15910 SW CENTURY OAK CIRCLE ii
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15910 Svd CENTURY OAK -IRCLE
CITY OF T I GARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW t.ill Blvd.Tigard,Oregon 9722390199 (503)639-4171 PE P M I T #. . . ..
. . . . . . . . MEC94-0330
SSUED:
DOTC I�I11/28/134
PARCEL:
15910 SW CENTURY OAK CI R,
BUBO I V 151 ON. . . . C531!oMMERFIELD ZONING! R-7
131-OUK. . . . . . . . . .. LOT. . . . . . . . . . . . . : 76
CLA5'3 OF- WL PIF-. . :ALI F=L_001-, I' URN. . . . [-- VAF! COOLFR5:
TYP'k Of USE.. . . . :SF UNIT ioiE.ATERS. V E N J FA N5. . .
C L)P A N C Y 1-i I?.P. R VENTS W/O APP'L: VP-'.NT
UFS IE::i. . . . . . . . : 1 HOCIDf.)'. . . . . . . .
JFM_ HP. POML S. INCIN:
/GqS)*/FLE/ HP. COMML. iNCIN:
M A X INPUT: wr u 15-, 0 1 iP. RU-PAIP UNI T-L3-
F-1 RE DAMPER5". . 30-50 HVI. . . . . WOODBTOVES. . :
P'RLSC3URL. . . 504- Hf-,. . . . : CLU DFRYER5. . :
Ell- UNI 15-- AIR HANDLING UN I T15 OTHER UNITS. :
JIRN ( 1.00K LATU: 1 10000 cfal : 60'3 UUTLLT .). : 1
IPN > -100K BTU- r.,f m -
FURNACE/WATER HEATER'/AlR F-011DITIONE'R
J.�IXIE. (APPEDR50N type .-A m o u 11 t by d,.i t e
ibL310 SW LLNTURY OAK CIRCLE PRMT 6 ca. ° V, JF 11/18/94
1. 43 JF 1. 1/ 18/94
I WARD 011
PIone #:
Lunt r-Avt ov,:
PIGNEL R FURNOCIL
3615 NL BROPF)WAY
F,ORTI-PrAD OR 9-723c-.
I 'l-ione -"). '),3 TOTAL
Reg #'. 36102, REG!U I RLD INSPECTIONS
,-is permit :S issued subject to the regulations Contained in the L-jas Line Insp
Tigard Muri,.ioal Lode, State of Dre. Specialty Codes and all other Ileu'flainlci-Ai InF.P ......-
applicable laws. All work will be done in accordance with Final inspection
approved plans, This oervit will expire if work is not started
within 180 days of issuanc?, or if worl, is suspended for sore
than 18e days.
f-r-mitLpe
-lell 1�v
I I f or- inspect ion r,33-417`1
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Bird. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171 {,.J(
M —�n / — escripuon
j -��U r `/ Table 3A Mechanical Code QTY PRICE AMT
Job %,(') ` 11� 1) Permit Fee -0- -0. 10.00
Address —
C9�� 2) Supplemental Permit 3.00
FLmace to I ou,000
Q�. 1) incl.ducts b vents ' 6.00
Furnace 100,0W BTU 4-
Owner
Owner ° ) 1 '(, I��L G� 2) incl. duds d vents 7.50
oorurnance
3) incl. vent 6.00
a _ Suspended heater,wall heater
- -` 4) or floor mounted heater 6.00
Occupant en no i in
5) appliance permit 3.00
—� Repair of heating,reng.
6) cooling,absorption unit 6.00
Boiler or comp,heat pump,air con
n -i y{ �� 7) to 3 HP absorp unit to 100KIn'U— 6.00
rBoiler or comp,heat pun p,air ro
Contractor 41—
VW" 8) 3-15 HP absorp unit to 5,)OK BTU 11 00
L�7Q' .j i er or comp, a pun p,air con .
�p G 9) 15-30 HP absorp unit.5 1 mil BTU 15.00
Boiler or comp,a pump,air cond.
'lj 7
10) 30.50 HP absorp unit 1.1.75 ma BTU 22.50
T ere y acknowl9age trial I nave reaa inis application, a eter or comp,beat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, Air handling um
please give reason below.) 13) 10,000 CTM+
Non portable —
1 14) evaporate coder 4.50
Vent tan connected
1 15) to a single duct 3.00
Vientilation system no
16) Included in appliance permit 4.50
Rood tieN
1 mechanical exhaust 4.50
Describe work new Uad�fion II - ra repah mme or Irmstrial
to be done esidential non-residentW 0
O 18) type incinerator 30.00
Existing use of
�d erTe.;w s ve,water
building or property 19) heater,solar,dodm dryers,sic. 4.50 / 7
Proposed use of 20) Gas piping one to bur outlets 2.00
building or property
Type of fust-oil O natural gas?A LPG Q electric Q 21) More than 4-per outlet
PERMITS BECOME:VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
Special ConditionsTOTAL
Date issued by
VY(plpr L�
1 �1
CITY OF TIGARD ( -7 - uo �
DEVELOPMENT SERVICES
13,125 SW Hall Blvd., Tigard,OR 97223 (503)639.9171 .1197-¢090
ADC'Rf 5' 1591 a Sw Cci+�l1A'' rjAK r';
�IVIEir+. RWRFIEJD I0NING: A-7
rT V,p�— ;A1_ GARBAGE DISMSALS.; 0 MppILE •aOME SG'4CES. f P
OF !ISE.... .cc WASHING MArµ...... . ? MrWFtOW =PEI)N',R .1 0
jmr, rpr. ra, cl MIR DRAINS...... . 0 TappS., ....,.,.., • . N
_AUN;lA`i ?AGYf•.., F, ? CAAIN'. ,.. . 0
URINALS,,......,.., P :;SE TRAPS,,,,,,,; 0
1TpRiF' . .• . :� 0THEA r,WTURFS,... . 0
;SµpWcoc A SEWER �iNF rct)... . P
=R CiOFIC. 0 WATFP LINE 1ft)... , iT0
-QASXRp . I RAIN DRAIN (ft Q
o•La� -(+n4 •" PPISt?r" Wdf^' eprulCa
_.
....... _._... rrrr.
i�141
n� ^a
4r� lrehlr .. U- wrrr�P.
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CITY OF TIGARD Plumbing Application Recd By _
Date Recd
13125 SW HALL BLVD. Commercial and Residential Date to P E.
TIGARD, OR 97223 Date to DST
(503) 639-4171 Permit# yN^�i
Print or Type Related SWR*V
Incomplete or illegible applications will not be accepted Called
Name of Devlopment/prolectw New tnyle Fa Resid
Job I,:. isr .� ,w r 1)u" .., .i''IG�.".. •:r
_ p i BATH HOUSE$140.00 - p 2 8/Tt� OU$E,$185 00 ,
Address Street Address Suite r y`',1 p'3 BATH HOUSES22300 f � .
Fee Inrudes ail piurrlbiir g ftxtuies In the dwelllrp im ills�ra`(100 feet
Bldg 0 CitylSlat Zip water service,sanitary sewer and storm sewer. See fees$below. c.1.
— ,nv�� /�� ��,�` %.i.....: .. ... ........d., :. .-, :,• .:..�:�ua�d,�R.ww�iij{r�^tiM:pMN!lynir►�.....:, ... ...
N e /� ,— FIXTURES(individual) - CITY PRICE ' AMT
Sink 9.00
Owner Marling Address Suite Lavatory 9.00
— Tub or Tub/Shower Comb 9.00
CitylState Zip Phone
Shower Only 900
Name Water Closet 9,00
C Dishwater 9 00
Mating Occupant Mang Address X 11 Sulto — Garbage Disposal 900
_
Washing Machine 900
City/State Zip Phone Floor Drain 2" `— 900
Narpe 3" -- 9.00
-—:d
Fu LL, -.1S.bL'_L4� bti) '1 l ___ ° _ 9.00
Contractor Marling Address Suite Water Heater 9.00
'1 — Laundry Room Tray -� _ 9.00
�ilylState Zip Phone
Urinal 9.00
I L- -5V-1 -- Other Fixtures(Specify) 900
Oregon Const.Cnnt.Board Lic 0 Exp.Date V� _
Attach Copy of � -- 900
Current Plumbing Lic.0 Exp.Uate 9.00
License `'� 2"_ 7 � -
Sewer•1st 100" 9.00
COT Business Tax or Metro 0 Exp Date Sewer-each additional 100' 30.00
--- - cy -1—
Name Water Service - 1 st 100' 2500 1
Water Service•each additional 200' 3000
Architect Mailing Address Suite — Storm&Rain Drain- 1st 100' 25.00
or Storm 8 Rain Drain-each additional 100' 30.00
Engineer C''ylState Zip Phone Mobile Home Space _ _ 25.00
9 Commercial Back Flow Prevention Device or Anti- 25 00
Uesrnbe work v New O Addition O Alteration O Repair O Pollution Device _—_ -
to be done Residential Non-residential O V Residential Backflow Pre%ention Device' 15.00
Additional description of work, Any Trap or Waste Not Connected to a Fixture 900
PGGyu� �,r Catch Basin �- - 9.00
Insp.of Existing Plumbing 4000 —�
oer hr
Existing use of Specially Requested Inspections 4000
budding or property per hr
Proposed use of Rain Drain,single family dwelling 3000 I
budding or property- _ Grease Traps 9.00
Are you capping anv fixtures? Yes(j Nojg-i QUANTITY TOTAL_ -«•.-..•- . `
Isometric or neer diagram is regwrerl if Ouanity Total is >9
I hereby acknowledge that I have read this application.that the information 'SUBTOTAL
given is correct.that I am the owner or authorized agent of the owner,and
that plans submitted are in compliance with Oregon State Laws. —-- 5%SURCHARGE
Signature of Owner/Agent // Date
C� 7r r PLAN REVIEW 26% OF SUBTOTAL �,;►,e;
Contact Peron Name Phone Required only d fixture qty trnai.s>9
— — TOTAL _
�^1 - SL'
`Minimum permit fee is$25-5°.t)surcharge,except Residential Backflow
1f
i'\dstslplmapp doc
Prevenlicn Device,which is$15+5%surcharge
V
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-417
i
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect.
Post/Beam St;uct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: O Ile, C/�� C - _•L
Date: -7 // A.M. ,P. Entry:
Address: _ �1
Tenant: __ Ste --__ MST:
BLIP: _
Con/Own: ZZ�{ `S�Z� _______ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
In(specc ------ — --- - - - -- — Date:
__APPROVED -DISAPPROVED/CALL FOR REINSP. CF CO
.11t A-;K HPIl 11-11A 1
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