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CITYOF TIGARD /PPLUMBING PERMIT
DEVELOPMENT SERVICES ��j PERMIT#: PLM1999-00450
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 //�pATE ISSUED: 12/30/99
SITE ADDRESS: 12384 SW KING GEORGE DR � PARCEL: 2S110CC-20500
SUBDIVISION: KING �,ITY NO. 5 ZONING:
BLOCK: LOT: 082 JURISDICTION: KIN
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; T�:APS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
_ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINAL 5: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LiNE: ft
WATER CLOSETS: WATER LINE: ( OC) ft
DISHWASHERS: RAIN DRAIN: ft
r�em<rRs: Installation and conversion of electric water heater to gas water heater. Gas piping taken out under
MEC 1999-00575 _ —
FEES
Owner: —-�
'ype By Date Aniount Receipt
CHRISTA LENZ F'RMT DEB 12/30199 $50.30 KING CITY -
11724 SW BOONES BEND DR 5FC;I DEB 12/30/99 $4.00 KIN'r' CITY
BEAVERTON, OR 97008 --
Total $.:,;.00
Phone 1:
Contractor:
RHINO PLUMBING INC
13811 SE RAMONA ST
PORTLAND, OR 97236 REUUIREP !NSPECTIONS
Phone 1: 777-8946 Top-out Insp
Reg M LIC 128026 Final inspection
PLM 26-640PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty/ Codes and all other appl;cable laws. All work will be done in accorHanc,e with approved plans.
This permit will ^xpire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENI ION: 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 OAP, 952-0001-0080
You may obtain copes of !hese rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: Permittee yl/VQ��(�� Permittee Signature: Ila . d Z I
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bUsine-�a day
WED 004:04 PM City of King City FAX:5U5 h59 5771 PAG'
CITY OF TIGARD Plurnbing•Perrink Application
131,;5 SW HALL BLVD. Commercial and Residentials
TIGARD, OR 97223 DvteCa)a a --�4=�
-' � Reda -
(593) 639.4171 Iluteto
RE
Print or Type ne J_1711:1117
Incomplete or illegible applications will not be accepted ' `i-N��'99y� 5�
Related SWR
Name ofDevebomsnVP►oleei�___.._ _ '
Job r�JG- Cr T lnk
s � ` ° qT
0.00
Addrea8 StreetAddmss smite- Lavator —` v 9.00
/.� t%221`_
ALR
f Tub or Tubluhower Comb, 4 - - 900
Bldg s l^ Shower OnlyNorm - —fa-_,�{_ Yater closar
��tiZ Dtsfwaahet --- 9.00
L..II_._._>... _ __ 9.00
Owner Mailinn Address Gar4age Disposal ''
,jam, �� — s.ao
� Washlrry;Maclilne
lJtale ZipPhone
vC.� yt �,v- U
Floor DralNFloor Sink 2 g p0
-381
Nome 9.00
0411%� i 4 - - 9.00
Occupant Arlt Maillnq Address Suite - - --J
Mater 1•leatgr conversion O like kind 9100 r7C�
_ GasPipirty rep vas a se meal s movAsnical permit. -�
City/Stale Zap Phone laundry Room Tray - 9.00
- -- - - -- --� _ Urinal
Narw 9-00
Other Fbmuee,6pedfy) 9.IIIAL
00
Contractor Mailing Address Suite �� 9.00
Prior to pnrrnd �Cjirhr/SSfa�le y M ip 'I'hot+e -f�� i9wer 1st 100--�--- - ---- 30.00
i-auarim,a crpy °��-> �a /' - - _
of all licenses are Oregon Const Cont.Board Lia* Exp.pate Sewer•each addition>tl 100' ---- 25.00
regnlrgd it y.-OD Ater service- tat 10G' 30.00
nrpired in COT Plumbing Ur.
0 Exp,Dat& _ Walor ter Ace-naf}h additional 200' 2,.00
database A �QQ to
6 Rain Drain-1 sl 100' — -
30.00
Name Slorm d Rain Drain-each additional 100' 25.00
Architect Mobile Horne space --_ __. 2.5.00
or M+riW r Address Sults Gommerdal eadc Flow Plevemion Devise or And- 26.00
Poll•r1ovice
Engineer GN/f4t.ta _Ilp Phone ResidenG:l BadA"*r'revenUon Dnv9ce• 15.00 -
-_ -- (Infgattun cerins devices require a separate
Qnwk to b
scrbn ore done: restricim seem permll.)�_
New O Repar O RPplaea vvdh ftsi kine• Yes O e'.r O Any Trap•.x Waste Not Corineded to a FWum 9.00
Resktgntial O rammerclal U
Additional dcacrlprl%a 9.00
I W.xk: Insp.of E hong Phu, ung �-- --� 40.00
rlh•
SpedaNy Requeatxd lnspeclf m -- CIAO
rfhr
_. _-_--- - ---- -- - — Rake D min,singlet"IV dwellfng to w
Aro you capping,moving or replacing any fixWrres? -
Yrs O No O Grosso Traps 9.00 -- -
If yes,see back of forts to Indicate work performed byQUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
Isatrs4k or ricer Alogtam Is rerlrrYCC N Gurr,Ury Ta9u b >
WORK COULD RESULT IN INCREASED SEWER FEES. - --
noreby adrnowlmipe that I have read 01s application,thof the Information
g1ven Is aorre'c5.Neat I am the owner or suMnrized agent of the owneer,sir! 4UR!:HARrE
it it plans subwn tteod pre In compliance with Or on Stare Lewe V
3 "Ifiro of Owner/Aoec,t Datil "PLAN REVIEW 25%OF SUBTOTAL
// ,/ `?_. 9 ur✓GYs on r RAua qty ma _
J
ntmct ry5
r. on Name Phona 4,�_
•Mllnlmunt
per►►elt fee is its+5%lvurchs+ga,eicApt Resldr-nil el Bar*Ornr
Prevention LNMcF,.which is$15+5114,surcharge
"All New Commerr:lal Buildings requim plans with isometric o riser diagram
and plan review
CITY O GA ____ PLUMBING PERMIT _
DEVELOPMENT SERVICES � PERMIT'#: PLM1999 OO�t50
13125 SW Hall Blvd., Tifiard. OR 97223 (503) 639-4191GIn/ ATE ISSUED: 12/30/99
SITE ADDRESS: 12:184 SW KING GEORGE DR
1� PARCEL: 2S110CC-20500
SUBDIVISION: K!i,:G CITY NO. 5 ZONING:
BLOCK: LOT: 082 JURISDICTION: K!N
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
—_A FIXTURES N LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE.: ft
WATER CLOSETS- WATER LINE: 100 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation and conversion of electric water heater to gas water heater. Gas piping taken out under
MEC 1999-00575.
OwnFEES
c:� — --
—__
CHRISTA LENT Typ s By Date Amount Receipt
11724 SW BOONES BEND DR PRMT DEB 12/30/99 $50.00 KING CITY
BEAVERTON, OR 97008 5PCT DEB 12/30/99 $4.00 KING CITY
Total $54.00
Phone 1:
Contractor:
RHINO PLUMBING INC
13811 SE RAMONA ST
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Line Insp
Ls '
Phone 1: 777-8946 TopWaterer L Insp
Reg #: LIC 128026
PLM 26-640P8 Final Inspection
1
�i
I
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 rales adopted by the Oregon Utility
Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may attain copies of these rules or direct questions to OUNC by calling (503) 246-1987
l
Iss4d By: `t,�_. - ��`� Permittee SignaturF: --
Call (503) 639-4175 by 7:00 P.M. for an i ispection needecl F e .-text businass diy /
l
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested �' _AM PM BLD
Location_ >`f `J k �, �' — Suite _ MEC -
Contact Person P Ph PLM
Contractor _ —_ Ph _ SWR
BUILDING Tenant%Owner _ - --- C't�- �
Retaining Wall CE
Footing s: ELR _
Foundation
Access: FPS
F"tg Drain _ — —
Crawl Drain Inspection Notes. SGN —
Beam - ----- -- —- ---- --- ------ -- - SIT ---- --
F x, ath/Shear
Int Sheath/Shear -
Framing
Insulation ------__.-------.___--- --__---�
Drywall Nailing
Firewall ---- ------
Fire Sprinkler
Fire Alarm
Susp'd Ceiling >_r _3-_C ,S`- ' 'Y_Oct. p- -----
Roof --- ---,-_ ----
Misc:
Final -- ---------e�_
PASS PART FO1L -- -- --- - -- --- - - _ ------ --- __---
PLUMBING
Post&Beam
Under Slab
Top Out __-
Water Service
---Sanitary Sewer
Sewer --- -
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam --
Rough In
Gas ! i ie - - - ---
Smoke Danipr rs
Final -_ r____-------------_ _____ _.
PA S-.._ PART FAIT_
C
Service
Rough In --_—
UG/Slab
Low Voltage
Fire Alarm
'PASS PART FAIL
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 [ J Please call for reinspection RE: _ [ I Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date � Inspector 1� Ext —�
Final
PASS PART FAIL UO NUT REMOVE this inspection record from the job site-
ori
ELECTRICAL PEI2MIT _
CITY
ITY O F T I G A R D
/ \ ,'ERMIT M EI_C-20100-00021
DEVELOPMENT SERVICES DATE ISSUED: 01/13/2000
13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 PARCEL: 2S110CC-20500
SITE ADDRESS: 12384 SW KING GEORGE DR
SUBDIVISION: KING CITY NO. 5 ZONING:
BLOCK: LOT : i182 JURISDICTION: KIN
Prolect Descriptio,: Install 1 branch circuit in single family dwelling.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG,
LIMITED ENERGY: 401 • 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL ('10):
SERVICE/FEEDER BRANCH CIRCUITS
—_ _ _. _ ADD'L INSPECTIONS _
0 200 amp: W/SERVICE OR FEEDER: PER IWPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: i PER HOUR:
401 - 600 amp: EA ADD'L BPNCH CIRC: IN PLANT:
L601 - 1000 amp: _ _PLAN REVIEW SECTION
1000+ amp/volt: ^� >-4 RES UNITS: > 600 VOLT NOMINAL:
_Reconnect only:____ SVC/FUR >= 225 AMPS: __— --CLASS AREA/SPEC OCC: ^—
Owner: Contractor
CHRISTA LENZ BOONES FERRY ELECT PICAL
12384 SW KING GEORGE DR PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Phone:
682-4936
Reg #: SUP 31705 !I
LIC 00088482 IIIJJJ
ELE 3-223(-
FEES
-223(FEES _ —I Required Inspections
Type By Date Amount Receipt
Elect'I Sorvice
PRMT KJP 01/13/2000 $37.50 00-321120 Llect'I Firal
5PCT KJP 01/13/200C $3.00 00-321120
Total $40.50
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable;,.a
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,of A work is
suspended for more than 180 days ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-1987
i=
CITY OF TIGARD RECEIVED Plan Cheat a
13125 SK HALL BLVD. Electrical Perrnit Application Recd By
TIGARD OR 97223 JAN I U.00ri Date Recd_
1 /
Phone(503)63Date to P E.9-4171, x304 COMMUNITY L'EVELo001 �/ � �\ --
Dj
Inspection(503)639-4 175 Pftnt of Type �-�„rt Dale to ST
rc.ZL,�vTJv-�-`� �i
Fax(503)598 1960 Incomplete or illegible will not be arcepted ��-
1 .lob Addnss: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections�ier permit allows ti
Name(or name of buslness) ('-/A r,[%_T Service includod: items Cost Sum
Address/s',✓' `tY y"�lc�y/r�'irl G3 ��C c'r r 4a. Reskfenrlal-per unit - --_
Clry/$latP/71t1 r l 000 aq fl.or mess S 1 /5 4
1/�Id� L�! c/ L /� l t�
--- -T-- t� - Each additional 500 sq fl or
portion Iherc�of S 75 25 h
commercial El RPsidenhal l Jmlled Fneryy S 60 00
Fadi Manufd Horne or Modular
2-3. Contractor installation only: Dwelling Senace or feeder S 72 15 - _ 2
(Pricx to permit Issuance,applicants must provide rontractor license 4b.Servict:s or Feeders
information for COT data base)- Installation,alteration,or reloiAl,on
f ilecttir.al Con!racZor 1300 N E S _ 8 R� E;1,E C T R I Cr`,'anps or less $ 64,25
Address P 0BU fj 2 8 2a! amen ru 400 amps S 85.50 2
�- -- - 401 amps to 600 amus -- S 128.50 -�
City W i l s on v i 1 1 state O R Zip 97070 5,01 amps In 1000 Amps $ 192.50 r
-
Phone No 5 0 3-6 3 2-19 3 6 _. over 1000 amps Of vont S 36375
Job No. __ Reconnect only $ 5350
Elec.Cont.Licc No. -2 2.3 C Exp Dale 17]-'17-00 - - --� -
— 4c.Temporary Services or Feeders
nR State CCB Reg No.W8 8 4 8 2 Fxp.Date 2yZ LQ�_ Installation,alteration,or relocal,cn
COT Susiness Tax or Me No. 102851 Exp Date 8/j/9 1 2no amps or less $ 53 50
201 amps to 400 amps - S 80.25
Signatt hr,of Supr Elec' _ 401 amps to 000 amps S 10700 ;
-- Over fW ernes l0 1000 volts,Lit-:,ii se No 3 17 0`\Exp.Da"tAO �U l see"b'above
Phone No 1 6 8 2-4 9 3 4d.Branch Clrcu"
-- _ _ New,alteration or extension per pan,I
a)The fee for branch circulls
2b. For owner Installations: with purchase of sor•Irr nr
feeder fee.
Print Owners Name Each branrh cirrmiit S 5 35
Address -- - - - h)The fee tot branch dreutts -
- ---- - --y - without purchase of service
City -- - -- State A___-_7-jp --- or feeder fee.
Phone No First branch di wit _L $ 37.50 ,j e
Each additional branch drunf $ 5.35
The installation is being made on property I otr-n which is not 4e htlaceflaneous
intended for sale,lease or rent (Service or feeder not inekxit?i
Ear-h pump or erigatlon circle $ 42 75
Owner's Signalure Each sign or outfine lighting S 42-75
-- '--' — �`- - -- - Signal circuits)or a limited energy
panel,atteration or exlensiun $ GO 00
3. Plan Review section (if requir_d): Minor I.aheis(10) --- $ 10100 _---
Please check appropriate Item and enter fee In section SR 4f.Each additional Inspection over
4 or more residential f -ts in one structure the allowable In any of the above
Service and feeder?25 amps or more Per Inspection S 5000
--' -"
System neer WO volts nomPer hour $ 50.00inal
In Plant _ _ S 54 QO
Classified area or structure containing spedal tx;cupan y as _
des-ribed in N E.0 Chapter 5 5. Flees:
6a.Enter total of above fees $ L
S.'"it 2 sets of plant;with application whom any of the above apply. {A%Swdharge(05 x Intal fees) S ��7
Nct n qulree for ltNnporary constructlon services. SuWotal S 'L()r j-
lib.Filet 256 of Urw 5a for
NOTICE Flan Review,if requireG(Sec 3) S
PERMITS BECOME VOID IF WORK OR CONS 1 RU:TION AU 1 HORIZED Sublotat
I;NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SOSPENDED OR ABANDONED FOR A MRIOD Or 180 DAYS L_.I Trust Arrounl d
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due y t', e'
iidslformslelectrir.dor
no
0
CITY OF TIGAR0 MECHANICAL PERMIT
dinn
DEVELOPMENT SERVICES V� PERMIT 4. MEC1999-00575
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/30/99
SITE ADDRESS: 12384 SW KING GEORGE DR PARCEI-: 2S11OCC-20500
SUBDIVISION: KING CITY NO 5 ZONING:
BLOCK: LOT: 082 JURISDICTION: KIN
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: BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
LF-: 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: Y OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of 1 furnance, 1 gas fireplace, and associated gas piping.
Owner: FEES _ _-
CHRISTA LENZ Type By Date v Amount Receipt
1172.4 SW BOONES BEND DR PRMT DEb 12/30/99 $50.00 KING CITY
BFAVF_RTON, OR 97008 5PCT DED 12/30/99 $4.00 KING CITY
Phone: __
Total $54.00
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-557-2220 Mechanical Insp
Reg #: LIC 72623 Heating Unt Insp
Final Inspection
This permit is issued su"ject 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 if work is suspended
for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. _! o,e rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You/fnay obtain copies of these rules or direct questions to O'JNC by ailing (503)246-918 . ,
Issut'By: f ; _ Permittee Signature:
Call (503). 39-4175 by 7:00 P.M. for inspections needed the next businecs day
-i9-99 WEI) 0,1:0,1 PM City 0f Kimg r'i .:v FAX:503 639 3771 PAGE 2
CIT' OF TIGARD REQ "anieal Pennit Appli ration Plan checks —
13125 SW HALL BLVD. Commercial and Residential Re 'd By
DEC 2 7 1999 Date Reed
—
T!GARD, OR 97223 _
(503) 639-4171, X304 + Dates to P.E._
COMMUNITY nFVFLr;;%jr,ya ✓ �* Date to DST yqG,,
Print or Type Permit 4�)' L�V (
YP L��L1.:L ,�
Incomplete or illegible applicatijns will not be accepted called
Narr,e M DewroperenvProle� - —
KZ�G �.T.T-` ' Descnpliun -- - —
t� r _Table 1A Merlia_nica_I Code City PncM Amt
Job Strom�atlred, � _ � A�Permit Fre - � -- -
Address ia3sy S4J k� •f,�a �o �2 1) f-urnom to 100,000 BTU 16.00
slag« c slate includin ducts Q vents sew footnote 1,2 9,65 illi
�� 2) Furnace 100,000 vi-t
-- ` 9 7 a yr indudin ducts a vents sen footnote 1,: 12.00
N•me ler name d business) 3) Floor Furnace
Owner C&,-eX5� L_s: V Z. including vent _ sea footnote 1,2 4.1;5
l Meiling Maws -- 4) Suspeia.led heater.wall healer — _—
�� or Moor mounted he.-Ater see footnote 1,:, - g 6q
ct(sraae it1'[ . Vent not nciuded in appliance permit - 475
y Ziv Ph°ne— C1, k all thatane' •boiler Heat Air -
:j�S For Items F 0,see o• Pump _onJ Qty P ice Amt
Name(or nam"of business( footnotes 1,2 _ Comp
jgWA,'L� 6)<3HP:sbserb unit to -
Occupant MeuingAdtl(e3s —_____.� --�_. _ 100K STU _ ---
9.65
I 3-15 MP;absorb unit
100 to 500k BTU
1765
8)15-30 HP;absorb -
unit,5-1 mil BTU - 24.1S .1
Contr r N•r1C - -" - 9)30.50 HP:absorb
`'-,l CCUNrI TEMP C!3NTg0L unit 1.1.75 mil FMJ
36.00
mitMiXj n` �E,1hA 1E�t� A,_a �: 10)>50HP absorb unit m
X1.75 inti 97U
issuance,aCOPY OREGON CIiY, OR 04045 eo,15
11 Air handling unit to 10,000 CFM -�
of all Ilornaes '' tale SHONE: (5t�3)� •
are requi,e l K _-SAY. �7�9 12)Air handling unit 10,000 CFM+ 7.00
expired in COT f` nsl. -Mf.B ra $^ - Ex . •te H17,0505
database ZZ -30013)Non portable evaporate coelrrArchitect Nu,1n
14)Vent fan connected to a 6ingle duct -
Or MalOng Address
4.75
15)V111111114111 011 system net Included in
cxylstet. appliance permit 7.00
Engineerr18)Hood served by mechern Thaust
_ 7.00
Describe N ,rk to be done: 17)Domestic incinerators
C� 12.00
New O Repair 0 Replant with like kind* Yes O No O 18)Commercial or industnal type Indnerator
ResidentiaA Commerclil 0 48 25
_ 19)Repast units ---T
r _
Additional Inf—mnation of description of work: 8,40
20)Wood stov /gas FPI that uniLglciothe dryerletc.
__ _ 7.00 7-00
NOTE: For Commercial projects nnly;Units over 400 Ibs,require 21)Gas piping one to four outlets
atrtlaural as rales _ 3 7F 3,715'
See footnote 1 _
Type of fuel: oil 0 natural gas LPG O electric O 22)More than 4-per oot(each) —
Minimum Permit Fee$50.00 SUB AF
p
I hereby acknowledge that 1 have read this application,that the Information -� qo SU CI
given is conect,that I am the owner or authorized agent of PIAN REVI 25%Of SUB
the owner,that plans suomrtted are in compliance with Oreqon State laws, Requtnd for ALL eommerct sl Signature of OwneN ent _—v'� Date _ 7y_0
/ Other Inspections and Fees:
�� 1. Inspections outside of normal businnsas hour,(min;num charge-two
Contact Pem Name Phone hours) $50.00 per hour
lit /� / 7. Inspections for which no fee.is sperlfically indleatrd (mini-num
r;TLt s- ��'tC SA' 1 rJ �J 7- ?-'LTJ char ae-half hour) $50.00 per hour
Foonates for commercial projects only: 3. Additional plan review required by chanyas,additions or revisions to
1 Prowls full schematic of existing And pmposed gas line and pressure plana(minimum charge-0ne-half hour)$50 00 per hour
2 provide drawings to scale showing exisllnq and proposed mechanical
i units _ "State Contractor Boller Cenificatlan required
'- ••Regldenhaal A•`C rrxlulrns sitr.plan%lowlftq placement of unit
I VnPchpemr doc rev 7/1'x/99
CITY OF T!GARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
—Date Requested �AMJ PM BLD
Location_ Suite MEC
Contact Person LA Ph Ph ::�`, _ y�i=J PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Accessi —
Foundation FPS
Ftg Drain
Crawl Drain SGN
Inspection Nates' -. . r _ ,- 01A_
�
Slab l� v i ' 7, ! t(T; Y 1 ]` SIT
Post&Beam
--- _ --- -- 1--===--
Ext Sheath/Shear
Int Sheath/Shear - —
Framing
Insulation W�—
Drywall Nailing
Firewall - ---
Fire Sprinkle.-
Fire
prinklerFire Alarm
Susp'd Ceiling --__ _
Roof
Misc:
Final - - -
PASS PART FAIL ---- -- -----_- -
PLUMBING _ - �—
Post& Beam
Under Slab
-op Out -- - — -
Water Service
,%ritary`.fewer
Rein Drains
Fnal — — -- -- -
PASS PART FAIL
WiQHANKft,-
Post & Beam
Rough In rI-1�e,► ��.V"J/ (D
Si'I'i'oke Dampers
PASS PART FAIL ----
ELECTRICAL
Service
Rough In — ` --
UG/Slab
Low Voltage
Fire Alarm
Final -------
PASS PART FAIL
SITE
Backfill/Grading - --- — -- —
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$ 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
ADA
OtheApprr Date
Data l inspector �2 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
P