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14262 SW iANNO CREEK COURT
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 Hour Inspection Line: 639-4175 Business Lines: 639-4171 MST --- ;
q BUP
Date Requested to o,( 9 ( AM PM _ BI.n
Location Suite `1_
Contact Person 31iWJ- Nc�50,1�L �i�l- 15 %Ph Chi .� Wi PI-M _
Contractor � G'><A. ✓�'S[�. �tSt- Ph SWR _ r
31.11ILDING Tenant/Owner o- -�yi►ti �2— 2f�SQX_ ELC
'Retaining Wall ELR
Forting Access:
Faundation FPS _
Fiq Drain b3N
Crew; Drain InSpeCtl ,
Slat, � SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
FramingInsulation
Drywall
Drywall Nailing
F irewali
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Hoof
Misr _ - ------ _ ----- --
Final —
PASS PART FAIL --- — _
PLUMBING
Post&Beam
Under Slab
Top Out - - - -
Water Service
Sanitary Sewer
Rain Drains
Final - _ _-- -- -- --------__----__—_--
PASS PART FAIT.
ECHANICAL) _ -
Post& Beam - - --
- -----
Rough In I/
Gas Line -------.-.� �- --- — —
Smoke Dam I
I
6
_ PART FAIL i S
—
SeiVirr,
h In
UG lab
Low Voltage �--__- --- -
EJM61arm ------ -----
PART FAIL
Backfill/Grading - - -
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ required before next inspection Pay at City Elam, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line [ ] p -- �_ ( ]Unablts to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector_ Ext
Final I i
PASS PART FAIL DO NOT REMCUE this inspection record from the job site. j
CITY OF T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMITM MEC1999-00397
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/22/1999
PAKCEL: 2S112613-10000
SITE ADDRESS: 14262 SW FANNO CREEK CT
SUBDIVISION: COLONY GREEK ESTA i ES NO.3 ZONING: R-7
BLOCK: LOT- 082 JURISDICTION: TIG
CLASS OF WORK: AL-i. FLOOR FURN: EVAP COOLERS:
-i YPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 --3 HP: 1 DOMES. INCIN,:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: ;�0 - 50 HP: WOOPSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of an air conditioning unit. A/C units cannot be placed wiuiin the required setback a.reab.
Owner: __— _ FEES
NELSON, GARY L + SANDRA M Type By Date Amount Rc.:eipt
14262 SW FANNO CREEK CT PRMT GEO 09/22/19 $50.00 99-316530
TIGARD, OR 97224 5PCT GEO 09/22/19f $3.50 99-318530
Phone:
Total $53.50
---- --
Contractor:
FIRESIDE DISTRIBI QRS OF ORE IN'.'
13893 S`N BOONES FERRY RD
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:503-684-8535 Final Inspection
Reg#:LIC 00040979
ORI ) IN / L
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes a-id all other applicable laws. All work will be done in accordance with approved
plans. This perm t will expiry if work is not starter: within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires yo,1 to follow rules adopted in th` Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 46-9189.
Issu:, By: i ,/� rl' Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspec uons needeu the next business day
CITY OF TIGARD icaI Permit Application Plan
Chyck#
R"pia —
13125 SW HALL BLVD. ommercial and Residential Date Recd _
TIGARD, OR 97223 ��_' Date to P E
SEP 2 2 19�g _— —
(503) 639-4171, x304 Date to DST _
COMMUNITY DEVELOPMPhnt or Type Permit
Incomplil or illegible applications will not be accepted called
Name of Development/Project Description
Table 1A Mechanical Code Qty Prise Amt
Job Streei Address s�itea A) Permit Fee _ _ },'k , ��:o'.. 16.00
r� 1) Furnace to 100,000 BTU
Address �t I o�(r d SW F-Anne GM� Lt I
+includinge1ducts&vents see footnote 1,2 9.65
Bldg# City/State Zip --- --
2) Furnace 100,000 BTUBTU
'jt , ofOnvz including ducts&vent,, _see footnote 1,2 —_ 12.00
Name for name or businesssjam—� 3) Floor Furnace
Owner �4- C _ including vent see footnote 1,2 9.65
�� � 4) Suspended heater,wall heater
Mailing Addre or floor mounted heater see footnote 1,2 9.65
SCX" ."� 5) Vent not included in appliance permit — 475
City/State Zip —�—'Phone Check all that apply 'Boiler Heat Air
q-, 1 ' - IfootnotesFor Items 6-10,see or Pump Cond Oty Price Amt
Ner or name of business) 1,2 Comp _-
6)<3HP.absorb unit to /
100K BTU _ ✓ 9.65
Occupant Mail-ng Address 7)3-15 HP,absorb unit
100 to 500k BTU _ 17.65 _
Cltylstate Zip Phone 8) 15-30 HP.absorb — —
unit.5-1 roil BTU 24 15
9)30-50 HP,absorb
Contractor vi
unit 1-1.75 mil BTU 3600 _
v i 14.45_ _� 10)>50HP,absorb unit
0.15
Prior to pernut Mailin Address >1.75 mil BTU _ 6
issuance,a copy �,Q> W ! L 11 Air handling unit to 10.000 CFM
of all licenses 6Itylslate 7.00
are required if x—O q�2Z� �D[7 T C� 12)Air handling unit 10,000 CFM+
expired in COT Cregop Ponst Cont nBoard Lic# e Date 11.85
database_ q-7"1 I l j 00 13)Non-portable evaporate cooler
Architect —'am' -�- ___ _ 7.00
14)Vent fan connected to a single duct
--- --- 4 75
Or Melling Address
15)Ventilation system not included in
appliance permit — 7.00
Engineer CltylSlale zip Phone 16)Hood served by mechanical exhaust
_ 7.00 —
Descr b wort.to be done 17)Domestic incinerators
12.00_
New O Repair O Replace with like kind. Yes O No O 18)Commer0al or industrial type incinerator
Residen,'ial Commercial O __1S)Re —_ 48 25
pair units
8.40
Additional information or description of work _
20)Wood stove/gas Mother units clothe dryer/etc
_
700
NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets
structs"fir a_s calcs See footnote 1 3.75
Type of fuel oil O natural gas* LPG O electric O 22)More than 4-per outlet(each) 75
Minimum Permit Fee$50.00 SUBTC,TAL
I hereby acknowledge that I have read this application,that the information 7%SURCHARGE
given is cor ct.that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State lawsRequired for ALL commercial permits only
- - TOTAL
Sigpature of Owner/Agent Date — ----- --- --
O Other Inspections and Fees:
9 1. Inspections outside of normal business hours tmininum charge-two
Co�_Person Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically Indicated (minimurn
1:_; charge-half hour) $50.00 per haur
Foonotes for commercial projects only: 3. Additional plan review required by charges,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical
units 'State Contractor Boiler Certification required
------ -- ---- ----- "Residential A/C requires site plan showing placement of unit
I Unechperm doc rev 7/19199
09/22/1999 10:21 5036205699 i=IRESIDE PAGE 01
- FIRESIDE DISTRIBUTORS
HEATING, AI►' CONDITIONING AND rilkEPLACE 9PECIALls-rs
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18389 e.W IlODNEe PERRY RD. • PORTLAND, OPECON 97224 . eo�•ee�-ntiae • (FAX) A.�J e20•be9i
CITY OF TIGARD BUILDING INSPECTION DIVISI0,N MST
24-Hour Inspection Line: 639-4175 business Line:���-4,1�1�4-lqt
UP
_-
v`�'I _Date Reyueste�± -30 ` ANi C--- �/-I�I�`— -
/I ft3LD
Location-�1T � �- LL) `�,�'Jv�'1C� Suite EC l _5Z.J
Contact Person / PhJLM
,��__,—--736)1 .3(
-7 �—
LM
Contractor—_ L��7103 / 36)// SW?
BUILDING Tenant/Owner _ ELC —_- ` "
Retaining Wall, EL R
Footing
Foundation Access', ��7 FPS
Ftg Diain C�� K GC / G�/G'� .- C_G(� - •.
Crawl OrainInspection Note y7 SGN
Slab -- _ � . SIT
Post&Beam V -— —
IExt Sheath/Shear -�- —
!nt Sheath/Shear
Framing ----- --.-,----- - --- --
Insulation
Drywall Nailing - -- -- - — -- - --------- ----
Firewall
Fire Sprinkler
Fire,,larm ----- - ---- --_-------------_..-__
Susp'd Ceiling _-__.-----------__.--
----- -- ----------
Roof --------.._. . ----- -
Misc: ----_..- ----
Final - � ---
PASS PART FAIL - ----------___._--_ _._--------_-...� —_---_..--
PLUMBING
Post& Beam
Under Slab
TopOut - ----- -_- _.. - ------------___-------------- --
Water Service
Sanitary Sewer -----�------�_�- -- - -
Rain Drains
Final ----------__-_� - __`.
PASS PART FAIL
MECHANICAL -- -- ----._. ._- ------- - ---_—._
Post& Beam -- -- --- ---- -_... --------- _.--- - - - -
Rou2hjn-
as Line _; -- -------------- - ---- -_ ---------------.__--
- ---
Dampers L'
SS IART FA
ELMTRICAL
Service _
Rough In
UGISIab
Low Voltage.
Fire Alarm -
Final
PASS PART FAIL -- _-
SITE
Backfill/Grading --_--- ----
San tary Sewer
Storm Drain ( ]Reinspection fee of$ - _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: - I ]Unable to inspect-no access
ADA \
Approa.h/Sidewalk , l
Other Date Inspector \ _Ext
Final
PASS PART PART FAIL_ I DO NOT REMOVE this inspection record from the job site,
CITY O F T I G A R D MECHANICAL..
DEVELOPMENT SERVICES PERMIT
PERKTT #, . . . . . . : MEC98--0525
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE 15bUED: 11/2`0/98
PARCEL: x,511c2`BB-10000
SITE ADDRESS. . . : 142(,-,;R, SW FANNO C13EEF CT
SURD I V 1 S I(IN. . . . : COLONY CREEK ESTATES NO. 3 ZONING: R7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O82 JURISDICTION: TIG
-------------------------------------------------------------------------------------
f'LASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS— : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . ;R3 VENTS W/O APIPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/C'0MVIRESSORS HOODS. . . . . . . . 0
FUEL TYPC9 ------------ 03 HP. . . . : 0 DOMES. INCIN: 0
.GAS 3-15 HP. . . . - 0 COMML. fNC'IN: 0
MAX INPUT: 0 BTU 15 -30 HP. 0 REPAIR UNITS: 0
F I FE DAMPERS?. . : 30-50 HP. 0 WOODSTOVES. . : 0
GA'3 PRESSURE. . . *. 50+ HP. 0 CLO DRYERS. . : 0
NC. OF UNITS---------- AIR HANDLING UNITS OTHER L)N7TS. : I
FURN f 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : I
i.URN N
. =100K BTU, 0 > 10000 r-fm: 0
nemarks : Install gas piping for gas logs
Owner-,. FEES
GARY NELSOt; type aincii-int by date r-ecpt
14262 S14 FANNO CR CT PIRMT $ 25. 00 ,.TSD .11 /20/98 98-.310979
TIGARD OR 3*7224 :--!7,C:T $ 1. 25 JSD 11 /20/98 '38...310979
10979
Phone #:
,JAY' S GAS PIPINS
FIO PDX 793 ----------------- --------------------
$ 26. 25 TOTAL
BEAVERCREEK OR 97004
Phone #: 503-632-8623
Req #. . : 119836 REQUIRED INSPECTIONS.,
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and ail other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in (AR 952-00I-0010 through OAR 952-00I-0080. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9167.
Iss(.1p By: Permittee SignatUres
4 +++4 +++4-+4-++++ F+1 1 F+F.................................. .....................
Call 639-4175 by 7100 p. m. for- inspections needed the next business day
+-A-++ . . ......... .................................................4..........44 + i
ck#.
CITY OF TIGARD Mechanical Permit Application Recd Plan Chehe
BY
13125 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 r aIj- ". 4
�s-
Incomplete or illegible applications w".11 not be accepted Called _ t
Name of Development/Project 1 Description
( I Table 1A Mechanical Code
Q Price Amt
,lob Street Add ss SulleM I A) Permit fee 10.00
fit 1) Furnace to 100,01'0 BTU
Address i% „1 Z, 5 lz��• y1d including ducts&vents_ 6.00
Bldgs Ckylstate Zip �I 2) Furnace 100,000 BTU+
incl iding ducts&vents 7.50
Name(or name of business) 21 1-loor Fornace
Owner �/� ��� � ;,LSp,� including vont 6.00
Mailing Address 4) 'uspended heater,wall heater
of floor mcunt,d heater _ _ 6.00 _
5) :ent not includes in appliance permit
Clly/State Zip Phone 3.00
CHECK ALL 'Boiler Heat Air
�- Name(or name of bustcessl THAT APPLY: or Pump Cond City Price Amt
Comp_
6)<3HP;dbsorb unit to
Occupant -Wailing 100K E1TU _ 600
7)3-15 HP;absorb unit
chylstate 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
2 (E'662Lis unit 1-1.75 mil BTU _ 2250
Prior to pertm3 Malling Address 10)>50HP;absorb unit
issuance,a copy r?e 7 .3 >1.75 mil BTU 1 37.5_0
of all licenses CMylctate e.yZip P 11)Air handling unit to 10,000 CFM y
are required H 1 /c''1 f c G', _ 'i1- �f�1 _ _ 4.50
expired in COT Oregon Const.Cont,Board Lic.0 Exp.Date 12)Air handling unit 10,000 CFM+ — —
database _ // JY _ 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 ctlylstateZip Phone appliance permit _ 4 50 _
16)Hood served by mechanical exhaust
Describe work to be done. 4.50
'7j Domestic incinerators
New m Repair O Replace with like kind. Yes O No O 7.50
Residential d Commercial O 18)Commercial or industrial type incinerator
3000
Additional Information or description of work: 19)Repair units
4.50
20)Wood stove
_ 4.50 _
21)Clothes dryer,etc e
Type of fuel oil O natural gas LPC i' electric O 22)Other units
�r�. ., f—c — 4.5C L— —
I hereby acknowledge that I have read this application,that the information 23) gas p .rng one t our outlets
given is correct,that I am the owner or authorized agent of 200
the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet.(each)
Signature of Owner/Agent i bate
Minimum Permit Fee$25.00 SUBTOTAL
IL. r / �,/ ) E
�_ _ ___ _5%SURCHARGE 1' L
Contact Person Name Phone — PLAN REVIEW 25%OF SUBTOTAL
Regulred for ALL commercial permits onl /
—_---—_--- -- ----------- TOTAL
'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I Unechperm doc rev 07/20/98