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9283 SW LOCUST STREET
C11 OF TIGA RD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — --
BILIP
Date Requested d AM_ PM BLD _
Location C� ' Suite -- MEC ,4GK� ?
Contact Person _ QL P;i �� S(v �� PLM
Contractor _ Ph SWR
BUILDING Tenant/Owner p 3/� J 7�j�, 1 � ELC —_
Retaining Wall --' — ------
FootingELR
Foundation f:CeSS: L.�tr� LJ2 (74-, �f<r FPS
Ftg Drain ---- --_
Crawl Drain Inspection Notes: _ SGN
Slab �'�'-C ��Y_j2-- — ----
Post&Beam ---- SIT _
Ext Sheath/Shear -
Int Sheath/Shear ------- _—_
Framing rr , !�t>i . l [A iv
Insulation J" �[16�/= -� 1 «�5- - - ------------
Drywall Nailing
Firewall ---__----_.-----_ _
Fire Sprinkler
Fire Alarm - �---- - - ---
Susp'd Ceiling _
Roof —
Misc:
Final �� -------- --
PASS PART FAIL
PLUMBING - —
Post& Beam
Under Slab - -
1 op Out - _—
Water Service
Sanitary Sewer ----- -- --- - - --
Rain Drains
Final ---- - - _
PASS PART FAIL
_C'NAiJICA - -
Post R Beam ---
Rough In
Gas Line --- __--- _
Smoke Dampers
FY'A5S PAR? FAIL
E __TRICAL - ----- ------------ - - —
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 Basin
Fire Supply Line ( )Please call for reinspection RE:. [ J Linable to inspect- no access
ADA
Approach/Sidewalk
Date ��_ % , Inspector
Other _..� Ext
Final �---
PASS _PART FAIL— 00 NOT REMOVE this inspection record from the job site.
\ CITY OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT'#: McC2001 00271
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: //27101
PARCEL. 1 S12,3DC-06700
317E ADDRESS: 09283 SW LOCUST ST
SUBDIVISION: MLP96-0014 PP1997-124 ZONING: R-12
BLOCK: LOT: no3 JURISDICTION: TIG
CLASS OF WORE: ()TR FLOOR FURN: EVAP COOLER'i:
TYPE OF USE: SF UNIT HEATERS: W-'NT FAN: :
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ Br_ILE_R_S/COMPRESSORS HOODS:
_ FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP- CONIML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE_ DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + lip:
FURN < 100K BTU: AIR HANDLING UNITS CSO DRYERS:
OTHER UNITS:
FURN >=10(% BTU: <= 10000 cfm:
> 10000 rfili, GAS OUTLETS:
Remarks: Installation of a/c. unit.
Owner: _ _ FEES
LEON CAPS OU TO Type By Date Amount v Receipt
9283 TIGARD,
OR 97223LOCUST PRMT G I R 7/27/01 $72 50 2720010000
TIG5PCT CTR 7/27/01 $5.80 272001000C
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:620- 643 Final Inspection
Reg#:LIC 66578
This permit is issued subject to the regulations contained in the Tigard Muni pal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You 6y obiain`b pies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue _ Permittee Signature:�'_ �
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
— Datereceived: 7 .09 D Permi no_�_'Dd 71
City of Tigard Project/appl.no.: Expire date: —
('in n(TigarJ Address; 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Ey: cipt no,:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Building permit no.:
Land use approval:
TYPE OF '
<1 &2 family dwelling or acce.,sory U Commercial/industrial U Multi-family U Tenant improvement
U New construction L2F'Addition/alteration/replacement U Other: —
,
! 1
L- Indicate equipment quantities in boxes below. Indicate.the dolla
Job address: 3 s r
Suite no.: value of all mechanical materials,equipment,labor,overhead,
Bldg.-no.:
Tax map/tax let/account no.. profit.Value$
Lot: Block: Subdivision: *See checklist for important application information and
_ jurisdiction's fee schedule for residential permit fee.
Project name:
City/county: jGvt -C,,,_14-S.'7.
Description and location of work on premises: 1 !
Total i
---
Description "y. Res.only Res.only
Est.date of completion/inspection: _ 11VAC:
Tenant improvement or change of use: Airhandling unit CFM
Is existing space heatedor conditioned Yes C]No Air conning ng�Plan require ) —
Is existing space insulated? Yes ❑ o Alteration of existing HA system _
! Bcompressors
State boiler permit no..
Business nam- '44(, h _ NP Pons BTU/H _
Address: 6 5(� % f u7 Sj re/io edampers uctsmorecetectors_
Cit f u�4 State:p,� ZIP:9'7a'01.3 cat pump(site p an require )
T --- nstall/replace furnac urner__BTUM
Phone 4;i7''5Etl Fax:_- �''7( E—mail: Includingdurtwork/ventliner U'Yes UNo
CCB no.: 5 T 8' Insta I/replac•relocate eaters-suspende ,
City/metro lie.no.. - wall,or floor;mounted _
rint) /114 q t' ZIS Vent for appliance other than furnace
Name(please p
efrrgerat on:
! ! Absorption units BTU/H —
Chillers- HP
Name: T-P Let? N ti�� `) '7`7 � Com res5ors-. HP
Address: 5.�^ $� `5 ; / S T nv;onrnen(a exhaust an vend at on:
City: e/ Sto e:CE I ZIP: e? 744"2 Appliance vent _
Phone; 3 (r1110 Fax:S 'g071$'1 E-mail:
rExhaust
s, ype II/res, itc a azmat
d fire suppression systemName: p fan with single duct(bath fans) —
xhausr.systema art from
eatin or AC
Mailin a dress: S(AtJ fi _ tie p p ng andistribution(up to 4 outlets)
City: !y State:G+ 7.1P: �j 741 3 Typ _--LPG NG Oil lie: JE
D Fax: E-mail a.1 >i in eac additional ov— e- �tlets
rocess piping(schematic required) --
Number of outlets —
Name: (mer 11ste app ance or egit pment:
Address: —
Decot alive fireplace
City: State: ZIP_ Insert-ty a _--
oo stove/pel et stove—_ _
Phone: Fax: E-mail. Other. -- - —
Applicant's signature �Q�{,( ,t ate: --
Name (print): ey 77
--
Permit fee.....................Not all jurisdictions accept credit cards.please call iurtsdictian far more information. Notice:This permit.application Minimum fee................ ..__
U Visa U MasterCard expires if a permit is not obtained Plan review(at — %)
Credit card number _ Fxirre� within 180 days after it has been
State surcl•arge(896) ....$
accepted a complete. 7 ,�
— Name of cardhol r u shown on credit card s TOTAI. .......................
Cardholder signature Amount 4404617(6=0'OMl
1
Commercial Schedule 1&2 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE Oes«Ipuon - ----"-
Furnace to 100,000 BTU Table 1A Merhamcal code Oly Priv Total
1) Furnace to 100.000 BTU
including ducts&vents 955 including duds&vents 14 00
Furnace>100,000 BTU z) Furnace 100,00&
including duds&van vents _ 17.40
including ducts&vents 1,170 3) Floor Furnace
.-
Including vent 14.00
floor furnace 4) Suspended heater,wall heater
including vent 955 or Boor mounted healer - 1400
suspended heater,wall heater 5) vent not Indud d in appliance permd 680
or floor mounted heater 955 6) Repair unds 1215
Check aB that apply 'Boller Heat Air
Vent not included in appliance permit 445 For Hems 7.10,see or Pump Cond Oly Price Total
footnates 1,I Comp
Repair units _ 605 7)<aHP;absorb unit 10
100K BTU 14.00
<3 hp;absorb.unit, -
8)3.15 HP;absorb unit
to 100k BTU 955 100k to 500k BTU zs eo
3-15 hp;absolb.unit tiorb
n".5.11 mil13TU35.00
101k to 500k BTU 1700 10)30-50 HP;absorb
unit 1.1.75 mil BTU 5220
15-30 hp;absorb-unit 11)>50HP;absorb unit>1 75 111111 BTU
07.20
501k to 1 mil.BTU 2310 12)Air handling unit to 10,000 CFM
i&.00
30-50 hp;absorb.unit 13)Air handling unit 10,000 CFM-
1-1.75 mil.BTU 3400 17.2&
14)Non-portable evaporate water
>50 hp;ahsorb.unit
1000
> 1.75 mil.BTU
5725 15)Vent lam connecled(a a single duct 6.80
Air handling unit to 10,000 cfm 656 16)Ventilation system not included in
._. appliance n„0 10.00
Air handling unit> 10,000 Mm ,1170 17)Hood served by mechanical evhaual
10.00
Non-port2ble evaporate caller 659 18)Domestic incinerators
1740
vent fan connected to a single duct 446 19)commercial or industrial Type incinerator
VPnt syst.not Included In appllance permit 6656 69.95
20)Other units,indud nq wood stoves
Hood served by mechanical exhaust 658 _ 1000
Domestic incinerator 1170 21)Gas piping one to lour outlets
5,40
Commercial Or industral incinerator 4590 22)More than Oyer oulte,(each)
1.00
Other unit,including wood stoves,Inserts,etc. 656 Minimum Permit Fee f12.10 SUBTOTAL
Gas piping 1-4 outlets 360 8%SURCHARGE
PIAN REVIEW 25%OF SUR)OTAL
Each addifiona!outlet 63 Reyutred for ALL commercial Permits only
TOTAL El
Ofhar ImapecOoM and Faer.
t Inspechms ansae a rrdnut husmess hien(meumum char9e."hours)
172.30 par hour
2 Insperians ra` 1fah no fee n specifically Micated(rrwmum,yrargrf•haa hour)
172 3o mer hwr
rs)tal Valuation --.--_.----. Fee ' chargees maerhakr)%72 50 OW he.des.aJedenn a rev sons to pa,s(mumnwm
'State contreas Boaer CeNFraamrr repueto
�- "neiWenbaf AC rearm m 110 Pfam SN-ni7 rrbn
pi,cei Of un'
S 1.00 to 55,000.00 Minimum$72.50
55,001.00 to$10,000,00 $72.50 for the first$5,000.00 and$1,52 for
each additional$100.00 or fraction thereof,
to and including$10,000.00
510,001.00 to$25,000.00 5148.50 for the first 510,000.00 and 51.54
for each additional S 100.00 or fraction
thereof,to and including$25,000.00
--i2-5,001.00 to$50,000.00 $379.50 for the first$25,0011.00 and$1.45
for each additional S 100.00 or fraction
thereof,to and including$50,000.00
550,000.00 and up $742.00 for the first 550,000,00 and$1.20
for each additional S 100.00 or fraction
thereof
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