15431 SW FOUNTAINWOOD PLACE-1 i
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15431 SW FOUNTAINWOOD PLACE
)formerly 15410 Sw Fountainwood Place, Unit N9)
CITY GF TIGARD
DEVELOPMENT SERVICES
13126 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CERT 1 F=ICA'f F OF'
OCCUPANCY
PERMIT #. . . . . . . s BUP95—047 7
DATE ISSUEDt 03/;28/97
PARCEL s 29.L 10r1B- 7 '091
SIVE ADDRESS. . . .- 1'3431 1.3W FOUNTAINWOOD PL
SURD 1 V 19I ON. . . . :FOUN'Tt-+1 NWOOD AT' SUMMERF I EL D ?.ON I NC•s R--e5
BL.00K. . . . . . . . . . s LOT. . . . . . . . . . . . . 2009 JUPISDICTIJI. TIG
CLASS OF WORK. :NEW
TYPE: UF" USC. . . :COM
TYPE OF CONSTRs5114
OCCUPANCY GRP. :R1
OCCUPANCY LOAD: a
TENANT NAME=.. . . s FOUNTA 1 NWOOD 1 OWNHOMES
Remar _ s UNIT #9 and garage
F-OUNTA 1 NWOOD TOWNHOME
CONRAD CUSTOM HOMES INC
PU BOX 764
LAKE 09WEGO OR 97034
Phonte #:
Contractor:
CONRAD CUSTOM HOMES INC
PO BOX 764
LAKE OSWEGO OR 97034
Phone 4f:
Reg #. . % 0006:34
ThiF Certificate yr anti occupancy of they above k-rfere+nced building or portion
thereof and confirms that the building has been inspected far• compliance with
the mate of Orgon Specialty Codes for they group, ccupancy, and ure under
which the reference permit was issued.
BUILDING 1h i5 ,-:.CTBUILDING OFFICIAL
POST IN CONSPICUOUr PLACE
1
Page No. 1 LOG NOTES FOR CASE NO. : BU �P < Jam` v L17-7
CONRAD CUSTOM HOMES
4 SW FOUNTAINWOOD FL
021/1.7/98 �"
�..� q_,
By Date Text of .log note
JON 03;29/96 Can't ready permits until site permit SIT 95-0044 is approved.
JT 02/17/58 ORIGINAL ti:JILDING PERMITS FOR ALL TOWNHOMES IN FOUNTA_INWOOD WERE
ISSUED USING ONE ADDRESS (15410) . PRIOR TO ISSL"-NG CER'T'IFICATES
OF OCCUPANCY, ADDRESSES WERE CHANGED. EACH UNIT NOW HAS IT' S OWN
kDDRESS AND TAX LrT.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Ph„ne: 639-4171
Date Req!,--,-A: I I "�_ A.M. _ P.M. MST:
Location: .5 --V\ BUR 6ql 7
Tenant: Suite: Bldg: _ MEX: _
Contractor: Phone: PLM:
Owner: _ y Phone: ELC:
ELR: _
"d- SIT:
BUILDING coni) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Stonn
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing 'fop Out (ins line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
13s,:t Damp Drywall Storni Furnace Tcmp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire S kir/Alm Crawl/Found Ih !feat Pump law Volt _
Ani)roV Approved Approved Approved Approved
Appr/Sdwlk No roved Not Approved Not Approved Not Approved Not Approved
A FINAL FINAL FINAL FINAL
of T
Call fey reinspect n 0 Reinspection fee of S ^required before next inspection C3 Unable to i,,spect
/ Q
Inspector: Datc: ' _ 7 t7 Page _of_
CITY OF TIGARD PLUMBIN'G PE rdyl I T 4. . . . PERMIT
. . . . P'L 119 5, it)
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED. 10/02'/96
13125 SIN Hall Blvd.Tigard,Oregon 972234199 (503)639-4171 PARCEL: 23110DD-111121000
"TE ADDRU31-- 15431 sw r*(.N.JNTA11qW00D PL #9
GUDDIVIF
iIC)N. . : WILLOW BROOK FARM A.
I.. . . . . . . . . . . . . . . .
13
_001 LOT. . . . . . .
10ME- SPACES. : 0
WORK— :NEW GARPrM.-JE DiriPOOPIZ�. 4 rllopiLrE )
TYr."L or, USE. . . . :COM WASHING MACH. . . . . . : 4 BACKFLOW PREVNTRS. . : 0
OCCUPANCY C;RP- - -0;� FLOOR DRAINS. . . . . . : III TRAPC.. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . 4 CATCH BASINS. . . . . . . : 0
ri x—, LAUNDRY TRAYS. . . . . .. r7r SF PAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : 4 URINALS. . . . . . . . . . . : -Z) GREASE TPi'lr
LnVATORIES. . . . . 1Z. OTHER rIXTURFS. . . . : Q)
TUB/SHOWERS. . . . 8 SOWER LINE (f t ', . . . : 400
WATER CLOOETS. . A WATER LINE-*, (ft ) . . . 40121
DISHWASHERS. . . . 4 RAIN DRAIN ( ,_t ) . . . 200
Reniay^ks : Units 9 throligh 1.2 .and fol-tr gat-ages
Owner: r-EF-S
CONRAD CUITOM HOMES INC t y,Pe amol.knt tay dat e
PC) BOX 764 PRMT $ 669. 00 JS:D 07/1211/06 9r- 281le!"
PLCK $ 167. 25 JCC) 07.101./96 "16--22 a I 13..'
LAKE OCW['Gn OR 971b34 5PCT $ 33. 4!:, j1,3D 07/01/06 96- �S 1 ISE'
Phone #c 636--9382-
Conti-actor:
t40- ,'11WE"7 CENTRAL PLUMBING
19645 SW BLANTON
ALOHA OR 970121'
r1lune fl : '.=,t3 1 V 11 f 869. 70 TOTAL
r�e g 7L'2'53 REG .J1RCD INSPECTIONS
,I,, -egu!ations curtained in the ,ewer InSPOCtiOn
,
'pis is permit is issued subject to the I Water Servire Tn
19ard Municipal Code, State of Ore. specialty Codes and all oth.rr
,pplic&ble laws. All work will be dont in accordance with PLM/Under,f I oor
_,pprovtd plans. This permit will expire if work is not started Topo1_it Inspi
.,ithin 188 days of issuancir, or if oiorlI is suspended for more -torm Drain Insp
than 184 days. Rahn D-ain I n s p
RP/BackFlokq Pret.
r ntal Trispect ion
M i t t e e S i. a tr
ssk.ted Py
Ma
Call for- inspection 639...4175
� I
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 5W Hall Blvd. Permit # 'I A'--C!51I (
Tigard, OR 97223
(503) 639 171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residence9 Only
! ,t - tC 1 BATH HOUSE$140.00 0 2 BATH HOUSE $195.00Job
❑ 3 BATH HOUSE $225.00
Address cnwma• a. Fee includes all plumbing fixtures in the dwelling and th? first 100 flei
% ffC�i 1� I2 U of water service, sanitary sewer and storm sewer See fees belcw
". Ian.m.alBu.nw.) FIXTURES CITY PRICE- AMT
(e Sink Lj 900
M"'"'Afton Lavatory 9.00 I p-Ld
Owner h o erK (e,4 Tub or Tub/Shower Comb. 900 2-7
all Shower Only 900 7'
Water Closet
� _ 400 •�
N.M.is n.m..r mnnwI - h.ShN a5her 900
Garbage Disposal 9.00
Occupant , -- r+.,.. Washing Machine 9,00
Floor Drain 9.00
Water Heater 9.00
Laundry Room Tray 900
Urinal 900
o iJ 1 v�tC `�tr �lr•(Oft Other Fixtures (Specify) 9.00
1 Mwn°Ae'.0 now ; 9.00
Contractor
1,11p,I" r ( Air. V'A r'n/\ r�'1 1`111 9.00
cnwera. ae ___9.00
Sewer 1st 100' 41
30.00
s""n.v.°""° N. :" `"'"° Sewer -ea. Addit. 100' 2500
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application• that the Water Service ea. Addit. 200' 2500
information given is correct, that i am the owner or authorized agent of
the owner, that plans submitted are in cot pliance with State laws, that Storm B Rain Drain 1st 100' 3000
I am registered with the Construction Co,1•nctor's Board, that the Storm & Rain Drain Addit. 100' 2500
number given is correct, (if exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow F.evention
Device or Anti-Pollution Device 900
Any Trap or Waste Not
Connected to a Fixture 900
Describe work new Q addition Q alteration repair t ) Catch Basin 9.00
to be done residential O non-residential tj Insp of Exist. Plumbing 40 001h
Specially Reauested Inspections 40 00/hr
Existing use Rain Drain, single family dwelling 3090
budding or property _ _ _ _ _
Residential backflow prevention
dewc,s 15.00
Prcpcsed use of
building or property ^ _
'(Except residential backflow
�- prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF VVCRK CR CONSTRUCTICN
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 54'� SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL j
TOTAL
Special Conmtions
Date issued _ `by _
NOW
7�
/ CITY OF TIGARD
DEVELOPMENT SERVICES EL.ECTRI:CAL F,ERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 ('503)639.4171 PERMIT #: EL-C96-O646
DATE ISSUED: 1O121196
PARCEL: 2S11ODN-00900
7: *F ADDREF: ,�. . . : 15431 SW FOUNTAINWOOD PL_ #9
SUBDIVISTUN. . . . : WIL-L.OW BROOK FARM 7.ONING: R-25
BL_OCK. . . . . . .. . . . 1_.OT. . . . . . . . . . . . . : 13
Pv-o.jec,.t ;Description: Units 9 thrroLtgh 12 ant) four garages
----RESIDENTIAL- UNIT----� _----TEMP-SRVC./Fr-"EDERS-_.-- -----MISC:ELI_ANEOUS----•--
1.000 SF- OR LESS. . . . - 4 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500c. 4 `'01 - 400 alsp. . . . . . . . 0 SIGN/OUT LINE L.TG. . : 0
1..TM17ED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL_/PANEL. . . . . . . : 0
MANE. HM/ ;VC/FDR. . : 0 601+amps-•1004 volt. : 0 MINOR L.ABEL ( 10) . . . : 0
._ SERVICE/FEEDER--------- CIRCUIT!-i-._.-.--......- _... ADD' L INSPECTICINS--_.-
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
x-01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' .. BRNCH CIRC: 0 IN PLANT 0
I.
r-,01 - 1000 amp. . . . . : 0 _._.._.....__..._._. ..__. _.._.___.I='L AIV RE91EW SECT ION-------•-•__________
1.000+• amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : X ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) 225 AMPS. . : CLASS AREA/SPEC-OCC. :
FEES
COVRAD CUSTOM HOMES INC type amoi.int by date recpt
PO BOX 764 PRMT $ 540. 00 B 10/21/96 96--28544P
PL.CIi $ 1.35. 00 B 10/i'1/96 96--285442
I.JIKE OSWEGO OR 97034 5PCT $ 27. 00 B 10/21/96 96-285442
f,hone #: 635--9322
1.1 & R EL.EC:TRIC INC $ 702. O0 TOTAL
4130 SW 117TH STE 441
----•••---- REQUIRED INSPECTIONS
-
BEAVERTON OR 97005 Ceiling Cover- Elect' l Service
Phone #: 642--41.61 Wall Cover, Eler-t' 1 Final
Ppq #. . : 070097
This permit is issaed subject to the reguIRtions contained in the 4gn
� t t FrTigard Municipal Code, State of Ore. Specialty Codes and all other Fier m,
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started l
within 190 days of issuance, or if wirk is suspended for morey -
than i90 days. I sso.ted-By
______._.__._.__.--_•-----__---_-______-•OWNER INSTAL-LATION ONLY -_._._...___.....___.__._._....._______._.............
The installation is being made on pr^open-ty I own which is not intended for
,)WNE ] ease, or^ rent. �� L� -��'
�IWNER' S SIGNATURE: __,� _ DATE.
-��---
INSTALLATION
T rhInTURE OF SUPR. EL EC' N: _ r DATE:
I_ILENSE NO:
Call far inspection - 639-•-4175
i
1
CITY OF TIGARD Electrical Permit Application Plan Check
1312E SW HALL BLVD. Recd By Kkk 100 V
Datc Rec'd
'TIGARD OR 97223 Date to P.E.- ID -,V /G
Phone(503)639-4171, x304 Date to DST 1 '!i 'rd
Inspection (503)639-4175 Print c'�r Type permit#
Fax (503)684-7297 Incomplete or illegible will nit be accepted Called !a
1. Job Address: W�UlMb"16 FAkM #-_5 J. Complete Fee Schedule Below..
Name of Development_ FOdIOWa%Q Number of Inspections per permit allowed
Name(or name of business) _ Service Included: Items 'lost Sum
Address_/L 1 S rti F C, Milk f Al %)r.,ni) 4a• Residential-per unit I
1000 sq.ff.or less $110.00 4
City/State/Zip _ Each add.,: ^al 500 sq.R.or ,�
portion thereof $25.00 —1-W-C r 1
Commercial ❑ Reside ltial ❑ Limited Energy $25.00
Each Manurd Home or Modular
Dwelling Serv':e or Feeder $68.00 2
2a. Contractor installation only:
WR ELECTRIC INC. Ins services or Feeders
(Attach copy of all current Ile � Installation,alteration,or relocation
Electrical Contractor_ llith 4130 S.W. 11 ITE 441 200 amps or less —jk $60.00 �� 2
Address--- --- -vom -- 201 amps to 400 amps $80.00 2
City State � � 401 amps to 600 amps $12000
Phone N0. 64,I-Qi6t �__ 601 amps to 1000 amps $180.00 2
Over 1000 amps or volts $34000 _ 2
Job NO. --- Reconnect only $50.00 2
Elec. Cont. Lice. No. Exp.Date 1 d. ►+__ ___
OR State CCB Reg. No. 7nV 1 7 Exp.Date h `� 7 _. 4c.Temporary Services or Feeders
COT Business Tax or Metro No. .Exp.Date Installation,alteration,or relocation
200 amps or less $50.00 _ 2
201 amps to 400 amps $7500 2
Signature of Supr. Elec'n CM1 ur 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No.'1 6 �2 5 Exp.Date---
see"b"above.
Phone No. C 111- 94 161 - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: al The fee for branch circuits w,
purchase of service or
feeder fee. 1 �-7
Print Owner's Name! _ — Each branch circuit 1 $5.00 _C�' 2
Address-----.---- b)The fee for branch circuits
State_ - Zip without purchase of
Phone No._ ____. _ service or feeder fee.
---- First branch circuit ___ $3500 2
Each additional branch circuit $5.00 2
The installation is being made on property 1 own which is not
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder r of included)
Owner's Signature---.------______ Each pump or Irrigation circle $40.00 --- 2
Each sign or outlint lighting — $4000 2
Signal circuit(s)or a limited energy
3. Plan Review section (if required):* panel,alteration of extension $40.00 _L Sem lL 2
Minor Labels(10) $100.00 _
Please check appropriate item and enter fee In section 5B. 4f.Each additional Inspection over
4 or more residential units in one structure the allowable In any of the above
Service and feeder 225 amps or more Per inspection $3500
System over 600 wlts nominal Per hour _____ $5500
Classified area or structure containing special occupancy In Plant $5500
as described in N F.C.Chapter 5
*Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. a.Enter total of above faes Oc
5/o Surcharge(05 X total fees,
SubtotalNOTICE
-3h.Enter 25%of line Sa for '✓ C
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if requimd(Sec 3) $ —
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPUNDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account#_ 1
TIME AFTER WORK IS COMMENCED
Total balance Due
.0STS\ELC97 APP Re.996 1. V
BUIPERMIT
CITY OF TIGARD PERMIT #. . . . .LDING. . : BUP95-047 -,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED.- 07/01/96
1.1125 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)839-4171
PARCEL: 2SI. I0DB-00900
SITE ADDRESS. . . : 15431 SW FOUNTAINWOOD PL #9
SUBDIVISION. . . . : WILLOW BROOK FARM ZONING: R--25
BLOCK. . . . . . . . . . : LOI.. . . . . .
-----------------------------------------------------------------------------------------
REISSUE: FLOOR AREAS----- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. .NEW FIRST. . . . : 3334 sf Ns S: E: W:
TYPE OF USE. . . -0011 SECOND. . . : 3334 sf PPLITECT OPENINGS?—__._.____.._.
TYPE OF CONST. s5N . . . 1 0 s-F Ns S: E: W:
OCCUPANCY GRP. tR1 TO f AL------s 6668 sf ROOF CONST: FIRE RET? :
ULU'UPANCY LOAD 8 BASEMENT. ., 0 s f AREA SEP. RATED:
"T
S OR. : 1. HT: 0 ft GARAGE. . . . 1975 sf OCCU SEP. RATED: IHR
BSMT?s ME ZZ'11 REOD SETBACKS-------- REQUIRED- -----_____________.
1=LOOR
ETBACKS--------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL-.N SMUK DET. . :Y
DWELLING UNITS: 171 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC: Y
BEDRMS: 4 BATHS: a IMP SURFACE: 0 PRO CORR:N PARKINS: 0
VALUE. $ : 440807
Remarks: Units 9 throl-tr
h 12 anti foLir garages
Owner: FEES
CONRAD CUSTUM HOMES INC: type amount by date recpt
PO BOX 764 PRMT $ 1285. 50 JSD 07/01/96 96-28118.'1
PLCK $ 835. 58 JSD 07/0i/96 96-281161,
LAKE* rqWEGO OR 97034 FIRE $ 514. 20 JSD 07/01/96 96--281 18t-
Phone #: 636-932a 5FICT t 64. 28 .;SD 07/01/96 96--28118t,
EROS $ 136. 00 JSD 07/141, 96 96-=8118:`:,
Contractor: -------------------------------ERPC $ 44. 20 JSD 07/01/96 96-281180,
CONRAD CUSTOM HOMES, INC. ERPC 1, 44. 20 JSD 07/01/16 9CO-28116'D
PU BOX 764 TIFF 6360. 00 B 06/26/96
I.-CAKL, OSWEGO OR 9*7034
V111une #-. t 9283. 96 TOTAL
16?q #. . : 06 34 18 -------- REQUIRED INSPECTIONS
This ptrait is issued subject to the regulations contained in the Foot/Found Insp Smoke detector i
Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/Beam Insp Appr/sdwlk Insp
applicable laws. All work will he done in accordance with Reirif Steel Insp Misc. Inspection
approved plans. This permit will expire if work is not started Slab Insp Final Inspect iori
within 180 days of issuance, or if work is suspended for sort Masonry Insp
than 180 days. Framing Insp
Hoof nailng Insp
Insulation Insp
Shear Wall Insp
ermittee Signati-ti,e- Firewall Insp
Gyp Board Insp
s It e dEr:v 1aolts in concret
Call for inspection — 639-4175
City of Tigard Commercial Building Permit Application
`>
13125 SW Hall Blvd.
Tigard OR 97223
(503) 639-4171 `l'�'
15431 6U► MIk v4, hft)errt ?I I /
Jobsite Address: sw w g )E �7
Tenant:A,.L144Ir« 12 -+ 44osuite #
Office Use Only
Planck/Rec # fr
Valuation: _.
_ Permit#
Owner: Map & TL
_
Address: v, 'gox 7C y Approvals Required
_ (�K- vs.wCcno e.c q7Planning
Phone: Com, 3 G 3 Z 7—
Engineering
Other
Contractor: CONRAO f.,: .,
_ .�_nM NOMESr-INC�
P. 0. BOX >(t4 ( � )
LAKE OSWEGO OREGON 07034 X
Address: qq
Type of const:
Occupancy class:
Phone: G 3 6- y3 '?-�
Sprinklered? Yes 'No ,�,_ . ,y��-
Contractor's License # f y/ f'�
(attach copy of current Oregon license) Sq. ft. of project: t P'I ' 9t/6�
--laA^
1
Contact name & phone: Ce-t E -q_3c L Story (1st, 2nd, etc.)
_ Proposed use:
Architect/Engineer: ZS,Ec,� ACC-4) �cTS _
Previou.; usP:
Address: (,/5 .��,� s 7 S rL 2-1-0
Note: Plumbing & mechanical plans
(`.If L(�—^' L lr Y 7oys`" must be submitted at time of
Phone: building permit application.
JOB D�-:--CRIPTION:
i1
Applicant !:'gnaturE hone number -
Received by _ Date Received:
� � �� I � � �, L �
---� ,�S
.�
3 . � � �
SEWER LUNNECTIUNI
PERMIT
CITY CSF TIGARD PERMIT #. . . . . . . : SWR95—.0471
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/01/96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: 2S11ODB-00900
SITE ADDRESS. . . : 15431 SW POUNTAINWOOD PL #9
,1.)BDIVISION. . . . : WILLOW BROOK FARM ZONING: R--25
LAL OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .. 13'
TENANT NAME. . . . . :FOUNTAINWOUD
USA NO. . . . . . . — ' FIXTURE UNITS. . . 64
CLASS OF WORK. —NEW DWELLING UNITS. . t 4
TYPE OF USE. . . . . :COM NO. OF' BUILDINGS: 0
INSTALL. TYPE. . . . 1B(JSWR IMPERV SURFACEt 0 sf
Remarks: Units 9 thv-01-19h 12 and fol.lt- gar-iAqes
Owner,.- FEES
CONRAD CUSTOM HOMES INC type amoo-int by date r,ecpt
PO BOX 764 PRMT $ 6800. 00 JSD 07/01/96 96-2'81185
INSP $ 45. 00 JSD 07/01/96 96--281185
LAKE OSWEGO OP 970,;,4
Phone #: 636-9322
Con b t-act or-- —
CONTRACTOR NOT ON FILE
Ptione $ 8845. 00 TOTAL
Reg
REQUIRED INSPECTIONS
This Applicant agrees to romply with all the rules and regulations Eiewev- Inspection
of the Unified Sewage Agency. The permit expires 186 days from
the date issued. The total amount paid will be forfeited if the
permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from ---------------
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the AMenclo will install a
Pet,ni i-1:t;e e tai gnat i-kt-e ------
Issi-ted Pry
Call for inspection 639-4175
MLUHHIV i l HL
PE RM I I
CITY OF TIGARD DATEI ISSUED 07/01/96`'-03y 1
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2,,110DB--00900
slit'11i2�;�v1'tt� l' Iva.T1,.rd.Pr1..Aop lei .? e?°Pj JPP?kV4 ZJ U 1) G't_. #9
SUBDIVISION. . . . : WILLOW BROOK. FARM ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1.13
CLA1,39 OF WORK. . :NEW FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :CUM UNIT HEATERS. . : 0 VENT FANS. . . : 16
OCCUPANCY GRP. . : Rl VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . : +
FUEL 0--3 HP. . . . : 0 DOMES. I NC I N: 0
/GAS/ 3-15 HP. . . . : 0 COMML. INCIN: 0
MA X I NPU 1 : 0 fel'U 15--30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS'. . . hl 30-50 HP. . . . : 0 WOODSTC)VES. . : 0
GAS PRESSURE. . . : 11 50+ HP. . . . : 0 CLQ DRYERS. . : 0
NO. OF= UNITS-- ------- — AIR HANDLING UNITS OTHER UNITS. : 4
I-URN ! 100K BTU- y <- 10000 cfm : 0 GAS OUTLETS. :
1URN ) =100K I'TU: 0 > 10000 cfm: 0
1Remar•I-(s : Units 9 thr-al.rgh iL ,and foi.rr^ garages
Owner-: — -- ----__.__..___________._____.____.----.______.__---_____.______ FEES
CONRAD CUSTOM HOMES INC type amor_rnt by date -ecpt
PU BOX 764 PRMT $ 124. 00 JSD 07/01/96 96-281185
PL("K. $ 31. 00 J.5C) 07/01/96 96-281185
L-AKE OSWEGO OR 97034 5PCT $ 6. 20 JSD 07/01/96 96-281165
Phone #: 636-9321
Lontractor: —_.----------------------------
F- OUP SEA501,45 HENTING R A/C
F'U BOX 66409
PURILAND OR 97266
Phone #: 503-715-5919 $ 161. 2R0 TOTAL
Rey #- . : 0482.'8;3
__.____• REC,IUIRLD INSPECTIONS
This permit is issued subject to the regulations contained in the teas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Heatinra Unt Insp
approved plans. This permit will expire if work is not started llr_rct Inspection
within 188 days of issuance, or if work is suspended for more Mi sc. Inspection �_____•_ _�,__.•_.,__
than 188 days. Final Insper_tion
r,mittee Signatl.rr,e : � `--
Call far inspection 639•-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Haji Blvd. APPLICATION Permit #
Tigard, OR 97223
1
(503) 639-4171
� Iz � Iti
m•^ Description
' Table 3A Mechanical Code QTY PRICE AM'i
•� V11 a iu
JobAddress •�� rli ICC. rUl11�� f 1) Permit Fee 0 0- 10.00
i G ' 2) Supplemental Permit 300
urnace to 100,000 BTU
1) incl. ducts &vents 6.00 1
urnace 100,000 BTU +
Owner �'r' �'Y i f 2) incl, ducts &vents 750
I "X Floor Furnance
A Iv_A I ��(n, /r �Cl!fit{ 3) incl vert 600
�""^•^"° ""`N•� + Suspended eater, wail eater
4) or floor mounted heater 6.00
r Vent not inc. in
Occupant 5) appliance permit 300
-rITIT.r. Repair of heating, re rig.
6) cooling, absorption unit $300
•m• of er or comp, heat pump, air con
?,/'l�l�� Flr�c _ 71 to 3 HP; absorp unit to 100K BTU 600
—TI^,r°�! °"" of er or comp, heat pump, air cons
8) 3-15 'iP; absorp un.; „ 500K BTU 11 00
Contractor , w offer or comp, heat pump, air con
9) 15-30 HP. absorp unit 5-1 mil BTU 1500
•a• • u -- of r or comp, Feat pump, air con
10) 30-50 HP absorp unit 1-1 75 mil BTU 2250
i nere v acunow edge t _att T a_ve re�fthis 3ppiication t at the
over or tomo, eat pump, air r..onn
information given is correct. that I am the o,.vner or authorized Ili > 50 HP absorp unit 1 75 and BTU 37 50
agent of the owner, that plans Submitted are in compliance Both Air handling unit to
State laws, thai I am registered with the Construction Contractor's 12) 10.000 CFM 450
Board. that the number given is correct (If exempt from State Air handling unit
registration, please give reason below l 13) 10.000 CTM + 90
Non portable
141 evaporate cooler a 50
Vent ran connected
15) to a single duct 300 l
Ventilation system not
16) ,ncluded in appliance pirmit 4 50
Hood served by _ t
17i mechanical exhaust a
esrn a work new addition l__1 alteration t_�5 reoair iJ 7r3mmerciTor n ustria
to be cone residential 0 nun-residential (D 18) tvpe incinerator 3000
x sting useTT--'-- Other -1- woo stove. watPr i
building or prooerty I _ 19) heater. iar, clotnes dryers etc 4 50
t
Proposed use of20' Gas piping one to four outlets 2 00 Z
building or prooerty ` L 7_.V t r 1"4,11er J
211 More than 4-per outlet (each) 2 00
Type of Iver -oil O natural gas (d LPO 0 electric 0 —
NOTICE
Minimum Fee $25 CO SUBTOTAL L y
PERMITS B►zC;OM,= VOID IF WORK OR CONSTRUCTION
AUTHOFJZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE 2 n
IF CONSTRUCTICN OR WORK IS SUSPENDED OR
ABPNDCNEI) FOR A PERICD OF 180 DAYS.AT ANYTIME PLAN REVIEW 25016 OF SUBTOTAL �^
AFTFR WORK IS COMMENCED
TOTAL
Snecial Conditions —
Date issued --.---by ---- — ---�'
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