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12765 SW GLACIER LILY CIRCLE N 0) U1 cn r I D 0 r_ r n r m f I� I � I Ai I7 mslD ID Ms 99!zt CITY OF TIGARD BUILDING INSPECTION DIVISION MSP 24-HotIr Inspection Line: 639-4175 Business Line: 639-4771 N `�-- - — � BUP // -0��Date Requested � AM 0'5 M BL-13- Location ,�-.�'7C� ��'�',e� •, � ��Z• Suite MECy'Z'1G1�C� Contact Person Ph _ ? PLM Contractor —_ Ph — SWR BUILDING Tenant/Owner _ _ —_ ELC Retaining Wall ELIR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes- Slab SIT Post&Beam Ext Sheath/Shear �� ' Gh ` Zit Int Sheath/Shear Framing s_� Insulation lurywall Nailing Firewall Fire Sprinkler -- --.-- - ---- _-- _ -_ --_-- ----- ---- Fire Alarm Susp'd Ceiling - --_- ----- ----- - -- --- Roof Misc: - ----- ----.. _ _ - — -- —-- 9nal PASS PART FAIL — Pl.UMBING 77st&Beam - -- - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL, Post& Beam Rough In Gas Line - - -- _ - -- - - -._ ----- ---— 6uu,4e Qam;�ci , ASS PART FAIL Service Rough In UG/Slab _ -- Low Voltage Fire Alarm -_- - — - — Final PASS PART FAILSITE 'i BackfilliGrading - -- - _ --- — -- ----- Sanitary Sewer Storm Drain [ j Reinsp4ction fee of$ required before next ir•spection. Pay at City Hall, 13123 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please c.ill for reinspection RE: [ J Unable to Inspect-no access ADA Approach Sidewalk (�_= _ Date Z � t' –! _Inspector Ext Other Final - PASS PART FAIL I DO NOT REMOVE this inspection record from the job site. i x CITY OF TIGARD MECHANIrAI_ DEVELOPMENT SERVICES r`�=KNIT PrRMTT 1t. . , . . . . : MEC99--0O330 13125 SW Nall Clvd., Tigard,OR 97223(50th U-,-)-4171 DAT1' T 3SLIEI): PARCEL: i c 133DA--O29O0 .)ITF' ADDRESS„ . . : 12767'' SW Cil-ACIE'R I....II-.Y CIR )UBD'_V I r I CIN. . . . : AMART SUMMERL.AIKIT ZONING: R--'7 '3L.001!. . . . . . . . . . . I.-CIT. . . . . . . .. .. . . . . :051 JURTC`iDICTION: TIC; ------------ ('I_.ASC3 OF WORK! . sOTR FLOOR FURN. . . . : 0 EVAR COOLERS: 0 TYPt- OF USE. . . . SF UNIT HEATERS. — 0 VENT Ff)NS. . . : 0 OCCUPANCY ORF'. . :R;-', VENTS W/O AM[— 0 VENT 9YSTFMS: 0 ~TORIES. . „ . . . . . : 0 SOILERS/COMPRE,.'3SO %q HOODS. . . . . . . : 0 T-tJEL. TYF'FS-..._ .....__ __.._. ..._... 0..;, Hp. 0 DOMES. I PSC I N: 0 :WOD 3-15 Hr. . . . : 0 rC1MMl.., I Nr T N: 0 11AX INPUT: 0 nTU 15_..x0 HP. . . . : 0 PEPA T P UNITS- 0 r T RF Dn1 !!-,rP i 1. . . -30-..50 HP. . . . . 0 WOODSTOVES. . . 0 GAS PRC SSUR!". . . 50.4 HP. . . . : 0 C.'I_O DRYERS. . : 0. NO. OF UN I Tr_...-.-..----._..-.___.... ATR HANDI..T NG UN1I TS OTHE=R UNITS. : 1 '-IJRN ( 1O0V PTIJ: 0 C= 1.0000 c f m : 0 f)AS OIJTLCTS. : 0 r-URN ; -10r0F' PTI. : 0 ) 10000 c•Fm : 0 1?rm.n-i-<5 Installation of wood fireplace insert, (.)wnnr: __._.. __._..._- --_.______._.._.__.___._._.._...._.___.___.______.___._._ .. _.___._.__ FEES rldgRL.rS (3) OAY type ama (I1!; by 'iate rec_pt 12765 SW Gl,14C T E R 1. T L.Y C I RCLF. PRMT $ 25. 00 DEB 01/80/99 99-31;7.319 TIGARD OR 137;-2123 -Pr-T s 1 „ '715 017713 01;1220/99 '9'9—:"1^31.0 Phone -4 : CAS"ADF' rl-ITMNFY CORE ROBE MILI_E"R ..._... PO DOX 775 'r,. .:' ; TnTAI.. FSTACODA OR 9702.755 Rr�cl #. . 11110 REDU I RED 1 W)PECT T ONS This pereit is issued Subject to tha regulations contained in the Mprhanical Insra Tigare Municipal Ccde, State J 0•e. Specialty Codes and all other Fire Damper, In1p applicable laws. All work will be done in accordance with Mi.sc. Inspprtiorl approved plans, This pewit will expire if work is not started Final Inspect ion _ e_ within 190 days of issuance, or if work is suspended for sore than 190 dav:. PTTE7JTION: Oregon law requires you to follow rules adopted i:y the Oregon Utility Notification Center. Those rules are set forth in DAR 952401-P10 through OAR 9W-01-WO. You say obtain copies or thtse rules or direct questions to CIl1NC by calling II04E-9197, *+ }.{.4 {-.4-++++4,+.+-+.++++++-++++++++4 4 { 4 { { i 4.4-4--I-++4-4•M4-++4+++-f.....+-r-4++4 1 +.+.+4-+-I ,_.r.,.+-{ Call E7759 4175' l,y 77:00 p. m. f,i)- itrc,pecrtion-, nendr.d tl?? next b�rsinecs tLjy �.-..F 4 4 F..F..4++4..++f+++{..4..1.4•++++4 i a- i t { t i 1 t i I A i S .t ?_1 t i J .t r .. t r A I I I c f t i I i > > i. heck# CITY OF TIGARD Mechanical Permit Application Plan PlanRec' by ► �— 13125 SW HALL BLVD. Commercial and Residential Date Rac'd_Z_� TIGkRD, OR 97223 Date to P.E. (503) 639-41, 1, x304 Date to DST Print or Type Permit# Incomplete or illegible ,applications will not be accepted Called Name of UevelopmenUProjec! Description Table 1A Mechanical Code G Prire A-nt Jot) A) Permit Fee �v Street Address � gt�Ns9t 10.00 1) Furnace to 100,000 BTU _ Address �Zl(O� 544tr�lo(,/r� LIIGC including ducts&vents 6.00 ©Idga city/stateZIP "► f�n _ 2) Furnace 100,000 B7U+ _ `- 1 c V!L ( n including ducts&vents — 7.50 !No re(o-r,�name of business) /- 3) Floor Furnace Owner �'�►�' 1 e S (,) cxq including vent 6.00 Milling Address 4) Suspended heater,wall heater or floor mounted heater 6.00 5) Vent not included in appliance permit Ctty/state �` Pfmone 3.00 j ( vU tp-G1 y]. Z'f- 1 J CHECK ALL *Boiler Heat Air Name or name of business) THAT APPLY: or Pump Cond Qty Price Arr, _ Comp --- __.-.__-. 6)<3HP;absorb unit to — Occupant Mailing Address 100K BTU 6,00 7)3-15 HP;absorb unit CRY/Slate Zip Phone 100k to 500k BTU 11.00 8)15-30 HP;absorb - - unit.5-1 mil BTU _ '5.00 Contractor Nene t^ Nw�Nt: of c - — `, 9)30-50 HP;absort Zi.Gtr1- r(�LttR� unit 1-1.75 mil BTU _ 22.50 _ Prior to permit Maus 10)>50HP;absorb unit issuance,a co. >1.75 mil BTU _ 37.50 _ of all licenses cttyfstate Zip Phone 11)Air handling unit to 10,000 CFM are required If ef)0 ��7i, >.-3 1_, y �j\4� 4.50 expired in COT Omgor4 Con _Cont Board LICA Exp.Osto 12)Air handling unit 10,000 CFM4- database I l I <j 5 �(� _ 7.50 Architect Name 13)Non-portable evaporate cooler _ _4.50 Or Mailing Address 14)Vent fan connected to a single duct 3.00 _ 15)Ventilation system not Included in Engineer CnyrState Zip r'nnne appliancee�rmil 4.50 16)Hood served by mechanical exhrvst Describe work to be done —- 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 317.00 Additional information or description of work 19)Repair units _ 4.50 20)Wood stove 4.50 21)Clothes dryer,etc 4.50 Type of fuel _oil O natural gas O LPG U_eleCiric O 22)Other un}W 4 50 I hereby acknowledge that I have read this application,that the information 23)Gas piping, r{e tL fobir outlets given Is correct,that I am the owner or authorized agent of 2.00 the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each) 50 Signature of Owner/Agent, T Date r- Minimum Permit Fee$25.00 SUBTOTAL Z G� 5%SURCHARGE ✓� ct Contact PPrsun Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial rmits onl T TOT OTAI 'State Contractor Boile, Certification required "Residential WC requires site plan showing placement of unit 1 lmechperm doc rev 07/20/98