7993 SW CHURCHILL WAY f
A
ko
Li
Ln
f:
n
7
r'
f
r-'
1-'
I
f I 1
I
7993 SW CHURCHILL WAY
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspet on Line: 639-4.175 Etusiness Line: 639-4171 ---
HDP
Date Requested / Am PM— PM BLU
Location -761 q 5 C Lk CAA I 6W Suite
Contact Person A` Phw� PLM
Contractur Ph SWR
BUILDING Tenant/Owner ELS
Retaining Wall ELR _
Footing Access: y
Foundation FPS
,Ft,Drain SGN
Crawl Drain Inspection Notes: --------
Slab t rZ SIT
Post&Beam (�i r -- --- -
Ext Sheath/Shear b S- ��'LOr s � _-- --- -_-----
li t Sheath/Shear
F ming
in,ulalion
Drywall Nailing
Firewall - --- - � ---
Fire Sprinkler
Fire hiarm T --- -
Sua.p'd Ceiling - __-
Rocf I -------
Misc. _ -- - -
Final
PASS PART FAIL --
PLUMBING
Post 3 Beam -
Under Slab
Top Out --- ---- - — -
Water Service
Sanitary Sewer - --- �- -`---- -�-
Rain Drains
Final -
PASS PART_ FAIL
_..HANICAL- T -
Pos earn �a� -- — ------ -------- - - -- -
Rough In /_•,�
Gas Line -
Smoke Dampers
A5 ART FAIL
11- RICAL - -- -- -
Service
Rough In - --- ---- ---. �_-- -----
UG/Slab
Low Voltage
Fire Alarm _____-
Final
PASS PART FAIL
SITE
Backfill/Grading --�--� - -- - ----_-� __-__- —_
Sanitai, fewer
Storm Drain ) )Reinspection fee of$- required before rex! inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I 1 °lease call for reinspertion RE: j ]Unablu to inspect- no arcess
ADA
A roach/Sidewalk
Other DateInspector s_ Ent
Final
PASS-PART FAIL DO NOT R►:MOVE this Inspect{inn record tom the job site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SEF I C'ES PERMIT#: MEC2000-00077
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/10/2000
PARCEL: 2S112CD 06800
SITE ADDRESS: 07993 SW CHURCHILL WAY
SUBDIN/iS'ON: BOND PARK NO. 2 ZONING: R-12
B L 0%"'1, LOT: 048 JURISDICTION: TIG
CLASS Or: WORK: ALT FLOOR FURN: EV<,P COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPE_S_ _ 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. IN(IN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 5f' HP: WOODSTOVES:
GAS PRESSURE 50 j F:P: CLO DRYERS:
FURN < 100K B r 11. 1 _AIR HANGt_ING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cim'.
> GAS OUTLETS:
10000 cfm:
Remarks. Pr-piace an existing 513s furnace with like kind.
Owner: - - -- ---- FEES — ------ ---1
MARKOVITZ, KIRK A AND AMY S Type By Date — Amount Receipt
7993 SW CHURCHILL WAY PRMT GEO 03/10/20( $50.00 0000588
TIGARD, OR 97223 5PCT GEO 03/10/20( $4.00 0000588
Phone:
Total $54.G0
�---- — —
Contractor:
GEORGE MORLAN PLUMBING
9806 SO!i I(.3N.?D
(CCB EXP 6/2002) — REQUIRED INSPECTIONS
TIGARD, OR 97223 --- -- - —�---
Heating Unt Insp
Phone:503-624-6895 Final Inspection
Reg #:LIC 00002734
PLM 26-60p
CIR I G14N
This pert-nit Is issued subject to the regulations coniained in the -Tigard Municipal Code, `,tate of Ore
Specialty Codes and a'l other applicable laws. All work will be done in accordance with approved
flans. This ;permit will e,(pire if wok is not started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTlk-W Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in CSAR 952-001-0010 through OAR 9j2-001-0080.
You may obtain cypies Q�es,ules or direct questions to OUNC by calling (503)246 39.
Issue By: /� W..4, Permittee Signature: _______________
r—Call (50,V 39-4175 by 7:00 P.M. for inspections needed the next business day —
elan t,neck S
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Resi ,*ED Dote Roc'd -_
TIGARD, OR 97223 Date to P.E. --
(503) 639-4171, X304 / �" q9 AUR O 8 700x; Date to CBT _
�� � r � Permit sRke Rere-DLL 7
Print cr Type Cauod _
Incomplete or illegible a plica_ticogs w19IIYrI btFb@%btepted
N Ta or DevelopmanV eG1 fI Description
D 4 d<01jj4e__ I Table 1A Mechanical Code__ - City Price Amt
--— - A) Permit Fee _ _ 16.00
Job succi Adareas 1) Furnace to 100,000 Bl'U U S-
Address 9 JU
� r �1 I C inducting uucts 8 vents___"_a footnote_1L7 _� 9.65
Bldprr cltylsiale 7jP 2) rr-urnac i 100,000 BTU*
Ini ludinq ducts&vents see footnote 1,2 12.00
Nnme(or name M business) .. 3) Fioor Furnace
inctudin _vent _ see footnote 1.2 9,65
Owner - 4) Susponded heater,wall noater
Maluno Add-is or floor mounted healr,r see footnote 1,2
5) Vont not ncludou In apphanue ertnit 4.75 _
CrIY,late - - Zip vnone Check all that apply' ,Peder Heat Air
For items 6.10,Nae Pump Cond City Price Amt
- _--- - --- footnotes 1,2 ---
Nemo(or nano or Mmes )
6)<3HV;absorb unit Ic
IOCK BTU _ - -- 9.65
Occupant Making�een+u /) 7)3-15 HP;absorb unit
_!7 65
t I t 00k to 5GOk BTU `-
IN�� ' `I 8 15.30HP; absorb r
ctryrs re 21p Phone II ) 24.15 _
7� unit.5-1 mit BTLI
9)30.50 HP;absorb —
Contf3' or N"^l unit 1•'.75 mil BTU 36.00
Oh 10)>5UHP;absorb unit
Pnor to pem•lt t a a.d >1.75 Til BTU 80.15
issuance,a copy 11 Air handbng unit to 10.000 CFM
of all licenses r ca r� zip rPZ _ —__ - 7.00
aro required if Q/� l.i'. Q� 12)Av hondling unit 10,000 CFM+
11.85
e spired in COT Orap ons!.cont nerd Lic N ,exp Dal
_database _ , n -___ ,.� 13)Non-portable evaporate cooter
- 7.00
.Architect
14)Vent fan connected to a single duct
_ 4.75 _
or Maump Andress 15)Vent lation system not Included In
_ appl,anu�ermit 7 00
EngineerCrryr9ure z%- v—hone 16)Hood served by mochanlcal exhaust
I � 7.G0
---- - --1---�- 17)Domestic Inclnerators
Describe work to be done 1200
New O R��1]mr O Replace with like kind Yes)(No 0 18)Commercial or industrial type Incinerator
n
Resklartlal m( Crxmem�al 0 44.25
/' 19)Repalr, units
ki ionei information or descinphon of work 8 40
` ( .� -�u-r r1 aC-e 20)W,)cl stove/gas FP/other unitslclothe dryer/etc.
Ye�'iL CC 700
NOTE: For Commeraai*jeets only,Units over 400 lbs reau„p 21)Gas pip-n one to four outlets
slru,Xural gas Coles. See footnote 1 _ 3 75 J
75
Type of fuel o,l O nature,gas LF G O electric O 22 More than 4-per outlet(Lath) -
M_Inimum Pnnnit Fac E50.00 SUBTOTAL V4 "y' `
I hereby acknowledge that I have read this uppiication,that the information _ °A SURCHARGE
V414W VOW
given is correct,that i am the owner or authonzed agent of PLA” REVIEW 25%OF SUBTOTnAL
llr 1;I}
the owner.that plans submitted are in compliance with Oregon Slate laws Re�wired for ALL commercial permits o
ui --c-�-- TOTAL
Slgnatu f O.�mpdAgent Date -----
Other Inspections and Fees:
1 Incpectionv oumldo of r,ornial business hours(minlnum charge-two
Con�enon Name Phone hours) 550.00 per hour
�` � f_ ^ 2. Inspect,ins for which no fee Is specifically Indicated (minimum
L GYJ 7 rU �S Coop(�•- � charp.•half hour) $50.00 per hour
Foonotes foretxmr arclal projects only: 3. Addi ional plan review required by chanpe9,additions Or rr:(s1onR to
1 Provide full schematic of existing and proposed gas line and pressure plan i (mrmmurn charge-one-half hour)$50.00 per hour
2 Provide drawings to scale showlno exlstino and pr000sed mechan cal
units 'SIA16 CGnteatl0r(3oller ClRiRc�tloe rAquiMtl
- ----- - "Residential A/C requiros site plan showing placement of un't
IVnechpenn doe rev 7/19/99