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10880 SW 74TH AVENUE t ADDRESS: no S '� IOAV&JUE A r r J (1� J i:\records\micro(Irn\targets\building.doc v a z o � o o a o m o3 ao rn 3 ) ao N a ro 0 0 Y 0 X 0 Y CL C7 C9 Q C7 Q C7 Q D ro ro ro ro ro ro ro _vy o 0 0 o 'o o o p > = T T S 2 Z T 2 J O O O O O O O t- Z z 7_ z Z z Z N O b n w cn (r w w D w O Q a 0 0 O v Er o a n. 0 0 O O T N m w o � o a _j W a w Cpl O C tq a a, N ' 0 .a+ o Q N A CL C O O C O a d c � uni d c Q r c u. CD o v p a a ro c Ln r- r• c� o o (q�� � r(�� o ago Q w W uJ w W u W CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6:9-41175 Eusiness Line: 639-4171 g _[ 2 00 BUP Date RequestedC� AM _PM BLD Location C)g ��� _7 Lf�/zSuite (M—E ©C) Contact Person I I Ph PLM __— Contractor — — Ph SWR —_ BUILDING Tenant/Owner ELC Retaining Wall ELR - - Footing Access: �..,C,� FPS Foundation -- Ftg Drain .�- SGN Crawl Drain Inspection Notes- Slab __— _ SIT _ Post&Beam '- Ext Sheath/Shear Int Sheath/Sheaf Framing Insulation A' Drywall Naik."g Firewall -_-_ -___-- -- - --- -_-- Fire Sprinkler Fire Ala,- Susp'r' CEilin9 -...---------- _ ------ --- - - Roof Misc:_ - -- -- -- -- -....-. -- - --- - -----_ - -- Final - --- PASSPART FAIT_ --- v_..-_ -- ---- ------ -_. -- - ------- ----- PLUMBING rPost&Beam --_ - - ------ ------------------------- UP Jer Slab TooOut ------------- ---- -- -- —__.____---------- ------__-._-- ------- ---- Water Ser-ice _ Sanitary Sewer Rain Drains _ Final P FAIL (!AL Postcan ---- --. - --- ---- _. __- ------------- --------- Rough In GasLine -_--- ------ --- --------- ----------------.� Smoke Dampers S PART FAIL Service Rough In N UG/Slab Low Voltage F- 17 ire Alarm - ---- -- - ---------- -- — Final PASS PART FAIL SITE Backfill/Grading -� ----- - - Sanitaiy Sewer Storm Drain [ ]Reinspection fee of$- �_-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE: — - -_ [ ]Unable to inspect-no access r ire Supply Line (ADA Approach/Sidewalk Date Inspector Ext Other (Final PASS PART FAIL— 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD — MECHANICALPERM!T DEVELOPMENT SERVICES PERMIT#: MEC2000-00021 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/18/2000 PARCEL: 1 S136013.01800 SITE ADDRESS: 10880 SW 74TH AVE SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATER": VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: -UE_LTYPES 0 - 3 HP: - DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPE IS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HII: CLO DRYERS: FURN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Remove existing oil furnace and replace with gas furnace, add gas line. Owner: _ FEES MICKLEY, WILLIAM C + MARY R Type By nate Amount Receipt 10880 SW 74TH PRM,r GEO 01/18/20( $50.00 00-521211 TIGARD, OR 97223 5PCT GEO 01/18/20( $4.00 00-324.21' Phone: Total $54.00 -- -- Contractor: SOUTHWEST SHEET METAL 10415 SW 72ND PORTLAND, OR 97223 REQUIRED INSPECTIONS Gas Line Insp Phone:503-246-6284 Heating Unt Insp Reg #:LIC 00045089 Final Inspection PLM 19WHI �L ORIGINAL Lo 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 in the Oregon Utility Notification Center. Those rules are sFt forth in OAR 952-001-0010 through OAR 952-001-0080. I You may obtain copies of the rules or direct questions to OUNC b ca Ing (503)246-9189. Issues Rw: Permittee Signature. Call (503) 63 -4175 by 7:00 P.M. for inspections needed the ne t business day �' Plan Check#_ _ CIT-/.O": TIGARD Mechanical Permit Application Rec'dBy _ U125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type V I Permit#ep.�Wo'��� Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table to Mechanical Code Oty Price Amt Street Address Suite# A) Permit Fee 16.00 Job 1) Furnace to 100,000 BTU Address includin ducts&vents see footnote',2 9.65 S nldga Cdyl tate Zip 2) Furnace 100,000 BTU+ T -f. �� Z including ducts&vents see footnote 1,2 12.00 Name(or name of bush ss) 3) Floor Furnace Owner )"A 4 i t(, � including vent see footnote 1,2 9.65 Mailing Add"s 4) Suspended heater,wall heater �^�� or floor mounted heater see footnote 1,2 9.65 I J! ) l� 7t-' 5) Vent not included in appliance permit 4.75 _— Cdy/Stale I Zip Phone Check all that apply: 'Boiler Heat Air t J 63 For items 6-10,see or Pump Cond City Price Amt - — Na r name of business) footnotes 1,2 Comp 6)<3HP;absorb unit to _ 100K BTU 9.65 Occupant Mailing Address 7)355 HP;absorb unit 100k to 500k BTU 17.65 City/Stale Zip Phone 8)15-30 HP,absorb unit.5-1 mil BTU 24.15 9)30-50 HP;absorb Name 36.00 Contractor � unit i-1.75 mil BTU _ ���r�tJeST �� Td� 10)>50HP;absorb unit Mailing >1.75 mil BTU 60 15 Prior to permit Railing A res issuance,a copy 1 W 7/ 11 Air handling unit to 10,000 CFM of all licenses CltyfS zip t thone 7.00 are required if u, ` ,Lg I 12)Air handling unit 10,000 CFM+ expired in COT o441- --'Architect t Cont Board Llc a Exp n to 11.85 database b �fv� 13)Non-portable evaporate cooler Name _ 7.00 14)Vent fan connected to a single duct 4.75 of Marling Address — 15)Ventilation system not included in appliance permit 7.00 Engineer City/State Zip Phone 16)Hood served by mechanical exhaust _7.00 Describe work to be done: 17)Domestic incinerators 12.00 New O Rep§ir O Replace with like kind Yes O No O 10)Commercial or industrial type incinerator Residenti commercial o 48.25 19)Repair units --- Additional information or descrif tion of work: 8.40 20)Wood stovelgas Mother units/c'othe dryer/etc 011 F��N ac e gc 5 _ __ 7.00 NOTE: For Commercial projects only,Units over 400 lbs.require 211 Gas pipi ig one to four outlets structural gas calcs. See footnote 1 175 5 i Type of fuel oil O natural gas LPG O electric O 221 More than 4-per outlet(each) 75 M nimu_mPermit Fee$60.00 SUBTOTAL -c.? , I hereby acknowledge that I have read this application,that the information �!_ 8%SURCHARGE s ' J given is correct.that I am the owner or authorized agent of PLAN REVIEW 25%OF SUB TOTAL Jv z ' Required for ALL commercial permits only the owner,that pians submitted are In compliance with Oregon State laws - TOTAL ti Signa re of Ow t Date -- ------------ - -- ti — Other Inspections and Fees: 20r)� 1. Inspections outside of normal business hours(minlnum charge-two C in. Person Na hone hours) $50.00 per hour —^ 2. Inspections for which nr-fee Is specifically Indicated (minimum u l l� ` 6_ charge-'.elf hour) $50.00 per hour Foonotes for commercial pro)ec only: 3. Addh?onal plan review required by changes,additions or revisions to 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 'State Contractc Boiler Certification required units - "Residential A/C requires site plan showing placement of urit 1 lmechperm.c',�c rev 7/19/99