13210 SW BULL MOUNTAIN ROAD is
1"
I
i
fiftt
N
13210 8W BULL MOUNTAIN ROAD -�'
CITY OF TIGARD BUILDING INSPECTION I':VISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Re quested: I I- I el- 1 A.M.. , P.M. MST:
Location:— 12 Q J(,(1�L l.C,C /�_1tL1�Q'�.c/ :- : _
BUP:
Tenant: --- Suite: Bldg: NBC:1 77-04 4��
Contractor. _—_Phone: _ _ PLM:
Owner: Phone: ELC:
__
_!_Jdy11 _— � �
_.12 ��� _ J.LR:
_ SIT:
BUILDING BLDG(con't) PLUMBING ...�I ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Bexn ,/14 �, Cover/Service Sewer/Storm
rooting Roof UndF1/Slab Rou -In _ Ceilins Water Line
Slab Framing Top Out as Li Rough-In UG Sprinkler
Foundation InsuW,:G;i Sewer I 22dakict Reamnect Vault
Bsmt Damp Drywall Storm Temp Service 11USC.
Masonry Ceiling Rain Thain A/C UG Slab
SheariSLe:0 Fire Spklr/Ahn Crawl/Found Dr Heat Pump Lov,Volt
Approved Approvedrov Approved Approved
Appr/Sdwlk Not Approved r Jot Approved roved Not Appioved Not Approved
FINAL F!NAL AL FINAL, FINAL
`�'' _� Uri ^z, ") l-t/ln,/l-S �_�•`
-�-�---
Cl all riot reinspection e C1 Rr:inspmtion fee of S_____—_rey fired befi)m next inspection n Unable to inspect
Inspector.__-- Date: V q /
_ — _ Page.---of
CITY OF TIGARDMECHnNTCAL.
DEVELOPMENT SERVICESPERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 LATE ISSUED: 1O/lr,/97
'"T TF ADDRESS,. . . : 13,2:'10 `-;l1 PULL MOUNTf-1 I N RD 2S 1O9A0--O-2'714
SUiADIVTSION. . . . . ZONING: R -7
RLOCi;. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: URNS
CLASS OF WORI;. . :ALT FLOOR FURN. . „ . : 0 EVAP COOL-Eno: 0
-TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
,OCCUPANCY GRP. . : R3 VENTS W/0 APP)L: 0 VEN7 SYSTEMS - 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORCI H00DS. . . . . . . : 0
FUEL_ 171- 3 HP. . . . : 0 DOMES. TNCIN: 0
-GAS 3--15 HP. . . . : 0 COMML. T.NC I N: 0
1'AX INPUT: 0 LTU 15-:30 HP. . . . : 0 REPO T R UNITS: 0
FIRE DAMPERS''. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 30, HP. . . „ . 0 CL.O DRYERS. . : 0
NO. OF UNITS — _._,_______ AIR HANDLING UNITS EITHER UNITS. : 1
TURN ( 1.001/. PT+J: 0 (- 1.0000 cfm : 0 GAS OUTLETS. 1.
TURN > 7=100K RTu: o > 10000 c f m : 0
Remarks : Ir,stallina nas log and piping
Owner: __-----_.__.__._----_____..----_._._._._._..______.__.____.-----.___._—___ FEES
DOUG POTTER tyPe = mol-tnt by date recpt
13210 SW BUIL MT RD PRMT $ 25. O0 B 10/16/97 '37--3001 1
T I GARD OR 97224 5PCT 1. x:5 11 1.0/l rW 97 97-30017- 1
Phone S: 6211+--8121
C o n t r c-1 c t o r-:
TYGR CONSTRUCTION CO
ROGER WORF
t 1935 SW BURNETT LN f 26. 25 TOTAL_
BEAVERTON OR 97008
Phone #: 524 -'3231':,
Reg #. . : OOOti�'1
- -- -- - REQUIRED INSPECTIONS
--
This perait is issued subject to the regulations contai^ed in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sc. Inspection _
applicable laws. All work will be done in accordance with Final Inspec=tionapproved plans. This permit will expire if work is not started
Hithir 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 Center. Those rules are
,,et forth in OAR 952-001-0010 through OAR 952-001-0090. You day
ob+_ain copies of these rules or direct questiors to Ot1NC by calling -- _
'503)245.9187.
Py : Y � ��� Permittee Signat . re
+++4 i 4-.4-+4...........i +#-++++++...............1-+4+++++++++++++++++++++++-f++++ i-++++++-+
Call 639- 4175 by 7:00 p. m. for' inspections needed the next bl.tsiness day
r -1..t 1 +_I. ,1.+ 3 + t i ! -1 .1.{a -t 4 1-..0- 1 .1. ., .,. 1 - 1 -! 1 ' +++-1 t-1 1 1 1 r. r 1•++++++++++++++++++f++++i.•f++++++++++a
L
CITY OF TIGARD Mechanical Permit Application Recd Beck#_E,
13125 SW HALL BLVD. Commercial and Residential DateRecd It-
flGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type Permit# - - ( U
_ Incomplete or illegible application, _wild not be accepted Called
Name of Development/woleci Desaription
Table 1A Mechanical Code QTY PRICE MAT
Job Sired,Address SOO A) Petm1`t Fee
0- 0 J.00
Address; � �� I O `,��.� 6"k\ M,f
81dg# CftyfSute 21p 7Z r 4 1 )�Furnace to 100,000 BTU 6 00
---- -- Nme including ducts&vents
a (nr name of business) 2.) Furnace 100,000 BTU+
7 50
Owner 4 / PL,_1AC,` including ducts&vents
Madiny Address rr 3.) Floor Furnace -
- ' - including vent 660-
C tyBtat• Zlp Phone i 4) Suspended heater,wall heater 6o5---
or floor mounted heater
Name(«neme or bualn•u) 5.) Vent not included in appliancepermit 3 00 -
nr t
Occupant Mailing Address - -- _
6.) Boiler or comp,heat pump,air Gond. 6.00
to 3 HP.absorb unit to 100K.,JT"
City/S af'e ZipPhone 7.) Boiler or comp,heat pump,air Gond. 11.00
�_— _ 3-15 HP;absorb unit to 500K BTU_
N---Contractor Ne 8.) Boiler or comp,heat pump,air Gond. 15.00
15-30 HP;absorb unit.5-1 m11 BTU"
Pnot to permit Mailing Add,ass 9) Boiler or comp,heat um air Gond.
issuance,a copy / `>>, j S C (j l)E.vr pump, 22.50
of all licenses nyfStna 30-50 HP.absorb unit 1-1.75mil BTU"
Zip Phone 10) Boiler or comp,heat pump,a!r cond. 37 50
are required M ,'f_ ` f',-/ n < 7U '� �j'Z.r-�).� 'r >50 HP:absorb unit 1.75 mil BTU" _
expired in COT 01`09011 COMM.Cara.Board LIC.# Exp Date 11 ) Air handling unit to 10,000 CFM - 4.50
database
AfChlteCt Name __4_5O-
13.) Non-portable evaporate cooler
Or Watling Add est - -I14)
I14.) Vent fan connected to a single 3 U
Engineer CtyrSlate 21p Phone Ventilation system not inc7---
15.) 400appliance permit
Describe work New O Addition O Alteration Repair O 16.) Hood served by mechnist 4 5(
to be dune Residential U Non-residential Q
Additional Description of work: 17.) Domestic,incmera(ors 7.50
18) Commercial or industrial type 30,00
--- — __ ___ _ Incinerator
Existing use of 19) Repair un1`ts 450
building or prcperty
20,) Wood stove 4.50
Proposed use of 21 ) Clothes dryer,etc. 450
building or property
�-- 22) Other units f 8.50 --
—L _ l Y t�� I _ _
Type of fuel-oil Q natural gas PG O electric O 23) Gas piping one to four ou 200
I hereby acknowledge that I have read this application,that the - --
24) More than 4 per outlets teach) 50
information given is coned,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Cregor Ctnt,' CITY.SUBTOTAL
laws
Signature of Owner/Agent Date — 'SUBTOTAL P
�-
5416 SURCHARGE
LD
Contact Person Name Phone PLAN REVIEW 251%OF SUBTOTAL --
TOTAL ) -
5,;L(/- y,l.z i✓ _
i-Amect u"it.doc ttev 9� —— -- - ----
Alinimum permit tee is$25+5%,sv ,ha,ge
"Rcsidential A/C requires site plan showing placement or,,nit