11440 SW LOMITA AVENUE-1 M
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line; 639-4171 --—
BUP
^--- — —U-te Requested_- C --'6'm —PM _ __ BLD ---- -- -
Location—___1� � � t'��"L� c� _ Suite — —_. MEG
Contact Person Ph PLM
Contractor Ph SWR
BUILDING — _ Tenant/Owner ELC _—
Retaining Wall ELR _
Footing Access: — — —
Foundation FPS
Ftq Drain SGN
Crawl Drain Inspection Notes: —
Slab -------- ----- -- — --- SIT
Post& Beam -
Ext Shea6dShear
Int Sheath/Shear — —
Framinn
Insulation — ——�
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Su,p'd Ceiling — _-- ......
Roof
Misr: -- -- --- -- __— _— ---_.----- ---- —
Final -- --- -------
PASS PART FAIL --- -- -- — --------
ILUMBING
Post& Beam —--- ------------ — — -- --
Under Slab
Top Out - -- ------- --- ----- --
Water Service
Sanitary Sewer —
Rain Drains
Final ------- — - � --__
P _—.P T FAIL
MECHAfJlt. _ — ------ -------- — -------
[lost& Beam
Rough
--- -- ——— -- -- —
Rough In \ ��
Gas Line !" r�' (� �hS I' 11 e� 5 \ riC'fZ_—��� -►J`�_—_.__ —_
ke Dampers
( PASS PART Fl
ICAL
Seriice
Rough In ---- — — --
UG/Slab --- - — ---.__—_— -------- - -- -----------
Low Voltage
Fire Alarm
—_._._----_--- -------•-------
Final
PASS PART FAIT- — -- - -- - - - ------ ---- --SITE
Backfill;Grading - ------------- —— — —_—_—__ --__._--� _—_—_ _
Sanitr.ry Sewer
Storm Drain I ]Reinspection fee of$—__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ] Please call for reinspection RF _ ( ]Unable to i spec,t- no access
ADA '
Approach/Sidewalk Date �_ » ` Inspector Fact
-- (xi
Other — -- .� -------.—_ ---—
Finn)
PASS PART - FAIL _ DO NOT REMOVE this inspection record from the job site.
CITYOF T I GA R D MECHANICAL PERMIT
DEVELOPMENT *SERVICES PERMIT#: MEC1999.00266
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/21/99
ITE ADDRESS: 11440 SW LOMITA AVE PARCEL: 1 S135DD-03616
SUBDIVISION: L7MITA 1 ERRACF ZONING: R-4.5
BLOCK: LOT: 015 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUELTYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES: 1
FURN < 100K BTU: AIR HANDLING_ _UNITS CLO DRYERS:
FURN 100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Add fireplace insert and gas piping to an existing dwelling.
Owner: _ �— FEES
RICHARD D MURRY Type By Date Amount P-- ipt
11440 SW LOMITA AVE PRty GEO 6/21/99 $50 00 9! 67
TIGARD, OR 97223 5PCT GEO 6/21/99 $2.50 99 :,267
Phone:639-5035 Total $52.50
Contractor:
HOT SPOT FIREPLACE + PATIO
11525 SW CANYON RD
BEAVERTON OR 97005 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-626-9138 Woodstove Insp
Reg #:LIC 00071782 Final Inspection
ORIGINAL
This permit is issue(] subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work -%..,I 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 follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-OU10 through OAR 952-001-0080.
You may obtain copies of theige rules or direct questions to 011NC �_calling (503)246-9189.
Issue By: �, .. �` Permittee Signature:
Call (502) 639-4175 by 7:00 P.M. for inspections needed the next business day
Plan Check# _
Cl ' OF TIGARD Mechanical Perrmit Application Recd By
13145 SW HALL BLVD. Commercial and Residential Date Recd
IGARD, OR 97223 Date to P.E. _
(503) 639-4171, x304 v- ADate to DST_
Print or Type Permit# — �6
incomplete or illegible applications will not be accepted Called _
Mame of DevelopmenUProlect Description �—
J r _�fiz Table 1A Mechanical Code _ tit Price Amt
ur rok
Job Street Address s RMI A) Permit Fee 16.00
Address ft S.4t` . M^/tel��Gl ' c 1) Furnace to 100,000 BTU
including ducts&vents see footnote 1,2 9.65
Bldg# CRy/state Zip 2) Furnace 100,000 BTU*
/yard, includin dugs&vents see footnote 1,2 _ 12.00
Nsmat (ni name of business) 3) Floor Furnace
Owner / o Gtl C� includingvent _ see footnote 1,2 9.65
Mailing Address 4) Suspended heater,wall heater
',, or floor mounted heater see footnote 1,2 9.65
/l/wo &4v Q d e, 5) Vent not included in_appliance permit _ _ _ 4.75
City/state Zip Phone Check all that apply 'Boller Heat Air
ll(f-� ^. q�Jwrt S 6_j�•,�CI For Items 6-10,see or Pump Cond I Price Amt
Nafte(or name or business) footnotes 1,2 Comp
6)<3HP;absorb unit to
100K BTU _ 9.65
Occupant Moiling Address 7)3-15 HP,absorb unit
100k to 500k BTU 17.65 _
CRY/StateZlp Phone
B)15-3( HP,obf,',Ib
_unit.5-1 mil BTU 24 15
Name -- — 9)30-50 HP,absorb
Contractor unit 1-1 75 mil BTU 3600
10)>50HP;absorb unit
Prior to permit Malling Audross �` , >1 75 mil BTU _ _ _ 60.15
issuance,a rspy h rt 11 Air handling unit to 10,000 CFM
I -f n:i iioenses Stale ZIP Phone _7.00
are required if -p?3" Z1,2.1Si 12)Air handling unit 10,000 CFM+
expired in COT Oregon Const Cgn1.Board Llc Exp.}ale � 11.75
database ! ca S=�(s� 13)Non-portable evaporate cooler
Architect Name _J 7_00
14)Vent fan connected to a single duct
or Mailing Address —A-- 4 75
15)Ventilation system not included in
appliance permit 7.00
Engineer CRY/State — Zip Phone - 16)Hood served by mechanical exhaust _
7.00
Describe work to be.done. - 17)Domestic incinerators
12.00
New 0 Repair O Replace with like kind Yes O No O 18)Commercial or industrial type Incinerator
Residential 18 Commercial O 48.25
19)Repair units
Additional Information or description of work _ 8.40
20)Wood stove/gas FP/other units/clothe dryer/etc. Ce
7.00 '
NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets
structural gas calcs. See footnote 1 _ 3.75
Type of fuel: oil O natural gas LPG O electric O 22)More than 4-per outlet(eac t71 !
_ Minimum_°ermit Fee$50.00 SUBTOTALI hereby acknowledge that I have read this application,that the Information 5%SURCHARGEIv is correct,that 1 am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL w ett pla�gs subm., aro ink anr*with�regon�State�p i_I!eq ed for ALL commercial permits onlyTOTAL
natureof Owner/Agent Date
Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-two
Contact Person Name Phone hours) $50.00 per hour
2 Inspections for which no fee Is specif;cally Indicated (minimum
charge-half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to
I Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
I 2 Provide drawings to scale showing existing and proposed mechanical
L� units _ *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I Umechperm dnc rev 02/4/99