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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL1
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing ech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation 'Elect.
Post/Beam StrUCt. Mech, Rough-in Gyp. Bd. -Bldg.
San. Sewer as Line Appr/Sdwlk Reins.
Other:
Date: A.M. P.M. Entry: —
Address: 77& --f�-�1 -_
Tenant: Ste: MST:
BUP:
Con/Own: 6�}'�� 7. �/ ?_------ ^AEC:
PLM: 77=f
6 'f
34 ELC:
THE FOLLOWING COPRECTIONS ARE REQUIRED: ELR:
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Date:
___APPROVED __DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TI G A R D MECHANTCAL
DEVELOPMENT SERVICES PE Ril T T
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PFRMT"r #. . . . . . . .. MErl)%7-0069
DATE TSSLJED: 12.13/25/97
PARCEL: 2SI12CA-12'200
.4''rrE or)DRess. . . .. 15995 SW 7r-,TH AVE
G(JBDTVTSTON. . . . : RFNAISSANCF WOODS TT 7nNTNG. P-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :46
CLASS OF WORV. . :NEW FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . SF 'JNT7' HE=ATERS. . : 0 VENT FANS. IL
11CCUPANICY GRP. . :R3 VENTR' W/0 APPL-. 0 VENT SYSTFMS: 0
`3 TO R T F-..S. . . . . . . . .. 0 SOTLFRS/COMPRFq�,7R9 HOODS. . . . , . . 0
l.-Ur-L 0-1 HP. . . . . I'I Dn1v1F--.c3. TN(7,TN. 0
3
.! IGP —1.5 Hn. . . . : 0 COM.... Tl\!rTN- 0
11AY INPUT: 0 STU 171-7.0 -4P 0 REPATR LIN.T.TS. 0
T RE DAMPEr15'). 30-90 HFA. . . . : 0 WnODSTnVEI,;. . : 0
PRFSSURE. . . - 50.1- HP, . . . - 0 CLO DRYFPS. . 0
Nin.. OF UNTTS—------------- ATR HANT)i. TNG UNTTS OTHER LINTTS. 0
--URN ( tOOK, TATIJ: 0 1000M (:7,Fm : 0 c-,As n i-rj_j7*rq)., t
-URN )=10OK BTU: 0 > 10000 vfm: 0
Remarks : instl qa-,s line to fire place for gas-, 3.o i1s,
Ownr�' - ------------- 17FES
TEFF BOUSHART.) type 'Amal.lni; by date t'erpt
195!55 r)W 76TH AVF PRMT $ ;:-*5. vo 'r(,i T 0w;/24/97 ':97-92J . '._
7,P r�T $ 1. 'P!5 TAT 07"/24/97
TTGARn OR
Plh 0 11 f. 74:
R. K MECHANirpi
ITMOTHY S WYNNE
Ir-,595 SW 76TH AVF
TIFAVFPTnN OR 97009
!-,hone #: $ 26. 29 TOTAL._
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-his pervit is issued subject to the regulations contained in the 1 ine
'ioard Mcmicipal Cndp, State of Ore. Specialty Codes and all other Mm-liAni -al Tnsp
'ii3plicable laws. All work will be done in accordance with lyfis,c. Trispoc-tion
ipproved plans. This pervit will evnirp if wore is not started rinAl T1nvpPcf ion
--ithin 180 days of issuance, or if work is suspended for sort
har 180 days. ........
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r,m 11. ft-ainspection x,.:11-4175
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12 09;913 11:111 '$503 684 7297 CITY OF TIGARD Z002,'002
Plan Check 9
CITY OF T)GARD Mechanical Permit Application Reed By
13125 SW HALL BLVD. Commercial and Residential 17ate Recd
TIGARD, OR 97223 Dale to P E.
(503) 639-4171, x304 Date to DST
Permit x Mr-C11-6119415
Print or Type Called
Incomplete or illegible applications will not be ,accepted
Name ur 0evewmeauprtlect Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Aadresa suuey A) Permit Fee -0- � 10.00
Address j r (,v &
Bldgs cityr5rele Zip B) Supplemental Permit _ 3.00
Nome
jar name of ous neem 1.) Furnace to 100,000 BTU
.1� 6.00
Owner . ��{S �'� incl.duos&vents
11911IMP Address 2.) Fumew 100')'0 BTU• 7.50
� �yn(y, - incl.duds 6 vents
C ryrsh"s tip hone l 3.) Floor Fumeoe 6.00
Ad.vent
- Name iur hams or awinesar a,) Suspended healer,wall heater i 6.00 i
'c 'n'l L or floor mounted heater
Occupant Marling Addresa 5.) Vent not incl,in _ 3.00
appliance permit _
=rtyBteis Zip we 6.) Boiler or comp,heat pump, au card. 6.00
to 3 HP;absoro unit M 100K BTU
Nwra 1 - 7.) Boder ur comp, heat pump,air CSntl. - -- 1700
1-15 HP,absorp unit to 500K 13TU
Contractor Mod"Adamw ) Sc ilex or Comp,heat pump,air Conti 15.00
/ ,;� 1JVQA-) ,eQ 15-30 HP;absorp unit.5.1 mil BTU
(Prior to crtyrslate Zip Phdne 9.) Boiler or comp,heat pump,air Gond - 22.50
a�usnoo a copy :02 ) De "VS' 30.50 HP:absorp unit 1-1.75 mil BTU
of ad bcertses are Oregon Conn Cdnl sow Ud.s Exo.q1d 10,) 9oiler or comp,heat pump,air Gond 37.50
"urred 0 >50 HP;absorp unit 1.75 mll BTU
expired in C.O.T C0T Bwelbq Tax er Metra 111 Exp Da10 11,) Alf hand hg Unit r,0 450
data base) 10,000 CFM
Architect Name 12.) Air handling unit 7.50
10.000 CTM+
Or Mamng Address -- 11) Non portable a 50 `-
evaporate Cooler
Engineer CryrSUKe 71P Phohe r,4) Vent fan connected v3.00
to a single duct -
Devxljo work New O Addition O Afteratron Repair O 15.) Ventilation system not 4.50
to be done Residential 0 Non-residential 0 rncJur'ed in appllance permit
Additional Desanption of`nark 16.) Hood served by mechanical exhaust 4.50
L1i's L7v
6A5 t!_OGS 17) 6omrateincineratam -- �_ 7,50
e*xistlng use of 1 d) Commerdsl or Industrialtype 30.00
building or property incinerator - -
19.) Repair units 4.50 F
a Proposed use of 20) Woodstove 4.50
R building or property
N _- 21) Clothes dryer,etc. __ -4.5u
j'_ Type of fuel-od O otural gas LPG 0 electric O 22) Other units 4.50
�p0
Thereby acJcnowlatlgt that I have read this application,that the 23) Gas piping one to four outlets 2.00
information yrven is rrnrted that I{jm the owner or authorized agent of
the owner,that plans subrriltted in compliance With Oregon State -Ti) More then aper outlet (each) 90
w I✓ /! / /
lawn'./� � - �ttitr- .� v��J�,� - - -
pligmtum of pv•�er/Agent ate I OTY.SUBTOTAL
q16- 'SUBTOTAL
lantact emon Nome phots SURCHARGE o
PIAN REVIEW 25%OF SU TOTAL 6,
TOTAL,
Midstvrlechprnt.doe (rev 7MO) - -- 'Minimum permit fee is$25+5%surcharge �� i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 d17
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 FINAL:_._�
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd -Elect.
Date Requested: `/jE -7.S Time: AM PM
Address: t�vf- �f�
Builder. Permit k: /`� el"ov3 C7/
THE FdUOWING CORRECTIONS ARE REQUIRED:
� `��z.-zC� Y�E'e�..S-e Ccs�� ��i�U►�'
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Inspector: Date:
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD
OREGON
June 1, 1995
RE: BUILDING PERMIT #
Inspecti.on(s) have been conducted on this project . However, we
have no record of any subsequent or final inspections within the
past 180 days .
Please note that permits become void if there has not been an
inspection performed for over 180 days. In that case, the Building,
Division may require a new application and fees to continue work.
A notice of non-compliance against the property may also be
recorded by the City.
Please advise the Building Division, IN WRITING, within 15 days of
this letter, the Status of this project . You may request
additional time to complete the project .
Respond IN WRITING to : Building Avision, 13125 SW Hall Blvd. ,
Tigard OR 97223 . Be sure to include the following information:
1 . Building Permit # .
2 . Address of property.
3 . Your name.
4 . Your phone number 8 :00 a.m. - 4 : 00 p.m.
If you are ready to schedule your next inspection, please call our
24-hour Inspection Recorder at 639-4175 .
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13125 SW Holl Blvd, Tlgard, OR 97223 (503) 639-4171 TDD (503) 6842712
INSPECTION NOTICE
City of Tigard Building Departaout
1317.5 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec�-tO�-Phone):
/6,39-4175 Business Phone: 639-4171
Inspection:_ C !/�� )17 K Lc{f—
Footing Plbg. Underelah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ ' 9 Y Time: AM PM
Address: /,5'.)_J.� (C /yY LC P nnf��t 1:
Builder: 'IT-%.�= L� Zk 6211.5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
APPROVED y DISAPPROVED _ APPROVED SUBJECT To AROVa
Call For Reinap.
CITY GF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PERMIT
PERlyl I T #. . . . . . . : PLihy 4•-00211
639--41 71 DATE ISSUED: 03/07/94
PARCEL: 251 12CA-122OV.,
331T'E ADDRESS. . . : 15555 SW 76TIi AVE.
SUBDIVISION. . . . : RENAISSANCE WOODS 11 ZONING: R-4. 5
bLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :46
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . I
OCCUPPNCY GRP, . : R-2 FLOOR CRPlINS. . . . . . . : 'TRAPS. , . . . . . . . . . . . . .
STORIES. . . . . . . . WATER HE:ATERS. . . . . . .. CATCH BASINS. . . . . . .
I- IXTURES-------•-------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. „ . . .
;INKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . .. OTHER FIXTURES. . . . . ..
I`UB/I✓HUWLRS. . . . : SEWER LINE (ft) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remiar^1(s : install inrl bacl( Mow prevention vai-ile
Owner-: _—.___._—____.......____________________—__.___.____________.___ FEES _—
JEFF BROUSHAND type amoi-int by date recpt
15555 SW 761H AVE PRMT t 15. 00 JH 03/07/94 .
5PC::T $ 0. 7 5 JH 03/07/944
l-IuARDINN O'R '74'7223
Phone #:
1401ODY FNTERPRISE
'0454 SPRINGWATFR RD
E:STACADA OR 9702:, ----------------__—•--
0hone #: 631--2918 $ 15. 75 TOTAL
Reg 14. . . 5973
-------- REQUIRED INSPECTIONS -- -
This permit is issued sub)ect to the regulations contained in the Top—olat Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _
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 sispended for more
than 180 days.
. i 'e r^m i t t e e S i y n a t i_i r e :
I s s i.ted B y .
Call for inspection 639-4175
City of Tigard PLUMBING PERMIT Planck/Rec. tt
13125 SW.Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
II
i� ascription
ORS 814-21610 CTY PRICE A!.tT
Job FIXTURES
Address -�s-� n .50
Lavatory — J
I ub or I u iowor Comb. 1.50
wale(Closet —
Owner �� _ - S �r G 1! i, was er
Garbage Disposal
as mg uie 7.50
rain
Water eater
Occupant w Laundry Hoom I ray " 7.50
nnal 750
t.ry;.. n er IxtUreS peC-4 yT-- l —
n
1. Zc�r .!r, ---
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Contractor
C,11(f s 5 h icy MISCELLANEOUS -
/ ---L-zo
wer Ist6�
�. we—re a--ATdit iLW - -
'� afar Serva ist
erey ac oW'li; i tail`have re. Is ap kation- iu le Water Serv;ce ea. Addit. 200' 15.00
information given is correct,that I am the owner or authorized agent of
the owner, that plans submtted are in compliance with State laws, that I Storm 8 Rain Drain 1st 100' 30.00
am registered with the Construction Contractors Board,that the number Storm & Rain Drain Addit. 100' 15.00
given is correct. (If exempt from State registration, please give reason _
below,) Mobile Horne Space 2500
- Back Flow Prevention -!
Device or Anti-Pollution Device 7.50
" ny rap or Waste Not -
Connected to a Fixture 7.50
Describe work new U addiU&M afteration U repairCatch assn - 7 to be done residential p non-residential 0
Insp. of Exist. Plumbing per hr
Specially Requested Inspections per hr
Existing use of Min Drain,singe lamily
building or property dwelling 1500
Residential ac w prevention
devices 1500
Proposed use of -- --
tn building or property
h
'(Except rest enfia Ac ow --- --
�- prevenfion devices)
NOTICE 'Minimum Foe$25.00 SUBTOTAL
co
PERMITS BECOME VOID IF WORK OR CONSTRUCTiON 5%SURCHARGE
J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW;!5%OF sUnTOrAL
COMMENCED.
//��
/I TOTAL
Special Conditions elft
A T '/?rw t q,:c- c a f1 %t'S c', Date issued by
rKuwstwt