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9780 SW INEZ STREET
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
F24Hour Inspection Line. 639-4.175 Business Line: 639-4171
r SUP
}Gate Requested _ �� L �"��(� _AM_�' PM
BLD
Location �1 u('_� ��c+ Y Suite _ MEC
Contact Person ( V s --- Ph �'_ 970 3 PLM _ -
Contractor Ph SWR
13UFLDPiG------- -- 1 enant'-,.A„,,,r ELC _
Retaining Wall E!.R
IFooiing Access:
(Foundation FPS ---�-
Ftg Drair
Crawl Drain Inspection Notes: �p• SIGN
Slate —a ( � 1 �U��. SIT
r cst 8. Beam + - ---
Fxt Sneath/Shear ~'�� ��►e7 -----...__._.__-_--___--
Int Sheath/Sl-3ar
Framing
Insulation --- -_-
Drywall Nailing
Firewall ;jz:�IC-7
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Misc --�-_--
Final -- -----
PASS PART FAIL - --- -- — -------- ------------._.--- -
PLUMBING
Post& Beam
Under Slab
TopOut -- - ---------------------------- ----------------------- -- ---
Water Service
Sanitary Sewer ------ -- -------------__._---------___ ---- -_-__
Rain Drains
Final ----- ----- ---------
PASS _P.. FAIL
UHANIcA ,
Post,'!. 13earn - - --- - - - -- -
o -
. as ne ' - — --- --- --
Srno a Dampers
SS' PART FAIL
E RICAL - - - -- --
Service
RoughIn - --- --- ----------- \- - -_—_-- —_..___- -
UG/Slab
Low Voltage i ---------------_
dire Alatrn
Final
PASS PART FAIL_ ------------ -------- - - -- - ---SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [ ]Reinspertion fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call for reinspection RF. _- - [ ]Unable to inspect-no access
ADA �/ ------
Approach/Sidewalk
Approach/Sidewalk
Other - Date Inspector — � -------_— - !Ext _
Final
LPASS PART FAIL 00 NOT REM7VE Viiis inspection record from the job site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00399
13'125 SW Hall Blvd., Tigan., Ok 97223 (503) 639-4171 DATE ISSUED: 09/23/1999
SITE. ADDRESS: 09780 SV•1 INEZ ST PARCEL: 25111 BD-00100
SUBDI11:51ON: TIGARDVILI-E HEIGHTS ZONING: R-3.5
_BLOCK: LOT: 036 JURISDICTION: TIG
CLAS' OF WORK: ALT FLOOR F i1RN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS- VENT FANS:
'-CUPANCY GRP: R3 VENT'S W/O APPL: VENT SYSTEMS:
STORIES: BOI'-EERS/COMPRESSORS _ HOODS:
FUEL TYPES _ 0 - 3 HP: —�� DOMES. INCIN:
L.PG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 #- HP: WOODSTOVES:
'RN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Gas fireplace insert & gas piping
Owner: FEES
CORA CORLISS Type By Date Amount �Recei t
9780 SW INEZ -- — — - p
TIGARD, OR 9722.4 PRMT BON 09/23/190 $50.00 99-318553
5PCT BON 09/2.3/19 $3.50 99-318553
Phone:503-639.9u30 Total $53.50
Contractor:
COST PLUS HEATING -- AIR
7132 P r-EOSENDEN ST
PORTLAND, OR 97203 REQUIRED INSPECTIONS _
Gas Line Insp
Phone:286-2009 Misc. Inspection
Rrg #: LIC 000479 Final Inspection
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Statc 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 mor, than 180 days. A'TTENTION'
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 (x.)pies of these rules or direct questions to OUNC by
calling (503)246-,109.] /�
Issue By: 1(�!L V'�'�(`i - Permittee Signature: 6t
Call (503) 639•4175 by 7:00 P.M. for inspections needed the next business day �—
Plan Check
CITY OF TIGARD Mechanical Permit Application Recd By T�
13125 SW HALL BLVD. Com nercial and Residential Date Recd
TIGARD, OR 97223 Date to P E _
(503) 639-4171, x304 Date tc)DST _
Print or Type Ptrmit a�_r f11 _°` _ry
Incomplete or illegible applications will not be accepted Ca"ed _
' Name of Development/Project Description
Table 1A Mechanical Code Cty Price Amt
Job Street Address suoeX A Permit Fee -� . . ;?a; .* ', 16.00
Aadress `7?_SU SfcJ Z/x' 1) Furnace to 100,000 BTU -
t3ldgis Coy/State Zip- Including ducts&vents sec footnote 1,2 9.65
2) Furnace 100,000 BTU+
Including ducts 8 veno, see footnote 1,2 12.00
home(or name of t,usiness) - 3) Floor Furnace +
Owner �jr[�r�V(( SS l3 r'Yl l� Y+IS
Including vent _ see footnote 1,2 9_.65
Melling Address 4) Suspended heater,wall healer -
�r� St CJ �n�� or floor mounted heater see footnote 1,2 9.65
.� 5) Vent not included in appliance err„it 4.75
Coy/State Zip Phone Check all that apply: t.uiler Heat Air -
�, .M� 0.tzk "1 421=4 3q%,3o For Items 6-10,see or Pump Cond city Price Amt
Nem. (or name of business)
footnotes 1,2 Comp _
6)e3HP;absoib unit to
--_ 100K.BTU _ 9.65
Occupant Melling Address 7)3-15 HP;ahsorb unit
SL-) co Zi e 2-- 1 00b to 500k BTU -_ 17.65
CnylState Zip Phone 8)15.30 HP;absorb
_unit.5-1 mil BTU 24.15
Contractor Name (JC 9)30-50 HP;absorb
/ unit 1-1.75 mil BTU 36.00
�e (�� SQA i1G�e)� l? _ 10)>50HP;absorb unit
Prior to permit Man Ad res X1.75 mil BTU 60.15
issuance,a copy l 2.. F-,tS2 e r 11 Air handling unit to 10,000 CFM
of all licenses Coy/Stat1 Zlp Phone 7.00
are required if V la-rtj' ,�a�3 2$4 " 12)Air handling unit 10,000 CFM+
expired in COT O egos Const.Cont.board Lic# Exp.Date _ 11.85
database _f ?,q �- j ZWl 13)Non-portable evaporate cooler
Architect No-^ n 7,00
W S-r Agus b" 14)Vent fan connected to a single duct
Or Mailing Address - 4.75
15)Ventilation system not included In
._ appliance permit 7.00
Engineer cMy/State zip - Phone -16)Hood served by mechanical exhaust
7.00
Describe work to be done: l 17)Domestic incinerators
12.00
New}4 Repair O Replace wit 'Ike kind: Yes O No O 18)Commercial or industrial type ir,cinerstor
Residential)%, Commercial O 48.25
19)Repair units
Additional information or description of work: _ 8.40
20)Wood stove/has FP/other units/cloth$dryer/et,.,
7.00
NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one td four outlets
_structural gas epics See footnote 1 _� 3.75
Type of fuel oil O natural gns X LPG O electric O 22)More than 4-per outlet(each) _ 75
1.11nlmum Permit Fee$60.00 SUBTOTAL _ l
I hereby acknowledge that I have read this application,that the information 7%SURCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State ows Required for ALL commercial rmks only W
TOTAL J✓ S
Signature of Owner/Agent Date --------- ----
2 Other Inspections and Fees:
Phone
- 1. Inspections outside of normal business hours(mininum charge-two
Contact Person Name hone hours) $50.00 per hour
1. Inspections for which no fee Is sneslf?caity Indicated !minimum
charge-half hour) $60.00 per hour
Foonotes for commercial projects only: -- 3. Additional plan review required by changes,additions or revisions to
1 Provide full schematic of existing and pr000sed gas line and pressure. plans(minimum charge-one-half hour)$60.0 per hour
2 Provide drawings to scale showing existing and proposed mechanical
units 'State Contractor Boiler Certification required
- ------ "Residential A/C requires site plan showing placement of unit
I\mechperm doc rev 7/19/99