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CIYY OF TI'ARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4173 Business Line: 639-4171 MST
BLIP _
Date Req jested ��� g "-C>o -AM---PM
/ / _a BLD
/
Location � t( �� � ' �+'utiticled � e —
Z /' • Suite MEC
Contact Person __— - �� ego 7' _ Ph _-D to /2 PLM _
Contractor /=� _ Ph SWR
BUILDING Tenant/Owner c�_�� S�U L'g ELC _ ~
Retaining Wall ELR —
Footing _
Foundation Access: ; ��✓� �
l/ �� `��� �) FPS
Fig Drain — —
Crawl Drain Inspection Notes' SIGN
Slab _ — --
Post& Beam --- --- -- SIT
Ext Sheath/Shear
Int Sheath/Shear ----------•---
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise
Final
PASS PART FAIL
PLUMBING _ — —
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer — ---_--
Rain Drains
Final ---- - -----
PASS~- PART FAIL
Post& Beam --- _----- ---_-- _
Rough In —
Gas Line - ---- --— _.
Smu j ampers
I P PART FAIL ----- -----__--_--.� .
Fk CTRICAL
Service
Rough in ------
UG/Slab
Low Voltage -- — _—
Fire Alarm
Final - ___---------------- - -- — --
PASS PART FAIL
SI TiE
Backfill/Grading --------- --- -
SanlLwry Sewer -_-_- -- —_
Storm Drain i j Reinspection fee of$— requited before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Bes;n
Fire Supplv Line j 1 Please call for reinspection RE _ ^_ [ J Unable to Inspect-no access
ADA
Approach/Sldewall, 6. �y
Other _ Date _ inspector //! / Ext 'Y
Final '--
PASS PART FAIL DO NOT REMOTE this inspection record from the job site. +�
I
CITYO 1 T I GA R® MECHANICAL PERMIT
DEVELOPMENT SERVICES F'ERMII'#: MEC20(,O-OC245
13125 SW Flail Blvd., Tigard, OR 97223 (503) 639-4171 DATE: ISSUED: 06/19/2P100
1S134AC-01000
SITE ADDRESS: 1 1406 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R-4 5
BLOCK: LOT: G; 8 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN:� EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/0 APPL: VENT SYSTEMS:
STORIES: BOILERS;C_OMPRESSORS HOODS:
FUEL TYPES — 0 - ;i HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: RTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESS'IRE: 50 + HP: WOODSIOVES:
FURN < 100F. BTU: 1 _AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: — OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Install new gas furnace, gas line and air conditioning unit. A/C units cannot be placed within the required
setback areas.
Owner: FEES _
PFALLER, KELLY J/JAS ETTE L Type By Date Amount Receipt
11406 SW IRONWOOD LOOP P�1MT GEO 06/19/20( $50.00 0003()"q
TIGARD, OR 97223 5PCT GEO 06/19/20( $4.00 0'002
Tot $54.00
Phone: _..
Contractor:
ROTH BEATING
ROTH ZACHERY HEATING INC
PO BOX 123; REQUIRED INSPECTIONS
CANBY, OR 97013 Gas Line Insp T
Phone:503-266-1249 Heating Unt Insp
Reg#: LIC 00014008 Cooling Unt Insp
Final Inspection
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore
Specialty Codes and all other applicable laws. Ali work will be done in accordance with approved
plans. This permit will expire if worts is not siarted within 180 (lays of issuance, or if work is suspen led
for more than 180 gays. ATTENTION, Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. those rules are set forth in OAR 952-001-OU O through OAF 952-OC1-0080.
You may obtain copies Qf these rules or Orect questions to OUNC by c 11inlg ( 3)246- 189.
Issue By: ( - i� Permittee Signature: �.
Call (503) 639-4175 by 7:00 P.M. for inspections needed the n xt busines day
Recelvec': (3/15/00 17:01 ; 503 5913 1900 -- ROTH HEATING & A/C; Page 1
06/15/00 '1'11111 16:22 FAX 503 598 1960 CITY OF TIGARD 000i
Plan Check 0
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E._ _
(503) 639-4171, x304 Uate to DST--_^ —
Print or Type Permit
Incomplete or illegible app lications_will not be accepted Called
- ---- Name of rte,,topm UP led Description
Table 1A Mechanical Code oty Price Amt
.1011 S1ree1 A�1 nsa SnfteN A Permit Fae I 16.00
�+ I) Furnace to 100,000 ETU
Address ���£ <,U I u,') v1-- including ducts&vents see footnote 1,2 _ 9.65
t31dgN ilIV/Stale Zip 2) Furnace 100,000 BTU+ —
ick" including ducts&vents see footnote 1,2 _ 1200
Name(or name of bushass) 3 Floor Furnace
C, - ged including vent se_o footnote 1,2 9.85
I owner ) -- 4) Suspend //eater,wall heals r i
Moiling Addressor floor mounted heater see footnote 1,2 1 9,65
_ 5) Vent not included in aplisn_ce �ermk 475
Coy/State zip Phone Check all that apply- 'Boller Heat Air
For Items 6-10,see or P:,.-.!TIP Cond r y Price Amt
Name(or name of business) footnotes 1,2 Comp — —
6)<3HP;absorb unit to
i00KBTU _ _ 965 _
Occupant Meilirg Address 7)115 HP,absurb unit
100k to 500k BTU _ _ 7.65
cityrstate tip Pluone — 8)15-30 HP;absorb
unit.5-1 mil BTU _ 24.15
r d)30-50 HP,absorb-
Contr>lctor Name — unit 1-1.75 mil BTU 36.00
'(0ZA1 7 info .(_0 C L A 1 G 10)>50HP,absorb unit --- — — "- --
Prior In permit Mautng Address >1.75 mil BTU _ - _ 60.15 —
issuance,a copy " ff f7:I 1 ,//ri 11 Air handling unit 110 10,000 CFM
of all licenses r.ty/State Zip Phone _ _ _ 700
are required if in„{r_ Oil_ 7 4 C' / '10 12)Air handling,unit 10,00(':..rM+ —
expired in COT G:agnn at Cont,Board LIc.0 Ex Dale_ _ 11 65
database 13)Non-portable eva^irate cooler
Architect "a"1e _ ___— — 700
14)Vent fan connecied to a single dud
------- — 4.75
or MinAddress - -- --
15)Ventilation system not Included in
appliance permit _ _ _-r.00 _
Engineer c'lyrslal' —zip Phone 16)Hood served by mechanical exhaust
7_00 --
r Describe work to be done 17)Domestic Incinerators
12.00
NewRf Repair O Replace with like kind: Yesk No G 18)Commercial or Industrial type incinerator
25
Residential�f Commercial 4840
19)Repair units
Additional Information or description v'(work ----
20)Wood stove/gas FP/other units/clothe dryer/etc.
7.00
NOPE: Fbi Commercial projects on y,bots over 400 lbs.require 21)Gas piping.me to four outlets
structural gas calcsSee footnote 1 1 _3_75
Type of fuel. oil O natural gas R PO O Tr electri-.O 22 More than 4-per outlet each T— 75
_Minimum Permit Fee$6.0__.00 SUBTOTAL
I hereby ackrowledge that I have read this application,that the information _ 8%SURCHARGE _
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner,that plans submitted are,n complienx with Oregon State lawsRe"r ulred for ALL commerc I ermitsonly
TOTAL
kl
gnetdrill of O ner(Agent —,—-— Dots
�Y "they-Inspections and Fees.
J, 9_ 1. Im0ectlons outside of normal business hours Imininum charge-two
Porsoili NoJ Phone hot iia) $50.00 per hour
2. Inspections for which no lee Is specifically Indicated (minimum
T T v�,), t, _ (�(o I charge half hour) $50.00 per hour
00 of for cixrlmerclgl projects only: I 3. Additional plan review required by changes,additions or revisions to
Provide full sch^matic of existing and proposed gds line ano pressure h!ans{minimum charge-one-half hour)150.00 per hour
2 Provide drawings to scale showirn existing and proposed mechanical r
units *State Contractor Boller Certiflca'.nn iegwr_d
-- ------ --— ------- — "Residential A/C requires site plan showing placement of unit
h\mechperlr.doc rev 7/19/99
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