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CITY OF ' IGARD
COMMUNITY DEVELOPMENT DEPARTMIFNT
13125 SW Hak Blvd,Tigard,Oregon 97223e8199 (503)639-4171
PLUMBING PERMIT
PERMIT it. . . . . . . : . 'I-M94.-0054
b39-4171 DATE ISSUED: 04/14/94
PARCEL:
SITE ADDRESS. . . : 16192 SW 104iH AVE
SUBL)I V I S I ON. . . . : SWANSONS GLEN Z UN I NU:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .36
-LASS OF WORK. . :ADD GARBAGE DISPOSALS. 110811—E. HOME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW P'REVNTRS. . .- I
OCCUPANCY GRP. . : R3 FLGOP DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
STURIES. . . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . .
LAUNDRVROYS. . . . . . : SF RAIN DRAINS. . . . .
L:j I NKS. . . . . . . . . . U R I N A'—!3. . . . . . . . . . . . . GRE(',E;E TRAP'S. . . . . . .
.-AVOTORIES. . . . . : OTHER FIXTURES. . . . .
1"UB/SHOWERS. . . . : SEWER LINE (ft ) . . . .
WATER CLOSETS. . : WATER LINE (ft ) . . . .
DISHWASHERS. . . . : RAIN DRATN (ft ) . . . .
Remar-ks : SPRINKLER PERMIT
Owner: —------ FEES
PLV MACLEAN type amm-krit by date r,ecpt
16192 SW I0-,: ,VH PIRMI $ 15. 00 JG 04/14/94
5PCT S 0. 75 JU 04/14/94
! TGARD OR 972i-?4
15. 75 TOTAL
Reg
REUUIRED INSPECTIONb
This persit i5 issued sub)ect to the regulations contained in the RP/Backflow Prev
Tioard Municipal Code. State of Ore. Specialty Coats and all other Final Ins per.tion
applicable laws. All work will be done in accordance with
approved plans. This perait will Pgoire if work is not startea
within 180 days of issuance, or if work is suspended for tore
than 180 da!r-
t.ted By -
Cali. for inspection 6:.39 -4175
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd, APPLICATION Perni't # _
Tigard, OR 9'7223 —
(503) &39-4171
f - '"' (�
t-t Lir_ ORS 814-21.610_ —–— OTY PRICE AMT
i Job � ��R C)1 LA FIXTURES
Address --w
, -- 150 —
avawry - — T
•» ° TuF cr•Tub7SFi&v—r fib.
�/ � _ ow�fi er�nTy- -- ---•
77-U--
Water Closet - T
Owner L Dishwasher
- -
`wsm ge ispos
T JVasT,ny a�---- 7.50
�rr a, wnwl
Floor 7.50
Water eater J
Laundry Room I ray- --75-0—
Occupant UrinalOthi'Ski-
r„;""-- --- ,—,i.--- of Fixtures Jpe—a -- --
Contractor - __ MISCELLANEOUS
x
Vof 1 s_7W 30.00
Cdy N.T., Wel •e9.Addt.
_— t rdtel 4rvlce 1st -
rTse-e6y acknow a ge a ave rWJMis application,that Water Service ea. Add! 200' 15.00
information given is correct. that I am the owner or authorized agent of _
the owner, that plans submitted at. ii compliance with State laws,that I Storm &Rain Drain 1st 100'— 30.00
am registered with the Goristruction Contractor's Board,that the number Storm 6 Rain Drain Addit. 100' 15.00
given is correct. (If exempt from State registration, please give reason
below.) Mobile Home Space 25.00
— c rowrevenbon -
Device or Anti-Pollution Device 7.50
Any I rap or ase ot—
Connected to a Fixture 7.50
Tk+ �e worTc- new U aikittion U -a lerabon
pa,r Catch Basin --� 7.50
to bo done residential O non-rosidential 0 40.00—�]
Insp.of Exist.F-lumbmg per hr li
Specially Requested Inspections per hr v JI
Existing u-,e of Rain rail in,st eTaro fy.. -
huilding or propel ty _ dwelling 15.00
Residential ac w prevc�^uon
devices 15.00
Proposed use of - -
building or property -
"(Eircept res en- al b.ic tRlow
prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR COPISTRUCTION 6%SURCHARGE
AUT14ORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR At3ANDONED PLAN REVIEW 25%OF SUBTOTAL
FOR A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
TOTAL
:special Conditions — - —
Date issued_ _ by
Wa t iunr+rt
CoITY OF
C ENT SERV
ICE ELECTRICAL PERMIT
I
13125 WHall Blvd., Tigard,OR 97223 (503)639.11171 RESTRICTED ENERGY
PERMIT #: ELR97-0137
DATE ISSUED: 05/12/97
PARCEL: 2S114BB-09500
SITE: ADDRESS. . . : 16192 SIJ 104TH AVE ZONING:R-12
SUBDIVISION. . . . :3WANSO:it� GLEN • . . :36 JURISDTCTN: TIG
BLOCK. . . . . . . . . . : LOT. . . . . . . . . .
Project Description:_ irystI burglar alarm_��—______— —____----.----- _�__—_—+--
__—__.. ----______
A. RESIDENTIAL---- _____ g, COMMF_RCIAL.--------�"`� INTERCOM R PAGING. .
AUDIO 8 STEREO. . . : AUDIO R STEREO. . :
_ANDSCHPEITRRiGAT. .
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . � MEDICAL.. . . . . . . . . . . . .
GARAGEOPENER. . . . : BLOCK. . . . . . . . . . . : NURSE CALLS. . . . . . . .
HVAC. . . . . . . . . . . . . .. DAT E COMM.
ALARM. . . . . . : OUTDOOR l_ANDSC LITE:
VACUUM SYSTEM. . . . : FIRE . . . • • „ • • • • � PROTECTIVE S I GNAT_. . :
OTHER: INSTRUMENTATION. : OTHER. . : s0
TOTAL.. # OF SYSTEMS: 0
FEES
Owner: -- ---_—____— type, amot.tnt by date recpt
SFV MACLEAN PRMT ! 40. 00 TAT 05/ 12/97 7 97-294445
161.92 SW 104TH AVE_ SPCT $ 2. 00 TAT 05/1.2/97 97-29444
TIGARD OR 97a24
5
Phone
Contractor: ----- —_.___.____._____ 42„ 00 TOTAL_.
ADT SECURITY ALARMS
70:3 NE HANCOCK __--_-•— REQUIRED INSPECTIONS ---
PORTLAND OR '37212 Ceiling Cover Elect' 1 Service
Mall Cov 'r• Elect' I Final
Phone #: 284-3265
Req #. . 000599
This permit is issued subject to the regulations contained in the
Tigard Municipal We, State of Ore. Specialty Codes ♦nd all other Permit@ Signati.tre�
applicable laws. All work will be done in accordance with / /
approved plans. This permit will expire if work is not started !
within 190 days of issuanct, or if work is suspended for more 1 -,�.d F,y —
than 190 s.
da -- F
y__ INSTALI._ATICIN ONLY---•--
The�installation� is,- being made an propertY I Own which is not intended far^
.Ale, 1Pase, or rent. DATES
r1WNER9S SIGNATURES ...____._.__._.----..___._�.__...___.-_._._____.__...._ _.___.._...
..__—CONTRACTOR INSTAI.._I_.ATInN
DATE. _
t-.,I L;NATURE nF SUPR. EI._.EC' N s _- --- � ---- --- - -_..
I ICFNSE NO* .....
Cal I for^ i nspect ion — 63,9-4175
CITY OF TIGARD RESTRIC ENERGY ELECTRICAL APPLICATION Recd by:
131'5 SW HALL BLVD 3,/i l_ � Date Recd:
TIGARD OR 97223 1 �/ FORINT OR TYPE
V- 503-6.19-4171 X304 Y/y% 7 Permit#:94!5L <11 ?>7
F - 50,. 184-7297 ( / INCOMPLETE CIR ILLEGIBLE APPL,?ATIONS Cust.Call'd:_
_ WILL NOT BE ACCEPTED -
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIA.
Restricted Energy Fee... ... .......................... 540.00
JOB S!reet dress — (FOR ALL SYSTEMS)
AQDRESS /e/_/ 4) k y� l Check Type of Work Involved:
❑ Audio and Stereo Systems
st
Name
6E 1/ HAC / e_A-KI Burglar Alarm
OWNER Mailing AddreYss ��/`� -- ❑ Garage Door Opener-
City!State Zip rPhone# I ❑ Heating, Ventilation and Air Cond!inning System'
NarneXT SECURITY$�iI -L— ❑ Vacul:m Systems'
703 NE HANCOCK
PORILANO.OR 97212 ❑ Other
CONTRACTOR Mailing Addr — —
TYPE OF WORK INVOLVED-COMMERCIAL
(Prior to issuance a City/Stele Zip Phone# Fee for each system......... $40.00
........................ .
copy o all licenses (SEE OAR 918-260-260)
are required if Ore o d Lic # Exp D�
expired In C.O.T Check Type of Work,Involved
data base). El t +cal Cont Lic # E p. Dat ,
�� ❑ Audio and Stereo Systems
C'(IT or Metro Lic.# xp.Date
— ❑ Boiler Controls
Ow Name
OWNER - Malling Address ❑ Clock Systems
APPLICANT [� :)ata Telecommunication Installation
City/Stale Zip ne## ❑
Fire Alarm Installation
This permit Is Issued under OAE 918-320-370 This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following:
L�
1 Only use electrical licensed persons to do installations where required Instrumentation
Certain residential end other transactions are exempt from licensing ❑ Intercom and Paging Systems
These have asterisks(•). All others need licensing,
2. CII for Inspections when Instellatlun under this permit are ready for ❑ Landscape Inigation Control*
Inspection at 503-6391175; ❑
Medical
3 Purchase separate permits for all installations that are not ready for an ❑
Inspection when the inspector Is out to Inspect under this permik Nurse Calls
4 Aseume responsibility for assuring that all corm-tions required by the ❑ Outdoor Landscape Lighting'
Inspector are done,and;
❑
5 Assume responsibility for calling for a final inspection when all of the Protective Signaling
corrections are completed ❑ Other
Fcrmits are non-transferable and -refundable and expire If work is not
started within 180 days of Issu or if work Is suspended for 180 days Number of Systems
The person signing for;hl it must be the applicant or a person No licensee are required Licenses are required for all C•.er installation
authorized to bind th t.
Signal a ENTER FEES
6%SURCHARGE(.05 X TOTAL ABOVE)
Authority if other than Applic..nt TOTAL
1 Vasele doc 12198
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 6394171
/ c'7 /
Date Requested//: � ///( / /r A.M. I1 P.M. MST:
Location: l([��Cl _ 1J ' 11 7 �r1 1.. _ — BUR
Tenant: _ _ Suite:— Bldg: NEC:
Contractor: Phone' 7 3'"r��7 C- .�' — PLM:
frvnPr �'- c� lZ- Phone:
2 137
_ SIT:
BUILDING BL!)G(con't) PLUMBING MECHANICAL ELECTRICAL SITE
site Post/Beam :'ost/Beam Post/Beam Cover/Service Sewer/Storm
Footn:g Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out vas Line Rough-In UG Sprinkler
Foundation Insulation Sewer I;ood/Duct Reconnet,t Vault
Bsmt Damp Drywall Storm Furnace 'Temp Service MISC.
Masonry Ceiling Rain Drain A/C VG Slab
Shear/:"heath Fire Spk!r/Alm Crawl/Found Dr heat Pump IL
~i Approved Approved Approved '
Aporoved Approved
Appr/SdwlV Not Approved Not Approva i Not Approved NT"Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
i"
O Call for reittapection C7 Reinspection fee of S re411'ed bellb7 next inapeclion [l I Mable to inspect
Inspector: ' u j -/ Date —,.c.�,_ r. �- Page of.-
T
Y OF '1 6 A R b NU).
MAGI FAN, Y CHECK (4motwi r
1)1,R F.S!; e (Jif-ill AlIOUNI
PAYI'II-.Nl' 1)(1Iv I P14/1 o/94
SITHDIVIS.1 ON
11
OF PAYPIF NT AMOUNI* PAID PURPOW-.
7) PA)ME.141 A11011141 POID
............................. ..................
ib.00 ST. h(JILD U+.R
J-01RINKLF.'R PERMIT
hOTAI. AMOUNT PATI)