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9573:) SW PRElV1'W)OD PLACE
CITY OF TIGA':D BUILDING INyiPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 / MST - -- ----
8UP
Date Requested ���-�-APM --
L BLD
Location
Location_ ,7 J r�1(.( ; -">x:^'.7��;� f•� Suite
Contact Person _ + Phs�� PLM
Contractor r Ph SWR
rBUILDING Tenant/Owner ELC —_
Retaining Weil � -�--_�
Footing El_R �------ --_
Access:
Foundation
FPS
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab - ------- — -- ---- --- SIT
Post& Beam - - —
Ext Sheath/Shear
Int Sheath/Shear
Framing l' ��5 di,ce�r f i. ?=��%
Insulation
Drywall Nailing -
Firewall `
Fire Sprinkler2i' __�---
Fire Alarm
Susp'd Ceiling
Roof -
Misc — --- - --- _.^---- --- ---
Final
PASS PART FAIL ----- _ !-
PLUMBING
Post& Beam -�-
Under Slab
Top Out
Water Service
Sanitary Sewer - -_- - -� --'
Rain Drains
Final ----
PA63 `-PAR3, FAIL
_ MECHANICAL -_W------------_----------- -----..-`.--�-- ------- _�
P
joosstt&� �Beam
as-l_ine� -- ------_ — -
mo e a ers
Final
2-22PART FAIL _ --- i-`---
ELE_CTRICAL -------__�
Service
Rou
gh In n -- -__
UGISIab
ow Voltage
Fire Alarm
Final
PASS PART FAIL -----__�--_----
BITE --
Fiarkfill/Grading -_�.---__--_--
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$ required bef-ire next inspection Pay at City Hall. 13125 SW Hall Blvd
Catch Bann
Fire Supply Line ( ]Please call for reinspection RE ,A _ _ ( ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other _ _ Date �' — Inspector _-. —Ext _--
Final
PASS PART _ FAIL_j DO NOT REMOVE this inspection record from the job site.
CITY CF TIGARD
MECHANICAL
- , DEVELOPMENT SERVICES PERMIT
13125 SW Na1191vd.. Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC98-0440
DATE ISSUED: 10l01198
PARCEL: 2S 1 1 1 CD-0?j60;Zr
ADDRESS. . . : 0958S SW BRENTWOOD PL
SUBr:VISION. . . . : SUMMERFIELD NC). 9 ZONING: R-7
BL.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . :525 JURISDICTION: TIC-;
CLASS OF WORK. . :ALT FLOOR FURN. . . . : V; EVAP COOLERS: 0
TYPE OF USE. . . . -.SFA UNIT HEATERS— : 0 VENT' FANS. . . : 0
OCCUPANCY GRP. . r R3 VENTS W!() APDL.. : 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
,FUEL TYPES-.------------ 0-3 HP. . . . : 0 DOMES. T N(:I N: 0
:GAS 3-15 HF'. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVE S. . : 0
GAS PRE=SSURE. . . : 50+ HP. . . . : 0 CL.0 DRYERS. . : 0
NO. OF UNIT'S --- -_--- --- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K RTU: 0 ! 1.0000 efm: 0 GAS OUTLETS. : 1
FURN ) =100K BTU: 0 ) 10000 c_f m : 0
Pemar-ks : Bas piping
Owner: --- -- - -- -.___ .____._______________ FEES
CATHY ULWELLING type amol_int by date r^ecpt
9585 SW BRENTWOOD PL F'RMT $ .D5. a0 B 10/01/98 98--.309635
TIGA+RD OR 97224 5PCT $ 1, :'S B 10/01/98 98-30963,
Phone #:
Contractor^:
R D PLUMBING INC
13900 NW SPRINGVILLE RD ----___-_________------_.--_---___.-
¢
PORTLAND OR 9729 26. 25 TOTAL.
Phone #: 297-7422
Reg #. . : 739
-- -- -- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulat ons contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I►rspect i.on
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 188 days of is;uance, or if work is suspended for more
than IN days, ATTENTION: Oregon law requires you to follow rules
adapted by the Oregon Utility Notifir_ation Center. Those rules are
st-t forth in OAR 952-881-Pl8 through OAR 952-081-OW. you may
obtain copies of there rules or direct questions to Ol1NC by calling
(43)246-9187.
By - �'��_-- Fer mittee Signati.ir
++++++++++++++++++++++++++++++++++++++++++++++++*++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for- inspections needed the next bkrsiness day
+++++++++t•+++++++++++i++++++++++++++++++++++t•++++?+.4-++++++++F+++++++++-F+ t A-++•++4
Han Vhe �—
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TiGaRD, OR 97223 Date toPr.E.
639-4171 x304 Date to DST
(503) Permit*
Print or Type
ce ° .
Called
_ Incomplete or illegible applications will not be accepted
i Name of UeveiopmenvPropa — DescnptlonZL
x' _ ;+�
Table 1A Mechanical Code QTY PRICE
IF
A) Permit Fee -0• -0-
Job S~Addresssuii a , 1000! rY
Address 9585 SW Brentwood lace
rlapM cityrSute Zip 1.) Furnace to 100,000 BTL. 6,
Tigard, OR 97224 including ducts&vents
Nuns(of name d business) 2.) Furnace 100,000 BTU+
Owner ) ' Uwe] 1 Ing including duds&vents
Mailing Address 3.1 Floor Furnace 8'
Ell n ITIe including vent
cowl' tats zip Phone 4.) Suspended heater,wall neater
floor mounted heater
None for name of business) 5.) Vent not included in appliance permit 3'
Occupant Mailing Adom" 6.) Boiler or comp,heat pump,air coed. b'
_ to 3 HP;absorb unit to 100K BUT"
CirylSuls —+ Zip Phone —� 7.) Boder or comp,heat pump;air.,cond.
_ 3-15 HP:absorb unit to 500K BTU"
Contractor Nems 8.) Boller or comp,heat pump,air coed: f
(Pnor to R. U. P 1 um h i n ,, Inc. 15-30 HP;absorb unit.5-11mil,BT,U;,,b;z
issuance Mailing Address 9.) Boiler or comp,heat pump r:air'W
applicant 13 900 N.W. S p r t ngv 1 1 l e Rd _30-50 HP;absorb unitil-1.75m111
must proBide all Crtyrsuu Zip Phone 10.) Boiler or comp,heat pumpl�alt�Oq
contractor Portlnrid, OR 9722 297-7422 >50HP:absorb und1'75ml s a
license Oregon Const ConL Board uc.M Exp.Dns 11 ) Air handling unit to 10,000 CFM
infornallicn 73913 06/99
for COT CUT Business Tax or Msiro s Exp.Dabs 12.) Air handling cnd 10,Ori0 CFM All11111111111111i
database) 1094 07/01/'J1)_
Architect Name 13.) Non-portable evaporlte cooleror
Mailing Address 14) gent fan connected to a single duct *T
Engineer cifyrsbaie vp Phone 15.) Ventilation system not Included in"'`:+ih "" r
appliance permit _
Describe work New 0 Addition Afterabor Repair 0 16) Hood served by mechanical,exhaust';.
to be done_Residential O lion-residential O _
Additional Descnption of work _A 17.) Domestic incinerators
18.) Commercial or mdustnal type r
_Incinerator
E sting use of — 19) Repair units
building or property_ sini lt, re.:>idential
20) Wood stove
1 h.
Proposed use of r a ni e 21 ) Clothes dryer,etc. " }
building or property
22,) Other units
Type of fuel-oil O natural gas LPG O electric 0 23.) Gas piping one to tour outlets
P
I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) ,
information given is carnet:,that I am the uwner or authorized agent of
t ie owner,that plans submitted am in compliance with Oregon Slate QTY.SUBTOTALI }
laws. —_
Signature of OwinerlAgent Date *SUBTOT L
-----_ 50, SURC4jQ= '
Contact Person Name — Phone —PLAN REVIEW 251,16 OF SUBTO ,
4�
L1dstVTxchpmtdoc (rev 9 'Minimum permit fee is$25*5%surcharge
"Residential A/C requires site plan showing placement of,u