Loading...
InitiallyGood 0 w 0 C, � W I O N i v m r h !TI l i i i i w 10300 SW BRMKSIDE PLACE CITYOF TIGARD __ MECHANI'-AL PERMIT DEVELOPMENT SERVICES PERM,T#: MEC2002-00588 13125 SW Hall Blvd., Tigard, Ort 97223 (503) 639-4171 DATE 13jUED. 12/18/02 PARCEL: 2S 102BB-00812 SITE ADDRESS: 10300 SW BROOKSIDE PL SJBCIVISION: BROOKSIDE PARK ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG r' ASS OF WORK: ALT �71-00k FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILRRS/COMPRESSORS _ HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTI 15 - 30 HP: RL-PAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRE:,SURE: 50 , HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS _ OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replace Owner: _ _ FEES GRAVES, MICHAEL R AND Description Date Amount JANINE D I AXJ R%StateTax 12/18/02 A $5.80 10300 SW BROOKSIDE PL TIGARD, OR 97223 IM111C111 1'ermit Fee 12/18/02 $72.50 Phone: Total $78.30 Contractor: COLUMBIA HEATING + COOLING INC; P.O. BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Phone: 624-2104 Heating Unt Insp Final Inspection Reg #: LIC 76359 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance.kith approved plans. This permit will expire if work is not started within 180 days of issuance, or if worn is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopied in the Oregon Utility Notification Center. Those rules are set forth in OAR 9F2-001-00 Iss ed By: ( { Permittee Signature: Call (503) 6 1 9-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit kpplication Date received: lit /p Q,`- Perr.ol no City Uf TigardProject/appl.no.: Expire date: o City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt r Phone: (503) 639-4171 Fax: (503) 598-1960 Case rile no.: Pa,went type: Land use , proval: Building permit no.: TYPE OF PERMIT U 1 &2 family dwell+ or accessory ❑Commercial/industrial U Multi-family U Tenant improvement U New constnu titin L`t'&ddition/alteration/replacc.1-ni U 011ier. t t Jub address: (✓, >�; , ,� / Indicate equipment quantit+e,in boxes below. Indicate the dollar Bldg,no.: suite 110.1 value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: T profit. Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: jurisditJon's fce schedule for residential permit fat•. City/county: ZIP: ' s7 t Description and location of work on premises: t t I ee(ea.) Total Inst,date of coinpletionJinspecti Ik:.criplion Qty. Res.only Res.onlyl Tenant improvement or change of use: Is existing space heated or conditioned?O Yes U No Air handling unit CFM Air conditioning(site p�required) _ Is existing space insulated?U Yes U No Alteration of existing HVAC system MECHANICAL CON1RA(711-0114, Boiler/compressors Business pante: �e State boiler permit no,: Ll1liL�%r C4>LlNG HP __Tons BTU/H Address:: Q yX ��03Fire/smoke amprrs/ uctsmo a detectors City:_ 'r/G A a4 Statc: ZIP:9?/Ateat pump(site in re—qui—red), Phone:4.241, 7_7 V_q I Fax jgf-A2 1,6 E-mail: _ Tnsta rep ace urn ac urne including ductworl hent liner U Yes O No CCB no.: !7 4 3 Sof nstul relTp aT To ate eaters--suspen e , City/metro lie.nt, /.2 7 aQ _ wall,or floor mounted Nance( lease ptint i5 0 c_ / a,/,Se-A cez Vent orappliance Omer than('urnace t e gerat on: Absorption units _-� BTU/H Chillers _ V lip Com ressors—_ HP kddress: ,uv onmenta exhaust an ventilation: State: 'ZIP: Appliance venthone: 4.2Qp I . S' gu�1:1 ne+il Dryer exhaust [foods,Type res.kitchetv azmat hood fire suppression system Ntune: N I f Exhaust fan with single duct(bath fans) Mailing address: L) ev ffxim anfin heath!ori City: Sttep2 ZIP: Fuelpiping anl on into outlets) ' Ty LPG ._ NG Oil Phone: Fax: I E-mail: --Fuel piping each a itiona uver out els rorrsspiping(sc hemau(.req uired) Name: Ntunber n!tuxlets t her 4f app.once or a%tu�i-PHI cnf: Address: Decorative fireplace Citystate: Z[P: nseri-type Phone: Fax: E-mail; oo stov peifetstove ( ter: Applicant's signature:e�G[r�Li � fate: Other: Name (print): Nd all iurl"ctioru accept credit earls,please call jurisdiction for ruse information. Permit fee.....................$ U visa U MasterCard Notice:This permit application Minimum fee................$ Credit coni numberL_ expires if a permit is not obtsined plan review(at _ %) $ Expires within ISO days after it has been State surcharge(8%)....$ —None of o r s—shown an&Z card accepted as complete. $ TOTAL .......................$ _ Cardholder dpmrure Arnoun+ 4401617(6 WiCOW CITY OF TIiG;ARD 24-Hour BUILDING Inspection Line: 1543)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP REt,eived Date Requested. c-;2 rS-- —._ AM_. PN. BLIP Location — �C' �C�C- f' - L Suite . _ - MEC �' DOS-cS'cS - -- Contact Person - --- ------ --- — Ph( ) ____— PLM Contractar ._ _ ---- -- - Ph( ) -_-- SWR BUILDING Tenant/Owner ___ -_- -- - - --- _- -- _ ELC -- Footing ELC - -- -- -- Foundation i ccei SS: Ftg Drain ELR Crawl Drain Slab Inspection Notes: t -^ ,,,I, SIT -- __--__-- Post&Beam - -- _.- ---- // _ _ Shear Anchors — Ext Sheath/Shear ---_-- --- -__._-- Int Sheath/Shear ` ! Framing C1 -����/1C�: ,�� �t..::. �L.� c::��=if�IC. lir. r i✓vim-- �.- -- -- Insulation Drywall Nailing L?� Firewall _ ` Fire Sprinkler - --- Fire Alarm _ Susp'd Ceiling - Roof other: - - Final _ PASS PART FAIL PLUMBING -- - -- - ------ Post&Beam Under Slab ---- - — - Rough-In Water;service Sanitary Sewer Rain Drains --- -- - - - - Catch Basin/Marhole Storm Drain - ---- - - -- Shower Pan Other: Final PASS PART FAIL Post&Beam Rough-In Gas Line Srp_ Dampers ----- Fir i �- PART_ FAIL — ---- - ---- ____._ -ELECTRICAL --- Service Rough-In _ - -- --------- --- UG/Slab Low Voltage -- -- - - - ---- ------ -- - Fire Alarm Final Reinspection fee of$_______—_—._required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE F] Please call for reinspection REQ_- -_-- Unable to inspect-no access Fire Supply Line /�/74 ADA Date `-�—L` Inspr+ectof Ext Approach/Sidewalk - - - Other: Finnl 00 NOT REMOVE this Inspect);n Itecord from the job site. PASS PART FAIL 01/07/2003 12:05 5036929292 ROBERT GRAY PARTNERS PAGE 02 River City Environmental, Inc. F.O. Pox 30087 Faztliand, OR 97294 .Phone: 503-252-6144 ba: 503288-3658 ,r ++VO A� cnR 47140 i P�7f'r+iot�cr±, «"lJlr� •" �,', ¢ My Site Addre.nn 4r C►�e � 8 itrinv* lJ�gwri��t9 ysi Work -....r...•--,..�-._......,„,,....� .-... _..._.-...._. ...... _._ ��,...t.of«+a « 4, r ��5/7,:4/2007 '.surra t: s���a7cr tac�3cz r �.. 1)QUU �' � ._ .. .. .. .. ...._ .... . . ......t> .._ ..,.. ... ...il.,. .� � �Y!7!i'l.:f Ao�Fo����PV 2 g tip0�- '11p v .,.�:-w!C!4 w,-'«.<tut i....`_......,_,.,.a.:«w.........«,.««......y+N«^.««—�..1.��''''�n.r.�.Hgyl 3:1p1"y.!'i.{'��'�rY11r'��.,�at.:„1«u.�-C, 1Ci7�♦rXr�N«{IT,Gi���,i'(t�<�t.w�,�.l�Fj••h,iii;iii�a.'fm•e•¢4fy1�i't}t�!'.iN�'''inFFf.t�`wTtga�M,l1lt„l�(;•ti�ditk.i«:wt•AS�.n�S��Y��'..,r•�,�rl.,1s,.3�.�S^yFtp"}"�Y$4' «!h34�! M•'t AyT..I1.P.N�r Z��«„��t"w»Mtl�{''t�t�k�f�',«J��q�t �N^��iI,�l.�j!'Y!➢h�:�...RS�Y•i`�T�!;'•.�ta�.�l.�H'S”C -F�tiom$,-A price inca5j will take cffP(.t Afil 1, 2002rT�1a„N 54 tt 't. .. 1 01/07/2003 12:05 5030929292 ROBERT GRAY PARTNERS PAuE N3 .�Ched.Acd 05/23/02 Date 05/2-2-/02 Wcrk order# W03617River City Environmental, Inc. P.O. Box 30087 503-252-6144 Complete Industrial Portland; Orogon Waste nemoval 97294 Septic Tank Cleaning Sump Line Cleaning "Aert Gray Partners P. O, Box 1000 511E Information _ 1 Sherwood, On 97140 PO# 7 _ 503 092-4875 10445 SW Canterbury Ln Description Unita -- Arnount SEPTIC SF_'RVICF 1.000 �0,000 0.000 Driver Notes nlvnr City Environmentnl, Inc. IA In no way ronponslble for dr ige to tho septic tank or Ilds on thn oystem. I err►in: Not 10 dnyo. 1.9%par month will bo charged on pent due accounts, (10%,per nnnum). Terms and Conditions The customer sprees to pay ell tnwloes wising out of pumping servloea,and any othor sinndral snrvloog hnmin within 10 dnyn The matomer agrees to pey such extra and overtims ehnrgen na may be Involood from notlmo to tlme for Ptarvlce9 rendered,war and ebovn the nnel servicing schadule,on behalf of to customer, The"tomer agrees to assume reeponelhlllty damage to ouatomar'a mnl or personal property arlaing from pumping sarvl on cuatomsre premises,where the ddvnre and vahides of Hlvor City Enororunontat have bean enter, one whish take plarx, This Includea,but is not lim'tad to ddvewaya,trInatruoteJ toees,power linos or{x�len end building stnx turas, If River Cly EnvlronnAntal,Ire,finds It neceemry to add liquid to the tank on jobsite,cuatomnr will he charged for the additional gallonage resulting from these condlddone, Cuatomer agrase to roimburae paver City E ivlra mental,Ind.for all none attomey'a fees court rOcta and other nxpenan Incurred by said oompany to enforce oollactton or to eery their phM un r thin agree g r Customer sprees to the above rx5ndl arl��.' ' /L/ Redeemable In Multnomah County Work Authorized by ✓' Date .— F river Signature Date —j G. . Time-A ,1111 CITY OF TIGARD BUILDING INSPECTION DIVISION � MST 24-Hour Inspection line: 639-4175 Business Line: 639-4171 -L q / B U P Date Requested '/ / AM —PM ._"�S — BLD Location L�j��1�7 f r S Suite MEG Contact Person r Ph :22 1) ' &i0 PLM ----- Contractor _ _ Ph SWR UI!D[DlG Tenant/Owner _ _ ELC Retaining Wall ELR Footing Access: Foundation / , ^/ FPS Fig Drain IfCiC r, r SGN Crawl Drain Inspection Notes: - --- Slab _ SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shear Framing ✓�Gi.��— Insulation Drywall Nailing1%d' ���oL.rS' NtktyZ* L4./U '-L'.ii,<S _�_�,___ Firewall Fire Sprinkler `_ •�r�fQ�C� _. 7� 7Lr'u¢1� _. __r____ Fire Alarm Susp'd Ceiling Roof Misc - Fi - ASS PARI FAIL PMOIBING _ — Post&Beam Under Slab Top Out Water Service — Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& 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 Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line l J Please call for reinspection 2E: _ [ J llnabie to Inspect-no access ADA Approach/Sidewalk Other Date ��/O ; _Inspector Ext Final PASS _ PART FAIL) 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION LAST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BLIP o _ -_Date Requested AM —Pb1 BLD C- '1 Location `� �- 4 7 _ MEC Contact Person / Ph ��/? — PLM _ Contractor �� m �/' ie� �L 1�_ Ph _ SWR BUILDING Tenant/Owner ELC L' G'�J`�� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab -- — --— ------ -- SIT Post&Beam Ext Sheath/Shear I Int Sheath/Shear Framing -- Insulation / Drywall Nailing Q1 kl,G1'6 c'.1 mad e Firewall Fire Sprinkler _-- Fire Alarm Susp'd Ceiling J _Q Roof Misc: ------ -- - -- — ---- Final PASS PART FAIL_ — ------ - --- ------- _ PLUMBING PoSi&Beam Under Slab _ Top Out --- --- ------_._--__�.._ Water Service ^ Sanitary Sewer Rain Drains Final PASS PART FAIL_ MECHANICAL Post& Beam - -- -- — ---- - - -- - —� Rough In GasLine ----- --------- ----- ------- — --.--_ Smoke Dampers Final - ------ ------ ---—- ------ _— PASS PART FAIL ELECTRICAL ---- - -----___.___ _ — -- ------ Service - ------- ------ - --- ----- -- Rough In UG/Slab — ---— _ --- -- - -- Low Voltage File Alarm ---- -- ------_ — ina PAS PART FAIL Backfill/Grading --- - ----- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to ins Fire Supply Line ( ]Please call for reinspection RE _ - - __ ( ] pact no access ADA Approach/Sidewalk Other Qete� Inspector Ext _ — _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99­000! 13125 SW Hall Blvd., Tigard,OR 97223(503)639 4171 DATE ISSUFD-, 01 /04/919 PARCEL: 2S1021313-00812 SITE ADDRESS. . . : 10300 SW BROOKSIDE PL SUBDIVISION. . . ., :LAR( OV,STDE PARK ZONIN_R--4. 5 BLOCK. . . . . . . . : LOT. . . . . . . . . . . .. . .. G JLJF TSDICTICN: TI,7 Project Description: graves job #506 -------------------------------------------------------------- -----RESIDENTIAL UNIT------ SRVC/FEEDERS------ .._..MI SCELLONEOUS-.--- 1000 SF OR I-ESS. . . . : 0 0 ;200 amp. . . . . . . : 0 PUly-1 I RR I GAT I ON. . . . : 0 EACH ADDIL 500SF. . . : 0 E'01 400 amp. . . . . . . : 0 SIGN, AUT LINE LTG. . : I,", LIMITED ENERGY. . . . . : 0 401 600 an.p. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : IZI MINOR LABEL ( 10) _ . : 0 -----SERVICE/FEEDER---- ----BRANCH CIRCUIT'S----- -----ADD' L. INSPECTION5 0 - 200 amp. . . . . . ... I W/SERVICE OR FEEDER: 8 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 I1\1 P L.A 1\1 T. . . . . . . . . . . : V, 6.01 1.000 amp. . . . . : 0 --- --- --_.____.____._FLAN REVIEW SECT I 10004- aMp/yolt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) (S00 VOL T NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . -. CLASS AREA/SPEC OCC. : Owner: FEES MICHAEL GRAVES type amount by date rec.-pt 10300 SW BROOKSIDE PLACE PRMT $ 100. 00 JSD 01/04/99 99-311880 TIGARD OR 97223 5PCT $ 5. 00 JSD 01104199 99-311880 Phone #: 620-2655 Contractor: WTI.-LAMETTE ELECTRIC INC $ 1.05. 00 TOTAL PO BOX 230547 ------- REQUIRED ItISPECTIONES TIGARD OR 97281 Rough-in Elect' l Final Phone #: 624-3631 Elect' 1 Service Reg #. . : 000750 This permit is issued sebject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. fill work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or It Wt IS S'lspended for more tha l8@ days. ATTENTION: Oregon law requires t f IliN the rules adopted by You the Oregun Utility Notificatinn Center, Those rules e set f th in OAR 95P-001-0010 through OAR 952-;1) 7. You may obtain a copy of these rules or direct questions to OL by ca 4(583) 6-1997. .,-- C Perm i t t e Si gnat s s u e d B y INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION STGNATURE OF SUPR. ELECIN: DATE IfCENSE NO: .................4..........................4.....................................4- Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day .................4.........................4...........................4++ RECEIVI=D CITY OF TIGARD JAN V. 4 11"1" Electrical Permit Application Plan Checly></- 13125 SW HALL 13�v� Recd UY �;UIt4UNlTY Df V:!W'fYltt�i Date Recd C r TIGARD OR 97223 Date to P.E. _ Phone (503)639-4171, x304 Date to DST Inspection (503) 639.4175 Print or Type Permit a DG Fax (503) 684-7297 Incomplete or illegible will not be accepted Called It f 1. Job Address: _ 1 4. Complete Fee Schedule Below: Name of Development I Number of Inspections per permit allcwed Name(or name of business) Service included: Items Cost Sum Address /C2 3 U J 5W r3, AC 3; c/< ��_ I 4a. Residential•per unit City/State/Zip T:S 1000 sq.ft.or less V $110.00 �° Limited additional 500 sq.ft.or Commercial ❑ Residential,0 portion thereof $25.00 f mited Energy � $25.00 Each Manuf'd Home or Modular Dwelling service or Feeder $68.00 2a. Contractor installation only: (Attach cupy of all current licenses 4b.Services or Feeders Electrical C(/J(�1tr1actort� L j^ c Installation,alteration,or relocation 60 Address /•V• >y 200 amps or less $60.00 /3,l 201 amps to 400 amps $80.00 2 City ri r.Z,r' State e_ Zip q T� 401 amps to 600 amps $120.00 2 Phone oN . Z 161 601 amps to 1000 amps $180.00 2 Job No. O Over 1000 amps or volts $340.00 2 Elec,Cont. Lice. No. 2-'f 6_Ex e,Dat ()-/ ' Reconnect only $50.00 2 OR State CCB Reg. N0.7 0y Exp.Date 1_y`� 4c.Temporary Services or Feeders COT Business Tax or Metro No.`1y�'fu�� Exp.Date 14 Installation,alteration,or relocation �-- 200 amps or less $50.00 2 � 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n JC./ y 401 amps to 600 amps $100.00 ? Over 600 amps to 1000 volts, License No. �1�� :S Exp.Date see"b"above. Phone No._ -2`t_34 3 j 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _ feeder tee. Address y Each branch circuit O $5.00 b)The fee fur branch circuits City State _ Zip _ without purchase of Phone No. _.____ service or feeder fee. First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent 4e.Miscellaneous (Service or feeder not included) Owner's Signature _ _..�__ Each pump or irrigation circle $40.00 2 Each sign or outline lighting ! $40.00 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 Minor Labels(10) $100.00 Please check appropriate item and enter fee In section 5B. 4 or more residential units in one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above _System over 600 volts nominal Per inspection _ $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant 655.00 `Submit 2 sets of plans with application where any of the above apply. 5. Fees: 5 Not required for temporary construction services. 5s.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review jf re9yjigid(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY El i TIME AFTER WORK IS COMMENCED. lJ Trust Amount!r Total balance Due 10SMEL09rn APP RW 9r9B A'r CITY OF ' MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98--0476 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 12/07/98 PARCEL-: 2S 102BB-0081 .' SITE ADDRESS. . . : 10300 SW BROOKSIDE Pl_. SI.IBDIVISION. . . . :BROOKSIDE PARK ZONINB: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :+r0(. JURISDICTION: TIG Remarks: Residential addition. ------------------------------------------------ BUILDING ----------------------------------------------•-------------------- REISSUE: STORIES.......: 1 FLOOR AREAS------- — BASEMENT...: 0 sf REQUIRED SETBACKS----- REQUIRED----------- CLASS OF WORK.:ADD HEIGHT,,,...,.; 12 FIRST....: 384 sf GARAGE.....: 0 sf LEFT..........: 8 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND.,. : 0 sf FRONT.........: 35 PARKING SPACES: TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 1 OCCUPANCY GRP.-.R3 BDRM: 1 BATH: I TOTAL------: 384 sf VALUE..f: 26742 REAR..........: 35 ------------------------------------------------------------------ PLUMBING ----- —_ --------_,--------------------------------- S1NKS.........: 0 WATER CLOSETS.: 1 WASIIING MAD..: I LAUNDRY TRAYS.: 8 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 1 DISHWASHERS...: 0 FLOOR DRAPES., : 0 SEWER LINE ft: 6 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: I GARBAGE DISP..: 0 WATER HEATERS.: 1 WATER LINE ft: 0 BCNFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------ - ---------------------- MECHANICAL ----------------------------------------------------------•----- FUEL TYPES------------ FURN ( IW .,: 0 BOIL/CMP ( 3HP: 0 VENT FANS..,..: 2 CLOTHES DRYERS: 1 GAS TURN )=IW ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VELA'S,,,,,,..,; 2 WOODSTOVES....: 0 GAS OUTLETS...: 1 -------------------------------------------------------------- ELECTRICAL ---- ------------------------------------------ -------------- --RESIDENTIPA UNIT--- ---SERVICE/FEEDER---- --TEMP 5RVCiFFEDERS-- ----BRANCH CIRCUITS--- ----MIS`1LLANEOIIS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 200 alp,.: 0 8 - 200 alp..: 0 W/SVC OR FPR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L. 5005F.: 0 ?8l - 400 asp..: 0 201 - 400 asp..: 0 1st W/D SVC/FDP: 1 SIGN/DUI LIN LI: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 asp .: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL/ 4fl - 0 IN PLANT......: 0 MANE HM/SVC/FUR: 0 601 - 1000 asp.: 0 601+amps-1000 v: 0 MINOP LABEL -10: 0 10004 asp/vnit.: 0 --------------------•--------------- PLAN REVIEW SECTION ---------------------------- -- Reconnect only. : 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -----------------.--------------------------------- ELECTRICAL - RESTRICTED ENERGY ---_.—---------------------------------------------- A. SF RESIDENTIAL ------- --- B. COWRCIAL------------------------ __..—_---_------------------------- AUDi0 d STEREO.: VALUJMI SYSTEM..: AUDIO b STEREO.: FIRE AI.ARM.....: INTK"/PAGING: OUTDOOR LNDSC LT: BUR13-An ALARM..: 0TH: :: BOILER.........: HVAC,..........: D WM CAPE/IRRIG: PROTECTIVE SIGN_: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MED--AL........: OTHR: •• HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TC1AL M SYSTEMS: 0 Owner: ---------------------------------Contractor: ----------------------------- TOTAL FEES:$ 477.16 M1r:4AEL GRAVES, IANINE RECOMMENDED REMODELING This permit is subject to the regulations contained in the 10380 SW BhLn, SIDE PLACE BAILEY, TRACIE LYNN Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 19407 SW ELWERT other applicable laws. All work will ba done in accordance 91FRWOOD OR 97140 with approved plans. This permit will expire if work is Phone N: Phone lt: 720-6086 not started within 180 days of issuance, or if the work is Reg C.: 127134 suspended for more than 180 days. ATTENTION: Dregen 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 952401-0080. You say obtain copies of these rules or direct questions to OX by calling (503)246-1987. ----------------------------------------M_-- ----- REQUIRED INSPECTIONS ----------------------------------------------------- Erosion 844-6444 Crawl Drain/Back Electrical Rough Rain drain Insp Footing Insp PLM/Underfloor Freeing Insp Electrical Final Foundation Insp Mechanical Insp Low Voltage Mechanical Final Post/Beal Struct Plumb Top Out Bas Line InIlL Plumb Final �. Post/Beat Meehan Electrical Servi :t Insul�i5n Insp Building Final Tssr_ied By: G�, ,� - • __ 70'ei^mittee Signatur-e: 4 ++A-+++++++++++++• +.+�++++++++++-i + - +++4... +++++++++t++++++++++++++++++++++++++ Call 639-4175 by :00 p. in. for- an inspec-ticin needed ttie next bUSineSS day CITY OF TIGARD Residential Building Permit Application Plan Check# t312'3*%W HALL BLVD. New Construction Add;tions or Alterations Recd By TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd_ Date to P.E. V 503-639-4171 Date to DST_ - F 503-684-7297 t' �J Permit#tq5p-�-� Le i► Print or Type Called -01-- t5_ Incomplete or ill?gibl- applications will not he accepted - Name of Project Name Job !> Architect Mailing Address Address Site Address — c City/State Zip Phone Name /'Lr d F� Name Owner Mailing Address Q 3 0 O 4J Engineer Mailing Address City/Brats Zip hone^Z� g CitylSlate Zip Phone General~ Name 4e CCF^tA6,iiJiili e/cra ,./ Contractor / r�r Describe work New O Addition Alteration O Repair O Mailing Address to be done Prior to permit 0 S W �e L:.v E'i>!!-- Additional Description of Work: Issuance,a copyPity/State Zi Phone of all licenses 4a a./n /)/d15 J0 are required if Oregon Const.Cont. Board Exp.Date PROJECT / '7 expired In COT Llc.#M7 3 VALUATION $ �r database � Mechanical Namn NEW CONSTRUCTION ONLY: Sub- Ft. House- gy Sq. FL Garage Sq. Contractor Mailing Add � ess L Prior to permit 6? S tJ Orti'T Indicate the restricted energy installation by the electrical issuance,a copy CitylS ate Zip Phone subcontractor in the followingareas of all licenses Nv / jj d- Restricted Audio/Stereo are renuired if Oregon Const.Cont.Board Exp. Date Energy S stem Alarms expired'n COT Lic.# Installations Vacuum Irrigation databaseIZZIJ I/ s/ ;t/i System System Plumbing Name (check all that Other: Sub- rWA/ 'AL r.1/'c,ts/NC a ul ) Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO check ons) check one c i S Has the Subdivision Plat recorded? N/A YES NO Prior to psrmit /State Zip Phone issuance,a copy 014 (J2 1 4 22L- f yv? Saiar Compliance of all licenses are Oregon Const Cont.Board Exp. Date Calculation AttachedL_ _ required If Lic.# expired in COT a' w Qo I hearby acknowledge that I have read this application,that the database Plumbing Lic.# Exp.Date information given is correct,that I am the owner or authorized agent ,� L of the owner, and that plans submitted are in compliance with o �O 9� Oregon Slate laws. Name Signature of Owt Date Electrical W t LL Vwd-r "LR CtcrC 77?iC Sub- Mailing Address Contact Person N e P lone# 72-0_41041 Contractor OPO'&X 2 3 a sy OFFICE USE ONLY: Prior to permit City/slate Zip Phone Plat M MARL# issuance,a copy G/ 2 a"e �L�y Setbacks: !one: Solar: of all licenses are Oregon Const.Cont.Hoard Exp D to required If Lic 0r, / O Z - -S expired in COT Q r� f0 9! Engineering Approval Planning Approval. TIF: database Electrical Lic.# _ Exp Date ..-.. t Ani I j 0" 1 SFREM2 DOC(DST)8/11/98 mtll U3 I y ° vl 'IN i �e�tj fil Cts ���� •Q� w ,/ za / M� tip loe /� 4 A40JEG'� 9821 =T20JEGTIFECp!-!t-tEND�ED REMODELI+•iG Q� m D.atE. I►ilb/9$ ���a'✓ES SED}200M ,IaDDI�'ION 12,130 Y 4fv191CYN: © SWEET TITLE, SITE PLAN CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MSTINSPECTION DIVISION DIVISION Business Line: (503)639-4171 BUP — Received Date Hequested g " AM PM- _ BUP �I O 3 O O (P L--Suite — MEC Location -- Conteci Person ____-- _ ___ Ph ( ) L/—� PLM Contractor —.-----__.-v_— ---_-_._ -- Ph (- ) — __ --_.__-- SWR ` __-- BUILDING Tenant/0 er ELC �\J Footing - - ---- t� 1� 0((.�wis I?,Cw 4�y�t'� r 6�. ELC ---- Foundation Access: 1 Fig Drain /I�( `/d,J� ELR _ Crawl Drain ---- Slab Inspection Notes: SIT Post&Beam --- --- -- - -- ---_..._._---- - ---- _ _ "hear Anchors - - Ext Sheath/Shear Int Sheath/Shear Framing - - - ----- - - - - ------._.. - -- -- -- Insulation Drywall Nailing ------- Firewall ---Firewall Fire Sprinkler _.. _-- -- ---_-�.-_. - _----- - .-. ..- --- ----------_.-._ Fire Alarm 5usp'd Ceiling ----__-- ----- ---- - ----------- ---- - _---___.... Roof Other: Final PASS PAR'r FAIL ------ Post&Baam- Under Slab -- - --- - — - - - -. _. Rough-In Water Service - - ------- ------- -- _ :unitary Sewer Rain Draina --- --� ---- --- T--- Catch Basio/Manhole Storm Drain ------ - - -- --- --- -- ----------- Shower Pan Other: --- ----___.-�. -� _--------- -- Final nss-"PARI- FAIL MECHA�Vf L _- - - ---_- ---- --- __ - f �Rough-In - �� ----------- - -- - -------- - -.. Gas Line Smoke Dampe-s - 4E ASt3 AR FL _T FAIL -_ 1 -- .� -,..`--�- ECAL Service Rough-In UG/Slab .- ---- LowVoltage ---- Fire Alarm - — Final Reinspection fee of$ _ ,_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FALL r1 Please call for reinsp •tion RE:__ - u Unable to inspect-no access Fire Supply Line -- ADA Date r Inspecter- � "w� �' Ext Approach/Sidewalk Other: -_ Final DO NOT REMOVE this Inspection record from the Job site. PASS PAR'' FAIL CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00358 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/30/03 PARCEL: 2S 102BB-00812 SITE ADDRESS: 10300 SW BROOKSIDE PL SUBDIVISION: BROOKSIDE PARK ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG CLASS OF WORK: OTR 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: 1 DOMES. INCIN: PG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: ODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Installation (1t it r unit. Owner: FEES _ GRAVES, MICHAEL. R AND Description Date Amount JANINE DI IML01] Permit Fee 6!30!03 $72.50 10300 SW BROOKSIDE PL TIGARD, OR 97223 I"f- \l "; suateTae 6(30!03 $5.80 Phone: Total $78.30 -- Contractor: COLUMBIA HEATING + COOLING INC P.O. BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Phone: 503-624-2704 Cooling Unt Insp Final Inspection Reg #: LIC 76359 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fallow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 052-001-00 Issue By: ;� Permittee Signature: y' Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application 7t+ Detereceived: ?' Permit no.: 1oQ3S L11Ty Qf Tigard ProjecVappl.no.: Bx ire date: City ofTigard Addreft: 13125 SW Hall Blvd,Tigard,OR 97223 — Phone: (503) 639-4171 Date issued: Receipt no. Fax: (.503) 598.1960 Case file no.: Payment type: Land use approval Building permit no.: 0 I &2 family dwelling or accessory U Cornmercial/industnal _l P.fulli-f 11116 ❑Tenant improvement 'O Nety construction `C, ,ddittonlalteratiotUreplacement !c)ther: _,___ ____`__ Job address: 3 J J Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax IoVaccount no.: profit. Value$ Lot: Block: Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: - Tv I IN Description and loc tion of work on premises: Fee(ea.) Total Est.date of completionlinspection: Destedption Res.only Res,onlN'' Tenant improvement or change of use. AU Air handlin unit CFM Is existing space heated or conditioned?U Yes U No tr conditioningling i(site plan required) _ Is existing space uuulated?U Yes ❑Ne, Alteration of existing HVAC system of er compressors Business name. tf C__ , State boiler permit no [L7;lat�L �v����lL-�T __._,,, HP Tons BTU/H Address: P D Q OK t2 s}G'3_ _7..___ tr smo a emper uctsmo a detectors City: -7-1a. State: 7.1P: qrT/a��_- eat ump(site a required) Phone:6gil. hax E-mail: Instal Vrep]ace furnace/burner CCB no.: v Includin ductwork/vent liner U Yes U No Install/replace/relocate heaters-suspen e , City/metro lic.no.'. _-��.r� ?i� wall,or floor mounted prmVent Qoerna t ops oer an furnace JAbsorption units! B TU/H me: OC OA /b NChillers _—__ HP Address: Com ressors HP -- --- .n onmenta ex oust an ventilation: City: State: ZIP: Ap fiance vent Phone: Fax: E-mail: ryerex aust jim Hoods,Type res. tc a azmat 9 hood fire suppression system Name: G/Lei v e-.S Exhaust fan with single duct(bath fans) rs /V L) s xMailinged_ d 'Tu e oupstp snygstanda artt roarm-t loiena(tiunp tooCity: r outlets)ut ets state:411L. IZIP: 47 7_7P-3 T _LPO NO Oil ai Fax: I E-mail; Fuel pipinptech additional over 4 outletsiw I _ rocdsp p ` sc ematicrequire ) Name: Number of outlets — Address: other app ante or equipment: _ Decorative fireplace City' State ZIP: insert-t e Phone. Fax: E-mail: -woodatovetpellet stove Applicant's signature: G��.Gdy Date: �� Other: L —���'-v� t ter: Name (print): Na all iurisdieaau accept reedit cards,pier calf jurisdiction for mire iNortrutlon PerTnit fee...__....... .... .s Cl Yua O MuterCvd Notice:This permit application Minimum fee................S Credls cava number, _/ rL expires if a permit is not obtained Plan review(at _ %) $ _ Expires within 180 days after it has been State surcharge(896) ....$ _ accepted as complete. Cardholder alPO= Amoaat W-417(tiWCOM) e64"dNT#7,14 HEATING A COOLING, INC. 8900 S.W. BURNHAM ROAD, SUITE E 110 TIGARD, OR 97223 (503) 624-2704 FAX (503) 598-0270 l� JOB ADDRESS: /L' ..)1),�� SITE PLAN FOR AC OUTDOOR UNIT LOCATION