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10885 SW 74TH AVENUE pSW 71 OrIf AvtAlUE l isVecords\nicroflmMargets\budding.doc CITY OF TIGARD BUILDING INSPFCTION DIVISION 24-Hour Inspection Line. 6394175 Business Phone: 6394171 Date Requested: _ /��t 'L L A.M. P.M. MST: Location: 'C! r�r) �� / I�'� _ _— — BUR _ Tenant: \ l Suite: p -7 l Bldg: _ MEC:q '7 Contractor: L 1 Ll_ i. 1 Phone: 63 /" / 2- 1Y _ PLM: - Chimer: Phone: ELC: EI,R: _— SIT: _.— BUILDING BLDG(con't) f PLUMBINGCHANI_CAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Bcum Cover/Service Sewer/Storm Footing Roof UndFI/SlabRough-In Cciling Water line Slab framing Top Chrt� Gas bine Rough-br I IG Sprinkler Foundation Insulation Sewer im I Tood/Duct �i Reconnect Vault Bsmt Damp Drywall Storm �nV � FFurnace n(,Q Temp Seni,-c MISC. Masonry Ceiling Rain Drain A/C UG Slab Shcar/Sheath Fire Spkh/Ahn Crawl/Found Dr 1 Leat Primp _ Low Volt _ Approved Approved �_ pproved Approved Approved Appr/Sdwlk Not Approved o p oved —R�0[[7i-pro Not Approved Not Approved FINAL -TIN-(AL FINAL, FINAL - _ Cl/' ' a n: c� CI Call for rei t' �,1 4 Reinspection fee of$ required before next inspection 0 Unable to ispect Inspector:. Date: Page of r _ 4 CITY OF'TIGARD BUILDING INSPECTION DIVISION 24-1-lour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: _�i�` � �` 7 ` ,/)A.M. P.M. MST: Location:—1 --ELL 4J) (.CJ �� f1,o-c _ BI1P: Tenant: Suite: Bldg: MEC: ` Contractor: _ _ Phone: PLM: Owner:.— ia� — _Phone: ELC: ELR: _ SIT: _ BUILDING BLDG(con't) PLUMBING RE0JAN11CALELECTRICAL SI,E Site Post/Beam Post/Beam PosU13cam Cover/Service Sewer/Storni Footing Roof UndFUSlab _R i-In Ceiling Water Line Slab Framing Top Out Rough-In Ud Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Fw-nace Temp Service MISC. Masonry Ceiling Ruin Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crewl/Fowid Ih Ileal Puunp Low Volt Approved Approved _.Ayuroved� Approved Approved Appr/Sdwlk Not Approved Not Appn,:•YI Nutnpproved Not Approved Not Approved FINAL FINAL FINAL. FINAL, FINAL - ----CC___ - -- C°'Ci - ,1A 0 rs V) a H- J CD W 0 Call for tnspe, i O Reinspection fee of S required before next inspection 0 Unahle to inspect Insp�xtor: Date:__,[�__ `�� -�� Page of CITY OF TIGARD DEVELOPMENT SERVICES PLUMSING PERMIT 0 4 PERMTT #. . . . . . . : PILM97 13125 S W Hall Blvd., T@ard,OR 97223 (503)639.4171 [)ATE ISSUED. 10/22'/97 PARCEL: IS13GDS-01500 ST 7E ADL F-14.'SS. . . : 10885 SW 74TH AVE SLJBD I V I S I 01\1. . . . : 70N111,10, R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIC CLASS OF WORK. . :OTR GARBAGE DISPOSALS : 0 H(JBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . - R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 FIXTURES—------ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS c "). . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES....: I OTHER FIXTURES. . . . : 0 TUB./SHOWERS,, . . : 0 SEWER LINE (ft ) _ : 0 WATER CLOSETS-. - 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remar-ks : Install new gas hot water- heater- to and existing single family dwelling Owner-, FF-ES DONAL DORRELL type amoLtnt by date r,c,r-p t 10885 SW 74TH AVE PRMT $ 25. 00 GFO 10/22/97 97-7100312, TIGARD OR 972-257, 3DCT $ 1. 25 GEO 10/22/97 97--30031ir.' Phone #.- 6313-72,38 25 TOTAL .one 26. 999999 --- REDUTRED INSPECTIONS ------ is pewit is issued subject to the regulations contained in the Misc. Inspection gard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect ion plicahle laws. All work will be done in accordance with pproved plans. This permit will expire if work is not started within 18e days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules 1"pted by the Oregon Utility Notification Center. 'hose rules are forth in DAR 952-0001-0010 through OAR 952-0001408e, You vay obtain copies of these rules or direct questions to OTT by calling _ted BY .- Pel-mittpe Si gnat f++-+4-4-#-++++-f-+.4-+++-t++4.4.+++4.4++A-++4-+4-4.........4.+++4++++-++-1-++•....+++++++++++-F-++4. Call 639 -1- 17"3 by 7:00 p. m. far- An inspection needed the nP.x� b1_15inF_-SS day , ++-4-++-h+++4++44++-'-4-F-++4--+--4-++++4-+++4.......4........41...................f-4+4....... CITY OF TIGARD Plumbing Application Rec'dBy___ 13125 SW HAL! F3LVD. Commercial and Residential Date Recd _ Date to P.E. _ TIGARD, OR 97223 Date to DST (503) 639-4171 Permit#i 7/n, Z -UUi?V Print or Type Related SWR# ncumplete or illegible applications will not be accepted Called Name of Development/Project On back Indicate Work Performed by fixture. Job A>U �- f% FIXTURES (Individual) QTY r-RICE AMT Address tree Address Suite Sink 9.00 Cf 11 S - 4) /7 V I Lavatory 900 Bldg# ity/State Zip Tub or Tub/Shower Comb. 9.0 rr Shower Only 9.00 Water Closet 9.00 Owner -Wailing Address Suite Dishwasher 9.00 l) Garbage Disposal 9.00 City/ tate Zip Pone Washing Machine 9.00 61BV 3T ' N e Floor Drain 2" 9.00 3" 9.00 Occupant Mailing Addre Suite 4" -� 9.00 City/State Zip lL Phone Water Hcater 'O.conversion O like kind 9.00 Laundry Room Tray 9.00 Name Urinal 9.00 Other Fixtures(Specify) 900 Contractor Mailing Address Suite 9.00 9.00 Prior to permit City Sietos Zip Phone ibLL'nnce a :L,,r 9.00 of all licenses are Oregon Const Cont.Board Lic.# Er.p.Date 9.00 required if Sewer-1 st 100 30.00 expired in COT Plumbing Lic.# Exp.Date A — Sewer•each additional 100' 25.00 database _. Name Water Service-1st 100' 30.00 Architect Water Service-each additional 200' 25.00 Mailing Address Suite Storm&Rain Drain.1st 100' 30.00 or Storm R Rain Drain-each additional 100' 25.00 Engineer City/State Zip Phone ) Mobile Home Space 25 00 Commercial Back Flow Prevontion Device or Anti- 25.00 Descnbe work New O Addition O Alteration Repair O Pollution Device to be done: ResidenlialANon-residential O _ Residential Backflow Prevention Device" 15.00 Additional description of work: Any Trap or Waste Not Connected to a Fixture 900 /�' Catch Basin 900 elx" "{ �-j Q`i Insp.of Existing Plumbing 4000 --�-- _ per/hr Existing use of / / Specially Requested Inspections 40.00 building or property per/hr Rain Drain,single family dwi lling 3000 Proposed use of Grease Traps 9.00 V; building or property QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information lsom-�tric or,iter diagram is required d Ouanrty Totals >9 given is correct,that I am the owner or authorized agent of the owner,and 'SUBTOTAL �= that plans submitted are in compliance with Oregon State Laws. signature of Ow /Aggnt Date 5%SURCHARGE �- PLAN REVIEW 25%OF SUBTOTAL Contact��PersorLName Phone Requifed on d fixture oty tutal is 9 "1 c; N �c -- TOTAL / `7 *Minimum porn,,fae is$25-5"o surcharge,except Residential Backflow Prevention Device,which is$15- 5%surcharge Itdolske sM doe 5197 PLEASE COMPLETE; Fixture Type �Guantity by Work Performed — I Capped / Removed Moved Replaced Sink Lavatory _ - Tub or Tub/Shower Combination Shower Only Water Closet _ Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 411 Water Heater _ Laundry Room Tray Urinal - Oth, ' ixtures (SpPc;iy) COMMENTS REGARDING ABOVE: I d.,+,nig„aoc �Si9% J ' - CITY O F TI GA R D MECI-InNICni— DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC37-0411' DATE ISSUED: 10/22/97 PARCEL: ISI376DB-01500 "rE ADDRESS. . . . 10a85 SW 7-4TH AVE JSDIVISTON. . . . ZONING: R--4. BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: `IG CL ASS OF WORK ;OTRFLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . %R31 VCNTr) WIO nPr,L-. 0. VENT SY!,TEMS: 0 STORIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . ., : 0 FUEL 0-3 HP. . . . - 0 DOMES. INCIN: 0 3-15 HP. . . . : 0 COMML.. INCIN: 0 MAX INr)UT: 0 IITU 15-30 HP. . . . : 0 REi:`'AIR UNITS: 0 FIRE DAMPERS?. . - 30-5111 HP. . . . : 13 WOODG)TOVES. . : 10 GAS PRESSURE. . . 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF AIR NqnNDLING LIN T TS) OTHER UNITS. : I rURN < 100111 STU- 0 <= 10000 cfm; 0 GAS OUTLETS. : I FURN ) =100K FTU: 0 10000 cfm : 0 Remark s - Install gas insert to existing fireplace and add gas piping to an existing single family dwelling. Owner: FEES D13NAL DORRELL type amol.tnt by date i-ecpt 10885 SW 7L►TH AVE PRMT $ x:5. 00 GEO 10/22,/'37 '37--30031.2 TIGARD OR 97223 `:,PCT $ 1.. i--'!-j GEO 1011122/97 97-300312 Phone #- 639-7238 r(3ntt-aC.t0t-- OWNER ane 26. 25 TOTAL REQUIRED INSPECTTONS ,' This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, Slate of Ore. Specialty Codes and all other MLchanicAl Insp applicable lc"s. All work will be done in accordance with Mi,c. InspectiOn approved plays. IlAs permit will expire if work is not started Final Inspection within 18e days cf issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Jregon Utility Notification Center. Those rules are set forth in 04P 952-001-00I0 through OAR You may obtain copies of these rules or direct questions to OUNC by calling P1, r,evMittev Signati-11-P 4-+4-++#-++4.+-++++++++++++++++4 4-++-I-+-F+-#-++++-+4-++++4+4++++++4++++++++++++++++++++A..+++ Call 639--4175 by 7:00 p. m. for inspections needed the T)P-)<t bi-tsinvss day 4.4 4 4++4-4.44.+.++-1 -1 1 + ...........4...........1 4-++++ Plan ChecK# CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd _ TIGARD, OR 97223 Date to P.E. (503) 639-41 i 1, x304 Date to DST Permit Print or Type Called Incomplete or illegible application.a will not be accepted Ny[ge of Deve pmen rode Description / Tabie 1A Mechanica!Code QTY PRICE AMT Job S reed Address Suite# A) Permit Fee -0- -0- 10.00 Address Q K S •Cl.�. 7� /� Bldg# _C.Ityfstate Z� 1.) Furnace to 100,000 BTU 6.00 I /c e,_114 1 � 3 including ducts&vents _ ne(or name business 2.) Furnace 100,000 BTU+ Owner '7 5 V, e _re including duds&vents Mallin rens 3.) Floor Furnace 6.00 including vent CRY/State zip Phone 7 4.) Suspended heater,wall heater 6.00 C / Si` / 7� or floor moun!ed heater an (or name of business) 5.) Vent not included in appliance permit 3.On Occupant Melling Address ` 6.) Boiler or comp,heat pump,air Gond. I 6.OU to 3 HP;absorb unit to 100K BUT" _ Cnyfstate lip Phone 7.) Boiler or comp,hea,pump,air Gond. 11.00 3-15 HP;absorb unit to 500_K 1371- Contractor Name 3.) Boiler or comp,heat pump,air;ond. 15.00 15-30 HP;absorb und.5-1 mil BTU" Prior to permit Meiling Address _ 9.) Boiler or comp,heat pump,air Gond. 22.50 issuance,a copy _ 30-50 HP;absorb unit 1-1.75mil BTU" of:d licenses CnyiStnte - zip Phone 10.) Boiler or comp,heat pump,air Gond. 37.50 we required H >50 HP;absorb unit 1.75 mil BTU` _ ,:xpired in COT Oregon Const.Cont.Board t_ic# Exp Date 11.) Air handling unit to 10,000 CFM 4.50 database Architect Name 13.) Non-portable evaporate cooler 4.50 or Mailing Address 14) Ve,,'tan connected to a single duct 3.00 Engineer CnyfState p Phone 15) Ventilation system not included in 450 _ appliance pe� nit _ Pescribe work New O Addition O AReration Repair O 16.) Hood served by mechanical exhaust 4.50 to De done Residential�( Non-residential O _ Additional Description of work: 17.) Domestic incinerators 7.50 18.) Commercial or industrial type 30.00 6"u 5 Incinerator Existing use of � 19.) Repair units 4.50 building or omperty ;_22: 20.) Wood stove 450 Proposed use of 21.) Clothes dryer,etc. 4.50 building or property 22.) '11her pits >Q� L i 4 50 _ r ct --- Type of fuel-oil O natural gas O LPG O electric C) ) Gift piping olife to folk outlets / 2.00 R I hereby acknowledge that I have read!his application,that the 24) More than 4-per outlets(each) .50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon Slate - _ QTY.SUBTOTAL laws. cc Signature of Owner/AgentDate 'SUBTOTAL J t�}Z�el 5°,SURCHARGE S Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL_ OW �.F TOTAL c is echpmt oc (rev 9 "Minimum permit fee is$25+5%surcharge -Residential A/C requires site plan showing placement of unit.