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15625 SW GREENS WAY
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CITY OF T I G A R D MFCHANICRL
DEVELOPMENT SERVICES PE RM I T
iMIT # : MEC98-0507
13125 SW Hall Blvr!., Tigard,OR 97223(501)639.4171 -)AiE ISSUED: 11/09/98
PARCEL ;2S111CC-20200
SITE ADDRESS. . . : 15625 SW GREENS WAY
SUBDIVISION. . . . : SUMMERFIELD NO. 5 ZONINSt R-12 PD
TILOCK. . . . . . . . . . : 1_.OT. . . . . . . . . . . . . :261 JURISDICTION: TIG
!2S OF WORK. oiALA 171-00R FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY URP. . 03 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BGILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 'TYPES----- ------- 0-3 HP. . . . : 0 DOMES. INCIN: 0
.r3A5 3-15 HP. . . . : 0 COMML. INCIN : 0
MqX INPUT: 0 BTL; 15r-30 HP. . . . : 0 REPAIR LJNITS- 0
FIRE DAMPERS?. . - 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 51714 HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS—---- r.iTR HANDLIN[i 11NITr-) OTHER UNITS. : 0
FURt4 ( 100K BTU- 0 10000 rfm : 0 GAS OUTLET,.`). - 2
FURN )=10(AK BTU: 0 10000 cfm: 0
Remarks : installation of gas pi3ing/gas logs for two fireplaces.
Owner: FEES
SAMUEL R ORR type amo'_mt by dat e recpt
15625 SW GREENS WAY PRM'T $ 25. 00 DLH 11/09/98 98--310675
TIGARD OR 97224 5PCT $ 1. 25 DLH 1i/09/98 98-3tO675
Phonr #: 684-6267
Contractor=
JA'YIS GAS PIPING
POBOX 793 --------------------------------------
'6. 25 TOTAL.
BEAVERCREEK OR 97004
Phone #: 50363E'-86211
Reg #. . -. 119036 REQUIRET) INSPECTIONS
This pervit is issued sub-'pet to the regulations contained in the Mechanical Insp
Tigard Runicipal Code, 9101o. of Ore. Specialty Codes and all other Finat Inspection
applicable laws. All voil: will be done in accordance with
approved plans. This peroit %ill impire if wor!, is imt started
within 180 days of issuance, o, if wcrli '.3 suspended for acre
than 180 Gays. ATTENTION: Orelion law requirit you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
sit forth in MR 951-001-0019 thrmigh ORR TIP- 9I-9988. You lay -------
obtain copies of these rules or direct questions to OUNC by calling
(563)246-9187.
7
By : Permittee Si gnat1-Ir-e
4.. 4..................................4....................................
Cal 1 6304175 by 7:00 p. m. for inspections needed the next bi.tsiness day
...............................f...............V+++4.-1.............1.+++++++++++++++++
Plan Check#
UTY OF TIGARD Mechanical Permit Application Regi By_
1,,3125 SW HALL P,LVC. Commercial and r.-3idential Date Rec'd 9
'rIGARD, OR 97223 Date to P.E.
(503) 629-4171, x304Date to DST r
Print or Type � P>imit#-floc';�P- nsa;
Incomplete or illegible applications will not be -Accepted Called
Name of Develupment/Pro)ed— — Description Table 1A Mechanical Code _ Ot Puce Amt
JobA Permit Fee—
Street Address �} Sune# _ � _—
�� 25 .S(U�!��<«�i�(�ds 1) Furnace to 100,000 BTU
Addrecs
including ducts&vents 6.00
Bldg# C!rstate zip 2) Furnace 100 1100 BTU+
G'IQ`'' ;12¢ inoluding dt fc o %ants _..— -- — 7r6,
50_
Name(or name of business 3) Floor Furnace
Owner S i2/M�!.` �� OgR including rent_ - - G
Mailing Address - — 4) Suspended heater,wall heater
(( or floe,mounted heater 6.00
f�2 3 J tv �` — 5) Vent not include,'in appliance permit
Cnyrsta,, zip Phone 3.00
1v .2 A G1� t2) ill CHECK ALL Boiler Heat Air —
Name(or name of o siness) THAT APPLY. or Pump Cond Qty Price Amt
., . _ _Como
6)QHP,absorb unit to —
Occupant Mailing Address 100K BTU_ 600 _
7)3.15 HP,absorb unit
CnyfState Zip Phone 100k to 500k 61 11.00
8) 15-30 HP;absor:)
unit.5-1 mil l3TU _ 15.00
- COntraCtO� Na 9)30 50 HP;absorb
unit 1.1 7F nnl BTU _-- - -_ - 22.50
Prior to permit Mallin,Address 10)>50HP;absorb unit
issuance,a copy i' fJit"f 8 (, �� I�,�r »� >1.75 mil BTU 37.50
of all licenses r.,y,5tete 7_Ip Phone 11)Air handling unit to 10,000 CFM
are required f %' %/ '/ / ' /' ��� �' of _ 4.50
expired in COT Ofegon Const Crnt Board Lk# E p/ate 12)Air handling unit 10,000 CFM+
database ��/ / 7.50
Architect Name 13)Non-portable evaporate cooler
---450-
Mailing
4.50 _
Mamng Addres, 14)Vent fan connected to a single duct —
or '�_-_
3.00
__ _ 5)Ventilation system not included in
Engine-.ir Cnyi- Sieri_i zip Phone appliance permit_ 4.50
16)Hood served by mechanical exhaust
Describe work to be done ---
17)Domestic incinerators
New O Repair O Replace with like kind. Yes O No O 7.50
Residential Commercial O 18)Commercial or industrial type incinerator 3000 _
Additi�nsl information or description of work. 19)Re(.alr units
//✓STP1L L_ 4 56
/o!_N e+-S 20)Wood stove -- -- —
_ 1.bu
21)Clothes dryer,eta
4.50
Type of fuel oil O natural gas;8 LPG O electric O 22)Other units —
_ 4.50
i hereby ad.nowledge that I have read this application,lha,the infomtation 23)Gas piping one to four outl
given is correct,that I am ti a wrier or authorized ayent of n.. 2.00
the owner,that plans sut Ate.!are in compliance with Oregon State laws 24)More than 4-per outlet(each)
__ 50
Signature of Owner/Agent Date ^
Minimum Permit Fee$25.00 SUBTOTAL � _5,
A`-fl4u• r/� 2 �' -- _ _ 5%SURCHARGE
C�Person Name ho PLAN?EVILW 25%OF SUBTOTAL
LP
Required for ALL cominerc!al permits oni
e O �-(;,,14 /' � _--- TOTAL G 5
'State Contractor Boiler Certification required
-Residential AIC requires site plen showing placement of unit
1 lmechperm doc rev 07/20198
w
CITY OF 1 IGARD BUILDING INSPECTION DIVISICN MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
3UPVq—
--- ---
' !! Date Requested AM_ —PM — BLD
Locaticn �u/itep ME Ye7 co
Contact Person Ph
Contractor �_ SWR _
BUILDING �7—Tenant/Ovv,ger ELC
Retaining Wall ELIR
Fouling Access: n
Foundation �� FPS
��
Fig Drain /k -
crawl Drain Inspection Notes: L SCN _—
Slab
SIl
Post 8 Beam __-- -
Ext Sheath/Shear
Int Sheath/Shear -- -
Framing
-----.._..._.----------
Insulation �---- -- -�
Drywall Nailing
Firewall —
Fire Sprinkler
Fire Alam
Susp'd Ceiling
Roof 7h6 ��_--_---
tV
Final
PASS PART FAIL -- - - -----------------
Post& Beam �� _��--- _�— - -----— - -- ---- _ - - - -- - ----- --
Under Slab
'Top out -------- —— --- ------------ ____ ___ __..._---------
Water Service
Sanitary Sewer _
Rain Drain,; 1. A _
Final
PASS..- PARI - FAIL - —
MECHANICAL
Post m /4 ( ---
X
pers EART AIL
ELECTRICAL —
Service
Rough In
UGIC'�o _
Low Voltage
Fi,e r'JarmFilial
PASS PART FAIL _ — __-. --- --_--- - -------- _—
SI'I E
Backfill/Grading - - -- ---- - _-_—___--_-- --_--
Sanitary Sewer
Storm Dr din ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin please call for reins ection RE:
vire Supply Line I J P -—__ --__.—___._..._ J J Unable to insper no access
ADA /
Approach/Sidewalk
Other Date _�� //—� !_- Inspector _ — �. —^ Ext
Final
PASS—PART _FAIL DO NOT REMOVE this inspection record from the job site.
n CITY OF i IGARD ---BUILDING PERMIT
PERMIT 1: BUP2004-00118
DEVELOPMENT SERVICES DATE ISSUED: 3/22/04
13125 SW Hall BI-.-1 Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CC-20200
SITE ADDRESS: 15625 SW C- -ENS WAY
SUBDIVISION: SUMMERFIL.LD 1\10.5 ZONING: R-12
BLOCK: LOT: l61 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUrTION_
CLASS OF WORK: OTR FIRST: sf N: S E: W: —
i YPE r�F U3E: SFA SECOND sf PROJECT OPENINGS?_ _
TYNE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: st OCC'J 3EP. RATED:
BSMT?: MEZZ?: _ _R_E_QD__SETBA_C_KS _ _ REQUIRED
FLOOR LOAD: psf T.
J ft RIGHT: ft FIR SPKL: SfJIOK DET
DWELLING UNIT-' : FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 25,957.00
Remarks: Reroof Building#7bt 15625 Greens Way
10245, 10255, 10265, 10275, 10285 Greenleaf rerr
Owner: Contractor:
ORR, SAMUEL R AND FLORENCE L /v'-/ 5 5- '5uu 9.�t-�zTRUSTEES
15 25 SW GREENS WAY T��4.W 6)JC �i?t Z..
TIGARD, OR 97224
Phnne:
Phone:
Reg #:
FEES REQUIRED INSPF_CTiONS -- ,-
Description Oate Amount Final Inspection
1131!11.)1 I'ermir I-ee 3/27104 $139.30
I AX1 8 State Surchart 3/22/04 $11.14
Total $150.44
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law All work will b- 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 957_-001-0100. You may obtain a -opy of these rules or direct questions to OUNC by
calling (50.3)246-6699 or 1-FUO-332-2344.
Issued By:
Pe nn ittee �
Signature � XL•�
Call 63 -4175 by 7 p.m. for an Inspection the next business day
Re-Roof
Building Permit Application FOR-OFFI(-E USE ONLY
City 0f Tigard ReceDato
ive) Pemtit r
-- -- - �� -o-o
13125 SW Hail Blvd.,Tigard,OR 972 � Plan Review --�
Phop.. 503.639.4171 Fax: 503.598.1 bECEI'VE gp1e/gy, Outer K nit
Inspt.:6on Line: 503.639.4175i Dete Ready/By: 1�ro—� ® See Page 2 for
rn
Inteet: www.ci.ligard.or.us MAR Nntin'' -j
edtKethnd Suppm
leenlalInformation
I--- --i-- ---- - -
REQUIRED DATA:1-ANL 2-FAMILY DWELLING
❑New construction Demolition Permit fees'are based on the v due of the work performed.
Indicate the value(rounded to,he nearest dollar)of all
Addition/alteraUon.lreplacemen► Other: equipment,nta►eridls,labor,u-crhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-Fimily dwelling - ❑ Valuation: - S
Commercial/industrial
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder Other: ,p ee Al H16 0 Number of bathrooms-
09 IN O ATION AND L' ATION Total number of floors:
Job site address: —— New dwelling area: square feet
City/State/ZIP: rL �- Garage,-�arporl area: square feet
Suite/bldg./apt,no.: trq�ect name: , ��(( Covered p trch area: square feet
Cross street/directions tojob site: 01-P(4Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees'arc based on the value of the work perforated.
-- Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
- DESCRIPTION OF`WORK work indicated on this application.
V.f=,_47' f f Valuation: S y
,_JfkA-C& u) X" -7- .� ��r Existing building area: square feel
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Namc: �� W04WAA'061 fill v' I V1L)-77VAeU tAl,,4Ey� L
—� construction:
AddressfAIAX to
_ Occupancy group.
City/Slate/ZIP: - ^T_ —_^ Existing:
Pltonv:( ) Fax:( ) New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: _ All contractors and subcontractors are required to be
Contact name: eye_-,Sc,/tJ licensed with the Oregon Construction Contractors Board
—— - ---- -- under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.1f the
City/State/ZIP. applicant is exempt from licensing,the following reasons
-_--- aPP1Y:
Phone:az 31--- - [7 Fax: ( ) _
E-mail: —
CONTRACTOR -
Business name: �- �,��j AJ �..( ( --
BUILDING PERMIT FEES"
Address: /7-4fj-_ .. iQ �`T` �E '* -- —---
-- � please refry tofee SC/1!I/dle.
City/State/ZIP: / �,C� F y y� _ Fees due upon application
Phone:("M;? ._ _ Fax:( ) Amount received
CCB tic.:
etc received:
Authorized sign � �A Gs �u Th1s permlt arpllcotion expires ire permit Is not obtained
hin 180 days after It hes been accepted as complete.
Print name. —� Date3 r V methodology set by Tri-County Building htdustn
Service Board.
i\B!diding%PermfutROOF-PermnApp dor 12103 "0.4613T111102/COM/WHBI
1
V
RF,-Rt OFING PERMIT CHECK LIST
RESIDENTIAL((.ane-&Two-Family Dwelling)
�s REPAIR (major) plan review required by plans examinee:
Building permit is required when structural chsnges are made or the space sheathing
is removed or replaced.
SUBMIT TWO(2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic -ents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re-roor if not more than two (2) layers of
roofing will exist upon completion of the re-roofing.
CO MERCIAL(includes multi-family and condominiums)
RE-ROOF: Pre-inspection is required for all roofs .'oped 2:12 and lcsa. Please
make an appointment by calling the inspection line at k503) 639-4175.
El PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection, plans may be
required to address any non-conforming items.
vv VALUATION OF PROJECT: $
sq. ft. _of roof area
Permit Fee based on valuation: $
p(see Budding Pernut Fees chart) _
8% State Surcharge: $
65% Plan Review Fee: $
(Requi,:ed for major repairs of residential and
special purpose roofing of commercialprojects.)
TOTAL: $
i:lEluilding\Forms'Ae-RoofUheckli.,.doc 12/24/03
CITY OF TIGARD 24-H:)ur ,
BUILDING Inspection Line: ;503)639-4175
T
INSPECTION DIVISION Business Line- (503)639-4171
Received �� / Cate Re�uestt-+ 6�1-/ _0 ___ AM PM BLIP
Location --_Suite /rid- MEC
/0Z�/ � ,-
Contact Person �- � r-- � 2 � (-__- ---) �z�J "4'�✓L2.� PLM _...--
Contractor_-_-_ __ 2 - ) SWR - - _--
_ iN?- Te,tant/Owner _ -.--- --------- -------
ELC
Footing
Four,�iation —'-"-'-' ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors -- - - _
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - -- - ----- -
re�1 t � �
Sprinkler
Firt�re Alarm
rSusp4�eiling
Vn ,
ART FAIL
Q.-- -_
Post& Beam
Under SlabRough.-In -�
Water Service ---
Sanitary Sewer
Hain Drains - --- --
Catch Basin/Manhole
Storm Drain V ---
Shower Pan
Other. -
Final --------- - _
PASS PART FAIL
MECHANICAL _ --
Post& Beam --- -
Rough-in - -- - -----
Gas Line
Smoke Dampers - -- - --
Final
PASS PART FAIL - - --- - -
ELECTRICAL
Service
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final Rvinspection fee of s _-_ _ required before next inspection. Pay at City Hall: 13125 SW Hall Blvd.
PASS PART SAIL
SITE __
F-] Pieise call forreinspection RE:— - [� Unable to inspect-no access
Fire Supply Line r
AHA �/ u
Aptvoach 5 dewalic DAU Inspector _ Ext
other
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL