Permit (,/,9- &6, 0 , ,./Le A/c_ zidc,t 48
CIT OF TIGARD MECHANICA PERMIT Al Ira DEVELOPMENT SERVICES `l F= PERMIT #: MEC2005 -00760
� ' ` �" ' — • 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/21/2005
PARCEL: 1 S135AA -AC001
SITE ADDRESS: 10420 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION: TIG
Project Description: Building 3: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave. 6/2/06 AC added to unit 14 address
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 10
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 5
STORIES: 3 BOILERS /COMPRE :: HOODS: 5
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 5 AIR HANDLING UNITS CLO DRYERS: 5
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 5
> 10000 cfm: GAS OUTLETS: 25
Ow' • • FEES
MATRIX DEVELOPMENT Description Date Amount
12755 SW 69TH AVE, SUITE 100 1
TIGARD, OR 97223 [MECH] Permit Fee 11/21/20C $553.40
[TAX] 8% State Surcha 11/21/20C $44.27
[MECH] Permit Fee 6/2/2006 $14.00
P • . • t3-620-2020 [TAX] 8% State Surcha 6/2/2006 $1.12
Total $612.79
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -1184
Reg #: LIC 447 /
r `
_ 410 ....\6\ -----
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 follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 -800- 332 -2344.
Issued By:
je,(//a
fl,.LL Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/9 a,6 4', i o - � C_ ,d3
CIT OF TIGARD
MECHANICA PERMIT
�1�, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00760
re
`= --� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/21/2005
PARCEL: 1S 135AA -AC001
SITE ADDRESS: 10420 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION: TIG
Project Description: Building 3: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave. 6/2/06 AC added to unit 14 address
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 10
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 5
STORIES: 3 BOILERS /COMPRESSORS HOODS: 5
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 5 AIR HANDLING UNITS CLO DRYERS: 5
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 5
> 10000 cfm:
GAS OUTLETS: 25
Owner: FEES
MATRIX DEVELOPMENT Description Date Amount
12755 SW 69TH AVE, SUITE 100
TIGARD, OR 97223 [MECH] Permit Fee 11/21/20C $553.40
[TAX] 8% State Surcha 11/21/20( $44.27
[MECH] Permit Fee 6/2/2006 $14.00
Phone: 503- 620 -2020 [TAX] 8% State Surcha 6/2/2006 $1.12
Total $612.79
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -1184
Reg #: LIC 447
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 follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By:
/Zia
jrz Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
R�k 6.
AD if/c p&
10 Ida it 5 PO& /Z ///0 91g / f�s� a
/q)3/ zli)
8,.,loma- y gu
llD /N63 BU /lDu✓G 2 /Jvi�DiNG J-
tt)
v'
CITY TIGARD MECHANICAL PERMIT
1 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00760
X 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/21/2005
PARCEL: 1 S 135AA -AC001
SITE ADDRESS: 10420 SW 90TH AVE ZONING: R - 4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION: TIG
Project Description: Building 3: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 10
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 5
STORIES: 3 BOILERS /COMPRESSORS HOODS: 5
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 5 AIR HANDLING UNITS CLO DRYERS: 5
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 5
> 10000 cfm: GAS OUTLETS: 25
Owner: FEES
MATRIX DEVELOPMENT Description Date Amount
12755 SW 69TH AVE, SUITE 100 [MECH] Permit Fee 11/21/20C $553.40
TIGARD, OR 97223 [TAX] 8% State Surchar€ 11/21/200 $44.27
Phone: 503- 620 -2020 Total $597.67
Contractor:
BELL HEATING
15550 SE PIAZZA AVE REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Phone: 503- 656 -1184
Reg #: LIC 447
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 follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 - 2344. i�
Issued By:, Permittee Signature: _ /` /S
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completio• • ' the project.
Approved plans are required on the job site at the time of each inspec on.
•
Mechanical Permit Application FORM:110E USE ONL ' '
'City of Tigard Received �/
Date /By +_ /� Permit No.:N .r/! ((J
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960' CA i �; M ; /I aj - e\ Date /By Other Permit:
Inspection Line: 503.639.4175 ^ � 40 �� m � :Jih
��U V J Date Ready/By: Juris: See Page 2 for
Internet: www.ci.tigard.or.us �� � Notified/Method: Supplemental Supplemental Information
� 1
TYPE OF WQtiK \S \"'' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
M1 New construction ' / v "(..1 ' Mechanical permit fees* are based on the value of the work
• ❑ Addition %altedtlon/replacement
g � \\�" performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
' CATEGORY OF' C ONSTRUCTION . Value: $
RESIDENTIAL EQUIPMENT % SYSTEMS..FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
ffA Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. I Ea. I Total
. • JOB 'SITE INFORMATION AND LOCATION Heating /cooling -
Job site address: /0.4-42. D siiJ '7O Air conditioning or heat pump o0
(requires site plan showing placement) 14.00 I t .+� "'
City /State /ZIP: 77 �% iR 9 72 2 3 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) & 17.90
Suite/bldg. /apt. no.: 3 Project nameA BRc4 £ /jDO/II /,v��tts�It�Cat pump 14.00
Cross street /directions to job site: 90 i ' A " v404 -k Duct work 5' 14.00 7,6
Hydronic hot water system .5 14.00 16
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: 4sniRRco k Lot no.: Other: 10.00
Tax map /parcel no.: / S /3544 ...A6-00/ Other fuel appliances •
DESCRIPTION OF WORK Water heater 10.00 523•O
Gas fireplace 10.00 fi
Flue vent for water heater or gas
fireplace 5 10.00
. Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
PROPERTY OWNER I ❑TENANT Other: 10.00
Name: i i g T 12 / X Dc v € %,O. - t,v7_ Environmental exhaust and ventilation
�+
_ Range hood/other kitchen
Address: /2755 sly 69 A„4t1E ,s0/7E cod equipment 5 10.00 5b'°
City /State /ZIP: R1) OR , 9'7223 Clothes dryer exhaust .. 10.00 5/).°°'
Single -duct exhaust (bathrooms,
Phone: (,'Q3) 620- 2020 Fax: ( ) toilet compartments, utility rooms) 10 6.80 log,
❑ APPLICANT 57 CONTACT PERSON Attic /crawlspace fans 10.00
ke Other: 10.00
Business name: N�jftJC-S Fuel piping
Contact name: 6 k I U, 2 $5.40 for first four; $1.00 for each additional r
Address:
Furnace, etc. S - •
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( SO3) `739 r cog Fax: : ( ) Water heater 'O
. Fireplace • L ; d0
E -mail: Range S 1 g A - AO
CONTRACTOR " Barbecue
Business name: r /� l , /A/c, Clothes dryer (gas) 5 5 °O
�/ nn r Other:
Address: 1 s J, Ea ��tz;ZA Ave MECHANICAL PERMIT FEES*
• City /State /ZIP: C//tC -4 j. OR. q70 /5 Subtotal 553 • a
Phone: (SO 3) 456 j/gy Fax: (So 3) 6,c6,-7,51/. Minimum permit fee ($72.5
Plan review (25% of permit fee)
)
CCBlie.: State surcharge (8% of permit fee) lilt .9-4
TOTAL PERMIT FEE 597,19 7
This permit application expires if a permit is not obtained within 180
Authorized signature: i days after it has been accepted as complete.
Print name: � j / 'l'tj .�� c 7 . - Date: 7_5/ * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\MEC- PermitApp.doc 12/03 440-4617T (I1 /02 /COM/WEB)
Mechanical Permit Application - City of Tigard •
Page 2— Supplemental Information • • .
Commercial Fe Schedule:
`Total Valuation:' - „Permit Fee: ,
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.11 and $2.30
for each additional $100.0'4 or fraction
thereof, to and including .5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5 100.00 and
$1.80 for each additio al $100.00 or •
action thereof, to a' d including
$ 1,000.00.
$10,001.00 to $50,000.00 $23 .50 for the fir.t $10,000.00 and
$1.3 • or each a. ditional $100.00 or
fraction • ereo', to and including
$50,000.0 ■
$50,001.00 to $100000.00 $771.50 fo bq e first $50,000.00 and
$1.25 for •ach : dditional $100.00 or
fractio ereof, and including
$100,110.00.
$100,000.01 and up $1,3.';6.50 for the first '.100,000.00 and
$1 0 for each additiona .100.00 or
action thereof.
Note: All new corn i ercial buildings require 2 sets of pl
•
•
•
•
i:\Buildin PermitApp.doc 12/03 2
•
CITY OF TIGARD vv) ��
BUILDING DIVISION PERMIT #: r
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: �� C�
Phone: (503) 639 -4171 e' a>fln��i�g� fl
Inspe Requests (24 Hrs.): (503) 639 -4175 A-
INSPECTION WORKSHEET FOR DATE: ( 4 / 2„A A-6 TIME: PAGE:
SITE ADDRESS: , V 42,...,0 /,( CLASS OF WORK:
SUBDIVISION: LOT #: 6(.0 . TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
(SCI \AA,C.1" Fr-;;°-4--
Corrections /Comments / Instructions:
t,
�/ k ,
i
A / tau
k / '� / A.; �-
t. / LA
i ,.-e - - <4 ' X ''" 2-- .
f
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v° (16 e..- Date: ( -4 / 2• A / 6 co Phone #: (503) 718- 7
•
CITY OF TIGARD -- n-
BUILDING DIVISION PERMIT #:a 0 S 06 74 6
13125 SW Hall Blvd., Tigard, OR 97223 ._ DATE ISSUED:
Phone: (503) 639 -4171 1 1 481 ' y� i � p �fl
Inspection Requests (24 Hrs.): (503) 639 -4175 •
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / l D 9 o ' a"' CLASS OF WORK:
SUBDIVISION: I LOT #: .. ), TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: (o -(6-04 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 gep !�i-Z. "�* a 7- 73 S (e
Corrections /Comm - nts /I structions: q
l ✓1 I I k/ n �/ L k; : Q3 �vo
&'f) s - .
)-Z A-- & 41a-,k -- h) ' wt-U --- erCt-----__
_ - / > i L/ �
koei2t G: v n --)_. k.,
,,,,,c,l__,,,,,__., I, V c„s 5 I (Jr'
i r & 6 — 1" s,e i/Jk — -1 r c• ? L--c thQ...it ,
k.A51-7.2A
L enelk,,, ct/L-1 4 4 - 1 - 0.-9._ .
`► SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘4,1\
Date: WI (9( Phone #: (503) 718- 7—%f2)-1
_ •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00760
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11121/2005
Phone: (503) 639-4171 ,440,
Inspection Requests (24 Hrs.): (503) 639-4175 _Ai el I
INSPECTION WORKSHEET FOR DATE: 611312006 TIME: 7:22AM PAGE: 36
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: Building 3: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave. 6/2106 AC added to unit '14
OWNER: MATRIX DEVELOPMENT, PHONE #: 503-620-2020
CONTRACTOR: BELL HEATING PHONE #: 503-656.1184
Inspection Request Scheduled For: Date: 611312006 Pour Time:
Code # Inspection Description Confirm # Contact # Me
699 Mechanical final 031640-01 503-2097386
Corrections/Comments/Instructions:
•
PASS PARTIAL APPROVAL CANCEL fl NO ACCESS
I I FAIL pi CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: 1)/ ( . 0 ' Phone #: (503) 718- Lfz-kr
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200500760
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 p
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7 :08AM PAGE: 51
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: Building 3: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503.620.2020
CONTRACTOR: BELL HEATING PHONE #: 503-656-1184
Inspection Request Scheduled For: Date: 61212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 031002-02 503. 209.7386 N
Corrections /C mments/Instructions
I -" l C vU s
- 1 0 4 7 -(e 11::\ .
td Li za Q
t 0 Lf ' i1
1 6 t •2-o 1
4
*0 4-'24, 1
4
►fir . )(Q 6 ()A.e.. ct SIB - 6' -- lrck}L --e .
41 4
- co k? ek--e, v X22 6,, k,,Lic r S 41,,,j 4 p ;u4 C1
1 a t-f ZZ k d Al 5t- s_ x.c . ' — z_ AA-; . '
4ti q 71 1\i 6 L \ z U „ '>ivt'i w . #3 c.e r
i ts• 1 12 Co Lf D A/G- 5 _ j.— -- - .*.• w"
1 0 Li 2 ' 1 .
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Vi'1 L Date: r `�' Phone #: (503) 718- 0
c .
C IT . J TIGARD .
•
BUILDING DIVISION PERMIT #: I IFC 2005. 00760
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
11/21/2005
Phone: (503) 639 -4171 ■■ , i �@�'�
Inspection Requests (24 Hrs.): (503) 639 -4175 .„111- •`'II
INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7:01Ah PAGE: 110
SITE ADDRESS: 10.i20 Sw 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 00 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: marling 3: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 30th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503 -620 -2020
CONTRACTOR: PFLL HEATING PHONE #: 503- 656 -1184
Inspection Request Scheduled For: Date: 2/2.1/ 10106 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 027637 -06 503 -209 -7386 N
Corrections /Comments /Instructions: •
Ir. 1/ o r • .. ►` 1.• OP •
, , 11!
AM I -- V
•
•
ASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL OR INSPECTION I 1 ADDITIt AL 'EES ASSESSED
,'
Inspector: IP / P Date: 0.o Phone #: (503) 718 - AO
or
• r.
CITY OF TIGARD . _ =�
BUILDING DIVISION PERMIT #:, ,5 db 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171ii�'+I
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: --------- TIME: PAGE: 0 SITE ADDRES CLASS OF WORK: •
SION: LOT #: Q' 1)6 TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
Lr- –1
OWNER: J �`�' ` ✓ PHONE #:
CONTRACTOR: � � - � � i PHONE #:
0 I5z ection Request Scheduled For: Date: . j - 1.3 U co Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 i5 e jiALd . a Dl -- 73 no
orrections /G ments /Instructions: ll
) Lv)(' L O
•
r / - , SS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � il ` `� D ate: 3/ f C/S Phone #: (503) 718- Vi y
CITY-OF TIGARD 1 ilitz. ''n ��
BUILDING DIVISION k PERMIT #: 2_,.70 o p 7 D
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Via Phone: (503) 639 -4171v tNgpp��l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'! '__�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: (O v 7, CLASS OF WORK:
SUBDIVISION: TYPE OF USE:
PROJECT NAME: d
DESCRIPTION:
OWNER: . l ' 1/ 1 4A . PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: . Date: 3 ....--7_ Pour Time:
Code # Inspection Description Confirm # Contact # Message
/s 1�J i --P co? - 7 ?? U-"--'-o .
Corrections /Comments / Inst� :, h .�.�
i b ( i — [i,'I', . , ly,, A.,,-,-,,e-,,,,••. - I .
, 1 3 -- ' 5 ( \l ...aztaivvriLt l
Y V m -3.5 . S cL J W
A-4-_ o c c
t — Oz--kah4S 1 V9-i'L �J U� Q C .
_ toeZ -c ! ` Y a./l�- � cr' e e
‘4( 1 I C Azi,°_,,,v,-„,„:,-, . c 0- ee‘ect, ' •
v , q 6 4G-7.1) 8,,
( ig" (h) \( t l,s -6,' au
_f-1, -p--(..L,1/4... 8
•
N 11is
Pte-- 5 nn_4 - w■(: c
6- '-'1/S.A - .„ ----- /
IAJDA-v-z c, 0
-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: V 6 '" DateT ? /° Phone #: (503) 718- f/ / 2
.
�.
Inspections Required for: H e_ c ? 5,
1 ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date 1 By
BUP - Building Permit _ ELC - Electrical Permit
405 Excavation 105 Underground /slab cover .
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
_ 310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
•
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low. voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
•
270 Reinforcing steel (rebar)
275 Framing MEC - Mechanical Permit
810 MFG - Structure set -up
280 Insulation 605 Post/beam mechanical
285 Drywall nailin 610 Gas line Z7 6C
287 Suspended ceiling 0_ J 615 Mechanical rough -in : / Q (o 1
295 Misc. inspection: 620 Hydronic piping .
899 MFG Structure final 625 Duct work 1,/i S 4.
630 Fire damper .
498 Grading final
299 Final inspection 635 Smoke detector shutdown
* . III 640 Exhaust hood
695 Misc. inspection:
" 699 Mechanical final
y.. • BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
•
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test _ 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in 1 •
998 Alarm final RP/backflow preventer J
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection: I
205 Footing 399 , Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 06/17/2005
•
\ MECHANICAL PERMIT
'' r DEVELOPMENT SERVICES PERMIT #: MEC2005 -00760
r n y:'�': DATE ISSUED: 11/21/2005
' ,..: -..„ 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171
PARCEL: 1 S135AA -AC001
SITE ADDRESS: 10420 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: ASHBROOK.CONDOMINIUMS LOT: 001 JURISDICTION: TIG
Project Description: Building 3: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10420, 10422, 10424, 10426 &: 10428 SW 90th Ave. / ,
-- -- — � /2 /d Ld a. c
r CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: •
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 10
OCCUPANCY GRP. R3 VENTS W/O APPL: VENT SYSTEMS: 5
STORIES: 3 BOILERS /COMPRESSORS HOODS: 5
FUEL TYPES 0 - 3 HP: f DOMES. INCIN:
NAT 3 - 15 HP: COMML. !NOUN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 5 AIR HANDLING UNITS CLO DRYERS: 5
OTHER UNITS: 5
• i FURN > =1001 BTU: <= 10000 cfm: GAS OUTLETS: 25
-- - —_ — > 10000 cfm: - - -- — -
Owner: r - FEES -------- - - - --I
MATRIX DEVELOPMENT I - -- Description Date Amount
12755 SW 69TH AVE, SUITE 100 — - - i
[M EM] Perrmi Fee 11 /21 /20C
TIGARD OR 97223 ] v553. +0
[TAX] 8% State Surchars 11/21120C 544.27
Total $597.67
Phone: 503 - 620.-2020
q 3
Contractor: ' .
V
BELL HEATING t
..1 U'
15550 SE PIAZZA AVE REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015 - - --
Phone: 503 -656 -1 184
Reg #: LIC 447 0
0
•
15
Th is 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 follow rules adopted In the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503- 246 -6699
or 1-800-332-2344.
Issued By: '° 1 y 7,� ; ,,,,r� X17,_ Permittee Signature: � °'�/ ' „f ' . y , y /
Call 503 - 639.4175 by 7:00 a.m. for inspections that business day. '
This permit card shall b.; kept in a conspicuous place on the job site until com�pleti9 ff t project.
Approved plans are required on the job site at the time of each inspection.