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12475 SW 124TH AVENUE -vi 7, f. 121i7,1-S�W /� Ay4vuz C(f isrecordsMiIcrotlm%targe(sV)uilding.doc u W J ws�w CITY or TIGARD BUILDING INSPECTION DIVISION MST 24 Hour Ins pection Line: 639-4175 Business Line: 639-4171 BUP _�C ate Requested l (,) ,Qa —AM_. _PM -�_ BLU Location fyC.L�� Suite MEC k Al Contact person / C:cL1.�•>Lt.l Ph _��o _s�`� PLM Contractor ' Ph SWR BUILDING Tenant/owner ELC Retaining Wall ELR Footing Access' Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes- Slab otesSlab _ —_ —_— SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp d Ceiling ----�___—_-- ------------ --_-- -- Roof Final PASS DART FAIL - ----------- - -- ------------_—_ PLUMBsNG Post&Beam ---. ____._.---------_----_---------__.._—___..�� Under Slab TopOut ___—_-- ---------- . -- -------- -- Wzter Serv,ce Sanitary Sewer ---- -- -- ----- ---- _--'^ Rain Drains Final -� ASS PART FAIL _ ECHANICAL Post& Beam --- -- ______.--- . _._ _---------- ----._------_ .- --_`_--- Rough In Gas Line - -. - -- -- --------—� -_--._— -- 3moke Dampers errASS) PAR. FAIL Service Rough In `--A- --~--^� ci UG/Slab Low Voltage F e Alarm r nal �- PASS PART FAIL -� SITE Backfill/Grading Sanitary Sewer w+ Storm Drain + [ J Reinspection fee of$_ i—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I [ j Please call for reinspection RE ( j Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date 11�R1 of inspector 1N Ext G, ---T-- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 CITY OF TIGARD -- MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00470 13125 SW Hall Blvd., Tigard, OF 97223 (503) 639-4171 DATE ISSUED: 11/04/1999 PARCEL: 2S1031313-01000 SITE ADDRESS: 12475 SW 124TH AVE SUBDIVISION: BROOKWAY ZONING: R-4.5 BLOCK: I OT:010 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS WIO 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 NP: GAS PRESSURE: 50 + hp: WOODSTOVES: DRYERS: FURN < 100K BTU: 1 _ Alpo HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfmN GAS OUTLETS: > 10000 cfrr►: Remarks: Replace an existing gas furnace with like kind. Owner: FEES _ KEN/CARLA DONEY Typo By Date Amount Receipt 12475 SW 114TH AVE PRP,iT GEO 11/04/19f $50.00 99-319547 TIGARD, OR 97224 5P-,T GEO 11/04/19f $4.00 99-319547 Phone:503-590-1774 L Total $54.00 - Contractoi: SPECIALTY HEATING � FABRICATIO 9528 SW TIGARD ST TIGARD, OR 9723 _ REQUITED INSPECTIONS Heati; o Unt Insp Phone:620-5643 Finai Inspection Reg M SUP 2570RET LIC 006657 ELE 34-341CR ORIGINAL LL L/) =, This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. t Specialty Codes and all other applicable laws. All work will be done in accordance with approved w plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mere than 180 days. Al-TENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notil'ication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue B / -a,` Permittee Signature: ! ,, Call (50339-4175 by 7:111,0 P.M. for inspections needed the next business day Plan Check# CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. _ (503) 639-4171, x304 _Date to DST Print Or Type / f Permit#/NE°fes 0'4'70 Incomplete or illegible applications will not be accepted ^ailed _ Name of Development/Project Description Table 1A Mechanical Code Oty rice Amt A) Permit Fee ___ .'.{ ' ,•�pc r: 16.00 Job Street Ad rens Sufle1J _ -- 7� 1) Furnace to 100,000 BTU 1 Address -iy� /� y including ducts&vents see footnote_1,2 l 9.1 5 Bldg# c4istale zip �f 2) Furnace 100,000 BTU+ �lcf/ o[1;2;)-7 including ducts 8 vents see footnote 1,2 12.00 _ Nam for name of bylines ) ,r 3) Floor Furnace Owner /i 6�YJ l/�° I A M/JO t1C�'�f including vent see footnote 1,2 9.65 Mailing Address ` 1 � 4) Suspended heater,wall heater ^ _ n / or floor mounted heater see footnote 1,2 9.f5 /,A y75 •-SCJ /ot �� '` v 5) Vent not included in appliance permit 4.75 City/State zip Phuneos Check all that apply. "Boi(er Heat Air For items 6-10,see or Pump Cond Qty Price Amt Na , r name or business) footnotes 1,2 Comp 6)QHP;absorb unit to (l 100K BTU 9.65 Occupant Mailing Address 7)3-15 HP;absorb unit 100k to 500k BTU _ 17.65 C lyrState Zip Phone 8) 15-30 HP;absorb y unit.5-1 mil BTU 5 Contractor Name - 9)30-50 HP;absorb tunit 1-1.75 mil BTU _ 5� i?C4.Zt-r( �Q Y� n 10)>50HP;absorb unit Prior to permit nMailing Address -T _ >1.75 mil BTU 60.15 issuance,a ropy 3,5„7� �w //�S l 11 Air handling unit to 10,000 CFM of all licenses CM/Stale Zt Phone 9s 7.00 are required if / d Qe 7 '`7 /77i� 12)Air handling unit 10,000 CFM+ expired in COT �gon Const Cont Board Lic# Exp Date 11.85 database ? �.5 7'J' _ 13)Non-portable evaporate cooler Architect Name -� 7.00 14)Vent fan connected to a s;ngle duct � 4.7� or Mailing Address 15)Ventilation system not included in appliance permit v 7.00 Engineer City/State zip Phone _ 16)Hood served by mechanical exhaust 7.00 Describe work to be done 17)Domestic incinerators R _ 12.00 New O Rit O Replace with like kind Ye� Non 18)Commercial or industrial type incinerator _ 48.25 ep Residential Commercial O 19)Repair units Additional information or des ription of work' _ 8.40 20)Wood stove/gas FP/other units/clothe dryerletc. r/ 7.00 NOTE: For Commercial projects only,Units over 400 lbs.require 21)Gas piping one to four outlr' structural gas crlcs_ See footnote 1 _ 3.75 Type of fuel nil O natural gas X LPG O electric O 22)More than 4-per outlet(each) .75 Minimum Permit Fee$50.00 SUBTOTAL I hereby acknowledge that I h;ve read this application,that the information 8%SURCHARGE a given is correct,that I am tt,e owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits only the owner,that plans submitted are in compliance with Oregon State laws. - TOTAL Slgnatyre of Owner/Agent� DateOther Inspections and Fees: 1. Inspections outside of normal business hours(minimum charge-two Conte Person Name Phone hours) $50.00 per hour c2. Inspections for which no fee is specifically Indicated (mintr:am 6c,?0.5 charge-half hour) 550.00 per hour Foonotes for commercial pro ea �nl 3. Additional plan review required by changes,additions or revisions to j y 1 Provide full schematic of existing and proposed gas line and pressrne plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. 'State Contractor Boiler Certification required "Residential,VC requires site plan showing placement of unit I Umechperm doc rev 7/19/99 _ � J CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 11125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PERMIT PERMIT #. . . . . . . : PLM94-01 ice: :'s9 4171 DATE ISSUED: 06/23/94 PARCEL: 25103BP-011? ,O SITE ADDRESS. . . : 12475 SW 124TH AVE SUBDIVISION. . . . : BROOKWAY ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 10 --------------------- CLASS OF WORK. . :*E-WA c l" GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRF', . ; R3 i=LOJR DRAINS. . . . . , . . TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . , . . . . FIXTURES-----,- --------- LAUNDRY TRAYS. . . . . . SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . : LIR.INALS. . . . . . . . . . . . . GREASE TRAPS. , . . . . . . LAVATORIES. . . . . : 0 T f 4 E R F 1 XTURES. . . . . : I JP/SHOWERS, . . . : SEWER LINE (ft) . . . . WATER CLOSETS— : WATER LINE (ft ) . . . . :5121 DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : INSTALLING WATER LINE AND BACK FLOW DEVICE Owner: ------------------------------------------------------- FEES CARLON DONEY type amoi-int by date recp,. 12'475 SW 124TH AVE PRMT $ 27. 50 PLT 06/23./94 5PCT $ 1. 30 PLT 06/23/94 TIGARD OR 97244 Phone #: Contractor,: ------------------------------- FULLMAN COMPANY `.;711 SW HOOD PORTLANL OR 97201 -----.--------.--------------------------_ Phone #: E,'24-5221 $ 28. 88 TOTAL Reg #. . s 0+ -41,5 -•------ REOU T RED INSPECTIONS - --- - This permit is issued subject to the regulations contained in the Top-out Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Fiiial Inspection applicable laws. All work will be done in accordance with approved plans. This permit will empire if work is not started _ J within 188 days of issuance, or if work is suspended for more than 188 days. h— �- !`'e r-m i t t e e Sign ti—q-4 , Call for inspection - 639--4175 INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41.71 Inspection: --- Footing -- Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hach. Rain Drain Insulation -Plumb. Plbg. Underfloor Prater Line Gyp. Rd. -Mech. Date Requesteds L Ti=et AM PH Addreess Builderll_ �2L TqX MJLIOWING CORRECTIONS A" REQUIRED: o. F- t/'1 F- Lo W J Ole i1 inspect Date: r _"PROV<p DISAPPROVED APPROVED SUBJECT TO ABOVE Cell For Reinsp. 13125 SW HALL 13Lvli. PLUMBING PERMIT P. O. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing T IGARD, OR 97223 business or must be property owner/operator not hi'ing txrtside.help_ J`03)639-4175 Name of Deveioptnent Plumbint{Permit No. Address Description ORS 614-21.610 - OU/lN. PRICEAMT. Tax Lot LCL-�S.ISr��Mapp.No. Address FIXTURES int Bock Sutldtvtsion Sins: 7.50 ame ror`nerne oT�iisuwss Lavatory - 7.50 Tub or Tub/Sfxrwet Comb. 7.50 ing rens Shower Onty - 7.50 ----- WaterCiosel 7"50 Owner City/Stets Dishwasher -- 7.50 ,- - P�wr ----- - 7.50 _ - Garbage Dlsposa' Washing MaCune 7'50 -�. Nz p 7.50 ,G� F1oo(Orain _ G Water Heater 7'50 '^9 Address Phone _._ - - _ Laundry Room Tray 7.50 Occupant Ci StateUrinal 7.50 - Other Fixtures(Speafy) 7.50 / 0 / 7.50 a, ass Phone7.50 7.50 CAOntraLtor MI�CCLLJAVEOUS City Bue.Tex No. ,ivwe(1 St 100' 30.00 Sewer-ea.Addit 1 OG 15.00 o water serr;rb 1 st 100* _ 20.00 -- Water Service ea.AddiL KIY 15.00 I horeby acd=wledge flat 1 have read osis app4catbn.ttW the Intormatitxt _ -- 30.00 given rz cOcrecL that 1 am registered with tho State gviide(s Board.and also "".n d Min Drain t st 100'_ ! have a an StNe Pkunbktg license that the numbers given are Corract. o- %P�Drain Addit 1o0' 15.00- pkmsb"wcxtc will be done in accordance with amicable P�/Of� 25.00 gon Revised Stabiles Cheplerx 447'and til and aPP4C2&e Codes and Cwt moute-truce Space unless Bceneed under ORS 6A3-(tl exempt from no f»lp will be empbyod Back F1')w Prevention 7.50 State registration,please give(eeson below). Device or And-POthAion Device ---- 11OMEOWNERS-1 tw"oerlity that 1 am the owner of the prOpxty de scrtned aix",at wt>ic h Icrado n 1 IxOpOse to ma"a pkxT btr'0 hvsisj el'on for Any Trap or Was"Not 7.50 my own use and oats pnV*fty Is not bekV Cortsbucisd hx sale.tease x rent. Corr»cled to a Fixb" -- 7 1 Ga"Basin __---- --___- - --- k%sp.d E)dst.Pkxnbtr _ 40.00 Per Hr. - ---- __- _ ----- - SpeashYRequested Inspsrx30ns 40.00 Pet Hr. -- A!tw.of Pkxrt*V wfd --- -- ---_ --_ an Exietln9 B1d0 15.00 min. Mew SM.a BuM.Addteon 25.00 m1n. .-. AUTHORIZED SIGNATURE Date - F$� CYai --41-gle fixlal� _ ►- - 15.00 KhW1160n ClmPa'r❑ c3.+Pll Qetscfit>A work rlrfw eddilion,E] �---------. _ } fhstde�tialr� rxxl-reyidential F- to be dom R FidstlrX7 uVe a1 SUB-TOTAL bxAlr*vorproperty - __�--- -- 5% SURCHARGE w F'r of10�t+d erect of - 2 5 P LAN RE WV I REVIEW J ting or property TOTAL $g NOTICE This Lr'alt beocxrtea"u"and void tl work or omwtvotlon wAho(tred Is not coat ahsrdor�+d For rrserrasd wkhln 1 W)d�ys»r r orxaertx-k or wrxh M"aw-rt o' a podod of 100 days d ar*Y ems a?fsr wtwie ts oortwn+nosd. SPICtAL 0ONO(T101•t9 Oath Idsued by --