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9565 SW BRENTWOOD PLACE
CITY ® F TIGARD MECHANICAL_
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . . MEC98-03 L
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/11/98
PARCEL: 2S 1 1 1 CD-03800
S 1 TL ODDRESS. . . - 09`.�G5 !aW DRLNTWoUU PL
SUBDIVISION. . . . : SUMMERF I ELD 1\10. 9 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .5�7 .JURISDICTION: TIG
CLASS OF WORI'. . :OTR FLOOR FURN. . . . : 0 E,;AP COOLERS; 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O F4PPL_.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES—__---__--_---- 0_3 HP. . , . : 0 DOMES. I NC I N: 0
:GAS 3-15 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15-30 Hi-'. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ Hr'. . . . : 0 CLO DRYERS. . : 10
NO. OF UNI (5------------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1O0K BTLJ: 1 <= 10000 cfm : 0 GAS OUTLETS. : 0
FURN ) ==1O0K BTU: 0 ) 1.0000 cfm : 0
Remarks : Installation of furnace tn 100,008 BTU's including ducts 6 vents.
Owner: ___----____________.________._._____---.__—__ ___._______-_ FEES
KATHRIN MOORE type amni_int by date recpt
9564 SW BRENTWOOD PRMT $ 25. 00 DEB 08/11 /98 98-3O81.7'_
T I GARD OR 97224 SPCT $ 1. 125 DEB 08/11/98 98-30817C'
Phone #: 697-416.3
Contractor: --------_._____________----__----
G,EORGE MORLAN PLUMBING
5529 SE FOSTER ------_-------_---__—_______—._
(CCB EXP 6/2002) $ 26. 25 TOTAL.
PORTLAND OR 972O6
['hone #: 771-1145
Reg #. . : 000027
------- REOUIRED INSPECTIONc
This pertit is issued subject to the regulations contained in the Mechanir.a] Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other HeAt ing Unt Insp
applicable laws. All work will be done in accordance with Fini.] Inspection
approved plans. This perait will expire if work is not started
within 188 days of issuance, or if work i3 suspended for yore
than 180 days. ATTENTION: Oreoon law requires you to follow rules r r_
adopted by the Oregon I)tility Notification Center. Those rules are
set forth in OAR 952 881-8810 through OAR 952-881-8888. You aay
obtain copies of these rules or direct questions to Ol1NC by callmo
583)246-9187.
l
IssirBy: '~�C — I ermi.t;tee S'ignati_ire :,
+++++++++++++++•++++++++++++++++++++++.f++++}++++++++++++++++++++++++.1-++++++++++-4
Col. 1 639-4175 by 7:00 p. m. for inspect ions needed the next bl_isiness day
*+++++i +++++++++++++++++i-+++++4....++-F+++-Fi-+++++-F++•4++++•++++++++++i-++4.+++++++4-+
GEORGE MORLRN P.03/03
-^..-- mc,-1 id►nca► rermn Eippl►cation acrd eye ,�Q
13125 SW HALL BLVD. Comms i cial and Residential tate Redd-7L/ -
TICARD, OR 97223 ( ,f1 E.
{503) 639A171, X304 19� T( D",i to P E�_____-.�_
1 � ,, n Date to DST -
Print or Type �: 'YIICCUC, Permit
aui
Inco
replete or illegible applications will not be accepted
Nam.of OevNotarronuPro." Description--- -------- -
K�.n�211J »2 -YRN�S�N5 Tabu to Machan/�!Code PdC0 Amt
Job s1A�^kese - sues A) PetmnFee 10.00
C r �-yl,�1�R.�bJ7wo� 1) rumace to 100,000 E3TU
HMylr
Address I 1 _ including ducts&vents _ - 500
[Cey/sure Zip 7) Furnace 100,000 STU+
TicA--Arz0/L)lZ 9-73ZZ`I Indud!nq ducts a vents
ry
Nee jot Hare ar bur;ntxtl �) Floor Furnaar _
` Owner Le-a- N2113 MOcx(zc: indudin ver!_ 6.(30
Mail"Address- a) suspended healer,+•.all heater _
C^1]T".scx�'b or/Icor mounted heater 6.00
5) Vent not included in appliance.permit
cnyr5ute z,p pnena _1.00
T1C %rzo/Or, 9 IV41 C.Q7-11*3 CHECK All `Boiler Heat Air Nam(of(or name d euinetu) THAT APPt Y or Primp ror,d Qty Pric r Amt
-cl 4Q.10Com
fljJOr1� 6)13HP;abserb init to
Occupant t^'°Ml Address I 00 SITU
95ui S:.�t F3tz��rt,Jo�n _ - - it e o0
__ 7)3.-15 HF;ebsnrb unit
_ riTU
6. to -,9-&-7-4 '9-7P"Me 1005 to 500k absorb 11.OU
TI�Ctt�t��OQ.. 9?2Zti �"�-4ll�, 8)tS"3i7 NP;absorb --
Name unit 5-1 mil BTU _ _ 1500
Cont)dctor A) 10 50 HP; absorb '
GEorzz,rz n�bCZ1.4�J Pt_ � unit 1 1.75 mil[)TU 22.50
Prior to perrnY Mer"Address — 101>6014P,Rbsoftr un t - -
rssuance,a copy T)es r- .%O -5 T +1 75 mil CTU -�= 37.50
of art kcwnses CMlat. Z,v Rhone 11)Air hymdling unit to 10,000 CFM
am required if Y1C�aR,D (T7 Z'Z� 4P111 F7
_ _ 450
sapired in CCT Oregon Cener cant.sacra tics Em.pour 17.)Airhanding unit 10,000 CFM+
- _database Z� 3
_ 7.50
Architect N1R1e 13)Non-portable evaporale cooler
--- - 4.50
or pro 4dan + '- - t4)Vent fan connected to a single dud
t5)Ven1i{align tysttm Hat i,tcJuded in• 1.00
Engineer :Ky/Stere 21p Prone
9 appllanoe ?nn 4.50
_ 15)Food served by mechanical atcttausl
f*wibe work to tic donees ---.___ 4.50
17)—Dori a t t irrcjnerators --
New O Itepeir O Rept"with like kind; Yes• No 0 1B) 7_.50
Hrvdential O Corivnermal p Corttittarctal or Induslriel type mtxterater
30.00
Addrhonsrl informatlan or desafpaon c><work: -�"��- 19)RepaM units
r tJgc- rZ'-- - A<.Er" EW T' -- _ 4.60
20)Wopq stovre�
4.50
21)Cbtt>ets dryer,etc. -'_--
4.50
Tlye cif hrol: nil O natural ga3 IPG O electric 0 22)C7ther units -
- ----
I hrreby rldutowkkdge th4.50
at 1 have need this application.Ittat the rnfomrxlron 23)Gas plpiny one to fnur outltlta ��
given n rx+nrd,that I am ft owner or authonzmd agr.rd of 100
tie owner,that plana sutmkted art!In conipkanar writh Oregon state laws. 24)More than 4 tint ouUtt(erech) _
Sigruh rtApe�
5(1
/ ✓Q -5=qct Minimtun Permit Fee 125.00 SUBTOTAL
tor+/ Paean Nemo — 5%SVRCt tARGE ,.Z5
rhom PLAN REd1EW 251 OF T.1F3rC7TAt.
A Ord r--� � �•`t -S�,>rys t+!reQ(or LL comtntencw_jwtnrfs
'StalrC,ontr�or tjoltc,r ��
Cerltllgtim required
-A"idwntl9r A/C rvgr+6ern A&plan sho"ptaeement or un%
1_Wftd%Perrr1.dloc rev 07/2me
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4975 Business Line: 839-4171 — -- - -- ---
[3UP
--___-- Date Requested 10-,J-/ -?Y .—AM— n_off- BLD `----=-
Location Ch � � - _ Suite �_ MEC
Contact Person _ _ Ph _ PL.M
Contractor Ph SWR _ _—
BUILDING -.� Tenant/Owe ELC
Retaining Wall ELR
Footing s,
fiy` �
Foundation „� ��(/] �fr �� FPS
Ftg Drain
Crawl DrainInspectior. Notes: SGN
Slab SIT
Post&Beam - --- -�-`-
Ext Sheath/Shear �- 7
Int Sheath'Shear
Framing
Insulation
Diywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ------- __.---_---_..-___--
Roof
Misc: -- ----- -- -- -_- _
Final --
PASS PART FAIL -- - - -- -- -- - -_- —_— - -- --- -
PLUMBING
Post& Beat" ---- - - -- - -- --- - -- _...- -
Under Slab
Top Out
Water Service
Sanitary Sewer - - ---- - - --
Rain Drains
Final
ASS FAIL
MECHANICAL
Post ------
Rough In
Gas Line
Smoke Dampers
PASS PART FAIL
E TRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS
-
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 _ ( )Unable to inspect no access
ADA
Approach/Sidewalk 4 .011
pp Date �C.' °` c. Insver..tor ` Ext
Other _--
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.