10430 SW 66TH AVENUE ADDRESS :
cl ?)oAVE
is\racr;ds\microflm\targets\building.doc
§
z
] g g § g
\ §§ \ j
j£ ) g E
c ,
�
}\
co
00
N
$ § 2 §
a ƒ ƒ ƒ
�
�
U �
uj
/ § \ §
� 2 \
�O)® j
m /
k k to
k a.
0 k S / G $
�
$
2 �
>
u
kc) LO
a u
0 3 §
�
Q
n
3
\ k ) ) f 7
c $ LL
CL� (14 � \
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Linb (Rec-O-Phone): 639-4175 Business Phone: 639-4171
z
Inspection:
Footin — Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
9 _ _
Foundation Plbg. Underslab cmech. Rogt_1Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in INAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation CM1,
Underflr. Insul. Shear'Na I Gyp. Bd. -Elect.
Date Requested: Time:—AM PM
Address:
SYS'--Permit #01 S ��a 0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
j Alk.
Inspecto Date.
—APPROVED _DISAPPROVED ' _ PPROVED SUBJECT TO ABOVE
Call For 'Ieinsp.
u
IN I CA:_
PERMIT
GITY OF T I GARD PERMIT #. . . . . . . . MEC9'3-0-��.,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEE: 06/15/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL- I5136AD-00300
1 TE ADDIREL--Z". 10430 OW 661-H fWE
JBDIVISION. . . . VILLA RIDGE NO. c--, ZONING: R---4. 5
0 C l'.. . . . . . . . . . . LO'r. . . . . . . . . . . . . . :3
ISS Or
WURI-:. . :5:. FLOOR FURN. . EVAP COOLERS:
-'PE OF USE. . . . UNIT HEATERS. . : VLNT PANS.
"CUMIXY 'ZrRr . VENTS W/O APDL. VENT SYSTEMS;
;'URIES. . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . :
E:L T'r'P E S ick- 3 HP. . . . '. DOMES. INCIN:
GAS/ 3-15 HP. . . . . COMML. INC::IN:
.;')X INIDUT . DTU i.S ,0 I IP. . . . REPAIR UNITS:
.,RE DAMPERS:'. 30-50 HP. . . WOODSTOVES. . :
"is P"r-1-SSURE. . . 504- HFI. . . CLO DRYE=RS. . .
Or Ui0TS—---------- VVIR HANDLING UNITS OTHER UNITS. : 1
-N ( 10i4k DTII-. 10000 cfm ., GAS OUTLET—. : 1
> =100i n1u: > 10000 cfmz
FEES
UODOIRE SPENCE t t; icy kJAt e t-ecpt
_430 SW 66TH P RM T 25. Oel JD 08.1 ' C195 COMP DOWN
1 . Z."j JD 00/ J_'.-j/95 COMP DOM1
IRTLAND OR 9*72'Z',.3
111AU
_675 SW CANYON RD
")VLriTON OR 971210'5,
u ri e 610`) $ ._'G. 2,3
ci 51469
FREDUIRE'D I NI.3PECT I ONS
.i pervit is issued subject to the regulations contained in the Gas Litie Insp
and Nunkipii Code, State of Ore, Specialty Codes and all other IvlecfliaAniciAl Irisp
licable laws. All worm will be dune it accordance with FinLAI ITILiPES Ut ,iQr;
A A
approved plans. This pereit will egrire if work is nct started
onthir. IN days of issuance, or if work it suspended for oure
Inar, 160 days.
i L t e v QS1 , T11"
iori 639 -417'.:,
City-of►ligard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 233
Tigard, OR ! '23 ,
(503) 639-4171
scnption -
Table 3A Mechanical Code .Y PRICE AMT
Job /D /'30 1) Permit Fee -0- -0- 10.00
Address W +
Q 7�z 2) Supplemental Permit 3.00
Furnace to 1
1) Ind.ducts s vents 6.00
•»• Flow F.-hate 100,000 STU+
Owner 2) incl.ducts d vents 7.50
�» Floor Fumanco
3) incl.vent 6.00
... �^» Suspended beater,wal i1 eater
t'r.� ' •, 4) or floor mounted heater 6.00
«. Vent not inct in
Occupant �/3 iJ �f X0. 5) appliance permit 3.00
rAp n.ran—Irr of ?;.t!ng,ruing.
6) cooling,absorption unit 6.00 '
Boiler or comp,Feat pump,air ron .
�uv t ptq vl_f 7) to 3 HP absorp unit to 100K BTU 6.00
IN" der or comp, a pump,air cond.
8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor ,,,. Boiler or comp,heat pump,8; co
9) 15-30 HP absorp unit,G.s mil BTU l5.00
� "N& Bo,ler or comp,heal pump,air ate— I
0 f/`/&'^r (Ui j 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 i
hereby acknowledg—a-Iffi—affhave road Ulis app a anon, t es er or camp, heat pump,air cond.
infunmation given Is cc(rect,that I tun tli3 owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in complianoe with State Air handling unit to
laws,that 1 am regismred with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given Is correct. (If exempt from State registration, Air handing unit
please give reason below) 13) 10,000 CTM+ 7.50
Non porta
14) evapcwato cooler 4.50
Vent tan connected
15) to a single duct 3.00
onth anon system not
16) included in appliance permit 4.50
17) mechanical exhaust 4.50
ccxibe work now?'�� ddition alteration U repay mrneraat or—inti Fb
to be done residential non-rvisidontial 0 18) type incinerator 90.00
posting use o7 Other La., tove,water
building or property 19) heate(,solar,dothes dryers.ov;, 4.50
Proposed use of 20) Gas Piping One to fax outlets 2.00
Wkii^g or p'oPwty --
1. 21) Mora than 4-per outlet _
Type of fuer-of Q r► WMI gas, LPG Q aledric Q
_ t
Minimum Fee=25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTT;UCT)ON
AUTNORIZF_J 1S t+,T COMMENCED WITHIN 180 JAYS,OR SX SURCHARGE
IF CONSTRUCTION OR WORK::;SUSPENDED OR
ABANDONEQ FOP.A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions - -- -- —�` —
Dale is•.ied by
r .
PIE RM I T
CITY CSF TIGARD F'ERMIT #. . . . . . . . MEC95-025.1
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/01/�,�,
13126 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)539-4171
TE AI)DRESS. . . - 1 1.006 SW 6 1 ST AK PARCEL.: IS13-LCB-08500
JBD I V I SI ON. . . . HERB & F-,EGCYIS T.,LACC ZONING: .9-4. 5
... . . . . . . . . . . LOT. . . . . . . . . . . . . 129
------------------
LAISS OF' WORK. ADD FLOOR FURN. . . . . EVAP COOLERS:
YPIE OF USE. . . . :SF ui\irr HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP,. . :R3 VENTS 1410 AP,PL: VENT SYSTEMS:
;TORIES. . . . . . . . : 1 BOILERS/COMP,RESSORS HOODSv. . . . . . . ..
-'EL TYPES- 0-3 HP. DOMES. 11\1(:IN.
/GAS/ 3-1 IS HP,, COMML. INCIN:
i)X INPUT: ETU 15-30 11-(F'. REPAIR UNIT',:
IRE DAMPERS". . : 30-50 H�,. . WOODSTOVES. . :
EAS PRESSURE. . . . 504, HP. . . . CLL) DPYERS. .
NO. OF AIF' HANDLING UN I I-C, OTHER UNITS.
I 7LJRN < 100K 5TU; I (M 10000 cfm : GAS OUTLETS. : I
TURN > =100-K BTU: 3 10000 cfni :
Remar-ks .- elec:tr-ic
Owrier-: FEES
C:1-11 -DP4NG type -Amoklnt by JA t e t,m,PI
1.006 SW 61ST AVE P-RMT 25. 00 CTR 08/02 /95
P,C T 06/01/9115
WARD OR 972,C4
0i T-1 e #:
Tit I ,r.c-t or~. -.___._ ____.___. __...____�_..._..______
!JLIANL
r-
!JLIANE) WIL7701,4 HEATING & ()IR COND.
" rE 174TH r'LACE
jv-., L-i'jNL) OR 97236
iuiie #: 6. 2'-i TOTAL
088447
REGUIRED INSF,ECTIONS
its permit is issued subject to the re: lations contained in the Gas Line Iri5p
lam Municipal Code, State of Ore. Specialty Codes and all other Mechanical Irlsp
--licable laws. All toork will be done i-, acc3rdaI!LI With Fitial Iri5pectiuii
. :rowed plans, This permit will expire if work is not started
1-.hin 180 days of issuance, or if work it suspended for more
186 days.
CL
Lei
ecl By
. ...........
C,,ill for in-,pectiati 63,9 4 179
U�
City.rif Tigard MECHANICAL PERMIT Planck/Rec. #
3125 sw Hall Blvd. APPLICATION Permit # 1_7
Tigard, OR 97223
(503) 6_39-4171
"cable 3A Mechanical Code 071' PRICE AMT
Job ••• I, Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
urriace to mnm=--
�r��l�� • 1) incl ducts &vents 6.00
o ••• •^• Furnace 100,000
Owner Ac 72 Z- 2) incl. d-acts &vents 17.50
•• ZAP Floor urnance
3) incl. vent 6.00
Name le,n••*of Suspended eater, wall eater
_ _ O 4) or floor mounted heater 600
Modelo — Vent not incl. in
Occupant lU QI� ` 5) applianc4 permit 300
.• Repair o neatinq, re rig.
' 6) cooling, absorption unit 6.00
.m• of er or comp, heat pump, air con .
�� _ �a� 7) to 3 HP; absorp unit to 100K BTU F UL,
M. • «• ■» Boiler or comp, heat pump, air r_on .
ii-7_6L 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor mvimale . offer or comp, heat pump, air cond.
�'7 9) 15-30 HP; absorp unit 5-1 and 9TU _ 15.00
•• •a.• offer or comp heat pump, air con .
I?) Q! -4 4 10) 30 50 HP, absorp unit 1-1.75 nil f;TU 22.50
, ere y ac now a ge t at I have read this application, that the Boiler or temp, heat pump, air cond.
information given is correct, that I am the owner or authorized 1 1) > 50 HP; absorp unit 1 75 mil B rU 3750
agent of the owner, that plans submitted are in compliance with Air an my unit o
State I,ws, tha' I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the n,:mber given is correct (If exempt from State ita5U71ring uunit
registration, please give reason below) 13) 10 000 CTM + 7.50
Non portable
14) evaporate cooler I 4.50
Vent fan connected —�-
15) to a singly duct 300
—' Vent i anon system not
16) included in appliance permit 4 50
a..r ry•aMoo served rv�
17) mechanical exhaust 4 50
Describe work new l I addition alteration repair l Commercial or industrial
to be done iesidenl,al non-residential Q 18) type incinerator 3000
Existing use of ter i.e., woo stove, water i
building or property E=ZETA r— t C�hZLl2 • _ 19) heater, solar, clothes dryers etc 450
Proposed use of 20) Gas piping one to four outlets 2.00
building or property C'L'A. .L IZ 1 rc7 ,
z 21) More ;han 4-per outlet (each) 290
Type of fuel -oil O natural gas (D/ LPG Q electric ONOTICE _ —
NO—
.� Minimum Fee S25 00 SUBTOTAL
an PERMITS BECOME VOID IF WORK OR CONSTRUCTION
J AUTHORIZED IS N07 COMMENCED WITHIN 180 GAYS, OR 5"% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
J ABANOONEU FOR A PERI(L)OF 180 DAYS AT ANY TIME PLAN REVIEW 25116 OF SUBTOTAL
AFTER WORK IS COMMENCED. --
TOTAL
Special Conditions —
Date issued by
NLOOiMOSTSMECHPUT
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
3125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
-� Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772 _ --- - -
CITY OF TIGARr Inspection (503)639-4175 ISSUED BY Crle.E Sc m.df
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATI 4. TYPE OF WORK
A,dyo Lam= RESIDENTIAL—Restricted Energy Fee. . . . . . . . . S4d.M
CK - l �c t —_ (FOR ALL SYSTEMS)
C4 State Zip- Check Type of Work involved:
ISRMITS ARE NOT STARTED WITHIN NON-TRANSFERABLE80 DAYS OF I SUUANCE OR IF(WORK IS SUSPENDED FOR JI-1 ANEXPIRE IF WORK ❑ A and Stereo Systems*
180 DAYS.
Burglar Alarm
2. CONTRACTOR APPLICATION El Gauge Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
Contractor Type j—il 44 YIf ❑ Vacuum Systems*
Address E! Other� � �--
Date� COMMERCIAL—Fee for each system . . . . . . . . . 540.00
(SEE OAR 918-260-260)
PropertyOwner art SXP!� Check Type of Work Involved:
Contractor's Board Reg. No. 6 / ❑ Audio end Stereo Systems*
❑ Boiler Controls
Phone# _ - ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
-�-^� ❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit Is issued under OAR 918-370.3).This applicant agrees to make rely ❑ Nurse Calls
restricted energy Instaltatinns(too volt amps or'-w under this permit and(o to the ❑ Outdoor Landscape Lighting*
follrnving:
1. Only use electrical licensed persons to do Installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ other
aslerisksM,All others need licensing).
2. Call for an inspection when all of the Installations under this permit are ready
for inspection at 503-639-4175.CL ❑ Number of Systems
�+ 3. Purchase separate permits for all Installations that are not ready for Inspection
when the inspector Is out to Inspect under this permit.
N *No licenses are required. Licenses are required for all other Installations.
4. Assume responsibility for assuring that all corrections required by the inspector
------------
> are done,and
5. Assume respnnsi"Ity wr ca or a final Inspeciinn when all of the corrections 5. FEES
—i are completed.
rz7
The person si nin is permit must he the applicant or a person a. Enter Fees $ Q
authorize o 1i v applicant. ------
J
b. 5% Surcharge(.05 x total above) $ d l �
Sig atur
TOTAL $ D d
Authority if other than applicant
ENERGARCHP
CITY OF TIGARD
I COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon P7223*8129 (503)639.4171 PLUMBING PERMIT
PERMIT #. . . . . . . : PLM55
639-4171 DATE ISSUED: 03,114/95
PARCEL : 2GI0421) -013300
ADDRESS_ : 1'2780 SW 135TH AVE
I t;I S i ON. . . . : ACRES ZONING: R-6
,.PCK. . . . . . . . . . : 0 L 0 T. . . . . . . . . . . . . .
SIE wor-i-,". 6� GARBAGE DISPOSPLS. NOSIL.I.- HOME SPACES. .
ACKF
OF USE.. . . . :SF WASHING MACH. . . . . . . : E, LOW PREVNTRS. . ; 1
CLIPANCY GRP. . . RL FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
ORICS. . . . . . . . .I WATER HEATERS. . . . . . . CATCH BASINS. , . . . . . :
LAUNDRY TRAY13. . . . . . .. 5F RAIN DRAI14S. . . . . :
INIKS. . . . . . . . . . URINALS. . . . . . . . . . . . GREASE TRAPS. . . . . . . .
VCITCRIE.G. . . . . . OTHER r I XTUREr:--.
JB/SHOWERG. . . . - SEWER LYNE (fit l . . . .
LLOGETSI. WATER L I NF_ (fit.
RAIN DRAIN (ft : . . . . :
InLtalli.Ation of residential bAcliflaw prevention ��evice
Mor,
FEEES
'A"SE14 1,U11ALEGIII tyle EAM 0 Un Is by date recp'
�760 SW 135TH PRM7' S 25. 00 JDA Q18/14/95
5P'CT $ 1 :'S JDA 08/14/05
G A R D (3R 13"7,'.;
,one #:
ntractor: .......
,,LrN ART -
& 1',RIGATI
095 NW DALE AVENUE
.jRTLAND OR 9*71'L"2:'Q'
one ff. "03 -G40-104G C, '11` 1 OTAL
REQUIRED INSPECTIOI\J_.
Tris perrit is issued sebject to the regulations contained in the Mit,L. Inspection
Tigard N4riLip&I Code, State of Ore, Specia.Ay Codes and all other RP/BACIiflow Prev
applicable laws. All worg will be done in accordance with sinal I"Sp)PC:t.L' 0l'1
appeovel� plans. This per#it will expire if work is not started
within IN 04ys of issuance, or if work is suspended for more
*11m) lu days.
AV
roi inspection 639-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 3W Hall Blvd. Fermit # 01' L
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
"•^'•a°-1m.'"' - r New Si2_91e Fam
.c_ ily Residences OnIY
Ad*". _ 0 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE 4'.135.00
Job / _� ('� �G', �� �)�� Q 3 BATH HOUSE$225.00
Address unat.i. z. Fee includes all plumbing fixtures in the dwell'ng and the first WO feet
ti t .^t L�:) of water service, sanitary sewer and storrn sewer. Ses fees below.
""^""^""•^'B'"•"r ` FIXTURES QTY PRICE AMT
Sink 900
Lavatory 900
Owner Tub or Tub/Shower Comb. 9.00
cm sn�. an Shcwer OOv 9.00
Water Closet 900
N.— A h.. ••" Dishwasher � 9.00
Garbage Disposal 9.00
Occupant •„ PIA" Washing Machine 9.10
Floor Drain 9.00
-'^• b Water Heater 9.00
Laundry Room Tray 9.00
— ""^• Urinal 900
7 jx 1! �C{iyj h Other Fixtures (Specify) 9.00
M.r,s nab«, an 9.00
Contractor
9.00
II, cxy,rn. z� 900
Sewer 1st 100' 30.00
stateAt"r.m.rb / l� coy e..TA". Sewer-ea. Addit. 100' 25.00
59r,Cf JO 2Ju Water Service 1st 100' 30.00
1 hereby acknowledge that I have read th s application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the ownar or authorized agent of
the owner, that plans submitter' are in compliance with State laws. th-3t Storm &Rain Drain 1st 100' 30.00
I am registered w.h the Construction Contractor's Board, that the Storm 3 Rain Drain Addit. 100' 25.00
number given is ;orrect (If exempt from State registration, please
give reason below) Mobile Hr me Space 25.00
Back Flow Prevention
0C
Device or Anti-Pollution Device
900—
+"'�' «"'a•^'� — "'• Any Trap of Waste Not
Connected to a Fixture 9.00
Describe work new Q addition Q alteration repair (J Catch Basin 9.00
!n be done residential (l non-residential Q Insp or Exist. Plumb!ng 40 00/hr
~ Specialiy Requested Inspections 40.00/hr
Cx,S!i,n+ use of _ {` j Rain Drain, single family dwelling 30.00
building or property � 7_ L ' " _ _
Reside^tial backfiov, prevention
devices 15.09
Proposed use of
building or property r $ ^ C 1, L l ` 1
L
(Exrepf residential backflow
t— prevention devices/
.�
J 6
rj NOTICE 'Minimum Fee $25.00 SUBTOTAL 2S—
LL)
SLL) PERMITS BECOME VOID IF WORK OR CONSTRUCTION
"'j 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 FLAN REVIEW 254% OF SUBTOTAL
TOTAL
Special Conditions _
Date issued l S be � `�"