7440 SW ELMWOOD STREET V
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7440 SW ELMWOOD STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line. 639-4175 Business Phone: 6394171
Date Requested: L A.M. P.M. MST:
/
Location: -7 T O `,, ' ' f" ---- BUR -
Tenant: _ Suite: Bldg: MEC: �' 7
Cr- C 4 �
Contractor. Pv �(,, Phone: 36-0'O 33 -3S)1<j PLM:
Owner: t?�i—^-�—"hone: ELC:
-- ELR:
SIT:
BUILDING BLDG(con't) PLUMBING U�iLCAL--. ' - ELECTRICAL SITE
Site Post/Beam Post/D:eam Posl/Bcam Cover/Service Sewer/Storm
Footing Roof lJn&VSlab Rough-In. . _ Ceiling Water Line
-_ -
Slab Framing 'Top(hit �GasLine R a�vugh-In Uta Sprinkler
Foundation Insulation Sewer Hood/Diet Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service misc.
Masonry Ceiling Rain Chain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ir Heat Pump Low Volt _
Approved Approved Approved Approved
Appr/Sdwlk Not Approved Piot Approved Not Anaroved h,)t/+pproved Not Approved
FINAL FIN 4L IdNAL FINAL. FINAL
i
O Call for reinti O Reinspection fee of rey /red before next inspection O unable to inspect
Inspector _ Date:� /� � �- Page- —of—_--
CITY OF -ii IGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 63:-4175 Business Line: 639-41.71
�. 4•W&1 / :CAO BUP _
DateRequested_
/ AM PM -�� BLD
Location 7 I -1 a �_1 �'l (�I�[7oc�l — Suite CEC y�
Contact Person ( dr, 0` Ph (4-7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall EL.R
Fcoting Access4IAaA4�
Foundation �� FPS
Ftg Drain — SGN
Crawl Drain Inspecti n Notes: -
Slab _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Misc� —
Final
PASS PART FAIL -- —
PLUMBING
Post& Beam —
Under Slab
Top Out - ---- ----
Water Service
Sanitary Sewer — — —
Rain Drains
Final M---^ -- ---
ART FAILM§PHANICAV)
Post&Beam --- - - — — ------ -
Rough In
Gas Line --
R;Dampers
m --- _
A PART FAIL
CTRICAL — —
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 Gity Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE: [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Daae 6 Inspector— Ext
Other -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I
/� �® _ MECHANICAL PERMIT
CITY O r T I G
DEVELOPMENT SERVICES PERMIT#: 2/8/00 0-00042
DATE ISSUED:
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 1 1512 S125DB-11300
SITE ADDRESS: 07440 SW ELMWOOD ST
SUBDIVISIU.': ELMWOOD PARK ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: P,3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS_v HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 1 ; 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR _HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace existing gas furnace with like kind.
Owner: FEES -_-_---_�-�--
CAROLEE CARLSON Type By Date Amount Receipt
7440 SW ELMWOOD ST PRMT GEO 2/8/00 $50.00 00-321624
TIGARD, OR 97223 5PCT GEO 2/8/00 $4.00 00-321624
Phone:503-246-8044 Total $54.00
Contractor:
FIRST CALL MCCALL HEATING +
COOLING
1650 NE LOMBARD _ REQUIRED INSPECTIONS
PORTLAND, OR 97211-4798 Heating Unt Insp _ a
Phone:231-3311 Final Inspection
Reg#:LIC 102030
ORIGINAL.
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 a-iys 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 OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies 9f thesetOes or direct questions to OUNC by calling (503)26-9189.
Issue By: � � �-�a== Permittee Signature:
Call (50339-4175 by 7:00 P.M.for Inspections needed the next business day
08/12/99 TPU 11:18 FAX 503 598 1960 CITY OF TIGARD fdj002
CITY OF TIGARD R ,tk�nic4l permit Application Plan Checl ,o___
Rec''13126 SW HALL. BLOND. omDate
mercial and Residential ate By
TIGARD, OR 97223 DRec'd-�_
FE 77nQ� [ate to P.E
(503) 635-4171, x304 Date to
COMMUNITY �t v[lul-w,,print or Type Permit#d& k
^ Incomplete or illegible applications will not be accepted called
Name of DeveapmenttProject — Description
1 Table 1A Mechanical Code Ot price Aml
Job street Addroa surae �t A Permit Fee
16.00
Address • '- � c 1 I _. 1) Furnace l0 100,000 BTU
.,,cludin ducts 8 vents see foobtote 1,2 g,65
Ridge r,Ry/slale zip 0 Furnace 100,000 BTU+
Including duds 6 vents tae footnote 1,2 12.00
game(or name of business) 3) Floor Fumace
Owner �_`(k r � -' ,car S V f� including vent _ see footnote 1,2 9,65
Mailing Address 4) Suspended heater,wall heater
1 y L)OJ�� E 1 n 1 w c� or floor mounted heater see footnote 1,2 9,65
S 5 Vent not Included In liance ermit 4.75
citylS_a Ons Check all that apply: *Boller Heat Air
2 y6-&r,k.1For Items 6-10,acre or Pump Cond Qty Price Amt
Nana nems of business) footnotes 1,2 k;orrip
6)<3HP;absorb unit to
Occupant Meiling Address 103-1 BTU 9.65
p 7)3-15 HP;ebaorb unit
100k to M BTU 17.65
cityl§i_a ZIP Plrono " - 6)15-30 HP;absorb
unk.5-1 mil BTU 24.15
Contractor Nva 9)30-50 HP;absorb
r unk 1-1.75 mil BTU
1 I�•_�k C c�l� c rte. �- `iC��t.c 36.00
Prior to permit MRMV p`ddrress 10) 6 mil B absorb unft
>1.76 mil BTU 60.15
Issuance,a copy rl`4c ti"t�` 11 Air handling unit to 10,000 CFM
of all licenses CI�y/8fato Phone 7A0
are required K G;( � l c yr CS` Ct 2 1 1 24_ L) 12)Alf handling unit 10,000 CFM+ -'
expired In COT Oregon const.cont.Board lk.A Exp,pale.
database l -l k9-C 3 1�� 13)Non-portable evaporate Cooler 11.0
85
Architect Norm
7.00
14)Vent fan connected to a single duct
or Maltrp Address —`
4.75
15)Ventilation system not included In
city/slats appliance Permit 7.00
Engineer Lip Phone 16)Hood served by mechanical exhaust
7.00
Describe work to be done: 17)Domestic Incinerator
,,[[
New O Repair O Replace with like kind Yes cY No O 16)Commerdal or Indust,*type incinerator 12.00
Residential Commercial 1 46.25
c _ 19)Repair units
Addltlonal Information or description of work: 6.40
20)Wood stnve/gas Mother units/clothe dryer/etc. -
7.00
NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four otrtleis
Structural gas talcs. 3•a footnote 1 3.75
Type of fuel: oil O natural gas LPO eelectric O 22'Mose than 4-mer outlet each ,75
Minimum Permit Fee$50.00 SUBTOTAL
1 hereby acknowledge that I have read this app[I-tion,that the information 't� SURCHARGE .� _>
given b correct,that I am the owner or authorized agent of FLAN REVIFW 25%Or SUBTOTAL
the that plans autw9ed are In compliance with Oregon State laws. _Required for ALL commerclul rmlts on
S tura of OwnsdAgent Date .t
_ Other Inspections and Fees:
1. Ins
pections outside of normal business hours(mininum charge-two
Contact person Name Phone hours) $60.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
_ charge-half hour) $60.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to
1. Provide full schematic of existing and proposed gas line and pmssure. play- (minimum charge-ons-half hour)$50.00 per hour
2. Pmvide drswlr79 to scale showing existing and proposed mechanical
units. _ , "State Contractor Boiler Ce,,1111catiol,required
Resident','A/C requires site plan showing placement of unit
lAnuchpenr.doc rev 7/19x99
MECHANICAL.
DINTY OF TI G A R D PERMIT
DEVELOPMENT SERVICES
PE'MIT #. . . . . . . : MEC97
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE' ISSUED: 06/09/97
PARCEL: 1S125DB-11300
SITE ADDRESS. . . : 07440 SW ELMWOOD ST
SUBDIVISION. . . . : ELMWOOD PARK ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :7 JURISDICTION; TIG
--------------------------------------------------------------------------------------
CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :H2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEl. TYPES------------- 03 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . -. 0
GAS PRESSURE. . . : 50+ lip. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS--------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 1 10000 cfsfl : 0 GAS OUTLETS. : 1
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarks: instl fireplace insert I gas range
Owner: --------------------------------------------------------- FEES ---------------
CAROLEE CARLSON type amoi.int by date reept
7440 SW ELMWOOD ST PIRMT $ 25. 00 TAT 06/09/97 97-295656
TIGARD OR 97223 5PCT $ 1. 25 TAT 06/09/97 97-295656
Phone #: 246-8044
F ;ntractor:
-------------------
G P & W SYSTEMS INC
732 MARBLE RD
WASHOUGAL WA 98671-9601 ---------------------------------------
Phone #: 360-835-3516 $ 26. 25 TOTAL
Reg #. . : 001081 REOUIRED INSPECTIONS
This pervit is issued subject tc the regulations contained in the Gas L, ne Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechi,,nical Ins
applicable laws. All work will be done in accordance with W o o d s t o v e I n s p
approved plans. This pereit will expire +f work is not started Duct Inspection
within 189 days of issuance, or if work is suspended for more Final Inspection
than 186 days.
Permittee Siqnat1ket ),--;Vn4?�1.b /k
Issued By:
Cao/for inspection 639-4175
Plan Check 4
CIT'r OF TIGARD Mechanical Permit Application RecdBy___-
13125 '-,VV rIALL BLVD. Commercial and Residential Date Recd _
TIGARD, OR 97223 Date to P E
(503) 639-4171, x304 Date to DST
Print or Type Permit#
Incomplete or illegihlo applications will not beaccepted Called
Name of Development,Pn,iect Desrr,ut:nn
Table 1AMechaaC2!'-'jde QTY PRICE AMT
,lob Street Address duitea !� A) Permit Fee j- -0- 1000
Address :'r'r
Bldg# ftyrstaie t Zip B) Supplemental Permit 3.00
Name for name of business) 1 I Furnace to 100 000 BTU 600
Owner incl ducts&vents `
Mauling addreu 2 1 Furnace 100.000 BTU« 750
`y' ��; ' -" r ' incl ducts&vents
CitytState Zip Phone 3) Floor Furnace T 600
incl.vent
Name for name of business) 4 1 Suspended heater,wall heater 600
or floor mounted heater
Occupant Ma,iinq Redress —� 5.) Jent not incl in J 00
_—� appliance pr!mtd _-
f.nytSrareInne 6.) Boiler or corip,heat Aumfl air cond 60o
to 3 HP,absorp unit to I 00 BTU ___
Contractor No— 7) Boiler or comp,heat pump, air cond 11 00
iPnor to ) i _ 3-15 HP absorp unit to 500K 9TU
i
issuance Mailing Address 8—) Boder or comp heat pump, Itr cond 1500
applicant i 1 , 1 + 15-30 HP absorp unit 5-1 and BTU _
must provide all Cny'state i Zip Phone 9) Bider or comp,heat pump,air cond 22 50
contractor \;, + 30-50 HP,absorp unit 1-1 i-7 and BTI.;
i)cense Oregon Const Cunt 9oard Lic t Exp Date 10) Boder or comp,heat pump,z or cond 37 50
information -7 ' >50 HP;absorp unit 1.75 and BTU_
for COT COT Business Tax ry ssetro a Exp Date 11.) Air handling umt to� 450
iatabase) 10 000 CFM
Architect Name -- 12.) Air n3nahng u,ttt 7 50
10.000 CTM
Or Maumg Address 13.) Non portablE 4.50
evaporate cooler _
Engineer Ctv)Srata wisp Phone 14) Vent fan connected 3.00
_ o a single duct_
Descnbe work New 171 /;dation O Alteration O Repair 015�)Ventilation system not 4.50
to be done Residential C Non-resrdenual O nc]uded in appliance permit
Additional Description of wo!k r I, t, : 16) Hood served by mechanical exhaust 4.50
_ 17) Domestic incinerators 750
Existing use of 18) Commercial or mdustnaltype 3000
budding or property inanerator
19) Repair units 4 50
F'r000sed use of 20) Woodstove �- 450
budding or property
21) Clothes dryer.etc 4.50
Type of fuel-oil 0 natural gas,#6 LPG U electric O 221 Otter units 453
1 hereby acknowledge that I have read this application,that;he 231 Gas piping one to four outlets 2.00
infcrmation givens correct,that I am the owner or authorized age^t of
the owner,that plans submitted are in compJance with Oregon State 24) More than 4-per outlet (each) .50
laws ,
.i-
Signature of Owner/Agent Date ^` QTY.SUBTOTAL
Contact Person Name Phone 53%SURCHARGE
PLAN REYBV 25316 OF SUBTOTAL i
TOTAL
ostlmechr)mt dor ,rev 7 96) 'Minimum permit fee:s 525•5'o surcnarg
RECEIVED
AIN 0 9 1997
C3MMUNITY DEVELUPMEii;