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7458 SW ASHFORD STREE "'
C'ITV OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: 7 A.M. P.M. _
�� MST:
Location: _ ,( i A ``
� $UP:
Tenant: _ Suite: Bldg: _ NEC:
Contractor: Q :I ` -rye¢�- Phone:
Owner: PLM: _ '/U
Phone: Jr Z EIC:
17y C
cl I, ck, jJ , Ilet _ ELR: — —
�IC ,Q_L � _�' C �
BUQAING BLDG(con't) PLUMr ME IANICAL ELECTRICAL srr: _SITE
Site Post/Beam Posolearn Post/13cam
Footing Roof Cover/Service Sewer/Storm
Slab
Framing I1ndFUSlab Rough-In Ceiling Water Line
ng Top c hn Gas Line
Foundation Insulation Sewer Hood/Duct Ronne UG Sprinkler
Bsmt DampRa;econnect Vault
Drywall Storm Furnace Ten
Service
MISC.Maso ' Ceiling
Rain Ih1in A/C UG Slab D _
Shear/Sheath Fire Spklr/Alm Craw Heat Pump Low Volt �I t
Approved �pn ved Approved Approved Appr/Sdw!k Not Approved ° APpro�'
Not Approved Not Approved Not Approved
FINAI. AL FINAL FINAL FINAL
0 Call for reinspection O Reinspection fee of s required before next inspection,- D Unable to inspect
Inspector _— _—` late: itf
-TT"��• Page___ ___ of�—_
CITY OF TIGARD PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 05/21/97
PARCEL: 2S112CA-09600
SITE ADDRESS. . . : 07458 SW ASHFORD ST
5UBDIVISION. . . . : RENAISSANCE WOODS ZONING: R-4. 5
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . 0 BACKFLOW PREVNTRS. . : I
WATER CLOSETS. : 0 WATER LINE (ft ) . : 0
Remarks : Installing residential back flow prevention device.
MARK JAMES type amount b dat e recpt
� Phone #:
Cont ract or--
OWNER
This permit is issued subject to the regulations contained in the RP/Backflow Prev
Tigard Municipal Code, Stats of Ore. Specialty Codes and all other Final lnspection
applicable laws. Al) mork will be done in accordance with
approved plans. This permit will expire if work is not started
wilhin IW days of issuance, or if work is suspended for Pore
than 180 days.
Permittee Sjgllature : fill
Issued Syk,
Call for inspection 639--4175
-ITY OF TIGARD Plumbing Application Recd
3125 $W HALL BLVD. Commercial and Residential oat.Recd�(-
Onto to P E.
IGARD, OR 97223 Onto"o OST -
503) 639-4171 Permit• L 7-d1 ;�
Print or Type Related SWR t ---
Incomplete or illegible applications will not be accepted Called_----
F RES; ndlvldual r�
Name of Devebpment/F'ropet Q . S►v � t Q_.eslsr ;t: I:^Y �
.lob 1 7 Sink 9.00
Street Address Swig Lavatory 9.00
AddressStreet
or Tub/Shower Comb —' 9.00
Bldg s City/State Zipi Shower Only — 9.00
-- . ` L Water Closet
9.00
Mame Di hwav ler 9.00
Owner Addrets Scats G"r°e9/Disposal 9.00
cs ) ,,r,.J Wishing Machine — — 70-0
CUy/state ZIPPhone Foe-Drain Z' 9.00
—
4- — 9.00
AA
Occupant ma&Q Address Su to Water Fiester -- g.00
Launory Room Tray 9.00
�.ity,Slate Zip Phone Unnal — '— 9.00
- Nam — Other FLntures(Spedfy) _ D.00
v:00
Contractor me"Addjess suit � 9.00 -
9.00
(Prior to Issuance ClfylStaO r 27p Pthone — 9.00
applicant must
prov+de all Oregon Const.Cont.Board Last Exp.Date 9.W
continKlm 9.00 iJ
kerne Phnnbrn9 Laic-t Face.Dat Sewer-u st 10(' 30.00 J
k*xmation Sewer•each additional 100' .75.00 V
for COT COT Business Tax or Maim t �Exp.Date ���� ist ice, ---_ 30.00�
database). � --
Name Water Service-each additional 200' 25.00
Architect Stone A Ran Drain-1st 100' 30.00
or Ua*n Aderess C storm&Rain Drain-each addition*100'_ 25.00
Moble Home Spam 25.00
Engineer GtyrBtaue Zip Phone Comrnercal Badu Flow Prevention Dewce of Ano 25.00
Poilutlon Device
r--srnbe won New Addition O Altera Repair O Residential 9ackflow Prevention '5.00 l>,O
0 5e done: Revdrntiai O Non-residentlal O Any Trap or Waste Not Conneaed to a Fixture 9.00
•oartional descnptiart of wart Catch Baain 900
St-,. ,v.)�htJ/ s�s)Q+'►'1 =y1G��;I lira i C Insp.of Ensting Plumbing —_ Q.0o
per/hr
Vstlng use of Specially Requested Inspections 4000
ourk!ing or pmperty ----_
perfhr
- — Ran bran.angio family dwedk+g 30.00
Imposed use of Greasy Traps - — 9.07
n,dding or prrperty__-_`_—___ — —
QUANTITY TOTAL r,
A
reou appng moving or reciaang any fixtures? res 0 No l:mny a naw diagram u rwvW R Ouruty tar a >9
(if as see back of form) 'SUBTOTAL
acknowledge that I haw read this application,that the irfornanon
is corretx.?tat I am Ire owner or authorized agent of the owner.and S%SURCHARGElants subm?led are incornc-iance with OrtonSlate Laws.ture of 4wnerlAgent Dat PLAN REVIEW 25%OF SUBTOTAL
Reo+xea"1 fhnrsC hNra>_9� TOTAL
anteet Perso Plione
'Minimum permit fee is$25-5%surcharge,except Residential Bacttow
Prevention Device,which is S15•5%surcharge
9(-Vq`7 Pplmapp.doc 1196 (dot)
11�EASE CQ
S A22RO2RIATE-TO PRO-.'E-C
Fixturecapped_, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 211
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
;OMMENTS REGARDING ABOVE:
Pplmapp.doc 11ft (&Q
CITY OF TIGARD MECHANICAL.
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . . MEC96-0348
M 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 10/10./96
PARCE'L.: 2S112CA-09600
SITE ADDRESS. . . : 07456 SW ASHFORD 5-1-
SUBDIVISION. . . . : RENAISSANCE WOODS ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :22
CLASS OF WORK. . :Ai-"r FLOOR TURN. . . . : 0 EVAP CCOLERS: 0
TNIPE OF USE. . . . :SF UNIT HEATERS. . : 17) VENT FENS. . . : 0
OCCUPANCY F-7RP. . : R3 VENTS W/O APPI-: 0 VENT S`eSTEMS: 1,
STOFIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . .. : 0
FUEL 0--3 HP. . . . : 0 DOMES. INCIN: 0
: /GAS/ELC/ 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 PTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS''. . : 30-50 HP,. . . . : 0 WOODSTOVES. . : 0
GAS FIRE*".SGURE. . . : M 50-4- HP. . . . : 0 CL-0 DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. : I
FURN ( 100K BTU: 0 <= 10000 C:fm : 0 GAS OUTLETS. : I
F*!..)RN ) =tOOK BTU- 0 1 10000 cfin : 0
Remarl-(,5 . install my TIPW gas fireplace insert incl.1-iding new piping from meter
Owner: FEES
JAMES type �on a 11 n t by date rec'pt
07458 SW ASHFORD PRMT $ 25. 00 ,.TMH 10/10/96 96-285010
5PCT $ 1. 25 JMH 10/10/96 96-285010
TTCARD OR 97224
Phone #:
Contt-artair-:
LUDEMANS INC
12675 SW CANYON RD
BEAVERTON OR 97005
Phone #: 646-6409 $ 25 TOTAL.
Reg 51469
REO�-11P17i) INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line i n s p
Tigard Municipal Code, State of Ore. Speci.'ty Cortes and all other, Mechanical I n s p
applicable laws. All work will be done in o:cordance pith Final Inspection
approved plans. This permit will expire if work is not started
within ',B@ days of issuance, or if work is suspended for more
i80 days.
Permittee Signature: A/1 A/r ("/1
Issued By : q1,4't
Call for, inspection 639-4I75
Plan Chock# _
CITY OF TIGARD Mechanical Permit Application Recd By_
13125 SW HALL BLVD. Con-Ifn rcial rid Residential 'DateRec'd___
TIGARD, OR 97223 ,y1 Date to P E. lib
503 639-4171, x304 l / Date to DST
Permit# I 1 - V J�
Print or Tye Called
Incomplete or illegible applications_will not be accepted L-
-----�� Name of Deveiopmoni,Pmject _ Description -_�— --
CS140, , v Table 1A Mechanical Code OTY PPiCE AMT
Job Street Address sudss A) Permit Fee -O- 0 10.00
Address A si,( r-A _
eidga� City/State Zip t 8) Supplemental Permit 300
_ I
Name for name of businessi 1 ) Furnace to 100,OCO BTU _6.00
Owlier f .J611 u,- �
_ incl.duds&vents
Mailing Address 2) Furnace 100.000 BTU+ 7.50
�� _ !•�.) �, ( t� { incl.ducts&vents
Cityfstats Zip Phone 3) Floor Furnace 600
t` n incl vent
Nam name of o iness) 4) Suspended healer,wall heater `- 600
r ! or floor mounted heater
Occupant Mailing Address 5 1 Vent not nil in 300
/ A` " ,• appliance permit --
CdyrStste Zi Phone 6) Boder or comp,heat pump,air Gond 600
- .� - N to 3 HP,pbsorp unit to 100K BTU
Nahft 7) Boder or comp,heat pump,air Gond. 11.00
A p„�,t Qin� �,r� _ 3-15 HP;absorp imd to 500K BTU
Contractor Mailing Address 8) Boder or comp,heat pump,air Gond 1500
iC „r 15-30 HP'.absorp and 5-1 and BTU_
Attach copy of Cityistata Zip phone 9.) Boder or comp,heat pump,air Gond 22.50
Current Licenses r - (p� (o +� 0 30-50 HP;absorl,unit 1-1 75 and BTU _
Oregon Conn.Cont.808011 Lies Exp Date 10) Boder or comp,heat pump,air Gond 3750
:; "j('0O '3 >50 HP,absorp unit 1.75 and BTU
COT Business ex or Metro s Exo.Date" 11 ) Air handling unit to d 50
/-17 10.000 CFM
Architect Name 12) Air handiing unit 7 50
_ 10 000 CTM+
or Mailing Address 13) Non portable 4.50
evaporate cooler _
Engineer Cih"StaiePnone- 14) Vent fan cnnnected 300
�_- to a single dud
Descnbe work New O Addition/J, Alteration O Repair O 15) Ventilation system not 450
to be done Residential O Non-residential O incl-ided in appliance permit
Addit!onai Description of work .mow 16) Hood served by mechanical exhaust 450
17) Domestic incinerators _ 750
Existing use of 1L 18) Commercial or industnaltype 3000
budding or property _� f E -lam taE _.. incinerator
19) Repair units 4 50 _
Proposed use of / 20) Woodstov-, 410
building or property_..i � ' C �i i' ,r�
21! Clothes_drver etc. _ 4.50
Type of fuel-oil O natural gasX') LPG O electnc O _ 221 Other units 450
I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 200
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State 241 More than 4-per outlet (each) 50
laws
I
Signature of Owner/Agent Date �V CITY SUBTOTAL
��✓r� 9 'SUBTOTAL
2- �
Contact Person Name Phots 5%SURCHARGE
r H""a z F -PLAN REVIEW 25%OF SUBTOTAL
�'�'^ (�✓ ..,P r .�. 603$- 3.7,-r —
TOTAL
i 1dstlinechpmt.doc (rev 7f98) Pr, 'Minimum permit tee is S25+5%surcharge
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line:639-4175 Business Phone: 639-4171
Rain Drain Cover/Service
Footing Ceiling
Foundation '
Water Line ec
Shear/Sheath Framing ;
post/Beam Mech.
To Out Insulation a
PIbg.UndIFIrlSiab Pibg. p Gyp Bd -Bldg.
PosUBeam Struct. Mech. Rough-in
s Line ApprlSdwlk Reins.
San. Sewer f AV
' t
Other. P.M. E ry:
A.M. -
Date:
Address: — Ste: MST: --- ---
Tenant: BLIP:
_ MEC.
Coniv.wrir PLM:
THE FOLLOWING CORRECTIONS ARE REQELR:
UIREQ: `
a
a.r
POO
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- --
Date/10A.
Inor _411f - CFCO
ROVED DISAPPROVFDICALL FOR REINSP.