16885 SW 126TH AVENUE ADOR SS:
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CITY CSF TIGARD MECHANICAL
P'ERIhI T
PERMIT #. . . . . . . : MEC94--0090,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/05/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 2S116AD-00500
SITE. ADDRESS. . . r* 16885 SW 126T AVE
SUBDIVISION. . . . . KING CITY ZONING: ?
BLOCK. . . . . . . . . . . LOT. . • . . . . • . . . .
CLASS OF WORN,, . :AL FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VEN-1 FANS. . . :
OCCUPANCY GRP. . :h3 VI=:NTS W/O APP'L: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . , . . . :
FU`L TYPES-.-_--__-_..---_- 0-3 Hf-"'. . . . : DOMES. I NC I N:
: /GRS/ / / 3-15 HP'. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. • . . : REPAIR UNITS.
FIRE DAME-,ERS?. . : 30-•50 HP'. . . . : WOODSTCIVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNI"f S----_-_-.._._ AIR HANDLING UN I I'S OTHER UNITS. -. 1
F URN ( I OOK B T'U: 1. (- 10000 c f m : 60S UUI'LETS. :2
TURN ) =100N, BTU: > 10000 cfnl :
Remarks : ELECTRIC TO GAS CONVERSION
Owner : ------------------------------------------------------- FEES
W. D. HAGLUdD t�'pe amal_int by nate recpt
16885 SW 126TH P'RMT $ 25. 00 SW 04/03/94 -
5P'CT' $ 1. 25 SW 04/05/94 -
KING CITY OR 97224
Phone #:
Contractor:
ENERGY MATTERS INC
/470 SW 76TH
PORTLAND OR 97223 _______.___-_------_.__------•- --•------..____.
P> i on e #: 244--8Bd0 $ 26. 25 TOTAL
Req #. . : 58 556
-----•-- REQUIRED INSPECTIONS -- ----
This permit is issued subject to the regulations contained in the Gas Line insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp �
applicable laws. All work will be done it accordance with Final Inspection.
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for more
than 160 days.
P'er-mittTee Signati.Ire : _
Issi.ted By :
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s Call for inspection - 639-4175
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CITY OF TIG RDBUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection:
Footing Susp. Ceiiing Sprink. Rough-in Appr/Sdwlk +�1
Foundation Plbg. Underslab Mech. Rough-in Fireplace 11
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Sari. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear N^all Gyp. Bd. -Elect.
Date Requested: 14LL G 13, 9L, Time: AW, PM
Address:
Builder: — Permit #•m{�, �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
`APPROVED --M—SAPPROV�ED —APPROVED SUBJECT TO ABOVE
Gall For Reinsp.
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CITY OF TIGARD BUILDING INS ECTION NOVICE ^!
Inspection Line (Rec-O-Phone): 639-4175 Business ;hone: 639-4171 r
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Data Requested: n �� f Time: AM PM
Address- S 5<<. �, w CA
Builder: Permit #: AW C
THE FOLL ING CORRECTIONS ARE REQUIRED:
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Inspector: Date: 3 i_
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ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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INSPECTION NOTICE City of Tigard Building Depart—nt
3.3125 Bw Hall Blvd. Tigard, Oregon 97223
Inspecti n Line
I�(RRec-/O-Phone)t 639-4175 Rosiness Phone: 639-4171
Inepeotiont WcC/r" ��(ft.til►1 '�-�^�✓'�''A f� _�
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas LineTIIfALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Rd. �,T✓,/�`
/ C �
Date Requested: I T1011t �y��f TM
Address: V� l 12 _ Permit `qi� g," `/t,`LV
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRF.Ds
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Inspector: Datet 4
"PROMr, /RO/VSD APPROVED SUBJECT TO ABOVE
7Call For Reinsp.
INSPEUTION NOTICE
City of Tigard BuClding Departs
13125 SW Ba11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone 639-4171
Inspeations .Y 1, _a �`�1) C'C{y 1Cl('e
Touting Plbg. Underslab Noah. Rough-in Appr/S wlk
Found. Plbg. Top Out Oas Line FINAL:
Post/Beam Struct. San. Sewer Fra:aing -Bldg.
Post/Beam Hoch. Ral.n Drain Insulation -Plumb. I
Plbg. Underfloor Water Line 01-P. Bd. -tiech. l.(''
Date Requested: c `/ yy r^ Tiros:Jill en /SAM PM
jc� Permit h
Bulkier:� � L 1�(�..J � � ,�I ��i\ _lr 1 L•"'
THE FOLLOWING OD CTIOBS 11RE REQUIRED: Ff
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Inspector:_
" ------ - —- - Date e
PPROVED DISAPPROVID APPROVED 8 CT TO
Call For Relnep.
IL IL a
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• (.1''ITY OF P 110
CHECK MOUNT
0111•. n FANII.-VOY II(VI)IT.R13 CIASII AITIOUNT s 19..0
WDRF!04" POYMF,NT DATF. p (A4 P) 9 4
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(.IRP09F: OF 1::,(,ymt".IAT AMOUNI VIAID OF 1:41YM-Al All()IJNT PALI)
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25.Pip) il:,),f FIFA
6885 SW tP611-i
(4MOUNT POIT P5
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Han Blvd. APPUC /\TION Permit #
Tigard, OR 97223
(503) 639-4171
•• •«°� �� Description
Table 3A Mechanical Code 0 T PRICE AMT
Job �(O�S s,�i(Ir �2.�r�— 1) Permit Fee 0- 0- 10.00
Address ziN
7u¢ 2) Supplemental Permit 3.00
Q "' / urnace o 100,000 BTU
u✓r p i t0 �� 1) incl ducts 8 vents 6.00
�'� "'• - - urnace 100,000
Owner 2) incl ducts 3 vents 7.50
Floor Furnance--
3) incl vent 6.00
• "^ uspen eater, wall eater
t*a_w 4) or floor mounted heater 600
..ti �• ' en no inc in
Occupant 5) appliance permit 3.00
' °• - Repair o eating, re ng.
6) cooling, absorption unit 6.00
Boiler or comp, eat pump, air cond.
E�J (pGf n'✓�s) 'r"`S /�C 7) to 3 HP,absorp unit to 100K BTU 6.00
U-,— Boiler or comp, heat pump,air co
-7Q 7(9 5, w, -7 6 2Q¢-8,x 63o 8) 3-15 HP;absorp unit to 500K BTU 11.00
Contractor ------ Boiler or comp, heat pump, air con -�
pJ 40, Qom, �`1 Z-7-3 9) 1530 HP;absorp unit .5.1 mil BTU 15.00
^-�•••°°^ °— • •° Boiler or comp,heat pump, air con
5T-_,5-5(v 10) 30 50 HP,absorp unit 1 1.75 mil BTU 22.50
_TWere y ac how a ave read is application,that I e i er or comp, heat pump,air cond.
information given is correct, that I am the owner or authorized agent 1 1) > 50 HP,absorp unit 1 75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM. 7.50
on porEa F e
7` 14) evaporate cooler 4.50
Vent an connec
15) to a single duct 3.00
-- rl�--- entiaurin system not
V _ 16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust 4.50
-Ne's-UnFe work new U addition a terabon Nrepair mmercia or in stns
to be done residential Q non-residential Q 18) type incinerator 30.00
Existing use o - Mer i.e.,woodstove,water —
building or pmperty �5j( 0. _ 19) he r, solar,clothes dryers,etc 4.50
Proposed use of 5 frAA C 20) Gas piping one to four outlets 2.00
n building or property
rt 21) More than 4 per outlet
Type of fuel - oil Q natural gas LPG Q electric Q —
h
Minimum Fee$25 00 SUBTOTAL
PERMITS BECOME%'-)ID IF WORK GR CONSTRUCTION ^—
AUTHORIZED IS NOi Ci`t .1ENCED WITHIN 'i80 DAYS,OR 5%SURCHARGE
w IF CONSTRUCTION OR W.!i%K IS SUSPENDED OR -
-� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. ----- ---
TOTAL
Special Conditions - -- - -""---
Data issued_ by
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APR-05-'94 TUE 11:24 I D:CITY OF KING C I T1' FAX 1,10770_3639=31771 639=3771 4381 P01
KING Past-It'"brand fax transmittal memo 7671 Mof pages
�I TY To Fre
rC N���r, ��l::t����.
co. - - — i
15K � �300 SW. 116th Avenue,Kin City,Oregon 972._4 Phone C` D Ci
Drill. M d
COMMUNITY Lz
Fax a
APPLICATION FOR Fe■a
��•.w'� (Instructions an
��
I. NAME OF Al°PLIGAN'!': �_��LRS' Phone No. (.r-3 -/ -4407
"
ADDRESS: Ade —
ADDRESS OF PROPOSED iMPRovEl f W
2- TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REWESTED.
DESCRIBE BkIEFI.Y - ATTACH TWO COPIES OF PLANS
OF
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PROPOSED PRolE -n: C �� F
3. NAME AND ADDRE OF cNi'I'RACTOR IJ���I�e� /�(/`�
FHONE NO LICENSE NO
D✓� W?Z, �-
4. NEIGHBORS WHO MAY BE AFFECTED By THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPL I CANT HER/HIS RE PREVE M'AT I VE MUST BE SENT AT THE ,IANI I I NG I S S I ON
MEETING f HELD ON
REPRESS TINES NAME _ �, NO.�
(The ding Ci Planning C e� sion vill consider cc�y those applications received Jt/ st sive (5) daps
Dr;oortoameti g.)
SIGNATURE
APPL T CAT ION RECEIVED BY�Y��,
APPLICABLE FEE REcEIvED
PLANNING COWISSION DECISION. Approved___. Denied
CONDITIONS
pproved a lication+ae alid far sic months onf (.
Signature �- q Date �-
NOTE! Oregon AAuliderhaw requires that all persens who contract for vark on their residence De
registered eith the Builders Bou d which mein9 the contractor 1s banded and insured on the job site.
Par your protection, be certain Inur rontractot is regist^red by ealling rity gal► Ph: 639-4081,
> NOTE:: A permit must also be obtained from the City of Tigard Department of
�- Canmmity Development Yes __ No
CITTY OF TIGARn INSPECTION REPORT
-J The above listed project has been inspected and Approved_ Denied
Date Ccnrr-nt s
Signature _
(&u.i,[ M .i.n.apa&ft�k ptca.be fin. rare. ( > ) copy to KLtg C:4tg
CD Al-87
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CITY OF TIGARD BUILDING PERMIT
PERMIT #. . . . . . . : NUF 9 4--0oL,.(
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: O!f/06'/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (51e �4�711 7 1
PARCEL: 1 S 136CD-•-02300
SITE ADDRESS. . . 1. 1630 SW 79TH AVE
SUBDIVISION. . . . : TWIN OAKS LANE ZONING: C--G
NLOCK. . . . . . . . . . : LOT.. . . . . . . . . . . . . : 19
REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :DE:M FIRST. . . . : sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : sf PROTECT OPENINGS?----
TYPE OF CONST. :5N THIRD. . . . sf N: S: E- W.
OCCUPANCY GRP'. :R3 TOTAL----:-: 0 sf ROOF CONST: FIRE RET". :
L)CCUPANCY LOAD: BASEMENT. : sF AREA SEP. RATED:
STOR. : HT. : ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT':) : MEZ Z? : READ SETBACKS----- REQUIRED---------------------
I-LOOR
EQUIRED------•----•-•--------
I-LOOR LOAD. . . . : psf LEFT : Ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: F=RNT: ft REAR: ft FIR AL.RM: HNDICP ACC:
BEDRMS: BATHS: TMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 0
Re mar-ks : SEPTIC TO PUMPED, FILLED ti INS .,ECTED. SEWER MUST BE CAPPED OFF "N1!
I NSPECTEI)
Commercial/Planned
Development ) . (WCTM 1S1 36CD, tax lots 2eOO, 2310, 2400, 2500, 2600, 2700, 2800,
_1900, 3000. 3100, 3200, 331710, 31400, 3500, 3600, 3700, 3800, 3900, 4000, 4].1710, 2'
1
I.BA, tax lot: 200 and 2S1 IBB, tax lot 1201.
Owner-: _.-...__._._.._._.__.__.__..__._.____.__..._ ..-.___.._.____.-____.._ .____._._____.----__..-- FEES
(;OSTCO WHOLESALE type amoL1nt by date recpt
10809 120TH AVENUE. NE PRMT $ 25. 00 JH 03/08/94 -
5P'CT $ I. :�5 JH 03/08/94 -
KIRKLAND WA 98033
"'hone #: 206-828-8100
l:ontra(_tor,: ----------------------_---_-_-_---
C. LLE ROBINSON CONSTRUCTION
/320 SW HUNZIKER ST, SUITE 300
l I CARD OR 97223 ---.-----.-_-_---._.--------------------_
1 ,hone #: 645-8531 $ 26. 25 TOTAL
Neg #. . s 63147
-- -- --- REQUIRED INSPECTIONS
-This permit is issued subject to the regulations contained in the Pl_1mp/Fill Septic
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cap sewer- line
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
V) within 180 days of issuance, or if work is suspended for more
} than 180 days.
Pvr�mi.ttee Signatr_rre :
I s s i..r e d By
Call for, inspection - 639-4175
5w7Gt Vre
Residential Building Permit A_ pplication
City of Tigard
13125 SW Nall Blvd. G)
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Z
Office Use Only
Subdivision: Lot #
PtandctRec#
Valuation:
porrjrit #
�i�
Owner: _1�-i C e CC5$lac c, Reissue of
Address: 10 ` o2 1_02 4 i� ,A V r /y Map&TL#
n.j L! clg0j.3 - 1) V77
Approvals Required
Phone: 40
Planning
l
Contractor: lJjj. PA 0 n1 JrucL, . Engineering
Address: Other
items Required
Phone: 50:3 l yS 3 --
Subcontractors
Contractor's License
(attach copy of current Oregon license) Truss Details
Subcontractors: x; Other
j
Plumbing:
Mechanical:
(attach copy of current OR Contractor's license)
ArchitecUEngineer:
Address:
Phono- _
COMMENTS:
Applicant Signa re a Phone number