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9940 SW MCDONALD STREET IT-lHi S Clld6'40GOIN MS Ob66 H W W a n J 4 Z O 0 a g oc m � W J 9940 SW MCDONALD ST CITY �� T I��R� MASTER PERMIT PERMIT#: MST2001-00233 DEVELOPMENT SERVICES DATE ISSUED: 4/13/01 13125 SW Ball Blvd., Tigard, OR 97223 (503) 6384171 SITE ADDRESS: 09940 SW MCDONALD ST PARCEL: 2S1?'IBA-00804 SUBDIVISION: TIGARDVILL.E HEIGHTS ZONING: R-3.5 BLOCK: LOT:025 JURISDICTION: TIG REMARKS: Two sunrooms - One is 320 sT one is 250 s.f BUILDING REI:ISUE STORIE&. I FLOOR AREAS _REQUIRED SETBACKS_r REQUIRED CLASS OF WORK: ADD 14EIGHT: to FIRST: 570 of BASEMENT: of LEFT: SMOKE DETECTORS- TYPE ETECTORSTYPE OF USE, SF FLOOR LOAD: 50 SECOND: of GARAGE: M FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT: VALUE: S 41,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 57000 of REAR: PLUMBING _ SINKS: WATER CLOSETS: WASHING MACH* LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIFS: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: GARBAGE DISP- WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ _ FUEL TYPES FURN c 10pK: BOIL/CMP c AHP: VENT FANS: CLOTHES DRYER: FURN>-100K: UNIT HEATERS: HOODS. OTHER UNITS: MAX INP: htu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRAN,., CUITS MISwELLANEOUS ADO'L INSPEC IONS 1000 SF OR LESS: 0 - 200 amp: 0 200 amp: WISVC OR FOR: PUMPhRRIGATION: PER INSPECTION: EA ADD L 500SF: 201 400 amp: 201 - 400 amp: IM W/O SVC/FOR: SIO POUT LIN LT: PEA HOUR: LIMITED ENERGY: 401 - 600 amp: 401 -600 amp: zA AODL RR CIR: SIGNALIPANEL. IN PLANT: MANU HMISVGfDR: 601 1000 amp: 601+ampe-1000v: MINOR LABEL: 10P0•amp/volt: PLAN REVIEW_SECTION _ Reconnect only: a 600 V NOMINAL: CLS ARE"FIC OCC: >s1 RES UNITS: 9VCIFDR�=22S A.: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTF.RCOWPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: 3ARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 769.85 This permit is subject to the regulations contained in the MEEK,ROBERT C AND PACIFIC SUNROOMS Tigard Municipal Code,State of OR. Specialty Codes and GUERTIN-MEEHL, MARY 3801 NW FRUIT VALLEY ROAD#A all other applicable laws. All work will be done in 9940 SW MCDONALD VANCOUVER,WA 98660 accordance with approved plans. This permit will expire H D. TIGARD.OR 97224 work is not started within 180 days f k suanoe,or if the v ark is ausppnded for more than 180 days. ATTENTION �.. Phone: Phone: Oregon law requires you to follow rules adopted by the In Oregon Utility Notification Center. Those rules are set ROOM: LIC 102899 forth in OAR 952-001-0010 throe gh 952-001-0080. You n ay obtain copies of these rulf,s or direct questions to -� OI1NC by calling(503)146-'987. � REQUIRED INSPECTIONS W Electrical Rough In J Framing Insp Final inspection Issued By - Q_ Permittee Signature : / ) Call (50 ) 639-4175 by 7:00 p.m.for an inspection needed the next business day Electrical Permit Application Dalereceived: Pert_!1A1-00 'J3 City of Tigard Project/appl.no. Expire date: CityrtfTigard Address: 1312.1 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Mufti-family U Tenant improvement U New construction U Addition/alleration/replacement C-11"her: U Partial Joh address: t l,j A4 a Bldg.no.: Suite no.: ITax map/tax lot/account no.. Lot: Bhrck: Sutxlivision: Project name: _ Description.nd location of work on premises: Estimated date of con letion/ins ction: Job no: Fee Mat Business name: 6 e&'L— Description (d) Total _ no.tns New residential-*qk or tmkl-tally per Address: pOO dwelling 0jtk.IncladeaMtaclr•igarage. City: u Uer State:(,1J Pri ZI Pq Ser•kehscluded: _—� 1000 sq.ft.or less 4 Phon � 3aS/��l e1 �x: E-mail: lei% Each additional 500 sq.It.or portion thereof CCB no.: F 'c.bus.lie.no: Limited energy,residential 2 City/metro lic. no.: /y( ^– Limited energy,non-residential 2 Each manufactured home or modular dwelling Sig nature of supervising electrician(required)----��� Dete Service and/or fredcr 2 Sup.elect.none(print): License no: Services or feelers–Installation, alteration or relocation: 200 amps or less 2 Name(print): �ay tggh 201 ams to 400 amps 401 amps to 6(x)amps 2 Mailing address U t 601 amps to 1000 amps 2 I StaleP, 'I_IP__ plat-1 Over 1000 amps or volts 2 Phone a-S�l� Fax: E-mail: /y � Cf. Rrconnectonl I Owner ir�talla6;,n:The testa{talion is being made on prope y I own Tempnraryaenlceatxfeeden- which is not intended for sale,lease,rept,or exchange according to Inst'I amps or lessalteflan,or relocation: ORS 44 455,479,6 0,701. 0 200 amps or leas 2 - � 201 amps to 400 amps 2 Owner's s:^^alurc: 1 le: _V tj 401 to 600 amps _ 2 dtranch drealts-new,alteration, or exlerrsion per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: As State: ZIP: B Fee for branch circuits without purchase Phone: -- x: E-mail: of service o. feeder fee,first branch circuit: 2 a Fa Each additional branch circuit: Misc.(Service or feeder not Included): ~ rSer-vice amps-commercial U Health-care facility Each pump or irrigation circle 2 Each si a or outline li hlin 2 amps-rating of Ik2 U Hazardouslocation g B g U Building over 10,000square feet four or Signal circuits)cr a limited energy panel, volts nominal more residential units in one structure alteration,or extension* _ 2 U Building over three stories U Feeders.4(1(1 amps or more •t3mription: U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: W U Egrr•%Aightingplan U Other: Perinspection -'i Submit__sets of plans with any of the above. Investigation fee _ The above are not applicable to temporary condruction service. other Na n,ac all jurisdictiocept credit cad.,plena can rn jurisdiction for exr irdnrmaion Notice:This permit application Permit fee..................... U visa U MasterCard expires if n permit is no(obtained Plan review(at __ %) $ Credit cad number: _ __�__ within IRO days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL .......................$ _ Name of cardholder as s.own oo c it end S Cardholder siparure Amount 44n-4615(MOMM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: --_- Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) I Service Included: Items Cost Total y Gheck Type of Work Involved: Residential-per unit 1000 sq fl.or less _ $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq ft or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $7500 _ Each Manufd Home or Modular Garage Door Opener' Dwelling Service or feeder $90 90 2 Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocitiun 200 amps or less _ $80.30 2 I 201 snips to 400 amps $108.85 2 L�I Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps -- _ $240.60 _ 2 ❑ Other-- ---_-___._. _---_— -_.---- �_ _--_ Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _ $66.85_ 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133.75 y 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits f�1 New,alteralion or extension per panel L J Boiler Controls a)the fee for branch circuits -fth purchase of service or C] Clock Systems feeder fee. Each branch circuit _ $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or leerier fee. First branch circuit _ $46.85__ - _ f—I Each additional bra..ch circuit �^ $6.65 IJ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40_ Intercom and Paging S tems Each sign or outline lighting $53.40 g 6 Signal circutt(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) —!_ $125.00 Medical Each additional Inspection over ❑ the allowable In any of the above ❑ Nurse Calls Per inspection _ $62.50 Per hour $62.50 In Plant „ $73.75 Outdoor Landscape Lighl Fees; Protective Signaling IL Enter total of above tees $ �] Other 8%State Surcharge $ _ Number of Systems 25%Pian Review Fee No licenses are required Licenses are required for all other Inst.alations .J See"Plan Review"section on $ fror,1 of application -- - 0 Fees: J total Balance Due $ — Enter total of above fees ❑ Trust Account N 8%State Surcharge Total Balance Due 5 _ i:klstslfomtsklc-fees doc 10/09101 M q//,/al Bt inin Cut Datereceived: /�-D ( i o. _,�x,33 Project/appl.no.: Expire date: CirvgfTigard Address. r.-)r..>>w rtan ti1vU, Irgar],OR 91223 -- Phone: (503) 639-4171 Date issued: Hy: Receil.t no.: Fax: (503) 598-1960 Case file no.: Payment type: - Land Use appCOval: _ 1&2family Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: -_ — Job address: Q -� c <_—�T �1ie Bldg.no.: Suite no.: Lot: Blux k: Subdivision: �/ Lax map✓tax lot/account ro.: Project name: -� Description and lavation of work on prrmises/special conditions: Q_r O Name: i-{ + f Mailing address. r�-4j- j d 4t _ I&2 bmily dwelling: City: (' _rstate:13k ZlP0j4.-)j_14 Valuation of work....................................... Phone:t,tl C?- q I Fax: 1 mail: AGs: No.of bedrooms/haths................................. Owner's representative: _ Total number of floors................................. Phone: Fax: E-mail: I New dwelling area(sq.ft.) ......................... _ Garagc/carport area(sq.ft.)......................... _ Name: t f Covered porch area(sq. ft.) ......................... - MailDeck area(sq.ft.) ........................................ ing addrr . City: State:D Z . ac_,-- Other structure area(sq.ft.)........................ _ Phone: Fax: E-mail: (,ommercial/indastrhdhoulti-fardlly- iprovisions n of work........................................ $ bldg.area(sq.ft.) . Business name: Q -�r g.area(sq.11.).............................. Address: r,.LoL��-_U t~ S �-►—� of stories........................................ City: O 1C O U(/'e State l t) ZIP: to d- _Y — constriction.................................... Phone:_Ao3��/-al l Fax: E-mail:Wu�cu. dfie. cygrtwp(s): $xisting: CCB no.• /1'1 �� � New: City/metro lic.nk-.: All contractors and subcontractors are required to he with the Oregon Construction Contractors Board under Name: ns of ORS 701 and maybe required to be licensed in the G. Address: jurisdiction where work is being performed.If the applicant is p: City: State: ZIP: exempt from licensing,the following reason applies: to Contact person: Plan no.: Phone: Fax: E-mail: - - _J m Name: Contact person: Fees due upon application ...........................$ tri Address: - Date received: W _ _ ---— •-I City: State: ZIP: _ Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na all Wodktiar accept emtu c",pkae calt Ww%cdm fa mnrr In(Mud n. attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard work will be complie itlu,whe r s fled he in or not c"r care mmb _ __ _ __—. __—gyp p�he. Authorized signature: _- j�tet' / D Name d c .s aturvn on eeiedl+card-- ; Print name: 2T//l/ _ --� Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted m complete. 4"13(6RMC M) r� One'-and Two-Family Dwelling Building Permit Application Checklist 1cferenceno.: 0tvnfTigard �l OG Tl and Associated permits: City g U Electrical U Plumbing U Mechanical Address: 13125 SW Hall 131vd,Tigard,OR 97223 U 0(her: phone: (503) 639-4171 _ Fax: (503) 598-1960 I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoniug.i nod plain,solar balance points,seismic•soils de.iignalion,historic district,etc. 3 Verification-o(approved plafflot. _ 4 Fire dist ct_..^___ approval required. 5 Septic system permit or Nthoriration for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval._ 8 Soils report. Must cant'original app hle stamp and signature on file or with application. 9 Erosion control U plan U permit require . include drainage-way protection,silt fence design Ad Irx:ation of catch-basin prottAon,etc. 10 _3 Complete sets of legible plans.Must Ix- wn to scale,showing conformance Io ap icable 1)cal and state building codes.Lateral design details and connect ns must be incorporated into the plan ur on a separate full-size sheet altached to the plans with cross references bet rn plan location and details. Pla review cannot be completed if copyright violations exist. _ I I Sitelplot plan drawn to scale.The plan must show lot and iding setback dimensio ,property comer elevations(if therr is more than a 4-ft.elevation differential,plan must show •on(our lines at 2-ft.i ervals);location of easements and driveway;footprint of stnrclure(including decks);location of we dkplic systems• tiIity locations;direction indicator;Iof area;building coverage area;percentage of coverage;impervious a a;existing ictures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-down. and re' forcing pads,c.mnection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size, •ation of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 ch above grade,etc. M Cross section(s)and details.Show all framing-member sizes and s acing s h as floor beams,headers,joists,sub-floor, wall conslruction,roof construction. More than one cross section ay he requr d to clearly portray construction.Show details of all wall and roof sheathing,nxifing,roof slope,ced ieighl,siding serial,footings and foundation,stairs, fireplace construcuon, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction in imum of two cleva ins for additions and remodels. Exterior elevations must reflect the actual grade if thec nge in grade is greater tha four foot at building envelope. Full-size sheet addendums showing foundation elevati ns with cross references are at cptable. 16 Wall bracing(prescriptive path)and/or lateral a lysis plans.Must indicate details d locations;for non-prescriptive path analysis provide specificatiods and calculations to engineering scan ards. 17 Floor/roof framing.Provide plans for all floo , xrf assemblies,indicating member sizin spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide c , sections and details showing placement of reba F'or engineered systems,see item 22,"Engineer's calcula . ns." 19 Beam calculations. Provide two sets of alculations using current code design values for all bea s and multiple joists 0, over 10 feet long and/or any beam/joi carrying a non-uniform load. (C' 20 Manufactured floor/roof truss;des n details. N21 Energy Code compliance.lcicntify'thc prescriptive path or provide calculations.A gas-piping schem tic is required >_ for four or more appliances. _ _ 1-- 22 Engineer's calculations.Whcn fegnired or provided,(i c.,shear wall,roof truss1:hall be.stamped by a engineer or "t architect licensed in Oregon ano shall be shown to be applicable to the project under review. CD 0 W 23 Five(5)site plans are required for Item I 1 above. Site plans must he 8-1/2" x 11"or I I"x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 28 Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 44')-6:4(60"M) CITY OF TIGARD BUILDING INSPECTION DIVISION MST ��-C1�i'-+�� 2.3.3 24-Hoof Inspection Line: 639-4175 Business Line: 639-4171 / �/ � BUP _ Date Requested �-f ~ 1 f AM PM — Location— cl U 5 ���C �G%� / Suite BLD _ Contact Person Ph 64 PLM _ Contractor /Ph SWR M_ BUILDING TenanVOwner t4,1 u 30 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: -.-� Slab 1�� e-' K-' SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Dry wall Nailing _ Firawall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Y' Final PASS PART FAIL PLUMBING Post&Beam - Under Slab Top Out WaterService Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post& Beam — Rough In Gas Line Smoke Dampers Final -- --- — PA ART FAIL RIC -- — Service _ Rough In UG/Slab _ Low Voltage JUEOIarm PASS)PRO PART FAIL. Backfill/Grading - Sanitary Sewer Storm Drain [ ]Re. ?ion fee of$ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd Catch Basin ] ] Unable to ease call for reinspection RE: inspect-no access Fire Supply Line — - I 1 ADA Approach/Sidewalk Other Date _ / 01 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGAIJD BUILDING INSPECTION DIVISION - MST 14WL- 4V&V 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP — _Date Requested— _ AM PM BLD Location 91-A.0 SW Suite MEC — Contact Person Ph PLM Contractor _ Ph _ SWR � Tenant/Owner _ ELC Retaining Wall ELR Footing Access: .� — Foundation FPS Ftg Drain SGN — Crawl Drain Inspection Notes: ----- Slab _ - SIT Post&Beam — Ext Sheath/Shear Int Sheth/Shear - - - Insulation Drywall Nailing _- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --__--_- Roof Misc._-- ------_--_ __-- _ _ i S PART FAIL PLUMBING Post&Beam -� —�-- ------- Under Slab Top Uut -- - - -- -�— - - -- Water Service Sanitary Sewer Rain Drains Final - - — PASS PART FAIL MECHANICAL Post&Beam -- — - Rough In Gas Line -- -- -- - - Smoke Dampers Final --- -- — - PASS PART FAIL ELECTRICAL — — --" Service d Rough In �--- ----- -- —• --- UG/Slab Sn Low Voltage Fire Alarm Final m PASS PART FAIL _ SITE ul Backfill/Grading -'-- --�----- J Sanitary Sewer S'.omi Drain [ I Reinspection fee of$— 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 ac„ess ADA Approach/Sidewalk Other Date Inspects r Ext _ -- -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT L�d 13125 SW Nall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : PLM98-0034 DATE ISSUED: 02/10/98 PARCEL: 2S111BA-0080+ SITE ADDRESS. . . : 09940 SW M( DONALD ST SUBDIVISION. . . . : T I GARDV I LL_E HEIGHTS ZONING- R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .025 JURISDICTION: TIG ----------------------------------.----------------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 1 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 L.AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUR/SHOWERS. . . : 1 SEWER LINE (ft) . . . : 0 WATER CLOSETS. : 1 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Install new shower and move toilet and reinstall lay. in an existing single family dwelling. Owner: -------------------------------------------------------- FEES ----------•---- MARY GUERTIN--MEEHL.. type amount by date recpt 9940 SW MC DONALD PRMT $ 27. 00 GEO 02/10/98 98-303193 TIGARD OR 97224 5PCT $ 1. 35 GEO 02/10/98 98-303193 1 Phone #: 639-5919 Contractor -__._______________---_--_------- CHRTSTIAN PI__UMBING 23172 SW STAFFORD RD. TUALATIN OR 97062 -------------------------------------- Phone #: 503-638-8231 t 28. 35 TOTAL Reg #. . : 000426 ------- REOUIRED INSPECTIONS -----This permit is issued subject to the regulations contained in the Mi sc. Inspec+.; ion Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with a approved plans. This permit will expire if work is not started within 18N days of issuance, or if work is suspended for more N than IN days. ATTENTION: Oregon law requires you to follow rules —� adopted by the Oregon Utility Notification Center. Those rules are — J set forth in DAR 952-MI-010 through OAR 952-MI-M. you may m obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. ---- —. --____ Issued By: �' _ �� Permittee Signatures(�����/_r� ++++++++++++++++++++ +++++++++++++++++++++++++++++++++++++i•+++++++++++.f-+++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++++++++++j.++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Recd By ,ITY OF TIGARD Plumbing Application 3125 SW HALL EILVD. Commercial and Residential Date Recd_ IGARD, OR .97223 Date to P.F. Date,to DST 503) 639-4171 Pemlit a `'(- /�1 Print or Type Relatev SWR• Incomplete or Illegible applications will not be accepted Called Name of Development/Project On back Indicate Work Performed by fixture. Job I FIXTURES (Individual) CITY PRICE AMT Address Street Address 8uRe Sink 900 U u, Lavatory j 9.00 oi- I City/State Z1;) Tub or Tub/Shower Comb. a.00 r. c0 � 7 _ _ Name Shower Only 9.00 a U' (�.r'v F/ Ale L Water Closet 9,00 { Owner Mailing Addres stns Dishwasher 9,00 �r c/C !,LQ Garbage Disposal 9.00 City/Stas Zip Phone 0 ,y _ --g/ Washing Machine 9,00 Name oL Floor Drain 2 9.00 3' 9.00 Occupant Mailing Addross Suite 4' 9 .00 City/State Zip Phone Water Heater O conversion U like kind 9.00 Laundry Room Tray 9,00 Name Urinel 9,00 -- 5f itch����cx�ti w CVcw, Other Fixtures(Spey) 9.00 Contractor Mailing Address suite 02 ni St". 5>'0-v f'u _ 9.00 Prior to permit City/Stale Zip Phone 9.00 issuance,a copy on /0 14 w Of). F,70(02 - y y 900 of all licenses are Oregon Const.Cont.Board Lic.= Exp.Date 910 required if J (c A:2" S&- Sewer-1st 100' 30.00 expired in COT Plumbing Lic.0 Exp.Date database 3 Sewer-each additional 100' 25.00 Name Water Service-1st 100' 30.00 Architect Water Servi^e-each additional 200' 25.00 or Mailing Address Suite Storm b Rain train-1st 100' 30.00 Storm 88 Rain Drain-each additional 100' 25.00 Engineer city/state Zip Phone Mobilq Home Space 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Describe work New OAQbition 0 Alteration Repair O Pollutlon Device to be done: Residentla Non-residential O Residential Backflow Prevention Device' 15.00 Additional deal rip0o of work: �, S(na w c Any Trap or Waste Not Connected to a Fixture 9.00 t (,� New' ` �/ ) Catch Basin 9.00 V� r Cry(!_-(' ,� r �4/vl/ SIdLX1 1^oN Ir ;.aDExistingPlumbing 40.00 er/hr Existing use ofSpecially Requested Inspections 40,00 CL building or property parthr FX Rain Drain,single family dwelling 30.00 ~ Proposed use of --— N � building or F.operty Grease TraF s 9.00-� ~ - AUANTtTY TOTAL ..t hereby acknowledge that I have read this appllcatien,that the information_ lgoffw ir or rise+dlsgrun is required Ir puanviiy Total Is >9 m I jen -orrect,that I am the owner or authorized agent of the owner,and `-- =gU6TOTAL 0 DL a� 3 submitted are in with Oregon State Laws. W 5 ,of Owner/Agent Date ----- J 5%SURCHARGE / g neon Nanta Phone PLAN REVIEW 25%OF SUBTOTAL ^n rr Required qx H flxtm__gty.total is>9 7I-5IyY9' TOTAL r� 'Minimum permit tee is$25+5%surcharge,except Rosidential Backflow Prevention Device,which is!1115+5%surcharge M dc•.x.97 PLEASE COMPLEX; Fixture Type Quantity by Work Performed Capped/ Removed Moved Replaced Sink Lavatory Tub or 'rub/Shower Combination ~ Shower Only _ Water Closet _ Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" — Water Heater Laundry Room Tray _ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: cn J to W — --- J I WsWpimspp doc W CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 SUP Date Requested c� / '2` U AM PM QLD Location- �(�� 41 Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing NOT REQUESTED Foundation FOUND DURING RESEARCH FPS Fig Drain Crawl Drain NO INSPE( FION(s) IN FILEx ;f SGN Slab lli/ SIT Post&Beam Ext Sheath/Shear 7S / Int Sheath/Shear _ Framing Insulation Drywall Nailiog _ Firewall Fire Sprinkler Fire Alarm r Susp'd Ceiling Roof - Misc Final PAS PART FAIL MB Post&Beam O<v:V� -` Under Slab It'�� Top Out 100V --� �- Water Service Ct _ Sanitary Sewer !- Rai Drains fin PART FAIL CHANICAL Post& Beam -- ---- - -- — Rough In - Gas Line Smoke Dampers Final _— PASS PART FAIL a ELECTRICAL Service -- — --- _ �-. Rough In N UG/Slab Low Voltage Fire Alarm Final j PASS PART FAIL - W SITE Backfill/Grading _-- -�-- —' Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE: [ )Unable to inspect-no access ADA Approach/Sidewalk Other Date y Inspector —Ext .--- Final xt .--_Final PASS PART FAIL DO 14OT REMOVE this Inspection record from the job site. 04/10/2001 13:07 3608922100 PACIFIC SLINROOMS PAGE 02 STRUCTURAL GENERAL NOTES CODE LOADS SNOW LOAD 25 PSF + DRIFT ROOF DEAD LOAD 7.5 PSF SEISMIC ZONE 3 WIND AO MPH EXPOSURE B WIND UPLIFT 10.5 PSF ALUMINUM 1 ALUMINUM TO BE TYPE 6063-T5 ACRYLIC GLAZING - I I. IT MUST PASS ANSI-297. 1 TEST FOR 'SAFETY GLAZING MATERIALS. 2 IT MUST HAVE A FLEXURAL_ STRENGTH OF 15000 PSI ACCORDING TO TEST METHOD ASTM D-790 FOR A SHEET THICKNESS OF .125" FIELD VERIFY 1 vERiFY EXISTING BUILDING HAS ADEOUATE STRENGTH TO d. RESIST THE ADDITIONAL LOADS FROM THE SUNROOM. f- N m c9 ow►wiMo TITLE: STRUCTURAL GENERAL NOTES pt>tAwINO: w CITY OF TIGARD 96: Approved......................................................... SK1 roved...... .................( ): For only the App ��_"' For only the Wo PERMIT NO. ............... See letter to: o Job Address: �-r By: I