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12250 SW MARION ST
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour inspection Line: 539-4175 Business Line: 639.4171 '—
BUP
_ Date Requested_ AM PM BLD
Location �Z-`�� I�r nr Q� s�• _ Suite MEG /gig–m4U
Contact Person Ph PLM _
Contractor Ph SVVR —
BUILDING �! Tenant/Owner ELC
Re',gining Wall ELR
Footewg Acce
Foundation FPS
Ftg Drain 8GN
Crawl Drain Ins ion Notes.
Slab S 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 _
Post& Baam —
Under Slab
Top Out --.---
Water Service
Sanitary Sewer
Rain Dreins _—
Final —
PASS PART FAIL_
MECHANI L
Post eam - ---- — y`—
Rough In
Gas Line —
Srr oke Dampers
-ePASq PART FAIL
CL Service
R Rough In
F- UG/Slab
M Low Voltage
Fire Alarm —__ -- — --
Final
m PASS PART FAIL —� -- — —
C7 SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
vire Supply Line [ ]Please call for reinspection RE � — ( ]Unable to inspect •no ac:ess
ADA f) ?,
Approach/Sidewalk Date ' _Inspector�/. /EXt -�V`--
Other
Final
PASS PART FAIL D NO REMOVE this inspection record from the job site.
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SER PERMIT#: MEC 1999-00416
DATE ISSUED: 10/06/1999
13125 SW Hall Blvd.,Tigard, OR + ,1f� PARCEL: 2S103CI3-04300
SITE ADDRESS: 12250 SW MARION ST
SUBDIVISION: WILL AMLTTE NO.2 ZONING: P,-4.5
BLOCK: LOT:022 JURISDICTION: URB
CLASS OF WORK: OTR FLLJR FURN: EVAP COOLERS:
TYPE 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: DOMES. INCIN:
WOD 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES: 1
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Installation of woodstove.
Owner: �! FEES
WILLIAMS, MICHAEL R Type By Date Amount Receipt
12250 SW MARION STREET 5PC2 DST 1 $4.00 99-318887
TIGA!,':-), OR 97223 PRM4 DST 10/06/195 $50.00 99-318887
Phone: _ Total _ $54.00
Contractor:
LUDEMAN'S FIREPLACE + PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS
Woodstove Insp
Phone:646-6409 Final Inspection
Reg #:LIC 51469
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JThj. permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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 more than 180 days. ATTENTION: Oregon law requires you to fallow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may ebtatn copies ofs r les or direct questions to OUNC by calling (503)246-9189.
IssuelBy: _ _j Permittee Signature:
Call (503) 639-4175 by 7:00 P.M.for Irspections nee ed the noxt business day
10/01/99 FR1 15:22 FAX 503 598 1960 CFFY OF 11CARD IM002
Plan t R•-----
. CITY OF TIGARD Mechanical Permit Application Ren d y - - 7--
13125 SW HALL BLVD. Commercial and Residential Date ROLA -
TIGARD, OR 97223 Date to P E.
(603) 639-4171, x304 oats to DS T ��
Print or Type Permit e ,
Incomplete or Illegible a plications will not bo accepted Cain -
Name a Davalop"rKfflmj" - Description
Table 1A Mdoonicat Code Dt arta Ami
Job $user Ad&@&$ - SUNM A Permit Fee _ moo
Address 1) Furnace to 100,000 BTU
including ducts R vents see footnote 1,2 9.65
e � C 'n` 'p 2) Furnace 100,000 BTU+
_ Including duds&vents see footnote 1,2 1200
Name to rwna a euahass) 3) Floor Furnace -"
Owner IVI ,�N//`L /e W FT invent see tootnar 11.
a 9 b5
M"Add" 4) SusperwMd heater.wart healer
or floor mounted heater sae fvotnoto 1,7 9.65
/Z 2 O S w /"7 0 5 T Vent nod lockrded in alp lance rmq 4.7!
Cryrsuu PhoneCheck aN that apply:
T/6104/J 0/C 7`a� For ilarnstt-10'see 'Booirk:r Peal Air
coed City silos Amt
corn:to i&O of ewrwaq footnotes 1,2 Cor
6)<31-111;absorb unit to
Occupant MWftA� K.
1WBTU 9.65
{� - -- 7)3-15 HP;absofb Unit
100k to 500k BTU 17 05
cayrsrare 8)15-30 HP;absorb _
unit.5.1 mN BTU 24.18
Contractor Narna — 9)30-60 HP;absorb
unit 1-1.75 mil BTU 3600 _
10)>50HP;absorb unit
Pros to permit M*WV Asan.* r >1.75 mit BTU 60.15
Issuance,a copy1 -z6p 2J S, W641y rolyA 0 11 AN handling unit to 10,000 CFM
of aN Noenaes mns Don
p Phe 7.110
are required 0 A V L rt j p 1` (O``f(p-b 12)Ak hwW"unit 10,000 CFM+
expired In COT Or"m coral.Coft.poapdLk 0 Esp rwe
_ database S /'7 Cp 11.6s
13)Non-portable evaporate cooler
Architect Nan"' 7.00
14)Vent fen connected to a single duet
or Maei<n0 Addra°a 4.75
15)Ventilation system not included In
cNyr3lane- _ appliance permit 7.00
Engineer — ro Phone 16)Hood served by mechaniical exhaust -
7.00
Describe work to be dare: _ — 17)bwnestk incirmalum
12.00
New O Repair O Replace with like kind Yes O No O 16)Commem4al or industrial",!n irwata
Residential Commercial 48.25
10) N units
Additional Information or description of work- -- — - _ 8.40
Wood at es Mother untt9/clothe dryer/etc I 7.00 .16
NOTE: For Commercial projects only;Units over 400 lbs.requim 21)Gas piping one to four outlets __
�
structural gas cakes. Be*ioodrlta 1 3.75
- — - -- -
Type of fuer oil O natural gas O LPO O electric O 22 More than 4 tach .75 DD
ix
M)Mmum Permit Fee 80. SUBTr"TAL OO
N I hereby acknowledge thel I have read this applicslio n,that Bre information — — 8%SURCHARGE �,
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
It r,lh lana s r r lane with Oregon Stale,laws Resuirad for ALL corrnmercial perrnita only _
/? _ _ _
.t l.. �� TOTAt. DD
® SI re of OwnerlAge � e .�a_ _
Ur Other Inspectlons and
WI. Inspedilons outside of normal business haunt(mininum charge-two
Confect Person Name Phone bows) $W.00 per how
i 2. Inspectims for which no fes is specltioally h,dlcated (minimum
charge-half hour) $30.00 per hour
Feonotes for commerchl projects only: 3• Additional plan review r*iMrod by changes,widitions or revisions to
1 Provide full schemsdc of ex►st!ng and proposed gas line and pressure. Plans(minimum charge-ono-half hour)$50.00 per hour
2 Provide drawings to scab showing existing aril proposed mechanical
units. •Site Contractor Haller CertNicstion required
— — '•Residential AIC requires eke plan showing placement of unit
1:lmechperm.doc rev 7119/99