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11525 SW DURHAM ROAD BLDG D v L" � ul v � v c a f I 1 ' l I t I i 11525 SW DURHAM RD. BLDG. D CITY OF TIGARD MECHANICAL P'ERMI'T' PERMIT #. . . . . . . . MEC96-02x:.6 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/x:4/96 +3125 SW Hall Blvd.Tigard,Oregon 97223.81910 (503)039-4171 PARCEL: 2S1lODC• 00400 Cl (IDDRLSS. . . . 1152'D SW DUHIli-01 RD -JUNDIVISION. . . . : WILLOW BROOK PARK ZONING: C- G BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . .. 16 CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 E VAP' COOLERS: Q, TYP'F_ OF USE. . . . :COM UNIT HEATF:RS. . : 0 VENT FANS. . . : ILLI OCCUF'ANCY GRP'. . :A3 VENTS W/O APP'I_. 0 VENT SYSTEMS : 0 SIORIES. . . . . . . . 0 1_aOILERS/COMF'RE::SSORS HOODS. . . . . . . : 0 FUEI.. TYPES-•-- _._._.___ 0-3 FIP'. . . . : 0 DOMES. INCIN: 0 : /G=)S/ / ! 3--15 HP'. . . . : 0 COMML. INCIN: 0 MAX I NP'UT: 0 PTU 15-30 HF'. . . . : 0 REP'A I R UNITS: 0 F IRE DAMF'E:RS?. . : 30--50 HF'. . . . : 0 WOODSTOVES. . : 0 GAS PRESSIJFIE. . . : 50+ HF='. . . . : 0 CLO DRYF RS. . NO. OF UNITS- -------- - AIR HANDLING UN I TS OTHER UNITS. - 0 FURN ( 100K BTU: 0 (- 10000 c o,n: 0 GAS OUTLETS. : 6 F=URN ) =100K BTU: 0 > 10000 cfm : 0 Remarks : INSTALLA1ION OF 6 P'PESaJRE. REGULATORS AND UPGRADE [SAS 1-1111: TO 2# (HIGH) Owner-: --- --__._._.--•-•.-_----_____.__._.__._..._.___._.._..__._....__._____._...___.__-___-_ FEES ROBERT GODERRE type amol-knt by dat e recpt 11525 SW DURHAM RD P'RMT $ 2.5. 00 JMH 07/24/96 96-1`82'011 SPCT' f 1. 25 JMH 07/24/96 96-::82011 TIGARD !''hone #: C.ontr`dctOr`: PENINSULA PLUMS I NG P 0 PDX 16307 PORTLAND OR 97216 ____.--_-.---._____.----.--_---_._._-________ f'hone #: 761--0500 26. 25 TOTAL Req 1 002244 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line I n s p _.-_-___T Tigard Municioal Code, State of Ore. Specialty Codes and all other Meehan i ca 1 I n s p applicable laws. All Mork will be done in accordance with Iv1i sc. Inspection approved plans. This permit will expire if work is not started F .i nal I nspe-_t i on within IBA days of issuance, or if work is suspended for more than 180 days. F-'er•mittee Si natLlre : Cal 1 for- inspect ion - 639-4175 'city of Tigara MECHAMCAL PERMIT" Planck/Rec. # 02-2-9 13125 SW Hall Blvd. ;APPLICATION Permit # _ _ Tigard, OR 97223 (503) 639-4171 Grand Stand Sports B; r Table 3A Mechanical Code — OTY PRICE AMT ... Joh 11 J 2 5 SW Durham 1, Permit Fee -0- -0- 1000 Address _VY131.1. 4 Tigard, O r �/?Z s7.� 2) Supplemental Permit 3.00 1) incl ducts &vents 600____ Furnace 100,060 EM + Owner 2) incl ducts &vents 750--- Floor 50 oor urnance 3) incl vent 600 --- ..,. .,..m..1 Suspended ea er, wall heater 4) or floor mounted heater _ 6.00 — ., Vent not incl in Occupant 5) appliance permit 00 cdels'.1. Repair of hea Ing, re ng. 6) cooing, absorption unit 600 .m4 Boiler or co heat pump, air on . Penins ' 7) to 3 HP; absorp unit io 100K 3TU 600 a ••• '`-1 Boiler or comp, heat pump, air cond. PO Box 16307 761•-0500 j 8) 3-11i HP', absorp unit to 50K BTU 11 00 Contractor _Trymm_ Boiler or tomo, heat pump, air cond. Portland Or 9721 9) 15-30 HP; Fil sip unit .5-1 mil BTU 1500 "s.. eco • tBoiler or comp, ieat pump, air con . 0 0 2 2 4 4 �4(j .Z8 l( 7 f 10) 30-50 HP;absori snit 1-1.75 mil BTU 22.50 hereUy ac now a ge a eveapplication, e e f t� of er or coma, Fea pump, air cond. information given is correct, that I ar^the owner or authorized �I I 1) .50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with (p � it handling un o State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 j Board, that the number given is correct. (If exempt from State Air handling urn registration, please give reaso-i below.) 13) 10 000 CTM + - 7 50 mon portabig ^� 4 50 14) evaporate cooler — Vent an connec e LN i 5) to a single duct 300 rVentilation system no — f IJZ41 T - ,� 16) included in appliance permit 450 ,,�^—n.i-�—,.,.u�, .. Hood-serve"y _j G - 17) mechanical exhaust 450 escn a wor new addition alteration repair Commercial or Indus na to be done residential O non-residential 18) type incinerator _— 30.00 .xis ng use o other i e.. woodstove, water building or property _ Commercial — 19) 'seater, solar, clothe: dryers, etc 4�0 Propos 1d use of Commercial 20) Gas piping one to four outlets 2.00 of building or property I� 2') More than 4-per outlet (each) 2.00 Type of fuel -oil O natural gas LPO O dlectdc n NOTICE Minimum Fee $25 00 SUBTOTAL / PERMITS BECCMU VU!D IF WORK OR CONSTRUCTION — �4 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE �. IF CONSTRUCTION OR WORK IS SUSPENDED OR -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. —-- —� -TOTAL (_ Special Conditions _ Date _,sued —,—__-- —by M,IDD,i�DSTMMECHPMT CITE( OF TIGARD P",E P.IyI I T PERMIT #. . . . . . . : MEC9606`12 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 1217/1.31/96 13125 3W Hall 81A Tigard,Corogon 97223*8199 (503)639-4171 PARCEL: 2531 ILADC-00400 SITL ADDRLS5. . . I I'Ja5 3W DURI-JAITI RD SUBDIVISION....: WILLOW BROOK PARK ZONING: C-G BLOC11. . . . . . . . . . LOT. . . . . . . . . . . . . . I CLASS OF WORK. . :AL'T FLOOR TURN. . . . : 0 EVAN' COOLERS: I TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENI FANS. . . : 0 OCCUPANCY Gl`iP. . :A3 VI.NT'S W/0 A PPL 0 VENT SYSTEMS: 0 STORIES. . . . . . . . 1 BOILERS/COMPRESSORS HOODS. . . . . . . : I FUEL 0-13 . . . : 0 DOMES. IIVC IN: 0 3-15 HP. 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-•'.30 HP. 0 REPAIR 1.1NITS: Vi FIRE DAMPERE0. 00-50 H171. 0 WOODSTOVES. . - 0 GAS PRESSURE. . . 50+ IAP.- 14) CLO DRYERS. . : 0 NO. OF UNl`T5-------- - ------- AIR HANDLING UNITS OTHER UNITS. : 0 r-:'urRi\j ( 1001' BTU: 0 K= 10000 (-,fin : 0 GAS OUTLETS. : it) TURN ) _•AOOK BTU: 0 1't1000 ("fm: 0 Remarks : type I Hood with -nal-(el.kri air only Owner-. FEES ROBERT GODERRE type amoi_tnt by date t^ecpt 11525 SW DURHAM RD FIRMT $ J,5. ILI 0 TA 07/31 /96 96--2823,-1,6 PLCK $ 6. 25 a 07/31/96 96-282346 TIGARD 5FICT $ 1. 25 B 07/31/96 96-282346 Phone #., C'orltr'actot-l KALBERER FOOD SERVICE EQUIP KHLBERER HOTEL SUPPLY CO C_'_4 NW 5TH AVE PORTI- PNI) OR 972011 1:11-ione #: 503-227- 1161 $ 32. 50 TOTAL. Reg #. . : 038704 REPUIRED INSPECTION,,--' This permit is issued sut)ect to the regulations contained in the lylectlarlical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Hood Inspection applicable laws. All work wjil be done in accordance with DI-tet Inspection approved plans. This permit will expire if work is not started Fiv-P Damper- Insp within 180 days of issuance, or if work is suspended for more Final Inspection than 180 dais. 11pt-mittee Si Ts!ii..ted Call for inspection 639-4175 2 7 ►lam City of Tigard MECHANICAL PERMIT Planck/Rec. # Cc I 20 13125 Svc Hall Blvd. APPLICATION ,,� Permit # IRCe 96�, -eela Tigard, OR 97223 (503) 639-4171 ? _ Description — - �(,/:P rorFok,T j �j�► ' Table 3A Mechanical Code - OTY PRICE AMT Job ... " : r_- c.., , r Address L.X1k..fgof `•f,l 1) Permit Fee -0- -0- 1000 Lo 2) Supplemental Permit 3.00 �+ Furnace to S� BTU -n I r(2 r 60 E 21CE-7 1) incl ducts &vents 6.00 Furnace nace — Owner 2) incl ducts &vents 7 50 oor u—mince - 3) incl. vent 6,00 Suspended eater, wa. Pater — 4) or floor mounted hearer 6.00 .r ... r. Occupant enV t nil inc. in _ 5) appliance permit _ 300 Repair of eating, re ng. 6) ,-ooling, absorption unit 600 Boiler er orcom-,Teat pump, air con ►1{)L��- �. IID L f�� f�`„� 7) to 3 HP. absorp unit to 100K BTU 600 ° °°° Boiler or comp, eat pump, air con . -- Contractor (53" 3` C �� -'f`�_ 8) 3-15 HP, absorp unit to 500K BTU 11 00 °O 9 offer or comp, eat pump, -air cow 9) 15-30 HP; absorp unit 5-1 and BTU 15.00 Boiler or comp, heat pumpr air con . - -- 0 3f;70:d 10) 30-50 HP; absorp unit 1-1 75 mil BTU 2250 ere y ac naw a ge that i have read this application, t a-t t e B-oiler or comp, heat pump, air con . information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 mil BTU 3750 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws. that I am registered with the Construction Contractors 12) 10.000 CFM 450 Board, that the number given is correct (If exempt f om State it handling unit registration, 1.,ease give reason below) 13) 10,000 CTD.A + 750 Non portable 14) evaporate cooler 450 Vent fan connecte 15) to a single duct 3,00 r _ Ventilation system not -- ` 16) included in appliance permit 450 +r slur°�a,Mr a a°MI — 0o ec7 servby , I 17) mechanical exhaust 4 50 Describe e worknew-IF—addition a erLtion repair (_ ommercia or n ustna to be done residential Q non-residential 18) type incinerator 3000 Existing use o ter i e, woo stov�d—vee., water budding or property _—� — 19) "ester, solar, clothes dryers. etc 4 50 Proposed use ofn ,) 20) Gas piping one to four outlets 2.00 building or property Type of fuel -oil Q natural pas 0 LPG 0 electric O 21) More than 4-per outlet (each) -- 2.00 — Minimum Fee S25 00 SUBTOTAL PERMITS BECOME VOJD IF WORK OR CONS RUCTION - - AUTHORIZED IS NO-; COMMENCED WITHIN 180 DAYS, OR 57, SURCHARGE t IF CONSTRUCTION OR WORK IS SUSPENDED OR - ABANDONED FOR A PERIOD OF 180 DAYS AT At: IME PLAN REVIEW 2501° OF SUBTOTAL � AFTER WORK IS COMMENCED TOTAL Special Conditions — _ — -- --- _ Date issued _ by w�roirnoarsNecr+war ELECTRICAL PERMIT I".., PERMIT : -0470 CITY OF TIGARD DATE ISS#UED:ELC9607/23/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL.: 2SL10D(-,00400 SUBDIVISION. . . . : WILLOW BROOK PARK ZONING:C--G BLOCK'. . . . . . . . . . : LOT. . . . . . . . . . . . . : 16 Project Description: Installing foul, branch Cit'CUItS. ---RESIDENTiAL UNIT------ ---TEMP 9RVC/FT"EDERS----- ----- MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . :, 0 PUMP/IRRIGATION. . . . : EACH ADD I L 500SF. . . : 0 201 400 amp. . . . . . . : 0 Sl(--,N/OU*f LINE LTG. . : 0 LIMITED FNERDY. . . . . : 0 401, 600 ;amp. . . . . . . : 0 SIGNAL/PANEI.. . . . . . . c 0 MANF. HM/ SVC/FDR. . .- 0 60J +amps--1000 volts. , LA MINOR LABEL ( 10) . . . : 0 -,---SERVICrz./li-EEDER----•----- ------..-BRANCH CIRCUITS------- INSPECTIONS.._.__ 0 200 amp. . . . . . 1 0 W/SERVICE OR FEEDER: 0 PER INSPECTJON. . . . . : 0 *01 400 amp. . . . . . : 0 Isif W/O Sl?YC OR FUR. : 1 PER HOUR. . . . . . . . . . . . 0 401 600 amp. . . . . . 1 0 EA ADDIL BRNCH C!RC:: 3 IN PLANT. . . . . . . . . . . : 0 601 11300 alnp. . . . . : 0 r4FVlFW SECT 1000-I.- amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMl'-1(_,. 0--Pilin' OREA/SPEC LICA". Owner: FEES URANDSTAND type -Amol-tnt by (3Ate ),F*Cpt- 11525 SW DURHAM RD PRMT $ 50. 00 CJS 07/23/96 96-281iJ4 5 p C-r $ 2. 50 ciS, 07123196 96--x'[3171.34 ""ARD OR 97223 lone #: nntractctv,t —--------------------------------------------------------------------- - & SONS $ 50 1 OT AL j36 SE WOODSTOCK BLVD REQUIRED INSPECTIONS IRTLAND OR 97206 Wall Covet- Elect' l Final 'lone 774-1606 Elect' 1 Service ;�q #. 1114 is gersit is issued subject to the regulations contained in the Bard Municipal Code, Stat? of Ore. Specialty Codes and all other r m i t t e e Signat�.Ir .plicable laws. All work will be done in accordance with -,proved plans. This pervit will expire if work is not st, 4d ,thin 1881 days of issuance, or if work is suspended for sort C_kd-/es- -all 160 days. ISSUed LAY -OWNER INS i ALLATICAA tie installation is being made on pt-oFerty I own which is not intended for alr-, lease, or t,ent. WNER" S SIGNATURE- DATE: _______.-,_._.___.___.__-.CONTRACTOR !IASTALLATION 1uNA-1URE OF SUPR. ELELIN- I c� DATE C.?11 for inspection 639•--4175 07/11,188 12:51 0503 884 7207 CITY OF TIGA" 21002/002 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hal( Blvd. Tigard, OR 97723 Permit #aCg6-04,f70 DaW Issued / /124 ri;one (5W)639-4171 CITY OF TIOARD FAX (5U3)684-7297 TDD No (503)684-2772 inspection (503) 63911175 7_ Job Address: 4. Complete Fee Schadule Below: N:frne of Devefaprnenl_t / 1 N�jy � _ Number of Inspartlans per pernIt allowed_ Arlrlrese ✓v�_ �� aervfce included; 11�11s G06t(ea) Srm City/Stiate/7ip�gLO� I.�i 7 4a Residential -par unit �-�<!T ---- 1Ono Aq.ft.orbts _..- 9110.00 4 Nance (or name f business) _ ftAcli addr.•,m 5W an ft or pardnr ttvn W $25 00 Conimerdal ReaIdorillrr,l ❑ I-inilalenaw _ .$25,00 �-__--- , radr MAenurd Hmm rr Wkwhrhr 2 Owenti•gAmvkaorFoeAer W 2a. Contractor installation only: 4b.Sarviue5 Or Feeders Inanition,ninnalm.or rdeetitlon 2 Electrical Oontrnctnr / _€ " o ,t sGf^El G 200arrpsurWs SM-00 2 Add _ s a 201 amps m 400 wp _ $e0.00 2 Cit ! Stage Zip 401 mrpt to 600 ompt � 1i�� Y 501 KV9 to loxl a t" -- z Phono No.� _ over 10b0 ample roe vnlla 5340.on -- Job NO. �4L._� _ -- Mn vffipd Unly contractor's 11cens a NO. 4c, Temptlrary Services or Foodorn Contractor's Board Rer3, N // ��_ crestal pllun,Wterndmr,nr tnIOGMIon 2 r,• 200 mupt w Ip7n -- --- �Klnslfure of SU r_t Ipc'n_ _ 1 2 7 y�L,,�� 701 sept h7 40V a riga —_ 1!10.00 License Na� _� Phone Nn. ova 401 empt in 500 omp+ __ $15 no OVM r'00 Iii ret It 0 volU ._-- 2b. For ownor Installations: imt"tf ntime. 4d.Brovich Circuits P11nt (wvnet's Name –_ –_—��-- tier,44WV M I u eniansl0rt P4•Pn't Addrest; a)TTM fee ler hrnrch rlrwks 0"1 2 (ft -- •- Citfite xip pe► aae ertr 4wvfoo w foodw We. Y -- -- —�-- -- r--ken Itm"ctmun 0s txl Phons f`IO. __ h)the fee ra hitnem-kart.9 warner! z The installation is being made on property I own which Is pu Mofswvfcaorreederfw. 7 �� 1 I not Intended for sale, lenne nr rent, ejKj,edntlonal hnM01 C*OtA _„ 0i.00 _. I;?wMlr'R •te.Merellarreous (Servla or fw!det not IM inclitt ) 2 or 3. (Plan Review section (if requinedjl: Each Each ()n Won or r"`�"'°"chiclechicle° 2 mMrw IphlMro :._. $41).00 �--- z Please Cheek npproprtnt0 Ron and enter fee in section 5R. penal.al 91tyrt or G M Ittrt LtU.UI _ 4 of rnme I"HAnliai units in one rtrudtur. Minor I obels fl^I - 5eNiCe and h�1er 22M amps or rase 3ystnw aver Fare volts nominal 1t.Each adrAllan0l hrlj1 critof ClassAiri arra r-stncontaining taining snecm nccupanry the allowrabte In arty of the nbeve kisp . described In N_E.G. ChaVat 01 Per 11011A xl V59.uo ---- -------- � PW htaw _ - S.SB.l10 —^In Plat __,•_ 555.00 _, Stlhmlt Z sets of plans with nppllenHon where any of trw above apply. Not me"red for ILmoorary uonrstnlctlen selvit•rs I 5. Fees; .+ NV nCE Sa.Entef tutal or nbavr. fees S Q•I 5%Sumhargs (05 X IOU[flees) FERMI"Iii DC-COME VOID IF WORK OR(:ONSTRUC1ION Srter 25 or At IS NOT rOMMENCED WITHIN 1OU CLAYS,OR IF 5b Lrism 2996 of If r Are CONS RILICUMON OR WORK 19 SUSPENDED OR AFIANDONED FOR pie^ Review H required (905.3) f 3uGtofal A PERIOD OF 100 DAYS AT ANY TIME AFTER WORK 13 IL COMMENCED. �.e�..ar,,r. _I Trent Atmount a t"""" Halanee Out., ' NG P,ERMIT CITY CSF TIGARD P,ERMIBUT #ILD. . ' . . . . : DUP,)6-0358 DATE ISSUED: 07/26/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 JDARCEL: 2-S1 1 ODC —00400 SI TL ijW DURIJAII 13D 1 SUBDIVISION. . . . : WILLOW BROOK PARK ZONING:C—G BLOCK,. . . . . . . . . . : LOI.. . . . . . . . . . . . . . 16 FREIG13UE: FLOOR EXTERIOR WALL CONSTRUCTION CLASS OF WORK. :F'r:15 FIRST. . . . : 0 5f N: S: E W: TYRE OF USE. . . :CLIM SI_C 0 N D. . . : 0 i5 F PROTECT ---- TYPE OF: CONST. '5H . . . . 0 5f N: S: E: W: nCCUPANCY GRP'. :A3 TOTAL---11—: 0 5'F ROOF- CONST: FIRE RET? - OCCUPANCY LOAD: BASEMENT. : 0 sf AREA SEP,. RATED: STOR. : 0 [AT : 0 ft GARAGE. . . : 0 Sf OCCLI SEP,. RATED: BSM7? : ME:Z.2? : REOD SETBACKS----------- REQUIRED—— FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 Ft F I R SP+'L: Y !3MOR DET. . DWELLING UNITS: 0 F7 R N T.- 0 ft REAR: 0 ft FIR ALRM: HNDIcr, ncc: SEDIRMS: 0 BATHS: 0 IMP, SURF-ACE: 1l F,RO CORR: PIARKING: 0 VALUE-. $ : 2350 Remarks . Range guard fire so-tppress ion system Owner-,: FEES ROBERT GODERRE type amol.Int by date reept 11525 SW DURHAM RD FIRE $ 15. 40 J5D 07/01/96 96-2810,:ic. P,RMT 38. 50 JDA 07/26/96 96-282169 TIGARD $ 1. 93 JDA 07/26/96 96-282189 Phone #: Contractor: KALBERER FOOL' SERVICE EQUIP,. KALDERER f-iOTEL SUVIPILY CO. 234 NW 5TH AVE. PORTLAND OR 97209 1-1hone #: 227-1161. $ 53. 83 TOTAL 038704 -------- REOUIREL) INSPIECTIONS ------- This permit is issued subject to the regulations contained in the Sprinkler Final Tigard Municipal Code, State of Ore. Specialtki Codes and all other Mi -'Cr 1115pest ion applicable laws. All work will be done in aLcnrdance with Final Inspection 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. PL-rMittee SigiiAture - Is!il-ted By : Call for inspection 639-4175 APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM BUILDING DIVISION, CITY OF TIGARD 639-4171 DATE: Cfi 2'J �� r ^ PERMIT # Valuation: 7Z S O— rl \ Permit Fee: 5% Surcharge: C� Plan Check Fee: I r.4P uj Plans must be submitted to the Bui bivision before installation. Three sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Instal lation:_X�__ Addition: Repair:-__Alteration: Complete:_ _ Partial:_ Exit\vay: Basement.--__ Hood & Vent- Spray Booth: _ IN EXISTING BUILDING:_ IN NEW BUILDING: NUMBER & STREET: 1157-5 Slit) DU QV1t)M Un NAME OF BUILDING or BUSINESS:_GzquDS'7AN 5PU2Ts NO. OF STORIES:_ SIZE OF BUILDING-_ OCCUPIED AS: TYPE OF SYSTEMS: Wet: _ Dry:___ Combination: STANDPIPES:_ OCC.HAZARD: Light ORD.GRP.HAZARD l_ 2 3_ 4_Extra DENSITY_ _ GPM/Ft2 DESIGN AREA ft2 SPRINKLER .AREA ft2 SPRINKLER ORIFICE SIZE: "K" FACTOR TEMP. RATING OWNER: LbEfU GOoEQQE ADDRESS: CONTRACTOR:__ V\01- HO-ELL. '500('u E �S J PLANS DRAWN BY:_K H .e5' .S . ADDRESS: 234 N ihl VE, REMARKS: IACNf/ OL D/IG /�f�/UL�f (�lJf ' 2 S�iS�it-f APPROVED permits includes only work described above and/or on plans and specification bearing the same permit number and will comply with all applicable codes and ordinances of the Cih,/of Tigard. SPRINKLER COMPANY: ffaLREae ' S_ PHONE: SIGNATURE OF APPLICANT: lPtr�ti K f(wkF!\ BUILDING DIVISION: PERMIT VALID FOR 180 DAYS wodccmde.\firrperm & CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- - BIJP _ _ Date Requested_— '"� �' AM PM BLD Location Z S w U v`isr--- _ Suite T MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/OwnerELC Retaining Wall - - ELR Footing /access: Foundation FPS _- Ftg Drain SGN Crawl Drain Inspection Notes: -- - - - --- Slab - -- —. - ----- -- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- --- - - - Roof Misc ---- -- - -- - - - ._ Final ----_ __-. P RT FAIL_ - _ ---- ----- - PLUMBIN Post& Beam Under Slab _ - Top out Water Service Sanitary Sewer Rain Drains Fin t -------- --- WAS PART FAIL *JidHANICAL -- � -- - ----- Post& Beam -- - - - -- - ------ -------- -- Rough In Gas Line - -- -- - ----------�- -- Smoke Dampers Final - --- --- ---- - ---- --- PASS PART FAIL ELECTRICAL -- - - - - -__.------ Service Rough In UG/Slab Low Voltage - -- Fire Alarm Final PASS FART FAIL SITE Backfill/Gradinn --------- -- -- -- ------- -- - ----- ---- Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ Please call for reinspection RE: [ I Unable to inspect- no ac-,ss Fire Supply Line ADA Approach/Sidewalk /, other Date -_ Inspector _ Ext Final PASS PART FAIL D NOT REMOVIF this Inspection record from the job site. CITYO F T I GA R D „ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM'1000-00204 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/13/00 SITE ADDRESS: '11525 SW DURHAh1 RD BLDG D PARCEL: 2S110DC-02300 SUBDIVISION: PAPTITION PLAT 1998-128 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTP,S: 1 OCCUPANCY GRP: B 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: Installation of commercial backflow prevention device. _ -^�— -- -- Owner: -- - �— — Type By Data FEES Amount Receipt DURHAM/99 ASSOCIATES LTD PTNSH PRMT DEB 6/13/00 v $50.00 0002912 BY CPIIMI MAE SERVICES LP 5PCT DEB 6/13/00 $4.00 0002912 ATTN LOAN SERVICING P,OCKVILLE, MD 20852 Total $54.00 Phone 1: Contractor: KENNEDY PLUMBING 13985 SW FARMINGTON RD BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone 1: 643-5535 RP/Backflow Preventer Reg #: LIC 001009 (CORRECT#10967) Final Inspection PLM 34-42PB 0V\ This permit is issued stlbje-1 to 6,,e 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 952-0001-0080. You may obtain copies of these ales or direct questions to OUNC by calling (503) ?46-1987. tied By: f—'4' Z Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Planeck# _ 13125 SV4J HALL BLVD. Commercial and Residential �� Recd _ TIGARD, OR 97223 Q Date Recd 61ai-DO (503) 639-4171 Dale to P.E. Print or Type Date to D - Incomplete or illegible applications will nea0%ted Permit* c Related S * a� Called 4�L-1 Name of Development/Project FIXTURES (Indivldial) QTY PRICE AMT Job W�IloLob(ovK- uS�ne"S pod, Sink 11.50 Address Street Address Suite Lavatory 11.50 r�s " Cud el M �� Tub or Tub/Shower Comb. 11.50 Bldg# le ZIP CItylstaShower Only 11.50 Nape, Water Closet 11.50 Urinal 11.50 Owner 10aildng Address Suite Dishwasher 11.50 5 O3 5 S0 Garbage Disposal 11.50 City/ to Zlp Phone -- _ C C1-1 a D1 r 2,,3 go() Laundry Tray 11.50 Name Washing Machine/Laundry Tray 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 City/Slate Zip Phone 4" 11.50 Water Heater O conversion O like kind 11.50 Name Gas piping requires a separate mechanical permit. ,,/,P T [U" 1_b,1_rr MFG Home New Water Service 32.00 Contractor MaillnAddress Suite MFG Home New San/Storm Sewer 32.00 ( � <<t�-) ✓rY1ir'1r ov) Hose Bibs 11.50 Prior to permit Cit State Zip P one Roof Drains 11.50 Issuance,a coPY 7�✓� Qf t 535 Drinking Fountain 11.50 of all licenses are Oregon Const Cont.Board Llc.# Exp,Date required If 1 -at,e>_3 Other Fixtures(Specify) 1500 expired In COT Plumbing Lic.# Eto database 34-4 2-Pe b I.v 0 Name Architect _ Sewer-1st 100' 3800 Or Mailing Address Suite Sewer-each additional 100' 32.00 Engineer City/State Zip Phone iter Service-1st 100' 38.00 Water Service-each additional 200' 32.00 Describe work to be done: Storm R Rain Drain-1st 100' 38.00 New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential O Commercial 1K _ Additional description of work Cy,� ( rt,•; Commercial Back Flow Prevention Devlue 32.00 i I Residential Backflow Preven:iun Device' 19.00 t�,ikl�e r w^t�� IM�l.r,:'A 1N �:'.; � ', rile tis r Catch Basin 11.50 Ar6 you Capp ng,moving or rep acing anyfixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No A Inspectionsper/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45 00 fixtv;e. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. - TY TOTAL I hereby acknowledge that I have read this application,that the information Isometric or riser diagrero Is required A QUANTITY Quantity Total is >g given Is correct,that I am the owner or authorised agent of the owner,and that plans sulbirritted are in compliance with Oregon+Stats Laws. 'SUBTOTAL Signature of nor/Agent 1 I d to _ _ �>LL� NSF SS ,? 0 8%SURCHARGE oa Contact Person fame Phone 1_1, F i i Li S`_ p3.55359 "'PLAN REVIEW 25%OF SUBTOTAL only d uonfixtue l is> 18A HOUSE:178.00 Reor1- -Y tot-- - --� ;2 011,116t$260.00 TOTAL iW1§` d�eyltilduti�ii�ill plunibl�i�ll'�-.�(�yttUM In 1�h thwlllnd and tho hrit NIUIaf igYliat littOrrlsJ"r rind*2111ei'66ivics `,. 'Minimum Permit fes is$50+8%surcharge except Residential Backflow Prevention i " Device,which is$25+B%surcharge All New Commercial Buildings require plans with isometric or riser diagram and plan review i tdstsklorrnMpium app doc t Ill R�i„