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12260 SW 106TH DRIVE i ADDRESS. svv Ix; R IVL 9 (t N .J G] LD 1.0 i:Vc-mrds\rnicrolil n\largels\t)uiidivg.d(,),-- CITY OF TIGARD BUILDING INSPcCTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP _ Date Requested � L � AM_-----PM ,—.- BLD Location�o��a`�t'(� 50 0 ` -- Suite _ MEC Contact Person _JCU 4-11 Ph PLM l��- O -)-34`7 Contractor c0qPh ��" � SWR _ ,BUILDING Tenant/ .,w ger ELC Retaining Wall _ ELR — Footing Access: Foundation FPSU - - Fig Drain pb(_ SGN — Crawl Drai i Inspection Notes: Slab -- SIT Post&Beam Ext Sheath/Shear ec Int Sheath/Shear FramingInsulation Drywall r Drywall Nailing �� — Firewall Fire Sprinkle — - Fire Alarm Susp'd Ceiling —• - — Roof Misc:_ --- --- Final PASS PART FAIL ----- --- -- PLUMBING _ Post& Beam Under Slab Top Out Water Service _ S.„„ury Sewer - Rain Drains T'IED PART FAIT — — --- — ------M-ECHANICAL Post R Beam - -- -_.T - --- --- — --- Rough In Gas Line -- ._ --_ — ----- - — Smoke Dampers Final �.---- -- ----- ..—� PASS PART FAIL ELECTRICAL _ ___--------_-__- --- — • Service Rough In UG/Slab - --- -- -- -- - --...�— �- Low Voltage Fire Alarm -- — ------—-- ------ --- — —� Final PASS PART FAIL - _ - -- ----- -- - ``; SITE Backfill/Grading -- Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next I ispection. Pay at City Gall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE. [ ] U,,able to inspect-no access Fire Supply Line - — ADA Approach'Sidewalk Da#e (uZ Inspector Ext Other -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2.4-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP _-Date Requested /�� A.M� PM �/ BLD Location �� ' � /06,;K b • Suite _ MEC f 9�J�1��Y3 Contact Person l� L Ph664 -161 PLM Contractor G"� (' aus Ph (P" / SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR Footing �1�e�a FPS — — Foundation ACC@SS: n Ftg Drain Crawl Drain Inspection Notes: SGN _- Slab / _��! �U,7'' i Post& Beam �� r Ext Sheath/Shear Int Sheath/Shear - 9 Framing Insulation Drywall Nailing - Firewall Fite Sprinkler Fire Alarm Susp'd Ceiling Roof Misc --- Final PASS PART FAIL ----- - - PLUMBING [lost& Beam Under Slab Top Out ..--- ---- ------ - Water Service _ Sanita y Sewer Rain Drains final -- PASS PART FAIL 110tCH - PosTABeam ------ ---------- ------ _--_�_`�-----___ Rough In Gas Line - ---- --- .. ---- - --- _�_�-�_ Smoke Dampers i ----------- PA PART FAIL ELECTRICAL -- --_ ___-__ --- - --- ---------------- ---- Service Rough In UG/Slab --- ----�_._Y.-,--- -- - -- --- ✓- -------- - Low Voltage Fire Alarm Final PASS PART FAIL_ - ��' SITE Backfill/Grading Sanitary Sewer Storm Drain ( )Reinspection fee of$ - required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE:- )Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date \� Inspector j� Ext _ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P /12/19 -00327 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10!12/1999 PARCEL: 2S 103AA-02300 SITE ADDRESS: 12260 SW 106TH DR SUBDIVISION- CLYDESDALE ZONING: R-4.5 BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: 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 WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Water heater conversion FEES Owner: ��— Type By Date Amount Receipt REYNOLDS, SCOTT E + LISA M PRMT BON 10/12/199 $50.00 99-318999 12260 SW 106TH DR 5PCT BON 10/121199 $4.00 99-318999 TIGARD, OR 97223 Total $54.00 Phone 1: Contractor: COS" PLUS HEATING & AIR 7132 N FESSENDEN PORTLAND, OR 97203 REQUIRED INSPECTIONS Phone 1: 503-286-2009 Misc. Inspection Reg #: LIC 47978 Final Inspection PLM 26-537PB ORIGINAL cr, ,�_— I This permit is issued subject to the regulations contained in the Tigard M in.icipal Corte, 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 issuam e, 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 9F,'--0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: �{(/L Permittee Signature: p,,,.u% Call (503) 639-4175 by 7:00 P.M. 'or ao inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check 13125SW HALL BLVD. Commercial and Residential Recd By �- TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. Date to DST Print or Type Permit#_ `f -7 Incomplete Incomplete or illegible applications will not be accepted Related SWR# Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job I:.ZG -� w� /C-(c __>r Sink 11.50 Address Street Address Suite I Lavatory _ 11.50 Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zip Shower Only 11.50 Name Water Closet/Urinal (Specify) 11.50 Jcctt+- tZ ey6JcDishwasher 11.50 Owner Mailing Address Suite Urinal 11 50 / 7_zti0 - _ Garbage Disposal 11.50 Cily/State Zip Phone -- Laundry Tray 11.50 �o-'t-0- ,f Name Washing Machine/Laundry Tray (Specify) 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing A Suite 3" 11.50 -- 4" 11.50 City/State Zip Phone - Water Healer Vconverslon O like kind 11.50 _ Name Gas piping requires a separate mechanical permit. C: y, /yC j f//�/ r ry ,C MFG Home New Water Service 32.00 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 32.00 713Z rrsfnrC�=^ Hose Bibs 11.50 Prior to permit Ci%State Zip Phone Roof Drains 11.50 issuance,a copy t- 7 rA.W- -14;c - -L_ Drinking Fountain 11.50 of all licenses are Oregon Const Cont.Board 1_1c.# Exp.Date required If r 7 9 7 b` 1 e -e'! Other Fixtures(Specify) 15.00 expired In COT Plumbing Lic.# Exp.Date database ;"6 / '30"07 --- Name Architect Sewer-1st 100' 38.00 Or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1st 100' 38.00 Engineer City/State Zip Phone Water Service-each additional 200' 3200. Describe work to be done. Storm 6 Rain Drain-1 st 100' 38.00 New-1k Repair O Replace with like kind: Yes O No O Storm 6 Rain Drain-each additional 100' 32.00 Residential O Commercial O description of work: firms ptf!�'S- Commercial Back Flow Prevention Device 32.00 Additional r k. - f/ Residential Backflow Prevention Device' 19.00 -"�`� a, �6� 1, t �) Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 -- Yes O No O Inspections _ _ mer/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50 I-" WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL _JI hereby acknowledge that I have read this application,that the Information Isometric or riser diagram is required i1 Quantity Total Is >9 given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance w *SUBTOTALith Oregon Stele Laws. LL Signat r of Owr,70,A7, Date � .� 8%SURCHARGE Contact Person Name Phone y(, Z.41 **PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE$178.00 Required only is fixture qty total Is>9 TOTAL 2 BATH HOUSE$250.00 �r1 3 BATH HOUSE$285.00 ---- -- 1 (This fee Includes all plumbing fixtures In the dwelling and the first •Minimum permit fee Is$50+8%surcharge except Residential Packflaw Prevention 100 feet of sanitary sewer storms sewer and water service) D, ..:e.which Is$25+8%surcharge '•All New Commercial Buildings require plans with Isometric or riser dingrarr+and plan review I tr131sftrmrlplum Opp drx.101e199 _ PLEASE COMPLETE: Fixture Type Quantity by Work Performed _ New Moved Replaced Removed/Capped Sink _ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Urinal Garbage Disposal _ Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater _ Other Fixtures (Specify) COMMEN'TS REGARDING ABOVE: R co N W J '.1d11/QOfIM�M1I�PP.{�OQ�QQAO - ' /� ® � MECHANICAL HERMIT CITY OF T I G DEVELOPMENT SERVICES PERMIT#: MEC1999-00428 DATE ISSUED: 1011 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 23103AA- 3AA-02300 SITE ADDRESS: 12260 SW 106TH DR SUBDIVISION: CLYDESDALE ZONING: R-4.5 BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP ',OOLERS: TYPE OF USE: 3F UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: 1 VENT SYSTEMS: STORIES: BOILERSICOMPRESSORS HOODS: _ FUEL TYPES 0 - s HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: i UNITS: FIRE DAMPERS?: 30 - 50 HP: O OD GAS PRESSURE: 50 + HP: COD S: FURN < 100K BTU: AIR. HANDLING UNITS CLO DRYERS: OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: �v > 10000 cfm: GAS OUTLETS: 1 Remarks: Venting for water heater, gas fireplace, and gas piping Owner: FEES REYNOLDS, SCOTT E + LISA M Type By Date Amount Receipt 12260 SW 106TH DR PRMT BON 10/12/19 $50.00 99-318999 TIGARD, OR 97223 5PCT BON 10/12/19f $4.00 99-318999 Total $54.00 Phone: - —J- Contractor: COST PLUS HEATING + AIR 7132 N FESSENDEN ST PORTLAND, OR 97203 REQUIRED INSPECTIONS Gas Line Insp Phone:286-2009 Misc. Inspection Reg M LIC 000479 Final Inspection ORIGINAL C- 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 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obta' copies of these rL,les or direct questions to OUNC-by calling (5�0)3)246-9189. Issue By: �J�QQL Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Plan Check CITY OF TIGARD Mechanical Permit Application Recd By 13125F SW HALL BLVD. Commercial and Residential Date Recd I0 12 1 TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 (P to DST Forint or Type en"it# L��WA _ Incomplete or illegible_applications will not be accepted called - Name of Development/Project Description j A Z4P0 f-c- io(v b; Table 1A Mechanical Code Q!Y Price Amt Job Street Address SnRe# - A) Permit Fee - t i ' I!`'I;� it 16.00 Address 1) Furnace to 100,000 BTU -_ I including ducts&vents see footnote 1,2 9.65 Bldg# City/state Zip 2) Furnace 100,000 BTU+ _ including ducts&vents _see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace Owner S(c-ll k,• iluc•I.U5 including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater,wall heater i� or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 1 4.:'5 7 CIt Stete Zip Phone Check all that apply: 'Boiler Heat Air ."_11J.4, ' 97e*e 3 For items 6-10,see or Pump Cond Qty Price Amt Name(or name of business) footnotes 1,2 Comp 6)<3HP;absorb unit to 100K BTU 9.65 _ Occupant Malting Add .is�f 7)3-15 HP,absorb unit 100k to 500k BTU _ 17.65 Cny/State Zip Phone 8)11,30 HP;absorb unit .5-1 mil BTU _ 24.15 9)30.50 HP;absorb Contractor Nam 9) 1-1.73 mil BTU _ 36.00 ` �if 10/1'1 tyf A K'f 1h- 10)>50HP;absorb unit Prior to permit Mailing Address / >1.75 mil BTU 60.15 issuance,a copy 7/3 It e'' 11 Air handling unit to 10,000 CFM - of all licenses Cny/Stet Zip Phone 7.00 are required if �,-4 -77Lw_; 'j)& ''"f 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const Cont.Board Lic# F.yp Date 11.85 database 0cl 7,v, 13)Non-portable evaporate cooler Architect Name _ _ 7.00 14)Vent fan connected to a single duct Or Melling Address - _ _ 4.75 15)Ventilation system not included in _ appliance permit _ 7_.00 Engineer Clty/State- Zip Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done: 17)Domestic incinerators 12.00 New O Repair O Replace with like kind. Yes O No O 18)Commercial or industrial type incinerator Residential Commercial _ 48.25 19)Repair units Additional information or description of work8.40 _ 20)Wood stove/gas FP/ her units/clothe dryer/etc. n1 7.00 NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets 3 12 structural gas calcs See footnote 1 3.75 Type of fuel o!10 naturalgasli, LPG O electric O 22)More than 4-per outlet(each) ___ .75 Minimum Permit Fee$50.00 SUETOTAL f S .77 I hereby acknowledge that I have read this application,that the information _ _ 8%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 L Signature of Owner/Agent Date --- ------- -�- Other Inspections and Fees: /f Ick. A). 1. Inspections outside of normal business hours(mininum charge-two Contact Person Name Phone hours) $50.00 per hour 2. Inspections for which no fee Is specifically Indicated (minimum 'e e,S charge-half hour) $50.00 per hour FF 'onotes for commercial projects only: 3. 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 units. 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I hmechrerm doc rev 7/19/99