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11205 SW 83RD AVENUE ADDRESS: llaO5 23i":" A V&' " J UE 2 I: J i:\recordslmicroflm\Iargels\building.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- ----- BUD �'7 Date Requester_ � - � � /9 AM PM BLD Location ��205 )jL -) 83 C Suite MEC _ Contact Person f` _ Ph 637�y- 7ZPLM Contractor Ph "-_ SWR BUILDING -' Tenant/Owner ELC — Retaining Wall ELR Footing Access: - Foundation - fi �� /� FDS Ftg Drain /►'/ Crawl Drain Inspection Notes, SGN Slab Post R Beam I I SIT -- Ext Sheath/Shear Int Sheath/Shear Framing 'nsulation -- Dry:vall Nailing — Firewall Fire Sprinkler _— Fire Alarm Susp'd Ceiliri; Roof Misc: Final ----- -- --- PASS PART FAIL. PLUMBING Post& Beam -------- - ----- - -— — Under Slab Top Out ---- -- - Water Service Sanitary Seer ---- -- - --- ---- -- Rain Drains Final FAIL MECHANICAL Rough In Gas Line -- ----- ---- -- -- — DampeYs Final ---- - ---- - -.-- ___._ S PART FAIL, ELECTRICAL - -- _.--- -- - -— ---- -- -- Service R Rough In ,_--- - -_"- ~ UG/Slab > Low Voltage - -- -- �--- "--- -------.—-- Fire Alarm � Final -- - ------- — -- --- PASS PART FAIL Sackfill/Grading — i--- — - - --- —_—_._.- _ Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ required before next n,spection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line r j Please call for reinspection RE:_ [ ] Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector_ — Ext Final PASS PART FAIL Vn NOT REMOVE this Ii-.spection recoed from the job site. w CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tiqard,OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC98-0556 DA', E ISSUED: 12/14/98 PARCEL: ISI:36CB-03300 SITE ADDRESS. . . : 11205 SW 83RD AVE SUBDIVISION. . . . : STEVE R HUGHTE' S PLACE ZONING: R-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . .00S JURISDICTION: TIG ------------------------_ CLASS OF WORK. . :OTR FLOOR BURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . .SF UN IT HEATERS). . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . . 0 BOILERS/COMFRFSSORS HOODS. . . . . . . : 0 PUEL TYPES-------------- 0-3 I-AP. . . . 0 DOMES. TNCIN: 0 3 —15 HP. . . 0 COMML. INCIN: 0 IMAX INPUT: 0 BTU 15-30 HP. . . . 0 REPAIR UNITS: 0 F IRE DAMPERS''. . : 30-50 HP. . . . 0 WOOD9TOVF*S. . : I GAS PRESSURE. . . : 50+ HP. . . . 0 CLO DRYER'G. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNI T3. 0 FURN ( 100K BTU: 0 10000 cfm : 0 GAS OUTLETS. 0 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remat-ks : Inspection for previously installed wood stove. Owner-: FEES ,JOHN HANSON type amoi-trit by date r-erpt 11205 SW 83RD AVE. PFMT $ 25. 00 DEB 12/14/98 98--311496 TIGARD OR 97223 5PCT $ 1. 25 DEB 12/14/98 98-311496 Phone #: Contractor': ---------------------------------- OWNER fi 2'G. 25 TOTAL. Phone #: Reg ------- REQU I RED INSPECTIONS This permit is issued subject t, the regulations contained in the Woodstave Insp T4;:;-� Municipal Code, State of Ore. Specially Codes and all other Misr. Inspection applicable laws. All work will be done in accordance with Final Inspection 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 requirrs you to follow rules adopted by the Oregon Utility Notification Center. These rules are set forth in DAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9187. y By s 1.1 P e V-m i t t e e Si 9 11 a t o V-e + ............ ......... ......... ......................................7++++ Call 639-4175 by 7:00 p. m. for inspections needed the next bi-isiness day ...............4.+4+++++4+.++4.................i...........4....................... -_0E1llllff CITY OF TIGARD Mechanical Permit Application Rean t�y 13126 SWI BALL BLVD. Commercial and Residential Date Razd_!=. TIGARD, OR 97223 Date to P.E._'-- (503) 639-4171, x304 Date to DST - Print or Type Permit '_.! ' Incomplete or illegible applications will not be accepted Caller, I Name of DevelopmenVProjed r Description Table 1A Mechanical Code Qt Price Amt Street Address A) Permit Fee vire Suite#— 10.00 Address I I Zc'�> ��LO ��U we 1) Furnace to ducts &100,000 BTU including ducts&vents 6.00 Bldg# city/state zip_ 2) furnace 100,000 BTU• including ducts&vents 7.50 Name for name of business) 3) Floor Furgace _ Owner _J<,f I>L) 0 ��o including vent � 6.00 Mailing Address "^- I 4) Suspended heater,v all heater C-1__ f >hD or floor mounted heater 6.00 1 20 -) �S J — �'•/F_ 5) Vent riot included in appliance permit city/State ZipP/hone _ 3.00 jig=11kZ1 Q c l4)7� Phone CHECK ALL 'BoiletT He•+t Air Frame(or name of business) THAT APPLY: or Pump Cond Qty Price Amt Com 6)<3HP;absorb,nit to • I Occv;—ant Melling Address 100K BTU •• 6.00 7)3-15 HP;absorb unit rity/Stete Zip Phone i00 to 500k BTU _ 11.00 8) 15-30 HP;absorb Nemo unit.5-1 mil BTU _ 15.00 Contractor 9)30-50 HP;absorb permit Mallin Address unit 1-1.75 mil BTU 22.50 Prior to Pe g 10)>501!P;absorb unit issuance,a copy _ >1.75 mil BTU 37.50 of all licenses coy/State zip Phone 11)Air handling unit to 10,000 CFM ar• required if 4.50 expired In COT Oregon const coni Board Llc# Exp.Dale 12)Air handling unit 10,000 CFM+ database _ 7.50 ArChltect Name 13)Non-portable evaporate cooler 4.50 I or Mailing Address 14)Vent fan connected to a single duct ___ 3.00 15)Ventilation system not included in Engineer cny/Staie zip Phone appliance permit 4.50 16)Hood served by mechanical exhaust Describe work to be done 4.50 � 17)Domestic Incinerators New O Repair O Replace with like kind. Yes O No O _ 7.50_ Residential g Commercial O 18)Commercial or industrial type incinerator 30.00 Additional information or description of work: 19)Repair units 20 Wood stove 4.50 - - _ - _ —L 4.50 21)Clothes dryer,etc 4.50 Type of fuel oil O natural gas O LPG O electric O 22)Other units V; 4.50 I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets ~ given is correct,that I am the owner or authorized agent of _ 2.00 —� the owner that plans submitted are in ta;mpliance with Oregon State laws 24)More than 4-per outlet(each) Signature of r/Agent Date --` Minimum Permit Fee$26.00 SUBTOTAJjj 5%SURCHARGContact Person Name Phone PLAN REVIEW 25%OF SUBTOTRe ulred for ALL c ommorclal permits onL-A tE c�' 6� 1' 7L�C7� TOT 'State Contractor Boller Certification required �J "Residential A/C requires site plan showing placement of unit l4nechperm.doc rev 07/20/98