Case File 1
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12113 SK ANION DRIVE
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CITY OF TIGARD BUILDING INSPECTION DIVISION MiT
24-Hour Inspection Line: 639-4175 Business Line: 639-417 1 �
� QQ AM _ M � �•'C7U�� _�—
_�—Date Requested / _— __. — BLD
Location 1 (t) Suite - _ 1ryI
Contact Person _lr/v�lll� aJ4 _ Ph � -" S _ PLM
Contractor -- r —_—___—— Ph — — SWR --
BUILDING — Tenant/Owner ELC
Retaining Wall ELR
Fooling Access- FPS
Foundation
Ftg Drain - SGN
Crawl Drain Inspection Notes: 1 — ---
Slab -_---_--__.__._--- -- -- .` SIT
Post& Bearn -_ -- ^-
Ext Sheath/Shear
Int Sheath/Shear
Framing L� �<<�U
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler � `'��' '� e
Fire Alarn
Susp'd Ceiling --- ------ - -- - --- --- -
Roof
Mise - - --
Final
PASS PAr FAIL -----_ _.---.- -- -Y
PLUMBING- -
Post& Beam -- --- - ------
Under Slab
Top Out
Water Service —
Sanitary Sewer
Rain Drains _ —
Final
PA $-. .-PARI FAIL
CHANICAL J
Post& Ream
Rough In
Gas Line --
Saiake Dampers
;Fial ' -- -
PART FAIL
EL-CTRICAL - - - -- ----
Service - — - —
Rough In
UG/Slab
Low Voltage
Fire Alarm - -- ----- -- -__ -
Final
PASS PART FAILSITE
Backfill/Grading -- - - ----� -
Sanitary Sewer
Storm Drain l ]Reinspection fee of _ --required before next inspectio Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ] Please call for reinspection RE [ P
Fire Supply Line Unable to inspect no access
ADA
Approach/Sidewalk Date L �_2__Inspector Ext
Other -- -- —
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
�\ CITY OF r MF CHAN I CAL.
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC58 -0442'
13125 SW Hall Blvd„ Tigard,OR 97223(503)639.4171 DATE ISSUED: 10/01/138
PARCEL.: 1.S 134CB--1.:3700
ADDRESS. . . : 12:1 1,1",� SW ANTON DR
SUBDIVISION. . . . ` ANTON PARK, NO. ZONING: R--7 PD
BLOCK. . . . . . LOT. . . . . . . .064 JURISDICTION: TIG
CLASS OF-WORK. . :AL_Tr _ M F' 9OR FURN. . . . : 0 CVAP COOLERS: 0
TYPE OF' USF . . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCI`�UPANCY GRP. - : R3 VENTS W/O APPL.: 0 VENT SYSTEMS: 0
c;1 ORIE S. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
F"UEI__ TYF-'E:S -- - _._._.._____._. 0-3 HP, . . . : 0 DOMES. INCIN: 0
GAS 3-15 HP- - - - : 0 COMML. INCIN: 0
MAX :INPUT : 0 BTU :L5-30 HP. . . . : 0 REPAIR UNITrS: 0
FIRE DAMPERS '. . : 34 -50 HP. . . . : 0 WOODSTCIVE S. . : 0
GAS) E'F2ESSURI -)0+ HP. . . . : 0 CLO DRQ ERS. . : 0
NO. OF UNIT. - -___.____.. AIR HANDLING UNI'T5 OTHER UNITS. 1
h URN ( 100K BTU- 0 (= 10000 cfm: 0 GAF; OUTLETS. : 0
F-URN ) =100K BTU: 0 } 10000 cfm : 0
Remar•l<s : Ebert - install gas logs
Owner: __ _ _____.___.___.______ FEES
.TAMES B EEiF=�RT-�_._.____.__.___._______ t YPe amount by ciat e recpt
12113 SW ANTON DR PRMT $ 25. 00 JSD 10/01/98 98-309650
T IGARD OR 9722.1, 5PCT $ 1. 25 JSD 10/01 /98 98-30965171
Phone #: 579--8584
Cont r^actor: -------------------------_ ------
ANCHOR F I REPT ACE PRODUCTS INC
1.4175 SW GALL, 2EATH DR
$ L6. 25 TOTAL.
SHERWOOD OR 971.40--9170
Phone #. 925--8888
Reg #. ., : 102814
REC?UI RED INSPECTIONS
...-....-----
This permit is issued Subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspert ion
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 by the Oregon Utility Notification Cent Pr. Those rules are --.-
set forgo in OAR 952-001-8010 through OAR 952-801-W You lay -
obtain copies of these rules or direct questions to OL1NC by calling _ _ -
t
I s s I_r e By : ic'—-- _ __—__. _.___ f-'a r-m i ti- e e Si g n at or r e : ----�1
f}..+t}++.++t.+.t+1-t+++.++++++-F++++++++++++-h 44 '-++4+++•1-+++....4.+.++++t+++++++-F 1-+
Call 639--4175 by 7:00 p. m. for- inspections needed the next biisiness da. y
+++++++•1•+++++++++•++++#-++++++++f-+++++++++++f•+++++++++++4++++++++++++++++++++++++
09/29/98 TUE 13:39 FAX 503 598 1960 CITY OF TIGARD _-_, 11002
CITY OF TIGARD Mechanical Permit Application Pian Check#__ ____
Recd By ! . '+_—_�
+�
131 k, SW HALL BLVD. Commercial and Residential Dale Rec'd_4=12L
TIGARI;, OR 97223 Date to P.E.
(503) 639-071,71, x304 Date to DST
Print or Type Permit#1416'415 T !yZ_
Incomplete or illegible applications will not be accepted called
7Nw—wevew,..- - ,led Description Table 1A i.,echanical Code Q Pri Amt
Job APermit Fee 10.00
ress SufleN �_
Address 1) Furnace to 100,000 BTU
oe, including duds 3 vents 6.00
tdg4 City tele Zlp 2) Furnace 100,000 BTU+
1 � Including duds&vents 7.50
Name(or name of business) 3) Floor Furnace
Owner1gP� tQ, P _ including vent 6.00
Mailing Address 4) Suspended heater,wall heater
or floor mounted healer 6.00
i J 5) Vent not included in appliance permit
Citylstbtk TSP /),n l]J� Phone 3.DO
'"'// f CHECK ALL 'Boiler Heat Air
Nana name bu dress) THAT APPLY. or Pump Cond City Price Amt
I
6)<3HP;absorb unit to Comp
i Occupant Mamiq Addtess 100K BTU 6.00
7)3-15 HP,absorb unit
CltylState Zip Phone 100V to 500k RTU _ 11.00
8)15-30 HP;absorb
unit.5.1 mil BTU 1500
Contractor Name
9)30-50 HP;absorb
�.( unit 1.1.75 mil BTU 22.50
Prior to pennd Mai g Add L 10)>50HP,absorb unit
irsuance,a copy 1 1�� r-e AtTIS- { /`. >1.75 mil BTU_ I 37.50
of all licenses Cil/State Zip Phone 5 811)Air handling unit to 10,000 CFM
are required If V" u t. ' (1 4.50
expired in COT Oregon Const.C 6ward Lk M Tixp Date 12)Air handling unit 10,000 CFM+
database L 6 - 1" I8 7.30
Architect Na 13)Non-portable evaporate cooler
4.50
or
MaliMtg Address 14)Vent fan connected to a single dud
- — _ 3.00
15)Ventilation system not included in
Engineer CRY/State ZIP Phone -appliance permit 4.50
16)Hood served by mechanical exhaust
Describe work to be dune: 4.50
17)Domestic incinerators
New 0 Repair O Replace viith like kind: Yes O No O 7 50
Residential Q Commercial O 18)Commercial or industrial type Incinerator
_ 30.00
Additional information or description of work: 19)Repair units
4.50
20)Wood stove
_4.50
21)Clothes dryer,etc.
4 50
Type of fuel oil O natural gas'O LPG O electric O 22)Other units } c, _- _
4.50
I hereby acknowledge that I have read this application,that the information 23)Gas piping o e to four outlets -
given is correct,that I am the owner or authorized:rent of _ _ 2.00
the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4+l ,r outlet(each)
.50
Signature of Owner/Agent Date „L-7
Minimum Permit Fee$25.00 -_SUBJAFICC C
SURCHARGE
Co arson Name Phone _ PLAN REVIEW25%dT SUBTOTAL
L L }, V _ Required for ALL commercial permits on
ly
V 5 — 2` 9 4 i L TOTAL G
'State Contractor Boiler Certification required
"Residential A1C requires site plan showing placement of unit
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