15595 SW ROYALTY PARKWAY ADDRESS:
i:\records\mir:-oflm\targets\buildirg.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslabech ;�;Pn Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-ir FINAL:
Post/beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation - ec )
Underilr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: - l,J Icj (� Time:_4AM ' PM
Address:
Builder: — iz, "Permit #: L,2-a 1
THE FOLLOWING COE T O ARE REQUIRED:
InspR1ctor: Date:
)��APPROVED __L`ISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinep.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in IND
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framingumb
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requestea-.— ` GFS f Time: X AM PM
Address: QD
Builder: ��'' 001- U7
Cdv Pq eTHE FOLLOWING CORRECTIONS ARE REQUIRED:
In pectora /J;� Date: &C.- `1
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD iME-'.0 I IAN I CAI. `�
COMMUNITY DEVELOPMENT DEPARTMENT PERM:T
13125 SW Hall Blvd.TIgL-d.Oregon 97223*8129 (503)639-4171 1--'E R,M I T `4• . • • • •
r)f-qTC ISSUED: 07/14/95
PARCEL. 2Z,110CD-04400
SITE ADDRESS— : 11-5595 SW ROYALTY 17'1-4WY
SUBDIVISION. . . . : ZONING:
-RLOCI... . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . . EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS— : VENT FANS. . . .
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT GYSTEM5�
SIORIES. . . . . . . . BOILERS/COMPRESSORS) V40ODS. . . . . . . :
FU11*1- TYPES-- III •3 HP. DOMES. [NICIN.
3-15 HP. . . . COMML. INCIN:
MAX INPUT: BTU 15 30 REPAIR UNITS:
FIRE: DAMPERS?. . : 30-50 HP. WOODSTOVES. . :
GAS PRESSURE. . . 50+ HP. CLO DRYERS. . -
NO. OF AIR HANDLING UNIT`,; OTHLP UNITS. :
FURN 1, 1001K SITU: 1 10000 Cf III - I G A S OUTLETS. -.1-2
FURN ) =100K BTU. > 10000 cfm:
Remarl-(-' :
Ownv -: FEES
OOLLY DUNUqN type amol.tnt by date vecpt
15395 SW RL)YALTY F',IKW Y i.'.,Rm-r s 25. 00 CTR 07/14/95)
SPCT 1, 1. c:3 CTR 07/14/95
i'ING CIT-Y OR 9*7'-'L-4
�IhoTie #L 639-255al
Cont rac't or-:
COLUMBIA HEATING
1-'10 BOX L*133039't`
' 1GARD OR WL'z'c'31
`6-75 TOTAL
V41one #: G2'4--1';;.'704
Reg It--
REQUIRED ANSPECTIO145
This periit is issued subject to the regulations contained in the Gas Line Inap
Tigard Municipal Code, 5tate of Dre. Specialty Codes and all otter Ir)5P
applicable laws. All work will be done in accordance with Final Inspect itirl
approvtd plans. This pereit will expire if work is net starter:
within IU days of issuance, or if work is suspended for oore ......
than i30 cat's.
P -mittee i L) -k I-e
5 IA E? Y "
1 f.n in<sE,e t i o n 631) -4175
--- --JI-L-03-100 TUS 12:05 I D• FOX PJo: �, �At, #292 P02
-1 i�j
City of Tigard MECHANICAL PERMIT Planck/Rec. # �— �5 dzL
13125 SW Han aivd. APPLICATION permit # N
Tigard, OR 97223
(503) 639-4171
1 suhp on
l Tsbk 3A Med+anicd Cods ITS
AMT
��b Lu 1) Permit Fee 10�I
r
Addrti!s3 1 mental P.^nk `
— »-L- 2, Supple ,,,�-
esu.-6Tw,oa;... /•�
kid.ducts a vans Gumace ,
2) ind.ducts a wnts� 7.50
Ownar -aSg •urnancs
3) Irxi ~1 B_00
sz� w era
j7)sv •) or Noor mounted heater 6.00
��{,�s1- •TT
Occupant 5) apposrxs permit 300 _.
-stns-- •pie oT•fia•unIj,-rig,
6) eoo6ng.atruxptlon unit 8.00
�'7T - er or comp. ,aa P
m ,aK
t �� �} % rp 7) to 3 HP;absounit In 100K BTU 6.00
__ �.s -- of•r or oom'P H-Tpu'Ttp :.
8) 3 1S HP;absorp unit t0 500K BTU 1,00
Contractor G � I •-• n�w a��.up, a pump,a ro 1
9 1630 I'I':absorp unit.S-1 m1 BTU 15.00
1 ^ ;2r ) IIM Of oan•p. pump,av
-C 10) 3o 5't HP:absorp unit 11.75 mN"TU 22.50
a pip yi n T- • ,a a re p tea --w"(7—comp,rioa pump, on
,)formation gives,Is compel,that I am the owner or suteaized egpnt i t) > 60 iP;absorp unit 1.75 m0 BTU 37.50
of dw owner,that plans submitted are in compflw—*1111 State r a ng urxt 10
+fbm1, !?) 10,001 CFM 50
laws,that I am registered with the Consrructbr.ContractoY _
Ihni dhe number given is MmWIL Ill exempt hom F.gte roglstradon. _Air an. un' 750
please give reason oe�+w.) 131 10,-000-CTM
14) evraporsts molar s Fo
- T - VFnntlrinWn-Sao 300
1S) tog single dud _
—Van son system not
16) Included in appliance permit 4.50 _
2cm
17) moc>hanira)exhaust4.50
nese�ia�if-ion a ra n �+
W -r,ommorcT ro-n&uaVaT- - 30.00
to be done residential Q non •sud•nt)nl O 181 type)ncine'ator - -
.XIS ng e 0 •^ -�-_._. --_ --- er 1,l�,wo s v�e,WGtAI
19) herflr,,solar,a:Ihss dryers,etc •.50
hulkding or property
Proposed use of 2o) Gas piping one to tour o(Aet, 200 ;.6o
building or prop" -.
21) Mae than 1•p•r oritlet
Type of fuel•of O natural gas Q LPG Q 6IMr1C 0
Minimum Fee$25.00 T� SUBTOTAL �U
PERMITS BECOME VOID IF WORK OR CONSTRUCTION � s%sURCHARGE
AUTHORIZED IS NO1 COMMENCED WITHIN 180 DAYS,OR
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME I PLAN REVIEW is%OF SUBTOTAL
AFTER WORK IS COMMENCED.
L --- TOTAL No=_-
L
Spwael Conditions ___- - --
_ by
-•--.TIJL-03-'00 TUE 12:05 1 D: FAX ;,40, 4292 P03
n
I
I
i
I !
TUE 12:04 ID: FAX NO: 4292 P01
. Post-itI brand fax transmittal memo 7671 Nt,i W9"
rom
DING CITE to. —
Dept Pf1oM N �i
Fax's �x N
15300&W..118th Avenue,King City,Oregon 9T. (
MECHANIC.ATBEF2MI `I' AF' L LCAC>N
1 rU'
DATE_ KI!�G CITY BUSINESS LICENaE NO.
NAME OF APPLICANT:_ �' // L6 14' ! PHONE:
n
ADDRESS; r O O -- ---
N?^_HE AND A RES OF4 ROPOcsrt JOB'
c1 i . 1,ha
- PRONE
2 AZ
NAME OF CONTrtrtRACTOR: D — -•�19 PHONE:_
r S! V 6 ��J 7 CCS LICENSE NO
P_DD cES_ . _T X-2fi2 —q T_—
DESCRIPTION OF WORK TO BE DUNE: i
FOR INSTALL>sTION OF AIR CONDITIONERS PLEASE FILL. OUT THE FOLLOWING
AND ATTACH TO TMF APPLICATION A DIAGRAM OF WMFRE THE COMPRESSOR I4
SITUATED ON THE PROPERTY. JNO..
,Ir
BRAND OF AIR CONDITIONER:
BTU'S: D1iCIBEL ELLS) :
�lrGNATURFOF;,,APPLICANT-- LL �
** TCATIONS AL VALID FOR SIX. MONTHS ONLY**
. APPROVED APPL_ � A •
NOM Oregon Hometn!ilders Law regiiirPs that all parsons who contract for work:
on a resid.nr_s be reSistered with the Builders Board which means the
enrtrectot- is bonded and insured an the job sit.- Por your protection,
be certain lour"contractor is registered by calling the Construction
6ntracters Board at 1-503-378-4621 Extension 5000.--
FOR- OFFICE
000:FOR OFFICE USE ONLY" _ _.
APPLICATION RECEIVED BY DATE_ZZI( QS
APPLI ABLE' EE RECEIVED ,S_ 5-; CONDITIO S/COMMEN S
vey &q
APPR ED BY r (2 / - DATE �–
Note: A permit must also be obtained om the City of Ti.gnrd epartmert of
Comrtrmity D*velor400nt Yes V No_
*�*ti*#ir*****ieic**fr***k**ic>kit*�t*R>f*tirttt+tfr**rft*,4 it**1��r*f:t*t*rt***t*
_ __ C_�TYTIGARD INSPECTION RT-REPO _._...
This project has beer_ inspected and Approved_________Deni.ed_
Comments -
_ _ ---Signature__
Date ___--
' (City of Tigard please return one ceps ti Rina City)
CITY CSF TIGARD .� . `'
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)639-4171
PLUMBING PERMIT
PERMIT #. . . . . . . . 5-0 6
DwE ISSUED: 07/iA/95
PARCEL: 25110CD-0441lh-,
ITE ADDRESS. . . i—]:71- SW ROYAL 7`t' i.-K L.J'(
UBDIVISION. . . . ZONING:
.-OCK. . . . . . . . . . LOT. . . . . . . . . . . . .
:-AS-S OF WORK. . ;OLT GARBAGE DISPOSALS. 11013ILE I-1014E SPACEG.
iYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. .
OCCUPANCY (3RF,. . -R3 FLOOR DUZAING. . . . . . . : TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . WATER HEATERS. . . . . . : 1 CATCH SASINS. . . . . . .
IXTURES ----- -- -- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
.;INKS. . . . . . . . . . . URINALS. . . . . . . . . . . : GREASE. TRAP='S. . . . . . .
LAVATORIES. . . . . . OTHER FIXTURES. . . . . :
TUB/SHOWERS....: SEWER LINE (ft ) . . . . ..
WATER CLW-)ETF.'). WATER. LINE ( f t ) . . . . .
DISHWASHERS. . . . RAIN DRAIN (ft ) . . . .
Remat-iis -
OWT)VY".' FEES, -----------
DOLLY DUNCAN y P 9 --1 in Q'!n1. by date r-ecpt
1.5395 SW ROYALTY F-`KW'i' PRMT s
n15. 00 CTR 07/14/95
5PCT t (,-,'rP 07/14/95
KING CITY OR rj7,2'L--A
Phone #: 639--2'JE,1
COLIJ11SIA HEAT INC:
PO BOX 230397
TIGARD OR 97281
Ph an e M 624- .w7 q)4 7 0 T i`I.-
Reg 76359
REQU I RED INSPECTIONS
Thi% permit is issued subject to the regulations contained in the Mis(:,. Inspe(-,tiOn
Tigard Municipal Code, Stale of Ore. Specialty Codes and ail other Final Inspection
applicable laws. All work mill 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.
Per-mittee Signot 1't I
Iy ......
6:9- 4175
Call Fcir inspection 3
City of Tigard PLUMBING PERMIT APPLICATION_ Planck/Rec. #
13125 SW Hall Blvd. -�(��(`� � ? Permit #
Tigard, OR 97223 j
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residences Only
�!
Ad*MJob '` (' �y.�� r ('` ��r 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
IILI.� l/ 1 'V 0 3 BATH HOUSE$225.00
Address ria.,. (- � m Fee includes all plumbing fixtures in the dwelling and the first 100 feet
'f of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES _ QTY PRICE AMT
���.� Sink 9.00
P""' Lavatory 9.00
` Tub or Tub/Shower Comb. 9.00
Owner 639:,<.;>> � _
�^"'"• a' Shower Only 9.00
Water Closet 9.00
Dishwasher 9.00
Garbage (Asposal 9.00
Occupant M.W+q A4&_ ft— Washing Machine 9,00
Floor Drain 9,00!
ao Water Heater
Laundry Room Tray _ 9.00
Urinal 9.00 — —
�.Q Other Fixtures iSoeary) 9.00
UMM nn"'°° °"°"' 9.00
Contractor
V 'L1,'1I „'/' ?7C' — 900
�%all• 1 I CGL rL( I 9.00
1� �a' Sewer 1st 100' 3000
91." """"° J _ CZY&. Ia N0 Sewer -ea. Addit. 100' 2500
767 �: q / ->' Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of _
the owner, that plans submitted are in compliance with State laws, that Storm 8 Rain Drain 1st 100' 3000
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25 00
number given is correct. (If exempt frim State registration, please _
give reason below,) Mobile Home Space 25.00
' Back Flow Prevention
/^
7'Al Device or Anti-Pollution Device 9.00
a•�• ."n D«. Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new addition Q alteration J repair (7 Catch 13as n 9.00
to be done residential O non-residential U Insp. of Exist. Plumbing 40.06lhr
Specially Requested Inspections 40.00/hr
Existing use of — ----
building or property Ra Drain, sinS'e family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of �—
building or property (Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE .<
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL_
Special Conditions _ / —
Date issued ! by
r
_ TUL-03-'00 TUE 12:06 ID: FAX HI-1: AIC� �� Lt, # P05
C;ty of Tigard PLU gPERMIT APPLICATION! Planck/Rec. # Z
Permit #
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
�) Now al le famlN -
r> [7 1 BATF HOUSE$110.00 rl 2 t3ATH HOUSE$195.00
AO"- /) �' � p 3 BATH HOUSE$225.00
Job �—
� Fen uxludts aN plurttibklg RxttlrLes kr the dwelling and rile first 100 tier
Address of a mclwaw services. sanrrtAry sewer -wrl sto- sewer. See fees below.
FIXTURES GTY PRICE !►
r --- 9.00
Lev
L e 9.00
W."++�-� n...- Lavatory
3�dry Tub or Tub/SComb. 9,00
Owner Shu.vPx Onty 9.00
Water Closet 9.00
Dishwasher _ 9'00
9.00
Gerfsage Disposal _-.._
Occupant v rr,.r (�l (•� n,..
Washing Machine 9.00
Floor nein 9.00
- >s Water Heater 9.00COW __----•---
Laundry Room Tray 9.00
Unnal 9.00
2.00
Other Fixtures (3pectfy) 6.00
..w.w.. — J �""
ronireetor CX D� _ 70 9
b A ..�? �1 __ --- 9.00
Zip
---
1 Sewer 1st 100' 30A0
_ v no r,.w Sewer-ea. Addle. 100' 25.00
a
1 r-� 2��j Wseer Service 1st 100' 30.00 -
_ 7 "T - -- - AddR35.00
I hereby acknowledge that I hove rend d tePPkZtI0nthat the Water Service ems.
Information 9ive^ is mrtect. that I am U-a owner or authorized agent of Storm A Rain Drr'n 1st 100' Y 30.00
the owner, that plans submitted are In rcxrvliance with CIA- laws, that Storm A Rain Orcin AMR. 100 2'�
I am tegistem?d with the ConstrtKxlon Contractor's Into", that the
number given r corrrcL (If exsmpl from State registration, plpa%e - 25.00
Mobile Home Space
gNe reason bek7w.) _ _ Berk Flaw Prevention goo
`J I ` Device or Anti-Pollution Drwioe
C - o. Any Trap or Waste Not
9.00
Connector. to a FerturA _
---- Catch Basin 9'�
Describe work new addRion Alteretian Q repair (� I -- I11 n11 s oT E�rist. Pit"bil;J — 40.00/hr
to W done residential O non-residentlel Q I p
_-- �- Specially Requested I:�O=
s 40.00lhr -
Existing use of Rain Drain, single fort* slp 30.00
buliding of property - RA9ldantial backflow previntlon
devices 15.00
Proposed us-e uf
building or p101101ty _ -- -- -- *(Except raaldenNa!badrflow
praveretlon deoicas) -—
--�-- NQTICE 'Mlnim'Jm Fee $26.00 3UHTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -� �+ 5%SURCHARGE I �l
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION C -WORK IS SUSpENDEO OR ABANDONED `m 1�-
FOP A PERIOD OF 1 g DAYS AT ANY TIME AFTER WORK IS PLAN REVIFW 26%OF SUBTOTAL
COMMENCED
TOTAL l0.
Snedel Conditions x
TUL-07`100 THE 12-:06 11" FH"": 4--1: 9292 P04
KING CITY
1.ri300 SW.116th ,venue,King City,ptegun 9224 Phone,639.4082
E'LL7NtE3 I1VC- PE17 T A'_o>P'L. J: CAS 137
DAT!r-:!V_L- L" KING CITY BUSINESS LICENSE
�
F APPLICANT `U E'30NE:
NAYS� 0 ��
ADDRESS: V __L 'n � �J! �'- r -_—
NAME ANIS ADD ES OF p POSE JOB: yv�- PRONE: -
J C�
PHONE; 7 l
N"E OF CONTRACTOR: 7
CCB LICENSE NO
DFfRI T ON QF W F. TO BD NE: - &--
AU
c A
SIGNATURE OF APPLICANT tkn��
*AppROVED APPLICATIONS` FE VALIII FOR SIX MONTHS ONLY
NOTE: Oregon Homeb+!ildeLs Law� sidencesbehat rP9�gtered with the
ll persons who
contract for work on a
Builders Board which means the contractor is bonded and
OU r
four contra for d an the Q s r-gi.steredb site . For yby calling 1-503-378--4621.
your � .__--
F _R QfFIC£ CASE ONLY � 7T . --
- _^,_moi - DATE
APPLICATION E�gr.EIVEC� PY CpNDITIQ:35!COHHEN'r5
APPLIrA LF- FEET REC_EIVE"' 5.c� ��-
APPEtOVED BY._
DINE
Note: A permit must also be Obtained rom the City of Tigard
Department of Coamrsnit.y Developmont Yes
CIT�LOF TICA. I SPEG�OJ1 RxPQR_T� Denied_
This project has been ingr@cted and Approved.,-._-T.__
Comments_ -
rature
-- Date
3igv
(City of Tigard please return one copy to King C'ty)
C IT r f)F:' T tGARP Rl.!-F- I P T OF h*40,11-N1' RECFIPT No ,
UAV'(7K AMOUNT s 521. 150
NAME COL(IMBIA I41-APING
-1 AMOIAN T' 0. 00
W11I)F2� Fifa PAYMFNT DA"CE" 07/14/95
�-)UVAD I V I S I ON
PURPOSSF, (IF' PPY11ENT AMOUNT P(111) OF Pf-4YlFNr AMOUNT PAIL)
1.1.-D I E p 25
PLUMBING PF'RM 'J. 00 11; 1. litill.,J) PF:R
p LA 95--016i?.
T01'Pt., AMOUNT POID