12285 SW 124TH AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
2¢-Hour Inspection Line: 639-4175 Business Line: 639-4171
ry� BUP
JV� Date Requested J - �� ` C1/�'G AM PM _ g
Location Z-2 5 3W 2 _
Contact Person Ph 41 /3/�/3 PLM
Contractor _ �Iy PI-. ,- 1 ; -e35 SWR _
BUILDING —] Tenant/Owner/ ELC
Retaining Wall ELIR
Footing Access:
Foundation �mQ M [ ` R'sFtg Drain �1
I Dr,.in Inspection Noted: ,},yL -� , p /1. SGN
Slab - --
—�— - —`�- � SIT
Post&Beam �, ����
Ext Sheath/Shear zal Ci,(,C-C Lpw�
Int Sheath/Shear
Framing --_
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL - -
PLUMBING
Fost& Beam — ----�- —
Under Slah
Top Out
Water Service
Sanitary Sewer --- - -- _-- -- -~ __
Rain Drains
Final �-
PASS PART ._ FAIL
MECHANICAL
Post& Beam —___�---
Rough In
Gas Line ..,�' --- --- -._- ------------
------ ----- --- --
SmQkv.
hampers
PAS: ART FAIL
Service
Rough In J�` —
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL _—
�- SITE
J
Backfill/Grading - --- ----- —- _-.—.__
Sanitary Se Ner
LQ Storm Jiain [ ]Reinspection fee of$_— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
-' Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: __— [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other
Date Inspector _b —_Ext
Final
PASS PART FAIL DO 40T REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4173 Business Line: 639-4171 —�
BUP
1 IJ Date Requested M. PM BLD
Location l � ��.� �.< �->�_�-f AVE Suite (ME)
n _ 1
Cortact Person /-' Cv/( -�- Ph a7 1.3.� PLM
Contractor1L(�� �t��-?�, � � �3 rj LSWR
BUILDING Tenant/OwnerELC —
Retaining Wall ELR
Footing Access:
Foundation FPS
FFtg Drain _ SGN
Crawl Drain Inspection Notes
Slab SIT
Post& Beam I
Ext Sheath/Shear 1/ '1;> F 1` LAI C '
Int Sheath/Shear r
Framing —A?
Insulation V
Drywall Nailing ✓ d4 `�1-E' t�YL'�
Firewall
Fire Sprinkler
rT-
Fire Alarm (,
Susp'd Ceiling
Roof
Misc: _ — —___—
Final
PASS PAR f FAIL — —
PLUMBING
Post 3 Beam
Under 'lab
Top Oat
Water service _
Sanitary Sewer i --
Rain Drains
Final
,-- ECHAN
[lost 8 Ri-am -- ----- --- -- — —
Rou n In_
Line � --- ---- ---
Smoke Dampers
TFAS% PART FAIL_
Service
Rough In —
,_ UG/Slab --- —---- ----— —
Low Voltage
Fire Alarm
_ Final
F- PASS PART FAIL --
-+ SITE
t Rackfill!Grading ---- --- —— — --
Sanitary Sewer
�Ll Storm Drain ] ]Reinspectir,n fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
J
Catch Basin
Fire Supply Line [ ]Pfsase call for reinspection RE: ( ]Unable to inspect-no access
ADA
Approach/Sidewalk Date /_ / Inspector �+
Other ---1i_- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
:
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT +d. . . . . . . .. MEC98-039_'
DATE ISSUED- 09/11/98
PARCEL. L'S 103BB-0,2'000
'-LITE ADDRESS. . . : 12285 SW 124TH AVE
SUBDIVISION. . . . : BROnKWAY ZONING: R--4. 5
51-OCl/N. . . . . . . . . . LOT. . . . . . . . . . . . . :020 JURISDICTION: TIG
I r�[-ASS OF WORK. . :AL-r FLOOR TURN. . . . : lb EVAP COOLERS- 0
TYPE OF USE. . . . :SF UNIT HFA'rERS. . 1 VENT FANS. . . . 171
OCCUPANC'( GRP. . :R3 VENTS W/O APPIL: 0 VENT SYSTEMS: 0
S 13
TORIES. . . . . . . . . 0 BOIL.ERS/COMFIRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------- 0-3 HP. . . .. : Q; DOMES. INCIN: 0
:GAS 3-1.5 HPI. . . . * V, COMML. INCIN: 0
MAX I NPUT- 0 BTU ':-'#--3 0 HP, . . . - 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : -...,-50 HP. . . . : 0 WOODSTOVFS. . - 0
GA,L3 PRESSURE. . . : 50+ HP. . . . : 0 C L 0 DRYERS. . : 0
NO. OF AIR HANDLING UNITS nTHFR UNITS. : 2
17URN ( 100K BTU: 0 10000 cfm : 0 GAS OUTLETS. : 0
FURN ) =100K BTL.J- 17, 10000 cfm : 0
Rem arl-(s : Gill install gas line; gas insert into rasonry fr; gas logs into
masonry fp
Owner: --- FEES
FETE GILL type am 0 Unt I-)y date r e C:pt
.1 309053
12285 SW 124TH AVE VRMT $ 25. 00 JSD 09/11/98 98—
l'IGARD OR 97223 5PCT $ 1. 25 ,TSD 09/1 1 /98 911-309053
Phone #: 590-3135
Contractor: ___________________...____--_--
(,P ----------------------------(71P a W
732 MARBLE RD
$ 26.. 25 TOTAL
WASHOUGAL WA 98671
r-,hone #-. '360-835-3516
r",pq fl. . : 108176 ——————— REDIA I RED I NESPECT I ONS -------
This
------This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialtv Codes and all other Fina 1 Inspertion
applicahle laws. All work will be done in accordance with
approved plans. This permit will expire if work is not st.,-ted
within 180 days of issuance, or if wort 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
,Pt forth in DAR 952-00I-00I0 through BAR 952401-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
LU
c) r.iE By Permittee Signati.trec
+++++4-4-+++4-+++++++++-+-+++++++-+'+-1-++4++++.++++++++++++4+-4-+++•+......4++++++i-+......
Call 639-4175 by 7:00 p. m. for inspections needed the next bLisiness day
.......44 ................................4-+++-r...............4•.....................
CITY G4; 1'IGARD Mechanical Permit Application
�eCChe
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13125 SW HALL BLVD. Commercial and Residential Date Ftec'd
TIGARD, OR 97223 `'�� 1 1998 bate to P E.
V�.1
(503) 639-4171, X304 Date to DST
DEV.LOPP,'EN'�annrt a C W-0-32 Z
Print or Type
Incomplete or Illegible applications will not be accepted celled -J4/
. - ---. � Nam•of Oeveropn•nNPreiec! a [}eBCnpUOn � -_. _--Y_. .__.
Table IA Mechanical Cafe 01Y PRICE AM1
Job i street Adore" ogee 41 Permit Fie v P 10 00
Address (22p$ I2y'� _
lurege .err tale V 1.) rin'16 IO 1UQ000 BTU- -- - tf Q0
Including duct!&vents
Nara ler nBma of ouein•rn 2) Fumace 160,000 BTU• 7 y0
Owner L 1"t�'ri� �t'r/ induding(jucts,6 vents
C/ r 3) Floor F um000
2 Zit J .�W j z( � 'e-- Including.v:,t
-y - r-- - -
+ 1io I hone d) Suspended I,earet wall heater / 800
offloorm
•r. 9 i d business) 5) Vent not:rel idiad In applismA permit 900
Occupant 'Mnunq Aoo-sr, - '- pump.--
E) Boller Or Comp,heat pump.eo cared 11100
to 3 HP:absorb unit to 10pK BU T" _
c ty miss v Pna,e 7) Boiler or,Amp,heat Dump,air pond --- 1100
_ _ _115 HP:absorb unit to 500K B1 U"
Contractor I �/• __ d l 9cider or mrnp,heat pump,air Gond 1500
V P� 15-90 HP:absorb unit 5.1 mil BTU"
Prior to permit ! 'a! itinv erg 9) Boder of oomp,heat pump,air cored ?;°p
lasuanra,a copy I 731:- 30-50 NP.somb unit 1.1 75mt1 BTU"
or all licenses I ;1.011111.v 0"10110) goiter or Corrp, heal pump,air r and 1 0
are required ' I Aulhat � y' Q 936 3_94 >50 HP;absorb unit ' 'S mil BTU"
"xptred m co r I .�'"OF lloow I C r Exp Dpi 11.) Air handling unit tc ' 100 CFM.�_ 460
..FJ/97 _
Architect I 'lame - y � 1)1 Nott-ponableevapo,sts cooler 410
nr Ms,unq A ra•eer �14 j Vent Tan conRI1I to a sirgle duel :f o0
Engitraer »vrsuu zip pt+ene t ► Venulatlon syetetr not Included In 4 50
-__ opplianoe e!fmd 1
describe work New G Adartron �an�BM�r r- :� Repair 0 16)mood served by mechII cal exhaust r ��-
to be dune Residential Nnnf91h dpri p
AdditionalOeecnpaan r'wo 1n X11 17)Domestic rnunerator's —7 50
Ulltrrf N%1<f0 N1'lRioK
1 ) commernal or Industrial type 0
PPS _ InGrterator _
Er etui0 I'se of
19) Repa,r units _ t 5i
l building of jrormrty home— -
_. 70)) Wood love r - 4 50
r'ropoaed use -r lt ) Clothes dryer,etc. 1 --- + 450 --
� bulkling yr t,
I 22) Other un:tt - a.SO
Type of lues-oil natural qas LPG 0 electric 0 u 1 CiM;f'pmg oni t0 IoW outs 00 l
i hereby s0now1edga that t have reed this application that the 4) Ore then d.per outlets I'0act+t ytj 1 `--
Ce information ,�PS -4rreCt,,het I am the owner Qr-4uthnnzed agent of
� the owner,Thr, ,, t'!*ed aro m comolience with Oregon State `f 5U If......
r
laws !G�
I- Slgnaf�e�tlwneNAgent Date '9111010TAL ' I}
L$
� �- - N/r+��� 4- _._ _ 5.ti a HANGS.�- ---� �►:
W nn r, erann . �,.,H --- --PM
--- - f"-- PLAN EVI OF SVBTO?AL
. __
ane- ke�.�_ Y835-3si� )TAL
rimae pmt doe (►ev 9 /tkrinlinur"perrtul tit.is f21 511,11 fulYa"9.a 1"
.I_F _'a plan plea►,•
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CITY'OF TINA RD
CrFY TWARD .,�
C AL
COMMUNffY DEVELOPMENT DEPARTMENT OR100N MECHANIC
13126 SW Hell 13W. �.O.Box 23397,Tgaid,Oregon D7223(&n)8394175 PE R 1Y1 IT
F'E R11 1
639-41 '1 DATE ISSUED: 11/17/90"
SITE ADDRESS. . . : 12285 SW 124TH AVE PARCEL: 25I03BB-02000
SUBDIVISION. . . . ' BROOKWAY ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :20
CLASS OF WORK. . :ADD FLOOR FURN. . . . EVAP COOLERS:
TYPE OF' USE. . . . :SF UNI f' HEAVERS. . : VENT FANS. . . -
OCCUPANCY GRP. . :R3 VENTS WIO APDL: VENT SYSTEMS:
STORIES. . . . . . . . :2 BOILERS/COMPRESSORS MOODS. . . . . . . :
FUEL 0-3 H F). . . . : 1 DOMES). INCIN:
- /ELE/
3-15 HP. COMML. INCIN:
MAX INPUT- BTU 15-30 HP. REPAIR UNITS:
FIRE DAMPERS?_ : 30-50 HP. WOODsToVES. . -.
CCAS PRESSURE. . . 5L714, HP. . . . CLO DRYERS. . -.
1\10. OF AIR HANDLING UN ITS OTHER UNITS. :
FURN ( 100K BTU: 10000 c f m: GAS OUTLET3. :
FURN ) =100K BTU: > 10000 cfm :
Remarks : EXISTING HEAT PUM11
Owner: FEES
PIEJE GILL type amol-int by date recpt
12a85 SW 124TH OVE VIR141 $ 25. 00 JH 11/17/92 -
5PCT v, 1. 25 JH 11/17/9a -
TIGARD OR 97223
Phone #:
Contractor: ———————————————--———---———————--
BELL HEATING
15550 SE PIAllA AVE
CLACKAMAS- OR 97015 -—————————————————————————
Phone #: $ 26. 23 'TOTAL
Req #. . : 00447
REWIRED INSPECTIONS -------
This
-----This permit is issued subject to the reguations contained in the Final Inspet-tion
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
app-oved 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.
V)
P e r m i t t e e 1;i t 1-1 —-----
ISSLIed By -
Lo
W
__J Call for inspection 639-4175
INSPECTION NOTICE ��
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
=nspection Line (Rec-O-Phone): 639-43.75 Busi/neas Phone: 639-4171
Inapection:
Footing P bg. Underslab Mech. Rough-in A-)pr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb. \
Plbg. Underfloor Water Line Gyp. Bd.
Date Requeated: Timet: AM _ PN
Addrese:__/ 4� Pe t,
Builder: rn rL
TPE FOLLOWING GOFtRFCTIONS ARE REQUIRED:
GL
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Inopectora /_// / — - - - DntP:
01
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainap.
----------
F 7YOF TIFARDCrfY OFLTWA RD
COMMUNITY DEVELOPMENT DEPARTMENT OR660N
13126 SW HWI Blvd. P.O.Box 73397.Tigard,Oregon 97223 (SM)639-4175
PLUMBING PERMIT'
PERMIT #. . . . . . . - PLV192-0165
639-4171 DATE ISRIJED: 11/17/92
SITE ADDRESS. . . : 12285 SW IE4TH AVE PARCEL: 2SI03BB-02000
SURD I V 15101\1. . . . : BROOKWAY ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :20
CLASS OF WORK. . :ADD GARBAGE DISPOSALS- : MOBILE HOME SPACES. :
TYPE OF' USE. . . . :BF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. .
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . .2 WATER HEATERS . . . . . .. CATCH BASINS. . . . . . .
FIXTURES-------------- LAUNDRY _1 RAYS. . . . . . . SF RAIN DRAINS. . . . . ..
S LN K 5. . . . . . . . . . : URI NAL 5. . . . . . . . . . . . . GREASE TRAP'S. . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWE=RS. . . . : 1 SEWER LINE (ft ) . _ :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . .- RAIN DRAIN (ft ) . . . . :
Remarks : JACUZZI IUD
Owner: FEES
PETE GILL type Anint-trit by date reapt
12265 SW 124T'H AVE PRMT' $ 23. 00 JH 11/17/92 —
5PC T $ i. 2` JTI 11/17/92 —
TIGARD OR 971-23
Plione #.-
Contractor:
OWNER
Flhoiie $ 26. 23 TOTAL
Her
00000
REQUIRED INSPECTIONS
This oertit is issued subject to the regulations contained in the -rap—oi_tt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspectiori
applicable laws. All work will be done in accordance with
CL approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is st,spended for sort
than 180 days.
Permittee Signature :
_J 1 :isi-ted BY : ol
Call for inspection 639-4175