11340 SW COTTONWOOD LANE N
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11340 ;4W �-Ji'TONWt')t)D LANE
CITY O F T I G A R D MECHANICAL
PERMIT
DEVELOPMENT SERVICES
DEV PERMIT #. . . . . . . : MEC98-0472
13125 SW Hall Blvd.,77gerd,OR 97223(503)639-4171 DATE ISSUED: 10/23/98
PARCEL.: IS134BD-070022'
SITE ADDRESS. . . : 11340 sw COTTONWOOD LN
SUBDIVISION. — : ENGLEWOOD NO. 3 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :227 JURISDICTION: TIG
-----------------------------------------------------------------------------------------------
CLASS OF WORK. . cALT r- .00R FURN. . . . : 0 EVAP COOLERS- 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OLCUPANCY GRP. . .-R3 VENTS W/O ADPL: 0 VENT sysrEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------- 0-3 HP. . . . : 0 DOMES. INCTN: Q1
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX I 1\1 1:1 LJ T 0 D T1! 15-30 HP. . . . : 0 REPAIR UNITS: 0
F I RE DAMPERS?..: 30-50 HP. . . . : 0 WOODSTOVES. . - 0
505 PRESSURE 7
50+ HP. . . . . 0 CLO DRYERS. . : 0
NO. OF A I R HANDLING UNIT'S OTHER UNITS. : 0
FI RN ( 100K BTU-. 0 <m 10000 cfm: 0 GAS OUTLETS. : 1.
FURN ) =100K BTUc 0 > 10000 cfm: 0
Remarks: Extend gas line to nee gfs range top.
Owner: FEES
FRED CARTER type amount by date recpt
11340 SW COTTONWOOD LN PRMT $ 25. 00 B 10/212/98 98-310E'09
--3 98 .
TIGARD OR 97223 FILCK $ 6. 5 98 B 10/22/ 10209
EXPIRFr.) 5PCT $ 1* 25 B 10/2.2/911 98-3102109
Phone #s //,/ 160
Contractor: -------------------
RAYMOND FLANDERS JR
33535 NW VADIS RD
32. 50 TOTAL
CORNELIUS OR 97005
Phane #: 647-93210
Reg #. . - 102473
REDI!IRED INSPECTIONS
Trii-, PErsit is issu?l subject to the regulations contained in the Gas Line Itt- ;
6gard Municipa, Codd, State of Ore. Specialty Codes and all other Final Inspf.-ction
applicable laws. All work will hr done in accordance with
approved plans. Thir, permit will expire if work is not started
within 180 days of :Issuance, or if work is suspended for sort
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in MR 952-NI-OPIP through OAR You may
ootain copies of these -ulps o, direct questions to Off by calling
?5031246-9187.
1 s S 1-t F, P y Permittee SignCtUt"O"
...................1-+++.f.......... ........................+-++++++4-+f++-4-+4+4 f-+++-i 4
Call, 639-4175 by 7:00 p. m. for inspections needed the Tirmt business day
+++++++++a-++++•+.+++++++'++•1'•+++++++++++++++++++'++++...................1-++++++++'++
4
Plan Check#
CITY OF TIGARD Mechanical PerTit PPfl_Cat0n Rec i By 'ti -
13125 SW HALL BLVD. Commercial al d Residential Date Rec'd 'U z z
Date to P.E.
TIGARD, OR 97223 Date to DST
(503) 639-4171, X304 Permit# 71 �<<P-
Print or Type Called
Nemeo/Deva Incomplete or illegible applicne loci ations will not be accepted_
_ rp Q� Table to Mechanical Coder Ott Price I Amt
Su eN A Permit Fee 10.00
Job Street Addres 1) Furnace to 100,000 BTU
Address `> r �"L�'L"dY ` `�`'�= includig_ �'cts 8 vents _-� 6.00 -
go ityrytate 71p 2) Fllma(,F 100,000 BTU+
.� �� including dudes:vents 7 50
Floor Furnace
Name(or name of tris nese) ?) 'ncludient 6'00
n v
4) Suspe^deU heater,wall heater +
Malting Address or flocr mounted heater 6.00
r)<3HP,rlb.sorb
not included in appliance permit 3
CnyrStete zip Phone —
71 'Boiler Heal Air
THATPPLY: or Pump Cond Oty Price Amt
Name(or name or business) 5,10-577`) Comp _ — -
�. unit to 600
Occupant. Melling Address TU _HP,.bsorb unit
100k to 500k BTU 11.00
CAylSrate ZIp Phone — — --
8)15-30 HP;ahsoi
unit.5-1 mil BTU _ 15.00 —
Contractor Name 9)30-50 HP;absorb
4- �(�.1�rur J Jr unit 1-1.75 mil BTU - 22.50 -
Prior to permKroes 10)>50HP;absorb unit 37.50 -
ail
�>
Issuance,a copy ?c� w t >1.75 mil BTU
-�
of all licenses 'g1tyrsute Zip Phone 11)Air handling unit to 10,000 CFM 1150
are required if �,t7y IAIr_. •1yZ fir" (,'�7' —
expired in COT Oregon Const,Cont BoardL lk N Ezp Dete 12)Air handh g unit 10,030 CFM+ -- 7.50
database "!� j-liY�Architect Name 131 Non-portable evaporate coolr•;r �-
�n 4.50
14)Vent`on c nnected ton single duct -
Or Mailing Address -_ 3.00
F _ 15)Ventilation system not included in
CHylStete
Zip phone J ap liance permit _ 4 50 _
Engineer 16)Hood served by mechanical exhaust
4.50
Describe work to be done. 17)Domestic incinerators
7.50-1 —
New G Repair O Replace with like kind: Yes O No O 18)Cmm�tercial oI industrial type incinerator —
Residential 0 Commercial 0 30.00
-- - 19)Repair units - —
Additional Inf)ration or description of work: i 4.50
20)Wood stove
4.50
2 1)Clothes dryer,etc -` -
22)Other units —
_ 4.50
Type of fuel oil O natural gas \ LPG O electric O - J 4.50
I hereby
acknowledge that I have read this application,that the Information 23)Gas piping one to four outlets ---- 1 =
given is cnrre:3,that I am the owner or authorized agent of 24 More than 4-per outlet(each)—
2_00
the owner,that plans submitted are in compliance with Oregon State laws ) p .50 _
5lgnatureof 6 Mner/Agent - Date Minimum Permit Fee$25.00_, SUBTOTAL _
_ -------.-__ _ 5%SURCHARGE I
-� FLAN REVIEW 25%OF SUBTOTAL_EJ,
Contact Person Name Phone
Required for ALL commercial permits ort
TOTAL I
_ - r
----- -- - •State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement or unit
L mechprrnt.doc r+iv 070E/98
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CITY OF TIGARD BUILDING INSPECTION r31VISION
A�Hour Inspection Line: 639-4175 MST
Business Line: 639-4171Y" _Date Requested Z- o�L��BUI"
AM PM I py11 1U1 - - -
Location ll�140 "~ _T_ sLt,
_ Suite MEC
Contact Person _�" —
Ph .��1f�_S � �� PLM
Contractor � � IS — ------
Ph ��7— �3� SWR
BUILDING Tenant/Uwnel'
Retaining Wall ELC __
Footing LLR
Foundation Access:
Ftg Drain FPS _
Crawl Drain Inspection Notes
SIGN
Post&Beam — `------- —.__-- SIT
Ext Sheath.'Shear
Int Sheath&hear --
Framing
Insulation ---_—
Drywall Nailing
Firewall
Fire Sprinklers ' -
Fire A'arm
Sus Ceiling
Roof —
Final
PASS PART FAIL -- � _STj��_�N�w '6�1e/1
PLUMBING
Post&Beam �� �< S \
Under Slab
fop Out -- -
LR,ain
r Service -----
ary Sewer -Drains
S PART FAIL.
MECHANICAL _
Post&Beam
Ru
Gas�Liinee
moke Dampers
Final
PASS PART FAIL — —
ELECTRICAL
Seryice - ——
Rough In -
UG/Slab --
Low Voltage — ---
ire Alarm - -----
Final --
PASS PART FAIL
1,SITE -
BackfilliGrading
Sanitary Sewer ----------
Storm Drain ( ]Rernsl�ection fee of g required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Gatch Basin __—.__—_ q
Fire Supply Line i ]Please call for -i'm[mr,tion IRE
ADA [ ]Unable to inspect-no access
ADn-o-;h/Sidewalk
(Other _ Date i'�-/;'- �" cty - Inspector
Final Ext
L PASS PART FAIL 00 NOT REMOVE this Inspection record from the Job site.