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15810-15850 SW GREENS WAY Ln OD --n 0 Q'i z i j t 4 tv k-A X: v Oc sitN wLAI rb - I m I I ":,-j It 14C, Vi < r. N < tV r L -41 0) Lu Lki t o ti i 'rte Uj f Uj u 14% SN iT 4,� 46 lu 'S" alp, i �� %-4 k 15810,15820,15830,15840a 15850 SW GREMS WAY CITYOF TIG /� R D BUILDING PERMIT _ DEVELOPMENT SERVICESPERMIT 4: BUP2000-00137 131 '5 S'N Hall Blvd., Tward, Oi: 97223 (503) 639-4171 DATE ISSbED: 04/24!2000 SITE: ADDRESS: 15810 SW GREEN. WAY PARCEL: 2S111CC-10300 SUBDIVISION' SlJMM-RFIELD N0.2 ZONING: R-12 _-- BLOCK: LOT: 130 JURISDICTION: TIC; REISSUE: _JOR AREAS EXTFI�IS: WALL CONSTRUCTION CLASS OF VVORK: OTR --- — s{ FIRST: � %�: `R -- TYPE OF USE: SECOND: S• E: —VV; : 3f PROJEC'r OPENINGS? TYPE OF CONST: sf - ----- S. _-- OCCUPANCY GRP: R.', -� E: W: 1..TAL AREA: s( ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf ARFr !;EP. RATED: STOR: Hl: ft GARAGE: yf OCCU SEP. RATED: BSMT'?: MEZZ?: REQD SETBACKS � LEFT.----ft REQUIRED JOR LOAD: psf RGHT. ft —FIR SPN;i_: SMGK iJEI� DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP.SCC: `BEURMS: BATHS: 1^^p SUF.FaCE: PRO CORK: PARKING: ARKING: Remarks- Reroof 5 unit condominium, rerY,,)Virg exrstina roof down to the sheating I Owner: Contractor: MCCLURE, NORMA J TRUSTEE PACIFIC WEST CONSTRUCTION INC 1ob ,0 SW GREENS WAY PAC!FIC WEST F?OOFING TIGA.'RD, OR 97224 PO BOX 4444 Phone: olio e `'Vy35��3J1OpR 97034 ORIGINAL Reg#: _IC 54111 REQUIRED INSPECTIONS Type_—By ^ Date Amount Receipt I Roof Na�ling Insp — _ I SPCr K,1P 04/24/200C $8.80 0001626 Final Inspection Pr'MT KJP 04/24/100C $110.00 000162E Total This permi` is issued subject to the regulations con,ained in the Tigard Municipal Code, Stat+ of OR Specialty Codes and all other applicable law. All work will be done In accordance with approved This permit will expire i' work is not started within 180 days of issuance, or if work is suspended formorethan 180 days. A'1 TEN ION: 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 952-001-1987. You may obtain a copy of these rules or direct questions to 7UNC by callin.1 '503) 246-1987 Signa tire: Issued By: Call 639-4175 by 7 p.m. for an inspection the next busir12:-s day •r CITY OF i IGARU Plan Check# 13125 SW HALL BLVD. Recd B7:—_— -- TIGARD OP. 97223 RE-ROOFING PERMIT APPLICATION Date Recd: V-503.639-4171 X304 Date to PE: F-503 598-1 50 Date to DST. Permit# Incomplete or illegible applications will not be ac;epted Called: —'Name of Developrrient/Business STEP 2. NEN ROOFW3UDC SSEMBLY •✓r '\ r-%e-4,2- F C;—;7J Matiria.l Cocur� antaV,)6�C Appendix 15 Street Address --1 Sip — Pleas::fill out applicable section and attach copy of roofing Job Site l°3r150 GILM%w 'S v�Ay specifications. _ Bldg# city/State. zip _ Llstet!Assernbly (Chrcle&Co+ntrlete A,8 or C__ Name 1. Speci;ication#. Applicant M fling Addess 2. M mufacturer .c�. IA`j tom.— -- — --- _ -- t,ity/JlatN T ,7��p �r-non,�3-� •3a UL Classification: l.F4lfk Fo3finy� game Listed UL Building Materials Directory Page#: C ntractor t�d�C.t F lL V r(i;S 7 Q�G1r '� (OR) (P i,: to issuance M (lind Address -� "3b Warnock Hersey aNplrcanl must ii t'b X H H y provide a oo)y of City/date zip Listed Warnock Hersey Directory Page#: all :ortr3Ct:9t L4t(E c)�N.-�0 __ _°��llj 'COPY OFAS.SEiMBLYREQUIRED ��. . I R,rses If Phone# ax� _ fired in COT p `J_3 635—.i.'�U "L7 B. ICBG)Research#: ex _. _—_.-----------_. database) State constr.Gontr. oerd L: Exp Date 6-I'- ,J:) ( DATED:___ ,BUILDING IIN,FORINATION C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Building-Type Of Use: (circle one) ��((,,'�� (review required by plans examiner) SF SFA COM.-_.. ,""_1�--- -- - - &iilding Type of C9rrstruction: VALUATION OF PROJECT $ WLP.)Y) ;i f.' -fvK-_rE _ i _ sq. ftof,00f area T Existing Deck Type' Permit fet-. based on valuation" Coml,twjble Nr -G:,ri nustible ) " see chart on back $ City uSe or y: WACO: --- —- U REPAIR(MAJOF ,view required by plans$:;::3i ilrier) (BUeLD) fUBUILD Permit requ red f, _','iovhe:i sf,aced sheathing is covered by solid sheee!,�.-,I. - rx,;pas to rout lire require Building Permit _ 8% State Surcharge Ahplicatio r, City use only: - WACO: SUBMIT, j!t1Q(lZ` IS OF FLANS SPECIFYING. _(TAX) _ _ (U1A__X) A. Roof aro l&!in, r,st street. "Required for major repairs of Resic'ential B. Attic von', r'rwide 1 sq, ft. for uech IL0 sq.ft. of attic or G" above__ " 65% Plan Review space. V.,nts shall be Iccate�'r .re upper �/3 of the root. Llty use only: WACO -- Provide 1 3q.fl.for each 300,,q R. wl. r, .ease&attic (BLIP LN) (UBUPLN) —_ Denting is provided. __ TOTAL $ _ b i EP 1_ -- CO XIAL ONLY I acknowledge that I have read this application and that the Claws of Wort.: Illepair information given is correct, that I am the owner or authorized Describe work to be done: (check appropriate box) aclent of the owner, and that the plans (if applicable) are in ❑ RE-ROOF (circle A,B or C) cornpliarre with Oregcn State law. A. Existing buil!-un:oof covering to be REMOVED and deck repaired- Signature of Owner/Agent Date B. Existing built-up roof covering to REMAIN note applicant f must submit an engineer's review of the roof structural — — f-� Zo - AO) elements. Review shall bear the seal(or stamp)of the 1 ar0iter+,or engineer licensed in Oregon. Contact Person Name — Telephone C. Asphiail or wood shingle/shake C (PROCEED TO STENS — tfI r*j •J44VILV t I.d sts\forms\roof.res.d oc R/2u'9Q Po puitar uvoice � r .dor .A Classic Wood Shake Look" UAFMAT CORPOHAtION for PROFESSIONALS • Stays In Place...Dura Grip"'adhesive seals each shingle • ,►lure Referrals. People will know that tightly and reduces risk of shingle blow-off. Shingles confidentlyyyou're inslalltn r Amchca's#l-selling warranted to withstand winds up to 70 mph! laminated shinges: • Peace Of Mind...30 car ltd. transferable warranty Less Chance U�/'Call-Backs...Durable with Smart Choice'"Protection (non-prorated wind resistant shing!c offers superior(76 mph) material and labor co vi-age fur•the first five yeat-s)* wind warranty!* • Perfect Finishing Touch...Use distinctive T1MBERT'Er Ridge Cap shinglrs(in the West use limherRIDGE'°) .See//d.warra0,for complete coverage and restrictions SPECIFICATIONS A �- \ 30-Year Ltd. T•ransferahle Warranty \ 70 mph Ltd. Wind Warranty Fiberglass Asphalt Shingle Class A rating from UL Passes UL 997 Wind Test — ASTM D3018 Type ASTM D3161 Type I ASTM D3462(Mailable from selc,t plants as required by lm rl mio Dade County Approved ('Tampa only) Wisconsin Administrative Code Approx. 64 Pieces/Square(Metric) Approx. 80 Pi-l-es/Square(English) 4 Bundles/Square Approx. 256 Nails/Square(Metric) Approx. 320 Nails/Square(English) j 5 '/p"Exposure (Metric) Exposure (English) F01 Ridge C all.Shingles,use niatching TIMBFRTF.X', 71ntberRIDGE''. or►'lri+rr.lul Ridk,r('dp.Sltlrr lr's I1riJ'lN•nud Blend /•'u.r Hallrrw G►ppp Blear/ Mother Blend y� lir Buy`lir,•�n ,urrr„�l,crrrprl•'n,Tir ;��i i 7 Pram$or lnrnrt 11rirB Rlend N'eatherrd Wood Blend i White M 1111'lonrs pa Plant Laratiaa Ahb►•rriations Ra RaltGnnrr• Ga GoltAbnro Nr .1D/. I rrrran rbrpuwr 1inrM•rlinr' Da Dallas 111 .Itlllis Ja Snrarruah ”hrrrelrr.m'aurilnbrrnrmrmrrrrle Pr Frit' Mn itinneaprrlis lb himpa Mar-02--00 03: 54P P.01 ,wa I" t GAF MIATER.TA S WRPORAnON 1361 Alps Road-W2yne,NO 07470-3689• Tel: 973-628-3000 I.Ammmber 15a, 1990 To Whom It May Concern, In the process of having various OW Paterials Corporathn shlogles approved for use In Dade County Flori im,bade County tested specific s'iingles with 110 miles per hour laboratory wi-ids for two hours. 'Tim following shlntllesD were tested and passed by Dp`'a County: ROYAL S+OWMIGM MARQUISA WEAT"ER MAX— TIMBERLINEOULTRA CCNINTRY MANSION— Althou>>h Dade County has tested and approved these shingles for use in Dade County,l IAF Materials Corporation does not m%ognise the test method used os representiltl,;real world wind events and IimitS Its wind reF.Istance liabilities per Its product specihr.:. -rantie3s. In addition,Underwriters Laboratory testeA our: ROYAL.SOVEREIGNo SENTINEL(9 TIMBERUNEQD 25 TIMVIRUN20 T11+4BERLINeOD ULTRA SIATIFUIVEOW and MARQUISO shingles at lebmMory wind speeds greater than 90 mph for 2 hours and passed. our Grand Sequola*and Country Manses mliNgles were nut being made at the titles of the UL testing. As a result,UL has not tested them r.:the higher wind speeos,Given the heavier construction cl these shingles,however,Grand Seequolao and Country Manslone• can be readily expected to pass this same test using the some wind speeds. As with the testing dom by Dade County,alttwuo UL has tested these shingles and touno then to succosstally pass their best, OAF m-1twials Corporation does not recognize the,test method used of representing real wort wind events and limits Rx rind mslstartce 1181611 O s per Ns pmed.H;t specs k warraitties, Contractor Services Wayne,NJ Qualilc Yoa Can Trust Since IRA#S. . .from North Americv'v IarRe-vt R"ofteig d 4enrilaticri Afunu/a(Ytt"r. _- MECHANICAL PERMIT CITY OF TIGARD DFVF1 OPMENT SERVICES PcSSU : MEG1999 00323 1:3125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DA'L ISSUED: 251119 PARCEL: 2S 111 CC-'i 0700 SITE ADDRESS: 1585,0 S!^: GREENS WAY SU13DIVISION: SUMMERFIELD NO.2 ,CONING: R-12 BLOCK: LOT: 134 JURISDICTION: TIG CLASS OF WORK: AL r FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R: VENTS W/O ADPL: VENT SYSTEMS: STORIES: E.OILERSiCOMPRESSORS HOODS: FUEL.TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. iNCIN• MAX INPUT: BTU 15 -30 HF': REPAIR UWTS: FIRE DAMPERS?: 30 - 5n HP: WOODSTOV :S: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS � OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replace existing furnace with a new gas furnace. Owner: _ _ _ FEES —_ KIRCHER, JEAN H Typei By Date Amount Receipt 15850 SW GREENSWAY PRMT GEO 7/28/99 $50.00 99-317207 TIGARD, OR 97224 5PCT (' '-'0 7/28/99 $3.50 99-317207 v Total $53.50 Phone: -----� - I Contractor. COLUMBIA HEATING + COOLING INC PO BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS_ __ Heating Unt Insp 'hone:624-2704 Final Inspection RPg #:LIC 00076359 PLM 34-175 INA L. This permit is issued Subject to the regulations contained in the Tigard Muninipal 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 ILlIes 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 oopi f these rules or direct questions to OUNC bycalling (503)2 6-9189 Permittee natur&: , f ' Si Issue By: ,_ g _ /. _ ---�— -Call (503)839-4'ji6y 7:00 P.M.for inspections rtPe"Ohe ne business day Z- i�twtr�n Plan Check at« CITY OF TIGARD Mechanical Permit Application Recd B; Commercial and Residential Date Recd----- 1:5125 SW HALL BLVD. Date to P.E.-- -___ TIGARD, OR 97223 4 Data to DST (503) 539-4171, x304Pertnit„�°1 n3,2J Print or-type Called -- — Int.omplete or illegible applications will not be accepted Name�A Develo enuP,01. Description 0t l'ri�e Amt Table 1A Mechanical Code __- ( — ------- 1 G.OU suns A Permit Fee Job Sir set Address 1) Furnace to 100,000 BTU (- Address v r1) I 1� includin ducts&vents see_ footnote 1,2 1 _9.35 `=% l CRY/state Zip 2) Furnace 100,000 BTU+ — — ( ncludln ducts&vents —_ see footnote 1,2 12.00 3) Flocr Furnace see footnote 1,2 4.65 Name(or name%buelnGas _ including vont _ — — q Owner �I�l 4) Suspended heater,wall heater ).65 Mailing Address or floor mounted heater see fooh rote 1,2 3.75 01 5� Vent riot included in a hence e__ — City/state Zip Check all that apply "Moiler Heat Air ,rice Amt �' For Items 6-10,see or pump Cond 01Y `� �l footnotes 1,2 Com ------- N (or name of b-isineaa) 6)<3HP;absorb unit to — •• _— — 9.65 r j i2 100K BTU — Mailing Address 7)3-15 HP;absorb unit 17.65 Occupant 100k to 500k BTU Zlp Phone 8) 15-30 HP;absorb 24 15 _ I Cnyrsiete unit 5-1 mil BTU — --11 HP,absorb 3600 Contractor N on t 1-1.75 mil BTU _ -- f t r I 10)>50HP;absorb unit 6015 ,1,75 n ;9TU -- — -- Prior to permit Illn A roar �� c 11 Air`tanw ng unit to 10,000 CFM 7,00 Issuance,a copy Zip Phnne �D j of all licenses IStNe ' 7 12)Ao handling unit 1C,000 CFM+ 11 75 are required i! y7%4 Date — — -- expired in COT ��—ore n const.Cont.Beard LIc.M ) 13)Non-portable evaporate cooler database `) 3'� Q _— roc — Architect Name - 1-1)Vent fan connected to a single duct 475 or Mailing Address 15)Ventilation system not included in J 700 a lia_n_ce permit Engineer City/State zip Phone 16)Hood served by mechanical exhaust ^ 7.00 --_- Domestic Incinerators 1200 Describe work to ' one Repel O Replace with like kind: YeNc J — 18)(.)mmerclal or industrtol type incinerator 4825 New O — -- ResidentialJO-11 Commercial O 19)Repair units 8.40 Additinnal infurmatlon or description of work: 26)Wood stovclgas FPlolher units/clothe dryerlatc. 7.00 21)Gas piping one to four outlets 3.75 NOTE: For Commercial projects onl;,;UriRs over 400 lbs require See footnote 1 —_ 75 structural gas cabs 22)More than 4-per outlet(each) - Type of fuel oil O natural ga, LPG O electric O Minimum Permit Fee$50.00 SUBTUTAL __ 7 SSLIRCHARGE I hereby acknowledge that I have read this application,that the information _—_-- PLAN REVIEW 25%Of SUBTOTAL given is correct,that I am the owner or authorized agent of Required for ALL commercial permits onl the owner,that plans submitted are in compliance with Oregon State laws _ q` TOTAL Slgnat Ownor/Age t Date L�_.. — --- — (1 C, Other Inspections and Fees: 1e � —, hours)"7 __ 1. Inspections outside of normal business hours(mininum charge-two t Person Name Phone hours) ons f per hour E 2. Inspections for which no fee is specifically Indicated (minimum charge-half half hour) view re per hour Foonoles for commercial projects only: 3. Additional plan review required by changes,additions or rev isiarrc to 1 Provide full schematic l existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required units _— --- ----- —Residential A/C requires site plan showing placement of unit I vnechperm doc rev 02/4199 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - -- 1 BUP Date Requested S/ �� AM-_ PM BLD _ Location 1 S�Iy �{� wee. v�� u�ct.< Suite MEC —_ Contact Person Cv�� Uc: C_� �I _ Ph PLM --- i-3 Contractor— _ __- Ph _ —_ _ SWR BUILDING Tenant/Owner ELC _ Retaining Wall y ELR Footing Access: Foundation FPS Ftg Drain _ SGN Crawl Drain Inspection ypt�S i' �� ` ---- ----- Slab -- -- C/7" ---- -� -- ---- - SIT Post& Beam Ext Sheath/Shear Sheath/Shear -----------------.__.-- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm SuW d Ceiling ---- - ----- -- - ---- ------ - --- Roof . isc - ---------- --- -- ---- - ---- A3 ' PART FAIL - ___--—-- - ---- --- --..--- --- _— _-_ ING Post&Beam - ------- --- ---- Under Slab Top Out Water Service Sanitary Sewer l Rain Drains Final PASS PART FAIL MECHANICAL — -- Pcst& Beam Rough In Gas Line -- ---- -- ------- ---------- — _ — Smoke Dampers Final --- ------------ -- ----- -- ----------— ---- PASS_ PART FAIL ELECTRICAL—�-- --- ---- - - ~---� -- Service — Rough In UG/Slab _ — - I_ow Voltage Fire Alarm -- Final PASS PART FAILSITE Backfill/Grading --- Sanitary Sewer Storm Drain I ) Reinspection fee of$ -,_ _._required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Pleas i call for reinspection RE. _ ( ]Unable to inspect-no access Fire Supply I-ine - ADA / Approach/Sidewalk 7 Other Data '� "-! Inspector _ _ - Ext Final PASS PART FAIL DO NOT REMOVE this ir.t�pection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested c.'_�_ LAM__. PM BLD p Location- I S U c''.G — Suite _ MEC / ?j Contact Person ��G'�,l,c "� _ Ph - zZ PLM -- Contractor _ Ph SWR BUILDING — l enant/Owner ELC _ Retaining Wali ELR Footing Access. Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGP' Slab Post&Beam --- -------------------------- __---------- SIT .--- Ext Sheath/Shear Int Sheath/Shear -- - Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ----- - ---- —. Mlsc: Final PASS PART FAIL -- ---- ------- . ._---_--_- -- PLUMBING Fust& Beam ——- - - Under Slab Top Out -- Water Service Sanitary Sewer --�- - - Rain Drains Final — — - --- PASS PART FAIL _— MEC HANI A1 ' ----- - Post& Beam ----- -- _ Rough In - Gas Line —-- -- - ---_— Smoke Dampers S PART FAIL 1EC-CTRICAL. Service \` Rough In - - ------- UG/Slab Low Voltage — ---- Fire Alarm Final PASS PART FAIL SITE Beckfll/Grading - - - — --- - Sanitary Sewer Stone Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Ndll Blvd Catc,n Basin ;I ire Supply tine I 1 Please call for reinspection RE: _ — _ ( ] Unable to insaect-no access nA Approach/Sidewalk .' Date _1_ 21- 45-1 !"Spector � Ext _ 1'33S PART FAIL DO NOT REMOVE? this Inspection record from the Job site. CITYOF TIGARD __ PLUMBING PERMIT DEVELOPMENT SERVICES E ISSUED: #, 7 28PLM/999 OU2:'.9 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-417-1 DATE ISSUED: 7/28/99 PARCEL: 2S111 G C-10700 SITE ADDRESS: 15850 SW GREENS WAY SUBDIVISION: SUMMERFIELD NO.2 ZONING: R-12 BLOCK: LOT: 134 _— JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOB!LE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: — URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHC NERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: .t Remarks: Install a new water heater. --- _ FEES _ Owner: -- Type By Date Amount Re:.eipt KIRCHER• JEAN H PRMT GEO 7/28/99^ $50.00 99-317207 15850 SW GREENSWAY 5PCT GEO 7/2899 $3.50 99-317207 TIGARD, OR 97224 - ---- -- T3tal '43.50 Phone 1: Contractor: _ COLUMBIA HEATING + COOLING INC PO BOX 230397 8900 SW►3URNHA0 ST STE E-110 REQUIRED INSPECTIONS TIGARD, OR 97281-0397 — ---- — — —�- Final Inspection Phone 1: 624-2704 Reg #: LIC 00000763 PLM 34-175PB nNA L This permit is issued subject to the reg alations contained in the Tigard Municipal Code `:.)tate of OR Specialty Codes and all other applicable laws. All work will be Hone in accordance with j:ipproved plans This permit wall expire if work is not started within 180 days of issu.nce, or if work is suspecded for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001 0010 through OAR 952-001-0080. You may obtain copies��Wes,- les or direct questions to OUNC by calling (503) 2.46-19'37. Issued By: - �,�! Permittos Signature: /l_��it Cali (5v3) 9-4175 by 7:00 F.M. for an ospection ncvtjed ext business day CITY OF TIGARD Plumbing Permit Application Plan Check* 13125 SW HALL BIND. Commercial and Residential Recd By __— TIGARD, OR 97223 Date Recd J_ (503) 639-4171 Date to P.E __— Print or Type Date to DST Incomplete or illegible applications Will not be accepted Permit citli� i?�f Related SWR Called N me of Develop isnbPro)ect � FIXTURES (Individual) — QTY PRICE AMT Job 4l 1 Sink -- --��— 11 Address StreJet Address-/-+ Suite Lavatory — v 11.50 7 ` U) >rE'�I�a Tub or Tub/Shower Comb 11 50 Bldg 0 cit /Stale Zip Shower Only 11.50 - ---- -`�nar �� I Water Closet — . 1150 Name r _ Dishwasher 11,50 y Owner ailing Address Suite Garbage Disposal 11.50 Washing Machine — ------- — 11.5n --- Cit /Slateox, Zip'/ / Phone -C)5 Floor Drain/Floor Sink 2- 11.50 ------ Na O 3 11.50 Occupant Mailing Address Sui!p Water Heater O conversion lrxe kind 11.50 / Gas piping requires a separate mechanical permit City/State Zip i'hone laundry Room Tray 11.50 Unnal 11.50 j Ne !1 Other Fixtures(Spectty) _ 15.00 Contractor Ilin9 Address Suite 76 '-K 1 _ _ Prior to perms City/State Zip 7 Phone i 03 Sewer-1st 100' 38.00 issuance,a copyU�)!cl (7C q2--A513 --? C — of all licenses are Ore n Const.Cont.Board Lle.# Exp.Date Sewer-each additional 100' 32.00 required It 5 Water Service-1st 100' 38.00 expired In COT Plumbin Lic.0 Exp.Date Water Service-each additional 200' 32.00 database _ �� - / ) �j Storm&Rain Drain-1911100' 38.00 Name Storm&Rain Drain-each additional 10r 32.00 Architect Mobile Home Space 32.00 Or Mailing Address Suite Commercial Back Flew Prevention Device or Anti- 32.00 Pollution Device Engineer City/State Zip Phone T Residential Baca:"uw Prevention 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: Yeve"No O Any Trap or Waste Not Connected to a Fixture 11.F.0 Residential Commercial O _ Catch Basin 11.50 Additional description of work Insp of Existing Plumbing 50.00 _ erRtt 00 Are you capping,moving or replacing any fixtures? specially Requested Inspections 5erthr Yes O No O Rain Drain,single family dwelling 45.00 If yes, sef 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-iser diagram is required M 9uantny Total is >9 given is correct that I am the owner or authorized agent of the owner,and 'SUBTO`AL that pla0psubmitted areir cvmlililmce with Oregon State Laws x� SI 9f Owns.-/ ` Date , — -- 7% SURCHARGE Con%ePers-)n Name/ .i c Phone -5L) "PLAN REVIEW 25%OF SUBTOTAL yi J I 1 l - (� >'y ,Z 7t7c Required onty tl fixture qtY tdal Is�9 1 BATH HOUSE$179.00 r` '_ --'" -- TOTAL 2 BA(H HOUSE$260.00 - 3 DATH HOUSE$285.00 'Minimum permit tee is$50 5%surcharge,except Residential 9ackflow (This fee Incl,,rdes all plumbinV fixtures In the dwelling and the first Prevention Device, Ahich is$25•5%sur barge 100 feet of sanitary sower storm sower and water service) "All New Commercial Buildings require plans with ssometric or riser di,,g am and plan review I vlslsvormllplumapp doc 5/1", PLEASE COMPLETE: Fixture Type _ !quantity by Work Performed _ New Moved Replayed RemovedlLapped Znk E;Fin k Lavatory Tub or Tub/Shower Combination Shower Only Water Closet_ _—_—_- _-- -- --- -� Dishwasher Garhoye Disposal Washing Machine Floor Drain)Floor Sink- 2" —_ -- - ----- ---- 411 ------ WtPr Heater _ _ _^----- - ------ -- -. — Laundry Room Troy__.__ - - - --- -------- ---- - Urinal - _ _--_ - -------- Other Fixurea (Specify) COMMENTS REGARDING ABOVE: 1 MsUVammPknna{q d-6/1FL9A CITY OF TIGARD BUILDING INSPFCT'ION DIVISION 24-Hour Inspection Line 639-4175 Business Phone: 6394171 L Date Requested: __—1 1 AMP.I-- M"T: 5 1 Ch.k Location: rvP:— 1'enant:_— / Suite: Bldg: MEC: Contractor:_ k / Y' —Phone: ,� M: Owner:- �Gt tel'\ �. Phone: (/Jnr ELC:� __ FLR: S1T: BUILDING BLDG(con's) PLUMBING ECHANIC I F!ACTRICAL SITE Site Post/Beam PostAicam osvn&im— .'o,crltiemce Sewer/Storm Footing Rnof UndFUSlab Rq_uahln Ceiling; Water Line Slab Framing Top OutGas Line ) (�� Rough-In 1!',l Sprinkler Foundation Insulatien Sewer T oLzMZt 1 Reconnect Vault Mint Damp Drywall Stonn Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr i teat Pump Low Volt _ Approved ApprovedIrmve- Approved Approved Appr/Sdwlk Not Approved Not Approved >>ry (~Not Approved Not Appioved FINAL FINAL FINAL FINAL. M Call far rei .ction 0 Reinspection fee of S required before next inspection Unable to inspect `� Intor: Date: 1 � Page— / of_L spec — _._---- CITY CF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)539.4171 Plan Check u/ _ CITY OF TIGARD Mechanical Permit application Recd By 13125 SW HALL BLVD. Commercial and Residential Dafe Recd TIGAPD OR 97223 Date to P E. DST to (503) 639-4171, x304 Date Date to r ) < .� �� L) Print or Type Called Incomplete or illegible applications will not be accepted Name of DevetopmerruPro)ect1 Descitption `M r-i�'Ec-L Table 1A Mechanical Code QTY PRICE AMT .lob Street Address Suds# A) Permit Fee Q• -0- 10.00 Address Bldg# cltylstatezip 1 ) Furnace to 100,000 BTU 6.00 ?'i lam,ee -1 717-{ including ducts h vents - �� Name(or name of businessi 2.) Furnace 100,000 BTU+ 7.50 Owner /-I"104.1 .f�.�t�,flau.ff including ducts&vents Mailing Address 3.) F;oir Furnace 6.00 S'.`� � 4&_i Is(�-}�/ _ Beading vent city)Stats f-7 L it Phone 4.) Sus,Nended heater,wall heater 6.00 '7,4} ,fit C Gla-s'1`� or floir mounted heater --� Name(or name business) 5.) Vent not included in appliance permit 3.00 �Sd Occupant Mailing Address 8.) Boder or comp,heat pump,air sand. 6.00 to 3 HP;absorb unit to 100K BUT" cityistar. Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00 3.15 HP;absorb unit to 500K BTU" COntrACtor Name �- 8.) Boiler or comp,heat pump,air coed. 1500 LN� It,CEl�csicE 15.30 HP;absorb und.5-1 mil BTU" 4v Prior to permit Mailing Address /� O 9.) Boder or comp,heat pump,air Gond 2250 ssuanrw a copy /ZG-1� ,<+) 9iw•JE4- a tiQ! 30-50 HP:absorb unit 1-1.75mil BTU" of all licenses cogtats �n zip Phone 10.) Boiler or comp,heat pump,air cund. 37.50 are required if �,{V"7zrp' L tC Ile"' >50 HP;absorb unit 1.75 and CITU" expired in COT Oregon Const.C'o/n,t.Eo/ard Lic.# Exp Data 11 ) Air handling unit to 10,000 CFM 4.50 database_ $~/710` Architect Name - 13) Non-portable evaporate cooler 4.50 Or Mailing Address 14) Vont fan connected to a single dud 3.00 Engineer city)state Zip Phone 15.) Ventilation system not included in 4.50 appliance permit _ Describe work Now C Addition O Alteration(K Repair O 16.) Hood served by mechanical e0aust 4.50 to be dor.e Residential Non-residential O Additional Descnptinn of work. -� 17) Domestic incinerators 7 50 18.) Commercial or industrial type - 30 00 Incinerator Existing use of �^ 19) Repair units 450 building or property v� -- 20.) Wood stove 4 50 Proposed use of 21 ) Clothes dryer,etc 450 budding or property - 22) Other ands 450 Type of fuel-oil O na'ural gas, LPG O electric O 2".) Gas piping one to four outlets 2.00 o0 I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) _ SO information given is correct,that I an,the owner or authorized agent of _ the owner,that plans submitted are i compliance with Oregon State JQTY SUBTOTAL laws. _ _. ----- Signatu of Clwne4Age Data - 'SUBTOTAL 5%SURCHARGE �o 91 4-/1 -7 -v Contact Person Name Y Phone PLAN REVIEW 25%OF SUBTOTAL TOTAL �Gc�� . �o�cv.ti �763 -t ti j --- -- i'anerhpmt doc (rev 9 -� - A 'Mlnlmum pennit fees$25+5%surcha ge -Residential AIC.requres site plan showing placement of unit CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP �I" AM_� PM BLD Date Requested r_ Location c,� Sui,e MEC ..�� ' — Cr � Contact Person — {- �U J Pi, !� Q PLM Contractor Ph SWR _ ELC BUILDING Tenant/Owner - Retaining Wall tLR Footing Fcce FPS Foundation Ftg Drain SGN — Crawl Drain Notes: _ SIT —_ Slab Post 8 Beam Ext Sheath/Shear Int Sheath/Shear Framing _ -Insulation Drywall Nailing -- — F ire Fire Sp Sprinkler Fire Alarm %✓ +� - ,.�i ' �- y - - Susp'd Ceiling , 17 Roof Misc: Final � --- PASS PART FAIL LUMBr > Post&Beam Under Slat - Top Out Water Service Sanitary SewjeL-- Rain Dra4if — A T FAIL -- L ' Post& Ream Rough In Gas Line -- S6mok, Dampers PASS PA �J FAiL ELECT L _ Service - Rough In UG/Slab - - Low Voltage _ Fire Alarm i- Final PASS PART FAIL- SITE - Backfill/Grading ��- --�-_--- - Sanitary Sewerre aired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Storm Drain [ j Reinspection fee of$ Q Catch Basin i j Please call for reinspection RE: [ J Unable to Inspect-no access Fire Supply Lii ADAI / EXt Approach/Sidewalk Date 5 ` inspector - Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.