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13700 SW HALL BLVD v I I �, ---------_. rt?, RPM _. - —___ CUL VER T' ---- =y-- - `� ? .,�•! 'IE IN S. -143. 79 I IE UT N.=1 143.51 �, ' •-.,..l,�._ EXIS-T• SAWN,-IT, AR IRK Y SEWER ,MANHOLE " '' C I_ . Tn ' : Mou.- 14 1.52 121E IN 134,3 7EXIST PVC PIPE • I ;� IE IN W.=148. 13 '1 U'� s -�. sp ,, ; 12 I E = OU T E 1 341. .7 1F. OUT E=147.63 • l / ....., • r TPP I j EXIST. POND I WATER LEVEL 148.92EXIST. 12 CONC. CU R T 1 ' Q / , IE=144:85 - - �' r ,�� / EXIST. 4' _ 4 WOOD FENCE I , PVC PIPE IL=148.06 .�5 •f '', EXIST. 4 v ' PVC PIPE ',• ,� •;. `� 1 `'•,, a �-- - IF=150.21 I , 150. "81hic� I _ ... GAS METER I ' 149.82 EXIST. 1,'1"I7ECl; `1 \ HOUSE I I t EXIST. � — -- QFC EXIST. 12" I '7R E` FENCE_ / CONC. CUL VERT EXIST. 4 EXIS r 4 TO �E WOOD, ; -- IE=147.49 IE. 151.93 EXIST. 18 t WOOD FENCE 9WA.6Er' .. REM VED ►�NGE EXIST. 4 -GONG. t,UL VERT (IE=148.54f+� --�-♦- .._ - p-�T,_ / .�. f ) 'j � ,1iJ CEEXS-P t,,`, �F: Ut.�.:RIM 156.55 ��;." GA ' ANI TA.;r S ' "� r'r'r -C;: ct ► `�„I.�- r1.:;' ------ 155.45 1 O.'�c•�R 3u ,.• �R !/ rl - .._ Jam:- C i '•` ` . , , �r.� � r! ;' .fir• �” `" �ti; rQ ;;��, / f -}4 155.45 k: _ EXIST. 4 EXIST. �I •------ s _ EXIST., fC NC. -o + WOOD FENCE W000 FENCE 1; ' �; .'�t f" PAD „c_t�� 1 WOOD FEN r7"-�i +, "r;f�,� �� a 11 , r(.. i..Ef .�:i` a1 ,,FTIh7 ��n EXIST. 12" CONC. C L VER r T M RU) V0�?!�' CLITSHES GREENHOUSE -� EXIS i. 4 I M IE 152.34 EXIST. .� LIN i BARBED WIRE �� .w'� -.K�•I'��;tI GIT'�' I.)E"Df�Cf',.' • - o, BASKS ALL I J GOAL FENCE 6;HA ►�i'TI-r�'klr:' t ; I I i i TE EPHONE H r�' 7. 1 EXIST. 4' ry I RI `1 40 � . .K - � EXIST. 4' 4 '` ""►," I,I:f;'�s' !i rti, WOOD FENCE `►, WOOD FENCE r I I 'IST WOODEN HOUSE HITCHING >, I MM,1 POST --TFLEPHON {s:� ,3'�j"--►nrr� }-� ,� �O `4 . ( RIM 15 7.93TO B M 1 I 30.0 '. WOOD BARRICADE r, �+ EXIST `• • .-..__ 2,,, •,',i11, � -AXI a.jyJ I ,- , BARN MA. AT END OF SIDEWALK ��_ -� ►,.,n��-r.�, ,�,a., . : : ,; �„•", f` r•l,.:// ^�jj�� { ' t '� : .C... _ L�t.t.l )kA L�f..l�If,�OR EXIST. 4 r�:.jli ::� `� `.,,•..I,�'�,h` "!` ti i RIP A RBED WI r. B , Ot 1 _ - FENCE „�. ;�! 10 EXIST. �' —�- .. r 1. , i;n rl FNnn rr- inr �� "�,-- ----_..'.. '1-(•1 +i' i�. i . NOTICE: IF THE P _r_ �_ i � i i i i i i I I i i i i � i I ! I � RINTURTYPEONANY � l � f , � � i � � I � � I ( IIIIIlf 111111 II ( 111 1111111 III � III 1111111 ! II Ilf III III III ! I tll II ! III 111 ' 111 llf III Ill III -l�l 1JI11"�1 _il_T 1 111'j-1lI I f I i I ; I I IMAGE IS NUT AS CLEAR AS THIS NOTICE, I 2 � qr i IT l I DUE -11-0 THE QUALITY OF THE - ---No.as �cW�,.. ..ORIGINAL DOC UI!!I ENT _T_ _ _ .. � 6Z 8Z � LZ 9Z �Z � Z , EZ ZZ TZ OZ 6t ST LI 9T 9T iT ET ZT T1 1 6 8 L 9 S 3• E _ Z T , � , IIII IIIIIIIIIIIIIIII�Iilllllll�llllIllllliilLII111lILII111111111 .11►11111IIILIIll 1 III IIIIIII�lIIIIIIIII � Illililllllllillll .Illllli. IIIIIIIIIIIIIIIIIIiifI11111.11111 I1Il11I111111111111( 1.l.1.� llll. 11ll 1.11 l� lllil�ll. i N w a N N W N L I 1.3700 SW Hall Blvd. CITY OF TIGA►RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- / i3UP Date Requested 2_ AMy PM , BLD Location ,! ! U SAY, �� Suite _— MEC Contact Person _ Ph -�- 3 > >�• _ PLM _ Contractor Ph SWR - 00/6 ? BUILDING Tenant/Owner ELC Retaining Wall �— .•—_•--- -- ELR Footing Access. Foundation FPS Fig Drain --- SGN ^` Craw)Urain Inspection Notes --- Slab —_--. SIT Post& Beam -- `-- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkles Fire Alarm SuF,p'd Ceiling - Roof Misc: - - -- Final Ile P PART FAIL - - PLUMBING_ Post& Beam Under Slab - - - Top Out Water Service ni ary ewe /115A PART FAIL CHANICAL Post& Beans ----- -- Rough In Gas Line Smoke Dampers i Final ---- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAILSITE flack ra ing Sanitary Sewer Storm Drain ( ] Reinspection fee of$ required before nex'inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE __-______ __ __ ( ]Unable to inspect no access Fire Supply Line ADA 1 1 Approach/Sidewalk Other Date !� ,; Inspector _ 4 Ext_ _! Final PASS PART FAIL 00 NOT REMOVE this inspection, record from the job site. ALOHA SANITARY P.O. Box 309, BANKS, OREGON 97106 644-2797 648-6254 639-5188 04202 NAME —� — �—— — ADDRESS: •^ CITY: STATE: ZIP: _ HOME: WORK: YJ _— CELL: P.O.#: JOB SITE: _ PAID BY CHARGE ❑ CHECK _ CASH ❑ CREDIT CARD ❑ DATE` DRIVER _ 7�auE 1/ AMOUNT PUMP SEPTIC TANK _ _LINE OPENING —.. ❑ _ INSPECTION FEE Cl SERVICE_CALL --- ❑ _ LABOR, LOCATING, DIGGING & BACKFILL ❑ MATERIAL - rHIS V, Nr,; A SEPTIC SYSTEM I6�XCTIONREPORT--- TOTAL _ $ n i� -r- REMARKS - -� TYPE OF TANK: STEEL PLAST'C +) HOMEMADE HORIZONTAL_ VERTICAL 71 RECTANGLE -1 OTHER _- -- SIZE OF TANK: 350 -1 500 -1 75 ❑ 000 ❑ 1250 -1 1500 -1 2000 ❑ 3000 �.1 LID LOCATION: INLET , OUTLET i MIDDLE ❑ ENTIRE TOP TANK CONDITION: GOOD , FAIR �\\ POOR 7-1 FITTINGS: BAFFLES -1 COXCRETE -1 CAST IRON n PLASTIC -1 NEEDS NEw LID? 1 YES SI GROUND COVER OVER TANK __ L, . _. --- COMMENT ON CONDITION OF DRAINFIELD ETC. J DATE SIGNED BY CITYO F T I GA R D PLUMPING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00153 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/16/2000 SITE ADDRESS: 13700 SW HALL. BLVD PARCEL: 2S102DD-GJ300 SUBDIVISION: EDGENOOD ZONING: R-12 BLOCK: LOT: 002 _ _ JURISDICTION: TIG CLASS OF WORK: At-i GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS- LAVATORIES: OTHER FIXTURES- TUB/SHOWERS: SEWER LINE: 200 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of 100 ft + sewer line to single family dwelling FEES _ Owner: ZANDER, DENELL D Type By Date Amount Receipt CAROL M 5PCT KJP 05/16/200C $5.60 0002216 13700 SW HALL BLVD PRMT KJP 05/16/2000 $70.00 0002216 TIGARD, OR 9722; Y Total $75.60 Phone 1: Contractor: SUNRISE EXCAVATING INC 3351 SW WEST SHORE DR GASTON, OR 97119 REQUIRED INSPECTIONS Phone 1: 357-3576 Sewer Inspection _ Reg #: LIC 90426 Final Inspect;on r WGNAL I his permit is Issued subject to the .egUlations contained in the Tigard Municipal Code, State of OR 'pecialty Codes and all other applicable laws All work wili be done in accordance with approved plans This permit will expire if work is riot started within 180 days o`issuance. or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility No,,,ication Center. Those rules are set forth in OAR 952-0001-00 10 through OAR 952-0001-0080. YOU may obtain cop"of these rules or direct questions to '-�UNC by calling (503) 246-1987 Issiied By: �� V. Permittee Signature: y ti L,-" / ��•� �� Cali (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application FIan Check 0 13125 SW HALL BLVD. Commercial and Residential Rec'dBy TIGARD, OR 97223 Date Recd - (503) 639-4171 Date to P.E. Print or Type Dale to D T Permit it 7 c��G �ts3 Incomplete or illegible applications will not be accepted Related SWR 1114i Z n(lcy(04- Celled Name of Development/Project FIXTURES (Individual) QTY PRICE AMT Job 'V E r'"IM t .� rcn� Sink �.- - - 11.50 Address Street Address Suite Lavatory - 11.50 C, 51 Tub or Tub/Shower Comb. 11.50 Bldg* City/t t e Zip J / Shower Only _ 11.50 [ Water Closet 1150 Name r\ v r/Y6L V �.J. �A�V r)f Urinal _ _ - 11.50 Owner Mailing Address.,/ Suite Dishwasher _ 11.50 ' t IJ. A LL- tiarbage Disposal 11.50 C�State ZipPhone 7> Laundry Tray 11.50 Name Washing Machine/Laundry Trey 11.50 /(/Vkls- Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 ^_ 4" 11.50 City/State Zip Phonehiri kind -- 11.50 Water Healer O conversion O e Gas piping requires a separate mechanical permit _ Name MFG Home New Water Service 32.00 MFG Home New San/Storm Sewer 32.00 Contractor Mailing Address suite _ fit, L, (�f t��. Hose Bibs - 11.50 Prior to permit CitylSlale Zip Phone Roof Drains 11.50 issuance,a copy c '?S i cy a 7 S37 �e)I Drinking Fountain 11.50 of all licenses are Oregon Const,Cont.Board 1-1c.0 Exp.Date Other Fixtures(Specify) 15.00 required If "I (v -"� ' I(. -C' - expired In COT Plumbing Lic.N I Exp.Date - database ti 4 t._ Name Architect Sewer-1 st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' I 32.00 Water Servlce-tst 100' 38.00 Engineer City/State Zip Phone 32.00 !:J Water Servlca•each additional 200' Describe work to be done: Storm&Rain Drain-tai 100' _ 38.00 New Q Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 3200. Residential Al Commercial O commercial Back Flow Prevention Device 32.00 Additlor.al description of work: A f; A n,/0 ti : IF I' T I -- 19.00 Residential Backflow Prevention Device' vs 5 f u F h _ Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50.00 Yes O No ,(t_ Inspectionsper/hr _ If yes,see back of form to indicate work performed by Rain Drain,single family dwelling _ 45.00 fiAture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL l� I hereby acknowledge that I have read this application,that the Information Isometric or riser diagram is required If Quantity Tdtal is ,9 V given Is correct,that 1 am the owner or authorized agent of the owner,and •SUBTOTAL ' that lens submitted are in compliance with Oregon State laws. Sign ure of Ownerl""t Date 8%SURCHARGE s b r , , r--- ' ' (-,. / 1L) Contact Person Nanta Phone i 7, **PLAN REVIEW 25%OF SUBTOTAL _ � _. __-- a - Required only If fixture qty total is>9 rJW1 BATH HOUSE$178.00 - TOTAL 2 BATH HOUSE$250.00 7 BATH HOUSE$285.00 (This fee Includes all plumbing fixtures In the dwelling and the first Mlnlmum permit fee is$50.8%surcharge,except Residential Backflow Prevention 100 feet of sanitary sewer storm Hewer and wator service) De:ice which is S15•8%surcharge ••A! New Commercial Buildings require plans with isometric or riser dtag,am and plan review I\dais\IormsNhhm.�rr .. PLEASE COMPLETE: Fixture Type _- Quantity by Work Performed^ New Moved Replaced Removed/Capped Sink_ -- Lavatory -- Tub or T_ub/Shower Cor_,ibination - _Shower Only —_ -- - - - �- Water Closet — - Urinal - -- ---- --- ---- --.-- -- Dishwasher - _Garbage Disposal _ - Laundry Room Tr_a_y_ - Washing Machine --�- Floor Drain/Floor Sink 2" - - ---__ -- 311 Water Heater — _ �_ - ----- -- Other Fixtures COMMENTS REGARDING ABOVE: 11dit5%fofM plumapp doe 11118199 CITYOF TI��,RD _SEWER CONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT #: SWR2000 00102 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05716/2000 SITE ADDRESS; 13700 SW HALL BLVD PARCEL: 2S102DD-00300 SUBDIVISION: EDGEWOOD ZONING: R-12 BLOCK: LOT: 002 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connection of sewer lateral to existing drain. Must be more than 5 ft from dwelling. Septic tank to be pumped, filled and capped or removed and inspected. Owner: — _ FEES ZANDER, DENELI_ D Type By ` Datf Amount Receipt CAROL M 13700 SW HALL BLVD PRMT KJP 1)5/161200C $2,300.00 0002215 TIGARD, OR 97223 INSP KJP 05/16/200( $35.00 0002215 Phone: ^` Total $2,335.00 Contractor: Phone: Reg #: ORIGINAL Required Inspections Sewer Inspection Septic Tank Filled -I his Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will he forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Nofif ation Center Those rules are set forth in OAR 952-001.0010 through (JAR 952-001-0080 You may obtain copi of)hese rules or direct questions to OUNC by calling (503) 246-1987. T-1-/ - r�l.� Issued by: � �N� __` Permittee Signature:��(��-• Li 4 Call(503) 639-4175 by 7:00 P.M. for an inspection needed the next business day HALL. bL✓U r _ led f --'- I f1RtL I s<<i p- ,$EnTtc � os� 0 TAN k ' 05. 11 . 00 R 1 CITY OF T I G A R D --PLUMBING PERMIT DEV �eELOPMENT SERVICES � PERMIT#: PLM1999-00261 DATE ISSUED: 8112/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 69 {{��,��,,,,11 PARCEL: 2S 102DD-00300 SITE ADDRESS: 13700 SW HALL BLVD 0 SUBDIVISION: EDGEWOOD ZONING: R-12 BLOCK: LOT: 002 _ JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: N3 FLOOR DRAINS: 'TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUE/SHOWERS: SEWER LINE: fl W,4TER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of water heater and residential backflow prevention device _ __ FEES Owner: Type By Date Amount Receipt ZANDER, CENELI_ D PRMT DEB 8/12/99 $50.00 99-317618 CAROL M 5PCT DEB 8/12199 $3 50 99-317618 13700 SW HALL BLVD -- TIGARU, OR 97223 Total $53.50 Phone 1 Contractor• MCCOY PLUMBING 261 7 NE M LK BLVD PORTLAND, OR 97212 REQUIRED INSPECTIONS Top-outlnsp Phone 1: 288-`.403 RP/Backflow Prevenler Reg #: LIC 00001756 Final Inspection PLM 26-53PB 1-his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 for 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 OAK 952-0001-0080. You nilly obtair�ropies of these rules or direct questions to OUNC by calling (503) 246-1987. Issultd B r�� A6� Permittee Signatu e: i y _� _ _ Call (503) 639=4175 by 7:00 P.M. for an inspection needed the nett t3U? ness day CITY OF TIGARD Plumbing Permit Application Plan 13125 SW HALL BLVD. c y_ Commercial and Residential Recd�y u. J TIGARD, OR 97223 Date RecdA-!_}9 jT (503) 639-4171 Data to P.E. Print or Type Date to D T_ Incomplete or illegible applications will not be accepted Permit#T�tQA1!A22a/ Related SWR# _ Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job ) CAD (A�f,5(_0 D( Sink 11.50 Address Street Address Suite Lavatory 11.50 Bldg# City/State Zip Tub or Tub/Shower Comb. 11.50 Shower Only 11.50 Name Water Closet/Urinal (Specify) 11.50 Dishwasher _ 11.50 Owner M-iling Address Suite Garbage Disposal 11.50 Washing Machine/Laundry Tray (Spectf City/Slate ZI Phone Y) 11.50 TI 9I-I�3 (� � �c Floor Drain/Floor Sink 2" 11.50 Name �►a(�'l3� 11.50 4" 11.50 Occupant Mailing Address Suite Water Heater �D conversion O like kind 11.50 Gas piping to ulres a separate mechanical permit. City/Slate tip Phone MFG Home New Water Service 28.00 Name --- MFG Home New San/Storm Sewer 28.00 M C ),/ P f3 t t1L�-J. Hose Bibs 11.50 Contractor Mailing Address Suite Rain Drains tt�� 11.50 ZNL (-nLh Q) Q Drinking Fountain 11 50 Prior to permit Rjty/Slate Zip hone Other Fixtures(Specify) issuance,a copy Vccj"o C1 UIQ �Sa (,� 15.00 of all licenses are Oregon Const.Cont.Board LIc.# Exp Date,, -} - required if u 1.1 Ji- t) G) expired in COT Plumbing Lic.# Exp.Date database a .C--.) F?C-) LD GL> _ Name Architect Sewer-1st 100' 38.00 Sewer-each additional 100' 32.00 Or Mailing Address Suite Water Service-1st 100' 38.00 Engineer city/State Zip Phone Water Service-each additional 200' 32.00 Storm 6 Rain Drain- 'I st 100' 38.00 Describe work to be done: Storm&Raln Drain-each additional 100' 32.00 New 'q Repair O Replace with like kind: Yes O No O ResidentlaIN Commercial O Commercial Back Flow Prevention Device 32.00 Additional description of work Residential Backflow Prevention Device- 19.00 _ Catch Basin 11.50 T��'I- � 'Q`� +fie ntj,LL _ Insp.of Existing Plumbing 50.00 �d Are you capping,moving or replacing any fixtures? per/hr _ Yes R No O Specially Requested Inspections 5000 If yes,sec back of form to indicate work performed by er/hr fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,single family dwelling 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11 50 I hereby acknowledge_thet-I have Mad-kus application,that the Information given Is corr- , et I am the owner or authorized agent of the owner,and QUANTITY TOTAL that I ,submitted are in com fiance WI Ore on S[a Laws. Isometric or riser diagram is required d Quantity Total is >9 pv"Ttv!Z-Own /Agent - pate "SUBTOTAL Co arson int 3 1 tf r 7%SURCHARGE Phone _ 1 BATH HOUSE$173$250.00 0 _ JL'C'� fi "PLAN REVIEW 26%OF SUBTOTAL 2 BATH 14UUSE 5250 _Required only n fixture qty total is>9 .00 3 BATH HOUSE$2E5.00 TOTAL Ihis foo Includes all plumbing fixturos In the dwelling and the first 100 feat of sanitary sewer storm sower and water service) 'Mlnlmum permit tee is$50+7%surcharge.except Residential Backflow Prevention Device.which is$25+7%surcharge 011 New Commercial Buildings require plans with Isometric or riser diagram and pian review 11dstmVormstplumapp dot 7119!9_+ PLEASE COMPLETE: f —Fixture Type Quantity by Work Performed__ ---- New Moved Replaced Removed/Capped Sink -- ------- - -- -- ---- --- Lavatory Tub or Tub/Shower Combination i -- - ----- ----- Shower Only ----.._.._- Water Closet Dishwasher - Garbage Disposal Washing Machine — _ -- Floor Drain/Floor Sink -2" Water Heater Laundry Room Tray— - Urinal Other Fixtures (Specify) -� COMMENTS REGARDING ABOVE: Ids1%1f(m§plumnpp do[7113199 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 p BUP _ Date -7Requested 0 '/��')� AM PM ��. _ BLD _ Location_ �� /y`-' -P /�� V _ Suite p MEC Contact Person I Ph Z-� 0 5 PLM C(C1 1-Q�� VO Contractor _ Ph . SWR BUILDING Tenant/Owner ELC _ Retaining Wall Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes SlabSIT Post& BeFrm -----____ _ - ---- -- ---- Fxt Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling Roof Misc: --- Final PASS PART FAIL LUMB Post& Beam Under Slab p Top Out �7�r Water Service Sanitary Sewer Rain Drains c PART FAIL MECHANICAL _ Post& Beam _ - - Rough In Gas Line - Smoke Dampers Final PASS PART FAIL_ ELECTRICAL - - Service --- Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL -- -- - - SITE Rackf;ll/Grading Ssnitary Sewer Storm Drain ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ] ]Please call for reinspection RE: Unable to inspect-no accea, Fire Supply LineADA ) -- Approach/Sidewalk `�� / i �� ' r _ Date .t� Inspector__. ' _ _ Ext Other Final PASS PART FAIL Do No'r REMOVE this inspection record frroin the job site. CITY OF TIGARDPERMI DEVELOPMENT SERVICES � PERMIT#:AMSC 999700318 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 3 DATE ISSUED: 7/26/99 PARCEL: 2S102DD 0030n SITE ADDRESS: 13700 SW HALL BLVD SUBDIVISION: EDGEWOOD ZONING: R-12 BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERQ;COMP_RESSORS HOODS: _ FUEL TYPES 0 - 3 HP: DOMLS. INCIN: I-PG -- 3 - 15 HP: 1 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: AIR_HANDLING_UNITS _ OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of 3-15 HP boiler and associated gas piping. Owner: -- -- ------ FEES EES ----- -- ZANCER, DENELL D Type By Date Amount Receipt CAROL M PNMT DEB 7/26/99 $50.00 99-317143- 13700 SW HALL BLVD 5PCT DEB 7/26/99 $3 50 99-317143 TIGARD, OR 97223 — Total $53.50 Phone:62.0-1335 ---- Contractor: FIRST CALL MCCALL HEATING + n COOLING " `�L.J' REQUIRED _ 1650 NE LOMBARD ED INS__ PORTLAND, OR 97211-4798 /` Li� Gas Line Insp — Phone:2.31-3311 Mechanical Insp Reg#:LIC 102030 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance th approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 189 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notificatiai Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You nay obtain copies of these rules or direct questic;ns to DUNG by calling (503)246-9189. Issue By: ,� y Permittee Sigr%ature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the neXt business day 06/09/99 WE'D 11: 16 FAX 503 598 1960 CITY OF 'FIGARD 4002 CITY OF TIGARD Mechanical Permit Appli ati6h �� Plan 6y�� 13125 SW HALL BLVD. Commercial and ResidentM ( Date Recd_�7-r 2- 9 TIGARD, OR 97223 � �9` Dato to P F. --- - (503) 639-4171, X304 COL1MUN11Y OLVI.LOW„ Date to DST— Print or Type Permit#ittliy--ec3,/`s Incompleto or ill tble a lications will not be ecce-ted Called — — - Name d DevebpmenWropd Description Iable 1A Mechanical Code Qt Prke Amt Job nod Address 5_UW0 _ A Permit Fen _ — ----� awn= 16.00 Address ( ' 1) Furnace to 10000 BTU including ducts&vents __see footnote 1,2 9.65 Wo0MY/81a1e 2) Furnace 100,000 BIU1 Including ducts 8 vents see footnote_1,2 12.00 Name(or nae d business) 31 Floor furnsCe - Owner k) r r\L \ 4X I-\CQ Including vent roe footnote 1,2 9.65 MaIINp Address 4) Suspended heater,wall heater ' 1 f. 6V\cl\\ a or floor mounted heater _see footnote 1,2 9.65 \" 5 Vent not Included In a prikin — t v- 4.75 CRY/State 21p Pfwne Check all that apply 'B6iler Heat Air 1 , ,- I � l , - � ? c For Items ill-10,809 or Pump Cond Qty Price Amt footnotes 1,2 Com •• Name( name of busawss 6)<3HP;absorb unit to -- - Occupant Mallow nddreee 100-1 BTU - - 9.R5 P 7)3-15 HP;abso(b unit 100k to 500k BILI V/ 1/65 I c:nyrvialc ----� lip Phone - 8)15-30 HP;absorb unit.5-1 mil BTU ?4 16 Contractor Name 30-50 HP;absorb --- -- unit 1-1.75 mil BTU 36 00 w } �\\ rti ��' 1 - 10)>50HP;absorb and uripr to pamdl °Ring Address a >1.i 5 mil BTU 60.15 lisof wancc,w copy 1 ,' I r 1- r n\)�l I r t c(� .I 11 Air handling unit to 10,000 CFM all licenses Cjbrstale LP Phone- 7,00 are required If L 'I ' 1 ( � `i l 12)Air handling unit 10,000 CFM+ expired In COT Orogen Conti.Coral eaard Llcff Esp.Dale 11.75 database \U-L(- _3 t_ 13)Non-portable evaporate cooler Architect Naan1e __ 7.00 ,�'1Rr _ 14)Vent fan connected to a single dud Mailing Address 4.75 or 15)Ventilation system not Included M _ appliance permit 7.00 Engineer cxylscare 21p Pn,na - — --- 9 16)Hood served�y mechanical exhaust 7.00 - --- - Describe work to be done - �- 17)Domestic Incinerators 12.00 New O Repair O Roplaai with like kind: Yes O No O 18)Commercial or Industrial type incinerator Residential Commercial _ 48.25 19)Repair orris Adrlltional infomuation or description of work' 8.40 CI L ��\�rv.. C �7c �, 20)Wood stove/gas Mother units/clothe dryer/etc. '7 _ .00 NOTE: For Commercial projects only;Urils over 400 lbs require 21)Gas piping one to four outlets structurals mics. _ See footnote 1 -- 3.75 �> Type of fuel. od O natural gas LPG O electric 0 22)More than 4 per outlet(eac .75 Minimum Permit Fee$60.00 SUBTOTAL I hereby acknowW*that I have read this application,that the information j 6°it SURCHARGE given is convict,that I am the owner or authorized agent of PLAN REVIEW 25%or SUBTOTAL the owner,that plans subm*ted are in compliance with Oregon State Taws. Required for ALL cornmercial p�irmits only l a% TOTAL ,'ivn;Gt y- g ter. 5 Signature of LhlvnorrAgent Dots _ ! r r I c Other Inspections and Fees: -! _(1 1. Inspections outside of normal business hours(mininum charge-two Contact Pomon Name Phone v hours) 150.00 per hour A \ ' 2 Inspections for wtdch no fee is specifically indicated (minirnuln charge.-half hour) $50 On per hour Fodnnte i for commercial projects only: 3. r.dditional p!an -eview requried by changes,additions or rrvNions to 1 Provide full schematic of existing and proposed gas line and Oressure plans(miniinuc,charge-one-half hour)$50.00 per hour 2. Provide drawings to scale shovdng existing and proposed mechanical units 'State Contractor Boller Cert.Ncation required "Residential AIC requires site plan showing placement of urn! I Vnechperm dor. my 0214199 BUILDING PERMIT CITY OF TIGARp _ PERMIT #: BUP2003-00117 DEVELOPMENT SERVICES DATE ISSUED: 3/13/03 13125 SW Hall Blvd., T igard, OR 97223 (503) 639.4171 PARCEL: 2S102DD-00300 SITE ADDRESS: 13700 SW HALL BLVD SUBDIVISION: EDGEWOOD ZONING: R-12 BLOCK: _LOT: 002 _ — JURISDICTION: TIG REISSUE: FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION —_ CLASS OF WORK: DEM FIRST: sf N_ S: E: W: TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E- W: OCCUPANCY GRP. R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE- st JG%U SEP. RATED: BSMT? MEZZ?: REQ_D SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT. ft RGI-:T: ft _ FIR SPKL: SMOK DET: DWELLING U 4ITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VAL_'iJ E: Remarks: Demr, of existing house, garage and barn. Approximate 600 sf. Sewer to capped and inspected. All debris to be remove from site. Owner: Contractor: ZANDER, DENELL D BONES CONSTRUCTION CO INC CAROL M 3508 S 209TH AVE 13700 SW HALL BLVD ALOHA, OR 97009 TIGARD, OR 97223 Phone: Phone: 649-5682 Reg #: LIC 0000734 _ FEES _ REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846-8 [BUILD1 Permit Fee 3/'i 3/03 $62.50 Final Inspection ITAXI h%,State Tax 3113/03 $5.00 Ii, RPRMT•] Erosion 3113/03 $26.00 I I-RPI.N] Ere Pick-USA 3/13/03 $8.45 (additional fees not listed here) Total $110.40 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: Pennittee Signature: Call 639.4175 by 7 p.m. for an Inspection the next business day Buildiiie Permit Application FOR OFFICE ReceivedISuildmE Date/BY: ? J c. L,t-- Pcrmtt Nu..T A City Of Tigard Planning Approval Other Date/s : Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 � Post-Review land Use Internet: www.ci,tigard.or.us Date/By: ase No, _—_—` C _ Contact Juria.: 24-hour!nspection Request: 5'.13-639-4175 Name/Method: Supplemental Information TYPE OF WORK REQUIRED DATAi New construction _ Demolition 1&2 FAMILY DWELLING Addition/alteration/re lacemcnt I 0-0ther.. CATEGORY OF CONSTRUCTION Note Permit fees*are based on the total value of the work performed. Indicate 1 &2-Family dwelling Cornmercial/Industrial the value(rounded to the,nearest dollar)of all equipment,materials,labor, Accessory Budinamil overhead and profit for the work indicated on this application ilg Multi•F Master Builder Other: Valuation......................................................... _ JOB SITE INFORMATION and LOCATION No.of bedrooms:_ No.of baths: Job site address: 1-32 t-4/ Total number of floors..................................... — Suite#: _ ld ./A t.#: -- - New dwelling area(sq. R.).............................. Garage/carport _-- area(sq. fl.)............................ Project Name: — Covered porch area(sq. R,)............................. Cross street/Directions to job site: Deck area(sq. R.)...................... Other structure area(sq. R.)............................ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: — Tax ma / arcel t�: Note Permit fees*arc bused on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, —y--- overhead and profit for the work indicated on this application. -- Existing building area(sq.ft.)........................ - New building area(sq. R.)............................... `S rJ r._ Number of stories............................................ �[i Pt: _ ItTY OWNER f�� 7T,, A T Type of construction....................................... Name:_ ^1 K�� Occupancy group(s): Existing: Address: New: Phone: Fax; NOT'IC'E: All contractors ant!subcontractors are required to be AI'PL:CANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under -- — provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing,the following reason applies: Address: City/State/Zip: — ---- — Phone:E-mail: —� BUILDING PERMIT FEES* CONTRACTOR Please refer to fee schedule. Business Name: a /1 fees due upon application.............._ Address:' 0 t ,�_—�� nQ� _ City/State/Zi -`4-- 007 Amount received ................................... S Phone:59 fJWFax: � � l Date received: CCB Lic. Authorized 1 g 7 Notice: This permit applicaurim nn e% s it a permit is not ohtained stithin Signature: Date: %?'r7? 180 dans after It has been acceptrJ as complete. --- - — —— ------ *Fee methodolopv set by Tri-County Ruilding Industry Service Roard. (Please print name) is\Dsts\Permit Fomma\RldgPermitApp.doc 01/03 Commercial Plan Submittal Requirement Matrix I City u/'Tigtird I TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site U!i:;ties 2 Building �* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 1 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *f=or over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICFT lovel "3" technicians. I:Wsts\forms\COM-matrlx.doc 9/24/01 CITY OF TIGARD 24-Hour BUILDING Inspection Linp: x;0316,,9-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP . 3 " 60 � � 7 - RQceived GaleReyuested 3—,-1O AM-- PM BUP Location — . 700 Suite_ - MEC Contact Person Ph(_ ) ._�gG _ DS j__ PLM Contractor Ph SWR BUILDING TenanYOwner ELC Footing Foundation J EL-C Fig Drain ?' Access: ----- Crawl Drain ELR Slab Inspection Notes- Sir Post& Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear - Framing -- -- - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling �y1 Roof 42(9 .��sl ` — -- Other: -- _ PART FAIL --�------ - INO - Post&Beam - Under Slab Rough-In �- Water Service Sanitary Sewer Rain Drains Catch Basin?Manhole Storm Drain Shower Pan Other: E L Final PASS PART FAIL MECHANICAL Post& Beam j Rough-In Gas Line Smoke Dampers Final PASS KART FAIL - -- -- ELECTRII AL BrVICe Rough-In --. UG/Slab Low Voltage Fire Alarm - -- Final Reins PASS PART FAIL pection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _SITE _ �] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Dib Approach/Sidewalk Inspector—��1 - ut Other Final _ — DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL_ SEE. 35MM ROLL #20 FOR OVERSIZED DOCUMENT