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CITY OF TIGARD BUILDING INSPECTION DIVISION IF— I�JO At-�5 Zr 4e
24-Hour Inspection Line: 6394175 BusinessPhone: 6394171
' Date Re,uested: 5-2q- 5 u h. A PJP.M. — MST: _
Location: Z �- �— � � �/ _— BUR n� _
Tenant:— _— Suite:— Bldg: MFC: 'v1
Contractor:_ _ Phone: PLM: _
(honer ELC: — —
ELR:
/ _
��Ar.5 PP— ff Gr-A 5 L SIT: --- —
BUILDING BLDG(con't) PLUMBING ANI CA ELECTRICAL SITE
Sitc Post/13cam Post/11cam Post/Bcam Cover/Servic: Sewer/Storm
Footing Roof UndrI/Slab Rohl ht Ceiling Water I,inc
Slab Framing Top(tat s .me Rough-In UG Sprinkler
Foundation Insulation Sew�r I Iood/Duct Reconnect Vault
Bsmt Damp Drywall Storm rtunace Temp Service MIST.
Masonry Cciling Rain!rain A/C UG Slab
Shue/Shush I-irc Spkh/Alm Crawl/I'ound Ir I lea!}br I,ow Volt
Approved Approved ipro,k,&1 '?, Approved Approved
Appr/Sd N'k Not Approved Not Approved Not Approved Not Approved
FINAL FINAL. NAL FINAL FINAL
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Call .i,t rein. ctu 0 Reinspection fee of S require before ne �v7ction n 1 finable to inspect
inspector: -- -_�_-- — Dar ` -- —� — Page of
CITY O F T i G AR D MECHANICAl...
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC98-0179
13125 SW Hall Rlvd., Tigard, OR 97223 (50)639-4171 DATE ISSUED: 05/ 15/98
PARCEL.- 2,S114BB--09400
SITE ADDRESS. . . : 16204 SW 1.04TH AVE
SUBDIVISION. . . . : SWANSONS GLEN ZONING: R-12 PD
BLOCK. . . . . . . . . . . LOT . . . . . . . . . . . . ..035 JURISDICTION: TIG
Cl-ASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPt: OF' USE. . . . :Sf= UNIT HEATERS— : 0 VENT PANS— : 0
OCCUPANCY GRP. . : R3 VENTS WIO APPL: 0 VENT SYSTEIOS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . .. 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 Hr. . . . : 0 COMML. INCIN: I?
MAX INPUT: 0 BTU 15--30 11P. . . . 0 REPAIP UNII'7; 0
FIRE DAMPERS'). . - 30-50 HC'. . . . : 0 WOODSTO!JES. . : 0
GAS PRESSURE. . . 50+ HP. . . . : 0 CLO DRYERS. . : 0
!'MI. OF AIR HANDLING UNITS 0i'HER UNITS. : 0
FURN ( 100K BTU: 0 10000 cfm- CA GAS OUTLETS. : I
FURN >=100K BTU: o > 10000 cfm! 0
Remarks: Add gas 0*3 fat- a gas dryer for a single family dwelling.
Owner: F=EES ----------------
.jAMES S LAMBERSON type amount t)y date reupt
14700 SW WICHITA STREET PRMT $ 25. 00 GEO 05/15/98 98-305797
TUALATIN OR 979762 5PCT $ 1 . ,25 GEO 05/15/98 98-305797
Phone #: 6:91-2089
Contractor: ---------------------------
OWNER
-------------------------------
26. 25 TOTAL
Phone #:
Reg
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line insp
Tigard Nunicipat Code, State of Ore. Specialty Codes and all other Final Ins pec tior
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 by the Oregon Utility Notification Center. These rules are
set forth in OAR 992-001-010 thrGugh OAR 952-MI-W. You may
obtain copies of these rules or direct questions to Of by calling
(503)246-9187,
2
Issue By:
Permittee Signati-ire
4................+++4....... .................................... ......4..............
Cai 1 639-4175 by 7:00 p. m. for inspections needed the next bLISiTIPS5 day
+-++ 6-+++4++++++++++++++++4 ;............. ......................4........... .......J-4
Plan Check It
CITY OF TIGARD Mechanical Permit Application Rev'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
rI-iiARD, OR 97223 Date to P.E. _
(503) 639-4171, x304 Date to DST q
Print or Type Permit#cared
Incomplete or illegible applications will riot be accepted
(�--- -�
Name of DevelopmenWroiect A I Description
����( to { (� 7� Table 1A Mechanical Code a1Y PRICE AMT
Job Street Address 9urte# A) Permit Fee 0- -0- 10.00
Address
Bldg# Ci estate ZIP 1.) Furnace to 100,000 CTU C
CU
J 'raj '� , n[ 722 including ducts&vents__ _
Name(or name or business) 2.) Furnace 100,000 B'. J+ 7,50
Owner t�E $ a L A(,A �y -5c(J including ducts&vents
MailingAddresa 3.) Floor Furnace 6.00
'
-1 C)7 � CJS lC f l T S including vent
Gltyistate zip I Phone 4.) Suspended heater,wall heater 6 SO
f ZC or floor mounted heater _
cName(or name or Du:Wesel / 5) Vent not included in appliance perrn!t 3.00
Occupant -M ding Address t�' 6.) Boiler or comp,heat pump,air coed. 6.00
Lam ,)�l) _ to 3 HP;absorb unit to 100K BUT"
CityiState zip phone1 7.) Boiler or co•np,heat pump,air Gond. 11.00
_ �a,ry"C-� Q bq` m3-15 HP;absorb unit to 500K'3T(J"_
Contractor Nam 8.) Boiler or comp,heat puri,aa and 15.00
rl!({ 15-30 HP absorb unit.5-1 mil bTU•"
Prior to permit Mailing Addreas9.) Boiler or comp,heat pump,air cond. 22.50+
issuance,a copy 30-50 HP;absorb unit 1-1.75rnil BTIJ"
of all licenses Cttyrstote Ip Phone 10.) E,oiler or comp,heat pump,air Gond. 37.50
are required if >50 HP;absorb unit 1.75 mil BTU"
expi•�d in COT Oregon Const Cont.Board Lic# E>o Date 11.' Air handling unit to 10,000 CFM 450
a )base
A; ;hitect Name 12.) Air handling unit 750
!1 <� 10,000 CTM+
or Mating Address 13.) Non-portable evaporate cooler 4.50
Engineer CdyrState `I Phone 14.) Vent fan connected to a single duct 3.00
I _
Describe work New O Aodition O Alteration)&- Repair O 15.) Ventilation system not included 450
to be done Residential Non-residential OJ in_appliance permit
A�d�ditional Descnptior,of work: 13.) Hood served by mechanical exhaust 4.50
U / 17.) Domestic Incinerators 7.50
Existing use of y 1CL �% t 18.) Commercial or industrial 30.00
building or propee
incinerator -
19.) Rcnai�units 450
Proposed use of 20) Wood stove 4 50
building or property
21.) Clothes dryer,etc. 4.50
Type of fuel•oil O natural gas J3( LPG O electric O 22) Other units 4 50
I hereby acknowledge that I have read this application,that the information 23.) Gas piping one to four outlets 2.00
given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance w itt Oregon State laws 24.) More than 4-per outlet(each) .50
Signature of Owner/Agent Date *SUBTOTAL �,•.yk.,.s. a' e. r UL
5416 SURCHARGE 1TIM
ntact Person Name (( Phone PLAN REVIEW 25%OF SUBTOTAL
r1�Ll,rL C"1 C�C� Required for all commercia' permits on . , ' '
(C'�o�GyStI L9 . ' r
TOTAL
'Minimum permit fee is$25+5%surcharge
-Residential A/C requires site plan showing placement of unit.
1:lmechpinfir c rev 4/15/98
CyTY OF T.IGARD BUILDeNG INSPECTION DIVISION
24-Hour Insp'etion Line: 639-4175 Business Phone: 639-4171
41
Date Requested: ^_ c�-� V_ M. _ P.M. MS'f: _
Location:_ (Q (,' �IA�I ,/ BUP:
Tenant:_ ' _ Suite: Aldg:
Contractor:-- A ?- - ��� � PLM:
Owner:_f _ — `Phone: 1 M ELC:
e_ _ =-�: -- -I' FIX:- _ SPI':BUILDING BLDG(con't) PLUMBINGL✓ ELECTRICAL SITE
Site Post/Betan Post/Bcam Post,/Beam I Cover/Set vice Sewer/Storm
Footing Roof UndFI/Slab Rough-111 Ceiling Water Line
Slab Framing Top Out Rough-In TJG Sprinkler
Foundation Insulation Sewer Tro—mMuct Reconnect Vault
Psrn(Darnp Drywall Storm Furnace Temp Service MISC.
Masoury Ceiling Rain Thain A/C IJG Slab
Shear/Sheath Fire Spklr/Ahn Crawl/Found I)r 1 lent Pump Low ''ort
Approved Approved A2proved Approved Approved
npi r/Sdwlk Not Approved Not Approved Not Approved Not,Approved
-- FINAL FINAL FINAL FINAL
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Call for t6nsl ❑Reinspection fee of S —_required before next inspection M l cable to inspect
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Inspector _„____ _ DOW���_____ .___._ Page of_ _