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11120 SW Summer Lake Drive
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T'GAR D - MECHANICAL PERMIT
DEVELOPMENT SERVICESSS6
PERMIT#: 1EC2002 00253
DATEE ISSUED: 6/14102
1 11'15 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PA.ZCEL: 1S133[)/\-01100
SITE ADDRESS: 11,1ju SW SUMMER LAKE DR
SUBDIVISION: AMART SUMMERLAKE ZONING: R-%
BLOCK: LOT: 033 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GF(P: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_
FUELTYPES 0 3YHP: DOMES. INCIN:
PC, — 3 15 HP: COMML. INCIN:
MAX INPUT- BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSWRE: 50 + HP: CLO DRYERS:
TURN < 100K BTU: 1 AIR_HAND LIN_G_ UNITS OTHER UNITS:
FURN >-:100K BTU: <= 10000 cfm: — GAS OUTLETS:
> 10000 cfm:
Remarks: Install gas furnace.
Owner: ------ ----------- -__ FEE_S ----
BARBER, TOM CNLASTA N Type By Date Amount Receipt
11120 SW SUMMER LAKE DRIVE PRMT CTR 6/14/02 $72.50 272002000C
TIGARD, OR 97223 5PCT CTR 6/14/02 $5.80 2720020000
Total $78.30
Phone:
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUiPED INSPECTIONS
Mechanical Insp
Phone:284-2173 Heating Unt Insp
Reg #:LIC 222 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Munic ; al Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189
Issue By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
/ "� 1t11J OO2
CITY OF TIGAIi
11%14%20t)1 12-'V%0 FAX 5035941980 1
MechalMad PerWt AjbpH stitou
- (tea reccived ,," cop c3
City of 71gard projecdappl.no.: ExptreddW-!
My of Tigard /address. 13115 SW Hell Blvd,TiSard,Oil 9T7.r!3 Dateimed: Aye f Receipt",,, ,_
Molnlnite: (303)b39�17t ---- ------ -
(: (5 3 639-41 n'CasefJe no.. Payn+eot type:L.andU,"ApprovAl: ingpmnatnr,.
1 &Z fanuly dwelling or aceesscry O Corntnerciai/indt.stiial O Mntd-family M Tenant Unptvvemenr
O New catlshucilon _l Additi,)tUaitr•„ulnn/replacement U Other.
r
Job siddim; �j abdicate equipment quanddes in boxes below.Indicate due dollar
131dg.na.: J Stdoe tto LL-- value of all mechanical cai merialsra
,equipment,lab,x.overhd.
_- [Xtdk.value$
Tax mep/tatt 1ot/arc:ount Ifs.: i_� ___ _ _�_..
Lot: Blo�lc Slfbdivisirin: •See ahl�jalst fol important apptia _'nr. information and
Pro n�G O y s - Ilr44,cdon's fee schedulc Cot icsidentiat :"nil tic
City/catmty_'r_ R.tp ' --
let
Descny`tiuCn at location f work s: wond
Est.date of complado!/Kn! action: ire.uaR ties oai
Tenant itnpmvemenl at change of use: Air 116PA in unit CFM
to existing space hoftird nr onttdlNrncd?)i Yes O No Atr a Inuntng( tc-len Tred) _
1_3 enisti sputc 1D5kAjAte0'?"W Yes 0 No AftcFAIJOnO ng�v 'Csya eln
lei7munnprewom �!
` ,` Sum bollar permit no.:
BusLtea aatTlC: rir A 1_N - `+_- LLC...____ e _ NP _ tons _sru/It
Addnsss; N En-�ca betectrt, _
O LAW) 1— a plio— )
Salols. ZIP: ( — .
- _-'�"F .(i E-mail: ns raplitca trw_ _ _ -
DT10: tt L - locludir duuwatlhvestllnet QYes o 1 � •Q l 7•O
CCA no '� _ nrq Iac re tante ars-niwt>cntte�
Cityhrletro hc.al. ------ wall,or flout mounted
Name latus riot :
'Ventto appea 11 ar"i#t ni fEic
kM
Abaatpdonumtn----,---.._- IiTU/H _ ---
Name: - -- ._ (:bitter,—_ --
_ n m OlA t•�ftstrrtt AI �t71f1 ahrMl:
City. - -- _ 5tatc ZIP.-- -- _ Appliance vent
Phony _ _ Fn><: __ _ E mail: ryer a au(t
t�tnids;`1"ypii 1TI�►reavtliu
�t hood fur.suppre:ssica system - - -----
Namt i �m ¢�Vr 1 Tn�'^'� pallauustt fan with since duct bath fent) --
Mailio��addness. f_lw J v 1st a./\ ^_ uTia-rTerllCln art from n
FAC
city! (3 4tatr Q - 71F Tylm: - LPG TN�G Oil
T'hone Fn><. 1: mail. Pnetri,u. vac or>aToveilGrUaty
+roses (sc .maHc rcqui•rd� __
Number of oulirta
!Name ._.r..�-- - � _— -Z�e'r" .ar avtaps:iwc+
Addrras: _ llecorR&cbrerlaite - __---
_.__ lo'ae+�--
::ity. Con: •LIP. - ._ccatovc - - --
2 ME
Applicant's st MUM: Vote: - "0
Permitfee.....................3
Net all lartmktiat,art,"crndh end.,phr tall lulls, ilm ter mete lf"ML'"n. Nodcs:This paninit application Minimill"fee.......... S i;E
O VW '1 Master:ami expirce if a pe mit is not obtained PIS review(u
t+.dit ovd,•umhre_ ._.�.- -- --_��li/ - within 180 dais eller It bas bean State virchatge(M....S
-� accepted as complete.
~-
---tc eo at3itim TOTAL ........... .........S _
(%Ili Y OF TICzARU 24-Hour
BUILDING inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
811P
Received ____ __ Date Requested_._.— AM— PM _ BUP
Location 14L &1.Suite MEC _ a _
Contact Person Ph( ) $ I - 3 ro PLM
Contractor _ — _ Ph( ) SWR
BUILDING Tenant/Owner -dJ1�1.�L ELC
Footing
Foundation Access: ELC -
Ftg Drait
Crawl Drain ELR
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear --- -
Framing Z':5a"e'4iL LcLiiooL Z_ Zoe()
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler -� if'��- T' - Vi'`•ff� C_ ��LTt";OG_�
Fire Alarm
Susp'd Ceiling ----
Roof
Other:
Final -
PASS_PART FAIL --- -__ -
PLUMBING ---�
Post&Beam -- -_---_. ---
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains _--
Catch Basin/Manhole
Storm Drain I
Shower Pen
Other._ --- ----- -------�._- ---
Final - -
PASS RT FAIL
P, st& Beam -
Fijugh-In
Gas Line
SronkP Dampers
&-i-nal,.
PART FAIT. -----__—__-- _.-- —__- ----
ELECTRICAL —
Service -- ---- — _-
Rough-In
UG/Slab �- ----— - - --- ---
Low Voltage _
Fire Alarm - -`- - — - -
Flnal Reinspection fee of$ required before next Inspection. Pay at City Hall, ' ,125 SW Hall Blvd.
PASS PART FAIL
SITE _ - [� Please call for reinspection RE:—_ - _ [� Unable t. inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dakar 7>�F--��� -- Inspector Ext-
Other:
Final DO NOT REMOVE this Inspection recd 'd from the Joh site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)633-4171 MST
BUP
Received . Date Requested— AM_--_PM _ BUP
Location S w Store rl A- (A ti Suite MEC
Contact Person ,-_ Ph( ) 113 J pLML-��3
Contractor ---------- -- Ph(----) -. SWR
BUILDING - Tenant/Owner - ----_-_--. ELC
Footing ELC
Foundation Access: -
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -
Ext She ath/Sheer
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing ------- - --- _
Firewall
Fire Sprinkler -- --+r------- __.___
Fire Alarm All V
Susp'd Ceiling - _--
Roof
Other: - -
Final --
PASS PART FAIL -- -` - ----
Post 8 Beam - — --- - ------- -- -
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains - ------- ---- _ -- _-
Catch Basin/Manhole
Storm Drain -- _--- -------- _-- _-_-
Shower Pon
Other: c
F'
SS) PART FAIL --_-- -.-.- - - ------- -- -- -- ----
ANICAL
Post&Beam ------------- _.�.__-------- - ------ --
Rough-In ------ ---- ---
Gas Line ----�---- - ---�-
Smoke Dampers - -------- - --- -- ------ -- - ---
Final
PASS PART FAIL - - - ---- - ----- - -
ELECTRICAL
Service ---- - ------------------- - --- --- ------
Rough-In
UG/Slab - - ____-_-- --------- ----- --
Low Voltage
Fire Alarm - - -
Final u Reinspection fee of$___-_ required before next inspection. Pay at City Hell, 13123 SW Hall Blvd.
PASS _ PART FAIL
_SITE - Please call for reinspection RE:_- Unable to inspect- no access
Fire Supply Line
ADA
Apprcach/Sidewalk Inspector
Other:
Final - _ DO NOT REMOVE this Inspection record from the job site,
PASS PART FAIL
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00006
13125 SW F.311 Blvd., Tigard, OR 97223 (503) 639-417 1
DATE ISSUED: 117/03
SITE ADDRESS: 11120 SSV SUMMER LAKE DR PARCEL: 1S133DA-01100
SUBDIVISION: AMART SUMMERI_AKE ZONING: R-7
BLOCK: LOQ': 033 JURISDICTION: TIG
CLASS OF WORK: AI_T GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE:: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: FLOOR DRAINS TRAPS:
STORIES: WATER HEATERS- CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: R—IN DRAIN: ft
Remarks: Back Flow Preventer
__ FEES
Owner:
Description Date Amount
TOM BARBER IPLUMBI Permit Fee^ 117/03 $36.25
11120 SW SUMMER LAKE DRIVE
TIGARD, OR 97223 [TAX] R"„State Tax — 1/7/03 $2.90
Total $39.15
Phone : 503-524-3224
Contra(,tor:
GENERAL TREE SERVICE
PO BOX 2049
CLACKAMAS,OR 97015 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone : 503-656-2656
Reg#: PLM 5914
LIC 63604
This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This pe-mit will expire if work is not started within 180 days of issuance, or if,vork is suspended
for more than 180 days. ATTENTION: Oregon law requires you to foil,-)w rules adopted by the Oregon
Issued By: _1L.r' .'�L '� Permittee Signature:
Call (50 639-4175 by 7:00 P.M for an inspection needed the next business day
;C+<<3N � Plumbing Permit Application �
H ASHINGTON COUNTY Date `►-1_I_�.�o ..__ ',. �l -,���-�����
Address: 155 N. I st A%',Suite 350-12, Ili IIsboro.OR 97124 _Sewer permit no_ Building perms' no.:
'JREGn'� Picone: 503-846-3470 Fax: 503-840-1993 Project/appl.no. Expire date. ------
Internet Address ww•w.co.washinkton.or.us Date issued- By: Receipt ro.: —
Land use approval; ---- ------ --- Case file no.: Payment type:
I r� 2 t;:mily dwell l", or ;v i l Multi-family 7 Tenant tmprovenment
I " 'w cunstructnm IdtltturaUcr:rUun rcpt cement I j I•ood service l.) Other:
iI„! p S � S-AA-�tf �OJAC j �� Description Qh. hee(ca.) 'Total
lilrl; I Suite nit.: Iry 1-and 2-fantih d%NvIIiogs only:
_ (include” 100 ft. for-tach 111111t.%cornection)
:ts stir{ t,r. tut ,1 k'111 it rn SFR(I)hath .� 00
-77
uhdivisinn --- - -- - --- --- - --- a -
_ SFR r'' hath 340.00
T••K �.r�tr SFR (3)h:,th _ 415.00-
Lfi' 9-+2.-z"-3, --- Fitch additional bath/kitchen ---- 75.00 -- ._.-
tmremisc Site utilities:
s.1 1�C"► :,) I� �re •�- .�o.� jL =-__ Gatch basiniarea drain _ 12.00
brywells/leach line/trench drain _ _ 12.00
Footing drain(each 100'increment) _ 35.00 -
Manufactured home utilities - 80.00
5e—CU Mauh�3les --- -- 12.00 -._.
/Sfr a I SE- 90 Awe Rain drain connector 12.00
J C +•,.,� 5 Stab i /I I' 9 yC!/ Sanitary sewer(each 100'increment) 35.00
XU IV 4 S1 Zt4I _�F_-mail: Storm sewer(each 100'increment) 35.00
�. 3 4 a I'lunmb. bus, reg. no: -- t�- ---- Water service(cacti 100'increment) -J5760-
Fixture T _S-�f +--_ Fixture or item:
----- -
Absorption valve 12.00 '
s[o Cep , i, / d 13ack Ilow preventer-- - - 1200 ---
I tckwater valve - 12.00
Kasins avatory - 1?.00 -
9C I''thes washer ----- - 12 00
7t. Dishwasher 12.00
C�nt:IswN+ T S U.(� cy7D 13Drinking tiountain(s)_- - -- 12.00 --
1 jjectors/sump 1200
Expansion tank --------- 12.00 ----
Fixture/sewer cap ^- 12.00_
'a�• r Floordrains;floor sinks/hub -._ 12.00
- c3ar7bage disposal__ - — --1-2--00---
1120 Sc.a s,rr.»x,p'- Iakt Bose�ii� - -
T -- 12.(N)
-tx� Ice tttaket - ----- - - 12.00
,,•oj RY3..Xl �" __ _ Interceptor/grease mill 12,00
Owner irr.atallariuwrr�irlcntinl mainlenanre trn(P. The actual instr.11ation }'nmer(s) - --- -I
,,011
_ 1
',011 hr made by mi,of the maintenance ani!repair nmade by my regularRoo rain(commercial)
r ,,•,r .:n the I Ioprri� I owo;r;her ORS Chapter 447. 5inFs►,liasin- (s)Tays(u) ----- --- -- 120)-
..-_--
d.Ca rt,, Date: Sump 12.00
l ubs/shower/shower pan 12.00
Urinal 12.001
- - -- - ----- Water closet 12.00
Water heater 12.00
— - - --- -------- -- ---- -
State: _ Z1P.- --- Other. _
Il ----- F-rnail: ----- -_ Iot:tl---
inimum fee.. . . .... $ woo
Notice: 7l►+Pr•rmitapplir•atinn
Plan review(a,65"10).... $ ✓Z
r.�prr•r%rl.:permit is not Obtained -- - -
r.lthie /Nll dar+abler h ha.c been State surcharge(81o).... $
TOTA1_ ....................... $
i ,ul'i.dt�•.•. iCga Uric � rl llYrOUI ,
.__.—_--_ - -. ___. 1 'WI1401r•r'ip r'r 1411
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639.4171
7� SUP — -
Received Date Requested -� L �-- AM PM- BUP ,_---
Location _1 l� sl a) {l Suite ��^ _ MEC
Contact Person D m � �'. /— Ph( 5� PLM
Contractor� ,� t ^ V Ph( -) -- SWR — —
BUILDING Tenant/Owner ELC
Footing - ...., ELC
Foundation Ari
Ftg Drain J ELR -_—
Crawl Drain SIT
Slab InspectionNotes:
Post&Beam
Shear Anchors
Ext Sheath/Shear -- — —
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing
Firewall
Firc it
Fire
Susp"), ,ig --
Root
Other. ----- - - ------- -- -
Final
ling,
PART' r A!L
_
Post&Beam
Under Slab - - —
Rough-In —
Water Service — -- - ----
Sanitary Sewer �— —
Rain Drains ------ _.�_— - --
Catch Basin/Manhole
Storm Drain -
Shower Pan
MOther:---—__ ._ L Uv1 0 0 3 ^ b d 0 (t 2 f�(A LD'.1
PART FAIL
- NICAL
__
Post&Beam
Rough-In - ------ -
Gns Line
Smoke Dampers - --
Final
rE
_PART FAIL -
C ,-
Rough-In -
UG/Slab
Low Voltage �\ \__ -- --. — --•- —_
Fir.Alarm
[� Reinspection tee of$_—____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PARI FAIL
-- — -917r L j Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA � spectar
Approach/Sidewalk -
Other:
Final _ DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL