11120 SW HALL BLVD V
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ADDRESS:
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CRY OF TI A
G RD BUILDING INSPECTION NOTICE
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Q Inspection Lane (Rec-O-Phone):639,4 i75 Business Phone: 639 4171
Inspection: ---�
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Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ch, Rough-inr-6 Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing um
Alarm Water Line Insulation Mach. r`� x�`i°'r jd3 -
Underllr. Insul. Shear Wall Gyp. Bd. Elect.
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Date Requested: c� Time: PM
Address:
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Builder:
Permit#mf����.� O 3 b ! J i� .
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THE FOLLOWING CORRECTIONS ARE REQUIRED: r`—✓� 1.5
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inspector:k � Date:
JAPPROVED _DISAPPROVED APPROVED SUBJE�T TO ABOVE
Call For Reinsp. e
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CITY OF TIGARD BUILDING INSPECTION NOTICE �/`�'
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4T71
Inspection:_/- -
Footing Susp. Ceiling �quqh-in i,Appr/Sdwlk
Foundation Plbg. Underslab C.Mech. Rough Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Cas Lina -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 40
Alarm Water Li a Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd, Elect.
Date Requested: �(� l l S' Time: / AM __PM
Address: // / D. C, LL
Builder: L �_ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
F---b - ---- - . .
-ALP -
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Inspector: _ Date:_ / J
__APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
2all For Reinsp.
�
! CITY OF TIGARD BUILDING INSPECTION NOTICE
inspect'.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
! Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
i
Foundation Plbg, 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 -Plurnh.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM —_—PM
Address:
Builder: _
Permit #:���� "
THE FOLLOWING CORRECTIONS ARE REQUIRED: �� Z
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Inspector: -- Date:—
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
YINCall For Reinsp.
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CITY OF TIGARD
M COMMUNITY DEVELOPMENT DEPARTMENT' d, Y
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839.4171 l lJ#. . f. . F I"FI a 1
DA3'I' I JSLIi D bra!1 J. 9
al SITE ADDRCt's^. rel HALL 1)!-VD
UBDIVISTON. , . . p METZGCCP ACRE TRACTS ZONING^ R- 12'
L_CT. . . . . . . » . . . . . .."r
--LAS OF t«Jt?i71�,. » :AI..T GAP,PAGr D I SrOSAl._S. » � t�Cll�I1.-E HOME St''ACE:ti. W
TY'`tC OF USE. . . . %EF WASHING', MACH., , . . . . . PACF,F"LOW PPEVNTPS. .
' r-Cl. PANCY GRP. . :R? f"L.f�C'R DRAINS, . . . . . . Tr:P!='7. . . . . . . » » . . . . . �
STORIES. . » . . . . . : 1 WATER HF ATERC. . . . . . . 1 CnTCE{ BASING. . .
F"Txr(J!E,,.._ ..-._........,._..._.. ,.._.. LAI_Jh!DPY TPAY`'- , . . » , )F!" RAIN 1:°PAINS. . . . . ti
SI�1!da. . . . . . . . . . URINALS. » » » . . . . . . . . . GREG SE TRAPS. . . . . . .
'-_AVATCIPIC!% . „ . . :; OT!-1I":r !� 'I XTURE:S. . . . .
TUB/^FIGWERS. . . . SEWER LINE" (ft) . . . . s
WATC'P CL."F7:T`. ., WATER 1_.I NE ( Ft, ) . . . .
rIFi -114AE;HEPC , . . . . PAIN DRAIN !ft ) . . . . .
Re!n4ir ks . T , t��J11. wat k=r, 1.1
Ownr . - �._. .,._._.-........_,_._.__. __.._.,_._._._.�_..___,_. ___-_._�.__.._�_...._.__...-.___. ._ FEES
!?I,OtIDf� G-'C"(-I!. r-4m t} n Ly A t e r ec:Pt
SW Hr'lt._!.. BLVD ARMT 1 00 JSD 0�)/11,/'x"; 9i 0
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C-; tr-ac_tar„ _._. _._.__._..___...._..__..__._,._ .._..__ _.............
ENE:RC:1Y MASTER-3 INC
7470 SW -76TH
r''ORTi_AND OR 97223 _. _____._.._._....._..._.........._.. _.._.._.___,__._.�,.._.-.___. _.__.
Phone #a 2,44..5c'3rl,! R j'G',. t''5 TOTAL_
oris persit is issl4ed subject to the regulations contained in the f i ri�i.l. I 0T1
%gard Municipal Code, State cf Ore. Specialty Godes and all other _
applicable laws, All worm will be done in accordance with
approved plans, ?ris permit, will eypire if work is rot started _.__._._..._.....__.__..._._�- __--
within IW days of issWance, cr of wort, is saspe?ded for more
than In days,
_
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C,39 4175
F 6..,, .q
City of Tigard MECHANICAL PEWIT Planck/Rec. # _
13125 SW Flail Blvd. APPLICATION Permit # M6COff�
Tigard, OR 97223
(503) 639-4171
N.—^ / !,� escr ption
�Y C n Table 3A Mechanical Code OTY PRICE AMT
.lob fi(G/�/zD f�11 �� ?� 1) Permit Fee 0- -0- 10.00
Address ••
2) Supplemental Permit 3.00
.m.^ ..«., Furnace .a 100.000 BTU
m�j(//�� . 1) incl. ducts &vents 6.00
Owner 2U 5` 2) incl ducts &vents 7.50
•• 4Floor Furnance
3) incl. vent 6.00
—I.^•m•^ •• - Suspended eater, wall eater
4) or floor mounted heater 6.00
ii • Went not me. in
Occupant 5) appliance permit 3.00
_717—•• Repair of heating, re ng.
6) cooling, absorption unit 6.00
•^• oier ur comp, heat pump, air cond. —
7) to 3 HP: absorp unit to 100K BTU 6.00
o XM— T •^• Boiler or romp, heat pump, air r_on .
?4 � 5r 7(O 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor ,�„•„ offer or comp, heat pump, air cond.
O 9) 15-30 11P; absorp unit 5-1 mil BTU 159J
►•^^°^^ • of er or.omp,� at pump,air cond.
10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 4
ernowleoge that I have read this application, that the Boiler or comp, Reat pump, air con ----
4 rnformatio, given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 3750
,gent of the owner, that ptans submitted are in compliance with Air handling unit to
State laws, that I am regt!:'ered with the Construction Contractor's 12) 10,000 CFM 4 50
Board, that the number (7 van is correct. (If exempt from State Air handling unit
registration, please give reason below) 13) 10.000 CTM * 750
on portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 300
J^
Ventilation system not
(ey 16) included in appliance permit 4.50
Hood served by
1 7) mechanical exhaust 4 50
Describe work new addition 7F a teration (j repair (J Commercial or industrial
to be done residential (� non-residential 1 18) type incinerator 30.00
Existing use of Other i e., woo stove. water
building or property _ 19) heater, solar, clothes dryers. etc. 4 50 t
Proposed use of �� r I 20) Gas piping one to four outlets 2 00
building or property —1
21) More than 4-per outlet (each) 2.00
Type of fuel -oil Q natural gas LPG O electric Q
tNOTICE --
Minimum Fee 525.00 SUBTOTAL Z)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5",16 SURCN RGE x
IF CONSTRUCTION OR WORK IS SUSPENDED OR — — ---
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL i
AFTER WORK IS COMMENCED --
It
TOTAL
Special Conditions
Date issued _by
'LOGWEISTS,MECHPUT
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'50
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F'1J171'O iF: i1C t• HlY101,IN 1 FAN J.C', I'►IFtI-'(J!;F 1.'IF RF4VMH:61 1 l-IM►.i1Jlr!I 11.0
t='!.1 IMk�J lV13 1='i`►�M I ►.M9"�� ir'�F'a PN. 00
MIFI_WHIN i CAl... pl— h11: 4�!�i..►� o I'i F1 �
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11ECHANIL
C11YOF T1GAR® PERMIT #. . . . . . . : MFC9�; 0.`i
COMMUNITY DEVELOPMENT DEPARTMENT DPTE ISSUED. 00/11/95
13125 8W Haul Blvd.Tigard,Oregon 97223.6199 (503)839.4171 PARCEL: 1 S 13 SPA-00; 00
S11"E PP R(_-n3. . . 11.120 SW 1441-1.. S-LVD
SUBDIVISION. . . . : MET70ER AC PE TPPCTn ZONING, R-12'
a
BLOCK.
. . ., . . .. LOT— '; 't
CLASS 01 WORK. „ :AL.T r-'!,JPN. . . . c EVA,." CCOLEMG:
TYPE OF USE'. . . . :SF UNIT HEATERS. . : VEN r FANS. .
OCCUPANCY GRP. . g R7 V[-::NTG W/0 I'1PPL,r, VENT GY5TI71IS: �
! STORIES. . . . . . . . ; 1 DOIL.1wR /C OMPREt` 1'DRS HCODG. . . . . . . ..
DOMPTL INCIN:
:/GAS/ / 3--19 VIP. . . . : COMML. I NG I N: �
MAX INPUT : ITU 1C- -112) Hp, . . . : f;ER•MP UNI T'0.
FIRE DAMPERS?— 30--50 HP. . . . WDODSTOVES. .
GAS PnESSURE. . . : 0-1- HP. . . . : ^1-0 DRYERS. ::
NO. OF 11NI75- .-_...._._.._._._._ PIP HANDLING UNITS OTHEP UNITS. ; •
FURN < 1.00K 1•ITU- 1. ( 1.0000 t:I'm: GAO 113UTME-7 a,
FURN ?=100K STU- ) t0000 cfm :
Poiaa-ks : Tn3t.al. l fi.tr,nac_e <zn�i x3ip3inrg one to foixt, ol-Itlets
FEES
PHONDA PEM! type amo�_tnt by date rec=pt
11120 SW 1--TALL BLVD PRMT $ ?3. 0(A JD 2+9/11 /95 951-�'7el 2 71
3pr-l- $ 1. 23 JD
TTGARD OP
Phone #o
'k Lontr srtor: - _.._...._._.._......._....___ ..._.._.- ---.._._... __.__.___
'i
ENERGY MASTERS INC
7470 GW 7t-.'T -i
r'nRTL.AND OR 87223 -.._..._._....____....,....._ _ __._...�.,_. _._..,_..__..
e
Peg
REOUTRED INE)PF:CTIONS ...,_.,._.__,.
This permit is issued i0ject to the regulations contaired in the i-i nia l.. I r)e,pe:.,t i on
Tigard Municipal Code, State of fire. Specialty Cedes and all other
applicable laws, All ►,or`r. will be done in accordance with
approved plans. This percit will expire if work is not started
withir 189 days of issuance, or if work is suspended for more
than IN days.
4
far- ins)3ection - t ?9 4171-
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City of Tigard PLUMBING PERMIT APPLICATION Plar;ck/Rec. #
13125 SW Hall Blvd. Permit # �
Tigard, OR 97223
(503) 639-4171 I,
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
a•m..,o«...,�«w - New Single Family Residences Only
�-
071 TH h3IJSE$140.00 ❑ 2 BATH HOUSE$195.00
,lob 15 ❑ 3 BATH HOI ISE$225.00
Address zip Fee includes all plumbing fixtures in the dwelling and the first 100 feet
� -7-2 3 of water service, sanitary sewer and storm sewer See ries below.
N...,.-.1Bu .., FIXTURES CITY PRICE A.MT
/Z/�-09 �Pf e-(C
Sink 9.00
M.09 Ada- C .s.,�!- P"-* Lavatory 9.00 �
Owner ' U l' �l,rJ ` t �� Tub or Tub/Shower Comb. 9.00
COMM. :b Shower Only 9.00
1'7 AjE',"r? `Nater Closet 9.00
N.m. Dishwasher 9.00
`fir r Garbage Disposal 9.00 I
Occupant Mtl g ti, �,• r*•�• Washing Machine 9.00
Floor Drain 9.00
cra,n.
zip Water Heater 9.00
Laundry Room Tray 9.00
N• !� Urinal 9.00 r
ww S//x- Other Fixtures (Specify) 9.00
MNny r,�.... anergy. 9.00
Contractor 9.00
cevra.r. 00 -- 9.00
Sewer 1st 100' 30.00
SIM.R."00-N. un 9+ T..Ne Sewer-ea. Addit. 100' 25.00
�7 Water Service 13t 100' - 30.00
I hereby acknowledge that I hava read this application that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorizer) agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' a�00
I am registered with the Construction Contractor's Board, that tea Storm 8,Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please -
give reason bel ) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device _ 9.00
v. .a+ n �•• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new addition Q alteration repair (� Catch Basin 9.00
to he done residential (� non-residential O/ ~ Insp. of Exist. Plumbing 40.00/hr
-
Existing use of Specially Requested Inspections 40.00/hr
/
1
building or property Rain Drain. single family dwelling 30.00
,-� -,
Residential backflow prevention
devices 15.00
Proposed use of (NC�.
building or property _ l _
'(Except residential backflow
Prevention devices)
_ - I
NOTICE 'Minimum Fee $25.00 SUBTOTAL C
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ,'VORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Soec,al Conditions
Date issued _ i,by
LI1