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11580 SW CLOUD COURT
11580 SW CLOUD COURT : In \ \ \ \ \ In ) k ± t t # V < G G (Cl 3 \ \ \ [ T \ (o / f g . / \ / � 2 k � D n _ m m E O @ \ 0T CD R � & . . 7 2 m m 0 . � � § g $ / 6 In \ $ § o � � co ( �7 & % CL 2 § § � \ 4 ( @ gLA{ � 7 E E J$ § � $� K � % 7 ( % CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP _ --- Date Reques/t�e/d! ---AM- PM BLD Location—_��jL. - ��C Suite _ MEC Contact Person — _ Ph ��— PLM Contractor— _ Ph _ SWR BUILDING Y i— Tenant/Owner — ELC _ Retaining Wall — Footing ELR _ Foundation Access: g�S '//'� res Fig Drain --- Crawl Drain Not Requested SGN Slab hound During Research - _--- Std _-- Post$ Beam _ Ext Sheath/Shear No In�n�rtinn(sI In pile Int Sheath/Shear Framing -- ----_. ---- --- ----e�_ InsulaUc.n ---- -- -.---_ _- Drywall Nawng — - Firewall -- - - — Fire Sprinkler Fire Alarm ---- Susp'd Ceiling - Root - Misc incl PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL. MECHANICAL _ Post R Beam --- ---- --- - — Rough In Gas Line Smoke Dampers Final ---. ._ --- PASS PART FAIL ELECTRICAL - - Service Rough In UG/Slab Low Voltage -- Fire Alarm Final — — ---- - PASS PART FAIL. SITE -- Backfill/Grading - - Sanitary Sewer Storm Drair [ j Reinspection fee of$ required before next inspection Pay at City Hall, 'i 3125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE:_—_— — — — _ ( j Unable to inspect-no access ADA Approach/Sidewalk Other pate _----- Inspector Final - --- ---- - Ext PASS PART FAIL DO NOT REMOVE dais inspection rel-ord from the job Site, CITY OF TIGARD MECHANICAL. DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PPMIT #. . . . . . . : MFC96-0778 DqTF ISSUED: 11/01/96 PARCEL: 2SIIQIBA-02900 SITE ADDRESS. . . : 11580 SW CLOUD CT SUBDIVISION. . . . : SHADOW HILLS ZONING: R-2 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..35 ----------------------- r-------------------------- ------------------ CLASS OF WORK. . :-VrPJ1t FLOOR FURN. : 0 EVAP COOLERS: 0 TYPE OF IJSE. . . . .-SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APPL-. 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL rYPES-------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 : /GAS/ 3-15 HP. . . . : 0 COMML. INCINs 0 MAX INPUT: 0 BTU 15--30 HP. . . . - 0 REPAIR UNITS: 0 FIRS' DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . t 0 NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 2 FURN ( 1.00K BTLI-. 1A (= 10000 cfm: 0 GAS OUTLETS. : 2! FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks: Installing two gas log heaters and gas piping Owner: FEES ------------___.._ DAVID DOUGHERTY type amol-int by date reept .11580 SW CLOUD CT PRMT $ 25. 00 B 11/01 /96 96-286009 5PCT $ 1 . 29 B 11/01/96 96--2186009 TIGARD OR 97224 Phone #% 620-7971 contract or.: OWNER Phone #: $ 2 S. 25 TOTAL Peg #. . : 13125 REQUIRED INSPECTIONS TI:s pe!"it is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp Applicable laws. All work will be done in accordance with Final Inspection apprnv@d Mans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. Permittee Spatt.1 V Issi.ied By : Call for inspection 639-4175 CITY'OF'TIGARD Mechanical Permit Application at Check 't�—�—'`�-TV'. —^ — 13125 SW HALL BLVD. Commercial and Residential Date Recd_Lt" TIGARD, OR 97223 Date to P E.— (503) 639-4171, x304 Date to DST Print or Type Permitill M_Ec SIL J i7' Incomplete or illegible applications will not be accepted called — �------ wm.a o+��rePrnrnvPropq --_— Oescnpbors Job Sew Mata _ Table 1A Mechanical Code OTy PRICE AMT t A) Permit Fee -0 t0.Q0 Address BI QrWitrtt LP B) Supplemental Perrnrt �NamId ntrr twv>.al 1.) Furnace to 100.000 BTU OWt1ef 6.W r �r h - �� G, �' v >•rE/�%`1 ina duds a vents M"Aarrtttr _ 2.j Furnace 100.000 100.000 BTU '✓Stwv 7.50'. u� t ' ntu d.ducts a ver . % Q CSU r.'r_ ()i(� '`�J 6�o-�f j' 3) Floor6.00 work MOM It►font d butntyr __ •.) Suspended Re tler,wa/boater 6.00 or Boor mounted healer Occupant US"Aaafw 5.) Vert not nit.in 3.00 "Ptianot P'Q — `'0 T°f Apr• 6.) lldNr a - -_ �nP.heat pump,ar cond. 6.00 —' y - - bo 3 HP;absarp unit to 100K BTU �• 7.) &biter ar axnD,heat pump.air cores. 11.00 Contractor Myo Aesisitt l ►� �P urwl to SOOK BTU 8) Baler or comp.boat pump.ar cm, 15.00 Atbrch copy of Ctwstira. av Pt+ar - 15:0 W.abtswp unit.5.1 and BTU Current Licenses 4.) Bode'or cam.heat pump,asr—A 2250 X50 uhf 1-t.%5 rrtil BTU xTrgon Cera corK nose is r E=P Darr, 10.1 Bader tY �}P.haat Pump.ar cond. 37.50 :4i 9�anesa Ta oo.•rao■ —-- '50 HP`absm unit 1.75 and BTU E.a.hats 11.) Ar Irani ng urd to •50 Architect "oTM --- ;Asrharmd&V CFM — 12.) unit - 7.SAOr M•+w�aur.Trs ------- TM+ 13) table — a 50Engineer cayrstw. Lv vr,or,: e cooler14) corxheded 3.00 Desahh I work New O Audition O AReration�--^ to a single dud Reper O 1 S) Venbladon system not to be done Res•denbal Non-residential O nded n pei" 450 du Additional Descnpbon of wont 16 Hood served by ,fa-%Ln�f� /I]2:1t/r-4/ CIa.Ji,i�C ,�!-�' ) mechanical exhaust 450 17) Dnrnesbc ndnerator a 750 -Exatmg use of — 18.) Canrnerma!or rxfusMal 3000 twilling or Pmlk KY C A-a;.�C-d>L;�1 tyAe ncinerator 19) Clothes dryers,etc 4 50 Proposed use of %�l - 2U1 Ottxr units �—— ----- building or Property�1�5,Carr 450 Type of h!et-orl O natural gas© LP(:O electric O _ 21 j t;as - --- PrP�9 ane to fora outle's 200 I hereby a&rxr edge that 1 have read thrt ac p+inhon,that the :2) More than 4-per outlet (eau1 mfonnation given is n otrea that t am the owrx-of authorised agent of ) 50 the owner.that Plato Submitted am in compharim with Oregon State --- laws- -%.SUBTOTAL Signatur!Of OwnedAgerht Date _W- --- - _� - -SUBTOTAL S%SURCHARGE-1- COttf�et c Phorre PLAN RE-VIEW 25X OF SUBTOTAL pr,doc __ TOTAL eY 7/96 '1Nlrum,sn Perrnd fee is S25+5%surcharge : / % G / / { \ \ 2 � � / a E } § ' ho E 3 � n o � � @ i U ? m } � * (AD \ / \ 0 00 00 \0- c# / m\ ; } S % L ; 0 � CITY OF T I GARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PLUMBING PERMIT I I #. . . . .. : PLM94-006t..: 6,69-4111 DATE ISSUED: 05/31/94 PARCEL: 2'5110LAA-02900 I TL: ADDRESS. 11580 SW CLOUD C1 -)UBD I V I S I ON. . . . SHADOW HILLS ZONING: R--2 . . . . . . . . . . LOT. . . . . . . . . . . . . ..Y-i ' LAS' —' E Of- WUPK„ DISPOISPLS. . : MOB ILES HCML I YPE. Ull- USE. . . WASH,(NIS MACH. . . . . . . : BACKFLOW PREVNIRS. . UGLUP14NLY GRi".. I L.Uu!t . . . . . . . I I . . . . . . . . . . . . . . '-j I UR I ES. . . . . . . . :c: WATER HEATERS. . . . . . : I CATCH BASING. . . . . . . : F I X TURES LAUNDRY TRAYS. . . . . . SF-' ROIN DRAINS. . . . . : S I I'A K S. . . . . . . . . . URINALS. . . . . . . . . . . . GREASE TRAVIS. . . . . . . LAVATORIE-S. . . . . OTHER FIXTURLS. . . . . I ULA/1;:iHIJWL RS. bF*WEN L INL ( f t ) .. . . W()TER WAFL'N LiNL U I;jHWHSHI:.RS. . . . RF41N DlqHll\l (tt ) . FEES ;,n',Jlr,) DAUGHI-z'RT'Y typp amol.Int by date r, ! ')80 �aW CLOUD C1 F7,PMT $ 25. 00 LALT 05/31 /94 5V,CT Ill, 1. e5 BLT 03/31 /',`14 I :BARD OR 97C_---'1i ��-,honp #.- /1--l / NE Ic'"TH -UPILAND UR 9/,E:l-'-1 .......-———— I:,FI c.T 1 W 44 C,7.)1:` - :,6 L'i`6 t 26. 25 TOTVIL Req 3E'65RI3 REPUT RED I NSP,E.(.-,T I ONE; This pervit is ,ssued subject to the requiations contained in the I op--.o .it Inst ligand Municipal Code, State of Ore. Specialty Codes and all other- final Inspect Lon aptiiicable laws. Ali work will be done in accordance with soproved plans. This pewit will mire if work is ii4i started within 180 days of issuance, or if work is suspended for tore than 180 days. d 1Ay Lal 1 t ol, inspect ion 639---4175 x m rr, U-3 n_ rj 'C' rn f— cl r— z k7 I raw, fit Lr. M r': M D 2: M 0 rin r." 3 rr I Z D .1: C, z 1: Z z Mr Lr, S V -it i CITY OF TIGARD PLUMBING PERMIT 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing TIGARD, OR 97223 business tx aunt be property owner/operator no(hiring outside help_ (503)639-4175 Nerve of Oevaioprnern Plumbing Permit No. Add" Desc u l _ OFIS 14-2 Job pa';/�7 rn1"r/ ORS 814-21-810 OUMI. PRIC[ AMT. Address FIXTURES 1n1� saxw'lon rirek750 Name «name Lavatory — 7.50 Tub or Tub/Shower Comb. 7.50 e s / �` Shower Only 7.50 7 - -- Owner . Z1t Water poser 750 Dishwasher 7.50 Garbage Disposal — 7.50 ;•i>me — Washing Ma tw" _ — _ 7.50 — Fbor Grain 7.50 MajWV Toss Ptvxre Water Healer -- -- 7.50 Latxxky Boom Tray 7.50 Occupant City/slate--— lip — Urinal _ 7.50 ---- --7YwF—r e— Other FaRftxes(apeafy) — _V7,50— 7.50 MaAKV ass Pftoree — -- 7.50 Contractor zStat � Zip ----- � 7.50 7 ,)_ MISCELLANEOUS — 'I ax Sewer 1 sa 107 30.00 s. tate Sewer-ea.Addd.100' — — 15-00 --- (ResderMiaQ Water Service 1 st 100" 20.00_ 1 hereby eclvtnwledge that I have reed d is applicatt %that the kdormation Water Service ea.Addit.2Mr Y 15.00 -- given is oorrect,that 1 am registered with Cw fAate Suldses Board.and bkO Storm R Rain Drain 1 sL 100' 30.00 have■State Pkxnbkeg So nse that the rnxntxun given ars correct.Cut all -- -- pkxnbing work wit be done in accordance with applicable provisions of Ore Skxm iL P 7n 11<ain Addit.100"— -- 15.00 gon Revised Statutes Chapters 447 and 643 and appk*Me oodes and Cum Mobile Home Space 25.00 no help will be employed unless Iloenaed under ORS 6 I(It eKsmpt horn -- -- — Stats regimation.please give mason bebw). Back Flow Preverwon "OMEOWNERS-1 hereby certify thaf f am the owner of Ce property de- Device«Areti4lloIhAion Device 3'50 scr t)ed above,at wMch WAtkxe 1 propose to maks a pk mt*V Instailatlon ler Any Trap or Weata Not my o'q use 7sMproperty Is not belIM oonstrtxopd kx base or reot Corrected b a Fuhxs V 7.50 /A Catch Basin 7.50 kap.of Fids+.Pkin"— V _ 40.00 Per Nr. _- _.—_e ----- Smeary neqLmwled hspec d— 40.00 Per Mr. --- Aker.of PUxnbkq*4011 an E>detkeg Bldg. 15.00 min. AUTHORIZED SIGNATUDIF ^— --- flwtw New Bldg.or BuMd.Addition M 25.00 mom. --- — — Dmin,sirlc�le—falnil _, -- Desrxibe work new[] addition U] aftE] repair❑ 'uin3 6-0 — k be done -- residential t=>dswtq use of btAk*Vorpropwty —_—_-- $25.00 minimum SUB--TOTAL Propueed uee of �— 5% SURCHARGE 25% PLAN REVIEW This penna b000rnws nue end wSd M work*or oonsonxAon ac,Cvrtrad Is nd corn- -- -�-- TOTAL_- enanosd wkhln 160 dwys or M raxrVur*in or Roe k 4a staperrded n abandorwA Lor a poesod d 190 days d"bow attar v w*to oorrwnAncad- tt MC1AL COIf7ITk*M_ Date Issued by — 11 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT'#: MEC2002-00458 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/16/02 PARCEL: 2S11 0BA-02900 SITE ADDRESS: 11580 SW CLOUD CT SUBDIVISION: SHADOW HILLS ZONING: R-2 BLOCK: LOT: 035 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: _ FUEL_TYPES _ 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODS"fOVE5: GAS PRESSURE: 50 + lip: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING_ UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm. GAS OUTLETS: > 10000 cfm: Remarks: Replace gas furnace. Owner: __ FEES DOUGHERTY, DAVID L/LYNNE D Description Date Amount 11580 SW CLOUD COURT �%1LCFII I'crmit l cc 10116!02 $72.50 TIGAF2D, OR 97223 IMI:CHI 1'ermit Fee 10/16/02 $0.00 1 I'AXj 8%State'l'ax 10/16/02 $5.80 Phone: I I AX]8%swtc"i a.x 10/16/02 $0.00 Contractor: Total $78.30 COLUMBIA HEATING + COOLING INC P.O. BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Phone: .' I-_17(1.1 Heating Unt Insp Final Inspection Rei#: ,) This permit is issued subject to the regulations contained in the Tigard M ,iicipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are sec forth in OAR 952-001-00 Issued By: _ ,f'` C c. �. Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day `�"�� Mechanical'PermitApplication Daterecelved: Permit no.:�rl fJ��yJ 1 ' City of Tigard Project/appl.no,I Expire date Cit)of Tigard AddieA* 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639.4171 Date issued: By: Receipt no Fax: (503) 598.1960 Case file no.: Payment type Land use approval: 113 Liddingperrnit no.. f 0 1 & 2 family dwelling or accessory 0 Commercial/industrial U Multi-family O Tenant improvement 0 New construction O;kddition/alteration/replacement O Other: Job address: Indicate equipment ui quantities in hnYrc q p q below. Indicate the dull:u Bldg.no.: J Suite no.: value of all mechanical materials,equipment, labor,overheuu ?•ax map/tr,x 17t1account no.: profit. Value$ Lot: � 113lock.7 Subdivision: •See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee City/cuunly: ZIP. lf� Description and location of work on premises I F1 11.1111 , t Fee(ea.) l ural Est date of complelion/inspecti n: Description _ Res,orill Rey uid, Tenant improvement or change of use: Is existing space heated or conditioned?U Yes ❑No Air handling unit CFM Is existing space insulated?O Yes O No ircon iuontn (site plan require ) teril of existing system Boller/compressors Business name State boiler permit no.: rd /A/4 w G _-. 1� HP —.Tons__BTU/H Address: �Q O Q oK J,i Q 3 ire/smoke ad mpers/d::ct smo a etectors -"- Ctty �l G A QD State: ZIP; 97/asL — eat pump(site plan tegw:• ) — Phone: Fax' E-mail: nsta rep a utnac urnor a2aa / —t�----' CCB nu. 7G 3 Zor 9 Including ductwork/vent liner V Yes O Nu nsta rep ac re owe eaters-suspends , " City/metro hc,no.: L:�._2,R-_ __ wall,or floor mounted Name (please pnnt): /7?,'� o e o�S ent r appliance other than tannate - e gent one Absorption units BTU/H _ 7Add,ess: q b ,�}�qN Chillers HI'T Com ressors Hp re enta ex ust an vent at on:State: ZIP; Appliance vent Phone: Fax: E-mail: Dryerex aunt Hoods,Type res. uc eUhazinat hood fire suppression system Name: �., Exhaust fan with single duct(bath fans) Mailing addre s: / si<I �'- o T --Exhaust system a art from heatino or A —+`—`--' City: j state:6 ZIP: Fuel piping and distribution up to 4 outlets) Type: --LPG NO Oil Phan >�� r' Fax: E-mail ue 1 in eac a itlona over 4 outlets N:1 1`1rocess piping(sc ematic requlrt ) Name: Number of outlets - -- - -- -- ler appliance or equ pment: Address Decorative fireplace City. State: Zip. insert-type Phone: Fax: E-mail Woo slov pelletstovi Applicant's sigr 7 Other ter: Name (print): i Not all lurisdicuons accept credit cards,please call Jurisdiction for nwre Information Permit fee.....................$ 0 Visa 0 MasterCard Notice:This permit application Minimum fee $ Credit cud number: expires if a permit is not obtained plan review(at ____ %) $ _ Expiry within 180 days after It has been State surcharge(8%) ....$ Name of cardholder u shown on c 't card accepted to complete. Ckdhotcletsiptature Amount 440-1617 t60ry('GM CITY OFTIG4RD 24-Hour 13UILDING Inspection Line: (503) 639-4175 MST --------....._--- INSPECTION DIVISION Business Lire: (503)639-4171 / BUP — Rece �d ____ '/ —Date Rey st _ __1 AM PM __. _ BUF --T Location __ r .� � Suite _ MEC 'a Contact Person ---_._ ___�—___ _ Ph(—.—_) _ a' FLM Contractor --- -- --- — - Ph(---) �- SWR BUILDING Tenant/Owner __-. _ _ __ __ ELC Footing ELC _ __- Foundation Access: Ftg Drain ELR Crawl Drain _ _-_ - Slab Inspection NU S: SIT - -. -- Post& Beam - Shear Anchors -- - - - - - Ext Sheath/Shear - - - Int Sheath/Shear Framing -- - - - - - ----- - Insulation Drywall Nailing --- -- - Firewall Fire Sprinkler -- — _- - - - Fire Alarm IX41 v - Susp'd ,ailing _— Roof Other: Final _ _ __— PASS PART FAIL ------ Post& Beam Under Slab -- ------- --" Rough-In Water Service --- - -- -- - --- Sanitary Sewer Rain Drains - - - — Catch Basin/Manhole Storm Drain -- Shower Pan Other: --- - . Final PASS_ PART FAIL _MECHANICAL -- ___ _-_-- - ----- -- - per,t!. Beam -- -- gough-In ---- ------�� _ -- — -_ Gas Line Smoke Dampers -- — - ------------- - -- -- - S PART FAIL - --�- ---�-- �- ---- -- Service Rough-In UG/Slab Low Voltage ---------_--- ---- - Fire Alarm Final Reinspection fee of$__ ____ required before next inspection. Nay at City Hail, 13125 SW Hall Blvd. _PASS PART FAIL SI1 t _ Please call for reinspection RE:._ L Unable to inspect-no access Fire Sup,Iv Line - lq2�1 ADA Data ✓�j- C� ._ Inspector __ Ext _ Approach/Sidewalk Other:_-. ____ - Final DO NOT REMOVE this Inspection record from {the job site. PASS PART FAIL