11865 SW FONNER STREET ■
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11 t95 SW FONNER STREET ---
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CITY OF TIGARD BIRLDING INSPECTION DIVISION t
24-Hour Inspection Lite: 639-4175 Business Phone: 639-4171 i
Date Requested: /V ` 7 I ------ A.M. -----� P.A t. MST: _
Location: ___ __ _ BUR _
Tenant:_ _ Suite; -- —_Bldg: — MEC:'77- X-7
C- A, � _
Phone: PLM: _
Phone: ELC: —_
—�� ELR:
SIT.
BUILDING BLDG(con't) PLUMBING .-.MECHANICAL ELECTRICAL SITE
Site Post/13eam Post/Bcam Post/Beam Cover/Service Sewer/Storm
Footing Roof tlndf�l/Slab Roug'i-In Ceiling Water Line
Slab Framing Top Out ,as .ine Rongh-In UG Sprinkler
Fosods6on Insulation Sewer IloodA)uct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Tcrr.p Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih !feat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL ��'i� FINAL > FINAL FINAL
C."� f' �vii Aj T'� -TL�ST — 3'O i�p,�/ �b� / ow,~y7pnk.
Ae5�
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S v y er,qtr— �°'� - 2.0�._e su Svf'.�- r—----
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0 Call for remspectio _ I1 Reinspection fee of Srequired before next inspection OI Inahle to inspect
Inspector:---� ---- Date: JV7_ Page --of
CITY O F T 1 G A►R a MFClAnN" qL
DEVELOPMENT SERVICES PrTFRMT T
PE Rm 7 MEC97-080C
#. . . . . .
13125 SW Hall givd., Tigard,OR 97223 (503)639-4171 DATE �.�,SUED: 10/'28/97
r,nRCFL.. 103RD- 0 ;E100
-1 T TE ADDRE.53F, I B65, SW f-ONVIIE R 9 1-
7 ZONING- 13 4. `--
..)UPI)TVISION. . . . :
Ri--nci4. . . . . . . . . . .. LOT. . . . . JLJR1SDI1',T1Ot,1. URB
"-,I r)7)S OF' WORT!.. . :AL-T' FLnOR FURN. . . . - 0 EUAP Cori-FROJ: 0
OF' USE. . . . :SF UNIT HEATERS. . - 0 VENT FANS. . . 0
1.1UPANCY G R3 VFNTS W/O AFT.T. . 0 VENT S1eS"!-7MT
171
' ORIES. . . . . . . . . 0 BOTLERS/COMPRESSORS HOODS. . . . . . . : 0
Zl- TYPES 0-3 HP. . . . . 0 DOME:,S. INCTN: rh
:GAS 3-- 15 HP. . . . : 0 CrillIML. INCTN- 0
-X I Nr,UT 0 STU 15- 1-70 HP. . . . : 0 REPAIR UNITS.-, 0
RE DAMPERS". . . 3,0-50 HP. . . . : 0 WOODSTOVES. . : 0
", PRU')SURF. . . 90+ HP. . . . .. Q) rLO DRYERS. . . 0
Nn. OF UNITS-- --- - - AIR HANDLING UN I T'::, OTHER UNITS. I
'RN ( 100K STU- 0 .10000 Crm .- 0 r3A171 OL1T1-FTS,,
IRN ) =100V T%TLJ: C.A 1(71 qW,0 c f 0
mar-14s - Installing gas fireplace and gas piping
lyletl: ---*-,,-"--*---* 11 - - - I I FI-ES)
tUL ADAMS t YP(' M 0 U f It t_,y CJ,-A t:o I-0 r-,I-),-
865) 914 FONNER r,RMT s 25. 00 9 10/27/97 97-300447
rjppr) OR 97 :2 1 r"T I 1 . 1.0 7,,r*." r)7 300447
14 :
9 11, MT7','iJAN TCAT_
IMOTHY S WYNNE
157355 SW 7GTH AVr 12.5 TOTAL
".AVERTCN OR 07005,
'one
!J RFn,.LjIRED INSPECTIONS)
:s persit is issued subject to the regulations contained in the Gas L.it)e Tnsp
Gard Municipal Code, State of Ore. Specialty Codes and all other Mechanical. Tnsi:i
plicable laws. All work will be done in accordance with Final Tnrppr,tior)
proved plans, This persit will expire if work is not started
thin 180 days of issuance, or if work is suspended for oar@
an 180 days. ATTENTION: Oregon law requires yju to follow rules
�ipted by the Oregon Util�rfy Notification Certer, Those rules are
t forth in OAR 952-1*14'410 throqh OAR 952-001-0080. You say
`&in cap-les of these roles or direct questions to DLr11C by calling
1".trm i t t e P S j. gnat I-Ir,e
4-4-+4 +++1-+++-++-I-++ f 44 4 ` U I +++++++4.4-4 4-+-f+4-4 ++++++++++++++++++ I+++++++++++4-+4+-f+4+
(-all G39-41775 by 7-410 i.). m. for, iTisp(+ct ioiis needed the next b;.ti%iness day
++++++++4+++•+• 1-+++++4- f ++4-+++++-V4F44-+++4+4-+++4++4--#-+++4-+++4-+-t-+ f+++-+f-+4+4 +4-+++4++
Pian Check —U
CITY OF TIGARD Mechanical Permit Application Recd By.
Y� t�-�
13125 SIN HALL BLVD. Commercial and residential Date Recd to i ?_
TIOARD, OR 97223 - -- r' I
(W Date to P E.
(503) 639-4171, x304 Date to DS'T
Print or Type
�t t"� C- Q� Permit 0
Called _
Incomplete ab�
_r illegible applications will not , accepted _
Name of DevelopmenVProlect Description
Table 1A Mechanical Code CITY PRICE AMT
Job Street Address - Suite# A) Permit Fee -0- 0- 10 00
Address i ( N<_ S 5 4/ (-ca rj(-/ 1, _
Bldg/! C.tyrstate zip 1 ) Furnace to 100,000 BTU 6.00 —
_ including ducts P vents
Name for nein of business) 2r ) Furnace 100,000 EITU+ 7.50
including &vents
Owner � Gh��f� 6)a6)an-r � _ 9 ducts
Mailing Address 3.) Floor Fumace 6.00
6,�� S✓ /:7-C tv N.-e �'L including vent _
CitylStaia Zip Phone 4) Suspended heater,wall heater 6.00
l r J eIU• Wcx, or floor mounted heater _
Na (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond. 6.00
_ to 3 HP;absorb unit i,) 100K BUT-
Cay/Stale Zip Phone 7.) Boller or comp,heat pump,air Gond 11.00 —
3-15 HP;absorb unit to 500K BTU"
Contractor Name // 8,) Boiler or comp,heat pump,air cond. _ 15.00
F/ I IV_ 15-30 HP,absorb unit.5-1 mil BTU"
Prior to permn, Mailing Address _- 9) Bader or comp,heat pump,air cond. 22.50
issuance,a ropy Z.(a("'� S (, �'I C, U v 10-50 HP;absorb unit 1-1 75mi1 BTU"
of all licenses "/state 2 Q Zip Phone 10.) Boder or comp,heat pump,air cond. 37.50
are required it Z C,`{V-y'`q,;z y _ >50 HP_ absorb unit 1.75 mil BT
expired in COT Oregon Const.Cont.Board LIt N Exp.Date 11.) Air handling unit to 10,000 CFM 4.50
database ( Z (( (c>
Architect Name 13.) Non-portable evaporate cooler 450
or Mailing Address 14) Vent fan connected to a single duct _ 3.J0
Engineer City/State _ - 7.p Pnone 15.) Ventilation system not included in 450
_ _ appliance permit
Describe work New O Addition)� Alteration 0 Repair 0 16) Hood served by mechanical exhaust 4.50
to be done ResidentiaW_ Non-resiriential O _ '
Additional Description of worker 7 17.) Domestic Incinerators — 7 50
i
18.) Commercial or Industrial type 3000
Incineiator
Existing use of 19) Repair units 4.50
building or property
20) Wood stove '450
Proposed use of I 21 )-Clothes dryer,etc 4 50
building or property
22.) Other units ,�-. �.T� ;,�, Q„ ) 450
Type of fuel-oil0 natural gas)k I_PG 0 electric O — 23.) Gas piping one to tour outlets / 2.00
I hereby acknowledge that 1-have read this application,that the 24) More than 4-per outlets(each) 50
information given is correct,that I am the owner of authon ed agent of
the owner,that plans submitted are in compliance with Oregon State OTY SUBTOTAL
laws
Signature of OwnerfAgontDate 'SUBTOTAI /y
L
5%SURCHARGE Z
C arson Rama Phone PLAN REVIEW 25%OF SUBTOTAL
TOTAL
rUnechpmt doc (rev 9 'Minimum permit fee is S25 4 5%surcharge
-Residential ASC requires site plan showing placement of unit