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15860 SW 80TH AVENUE ADDRESS: sw VANUA: CLr Y r- r� CD W J iArecordslmicro(Im\largets\building.doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: c I aL ://3��` 1 A.M. P.M. MST: Location:_ f f[�(�' s(i(,� �✓'r}-} UE -- BUR _ Tenant: ++ Suite: Bidg: MFC:� '-C�- Contractor: �.CxJ 1 P t-L.4 f'T C_. Phone: J,���G' ' •' PI.M: Owner:—N),M2��� —1!,, _Phonc: _j�1 �� ELC:. ELK: — _ Sim BUILDING BLDG(con't) PLUMBING 'ME CHAN)� ELECTRICAL SITE Site Post/Bearn Post/Befun - o`�3eam GQ Cover/Service Sewer/SLim Footing Roof Ilndhl/Slab Rough-In n 11 Ceiling Water l.inc Slab Framing Top Out Gas Line C( *' Rough-In My Sprinkler I oundation Insulation Sewer IIood/Duct� Reconnect Vault lismt Damp Drywall ;'orm Furnace L Lex Temp Service MISC. Masonry Ceiling Rain Thain A/C Cr �J UG Slab Shear/Sheath Fire Spklr/Ahn Crawl/I ound Dr I lent Pump Low Volt Approved Approved <171wvjiApproved Approved Appr/Sdw[k Not Approved Not Approved Not Approved Not Appmved Not Approved FINAL FINAL FINAL FINAL CA) 17 LLI Ii Call for reinspmlion D Reinspection fee of S` ,required before next inspection Q 1 lnable to inspect Inspector:_ �__ XI/ Date:_ I 2 3...S' 1 Page of CITY a F T I G A R D MECHANIT ICAL PERM DEVELOPMENT SERVICES PERMIT #. . . . . . . : M E'C97-0473 13125 SW Hall Blvd., Tigard,OR 97223 503)639-4171 DATE ISSUED: 12/0E., 97 PARCEL: 2S112CC-04700 SITE ADDRESS. . . : 15860 SW 80TH AVE SUBDIVISION. . . . - BOND PARK NO. 3 ZONINGi R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :075 JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS- 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . . 0 OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : v2) FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0 .GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 F. IRE DAMPERS?. . : 10-50 HP. . . 0 WOODSTOVES. . : 0 GAS PRESSURE. . . 50+ HP. . . . 0 CLO DRYERS. . : 0 NO. OF AIR HANDLING UNITE; OTHER UNITS. : I FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : I FURN ) =100K BTU: 0 > 10000 cfm : 0 Remarks : Gas insert and piping Owner-: FEES JIM NARDI type amai.tnt by date t-ecpt 15860 SW 80TH PRMT $ i--,5. 00 JSD 12/02/97 97-301334 TIGARD OR 97223 5PCT $ 1. 25 JSD 12/02/97 97-301334 Phone #: Contractor,: ------------------------------ COST PLUS HEriTING & AIR 7132 N FESSENDEN ST ---------------------------- $ 26. 25 TOTAL PORTLAND OR 97203 Phone #: 286-2009 Req #. . : 000479 ------- REWIRED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municioal Code, State of Ore. Specialty Codes ani all other Mechanical Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 180 days of iss,jance, or if 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 DAR 952-00I-0010 through OAR 952 001 8080. You may obtain copies of these rules or direct questions to OUNIC by calling (503)246-9187. Un S s 1_1 e P y Permittee Signati-tre :.- de-3 rji,- ....................4.......4....................4..............4................... Call 639-4175 by 7:00 p. m. for inspections needed the next business day ...........................f......................4-4.............................. Plan Check# CITY OF TIGARD Mechanical Permit Application Recd Byer 131.25 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E._ (503) 639-4171, x304 Date to DST_ Print or Type Permit# Called Incomplete or illegible applications will not be accepted Name of Development/Protect Description Table 1A Mechanical Code CITY PRICE AMT Job Street Address Su tea A) Permd Fee -0- -0- 10.00 Address 15"�SrsQ 5 w gC� Bldgs c tyfState zip 1 ) Furnace to 100,000 BTU 6.00 t t A 4' f f 7 z 1 including ducts&vents Name(or name of business) 2.) Furnace 100,000 BTU+ 7.50 Owner i lkt L_ IV tir-Q i including ducts&vents Mailing Addressr` 3.) Floor Fumace 6.00 I ') .y 4 t S V AJC including vent citylstate zip Phone 4.) Suspended heater,wall heater 6.00 z ,y 6 Zc •r b 3 1 or floor mounted heater Name(or name of business) 5.) Vent not included in appliance permit 3.00 Occupant Mailing Address 6.) Boiler or comp,heat pump,air cond. 6.00 to 3 HP;absorb unit to 100K BIJT" _ C ryfstate Zip Phone 7.) Boiler or comp, heat pump,air Gond. 11.00 3-15 HP;absorb unit to 500K BTU- Contractor Name 8.) Boiler or comp,heat pump,air Gond. 15.00 •qtr 1,.. jkiiL C.- I IJw , Pl 4 h k A,rz 15-30 HP;absorb unit.5-1 mil BTU" Prior to permit Malang Address 9.) Boiler or comp,heat pump,air Gond. 22.50 issuance,a copy 11 11 a t`<g t n bt"•' 30-50 HP;absorb unit 1-1.75mil BTU" of all licenses City/State Zip Phone 10) Boiler or comp,heat pump,air Gond. 37.50 are required if �'10 r1 7A-0 1�_I? Z. 1 >50 HP;absorb unit 1.75 mil BTU" expired in COT Oregon Cunst.Cont.Board LieJ Exp.Date 11.) Air handling unit to 10,000 CFM 450 _database /7�!7 tf j', • ; �Jr1 Architect Name 13.) Non-portable evaporate cooler 4.50 or Mailing Address 14.) Vent fan connected to a single duct 3.00 Engineer Zip Phone 15) Ventilation system not included in 450 appliance permit Describe work New O Addition O Alteration'rn Repair O 16) Hood served by mechanical exhaust 1.60 to be done Residential O Non-residential O Additional Description of work. 17) Domestic Incinerators 750 18.) Commercial or industrial type 30.00 ri5a; t ✓ #, kc at )��v+} r`�r ,�aep Incinerator Existing use of 19.) Repair units 4.50 budding or property 20) Wood stove 4.50 Proposed use of 21 ) Clothes dryer,etc. 4.50 budding or property 22) Other units 4.50 N Type of fuel-oil O natural gas LPG O electric O 23) Gas piping one to four outlets r 2.00 I hereby acknowledge that I have read this application.that the 24) More than 4-per outlets(each) 50 J information given Is correct,that I am the owner or authorized agent of the owner,that plans submitted are In compliance with Oregon.State QTY SUBTOTAL e laws Signature of pwnerlAgent Date 'SUBTOTAL Al 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL eZ r�G C D� T TOTAL r " i Vnechpmt.doc (rev 9 'Minimum permit fee Is$25+5%surcharge "Residential A/C requires site plan showing placement of unit. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hah Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PE=R11 I T PER1y1IT #. . . . . . . : R'LM9i*• 014: 639--417.1 DATE ISSUED: 07/19/94 PARCEL.: 2S 1 1 cCC•--Q14'700 SITE ADDRESS:). . . : 15860 SW BOTH AVEC SUBDIVISION. . . . : BOND PARE: NO. 3 ZONING: R--1 BLOCK. . . . . . . .. . . . LOT. . . . . . . . . . . . . :7 CLASS OF WORK. ALT GARBAGE DISPOSALS. . : MOBILE I. Oly1EW GPACEc,. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PRE:VNTRG. . : 1 OCCUPANE'r' GRP. . :R3 I"LOOK DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . . WATER HEATERS , . CATCH FIXTURES------ LAUNDRY TRAYS. . . . . . : SF RAIN D RA I N5. . . . . 91 NKS. . . . . . . . . . . URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. �, — . I JUS/SHOWERS. . . . : SE=WER LIN;_ (ft) . . . . WATER CI_OGETS. . : WATER LINE ( ft ) . . . . DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . Remarks : BACK FLOW DEVICL Owner-: —.__._______.____._.____.__..___ __.._...__________._.__.__.__.__.__. ____._ FEES JI11 NORDI type amotint by date r,ecpt 15860 SW 60TH PRMT $ 15. 00 5W 07/19/94 - 5PCT $ 0. 75 SW 07/19/94 'TIGARD OR 97223 Phone #i: ` `,''\ Contractor,: - SUPERIOR LANDSCAPE INC. P. 0. BOX 355 TUALATIN OR 9706 V11-Ione #: $ 15. -75 TOTAL Req #. . : 6315 _______ REQUIRED INSPECTIONS ---___ This perait is issued subject to the regulations contained in the RP/Backflow Pr-ev Tigard Municipal Lode, State of Dre. Specialty Codes and all other final Inspection applicable laws. All Mork will be done in accordance with approved plans. This perait will expire if work is not started CL within 180 days of issuance, or if work is suspended for sore t than IAO days. J F'ermit: tew5 :3i gnati.tr•e : 1 s s,u e d LAY 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 N..of- •^1 New Single Family Residences Ong ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job g. L. (��h ❑ 3 BATH HOUSE$225.00 Address , s,n. za Fee includes all plumbing fixtures in the dwelling and the first 100 feet CAL of water servi e, sanitary sewer and storm sewer. See fees below. N.- .10-1-) FIXTURES QTY PRICE AMT L �ti 1\.J IL.,) > Sink 9.00 M•�° �• Ph•^• Lavatory 9.00 Owner Tub or Tub/Shower Comb. 9.00 cM�an. no Shower Only 9.00 Water Closet 9.00 f'u'^•+^ ^•m•^f •••+ Dishwasher 9.00 Garbage Disposal 9.00 Occupant MM+°,,,,„• ,aH Washing Machine 9.00 Floor Drain 9.00 WSW. zr Water Heater 9.00 Laundry Roor,1 Trey 9.00 N. II Urinal 9.00 U Lk;_1L I k""'_ l w 1 1, .x ' '+ ' Ctner Fixtures (Specify) 900 M.r u Ana.,. fig. 9.00 Contractor ) 1 � - L�. `J u`x. �� � 9.00 Willa" Lv 9.00 i f� -1 + r`i l_,L L+ \1V' L Sewer 1st 100' 30.00 R.OtMW N.. Car E-A.T.Ne. Sewer-ea. Addit. 100' 25.00 (, ��C-, ) 1, i, ) Water Service 1st 100' 30.00 1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of -- the owner. that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30 W I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct, (If exempt from State registration, please give reason below.) Mobile Home Space 25 00 Back Flow Prevention Device or Anti-Pollution Device 9.00 •.<• .,.�M.°•^n af• Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new addition O alteration repair Q Catch Basin 9.00 to be done residential 0 non-residential v Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40 0011ir Existing use of building or property Rain Drain, single family dwelling 30.00 -L Residential backflow prevention - �' devices 15.00 A L Proposed use of H building or property ,_.. "(Except residential backflow prevention devices) cz xD NOTICE 'Minimum Fee $25.00 SUBTOTAL 111 J -- PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK,IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 25% OF SUBTOTAL TOTAL Special Conditions _ __ Date issued �- ,�_ 1� by IIV�i! J it, 11 fit ;4IN'llif r I I ISIO N . 1.0 1341-A-l', 11111-111-IN 1 1 3.1 50 i;p(,Ii jIII()IIP4r 0. W.10 64Y Mt-.N 1 0 '.iIjIA I)J.V I ii I ON Lon GJ C 1J LL! tA t"I i9'. PAID y31. C r / STATE OF OREGONI: LICENSED LANDSCAPE CONTRACTORS BOARD i AS: NO.: 11958 ALL PHASE$ PLUS BACKFLOW LUSSIERr ROBERT M PO BOX 355 .' TUALATINi' OAR 9*06� Oo i EXPIRES: 04/30/95 STATE OF OREGON , LICENSED L3INASCAPE CONTRACTORS BOARD AS: NO.: 6315 LANDSCAPING BUSINESS NON-EXEMPT ALL PHASES SUPERIOR LANDSCAPE INC (ay: �� CI Q'' PO BOX 355. 1' TUALATIN• OR 9706210000 EXPIRES: 01/31/95 R: H N L W W J •.