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9950 SW KABLE STREET �o v, 0 Y td C" to a: 9950 SW KABLE ST �\ CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00177 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED. 4/8/04 PARCEL: 2S'I 11 CA-08700 SITE ADDRESS: 09950 SW KABLE ST SUBDIVISION: GULF SIDE ESTATES NO. 2 ZONING: R-7 BLOCK: LOT: 0?1 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: FVAP COOLERS: TYPE OF USE: SF UNIT NEATENS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL VEN F SYSTEMS: STORIES: BOILERS/COP:rPRESSORS HOODS: FUEL TYPES _ 0 3 IIP: ��— DOMES. INCIN: LPG � 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 HP: CLO DR:-RS: FURN < 100K BTI1: 1 AIR HANDLINGUNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm Remarks: keplarc Safi lumace. Owner: _ -- - FEES T�EESH, BRADLEY & LEILANI Description Date Amount 9950 SW KABLE ST TIGARD, OR 97224 I I r I I I I'crmit Fee 4/8!04 $72.50 1 \\I >, State Surchaq 4/8/04 $5.80 Phone: Total $78.30 Contractor: AAA HEATING & COOLING 2015 NE MARTIN LUTHER KING BLV PORTLAND, OR 97212 REQUIRED INSPECTION: Phone: 501-284-2171 Final Inspection Reg #: LIC 222 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 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 in the Oregon Utility Notification Cei:ter. Those rules are set forth in OAR 452-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-669 : Issued By: : ./ �9�.� _ Permittee Signature: ,";V 14,1019e--1 eO. Call (503) 639-4175 by 7:00 F M. for inspections needed i,.e next business day Mechanical Permit Application c -- --. Received Mechanical y Date/By:y e 0 Permit No,:I/�Gvdy-DOI 77 City Of Tigard Planning Approval Building 13125 SW Hall Blvd. DateTL— Pernut No. ��/ Plrn Review Other Tigard,Oregon 97223 �/ DaWBy. Permit No. Phone: 503-639-4171 Fax: 503-598-1960 Post-Rcview land Use Internet: www.ci.tigard.or.us ni Date/By: Case No.: Contactluris. See!'a e 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. TYPE OF WORK _ COMMERCIAL FEE*SCHEDULE• JSE CRECKLIcoT New construction Demolition Mechanical permit fees*are based on the total value of the work Add160o alteration/replacement Other! performed. Indicate the value(rounded to the nearest dollar)of all CATECORY OF CONSTRUCTION mechanical materia s,equipment,labor,overhead and profit. 1 &2-Family dwelling Commercial/Indu�ir tat Value: $ _ See Page 2 for Fee Schedule '4RESIDENTIAL E UI`P ENT/SYSTEMS FEE+SCREDI rLE Accessor Buildui _ _Multi-Famil 4 Master Builder _ Other: ---] __ Deacrir tion --TQty Fee(ea.j j- Heati�Ce lin JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning«• _ 14.00 Job site address: gr�� 4i1 J Gus heat ump �— 14.00 Suite#: Bld ./A t.#: Duct work H onic hot wafer system _ 14 f" Project Name: _ Residential boiler _ Cross street/Directions to job site: 'for radiator hydronic system _ 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc. 14.00 Flue/vent(for any of above) `10.00 Subdivision: � - Repair units 1 z.15 -- Tax map/parcel#: water heater Other Fuel Appliances _ _ 10,00 DESCRIPTION fl!r WURK __ Gas fireplace 10.00 �- - Flue vent(water heater/gas fireplace)_ 10.00 _ Log lighter as 10.00 Wood/Pellet stove — —__ - - 10.00 - ---- Wood fireplace/insert 10.00 _ Chimney/liner/flue/vent 10.00 ROPERTY OWNER =1T7MNANT 4 �r. 10.00 _ Other: Name: fi6je ��_ /"/,// Envireameatrl Exhaust&Ventilation Address: Range hood/other kitchen equipment 10.00 -- ��- — Clothes dryer exhaust 10.00 City/State/Zip: _, _ _ Single duct exhaust Phone: (bathrooms,toilet compartments, APPLI ANT_ 70 ONTACT PERSON utilit rooms) 6.80 Name: Attic/crawl space fans 10.00 Address: — Other_- I 0 _ Fuel Piping City/State/Zip: _ _ ""$3.40 ror first 4,$!. each■dditlonelL Phone: _ pax: _- Furnace,etc. •• ----- -- Gas heat um _ •« E-mail: Wall/su. nded/unit heater •• CONTRACTOR Wster heater +• - - Business Name: _ Address: ~ Q Range «+ -- ---�7 - BB -- .+ Cit / to/Zi �`- �1 Clothes d er as Phe. 7_ '- 'L _ +• �'� F Other: CCB 1 ic. #: � 2. Total: Authorized _ Mechanical Permit Fees* Subtotal:� i t -im Permit Fee$72.50 $_-- 1 Plan Revi;w Fcc(25%of Permit Fee S (Please print name) _ — State Surcharge 8%of Pcrmit Fee S _ TOTAL PERMIT FFE S Z Notice: This permit npplication expires if a permit is not obtalned within 'Fee methodo!ohy set by Tri-County Building Industry Service amid. 180 days after It has been accepted as complete. "Site plan re,,ilred for exterior A/C units. i:\Dsts\l'emtit FotTns;\MecPermitApp.doc 01/03 �_;IT if OF TIGARD 24-How B0ILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP � aHeceived _Date Re ueste ��y .. PM BIP Location MEC r0( 7� 7 Contact Person __—_ __ — Ph( i ___.._._—___- PLM Contractor __..______ Ph( ) _ — SWR BUILDING Tenant/�ro r 3 ��cz�—`fir---- ELC Footing ELC Foundation Access: Ftg Drain ELR —_ -_ Crawl Drain Slab inspection Nates: ,p 1 SIT Fast&Beam Shear Anchors Ext Sheath/Shear ''✓t _1 "'�} —_ -- Int Sheath/Shear Framing ----- - -- — -- — -- Insulation � ,��, Drywall Nailing Firewall Fire-prinkler -----Fire Alarm Susp'd Ceiling _--_- -— -- ---- Roof Otoer: --- — - - Final PASS PART FAIL ----------- PLUMBING - .._. ---- --- - - - Post& Beam Under Slab - — — -- Rough-In Water Service ----- - - - --_—- — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan Other: __..._- ._-.__- -_.__��_ _ ------• Final — PASS PART FAIL _-- ---- — MECHANICAL Post& Beam _ Rough-In --- -- - -- —__.._ ----- -- — — (',as Line S oke Dampers - - -- ------- - -— -- ------ in_ PART FAIL -- - - -- --._..-- _ - - ---------- .. . - ---- ECTRICAL Service Rough-In UG/Slab Low Voltage - Fire Alarm Final u Reinspection fee of$—_ — required before next inspection. Fay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL �--I SITE E] Please Please call for reinspection RE:__ -- Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk pots 5 i / Inspector Other: - Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL. ■ CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2004-00'48 13125 SW Hall Blvd , Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/26/2004 SITE ADDRESS: 09950 SW KABLE ST PARCEL. 2S111CA-08700 SUBDIVISION: GULF SIDE ESTATES NO. 2 ZONING: R-7 BLOCK: LOT: 031 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE J,SPGSALS: M091LE HOME SPACES: — TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 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: B,,-ckflow preventer Owner: _ _ __FEES Description Date TODD. MARY tion v� Amount 9950 SW KABLE ST i'LUN1131 Permit 1�cc 7;26!2004 ;$3625 TIGARD, OR 97224 I !'.1X1 8 SL.Ic Surchari 7/26/2004 $2.90 ---- Phone : 50:{-W5_78I4 Tor.,l $39.15-- -- -- Contractor: DOWN TO EARTH IRRIGATION _ 13075 SW PACIFIC HWY TIGARD, OR 97223 I REQUIRED INSPECTIONS Phone : 084-3500 RP/Backflow Preventer Reg #: I Ic 5281 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (50'_) 246-6699. Issued By: Permittee Signature: - - Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �� IBuilth..,; _ .-aures Plumh_alg_,Permit Application � � ceivCity of Tigard Dated — - PermitNuL� y_ tLmy 13125 SN✓Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503 639.4171 Fax: 503.598.1900 Date/13y: _ Othc Permit No. 24-Hour Inspection Line: 503 615.4175 2, Date Readyffly See Page t for Internet www ci.tigard,or.us Notified/Method. Supplemental Information -- -TYPE OF WORK_— --- -- � FEE" SCHEDULE — �- For special in ormation use checklist. ]Demolition ❑New construction _ Descrition Ea. Total Addition/al tcrauouirep lac cnunt l_J Other: New I-2-family dwellings(includes 100 ft.for each utility cnnnection) CATEGORY OF C'ONo.RUCTION SFR(1)bath 24920 �] I-and 2-family dwelling �— r❑Commercial/industrial SFR(2)bath 350.00 - ---- - ❑Accessory building ❑Multi-family SFR(3)beth 399.00 --- -- Each additional bath/kitchen 45.00 ❑ Master builder ❑Other: Fire sprinkler(__sq.ft.) Page 2 JOB SITE INFORMATION AND LOI;ATION Site utilities Job site address: ��1 1 �J_ Catch basin or area drain FPage City/State/ZIP: Drywall,leach hoe,or trench drain Suite/bldg./apt.no.: Project came: Footing drain(no.linear ft.:_�Manufactured home utilities Cross street/directions to job site: Manholes _ Rain drain connector 16.60 _ Sanitary sewer(no.linear ft.: ) F-ge 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Lot no.: Water service(no linear ft. _) Page 2 — ---- Fixture or Item Tax map/parcel no.: Absorption valve 16,60 DESCRIP'T'ION OF WORK Backflow presenter Page 2 Backwater valve 16.60 Cluthes washer 16.60 - -- — ---_.._-----_---_. Dishwasher 16.60 Drinking fountain 16.60 PItOFi:Al'Y OWNER '❑ TENArVT Ejectors/sump 16,600 —��- -.. ----- -- ---- Name: _ - _ Expansion tank - 16.60 Address: ( !- Fixture/sewer cap 16.60 City/State/ZIPDu�) �n /n Floor drain!floor sink/hub 16.60 Phone:(W3) Z — � rax:( ) — Garbage disposal 16.60 Hose bib 16.60 [ APPLICANT ❑ CQNTAC'T T'ERSON Ice maker 16.60 —.. Business name: _ Interceptor/grease trap 16.60 Contact name: Medical gas(value:$ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain(commercial) 16.60 - -- -- Sink/basin/lavatory 16.60 Phone:( ) J- Fax. :( ) Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 ---CONTRACTOR ---_�---�--- Water closet 16.60 Business name _ _ J _- Water heater 16.60 Address: 3 ��'(� - Other. �" Subtotal city/ ZIP c;J _ 2 -��7 ___ Minimum permit fee: $72.50 Phone:((��) Gtj Fax:( ) Residential backflow minimum emit fee: S.' CCB Lic.: _ Plumbing Lic.no.: 0 Plan review (25%of permit fee) State surcharge(8%of permit fee) Authorized signature: TOTAL PERMIT FEE Date / This permit application expires If a permit is not obtained wit.in 180 da}s after it has been accep!PJ as complete, *Fee methodology set by Tn-County building Industry Service Hoard i NBuildinpPenniu\PLMF-PemutApp doc 12M3 440.4616-(10/0VC0WWEB) Plu[ft!!! Pel_.... Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities _ Qty. Fee(e'a) Twat S uare Footage: _-Permit Fee: F oting drain-I"100' — 55.00 — 0 to 2,000 $11.5.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 _ A $160,00 Sewer-I st 100' 55.00 3,601 to 7,200 $220.007,201 and greater $309.00 Sewer-each additional 100' 46.40 —" Water Service-Ist 100' 55.00 Medical Gas Systems: Water Service-each additional 100' 46.40 -� - — -- Storm&Rain Drain-1st 100' X5.00 Valuation: Permit Fee:$1,00 to$5,000.00 Minimum fec$72.50 Storm&Rain Drain-each adattional 100' 4fi 40 $51001.00 to$10,000.00 $72.50 for the first:$5,000.00 and.$1.52 for each Fixture or Item Qty. Fee(ea) Total additional$100.00 or fraction thereof,to and including$10,000.00, Commercial Bark Mow Prrvenaur 011 i1c W ar,.t 1 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimuvi permit fee$36.i5) 27.55 and including$25,000.00. Rain Drain,single fainwe t,-dlling 65.25 $25,001.00 to$50,0.j.00 $379.50 for the first$25,000.00 and$1.45 for Inspection of existing plumbing or each additional$100.00 r.r fraction thereof,to special!special!X requested ins ectica.s-per hour 72.50 and including$50,000.0J. btotal: $50.001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof Fixture Work: Are you capping, nwving t:r replading existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased seder fees". uanlltY h Fixture Wtirk I rfo_rnied Fixture Type: Replace Newktov,d ;"':BxtettnK Capped Comments regarding i'ixture work: Baptistry F : ont —_._---- —_--- ---- Bath -Tub/Shower _ --- _— —— -- --- — ---- -Jacuzzi/Whirl ool — Car Wash -Each Stall - -Drive nru _ —_----- — --- Cus idor/Water Aspirator Dishwasher -Commercial _ -Domestic Drinking FountainEye Wash Floor Drain/sink 2" — �— 4" Car Wash Drain M '-- Garbage -Domestic Disposal -Industrial menial — *Note: If the fixture work under this permit results in an Ice Mach./Refri .Drains — increase of sewer EDUs,a sewer permit Kill be issued and Oil Separator Gas S•ation fee: assessed for the sewer increase must be paid before the Rec Vchicle Dum2 station plumbing permit can be issued. Shower -Gang -Stall Sink Bat/Lavatory _ Quantity Total -Bradley -Commercial Isometric or riser dia ram is required if fixture quantity Service total is>9. Swiniming Pool Filter Washer-Clothes Water Extractor Plan Review Water Closet--Toilet _ Plan review is requireu fixture o,.dntlty total is>9. Urinal — Other Fixtures: i\auddina\Permiu\PLM.Per"dtApp doc 1'03 CITY OF TIGARD 24-liour WILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (5133)639-4171 7 BUP Received Date Requcsted..-- AM--_- PM BUP Location MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Footing `LC Foundation Access: Fig Drain ELR Crawl Drain Slab inspection Notes: SIT Post&Bearn Shear Anchors _xt Sheath/Shear I,it Sheath/Shear Framing Insulation Drywall Nailing _/__7 Firewall Fire Sprinkler Q� zz— Fire Alarm Susp'd Coiling Root Other: Final PASS PART FAIL PLUMBIWG----- Post&Beam Urder Slab Rough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pan Othrr: PS PART FAIL 14ANICAL Post& Beam Rough-In Gas Une Smoke Dampers Final PASS PART FAIL — ELECTRICAL_____ Service Rough-in UG/Slab Low Voltage Fire Alarm Final 1-1 Reinspection fee of required before next Inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART MIL —6 SITE F-1 Please call fr reinspection HE: E] unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Kit Other: Final DO NOT REWOVE this Inspection record from the job site. PASS PART FAIL