Case File ►rFA
AD "RESS:
Ivy
A
f
C �
r=
1 y
I!
I�
I
I
/
1
i
.bri • • • • • ••
xx�
i
f
r n w
CITY OF TIGARD BUILDINC INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 E3r:siness Line: 639-4171 —
f��
/2,10C) BUP
Data Requested _ =��';�; AMPM
-- BLD
Location_— ��L ('� L ";r .'�� Suite -_--- MEC I��Gl�' CAD sc4
Contact Person �ti��t fIJA ph t�>>`� - Cl'��5 PLM -
Contractor Ph SWR. _
BUILDING Tenant/ON;nerELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fla Drain Sf;N
Crawl Drain Inspection Notes: -- -
Slab - ----- - -- -_--- - -.- SIT
Post&Beam -'--- -
Ext Sheath/Shear
Int Sheath/Shear -------!----
Framing ---- -- -- -- _ - -- - ------
Insulation
Drywall Nailing - -- ---- ------ - - --- -------- -
Firewall
Fire Sprinkler
--------- ---- --------
Fire Alarm - - -
Sus 'd Ceiling ----seL - -Z. ''.S `�-7--- ------- - --- ------ - -
Roof
r
V ;c: ----- - -- --- ------- ---- -- ---------
Final -
PASS PART FAIL ------ ------ ------ -- ----- ----------
PLUMBING
Post& Beam ----- -- _ ----- ----------- ------ -
Under SIrib
TopOnt --- -- - ----...-..----- ----------------------------------__-----
Water Service
Sanitary SewerRain Drains
Drains
Final ---- ------__...-_-------
P�SS- FAIL i
HAND;
Post& Beam ---__-. -_-. ----- -- ---- -------------
Rough In
r. -
Smoke Dampers
PART FAIL
ELECTRICAL_
Service _
c~n LIG/Slab
�- Low Voltage -------------- --._-•-�--- --
t- Fire Alarm
Final
co PASS PART FAIL � ,- -----...-- - ---- -.__-_- _--- - ----.-. -
LO SITE M
Fs rckfill/Grading -- ------ ---- --___.___ -- ..-_--- -- ----
Sanitary Sewer
Storm Drair, I ]Reinspection fee of 3 ---_-___required before next inspection. Pay at City Hall, 13125 SW Hall 31vd
Catch Bas:
Fire Supply Line [ ]Please call t.ir rr.lnspe ian RE: --_- ----- _ [ ] Unable to inspea no aa.estr
ADA
Approach/Sidewalk _ �/ �> 1;7 -
tDatf� ----�!—_— I� dnspvctor —_Ext
Other
Final ---
PASS PART FAIL- DO WOT REIAILIVE this :rispection record from the Job site.
n cc\
/ CITY G F T I G A R D _MECHANICAL PERMIT `
DEVELOPMENT SERVICES PERMIT#: MEC1999-00395
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/22/1999
PARCEL: 2S 102CC-03700
SIT E P DC)RESS: 13990 SW 102ND AVE
SUB)I`,/ISION: FRELEON HEIGHTS ZONING: R-3.5
BLOCK: !-OT:005 JURISDICTION: TIG
CL%SS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE. SF UNIT F':ATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPI_: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES_ _ 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS _ OTHER UNITS:
FURN >-=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Rem:,rks: Installation of a new gas furnace, and add gas outlets.
Owner:_ FEES__
MERRICK, BRET Typo By Date y Amount Receipt
13990 SW 102ND AVE.. PRMT DST 09/22/19 $50.00 99-318525
TIGARD, OR 97223 5PCT DST 09/22/191 $3.50 99-318525
L — J
Phone.684-9354 —
Total $,;3.50
Contractvr:
SPECIALTY HEATING + FABRICATIO
9528 Se'V TIGARD ST
TIGAPD, OR 97223 REQUIRED INSPE"TIONS
Gas Line Insp
Phone:620-5643 Heating Unt Insp
Reg#:SUP 257ORET Final Inspection
LIC 006657
ELE 34-341 CR
ORIGINAL.
i--
r.
F-
J
CO
CD
This permit is issued subject to the regulatio,is contained it the Tigard Municipal Code, StatF: c` Ore.
Specialty Codes and all other applicable laws. All viork will be done in accordance with approved
plans. This permit will expire 'f work is not started within 150 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon 'a\,v requite; YOU to follow rules adapted in the Oregon
Utility Notification Center. Tnose rules are set iorth in OAR 952-001-0010 through OAP, 9.52-001-0080.
You may obtai copies"f tl 1 rules or direct question; to OUNC, by calling (503)46-9189.
Issue By: Permittee Signatcre
Call (503) 639-4175 by 7:00 P.M. for Inspections neerfed the next buglness day
ANOZ
CITY OF TIGARD Mechanical Permit Application Plan Check# _
P� Rec'd By
13125 SW HALL BI.VD. Commercial and Residential Date F.ec'd
TiGARD, OR 97223 Cb Date t.P.E.
(503) 639-4171, x304 i Date to DST
Print or Type _ Permit#
Incomplete or illegible applications will not be accepted Called _
Name of DevelopmenVProject Description
Ta`)le 1A Mechanical Code_ Qt P,,_4 Amt
Job Sir tat Address suite# A) Pennit Fee 4 16.00
Address /:N) 5"((-)/4� /1�i 1) Furnace to 100,000 BTU
including ducts&vents see footnote 1,2ql
9.65
Birgit Cnyrstate / Zipincluding
2) Furnace 100,000 BTU+
/40.11[ �" / 7-,�-��' including ducts&vents see footnote 1,22.00
Name(or name of business) , 3) Floor Furnace
Owner /?iy, /r/,Y' �"Puc'e— including vent see footnote 1,2 9.65
Melling Address - 4) Suspended heater,wall heater
C/yC1 Sc`, ,0 or floor mounted heater see footnote 1,2 9.35
/ 5 Vent not included in appliance permit 4.75
CRY/State Zip Phor,e Check all that apply. 'Boiler Heat Air
For Itemo 6-10,see or Pump Cond Qty Price Amt
Ne (or name of business) footnotos 1,2 Comp _
S(I/VVL,C- 6)�3HP;absorb unit to
_
Occupant 'va+ling Address 100K BTU 9.657)3-15 HP;absorb u cit
100k to 500k BTU _ 17.65
Cnyrstate Zip Phone 8) 15-30 HP;absorb
unit-5-1 mil BTU 24.15
, r 9)30-50 HP;absorb
Contractor Ne me unit 1-1.75 mil BTU_ _ 36.00 _
is 10)>50hP;absorb unit
Prior to permit Valling Address >1.75 mil B1 U 60.15
isrusnce,a cofy �7..L -�(✓ /��l i�� -�i 11 Air handling unit to 10,000 CFM
of all licenses Cty/state zip Phone 7 00
are required if f/G �C /.Z-� 3 `1�' Sti 12)Air handling unit 10,000 CFM+
expired in COT Or on Const.`Coon Board Llc# Er Dote _ 11 75
database_ � ��`� 7 a r 13)Non-portable evaporat, cooler "�--
Architect Name 7.00
14)Vent fan connected to a single dura
Or M riling Address 4.75
15)Ventilation system not included In
appliance permit 7.00
Engineer Cnystete -zip Phone 16)Hood served by mechanical exhaust
700 _
Describe work to be dole: 17)Domestic Incinerators
y 12.00
New O RrNau 7 Replace with like kind. Yes�O No O 18)Commercial or Industrial type inc'nerator
Resident!A0' C:nmmercial0 _ 48.25
' 19)Reprir units
Additional informati,n or description of work: _ 8.40
20)Wood stove/gas FP/other unt!s/cill,he dryer/etc.
7.00
- NOTE: For C mmerci sl rr,,je(,ts only;Units over 400 lbs.require 21)Gas piping one to four outle!s
H structural gas i;alcs. See footnote 1
T)pe of fuel�oil O natural gas IV
LPG O eleclnc O 22)More than 4--per outlet(each) .75
I Minimum Permit Fee$50.00 SUBTOTAL a,
I hereby acknowledge khat I have read this application,that the info,mation _ _7%SURCHARGE �,y
given is correct,that I ilm the owner or authorized agent of �~ ?LAN REVIEW 25%OF SU=TOTAL
w the owner,that plans submitted are in r;ompliance will Oregon Stat,laws _ Ra ulnad for ALL commercial pemiitss onl
- AL_ i-3 j
Signature of On,;•nr/A,gent^ � Date
/> ether In—)- ectirms and Fees
Inspections outside of nor-nal bustress hours(mininum charge=wo
i,ontact Person Nam-1 i Phone hor.fs) $.50 00 per hour
2. Ins•psctl>rt, for which no fee Is spec fica'I, Indicated (minimunt
i1,<,'C j_•C�_N�L;_� 'C __ �. � 7 '� charge-lin I hour) $50.00 per hotir
Foonotes for:ommerclal projects only: 3. Additlonal plan review requlrml by changes,additions or revi,{ans to
1 Provide f jll scherna tic o"existing and proposea ges lire and pie!sure. plans(r rininwm charge-one iudT hour)1.!0.00 pe,hour
2. Provide arawings to scale showing existing and proposed mechon cal
units _ 'State Cont:aix,..r Boiler Certific ition reguirc i
"Resid„nliad A/C rey,-fres n showlnsl placement of unit
1 lmechpenn-foe 'ev 0214/99
Iti ■