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12515 SW KAREN STREET-1 N X71 �J1 U. m z cn i i 12515 SW KAREN ST n CITY OF TIGARD BUILDING INSPECTION DIVIS10NJ""'-L_e,/7 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 ��,e Date Requested: A.M. P.M.—_ — MST: (,oration: 2BUR -L,5k 4-J Suite: —Bldg: MEC: Contractor: Phone: PLM: 00 Owner: UAAaA- ; one: E"T,C- .--- 112 Ire A2_1)Q .-J-61K LV= _516 - tvlo ra,A4kVLVW_ srr ' BUILDING L ""t) MBIN ECC ANICAL_��) ZLECTRICAL SITE Site Post/lien Ilo�s Sc3cam Cover/Service Sewer/Stonn Footing Rrof, [Jndl,'I/Slab Rough-In 6d Ceiling Water Line Slab Framing Top Out Gas Line RO -In I Ry Spi inkler Foundation Insulation Sewer ecol"ect Vault ;, / CL Bsmt Damp 1)"all Storin - L—,np St.—,ce MISC. j I' Mas,)niy Ceiling Rain Drain 0 YI RT Slab Shcar/Sheath Fire SpkIr/AIrn Crawl/Found I)r I[cat Ptmll) i Low Volt Approved Approved Approved Zr 71) T-It-J--"-1 Appr/SdwIk Not Approved NW-App ved NNott 1OVed Not Approved Not Approved FINAL AFINAL FINAL W7+V L/ C1('1111 tot reinspection n Reinspection fee of 3—,required helbre next inspection r"I I Jnnblt,to inspect Inspec tot: Date: of C11Y OF T I CARD MECHAN I CAL COMMUNITY DEVELOPMENT DEPARTMENT PERM IT 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 PE R11 I T #. . . . . . . : MEC95-041r, DATE IGGUED: 12/05/9-5 :ITE ADDRESS. . . : 12515 SW KAREN ST PARCEL-. 2S.104(m.-03600 ;UBDIVICSION. . . . : BELLWOOD J ZONING: R- 4. 5 0 c... . . . . LOT. . . . . . . . . . . . . :,3o CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAID COOLERS: 0 TYPE OF USE. . . . :SF UHTT HEATERS. . : Q1 VENT FANS. . . : 0 OCCUPANCY GRP. . :A I V'_NTS 14/0 APPL- 171 VENT SYG3TEMS: 17.1 STORIES. . . . . . . . : 0 OILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0• 3 Hp's. . . . Vi DOMES. INCIN: 0 :/GAS/ HF'. . . . : 0 COMML. INCIN: 0 MAX INPUT a 0 BTU 1'5- 3 0 HP. . . . 0 REPAIR UNITS: 0 1 IRE DAMPERS% . 30-50 Hp,. . . . s 0 WOODSTOVES. . : 0 ,AS PRESSURE. . . 50+ HP. . . . - 11 CLO DRYERF`). . - V) NO. OF UNI*TS----.---.--,.-- AIR HANDLING UNITS OTHER UNITS. : 0 17URN ( 100V I)TU- ! (= 1011100 (--fill: it GAS OUTLETS. .- 0 FURN ) =1121121K BTU: 0 ) 10000 cfm: 0 Remarks : Irlst -,411 new cat't^ier- gas Fl_tt-nam-e. Uwner"; •_._.___....__._________________._.__________ FEES ART MARTINEZ tvpe amol.mt by dat;.-2 t-ecpt 12515 SW KAREN PRMT $ 25. 00 TMP 12/1245/95 95--27352E' TIGARD OR 972113 FSPCT $ 1. E'5 TMP 12/05/95) 95­27352� Phone #: #: 126. 25 'TOTAL REQUIRED INSPECTIONS -is pewit is issuer' subject ;ect to the regulations contained in the Gas Line Insp ,card Municipal Code, State of Ore. Specialty Codes and all other 111eCJlSni(-_.A1 Insp Tolicable laws. All work will be done in accordance with Misc. Insper-,tion i,.croved plans. This peroit will expire if work is not started Final Inspectiun .i.hin 180 lays of issuance, or if work is susoended for oore than 180 days. e r m i t t;e e S i 13 11 A t 1.1 t-P e 'tJ1,00 14 E> i:. st-ted By : ....... 1 for ills0e(--t i on 6:,9-417, City of Tigard MECHANICAL PERMIT Planck/Rec. # 35 13125 sw Halt Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 - L�esrnpuon °C Table 3A Mechanical Code QTY PRICE AMT Job 1 a�>���^ 1) Permit Fee -0- -0• r t0.00 Address r° �.� 2) Supplemental Permit 3.00 BTU 16A 1) incl. duds 8 vents i urnaca IG0,000 STU + i✓vmP.r -�G J. 2) incl. ducts 3 vents loor urnance 3) incl. vent Suspended heater,wall heater 4) or floor mounted heater 6.00 int rk.t in .in Occupant 5) appliance permit ­79epair of healing, retng. 6) cooling,absorption unit 600 nilor or comp, heat pump, air cond. 7) to 3 HP absorp unit to 100K 87U 600 Boiler or camp, heat pump. air Gond. 6) 3-is HP absorp unit to 5C01< 87U 11.00 Contactor ,, ciler or comp, heat pump a 9) 15-3i1 HP abscrp unit.5.1 mil BTU 15 CO moiler or comp, heat pump, air ccnd. 1�) 30-50 HP absorp unit 1-1.75 mil BTU 22,5x1 hereby acknowledge ad this application,that he ?r or comp, hoat pump, air cond. information given is correct, that I am the owner or author,.ed agent I 11) > So HP abscrp unit 1.75 mil B'rU 31.Si1 of the owner, that plans submitted are in compliance with State ) Air handling a it to — la'vs,that I am regis;e"ed with the Construction Contractors Scard, 12) 10,000 CFM 4 CO that the number given is correct. (If exempt from State registratfo,i, Air handling unit - ple„sa give reason below.) 13) 10,000 CTM + 750 Non portable 14) evaporate cooler 4,50 ant tan connected 15) to a single dud 3.00 Ventilation system nct - -� 1 ii) included in appliance permit 4.50 Hcod sere t,y 1;ii mechanical exhaust 4,50 Describe work naw addition tJ alteration repair Commercial or industrial - to be done residential non-residential Q 18 type inr',?rotor 30.00 Existing usa� i.e.,w stove,water buikfing or property 19) he<ter,solar,clothes dryers,etc. 4.50 Proposed use of 20) (.as piping one to four outlets 2.00 building or property -- -- TypF�of fuel •of Q natural gas LPG 0electric Q 21) More than 4-per outfit — - NOiIC � T-- Mir.iinurri Fa? I I .�L PERMITS BECOME VOID IF WORK C,R CONSTRUCTION 325.00 SUBTOTAL AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SU'!PENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. -- -- TOTAL _A.o. Special Conditions -�- l 5�f.,1 [�� Y`( (?l, — G 'L1.1(-RC1 i Date issued /l, S �S by tw6dwrr CITY OF TIGARD OLUMBING iPERMIT #. . . . . . .PERMll : PLM96­0011 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/06/96 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)1139.4171 PARCEL: 2S104AA-03600 SITZ 1. AUL)RES6. . . : I2515 SW KAREN ST SUBDIVIFION. . . . : BELLWOOD ZONING: R-4. 5 BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . :30 LLASS OF WORT-%. . :AL'T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :A1 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . it) STOPIES. . . . . . . . . 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . it) SIN: 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . 0 LAO 0 OTHER FIXTURE=S. . . . : 0 TUB/Si JI- 'c:RS. 0 SEWER LINE (ft ) . . . 0 WATER CLOS'-'TS. 0 WATF'_R LINE (ft ) . . . 0 D I SHWASHr!QS. . . . 0 RAIN DRAIN (ft ) . . . 0 Remarks , Install new water heAter,. Owner-: FEES ART MARTINEZ type arnot-trit by date r-ecr)t 1A_'515 SW KAREN PRMT $ L5. 00 .' SD 1211/0'4/96 96-275262 5PCT $ 1. 25 Jt�T) 1211/2'4/96 96--;_'7,3262 TIGARD OR 97223 Phone #: Coritt-actori KODIAK PLUMBING 6604 SE WOODSTOCK PORI LAND OR 97206 Phone #: 318-9098 MBL $ 26. : 5 TOTAL Reg #. . : 72465 REQUIRLED INSPECTIONS This permit is issued subJect to the regulations contained in the Misr. Insp ction Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspectior, applicabli., rws. All work will be done in accordance with approve plans. This permit will empire if work is not started within 180 dayF of issuance, or if work is suspended for more than 180 days. Pet-mittee Signatl.tv-e Issi.ted By. ........ k4w Nor f>05rtx) Call for, inspection 639-4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _ 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE /1 IJ t ✓AG� 1Z I i�Fc'7'�r NowSinalo Family Resiuences Only Job 's_ / `� lj (�). �� �� 13 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 ❑ 3 BATH HOUSE$2:5.00 Address C•n311r. nr Fee includes all plumbing fixtures in the dwelling and the first 100 feet 97Z of water service, sanitary sewer and storm sewer. See fees below. FIXTURES CITY PRICE AMT Sink 9.00 FI— Lavatory _ 9.00 Owner �� " �G Tub or''ub/Shower Comb. 9.00 �"'w• zip Shower Only 9,00 Water Closet 9.00 Dishwasher 9.00 Garbage Disposal 9.00 Occupant wrq Ad&— Washing Machine 9.00 Floor Drain _ 9.00 A' Water Heater 900 M Laundry Room Tray _ 9.00 "•"• j nUrinal 9.00 t/ �( `?/,,rte 4, l Other Fixtures (Specify) 9.00 w.rp Am... ' Pn -- —-- Contractor �) 9.00 9.00 • m _ 9.00 ' 7 Sewer 1st 100' 30.00 / °G'" Sewer -!a. AddiL 100' 25.00 _ 7 ! _ r 'y�� c�CD y�/��' Water Service 1st 100' 30.00 I here- acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the uwner or authorized agent of the owner, that plans submitted are in compliance with State laws, tl�at Storm &Rain Drain 1st 100' 30.00 I am registered with the Construction Contractcr's Board, that the Stone Rain Dmin Addft. 100' 28,00 number given is c;o act. (If exempt from State registration, please give re son below I Mobile Horne Space 25.00 y- 7 Back Flow Prevention z �� Uevice or Anti-Pollution Crevice 900 —� �- '•0'"� ON. Any Trap or Waste Not Connected to a Fixture 9,00 Descnbe work new Q addition 7—alteration A repair O Catch Basin to be done residential 9.00 7 non-resit+ential (�- Insp. of Exist. Plumoin9 AUAO/hr Specially Requested Inspections 40.00/hr Existing use of ez building or property ��'S -t e' Rain Drain, single family dwelling 30.00 _ Residential backflow prevention devices 15.00 Plcpased use of -~- budding or property _ '(Except residential backflow prevention de rices) NOTICE 'Minimum Fee $25 00 SUBTOTAL 7 PERMITS BECOME VOID IF WORK OR CCNSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 59:SURCHARGE 1,t CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25% OF SUBTOTAL �,// Special ConditionsSTOTAL dtT,e,� (117h�L,L.tt��U�7{f n� Date issued _ I7 ��i --by—�J/26 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE KODIAK PLUMBING 6604 SE WOODSTOCK POR'rLANL OR 97206 Plumbing Signature Forto Permit # . . . . : PLM96-0011 Date Issued. : 04/16/96 Parcel . . . . . . : 2S104AA-03600 Site Address : 12515 Sin] KAREN ST Subdivision. : BELLWOOD Block . . . . . . . . Lai . 30 Zoning. . . . . . : R-4 . 5 Remarks : Install new water heater. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumb;ng permit to be valid, please have the appropriate individual from your company sign below and re'.urn this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed torm is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM PILDMB I NC, CONTRACTOR : ART MARTINEZ KODIAK PLUMBING 12515 SW KAREN 6604 SE WOODSTOCK TIGARD OR 97223 PORTLAND OR 97206 Phone # Phone # : Recd # . . : 72465 7tx J, Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #3'10