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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
20-Flour Inspection Line: 639-4175 Business Line: 639-4171
.7 ��( G --� BUP _
_Date Requested d AM PM BLD
Location :3Q) Suite d—QA—`
Contact Person 1jt�__�_. Ph 1 PLM 0o _6
Contractor _ Ph T_ SWIR
BUILDING Tenant/Owner nG, w 9�( —� 1 ELC
Retaining Wall ELP
Footing
Foundation Access:
FPS
Ftg Drain
Ciawl Drain Inspection Notes:
Slab �1 uAt SIT
Post& Beam V —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Ir,wlation
Drywall Nailing
Firewall `
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _ 7
Roof `
Misc:
Final --
PASS _P-a`..RT FAIL
UMBING,
----
Undor Slab
Top Out —
Water Service
Sanitary Sewer --
R ' rains
P FAIL
tg1AF_ _
Rough In
Vas Line
S9��Dampe — — —
� 1
PART AIL
LITUT—RICAL —
3ervice
Rough In —
UG/Slab — —
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE _—
Backfill/Grading — — ---— -- — —
Sanitary Sewer
Ston.;Drain [ J Reinspection fee of$ required before next inspection, pay at City Hall, 13125 SW Hall Blvd
Catch Bas's
Fire Sij ply Line [ ]Please call for reinspection RE: __ [ ]Unable to Inspect-no access
ADA
Approach/Sidewalk 7
Date
Ot�ier Inspector �-_ Ext
Final
PASS PART FAIL DO NOT REMOVE this fnsps►ct"on itecord from the fob site.
C I`TY O F T I G A R D MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . .. MEC98-020E,
13125 SIN Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 06/04/98
SiTE PDDRESS. . . : 10890 SW HIGHLAND DR PARCEL: 2SI10DD-10900
SUBDIVISTON. . . . : 3UMMERFIE1_D NO. 6 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :*325 JURISDICTION: TIG
CLASS OF WORK. . .ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
T' dE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VE19T SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES----.-------- - 0-3 HP. . . . : 21 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN- LA
MAX INPUT: 0 BTU 15-30 'AP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . .. : 0 CLO DRYERS. . : 0
NU. we UNITE—---- AIR HANDLING JNITS OTHER 'UNITS. : 0
FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : I
FURN ) =tOOK RTU: 0 > JOOOO cfm: 0
Remarks : Gas piping
Owner: FEES
RICHARD B WAI-LOCH type am 0 Unt by date recPt
10890 SW HIGHLAND DR PRMT $ 25. 00 B 06/04/98 98-306254
TIGARD OR 97224 5PCT $ 1. 25 8 06/04/98 98-306;=r54
Phone *: 598-4551
Contractor:
OWNER
$ 26. 25 TOTAL
Phone #:
Reg
REQUIRED INSPECTIONS
This permit is issued sub)ect to the regulations contained in the Gas Line Insp
Tigard Nunicipaj "ode, State Pf Ore. Specialty Codes 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 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to fol'aw rules
adopted by the Oregon Utility Notification Cent@r. Thoir rules are
se' forth in DAR 952-01-9018 through OAR 952-MI-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
Isst'le By: Permittee SignatLkre: X
+•++++++++++4 ++++++..........................4•..........4-++4...................4
Call 639-1-175 by 7:00 p. m. for- inspections needed the T-1(_Ixt bi.tsiness day
+++.........r+++-4..+++........++.+..............+++++++..+++++..++++ ......4-++++4 1
s
Pian Chec
ITv•,CF TIGARD Mechanical Permit Application Recd Byz
-13125 SW HALL BLVD. Commercial and Residential Date Rec'd�4 `
TIGARD, OR 97223 Date to P E.
(503) 63.9-41'%1, x34 Date to DST—
Print
Print or Type Permit M.M
Incomplete or illegible applications will not be accepted called
�— Name of DevetopmerprI p --'—'-----'- —�
, ��� �p� � F� / --__� 'Jescnption
i. ,^ ILlt - / _Table 1A Mecha,jcal Code CITY PRICE AMT
Job StroMAddrou Sudes Aj Permit Fee '-0 1Q
Address ,� ,U C 6V 04
.00
Bldg# City/State ZIp 1 ) Furnace to 100,000 BTU 9.00
z72 2- _ i icluding durA3&vents
Narr,e!o.name of bus nage) 2.) F-mace 100,06]BTU+ — 750
Owner (tir ci iri-1-rdinq ducts&vents
Mailing Address /� 3) Floor Fumace 6.00
C� - 14'c-o _inclutlin vent
CnyrS ZIp Phone :) Suspended heatcr,wall heater ,6 00
_ 7 W T� or floor mounted heater
Name(or name of business) 5) Vent not included in appliance permit Y 3.00
I
I _ _
Occupant Mailing Add%X�j 6) Boller or comp,heat pump,air cond. 6C)
to 3 HP:absorb urnt to 100K,BUT"
CdyiStne -- Zip rhone 7.) Boiler or comp,heat pump,air Gond. 1100
3.15 HP,absorb unit to 500K BTU"_
ContraraOr FNorr'o
a., 8.) Boder or comp.heat pump,air Gond. 15.00
15-30 HP:absorb unit.5-1 mil BTU"Prior to permit ng Addreoe 9) Boder or comp,heat pump,air Gond. _ 22.50
issuance,a copy 30-50 HP:absob unit 1-1.75mil BTU"
of all licenses City/Slate ZIp nhor, 10.) Boiler or comp,heat pump.air Gond. ;17.50
are required 9 >50 HP:absorb unit 1.75 mil BTU
expired in COT Oregon const.Cont.Board L.Ic M Exp.Date 11 ) AIr handling unit to 10,000 CFM 4,50
database
Architect 12.) Air handling unit 750
_ 10,000 CTM+__ ___
or Mailing Addreoa 13.) Non-portable evaporate Gooier 4.5C
Engineer I cdylstate
Zip Phone 14) Vent fan connected to a single dud 3.00
Describe work New G Addition O Alteration O Repair O 15) Ventilation system not included 4 50
to be done Residential O Non-re_-odential O in appliance permit
Additional Descr,Ntior,of work: �! 16.) Hood seryed by mechanical exhaust 4.50
17) Domestic inoneralors 7 S;
u//1 &yc �. 7�'-&
Existing use of 18) Commercial or industrial 30.00
building or property type incinerator
,9) Repair units 4 50
P drone d use of 20) Wood stove 4 50
building or property._
21 ) Clothes dryer,etc. 450
Type of fuel-oil O natural gas O LPL;O electric O 22.) Other units 4 50
I hereby acknowledge that I have read this application,that the information 23.) Gas piping one to four outlets / 200
given is rsrrect,that I am the owner or aufnorized agent of
the owner,that plans submitted are in compliance with Oregon State laws 24) More than 4-per outlet(9ach) 50
Signatureof Owner/Agent Date v *SUBTOTJA
)
25
/ .5%SURCHARGE
Contact Person Name ho PLAN REVIEW 25%OF SUBTOT
Required for all commercial permits oi 7
�Mlnlmum permit fee is$25+5%surcharge
"Residential A/C requires site pian showing placement of unit
I Wechprmt doc rev 4/15/98
CITY OF YIGARD
Aw DEVELOPMENT SERVICES PLUMBING PERMIT
AWJ� 13125 SW Hall Blvd., T19drd,OR 97223 (503)639.4171 PERMIT #. . . . . . . . P L.M 9 a-vi i.
DATE ISSUED: 016/04/98
SITE ADDRESS. . . : 10890 SW HIGHLAND DR PARCEL: 2SIlODD-10900
SUBDIVISION. . . . : SUMMERFIELD N0. 6 ZONING: R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :325 JURISDICTION: TIG
-------------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 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. . . . . . . . . : URINALS. . . . . . . . . . . : 0 GREASE TPAPS. . . . . . . o
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . 0
WATER CLOSETS. : 0 WATER I_INE (ft ) . . . .- 0
DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Water heater
nwner: FEES ---------------
RICHARD B WALLOCH type amount by date rerpt
10890 SW HIGHLAND DR PIRMT $ 25. 00 b 06/04/96
TIGARD OR 9*7224 !9PCT $ t- 25 B 06/04/98 98-3?i62�j,
Phone #: 598-4551
Cont ract
OWNER
$ 26. 25 'TOTAL
Reg #. . ir111OO�hO
------- REDUIRED INSPECTIONS ------
This permit is issued subject to the regulations contaiied in the Misr— Inspection
Tigard Municipal Code, State of Ore. Specialty Codes aft 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 182 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-88914010 through OAR 952-888I-8888. You may
obtain copies of these rules or direct questions to O(JNC by calling
Tssued Byt,
erm i t t e e S i gnat Lire
++++ .......4-.............................41..........f........................4+
(-,'all. 639-4175 by 7:00 n. m. for an inspertion needed the next business day
1 4 ++1-+++ ..t+.++++.++..#............. ..................................4..............
CITY OF TIGARD Plumbing Permit Arolicati, n Plan Cherlt,ft
13125 SW HALL BLVC, Commercial and Residentir,l Reid By ^+� —
T'IGAGiD, OR 97223 Date Recd r�
(503) 639-4171 Date to P.E. _
Print or Tyue Dale to DST
Incomplete or illegible applications will not be accepted Reellated ated i.SWR# 0(
R �
Callel
Name of Development/ rot Qct Or back Indicate Work Performed by fixture.
Job >( �.1A/ltV�fi- l F:XiUIRE3 (IndlvlduaQ 4TY PRIrE AMT
Andress Street Address (� Suite :;ink �— 9.00
L 3vatory -- - 9.00
Bldg x City/ to Zip Tub or Tub/Shower Ccmb. 9,09 1
Na Shower Only 9.00
v tL�- - .� Water Closet 9.00
Owner Mailing Ad res.- f / - Suite Dishwasher9.00
1
7 w I C L /f — ---
garbage Dr.,posal 9,00
CitylState Zip I Phone
- r
Mashing Machine g.!j
Name Floor Drain 2" -9.00
-' 3" 9.00
Occupant Mailing Ad '� Suites e1 -1 --� 1. 900
Water Heater O conversion O rlke kind ` 9.00
City/State zip � P,�one _
Laundry Roor,,Tray 9 n0
Name Urinal _ - 900
Other Fixtures(Specify) - 9,00 -�
Contractor Mailing Address Suite 9.00
Prior to permit City/State Zip Phone v— 9.00
issuance,a copy Sewer 71st 100' 30. 1
of all licenses are Oregon Const.Cont.Board Lic.0 Exp,Date Sewer-each additioral 100' 25,00
required if Water Service-1st 100' _ 30.00
expired in COT Plumbing ic.0 Exp.Date Water Service-each additional 200' -)rnn
database _ n
Name — - Storm W Rain Drain-1 st 100' 30.00
Architect Storm&Rain Drain-each additional 100' 2°.JO
or Mailing Address Suite Mobile Home Space 25.00
Commercial Back clow Prevention Device or Anti- 25.00
Engineer City/Stale Zip Phone Pollution Covire
_ Residential B.�c'Aow Pr^ entlon Device*
Describe work New O Addition O Alteration O Repair O Any Trap or Wase N.,it Connected to a Fixture 9.00
to be done: Residential O Non-residential O Catch Basin — `^ v 9.00
Additional dc...ription of work: Insp.of Existing Plumbing 40.00
per/hr _
Speaaily Requested Inspections_— -40.00perthT
i
— Rainn ura„.,single family dwelling--____.. 30.00 30A0
5xisting'6se cf
buildi g or property Grease Traps 9.00
Proposed use of QUANTITY TOTAL
building or property -� —_ _ - Isormmnc or neer diagram Is required if Quanity'rotal is >9
'SUBTOTAL
I hereby acknowledge that I have read this application,that the information
given is correct,that I am the caner or authorized agent of the owner,and 6%SURCHARGE
that plans submitted are in compliance with Oregon State Laws.
9lgneturo of OwnerFAgent Data F..AN REVIEW 26%OF SUBTOTAL
'1 Required only d rodurs qty.total Is>9
`.c f <Lcr,1 r�� C U�C LO �i L (� i` yl TOTAL -.-
Contact Person Name Ph ne - -- — _
'Minimum permit tee is$25 f 5%surcharge,except Residential Backflow?'" 2�
Prevention Device,which is$15+ 5%surcharge `
**All New rommerclal Buildings require plans with isometric or riser diagram
and plan review
I WSIS4 xnbepp Jac 515M
PLEASE COMPLETE:
Fixture Typo Quantity by Work Performei
Nov., Moved Replaced RemovedlCappedl
Sink
Lavatory
Tub_or Tub-/Shower Combination
Shower Only
Water Closet
Dishwasher
Garhaqe Disposal
Washing Machine
Floor Drain 2"
3"
Water Heater
Laundry "\o,,)m TrayUrinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVtE: