9150 SW MCDONALD STREET ZS;�21J,S GIVNOGDW MS 0916
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9150 SW MCDONALD ST
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00213
13125 SW Hall Blvd.,Ttnard, OR 97223 (503)639-4171 DATE ISSUED: 4/22/2004
PARCEL: 2S 111 AB-00500
SITE ADDRESS: 09155 SW MCDO'IALD ST
SUBDIVISION: ELROSE TERRACE ZONING: R-4.5
BLOCK: LOT:001 JURISDICTION: TIG
CLASS OF WORE: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
LNG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: ~� GAS OUTLETS:
> 10000 cfm:
Remarks: I�uniace replacement.
Owner: FEES
HOLM, JAMES Description Date Amount
9150 SW MCDONALD ST IMECFIJ Permit fee 4/2212001 $72.50
TIGARD, OR 97224 [TAX)8%State Surcharl 4/22/2001 $5.80
Phone: 503-235-9083
Total $78.30
Contractor:
SKY HEATING + AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: 2-15-90F3
Heating Unt Insp
Final Inspection
Reg#: LIC 50244
IL
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
J and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregcn law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rule3 are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued By: _ Permittee Signature: 0�'� J44 C / r-
Call (503)639-4175 by 7:00 P.M.for Inspections needed the next buslness day
Apr ,.21 04 09: 2313 SKY HEATING-NEW CONST DEP 5032350454 P. 1
ATcchankal giermit Application
City olf 'Tigard °y� Received PermitNo.��ljIVI—00-21
I 1123 SW ifall 131%,d,.Tigard,OR 97223(.+r +� [Ate�y,r/, ,O
Ran Revi txhcr PemJt.
Ft,onc 503,619.4171 Fax: 503.598.1960 Da�y
Incpccii on Linc501 619 4175 pate Red-/Hy 0 Ret Ps e]!er
lrnernet: www.ci tiFard.or.tm C J NotefiedfMethod: /l 9uyrplear*sdal InrorroaUen
-- ----- --- _T' ` Wo" COMMERCIAL FEE* MCRRDULE- USF,CRECIDd4T
❑New constntction dition/alterntion/replacement Mechauieal permit fees*aro based on the value of the work
performed.Indiede the vahn(rounded to the nearest dnllar)of all
❑Demolition (tiler, mochas ictal materials,ectuipment,labor,overhmt arxl prollt.
�— —CATEGORY OF CONST::JCTION Value:$
—`- -- RESIDENTIAL EQUIPMENT/SYSTEMS FEES•
I-and 2-famil}dwelling ❑CommeminVindustrial ❑Accessory building For r -
Multi-family ❑Master builder
1 ormafion err checklist.
----------— —— ❑Mel: D"mption Qty J Ea. Total
JOB SIZE INFORMATION AND LOCATION _ Ileadu coellp�_ _-_
' Air conditions or Feat r
_ 5 (m Wren site*tans showing pinacm
Job site address: ent)-- — 14.00
City/State/71p: — ---—_ - Furnace 100,000 BTU(duetahreraa) 14.00
Suite/bldgJapt.no.: Project name: furnace 100,000+BTU ductsivenn _ 17_90
Gas h_ pump 14.00
Cross sbuVditecfions to job site: Duct work 14.00
Hy&onic hot water system _ 14.00
Residential boiler(radiator or
h dra1iCJ 14.00
--- ---- IInit heater(fhel-tvpe,not electric),
in-wall,in-duct,susperretc. _ 10.00
Subdivision: I of no.: Flue/vent for any of above 10.00
— — —.-- Other: 10.00
Tax map/parol no.: Other fu,; p !!near -
DF8CR1PTION OF WORK Water hesti 10.00
— Gas fireplace _10.00
Flue vera for water heater or gas
fireplace 10.00
Lo li derSgaa� �— - _10.00 —
W ellet stove 10.00
Wood tlreQla�naert 10.00 ----
_—.0 PRO RTY OWNF,R ❑ TENANT — /liner/flue/verd - 1_0.00 -
01he�: _ _ _ 10.00
Name- Fxrdraanewfal eshs•at and ventilation
Address: - '91 Range hood/other kitchen — —
ipment_ —_-_ _10.00
CitWState/7.IP: 9 Clothes edunat 10.00
Phone:(t9j Single-dud exhaust(bathrooms,
.�� Fax:( ) toilet artments,utilityrooms 6.80
❑ APPLICANT ❑ CONTACI PERSON Attidtrawispace farts 10.00
Business name: Other: _ — _ _ _10.00 _
Contact name: $5.40 for first Ebtu;$1.00 Por each additional
Address: -- Furnace,de.
0. City/state 7.I1'' Wall/sumpendedAmit beat•:
I—
Phone ( ) - FaK:;( —) Wrier healer --
U) -- ---- Fireplace
1:mail Rmm
ECONTRACTOR Barbecue
mJ � _ /� Clothes dryer1PZa)�
Bu tineas name �L �j t✓'
----��- Other.
W Address: c" 11'�C ,.t _ EOE ANICAL PERMTf FM&
J City/State/7.1P: 7 1 crf) - Q 7 j/� - _ -y Sltblotal
n
Phone: Minimum permit fee(371.50)
u Fax:)tee�_ ' ��� ( ��) Plan review(1591 of permit fee)
CCB lie.: ems' Q a !� T State surcharge(896 of permit fee) cF
TOTAL PERMIT FEIN '
J � This perrelt applleatlan aaplres tf•pr rrNt 4 net ebtalned vrNhln le!
Authoriued signature: LIC/ f/1134,u days filer N bas been ver opted as Convicts.
l
Apr 21 04 09: 23a SKY HEATING-NEW CONST DEP 5032350454 p. 2
OME LAYOUT/SITE PLAN
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CITY OF TIGARD 24-Hour
BUILDING . 0 Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
/ BUP
Received A" 2 7/# Date Requested
J"l�' "U�AM PM_ BUP
Location 1_261kaJd Suite ME0,?92��02
i Contact Person 7f (wLtQ/L Ph(— ) — PLM —_
" Contractor— t! �C� ) J/ V— SWR
BUILDING _ Tenant/Owner ELC
Footing
Foundation ELC
ACCESS:
Ftg Drain ELR —-- -_�
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
u21� 1
Shear Anchors -
Ext Sheath/Shear 't-V
Int Sheath/Shear
Framing —
Insulation
Drywall Nailing
Firewall ���✓ i /
Fire Sprinkler -- �,--- — ---
Fire Alarm
Susp'd Ceiling — — — --
Roof
Other:
Final
PASS PART FAIL —
PLUMBING
Post&Beam
Under Slab _
Rough-In
Water Service _
Sanitary Sewer
Rain Drains — — — ---
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other: —
Final
PASS PART FAIL `— -- i� --- —_—
MECHANICAL _
Post&Beam
Rough-In
Gas Line Q�
a Smokp Dampers ��/ — ------ --
0: Fi
H
t/) PART FAIL'Vtt -----
CTRICAL
r Service
m Rough-In —
F3 UG/Slab
W Low Voltage
Fire Alarm
Final Reinspection fee of$_ _�—required before next inspection. Pay at City Hall. 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: _ Unable to inspect-no access
Fire Supply LinADAe
Approach/Sidewalk Deb --�=-- Inspector ---
Other:
Final - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Iia 1-19A 175 Business Phone: 639-4171
I�
Date Requested: ! 5_ I -7 _ A.M. _-- P.M.--- MST: -----
1,watiow ^/y�t� �rn C 416v, 115C11 BUP:
'I enant:. _ Suite:__ .Bldg: MEC:
Contractor: , - _ _Phone. � "'�3`1/d — PI.M: . t_.t_"o
e
Ovmer: _ _Phone:: ELC:
oO/L -JI ►I.LC� O�/I �� �C�� _�-4-�L.J ELR:_
BUILDING BLDG(con't) P .UMBING MECHANICAL. ELECTRICAL.
Site Post/Beam Post/Beam Post/Beam Cover/Service < Sewer torn
Footing Roof UndF1/Slab Rough-In Ceiling Line
Slab Framing 7 Out Gas bine Rough-In UG Sprinkler
Foundation Insulation I l(x)m)uct Reconnect Vault
Bsmt Damp Drywall term _ Furnace Temp Service MI5C.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spkir/Alm Crawi/Found Ih Ilent Pump Low Volt
Apixoved proved Approved Approved Approved
Appr/Sdwlk Not Approvcct ved Not Approved Not Appro-m-d vecl
FINAL FINAL FINAL .NAL ilk
U)
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Call f spec ' t� n Rein ti fee o'i_. __—requi before next inspection C3 Unable to inspect
of
Inspector: �,�', _ _--- Date: —�/. — Page— _
5
1
.ALOHA SANIT' ARY SERVICE
P.O. BOX 309, BANKS, OREGON 97106
644-2797 648-6254 639-5188
NAME: �Z�c�l //U.�ir�LA -
ADDRESS;
CITY: - STATE: ZIP:
HOME: WORK: CELL: --
JOB SITE: .- %1 fl l/ _ P.O*
PAID BY CHARGE ❑ HECK v CASSH Cl CREDIT CARD ❑
DATE % DRIVER r�[lll(� ?�[eeiwE 11e�( AMOUNT
_ 13" PUMP SEPTIC TAN �L/1 iiGr��l i/i��i�I� 1. c
❑ LINE OPENING
❑ INSPECTIONFEE
❑ SERVICE CALL _
I-I LABOR, LOCATING, DIGGING & BACKFILL
❑ MATERIAL
-THIS IS NOTA SEPTIC SYSTEM INSPECTION REPORT--- TOTAL $ S"?�)
V/j - - REMARKS - -
TYPE OF TANK. STEEL ❑ CONCRETE ❑n PLASTIC ❑ HOMEMADE
HORIZONTAL\❑ VERTIC4 ( l RECTANGLE 6 OTHER
SIZE OF TANK: 350 7150U.❑ 750 r7 1000 ❑ 1250 ❑ 1500 ❑ 2000 ❑ 3000 ❑
LID LOCATION: INLET ❑ UTLET.IU MIDDLE 71ENTIRE TOP 71
TANK. CONDITION: GOOD I❑ FAIR ❑ POOR ❑
FITTINGS: BAFFLES ❑ \CONCRETE ❑ CAST IRON r1 PLASTIC rl
NEEDS NEw LID? ❑ YES
i --
GROUND COVER OVER TANK
\I
COMMENT ( ' 1NDITION OF DRAINFIELD ETC.
SIGNED BY DATE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: YA� — AM _ P.M. MST:
location: Bi1P:
Tenant:_ — -- Suite:___ Bldg: _ NEC:
Contractor — Phone: PI.M:
(honer:_ __— —_ —Phone: --_ -- EIX:
ELK:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL GW
Site PosUBeam Post/Beam Post/Beam Cover/Service tort
Footing Roof I IndFl/Slab Rough-In Ceiling Water I,inc
Slab Framing Top Out Gas Linc Rough-In UG Sprinkler
Foundation Insulation Sewer Itood/Duct Reconnect Vault
13smt Damp Ihywall Storm Furnace Temp Service Misc.
Masonry Ceiling Rr,in Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ileal Pump I ow Volt
Approved Approved Approved ApprovedA rov`r�
App,/Sdwlk Vot Approved Not Approved Not Approved Not Approved of Approved
FINAL FINAL FINAL FINAL FINAL
r
-- ---
ot:
U) ---- -
W --- -
-.a --
17 Call for reinspection O Reinspection fee of S required before next inspection n Linable to inspect
Inspector:_ _�[z�,� Date: -- Page /1—of�_—
• CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)839171 PERMIT #. . . . . . . : SWR97-011 2
DATE ISSUED: 04/14/97
PARCEL: 2SIlIAB-00500
SITE ADDRESS. . . :09150 SW MC DONALD ST
SL)BD I V I S I ON. . . . :ELROSE TERRACE ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 1/2 JURISDICTION: TIG
------------------------------ -----------------------------------------------------
TENANT NAME. . . . . :DURRIN/MULLEN
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :ALT DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
T NSTAL..I_ TYPF. . . . .BUSWR I MPERV SURFACE: 0 s f
Remarks : SEWER CONNECTION AND REIMBURSEMENT FEES IN REIMBURSEMENT DISTRICT #1,
MCDONALD SANITARY SEWER EXTENSION.
Owner: ----------------------------------------------------- FEES ---------------
DURRIN, TODD R MULLEN, KAREN type amount by date recpt
PRMT $ 2200. 00 JMH 04/14/97 97-293233
INSP $ 35. 00 JMH 04/14/97 97--293238
Phone #:
Contractor: ------------- ----------------
OWNF_R
-------------------------------------
Phone #: 0 2235. 00 TOTAL
Rey #. .
- - --- - REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days frits Sept is Tank Fill
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 sewer is not located at the measurement
given, the installer shill prospect 3 feet in all directions from _
the distance given. If not so located, the installer shall pm chase
a "Tap and Side Sewer" Permit and the Agency Mill install a lateral.
Permittee Siglnati�aree k 'J,A
- t))at
Call for inspection — 639-4175
Commercial Building Permit Anc.10iCation
ci+Y o/regard 13+s sw 4811 91vd. 719ard.OR 97=3
absite Address: 05-) St.:w wrloNa u OFFICE USE UNLY
mant: Suits 0� Planck/Rec.aM
Valuation: PermkSr# '/�.
EtJU L J �,
M l.G� Map&TL t '; , All-
.
ARR ra' .
Address: Mc 1) U8t,f] }
Planning iA
�1.6
ACD D r4 2 ' `r y7�
y
IEn iniirleY ,�, �
0
alephone: I o
W.
antractor. RSi...VA10 k V(I 'D + w �A
ddress•
Type of constr.
Telephone: Occupancy Class:
:ontractor's License S _ Sprinkler? Yes No
(attach copy of current Oregon license)
Sq. Ft. Of Project:intact name & telephone:
Story (1st. 2nd, etc.):
�:hitect b Engineer:
Proposed Use:
1drens:
Previous use-
Note: Plumbing & mechanical plans must
slephone: be submitted at time of building permit
application.
,`?B DESCRIPTION: UAt_L l-A P� SCt.JUtz EK21!a Pol"T,
�r T
1t;" ?K_ A- Cxt�'T1n�j�, l.. TYLICA-t_ #JS Ial
(Applicant Signature & Telephone Number)
eceived by: Date Received:
ctim.ccc jes-n !cora
3E.RMIT.1 Account Description Amount Amt Pd. Balance Due
Building Permit (BUlum
Plumbing Pennit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX)
Bldg.
Mech.
Plan Check (PLANCK)
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF
(TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) �p Z (� 7-1
Water Quality (WQUAL
IL —
F Water Quanity (WQUANt)
U)
Fire Life Safety (FLS)
_J
m Et asion Cntrl Permit (ERPRMT)
C7 ---
w
-i Erosion PlancVUSA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: - = _ ~
I:1C0MTI.CCC (CS7) lam
vi
I
320 3 3102
—3411 300/
355 DS amu, OU, wir amu• ^lw bbZ9
-- co --
3500 F701 3600 8It-- .019LJ 380' 04
\lb, S . W. B,_C�i
p TI 39
6643 3700 6630
DIO' D8' 380C 38C 3 3801 3 901 ?902
ry_
o a 3802 _ c
8�� .616 L314' " .02U 230' 8" .u3E -4C0'
W• _ _ _ L A rN
Q `6 b 42 �o
N0�' `� 6641 aD �J
D10' _a _•, D9' �o Lr
,EWER LINE LEGEND
ORCE h1AIN
4117100 TAX LOT NUMBER
AX LOT AND R/W LINE MANHOLE
)-IZE,TYPE (OTHER THAN CONCRETE), (LEANOUT
) LOPE, LENGTH AND FLOW �DD'
MANHOLE NUMBER ANDDEPTH
)ISTANCE FROM DOWNSTREAM MH
SND DEPTH OF SIDE SEWER
1T PROPFRTY I INE H
PUMP STATION
-
-- SEWER ; ',NE vo"00 rAX LOT NUMBER
-- FORCE Mn IN MANHOLE
J
TAX LOT AND R /W LINE
_m '-LEANOUT
0 �,,_ SIZE,TYPE. !