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1211C SW ANTON DR
CITY OF PGARD BUILDING !NSPECTION DIVISION MST
24-Hou, inspection Line: 633.4175 Business Line: ( 39-4171
BUP
Date Requns`ed —z -----A, A ----PM --—— BLJ
Location 2,// u•��✓ ��!�.� __ —___-- Suite -- MEC "2 ion—Uuo Z
Contact Person �_ _____ Ph ^;I c�C _ PLM _
Contractor _ Ph _ SWR _
BUILDING 1 eriant/Owner -- __— — ELC
Retaining Wall ELIR
Footing Access:
Foundation FPS - _-- -
Fig Drain _ SGN
Crawl Drain Inspection Notes �--
Slab --____-- --.__.-__ ------_-__ SIT _
Post&Beam
Exi Sheath/Shear I -
Int Sheath/Shear
Framing 'Ll I?.f- 40 �'-r- -r-� � - '?a r7S•S r=��.�-���s���J,�--rs�
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 PARI" FAIL
Post$ Beam - ----
Rough In
Qas Un-A, -- - - -- --- _.—
Smoke Dampers
AS9 PART FAIL
ELECTRICAL ----- -- -------- ------ -- --- -- -- -
Service - -- - -- - -_ --- ---�-
Rough In
UG/Slab -
Low Voltage
Fire Alarm ---___--_ _ _--- -- -
Final
PASS PART TAIL - ----_-- _ ---.._—.-. - __
SITE
Backfill/Grading ------------- -- — ------ --- —�_.�r..
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
Other Date J- Z _- U/ Inspector _--Fxt --_
F inal -
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.
CITYO F T f G A R _A MECHANICAL PERMIT -
DEVELOPMENT SERVICES PERMIT#: MEC2001-00024
1312.5 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE is QUED: 1/22/01
P;.RCEL: 1 S134CB-18700
SITE ADDRESS: 12"10 SW ANTON DR
SUBDIVISION: ANTON PARK NO. 2 ZONING: R-7
BLOCK: LOT: 11a JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: F UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: Ft3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
F EL TYPES _ 0 3 HP: DOMES. INCIN:
LPG a J 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
CLO DRYERS:
FURN < 100K UTIJ: AIR HANDLING UNITS
--- OTHER UNITS: 1
FURN >=100K B 'U: <= 10000 cfm: CTAS OUTLETS: 1
> 10000 cfm:
Remarks: Inst0 ition of direct vent gas insert and gas piping.
Owner: FEES
ENDER, STEVEN R + LISA M Type By Date Amount Receipt
12110 SW ANTON DR PRMT CTR 1122.101 $72.50 272001000C
TIGARD OR 9722: 5PCT CTR 1/22/01 $5.80 272001000C
Total $78.30
Phone: — ---
Contractor:
T + K MECHANICAL/HOT SPOT FIRE
TIMOTHY S WYNNE
11525 SW CANYON REQUIRED INSPECTIONS
BEAVE RTON, OR 97005
Gas Line Insp
Phone:626-4652 Mechanical Insp
Reg #:LIC 0012116; 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
952-001-0010 through OAR 552-011-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-91$9. %
1
Issue By: r , �C�17� Permittee Signature: _
Call (303) 639-4175 by 7:00 P.M. for inspections needed the next Business day
Mechanical Permit Application
Datereceived. Permit no.:
City of Tigard Project/appl.no.: Expire date: L
[uvofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97221 bate issued: By: Recciptno.:
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
I &2 family dwelling or accessory U Commercial/industeial U Multi-family U Tenant improvement
U New construction 12 Addition/alteration/replacement U Other:
Joh address: f Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: '�_ profit.Value$
Lot: Block: Subdivision: *See checklist for important application information and
Protect namejurisdiction's Ice schedrle for residential permit fee.
City/county / 14Ct rCt �t('—T7.11': a�� t t
Descn ti n and loci ti n of wo k on prct tiscs:
? I K IVFC P Fee(ea.) Total
sl.date of completion/inspection: / DmAlsion try. Rt-,.only Res.only
Tenant improvement or change of use:
4 ;7
Is existing space heated or conditioned'?U Yes U No Air handling unit CFM
space insulated?U Yes U No Alt conditioning(site p V —required)
Is existing P Alteration n existing .system
CONTRACTOR oiler compressors
: r State boiler permit no.:
Business name
C ' N[ e /=1r HP Tons BTU/H
Address' a �� ire/smoke dampers/duct smoke detectors
City: / State: ZIP: �' cat pump(snc p an required)
Phone: (per_ Fax '/ E-mail: _ nsta rep ace furnacelburner
Including ductwork/vcnt liner U Yes U No
CCB no.: _ _ nsta /rep ac re ocate healers-suspended,
City/metro lie,no.: 5,,1(0 will,or floor mounted
Narrtr (please print): Vent fora Lance of er than furnace
' 1 of goat on:
Absorption units _ B`fU/H
Name: , '-`, , v�� L_ Chillers
Address: r �� ----- _ — -
Compressors III'
r [" Environmental exhaust and ventilation:
City: - , Slal . t Zl P: 7hr Appliance vent _ _ —
Phone: [ ,� Fax''• r F nstll. Dryer exhaust
Hoods,Type res. itc a azmat
hood fire suppression system
Name: Exhaust fan with single duct(bath fans)
Mailing addre,s: jQFjb x gusts stem a art rom ieatingotAC
Fuel piping a 1 on(up to outlets)
Cil State ZIP:
y' Type: LPG _ NO Oil
Phone:4r- Fax: E-mail: ucl rocesspiping(se i in enc a ematicrequire )
itiona{over outlets
Number of outlets
Name: _- _ __ ter Hoed appliance or equipment:
Address: —u _ Decorative fireplace _
City: State: IP: nsert-type U jt4 43
Phone y C-n oo sto Wpe etstovc
Ot cr
Applicant's signatur •.. I I fUt er:
Name (print): _
Not all Jurisdictions accept credit canis,please call jurisdiction for more infonnmusn Permit fee.....................
U Visa ❑Mastercard Notice:This Permit application Minimum fee................$ '
�� expires if a permit is not obtained Ph.n review(at _ 9f,) $
y
Credit cud mmmlxs. -- ------ within ISO days after it has been
l"mfet State surcharge(896) ....$ ` c
None or cardholder to shown on cmdil card aCCCpIC as complete.s TOTAL .......................$ , _�C:
Cardholder signstwe Amount 4404617([v WOM)