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16545 SW KING CHARLES AVENUE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
_ �-_Elate Requested � �� �' >.M PM <� BLID �) �7
Locatinn2r'��% �(/ CJ'�,iL1 �4� Sul _. MEC '7 Q l
Contact Person _ Ph -33-?D(4PLM 1'1'99
"I ' CICY !—
Contractor Ph SWR _
BUILDING— "(enant/Owner ELC ---
Retaining Wall — ELR
Footing Access_
Fo:mdation FPS
Fig Drain �-
Crawl Drain inspection Notes: SGN —_
Slab --__T_-- _ .._�._ SIT
Post&Beam — --
Ext Sheath/Shear
Int Sheath/Shear �—
Framing
Insulation
Drywall Nailing —�____------__.— — --_--_ - _
Firewall —
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — —_--
Roof
Misc: —
Final ---------- ---
PASS PART FAIL
FA MF31
Post 8 beam
Under Slab
Top Out ..—�..--
Water Servicc
Sanitary Sem er - - ----------- ------ -------.�
in Drains
S PART FAIL
C—I&THANICAL
Rough In
Gas Line —
Smok@,Damp(-m
L PART FAIL
ELECTRICAL ------ -" —` —
Sem;ce
Rough In -------____—.-- _.-- --
UG/Slab
Low Voltage
Fire Alai
Final
PASS PART FAILSITE
Backfill/Grading --------- Y.— — ----� - —`
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ — —required before next inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: [ J Unable to inspec'-no access
Fire Supply Line
ADA
Approach./Sidewalk
Other — Date!/ Inspec+or 'rte `"'-�----. Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
1
CITYOF T I GA R.u PLUMBING PERMIT
DEVELOPMENT SER'viCES PERMIT#: PL�A199900102
DATE ISSUED:
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
S TE ADDRESS: 16545 SW KING CHARLES AVE PARCEL: 2S115BC-05200
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: EACKFLOW 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/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replacement and conversion of water heater.
FEES
Owner: — --
-- - Type By rlate Amount Receipt
SEIDEL, HERBERT
16545 SW KING CHARLES AVE AppL DRA 4/13/99 $25.00 KING CITY Y
KING CITY, OR 91224 MISC_ DRA 4/13/99 $1.25 KING CITY
Total $26.25
Phone 1:
Contractor: /�
'R�►wTb 1.) 001.1 GG2T' Cd A T r2p L I
I"155 �i n'---4 `dr
"I5tAof-a:Tro+J REQUIRED INSPI=CTIONS
Phone 1: (0 7(Q-7477 Misc. Inspection
Final Inspection
Thi:. permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applirable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rulep or direct questions to OUNC by calling (503) 246-1987.
issued By: �� � vL Permittee Signature:
Call (503j 639-4175 by 7:00 P.M. for an inspe:tion needed f e next usiness Jay
AFR-13-'99 TUE 08:33 I D: FAX PJU: 41 1R Ftp:'
CITY OF TIGARD RECEIVED plumbing Permit Application Plan Check
13125 SW HALL BLVD. Commercial and Residential Reo'd 9y 7tt i
TIGARD, OR 97223 AFAR 1 199 Date Roc'd
(503) 839-4171 061t to P.E.
COPmUN:TY DEVELOPMENT print or Type Date to DST
Incomplete of Illegible applications will not be accepted Permit# Pft H
Reined SWR f
Called - --�
Name of Development/Proled
(-_.....Job (DS-✓ )Gt o ::Ink 9,00
Address Street Address Suits Lavatory y.u0
Tub or Tub/Shower Comb, 9.00
Bldgs Cite/State Zip Shower Only 9 00
_-rid be-
Name 7,U tz. Water Closet 9.00
_
Dishwasher �— 000
Owner Melling Aridrean suite y taorbage Disposal — 9.ou
Washing Machine _9,00
Clly/51ate Zip Pnone Floor DrainlFlonr'ink 'l' 9.00
---- Name — — 3' 9.00
l e70— 4• 9,00
Occupant Malin0 Address Suite vvater heater pconvert:lon O lire kind I goo
Gsein roar uirca a separate nie"nicai permit _
city/State Zip Phone Laundry Room Tray 900T. _
'_ �y 7 Urinal 9.00
Name Other Flrturt•s(Spa isy) 9.00
Contractor Mailing Address Suite 9 OU
900
Prior to permit cifyistato Zip Phone Sewer-1 st 100• 30.00
escentw,a copy Sewer-Pam an,jitlonal 100 _ ?5.00
of an licancos are Oregon Const.Cont.Board Lie 0 Exp.Date
fequiind If /, �j� � )17 b-.- Water Servrrm tel 100' _ _- 30.00
expired in COT Plumbing 1.1c,0 Exp.Dale_R Water Service•each additional 200' f25.00
Nanta Storm A Rain train-each additional 100' 0
Architoct Mobilee Hume Space 0orMilting Aejdrea4 Suite tomvserdal Hark Flaw Pteventlon Doom"or And. 0
Pollution Device
Engineer City/Stale Zip phone Residential Backflow Prevention P,-.Ica' 15.00
(irrigation timing davhas require a separato
Liesicribe work to be done: - restricted energy ernilt.)
_
New O Repair O Replace with Ilkr;kind Yes O No 0 Any Trap or Waste Not Connected to a F,euro B.UO
kefidential U Commercial V _ Calch Basin ^�^ —�� 900 i
Addiliniml descrtptinn of work Imp.of Existing Plumbing 40 OU
--- per/hr
Speclally Requested Insperi(ons 40.no
_ ermr
Rain Drain,single family dwelling^ 90.00
Ara you capping,moving or replacing any Rstures1 mase Trap* --+-------- 00
Yee O No 0
If yes,bee back of furan to indicate work performed byGUANrnir TOTAL
------__ ,.—____—
fixture. FAILURE TO ACCURATELY REPORT FIXTURE _
lio
WORK COULD RESULT IN INCREASED SEWER FEES. milrlc or risermapram is required Ngu_anS k •1l
_ _ 'SUBTOTAL
I hereby enknowledpe that I 1-roved this epr''.calion,that the intarmelinr~
given Is correct,that I am the owner or authorized spent of the owner.and 614 SURCHARGE
that plana submitted are to com lilfsncie with Oregon State Lawti.
Signnattuurre of�Owner/Agent ate -PLAN RFVIFW 26%OF SUBTOTALRoqum�
LC!-- - '-red on M rixwre-gty.foal is>6 TOTAL
IF Contact Porion Namo Phone 10
►w _ (�/, I�, 'Minimum permit foe is$25 4 5%surcharge.except Re6kfentiel gad flow
Prevention bevlcr..wrilcn Is$15-of%surcharge
"All Now Commercial Buildings require plans with Isometric or riser dingram
ant plan review
I vtbloipi.mapp dor.7r2/99
CITY OF TIGARD MECHANICAL-
PERMIT
DEVELOPMENT SERVICES 'k-KNIT #. . . . . . . : MEC99-01,-7:'6
13125 W Hall Blvd., Tigard,OR 97223(503)639-4171 Dr4l-E ISSUED: 03/25/99
PARCEL.: 2SI15BC-05200
SITE ADDRESS. . . : 16545 SW KING CHAR!-ES AVE
SUBDIVISION. . . . : ZONING:
BL.00K. . . . . . . . . . : L-OT. . . . . . . . . . . . . JURISDICTION: KIN
CI-ASS OF WORK. . :(11 R FLOOR F1 IRN. . . . : 0 EVAP C.001-ERS: 0
TYPE OF USE. . . . :15F UNIT HEATF-RS. . : 0 VENT FANS- - 0
OCCUPANCY GRF' , : R3 VENTS W/O APDL.: 0 VENT SYSTEMS: 0
E')TORIES. . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES- ----- 0-3 HP, . . . 0 DOMES. INCIN: 0
:GAS 3-1.5 HP,, . . 0 COMMI— INCIN: 0
MAX I NPUT: 0 BTU 15-30 HP. . . . 0 REPAIR UNITS: 0
FIRE DA11PERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : @-
NO. OF UNI"I*S--------------- AIR HANDLING UN I T5 OTHER UNITS. : 0
FURN ( 100K BTU: 3 10000 cfm: 0 GAS (IUTL,ETq. -. J
FURN ) =IOOF\ BTU: 0 > 10000 rfm: 0
R?marks : Installation of gas furnace and gas piping.
Ownpr: FEFS
HERBERT SEIDEL type amot.trit by date 'r-ecpt
16-543 SW KING CHARLES PRMT $ 25. 00 DEB 03/25/99 KING CITY
KING CITY OR 97224 'PCT $ 1. 25 DEB 03/25/99 KING CITY
Phone #-
Contractor:
BRUTON COMFORT CONTROL INC
12855 SW 2c'-.ND ST
$ 26. 25 TOTAL
BEAVERTON OR 970OB-5152
Phone #: 503--626--7477
Req #. . : 65296 REOL)IRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all ether Mechanical Insp
applicable laws, All work will be done in accordance with Heating Unt Insp
approved plans. This permit will expire if work is not starttd Final Inspection
within IN days of issuancP, or if work is suspended 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 DAR 952-*1-010 through BAR 952-001-0080. You lay
obtain copies of these rules or dirert questions to OLIC by calling
I' ss,.,e�,y, Permittee S i gn at 1.tre ljl�k'l /I k"l,
++++...4.4......4........4•................................................!-++++4-+-4 + 4 4 1
Call 639--4175 by 7:00 p. m. for inspections needed the np)<t bi..tsiness day
+4-++4-4 4-+4..................4--+-++4-+-1-++4-+-+++++-f ...................44+++++4++ f++++++++44 4
THU 10:07 ID: FAX NO: - 1:40R4 P02
RECF IV, i Plan Check# 0-A
CITY OF TIGARD Mechanical Permit Application Recd By _�LS-l5
13125 S:: MALL BLVD. MAR � 5 199tommercial and Residential nate Rec'd_ __-__
TIGARD, OR 97223 Date to P E _
(503) 639-4171, x304 COMMUNi lY DEVELC rnII IV I Date to DST_ 5-;2-,5
Print or Type Permit
Incomplete or illegible applications will not be accepted called
��--- Name Of 0evebprrMm(Prp)e(A Description T
Table 1A Mechanical Code_ CRY Pries Amt
.ob Birael Address suns$ -- A) Permit Fee _ _ 10 00
i 1 1) Furnace to 100,000 BTU
11JdiPSB � � 3�1 _ including ti&vents
Ab.�a r;ny/Glaro lip 2) Furnace 100,000 8TU+
including ducts&vents 7,50
` Nene(of name or business) 3) Floor Furnace
including vent _ 6.00
Owner atew S�1 ) d) Suspended heater,wall heater -
Mailing Address or floor mounted heater _6,00 _
i b r_ t '`✓ ^y_ 5) vent not included In appliance permit
Ay/31ar• Zip Phone 7.00
CHECK ALL 'Boiler Heat Alt
1i(w lrxmeLo�r uslneT s) THAT APPLY: or Purnp Cond Ory Price Arnl
Comp I
g)<,HP;absorb unit to
OCtunant M°IiingMdreait 1OOK BTU — A.00
7)3-15 W,Wb ATT
uun
CHy/SI°In �
Zip rnse 100k in SOgk HTU 1 I.00_
_ dr .5-1 15-30 F,P;absorb
nit r,�il BTU _ 15,Op _
r7.7.
tOr ^t°f"" g)30-50 HP;a46orh
unit 1-1 75 mil BTU 2 .50 nnropa diose 10)>50HP,absorb unit �-
lit,uanon,a c upy >11.76 mil BTU �� 37.50
of all IleensQs GrrlSrere Zip honw� 11)Air handling unit In 10 000 CPM
are required if kZ __7_y_ZL 4,5o
expired in COT oreginfill const r_nre 'Ionm li s e.p Dere 12'(Air hendlfng unit 10,UO(JCFM+
_ dafahacu ���G�(p 7 50 _
ArthlfoCt Name 13-j?�-�ertabTe aVapofafe eeoler
4,50
Or Mailing Address --A- 14)Vent fen conna,aed to a sinl
single dur3.00
15)Ventilation system not included in ._
Engineer chy/5ure —�-.� �ursu Cnano _appllencl permit 4.50
1#51 Hood served by mechanical exhaust
nesrribe work to be donP,' --
17)Domestic incinerators
New a Repair 0 Replace with like kind: Yes 0 No 0 I18)Co
__ `_ --�_� 7 5U
mmercial or type Incinerator
teineralor
Residential 61. Cnmmercial O
_ iU,OD
Additional Information or description of wnrk - ^- 19)Repair units
d 50
+
�eO-A14-r- ,F1 2 D)Wood stood. 4.50
'ii)Clothes dryer,etc.
450
Type of fuel oil O nature)qae 4i LPG O electric u 22)Ofl;er units - - —_
4.50
I herehv ackr.owlAdge that have read Ibis appllcatiun,that this Information 23)Gee piping one to four )uIlatis _
g vi is correct,thal r am the owner or authorized Pgant of _ 2.00
the owner,gar
pians submined era In compliance whh Oregon Stere laws. 24)Mnre theO 4-per outlet(eli
.50
Slgneture of�'veer/Agent
Minimum Permit Fee$25.00 SUBTOTAL
?/ 1�
rContact Person flame PhonePLAN REVIEW 25%OF S IBTOI-At,
_
r� Regulred for ALL commercial permits onl
TOTAL
_tA I 1/� T3
_ GA) � 2S
-^ "Slate Boller Ceniflration required
""Residential A/C requires site plan showing placement of unit
i tmechperm doc rev n7/20/98