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11990 SW LINCOLN AVENUE-1 a u� 0 cn r N• C7 0 N N �h I I 1 nnNNAV N']0-,)NT7 MS 065TT ! � £ 2 § ■ k � z R 8 2 ■ a o ■ \ \ o \ o \ Q � ■ � q � E % � a■ % c � r 7 7 # - a a a ]\ E E m o 2 « c z w � - � $ n $ - � ON \ 2 § \ § a a > k \ i § a + tAƒ § e a ` LAJ: 2. \ a} � _ PLUMBING PERMIT PERMIT#: DATE ISSUED: L�-�-�'jd► SITE ADDRESS: jjgga SW f! tv1fdV-, PARCEL: SUBDIVISION: ZONING: 12-7 - BLOCK: LOT: _ JURISDICTION:'"Tl (� CLASS OF WORK: AL GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: Sr WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: ?,7i FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ZDO ft WATER CLOSE rS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Owner: _ FEES ---- Type By Date Amount Receipt olt, f&vj Ll- Total 5 '7 Phone 1: f�Y' ) Contractor' CSX Y 'n.�Q EnWA G��QtUJocJ�� REQUIRED INSPECTIONS 14b Phone 1: � Reg#:CP Z�S' I b l l � X 1 h td"1-\ This pennit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ok.. 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 suspendedl for more than 180 days. ATTENTION- Oregon IGw requires you to follow rules adopted by the Oregon Utility Notificaticn Center. [hose rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these 1 ules or direct questions to OUNC by calling (503) 246-1987. J.asued By: Permittee Signature: Call(603)6394176 by 7:00 P.M.for an inspection needed tli�ne t business day %Ty OF TIGARD Plumbing Peninit Application Plan Chec *125 SW HALL BLVD. Commercial and Residential Recd By Nr— IGARD, OR 97223 Date Recd (f,03) 639-4171 Date to P.E Print :jr Type Date to DST -7 Related Incomplete or illegible arplications will not be accepted Permit OR Related SWR G,:Iled Name of DevelopmenUPro)ac FIXTURES (Individual) QTY PRICE AMT Job Sink 900 Address Street Address Suite Lavatory 9.00 1'i[; ),.-) !I D 1.rl 5 Tub or T-ib/Shower Comb. 9.00 Bldg* City/State ZIP Shower Only 9.00 Name Water Closet 9.00 Dishwasher 9.00 Owner Malling rr flea suite C, Disposal i 9.00 I rl - S I ✓rjRTrl �)u✓7j1S SI - Washing Machine —�- - 9.00 City/State ZIP Phone Drain/Floor Sink 2" _ 9.U0 I M r� R 0027' lay-6 — --------- 3" - - - 9.00 Name _ - 4" - 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 Gas piping requires a separate mechanical permit. _ City/State Zip Phone Laundry Room Tray 9.00 r Name - Urinal - Y�-_- e 9.00 ` tiyi t I L,/4J6LTI Other Fixtures(Specify) 0.00 Contractor Malling Address Suite _- 9.00 _ 9.00 Prior to permit C�/State Zip Phone Y - Sewer-1 at 100' — I 30.00 Issuance,a coPY ti env i,) q I b c) L L`i -- !/ I - -- - SewP1-each additional 100' ) 2500 Z 5 of all licenses are Oregon Const.Cont.Bo-,d Llc.* Exp.Date required If Water Service-1 st 100' 30.00 expired In COT Plumbing Lic.* nExp. e-� Water Service-each additional 200' 25.00 database Storm&Rain Drain-lot 100' 30.00 Name Slomt&Hain Drain-each additional 100' 25.00 Architect Mobile Home Space 25.00 or Malting Address suite Commercial Back Flow Prevention Device or Anti- 25.60 Pollution Device _ Engineer CRY/State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timinq devices require a separate Describe work to be done: - restricted en_ew it. _ New O Repair O Renlace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial O _ _ Catch Basin- 9.00 Additional description of work: Insp.of Existing PIL.nbing 40.00 per/hr Specially Requested Insl,actions 40.00 _ per/hr Are you c^.typing, moving or reply. 'ng any fixtures? Rain Drain,single family dwelling 30.00 _. Yes O No O grease Traps 900 If yes,see back of form to indicate work performed by —� QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric orriser diagram IsrequlredlfUuantltyTotal is >9 _ WORK COULD RESULT IN INCREASED SEWER FEES. _ 'SUBTOTAL 11-areby acknowledge ill_'!1 have read this application,that the Information. _ _ _ _ __ __ �J glr m Is correct,that I am the owr it or authorhed agent of the owner,and 5%SURCHARGE -I glans submitted are In compliance with Oregon State Laws. aiurs of owner/Agent - n)a- ."PLAN REVIEW 25%OF SUBTOTAL .• I�/��(��j Required curly H fixture qty.total Is�9 TOTAL C-ohtaa Parson Name i Phone *Minimum permit fee Is$25+5%surcharge,except Rekflow Prevention Device,which is$15+5%surcharge **Alf New Commercial Buildings require plans with isometric or riser diagram and plan review I�dstslrlufn&M doc 7r2198 PLEASE COMPLETE: Fixture Type Quantity by_W_ork_Performe_d_ _ New Moved Replaced Removed/Capped ..Sink ____----- — - - - -- --- Lavatory Tub or Tub/Shovier Combination - - - - Shcwer Only _ _. Water Closet _-__- DishwasherGarbage Disposal Disposal_ Washing Machine _ — — Floor Drain/Floor Sink ?_" 311 411 Water Heater - Laundry - Urinal Other Fixtur( (Specify) - -- COMMENTS REGARDING ABOVE: 1 i%dshe pkimspp dm MIN 6 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-417(5 Business Line: 639-4171 PAST _ � — Date Reque tecl B U P AW PM - BLD Location- `�c (, t ,� }Z r,� - suiteMEC _ Contact Person -� _ A --- Ph - -- -` A PLM Contractor -i Rl SWR BUILDING - T-enant/Owner _ ELC Retaining Wall v -Y ELR Footing Access: -- Foundation FPS Ffg Drain Crawl Drain I Inspectio.. dotes' SGN Slab - Post& Beam - ------- - --- ----------- SIT -- _ - Ext Sheath/Shear - Int Sheatt /Shear - Fram,jg Insulation - - - - Drywall Nailing - - -firewall - __ --- Fire Sprinkler Fire Alarm -- �_— --- - Susp'd Ceiling Roof ---- Misc: -- I _ ------- -- - ------ Final PASS PART FAIL -- - ------- ----- --- - — --- --- PLUMBING Post& Beam ----- - ---- -- _ --- -- - -_ ------ -- . Under Slab Top Out -- ----- -- -- ----- -- --- ---- Water Sendca_ Rain mains PASS 2,ART FAILMECR _ ANICAL ---- -- ------Post&& Beam -------------- Rough In I --- Gas Line Smoke Dampers - Final - ---�. — - -- - - - PASS PART FAIL ELECTRICAL -_ _— ------- - -- ----- --- - Service Rough Ir; - UG/Slab Low Voltage Fire Alarm Final -- --- - --- _- - PASS PART FAIL _---__--_ - ------SITE - ---.�--- -- Aackfill/Grading ------- _ ---- ----- ---- _ ------ _ Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE: - ( j Unahle to inspect- no access ADA Approach/Sidewalk 1 = �' Other U ate — Inspector-_Z" — ---- - --Ext Final PASS-PART FAIL DO NOT REMOVE this inspection record from the job site. CITYO F T I l'B A R D MECHANICAL PERMIT + DEVELOPMENT SERVICES PERMIT#: MEC1999-00381 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/15/1999 SITE ADDRESS: 11990 SW LINCOLN AVE ORIGINAL PARCEL: 2S102AB-00901 SUBDIVISION: KIMBERLY ADDITION ZONING: R-7 BLOCK: LOT: 001 JURISDICTION: TICS CLASS OF WORK: ALT FLOOR TURN: EVAP COOLERS: TYPE OF USE- !sF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: k; VENTS W/O APPL: VENT SYSTEMS. STORIES: BC:LFRS/COMPRESSORS HOODS: =_UEL TYPES U 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPLT: BTU 15 - 30 HP: REPAIR UNITS: FIRE CAMPERS'?: 30 - 50 HP: OD GAS PRESSURE: 50 + HP: DRYERS:CLO DS: RYER FURN < 100K BTU: 1 AIR HANDLING UNITS C FURN >-100K BTU: <= 10000 cfm: — OTHER UNITS GAS OUTLETS: 1 > 10000 cfm: Remarks: installation of new gas furnanc:e and add gas line. Owner: FEES— RICK RENNE Type By Date Amount Receipt 11990 SW LINCOLN PRMT GEO w 09/15/19 $50.00 99-318340 TIGARD, OR 97223 5PCT GEO 09/15/19 $3.50 99-318340 ^ Phone:503-639-9668 ------ Total $53.50 -- Contractor: OWNER REQUIRED INSPECTIONS Gas Line Insp Phone: Heating Lint Insp Reg #: 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 iaws. All work will be done in accordance with approved plans This permit will Pxpire 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 follo rules adopted in the Oregon Utility Notification Center. ThosF iulos are set forth in OAR 952F0U -001 thro, h'OAA� 952-001-0080. You may obtain copie of the or direct questions to OUN bj call ng (5 3 2469189. Issue By: —�� '`!, C-` "( Permittee Signature: , Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day _ CIN Plan Check# OF TIGARD Mi ianical permit Application Recd Plan k# 1'125 SW HAIL BLVD. Cornm(,rciol and Residential Dale Recd TIGARD, OR 97223 Date to P.E. (50 3) 639-4171, X304 Date to DST _ ` Print or Tyke Permit# — -- _ Incomplete or illegible applications will not be accepted Called Nam of Dev IoprnenUP ed Description � �� Table 1A Mechanical Code Qry trice Amt Job street Address SURek A) Permit Fee_ 16.00 1) Furnace to 100,000 BTU Address �,�}t 5L,� r✓�C 7 including ducts&vents see footnote 1,2 9.65 ejdga CRY/State ZI 2) Furnace 100,000 BTU+ nzincluding ducts&vents see footnote 1,2 12.00 Name(or nam of busines 3) Floor Furnace Owner ` \C�L Including vent see footnote 1,2 9.65 4) Suspended heater,wall heater Mailing Address or floor mounted heater see footnote 1,2 9.65 L�_ 5) Vent not included in appliance ermit 4.75 CRylState Zip Phone Check all that apply: 'Boiler Heat Air G21Z�j (v'� 2�i� For Items 6-10,see or Pump Cond Qty Price Amt Na r name of bust ess) footnotes 1,2 Comp •• 6)<3HP;absorb unit to 100K BTU _ 9.65 Occupant Mailing Address 7)3-15 HP;ahsorb unit 100 to 500k BTU 17.65 cd'dstste Zlp Phone 8)15-30 HP;absorb unit.5-1 mil BTU 24.15 Contractor 9)30-50 HP;absorb unit 1-1.75 mil BTU 3000 10)>50HP;absorb unit Prior to permit Mallin AddrateeJ t w >1 J5 mil BTU _ 60.15 issuance,a copy \ C!D LD� L� 11 Air handling unit to 10,000 CFM of all licenses rstate yzi Ph on Q _ 7.00 are required if q. ` G 3�-! 12)Air handling unit 10,000 CFM+ expired In COT OregonC, Cont Board LIC.ff Exp.Date 11.8E database 13)Non-portable evaporate cooler Architect Name _ 7.00 1_ �` _--r— 14)Vent fan connected to a single duct Of Mailing Address 4.75 15)Ventilation system not included in appliance permit 7.00 Engineer CRY/State Zip Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done 17)Domestic incinerators 12.00 New)& Repair O Replace with like kind: Yes O No O 18)Commercial or Industrial type incinerator Residential 10 Commercial O 48.25 19)Repair units Additional information or description of work: 8.40 20)Wood stove/gas FP/other units/clothe dryer/eta.. 7.00 NOTE: For Commercial projects only,Units over 400 lbs.require 21)Gas piping one to four outlets 7� structural gas talcs. _ See footnote 1 3.75 Type of fuel oil O natural gas W LPG O electric O 22)More than 4-per outlet each) _ _ 75 _ _ Minimum Permit Fee$60.00 SbBTOTAL 57 -C, ,, hereby acknwiedg t I have read this application that the information 7%SU'tCHARGE _ �ivencon ct,th If a the owner or authorized of PLAN REVIEW 25%OF SUBTOTAL v e avVnpj,t t lany s miffed are in camelor} t laws _ Required for ALL commercial f eITOTAL. V 1 ,� _ _. Signature of Owner/Agent Date ---- -- ---- ------- Other Inspections and Fees: 1. Inspections outside of normal business hours(minfnum charge-two Contact Person Name Phone hours) $50.00 per hour l �/ 2. Inspections fc-which no fee is specifically Indicated (minimum C,'3g C/ charge-half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and proposed gas line and F fissure plans(minimum charge-one-half hour)$50 00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement :)f unit I:vrtechperm.doc rev 7119199