Permit CITY OF T D MECHANICAL
09 DEVELOPMENT SERVICES PERMIT
M�liill� PERMIT # MEC97 -0476
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 12/05/97
PARCEL: 15136CB -06800
SITE ADDRESS...: 11263 SW 81ST AVE
SUBDIVISION....: HERB & PEGGY'S PLACE ZONING: R -4.5
BLOCK LOT °015 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE....:SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP....: 0 DOMES. INCIN: 0
3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP : 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP ° 0 WOODSTOVES..: 1
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 : wood insert into ZC fireplace to existing SRO.
Owner: FEES
KENNETH BARKER type amount by date recpt
11263 SW 81ST AVE PRMT $ 25.00 TJH 12/04/97 97- 301430
TIGARD OR 97223 SPCT $ 1.25 TJH 12/04/97 97- 301430
Phone #: 503 - 624 -4829
Contractor:
TOM BISHOP CONSTRUCTION
11525 SW CANYON
26.25 TOTAL
BEAVERTON OR 97005
Phone #: 503 -626 -4652
Reg #..: 000546
REQUIRED INSPECTIONS -•
This permit is issued subject to the regulations contained in the Final Inspection
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 by 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 rules or direct questions to OUNC by calling. •
(503)246 -9187.
Issue By: , far Permittee Signature: //I i 12!. ,. ;.i.: i ,/
++++++++++++++++++++++++++++++++++-+++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SVV.HALL BLVD. Commercial and Residential Date Rec'd
TIGAR OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # me -x'9'7 -( 7(0
Called
Incomplete or illegible applications will not be accepted
- Name of Development/Project Description
Table 1A Mechanical Code (TY PRICE AMT
Job Street Address / Suite# , A) Permit Fee -0- -0- 10.00
Address • / /(9Co3 F/50 /J .
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
e (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner La r kQ,- ne r. including ducts & vents
Mailing Address ) 3.) Floor Furnace 6.00
// (o 3 , ) F / 4 l -u e including vent
_ City/State Zip PTione 4.) Suspended heater, wall heater 6.00
ii 9Gvd , U✓ �'1 -3 48a7 or floor mounted heater _ _
� _ __ N e.(or name.of_business)- - - - - - -- -- - - - • • - - - - 5:)' - Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
. 11 - 1 4 -4 l-% to 3 HP: absorb unit to 100K BUT
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU*"
Contractor 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to '1 i Sil p goo si (Tt-1._ 15-30 HP; absorb unit.5 -1 mil BTU"
issuance Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
applicant 1 /Say' St&) (.c t i At. , 30-50 HP; absorb unit 1- 1.75mi1 BTU" •
must provide all /State /� Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor b ea.'Jello V 6 p/ 9'7(x35 6 .(.. > 50 HP; absorb unit 1.75 mil BTU"
license Oregon Const. Cont. Board Uc.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
- information 5g 6 /- /C1 -7,?
• for COT COT Business Tax or Metro # Exp. Date 12.) Air handling unit 10,000 CFM 7.50
database). ./Sj S C f_ /- 9U
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip - Phone 15.) Ventilation system not included in - 4.50
appliance. permit
Describe work New 0 Addition 0 Alteration Repair 0 16.) Hood served by mechanical exhaust • 4.50
to be done Residential 0 Non - residential O
Additional Description of work 17.) . Domestic incinerators • 7.50
( _ 18.) Commercial or industrial type 30.00
600(x I � I yl %e eci- l 1�f. 7...e_. I / vV pp )Q ( . Incinerator
Existing use of 19.) Repair units 4.50
building or property S l - 17
20.) Wood stove 4.50 `°
Proposed use of - �� 21.) Clothes dryer, etc. 4.50
building or property JD
22.) Other units 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
I hereby 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 QTY. SUBTOTAL `4. 5
• laws.
Signature o • f er/ • • - nt Date 'SUBTOTAL
Svv
5% SURCHARGE
Con FTa • - rs n /' -..- e V Phone - PLAN REVIEW 25% OF SUBTOTAL - .
. � �6 , - s' . - TOTAL 0045
i:ldstlmechpmtdoc ( 4vwv
9 `Minimum permit fee is 525 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
ITY OF TIGARD BUILDING INSPECTION DIVISION T
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ‘ 3/4-- 40 / 10 / AM PM BLD
Location I 21p 3 - 1/L) t c / Suite Cry 57-° 00 V76
Contact Person Ph PLM
Contractor Ph SWR
BUILDING 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 Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall •
Fire Sprinkler
Fire Alarm l
Susp'd Ceiling
Roof
Misc:
Final • 2/61
PASS PART- FAIL IA)/
PLUMBING
Post &. Beam
Under Slab _ '
Top Out f�Jv td/ Water Service \ \\
Sanitary Sewer
Rain Drains
Final \\
PASS PART FAIL
Post & Beam
Rough In
Gas Line
S moke Dampers
dap PART FAIL
RICAL
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 Basin
Fire Supply Line [ ] Please call for reinspection RE:. [ ] Unable to inspect - no access
ADA `�
Approach /Sidewalk Date 3/ Z1, / / 0 Inspector `� - Ex '°`
Other
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.
!F .
tP-5-.1 ._ CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -417
54-1 /
Date Requested: 102 —! 7 + / � 7 , ,�p A.M. P.M. MST:
I ^�
Location: I I � i� 3 l O ` .FJ-} �.Jlfv L... i (r ( s) BUP:
Tenant: S uite: Bldg: MEC: q 7- 0 b
Contractor: � j /
Phone: IO.2_ / 5 ^ PLM: '
Owner: 1`-N/Y \ U Phone: (7 � — O L) c--7 ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING (- ; ELECTRICAL SITE
Site Post/Beam Post/Beam Yost/Beam ,' J Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In ��/ Ceiling Water Line
Slab Framing Top Out Gas Line 1 Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct A I Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain. A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved • pprove• Approved Approved
Appr /Sdwlk Not Approved Not Approved Not • • r_,• ved Not Approved Not Approved
FINAL FINAL INAL FINAL FINAL
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1
1
■ S all for reinspection O Reinspection fee of $ � requ / ired before next inspection O Unable to inspect
Inspector: L Date: I . t ''[ Page of
z/-"u5 e
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ✓ --/ 5 AM PM BLD • 4112
Location /1 Z , > S4" P PL 11 Suite MEC 97 ---&t
Contact Person K-e-e- j 4/ h c Z `f ( -(J'z- `j PLM
Contractor ll Ph SWR
BUILDING Tenant/Owner P/�'6r ci d 74 /r ELC .
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab tZ•3 SIT
Post & Beam
Ext Sheath /Shear 0 t-^ t'1)_ - t:1 CAL L 2'• ( r
Int Sheath /Shear /
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final •
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAI■,
Post & Beam
Rough In .1 �,e ,,t •
Gas Line / N �- 5 _ ..
Sr�pl�e Dampers t U - T NA - At
�� - / j
PART F A�uE �v I1 �y�
RICAL f & �`'��_
•
Service 171 t 5E - Ai, " 5 .__
Rough b — /1Sp
UG /Slab 1 t'nt:),
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 Basin
Fire Supply Line [ ] Please call for reinspection RE: , [ ] Unable to inspect - no access
ADA th Approach /Sidewalk Date ) c Inspector Ext
Other
Final
PASS PART FAIL .DO NOT REMOVE this inspection record from the job site.