15565 SW 114TH COURT BLDGS I
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection i-ine: 639-4175 Business Line: 639-4171
c� ' UP
Date Requested /d 4a I / AM - PM BLD
Location / >S�' 2J // l �l Suit--
Contact
uitesContact Person ry I�u V n, cc– �� Ph `
Contractor Ph SWR
s
BUILDING Tenant/Owner ELC ILI
Retaining Wall ELIR /
Footing Access:
Foundation FPS
Fig Drain
Crawl Drai,i Inspection Notes: SGN —
Slab �— _ SIT
Post& Beam
Ext Sheath/Shear _
Int Sheath/Shear C t L) /
Framing a [�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm _ r
Susp'd Ceiling
Roof
Final `.
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab
Top Out —�
Water Service
Sanitary Sewer -
Rain Drains
Final
PASS PART_FAIL
CHANICAL .
Past& earn ------- ---- _ _ __.
Rouh In � > �6 ,
as Li t le — -- - .^—�..--- -- -- --
Smq�e Dampers
- PASS) PART FAIL
TRICAL
Service
Rough In
UG/Slab - --------- — -- ---- --. _�
t- Low Voltage
Fire Alarm
Final
co
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 Line [ ]Please call for reinspection RE: —_ _ _ [ j Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date � `� �Inspector_—_" (.,1`' �-' '"" Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
MECHAPi1�3ALPERMIT
CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT V.: MEC1999-00562
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/20/1999
PARCEL: 2S 11 ODC-90262
SITE ADDRESS: 15565 SW 114TH CT 26
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R-25
BLOCK: LOT: 026 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS by/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:
GAS PRESSURE: 50 + HP: 1NOOD
1
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:S:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of a gas fireplace insert, gas line existing, pressure Last line required.
Owner: _— f _ FEES
RALPH BURNET Type By Date Amount Receipt
15565 SW 114TF-I CT PRMT DST' 12/20/19 $50.00 99-320550
#26
TIGARD, OR 977.24 5PCT DST 12/20/19 $4.00 99-320550
— -
Phone:503-431-2209 Total $54.00
Contractor:
MR FURNACE HEATING INC
16285 SW 85TH AVE
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone:684-9014 Woodstove Insp
Reg#:LIC 00087907 Final Inspection
ORIGINAL
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UJ This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sate of Ore
J 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 pules 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 of ese rule or direct questions to OUNC by calling (503)246-9189.
Issue By: /� __Permittee Signature:`;_
Call (503) 639-4175 6y 7:00 P.M. for inspections needed,the next business day
Plan Check# _
CITY OF TIGARDMechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd_
TIGARD, OR 97223 Date to P.E.
(503' 639-4171, Y304 Date to DST�
Print or Type C._ __ Permit#
_ Incomplete or illegible applications will not be accepl.ed Called
r Name of Development/Project Description
Table 1A Mechanical Code Qt Price Amt
A) Permit Fee 16.00
Job Street Address Suitefl
"' <
Address - J 5 L') l I l �� 1) Futo ccs& 0 BTU
including ducts vents see footnote 1,2 9,65_
Bldg# Gay/State Zip 2) Furnace 100,000 BTU+
5- 4r q722AJ including ducts&vents see footnote 1,2 1200
Name(or name of business) 0 3) Floor Furnace
{i including vent see footnote 1,2 965
Owner i - rrl V- 4) Suspended heater,wall heater
Mailing
g Addre,ss
1 1j or floor mounted heater see footnote 1,2 9.65
- _ 5) Vent not included in appliance permit 4.75 _
City/State zip _ Phone Check all that apply.. 'Boiler Heat Air
?'2 y,�I 1 C) For Items 6-10,see or Pump Cond Qty Price Amt
Na (or nam�obusiness) footnotes 1,2 Comp ""
6)<3HP;absorb unit to
S va it /"` _ t 00K BTU 9.65
Occupant Mailing Address 0 3-15 HP;absorb unit
100k to 50C. 9TU 17.65
CRY/State Zip Phone 8) 15-30 HP;absorb
unit.5-1 mil BTU 24.15
_ 9)30.50 HP;absorb
Contractor Name unit 1-1.75 mil BTU 36.00
/ l - - r � 10)>50HP;absorb unit
Prior to permit Mailing Address i >1.75 mil BTU 60.15
issuance,a copy /(a 2., , '� /' *-50 e__ 11 Air!candling unit to 10,000 CFM
of all licenses City/State Zip Phone 7.00
are required if T -VO 12)Air handling unit 10,000 CFM+
expired in COT oraijbiri Const.06nT Board Lk 0 Exp Date 11.85
database 4;'7,-_ _ 13)Non-portpble evaporate cooler
Architect "ame _ 7.00
14)Vent fan connected to a single duct
4.75
or Mailing Add-ess - --
15)Ventilation system not included in
appliance permit 7.00
Engineer CRy/State zip I Phone 16)Hood served by mechanical exhaust _-
7.00
Describe work to be done17)Domestic incinerators
12.00
New O Repair O Replace with like kind. Yes 7 No O 18)Commercial or industrial type incinerator
48.25
Residential W Commercial O _
19)Repair units
Additional information or description of work: 8.40
20)Wood stove/gag F-P(gther-units/clothe dryer/etc.
f r 7.00
NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets
` _ structural gas calcs See footnote 1 __ l 3.7_5
n 22)More than 4-per outlet(each) .75
Type„f fuel. oil O natural gas✓ I_PG O electric O �_ ) -
Minimum Permit Fee$50.00 SUBTOTAL
I hereby acknowledge that I have read this gpplicatiun,that the information _ 89/6 SURCHARGE
' given is correct,that I am the owner or authorized agent of �^ PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits onlyW^_
- TOTAL
�d J7 - yG
JS� ahs a of Owner/Agent Date - - - -
Other Inspections and Fees:
H1. inspections outside of n-anal business hours(mininum charge-two
Contact�Pe i I n Name-h \ Phone hours) SW.00 per hoar
2. Inspections for which no fee Is specifically Indicated (minimum
charge-half ho 1r) $50.00 per hour
Foornmtes for commercial projects only:
1 Prcvide full schematic of existing and proposed gas line and pressure 3. Additional plan review required by chanjes,additions or revision&to
plans(minimum charge-one-half hour)$50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required
units. _ _ "Residential A/C requires site plan showing plecement of unit
I Unechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �)V_
Footing Susp. Ceiling Sprink. Rough-in Appr
av
Foundation Plbg. Underslab Mech Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. .pan. Seder Gas Line Bld
Plug. Underfloor Rain Drain Framing -P rnb.
Alarm Water Line Insulation -N.ec;h.
Underflr. InsUI. Shear Wall Gyp. Bd. -Elect.
Date Requested: —2 Time: AM(� PM
Address:__I S, fc S �`7 W I ,��� . LT .1--;4
Builder: Permit U 2_S4,1A
THE FOLLOWING CORREuTIONS ARE REQUIRED.
L
Inspedor:__ �"� Date: �-
�--hPRROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIG- ARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171BUILDING r:,ERMIT
PERMIT #. . . . . . . . 6 U P'9 4--0..:.:6 1:
DATE ISSUED: 10/26/94
E139—x+171
PARCEL: 2SIlODC-90231
.3ITC ADDRESS. . . : 157"65 SW I l,': 'rH CT'
)URLIVISION. . . . : FOUN-CAING wr '__-JMlylE:RFIELD CONDO ZONING: R-25
TiLO.:K. . . . . . . . . . : LOT. . . . . . . . . . . . . :23
-------------------------------
REISSUE: FLOOR EX1_ERIOR WALL CONSTRuc'rioi\i-
CLASS OF WORK. : REP- .*IRST 5f N: S: E. W:
I'Y P E OF US I. . . :C 0 lyi 5,E C 0 i\I D. . . : S f PROTECT Ok'ENINGS?------------
IYPE OF CCNST. :51\4 IFIIRD. . . . : 5f N: S: E- W:
OCCUPANCY GRP,. -RI 1*O1*AL-------------: 0 ;f ROOF= CONS1 FIRE RLT" :
OCCUP,ANCY LOAD-. BASRNENT. : s AREA SEP,. RA'FED.'
S r o R,. -.,R HT. : ft GARAGE. . . : s OCCU SEP,. RATED:
'ASMT NEZZ? : REOD SE1_1:.kA"KS----
r-LOUR LOAD. . . . P-,f i EFT': ft PGHT-. ft I- JR SPKL: 5010K DET.
DWELLI.NG UNITS: FRNT: ft REAR: ft FIR 01-Rlyl: HNDJCP ACC-
6LDRIVIS., BATHS: imr, SURFACE: PIRO CORR: PARKING.
VALUE. $ . I
Remarks: REPAIR 'rwo I0X12 DECKS UNITS 23-26
--------- FEES
L amount by date recpt
HE FOUN'rAINS CONDOS Al' type
SUM11E"'11--*1 EL D P,Rt4T $ 23. 00 JG j.0/&'6/94
13685 SW 116'TH V'LCK $ 16- 25 JG 10/26/94
KING CITY OR 972*--'4 5PICT $ 1. 25 JG 10/26/94
P'h o r,e #:
JOHN BREWER CONSTRUCTTON
9011 SW BEAVERTON-HILLSDALE HWY
PORTLAND OR 9'722b
Phone #. 5036458183 $ 4.2. 50 TID-fAL
1• eq 0. 50549
REIQUIRED INLPIECTIONS
This permit is issued 5ubjert to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. SpecialtF Codes and all other Final Inspection
apFiicoble laws. 911 work will be done in accirdance with
approved plans. This pet-nit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
P,e r nt i t It e P S i g n a t u r e :'00'011�
F S t.t e d By -
Call "or inspection 639--4175
City of Tigard Commercial Building Permit application
13125 SW Hall Blvd
Tigard, OR 97223
'.503) 639.4171
Jobsite Address:1.11fL+ S W 1 I A C1 X11 1:R.U U k °1'1 e e
OffTCe Use-Onl � �. 3.
Tenant: T t'a N? Al Suite #U N-IT5-25-2-t. -x
Planclo'Rec#
Valuation: ,,,,.
`
lei
Pe r m it 9L t
Qwrar: 1'0- yDUNMNS� L.Dt,Off`_ AI SUMMLV LD <
Map & TL.#
Ar:dress:,`,'1'; AI- `Av '.IL ME ',D5 KING =1 9IZZ� ApprOyats.E'-guired
-- planNing. _
Phone: Engiheennq__ ' V
Other.
Contrac,or: "1lLE F6UN'�F1INS CDNUD OWNEk, Ya`,; t� . , Nam
Address'
Type of const:
Occupancy class:
Phone: _
.3prinklered? Yes No
Contractor's License #
(attach dopy of current Oregon license) Sq. ft. of project:
Story (t st, 2nd, etc.)
Architect/Engineer: Propose t use:..
Address: Previous use:
Note: Plumbing & mechanical plans
must be submitted at time of
F hone: _ building_ g permit application.
COMMENT:!
btU , TE4�I X t
,applicant Signature & PhonP number
-3eceived by: Date Received: f C7
Permit# Account Description Amount Amt. Pd. Sal. Due
L5 , 00 1.- S, U U
Bldg. Permit (BUILD) l
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Draiiiage Cng (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Qualir (WCIUAL) _
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion F�ianck/USA (ERPLAN) _
Erosion Planck/COT (EROSN) _
TOTALS: V� � �
T H t b U N I N I N5
UNITS
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