9563 SW INEZ STREET ,Yf
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_ 9563 iW INEZ 57 ��
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lioe: 639.4175 Business Line: 630--4171 --
c i BUIP
— _ atCRequested_ _AM —PM BLD 7 _
Location 7 Suite
Contact Person _ _ �L' y� I Ph iii �� -C,p I i PLM
Contractor — _ Ph SWp
BUILDING Tenant/Owner ELC -- /
Retaining Wall — — ELR 1
FoundAccess:
Foundaation I - FPS _-
Ftg Drain - SGN
Crawl Grain Inspection Notes. //�� --
Slol,
Post& Beam SIT -'— -
EA Sheath/Shear
Int Sheath/She& �. ��DC � I U O /�
Framing `"
Insulation /1
Drywali NailingZ-2 12
v —_--
Firewall '
Fire Sprinkler _ e O T --C —- --- -----...---
Fire Alarm _
Susp'd Ceiling
RoofMisc: _/Nick cle
Final —
PASS PART FAIL _- _.-.— - ------ --- ---- - - --- ------ --- -- --
PLUMBING
Post tL B^arn -----
Under Slab
TopOut -- -----------. ._ -- ------- -_ -------------------------
Water Service
Sanitary Sewer
Rain Drains
Final ------- — - - ---------
PASS PART FAIL
Post & Bei ai - - -- -- _-�- -
Rourlh In
Lias Lige -_—
Smoke Dampers
ASS PART FAIL_TI-Ej — ---- ------------------
-_..--
CTMCAL - — - -- 1
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final --- --- - -
PASS MRT FAIL
SITE
Backfill/Grading --- — ----_—__------- ----___---
Sanitary Sewer
Storm Drain [ ]Reiiispection fee of$ --_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE [ ) Unable to inspect -no access
Fire Supply Line
ADA
Approach/Sidewalkg�
Other Date U �_-_ Inspector Y �! _Ext —_
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
/ CITY O F T I G A R I?/ MECHANICAL PERMIT
DEVELOPMENT SERVICE G/AIA PERMIT#: MEC200000026
r 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/27/00
PARCEL: 20111 BA-06700
SITE ADDRESS: 09563 SW INEZ ST
SUBDIVISION: BUTLER TERRACE ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: OTR FLO�JR FURN: EVAP ^(. )I.ERS:
TYPE OF USE: SF UNIT HEATERS: VEN1 FANS:
OCCUPANCY GPP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS_ HOODS:
_'-UEL TYPES 0 - 3 HP: DOMES, INCIN:
I PG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP- CLO -,iYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of new gas furnace.
Owner: _ _ _ _ _ _ FEES-
DEBBIE CASTILE Type By Date Amount Receipt
_ P
9563 SW INEZ PRMT DEB 1/27/00 $50,00 00-321438
TIGARD, OR 97223 5PCIF DEB 1/27/00 $4.00 00-321438
Phone:670-9814 - ---Total $54.00—
Conti-actor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:284-2173 Final Inspection
Reg #:LIC 00000222
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ora
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspender'
for more than 180 days. A-FTENTIM Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain cgpies of these/rules or direct questions to OUNC by calling ,(503)246-9189.
Is 9y: -� v 4, /J � ��. Permittee Signattire:
\\�' Call (503)639-4175 by 7:00 P.M. for inspections needeca the nertt busines ay
clan ck#
Chi
CITY OF TIGARD Mechanical Permit Application i-ReclanC y r
13125 SW HALL BLVD. Commercial and Residenti"�"' Date Recd - 4
TIGARD, OR 97223 � � Date to P.E.
(503) 639-4171, x304 2Dal.to DST
Print or TypeC0MML,y,,, 4�Op(; Permit#1!s-�.?ec�-��lr
_ Incomplete or illegible_applications will nAktP epted Called
Name of Davelopment/Pro1ed Description
C Tab!e to Mechanical Code Qt Price Amt
lob Street Address Tude# A) Permit Fee _ 16 70
Address 1) Furnace to 100,000 r.,'U t�
including ducts_8_vents_ see footnote 1,2 9.F5
Bldgs CRY/state zip 2) Furnace 100,000 BTU+
includin ducts$vents see footnote 1,2 12.00
Name(or name of business) 3) Floor Furnace
1 including vent _ see footnote 1,2
Owner LS 4) Suspended heater,wall heater
Halling Address or fiocr mounted heater see footnote 1,2 9.65
5) Vent not included in appliance rmit _ 4.75
cltylstate Zip Phone Check all that apply: 'Boiler Heat Air
�
f}} ,,y II ci �- For Items 6-10,see or PumP Cond Qt Price Amt:rr I ��� �)V" )� I i w� Y
_ --
Name(or of business) 6)
1,2 Comp
v)<3HP;absorb unit to
100K BTU _ 9.65
Occupant Melling Address 7)3.15 HP:absorb unit
100k to 500k BTU _ 17.65
CNylstate Zlp Prone__ 8)15-30 HP abs(.rb
unit.5-1 mil BTU 24.15
Contractor Name 9)30-50 HP;absorb
unit 1-1 75 mil BTU 3600 _
10)>50HP;absorb unit
Prior to permit Mailing Address >1.75 and BTU _ _60.15_
issuance,a copy } 1 11 Air handling to 10,000 CFM
of all licenses State ZIp Pllons _ _ 7 00
are required if � r 1-7 t i�l 12)Air handling unit 10,000 CFM+
expired in COT Ore on COW Cont Board uc a Exp.Date 11 75
database �- Z 13)Non-portable evaporate cooler
Architect Name -- —�-� 7.00
14)Vent fan connected to a single duct
or Malting Address 475
15)Ventilation system not included in
a pliP ante permit 7.00
Engineer City/stare zip Phone 16)Hood served by mechanical exhaust
7.00
Describe work to be done 17)Domesiic incinerators T
_ 12_00
New O Repair O Replace with like kind: Yes O,Klo O 18)Commercial or industrial type Incinerator
Residential 0 Commercial 0 / __�^_ _- 4825
19)Repair units
Additional Information or description of work: 8.4u
20)Wood stove/gas FP/other units/clothe dryerletc
_ 7.00
NOTr: For Commercial projects only;Units aver 400 lbs.require 21)Gas piping one to four outlets
structural gas talcs. See footnote 1 1 1 3.75
Type of fuel: oil O naturalga G L L 0 electric O 22)More than 4-per outlet(eac 75 V
_ Minimum Permit Fee$50.00 SUBTOTAL
I hereby acknowledge that I have read this application,that thi+Information 6 b%SURCHARGE
given is correct,that I am the owner or authorized agent of PIAN REVIEW 2.5%OF SUBTOTAL
the owner,that plans submitted are In compliance with Oregon State laws. _ _ Required for ALL commercial hermits onl � )
TOTAL �' r
Signature of Owner/Agent Date ___
— Other Inspections and Fees:
-- U L- 1. Inspectinns outside of normal business hours(mininum charge-two
C intact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
�I_I __ charge-half hour) $50.00 per hour
Foonotes or commercial projects�oii ty: 3. Additional plan review required by changes,additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-halt hour)$50.00 per hour
2. Provide drawings to scale showing exlc!ing and proposed mechanical
units. _ 'State Contractor Boiler Certification required
—Residential A/C requires site plan showing placement of unit
I\mechperm.doc rev 02/4199