9125 SW HILL STREET ,L..:::. ..o;:k:: ., ..,,�:rt...,..ue..•c.:... ,..�>... .my..,µ.,,..v.w � .c,...:di' w aw.d,t .� ...
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L��23,LS 1919 MS SZT6
CITY OF TIGAAD BUILDING INSPECTION NOTICE
Inspection Line: 039-4175 Business Phone- 639-4171
Footing Rain Drain
Cover/Service FINAL:
Foundatmn Water Line
Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath
Framing -Mech.
Plbg.Und/Fir/Slab Plbg. Top Out
Insulation -Elect.
PosUBeam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer -Bldg,
Gas Line Appr/Sdwlk
Reins..
Other;
Date: `—
A.M. P.M._—_ Ent
Address: -----�_____
Tenant: _ ---- --�.._
Ste:--- MST:
/Own:
--- MEG:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ELC:
Inspector:
�K-"'Q--_—_—____--- Date:
�APPROVEpJCO
DISAPPROVED/CALL FOR REINSP. CF
CITY OF T MECHAN T CAL
DEVELOPMENT SERVICES PERMIT
131255W Hall Blvd., Tigard,OR 97223 (503)639.4171 PERM I T #. „ . . . . . : MEC97._2051
DATE TSSUED: 03/07/97
PARCEL: 2S 1102DB--06500
TE: ADOPF.:S: ., , i?I`?12c SW 1111_1_ ST
)1,31)I V T93 I ON. . . . : CHELSEA H E Ll_ NO. 2 ZON I WI: P-4. 5
. . . . . . . . . LOT. ., . . . . . . . . . . . :41-
_ASS OF WORK. . :ADD F'LWIR F'I.IRN. . . . : 0 FYnP COOL..EPS: 0
YPE OF USE. . . . :9F UNIT HEWERS. . : 0 VENT FANS. . . : 0
"C' !PANC"Y OPP. . :112 VENTS W/1,1 APPI.. : 0 VENT 0Y,1TE::MG: 0
r6RIES. . . . . . . . . 0 BOILERS/COMPREwSORS HOODS. . . . . . 0
`JCI. TYPE_. .._ .._ _ ..._.._._.._. 0-3 HP. . . . : 1 DOME=S, TNC:IN: 0
IGAS/ / / 3--15 HP. . . . : 0 COMML.. INCIN: 0
aX INPUT: 0 ,"BTU 1.5-30 FIC='. . . . : 0 REPA I R UN T TS: 0
TRE DAMPERS?— 30-50 HP. . . . : 0 WOODSTOVE:S. . : 0
17; PRFSrI.IRE. . . 5qr+ H1". . . . 0 CLO DRYERS— . 0
1. OF UNITE.I-__....._......_.._._..___ AIR HANDLING UNITS OTHER UNTTrl. 0
!NAI 1.ihr7t4!.
BTU: 0 1r7J01i'Irl' !:fm. !:3AS OLI TI r i c : 0
-JRN ) =100K s'rL1: 0 > 10000 c f m: 0
marks : INSTL.. L,.jT.LE R/COMP, HEA'T PUMP OP A/C
-'Mer., .- -._..._._-__...___...__...__..__-.__.-._._-_-...._._.__,_.__.__....-_..._....__-_____ FEES __..._._...__..._
''"ITH F`TTESTAD type+ amor.ml by i.,,
125 !:-U HILL_ ST PRMT !6 25. kr0 TAT 97
I i. L,r TnT1;):I/10
7/13 7 97 .
f(-ARn OR 97223
'►one #:
;CAL._L. HEAT T Ni:, 9 C001._I NC CO
':,50 NE L.OMBAPI)
)RTLAND OR 9721. 1
"bnEa
fl .- '303-231 ...3311 t
001020
- - REPU I RED INSPECTIONS
;-7rtit is itsl:et st.rbjeCt to the regulations contained ir. thr Ga-, 1_ine Insp
Municipal Cody, State of Etre. Specialty lodes and all ntlrer Meehan i r--a l Insp
plrcable laws. All Mork will be done in acce-Jance with Misr.•. Insper_tion
,,roved plans. This perait will expire if wor is not started Fi.ria 1 In,pecti()n
thin IN days of issuance, or if work is Fur;rnded for tare
in IN days.
Call fore insliect i an -- 639-14175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
1.1125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
"• "°^ Description
Table 3A Mechanical Code QTY PRICE AMT
Job 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
Furnace to 100.000 BTU
r i �l �� f?✓ ! ��C( 1) incl, ducts &vents 6 L,J
3 ••• » umace +
l c
Owner / ' �) �// 2) incl. ducts &vents 7.50
'• oor Furnance
(� 7223 3) incl. vent 6,00
Ju "•T •"°^ �
Suspended .,aer, wall eater
4) or floor mounted heater 6.00
. ••• Vent not incl. in
xupant 5) apo,iance permit 300
- epair of heating, refrig
6) cooling, absorption unit 6.00
^• f _ Boiler or comp, heat pump. air cond.
7) to 3 HP; absorp unit to 100K BTU 6.00
u •" _ / /
Boiler or comp, heat pump, air con —
Contractor ( (�-�� 8) 3-15 HP; absorp unit to 500K BTU 11,00
T • / Q Boiler or comp, heat pump, air cond.
9) 15-30 HP; absorp unit 5-1 mil BTU 1500
•• •u• • ^• of er or comp, heat pump, air cond.
/ ( ? c: 'C 10) 30.50 HP; absorp unit 1-1 75 mil BTU 22.50
T7ereFy ac now ledge that ave rea is app icauon, at t e —Hoy eT or comp, heat pump, air coned
rnfon ahon given is correct, that I am the owner or authorized 11) >50 HP. absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans s ibmitted are in compliance with Air handling unit to
State laws, that I am registered %ith the Construction Contractor's 12) 10.000 CFM 4.50
Board, that the number given is correct. (If exempt from StateIan IC ing uurn
registration, please give reason below,) 13) 10,000 CTM + 750
Non portable -
14) evaporate cooler 450
Vent fan connecte --
15) to a single duct 3.00
Ventilation system not —
16) included in appliance permit 450
Hood served by
17) mechanical exhaust 4 50
Describe work new (_) addition V iteration _,e_p_.,r_7_7j Commercialor n ustn''Tto be done residential O non-residential C 181 type incinerator 30.00
Misting user Other i e, woodstove, water
budding or property „ _ 19) heater, solar, clothes dryers, etc 450
Proposed use of 20) Gas piping one to four outlets 200
budding or property
21) More than 4-per outlet (each) 200
Type of fuel -oil Q natural gas Q LPG i,) e ectric
Minimum Fee $25 00 SUBTOTAL
PERMITS BECOME. VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE ,
IF CONSTRUCTION OR WORK IS SUSPENDED OR --' -- ---
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2.,,^ OF SUBTOTAL
AFTER WORK IS COMMENCED - —
TOTAL
Special Conditions — —, -`� —
-- — — _ -- Date sued - --_— by -- M
'+-1(001 1MC3 T 31M F.CHPMT
RECF"
MAR 07 1997
commuhIIY UIVELO?WNT
.. ... .. ►- .
... ;.. ..: . Job Site Plan
Fes'.. ... ..•..... , ........... 1 `= _
. .
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... .•�....;. r... ..•.•. ... .. ... .. .. ..�.. •. .. ..�.•.. .r.
. ..�..• .... • •1•.• ••�•••.1•• r •••�•. i.�••. , .... , ,' • • 1 • •.
Cf-
.......•. .. ...\ • .• ' . .. .. • .. . • .. • . .. • • .. ...1.
... ..l • .•1• •.f. •I•• .1. ........ .. •••. .�� ..I..
{... {... �.. i ...i..
.. �r. :_:, �. a.. .1 ,
LV
......................•.,....,•.•.r•.... ;l�... ..... ._»._
Additional instowtions:
Refrigeration line size _
Condensate Pump Yes No ❑Box New Registers
[� Vibration Pads New Grills
Add Return Duct _
Add Supply Duct
Special Needs
F-i CITY OF TIGARD
ti DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., T@ard,OR 97223 (503)639-4171 R1:-:.STRT(''TED ENERGY
PERMIT #: ELF?97-0069
DOTE ISSUED: 03/07,'97
PARCEL: 2S102,DB--0G500
'3TTE' nnnREc-7, -)m i.m. i ST
SUBDIVTSION. . . . CHELSF(4 HILL N0. 2 ZONING.R--4. 5
TAI.OC1111�. . . . . . .. . . . . . . . . . . " . . . . . .. . "1142,
r7li-ojert Dencn-iF)tiori : INSTL HEnTING VENTTLATION & A/C SYSTEM
1. REST DENT I AL P.
nuDio a STEREO. ALJPIO A s,rE. REn. INTERCOM S. PAGING.
BURGLAR ALARM. . . . BOILER. . . . . . . . . . a I-ANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . , c C.11-OCK. . . . . . .. . . . . . MF.71)TCAI....
HVAC. . . . . . . . . . . . . : X DATA/TELE COMM. . : NURSE CALLS. . . . . . . .
VnCUUM SYSTEM. . . . ri,Rr-, m..nRm- - . . - OUTDWIR LANDSC
OTHER: PROTECTIVE STONAL. .
0 T!I F`R.
TOTAL # Or SYSTEMS:
,,E*,-rH ETTESTAD t /pe amount by date recpt
91PF-) $-:A-) 1171 1.. '3T PRMT $ /40. 00 TW 03/07/97 97.-291 4
5PrT $ 2. 00 TPT 03/07/97 97-;::-'91 A"
"r T 0 A F!T) 0R 97
! I
. hone
MCIPL.1. HrATING rOMPAMY $ 42. 00 Tr.17T)l
1650 NC LOMBARD
REQUIRE'D INSPECTTONC,
`-IORTt-mr.) OP 97c''1 1 --4798 Co of I I nl� Covet, Elect ' I Pje1-Vj.t-,V,
t-I-ionp #: 231-3311 Wall. Cover Elect' 1. Final
0010P0
''his permit is issued subject to the regulations contained in the
'igard Municipal Code, State of Ore, Specialty Codes and all other t P r m
7,pplicatle laws. Pl' work will be done in accordance vith
approved plats. This pervit will expire if work is not started
Athin !80 days of issuence, or if week is suspended for more J/
char W days, BV
M41\lEr,, IN;TAI.-LP'TTON nl\l[ It---
"lle Installtatirin is beinU made on pr opei"ty I c)vjn which J -;i not intended
)WNERIS sTGrqnTURE.- 1)P TE
I`ONTPACTrjl-7 TN31'ni 1 OTTON (INI, Y - -
-
-ONATURE OF 1,3UPP. ELECIN-
DATE
'r'T'NSE NO:
Call f'or inspection -- 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 9722323 PERMIT #
Phone(503) 639-4171
FAX(503) 6$4.7297 DATE ISSUE[
fDD No. (503)684-2772 `
CITY OF TIGARD Inspect'm (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYNE OF WORK
/,?_ 5r Sly �//d 5 f
Address RESIDENTIAL—Restricted Energy Fee. . . 140.0
71 C �r,2 =?--3 (FOR ALL SYSTEMS)
Crly — State Zip Check Type of Work LojuLU.d:
PIPMI IS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener
1. CONTRACTOR APPLICATION •
�-- 1'' / Heating,Ventilation and Air Conditioning System*
Contractor& �&_1_r�Ype ,�1�L'�/� Vacuum Systems'
Address_��S J .2J� zr,,-;,, �C ,%[�/ �aE 2l� ❑ Other_— _
Date_ L_r _ COMMERCIAL---fee SEE oreOAR each
. s�4
Property Owner f��e�h G - eq e,-
- - — Check Tyne of Work Involved:
C:onlrtclor's Board Reg. No. ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# ,-�(J_3-2. j 33//
❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Addn'ss ❑ Intercom and Paging Systems
_ ❑ Landscape Irrigation Control*
Cily State lip ❑ Medical
This permit is issued under OAR 918.320.370.This npplu int agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps of less)under th s permit and to do the ❑ Outdoor Landscape Lighting'
following
1 Only use electrical licensed Persons to do Installations where required (Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
oeosksl'I.All others need licensing)
all for an inspection when all of the installations under this permit are ready
for inspection at 503-b{')-4175
❑ Number of Systems
4 Purchase separate permits for all installations that are not ready for inspee3inn
when the inspector is out to inspect under this perms •No licenses are required Licenses are required for all other installations.
4 Assume responsibility for assuring tha(atl(orrec(inns required by the inspectnr
are done,and
S Assurne responsibility for(-ailing for a final inspection when all of(he S, FEES
corrertions are completed,
I he person signing for this permit must be the applicant or a person a. Enter Fees $ Ll
atithori7ed to�M.
b. S% Surcharge(.05 x total above) $ . Q(Q
SrF;nn rc _ .•
` /35 Z-#k TOTAL $ ya
Authority if other than applicant
FNERGAP.CHP
MAR p 7 1=
COMMUNITY DEVEW,