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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24.-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BLIP
Date Requested / � :,?/q% AM PM gLp
Location_ -7_-7LizSuite
� �� � Suite MEC G�%'�G
Contact Person -cAw 6-6v, Ph & 3q S3(rZ) PLM
Contractor Ph SWR
BUILDING 'Tenant/Owner _ ELC
iRetaining WallEl R
Doting Access
Foundation FPS _
Fig Drain
Crawl Crain In ec i Not 5: SIGN
Slab �sL2 '� C'�cS - — G��' CQG�_ SIT
Post& Beam --
Ext Sheath/Shear V L,4-IA-0_,6YV-4--
Int Sheath/Shear `
Framing
Insulation `--
Drywall Nailing
Firewall _
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
U
Post&Beam --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
-- —
M67
PART FAIL
EC L.) --- —
Post& Bearn
Rough In
Gas Line -- ------- ____
Smoke Dampers
A s PART FAIL
ELECTRICAL -- --- -- - - - -
Service
Rough In
UG/Stab _
F' Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
_J
Backfill/Grading - --- - — - -- -
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin please call for reinspection RE: Unabla to inspect no access
Fire Supply Line I ) P
i.DA
Approach/Sidewalk
Other Date f Inspector_ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record fir,#m the job site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#.: MEC1999 00503
( )
13125 SW Hall Blvd.,Tigard, OR 97223 503 639-4171 DATE ISSUED: 11/22/1999
PARCEL: 2S111AA-043ti�)
SITE ADDRESS: 14450 SW 86TH AVL
SUBDIVISION: GREENSWARD PARK ZONI1110. R-4.5
BLOCK: LOT: 031 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN7 EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE CAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
C1-O DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
HER UNITS: 1
> 10000 cfm:
Remarks: Furnace, gas logs, and gas piping.
Owner: FEES
BITNEY, ROBERT C + KATHRYN 110 Type By Date Amount Receipt —
14450 SW 86TH AVE PRMT BON 11/22/19 $50.00 99-319925
TIGARD OR 97224 5PCT BON 11/22/19 $4.00 99-319925
Phone:
Total $54.00
— -- -- —
Contractor:
GL HEINTZ_ HEATING & COOLING
20871 SW 216TH
SHERWOOD, OR 97140 REQUIRED INSPEiCTIONS
Gas Line Insp
Phone: Misc. Inspection
Reg #:LIC 102831 Final Inspection
ORIGINAL
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his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
rind 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
reouires 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 of these rules or direct questions to OUNC by
calling (503)246-,9189.
l �
Issue By: ` l t Permittee Signature: C'It
Call (503) 639-4175 by 7:00 P.M. for inspections needed the rle!'t� usiness day
Plan Chuck _
CITY,OF TIGARD Mechanical Permit Application Recd By, -
13125 SW HALL BLVD. Commercial and Residen"Llal tiacc n-;d
TIGARD, OR 97223 Date(o P.E.
(503) 639-4171, x304 ) rate to DST _
Print or Type / / Permit# �i'� o --7,
_ Incomplete or illegible applications will not e-acci6pted Called
-- Name of DevelopmenUProjecl Description
Table to Mechanical Code Q Price Amt
Job Street Address / �/_ suite# A) Permit Fee 16.00
Address I- 5v (sb vi (L^7'+ 1) Furnace to 100,000 BTU
Bldpd Cly/State 7;p including ducts R vents 9.65
2) Furnace 100,000 BTU+
including ducts&vents _ 12.00
Namfj(or ame of bye nes ) 3) Floor Furnace
Owner 1/O 7�� includingvent 9.65
Mailing Addresn 4) Suspended heater,wall heater
or floor mounted heater 9.17.5
7 7(J CJ 5) Vent not included in appliance permit _ 4._75
C ylState / ZipJ Phone Check all that apply: "Boiler Heat Air
�k ( /'7,ZZA For Items 6-10,see or Pump Cond Qty Price Arnt
Name(or name of business) footnotes 1,2 Comp
: M l,'e 6)Repair units
"�I
Occupant Mailing Address 7)<3HP;absorb unit to
100K BTU _ 9.65
city/slate, Zip Phone 8)3-15 HP;absorb unit
100k to 500k BTU _ 17.65
:ontractor Name _ 9) 15-30 HP;absorb
CCS/I%4 unit.5-1 mil BTU 24.15
! 10)30-50 HP;absorb
Prix to permit I Addlass</ ` unit 1-1 75 mil BTU _ 36.00
issua-ice,a copy Mrl 1 '.t✓ 11)>50HP;absorb unit>1.75 mil BTU
of all licenses C State ZI Phone. _ 60.15
are required if1 ( 1[X 11`�C� 12)Air handling unit to 10,000 CFM
expired'n COT Oregon nsI cont Board I lc k 1 to_ 7.00
database ���—_ 1f 13)Air handling unit 10,000 CFM+ ---
Architect Name , 7617 11.85
( 1 14)Non-portable evaporate cooler
or Mailing Address - 7.00
( 15)Vent fan connected to a single duct
_ 4.75
Engineer cnyrstale zip Phone 16)Ventilation system not Included in
t _ appliance permit _ 7.00
Describe work to be done 171 Hood served by mechanical exhaust
_ 7.00
New O Repair O Replace with like kind Yes O No O 18)Domestic incinerators
Residential$_ Commercial O Modification _ 12.00
19)Commercial or industrial type incinerator
Additional information or description of work: _ 48.25
20) Othunits,includ wood stoves
7.00
NOTE: For Commercial project-only Units ovur 400 lbs.,located on the 21)Gasp ng one to fuur out Fets
roof,he structural tales prepared by licensed engineer. 3.75 0'
Type of fuel: oil O natural gas O LPG O electric O 22 t More than 4-per outlet(each) 75
I hereby acknowledge that I have reao this application,that the information Minimum Permit Fee$50.00 SUBTOTAL
given is correct,that I am the owner or vulhorized rgent of 8"/o SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
M
the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
�r
sign ure of Owner/ ent // / Date TOTAL
L�� ( F -1 _u Other Inspec:fons and fees ,
ContactPyho Name Phone
1 Inspections outside of normal business hours(minimum charge-two hours) $50.00 per hour
t 7
313 5113 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour)
�--- $50 00perhour
Foonotes r ommercial projects only: a Additional plan review required by changes,additions or revisions to plans(minimum
1 I' .vide full schematic of existing and proposed gas line and pressure :harge-one-half hour)$50 00 per hcur
2 Provide drawings to scale showing existing and proposed mechanir`Al *State Cont ictor Boiler Certification required
Units "Residential IVC requires site nlan showing placement of unit
1 lmechperm doc rev 11/1/99