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11650 SW 114TH PLACE-1 i ADDRESS: sw Ct H V1 Y H J G] L I11 J I:VecordsLnicrollrnltargetslbvilding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MIST 24-Hour Inspection Line: 639-4175 Business Line,- 539-4171 — G, BIjP Date Requested (, I,�L�' AM_ PM � BLD _ Location Suite �.— MEC Contact Person L _ Ph b3q� < <��? _ PLM ?_�'_z?S Contractor Ph Z -SCU SWR BUIL INC Tenant/Owner _ ELC ,-- Retaining Wall Y — ELR _ Footing Ar,-ess-. Foundation FPS r.ty Drain _ -- --- Crawl Drain Inspection Notes: SIGN — Slab -- ---- ---- --- SIl Post& Beam --- --- Ext Sheath/Shear ! nlc�•cf z - its! - 2' '�-S , , Int Sheath/Shear ----- Framing Insulation —-----Drywall Nailing Nailiny Firewall --_- Fire Sprinkler ___._ �c!�Z- .; //✓ Fire Alarm Susp'd Ceiling - Roof Misc: --- Final -------- ^ ------___ -------- PcA;a�i� PART FAIT. -- —._..-- ----- / - ---------- ---- ---- PLUMBING,` Post& Beam -- Under Slab Top Out - -----._._ Water Service Snnitary Sewer - --- ---- -- Rain Drains 7AS1 PART FAIL _.------- Rough In - ------------------- ---. Gas Line - - ----------- - --- Smoke Dampers — - - S PART FAIL Efff TRICAL ---- -- -- — -- - Service Rough In -- UG/Slab > Low Voltage - ~ Fire Alarm Final i - ----- - --- -.. PASS PART FAIL - --------- -- �, SITE —._-- -' Backfill/Grading - --- ----- Sanitary Sewer Storm Drain ( ] Reinspection fee of$_-_ requires;before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE __ ( ] Unable to inspect-no access ADA Approach/Sidewalk other D`'=c' �}?W- j -- ---Inspector_ Ext Final PASS _PART_ —FAIL- , 00 NOT REMOVE this Inspection record from the job site. CITY O F TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00275 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/30/99 SITE ADDRESS: 11650 S\,'V 1 , 3TH PL PARCEL: 1 S134DC-02300 SUBDIVISION: 114TH PLACE ZONING: R-4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE= HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: 'CRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAJNDRY TRAYS: SF RAIN DRAINS: SINKS: _ URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: tt WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: InstallatIL -i of a new water heater. _ FEES Owner: Type By Date Amount Receipt LAMB, TED A JANNENE R PRMT GEO 8/30/99 $50.00 99-318918 11650 SW 114TH Pl. TIGARD, OR 97223 SPCT GEO 8/30/99 $3.50 99-318015 ^ Total $53.50 I Phone 1: Contractor: PlOi�EER GAS FURNACE 3615 NE BROADWAY PORTLAND, OR 97232 REQUIRED INSPECTIONS Phone 1: 249-5000 Final Inspection Reg #: LIC 003610 PLM 26-621 PB ORIGINAL This permit is issued subject 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 suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Ci7mter. 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 'JUNG by calling (503) 246-1987. Issued By: , Permittee Signature: Call (503139-4175 by 7:00 P.M. for an Ens;iection needed the next business day 08/26/99 '11111 08:46 FAX 503 598 1960 CITY OF TIGARD r1j003 CITY OF TIGARD Plumbing Permit Application Plan Check#_ 13125 SW HALL BLVD. Commercial and Residential Rer'd By Gate Recd TIGARD, OR 9722.. Oale to P,E. (503) 639-4171 Date to DST -�- Print of Type #f�G1r ��✓� Incornpiete or illegible applications will not be accepted PermitRelated 3wR# Called �:F iMtl I AMT Name of Dev3lopmenUProjecl Sink 11.50 Job11.50 StreelAddress r' Suite Lavatory 11.50 I Lb�� I y}If Tub or Tub/Shower Comb. 11.50 Bldg 1)E City/State Zip Shower Only 11.50 •r i I OR Water Closet/Urinal (Specify) 11.56 Na - LL L Dishwasher 11.50 owner III Address SuBe Garbage Disposal 11.F0 Washing Machine,LaundryTray (Specify) 11.F0 City/State Zip Phone T Flour Drain/Floor Sink 2" 11 50 T (p l 3' 11.50 Naq" -- - 11.50 _ IIWt• Occupant Mailing Address Suite Water Heater .conversion O like kind 11.50 I r, as piping requires a separate mechanical vermit. 1 City/State Zip Phone MFG Home New Water Service 28.00 _ MFG Home New San/Storm Sewer 28.00 Name I�„ 0 Hose Bibs 11.50 Cr'rltractor Mailing 52 Suite ^-�C• Rain Drains 11.50 n i Drlrking Founlelc 11.50 Prior to permit Ity/St to Zip Phone WD Other Fixtures(Specify) 15.00 Issuance,a copy 1 6 3,1 q 5 of all licen.es are Oregon Const.Cont Board Lie. �p Dale , --- required if p _ expired In COT Plumbing Lie.# xp Dale 1 database2. f•' 6 ,72b Name Sewer-1st 100' 38.00 Architect Sewer each additional 100' 32.00 Or Mailing Address Suite Water Service-1s(100' 38.00 -- Water Service-each additional 200' 32.00 Fngineer City/State Zlp Phone Storm d Rain Drain-1st 100' 38.00 ibe work to be��ne: Storm 6 Rein Drain-aach additional 100' 32.00 Descr - New O e air 1 Replace wllh like kind: Yes � No O %ommerdal Beck Flow Prevention Device 32.00 Resfdentia Commercial O __.-- Residential Backflow Prevention Jevlce' 19.00 Additional description of work: �1 Catch Basin 11.50 LL)��,f J I CU L Insp.of Existing Plumbing 50.00 rmr Are you capping,moving or replacing any fixtures? Specially Requested InaNctions 50.00 Yes No O per/hr N If yes,see back of form to Indicate work performed I,y Ran Draln,single family dwelling fixture. FAILURE TO ACCUIVJELY REPORT FIXTURE 45.00 Grease lYeps 11.50 WORK COULD RESULT IN INCREASED StWER FEES. , I hereby acknowledge that I have read this application,that the Information QUANTITY TOTAL given is correct,that I am(tie Owner or authorized agent of the owner,and f Isometric or riser diagram is required M Quantity Total Is -9 that tans submitted are In compliance with Oxon Stale Laws. 'SUBTOTAL 8t�l not wnor Agent > t° "y Tb SURCHARGE a /"�71 � Lam( - J � C n c Perron area P °fj � **PLAN REVIEW 26%OF SUBTOTAL 7 i (1 R wred only 111stura qty total Is>a µ� a.•. u�sk '`� ri TOTAL rn 2. UU.a"" iti y�■° w ,{n;iSF ill 9 .C.Ai,�c�r�PII ' n a r�t11�1 �T Utas f1r 'Minimum permit fee is$50+7%surcharge,except Residential Backflow 0rOvention �,�'� '� �p,� � r"r,ci Dev",whk!h Is$25+7%surcharge "All New commercial Buildings require pians wMh isomelrlc or riser diagram and plan review 1 kwsv,,mulpF,mapp dm WSW 08/k6/99 THU u8:47 FAX 503 598 1960 CITY OF TIGARD Z004 PLEASE CQMPLETE: ynr 1�9c 1 i I P r A ar' n Sink Lavatory _ --- - Tub or Tub/Shower Combination _Shower Only Water Closet Dishwasher _ Garbage Disposal -------a Washing Ma( pine - Floor Drain/Floor Sink 2" — 3 - 411 -_ - - Water Heater —_ - -�- — --- Laundry Room Tray__ Urinal ---- Other Fixtures (Specify) — COMMENTS REGARDING 1-%90VE: W — I WylsHom s�unaY+p doc.9l!J49 CITYOF TIG /� R� __+nECHANII;ALPERMIT CITY A DEVELOPMENT SERVICES PERMIT#: MEC1999-00357 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/30/99 PARCEL: 1 S134 DC-02300 SITE ADDRESS: 11650 SW 114TH PL SUBDIVISION: 11 —H PLACE ZONING: R-4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS 'NIO APDL: VENT SYSTEMS: STORIES: _ BOILERS!COMPRESSORS HOODS: FUEL_TYPES _ 0 - 3 HP: DCMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: VI GAS PRESSJRE: 50 + HP: CLO DRYERS: S: FURN < 100K BTU: i AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: R3marks: Install a new 100,000 BTU gas furnace and gas piping. Owner: _ FEES LAMB, TED A JANNENE R Type By Date Amount Receipt 11650 SW 114TH PL PRMT GEO 8/30/99 $50.00 2Ei-318018 TIGARD, OR 97223 5P(-;T' GEO 8/30/99 $3.5095-318019 Phone: Total $53.50 — Contractor: PIONEER FURNA :E 3615 NE BROADWAY PORTLAND, OR 97232 REQUIRED INSPECTIONS Gas Line Insp Phonr:249-5000 Heating Unt In3p Reg #:LIQ 36102 Final Inspection 0 n J :O This permit is ;;sued subject to the regulations contained in the Tigard Municipal Cade, State of Ire. 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 davq 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 obtain co pUe of these rules or direct questions to OUNC by calling (503)246-1,189. Issue By:� '� Permittee Signature: Call (50/3) 639-4175 by 7:00 P.I.I. for Inspections needed the next business day 08. 26/99 '1'1111 08.45 FAX 503 598 1960 CITY OF TIGARD 2002 Plan Check# DITTY OF TIGARD RECEMMchanical Permit Application Recd By_ . 13125 SW HALL BLVD. Commercial and Residential Date Recd_ ____ AUG �_ ip Date to P.E. TIGARD, OR 97223 `.? �' 195 I`/'V�' Date to DST (50316394171, x304 permit# COMMUNITY pEVEI'JFMENI Print or Type Called Incomplete or illegible applications will not be accepted Name u1 DevelnomenUProjed Description Qtl Price Amt — Table 1A Mechanical Code drat Address Su�.e# A Permit Fee 16.00 Job I � ' �j f�'p �� 1) Furnace to 100,OOU BTU Address I Y ►I including ducts&vents see footnote 1,2 9 65 $ 6 Bldg# City/State ZIP 2) Furnace 100,000 BTU+ `rl �j including ducts�vents _ see tootnote 1,2 Q V K C -7 12.00 pi�orr name ofbusiness) 3) Floor Furnace I„ includingvent see footnote 1,2 9.65 Owner _ rLJ , (,w,A 4) Suspended heater,wall heater Nestling Address or floor mounted heater _see footnote 1,2 9.65 1� ) f P,, 5 Vent not included Ina (lance rmit 4.75 I�tu� p Check all that a ply: "Boiler Heat Air CnylState (( ZlP �� p �� For Items 6-10,see or Pump Cond City Price Amt footnotes 1,2 Comp Nem (or name o1 businesp 6)<3t{P;absorb unit to 100K BTU 9.65 Maulny Address 7)3-15 HP;absort)unit Occupant J 17.65 h 24.15 100k to 500k BTU CIIy/Stata Zlp Pone 8)15-30 FIP;absorb unit.5-1 'nil BTLI 9)30-50 HP;absorb Contrilictor Name unit 1-1.75 mit BTU 36.00 10)>501-!P;absorb unit ( >1.75 mil B I U 80 15 Prior tormit Mailing Address � ' -' 'U �•�;, L (,�(.� 11 Ali handling unit to 10,000 CFM 1.00 issuance,a copy 90—m of all licenses NylStat 12 Alr handlingunit 10,000 AFM+ are required if CLO 7 ) 11.75 expired in COT Oregon Const Cord.Board lJo.# Da'a _ 13`Non-portable evaporate coole, database 1.00 Archltert N"T1e 14)vent fan connected to a single duct 4.75 _ Or Melling Address _ 15)Ventilation system not included in _ appliance permit 7.00 Engineer CNyISUto ZIP T Phune 16)Hood served by mechanical exhaust 7.00 _t —�-- 17)Domestic Incinerators nNew obe dr ne: _ 12.h0 18)Commercial or industrial type Incinerator pair O Replace v:Ott,Ilke V.md: Yesl NoO 411.25 lCommercial O 19)Repair units 8.40 _ Additional Information or dosaiption of work: 201 Wood stovelgas FPlother units/clothe dryerlute. �I!`SV� C,C� j �l l 1 _ 7.00 2 i)Cas piping one to four outlets � �� 7� NOTE: For Commbill. 3 7zercial projects only;Units over 400 structural as talcs. 22)More than 4-per o.dlat_each) ---_ •75 Type of fuel- oll O natural gas* LPG O electric O Minimum Permit Fee=60.Rt; SUBTOTAL 7%SURCHARGE I hereby acknowledge that 1 have read this application,that the information PLAN REVIEW 25%OF SURTO IAL given is correct,that I am the owner or authorized agent of the owner,that plans submitted are In compliance with Oregon Slate laws. Required for ALL commercial permits TOTAI 7 S �stun Other of Owne IAgenl - Dale ---- J oons and Fees:. Inspections outside of normal business hours(mtnlnum charge-two 1 Contact person Name Phone hours) $50.G0 per hour v n �7�71 2. Inspections for which no fee is specifically Indicated (minimum L)Vj •l' 7 `"� t G�' /' (JV V charge-hall hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions.o 1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hourt S50,00 per hour 2 Provide drawings to scale showing existing and proposed mechanical *State Contractor Boller Certification re4ulred units _ '*Residential A/C requires site plan stowing placement of unit I:Vnechperm.doc rev 0214/99