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'0 V/ D r M m v cn X m m a 6690 SW ALFRED STREET I CITY OF TiGARD BUILDING INSPECTION DIVISION MST 24-Hour In%pection Line: 6394175 Business Line: 639-4171 - ----- - ------ L BUP Date Requested_ / - J 91 _—AM X PM _ BLD Location _ _— Suite MEC Contact Person �l f Ph ���?� :y PLM SWR_ - -- Contractor _ /7� Ph /- BUIL.IDING — — Tenant/Owner - ("rLC' Retaining Wallr"LR FoNing Access _-,—�n • FPS Foundation � ,/� �i^CX - Ftg Drain , 343N Crawl Drain Inspeclion Motes: Slab ----— ==��+ L-� `--.- SIT _-------- Post& Beam �C - Ext Sheath/Shear --- - ------- --- Int Sheath/Shear Framing ---- - ---- ----_...------- Insulation Drywall Nailing -- Firewall Fire Sprinkler - - - - �!.d w�C•C P - --- Fire Alarm Susp'd Ceiling ---- ---- -- Roof Final PASS DART FAIL ------- PLUM_BING Post& Beam — Under Slab __. ------------ — -- — Top out Water Service --_--_ _---_-_. — -- -- Sanitary Sewer Rain Drains _._ -- ----- --- ---_-- ---— Final PASS PART FAIL _. �__-_-,___ -------------- ---- - MECHANICAL PosS&Beam --- - - --------- ----- Rough In -_-- ----____-- Ras Line - - - - -------— Smoke Dampers Final --- ----- - PASS PART FAIL E4T Service _ ---- - - -- - --- - - - --- Rough In UG/Slab — -- - ---- - --- Low Voltage Fin' S� PART FAIL - --- -------- --- - - .— --- Backfill/Grading - — — Sanitary Sewer Storm Drain f 1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 S10!Hall Blvd Catch Basin I Please call for reir spection RE: __- - [ ]Unable to inspect- no ac':ess Fire Supply Line --"" ADA Approach/Sidewalk Date �� v Inspector C� y—. Ext _ Other _ - ` -�� Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION IVST 24-1-lour Inspection line: 639-4175 Business Line: 539-4171 ------- BLIP Date Requested 1121 4 " 9 AMPM ___ BLq Location F0 &t a�zd Suite — (MEC) Contact Person P7,-517-2- if 11-11e �wlr a ph c pjb LM " Contractor /At Ph d �� -- SWR - BUILDING-� Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation . FPS Ftg Drain ` / �- SGN Crawl Drain Inspection Notes: --------- Slab �� _� � � _ SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear — - Framing Insulation -- Drywall Nailing Firewall Fire SprinKler Fire Alarm Susp'd Ceiling l ' ---- Roof Misc: Final n ' PASSRT FAIL - -- PLUMBING Post A Beam Under Slab Slab Top Out ` Water Service Sanitary Sewer — Rein Drains �--- S PAT FAIL CHANICA Pam*i3ea vi —--. Rough In Gas Line ---- --_-- &wke Dampers !VP PART FAIL --------- — -- ECTRICAL - Service -- Rough In UG/Slab Low Voltage Fire Alarm _ Final _�— PASS PART FAIL SITE Rackfill/Grading --- --- Sanitary Sewer Sto,n,Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line [ _._ -__ [ Unable to inspect-no access ADA Approach/Sidewalk Other Date G' Inspector �/A Final - -- —` �� - PASS PART FAIL r)O NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL , PERMIT DEVELOPMENT SERVICES PERMIT #: E.LC99-0657 13125 SW Hall Blvd- Tigard, OR 97223(503)639-4171 DATE ISSUED: PARCEL: 1 S 125DA-0►5700 SITE ADDRESS. . . :ViIaE,90 SbJ A!. FRFU f:;l SUBDIVISION. . . . :KINGS VIEW ZONING: R-4. 5 BLOCK. . . . . . . . . .. LOT. . . . . . . . . . . . . .04;3 JURISDICTION: TIG Project Lescription : Bradshaw ----RESIDENTIAL- UN T T-----. -----TENP SRV(-/FE F_I)ERS-----�-_ _-----MISCELLANEOUS--- 1000 ISCELLANEOUS----- 1.0001 SF OR L.ESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 00SF. . . : 0 201 400 amp. . . . . . . : (h SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL_ ( 10►) . . , 0 ----SERVICE/FE.EDE R---- ----BRANCh C;I R(,'L1I TS----` --ADD' L INSPECTIONS-- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600.1 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PI-ANT. . . . . . . . . . . : 0 601 -- 1000 Pim -------------- __ LAN REVIEW SECTION----------------.-. 1000+ amn/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 V01_.T NOMINAL_. . : Reconnecv only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SVIEC OCC. : Ownpr: ________________-- FEES L_EANNA BRAI:i;3HAW type amount by dat 9 recpt 669O SW ALFRED ST PRMT $ -35- 00 JSL) 11/02/911 98-310470 T I GARD OR 9723 ;F'C:l t 1. 75 JSD 11/02/98 98- 10470 Phone #c 246-3249 Cont Tact or a ------------------------------ BOB' S ----------------_-.--__-_---- BOB' S ACTION ELECTRIC INC f 36. 75 10 TOL 2700 NE BURTON ROAD STE A ------- RED.1.11RED INSPECTIONS -- VANCOUVER WA 9866E Roi_igh-in Elect' 1 Final - Phone #: 36121-254-7200 Elect' l Service Reg M. . : O00531 ----This pereit is Issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other Applicable laws. All wore. will be done in accordance with approved plans. This perwit will oxrjire if work is not started within IN days of issuance, or if wort' is suspended for wore than IN days. ATTENTION: Oregon law requires you to folla4 the rules adopted by the Oregon Utility Notification Center. Those rules are et forth in DAR 952-NNI-WI@ through OAR 952-001- You way obtaiy--a-rmr .) of these rules or direct questions to Ol1NC y caping 312)987. f='prmittpe Si gnat —� Issi_led By: -----------------------------OWNER INSTOL.LATION ONLY------------ ------------ -------------------- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE:: — DATE: INSTALLATION SIGNATURE OF SUF'R. ELEC' N: _ _ DATE: LICENSE NO: +++++++-r+++++++++++++++++++++++++++++++++++++++++++++++++++•f+++++++++++• Call 639-4175 by -' ,00 p. m. for an inspection needed the next bi_isiness day +++++++++i•i.+++++++t+f++4+++4++4 ++44++++4..................4..++++++++++f•++++++++ Community Developm©r.t ELECTRICAL PERMIT APPLICATION 13125 SIN Hall Ulvd. Tigard, on 91223 Permit Date Issued Phone (503) 839 4171 CITY OF TIC#ARD rnx (503) 684.7297 TDD No (503) 084.2772 Inspection (503) 630-4175 i 1. Job Address: 4. Complete Fee Schedule Below: Name of Development mumu". of Inspections per permit snowed Address 6690 SW Alf red Service Inrludl+d- Items Cosies) Sum City/Stale/Zip Ti rd, OR 97223 da. Relairlanifal .per unit 1000 sq 0 of met !110.00 Name (or name of business) Leanna Brads;law/Rase tg/ Ex-#IeNbnelbao 44 it er px+in,111w aor Commercial ❑ nesidentlel 1"AM E""y Each W+Murd IM,r114 Of rk.Aaler Owslllne go Now or Feeder me 00 2a. Contractor installation only: Ab. ServlcM or Feadwrw nbeelta�i Elrtaricrtl Contractor Bob's Action EIrn18111"at,art r41ton,or lectric 7rri w.r.or Me# 3e0 W r Addruss 2700 NE-Burton ltd. "A" _ �o+en,4+o4nr)"a in00n _ t 401 amps to em rnor s,)O Ort CItY_Y,1uCflliver _ Statedzip t}� 662 so+rnritoIrmorms IIAO CIO t a Phone No. 3bLs-254-7 2no NO,IoM wraps at veils $34000 • Job NO _ g ateeorineetany [!0400 conlraclor'r lirensis NOWT 4c. temporary Norvicos or Faladere ContrAClor's fleerd Reg No, 53T�� IrI4ledelv+n•64"lloh.of rewmieh SlpnnA►rc of Supt Elec'n 'no amv:r M44 License No 43225 I Phone No.360-254-7200 Ams"t'r+o'm6"Ve — -- s Mi ► _ 4ni n"r+a In a�stmt frS txt t Metro LicrnGcr No. 00003861 aaalero•nr•totwo"No 110000 2b. For owner Installations: be@WAbove Aid. [!ranch clreults Print Ovlrngr's Name r._ Mew,elial•/ihn tv ft"meY7n r"We Address el IM I•e For eraneh e►cul+.W" M+c h•r•of a ervlee w bade.he ? City --_• Stale Zip rwh hranrh rwnas s!00 Phone No. b)sh"ue IN broreh wull,..►than The InRI.Writion Is hning medn, on property I own which is perehueereevfeewAerlwNo ►►•I ben.h evruaI _,�„ S15 M 35.00-.not Intended for sale, lease or rent. Emh eddhMmel brach dYou+l ss oo Owner's Signature 4e. Miscellanvotre (Sa►vkst or trw+rler not Included) t � Z 3. Plan Review section (if required): rerh panne Of h+gpik-A r to 140 W Eerh 110f,tv eu1Me alld 140 00 alpne+rlrn II(elle•sn+led(rarer please check approprlele Ilam and •nler III In esellon 98. 04041,•e./eth,n or eslenelon $4000 _ 4 or Hare residenvel units in one sirvcture Minor Lobel$110) stwoo Sowkeh and ("tier 725 amps or more Syslem over 600 voAs nominal 41. Each additional Inepsctlon over cu.alfiM ares or slruclure conlnlning special occupancy the allowable In any of the above as 111660W In N E.0 Chaplet b per s+er-With ass M . Per hour 181.00 In P+enl ue o0 slrbmit 2 sets o1 plans with epptir.st+on whore any of the above apply. Not required far tsmporary construction services. 5. Fees: i Is.rnlar lMal of above lees s 3j 00 . UPW 9rax Surcharge (.OS X total ices) S --L.75 PEnMITS BECOMF VOID Ir WORK On CONSTRUCTION 9ubf9fel 6 ' AUIN0RI7EO IS NOT rOMMCNCEn W V41N lAn SAYS.on Ir 6b.Enter 2S% of Ina A for CONSInUC110N On wOnK IS SUSPENDED On ABANDONED FOR elan nawlew N required (Sac 3) s A rcn,OD Or 180 DAYS AT ANY TIME AFTEn WOnK 19 s►►hrofaf s COMMENCED. 44«4•«+4»• ❑ Trust Account a s P-of Balance Out f 336 7 E� I r TIGARD MECHAN I CALCITY Off' PERMIT DEVELOPMENT SERVICES F,ERMIT #. . . . . . . .. MEC98-0486 13125 SW Hall Blvd., Tigard,OR.47223(503)639-071 DATE ISSUED: 10/29/98 PARCEL: 1S125DA-01 . 00 SITE ADDRESS. . . : 06690 SW ALFRED ST SUBDIVISION. . . . : KINGS VIEW ZONING: R-4. 5 BLOCK. . . . .. . . . . . : LOT. . . . . . . . . . . . . :043 JURISDICTION: TIG ----------------------------------------------------------------------------------------------- CLASS OF WORK. . :Al..T FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . - 0 VENT FANS. . . : 0 OCCUG P,ANCY RP,. . R3 VENTS W/O APIF.,L.- 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0­3 HP,. . . . : 0 DOMES. INCTN: 0 .GAS 3-15 HF,. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15­30 HP,. . . . : 0 REPAIR UNITS: 0 FIRE DAMI',ERS?. . : 30-50 HF,. . . . : el WOODSTOVES. . : 0 GjAS PRESSURE. . . : 50+ HFI. . . . . 0 CLO DRYERS. . : 0 NO. OF LJNII*S------.-.--..----- AIR HANDL ING UNITS OTHER UNITS. : 0 1=IJR19 ( 100K BTU.- 0 10000 cfm: I (,'.)AS OUTLETS. : I FURN )-100K BTU: 0 > 10000 cfm: 0 Remarks : Replace furnace with aqua system. Owner-. FEES -------------- LEANNA BRAC 4 type amount by date recpt (.-:1690 SW Al ST PRMT $ 25. 00 DEB 10/29/98 98-310416 TIGARD OR 23 5pc*r s 1. 25 DEB 10/29/98 98-310416 Phone #: 246-3249 Contractor: ROSE HEATING CO 9945 NE 6TH DR -------------------------------------- $ 26. 25 TOTAL PORTLAND OR 97211 F"hone #: 503-283-5183 Reg 000020 REOUIRED INSPECTIONS This permit is issued subjFc, to the regulations contained in the Mechanical Insp Tigard Municipal Code, 5tate of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection appruved 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 DAR 952-MI-MIO through DAR 952-MI.-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9187. I SsLte P e r m i t t e P S i Q n a t i.i r e .......... .......4•................................4•.............4.................. Call 639-4175 by 7:00 p. m. for inspections needed the next business day 4..............4..................4............I...........4•...................4 e CITY OF TIGARD Mechanical Permit Application Plan Ch Recd By h 4--3125 SW HALL BLVD. Commercial and Residential Date Recd zo-a!z-%1_ TIGARD, OR 97223 Date to P.E. _ (503) 639-4171, x304 Date to DST Print or Type Permit u1 Incomplete or illegible applications will not be accepted Caned r Name of Development/Pro)ect Description Table to Mechanical Code— Q Price Amt street address A Permit Fee Job sunex > to 00 Addr "5 j �r ( 1) Furnace to 100,000 BTI, including ducts 8 vents 6.00 eldgN CkylState Zip 2) Furnace 100,000 BTU+ CA I, Ulr, including ducts a vants 7.50 _ Name(or name of business) 3) Floor Furnace Owner L including vent _- 6.00 Mailing Address 4) Suspended healer,wall heater C or floor mounted heater 6 00 =�� r 5) Vent not included in appliance permit -- CMy/State Zlp Phone _ _ _ 3.00 t c r,v J 01f 1.��; 7 %HECK ALL 'Boiler Heat- -rAir —-' - Na (or name of business) THAT APPLY: or ?t".1p Cond Qty Price Amt Q c. ( + Cc•mp -L- •• Cc k y 1 v,CA IJrf :, x,, 6)<3HP,absorb unit to Occupant Mailing Address 100K 87U _ 6.00 -cl s,) A v7)3-15 HP;absorb unit Cny/Statw zip phone _ 100k to 500k BTU _ 11.00 I r) 8) 15-30 HP,absorb n° unit.5-1 mil BTU 15.00 Contractor Nan -- — ` 9)30-50 HP,absorb °,r_ C 10 CC), unit 1-1.75 mil BTU _ 2250 permit Prior to MailingAddross +� 10)>50HP;absorb unit F_ issuance,a copy c'1 C N r. >1.75 mil BTU 37.53 of all licenses /any/Sae f Zip Phone 11)Air handling unit to 10,000 CFM are required if N r„v,c1 �v. �7 ) _ " _ 4.50 expired in COT Oregon Conal.Cont.Board Lic 0 Exp Date 12)Air handling unit 10,000 Cr7M+ database (. DL� �(ar��q�' 7 50 Architect Nime 13)Non-portable evaporate coolar _ _ 4.50 Or Ma+ung Addresz - 14)Ve,t fair connected to a single duct 300 ____ ;5)Ventilation system not included in Engineer CRY/State 7.ip�Phone- 9 liae permit 4 50 nc 16)Hood served by mechanical exhaust I Describe work to be done: �- 4.50 I 17)Domestic incinerators New O Repair 0 Replace with like kind Yes• No O 7.50 — Residential C Commercial 0 18)Commercial or ind- -trial type incinerator _ _ 30.00 Additional information or description of work: ^ j 19)Repair units 1 N c p l a C e 111 A�U c1 S y 5TH ) --, —�_ 4.50 — r- , r t W I 1 Fl M. 20 W000 a.ove 4,50 21)Clothes dryer,etc 450_____ Type of fuel: oil O natural gas f LPG O electric O 22l Other units _ 4 50 -Thereby acknowledge that I have read this application,that the Information 23)Gas piping one to four outlets „�• given is correct,that I am the owner or authorized agent of _ _ I 2.00 �1 the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each) .50 Signature of Owner/Agent Date Minimum Permit Fee$25.00 _ _ SUBTOTAL 0L k i,_ - ----- lo 5%SURCHARGE Contact Person Nam Phone PLAN REVIEW 25%OF SUBTOTAL C Required for ALL commercial permits Only Z�3 J 1$ 3 TOTAL sg 'State Contractor Boiler Cer,ification required "Residential A/C m-ouires site plan showing placement of unit I Vnechperm.doc rev 07/20/98 CITY O F TIG A R D PLUMBING PERMIT DEVELONAENT SERVICES PERMIT #. . . . . . . : PLM98-0402, 13125 SW Ha!l Blvd., Tigard,OR 97223 f503)639.4171 DATE ISSUED: 10/29/98 PARCEL: IS125DA-05700 SITE ADDRESS. . . : 06690 SW Al.-FRED SUBDIVISION. . . . : KINGS VIEW ZONING: R-4. 5 BLOCK.. . . . . . . . . . . LnT. . . . . . . . . . . . . :043 JURISDICTION: TIG -------------------------------------------------- CLASS Or WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . ,SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 PI-OOR DRAINS. . . . . : 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I 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 JINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarl(s: Conversion of water heater to gas. Owner: -------------------------------------------------------- FEES LEANNA BRADSHAW type aMOUnt by date recpt 6690 SW At-FRED ST PRMT $ 25. 00 DES 10/29/98 93-310416 TIGARD OR 97223 5PCT $ 1. 25 DEB 10/29/96 98-310416 Phone #: 246-3249 Cont ract ROSE HEATING CO 9945 NE 6TH DR PORT[-AND OR 97015 Phone #: 283-5183 f 26. 25 TOTAL_ Reg #. . : 2084 REQUIRED INSPECTIONS This peroit is issued subjeci to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This pervit will expire if work is rat started within 180 days of issuance, or if work is suspended for sore than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are let forth in OAR 952-888I-Ml through OAR 952-8881-8898. You 2ay obtain copies of these rules or direct questions to OLW by calling (503)246--1987. I s s I.t e By:; . Permittee Signat titre : ............. ...................................I.................4•.......... Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-isiness day ..........................................4.................4............ CITY OF TIGARD Plumbing Permit Application Plan Ch ski'-, 13125 Stilt/ HALL BLVD. Commercial and Residential Reed a _ TIGARD, OR 97223 Date Recd_10 (503) 639-4171 Date to P.E. f" Print or 7 ,ape Date to DSTG���GJ Incomplete or illegible applications will not be accepted Permit 0 ��J Related SWR fk_ Called �— __ Name of Development/Project FIXTURES (individual) QTY PRICE AMI Job Sink 9.00 Address Street Address (( Suite Lavatory 9.00 Tub or Tub/Shower Comb. 9.150 - Bldg# Cily/State /1 Zip Shower Only 9.00 'dame rr 0% Water Closet 900 Dishwasher 9.00 Owner Mailing Address ^^ Suite Garbage Disposal 900 If C _ J 611GcI Vh�ning Machine — Q.00 City/State Zip Phone 2H✓; 32 L'C- Floor DrainlFloor Sink 2" 9,00 --- - Name 1" — 9.00- c I f rNb C�O►�/ 4— - 9.00 Occupant Mailing Address Suite Water Heater •conversion O like Mind 9.00 a c L' W e Gas i in rg equires a separate mechanrcarmit / City/State. Zip Phone Laundry Room Tray 900 7 �1_ cj Urinal �Q0 CCs tP1 CO. Other Fixtures(Specify) 9.03 --i G Contractor Mailing Address Suite 9,00 1C1 LI 1 - /ih -- ----- — 9,0 Prior to permit City/State Zip Phone Sewer-1 st 100' 30.00 issuance,a copy ( 0 r 2-';- ' Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Lic 0 F_xg._©ete _—_ required if (�5 Li Water Service•i at 100' _ 30.00 Water expired dtabs e0T X16 Plumbing2500 3LLf2 � t,�r n� Exp.Dot- � Storm&Rain Drain h 1 std100'al 200'— — 30.00 -- Name 1 �! Stomi&Rain Drain-each additional 100' 25.00 Architect _ -Mobile Home:apace — _ 2500 Mailing Address Suite -- Or g Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City/stale Zip Phone Residential Backflow Prevention Device' - 15.00 _ (Irrigation timir.g devices require a separate Describe work to be done v — restricted energy permit.! _ New 4111' Repair O Replace with like kind. Yes 0 No K Any Trop or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial 0 Catch Basin _ 900 Additional description of work: 1 Nc - Gc15 Insp of Existing Plumbing 4000 e Rin _ W Specially Requested Inspections 4000 fZain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? -- —__ Yes O No ! Grease Traps 900 If yes,see b,-ck of form to indicate work performed by ------- QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser 4ingram is required H Quantity Tolal Is ,9 WORK COULD RESULT IN INCREASED SEWER FEES. _ i *SUBTOTAL Own I hereby acknowledge that I have read this application,that the information given Is correct.that I am the owner or authorized agent of the owner,and J6%SURCHARGE tha:ptans submitted are in com Dance with Oregon State Laws. Signature of Owner/Agent Date '•PLAPI REVIEW 25%OF SUBTOTAL Required only if f i.durs qty,total is>9 _ _ —_ IBJ 61 TOTAL { Contact Person Name Phone _ Q G 'Minimum permit fee is$25+5%surcharge.except Residential Backflow Prevention Eievice,which is$15+5%surcharge -Alf New Commercial Buildings require plans with isometric or riser diagrar7- and plan review 1 tdsrslplumapp dac 71M PLEASE COMPLETE: Fixture Type _ -- — Quantity by Work Performed — New Moved Replaced Removed/Capped Lavatory Tub or Tub/Shower Combination Shower Only — Water Closet — — Dishwasher __--�-- -- -- -— - - - ---- ---- --- -- Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 311 411 -Water Heater — --- Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: CITYOF TI GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00433 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/1/2004 PARCEL: 1 S 125DA-05700 SITE ADDRESS: 06690 SW ALFRED ST SUBDIVISION: KINGS VIEW ZONING: R-4.5 BLOCK: LOT: 043 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS. STORIES: BOILERS/COMPRESSORS_ HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES:CLO 'DRYERS: < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: G > 10000 cfm: AS OUTLETS: Remarks: Install exterior AIC,do not place within the icyunt-d sethacks Owner: — `�— FEES_ _ PATTY WATSON Description Date Amount 6690 SV.' ALFRED ST TIGARD, OR 97223 [MEIHJ Permit lee 7/1/2004 $72.50 ITAXI8%State Surchart 7/1/2004 $5.60 Phone: 503-246-3249 Total $78.30 Contractor: ROSE HEATING CO 9945 NE 6TH DR PORTLAND, OR 97211 REQUIRED Final Inspection INSPECTIONS Phone: 503-283-5183 p Reg #: LIC 2084 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. Issued By: 7 - Permittee Signature:- 111) Call (503)t;39-4175 by 7:00 P.M. for inspections needed the next day Jun 29 04 12: 50p p . 1 U(/Ut!/LVVJ 1x:14 iA,i 6UJOHtl1HtlU 1,11Y VY 11bAHU IpJUU'L Mechanical Permit Application a«eiWtl Mdet,aniui DatuR . Prtmit Na.- City of igard Pl irttApptovcl Building 13125 SW Hall Blvd. Pun Review Other_- figut),Urrgou 97223 a Permit No _ Phone: 503-639-4171 Fax: 503 598-1960 Poet-Rtv;ew Lnd()w Drtdll�-_�-� tete 14o,- S,. o. _ Ilrtcrnet tvvnv.ti.tigartiur.us C�.,a�t — /emir — -- 24-hour-ins eetton Rt test: 50:1-639-r1175 So See antsace 2 for p q Nunt/Methrxl: Su�plematttllnforcrptloh. ' ry ,.'t,!f b 0;x•ta,; i;i- ,'t' 'OM� — I)69R19 0.r�6:,i NOW C0[113tr1iCti0D _ Demolition M.chanical pcmit Pces'we based on the total value of t1w wc-', Addiaonhllter'atiordr 18cement Other: performed. Indicate the value(rounded to the new cst dolla•!; 'll nuxhautmal irmteaWs.equipment,)abur,ovrrhead and per d, I &2-Fe Value!-.Commercial/Industrial Volae_ 3 _ _ Set Page 2 for Nt �.h:dttl'. Accessory Building_ Multi•Fainily r Master Builder II Other: rrA�poQn �1 F"K�•1_L_"ow Hctti�ootin :r}y, 1 _ 4"r r Ftrmatz-add-on air t:onditioninar' 14.00 Job site addreaw: L e,�t j2 5 ) /.ate/-,e, Gas ht--tpump 14.00 Suite#: _ , Bldg/A t.#: Duct work 14,00 Pio est Nztne: t A 7SD!1. M Mnnie hot wurr_yttrvn _ 14.00 Cross streetMirections t j0 site: (fo11(tr radiator rorial boiler rtditror or hydronic rystcm) __ 14.00 .� Unit heoters(fire/,not electric) lel WW,tri-duct,ius guided,CIc.1_ 14.00 Flue/vent tfor any of about) 10.00 Subdivision: Lot N: Repair units __— - _ 12.15 01ber Friel A 4rnw Tax ma / #: Water heater _ I OAO Gas�rc lice -------- - 10.00 x- --- - _ -- - Flue vent water hatted a C . ace 10.00 Loit ti hter to 10.00 -- - - Wood/Pellet movie 10.00 - _ Wood firepl�cqlnwrt - 10.00 Chim a iner/flue/vent 10.00 other: 10.00 ,,'::..Bovirotinl�htitiftAt�V ,�'' =.i;•�: ,,v'.:.. Name: Y 7-r - Adtiiess: Range hood/otber kitchen equiptrueni 10.00 CQ�cL� 5 L[J n c_ l'_f�� Clothes dryer exhaust 10.00 City/State/AZIP: r.. Singte duct athttatt Phcme:o ' z-y Fax: (b.tluvtmu,ITAIct compearwdt, stili raomns1 6.80 Name: 6l c»wl M=fids 10.00 Address:--- --- other nisi/ 10.00 City/State/Zip- --� r:- sAo for ar i'll.sl.00 eaKch is ide�y Phone: --__� -- Fax: _ Furon,___c�ett. •«- - Gas heatpump_. •' E-mail. WUVrvs_pegdcdkqit hexer -- •: .li f �• I A — - ._---�__ Wttar beater •• Business Name: Fir lace •• ---- Address: e c - -- •• - Ci /Stat C whes dryer(ass) Phone: 3->Phi Fax: o other — _ •4, — — - CCB Lac.#' Z Ct 8� Toad: Authorized •Mrebarddtlr"Mikille� . . slgnanue: 1� `-�11,ttesc<s,< nate:( ----.- __ subeotti: _s mu ly - ' "' Minimum Perini,Fee$72.50 S Plan Review Fee(25%of Pentnit Feed (Picas pent name) State Sumhar M of Permit Fee s -i O A..PERAUT FEr S �. Notier: Thu parmlt application expires It r pernot in not obtr'nid within •FN mnNhodobp errs try 7rt-f•'nnty Sulldlag Industry ret UO drys attrr it hu term reeepte9 is enmpletr- ••_Site plan required for exterior A/C anih. i`thuwermit FornuWecPermitApp doe 01413 Jun 29 04 ? 2: 51p p. 2 LOT LINE: Fl RST NAME: LAST NAME: ADDRESS: CITY, STATE ,/� Zll'. INSTALLATION ADDRESS: CITY:r _ STATE: PROPERTY LINE _ , f rr: M. FRONT II , I o2S rl: PROPERTY LINE X OUTSIDE UNIT CITY OF TIGARD 24-Hour BUILDING Inspection Line: 639-4175 INSPECTION DIVISION Business Li (503)639-4171 MST -- —_ BUP _ Received Date Requested -_- AM_ .—PM BUP Location — � Suite �`� "4Q q3 3 Contact Person _ Pit(_._ ) 2 93 -Sl8'3 PLM Contractor - Ph( _) GWR BUILDING Tenant/Owner ELC ) Footing ---__ -.-- FELC _-------- Foundation Access: �- Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam --�--_..---- -Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation --- Drywall Nailing -_— -- ------------ ----- Firewall Fire Sprinkler --- --- ----- Fire Alarm Susp'd Ceiling --- Roof Other: -- - - ----- Final --Final `— PASS PART__ FAIL PF PLUMBING__ -- - - - - - - -—----- -- Post 8 Beam e Under Slab - -- - _ Rough-In Water Service - --- - - - Sanitary Sewer Rain Drains ----- - Catch Basin/Manhole Storm Drain - - - Shower Pan Other. - -- -- - -- Final PASS PART FAIL MECHANICAL Post&Beam Rough-In -- Gas Line - ----- .—� -- Smoke Dampers -- -- ----- ASS !PART FAIL E�ICAL�- - Service ---- —� Bough-in - --- ---- 11G/Slab --------- —Low Voltage - -- ---- - --- --- Fire Alarm Final Reinspection tee of$ ._ required before next Inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL $ITE [� Please call for reinspection RE ___ Ej Unable to inspect-no access Fire Supply Line ADA I—) - o' Approach/Sidewalk pats -_-1 _ Inspector Ext Other. L- Final DO NOT REMOVE this Ilnspsction record om the job site. PASS PART FAIL_