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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 635.4175 Business Line: 639-4171 �—
BUP
/65 Date Requested ! C U AM PM BLD
Location l t() �, Suite _ MEC
Contact Person `-7'YI�(���7 t� t'/1� Ph 1 - -,;L PLM
Contractor /`JL' t ��_ Ph ��Z� G,�� SWR —_
j BUILDING Tenant/Owner ELC
Retaining Wall ELR
.00ting Access: -
Foundation FPS
Ftg Drain -
SGN
Crawl Drain Inspection Notes: —
Slab --- - ---- ---- — SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing /�cl GrLr Cl7�co- �.✓ATL-�:' ��' _ v;=fc�T- �#Ja /rr.� � L > .�
Firewall //JJ
Fire Sprinklerr� i��� G"ki Ti�y ��i '�'% ��sY% �+/��d
Fire Alarm
Susp'd Ceiling
Roof
Misc: ---- —
Final
PASS PART FAIL —
PLUMBING
Post&Beam -_----� --
Under Slab
Top Out --- --- -- - -
Water Service
Sanitai y Sewer -- ___----- --
Rain Drains
Find- --'----
PAitK- FAIL
Pest&Bearn ----- -- - -- ---- -._.__. __—
RoLIgh in
Gat,Line ----- ----- —
Smoke Dampers
S PART FAIL
ELECTRICAL - -- --- - ----- --- ----- ------
Service
Rough In
v UG/Slab
Low Voltage
Fire Alarm
-' Final
PASS PART FAIL -- ---- _ -- --- ---_—_-- -�
SITE
-' Backfill/Grading - - -- - — �— --
Sanitary Sewer
Storm Drain i ( ]Reinspection fee of required before next Inspection. Pay at City Hal(, 13125 SW Hall Bfvd
Catch Basin
Fire Supply Line I ( ] Please call for reinspection RF: ; ] Unable to inspect-no access
ADA /
Approach/Sidewalk 'f/S
Other Date ��` 1 -_ �'=—___Inspector_ _ Ext —_
Final ^
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CIS- OF TIGARD I1ECHANICAL_
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvct.,Tigard,OR 97223(503)639.4171 F,E RM I T #. . . . . . . : ME1:98-1213E,E,
DATE ISSUED: 08/24/98
PARCEL_.:
SITE ADDRESS— . - 141.8'Z' SW 1.+'?:3RD AVE
9USD I V 151 ON. . . . : T I GA RO V I I_L E HEIGHTS ZONING: R-12
EZLOCV. . . . . . . . . . LOT. .. . . . . . . . . . . . :014 JURISDICTION: TIG
CLASS OF WORFS. „ :ALT FLOOR TURN. . . „ : X-6 EVAF, COOLERS: 0
TYPE OF USE. . . . ...SF UNIT HEATERS_ :; 0 VENT FANS. . . : 0
(-)--CLJF,ANCY GRP,. . : R3_, VENTS W/O AF'F'I_: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 POIL_ERS/COMF'RESSCIRS H03DS. . . . . . . : 0
FUEL TYr FS_____._____._-___ 0 Hp,. . . . : 0 DOMES. I NC I N: 0
:GAS 15 HF,. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15- 0 HP,. . . .. . 0 REF,AIR UNITS: 0
FIRE DAMPDERS?. . : 30-50 HF'. . . .. 0 WOnDSTOVES. . : 0
GAG FIRESSURE. . . : 50+ HFA. . . „ 0 CLO DRYERS. . : 0
1\10. OF l_1N I TS---------- AIR HANDLING UNITS OTHER UNITS. : 0
F-URN C 1001-< BTU: 0 (=n 10000 c f m: 0 GAS OUTLETS. : 1.
FURN ) =100K bTI.J: 0 N 10000 cfm : 0
Rem--,r-•I-(s : Addition of gas piping to residence.
Owner: _.____..----_--_-__-._------._____________________.__________-- FEES
ME:LVIN PIROF'ST tyl��e acmol.rnt by date I-ecpt
14180 SW 103RD PRMT $ 25. 00 DL_.H 08/2:4/98 98-3.08548
TIGARD OR 9717.2'4 5F'CT $ I. 25 DL.H 08/24/98 `38- 30854 r'.
Phone #:
Contractor,;
HOT SPOT FIRF-'F=,1._ACE & F'AT7•1
11525 SW CANYON RD
$ 26. &3 TOTAL
D AVERTON OR 97005
I-fh o n e #: 503 -F• '6 -' 1 38
Reg it. 000'•117
-- - ---- REDU I RFD I NSPIE:C T I ONE --- -This permit is issued subject to 0iulations contained in the Gas Line Insp
Tigard Municipal Cnde, State of Ore. Specialty Codes and all other Me:_hani.,.a1 Insp _
applicable laws. All work will be done in accordance with Final Inspection +_
approved plans. This permit ill expire if work is not starter
within 180 days of issuance, or if work is suspended for more
than 00 days. ATTENTICN: Oregor law requires you to follow rules
c~n Adopted by the Origon Utility Notification Center. Those rules are
set forth in OAR 952-001-0010 through OAR 952 001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)2246-9187.
Ess s.r• Py : ��G� Permittea Signat�rre :
+-+-++++++-++4-+++4......+++..................H++++++-1++++++++++•1+++++++++++4-++++4-++-4
Call 639-4175 by 7:00 p. m. for insper_t inns needed the ne)<t bi.rsiness clay
+++++++++++ L+++++++++++++-;+++++++++++++++++++++++++++++++ ;-++++++++++++.t++++++++
Plan Check x
CITY OF�TIGARD Mechanical Permit Applici$f lbOVED Recd By Z>&/`V
3125 SW HALL BLVD. Commercial and Resident DateRec'd `"J'
T?GARD, OR 97223 1 1998 Date to P.E.
Date to DST
;:03) 639-4179, x304 CO",'.T';ITY UEVEZOKIENT/�� Permit n /` &EC_ ;e-D 36 ro
Print c,Type
Called
-
Incomplete or illegible applications will not be accepted
Naar of DeveiopmenYProiect Description
Table to Mechanical Code OIY PRICF AMT
Job Strad Address SuAe11 A) Permit Fee -0- -0- 10.00
Address
ski" City/State Zip -)-Furnace to 100,000 BTU 6.00
iricluding duds 8 vents _
Narita(or name of duinews 2.1 Furnace 100,000 BTU+ 7.50
Omer ���U i h including duds&vents
Ma41ng A 3.) Floor Furnace 6.00
(J /p including vent
94yistate Zip I Phone 4.) Suspended heater,wall heater 6.00
( �t' _ (�3f 3r u.fl(y)f.,�,,,ted hector
(or name of txurrsr; 5.) Vent not included in appliance peantt 3.00
Ocm=upartt Mia"Adtlress 6.) Boder or comp,heat pump,air Gond. 6.00
to 3 HP;absorb unit to 100K BUT"
Cltytstate Zip Phone 7.) Boiler or comp,heat pump,air con,'. 11.00
_?-15 HP;absorb unit to 500K BTU"
Contractor Nenw :FAO T- 8.) B oder or comp,heat pump,air Gond 15.00
(Prior to 11 `, �tr,� 'it1 a� 'Q S� 5.30 HP;absorb unit.5-1 and BTU"
issuance M4Mg Amoss 9.) Boiler or comp,heat pump at cond. 2?50
applicant C/Q Q/v 30.50 HP;absorb unit 1-1,75mil BTU"
must prwli fte all +ty� Zip Phone 10.) Boiler or comp,heat pump,air Gond. 37.50
contrador >50 HP;absorb unit 1.75 mil BTU-
_
license Oregon CarrL Cant Erowd Loc a Exp.Date 11.) Air handling unit to 10,000 CFM 4.50
Information r " ; j/4.
for COT COT Business Tax or W.Irl a Exp.cele 12.) Air handling unit 10,000 CFM 7.50
database)
Archfte& Name 13.) Non-portable evaporate cooler 4,50
Or Me"Address 14,) Vent fan connected to a single duct ..00
Er 4ineer cityrstate Zip shone 15.) Ventilation system not included to 4.50
_ appliance permit
D.scribe walk New O Addition O Alteration Repair O 16.) Hood served by mechanical exhaust 4.50
to be done PAsidentlal O Non-residential O
Additional Description of work 17.) Domestic incinerators 7.50
t 18.) Commercial or industrial type x.00
(7
IC -� C�Q It V�l' :� }) (E Infinerator
Eit fig use of 19.) Repair units 4.50
butkting or property
20.) Wood stave 4.50
Proposed use of 21.) Clothes dryer,etc. 4.50 _
building or property �-
22.) Other units 4.50 �.
V1 �.
Type of fuel-nil O natural gas LPG O elednc O - 23.) Gas piping nn to four outl is 2 00
I hereby acknowledge that 1 have read this application,that the^� 24) More than 4-per outlets(each) 50
infr,nnation given is coed,that I am the owner or authorized agent of
the owner,that plans submitted are in cr.npti..:'ce with Oregon State QTY SUBTOTAL
laws
Signature oll!A Agent pate UBTOTAL
5%SURCHARGE
__amo i m
Contact F`ersmon e / Phone
� PLAN REVIEW 25%OF SUBTOTAL
STI E wemit-S 4� l0 Ei"> 02 TOTAL -
I�dstVnechpmt doc (mv 9 _ 'Minimum permit fee is$25+5%surcharge
"Residential A/C requires site plan showing placement t,.`unit,
CITY OF TIGARD MEPERM I :AL
PERMIT
COMMUNITY DEIIELOPMENT DEPARTMENT PERMIT #. . . . . . .
13125 SW Hall Blvd.Tigard,Oropor. 97223.819%i (503;839-4171 I)ATE ISSUED: 1L/19/95
PAPCEL . `S: I IBB-0130121
I Tt::. ADDRE�;5. . . : 14180 SW 103RD AV'::..
L'UPDIVISION. . . . . TIGARDVILLE HZIG!A-rs ZONING: R-12
BLOCV.. . . . . . . . . . . LOT. . . . . . . . . . . . : 14
CLASS OF WORT:. . :ALT FLOCAR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT F=ANS. . . : 0
OCCUPANCY `PP. . :A I VENTS W/CJ APDL : 0 VEN1 SYSTEMS; 0
STORIES. . . . . . . . : 0 POILE.RS/COMPRE:SSOR(i HOODS. . . . . . . : 0
FUEL_ TYPE-a--•-••--_.__._.__._... 03 I-IP. . „ . . 0 DOMES. I NC I N: 0
. /GAR/ / / 3-15 HP. . . . : 0 CO1Ml_. INCIN: 0
MAX INPUT : 0 BTU 15- -,,D HP. . . . : 0 RFF'PO I R UNITS.- 0
FIRE DAMPERS?— ; -0-50 HP. , . . . 0 WOODSTI)VES. . : 0
GAS PRESSURE. . . i 'u,0+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS-•-_.....___._._._ AIR HANDL. I NG UN I T 5 OTHER UNITS. : 0
FURN < 100K BTU: 0 <= 141000 rFm: 0 GAS OUTLETS. : 2
FURN ) =100K BTU: 0 > looe0 cfm: 0
Rpmar•ks : Gas piping rine 'Lo fo1.1r^ ol.1l;lets.
Owner ; -- --.______._.__ ____.._.__________.__. _._..__.____._.._______- FEE,
HOT SPOT FIREPLACE R• PATIO INC ;ype amoltnt bpi date r-ecpt
11535 SW CANYON RD PRMT $ 00 CJS 12/1 ;/95 95-2:74099
5f-'CT $ 1. 25 CJG 12/19/95 S5--274099
SEAVERT13N OR 97005
'hone #: 5413-62'6-4652'
H01 SPOT FIREPLACE & PATIO
11::525 SW CANYON RD
BE=AVERTON OR 97005
Phone #: 626•-4652 t 26. .-,5 TOTAL
Rett #. , 71782
--_----- REQUIRED I NSPEC I I ONS -----
This perait is issued subject to the regulations contained in the Cas Line 'Insp
Tiaard Municipal Code, State of Ore. Specialty Cods and all other Me(2n.A.licai Into
applicable laws. All wor4 will be done in accordance with Misr_. Inspection
approved plans. This Pei-sit will expire if wor4 is nn► started Final InsLiect i on
within 180 days ^f issuance, or if wor11 is suspended for sore
than 180 days.
Per-mittee sipliati-11^p .
s 5.1 e d R y .
Call for in=pec,t ion - 639 -4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone):t639-4175 Business Phone: 639-4171
�-�.
Inspection: ,/�._) .� /' -
Footing Susp. eilC my dg rink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beare St,Ur.t. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Seweraas Line..> -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation eco
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
LG/
Date Requested: l I_t) /y� _Time:j_AM PM
Add.e s:_
Builder: i-a �/tGc:;- Permit # +_��S'-DL -�L1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
— t r..e c� 1'�:•--{ _tomos.1-7u1/ � ---
J
Inspector _ Y Date:
APPROVED DISAPPiQVED 'Xl�iVED SUBJECT TO ABOVE
Call For Reinsp.
City of Tigard MECHANICAL PERMIT Planck/Rec. # _
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171 _
Table 3A Mechanical Code QTY PRICE AMT
Address Job / l`kC `) 0 c / ��-- 1) Permit Fee -0- -0- 10.00
t .
2) Supplemental Permit 3.00
1 L 6.00/ c
M." "' umace 100,00mt1 4-
Owner / o /U 3Y 2) incl.d r.,s&vents 7.50
Floor Fumanco
3) incl.vent 6.00
Suspeodorl T eater,w, eater
4) or floor mounted heater 6.00
Occupant w — ent noon .In
_) 15) appliance permit 3.00
�_�_
•" Rep—air-01 !'G'".ullg,1u.r17.
6) cooling,nui.arr m unit 6.00
—WTeror comp,haat pump,air cond.
7) to 3 HP absc, unit to 100K BTU 6.00
M.Rv -- Doiler or come.,heat pimp,air
Contractor ` �C) � ��,'l ` 8) 3-15 HP a tsorF unit to 500K B W11.00
�" rip Boiler or comp,1 i at pump,air cond.
9) 1530 HP nt.orp unit,5.1 mil BTU 15.00
u
Boiler or comp, a pump, i�acan .
F.4-7
o10) 30-50 HP absorp un1 lit 1-1.75 mil BTrI 22.50
lore yac ow tat have rea us app ient on,Tai�e i er or comp, s t pump,air co
Information given Is correct,that I am the owner or authorized agent 1 i) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans cubrnitted era In compliance with State Air handling unl--'t to
laws,that I am registered wit!I Ute Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is conect. (11 exempt from State registration, Iran Ing unit v
please give reason below.) 13) 10,000 CTM+ 7.50
�TJon port— I
14) evaporate cooler 4.50
--VentTa'n nnectod
15) to a single du.1 3.00
Ventilation system not
-'7 16) included in applimice permit 4.50
« •� -11003 served y
17) mechanical exhaust 4.50
[DasrAha work now Q mituinA tornthun _ mpa r ,o .mmer or sem`
to be done resk+ential non-rO denUal Q 1 B) type Incinomtor 30.00
-xlsting use of er i.e..woodstove,water
building or property j[L) _ _ 19) heater,solar,coUles dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outletr. 2.00 0.(-
building
(-building or property
21} Moro Uhan 4 phr twUet
Type of fuel•-oil Q natural gar: f${ I-PG U c+lo rir'�
Mi,himum Fee$25.00 SUBTOTAL CX)
PERMITS BECt^;vI!:VOID it WORK OR CONSTHUCIICN `
AU 111ORIZED IS N' COMMENCED WITHIN IPO Di Y3,Oil 5%SUnCHArIGE
IF CONSTPJCTION OR WORK 13 SIISPEND171)OR
AI3Ar,ID0'.F-D FOr1 A PERIOD OF 100 UAYS AV ANY Tlf/,f,: PLAN r1EVIEW 25%OF SUBTO1nL
AF1En 1 voni<IS COMMENCED. -
TOTAL -
Ppocial Cr)nclitions
Uata issued a__ by
tuMOd11>rf
wldWiMw
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97�23 —
Pnone: 639-417
Type of li-spection /���`r __-_-.-_---_�
Date Requested 5/2 �j 'rime / A.M._ _P.M.
Address _ �"� Permit #
Ownar _ .- —_-- ------_----- _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
0.
UV
1
,��
dot I
Presented to �___— l�Approved
Inspector _______—_-_ _� Disapproved
Date --*—.- 22,1
—
C LL FOR REINSPECTION
0 YES ❑ NO
SEWER CONNECTION
PERMIT
1CNOF CrrfAOFTMRD SIRMIT #. . . . . . . : SWR91--0089
tOMMUNrn' DEVELOPMENT DEPARTMENT one" 715/1"
j3,,p,5p*,VHWjBW.p.o,a=mgrj,Tipm,ormPn 76 C ISSUED: ZN9/9 1
jLj,j80 SW 1031RD AVE P,ARCEL. 2S111BB 0130V
SI- ADDRESS. . . I ZONING:
BLOCK. . . . . . . . . . ___LOT. .
OT. . . .
I ENANT NAME. FIXTURE UNITS. . .
USA 140. . . . . . . . . . ..4 646 L,1,4E J_J_I NG UN 1 TS. -
CLASS OF WORK. . . :ALT NO. OF BUILDINGS: 1
TYPE OF' USE. . . . . :SF IMPIERV SURFACE. . :
INSIOLL TYP,E. . . . :SUSWR
blic sek-4e,-. Septic tank mi.tst be pumped and
RemArks: Connect existing SFD tc pt.t
filled. Filled spetic tank ml-ist be inspecl:eo.
FEES
()wner: type j\ t b v d-�.t
PROPST PRMT $ 1500. 00 BCR 05/09/91 0
4180 RW 117,3RD AVE 1 Nsp f 35. 00 BCR 05/09/91 171
1, 1(jARD OR 97223
,ht)Tle #-
()NI-RACTOR NOT ON FILE
$ 1535. 00 T )T(1L
,fiaTie I :
------- FlEnUIRED INSVIECTIONS
his
Applicant agrees to �ojply with all the rules and regulatilins Sewer Insr)ection
- eptic
,if the Unif i!d Sewage Aaer cv. The pertit exoires 120 days from S
the uatp issued. The total amount paid will be forfeited it the
aeratit expires. The Agency aces not guarantee the accuracy of the
side sewer laterals. If the sew2r is not located it the Re8surtlInt
given, the Irstalier shall prospect 3 feet in aii airectrns from
the distance given. 'Al not so located, the installer shall purchase
a "Tap and Side Sewer' Permit and the A ency w.11 install a lateral.
Call. for inspection 639--41'75
a
MEMORANDUM
CITY OF TIGARD
To: File
From: Brad Roast, Building Official -'A
Date: 12-3-90
Subject: 14180 SW 103rd ave, WCTM 2^1 .11.BB Tax Lot 1300
The above property has shown it has participated in the cost of construction of
a public sewer, and is therefore not subject to the "In Lieu of Assessment
Fee" ,
n:
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• DA'CE'S SAND AND GRAVEL CO. INC.
18600 S. N/. Pacific Hwy.
,;herwood, Oregon 97140
639-7535
September 30, 1978
M.R. Propst
14180 S.W. 103rd
Tigard, Oregon 97223
I N V 0 1 C E & S T A T E M E N T
Sanitary sewer tee inst2iled at above address:
M
ea. @ $40.00 . 40.00
T 0 T A L $40.00