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/�amn I , A DEVELOPMENT SERVICES` � R 1:C _ , .
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JUN- 24 -'98 WED 01:55 ID: FAX NO: 14107 P02
CITY OF TIGARD ,,_ 2chanical Permit Applicatio•._, Plan Check s
13125 SW HALL BLVD. Commercial and Residential Recd By T
TIGARD, OR 97223 Date Rec'C Ca y- I
(503) 6394171, x304 Date to P.E
• Date to DST - L -
Print or Type Parma 0 oij�`i�G
Incomplete or illegible applications will not be accepted calie
hyN. at
Job sired F13� 6 °�°°^
Table to
C Mepyn;®1 Code PR/CE
/ Y / 7) sumo A) Permit Fee 0- q�
, , Q,,w, I 10.00
Address
ems. chrside zap
6AZD DR 97 29 9) Supplemental Palms
300
nano Or rungs d e green;)
Owner � R�� 5 CRTrA/& 1.) Furnace to verit1 eTU
ducts a vartts 6.00
b745 q�ePk .) Furnace 100.000 BTU e
CopoSto
• AVE. A incl. duds avents I 7.50 7 50
rW(+. ra2 1 62.1D-IQ I�P 600
,SAM l= ') s f hem. Val treater 6.00
Occupant """+a• or Hoer mounted heater
j 3_) vent not Ind. in
�sr.•a ao I ocher,s soprano= permit 3.00
6.) : •.- cream haat
at„e AA to 3 HP: aabsoc un to 1 or cond. 6,00
/7 ' Toni' 1��4a�, a ,,,( 7 -) Oar v �rnp, heat air cane
Contractpr ' " • ;' }151 absorb era le 5006 8W t 1 . 0 0
Amick copy of �1t e, . 1 5.00
REV / mono heat o.iie. air oeea
Current U:ensue Oman i i .1 6D5U' 01-) 9.) � unit 1 -1.73 mill BTU • 6a. •o
u 10.) Boiler or comp, treat
7 Arl � 1 l/51 350 MP, Pte. air cord 37.50
coT ahem Tat er •
atom unit 1.75 mtl BrIJ
7I 87f3 11.) Air 1111•10
�Vqq 10.000 6FIa 4.50
Architect ►^•
12.) Air 730
or 4 +q Amens 10.000 0111 4
13.) Mon portable
Engineer UW361u La Phone
3.00
3.50
Llescroe
3.00
:n es none wont New 0 / n 0 .. -. . - ` Repair 0 15.) Ventilation system not Reaidori ei , E Non Jeshentfal O included in appliance oe 4.50
4utuonal Desalt:6,n of wortin5� .ti 1 a,s
F ibte C.C. 18.) Hood served by
mechanical =ham
17) Dorrrasgo Starlet-mots
=dsong use of 7.50
',Jading or property 30.00
19.) Cornet dryefs. etc.
Wooed LLse of 4.50
;lading or txeperty 20) Other waft • 4.50
ype of fury - oil 0 natural gas LPG 0 elecrie 0
21) Cgs piping one to four code®
•
'ems acknowledge mat I have read Nee application, that the 1 2.00 ,0 0
: p^ given is correct; that I am the owner or authorized agent of �) Mom than 4-per ouget (earth)
�
owner. that plans strbenimed are in compliance with Oregon State
QTY. SUBTOTAL
ignature o Owned Day
'SUBTOTAL
1. 6 v li ;Z,5 OD
5% SURCHARGE
)rroct Parson Nam Phorhe
I 25
)cc) /J � 1 , 1 � PLAN REVIEW 25% OF SUBTOTAL 650-SoILI
r^+ecthpentdoe TOTA -ls
t ei "Tallnimurn permit fee is 525 4 5% surctrarge
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
_ �q �/► BUP
57 Date Re ested __ 1'I� l� h PM
BLD
Location 7q5 (111241 aA,( at Suite MEC C i r— )'c
Contact Person -(,o- Ph s6 I PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain S
Crawl Drain Inspection Notes: p ' 1, 1C c) � �
Slab o N SIT
Post & Beam
Ext Sheath /Shear
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
PA RT FAIL
CHA AL
Post & Beam
Rough In
Gas Line
11 .. - Dampi/
t v PART FAIL
•
TRICAL
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 / G
Approach /Sidewalk D ate 7// ( D /,7c Ins pector �/ U 7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
(075c1 — t L q BUD
13
Date Reques � PM BLD
Location 11 5 5U (tam AMA* Suite MEC W
Contact Person A- TEMP Ph &50 --- 50 f LL PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation �[p FPS
Ftg Drain .-e---1,-N �'L���
Crawl Drain Inspection Notes: ' SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing ✓,/®'' 7 .�Q i <( r.k ./Le iGiL - .. - P =x::_92..'
Insulation c / :
Drywall Nailing . (/.Q��''�.
Firewall
Fire Sprinkler
Fire Alarm > &tA Susp'd Ceiling r _z r 51 (ice
Roof
Misc: ` /a /�
Final X1:1 - �,, i Q i�? V'
PASS PART FAIL '"r/[ �>✓1 �- c s2,-erot.k..,
i _ / i
PLUMBING `� .0,_..... J
Post & Beam / /
Under Slab
Top Out el 41,1&11W,
Water Service , l-t-t _
'
Sanitary Sewer
Q
Rain Drains v ,, ■ _■%„ • ��:`
Final / /
PAS FAIL
MECHANICAL - • 4�_ 4 , ( R„ 1 Q
Post & Beam tiCJ� �`''"�(
Rough In ti `�� .�-rr -P ' ‘ /].(� /J A
Gas Line r s K ,r2.....1 � ?-l' Smoke Dampers
Final
PASS PART AIL P ,` — / . i -1t ti / ie.. . � ,� I ®�
ELECTRICAL — j
Service y_12,641p-- Ce —ef� C■ifS?e__,, dL�
Rough In ■ (J
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 - — /L 'v Inspector 6 a Ext
Other P
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.