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15375 SW OAKTREE LN
T CITE' OF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2005-00028
13125 SW Hall Bivd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1/25/2005
SITE ADDRESS: 15375 SW OAKTREE LN PARCEL: 2S111DB-10800
SUBDIVISION: SUMMERFIELD NO.10 ZONING: R-7
BLOCK: LOT: 596 JURISDIC?ION: TIC
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS, TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_ FIXTURESLAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE►RAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: f2
DISHWASHERS: RAIN DRAIN: ft
Remarks: New tub/shower.
FEES _)
Owner. `-�
Description Date Amount
HARRIS, LEONARD T AND CHRI,31I NE
15375 SW OAKTREE !N (PLUMB] Permit Fe., 1/25/2005 $72.50
TIGARD, OR 97224 [TAX]Ron State Surcharl 1125/200.5 $5.80
Total $78.30
Phone: 503-327-4975
Contractor:
CRAFT RITE PLUMBING INC
4812 SE MELDRUM AVE
MILWAUKIE, OR 97267 REQUIRED INSPECTI(MS
Phone: 503-327-4975 Rough-in Insp
F!oa,I Inspection
Reg#: LIC 162040
PLM 3-526PB
IL
QC
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rn
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
m Specialty Codes and all other applicable laws. All work will be done in accordance with approved
W p)F ns. This permit will expire if work is not started within 180 days of isstl:;;-,.;e, 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 thesb rules or direct questions to OUNC by calling (503)
246-66
Issued Per,nittee Signature:
Call (503)6394175 by 7:00 P.M.for an Inspection needed the vext business day
s=Permit Aaulicai ou .
City of Tigard
13125 SW Nall Blvd.,Tigard,OR 97223 ROOM Prtdr No.
Phone: 503.639.4171 Fax: 503.59)6.1960 PYn MQ`1°'"
24-Hour lIr'„+olion line: 503.639.4175 t)drer IMadt No.:
lnt'~. waY.ci.tigard.oc.ut _ FA a an raw x tw._SOPPhowlebt Iw?�vaulMn
TVM of WORK IrI:1P` 901EDt11J;
❑New oonstructior —-
►- _ areabaei/mt
alteraticd,+apitoatteert ❑Outer narxi t _ TSD. T—-i_
New I-24bnuy dwMaw(inrltrdes 100 fl.1br each witty eotatec tim:
CATEGORY of CONSI1111VO N,N SFR(1)bob
anX9.20
1- d 2-family dwelling ❑C SFR(2)bmh — 350.00
❑Aooess(ry building ❑Multi-family SFR(3)bath � 399.00
[]Marta builds — ❑Other: Each sddAiond badthlmciten 45.00
Jos SFM IrIFORMATION AND LOCATION Fie��(—_s4 R) Page 2
fate wades
Job site address: Catch barin or arae dram 16.60
City/StatdfZIP 1 Q7 A.,Q 41�; —
,1 0�_. ��Z�L Drywell.leach lin.;or trertcb n'rta't Ib.60
SuitelbiilgJept nn_ J Footing► An(no.liner ft-:--- PW 2 —
Cross st uWeiredions to job site- Mantas rued home ur;itim 110.00
Manholes _ 16.60
___ ---- .bail dram comec4tr 16.60
ra
--—-----_ Sanitary wer(no.linear ft:_ Pags 2
Stoat rawer(no.linear fl.:,� Pop 2
Subdivision. _
Plot of no.: Water swviee(no.linea R:_� Pap
me
Tax ffuvpel no.: _ � ] Fls...
— DE.RCRIPTION OF WORK iia valve 16.60
_ Badd ow prevents Par t
— --- _ Backwater valve 16.60
— Clot w wtitftcr v 16.60
_ DWnmher __ 16.60 ~
r1 PROPERTY OWNgIt —_�❑ TIMM _pAttiftgnmWn 16.60
Nems: P 16.60
Address: .__ 16.60_
Fbdwb*wa Cap 16.60
C'sty/Sfa/p 'IP —� _ Poor drahyAoor tilk/6ub 16.60
Plane:(L�fj) — ?� 1 Fax:( ) Gabap dhpad 16.60
❑ APPLICANT ❑ CONTACT Parr" Home bib — 16.60
Business r aux: lot nkat 16.60
Contsct name: �nm!O °Bene�P 16.60
Address: f _ Medical gar(value >;_�) Pale 2 `
Primer 16.60
City/State217Roof dein(cmunercial) 16.60
Fes,, Phone:( ) ,tax :( ) SitAsreinAn'atarY 16.60
E-mail: W 'raFAININOWOpa I&M 7i'_19u
llrind
� CCIMMICTlllll
Business
clog" 16.6Business name: ' =•--1���n1_ r heater IR.60
Ad*m: C
A&215L
City/Stata2lP: +-� ..f ---- grad
Phone:( !?,Z-7 RrrtdaMabackflow mik -ter 7ol.-';D
CCDPwmk he: S3625
Uu.: a D Phnnbing Lic. pp)
Plan review (25%ofpermk he)
Atd wri>,ed sigttabre N — T Ifi a merrbs�(11%dpermit Ibe) �,4fo
print c TOTAL PERMIT FEE
-n"pe MR applilt a!h its pennl`t im rat eMMned w1Yn
—'—' 10 dqr after k lin beer et emphe as empk _
*Fee nlethOdnlnev act by Tri.Cotativ Dandirt hWwdn Savim Bernd
CITY OF TIGARD Ze-Hole,
BUILDING Inspection Line: (503)63914175
INSPECTION DIVISION Bu -
Business Line. (5431635-4171 MST
OUP
Received - Date Requested__..a—� Ahs____ _PM_ BUP
Location __._ f J{� - -- - 1 L nsr - --- Suite _ MEG _ �y
Contact Person _ Ph(___ __ ) - PLM _-��C. d
Contractor --�--�` Ph 73 7" Lt-9-7 S SWR --
EtUILDING Tenant/Owner --- --_- ELC
Footing ELC
Foundation Access: w — -
Ftg Drain ELR
Crawl Drain
Slab inspection Notes: SIT
Post&Beam
Shec.. Anchors ------
Ext Simath/Shear
.moo
Int Shea:h/Shear
Framing -- -- ---- --- - -
Insulation
Drywall Nailing --
Fir,wall
vire Sprinkler --- —
® Fire Alarm --
Susp'd Ceiling
Root
Final - - -
PASS TART FAIL ----_- --- - -
PLUMBING
Post&Beam
Under Slab
Rough-In —
Water Service
Sanitary Sewer
Rain Drains __.__----- _�.----------®- --__--- _.— _
Catch Basin/Manhole
Storm Drain - --- --- ---- -- _ _ _ - - _
Shower Pan
Other:
ASS PART _FAIL ---------____--- _---
ANICAL
Post&Beam
Rough-In -. -___�----___...
Gas Line
p. Smoke Dampers -
a Final
~ PASS PART _FAIL
ELECTRICAL
� Service
m Rough-In
UG/Slab
4U Low Voltage -- -- --�
Fire Alarm
Final L Reinspection fee of$-
PASS PART FAIL L J required nodinapeaslon. Pay at City Hall, 13125 SW Hall RhM.
CI Please call for reinspection RE: __- L Jnable to Inspect-no loom
Fire Supply Line
ADA
Approach/Sidewalk Daft_'2
1v/ c_�' ��./10
Other:
Final — DO NOT REMOVE this luspecHon record hone the job site.
PASS PART FAIL
'X
V' OF T I G, A R® EC
DEVELOPMENT SERVICES PERMIT#: MEC2004-00141
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 DATE ISSUED: 3/23/04
PARCEL: 2S1 1 lD9-10800
SITE ADDRESS: 15375 SW OAKTREE LN
SUBDIVISION: SUMMERFIELD N0.10 ZONING: R-7
BLOCK: LOT: 596 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: � EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VcNT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
S",'ORIES: BOILERS/COMPRESSORQHOODS:
FUEL TYPES 0 - 3 HP: -- DOMES. INCIN:
— 3 - '15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS'r. 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS;
FURN < 100K BTU: _AIR HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: G
> 10000 cfm: AS OUTLETS:
Remarks: Install exterior A/C unit. Do not place within the required setbacks
Owner: _ i FEES
LEONARD HARRIS Description Date Amount
15375 SW OAKTREE LN — -- —
TIGARD, OR 97224 [MECH]Penn:t Fee 3/23/04 $72.50
[TAX]8%State aurcharl 3/23/04 $5.80
Phone: 503-639-3262 Total_ $78.30
Contractor:
COLUMBIA HEATING+ COOLING INC
P.O. BOX 230397
8900 SW BURNHAM#E1110 PEQUIRED INSPECTIONS
TIGARD. OR 97223 - — — _--- ----
Phone: 503-624-2704 Final Inspection
Reg#: LIC 0359
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m This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Ow 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 th days. ATTR=NTION: Oregon law requires you to follow rules adopted in the Oregon
Utility N90ti ation nter. Those rules are set forth in OAR 952-001-0010 through OAF?
952-OU -0100. You ay Qbtain copies of these rules or direct questions to OIINC by calling
(503)2 6-6699.
Issued Permittee Signature:
Call(503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mar 23, 04 09: 13a 1'RM ❑RLHY 503-598-0270 p. 2
Mechanic APmUcation Reea(ved E
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:
Plag App v I
City of Tigard Dat ' _
Permit
13125 SW Hall Blvd. MAR 2 3 2004 Plaeview at .__
Tigard,Oregon 97223 Post-Review
Phone. 503-639-4171 1 171�G � SI(.�IJ Datef9 _ —��
`' Contact so-e Page 2 for
lnlernx ww,w.ci.tigard. . su lern Itsl Information.__)
?.4-hour Inspection Request: 503-639-4175 NartrrlMethod: -�--
TYYI:OE WORK COIYIIVLERCh►L IPEV'9C'HEDUi.1',-V51t.CHECICLiSC l
New construction _� Demolition Mechanical permit fees*are based on the total value of the work
New
constrtcration/replacen._at Other: performed. Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead and profit.
CATEGORY OF CONSTR_UCniON Value: S Sec Page 2 for Fee Scbedule .
1 & 2-Family dwelling CommcrcisllIndustrial RF.SmEPiIfAEC�>(f1YMENT/SYSTEbIg;ggg+eS(�[EDULY
Accesso l3uildin Multi-Fami�_ Uererl tion Fee ea. Total
Master Builder Other: _ —BaIt Cooua —
JOB SITE INFORMAT[ON and LOCATION _ Furnace-add-on air conditioning,'• 14.00
L, FO A e- Gas beat - 14'00
Job site address: Ductwork 34.00
Suite
_. $ld •/Ap J!ydrotic hot water astern _ 14.00
Proiect Name: _ _ -- Remdential boiler
Cross street/Directions to fob site: 'br radiator or h ronic a tern — 14.00
Unit haters(fuel,not c.lect.ic)
in wall,in-duct,suspended etc. 14.00
Fluelvent for any of abo eL —} 10.00
Rerntir units I�� 12.13�-
Subdivision: ^ Lot #: _ Other trod A Hamar
Tax map/parcel # _ ____ Water hater _____ 11.00
DESCRIPTION OF WORK Gas fi lace 10.00
Flue vent water treater/ It loco 10.00
Lo li
ter as; 10.00
Wood/Pellet stove to -
-�— Wood fire lacelinsert 10.00
Chirttneyflinerlfludvent 10.00
-.t Other: 10.00
Pl tOPERTY 91` T T EavlromawtaI Exha si t k Vendtatloo
Name: e/L' Runge hood other kitchen equipment 10.00
Address: S :�� �_'r Clothes dryer exhaust 10.00
Cit /State/Zit Z.4% Single duct exhr.tst
Phone: (3 y `? Fax: (bathrooms,toilet compartments,
CONTAC PERSON utili rooms) 6.0
APPLICANT Attic/crawl ace fiats ____ 10.00
Name: — other: 10.00
Address: __-- P"d Pf�s
••(SSA0 for Oust 4,31.00a chaddidoad
City/State/Zip: _ — $1• _
Fumace,etc_
Phone: Fax: —� Gas heat '*
�=
E-mail: J Wall/sus endedhu "heater "
_ — ..
CONTRACTO'.l _ Water heater
Fire lace
�-
FBness Names h.a _ �o�l�� PLan a ••
D ress: /0 0 �3. e —2. 0 ''t '►�-- as *•�
® --- �4 Cloth/Stat%Ztp_ other.ne: Fax: o Tntal:
Lic. #: Mechadnl Persalt Fees"
Authorized -- tax_ S
Signature: ��_ ��- — Date: Minimum Permit Fee 572.50 $
Plan Review Fac 2S%.of Pemtit Feel S ._
State Surchar a 8%of Permit Fee S _
(Please print nam TOTAL.FERMI FEE S
at obtained within *Fee methodology set by Tri-County Balldiog Industry Servlet Board.
Igo days after it has been accepted as complete.
"Site plan required for exterior AJC units.
Nntice: This permit application expires If a permit Is n
i\DststPermir Fnrms\MccPermitApp.doc OV03
Mar 2a, 04 09: i2-% PAM DALHY 503-599-0270 p. 3
HEATING & +COGLING9 INC.
8900 S.W. F3URNHAM ROAR, SUITE E110
TIGARD,OR 97223
(503) 624-2704
FAX (503)598-0270
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,JOB ADDRESS:_._.
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SITE PLAN FOR AC OUTDOOR UNIT LOCATION
CITY OF TIGARD 24-Hour �
BUILDING Inspection tine: 5 39.4175
INSPECT16N DIVISION Business Line: ( )63
Received Date Flequested VAM_— M BU
Location AL_____Suite _ M _
�,
Contact Person _ ___� ---,— Ph(—) �.-.__—��_ PLM
Contractor___—_—_ __— —___ Ph SWR
BUILDING - Tenant/owner . _ _ __ ___ ELC
Footing ELC _
Foundation Access: —`
Ftg Drain ELR — —,--
Crawl Drain
Slab Inspection Notes: SIT --.— _
Post& Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _—..—
Firewall
Fire SpJnklet --
Fire Alarm
Susp'd Ceiling —�-�—
Roof
Other: __ ---- -- --
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 EM= `
MECHANICA
Post&Bes
Rough-In
Gas Line
d e Da --
M m
S ART
IC
AL
Service
Rough-In
UG/Slab
WLow 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: ____,__.®___ — F] Unable to inspect--no accesa
Fire Supply lineADA `/ /o
Approach/Sidewalk Daft lasp�.-Suo� _ _.�___ �" Ed
Other:
Final DO NOT REMOVE thls Inspsoden eooei hem tho job alts.
PASS PART FAIL