16810 SW 129TH AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-hour Inspection Line: 639-4175 Business Line: 639-4'!71 i --
1 ` , BUP
Date R Iquiec�te(d�tl inns- 1-M 1 BLD —_
Locat',on U SL� Icel I ° lfT'� Suite �.f-- MEG
C intact Person Ph
Contractor_ &UUAJAz' — Ph S1NR
BUILDING Tenant/Owner — ELC —_
Retaining Wall ELR _
Footing Acress: —
Foundation FPS
Ftg Drain ---
Crawl Drain Ins-,action Notes: SGN
Slab I _ SIT
Post R Beam --
Ext Sheath/Shear
Int Sheath/Shear - -- -
.'ramin; --_
InFulation — - -- -
Frywall Nailing
F firewall — -- ---- ---- --
Fire Sprinkler
Fire Alarm -` —
Susp'd Ceiling ----------- ---- --- - ------_---
Roof ---- -------
Mnc. ---- - - --- -- ---- -- —
Final
P `TART FAIL ----_....
- - ----------- - -
UMBING —
os eai, -- - _- -------
'lnder Slab r
Top Uui ;\CE I i� - -- -- -- ---
Wilier Seivice L ���JJ
Sanitary Sewer — — --
Rain,.Qrains I -
ina l
IVXSSPART
hW<RANICAL
Post& Beam -
Rough In -
Gas Line
Smoke Dam)ers
Final
PASS PART FAIL
ELECTRICAL__ --- -�-
Service
Rough In _ --- -- — —
LL UG/Slab -
.i Low Voltage
A Fire Alarm
> Final ---
�- PASS PART FAIL
SITE -- --
Backfill/Grading - — -- - - - ----
!Q?nitary Sewer
„!�,rrn Drain I I J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall BI',d
Catch Basin
J Please call for reinspectio E. Unable to
Fire Supply I ane --- —_ - [ J inspect-no access
ADA
Appro:,ch/Sidewalk �; "�j
Liner Date _ Inspector I LA Ext
lFinal
PASS PART FAIL DO NO REMOVE this Inspertion record from the job site.
CITY OF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM97-0242
13125 SW Hall Blvd., Tigard,0H 97223 (503)639.4171 DATE ISSUED: 06/26/97
PARCEL: 2S116AD- 16900
SITE ADDRESS. . . : 16810 SW 129TH PVF
SUBDIYISION. . . . : Z 01\1 1 NG:
BLOCK. . . . . . . . . . . LOT. . . . . . . JURISDICTION: KIN
---------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF* WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPAN_Y GQ0. . :R3 1:-_LOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . .. . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BnSINS. . . . . . . : 0
FIXTURE1.3-- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : W
TUF3/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RPIN DRAIN (ft ) . . . : 0
Remarks : replace existing water heater
Owner: FEES ---------------
COAST HOUSE type amount: by date r-eept
PIO BOX 69 PRMT $ 25. 00 GED 06/26/97 KING CITY
ARCH CAPE OR 97102 5PCT $ 1. 25 GEO 06/26/97 KING CITY
Phone #:
":3EORGE PIORLAN PLUMBING
X529 SE FOSTER RD
(LCB EXP 6/2002)
PORTLAND OR 1-,17206 ----------
Phone #: 771 --1145 $ 26. 25 TOTAL
Rey #. . : 000027
-------- REGUTREI) INSPECTIONS
Thi5 permit is issuEd subject ti the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore, Specialty Codes and all other Rot.lqh-,in Insp
applicable laws. All work will be done in accordance with Fin_1 Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
o. than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those toles are
set forth in LAR 952-000I-0010 through DAR 95P-0801-0880. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-1987.
IAJ
Iisi_ted By Pz--mittee Signati-ii,e :
4+++,4................. .... 4-+++4............. ..............
Call 639-4173 by 6:00 p. m. for an inspection needed the next business clay
4.........4.......4.......... #-+++-1-++++4++-1-4.............................
m
CITY OF TIGARD BUILDING INSPECTION NOTI;E
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service L:_
Foundation Water Line Ceiling 1Ltnb
Post/Beam Mech. Shear/Sheath Framing Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation ect.
Post/Beam Struct. P h-in Gyp. Bd. -Bldg.
San. Sewerr� Gas Line Appr/Sdwlk Reins.
Other: J2 , --
3 . ----
Date: '1 A.M. SRM.—___ Entry:
Address: Tz/ �O""O Q SW__U<_! CI` --
Tena,1t: Ste:___ MST: _
�+ BUP:
Co Own: J L�L —_ MEC: -00 Z_
77 e� PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: //ELR: _
Ce-vu�e�z.�.. IV�...�-�^ n 1 ter&•• /F�_i�
!/
V-
J
W
J
Inspector. _ Date: '
,PPROVED DISAPPROVED/CALL FOR REINSR CF CO
l�_
— -- - JUN-25-'97 WED 16:05 ID: FAX NO: 4177 P02
;ITY OF•TIGARD Plumbing Application Recd By T T
31115 SW HALL 131LVO. Commercial and Residential Do,;Recd
IGARD, OR 97223 Dale to v E
503) 639-4171 (.0 Lr T-LI Date to D � ______
PePermitS -1_— 0 12
Print or Type Related SWR•
Incomplete or illegible applications will not be accepted cauw
Name of Development/Pro)ect FIXTURES (Individual) QTY PRICE AtYiT
Job L<'Lft4c, t:_tT Sink 9.00
Address Sire t Adpresa Suuo
L.Mary 900
(rv�l0 �-,J I2.q-t1A Tub orTus/ShourerComb.
Endo a City/stats Zip Showa Only 9.00
Wator Claret 9,00
Name Dishwasher 9.00
GoA•�-r 1•�alas+c
Owner Mailing Address Suite Garbage Dispose{ 0.00
F0 gg2� (0 9 Washing Machine 9.00
City/stale Zip Phone Floor Drank 2- 9.00
w� CAPS 11-7 k)�.�f -p 3- 9.30
N-91 L.L�o JAS 4- - 9 00
0 euparit *'alll�j�Address Suite water Healer r j 9.00
e' 1'0O lu '5 LA.) Laundry Room Tray 9.C7 ~
Citylatata Zip Phyte unnal 9.00
<<ill��r C 11K `1 Z 4_,+-T� OIMr Fixtw�4(Speufy) --- 0.00 -
_IVMO
"OelLA P3 �1-{aj(f 9.00 -
Contractor Willing Address Suite 9 00
I Zse<_tu-):?At-�t G)G. dkz 9.00
(Prior to iaeuence Cttyl t—�eti p phvns 9.00 J
applicant must T1(o%RZA 61-1223
a101010e 011 Oregon Const font.Board Lic.s Fxp. Dole 8,00
contractors
limnso Plumbing Wc.• Exp.Odle Sewer- Ist 10q' ---�— --- 30.0
ir,kirmation wtovPE, sewer soon aoahlonal 10U' 25,00
(or COT GOT Business ax or FAB- i i1 Exp.Uele water Service-1a1 100' 20,00
1tatAhase) 1 -1 (.r ( -
"' Ne-no welar Service-each eddhlnnal 200' 25.00
Art:'1tev 3 Ran..-a In-tai too' 30.00
airddreRS . . Suuo —" ., .. �. ....,: Clth y ...� -- ---• iS.X.' ..�,-
Engineer all Zip Phone- Commercial Bach Flow Prevenuon Device or And-
Pollution
nd Pollution L*V"
Describe.ort New O A,_,dition O Alteration O Repair O Reslaenllal Backflow Prevention Deva' t5 ou
Iv be done. _ ResidenUal O Non-residential O Any rap or'.'V:rate Not Connected to a Fixture )no
Af}dnlonal rfaarriplinn of wnrtt
.�per. IF`��,p-A r.D N Catch Basin - 9 00
Insp.of Fiti-- sling Plumbing 40.00
par/hr
`" -- -- —-------- Specht!, Requested IM30ee iens -- 40.00
•sting,use or per/hr
✓? ildin j or properly` i �'r Rain Of sin,single family dwelling —- 1000
F- P,opoe.ed use of crease Trapi, ---__ --- 900
tmitaing or oroperty
QUANTITY TOTAL
4�» ty u capping. moving or replacing any Mriures? Yes to W(J Isenwtrtc of rider dl!fare 1s required I OwnIW Taal is >9
w I (it Yes sae back of forret 'SUBTOTAL
'hereby acknowledge that I have mad this application,that the information
);vart Is cmrrort_that I am the owner or authorized agent of the ownrtr.and 6% SURCHARGE
,at dans suhmittM are in compilanat with Oregon State Laws.
!gnatu of Ownorllgent Date PLAN REVI''W 25% OF SUBTOTAL
Pequred only A future qty,joint q>9
�I�'l97 TOTAL —
-intact Parson Wants Phone
J_L , `�D��A w (p� zv •INlnimum permit fee is$25•5%surcharge,ercavt Residential Backflow
q-7J1P Prevention Device•which is 319*5%surcharge
__— -- 1:lp1mapp.dcc 12,96 (dst)
CITY OF TIGARD MECHANICAL
FERMI T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . MEC96-0020
13125 SW Hell Blvo.Tigard,Oregen 97223.8199 (503)639.4171 DATE ISSUED: 01/25/1)&
PARCEL. 2SI16AD-16900
SITE ADDRESS. . . : 16810 SW 11"29TH AVE
SUBDIVISION. . . . . ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WJRK. . :IALT FLOOR FURN. . . . 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . . 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 2l
STORIES. . . . . . . . : 0 DOI LERS/COMPRESSORS HOODS. . . . . . . . 0
FUEL 0-21, HP. 0 DOMES. TNCIN: 0
: /GAS/ 3-15 HP. 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. 0 REPAIR UNITS : 0
FIRE DAMPERS 31-4)-50 HP. 0 WOODSTUVES. . : 0
GAS PRESSURE. . . 50.4- 1--ir,. . . 0 CLO DRYERS- - ill
NO. OF AIR HANDLING UNITS OTHER UNI Ta. : 0
TURN < 100K BTU: 1 i0000 crin : o UPS OUTLETS. : I
'URN > =100K BTU: 0 > 10000 c:fm: 0
Remarks : Installing fl.trnace and gas piping
Owner. FEES
BILL OWEN type amount by date recpt
16810 SW AVE PRMT $ 25. 00 D 01/25/96 KING CITY
5PCT $ 1. L5 B KING CITY
)-,ING CITY OR 97224
Phone #: 624-7258
Contractor:
13UN GLOW, INC.
24.28 SE 105TH AVE.
PORTLAND OR 972'16
Phone 775-4184 $ 26. 25 TOTAL
Reg 4611
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 in accordance with Final Inspection
approved glans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 says.
Permittee Signati-irp .
Issi-ted 11y ;
Call for inspection 639-4175
- -- —.FEB-13-'00 MON 18:23 ID, FAX N0: 0082 Pol...
CITY O KING CITY MECHANICAL PERM IW-76 brand tax transmittal memoF om7671 Mo}pages►�
1530 SW 116TH AVE
KT CITY, OR 97224 APPLICATION �✓' - Co.
63 -4042 Dept. Vhera
FaxN� R 1U 9 fext L /J Q 5-77
„�f -- escnpaon
W S _ Table 3A Mechanical Code QTY F)RICE AMT
,lob � ^ $ d CJ c t� ��9-�� 1) Permit Fee -0- D- 10.00
Address -�
�.� Ole- 2) Supplemental Permit 3 0°
t h-
umace to 100,
i) Ind ducts&vent. 6.00 ("00
u .. Furnace OT
Ownnr ( ?Ll �) Ind cticts a vents 7,60
Floor umanoe
incl,vent 6.oD
-
4) or floor m"g,ibl haator 6-00
n,
Occupart S) aKinange permit 300
fr) cooling,absoTden unit 6.00
--�oTr or comp, ont pump,arc cond.
7) to 3 HP absorp unit to I^OK BTU
.tib of er n•enmp, Nat pump,a wr - __ --
ps -3_77 1 g) 3-15 HI'ehsorp unit to CAOK BTU
Contractor - — odor or cnmp,hoint pump,Wrr coo.
Q 7.11.1,p 9) 15.30 HP ebsorp unit.S1 mil BTU t 5.00
oft 5� .M•. Bader or comp, oat pump,air ROM—.
10) 3050 HP akscup unit 1-1,75 mll BTU 2z5o
FTIwie y ac aw Qe :et vo rea la app icauon” ,r11a1 tho , of or or comp.hriat pump,air carr
information given is correct,tliat t am the owner or nuthodzErd agent 11) 7 50 HP ebsorp unit 1.75 mil 6TU 31.50
ut the uwrtet,that plans submined Ara in rampliaria)with State Air handing unit to
laws,that I am rogisterccl with tliu Construction Contru-,foes Romd, 12) 1n,t10ll CFM
that Ute number given Is Mrrect (It nxempt from 9tata reglstrAtlon, n handluig unit
please give rearon Wow.) 1.3) 10,000 CTM+ _ 7,50
mon potable ---
C" �� ' lA) evaporate eo,Ier 4 L,171
-' enlan connactA
�- 3"7 1 .(�d 15) to a single duct 300
-' entt anon vyztem not
15) included In appliancA permit 4.50
17) mer_hanicA exhaust d 50
yearnw nrrw a iucxt alteration repair commemiril or indusv,a'I in ba done IWOul nval nnn•rwaclantiel 10) type Incinomfor
xtsbnq use o - er r,e„waodctova,worx
building or property _��MaC y i9) heater, solar,clothes dryers,etc. a SD
_e. TD
n Proposed use of �� - 20) Gas piping one to tour outlets 2.00
ne bulloinq or proparty _
!7 J 21) Mare than A per outlet
Typo of fuel -nil 0 natural 9As 1011 PG O electric 0
H-
L Minimum Fee$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CON5TRUCTION l
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR S').SURCHAR sE 1?
J
IF CONSTRUCTION OR WORK IS SUSPENDED ori _ � -
ABANDONED FOR A PERIOD OF 1130 DAYS AT ANY TIMF PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
-- _� Date issued ! �1- 9� by
.a0 o•d•