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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 635-4175 Business !.ine: 639-4171 — -- �—
BUP _
Date Requested �� AM ,-PM BLD
Location f a y!�S _;,_LLr Suite / C I IM
v SES
Contact Person �Ir1C.l �— _ Ph Z _7�� 1 PLM �� / " J�Z�
Contractor _ Ph SWR;
BUILDING Tenant/Owner ELC _
Retaining Wall w - ELR
Footing Access:
Foundation FPS
Fig Drain - SGN
Crawl Drain Inspection Notes' ----- --
Slab —__-_ -_-- --_--_-- ---- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear T
Framing
Insulation
Drywail Nailing
Firowall -
Fire Sprinkler
Fire Alarm
Susp'd Cellir,g --- - - - _
Roof
Misc:
Final
PASS PART FAIL - a�--
o am
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
ii
PART FAIL
kCHANI Atr�
pnst&Beam - - --
Rough In
Gas Line - ------__T —__
S oke Dampers
in
PART FAIL
ELECTRICAL
Service __ _------------�._�.�_- ---_-__
Rough In
1, lob
Low Voltage
Fire Alarm
Firal
PASS PART_ FAIL -.--
SITE
BackfilUGroding
Saniliry Sewer
Storn Drain [ J Reinspection top of$ required before next inspection. Day atHall, 13125 SW Heil blvd I
Catch Basin
Fire Supply Line [ ]Please call fc reinspection RE: [ Unable to int!pact no access ,
IADA
Approach/Sidewalk
Other �—
Date _ U Inspector_=� z Exf�
Other _ -r ----- --
Final -
PASS PART FAIL 00 NOT !!';-MOV!.. this inspv cticon record "rom the job site.
n Ci�Y OF 10
IGARD __ PLUMBING PERMIT
\� "VELOPMENT SERVICES PERMIT#: PL.M199Q 00428
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 12/13/1999
PARCEL: 2S10,013-02400
SITE ADDRESS. 13485 SW 'GENESIS LP
SUBDIVIS!JN. GENESIS ZONING: R-4.5
BLOCK: LOT: 016 _ JURISDICTION: TIG
""LASS OF WORK: AL i GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USF: SF WASHING MACH BACKFLOW PREVNTRS:
OCCUPANCY GRP: P.3 FLOOR DRAINF: TRAPS:
STOWE& WATER HEATEPS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRA.'S: SF RAIN DRAINS:
SINKS: _ URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of a n ivv gas water heater.
FEES
Owner_ —��
– –' Type By Date Amount Receipt
ELEANOR MAYHUGHPRP:1T GEO 12113/199 $50.00
13485 SW GENESIS LOOP
TIGARD, OR 97223 5PCT GEO 12113/199 64.00
Total $54.00
Prone 1:
Contractor: _
r
COLUMBIA HEATING 4 COOLING INC i
PO BOX 230397 b
8900 SW BLjr1NHAM ST STE E-110 REQWRED INSPECTIONS
TIGARD, OR 97281-0397 — - -- –
Final Inspection
Phone 1: 624-2704
Reg #: LIC 00000763
PLM '4-175PB
ORIGINAL.
This permit is issued subject to the regulations contained in the Tigard Municipal Code, ::tate of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved pans.
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 io follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-00u1-0010 through OAR 952-0001-0080.
You may obtain copies of these rules of direct questions to nUINIC by calling (503) 246-1987.
Issued By;, t _ Permittee Signa ore_
Call (503) 639-4175 by 7:00 P.M. for an inspection noeded the next bush • d y
CITY OF TIGARD Plumbing Permit Application
13125 SW HALL BLVD. Rec'dBy
TIGARD,
Commercial and Residential Recd y
TIGARD, OR 97223 DateRec'd
(593) 639-4171 Date to P.E._ _
Print or Type � I � Date to DST
Incomplete or illegible applications will not be accepted Permit##&�_g
Related SWR tf _
Collect �Y
Name of Development/Project FIX i'URES iirtdividualj QTY PRICE AMT
Job �51102n Ud- i )ci /IGIc. � Sink '� -
Address Street Address - 11.50
/n1 Suite Lavatory 11.50
�3 7 •3 ( l 5 Tub or Tub/Shower Comb. 11.50
I - Bldg# City/state Zip Shower Only
- - 7 11.50
N Water Closet 11.50
1p
' lav Dishwasher 11.50
Owner Mailing Address Suite Garbage Disposal 11.50
Washing Machine
PN!
State Zip Phone 11.50
(1 l' Floor Drain/Floor Sink 2" 11,50a3" 11.50
rel )�Occupant ing Address 4" 11.50
Suite Water Healer O conversion �-i(ke kind 11.50
City/State ?ip Phone Gas piping requires a separate mechanical permit.
Laundry Room Tray 11.50
---- . ... qq f �r / Urinal 11.50
�?m1C
U �)I!C `IC1r 111 • c pp/l n1_ Other Fixtures(Specify) 15.00
Contractor M�allingg��Address Suite
L) 1�5cX
Prior to permit City/State / ZI Phone Sewer-f it 100'
issuance,a copy :LCC"i�1 Gl�' ''� i 2 �.7f,/ 38.00
of all licenses are Oregon Const.Cont.Board Lice Exp.Date�_ Sewer-each additional 100' 32.00
required If '� ;;. r, Water Service-1 at 100' 38.00
expired In COT Plurn in Llc 0 � Exp.Dale Water Service-each addTional 200' 32.00
database - '75-) .-', -['(,i Storm&Raln Drain-1st 100'
Name 38.00
Storm&Rain Drain-each additional 100' 32.00
Architect Mobile Home Space 32.00
or Mailing Address-- Suite Commercial Back Flow Prevention Device or Anti
3?.00
_ Pollution Device
Engineer City/State ZIP Phone Residential Backflow Prevention Device' 19.00
(Irrigation timing devices require a separate
Describe work to be done: , - -- restricted energy permit.}
New O Rapalr O Replace with like kind: YesNo O Any Trap or Waste Not Connected to a Fixture 11.50
Residential f+Y Commercial O Catch Basin
Additional descr(ptlof wprk: 4 11.50
J7 �1 let. -,e-W,-
iGc arL fZ [ z- sy/ tri Insp.of Existing Plumbing 50.00
Are you capping,moving or replacing any fixtures? Specially Requested Inspections 50.00
Yes O No O er/hr
If yes,see back of form to Indicate work performed by Rain Drain,single family dwelling _ 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT IN INuREASED SEWER FEES. QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the Information Isometric or riser diagram is required H quantity Total is >9
given is correct,that I am the owner or authorized agent of the owner,and
that 1895 bmitted are I m (lance with Ore on State Laws. 'SUBTOTAL
81 9f nwnerlAg Ehl,
I-),Q
%SURCHARGEConta.\t Person Name I "•PLAN REVIEW 25%OF SUBTOTAL
re qty total is>9
1 RATH HOUSE$178.00 TOTAL
2 BATH HOUSE$250.00
3 BATH HOUSE E285.00 •Minimum pe.mit fee Is$50+5%surcharge,except Residential Backflow
(This fee includes all ptumhing fixtures in the dwelling and the fl-st Prevention Device,which Is$25+5%surcharge
100 foot of sanitary sower storm sewer and water service) ""All Now Commercial Buildings require plans with isometric or riser diagram
and plan review
11dslslfornslplumapp doc 6/16!99
le
PLEASE COMPLEW:
Fixture Type -Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink ----- --- - - --- -
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 ADOVE:
1 Ndstslloms%plumepp dor 6/16/99
CITYOF TIGARD MECHANICAL. PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00555
13125 SW Hall Blvd., Tigard, OR 3722.3 (503) 639-4171 DATE ISSUED: 12/13/1999
PARCEL: 2.S 103DB-02400
SITE ADD.'FSS: 13485 SW GENESIS LP
SUBDIVISION: GENESIS ZONING: R-4.5
BLOCK: LOT. 016 JURISDICTION: TIG
CLASS OF WORK: AL1 FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENT, W/O APDL: VENT SYSTEMS:
STORIES: BOIL ERS/COMPRESSORS _ HOODS
_ FUEL TYPES _ 0 3 HP: DOMES. INCIN.
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: - 50 HP: WOODSTOVES:
GAS PRESC.;RE: 5U + HP: CLO DRYERS:
FURN < "OOK BTU: 1 _ _AIR HANDLING_ UNITS
OTHER UNITS:
FURN >=100K BTU: — 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of a gas line and new gas furnace.
1 Owner: _ FEES
ELEANOR MAYHUGH Type By Date Amount Receipt
13485 SW GENESIS LOOP PRMT GEO 12/13/19 $50.00 99-32038k9
TIGARD, OR 97223 5PCT GEO 12/13/19 $4.00 99-320386
Total $54.00
Phone:
Contractor:
COLUMBIA HEATING + COOLING INC
PO BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS_ —
Gas Line Insp
Phone:624-2704 Heating Unt Insp
Reg#:LIC 00076359 Final Inspection
PLM 34-175
ORIGINAL-
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'f 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 952-0 .1--OLl 0 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUN1„f;qtcalli .
Issue By: !-;0� �_ _ Permittee Signature:,-
Call (503) 639.4175 by 7:00 P.M. 'or inspections needed the next f et
Plan Check#
CITU' OF TIGARD Mechanical Permit Application Recd By � T
131?5 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
—'
(503) 639.4171, x304 Date to DST
Print or Type Permit
Incomplete or illegible applications will rot be accepted Callad
—�Name of Development/Projeri Description
Table 1A Mechanical Code _ Qty Price Ami
Job St M Apdd�ress sunea A) Permit Fee _ 16 00
Address J S in- W j l 1) Furnace to 100.000 BTU
_ including ducts&vents see footnote 1,2 9 65
BldgM _ nyfStete .:ii' 2) Furnace 100,000 BTI 1+
3 including ducts 8 vents see footnote 1,2 12.00
N-a\m1e*tor na�mfe
of
bu inass) 3) Floor Furnace
Owner — including vent seg footnote l,2 9 65
Meiling Address 4) Suspended heater,wall heater
or floor mounted heater see,footnote 1,2 965
5) Vent not included in appliance permit 4.75_____
City/State zip Phone Check all that apply 'Boiler Feat Air
For Items 6-11.,see or Pump Cond Qty price Amt
Name(or name of business) footnotes 1,2 COM
6)<3HP;absorb unit to
100K BTU 965
Occupant Melling Address Y 7)3-15 HP;absorb unit
100k to 500k BTU _ 17.65
CHylSlate zip 8)15-30 HP absorb
unit.5-1 mil BTU _ 24.15
Cuntre — 9)30-50 HP;absorb
actor N
j unit 1-1.75 mil BTU 36.00 _
t 10)>50HP;absorb un;t
Prior to permitung A rola n,ter] >1.75 mil BTU 60 15
issuance,a copy V 1U`I� 11 Air handling unit to 10,000 CFM
of all licenses CRylt3tete ^ 2ip Phone _^ 700
are requited if 7j 12)Air hat dling unit 10,000 CFM+
expired In COT Oregco Cpnst. .B Lie.M Exp.Date s 11 75
database r _ 13)Non-portable evaporate cooler
Architect Name I 7Y00
f 14)Vent fan connected to a single duct
or Mailing Address 75L-
15)Ventilation system not included In
appliance permit 7.00
Engineer CRY/State Zip Phone 16)Hood served by mechanical exhaust
7.00
Descrbe work to oe done 'AJ 17)Domestic Inciner2tors
12.00
New O Rep ^ Replace with like kind Yes No 18)Commercial or industrial type incinerator
Residential Commercial O 48 25
19)Repair units
Additional information or description of work: 8 40
20)Wood stovergas Mother units/clothe dryer/etc.
7.00
NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets
structural gas calq_ _ See footnote 1 3.75
Type of fuel: oil O natural gas JY LPG O electric O 22)More than 4-per outlet(each) .75
Minimum Permit Fee$50.00 SUBTOTAL OL
1 hereby aclenowledge that I have read this application,that the information /o SURC HARGE tl
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
11 TOTAL
Sig t}ire of Owner/ ge t. Date _ _ _
f ( r l Other Inspections and Fees-
/e Inspections outside of normal business hours(mininim charge-two
opfert Person m t �]Pho a hours) $50.00 per hoer
1 Imo_ 1 2 charge-half
for which no fee is specifically Indicated (minimum
�� charge-half hour) $50.00 per hour
roonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
1:4tnechporm.doc rev 02/4/99