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44
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
19125 SW Hall Blvd.Tigard,Oregon 97223.8199 (1503)839-4171
;+ PLUMBING PERMIT
PERMIT #. . . . . . . .. F-11_M94-171107
6,:')-41 /1 DATE ISSUED: 06/16/94
PARCEL: ::S 1 14BB--02201I' .
SITE ADDF?ES;;. . . ?E1.:�61Z+ ;•iW SYLVAN C:T
SUBDIVISION. . . . : 1=11 CKS LANDING NO. 1 ZONING: F—+. 5 PF)
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :36
--------------------------------------------------------- ___......r....._.n_...__..r_..^....._.r._._..-..
CLASS OF WORK. . :f11CMAL7- GARBAGE DISPOSALS. . : I.OBTLE HOME SPACES.
Y YfiIE UF USE. . . . c SF WASHING MACH. . . . . . . a BACKFLOW PREVN'TRS. . : 1
OCCUPANCY GRP. . :R3 F LOOJ 4 DR01 NS. . . . . . . . TRAY'S. . . . . . . . . . . . . . .
STURIES. . . . . . . . .2 WA1ER HEATERS. . . . . . : CATCH BASINS. . . . . . .
LnUNDR1 TRAYS. . . . . . : SF RAIN DRAINS,. . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . CREAGE TRAPS. .
LAVATORIES. . . . . : OTHER FIXTURES. . . . .
TUB/SHOWER3. . . . a SEWER LINE (ft ) . . . .
WATER C:LOSLTS. . a wA-1 r R L i NE: ( ft ) . . . . :
1)1':;HWASHERS. . . . s RAIN DRAIN (ft ) . . . . :
Remarks-. INSTALLING BALK F=LUW PREVEN' ION DEVICE
Owner:
CHRIS MILLS type amoo.(ntby date r er_pt i
16360 SW SY1_VAN CT PRMT f, 15. 00 BLT 09/16/94
,rTGA1Rh OR 972245PCT f 0. 75 BLT 06/16/94
["hone
Cont-actor:
OWNER
Phone #: _-'15. 75 TOTAl______.__._._.__._.___
Reg
REUUiRED INSPECTIONS
This oerait is issues subject to the regulations contained in the Top uut Insp
Tigard Municipal Code, State of ore. Specialty Cedes and all other Final Inspection ��
applicable lapis. All work will be done in accardance with
aooroyed plans. This permit wiL expire if work is not started
mithir 18P days of issuarce, or it work is suspended for more
than 181? days. -- -- ---- _— _ _
ermattee Signature . C�
Issued P y
Call for inspection — 639-4175
1
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:i
•City Of Tigard PLUMBINaL- PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #/f r1 q yr
Tigard, OR 97223
0/ 0
(503) 639-4171 ;2—!;l _ /q 13 Z 7-
•^� Cfescnp;on `–
�, ORS 814-21-610 _ qTY PRICE AMT .
Job FIXTURES
Address Sink 1 750
-
avatory7.50�v
0
^• a^°^•° `• u or u .ower ComF_
I'llIIS ower My—
I Wa er Closet
Owner t'3&'L0 S(A-) '5 (k)a'l IS Washer 7.950
a ageDisposalr
-TI nav O R q7z2-L4 as ing Machine -'-
° oor Drain
ater Heater
(.rcupint aun ry oom ray
7.50
Urinal
"• other FiJAiures pec
7.50
7,50
Contractor ---- MISCELLANEOUS
ZV
ewerst 1�� j
C4 M. T.Ar Sewer-ea. AddR.
o.
Water Servioe ist
ere yy oc,now ge that I have read is application, that the Water Service ea.Addit. 200' 15.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in corrxdiance with State laws, that Storm R Rain Drain 1st 100' 30.00
I am registered with the Construction Contractors Board, that the Storm &Rain Drain Addit. 100' 15.00
number given is corned. (If exempt from Stale registration, please _
give reason,, low.) Mobile Home Space 25.00
_ Back Flow Prevention
Device or Anti-Pollution Device 7.50
or Waste NotI
Connected to a Fbdure 7.50
�raon�_alteration repair rich work new air a r. Basin 7.50
to be done residential n non-residential U —
Insp. of Exist. PlurTtring per fir
40.00
Specially Requested Inspections per hr
Existing use of Rain rain, single family
building or property ! _ _ dwelling 15,00
Residential aokflow, prevealkin --
Proposed use of devices 15.00
building or property
.(Fkc@p1 res derr' backffdw
prevention devfces)
I NOTICE *Minimum Fee $25.00 SUBTOTAL
I
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
9 i�
AUTHORIZED IS NOT COMMENCED WITHIN 150 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED —
FOR A PERIOD OF 180 DAYS AT ANY TW, AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED. ----
(�
Special Conditions TOTAL 7 )-_- - —
Date issued _ by
wrtiuraawrt
w+Vrea.v
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CITY OF TIGARD BUILDING INSPECTION DIVISION �r
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: A.M. P.M. MST:
Location:— ��. uz _ _ BUP:
Tennnt:_ Suite: Bldg: MEC:-
Contractor VLL Phone: _ PLM: -7 O
Owner: Phone: ELC:
ELR: --
•
SIT:
BUILDING BLDG(con't) �iEC1TANT� COAL�j— ELECTRICAL SITE
Site Post/Beam Post/Beam " olds jBeam Cover/Service Sewer/Stortn
Footing Root' UndFVSlab Rough-In Ceiling Water Line
Slab Framing lop Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Lt) kAl Ilood/Uuct Remmect Vault
Bsmt Damp Drywall Starm 4" Temp Service MISC.
Mawmry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm CrawlTound Dr Heal Putnp Low Volt
Approved pprov A Prov Approved Approved
Aprr/Sdwlk Not Approved ved N-o-FApproved Not Approved Not Approved
FINAL �1 AY I� FINAL FINAL
70
O Call for ret -ti O Rein. o
4pectaon fee f S required before next inspection [7 Unable to inspect
Inspector-- —.--------- - Date'- _�trj y Page of
I,
® CITY OFT[GARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 6394171
Date Requested: l _ A.M. P.M. MST:
Location: ,/ Jcz_� _____ BUR
Tenant: Sui Bl MEC: C� V
d& —�--_
Contractor: flhon PLM:
Owner: _— Phon . - ELC:
— — ELR: _
SIT: _
BUILDING BLDG(con't) PLUMBING <10ECHANICCAL,�^ ELECTRICAL SITE
Site Post/Beam PostlBeam `f Cover/Service Sewer/Storm
Footing Roof Und}USlab ''� ��L' Ceiling Water Line
Slab Framing Top Ont s Lin Rough-hu 110 Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Stormurnace Temp Service MISC.
Mamnry Ceiling Rain Drain UG Slab
Shear/Sheath Fire Spklri��t.., Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
j
�vv 7Z!- ' ' > TX 4/p G�..C, rL</
26 41-- 3��Z-3
G� Q &e
O Cal or re rl Reinspection fee of S_ required before next inspection D Unable to in.spect
Inspect ___s__.___ Date:�7 —� Page_ of ;'
,. yyy '"'Ys '...r 'e vwJ '""M1TF' y�*ar+r.. -a.+ •-ye-rM . . -wrw:,r 4•,d.._ ..-.
F7
CITY OF T MECHANICAL_ •
DEVELOPMENT SERVICES PERMIT
� PERMIT #. . . . . . . : MCC97-0480
♦♦ 13125 SW Hall Blvd., i7gard,OR 97223 (503)639-4171 DATE: ISSUED: 12/11/97
PARCEL: 2S114BB-02200
SITE ADDRESS. . . : 16360 SW SYLVAN CT
SUBDIVISION. . . . : PICKS LANDING NO. 1 ZONING: R-4. 5 PD
BLOCK. . . . , . . . . . .. LOT. . . . . . . . . . . . . :036 JURISDICTION: TIG •
---------------------------------------------------------------------------------------
J CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
a OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 i
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES---------- 0—:3 HP. . . . : 0 DOMES. r NC I N: 0
:GAS 3-15 HF'. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS'?— : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100k BTU: 1 <= 10000 cfm: 0 GAS OUTLETS. : 3
FURN )=100K BTU: 0 > 10000 cfn: 0
Remarks: Installing furnace and gas piping
Owner: -------------------------------
------------- FEES
CHRIS MILLS type amot_int by date recpt
16360 SW SYLVAN CT PRMT $ 25. 00 R 12/11/97 97-301480
TIGARD OR 97224 SPCT $ 1. 05 B 10/11/97 97-301480
Phone #:
Contractor: -------------------------_----
ENERGY MASTERS HEATING & A/C
6470 SW 76TH -------
---------.---•-- ---•---____.___._.____..
f 26. .:5 TOTAL
PORTLAND OR 97024
Phone #: 244-8880
Reg #. . : 000585
----•--- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Ins p
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started i
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules
b`:``'- '• adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-01-018 through OAR 952-01-M. You may
obtain copies of these rules or direct questions to OUNC by calling
10312.46-9191.
Issue
i
+tBY: .c�/ Q av` Plermittee Si9nati_ire -
++++++++++++++++++++++++++++++++++++++++++++++f-+++++++++++++++++�++_((�1+�
+. +++_+_+._�++_++
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
L+r+++++++++++++++- +++++++++++++++i+++++++++++++- +++++++++++++++++++++++++++++++
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_TSS'_ y -• FZA 1��r•! lYj♦ 'i9.n�Z, .. �- f .- �� r w .. �•k �'7"OF� �r. tY�l
Plan Check
CITY OF TIGARD Mechanical Permit Application Recd By o Ti
1316 AV HALL BLVD. Commercial and Residential Date Recd'7
TIGARD, OR 97223 Date to P E._
(503) 639-4171, x304 Date!a DST
Print or Type Permit Called-
complete
Nyf(-,.
�. �'1fhcotrtplete or illegible applications will not be accepted
Name of erveiopmenuPro,!eo DesGlplion
S tr7`i��il� Table IA Mechanical Code ON PRICE AMT
,lob /�Svear un
Address aa A) Permit Fee -0- .0- 1000 .
Address l (Vb S.W Jc sGf+
Bldgis r CnyrSi to Zip �J 1 ) Furnace to 100,00BTU / 6.00 _
including vents ducts vents l
Name(or name or witness) 2) Furnace 100,000 BTU+ 150
Owner cofts M'i (--L a including duras&vents
Mrxing Address 3) Floor Furnace 6.00
S,(,V. S LU U C-r including vent _
cnyr i•rs �� Zip �nana 4) Suspended heater,wall heater 6.00
4"'IZ11114leg or floor mounted heater _
/Nerve(or rnar a or butntes) 5.; Vent not incJuded in appliance permit 300
Occupant Meiling Address 6.) Boiler or comp,heat pump,a r Gond. 6.00
to 3 HP.absorb unit to 100K 9UT- _
citylstate nPPhone 7.j Boder or comp,heat pump,air cond. 11.00
_ _ 3-15 HP.absorb unit to 500K BTU" _ f
Contractor Name8) Boder or comp,heat pump,air cond. 15.00
(Pnor to le�-X ceMRSIW 95 ILL 15-30 HP.absorb urid.5.1 mil BTU"
issuance Mailing Adams 9) Boiler or comp,heat pump,air coed 22.50
applicant w ��� ���� 30.50 HP;absorb unit 1-1.75mil BTU-
must provide all cirylstare ^ Zip Phrase 10) Boiler or comp,heat pump,all Gond.
contractor 0Y, � 12 2. >50 HP;absorb unit 1.75 mil BTU"
license Oregon Conn (;ent.Board arc a EXP Date 11 ) Air handling unit to 10,000 CFM 4.50 )
information r(- 1"' ZX1
for COT GUT Buses Tax or Me"a p Dale p 12.) Air handling unit 10,000 CFM 7.50
database).
Architect N""1e 13.) Non-portable evaporate cooler 4.50
or Msnng Addr ns 14.) Vent fan connected to a single duct 3.00 1
i
Engineer CiiyrStaw Zip Phone -- 15) Ventilation system not included in 4.50
appliance permit
Describe work New O Addition a7 Alteration Repair O 16) Hood served by mechanKAl exhaust 4.50
to be done Residential O Non-residential O
Additional Description of work 17) Domestic incinerators 7.50 M
t 18) Commercial or industrial type 30.00
Incinerator
Existing use of19) Repair units 450 -
building or property
20) Wood stove � 4.50
Prop)sed use of 21.) Clothes dryer,etc. - 4 50
building or prorterty
22.) Other units 4 50 ,
Type ct fuel-oilO natural gas -1 LPG O electnc 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 coffer-,that I am the owner or authorized agent of _
the owner,that plans submitted are in compliance with Oregon State CITY SUBTOTAL
laws.
Signature of OwnerfAgent ��(�Ao"ate *SUBTOTAL
L
„' �l v z- f 5%SURCHARGE
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
A YcO l�-`7 -z44 ^o r� TOTAL
idstlrn-chpmtdoc (rev 9 'Minimum permit fee is S25+5%surcharge
"Residential AIC requires site plan showing placement of unit
r' y t
CITY OF TIGARD
DEVELOPMENT SERVICES PLi1��1PERMIT s
PERMIT #.. .. .. .. . . . : PLM97--05L6
13125 SW Nall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/11/97
PARCEL: 2S1141313-02200
' .
i SITE ADDRESS. . . : 16360 SW SYLVAN CT
2CNING: R�-4. 5 PD
SUBDIVISION. . . . : PICKS LANDING NO. 1 �10
BLOrK. . . . . . . LOT. . . . . . . . -03F JURISDICTION: TIG
. . . . .
,;t
--
Y
CLASS OFWORK. . :ALTGARBAGE DISPOSALS. 0 MOBILE HUMS SPACES. 0
TY0 E OF USE. . . . :SF WASHING MACH. . . . . . : 0 BA::KFLUW PREVNTRS. . : 0 M�
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
i FIXTURES--- ------- - LAUNDRY TRAYS. . — : 0 SF RAIN DRAINS. . . . . : N
' SINKS, . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAF�S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER L I NL (ft ) . . . : 0
; DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
j
Remarks : Installinq water heater
Owner .• ------------------------------------------------- FEES ----------------
CHRIS MILLS type amount by date recpt
16360 SW SYLVAN CT PRMT f 25. 00 P 12/11/97 97-301646
TIGARD OR 97224 5PCT $ 1. 25 B 12/11/97 97-301646
11
Phone #:
;n Contractor-- --__.__-,--------.________._____-__ 1
ENEPGY MASTERS INC
' 7470N SW 76TH
j (SUB' S CCP EXPIRES IN 1 /20011
PORTLAND OR 97223 _--- ____.-- --.--------------•--_.____._._._ .
Phone #: PH 244-8880 $ 26. 25 TOTAL
Req M. . : 000585
------- REQUIRED INSPECTIONS
-- -----
This permit is issued subject to the regulations 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 perait will expire if work is not started _
within 188 days of issuance, or if work is suspended for rare
rthan IN days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are _
set forth in OAR 952-•0081-0018 through OAR 952-0081-ABBE. You may
obtain copies of these rules or direct questions to OUNC by calling
(563)246-1987.
Issued By Permittee Signat�_irer-
+++++++++++++++++.4-+++++++++++++++++++++++++++++++++•f+++++ +++++++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++4-+++++++++++++++++++++++++++++++
^�;^..- , �wara�rxui�areiA+rw►Mwr�ta
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CITY OF TIGAFD Plumbing Application Redd By
-I I
131W Date Recd265 SW-HALL BLVD. Commercial and Residential Date to P.E.
TIGARD, OR 97223 Date to Ds
(503) 639-4171 Permit• -U` zlP
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted called
Name of Devlopment/project Fumb
-tub 1Z Sl(�21L rC E_ •
Address Street Address Ile
!I�XT
s.w. slru�3N City/Slate ZipNCaK� M 1 L L 5 FURES(individual) q A r i
Sink 9.00
Owner Mailing Address Suite Lavatory A.00
I b3(v a s,w - 5 t-4'*U C1
City/State Zip Phone Tub or Tub/Shower Comb. g
Shower Only OQ
Name Wafer Closet —` 9.00
*ftiln t Dishwater 900
Occupant Mailing Address Suite ~- Garbage Disposal _ g 00
Washing Machine 9.00
Y-� City/state Zip Ph o Floor Drain 2' 9.00
f Name 3" 9.00
11 iff�JJ&if 6 4*t'IPs-5T"--' I IJ G 4' 900
Contractor Mailing Address Suite Water Heater 9W i
-'67 Laundry Room Trey — 9.00
City/Slate Zip Ph Urinal i
4D 01- c!?7ZS-3 � 9.00
Oregon Const.Cont.Board Licit Exp.Date Other Fixtures(SpeGty) 9.00
Attach Copy of ,j-56, /-¢�'Z�� 9.00
r:rnront Plub1n, � _ Exp.Date �-7 9.00
License !o �t �J� / Sewer-1st 100' 1
COT Business Tax or Metro s Date _ 9.0
Sewer-each additional 100' 30.00
Name Water Service-tat 100' 25.00
Water Service-each additional 200' 30.00 -
Architect Mailing Address Suite Storm 8 Rain Drain-1st 100' 25.00 j
Or Stone d Rain Drain-each additional 100' 30.00 i
Engineer city/State �ZIP Phone Mobile Home Space 25.00
Commercial Back:low Prevention Device or Anti- 25.00
Describe work New O Addition O Alteration Repair O Pollution Device
to be done: Residential O Non-residential O Residential Backflow Prevention Device' 15.00
Additional description of work ^rr� Aoy Trap or Waste Not Connected to a Fixture g.00
L1 �L C L{A K.✓4-t_ — �L�CLC. t- S Catch Basin
9.00
Insp.of Existing Plumbing 40.00
Existing use of per hr _
building or property____ Specially Requested Inspections 40.00
r hr
Proposed use of Rain Drain,single family dwelling 30.00
building or property`_ _ Grease Traps 900
Are_rLou cappi a fixtures? Yes No Y QUANTITY TOTAL i
I —� - Isometne or riser diagram is reouked H QuMMy Total is >9
1 I keret y acknowledge that 1 have read this application,that the information --- — -
given it correct,that I am the owner or authorized agent of the owner,and 'SUBTOTAL
that plans submitted are in conpliance with Oregon State Laws. Z 7 CP
Signature of Ownenfttnt Dote 5%SURCHARGE
PLAN REVIEW 255E OF SUBTOTAL
Contact Paso Name Phone RequhW on H LAU-T qtytal.toIs>_9 y
1 1090m� IiAr Rp.1 TOTAL
-- 'Minimum permit fee Is S25+5%surcharge,except Residential earitflow
l:tds1Mplmapp.doc Prevention Qavics,which Is$15+5%surcharge
1
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