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8914 SW OAKWAY ST
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SEEN
• M
MASTER PERMIT
CITY
OF
T I G A R D _ _—._,.._
PERMIT 0: MST2001-00426
DEVELOPMENT SERVICES DATE ISSUED: 8/17/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503)6'�.3-A171
SITE ADDRESS: 08914 SVJ OAKWAY ST PARCEL: 1S135AA-03902
SUBDIVISION: ASHBROOK FARM ZONING: R-4.5
BLOCK: LOT:0,1 JURISDICTION: TIG
REMARKS: Construction of 276 square font additiosi.
POLDItM
REISSUE: STORICS: 1 — YLOf,R AREAS ___ _REQUIRED SETBACKS REQLSRED
CLASS OF WORK: ADD HEIGHT: 18 FIRST: 27S tf PASEMENT: of LEFT: SMOKE UETRMTORS.
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: If GARAGE: of FRONT: PARIUNG SPACES:
TYPE OF CONST: 5N DWFL LING UNITS: FINSSMENT• Al RIGHT:
VALUE: f 28,000 M)
OCCUPANCY GRP: R3 DDRM: BATH: TOTAL: 77600 of REAR:
PLUMBING
SINKS: WATER CLO'1ETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FI OOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BANNS:
TUBMHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: eCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FLIP<IOOW a01UCMP t THP: VENT FANS: CLOTHES DRYER:
r FURN>000K: UNIT HEATERS. HOODS. OTHER UNITS:
MAX INF: FLOOR FUFNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
_ ELECTRICAL -
RESIDENTIAL UNIT SERVICE FUEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: O -200 amp: 0 200 amp: WfSVC OR FDR: PUMPIIRRIGATION: PER INSPECTION.
FA ADD'L SOOSF: 201 -100,imp: 201 - 40damp- 4t WIO SVC/FDR: SIGNIOUT PAN LT: PER HOUR:
LIL91TEO ENERGY: 401 •000 amp: 401 000 Prof): FA ADDL RR CIR 1 SIONALJPANFL: IN PLANT.
MANU HWI,',VCIFDR: 601 - 1000 emp: A01+amf)a-1090v: MINOR LABEL:
1000.r11PNott
PLAN REVIEW SECTION _
Reconnect only: "�
>N RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREAMPC OCC:
ELECTRICAL-RESTRICTED ENERGY ��_.�
A.SF RESIDENTIAL B.COMMERCIAL ^^
AUDIO S STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTNR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 10 SYSTEMS:
Owner: Contractor: TOTAL FEES: : 707.89
HAZARD, SANDRA SORRENTO CONSTRUCTION INC This permit is subject to the regulations contained in the
8914 SW OIANDRA SOR EN O 158TH Tigard Municipal Code,State of OR. Specialty Codes and
8914 S ,OR 97223 1345BEAS 158 H 97008 all other applicable laws. AA work will be done In
accordance with approved plans. This penr.it will expire If
work Is not started within 180 days of issuar.as,or if the
work Is suspended fo-more than 189 days. ATTENTION:
Phone: Phone! Oregon law requires you to follow rules adopted by the
Oregon Utlflty,Notification Center. Throe rules am set
Reye: tic ASS1 forth in OAR 952-001-0010 through 951-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by caAk+y(503)248 1987.
3 (REQUIRED INSPECTIONS
W Footing Insp Plumb Top Out Rain drain Insp
Foundation Insp Electrical Rough In Roof Nailing
Post/Beam Structural Framing Insp Electrical Final
Underfloor Insuletlon Shear Wall Insp Plumb Final
PLM/Underfloor Insulation Insp Building Final
.01
Issued By : Permittee Signrd• � 1
Call(503)6394175 by 7:00 P.M.fOL an Inspection needed the next busin ss A --�
IVA
Building Permit Application MINE -M
Date received: 7 p Permit noIJH S/7e0/--oj0
3 Address:155 NI ist AV,St ite 350-12,Hillsboro,OR 97132 Project/appiI hola Expire date: `
Phone: 503-846-3470 Fax: 503-846-3993 Date issued: By: Receipt nol:1
Internet Address: wwwWoltivashingtonfdrWs
C� Case file nol:I Payment type:
Land use approval: I&2 family:simple Complex:
11 1 &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family 0 New construction 0 Demolition
Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler/alarm 0 Other:
;obaddress: 8q1 $YJ OAIcWgY 'Tr A" City: Bldg[holl Suite no If
Lot: Block: N/A Subdivision: Tax map/tax lot/account noel
Project name: A7_PAep #4bpITjpiJ _
Description and location of work on premises/special conditions: "Mtn ( ROOM /fib DIT1grf
Name: 'AtAt) q
Mailing address: boll ( -,c;wJ 0o4t.kWA4 I &2 family dwelling:
City: -T-t( qRl, State: ZIP: 9'722'3 Valuation of work IIIIIIIIIIIIIIIi S 26,a v0 Phone:503-24S-SUFax: E-mail: _ Nol bfbedrooms/batha IMIMIM
Owner's representative: Total number of floors _
i
one: Fax: E-mail: New dwelling area(sgLRQ
Garage/carport area(sgLR[p 11111111111111 1
Name: So 1zR ei-( tJ S77'R V f ��IC, Covered porch area(sgMD 1
Mai!ing address: 114S SW Sbtls AVE Deck area(sq IR[)III
City: F3E_P1Nl ER r1! State:UR I ZIP: g7U0Other structure area(s Cft
Phone:rjbg-(CC 3.9601 Fax:(v43-96/5 I E-mail: - Commercial/industriaVmulti-family:
Valuation of work Iff S
Existing bldg,area(sgLftj
Business name: Sfj�2j2ETf7U rl S'r UGTtGr� t(C• New hldgl area(sql R4
Address: 13 4, $ (Sfa'f'_% AVE Number of stories 1
City: ��� n/ State:pR ZIP: '110016 NumberType of ofstconstructionstories
Phone:5D1,(43-%0).j Fax:6 3 -o?P E-mail: Occupancy group(s): Existing:
CCB no[.-,! 1 - ---
- New:
t ity/metro IicChol:] N/A .— ji.
otice:All contractors and subcontractors are required to he
censed with the Oregon Construction Contractors Board under
IL Name: rovisions of ORS 701 and may be required to he licensed in the
tr Address: urisdiction where work is being performed(If the applicant is
Ci : State: ZIP: xempt from licensing,the following reason applies:
1 4-457
Contact person: Plan no0 — C, ,) —
Phone: Fax: E-mail: -yJ& --
W Name: Contact person: _ .w Fees due upon application IDIllIIII1TIIIIIII111iIUMS _
Address: Date received: _
City: I State: ZIP: Amount received III _
Phone: Fax: E-mail: w•°,_ Please refer to fee sebeebtkLi
I hereby certify I have read and examined this application and the
attached checklistl_]AII provisions of laws and ordinances governing this n visa 11 MasterCard
work will be compUe ti wh there ecito herein or,not Credit card number:
xpves
Authorized algn Date: '7/2-3/01 Name ofcardhalder ass own on credit car
Print name: N t L -- -- s
.-_.— ar o er n�nelura _m�ounl
Notice: 71At/s permk application expires!f a permit Is not obtained Ndthitr 180 daps after It has been accepted as contpletel I 4404611 triooiCoW
i-Gose / For Q,rce.rise Onlr
E1 e r i c al D Date Received_ _ Ptrmit No.—.
N it Ap tit
R--
Land
�� ProjecJAppl.No.___. E.xpiro Date�/ lRDate Issued ByReceipt No.urisdieNonWASHING!'C)N UNTY Case File No Paymem T Use Approval IRequ' vel for Rural PropertyI yid
rl 1 & 2 Family Dwelling or Accemo:y O C)mmercla!/Industrial C) Mull)Family 0 Tenant Improvement
CI New Construction ; Addition!AlterntiontRt-placement 0 (Aher _..__.__-_.-___. I Partial
Job Address 8q 14 $W OAK WAY —Blit„ Suilc -Tax Map/rax Lot/Account#__
Lot—_Block N
JA Subdivision_ r -
Project Name 7�4P-D Lt i)_t>iDescription of Work_&Location_ on�Prem--..ises
Est.Date of Completion/inspec(ion —
Fee Schedule Qty Fee(e I Total Max N
Conitrnctor Appltcutiorn, .�Job At Ins
Business Name t1&t4 /1,,�r T ELE�_ h'ew Residential-Single or Muld-Family per ^
dwelling unit.Include coached garage.
Address 'I/5 4 r] SW h/17N Y Servi, Included.-
City
ncluded:City_ Slatelr .Zip /1 V 1000 sf o+less 110.00 1 4
Each addl 300 sq fl or portion I,tereof 30.00
PrIhone, -9sau,Fax/e-mail l Limited Energy Residential 30.00 2
�f IaCCB# 4ff 7 _Elec.Bus.Llc.#�- ' ZOC /~ Limited Energy Non Residential 45.0 2
Each Manrd Home or Modular Dwelling
City/Metro Lic.# N/A _ Service and/-ir Feeder 73.00 2
Services or Feeders-InrrioUation,Alteration
7-23-01 orJtdocadon 211)amps or leas 63.00 2
Signature of Supe sin ,ectrician( d) Date 201 amps to 400 amps 83.00 2 _
VERW 401 amps to 600 amps 13000 2
Print Supervising Electrician's Name License Number 6411 amps to 1000 amps 193.00 24
O Owner over IOM amps or volts 363.00 2
Print Owner's Name S 1^,C)P 1{A'Z• dy—b __---
reconnect only 33.00 1
TemporarySen�kInstallation,
or Feeders•Iaftalladon,
Phone ,!T " 2-4ra - 566 94 Alteration or Relocation
Address A9/_k SSV a R�w�+Y 20 amps or less 35.04 2
201 amps
to 400 amps 80.00 2
cif. "TT(?A P--D _sfutew—zip �? 1 _ 401 to 6W amps 110.00 2
Branch Circuits-New,Alteration or
Estensio�r Farrel
Owner Installation a.The fee for branch circuits with purchase of
The installation is bring made on pmperty I own which is not intended for sale, service Each branch circuit
ice or feeder fee: Eh bh ciit
leave,rent or exchange per ORS 447,435,479,670,701. 6,00 2_
h.The fee for branch circuits Withonl purchase
Owner's Signature Date_ of service or feed-r fee: Pint branch circuit 1
4().00 2
Each add'I branch circuit 6.00
IL D Engiltteer Mise. Service or Feeder not included)
Fes- Name Each pump or irrigation circle 43.00 2
Each sign or outline lighting 45.00 2
Address _State,Zip _ Signal circuit(s)or a limited energy panel,
n.teration or extension" 43.00 1 2
_ Phone/Fax/e-mail _ 'Deception
m Each additional lnwcdun over the allowable in any o the above
(a Per inspection
J 0 Plan Review(please check all that apply) Investigation Fee- Add' 1009E Permit Fees
O Service over 225 amps-commercial O Health carp facility (hher
1 Service over 320 t ops-con't rating of O Hazardous location
1&2 family dwellings O Building over 10,000 sf 4 or more
I System over 600 volts nominal residential units within 1 structure
O Building over 3 stories O Feeders 400 amps or more Permit Fee(total of above) $
O Occupant load over 99 persons O Maned structures or RV park. —_
O Egress Lighting Plan O Other_ Plan Review(at 25%) $
Submit 2 .rets of pians with any of thr above.The above are not applicable to temp.ronstnrrrinn srrvfce. 8%State surcharge $-
NOTICE: This permit application expires if a permit is not obtained within 180 days after it has TOTAL $
been accepted as complete.
For Office Use Only
>�-c�ty� C� I -
�T lt: Date Received Permit No. -
P� 11 n b /� � Sewer Permit No._ Building Permit No. -
t Application l 1 Project/Appl.No. Expire Date_
Jurisdiction WASHINGTON COUNTY Date Issued _-_By Receipt No.
Land Use Approval(May be required for Rural Property) Case File Nc._ _Payment,,ype_
CI I & 2 Famil,v Dwelling or Accessory iJ Commervial/Industrial O Mluld-Fain ly rl Tenant 9mpr0veme1kt
O New Construction )W, Addition/Alteration/Replacement O Food Sevvice O Otitfr
Joh Address-L q14 SW U6k 1VAY_ _ Fee SchedWx (far si ccial information use chccklist)
Bldg No_.. Suite No -_- - - --Dewripti e T Fa er. Total
Tax MaptTax Lot/Account# New 1-and 2-family dwellings only
(includes 100 fi for each With
Lot Bvwk_N/A-Subdivision connection)
SFR(1)Bath 265.00 _
Project Name_L�A�Q R 1q b ED 1)14 SFR(2)Bath 340.00
SFR(3)Bath 413.00
City/Co 'T ( '�D Zip 97�Z3_ Each Additional BatWKitchen 73.00 M_
Descrip ion and lova;ion of work on premises M LY �M _Site Ud11Nes _
_�Q D ITl Q'NI Catch Basin/area drain 12.00
Est.Dz,.e of Completion/Inspection Drywells%leach line/trench drain 12.00
_
Footing drain(no. lin. ft. .35/ft _
❑ Plumbing Conbrtetor Manufactured home utilities 80.04
Business Name J t)P-ai D FLV&411.1 A&7 Manholes 12.00
7�7Z SW Fl RST Rain drain connector 12.00_
Address_ -- Sanitary sewer(no.lin. ft.) .35/ft
City.�f�140.D state iP&Zip Storm sewer(no.lin. ft.) .35/ft
Fwde-mail_ I _ Water service(no.lin.ft. 35/ft
CCB X__ 5-.-� Plmh.Bus.Reg.N 14--"] P _Fixture or Item
Chy/Metro Lic.N N/A Absor tion valve 12.00
Contractor's Representative Signature `' Back flow prevcnter 12.00
M Date `T 2 O Backwater valve 12.00
Print Name jo
- Basins/lavatory _ 12.00
❑ Co}n�taet Person Clothes washer 12.00
Dishwasher 12.00
_
Name .DAVE WORKM �UR1�F-r`r7U CBS7� _ �(UP�
AVS �n Drinkingfountains 12.00
Address 1345 SW 15b
City lb"V E--�'1nl vr`.cip -, /00 Ejectors/Sum 12.00 _
�� s�"(` Expaision tank 12.00 __--
Phone S3'6O`Igkd1 Fax(e-midi IT - Fixture/sewer cup 12.00
0 Owner Floor drains/floor sinks/hubb 12.00
�� �f't ZA� Garbage Disposal 12.00 -
Print Name_� Hose bibb 12,00
Mailing Address qBel i4 SW C*bc- WILY _Ice maker 12.00 _
City_ State_tLkZip Interceptor/Orease Trap _ 12.00_
SDI` 4S'St+L 13 Fax/e-mail I Primer(s) 12.00 -
� phone - -
d Roof drain Commercial 12.00
■ Sink(s) Basin(s) l.ays(s) 12.00
3 Owner Installation Only Sump 12.00
0 The actual installation will be made by me or my regular employee on the Tubs/shower/shower pan 12.00
property 1 own,as per ORS Chapters 447,455,670,693,701. Urinal _ 1_2.00
U Water closet 12.00
Owner's Signature Date_ _ Water heater _ 12.00
Other
❑ �ngtneer rnra f.
Name
Address ---
Permit Fee $
City _State_Zip Minimum Fee $ 50.00
Phone Foxe-mail I Plan Review(at 25%) $
8%State Surcharge $
NOTICE:This permit appticadon expires if a permit is not obtained within I80 days after TOTAL $
it has been accepted as complete.
CleanWater Services
Our runrn►ilnrenl k Clear.
August 8, 2301
Sandra Hazard
8914 SW Oak Way
Tigard, OR 97223
Sorrento Construction, Inc.
Phil Rengel
1 345 SW 156'Ave
Beaverton, OR 97006
tom° 12'x23' Addition to single family residence at 8914 SW Oak Way, Tigard,
Oregon (CWS file 1317,tax map 1S135AA, Tax lot 3902)
Clean Water Services (former)t USA) has received your Sensitive Areas Certification
Form for the above referenced site. Staff has reviewed the Sensitive Areas Certification
Form, site conditions, and the description of your project and concurs that the above
referenced project will not significantly impact the existing sensitive areas found near the
site. The small, ephemeral drainage running along the northwest property boundary
requires a 1.5-foot buffer. The proposed project will be on the southeast portion of the
home furthest away from the sens!tive area.
In light of this result, this document will serve as your Serv1c9 Provider letter as required
by Resolution and Order 00-7, Section 3.02.1, and your Stormwater Connection
authorization from Clean Water Services as required by Ordinance 27, Section 4.13. All
required permits and approvals must be obtained and completed under applicabl,r local,
state, and federal law. Appropriate Best Management Practices (BMP's)for Erosion
Control, in accordance with USA's Erorwin Control Technical Guidance Manual shall be
used prior to, during, and following er11 th disturbing activities, especially at points where
the drainage may be affected during Ingress and egress.
CL This letter does NOT eliminate the need to protect sensitive areas if they are
subsequently identified on your site.
U
If you have any questions, please feel free to call me at 503-846-3613.
ap Sincerely,
O
r%
Heidi Berg
Site Assessment Coordinator
\\140.-SFRV_04\eng$\Development Svcs\SP 00-TSPR Lettere\1S13SAA03902.doc
155 N First Avenue, Suite 270•Hillsboro, Oregon 97124
Phone:(503)846-8621 •Fax:(503)846-3525•x•Mrw.cleanwaterservices.org
ant�■t�w
Print-a-Map, SurveyNct, Washington County,OR Page 'i of I
ge►.lr'c wAY
10' FV.tNa�g��
f f l Nbl,tTl'OKI
1 I�'
J I{
1
J
www.co.washington.or.us/surveynet
Scale 1":74'
County Surveyor's Office Thls map was derived rmm several database+.
Washington County The County cannot accept reponsibility for any ermrs,
ISS N.First Ave.,Suite*50.15, omissions,or pnsitional accuracy and therefore there are
Hillsboro,OR 97124-3072 no warranties for this product.Flowever notification of
www.co.washingtrm.or.us errors would be appreciated.
(503)648-8723
n Minted On:7/18/2001,8:11:41 AM
r
M Washington County, Orogon
Li
m --
w
a
http://wivw.co.washington.or.us/scripts/esrimap.dll?name=SIRS&emd=PrintMa,n&left=76194.. 7/18/01
CITY OF TIGA RD 24-Hour
BUILDING 0Inspection Llrw: (503)639-4175 ® MST
INSPECTION DIVISION' Business Line: (503)639-4'r 11
rBUP
Received �_ Date equested AM_ _PM BUR
Locatior. _—� 41 0--A,--" Suite-------- MEC
Contact Person ._—_ -- _ Ph( )&_q_3 'i6Q ga PLM
Contractor_ _—_-- _ Ph(—) _ SWR _
BUILDING TenafiUOwner _ _• ELC
Footing - ELC
Foundation Access: �� {� ---- —
Fig Drain (' u ,�� ELR
Crawl Drain
SlabInspection Notes: SIT
%st&Beam _ �
Shear Anchors 77
-
Ext Sheath/Shear
Int Sheath/Shear . -------- - -
Framing _fes/ T -�T
Ii isulation ,7 ( r .0� —'
Drywall Nailing — �r-�� (� V
Firewall
Fire Sprinkler - - ---- --_
Fire Alarm
Susp'd Ceiling --
Roof
PART FAIL
PLUMBING _
Post&Beam —
Ur.der Slab
Rough-In — — —
Water Service
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole �—
Storm Drain --- — — —
Shower Pan
%SS
---PART FAILICAL
Post& Beam -
Rough-In --
CL Gas Line
Smoke Dampers
1.. Final
PASS PART FAIL --- --
ELECTRICAL
-� Service
Rough-In
UG/Slab —
W Low Voltage 1►' �_,�_ _ _
Fir2 Alarm —
SS ART FAIL EjReinspection fee of$ required before next insi-wetion. Pay at City Heil, 13125 SW Hall BW..
SITE— E] Please call for reinspection RE:-- --__ _,--- Unahle to Inspeca-no access
I-ire Supply Line
ADA
Approach/Sidewalk D1fate
Other: --_---— `r--�
Final DO NOT REMOVE this Inspection record m the joky alb.
PASS PART FAIL
CITY OF TIGARD SUiLDING .ISPECTION DIVISION -� MST
24-Hour Inspection 1 i.::,: 636-4175 Business Lirre: 38-4171\ -
BUP
r � _
_Date Requested Arvi Illfff PM_ BLD
Location „�:✓ OG 1f w G.., 'Sr Suite — MEC 1 Uvd — OU,2 y U
Contact Person '!.. h- Ph G. sy PLA
Contractor SPh �f,[Sr.. �'�r. S1i1/R
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR
Footing �'1���^- --•--
Found3tion ACC@SS:
FPS
Fig Drain -"
Crawl Dmin Inspection Notes: �+ _ , LL - SCN
Slab ---.----_
h / h_7�rn IT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing / �, � F✓it�RG�. 1cr�i�.e�7� r S $ 1�r�,�. Q
Insulation '�"
Drywall Nailing Eur cT�...SA
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -'
Misc: - - -- - -- ---__
Final
PASS PART FAIL
PLUMBING
Post& Beam --
Under Slab
Top Out -----_.--
Water Service
Sanitary Sewer
Rain Drains
Final --------------__.-_.--. - _ _ _-.-
PASS PART FAIL
MECHANICAL
Post&Beam -
Rough In
Gas Line -------_.__.__�_ _- __ -_-- _-• -§Mjkke Dampers
PART FAIL tZ Service
Rough in -- ---- --______---_
N UG/Slab
Low Voltage
FireAlarm -- - -----.._...--------_ _--- -- -----_ -. ---
J Final
m PASS PART FAIL
� SITE ._...----
W Backfill/Grading ----- ----- --.-___----,-__ -.-._ - --- --
Sanitary Sewer
Storm Drain ] ] Reinspection fee ct 3 _ requiren before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i ]Please c211 for reinspection RE._ _ - ___ _�_ [ ]Unable to h:spect-no access
ADA
Approach/Sidewalk
Other Date �� �'- Inspector _Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF
T I V A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00240
13125 SW Halt Blvd.,Tigard,OR 97223 (503) 639-4171 DOTE ISSUED: 6/19/00
PARCEL: 1 S135AA-03902
SITE ADDRESS: 08914 SW OAKWAY ST
SUBDIVISION: ASHBROOK FARM ZONING: R-4.5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT IIEATFRS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COM PRESS ORS_ HOODS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 13 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10600 cfm:
Remarks: Installation of new gas furnace with like kind.
Owner: _ — FEES _1
HAZARD, SANDRA Type By Date Amount Receipt
8914 SW OAKWAY PRMT DEB 6119/00 $50.00 0003079
TIGARD, OR 97223 5PCT DEB 6/19/00 $4.00 0003079
Phone:
Total _ $54.00
- -- - —
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND,OR 97211-4798 REQUIRED INSPECTIONS
Heatinq Unt Insp
Phone:231-3311 Final 1oispection
Reg#:LIC 102030
This permit is issued subject to the regulations contained it 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 expirQ if worts is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregun law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001.0 rough OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by
tailing C. )246 9.
Issue - Permittee Signature: I=
Call (503)6'j9-4175 by 7:00 P.M. for Ini pections needed the next u5s nese day
06/12/00 MON 10:07 FAX 503 596 1960 CITY OF TIGARD W002
CITY OF TIGARD Mechanical Permit Application Plan c e
By Jok2 4±1.L13126 SW HALL BLVD. Commercial and Residential of _
TIGARD, OR 97223 cats to P.F-.
(503) 639.4171, x344 We to DST
Pi int or Type P.nrul r K.f.es��`1p
Incomplete or iilegKole a plication will not be accepted
Nana of Developrnent44mod D"W"m '-
Table 1A Moch snktd Code Q17Prig Arlt
Job ebe.. sdrea A Fee 1too
Addivrox c �( ^KL Ct c `� 1) Furnace to 100,000 M
"wN ducts&vents see footnote 1 9.65
awes o 2) Furnace 100,000 BTU•
including duds&ventsae footnote 1 2 12.00
�(a�+e �'''�'!�i 3) Floor Furnace
Owner S ^�-r I0.Z C.L r�t� kww vent we footnote 1.2 9.65
�' 4) suepervlod healer,wall heeler
or floor mounted heater see footnote 1 9.65
LA--) Qcx r,-0Ct r.. 6 Vern not Included In a milanowe met 4.75
CW70AW Check all eh N apply: *So%( Heat Air
For!tame 610,ase or Pump Cori! Qty Price Art
elertM rrartn I /ootnobo 1 C2TR
61<3HP;mbsorb unit to
Occupant Mmb Addrem IMK BTU _ 9,06 -
M 7)3-15 HP;absorb unit
100k to 500k BTU 17.65
CKyraaAu 5)150 HP;absorb '
unk.5.1 mil BTU 24.15
9)300 HP;absorb
Contractor N"" unit 1-1.75 nil BTU 31,00
L
�l •)c-�✓ C�v�� 10)3-50HP;absorb unit -_
Prior to pw >1.75 roll M 50.15
Issuance,a copy L C" vvck t� 11 Air handling unit to 10,000 CFM --
of all kenses Z* phww
7.00
are revulred If (fir lc1-\d 2k\ ZWI- C-6 4 12)Air handling unit 10,000 CFM+
expirtd In COT l 11.55
datebues l V tJ' L7 - 13)Non-ponrrhle @vapors%cou`er
Architect 7.00
14)Vele fen connocled k sing k►duct
or Meft Molten _ 4.73
15)VeMittOon ayetem not IncMrded to
tla__�ertmit 7.00
FfIQInNr CNylBrre - 16)Hood served by mechanical exhaust
7.00
Describe work lo be done: 17)Domestic Incinerators
12.00
New O Rspek n Replace with Ake kind: Yes)Z No O 15)Commercial or Industrial type indnenla
Resklentlsl)( ComrnerdN O45.25
19)Repair units
Additional Information or description f work, J 5 5.40
GQ 'i& -5 T�r rk t't'r Q 20)Wood elove/pae FPlothar unMs/clo1M drysr/sfc. 7.00
NOTE: For Comm dd only;Units ova 400 lbs.require 21)Gas piping one to four outMta
ebur; w in cab. _ _ _ see footnote 1 3.75
Type of Awl: o10 nstui al gall IS� !►'G O electri O 22 More than 4-per oulAK each .75 -
M1111IMr Permit Fee W.00 SUBTOTAL
I hereby acknowledge that I have rad this application,that the Information 8%SURCHARGE G�
Oven is corned,thet 1 rn the owner or authorized spent of PIAN REVIEW 26%OF bJBT>v1TAL
the owner,it*plus eubrdked aro In compliance with Oregon State laws. Raged for ALL oomm"Clal perm,ice on
TOTAL
stgrtekas of OweeidAgwtt Date
Other Irwf*ctlons end Fen:
1, Indpeetloru otrlefdr o,.normal Ixrelnees hours(minimae charge.4w e
ociNene hours) 40.00 par hour
2. frepeetione for which ne fee le spa Meshy Ind kAted (mintmttm
7 I_L� chrtrge-half hour) $60.00 per hour
i6urvAvs for commercial rim"o*: 7. Additional plan review required by changer,addidone or mvfelore to
I. Provide full lj�,hsm.wlc of existing and proposed on Ane and pros m. Plea(minimum charge-ono.telf hour)$50.00 per hour
2 Provlde drawings to beat showing exle tg end proposed n>ecJerlloe!
units. 'State CortmeW Boller CeRNltwMw required
"ReakieMthlAIC mquir"site lien sink p%o@ff*M 01 unit
I mochperm.doc rev 7/19/99
CITY EDF TIGARD B- _DING INSPECTION DIVISION MST
24-Hour Inspection Line: 635-4176 Business Line: 639-4171 -- -
BUP
Date Requested AM —PM BLI) _
Location Suite _— _ MEC � ?�1/
ContaLt Person _� ' p 0 Ph �_-- _ _— PLM --—
Contractor Ph SVVR _
BUILDING Tenant/Owner ELC '- aJ
Retaining Wall ELR
Footing Access:
Foundation FPS _
Fig Drain -
Crawl Drain Inspection Notes: SGN
Slab _
SIT
Post if,Beam ------
Ext Sheath/Shear
Int Sheath/Shear —-
Framing
Insulation
r"q_0�
Drywall Nailing ' 9%5�L/
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —
Roof
Misc:
Final —
PASS PART FAIL —--- -- _
PLUMING
Post&Beam —
Under Slab
Top Out ------ —— ---------
Water Service
Sanitary Sewe ���-- —-- --
Rain Drains
Final
P T FAIL
CHANICAL
Rough In
Gas Line --- —------- -_ __ -- —_ —
Smoke Dampers
PART FAIL
IL witA
Rough In
UG/Slab
Low Voltage --- —� -- --- -v �--
J Fire Alarm --_ — — -
m Final
a PASS PARI FAIL
W effe
J
Backill/Grading
Sanitary Sewer
Storm Drain [ )Reinspection tee of$ required before next Inspection. Pay at City Hall, 1312.5 SW Hull Blvd
Catch Basin
Fire Supply Line [ )Please call for einspection RF: —_— _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspsctar_ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the jolt site.
CITY O F T i G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICESPERMITM MEC1999-00251
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639- '.0 DATE ISSUED: 6/11/99
V, PARCEL: 1 S 135AA-0,.902
SITE ADDRESS: 08914 SW OAKWAY ST
SUBDIVISION: ASHBROOK FARM ZONING: R-4.5
BLOCK: LOT:011 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVA.P COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL_TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING_UNITS _ OTHER UNITS: 1
FURN >�100K BTU: <- 10000 ctm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of a/c unit,freestanding gas stove and gas piping. Placement of a/c unit must comply with standard
setbacks.
r
Owner: _ _ FEES
HAZARD, SANDRA Type By Date Amount! Receipt
8914 SW OAKV11'Y PRMT DEB 6/11/99 $50.00 99-316080
TIGARD, OR 97223 5PCT DEB 6/11/99 $2.50 99-316080
Total $52.50
Phone: - — ---'
Contractor:
FIRST CALL MCCALL HEATING+
COOLING
1650 NE LOMBARD _ REQUIRED_ INSPECTIONS
PORTLAND, OR 97211-4798 Gas Line Insp
Phone:231-3311 Mechanical Insp
Reg M LIC 102030 Cooling Unt Insp
Misc. Inspection
Final Inspection
LL
OC
F-
al
m
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 wor k is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You . y o 1 copies of these rules ro. ,direct questions to OUNC by calling (503)246-9189.
Issue y: y/�,IpA ,� w�JRI Permittee 3lgnafure: r
Call(503)639-4175 by 7:00 P.M.for Inspectlor R needed the nex business day
WEV U111:31 FAX 5U3 595 1950 CITY OF •rit;ARD 0002
Plat, ►�s �--_ ---
CITY OF TIGARV RECENWchanical Permit; Application Rn'd
Commercial and Residential Date d
13125 SW! HALL BLVD. 09"to P.E.
TIGARD, OR 97223 JUN 0 P, 1990 `- Date to DST
(503) 639-4171, x304
COMMUNITY ULVELUPMLNI Print or Type called
Incomplete or illegible a P1 aflonvlrill not be ecce
Table 1A pAechanical Cade_ Price Amt
Psmrit Fes 10.00
Sa.stMdtass titrblt 1) Furnace to 100.000 BILI
:Addrew
ob 6.00
L induct' ducts vents
V ZIP 2) Furnace 100.000 BTU+ 7.5r
including duds b vents
Nsats(a rt�rrs d ptntrtw) 3) Fioa Fumace 6.00
gtdudin�verN __T�.
Owner �_ GL M J 4) Suspenctad heater,wall hearer 6.00
MW"Add" or floor mounted heater
i-1A -r-x e 5) Vent not krr�Wed in appliance permit 3.00
ZIP Phoria _ -ga0sr Heat Ak
LAv CHECK ALL Prtcd A,.d
C ` 9 THAT APPLY: or Pump Ccxd Qty
Haters netts d ettsYasq
8)<1HP;absorb unit to 800
Occupant rrwtw
100K BTU
7)3-15 HP;absorb unit � 11.00
100k to 500k BTU
CNM�sw Pita» 0)15-30 HP;absorb 1500
unit.5.1 mil BTU
COntlaCbol' Na+r 9)30-60 HP;absorb 22.5G
C 1 unit 1-1.75 mil BTU _ r
l r-`g Ad \\ M `4 l 10)>60HP;absorb unit
Prior 10 Permit faAslrg�'"� rrv-1 c t c f� .2-1.75 MR
BTU 37.50
issuance,a copy ZP ftmQ
re11)Air handling una to 10.000 CFM 4.50
of all Rcerrsea lCl/1� -uo' �$3 1�I -1
era �uYed K a�Cerrs� teras 12)Air handtktg unit 10,000 CF1A+ 7.50
W#w in COT _ —
daiabase � Z 13)Non-portable evaporab cooler
Architect No" 4.50
14)Vent fan oonnectsd to a sY`9b dttd 3.00
wrlMrq Address
or 15)Vengoonayslerl not included In 4.50
Engineer ° 1g)}fit served mechanical exhaust 4.50
Describe work to l,e done: 17)Do mlic irtck►ardtxa 7.50
Me" Repadr o Replace wtlir lice kind: Yea O No O 16)Conanarcial u•hdualrYY type incinerator 30.00
�y p Conrrx!rdai O � _ --
\ 19)Repair units 4.50
Addpia W nformeU�m or deaakd°A of wwk —
11 / 20)Wood stove 4.50 _
(i. � ✓l,5 T Cil l` �-
iY 21)ClolMs dryer.etc. 4.50 --
s O lPG O O 22)Other units 4.50
>„ Type of W; od O natural ga
J dcrtnwledga that 1 have read tltie appticaticm,that the Y fortnafion
23)Gas piping no to four outlets 200
I he Op
ED giv s comet+that I am the owner a aWiorbed agent
e1 24)More than 4-per nutlet(each) �
(; the owner,that plana attbmitt d ate M c�tp�nm with of Slate laws. _M —
W Sig of OWFWU^9- Date Minimum Permit Fee(26.110 SUBTOTAL
�Q _ 5%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
n Persw N9me + paired for ALL congnercias perinits
1_ ti D 4N e2 Eft
6 6 TOTAL
'State Contractor Bohr Cattficatian ragrarad
"Residentle,AIC requites site pian showing plarxmertt of unit n
l,n
RECEIVED
JON 0 1999
COMMUNITY UMU►PMbil
u.
LL
IL
17 ��Z3