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15242 SW MCINTOSH TERR
- CITY OF T I GA R D MECHANICAL PERMIT
y_
DEVELOPMENT SERVICES PERMIT 9: MEC1999-00260
13125 SW Hall Blvd.,Tigard, OR 97223 (303) 639-4171 DATE ISSUED: 6/16/99
PARCEL: 2S 111 DA-03500
SITE ADDRESS: 15242 SW MCINTOSH TERR
SUBDIVISION: APPLEV'OOD PARK NO. z ZONING: R-7
BLOCK: LOT:030 JURISDIrTIUN: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS- VENT FANS:
OCGuVANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES: BC,LERS/COMPRESSORS HOODS:
FU'iL T*,PES 0 - 3 HE 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
`AS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of an air conditioning unit. A/C units cannot be placed within the required set back areas.
Owner: _ FEES
THANH NGUYEN Type By Date Amount Receipt
15242 SW MCINTOSH PRMT GEO 6/16/99 $50.00 99-316153
TIGARD, OR 97224 5PCT GEO 6/16/99 $2.50 99-316153
v
Phone:620-4497 Total $52.50
Contractor:
SUN GLOW
2428 SE 105TH AVE
PORTLAND,OR 97216 REQUIRED INSPECTIONS
Cooling Unt Insp
P'rc ne:253-7709 Final Inspection
R.q;!f:LIC 00048/31
ELE 141 LMS
ORIGINAL
o�
v7
m
w 1 his 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 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these ru or direct questions to OUNC call' (503)2 -9189.
Issue By: L Permlttee Signature:
Call (50) 639 175 by 7:00 P.M.for Inspections needed t nex s neat s day
06/11/99 FRI 18:31 W 303 598 1960 CiTI OF TIGe,RD
rran tnecx a
"ITY OF TIGARD Mechanical Permit Application Recd Ely
125 SW HALT_ BLVD. Commercial and Residential DateRec'd
i IGARD, OR 97223 Date to P.E.
(503) 635-4171, X304 Date to DST_ �~
Print or Type Permit*AkIff f-60;W
Incomplete or illegible applications will not be accepted Ca`ed
T NW,d U CLve,opmentMroject De ippon
Table 1A Mechanical Code QtY Pry Ann
Job N Adrilms suite# A Permit Fee 18.00
1) Furnace to 100,000 BTU
Address I Including duds a vents see footnote 1 2 8.85
Days clty/5tate Zap 2) Furnace 100,000 BTU+
-including duds b vents see footnote 1,2
Name(or name of bushnasa) 3) Floor Furnace s
.�- including vent sea f0otnots 1,2 9.65
Owner nrauhnp Address `� ,�-� 4) Suspe.,ded heater,wall heater
J or fluor mounted heater ase footnote 1,2 9.65
7r 7 Sw 1 PIL 4C140 rr 5 Vent not Included in a Nance eM-A 4.75
CltyrStma LP Phone Check all riat apply: 'Boiler Heat Air
r0C 17X For items 8-10,see or Pump Cond Oty Price And
Nerve( ms a b , ) footnotes 1,2 Com
6)<3HP;absorb unit to
Milaq-�ddi u 100K BTU 9.85
Occupant 7)3-15 HP;absorb unit
S ay-, e- - 100k to 500k BTU 17.85
CirylSwe Zip Pha» 8)15-30 HP;absorb
unit.5-1 mil BTU 24.15
9)30-50 HP:absorb
Contractor Nor* 9)
1-1.75 mil BTU_ _ 38.00
U 10)>50HP;absorb unit
Fdor to permit Maiilna Address >11.75 mit BTU 80,13
Issuance,a copy cam L- S _ 11 Alf handling unit to 10,000 CFM
of all licensee C 1�• Zip Phane 7.00
are required H 0A� OC. Til 3''"JI 12)Alr handling untt 10,000 CFM+ -!
expired in COT Oregon Const.cont.ffoard Li:0 Exp. ate _ 11.75
database Civ 13)Non-portable evaporate cooler
Architect "0"° 7.00
14)Vent fan connected to a single dud
or Mau45q,ldaresa-— ---_— - - 4.75
15)Ventilation system not Included In
Engineer Gryr;tote ziP— nr,a�`- appliance permit 700
En
g - 1W Hood served by mechanical exhaust
7.00
Describe work to be done: 11)Domestic Incinerators
12.00
New,K, Repair O Replace with like kind: Yes O No O 18)Commercial or industrial bTe incinerator
Residential Commercial 48.25
t9)Repqirunits
Additional information or descript'on of work: 8.40
C�t7�- .A;,r Cor
d � d h�� 20)Wood stave/gas Mother units/clothe dryerletc.
7.00
NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outsets
a
structural as cares. Sae footnote 1 3.75
a Type of fuel: r,1 O natural gas O LPG O electric O 22 More than 4-per outlet ear: 75
Minimum Permit Fee$60.00 SUBTOTAL
V) I hereby acknowledge that I have read this application,that the infonnatlon 5%SURCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State taws. Required for ALL commercial Permits onl
J TOTAL ��77
m Signature of Owner/Agent Date Oc-S
(9 �� `""d vl f r'e . ,/r A Other inspections and Fees.
W Contact Person mo Phone `1 / 1- Inspections outside of normal business hours(mininum charge-two
hours) $50.00 per hour
J S� 1/�r 2. Inspections for which no fee Is speciftally Indicated (mltrirnum
�1 charge-halt hour) $50.00 per hour
Foonotes formerelai project only: 3. Additional plan review required by changes,additions or revisions to
1. Provide fit ernaNc of existing and proposed gas line and pressure. plans(minimum ctwrg*-one-half hour)$50.00 per hour
2. Pro4lde drawings to scale showing existing and proposed mechanicat
units, _ y •Slate Contractor Boiler Certification required
"Resid_nlial A/C requires site plan showing placement of unit
I:Vnechpenn.doc rev 02/4199
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__ CERTIFICATE OF OCCUPANCY
CITY O F TIGARD
PERM!T#: MST98-00099
DEVELOPMENT SERVICES DATE ISSUED: 8/18/98
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 6394171 PARCEL: 2S111DA-03500
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 15242 SW MCINTOSH TERR
SUBDIVISION: APPLEWOOD PARK NO. 2
BLOCK: LOT:030
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: SF New- Path I
Final Inspection Approved 12/21/98 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT CORPORATION
6900 SW HAINES STREET#200
TIGARD, OR 97223
Phone:
Contractor:
MATRIX DEVELOPMENT CORPORATION
6900 SW HAINES STREET#200
TIGARD, OR 97223
Phone: 620-8080
Reg#:
C
61
D
D
9
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregiop
Specialty Codes for the group, occupancy, and use Z,) which areferenced permit was
issued
BUILDING INSPE';TOR BUILDIN FFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD MASTER PERMIT
A� 6
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0099
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 0F3!1t3/98
PARCEL: 2S111DA-03500
SIFE ADDRESS. . . : 1524 SO MCINTOSH TERR
SURD I V I S I ON. . . . :APPLEWOGD PARK NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :030 JURISDICTION: TIO
Remarks: SF New - Path I
---- BUILDING ---------- _____ __
REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEMENT...: 8 sf REQUIRED SETBACKS—- REQUIRED------------
CLASS OF WORK.:NEW HEIGHT........: 23 FIRST....: 1834 sf GARAGE.....: 495 sf LEFT..........: 15 SMOKE DETECTRS: Y
TYPE OF USE...:9F FLOOR LOAD....: 40 SECOND...: 1286 sf FRONT.........: 25 PARKING SPACESs 2
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL-----: 2328 sf VALUE..1: 163968 REAR..........: 22
------- -------------------------___ ------- PLUMBING ------ --�-- ---------
SINKS.........: 1 WATER CLOSETS.: 3 "ING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 188 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS—,. 8 SEWER LINE ft: 188 SF RAIN DRAINS: 1 CATCH BASINS..: R
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 NATER LINE ft: 188 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------------------------------------------------------- MECHANICAL.
FLET. TYPES--------_--- FURN ( 100K ..: 8 BOIL/CMP 1 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
GAS FURN )=190K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER LIMITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 8 WOODSTOVES....! 8 GEIS OUITLETS...: I
-----------------_ — _-------------------- -------- ELECTRICAL ------------- ----- -------
--RESIDENTIAL UNIT-- ---SERVICE/FEEDER---- —TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- —•--iIISCELLANEGUS- • ADD'L INSPECTIONS--
1888 SF OR LESS: I 0 - 288 amp..: 0 8 - 288 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATi9N: 0 PER INSPECTION: 0
EA ADD'L 5805F.: 4 281 400 imp..: 8 281 - 400 amp.:: 0 Ist W/O SVC/FDR: 0 SIGN/OUT UN Ll- 8 PER HOUR......: 0
LIMITED ENERGY.: 0 481 - 690 asp..: 0 481 .. 64 amp..: 0 EA ADDL BR CIM: 0 SIGNAL/PF#TL...: P IN PLANT......: 9
MANE HM/SVC/FDR: 0 601 - 1900 asp.: 0 601+amps-1888 v: 0 MINOR LABEL to: 8
1000+ asp/volt.: 0 -------------•---------------------- PUIN REVIEW SECTION --------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A. ) 608 V NOMINAL: CLS AREA/SPC OCC:
------------------------•---------------------- ELECTRICAL - RESTRICTED ENERGY --- -------- ----------------
A. SF RESIDENTIAL------------- --- B. CO IERCIAL-------------__--__—_-____
AI1DIO A STEREO.: VACUUM SYSTEM..: I�Tui0 I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/iRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE CONN.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: ------------------------------------Contractor: ----------------------------- TOTAL FEES:{ 4840.95
LEGEND HOMES LEGEND HIVES (SEE W%3) This permit is subject to the regulations contained in the
6900 SW HAINES ST PLAZA 11, SUITE #209 Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 6900 SW HAINES STREET other applicable laws, All work will be done in accordance
TIGARD OR 97223 with approved plans. this permit will expire if work is
a Phone #: 62VBWW Phone 1: 620-BW not started within IDS days of issuance, or if the work is
Reg C.: 080806 suspended for more than 189 days. ATTFNTIGN: Oregon law
-----------------------_------------------.-------—________— requires you to follow rales adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-081-8010 through OAII 952-001-0080. You may obtain copies of these rules or
E direct questions to OUNC by calling (503)246-1987.
J
------------------------------------------------------- REOUTRED 1NSPECYI(IN5 -_ — --------- -------- --- --- -
Erosion 844-8444 Crawl Drain/Back Electrical Rough Gas Line !nsp Water Line Insp Plumb Final
0 Footing Insp PLM/Underfloor Framing Insp Bps Fireplace Water Service In Building Final
J Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdrlk Insp
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final _
Post/Beam Meehan Electrical Ssrvit Fireplace Insp Rain drain Insp Mechanic a) ✓
Isco-ted By: + Permittee Signature:
+++.+-++++++.++++++++ ++*++++++i+++++++++++++++++++++++++ + t + + ++++++++++
Ca 11 63,9-417-9 by -100 p. m. for an inspection needed t next t.6siness day
CITY OF TSEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : SWR98-0054
DATE ISSUED: 08/18/98
C
PARCEL: 2S111DA-03500
SITE ADDRESS. . . : 15242 SW 8E„7 H TERR
SUBDIVISION. . . . :APPLEWOOD 'ARK NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :030 JURISDICTION: TIG
----------------------------------------------------------------------------------------
TENANT NAME. . . . . :
t_1SA NO. . . . . . . . . . : FIXTURE UNITS. . . ; 0
CLASS OF WORK. . . :NEW DWELL-I NG UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
TNSTAI_L TYPE. . . . :LTPSWR IMPERV SURFACE_: 0 sf
Remarks : SF New — Rath I
Owner: --------------------------------------------------------- FEES ----------------
I-EGCND HOMES type amount by date recpt
6900 SW HAINES ST PRMT f 2300. 00 DRA 08/18/98 98-308369
TIGARD OR 97223 INSP t 35. 00 DRA 08/18/98 98-3083E9
F=hone #:
Contra.ctnr: ------- ---__.___------------ -_--
OWNER
Phone #• $ 2335. 00 TOTAL
Rey #. . :
------ REOU I RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
cf the Unified Sewage Agency. The permit expires 1118 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the _
side sewer laterals. If the s^wer is not located at the measurement
given, the installer shall prosp,ct 3 feet in all directions from M
the distance given. If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit arm the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adoptru Jy the
Oregon Utility Notification Center. Those rules are set forth in OAR _.
952-M-010 through OAR 952-001-M. You may obtain copies of _
these rules or direct questions to OUNC by calling 15031246-1987.
Tssued by:_--- t Permittee Signature :
/14"'4/1;4�
4-4+-F++++.++++++++++++.+++++++++++++++-t-++++++++.+++++-F++++++++++.+++.+++++++.....4 F
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++a++t.....-l-............+++•..++ff..-F........#++t+t+.-h-1....+++i-+........I..........i
Plan Check#
CITY OF TIGARD Residential Building Permit Application Recd By
13125 SW MALL BLVD. New Construction Additions or Alterations Dace Rec9
TIGARD,OR 97223 Single Family Detached or Attached (Duplex) Data to P.E..2v
V 503-639-41711µi. Date to DST
/-/
F 503-684-7297 � Permit•
Print or Type cal U
Incomplete or illegible applications will not be accepted Scc-at it S��r
�a 3d
N�1°of Project - axile
Job ,rJ Architect Mani Address
Address sne Addroa r '' a
City/$tAte ZIP Phone
Na p M� Na I-vrl
Owner Maillr4 Address eq
Engineer Malli Address '1
State ZipnhaCnq
;
ri1
G
city/state Zip Phone
aneral Nam ,
n O Atterafbn O ,
Ir Jntractor L� x Describe work &W 0
f
Maill Addrass to be done: e
Prior to permit Additional Description of W .k.
issuance,a copy City/State Z.ip Phone
--
ofalllicenses t 67J -$C
aro required if O Const.Cont Board , Exp.Date PROJECT t
expired In COT ter:.# G VALUATIQN $
database 3i TX,
Mechanical Nance NEW CONSTRUCTION ONLY: a`
Sub- V �r Sq. FL House: Sq. Ft. Garage
Contractor Mailing Add
Prior to permitJ C }� Comer Lot YES NO Flag Lot YES '
issuance,a copy City/State Zip Phone (check one) Check one
of all licenses Tib it nrJ rw 25 3 --7 7BJ Restricted Audio/Stereo Burglar
are required H Oregon Cons[Cont.Board Exp.Date Energy System Alarm
expired in COT Lic.# r S- 3a —r iv Installation ;,.,'t- Garage Door HVAC,
database
_?TUrnbing Name Opener Systems ,
Sub- t\ (check all That Other. .i, W .
t,;. :,- s
Contractor Mailing Address - Will the electrical subcontractor wire for all YE . ,NO j7,-
R)
;PCS 60--'< restricted energy installations? a
Prior to permit CRY/state Zip Phone Has the Subdivision Plat recorded? N/A Y S NO
issuance,a copy —CM Ir
of all licenses are Oregon Const.Cont.Board Exp.Date
required If Lic.# Reissue of MST* Solar Compliance
expired In COT �z_3 7 /0 (q -q 1 (Calculation Attached
database Plumbing tic.# Exp.Date I hearby acknowledge that I have read this application,that the
a aU P� .•6 '3d q� information given is correct,that I am the owner or authorized 4
Name agent of the owner,and that plans submitted are In compliance
with Oregon State laws. }
Electrical G ar-hp„r .EICcArt SignatprejDf Owne Agent j Date
Sub, Maili,ig Address l
i Contractor , .Y 5(,� 1-V to h 0" ftntid
P eine
JCity/State Zip P s �C '
Prior to permitFOR OFFICE USE ON q
Issuance,a copy }C (Xs3y, o11 Sq/ _( � Plat#: Mapffm.
of all licenses are Oregon Co st.Cont.Board Exp.Date I /s- .2-/j '�7 F
required if tic.# I i 9 _q Setbacks: Zone: Solar
expired in COT f�
database Electr(lJcal Lic.# Exp.Date ON Engineering Approval: Planning Approval: TIF: ,.," '
/o -eV
r
I:tiFREM.DOt:
ew '
'•F
FLOT FLAN ��u .z�-,7-
LOT #30, AFF"'1,... EWOOD FAf;RC
Rl 251 11 DA
15242 SUJ Sloth TERRACE
S.E. 1/4 OF SECTION 11, T.2, R•1UJ, W.M. o
CITY OF TIGARD
WA5HINGTON COUNTY, OREGON
LEGENDHOMES I
$900 S.W. HAINEa TME-r TIGARD, OREGON CJ WATER METER
PLAZA 2. SUITE 200 97223-2514
oP'PIcB (503) 620-6080 FAX (503) 596-8900 W ----- — WATER LINE
Ste-——— SANITAR-t SEWER
STORtl DRAIN
— --- Q OF STREET
MANHOLE
®
CATCH BASIN
PROP05ED
STREET TREES
® STREET LIG'-;T
FIRE HYDRANT
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