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7151 SW BARBARA LANE-1 W A D r D z 1 I 7151 SW BARBARA LANE I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 / Business Line: 639-4171 U L� _Date Requested � AMT PM / BLD Location .1 ( + I�GL�h4 r0. Suite MEG f Contact Person 4�� bU' ) — Ph cJ`f 44 i �� P� �RQ 9-C7-)3�7 Contractor _-_ Ph SWR BUILDING Tenant/Owner G'� _— ELC1 Retaining Wall ELR _ Footing Access: FPS /i✓1 / Foundation -- Ftg Drain SGN Crawl Drain Iris pect On Node --- Slab Post&Beam Ext Sheath/Shear L�� ►' N/ —._.___. _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Root Misc: Final — PA --FQRT FAIL - Post&Beam -- Under Slab Top Out 1,`(}.� Water Service V' _ Sanitary Sewer Rain DrainsdrA ma SS PART FAf_:HANIEZ I Post&Beam p — --- Rough In Gas Line ------- — Smoke Damper mal — - — — kSS PART FAIT_ IKECTR:,AL — --- -— - ---- Seivice -----------.____ ._ ____._-.------------- — Rough In UG/Slab --- - --- —— ------,_.._ -- -- Low Voltage Fire Alarm __-- Final PASS PART FAIL SITE Backf?ll/Grading ---- Sanitary-awer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd I•:etch Basin [ ]Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA // I C� Approach/Sidewalk Other Date �"t InspectoreCto� Ext � — -- -- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the lob site. � I CITY OF T I GA R D – MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999 0051 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/29/1999 PARCEL: 1 S125DC-03100 SITE ADDRESS: 07151 SW BARBARA LN SUBDIVISION: THE RAZBERRY PATCH ZONING: R-4.5 BLOCK: LOT: 024 JURISDICTION: TIC CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOIL_ERS/COMPRESSORS_ HOODS: FUEL TYPES _ 0 - 3 1-1 P: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOOPSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: __ AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: _ GAS OUTLETS: 1 > 10000 cfm: Remarks: Install new gas fireplace insert in single family dwelling. Owner. —.-- -------FEES - DOW, DAP,RIN M + KAREN S Type By Date Amount Receipt 7151 SW BARBARA LN PRMT KJP 11129/19E $50.00 99-320057 TIGARb, OR 97223 5PCT KJP 11/29/19 $4.00 99-320057 Phone: Total $54.00 ------ Contractor: JACOBS HEATING +A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Gas Line Insp — — Phone: 503-234-7331 Misc. Inspection Reg #: LIC 1441 Final Inspection ORIGINAL 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 952-001-0010 through OAR 952-001-0080. You may obtain co of these rules or direct questions to OUNC by calling (503)246-9189. i Issue By: _t — Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Plan Check# _ CITY OF TIGARD Mechan;cal Permit Application Recd By 13125 5W HALL BLVD. Commercial and Residential Date Recd^ _ TIGARD, OR 0223Date to P E._ FCFIVED `� Date to DST (503) 63q-4171, x30 - ��j12 At Print or Type Permit# __— �IlncomplCalled ete or illegible applications will not be accepted Name of Oe vlopmentlPlu)ect Doscrlption Qt Price Arnt wnu,unur�,�wi mLirt Table 1A Mechanical Code`— 16.00 Sweet Address Sults# A) Permit Fee Job ` 1) Furnace to 100,000 BTU Address -11 _s Lam 'rbrrr" ` including ducts&vents_ see footnote 1,2 9.65 Bldg# City/State zip 2) Furnace 100,000 Bl U+ including ducts&vents see footnote�,2 1200 -- Name(or name of business) 3) Floor Furnace —� 1 including vent _ see footnote 1,2 9.65 Owner �C t Y ti y 1 tC_��% 4) Suspended heater,wall heater Meiling Addrew or floor mounted heater see footnotn 1,2 _ 9.65 ✓bY. A 5 Vent not included in appliance permit a 75 cnylstate r zip Phone Check all that apply. 'Boiler Feat Air l t c.c�,'10 ��` C1 r-�~-`D 1-1-) For Items 6-10,see or Pump Cond City Price Amt -� Name(or ams of business) footnotes 1,2 Comte _ 6)<3HP;absorb unto 100K BTU Occupant Mailing Address 7)3-15 HP,absorb unit 100k to 500k 13TU _ __I _ 17.65 (Aly'slate — zip Phone 8) 15-30 HP,absorb unit.5-1 mil BTU _ 24 15 _ 9)30-50 HP;absorb Contractor Name e unit 1-1.7.,mil BTU— _ 36.00 �C lL Ic7` AL1✓1 16)75UHi5 absorb unit 6015 Ing -ii >1.75 mil BTU Prior to permit PV4 _1`� I � 11 Air handling unit to 10,000 CFM issuance,a copy �`- k 7.00 of all licenses C��rrrrIs(to zip Phone are required if nil C9 04. e1 1c�.� � �{-135! 12)Air handling unit 10,000 CFM+ Oreggn at.Cont.Boaid Lk.0 Exp U - 11.75 expired in COT II - 7Architect be tl n 13)Non-portable evaporate cooler 7.1 Name _ --- F 14)Vent fan connected to a single duct 4.75 Melling Address 15)Ventilation system not included in appliance permit _ 7 GO Engineer cnyrstate Zip Phone 16)Hood served by mechanical exhaust 7.00 be done. 17)Domestic incinerators Describe work to 12,00 C Netvl�0_ Repair O Replete with like kind 18) ommercial or industrial type incinerator Yes O No O 4825 Reslipntial X Commercial O 19)Repair units _ g 40 Additional Inforrnatien or description of work: 20)Wood stove/gas FP/other units/clothe dryerletc. �1t� ,��,.�1 7.00 `1 CP NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets I See footnote 1 _ 3.75 structural�c as talcs. _ ,75 )More than 4- er outlet(ea- _ Type of kel: oil O natural gas 22 I_PG O electric O Mlninw Fee$50.00 SUBTOTAL �`l I hereby acknowledge that I have read this application,that the information `6 t))%SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon Stade laws. Required for ALL commercial permits onl TOTAL 0 Signature of towner/Agent Date Other Inspections and Fees: �Y1c ryl-) ' (, ( � hN h j 1. Inspections outslde of normal business hours(mininum charge-two Contact Person Name hone hours) $50.00 per hour 2. Inspections for which no fee Is specifically Indicated (minimum f�1 �. I(t t�lu- rn�✓-� I)ILS+ IG1� charge-half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. 'State Contractor Boiler Certification required - "Residential A/C requires site plan showing placement of unit `IAmechperm doc rev 02/4/99 CITYOF TIGARPLUMBING PERMIT DEVELOPMENT SERVICE PFRMIT#: PLM199900374 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4 �NA DATE ISSUED: 11/15/99 SITE ADDRESS: 07151 SW BARBARA LN PARCEL: 1S125DC-03100 SUBDIVISION: THE RAZBERRY PATCH ZONING: R-4.5 BLOCK: LOT: 024 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: Sr- WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES. WATER HEATERS: 1 CATCH BASINS: FIXTURES-`i LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 3REASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WAl ER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Conversion of water heater. Owner: __ FEES DOW UARRIN M + KAREN S _Type _ By _Date Amount Receipt 7151 SVS! BARBARA LN PRI`^,i DEB 11/15/99 $50.00 99-319783 TIGARD, OR 97223 QCT DEB 11/15/99 $4.00 99-319783 Total $54.00 Phone 1: --' Contractor: JACOBS HEATING +A/C INC 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 234-7331 Top-out Insp Reg #: LIC 141 1 Final Inspection PLlv1 26-)48PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all ogler applicable laws. All work will be done in accordance with approved plans. 1 his 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 tite Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001 0010 through OAR 952-0001-0080. Yo 'tilay obtain copies of these rylles or direct questions to OUNC by calling (503) 246-1987. sFr ,i ued Y:B �� Permittee Signature: 1 Call (503) 639=4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan C eck* 13125 SW HALL BL`/D. Commercial and Residential Rec'd px_. TIrt1RD, OR 97223 RECEIVED DateRec'd (503) 639-4171 Date to P.E. _ - NOV 1999 Print or Type Date to D, Inr, g0W or illeggible applications will not be accepted Permit# UEVELOPI1TENi Related SWR Called_`___` Name of Development/Project FIXTURES (Individual) QTY PRICE AMT Job Sink 11.50 Address Street Address Suite Lavatory 11.50 Tub or Tub/Shower Comt. 11.50 Bldg# Shower Only 11.50 Clty/State Zlp, - A l`. i j 7 a u Name - Water Closet 11.50 '(1 V i .,1 (__)� Dishwasher 11.50 Owner Malting Address, f Suite Garbage Disposal 11.50 CINState Zip Phone Washing Machine 11.50 i I <(')j;z Floor Drain/Floor Sink 2" 11.50 Name 3" 11.50 --� _ 4" 11.50 Occupant Mailing AddressSuite Water Heater _ onverslon O like kind 11.50 _ Gas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 11,50 -- - Urinal 11.50 Name t Other Fixtures(Specify) 15.00 Contractor Mailing Address Sulfe 44- 1 1-1 __ , 1,�, � Prior to permit cVslatq Zip Phone - Issuance,a copy Z 1 \ `, I . Sewer-1st 100' 38.00 L ~ ! l + Sewer-each additional 100' 32.00 of all licenses are Oregon Crt.Cont.Board Lic.# Exp.Date required if t 1 1, 1 Water Service-1st 100' 38.00 expired In COT Plumbing Lic # Exp.Date Water Service-each additional 200' 32.00 database r l t i Storm&Rain Drain-list 100' 38.00 Namc Storm&Rain Drain-each additional 100' 32.00 Architect Mobile Home Space 32.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 32.00 Pollution Device Engineer City/State Zip Phone Residential Backflow Pr3vention Device- 19.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit) New O Repair O Replace with like kind: Yes (A No O Any Trap or Waste Not Connected to a Fixture 11.50 Residential tD Commercial Catch Basin 11.50 Additional description of work_ Insp.of Existing Plumbing 50.00 S �L� per/hr Are you capping,moving or replacing any fixtures? Specially Requested Inspections 50.00 er/hr Yes O NO O Rain Drain,single family dwelling 45.00 If yes,see back of form to Indicate work performed by Grease Traps 11.50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. - - QUANTITY TOTAL I hereby acknowledge that I have read this application,that the Information Isometric or riser diagram Is required If Quanttly Total Is >9 given Is correct,that I am the owner or authorized agent of the owner,and "SUBTOTAL that lens submitted are in compliance with Oregon State Laws. Signature of Owner/Agent Date c _ 19%SURCHARGEV, . rt t 11 i I _ yri- Contact Person Name Phone ..PLAN REVIEW 25%OF SUBTOTAL Required onl M fixture r tonal Is>9 t-- .4 L 9 BATH HOUSE$178.00 t,2 BATH HOUSE$250.00 TOTAi. y BATH HOUSE$285.00 'Minimum permit fee,s$50+5%surcharge,excep!Residential Backflow (This foe Includes all plumbing fixtures In the dwellingWe - Prevention Device,which Is$25+5%surcharge 100 feet of sanitaiy sower storm sower and water service) **All New Commercial Buildings require plans with Isometric or riser diagram and plan review I w3tsuorms'pl„macp doc 5099 PLEASE COMPLETE: Fixture Type Quantity by Work Performed_ New - Moved Replaced Removed/Capped Sink ------ _ — — Lavatory -- Tub or Tub/Shower Combination - - --- _ - --- ---- S_h_ower Only - --- - -- _-__-- _-- - Water Closet — -_-- --- — -- - - - Dishwasher_—^------------__ _� __ _- --- Garbage_Disposal Washing Machine _ — �- — - Floor Drain/Floor Sink 2" — --- -- - Water Heater _ --- — Laundry Room Tray ---- --� --- �- - Urinal -----_ - ---- --� - -_ i- - Other Fixtures (Specify) — - -- - --- COMMENTS REGARDING ABOVE: L