12300 SW 127TH AVENUE-1 I
ADDRESS:
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CITY OF TIGA.RD BUILDING INSPECTION DIVISION
® 24-Hour Inspection Linc: 6394175 Business P',tone: 639-4171
Date Requested: , ,M. _� P.M. MST:
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Location: (.T, ��(� �a2 �_ �_ ��_ – --- BLT: p 2
Tenant: Suite: Bldg: — M1-,C: O �Q�J7
Coatractor: I'hone: /J n PUA:
0Wr V-; t i'n Gt� ( � 4-� _ Phone: 7 t� (.' � ELC. — —
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BUILDING BLDG(con't) PLUMBING -..hELHANICA.L ELECTRICAL SITE
Site Post/Beam PostAicam Post/Bcam Cover/Service Sewer/Storm
Footing Roof UndHtSlab Rj%4-jg, Ceiling Water Line
Slab Framing Top Gut Cy–A9 I.me� Rough-In UG Sprinkler
Foundation Insulation Sewer T175�f)uct� L Reconnect Vault
Bsmt Dan,j) D y.vall Storni Furnace ) 'N 'temp Service MISC.
Masonry Ceiling Rain Drain A/Can a' UG Slab
Shcar/Sheath Fire Spkir,Alm Crawl/Found Dr I leaf Pump �U Low Volt _
Approved ilpproved rove Approved Approved
AppriSdwlk Not Approved Not Approved Not �rovad Not Approved Not Approi ed
/7 FINAL FINAL INA[ FINAL FINAL
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Call for:=inspecti O Reiuslx-ction Icc of S`____!____ rcyui fd beforepezt inspection O 1 Inable to inspect
Inspector:_ Da,e Si !� Page --of
CITY OF TIGARD MECHIAN117P,
DEVELOPMENT SERVICES PF.nMTT
.
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT it
DPTE IS'SUFr; OS/1 /98
POR017t....- 251.04AA-04200
'77 ADDRP73r). 1,2300, SW 1.2`7TH A YT.7,
ISD IVISION. BE-1-1-WOOD ZONING: R--4, 51
'..-OCV . . . . 0 J1.11RISDICTTON.- TTG
. . . . . . . . . . . . . . . . . ..
A73-1) OF WORT. . :AL T FLOOR TURN. . . . : 0 EVAP COOLERS: 0
*,.'PE OF USE. . . . SF UNIT HEATERS. . : 0 VENT FANS. . . 0
-CUPANCY GRP. . 11-11 VENTS W10 OPPIL: 0 VENT SYSTrIIS: 0
TORTES. . . . . . . . . 0 POT L.PRS/COMPRESSORS *,=Dri. . . . . . . .. (?.
'EL TYPES— 0---.3 Hp. . DOMES. TNCTN� 0
JAS 3,--15 HFA. . . . : Q1 rnMMI... TWIN: 17,
'f Y 'INC,UT: 0 PTU 1.5- ;30 tip. 0 R17-PAIR UNITS). 0
'IRE DAMPERS% . 30-50 HP. 0 wocim;-roVES. . - 0
I'RES
GESURE., 504 Hp. . Q, 11,1-0 DRYERS. . . 1/1
t. OF ATR HANDLING UNTTS OTHER UNITS. : 0
JRN < 100K STU0 (=r 1Q)Q100 c:Fir.. 0 GAS n-LITLETS. t
: IRN > OOK STU,- 0 > 10000 cfm : 0
Irstallation ol gas piping For gas range and bar-b-que.
n 1`11,: - . ... I.-....-- .--. - .- -.-. ". FEES
'INNA HUGHES type amniirit by date
00 f!W 12"17TH AVE PnMT $ 25. 00 DES 06/111,9A rg 8- 3 0 S f-.',G G
TGnPl) OR 972231 5PCT $ I . E5 DEn 06/18/98 98--306666
,n L-ac-t or-
r)j-.MES T1\1CTr).1J-ATjnN
1YMnND FL nNDFPS
70e SW 1410T AVE #55 t i`F,. 25 Till fel_
.RTON OR 97005
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RF-0.1-1IRFD TNSr,F.r,*rinNS
s ppre:1 is issued subject; to the regulations contained in the Gas 1-ine InTr.)
-are, Municipal Code, State of Orp. Specialty Codes and all other Mer-tianic-al Insp
;.livable laws. Aij womb: wj'11 be done in accordance with Inspec.,tiori ___—„____• --
.-oved
—.-oved p1japs. This permit will expire if work it not started
yin ise days of issuance, or if we-li is s�iippnded for more
an 180 days, A'Tk1TlCWi Oregon low requires yon to fnllow rules
-ptFd by the Oregon Utility Notification Center. Those rates are
forth in DAA 92-001-e010 through DAR 952-00I-M. You may
U0 ain copies of thpre rules or 61,rect questions to OLNC by calling
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C-L -lot-fp i t e j� Fji gotI
4+++-4..+4-4.+-4- '-4..4-++-f +++4-4-4.4-++-4-4 4--1.+4-.,1-++ ++++
1. 1 by 7:00+ p„ in. f u, i n i e r,-t i ci i )i,?,,�dod ".tie ne):1; bp.is iiiesC, 6ay
+4-44 1 4-4 -1 h-f--t-++4-+44-,4+-f-4,+++4,4-,4-4-+++4
I
Plan Chec
%0ITY OF TIGARD Mechanical Permit Applicatic.a Rec'dBy � -
13125 SW HALL 9L.i/D. Commercial and Residential Date Recd
'
TIGARD, OR 97223 Date to P.E ,
(5031, 639-4171, x304 Date to DST /1
Print or Type Permit# t Z�� Z�CJ�
Called .
_ Incomplete or illegible applications will not be accepted
N of Dever nt/Prot 71 J f DP,scnption
V Table to Mechanical Cede QTY PRICE AMT
Job Street Address L suite# A) Permit Fee -0- -0- 10.00
Address
Bldg# CRyr Yate Z, ip _% 1.) Furnace!0 100,000 BTU 6.00 11I
CCP Nu a `� includingdducts 8 vents
Nome for name of business) V2.) Furnace 100,000 BTU+ 750
Owner I Q L'i�,} ZQ�� including ducts&vents
Mailing Address ' ll 3) Floor Furnace 6110
lL � LU CV 7-� including vent _
C state �7 zip Phone 4.) spended heater,wall hewer 6.00
)A;0 5`iU'Oy S '1
or floor mounted heater
yamet r name of businea1s)/
l)e)4) iY TtZCI /L"U ) 5.) Vent not included in applianrA permit 300
Occupant Mailing Address 6,) Bolles or Com
p,heat pump,p,air Gond. 6.00
to 3 HP;absorb unit to 100K BUT-
City/State zip I Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
Contractor Name
3-15 HP;absorb unit to 500K BTU"
8.) Boiler or comp,heat pump,air Gond. 15.00
40 1t lJC(� 15-30 HP;absorb un.:.5-1 mil BTU"
Prior to permit Mailing Address / 9.) Boiler or comp,heat pump,air Gond. 22.50
issuance,a copy 3.•3 30-50 HP;absorb unit 1-1.75mi1 BTU"
of all licensesrtylsn Zip Phone 10.) Boiler or comp,heat pump,air Gond. 37 50
are required if � tate 0 u(2x. ¢(t.t� - -��'. >50 HP;absorb unit 1.75 mil BTU"
expired in COT Or gon Comm Cont.Board LIc,# Exp,oete 11.) Air handling unit to 10,000 CFM -4 50
database �C"C31 -/j
Architect Name 12.) Air handling unit 7 50
10.000 CiM_+
or Mailing Address 13.) Non-portable evaporate cooler 4.50
Engineer C4/state zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work Nev,O Addition Alteration O Repair O 15.) Ventilation system not included 450
to be done Residential O Non-re,idential O in appliance peri
Additional Description of work: 16.) Hood served by mechanical exhaust 4 50
J i 17.) Domestic incinera!ors 7 50
Existing use of 18) Commercial or industrial 30.00
building or property_ _ _ type incinerator
19) Repair units 450
Proposed use of 20.) Wood stove 4 50
building or property _
21.) Clothes dryer,etc. 450
Type of ruel-oil O natural gas LPG 0 electric O 22) Other units 450
I hereby acknowledge that I have read this application,that the inform-!:.m 23.) Gas piping cne to four outlets 200
> given is correct,that I am the owner or authorized agent of / J U
i-- the o ni�,that plans submitted are incomplilance with OregW State laws. 24) More than 4-per outlet(each) 50
c Signature of Owner/Agent Date *SUBTOTAL n�t')
w 5%SURCHARGE
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
Required for all commerdal permits only
TOTAL
'Minimum permit fee is 525+5%surcharge
"Residential A/C requires site plan showing placement of unit
1 lmechpnnt.doc rev 4/15/98