11260 SW 90TH AVENUE ADDRESS:
Co qoTN Avs�IaR
J
C7
�1
J
lArecordsVnicrofInAtarget.-Abuilding.doc
CITY OF TIGARD BUILDING IN'.5PECTION DIVISION MST'
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — -----
BUP
Y nate Requested C�- � `_� �j��AM PM _ B D,
Location f (D f � � ' Suite MEC
Contact Person S>=Y 1 Ph M _
Contractor Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall - ELR
Footing �-"'-
Foundation Access: z FPS
Ftg Drain _ �� � vG�1C�,�1� �
Crawl Drain Inspection Notes: SGN
Slab _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing 7��1.t,''9,_�'t yp.�Drcf- _ egld� J/ ,------ --
Insulation
Drywall Nailing
Firewall /
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise. ---..�_--
Final
PASS PART FAIL _.,_..- --- ------ -- -.._..--- --- ...----- -- - -
PLUMBING
Post& Beam
Under Slab
Top Out - _ --- -- --
Water Service
Sanitary Sewer - - --- -
Rain Drains
Final - -- - _ -
PASS BART FAR..
ECHANI
Post& Beam ---.-------- - ---. --
Rough In
Gas Line
Smoke Dampers
AS PART FAIL
cTRICAL -
Service
Rough In - _ �--
UG/Slab
Low Voltage
Fire Alarm
Final i
PASS PART FAIL
SITE NNIV
Backfill/Grading - - - -
Sanitary Sewer
Stone Drain [ i Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line � [ j Please call for reinspection RE: _— - [ j Unable to inspect-no access
ADA
Approach/sidewalk
Other Date Z? � � Inspector_—,
l L- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGAR® -
MECHANICAL PERMIT
A14- DEVELOPMENT SERVICES PERMIT#: 7/9/99 900293
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 719/99
PARCEL: 1 S135DA-02701
,ITE ADDRESS: 1 1260 SW 90TH AVE
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: 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: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
— OTHER UNITS: 1
FURN >=I OOK B TU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of gas fireplace.
Owner: _ FEES
BROYLES, M KENNETH Type By Date Amount Receipt
JENNIE A PRMT DEB 7/9/99 $50.00 99-316749
1,260 SW 90TH 5PCT DEB 7/9/99 $3.50 99-316749
TIGARD, OR 97223 Total $53.50 J
Phone:
Contractor:
LUDEMAN'S FIREPLACE + PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS
Misc. Inspection
Phone:646-6409 Final Inspection
Reg #:LIC 51469
u:
LD
H-
�n
-J
r.
G�
h-
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 vnth 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 Notification Center. Those rules are set forth in CSAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
cal- g(503)248-9189.
Iss By: ):��� _ \lk Permittee Signature:
Call (503) 39-4175 by 7:00 P.M. for Inspections needed the n xt business day
07/06/99 TUC 11:55 ;-AC 503 598 1960 CITY OF TIGARD IM002
CITY OF TIGARD nical Permit Application Plan ' eck
1$125 5W HALL BLVD. RECL9 PP Rec'd�
Commercial and Residential Dat'Dale tc P.C-.
Recd 7-7-
TIGARD, OR 97223 JUL C, 1999
•----�
(503) 639-4171, x304 Date to DST
COMMUNITY DEVELOPMI NPI int o- Type
Incomplete or illegible applications will not be -_�cepted Called
Naaw of Qevebprrera/f"rojep Description ---- — --
Table 1A Mechanical Code - Glly Pnce Amt
street Address A Pemtit Fee
Jib sums � 16.00
Address 1) Fumace to 100,000 BTU
�—r includingducts d vents fee footnote 1,2 9.65
Otdga cltyrBtate Lp 2) Furnace 100,000 BT'J+
includingducts&vents seu footnote 1,2 12.00
Name(o nam,of tKWM'e 1 3) Floor Furnace
Ovtmer ) F' oul F15 _including went see footnote 1,2 9.65
Mating Addrea, 4) Suspended healer,wall heater
A
c^ or floor rmounred heater see footnote 1,2 9.65
rT �) J`� 5 Verd not included in a liaece permit _4.75
CGty/stwe Zjp Por Check all that apply. 'Boiler liest Air —�
-/0l For!tem%6-10,sse or Pump Cond yOty price Amt
1 name rN 6u u f00K BTU 9.65
ootnotes 1,2 Comp ••
6)<3HP;absorb unit to
t'.Ct�P ant Maiing Ad 7)3-15 HP;absorb unit
N
s i
lJ
100 to 500k BTU _ 17.65
cdyrstate 8)15-30 HP,absorb
(1,/ - _ u unit.5-1 mil BTU_ _ 24.15
Contractor N µ1_L_ 9)30-50 HP;absorb
i t unit t-1.75 mil BTU 36.00
C 10)>50HP,absorb unit
Prior to permit jp
�m _ r Q 11.75 mil BTU 60.15Issuance,a w 11 Air handling unit to 10,00'0 CFM
of an licenses zi tiro 7.00 _ t
are required 0 (p 12)Air handling unit 10,000 CFM+
expired in COT const A 90fd Llc.s Exp ate 11.75
database f 13)Nun-portable evaporate cooter
Architect I NOM _ 7.00
I.t)Vent fan connected to a singte dud
Or Mai�hg Aaar.,, � _4_.75 _
15)Ventilation system not Included in
C,yrSrale appliance permit 7_00
Engineer _ ZIP �'an0 16)Hood served b7 mechanical exhaust
7.00
Describe wok to be done 17)Domestic Incinerators
12.00
New-0Repair O Replace with like kind Yos O No O 18)Commercial or industrial type incinerator —
Residential AD Cortunerclal0 19)R___ 48.28
enoir units
Additions$Information or oescdption of work - - - - _ 8.40
20)Wood stove as F other units/clothe dr.^Edelc.
_ 7.00
NOM: For Commercial projects only,Units over 4001bs require 21)Gas piping one to lour outlets
structural gas rales. __ See footnote 1 3,75
CL Type of fuel cJl O natural gas A CPG O electric O 22 More than 4 Woutlel each /5
rt: Minimum Permit Fee$50.00 SUBTOTAL. p
N I hereby acknowledge that I have read this application,that the Information 7%SURCHARGE
given is correct,that 1 am the owner or autho tzed ag ml of PLAN RFVIFW 25%OF SUBTOTAL
i`.. the ner,that plans submitted are in ranee with`-_ 5 e laws R
/ `9� squired for ALL commercial pemtlb only
.�,CIO ore of OwmarfAge - TOTAL j
Other Inspections and Fees:
Lair �'� _ - 1 Inspertions outside of normal business hours(minlnttm charge-two
J ct Person Name Phone hourit) $50.00 per hour
I. Inspections for which no fee is specifically Indicated (minimum
charge-half hour) $50.00 per hour
es for commercial prof 015-11V 3 Additional plan review required by changes,additions or revisions to
F22.
Provide full schematic of ext ing and proposed gas line and pressure plans(minimum charge-one-halt hour)$60.00 per hour
Provide drawings to scale showing existing and proposed mechenicat
units. Stale Contractnr Cinder Certification required
"Residential Att'mquiies ske plan showing placement of unit
1 lmechperm dor rev 02/4199