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123 Svq AN,iON DR
Ii�I�►� CITY OF TIGARD BUILDING INSPECTION' DIVISION MST
24-Hour Inspection line: 639-4175 Business Line: 639-4171
BUP
Date Requested �AM _PM .- _ BLU
Location k Z3 c1 AN T-0 A-� D C Sui'e _ MEC 6Q5-2- 7
Contar.t Person _. Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall EI_R
Footing NUT REQUE.,-NTED FPS
Foundation _
Ftg Drain FOUND DURING RESEARCH SGN
Crawl Drain NO INSPECTION(s) IN F11.E
Slab SIT
Post&Beam
Ext Sheath/Sheer
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
-- --- - --- - - ----
Fire Alarm
Susp'd Ceiling - ---- - -- ---Roof
inal 0_ q
PASS PART FAIL --- --- - - --- — +/
PLUMBING
Post& Beam - ----. - - — -- -----------
Under Slab
Top Out _ - ---- --------
Water Service
Sanitary Sewer
Rain Drains _
Final
PAS ART FAIL _
CH AL
At&Beam -- --- —
- -_ --
Rough In �n��
Gas Line -
Smoke Dampers
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm —.
Final
PASS PAPT 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 I ]Please call for reinspection RE:_ ]Unable to inspect no access
ADA
Approach/Sidewalk
Other Date _ {n�PRctnr - �_- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OAF TIGARD MECHANTCAI_
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PE Rh.I T #. . . . . . . . MEC98-0527
DATE ISSUED: 11/20/98
PARCEL: 1.r 134CB--15800
'-3I TF ADDRESS). . . : 1 L-*,3 9 SW AN'TON DR
SUBDIVI510V. . . . : ANf01V P()R11, NO. ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :085 JURISDICTION: TIG
CLASS OF WORK. . :OTR FI__OOR FURN., . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O wpi-: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS;/COMPRESSORS HOODS. . . . . . . : 0
FUEO TYPE:S---.----____.__- 0--3 HP. . . . : 0 DOMES. I NC I N: 0
OPS .3-15 HP. . . . : 0 COMML_. I NC l N: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS; 0
FIRE= DAMPERS?— : 30-50 HF'. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 504HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------ ----- AIR HANDLING UN I TS OTHER UNITS. : 1.
FURN ( 1.00K BTU: 0 <- 10000 cfm : 0 GAS OUTLETS. : 1.
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Installation of gas logs and gas piping.
Owner: -_______.__._.___._.___....__... ._.__._____---_____.---______..___._.______ FEE;:
KARIN COCHRAN type amoi.cnt by date recpt
1 369 SW ANTON DR PRMT $ 25. 00 DEB JI /E'0/98 98-31 1004
T I GARD OR 97223 5PCT $ 1. 25 DEB 11/20/98 98--311004
Phone M
Contractors
JAY' S GAS PIPING
VIO PDX 793
BEAVERCREEK OR 97004 $ -'t,. 25 TOTAL
Phone #: 503--832-.8623
Reg #. . : 119836
REWIRED INSPECTIONS
-
This permit is issued subject to the regulations contained in the Cas t_ i ne Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection ^� _
within 100 days of issuance, or if work is suspended for more
than 190 days, ATTENTION: Oregon law requires you to follow rules —
adopted by the Oregon Utility Notification Center. Those rules are
yet forth in OAR 952-OO1 -OO1e through OAR 952-001-0080. You may
Ibtain copies of these rules or direct m!est-ons to OW by calling
(503)246-9187.
1 s _ie By : Permittee Signattcre :_ �l1llLlri.. `�
-1-++++•+++++++++h++++++++++++++++++++++++++++++1 ++++++++++++++•++++++•4•++++4•++++++4
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
++++++++++4'++++++Y++++++.+++++++++++++++++++++++++'f+++++++.4'+++++++++++++++++44
_J
CITY OF TIGARD Mechanical Permit Application Rec'd4
13W5 SIN HALL BLVD. Commercial and Residential Date Rec'd //c�'_��
TIGARD, OR 97223 Date to P.E. -
(503) 639-4171 x304 Date to DST
P;int or Type Permit# /
Incomplete or illegible applications wit'! not be accepted _ called
Name of Development/Project Description
Table 1A Mechanical_Code _ _ Q Price Amt
Job StroelAddress suBerr A) Permit Fee _ _ — 10.00
Address i(r% u� ��} 1 r j/) 1) Furnace to 100,000 BTU
_ _ including ducts&vents 6.00
BldgO cRy1stes Ap 2) Furnace 100,000 BTU+
�r/1 r U 04
q?a,, including ducts f.vents _ i 50
—� Name(or name of business) 3) Floor Furnace
Owner rj
t,
cockrAl,, including vent _ _ 600
Marring Address - 4) Suspended heater,wall heater
(Z 3(
I
or floor mounted healer_ _ 6.00
-,(i S t t'' ,�n �r 5) Vent not included in appliance permit
_�/Slate Zip one Ph -- _ 3.00
' (A'A'( ox, CHECK ALL 'Boiler Heat Air
—
Namkjor name of business' - THAT APPLY: r Pump Cond Qty Price Amt
Comp _
6)<3HP;absorb unit to
Occupant Mailing Address ( /1'� t00K_BTU 6.00-
// 7)3-15 HP:absorb unit
Csy/State Zip Phone _ 100k to 500k BTU 11.00
8) 5-30 HP.absorb
unit 5-1 mil BTU _ _ _ 15.00
Contractor Nave 9)30-50 HP,absorb
(11�Q/� � r � ! unit 1-1.75 mil BTU _ _ 22.50
Prior to permit Melling Address 10) •60HP,absorb unit
issuance,a copy 75 mil BTU _ 37.50
of all licenses C We zip Phone Air handling unit to 10,C,0 CFM
are required If Z, e-l•"�.Oo � i - __ _ 4.50
expired in COT Oregon Const.Cool.Boats le.e Exp.Deta {2)..ir handling unit 10,000 CFM+
_ database //;' ' (j' _ i _ _ 7.50
Archite(;t Name 13)Non-portable evaporate coder
4.50
or Meiling Address�— - -- 14)Vent fan connected to a single dud
3.00
15)Ventilation system not included In
Engineer ceyrstne zip Phone appliance permit_ 4.50
Uescnbe work to be done'
16)Hood served by mechanical exhaust
-- -- 4.50
� —
17)Domestic Incinerators
New O Repair O Replace with like kind: Yes O No O — 7.50
Residential O Commercial O 18)Commercial or industrial type incinerator
30.00_
Additional information or description of work 19)Repair units
4.50_
20)Wood stove
_ 450
21)Clothes dryer,etc.
_ 4.50
Type of fuel, oil O natural gas U L G O electric O 22)Other units 7 7 t
4.50
I hereby acknowledge that 1 have.read this application that the information. 23)Gas piping one to our outlets
given is correct,that I am the owner or authorized agent of / 200
the owner,t ;t plans submitted are ..•ompliance with Oregon State laws 24)More than 4-per outlet(each)
Signatu of Ow ier!Agent =� Date p
Minimum Permit Fee$25.110 SUBTOTAL
5%SURCHARGE
Contact Person Name Phone PLAN REVIEW 25%OF SUBTo rAL
Required for ALL commercial permits only
— TOTAL 1_
'State Contractor Boiler Certification+equiled �T[�
"Residential A/C requires site plan showing placement of unit
I:Unechperm dor. rev 07/20/98