Permit CITY OF TIGARD MeC - -Z(
% ��,�;� � DEVELOPMENT LOPMEN SER � s3s -a
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06/18/98 THU 11:57 FAX 503 598 1960 CITY OF TIGARD Ij002
Plan Check # 6 5/ d
CITY OF TIGARD Mechanical Permit Application • Reed By
13125 SW HALL BLVD. Commercial and Residential Date Redd Lo - c l - lam
TIGARD, OR 97223 Date to P.E. //9/9/ , ip'
503 639 -4171 x304 Date to DST �� X148
( ) Print or Type 1 pPermit# ryELy t ,Aw
YP le illegible applications will not be accepted caned lXozz t Jam
Incomplete p to or eg aPP Pt S /cJ 4-- sr , s v....: i
Name of Development/Project Description
- J Table 1A Mechanical Code QTY PRICE AMT
Job f/l(A Suttee A) Permit Fee -0- -0- 10.00
Address I '
G OAPi S i 1.) ndudinng to 100,000 BTU
duds & vents 6,00
: • i 2.) Furnace 100,000 BTU+ 7.50 ( /
Owner 4 r' I ' v 1 t aLI A A I /� V including duds & vents I �/ )
I iiiiiir - T4101,111NAIR 3.) Floor Furnace vent 6.00
iiii 1'` ����� - 4.) Suspended heater, wall heater 8.00
� 1 iI . 011 or floor mounted heater
1' ° ° 5.) Vent not included in appliance permit 3.00
Occupant �G -iit����JABB / 6.) Boiler or comp, heat pump, air cond. 8:00
y., to 3 HP; absorb unit to 100K BUT"
Phone 7.) Bolter or comp, heat pump, air coed. 11.00
Gu�/� � F � 3-15 HP; absorb unit to 500K BTU"'
Contractor ii 8.) Boiler or camp, heat pump, aft cond. 15.00 j 1 WI . I C. 1530 HP; absorb unit.5 -1 mil BTU"' • I.
Prior to permit i � iri F �AV�� 1 9.) Boiler or comp, heat pump, air cond. 22.50
lssuanoe, a copy , _ A 30-50 HP; absorb unit 1- 1.75mi1 BTU"
,
of all licenses 'vp' ,l 1 if 2 • ra �`" Boller or comp, heat pump, air cond. 37.50
are required if VA ` .LJA � It s a i l.-, 10.) > 50 HP; absorb unit 1.75 mil BTU"
explr t T Ii ii ii r � II - i 11.) Air handling unit to 10,000 CFM
Architect , - (�' 12.) Air handling unit 7.50
10,000 CTM+
or Melling Address 13.) Non - portable evaporate cooler 4.50
Engineer ( cny)state Zip r Phone 14.) Vent fan connected to a single dud fy 3.00
Describe work New Addition 0 Alteration Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non-residential Alteration
In applianoe permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
n 17.) Domestic incinerators 7.50
, i.
Existing use a� 1 lc 18.) Commercial or Industrial 30.00
building or property , £ II 1 l i / type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil O natural gas /LPG 0 electric 0 22.) Other units 4.50
1 hereby acknowledge the I have read this application, that the information 23.) Gas piping one to four outlet( #' I 2.00
z' en is -• . • that I .1 I the owner or authorized agent of
,, : ; : , • 1 comp li a nce with Oregon State laws. 24.) More than 4-per outlet (each) ..50
- 1. nature of • en Date 'SUBTOTAL i= �al
6'/// - CAS r. -= ..�___ .J
5 % SURCHARGE ;: : - _ •
Contact Person Name Phone • PLAN REVIEW 25% OF SUBTOTAL - :,,._;, M_; �; � ,_ s. i y i
(g/,,)-) _ �� Required for all commercial permits only. ::ate •= ' ' &ir--,� • p`L4, / a TOTAL :? " `- = I CO Q
"Minimum permit fee is $25 + 5% surcharge
""Residential A/C requires site plan showing plant of unit.
1:1mechprmt.doc rev 4/15/98
,QLei'97- oe23o
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 g "O0Z30
Date Requested Regquested AM PM BLD
Location IL-4100 - 7 2Pd 4u-e Suite CEC) Z'-r 1 ,
1
Contact Person Ph PLM
Contractor Ph • SWR
= UILDI Tenant/Owner (WILIA M A l � -" a -t —. ELC
Retaining Wall �^ ELR
Footing A NOT REQUESTED FPS
Foundation FOUND DURING RESEARCH
Ftg Drain F
Crawl Drain jr NO INSPECTION(s) IN FILE — SGN
Slab _ — SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 9 ' - 00 23 6 S�-oi
Framing • d � J
Insulation r lJ �i /± / /
Drywall Nailing vf 1 1 a `I /� (( � ��
Firewall Vti ti 1 �� 60 - ' C �T ` I
Fire Sprinkler i ,
Fire Alarm l ALP 1
Susp'd Ceiling
Roof
Misc:
441r '
•ASS PART FAIL -
PLUMBING 1
Post & Beam
Under Slab
Top Out � Rr / � 7 /
Sanitary Sewer ,1
Water Service 7 "�
-
Rain Drains
Final
PASS PART FAIL
ECHANIL`Al,
Post & Beam
Rough In •
Gas Line
d S oke Dampers
a'�
PASS 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 Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date 9/7,9 d Inspector 7°1112 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.