14467 SW 130TH AVENUE r
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested �'��' _� A,?JI`__PM BLU _
Location Z `'r`L-/ /3 C:� � ��-- Suite MEC
Contact Pe,son 2--1 Yl/" Ph _3 s- PLM _
Contractor Ph SWR
BUILDING Tenai,t/Owner ELC
Retaining Wall ELR —
Footing Access:
Foundation FPS _
Fig Drain SGN
Crawl Drain Inspection Notes: -�
Slab — ' SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear --
Framing — _` E —
!nsulation
Drywall Nailing _ _ ---
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling -
Roof
Misc:____ ------- ----- -
IFinal
PASS PART FAIL -------- --- -- -- --
PLUMBING
Post& Beam
Under
— ---- - -- T_-
Under Slab ---
Top Out
Water Service
Sanitary Sewer
Rain Drains —
Final
AA65 -PART-_ FAIL
EU1-IANICA.L
Rough In
Gas Line --
Smoke Dampers
AS PART FAIL
Service _—__ ---�- - -- ---
Rough In
c.. UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL - - — ------ ---
-r SITE
Backfill/Grading
Sanitary Sewer
Storm Drain I [ Reinspection fee of$ required before next inspection. Pay at City Flail, 13125 S'N Hall Blvd
Catch Basin
Fire Supply Line l ] Please call for reinspection RE: _ _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector /�JC�-r� ��• Ext
—
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY C F T I G A R D MECHANICAL
T
DEVELOPMENT SERVICES PERMIT #. . . . .PERMI. . : MEC99-0083
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 0-3/01/99
PARCEL: 2SI09AA-02200
SITE ADDRESS. . . : 14467 SW 130TH AVE
SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . :030 JURISDICTION: TIG
-----------------------------------------------------------------------------------------------
CLASS OF WORK. . :OTR i=LOOR FURN. ., . . : 0 EVAP, COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : IZII VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APPIL.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HPI. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLU DRYERS. . : 0
NO. OF UNITS--_—_--__--. AIR HANDLING UNITS OTHER UNITS. : I
FURN ( 100K BTU: 0 10000 rfm : 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 i 10000 cfm : 0
Remarks : Installation of gas insert and gas piping.
Owner : FEES -------_—_—___
LUNZER type amount by date t-eept
14467 SW 130TH AVE PRMT $ 25. 00 DEB 03/01/99 99--31331 'r-
TIGARD OR 97224 5PICT $ 1. 25 DEB 03/01/99 99-31.3314
Phone #:
Contr-artor-: --------------------------------
G P & W SYSTEMS INC
732 MARBLE RD _—____—__.._--------_.---_--.----_-----
$
---------------------------I----------
$ 26. 25 TOTAL
WASHOUGAL WA 98671--9601
Phone #: 360-835-3516
Reg #. . - 001081
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in Vie Gas Line I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if wotk is not started Fiiia l Inspection
within 180 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law reiuirps you to follow ruies
adopted by the Oregon 'Hility Notification Center. Those rules are
set forth in OAR 952-00I-NI8 through OAR 9S2-08I-0080. You may
V1 obtain copies of these rules or direct questions to 91C by calling
(503)246,79tgr
UJI
vIV, Permittee Signatot-e
�-1 -
4 . .........................I..................................... .................
Call 639-4175 by 7-00 p. m. for- inspections needed the next business day
++++++++++++++.F++++++++&++++++++4.+++++.4++.+++++++++++++++++.4+++++++++ 1-++4.......
CITY OF TIGARDPlan Ctrecli
!�ECEIVE�echanical Permit Application Rec't�By� -
13125 SW HALL 13LVD. Commercial and Residential Date Rec'dii��
TIGARD, OR 91'223
(503) 639-4171, x304 MAR V 199Date to P.E., �� _
Date to DST.
COMMUNITY 0EYFLOPMENt Print or Type I i`>� I Permit# fr_t
_ Incomplete or illegible applications will not be accepted Called
Name of CProtect
evaloprnenV
Description
Table 1A Mechanical Code QTY PRICE AMT
Job re Street Adtlress 711
A) Permit Fee
Address �l , �7z 0- -01000Bldg# cityistate zip // 1 ) Furnace to 100,OOr)9TU
It �� 7ZZ7 including ducts&vents 0.00
ame I/4�name o1 busine 2 1 Furnace 100,000 BT U+
Owner L�/j z e/r including ducts&vents 4 750
Mailing Address door Furnace
ncludit vent 6.00
citylsfate zip Pnone 4.) Suspended heater,wall heater-
73 or floor mounted heater 6.00
Name(or name of business! i ---
5.) Vent not included in applian:e permit x.00
Occupant Mailing Addracc - 6 T Bader or camp,heat pump,air Gond.
6 00
to 3 HP;absorb unit to 100K[3U i
CityrSlate Zlp Phone 7.) Boiler or comp,heat pump,air Gond.
11,no
3-15 HP;absorb unit to 500K RTU*
(.onuactr,r Name _ 8.) Boiler or corn heat um
�•' � � P. P P.-air uond. 15.00
G4 V W S' -SMS , -Y`C 15-30 HP;absorb unit.5-+ mil BTU"
Prior to permit MAllln9 Address ^�~ 9,) Br,of Or CORIp' heat um
issuance7 3 2,a copy ` YYtcr t.-L(k (4QG- pump,air cord, 22.50
of all licenses cnyf5tate .50-50 HP;absorb unit 1-1.75mil BTU"
R{�►f clp Phone ?�G 10, Boiler or comp,heat pump,air cond.
are required if Q (I 37,50
- --1���c..�� 95 6 - S >50 HP;absorb unit 1.75 mil BTU"
expired in COT Ore on const.Cont.BLord I. Exp. Air handling unit t 10 000 ic.# ate �I 1.) g o , CFM
database �� ( (�-, f 7�9c 4.50
Architect Nene -- 13) Non.portable evaoorate cooler - --
_ 4,50
Or Mailing Addruss 14.) Vent fan connected to a single duct 3.00
Engineer CRy/State ZIP Phone -
15) Ventilation system not included in 4.50-
_ appliance permit
Describe work New O Additional Akeration O Repair O 16.) Hood served by mechanical exhaust
to be dore Residential O No((�1-residential O 4.50
Ad tlonaJ Dcs riptien of w,ori Y�-
�/LSYenC/-- /U 17) Domestic incinerators 750
I/ew�Jr�►E' �ri'zS�'� 7t 19) Commercial or Irdustnal type
30.00
__ __
Existing use of Incinerator-
bu19.) Repair units --�
ddi 3 or property 4.50
C.; VJooa Stove iy„ 4 yid - 4 50
61
budding or property / ,
Proposed use of ! 21 ) Clothdryer,etc. Y
IIII es 4 50
22.) Other amts 4 50
Type of fuel-oil O naturals a
g LnG O electric O 23.) Gas piping one to four outlets 2 00
✓~i I hereby acknowledge that f have read this application,that the 244) More than 4-per outlets(each)
information givens correct,that I am the owner or authorized agent of 50
�- the owner,that plans submitted are in compliance with Oregon State `-
laws OTY SUBTOTAL
Signature"Owner/AgentT- Date 'SUBTOTAL
5?'°SURCHARGE
Contac on N a m o— ` Phone OF SUBTOTAL
TOTAL
.G
��nechpmt doc (rev 9 .Minimum pArmlt fes is 525+5%surcharge -
-Residential A1C requires site plan showing placement of unit.