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9131 SW HILL ST
CITY OF T►GARD BUILDING INSPECTION DIVISION MST
24-Flour Inspection Line: 639-4175 Business Line: 639-41/1
BUP
—Date Requested_ -2.3-1AM--,L—PM - BLD
Locations�a rTl _ Suite MEC C�
Contact Person (ra(G1 Q1(-rSe-,V1 ' Ph '�'; PLM
Contractor Ph SWR
BUILDING — Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain - SGN �—
Crawl Drain Inspection Notes. ---- ----
Slab — ---_—— SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear ��—
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -- -- --._,--- - -- --- —
--
FireAlarrn
Susp'dCeiling
Roof
incl
PASS PART FAIL --
PLUMBING
Frost&Beam
Under Slab
Top Out --
Water Service
Sanitary Sewer —
Rain Drains
Final _-- --— —
PASS PART FAIL
MECHANICAL
Post&Beam
Gas Line Znate-
Dampers
S e
AS ' PART FAIL
ELECTRICAL - -_- -_ -- --- ----
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL_
SITE
Backfill/Grading __--._ --_----.----_ __-- _—_
.sanitary Sewer
Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Hasin [ )Pleasa call for reinspection RE [ )Unable to inspect-no access
Fire ,apply Line
ADA ^� 1
Approarh/Sidewalk
Other Date -- —_-- 'Inspector _ —__—_ _—_Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF T MECHAN I CAL.
DEVELOPMENT SERVICES P'E'RMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC99-009'3
DATE ISSUED: 03/12/9^
PARCEL-: �S 10 DB -O6E,OO
SITE ADI)F ESS. . . : 09131 SW H I L.L ST
SUBDIVISION. . . . : CHEL.SEA HILL NO. 2 ZONING: R-4. 5
BL.00K. . . . . . . . . . . L.OT. . . . . . . . . . . . . :043 JURISDICTION: TIG
CL-ASS OF' WORK. . eAL.T FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . •SF UNIT HEATERS. . : 0 VENT S=ANS. . . : 0
OCCUPANCY . :R3 VENTS W/O APDL_: 0 VENT SYSTEMS: 0
STOPIES. . . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. TY1='ES-__._.________._ 0 F..f:'. . . . . 0 DOMES. INCIN: 0
3-1r HP'. . . . : 0 COMML. !NCIN: 0
'IAX INPUT. 0 BTU 1.5-30 HP. . . . : 0 REPAIR UNITS- 0
F I RE DAMPERS''. . : 30-50 HP. . . . : 0 WOOL- 3'i OYES. . : 0
Priti PRESS)URF'. . . . ,0+ IIP'. , . . . 0 CI_O DRYERS. . . 0
NO. (IF UNITS- -- ____.___ AIR HANDL J NG UNITS OTHER UNITS. : 0
FURN ( i m,, BTIJ: 1 != 10000 r:f m: 0 GAS OUTL..ETS. : 0
FURN )=1O0K BTU: 0 } 10000 cfm : 0
Remark i : Install 98,ANA BTU gas furnace.
Owner: -__.___ ._______----___.___.__.___.._.__._.---._..__ ___._---__.._.._.___._.__.__. FEES
CRAIG DIRKSON type amor_rnt by dAte recpt
9131 SW HILL ST PRMT $ 25. O0 GEO 03/12/99 99-313636
TIGGARD OF? 97223 SPCT $ 1. 25 GED 03/12/99 99--313636
P'hcrne #:
GEORGE MORL..AN PLUMBTNG & HEATING
12585 SW PACIFIC HWY
(CCB EXPIRES 6/19/2OO2) 8 26. 25 TOTAL
TIGARD OR 97223
P'hrine #:
Reg #. . : 00002'7
— — REOU I RFD INSPECTIONS
This poreit i� Issued subject to the regulations contained in the Heating Unt Insp
Tigard Municipal Code, Stat: of Ore. Specialty Codes and all 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 issuancr, 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 OAR 952-001-8810 througF. OPR 952-001-0080. You may
obtain copies of these rules cr direst questions to OUW_' by calling
(503)246 9187.
C / `
c__ -
Iss1_1e By : _ �-� Permittee Signat i_rre :
+'+'t+-F•+++.....t+++++.++++++++1-++++++++f++++++++.+++++++-1-+++f-+++++++++++++4•+h/ +++
Call 639--41.75 by 7:00 p. m. for inspections needed the next bl-tsiness day
++++++++'T++++++++++++++++++•++++++++++++++4•+++++++++++++•4++++++++++++'+++++++++-F+
MPP_06_1999 12 25 P.Ci
toll t I yr t wAKU RECF199panical Permlii Application "nFIn W,—
Rec'd By
131 k5 SW HALL BUID. Commercial and R..esid antial Date Recd
TIGARD, OR 97223 MARI gate to P.E.
(503) 639-4171, x304
Dote to DST
`�-1�C7 IGS /,�[J CUMMl1NIlY DfVl.l_utIM[NI Print or Type ��I�
Incomplete or illegible applications will not be accepted called -
pe Name al0ewiopmnryQ+rU." Description —
e Table to Mechanical Code Oty price Amt
Job StrcelAddm*ss — SuNoa A PernitFee
10.00
Address q 1,31l 1) Furnace to 100,000 BTU
uldgs CMrslate 'zip including ducts&_vents
2) Fumnce 100,000 BTU+
including ducts d vents _ 7,r10
Name(or^ares olbualnese) U3) Floor Fumaee
Owner including vent Y 6.00
Wibf.g Aodrspf �_'—'^-----�— a) Suspended heater,wall hector
or floor mounted heater 6.00
_ 5) Vent not Included in appliance permit
CMy'5VtC Lp PhMa --' 3.00
�___ CFIEt,KAII •Boder Heat Air
Name(of namp d bumn;, ) THAT APPLY: or Pump Cond Oty Pride Aml
Comp_ ••
Occupant MyLkK Addreel -- 6)C3HP;absorb unit to -
100K BTU 6.00
7)2-15 HP;ebsprb unit
cayrsune Zv phone look 10 500k 0M 11.0G
B)115-30 HP;absorb
ControCtior Nan'• --_� - unit.5-1 mil BTU 15.00
9):30-50 HP; absorb
unit 1-1.75 mil BTU 22.50
Prior to pemilt to(ip Addreu C T !�,,n✓ 1 10)>50HP;absorb unit
issuance,a cop, C --(O 1 .)�J l lyv+ ��T' . >1.7!s mll 8711 37.50
of all Itcenses CRY Star. � Phene 11)Air handling Unit to 10.000 CFM --
are Mquired A Qr.
eVirud in COT o-vw Cons ref Ems.Dole
L! x,727�, 12)Air handling untt 10 000 CFM
itttbase r
7.50
Archltect Nartw -' - 13)Non-portable evapolatn cooler --�
4.60
or Maing Addr,, ta)Vent fa l ponnedt!d to a single dud
15)Ventilabon system not included in 3.00
Engineer cq�uee - -" nr+ PNwre � a pflanoeparmlt a,50
15)Hood served try mechanical exhaust � !`-
Describe work 1,be done: --' 4.50
17)Domeutic)ndnerators u
NRw 0 Rrpa1.0 Replace wkh like kind: Yes IrNo O 7.50
Residential SP-- Commerdal 0 1B)Comml•rual or Industrial type incinerator
Atlditonai inftion of ormsl.nn or deRaipwork:T _19)Re, rr units _ 30.00
l l k;.7't
- ---
a 1 CIC) o0c U l(_LL 0�0 l _ 4.50 _
c(' r 11) 20)Wood stove
i VlX1rl�C_° L' . 1 Mem�L,� - _ --- ,.50 �-
21)Clottuitdryer,«tc.
,. LPG_061st-,
_ 4.50
Type of lues oil O natural gas l� PG p e1u t7 -�- T1)Other unhs —^ �-
---- _____ r.50
I herttby advlowledge that I have rear!tris Fr7pl't.elion,that thee-�___ _Infonrlation 23)Gas piping one to tour ouheb __.__�-`'-'
Tvrin is CD"vd.that I am file owner or authorised agent of 2.00
the uwnw,that plana subrneM are in compliance wfth Oregon Slate jaws 24)More then A-per outlet(tact+)
Signature of pwnerrAgent _ti_ Data
Mini 11m Permit Fee$25.00 SUBTOTAL
Perfeort Neme — ----- S%9URCh8ARGE
Phone PLAN REVIEW 25%OF SUBTl71AI_
Required for ALL comwnercW p&Mtb o
TLTTAL
'Stela ConhaQor Boiler Cettittptbon required
l:trt>wdlocrm.dnc rev n7rxtwA
'•Rltsidentlel AJC requires Xft plan Mowing pleatimenl of
"� TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION ST
24-Flour Inspection Line: 639-4175 Business Line: 639-417'1 -
SUP
31 O—/>'q DateRequested - / %f _AM -�PM _ BLD
Location� 131 .�( ��_ -L _ Suite MEC
Contact Person ' Ph -PLM
Contractor11LC�1 RPh ;; SWR _
BUILDING - Tenant/owner - ,Sf, ��f ELC -
RetainingWall I ELR
Footing
Foundation Access: { EPS _
Ftg Drain „ � .� .r-
Crawl Drain Inspection otes: SGN
Slab //�� 9 /� /inn /� _ SIT
Post&Beam �I J 3'�1,r(►I op—
Int
C�-104S
0
Ext Sheath/Shear � IU C
Int Sheath/Shear
Framing ---__._---_,_-_--
Insulation
Drywall Nailing
Firewall
ire Sprinkler
Fire Alarm v~
Susp'd Ceiling
Roof
Misc: -- -----_._—___----- ----.... - _
Final � �~
PASS PART FAIL
PLUMBING
Post& Beam —_
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS --�-r4RI, FAIL
( --.MECHANICAL
Post&Beam
Rough In
Gas Line
Smoke Dampers
Inel —_— - -- _
PART FAIL
ECTRICAL -- ---- —
Service -
Rough In
UG/Slab
Low Voltage
Fire Alarm _
Final
PASS PART FAIL _
SITE
Backfill/Grading --
Sanitary Sewer
Storm Drain [ [Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hail Blvd
Cate"Basin [ I Please call for reinspection RE: [ ]Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk �`�
Other DPW 5�0 1 Inspector ,'��� _ Ext — ---
Final
PASS PART FAIT- DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES r-ERM I-f'
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMTT #. __ . : MEC98-0571
DATE IF3SL'—r_D: 12/23/98
SITE ADDRESS. . . : 09131. SW HILL. 51 PARCEL: 2S1.02DB-06600
SURD I V I S I ON. . . . : CHELSEA HILL 1140. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :043 JURISDICTION: TIG
CLASS OF WORK. . .-A'-T FLOOR FURN. . . . - 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . -. 0 VENT FANS. . . : 0
OCC')PANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STrJRIES. . . . . . . . : 0 BOILERS/COMPREFSORS HOODS. . . . . . . .. 0
FUEL TYPES------------ 0-3 HP. . . . 0 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN- 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS"'. . : 30-50 HP. . . . 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 5Q+•+ HP. . . . 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : I
FURN ( 100K BTU: 0 10000 cfm: 0 GAS r.' rrLETS. -. .1
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Install gas log for an existing fireplace, and add gas piping.
Owner:
JACKIE DIRKSON type amotint by date recpt
9131 SW HILL ST PRMT $ 25. 00 GEO 12/F-"3/96 98--311727
TIGARD OR 97223 5PCT $ 1 . 25 LEO 12/C'.13/98 98-311 7p'!'7
Phone #:
Cont Tact ori
JOHN 0 BRANCH FIREPLACES & MOR
JOHN OSCAR BRANCH
PO BOX 23698 t 26. 25 TOTAL
TIGARD OR 97281
Phone #: 620-0255
Reg #. . 1 003958
REQUIRED INSPECTIONS
This permit is issued subject to the regulations cant-.ned in the Gas I.- ine Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sr. 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 thp Oregon Utility Notification Center. Those rules are —------
set forth in DAR 952-MI-Ml through DAR 952-001-OW. You may
obtain copies of these rules or direct questions to OX by calling
-
(583)246-9187. ------
T -,-,IAF By
Permittee Signati.ire
............ .................4-4•.....................4�...........4+4-+++4-++++4
Call 639--4175 by 7-00 p. m. for inspections needed the next bi.isiness day
+++++++++++++++++++++•+++++•+++.++-1-+++++++++++++++.+++++++++4..............4-4-+4 +-4
'CITY OF TIV..,<D Mechanical Permit Application Plan Check
pl' Rec'd By
1312E"SW HALL BLVD. Commercial and Residential Oate Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 4171, x304 Date to DST_
Print or Type Permit# W6'
Incomplete or illegible applications will not be accepted Called _
Name of Development/Project Description
Table 1A Mechanical C ,ie Q Pnce Amt
Job A Permit Fee —,
'!reef Address � Suite# 1 10.00
cc ll Sr 1) Furnace to 100,000 BTU
Address l ✓(.,.) /-Y 1l I _ including ducts 8,vents 6.00
11ldgn city/:isle Zip 2) Furnace 100,000 BTU+
W I "0 '7ZL including ducts&vents 7.50
Name(or name of business) 3) Floor Furnace
Owner J Gt-C ).,A✓I including vent _ 6.00 J
Melling Address t -- 4) Suspended heater,Well h@ater
or floor mounted heater_ _ 6.00
5) Vent not included In appliance permit
(llyl9tate. Zip Phone _3.00 _
CHECK ALL 'Boiler Heat Air
Name(or name of business) `- TH,`�APPLY: or Pump Cond Qty Price Amt
Com •• _
6)<3HP;absorb unit to
Occupant Mailing Address 104K BTU _ t 6.40
7)3-15 HP;absorb unit
CRY/State '— 71pPhone _ 100k to 500k BTU _ 1. 00
8) 15-30 HP;absorb
Contractor Na n unit.5-1 mil BTU - - -- 15.00
�J 9)30-50 HP;absorb
c. �i unit 1-1.75 mil BTU
22.50
, rior to permitMalling Address 10)>50HP;absorb unit
issuance,a copy rr(; 'L,1 z3 V2 >1.75 mil BTU 37.50
of aN licenses Coy/State �L zIp r Pnonp 11)Air handling unit to 10,000 CFM
are required if r r-. 1 �- l (, 2 r _ 4.50
expired In COT o m.Con .Cont.Board Lk N Exp.Date 12)Air handling unit 10,000 CFM+
database C a ( ��Z? - _ _ 7.50 _
Architect NaR1e 13)Non-portable evaporate cooler
_ 4 4.50
or Mailing Address`- �- 14)Vent fan connected to a single duct
______ 3.00
_ 15)Ventilation system not Included in
Engineer City/Slate � ZIP Phone —�� permit`
g L_ a Banceby _4.50
16)Hood served by mechanical exha,st
_scribe wark to be done: _ 4.50
17)Domestic incinerators
New O Repair O Replace with like kind. Yes O No O _ 7.50
Residential N,, Commercial O 18)Commercial or Industrial type Incinerator
30.0_C _
Additional information or description of work --' 19)Repair units
II 20)Wood stove
4.50 --
21)Clothes dryer,etc.
4.50
Type of fuel oll O natural gas LPG O electric O —�— 22)Other units V
_ ___ _ 4.50
I hereby acknowledge that I havr3 read this application,that the information 23)Gas piping one to four outlets
given is correct,that I am the owner or authorizer'agent of _ 200
the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-pet outlet(each)
50
Signature of Owner/Agent Date
Minimum Permit Fee:25.00 SUBTOTAL
5%SURCHARGE _
Contact Person Nam fl Phone PLAN REVIEW 25%OF SUBTOTAL
Required for ALL commercial rmits onl
`_--------.�----
TOTAL
--7S—tate Contractor Boiler Certlficsation required
-Residential A/C requires site plan showing placement of unit
1 lrnechperm.doc rev 07/20/98