11545 SW DURHAM ROAD STE B-1 AAproved......CITY OF �
TIGAp
Conditionally gPAroved.. . .. .
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Work
ERMIT NO.
See Letter to:F
Attach...
Job Address.,
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NOTICE: IF THE PRINT OR TYPE ON ANY ISI ISI ISI I1rel ISII � T t� (�TT�IIIS 1�l I � I 'Tjl l � l ' I � IISI ISI IntISI ISI 111 f�1l �l ij 111 IAC Ii II1I1TI fCI�I i1tIl � l ISIISI I1I1I1 I � I 2 Jill 13 ( � 14I � � 1 i 11111111 I I 7 '1 � � to � 1ii � �z �� O�IMAGE IS NOT AS CLEAR AS THIS NOTICE, l� 5� �Lg__. �__
IT IS DUE TO "SHE QUALITY OF THE "° 3B a`r::`�="• � - " - � �wu�.�. _-,,, . _.__
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11545 SW DURH,iM RD. �' ....
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 63S-4175 Business Line: 639-4171
BUP
_Date Requested �f1AM PM X BLD
I-ocation I ! �-� 5 21,rAe VN'a Yom..._ Suite
,�,� MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing FPS
Access. / C22
—
Foundation �
Ftg Drain ��- / L' IX
Slab I Drain Inspection Notes: C,, /� n 11� SGN _
Post 8 Beam SIT --
Ext Sheath/Shear _
Int Sheath/Shear
Framing +.
Insulation — - —�
Drywall Nailing --------_�_�-__Firewall
Fire
Fire Sprinkler
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 —_—
PASS FAIL
Post&Beam -- - ---- �-
Rough In
Gas Line -- --- ----
Smoke Dampers
PART FAIL
Service
Rough In - ---_- -- -- ---- -- -��.--
UG/Slab —_ - - -- -- - -_
Low Voltage
Fire Alarm
Final
PASS PART FAILSITE
Rackfill/Grading i --- --- - ------ - - ----____-_
Sanitary Sewer
Stone Drain ( J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
C t Supply Line ( J Please call for reins cion RE- — I J Unable to'aspect-no access
ADA /
Approach/Sidewalk /
Other Date spector – Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
4
./� MECHANICAL PERMIT
CITY OF TIGARD V/.4
/ / PERMIT#: MEC1999 00556
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 �� E ISSUED: 12/15/99
SITE ADDRESS: 11545 SW DURHAM RD B-1 PARCEL: 2511 ODC-00400
SUBDIVISION: WILLOW BROOK PARK ZONING: C-G
BLOCK: LOT: 016 JURISDICTION: TIG
CLASS OF WORK: ACS FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES0 3 HP: 1 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: — OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replacing rooftop unit.
Owner: FEES_ _
BLUESTONE & HOCKLEY Type By nate Amount Receipt
3835 SW KELLEY AVE PRMT DEB 12/15/99 $50.00 99-320446—
PORTLAND, OR 97201 5PCT DEB 12/15/99 $4.00 99-320446
PLCK DEB 12/15/99 $12.50 99-320446
Phone: � Total $66.50
Contractor: —
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 _ REQUIRED INSPECTIONS
Gas Line Insp
Phone:692-1565 Mechanical Insp
Reg #:LIC 000051 Duct Inspection
ELE 34-47CLE Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State 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 more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted it the Oregon Utility Notification Center. Those rules are sei forth in OAR
952-001-0010 through OAR 952.001-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-9189.
Issue By: Permittee Signature: . =lam
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Recd `k# �
131'25 SW HALL BLVD. Commeicial and Residential Date rtec'd
TIGARD, OR 97223 ` II Date to P.E.
(503) 639-4171, x304 N/� 'r Date to DST 7_
Print or Type Permit
Incomplete or illegible applications_will not be accepted Called _
Name of Development/Pro)e(+. Description - -
i Table to Mechanical Code _ Qty Price Amt
Job Street Addiess I u,tea A) Permit Fee _ — 16 00
Address �� 5 �,�r �QIM�, 1J" I 1) Furnace to 100,000 BTU
including ducts&vents _see footnote 1,2 9.65
Awga w_ Catyrstaie Zip 2j Furnace 100,000 BTU+
, -93Z2,q including ducts&vents see footnote 1,2 1200
Name for na a of busm fss) 3) Floor Furnace
Owner U 3 tncludin5 vent _see footnote 1,2 9_.65
Melling Address - 4) Suspend�d heater,wall heater
1 T I/�uz�lo# A JCS or floor mounted heater see footnote 1,2 965
5) Vent not incl-Jed in a pliance permit _ 4.75
WStale Zip Phone Check all that apply: 'Boiler Heat Air
�— For items 6-1C,see or Pump Cond City Price Amt
Name(or name of business) �-�— footnotes 1,2 Com
6)<3HP;absorb unit to
6/L, 100K BTU 965
ccupant Mailino Address' 1 7)3-15 HP;abserb unit
100k to 500k BTU 1765 _
CNyrsiate -` Zip Phone 8) 15-30 HP;absorb
unit
W21 .5-1 mil BTU _ 24 15
r '"- 1_ -� � 9)30-50 HP,absorb -
Contractor Nature unit 1-1 75 mil BTU - 36.00
1 fow M� _ 1 0)>50HP;absorb unit
Prior to permit Mailing Address * �p ` y 1.75 mil BTU 60 15
issuance,a copy �W, I V F..N Q 11 Air handling unit to 10,000 CF"
of all licenses cttyrStatezip Ph �/ _ 700
are required if 7n) , Ok 14V �j -13% 12)Air handling tmd 10.000 CFM+
expired in COT Oregon Const Cont Board Lir p Exp Date __ 11 85
database0J13)Non-portable evaporate cooler
Architect Name /.00
14)Vent fan connected to a single duct
Or Mallin Address _ _ i_ 4.75
15)Ventilation system not included in
_ appliance permit 7.00
Engineer City/State — Zip Phone -- -— - -
9 _--� 16)Hood served by mechanical exhaust — -y
_ 7.00_ _
C .c ibe_work to be done — 17)Domestic incinerators
12.00
New O Repair 0 Replace with like kind. Yes No O 18)commercial or Industrial type incinerator
Residential Commercial ---.-48.25
19)Repair units �-
Additional information or description of work. _ 8.40
2n)Wood stove/gas FP/other units/clothe dryer/etc
__ 7,00
NOTE: For Commercial projects only,Units over 400 lbs require ?_1)Gas piping one to four outlets
structural gas talcs _ See footnote 1 _ 3 7�,
Type of fuer oil O natural gas JK LPG 0 electric O 22)More than 4-per outlet(each) _ 75
_ Minimum Permit Fee$50.00 SUBTOTAL -
I hereby acknowledge that I have read this application,that the information 7%SURCHARGE - tJ
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner, 'ens submitted are co liance with Orp90n St to laws. Required for ALL comm&rclal permits only
�Z TOTAL ,
Signatur wner/Age Date LJ_
Other Inspections and Fees:
�� C i. Inspections outside of normal business hours(minlnum charge-
"_-_- hours) $50.00 per hour
Contac n Nam Phone p ��r„•
2. Inspections for which no fee is specifically indicated (minimum
charge-half hour) $50.00 per hour
"---- - 3. Additional plan review re uired b changes,additions or revisions to
FoonotPs for commercial projects only: P q Y 9
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical
i units. 'State Contractor Boiler Certification required
�— — — -Residential A/C requires site plan showing placement of unit
I lmechperm doc rev 7119/99
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