10900 SW GAARDE STREET O
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JOSHIS SMVD MS 0060T
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date RequestedL _AMFM BLD
Location_ &({-.CL/l_C Suite 0 __ MEC _
Contact Person V �'h 1 �' PhU Zl 000_�(-D L 00.05;1-
Contractor PFI SWR
BUILDING Tenant/Owner U)OLD CI LL`t�v.( E- L IQ. a• ELC
Retaining Wall ELR
Footing Access.-
Foundation FPS
Ftq Drain SGN
Crawl Drain Inspecti0 o
Slab
Post&Beam
Ext Sheath/Shear
Sheath/Shear
Framing 1I � C C 4
Insulation
Drywall Nailing
Firewall �I• /�/�„
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: —-
Final
PAS FAIL_IILUMBIN.G.,,"
Post& Beam --_..----- -------.----..._____ --__--._.--- ------__-_.__-_—___
Under Slab
Top Out - -
Water Service
Sanitary Sewer ,
alt grains rt
PART FAIL.
11111SCHANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
1.ow Voltage
Fire Alarm
Final
PASS FART FAIL
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE: [ ]Unable to Inspect-no access
ADAAppr
OttheroechlSide.aalk Date L _Inspector �% [ _Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from, the Job site.
1-k CITY O F T f G A R ® MECHANICAL.
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . .
DATE ISSUED: 10/29/96
SITE ADDRESS. . . : 10900 SW GAARDE S'l PARCEL: 2S110AA-02100
" UBDIVISION. . . . c ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
--------------------------------------------------------------------------
1:1-ASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . .-At VENTS W10 APp1_- o VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-----.-.--. 0-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . ., : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15- 30 HP. . . . : o REPAIR UNITS: 0
FIRE DAMPERS?. . : 30- 50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 504 HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----.-.------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : 1
TURN >=1001J, BTU: 1 10000 efint 0
Remarks : ADDING GAS ",TPING R FURNACE DUCTS & VENTS
Owner,: FEES ---------------
M TOTONCHY type amoi-tnt by date t-eept
2651 OVERLOOK PRMT $ 25. 00 TAT 10/29/96 96-285858
LAKE OSWEGO OR 97034 5PCT $ 1. 25 TAT 10/29/96 96-285858
Phone #:
Contractor:
MIDWAY HEATING CO
12625 SE SHERMAN
PORTLAND OR 97233 ---------------------
PVtone #: 252-4003 $ 26. 25 TOTAL
Reg #. . : 000240
------- REQUIRED INSPECTIONS -----
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Snecialty Codes and all other Misc. Inspection
applicable laws. All work wAl be done in accordance with Final Inspection
approved plans. This permit will expi-e if worN is not started
within IN days of issuance, or if work is suspended for tore
--
than 180 days.
Fler-mittee Sign ft-rr_' : —d
Issued By : )Zt,11.1,4
for• inspection 639-4175
..ww.nw.wnV9AMiYlAirt uwrad •- "OUJ 004 1.;.'I 1111 U1- 11bARL) - -ijVUU1/UU1
City or T!gard MECHANICAL PERMIT Pianck/Rec. # /
13125 SW Hall Blvd. APPLICATION Permit # 1Y1i5u?/ G
PO Box 23397
Tigard, OR 97223
(503) 639-4171
Description
Table 3A Mechanical Cods OTY PRICE AMT
Job Q�GGJ ✓lC', Gei7�1/rG�E 1) Permit Fee -0 -0- 10.00
Address Irv.
• 9 J-2-1 2) Supplemental Permit 3.00
urate to 100.000-Bm
Incl.ducts&vents 0.00
Furnace 160000 0 +
Owner c"'161,112) incl.dui&vents / 7,50
' Floor Furnance
rt- C)3,W 3) Incl.vent
6.00
""°Iff uspend ea or,wWI oator
MON �_ 4) or floor mounted heater . 6,00
Occupant -"went not incl.to
5) appliance permit 3,00
Repair ol heating,re ng,
I
6) roofing,absorption unit 6.00
Boiler or Comp,heat pump,air con .
2/l aCATiiI/4 .� , 7) to 3 HP absorp unit to 100K BTU 6.00
oder or comp, eat pump,air tond.
Contractor J`rG139�,4i1� d) 3-15 HP absorp unit to BOOK BTU 11.00
/� of er or comp, oat pump,air ons .
2t��Cl l/7L 3 j 9) 16.30 HP absorp unit.5.1 mil STU 16.00
Boiler or Cooip,Gat pump,air ourd.
/�Cv— 10) 30.50 HP absorp unit 1.1.75 mll STU 22.50
ere y Boiler
er comp, eF at pump,air Gond.
Information given Is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 nill BTU 91,50
of the owner,that plans submitlad are in cumplianca with State Wir handing unit to
that the number given is torrent. (It exempt from State registration it aning unit
laws, that I am registered with Ute CcitMCI,ion Contractor's Board, 12) 10,000 CFM 4.50
pleas give reason below,)
13) 10,000 CTM+ 7.50
on porta e
14) evaporate cooler 4.50
Vent Ian connects
15) to a single duct 3,00
enb Eb on ay`atem ria
16) included in appliance permit 4.50
4� ....N t "Hocd servia by
led 11c 17) mechanical exhaust 4,50
ss wp new a d tion S alteration U repairommercial er Industrial-
to be done residential ncn-rosidential t) 1 B) type incinerator 30.00
EYJe ng use o r� '�Gy Cher t,e„woo stove,water
building o►property r _ 19) heater,solar, clothes dryers,etc. 4250
Proposed use of
/ter � 20) Gas piping ane to lour outlets / 2.U0
building or progeny —
Typo of fuel•oil 0 natural laas LPG Q electric 21)_Mere than 4-per outlet
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION '
AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ADANDONED FOR A PERIOD OF 19O DAYS AT ANY TIMI= T PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK 15 COMMENCED.
S 1;
Special Conditions - -- TOTAL _
--.� Data issued by
WMECNPMT
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CITYOF T IGARD PLUMBING PERMIT —
DEVELOPMENT SERVICES PERMIT M PLM2000-00052
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/23/00
PARCEL: 2 S 110AA-02100
SITE ADDRESS: 10900 SW GAARDE
SUBDIVISION: ZONING: R-12.
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE Di'.POSALS: MOBILE HOME SPACE'S:
TYPE OF USE: MF WASF'.NG MACH: BACKFLOW rREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAIN'S:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLCSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Water heater replacement of like kind.
FEES
Owner:
-- Type By Date Amount Receipt
EBERT, SUSAN M PRBON 2123/00 $50.(',0 00-321818
!n TOIONC;HY FAMILY PROPERTIES MT
651 SW OVERLOOK DR 5PCT BON 2/23/00 $4 00 00-321818
AKE OSWEGO, OR 91034 Total $54.00
Phone 1:
Contractor:
EORGE MORLAN PLUMBING +APPLIANCES
806 SW TIGA.RD STREET
CB EXP 6/2002)
IGARD, OR 97223 REQUIRED INSPECTIONS
Top-out Insp
Phone 1: 624-6895
Final Inspection
Reg #: LIC 000027
PLM 026-60PB
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
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 by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR
952-0001-0080. You May obtain copies of these rules or direct questions to OUNC by calling (503)
246-1987 l
h� ^ ` Permittee Signature:
slued By: I�,, 1E;u:4 � g �•t � �: I �a"�(c'l-� v'ICc.�_�
Call(503) 639-4175 by 7:00 P.M. for,an inspection needed the! nextidsiness day
f•EB-1'r'–�N471� L1_i:�,6 �'.U1
3125 E'f: HALL BLVD. Commercial and Residential RECEIVFD
IGARDI OR 97223
;03) 639-4171
Print or Type FEB `r `? ,[ilei, K fi' ;>r �• r
Incomplete or illegible applications will not be act ly MVILui M01
&'/0/055603
Noma of OavelopmanUProloet FIXTURE4, (Ind141duaI). ; QTY'- PRICE., AMT:
Job La-d ("hwicer Sink 11.50
Address Street Addre" Lavatory 11.50
Tub or TublShower Comb. 11.60
Bldg 0 Clty/Slato ZIP Shower Only 11.60
07
ams Water Closet 11.60
rH Chia a cer Dishwasher 11.50
Owner Moiling Address a g MY Garbage Disposal 11.50
r Washing Machina 1150
Chylstate ZIP Phone
Floor Drein/Floor Sink 2• 11.60
Name 3- 11,50
4' 11.W
Occupant Mailing Addrese Sude Wafer Heater O conversion 3K like kind / 11,50
Gas piping ro ulres a separate mechanical permit.
Gry/State
ZIP Phone Laundry Room Tray 11.50
Na _ — Urinal 11.50
Ly� "mob' Other Flydures(Specify) 15.00
Contractor .lana Add
rea _A.d s5uff
r
prior to Parmatats J Phone Sewer-1st 103' 38.00
Issuance.a oopyal
1�
of as Ilooneea are orrieWconst.Cont.Board Uc.! gyp,pa Sewer-each addlbonal 100' 32.00
required If O lai Water Service-1 ct 100' 38.00
ax;lred In COT Plumbing uc.v F,rp, s Water Sendee-each additional 200' 32.00
database o7 Q
Name Storm a Rain Drain-1 at 100' 1 38.00
Storm 6 Rain Orcin-each tdlUonal 100' 32.00
Architect _ Mobile Home Space 32,00
or Mailing Address Suits CommenJal Sack Flow Prevention Device or MU- 32.00
Pollution Device
Engineer CRy/StaEe zip Phone Reeldentlal Backflow Prevention Device. 16.00
(lrrlgation llming devices require a separate
)eaalbY work!o De dwre restricted energy permlt)
View O Repair O Replace with like kind Yea\0 No O Any Trap or Waste Not Connected to a Fit no11.50
isaldenUal O Commercial O Catati 8nsln 11.30
%dditnal description of work:
�� Inap,of Enlisting Plumbing 50.00
rP
e tee.f r Ic. wad Q r heakf r- per/hr
ire YOU capping,moving or replacing any flxturea9 Specially Requested Inspections 50.00
Yes O No O per/hr _
f yes,see back of form to Indicate work performed by Rain In
n,single forrilty dwelling 45.00
Ixture, FAILURE TO ACCURATELY REPORT FIXTURE aresse Traps 11.60
YORK COULD RESULT IN INCREASED SEWER FEES.
QUANTITY TOTAL
hereby acknowledge that I have road thin application,thal Fe Information Isometric or Moen duprem to required If Ouanlity Total Is P.B
Ivan Is correct,that I am the owner or aulhorizod agent of the owner,and
1a�ans submitted are In compliance with Oregon Stale Laws. 'SUBTOTAL
tgrar%Agant Date 8 *%SURCHARGE dp
ct Peron Name Phony PLAN REVIEW 26%OF SUBTOTAL r
Q
Requirm ani M Odure qtr roto,Is,a
TOTAL OOi
•Minlmum psrrttlt He is f50• 5%surcharge,erroW Rosidanaal Baddlow
+ ) p Prevention Device.which Is$25•5%surcharge
"All Now Commorclat Buildings require plane with isometric or riser diagram
and plan review
+yam sec V26—