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13300 SW 110TH AVENUE x� r. ADDRESS: 13luo lI D Ay&ldg J CO ti.. cm ttl J islrcscordslmicro(im%(arpels\bL!i(ding,doc � � ° e nggm- b - ® � \/\_ 2 § �UUS e 3% � � . ° ) \ (/\)a k 2 m $ m $ * $ $ ] % 2 2 5 o a o o c > � }\ _ � 0 C ƒ / ) § w $ � ƒ § ƒ ƒ § U LLJ� 0 \ \ ƒ f \ m 211 � in � k m $ m m $ $ a ■ @ / � ® � © � k . > $ m $ ƒ / + k A A % c y ' / / / f ) a a ) § § k ) c cu): \ ( { | $ I \ W 0 7 k � j j § \ ) \ . ° 2 \ _ � ƒ § % ) # § 0 2 0 2 § \ 8 \ / j / \ / \ / a s w w w w & L, m I CITY OF TIGARD BUILDING INSPECTION DIVISION MST _- 24-Hour Inspection Line: 639-4175 Business Line: 639-417111 1 ' / I BUP _ / ,�^'-'03p Date Requested — i��/ r1 �J AM%! PM __ BLD Location T. Suite �C - C� Contact Person _ - .Cl•[� Ph �( �z9—�.SZ� F`i_M Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR - — Footing Access: FPS Fourdation _ Ftg Drain — SGN Crawl Dein Inspection Notes: r/ -- Slab tGL-%�,K;;;AG 1-� SIT — --- Post& Beam , Ext Sheath/Shear L - JZGt� - (� /(/Ud A, — -- — Int Sheath/Shear Framing _ insulation Drywall Nailing Firewall Fire Sprinkler --_—_— Fire Alarm SuFp'd Ceiling ---___— Roof Misc: -- Final -� PASS PART FAIL ------ -- PLUMBING Post&Beam Under Slab Top Out — — ---- --- ---- - __..— _ Water Service ,anitary Sewer IRa;i Drains Final --- PASS PART FAIL --------- --.—_ �_ — — _--- A ICA Post& Beam Rough In Gar Line ----- ----------- - ke Dampers Fin --- -----_—_ — ---------------------- -- S PART FAIL Service --- ROUgh In UG/Slab Low Voltage Fire Alarm --- - —-.._�.----- — --- -- -- - I Final PA'+S PART 'FAIL _---- - ----_ _� __ --- — ---- SITE Backfill/Grading -- --- — - ��— ----�— Sanitary Sewer Storm Drain [ ]Reinspection fee of$ u —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: _ ___-- [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date � ! 1 Inspector 'V Ext { Final PASS PART FAIL DO NOT REMO' E this inspection record from the job site. CITY O F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT 4. . . . . . . . MEC99-0071 13125 SW Hall CA.,Tigard,OR 97223(503)639-4171 DATE ISSUED: 02/19/99 PARCEL: 2SI03DA—OF,400 SITE ADDRESS. . . : 13300 SW 110TH AVE SUBDIVISION. . . . : MIRP PARK ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG CLASS OF WORK. . :OTK FLOOR FURN. . . . : 0 EVAQ COOLERS: 0 TYPE C;F USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANC Y GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------.------ 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GA9 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 1.5-30 !-,P. . . . : 0 REPAIR UAITS: 0 FIRE DAMPERS?— : 30-50 HP. . . . : 0 WOODSTOVES. : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 1\10. OF AIR HANDLING UNITS OTHER UNITS. : 1 FURN ( 100K BTU: 0 10,000 cfm : 171 GAS OUTLETS. : I f URN ) =100K BIAJ: 0 > 10000 cfm : 0 Re,nar,k s - Instaliation of gas insert and g7s piping. (Owner•,: FEES PATRICIA HUNTTING type amol-Int by elate r-er-pt 13300 SW 110TH AVE PRMT t 25. 00 DEB 02/19/99 99--313098 TIBAFD OR 97223 5PCT t 1. 25 DEB 0c_'/19/99 99-31.3098 Phone #: ELPDN BRANCH 13185 SW 110TH $ 26. 25 TOTAL TIGARD OR 97223 Phone #: 260-0213 Reg 0. . : 3931;-:.' REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Cide, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspectioil within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregcn law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rues are set forth in JIAR 952-001-0010 through OAR 952-001-W. You may obtain copies of these rules or direct questions to DINC by calling 1503)246-9181._......-.-.._. LD 'is Ll Permittee Si gnat ++++4-+++1-++4........4.... ...............!..........................*++++++++++4-4-4-++ Call 639-4175 by 7:00 p. m. for inspections needed the next business day ++++++++++++•++++++++++++1-+++-1--&-++4-+++4++.... F++++++++++++•++++++++++++++1-++++++'++ * _ CITY OF TIGQRD Mechanical Permit Application Plan ChecRRecd BFI 13125 SW HALL BLVD. Commercial and Residential Date Rec'd sg-Er TIGARD, OR 97223 Date to P.17.. (503) 639-4171, x304 Date to DST Print Print or TypePermit" / rL' ^ ��7/ Incomplete or illeg!ble applications will not be accepted Called Name of Developmer,t/Project ,. Description — f r�Lti •�f�« Table 1A Mech?nical Code Qty Price Amt Jab Street Adaress suftett A) Permit Fee _ iQ00 Address C,v0 1) Furnace to 100,000 BTU � L including ducts&vents see footnote 1,2 6.00 Bldg# City/State Zip 2) Furnace 106,000 BTU+ 11 �n-v( ,r including ducts u vents see footnote 1,2 7.50 Name(or name of business) 3) Floor Furnace Owner ��Ya including vent see footnote 1,2 6.0' Mailing Address -- 4) SuspP ded heater,wall heater or floor mounted heater see footnotr 1,2 6.00 5) Vent not included in appliance permit CMy/State Zip Phone _ 3,00 Check all that apply: "Boiler eat Air Name(or name or business) For Items 6-10,qee or Pump Cond City Price Amt footnotes 1,2 Comp I _ __ '• _ 6)<31IP;absorb,•tit to Occupant Melling Address 100K BTU _ 6 00 7)3-15 HP;absorb unit Coy/State Zlp ?hone 100k to 500k BTU 11.00 8) 15-30 HP;absorb unit.5-1 mil BTU_ _ _ 15.00 _ Contractor NertN 9)30-50 HP;absorb �c�o n/ IQ, 2• �C_ unit 1-1.75 mil BTU 22.50 Prior to permit Mailing Address 10)>50HP; absorb unit issuance,a copy /0 x�s j X1.75 rail BTU _ 37.50 of all licenses CRY/state ZIP Ph a 11'.Al;handling unit to 10,000 C FM are required if -,�� (U, k, C tvo c�K/ __ _ 4.50 expired ii.COT , Cant.Chill, Board 1.1c.0 Exp.Data 12)Air handling unit 10,000 CFM+ database _ 3 / 2 y �+ of _ 7.50 Architect Name 13)Non-portable evaporate cooler _ 4.50 Or Mailing Address 14)Vent fan connected to a single duct 300 15)Ventilation syst7m not locluded in Engineer Cny/Stalp Zip Phone — appliance p,arrr it 16)Hood served by mechanical exhaust Describe work to be don�:: 4.50 17)Domestic incinerators New O Repair O Replace with like kin,t: Yes O No 0 _ 7.50 Residential O Commercial O 18)Commercial cr Industrial type Incinerator _--.- _--- 30.00 _- Additional Information or description of work: 19)Repair units _ 4.50 20)Wood stove NOTE: For Commercial projects only;Units over 400 lbs require _ 4.50 structural gas talcs 21)Clothes dryer,etc Type of fuel. oil O natural gas O LPG O electric O 4.50 22)Other units _ 1 hereby acknowledge that I have read this application,that the information �_�Y, ^ 5''+ f yc dv 50 - given is correct,that I am the owner or author ized agent of 23)Gas piping one to four r,utlets the owner,that plans::bmitted ari in compliance with Ore;,on State laws. See footnote 1 1.00 _ 24)More than 4-per outlet(each) Signature of Owner/Agent Minimum Permit Fee$26.00 SUBTOTAL 7 Contact Person Name Phots 5%SURCHARGE PLAN REVIEW 25%OF SUBTOTAL Foonotes for commercial pr-)jeer s only: _ Rer�ulred for ALL commercial permits onl 1. Provide full schematic of Qxslii.j and proposed gas line and pressure TOTAL 7 `� 2 Provide drawings to showinq existing and proposed mechanical ✓f ' units. *State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I:lrlechper+n.doc rev 02/4/99