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13355 SW 76"' AVE.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Flour Inspection Line: 639-4175 Business Line: 639-4171
BUP
—__ Date Requested AM —PM BLID
� --— - MEC z '�W �c <7
Location— � �; �,,�� � Suite
Contact Person %�� S Ph r��j y— 9 C% PLM
Contractor Ph SWR
BUILBING- _ Tenant/Owner ELC _
Retaining Wall - ELR
Footing Arcesr�
i -�
Foundation V � 1 /�l,�r 4 FPS _-_--�-
Fig Drain `✓ (../� C, SGN
Crawl Drain Inspection Notes:
Slab - - - - -- -- -- SIT
Post& Beam -- -
Ext Sheath/Shear
Int Sheath/Shear -
Framing -
Insulation
Drywall flailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise ----- -- ___ .- -------- ----
Final
PASS PART FAIT_ --- -..
PLUMBING
Post& Beam
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final -- -_
PASS PART FAIL
Po - m --- --- - ---- -
ough to —
ain 1 - -------__ - ___ --� _--- --- -- ----- --- --
Smoke Dampers
1"�S,--)
`i - - _ - _ ------- -
�{ PASS ART FAIT_
TRICAL --- --- - -
--- - --
Service I'
Rough In
UG/Slab
Low Voltage
,Fire Alarm _ --__-- ------- - -_-.---
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain I J Reinspection fee of$ -_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ] Please call for reinspection RE-
Fire _ [ ] Unable to inspect-no access
AnA
Approach/Sidewalk
Other — _ _-- nate A
A Inspector __— Ext _
Final
PASS PART- FAIL 00 N01 EM01rE this inspection record from the job site.
"�" aer j
CITYOF N I GA R D MECHANICAL PERMIT —
DEVELOPMENT SERVICE PERMIT#: MEC2000-00013
13125 SW Hall Blvd.,Tigard, OR 97223 ( Os i_ DATE ISSUED: '111/00
�
SITE ADDRESS: 13355 SW 76TH AVE �� PARCEL: r',101DB-00616
SUBDIVIS'ON: ROLLING HILLS � ZONING: R-3.5
BLOCK: LOT: 021 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: _ EVAP COOLERS
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O 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:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 �- HP: WOODSTOVES:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: — OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of new gas furnace and associated gas piping.
Owner: FEES
WIDMAN, INEZ C Type By Date Amount Receipt
13355 SW 76TH AVE PRMT DEB 1/11/00 $50.00 00-32.1080
TIGARD, OR 97223 5PCT DEB 1/11/00 $4.00 00-321080
Phone:
Total $54.00
_--- . —_--
Contractor:
ENERGY MASTERS HEATING + A/C
7470 SW 76TH
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone:244-8880 Heating Unt Inso
Reg #:LIC 000585 Final Inspection
PLM 2.6-476PB
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 days 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.�lotification Center. Those rules are set forth in OAR 952_-001-0010 through OAR 95 -001-0080.
Yatfmay obtain c ies of t se rules or direct questions to OUZballing 150t1.2
I sue By: Permittee Signature:
Call (303) 9-4175 by 7:00 P.M for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Plan CheclP-11
13125 SW HALL BLVD. Feed By
Commercial and Residential Date Recd- -tO'
TIGARD, OR 97223 ---____
(503) 639-4171, X304 Date to P.E.
Date to DST
Print or Type Permit
Incomplete or illegible applications will not be accepted Called
Name of DevelopmenUProject - 6cScrlption --
_ Table 1A Mechanical Code
Job street Address �- Suit"
"- A) Permit Fee -- -$2 _
ty _Price Amt
Address i 3355 sw T( 1) FL:---Ce to 100 000 BTU��--- 16 l,0
oid9a City/State Zip includingducts&vents see footnote 1, 9.65 q.Ie�
d U- 1 q 7 2) Furnace 100,000 BTU+
Yom' t� including ducts&vents see footnote 1,2 12.00
Namc(or name of buslneas) 3) Floor Furnace --
Owner Z W 1 I;(VLd_4A including vent - see footnote 1,2 9.65
Mailing Address 4) Suspended heater,wall heater
--7 b� or floor mounted heater see footnote 1.1 9.65
CRY/State yip Phone 5) Vent not included in appliance permit 4 75
OIL
Check all that apply: 'BoilerTHeatA
OIL -17+�• _( I For Items 6-10,see or Qty Price Amt
a e r name of business)a fOOtnOteS 1,2 ComIG1�1/�l ,y1 6)<3HP;absorb unit toOccupant Melling Address 100K BTU 9.65
�3-51 -77)3-15 HP,absorb unitW t00k to 500k BTU t
City/State Zlp Phone 9) 1530 HP;absorb� �--G1-1223 _hI unit.5-1 mil BTU Contractor Na 9)30-50 hIP;absorbunit 1-1.75 mil BTU
Yl�d�?► "-- 10)>50HP;absorb unit
Prior to permit M_amn Address (J 1 r >1.75 mil BTU
issuance,a copy l�l-7v SW �j'} 60.15
of all licenses r /State 11 Air handling unit to 10,000 CFM
y� ZIP Phone
are required if (� 1/Lj� f� ct 2 7,00
expired in COT Oregon Coni`Cont.Boa Lica 1 -�r� 12)Air handling unit 10,000 CF'M+
-Exp Date
- database Z (� ) 13)Non-portable evaporate cooler -
Architect Name
7.00
14)Vent fen connected to a single duct or McIIIngAddress 4.75
15)Ventilation system not included in
Engineer City/Stat° tip "Phon, appliance permit 7.00
16)Hood served by mechanical exhaust
Describe work to be done: — 7.00
17)Domestic Incinerators New 0 Repair O Replace with like kind: YesX No O 18)Commercial or Industrial type Incinerator 12.00 _
Residential Commercial
48.25
19)Repair units
Additional Information or description of work:
_ 8.40
20)Wood stove/gas FP/other units/clothe dryer/etc.
LNOFor Commercial projects only;Units over 400 lbs require 21)Gas piping oneto fouroutlets7.00
ructural gas talcs _ See footnote 1 _ ' 3,75 ,el oil O natural ga LPG O erectric O 7.2)More than 4-per outlet(each) 75
Mlnlmu_m Permlt Fee$60.00 SUBTOTAL c
I hereby acknowledge that I have read this application,that the infonYtalion - � --- o
given is correct,that I am the owner or authorized agent of
8%SURCHARGE
PLAN REVIEW 25°/.OF SUB roTAL
the i r,th p n u ift7d Afe g Required for ALL commercial permits only
-_ice I n with Ore on State laws _
I - I 1 CJ TOTAL 1.
Si afore of Uwne ge t Date
l Other Inspections and f=ees:
441A 1. Inspections outside of normal business hours(mininum charge-two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no foe Is specifically Ind�cated (minimum
__ charge-half hour) $50-00 per hour
Foonotes for commercial protects only: —_____ 3. Additional plan review requ'rrid by changes,additl3ns or revisions to
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)550.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical
units_------ *State Contractor Boiler Certification required
"Residential A/C requires site plan showing plat er crit of unit
1:4nech,)enn coo rev 7/19/99