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_4- 8617 SW AVON STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION MST r
24-1 Jour Inspectinn Line: 639-075 Business Line: 639-4171
/ BUP
_ Date Requested 11 /C)-3 (?C, AM .� PM BLD _
Location Y� 1 -7 � I�U-Q?�� S� Suite MEC
'ttiQ�/�" -' '.J JI Ph �P `f
Contact Person - PLM- - — —
Contractoi ___ _ Ph / SWR
BUILDING -~ 'Tenant/0wner c S��-i �� 5 ""-� _._ ELIC
Retaining Wal—I r ELR - -T---Footing FPS
JAcce,s: � ��- ° � �t'�"ti--���°�� FPS
Foundation .,
Ftg Drain SGN
Crawl Drain ctyon NotSlab L , SIT
PostBBeam QtX� �'�LExt Sheath/Shear - - ------- --
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler
--- ---
p I � i
Fire Alarm
Susp'd Ceiling ------
Roof
Misc: --
Fina
PASS PART FAIL --- ----- -----
PLUMPING
Post 8 Beam ---------- --._— ._
Under Slab _ ----------- -- - - __--
Top Out
Water Service --
Sanitary Sewer
Rain Drains --- - --- -- ----
Final
P T FAIL - --
ECHANICA
ou ---- —
a In
-.
- - - -- _.
Ak Dampers --
i
PART FAIL —_
E . TRICAL
Service — - -- --
Rough In
UG/Slab - -- -
Low Voltage
Fire Alarm ----
Final
PASS PART FAIL —_ _ -- ----- ----_-_-- - -— ---
SITE _ _--_—
BackfilUGrading - -
Sanitary Sewer
Storm Drain I j Reinspec'lon fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I j Please call for reinspection RE I j Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 Inspector ____. ___ Ext _
Other - _
Final
PASS PART FAIL LSO NOT REMOVE this Inspection recoftrom the job site.
CITY O C T I G A R® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00486
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1'/16/1999
PARCEL: 2S 11'1 DD-08000
SITE ADDRESS: 08617 SW AVON ST
SUBDIVISION: CHESSMAN DOWNS ZONING: R-7
BLOCK. LOT: 006 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCI'PANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUELTYPES 0 3 HP: DOMES. :NCIN:
J 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: V/OODSTOVES:
CAS PRESSURE: 50 + lip: CLO DRYERS:
FUPIJ < 100K BTU: AIR_ HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:� GAS OUTLETS: 1
> 10000 cfm:
Remarits: Gas line installation from furnace to zero clearancF:wood burning stove and key valve installation.
Owner: FEES
VVAMSLEY, SUSAN G Type By —Date Amount Receipt
8617 SW AVON ST PRMT BON 11/16/19E $50.00 99-319792
TIGARD, OR 97224 5PCT BON 11/16/19 $4.00 99-319792
Total $54.00
Phone: -- —
Contractor: ^
FIRESIDE DISTRIBTRS OF ORE INC
18389 SW BOONES FERRY RD
PORTLAND, OR 97224 _ REQUIRED INSPECTIONS____
Gas Line Insp
Phone:503-684-8535 Misc Inspection
Reg #:LIC 00040979 Final Inspection
ORI � I �!:� '
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 dayE 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)249,9189
Issue By: Permittee Signature: CYC
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
i
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd By &—
X125 SIN HALL BL\RkCEIVED Commercial and Residential Date Recd Ili-
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x3MV 1 �r 1999 Date to DST_
Print or Type Permit#f1FC �
CMpncompfe�tetor illegible applications will not be accepted Called -
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suneit
A) Permit Fee 111111111101111 16 00
:r1l
1) Furnace to 100,000 BTU
Address V�Q ,xJ wo-r"', includingducts 6 vents see footnote 1,2 9.65
Bldgs ate Zip 2) Furnace 100,000 BTU+
including ducts&vents see footnote 1,2 12.00
Name(or name of business) 3) Floor Furnace
41 LX16 Wt).VYI�liy.A-t incllidin vent see footnote 1,2 9.65
Owner
Marling Address 4) Suspended heinter,wall heater
�� �V OYl J� or floor mounted heater see foo!note 1,2 9.65
5) Vent not included in a Dpliance ermit 4.75
CRY/Stole Zip Phone Check all that apply 'Boiler Heat Air �l
For items 6-10,see or Pump Cond Qty Price Amt
Name;or name of business) footnotes 1,2 Com
6)<3HP;absorb unit to
100K BTU 965
Occupant Mailing Address 7)3-15 HP;absorb unit
I OOJ to 500k BTU 1765
cnyrSlate Zip Phone 8)15-30 HP;absorb
unit.5-1 mil BTU _ 24.15
9)30-50 HP;absorb
vContractor 1N�a-me unit 1-1.75 mil BTU _ 36.00
t'1(Q_zri rt-p_ jA 10)>50HP;absorb unit
Prior to permit Moiling Address >1.75 mil BTU 1 60.15 _
issuance,a copy j� r l�J ~�fi S. 11 Air handling unit to 10,000 CFM
of all licenses nylState ((�� Zlp Phone 7.00
are required if �, D lb ;q 05 12)Air handling unit 10,000 CFM+
Oregon Const Cont Board Lic 0 Exp.Dale 11.85
expired in „OT ag _ -
database LA ��I (1 Ly 13)Non-portable evaporate cooler
Architect Name 7.00
14)Vent fan connected to a single duct
4.75
Mailing Address
or 15)Ventilation system not included in
appliance permit _ 7.00
Engineer CRY/State Zip Phone 16)Hood served by mechanical exhaust
7.00
Describe work to be done 17)Domestic incinerators
12.00
New O Repair O Replace with like kind: Yes O No O 16)Commercial or industrial type incinerator
48.25
Residential• Commerdal O
19)Repair units
Additional information or description of work: 8.40
�.1I20)Wood stove/gas FP/other units/clothe dryerletc.
6�� 1rC ��i) � tV 14r�i5 l 7.00
NOTE: For Commercial projects only,Units over 4,00 I6s require ^ F 1 21)Gas piping one to four outlets It713
structural as talcs • ,
' i' , I�:I� See footnote 1 Type of fuel oil O natural gas 0 LPS O electric O 22)More than 4- er outlet each)Minimum Permit Fee$60.00 SUBTOTI hereby acknowledge that I have read this application,that the information !a SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTALthe owner,that plans submitted are in compliance with Oregr,n State laws Regclred for ALL commercial permits onl TOTALSlg ature of Owner/ gent Date - --
Other Inspections and Fees:
1. Inspections outside of normal business hours(ndninum charge-two
Contact Person Na a Phone hours) $50.00 per hour
� "c1 2. Inspections for which no fee is specifically Indicated (minimum
1 `�A r r (_AyA ct 5 rn (.P C'y (j3S 35 charge-half hour) $60.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Cerfi�,ation required
units.
"Residential Are'.�ywres site plan showing placement of unit
I trnechperm doc rev 7119199