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CITY OF TIGARD BUILDING INSPECTION DIVISION Ms"r
24-Hour Inspection Line: 639-4175 Business Line: 639-1171 —
BUP
Date Requested AM PM _ -- BLD _
Location Suite MEC
Contact Person Ph PLM
Contractor s r_ i �r�/u9 Ph �� �— �n�'�S� SWR _
BUILDING Tenant caner "(Z4' ELC V_
Retaining Wall ! ELR
Footing Ac - - --
IFriundation NOT REQUESTED % ll��zs'. FPS jFtg Drain F„iJiVD DURING RESEARCH / SGN
Crawl Drain Ill &4" -
Slab NO INSPECTION(S) IN FILE
SIT
Post&Beam �y --
Ext Sheath/Shearer
Int Sheath/Shear
Framing
Insulation
lDrywall Nailing --
Firewall
Fire Sprinkle
Fire Alarm7
�� r` '
Susp'd Ceiling _ Cq /
Roof
Final
PASS PART FAIL
PLUMBING
Post&Beam -i— —�- -- - — — --
Under Slab
T op Out - ----
Water Service
Sanitary SewEr -- - ,- ---`
Rain Drains _
Final -"
PASS PART FAIL. —
MECHANICAL
Post&Beam —
Pough In
Gas Line -- - --- -- �TTT LM 1-F
-- -
Smoke Ddmpers
Final -- --- -- T----
PASS PART FAIT_
ELECTRICAL— - - - - - --
Service .�.------_--
-- - -- - -
y` Rough In - _-- - ----_ �-.-_._----------_
L' UG/Slab
Low Voltage --•--_ -- �__.-.._
~ Fire Alarm
-' Final --- - --
PASS PART FAIL
SITE
-' Backfill/Gradiny --- ------ - -- -
Sanitary Sewer
Storm Drain I ] Reinspection fee of$- required before next inspection. Pay at City H0. 13125 SW Fiall Blvd
Catch Basin i
Please call foi reinspection R'
Fire Supply Line I ] p -- — [ j Unable to inspect no access
ADA
Approach/Sidewalk
Other Date CI f _inspectord '+ r,(,,e 1 Ext
Final -
PASS PART FAIL 00 NOT REMOVE this Inspection re orcl from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Linc: 63!)-4171 — —
c4-AM SUP
Date Requested AM PM BLD _
Location 1�y i' :a f C _ Suite MEC
Contact Person _ Ph PLM
Contractor Ph ��y- %-SJ SWR
BUILDING Tenan(10Vkner _y � yo5 t h` ELC
Retaining Wail (p 3 L-1_y,z ELR _J
Footing
Foundation NOT REQUESTEDFPS
�1
C- D
awl Drain DURING RESEARCH �"' �1 SGN
C� I� --
Slab NO INSPECTION(S) IN FILE rIK SIT
Post& Beam _
Ext Sheath/Shear
Int Sheath;Shear —
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --
Roof
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under
- — -- -- —
Under Slab
Top Out ---
Water Service _
Sanitary Sewer
Rain Orains
Final - -- - _-- ------------------- --- —
PASS PART FAIL
I, ' CHANICAL
Post & Beam -- - -- - ----- ---- - — -- —
Rough In
Gas Line -— --- ---- —— -
Smoke Dampers
Final4 -- -- ---- -- ------------------- ---- —
P T FAIL
LECTRICAL ----- -. ---- _---- -
Rough In
UG/Slab -
v' Low Voltage ---------_..�-----_ — -
PART FAIL -- -- -- -- — -
5iTE
w Backfill/Grading --- ^--' —" --
J
Sanitary Sewer
S"orm Drain I j Reinspection fee of$ required before next inspectior. Pay at City Hall, 13125 SW Hall Blvd
Catch Sasin [ ]Please call for reinspection RE `__-_„_ [ ]Unable to inspect no Access
Fire Supply Line �
ADA
/Approach/Sidewalk
Other Date Inspector Ext
Final ,� �-
PASS PART FAIL DO NOT REMOVE this inspection recorri from the job site.
CITY OF TIG RD P�-IJMBING PERMIT
DEVELOPMENT S&WICES PERMIT PLIN197-0159
13125 SW Haft Blvd., Tigard,OR 97223 (503)631'-4171 DATE ISSUI 05/06/97
P,P,PCEI-.: 2SIIIBC-Oc`-''303
SITE ADDRESS. . . : 1.46OQ' SW 103FRD AVE
SUBDIVISION. . . . . TIGARI)VTI.J-E HEIGHTS ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . .. . : '1 JURISDICTION: TIG
-------------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. 0
FYPF OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . 0
OCCIJPANCY GRP— :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . :
12) WATER HFATF:RS. . . . . : I CATCH BASINS. . . . . . . : 0
F I LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 1A
SINKS. . . . . . . . . . 0 URTNALS. . . . . . . . .. . . : 0 GREASE TRAPS. . . . . .. . ; 0
I AVATORIES. . . . : 17.1 OTHER FTX1-I.JRFF). . . . . 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . 0
WATER CLOSETS. : 0 WATER LINE (f t ) . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0
Remarks : Installinq watcr heater
nwner: FEES ---------------
IIATHY NOKES type aMOI.Ant by nate recpt
1.4600 SW 103RD AVE PIRMT $ 25. 00 B 05/06/97 97-294195
TIGARD OR 97224-0000 5PCT $ 1. 25 B 05/06/97 97--294195
Phone 4:
Ccintractot-------------------------------------
(7
.,FORGE MORI...AN PLUMBING & APL TANCE9
Ir-.585 9W PACIFIC HWY
TIGARD OR 97223 ---------------------------------------
Phnne #: 503-624-689'3 $ 26. 25 TOTAL
Req 000027
REQUIRED TNSPEc'rInNS
This peroit is issued subject to the regulations contained in the Misr. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and fll tither Final Inspection
applicable laws. All work oil] be done in arr—diore with
anproyed plans. This oervit will expire if work is not startid
within 180 days of issuance, or if work is suspended for erre
+hin !W days.
PermittpF- Signati.tre-
Pd S
y
Call for inspection 639-4175
TY OF TJGARD Plumbing Application Rech By
6125 SW HALL BLVD. Commercial and Residential Cate Recd -lr
GARD, OR 97223 " I Date to P E. _
;03) 639-4171 I��� �j \ � '� Cate to DST
Permit a Pe N1 7 D15�fi
Print rint or -Type Related SWR x
Incomplete or illegible applications will not be accepted called
Name of CevelepmenuProject --� FIXTURES (Individual) QTY PRICE AMT
Job ----� Smk — - 900
Address Lavatory
S rect Address / 9.00
1%1..,'-L' 1,.') U yh 7 �t/L. Tub or Tub/Shower Como. 9 00 i
Bldg a CityrState Zip Shower Only
9.00
04 (i L Z water C--set 9�0
Name
'al�G�-� e Dishwasher —� 9,00
���/VVV 11
Owner Marling Address / Suite Garbage Disposal I 4 00 i
d �l.J 1, 4 rr� `�U� Washing Machine 3.00
CfryfState Zlp Phone /IZ Floor Dram 2' 9.00
(. i z4tj IUSI�' 3' - 9.00
Name
.) 4' 9.00 -
OccupAnt l f 'SI Address Suite water Heater 9.00
_ L„andry Room Tray 900
Cityfswte Zip Phone Unna! 9.00
Name ^ _ Other Fixtures(Specify) 9.00
Contractor ' Ma'liriii Address Suite
9.00 -
C.ry/State Zip,, Pt.,...t
900
'1712 7 (s zr�- f j� j _ 9.00
Oreton Const.Cont.Board Lic.0 Exp.Date 9.00 —�
IAsch Co”of 3r f -r/�C) 900
Cpm Plumbing LIG 0 �7 /1 Exp.Date Sewer• 1st 100- 30.00
S
ewer-each adcmhor•al 100'
` 25.00
COT 8 siness Tax or Metro>K Erp.Date
Water Service- 1st 100' 30.00
Name Water Service.each additional 200' 25.00
Architect Storm %Rain Oram- 1st 100' 30.00
Or Marling Addross I g, ;P Storm d Rain Drain-each admbonal 100' __ 25 00
_ 25 QO I
i
Engineer G.ryMobile Home Space __rState Zip I Phone Commercial Back Flow Prevention Device or Anti- 25.00 —
Pollution Cevice
-*scribe watt New O Addition O k3eration O Repair O Residential CocMlow Prevcntion Device' 15.00 I
b be done. Residential O Von-residential O Any Trap cr Waste Not Conneced to a Fixture 900 -_-J
A 0irtio W desrnpt.on of work .1 // _
c L;(Coh! �u (rtL,►'1C ' Catch gas n 900
- I Insp,of Existing P!umbmg 4000
v
_ oenhr
1- nsovg use of Seeeally Requested Inspections I 4000
-Idiiq a property--A--- oerlhr j
Rain Crain, sine family dwellir9 J0.00
°? ',oposed use of /i° Grease Traps 9.00
LL, wilding Of property) &C:.!///Gl i I� lf-f�Gl�-�—)r-.. -
-u QUANTITY TOTAL
are you =pping, moving cc replaang any fixtures? Yes p No L-] Isometric or riser aagram u recuvea d Cuanity Total�s >9
!If yes •ee back of form) 'SUBTOTAL
I hereby acknowledge that I ha-.e read this application,trial the information
;even.s zorrect.!tial I am the owner-r authorized agent of the owner and 5% SURCHAPGE
'+at dans submitted are,n comolian �with Oregon State Laws
!,graturs of OwnenAgent Dau I PL Y REVIEW 25% OF SUBTOTAL
:7eCuir"only i fxt re Vy !M1 is>
l ✓ L L S I TOTAL
.intact Person Name A -Phan" L_
i Minimi m permit fees$25 - 5%surcharge.except Residential Bacxfiow
b Pre-2nt in Cevice which s S15 • 5!S surcnarge
',dstsv Imapp ooc 8198
J
PLEAS-L- -QQ IPUETE AS APPROPRIAT TQ PRQME-C- r:
Fixtures to be capped, moved or replaced Qty
Sink
ILavatory _ — —�---
Tub or Tub/Shower Combination
Shower Only _
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drai-�
2"
— 3„
4"
Waker Heater �-_---�
Laundry Roorn Tray
Urinal
Other Fixtures (Specify) _
COMMENTS REGARDING ABOVE:
------------ —
CL
J
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL RE:RM 'T -
13125 SW H..,;Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: EL_.R96-02-.29
DATE ISSUED: 10/07/96
PARCEL-: F'S 1 i i BC--02303
SITE ADDRESS. . . : 14600 SW 103RD AVE.
SUBDIVISION. . . . : TIGARDVILL-E HE=IGHTS ZONING: R-3. S
RI__OCK. . . . . . . . . , I_OT. . . . . . . . . . . . . :21
Project Pcocription: 191.rrlgar• Alarm
A. NESIDENTIAL.____._..___-- B. COMMERCIAL__-•----------___----.-----___._.----------._..__.__...._
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTER^0!1 & RAGING. .
BUNGLAIR ALARM. . . . : X BOII__ER. . . . . . . . . . : I....ANDSCAPE/I RRIGAT. . :
i=ARFi aE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . DATA/TELE COMM. . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM., . . . : F.RE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAI_. # OF SYSTF +IS: 0
Owner,: __..___._........_-_.--.----_..____.____...__._______...----___......______....___.___ ...___.____-- FEES
KATHY NOKES type amu+_rnt by date rer_pt
1.4600 SW 103RD AVE PRINT 4 44 . 00 JDA 10/07/96 96-28481.7
JPCT t• 2. 00 JDA 10/07/96 96-284817
TIGARD OR 9722-4-0000
Phone #: 503-639-6391
Contractor-:
ADT SECURITY ALARMS $ 4 :. 00 TOTAL_
703 NE HANCOCK
--- ---- REOU I RED INSPECTIONS
RORFI-AND OR 9721c: Wall. Cover Elect' l Final
Rhone #: 503--2843265 Elect' 1 Service
Reg #. . : 59944
This pe,•mit is issued sui:iect to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t ee S i gnat _ire
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 IN days. I s s i.r e d 11
INSTAI_.I_ATIOIJ
The installation is being maae on property I own which is not intended for,
sale, lease, or r-ent.
OWNS:R' S SIGNATURE: Y__ /�?-(,� DATE::
_-._-___--_________________CONTRACTOR INSTALLATION
SIGNATURE OF SUF'R. ELEC' N: DATE::
I-ICE_NSE NO:
Call for inspection - 639-4175
CITY UI~ '11UAkD - kFC:EIPT OF PAYMENI KLC;EIPT NO. 196--F'84817
CHF-'CK AMUUN Y : 48. 00
NWIE ADI' SE- URI ('Y SYS FEMS CHti41 IaM(JIJN r t 0. 00
N1117kk_bi j : tW: NE HANtMEA L'i•IYft.LN'1 E i 10/01 96
��.1�►r���1 I�=�I I.IN
PUR rLAN0, UR 9 7812•-
rlLtkr,06 : OF PAYMF N"1 AIrIUIIN 1 PA 10 PURPUL•AE OF PAYMEN"I AMUUN I I-IC41 E)
E!_F'CTkIC:AL. LIE.kMIJ 40.01 S1. $UMD PIrAi 2.00
LL1
J
F`�117 14600 `;ISI 103RU AV(--"
PE.RM 1 J M
f'O T Ai_ AMOUNI PAID
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phono): 639-4175 Buoineas Phones- 6.39-4171
Inapection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gee Line FINAL:
Poet/Beam -,Lruct. Sen. Sewer Framing -Bldg.
Poet/Beam Moch. Rain Drain Insulation -Plumb.
Plbg. Underfloor W/aat�er Line Gyp. Bd. -Mach.
Late Requested: ( L ___Times ___AM PM
Addresa:� Permit f s ,_—r`_
Builder: J
THE FOLLOWING CORRECTIONS ARE RVQUIRED:
01
Ci
F--
N
J
G7
LL)
Inspector:_ Dater
APPROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
} r
11125 SW Hall Blvd
PERMIT# _ R 9 ( U q
I igard, OR 97222323 _ I
Phone(503) 639-4171
FAX(503)684-7297 DATE ISSUED_ 1 3 �!6
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503) 6.39-4175 ISSUED BY ���� �
PLEASE COMPLETE ALL SECTIONS
1. LOCATION O INSTALLATION 4. TYPE OF WORK
Adder RESIDENTIAL--Restricted Energy Fee . . . . . . . . . $40.00
V (FOR ALL SYSTEMS)
City State Zip Q1cr_k.Tyoe of Wurk Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS. Burglar Alarm
1. CONTRACTOR APPLICATION ❑ Garage Door Opener"
❑ Heating,Ventilation and Air Conditioning System*
ContractorAVT SECURITY SYSTEM$,INC. Type Vacuurrr,Systems'
101 NF HANi OCK ❑ Other
Address PORI tAND,OR 91214 _ --
-- 3}M 32665 --
Date / V COMMERCIAL—Fee for each system . . . . . . . . . $40.00
(SEF OAR 91B-260-260)
Property Owner _ S CUck Tyne of Work Involved:
Contractor's Board Reg. No._ _ ❑ Audio and Ster_o Systviw,
❑ Boiler Controls
Phone# -_ ___ __ ❑ Clock Systems
❑ Data Telecoi imunication Installations
3. OWNER APPLICATION
❑ Fire Alarm Installation
n
Print Owner's Name Phone u ❑ Instrumentation
Address -- ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit Is issued ander OP.R 918-320-370.This applicant agiees to make only ❑ Nurse Calls
restricted energy,Installations 1100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where Iequited.(Certain
residential and other transactions are exempt from licensing.These have ❑ Other _
asterisks)').All others need licensing).
2. Call for an Inspection when all of the installations under this permit are ready
for inspection at 503.639.4175. ❑ Number of Systems
1 Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. •No P enses are required. Licenses are required for all other installations.
4. .Assume responsibility for assuring$at all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the S. FEES
corrections are completed. /
The person signing for this p• it must he the applicant or a person a. Enter Fees $ 1
authorized t nd the a nt.
b. 5% Surcharge(.05 total above)
Cigna ore TOTAL
$
Authority if other than applicant
ENERGAP.CHP
c ry OF TIGnRD RECEIPT OF PAYME-NT RECE"IP[* NO, 192'?P9614
CHECK AMOUNT A E..1 X5.). 0 0
NAM. NOKES, VATH`, CASH AMOUNT v 0. 00
(IDDRESS 1,+600 SW 103RD PAYMENT Df)TF x 07/16/9.?
SuBn I V I S3 I 01\1
TIGI-1141), OR 9720.4--
1 ,L1RPOSF (.)F PnYMENT AMOUNT PAID PURPOSUOF PAYMC-14T AkIomi PAID
L* WER LISA 0.100. 00 SEWER INSPECT 00
111
W17-h PERMIT
VOTAL AMOUNT PAID
INSPECTION NOTICE
City of Tigard Building De>artsaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. UnderBlab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gao Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloir Water Line / Q Gyp. Bd. /-Mech.
Date
%%JJ Requested:_ Tlmcv //�a.W"' - PN
Addre�s � /- _) U'3 •_ Permit. #t
Builder..-
THE
uilder:THE FOLLOWING CORRECTIONS ARE REQUIREDt
a-.
rc
Ln
r
Od
.1
inspectors 1)At e:
APPROVED _ DISAPPROVED _ APPROVED SUR•IECT TO ABOVE
---Call For Reinsp.
c� CONNECTION
1TYOF TIFARD ��TM� SEWER
C . PERMz r
COMMUNITY DEVELOPMENT DEPARTMENT ORNM
13125 8W Hdl BMd p.o.Bak 23907,Tigod,Oregon
072231�1ex�o-4,76 PERMIT #. . . . . . . > �-swR9�— ,�_4�
6;;9-41.71. DATE ISSUED: 07/1E,/9`
PARCEL:
�I i l ADDRESS. . . : 1461ZILA SW 103RD AVE ZONING:
-UBD I V I S I ON. . . . .
FLOCK. . . . . . . . . .
-_--•______LOT. . . . . . . . . . . . .
__.___.___
I—ENANT NAME. . . . . : FIXTURE UNITS. . . :
USA NO. . . . . . . . . .
GW["Ll_I NG UN I TCi. . : .1.
CLASS OF WORT'.. . . :NEW NO. OF BUILDINGS:
YPE OF USE. . . . . ISF IMPF_PU SURFACE. . : s
I►\ISTAI_L- fvF'E. . . . :PUSWR
Remarks :
_ ------------------ FEES ----------------
KATHYr1CJI�,LS— type Amount by d-Ate r'`` o
PRMT $ 2100. 00 JH 07/ 16/92
KATHY SW 103RD0'1/ 16/92 NSP $ 3 a. (�0 .IN 0'1/ 16/92 —
.I. .3AHD OR 9 7c:,'4
Phone #:
(A tit ract or:
CONTRACTOR NOT ON F IL E
-------- x:135. 00 TOTAL_
i-'hone Il::
Reg #. . I _.._.___—_ REQU 7 RED INSPECTIONS -----_-.
This Replicant agrees to comply with all the rules and regulations Bewevr inspection
of the Unified Sewage Agency. The permit expires 180 days fros — ------
the date issued. The trial amount paid will be forfeited if the ._ —• �—
permit expires. The Agency does not guarantee tho accuracy of the ry
side sewer laterals. If the sewer is not located at the measurement —
given. the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Persit and the Agency will install a latet•al.
e+r,mittee SiynAtt_rre :
T S s 1a e d A y :
CM I f'or inspect i on — 639--4173