Permit C ITY OF T I GA R D MECHANICAL PERMIT
PERMIT #: MEC2002 -00604
DEVELOPMENT SERVICES DATE ISSUED: 12/27/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134BC -00401
SITE ADDRESS: 12442 S W SCHOLLS FERRY RD * * **
SUBDIVISION: ZONING: C -N
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: Installation of (2) VAV boxes and and additional duct work. Project value: $14,231.
Owner: FEES
SISTERS OF PROVIDENCE IN OR Description Date Amount
BY STEVE FOSTER [MECH] Permit Fee 12/27/02 $213.65
PORTLAND, , O R 97213
PO BOX 13993 [TAX] 8% StateTax 12/27/02 $17.09
OR
Phone: Total $230.74
Contractor:
HVAC INCORPORATED
5188 SE INTL WAY
MILWAUKIE, OR 97222 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 462 -4822
Duct Inspection
Reg #: LIC 50897 Final Inspection
This 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 -00
�� _
Issued By � � ' / Permittee Signatu
- Call (503) 639 -4175 by 7:00 P.M. for inspections nee th usine "d ay
t .
(. •
Mechanical Application
Date received: /a 17 pg. Permit no.: Her j pA _006
it 4o T City of Tigard R V p Project/appl. no.: Expire date:
Ciryo rd Address: 13125 SW Hall B Date issued: Ecklt ` Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 'DEC 2 7 2002 Case file no.: Payment type:
Land use approval: C Building permit
no.: P
GI ‘ OF- TIGARD /
': VPE: OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
0 New construction 0 Addition/alteration /replacement U Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: /24h, 6'14,1 p 5 GeRy /-7. Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: /art /20 2. value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ / YAW .
Lot: JBlock• 'Subdivision: *See checklist for important application information and
Project name: / // 4,i /604,F 809 jurisdiction's fee schedule for residential permit fee.
City /county: -77t6.,f?D I ZIP: 7 3 I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
D scription and location of work on premises: -Z -2v/94/ AND COMMERICAL /INDUSTRIAL EQUIPMENTSCIIEDULE
g0 XLSp- Cut% Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: -// HVAC:
Is existing space heated or conditioned? l�'Yes 0 No Air handling unit CFM
Air conditioning (site plan required)
Is existing space insulated? &Yes ❑ No Alteration of existing HVAC system
M ECHANICAL CONTRACTOR Boiler /compressors
Business name: VAC a C State boiler permit no.:
HP Tons BTU/H
Address: S'J.f SL Si - ,,rey / L WJP Fire/smoke dampers/duct smoke detectors
City: "IX/hi lt ere I ZIP: C/77.. Heat pump (site plan required)
Phone: So' -I j ) Ssll1 Fax:s'o3 ,2 E - mail: Install/replace furnace/burner BTU /H
Including ductwork/vent liner O Yes O No
CCB no.:
Install/replace/relocate heaters- suspended,
City /metro tic. no.: wall, or floor mounted
Name (please print): Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
/ Absorption units BTU/H
Name: ` f J / Chillers HP
Address:S f8 S'C i
n •'4 4 j br4&YWM-4L u ''t Compressors HP
Environmental exhaust and ventilation:
/rfJ ,/X,i/(1 I S tate:0 _ I ZIP: 77 j
■
'? Appliance vent
Phone: - 655-8 Fax: £/6a - S' E - mail: Dryer exhaust
OWNER Hoods, Type 1/ IUres. kitchen/hazmat
hood fire suppression system •
Name: /Q7VS0,C,64CG •eqI jii 5-2)--. Exhaust fan with single duct (bath fans)
Mailing address: 6�J - ji9 t.� 5- Exhaust system apart from heating or AC
Fuel piping and distribution (up to 4 outlets)
�T L ,4
. City: /4 f9ti+, State: pg.I ZIP: 77 R'/3 Type: LPG NG Oil
Phone:Sr/3,? /S'' -(s'35- Fax: 2-/S~ OiV E-mail: Fuel i ing each additional over 4 outlets
rocess piping (schematic required)
Number of outlets
Name.
_ Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert type
Phone: Fax I E - mail: Woodstove/pelletstove
/ Other:
Applicant's signature: . I Date: i�R7� Other:
I Name (print): DC/ BP
'Not all jurisdictions accept credit cards, please call jurisdiction for more information.' Permit fee $ /�
O Visa Cl MasterCard Notice: This permit application Minimum fee $
Credit card number: / Plan review (at %) expires if a permit is not obtained Plview at % $
E within 180 days after it has been State surcharge (8 %) .... $ .
Name of cardholder as shown on credit card accepted as complete. TOTAL $ � 0 •
Cardholder signature Amount 440 -4617 (6400/COM)
. • I'
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional $100.00 or including ducts & vents 14.00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts & vents 17.40
$10,001.00 to $25,00 00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or including vent _ 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance it
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: :oiler Heat Air
1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond
f on thereof. footnotes below. Comp* **
7) <3HP;abso a nit
Minimum Permit Fee $72.50 SUBTOTAL: $ to 100K BTU. 14.00
8) 3 -15 HP. absorb
8% St -, e Surcharge $ unit 100, ' 0 500k BTU _ 25.60
9) 1 ,'' HP; absorb
25% Plan Review Fee (. subtotal) $ uni, ." -1 mil BTU 35.00
Required for ALL commercial pe • its only c 30 -50 HP; absorb
TOTAL COMMERCIAL PERM ` FEE: $ , nit 1 -1.75 mil BTU 52.20
11) >50HP: absorb
unit >1.75 mil BTU 87.20
12) Air handling unit to 10,000 CFM
ASSUMED VALUATIONS PER APPLIA E: 10.00
Valu- Total 13) Air handling unit 10,000 CFM+
Description: Qty (Ea) Arno t 17.20
Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler
ducts & vents 10.00
' Furnace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct
ducts & vents 6.80
Floor fumace including vent 955 16) Ventilation system not included in
Suspended heater, wall heater or 95 . appliance permit 10.00
" floor mounted heater /f0 17) Hood served by mechanical exhaust
Vent not included in applicance 5 10.00
permit 18) Domestic incinerators
Repair units 805 17.40
< 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator
to 100k BTU 69.95
3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves
101k to 500k BTU 10.00
15-30 hp; absorb. unit, 501k to 1 2,310 :1) Gas piping one to four outlets
mil. BTU 5.40
30 -50 hp; absorb. unit, 3,400 22 ore than 4 -per outlet (each)
1 -1.75 mil. BTU 1.00
>50 hp; absorb. unit, 5,725 Mini m Permit Fee $72.50 SUBTOTAL: $
>1.75 mil. BTU
•
Air handling unit to 10,000 cfm 656 8% State Surcharge $
Air handling unit >10,001,0 1,170
Non - portable evaporat- ••oler 656 TOTA RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 446
Vent system not included in 656
appliance permit Other Inspections and Fees:
Hood served by mechanical exhaust 656 1. Inspections outside of normal business hours (minimum charge -two hours)
Domestic incinerator 1,170 $72.50 per hour.
Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge - half hour)
Other unit, including wood stoves. 656 $72.50 per hour
3. Additional plan review required by changes, additions or revisions to plans (minimun
inserts, etc. _ charge-one-half hour) $72.50 per hour
Gas piping 1 outlets 360
Each additional outlet 63 `State Contractor Boller Certification required for units >200k BTU.
"Residential A/C requires site plan showing placement of unit
TOTAL COMMERCIAL $
VALUATION:
i :ldsts\formstrmech- fees.doc 08/06/01
Q -
C- xrs7-/1-1G SYSTEM SIZING SUMMARY
System: System 4 / Block Load 3.05
Location: Portland, Oregon - November 12, 2002
'Prepared by: hvac inc Page: 1
•
'TABLE 1. SIZING DATA (COOLING) I
Total Coil Load 6,860 BTU/hr Load Occurs • June 16:00
Sensible Coil Load 6,085 BTU/hr ' - Outdoor DbA1'b 88.4/67.8 F
Total Zone Sensible 3,546 BTU/hr t , Coil Conditions:
Supply Temperature 57.0 F Entering Db/1W • 86.2/67.7 F .
Supply Air (Actual) HULM L - Leaving DbAVb 57.0/56.2 F ,
Supply Air (Standard) 193 CFM Apparatus De »point 55.5 F
Ventilation Air 150 CFM Bypass Factor 0.050
Direct Exhaust Air 0 CFM Resulting Zone RH 64.9 %
Reheat Required 0 BTU/hr
Total Coil Load 0.57 Ton t to 2
Floor Area 264 sqft Sensible Coil Load 0.51 Ton • 5' (e I
Overall U -Value 0.090 BTU/hr/sgft/F • SQFT/Ton • 461.84
Vent Air 0.57 CFM/sqft Cooling 25.98 BTU/hr /sq ft
Vent Air 15.00 CFMUPerson Cooling 0.73 CFM/sqft
TABLE 2. SIZING DATA (HEATING) i
Heating Coil Load 9,642 BTU/hr Heating 36.52 BTU/hr /sq ft
• • Ventilation Load 8,407 BTU/hr Heating 0.00 CFMUsgft
Total Zone Load 1,236 BTU/hr Floor Area 264 sq ft
Ventilation Airflow 150 CFI Overall U -Value 0.090
Zone Water Flow 0.10 gpm Vent Air 0.57 CFM/sqft
Preheat Water Flow 0.68 gpm Vent Air 15.00 CFM/Person
Hot Water Delta -T 25.0 F
TABLE 3. INPUT DATA (WEATHER) I
Location Portland, Oregon
Data Source User Defined Summer Dry -Bulb 90.0 F
Latitude 45.6 Degree Coincident Wet -Bulb 68.0 F
Elevation 57.0 ft Daily Range 21.0 F
Atmospheric Clearness # 1.05 Winter Dry -Bulb 18.0 F
TABLE 4. INPUT (HVAC SYSTEM) I
System Name System 4 THERMOSTAT SETPOINTS
System Type CIg and Hydronic Ht Cooling (Occ.) 74.0 F
System Start 6:00 Cooling (Unocc.) 78.0 F
Duration 12 hrs Heating .. 70.0 F
SIZING SPECIFICATIONS RETURN AIR PLENUM No
Supply 57.0 F FAN
Ventilation 15.00 CFMUperson Configuration Blow -Thru
Exhaust • 0.00 CFI Static Pressure 1.50 in. wg.
Hot Delta -T 25.0 F
FACTORS
Coil Bypass 0.050
Safety (Sens) 0 %
Safety (Latent) 0 %
Heating Safety 0 %
TABLE 5. TOP TEN COOLING COIL LOADS I
Time Sensible Ton Total Ton Time Sensible Ton Total Ton
1) June 16:00 0.51 0.57 6) June 17:00 0.49 0.56
2) July 16:00 0.52 0.57 7) August 15:00 0.51 0.56
3) June 15:00 0.51 0.57 8) July 17:00 0.51 0.56
4) July 15:00 0.52 0.57 9) August 17:00 0.50 0.55
5) August 16:00 0.51 0.56 10) June 14:00 0.49 0.55
•
•
•
SYSTEM SIZING SUMMARY
System: System 2 Block Load 3.05
Location: Portland, Oregon November 12, 2002
Prepared by: hvac inc Page: 1
TABLE 1. SIZING DATA (COOLING)
•
Total Coil Load 13,020 BTU/hr ' ' Load Occurs June 16:00
Sensible Coil Load 11,252 BTU/hr Outdoor Db/VVb 88.4/67.8 F
Total Zone Sensible 7,761 BTU/hr Coil Conditions:
Supply Temperature 57.0 F _ Entering Db/11b 81.6/66.4 F `
Supply Air (Actual) '4-€FM Leaving Db/Wb 57.0/56.3 F
. Supply Air (Standard) 423 CFM Apparatus Dewpoint 55.7 F
•
Ventilation Air 195 CFM Bypass Factor 0.050
Direct Exhaust Air 0 CFM Resulting Zone RH 60.4 %
Reheat Required 0 BTU/hr
Total Coil Load 1.08 Ton I . ( .20o
Floor Area 521 sqft _ Sensible Coil Load 0.94 Ton 1 0 3
Overall U -Value 0.090 BTU/hr/sqftfF SQFT/Fon . 480.20
Vent Air 0.37 CFM/sqft Cooling 24.99 BTU/hr/sqft
Vent Air 15.00 CFM/Person Cooling 0.81 CFM/sqft
TABLE 2. SIZING DATA (HEATING) I
Heating Coil Load 13,348 BTU/hr Heating 25.62 BTU/hr/sqft
Ventilation Load 10,929 BTU/hr Heating 0.00 CFM/sqft
Total Zone Load 2,420 BTU/hr Floor Area 521 sqft
Ventilation Airflow 195 CFI Overall U -Value 0.090
Zone Water Flow 0.19 gpm Vent Air 0.37 CFMUsgft
Preheat Water Flow 0.88 gpm Vent Air 15.00 CFM/Person
Hot Water Delta -T 25.0 F
' TABLE 3. INPUT DATA (WEATHER)
Location Portland, Oregon
Data Source User Defined Summer Dry -Bulb 90.0 F
_
Latitude 45.6 Degree Coincident Wet -Bulb 68.0 F
Elevation 57.0 ft Daily Range 21.0 F
Atmospheric Clearness # 1.05 Winter Dry -Bulb 18.0 F
TABLE 4. INPUT (HVAC SYSTEM)
System Name System 2 THERMOSTAT SETPOINTS
System Type Clg and.Hydronic Ht Cooling (Occ.) 74.0 F
System Start 6:00 Cooling (L •nocc.) 78.0 F
Duration 12 hrs Heating 70.0 F
SIZING SPECIFICATIONS RETURN AIR PLENUM No
Supply 57.0 F FAN
Ventilation 15.00 CFM /person Configuration Blow -Thru
Exhaust .. 0:00 CFM Static Pressure 1.50 in. wg.
Hot Delta -T 25.0 F
FACTORS
Coil Bypass 0.050
Safety (Sens) 0 %
Safety (Latent) 0 °/,
Heating Safety 0 %
TABLE 5. TOP TEN COOLING COIL LOADS I
Time Sensible Ton Total Ton Time Sensible Ton Total Ton
1) June 16:00 0.94 1.08 6) July 17:00 0.94 1.07
2) July 16:00 0.95 1.08 7) August 16:00 0.94 1.07
3) June 15:00 0.93 1.08 8) August 15:00 0.94 1.06
4) July 15:00 0.95 1.08 9) August 17:00 0.92 1.05
5) June 17:00 0.92 1.07 10) June 14:00 0.91 1.05
. .
C r - - ri"� SYSTEM SIZING SUMMARY
System: VAV1 E i v so v Block Load 3.05
Location: Portland, Oregon November 12, 2002
. • Prepared by: hvac inc Page: 1
TABLE 1. SIZING DATA (COOLING) i
Total Coil Load 34,869 BTU/hr " o - oad Occurs June 17:00 _
Sensible Coil Load 32,797 BTU/hr - Outdoor Db/Wb 86.9/67.4 F
Total Zone Sensible 28,954 BTU/hr Coil Conditions:
Supply Temperature 57.0 F Entering Db/Wb 76.3/63.9 F
Supply Air (Actual) 1,580 UN' • Leaving Db/Wb 57.0/56.4 F
• Supply Air (Standard) 1,577 CFM Apparatus Dewpoint 56.0 F
Ventilation Air 150 CFM Bypass Factor 0.050
Direct Exhaust Air 0 CFM Resulting Zone RN 54.9 %
Reheat Required 0 BTU/hr
Total Coil Load 2.91 Ton '1. 1
Floor Area 538 sqft Sensible Coil Load 2.73 Ton 3 . O c - 5
Overall U -Value 0.234 BTU/hr/sgNF SQFT/Ton 185.15
Vent Air 0.28 CFM/sqft Cooling 64.81 BTU/hr/sqft
Vent Air 15.00 CFM/Person Cooling 2.94 CFJVsgft
TABLE 2. SIZING DATA (HEATING) `
Heating Coil Load 19,349 BTU/hr Heating 35.96 BTU/hr /sqft 1
• Ventilation Load 8,407 BTU/hr Heating 0.00 CFMJsgft
Total Zone Load 10,942 BTU/hr Floor Area 538 sqft
Ventilation Airflow 150 CFM Overall U -Value 0.234
Zone Water Flow 0.88 gpm Vent Air 0.28 CFM/sqft
Preheat Water Flow 0.68 gpm Vent Air 15.00 CFM/Person
Hot Water Delta -T 25.0 F
TABLE 3. INPUT DATA (WEATHER) -
Location Portland, Oregon
Data Source User Defined Summer Dry-Bulb 90.0 F
Latitude 45.6 Degree Coincident Wet-Bulb 68.0 F
Elevation 57.0 ft Daily Range 21.0 F
Atmospheric Clearness q 1.05 Winter Dry-Bulb 18.0 F
TABLE 4. INPUT (HVAC SYSTEM) I
System Name VAV1 THERMOSTAT SETPOINTS
System Type CIg and Hydronic Ht Cooling (Occ.) 74.0 F
System Start 6:00 Cooling (Unocc.) 78.0 F
Duration 12 hrs Heating 70.0 F
SIZING SPECIFICATIONS RETURN AIR PLENUM No
Supply 57.0 F FAN
Ventilation 15.00 CFMlperson Configuration Blow -Thru
Exhaust 0.00 CFM Static Pressure 1.50 in. wg.
Hot Delta -T 25.0 F
FACTORS
Coil Bypass 0.050
Safety (Sens) 0 %
Safety (Latent) 0 %
Heating Safety 0 %
TABLE 5. TOP TEN COOLING COIL LOADS I
Time Sensible Ton Total Ton Time Sensible Ton Total Ton
1) June 17:00 2.73 2.91 6) May 17:00 2.63 2.76
2) July 17:00 2.73 2.88 7) August 16:00 2.55 2.71
3) June 16:00 2.61 2.78 8) May 16:00 2.52 2.64
4) July 16:00 2.62 2.78 9) June 15:00 2.38 2.55
5) August 17 :00 2.61 2.77 10) July 15:00 2.39 2.54
•
SYSTEM SIZING SUMMARY
System: System 3 Block Load 3.05
Location: Portland, Oregon November 12, 2002
. 'Prepared by: hvac inc Page: 1
TABLE 1. SIZING DATA (COOLING) J
Total Coil Load 7,042 BTU/hr toad Occurs June 16:00
Sensible Coil Load 6,132 BTU/hr " !door Db/11 b 88.4/67.8 F
Total Zone Sensible 4,573 BTU/hr Coil Conditions:
I
Supply Temperature 57.0 F Entering Db/Wb . • 81.1/66.2 F
• Supply Air (Actual) 236 CFNI Leaving Db/Wb 57.0/56.3 F
Supply Air (Standard) 235 CFM - Apparatus Dewpoint 55.7 F
Ventilation Air 90 CFM Bypass Factor 0.050
Direct Exhaust Air 0 CFM Resulting Zone RH 57.2 %
Reheat Required 0 BTU/hr
Total Coil Load 0.59 Ton .
Floor Area 450 sqft Sensible Coil Load 0.51 Ton
Overall U -Value 0.090 BTU/hr/sqft/F' SQFT/fon 766.82
Vent Air 0.20 CFM/sqft Cooling 15.65 BTU/hr /sqft
Vent Air 15.00 CFM/Person Cooling 0.52 CFM/sqft
• TABLE 2. SIZING DATA (HEATING)
Heating Coil Load 7,150 BTU/hr Heating 15.89 BTU/hr /sqft
' . Ventilation Load 5,044 BTU/hr Heating 0.00 CFMUsgR
Total Zone Load 2,106 BTU/hr Floor Area 450 sqft
Ventilation Airflow 90 CFM Overall U -Value 0.090
Zone Water Flow 0.17 gpm Vent Air 0.20 CFMJsgft
Preheat 1Vater Flow 0.41 gpm Vent Air 15.00 CFMUPerson
Hot Water Delta-T 25.0 F
TABLE 3. INPUT DATA (WEATHER)
Location Portland, Oregon
Data Source User Defined Summer Dry-Bulb 90.0 F
Latitude 45.6 Degree Coincident Wet -Bulb 68.0 F
Elevation 57.0 ft Daily Range 21.0 F
Atmospheric Clearness ti 1.05 Winter Dry -Bulb 18.0 F
TABLE 4. INPUT (HVAC SYSTEM) I
System Name System 3 THERMOSTAT SETPOINTS
System Type Clg and Hydronic lit Cooling (Occ.) 75.0 F
System Start 6:00 Cooling (Unocc.) 78.0 F
Duration 12 hrs Heating 70.0 F
SIZING SPECIFICATIONS RETURN AIR PLENUM No
Supply 57.0 F FAN
Ventilation 15.00 CFMVperson Configuration Blow -Thru
Exhaust 0.00 CFM - Static Pressure 1.50 in. wg.
• Hot Delta -T 25.0 F
FACTORS
Coil Bypass 0.050
•
Safety (Sens) 0 %
Safety (Latent) 0 % %,
Heating Safe % 0 %
TABLE 5. TOP TEN COOLING COIL LOADS
Time Sensible Ton Total Ton Time Sensible Ton Total Ton
1) June 16:00 0.51 0.59 6) July 15:00 0.51 0.58
2) July 16:00 0.52 0.58 7) August 16:00 0.50 0.57
3) June 17 :00 0.51 0.58 8) August 17 :00 0.50 0.57
4) July 17:00 0.51 0.58 9) August 15:00 0.50 0.57
5) June 15:00 0.51 0.58 10) June 14:00 0.49 0.56
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection yne: (503) 639 -4175
q)
INSPECTION DIVISION Business Line: (503) 639 -4171
/ BUP •
Received Date �/Z6/ O- AM PM BUP
Location id Suite 44330 (7 Oa, 0 7
Contact Person Pi4 ) _ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
0) 1161 •
Post & Beam :(}
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
4 PAA • • ` FAIL
•os & Beam
Rough -In
Gas Line
S Dampers
Final
ART FAIL
RICAL
Service
Rough -In
UG/Slab
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 Line
ADA
Approach/Sidewalk Date ?' / �� 3 Inspector v Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL