14967 SW KENTON DRIVE rn
ty
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SW KENMN DRTVE:
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CITYO F T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00670
13125 SW Hall Blvd., Tigard, OR 97223 (5011639-4171 DATE ISSUED: 11.24/03
PARCEL: 2S112CB-14500
SITE ADDRESS: 14967 SW KEN TON DR
SUBDIVISION: ASHFORD OAKS NO. 3 ZONING: R-7
BLOCK: LOT: 154 Jl"RISDICTION: TIG
CLASS OF WORK: At T FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FL'EL TYPES 0 - 3 HP: DOMES. INCIN:
-- 3 - 15 HIF COMML, INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAM!--ERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 'OOK BTU: AIR HA'4DLING UNITSOTHER UNITS: 1
FURN >=IOOK BTU: <= 10000 rfm: _ GAS OUTLETS: 1
> 10000 cfm:
Remarks: (1W. insert
Owner: _—_ _ _ FEES
— --
ROGER WATSON Description Date Amount
14967 SW KENTON DR -- ---
TIGARD, OR 97224 IVI 1 ;11 I1 11111 1-cc 11/24/03 $72.50
1 A X I 8"'„ Slab 11/24/03 $5.80
— �
Phone: 5r) Total $78.30 3-524-4895 __ — _Total —__
Contractor:
THERMAL FLO
14865 SW 74TH AVE #19(.,
TIGARD, OR 97224 REQUIRED INSPECTIONS
Phone: 503-670-8383 Gas Line InspMechanical Insp
Reg #: LIC 151847
This permit is issued subject to the regulations contained in the Tig2rd Municipal Code, State of Ore.
Specialty Codes and all other app:1;cable laws. All viork will be done in accordance with approved
plans. This permit will expire if work is Int start&& within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION Orogon !aw !equires you to follow rules adopted in the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued By: ,' ; )'( .�', _ — Perr,littee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next 6u mess day
l-P 'I :TI":PMA1- FLO INC FAX N0. :5036709064 Nov. 24 2003 10:40AM P2
a"
Mechanical Per �� iion
— — Dat..received C Pnrnit no f1L�7 c*L G
[��p�1J Projecr/appl.no.: _ Ex;riredate'
City of Tigard
-
CirvofTignrrt Address: 13125 SW Hall Blvd,Tj � `l/ 3i1`� pateissurri_ By' Receiptnn.
Phone: (503) 639-4171 F�1(� n��
U �S1 Casr file no.: Paymenttype:
Far: (503) 598-1960 (.,�� 1NC7��� _ --
�v�`p Building permit no.
T..and u.te approval: �_–
TYPE OF)MMU
11 1 &2 tamily dwelling o,accessory D Commercial/industrial U Multi-family U Tenant improvement l
U New construction U Addition/aiteradon/replacemen: U Other.-- - --. _--- ----- .
Mal 11 Ratio
Job addteas: (`f l o� �� U _ Indicate equipment quantities in boxes telow.Indicate the dollar
'�- " "� value of all mechanical matrtials,equipment labor,overhead,
Bldg.no.: _ Suite no._ �-- --- _.—._
profit.Value
Tax map/tax lot/account nu.: —_ __-_—__.
Lot: Block: Subdivision: — *See checklist for in,pottant application information and
junisdiedon's fee schedule for iesidential enttit fee-
Prolect llame: _
City/county II�:Cj d � til
-
_
Desci:,[iota and I tion of work on premises:_ lY� FP(
-- —— -- F#&(e&) Toa
Ikcription hes.QLd
yt ,vnI.Y
E date of compldlon/inspcction:
1'cnnnt iotprovement or change of use: Air handling unit CIM----_
Is existing space heated or conditioned?
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Little: (503)63 - 175
11SPc" ;:ON DIVISION Business Line: (503)6 94
. 01
MST
BUP
Received Date Requested— V-2-P_,�O2 AM - _ PMBUP _�_ __
Location _—_ ,���'� y�` _ �— --_�Suite MEC 3_-(o. _7D
Contact Person _ I -CA- --- - Ph (- -- � - �J PLM _�—.- ---
Contractor--- _ Ph (�__._ ) SWR
BUILDING Ten3nU0wner _ ELC
Footing
Foundation Access: ELC
Ftg Drain
Crawl Drain \ �'-'r_�_ ELR
SlabInspection Notes: '' -' G T
Post& Beam ---- _ ._---__..---
Shear Anchors --
Ext Sheath/Shear �-
Int Sheath/Shear 7124 / ---
Framing --- - - ---
Insulation
Drywali Nailing
Fire Sprinkler
p Sp
Fire rinkler —
Fire Alarm
Susp'd Ceiling -� --- --- /— '-�---•
RoofOther: +� S C,
y � A
Final
PASS_ PART FAIL
PLUMBING-�-----
Post& Beam
Under Slab
Rough-In -
Water Service ----- _
Sanitary Sewer —
Rain Drains --
Catch Basin/Manhole
Storm Drain - -- -
Shower Pan
Other:------ -- --
Final � v
-- -- - ---- —yam- --
P _FAIL /
111tECHANIC
Rou-yh-In --- -- -
GasLine
rt voice hampers - ------.-.__-_ `-
rn �
S PART FAIL - --- --- ---__
ItECTRICAL
Service — - -- ----
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE. rl Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 i 2- 1 d .. ._ Inspector -_-�_-�i� �` ---_--- __- -Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES nIVISION
155 NORTH FIRST,HILLSBORO,7R 97124
COUNTY, INSPECTION REOUESTS: 503/640-3561/693-4415
OREGON . :,1 ,
Page 1 o
U a t r 04/1U/ ':('
';'lmc 1 1 : 1 J
P e r rn i t. # . l)5 I.)b b 1 b 4
A:'1'KUVUL, AE:,rjlied 04/10/`1,)
,Lt11�, Ac.1dt (? 1g96 / ::,W Ke.W1.'UN DR Ti lssuet..i U4/1U/',ti
L'�'t'r{".1 t '1'.i.t 1e ::.�t h _ 1 C:11-t�:U1'.l' (:om�:,1r•.+t;�c�
Lr,i I.%ray- ,r . PLAYKUUM To Expire 10 01
l'1 c le(..,t T i, , `a t'K - 1 C'iRUUi,I' Project k, 11(109.')01:,
r t Ue k'LAYRU()M k LRU:jlUN k
I
Land Use- Di:.:;tric:'t
t.
Jcllli_4L t'JIl U !
_wrieY ilv:::, 6(: 1'10N - TL(.Ai-�U Construction OOH 1
App.Lkcant 1%,aCT{U-' c.lii- lI TENbUN , rtATH ER.INL Ciassif.ication X100
r-aI:I A'i.;1 14901 : W KLN.,t-)N 9K UccuE_,ancy KJ j
'1'16AKU UK 9'/1.::4 Vali,:iated by MJF qp
t)39-9 /UO Inspector Area
t'e cies; LLIatIC,r1 Un1t s t ee/Unit Lxt fere iia t.a
rarlt_.t Wi out:. E'eetler i Lnte- # j 1 35 . 00 _I`- , UU �
LIF Ctt::t.'ct 1. 00
- I
Fee C'oIiQc:ted a Crr:?j7 t: ki k
I''!et".rIOn-a (11c,r i< sr !trrt.:c�ipt; No . Uatr I,,iYIrl.al'
?{4 U4/1U/j`) 3u
A. A � kAk +k* .36
NOTICE: This permit becomes null and void If the work or ccnstructlon for which It Is Issued Is not commenced within 180 days Once construction has started,
the permit becomes null and void If construction Is Interrupted for a period of 180 days I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the beet of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. 1 acknowledge that
the granting of a permlt does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancv of
the structure or building permitted depends upon my calling for Inspection%at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prlo app *kysb@
Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all inspection re rem
ent re patisfiea d
Approval Is given by the Building Official. I further acknowledge that a lien ma,,be placed on the title of he props u on whit he V. mit Is Iss{
specifying that the use or occupancy of the building or structure Is provisional and revocable until the tlafac of II lir
Ion r .r
r'
PpIJ ANT', SI NATO
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue, 1!350-12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 603-4412 Permit q
' PL EAS PRIN T Number _�" _ Date _ –Please complete all sections, 1 through 5.
4. Complete Fee Schedule below
1. Location of Ins_ tallation � Number of inspections per permit allowed
J,Address I LV i I )''r') Lii ' Service included: Items Cost(ea.) Sum
f.-
Building A. Residential-per unit
City--I 1 LiGt��>�. Su' ; No.
Tenant Name 1000 sq,f1 or less $110.00 4
(if commercial) �/ Each additional 500 sq,ft ---— —�
or portion thereof $2500
Limited _nergy $25.G0 _ 1
Map No. Tax Lot Each Manuf'd Homo or Modular
Dwelling Service or Feeder $68.00 ____ 2
Thomas Map Bock: Page: _ Section:
Directions_— - -- 3. Services or Feeders
— Installation,alterations or relocation
200 amps or less —__. $60.00 2
Commercial Residential 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor installation onl 601 amps to 1000 amps _— $180.00 --- 2
Y Over 1000 amps or volts $340.00 ___ 2
Electrical Contractor_ _ _—_ Reconnect only $50.00 _ 2
Address
City State ZIP C. Temporary Services or Feeders
Date _ Job Number Installation,alteration or rele,;ation
Property Owner _ _ _ 200 amps or less $50.00 2
Contractor's License No. 201 amps to 400 an ps $75.00 2
—' — 401 amps to 600 amps $100.00 _ 2
Contractor's Board meg. NO. -- Over 600 amps to 1000 volts see•B•above
Signature of Supr. Elec'n _ _ D. Branch Circuits
License No. Phone No. New,alteration or extension per panol
a) The fee for blanch circuits with
P. For own�Ir Installations: purchase of service or feeder fee.
!! 1 Each branch circuit $5.00 2
r '"lid r , !' " b) Thr,foe for branch circuits without
nnf, ner s Name one ! — — purchase of service or feedef fee. r
11 ". ` ' "I �C'"���'�' t�- - Fir.t branch circuit _L $35.00 � 2 I
Ad�rase —� --
I' f' ?7;� f j Each add'nl branch circuit___ $5.00 _ _. 2
City�`--___"- ia1e --`Zip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $4080 _— 2
The installation is being roado on property 1 own Each sign or outline lighting $40.00 ._� 2
which is not intended for sa/is, lease Pr ren!, Signal circuit(s)or a limited
energy panel,alteration
Owner's Signature' �t J or extension $40.00 _ __— 2
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00per hour $5500
Please check appropriate hem and enter fee In section 5B. In Plant $55,00
____4 or more residential units in one structure
Service and feeder, 800 amps or more J• Fees
System over 600 volts nominal A. Enter total of above fees $
_Classified area or structure containing special 5% Surcharge (05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of pians with appllcatinn where any of the Flan Review if required (Section 3) $ ---
above apply. Not required for temporary construction Subtotal $
services. F-1 Trust Account $ ..
Balance Due $
For inspections gall This
permit becomes null and void It the work authorized by IM permit Is not rommenr:sd
640-3561 or 603-4415 within 190 days from dale of Issuance of such permit or If the work•Ahorizad Is
suoponded or abandoned at anytime after work is commenced for, perlod or 190 days.
24-hour recorder, one working day in advance of need Elenrlcal Permits are non refundable and non-hansferable.
8/94
DEPARTMENT OF LAND USE do TRANSPORTATION
WASHINGTON-� LAND 155 NORTH FIRST,DEVELOPMENT
LLSBORO,OR 9SERVICES 7104
COUN '1 T,r) INSPECTION REQUESTS: 503/640-3561/693-4415
OREGON
Perrnit. :15066164 Project. 4 : P0049015 nt.at.us APPROVED Paqr 1 of 1
Applied 04/10 9S Isfaued 04/10/')5 ExpireF, 10/0'7/05 04/12/941 0'5 : 01
RE .ELE('
Perrnit. Title SFR - i CIRCUIT GTI
DeEcriptinn PLAYROOM $e<1un : 04/10/95
Job Address 14467 SW KENTON DU Tl
Owner Name INSPECTION - TIGARD Ric,n 1:1
Applicant Name CHRIE�'TENSON, KATHERINE
Phonf- number 629-9700 Valuatiun : 0 Appr.oved_�__.,
I r,spect or CorrunEnt s . Reject ed...
IVR--RES,I.1LT., )
REQUEST ERROR !
P 1 umh it n9
14echlalnir..a1 _-
Electrical :
S t r u c t r u a 1
(]$nfa-ral
1r,c:rerted byat.e
T� — z_ /
_._ Y _
1
NOTICE: This permit becomes null and void I the work or conetructlon for which It Is Issued Is not commenced within 180 days. Onte co structlon has started,
1 1-1ajr/r C t the permit lenuorre"blkafild void if construction Is Intt,-rupted for a period of 180 days. I certify that the Information presented by the opplicant and
his agent or agents In support of this permit is true and c orrect to the best of our knowledge. I acknowledge that the Building Department's rellanre
uoon false and misleading Information may Invalidate thI,permit. All provisions of applicable laws and ordinances governing the construction and usp
C Ov e r'of Shls bdNdId§br btructure will be compiled with whether c r ndt'AbiblAed ohhe plans or noted on the plans correctlon4tMets. I ac"ledge that
0 4/1h4 granling of a parptil doef p9tFUrant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspection$at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the bulld6rg or structure permitted prior to approval by the
Building Department Is solely of the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a Ilen may be placed on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIONATURF.
0111( OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,Oregon 9722341199 (503)W�9-4171
r-,Erm 14 T #. . . . . . . * M S T9 5- 141 1 c;,
L,39-4171 DATE ISbUED: eIS/27/95
PIARGEL: 25112C8-14'!;)0QJ
i L.. ADURP.-;S. . . I SW M-1141 01\1 UR
.,,AA1J I V A 11)1 ON. . . . ZONING: R-7
Li-QuIl. . . . . . . . . . LOT. . . . . . . . . . . . . .
--------- LkUILDING
L I W R 14-1-11,10 UNIII-5- 1 BASEMEN1.. . . . . . . . :0 f
L,LkbS Ol- WURK. :f4rw- BLURMS:0 BA'r[is:0 GARAGE. . . . . . . . . . :0 S f
6-'L OF USL. . . -5F= FLOOR REW.UIRIED
,WI:-. 0- L�ONLO . :bN F I RST. . . . : 156 5f LEF=T. . 25 ft R I GHT. :0 ft
n.,CUPAN1-'Y GRP. si# SEL"U0,10. . . :Q1 5 t FRUNT. .-O ft REAR. . :2'.r 1-t
I Ut#I F.S. . . . . . . * 1 FINBSIVIENT:0 sf
IF'IGHT. . . . , . . . : 1.,:' ft TOTAL —, S1- SMOKE DETII'CTORS. :'Y
UOR LOAD. . . .40 psf VALUE. . . . . 1021 c PARKING SPACLS. so
A 10. t,� X 1� P I PUD i I J.ON UN OF HIJUjE PAT'H I
PLUMBING
I N K . . . . . . . . . ..0 FI-C-AIR DRPIN , . . . -0 LAALI-sJ i-UW PREVNT R3. 0
tv" LP.ir-b. . . . . :0 WAFER HL�4 I L R b. . . -0 1 R$4-lb. . . . . . . . . . . . . . 10
2"'.51,10WE flt�,- . . . r,,0 LOUNDRY TRAYS. . . -0 LATCH, BOSiNG. . . . . . . ;0
I F.%R r"LOSI�I S. tO EBEWER LINE (ft ) . .0 GREASE TRAPS. . . . . . . ..0
1 S�Iwg;'&,I IL Rl,'-';. . . -0 WATEP I-INIE-* (ft ) . 0 OTI-Ir�.R FIXTURES. . . . . :V,
IRBAUE DibP. . . :V1 RAIN DRAIN (ft) . :0
:0 SF PAIN DIRPIK.i. .0
MECHANICAL FELli
)EI I-f UNI I T 1-•11-HS. . : 0 type zi al ti i..k rir by dAt e
V LN I S . . . . . sO BPRT $ 86. bo LA
Ij 9,� )5
Boll V C,
Cis3/�7/4i5 -
X INPUT-LA 1.?_ t1J VLN I F- V SPLLI 4 60
SRN t 100K -0 1-1001)"'i. . . . . . :0 MJP(.,: * 4 J; L 03/27/95
-ioo1a, .0 W00D5T(M:,*1. 00
(JLJH r URN. . . :IL, CLU DRYERS. 0
1.L-1 t.ilr,, ( -J IF 10 0"HIER JI`411a:'—,O
Go , DUI LLL Fa:O
111t rect or.
, Cf M,[I,LLI4
J bOX 230459
artp 0: 6A4,-7343
3112)109 ------
101tell_
,5 poyeit is issued subject to the regvA;.inr,,, contained in the RLUIJ I HE 1) 1 MzPE(.-r I UN.<
;aro Municipal Code, State of Ore. 3pecialtv :.'odes and ail Other F-otitirig Insp Gyp Boar-d Irisp
olicable iaws. All work will be done in ;sane with approvee Faktv)datiOT! 1?!Sp Fain drain Itisp
-na. ;hl5 pewit will eiiv,e If warm is Vlott.1121,eani Stv,f.,ict Meci-ii7iicti1 F iriail
rs of isivancli, ir if worm is 5uspende41 Illec:r1eirl DI-til.difig f irl;.ki
r nwj I Dy,,x I Ti Lr-ustar)
mi e 1 U111 a t , IP0i
13rlcal 111',ip
-F- t,amirlq
A -
Residential Building Permit Application
City of Tigard \�
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
./Jobsite Address:
Subdi%lision: ,;i/P-"O u) C'PeS W -3 Lot# Office Use Only
Valuation: Et 'L'ZTsv'- �C O tV6G Contact Dale I ! Initials
' Result
Planck/Rec #
New Construction Only: (Square Footage) Permit #!'1 - y
House: _ — Garage: Reissue of
Map & TL # ; ll2
Zone
Corner Lot? Y �N Fia j Lot? Y (ON Plat #
Owner:
I-A ' i �, lftti5m� __pp ovals Required
K,111,1,r-I A L
Address: _�r��(� '] s cy /� ,�,�Q,N /7 Planning Setbacks , Solar
Engineering
&"A
�r C� Other --
Phone: ( S 03 ) C Sr — 6`17 7 Items Rb%yired
Contractor. _ll/f l Lv�[Z C? t��S T Subcontractors
Truss Details
� j
ddress: 17/3 �o N Other e �'/�Sp —_-
�i r'�IA n,O �•7 2 3 U Notes
Phone: Z ,-3 ��• ---- ---- ___-.---
It-
Contractor's License # .!fp g F 0 / 'Z- ----- ----
fattach copy of current Oreggon license)
Contact Name: _P1i/(4 S l Ge/l_ (,c.4 / L
Contact Phone L2" 3 ) 2 L-7 �% � 7 _
Suhcontractors: ArchitecVEngineer:
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's License) —
Phone:
JOB DE RIPTION: _ /'� S O 7 �o �. �� 4 A ` �"�� ,e-, r -
01
A p ht Signature Applicant Phone number
Received by: Date Received:
Permit Account Description Amount Amt. Pd. Bal. Due
/j --U/Z8 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: •S w, ,L
Plumb.
Mech:
Sewer Connection (.SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (7117-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQIJANT)
Fire Life Safety _S)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck,/COT (EROSN)
TOTALS: 61,
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