The URL can be used to link to this page

12255 SW 126TH AVENUE -4w 1261 AV&l l cc H- �.n F- 1:lreoonislmlcrofim1(argets\buifding.dx rz w G \ \ \ f z\ ) \ (N § \£ \ 0 \ 0 0 \ � _- § 5 [ z 0 � C%4 T- CD & \ k k $ ) � § ƒ 0 0ƒ / U m ( /i Q? 2 o c e < o « g ƒJ � g 2 a a a ) 8 - $ a @ © .� � / $ 2 � & » / a / � 2 / k } L > ) LU ) \ In @ e ® e « 0 0 0 # o m N 'D a / / \ \ \ j 2 k $ § w w § CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 635-4175 Business Lure: 639-4171 -- BUP _ Date Requested " AM PM _ BLD Location "�'-Cay " .� ::uita EIEC Contact Person `�L�2 � C� -L� Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _. Footing Access,: Foundation FPS Flg Drain SGN Crawl Drain inspection Notes: — Slab SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear — — Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ------- --- -- — Final -- ------^ PASS PART FAIL ------------- --- PLU w Post . Beam — — Uncle. ziflb Top Out Water Service Sanitary Sewer -------` ---�-�� — —�--- Rain Drains Final __-- - --- --- — PA-5a__ ART FAIT_ CHANICAV_ -- -----� - - — —___. Post& Beam ----------- Rough In Gas Line — — --- — ---- -- D ers / FL111�'1 A�SS PART FAIL -- t1v — — EL CTRICAL ---- Service Rough In UG/SlabCX Low Voltage Fire Alarm > Final �— PASS PART FAIL — J s SITE Backfill/Grading -�— _-- — w Sanitary Sewer —' Reinspection fee of$ required before next inspection. Pa at Cit Hall, 13125 SW hall Blvd Storm Drain ( ] P Q P Y Y Catch Basin Fire Supply Line [ J Please call for reinspection RE: Unable to ins_ [ ] pect- no access ADAC' C f Approach/Sidewalk _ Date L- Inspector__ �kJC �- Ext C_ Other —— -- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC99-012-l' 13125 SW Halt 8A., rigard,OR 97223(503)639-4171 DATE ISSUED: Vi3/216/99 PARCEL: 2S104AP,-02700 SITE ADDRESS. . . I.,'-2'2155 SW 1216TH AVE SUBDIVISION. . . . BEL[ WOOD ZONING: R-4. 5 81 OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :O39 JURISDICTION: TIG CLASS nF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . . 0 VENT FANS. . . : 0 OCCUPANCY GRF-,. . :R3 VENTS WIO APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------------- 0-1 HP. . . . - 0 DOMES. INCIN: 0 3-15 HP. . . . , 0 COMML. INCIN: Q, MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 Hr-,. . . . : 0 WOODs"rovEs. . : i GAS PRESSURE. . . : 50+ 1 . . . . . 0 CLO DRYERS. . : 0 NO. OF AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100R BTU: 0 10000 r.,fm - 0 GAS OUTLETS. : 0 FURN ) =100K BTU: 0 > 10000 cfm : 0 Remar-ks : Install P fireplace insert. Owner: FEES STEVEN R WEISS type amo�-tnt by date 12255 SW 126TH AVE PRMT $ 25. 00 GEO 03/26/99 - 14016 TIGARD OR 972'23 5PCT $ 1. 25 GEO 03/226/99 99-314016 Phone #- D GRAVELLE DAVIS ALLEN GRAVELLE 2906 NE 53RD 26. 25 TOTAL PORTLAND OR 97213 Phone #: C'-'.87--;-_'368 Reg Ic"3F41 REQUIRED I NSPECT I ONS This permit is issuee. subject to the regulations contained in the Woodstove Insp Tigard Municipal Code, State of Ore. Specialty C(-,'es and all other Final Inspection applicable laws. All wo-k will be done in accordance pith approved plans. This per*:+ 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 ad:,pted by the Oregon Utility Notification Cenl-pr. Those rules are un set forth io DAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to O(W by calling (503)246-9187. LU 1 =;43 I.t P I*_A y Permittee Si gnat i-tre : -1-++++++++t-1-++t++++.f++++++++++++++•+•++++++i-+++++#......#.........4++++++++ ++++++ Call 639-4175 by 7:00 p. m. for inspections needed the neat bUsiness day .......................4 .........4..................................4............. CITY OF TIGARD Mechanical Permit Application Plan Check#_ P� Rec'd By ' 1312t SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit# -�/� Incomplete or illegible applications will not be accepted Called Name of Development/Project Dpscrip"Ion +� Wf/sL Table 1A Mechanical Code ty Price Amt JC-:J Street Address Surle# A) Permit Fee 1 10.00 Address S 1) Furnace to 100,000 BTU /Z Z s S SiJ /Z-z5 j N/I1G Including ducts&vents see footnote 1,2 6.00 _ Bldg# enylState Zip 2) Furnace 100,000 BTU+ T r llrr� �7� `j 112 3 including ducts&vents see footnote 1,2 7.50 Name(or name of business) of Floor FL,mace -V Owner 5!a r., it (�.��,is including vent see footnote 1,2 6.00 Mailing Address 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 6.00 a k' 5) Vent not included in appliance permit City/Stte Zip Phone 3.00 2!Z-1 ,,I vii 11747 'S 5 7 i '1 ! Check all that apply: *Boiler Heat Air No a(or name of business) For Items 6.10,see or Pump Cond Qty Price Amt footnotes 1,2 Comp '• Occupant Mailing Address 1100K BTUbsorb unit to _ sou /zzs S SLaJ I-L, 7)3-15 HP;absorb unit City/State Zip Phone 100k to 500k BTU 11.00 )i 1A A diZ q7 zz I ��7� `!moi 8) 15-30 HP;absorb unit.5-1 mil BTU 15.00 Contractor Name 9)30-50 HP;absorb L unit 1-1.75 mil BTU _ _ 22.50 Prior to permit Meiling Address 10)>50HP;absorb unit issuance,a copy >1.75 mil BTU 37.50 _ of all licc,,tas City/State Zip Phone _ 11)Air handling unit to 10,000 CFM are rewired if 4.50 expire.)in COT Oregon Const.Cont Board Li# Exp.Date 12)Air handlinq unit 10,000 CFM+ r'Aabase _ 7.50 Architect Name 13)Non-portable evaporate cooler 4.50 or Mailing Address —— 14)Vent fan connected to a single duct 3.00 15)Ventilation system not included in Engineer Cily/Slate — Zip Phone appliance permit _ 4.50 16)Hood served by mechanical exhaust Describe work to be done: � 4.50 17)Domestic incinerators New 4' Repair O Replace with like kind: Yes O No O _ 7.50 Residential 0 Commercial O 18)Commercial or industrial type Incinerator _ 30.00 Additional information or description of work: 19)Repair units 20)Wood stove 4.50 NOTE: For Commercial projects only;Units over 400 lbs.require _ /"St J `� 4.50 structural gas talcs 21)Clothes dryer,etc. Type of fuel oil O natural gas O LPG O electric O 4.50 _ 1( 22)Other units I hereby acknowledge that I have read this application,that the information 4.50 given is correct,that I am the owner or authorized agent of 23►Gas piping one to four outlets the owner,that plans submitted are in compliance with Oregon State laws See footnote 1 _ 2.00 _ 24)More than 4-per outlet(each) -' Signature of Owner/Agent Date .50 `t`� Minimum Permit Fae$25.00 SUBTJGE 5 "J Contact Person Name Phone J 5%SURCH �'� J T-moi 7 ✓v� E PLAN REVIEW 25°x6 OF SUBT Foonotes for commercial projects only: Required for ALL commercial permits1. Provide full schematic of existing and propo,;ed gas line and pressure T 2 Provide drawings to scale showing existing and proposed mechanical units. _ _ 'State Contractor Boiler Certification required —Residential A/C requires site plan showing plrcement of unit 1 lmechperm doc rev 02/4/99