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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-417.5 Business Line: 639-4171 MST
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D1a� RequesC (� C7C.0 BUP
Location _ _ . BLD ~�
_
PYf �iU � Suite MEC _L_L
Contact Person L Ph - PLM
Contractor_ �L--I 3-3 / Ph ' SWR
BUILDING Tenant/Owner _ _ ELC _
Retaining Wall ELR
Footing ---
Foundation Access:
FPS
Ftg Drain --
Crawl Drain Inspection Notes: SGN
Slab
Post& Beam — — - - — SIT
Ext Sheath/Shear —
Int Sheath/Shear -
Framing L ��- JL
;nsuletion
Drywall Nailing _
Firewall "— -- --
Fi,e Sprinlaer -
Fire Alarm ---
Susp'd Ceiling -
Roof --- -- — ---T-.—_
Misc
Final ---
PASS PART FAIL ---�__—_—
PLUMBING - -----'--------
F'ost& Beam — -- ---- --- -- --_---
Under Slab
Top Out
Water Service — -
Sanitary Sewer _ —:.- - -- -- ---.-- -- -
Rain Drains
Firal --- -- ----- ------ - --
PASS PART FAIL
Post R Beam -------- -
Rough In --
Gas line -_----�--- — _._-_— - --
Smoke Dampers —
PART FAIL
ELECTRICAL -- -- - ---- - -- - --�_--
Service
Rough In -
UG/Slab
Low Voltage -- _.--- ---- --
Fire Alarm
Final --
PASS PAR1 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
Approach/Sidewalk
Other Date l'- / �f — g Inspector Ext
Final
PASS PART FAIL 00 NO! REMOVE this inspection record from the job site.
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00283
13125 SW Hall Blvd., Tigard, OR 97223 (504NA � �(UF'TE PARCEL: 2S111DC-06200 ISSUED: 7/1/99
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SITE ADDRESS: 09495 SW BRENTWOOD PL
SUBDIVISION: SUMMERFIELD NO.9 ZONING: R-7
BLOCK: LOT: 532 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
LLE_ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODST'OVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
'TURN >=100K BTU: <= •10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of a/c unit. Placement of a/c unit mw;i comply with standard setbacks.
Owner: _ FEES
KOENIG-CARVER, JUANITA Type By Date Amount Receipt
KOENIG, JACOB III PRMT DEB 7/1/99 $50.00 5773
NEUPERT, KAROLYN 5PCT DEB 7/1/99 $2.50 5773
TIGARD, OR 97224 _
Phone: _ Total _ $52.50
Contractor:
FIRST CALL MCCALL HEATING +
COOLING
1650 NE LOMBARD REQUIRED INSPECTIONS
PORTLAND, OR 97211-4798 —`
Cooling Unt Insp
Phone:231-3311 Final Inspection
Reg #: LIC 102.030
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done 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 Notiftcatidn Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You May obtain copies of; ese rules or direct questions to OUNC by calling (503)246-9189.
Issue By: ` Permittee Signature: �k'hEaEL- -✓ �.i '.�
Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day
06/09/99 WF.D "L: 16 FAX 503 598 1960 CITY 01 TICARD 0002
REIINPlan Check#
)
CITY OF TIGARD chanical Permit Application Roc'd By
13125 SW HALL BLVD. ,,i(Commercial and Residential Date Redd-,,L,
TIGARD, OR 97223 JUN r �G. .
Date to P.E. -""`-
(503) 639-4171, X300CpMMUN11Y DIVELUPMI Nt Date to DST
Pr;nt Or Type Permit 449'oo S 3
Incomplete or illegible a plications will not be accepted; -Caped
--v�- Name of Devsbpmerr Vropr.'t Description
Table 1A Mechanical Code Cly Price And
A Permit Fee 16.00
Job btfQ°tAddf0a8 1) Furnace to 100,000 BTU -
Address �t-S -`�L°' FJ f �v r c�. including ducts&vents see footnote 1,2 9.65
BkW CRY/State ZIP 2) Furnace 100,000 BTU+
including ducts&vents see footnote 1,2 12.00
Name(a nwne of business) 3) Floor Furnace
Owner L`,r c� }` �,e rl t<C Including vent sea footnote 1,2 9.65
4) Suspended heater,wall heater
M Uing Addros 1 or floor mounted heater see footnote 1,2 9.05
"'t LA ,-I w r-e 5) Vent not Included in plianc a permit 4.75 _
Csy sh" Zip PFrerre Check all that apply 'Boller Heat Air
Zc- " For•Items 6.10,see or Pump Cond Qty Prlre Amt
Narm 1 name W butiU,ass footnotes 1,2 _ _Com -._ --- - - - -
6)<3HP;absorb unit to -
100K BTU
Occupant Mailing Addre
7)3-15 HP,abso!b unit
I 00 to 500k BI 11 17.65
CkyBtato --
Zip Phone 6)15-30 HP;absorb
�- unci.5-1 nut BTU14.16
9)30,50 HP;absori-
Contractor Nam / _unit 1-1.75 mil BTU 36.00
10)>5011P;absorb unit
Prior to pnrtnfl g �-
Ilin Addmu A - >1.15 mil B 11) 60.15
_
Issuance,a copy Y� r ��C"-' 11 Air handling unit to 10,000 CFM
of all licenses "ffiC ' �e"e __ 7.00
are required If , ��f ^'� t �� k7 - \Gid 12)Air handling unit 10,000 CPM+
expired In COT onpon Cants.Carl Bard L" p.Date 11.76
database -) , .'_�C, 13)Non-portable evaporate cooler
Architect Name _ .00
14)Vent fan connected to a single dud
or Mailing Address 4.75
15)Ventilation system not included In
_
appliance iante permitt 7.00
Engineer c"vr'tata Zip r hem 16)Hood served by mechanical exhaust
7.00
Describe work to be done - - - �-- �- �'- 17)Domestic Incinerators
12.00 _
New O Repair 0 Replace with hike kind- Yes O No O 18)Commercial or Industrial type incinerator
Residentral� Commercial0 _ 40.25
r 19)Repair units
Additional information or description of work _ 8.40
rm
S cL\\ I 20)Wood stovelgas FP/other units/clothe dryer/etc.
-- - - 7.00
NOTE: For Commercial projects only;Units over 400 lbs require 21)Ge`piping one to four outlets
structural gas calces. See footnote 1 _ 3.75
Type of fuel: oil O natural gas O LPG O electric - yJMore than 4�er outlet eac �T _ 75 _!
Minimum Permit Foe$50.00 SUBTOTAL
I hereby adcrmrwledge that I have read this application,that the information 5%SURCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submided are In compliance with Oregon State laws. R ueq iced for ALL commercial permits only
-- ---
TOTAL -
1 L1
Sigrrrttrri of O.vnerfAgent Dab
Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-two
Cof"O'person Name phorw hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
chargo-half hour) 150.00 per hour
F otes far commerclal projects only: 3. Additional plan roview inquired by changes,additions or revisions to
1. Provide full schematic of existing and proposed gas line and p U plans(minimum charge-one-half hour)$50.00 per hour
2. Provide drawings to scale showing exi"iing and proposed mechanical
units 'State Contractor Boller Certification required
"Residential A/C requires site plan showing placement of unit
I Vnechperm doc ray 02/4/99
JUN-29-1999 TUE 12,23 PM FIRST CALL MCCALL FAX N0, 5032865194 P. 03
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