7035 SW BARBARA LANE v
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7035 BW BARBARA LANE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
/_4l Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP
Date Requested ` Z� I AM _PM BLD _
Loc,ition— /Z"--.) _tit ' Suite (MEG) �7 GS �/S-✓
"},--r7f� �—�
Contact Person- PLM
"
Contractor /;1t�_ Ph a.s3 y �.-3 3/ SWR
ELC
BUlLGING Tenant/Owner _ —
Retaining Wall FLR
FootingA t! J FPS
Foundation NOT REQUESTED �� �1`
Fig Drain I- FOUND DURING RESEARCH �X t'r�-t� S GN
Crawl Drain r
Slab __ NO INSPECTION(S) FOUND IN FILE /t2 /C _ SIT
Post&Beam
Ext Sheath/Shear -
Int Sheath/Shear
Framing
Insulation
Drywall Naili;-g `-
Firewall •i
FI-e Sprinkler Lt'{ �,
Fire Alarm
Susp'd Ceiling
Roof
Final
PASS PART FAIL. ---
PLUMBING Inti" s n —�1✓► C --`�- T t L,,``—
Post&Beam
Under Slab \ t n X C,t=
Top Out
Water Service �--
Sanitary Sewer - � ��-•� - _-{-
Rain Drains -
Final
P/Ag_._ PART FAIL
ECHANI l-
Past&Beam
Rough In r �-
Gas Line --�-
eDampers L \ L
Final
PART FAILLE v2
TRICAL
Service -
Rough In
UG/siar ---
Low Vu'teleA -----
Fire Alarm
Final
PASS PAR'( FAIL --- - - _- -
SITE
Backfill/Grading ---"
Sanitary Sewer
Storm Drain f 1 Reinspection fee of$! required before next inspection. Pay at City Hall, 13125 EW Halt Blvd
Catch Basin I Please tail for reinspection RE: _ _ i }Unable to inspect-no access
Fire Supply Line T
ADA 1 /
Approach/Sidewalk ' Ext
'f C
Date ,. . `' Inspector
Other
Pinel
PASS PART FAIL DO NOT" REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW H•dl Blvd., Tigard,OR 97223 (503)639.4171
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Plan Check*
CITY of TIGARD Mechanical Permit Application Recd By_,
13125,`)W HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 17223 Date to P.E
(503) Rnate to DST?9-4171, X304 Permit+�/1lfC°`1�_�1
Print or Type
Incomplete or illegible applications_will not be accopted Called-----
^— N of Dwagpma,nUPropq DescnDtion
orf hJ r / �i Table A Mechanical Code oTM PRICE AMT
Job Sneer Addrees SuM* A) Permit Fee -0- -0- 00
Address
Bldg* Cdyrstata l j Furnace to 100,000 BTU 600
01,1-- including ducts d vents _i _
Namela name of ousnsa 2) Fuma;e 100,000 BTU* 750
Owner /1 ,1 mUudrny ducts&vents
Maill,ng AddoilV 1 3.) Floor Furnace 600
el �a IL-7 r', ? / ti'�i y// including vent
Crtyy5t Zl e; ,r 4) Suspended heater,we"heater 600
or floor mounted heater
.me to harra,of business, 5) Vent,lot inUuded in appliance permit 3.00
Or--upanl Marro Address - 6.) Boiler or comp,heat pump,air cond. 600
_ to 3 HP;absorb unit to 1001(BUT" y
CrtyrSr*fe Zip Pnans 7) Boiler or comp,heat pump,air cond. 11 00
�� I 3-15 HP:absorb unit to 500K BTU" _
Contractor Nar� !; Boiler or comp heat pump air cond 1500
tPnor t3 l�J4. L ' -30 HP;absort:unit.5-1 and BTU"
ssuance Mailing Addrea 4) Boder ur comp,heat pump,air conn. 2250
applirantAli' ( 1 30-50 HP absorb unit 1-1 75md BTU-
4-
must provide all ATS a, ^r 1 ,Zip Phone 10) Boiler or comp,heat pump,air cond 3750
rontractor I 1�. (� 'xi3 _ >50 HP,absorb unit 1 75 mil BTU"
license Oregon Const.�orry Bgyd Lic.0 Exp. Na, 11.) Air handling unit to 10,000 CFM 4.50
information ` I
for COT CO r Busiro a Ta or Moho* Exp.Dara 12.) Air handling unit 10,090 CFM 7.50
database). 1; (.e^ _ _
- Arc
hitect N- 13) Non-portable evaporate cooler d 50
or Mating Addresses/—�— 14) Vent fan connected to a single duct 3.00 —
Engineer crtyrsrae 'r/ Lo ?none— 15) Ventilation system not included in 450
appliance permit _
Descntx work New O Addition O Alteration Repair O 16) Hood served by mechanical exhaust _ 450
to be done Residential O Non-reside-nal O
Addltionai Des tptlon of wore 17) Domestic incinerators 7 50
l�l 18) CommNrcial or industrial type 3000
Incinerator _
Existing use ofr-, 19) Repair units -� 4.50
building or property Y�l?['Iky�� --. --- -- —
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer,etc. J 450
building or property ---
22.) Othet units 450 -
I Type of fuel-oil O natural gas O LPG O eectnc O 23) Gas piping one to four outlets i 200
1 hereby acknowledge tMit I have re�rd this application,that the 24) Mon!than 4-per outkt4(each) 50
information given is co"w-t thaltll ark the owner or authorized agent of _
the owner.that�(ans subm to in compliance with Oregon lztate V QTY SUBTOTAL. lyr
laws _
Signature of ge Date 'SUBTOTAL
r
— --- - r
53,6 SURCHARGE
Contact Person _ Phone PLAN REVIEW 25%OF SUBTOTAL
---- --- TOTAL
�dstVmechpmt doc (rev 9 Minimum permit fee is$25+5%su"arge
"Residential A/C requires site plan showing placement of unit.
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