The URL can be used to link to this page

15735-15785 SW GREENS WAY 15" X, tu I"I.i'.V I FJ 4 li 0 r.j, t 1141 ,.1 viv, -41 #-j ILA C AL -lu. 1141%"41, u V,. 1:33 1 AqL) V) P Ul t j l + ! � t 1 �•� ' � � � t ' i I ! ( � 1 � j 3 r+! I"IF .t_l 15735, 15745, 15755, 15765, 15775, & 15785 SW GREENS WAY CITY OF TIGARD BUILDING WSPECTICN DIVISION 24-Hour Inspection Line: 6:j:1.4175 Business Line: 635-4' 71 MST — '�1BLP ,;LZ,uy vL)Z u Z --Date Requested_ ,aM U PM BLD _ Location 7 S' > �✓ "� _ Suite MEC — Contact Person _ ,� B,; j Ph 6"1�`- Y?�� G• _ PLM Contract,;r _ _ r Ph _ SWR r BUILDING _ Tenant/Owner ELC Retaining Wall ELR Footing �. ---------- - Fo,mdat on Access: y„ . SPS Ftg Drai i T�- --- Crawl train I Inspection Notes: Si:N Slab Post& Bear-, Ext Sheath/Shear Int Sheath/Shear — Framing Insulation ,�— `, --- Drywall Nailing l - Firewall Fire Sprinidei Fire Alarm ---- S A Ceiling Misc: --- - _ -ina SS r�ART FAIL - - --�_— BING_ Ream - -- - Under Slab Top Out I - -- -- Water Service I r - Sanitary Sewer — --- — Rain Drains Final -- — °ASS PART FAIL MECHANICAL Post '4 Heam Rough In Ges Line Smoke Dampors Final PASS PART FAIL ELECTRICAL Service Rough In — UG/Slab I_ov Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City gall. 13125 SW Had Eilvd Catch Basin Fire Supply Line ( ]Please call for reinspertion RE: —_ — ( ]UnuJle to inspect- no access ADA App ,/f roach/Sidewalk "7 -�t~j J- f�� `Yi _ t t Qthor Date _[ J f Inst+et.'�r Ext Final PASS PART FAIL DO NOT REMOVE this inspection rcacrrd from the job site. CITY OF TIGARD BUILDING INSPCC'I ICIN 01VISION MST 24-Hour Inspection Line: 639-4175 Business L;ile: 639-4171 -- — B U P -.-= UatA Reques;ed �G'` AICA _PM 3LD _ Location-_j_,Z ' -S CI .5 Suite — MEC �ti��v C/ Z--- Contact Person —r Ph SL< <' PLI/I Cc ntractor Ph SWR .WILDING � Tenant/Owner ELC _ Retaining Wall ^^ - -�— � El_R Footing Access: Foundation FPS Ftg Drain -- --- 5GN --_ _--__ - Crawl Urnin inspection Notes -- -__--_ Slab SIT Post&Beam ----- ------ Ext Sher,ihi3hear !it Sheath/Shear --- - ----- -- Framing Insulation - - -- - Drywall Nailing _ Firewall - - Fire Sprinkler --_ - - - - -- - - - - - Fire A.,irm Susp L; ' tiling - Roof Final PASS PART FAIL -- --- PLUMBING Post& Beam -- Under Slab Top Out - 'Nater Service Sanitary Sewer Rain r>rains Fin,,! F,�,ti$,,,- PAR r _Ft IL Post,& Beare Cay Rough In J Vas Line Smoke Damp,rs IMPART FAIT_ EL_ECTRICAI. — `aervice Rough In -�- _- UG/Slab Low Voltage Fire A arm Final PASS PART FAIL SITE _ Backfill/Grading -- - —'--— Sanitary Sewer Storm Dain [ ]Reinspection fee of$_ mclAred before next inspection, Pay at City Hall, 13125 SW Hall Blvd Caich Basin Fire Supply Line ( )Please cell far reinspection RE:--__ ,_ ( ]Unable to inspect-no access ADA � t� ` hr`+ldewalk Other Date 0- !J7 ) nsPector�- 1 Ext Other — Final t PASS PART FAIL DO N T REMOVE this inspection record from the job site. CITY OF TIGARD MECHANIC).\L PERMIT E I Mii#: ME=02000 00412 DEVELOPMENT SERVICES DATE SSUED: 10117/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CC-08400 SITE ADDRESS: 15755 SW GREENS WAY ZONING: R-12 SUBDIVISION: SUMMERFIELD NO.2 JURISDICTION: TIG BLOCK: LOT: 111 — — -- FLOOR FURN: EVAP COOLERS: CLASS OF WORK: OTR VENT FANS: TYPE OF USE: SF UNIT HEATERS: VENT SYSTEMS: OCCUPANCY GRP: R3 VENTS W/O APPt_: HOODS: STORIES: __BOILERSICOMPRESSORS _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: --�— 3 - 15 HP: COMML. INCIN: LPG MAX INPUT. BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDING UNITS _ OTHER UNITS: 1 FURN >=100K BTU: 10001 cfm: GAS OUTLETS. 1 > 10000 cfm: Remarks: Installation of natural gas fireplace and associated gas pining. FEES Owner: Date Amount Receipt PALMER, THEODORE R + LEI_A PAY Type ey _ 15755 SW GREENS WAY PRMT CTR 10/17/00 $72.50 272000000C TIGARD, OR 97224 5PC-f CTR 10/17/00 $5.80 ?.720000000 Total $78.30 Phone: ^ontractor: __ TRI COUNTY TEMP CONTROL 13150 S CLACKAMAS RIVER DR REQUIRED INSPECTIONS _ OREGON CITY, OR 97045 —� Gas Line Insp Mechanical Insp Phone: 503-557-2220 Final inspection Reg #:LIC 72623 This perinit is issued schject to the rKulations contained in the Tigard Municipal Code, State of Ore Specialty Codes and all other applicably !aws. All work will be done in accordance with approved plans. This permit will expire if work is got started w0lim 180 days of issuance, or if worX is suspended for more than 180 days. ATTENTION Oregon !aw requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 ,hrough OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. y /'' / /I i Permittee Signature: r _ "�' --- Issue By: —_ . Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application -' lDratere.ce�ived: /�-/�'�o Permit no.: //"AWO-00 yi City of Tigard F'roject/appl.no.: Expire date: ('rev ofl,igard Address: 13125 SW Hall Blvd,Tigard,OP 97223 Date.issued: lly:Ar{fL Rcccipt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: — Payment type: Land use approval: _ _ Building permit no.: TYPF t ' ' 41alk' 2 fancily dwellinp or accessory U Commercial/industrial U Multi-fancily U Tenant improvement ew construction U A(I(Iltlon/alteration/replacctnent0do�css��_ Indicate equipment quantities in hazes below. Indi:atc the dollar .no. Suite no. _ val,,e of all mechanical materials,couipment,labor,overhead, Bldf profit. Value$ Tax map/tax lot/account no,: ` Tot; Block: Subdivision: • ce cherklist for i nportant application information and _ M ;urisdiction's Ice schedule for ressdcntial perncii fee. Project name: 'It T,R111M INX111171IF!"01M City/county: 'LI P: '7 ' a r � Descr tioand location of worKort remises: _ ._��n� �Zf�.t Ql ,, -•L,_�_ __— I cc(ca.) total L-st.date ofcompletion/inspcetion: (t`J -- ( (� -- Dexcri ion _ ')oc. Res-only Rcs.r,nly Tenant improvement or change of use: Aarhandling.•nit CFM,_. Is existing space heated or con itioned'? Yes U No ircon itioning Is existing space insulated? Yes U No Alteration McONTRAUngy seen __ tof er compressors state boiler permit no.: Business name: /2 ,STP kti HI' Tons HTU/H Address; 'r G1�C .AyrliStS 1� Fire/smoke damperstauctsmo c detectors City: State 2 Z.11!(j '-1 cfnt pump(site pan required) _ C 1? mail' nstal rep acs urune urner 1T Phone: _�y p I'ux. _�— __-_- Including ductwork/vunt liner U Yes Ll No CCB no.: =(a 2.3 - Vista rep ac re ocate eaterssuspende. , City/metro lic.no.: _ _ wall,or floor mounted (please print): nt or np canes of er than furnace Name !'e� -t C Refirgerat on: Ahsorpuon units BTU/11 Chillers --_i. lip Coruressors _ Name: .I Xa c � '_ IIP Address: _ ;nTr-o-n-m-an-hal exhaust anvent al on: City: — _- State: ZIP: Apt'iancevent Phone:5-7 ?(i V 1"tx: L' mail: floods x - o s,Type e res.kits c axmat hood fire suppression system Name: LPe L�� _ L/ti LA? Exhaust fan with single duct(hath fans) Fxhaust systea art from satin or C m Mailing address: - ue p p ng and ct ut on(up to 4 out ets Ci!y: --- State: ZIP ----- Type: I m; _ NG oil a — Phone: Fa [i mail: I�ucl i m sac t additions over 4 outlets rocecsp pmg(schematicrequirec) Number fiber cd outlets _.. Name: _ _ ___ ))-I e�'IFt-a app anee or equ pment: Address: _ _ Dccorativefireplace ('Icy; Stalc:� ZIP: Insert-ly c _ 1ti'oo slov•pe et stove _� Phone: Fax; G snail: other: [Na icant's sign _ Date: Gr�6V Other: e (print): - ch" - - Permit fee........ ............$ Not all Jurisdiction+accept credit cents.Please cull Juduliction Gx more infomuaon. Notice:•thisermit application P Pp Minimum fee................$ LI Visa U MasterCard expires if a permit is not obtained plan review(at _ %) $ _ credit card numhet: ---- -- —Hspi/ re within ISO days alter it has been Icte.ted as cams cj secState surcharge(896) $ `'fi t= --- Name of cardholder ru shown on credit sed p p Ce hal r danature Amount 440.4617(6/Oa/COM) • t v Commercial Schedule 1&2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE - -- -_ _-- _ _ Oeraiplwn Ta Furnace l0 100,000 BTU b101AMechanicalCode oty Pt" Total 1) Fumaae to 100.100 131k including ducts&vents 955 indAIN ducts&vents 14.00 Furnace>100,000 Bl U 2) FumafX 100,000 BTU- Furnace dIds&vents 17.40 includingducts&vents 1,170 J) FlW Fumace --. ndudin vent 14 00 floor furnace 4) Suspended heater.wall healer including vent 955 Vf floamounted healer 1400 _ suspended heater,watt heater 5) Vent not induded in appliance permit-� 6.60 or floor mounted heater 955 6) Repair ands12.15 _ Chrdr all that apply `801101 Heat Air Vent not Included In appliance permit 445 For hems 7.10.sea or Pump co,+ sly Price Total footnotes 1,2 con Repair units 805 7)<311P.dbsofb unit to <3 h absorb.unit .00 WOK BTU t4 p; B)3-15 HP;absorb unit to 10"9k BTU 955 1 ooh to book BTU 25.00 9)15-30 HP;absorb 3-15 hp;absorb.unit unit.6-1 n41BTU _ _ _. 75.00 101k to 500k BTU r 1100 10)J 1 NP-ibwrb - unit 1- -t 75 mit DTU 52.20 15-30 hp;absorb.unit 11)>5q 4P,absorb unit>175 mil BTU _- _ 81.20 5011<to 1 mil.OTU 03`1012) Ir handling ur.H to 10.On CFM 00.08 30.50 hp;absorb.unit 1a) it handing uex`10;000 crM• 1-1.75 mil.BTU 3400 n7+o 14)Non-portable evaporate 000101 10.00 _ b0 hp;absorb.unit 15)Vent fan connected to s sinpie dud > 1.75 mil.BTU r 8.90 Alr handling Lnit to 10,000 cim 656 16>Ventilation,yrmM na mduded In 10.00 Air handling unit>10,000 cfm 1 170 t7)Hood served by median exhaust to 00 Non-portable evaporate roller - 656 18)oon*stk:Indr,erston -- 17.40 vent fan connected to a single duct 446 19)cmnmeruai o<Industrial type Incinerator Vent syst.not Included in appliance permit 656 99.95 20)Other units,including wood atovet K-)od served by mechanical exhaust 656 _ tg.BB Domestic incinerator 1170 2i)oas plP�ro one to four outlets 5.40 J/ Commercial or indl -t it incinerator 4590 2z each) T' Other unit,incli._...tl w,ori stoves,inserts,etc. 656 Inimum Permit Fee s72.so SUBTOTAL Gas piping 1-4 outlets 360 ax_suacw�ace PLAN REAM 25%OF SUBTOTAL Each additional outlet 63 required for _ALL eommerc(s'permits Only TOTAL �_ mot Inspecuoes and Faas. I Insaedinna a%kjr of a...naf hushurss I wn 1nun,n um rherge n+n Awn) 172 ee pm hen 7 Inspeoms kw whit,m 4c is epeofKJfly woKsk-d(minimunr drerae Wf howl t� a 72 6o per h" h A 191-111�✓BlUall01 .._-._--�_ t' 0,"t, fdda Yf� N h50 Per en rsv4w;e2 u+rpes edddnns a 2Asuxrs In pans lmr,,mum eerie-haour)177 59 Per hour •Stale Ceneadur Boger Cedit8tlm r-'.4rr d 1-1.60-TO-V'-60-0-60- --- M inimufn$72.50 .."-idrnhn uc rev*es see clan af"Mng otarYnrnf 01 un 1 $S,OOI.OU to 510,000.00 _ $72.50 for the first$5,000.00 and 51.52 for each additional$100,00 or fraction thereof, to and including$10,000.00 $10,001.00 to$25,000.00---- $148.50 for the Utct S10,0000.00 and$1.54 for each additional$100.00 of fraction thereof,to and including$25,030.00 $25,001.00 to$50,000.00 $379.50 for the first 525,000.00 and$1.45 for each additional$100.00 or fraction thcrcof,to and including$50,000.00 $50,000.00 and up - $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof _ CITY OF TIGARD --- . BUILDING PERMIT _ PERMIT#: BU132000-00202 DEVELOPMENT SERVICES DATE ISSUED: 05,31/2000 1312.5 `.iW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111C:C-08100 SITE .,DJRESS: 15785 SW GREENS WAY SUBDIVISION: SUMMERFiELD NO.2 ZONING: R 12 BLOCK: Uzi: 108 JURISDICTION: 1 IG REISSUE: -'_FLOUR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK, OTR FIRST: st N: S: E: W: '','YPE OF USE: MF SECOND: sf ----PROJECT OPENINGS? TYPE OF CONST: sf N:— S. E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. R.ATIED: GARAGE: sf OCCU 3EP. RATED: STOR: HT: ft BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT ft RGHT: ft J FIR SPI(L: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDI%LP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: /J-A Remarks: Re-roof existing 5-plex. Owner: Contractor: NAYLOR PETER F + MAXINE H CO- PACIFIC WEST CONSTRUCI ION INC 15785 SW GREENS WAY PACIFIC WEST R'.)OFING TIGARD OP.. 97224 PO BOX 44��II4 CC OO Phone: 503-635-8706L ,K_,'vdWP�06R 97034 Reg#: i-ic 54111 FEES REQUIRED INSPECTIONS — Type By Date Amount Receipt — _ Final Inspection PRMT GEO , 05/31/2000 $110.00 0002567 5PCC GEO 05/31/203C $8.80 0002567 Total _ $118.80 n R\ I G ! NA L 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 be done in accordance with approved plans. This permitw,11 expire i' work is not started within 180 days of issuance, or If work is suspended for more than 180 d2,'; .TTENT1W Oregcn law rerLpres yu„ rt follow the rules adopted by the Oregon Utility Notification Censer Those rues are set torch in rDAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNr.' by calling (503) 246-1987 Pe nn if:-e l Sia:iature: Issued By: C81(6394175 by I p.m. for an Inspection the next business day �■ra�ri CITY OF TIGARD Plan Check#.--.- 13125 ._ -13125 SW HALL BLVD. Recd By: TIGARD OR 97223 RE-ROOF114G PERMIT APPLICATION Date Recd: — Date to PE. V-503-639-4171 X304 Date to IST: _ F-503-59P 19x0 Permit#rf��PPRm�o-do_R, Incomplete or illegible applications will not be accepted Called:_ Name of Develcpment/Busfness — Y STSEMBLY t ,'Mit Maberis ijm'sittaon U( BC Appendix 1 __ r !' Street Ad(rens Ste# Please fill out applicable section an-attach copy or roofing Job Site 15 rl e5 C�fZ.�.� l) specifications. _ Bldg# Ciiy/State -zip Listed Assembt r� _j Circle 8 Complete ASB or("_L Name 1. Specification Applicant Mailing Address 2. Manufacturer. _-_ _— ----------- P. -___._--P.(). 64)c LILIy City/State I Zip Phone "3a UL Cl, .sification. Roofing ame - Listed UL Building Materials Directory Page Contractor ahCtGU_ (OR) (Prior to issuance Mailing Addr,ss "3b Warnock Hersey _— applicant must ?.IJ. eo-)X .14-f-4 _ provide a copy of City/State Zip listed Warnock Hersey Directory Page#. all contractor f, 05-viec� `fit N "COPY OF ASSEMBLY REQUIRED licenses if Phone# af'x# expired in COT 05- mo bl 1 zz H9 _ B. ICBO Research#: database) State Constr Contr Board# Exp Date 5 y I I ( 14•0'_) DATED: BUILDING iNf'ORMA i 10N C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Building -Type Of Use. (circle one) (review required by plans examiner) SF SFA COM F) Building- Type of Construction: VALUATION OF PROJECT $ ` vJow 5-r(bjC-fuK - — - sq.ft. of roof area — Existing Deck Type: Permit fee based on valuation' Combustible (✓jl Non-Combustible ( ) ' see chart on back $ Ip ,_ �;,;ONLY•,Glass of Work:Altera,�d — City use only: WACO: O REPAIR (MAJOR) (review required by plans examiner) BUILDL� (UFIUILD) Permit required ONLY when spaced sheathing is covered by solid sheathing. Changes to roof line require Building Permit _ 8% State Surcharge $ Application. City use only: WACO: SUBMIT TWO(2)SETS OF PIANS SPECIFYING. _ (TAX) __ „ J(UTAX) A. Roof area&nearest street. 'Required for major repatm of Residential B. Attic,vents- Provide 1 sq. ft.for each 150 sq ft. of attic or"C" above " 65%Plan Review $ space. Vents shall be located in the upper 1/3 of the roof. City use Only. WACO' Provide 1 sq. ft. for each 300 sq ft when eave&attic � (BUPPLN) _(UBUPLN) venting is provided. STEP 1._ COMMLRCIA r , I acknowledge that I have read this application and that the Class of Work: Repair information given is correct; that I am the owner or authorized Describe work to be done: (check appropriate box) agent ')f the owner, and that the plans (if applicable) are in ❑ RE-ROOF (circle A ,B or C) compl,ance with Oregon State lay/ A. Existing built up roof covering to be REMOVED and deck Signature of rJwnerlAgent_._ I Date repaired- P rxisting built-up roof covering to REMAIN: nate applicant must submit an engineer's review of the roof structural (0 •1(ou elements. Review shall bear the seal(or stamp)of the architect or engineer licensed in Oregon Contact Persnp Name Telephone C Asphalt or wood shingle/shakebre tfi ! 1�.,�t S 6 e-,* I (PROCEED TO STEF'2) _ �/�'� dsts\forms\ruoLres doc 8/26/99 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd,Tigard,Oregon 972230199 (503)639-4171 rjOTZ -W GR=D47) 5ULDIVISION. . . . z CUMMERrIELD NO. . . . . . . . .. . . c LOT. . . . . . . .. or W.'Rlv. . :rLT f-LOOn ruse. OF USE. UNIT f7tC1*,'Ur"r)NCY rjPr. . R." VENTIS WIC APPI BOX LERS/COMPr� ...*,- 3- 15 rid''. . . . X 1111-UT G 0 n TJ eCIRCSSUMEZ. Or LJNITE AIR ?4nNDLJ',%JG UM 1 TS JRN f 10011 PTUt lz TiN ) -10011 PTU: 10000 cfm ; I IN77n:-L P,!r.,vj car ............. Mop City of Tigard MECHANICAL_ PERMIT P.;nck/Rec. # 13125 SW Nall Blvd. APPLICATION Permit # M��b-�C10b Tigard, OR 97223 (503) 639-4-671 r:�azrts 'Je=scrriipaon —--�- f� . < /� Table 3A Me,hanical Corse OTY PRICE AMT jou .r ===��---�------ 1) Permit Foo -0- -0- 10.00 Address IT, -- —' -- / 2) Supptemsr<I Permit 3.00 �Is'Rt► rurnece- I00,M) C��.`i 1) incl.ducts 3 vents _- 6.W /VFurnace + Owner i t r 2) incl ducts d vents 7.50 no ' x C 3) incl. vent _ 6.00 4) oe floor mounted heater 6.00 �,r a �—Frin no—ri�. ln Occupant 3) appliance pgrrnit 300 'WINNl F— 17-apa'ir-76-nheaang,reing -- 6) coining,absorption unit 6 00 -M`iw or comp,heat pump, au cora. ^-- 1 71 to 7 HP:absorp unit to t00K BTU 6.G0 —mac>-ir or comp,Feat pump,av torr . •� ' .1 r,; P) 3- 5 HP;absorp unit to 500K BTU 11.00 Contractor —` Door or comp,h9aiPUMP,uv cond. • ry 9) 15.30 KP;absorp unit .5-1 mil BTU 15.00 �� •• Boils, or comp, heat pump,Air cond. 10) 30.50 HP;absorp ur•it 1-1.75 mil BTU 22.50 erg, ,c)vtmv go a ver Gals p Ica ion, tinat the I er or comp,heat pump, air mr inlorma,ion given is correct, that I am the owner or authorized agent 11) + 50 HP;absorp unit 75 mil BTU 37.50 r�rT or the ovmer,that plans sutxnittod are in compliance with State r aii.lg unit to i laws, dint I am registered with the Cunstrucdon Contractors Board, 12) 10,000 CFM r 4.50 that the number given is ccrrect (if exempt from state registration, --' it handlinq unit please give reason below) 13) 10,000 CTM. 7.50 _ 14) evaporate cooler 4.50 �'-'-- en an connec ed 151 to a.ingle duct 2 017 -- --*�-- "--`TniTa;,cn sy..(em not 16) included in appliance permit _ — 4.SU - / 56servi�T=Y 17) mechanical exhaust es%n worknow�•, a mon a fit9rat on repair ommercia or In sine to be done residential (D non-residential Q 19) type incinerator '1000 Existing user' —� er 1.a., wo stove,water building or property _ _ -- _ 19) heater,solar, cl-�•as dryers,etc. —�_ 4 E0 Proposed use of 20) Gas piping one to fo-jr outlets building or proper?., _ 21) More than 4-per outlet Type of heel -oi, J natural gas Q LPG 0 electric 0 Minimum Fee$25.00 SUBTOTAL 5 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1 d DAY 3,OR 5%SURCHARGE J /� IF CONSTRUCTICA OR YORK IS SUSPENDEtt OR ABANDONED FOR A PERIOD OF 180 DAYS A'•ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. p -"— ---- C�7 I. , —,OTAL , Special Conditions l � f-1 Data issued by " rn `� r_•. _. ►.n.scsrnrr ..eimMw i CITY OF TIGARD , 7 PLUMBING r-C,,trl1 c n. . . . . . . . I';�17'C S�WUEL COMMUNITY DEVELOPMENT DEPARTMENT 13126 S4 Hall 31vd.Tigard,Orepun 9722398199 (5,13)639-41/1 w(}l7F';.71_ ...� �I �.Yt,f" 1 v,L A .11... Z 11,4d N.J w 1i.._7 li1.Jl'17:.. BACKr -LOW f'°Ft �r - 'a. !T IL - ...- _...._.__ 77 City )f Tigard PLUMBING PERMIT Ai'PLICAT17��i Planck/Rec. # 'I 3125 SW Hall Blvd. Permit # ��iti9 r( Tigard, OR 97223 (503) 639-4111 MINIMUM $25.0:1 PERMIT FEE + ST. SURCHARGE — t'9w Simla Family Residences Only '— NMM d Oe.eMpM -, 1 BATH HOUSE 5140.00 0 2 BATH HOUSE$195 00 AMM 7 0 3 BATH HOUSE $225.00 Job � ' ' eet ao Fee includes all plumbing fixtu,es in the rtwelling and the first 100 f Address ahmot.• of water service, sanitary sewer and storm sewer See fees below — FXTURES CITY PRICE AMT No" o.nmee,suwm) / 9 00 1F' Sink _.— M r«e / P"^^• Lavatory - - - 9 00 '✓ ) �x� Tub or 1 ublShower Comb. 900 Owner -7 q. Shower Only 900 urypYue -- 9.00 Cwset _ Dishwasher 900 of / Garbage Disposal 9.00 !17l? r Occupant ,,- d,eee n ^� 9.00 Washing Machine _ Floor Dram 9 00 -- 9.n - zw Water Hearer _ �i+Yrni.0 90 Laundry Room Tray _ Unial 900 Other Fixtures (Specify) 9.00 r — - S.QO OMNI Meip Aftm Contractor 7 900 dit.—100 ----- 3000 � 1� fir' Sewer 15t 100' 2500 -- cw ew T.i N- Sewer-ea. Ad •71.tr Ar�rbeuen Nn -- �— ,� + Water �mrvir"e 1st 100' _ 3000 rinf,)rllation he acknowledge that I hive read .his ap,lication, that the J Water Service ea. Addit. 200' _- 25 00 given is correct, that I am the owner or author_-- agent of I Storm &Rain Drain 1st 100' 3000 owner, that plans submitted are in compliance %ith State laws. t'at 25.00 m registered with the Constructirn Contractor's Board, that the Storm &Rain Drain Addit 100' number given is correct ilf exemia from State registration, please Mobile Hone Space 2.900_ give reason below.) — T Back Flow Preventio r )�//. Device or Anti-PnIlution Device tij rote Any Trap cr Waite Not Connected to a Fixture 9.00 Catch Bann 900 Describe work new (_) addition U alteration repair (_1 Insp o1 Exist Plumbing 40 OO/hr to be done resir'ential J non-residential (�' _ - _ -- - - -� Specially Requested Inspections 10 OO/hr Existing use of Rain Dram. single family dwelling 30 00 _ building or ,property �.�_— ------ Residential backflow prevention 15.00 device �,roposed use of — 4 building or property _ - - '(Except residential backrlow - _ prevention devices)__ - l NOTIr.F_ 'Minimum Fee 525.00 bUFITOTAL PERMITS BECOME VOID IF WORK OP r:ONSTRUCTION r% SURCHARGE AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF -- — — CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED _ - FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 1S PIAN REVIEW 251% OF SUBTOTAL COMMENCED — —^ TOTAL / I Soec,el Conditions Date issued .__ry h y CIT/OF TIGARD BUILDING INSPEC71ON NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plum . Post/Beam Mech. Shear/Stieath Framing -Mach, PIbg.Und/rh/Slab PibV.Top Out Insulation -Elect, Post/Beam Struct. ec"Rotinh-In Gyp. Bd. -Bldg. San. Sewer Gas Lin Appr/Sdwlk Reins. i Other: Date. -�/ —_ A.M. P.M. Entry: Address: ---- — TenanIiS•L� t.� L - Ste:- MST: (qn / /'' BLP: /Orn . (_e_Zs1 -- - ME .: � . PLM: ELC: - ----- THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ C/ - L r Ins actor: - - - - -- ----�— Date: CCO—PROVED DISAPPROVED/CALL FOR REINSP. CF CO CITY OFTICCARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _Date Requested 5" 1 j L�AM _PM BLD Suite _ MEC Location � � -y �� Contact Person _ Ph �. `t-�'S. PLM -- — Contractor Ph _ SWR BUILDING Tenant/Owner _ ELC Retaininq Wall ELR Footing Access: FPS Fou,ndation -- Fig Drain SGN _ Crawl Drain Inspection Notes: Slab __ — SIT — Post&Beam Ext Sheath/Shear — Int Sheath/Shear Framing —_ - ----- Insulation Drywall Nailing _-.--_ - --- --- Firewali Fire Sprinkler ------ ,=ire Alarm Susp'd Ceiling ----- --- -- P'oof Misc - .-- --- -- — -- --. -- Final PASS PART FAIL --—- - - - -- — PLUMBING _ Post& Beam Under Slab _ ___ ----- ------ Top Out -- Watei Service -_ ------------ - Sanitary Sewer Rain Diains —.— - -- --- F anal PAS RT FAIL -�C_ --- -- -. 1 ('c sL eam ------- --_ ----- -- --- ZKe Dampers Fi — 1 PART FAIL_ u h i( r _, t1G/Slab l.• Low Voltage F ire Alarm --- — PART FAIL ------- ---... --- --- --- ---_. -- Backfill/Grading - --------- ------J-- Sarntary Sewer Storm Crain ( J Reinspection fee cf$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect- no access Fire Supply Line ( }Pease call for re,.�spec!ion RE _--^- _ _._ I 1 P ADA I Approach/SidewaiFl_1 -- Ext Other _ Date . Inspector Final PASS PART FAIL J 00 NOT REMOVE this inspection record from the job site. CITY OF T IG�4R D — ELECTRICAL PERMIT PERMIT#: ELC1999-00301 DEVELOPMENT SERVICES DATE ISSUED: 5/20/99 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 63a-4171 PARCEL: 2S1111CIC-08400 SITE ADDRESS: '15755 SW GREENS WAY SUBDIVISION: SUMMERFIELD NO.2 ZONING: R-12 SLOCK: LOT : 111 JURISDICTION: TIG Pr---;dct Description: First branch circuit RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp' SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 0+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ AJLYL INSPECTIONS 0 - 200 amp: W1SEPVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st Wil)SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT- 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: — SVC/FDR>=225 AMPS: CLASS_ ,.tA/SPER OCC: Owner: Contractor: THEODORE PALMER BOONES FERRY ELECTRICAL 15755 SE GREENS WAY PO BOX 628 TIGARD, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: Reg#: 691,�-4SMOS LIC 00088482 ELE 3-223C _ FEES Required Inspections _ Type By Date Amount Recolpt Elect'/ Service PRMT BON 5/20/99 $35.00 99-315553 Elect'/ Final 5PCT BON 5/20/99 $1.75 99-315553 Total $36.75 I 01RIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR Specialty Codes and all other 2pplicable laws All work will be done in accordance with approved plans This permit will spire if work is not started within 180 days of issuance,or if work is suspended for more Lian 180 clays Al TENTION Oregon law requires you to follow rules adopted by the Oreg:m Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 1 -�? Permit Signature: ; 1 �-�� yt, l � Issuer♦ By: � _ OWNER INSTALLATION! ONLY The installation is being made on property I own which is not intended for sale. Ieasn, or rent. OWNER'S SIGNATURE: __ — DATE: _! CONTRACTOR INSTALLATION ONL.Y -- t�l t �� U� --- — SIGNATURE OF SUPR. ELEC'N: -�_ DATE __--__ --- --� — _— LICENSE NO: ------- Call 639.4175 by 7:00pm for dry inspection the next business day �s�ss' TC'PC "ALMER CITY OF TIGARD RECEMF electrical Permit Application PlanChecka 13125 SW HALL BLVD. t, Recd By_ MAY 2 e► lyq • —Date 5`M TIGARD OR 9.7223 _ Phone (503)639-4171, x304;,0MMUNfIY U�utiUl'MtNi Date to P.E.--- Print or Type Date to DST _ Inspection (503) 639-4175 Permit ( Fax (503)684-7297 Incomplete or illegible will not be accepted called 1. Job Address: 4. Complete :=ee Schedule Below: ~ Name of Development- Number of Inspections per pertnit allowed -- Name(or name of business)__-__PA/All 9-r- __ Service includ, a- Items Cost Sum Address._ l 0755 SW Greens Way` 4a. Residential-per unit 1000 sq 11 or loss $11000 City/State/Zip_ T i r�ar,d,- Q.Q 97794 .., f ach aciJdronal 500 sq it or portion thereof $25.00 Commercial Residential ® Limited rnrargy $2500 Fach Manul'd Home or Modular - Dwelling Service or Feeder $6800 2 2a. Contrar^tor installation only: - -- (Attach copy of at;current licenses) 4L•.Services or Feeders I-JoctncalContractor BOONE•'S FERRY ELECTRIC Installation•alteration,or relocation Address P 0 r30_X 6 2 8 200 amps or less $60.00 _ 2 r , --- — - 201 amps to 400 amps _- $80.00 City_h> 1 s o n v i 1 1.c State Qi_ 97070 _ 401 amps to 600 amps $1200-3 2 Phone No. 6 8 2–4 9 36 _ 601 amps to 1000 strip, _ $18000 2 Job No. `4 00 4�-(+ ."i Q G� Over 10amps or volls __ $340.00 2 Elec.Cont. Lice. No. 3--2 2 3 C Ex Datts__• 1 3 1 9 9 Reconnect only $W 00 _ 2 nR State CCB Reg, No } � Exp.Date g ac.Temporary Services or Fer dens COT Business Tax or Metro o. 2 85 xp.Date 8 1L99 Installation,alteration,or relocation — 200 amps or less $50.00 _ Signature of Supr. Flec' 201 amps to+90 amps $75.00 _ _ 2 - - 401 amps to 600 amps A $10(.00 2 Over mo amps'o 1000 volts. License Nr 3170 S Exp. ute_ 10/j / 0/1/-Q1_ see"b"abo\ Phone N 6 8 2 -4 9 3 _ - -_ --- - - t � 4d.Branch Circuits New,alteration oexionsionr panel 2b. For owner in..tallations: a)The fee to,branch circuits with purchase of service or Print Owner's Name feeder fee. Address Fach branch circuit $500 2 -- - b) Iho lee for branch circuits CI State ` ZI without purchase of Phone No,_ scrulce or feeder fee. l ust branch circuit $35.00 �r+.��-- 2 The installation is being made on property I own which is not Each ada,cienal branch oicull $500 2 intended for sa13, lease or rent. 4e.Miscellaneous (Setvlce or leerier riot included) Owner's 3ignature__ -_ _ Each pump or irrigatic.l circle $4000 _ 2 Each sign or outline lighting $40.00 _ 2 3. Plan Review section (ifrequired):' Signal circuit(s)or a limited energy` panel,alteration or extension $4000 2 Please check appropriate item anMinor I abets(10) $100 00d enter tee in section 5B. ---- — 4 or more residential units in one structure 4f.Each additional Inspection over Service and feed' '5 amps or more the allowable In any of the above System over 611, Its norninal Per inspection $35 00 _- Uass'fied area or stricture containing special occupancy Per hour _ $55 0( as uescribod in N E C Chapter 5 In Plant e $5500 — Submit 2 sets of plans with application where any of the above apply. 5. Fees. Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(05 X total fern) $ _- NOTICE Subtotal c 5b.Enter 25%of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If regu rTd(Sec 3) $ - -- NOT COMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTION OR WORK Suolotal $IS SUSPEa4CED'OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I_J Trust Account a Total balance Due -- C i TY OF T I GA R D MECHANICAL PERMI'j PrRMIT#: MEC1999 00208 ` 1 �fE ISSUEQ: 5/1 DEVELOPMENT SERVICES 3199 13125 S4 I Hall Blvd., Tigard, OR 97223 (503) PARCEL:PARCEL: 2S111CC-08400 SITE ADDRESS: 15755 SW GREENS WAY -12 SUBDIVISION: SUMMERFIELD NO.2 ZONING: IG BLOCK: LOT: 111 _^ JURISDICTION: TIG TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEAL ERS: VENT FANS: OCCUPANC"r GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: LFG 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: FURN < 100K BTU: 1 AIR HANDLING UNITS — OTHER UNITS: FURN >=ICnK Bl U: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas furnace and gas piping. Owner: FEES PALMER. THEODORE R + LELA FAY Type By Date Amount Receipt 15755 SW GREENS WAY PRMT DRA 5/13/99 $25.00 99-315378 TIGARD. OR 97224 51-CT DRA 5/13/99 $1.25 99-315378 Total Y$26.25 Phone: Contractor: — 'rRI-COUNTY TEMP CONTROL INC 131.50 SE CLACKAMAS DRIVE OREGON CITY, OR 97045 REQUIRED INSPECTIONS Gas Line Insp Phone:654-3115 Heating Unt Insp Reg #:LIC 72623 Final Inspection 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 l);ans. This permit will expire if work is not started .vithin 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 m y'-obtain copies of these rules or direct questions to OUNC by c Ilin 003)246-9189. Issuey: .' Permittee Signature: / -- Call (503) 649-4175 by 7:00 P.M. for inspections needed the next usiness day Plan CITY OF TIGARD RECE Mechanical Permit Application Recd * 4�- 13125 SW HALL BLVD. Commercial and Residential d_ ��r3- P1!,AY 7 I`.3c�`• DateRec'd -r TIGARD, OR 97223 Date to P E. —— (503) 639-4171, x304ur4NIUNtIY Lit.' "LUPMEN1 Date to DST Print or Type Permit a.CtircG44q-008 Incomplete or illegible applications will not be accepted Called Name of DeveicpmenVProiect Description 6 �/' Table 1A Mechanical Code—_ � Oty Price Amt Street Address A Permit Fee _ Job sundry 1) Furnace to 100,000 BTU — 10.00 Address includin ducts&vents uee footnote 1,2 600 stege cnyrstate zip 2) Furnace 100,000 BTU+ _ _including r;ucts B vents _ see footnote 1,2 7.50 e(o Namr risme of bus'noss) O t2 r 3) Floor Fur nacc —� Owner yg��u' � f(i7 including vent see footnote 1,2 _ 6.00 Mailing Address -` _ 4) Suspended healer,wall heater or floor mounted heater _ see footnote 1,2 600 5) Vent not included in appliance permit CnylSlate ZIP Phone _ 3.00 '�"?;,7?L �7,� Check all that apply Boiler Heat .4ir Name(or name of business) For Items 6-10,see or Pump C cnd Qty Price A-,t �i roronot95 1_: 6)<31!P;bbsorb unit to Occupant Melling Address 100K BTU 6.00 i)3-15 HP,ahsorb unit — Cltyrstate zip Phone 130k to 500k RTU_ 11 00 8)15-30 HP.absorb —� Name unit.5-1 mil BTU _ 1500 Contractor _ 9)30.50 HP,absorb Z1 614 It 11721, unit 1-1 75 mil BTU _ 22,50 Prior to permit Melting Address ^� 10)>50HP, absorb unit issuance,a copy /?i/s 1, �' tl"t �7 ; _ >1.75 mil BTU of all licenses �n/state zip Phone 11)Air handling unit to ,000 CFM 37.50 are required ff ` "L r 1 1 i .)J 1 -_ l7 (/S 450 expired in COT Oregon Conal C int aero Lic 0 Exp Usto 12)Air handling unit 10,000 CFM+ database !f Cr >' _7_50 _ Architect Name 13)Non-portable e7,aporate cooler 4.50 or Mailing Address — — 14)Vent fan connected to a single duct _ 3.00 _ 15)Ventilation system not included in Engineer cnyistete —` zip Phone appliance permit 4.50 ___ �` 16)Hood served by mechanical exhaust Describe work to be done. _ 4 50 17)Domestic Incinerators New O Repair O Replace with like kind Yes O No O __ 1.50_ _ Residential( Commercial O 18)Commerclal or tnr:ustrial type incinerator _ _ _ 30.00 Additional information or description of work 19)Repair unite 450 20)Wood stove NOTE: For Commercial projects only,Units over 400 lbs require _ _ 4.50 _structural teas cabs _gas>_ 21)Clothes dryer,etc. Type of fuel oil O natural LPG O electrir,O _ _ _ 4.50 22)Other units I hereby acknowledge that I have read this application,that the information _ 4 50 given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets ^ the owner,that plans submitted are in complia-ice with Oregon Slate laws See footnote 1 2 00 24)More than 4-per outlet(each) Slgna�r of OwnerJ"ent Date .50 r� '•`2� "�(J "•-� r_Alnlmum Permit Fee$25.00 SUBTOTAL Contact Person Name Phoria -- ' 7/ 5%SURCHARGE L7 PLAN REVIEW 25%OF SUBTOTAL Foonotes for commercial projects only: ---Required for ALL commercial permits only 1 Provide full schematic of existing a Id proposed gas line and pressure TOTAL 2 Provide drawings to scale showing e,cistin,,and proposed mechantral units 'State Contractor Boile•Certification required "Residential A/C requires sii^plan showing placement of unit I krr;echpeno doc rev 0214199 ' MECHANICAL CITY OF TIGARD PERMIT#: MEC2002-00530 DEVELOPMENT SERVICES DATE ISSUED: 11/25102 13125 SW Hall Blvd., Tigard, OR 97223 (50,1) 639-4171 PARCEL: 2S111CC-082.00 SITE ADDRESS: 15775 SW GREENS WAY ZONING: R-12 SUBDIVISION: SUMMERFIELD NO.2 JURISDICTION: TIG BLOCK: LOT: 109 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: — — FUEL TYPES — 0 - 3 HP: FUMES. INC-IN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 3U -50 HP: WOODSTOVE.1-1: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: .AIR HANDLING UNITS OTHER UNITS FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Install gas insert, piping and outlet. FEES Owner: Date Amount 15715 METER, MARVIN F 4 IMGGENE N TRS Description _ _..---- 15715 SW GREENS WAY 11EC'l l Permit I cc 11125/02 $72.50 TIGARD, OR 97224 �%IF.0 III l'crmit Fcc 11/25/02 $0.00 IA X I K titatc'lax 11/25/02 $5.80 Phone: I A\I `c St itc l_,s 11/25102 $0.00 Total $78.30 Contractor: --- - LUDEMAN'S FIREPLACE+ PATIO 12675 SW BEAVERDAM RD REQUIRED INSPECTIONS _ BEAVERTON, OR 97005-2129 _ Gas Line nsp Phone: 646-6409 Mechanical Insp Reg#: 51469 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specially Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if worts is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon iaw requires you to follow rules adopted in the Oregon Utility Notification Center. Those riles are set forth in OAR 952-001-00 Issued By �, r�, Permittee Signature: ----_ �_ _ Cl• - _ - ..� �.� xt business day Call (503) 639-4175 by 7:00 P.M. for inspections needed the tie VUUV Vv+. r... -- . Mechanical Permit Application City oftTigard Ptolect/appl.no.: E)tpue dam Cir;o)7gart! Address 13125 SW riall R 9j�y y, /r Date)asuesd: By. ) 1lceeaptno.. Phonc: 1503) h39-4171 N L D 11E - Fax: (501) 598-1960 Case file no.. Payment type:_-r Land usr approval. Wny 9 2 20 Bwxdingpermtt no.. - 1' 1 &. family dwcLling of ac:cc-ssLay O Multi-funny 17 Tenet intptuvement O New construction Yxkddiuon/alttrauonimplacemenr 0 Otter Job address: /57*7S W ire r�f��_a Indicam equipment quanuties to boxc4 below.Indicate the dollar "- value of all mechanical matcnals. utpmeot.labni.o�r_rttcad. Bldg.no.: State no.: -_------ W fax mapf=lo_t/acccunr no: ---- profit Value 1 -� — •See checklist for vn hcatton information and Loc - Alock: Sutsdiv)sioa _ porant spp Prn)cr.-�nsrne_ �'Y/rir2 a ----- jurisdiction's fee schedule for re.adentlal permit fee. (:itykoun!v W Paw C3Pscnpr+on and Inctnon of wr> on prcmtsr -! _ —r,. -- - Fee(ekI Total Fst-dear of complehrWimpection: - . Res N Retov Tenant Improvement or change of use' - A Is cx space healed or comdiuotaeO O Yes O No Air haediins vn)t CFAt K P A)r condiriotiln (site Ian rtt4yt:MA) - Is existing spa c tnstilaredl J Yrs q No Alteration o extsnnR A system "—r--� t Roiler/utmptemis State boiler permit no- Attstttcss fie./ �� e" hlar+...�1'i ��- NP -_.Tons BTUlH �--Iiia fff. Address./ta� ,� KJE' Q _ FLrusmnkeaatapersiductsnokcocsawn -- CityIOWASuv aR ZIP 970t�'S eat pump(sem plan e4bunw phone• _ F��- — E-rnatl nsu-1ITeptsre�ntaocTburnu G - - -- -- Including ducnrorlWem liner 'J Ycs O No CCB no. �� s�ty2 --_---! ►citta rep ac2to ocsm e�_nsric-suspended, - - CAy.mcirn lir..na: _ - wall.or floor nxxtated - Name(please ):� / +� vrnt tot a aaoco rx an furnser. efAgeretdeex Abso"onumts— _ BTLTAI - Name .� ChllitYs- _—_-- HP ---�� Z�_e _..-.-___-____ Hp r..arMrat eesiwsr aoM oa: City Stale: ZIP' _ A litncevcnt -W— Ptrcme: -- -- -- - Fax E caul: er tsi — ype ren- )e+J t�itmat yt hood fire aunpresaum"am -.. Ntttrle: �y/i r -i!C✓� Eithma tan with auate duct(barb[am) Ntulutg addeeas: 7 ' frrh 3 Asv--,it t on or __- (ity: "-7 si t7 SWar O!L ZIP: 9 7a7a LPC NG p to c aev I Phone-. � yD pipin e tii ovr1 u ts rvsanap}ng( stegvi ) Number of oudm Add Decorauvefuepiaee cor _ State: -✓-IP - - -Wdstovelpallet nova one: Fax: � E rites(: oo _ - ApplicsnCs signature: Date- - Name (print) t•'ae as f..dtdm rc.p a.i)radt.Prean CM jv;.adofv sa.on«s_vmL Ptrnut fee.,.._-.------.--....S .•�.7Q pvL;• O H - Noting:This f+umu apphcatmn Minimum fee ._...... .....f / expires if a pmnu Ls not obtained (_ewil11 Cd—L r a �---- — �� within 190 days aflrr it has heen Plan review(at State satrhuEe(11%)...S _ s• s TOTAL ........... ...5 Olt 7 ' 3 r7 CITY OF 710-ARD 2441our BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 — SUP --- _ Received __— Date Requested___--_1 �� _ AM— PM— __ BUP Location _. —�7 — F �_W_q�y__ _Suite_--- _ MEC _" Ccntact Person —_- Ph(—__--) G --� -- PLM Contractor._.._----- — ---- ----- Ph( ----) — --_ SWR — --_—. BUILDING -- TenanUrir — '�.__�rL_�y�L',3-oZ Z=' ELC Forting _ ELC Foundation Access: --- - - - "- Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors ---------------------- Fxt Shaath/Shear Int Sheath/Shear --- Framing --- Insulation D ywall Nailing - - -- -- - -- -- .... _ - -- - ---- --Firewall Fire Sprinkler -- ---- --- -- ------ - ---- Fire Alarm Susp'd Ceiling Roof Other: --- - - -- - -- - -- _ Final SS PART FAIL PLUMBING _ — Oost&Beam Under Slab -- Rough-In Water Service -..----- __. - --_----_ Sanitary Sewer Rain Drains ---- -- - - -- --- -- Catch Basin/Manhole Storm Drain --- - - _ -- - - - Shower Pan Other: - ------ -- -- ------ Final ---Finnl PASS PART FAIL --- - - - - -- _. --- --- - - --------- E N ICA -- - Pest& Beam Rough-In —__- 9 - Smoke Dampers -- - --- - -- - --- - Fin�;-' ASS PART FAIL ---- ---- - -- --- - - ---- -- - - ELECTRICAL Service _--- ----- Rouph-In UG/Slab Low Voltage Fire Alarm Final r Reinsp action fee of$ inspection. Pa required uired before next ins Hall, 131125 SW Hall Blvd. PASS PART FAIL p y at City SITE _ �� Please call for reinspection HE: Unable to inspect-no access Fire Supply Line ADA �— f-ch '� - Approach/Sidewalk DatA ---_—__-- Inspector_--____--- _-_. Ext - -_- Other. Final PART FAIL DO NOT RENTOVE this Inspection record from the job site. PASS