11390 SW NOVA COURT-1 13"ON MS OG£4 6
I
a �
U
ccn
� o
� o
M
r
r
11390 SW NOVA CT
CITY OF TIGARD
BUILDING DIVISION PERMIT#:
13125 SW Hall Blvd.,Tigard, OR 97223 / (� DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: / TIME: ( -D PAGE:
SITE ADDRESS: ! � ) �0 V6— CLASS OF WORK:
SUBDIVISION: LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: W
OWNER: C�E'OrJrl l�K �1 U � _iL-•`" ' PHONE#:
V
CONTRACTOR: PHOI4E #:
Inspection Request Schadut'ed For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
5233 o !4) —.
aI z
�-
PASS ❑ PARTIAL APPROVAL ❑ CAN 1EL ❑ NO ACCESS
C7 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES AS-13ESSED
t
Inspector: —_ Date: �� 4o Pildlti; t (603) 718-
CITY OF T
MECHANICAL
DEVELOPMENT SERVICES PERMIT
19125SWH#llBlvd.,llgerd,OR97:79 (5019)6*4171 PERMIT t~. . . . . . . i MEC98-0227
DATE ISSUED; 06/15/98
PARCEL: 2S103DB-02700
SITE ADDRESS. . . : 11390 SW NOVA CT
SUBDIVISION. . . . : GENESIS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: TIG
-----------------------------------------
CLASS or WORT;. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS.- 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FONS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRE73ORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0--3 HP. . . . : 0 DOMES. I NC I N: 0
:GAS 3-t5 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15---30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?_ : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HI''. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HnNDL I NG UNITS OTHER UNITS. : 1
TURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 1
TURN ) =LOOK NTLI: 0 > 10000 r_.fm: 0
Remar^ks : Bas logs and piping
Owner: --------------------------------------•----------------- FEES -
HAROLD E BECK type amount by date rec-pt
11390 SW NOVA CT PRMT f 25. 00 H 06/15/98 98-30651T
TIGARD OR 97223 5PCT f 1. 25 B OG/t5/98 98-3:"65t7
Phonn #: 620-5054
Contrar_tor:
OWNER
---------------------------------------
f 26. 2.3 TOTAL
Phnne #:
Req
----- -- REWIRED INSPECTIONS
- ----This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, Statt of Ore. Specialty Codes and all other Mi sc. Inspection _
applirable laws. All Nark will be done in accordance with Final Inspection _
approved plans, This permit will expire if work is not started --'
IL within IN days of issuance, or if work is suspended for more
Rthan 180 days. ATTENTION: Oregon law requires you to follow rules
W 2 opted by the Oregon Utility Notification Centc% Those roles are
Ft forth in OAR 952-001-0010 through OAR 952-081-88A8. You may
obtain copies or these rules or direct questions to OW by calling
m (583)246-9187.
t7
W - ---- —
.J
I 5 i e l3 . M'44PV4 'Y " Fermitt:ee ,,i nat�_ir^e : .•
+++•1--1-++*++•++++++++++++++++++++++ �++•4•-r++4 {..f+++++++++++++++++.t++++4•+++++++++++4+
Call 639- 4175 by 7:00 p. m. for inspections needed the next business day
+++++++++++++++++++++++++•F++++++++++++++•4•+++++++++++++++++++4•++++++++++++++++++
Plan k M
CITY Ui 'riGIARD Mechanical Permit Application Recd By.
1'3125 SW HALL BLVD. Commercial and Residential Date Redd -15
TIGARD, OR 97213 Dab to P.E. ,
(5030) 639-4171, x304 sft toDST
Print or Type � -4tu7
Called
_ incomplete or Illegible a plications will not be accepted
Nrine of DMlomw*VmNd Description
I q 1(r a-5 j f U V�- Table 1A Mochanic+al Code acv PRICE
Job Sheat A64028 - suttsA A) Permit Fee -0. -0- 10.00
Address 11380 SW Q111a (ff
elmcny/suta J� ,� y 1.) Fumace to 100,000 BTU 8.00
111(w f A V C q 12-7 5 inc*ad duds iL vents
Nor@(or nam or businese) 2.) Furraos 100,000 BTU+ 7.30
owner r{at o e C k (tq a.4,c including ducts a vents
Me"AddressC 3.) Fim Fumace 8.00
117 ` GLV �1 o 1/q Inducting vent
est" PhorN 4.) Suspended heater.well heater 8.00
U
T v l( 6(e (11 z)Lp" (G sZ's or f1w mounted hnabr _
(a earns d burkresa) - 5.) Vent not,Included in appliance permit 3.00
C
CcCupan>t Ma*V AO"U 8.) Boller or connp,heat pump,air Gond. 8.00
1to 314P-.absor
b unit to 100K BUT-
ctilstate Zip Phan 7.) Boiler or omr.M0 pump,air pond. 11.00
_ 3-15 HP;absorb unit to 51M BTU"
contractor Nora 8.) Boller or comp,hast pump,sir pond. 19.00
0 w y 15-30 HP;absorb unk.5-1 ml EMI-
Prior to peimfl Maass Address 9.) EW4r or corp,hest pump,ah a+nd. 22.50
Issuance,a copy _ 30-W HP,abaab unit 1-1.T5rrdi BTU-
of all licenses City/State ZIP Phone 10.) Boiler or comp,heat pump,air coni. 37.50
are required if >50 HP;absorb unit 1.75 mil BTU"
expired in COT Dr"on Const.Cad.(bard LIo A n 11.) Air handling unit to 10,000 CFM 4.50
database Architect N"na 12.) Air hanpling unit 7.50
1/L ! `�_ 10,000 CTM+
or Melling Address 13.) Nan-portable evaporate cooler 4.''0
Engineer Cxy/State Z1r, Phare 14.) Vent fan connected to a single dud 3.00
Describe work New O Addition O Albre'lon Repair O 15.) Ventilation system not included 4.50
'o be done Residential O Mon-residenral O in appliance emit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
�, 17.) Domestic kxinerotors � 7.30
l,?1SI aI( 0 a�� st^ve as _
Existing use of 18.) Cerrmrnetciel or In it",jisl 3f).30
building or property._ _ type kohmmom
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
d. building or property r� -
21 ) Clothes dryer,etc. 4.50
H
U)
Type of fuel-oil O natural gasA LPG O electric O 22.) Qthe,un 4.50
_ �!Ul L
-I I hereby acknowledge that I have read this,nollatlon,that the information 23.) Gas p,"ooWto four outlets I 200
OD given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State laws. 24.E More than 4-per outlet(each) 50
W
J Signature of Owner/Agwd Data !! 'SUBTOTAL
(, 5%SURChWRGE
Contact Person Name Phone PLAN MINIM,25%OF SUBTOTAL
REV
1 Required%r sg commercial permits only.
TOTAL
"MWmwn pwmk fes Is 5+5%surdtatge !J
"Residential A/C requires elte plen showing placement of unit.
J1:lmechprmt.doe rev 4/15/98
IN
CITY OF TIGARD BUILDING INSPECTION DIVISION ST
24- lour Inspectiur, Line: 639-4171 Business Line: 639-4171
r SUP
/0 LDate Requested �Q_q�AM PM BLD
Location �l I� Suite
Contact Person b` tiPh ''`� PLM _
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Well — � ELR
Footing
Foundation Access: 1/_� //�y/ FPS
Fig Drain �,E7 SDN
Crawl Drain Inspection Notes:
Slab arr
Post&Ream
Ext Shnath/Shear
Int Sheath/Shear p
Framing —_ LTO
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Misc: ----
Final _
PASS FART FAIL ------- —
PLUMBING
Post&Beam ` �-
Under Slab �.
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P -PARI FAIL
Post&Beam —------------ —
Rough In
< as Imp �%t ------
mo
ART FAIL
LECTRICAL
Servilx,
Rough In �
UG/Slab
Low Voltage
3 Fire Alarm
Final
0 PASS PART FAIL —
u SITE
J Backfill!Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required(before next inspection. Pay at City Hall, 13125 3W Hall Hlvd
Catch Basin [ j Please call for reinspection RE:—�_ _— -� [ j Unable to Inspect-no access
Fire Supply Line
ADA
(Approach/Sidewalk Date 11t, aL"5 - �0 Inspector Ext
(Other Final
PASS PART_ FL.L J DO NOT REr OVIE this Inslmiictlon record from the job oft.