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11560 SW FONNER STREET i Ul cn0 0 z z X 1 11560 SW FONNER ST. - \ CITY ITY O r T I G A R D PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM1999-00319 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/27/1999 S''fE ADDRESS: 11560 SW FONNEP ST PARCEL: 2S103CA-00208 SUBDIVISION: WOODCREST NO.2 ZONING: R-4.5 BLOCK: LOY: 028 JURISDICTION: URB CLASS OF WORK: ALT GARBAGE DISPUSAL.S: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; 'TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURESLAUNDRY TRAYS: SF RAIN DRAINS: bINK.S: URINALS: GREASE TRAPS: LA`IATORIES: OTHER FIXTURES: TUB/'.MOWERS: SEWER LINE: ft WATER CLOSF TS: WATER LINE: 100 ft DISIIWASH'_RS: RAIN DRAIN: ft Remarks: Water heater conversion FEES Owner: — _ --- - -- Type By Date Amount Receipt MARILBOYTYN K HOWARD W PRMT BON 09/27/199 $50.00 99-318642 P�ARII_ 11560 SW FONNER 5PCT BON 09/27/199E $3.50 99-318642 TIGARD, OR 97223 Total $53.50 Phone 1: Contractor: GEORGE MORLAN PLUMBING + .1PL'ANCES 9806 SW TIGARD STREET CCB (EXP 6/2002) REQUIRED INSPECTIONS TIGARD, OR 97223 Phone 1: 624-6895 Water Line Insp Reg #: LIC 000027 Top-outlnsp PLM 026-60PB Final Inspection 0, R This permit is issued subject to the r-gulations 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 witl-' - 180 days of issuance, or if wo K is Suspended for more than 180 days. /\TTENTIM Oregon law rE, i , .2s you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OILING by calling (503) 246-1987. Issued By: �21✓�G�<�{ I--. Permittee Signature: �� Call (503) 639-4175 by 7:00 P.M. fcr an inspection needed the next Itiitisiness day 3125 SW HALL BLVD. commercial and Re IGARD, OR 97223 503) 639-4W9�EIVEL� pent Qr Type r My�� r�U�y SEP 2,4 199q Incomplete or illegible applications will not be accepted 4 (.; o' �/c COMMUNITY DEVELOW-Li ! _ - qTr PRICE AMT FIXTURES IlndlvldliAl) 11.so Name orDevel�oled _-- -- --- JobC: JJ Lavatory — Address IfEet drnan S i h�� Tub or Tub/Shower Comb. 11.60 Bldg e C i 511+1a ZIP Shower Only 11.50 (' Name plehv'aehaf 11.50 - �Q f `J� ---- 1150 -- Gemage Disposal owner Mai'ng Addreaa - 11.60 ej-_S . Washing Machlne ZI r Phone 11.50 C Sule [) FIOor DreInIF�oO►Slnk� '---'---'--- 11.50 3. Na ;, 11.50 — / Mxiling AddreRs Suite Wxlxr Heale�mnvernlon C Ilke kind 11.50 50 Occupant Gas I In re ulros a oe arato mechanical rmlt. 11 60 City/StateZIP Phone Laundry Room Tray 11.50 JJ Unnal 15.00 N me (�a �( 1�J/ Other FbclureS(Specify) Suite Contractor a ing Ad e�- !// 3e.00 Prior to permit Cky!§tate Ip Phone Sower-let 100, .00 Issunricn.a COPY / l� _ Sewer-each additlonal 100' 32 e 38.00 Of all licenses are O Const, nL Board 1,C.0 ��l Water Sorvlce•1 et 100' / 32.00 requtrxd M _ Water SArvice-eath additional 200' expired In COT Plumbing — pp.De 38.00 pornbese �_ - ! ()(".5 Storm&Rain Droln-191100' l 100' dxtn32.00 - Name Storm Q Rain Drain•each edditrona3200. Architect Mobile Nome Sp■ce FAMa 5ulls MII- 32.00 or Pollution Device 19.00 Phone RetldenUrl Backflow Prevention DeviceLngIneer Z+P (InIgallon Uming devices requlre a seperals re one ormlt. 11.50 Describe work to be done: Any Trap or Waste Not Connected 10 a Flinure New O Re air () Replace with like kind: Yea O NA ------ 11.50 (".etch Basin Rexldontlal Ccrhnterclnl O ting Plumbing 50.00 A dit lone)descrhPllon of work Ins of Exis�({ P r1hr _ L.t_ _�-er 11QA Y' d So _ .00 SpSpecialtyRequested Inspections orthRir Aro you cspping,moving or replacing any tixturea? ---- a5.00 Y13e O No O Raln Drain,single family desalting 11.50 If yes,see bock o4 form to Indlcato work porl'ontler,by Grosse Traps fixture. FAILURE TO ACCURATELY REPORT FIXTURE — UANTITY TOTAL WORK COULD RESULT IN iri;;REASED SEWER FEES. I hereby ocknowiodgx lhel I have read this epplluUon,that the InMrmoUon leumelrlc or mer magnm If requlrsd M Ou �UBTQTAL given Is correct,that I am the owner or authorized agent of the owner and 11at plans submlttod are In 52291a ice with Oro on State Lawt ----- -- F/.SRCHARGE !-ionst,Are rwr�A r Oats — _ -��=�--Es-+k�--2 Phoe di-TgLA REVIEW 28%_OF SUBTOTAL. ono Name _A_LTOT 5 I t ,Y permit tea�a 5 •Minimum 50•5%curchorge, ae!,'Ro;Idortal Backflow Prevention Div ce,which Is$25+5•k aurchar ' �, AOt1,• �,r r K **All New COmRiarclal Buildings require Pla'•s wIr "oUic or n71or dlapram SfSb� N > t'•- and plan revldw awam+nou^�rs,uoc br76rv0 CITY OF TIGARD � MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00403 DATE ISSUED: 09/2711999 13125 SW Hall Blvd., Tigard, OR 97213 (503) 639-4171 PARCEL: 2S103CA-00208 SITE ADDRESS: 11560 SW FONNEfN' ST SUBDIVISION: WOODCREST I40.2 ZONING: R-4.5 BLOCK: LOT: 028 JURISDICTION: URB CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: _BOILERS/COMPRESSORSHOODS. FUEL TYPES _ 0 - 3 HP: _ DOMES. INCIN: LPG 3 - 15 HP: COMML. IACIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVE;;: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING LINTS TS: UMI FURN >=10('K BTU: <= 10000 cfm: GAS OTHER ER UNIOUTLETS: > 10000 cfm: Remarks: Water heater vent Owner: FEES _ I BOYTE, HOWARD W Type By Date Amount Receipt MARILYN K PRMT BON 09/27/19 $50.00 99-18642 11560 SW FONNER 5PCT BON 09/27/19E $3.51) 99-18642 TIGARD, OR 97223 — - Total $53.50 Phone: Contractor: GEORGE MORLAN PLUMBING + HEATING 12585 SW PACIFIC HWY (CCB EXPIRES 6/19/2002) REQUIRED INSPECTIONS__ TIGARD, OR 97223 Misc. Inspection Phone: Final Inspection Reg #:LIC 00002734 PLM 26-60P07 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Ore. Specialty 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 su-,pended for more than 180 days. ATTENTION: Oregon law requires you t(-, follow rules adopted in the Oregon Utility Notification Center. Those rules are set t.-)rth in (BAR 952-001-0010 thrOL!gh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503 246-9189. Issue By: DCV ` Permittee Signature _ -► Q: Tk 1 Crill (503) 639-4175 by 7:00 P.M. for irspections needed then business day SEP-21-1999 11:4H �/� U1 y t.01 IIUAKU Irllilalidllll:iil Pfrlllllr, N�IFJIIIafllult � 111 13125 SW HALL BLVD. Commercial arid Pesldential l� TIGARD, OR 97223 RECEIVED 4503) 639-4171, x304 � 1►.1FC f<t�fi- C��(p�> SEN 2 2 1999' Print Or TyDe W10 1 D'S a C /0& In 0M0t Ible applications will not be accepted Nem*d Deveom Descrlp(lon fable 1A Moulianiral Code Uh Price Amt_ ,lob Stress+Adrtrnan A Pernut Foo t6.Do 1) Furnace to 100,000 BTU Address Includln j ducts&vents maw footnote 1,2 9.85 saga cRyrJvie Z1p 2) Furnace 1017 000 BTU+ - Q�j ocludin duds&vents see footnote 1,2 12.00 Nrvne(rr name or Cvstnau) J 3) Floor FurnZe IncluOwnor 1 I�� J 1 �, Suspended nl In vent coo footnote 1,2 965 Maninp Adore, 4/ ( 4) Suapondod hoar,wall heater / or floor mounted heater see footnote 1,2 9.65 J/ Va) r6o '-or 5 Vent not Included In appilance w nit 4.75 cRyrState zip Pnm* Check all that apply 'Boller Heat Air �, 0� 'Z For Items 6.10,see or Pumcep p Cond Qty Pr Amt N v nwm d Or footnotes 1,2 - Com 6)�31HIP;abeorb unit to t OC K BTU ___ 9.65 Occupant M.ntn,lAddreu 7)3.15 HP,absorb unll l 100k to 500k BTU I 1765 ctryrsune IJp Phone 8)15.30 HP,abjorb - 4--- unit.5-' ml!BTU 24.15 - ___ 9)30-50 HP,absorb Gontractor NaAM unit 1-1.71.rill Biu _ 36.00 el 1p)>SCHP;absorb unit Prior to porrrie AUI1B+o�vdress ''--ll ��l ,/ ( / �1.75 mil BTJ 60.15 k"uanm,a copy urC[/ ,� /•�'(1 J7' 1' Air n?ndlin,;unit to 10,000 CFN of all l"rims c !fie --/ Lip Phone are required K C 6�] � �o��-�OCJ3U 12)Air handling unit 10,000 CFM+ mired in COT cones.C7.eoar.l Ue a Fop,eat* _ 1 1.75 database Z� _ �� - 13)Non-portnblo evaporate t000lor� T Archltoct Nairn l _ _ _ 114)Vent tan connected to a single duct ------ 7.00 or MaiiMg Add man _ 4.75 15)Ventilation system not included in _I appliance permit (l)Q �_r [leCL7('r' 7 00 Englnenr l Ry/Slffie �- -� zip Chome 16)Hood served by mechanical exhaust __ 7.00 Dascrdx+wort,to be done. T^� 17)Damestcc inunei Mom 1200. Nrw U Repair O Replace with Ike kind Yes O No,XY 10)Commensal or Industrial type incinerator Rmidertlal X romrmrasl 0 48.25 � 79)Repair units 44d6onal infomiatrr,n or tesuiption of work _ 8.40 t,h�y ulm 21)Gas piping one to four outlet%20)Wood stove/gas Fr ether unitL/dothe dryer/otc. - L TJ r(45iy 700 4OTEib: For Cornmertwl projects onty;Unover 400 lbs. __structural gas calcs. _ See footncte 1 _ 3.75 _ 'ype of fuel oil O natural gas,_ LPG O elodric O 22)Morn than 4-per outlet(s:,C 75 Minimum Permit Fan S50.rd SUBTOTAL I Mmby acknowledge that I hove road this application,that ilia Inforrnat or ' k SURCHARGE ? �. IK-en is aimed,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL .°+b'�• ", he owner,that plans submitted aro In compliance with Oregon Stale laws Required for ALI.eornmartlal rmits onl .. ------ - TOTAL C 50 clgnatu of OwneNAgent� Data ,' )3— Other Inspections and Fees: 1. Inspections ou'alde otr normal business hours(minlnurn charge-two :ontaict Person N-Te Phone hours) $60.017 per hour ��,, /QU ?^ 2. Inspections for which no fee Is epacHtwlly IndlcAtsd (minimum { C �Jc charge-hat' hour) $50.00 per hour oonotat for commer projects only: 3. Addltlon.i plan review required by changes,addltlons or rovlslons to Provide full echemat. existing and r,rnrxrawd on-1 litin anrt pmsvure. plans(trinlmum charge-one-half hour)550.00 per ho,:r Provide drowingj to scab showing existing and proposed mechanical unit J-� 'State Contractor Boiler CertlfirnGon rr►gwrad "Residential A/C requires sae plan showing pecarnont of unit 1:Vnechporm doc rev 0214/99 TnTgL F',�,-. CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-0.1076 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: PARCEL: 2S 103CA-00208 SITE ADDRESS: 11560 SW FONNER ST SUBDIVISION: 'WOODCREST NO.2 ZONING: R-4 5 --� BI OCK: --- LOT: 028 _ JURISDICTION:-UR3 CLASS OF WORK: ALT GARBAGE DISPOSALS- MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 40 rt DISHWASHERS: RAIN DRAIN: ft Remarks: Replace existing water line _ FEES ------- ----- Owner: -- ---- Type By Date Amount Receipt BOYTE, HOWARD W PRM4 GEO 03/10/200C $50.00 0000593 11560SW FONNER MARILYN K 5PC2 GEO 03/10/200C $4.00 0000593 11560 S - —__ .-- TIGARD. OR 97223 Total $54.00 Phone t: Contractor: CROWN PLUMBING 23172 SW STAFFORD RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Water Line Insp Phone 1: 771-9449 Final Inspection Reg #: LIC 000042 PLM 34-70pb ORIGINAL This permit is issued suaject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will he 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued 3 : / !/ Permittee Signature. �- Call (503) 63 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check#_-__ 13125 SW HALL BLVD. Commercial and Residential Recd By--_ �--__ TIGARD, OR 97223 Date Recd (503) 639-4171 ? Date to P E �j Date to DST _ __ Print or Type permit#�GM�OoO "��.�(o Incomplete or illegible applications will not b,• accepted - Related SWR# Called Name of Development/Project FIXTURES (individual) _ QTY �PRICE AMT Job 0 t, Sink --- 11.E0 -- � - Address Street Address Suite Lavatory Tub or Tub/Shower Comb 1 `� Bldg# City/State Zip — -- — 1 1 50 :ihower Only -- Water Closet 11.50 NameUrinal _--- 11.50 Owner MalllnQ Aor"s 8uite Dishwasher 11 50 6,L1 Garbage Disposal 11.50 Cf I tate �? Zip Phone Laundry Tray — 11.50 1 Name Washing Machine/Laundry Tray — 11 50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" �— _ 11.50 — _ 4" _ 11.50 City/State Zip Phone Water Heater O conversion O like kind 11 50 Gas piping requires a separate mechanical permit. Name 1 ` Aj Pu VVI I IV' MFG Home New Water Service 32.00 Contractor Mailing Address J Suite MFG Home New San/StormSewer 3200. 5 i J I `% j FV cw,c,5 Hose Bibs 11.50 Prior to permit Clt tete A Zip G Phone Roof Drains 11.50 issuance,a copy c le He+e ! U iq 7 7.2 d� - y y y y Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Board Lie.# Exp.Date required it )4, 71 0(. J-40 e 1' Other Fixtures(Specify) 15.00 expired in COT Plumbing Lie.* Exp.Date database �'1 '< In 13 io Ztluv Name Architect Sewer-list 100' — 38.00 Or Mailing Address Suite Sewer-each additional 100' 3200. En ineer city/stete Zip Phone N�.ar Service-1st 100' { 38.00 Engineer Water Service-each additional 200' 3200 Describe work to be done: Storm b Rain Drain-1 st 100' 38.00 New 1P Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 3200 Residential O Commercial O Commercial Back Flow Prevention Device 3200. Additional description of work: --- / Residential BackOow Prevention Device' 1900. ✓ j c_..` -- Catch Basin 11 50 Are you capping,movinq or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 5000 Yes O No O Inspectionsper/hr If yes, see back of form to indicate work performed by Raln Drain,single family dwE --- 45 00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application,that the Information Isometric or riser diagram Is required it 0ar•,ty Total.s >s given is correct that I am the owner or authorized agent of the owner,and •SUBTOTAL that plans submitted are in compliance with Oregon State Laws, Signature of Owner/Agent Date — 8% SURCHARGE Contact Person Name I Phone * 1 . "PLAN REVIEW 25%OF SUBTOTAL `� L Requxed only it fixtu a qty total is>9 1 BATH HOUSE$178.00 TOTAL 2 BATH HOUSE$250.00 3 BATH HOUSE$285.00 - ---- (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum permlt fes is$50+8%surcharge.except Resluential Backflow Prevention 100 feet of sanitary sewer storm sewer and water service) Device which is$25.B%surcharge -All New Commerrlal Buildings require plans wllh isometric or riser diagram and plan review I%dstslformslplumappdoc 11/113/99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New — Moved Replaced Removed/Capped Sink _ Lavatory Tub or Tub/Shower Combination Shower Only _ Water Closet Urinal — Dishwasher -Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink —2" - " Water Heater_ — Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I1dJIJlfrrrnsl(rluninlrl,clrx 1111 P'9`7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested ` ' --AM-1- PM BLD Location � ( > �' y ►r"i�►�j � Suite `MEC "I Contact Contact Person I .Y lobo— Ph - PLM Contractor _— Ph — SWR BUILDING fenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain ____ SGN Crawl Drain Inspection Note y. Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ _--- - --_-- _ .-.- Firewall Fire Sprinkler _-__- _,-__ _- Fire Alarm Susp'd Ceiling -- ---------- --- -Roof Jr Misc:__ - - --- -- --= Final PASS PART FAIL - - - ----- -- — --- -- PLUMBING Post 8 Beam Under Slab TopOut �— - ------- ---- ---_______._.--_.-- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post&Be:m ---- --- ---- -- --._....- - Rough In Gas Line _ - - -- ---- _- - --- Smoke Dampers SS PART FAIL. RICAL _- Service Rough in UGISIaL Low Voltage Fire Alarm — ----- Final PASS PART FAIL SITE Backfill/Grading — Sanitary Sewer Storm Drain [ ] Reinspection fee of$T required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:_ _- [ ]Unable to inspect no access ADA Z Approach/Sidewalk DateInspector__ ��..�s�-----� Ext> Other d �' Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. i #t t CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business i.ine: 639-4171 — BUP Bate Requested � AM�_PM BLD �— I l 5(� Location6�1 V1-p/ �f" Suite _ MEC Contac Person ( eX bSLt_, f)efL) 1S _ Ph LM — Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wal _ ELR Footing Access-. Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes. �� -- Slab - --- ---- --- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: -- Final PASS PART FAIL— ft AIL ---__ - - -- r_ L J . Post& Beam -- - - .. --- -- ----- --7 Under Slab Top Out _ - Water Service Sanitary Sewer - - - - - - Rain Drains In -- - AS PART FAIL ANICAL Post& Beam Rough In Gas Line - Smoke Dampers Final - - PASS PART FAIL ELECTRICAL - - - Service Rough In ---- --- UG/Slab Low Voltage - - - Fire Alarm Final PASS PART FAIL SI--E Backfill/Grading ----�— -- — - — — -- Sanitary Sewer Storm Drain [ )Reinspectiun fee of,; _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call fcr reinspection RE' Fire Supply Line [ p - __ [ Unable to inspect-no access ADA � Approach/Sidewalk � r Other Date �� V Inspector_ Ex' F-inal PASS PART FAIL--- 00 NOT REMOVE this inspection record from the ,job site. CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00334 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/19/03 PARCEL: 2S 103CA-00208 SITE ADDRESS: 11560 SW FONNER ST SUBDIVISION: WOODCREST NO.2 ZONING: R-4.5 BLOCK: LUT: 028 JURISDICTION: TIG CLASS OF WORK: ALT FLOOK FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT DANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ( AS 3 - 15 HP: COMML. INCIN: MAX INPUT: DTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPF.<<S7: 30 - 50 HP: WOODSTOVES: GAS PRFi,5URI:: 50 + HP: CLO DRYERS: FURN < 100K BTU. 1 AIR HANDLING UNITS OTHER UNITS: FURN >-=100K BTU: <= 10000 cftn: GAS OUTLETS: > 10000 cfm: Remarks: Replace gas furnace and install A('. Owner: FEES BOYTE, HOWARD W Description Date Amount MARILYN K 6/19'03 $72.50 11560 SW FONNER Ihtl c'II� I crnuw I rr I u� 6/19/U3 $5.80 n\I TIGARD, OR 97223 Phone: ti�;�i Total $78.30 Phone: 5113-59(I-19?'_ Contractor: COLUMBIA HEATING + COOLING INC P.O. BOX. 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS____.___ A Phone: 50Heating Unt Insp Cooling Unt Insp Reg#: LIC 76359 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: l_. �,� ,� rLc'111 Permittee Signature:,_ Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business da Mechanical Permit Application Date received( _ Permit no City of Tigard Project/appl,no.: Expire date: City of Tigard Addreft: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - Building permit no.: -7-/ r 7FJ-J & 2 family dwelling or accessory J CoinniercuiUmdustrial U Multi-family O Tenant improvement w construct on ;/Additio«/alteiation/rep!ice nient U Other Job address: ', Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.; Suite no,: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no. profit. Value$ _ Lot; Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for rez'.dential permit fee City/county: ZIP: _ Descnption and loc tion of w rk on premises: I _ /�/l�S�aLt L htr(rss.l liital Est.date of completion/ins action: Ikwcii,Uon Oil Rrw.onW ItfK „ni, Tenant improvement or change of use: r Is existing space heated or conditioned?U Yes U No Air it conditioning(site plan require Is existing spnce 1nsul11ed7 U Ycs U No teratlon o existing A system _ of er compressors 1lusincss name / Stere boiler permit no.: -_L.QLL/li1�11 �1�4 �" G•%�� HP —_Tons BTU/H Address: /1 Fir smo a amper uct smoke detectors `- City: State: ZIP: all Heat (site plan required) Pl-one: Fax' E-mail; InstaIVreplace urnac urner -- Including ductwork/vent liner O Y•s No CCB no.: ` 3 _ nsta rep ac re ocate eaters-suspen e , City/metro lic.no.: j 7 wall,or floor mounted Name(please nnt): 6 o/IsC-A ent or affiance Ri erthan urnace- e gest on: Absorption units BTU/H Name: SAN q , Q �f� Chillers HP Address: Com ressors HP -- a ronmenta ex ust atr vent at on: City: State: LIP: Appliance vent Phone: Fax E-mail: Dryer exhaust oo s, ype res. itc a azmat hood fire suppression system Name: ��, Exhaust fan with single duct(bath fans) Mailing address: x iaust systema>an ron itingorAC State � zIP: 9 Z..7--3 are p p ng and up to outlets) City. Tye_ LPG NO Oil Phone. mill Fuel i in eac additional over out.as rocess p p g(sc ematic require. ) Name Number of outlets ter edaipplIance or equipment: Address: _ _ Decorative fireplace City- ,, ity: State: ZIP. nsert-ty aWo— -- _ Phone: Fax E-mail: he toy et stove Applicant's signature: [?ate Other: -�" � other: rtd all Jusisdktiasu weep credit cards,please call Jurisdiction for mare information Permit fee.....................$ _ a visa O MasterCard Notice:This permit application Minimum fee................$ _ Credit fnrd number expires if a permit is not obtained _ 96) _ — within 180 days ellPlan review(at $er it hes been State surcharge(8%) ....$ Name 9-cA-Zoldef as 1 owo on credit earl-— accepted as complete. S TOTAL ............ ..........$ Cardboldet sipature W i l 4144617(WOCOM) HEATING & COOLING, INC. 8900 S.W. 31P-LNI IAM ROAD, SUITE E 110 "I► ARD, OR 97223 (503) 624-2704 FAX (503) 598-02711 �D JOB ADDRESS: SeAj SITE PLAN FOR AC OUTDOOR UNIT LOCATION CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)630-4175 -- INSPECTION DIVISION Business Line: (503)639-4171 MST ----77 BUP Received Date Re uested _.__1��!—___ AM—______ PM BUP Z� Location � ��_ _<<_--_pp__ _�___. ----- Suite MEC L1_" 663 Contact Person Ph(---.---) ?— f PLM _ Contractor SWR BUILDING Tenant/Owner —. ELC Footirig -- ELC — Foundation `- Access: Ftg Drain ELR Crawl Dain slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear li it Sheath/Shear ---- F,aming __—_ — ----- -- — _ insulation Drywall Nailing -- — - -- Firewall !� Fire Sprinkler Fire Alarm Susp'd Ceiling Root � - -----..--- Other: Final PASS PART FAIL -- PLUMBING _ ._..Post&Beam ------ - — -_ ------ -- Under Slab — — — -- Rough-In Water Service — — — Sanitary Sewer Rain Drains -- -- -- - Catch Basin/Manhole Storm Drain - -- - — -- Shower Pan Other. - ----- Final ---Final PASS PART FAIL MECHANICAL Bost&Beam Rough-In _.---------- Gas Line S e Dampers PART FAIL ftnTRICKL____' Service Rough-In UG/Slab -- ----�--- -- Low Volioge Fire Alarm Final ' Reinspection fee of$ required bete,a next i,:spection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _____-__ U-able to inspect-no access Fire Supply Line ADA Approachi Sidewalk Date _ - Inspector Ext Oiher. _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL