11275 SW 90TH AVENUE ADDRESS:
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i:\records\microllm\largels\buiiding.doc
CCTV OF TIGARO BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested. _ - i ,_ -� � _ A.M. P.M. MST:
Location:_� I � C?r_ 11-7_ BUR
Tenant: _ Suite: BI-11 MHC:�Z--
C'ontractor � Phone �aC, PLM:
Chime, l ��011at 61 J h—376SPhonc: J(\ ELC:` ----
_ _ SIT:
�
BUILDING BLDG(con't) PLUMBING ) ELECTt:ICA_ _L SITE
Site Post/13eam Post/Beam Post/Beam Cover/Service Sewer/Stone
Footing Roof UndFl/Slab Rough-In Ceiling Water line
Slab Framing 'Fop Out Gas bine Rough-In (JG Sprinkler
Foundation Insulation Sewer Ilc,)d/Duct Reconnect Vault
Bsmt Damp Drywall Stonn Furnace Temp Service MISC.
Masonry Ceiling Rain Thain NC UG Slab
Slica/Sheath i ne Spklr/Alm CrawVl ound Dr �wat I)imp Low Volt _
Approved Approved r!''2 Approved nppioved ^ •-
Appr/Sdwlk Not Approved Not Approved _, .A>'roved Not Approved Not Approved
FINAL FINAL / FINAL FINAL FINAL
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C7 Call for reins ctio C3 Reinspection fee of S,—_ r aired befo cc next inspection 0 Iinahle to inspect
lnspecto�:� �____ �_—_� Date: / _— Page of_ / _
CITY' OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC970272
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 0*7/28/97
r,nRCEL: 16135DB—0O200
;TTF. (-iDDRESIa. . . . 1. 1.275 SW 90TH AVP'
)UBDIVISION. . . . : i TGARDVGTI_.I-E PARK ZONING: R-4. 5
I3LOCK. . . . . . . . . . r LOT. . . . . . . . . . . . .. . 1. JURISDICTION': TIG
F_'LASS OF WORK. . :nLT FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
9CCUPANCY GRP. . : RC VENTS W/O APPL: 0 VENT SYSTEMS): 0
.;TORIES. . . . . . . . : 1� BOILERS/COAPRESGORS HOODS. . . . . . . : 141
FUEL TYPES__-__ ___. ._.___.__ 0_.A; HP. . . . 0 DOMES. INCIN: 0
-GA53-15 HP. . . . 0 COMML. TNCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . 0 REPAIR UNITS: 0
'1 --50
FIRE DAWERS? , . : 30 HP. . . . : 0 WOODSTOVES. . : 0
.,AS PRESSURE. 501- 1r'. . . . : 0 CLO DRYERS. . . 'A
1\10. OF UNITS------------ AIR PANDLING UN I TS OTHER UNITS. : 0
-'URN " 100K BTU: 1 10000 cfm : 0 GAS OUTLETS. : I
FURN ) =100K PTU., 0 > 10000 cfmi 0
Remav-l<s : Oil to gas conversion
Owner. FEES
ROBERT HEINTZ AND ROSE* HEINTZ type a m 0�.t n 1; by dale t-ecpt
11275 SW 90TH PRMT $ 25. 00 JSD 07/20/97 97-297651
T*1 G A R D OR 9722 . 5PCT $ 1.. '5 JSD 07/28/97 `37—.:"37E,51
Phone #: 639-4376
Cont i-ac,toi,: ----------------------------------------
SOUTHWEST SHEET METAL
10415 SW 7C2'ND
$ .26. 25 'TOTAL
PORTLAND OR 97223
Phone #* 703—a-46-6284
Reg #. . : 000450
REOUTRED INSPECTIONS
This p@rgit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating lint Insp
applicable laws. All work wi;I I be done in accordance with Final Inspection
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 by the Oregon Utility Notification Center. Those rulps are
set forth in OAR 952-001-0010 through OAP, 952-001-0080. you iay
obtain copies of these rules or direct questions to OUNC. by callirg
5031246-9167.
;7'er-mittee Signatov-e :
S S 1.1 e B
++++-4•+++++++++++++++++++++4•+++++.++++++4-4-++-t+++++++++•++++++++++++-4++++++++++++++
Call 639-4175 by 6:00 p. m. for- inspections needed the next bkisiness day
*++4++++++++++++++++++++++++++•F++++++++++++++4-i........F++-#.........1.+++++++++++f 4
Zvi
Plan Check 11
CITY Or TIGARD Mechanical Permit Application K6c'd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(5103) 639-4171, x304 Date to DST_
Print or Type Permits a4 ;' -�rL
_ Incomplete or illegible applications will not ;je accepted Called
Name of DevebpmenUPropp Desa•q)bon
Table to Mechanical Coca CITY PRICE AMT
,lob Street Address sumer P.) Permit Fee -0-1 -0- 10.00
Address 'L., G i
Bags Cayrstste zip 1.) Fumace to 100,000 BTU 6,t,0
c ci _including ducts&vents
Name for name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner ,^ (LC_ ,`,'7 ' including ducts&vents
wring Address l 3) Floor Fumax 6.00
j ; 1,157 S ! U including vent
cavistNe zip Phone. 4.) Suspended heater,v.all heats, 6.00
or floor mounted heater
Name for a or bus hal 5.) Vent not included in appliance permit 3.00
7 _
Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond. 6.00
to 3 HP;absurb unit to 100K BUT"
cttyrstate zip Ph" 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP;absorb unit to 500K BTU"
Contractor N""a -7 r 8.) Boiler or comp,heat pump,air Gond. 15.30
(Poor to - !Lw t S/� 15-30 HP;absorb unit.5-1 mil BTU"
issuance Mailing Address 9.) Boiler or comp,heat pump,air;.arid. i 22.50
applicant 'U q(.� 7 30.50 HP;absorb unit 1-1.75mu CTU"
must provide all CityrState zip Phone 10.) Boiler or comp,heat pump,air Gond. 37.50
contractor (1-11' I1 l >50 HP;•tbsorb unit 1.75 mil BTU"
license On?w onst.Cont.Board Lic r Exp;D 4t) 11.) At;handling unit to 10,000 CFM _ 4.50
information �r! 6. �
for COT co euanase T ar Metro s Exp.000 `- 11C1+ 11) Air handling unit 10,000 CFM
database)._ 1 11 0 I
Architect Nerne 13.) Non-portable evaporate cooler 4.50
or Marling Address 14.) Vent fan connected to n single duct 3.60
Engineer cMrStne Zp Pnon,i 15.) Ventilation system not inc,uded in 4.50
appliance permit
Describe work New O Addition O Alteration O Repair 0 16) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O
AddWonal Descnption of work 17.) Domestic inaneratofs ---- 7 50
C L _ 18) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property �� �✓
20) Wood stove - 450
'l
rr,,posed use of 21.) Clothes dryer,etc. 4.50
but ding or property
22.) Other units 450
1--
to �.
type of fuel-oil O natural g,;a O LPG O electric 0 23.) Gas piping one to four outlets 2.00
J I hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) .50
mfortnation given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State _ QTY.SUBTOTAL
laws
Signature of Owner/Agent Date *SUBTOTAL
/ -- ---- 5%SURCHARGE
Cohtact Person Name /Phone PIAN REVIEW 25%OF SUBTOTAL
7� - TOTAL
i:W&WrNChPrMd0C (rev 9 �. 'Minimum permit fees S25+5%surcharge
�� �' "Residential A/C requires site plan showing plaoerrlent of unlit.