9055 SW 70TH AVENUE ADDRESS :
90554S
7p0l'4AVarIC-
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: — ` A.M, P.M. MST:
Location:
70 BUR
Tenant: Suite: Bldg: MEC: c e) a 9
Contractor: T Phone: (� G�7 PLM:
Owner:_ _ Phone: ELC:
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING 64k- ELECTRICAL SITE
Site Post/Beam Post/Beam as ,/y Cover/Service Sewer/Storm
Footing Roof UndFI/SlabCeiling Water Line
ou �_ l
Slab Framing Top Out Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Dtywalt Storm Furnace Temp Service misc.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I'um Low Volt.
Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved o oved Not Approved Not Approved
FINAL FINAL SINAL FINAL FINAL
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C7 Call for -in i D Reinspection fee of S r rued he re next inspection O Unable to inspect
inspector._ _ 1)ate: page of
CITY OF TMECHANICAL
DEVELOPMENT SERVICES PC.RMIT
i3125 SW Hall Blvd., Tigard,OR 97223 (503)639.4'.7iPERMIT #" . . . .
' MF_C7 `
DATE T^SLJFD. /0.6/97
Pr1RCEL: 15125DD-01501
S I TE Ar}P.KESS. 7113057 SW 70TH AVP.
SUADI V I S ON. . . . : SHADY DELL ZONING: R...4. 5
nI C)CL(. . . .. LOT. " . . . ,. . . . . . . . .. 13 JURISDICTION: TIG
l'l._ASJ 3 OF WOIRK. . :OL T rLOOR f URN. . . . : 0 f:vnr, Co-JLCRS: 11
'HYPE LIF USE. UNIT HEATERS. . ; 0 VENT FANS. . . : 0
7,f'f7t.PANC`( 71RP. , a R?, VENT W/7 r..F'r?L.: 0 VENT' cYSTEIYI^: 0
STORIES. . . . . . . , 0 POILERO/COMPRESSORS HOODS. . . . . . . : >71
0- 14P. . . . : 0 DOMES. 1 tJC I N: Q;
3 15 HP. . . . : O COMML. INCIN. 0
i'lCX Il%1l`'UT i 44 PTU 1'; SV; Hr-', . . . : +7J RE:.PA I R UN"T3: 0
ETRE DnMPERS'1. . ; -30-50 HP. . . . : O WOODGTOVCS. . : 0
r3AS PRESSURE. . . : 50+ HP. r7' Ci-O DRYC:RS. " ; 0
1.40. OF- UNITS-------- AIR HANDLING UNITS OTHER UN T Tc. : 1
1JRN ( 121OR RTIJ. 0 10100 cfm; 0 033( i r'0JT1.., 7 , ; 1
TURN } 1OOK DTU: 0 > 10000 cfm : 0
R e m ct, ! s . Aad gas fire place insert and add gas outlet.
Clwrlel, : _.. . _. .. . __. ....._ _._.... ..., _-1 _..._ _. I`CEa — _.....w
RALPH DYE type arnc.r.m!; by date recpt
9055 SW 70TH P41'T t, 25. 00 Gr7O OB10G/17 97-29i_
TIt3ARD OR 97 ,23 5PCT $ 1. 25 GEO 08/06/97 97-0.'9E100
Pliune #;
T n K JyT CHAN T Cr1L_
TIMOTHY S WYNNE __..___ __...__.. ..___....__._._. .__..._._._.._ ._ ._....._.._.. .__
15555 "J"14 7f,TH rVA I. i G -:5 TOTAL
RE OVERTON OR 97205
/,G'' 4
RtoN ft. " 001$-11
REOU I RED INSPECTIONS -
''his persit is issued sab jest to t`ie regulations contained in the Gas Lina I rt s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Ills[)
applicable laws. All work will be done in accordance wits: Misc. I n s pe"c,t, i u n
approved plans, This pet-tit will expire if warty is not started F i It a l 11 B rae+ l icon
within 18@ days of issuance$ or if work is suspended for sore
an t38 days. ATTCNTiOh's Oregon law requires you to follow rules
ad;;:'ed by the '7r•egan Utility Notisication Center. Those relies are
.e' festa in OAA 95c @@t AiO thr a�agh OAR 9584**-Mt. sal'
es or direct questions to OIJNC by calling
' ....... ,::r:i 4fl z 1.'i. 71 .: r'.l�I1d�;7.1r'Q :�.✓' ��
i' �•_iy ,.,.._..-rte
+.4_..4.}.+_{ $.+++ 4..{..4._4...4 4 4 4-4•++•4-1....+++-4.1..,. a.4.4..1.,.4 .$ ,7 t + l 4 4+++++# 4 4 +++'+'+-1.4 -r 'r t 4
>, 1. Ca51, 41 4'l I.,. tri. Finss1-:;'.' ' ,. , a,.,d i,tie nasx'L day
1..,1...E 4+4 4 ^F-M.,4.4 1 .4 {.«}.+.r...4.4..4.$-+ 4 4.4.4+4 C'+4 .1. ...4.4,1+ i 4. 4 4 .1.1 4 .r 1..4 4 7.4.+..4..4 4 4 ;
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 Cate to DST
Print or Type Permit#,/AW -(77`
Incomplete or illegible applications will not be accepted Called
Name of Developm, -'sect Description
Table to Mechanical Code CITY PRICE AMT
Job Street Address suite# A) Permit Fee -0- -0- 1000
Z
Address �': �' ' 7'
Bidq State Zip 1.) Furnace to 100,000 BTU 600
(PL 7zz dicludingducts&vents•
Name for name of busy essi 2) Furnace 100,000 BTU+
750
Owner Ra I yN 2 including ducts&vent"
Mailing Address 3) Floor Furnace 6.00
CJS - S 7 U /y'4� ircluding vent _
C 'StateZip Phone 4) Suspended heater,wall heater 60,0
ZYG�-7 or floor mounted heater
Name t-or—name—o-f business) 5.) Vent not inGuded in appliance permit 3.00
Occupant Mai ng Address 6.) Boiler or comp,heat pump,air cond. 605-
3
003 HP;absorb unit to IOOK BUT-
Crty'State ZIP [77. 7)) Boiler or Comp,heat purnp,air Gond 11 00
315 HP,absorb unit to 500K BTU-
1 Name 8.) Boiler or comp,heat pump,air Gond. 15.00
(Prior to 1� 15-30 HP:absorb und.5.1 mil BTU"
issuance MailrgAddress
_ _ 9.) Boiler or comp,heat pump,air cond. 22.50
applicant Z' r /�YJ�rtc��UidL 30.50 HP;absorb unit 1-1 75mil BTU"
must provide all C ty'state Zip Phone 10) Boiler or wmp,heat pump,air Gond. 37.50
contractor S/?.--c � /7 1Z (-=yS -V)/Yi—V)/Y >50 HP;absorb unit 1.75 mil BTU-
license Oregon Const.cont.Board Lic q Exp.One 11_) Air handling unit to 10,000 CFM 4.50
formation / 7 1�(--_1 LIZ � J'
for COT COT Business Tax of Metro q Exp Date 12) A,r handling unit 10.000 CFM 7.50
database). L/ ,' ' <^ J
Architect N1NTe 13) Non-portable evaporate cooler 4.50
or Mailing Addmss 14) Vent fan connected to a single duct 300
Enginleer C ty'Staie Zip Phone 15.) Ventilation system not mduded in 4.50
appliance permit _
Describe work New O Addition C AlteratiorU s_ Repair O 16) Hood served by mechanical exhaust 4 50
to be done IResicentiaPQ_- Non-residential O _
Additional Descnption of work 1Z) Domestic incinerators — 750
/ 1 B) Commercial or ine"i-tral type 3000
k Incinerator
Existing use of 19) Repair units 450
building or property
20) Wood stove 4 50
Proposed use of 21.) Clothes dryer,etc. 450
budding or pmperty
22) Other units 450
Type of fuel-oil O natural gasp(, LPG O electric O 23) Gas piping one to four outlets / 2.00 r
I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50
V) information given is correct,that I am the owner or authonzed went of
the owner,that plans submitted are in compliance;with Oregon 3 ite ` DTY SUBTOTAL
laws
Signature of OwnerfAgent Date 'SUBTOTAL 5 1 C1
5%SURCHARGE ( �
J � ct Person Namd Phone PLAN REVIEW 25°x,OF SUBTOTAL
j .7 "�,.
TOTAL
C i
i dst%mechpmt.doc (rev 9 'Minimum permit fee is S25+ 5%surcharge
"Residential AJC requires site plan showing placement of unit.