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;TY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----
�1 BUP _
-ji _j!j Date Requested I ��� AM ,PM BLD
I oca ion— _cZ 5 (1 � �'(`; Suite MF
Contact Person I_ Ph ��� _� ¢ PLM —
Contractor - c- Ph SWR
BUILDING Tenant/Owner ELC
Retaining Waal ELR
Footing Access: — -
Foundation FPS
Ftg Drain SGN —
Crawl Dra,n Inspe;;tion Notes: ---
Slab —__—_—� SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing — —
Drywall Nailing
Firewall
Fire Sprinkler i -
Fire Alarm
Susp'd Ceiling
Roof --
Mise:
Final _— IV_
PASS PART FA'L --
PLUMBING
Post& Beam -- —
Under Slab
Top Out --i- -- - �—=-- --- _ --- —
Water Service
Sanitary Sewer
Rain Drains
Fina! —
PIAL YAPT FAIL
HANICAL
Post& Beam -
Rough In
Gas Line ---
Smoke Dampers
AS PART FAIT_
E CTRICAL --
Service
F-- Rough In — -----i----- —
UG/Slab --- ---_--- --- --
F__ Low Voltage
Fire Alarm
Final
` PASS PART FAIL ��—
SITE
Backfill/Grading ----
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basfi [ j Please call for reinspection RE — I I Unable to inspect-no access
Fire Supply Line
ADA
ApproachtSidewalk
Other Date — Inspector_ _Ext
Final
PASS PART FAIL j DO NOT REMOVE Phis Inspection record from the job site.
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES P,ERMIT
113125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 P,ERMIT #. . . . . , - , MEC98-0558
DATE ISSUED: 12/15/98
P,ARCEL- 2S111CA-10800
SITE ADDRESS. . . : 1.521.-,' SW 98TH A';E".
SUBDIVISTON. . . . : TAMT. HARK ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :015 JURISDICTION: TIG
----------------------------------------------------------------------------------------
CLASS OF WORK. . :OTR FLOOR FLY" i. . . . : 0 EVAP, COOLERS: 0
TYPE OF 1_1SE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . : R3 VE14TS W/O AP'P'l.. ! 0 FENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--------------- 0-3 HP'. . . . - 0 DOMES. INCIN: 0
3-15 HF,. . . . : 0 COMML. INCTN: 0
MAX INP,UT: 0 BTU 15-30 HP,. . . . : 0 REP,AIR UNITS: 0
FIRE DAMPER'. . : 30-50 HF,. . . . : 0 WOODSTOVES. . : I
GAS r-,RESSURE. . . 50-+ 0 C1.0 DRYERS. 0
NO. OF UNITS-
AIR HANDL.TNG UNITS OTHER UNITS. : 0
TURN ( 100K BTU: 0 1000-41 cfm : 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 100k-.0 cfm : 0
Remarks : Install a gas itisert and gas piping.
Owner: FEES
DONNA STEPIUTTS type amol..int by date recpt
13213 SW 98TH P,RMI $ 215. 00 GEO 12/15/98 98-311528
TIGARD OR 97E.23 5 P,C T $ 1 . 25 GEO 12/1.5/"j3 98-311528
F-1hone #: 670--8113
Contrac.,tor:
SPIECIAL.IY HEATING & FABRICATIO
9528 SW TIGARD ST ------------
$ 26. 25 TOTAL
TIGARD OR 97223
P, ionp #: 620-5643
Reg #. . : 006657 REQUIRED INSPIECTlONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misr. Inspection
applicable laws. All work will be done in accordance with Final Inspection
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. Those rules are
set forth in DAR 95'-00I-N10 through OAP 952-00I-0080. You may
E obtain copies of these rules or direct questions to OUNC by calling
'503)246-9187.
LD
Issi-le By Permittee Si gnat i_ire
++++4•++++-'-+-4 4.......4.............4......f++•4-++++++++++++++++•f+F.................
Call 639-4175 by 7:00 p. m. for inspections needed the next bLisiness day
+4-++++4-+-+++++4.....................i +++4.+.++++++++++++++++++++++++++- 4...++++f--4+++++-
Plan Check#
C11Y OF TIGARD Mechanical Permit Application Re, d By
13125 SW HALL BLVD. Commercial and Residential mate Recd
TIGARD, OR 97223 Date to P.E _
(503) 639-4171, x304 Date to DST
Print or Type Permit#
Incomplete or illegibleapplications will not be accel- , Called
Ns,ne of Ceveioprnent/Project Description
Table 1A Mec;ianica' ode _ Ot Price Amt
Job Street Address U SuMe# A) Permit Fee 10.00
\ l �� 1) Furnace to 100,000 BTU
Address r�_1 ' St � includin ducts 8 vents _ 6.00
Bldg# C9y/Stale Zip 2) Furnace 100,000 BTU+
I i L16", 7J..L including ducts&vents 7.50
Name(or name of business) 3) Floor Furnace
Owner 1X)Jl V1 LL J��'�-4th including vent 6.00
Mailing Address 4) Suspended heater,wall heater
p ` or floor mounted heater _ 6.00
L4) 6 ( 5) Vent not included in appliance permit
cltylSlate Zip Phone 3.G0
—TL eLroL t, I7.LZG70 • ' /13 CHECK ALL 'Boiler Heat Air �
Na Warne of business) THAT APPLY: or Pump Cond Oty Price Amt
`jCLNY►� Comp
6)�3HP;absorb unit to
Occupant Meiling Ad4ress 100K BTU _ 6.00
7)3-15 HP;absorb unit
city/State Zip Phone 100k to 500k BTU 11.00
8)15-30 HP,absorb
unit.5-1 mil BTU 15.00 _
Contractor Name 9)30-50 HP;absorb
5p e e &jtt4 unit 1-1.75 mil BTU 22.50
Prior to permit Mailing Address `� 10)>50HP;absorb unit
issuance,a copy qt) 1� sij-) �� "� >1.75 mil BTU 37.50
of all licenses C /State f Zip Phone 11)Air handling unit to 10,000 CFM
are required if -Il Q vCL 15P— 47,2X &!P-61-43 4.50 _
expired in COT oreg&l Const.Cont.Board Lie.# Exp. ate 1 12)Air handling unit 10,001}CFM+
database (1�5 5 1 7.50
Arrhitect Name 13)Non-portable evaporate cooler
4.50 _
or Mailing Address 14)Vent fan connected to a single duct 3.30
15)Ventilaticn system not included in
Engineer Cny1state Phone appliance permit 1.50
16)Hood served by mechanical exhaust
--- - 4.50
Describe work to be done:
17)Domestic incinerators
New(jK Re air O Replace with like kind: Yes O No Cid 7.50
Residential Commercial O 18)Commercial or industrial type incinerator
30.00
Additional i,ifonnatlon or description of work: 19)Repair units
( 6f Q.- gczS �re plr��e 4.50
20)wood stove
4.50
a 1 "p—r'i 21)Clothes dryer,etc.
�-' 4.50
vt Type of fuel: oil O natural gas LPG O electric O 22)Other units ('1a_5 t!,tre PIia Ae I RSe_r i r
_ 4.50
t— I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets
given Is correct,that I am the owner or authorized agent of __ 2.00 _
the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each)
50
LD
LL.i Signature of Owner/Agent Date
Minimum Permit Fee$26.00 SUPTOTAL
J�NL�llj �1,Q.f.It 5%SURCHARGE
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
/ Required for ALL commercial;,ermits only _
rf TTTAL
'State Contractor Boiler;ertification required
"Residential A/C reqv.es site plan showing placement of unit
I lmeuhperm doc rev 07/20/98