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1:\records\mlero(iris\targels\bu!lcting.doc
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_ Date Requested 1"Z - AM �! PM BLD
Location i_ /�> .fie %,•��'J i'j/��~ x� (Sule _ MEC
Contact Person Ph PLM
Contractor Ph SWR " S
BL;:LDINGv _ TenartiCwnei ELC
Retaining Wall ELR
Footing Access:
Foundation FPS --
Ptg Drain SGN
Crawl Drain Inspection Notes:
Slab --_ - SIT
Post&Bear^
Ext Sheath/Shear
Int Shaath/Shear
Framing7/7
Insulatio,i
Drywall Nai ing �r
Firewall
Fire Sprinkler -_-- -
Fire Alarm
Susp'd Ceiling ------------- -- -
Roof
Misc: __ --- _. - -- —--- -- -
Final
PASS PART FAIL --- -- - - - ---
PLUMBING _
F ost)a Beam -
Undcr Sin,) - - -- --- - -- ---- --- -
Top Out
Ra,iSanitary ,-
n Trains
ina
ART FAIL -- --WTTA-NICAL
Post& Beam - ------------ ---- - - --- _..-
Rough In
Gas Line --- - - -- ------ —
Smoke Dampers
Final ---- ------_---- -- --- ---- -
PASS PART FAIL
ELECTRICAL - '—
Service _-- ------� --- - - --
Rough In
UG/Slab -- ---- -- - -- - ----...-- -----
r Low Voltage
�- Fire Alarm
Final
F- PASS PART FAIL -- -- --- ----
-a SITE
Backfill/Grading -- -- - ---� --- ---- —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ require:;before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I Jr,able to
Fire Supply Line ( J Pease call for reinspection RE inspect -no access
_ ( ]
ADA
Approach/SidewalkDate -� - '' Inspector Ext
c,
Other � -- - -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
CITY CF TIGARD
DEVELOPMENT' SERVICES PPERMIT
PERMIT IT ##1.... . . . . . : PLM98-•046E3
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 1L/17/98
'5w //'/''4 / � PARCEL: 2S 1 1 ORA-00400
Ci T TI_ ADDRESS. . .
SUBDIVISION. . . . : ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ,JURISDICTION: TIG
CLASS OF WORK. . :ALT GARBAGE DISPOSALS, : 0 MOBILE HOME SPACES. : 0
TYPE. OF USE. . . . -SF WASHING MACH. . . . . . : 0 BACKFLOW F'REVNTRS. . : 0
OCCUPANCY GRP. . :R:3 FLOOR' DRAINS. .. . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . . 0 WATER HEATS PS. . . . . . 0 CATCH BASINS. . . . _ : ",')
FIXTURI�B-------- — - LAUNDRY TRAYS. . , . . : 0 5F RAIN DRAINS. . . . . : 0
SINKS). . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. , . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER L I Nn-' ( ft ) . . . : 1.50
WATER rL SETS. : 0 WATER LINE (f'. ) . . . ; 0
DISHWASHERS. . . , : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installing sewer line and abandoning septic tank.
flwner; ---____ __._------- ------_______—_—_.__._________________ FEES ----
RON LAMBERT type amol_int by date recpt
11.91.0 SW GAARUE PRMT $ 55. 00 B 12/17/98 98-311618
TIGARD OR 97223 5PCT $ 2. 75 B 12:/17/98 98-31. 1618
Phone #:
Can�rart
CRLSTV I EW CONS"TRUCT I C,N INC
205 SE THIRD AVE
HILLSBORO OR 97123 _—_-----_—__--_.__—_—__.__----_____---___.
Phone #: 593-3606 $ 57. 75 TOTAL
Reg #. . : 107-314
.-._._._._.__..__ REQUIRE=D INSPECTIONS
--This permit is issued subject to the regulatinis contained in the Sewer Inspection
Tigard M,nicipal Cade, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. Al' work will be done in accordance with
approved plans. This permit will e<pire if work is not started
within 18E days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow ales
adopted by the Oregon Utility Notification Center. Those rues are
Ce set forth in OAR 952-0001-0010 through OAR 952-0001-00"a. You may
"' obtain copies of these rules or direct questions to OW by calling
W
Iss1.ied By Permittee Signati_tre: _
++++++++++++-++++++++++++++++++++++i•+++++++++++++++++++++++++++.+++++++++++++++
Call 639--4175 by 7:00 p. m. for an inspection needed the next biAsiness day
+++++++++++++++-++++++++-t 4-++++•+++++++++++++++++++4.+++•f-++++++.f-++•F+++++++4•+++++++
CITY OF TIIGARD Plumbing Permit Application Plan Check# - WA_
13125 SW HALL BLVD. Commercial and Residential Rec'dBy_ �_
TIGARD, OR 97223 Da,e Recd
(503) 639-4171 Date to P.E.
Print or Type Date to DST ti
Incomplete of illegible applications Will not be accepted Permit#
Related SWR# v7-?�
Called
Name of DevelopmentlProject FIXTURES (Individual) QTY PRICE AMT
Nub Sink 9.00
Address Street Address Suite Lavatory 9.00
�5 (-1. �A 110E Tub or Tub/Shower Comb. 9.00
Bldg# City/Stale Zip Shower Only 9.00
P•R.v ""7 r Water Closet 9.00
Name
hum ST, LLClI ►� Dishwasher 9.00
Owner TM�ailing Address Suite Garbage Disposal 6.'10
r. C, a 7� Washing Machine 9.00
City/State Zip Phone
SE»vE R cbN �l Z716- U Floor Drain/Floor Sink 2" 9.00
Name 3" 9.00
to v I ECJ_ C o N ST e-uc r to 4" 9.00
Occupant Mallirg Address Suite Water Heater O conversion O like kind 9.00
Gas piping requires a separate mechanical permit. _
City/State Zip Phone Laundry Room Tray 9.00
_ Urinal 9.00
Name - --
Other Fixtures(Specify) fi 9.00
TV UcL,) c4SNSrR.t,t c.4o►J
Contractor Mailing Address Suite 9.00
3 _ v 9.00
Pdor to permit Clt /Stat / Zip Phone Sewer-1st 100' 30.00
issuance,a copy G0(- Sewer-each additional 100' 25.00
of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date --
required If I L 7 3 j y 7 ..Z-f-4 Water Service-1st 100' 30.00
expired In COT Plumbing Lic.# Exp.Dale Water Service-each additional 200' 25.00
database Storm&Rain Drain-1st 100' 30.00
Name_ V Storm&Rain Drain-each additional 100' 25.00
Architect Mobile Home Space 25.00
or Mailing Address Suite Commercial Back Flow Pre-antion Device or Antl- 25.00
_ Pollution Device
Engineer City/Slate Zip Phone Residential Backflow Prevention Device' 15.00
(Irrigation timing devices require a separate
Descri'b�j work to be done. restricted energy permit.
Nev R pair O Replace with like kind: Yes O No O - Any Trap or Waste Not Connected to a Fixture 9.00
Resi��ffe�ntial Commercial O Catch Basin 9.00
Additional description of work: Insp.of Existing Plumbing _ 40.00
Fri ats►J �?t(5TlceNNEK_j` per/hr
G N E W 5 A I3►i Pip�/ Specially Requested Inspections -- 40.00
`t_
�-�����. er/hr
- - Rain Drain,single family dwelling 30.00
Are you capping, moving or replacing any fixtures? -
Crease Traps 9.00
Yes O No O
If es,see back of form to indicate work performed by
... Y QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required N Quantity Total Is >9
WORK COULD RESULT IN INCREASED SEWER FEES. - -- *SUBTOTAL 'r'T
> 1 hereby acknowledge that I have read this application,that the Information
given Is correct,that I am the owner or authorized agent of the ownu,and T _ 5%SURCHARGE
i
-1 4anted are in compliance with OregonStale Lews.n rl nt Date ••PLAN REVIEW 25%OF SUBTOTALRequlred only N/lxture qt toy tal Is>9/ - TOTALNome Phone
'Minimum permit fee Is$25+ 5%surcharge,except Residential Backflow
i d_1tl 1 D 1LP 012 7.�u'�4 y S Prevention Device,which is$15+ 5%surcharge
"All New Commercial Buildings require plans with Isometric or riser diagram
and plan review
I rdstawk,mapp doc 7/219
PLEASE COMPLETE:
Fixture Type _ _ Quantity by Work Performed
Sink —
New Moved Replaced r. ;moved/Capped
---- – -- - ----
Lavatory _ _
Tub or Tub/Shower Combination;
Shower Only
Water Closet _
Dishwasher
Garbage Disposal
Washing Machine _
Floor Drain/Floor Sink 2"
3 _
411
Water Heater
Laundry Room Tray_
Urinal —
Other Fixtures (Specify) �—
COMMENTS REGARDING ABOVE:
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CITY ® F TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES rFRMIT
13125 SN Hall BA., tiprr1,OR 97223(503)639-4171 1=,E RM I T #. . . . . . . , SWR98--0359
DATE ISSUED: 1 :/ 17/98
/`W.5 J!t) ��9 �� !7�GZL(J P,ARCE1_: E.151101313-00400
';ITE ADDRESS. . . : f2HE-ST--
;iJIaDI ZONING: R-4. 5
,LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
'TENANT NAME. . . . . :LAMBERT, RON
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORN,. . . :ALT DWELLING UNITS. . : 1
TYF'E OF USE. . . . . :SF NO. OF BUILDINGS: 0
INSTAI__I- TYF,E. . . . :LTF,SWR IMF.,ERV SURFACE: 0 sf
Remark,: Installing sewer line and abandaning septic tank. Septic tank ml_Ist be
pl.cmped, filled, and inspected.
Clwner^: FEES ---
RON LAMBERT type amol-cnt by date r-ecpt
i 1.9tO SW GAARDE PRMT $ 2300. 00 B 1E,,117/98 98-.311.61.8
TIGARD OR 97223 INSR $ 35. 00 B 1.217/98 98-311618
[-hone #:
Contr-actnr: -----------------_.._----.--_---
()14NF_R
Fhone #: "23-35. 00 TOTAI_
Reg td•. . :
REDU I RED I NSF,ECT I ONS --- -
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewagt Igency. The permit expires 180 days from Septic Tank Fill. _
the date issued. The total amount paid will be forfpite� if the
permit expires. The Agency does not guarantee the accuracy of the
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" Permit and the Agency will install a lateral.
ATTENTION: nregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-001--0010 through DAR 952-000l-0080. You may obtain copies of
ci these rules or direct questions to OUNC by calling (503)246-1987.
n dr?
y. 1 7, _�� b Y' � _���_ ���'v! ��_r..__. ��e r m i t t e e Sig;�a t u r e: ' � _.y--
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1 +44-4++++++++++-+4....++++++++i-+++++++++++++++++++++-1-+.++.++++t+-1•++++4+++++.4 ++++ +
-' Call. 639-4175 by 7:00 p. m. for an inspection needed the next blcs i nes s day
1 +++++++++++++4.+++++++++4-++-1--++++++++++++++++++4++++++++++++4.+++++++++++++++.++. ++
September 2, 1998 MY OF 11GARD
OREGON
Klienfelder 9A-
15050 SW Knoll Parkway
Beaverton, OR 97006
PERMIT NO: 98-0036
OWNER: Four D Const.
PROJECT ADDRESS 11910 SW Gaarde
PROJECT DESCRIPTION: Site
TYPES OF SPECIAL.INSPECTION: Soils special inspections
The owner has notified us that he/she will retain your services to perform Special Inspections at accordance
with the provisions of the State Building Code, permit documents, and special inspection requirements.
The owner or the owner's agent must also confirm with you that thy", have authorized you to do the special
inspect;,,,)work.
As the regulatory agency, the City requires that you do the following.
1. Submit copies of all inspection reports promptly to the Buildinq Division, architect, engineer,
and the contractor.
2. Maintain one copy of Pach field report at the job site.
3. Submit a final report at the completion of each category of work that you inspect. (See
U.B.C. 5318 for soils special inspection final report requirements).
If you fail to comply with the above requirements, there may be l;ause for the City to revoke your authority as
special inspector for this job.
Should you have any questions, please call the Building Division at(503)639-4171.
Sincerely,
CL
+Poskin, CBO
Seorlans Examiner
a Enclosure
� i blallempinln\nntdq dal
13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD(503),584-2772
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Busin�..s Phone: 6394171
Date Requested: _�Q ".�-4 / P.M._ MS'C: _
lAx;arion: ' aal& s-4-1- BIJP:
Tenant: _ Suite: Bldg MEC
Contractor. Phone: PLM:
Owner: Phone: 0 10 C) _ ELC:� —
` ELR:
- _ SIT.
BUILDING BLDG(con't) PLUMBING MECHANICAL ECTRICAL SITE
Site Post/Bcarn Post/Bearn Post/Beamr�'(,�, / over/Service Sewer/Storm
Footing Roof UndFl/Siah ,, fir' Rough-In y�G ciling Water Line
Slab Framing Top Out II�C,C'C;as ►nc /�, Rough-In IJG Sprinkler
Foundation Insulation Sewer fff ___ eruct Reconnect Vault
Bsmt Damp Drywall Storm Fu.'Iace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm CrawUf'aund Dr I{eat Pump Low Volt
Approved Approved <3MENtis /,pprovcd Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Al"proved
FINAL FINAL FINAL FINAL FINAL
O Call for reinspection O Reinslxxtton tic of S _ required before
fonext inspection /17711 triable to inspect
Inspector.J �_...:::rll -- �_ Date: Page / ,.--of- _.
CITY OF TIGARD MECHANICAL
DEVELOPPIENT SERVICES PERMIT
24 13125 SW Hall ON, Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : MEC97-0398
DATE ISSUED: t0/15/97
PARCEL : 2S I I OBB-0040,21
5I TE ADDRESS.
SUBDIVISION. . . . : ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: URB
CLASS, OF WORK. . :ADD FLOOR FURN. . 0 EVAP COOLERS: 0
TYPE OF USE. — :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP-. . : R3 VENTS 0/0 APIPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . 0 BOILFPS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--- 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GnS 3-15 HP. . . . : 0 COMML. INC I."!: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 RE.7,A', R UNITS- 0
FIRE DAMPERS?. . : 30-50 HP. . . . 0 WOODSTOVES. . : 0
GAS PRESSURE. . . 4 HP. . . . 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. : 0
r7URN i 100K BTU: 0 1.171000 cfm - 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remat-l{s - Installation of gas line for pool heater,
Otmner-: FEES
RON I—AMBERT type amaiint by date r-ecpt
11910 SW GAARDF PRMT $ 25. 00 DRA 10/15/97 97-200094
TIGARD OR 97223 5PCT * 1. 25 DRA 1.0/13/97 97-2000911
Phone #:
GAROKEN ENERGY COMPPAY
3975 SW 113TH
26. 25 TOTAL
BEAVERTON OP 97005
Phone #: 641-0389
Reg #. . : 000431
REOUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ci?. Specialty Codes and all other Mechanical Insp
applicable laws. All work will bF done in accordance with Misc. Inspection
approved plans. This perrit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for sore
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 952-0014010 throug,, OAR 952-001-0080. You say
obtain ccpies of these rules or direct questions to MJNC by calling
1503!246-9187,
Iss'- By : Permittee S i t 1.1
++++++++.+-+-I............V+++........+-+++4--+++4++ r++++-I--I-++++4..........V4-+++++++++++-f +
Call. 639-4173 by 7-00 p. m. for inspections needed ttip next bi-isiness day
+.. .........V+4++-#-+4+4-++4..............4...........J..........I........ L 4......f +
City of Tigard MECHANICAL PERMIT Planck,'Rec. #
13125 w Han Blvd. AP ?-LIGATION Permit V
PO Box"23397
Tigard, OR 97223 < <�►��J'
(503) 639-4171 -`
•^• ^•� MOscnpUort -
Table 3A Mechanical Code 01Y PRICE AMT
Job c�IL 5•,) CJcc e:5t rale, 1) Permit Fee -G- 10.00
Address •r•
j li in ct.r ,d Ole 11-7a5 2) :ipptemontal Permit 3.00
�^•« II-- umace to100,000 8
la Yrl CJ Q 1^ �q-� '• 1) incl.ducts 8 vents 6.00
••• Furnace 100,000 STU r
Owner SW 2) incl. ducts s vents 7.50
II -roor Fumance
7 QYd o/2 9 a 3) in A. vont 6.00
•w,•
="reclod seater,w realer
4) or floor mounted heater 6.00
••• Vent not ined. in
Occupant rL1n\sZ 5) appliance permit 3.00
cilpsaw — ZIP Repair of heating.re rg. !-
6) cooling,abso(Ftion unit 6.00
.Mi er or comp to
91�•�^c KQ r 7) absorp. unit to 100,000 BTU 600
iter or comp to 3 HP - 15 HP
—WAR MOM
Contractor - 7S Sty 113 (p 4 I-03�`( 8) absorp. unit to 500,000 BTU 11.00
ter or comp to
-SV�N C) Ct 9) absorp.unit.5- 1 million BTU 15.00
SUN asowslin Me. ow oft T" Boiler or comp to 30 50 HP
-
- /5,�,� 10) absorp unit 1 - 1.75 million BTU 22.50
-TTxiro y acknowledge nal I have road trAs application that me Boller or comp to 50 HP
information given is correct,that I am the owner or audio ized agent 11) absorp unit 1,750,000 BTU - 31.50
of the owner,that plans submitted are in compliance with State Air an ing unit to
laws, that I am registered with the Mate Builders' Board,that the 12) 10,000 CFM 4.50
number given is ooffwt (If exo;npt from State registration,pleases AN handling unit
give reason below.) 13) 10,000 CTM a 7.50
Non poi
14) evaporate coder 4.50
ent fan connoctod
15) to a'angle dud 3.00
Ventilation system not
16) included in applianco permit 4.50
qr�ft. lowlil Hood served by
17) medianical exhau,t 4.50
Describe work new . addition alteration repair mesbc type
to be done residential Q non residential 0 18) incinerator 7.50
Existing use of Commercialor industrial
building or property �N . \` 19) type incinerator 30.00
Other i e.,woodslove.water
Proposed use of 20) heater,solar clothes dryers,etc. 450
building or property
21) Cis piping one to four outlets 2.00
Type of fuel - tie.'Q natural gas t) LPG O electric C1
t
n - 22) More than 4 per outlet
C :
Minimum Fee$25.00 SUBTOTAL.
PERMITS BECOME NULL AND VOID IF WORK OR
CONSTRUCTION AUTHORIZED IS NOT COMMENCED ,9t.SURCHARGE
WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 PLAN REVIEW 25%OF SUBTOTAL
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DAYS AT ANY TIME AFTER WORK IS COMMENCED.
TOTAL ��-- �,,�G•
Special Conditions
Date issued by
1 II Po()��ua�r�
"`'"" ru Y C' incl C ,1 �-_l ALV �}t. ��
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