._......_ —___ Issued By
,
NOTICE: This permit becomes null and
void if the work or construction authorized
is not commenced within 180 days,
or if construction or work authorized
is suspended or abandoned at any time
after work Is commenced.
0L27 • 5,'35
CITY OF TIGARD BUILDING INSPECTION DIVISION Q .D \ •
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 ‘
Date Requested: 2--D—S— 97 M. P.M. MST: 656950.55
Location: 1 3 465 cS (.v V l J BUP:
Tenant:_ Suite: Bldg: MEC:
Contractor: �y Ul • � ■ ^ / .. /11 I1 (p ' Q- u' I Phone: a (I' a70 - PLM:
Owner / • tQJC�C�/ 0 Phone: 9.2tk. i ?() -1 77,6 ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam os a Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved App e Approved Approved
Appr /Sdwlk Not Approved Not Approved oved Not Apr Not Approved
FINAL FINAL FINAL FIN FINAL
_TA 9 0 tei, c.....e.... , , ' V
Q
- W ✓ iLl4 R' — b 3 I prksAl (1/2-5
t 1145
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5.e.. L..a Cam_ -0 .. - m: C Q____
' ‘..v.-% .._ k. --e,--C k<____ L.1/4...rit..).-A. •
1
•
ii all for reinspection O Reinspection fee of $ req ' ed before next inspection O Unable to inspect
,e,� . I - tor: ( Date: �S/ -` -) Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: b . 3 ) _ A.M. P.M. v MST:
Location: I"3 Li (,.s 5 0 , f aA . -. .1 BUP:
Tenant: Suite: Bldg: ME 41
,/ _i
Contractor: , . 1, Phone:
_ �,� -� A) Y PLM: '-'10X3 (0
_�
Owner:
e n i Phone: ELC:
ELR:
�� SIT:
BUILDING BLDG (con't) PLUMBING ( MECHANICAL 1 ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation . Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved ved Not Approved Not Approved
FINAL FINAL INAL FINAL FINAL Ar , , 411M-4F -
dor
0 - / �-
i
/
ri Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: +� — Date: 7/ / l Page / of