10405-10445 SW GREENLEAF TERRACE 10405 - 10445 SW GREENIA AE TERRACE
CITY OF TiGARV BU!L MNG INSPECTION DIVISION MST
24-Hour Inspection Line: 639--1175 Business Line 639-4171 —_—�--- -,�—
Bl1P
Cate Requested 7, Y "/—AM--_—PM _.— _ BLD
Location_ IDI—I10 y r -Q Suite MEC
Contact Person _ Ph - -_--__- PLM __--
Contractor _ —__—_ —_ Ph _— SWR
UILD� I t;) Tenant/owner _ -- --- ELC
Retainrng\141 _,_ ELS
Footing A(;ce.,s. FPS _--
Foundatiori _-_-.-------_.-_.
Ftg Drain - --------- 3Gf' --------..__-
Crawl Drain Inspection N,;fes
SIT
Slab ---------__ ._---
Post& Beam
Ext Sheath/Shear - - �--- �---
Int Sneath/Shear
Framing -
Insu.ation
Drywall Nailing _ - --- - --- -
Firewall —
Fire Sprinkler - --- - --- ..-- - --
Fire Alarm
jusp'd Ceiling -- - - -
Roof
PASS PART FAIL --WffM_ _ ------—
Beam
Underif,
Under Slab
Top Out
Water Service -
Sanitary Sewer
Rain Drains - — -- — -'-----
Final
PASS PART FAIL -- --- _- -
MECHANICAL - - - - —
Post&Beam I -
Rough In I - --_.— --
Gas Line
Smoke Dampers _--_ -- -
Final
PASS PART FAIL --
ELECTRICAL.
iService ---------- --- ---
Rough In
UG/Slab _, ----- ---- -
Low Voltage _----
Fire Alarm - —
IFinal — - --- -_-__ --
PASS PART FAIL ---
SIT E --_—
Lacktill/Gradir1 � r-
Sanitary Sewer
Storm Drain J Remspection fee of$- -required before next inspection, Pay at Cit) !Tall, 13125 SW Hall Blvd
Catch Basin I J Please call for reinspection RE _- [ J Unable to inspect- no eccess
Fire Supply Line Nn��_ADA
_
Approach/Sidewalk Date
rIn:;proctor
Other -
Final
PASS PART FAIL I 00 NOT REMOVE this inspe'-,iion record m the joky site.
I�� �� �����D 13l1ILDING PERMIT
PER MIT#: 13UP1999-C'0267
DEVELOPMENT SERVICES DATE ISSUED: (3/28/99
13125 SW Hall Blvd., Tictard, OR 97223 (503) 639-4171 PARCEL: 25111 CC-22900
SITE ADDRESS: 10410 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIELD NC.S ZONING: R 12
BLOCK: LOT: 2.87 JURISDICTION: TIG
REISSUE: — FLOOR AREAS EXTERIOR WALL CONS'fRU(.,TION
C, ASS OF WORK: REP FIRST: T sf N: S: E:: ^Vl:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?'
TYPE OF CONST: 5N sf N: S: !E: IN:
OCCUPANCY GRP: R1 TOTAL AREA: sf ROOF CONST: FIRE Rr_1?
oCClIP411CY LOAD: BASEMENT: Sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
BSMT?: MEZZ?: READ SETBACKS _ REQUIRED_ __,
FLOOR LOAD. psf LEFT: ft RGHT: �ft FIR SPI'L: — SMOK DET:
DWELLING tiJNiTS: FRNT: ft REAR: ft Ir.IR AL.RM . HNDICP ACC:
BC",KMS: BATHS: IMP SURFACE: PRO CORP: PARKING:
VHLJF:
Remarks: Exterior structural repairs - permit fees cover two (2) individual in:,pechons; additonal inspections subject to
re-inspection fee of$50.00 each. No C of u required. ^
Owner: Contractor:
SCOTT, EDWARD M + '<ATHRYN L I< CONSTRUCTION INC
10410 SW GRE ENLEAF TERR PO BOX 34
TIGARD, OR 97224 NrWPORT, OR 97365
Phone: Phone: 541-764-3858
Reg#: uc 97820
FEES REQUIRED INSPECTIONS
Type _ Byrliite Amount Receipt— Misc. Inspection
Final Inspector,
PRMT GEO 6/22/99 $100.00 99-316450
Total $100.00 OWGNAL
This permit is issued subject to the regulations contained in the Tigard Municipal ;;ode, State of OR.
Foecialty Codes and all other applicablP law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days cf issuance, or if work is suspended for more
that-, 18C days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 1987. You
may obtain a copy of these rules or dlrecigjestions to OUNC by calling (503) L46-1987
Pennitee
Signature:
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Perm:+ Application
1.125 SIN HALL BLVD. Tenant Improvement Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171 Date to DST
Permit 041Z/ 49-e0 (W
Print or Type Related SWR S _
Incomplete or illegible applications will not be anrepted CMIed_..__
-- Name of Development/Proiect _--- -- – Existing Building MNew Building
Job '�7'v j�U
Address Street Address (� �;oc.f k sure - Building
11 nt/ pr Data
Bid&xCity/state Zip _ Existing Use of Building or Property:
�'7 14A XI) oat 9711 ,
Marne lc6 S
Property yC O Tr Proposed Use of Building or Property:
Owner Melling Address A k Lr,cN q Supe ' , <
10`l to TIG 4- No. Of Stories:
citylstate Zip Phone —
___
T10-0 --§q—Ft Of Project:
---1
Occupant Name —�-
S C 07? C)ccupancy Classes)
--- Name
Contractor JK, c 6',0- C , TWe(s)of Construction
Prior to permit Mailing Address Suite
issuance,a copy � V!�!I this project have a Fire Su
of all licenses f°X / P 1 ppression System?
-' I
are required If Clly/Stste Zip Phone S / , __ _— P,S —__—� ��,
expired In C.0 T. Americans with Disabilities Act(ADA)
databasew ol0 ^- e� 3 < / . t r
�� 6' / i Valuation X 25% _
$_— Participation
Oregon Const,Cont.Board Llc.# Exp.Date Compiete AccessibilitFarm
GI 7 k Z O �/t y/O/ Project -- $ ---- - _
Name — Valuation � 9 pr'
Architect Plans Required See Matrix for number of sets to submit
Mailing Address Suite on )Jack
c:y78lete �Zlp Phone I hereby acknowledge that I have read this application,that the information
given is correct,that I am the owf;or or authorized agent of the owner,and
Engineer
Name - that plans submitted are In wrnpiiance with Oregon State Laws
slgpelUr0 of wn er/At, Date
IG
Malllr.,I A idress V Suite Z
ConliM Person Name Phone
Cllyi3late Zip Phone 61
_ FOR 01-FICE USE ONLY
Indicate type of work Neo O Addition O Demolition O MP /1 L# —
Accessory Structure O Fo ndation Only O Alteration O S11f4�a��%� ��d� pp
Rr ap it O Other C Notes: —
Deneriptlon of,eork: -
TIF:
Note Site Work Permit Application must precede or accompany Building
Permit Application
1\COMNEWrl.DOC (DST) 5/917
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon: submittal of BOTH plans AND a COMPLETED
application. For an electrical submittal, the application ms. contain the
signatuia of the supervising electrician before plan review will be conducted.
After p[an review approval, Plans Examinee will contact the applicant to request
additional plan sets for distribution purposes. (Co-,y for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
TYPE OF SUBMITTAL Plans KEY.
Submitted
S (Private) 1 S = Site Work
13 (New or Add) 1 B = Buildiri�
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1� M = Mechanical
B & M (New or Add) _ 1 P = Plumbing
Add. or Alt) _ 2 E = Electrical
B &
-M84-P-P (New or Arid) _ New = New Building
E (New, Add, or Alt) Add = Addition
B & F & MRI' & E 3 Alt = Alternation to Existing
(New , Add) _ _._ Building
*BorB & M (Alt) 1
*B SM 8< P (Alt) 3--
NOTES:
*Shaded areas designate ALT submittals only.
1Adsts\forms\ma1rxcom doc 10/30198
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00497
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/8/02
PARCEL: 23111 CC-23100
SITE ADDRESS: 104;10 SW GREENLEAF TFRR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R-12
BLOCK: LOT: 289 JURI SDICT!ON: TIG
CLASS OF WORK: ALT i-L COR 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:
I_PG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 SO HP: 1REPAIR NITS:
GAS PRESSURE: 50 + HP;
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: — 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas line, 1 outlet and fireplace: insert.
Owner: _ _ _ FEES
AVENA, MARIAN Description Date Amount
10430 SW GREENLEAF TERRACE — -
-iIGARD, OR 97224 Ice 11/8/02 $72.50
INILC'H] Permit fee 11/8/02 $0.00
I'I AX1 8% StateTax 11/8/02 $5 Lu
Phone: JTANI WM,State'I'ax 11/8/02 $000
Contractor__ Total $78.30
SHAMBURG HEATING LLC
23975 SW BOONES FERRY RD
TUALATIN, OR 97062 REQUIRED INSPECTIONS
Phone: X03-092-5563 Gas Line InspMechanicallnsp
Reg #: 12.6881 Final Inspection
This permit is issued subject to the regul-tions contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws All work will be None in accordance with approved
plans. i nis pennit will expire if work is not started within 180 days of issuance, or if work is suspc teed
for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Wility Notification Center Those rules are set forth in OAR 952-001-0010 through ,)r,R
952-001-0 100 Yqu may obtain copes of these rules or direct questions to OUNC by calling
(503)246-6699
Issued By: _--( C l _ cCC{�; Permittee Signature: _—
Call (503) 639-4175 by 7:01 P.M. for inspections needed the next business day
11/x5/02 11113�m
P. 001
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(503) 6.49 4(1]
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4-10 4611(1101 Kko.It#M)
IF
CITY OF TIGARD it spection Line: (503)639-4175 Hour
BUILDING MST - —
INSPECTION DIVISION Business Line: (503)639-4171 , BUP
Date Requested — i� �o — AM - PM - BUP ------
Received —.__
Location - Suite MEC
_
� ��. ,Ste%
Contact Person ��—� '' — h PLM
Contractor ( ) -
_ Ph( ) _ SWR --- - -
_. - -
BUILDING TenanU� ELC
Footing .��„ - - •
ELc -
Foundation A cess, f' ELR --_
Ftg Drain - -
Crawl Dram SIT
Slab Inspection Notes: , - -y
Post&BAam
Shear Anchors _
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -
Drywall Nailing
F;-,!?wall
Fire Sprinkiarc —(J- L�.a_
Fire Alarm
Ceiling
Roof s
Root <C Ge S
Other:
Final —
PASS PART FAIL
PLUMBING "-" �
Post 8 Beam � � '
Under Slab -- -�
Rough-In _
Water Service
Sanitary Sewer _
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan - -- —_-- -
Other:
Final - - -
PASS PART FAIL.
-MECHANICA _1 _
Post&Beatfi ---
Rough-In
Gas Line - -
Se
�mpo�A -
3S4RIAL
PART FAIL —-- - -
E C - --
SArvice —
Rough-in _ ------ — �----�
UG/Slab — -----
Low Voltage -- --'-- T_
Fire Alarm
Final r] Neinc oection fee of$_ _ required before next inspection. Pay at City Nall, 13125 SW Hell Blvd.
PASS PART FAIL Unable to inspect-no access
SITE F-] Plea,je call for reinspection RE: --------"----
~Fire Supply Line
ADA Data l I 3//
6 � V�Inspector Exf
Approach/Sideway':
Other:�__-_.-_ DO NOT REMOVE this Inspection record from the job site.
Final
PASS PART =AI!�