15060 SW 89TH PLACE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DI`v aSION MST
24-Hoar Inspection Line: 639-4175 Business Line: 639-4171 —"
BUP
Date Requested P O�i AM _PM BLD
Location U ` � _ �' --_ Suite MEG
Contact Person Ph >>`�' �'�G'I PLM t'
Contractor _ Ph SWR -
BUILLI vG Tenant/Owner ELC _
Retaining Wall ELR
II outing Access: -�" FPS
Foundation
Ftg Drain - SGN
Crawl Drain h.spection Notes: --
Slab _ -- SIT _
Post& Beam
Ext Sheath/Shear --
Int Sheath/Shear
Framing ---
!nsulation
Drywall Nailing
Firewall
Fire Sprinkler ----------- -- - - -- - -
Fire Alarm
Susp'd Ceiling ----- -- - -- -- --- - -- ---
Roof
,,,Aisc:
Final
PASS PART FAIL -- -- - - _ -------- ---- --- . _ - -- -----
LUMBINr 7 --- - — - — -------— --- ----
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
F�Drains
in
PART FAIL11M - - - ----- - - --- -
CHANICAL .'
Post& Beam � ---- --- -- - - --
Rough In - --- -._--- ---- --
Gas Line
ke Dampers
PART FAIL
EE CTRICAL
Service --
it Rough In
cn UG/Slab -__ _._ _-_- --- ------ ---
Low Voltage
F ire Alarm - -- - -- - - ---- ---
Finan
ca PASS PART FAIL --__- -- -- ----- ------- --- -- -
SITE
Backfill/Grading ---
Sanitary Sewer
Storm Drain [ I Reinspection fee of$^ --_. required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch BF7 sin [ Please tali for reinspection RE __. [ J Unable to inspect-no access
Fire Supp:v Line
ADA
Approach/Sidewalk Date L( G ( Inspector / L Ext
Other
�Ina�
PASS PART -FAIL DO INCT REMOVE this inspection record from the job site.
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00355
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
SITS ADDRESS: 15060 SW 89TH PL PARCEL: 2S111AD-11900
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R-4.5
BLOCK: LOT: 040 JURISDICTION: 1 IG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF IISE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS. 1 CATCH BASINS:
_ FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
: A T ZR CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: .t
Remarks: Installation of a new gas water heater.
vrEtA3
Owner:
Type By Date Amount Receipt
HUGHES, WENDY M + RONALD T - --- —
9205 NW SKYLINE BLVD PRMT DST 10/28/199 $50.00 99.319399
PORTLAND, OR 97231 5PCT DST 10/28/199E $4.00 99-319399
Total $54.00
Phone 1:
Cnntractor:
CLYCO PLUMe31NG
27355 NW DAIRY CR RD
CORNELIUS, OR 97113 REQUIRED INSPECTIONS
Phone 1: 647-6843 Misc. Inspection
Reg #: PLM 34-331 PB Final Inspection
LIC 129626
ORIGINAL
This permit is issued �-. ject to the 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 susnended for more
than 180 days. ATTENTION. Oregon law requires you tc 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 rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: iLi►,.Q Permittee Signature I,e''
�.
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
a:
CITY OF TIGARD Plumbing Permit Application Plan Check#
13125 SW HALL BLVD. Commercial and Residential REc'd By
TIGARD, OR 9727.3 D-:te Recd
(503) 639-4171 Dale to P.E.
Print or Type Date to DS_
Incomplete or illegible applications will not be accented Permit kaLn!r� -6035
Related SWR#
Called
Name of Development/Proje:t FIXTURES (individual) QTY PRICE AMT
Job ref F g Sink 11.50
Address Street Aesss — Suite� Lavatory —-- _ 11.50
((�P Tub or Tub/Shower Como 11,50
Bldg# City/State Zip Shower Only 11.50
Water Closet/Urinal (Specify) 11.50
Dishwasher 11.50
Owner3ifing Address Suite Garbage Disposal 11 50
Wash ny Machine/Laurdry Tray (Specify) 11.50
City/Slate Zip Phone I loor Drain/Floor Sink 2" 11.50
Name 3" 11.50
4,. 11.50
Occupant Mailing Address Suite Water Heater Vronversion O tike kind 11.50
_ Gas pipii9 requires a separate mechanical permit.
City/Slate Zip Phone IdFG Home New Water Service 28,110
AIFG Home New San/Storm Sewer 2[;00
e
C Hose Bibs — 11.50
ContractorAltI Addf ss of RalnDralns 11.50
( t—ry V , Drinking Fountain 11.50
Prior to permit City/State Zip Phone Other Fixtures(Specify) 15.00
issuance,a copy
of all licenses are OV 9WIDionstArt.Board Lic•# Exp.Date _
required if
_T
expired In COT umb' g L # Exp.It
database �- {�- _ /'�O
Name Sewer-1st 100' 38.00
Architect Sewer-each additional loo' 32.00
Or Mailing Address Suite Water Service-1st 100' 3800
Engineer City/Stele Zip Phone Water Service each additional 200' _ 32.00
Stnrm&Rain Drain-1 at 100' 38.00
Describe work to be done: Storm d Rain Drain-each additional 100' 32.00
New O Repair O Replace with like kind: Yes O No O Commercial Back Flow Prevention Do✓Ice 32.00
Residential O Commercial O Residential Backflow Prevention Device' 19.00
Additional description of work:
Catch Basin 11.50
Insp.of Existing Plumbing 50.00
Are you capping,moving or replacing any fixtures? _ erns
r Yes O No O Specially Requested Inspections 50.00
If yes, see back of form to indicate work performed by
fixture. FAILURE TO Ac_CURATELY REPORT FIXTURE Rain Drain,single family dwelling 4500
t` WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11.50
I hereby acknowledge that I have read this application,that the Information QUANTITY TOTAL
given Is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram is required N Quantity Total is '9 _
that plans submitted are in compliance with Oregon State Laws. 'SUBTOTAL
LL Signatyre o1 OwnerlAgen_t�.� Data
' '
`� I c6 1`%SURCHARGE
Cont ct P non Name Phonon(q- L1 L
nit _ __ _ _S! "PLAN REVIEW 26% OF SUBTOTAL L
1 BATH OUSE$178.00 Required only If rlxlure qty total Is_>9 _
2 BATA HOUSE$250.00 TOTAL
3 BATH HOUSE$285.00 t,
(This fee Incbldes all plumbing fixturwi In the dwelling and the first
t,100 feet of serlltary sewer storm sew•,r end water servicn) 'Minimum permit fes Is$50 7%surcharge,except Residential Backflow Prevention
Device,evice,which Is$25+7%surcharge
All New Commercial Buildings require plans wBh Isometric or riser diagram and
pian review
I vivsvortm'Dlumapp dnc 7I1919q
PLEASE COMPLETE:
Fixture Type - _ Ouantity by'Work P,-.form%d
--- - - New ! Moved Replaced -RemovediCapped
Sink
Lavatory - - --- ------- -- ---- — --- -
Tub or Tub/Shower Combination -
Shower Only —
Water Closet
Dishwasher _ -
Garbage Disposal -
Washing Machine _
Floor Drain/Floor Sink 2"
311
Water Heater
Laundry Room Tray
Urinal -
Other Fixtures (Specify) -
COMMENTS-REGARDING ABOVE-:
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... To
C! 1 ,,/ OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00466
13125 SW Hall Blvd.,Tigard, GR 97223 (503) 639-4171 DATE ISSUED: 10/28/1��99
PARCEL: 25111 AD-11900
SITE ADDREIo: 15060 SW 89TH PL
SUBUIViSION: SCHECKLA PARK ESTATES ZONING: R-4.5
BLOCK: LOT: 040 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP uOOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT S�'STEMS:
STORIES: BOILERS/COMPRESSORS HI:ODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
3 - 1.5 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
1NOOU
GAS PRESSURE: 50 + HP. RYS: 1
TURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: UTHEI; UNITS: 1
> 10000 cfm:
;AS OUTLETS: 1
Remarks: Install ventilation system for new gas water heater, add gas insert to firEplace, and add gas piping.
Owner: FEES _
HUGHES, WENDY M RONALD T Type By Date Amount Receipt
9205 NW SKYLINE RiLVD PRMT DST 10/28/19 $50.00 99-319402
PORTLAND, OR 97231 5PCT DST 10128/19 $4.00 99-319402
Total $54.00
Phone:
Contractor:
ADVANCED HEATING + AIR COND
6918 SE 413TH AVE
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Gas Line Insp
Phone:235-0060 Woodstove Insp
Reil #:LIC 000985 Misc. Inspection
Final Inspection
ORIGINAL.
rt
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This 1,�rmlt will expire if work is
not started within 1 i?0 days of issuanc o.if work is suspended for more than 180 days. ATT,-N[ION: Oregon law
requires you to follo.ro i ules adopted in the Oregon Utility Notification Center. Those rules am set forth in OAR
952-001-0010 throug AR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by
-dlliny (503)24 91
k
Issue By: �7 }.-�a,,,� Permittee Signature:�_ ���/,L
�
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
CIT` OF TIGARD Mechanical Permit App;ication Plan Check#
Recd By _
. 13125 SW HALL BLVD. Commercial and Residential Date Redd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Data to DST
Print or Type Permit 06<�G6
Incomplete or illegible applications will not be accepted Called _
Name of DevelopmenUProject Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address unep A) Permit Fee 16.00
AddressI 1) Furnace to 100,000 BTU
including ducts E vents see footnote 1,2 9.65
Bldg4 C ate ZIP 2) Furnace 100,000 BTU+
including ducts 3 vents _ see footnote 1,2 12.00
w me(or nameo
1 f b Iness) � - 3' Floor F'"race
Owner / 1 _including vent see footnote 1,2 9.65
Mal n Address 4) Suspended heater,wall heater
G_� n r or floor mounted heater see footnote 1,2 9.65
1 5; Vent not included in appliance;permit 4.75
y/state ZZi Phollie Check all that apply "Boiler Heat Air
For Items 6-10,see or Pump Cond Qty Price Amt
Name(or name of business) footnotes 1,2 Com
6)<3HP.absorb unit to
_ 100K BTU _ 9.65 _
Occupant Mailing Address 7)3-16 H!',absurb unit
100k to 500k BTU 17.65
City/Slate zip Phone 8)15-30 HP;absorb
unit.5-1 frill BTU _ 24.15
Contractor N e -- 9)30-50 HP;absorb
unit 1-1.75 mil BTU _ 36.00
10)>50HP,absorb unit
Prior to permit Mallin Add res >1.75 mil BTU
Ph -I_
60 15
issuance,a copy 11 Air handling unit to 10,000 CFM
of all licensee r y/slate one rp 7,00
are required if 12)Air handling unit 10,000 CFM+
expired in COT 0 In Con_s!.Cont Board Lk,,.* Exp Date _ 11.85
database 13)Non-portable evaporate cooler
Architect Name 7.00
14)Vent fen connected to a single duct
Or Mailing Address _ 4 75
15)Ventilation system not included In
appliance 700 �.
Engineer CN.y/Slate zip Phone 16)Hood served by mechanical exhaust
7.G1
Describe work to be done' 17)Domestic incinerators
12.0_0
New, Repair O Replace with like kind: Yes O No O 18)Commercial or Industrial type incinerator
Residenti� Commercial _ 48.25
19)Repair units
Additional information or description of work: 8.40 _
20)Wood stove/gas FP/other units/clothe dryer/etc. I
7.00 .
NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets
structural gas talcs. See footnote 1 3.75
Type of fuel oil O natural oaJX LPG O electric O 22)More than 4-per outlet(each) .75
Minimum Permit Fee$50.00 SUDTOTAL
I hereby acknowledge that I have read this application,that the information _ �> Ir/.SURCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
Required for ALL commercial permits only
the owner,that plans submitted are in compliance with Oregon State laws. -�
TOTAL
Signature of Owner/A Date
Ac\VR/\tJtc� � Other Inspections and Fees:
r 1. Inspections outside of normal business hours(mininum chvrge-two
't;ibintact 115erson Name Phone hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
ct-- L - 14 charge-half hour) $50.00 per hour
Foonotes for commercial projects only: J. Additional plan review required by changes,additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
unks. 'State Contactor Boiler Certification required
-- "Residential A/C requires site plan showing pincement of unit
I Vnechperm.doc rev 7/19/99