14245 SW 112TH AVENUE a
P.
N
A
N
U)
a
N
2
m
z
C
m
14243 -,W 112"' AVENUE
/ CITY OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2003-00378
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/3/03
PARCEL: 2S110AB-01000
SITE ADDRESS: 14245 SW 112TH AVE
SUBDIVISION: COLE'S ACRES ZONINC: R-4.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R:3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERSICOMPRESSORS _ HOODS:
FUEL TYPES0 - 3 HP: DOMES. INCIN:
PG
_T 3 15 HP: COMML. INCIN:
MAX INPU1. BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS.
FURN < 100K BTI1: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS: I
> 10000 cfm:
Remarks: Install furnace, vent for water heater,piping and outlet.
Owner: FEES
BURTON, ROBERT +SHIRLEY M Description Date Amount
14245 SW 112TH AVE I\I I ( I I I Permit Fee 7/3/03 T $72.50
TIGARD, OR 97224 nc'fa� 7/3/03 $5.80
I I _
Total � $78.30
Phone: __---- —
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS -________
Phone: �t►3-t+4K-3838 Gas Line Insp
Heating Unt Insp
Reg #: LIC 43124 Duct Inspection
Final Inspection
This permit is issued subjE,1 to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All vvork will be done In accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or If work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
07/02/2003 14:49 5033569002 GAROKEN PAGE 02
OJ 21 tirl %ALU 12:58 FAX 503 598 198n CIT'i OF T'G.ARD IjOt)a
Mechanical Permit Application
_-
"Datereceived, Permit no-W ) -00W
City of Tigard ProjecUappl,no.: Expire data
CiryofTigard Address: 13125 SW Hall Blvd,Tigar f. OR 97223 Datetasued: By: ,,t>?, Receipt no
Phone: (503) 639-4171
Fax (503) 596-1960 Case file no.; I. Ptyntent type,
Land use approval' _ Bulldingpatmitnc.
-;RL•-& 2 family dwelling or accessory Comm,,rciaUindvstnal J Multi family O Tenant Improvement
0 Ne�� construction Additu ti/alteratton/replacement ❑Othet.
JOB SITE INFORMA-11 10N
job address �1� �_ �. Indicate equipment quantities in boxes below, Indicate the collar
Bldg. no : Suite nc : value of 411 mechanical matenals,equipment,labor,overhead.
Tax mAp/lax IoVaccount no profit.Value$
Lo Bloat' Subdivision: 'See checklist for important application information and
Pro ect name. LLs' jurisdiction's fee schedule for residential permit fee
zIP 7 r
Cttti county f
ner:n�'+0n anJ I ucr�,of work premises, .,.�
Fee(W.)I Total
Est. date of completiowinsp ctron. Deacrl tloa Rea,onl Res.
uWr
Tenant irnpro%ement or change of use Airhandlin unit CFM
Is eRisting space heated or conditioned'O Yet XNo AUoon itionin (site Ian re tire )
Is existing space insulated?Q Yr.'s o A tent an o ex sung s stem
MUCIIANICAL r 0 er compressors
State boiler permit no
BUStnesa name, C�Qt- Y.ef rtPY�IU NP Tons BTU/11
Aedre�s.3�(p5 _:'�l_1_ a tr smo a rim er uctsmo a detectors
rCiry: State, i IP' 00 eat um site an re wre
6 3 4� pax: r 8 mail nate rep ace urnac timer
BTUIH
t Phon p 8-3 --- Includin duetwork/vant liner O Yes 0 No
CCB no nits/rep ac re ocate eaters-suspen e ,
Cit'/metro Ira no S Cj _ wall or floor mounted
NamO(Please, print): 41-6
ent ora anceo er an furnace
e gerrt one
EXIIj Absorption units_. 13TUIR
Chillcri HP
Name: `'Sd'���"'~- Compressors N J'
i Address nvlronmeota a us an vent at one
City _ State: ..C'' A lance vent
Phone Feu: E-mW: rvere aunt .....�
00 s, ype Vres tc a atmat
hood fire suppression system
Name. Y� Exhaust fan with single duct(beth fans
Mailing address austsystemapart om a, n or
„.� State. ;;1P Ue pp e an sir on up to'Tout eu
C,t; T e: LPC NG Oil
Pltonc: Fac E-mail ue vipink cvchW itiontl over 4 outlets
rotaer nrte sc emsttcrequire )
Ian IWj Number of outlet
None _ __._ er a app ante or equ pment:
Address Uecorativente lace
_—� State. 'IP nsert-( e
Cl)
0o stov pe et stove
-Phone ,ax E' r.— et.
Applh.ancs slgnstur . - Ctle: - a,d
Nanu (pnnt).r .._ � _. ,
Permit fee S _
,Q.all t, e,r�on,arep�creA,i eWr.p�suc cal to"d,euon for mcKe IN Wmuvnn 1JOtICO ThIs perntit application Minimum fee . . 5
expires if a permit is not obtained Plan review(at -_ $
e wi011n 180 days after it has been State surcharge(896) S r
` accepted as complete "
L
roTAc ..
n �71
rt1 tint - W.A617
�\ CITY OF T I G A R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00323
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/3/03
SITE ADDRESS: 14245 SW 1121H AVE PARCEL: 2S110AB-01000
SUBDIVISION: COLE'S ACRES ZONING: R-4.5
BLOCK: LOT: 005 - __ JURISDICTION: TIG -
CLASS OF WORK: ALF GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHINC MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEA PERS: 1 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: RAIN DRAIN: ft
Remarks: Water Heater installation.
Owner: _ _ FEES
—� "---
BURTON, ROBERT +SHIRLEY M Description Date Amount
14245 SW 112TH AVE 11'1.1 \1131 Permit Fee 7/3/03 $72.50
TIGARD, OR 97224 state'rax 7/3/03 $5.80
Total $78.30
Phone
Contractor:
GAROKEN ENERGY COMPANY
3975 SW 113TH
BEAVERTON, OR 97005
REQUIRED INSPECTIONS
Phone : Rough-in Insp
Final Inspection
Reg #: A11:-1' 00001555
I W 00043124
I'I \1 34-113ph
1 nib permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specia'ty 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 more
than 180 days. ATTEN TION: 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 952-0001-0100.
You may obtain copies o! these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By: CL L1"t a , Permittee Signature:
Call (563) 639-4175 by 7:00 P.M. for an inspection needed the next business day
07/02/2003 14:49 5033569002 GAROKEN PAGE= 01
0.3/21/01 "ED 11:55 FAN 503 599 1960 CITY OF TIGARD 00:
Plumbing Permit Application
_
Date reaelved: Permit
City of rr'➢gand
Address: 13125 SW Hall Blvd,TiRari,OR 97223 Sewerpermitno.: Building per-mitno,;
Of yofTtgard phone: (303) 6394171 Projecdappl no.: Expircdntr.
Fax: (503) 598-1960 Date Issued- --�� BY: j- Recelptno
Case file no.: - Pa tnent t
Land use approval: __–_----_-._---__ r rrx'
;dn
2 family dwtiling nr acccsgory J Comm I+tciaVutdustrial U Multi family J Tenant improverncnt
r.onstructinn FNelteretinn/rcplaCentent J Food servu:e J Other ress: �� Drycrllrtiuo Qt . Fee(ea,) rota)
.: Suite t.o.: New I-and 1 family dwellings only:
Ta-e ma tax l(Waecount no.: _ — (SFR(1)100 h.for tach utilHy n,nttrction)
SFR(I�bath
Lot: I Block, Subdivision: SFR(2)bath -
Pro'ecl name: S Ohath
City/coun t ZIP: a,;),:)_1�— Each additionN bat tM tT ct-n
Description and I ;ion o�w�oron pre _ shoutwiles: i
Catch basWarea drain
Est.date of completion/inspection: ]- i,�O3 we eachline/trench
Footing drain no.lin. .)IBM _
lanuTL e
factured home ut A _
8usinesy nuua:. OC�kCC1 __— Manholes _
Address 1� stn ratn connecter _
city: z4poole 1 State: il—A7Q 01 amtary sewer no. in.t).)
Phon bl�gge-389 31 Fax: -9 B-maik �- ,,, , totm server no.19 ft.
CCB no.: a A►a A4 Plumb.bus,reS.no:5q_ I I Water service nu. lin.ft.
City/metro lit,no.: lPlxttve or item:
Contractor's representative signature /r,tr.w a - Absorption—valve
Print name: b 5o L A;: D%tc: Dark flow -eventcr
Sac water valve
as n avato
Name: � �_ o es washer ---
Address: Dishwasher
n uunlhin(s) _ _
City: ectors/sum
Phone: Fas Expansion tatik '--
Fixturelsew•er cap
Namr(print): Y aor ruins/floor sinks/huh v Y—
Mailinliaddress: Garbage cit+ wd -
-
bb
City_ - -- Stats: :'IP' Hose t
Ice maker
Phone; 11ax. E-mail: nterce for/grease trap
owner Installation/residential maintenance only; The actual installation imer(O _
will to made by me ctr the maintenance and repair ma ie by my regu,er oo rain(commercial) _
employee on the pnope I own as per GAS Chapter.147. Sink(s),baskn s ay_ s)
Owner's al nature: Datta: SUMR
u s iowet s ower pan
Narne: nn
Address: Wftar
City: _ State:�UP! _ 61;
Phone: Faz: I E-mail --- -TOO—
Not
o _
Net sn lWoMedom K%", cwdu tarot.Visan eth Wedl[eae rm rtwrs tnt rm m Notice-This permit application Minimum fec.............. .3
U v[sa O MasterCard e><plres Ifo permit is not obtained Plan review(at _ %) $ �_-
Cndti cord_mbar.____�_ _ _ i L within 180 days after it has been Stnre .ureharge(9q6).. .S
r TOTAL •••••• •••••••.• S �78
aces tedwcom tato ••••••• ..0
arcs 0 f��� OM11 an[ r[ ! P p
i
~err r rireanrtr --- -- 'sal MrfsAla( )
CITY OF TIGARD 24-Hour
BUILDING Inspection Line- (503)639-4175 MST —
INSPECTION DIVISION Business Line: (503)639-4171
1 BUP — -
Received -------Date Requested I I L_ A AM PM -- BUP
Location - �—a-� Suite ®J '-S r�
Contact Person —
'ts' Ph _ PLp �S 0
� 1-_-- --
contractor b+�-� fir' ��- ---- Ph( ) i __ SWR
BUILDING Tenant/Owner _ __ ELC
Footing ELC _—
Foundation Access:
Ftg Drain ELR —
Crawl Drain
Slab Inspection Notes; �t s 1NG \ )rS L4It SIT _—
Post&Beam - ` -- —_
Shear Anchors \r� 1 t f; K u- Q (>�-
Ext Sheath/Shear V -- ----
Int Sheath/Shear
Framing -- - --. - --- --- _
Insulation
Drywall Nailing ----�- --1-----� ------�- — —
Firewall -----^- _-_ -- -
Fire Sprinkler 1 C --
Fire Alarm --
Susp'd Ceiling
Roof ----_
Final ---
PASS PART FAIL
UMBIN - -
eam _
Under Slab - —
Rouoh-In y% _
Water Service -- - -
Sanitary Sewer _
Rain Drains -- ---
Catch Basin/Manhole
Storm Drain
Shower Pan
her: -
PAS PART FAIL
HANI ----- — _._
Post& Beam �^
Rough-In
Gas Line
Smoke Dampers
n
PART FAIL - -
EL CT§iCAL
Service -- -
Rough-In ---
UG/Slab
Low Voltage -
Fire Alarm
Final Reinspection fee of$_, required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
L]SITE __--- Please call for reinspection RE:_ _._r_ _.___ [� Unable to inspect-no access
E --- -
Fire Supply Line
ADA Date;_. Zf " �� Inspect �� Ext --—
Approach/Sidewalk --
Other:
Final I DO NOT REMOVE this Inlrpectlon record from t!4
job site.
PASS PAFiT FAIL I
CITY OF TIGARD 24-Hour
E' 'LDING Inspection Line: (503)639-4175 MST
IN&.1)ECTION DIVISION Business Line: (503)639-4171
BUP —
Received / —' Date Requested _� AM— HM BUP
!
Location _____1� "1 S —Suite— __ M_EC 15—Je
Contact Person Ph( ) — PLM
Contractor _ _ — Ph( ) $� �3 93 SWR
BUILDING Tenant/Owner _ ELC _—
Footing ELC —
Foundation Access:
Ftg Drain ELR --
Crawl Drain SIT
Slab Inspection Notes: ` i. ;' ---
Post&Beam L
Shbar Anchors
Ext Sheath/Shear —
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall I _ --
Fire Sprinkler
Fire Alarm _
Susp'd Ceiling ` \ qN
Roof \ 1/
Other:
Final
PASS -Pf►RT FAIL — ,
VJsU-MB'NG C v`+�J 6
Post& Beam �+
Under Slab —
Rough-In
Water Service — --
Sanitary Sewer
Rain Drain,-
Catch Basin/Menhole —
Storm Drain
Shower Pan —
Other:--------------
Final —
PA PAAZ FAIL — — —
ECHAN� —
Post&Beam
Rough-in
Gas Line
Smoke Dampers _
Final
PASS PART
ELECTRICAL —
Service Rough-In --
UG/Slab
Low Voltage --
Fire Alarm
Final LJ Reinspection fee of$� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS __ PART FAILUnable to ins ect-no access
SITE ❑ Please call for reinspection RE: _ _ ❑ p
Fire Supply LineADA /
Approach/Sidewalk OWN ,� /�— _— Inap�al —I�xt --
Other:_.`---- --
Final DO NOT REMOVE this Inspection record fr m the site.
PASS PART FAIL