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13455 SW CRESMER nR
CITY OF TIGRRD BUILDING INSPECTION DIVISION
24••Hour Inspection Line: 639-0175 Business Line: 639-4171 MST
C
Date Requested _ O 1 AM - BUP
BLD
r I
Location
Suite MEC
Contact Pelson Ph ',
._ _ �p� �--c_.� �-vim 3 3
Contractor _ Ph SWR
BUILDING -� Tel,ant/Owner ELC
Retaining Wali V ELR -
Foming Access: _--
Foundation FPS
Ftg Drain - ----- -
Crawl Dain Inspection Nates: SGN
Slab ----,-----
Post&Beam -- ------- ----- - _ _-_-.-_------ - SIT _�---
Ext Sheath/Shear -
Int ShAath/Shear --- -- _
Framing �-R �� Ct,
Insulation ----�
Drywall Nailing - --, -- --- -
Firewall ----- -- - -- —
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -_
Roof
Misc _
Final
PASS !TART FAIL -- _
PLUMBING --
Post B Beam
Under Slab
Top Out --- - - - .. ---- -
tii��'
Sanitary Sewer _ -----.-
Rain Drains
SS ART FAIL
ICAL _ --
Post& Beam
Rough In
Gas Line --
Smoke Dampers
Final _
PASS PART FAIL ^+ -
ELECTRICAL ------- — -.-
Service
Rough In - - --- ----
UG/Slab
Low Voltage -
Fire Alarm _! _
Final -
PASS PART FAIL
SITE
Backfill/Grading -------- -- -. _._
Sanitary Sewer
Storm Drain [ ) Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 S\V Hall Blvd
Catch Basin
Fire Supply Line ( j Please call for reinspection RE. — _ [ j Unable to inspect-no access
ADA
Approach/Sidewalk ate 2 s n ,t /
Other f
_ �- InspectInr / L _Ext
Final
PAss PART FAIL DO NOT REMOVE this inspection record from the jot, site.
BUP - Building Permit ELC - Electrical Permit
Ins ection Descri tion Date Passed B
Footin /Setback 4, Inspection Description Date Passed B
Foundation walls e
Undrground cover
Footin drain— Wall cover — --
Waterproof osmt walls --- - Ceiling cover ---- -
Slab I Electrical tough-in
Crawl drain Electrical service
Underfloor insulation _- Electrical final
Post/beam structural
Shear walls/anchors -
Roof nailin ELR - Restricted Ener Perinit
Firewall Ins ction D�icri tion Date Pa,isedNB
Tilt-up panel Low voltage
Masonr /Reinforcement Electrical final _
Framing —
MFG-Structure set-u
Insulation MEC - Mechanical Permit
Drywall nailing Ins ction Descri tionDatePassed B
Sus tided ceiling Post/beam mechanical
En ineered soils _ Gas line
Welding Lab Final — Mechanical rough-in i —
Concrete Lab Final— Fire damper
Bolting Lab Final Duct work
Structural observation Smoke detector----
Fire roofing
etectorFireproofing Lab Final Mechanical final_ —
Final inspection
PLM - Plumbing Permit
BUP— Fire Protection S stem Permit Inspection Description Date Passed By
Ins coon Descri tion Date Passed B 1 in underslab
S
in ler underfloor/slab — �'raW,; drain
Sprinkler rou h-in_ Post beam plumbing
S rinkler final Plumbing top-out
Fire alarm final RP/backflo-w reventer
Rain drain
Storm drain
SIT- Site Permit Water service
inspection Description Date Passed B Sanaa sewer —
hbotin s Culvert/catch basin _
Foundation walls - Pum /fill septic tank
Sprinkler supply lines Plumbing final
S rinkler underfloor/slab -
Catch basin/Manhole
En ineered soils SWR - Sewer Permit
E _
Eg�ineeri ecce tance Ins ection Description Date Passed B
Final ins ection Sanitar sewer
— Final ins tion --
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, "IT Permits
iadstsVotms\In9PRecordBUP doc 0,07/0I
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00383
13125 SAl Hall Blvd.,Tigard, OR 91::23 (503) 6394171 DATE ISSUED: 8114101
SITE ADDRESS: 13455 SW CRESMER DR PARCEL: 2S102CC-00306
SUBDIVISION: CRESMER HILLS ZONING: R-4.5
BLOCK: LOT: 005 JURISDICT!ON7 TIG
CLASS OF WORK: ALT 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: URINALS: GREASE TRAPS:
(-AVATORIES: OTHEF. FIXTURES:
TUBISHOWERS: SEWER LINE.: 125 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Inst: lahon of 125 ft. water sorvice.
--- ----------- EKES � —
Owner: _- - — --
_ — Type By Oate Amount Receipt
2UE
1262 SF ALDER PRI, T CTR 8/14/01 $101.40 27200100000
126
PORTLAND, OR +7233 5PC:T CTR 8114101 $8.11 27200100000
+ 1
Total $109.51
Phone 1: 503-672-
Contractor:
AQUA PLUM3ING SERVICES
5769 SE 117TH
PORTLAND, OR 97266
REQUIRED INSPECTION"
Phone 1: 503-760-6818 Water Line Insp
Reg#: Final Inspection
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 ;s suspended for mor
than 180 days ATTENTION: Oregon law requires you to follow rules adapted by the Oregon Utility
Notification Center. Those riles are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copias of these rules or direct questions to OUNC oy calling (503) 246-1987. yj
Issued By: 1k�lr :' l�L /'11�f�v Permittee Signature:/ s li -
'Gall (503) 639-4175 by 7:04 P.M.for an inspection needed thext busl, s e,:V
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00383
13125 SW Hail Blvd., Tigard, OR 97223 (503) 63:f-4171 DATE ISSUED: 8/14/01
SITE ADDRESS: 13455 SW CRESMER DR PARCEL: 2S102CC-00306
SUBDIVISION: CRESMER HILLS ZONING: R-4.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE 1.JME 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: URINALS: GREASE TRAPS:
LAVATORIES: JTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: 1^_5 ft
WATER CLOSET'S: WATEI< LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of 12.5 ft, water se vice.
FEES ------
Owner: —
`
HAAGUQUE - Type By Date Amount ' Receipt
----- ----
1262 SE ALDER PRMT CTR 8/1'./01 $101.40 27200100000
PORTLAND, OR +7233 5PCT CTR 8/14/01 $8.11 27200100000
Total $109.51
Phone 1: 503-672- —
Contractor:
AQUA PLUMBING SERVICES
5769 SE 1 17TH
PORTLAND, OR 97266 REQUIRED INSPECTIONS
Phone 1: 503-760-6818 Water Line InspFinal Inspection
Reg#:
This permit is issued subject to the regulations contained in the Tigard Mur, al Co0e, State of OR.
Specialty Codes and all other applicable laws. All work will be done in a ante with approved plans.
This permitwill expire if work is not started within 180 da;s of issu:3nce, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires %fQu to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC b' ^alling (503) 246-1987.
Issued By: r Z -c L ,C Permittee Signature: ' (�
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the xt busipAs day
Plumbing Permit App ' tick)
�l! Datereceived: Pecmitno��(,J� ) 'OU3$�j
City of Tigard t� Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard. 7123
:ryoj7igard Project/appl.no.:(503) 639-4171 dappl no'_ Expire date:
Fax: (503)598-1960 Date issued: By: Receipt no.:
Land use approval: _ Case file no: Paymcnttype: _
* 1 &2 family dwelling or accessory U Commercial industrial 0 Mul,i-family U Tenant improvement
0 New construction ❑Addition/alteration/replacement Q Food service U Ocher:
Job address: / Description Qty. Fee(ea.) Total
Bldg.no.: Suite no.: New I-and 2-family dwellings only:
(includes 100 ft.for each utility connect)an)
Tax Iot/accout:t no.: — SFR(1)bath
l ot: B_lock: Subdivisiox SFR(2)bath
Project name: — SFR(3)bath
City/county: v ZIP: ej Each additional bath/kitchen
Description an ovation of work ou premises: 91tprM:dtles:
_ Catcl:basinlarea drain
Est.date of completion/inspr.ciion: Dry wells/leach line/trench drain
�.►- Footing drain(no.lin.ft.)
Manufactured home utilities
Business name: Z J Manholes
Address: / ? Rain drain connector
City: d Sta dry I ZIP: ?_ Sanitary sewer(no.lin.ft.)
Phone: x: F.-mail: itorm sewer(n;i.lin.ft.)
CC.B nn.: � Plumb.bus.reg.no: Fater service(no.Tn.tt..)
Fla lure or Item:
City/metro lie.no.: � r
Abst >�c valve
Contractor's to resentative signature: ✓ Back►low preventer _
Printname: Backwater valve _
Basins/lavatory
Name: Clothes washer
Dishwasher _
Address: �_ /' Drinkingfountain(9j _—
City: n State: ZIP: Ejectors/sump —
Phone: x: E:-oral: Expansion tank
Fixtum/sewer cap
Name(print) Floor drains/floor sinkg/Imub —
Garbage disposal
Mailin&gddrcgs:, — _ Ilose bibb
City: tate ZiP: cc maker —_— —
Phone: E-marl: Intercept,r/grease trap _
Owner insta lation/resi ential maintenance only: The actual installation Prim-,(s)
will be made by me or the maintenance and repair made by my regular Roof drain(com.nercial)
employee on the pro I own as p7t')OR �Ilapter 447. Stnk(s),basin(s), ays(s_)
(loner's signature:/��- J h' Date: Sum
Tubs/shower/shower pan
Urinal
_Name: __ — — Water closet
Address: _ _ ater Erater
City: State: ZIP: � Other:
Phone: Fax.. E-mail: I Total
Not dl jtutedic0one accept credit code,please cdl judksction ror more irtronna0onMinimum fee..............$ ._1til .
Notice:Timis perntil appli,;ation Plan review(at _,— 9h) $
13 Vim U MasterCard expires if a permit is not obtained
(7redu card numbm: __ _ / / within 180 days after it has been State surchai gr(8%)....$
— _
F.rpirre accepted as complete. TOTM. $ At�+q.51
- Name or eertholder su�iuwn on,adit cera
S
C► hn�r el�neture —�-- - —Amoum 440.4616(trWCOM)
OF
—ARD _ MECHANICAL PERMIT
-i--QPMEN i SERA IGEa PERMIT#: MEC2002-00054
13 �z) SW Hall Blvd., Tire 97?2� (5G3) 1.39-4171 DATE ISSUED: 2/11/02
AIDDR S: 13455 SW CRESM PARCEL: 2S102CC-00306
�DlV' 1: CRESMER HILLS ZONING: R-4.5
LOT: 005 JURISDICTION: TIG
Citi,-i 0":INORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCU'FANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STOF,ES: _ BOILERS/COMPRESSORSHOODS:
FUEL TYPES 0 - 3 HP: DOMES, INCIN:
LPG 3 - 15 HP:
MAX INPUT: 9TU COMML. INCiN:
15 -30 HF:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replace existing gas furnace, and vent add gas water heater.
Owner:
FEES
KRIESKE, KERRY Typo By Date Amount Receipt
13455 SW CRESMER DR _
FIGARD. OR 97223 5PCTiCTR 2/11/02 $5.80 2720020000
PRMT CTR 2/11/02 $72.50 27"0020000
Phone:503-624-7369 � Total $78.30
Contractor:
A-TEMP HEATING + COOLING
16900 SE EV ELYN ST
CLACKAh1AS, OR 97015 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:650-5014 Final Inspection
Reg#:LIC 71878
EXPIRLro
This permit is iFsued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Code,; and all other applicable laws. All work will be done in accordance with approve
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center, Those rules are set forth in OAR 952-001-0010 througli OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
Issue B
Y _� �, f .! Permittee Signature: C) 1 C4y 5G
Call (503) 639-4175 by 7:00 P.M. for inspections needed the nextbusiness day
FEB-08-2002 10:23 1-1 TRIP HEi+T 1111. ) 5035572990 P.03/03
lYlech�uuca1 P •M
n
D.to received
City Of Tigalyd ����j Pivjea lkppl.no.: Expire date:
Address: _
Add13125 SW Hall Blvd, OR
CiryofTigard Dateissucd: By• Re:ciptno.:
Phone: (503) 6394171 Ciry Ulr I,16AW - - - -
Fax: (503)598-1960gUILUING priRBIbN Can file no.: Payment type: '
,
Land use approval: Building permit no.:
i 8t 2 family,dwelling or accessory U Commerrialfindustrial O Multi-imnily U'renant improvement
Q New construction U Addition/altrsaliorv.eplacemutt U Qthe-r:,—
Job address: �� -SS �pL S►wt. Q„ Indicate equipment quantities in boxes below.Indicate the.oll,u•
Bldg.no.: Ssi;a no.: value of all"echanical materials,equipment,labor,overhead,
Tax ma /t�ax lot/account no.: profit.Valuc$
Lor. lock: Subdivision: *See checklist for important appliratiin information and
Project name: %%S K, jurisdiction's fee schedule for residential permit fee.
City/county: - _ 141P: ?, i
Descri tion and location of work on premises: 1 s a
b -k� "� to r$y 1 Fee(n.) 1'ofa)
Est.date of compleflon/inspection. )Ft. DesoilMon 04• Res.unlRn. my
Tenant improvement or change of use:
— A :
Heti?❑Yes ONO Air handling unit ,_,--CFM
is existing space heated or conditir Mrcond;t omng(siteplan required)
is exisfing space insulated?0 Yc s U No Alteration of existingHVAC:ystcmMUM --
Boller camprmsors
_ Stflte boiler permit no.:
Business name:' �+ oo Nh Tons_ BTU/H _
Address- I IZSI ___ relsmake aampersiduotsmoke etecton
City: r, J"'atc: by 71p: �v eat um`p sec a required) -
19tone Fax: mail; nsta re ace umer_ I—
�' ----- Including ductwotk/vcnl liner 0 Yes 0 Nn
Install rcp ac W-oca(eeaters-su—�c�,
Cit e ro tc. _ wall,or floor mounted -
Name(plrnse;rint): (-t.� `� C w tNl� cnt ora Lance other ilia-n�urnace
e e on:
Absorption units_ BTUM ,
Nance: _._ Chillers _ HP
r- Com remora 10'
Address: i J _ yv onmtntse: mt an-d renll.�Zol:
(� S Stater, ZR': b Appliance vent
Phone; a- D Fs. E-mail: ryerexhaust
nods,Type
111Ures. tc et..tatms
t
hood fire suppression system
Name: kk
1 Exhaust fou,with single duct(bath fans)
atlLt rddrtss: Exhaust system
M
a~ ac p ne and +t on(tip to�+lle,N)
City: 1` talc: ZIP: Type. _1-110 __ NO _ oil f
Phone: IB mall: ual pieiiijeach additional over 4 OVUM _
ess p 1rg(sc .ms crequir )
Numbcr of outlets
Name: other Hoid appliance or M pmeot:
Address: `�- _ Iworauve fireplace
City' -- - -- State: UP: _-- Insert-type
- Fax: E-mail: oodstovypellei stove
Phone'
er
Applicant's s' lure: [fate: 2 g ar:
Name --
i 6r rem Iermmu+Ion. Permit fee.....................s
Na rt)wiedkt►me ecxe{a asYt rird+.plea«cW 1e1 'R Notice:This permit application ................ __
J
Minimum feeS
O VISO CJ MaotraCard a •r0a if a it is not oblained
credit cid nuroEer..._.. r >� Pc+'^ Plan review(at _.96) $ _.
--- E. R+ within 180 days after it has been 8 .. D
Est' State surcharge:( 9l) .S _
steep ted TOTAL .....................
Amount �` i� 44OA617(M]WOM)
TOTAL P.03