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14085 SW 100TH AVENUE ADDRESS: 40 a r J 00 r+ C.7 LLl J i:VecordsVnlcrof Irn\targets\building.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - ---- BUP Date Requested � _ AM� PM _ BLD Location•_ ! `"� �`��-� �C^)` �421 SuiteMEG - - Contact Person , l i�1� e, Ph 9(og L�1 C>_ PLM ('C`YYU 5 _ Contractor Ph SWR BUILDING Tenant/Owner ELG ' Retaining .Nall ELR Footing Foundation Access: FPS Ftg Drain SGN —i Crawl Drain Inspection Notes: — Slab — — SIT Post&Beam --- IExt Sheat;,/Shear ,nt Sheathl�: ear raming Insulation Drywall Nailing Firewall Fire Sprinkles Fire Alarm Susp'd Ceiling Roof M��;a: - -- -- ----- -------__.----- Final P S PART FAIL --- _ UMBiW - Posri�15'earn --- uode Slab Top Out _-- Water Service Sanitary Sewer -- —� Rain Drains S PAR r FAIL ANIC Post& Bean) — -- _ Rough In Gas Line -- - - -------- — Smoke Dampers PART FAIL F: ICAL -..-- - - -- Service it Rough In UG/Slab Low Voltage -� Fire Alarm ca Final i� PASS PART FAIL SITE Backfill/GradingJ---- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ __— required before next inspection. Pey 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 .l.L Inspector _{z'� r Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD DZVELOMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . : PLM99-0075 i371L25 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUEE : 03/17/99 PARCEL: 2S111BB-00300 SITE ADDRESS. . . : 14085 SW 100TH AVE SUBDIVISION. . . . : TIGARDVILLE HEIGH'rs BONING: R-12 BLOCK. . . . .. . . . . . : LOT. . . . . . . . . . . . . :011 JURISDICTION: TIG - --------------------- ------------------------------------------------------------------- CLASS OF WORK. . :DTR GARBAGE DISPOSALS. : 0 MOBILE HOM[-7 SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACrf.FL.OW PREVNTRS. . : 0 OCCUDANCY ('2RP. . : R3 FLOOR DRAINS. . . . . . : 0 TRHPS. . . . . . . . . . . . . . 0 STOFIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH ROSINS. . . . . . . : 0 FIXTURES---------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER F 7 1 XTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWFR LINE (ft ) . . . : 0 WATER CLOSETS. : 0 W(!)-,F.R LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 R( IN DRAIN (ft ) . . . .- 0 Remarks : Installation of gas water heater to replace existing electric-- wate— h e a t e r. Owner: FEES OPUE CIETERSEN type amoi-int by date recpt 14085 SW 100TH PRMT $ 25. 00 DEB 03/17/99 99---313787 TIGARD OR 97224 5PCT $ 1. 25 DEB 0"7/17/99 99-313787 Phone #: 968--2105 OWNER ---------------------------------------- Phone #: $ 26. 25 TOTAL Reg #. . : 999999 REQUIRED INSPECTIONS -------- T10s pei :it is issued subject to the regulations contained in the Top—oi_tt Insp Tigard Municipa' Cod , State of Orp, Specialty Codes and all other Misc. Inspection applicable laws. All wo-k will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for sure than 180 days. ATTFNTION: Oregon law requires you to follow rules adopted by the Drpgon Utility Notification Center. Those rules are set forth in DAR 952-*01-0010 through OAR You may obtain copies of these rules or direct questions to OtK by calling 1503)246--1987. Y: Perwittep Sic iatlire .- +44...+++++++++++++++++++++-F+++++;++{ }-+++4+++++++{.a...... .4+++ ......4•.......4-+ Call 639-4175 by 7:00 p. m. for an insp-?ctir.n needed the ne>,t bmsiness day .....................4................... ........4%..........4...........4...... CITY OF,IGARD Plumbing Permit Application Plan C 13125 SW HALL BLVD. Commercial and Residential Recd a ��•*:- TIGARD, OR 97223 Da'e recdILT2'-% (503) 639-4171 Date to P.E. -�-'-' _ Print or Type Date to D j Incomplete or illegible applications will not be accepted Permit* Related�.VR Called, -- Nam yelopt/ProjiW FIXTURES Individual �(Individual) QTY PRiCE AMT Job �� Sink 9.00 Address Still Address 1 Suite Lavatory 9.00 Still r ), S S rirlb Tub or Tub/Shower Comb. r 9.00 Bldg* Cid/State ZI - _ j t C�A4- J� �'72 Z� Shower Only N e r ' ,7 Water Closet 9.00 Dishwasher 9.00 Owner M figo Aorirss Suite --� G-Ybnwge Disposal 9.00 Washing Machine 9.00 City/State T_Ip Pone rI(;,A►2h GI c4,0 .2 lC 5 Floor Drain/Floor Sink 2" 9.00 Name3" 9.00 ►`AV t5- � � }� MyZSE0 a" 9.00 Occupant Mailing Address Suite - Water Heater conversloi1 O like kin,t / 9.00 C S S w i�Id Gas piping requires a separate mechanical oermil. _ City/S!ate ZIpp F' one Laundry'loom Tray 9.00 i s„�b u►2 N 7 Z LAG 8 2 to s Urinal^� 9.00 Name _ Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 _ 9.00 Prior to permit City/State Zip Phone Sewer-1st 100' 30.00 issuance,a cep; - of all licenses are Oregon Const.Cont.Beard Llai Exp.Date Sewer-each additional 100' 25.00 required If :'Dater Service-1st 100' 30.00 expired in COT Plumbing Lic.* Exp.Date Water Service-each additional 200' 25.00 database Storni&Rain Drain-1st 100' 30.00 Name Storm&Rain Drain- -ach additional 100' 25.00 Architect Mobile Home Space 25.00 or Nailing Address Suite Commercial Back Flow Prevention Device or Anil- 25.00 _ Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Devlca- 15.00 (Irrigation liming devices require a separate Describe work to be done: restricted energy er!n L New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.0c Res'.deniia Commercial O Additlon desc,iption oo/�ff w.i,r/k j � Catch Basin _ ;00 J� ¢IseGECCJ� Insp.of Exiating Plumbing 40.00 Specially Requested Inspections 40.00 ... ✓%� er/hr Rain Drain,single family dwelling 1 30.00 N Are you capping,moving or replacing any fixtures'/ Yes O No-:-' Grease Traps -- 9.00 If yes,see back of form to indicate work performed F;y QUANTITY TOTAL. fi>rture. FAILURE TO ACCURATELY REPORT FIXTURE -� 'Isometric or riser diarlram is required R Quantity Total is >9 WORK COULD RESULT IN INCREASED SEWER FEES. _ "SUBTOTAL 'O .. I hereby acknowledge that I have read this application,that the Information ,} given is correct,that I am the owner or authorized agent of the owner,and -� 6% SUR"5 RGE Ill 1 � thatoaqs submit',ed are In o�,r ua.;^e with Oregon Slate Laws 31g slur of Owner/AgIVY' Date **PLAN REYI"W 26%OF SUBTOTAL Required only 0 flxturo t rte!is>9 TOTAL Contact Person me I Phone I 'Minimum permit fee is$25+ 5%surcharge,excep,Residential Backflow _ Prevention Device,which is$15+5%surcharge ••AIL New Commercial Buildings require plans with Isometric or riser diagram and plan review 1:1idetslpkxnepp doe MM PLEASE COMPLIETF: Fixture Type Quantity by Work Performed —� New Moved Replaced Removed/Capped Sink Lavatory - Tub or Tub/Shower Combination Shower Only _ _ ---- Water Closet - Dishwasher - Garbage Disposal Washing Machine Floor Drai i/Floor Sink 2" 3„ Water Heater Laundry_Room Tray — Urinal —Other Fixtures Fixtures (Specify) - — COMMENTS REGARDING ABOVE: LJJJ r.ewW�un.dv.do.�moe CITY C TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Ha'f Blvd., Tigard,OR 97223(503)639-4171 FIE RI.I T #. . . . . . . : MEC99-0107 DATE ISSUED: 03/ 17/99 PARCEL.: 2S1111313-00300 SITE ADERESS. . 14085 SW 100TH AVE SUBDIVISION. . . . : TIGARDVP_L.E HEIGHTS ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :011 JURISDICTION: TIG CLASS OF' WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS.. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . - R3 VENTS W/0 APPL: 0 VENT SYSTEMS: P STORIES. . . . . . . . : 0 BOILERS/COMPRE53ORS HOODS. . . . . . . : 0 FUEL TYPES---------------- 0-3 HP. . . . 0 DOMES. INCIN: 0 :GAS 3-15 HF,. . . . : 0 COMML. I NC I N: 0 MAX INPUT: 0 BTU 15- 30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30_Eo HP. . . . : 0 WOODSTCJES. . : 0 CCAS PRESSURE. . . : 50+ HP. . . . : 0 CL.O DRYERS. . : 0 NO. OF UNITS--------.- -- 14Ir( HANDLING UNITS OTHER UNI-C S. : 0 FURN ( 1O0K BTU- 0 (= 10000 cfm : 0 GAS OUTL_ETS. : 1. FURN ) =1O0K BTU: 0 > 10000 r,fm: C Rem ark s : Installation of gas piping for new gas water heater. Owner: --------------------------------------------- ------ FEES --- - --------__ DAVE PETERSEN type amol_int by da:-e r^ecpt 14085 SW 100TH PRMT $ 25. 00 DEN 03/17/99 93 -313787 TIGARD OR 97224 SPCT $ 1. 25 DEB O3/17/S`9 99--313787 Phone #: 968-2105 OWNER ;x'6. 25 TOTAL Phone #: Reg #. . . REQUIRED INSPELTIONS ------- This permit is issued subjec; tr, the regulations contained in the Gaff Line Insp Tigard Municipal Code, State rf Ore. Specialty Codes and all other Misr-. Inspection applicable lhws. All work will be done in accordance with Final I n s nect i on ��^ _.— approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more Nt.tan 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregnn !Utility Notification Center. Those rules are �- set forth in OAR 952-081-0010 through OAR 952-001-0080, You may -� obtain copies of these r1iles or direct questions to O[K by calling w (503)246-9187. LL) By : l F=lermittee S.i.gnatur^c+ : -- � r 4•+++++ F+++++++.4. .+++++++++++f+++++++++++++++++ 1-+++++++++++++++++++++++F+++++++++ Call 639-4175 by 7:00 a. m. for inspections needed the next business day +++++++++++++++++++++++f++++++++++++++++++1+++++ F++++++++++++++++++++++++++++++ s>�tttw Plan Choex-ftl- CITY OF TIGARD Mechanical Permit Application Recd , IS 125 SW HALL BLVD. Commercial and Residential Date Rec'd''i�7 � TIGARD, OR 97223 Date to P.E. _ (503) 639-4171, x304 Date to DST Print or Type Permit#�-I� 'GYO I Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code _ Qt Price _A_mt Job Street Address suitet! A) Permi!Fee _ 10.00 1) Furnaca to 100,000 BTU Address eld9a tate zip inclu("no ducts&vents seP footnote 1,2 6.00 cnyr� —-- — — 2) Furni 100,090 BTU+ including d,:^fs&vents !ee footnote 1,2 7.50 Na a(or name of but nese) 3) Floor Furnace r'Z 6 ' includin vert see footnote 1," I 6.00 Owner _�— ---___ - Mailing Address 4) Suspended heater,wall heater or floor moulted heater see footnote 1,2 6.00 _ 5) Vent not included in appliance permit Cltylstate Zip Q Phone 3.00 / �,� C)I` / �O �t, Check all that apply: 'Boiler Heat Air Name far lame of b nese) For Items 6-10,see or Pump Cond Qty Price Amt footnotc,- 1,2 Comp •• 6)e3HN;absorb un"to Occupant Mailing AddressL 100K BTU 6.00 14 t, S SW �� 7)3-15 1-. ';abso,b unit Chy/State Zip Phone t 00k M 500k BTU _ _ 11.00 _ _T )L w i-_-, )2 x722 ?It 8) 15-30'1P,absorb — Contractor Name — unit.5-1 nlil 0TU 15.00 9)30-50 HF;a;lsorb Sc L unit 1-1 75 mil BTU 22.50 Priur to permit Mailing Address 10)>50HP,absorb unit issuance,a copy >1.75 mil BTU 37.50 _ of all licenses City/state zip Phone 11)Air handling mil to 10,000 CI-M are roauirctd if _ 4.50 expired in COT Oregon Const.Cont Board LIe.M Exp Date 12)Air handling unit '0,000 CFM+ database 7.50 Architect Name 13)N( -portable evaporate cooler 4.50 or Mailing Addross - 14)Vent fan connecti d to a single duct _ 3.00 _ 15)Ventilatior,system not included Engineer Cnyrstate Zip Phone appliance permit 4.50 16)Hood served by mechanical exhsust _ 4.50 Describe wo k to L done: "*.A� rn. .i.w. 17)Domestic incinerators New O Reps!,C Replace with like kind: Yes O No O _ 7.50 Residenhal!i� Commercial O 18)Commercial or industrial type incinerator 30.00 Additional Inforipation or description of work: p 19)Repair units !e- ./�/ ��-�✓- _4.50 > it.� %J� 20)Wood stove NOTE: For Commercial projects only;Units over 400 lbs.require 4.50 2 _ structural as talcs. 21)Clothes dryer,eh. N Type of fuel: oil O natural ga LPG O electric O _ _ 4.50 22)Other units r— I hereby acknowledge that I have read this application,that the Inform•lition 4.50 �i given is co--ect,that I am the owner or authorized agent of 23)Gas piping one to four outlets _ the own_v.,that plans submitfed are In compliance with Oregon State It Ns. See footnote 1 jJ20 c`3 _ 24)More than 4-per outlet(each) Un SIg atu .f Owt JNAgetti Date 0 Minimum Permit Fee$26.00 SUBTOTAL 4 Cont arson N e Phone 5°�SURCHARGE PLAN REVIEW 25%OF SUBTOTAL Foonotes for commercial projects only: Required for ALL commercial permits onl 1 Provide full schematic of existing and proposed gas line and pressure TOTAL S 2 Provide drawings to sc,le showing existing and proposed mechanical units.— _ — 'Stale Contractor Boiler Certification required Residential A/C requires site plan showing placement of unit Vnechperm doc rev 02/4/99 :a