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14125 SW 119TH PLACE r . N•�. P4AC cc V) J i:Vecordslmlcrollm\tai eyels\bu!!di'►g.doc w J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ^- BUP _ Date Requested_ 1' J AM PM �y fir— BLD Location /// "(' ,f�.,,l�r../�,/,�'� /`/� - //9 �-� Suite MEC Contact Person _ '—�� Ph PLM Contractor _— Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall ELR Footing -�— Foundation Access: FPS Ftg Drain ( SGN C•awl Drain Inspection Notes:I -- Slab SIT Beam Ext Sheath/Shear Int Sheath/Shear Framing T Insulation > �— Lrywall Nailing -- Firewall T Fire Sprinkler Fire Alarm Susp'd Ceiling Roo, Misc: Final PASS PART FAIL - -- — _ PLUMBING Pnst& Be,jm --^ -- — Under Slab Top Out —-- -` - Water Se — Initary Se — n rains S YART FAIL MEtITANICAL Post& Beam -- --- -- Ruugh In Gas Line ------- Smoke DarTtpPrs Final - — --- PASS PART FAIL ELECTRICAL _--- --- ---- - Service Rough In UG/Slab Low Voltage Fire Alarm Final h PASS PART FAIL -� SITE c Backfill/Grading Sanitary Sewer � Storm Drain I J Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f 1 Please call for reinspection RE - ( J Unable to inspect-no access ADA Approach/Sidewalk ._� Date Other 2- ? - Inspector i Ext - ------ Final PASS PART FAIL J DO NOT REMOVE this inspection record from the job site. �� CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . .. PLM98-0468 13125 SW Hall Blvd., Tigard,OR 97223(503)o-19-4171 DATE ISSUED: lr-'/17/9B :So) 1,01de'e— PARCEL- 2S 1 1.0BB--00400 I T E ADDRESS. . . . 14910 SW ef4MR-M—RT 5UPDIVISION. . . . . ZONING. P-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 PREVNTRS. . : 0 '�71.-OOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . . 0 OCCUPANCY GRP. . :R- 31 I STORIES. . . . . . . . . 0 t%ATPR HEATERS. . . . . s 0 CATCH BASINS. . . . . . . : 0 FIXTURES- ____._.____.______..._._.. LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 U R I NALS. . . . . . . . . . . 0 GREASE TRAVIS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TU)'./SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 150 WH ,'ER CLOSETS. : 0 WATER 'LINE (ft ) . . . : 0 DISHWASHERS— . : 0 RAIN DRAIN (ft ) . . . : 0 Remail-(s : Install. ing sewer line and abandoning septic tank. Owner—. FEES RON LAMBERT type amor_int by date r-er-pt 1. 191.0 SW GAARDE PRM T $ 55. 00 B 12/17/98 98-311618 TIGARD GR 97223 5PCT t 2. '753 B 12/17/9- 8 t6 I R Phone CRESTVIEW CONSTRUCTION Th , 17'05'05 SE THTRD nVF HILLSBORO OR 97123 Phone 593-3CO") $ 57. 75 TnTAL Reg #. 107,14 REQUIRED INSPEcriDNS This pewit is issued subject to the regulations contained in the Sewer- Inspection Tigard Winicipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable. laws. All work will be done in accordance with approved plans. This p?rvlt will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law tpql.ires yrd to follow rules adopted by the Oregon Utility Notification Center. Those rules ere set forth in DAR 952-080I-0010 through DAR 152-Ml-N80. YOU I!dy obtain copies of these rules or direct questions to OUNC by , all;Pq (50246-1987. LU Issi-ted Pel-mittee Signati-tt-e :_ +4.........4........................4............................ .+++++++++++ Call. 639--4175 by 7:00 p. m. for an inspection needed the next boniness day .........4-++++4-+�--;++++4-4-4-4-+ ^+4....++' .4-+'+'4....++.++'+++++++'++++"{'+++'+".'}'......4-+'++'4- 4 ---------- CITY OF TIGARD Plumbing Permit Application Plan Check* - UA 13125SW HALL BLVD, Commercial and Residential Rec'dBy_ � TIGARD, OR 97223 Date RecdI !� (503) 639-4171 Date to P.E. Print or Type Date to DST tiw Incomplete or illegible applications will not be accepted Permit#P- Related SWR# Called- Name of Develop menUProject FIXTURES (individual) QTY PRICE AMT Job Sink 9.00 Address Street Address Suite Lavatory 9.00 1- _50w. C�AIZ ttOE Tub or Tub/Shower Comb, 9.00 Bldg# City/State Zip Shower Only 9.00 Name Water Closet 9.00 Y Oh 32 S U C I Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 b 6 e I Washing Machine 9.00 City/State Zip Phone r Floor Drain/Floor Sink 2" 9.00 -_ --- P 0'7 6- U _ Name l 3" 9.00 CtZC-_: 4" 9.00 OcCUp,rpt Mailing Address Suite kw ter Heater O conversion O like kind 9.00 _ Vas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 9.00 Name Urinal - 9,00 CF-ES IrcuJ C'tSiJS[ (?_U C41'..) Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 o; 3 F-0 v 9.00 Prior to permit Cit / to Zip Phone - g Sewer-1 st 100' 30.00 issuance,a copy / 7�Z Gp(s Sewer-each add,ilonal 100' 25.00 of all licenses are Oregon Const Cont.Board Lic.# Exp.Date required If 7 -Z`tit-q� Water Service-1st '00' 30.00 expired in COT Plumbing Lic.# Exp.Date Water Service-each aulitlonal 200' 25.00 database Storm&Rain Drain-1st 100' 30.00 Name Storm&P Ain Drain-e^,ch additional 100' 25.00 Architect _ Mobile Home Space 25.00 Or Mailing Address SulleCommercial Lack Flow Prevention Device or Antl- 2500 _ Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device- 10.00 (Irrigation timing devices require a separate L)esYential work to be done: restricted energy permit. NewR pair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Rest Commercial O _ Catch Basin 9.00 Additional description of work: J �B -)T-f Ott 1.1 ��r N V SE�t�C�/�tJl j' Insp.of Existing Plumbing 40.00 _ per/hr Specially Requested Inspections 40.00 NEW 5A{J►t-Pl-p/ L-A rERA� er/hr // -- Rain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? - Yes O No n Grease Traps 9.00 If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric a riser diagram is required It Quantity Total Is >o `f' WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTALr T, 1 hereby acknowledge that I have read this application,that the Information .', ; F' given is correct,that I ern the owner or authorized agent of the owner,and s J 6/° SURCHARGE that lans ubmdted are in compliance with Oregon State Laws T, t Slgn re f wn rl nt f bate ""PLAN REVIEW 26%OF SUBTOTAL . , W / 12--)P r - Required onlyM fixture qty total Is>9 -' TOTAL Contact? on Name phone Y r 'Min!mum permit fee Is$25+C%surcharge,except Residential Backflow /--) 1LP OIZ 7•�V -7Y y S Prevention Device,which is$15+5%surcharge "All New Commercial Bul'dings require plans with Isometric or riser diagram and plan review 11r1°tsplumarT dx 71719n PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Repl:,;ed Removed/Cappej Sink _ _ Lavatory _ Tub or Tub/Shower Combination Shower Only Water Closet �-- n;shwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 311 Water Heater Laundry Boom Tray - Urinal Other Fixtures (Specify) - COMMENTS REGARDING ABOVE: CL J L W J rw..w►,m.vP aoc rinse I� CITY O TIGARD SEWER CONNECTION - DEVELOPMENT SERVICES PERMIT 131:5 SW Hsi!Blvd., Tigard,OR 97223(503,1639-4171 PERMIT #. . . . . . . . 1-3WR98-•0 59 DATE ISSUED: 12/17/98 PARCEL: 2,51 10PN-001400 SITE ADDRESS. . . :14-r44-0--9W—B-PAPDE-ST SUBDIVISION. . . . : ZONING: R-4. 5 T3LOCK. . . . . . . , . . LOT. . . . . . . . . . . . JURISDICTION: TIG TENANT NAME. . . . . :LAMBERT, RON l_►SA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :ALT DWELLING UNI'13. . : 1 TYPE OF USE. . . . . :SF- NO. OF BUILDINGS- 0 INSTALL TYPE. . . . :L.TPSWR IMPERV SIJRFACE: 0 sf ( Remarks: Installing sewer line and abandoning septic tr.inl<. Septic tank m�tst be pt_tmped, filled, and inspected. owner: FEES PON LAMBERT type amnl-int by date recpt 11.910 SW GAARDE PIRMT $ 2300. 00 B 12/17/98 98-,"1111618 TIGARD OR 97223 INSP $ 35. 00 P 12/17/98 9B- 3116J8 Phone #: Contractor: _______________.___.___----__--. OWNER Phone #: $ 2335. 010 TOTAL Reg tr. . . ------- RED U I RED INSPECTIONS This Applicant agrees to comply with all the rules and regu'3tions Sewer Inspection of the Un. 'ied Sewage P.gency. The permit expires 180 days from Septic, Tarok Fill. the date issued. The total amount paid will a forfeited if the permit expires. The Agency does not guarantee the accuracy of thr Side sewer laterals. If the sewer is not located at the measurement given, the installer shall praspect ? 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. gTTE"NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-4010 through DAR 952--8001-8080. You may obtain copies of CL these rules or direct questions to Off by calling 1563)246-1987. NM 1' � 1 s s�_i e d b y : � �- �•'!y�- P e r m i t+ e e Si gnat•..i r^e: w F+++4-+++++- 4-4++++ ++++ -+++++++++++++++++++++++f+++++++++++-++++++++-++4-++++i++++++-+ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.tsiness day r ++++•++•P++++++•4•+++++++++++++++++++++i...+++++++++i+++++•+++++++++f•+++++++f++++++.. w September 2, 1998 CITY OF InG� OREGON Klienfelder 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 Ir;pections in 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 lou that they have authorized you to do the special inspection work. As the regulatory agency, the City requires that you do the following: 1. Submit copies of all inspection reports promptly to',he Building Division, architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you inspect. (Ser- U.B.C. ?318 for soils special inspection final report requirements). If you fail to comply with the above requirements, there may be cause 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 >_ *Posin, CBO SeorPltan�s Examiner Enclosure W i lofstfamolatal notify dot J 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(F,03)684-2772 -- Iraq� CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 63941'. Business Phone: 6394171 Date Requested: P.M. MST: Location: / —� G 9UP: Tenant:_ Suite; Bldg: MEC: __�� Contractor:— � Q Phone: PLM: — Owner:_ I'llone: �� ELC: _ ELR: SIT: _ BUILDING^ BLDG(con't) PLUMBING MECHANICAL ECTR!CAL SITE Site Post/fieam Post/Bettni Post/I3eam4,'tover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-In tiling Water Tine Slab Framing Top Out �T;iis me ��,/ Rough-In UG Sprinkler Foundation Insulation Sewer r _ Z ct ReconnLct Vault Bsmt Damp D"1111 Storm Furnace Temp Service MISC, Masonry Ceiling Rain Drain A/C IK;Slab Shear/Sheatli Fire Spklr/Alm Crawl/Found Dr I[eat Pump Low Volt Approved Approved n Approved Approved Appr/Sdwik Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL .c O Cell for reinspection t7 Reinspection fee of S 7xC uired before next inspection M Inahle Inspect Inspector:�� Date: G� �� Page_ of f--- CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 131217° DATE N Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT SUED . • • 0 MEC97-039E DATE ISSUED: 1.0/15/97 / ')a) // 9"/ PARCEL; 2S 1 1 OHe,_.00400 51 TE ADDRESS. . . : 1-# = aT SUBDIVISION. . . . : ZONING: R--4. 5 BLOCf.. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: URB CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0 -TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 'DENT FANS. . . : 0 OCCUPANCY GRP. , : R3 VENTS 14/0 APDL: 0 VENT S'r STEMS: 0 STORIES. . . . . . . . : 0 DOII_ERS/COMPRESSORS HOOT'S. . . . . . . : 0 FUEL TYPES------- -_--- 0 HP. . . . : 0 DOM'-.:S. I NC I N: 0 :GAS 3-15 HP. . . . : 0 COMMU. I NC I N: 0 MAX INPUT: 0 FTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 504 HP. . . . - 0 CLQ DRYERS— : 0 NO. OF L;N I TS---- ---_____ AIR HANDL.I NG UN I TS OTHER UNITS. : 0 FURN ( LOOK BTU: 0 (= 10000 cfm : 0 GAS OUTLETS. : 1 FURN ) =100K BTU: 0 > 10000 c.fm : 0 Remarks : Installation of gas line for pool heater. Owner,: _____----_____.___________-----.________-.-----.----_._____..____._.___ FEES ---_---.----___.. RON LAMBERT type amor_rnt by date rer_pt 11910 SW GAARDE PRMT $ 25. 00 DRA 10/15/97 97--200094 TICARD OR 97223 SPCT $ 1. '='S DRA 10/1.5/97 97- '000`) Phone #: Contractor: ---_.._....__.___..______..._.___-_---_.__.._.__---___ GAROKEN ENERGY COMr'ANY 3 975 SW 113T' ------------------------------_._.---- $ 26. 25 TOTAL BEAVERT0N OR 97005 Phone #: 641-0-389 Reg #. . : 0k)0431 - - -- --- RF'j?U I RED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mect,an i ca 1 I n s p _^ _ applicable laws. All cork will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection 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 Center. Those rules are set forth in OAR 952-001-9010 through OAR 952401-0080. You may V' obtain copies of these rules or direct questions to OK by calling _ ...... >- 1503)246-9187. (! Iss". Ry : Permittee Signatur-e : _ _ +++++++++-++++++++++ f++++4++#..................L+++-f.......4-++++-#............... .-+++ Call 639-4175 by 7:00 p. m. for inspections needed the next bl_rsiness day .++++++++++-h+t++++i+4-++++,f+++++++++++++-F+.4-+++-1-+++++++++++++++++++++i +++++++++ +4 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # 1y ' PO Box 23397 Tigard, OR 97223 (503) 639-4171 �+ escnpuon Table 3A Mechanical Cade CITY PRICE AMT Job ' `/ w V G(ct role S 1) Permit Fee -0- -0- 10.00 Address . ~v[ ctr J 04 9Vaa3 2) Supplemental Permit 3.00 Furna,7 tD �`��,n �1't'I O r-•� l/3 c 3:� 1) irscl,ducts d vents 6.00 w Furnace 100,000 BTU+ Owner 411liQ5W �zarde st 2) incl. duds 8 vents 7.50 umance 7 QYcJ o2 y a 3) incl. vent 6.00 « gasperAod seater,wall heater 4) or floor mounted heater 6.00 v AJ& Vent not ind.in Occupant rl � 5) appliance permit 3.00 w. parr of heating,re ng. 6) cooling,absorption unit 6.00 Nam r er or comp to 3 HP tJ`v c�Q r 7) absorp.unit to 100,000 BTU -6,00 Boiler or comp N 3 HP- IS HP 75- Sw I+ (n 8) absorp.unit to 500,000 BTU 11.00 Contractor r Noiler or comp to -- \f 9) absorp. -reit.5- I miflion BTU _ 1500 we u Boiler or comp to 30 60 HP - _1) / S,S 10) obsorp.unit 1 - 1.75 million BTU 22.50 ,rey n civ at I have read this application at r e(or cortsp D? information given is correct,that I am the owner or authorized agent 1 1) absorp unit 1,750,000 BTU 31.50 of the owner,that plans submit•ed are in compliance with State Air handing unit to laws, that I am registered with the State Builders'Board,that the 12) 10,000 CFM 4.50 number givers is correct. (If exempt from State registration,please Xur handling unit give reason below.) 13) 10,000 CTM+ 7.50 Non portable 14) evaporate coder 4.50 Vent an connected 15) to h single duct 3.00 _ Ventilation system not 16) included in appliance permit 4.50 o... « IIs''- served 15� Ld 17) median"exhaust 4.54 -Nis—cnba work new 0 addition alteration repairDomestic type to be done residanaW Q non residential Q 18) irx inwator 7.50 Existing use of CommercWor n sins building or property 19) type incinerator 30_00 Other 1.e.,woodstove,water Proposed use of 20) heater,solar,clothes dryers,etc. 4.5.. building or property -- L0 s 0r�r•G�� -� T,,oe of fuel -oil C natural gas IQ LPG O electric(D 21) Cas piping one to Tour outlet2.00 Y 22) More than 4-per outlet n NOTICE Minimum Fee$25.00 SUBTOTAL FERMITS BECOME NULL AND VOID IF'NORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED 5%SURCHARGE WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS D SUSPENDED OR ABANDONED FOR A PERIOD OF 180 PLAN REVIEW 25X OF SUBTOTAL .Li j DAYS AT ANY TIME AFTER WORK IS COMMENCED. -E TOTAL Special ConditionsData issued by _ � 0�5