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10045 SW HIGHLAND DRIVE-1 1 Fl G G CJl U) E S LO N lu J Q. O h N• C cu e I I i I I 4 !jA AAR3G GNV9HDTH MS S1700T CITY OF TIGARD BUILDING INSPECTION DIVISgON 24-Hour Inspection Line: 6394175 Business Phone. 6394171 Date Requested: q, — q I A.M. P.M. MST: � �^ BUP: location: am — — — Tenant: _ y� — Suite:_ Bldg: _ MEC: Contractor: L -�_Phone: _—� _ _ PI,M: ��7 Owner. �G�v1 -- Phone: __— Ell, E1,R: _"G—_ �1 __ _ SIT: BUILDING BLDG(con't) ('PLUMBING��MECHANICAL ^—ELECTRICAL SITE Site Post/Beani Pati -cltfti Post/Beam Cover/Service Sewer/Stonn Footing Roof UndFUS.db Rough-In Ceiling Water Line Slab Framing Top Out !'las Linc Rough-In t J0 Sprinkler Foundation Insulation Sewer Iiood/Duct Reconnect Vauit Bsatl Damp Lrywall Storni Furnace Temp Service M15C. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Aha Crawl/Found]r I leat Pump Low Volt r Approved Approved Approved :,p roved nhf r'�Jvvlk Not Approved Nolflpproved Not Approved Not Approved Not Approve) FINAL FINAL FINAL FINAL i -- O Call for reins tion D Reinspection fee of S_ required before next inspection O linable to inspect lnspcctor Datc:' __ Page _of _—_ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone- 6394171 Date Requested: 1 / A.M. P.M. MST: 1,oc:ation: ZC,---L''^^^<77T�C�✓-_ � �� / _ P% IUP: Tenant. _ Suitor Bldg: Contractor < — — --- ---.....__ Phanc — — PLM: OvAier _ phone: _ ELC:_ ELR; SIT: _ BUILDING _ BLDG(con't) PLUMBING LMECHANICAL ELECTRICAL SITE Site post/Beam posUBearnos Coves/Service Sewer/Stonn Footing Roof Undl'I/Slah Rough-111 Ceiling Water hoe Slab Framing Top Out kiss line Rough-In 110 Sprinkler Foundation htsulation Sewer Il(xxt/Duct Reconnect Vault HsmtDamp Drywall Storn Furnace Temp Service MISC. Masonry Ceiling Rain D Iain A/C I1C,Slab Shear/Sheath Fire Spklr/Alm CrawJFound Dr I Ic 'tunp Low Volt Appnrre.t Apptoved >>roved Approved Apprcvcd Appr/Sdwlk Not Approved Not Approved iroved Not Apptoved Not Approved FINAL FINAL, FINAL- FINAL FINAL 3 � - z 0 Call for � � O Reinspection fee„f S _ requited before pext inspection O Unable to inspect Inspector:_— J -_ _-__-- Date.- r5 Page of — CITY OF TIGARD DEVELOPMENT SErIVICES PLUMBING PERMIT PERMIT #. . . . . . . : PILM97-02,87 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/21/97 PARCEL: 2S111CC—15500 SITE ADDRESS. . . : 10045 SW HIGHLAND DR SUBDIVISION. . . . : SUUMMEP IELD NO. 4 ZONING: R-7 PID BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :206 JURISDICTION: TIG ---------------------------------------------------------------------------------- CLASS OF WORK. . :ALT GARBAGE DTSPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . . I CATCH BASINS. . . . . . . : 0 FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE "rRAPIS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . ., 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 171 Hemar-ks : Replace gas heater, with like kind. Owner-: FEES PIETER GUDEKUNST type Amol.tnt by date t-eept 10045 SW HIGHLAND DRIVE PRMT $ 25. 00 DRA 07/21/97 97-297371 TIGARD OR 97224 5PCT $ 1. 25 DRA 07/211 /97 97-297371 Phone #: 684--8194 COLUMBIA HEATING PO BOX 230397 8900 SW BURNHAM ST STE E-110 TIGARD OR 97281-0397 Phone #: 624-2704 $ il.6. 25 TOTAL Reg #. . : 000763 -------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applirable laws. All work will 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 180 days. ATTENTION: Oregrn law requires you to follow rules adopted by the Oregon 'Utility Notification Center. Those rules are set forth in OAR 952-850I-0818 through OAR 952-MI-8888. You may obtain copies of these rules or direct questions to ODIC by calling (503)246-1987. By : Permittee Signal re : Issue 4-++++4-1-++++-1.........................................4. ... +++++++.++++++++0_4 Call 639-4175 by 6:00 p. m. for- an inspect ion needed tnetbIASiness day +++++.......4...............4.......4 #-+++++++++++++++++++...........4-4+4 t+++44 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hail Blvd. Permit # LM ' -OWE Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE a'M* ■ New Slnflle Family Rdrsldentes Only E. Ad~ 0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00 Job / �l;V I' 0 3 BATH HOUSE$225.00 Address arrw. it ar Fee includes a8 plumbing fixtures in th4►dwelling and the first 100 feet t C - of water service, sanitary sewer and str,nn sewer. See fees below. FIXTURES OT`! PRICE AMT Sink 9.00 Mw Ad*m ,/ o%.. Lavatory 9.00 Owner &)Py s :�6 LI l�i� l i 7 1 - Tub or Tub/Shower Comb. 9.00 -, CV0001 n. Showe Only 9.00 /L, a! C ' l - ) :�, Water Closet 9.0c rww r ir.iio of truer Dishwasher 9.00 r / Garbage Disposal 9.00 Occupant ,r,a,s wr= Washing Machine 9.00 Floor Drain 9.00 s} Water Heater I 9.00 J Laundry Room Tray 9.00 Urinal 9.00 L ICLkl I J1( Other Fixtures (Specify) 9.00 Phm 9.00 Contractor )" L! )V �3 0�lrry Jn4 / 0.00 9.00 C1 r c i U 2 SeNer 1st 100' 30.00 !nN Na coy"Tw N" Sewer-ea. Addit 100' 25.00 3L 6 Water Service 1st 100' 30.00 1 herebi acknowledge that I hale read this applicat'.on, that the Water Service ea. Addit. 200' 25.00 information given is correct. that I am the owner or authorized agent of the owner, that plann sr&nitted are in k..)mplLance with State laws, that Storm &Rain Drain 1st 100' _ 30.00 i am registered with the Construction Contractor's Board, that the Storm d Rain Ora'r Addit 100' 25.00 number 5iven is corre•.t (if exempt from State registration, please give reason below.) Mobile Home Sr ace 25.00 Back Flow Preve tlon Device or Anti-Pot ution Device 9.00 Mo+.•_ ��F+r 0M Any Trao or Wast r Not Connected to a F cure 9.00 wok new additloa sftnittl6n 0repair Catch Basin 9.00 to be done residential dE�-non•residentlal O Insp. of Exist Plumbing d0.00/hr Specially Requested Inspections 4r ,,C„77. existing use cf 'awkfing or property Rain Drain, single !amily dwelling 30.00 Restdentl,l backflow prevention devices 15.00 Proposed use cf building or proporty __ -- '(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.0C SUBTOTAL PERMITS BECOME VOID IF WORK OR CGNSTRUCTION AUTHORIZED IS NOT COMMENCF..'O WITHIN 180 DAYS, OR IF 5%SURCHARGE , CCNSTRU':TION OR WORK IS SUSPENDED OR ABANDONED FOR A PFPIC D OF 180 DAYS A r ANY TIME AFTER WORK.IS C(,MMENCEC PLAN R VIEW 251,16 OF SUBTOTAL TOTAL. Special Conditions Date issued by I CITY F TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125;W Hall Blvd., Tigard,OR 97223 (50;!I 639.4171 PERMIT #. . . . . . . : MEC97- 02 46DATE= ISSUED. 07/1.6/97 PARCEL: 25 1 1 1 CC--1.55O0 SITE ADDRESS. . . . 10045 SW HIGHLAND DR SUBDIVISION. . . . : SUUMMERF I FLD NO. 4 ZONING: R---7 PD BLOCK. . . . . . . . . . . 1-01 . . . . . . . . . . . . . :206 JURISDICTION: TIG CLASS OF WORK. . :AL_T FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE: CF USE. . . . :SF UNI T HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3, VENTS W/G APPL: 0 VEN', SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS.'C:OMPRESSORS HOODS. . . . . . . : 0 FL.IEL. TYF'FS- --- - -_- -- - 0-3 HR. . . . : 0 DOMES. INCIN: 01 3--15 HP. . . . : 0 C:OMML_.. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HF'. . . . : 0 WOOD STOVES. . : 0 GAS PRESSURE. . . . 50+ HP. . . . . 0 CLO DRYE.RS. . ,, 0 NO. OF UNITS------------ A I R HANDL I NG UN I TS OTHER UNITS. : 0 FURN < 1.O0K BTU: 0 (= 10000 cfm : 0 GW-5 OUTLETS. : I FURN > --100K BTU: 0 > 1.0000 r.fm : 0 R e m a r k s : Add gass pipig for one (I) outlet. Owner-: ----- ----- - --- ------ __ _ .-_... _----- __ - --- - --- - FEES -- ---- - ----- PETER GUDEKUNST type amol-int by date recpt 10045 FW HIGHLAND DRIVE PRMT $ 25. 00 GF:O 07/16/97 97-2137187 TIGARD OR 97224 5F'C T $ 1.. 25 G'--O 07/16/97 97--x'9718 7 Phone #: 684-8194 Cant rzc:t or: COLUMBIA HEATING R COOLING INC PO BOX 230397 26. 5 'TO'TAL TIGARD 09 9722,31 Phone #: 624-2704 Reg #,. . OOO763 REQUIRED INSPECTIONS - --- This perr:it is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all othe- I�!SP (disc. Inspe applicable laws. All work will be done in accordance with Final Inspect i.cin approved plans. This permit will ewp:re if work is not started within 180 days of issuance, at, if work is suspended for Bore �_ ___r_�® _•_ __ _ .� .�__ than IN days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. These rules are _ _ _ _ �_�_•_-_-.._.... set forth in OAR 952-001-NN10 tl- ough OAR 952-BNi--0088. You ray obtain copies of these rules at, direct questions to DUN[ by calling (503)246-9187. BY - F'wr.mittep Signatra ++++++++++++++++f•++i•++++f+++++++++++++++++++-F++++++++++++ +++ f++++++4++++++++++ Call 639-4175 by 6:00 p. m. for inspections needed the next bl.tsiness day ++++•++++++++++++•+++++++.f-i-+++•+4++++++++++4.++++++++++++++++++++++-F+++++++++++++4-4 Plan Check 0 CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd_ TIGARO, OR 97223 Date to P.E. (503) 639-4171, X304 Date to DST '/ Permit# —007 (p Print of Type Called Incomplete or illegible applications will not be accepted — of evelopmant/ lett Description 1 _ Table 1,4 Mechanical Code _ OTY PRICE AMT Job street Address suns A) Kermit Fee -0- -0- 10.00 Address Y Bidgis Cite ate zip 2, 'i 1.) Fun ice to 100,000 BTU 6.00 Q 7 2 i iclut'ing ducts&vents `�— Name tot nems of bushes L 2.) Fumace 100,000 BTU+ 7.50 Owner •), ,. ,, >L uk j 1 S 1 including duds&vents Mailing AddressII \\ 3.) Floor Furnace 6.00 /1`0,Y`� '51-V II I U H 1, !JI including vent GlyistnsZip Prion 4) Suspended heater,wall heater 6.00 L 7 Z N (or name M business) or floor mounted heater _ 5.) Vent not included m appliance permit 3.00 Occupant Mailing AJdress 6. Boder or comp,heat pump,air Gond. 6.00 ) to 3 HP absorb unit to 100K BUT" capstate Zlp Pnorts 7) Boder or comp,heat pump,air Gond. 11 00 _ 315 HP,absorb unit to 500K BTU" Contractor Nada 6.) Boller or comp,heat pump,air Gond 5 00 1 15-30 HP,absorb unit.5-1 and BTU" (Pnorto C U 1 /1 G, �t� 1 AL( — issuance —f ailing Address --r 9.) B(,:ior nr comp,heat pump,air Gond. 22.50 applicant ' 0-N' � 'L� 30-50 HP;absorb unit 1-1 75md BTU"' must provide all S.AYIS�e zi / 10.) Boiler or comp,heat pump,air cond. 37 50 contractor C,,lC_ �7��`I �� )�J >50HP,absorb unit 1.75 mil BTU" license Dreg Const.Cont.Board lie.N Exp Doe 11.) An handling unit to 10,000 CFM 4.50 information ) `) c for COT COT Business Tax or Metro N Exp usta �1 12) Air handling unit 10,OOC CFM 7 50 database) V5, ,3 rc'i 1' 7 i�' T Architect Name 13) Non-portablo evaporal.e cooler 450 or Maung Address 14) Vent fan connected to a single duct 3,00 Engineer CnpSlata lip—I Phone 15) Ventilation:ys!cm,not included in -- 4.50 _ _ appliance permit _ Describe work New O Addltion U Alteration O Repair O 16) Hood served by mechanical exhaust I 4 50 to be done Residential O Non-residential O Additional Descnpi,.•. of wwk17) Domestic incinerators 7.50 16.) Commercial or industrial type 30.00 _Incinerator_ Ern.tinq use of �_ -- -- v 19) Repair units — 4 50 building or property — 4 50 20.) Wood tove Proposed use of 21 ) Clothes dryer,etc. 4 50 budding or property 22 1 Other units 450 Type of fuel-oil O natural gas O LPG U electric O 23) Gas piping one to four outlets 2 00 , I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL laws — Signature Owner/AgentDoti 'SUBTOTAL _ ---- 7 -7_ 5%SURCHARGE on arson Name ! Phone PLAN REVIEW 25%OF SUBTOTAL TOTAL_ �. iL_crc)I,� y ,2 1�1 _ i idst\mechpmt.doc (rev 9 t 'Minimum permit fee is S25+5%surcharge —Residential A/C requires site,Ian showing placement of unit.