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13750 SW HALL BLVD �dW'EW4iiulY�tdlaaiG+�,fXw4..a.i�+.44+i.ab ;„r',fLuLINI$1WY6fd� 4Y0fliii+' .h.,5i5r:iii 4uiiii�t'�M oHA?,ki+ 4.... rr W J Ch O r 00 r d J �k4 13750,SSV HALL BLVD CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-0026N DATE ISSUED: 004 PARCEL: 2S 10 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 2SI02DU-00400 SITE ADDRESS: 1,1750 SVV HALL BLVD EXi&fi+46-RE4. !} SUBDIVIFION: EDGEWOCr) ZONING: R-12 BLOCK: LOT:003 JURISDICTION: TIG CLASS OF WORK: O?R FLOOR FURN: EVAP COOLERS: TYPE OF USE: Mr UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 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 DAMP!77E )' 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 4 HP: DRYERS:CLO DS: RYER FURN < 100K BTU: 1 AIR _HANDLING UNITS C FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Installation of new furnace. Owner: _ _ T FEES _ SOLARES HOMES L L C Description Date Amount BY NORRIS BEGGS+ SIMPSON I,%tl ('111 Permit t cc 5/12/700 $72.50 LOAN SVC DEPT SG�te Surchart 5/1'Z/200 $5.80 PORTLAND, OR 97204 Phone: _Total $78.30 V T_ Contractor: COLUMBIA HEATINr3 + COOLING INC P.O. BOX 230397 8900 SW BURNHAM#E1110 REQUIRED INSPECTIONS TIGARD, OR 97223 Heating Unt Insp T^� Phone: 503-(j24-2704 Final Inspection Reg#: LIC 76359 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 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 Notification Center. Those rules are set forth in OAR 952-001-0040 through,OAR. 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503, -6699. n Issue By. )Permittee Signature: Call (503) 639.4175 by 7:00 P.M. for Inspections needed the next. bus ess day _Mechanical Permit Application 0i y of Tigard Date;BYd / y Permit N. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit: Inspection Line: 503.639.4175 Date Ready/B-, lit r ® See Page 2 for Internet: www,ci,tigard.or.us Notified/Method �- SupplemeotalInformation TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑New construction ❑ Addition/altef anon/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical matenals.equipment,labor,overhead,and profit CATEGORY OF CONSTRUCTION Value:S -- RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-and 2-family dwelling ❑Commercial/Industrial ❑Accessory building For special information use checklist. Multi-family ❑Master builder ❑Other: _ Description Qty. Ea Total a JOB SITE INFORMATION AND LOCATION Heatin coolie Air conditioning or heat pump Job site address: - G � � -� - _ --�= (requires site Ian showingplacement) 14.00 City/StatdZlPTI Q rf Rte' Furnace 100,000 BTU(ducWvenLs) 14.00 �� Furnace 100,000+811 Sj ucwvents) 17.90 Suite/bldg./apt.no.: Project name: r' �� _- Gas heat pump 14,00 Cross street/directions to job site: Duct work - 14,00 - - " -- H dronic hot waters stem 14.00 _ Residential boiler(radiator or h dronic) 14.00 Unit heaters(fuel-type,not electric), in-wall,in-duct,sus ended,etc 10.00 Subdivision `�- Lot no.:, -- Flue/vcm Cor any of above 1000 Other: 10.00 Tax snap/parcel no.: Other fuel appliances DFSCRPTON /1WURK - Water heater 1000 --1 Q -- Gas fireplace 10.00 l f 4P IN —6V a C .. Flue vent for water heater or gas fireplace 10.00 ----- ----- ---- Log lighter as _ 10.00 Wood/ ellet stove 10.00 �- Wood fireplace/insert 10.00 �ROPERTY OWNER TENANT Other ther /liner/flue/vent _ 10.00 _- ��_____e__- Other_ 1000 • Name_i I -o y .SQ A /es _ Environmental exhaust and ventilation Address: L `��) '/ Range hood/other kitchen /3AlO Jw�0-In a �ee/�, l� equipment 1000 City/State/ZIP: t Clothes dryer exhaust 10.00 :tlQ f- Z� -- -__ Single-duct exhaust(bathrooms, Phone: j) Q9 x_12q 9 Fax:( 1 _ toilet compartments,utility rooms) 6,80 Allic/crawls ace fans 10.00 ❑ APPLICANT ❑ CUNTAC"I' PERSON - '� - -- --- -- -- Other: 10.00 Business name -- -_---.^ -- - --- Fuel�fl ip ng Contact name: $5.40 for first four;$1.00 for each additional Address: - -- - ---- -- -- -- Furnace,etc_ -___.__-- ----_T--- -- Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone:( ) -- - _--- _ - Fax: :( )-—- - -- - Water heater Fireplace - _- E-mail: Range Barbecue --- Business name r — Clothes_dr er es) C /k n7 G1 aki 401/Ama Other Address: (1", Z) ` -- MECHANICAL PERMIT FEES* City/State/Zl r' telf}(:"f-) ( / c-7a' — - Subtotal (shone:( Fax:( ) T Nlimmum permit fee(S72 50) 7, - _ _- Plan review(259%of permit fee) CCB lie.: State surcharge(g"/n of permit fee) �- ------- d.- _ TOTAL PERMIT FEE Auth--x•d signature: , This permit applic Win expires If a permit is no,obtained wnhin tau —_ days aner It has been accepted�s complete. Prier ntme:� ,J . -TJ r'p Date: 5 2 T 7 ' fee methodology set by'rri-County Building Industry Service Board \SuddirtPeminsWECPernuiAppdoc 12/01 =- 440-46177(IIINPC0WW69) Mechanical PermitApplication - City cif Tigard � Page 2 - Supplemental Information Commercial Fee. Schedule,:---,----------- Total Valuation: Perm_it Fee.: $1.00 to$2,000.00 ; Minimum fee$72.50 � $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additiunal$100.00 or fraction thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141,50 for the fust$5,000.00 and $1.80 for each additional$100.00 or fraction thereof,to and including _ $10,000.00 $10,001.00 to$50,000.00 $231.50 for the fust$10,000.00 and $1.35 for each additional$100.00 or fraction thereof,to and including $50,000.00. _ $50,001.00 to$100,000.00 $771.50 for the first$50 000.00 and $1.25 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $1,396.50 for the first$100,000.00 and $1.10 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC-PemiitApp.doc 12/03 2 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4 7 MST BLIP --- - Received Date Requested t y— A PM HUQ Location l -3 CJ Q v- Suite EC` 00t)'a Contact Person — _ n ' --_ Ph PLM — Contractor _ _ — Ph( ) SWR _ BUILDING Tenant/Owner�.�v_ ,[ Q.11 / , r - LC Footing _ --- �>Z- �( "' �y� N�'1 Ct Foundation --•r� ELC C" - Ftg Drain Access: �-� ELR Crawl Drain --- -- Slab Inspection Notes: 4� �,� SIT Post&Beam ------ Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear _ u C-, >/ G•�,� �.� r� r Framing ,V L� Insulation Drywall Nailing - Firswall Fire Sprinkler Fire Alarm ' Susp'd Ceiling - Roof �.,� w� S CAAy✓ti..� Other: ,. �J Final ----- - '' 4 f1'1 �� 2-4) G �QZ` -2,S_--�-+�^ PASS DART FAIL PLU_MHING Post&Beam Under Slab Rough-In �/ S k Water Service - - Sanitary Sewer Rain Drains — - Catch Basin/Manhole Storm Drain --- -- Shower Pan Other: - --- --- - FPAPASS PART FAIL u - CHA AL _ -- _`�---- -- --- P)st& Beam Rough-In Gas Line / S woke Dampers A PART FAIL --- -------- CTRICAL 67 -_ Service — — -- ------------------- Rough-In --- -- -- - - - - -- - UG/Slab Low','Jtage -- __— - - -- --- --- Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ __ CJ unable to inspect-no access Fire Supply Lino ADA Approach/Sidewalk Dab Inspector � Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL /^ CITY ITY O F T I G e R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00022 13125 SW Hall Blvd., 'rigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/20/04 SITE ADDRESS: 13750 SW HALL BLVD EXISTING RES. PARCEL: 2S102DD-00400 SUBDIVISION: EDGEWOOD ZONING: R-12 BLOCK: LOT: 003 JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE CF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 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: ft WATER CLOSETS: WATER LINE: `i0 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Repair 50'of water service. ----------- ^" FEES ---_� Owner: -- — _-- - -- - - Description Date Amount SOI_ARES HOMES L L C IILUM —�— BY MORRIS IiEGGS + SIMPSON ' [3l Permit Ice 1/20104 $72.`i0 LOAN SVC DEPT [TAX]8" State Surcharl 1/20/04 $5.80 PORTLAND, OR 97204 Total $78.30 Phone : --- _. Contractor: METRO ROOTER+ PLUM0,ING BARRICH INC 5008 SE WOODWARD ST#3 PORTLAND. OR 97206 REQUIRED INSPECTIONS Phone : 652-2626 Water Service Insp Final Inspection Reg#: MET 2150 LIC 106824 PLM 1-2651)B This 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 Is ed By: Permittee Signature: ire---- ` Call (50'3),6A-4175 by 7.00 P.M. for an inspection needed the next business day A;/!,''/2004 16:24 3032416565 MRP PAGE 02 01/14/i004 19:56 FAX 5056961960 erre OF TIGARD 10001 ltjr ' i i �t�l�i RDw/D � PCm+irtJO.• n�„�1•�J City of Tigard N A I 3125 5W Bail Slvd,.TWrd,OR 91223 , P1.rt Reviow i C)nccr Prma No.: Phone: 503.639.4171 Paz: 503.398.1960 lel Darclny. 0 Ste Patie 3(br 24-Hour fispoc6oa Line: 503,639.4175 G�-�y pC TIG Dow twey/oy r S�Ppremgtat I„trwutlea [nternet v ww ci ngard.or us V =)1 f Norifl"MleuwE a i��a� Ij= '' i for ' FEE' SC>fi .DILE 1!1(1:1 T'.�!'M _ - -_. E',�' 1' .;o I' I'{ QW Orr We CheCkNS1. �}New coostruction Q Demoon _ stn non _ 1 ' 1 Add tion/altaratiMVrgPltcatneat ❑ other! Nrw 1-zl4aetily dvvelNnp(inc)udes 100 tt.fnr eocll uollly conncction) T�---- I' 1 , .,h' 4.1 I 3!R(1)bath 249,30 00 = —_ �'Comriterrial/imaustrlal 9FR(2) 35 01 Q 1-and 2.fami1y dwelling — gFg(D)barh 399,00 71 Acrrmry bullding Cl Multi-titudly Each additional badvIdichen 45.00 Q lyo ear builder Q Other Firma sprnkler�sq.fQ Pagc 2 r� „+ q. N'k •t :;,),' ' ;� , glteat111tiaa Catch basin or area drain 16,60 job site address: .�j 7 _ ) P}r'.-�._ L 1f1 d.60 leach 11n¢,or trench drttla City/statelZlP: Foo-ang drain(tic.lines f h_ PqM 2 Suit,Vblds./apt.no-: Project tome: O �'r` IJanufacturod home udtidea 110.00 Cross BtreeVdircctlour+to job 911W. Mmahnles 16.40 Rotn drain comector 16.60 — Sanitary sewer(no.linear Storm sewer(no linear fw _ Pope 2 -_ -- waw soivice(no.linear ft.' Page 2 �G17 Subdivision: 1 of _ Flmire or item Tax Map/parcel no Absorption valet _ 1669 Brekhow prevcater laOt z�� 1 �f7 r (� � JL�(W }�✓�sf 1�✓ Bxlnvater-rlve - 16.60 16.60 y-►]_.{,{rr, Drinking f*LmWn 16.60 l,"N. r I r i t lu t3jwtors sump - Natrx: r"PI t P i Errpamsion tank 16.60 --- platunlsewcr oap `16.60 F1ddww IrB .Jg �� ! nte/hub 16.60 O n F1wr d rispoor si C'�ty/StatelZ�': �¢-\_L�,.�lL�r-�- _1 Garbage dispesr-I 16.60 pal( ) Hose bib 16.60 Ice mzker 16.60 I -.s name. Husinr' -- Interceptorllreaae trap 16.60 Medical gsa(value:S ) ftV 2 Cootact name: 16.60 Primer — Addrns: Rootdrain(eorrrmerclal) —1E.60 t:ity;$tatrlZZIP: - Sinlr/basin/lavatery .� I6� •!W Phone ( ) —�— Pax:i( ) 1 ublrltoaerlgho��wcr Panr 1- 660 L ---- I 16,60 E-M ul: ms's --.2-10 -o h' "� Wator closet 16.60 M��-• Water heater 16,40 i Butlaess flame: I' { �� '/..6 5 --- sg s r Addresx: Sa�'ota' C ry/stauJZIP: - (,✓L _ M imam WHIT fee Eli ) �(� F��Q ) 2i..� �bJ Residential bocktlow minimum permit�Ee: V1-tV 7a Phom `2 . ,r? Plam_rev.ev-• (2S44 ofperni� ctee) D to ) tat Plumbing LtC.no.: Se srroberge(8%ofpermit fte) •$O_ _-- TOTAL.PERMIT FEE O Autltor>zrd SiRmatun: /lot.. ''�" T--h-�ermk applicatMa aRP r es R a perMh In note a oad w4 ilu Print metro: 0�/ /G� vim'O1 1 y O r 180 days after It has bet,aetvttd as eaTPlete *Fee met:rado;oRY eel by T'i-County guilAing LndusrrY Srnict Boars. 1�9oitdin{�P�md'-+�PI.M-TahhAppdos lve� CITY OF TIGARD 24-Hour VILDING Inspection Lin"03)03)639-4175 MST - - - - _ INSPECTION DIVISION Business L )§39-4171 BLIP Receivedy!i, %i Date Reque teri ��_ _.—AM PM - - BLIP - - �,� L Suite--suiteMEC Location --- - ��. Contact Person � - - -- - -- Contractor_ - Ph ) SWR BUILDING Tenant/Owner ' ELC - Footing ELC _--- Foundation Access: Ftg Drain ELF! - --- - Crawl Drain - SIT Slab Inspection Notes: - - Post&Beam Shear Anchors Est Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing --- , -- Firewall - Fire Sprinkler -- — Fire Alarm Susp'd Ceiling -- - Roof - Other: -- Final _ PASS PART FAIL PLUMBING - - --- Pest&Beam ugh r Sarvice --- - Sanitary Sewer _ Rain Drains Catch Basin/Wnhole Storm Drain _-- Shower Pan _ PART FAIL l--- - --�-- ANICAL — ---- -- Post&Beam Rough-In — ---- - -- -- Gas Line _ Smoke Dampers — -- ----� Final PASS PART FAIL — ELECTRICAL _ Service Rough-In -- UG/Slab Low Voltage — - - Fire Alarn, Final u Reinspection fee of required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE:--- -- Unable to inspect-no access Fire Supply Line ADA Approach Sidewalk Date / -- -- Inspeator Other: _ Final DO NOT REMOVE this Inspection record from the join site. i PASS PART FAIL I