10305 SW MEADOW STREET-2 -LS CV)oqvgW g o l
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CITY OF TIGARD BUILDING IZPECTION DIVISION f
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24-Hour Inspection Line: 639-4175 Business Phonc: 639-4171 '
Date Requested: —�-- - A. P.M. MST:
Location: 15 � _ — BUR _.
Tenant: — — Suite: ,Bldg:
Contractor: : � L�.�._�_ P
Owner: _ rorx: --- El :
ELI
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BUILDING BLDG(con't) PLUMBING MECHANIC — ELECTRICAL SITF.
Site Post/lIcam Post/Beam Post Cover/Service SeweriStmm
Footing Ralf UnolFl/Slab R<��� Ceiling Wster Line
Slob Framing 'rop Out rof Line Rough-In 110 Sprinkler
Foundation Insulation Sewer t Reconnect Vault
Bsmt Damp [.."]I Storm ce 'temp Service MISC.
Masonry Ceiling Rain[rain 11G Slab
Shc ar/Sheath Fire Spklr/,11m Crawl/Found Or Heat Purnp I.ow Volt
Approved ApprovedI>EmOved Approved _ Approved —
Appr/Sclwlk Not Approved Not Approved ed Not Approval Not Appro-ed
FINAL. FINAL FINAL FINAL. FINAL
ILa
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CJ Ce11 far rein. 0 Reinspection fee of S_ _ required before next inspection 0 Unable to inspect
lmmcctor: — —_ — Date: _ Z/0- ?'_#�'_# __ Page_ of —
T
. CITY OF TIGARD MFCHANICA1 .
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC98-0070
13125 SW Hell Blvd., Tigard,OR 87223 (503)8394171 DATE ISSUED: 03/04/98
PARCEL_a t S 13 CC-01';00
T TF ADDRESS. . . : t,71305 SW MEADOW 13T
�IJSD M S I ON. . . . : THE. MEADOW 70N T Nr: R-4. 5
PI-OCK. . . . . . . . .. . . LOT. . . . . . . . . . . . . :011 JURISDICTION: TIG
---------------------------------
-1-AST) OF WORK. . :ALT FL...C1OR FURN. . . . : 0 EVAP COOLERS: 0
"YPF OF USE. . . . :SF UNIT HFATFRS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL._: 1 VENT SYSTEMS: 0
STORIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES—------------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
:Gf15 3-15 HP. . . .. : 0 COMML. T NC I N: 0
MAX i'NPUT: 0 BTU 15•-30 HP. . . . : 0 REPAIR UNITS: o
FIRE DAMPERS7. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
rPS PRESSURE. . . : 50+ HI=S. . . . : el CLO DRYERS. . : 0
N0. r7F I.JN T TS---------- AIR HANDL_T NG UNITS OTHER LINT TS. : 0
F-URN ( 100K BTU: 1. <= 10000 cfm: 0 CTAS OUTLETS. : 1
F"URN )-1.00K BTU: 0 > 100100 cfm: 0
Remar,ks : Installing furnace, venting and gas piping
Clwner ; - ________.___.___________.____---_____—.----______..______ FEE'S --------------- -
JOHN
------_—__._—_ -JOHN SLAGL.E type amount by date rec.-pt
1013015 SW MEADOW ST PRMT 25. 00 B 03/04/9A 98--3038cpB
T I GARD OR 97223 5PCT 'k 1. 25 8 03/04/'98 9A--30,1828
Phone #:
(.ont.ractn)-: _.._. -----•--------..—_---..._—.—__----__
3nt_1THWEST SHEET METAL
10415 SW 72ND
t 26. 25 TOTAL
PORTLAND OR 97223
Phone #: 503-246-6284
Reg #. . : 0001451A
------- REPUIRED INSPECTIONS ---_._--
T ;s permit is issued sub,jert to the regulations ccntained in the Gas Line T^ p
;ard M!miripal Code, State of Ore. Specialty Codes and all other Misc. Tnsper_t ion
applicahlt laws. All work will be done in accordance with Final Inspection
aoprover' plans. This pereit will expire i` work is nct started
A. within l9@ days of issuance, or if work is suspended fer yore
0Cthan 180 days. ATTER?ION: Oregon law requires you tc follow rules
N adoptee by the Oregon Utility Notification Center. '.'hose rules are
set forth in OAR 99P-MI-0010 thro'agh OAR 952-061-®NBP. Yon may
J obtain copies of these rules or erect questions to OTIC by calling
Permittee S i g n a t•_t r e :� Il��J�dh — I �
a-+++++++•++++++++++++++++++++++++++-+++-t+++a-++-++-+-4-++++•+++4-++4-++4-4-+4-++-4...........
Call 639~-4175 by 7:00 p. m. for inspections needed the next business day
-+-4-+-f--I-++4-+4++++1 +++++++i+-i-++-+++i•++4-+-++++++++-h ....++++•+++++++++•!-++++++ E++++++++++
.r. �e
Plan Ch N
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW MALL BLVD. Commercial and Residential
Data
Recd
TIGARD, OR 97223 Date to P E.D*W to
(503) 639-4171, x304 PermitM sme�0
Print or Type
cam
Incomplete or illegible a plications will not be accepted `
Nam•or Devero sYMA/PM00 Colon
T"to Mechanical Cods QTY PRICE AMT
Joh Saar Ad~ Surt•s A) Permit Fee -0- t! 10.00
Address <50j 1W I I
eklo Qfylsrnte zip 1.) Firnsm to 100,000 BTU1. 8.00 �r Uv
I t � indixlft ducts 6 versa _
Nan.(or nam oof busfnesa) 2.) Furnace 100,000 BTU• 7.50
Owner r__`asp including ducts&vents
Meiling Address 3.) Floor Furnace 6.00
"�* includir>V vent
crty/srar• �aTP►�«» 4) Suspended heater,wall heater 6.00
�_ or floor mourned healer
Nomnor nam•or buaM••a► 5.) Vent not hu:lyded In apphroce pemgl 3.00
Occupant MWIVV Addfsas 6.) Boger or comp,heat pump,air cond. 6.00
to 3 HP;absorb unit to t00K BUT-
City/33004 �?ip vbon. 7.) Boger or comp,heat pump,at o W. 11.00
_ 3-15 HP;absorb unit to 5W BTU"
Contractor rauna - 8.) Boiler or coma,heat pump,at coed. 15.00
So�Ti $ 6�a c ic�ar
16-30 HP;absorb unit.5-1 mg BTIJ-
Prior!o perm" MaWV Adams 9) Boiler Lf comp,heat pump,etr pond. 22.50
issuance a copy ill / 7Z ,.� 30-50 HP;absorb unit 1.1.7"BTU"
of all licenses City/Stae r Zip e0.) Boger or comp,host pump,at coed. 37.50
are required if r W >50 HP;absorb unit 1.75 rm8 BTU"
expired in COT Canal.ConLAeard UdA Exp o 11.) Air hand*V unit to 10,000 CFM 4.50
database
Architect Nan" 13.) Non-portable evaporate cooler 4.50
or Ma1Nng Address 14.) Vent fan connected to a single dud., 3.00 -�
Engineer CoymW zip Phos• 15.) Ventilstlon system not included in 4.50
_ _ no*permit _
Describe work New O Addition O Alteratio Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residentiafp' Non-residential O
Additional Description of work: 17.) Domsstk-Incinerators _ 7.50
18.) Commercial or oxivistrial type 30.00
Irrcbner stor
Existing use of 19.) Repair units 4.50
building or property
20) Wood stove 4.50
Proposed use of 21.) Clothes dryer,ate. 4.50
building or property
IL 22) Other units 4.50
Type of fuel-oil O natural gas LPG O 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
J the 3wner,that plans subm ttod are In compliance with Oregon State CITY.SLISTOTAL
m laws.
(9 Signature Agent Dab 'SUBTOTAL
596 SURCHARGE
Contact Person Name Phone` PLAN REVIEW 25%OF SUBTOTAL
TOTAL Z z
i:Vnechpmt.doc (rev 9 'Minimum permit fee Is$25+5%surcharge
"ResWential AIC requires site ptsn showing plaoemsnt o'unit
CITY OF TIGARD
PMPINS PERMIT ITDEVELOPMENT SERVICES PCRMIT #. . . . . . . .:
f='LM98--0060
13125 SW Hail Blvd., Tlprd,OR 97223 (503)639-4171 LATE I SSUE U: 03/04/98
G�ARCaE.!.: 1 S 1.35CC-01 x+00
'TE anDPL:SS. . . : 3. {^..;�'�C SW I`.[:iaUf]W ST
-UBDIVISIUN. . . . : THE MEADOW ZONING: R-•4. 5
PLC)CK. . . . . . . . . . . LOT. . . . . . . . . . . . . :011 JURISDICTION: TIG
—T
CLASS OF WORl,. . :nL.T GARBAGE: DISPOSAL9. : 0 MOBILE 140ME SPACES. : 0
TYPO' OF USE. . . . :SF WASHING mncH. . . . . . : 0 BACKFLOW PRFVNTRS. . : 0
OCCUPANCY GRP. . :R2 rl-OOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
FIXTURES------_----..-- __.... LAUNLRY TRAYS. . . . . : 0 SF RAIN DRATNS. . . . . : 0
SINKS. . . . . . . . . . 0 URTNtaLS. . . . . . . . . . . . 0 GREASE TRAP,. . . . . . . : 0
LAVATORIES. . . . : 0 nTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE_ (ft ) . . . e 0
DISHWCISHERS. . . . . 0 RnTN DRCIIN (ft) . . . : 0
Remarks : Installing a water heater
Owner: -- ------- _—_—_—_---__-----._—_----_._------.-__._--_ FEES ._---__-------__—
JOHN SLAGL.E type amount by date rer-pt
103051 SW MEADOW ST PRMT $ Pri. Di0 R 07/04/98 9E1-303828
TTr3npD OR 97223 %PCT $ 1.. 25 B 23/04/98 98-3038PP
Phone #:
Cont rar_t or----------------_---._-------------
T I MOTHY HE:I NT7
10415 SW 2ND
PORTLAND OR 97223
P-h o n r #: 246-6284 ! 26. 25 TOTAL
�E #. . . 00047-10
-------- RFUL)T RED T NSPECT I nNS -----
This permit is issued subject to the regula+.ions contained in the Top—out Insp
Tigard Municipal Code, State of 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 �-
(L shin 188 days of issuance, or if work is suspended for more
ar, 180 days. ATTENTION, Gregor law requires you to follow rules
U) 40opted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 95^-N001-@010 through OAR 9512-0001-*8e. You may
obtain copies of these rules or direct question% to CIX by calling
m
(5e3)246-1967.
W _
Tssued Lay: Permittee Signature:
t 4+ +++++++++f•+•+++++++•+•++4+++-+•++.+++++++++++++++++++++++++++++++ ++++-+-4.++++++-t
Call 63'3_. 4175 by 7:00 p. m. for .an inspect ion needed the next business clay
+++++++J r+++++-F•+++4-+i•++ ......f•++++++++++++4-+{•+++++++++++++.++++++++...4•+++++++
CITY OF TIGARD Plumbing Application Rec'dBy
13125 SW HALL BLVD. Commercial and Residential Date Recd_
T IGARD, Ofd 97223 tate to P.E.�r
(503) 639-4171 Date to DST �y�-�-
Permit 0 e 4_"h'L(,,(�+ri
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called _
Nam pf Deve/lapmery/Prolsct On back Indicate Work Penbmred by fixture. -- ---
Job 1Fl ( // /J'�11� FIXTURES (individual) QTY PRICE AMT
AddressStrFe A Suite Sink -, ��-- 900
1 Lavatory g(�
Bldg• CitylStats zip Tub or Tub/Shower(.omb. — -
_ 9.00
Name Shower Only -- 9.00
�^ Water Closet 9.00
Owner dr s Sulle Dishwasher 8.00
Garbage Disposal
SIC ostate Zip Phone 9.00
y 7�
Washing Machine
9,00
Namd Floor Drain 2• 0.00
!1('4 c i G• 3' 9.00
Occupant Mailing Address Suite 4,
_ 9.00
City/State zip Phone Water Heater converiiW O like kind 900
Laundry Roam Tray g 00
Name' yt�n •w Urinal 9.00
Other Fixtures(Specify) 9.00
Contractor Mailing Addrass Suite ----
I , 1't 9.00
Prior to permitCity/State _ zip Phone _ 9.00
issuance,a copy t U( d r Z j L4 4(-2iq 900
of all licenses are O on Conk(.Cont.Board Lic.rM Exp.Date 9
required If CLI �( .00
Sewer-1st 100'
30.00
expired In COT Plu' ng Llc.0 Ex .Hate -
database Sower-esch additional 100' 25.00
Name, Water Service-1st 100' 30,00
ArchitectWater Seneca-each additional 200' 25.00
or Mailing Address Sutle Storrs 6 Rain Drain--1st 100' —� 30.00 --
Storm R Rain Drain-each additional 100' 25,00
EngineerCity/Slate Zip - Phone Mobile Home Space 9500 "
Commercial Crack Flow Prevention Devine or Anti- 25.00
Describe work New O Additio AMeratlo Repair O Pollution Device
to be done: Residential Non-residential O ___ Res!dentlal Backflow Prevention Device' 15.00
Additional description of work' Any Ti-r Waste Not Connected to a Fixture 9,00
Cato 9.00�'� Inap.off Existing Plumbing 40.00
d Existing use of Specially Requested Inspections 40.00
building or property per/hr
F- �- Rain Drain,single family dwelling 30.00
Proposed use of � Grease Traps 900
building or property
=� I hereby acknowledge that I have read this application.,that the informsthxr QUANTITY TOTAL s
m given Is correct.that I am the owner or authorized agent of the owner,red Isometric or riser disgrarn Is requkW If puanity TWal is>s
W that Tans submitted are In compliance with Oregon State Laws. 'SUBTOTAL
J Signans RitOyMoMA9ent ��- - 5%SURCHARGE !' Z `
PLAN REVIEW 26%OF SUBTOTAL t
Contact Parson ftle -P4— R ked on N tlxw iooai Is 9
76- TOTAL
'Minimum permit its Is$25< 5%surcharge,except Residentlal Backflow
Prevention Device,which Is 515+5%surcharge
I%dstftM6M doc 5/97
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
Nov Moved Replaced RemovedlCapped
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet _
Dishwasher -
Garbage Disposal -
Washing Machine ---
Floor Drain 2"
3"
4"
Water Heater —�
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CL
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I%d$ts4*nsM ftc"I
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j�.4per,
CITY OF TIGARD BUILDING INSPECTION DIVISION C 77/ a,.�*n
24-Hour Inspw ion Line: 6394175 Business Phone: 6394171
Nte Requested: �' -- A.M.i6'f& P.M. -- MST: _
Locati:n:_ /d��S roti' BUR
Tenant: S * Bldg: MLC:
Contractor: tPhare:Phone: ��_5 75 PLM: LQ- lA0�
'Jwner: Gfw p _ _
AF.I,C:
_-- _ G✓�✓T (a%4S I/L�r4 / Imo' T f'T/YL,_ ELR:`
SIT:
BUD. '.oG BLDG(con't) P W MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Bearn Post/13eam Cover/Service Scwer/St=A
Footnig Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-in UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Stomt Furnace Temp Service MLCC.
Masonry Ceiling Rain Drain A/C UO Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Beat Pump Low Volt
Approved A roved Appr-ved Approved Approved
Appr/Sdwlk Not Approved proved Not Approved Not Approved Not Approved
FINAL MAE, FINAL FINAL
a
C]Call lot M Reinspection fee of S-� required before next' tion 0 Unable to inspect
inspector. —_ Date: Palle of