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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
J `
Footing Susp. Ceiliig Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation C` Mech,
Underflr. Insul, Shear Wall Gyp. Bd. �( -Elect.
Date Requested- G7 c ��j Time:�L�AM PM
Address: / `� �OO rl_� �_�� Cc�TYLC1 '4
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: 3,3
I
Inspector: Dater --
`APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,1
Inspection: L/v
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab c--V ch. Rou Fireplace �.
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bid
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulationw-
r,
Undertlr. Insul. Shear Wall l Gyp. Bd. Elect,
Date Requested: 71 y S' Time:
LA
Address: 1 ! 0 .
Builder:_�-�{Cr Jr-U� Permit #:�� _�-- -��c'4o
THE FOLLOWING CORRECTIONS ARE REQUIRED: �5'
ti
Inspector:_ / i✓ Z Date. 7 Z l
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
� Call For Reinsp.
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CITY OF T
COMMUNITY DEVELOPMENT DEPARTMENT a
13126 SW Hall Blvd.Tigard,Oregon 97223.8109 (603)630-4171 PL_UMN I NG PERMIT
PERMIT ##. . . . . . FSI..-M95--01.r•7..
DATE ISSUED: 07/17/95
PARCEL.
,ITE ADDRESS. - -., 14400 SW l,'C FARLAND BLVD
JBDIVISION. . . . : SHADOW HILLS ZONING: R-2
. . . . . . . . . . „ LOT. . . . . . . . . . . . . .:2 +�.
CLASS 017 WORT;. . :ADD GARBAGE DISPOSALS . . MOBILE HOME GPACEG.
TYPE OF USE. . . . :SF WASH 1NG MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPPNCY GRF'. . :R;3 F71_00FR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . ...
STORIES. . . . . . . . : WATER HEA'TERS. . . . . . : i CATCH BASINS. . . . . . . :
,` IXTURES-- •••--....._._...._._,...._.._. LAUNDRY TRAYS. . . . . . : Sir RAIN DRAIN-73. _ . w
INKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE: TRAPS. . . . . . . :
LAVATORIES` . . . . : OTHER F.-I:XTURE:'S. . . . . .
UB/SHOWERS. . . . .. SEWER LINT (ft ) . . . . :
WATER CLOSETS. . : WATER LING: (ft ) . . . .
DISHWASHE:RS. . . . .. RAIN DRAIN (,Ft ) . . . .
Ne main :s : I IISTAi._L RESIDENTIAL WATI`R HEATCR
Owner; -------- F'EE'S
TTM PAULsmi type <amoUT)t by date r-ecpt
14400 SSW MC;FARLAND F"RMT :'5. 00 SW 07/17/95
13I._,C_I.. �> 1. 25 SW 1217/17/95 ._.
TIGARD OR 9,7223
Phone #:
:ontlr-actor: ___._.. �__._ .._....__.._.._..._..._...__..._..._..__.__. ...
IONEER FURNACE
3615 NE BROADWAY
JR'T LAND OR 971232
t Piaiie it., Z.49 .5111121171 h 2,6 C5 TOTAL
Recd 4. . : 36102
9°
REDU I RED INSPECTIONS
•___..e_.__
This permit is issued subject to the regulations contained in the Top•oi_tt Ir1sp
x Tigard Municipal Code, State of Lire. Specialty Codes and all other Misc.,. Inspection
applicable laws, All work will be done in accordance with F'.i lival Inspec::t i orl
approved plans. This permit will expire if work is rot started
within, 180 days of issuance, or if work is suspended for more
than 180 days.
; • mittee �3iynat�.lrE� . '_/''_��_.
By " ;
Call for inspec:tiorl - 6.39-4175
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MEC'HANICAL
PE R01 I T
CITY OF T IGARD PERMI-r #. . . . . . . : MEC95-0e`7�3
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/17/95
13125 SW Hall Blvd.TIgard,Oregon 97223.8199 (503)639-4171 PARCEL: 25110Br1--03900
!TE ADDRES�Ij. 14400 SW MC FATRI—AND BLVD
IJBDT VISION. . SHADOW HILLS ZONING: R-2
!.00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . :26
CLASS OF WORK. . :ADD FLOOR FURN. EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . .- VENT' F"nl\IS. . . :
(..UPANCY GRP. R3 VENTS W/0 APPL.: VENT SYSTEMS.-
I'ORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
i.)EL TYPES------ 0-75 HFA. . . . DOMES. IN,--Ihl-
3-15 I-IF,. . . . : COMML. INCIN: "00
IX INPUT: BTU 15 -30 lip. . . . : REPAIR UNITS,-
,
RE DAMPERS% 30-50 HP. . . ; WOODsToVES. . :
PRESSURE. 504 HP. . . ; CLO DRYERS. . -
OF AIR HANDLING UNITS OTHER UNITS. :
jRl\l ( 10141K 13TU. I (= 10000 cfmt (10 ) OUTLETS. ,if
.jRN )=10qlK BTI.Ji > 10000 C:fm:
remarks : INSTALL RESIDENTIAL FURNACE
Owriet: FEES
JIM PAULSON type Am. olint by date t-ecpt
1440QI SW MCFARLAND F,RMT t 25. 00 SW 07/17/95
5PCT $ 1. 25 SW 07/l7/-",15
TIGARI) CA 972223
!,one #-.
PIJGNE1`13 FURNACE
3615 NE BROADWAY
FIORTLAND OR 97232
on 2241)•-.5000 1 26. 25 TOTAL
REDUIRED INSPECTI INS
This permit is issued subject to the regulations contained in the Mectianicat I I n s p
yard Municipal Code, State of Dire. Specialty Codes and all other Final InspeLtioii
applicable laws. All work will be done in accordance with
approved plans, This permit will expire if work is not started
within 160 days of issuance, or if work is -.ipended for more
than 160 day's.
r�M i t t 0 e 5 i U T)a t tt r C.-
d B
C,R 11 for inspection 639--4175
...................._..__..__............. _ __,..W..,....... ...,,,.,.... _..........,...,.,.. _.....
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW 'Hall Blvd. APPLICATION Permit # 0
Tigard, OR 97223
(503) 639-4171
--
OHS 81421_610 GTY PRICE AMT
Job l(� � i fink/C.nlL �!l VU FIXTURES
AddressOP Sink5
Lavatory - - 7.50
-
a�' " � � � / I ub or u lower Comb. 5d- --
// Gl(i�-L�r]/J�,�� / ower Only ,
7 'Vit --Dishwasher
atwr ose�T t _
Owner -Bishwas,er
Om ` o Q Garbage isposa
Washing
-Drain
_ Water Heater
Occupant
Laundry Room Tray 7.60
nna -'7?
t er Fixtures(specify) --T,S
30
Contractor MISCELLANEOUS
�( O415,00
/3�� WSewer-ea. t. -'
afer rvice st
-Tvere y ac ow gena ave rerissapp application, iT B e---- Water Service ea.AddiL 200' 15.00
information given is correct,that I am the owner or authorized agen!of
the owner,that plans submitted are in compliance with State laws,that I Storm R Rain Drain 1st 100' -30.00
am registered with the Construction Contractor's Board,that the number Storm R Rain Drain Addit. 100' 15.00
given is correct (If exempt from St-to registration,please give reason
below j Mobile Homo Space 25,00
? — -- - -p ac owr-F evention- -
Device or Anti-Pollution Device 7.50
Any I rap or ase o --
Connected to a Fixture 7.50
lac-n75 wor naw-C-`a itwn U -arte—rahonTjrepair-II- Catch Basin - --'7 0
to be done residential Q non-residential Q -
__ Insp.of Exist. Plumbing per hr
Specially Requested Inspections per hr
Existing use of -Rain Drain, single family
building or property dwelling 15.00
--R5sRFe`n-ha-TT)arkfIow prevention
Proposed use of devices 15.00
j building or property
_-N-�- — -- .(Except residential ac ow `
prevention devices)
NOTICEy
'Mirrlmum Fee;25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 57G SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL 2�
COMMENCED. ---
TOTAL 27 '� t
Special Conditions --. G
I7.JC1
i -------- ^- Date issued -] I by
AVt'I IM.IPPMI �1
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. ......... .......�..,.....,.»wfl7anwalriwws*.fn�.wr.,..wr.=.+....a,.. ...._ ,. .......,.,........ ...-,.....,..«....a.....,:»a..w.F...w...:,'... SFr�* '
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION permit # ott'
Tigard, OR 97223
(503) 639-4171
T��»a �^a� Description — -
I � Table 3A Mechanical Code CITY PRICE AMT
Job !� L(—J�) SG/ �� 2 � 1) Permit Fee -0- -0' 10.00 �p
Address --
�����-� 2) Supplemental Permit - - 3.00
o
J01) 1) incl.ducts 8 vents 6.00 11 0
�• y� —
Furnace +
Owner f�/I c.?/7dy4?twVd 2) in,7.l.duct,&vents 7.50
—Mar Timanw
-�
61 qQ
72 3) incl.vent — 600 _
-=I Sijsppndedheater, w-alF ieater
4) or floor mounted heater 6.00
1
Occupant -- Von!no incl,in
P 5) appliance pormit 3.00
i - -----'ZoRepair offing,re r g---
6) cooling,absorption unit - 6.00 -
---�--
Boiler or comp, a pump, air con
Tlmepee i{.�� 7) to 3 HP absorp Unit to 100K BTU 6.00
f n �• moiler or comp, a-Fi aipump,-air co —. —
8) 3-15 HP absorp unit to 500K BTU 11.00
l
Contractor i w a-r�p lea pump,airTcon—c
9) 15-30 HP absorp unit.5 1 mil BTU 15.00
"• ••••^^ 136-iler or comp,heat pump,air cond.
�"6i ) t� 10) 30-50 or comp,
h unit 1 1.75 mil BTU 22.50
seree�ac cl-now g a ave rea is application, a the ---Sol er or(wmp,Tiea pump,air cu
information given is correct,that I ai»the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with state ---amu anF�urnt to
laws,that I am registered with the Construction Contr:wrs Board 12) 10,000 CFM 4 50
that the number given is correct. (If exempt from State registration, l itan ing um --
please give reason below.) 13) 10,000 CTM+ 7.50
on porta e
14) evaporate cooler i 4.50
Vent connected-
15) to a single duct 3.00
e- enulation system not -
` �� — 7� 16) included in appliance permit 4.50
by-- —
17) mechanical exhaust 4.50
Describe work new U 3dditi repair U mmorcial or industrial
to be done residentialX non-residential Q 18) type incinerator 30.00
Existing use of bier i.e.,w-53 sTove,wafer—
building or property -Y 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping onefour utlets_ 2.00 .00
building or property -- -
�
Type of fuel-oil 0 natural gas Q LPG 0 electric U 21) More than 4-per Oudot--- -
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECAME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR _ _5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPEN()ED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WOnK IS COMMENCED.
TOTAL �
Special Conditions _ _ .-- — — — --
�- -- ----�—__ Date issued �� ' _by --�( � 1 , (14_.L. L \
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�✓uF'd'A�F'ul
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1 C I'r Y OF' T I GARD - RECE I VII r)F" PAYMEAT RF'CE I PT NO. a 9`;-2681 7
CHECK i-IMOUNT 52. 50
NAME a PTONE'ER PURWICFM CASH AMOL114T a 0.
1
ADDRESS a 3611,5 NE. BROADWAY PAYMENT DOTE : Q17/1-1 x'
PORTLAND, ()R r-;UPOTVTSIQN a I
9722, '
PURPOSE OF' PAYMENT AMOUNT PAID 114.JRP05E CIF= PAYMENT AMOUNT PAIL
MSCI IAN I C;AI_ F'E ME'CC�";. c; 3 c?5. V_IO ST. BUILD F'F"R 1. r"s
PLUMBING PURIM Pl._.M5 - 0166.t p155 0(A ST. BUILD HER I. :'_5
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J,4400 SW MCI ARLAND BLVD
1
TCITAL. AMOUNT PAID 52n. 50
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