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;� 12235 SW ALBERTA AVE. -
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 f siness Line: 639-4171
BUR
Date Requested��- � ���---AMPM BLD ---
Location 3s - - Q�fiGs� _ Suite Ci �lJ7��f 3(
Contact Persr., r."- ;ti �f 'Y�4 K-� Ph 5Q6)- t 9'7 F'LM _
Contractor.— —_— __— Ph SWR —_
BUILDING 'Tenant/Owner ELC -----
Retaining Wall _—_ ----- ELR
Fooling Access: �, — -
Founddtiun �`-�` u" G � �"��'a- L_Q" FPS
Fig Drain _
Crawl Drain Inspection Notes: SGN ----
Slab _._ ---------- -- ---- - SIT
Post&Bearn -
Ert Sheath/Sheaf _—
In'Sheath/Shear
F aming ��
Insulation
-LT
Drywall Nailing
Firewall
Fire Sprinkler
Fig s Alarm
Susp'd Ceiling
Roof
Misc: -- — --- ----- ----- — _ __——___ -----
Final
PASS PART FAIL ---------- —.---- -- —-------- — —
PLUMBING
Post 8 Seam --------- ---- ---- — --------- ------
I Inder Slab
TopOut -- ------ ------ - --- ---- ---------
Water Servi^e
Sanitary Sevier ----------------.___- ______-.
Rain Drains
---- --------------------------
Final ---------- —
PASS PART FAIL
Es�l GHANI
Post& Beam -- _._.-- _—_---- __.-----------__-- —- _---- _
oig�
GasLine -- .—._.—.__— — — --- -- ------- ----- ------ - ---- --- --
r�a Damp,.rs
(PASS, PART FAIL
�.T R—' ' ------ -- ------- -----
Sei vice
Rough In
UG/Slab _ --------._-- _--..------ -- —
I.ow Voltage
Fire Alarm _ --_— -- --._-_--_----- _ - _— _
Final
PASS PART FAILSITE
Backfill/Grading ----------_— ------�--.— -- -----—
Sanitary Sewer
Storm Drain I )Reinspection fee of$ — ----required before next inspection. Pay at City Hall, 13125 SVJ Hall Blvd
Catch Basin ( I Please Cali for reinspection RE ( ]Unahle to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk 7 )�_ .r 1 1
Other I Date
(
1 G Z '� - Inspector___ l��� Ext —_—
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
` CITY OF TIGARD __ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00431
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/13/1999
PARCEL: 2S 103BC-02100
SITE ADDRESS: 12235 SW ALBERTA AV1=
SUBDIVISION: CANOGA PARK ZONING: R-4.5
BLOCK: LOT: 005 JURISDIrTION: URB
CLASS OV WORK: ALT F=LOOR F=URN: EVAP CCOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY CRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYF`ES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURIN < 100K F3TU: 1 AIR HANDLING UNITS
FURN >=100K 3TU: <= 10000 cfm: OR UNITS:
GAASS OUTLETS:
> 10000 cfm: TL'tTS:
Remarmt- replace natural gas furnace.
Owner: _ _ — —__F_EES v�
SITZMAN, DEANE D/ANNA L Type By Date Amount �Receipt
12235 SVt/ ALBERT ST 5PC2 KJP 10/13/19f $4.0) 99-319037
TIGARD, OR 97223 PRM4 KJP 10/13119 $50.00 99-319037
Phone: _ Total — —- �. :.,,".0__ V-
Contractor:
CLIMATE CONTROL INC
3115 NW 26TH AVE
PORTLAND, OR 97210 REQUIRED INSPECTIONS
Heating Un! Insp _
Phone:223-4393 Final Inspection
Reg #:LIC 62196
ORIGINAL
This permit is issued subject to the regulations contained in thc! Tigard Municipal ;;ode, 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 fog more than 180 days. ATTENTION: Oregon law
requires you to foll)w rules adopted In the Oregon UNity Notifica'on Center. Those rules are set forth in OAR
952-001-001'0 throt, h OAR x,-12.001-0080 You may obtain a)pies of these rules or direct questions to OUNC by
cailing (5031/246-9181
Issue By: 1AJ_ L'� t 1 t, .?1 Permittee Signdture•
Call (603)639-4175 by 7:00 P.M. for inspections needed the next business. Jay
()6 0.1'00 11'd i J 68 1 7207
RECEIVEDCITYOF TIGARD
CITY OF TIGARD Z002"002
13125 SW HALL BLQb_- .1 Mechanical PermitApplicNrjWj�1r-rZ PlainCheck 0
TIGARD, OR 97223 f 5 199.E COmmercial anal Residential Rr:cdBy
(503) 6:39-4171, k�IiNITY DEVELOPMF.N1 ( ( � OCT Date Rec'd_,—
netetoP,E.
Print or Type Date to DST
Incomplote or ill®gible la pllcatlons WOMnUoNtlbe accepted Parmita 17�L_ 00Y31
Name a tlel�bvminpr1 Called
Job sneer Aeerpe 1 rA)_rWr_1ft
bla 1A Mechanical Godo-
"—" Q Price
Adc1►e�e r Fee ----- -- ._.eb� Fumaato 100,0170 Dili- 1fL00
tab Induding ducts 6 ve�ne
z) Fumer--v sec h otrrore I:2
o0,00e t�rti. 7T
(crnerra y, t- lndudt,p duan d vents y1c+utrt � Z
-� 1,2 —
Omer 3) f kxrr Fumarn_ --- e.---_ : 1ZUt
Indu(Ot!tvent o_c�e�fuorr,b, I.1 -
4) Suaper heater•will hastar 8.65
I L L•�': ,r -, r or 11arx mounted heufer
crtyiatare � Z�fc_ - see r^ytn��y;2 _.._.
5 Vent not in�1n ap U,n�oe�h p.rti
3 �rlpe l Castle+i that apply '13niMr Has! jl,p
74 testis c 10,see
(ar nea�,Mareq f1MOlOUrfi 1 Z Comp Pwv Cond MY Price Amt
CJ1�
Occupant . . l7F Glr�e _ B) IH'';absorb unit to -
100;E11t•�
I J2 3 s Ste, f�`�C!111 7)°iN ty�,•ebsvrb unit O.a6
city/rw'e 100k io 5mk BTU
?V111billoro 17.BtS
Contractor N s y �f 1 ZL 3 S`10-I 7q nh !}t Mill BTU _ --
P1 30.50 NP;ah�n_4 ?.4.15
Prior to Demth e '' �►��CY �` unft-1-1.75 mil[ITU -
reeuenc*.a +eased 1 ) � 9bomb unR
�oDY \r 'red X1.78 mil BT11 .
W all Ifoencea l:Ilyreyae 11 Atr hhandling unit to 10,(j00 C M 60.16
are required K
expired In COT Oarrl sic Mwie Lk, \\` 2 tJ 12)Aft handing used 100 (00A ',FLi-- 7,00
Arch"ect roma"" - l" �' ' i3)Mon or eVe'o ---- 11.711 _
� Prete cooler
or Maning d'e s te)Vent fen corrnectod to a uln'pMa duci�" — 7.00
Engineerrtyr 19)Van Will nn item not indu(jld Irt - - 4.75
zip ne a liencs�errr,h
16)Hood seryed f>y mac�tanles��xhawj- 7.00
fkrcrilre work to be dant� _`---••---�
17•)Don+r»tic tncineretorn _- -- - 7.00
New a' Repslr O Replace with like kind Y s U No O
Rsekfential O
Commercial O 18)Cammarc�al ni induatriil poll 11.00
rotor
Addl80n U k+Fomrotlon or vro►1[ - 1 g)Repilr unha 48.20
�� C [ �
"t ,, ZO)Wood stove%pas Mother unha/dothe dryerlste 8.40
NOTE: n c%I Moil", only,Unita over 400 Ibr require 21
_ atnwtu%1086 calp. )Gn r<piping one to four outhtS
Type'f Nei oil O natural peg P CP(i O--e bee Athan e 1
krd►le O 1 21►More thon_i�►�see _ 3.78
I hereby edcnowlaHM that I have rang tnie a INinNnum t'imnlf FN$60.1)0 .7
gkmn la cotter!,Nrat 1 am die Dpikalion,that the hrfvnnation --- 3U TOT L
owner or autttatrer7 spent of -_- __--5%su
thN Owner et rAanv suhir`iW bompllenu:with
� '� are in Oregon Stale Jews. Pf.AN REVIEW 26%OF 8UBTOTAI. '
Si netrm of a._. Required for ALL commerelel
Sig "� 1wrtMAewrt-._._-_-_ Cur r, t. --- --.--.--- ?mmkt on
Dr, TOT,1t_
Conbct n m
Nae Other Inspections and Fees
OM t fnspal-Inns cKnide.of Morena)business hours(mininurn aha
hovre) $50.00 per hour r9e tura
Feunobs for carnmen!♦I 7 Irospectiorrs for which no fiM is apecitirelly indicated (minimum
1. Ptovas 1VIf sri+t+mis c I�)WU only: -- - - - cltargn-'calf hour) SSn.DO per hour
U Of avlsthur and Propoved pen line and 0' Addftlonel plan review►egwned i`Y chanpetr,addition%or revisions 1,
2. Provide drawings to soap showirr8 exixhng and ryopnsrvff qi Faure plans(m,nimum chs
1k7 l ►Btone•halt hour)$50.00 Per hour
-- -•---__J 'fifate t;pnylgor Boller+,;Prtfi�ttion
1' t lrpwrm one rev 02M/90 requfnrf
"RM:iuvg0al,%C requires sqe plan showing plac:emenf of and
CITY OF TIGARD ___ PLUP,IBING PERMIT _
DEVELOPMENT SERVICES PERMIT #: PLM2002-01001
13125 SW Hall Blvd., Tigard, OR 97223 (503) 63:14171 DATE ISSUED: 9/19/02
BITE ADDRESS: 12235 SW ALBERTA AVE PARCEL: 2S103=3C-02100
SUBDIVISION: CANOGA PARK ZONING: R-4.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: UR114ALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 30 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replace 30'of water service.
---- --- FEES
Owner: — —�
"- -- - Type By Date Amount Receipt
SITZ12233 AN,SW DEANEALBER D/ANNA.L PRMT C rR 9/19/02 $72.50 27200200000
12235 SW ALBERT ST
TiGARD, OR 97223 5PCT CTR 9/19/02 $5.80 27200200000
.a
Total $78.30
Phone 1:
Contractor:
REX WALKER PLUMBING CO
2038 NE ALBERTA
PORTLAND,OR 97211
REQUIRED INSPECTIONS
Phone 1: 288-5593 Water Service Insp
Reg#: LIC 48603 F'nal Inspection
PLM 26-82PB
This permit is issued subject to the regulations 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 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 OUNC by calling (503) 246.1987.
12
Issu�d By: di I
)1 Permittee .signature: v---
__
Call(503)604175 by 7:00 P.M. for an inspection needed the next business day
III/;100Z U64 IAA .,v.IJ`1 1;4uu 1111 Vt A1bAnL etyvu,c
Building Fixtures
Plumbing erwitjwplication
.. - Wase received % �� Gy. hcmit no., 4 v
City of Tigard S '� Boild'm
Address: 13125 SW Hall Blvd Tigard,OR 9722-3 PMjeaVappt re.* date:
Cltyof 718ard ptione (503)63h:41'11
Fax. (5o3) 598-1960 Data iWani
t.esa iilo oto.: Pay+*, type:
IAnd use approval:
ommerriaYmdustria; Q Multi-f,tnlily O Tenant improvement
1 1 family dwelling or ace?ssot y
O Now oonahvotion U AdditionAlteration/replacenwnt U.Food service O Othe: -
Pes.xiption Faa ea. xoW
rob address: ^11 �-3 S bJ''Awl�b�r 0._ e..i=wr3 a iy i*p
B14.no.'. __1. ----- (iadudrs loo(t.doremb amity commadM ) i
Tax M _ _lotcaccount no.: SFR i;bath _ _
Lot Block: Subdfvia,. 2 aUhh- --
'aainame:_ y wv� bath --
Ci I cc ✓ m': Y y� a .tttttu► uWkitd►sn
Uramiption'WA locadon of work an'ptem ies;
fi /_ Site trtiiltiaa:
-,Nc�, I, Catch basin/stea drain
e-.' -- —
r n Q
e(L1/leaoh lintTuttach
Est coni letion/' on: pow �n(ao.lia�)
M_alu�ared lmme utili!its _-
7 -
Conftw*oes
as ntunc: t , - Min►moo a1�s y� _ --
ss: = L�c.� l .e Ratnr�s�n connector
(Cl Sate: 0 ZU ew��°o.lin ,�M
form sewer tw.1Te _
Pax: Z �.•no.: Plumb.bus. .no: eoFixtm aT item:
emo Itc.no.; si e: J ack flVreventer�
Print ttama: 1, ` -D'1_ ack raw valve
ev
4own
�v� S ZIP: sewer cat,rint): l,e�f l' V14. v- o'or diains�l«x sib
Mailioj atidreea: .� ct we -
CO.. e l/'t. State: G`k 7.IP. Ice trail err _
Phone'�w,r iia 7 Fax: Email: ntetme % --
f)wner kmUarott/rosidettial maitNcwff c= only- The wwal installation s
will be made',y tae at the maintetwee and tapair aoade by my regular Ttot1 drain wtamerei1d
employee a,.for ptnl►"I own as px OILS Chapter M7. S�a bsa10 a lave
u e�
a
Name:
Addr-s eta
-- state: - J 71 _
Phone �F.,c: �n►�i1: T
-_--_ --�-- -- --- Minimvmfee �.--
trae eJl W+frdDeir+��ae:ape ," arM.rtrsse erlt prlWW.e it,.mirr Waer►v,na Nom. -no, mit w0iostioe Plan review(at %) S_�----
0 vee ❑M&ONCeud circ9 if a petmk it eot otxeined
t. .on
,ae:e ossa ws,.c• _�.— __ ..___.._.�__ __J 1 ..- within af
n 1!0 rer u hos'� State suraha ve
�'`'°' satepted as cowl kte. TOTAL........._.............s
s .a ow tarooa:o►r,
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