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11175 SW BOXWOOD CT.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 BusinPs, Line: 339-4171 MST _-- --
_ / BUP _
Date Reque,-ted- f(�j 7 AM —_PM -/ SLD _
Lo(,ation U)0-z LO �:� Suite
- -�=- MEC ���!�1-!1-D`✓
Contact Person !. ���� �I�'���A C'(i_ Ph `',2 S' 6'��' PLM
Contractor - Ph _ SWR _
t
ILDING Tenant/Owner � q ,( l ELCtaining Wall- ELR
Footing Access: -
iFoundatio,i FPS
Ftg DrainCrawl Diain Inspection Notes SGN
ISlab -------- - SIT
Post& Beam -
Ext Sheath/Shear �' L
Int Sheath/Shear -
Framing ---- - - ----- -----Insulation
Drywall Nailing
Firewall
Fire Sprinxler --- --- --------- - - - -
Fire Alarn
Susp'd Ceiling _--- -_
Roof -----
Misc: -- _
Final
PASS PART FAIL_
PLUMBING
Post& Beam ----- -- - --
Under Slab 57
Top Out --
Water Service
Sanitary Sewer ----
Rain Drains I --- - -
Final -
PASS PART FAIL
Post& Beam___ -- ----- -- - -
Rough In
Gas Line -- --
Smoke Dampers i
PART FAIL -
ELECTRICALService
Rough
UG/Slab
Low Voltage _-- - -- -- --- ------
Fire Alarm _
Firal - -
PASS PART FAIT
ISITE
Backfill/Grading --- �- - --------- -_
Sanitary Sewer
StDFm Drain [ j Reinspection fee of$ - required before next inspection Pay at City Hall, 1317.5 SW Hall Blvd
Conch Basin
Fire Supply Line [ J Please call for reinspection RE: - --_-, [ ] Unable to inspect- no access
ADA
Approach/Sidewalk
Other -__ Date I I t _ Inspector �! �? Ext
Finol 1
PASS PART FAIL DO NOT REMOVE this inspection rar ord from the job sits.
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CITY O F T I G A R� _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00453
13125 SW Hall Bled., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/251 19-99
PARCEL: 1 S 134AC-02624
SITE ADDRESS: 11175 SW BOXWOOD CT
SUBDIVISION: ENGLEWOOD N0.3 ZONING: R-4.5
BLOCK: LOT: 181 JURISDICTION: TIG
CLASS OF WORK: ALT F'LOOP FURN: EVAP COOLERS:
TYPE OF USES SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: 1 VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_FUEL TYPES 0 3 HP DOMES. INCIN:
3 15 HP. COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNI-3:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: __AIR HANDLING UNITS CS:
OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Irstall gas fireplace insert, vent not included in appliance, and gas piping.
Owner: _FEES s _
MAHONE, GARY R + APRIL H Type By Date Amount Receipt
11175 SW BOXWOOD CT PRMT KJP 10/25/19 $50.00 99-319303
TIGARD, OR 97223 5PCT KJP 10i25/19� $4.00 99-319303
Phone:
Total $54.00
-- —
Contractor:
ANCHOR FIREPLACE PRODUCIS INC
14175 SW GALBREATH DR
SHERWOOD, OR 97140-9170 REQUIRED INSPECTIONS
Gas Line Insp
Phone:925-8888 Misc. Inspection
Reg #:LIC 102814 Final Inspection
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State. of Ore.
Specialty ::odes and all other applicable laws. All work will be done in accordance with approved
plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility islotification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain czq5i$s of these rules or direct questions to OUNC by calling (503)246-9189.
Ile
Issue By: � �_�,`,,, Permittee Signature:
Call (503) 639-4175 Ly 7:00 P.M. for inspections needed the next business day
08/20/99 FRI 16:55 FAX 503 598 1960 CITY OF TIGARD IM002
Plan Check#
CITY OF TIGARD RECEIVE MechanIca I Permit Application Recd By
13125 SW HALL BLVD. C ornmercial and Residential Date Recd _
TIGARD, OR 97223 OPT 2 01999 Date to P E.
(503) 639-4171, x304 Date to DST
COMMIINI iy DEVELOPMENT Print Or Type Permit#►h1G�S�
Incomplete or illegible a plications will not be accepted called ---- --
Name or Development/Projeci DesCflphOn -_----
\� Table 1A Mechanical Code _ A ON rice Amt
Job Street Address (�f Sunea A) Fee_ Y_y 16.00
� 1) Fumsce to 100,000 BTU
Address ` `� ..91. l,l)Docl including ducts&vents see footnote 1,2 9.65
aidg# Ci /slab zip _jl 2) Furnace 100,000 BTU+
'. . G �,L /J d _ including ducts&vents see footnote 1,2 12.00
Name(orn of business) 3) Floor Fvrnace
Owner . �,,� Yl C'YuQ_ Includin velt_____ see footnote 1,.2 9.65--___
Mailing Address 4) Suspended heater,wall heater
or floor mounted heater see footnote 1,2 9.65
5 Vent not included In appliance permit __ 1 4.75
cilyislale Zip Phone Check all that apply 'Boller Heat AIr
! t iq For Items 6-10,see or Pump Cond sty Price Amt
Name(or namof businesal }OOtnOt@!1,2 Comp
e
- 6)<3HP;absorb unit to
100K BTU 9.65
Occupant Mailing Address 7)3-15 HP;absorb unit
100k to 500k BTU 7 65
citylstale--� Zio Phone 8) 15-30 HP;absorb - —
unit 5-1 mil BTU 24 15
--- 9)30-50 HP; absorb
Contractor Nae"° II unit 1-1 75 mil BTU 35 00
10)>50HP;absorb unit
Prior to permit Mailing Address 1.75 mil BTU ___5o 15
Issuance,a copy I� `_^✓`- ;? L G 1. 11 Air handling unit'o 10,000 CFM
of all licenses cl,§tate Z19 Polo a 700 _
are required if li_ LI 'l; ��" ��1 ti'i 12)Air handling unit 10,000 CFM+
expired in COT Oregon Crxut.Cont.Board Lie.O Exp.Data
database ) (_. (t `' 13)Non-portable evaporate cooler
Architect NdTe 7 00
..--- 14j VVent tan connected to a single duct
_ 4 75
or Mailing Address 15)Ventilation system not Included in
_ applianceeur,! _ 7.00
Engineer Cdy1S1lale Zip Phone _1—6)Hood served by mechanical exhaust
7.00
Describe work to be done. —� 17)Domestic incinerators
12.00
New O Repair O Replace with like kind. Yes O No O 18)Commercial or industrial type incinerator
_ 48.25
Residential gr Commercial O 19)Repair units
AdYitional Information or description of work. — 8.40
20)Wood stove./qa3 Mother units/clothe dryer/eta r.
7.30
NOTE: For Commercial projects only;Units over 400 lbs,require 21)Gas piping one to four out
structural gas calci. See footnot, 1 _ 3.75
Type of fuel: oll O natural gases LPG O electric O 22 r"ore than 4-per outlet(each) .75
Minimum Permit Fee$50.00 SUBTOTAL C'
I hereby acknowledge that I have read this application,that the information — r�71.SURCHARGE
given is correct,that I am the owner or authorized agent of Pt AN REVIF'V 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws. Re u9 fired for ALL commercial permits only
_ TOTAL
Signature of OwnerfAgent Daft
16',( Other Inspections and Fees: 4'
ryLJ - L i til L ��r I I,. 1. Inspections outside of normal business hours(mini charge-twin
Coert Pers Name Ph—ons�'T— hours) $50.00 per hour
' c 2. Inspections for which no fee is specifically indicated (minimum
charge-half hour) $50.00 per hour
Foonotes for commerclal protects only: 3. Additional plan review required by changes,additions or revisions in
1. Provide full schematic of exisfing and proposed gas line and pressure plans(minimum charge-are-halt hour)$50 00 per hour
2 Provide drawings to scale showing existing and proposed mechanical
units. _— _— ,, 'State Contrartur Boiler Certification required
—Residential A;'C requires site plan showing placerr^nt o!unit
I Nmechperm,doe rev 02/4199