10730 SW FAIRHAVEN STREET i
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10730 SW FAIRHAVEN STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
l BLIP
Date Requested------ 1 ! I I //� AM r�_PM BLD
-�
Luc0on - 3 6) F�' _ /l/i i,�i4 SuRe _— MEC O
Contact Person Ph _ _ PLM
Contractor— Ph _ SWR
BUILDING ----� Tenant/pwne�'_& 3!
2 q -7.3 ELC _
Retaining Wall ELR
Footing
Foundation Access: / -7
Ftg Drain FPS
Crawl Drain Slab nspection otes: SGN —
Post _ slr
Post 8 Beam 4
Ext Sheath/Shear
Int Sheath/Shear
FramingJV
Insulation
Drywall Nailing
Firewall — -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- - — - --- - — ------- _ — _
Roof
Misc:
Final - -- -.___—_--
PASS PART FAIL -- - _ ----- -
PLUMBING
most& Beam - —-- -- - — - ----- — ------_ _ — -
Under Slab
Top Out --- - -- -
Water Service
Sanitary Sewer -- -- --
Rain Drains
Final
PASS PART FAIL
MECHANICAL _ ------_-__--- -
Post&Beam -
Rog h Irl -
e Dam rs - -- --
Fi -- ---- ---
A S PART FAIL
LLECTRICAL - - --- -
Service
-- - ---
Roughn _
UG/Stab _
- ---
ow Voltage --
Fire Alarm
Final --- -
PASS PART FAIL
SITE ---- -- - -- —-- ---- ---_--—
Backfill/Grading
Sanitary Sewer
Storm Drain I ]Reinspection fee of E required before next inspection. Fay at City Hall, {125 `;W I lall Nvrl
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: [ ]Unable to inspect-no acceFs
ADA
Approach/Sidewalk
Other Date f 1 7 Inspector Ex;
Final
PASS PART FAIL - 00 NOT REMOVE this inspection record from the job site.
CITY O F T E G A R D MECHnNICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : MEC9900f?�1*4
DATE ISSUED: 01/07/99
PARCEL: 2SI03DD-00416
SITE' ADDRESl— , .: 10730 SW FAIRHAVEN S7
SUBDI'VISIGN. . . . : FAIRHAVEN COURT ZONING: R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :00L JURISDICTION: TIG
----------------------------------------------- -
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT T-ANS. . . : rD
OCCUPANCY GRP. . :R3 VENTS W/O APDL : 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES----------------- 0-3 HP. . . . 0 DOMES. INCIN: 0
3—1 , HP. . . . 0 COMML. JNCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS- 0
FIRE DAMPERS% . : 30-50 1AP. . . . 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 504- HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------- ATR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K PTU: 0 l= 10000 cfm: 0 GAS OUTLETS. : I
F-1-IRN 1 -100K BTU- 0 > 10000 cfm: 0
Remarks: Add gas piping for direct-vent fireplace.
Owner: FELS _-----_—_---_ .
KATHLEEN CHUNG type awiunt by date recpt
10730 SW FAIRHAVEN ST PRMT $ 25. 00 GEO 01 /07/99 99-312005
TIGARD OR 97223 9PCT $ 11- 25 GEF] 01/07/99 99-312005
Phone #:
Contractor: --------------------------------
JAY' S GAS PIPING
PO BOX 793
$
.6. 25 TOIAL
BEAVERCREEK OR 97004
Phone #: 632-8L,23
Peg #. . .- 011983
REQUIRED INSPECTIONS
.his permit is issued subject to t.-it regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All stork still be done in accordance with
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more
than 189 days. ATTENTION: Drelon law requires you to follow rules
adopted by the Dregon Utility Notification Center. Those rules are
set forth in DAP 952-W-011 through OAR 952-MI-0080, You may
obtain copies of these rules or direct questions to OLK by calling
(583)246-9187.
"sue By . Permittee Sign; ire* azp
.....................................4........... -4............4 +
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
.............4............4•...........................................4+++++++1a ,
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 i�_- alled �1Ft`'���t�r
Incomplete or illegible applications will not be accepted called
Name of Developmenlrpro)ect Description —�
Table 1A Mechanical Code Qty Price Amt
Job Street Address T�SUK;# A Permit Fee 10.00
1n 73 0 St41 VClt'Ihody fl 1) Furnace to 100,000 BTU
Address including ducts&vents 6.00
Bldg# CMy/State Tap 2) Furnace 100,000 BTU+ _
-1 Z Z 3
including ducts&vents _ 7.50
Name or name of business) 3) Floor Furnace
Owner {',t c\ w -A ��a h Nc r c including vent 6.00
Milling Address 4) Suspended heater,wall heater
� - or floor mounted heater 6.00
1 i t t d �Vt'► f 5) Vent not Included in appliance permit
CMylStete 71p Phone 3.00
i v \" /. i' 7l ? �,J', j jJ CHECK ALL 'Boller Heat Air
Name jor nameof business) —� THAT APPLY: or Pump Cond Qty Price Amt
Com _ •• _
6)<3HP;absorb unit to
Oecuparit Melling Address 100K BTU 6.00
7)3-15 HP;abscrb unit
City/State Zip Phone 100k to 500k BTU 11.00
8) 15-30 HP;absorb
unit.5-1 mil BTU
Contractor NamA--- ' '- t , 9)30-50 HP;absorb �_ 15.00
fZti �' unit 1-1.75 mil BTU_ 22.50
Of
Prior(j permit MaiOn ddres �1, 10)>50HP;absorb unit
issuanoe,a copy -/ >1.75 mil BTU _ 37.50_
of all licenses CuylSt Zip Phone 11)Air handling unit to 10,000 CFM � l
aro rMlulred If _ n�!' C� E!)Zp�;o -.
_ 4.50
expired in COT Oregon Const Cord Board I.lc.# Exp Date 12)Air handling unit 10,000 CFM+
_database_ __�1_ 'rY 7.50
—
Architect Name 13)Non-portable evaporate cooler
_ _ 4.50
or Mailing Addross _ -- 14)Vent fan connected to a single dud
3.00
15)Ventilation system not Included In
'
En (neerCRylState Zip Phone
9 appliag.2tpirmit 4.50
16)Hood served by mer.hanlcal exhaust
Describe work to be done: � ___ 4.50
117)Domestic incinerators
~ New 0 Repair O Replace with like kind. Yes O No O _ 7.50 _
Residential 0 Commercial O 18)Commercial or industrial type incinerator
30.00
Additional information or description of work: 19)Repair units
To U 4.50
20)Wood clove
4.50
21)Clothes dryer,etc.
4.50
hype of fuel oil O natural gas ft LPG O electric O 22)Other t nits
_ __ _ 4.50 _
1 hereby adenowlPd_a that I have read this application,that the information 23)Gas p ping one to four outlets
given is cored.that I am the owner or authorized agent of _ 2.00
the owner,that plans submittea are in compliance with Oregon State laws 24)More than 4-per outlet(each)
Signature of Owner/Agent Date — —� pc
(! c .50
Minimum Permit Fee$25.00 SUBTO50
TAL
it
5%SURCHARGE
Contact Person Nanta Phone — PLAN REVIEW 25°�OF SUBTOTAL
qRequired for ALL commercial p!�T Its onl
rC� h C' C 1 I Cs V"k Y1 3`1!13 7 3 TOTAL
"State Contractor Boiler Certification required
-Residential A/C requires site plan showi,ig placement of unit
tWirmchpenn.doe rev 07/20/98
CITY OF TIGARD ;EWER CONNECTION
DEVELOPMENT SERVICES PERMIT
MUM 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SWR97- O�s7':i
DATE ISSUED: 07/2'1/97
PARCEL.: 2S 103DD--001r 1 Fa
SITE ADDRESS. . . : 10730 5W FAI RHAVE..N ST
SUBDIVISION. . . . -.FA I RHAVEN COURT 70N I NG: R-3. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :2 JURISDICTION: TIG
----------------------------------------
TENANT NAME. . . . . :KATIMLEEN CHUNG
LISA NO. . . . . . . .. . � FiXTL_1RE: ))NIT . . . :
Cl._.ASS OF' WORK. . . :NEW DWELLING UN 11'5. . : 1
T"PE OF USE. . . . . :SF NO. OF DU I LD I.NGS: 0
INSTALL T`r'F'E. . . . :LTPSWR IMF'ERV SURFACE: 0 sf
Remarks : Connecting to sewer
FIFES
KATHLEEN CIII_lNG type amol-Int by date r-ecpt
10730 SW FAIRHAVEN ST F'RMT $ 2200. 00 B 07/21/97 97--297389
TIGARD OR 972,23 TNSP 9 :;a. 00 B 07/21/97 97-.97,389
MISC $ 4505. 88 B 07/21/97 97--c'97389
I"11-011e #:
t_ontr-actor..
OWNE R
t E�740. 88 TOTAL.
Reg #. . :
REQUIRED ?N SPECT I ONS - -
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The pe oit expires 180 days from Septic Tank 1-ill
the date issued. The total amnunt paid will be forfeited if the
permit expires. The Agercy does not guarantee the accuracy of the
side se►i?r laterals. If the sewer is not located at the measurement _ __ ......
given, the installer shall prospect 3 feet in al: 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: Oregcn law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-001.0010 through OAR 952-MI-MO, You may obtain copies of
these rules or direct questions to OX by calling (503)246-1987.
F'e r-m i.t t e e S i g n a t o r e /L
+++44++++++++++++++++4+4++4++++++++++•+++++++++++++4.4.4+++++++++++++++4 +4++++++++
Ca 1. 1 639--4175 by 6:00 p. m. for an inspection needed the next bi.lsiness day
i r r +4++++++++++-1-+++++++++++-1•+++++++++-1 :.4 +++++++++++i+++++++++++++++++++++++++ F
I
CITY OF TIGARD
DEVELOPMENT SERVICESV'1A.JMBTNG PERMIT
PERMIT #. . . . . . . : P'LM97--0J:'E!P
13125 SW Hall Blvd., Tigard,OR 97223 (5031639.4171 DATE ISSUED: 07/�'1/97
PARCEL: 29103DD- 004I6
ITE ADDRESS— : ).0730 SW FAJPJ--JAVFN ST
5UBDIVISION. . . . : FATRl-InVEN COURT ZONING: R--3. 3
Tki-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :2 JURISDICTION: TIG
CI .ASS OF WO12I.4. . :NEW GARBAGE DTSPOSAL.S. : Q) mosi,-E HomE spncm : es
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . -R3 FLOOR DRAINS. . . . . . . 0 TRAM'S. . . . . . . . . .. . . . . ib
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : .71 CATCH BASI1,S. . . . . . . 0
F1 !.OUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
THS/SHOWERS. . . : 0 SEWER I INE (ft ) — . : 100
WATER CL-05FTS. : 0 WATER LINE (f t ) . . . -. 0
DISI IWnSHERS. . . . : 0 RAIN DRAIN ( ft ) . . . : 0
Remi;�-ks : Connecting to sewer
Owner: FEES
KATHLEEN CHUNG type anl0l.knt by dat P ,ecpt
10730 SW FAIRHAVEN ST PRMT $ 30. 00 DRA 07/21/97 97-297391
TIGARD OR 972211 5r-'C . t 1 . 50 ORA 07/21197 97--2973r"
Phone #:
Poy-n EXCAVA'rIGN INC
JACOUFS POIRIER
19280 SE TILLSTPOM
BORING OR 97009
Phone #.- 503--618--01 .-,'*7 31. 50 TOTAL
Reg ft. . : 118372
RC.OUTRED I NSPECT T ONS
This permit is issued subject to the regulations contained in the Sewer- Tr.spectien
Tigard Municipal Code, State of Ore. Specialty Code-, and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 180 days. ATTENTYON: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. These rules are
set forth in DAR 952-808I-0010 through OAR You may
obtair. copies of these rules or direct questions to OUNC by calling
I s s i-t e dPemittpe Signat1-kr,e : ---.
C: Permittee
++4 +++4-++++++-+44+++4 4+4++-4++++++ 4-++++ •`a•+++' ++++++++-+-f+4 ++ +++4 4.......
Call 639--4175 by 6:00 p. m. for an inspection needed t1l T -xt business day
. ......
++++4•++++++++++++++++++++++•F•4--4+++++•+++++++++++++++++++++ .......4++++++++++.
TY OF TIOARD Plumbing Application Rscd �-c
125 SW HALL BLVD. Commercial and Residential
Oats Roca 'J ;
-
:;ARD, OR 97223 Date to P E.Oslo to OST _
13) 635-4171
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted called_.
Nacos of Developrhent/Prolect .FUMI ES,On.dMdusl)
Job _
sft 0.00
Address Street Address —w Suits 9•00
lc-'4- C ( ,%V-4, Tub or TUWS,wwer Comb. 9.00
Bldg s Citylslate Zip Shover Unty — 9.00
1 v wow closet 9.00
Name
�- c,• r•.i(r Dlstrwasthsr 0.00
Owner Mailing Address I suite Gortne Olsposel 9.00
U 7 01 Ir Wsahmg Medhfns 9.00
CkyISlatZip Phone Floor Oran 2- 9.00
rl !s Int Q 3• 9.00
NMns
is )1/, C 4- 9.00
Occupant ►NaNng Address Suite Water Ikvter 9.00
Laundry Room Tray 9.00
racy/stats Zip Phone Urinal 9.00 -
Narrha_7
Other Fixtures(Specify) 9.00
—E XG A UA. 1 &,.j C. 9.00
Contractor m"N^°Of•" Such — 9.00
11t 7_'o LJ [ el 9.00
IPr1or to issuance Cky/Stab Zip Phone --
applicant must 0.00
provide all Oregon Carat ConL Board Lie.! Exp.Oats 9.00
ad
corrrors I `6 j�� 3 j —` — 9.00
Ikxnse Pium"Lie,s Exp.Dah Sewer-1 st t
InformationL—rJ F`�. 7 n d
sch_pSewer-eadditfwral 100' 25.110
for COT COT Business Tabor Metro 0 Epxp•Zj�
database). ll Water Service-1st 100' --- 30.00
Name Water Service-each addWonal 200' 25.00
Architect storm 6 Ran Drain-1st 100' — 30.00
or Marring Address Suite Storm d Rain Drain-each addAdonal 100' - -- 25.00
Mobile Horns Space 25.00
Engineer CAY,state Zip Phone Comrnermal Back Flow Prevention k-ewcs or Anel- 2500
_ Pofktfk-nOevles_ —�
escihbe worn New O Addition O Alteration O Reran O Resndentlal Backflow Prevention Device' -- 15.00
:be done Residential O Non-resWential O— Any Trio or Waste Not Crxrhected to a Fixture 9 G0
ddibonal oesahptlon of wax -- ----
etch Balm —
! 9.00
Insp.of Extsbng Plumbing 40.00
---- per/hr
sting use of — `—� specialty Requested Inspections 40.00
perft
Kling
or property_ Rain Dram•single family dwelling— -- 300
oosed use of Grease Traps — 9.00
idrng or —
_ QUANTITY TOTAL
you capping. moving or replacing any fbrhrres? Yes[� No[] Irdrrntrle a rear eLram is reau►ed d pkunrty Toni u >9
h yes Sao back of form) 1 _ 'SUBTOTAL
ereby acknowledge that i have read appricabon,that the information
^n s that I am fhe owner or uthortzed agent of the owner.and 5% SURCHARGE
it ala ,.,bmlCed are in comolisi with Oregon State Laws. `— PLAN REVIEW 257r OF SUBTOTAL
Ina n f UwhwnAgs Dab Required r It"'s ed o12h"at _tu >9
loTOTAL <
ata, Orson -me Phone
-�— -- 'Minimum permit fee is S25 4 °'F surclkarge.except Residential Bacdlaw
Prevention Device.which is S15• :i%surcharge
L`plmapp.doc 1196 (dst)
:�.SE CQMPLETE.AS APPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
;OMMENTS REGARDING ABOVE:
L: phapp.doc 12.'96 (dst)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
N �
Date Requested: "Z ~� t A.M. ` P.M _ MST:
Location: lU 13 0 r1 BP: -
Tenant: ' ^ Suite: Bldg: ML"C:
Contractor:,L G G AlYCL- '—JLr Phone: X(.)o -N37 PLM:
Owner: Phone: _ ELC:__
ELR: unwq
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam PostMueam Post/E3_em Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing T Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp Drywall rm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pump Low Volt
Approved Approved Approved Approved
Appr/Sdwlk Not Approved N over Not Approved Not Approved Not Approved
FINAL AL' FINAL FINAL FINAL,
D Call for rei pecti D Rem. ti fec of S required before next inspection O Unable to inspect
Page_ of
Inspector: Date: -;�