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9815 SW JANZEN COURT L Ul U) F N N p n rt I I l xNnOD NRZNVC MS ST86 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST � BLIP __Date Requested12___1z_ Al _PM _ BLD Location / �j .� �' _ Suite MEC !1 Cl 4) 0G $3y Contart Person q Ph (,,'2L) PLM T'7-- 0 y�— Contractor_ Ph (0 zC SWR BUILDING — Tenant/Owner �� �' ELC Retaining WallELR Footing Foundation Access.- i FPS Ftg Drain I l]�� �j �> ofd (' � � r /e ,F p - -- Crawl Drain Inspection Ncic�s. , --?)q C� SGN Slab C (e �9- 12 Oyl 0( - Post R Beam -r --- - SIT Ext Sheath/Shear 4'L -` Int Sheath/Shear ---------- Framing Insulation - Drywall Nailing Firewall ----- - - -- Fire Sprinkler Fire Alarm Susp'd Ceiling __- --- ----------- Roof -------_- - Misc: __- Final _. --------w-.- -------_..--__ _. PASS PARI FAIL _-__— Post is Beam Under Slab Top Out -- Water Service Sanitary Sewer -- - — --- ---- Rain Drains �jWS FART FAIL MECHANMA6 - _— — — — ----- - Post R Beam _------- - ---_ _- Rough In � V� - Smoke Dampers Final - --- -- --- _ -- - _ __ PART_ FAIL ELECTRICAL _. .. - ------------------_ Service - Rough In - - - UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading ------ ----- ----- _ Sanitary Sewer Ston,Crain [ J Reinspection fee of$ -_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ]Please call for reinspection RE: [ J Unable to inspect-no access ADA Approach/Sideway, —_- other Date �- InspectorL� . "._ Ext Final PASS PAKT FAIL DO NOT REMOVE this Inspection record from the job site. MECHANICAL PERMIT CITY O F T I G A R D DEVELOPMENT SERVICES PERMIT#. MEC199900534 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 63^-4171 DATE ISSUED: 12/06/1999 PARCEL: 2S111 BA-02800 SITE ADDRESS: 09815 SW JANZEN C1 SUBDIVISION: MCDONALD ACRES ZONING: R-4.5 BLOCK: LOT: 003 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. BOILER-,/COMPRESSORS _ HOODS- FUEL OODS- FUEL TYPES 0 3 HP: —� DOMES. INCIN: LPI: 3 15 HP: COMML. INCIN: ' �,X INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITOS CLU DRYER ERS: FURN >=I OOK BTU: — 10000 cfm: GAS �_ S C'�UTLETS: 1 UNITS: > 10000 cfm: Remarks Installing gas woodstove, gas logs, and gas piping Owner: _ FEES DOUG LA.RSON Type By Date Amount Receipt 9815 SVS' JANZEN CF PRMT BON 12/06/19 $50.00 99-320183 TIGAP ., OR 97224 5PC1 BON 12/06/19 $4.00 99-320183 Total $54.00 Phone:503-620-1753 ----- — — — — Contractor: PACIFIC GAS WORKS PO BOX 30646 PORTLAND, OR 97294 REQUIRED INSPECTIONS Gas Line Insp Phone: 503-317-5573 Misc Inspection Reg #:LIC 136391 Final Inspection ORIGINAI- This permit is issued subject to the regulations contained in the T-igard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance witf- approved plans. This permit will expire if work is riot started within 180 days of issuance, or if w)rk is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those ruses are set forth in OAR 952-001-0010 through OAR 952-001-0060. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. 1 � Issue By: Permittee Signature: Call (503) 539-4175 by 7:00 P.M for inspections needed the next business day Plan Check#___ CITY OF TIGARD Mechanical Permit Application Recd By CiT 13125 SW HALL. t LVD. Commercial and Residential Date Rec'd1,�. TIGARD, OR 97223 Date to P.E.— (503) 6319-4171, x304 Date to DST Print or Type Permit# [Xi r7� Incomplete or illegible applications will not be act;epted Called —�- Name of0evelopmenUProjecl Description f1 _Table 1A Mechanical Code at Pric3 Amt Job Street ddress Suites A) Permit Fee �— 1600 1) Furnace to 100,000 BTU B I C" Address F including ducts 8 vents - 9.65 edgy yistete ZIP r 2) Furnace 100,000 BTU+ -1174, _ including ducts&vents 1200 Name(or name of business) 3) Floor Furnace Owner i 7 at,{ee-41_ � �— including vent _- 9.65 Mailing Address 4) Suspended heater,wall heater q,'P/5- 54! •-r+Vl z�� C_+ or floor mounted heater _ 9.65 5) Vent not included in appliance permit_ _____4.75 _ CnylState Zip Phone C teck all that apply. 'Boiler Heat Air v� 1 Q.►t� rJrG t ?C)- -? Far Items 8-10,see or Pump Cond Oty Price Amt _ - - - footnotes 1,2 Com N e(or name of business) _ p _ 01 f,)Repair units Occupant Mailing Address <3HP,absorb unit to — — 8.40 7) _ 100K BTU 9.55 ( tdstote Zip Phone 8)3-15 HP,absorb unit 100k to 500k BTU _ _ 1765 _ Contractor Name 9) 15-30 HP,absorb r unit.5-1 mil BTU 24,15 �t W4✓ S 10)30-50 FIFA,absorb Prior to permit xallinQAddress unit 1-1.75 mil BTU 36.00 _ issuance,a copy 306 yG J 11)>50HP,absorb unit>1 75 mil BTU of all licenses CRY/State Zip Phone I _ _ _ 60.15 are required H , f 1 ft • 17-sem 7 3 12)Air handling unit to 10 000 CFM � � I expired in COT Oregon Const pont.Board LIcADate database_ 1 _76 - ('►^ _ 7.o0 _ 13)Air handling unit 10,000 CFM+ Architect Name - _ _ 11.85 14)Non-portable evaporate cooler Or Mailing Address _ 7.n0 15)Vent fan connected to a single duct Engineer C"y",ele zip Phnne -- 4,75 9 16)Ventilation system not included in appliance permit _ 7.00 T Describe work to I :done: 17)Hood served by me.hanical exhaust 7.00 New O Repair O Replace with like kind Yes O No O 18)Domestic incineratcrs Residential*' Commercial O Modification,01 _ _ — _ 12.00 19)Commercial or industrial type incinerator Additional information or description of worty 48.25 20) Other unit , including woof stoves �1 .5 f45 J-= 1.00 NOTE: For Commercial projects only;Units over 400 lbs,located on the 2 Gas pipir,i one to four outlets--! roof,require structural talcs,prepared by licensed engineer. _ Iii � 3.75 Type of fuel: oil O natural gas O LPG O electric O 22)More than 4 per outlet(each)I hereby acknowledge that I have read this application,that the information Minimum Permit Fee 560.00 SU81 OTgiven is correct,that I am the owner or authorized agent of __�.—_ 8%SURCHARPLAN REVIEW 25%OF SUBTOTthe owner,that plans submitted are in compliance with Oregon State laws. Rcqulred for ALL commercial permits oof OwnerlAgenl DateTOTCq Other Inspections and Fees Contact Porson Name Phone I hispections ou'side of normal business hours(minimum charge-two hours) 950 00 per hour 175-2 ? Inspections f,,r which no fee Is specifically Indicated (minimum charge-halt hour) $50 Foonotes for commercial projects only: o '+ Additionaall plan review rMwied by changes additions or revisions to plana(minimum 1 Provide full schematic of existing and proposed gas line and pressure. charge-one-half hour)$50 00 per hour 2 Provide drawings to scale showing existing and proposed mechanical 'Slate Contractnr Boiler Certhticition required units "Residential A1C requires site plan showing placement of unit I Vnechperm.doc rev 11/1/99 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: —�_—� A M. _ P.M. MS'r: _ Location -- Il l'.1-- =�� �- -��1t— — BUP: — - Tcnant:— ��y))�_ —�� --- — -- Suite: JJ Bldg: MEC:--� qC�' Contractor:- `_��l�dL4l�f v i Phone: L�_.lC��rJJCL_. PLM: -1-7-LCA !_ - Ovmer: �/J 'hone: --_—_ — C�� -- —--- ELR.N_ -- _ SIT: BUILDING BLDG(con't) PLUMBING NEC144NICAL ELECTRICAL SITE Site Post/Bemn I'ost/Bcam Cover/Service Sewer/Stt;nn Footing Roof UndFl/Slab Roup]t-In Ceiling Water Line Slab Framing 'Fop as Gas Line Rough-In IJG Sprinkler Foundation Insulation Sewer Hood/Duct Reconne.t Vault Bsmt Damp Drywall Storm Furnoce 'remp Service MISC. Masonry Ceiling Rain Drain A/C Ute,Slab Shear/Sheath Fire Spklr/Alyn Crawl/' tnd Ir I leat Putnp Low Volt Approved Approve'7 Approved Approved i vcd Al;pr/Sdwlk Not Approved _ N( veil Not Approved Not Approved Not Approved FINAL IrtA11 FINAL. FINAL FINAL O Call fortf .xtiop O Reinspection fee of S____., reqaii-ed before next inspection O Unable to inspect Inspector- — - Date: t ! — Page- _of_ _ CITY OF TIGARD DEVELOPMENT SERVICESP1LUMBTNG PERMIT1 +-RMIT #. . . . . . . : 171L.1,07-029" 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATF ISSLJED: 07/23/97 PIARCEL: 2S1118n-02800 )ITE ADDRESS. . . : O98t5 SW JAN7EN CT )IJBDIVISION. . . . : MCDONALD ACRES ZGNING: R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 JURISDICTION: TIGI CLASS OF WORK. . :AI-T GARBAGE DISPOSALS. : 0 MOBILE HOME SP,ACE:�. : 1b T'YP'E OF USE. . . . :GF WASHING MACH. . . . . . : 0 BACKFLOW P,REVNTRS. . : I OCCUPIANCY GRP'. . : R-:, FLOOR DROING. . . . . . : 0 J RAP'S. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . . 0 F'I XTURES------ I—AIJ11DRY TRAYS. . . . . : 0 GF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GRFt)SF TRAP'S. . . . . . . . 0 I-AVATORIES. . . . : 0 OTHER rIXTURES. . . . - 0 TIJB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 D T SHWASHE R9. . . 0 RAIN DRAIN (ft ) . . . : 0 ReMat-ksi . ITISt,411ing A residential bac�kfl,ow prevention device. ownev-: F"FFS uOIJG I—ARGON type --A"10 l.t n t t.)y date r-ecPI; 9915 SW JANZEN CT PRMT $ 15. 00 B 07/23/97 97-297472 TIGARD OR 97224 -)F,CT $ 0. 75 D 07/23/97 97—213747;:—:* Plhone 11ODERN r-'LUMBTN(-j 11120 SW :INDUSTRIAL. WAY 'TUALATIN OR 13706i-.' F.1htme # : 691-6166 13. 75 TOTAL Reg #. ., : 000879 REQUIRED INSPIECTIONS This persit is issued subject to the regulations contained it the RF1/Bac:kF1aw Pr-e P Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I r);ectior- applicable laws. All worts will be done in accordanTe with approved plans. This pereit will expire if work is not started ...... within 180 days of issuance, i;r if work is suspended for sore than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification cation Center. Those rules are t forth in OAR 752-0001-0010 through OAR You lay I ain copies of these rules or direct questions to OUK by calling e e 77 j. n�a s i-red 13 P,C,r-m i t t t i f ++++44......4.++-+++++4++++++++++4+4-+++•+-{•+l..+++-}-++++++-4-++*+++++4•...........1-4-+++ 11 639-4175 1:)y 6,00 p. Ill, f a t- an inspection needed the next business cliv ++++++++-+++++++4•++++ CITY OF TIGARD Plumbing Application Recd e 1` 13125 SW HALL BLVD. Commercial and Residential Date Recd ­7— 'i TIGARD, OR 97223 Date to P E. 1277.77an__(503) 639-4171 Date to D Permit tt Print or Type Related SWR Incomplete cir illegible applications will not be accepted Called Name of DevelopmenuProlect -- FIXTURES (Individual) QTY PRICE AMT nk _ s..00Job � Lavatory avatoryAddress suite 9.00 Tub or Tub/Shower Comb 00 lg City/State Zip Shower Only — 9.00 1 cf 10 Water Closet 9.00 Name (h)t_k c- U cwt Dishwasher 900 Owner Aa lin Address Suite Garbage Disposal 9.00 O� �a C(� �V1 Washing Machine 9.00 Istate'I Zip Phone Floor Drain 2' 9.00 t t- ctV(� ( 3" 1..00 Na — 4" 9.00 Ci- Jw — — Occupant ,ailing Addre3s I Suite Water Heater —_— _ I 9.00 SLJ�CuA zt yl d _ Laundry Room Tray —L� 9.00 4tylState Zip Phone Unnal �) r' Ct4/ or •1 v-- — � 9.00 Nai e - Other Fixtures(Specify) --- 9.00 1 '\ \ — 9.00 — Contractor Mailing Address Sui a 9.00 ClyISlate Zip Phone I — --- 900 (L.0 1 r�-, -) C` t' 1 'Z l_r C,1 -- Oregon Const.Cont.Board Lic# Exp.Date _ — 9.00 Attach Copy of -' ) ' I (, � 9.00 — Current Plumbing Lic.0 Exp Date Sewer-1st 100" 3000 Licenses (',_( -'J)'-, Sewer-each additional 100' 25.00 COT Business Tax or Metro 0 Ex) Date Water Service-1st 100' 30.00 Name Y Water Service each additional 200' 2500 Architect Storm&Rain Drain-1 st 100' 30.00 Or Mailing Address 1 9Jite — Storm&Rain Drain-each additional 100' 25.00 I Mubile Home Space 2500 I er EngineCityrState ZipY Phone Commercial Back Flow Prevention Device or Anti- 2500 —II i Pollution Device _ Desrnbe work New O Addition O Alteration 0 Repair O — Residential Backflow Prevention Device" ' 15 OU to be done. Residential O Non-residential O Any Trap or Waste Not Connected to a Fixture 9.00 l Additicnal description of work Catch Basin 900 Insp of Existing Plumbing — 40.00 _ per/hr _ Existing use of — Specially Requested Insnections 4000 budding or pioperty____ — per/hr -- Rain Drain.single family dwelling 3000 Pro-iosed use of Grease Traps 900 buddw: or property QUANTITY TOTAL Are you capping , moving or replacing any fixtures' Yes O No❑ Isometric or r+er diagram is required if Quanrty Dotal is >9 (if yes see back of form) _ 'SUBTOTAL I hereby acknowledge that I have read this application,that the information given is correct.that I am the owner or authorized anent of the owner and �5% SURCHARGE that plans submitted are in compliance with Oregon State Laws Signature of Owner/Agent Date PLAN REVIEW 25%OF SUBTOTAL Required only if fixture Qty total is->9 _ TOTAL Contact Porson Name —� PhonelC—� / 'Minimum permit fee is S25, 5°,surcharge,except Residential 3:�ckfiow Prevention Device.which is S 15-514 surcharge Odsts\p1m3ipp.doc 3196 PLEASE C9_ME1E AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced "Oty Sink Lavatory Tub or Tub/Shower Combination _ Shower Only _Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" _ J/�1, An Water Heater `i Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: