10225 SW HIGHLAND DRIVE-1 0
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line; 639-4171
t"u t GL BUP
— — Date Requested AM PM BLD
Location �ZZ, `ctrd Suite _ ME
Contact Person 1�.� (((/ ,-Ph _ LM
Contractor Ph SWR
BUILDING— Tenant/Owner �— ELC
Retaining Wall ELR
Footing
Foundation Ar,,eSS FPS \ U
Fig Drain SGN
Crawl Drain Inspection Notes —
Slab — --- —- -- -- -- -- -—--- SIT
Post& Beam —
Ext Sheath/Shear _
Int Sheath/Shear / �� R ���� 1 Il
y�
lCl r
Framing I _-- CJS
Insulatio-i
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof 6L
Final
PAS PA FAIL
FifUMB1111i
Post& Beam --
Under Slab
Top Out - - ---- __. __
Water Service r OF
Sanitary Sewer —
Rain Drains
i
R FAI
Post& Beam 01
Rough In
Gas Line - -
Smoke Dampers
I
nAS, PART FAIL
RICAL --
Service
Rough In -
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL --SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ required before next inspection. Pay 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 Date 1 Inspector YL_'� C Ext 1
Other - - — — ---
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00106
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/29!2000
PARCEL: 2`5111 CC-13900
SITE ADDRESS: 10225 SW HIGHLAND DR
SUBDIVISION: SUMMERFIELD NOA ZONING: R 7
BLOCK: LOT: 190 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN- EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS.
OCCUPANCY GRP: R3 VENTS W/O 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 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
CLO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Replace gas furnace with like kind. --
Owner: _ FEES
AGNES WILLIAMS Type By Date Amaunt Receipt
10225 SW HIGHLAND DR PRMT GEO 03/29/20( $50.00 0001008
TIGARD, OR 97224 5PC1- GEO 03/29/20( $4.00 0001008
Phone: 503-620-4088 Total $54.00
--
ConIractor:
SPECIALTY HEATING -+ FABRICATIO
9528 SW TIGARD ST
TIGARD. OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:620-5643 Final Inspection
Reg#:SUP 2570RET
LIC 006657
ELE 34-341CR
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other appli-cable laws All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow rules adopted in the Oregon Utility Nctification Center Those riles are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules c, direct questions to OUNC by
calling (503)246-91$9.
Issue 13 _ �/J *�� _'C'- Permittee Signature--" / 7 L
Call (503) 639-4 f 75 by 7:00 P.M. for inspections needed the next business day
Check
Ch #
CITY OF TIGARD Mechanical Permit Appiication d`6 Plan PlanRec'Ch
1?,125 S�r !-ALL BLVD. Commercial and Residential t��10 By
Date Recd
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST
Print or Type Permit# /IM too ?0/'04
Incomplete or illegible-applications will not be accepted called _
Name of Development/ProtecI ' Description —�—�
C r� t /,N b►L _ Table 1A Mechanical Code Qty Price Arnt
Job Street Address r r Sunea A.) Permit Fee _ 1014?4 ilWf 1600
1) Furnace to 100,000 BTU
Address including ducts&vents see footnote 1.2. _ 9.65
Bldg# City/slate Zip 2) Furnace 100,000 BTU+
11,(//�� Q � k including ducts&vents see footnote 1,2 12 00
r Name(or name of busi7essi 3) Floor Furnace
Owner " / V _ includingvent see 'ootnote 1,2 965
s -- 4) Suspended herter,wall heater
Mailing addres
-` n Jy?d' ` / V floor mounted heater scC footnote 1,2 4 65
� J 5) Vent not included in appliance permit _ 4.75 _
City/State Check all that apply 'Boiler Heat Air
For items 6.10,see or Pump Co.d Qty Price Amt
�✓� ._., N V@ lot name of business) footnotes 1,2 Comp
6)<3HP;absorb unit to
� iL100KBrU 965
Occupant Mailing Address 7)3-15 HP:absorb unit
100k to 500k BTU _ 17.65
Cityistale Zip Phone W 8) 15-30 HP,absorb
unit �l mil BTU 2_4 15
Contractor Name-� 9)30-50 HP,absorb
/� r _ unit 1-1.75 mit BTU 36.00
_5�rC/A-'4 � ' -V 10)�50HP, absorb unit
Prior to permit Mai ng Add _>1.75 mil BTU _ 60 15
issuance,a copy 50� c5 // 6 4el -S� 11 At,,handling unit to 10,000 CFM
of all licensesay st�^ate�' � Phone . 7 00
are required if / " ��C 7a G M-S-e fti 12)Air handling unit 10.000 CFM+
expired in COT Oregon ist q, t Board L c a Exp E) to ____11 85
database (� �J �o J/�/ 13)Non-portable evaporate cooler
Architect name _ 7 00
14)Vent fan connected to a single duct I _
Or Mailing address v--.J-_-- 4 75
15)Ventilation system not included in
appliance pemnt 7 00 --
Engineer crtyrsmte Zm Prone 16)Hood served by mechanical exhaust
'r OU
Describe work to be done 17)Domestic incinerators
_ 12,00
New C Re 0 Replace with like kind Yes�No O 18)Commercial or industrial type incinerator
_ 48 25
Residential Commercial O 19)Repair units
Additional i formation or des nption of worts. V 8.40
-,n \��i /r,� `,N 20)Wood stove/gas FP/other unitsluo;he dryer/etc.
6 ►'W C( `Z tit G 7 00
NOTE: For Commercial p clews only:Units over 400 lbs require 21)Gas piping one to four outlets
structural gas ealcs. See footnote 1 3.75
Type of fuel oil O natural gas LPG O electnc C 22)More than 4-per outlet(each; 75
Minimum Permit Fee$50.00 SUBTOTAL
1 hereby acknowledge that I nave read this application,that the information 8%SURCHARGE
given is correct.that I am the owner or authorized agent of PLAN REVIEW 251.6 OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits ons
TOTAL
Tignature f Owner/Agent Date --- --- --
�e*tu�' Othe� _� oZ Lop Inspections
aloes outsi and Fees:
I 1. Ins actions outside of nortttal business hours(mininum charge-two
Contact Perswn Name Phone hours) $50.00 per hour
/ 2. Inspections for which no fee is specifically indicated (minimum
i +� :5C�3 jjpj0�S6 charge-half hour) $50.00 per hour
Foon es for commercial projects only: 3. Additional plan review required by changes,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure 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 A/C requires site plan showing placement of unit
I:VnechpermAoc rev 7 '9%99
vlTY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P 00099
DATE ISSUED: 03/29/20/29/20 00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
PARCEL: 2S111 CC-13900
SITE ADDRESS: 10225 SW HIGHLAND DR
SUEDIVISION: SUMMERFIELD NOA ZONING: R-7
BLOCK: LOT: 190 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES. WATER HEATERS: 1 CATCH BASINS.
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS URINALS: GREASE TRAPS:
LAVATORIES: OThER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replace existing water heater with like kind.
FEES
Owner: ._ --
--- — Type By Date Amount Receipt
AGNES WILLIAMS ''RMT GEO 03/29/2000 $50.00 0001008
10225 SW HIGHLAND DR 5PCT GEO 03/29/200C $4.00 0001008
TIGARD, OR 97224 _ _ --
Total $54.00
Phone 1: 503-620-4088
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 620-5643 Final Inspection
Reg 4: LIC 00066578
PLM 37-427PB
ORIGINAL
This !)ermit is is-sued subject to the regulations contained in the Tigard Municipal Code, State of CR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended ror more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0')80.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: L Permittee Signature;
Call (503) 6�9-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Plan Check#
13125 SW HALL BLVD. Commercial and Residenti,l Recd By__
TIGARD, OR 97223 Date Recd
(503) 639-4171 Date to P.E.
Print or Type Dale to DST _
Incomplete or illegible applications will not be accepted Permit#fir tN�o�-oat 9
Related SWR#_ _
Called
TName of Development/Project T FIXTURES (Individuall __- QTY PRICE AMT
Job (- � ;I'm 4 Sink _--� 11.50
Address Street Address Suite,/ Lavatory — 11.50
/` 1 - l.- (,, � A
t )W � Tub of Tub/Shower Comb. 11.50
Bldg# C'y/State Zip Shower Only 11 50
L 1 r OkZ Cj L
Na a / Water CloseVUrinal (Specify)
/Vt'S `L ti Dishwasher 11.50
Owner Mailing Arldress /1 Suite Urinal 11.50
1 / ki / Garbage Disposal 1150
,itylState lip V Phone 6Laundry Tray 11.50
Na a Washing Machine/Laundry Tray (Specify) 11.50
Floor Drain/Floor Sink 2' 11.50
Occupant Mailing Address Suite 3" 11.50
4" 11 50
City/Slate Zip Phone - —
Water Heater O conversion i ike kind / 11.50
Gas piping requires a separate mechanical permit.
Nee 1
16 J� t -t til _ MFG Home New Water Service _— _— 2800
Contractor Mailing Addy essss``(1T/�. f(� ulte MFG Horne New San/StormSewer 28.00
E—
U I GL W S l -- Hose Bibs 11.50
Prior to permit �itytslate ip /Fhone �/ Roof Drains 11 50
issuance,a copy ' 1 c f^ / ) S6T 3 Drinking Fountain — 11.50
of all licenses are Or on Const Cont Board Llc.# Exp Dal - --
required If (� // Clf' Other Fixtures(Specify) 15.00
expired In COT PI-Imbing Lic # Exp Date
database 7 -/•-L/ �1�j� __-
Narne
Architect Sewer-1st 100' 3800
or Mailing Address Suite Sewer-each additional 100' 3200
-- Water Service- 1st 100' v 38.00
Engineer City/State tip Phone
Water Service-each additional 200' 3200.
Describe work to be done, Storm R Rain Drain-1st 100' �- 38.00
New O Pep it O Replace with like kind Yes)i No O Storm B Rain Drain-each additional 100' 32.00
Res dentia) Commercial O
Commercial Back Flow Prevention Device _ 3200,
Additional description of work.
Residential Backflow Prevention Device' 1900
et L Catch Basin 11.50
Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 5000
Yes 0 No O Inspectionsper/hr
If yes,see back of form to indicate work performed by Rain Drain,:;ingle family dwelling 45.00
fixture FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. _ -- QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the information Isometric or risr diagrarr,is required a O] Linlrly Total Is -9 _
given is correct,that I am the owner or authorized aqent of the owner,and -- •SUBTOTAL
that plans submitted are in compliance with Oregon Slate Laws
Slgna�ure of gwp!r/Agent DIZ 8% SURCHARGE
t
Co iPhone
f ( f( ��></ **PLAN REVIEW 25%OF SUBTOTAL
—J_— — Rewired only If fixture qty total is>9
1 BATH HOUSE$178.00 TOTAL
2 BATH HOUSE$250.00
3 BATH HOUSE$285.00 — -
(This fee Includes all plumbing fixtures In the dwelling and the first Minimum pelma fee is$so VA surcharge except Residential Backflow Prevention
100 feet of sanitary sewer storm sewer and water servle,l Device which Is$25.e%surcharge
**All New Commercial Buildings require plans with isometric or riser diagram and
plan review
11dsls'.f—,s4,un,avp doc 9130199
k
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink _ _
Lavatory
i ub or Tub/Shower Combination
Shower Only _-- - -- —T- — _
Water Closet
Dishwas_h_er � —�
Urinal
Garbage Disposal
Laundry Room Tray —
Washing Machine
Floor Drain/Floor Sink 2"
Water Heater
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I tdatfVomiablumapp Apr 9/30/99