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16770 SW MATADOR LANE J 4 0 cn CL 0 r o� r 16770 SW Matador Lane CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _ BUP Received ________—__—Dat9 Requested----- - �S AM__--. PM ______ _ BLIP Location —. f I. V--vi Suite — __ MEC Contact Person ._ _ — Ph PLM =_�5? Contractor—__ __ — Ph( ) 3 s"7:�_q 4-19 SWR _ BUILDING ''-^nnt/Owner — ELC — Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain —--- Slab Inspection Notes: SIT _ _ _- Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - —. Insulation Drywall Nailing Firewall Fire Sprinkler -- -- - Fire Alarm Susp'd Ceiling ----- Roof Other: ---- Final PASS _PART FAIL PLUMBING_ _ Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Hain Drains ---- ---- — Catch Basin/Manhole Storm Drain — Shower Pan Other:.__ - ---- --- P _ PART FAIL trjICAL Post&seam /l ---� -- —in e�> _n 1 Dampers - --- -- -�_ Cr(#AS" PART_ FAIT_ - ------ — -- -- ICAL Service Rough-In _ UG/Slab �— — Low Voltage _ Fire Alarm Final Reinspection fee of s 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!_ !�_� �` In+rpoctor --- Ext. _ Other: Final 00 NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF TIG,ARD _ _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2002-00022 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/24/02 SITE ADDRESS: 16770 SW MATADOR LN PARCEL: 2S11eAD-08800 SUBDIVISION: KING CITY NO. 12 ZONING: BLOCK: 18 LOT: 020 JURISDICTION: KIN CLA S OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVN T RS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FI`(TUR_ES_ LAUNDRY TRAYS: SF RAIN DRAINS: I SINKS: URINALS: GREASE TRAPS: LAVi,TORIES: OTHER FIXTURES: TUB/F HOMERS: SEWER LINE: ft WA'i Er; CLOSETS: WATER LINE ft 1315Ii:YASHERS: RAIN DRAIN: ft Remarks: Installation of new gas water heater. FEES Owner: --- Type By Date Amount Receipt 1 VIRGINIA CHAPMAN PRMT DEB 1/24/02 $72.50 KING CITY 16770 SW MATADOR LN 5PCT DEB 1124/02 $5.80 KING CITY KING CITY, OR 97224 I _ _L — _Total $78.30 Phone 1: 503-624-7741 Contractor: 1 & K MECHANICAL 20565 SW TV HWY#346 ALOHA, OR 97006 REQUIRED INSPECTIONS Phone 1: 503-357-4614 Top-out Insp Final Inspection Reg #: LIC 121165 FLM 34-319PB This permit is issued subject to the regulations contained in the T"gird 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 OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. r Iss ed By: Permittee Signature: - ..---- Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business day �' 01/23/2002 11:23 5035393771 CJTY OF KING CITY PAGE 0 Plumbing Permit Application I� ate received: V Permit no,: City of Tigard rrgvl1[T 40 X.1.1 Sewer permit na_ _ Building permit no� - Address: 13125 SW Null Blvd,T19ani,OF 97223 Project/appl.no.: Expiredate: Phone: (303) 639-4171 — Pax: (503) 598.1960 Deteiasued, - - ey: Receipt no., 0 Cue file no.. Payment type: 1; Land use approval: _C]�/ t3 ❑ 1 -2f 2 family dwelling or accessory U Commercial/indusrtial :.1 Multi family Q Tenant improvement ❑New constmction U AdditioNAlteratlott/replacertlent ❑Food service L1 t)thee Descri Nou tlt '. F"(Pn.) ColYl I Joh address. )l.tz New 1—roll 2 [raptly wetlinky only: Hidg.no,: - -�--I Suite no.: cctiu _ (Inc(includes100 it.1'orPYrhutlthyc/tnnu) Tax map/tax lot/account no.: -_ _ SW R(t)baht _- LO ot; Hlock: Subdivision: til It(2) bath - — Pro ect narne: _ SER(3)bath Ch adc itional hatlt/kitchen City/County: - Description and location of work on premises: SINeudi tle l c jta 5 v,a M + 19 fV - Catch basin/area drain Orywell each linehrencg drain E.vt date of ctmtpletion/inspectiun Footing drain(no.lin.11.) anufactured homeuR i-ijca _ Business name: T-4 k r_T 1 t-I ,G.Y .�L_t.__ _ _ tutholes _ Address: U,S ':,\,)-T y _ 3 Rain drain connector city:-S��p�a--_ state: zIP: _i"]C)o Sanitary sewer(no. n,ft) Phone: 3s1�wlo Ir Fax: q'1ra�-gls Email: Storm sewer(no.lln.t�- Water service(no.1111,ft.) CCQ no.: 121 1 U Plumb,bus.reg,no: Flxtttre or itetnt City/metro lie,no,: t4la Absorption valve ' C'ontractors re ree m _ 1msntativsinaut :- -- -- �_.- _._ -- ,-- - .- ._ Hac flow proventer 1,1111t V,J r� a. f>atc i �x r-! HAckwatervalye _ Basms/lavatory _ - Clothes WAa11vt � -- Address: �; w ---.--_. Urinkln fount n(s) Cityi� �-\r; State: ZiP. "7 - P,ectorsisum Plane: ,,i.I (-i V t Far:c'tela ,ci i SI E-mail: ;on tank F'ixtureJeewer cap _Name(print): V i r Floor drains/floor sinks/hu PoRal Mailing address: `11C) 5 WT-14 _ _ S__ ploae bibb City: a ter 71P.��lr�r�.�_ -Fee maker -- Phone: 1 . I ax: E-mail: Interceptor/ Ase trate_ _ _ Owner installation/residential maintenance aniy: The Actual installation Primer will t>P made by nr or the maintenance and repair made by my regular Roof drain(commercial) _ employee un the property I own as per ORS Chapter 447. S n (s), as n(s), ava(s) OWneei si nature: _ I tate - um s/e ower/shower Pan- _— na1 Name: _ .__ stet closet Address: water heater City: _ State: ZIP: other. Phone. Pax: P.ma11: 'rota _ -- _ - — --- -- Minimum fee..... ..........S r'��._JU ,W(-AW palruatiau WtW credit ,or-age call 1MMcdon kr slots Mfarmades Notice:This Permit opplication Plan review(At — %) $ expa parnt _ U Visa U MastrlCard ires If it is not obtained - i State t Furchargr.(9%)....$ within 11{0 days eP,er it lav heeu !�. Ttt,'rAt, .......................S accepted art complete. —'��I—fie of o a� cn+n on err II owd s -- --diol-er firm** Amoral 4�M1 m moor o* CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00041 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/24/02 PARCEL: 2S 116AD-08800 SITE ADDRESS: 16770 SW MATADOR LN SUBDIVISION: KING CITY NO. 12 ZONING: BLOCK: 18 LOT: 020 JURISDICTION: KIN 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: BOILERS/COMPRESSORS HOODS: FUE_L_TYPE_S 0 3 HP: DOMES. INCIN: LPG _ 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: RS: FURN < 100K BTU: _ AIR_HANDLING,_UNITS C OTHER UNITS: 1 FURN >=100K BTU- <= 10000 cfm• GAS U'ITLETS: 1 > 10000 cfm: Remarks: Installation of new gas fireplace and gas piping for fireplace and water heater. Owner: _ FEES VIRGINIA CHAPMAN Type By Date Amount Receipt 16770 SW MATADOR LN PRMT DEB _ 1/24/02 $72.50 KING CITY KING CITY, OR 97224 5PCT DEB 1/24/02 $5 80 KING CITY Phone:503-624-7741 �- _ Total $78.30 Contractor: T + K MECHANICAL 20565 SW TV HWY#346 ALOHA, OR 97006 REQUIRED INSPECTIONS Gas Line Insp Phone:503-357-4614 Mechanical Insp Reg #:LIC 121165 Misc. Inspection 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 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 fallow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 052-001-0010 through OAR 952.-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling trni0AA-gIPq �" Issue�y: Permittee Signature: +i!l -) Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day 01/23/2002 11:23 5036393771 CITY OF KING CITY PAGE Me,-1-•moucalPermit Application -- v -�~1 L..i✓L. 1 1/ C,. �— Y atereceivcd: __``� ' L' Pennit no.: City of Tigt rd project/appl no.: Expire date: Citvo 7isirrd Address: 13125 SW 'nil Blvd,Tigard,OR 97223 Date issued: By: Receipt no Phone: (503) 639-41 1 -- -- Fax; (503) 598.1969 Case file no,: Payment type, - C11 Y OF !1(>'AKL $uildingpennitno.: Land use approval . �f l &2 family dwelling or accessoty I Commercial/industrial U Multi-family U Tenant improvement J New c4morliction U Addition/alteration/replacement CJ Othet: —_ .1011 S1 IV IWORMAI ION N %JVAIWN SU1.114111111 Joh address_; � U 4, O ._ A.i1a f Indicate equipment quantities in boxes below.Indicate the dollar yldg•no,: �s. _-� _ Suite no.: equipment,��r� value of all mechanical materials,a ui trent labor,overhead, __Tax map/tax lot/account no.: profit.Value S _. Lot: Block: Subdivision: *See chocktist for important application information and Project name: - jurisdiction's fee schedule for residential eemit fee. Cit /county: Zif' Description aAd location of work on premises: CA,CS C\ D&5 t ee(aa.) Totttl Est.date of com let ion/in>�rection: I �,y- f Ikacti lou illy. Itt-g.on) Rw.onlyl Tenant improvement or change of use: ��' Alr handling unit _ c:FM +_� Is existing space heate( onditionee1�Ces U No treondiuon ng eiir plan required) Is existing space insul. ec14 es ❑No AIteMT3n`oVexistin&-BV!yq system 1301lertcompteqflors y State boiler permit no.: Business pante: _ 1--�1��Y] ".��L1C' l.5d..-- _ FiI' Tone BTU/H Address: 1' 2U(n140=0 'u 'edam era uct smokedetectors City: QL Stat ZI �� oatpum (site to p an required) - 11 E-mail: Tneta l/rep aceace uac urner Phune: : -1- y I Fax: "1114 al-111KIncluding ductwork/vent liner l7 Yee J No CC:B no.: 17-11 - 3 D �- _ TnstA reps re -ate hraters-muspen a , � Cityhnetm lic,no.: q �� _ well,or floor mounted _ Name(please print): n v) 7cni fora' iTanceother,hun furnace Refrigeration; Absorption units _ BTU/H Naine: Mi � Chillers --------Addre Cort resmors til' �I n -- �. ronmw ex auN an term e9 nn: City,_ti5tate: Z �7.Q(ll l?_ 1FPliance vent Phone: 3fs'1 tilpl`f Fax: Tk' ( t t E-mail: Dryerexlraust 0o s,TYPT 1rem. to en azmat hood fire suppression system _ Name: ,� �`�o, , C - Fixheust fan with sinnlo duct(I ath fans —Mailing address:- � r Exhaust s sternas, ri rrnm real nB or 5tnle: ZII': ue r P ne an et nd on(up to opt cLt City:-� �c. �� Type: ----L IK i NCl Oil 1'11une: -t Na Gtr ail: vel i in-each a(lkimo to over aut ets MI 110 -octal piping oc emoticrequ r ) Number of outlets Name: or er to .ppl�or a patents _ - Address: Decorative ftre)tlace _ City: _ - Slate• Z[p: nsert-type Phone: ax -mail: o stovelpe et stove other! Applicant's signature: Date: - Other, Net ell JiKtMtctlona eecepl Ctft6n cards,plea'cell)wtWkdan M mare InromuWrn. Perltlit fee.....................$ J1l tJMuterCmrd Notice:This pennit application Minimum fee..... ..........$ Cxpims if a permit is not ohtnined , I inn review(at �,_,,, %) S rred t cartl number:___ - 1-- within 1 g0 do v after it ham leen �� Slats surcbnrgr.(896) $ �•' ---Rwm o n r ovm to e t �— arxupted ee atrnplete. TOTAL. .......................s __ r alerientte Anaugt 4404617(6011101174M)