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8973
CITY OF TIGARD BUILDING INSPECTION DIVI)ION m
24-Dour Inspection Line: 639-4175 Business Line: 639-4171 I' 1�,1 MST ----
/ ` BLIP
`Date Requested /P lo"3�9�% AM PM � BLD
Location— �I �� -yL& 11 K&-w. S Suite
M�-1 19
Contact Person ,t_ - kl<� , Ph - (O-'0 SZ, �3 PLM
Contractor _ Ph SWR
(BUILDING Tenant/Owner {�'- �o h ✓1�L�1ti. ELC
Retaining Wall
Footing ELR
Foundation Access:; i � ��`� _� �t-S
N- FPS
Ftg Drain --
Crawl Drain Inspection Notes: SGN _
Slab _ _ --
Post&Beam SIT
Ext Sheath/Shear
Int Sheath/Shear --
Framing /l,(� l?p�L,Y� 5��-- LU-t'0 �6(e4 hzyv<'
Insulation �^ Q� -
Drywall Nailing _ �Q�05- I ,V r X14,44-t - A-I I it, a7A
Firewall — O CA
Fire Sprinkler Z
Fire Alarm
Susp'd Ceiling (,P
Roof
Misc: _
Final
PASS PART FA/
PLUMBING _
Post&Beam
Under Slab
Top Out - - — —
Water Service ��� � - e ��-si►T� '��
Sanitary Sewer —
Rain Drains
Final —
PASS PART FAI
Cou
ICpL
m \_ 1/h S S �—
_
C
Final
�ELLCTS
RICAL --
Service _
Rough In
UG/Slab _
Low Voltage - --
Fire Alarm
Final
PASS PART FAIL
SITE _
Backfill/Grading _
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: ( j Unable to inspect-no access
ADA 2
Approach/Sidewalk Date I ��-
Other _inspector__ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF TIGARD __ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00561
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/17/1999
PARCEL: 2S 102AD-01800
SITE ADDRESS: 08973 SW F URNHAM ST
SUBDIVISION: ZONING: CBD
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES _ 0 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIFE DAI4PERS?: 30 - 50 HP: WOODSTOVES:
CAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNIT;:
FUPN >=100K BTU: <= 10000 cfm: ER UNITS:
> 10000 cfm: GAASSOUTLETS: t
Remarks: Remove existing oil furnace and install new gas furnace and gas riping for existing dwelling
Owner: FEES _ ----�
CARL H JOHNSON FAMILY L. P II Type By Date Amount Receipt
BY JOHNSON, CARL H PRMT DST Y 12/17/19 $50.00 99-320524
8965 SW BURNHAM 5PCT DST 12/17/19 $4.00 99-320524
TIGARD, OR 97223
Phone: _--
Total $54.00
--
Contractor:
SPECIALITY HEATING + FABRICTN
9528 SW TIGARD
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Lina Insp
Phone:r-20-5643 Heating Unt Insp
Reg#:LIC 00066578 Final Inspelstion
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes aod all other applicable laws All work will be -lone 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAP. 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By:f '`rI =%' � v Permittee Signature:,
Call (6 6)839-4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Plan Check#
1 P Recd By
13125 SW HALL BLVD. Commercial and Residential Date Re,-'I
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type Permit
Incomplete or illegible applications will not be accipted Called
Name of Deveiopment/Pro(ect `4 Description
Table 1A Mechanical Code _ Oty Price Amt
Job StreetAddress
,/�eJss swteri A) Permit Fee 01',h*r �,+'+'N 16.00
Address ( 3 s(,j �C- 11 kW 1) Furnace to 100,000 BTU
including ducts&vents see footnote 1,2 J 965
Bldg# CiryrState Zip 2) Furnace 100,000 BTU+
i
? -1,2--23 including ducts&vents see footnote 1,2 12.00
Name(or name of besz•( 3) Floor Furna e
Owner 4eV41)1_ including vent _ see footnote 1,2 965
Madicg Address — 4, Suspended heater,wall heater
—floor mounted heater see footnote 1,2 965
5)
Ver:not included in appliance permd 4 75
cdylstale Zip Phone Check all that apply: 'Boiler Heat Air
' ,�kiel0eVelel For items 6-10,see or Pump Co'd Qty Pn__ Amt
�— Nape( name of business)
footnotes 1,2 Comp
6) <31IP;absorb unit to
IOOK BTU 965
Occupant Mailing Address 7,3-15 HP;absorb unit
100k to 500k BTU 17 65
CdyiState v Zip phone 8) 15-30 HP, absorb T
— � unit 5-1 mil BTU 24.15
9) 30-50 HP, absorb
Contractor
N:. e , _unit 1-1.75 mil BTU 36.00 _
S 4,1C/ J�-� (/Yl 10)>50HP, absorb unit
Pin, to permit Mai ng Address i 21.75 mil BTU _ — 60 15
issuance,a copy Sa // _ ST 11 Air har•dling unit to 10,000 CFM
it all licenses Stale ,D � '; Phone '' 700
are required if 1/9 . ��C Q7o� b ov-:S6 yea 12)Air handling unit 10,000 CFM+
expired in COT O/re�gon co st Go t Beard Lc 9 EExp p le ' I _ _ 11 95
_database 4� 7r� cJ�� 13)Non-portable evaporate cooler
Architect Name ---'�_ �7 00
—�_ � 141 Vent fan connected to a single duct
or Mailing Address 45
15)Ventilation system not included in
appliance permit _ 7 00
Engineer Crty'State Z p Phoma 16)Hood served by mechanical exhaust I
_ 7 OC
r0escn�work to be done _ , 6' 17)Domestic incinerators 1200
New O air O Replace with like kind es O No� 18)' Commercial or industrial type incinerator
Residenh1Re Commercial O _ 48 7.5
19)Repair units
Additicnal mfcaration or description of work L_ 8.40
//,������1 �� � A�f.'_ 20)Wood stave gas FProther units/clothe dryer/etc. 700
1NOTE: For Commerc;al prci Trsvonly_;Units over 400 lbs require 21)Gas piping one to four outlets I
L_
structuralgascalcs� _See footnote 1 _3 75
Type of fuel oil O natural gas LPG O elertrc O 22)More than 4-per outlet(each) 75
Minimum Permit Fee$50.00 SUBTOTAL lkigiii
I hereby acknowledge that I nave read this application that the information 9"o SURCHARGE 31N
given is correct.that I am the owner or authorized agent of J oLAN REVIE'A'25'.6 OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State lawsRequired for ALL commFrcial permits onl
— — — TOTAL
Signature91'Owner/Agent Date -- - -- ,
4' /� Other Inspections and Fees:
, �o�/� 7/ / 1. Inspections outside of normal business hours (mininum charge two
Contact Pe n Name Phone hours) $50.00 per hour
Inspections for which no fee is specifically indicated (minimum
charge-half hour) 550.00 per hour
Foon es for commercial projects only: 3. Additional plan review required by changes,additions or revisions to
1 Provide full schematic of existing and proposed gas I,ne and pressure plans(minimum charge-one-half hour)$50.00 per hour
2 Provide drawings to scale showing existing and prop(sed mechanical
units 'State Contractor boiler Certification required
**Residential AiC requires site plan showing placement of unit
I.',mechperm doc rev 7/1919
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