Case File , I
J
Ln
00
00
U)
O
U)
mrt,
T
i
7588 SW Ashford Str,,,—L _
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
C� BUP _
Date Reglrjte's_t'edr� ��" I _.AM� � PM __-- BLD —
Location 7S$� ft�L'l�rC�( G^- Suite MEC
L y
Contact Person /1, t C�-- 'tl r��- Ph COU �� PI_M
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain — SGN
Crawl Drain Inspection Notes: ----- ---
Slab ---- �. _ — SIT
Post& Beam ----
Ext Sheath/Shear
Int Sheath/Shear -- - ----- ----
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: - ---
Final
PASS PART FAIL —�_---
PLUMBING
Post& Beam — —
Under Slab
Top Out -- - - --- - -- — —
Water Service
Sanitary Sewer —
Rain Drains
-----------
Final
PASS PART FAIL
Beam —
Rough In { .y tie
-k`e Dampers
PART FAIL
ELECTRICAL -- - - - —
Service
Rough In -- ------- -- ---- -
UG/Slat I ----- -- -------- —-- ---- -- -
Law Voltage
Fire Alarm
Final
PASS PART FAIL _ _ _ - - --- ---- ----- ------ -SITE
Backfill/Grading — ------- ---
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE:— [ ] Unable to inspect- no access
Fire Supply Line ----T
ADA
Approach/Sidewalk
Other _ Date c7 Inspector -- Ext
Final
PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site.
—" 1
CITY F TIGARD MECHANICAI_
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : MEC99-0106
DATE ISSUED: 03/17/99
PARCEL: 2S1t2CA-0800
',ITE ADDRESS_ . 07388 SW ASHFORD ST
SURD I V T.S I ON. . . . : RENAISSANCE WOODS ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO8 JURISDICTION: TIG
CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APPL.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . 0 NOIL.I:Rq.'COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES---- -------- 0-3 HF'. . . . : 0 DOMES. I NC I N: 0
:GAS 3-15 HP. . . . : 0 COMML. INCI19: 0
11AX INPUT: 0 1?TU 1.5-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMF'ERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSI..IRE. . . : C0+ HF'. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS— -- -- - -- AIR HANDLING I.IN I"rS OTHER UNITS. : 1
TURN ( 10(71K BTU: 0 (= 10000 rf m : 0 GAS OUTLETS. : 1.
FURN >=1O0K BTU: 0 > 10000 rfm : 0
Remarks : installation of new gas fireplace and gas piping.
Owner: --___.____.___--_.__.________________.____._.___._.__.-_--.—.--__.__.________-- FEES ---------------
SCOTT WINDER type amomrit by date recpt
7588 SW ASHFORD PRMT 'L 25. 00 DEB 03/17/99 99-313786
TIGARD OR 97223 5PCT $ 1. 25 DEB 03/17/99 99-313786.
Phone #:
Contractor: ..__---__—_---_.--------------.--_
RICK STICKA
686 S 25TH CT
t 26. 25 TOTAL
CORNEI__I US OR 97113
Phone #: 887-3778
057068
-------- REOUIRED INSPECTIONS
This permit is issued subject to the regulatinns contained in the Gas Line Insp ^_
Tigard Municipal Code, State of Che. Specialty C3des and all other Mechanical Insp
applicable laws. All work will be done in accordance with Misc. Inspection _
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than Ido days. ATTENTION: llreyon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-001-NIM through OAR 952-01-080: You may
obtain copies of these rules or direct questions to Off by calling
150x1246-9187.
Iss a By: � r/C,� � Permittee SigTiatl_ir
++++++++++++++++++++i•++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-41'75 by 7:00 p. m. for inspections needed the next business day
+++++++++++t+++++++++j+++++++++++++++++++++++++++++.f-+++++++++++++++++++++++4+1-+
CITY OF TIGARD Mechanical Permit Application Rea,d�Y�`"
134?5 SW HALL BLVD. Commercial and Resid(,nti;il Date�et'd -
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST. - �_
Print or Type Permit#�(�'5 77/w-
Incomplete or illegible applications will not be accepted Called
Name of DevelopmentlProlact Descripti in ^— --
1.4-)/ Table 1P,Mechanical Code Oly Price Amt
Job Street Address S Suits* � A) Permit Fee � (,�9—aha 1000
Address 7�, Skro?4 1) Furnace to 100,000 BTU
inuuing ducts&vents roe footnote 1,2 6.00
Bldgx CnyfStale zip- cl
2) Furnace 10(500 BTU-
/" ,¢„Q� / ' including ducts&vents see footnote 1,2 7.50
Name(or name of business) 3) Floor Furnace
Owner _!;/_077 (�,J�gpp/' including vent see footnote 1,2 600---
Mailing
00Mailing Address 4) Suspended heater,wall heater
of floor floor mounted heater T_see footnote 1 2 600
51) Vent not included in appliance permit
CRY/State Zip Phone Ch__ _3,00 _
"IC 47t�>!� S ,�-9i; eck all that apply 'Boiler Meat Air
- _ Name(or name of business) - For Items 6-10,see or Pump l Cond Qty Price Amt
footnotes 1,2 Comp
Occupant Meiling Address 6003 BT absorb unit to — --
_ _ 6.00
_ /"L-- 7)3-15 HP;absorb unit
CRY/state Zip Phone I 00 to 500k BTU 11.00
A) 15-30 HP absorb ^'
unit.5-1 mil BTU 15.00 _
_Contractor
Name, 9)30-50 HP,absorb
r G,ty 57- unit 1-1.75 mil BTU 22.50
Prior to permit Mailing Address _ 10)>50HP,absorb unit
issuance,a copy 6 y G, S �. S e- ! _ _ >1.75 mil BTU _ _ 37.50 _
of all licenses CRyrstate Zip Phone 11)Air handling unit to 10,000 CFM
are required if 6:ve_1v e1 00C 6"Y$ 'l-i6 _ 450
expired in COT Oregon Const.Cont.Board Lic.N Exp Data 12)Air handling unit 10,000 CFM+
- databaseC61�pl -12-'j�i__-_ 7_50
rt1 _
Architect Name 13)Non-portable evaporate cooler -
4.50 _
or Mailing Address `- 14)Vent fan connected to a single duct
_ 3.00
_ 15)Ventilation system not included in
Engineer CRY/State -- Zip Phone
9 appliance permit 4.50
16)Hood served by mechanical exhaust
Describe work to be done 4,50
17)Domestic Incinerators
New O Repair O Replace with like kind Yes O No O _ _7.50
Residential T Commercial O 18)Commercial or industrial type incinerator
30.00
Additional Information or description of work 19)Repair units
4.50
%n./S Ftp In y7h/l W C 7tS �f'- 20)Wood stove — - —
NOTE: For Commercial projects only;Units over 400 lbs.require _ 4.50
structural gas talcs. 21)Clothes dryer,etc —
Type of fuel oil O natural gas ' LPG O ei;.ctdc O _ —_ 450- -_
22)Other units ,+5 F/n
I hereby acknowledge that I have read this application,that the information / 4_50
given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets
the owner,that plans submitted are in compliance with Oregon State laws. See footnote 1 _� 2.U0
_
Signature Owner/Agent Data 24)More than 4-per outlet(each)
- _ .50
STicr['`+/('•�„��� 3 "-y �7 Minimum Permit Fee$25.00 SUBTOTAL Ste~
Contact Person Name Phone
5%SUP.CHARGI F__ /
PLAN REVIEW 25%OF SUBTOTAI
Foonotes for commercial projects only: Required for ALL commercial permits only yS
1 Provide full schematic of existing and proposed gas line and pressure TOTAL
2 Provide drawings to scale showing existing and proposed mechanical ,
Lungs _« 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I briechperm doc rev 02/4/99
EL - _ __