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J / SGN Crawl Drain Inspection N es: Slab fes_-.� ( /1 — SIT Post&Beam -- Ext Sheath/Shear Int Sheath/Shear `QS L ^ �r� ` 7> 1 Framing _ "F `� InsulationT- Drywall Nailing y►� j5 �" _ _ _ __ __ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - ------ - - -- Roof ----------- ------ --- --- Final PASS PART FAIL - -- --- - ----- ------ PLUMRING Post&Beam Under Slab Top Jut Water Service Sanitary Sewer Rain Drains Final - PAS RT F_AiL C MA19 IC Rou h In as Lina -- S e Dampers ,1 PASS - �\ -- - - ---- `ART FAIL if ELECTRICAL Service Rough In C- UG/Slab Low Voltage V) Fire Alarm > Final '- PASS PART FAIL —' SITE Backfill/Grading Sanitury 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: Fire Supply Line _ [ )Unable to Inspect no access ADA '�J Approach/Sidewalk Date __Inspector � (� Ext 1 t:aher _ ----- - --- ... -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYO F T I G g R D - MECHANICAL PF-":AIT DEVELOPMENT SERVICES PERMIT#: MEC199� `0526 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/01/1999 PARCEL: 2 S 103AB-02800 SITE ADDRESS: 12432 SW 114TH TERR SUBDIVISION: WALNUT GROVE 20NING: R-4.5 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP CnCLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS, STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: 1 GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 1UOK BTU: AIR HANDLING UNII•S OTHER UNITS: FURN >=;100K r3TU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Instaliation of a gas fireplace insert and gas piping. Owner: FEES MILTON SHARP Type By Date Amount Receipt 12432 SW 114TH TERR PRMT GEO 12/01/19E $50.00 99-320093 TIGARD, OR 97223 5PCT GEO 12/01/19E $4.00 99-320093 Total _ $54.00 Phone:503-524-9084 -- Contractor: T + K MECHANICAL TIMOTHY S WYNNE 11525 SW CANYON REQUIRED INSPECTIONS 9EAVERTON, OR 97005 Gas tine Insp Phone:62.6-4652 Woodstove Insp Reg #:LIC 0012,1165 Final Inspection ORIGINAL 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. ATT ENTION 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 copies ,o; hese rules or direct questions to OUNC by cal ing (03) 6-9`l9. Issue By: —J ` ermittee Signature: _ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Plan Check# CITY OF TIGARD ® Wlechanic,2.l Permit Applic n Recd By .13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223Date to P.E._ (503) 639-4171, k3u4Date to DST_ Print er Type `G Permit Incomplete or illegible applications will not be accepted Caned Name of Development/Project Descriotion Table to Mechanical Code _ Qt Price Amt Job Street Ad ress �, „ A) Permit Fee _ 16.00 Address �� `�(�� _' 'P iv 1) Furnace to 100,000 BTU including ducts&vents see footnote 1,2 9.65_ Bldg# cry!state Zip 2) Furnace 100,000 BTU+ including ducts&vents see footnc_de_1,2 12.00 5Na a(for name of business) 3) Floor Furnace Owner 'Tf,(� A �,F _ including vent _see footnote 1,2 _ 9.65 Melling Ad esa 4) S"srrndel heater,wall heater / or floor mounted seater _ iuu iooinote 1,2 9.65 A) � �Gl� f ��{ !� 5) Vont not incl)(led in ap liance permit 4.75 to zip Phone Check all that apply: Boiler Heat Air For Items 6.10,se4 or Pump Cond Qty Price Amt Name(of name of tusiness) footnotes 1,2 _ Comp 6)<31­lP;absorb unit to 100K BTU I __ 9.65 Occupant Malllrg Addrees N , 7)3-15 HP;absorh unit - ��ff 100k to 500k BTU 17.65 City/Crate Zip Phone 8) 15-30 HP;absorb utit.5-1 mil BTU 24.15 Contractor Name 9)30-50 HP;absorb 1 ( unit 1-1.75 mil BTU 36.00 - to '' 10)>50HP;absorb unit I Prior to permit 4ddresa n >1.75 mil BTU 60.15 issuance,a copy 11 V!_1 11 Air handling unit to 10,000 CFM of all licenses aip Phone 7.00 are required if �V m2'e' 1y" 12)Air handling unit 10,000 CFM+ expired in COT Orego nat.Cont Board Lic# Fxp Date 11.75 database �� - 13)Non-portable evaporate cooler Architect Name 7.00 _ 14)Vent fan connected to a single duct Mailing Address 4.75 or 15)Ventilation system not included in appliance permit _ 7.00 Engineer Cay/slate Zip Phone 16)Hood served by mechanical exhaust 7.00 Describe cork to he done 17)Domestic incinerators 12.00 New O Repair O Rf place with like kind: Yes O No O 18)Commercial or industrial type incinerator ResidentiaComrrarcial0 148.25 1 1)Repair units Additional information or description of work 20)Wood stoveigas FP/uther units/clothe dryer/etc. _ 7.00 �. NOTE: For Commercial pr,ijects only;Units over 400 lbs require 21)Gas piping one to four outlets slruLlural gas talcsSee footnote 1 3.75 3 Type of fuel. oil O natural g� LPG O electric O 22)More than 4-per outlet(each) 75 \ Minimum Permit Fee$50.00 SUBTOTAL hereby acknowledge that I have read this application,that the information %SURCHARGE given is correct,that I am the owner or authorized agent of PLAID REVIEW 25'/..OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial rmits onl TOTAL Signatur� ow ent Date Other Inspections and Fees: 1. Inspections outside of normal business hours(mininum charge-two- u c6ntact Parson Name Phone hours) $50.00 per hour 2. Inspections for which:lo fee Is specifically indicated (minimum charge-half hour) $50.00 per hour Foonotes 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(m;nlmum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed m,3chanical _ units _ "State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1:lmechperm.doc rev 02/4/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 0/� -_ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIPDate Requested— q-/5- � AM� PM BLp Location Z- �SGC,� 1/491 tIA Suite � MEC Contact Person _MWt 2. ��')�t Ph .� L -� i, 1 PLM Contractor;, ., Ph SWR JI5UILDI4f3.-' Tenant/Owner ELC _ Retaining Wall ELR Footing ,access: Foundation o 2 FPS Ftg Drain �l_ q"J"�at ,? 644 Crawl Drain Inspection otes: SGN Slab 7�.ci SIT Pos!&Beam �// � ----- Ext Sheath/Shear (( lv -r'7t,f�' Int Sheath/Shear Framing Insulation -�- Drywall Nailing Firewall �J_« Fire Sprinkler _ Fire Alarm _ Susp'd Ceiling Roof MI PART FAIL- PLUMSINn Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -- PASS_ PART FAIL MECHANICAL Post$ Beam Rough In Gas Line --- - --- - - - - -- --- --- --- - - —_-- Smoke Dampers Final ----------- -- - PASS PART FAIL ELECTRICAL --- ---- - -- - ...--------- ----- — — -- Service Rough In ------------ ---- UG#Slab Low Voltage _ N 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 Fire Supply Lin. ( )Please call for reinspection RE: [ )Unable to inspect-no access ADA C1 Approach/Sidewalk Other Date 1 Inspector �.1�� ` __- _Ext Final PASS PART FAIL DO NOT REMOVE this inspection reco7d from the job site. CITY OF TIGARD MASTER F,ERMIT f DEVELOPMENT SERVICES F,F_RMIT #. . . . . . . : MST9.9-0163 f 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/13/98 PARCEL: 2S103AB-02800 SITE ADDRESS. . . : 12_4;32 SW 114TH TERR SUBDIVISION. . . . :WALNUT GROVE ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :001 JURISDICTION: TIG Remarks: Installing a bay window -------------------- -------------------— — BUILDING - - -------- --- REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMCNT...: 0 sf REr]UIRED SETBACKS---- TEQUIRED-•------•----- CLASS OF WOPK.:ALT HEIGHT........: 0 FIRST..... 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECT,'d: TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0 TYPE OF CONST.:SN DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE../: 2325 REAR..........: 0 - ---------—-----------------____--_----------- - --- PLUMBING -------------- ---_—_—__--- SINKS.........: 0 WATER CLGSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------------------------------------------- MECHANICAL ----------------------------- FUEL TYPES---------- FURN ( ION ..: 0 ROIL/CMP ( 3HP: 0 VENT FANS.....: ry CLOTHES DRYERS: 0 FURN )=1O0K ..: 0 UNIT HEATERS..: 0 HOODS.........: F OTHER UIITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOOlyjTOVES....: f GAS OUTLETS...: 0 ---------------------------------------------------------- -- ELECTRICAL ------------- --------------------------------------------- —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- —TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 200 alp.,: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD`L 5O0SF.: 0 201 - 400 amn•.: ? 201 - 408 asp..: 0 1st W/O SVC/FDR: P SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 imp..: P 401 - 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANE HM/SVC/FDR: 0 60, - IOPd asp.: 0 6O1�amps-1000 v: 0 MINOR LABEL -10: 0 1000+ arp/volt.: 0 ------------------------------------• PLAN REV:EW SECTION -------------------------------- Recv:iect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOM1NPL: CLS AREA/SPC OCC: --------------------------------- -------- ELECTRICAL - RESTRICTED ENERGY -------------------------------—------------------ A. SF RFS IDENT IAL---------------_ ----- B. COMMERCIAL-----------—----------------------------------------------------------------- AIIDIO d STEREO.: VACUUM SYSTEM..: AUDIO Il STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTMR LNTI-C LT: BURGLAR ALARM..: OTH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE STGNL.: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELT COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: 0 Owner: ----------------------------- ----------------•------------- TOTAL FEES:$ 65.46 MILTON SHARP HERITAGE CONSTRUCTION This permit is subject to the regulations contained in the 12432 SW 114TH TERR I REMODELING Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 PO BOX 1094 other applicable laws. All work will be done in accordance MCMINNVILLE OR 97128 with approved plans. This permit will expire if work is Phone is 524-9084 Phone #: 435-1358 not Started within 180 days of issuance, or if the work is Reg C.: 126989 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 952-001-0010 through OAR 952-081-9080. You may obtain copies of these rules or direct questions to OUdC by calling (503)246-1981. -------------- ----------------- ---____----- RECUIRED INSPECTIONS ----------------------------•------------------------- Footing Insp Building Final '. Foundation Insp _ - Post/Beam Struct Framing Insp In;ulation Issi-ted S i Permittee Signati.tre : +++++++++ +++++++++++++++++++++++++++++++++++++++++++++ + ++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bU iness day Plan Check#y Cl1N4QF,.TJGARD Residential Building Permit Application Recd By 13125 SVtif HALL BLVD. New Construction Additions or Alterations Date Recd D "J " TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ��- V 503-639-4171 Date toD T 2 �' y F 503-684-7297 Permit#_ 1 `&-'l Print or Type Called Incomplete or illegible applications will not be accepted Name of Project Name Job _F,2tJndoJ - — Address Site Ad ess Architect Mailing Address 1p V/akhur byovz � City/State � Zi Marne p Fhcne _ Mlltyn �huoP — Name Owner Mailing AddressC,4 1144, Te(racC ' City/State zip{ Phone Engineer fiMalitng Address I i0.►A UIQ C11� ?� ��� � CitylState Zip Phone General Name nn,„,' �� ` Contractor WiP44ey 01n1 'h'IACf►6A K¢fflL*0� Describe work New O Addition AI atidn O Repair O M rlrng A d(ess to be done: Prior to permit Vg I M4 Additional Description of Work: issuance,a copy City/State Zip Phone of ail licenses CiAltilivtWIL °111 .8 +gs-I?sS�v are required if Oregon Const.Cont. Board Exp.Date PROJECT _ expired in CUT Lic# ����Q VALUATION $ Gl 1 database O Mechanical Name NEW CONSTRUCTION ONLY: _ Sub- Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address — Prior to permit Corner Lot YES NO Flag Lot,-7Burglar NO issuance, a copy City/State— ;t. Phone check one) (check on _ of all licenses ReS►ciQted Audio/Stereo are required if Oregon Const Cont.Board Exp. Date ` Energy System Alarm expired in COT Lic# — - database Installation Garage Dot)r HVAC Plumbing Name .Open.ar Systems Sub- (check all that r: Contractor Marling Address apply) Will the electrical subcontractor wl e4or all YES NO restricted energy installations? Prior to permit City/State zip Phone issuance, a copy Has the Subdivision Plat recorded? N/A YES NO of all licenses are Oregon Const.Cont. Exp. Date required if Lic# Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic.# Date I hearby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized Name agent of the owner, and that plans submitted are in compliance with Oregon State laws. _ Electrical Sign t e of Pwner/ �`_ Date Sub- Mailing Address ti" 'tl ( .efi )� is Contractor .! �' ' ; me J. Phone# -t City/State Zip Phone _ K-I�'t �� Kanniell0'��C411U[IZ -} 3SA Prior to permit - FOR OFFICE SE ONLY: _ issuance, a copy Plat#: Map/TL#: J of all licenses are Oregon Const.cont. Board Exp.Date ( n'r!, ^r- -ZM required if Lir�� et acksVZorye; � Solar:`^ expired in COT 15 '1 11 database 9ectrical Lic.# Exp.D to J ' L EnginPering Approval: Planning proval: TIF: _ I - -- - I SFREM.DOC (DST) 4/97 w f;c `. L�T J la[ I7 rr r Ol n3� d2- 0 V r 77�off' -------- - -6 I 4 1 cc N }"%vat C SSr �� atmud�.Pary �n P� . IM 4 M►Its S , i�111W(t \ D� q 1 `� � � '4 -13� ��►}32 SAN 11►� fe - ��- a,5 03'A 92 0)SOD INSPECTIONNOTICE.'. City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busine..s Phoae: 639-4171 Inspection: -- Footing Plbg. Underslab Mech. Rough-in Appr!Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation ` Plumb. Plbg. Underfloor Water Lino Gyp. Ed. -Mach. Date Requested): / Z. Time: AMPM Add-esa: 1t Qlk 2— Builder:Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: I a ct J Inspectors Date: T__ �C APPROVED — DISAPPROVED APPROVED SUBJECT TO ABOVE J G-Call For Reinsp.