10540 10550 10560 10570 SW DEL MONTE DRIVE +1
U
A
O
O `!
U �
O
v
r
O
O
x
4
it
t
F
i
4
f
f
105460, .L0550 10560, 1J5'iC
A; DEL -4j&08 i12JVL �„�
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00204
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 7/2/99
PARkC EL: 2.S 110AD-06300
SITE ADDRESS: 'i0550 SW DEL MONTE DR
SUB7)IVISION- LANG HALL NO.2 ZONING: R-12
_BLOCK: LOT: 055 _ _ JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANC'r GRP: R3 FLOOR DRAINS: TRAPS:
STGRIES: WATER HEATERS: CATCH BASINS.
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS- WATER LINE: ft
DISHWASHERS- RA.1N DRAIN: ft
Remarks: Installation of water heater conversion.
FEES
Owner: _ Type By Date Amount Receipt
HARDING, GLENN O SHEILA PRMT DST _ 7/2199 $50.00 5795
10550 SW DEL MONTE DR MISC DST 7/2/99 $3.50 5795
TIGARD, OR 97223 ---- ---—
Total $53.50
Phone 1:
Contractor: _—
OWNER
REQUIRED INSPECTIONS
Top-out Insp
Phone 1: Final Inspection
Reg #:
This permit is issued subject to the regulations contained in the Tigard Municipal Codu, State of OR.
Specialty Codes and all other applicable laws. All work will be done in xcorr -, -e with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if w,' 11• is suspended `or 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 OAF, 952-0001-0010 through OAR 952-0001-0080
You may obtain copies of these nilFs or direct questions to OUNC by calling (503) 246-1987.
Is�uedBy:t- � "��4 jl ''� � Permittee Sic nature:
Call (503) 639 4175 by 7:00 P.M. for an inspection needed the n4xt business day
CITY OF TIGARD Plumbing Permit Application PlanCherk#
13125 SW HALL BLVD. Commercial and Residential Recd By.
TIGARD, OR 97223 Date Recd C`
(503) 639-4171 Date to F.G.
Print or Type Date to DS
Incompleie or illegible applications will not be accepted Permit#
F.elated GWR#
Called____
Name of Development/Pro)ect —� FIXTURES (individual) OTY PRICE AMT
Job I Sink Y _ 11.50
Address Street Address Suite Lavatory -_ 11.50
' taiw.Gw Tub or Tub/Shower Comb. 11 50
Bldg# City/State�{ GZ7 Shower Gnly -- �_—_---- 11,50
11.50
-.-- Water Closet --- —
Name -
,�; cx- l tr' Dishwasher 11 50
Owner Mailing Address d rz Suite Garbage Disposal 11.50
s-!:-r_, /lkjlimt,aga Washing Machine 11.50
Cary/State Zip Phone Floor Draln/Floor Sink 2- 11.50
_r 7x.24 W7r;- 2 Sig _ -
_`-- Na 3" 11.50
a -
u�„� 4" 11.50
Occupant Melling Address Suite Water Heater conversion O like kind i 11.50
—�_ Gas piping requir a separate mecha.,lca�rnit.
City/State Zip Nhone Laundry Room Trey 11.50
Urinal 11 50
Name Other Fixtures(Specify) 15.00
Contractor Meiling Address Suite
Prior to permit City/State Zip Phone Sewer-1 at 100' J 3800
issuance,a copy Sewer-each additional 100' 32.00
of all licenses are Oregon Const.Cont.Board LIc.# Exp.Date -
Water Service-1st 100' 38.00
required if
expired In COT Plumbing Lie.# Exp.Date Water Service-each additional 200' 32.00
database Storm&Rain Drain-1st 100' 38.00
Name Storm&Rain Drain-each additl mal 100' 32.00
Architect Mobile Home Space 32.00
or Melling Address Suite Commercial Back Flow Prevention Devlce or Anti- 32.00
Pollution Device
Engineer City/State Zip Phone ResideHial Bac„flov,Prevention Device' 19.00
(Irrigation timing t'ivices require a separate
Describe work to be done: restricted enemy permit.) _
New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 11.50
Residential O Commercial O _ _ Catch Basin 11.50
Additional description of work: Insp of Existing Plumbing 50.00
per/hr
50.00
Are you capping,movie or replacing an fixtures? Specially Requested Inspections perch
Y4Y P 9 Y - erRv
Yes O No O Rain Drain,single family dwelling 45.00
If yes,see back of form to Indicate work performed by Grease Traps 11.50
fixture. FAILURE TO ACCURATELY REPORT FIXTURE _
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL
I hereby acknowledge that I have reau'his application,that the information Isometric or riser diagram is required It Quantity Total is ,9
given is correct.that I am the owner or authorized agent of the owner,and "SUBTOTAL
that plans submitted are in compliance with Oregon State Laws.
Signature of OwnerlAgent Date ]�� Sy; URCHAP,GE
�:r,-Xt 27A) 7
Con ct Parson Phone "PLAN REVIEW 25% OF SUBTOTAL
n cared n N fixture q!y total is^9
1 HATtI HOUSE$178.00 - - ' p>�i TOTAL
2 13,jill HOUSE$250.0u °4 —
3 SA1N HOUSE$28G.00 'Minimum permit fee is$50+ 5%surcharge exc pt Residential Backflow
(This fee includes all plumbing fixtures In the dwelling and the first Prevention Device which is$25+ 5%surcharge
100 fast of sanitary server storm sewer and water service) ;, "ATI New Commercial Buildings require plans with isometric or riser diagram
and plan review
1 td%tsVc-mstplumapp doc Wl”
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
-
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Oniy
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain/Floor Sink 2"
3"
411
Water�Hater
Laundry Room Tray
Urinal
Other Fixtures (Spec1y)
COMMENTS REGARDING ABOVE:
CITYOF TIGARD __ BUILDING PERMIT
PERMIT#: B28/02 00071
DEVELOPMENT SERVICES
DATE ISSUED: 2/28/02
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171
SITE ADDRESS: 10550 SW DEL MONTE DR PARCEL: 2S110AD-06300
SUBDIVISION: LANG HILL NO.2 ZONING: R-12
BLOCK: LOT: 055 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL. CONSTRUCTION
CLASS OF WORK: OrR FIRST: sf� N: S: E W:
TYPE OF USE: MI- SECOND: sf _ PROJECT OPENINGS?_
TYPE OF CONST: sf N: ^� S: E: W:
OCCUPANCY GRP: TOTAL_ AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS __REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK UET:
DWELLING UNITS: FRNT- ft REAR: ft FPR ALRM : HN!'-';CP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,226.00
Remarks- Tear off composition shingles, replace rotted plywood, felt and installs new composition roofing.
Owner: Contractor:
HARDING, GLENN O SHEILA GRIFFITH ROOFING
10550 SW DEL MONTE DR 6815 SW 111TH AVE
TIGARD, OR 97223 BEAVERTON, OR 97005
Phone: Phone: 643-1596
Reg #: LIC 00000925
FEES _ REQUIRED INSPECTIONS
Type By Date Amount Receiptt
PRMT CTR 2/28/02 $62.50 27200200000 Final Inspea'tTorT--'
5PCT CTR 2/28/02 $5.00 27200200000
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speciaity Codes
and all other applicable law. 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 the rules adopted�,y the Oregon Utility Notification Center. Those riles are set forth in OAR
952-001.0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Perrnittee
Signa e: /` du
r � 7
Iss ed By: '
Call 639-417 by 7 p.m. for an inspection the next business clay
Building hermit Applie'ation
City of Tigard Datcnceived: D P«mitno.:
F'roject/appl.no.: Expiredate:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued_— By: Receipt no.:
Fax: (503) 598-1960 Case file no.: _ Payment type;
Land use approval: 1&2 family:Simple Complex:
1
U 1 &2 family dwelling or accessory C Commercial/industrial U Multi-faintly U New construction U Demolition
U Addidort/alteration/replacement U"Tenant improvcmcnl U fire sillInHer/alarm U Other:
JOB SITE INFORNIATJON
Job address: dg.no.: Suite no.:
IAt: I Block: Subdivision: — Tax map/tax lot/account no.:
Project
Description and location of work on premise/s/speci conditions:_'rt,,, o -fid r '_s � l _
_ ✓ra 4t f W04 OO d -71+. rte. 1714 V.
Name: F
Mailing address: aj t,.- .✓ 1 &2 family dNclling:
City: I 1 f' k ZIP: 7 c Valuation of work........................................ _
Phone: Faz: E-mail: No.of bedrooms/batlis................................. -----
Owner's representative: Total number of floors.................................
Plwnr: I a•. 1 nt;nl New dwelling area(sq. ft.)
Garage%arpori area(sq.ft.).........................
i ame: Coverrcl porch area(sq.ft.) ......................... _
Mailing address Deck area(sq.ft.) ........................................
---- Other swcture area( .ft.)
City: Juul- 7.IP: .........................
--- —�- CommercialMdustrial/multi-fatnll 'C7�JG� .�
I'itonc: Fax: 1 nu,il Y� $Valuation of work........................................
Business name: o" ke, Ca .ZK L- Existing bldg.arca(sq.ft.) .......................... _
Address: (911 S t W l 11'} - New bldg.arra(sq.fl.) ...............................
City: & Star:pv ZIP: 9Z pp Number of stories........................................ --
Phone: (6Y3-1S9 Fax: E-mail: Type of construction...................... ............
CCB no.: -_ --- �_ Occupancy group(s): Existing: _ --
r
_ New.
City/metra lac.no.: 77 Notice:All contractors and subcontractors arc required to be
ARMITECUDESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be requirrd to be licensed in tic
Address: - - — -- jurisdiction where work is being performed.If the a'nlicant is
Cit State: ZIP: exempt from licensing,the following reason applies:
Contact person: - Plan no.: -
Phone: �a• F. main — -- ---
I '
Name: lContact Iverson: Fees due upon application ........................... $
Address: Date received:
City: State: ZIP: Amount received ......................................... $
Phone: Fax: I E-mail: _ _Plecse refer to fee schedule.
I hereby certify I have read and examined this application and the — Nadt all .rvert aedis cards,pkeaw cast jurisdiction for nww ara,�w;a.
attached checklist.All provisions of laws and ordinances;ovem. ing this Uvisit . .,astesCwd
work will be complied with,whether specified herein or not. Credit Gard ntttnuer.
+'� he�
Authorized signature: ✓ Wad6lUaA;_ Date: Z�}g-dZ ---N jrW-ct—c r�cmditcud
Print name:_ g91"1 l _ s
Cl Cadc+dd^attxe Attwrot
Notice:This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. 44G-4613(WWCOM)
� fi �
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration
❑ REPAIR (MAJOR) (plan reviaw required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and/or
,,hanges are made to roof line.
SUBMIT TWO (2)SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in
the upper 1/3 of the roof, Provide 1 sq. ft. for each 30C sq. ft. when eave and attic
venting is provided.
Note: No permit is required for residential re-roof if, (1) not more than three layers of
roofing will exist upon completion of the re-roofing or, (2) sheathing is not being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied).
COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
❑ RE-ROOF(circle A, B or
A. Existing built-up roof covering to be REMOVED and deck repaired.
B. Existing built-up roof covering to REMAIN, Note: Applicant must submit an engineer's
review of the roof structural elements. Review shall bear the seal (or stamp)of the
architect or engineer licensed in Oregon.
_ C• Asphalt or wood shingle/shake,. (PROCEED TO STEP 2)
COMMERCIAL ONLY - Class of Work: Repair - -
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation UBC A endix 15�
Please fill out applicable section and attach copy of roofing specifications. —-�
Listed Assembly (Circle and complete A, B o�-_
A. 1. Specification #:_ L-OJ L
2. Manufacturer:_ -
3a. UL Classification:__ --
Listed UL Building Materials Directory Page#:1Q
OR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page#:
'COPY OF ASSEMBLY REQUIRED _
B. ICBO Research#: _---
Dated:
C. SPECIAL PURPOSE= ROOFING: WOOD SHAKES _
_ Review required by plans examiner.)
VALUATION OF PROJECT: $ —�
sq. ftof roof area
Permit Fee based on valuation: $
_(see Building Permit Fees chart
8%State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly Item"C"above.
�- -- -- ---- TOTAL: $
i.dsts\forms\roofcheddist.doc 10/05/00
10 _ ROOF COVERING MATERIALS(TEVT) ROOF COVERING MATERIALS (TEVT)
PREPARED ROOF COVERING MATERIALS (TFWZ)—Continued PREPARED ROOF COVERING MATERIALS (IFWZ)—Continued
GLOBE BUILDING MATERIALS INC R2472 (N) MASONIrE CORP R9553 (N)
2230 INDIANAPOLIS BLVD, WHITING IN 46394 SUITE 2880 1 S WACKER DR, CHICAGO IL 60606
Asphalt organic felt sheet roofing and shingles, for installation as Class C Fire retardant treated hard board shingles, for installation as Class C
prepared roof coverings. Asphalt organic felt shingles, for installation as prepared roof coverings. The shingles are to be provided with an underlayment
wind resistant roof coverings. of at least one layer of Type 30(30 lb)or two layers of Type 15(15 lb)asphalt
Asphalt glass fiber mat shingles, for installation as Class A prepared roof organic felt, and a.016 in.thick metal tab is to be L+sed under each butt Joint
coverin s. Suitable for installation on minimum 3/8 in, thick Plywood decks. during shingle application.
Aspcoverings.glass fiber mat shingles, for installation as wind resistant it �f Fire retardant treated hard board shingles, for installation as Class 8
9s, prepared roof coverings.The shingles are to be provided with an underlayment
of two layers of Type G-3 cap sheet,and a.016 in.thick metal tab is to be used
GS ROOFING PRODUCTS CO INC R116SS (N) under each butt joint during shingle application.
SUITE 900 5525 MACARTHUR BLVD, IRVING TX
75038 NELCO ENGINEERING
Asphalt organic felt sheet roofing and shingles, for installation as Class C 1610 MUSTANG DR, MARYVILLE TN 37801 R18103 (N)
prepared roof coverings. Asphalt organic felt shingles, for installation as
Class C prepared roof covering. Suitable for installation on minimum 3/8 in. Formed plastic roof tiles,for installation as Class A prepared roof coverings
thick plywood decks. Asphalt organic felt shingles, for installation as wind suitable for use on 15/32 in. plywood deck when laid over 1/2 in, gypsum
resistant roof coverings. board or 1/4 in. Georgia-Pacific"Dens-Deck".
Asphalt glass fiber mat shingles, for installation as Class A prepared roof Formed plastic roof panels, for installation as Class B oof covering in
coverings. Suitable for installation on minimum 3/8 in. thick plywood decks, accordance with manufacturers installation instructions. Suitable for use on
Asphalt glass fiber mat shingles, for installation as wind resistant roof minimum 1/2 in, plywood deck covered with one ply of Type 30 felt followed
coverings. by one layer of Type G3 mineral surfaced cap sheet.
Asphalt mineral wool-felt shingles,for installation as Class C prepared roof Formed plastic roof panels, for installation as Class C roof covering in
coverings.Asphalt mineral wool-felt shingles as wind resistant roof coverings. accordance with manufacturers installation instructions. Suitable for use on
Modified asphalt glass fiber mat shingles, for installation as Class A minimum 1/2 in,plywood deck covered with t 'ayers of Type 15 or one layer
prepared roof coverings. Suitable for installation minimum 3/8 in. thick of Type 30 asphalt organic felt.
plywood decks. Modified asphalt glass fiber mat shingles, far installation as
wind resistant roof coverings.
Asphalt glass mat shingles,for installation as Class A prepared roof covering OWENS-CORNING FIBERGLAS CORP R2453 (N)
when used with minimum Type 30 underlayment over existing wood shingle T-15 FIBERGLAS TOWER, TOLEDO ON 43659
roof. Asphalt glass fiber mat sheet roofing, for installation as Class C prepared
Asphalt glass mat shingles, Classified in accordance with ASTM D3462, roof coverings.
including tear resistance. Asphalt glass fiber mat shingles, for installation as Class A prepared roof
coverings. Suitable for installation on minimum 3/8 in. thick plywood decks
HERBERT MALARKEY ROOFING 1_0 R4299 (N) with underlayment such as asphalt saturated felt or shingle underlayment
3131 N COLUMBIA BLVD KENTON STATION PO BOX classified by UL as a prepared roofing accessory and on minimum 1/2"thick
17717, PORTLAND OR 97217 plywood decks without underlayment. Asphalt glass fiber mat shingles, for
Asphalt glass fiber mat shingles, for installation as Class A re ared roof installation as CL:;:C prepared roof coverings on minimum 3/8"thick plywood
wind resistant decks without underlayment.Asphalt glass fiber mat shingles for installation as
coverings.Asphalt glass fiber mat shingles,for installation as
roof coverings. wind resistant roof coverings.
-Modified asphalt glass fiber mat shingles may bear the statement "Also French method shingle, Class A, for use in reroofing.
Asphalt glass-mat shingles, classified in accordance with ASTM D34 62,
evaluated at wind velocities up to 1.0 mph".
Asphalt glass fiber mat sheet roofing, for installation as Class C prepared including ',ear resistance.
roof coverings.
PABCO ROOFING PRODUCTS, DIV OF PACIFIC COAST R11271 (N)
HOOVER TREATED WOOD PRODUCTS INC R10660 (N) BUILDING PRODUCTS INC
PO BOX 746, THOMSON GA 30824 PO BOX 160488, SACRAMENTO CA 95816
Fire retardant treated red cedar wood shingles, for installation as Class C Asphalt organic felt sheet roofing and shingles,for installation as Class C
prepared roof covering when provided with an underlayment of at least one prepared roof coverings. Asphalt glass mat shingles, for installation as Class
layer of Classified Type 15 asphalt saturated organic felt. A prepared roof coverings. Suitable for installation on minimum 3/8 in. thick
plywood decks. Asphalt glass mat shingles, for installation as vdnd resistant
N
IKO INDUSTRIES LTD R6765 roof coverings. Wind resistance has also been evaluated at wind velocities up
71 ORENDA RD, BRAMPTON ON CANADA ( ) to 110 mph.
Asphalt organic felt shingles, for installation as Clas: C roof coverings.
Asphalt organic felt shingles, for installation as wind resi.:int roof coverings. RE-NEW WOOD INC R18263 (N)
Asphalt glass fiber mat shingles, for installation as Class A prepared roof 104 NW 8TH ST, WAGONER OK 74454
coverings. Formed roofing tile for installation a Class C prepared roof covering when
Asphalt glass fiber mat shingles, for installation as wind resistant roof laid over one ply of shingle underlayment.
coverings.
I�I
IKO MFG INC R9806 (N) REINKE SIiAKES INC R8491 (N) I
HAY RD EDGEMOOR, WILMINGTON DE 19809 210 S 4TH ST, HEBRON NE 68370
Asphalt organic felt shingles, for installation as Class C prepared roof Formed aluminum shakes or installation as Class A prepared roof covering
coverin�s. when applied with an intertayment of 111 Classified Type 15 asphalt organic Felt
Asphalt organic felt shingles,for installation as wind resistant roof coverings. of UL Classified shingle underlayment(resulting in the deck being covered with
Asphalt glass fiber mat shingles, for installation as Class A prepared roof 2 layers of felt) when applied over minimum 5/8 in, UL Classified Type X
coveringgs. gypsum or Georgia-Pacific Corp, "Dens Deck Overlayment" with all joints
asphalt glass fiber mat shingles, for instadation as wind resistant roof staggered minimum of 6 in, from the plywood joints applied directly to
coverings. minimum 15/32 plywood decks.
INTERNATIONAL EXTERIORS LTD R11951 (N) SEKISUI AMERICA CORP R13277 (S)
1689 CLIVEDEN AVE, DELTA BC CANADA V3M 6V5 SUITE 120 SKYPARK 3 23430 HAWTHORNE BLVD,
Formed aluminum shingles for installation as Class B prepared roof coverings TORRANCE CA 90505
when applied with an underlayment of Classified Type G3 Owens-Corning Cement t les, designated"Brook Roofing Tiles,"for installation as a Class
Fiberglas "Perma-Cap." May also be applied over 1/2 in. min plywood roof A prepared oof covering when mechanically fastened over minimum 15/32 in.
decks. these coverings have been investigated for fire resistance only. Local Thick plywcod decks, as an option, one or more layers of Type 15 asphalt
authorities having jurisdiction should be consulted before installation, saturated organic felt underlayment may be used.
LOOK FOR MARK ON PRODUCT
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP ,-:260rR
Received -___Date Re sled AM ✓ PM —_- - BUP
Location _ -- 1-� :�—o �1 'L3� 1Suite_ MEC _—
Contact Person Ph(____ -) 1�� PLM
Contractor - _ --- Ph(—._---) SWR
BUILDING Tenant/Owner _— _- _
Footing
Foundation F
ELG
Access: ;
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - -- —
Ext Sheath/Shear 7.
Int Sheath/Shear 2 -3 . '3
3 /
Framing V
Insulation
Drywall Nailing - —
Firewall ly
Fire Sprinkler -�- - -- —
Fire Alarm
Sus 'd Ceiling --- --
0
Other: — -+ -----
dSSinART FAIL
pING
Post&Beam
Under Slab _
Rough-In
Water Service
Sanitary Sewer /
Rain Drains --
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other:
Final
PASS PART FAIL
MEC14ANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers --
Final
PASS PART FAIL -- --
ELECTRICAL
Service - --
Rough-In _
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$___— required before next inspection. Pay at City Hali, 13115 SW Hall Blvd.
PASS PART FAIL
SITE L�! Please call for reinspection RF _ Unable to inspect-no access
Fire Supply Line
ADA
l / v C.�
Approach/Sidewalk DfA* �( ` U �- Fnspec!r.r OZ-- Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITYOF TIGARD __ _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2002-00039
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/8/02
SITE ADDRESS: 10550 SW DE - MONTE DR PARCEL: 2S110AD-06300
SUBDIVISION: LANG HILL NO.2 ZONING: R-12
BLOCK: LOT: 05.5 JURISDICTION: TIG
CLASS OF WORK. OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SFA WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATER. CATCH BASINS:
FIXTURES LAUNDIP" TRAYS: SF RAIN DRAINS:
SINKS_ Ui?:N ALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 319 ft
Remarks: Installation of 379'of rair, drains.
Owner: - -- FEF-S ----_ --_—_ --
- Type By Date Amount Receipt
CALWAY HILL HOA --- — --
CMI 2105 SE 9TH PRMT CTR 2/8/02 $194.20 27200200000
PORTLAND, OR 97214 5PCT CTR 2/8/02 $15.54 27200200000
Total $209.74
Phone 1: 503-445-1202
Contractor:
RENAISSANCE CUSTOM HOMES
1672 SW WILLAMETTE FALLS DR
WEST LINN. OR, 97068
REQUIRED INSPECTIONS
Phone 1: 503-557-8000 Rain Drain Insp
Reg #: LIC 130499 Final Inspection
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 iE, not started within 180 days of issuance, or if work is suspended for more
than 180 days. A T TENTION: 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 OAR 952-0001-0080.
You may obtatn.>Zopies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issuo By: .1��4 Permittee Signature:
Call (503F639-4(7!,7F by 7:00 P.M. for an inspection needed the next business day
Plumbing Pcrinit Application
Date and received:
Cit 4/ Permit no.: ,Q2JJ?
y of 'tig Sewer permit no.: Building permit no.:
Address: 13125 SW{-tall lllvrt.'I'igard,OR 97223 —
Citvof77gard Phone: (503) 639-4171 Project,appl.no.: Expiredate:
Fax: (503) 598-1960 1)ate issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
U I &2 family dwelling or accessory U Commercial/industrial Multi-family U Tenant improvement
U New ennstrudirm U Benxi service Ll 01her:
.100 SlItE.INVORMATION
Job address: j 0 S5tz, �✓ /. i%ve 19c7.ription _ Qty. Fee(ea.) Total
Bldg.no.: Suite no.: Ne" I-and 2-famBy dNellhigs only:
Tax map/tax lot/account no.: ;//C/i(,--/�fi^^ (includes 100 p.for cacti utility connection)
_ - SFR(I)hash
Lot: Block: Subdivision: SFR(2)bath - --- -
Project name: Tinct N Lug j,// SFR(3)bath
City/county: 7,�a-r� f✓ f ZIP: Each additional hath/kitchcil--__
Description and locatimi of work on premises: Siteutilities:
Catch basin/area drain
Est.date ol'completion/inspection: Drywells/leach line/trench drain -
Footing drain(no.lin. ft.)
t Manufactured home utilities _
Business name: ..i a,� a.rc[ Cu��..h �s-«e G Manholes _
Address: Rain drain connector
City: State: ZIP: Sanitary sewer(no.lin.ft.)
Phone: Fax: E-mail: Storni sewer(no.lin.ft.)
CCB no.:PANW13(ayy9 I Plumb.bus.reg.no:
Water service(no.lin.ft.)
City/metrolic.no.: t p 6 Fixture or item:
Contractor's representative signature: Absorption valve
Back flow preventer
Print name: Date: .` 7 O 2 Backwater valve
Basins/lavatory _
Name: ,r nc e C u s >M�x 7i.its „.kf Clothes washer —
Address: 16 72 sw Dishwasher
Drinking fountain(s) _
City: 414x-t- Gr err State: pip ZIP: 7 h8—
8 Ejectors/sump
Phone:sv}ss)-g neC' Fax:516 fG/6 -mail: Expansion tank _
Fixture/sewer cap _
Name(print): /%// /./pA Floor drains/floor sinks/hub
Mailing address: C2/ S- Se tc. _Garbage disposal _
�' `� Hose bibb _
City: . /ate Slate: ZIP: `17 2/L/ lve maker _
Phone: /2 6:. Fax: I E-mail: Interceptor/ rease trap
Owner instal lation/reside:uial maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _
Owner's si nature: _ _ Date: Sum
7•ubs/shower/shower pan
!/ / Urinal
Address:
Name: r7A.r,s /"Ir/40.1a.�C --
;� _ — Water closet
/Z fSJ l i✓ i'�"// ,f � Water heater
City: , �.c State:Qf ZIP: `I 7 2 23 Other: --- —
Phone:s'o. E3q zyi-3 Fax: Email: Total
Not ail juris&dam aaep credit cadr,plew can juris&tia,fa mar inrc rrtuuion Notice:This permit application Minimum fee................$ _--
Plan review(at _ %) $ _
O visa O MasterCard expires if a permit is not obtained
Credit card numb«:.-_•--- -- ._ L-_L.___ Slate Furcharge(8%)....$ —
t:xrtrci within 180 days after it has been
accepted as complete. TOTAL .......................$
Name of cardholder u shown on credit cad
S
Cuilholder dpwrae ---- Amouni -
PLUMBING PERMIT FEES:
PRICE TOTAL Now 1 and 2-family dwellings only:
FIXTURES (individual) _ QTY ea AMOUNT /includes all plumbing fixtures in PRICE TOTAL
Sink 1660 the dwelling and the firstl00 ft. QTY .(ea) AMOUNT
Lavatory _ 16.60 for each utiles uonnectioA-__
_--- _ One(1)bath $249.20
Tub or Tub/Shower Comb. 16.60 Two(2)bath $350.00
Shower Only 16.60 Three(3)bath $399.00 _
Water Closet 16.60
SUBTOTAL
Urinal 16.60 8%STATE SUPCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL -
Garbage Disposal 16.60 _ --___-__ TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Flo it Sink 2" 16.60
3" ---- 16.60 - PLFASE COMPLETE:
4" 16.60
Water Heater O conversion O like kind 16.60 Quantity bir Work Performed
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
permit. Ca ped
MFG Home New Water Service 46.40 Sink _
MFG Home Now San/Storm Sewer 46.40 Lavatory _
-- Tub or Tub/Shower
Hose 16.60 Combination _
Roof Dieu._ 16.60 T Shower Only
Drinking Fountain 16.60 Water Closet _
Other Fixtures(Specify) - 16.60 Urinal
Dishwasher
__Garbage Disposal _
Laundry Room Tray
--
Washing Machine _ _ --
---_ Fioor Drain/Sink: 2"
Sewer-1st 100' 55.00 3,- - - -
Sewer-each additional 100' 46.40 4"
Water Service-1st 100' 55.00 Water Heater
Water Service-each additional 200' 46.40 Other Fixtures
Storm&Rain Drain-1st 100' 55.00 $.S, _Specify)
Storm 8 Rain Drain-each additional 100' 3 46.40
Commercial Back Flow C revention Device 46.40
Residential Backflow Prevention Device' 27.55 --- -- - -
Catch Basin 16.60 ------ -
Inspection of Existing Plumbing or Specially 62.50
Requested Inspections r/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps y 16.60
QUANTITY TOTAL -------
Isometric or riser diagram is required If -
Quantity Tota:is >9
*SUBTOTAL -- -
__ ---
8%STATE SURCHARGE
"PLAN REVIEW 25%OF SUBTOTAL -
Required only If fixture qty total Is>9
TOTAL - ?
*Minimum permit fee is$72 50.8%state surcharge,except Reside,,. 34:4finw
Prevention Device,which is$ae 25+8%state surcharge
"All New Commercial Buildings require 2 sets of plans with Isometric or riser
diagram for plan review.
1:1c1stsUonnslplm-fees doc 12/26/01
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 --
BUP
Receivad __V_ ___- Date Requested Z��_-C_Z_ AM PM _--__-_ BU,
Location _ 7S{ /c.� -f __ ,7>r--_ Suite ___ MEC _
Contact Person
PLM 'Z0�Z 000 3
Contractor _ -_ Ph(_—__ _.) ______ SWR
BUILDING Tenant/Owner ELC
Footing ___._
Foundation Access: ELC
Fig Drain ELR
Crawl Drain
Slab Inspection Note; _ SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear -
Framing
nsulation
Drywall Nailing - _ ---- -- -- - -- ---
Firewall _
Fire Sprinkler — —
Fire Alarm
Susp'd Ceiling
Roof
Other: -
Final
_PASS_ PART FAIL - - - -- ------ ----- ---------.._ .
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service -
Sanitary Sewer
Rain Drains
Catch Basin! Manhole
Storm Drain - - - - --
Shower Pan
Other: --- -- -
,t_PART FAIL - - -M7EMA- NICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL — —
ELECTRICAL
.service
Rough-In —
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next ins
PASS PART FAIL �� inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Ploase call for reinspection RE: _ [__j Unable to inspect-no access
Fire Supply Line
ADA /
Approaeh,'Sidewalk Date-4? L� z Inspector _`"4� e Ext
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY 4F TIGARD 24-Hous
BUILDING Inspect?on Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
Received ___ -_—_Date Re nested __- 1 _ AM PMG� BUP
Location - __—_�L'_�� v Suite---------. ME,,
Contact Person _________ __ -J _ nh !7 !60—Q_7&4 PLM
Contractor ----_-_ ___ __-- Ph( ) '{3 L22_62 SWR ----._-_
UILDIN __ — Tenant/Owner ELG
oti
'nng — -
Foundation ELC
Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam ------------ -_-----_
Shear Anchors -- - ------ -----
Ext Sheath/Shear
,nt Sheath/Shear
Framing - --- -- -
In3ulation
Drywall N ing� - -- -
----------------
Firewall Iq C.
Fire Sprinkler
Fire Alarm
VS
'd Ceiling -
Fi
r.
PART FAIL
PEUMBING
Post&Beam --- - -
Under Slab ---- - -- --
Dough-In
Water Service - - - -- ----- --
Sar,itary Sewer
Rain Drains
Catch Br.sin/Manhole
Storm Drain - - - — ----; ---
Shower Pan
Other: --- - ---�—�
Final
PASS PART F'
MECHANICAL _
Post& Beam
Rough-In
Gas Line
Smoke Dampers - - - --
Final
PASS PART FAIL - - -- ----- ---- --
ELECTRICAL
Service --- - - - --- ---
Rough-In
UG/SlabLow Voltage
Voltage
Fire Alarm - --- - ---- ---— --- - ------ ---
Final L� Reinspection tee of$ - mquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL _
SITF � [] Please call for reinspection RE:____ _ _ ___..__ �� Unable to inspect- no access
Fir pply Line
ADA 5 / 1 ► ( 1'"��
Approach/Sidewalk palb —' 1-- _ Inspector - ---__ _ End ___-_---
Other:
Final — DO NOT REMOVE this Inspection record from the Joh site.
PASS PAR'r FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 Hour Inspection Line: 639-4175 Business Line: 639-4171 -
� BUP —
Date Requested AM _ BLD
Location jLK--,s&ILK--,s& Suite MEC ('91 `�q-'i 12 71
Contact Person _ Sl !�! Ph �T������ ��- PLM
Contractor _ Ph SWR
[BUILDING Tenant/Owner ELC
Retaining Wall ELR —
Founda
Access: 1/ FPS
Foundation —
Ftg Drain SGN
Crawl Drain Inspecti n otes:
Slab _-__--.-------_--- SIT
Post& Beam -
Ext Sheath/Shear --
Int Sheath/ShEar
Framing --- -------- -------— ------ -- -. �..---
Insulation
Drywall Nailing —.-------------____-. ____._ --_-_--- ------ - --__
Firewall
Fire Sprinkler ---- - -- -- -- -- -------- -------
Fire Alarm
5usp'd Ceiling --
Roof
Mi sc -__ — -- - -------- - - —._——.,--
Final - —
PASS PART FAIT- ----- ----- - -- - - _ - ------- — -- ----
Post 8 Bear _--__.._---- ----- ---------- - -----
Under Slab - ------ - - _--- — -- - - -- — ------
Top Out
Water Service
Sanitary Sewer
Rain Drains ----
A PART FAILIWECHAMq?�h
r'osl8 Beam --- ---_ ___- -___-_-
Rough In a
Gas Line - - -
Smoke Dampers
PART FAIL
ELECTRICAL -
Service _—
Rough In
UG/Slab -- - -- ------- -- --- — --
l_ow Voltage
Fire Alarm
Final
PASS PART FAIL -___--___-_--. --------- -- ---
SITEiIIIGrading --------- -- -.----_—_— ._—
Lckf
Sanitary Sewer
Storm Drain f ] 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
Approach/Sidewalk / EX43 Z
Other Y �— )ate 1 — — Inspector —. _ _
Final /
PASS PART FAIL_ DO NOT REMOVE this Inspection record from the job site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICESQSGI RMIT#: MEC1999-00271
13125 SW hall Blvd.,Tigard, OR 97223 (503) 63911 ISSUED: 6/22/99
PARCEL: 2S 11 OAD-06300
SITE ADDRESS: 10,950 SW DEL MONTE DR
SUBDIVISION: LANG HILL NO.2 ZONING: R-12
BLOCK: LOT: 055 JURISDICTION: TIG
CLASS OF WORK: OTR 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: 1 DOMES. INCIN:
I PG 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: - OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of new gas furnace, a/cunit and associated gas piping for the conversion.
Placement of the a/c unit must comply with standard setbacks.
Owner: FEES
HARDING, GLENN O SHEILA Type By Date Amount Receipt
10550 SW DEL DR PRMT DEB 6/22/99 $50.00 99-316332
TIGARD, OR 97223223 5PCT DEB 6/22/99 $2.50 99-316332
Phone: — —.—
Total $52.50
Contractor:
ABODE HEATING AND A/C
6151 SE HACIENDA STREET
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Gas Line Insp
Pi one:649-2440 Heating Unt Insp
Reg #:LIC 0076115 Cooling Unt Insp
Final Inspection
This permit is issued subject 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 mcxe than 180 days. ATTENTION Oregon law requires you to follow rules adopted in 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 th LUjes or direct questions to OUNC b calling (503)246-9189.
,sue By: ' SItf Permittee Signature --
Call (503) 639-4175 by 7:00 P.M. for inspections neede the next business day
CITY OF TIGARD Mechanical Permit Application Rean —
13125 SW HALL BLVD. Commercial and Residential Date Rer-A �p `
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST --
Print or Type Permit# �
Incomplete or illegibleapplications will not be accepted Called _
Nome of Development/Piolect Descr,ntion +�
Table 1A Mechanical Code Qtv Price Amt
Job Street Address d sun"# — A) Permit Fee _ _ 16.00
r 1) Furnace to 00 100,0BTU
Address IU-,'e' St. re°ItMal�f� .��
including_ducts&vents see footnote 1,2 9.65
Bldg# Cnyrstate Zi 2) Furnace 100,000 BTU+
Kd (0R `�7..�2 including ducts&vents see footnote 1,2 12.00
Name(or name of husiness) 3) Floor Furnace
Owner Gl Wit. 1c:. I l.c _
including vent see footnote 1,2 9.65
Mailing Address — �- � 4) Suspended hearer,wall heater
d or floor mounted heater see footnote 1,2 9.65 _
S5 ' �>L L' L>,,(WOOL�e 5) Vent not included in appliance permit _ _4.75
cnyrState Zip Phone Check all that apply 'Boiler Heat Air
4�11 j For Items 6-10,see or Pump Cond Qty Price Amt
Name(or name of business) footnotes 1.,2 _ Com
I r 6)<3HP:absorb unit to
1OOK BTU 9.65 _
Occupant Melling Addrresss 7)3-15 HF;absorb unit
100k to 500k BTU —_ _ 17.65 _
ciiyrSiate -- -zip Phone. _ 8) 15-30 HP;absorb —
unit.5-1 mil BTU 24.15
9)30-50 HP;absorb
Contractor Name _ unit 1-1.75 mil BTU 36.00
E� b _
A � irt N� 10)>50HP;absorb unit
Prior to permit Mailing Address '/ — >1.75 mil BTU 1__— 60.15
r
Issuance,a copy („ s KgC_JCi1 11 Air handling unit to 10,000 GFM
of all licenses cn rS ate ,�" r Zip Phone 7.00 _
are required if ��i L Ir' ?gi 7,2 -�7 , 12)Air handling unit 10,000 C FM+
expired in COT Oregon Const Cont Board Lic# E D to _ 11.75
database 7!u �_— j �i 13)Non-portable evaporate cooler
Architect Name 7.00
14)Vent fan connected to a single duct
Or Mailing Address 4'75
15)Ventilation system not included in
appliance permit7.00_
Engineer cnyfstate zip Phone 16)Hood served by mechanical exhaust---'
_ 7.00_
Describe work to be done: 17)Domestic incinerators
12.00
New Rel.air O Replace with like kind. Yes O No O 19)Commercial or industrial type ih:inera.tor
_ _
Resi ential�•� Commercial O 48.25
19)Repair units
Additional information or description of work 8.40
20)Wood stove/gas FP/other units/clothe dryer/etc.
NOTE: For Commercial projects only;Units o.--r 400 lbs require 2.1)Gas piping one to four outlets 7
2-00
structural comas colas _See footnote 1 _ 3.75
Type of fuel oil O natural gas O—LPG O electric O 22)More than 4-per outlet(eac _ 75
Minimum Permit Fee$50._00 SUBTOTAL
I hereby acknowledge thnr lI have read this,- plication,that the information _ 5%SURCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUOTOTAL
the owner,that plans submitted are in compliance with Oregon Stale laws Required for ALL commercial penult;on _-
____ TOTAL
Signature of Owner/Agent Date
Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-two
C t ct Parson Name Phone r hours) $50.00 per hour
/J 78?. 3: 7z 2. Inspections for which no fee Is specifically Indicated (minimum
_ _ charge-half hour) $60.00 per hour
oonotes for commercial projects only: 3. Additional plan review required by ,lunges,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half h^ur)$50.00 per hour
2 Provide drawings to state showing existing and proposed mechanical
units _ - — — — �Y *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placemen;cf unit
l:lrnechpemi.doc rev 02/4/99
v
a
n
V
1J V
J
1�
V
C
W
CITY OF TIGA.RD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639.4175 c'� /Business Line: 639-4171 SP
Date Requested AM BLD --
_ --_�—
Location � " <_? � _���YZ�J S/u-ite — MEC
Contact Person Ph tC _ �`] �-� PLM -
Contractor ->Vr� s:^r rUr �� t's���lL — Ph ` SWR
BUILDING Tenant/Owner ELC
Retaining Wan — — ELR
Footing Access _ �C /n/J�
Foundation �'� FPS
Ftg Drain J � � SGN —^
Crawl Drain Inspection Notes: ----
Slab -- --- __ _ — -------�_— -- -- SIT
Post& Beam -- —
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkle
Fire Alarm
Susp'dCeiliny -T.
--
Roof c�
Misc ---
Final
PASS PART FAIL_ —
PLUMBING _
Post& Ream ---
Under Slab
Top Out - -- — —— —
Water Service
Sanitary Sewer _ ---- — --
Rain Drains
Final ----- ---_— --_ ------
PASS PART FAIL
MECHANICAL ---- ---------- ---- --- �--
Post& Beam — -- ------ ---_ --- —_
Rough In n�y
C.qs Line
Smoke Darnperi '
Final — ---- -- -- -- --
PAS . PART FAIL
ELECTRICAL --- --------- — --
Service
Rough In -------- --- -- -- -------- —____
UG/Slab
Low Voltage
Fire Alarm
Final — — ---_ --- - -- —
PASS PART FAILSITE
Backfill/Grading —
Sanitary Sewer
Storm Drain ( J Reinspection fee of$—_ _required before next inspection. Pay at Citv Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line I J Please call for reinspection RF: -- _—_ ( ] Unable to inspect-no access
ADA
Approach/Sidewalk Date �l �,,�'�
Other _-- _ / / —Inspector �' _ —Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITE' OF TIGARD MECHANICAL
DEVELOPMENT SERVICES r-'E=KNIT
PERMIT 4. . . . . . . : MEC97--Oc_
13125 SW Hall Blvd. Tigard,OR 97223 (503)639.4171 DATF ISSUED: 07/28/97
PARCEL: 2S 1 '10AD---06400
SITE ADDRESS. . . : 1.05GO SW DFL MONTI DR.
';UBDIVISION. . . . : LANG HILI._ NO. 2 ZONING; R--11?
Bi-OCF(. . . . . . . . . . : LOT. . . . . . . . . . . . . :56 JURISDICTION: TIG
CLASS ASS OF* WORI!. . :01-T FI. nop r'I.1RN. . . . : 0 FVAP COOL.-EARS: 0
TYPE OFF USE. . . . :SF ON T T HFnT'ERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL : 0 VENT' SYSTEMS: 0
STU)RIE:S. . . . . . . . : 0 5OIL..ERS/COMPRES90RS HOODS. . . . . . . : 0
FUEL. 1 YF'ES--- -- ~- --- - 0-3 HP. 0 DOMES. T NC T N: 0
3-15 HP. . . . : 0 COMML.. T NC I N: 0
MAX INPUT: 0 BTU 1.5-30 HP. . . . 0 RE=PAIR UN T TS: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRFSSI IRE. . . : 50+ HFA. . . . : 0 C1.-O DRYERS. . : 0
1\10. OF L.1N I TS--------------- AIR HANDLING 1-IN I T5 OTHER UNITS. : 0
FURN ( 100F, BTU: 1 <= 10000 efm : 0 GAS OUTLETS. : i
FURN )==1001 BTU: 0 ) 10000 efm : 0
Remarks . install new gas furnace and gas piping for outlet.
Owner. : - _..-_____.._..__._..._.. _..____..-----._.___._.._____ -____-.__--..-._____-...-_ FEES _____-•-- --•.-_--.__
LYNN WARD type amar.fnt by date r-ecpt
10560 SW DFI_ MONTE DRIVE PRMT E 5. 00 GEn 07/22/9.7 97--i-7297640
TICARD OR 97224 5P17T $ 1. 25 GEO 07/28/97 97--297640
Phone #:
Corttt-actor:
SUNSET FUEL.. CO
PO BOX 42287 ---_---_--------....___._____.___.__-_.__
f 26. 25 TOTw?I-
PORTL.AND OR 97242
Phone #: 503-234-0611
Rey #. . : 0000 ':.
--- - REQUIRED INSPECTIONS -
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all ether Mechanical 1 n s p
applicable laws. All work will be done in accordance with Meat, my Unt Tt�sp
approved plans. This permit will expire if work is not started Misc. Inspectiour
within 160 days of issuance, or if work is suspended for eory Final Inspect for
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 OAP 952-001-0080. You say
obtain+, copies of these rules or direct ouestion; to DUN[ by calling
(503)246-9187. �_ _� ----.-------
T ssr_ue By : Fier mitt �e .7ignatr.ure :
+ ++•++++++++++ 1++++++++++++4++44-f-r++ +++-4++++++++++++++4•++++++•i-+++++-t+++•f-+++++ r 1
Cal. 1 639-4175 by 6:00 P. M. for inspections needed the next bl.tsiness day
+++4F+++•F++++++++++++++-1-++++++++++++++++++++++++++++++++++++++++-F++++++++.+++++++
i
- r
Gity of Tigard MECHANICAL PERMIT Planck/Rec. t#
13125 sw Hall Blvd. APPLICATION Permit #,*ffC 4 - of-7d
I igard, 011 97223
(50:3) 633-4171
1 able 3A Me,)j tical Code MY PRICE AMT
r» ---------111111
Job ( C-) f�51. Q"'-,( a'-NK, or 1) Permit :�--_ -0 -0. 100(
Addws-
C) Ci`)c 4. 2) Supplemental Permit 3.00
F urnace io 1"O,UWTiTIT
1) incl. ducts L vents 6.00
�•v a»• ps°' Furnace t00,000-[31 U + -
Cwner l�`I` U. n '2.1t�\vi,�� 2) incl. dins d vents - 7.50
Dp
oorTur +.thee V-- -
C! 3) incl. vent 600
Suspenricx'h4latot,wall heater -- -- -
4) or floor mounted heater 6.00
•v •«• Vent not incl in --
Occupant - '--— 5)- ap`lianw permit _ -_. - 3.00
Itepati otof"eating,rmng.i -
6) cooling,absorption unit 6.00
r er or comp,heat pump,air con .
112 tA4p_1 7) to 3 HP absorp unit to 100K BTU 6_00 -
"'�•v�•�•• Boiler or com-p,treat pump,air Gond.
8) 3 15 HP absorp unit to 500K BTU 1100
Contractor of er or comp,-Tioat pump, .ur c-7
4A.6 ce- 9) 15 30 HP absorp unit.5 1 mil B IU 15.00
;,, „''� +"^ '•"° Boder or comp,heat pump,air coed. -
�A-� AAtQ 10) 30 50 HP absorp unit 1-1.75 mil BTU 2250
Ica
-1Tere)y aC haw ge hat have rear this application,that Oro Boiler or cornp, oat pump, air con
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31-50
of the ownor,that plans submitted are to compliance with State Air handling on to
laws, that I am registered with the Construction Contractor's Board. 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, - Air handing unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portablo
14) evaporate cooler 4.50
Vent fan connect -
15) to a single duct 3.00
--
Ventilation system not
16) included in appliance perrrmrt 4.50
ood served -------- --
17) mechanical exhaust 450
Describe work new addition alteration repair - Cormmercial or inauuslnal --
to be done rosidend 11i� non residential 1 g) type incahQrit- 70 nn
xrsbng use o Other i-e.,w r_':ve,water -- -----
building or property -- 1'1)) neatc ,soIar.clothes d ,�•is,etc 4.50
Proposed use of 20) Gas piping one to four outtots 2.00 ] �'
building or property-_ - --
21) More than 4-per outlet
1 ype of fuol -oil 0 natural gas 0 LPG 0 electric
NOTICF
Muunnint ree=?`.i 00 SUBTOTAL
PERMITS BECOME VOID 11=WORK OR CONSTRUCTION -5
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 1130 DAYS AT ANY TIME PLAN REVILEN 25%OF SUBTOTAL.
AFTER tNORK IS COMMENCED -
TOTAL
Special Conditions
C-6X(- ( v (f,-'C' C\(_� Date issued
�r1.1r.QIPM1
�wfce.nMr
I
i
I
I�
1
RECEIVED
JUL 2 8 1997
COMMUNITY IDEYELUMENi