InitiallyGood F ,
i
G
y
w
N
J
O
1
CL
(n
r
c�
i
l
i
7613 SW Ashford Street
Ilp 614 1 1 : 17.3 Hud Sc-P p. 3
6 003 16:25-FAX 5035081980 CITY OF TIGARD 4003,1001
Plut bi PerAa►ft ni<)pho ion Haxxived P1umLmL ��
Y of Tl
pert lit 0,:7 - i
Cit and raenx
�
7
13125 SSV 11.11 Blvd. plan Review othn
,rigud t kcgon 97223 thre/Plr: _ pennilN0.
Phone. 503-639-4171 Fax: 503-598 1960 TO1t'►�"e'" sUa
f»1ds�: _ fare No..
Inte-met wv wxi.tigw4onus Conus _ Jury{.: - See['.�2 for
24-hour Imp.:cdon Request: 503-639 a 175 Nsmc/Metta4� pee '<.I Ietormsl�n.
tl4r1 O {w coIIslT bpnQ Fee(aa) ToWdit#on/AROMDO . la M- --t Ot}xt `., ; New I��!Z�Am�Iytd�lclllPxa +
;J,, r,n �y.r�t�bll.�lcan'fwr.cldnTi�.M.bfx7os r..
l➢I�rONSTItTJUM- _ ------ l49 20 -
1 do 2-Family dwell' ColLtunerciol/dnduetrlial SFR(z)�,t�'- _ 350.00
Accu Buildin ~ulti-rami) SFR I} path _ z'9•�+
MasurBuflder Other: Each addrtionil bath/kirchcn 45.00
► Firt w_e spookier sq.R.: Pae l
•w• - 089
__ 16,e40
Lob site address: Catcb baste✓arra drain
Suite*: LIdp�JApt.#: el/lath lineAmCh drain 16-60
Prosect Name: LArlC —.-- Foonn dein no.Imes 1t. Page?
Cross strCCVDiurccti0115 to job site: Manurnewred home utililies 110.00 - -
r/4 fj�l�� `i "1 SW �)ICI� i�Vt°. M ho cs 16.60 ----
IL■in drain toenector I .60
Sanipw ewer(no.liner fit)_ P■ e 2
a e 2
Subdivision _ Lot#, Score s■wcr(no_Ifnear� P
/ water svice no.linear ft. P Z
er
_'- Col
,. .;r• 'j�ID 10N' U w0 K ..r,�,, a j, Abso icnv■lve 1650
_ AackJlew pnvwter pay 2
I3-Ac kwtter varve 16.60
- - Clathcs wisher 16.450
- - - -- Dishwasher _ �- 1660
___ _ Annkln�fouunin
U •27"1".la�1T4FJI1rr :''"''' t�ta16 60
T.,�AN� r;his1660Po _
-
Name' GiGSTt:I'J °x-msion tank 16.60 _
Ad&css: 1114 HS'NiO� T F►uu►daew'er cap 1660
.,5 W -- -- - --- ---
_ �•It?ordtaitNtloor61n1u_hub _ t6.60 .- _ _-.,-
Cl �StatG+rzl �]�
� -16.60
__ ..._ P: 3 Garb■te d4po al
Phone: 15 - l' Fax: How bib �-
p .'CON A RF is`: Ice mltker - - 16.60
Name: S G_ 11"noor/rea
� 1le trap - Ib,60 _-
Address / Wilcal as-value. S Pore 2
Primer 16.68
/S cm _ - Lf__ Rc>ctdrain crnmnctcl■1) _ _ 16.6o
Phone 1¢ _Fax: 3-�1 sinw">�sirvlwnory -- --- 16.60
F.-t17a4� rgofn Tubhhnwer%drower.20 16.60
* y., !' ';. Urinal 16.60 _
na water C)OKI 10.60 _
Business Name: ���[�'_D `� - water fiesta 16.60
X85: lud�- 7h":
/State/Zi �.?Q� afar:
Pi iegfllt w:�-r:sr ,.
f?hOnC• - _ � ��?;�-.:i►+}t;•;:ti',: arise '.:.•
MI
CCB Lic. Minimum Pcr•tut Fer$7 LS
Y. P2S
Aulnnrixee Residential Backflow Minimu,n Fee 536.25 --_!-
Signatute' -'�_� tate: )r-! in Review 5Ya or Partut Fee S
Stlte Bracht a �Yi of Pem+h Yee -
trleue print norm) TOTAL PERMIT FIEF.
?4*d,: niq permit p"A:ad"eapirea ir■pmrrrtil is nom.bt■ised-ithia All sew toMmOrai■1 6u:mp rb.ir.2 amts of pans with i►ewme+le er
ts■days.tt-It Aar bee+ W$rVM d Y morplemt• rlan diarrmns per pt—rear+•
ve*melb6do my sem syTriC.aemy BdUdl.a lndealr►S—itm 60sud•
r`,IkAVmeNtF'nrrnt�plfrirertnirAppd* AI,n7
\� CITY OF T I GA R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2004-00165
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/19/2004
SITE ADDRESS: 07633 SW ASHFORD ST
PARCEL: 2S1 12CA-1 1000
SUBDIVISION: RENAISSANCE WOODS ZONING: R-4.5
BLOCK: LOT: 036 JURISDICTION: TiG
CLASS OF WORK: OTR GARBAGE DISPOSALS: M013I1.-E HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HFATF-RS: CATCH BASINS:
_ FIXTURES LAUNDR'; TRAYS: SF RAIN DRAINS:
SINKS: URINA!,-S: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Backflow prevention device for irrigation.
Owner: �—'---- � FEES ----
Description Date Amount
LANCASTER –
7633 SW ASHFORD ST II'LUMI11 1'c1111it Fee 4/19/2004 $36.25
TIGARD, OR 97224 (TAXI 8 SIaUc Surchurl 4/19/2004 $2.90
Total $39.15
Phone : 503-598-8061) ------._--- -- ---_�.��_
Contractor:
GROWC(-) LANDSCAPING
KEITHKEITH M SSE
164 HARDIAG BLVD REQUIRED INSPECTIONS
OREGON CITY, OR 97045
Phone RP/Backflow Preventer
Final Inspection
Reg#: LIC 6895
I'LP-4 ALL III IASES& BA
This permit is issued subject to the regulation,, contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans This permit will expire if work is riot 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
952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)
Is ued By: Permittee Signature: –
\ Call (503)439-4175 by 7:00 P.M. for an inspection needed the next business clay
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST _
INSPE(. TION DIVISION Business Line: (503) 639-4171 BUIP
Received _ _-- --Date Requeste O AM__- _- PM - BLIP
Location --Suite___- MEC
Contact Person Ph(_--) � �'S�S PLM -UU/(P
Contractor _..—_ __- Ph( _-) SWR �—
BUILDING Tenant/Owner —_ —_ ELC
Footing EIC -
Foundation Access:
Ftg Drain E.LR
Crawl Drain - ---
Slab Inspection Notes: SIT - —
Post&Beam - -- - ---- ----
Shear Anchors -
Ext Sheath/Shear - -
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- --�-- - - ti - -
Firewall _
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Other:.`
Final
PASS PARTFAIL -
PLUMBING -_ -_ —
Post&Beam
Under Slab
Rough-In �✓ 3 Sm S ,� Cf �-
Water Service -- -
Sanitary Sewer
Rain Drains —� --" ---_---- --
Catch Basin/Manhole
Storm Drain -- - `-- . _ --------- —_�Y
Shower Pan
PASS ARS FAIL -
MECHANX41L —
Post& Beam
Rough-In -- - - — --- -'
Gas Line
Smoke Dampers - - - - -- -- —
Final
PASS PART FAIL — _-� — --- --
ELECTRICAL
Service _ -
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
Final Reinspection fee of$-_.__ _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS FART FAIL
SITE E] Please call for reinspection Unable to inspect-no access
Fire Supply Line
ADA Ext
Appro:.ch/Sidewalk Date v _____.._ InspeCt�Rr_ ��k- 4L�--- —_ -_
OthoOth�,r . ---------
DO NOT REMOVE this Irrspectlon record from the Job site.
LASS PART FAIL
C'TY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00190
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/15/03
SITE ADDRESS: 07633 SW ASHFORD ST PARCEL: 2S112CA-11000
SUBDIVISION: RENAISSANCE WOODS
BLOCK: ZONING: R-4.5
LOT: 036 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: � EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: 1 VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
LF'G 3 - 15 HP:
MAX INPUT: BTU15 - 30 HP: COMML. INCIN:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR IIANDL.NG UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas Iurnace, update flue for furnaace and water heater.
Owner:
FEES
CARL WELANDER Description Jate
7633 SW ASHFORD ST Amount
TIGARD, OR 97224 IMECH] Permit Fee 4/15/03 $72.50 _
TAX]8%StateTax 4/15/03 $5.80
Phone: 503-598-1055 Total $78.30
Contractor:
A-TEMP HEATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS _
Phone: 503-650-9602 Mechanical Insp `
Heating Unt Insp
Reg#: LIC 71878 Final Inspection
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 952-001-00
Issued By: LL16'd—,�� c.�_ L 1 Permittee Signature: �.
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
lJ� _
ICE USE ONLV
M,echanic.d Permit Y%oplication le ,.,<<.,I Q � Mechanical
I,.,ic;Il 5 (J' N 11--rmitNo.:i) k:C400,-C'/J19b
l-t�'� �O Himning Approval Building
City Of Tigard Date/By -- Permit No:
13125 SW flail Blvd, Plan Review other
Tigard,Oregon 97223 Dat% Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/Il Case No.:
Internet: www.ci.ti ard.or.us --c---_--_.�.___
g Contact loris: See Page 2 for
24-hour Inspection Requesi: 503-639-4175 Namc/McihoJ _ _ Sup�demeolrl Inforruallon.
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
New construction _ Demolition Mechanical permit fees•are based on the total value of the work
Addition/alteratlUn/re laeemenl Other performed. Indicate die value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mcchaniral materials,equipment,labor,overhead and profit.
0- & 2-Family dwellin Commercial/Industrial Value: s See Page 2 for Fee Schedule
Accessory Building _ Multi-Fames _RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE
Master Builder Other: -�Descriptiont Fee ea. total
_ Ileatln Coolli,
JOB SITE INFORMATION and LOCATION _ •Furnace- d-on air conditioning"- 14.00 _
Job site address:_1(,0 33 5 LA �— r _— at pun _ 14.00
Suite#: 0 1 Bld r./A tfi: Duct work _A _ 14.00
Pro•ect Nanic: _Ildy ronic,hot water system ^_ 14.00
- ------- - -------- -- -- Residential boiler
Cross street/Directions to job site: for radiator or h dronic system) 14.00
t)nit healers(fuel,not electric)
in wall,in-duct suspended,etc) 14.00
Flue/vent Lfor any of above 10.00
----
Subdivision: Repair units 12.15
L�tl��_ _-. _ Other Fuel A Ilanca
Tax map/parrel #:— _ _ Water hcnlcr _ 10.00
ESCRIPTION OF WORK ;las fircpl 10.00 }
• - 0 Flue van water he / as Etre lace 10.00f%4 1 TU -
I r us 10.00
-- - Wood/Pellet stove 10.00
-�.�--- ------------_____-_- - _ — Wood fircElacc/insert 10.00
_ Chimne /ltncoflue/_vent IO.UO
ROPERTY OWNER -�Q T'FNANT _ Other: - — — 10.00
Environmental Exhaust&Ventilation
r-4- - -r - Range hood/other kitchen equipment 10.00
Address: 1,a3 Sud _ - st -
Cit State/hp:--t Clothes dryer exhaust - 10.00
Y �' Q- -�-` L Single duct exhaust
Phone: '501 10_5 Cax: (bathrootm,toilet compartments,
APP CANT D CONTACT PERSON utility rooms _ 6.80
Attic/crawl space fans _ _ 10.00
Address: -i Otter: _--_ 10.00
---.----_--- _ Fuel Piping — —_
City/State/Zip: _ T **CS5.40 for first 4,SI.00 each odditlonal
-
Furnace cmc ••
Phone: _— -I- —__ —_ _ ..
(les heat pump
E-mail: _ Wall/sus ended/unit heater ••
CONTRACTOR_ Water heater ••
Business Name' ,' e, {-t,1 01_� V
_ _fireplace __ _ '•
Address:\1Q 54 vl "� Range "
�--- /` fill •'
Citi/State/Zip;- Jo �,C�,�nr�C4--5 5_--- ••
_ l'lothe-d�cr as ,
Pl ��a�o cL � L C)ther
CCB Lic. 9: -11�f6lj - - ___ Total: _
---- --- Mechanical Permit Fees*
Author0c
Signature: V� t --------- Subtotal: S
_ _ Minimum Permit Fee$72.50 S
�t 1 ,n n�- �-•- - Plan Review Fee 25%of Perniit Fee S
L - -(Please print name) State Surcharge 8°:of Permit Fee S
TOTAL PERMIT_F_FF S �
Notice: 7 his permit application expires if a permit is not obtained Nilhin 'Fee methodology set by Tri-County Building Industry Service Board.
190 days after It has been accepted as complete **Site plan required for exterior A/C units.
i'DsIsV4rmi1 FnrnttlMecl'crnutApp dux 01 i,:t
FOR
OFFICE USE
Mechanical Permit Application '
_— Kc.cn cel Ibt l't.ILII It a;
Ualc/uy. Permit Nu.:
L,It Of Tigard Planning Approval Building
�' Dale/By: Permit No.:
13125 SW Ilall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/0y: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use
Date/IIy Case No.:
Internet: www.ci.tigard.or.us
Contact luris.: see Page:for
24-hour Inspection Request: 503-639-4175 iJenx/Mclhad: Supplemental Information.
TYPE OF WORK COMMERCIAL FEE'SCHEDULE-USE CHECKLIST
New construction _H )emUlttion Mechanical permit fees*are based on the total value of the work
—
Add ition/alteration/replecement I Other: perforated. Indicate the value(rounded to the nearest dollar)of A
CATEGORY OF CONSTRUCTION_ mechanical materials,equipment, labor,overhead and profit.
I &2-Family dwelling n Commercial/Industrial_ Value: S_ - See Page 2 for Fee Schedule
_Accesso Building Multi-Famil RESIDENTIAL.EQUIPMENT/SYSTEMS FF.E", SCHEDULE.
rY B- Y- --- Descripllon Qt y Fee(a.) Total
Master Builder 011ier: Ileaun Cooun
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning"• 14.00
Job site address: _ _ _ Gas heat ,um 14.00
Suite#: — �I31dg./Apt•t1_ Duct work _ 1400
Project Name: I! tunic hot water system _ 14.00 -
Cross street/Directions to job site: Residential boiler
J for radiator or h dronic system) 14.00
Unit heaters(rucl,not electric)
in wall,in-duct,suspended etc. 14.00
Flue/vent for any of above 10.00 —
Subdivision: Lot III: Repair units 12.15
- ------ - Other Fuel Appliances _
Tax ma / arcel Il: Water healer v 10.00
DESCRIPTION OF WORK - -_ - Gas fireplace 10.00
I lue vent(water heater/ as fireplace) 10.00
_Lo _!Ihter(gas) 10.00 _
--- - Wood/Pellet stove 10.00
Wood fircglace/insert 10.00
c•hinuteylliner/Ilue/venl I0.00 —
PROPERTY OWNER —��TENANT- other: 10.00
Name: Environmental Exhaust&Ventilation
- ---- --- -- - - Range hood/other kitchen equipment 10.00
Address: _ _ _ - —
Clt /State/7.i ^- Clothes dryer exhaust - 10.00
---------- — - --- Single duct exhaust
Phone: Fax: (bathrooms,toilet compartments,
APPLICANT CONTACT 11F;RSON utility rooms _ 6.80
Nance: A(lic/crawl space fans _ 10.00
- ----- Other: - — 10.00
_Address: --- - Fuel Pining _
City/State/Zip: T "(S5./0 for first 4,$1.00 each additional)
Phone: Fax: Furna«,C(C to
___----. — _ __-.. Gas heat puttp_ _ 1 ••
E-mail: Well/suspended/unit heater ••
rnwmaAr-mna ..,.....t _.._ .•
4g
1 At
CITY OF TIGiARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST _
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
Received ._ __-_ Date Requested—_. � AM_ " PF-A - - -- BLIP
SUIt@-- ��� --
Location - _�� ��--
- -- MEC
Contact Person Ph PLM
( __) - ---- -
Contractor ._-- —__ - SWR
Tenant/Owner _�� �� -- -
� ELC
BUILDING -"� --
Footing —
_ ELC ----
Foundation Access: ELR —.
Ftg Drain urL MId- t- --
Crawl Drain ` / SIT
Slab Inspection Notes: ZOY - -
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -
Framing - - —
Insulation
Drywall Nailing - -
Firewall -_-
Fire Sprinkler ---
Fire Alarm - -
Susp'd Ceiling
Roof --- -
Other:
Final -
PASS PART FAIL
PLUMBING _ — --
Post&Beam
Under Slab
Rough-In
Water Service -- ---- -- - _
Sanitary Sewer
Rain Drains Jv
Catch Basin/Manhole -.
Storm Drain -
Shower Pan -
Other:
Final
PASS PART FAIL
ANICA
Rough-In - -- - --
Gas Line
Smoke Dampers --- - -- —.._ -
inal --_ ------
S PART FAIL
RICAL -- �-
Service
Rough-In � -_ _-�—_---_ -� -------- -
UG/Slab
Low'✓oltage — - -- _.----a-- - -
Fire Alarm
Final ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL f-�
pA Lj Please call for reinspection RE:� --__- ___- --.. LJ Unable to inspect--no access
Fire Supply Line
1.2ADA ��`DateInspector r ( � z-) Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL