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7647 SW LANDAU STREET d 56, OV '1 J .. Y\ GAS o¢T vD0 R"ir�FrtGg 252 N� ✓ � ui-�ar�w-r I I Ncw rvRa1 New x _o S, Q I Nyi � - IMP �'�s 1- ` - - -� La c ►, , � TIC az LA 5, w . L..,A% N. =),4 v 903T'1�-E'Ei' tea¢-rH I-� qj sw 70o4iNc. f: s CA- CAI Tie4o/kP!a wooDe;;;p I 1. fl I ll1_I"IL_7_ill _'`tL—"fII i�� l I�1111111 ! 111111 .6f II.I _I -I.— I�NOTICE: IF THE PRINT OR TYPE ON ANY f1I �II1II I � I II � -I-I � III�1IM4GE IS NOT AS CLEAR AS THIS NOTICE, i r IT IS DUE TO THE QUALITY OF THE No36 �'`==�="• i ""' s ORIGINAL DOCUMENT �E 111' 1.1["Il � l � 9 �llE ��1�� u1 ►� c � � � �� iu �� iiii� u� �u�� u� �� i � � � � �iii � ii1 ►� iiZ i To�en� u�lui.i ii��►�►ii i Y,.., pt.aww.q—`. ,.Yb1:.� v 4 cCO) C 5 Z v a c X m m I i l I 1 i 1 l 7647 SW LANDAU STREET CITY CSF TIGARD MASTER PIERMIT j .. DEVELOPMENT SERVICES P,Er:RMIT #. . . . . . . : MST98-0480 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE I SSLIE:D: 12/08/98 P,")RCEL.: 1 S 125;CD--T 11.70&' SITE ADDRE_.SS. . . :07647 SW LANDAI.I ST SIJPD I V 19 I ON. . . . :T1 GARD WOODS ZONING: R--4. 5 SI-OC'K. . . . . . . . . . I-OT. . . . . . . . . . . . . :00,' ,JL)R I SD I C'T"I ON: T I G Remarks: Construction of a detached carport for a residence. ------ BUILDING -------------------------------------------------------------- REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED- ----------- CLASS OF WORK,:ACS HEIGHT........: 14 FIRST....: 357 sf GARAGE.....: 0 sf LEFT..........: 3 SMOKE DETECTRS: N TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 1 TYPE OF CONST.:SN DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 357 sf VALUE..f: 50000 REAR..........: 0 --------------------------------------------- 51NKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GRFASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------------------------------------------------------------- MECHANICAL ------------------------------------------------------------------- FUEL TYPES----------- FURN ( Iff ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=100K ,.: 0 UNIT HEATERS.. : 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 ------------------ ELECTRICAL ------------•--------------------------------------------------- -RESIDENTIAL UNIT--- ---SERVILE/FEEDER---- --TEMP SRVC/FEEDiRS-- ---BRANCH CIRCUITS--- ---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 200 alp..: 0 0 - 200 asp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGAIION: 0 PER INSPECTION: 0 FA ADD'L 500SF.: 0 201 - 400 asp..: 0 201 - 400 asp..: 0 1st W/O SVC,/FDR: l SIGN/OLIT LIN LT: 0 PER HOUR......: 0 l-'.MITER ENERGY.: 0 401 - 600 asp..: 0 401 - 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 1N PIANT......: 0 MAN►' HM/SVC/FDR: 0 601 - 1000 asp.: 0 601+82ps-1000 v: 0 MINOR LABEL -10: 0 1000+ asp/volt.: 0 --------------- PLAN REVIEW SECTION ----------------- --- - ----------- Reconnect only.: 0 )=4 RES UNITS..: SVCiFDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -- ELECTRICAL - RESTRICTED ENERGY ---------------•----------------------•-------------.--- A. SF RESIDENTIAL-------------- B. COMMERCIAL---------------------------------------------------------------------------- AUDIO d STEREO.: VACUUM SYIrTEM..:- -- AUDIO ✓4 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC............ LANDSCAPE/IRRIG: PROTECTIVE SIG* GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL... ....: OTHR: :. HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0 Owner: -------- -----.__. .....-.---__.----Contractor: ------------------------------ TOTAL FEES:$ 521.10 BEALON HOMES, INC BEACON HOMES, INC This permit is subject to the regulations contained in the 9500 SW 125TIl AVE 9500 SW 125TH AVE Tigard Municipal Cod E, State of Ore. Sperialty Codes and all BEAVERTON OR 97008 BEAVERTON OR 97009 other applicable laws. All work will be done in accordance with approved plans, This permit 401 expire if work is Phone t: 5241999 Phone M: 524-1999 not started within 180 days of issuance, or if the work is ---- ----- ----- Reg M--- 000701 --- 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 952-001-0010 through OAR 95c-001-0080. You say obtain copies of these rules or direct questions to DUMC by calling 15e3)246-1987. ------------------ REWIRED INSPECTIONS ------------------------------------------------------------ Footing Insp Rain drain Insp _ Foundation lisp Electrical Final — FlP_lrical Rough Building Final --- Framing Insp _ — Shear Wall Insp TSSr_red By fJd%� Permittee Signatt.%res4LTE__ +++ 1 +++++++ J+++ +++++++ ++4++++++++�++++++++++A•+•++•++++++++++-+++ +++++++-+++++ C'a11 639-4 1.75 by 7:00 p. m. far an inspection needed the nemt b siness day CIT Y OF V rIGARD Residential Building Permit Application Plan Check# 1311:6 SWHALL BLVD. New Construction Additions or Alterations Recd Bye TIGARD, OR 1`1 7223 Single Family Detached or Attached (Duplex) Date RecdI. V Date to P.E. 503-639-4171 3 Date to DST /Z F 503-684-7297 I(� Permit# 9 - Print or Type / Called Z-777. i -'- Incomplete or illegible applications will not be accepted --�- — Name of Project !- Name Peter Magaro Architecture Job Tigard Woods Architect Mailing Address Address Site,Address 10570 Sw Citation Dr. 7647 SW Landau St . (Lot 2) Name CBeaverton 9708 �e 2421 Beacon HOmes , Inc. — Name me — Owner MailingAddress Jeff Dove Engineering 95170 SW 125th A,renue Engineer M llIin Address City/State Zip Phone g �9>g4 Oakridge R d . Beaverton 97008 524-1999 city/state �— General Name-- ---- Lake Oswego 9703 6°��7-5926 Contractor Beacon Homes , I n `. Describe work New O Addition O Alteration O Repair O Mailing Address —� — tobedone Car Port not attached to house) Prior to permit 9500 SW 125th Avenue Additional Description of Work: issuance,acopy City/State Zip Phone Construction of a car port next to of all licenses Beaverton 97008 524-199 ex sting house. are required If Oregon Const.Cont.Board Exp.Date PROJECT expired in COT Lic.# 70782 12/9f) i VALUATION $ database Mechanical Name -- `—`- NEW CONSTRUCTION ONLY: Sub- Muehe Qua 1 t i y Heating Sq. Ft. House: Sq. Ft.Garage Contractor Mailin Address �_-1 Prior to permit POiox 9 Indicate the restricted energy installation by the electrical issuance,a copy City/state7iD e subcontractor in the followingareas _ of all licenses West Linn 97068 9Ve—0966 Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp. Date Energy System _ X Alarms expired in COT Lick 50096 3/5/99 l Installations Vacuum X Irrigation database _ _ System _ System Plumbing Name (check all that Other: Sub- Cushman Family Plumbing apt ) Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO 4535 S E 35th Place (check one) I X (check,one) X _ _�� Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/Slate Zip Phone X issuance,a copy Portland 97202 775-4472 6olOr Cohlpli ce r of all licenses are Oregon Const.Cont. Board Exp. 0 to /(Calculal�on aehbd) required if Lic# 106842 6/7�9 9 I hearb acknowledge that I have read this application,that the expired in COT _ y g pp database Plumbin Lic.# Exp. Date information given is correct,that I am the owner or authorized agent 26- 6 4 P B 6/30/99 of the owner, and that plans submitted are in compliance with Oregon State laws. Name Signalr f Owner/Age t at Electrical Bear Electric, Inc. __ Sub- Mailing Address Contact Person Nam Phone# Contractor PO Box 389 Peter husyk _ 524=1_99 FOR OFFICE USE ONLY: City%State 7ip Phone Plat# Map/TL#: Prior to permit Donald 97020 678-1355 /�,�_ �3, a 776o.�_ issuance,a copy Setbacks: Zone Solar: of all licenses are Oregon Const.Cont Board Exp. Date _ required if Lic# 20919 2/20/00 _ Al - �J expired in COT Engineering Approval: Planning Approval: TIF: database Electrical Lic # Exp. Date 24-107C 10/2/99 I:SFREM2.DOC(DST)8/11198 CITY O F TI G A R D SEWFP r(INNFCTION DEVELOPMENT SERVICES PERM IT L6 13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 PERMIT # . . . . . : SWR9B-02132 rMA&M DATE ISSUED: 09/11/98 '-7 49 Ly 1"-W LANDAU ST [-.,ARCEL.- IS125CD-04000 SITE ADDRESS. . . %944@0� SUBDIVISION. . . . :BOULEVARD HEIGHTS ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ------------------------------------------------------------------- --- TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIxrURE UNITS. . . . 0 CLASS OF WORK. . :NEW DWELLING UNITS. . : I TYPE OF USE. . . : -SF NO. DF BUILDINGS: 0 INSTALL TYPE. . : . :LTPSWR IMPERV SURFACE: 0 s Remarks : Hook ttp of existing hoi-:se to newly installed sewer line. Owner: FEES PE'(ER KUSYK type amol-knt by date rer-pt BEACON HOMES PRMT $ 2300. 00 DRA 09/08/98 98-308949 9500 SW 125TH AVE INSP $ 35. 00 DRA 09/08/9S 98-300949 BEAVERTnN OR 9700B Phone #- rontractor: OWNER Phone #: $ i--'335. 00 TOTAL Reg #. . : -------- REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Tank Inspection of the Unified Sewage Agency. The permit expires 180 days from Septic! Fil. 1 the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee t�ie accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTIJN: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-W-pWjT-r-oj,"R 952-0001-0080. You may obtain copies of '�Pse r Ps or direct q tions to OUNC by calling (563)246-1987, direct er;s 1.1 e by: Permittee Signati-irv , ...................................._.+.+....................................44 Call 639--4175 by 7:00 p. m. for An inspec!tfon needed the next bi-tsiness day tl4..+++++++++4.................................................&............I..... CITY OF TIGARD ELECTRICAL PERMIT' DEVELOPMENT SERVICES PERMIT #: D: 08-1008 DATE ISSUED: 08/18/'98 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL: i.S1 ,CD-Qr4Qr0�Q� •-7 �, S 1 T F=' ADDRES,3. . . :V.IiL60VSW LANDAU S_f SUBDIVISI01\1. . . . :BOULEVARD HEIGHTS ZONING:R-4. `i BL.00K. . . . . . . . . . . L-OT. . . . . . . . . . . . . . .JURISDICTION: TIG Project De srr i pt i.on : Changing meter base ----------.__--_._..------.______ -RESIDENTIAL UNIT•_..__....- -..- -TEMH ;RVC/FEEDERS-._---- .1.000 SF OR LESS. . . . : Zr 0 - 200 amp• • . • • • • : 0 PUMA'/IRRIGATION. . . . : 0 EACH AnD' L 500SF. . . : 0 -001 - 400 ,amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L.TMITP) ENERGY. . . . . : V' 401 - 600 Amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601.+amps-1.000 volts. : i7.r MINOR L_ABEL.. ( 10) . . . : 0 -----SERV I CE/F'EEDER----- ----BRANCH CIRCUITS--._.___- ---ADD' L. INSPECTIONS— 0 - 200 amp. . . . „ . : 1 W/SERVICE OR FEEDER: 0 PER INSF'ECTP A. c'01. - 400 amp. . . . . . : 0 1 st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0 401. - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN F'1_ANT. . . . . . . . . . . : 0 6,01 - .1.000 amp. . . . . : Qi ------_----- _-- -FLAN REVIEW SECTION- 1000+ amp/volt. . . . . : 0 > -4 RES UNITS. . . . . . . . : > 600 V01._.'T NOMINAL. . Reconnect only. . . . . : Vi SVC/F'DR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner; _._____ _-..___..._._____.__._._____._........_.___.._.._.__..____________._.__.._-----___.._._...--- FEE 1 PETER KUSYK type amol_Int by date recpt BEACON HOMES PRMT s 60. 00 B 08/18/98 98-3,08 9500 SW 125TH AVE SPCT f 3. 00 P 08/16/98 98-308326 BFAVERTON OR 97008 Phone #: Contractor: _.--_-.--- BF.AR ELECTRIC $ F_,:3. 00 T'O-fAl.. PO BOX 389 28085 BUT TE V I LL E RD NF - -- ---- RE:.OU I RED INSPECTIONS --- - DONALD OR 9707n,0 Ror.rgh- in Elect' ] Final Phone #: 678-1355 Flect' T Service F e g #. . : 000209 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sta.e of Oregon Specialty Codes and all other applicable laws. All Mork 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 Pore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those -ules are set forth in OAR 9524014010 through OAR 952-001-1981. You may obtain a copy of these rules or direct questions to rXINC by calling (50)24671^9.87. 1a n r e : 4 T�� CQ I s s 1.r e d BY t t t e e S l gnat .1 ��.._ �._._._G� ----------------------.-_.---.----OWNE.R JNSTAI.I_ATION (_)NI-.Y---._-------•--.------------.------.. The installationis being made on property I own which is not intended for sale, lease, or-, rent. OWNER' S SIGNATURE: DATE:: _- ----CONTRACTOR INS'TAIA.ATION Onll_.Y---------------------------- SIGNATURE --------------------.-__-__..cIGNATURE OF SUPR. ELEC' N: _ �a _ DATE: i I CENSE NO: _ ----- - i t ++++++++++++++++++++++i++++4•+++++++++++-{-++++++•F•+++++++++=-+i-++•4•++++.+•+++•1••+++++ Call. 639-4175 by 7:00 p. m. for an inspection needed the next bi_tsiness day ++++++++++++++++++++++•f++++++++++++++++++++++++++++++++++++++++++++++++++++++• - Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd c Tigard, OR 97223 Permit # l- ��+ 100,1 Date Issued "G- Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No (503) 6842772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development. 1C 1 Number of Inspections per permit allowed Address � _�Gv L�NO�[�_�Sl" Service included Items Cost(ea) Sum City/State/Zip_ '7-16"00 0/t-._-- y z3 4a. Residential -per unit 1000 sq ft or less $11000 _ 4 Name (or name of business)_ Each additional 500 sq if or Ivr portion thereof $25 00 OfTIrTlerCla) �__� Residential I Limited Energy $2500 _ 1 C,Y*A' e MCr*lt- Off E Each Manufd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: 4b. Services or Feeders Installallon,alteration.or relocation Electrical Contractor E,djt_�(,ECfiC4_ /VC•• _ 200 amps or less / $s0 00 ,00 2 Address—t�.�c?�S�J ___ 201 amps to 400 amps $6000 _ 2 7 401 amps to 600 amps $12000 2 City Ds,y _ State_QL__ ZIP_ 7-v10_ $18000 _ 2 601 amps to 1000 amps Phone No. _ '7B /,1 SS _ Over 1000 amps or volts $34000 2 Job NO. N//9 Reconnect only 15000 2 Contractor's license NO. 2-_Y—/o7C. ^I 4r. 'Temporary Services or Feeders Contractor's Board Reg No. Zo ; —�JZ-G installation,alteration,or relocator Signature of Supr Elec'n)t crr s t1A1 •-✓ 200 amps or less --- — 2 �u- 201 amps to 400 amps $500() 2 License No.,3a 2 7_�_ Phone No 4!?0r-/5j F 401 amps to 600 amps $7500 _ 2 Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b•'abnve 4d. Branch Circuits Print Owner's Name__— New,alteration or extension per pane Address __ al The fee for branch circuits with 2 — purchase of service or feeder fee. City • [ate_ ___-- Zip __ -- Each branch circuli $500 _ Phone No. _ __ b)The fee for branch circuits without The Installation is being made on property I own which is purchase of service orrnderfee. z not Intended for sale, lease or rent. EacFir h �reniti al branch $$500 5 00 Earh additional branch circuli s5 00 Owner's Signature _ __ _ 4e. Miscellaneous (Service or feeder rot included) 2 3. Plan Review section (if required): Each pump or irrigation circl- __ $4000 2 Each sign or outline lighting $4000 Signal circud(s)or a limited energy 2 Please check appropriate item and enter fee in section 5F. panel alteration or extension $4000 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 22.5 amps or more _System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N.E C Chapter 5 Per hourinsphon $35 00 Per hour _ $1,500 In Plant $5900 Submit 2 sets of plans with application where any of the above - apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ 6/o UV NOTICE 5%Surcharge (05 X total fees) $ -T.d. PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ .SCS AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ X _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ to COMMENCED. e. 1 T,ust Account q x Mm SPP Balance Due $ 63-�� CITY O F T I G A R D PLUM3ING PERMTT DEVELOPMENT SERVICES PERMIT #. . . . . . . .. rel.-.M98 0 3 15 1312i SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 09/11/98 ( I/'l PARCEL-: IS129CD---04000 SITE Al:r,RESS. . . LANDAU 13T S1'_nDTVISION. . . . BOULEVARD HEIGHTS ZONING: R-4. 5 Bt-GCK. . . . . . . . . . I-OT. . . . . . . . . . . . . JURISDICTION: TIG CL-ASS OF WORK. . :NEW GARBAGE DISPOSALS. ; 0 MOB I1._E HOME SPACE'S. : 0 TYPE OF USF-. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FL.00R DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . - : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : el CATCH BASINS. . . . . . . : 0 LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 100 WATER CL-OSETS. : 0 WATER LINE (ft) . . . : V1 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Hook i..tp of existing house to newly installed sewer line. Owners --------------- FEES r:,r:TER KUSYK type amoi-int by date recpt BEACON HOMES PRMT 30. 00 DES 09/08/98 98-308949 9500 SW 125TH AVE "PCT $ 1 . 50 DES 09/08/98 98 -308949 BEAVERTnN OR 97008 Phone #: Contract CUSHMAN FAM 11_Y P1_.UMBIN0 4535 SE 35TH PLACE PORTLAND OR 97-?(A;7: r1fione 775--447;:' 31 . 50 TOTAL. ------- REO.L.1 I RED INSPECTIONS This peroit is issued subject to the reguiations contAined in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Misr. Inspection applicable laws. All work will be done in accordance with I n s p existing/ca approved plans. This permit will expire if work it Oct started Final Inspertion WitLiq 180 days of issuance, or if work is suspended for sort t!�a- 180 days, ATTENTION- Oregon 'taw requires you to follow rules adopted by the Oregon Utility Notification Center. These rules are set forth in OAP 952-000I-88I0 through DAR, 13152-WI-1088. You may obtain renes of these rules or direct qufstio,is to OUNC by calling ....... ....... (93) T 7,s i.t e d Permittee Signat!. l c, ::fv Z + +-4-+++4-+++++++++4-+++-4 +4•...........4-++++-4..................... ......4 +++•+++•+++++++ Cal I F, "? -4.175 f)}, 7:00 p. m. for An inspection needed the next bLisiness day 4--I-++++++ F.++++++++ 4-+++++++++4-+++++++4+4.+.++.4-+.+•+-+.++++++-H+ ++++4.++4-+++i+++++4 CITY OF TIGARD Plumbing Permit Application Plan Ch0 13125 SW HALL BLVD. Commercial and Residential Recd e L�� TIGARD, OR 97223 Date Recd 91- (503) 639-4171 Date to P.E. Print or Type Date to DS _ Incomplete or illegible applications will not be accepted HeiaeldsvIR rO 32 Called Name of DevelopmenUProject FIXTURES (Individual) QTYo -PRICE'S gAMT' rSink 9.00 Job , i(�,�� ,L1cz� � Address Street Address Suite Lavatory 9.00 Tub or Tub/Shower Comb. - 9 00 ( �_ Bldg tl Ctl State Zi Shower Only 9.00 -7� I / I(3Y �D C�IZ --- -- a Water Closet 9.00 Dishwasher �- 9.00 Owner I l4111ng Address L_{, I+ Suite Garbage Disposal 9.00 "T 1)Gki 12 Washing Machine 9.00 _�ity/State Zip Phgnq - �'�E�trNQ ` O ��el/q( Floor Drain/Floor Sink 2" 9.00 Name 1 t 3" 9.00 J 4" 9.00 _ Occupant Mailing Addless 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 Urinal 9.00 -Nalpen _ # L U�' L+ Other Fixtures(Specify) 9.00 Contractor ailing Address tt Suite 9.00 +X0e,--) 1.2Cj't AAV - 9.00 Prior to permit --4ty/State Phone n Sewer-1 st 100' 30.00 issuance,a copy > uN ) i�/ �� 1 ---- Sewer-each additional 100' 25.00 of all licenses are Oregon Const Cont.Board LIc.A Exp.Dale -- required if --- /Z 11q?, Water Service-1 st 100' 30.00 expired in COT Plumbing Lid.* Exp Date Water Service-each additional 200' 25.00 database L 9 A p Storm&Rain Drain-1st 100' 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect _ Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device _ Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residentlal,X Commercial O Catch Basin 9.00 Additional dean iplion of work 01) l Insp of Existing Plumbing 40.00 li1v, CcT`� j�t�P P_. _ _ _ error Specially Requested Inspections 40.00 per/hr Rain Drain,single_lamlly dwelling 30.00 k,re you capping, moving or replacing any fixtures? _- Grease Traps 9.00 Yes O No If yes, see back of form to indicate work performed by - QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Ison•etric or riser diagram Is required if Quantity Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. "SUBTOTAL I hereby acknowledge that I have read this application,that the Information given is co!reci,that I am the owner or authorized agent of the owner,and 6%SURCHARGE that tans submittiN are in compliance with Oregon Stale Laws. 57 Signature of Agent ��Ph�on�- 'Minimum "PLAN REVIEW 26%OF SUBTOTAL 1f Re ulred o�H fixture qty total is�9 TOTALontact Person Name i?'k�� l /�n�� permit fee is$25+5%surcharge,except Resic ential Backflow h - S _ _ _ Z 7 Prevention Device,which is$15+5%surcharge "All Now Commercial Buildings require plan,with isomm-ic or riser diagram and plan review I Wslstplumapp doc 712/99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink _ f Lavatory _ Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher -Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 311 _Water Heater _ — -- Laundry Room Tray �— Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I edits\plumsr,p doc 7n19e CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ 2-J Date Requested I 0 - SAM PM BLD _ I-odation Suite MEC Contact Person - Ph �/; 7_ - PLM _ Contractor C C C ,fit ie Ph WR " BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN _ Slab -_ _ _ SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing _- - - ---_- - _- Insulation Drywall Nailing - -- --- -_ - - Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling --- - _-_ _-- ---- --- Roof Misc _ -__-- -- --- ------ - Final - - PART FAIL LUMBING 1 PosfB-Beam .___.-------------------------- -.- _---- Under Slab Top Out -- - - -- - Water,5.Mice S :'..$unitary ewer.. R ain�fft"l~ Einal AS PART FAIL MECHANICAL - Posl& Beam -- - -- - -- - - ----- ---- Rough In Gas Line Smoke Dampers Final ------ - - ------------ --- PASS PART FAIL ELECTRICAL ------___-- Service RoughIn -- ------- - ----------.__- --- -- ----- -----._ UG/Slab Low Voltage ---------------_.__----------- ----------- Fire Alarm Final ------- --- ------- ------------- PASS PART FAIL - ------- ----- ------ -- -- - ----� _- SIT E Backfill/Grading -- - -- ------ - -- --------- - Sanitary Sewer Storm Drain ( ]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 Unable to inspect no access ADA ApprOtheoach/Sidewalk Date If "6 ? _ Inspector. -_Ext -_ _ -��=5th-. --- ----- Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 --- BUP -- Date Requested AM PM BLD Location - — Suite MEC �,� D Sc Contact Person l 1'q i zz 17 Ph ? L PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab �. -- SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing —_— Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling —_—_-- Roof Misc: - - -----—------ -------_—_ — Final — — PASS PART FAIL ---- -___— — _ --- -- PLUMBING Post&Beam --- - — -"---- ___ .---_._ —_- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final --_-- PASS PART FA -- MECHANICAL Post&Beam --- --- ----- ----------- ---- - --- -- v p to Gas Line ---------.-_-.- Smoke Dampers Fin - — --------- ------.— �._____..__.—__---_—_-_----------_----___ BART FAIL ELECTRICAL __--____..— -- ---- ---------- ---------_-_—_--__-_----------------.. Service - - ------ — ----- — _ _ -------- ----— -- — Rough In UG/Slab _ ----___... __ --- -------- -----..._—.—__— Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading —�_--- - "----� -- --- — -- ---- Sanitary Sewer Storrs Drain ( ) Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply I-ine [ )Please call for reinspection RE — [ ) Unable to inspect no access ADA Approach/' idewalk Date _� Dt ^�^ -� Other Final - _-= t 1------. InspectorExt --- - — ,� --_ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD MECHANICAL. DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PIERMIT #. . . . . . . : MEC1.98-0456 DATE ISSUED: 10/12/98 P,ARCEI-: 1S1.25CD-04000 SI-IF ADDRESS. . . : O�� SW LANDAU 3T SUBDIVISION. . . . : BOULEVARD HEIGHTS ZONING: R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG; CLASS OF' 140 RI<. . :ALT FLOOR FURN. . . . : 0 EVAP, COOLERS: 0 TYPE: OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPIANCY GRP,. . . R3 VENTS W/O AF-,P,[-: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . . 0 FUEL 0-3 HP,. . . . - 0 DOMES. INCIN: 0 3- 15 HP,. . . . - 0 COMML. INCIN: 0 MAX INPIUT: 0 BTU 15•--;10 HP. . . . : 0 REPIATR UNTTS: 0 II RE DAME:,E RS?. . : 30-50 HF,. . . . - 0 WOODSTOVES. . : 0 GAS PRESSURE. . . 50+ HP,. . . . : 0 CLO DRYEP2. . - 0 NO. OF UNITS----- AIR HANDLANG UN I I S OTHER UNITS. : 0 FURN 100K. BTU: I (= 10000 Ufm : 0 GAS OUT1...ETS. : 1. F'URN > -100K BTU: 0 > 10000 Cfm : 0 Pemarl(s : New gas furnace and gas piping. Owner: FEES -.--_-----____-_ PF_TER [<USYK type amol-trit by date recpt BEACON HOMES PIRMT $ 25. 00 GEO 10/12/98 '38-309915 9500 SW 125TH AVE SPCT $ 1. 25 GEO 10/1.2/98 98-309915 BEAVERTON OR 97008 Phone #: Contractor: MUEHE QUALITY HEATING INC PO BOX 13 26. 25 TOTAL WEST L.YNN OR 9706B Phone #: 598-0966 Peg #. . - 5009F, REQUIRED INSPIECTIONS This permit is issued subject to the regulations contained in the 13 a s; I ine Insp ....... ligard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. All work will be done in accordance with Final Inspection 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 DAR 952 001 N010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (5031246-9187. ,17 s s i_t e -7 ..........4............#......4.............................................4-+-f......4 Call 639-4175 by 7:00 p. m. for inspections needed the next bLISiness day ...............................................................4•.................4 CITY OF TIGARD Mechanical Permit Application Plan Check 0 Pp Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, 7R 97223 Date to P.E. (503) 639-41 1 1, x304 Date to DST Print or Type Permit#�Q9- Dy5-G Incomplete or illegible_ applications will not be accepted Called Name of Development/Pro)ect�1 Description -fie(/4 h�ep /�f`/ j S Table 1A Mechanical Code — Qt Price Amt Job Slieet Address sunep A Permit Fee 10.00 Address , U1) Furnace to 100,000 BTU N including ducts&vents_ 6.00 Bldgs citylsiafe zip 2) Furnace 100,000 BTU+ i L> including ducts&vents _ 7.50 Name(or name of business) 3) Fluor Furnace Owner � �u 1/` including vent 6.OC Mailing Address 4) Suspended heater,wall heater or floor mounted heater 6.00 5) Vent not included in appliance permit City/State ZIP Phone 3.00 14 L2 2- 97 U(-) 1,r1,L'Z I " CHECK ALL 'Boiler Heat Air Name(or name of business) THAT APPLY: or Pump Cond City price Amt _ _ Comp 6)<3HP;absorb unit to Occupant Meiling Address _-- t7)�'3-1 K BTU 6.00 5 OP;absorb unit Cnyl5lote T Zip Phone k to 500k BTU 11.00 —�^ 8)15-30 HP;absorb unit 5.1 mil BTU 15.00 Contractor Name 9)30-50 HP;absorb U 14 L T�? !��SCI unit 1-1.75 mii BTU _ _ 22.50 Prior to permit Mailing Address 10)>50HP;absorb unit issuance,a copy 11.75 mil BTU 37.50 of all licenses Cnyrstate zip Phone 11)Air handling unit to 10,000 CFM are required if V1L'';;t �r ;'�q, 4.50 expired tin COT Oregon}Rnsit Cont,Board Lic 0 p.— Dat C 12)Air handling unit 10,000 CFM+ YYJJ �(JL,(rf _ 7.50 Architect ame 13)Non-portable evaporate cooler _ _4.50 or Mailing Address 14)Vent fan connected to a single dud 3.00 15)Ventilation system not included in Engineer Cnyrstate zip Phone appliance permit 450 _ 16)Hood served by mechanical exhaust Describe work to be done _ 4.50 171,Domestic incinerators New O Repair O Replace with like kind. Yes O No O .50 Residential O Commercial O 18)Commercial or industrial type incinerator -- _ 3100 Additional information or description of work. 1 19)Repair units c,*k � IZtJACiJ GVk`S 1��i _ 4.50_ t 2.0 Wo(A stove 4.50 2 �r_ es'i� dryer,etc. — —_ 450 Type of fuel oil O natural gasM LPG O electricO 22)Other units __ 4.50 he I reby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given Is correct,that I am the owner or authorized agent of `'_ 2.00 the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each) .50 Signature of 9wrw/A e t Date — --`— --- Minimum Permit Fee$25.00 _ SUBTOTAL r `- ' `— U I Z — 1 CJ __ 5%SURCHARGE _ Cofftct Person Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits oni )C p 7 7 ), TOTAL -- .State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I lmechperm doc rev 07120/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST CN 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BUP —Date Requested —�-1 GI AM PM _ BLD _ Location ~; l{y�J (-7_/,kSuite MEC Contact Person k C��✓' Ph S Z �� PLM _ Contractor Ph SWR ILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab P GC 1 L),I SIT Post& Beam Ext Sheat /Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing �_- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ---- ._- -- - F inai _ SS ART FAIL ---- --- --------- ---.-_.._�- -�—_--- PLUMBING Post& Beam ---�-- -- - Under Slab Top Out ---- -- ---- ,\ Water Service J Sanitary Sewn, -- -_-- -_- Rain Drains Final PASS PART FAIL MECHANICAL — Post& Beam — --- Rough In Gas Line - Smoke Dampers �.y'✓ Final -- --------- PASS PART FAIL ELECTRICAL --- - —� Service Rough In ---- -- UG/Slab I ow Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading ---" Sanitary Sewer Storm Drain [ ' Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Five Supply Line [ J Please call for reinspection RE [ ]Unable to inspect no access ADA Approach/Sidewalk Other _N_ Date �� _—Inspector �� — —_Ext —_ Final PASS_ PART FAIL DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _Date Requested �' `> �l�� AM PM BLD — I ovation �i l GI P-Adz{_k-k - Suite MEC Contact Person — L' .i1 t ! Ph ? > "� � PLM _ 7..moi..� contractor Ph {� SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation F'S Ftg Drain Crawl Drain Inspection Notes: (, �' l /� ✓lU c'�E SGN Slab �ULU (t' Yt Y SIT Post& Beam Ext Sheath/Shear 1J f �> 7 k,�� - h t" i t4rAA I _ Int Sheath/Shear - Framing _ Insulation Drywall Nailing --` -�- — Firewall L Fire Sprinkler — Fire Alarm Susp'd Ceiling _--___- Roof Mises - Final - ---- �- PASS PART FAIL - ---------- -----.__- PLUMBING - Post 8 Beam - - - --- � — - Under Slab TopOut -- - _ ------- — -._.-.--- — ---- Water Service Sanitary Sewer ---------------- - -------------____-------------- ------- Rain Drains Final ------ ------ --------------- --- ----__- -- PASS PART FAIL -- --- ----- -- ------ -- - -- ___._ —_ MECHANICAL Post&Beam -- --_-_- - -- ---- - - -- ------ Ro igh In Gas Line _- _---- ----- ----- --- - - -— -------- Smoke Dampers Final ----.---- - ---- - -� -- -- - -- PASS PART FAIL Servi6e / ---- --- ----- – Rough lit-- UG1SIab Low Voltage _-------- -- -- -- ------- ---- --------- Fire Alarm AS� PART FAIL -- - ---_-__--- -- ------_-_—_ _--___- Bar kfill/Grading - — ------- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line I ]Please call for reinspection RF: -- _ [ ] Unable to inspect-no access ADA Approach/Sidewalk Other Date —� Z..� Q _Inspector— _ _—Ext --_ Final PASS`PART FAIL DO NO1' REMOVE this inspection record from the jot+ site.