13430 SW VILLAGE GLENN COURT-1 ADDRESS:
113
i:\records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPZ;TION NOTICE \\
Inspection Line (Rec-O-Phone): 639-4175 Business Pnone: 639 1L,�
Inspection: Vl/
Footing Susp. Ceilin Sprink. Rough-in Apvr/'3dwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Uut Elec. Rough-in A
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line 1 �\pL iisulation ech.
Underflr. Insul. Shear Wall t i� Gyp. Bd. EIAc:t.
Date Requested: i Time:_KAM PM
Address: �� Z,z C)�_•-� _Q__ ✓� C�'
Builder: D $ 11EPermit #(
THE FOLLOWING CORRECTIONS APE REQUIRED:
In�spee r. _ _ Dater %,7
1/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Gall For Reinsp.
CI` Y OF T I GARD 'IECHAN I CAL
COMMUNITY DEVELOPMENT DEPARTMENT F-`ERM I r'
13125 SW Hall Blvd.Tigard,Oregon 9722308199 (503)639-4171 PERM1T #. . . . . . . : MEC94-
639-4171 DATE ISSUED: 12,107/94
PARCEL . --'S102CA---0LA937
11*E ADDRESS- - 1*3430 SW VILLAGE GLENN CT
.JBDIVISION. . . . : VILLAGE GLENN ZONING:
0 CK. . . . . . . . . . : LOT, . . . . . . . . . . . . :37
-Abis OF WORK. ALT FLOOR TURN. . . . : EVAP COOLERS
0"F OFA U G E. . . 13 r-,: UNIT HEATERS. . VENT FANS. . . .
k'LLJPANCY URP. . .' R3 VENTS WID APPL: VENT' SYSTEMS:
1'ORIES. . . . . . . . ..2 DOI1_ERS/COMPRES501%S HOODDS. . . . . . . I
JEL TY, 0-3 HP. , . . DOMES. INCIN:
15 VIV,. . . . COMML. IN(-11\17
,AX INPUT c BTU 15-30 HP. . . . REPAIR UNITS:
' IRE DAMPERS'% . ; 30--50 HP. . . . wooDsroVES. . :
Hb PRESSURE. . . 50+ HP. . . . . CLU L)RYERE:. . :
j.). OF UNITS___ ---- AIR HANDLIN3 UNITS UTHLR ui,4i r!3. :
JHN c 100K BTU: 1 <= 10000 �-fm.- 1 Gris OUTLETS. - I
.JRN ) -IOIDK BTIJ: i 10000 ufln ...
EXTRV; LINU FOR FU*rURE, GAS LOG. REPLACE GAS FURNACE. OIk CONDITIONER
OHN WIR1CK -t y Pe amount by cla-te r-ec:pt
74-30 SW VILLAGE PRMT $ 25. 1710 JF 1 L-`/07/94
5PC- $ 1. 25 JF 12:/0.17/94
,i t. i-I R D OR
`,wne #*
Qntr,actor.:
-ACICURATL'- 0 1 L 'C:0
�.6e NL 41TH
U141LAND OR 91cclb
281--621c' $ 26. 25 1-01"AL
t P 3391 REUUI RED INSPECTIONS -------
9is permit is issued subject to the regulations contained in the Gari LITIC., Insp
igard Municwai Code, State of Lire. Specialty Codes and all other Mechanical ltisp
I 'oplicable laws. All work will be done in ac:.ordance with Final ltispeLAIcin
�proved plana. I'his permit will expire if worm is not started
,:thin 188 days of issuance, cr if work is suspended for tire
`tan 180 days.
.(J Llv :
e/ Call -Por- inspection C,39--4175
City o1 i ;
I'v'iE�I IANIGAL 1 n�AI Y ((/�'� n��,,^k!ReC. # _.
13125 '�
,�, ''' APPLICA�f r.� Permit #
S'.
I Igal d, K'T ✓ �A �� �,�( N ti,jy)!� l� ✓
-41/1
(503) 639
7-7 scrtpuon
' Table 3A Mochanical Code QTY RICE AMT
Job1) Permit Foe U 0 10.00
Address � C
2) Supplemental Permit 300
—j Furnace to MY16=0 00
►C� 1) incl.duds d vents 6.—a-
Furnace 100,000 BTU +
~ Q � 2) incl.duds d vents 7.50
UWfU'r ,oOr urnance
.,. 3) incl. vent 6.00
seater,wall heater
4) or floor mounted heater 6.00
Vent .in
Occupant ~' 5) appliance permit _ 3.00
w Repair of ting,io r�
6) cooling,absorption unit 6,00
Boiler or comp t3 HP
o
7) absorp.unit to 100,000 BTU _ 6.00
Boiler or comp t0 3 HP- 15
HP
-7 44-L1 8) absorp.unit to 500,000 BTU _ 11.00
Contractor Zip Boiler or comp to 15.30
'7l 9) absorp.unit.5- 1 million BTU 15 00
,. ..�T
C T.,N. Boiler or comp to 30- 50 ��r
-tot` 0 10) absorp.unit 1 - 1.75 million BTU 22.50
re y acRnowledge that I have read its application that ter or comp to
90 HP information given Is correct, that I am the owner or authorized agent 11) absorp.unit 1,750,000 BTU 31.50
of the owner,that plans submitted are in compliance with State r handling unit to
laws,that 1 am registered with the State Builders' Board,that the 12) 10,000 CFM 2' 4.50
number given is correct. (If exempt from State registration, pleas, it an Ing uuFt--
give reason below.) 13) 10,000 CTM+ _ 7.50
Non portable
141 evaporate cooler 4.50
Vent Van—connected
15) to a single duct 3.00
entiaiion system not
16) included it appliance permit 4.50
MR seried by
17) machanical exhaust 4.50
seri .work new 0 addition a teraoon repai Domestic type
to be done residential non-residential (� 18) incinerator 7
xisbng use of Commaor m strial
30.00
building or property _ 19) type incinerator —
Mer i a,w stove,water
Proposed use of 20) heater,solar,clothes dryers,etc. 4.50
building or property �___ 4
21) Gas piping one to lour outlets 2•00
L
Type of fuel •oil O natural gas,01' LPG U electric Q
22) More than 4-per outlet
NOTIC '
Minimum Fee SUBTOTAL
PERMITS BECOME NULL AND VOID IF WORK OR
CONSTRUCTION AUTHORIZED IS NOT COMMENCED 5%SURCHARGE
WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 PLAN REVIEW 25%OF SUBTOTAL _
DAYS AT ANY TIME AFTER WORK IS COMMENCED. _
TOTAL
Special t,onditions _
Date issued by
MNAHlIPArr
wwdbwn!v
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.ligard,Oregon 97223.8199 (503)639-4171
PLUMBING PERMIT
PFRMIT #. . . . . . . : PLI'194—Vic-16C
b39-41'Y1 DA-IE ISSUED: IL/07/94
F,ARCEL.: ES102CA—OID937
ITE ADDRESS. . . : 1,3430 SW VILLAGE GLENN CT
�UBDIVISION. . . . .- VILLAGE GLENN ZONING: R-4. 1"
LUCK. . . . . . . . . . . 1--OT. . . . . . . . . . . . . :37
LASS OF WORK. . ;ALT GARBAGE DISPOGALS. . M0131LE HOME SPACES. :
YPE OV USE. . . . :8F WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
jCCUPANCY GRP. . C R3 FLOUR riRPINS. . . . . . . TRAPS. . . . . . . . . . . . . .
JOR1ES. . . . . . . . :2 WATER HEATERS. . . . . . .. I CATCH BASINS. . . . . . . :
LAUNDRY TRAYS. . . . . . : 3F RAIN DRAINS. . . . . 3
;INKS. . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . :
AVATORIES. . . . . . OTHER FIXTURES. . . . . :
UB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
4AT'ER CLOSE:J'S. . - WATER LINE (ft ) . . . . :
.MWA5HERS. RAIN DRAIN (ft ) . . . . :
-emav-1isi : REPLACE GA15 wA*rLR HEATER
FEES
JOHN WIRICK type amulint by date I-eep,
3430 SW VILLAGE GLEN CT PRMT $ ='5. 00 JF 12/07/94
SPL'i $ 1. 25 Jr
1UARU
none
onty-actot-ll
--ALLMRATE OIL CO
' NE 41 I-H
UHIL"ND OR 97218
hOTIP '5 TOTAL
req #. . : 53391 REQUIRFD INSPECTIONS
� —
)is permit is issued subject tc the regulations container in the Final Inspection
igard Municipal Code, State of Ore. Specialty Codes and all other
-toplicable laws. All work will be done in accordance with ............
4proved plans. Thic ;,.qit will expire if work is not started
mithir 180 days of iscuanc,, or if work is suspended for more
-h&n M days.
- ittee Siqylatl-tr-e :
d 1A . .....
Call for inspection 639-4175
'City of Tigard PLUMBING_ PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. A Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
--- N.n .1 .r.b°m.m � K New Single Family Residences Only �A
18... L] 1 BATH HOUSE$140.00 El 2 BATH HOUSE$195.00
Job3 ya c 5 W V u C'Je CJ 3 BATH HOUSE$225.00
Address 01,9.1. zk Fee includes all plumbing fixtures in the dwelling and the ,rat 100 feet
of water service, sanitary sewer and storm sewer See fees below.
Nnm.1«n.m. 1 s��.n..n FIXTURES CITY PRICE AMT
Sink 9.00
M.in°oda... �^«�• Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00
c°�1sw. zr Shower Only 9.00
Water Closet - 9.00
N.m,I«-M.M M_"II Dishwasher � 9.00
Garbage Disposal 9.00
Occupant ,A,,,,°Ada.., �,«�- Washing Machine � 9.00
Flocr Drain 9.00
(Jt.1S1.1. za Water Heater 9.00 }�
Laundry Room Tray 900
Urinal 9.00
Other Fixtures (Specify)-^ 900
Modn°Mem, -_ c'nona �- 9,00
Contractor P'W / 7N--- -- '- - -"-� 9.00
cm1s1.1./ 7 za 9.00
Sewer 1st 100' 30.00
Croy a.. T,.N. Sewer -ea Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I ha4e read this application, that the Water Service ea. Addit. 200' 25.00 I
information given is correct, that i am the owner or authorized agent of
Storm 8 Rein Drain 1st 100' 3000
the owner, that plans submitted are in compliance with State laws, that
I am registered with the Construction Contractor's Board, that the Storm 8 Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, plea^e Mobile Home Space 25.000
give reason below.)
Back Flow Prevention
Devine or Anti-Pollution Device 900
b,11.., «.oMn °"• Any Trap or Waste Not
Connected to a Fixture _Y 900
Descr. work new U a dition Q alteration Q repair 0 Catch Basin 9.00
to be done residential (0 non-residential U Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property - _. -
Residential backflow prevention
devices 1500
Proposed use of -
Lbuilding or property , (Except residential backflow
preventlon devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COPUAD ENC� WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ---
FOR A PERIOD OF 180 Df YS AT ANY TIME AFTER WORK IS
PLAN REVIEW 25% OF SUBTOTAL
COr1MENCED.
TOTAL
Special Conditions
Date issued _by