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10125 SW HIGHLAND DRIVE-1 I o N Ln C S N• N N 7 f1 H N• C (D i �y I i JJ N RAT:kC C11r3VIH�)TH MS SUOT CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 Hour Inspection Line: 639-4175 Business Line: 639-4171 - -- BUP v I ( Date Requested___ //0 (y /(� e AM _PM BLD p Location 1 2 ")a-) J�C 4/Ail-a �i C( else.---Suite EC �- Contact Person xX�:.� j l��'l�=�� Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR _ Footing Access:� _ Foundation ' I FPS Y", — Ftg Drain e �I o-ck -.K r S( � rc {l.1 fl o�.- Crawl Drain Inspection Notes: SGN — -- Slab --- —_ — __— _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear — Framing --- -- — -----— __.... - -- Insulation Drywall Nailing ----.-- -- _ -- -----_-_____. —_ Firewall Fire Sprinkler _.—_- Fire Alarm Susp'd Ceiling Roof Misc: Final .---- PASS PART FAIL ------------- PLUMBING _-.--.--PLUMBING Bost& Beam --_. ----------- -- --- -- Under Slab TopOut - _- -- --_-- __ -- ___ _---- ----------— ----- Water Service Sanitary Sewer - --------- ---- ----- --- -- —__----_ Rain Drains Final _ —---------------�.._..__-_-----�------------------.._------- PASS -PART FAIL ECHANIC Rough In Gas Line Smoke Dampers S_—PART FAIL ZEEGT_RICAI_ - - -- ---- -- -- - - _—-- Service Rough In UG/Slab ----- ----- - ------- - -- Low Voltage Fire Alarm Final _..._---- --------- ------------------ PASS PART FAIL SITE Backfill5rading --------F —p —�i----- Sanitary Sewer Storm Urain ( Reinspection fee of$ —_ required before text inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE. __- ---!_—___ [ ] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk — Date Inspector _( -- Ext / `t Other — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD MECHANICAL F'ERMIT DEVELOPMENT SERVICES F,ERMIT #. . . . . . . : MEC98-0307'3 13125 SW Hall Blvd., Tigard,OR 97223 (503)639,4171 DATE ISSUED: 08106198 P,ARCEL: 2.SIIICC-14900 SIFE ADDRESS. . . : 101::'5 SW HIGHLAND DR SUBDIVISION. . . . : SUMMERFIELD NO. 4 ZONING: R7 PID BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :200 JURISDICTION: TIG ---------------------- CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP, COOLERS: V., TYPE OF USE. . . . :SF UNIT HEWIERS. . - 0 VENT FANS. . . : 0 OCCUPANCY GRP,. . : R3 VENTS W/O APIP'L: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOOD,. . . . . . . : 0 FUEL 0-3 HP. . . . : 0 DOMEE,. INCIN: 0 3-15 HP, . . . : 0 COMML.. INCIN: 0 MAX INP,UT: 0 BTU 15-.30 HPI. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 550-+ HF'. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UN I I'S OTHER UNITS. : 0 FURN ( 100K BTU: 1 10000 rfm: 0 GAS OUTLETS. : 0 FURN ) =:100K BTU: 0 > 10000 rfm : 0 Remarks - Replace an existing furnace. Owner: FEES -------------- HELEN MURPHY type amount by date recpt 10125 SW HIGHLAND DRIVE. FIRMT 11 25. 00 GEO 08/06/98 98-308059 TIGARD OR 97224 5 P,CT $ 1 . 25 BEO 08/06/98 98-3013059 Phone #: Contractor: --------------------------------- JACOBS HEATING & A/C 44*74 SE MILWAUKIE AVE ------------------------------- $ 26. 25 TOTAL PIORTLAND OR 97202 Phone #: 503-234-7331. Reg #. . : 000014 REQUIRED INSPIECTIONS This permit is issued subject to the regulations contained in the Heating Unt Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final InspPr-tion 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 OAR 9520-W 4010 through OAR 952-001-NW. You lay obtain copies of these rules or direct questions to OLNC by calling (503)246-9187. I By --Flp-rm i t t e P S i gnat uv,e 40ea I--, __ ............#...........................................................4........ Call 639-4175 by 7:00 p. m. for inspections needed the next business day 44..............................................................................4+4 Plan Check# CITY OF TIGARD Mechanical Permit Application Recd By 3125 SW HALL BLVD. Commercial and Residential Date Rec'd___i TIGARD, OR 97223 Date to P E _ (503) 639-4171, X304 Date to DST_ Pint or Type �- Permit# Called Incomplete or illegible applications will not be accepted r' lrgev to ienVProlect scrlplion T �C1"ablr 1A Mechanical Code Ot Price A000A) Permit Fee 1fob btreelFurnace to 1UO,000BIUAddress inclR vents 6 00Bldg# CRy2) Furnace 100,000 BTU+includingducts 8 vents 750 Name(or Warne of busines ) l 3) Floor Furnace �,��r� including vent _ 6.00 Owner rJ —_ b) Suspended heater,wall heater Maiu g A dies or floor mounted heater 6.00 5) iienf not included in appliance permit Coy/State v Pnon. 3 00 CHECK ALL Eioiler Heal Air THAT APPLY or Pump Cond Qty Price Amt --- Name(or name of business) Comp 0 6)<3HP,absorb unit to Occupant Msiling Add s �n n 100K BTU 6.00 I Y I 7)3-15 HP,absorb unit Coy/State zip Phone 100k to 500k BTU 11.00 8) 15-30 HP,absorb unit.5-1 mil BTIJ 15.00 Contractor N m 9)30-50 HP,absorb �( � ��- unit 1-1.75 and BTU 22.50 Prior to permit M ing Add ass / / �/ 10)>50HP.absorb and issuance,a copy >1.75 mil BTU 37.50 of all licenses City/Stat t Phoone� J 11)Air handling unit to 10,000 CFM 4.50 are required if expired in COT Oregon onst C I Board Lic# Exp DD`te'7/—" 12)Air handling unit 10.000 CFM+ 7.50 database G/G — Architect Nsme 13)Non-portable evaporate cooler 4.50 _ Address 14) nt fan connected to a single duct Or Mailing Ve 3.00 _ _ 15)Ventilation system not included in Engineer Cdyrst zip Pnone appliance permit _ 4.50 16)Hood served by mechanical exhaust 4.50 Describe work to be done17)Domestic incinerators _ 6/No O 7.50 New O Repair 0 Replace with like kind. Yes 18)Commercial or industrial type incinerator Residential 0,/ Commercial 0 30 00 — - - 19)Repair units Additional information or description of work 4 50 20)Wood stove 4.50 21)Clothes dryer,etc 4.50 Type of fuel oil O natural g- as'—LPG O electric O 22)Other units _ 4.50 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 e t of 2_00_ the owner,that plans submitted are in compn Oregon State laws 24)More than 4-per outlet(each)-- each) 50 Signature of OwnerfAgent - ate 'SUBTOTAL_ 5%SURCHARGE Contact rson Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits onl `- 1 OTAL 'Minimum permit fee Is$25+ 594 surcharge UY "Residential A/C requires site plan showing placement of unit I Vmechprm3 doc rev 06/23/98