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13740 SW HILLSHIRE DRIVE ' si:•w4;; ..i7��tlpJ.uHs':.,,�'M164.r..,,u+:� y..'a•..d:: .. .4�w'e1+ Uwfr�rv�:9u��rR1fJF.�QA4,+i�r`�1}iuM�`•Rr 'F9dr4� wYFFA�� r4VllNF, J��..�t� ,•.�1G�'7 ?� f ' I W r H r r H C7 H I ` 1 _, 13740 SW HILLSHIRE CRIVE __ CITY GF TIGARD '-CHANICAL- DEVELFPMENT SERVICESPERMIT PERIhIT #. . . . . . . : MEC98-0173 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/12/`38 PARCEL.: CSS 104CD-02100 SITE ADDRESS. . . : 13740 SW H I I_.I_SH I RE DR SUBDIVISION. . . . : H I LLSH I RE ESTATES ZONING: R-7 PD RLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . :0 _1 JU•tISDICTION: TIG CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EV(iP COOLERS: 0 TYPE OF USE. . . . :SF UNIT' HEATERS. . : 0 VENT FANS. . . : 1 OCCUP(.NCY GRP. . :R.?, VENTS W/O APPL.: 1 VENT SYSTEMS: i STORIES. . . . . . . . : 0 BOI1...ERS/COMPRESSORS HOODS. . . . . . s 0 FUEL TYRES-_ -- -_-- - - - 0-3 HP. _ . . : 0 DOMES. I AJC:I N: 4 3-15 HP. . . . : 0 COMML.. I NC i N. 0 MAX INPUT; 0 BTU 15--30 HF'. . . . 0 UNITS- Q, F IRE=. DAMPERS?. . : 30-50 HP. . . . : 0 I4GOI)7 i C;'1ES. . : Qi GAS PRESSURE. . . : 50•+ HP. . . , 0 '.LO DRYEPS. . : 0 NO. OF Ut\!I'fS----- --- -- AIR HANDI-I NG UN I TS OTHER UNITS. : 0 FURN < 1001; BTU: 0 <= 1.0000 cfm: 0 GAS OUTL_ET'S. : t FURN ) =1.00K BTU: 0 ) 10000 cfm: 0 ( Remarks : Add gas lines, fan vent and water heater vent to an existing residence. Owner: _.____..___.._____.__.._-..___._________._---______._____-_------ ---- FE-3 -------------_- TODD ZENNER type amount by date recrt 13740 SW H I LLSH I RE= DR PRMT E 25. 00 SEU 05/12/98 9,8--:305687 TIGARD OR 97223 PCT $ 1. 25 GED 05/12/98 98--305687 r1hone #: Contr,ar_tor: ------------------------ SPECIALTY HEATING R FABR 1 CAT I G 9528 SW TIGnRD ST f 26. 25 TOTAL iICARD OR 9_, 223 Phone #: 620-5643 Reg t+. . : M06657 -- ---- - REGII.I I RSD INSPECTIONS ----- This perut is issued subject to the reguiations contained in the Gas Line 1n=_N _.- Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection _ appli,�dble laws. All work will be done in accordance with Final Inspection approved plans. 'ibis pereit will expire if work is not started within 180 days of issuance, or if work is suspended for core _ than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set firth in OAF 952-881-0010 through OAR 952-Wl-0080. You eay obtain copies of these rules or direct questions to OUNC bti calling (583)246-9187. I s 5 -1 p By! _ _ _ F'e r m i't t e e S i g r,a t�..i r e �lil_�I,LLQJ _ ++++++++++++++++.�-++++++++++++4-+++++++++++++4+++++++4-+i•++++++-++-+++.++++++++++++++ Call 6:39- 4175 by 7:00 p. m. for- insper-tions needed the next bi_isiness day ++++++-F++t+4++++++...++ +++t++ 1++++++++++++++++4++++4+++-4-++++++++++i+t++++++++++ elan�,necx�_ CIT'l, OF T IGARD Mechanical Permit Application Recd By 131 SSW HALL BLVD. Commercial and Residentiai Date Recd Tlr ,R;), OR 97223 Date to P.E. (5 3) 639-4171, X304 Date to DST Print or Type Permit* hodLe 9�5- c7/_�13 s7�1 Called Incomplete or illegible applications will not be accepted - Name of Develo{. endProtoo /I Description? '! � {/1 P; Table 1A Mechanical Code CITY PRICE AMT Job Street Address Surtex A) Permit Fee -0- -0- 10.00 Address Bldg# Cdy/State Zip 1.) Fumace to 100,000 BTU 6.00 including duds&vents _ Name for name of business) 2.) Furnace 100,000 BTU+ 7.50 Owner �� ze-ki rl 4 e, including duds a vents Mailing Address 3.) Floor Furnace 6.00 i r'•t ) Y J� �! !✓i includinn vent _ _Cry/Satepp v Z�i7p Phone 4.) Suspended heater,wall heater 6.00 I l c 3-te f R._ 7 7c�/.� ,JQ(tit or floor mounted heater Nom4F( name of business) G) Vent not included in appliaice permit 3.n0 Occupant Mailing Address F ,,oiler or,omp,heat pump,air cond. ' 0 to:HP; jbsorb unit to 100K BUT** _ City/strte zip Phone 7.) Bofer or comp,heat pumo,air Gond. 11.00 3-15 HP;absorb unit to 500K BTU" Contractor Name 8.) Boiler or comp,heat pump,air cond. 15.30 ,rUL4 15-31)HP;adsorb unit.5-1 mil BTU" Prior to permit Mailing Address 9) Boiler or comp,heat pump,air cond 22.50 issuance,a copy ` n ; 30 50 HP;absorb unit 1-1.75mil BTU" of all licenses city/State 1, 7n, Phone 10.) Boiler or comp,heat pump,a.. '-- -37 37.50 are required if r c Q.( �� /�"'0 wU`54,k' >50 HP;absorb unit' 75 mil 13 _ expireh,.n COT ore9 Const.Coltl Boots l k.M Exp.Da1s 11.) A;,-handling unit to 10,J00 CFM 4.50 database_ r'r1y __� c' r) .•� Architect Name 13) Non-portable evaporate cooler 4.50 or Meiling.4ddiess 14� Vent Pin connected to a single duct / 300 Enainier City/state Zip I Phone 15.) Ventilaton system not included in 4.50 _ appliance permit Describe work New O Addition O Aiteration(V Repair O 16) Hood served by mechanical exhal-st 450 to be done Residential O Non-residential O Additiunal Des(.6plluu of work. I/.I Domestic incinerators 7.5(' 18.) Commercial or industrial type 3000 Incinerator _ Existing use of 19.) Repair units 4.50 building or property ?) Wood stove 4.50 Proposed use of /) 21 ) Clothes dryer,etc. 4.50 building or property /'0 (L _ _ 22) Uther units 4.50 Type of fuel-oil J natural gas LPG O electric O 23.) ('As piping one to four outlets ' 2.00 1 hereb, acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State ^� CITY.SUBTOTAL_ laws Signature of Owner/Agent q_ Date - *SUBTOTAL 51 5%SURCHARGE -- _ Contact Person Name Phoria PLAN REVIEW 25%OF SUBTOTAL r'PA.tit e I S TOTAL - i:\rnechpmt.doc (rev 9 'Minimum permit fee is$25+5%surcharge "Residential A•C requires site plan showing placement of unit CITY OF TIGARD 1" 13125 S.W. HALL BLVD. {( TIGAHD, OR 97223 /I IMPORTANT HERM!T NOTICE WILSONVILLE ELECTRIC INC PO BOX 645 WILSONVILLE OR 97070 Electrical Signature Form Permit # . . . . : MST98-0108 ' Date Teeued . : 04/27/98 Parcel . . . . . . : 29104CD-02100 Site Add.rese : 13740 SW HILLSHIRE DA y Subdivision . : HILLSHIRE ESTATES Block . . . . . . . . 1'ot : 021 Jurisdiction : TIC; Zoning. . . . . . : R-7 PD Remarke : Finish basement . Your company has been indicated as the electrical contactor for the permit indicated above. In order for the electrical permit tv be valid, the signature of the supervising electrician is required. Please have the appropriate individual from yuur company sign hAlow Anl rfiturn this Electrical Signature Form prior to the start of work to the address above, A TTN: Building Dept. No electrical Inspections will be authorized until this completed farm is received. AN INK SIGNATURE IS REQUIRED ON TRIS FORM OWNER ;-"1,FCTRICA. CONTRACTOR : TODD ZENNER WILSONVILLE ELECTRIC INC 13740 SW HILLSHIRS DR PO BOX 845 TIGARD OR 97223 WILSONVILOR ; 707 Phone # : Phone # : b 3 S3 3 Req 00 57 CIn slurs -9uFery sWin g ctncian If you have any questions, please call 639 41 11 , ext. #310 ,0 39k1d JILIIJ313 31IIANOS'110 0088-B69-609-T 9Z:5 t 866 T/t T/90 CITY OF TIGARD 13125 S.W. HALL FLVD. TIGARD, OR 9722:1 IMPORTANT PERMIT NOTICE RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN OR 97062 Plumbing Signature Form Permit # . . . . : MST98-0108 Date Issued. • 04/27/98 Parcel . . . . . : 2S104CD-02100 Sita AO dress : 13740 SW HILLSHIRE DR Subdivision. : HILLSHIRE ESTATES Block . . . . . . . Lot_ : 021 Zoning. . . . . . R-7 PD Remarks : FJnish basement. Your company has been indicated as the Plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your cornpany sign below and return this Plumbing Signature Form pr�or to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER : Pi,UMBINC CONTRACTOR : TODD ZEIJNER RAYBORN' S PLUMBING INC 13740 SW HILLSHIRE DR PO BOX 69 TIGARD OR 97223 TUALATIN OR 97062 Phone 4 - 579-41.07 Phone # : Reg # . . : 00J878 Signature of AuthorizEd Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 a CITY GF TIGARD MA,raTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0108 13125 SW Hall Blvd., Tigard,OR 97223 (503)610.,",71 DATE ISSUED: 06,'05/"18 PARC:ErL_: 25104CD-4 _100 'Tr Al)L)RE4S'3. . . : 13740 SW HILLSHIPE DR 'l3D 1 kJ T 7I ON. . . . :H I LLSHI RE ESTATES ZONI NC: R-7 PD OC'K. . . . . . . . . . L_OT. . . . . . . . . . . :021 JURISDICTION: TIB rkF: Finish basement. ADDING PLAY ROOM ABOVE GARAGE ---------------------------- BUILDING ------------------------------------------------------- ;hE: DORIES.......: 0 FLOOR AREAS---------- BASEMENT...: 1100 sf REQUIRED SETBACKS—-- REOUIRED-------------- C Of' WORK.:AI-T HEIGHT........: 0 FIRST....: r sf GARAGE.....; 0 sf LEFT..........: 0 SMOKE DETECTRS: Y T OF USE...:5F FLOOR LOAD....: 40 CECOND...: 288 sf FRONT.........; 0 PARKING SPACES: 0 1, : OF CONST.:°,N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 1 TOTAL------: 288 sf uAIME-1: 92857 REAR..........: 0 ------------- PLUMBING ------------------------------------------------------------- - SINKS.........: 1 WATER CLOSETS.: 1 WASHING MACH-: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS......... . LRVATORIFB....; i DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS.. : 0 'UB/SHOWERS...: 1 GARBAGE DISP..: 1 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GRENSE TRAPS.. : 0 OTHER FIXTIiRES: 0 ------------------------------------------------------- MECHANICAL ------------------- FUEL TYPES------------ FURN l 100V .. : 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 1 CLOTHES DRYERS: 0 GAS FURN )=100K . 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 6 WOODSTOVES....: 0 GAS OUTLETS...: 1 --------------------------------------------------------------- ELECTRICAL ------------------------------------------------ —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLrWOUS--- --ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 WiSVC OR FDA..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 1 201 - 400 amp.. : 0 201 - 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER QJR......: 0 LIMITED ENERGY.: 0 40: 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIA: 0 SlG AI_iPP EL...: 0 IN PLANT......: 0 MANF 4M/SVC/FDA: 0 601 1000 amp.: 0 601+amps-1000 v: 0 M*.NQR LABEL -10: 0 1000+ amp/volt. : 0 --- ---------------------------- PLAN REVIEW SFCTION ------------__--.-._________---_.. Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 6Na v a. INAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY --------------__-•---------------_w__—__------- A. SF RE,IDENTIAI------------------------- B. COMMERCIAL. - -- ----- --------------------.-..-.------------------------------.. AUDID 6 STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..- 0TH: :: POILER.........: HVAC............ LANDSCAPE/IRR1G: PROTECTIVE SIGNL: GAPA'f OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....; TOTAL A SYSTEMS: 0 Owner: -------------------------..----_-- -Contractor: ----------------------------- TOTAL FEES;t 972.40 TODD ZENNER BOB SAMUELS INC This permit is sub.iect to the regulations contained in the 13740 SW HiLLSHIRE DR 8735 SW LEHMAN ST Tigard Municipal ride, State of Ore. Specialty Codes and all TIGARD OR 97223 PORTLAND OR 97223 other applicabl.. laws. All work will be done in accordance. with approved pl.:ns. Phis permit will expire if work is Phone 4: 579-4107 Phone 4: 246-4730 not started within 160 days of issuance, or if the work i, Reg N..: 15271 suspended for sore than 180 days. ATTENTION: Oregon law ---------------------------------------------.-_----------- --- requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in CZAR 952-001-@918 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. REQIJIRED INSPFCTINr- ------------------------------------------------- - Mechanical Insp Electrical Rough Gyp Boaro Insp — Plumb Tip rut Framing Insp Electrical Final Electrical Servi Gas Line Insp Merhanical Final Electrical Servi Gas Fireplace Plumb Final Electrical Rough Insulation Insp Building Final �n rI Issued A L _ Permittee Signat►-ire:/ +++++++++ ++A-++-++++++-1 +++ t-+++ +++++++++.+++++++++++++++ + + +++++++++++++++ + Call 639-4175 by 7:00 p. m. for an inspection needed the next business day Plan Check# CIT OF T' .,ARD Residential Building Permit Application Recd By 13SV,, ♦ALL BLVD. New Construction Additions or Alteradons Date Recd TIGARU, OR 97223 Single Family Detached or Attached (Duplex) Dale to P.E. V 503-639-4171 Date to DST F 503-684-7297 Permit# Print or Type Called -� Incomplete or illegible applications will rQt be accepter) Name of Protect — Name (J i Job ;1111_kr/ Architect Mailing Address Address Site Address Name City/State Zip Phone Owner Mailing Address , Name Citylstate Zip Phone Engineer Mailing Address r. d (?;1,7 I y '.�7 City/Slate Zhone de ip P General Name Ci �— Contractor Le `,A rr"W u (, 5 / G Describe work— New 0 Addition 0 Alteration O Repair 0 Mailin Address to be done. _ Prior to permit r, j f'" ,�oA^-/.. Additional Description of Work: issuar:e, a copy Citytsl�te Zip Phone of all licenses V( are required if Ore on Const.Cont. Board Exp.Date PROJECT expired in COT Lic.# VALUATION $ 7 ;� database Mechanical Name -- NEW CONSTRUCTION ONLY: _ Sub- Sq. Ft. House: Sq, Ft. Garage_— Contractor Marling Address Prior tc permit Corner Lot YES NO Flag Lat YES NO issuance,a copy Cdy/State _ zip Phone (check one) (check one) of an licenses Restricted Audio/Stereo Burglar are required if Oregon Const Cont Board Exp Date# expired in COT LiEnergy System Alarm__ r, _ _database Installation Garage Door HVAC Plumbing Name / Opener , System_s__ Sub- % ��/�,,.�. (check all that Other: Contractor Marlin Address apply) _ Will the electrical subcontractor wire for all YES NO _ �restricted_energy installations? Prior to perrnit C) /State ZIP Phone - -- - T---- - issuance, a copy Has the Subdivision Plat recorded? ' N/A YES NO of all licenses are Oregon Const Cont Board Exp Date required if I.,c.# Solar Compliance expired in COT _ (Calculation Attached) _ database Plumbing Lic # Exp Date I hearby acknowledge that I have read this application, that the information given is correct. that I am the owner or authorized Marne A ---� agent of the owner, and that plans submitted are in complianc- Electrical ;, j with Oregon Stale laws. f _ Signature of Owner/Agent Uate Sub- Mailing Address Contractor Contact Person Name J Phone# C tyiSlate Zip Phone `,6 5 G"�u ^ ` I a yt -Y73 o Prior to permit FOR OFFICE USE ONLY: issuance a copy _ PI t#: MapfrL#: or all licenses are Oregon Const.Cont. Board Exp. Date 0//%A, require,. if I_,c,# Setbacks: Zone: Solar expired in COT �/ : ._ database Electrical L:c # Exp Date - Eng0eeting Approval: Plarnina Approval: TIF: I SFREM DOC (DST) 4;97 Mi;STER CITY OF T I GARD PF"PM I T it. . . .PERMIT. . . 4N COMMUNITY DEVELOPMENT DEPARTMENT DATE IISSUET)i 1213/26/9c. 13125 SW Hr"Blvd.Tigard,Oregon 9722398199 1503)639-4171 PARCEI.— Zr104CD-12;211710 'JUBDI!,,11SION. ViILLT -I'RE' 17:7TATES IZONIN[3: R 111_01ZR, . . . . . . . . L.OT. . . . . . . . . . . . . INL'I Remarks: PA,' l ---------------------------------------------------------------- BUILDING --------------------------------------- ----—----------------- REIMUE: :,TORIES......•; 2 FLOOR BASEMENT—: 1292 sf REGqJIXD SETBACKS—- kZMREr------------- CLASS OF HEIGHT........ 30 FIRST....: 1292 sf GARAGE.....: '_75 sf LEFT•.... 8 SE Z%'LTRS: Y TYPE or UK...:CF FLOOR LOAD....; 4C SECOND—.: I066 sf FRONT....... . 21 PARKING SPACES: TYPE OF CONST.iSN DVELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY SOP.03 BDRM: S BATH: 4 TOTAL------; 2358 sf VALUE..1; 18271! REAR..........: 74 PLUMBING -------------------------- SINKS.........: ------------------------SINKS.........: I WATER CLOSETS.; 4 WASHING MACH..: I LAUNDRY TRPYS.: l? RAIN DRAIN ft; 0 TRAPS.........: 0 LAVATORIES..... "VIDWSHERS...; I FLCOP DRAINS..: 0 SEWER LINE ft: 0 SF RAIN. DRAINS: I CATCH MIMS—; -,JB/SHOWV, 4 GARBAGE D13P...- I WATER HEATERS.: I WATER LINE ft: 100 BCKrLW PPZV1;'R: 1 GREASE TRAPS..: OTHER FIXTURES; ........... --------------------------- MECHANICAL FUEL T'/PE7_- FURN ( INK 0 BOIL/CMP 3HP: 0 VENT FANS.....: 5 CLOTHES DRYERS: I IGASI I FURN I 'NIT HEATERS-- 0 HOODS.........: 1 OTHER UNITS...: ! MAX INC`.: 0 BTU FLOOR FURNACES. 0 VENTS.........: 0 WOODSTOVES....: l? CAS OUTLETS...; I ELECT71CA! .-RESIDENTIAL UNIT--- ---SEkVICE/FEEDEP.---- --TEMP SRVCiFEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS- 1000 SF C.. LESS: 1 0 200 amp... e 0 2% amp.. W/SVE OR FDP..: 0 PUMPITRRIGAT:ON: ? PER 0 EA ADDIL SGISF.i 6 221 Qj amp... 0 20' 400 amp.. 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT; 0 PER HOUR...... ; I LIMITED ENERGY.: 0 401 6eO asp.,: l? 401 600 amp..: 0 EA ADDL BF CIR: 0 SIGNAL/RAMI....: 0 IN PLANT......: e MAIT HM/SVC/FDR: 0 W IM asp,: P 601famps-I000 V.- I MINOR LABEL -10: 0 10004 amp/volt.: 0 ------- PLAN REVIEW SECTION ---- ---- Ppr,, ) I 1-4 .0 04 E,- V92 I A'VS6 6A.Q Mr: .PL VUL ------------- ELECTRICAL RESTRICTED ENERGY SF RES:4[NT1AL- ------ B. c'jDIO I 'JZRID.. VACUUM SYSTEM..: AUDIO I STEREO.: r1p, ALARM.....:L INTEFCOM!PAGINE-i OUTDOOR LNDSL' LT: .ICILO ALARM..: 911; X BOILER.........; HVAC...........: r_ANDSCAPE/I PRIG: PROTECTIVE SIGN.: 'MAGE OPENER.,: CLOCK..........: INSTRUMENTATION: MEDICAL........ 9DIR: :• ........... DATA/TELE COMM.: NURSE CALLS..... TOTAL # SYSTEMS: TOTAL rE[',;' 42W.16 'TER BUILT HOMEZ! INC BETTER BUILT W0 INC BOX :522 PO SOX 5672 -I'V'Ll, _N OR 97M BEAVERTON OR 97006-5672 ne 1, 648-*0401 Phone C 5143 541 Reg Ill..: 61076 .s permit is is! jtd subject to the regulations contained in the Tiga-d Municipal Code, State of Ore. Specialty Codes and all other Iicablf laws. All work will be done ir, accordance with approved plans. This permit will expire if work is t starte6 within V. -ji o$ issuance, or if work is suspended for sort than 180 days. - ........ REQUIRED INSPECTIONS ,tiij lrsp PLM/Underfloor Low Voltage Gyp Board Insp Electrical Final rdatil-r Insp Mechanical Insp Fireplac- Insp Rain drain Itsp Mechanical Final f1eaa Struct Plamb Top Out Gas Line Insp Water Line Insp Plumb Final st/peas Meehan Electrical Strii cat eplac. . 51, W,,t 7.1,ervice Tr, Btiildirg Fina: w1 D,-Airl Fraying Inspation 4 dw1k Insp Erosion Cu-t-ol I rn.i t is W r.C,t 6t Call J PC PM I T 177"ERMIT 41. . . . . . . . SWR96 - 0098 CITY C'F T I GARD DATE ISGUED: 02/26/'�G COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orogon 9722390199 (503)839-4171 P,ARC1:L: 2S104CI) 02100 '11- A0DRL=:,. 137/40 "W HILL.51--IIRE DR. 1B DIVISION. . . . 1-1 LLGHIRE ESTATES ZONING-. R, , T) 1,.-CT. . . . . . . . . . . . . :0:'_1 1 TENANT NAMC, USM NO. . . . . . . . . . FIXTURE UNITS. 0 ",-AST, OWORK. . . :NEW DWELL I 1`1C UNI I TS. I 'PE OF- USE. . . . . :Sr NO. OF PUILDINGS: I 4S.TALL TYPE. . . . .OUCMP IMPERV SURF' CC 1, :?in.--?, : rnTl-I I liney'. -----.— — FEES :--TT01 BUILT HOMES INC type a m e.)u r.t iny :mate t-ecpt O BOX S622 F-,RMT 4, 00 JMIA 02/26/96 9G--2774,71', INSP, 1 3:". 00 JM14 -277-1 PV1'M T 0 N 01? 07006 lat"le #. 648- 5401 CONTRACTOR NOT Ohl r-'11-1. TOT.1t- REQUIRED I N 13 P,E C T 1011,1 S* is Applicant agrees to :apply with all the rules and reg:.IationS Sewer- J ri-,pi,ct itiri the Unified Sewage Agency. The permit expires 180 days from -P date issued. The total amount paid will be forfeited C the mit expires. The Agency does not guarantee the accuracy of the Al sewer laterals. If the sewer is nzt located at 0e measurement ,.Yen, the installer shall prospect 3 feet in all directions from .......... ,e distance given. If not so located, the installer shall purchase "Tap and Side Sewer" Permit aro the Agency will install a lateral, C z:t.l I for in5,pec:tiori 6 33 71 41.7` 5C Residential �uiid_ fng Permit A icati� City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Ca 6 (503) 639-4171 �7S -jobsite Address' 7Y �WIV4, l it)r Subdivision: lei l Sf►,fit i- 4orf Lot# valuation: 7/ ._._ Contact Date _ / / Wtials Result_ New Construction only: (Square Footage) ~ Planck/Rec # _ Permit# /7 He: --louse: _` Garage: y�� 4 - g "" -- Rei53UP, of_ Corker Lot? Y N Flag Lot? Y N Map /'' / Zone Owner; _�3� �7^� i' _/.3�rr'// I�+fJI+f 1�n Plat # Address: _ !''•�. �oX ,�72 _ approvals Renuirei ,, 1?9��4 Planning Setbacks � Solar-2K Engineering Phone: L_ �3 ) Gy y� yv/ Other �y Contractor; Items Required Address SubcontractorsI V, Ili- TrU56:166:1talls Other -- ------ --- Phone: L� _�._ _ Notes t;ontractor's License ----- �- M (attach copy of current Oregon !!cense) Contact Name. Contact Phone: 7?y'' Subcontractors: Architect/Engineer. i) `C«0 kA�)6,-` Plurnbing Address: �'3C7� TSA tr.J Mechanirai: �ti�� !-�ti y� Z- If�tZ�t ,�,•�. �J1. `�'/ZO`� ` (attach copy of current OR Contractors Lkense) _ :08 GLSCRIP TION: Applic�nt Sig,,wo e / _ A 4. Isif't b'a" Vicid by, Recoi �-yiLi•--..t�'�►3�:�.T �� A�i...I�SL�.Jf.�� 1��:� .'r/'��`'`� .1e� '.Ji 1.+6•� � � ;y , ._ -- —sl!•4c•-�^:.:_ fir•..._ ... _ ..ie.i—.—. �trntit Account Ctscrioden Ate_..,.. Account 0094:ription Amouat Ai tt Pd. SaL Due rri Bldg. Pon-lit (BUILD) 5�, r Plumb. Permit (PL.UAA®) , u ;1 ,00 Meeh. Permit o a tab Tax (TAX) Bldg: 32,v.-`3 Plumb: _ .Z 3 U MOO: d,q D _ C ,Lu Plan Check (PLANCK) Plumb: Meeh: //2 Ly 2 :---- -LLL2Y Sewer Connection (SW'.i-1-A) a Sewer Inspection (5WINSP) Parks ❑ev Charge (PKSOC) Residential TIF MFS Macs Transit TIF (T1F-MT) — Conmmemint TIF (TIF-Q) Industrial TIF MF4) Irts;itutional IFF ( FAS) Office TIF (TIF-0) Water(,ktmf*j WQUA.L) Water ay.,mbty (WQUANT) Fire Lite 3deiy (T-LS) E-osicv G ti Pa=it (rEdipR,�1 i-} `— • c Erosion Plau ( FI.A+N) �.�Y:.:� 1 Fres rnra ,�Iasrck�CO i St�l•) �� c911 b v CERTIFICATE OF OCCUPANCY CITY OF TIGAR® PERMIT#: MST98-00108 DEVELOPMENT SERVICES DATE ISSUED: 04/27/1998 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CD-02100 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 13740 SW HILLSHIRE DR SUBDIVISION: HILLSHIRE ESTATES BLOCK: LOT:021 CLASS OF WORK: ALT TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Finish basernent. ADDING PLAY ROOM ABOVE GARAGE Ov,ner: Phone: Con.ractor: BOB SAMUELS INC 8735 SW LEHMAN ST PORTLAND, OR 972.23 Phone: 246-4730 Reg #: J This Certificate issued Illi/2 3/2111111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use tinder which the referenced p 7i it was issued. / BUILDING INSPEC''OR B OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INaPECTION DIVISION \, , MST `� 8 '02y 24-Hour Inspection Line: 639-4175 Business Line: 639-417V BUP Bate Requested_ 7 " Oci AM PM BLD Location ?� � �1 I 1 L%/ Suite MEC Contact Person Ph PLM `�k-r5a 3 SS Contractor S Ph 7.)k , SWR - It�LDING_?^ Tenant/'Owner ELC Retaining Wall ELFT Footing Acce ss: Foundation Ft Drain t X l,� FPS SGN Crawl Drain !nspection Notes: —' - Slab - SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear 7 Framing .1SC\ !� 1-✓L �'`(�Q�� ' C1v�S Insulation w Drywall Nailing v1 Firewallw^ / ,1 Fire Sprinkler 4<�=� .�� Fire Alarm Susp'd Ceiling --� —- -- -- ------ titisa: SS PART FAIL �-C ��`� ---- -------- ---- ,,PLUMBING trst&Beam - -- — Under Slab �5 t Top Out ------.__- Water Service _-- Sanitary newer __-__ _--------------- - Rain Drains PART _M' --- -- --- —. :HANICAL Post& IIe,iin --- __ _ � _• Rough In Gas Line - - - - - - - Smoke Dampern Final --- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - - Sanitary Sewer Storm Drain ( j Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE: __-- ( j Unable to inspect-no access Fire Supply Line ADA ''') Approach/Sidewalk J Other Date _�� ____..___ Inspector—_�✓�—� Ext i Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. -1 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #: ELC97-0319 DATE ISSUED: 05/30/97 PARCEL: 2S1O4CD-02100 `.i 1 T'E ADDRESS. . . - 13740 SW H I LLSH i RE DR '3UBDIVISION. . . . :HIL.LSHIRE_ ESTATES ZONING:R-7 PD BLOCK. . . . . . . . . . . L(_1"r. . . . . . . . . . . . . :021 JURISDICTION: TIG F'r-o,ject Descr^ipt ion: Add branch circuits -- ^- ----RESIDENTIAL UNIT'---- ---TEMP SRVC/FEEDERS- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 I EACH ADD' L 5O05F. . . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HMS' SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 - -SERVICE/FEEDER--__- _._.___BRANCH L.IRCUITS----..--- ----ADD' L INSPECTIONS--..___- 0 LOO amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PE:P. INSPECTION. . . . . : 0 x:'01 - 400 amp. . . . . . : 0 1st W/0 S'ZVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 10eo amp. . . . . : 0 ------ REVIEW SE=CTION- 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 6O0 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREWSPEC OCC. : Owner-: ______..____. ..__.________-____.____.-_._______________--___.__--- FEES .--__-_-__ OWNER. __----_- type amol_rnt by date recpt 13740 SW HILI_SHIRE DR PRMT $ 35. 00 JDA 05/:30/97 97-295254 TIGARD OR 97030 5PE I f 1. 75 JDA 05/30/97 97-2'95--94 Phono #: Contract or-: ELECTRICAL CONTRACTOR' S DESIGN $ 36. 75 TOTAL 150 NE VICTORY STE A - -- ---- REWIRED INSPECTIONS - -- GRESHAM OR 97030 E 1 ect' 1 Final Phone #: 666-9358 Reg #. . : V1OO477 -! This perait is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specia:ty Codes and all other Permittee Si gnat krr,e applicable laws. All work will be done in accordance with approved plans. This pewit will expire if work is not started within 180 days of issuance, or if work is suspended for care than 180 days. Issi.red By -------- - ---- -OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or, rent. OWNER' S SIGNATURE:: _ DATE _rONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELEC' N: _._ _ DATE- LICENSE ATE:LICENSE NO: Call for inspection - 639--4175 Community Development ELECTRICAL PERMIT APPLICATIOI4 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # C'' G Permit # . U - I Phone (503) 639-4171 Date Issued c 3011 CITY OF TIOARD FAX (503) 684-7297 Issued by t~ TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Narne of Development Number of Inspections per permit allowed Address 13740 S . W. N i 1 1 s h i r e Service included Items Cost(ea) Sum City/State/Z.ip_T i ya r d 4s. Residential-par unit 4 1000 eq It OF lege $11000 Name (or name of businEss) Each additional 500 eq It or portion thereof $2500 t Commercial❑ Residential®X X limited Energy $2500 Each Manuf d Home or Modular 2 Dwelling Service or Feeder 1168 00 2a. Contractor Installation only: 4b.Services or Feeders l e c t r i c a l Contractors & D e s i g Installation alteration,or reloeafwn 2 Electrical Contractor200 amps or legs fa 00 2 Address 150 N . E_ V i co r V Suite A 201 amps to 400 amps $8000 2 Cit Gresham State /� Zi 7 0 )0 401 ampa to 1100 amps $120 00 City O r• P- 3—_ 601 amps to 1000 Amps $180 00 2 Phone No. 666_9 3 5 8 _ Over 1000 Amps or volts --_ $34000 __-- 2 Contractor's License No. 2 6-466 C Reconnect only $5000 Contractor's Board Reg. No. 4 7 712 4c.Temporary Services or Feeders [� I InstAllation,alteration,or relocation 2 Signature of Supr. Elec'n— 200 amps or lees $5000 2 License No. 1882 S Phone No. 201 amps to 400 amps $7500 _ 2 401 amps to 800 amps $10000 Over 800 amps to 1000 volts 2b. For owner Installations: see•b•above 4d.Branch Circuits Print Owner's Name New alte,alion or extension par panel Aldi enc A)The tee for branch circuits with CI State ZI purchase of"Mice or bolder Ne. 2 N - P Each branch circuit $500 Phone No. b)The fen for branch circuits wffhorrf The installation is being made on property I own which is purche"of service or Ibeder W. 2 First branch circu t 1_ $3500 35 . 00 2 not intended for sale, lease or rent. Each addltiorial branch circi„t $1,00 Owner's Signature 4e. Miscellaneous (Service or fgodor not included) 2 3. Plan Review section (If required): Each pump or angation circle _,- $4000 2 Each sign or outline fighting _ $4000 Signal cimwtls)or A limited energy 2 Please check appropriate Item end enter fee in section 58. panel alteration or extension $4000 _4 or more residential units in one structure Minor t aha is(10) $1 no on _Servict>and leader 225 amps or more _System over 600 volts nominal 0. Each seditienal inspection over Classified area or structure containing special occupancy the allowable in any of the above As described in N E C Chapter 5 Per inspection $3500 Per hour $55 00 In Plant Won Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: + NOTICE 5a. Enter total of above fees $ --- 5%Surharge(05 X utal fees' $ 1 . 75 1 P� PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal 9 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required tSec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account>r Balance Due $ 36 . 15 wnrfcdM.rWcOne ego CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC97--0160 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 05/30/9'7 PARCEL: 2S:104CD-02�'ILAIZI SITE ADDRESS. . . : 13740 SW HILLSHIRE DR SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :021 JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . , :c;F UNTT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS W/O APPA_: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/C011PRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. 0 DOMES. INCIN: 0 3-15 HP. I COMML. INCIN: 0 MAX INPUT: 0 PTU 15-30 Hp. . . . : 0 REPAIR UNITS: 0 F IRE DAMPERS?. . 30-50 HP. . . . : 0 WO— STOVES. . -. 'ZI GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remarks : 3 Ton A/C Oisinet-: ------------ Fr-FC; TODD ZE14NER type amount by date v-ecpt 131740 SW HILLSHIRE DR FIRMT $ 25. 00 JDA 05/30/97 97-295257 TIGARD OR '47224 5PC'r s 1. 25 JDA 05/30/97 97--295257 Phone #: B K S HEATING 17104 S OUTLOOK RD OREGON CITY OR 97045 PFS One #: $ 26. 25 TOTAL Req 000458 REOUIRED INSPFCTIONS This permit is issued subject to the regulations contained in the Final Insper-tion Tigard Municipal Code, State of Ore. Specialty Codes and all other applxable laws. All work will be done in accordance with approved plans. This permit will txpire if work is not started wWan 180 days of issuance, or if work is suspended for more than IN days. 11 Permittee Signat e __JEA,4 I s G I-led By ("k- lbt eLl Call for inspection 639-4175 :1AY-30-97 FR1 6;28 AIM BRAD, STAPLES FAX NO. 503 655 1271 man l:neck a C17Y OF TIGARD Mechanical Permit Application Recd By 13126 SW HALL BLVD. Commercial and Residential Date Recd_ TIGARD, OR 9724 3 Date to RE (503) 639-X5171, x304 f Date to DST N Print or Type Permit - Incomplete or illegible a plications will not be accepted called f4wnpl qGv en root Description V Table 1A Mechanlcal Code QTY PRICE AMT Job Suval Ad"•• f sulaill A) Pertrik Fee -0. .0- 1000 Address -" 4o A GyvunJ legeCsy/9tete Zia 1.) furnace to 100,000 BTU 6.00 aA q 2z 3 including ducts s vents Noma(or name of butinesa) 2.) Furnace 100,000 BTU+ 7.50 Owner 1 ry Q-Jry\,J- induding ducts ti vents MBIIWV Addrosa 3.) Floor Furnace _ &00 including vent City/Stats 1P Plxrt• y 4.) Suspended heater,wall heater 6.00 or Poor mounted heater Nam to name of twainem) 5.) Vent not included in appliance permit 3.0u G,elyytA Occupant Mailing Addreaa 6.11 Boller or comp,heat pump,air cond. 6.00 to 3 HP;absorb unit to 100K BUT- CRY/Stale UT"City/ tate vnon. 7.) Boder or camp,heat pump,air Gond. ( 11.00 I I r 3.15 HP;absorb unit to 500K BTU" Contractor 8.) Boiler or comp,heat pump,air cand 15,00 (Prior to tJ� CJ �Q"Q� �� q 15-30 HP absorb unit 5-1 mil BTU" issuance Madvq Aadnsa 9) Boilar or comp,heat pump,air Gond. ?1 50 applicant \--v1 O Cj. OU-AA Eyck k�, 30-50 HP;absorb unn 1.1.75md BTU'• t " must provide all Mr Iare tip p" 10) Boiler or comp,heat pump,air cond. 37.50 cantroctor n!) - �1 cl�" 01 �Jc7 s 50 HP;absorb unit 1.75 mil BTU-' _ lieensss Qmgon const,hCo'in card Lica 1& ata' 11.) Air handling unit to 10,000 CFM 1.50 eormarion for COT COT SuAlmOU Tax or Metro a n• 12,) Air handling unit 10,000 CFM 750 database), 00n/ 4161 1 q� Architect 13.) Non-portable evaporate cooler 450 or Mailing Address - 14.) Vent fan connected to a single duct - 3,00 Engineer c'h'/Stale Z Phe^• 1S.) Ventilation system not included in 450 appliance permit Describe work New O Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50 to be done Residential O Non-residential O _ Additional WscripUon of work 17) Domestic innineratom T 50 18.) Commerdal or Industrial W. _3000 Incinerator Fainting use oft 19.) Repair units 4.50 ` 4 --- building or property_ _ l 20.) wood stove 4 50 Pmpnsed use of 21.) Clothes dryer,eta 4.50 building or property 22.) Other units _ 450 Type of fuel-oil O natural ga LPG O electric O 23.)Gas piping one to four outlets 2.00 I hereby acknowledge that 1 have read this application,that the 24.1 More than 1-par outlets(each) 50 inlormabon given is correct,that I em the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon Slate QTY.SUBTOTAL laws I Signature of Owner/Agent Gate rj j� ,� 'SUSTOTAt. - - �A 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL TOTAL � _ i�dslrmechpmtdoc (rev 9 Mlnlmum permit hm is S25*5%surcharge _ "Residential A/C requires site plan showing placement of unit i 4 MAY-30-97 FRI 6;27 AM BRAD, STAPLES FAX K0, 503 655 1271 P. r l " r V Q s- a 00 09 1 r6 � 5 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling t�U _b,i Post/Beam Mech. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ -- A.M --P.M ----. n_try: _ -7 4 Address: -4-3- /% _ Tenant Ste: MST BLIP _ Con/Own: _ MEC PLM ELC - - v- THE FOLLOWING CORRECTIONS ARE REQUIRED ELR Inspect r _�- T — Date- APPROVED __DISAPPROVED/CALL FOR REINSP CF CO CITY CF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd.,779ard,OR 97223(503)6394171 PERMIT #. . . . . . . : PL M98- 0355 DATE ISSUED: 09/25/98 PARCEL.: 2S104CD-02 100 SITE. ADDRESS. . . : 13740 SW HIL-1 SHIRE DR SUBDIVISION. . . . , HILLSHIRF_ ESTATES ZONING: R-7 PD BL..00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :021 JURISDICTION: TIG CLASS OF WORK. . :AL.T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW 'REVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAP'S. . . . . . . . . . . . . . . 0 7-TORIES. . . . . . . . : Q WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES-- ----__—.-_.____ L-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 fl1B/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CL.OSETS. : 0 WATER t- INE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Residential lackflow prevention device. Owner: —______._._..______________-------____________.____-______ FEES I-ODD ZENNER type amoUnt by date recpt 13740 SW HILLSHIRE PRMT $ 15. 00 DL_H 09/25/98 98--30948 ' T TGARD OR 97223 5PCl $ 0. 75 DLH 09/c'5/98 98-309482 f'honr #: 579--41.07 Cont rac-t or-----------------_—_._.--._—__------ JOHN DARBY I-ANUSCAP'E MAINTE=NANCE. 1 15 ' SW CLEARV I EW TIGARD OR 97223 O Phone #- 57 7 J-5 98 $ 1 5,. 75 TOTAL Reg #. . : 000059 REPUi RED INSPECTIONS - _._.._.... .__ This permit is issued subject to the regulations contained in the RP/Backf 1 ow Prev Tigard Municipal Cade, State of Ore. Specialty Codes -ind all other Final Inspection applicable laws. All work will be done in accorda_., with approved plans. This permit will expire if work is not started �— within 180 days of issuance, or il- work is suspended for morethan 180 days. ATTENTION- Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are =Pt forth in OAR 952--0001-8010 through OAA 952-x001-0080. You say nhtiln copies of these rules or direct questions to OX by calling i5P3�246-1987. 1 ,ssi_►ed By• .." Permittee Si 77 C,._�• ►+++++++t-F++++++++++++++4++++•F+�F••�•++++++++++.t+++++++++•h++� ++ r_+ F+++++ C:al. l 639-4175 by 7:00 p. m. for an inspection needed the next bi.1siness day ++++++++++•++++++++-1-+++++•1-+++++++++4.++++++++++++++++++++++++++++++++++-.-++++ '+++ J CI1;Y OF TIGARD Plumbing Permit Application Plan Check is ' 13125 SW HALL BLVD. Commercial and Residential Recd By =? _ TIGARD, OR 97223 Date Recd S (503) 639-4171 Date to P.E. Date to DST --- Print or Type Incomplete or illegible applications will not be acc pted PermitRelated SWR /1 WR* — /rJ Called_ Name of Development/Project FIXTURES (Individual) QTY 'PRICE Job A`)/`-,5Sink — 9.00 Address Street Address / Suite Lavatory 9.00 7 LEDI, _ Tub or Tub/Shower Comb. 9.00 Bldg it / tate Zip r Shower Only 900 Name \ Water Closet 9.00 y 72 Dishwasher 9.00 Owner al ingp� , Suite Garbage Disposal 9.00 Washing Machine 9.00 City/State Zip Phone Floor Drain/Floor Sink 2" 9.00 -- -�� - Name 3" 9.00 4" — 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 7 1�° Gas piping requires a separate mechanical permit. C t /State Zip Phore L11 Laundry Room Tray 9.00 Urinal -- 9.00 qv Nam 1.1Other Fixtures(Specify) _ 9.00 Contractor Ming Address Suite 9.00 Ce gy or III 9.00 Prior to permit Ct�Slale ip Rhone Sewer- 1 st 100' 30.00 issuance,a copy Sewer-each additional 100' 25.00 of all licenses are Oregon C nsl ont Board Lic,# Exp.Date — — required if l�_��9� Water Service-1st 100' _ 30.00 expired in COT Plumbing Lic.0 -- Exp.Uate Water Service-each additional 200' 25.00 database Storm&Rain Drain-1st 100' 30.00 NAMP Stnrrt R Rain drain-warh arlrlHlnnai inn' 7F nn Architect Mobile Home Space — 25.00 Or Mailing Address Svite Commercial Back Flow Prevention Device or Anti- 25.00 _ Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices reouire a separate Describe work to he done: restricted energy permit.) _ New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 /residential •2 Commercial O _! Catch Basin T40,00 Additional dbscription of work Insp.of Existing Plumbing Specially Requested inspections Are you capping,moving or replacing any fixtures? Rain Drain,single family dwelling Yes O No Grease Traps 9.00 If yes,see back of form to Indlitate work pe-formed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required N OuaniMy Total Is >9 WORK qQALD RESULT IN INCREASED SEWER FEES. — 'SUBTOTAL 61) I herkn ledge that I have read this application,that the information c n is n amt gent of the owner,and 5% SURCHARGE I s _ lance with Oreqpn State Laws. Sign u o O go t Date **PLAN REVIEW 26%OF SUBTOTAL ReQuired only d flyture qty tolal is>9 TOTAL onfeC rson --- Phone /., 'Minimum permit fee is S25 r 5%surcharge.except Residential Backflow —�Z }i� DCL --- � °ievention Device,which is S15+5%surcharge F ��"`TTT —All New Commercial Buildings require plans with isometric or riser diagram and plan review I%dslsWlumaPr PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory _ Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher _ Garbage Disposal_ Washing Machine _ Floor Drain/Floor Sink 2" — _ 4„ — — Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I%dits4%mepp doc 717M CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST - �, BUP _Date Requested ��/ / 9 AM PM BLD Location Aztc ��? _ Suite MEC 7- O/ 0 Contact Person Ph PLM Contractor PF) SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain - Crawl Drain Inspection Notes: SGN Slab SIT Post& Beam Fxt Sheath/Shear Int Sheath/Shear Framing re Insulation Drywall Nailing Firewall �- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc Final PASS PART FAIL. - --- PLUMBING Post&Beam - -` - - - -- - Under Slab Tep Out Water Service _ Sanitary Sewer in Drains Final _�__ --- ---- ----- ---- PASS PART FAIL MECHANICAL Post& Beam -- ---- -----_ -_ _ -� --.-- _ Rough In as Line --- ----- - -- Smoke Dampers ASS PART FAIL. ELECTRICAL _- Service Rough In --- -- ---- ------- - - UG/Slab I_ow Voltage -�-- ---- --- - Fire Alarm Final PASS PART FAILSITE Backfill/Grading Sanitary Sewer Stone Drain [ J Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line I [ J Please call for reinspection RE _- [ J Unable to inspect-no access ADA Approach/Sidewalk � / ( _Inspector L Ext Other Date �f/CG�t.�t,r� -.----_ _ Final PASS PART__FAIL A 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST k / ` 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP _ Date Requestipd c L AM_ PM _ BLD Location �' _ ' "?��' ti'�� Suite MEC Contact Person -- -' Lr- Ph �`J - �� f PLM Contractor Ph (-4'7 SWR ` BUILDING Tenant/Owner �� _3 % jam ELC � Retaining Wall ELR Footing Access: Foundation FPS F tg Drain SGN Crawl Drain Inspection Notes: - Slab SIT Post& Beam ^ Ext Sheath/Shear . Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof _ Final PASS PART I=AIL --- - -- —. PLUMBIN3 _ Post&Beam - Under Slab Op Out I —_ Water Service Sanitary Sewer Rain Drains F ictal — --- - ----- --- PASS PART FAIL MECHANICAL Post& Beam - -------- - Rough In Gas Line -- --- — — — Smoke Dampers T FAIL --- 1)(;/Slab --- -----�.�-- — — f I ow Voltage t tre'Alarm PASS PERT FAIL rm Backfill/Grading — ------ —�..__�-- —_ Sanitary Sewei Storm Drain [ I Reinspection fee of$ i�required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ I Please call for reinspection RE _�_ _—. [ 1,Unable to inspect- no access Fire Supply Line ADA / 3 2 Approach/Sidewalk Date ! / < Inspector // Gv _ Other -_ _ 1 �7Y�4-PA- - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --- BUP6 _— to Requested AMPh4 BLD Location > v S ` Suite MEC Contact Person Ph PLM _ Contract^ Ph SWR R aILDIN Tenant/Owner ELC _ ng Wall ELR Footing Access: Foundation FPS F Ig Drain — - - Crawl Drain Inspection Notes: SGN Slab Post& Beam — SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - CQ�, O — Firewall Fire Sprinkler �1 O U _ ✓ � Fire Alarm -- — Susp'd Ceiling Roof - - Misc: �. PAS PART FAIL PLUMBING Post& Beam Under Slab 1 op Out - ----- --- _ Water Service Sanitary Sewer — - - --- Rain Drains Final PASS PART FAIL MECHANICAL [lost& Beam ------- _ Rough In (-,as Line Smoke Dampers — Final PASS PART FAIL ELECTRICAL --- `�— — — Service Rough In -- -- - UG/Slab Low Voltage -- Fire Alarm Final - — - PASS PART FAIL SITE ---- --- -- --- __._ Backfill/Grading --- - — Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Bann Fire Supply Line [ Please call for reinspection RE:_ [ )Unable to inspect- no access ADA Approach/SidewalkC� Other Date _ / Inspector__�� --� Ext Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _._ Date Requested /� r`J G_ _AMPM BLD Location � l�� I JY L� _ Suite MEC _ Contact Person _ Ph PLM x-s� 9� Contractor_ ,7(,) '1 Ph SWR L� BUILDING Tenant/Owner r. ELC Retaining Wall ELR Footing ---" Foundation Access: ., �. FPS Ftg Drain L�� - Crawl Drain Inspection Notes: SGN Slab -- SIT Post& Beam F.xt Sheath/Shear Int heath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling �z Roof Misc: Final 1,Z7 PAS T FAIL a2M.BIrL Post& Beam ----- ---- -- — - Under Slab Top Out - ---- _ - -- -- -- - ----- Water Service Sanitary Sewer R Drains i AS , PART FAIL • HANICAL -___-- Post & Beam Rough In Gas Line -- Smoke Dampers Final - - -- -- -- PASS PART FAIL ELECTRICAL _----------_—__ Seivice Rough In UGISIab Low Voltage Fire Alarm - - - -- - - - - - -- - ---- - - ---— I Final PASS PART FAILSITE Backfill/Grading - --- ��- Sanitary Sewer Storm Drain Reinspection fee of$ — required before next inspection. Pay at City Hall, 13125 SW H dl Blvd Catch Basin Fire Supply Line [ ) Please call for reinspection RL __-- . [ ]Unable to Inspect-no access ADA Aprroach/Sidewalk �t �j other Date 4 Inspector _- /� ___— —_Ext)61 Final i PASS PART FAIL Do NOT REMOVE this inspection record frons the job site. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone.639.4171 Footing Rain Drain Cover/Service FINAL: Foundation. Water Line Ceiling -Plumb. Post/Be am Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation lest Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line A.ppr/Sdwlk Reins, Other: Date: TZEA.M.—P.M. Entry: Address: ��, y•� __ (�..�; i.�,=2gA(3/1 Tenant: Ste: MST: � ' G r BUP: MEC. PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: Date: Jo2=L0 _APPROVED __.DISAPPROVED/CALL FOR REINSP. CF CO