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6525 SW ALFRED ST !
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Lim: 639-4171 -
n BLIP _
Date Requested s_J D AM PM __ _,_ BLD
Locatior_ >2 -FI�� Sf Suite MEC 19c1���� �(451
Contact Person (7t,'✓� �� � (,I .�'('Gn/�)`{Rh 9 2� -x'12 r' PLM
tj
Contractor Ph SWR
BUILDING TenanVOwner ELS
Retaining Wall i^ ELR _
Footing Access.
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ----
Slab SIT
Post&Beam --
Ext Sheath/Shear
Int Sheath/Shear fy-'�j
Framing en '15, g
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: — — — - --- --- --
Final
PASS PART FAIL -------
PLUMBING
-----PLUMBING
Post&B, Jm ---- -- - --
Under Slab
Top Out — -- -
Water Service _
Sanitary Sewer
Rain Drains
Final -
P PART FAIL _ECHANICAL
Poc.t& Bearn -- --- -- - .
R)4i In
6�s Lid' - - -
Smi5X Dampers
F-Ift4--
_PAIL PART FAIL
ELECTRICAL - - -�
Service
Rough In
UG/Slab _ _—
Low Voltage.
F4-e Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ requin%d before next inspection. Pay at City Ball, 13125 SW Hall Blvd
Catch Basin ( J Please call for reinspection RE:_ ( J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date __�__ ____ inspector i __— Ext
Final
PASS PART FAIL J DO NOT REMOVE this inspection record from Lie job site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICESPERMIT#: MEC1999-00196
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DA`- 1
PAARRUECELL:: 11 512 S125DA-05200
SITE ADDRESS: 06525 SW ALFRED ST
SUBDIVISION: KINGS VIEW 'ZONING: R-4.5
BLOCK: LOT: 037 JURISDICTION: TIC
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VFNTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 3 HP: DOMES. INCIN:
�! 3 15 HP: COMML, INCIN:
MAX INPUT: B�') 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS A OTHER UNITS:
FURN >=100K BTU. <= 10000 cfrn: GAS JUTLETS:
> 10000 cfm:
Remarks: Add a gas line to an existing dwelling.
_Owner: _ FEES
STANDISH, BEVERLY A Type By Date Amount keceipt
6525 SW ALFRED ST PRMT DST 5/7/99 $25.00 99-315176
TIGARD, OR 97223 5PCT DST 5/7/99 $1.25 99-315176
Total $26.25
Phone: J
Contractor:
OWNER
REQUIRED INSPECTIONS
Gas Line Insp
Phone: Final Inspection
Reg #:
ORIGINAL
This permit is issued F,ibject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will he 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 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: �- �� Permittee Signature: l.L
Call (503) 639 5 by 7:00 P.M. for inspections needed the nex business day
I
CITY01F TIGARD Mechanical Permit Application Plan Check#
Recd By —
13125 SW HALL BLVD, Commercial and Residential Date Recd_ _
TIGARD, OR 97223 Date to P.E.
(503) 6394171, x304 Date to DST
Print nr Type Permit#A&'/fQ�O9j
Incompp ete or illegible applications will not be accepted called —
Name of DevelopmenvProject Description
(-� S Table 1A Mechanical Code Oty Price Amt
Jobs sunen A) Permit Fee 10.00
Address ( �, rs'A1 AI,-VICEP 1) Furnace to 100,000 BTU -'
includingducts&vents see footnote 1,2 6.00
Bldgp city/state Zip 2) Furnace 100,000 BTU+
k6A19 D 61 1 dd including ducts&vents see footnote 1,2 7.50
Name(or name of business) a) Floor Furnace
Owner 6. a ( 1�M ht tQ/vim., including vont see footnote 1,2 6.00
-Walling Ad r 4) Suspended heater,wall heater
or floor mounted heater see footnote 1,2 6.00
1�ILL) 5) Vent not included in appliance permit
CNy/State ?'p Phone 3.00
Check all that apply: *Boiler Heat Air
Name(or name business) For items 6-10,see or Pump Cond Oty Price Amt
footnotes 1,2 Com
Occupant Melling area• _ 600K BTUbsorb unit to
600
A� 7)3-15 HP;absorb unit
City/State ZIP Phone 100k to 500k BTU _ 11.00
.1� I 8)15-30 HP;absorb
Contractor Name unit.5-1 mil BTU 1 15.00
L I 9)30-50 HP;absorb
Prior to permit Mailing Ad roes `r -- unit 1-1.75 mil BTU 22.50
10)=50HP;absorb unit
issuance,a copy >1.75 mil BI 1 3750
of all licenses city/state Zip Phone 11)Air handling unit to 10,000 CFM
are required if 4,50
expired in COT Oregon Const.Cont Board Lic.0 Exp Date — 12)Air handling unit 10,000 CFM+
database
_150
Architect Name 13)Non-portable evAoorate cooler
4 50
or Meiling Address 14)Vent fan connected to a single duct
_ 3.00
15)Ventilation system not included in
Engineer cnyistate -' zip Phone - aHanceep rmk _ 4.50
16)Hood served by mechanical exhaust
Describe work to be done: 4.50
17)Domestic,incinerators
New 0 Repair O Replace with like kind: Yes O No O 7.50
Residential 10 Commercial O 18)Commercial or industrial type incinerator
30.00
Additional information or description of work: 19)Repair units
_
20)Wood stove 4.50
�^
NOTE: For Commercial projects only;Units over 400 lbs require 4.50
structural gas talcs _ C 21)Clothes dryer,etc _
Type of fuel oil O natural gas 10 LPG O electric_O_ _ 4.50
_ 22)Other units '- -
1 hereby acknowledge that I have read this application,that the information _ _ 4.50
given is cc:rest,that I am the owner or authorved agent of 23)Gas piping one to four outlets
the owner,that plans submitted are in compliance with Oregon State laws. See footnote 1 200
Signature of Owner/Agent Date
24)More than 4-per outlet(each)
44 /�T3 50
fliA G/ Minimum Permit Fee f25.00 SUBTOTAL
Co tact Person me Phone _ --`
5%SURCHARGE
_ _ PLAN REVIEW 25%OF SUBTOTAL
Foonotes for commercial projects only: _ Required for ALL commer,ial ermits onl L _
1 Provide full schematic of existing and proposed gas line and pressure. i TOTAL
2 Provide drawings to scale showing existing and proposed mechanical '
units.
*State Contractor Boiler Certification required
..Residential A/C requires site plan showing placement of unit
I Vnechperm doc rev 02/4/99