15065 SW 89TH PLACE ADDRESS:
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i:\records\microflrn\targets\building.doc
CITY OF TI ® MECHANICAL
DEVELOPMENT SERVICESPERMIT
13125 SW Hall Blvd.,Pgara,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97-0009
DATE ISSUED: 01/17/97
SITE ADDRESS. 1"1*065 SW 99TH PL PARCEL: .9 2S I I I AD--1 LE-1800
EUSDIV IS TON,, . . . SCHECKLA PARK ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . 1-01.. . . . . . » . . . . . . .31 1
-------------------------
CLASS OF WORK. . PLT FLOOR FURN. . .. . . 0 EVAP 000I.-ERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . . 0
OCCUPANCY GRP. . :R3 VENTS W10 ca VENT f7-:)YsTcms: v.
STORIES. . . . . . . . : 0 3OILERS/COMPRESSORS HOODS. . . . . . . : (A
FUEL TYPES-- ----. 0-3 HP. . . . : 0 DOMES. INCIN- 0
: /GAS/ 3-15 Hr,. . . . - 0 COMML. INCIN: 0
MAX INPUT. 0 PTIJ 15--:70 HF,. . . . . 0 REPA I R UI ' -. 0
FIRE DAMPERS?. . : 30-50 HP. . . . : IP WOODSTOVES. . : 0
GAS PRESSURE. . . 50-1. 111-1. . . . : 0 CLO DRYERS. . . 0
NIO. OF AIR HANDLING UNITS OTHER uNaTs. . o
FURNI /\ 1001,\ BTLI: 171 (-- 1111000 C-fm : 0 (3(-iq OUTI-ETS. -, I
PORN > =100K\ BTLJ': 0 > 10012.10 cfm : 0
Remarks - In kind water heater replacpInpni, -+ gaS piping
Owner: FEES --------------
5TEVEN SELF type amai.,tnt by date rt cpt
I- --065EW 89TH PLACE PRMT $ e5. 00 DST 01/17/97 9-,'-.289130
5PC1- $ 1. 25 DST 0111.7/97 r)*;--289130
TIGARD OR 97223
Phone #:
'3EORGE MORI..nN PLUMnING
5529 SE FOSTER
PORTLAND OR 97206 -----------------------------------------
flt'ionp #: 771-1145 $ 2(3. 25 TOTPL
Peg #. . : 002734
-------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained rn the Final Inspection
Tigard Municipal Code, State o' Ore. Specialty Codes and all other
applicable laws. P11 work wil be done in accni-dance with
approved' piens. This permit sill expire if work is not started
KithIn 18@ days of issuance, or if work is suspended for more
than 180 days,
'e r m i t t e C- S i gr,-it 1'(re
d Sy
Call for inspe!t-` i an 639-4175
wte�r
12/16/96 09:10 $500 684 7297OF TIGARD
IT" 10002/004
�. >.
cITY G�X- TIGARD Mechanical Permit Application Plan Chec3c a
1:x125 .;lN HALL BLVD. Reed By
commercial and Residential Date Recd
�T iGARD, OR 97223 --
(333) 639-4171, x304 Date to P E.
Date to 0:5T
Print or Type PemritfM_ tr:-_7_�9ig��
Incomplete or illegible applicatiors will not be accepted called
Na'e of//Os/_rerioomenupro(ecy -� 1
h I'1/{R (ti6{.(^'' �f(r(ti��r p h Description
R ern•r tit
Job TIWO to Mechanical Code cry ` PRICE AMT
Svaef�obreas 5wreia
�iq p Al nennit Fee
Address JSu�, � S (� -o• to.00
8r°gir �rSuta i1p
02 �y B) Supotemental,�efmrt 3.00
hAme for mama or ousinessl •-'
t ^ 1.) Fumacc 10 100.000 13TU --
Owner ('j/i `� .!(t.
nd.duffs 6 vents 6.00
M �nnq//�carosa 0'
`ill Sl„-f 11�' r ��f 1.1 Furnace 100,000676� 7.50
ClryrSufe incl ducts R vents
rgAr� 5 Prior a 3) F'oor Furnace
,nc1,vert 6.00
-- Name rbc narrq of bualneift
.� 4) Suspended heater,wall heater 6.00
F'- G cupant Mailn9 �-Of Moor mounted heater.ro°nfrs5.) Vent not Ind.in 300
Oc
Ciryistata apr,'"nm perm.!
cep a"O^' 6.) Boder or C.1 -
mp,heat pump,air f.:no. 6.00
Nam,, to 3 HP.absorp unh to 100K BTU
�.
7) Boiler Or wtnp,heat Dump,ai mnd. 11.00
C011tr2Cter Maang Atfarvu ! 315 HP:absorp u.nk to SOOK 9TJ
ZSY SL"' k(,I�i( I 8.) Boiler of comp,heat pump,air cond_
(Prior to Q(stale LP anon t 530 HP absorb unit.5-1 roll BTU i 5.00
mwance a rnDy 11, �yy/ CI� (� LL i 4) Bader or Camp,heat pump,air rand. 27 50
d al liven, ate or m Cone Cont.8osrg lice G I IS 30-50 HP;abaorp unk 1-1.75 mil BTU
regWmd k E70 r"' 10,) Boder o►wmp,heat pumN,air cond.
CJ2..7 34 37.50
a�fpinfd In C.O,T cor Busmen Te,or u"o a /� '50 HP:abscrp unit 1 "m;!?T1J
data Basel or, 11.) t.x handling'unit to
10.000 CFM 4.50
AI•ChiQert Nemr -�
12.) A,r handling unci -
7.50
or
Matting no°nras 10,000 CTM+
13.) Non pamole 4.50
Engineer nr5uu 11p Pnnne - eyiperttn choler
14,) Vent fan connected'-- 3.00 +
to a Sin�e duce
DesCr!tye work Now O Addainn O Alteration 7 Repair O y 15.) Ventilation
to be done Residential O Non-residential O system not 450
Addrbonal D"criohon of work included in appliance►pnrrnrt
16.) Hoed serwtd by mMhanrgI exhaust 4,50
I
I
17)
Exu4ng use of Domestic ndneratOrs 750
18.) Commerdal or industnaMype 30 00 i
ropert
budding or py
nonerator
Pfaposed use of 1 3.) Reoarr units _ d.50
uuilding or property_ .0) Woodstove 4.50 {{
Type of fuel-0il O natural gasp LPG C electric p 211 Clothes tl cv.etc, ,.50
2s) Other units 4.50
I hereby acknowledge that I have read this appligtron, nal the - -
information given is COneCf.that I tm the owner or authofued agent of 2J) Gas urging one to four outlets ) 2,00
Jthe owner,that plans submitted are in compliance •nth Oregon State 24) MorY than 4 per outle� t (each) 50
taws.__...-. ;
11 1
- Slpnature of Owmer/Agent ate -- ---
/ " OTY.SUBTOTAL
!�7 111lrr Iev, 1 1 "7/1`7
CrinGct Penson Name Phone --- 5Y.SURCFia,RGE
I �l
PLAN nE-VIW 237%OF SUBTOTAL
TOTAL
ItlsrirneChDmt.TCC (rev 71%) ----Minimum penult fee is 525+ a
charge
5/.surr -
CITY OF TIGA ^ BUILDING INSPECTION NOTICE /
Inspection Line: 639-4175 Business Phone: 639-4171 I
Footing Rain Drain Cover/Service FINAL:
Foundation Water Une Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Tpg Out Insulation -Elect.
Post/Beam Struct, VtqE.
_R2ugh4 Gyp. Bd. -Bldg.
San. Sewer as h Appr/Sdw�lk/f _ Reins.
Other: .,
Date: _ M.X___ P.M. Ent
Address: Sy S� S7
Tenant: Ste: MST:
p D
Con/ 1-�►�v 32— L c1 � MEC MEC: ,
FLM:
ELC. _
THE FOLLOWING CORRECTIONS ARE RcQUiRED: ELR:
Inspector:
VED _ DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone- 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plurr,b.
Post/Beant Mete. Shear/Sheath Framing -Mech.
Plbg:Jnd/Flr/Slab Plbg To Out Insulation -Elect.
Post/Ream Struct. IVIZ Rou h-i Gyp. Bd. -Bldg.
San. Seweras L Appr/Sdwlk Reins.
Other: (,4_) d IL+ r
Date: — A.M.
P.M. Entry:
Address: f �0(a s b C1
Tenant: `._ Ste: MST:
Own: r? – 7 ?� RJ B EC:
PLM:
ELC: -------THE FOLLOWING CORRECTICN:,"RE REQUIRED: ELR:
Inspector: bate:/ 2/
_—APPROVED — APPROVI. VCALL FOR REINSP. CF CO i
` 'TY OF TIGARD PLUMBING PERMIT
-
DEVELOPMENT SERVICES F'F RMTT #. . . . . . . : PL_M97 Q'I01 0
'SW 145d Blvd., Tigard,OR 97223 (503)639.4171 PATE ISSUED:: 01/17/97
PARCEL. 291 11 AD—12.800
I TE ODDREf-_S. . . 1,5065 065 SW 89TH PI_
SUBDIVISION. . . . : SCHECKI_A PARS: ESTATES ZONING: R-4. 5
T)LOC:K. . . . . ., . . . , LOT. . . . . . . . . . . . . : .1
CLASS OF WORK. . :ALT G�IRBAGE DISPOSALS. ; 0 MOBILE HOME SPACES. - 0
TYPE OF USE. . . . :SF WASHTNG MACH. . . . . . : 0 BACKFLOW PREVN7RS. . : 0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . , 0 TRAPS. . . . . .. . . . . . „ . . . 0
STORIES. . . . . . . . : 0 NATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
I- IXTURES—__.r_______...._._.._ _ I__AUNDF"f TRF-,YS. . . ., . r, 0 SFS RAIN DR(,INS. . . . . . 0
SINKS. . . . . . . . . . , 0 URINALS. . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
I.AVATQRIES. . . . . : 0 OTHER FTX. ..)RES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WnTER CLOSETS. . 1Z1 WATER I IN[- (ft ) . . . : 17.1
n'SHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
kemarks : In ki.nd water heater replacement
Owner,: _________._______.__.___.___.________._____.___...______.______ FEES
',:3TEVEN SELF type ramoi_tnt by da ve recpt
155065 SW 89TH PLACE PRMT `b 23. 00 DST 01/17/97 97-289130
SPOT `K 1. �='S DST 01/17/9-1 97--i?8911.317'
T I CARD OR 97223
Ffione #:
Contractor;
i 3EOROF MOPLAN PLUMBING
"J529 SE FOSTER RD
YSEE ALSO MORL_AN PLUMBING*
-'ORTL_PND OR 97206 __._.__.___--_--__.. _
1"1honey #: 171 —1. 145 06. P ri TOTAL
Reg #. . : 200,734
RECU I RED INSPECTIONS
---- --
7his permit is issued subject to the regulations canteined in the Final. Ir spection
'igard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work r7 not started
within 180 days of issuance, o- if work is suspended for more ......
'1!4r 190 days.
n:
Nter•. 10,
r m i.t t;e e i.g n a t•_t r PAP
,s l_t e d B y •
('all for inspection - 639-4175
:1TY OF 1'�GHRD Plumbing Applicatian Recd 9y
13125 SW HALL BLVD. Commercial and Residential Cate Decd _
TIGARD, OR 97223 Dale to P E. _
(593) 639-1171 Date to DST _
Permit* — �
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called
Name of eveiopmenu Pro Project -- FIXTURES (individual)
I OTY PRICES AMT
Job �ir, land W(i -e>^ cA{e� e �G;` Sink — �— 900 I
o �Slreel Address / `avator)Addre._s �l �wte 9.00
r"V( w bvl i P lltiLi Tub or Tub/Shower Comb 9,00 —+
Bldg* CayiState Zip ihower Only 9.00
;1 1
Name ! u �� � Ia a V� water Closet �S —
/ 9.00 I+Cvo-In 5C` ' Jisnwasner 9.00
Owner Mailing Adare%s 11 S..:te Gait age Disposal I 9.00
Washing
Machine 9.00
Gty/state Zip Phone Floor Dram 2• 9,0O--
-P( �Q ld:� (o l�� I.' .l ,- 9.00
Nam.
9.00
OCeurant Me"Add,ess Suite Water Heater r 900
Laundry Room Tray
900
C•rv'State „ip I Phone— Unnai — — 9 00
Name Other Fixtures(Speaty) 9.0C
rlA,) 9.00
Contractor 'Mailing Address 1 Sere 00
—
I_I). S S, S S ��Il,4, f{Wo — 9
9
C.tyBtate Zip Fhone —
00
' 0
(Jgon Const.Cont.Byoard Li c i �E;xp�.Date
_I 3.00
9.00
AracA Copy of L),--13 q i�r 900
Curriew I -Ifii ing Ur—! Ex . Dale Sewer• 1st 100' J0.00
Sewer-eaU additional 100' X5.00
-- CO7 Business Tax or Metro* Exp.Oat
W — _1
ater Service- 1st 100' I fit;00 i
Name water Service-eacn aad-'Ional 200' 25.00
i _
Architect L Storm S Rain Drain• 1st 1C0' J0.00
or I `lading Address St:e` Slorm&.Pan Crain-each addilional 100' 25 D0
Mobile F ome Space —r I 2500 i
Engineer i C.ryr9I t ee Zip Phone Commercial Back Flow Prevention Device or Anti- I I ,5.00 1
Pollution Device
DescntOe work New O Addirion O Alteraticn Reoa❑ J Residential Back F1 revenuon Device' I 500
%ddrtiorW desaipl.on or wore b*done: ResM?ntia von-resiaenval O Any Trap or Wasle Not Connected to a Fixture — I 3 00—
Catch Basin 1 3.00
Insp of Fxisting Plumbing I 4000
F-
t/1 _ oerrhr
xis"use of — Spe�aaily Requested Insoections +0 00
1 ,riding or propprtm_` — thr
Rain Cu
r� n s ngie'amdy d6rwelg O.J0
'ropasad use of Grease Traps 3.00
. • wilding or probertv___ _
QUANTITY TOTAL
Are yCL tapping• moving or repiaang any fixtures? Yes r) No❑ Iscrretne or neer,7isgram s reauir"i Cuanay Total s >9
__ilf yps s**back of form) 'SUBTOTAL
I herebv acknowleoye that I ha.e read this acplicatlon, that the infnrmation — S
given,s -orrect. that I am the owner or authonzec agent of the owner and 5% SURCHARGE
'gat clans submmed are n compliance with Ore cn State Laws
Signature of OwneriAgent Oat* PLAN REVIEW 25% OF SUBTOTAL
/X/� "i 7 �Mured 22ty f titre Try 'otal s> ) /
I TOTAL ( --
CILA
Person Nam* Phone _ _
_ Minimum permit fees S25- 511.surcharge, except Pesiaenliai Backflow
Prevention Cev ce.which.s S 15• 5%surcharge
r.tds'stplmaop doc 5&96
PLEASE`G.QMP—ETE A; APPROPRIATE TO r'ROJECT:
Fixtures to be capped, moved or replaced Qty
Sink —
Lavatory _
Tub or Tub/Shower Combination _
Shower Dnly
Water Clos:.'t
Dishm.,dsher
Iarbage Disposal
' WashingMachine
Floor Drain 2"
4"
Water Heater
Laundry Room Tray_
Urinal
Other Fixtures (Specify) _
COMMENTS REGARDING ABOVE:
J