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10265 SW KATHERINE STREET I � CDN OM L71 N E D h � t m �7 Ln I r'i I Zti I i i t ,LSS�J�S SNIHSHTitN MS S9ZOT �I T`� OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT'#: MEC1t199-00519 /DATE ISSUED: I1,29i�)9 �--" 1312: SW Hall Blvd.,Tigard, OR 97223 (503) 6ax/A SITE ADDRESS- 10265 SW KA,Tr-;...:RINE ST L PARCF'.. 1 8135CC-02500 SU 3DR1"-1(-)N: GREENBURG HEir.I1 rS ADDITION ZONING: R-4.5 BLOCK: LOT: 011 JURISDICTION: TSG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS _ HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP. REPAIR UNITS: FIRE DAMPERZ - 30 - 50 :1P: OD GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BT U: AIR HANDLING UNITS C OTHER UNITS: 1 FURN —100K BTU: — 10000 cfm: u � 10000 cfm: GAS C�I;TL.ETS: Remarks: Installation o,gas insert only, gas line already it plats Owner: FEES JEFF ZW!NGRAF Type By Date Amount Receipt 102.6.,5 SW KATHE=RINE ST PRMT DEB 11/29/99 $50.00 99-3200-42 TIGARD, OR 97223 ;",PCT DEB '11/29/99 $4.00 99-320012 Phone: l r_ Tota $54.00 - -- Contractor: TOM BISHOP CONSTRUCTION 11525 SW CANYON BEAVERTON, OR 97005 REQUIRED INSPECTIONS Mechanical Insp Phone: 503-626-4652 Final Inspection Reg #: LIC 00054696 This permit is issued subject to the regulations contained in the Tigard Muni;;ipal 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 1.80 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth ;n OAR 952-001-0010 through CAR 952-001-0080. You may oLtain copies of th # Tct�es or direct questions to OUNC by calling (503)246-9189, �Issue By: -� � 1Ly��' I-lermittee Signature: 4 �� Call (503) 639-4175 1,% 7:(►C P.M. +or inspections needed the next business day CITY OF TIGARD Mechanical Permit Application R;�Ch °d`* 13125 SW HALL BLVD. Commercial and Residential Dace Redder �r i;• TIGARD, 4R 97223 Dats to P.E. - (503) 639-4171, 004 fate to MY�-- Print or Type Pam*# _ Incomplete or illegible applications will not be accepted called ——� Name of DevetotxnenVP"f)ect I Description Table 1A Mechanical Cole _ Price Amt Job street Address— Suf1eA A Permit Fee _ _ 16.00 At]dress � �"��1 Furnace to 100,000 BTU u F Jr ,� Including duds b vents see fotrtr'iote 1,2 9.65 Bldg# City/State Zip --- 2) Furnace 100,000 BTU+ lucts 8 vents see footnote 1,2 12_.00 Name(or name of business;-` 3) Floc(Fumace Owner 2L,_1'VI c t,,� d �j;/�_ Including vent aee foot_nobo 1 2 9.65 4) Suspended heater,wall heater r or floor mounted heater see foul,jtb 1t2 9.65 51 ",nt not Included Ina pplierce rmll:� 4.75 City/state Z,p Phone Cnerx all that apply: 'Boiler Heat Air I40 �V A�; �z, l;-Vee. 'JDA; ! For toms 6-10,a" or Pump Gond Oty Prim Arnt Namd(or name M business) _ 'Antes 1,2 Com " -3HP;absorb unit to r Ot,R BTU _ 9.65 _ Occupant Meiling Address 7)3-15 HP;absorb unit _100k to 500k BTI) _ 17.65 City/Stale Zip Phone--- ` 8)15-30 HP;absorb unit.5 1 mil BTU 24.15 conb actor "ww 9)30-50 HP;absorb unit 1-1.7.5;.4;BTU 36.00 7-6 ?, —' njk�s Cly] _ 10)>50HP;at orb unit Prix to permit Mailing Address >11.75 mll BTI 60.15 k►suance.s cop' s?a �(�% r c :� _ _ 11 Air handling unit to 10,000 CFM Cjr/ of all license! Stale Xlp Phone 7.90 are requirno if PCCt!t!t,k)vX C / `•' k' ,7�, (�, ,J 12)Air handling unlit 10,OW FM+ e.,T*ed In COT Oregon Const.Cont.Board Uc.# Exp.Dns _ 11,75 daL base 5 V(rr,q4., _ 13)Non-portable evaporate cooler Arch;tect "a"1e 7.00 14)Vaot fan��nneded to a single duct or Ma"Address ____._ 4.75 15)VentllaWn s,stem not included In applisrt2�k rrnk 7.00 Engint,• r CkylStale — Zip Phone 16)Hood served by mechanical exhaust 7.019 ,..nit to be done: — 17)Domestic Incinerators 12.00 R air O Replace with like kind: Y.s 1 No O 18)Commercial or Industrial typa Incinerator R idertNa Commurclal O 48.25: '•9,i r _ _ _1 9)Repair units Addltlonai infor�ath.n or descriptK of work - 8.40 C 20)Wood stove/gas FP/other unclothe dryer/etc (�(7`a Ni � N rJ'�!r t-- _ lts/ 7.00 K C�• E: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets structt•gI gas(%Ics. _ See footnote 1 _ 3.75 Type of fuel: oil 0 natural ga LPG O electric O 22 Morn line i 4-per outlet Lach Minimum Penult Fee$50.00 _SUBTOTAL cx I hereby acknowledge that I have read this applicatic n,that the information _ 3%SURCHARGE given Is mmec,that I am the owner or authorized scent of PLAN REVIEW 25°�Ur SUBTOTAL the owner,that plans submitted are In compliance,.ikh Oregon State laws. Required for ALL commercial Holts on '3ignabne of rlAppnt Date — TOTAL 1/ Other Inspections and Fera: _ c 4 ,JL, ��_ 1. Inspections outside of normal business hours(minhwi chargedwo conbl o,(son N e 1�1 Phone 'tours) $50.00 per hour �_ _ 1 f, `t/�t S 2. Inspections for which no fee Is specifically Indiesbd (minhnum 1• c i` M1V� _ L _ charg"alf hour) $50.00 per hour Foor�for c , merclal projects only: 3. Additional plan review required by changes,addlt%m or rwislons to 1. Provide full schematic of existing and proposed gas ire and pressurn plans(minimum charge-one-half hour)$60.00 par hour �. 2 Provide drawings to.scale showing existing and propose,+mechanical units. _ _ _ *State Contractor Boiler CertI icelion required "Residential A/C requires she plan showing placement of unit 1:4nec:hpern.doc rev 02/4/99 r,, t CITY OF TIGARL` BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lira: 639-4175 Business Line: 639-4171 - — BUP Date Rrluested AM PM _ BLD _ Location lod(o-5- SO 9k ke-yt,41— Suite MEC CSS l 9 Contact Person s "" ,6"r • a4*?T PLM Contractor Ph SWR BUILDING Tenant/Owner ELC _ Re',4ining Wall _ - - ELR _ Footing Access: Foundation / FPS Fig Drain .��`"7 �v .-e SGN Crawl Drain InSpe Qtion N.tes: 1 --- -- Slab l`.c 1 i 2 SIT Post& F?am `---_-` - Ext Sh_ith/Shear Int Sheath/Shear - - Framing _-_- --_-_--_ Insulation Drywall Nailing Firewall - - ------ - Fire Sprinkler i Alarm p'd Ceiling ---- --_ -- - -- - — - If I',Aisc: -- --------------- -- ----- Final -- ---- PASS PART FAIL -- --------------------_._-__._ _ __ - PLUMBING, Post 8 Beam -------------------- -_.._- ._ - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final --.— PASS PART FAIL MECHA ';':FL Post& Bean, --- -- --- ----- - - _. .- Rough In Gas Line - Smoke Dampers AS PART_ FAIL t CTR{C_AL S'�R'ice Vmgh In UG/Slab L_owVoliagr:) - ------- _ Fire Alp rm Final PASSPART FAIL -� --_ - -- --_----- -_- - -- ------------_.___._-------- _._.__ SITE Backfill/Grading Sanitary Sewer Stu:m Drain ( J Reinspection fee of$ _ _required befo,e next inspection. Pay at City Hail, 13125 SW hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RF: [ J Unable to inspect no access ADA _ fr Approach/Sidewalk / c' / , y Other Dnte Inspector �i Ext _ Final L PA:4C PART FAIL DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Coyer/Service FINAL: Foundation Water Ling '':ding -Plumb. Post/BE9m Mech. Shear/Sheath Framing -Mach. Plbg Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/S&dl, Reins. Other: _ Dater A.M. P.M. — Entry: Address: _1rD (0 Tenant:._ _ _ Ste: MST Con/Own: � _ ��A.-- MEC: 1, .'`��J-- PLM: ELC. _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspe for , Date: 41 ' APPROVED DISAPPROVED/CALL FOR REINSP. CF CO i PERMIT CI1Y OF T I GARD PE RM,PLUI T M#. . . .BING. . . : PLM96--0I.:-r..7 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/0'7/96 13125 SW l4nil Blvd,Tigard,Oregon 97223e8199 (503)639-4171 PARCEL: IS135CC-02500 SITE ADDRESS. . . -. 10265 SW KATHERINE ST SUBDIVISION. . . . : GREENBURG HEIGHTS ADDITION ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11 ------------------------------------------------- CLASS OF WORK. . :REP GARBAGE DISPOSALS. : 0 MOSILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH ;" * BASINS. . . . . . . : FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. : : . . . 0 SINKS. . . . . . . . . . 11 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIXTURES— — : IZI TUB/SHOWERS. . . . a 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . 1 0 WATER LINE (ft) . . . : 100 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . ! 0 Remarks : Water service -first 100Ft. Owner: FEES --------------- JEFF ZWINGF%AFtype amol-Int by date recpt 10265 SW KATHERINE ST PRMT $ 30. 00 CJS 06/03/96 96-280104 I 15 PICT $ 1. 50 CJS 06/03/96 96-230104 TIGARD OR 97223 Phone #: Contractors RESCUE ROOTER 1--,0 BOX 1728 WILSONVILLE OR 97070 Phone #: 6BE-9050 31. 50 TOTAL Req #. . : 44677 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water Line Insp Tigard Municipal Code, State of Dre. Specialty Codes and all other FinAl Inspection 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 suspqnded for more than IN days. 7 - ermittc-p I 'Bsl-ted By : Call For, inspection 639-4175 City of I-igard PLUMBING PERMIT APPLICATION Planck/Rec. # 06 ,2,AA l o y 13425 SW Hall Blvd. Permit # 1214196 -0 1,17 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE Name.f o...mnm.m New Single Family Residences Only "+*••• _ ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE 3195.00 Jab /t� r S r .,J T }�1['r /1 G ❑ 3 BATH HOUSE$215.00 Address e.p3m. no Fee includes all plumbing fixtures in the dwelling and the first 100 feet of Nater service, sani!ary sewer and sto-m sewer. Sae fees below. rum•1. A...1nou,x. FIXTURES QTY PRICE AMT s` ),r, Sink 9,00 M•+^a Ad«•+• ph— Lavatory 9.00 Owner Tub or ub/Shower Comb. 9.00 •• Shower Only 9.00 Water Closet 9.00 Nam.,«..m..1 Mhti..., Dishwasher 9.00 Garbage D sposal 9.00 Occupant M.ro-+�••• ~" �^^• Washing Machine 9.00 Floor Drain 9.00 y7i1• zb Water Heater 9.00 Laundry Room Tray 9.00 Name — Urinal 9.00 -Other Fixtures (Specify) 9.00 M.dna A"n M.* 9.00 Cuntractor / --- — SV..✓ 9.OU -- oh s,+t• Z. 9.00 Sewer 1st 100' 30.00 su,.aew.o-.n.n N•. ur&,• T• N. Sewer-ea. Addit. 100' 25.00 N /, 2-Z Water Service I st 100'�- f - — 3000 sr; I hereby acknowledge that have read this application, that the Water Service ea. Addit 200' 25.00 infurmation given is correct, that I e.m the owner or authorized agent of — -- the owner, that plans submitted are in compliance with State laws, that Storm 3 Rain Drain 1st 1C0' 30.00 I am registered with the Construction Contractor's Board, that the Storm & Rain Dain Addit 100' 2500 number given is correct. (If exempt from State registration, please — --- give reason below.) Mobile Home Scace 25.00 Back, Flow Prevention Device or Anti-Pollution Device 900 sro,•«• �.,««•oMn �•• I Any Trap or Waste Not Connected to a Fixture 900 Describe Nork new O addition O alteration Q repair,0 .atch Basin 900 to on done residentigj A'J non-residential O Insp of Exist. Plumbing _ 40.00/hr Specially Requested Insoectfons 40.00/hr - Existing use of - - -- building or property —�_ - Rain Drain, single family 1welling 3000 Residential backflow prevention devices 1500 Proposed use of building or property - (Except residential hack!iow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL Y1 PERMITS BECOME VCID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORT:IS SUSPENDED OR ABANDONED ----- ---FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 25% OF SUB1OTA L TOTAL Special Conditions Date issued G 3 tf' ___by G;J� INSPECTION .NOTICE City of Tigard Building DejA rtment 13125 SN Ball DLed. Tigard, Oregon 97223 Inspection Line (REic-O-Phcne): 639-4175 Business Phone: 639-4173 Inspection looting Plbq. Underslab Mach. Rough-in Appr/Sdwlk Round. Pltxl. Top Out Cas Line �lINALt ) Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nator Lina Gyp. 8d. Date Requestedt__ '/� CP C1 -1 `p __T Lme t Q 111M QPM Address! 1 ,ltd— P rml Builder!2111� r✓� `7 C'I THE FOLLONINQ CORRECTIONS ARE REQUIRED: Data: APPROVED DISAPPROVED V APPROVED SUBJECT TO ABOVE �\�� _ Call For Rainsp. CITY OF TIGARD :OMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223•B199 (503)639-4171 _A J , 1 City of Tigard MECHANICAL PERMIT PlancWRec. # 13125 SW Hall Blvd. APPLICATION Permit # Tigard. OR 97223 (503) 639-4171 .» Description — _ 4' N msC I Table 3A Mechanical CAx" QTY PRICEAd* AMT •N Job S ` m L 1) Permit Fee -0- -0- 10.00 Address -- 1 2) Supplemental Permit 3.00 «^ Furnace to tOO-000 BTU -) 1) inc.duds d vents 6.00 j «• — u� 100,000 rTU+ Owner 2) incl.duds h vents 7.50 --� iFloor Furnanoo 3) inc vent 0.00 Suspended Iwator.wall heater r r7� 1) or floor mountryh!.c.:,r - 6.00 Occupant «. �—t..d in `) :%apl; nce permit 3.00 .r. kepamr of heai,-i-g,re ng. 6) cowling,absorption unit 6.00 «�. r or or comp,heat pump,au cora 7) to 3 HP absorp unit to 100K BTU 6.00 - romper al pump,air coed. 8 3 15 HP absorpu. -" ;iu K BTU 11.00 Contractor 22)l or or co ) - --- nn --IZs-Tm ,Tpp rnal pump,air,;orx�- p 0y\' v11� ,LI 19) 1530 HP absorb unit.5 1 mil BTU 15.00 �^ ••�^^ —�3odw o'- r cr-npump,air rend. 10) 30-5ir HP absorp wiil 1-1.75 mil BTU 22.50 re y acluiowlodge that I have read this application,that Me Boiler or mxxnp, h�r�at pump;air co information givin is correct,that i ani the uwner or nuthorized agent 11) >50 HP absr::N unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance witL%tate A r ran vtt unit to - — laws,the.t I am registered with the Construction Gontractoer.Board, 12) 10,000 CFM 4.50 that the number givun is correct. (If exempt from Str.te registration, - fi"harm I ng unit —- plo•se give reason below.) 13) 10,000 C1 M. 7.50 Non portable -- -� - 14) evaporate cooler 4.50 / entTan connect 15) to a single dud 3.00 Von-ilia—bon system not 16) included in appliance permit 4.50 17) modhaniral exhaust 4.50 Describe new U addition alteration tj repair Cummerc!at or axlustrial l to be done residential non-residential Q 18) type ir-inerator 30.00 Existing 1'0 0T-- er o r , stove,water �I building or proporty�— _—_ _—_ 19) heater,s)lar,clothes dryers,etc. 4.50 Proposed use of 20) Gar piping one to four outlets 2.00 building or proporty 21) Voro tan d-per outlet Typo of fool -oil�) natural gas 0 LPC O electric Q — - NOTICE_ Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTHUI;TION - AUTHORIZED IS NOT COMMENCED WITHIN 180 C AYS,OR 596 SURCHARGE j,,� j IF CONSTRUCTION OR WORK IS SUSPENDED OR --- - ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS r;OMMENGED. -- - — TOTAL ��r• � Specht Conditions Date I.d1A fl71T'MT �adceml.v