12343 SW 132ND COURT ADDRESS.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested �/ Z- AM PM BLD
Location 1 :-3 �� f - , Suite MEC e�n�n/
Contact Person Ph L, c% yr'-56 PLM
Contractor Ph SWR
BUILDING Tenanf/Owner ELC
Retaining Wall ESR
Footing Access:
Foundation FPS _
Ftg Drain SGN
Crawl Drain inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
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 PART FAIL
MECHANICAL
Post&Beam --- —
Rough In
as Lin - — --
ampers
PART FAIL
CTRICAL — —
Service
Rough In
LL UG/Slab _
Low Voltage
V3 Fire Alarm _
r Final
PASS PART FAIL
Backfill/Grading -
w Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ requii0 before next inspection. Pay at City Hall, 13125 3W Hall Blvd
Calch Basin
Fire Supply Line I ]Please call for reinspection RE. _ ( ]Unable to inspect- no access
ADA C
Approach/Sidewalk 1 _
otherDate �} c _ Inspector r Ext _
Final
PASS PART FAIL j DO NOT REMOVE this Inspection record from the job site.
CITY CF TIGARD MECHANT"AL
DEVELOPMENT SERVICES PrRMT
13125 SW Hall Blvd.,Tigard,+JR 97223(503)639-0171 PERMIT #. . . . . . . : M =C99-0061.
DATE T SSt_IED: 0211. 1199
PARCEL.: 2;S 104AP-1 0500
''..)ITE" ADDRESS. SW 132ND rT
SUBD1VITI0N. . . . : MORNING RILL NO. C, 'ZONTP,10, R- 4.
D1.0r�,K. . . . . . . . . . . L.nf. . . . . . . . . . . . . : 1.34 JURISDICTION: TTS
CLASS OF WORK. ., :OTR FLOOR TURN. . . . : 0 E'VPP rrrnL.ERS: 0
TYPE OF US . . . . .SF UN T T HEATERS. . : 0 VENT FF-,NS. . . : 0
0CC11PANCY C RF'. . :R3 VENTS W/O APPI...: 0 VENT SYSTEMS: 0
STURTES.. . , . . . . . : 0 ROT.LEREI/COMf.*'RF SSnRS HOODS. . . . . . . : 0
rUEI_ TYPES____-.___........._.___._ 0-3 144.. . . . : 0 DOME',!). TNCIN: LA
3-1.5 HP. . . . : 0 COMMI_.. I Ni I N: 0
MAX INPUT- 0 11TU 15--?0 I1P. . . . : rZr REPA T R UN's TS: 0
FIRE DAMPERS ). 30--50 HP. . . . 0 W70DST0V'=5. . : 0
--AS PRESSURE. . . . 50.1 I IF'. . . . » 0 rl..() DRYERS. . : 0
`40. OF UNITS______...___._ AIR HANDLING UNITS Orwk UNITS. : 0
URN 1000 ESTI.): 0 10000 r_. Frn: 0 fine 1JI_"r .ETS. 1.
FU RN f =IO0.►K STU: 0 ) 10000 r_fm: 0
Remarks " Add gas piping.
Owner• ___,__.._. ._._._....__.__._.._____...______._._.___..__.________ _ .. .____.__
• F'E`F5
PAT YOUNG tyre am r.:i.ir, by c)+atr, r-ec�rt.
12-143 SW 1.3.-NU CT PRMT $ P5. 00 CCF.) 01?/11/99 99--312815"
TIC ARD OR 97;2-23 5Pr_T $ 1 » 25 UF:.0 02/11/99 99- 312L55
Phone #:
1 OLMr:r' T N1:,TAl_.I.AT I ON SERVICE
r7AYMOND Fl—nNDER
'1535 NW VADIr, ROAD ?f. 25 TOTAL
—ORNEI._I Uq OR 97113
F'h a n e 4: 647 9:1 11el
001024
RE( UIR170 Th1 IPECTInNS
This permit is issued subject to the regulations cpntained in the Gi+s 1._i n Inst
'igard Municipal Code, State of Ore, Specialty Codes and all 4her F i n.-A 1 1 nspart i nn
-applicable laws. All ►ocrk gill be done in accordance with
pproype plant, Thi= perxit will expiri if work is not started
i ithin 18o days of issuanc-, or if work is suspended fo- more
",an IN days. ATTENT1DNi Oregcn law requires you to follow rules
-dopted by the Oregon Utility Notification Center. Those r;rles are __ _ _ ,___
Ft forth in DAR °Sc-001-8P11O through OAR 9W-6A1-8090. You may
h-tai, copies of these rules or direct questions to DIME by calling
w ?/
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Plan Check#_
CITY OF TIGARD Mechanical Permit Application Recd By
13'i T5 CW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 tate to P.E.
(503) 639-4171, x304 ! l Date to DST_
Print or Type ;ermit#_rrfN!4 0066
Incomplete or illegible applications will not be accepted Called
N e of Development/Project Description
Table 1A Mechanical Cu,!; _ _ Qty Price Amt
Job 'Street Addressr Suite# ,?,1 s"J A) Permit Fee _ � ni» 0.00
Address J L/' `" 4 1) Furnace to 0 BTU
including ductscts&vents see footnote 1,2 6.n0
7 _
Btdg# nyistate Zip 2) Furnace 100,000 BTU+
t
U 72 Z 3 including ducts&vents see footnote 1,2 7.90
Name,(or n-me of buss ss) 3) Floor Furnace
Owner ✓a`T 7r`°'e"ilJ( i'� including vent see footnote 1,2 6.00
Mailing Address — I 4) Suspended heater,wall healer
or floor mounted neater _ see footnote 1,2 6.00_
Cnyreale ?Ip Phone 5) Vent not included in appliance permit
0.00
Check all that?;,ply' 'Boiler Heat Air
ame(or name of buslness) For Items 6-10,see or Pump Cond Qty Price F4mt
i footnotes 1,2 Com _
C �1' 6)<3HP,absorb unit to
Occupant Mailing Address 100K BTU
C r 6.00
3-15 HP;absorb unit
CRy/Stale Zip Phone 100k to 500kBTU
( s, 8) 15-30 HP;absorb
unit.5-1 mil BTU
ml
Contractor Name 9)
9)30-50 HP;absorb
N f lwrAll ✓r unit 1-1.75 mil BTU 22.50
Prior to permit Mailing Address 10)>50HP;absorb unit
issuance„a copy .1 _4 L__) (/a to, >1.75 mil BTU 37.50
of all licenses CHY191aw Zip Phon 11)Al;handling unit to 10,000 CFM
are required if U r'/ l/ 9 l/ ( '� Y��C _ 4.50
expired it COT Oregon Consl,Cunt Board llc# Exp DA'e 12)Air handling unit 10,000 CFM+
databr-se 7.5_0
Architect Name 13)Noy-portable evaporate cooler
4.50
Or Mailing Address —'— 14)Vent fan connected to a single duct
3.00
15)Ventilation system not included in
EngineercnY state — zip Phone appliance permit _ 4.50 _
16)Hood served by mechanical exhaust
Describe work to be done: 4.50
17) )ornestic Incinerators
New O Repair O Replace with tike kind: Yes'0 No 0 7.50
Residential @ Commercial 0 18)Commetcial or industrial type incinerator
30.00
Additional information or description of work 19)Repair units
4.50
20)Wood stove
NOTE: For Commercial projects only,Units over 40(1 lbs.require _ 4.50
structural gas calcs. 21)Clothes dryer,vtc —'
LA- Type of fuel oil O naiural gas j LPG 0 electric O _ _ 4 50
`C __ __ 22)Other units
I hereby acknowledge that I have read this application,that the information 4.50 ^�
given is correct,that I am the owner or authorized agent of 23)Gas pipina one to four outlets
the owner,that plans submitted are in compliance with Oregon State laws. , _See footnote 1 2.00
_ 24)More than 4-per uutlet(each)
�ignature of Owner/Agent Date _ .50
Minimum Permit Fee$25.00 SUBTOTAL
Contact Pe-son Name Phone
J
-/�
��� -5- /M"'c 5%SURCHARGE
er J /, I Zl' I PLAN REVIEW 25%OF SUBTOTAL
Foonotes for commercial projects only: F Regtrlred for ALL commercial permits onl
1 Provide full schematic of existing and proposed gas line and pressure I TOTAL
2. Provide drawings,,)scale showing existing and proposed mechanical L
units. _ _ 'State Contractor Boiler Certification required
"Residential A/C requires site p)an showing placement of unit
I1mechperm doc rev 02/4/99