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1-2435 SW CHELSEA LOOP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 6:39-41'15 Business Line: 639-4171 ---� - --
BUP --... -----
- Date Requested �,�L� __AM PM _ BLD
Location l3`f Suite _ MEC
Contact Person � ILL0(4XS (I if Ph PLM
;'ontractor t valf1G Ph — SWR
BUILDING — Tenant/Owner ELC _
Retaining Wall C ELR
Footing Access: W7 Y/ FPS
Foundation
Ftg Drain SGN
Crawl nrain Inspectionbites: --�- - _
Slab - ---- — - -—- SIT'
Post&Beam --------
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing ---- --_—_-- — ---
Firewall
F,,e Sprinkler
vire Alarm
3usp'd Ceiling -- ----- - -- _—
Poof
Misc:
Final —
PASS PART FAIL --
PLUMBING
Post& Beam - - - - -
Under Slat,
Top Out
Water Service
Sanitary Sewer
Rain Drains
FPA - — - � - ----
PASS RAKI._. FAIL —
MECHANIr:AL
Post& Beam —- — — -- —
Rough In
Gas Line —---- - -—--— -- —--- — —
Smoke Dampers
FiT - -- - -- -- — —
A PART FAIL
LECTRICAL --�--------- -- —
Service --- --- — -- ---
Rough In
UG/Slab _
Low Voltage
Fire Alarm _ —_.--
Final
PASS PART FAILSITE
Backfill/Grading -" --—
Sanitary Sewer
Storm Drain ( ]R•�inspection fee of$ _ required befora next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE:
Fire Simply Line — [ ]Unable to inspect no access
r
ADA
Approach/Sidewalk
Other —M n te InspActor i
Exp1
Final
PASS PART FAIL DO NOT REMOVE this inspec;iovi record from the job site.
CITY OF
T I GA R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00517
'13125 SW Hall Blvd., Tigard, OR 97:223 (503) 639-4171 DATE ISSUED: 11/29/1999
PARCEL: 2S102DB-03700
SITE ADDRESS: 13435 SW CHELSEA LP
SUBDIVISION: CHELSEA HIL! ZONING: R-12
BLOCK: LOT: 014 .JURISDICTION: TIG
CLASS nF WORK: ":T FLOOR FURN: EVAP COOLERS:
TYPE" OF USE: SF UNIT HEP i ERS: VENT FANS:
OCCUP4NCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES J 0 - 3 HP: s DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD 1
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU- AIR HANDLING UNITS C
OTHER UNIT
FURN >=100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:.ETS:
Remarks: Installation of a gas line and gas fireplace insert.
Owner: _ FEES
GRUBAUGH, VAUGHN F III + Type By Date Amount Receipt
GRUBAUGH, LAURA D 5PCT GEO 11/29/19E $4 00 99-32)040
13435 SW CHELSEA LOOP 'RMT GEO 11/29/19f $50.00 99-32)040
TIGARD, OR 97223
Phon 3:
Total $54.00
-----
Contractor:
LU7EMAN'S FIREPLACE + PATIO
1203't5 "W BEAVERDAM RD
BE-AVE:RTON, OR 97005-2129 REQUIRED INSPECTIONS
Gas Line Insp
Phone:646-6409 Woodstove Insp
Reg #:LIC 51469 Final Inspection
OR I G I N1 A L
This 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 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 may obtain copies sf these rules or direct questions to OUNC by calling (503 46-9189.
Issue By- r� ��il!? `� _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needec `he next business day
i
10,01,99 PRI 15:22 FAX 503 598 1960 crri 01' TIGARD iAr,12
RECEIVE D Plan Checlk at^ ---
CITY OF TIGARD Mechanical Permit Applicat7on Recd By
13'125 SW HALL B1-0a'\'' Commercial and Resident�� 2 !; �ggg Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x30p�OV �� ' COMMUN'TY DEVEII)i'MEnT Dab:to DST
Print or Type Pe ' a�°=�i-7
UNMENj � a
CUMhN
WOW or ill_ egibie a plications will m:)t be accepted Cmared
Nwne of Doweloprneni rgeaDescription
!) ( �(,( � F Table 1A Mechanic at Code Oty I Price Atmel(
A) Permit Foe _ _
Job lcae1�°fet3 < , ,f �'sar 1) Furnace to 1011,000 BTU
Address �� C_ ��YIQ / _ including duds&vonts sao footnote 1,2 9.65
ewprr Cih,State 2+p 2) Fumare 100,000 BTU+
! /J c` incudi,.g duds b vents, see footnote 1,2 12.00
Name(lex busmsa) 3) Floor Ftjrrlace
Owner J U B f 41)�W} incudis vent see footnote 11,2 9.65
4) Suspended healer,wall healer
maiiing Addreea or floor mounted heater see footnote 1,2 9.85
35 S4,c"Ls-kc, 1--Ck� 5 Vent not Included in a Ilance nennil 4.75
csyretau Zip Pnonr Check all that appy. 'Boiler Heat Air
Frw items 6-10,see or Pump Cond Oty Price Amt
footnotes 1,2 Com
6)<3HP;sbsorb unit to
100K BTU 9.65
occupant me'"Add-" 7)3-15 HP;absotb unit
_100k to 500k BTU 17.65
csy/state rep Phone 6)15-30-30 HP;absorb
unK.5-1 mM BTU 14.15
9)
9)30-50 HP;absorb
Contractor Name , unit 1-1,75 mil BTU 35 00
,50HP;absorb urut
Prior to Pe~. M&IWV Address _ >1.15 riri RTU 60.15
is"Ics a copy / ? ' .� W C/9n d /rC0 11 Air han09mg unit to 10,000 CFM
of all lioemies IStew Zip Phony 7.00
ere required If -) �/?If(z-t— 71x'. G y�d"�✓ 12)Air henoNng unit 10,000 CFM+
expired in COT or*""cans.cont.Bowl�"s Exp
a t 1.65
daWbW / D O 13)No"onabM•evaporate cooler
_ 7.90
Are:dtsct None 14)Vent fan co!knadad to a single due
4.75
or MaAdAddms► 15)Ventilation system not included in
applianct nil 7.00
Engineer cnyrslatk 4r P w
-TO)Hood served by rr lchanial exhaust
7.00
Desafbe work to be done: 17)Domestic inakteralors
12.00
New O Repan O Replace with like Jnd Yes O No O 18)Commerdel or industrial type incinerator
411.25
Residential O Commercial O i9)Repair units
Additional Inlomtahon or description of work,
/rsic ew IIU S6� r—' Wo ' lint ru .FF';uti Ck urkiwdulho d,yratfo —
7.00
NOTE: For Commercial proiads only;Units over 400 Ibs.require 1)Gas piping one to four outlets
_ structural gas cake. — Sae footnote 11 3.75
Type of fuN: oft O naturalga O LPG O eMctric O 22 More than 4 outlet each .75
Midmirn Permit fee$50.00 SUBTOTAL
1 hereby acknowledge that I have read this application,that the Information 8%r;i1RCHARGE
given is torted,that 1 am the owner or authorized agent of PLAN REVIEW 2 9l.OF SUBTOTAL
ReqtArld for ALL commerelai EWMIM aaly
the owner,that plans submitted a e in compliance with Oregcm Slate laws TOTAL i,11
£ienure d Owned gents Other Inspections and ors:
Inspecuons outside of normal business hours(mininum charge-two
hours) $60.00 per hour
Person"mPhoni ns 2. Irapectiofor which no be Is specifically Indicated (minimum
charge-half hour) $50.00 per hour
wbee 3. Addidona!plan review r*"red by changes,additions or revisions to
Foci for comnarctal pro)_ s only:
1 Provide full schemobc of existing and proposed gas line and pressure. Plans(minimum cfurge-one-h,if tour)$50.00 per hour
2. Provide drawings to scats showkmli existing and proposed mechanical *State Contrador Boiler Certification requirod
ups• _ "Residential AIC requires silo plan showing placement of unit
I:Vtachpert.dot rev 7/19199