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LL) N J � FesF_ O ` € N Ln CU _C , LL y Ln 67 N 00 N O 4 O- o o 00 Q Q Q Q Q 4 M a a a a a CITY OF TIGAIRD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 CI Date Requested ��1 'Gr/C! AM PM BLD _ Location T� ISO L3ST111 �.— _ Suite MEC Contact Person A� Ph PLM — Contractor Ph SWR / BUILDING Tenant/Owner ELC ='� r Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain InspeL;tion Notes: Slaa —. ... _-- SIT Post& Beam Ext Sheath'Shear IInt Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ ---------- __--_-- -- — Fire Alarm Susp'd Ceiling _ -------. --- Roof Misc:________ — ---------- ------- --- -- ---- Final — PASS PART FAIL --- -- -------- — ---- - PLMBING Post& Beam er Y421C>�' -- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - - - - ---- Rough In Gas Line - — - Smoke Dampers Final -- PASS PART FAIL (f,LECTR_1CA= ----_ _— -- _ - -- _ .-_-- -� Service F Rough In V) UG/Slab Low Voltage , Fire Alarm ry TS PART FAIL Ln Backfill/Grading --��-- — Sanitary Sewer Storm Drain I J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Pease call for ieinspection RE: _ I I Unable to inspect-no access Fire Supply Line ADA aa Approach/Sidewalk Date _ _.,L_Q Inspector _ Ext Other -- p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4176 Business Line: 639-4171 BUP Date Requested ���_lr7�� C� AMPM BLD Location ` � .�(: SuiteC Contact Person �C-10 z2 Contractor _ _ Ph SWR BUILDING Tel Cant/Owner ELC Retaining Wall ELR Footing Access: �'} �A+.M FPS Foundation (� // 4� Ftg Drain SGN Crawl Drain inspecti-n Notes: Slab _— SIT Poo(& Beam Ext Sheath/Shear r Int Sheath/Shearr / I-(',L� L Framing I 11 C E LC Insulation Drywal;Nailing Firewall Fire Sprinkler __ -- Fire Alarm Susp'd Ceiling -- ---- - --- - Roof Misc: ---- Final _ PASS PART FAIL - --- - LUMB Post& Beam Z Under Slah - O t N�i � 'Q��o�- Cir L'tiizt'-tt2► __. Top Out Water Service Sanitary Rain Drains in S FAIL — L Post& Beam -- - -- ------ ---- -- - Rough In Cas Line Smoke Dampers na PAS A FAIL i— -- — ELECTRICAL Service Rough In UG/Slab -`____ -- - ---- Low Voltage �- Fire Alarm - -' f=inal �.� PASS PART FAIL -__--- _----_-LD SITE SITE Backfill,grading -" Sanitary Sewe( Storm Drilin J Reinspection-fee bf$-- required before next inspection. Pay at City Nall, 13125 SW['all Blvd Catch Base: Please call for reinspection RE _— _- ( j Unable to inspect -no.ircess Fire Supply Line ADA Approach/Sidewalk Other _ Date Zq _ Inspector. _Ext 1 Final PAPART FAIL DO NOT REMOVE this inspection record from the job site. *lITY OF TIGARDELECTRICAL PERMIT PERMIT#: ELC1999-00451 DEVELOPMENT SERVICES DATE ISSUED: 7/23/99 13125 SW Hall Blvd.,Tiqard, OR 97223 (5031639-4171 PARCEL: 1S135DC-04100 SITE ADDRESS: 11850 SW 95TH AVE SUBDIVISION: ZONING: R-7 BLOCK: LOT : JURISDIrT;1N: TIG Proiect Description: Installation of service and one branch circuit. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IFRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: c;GNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: WNOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: 1 , PER INSPECTION: 201 - 400 amp: 1st W/O SRVG OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: RACHAEI_ CHAPMAN SHARPE ELECTRIC INC 11850 SW 95TH 22605 SW RiGGS TIGARD, OR 97223 BEAVERTON, OR 97007 Phone: Phone: 642-7937 Reg #: LIC 000815 SUP 3344S ELE 34-217C FEES _ _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 7/23/99 $69.60 99-317121 Elect'I Final 5PCT BON 7/23/99 $4.87 99-317121 Total $74.47 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. M. P"Work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or 6 work is R s ,pended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility N,trfication Center. Those N rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 i— Permit Signature: r�` f Issued By: ih OWNER INSTALLATION ONLY _ T,re installation is being made on property I cwn which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:—.- CONTRACTOR INSTALLATION ATE:_._CONTRACTORINSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: _ C ��U' r�(� DATE: LICENSE NO: Call 639-4175 by 7:00pm for an irrspec 'ion the next tusiness day CITY CF TIGARD Plan Check# 13125 sw HALLBLVD. Electrical Permit application RECEIVED Recd By_ TIGARD OR 97223 Date Recd_ 7Z"z�/99 Phone(503) 639-4171, x304 Date to P.E.J`�L w 2, 199` Date to DST Inspection (503)639-4175 Print of Type NITy DEVELQI'1r1t.Wlrmit# ��C/99(1''Q''15-� Fax (503) 598-1960 Incomplete or illegible will not be acwtl Called 1. Job Address: _-_ --� 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of busll.3ss) �1 _ r>7 41w Service included: Items Cost Sum AddresswV'//�J'J` '-'r _ 4a. Residential-per unit City/State/Zip n�Q �� J dZ ��3 100 sq, or less $ 117.75 _ a Each additional 500 sq.N.or portion thereof __ $ 26.25 _ 1 Commercial ❑ Residential Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.i5 _ 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT&ta tase. Installation,alteration,or relocation Electrical Cgntractur :�P1/ P L C�� 1� /n�_ 200 amps or less $ 64.25 _/y;�� 2 Address //K SC3 J t-4 0q 201 amps to 400 amps _ $ 85.50 2 401 amps to 600 amps ° 128.50 2 City r State C tR Zip 9 7J,J 601 amps to 1000 amps 5 192.50 2 Phone No._ - ; Over 1000 amps or volts __ $ 363.75 2 C` Reconnect only.lob No._�_�� _ y $ 53.50 2 Elec. Cont Lice No 1/ Exp.Date4c.Temporary Services or Feeders OR State CCB Reg No `SSS/ �F_xp.Date z installation,alteration,or relocation COT Business Tax or Metro No. Exp.Date Oa 200 amps or less $ 53.50 i 2 201 amps to 400 amps $ 80.25 2 r /Ly,� 401 amps to 600 amps !- $ 107.00 Signature of Supr. Elec'n Over 600 amps to 1000 colts, see"b"above. License No. 3 �- ___Exp.Date N �d -_ 4d.Branch Circuits Phone No 4 V.7 " 7 _____ New,alteration or extension per panel a)The fee for branch circuits 2b. For owner Installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 S ,3� 2 Address b)The fee for branch circuits --- - without purchase of service City _ State _Zip _ or feeder fee. Phone NoFirst branch circuit $ 37.50 _ Each additional branch circuit $ 535 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 _ Owner's Signature _ Each sign or outline lighting $ 42.75 Signal circuits)or a limited energy 3. Plan Review section if required):* panel,alteration or extension $ 6000 Mi nor Labels(1C) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over 4 or more residenBal units in one structure the allowable In any of the above Per inspection _ $ 5000 Service and feeder 225 amps or more Per hour $ 5000 ------System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy m -- - described in N E C Chapter 5 5. Fees: Enter total of above fees $Submit 2 sets of plans with application where any of the above apply 'I Ilak16 Surcharge(05 X total fees) $Not required for temporary construction services. Subtotal $ -�-` 5b.Enter 25%of line 5a for NOTICE Plan Review If required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR ^ WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS L; Trust Account# _ AT ANY TIME AFTER WORK IS COMMENCED Total balance D,le $ 2V, 97 14dglfnmslelcctric.dr c CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00221 13125 SW Haii Blvd,.,TigarO OR 97223 (503) 639-4171 DATE ISSUED: 7/23/99 SITE ADDRESS: 11850 SW 95TH AVE PARCEL: 13135DC-04100 SUBDIVISION: ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE CF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of water heater. _ FEES ` Owner: RACHAELCHAPMAN — Type By Date Amount Receipt 11850 SW 95TH PRMT BON 7/23/99 $50.00 99-317121 TIGARD, OR 97223 MISC BON 7/23/99 $3.50 99-317121 Total $53.50 Phone 1: Contractor: SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 9722.3 REQUIRED INSPECTIONS Phone 1: 620-5643 Final Inspection Reg #: LIC 00066578 PLM 26-570PB ORIGINAL. a H fn s- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All v-ork will be done in accordance with approved plans. LLJ 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 rues adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: - Lk�'��f`�t `- Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bi:siness day CITY OF T!"'ARD Plumbing Permit Application RECEIVED 13125 SW HALL BLVD. Commercial and Residential TIGARD, OR 97223 JAL 2 2 199S' (503) 639-4171 Print or Type COMMUNITY OEVELOPMENI Incomplete or illegible applications will not be accepted 9�F ee,.2-V1 Name of Devr-IoDmr !/Project FIXTURES (w.dividual) QTY PRICE I AMT Job Sink 11 50 —1��6 - Address StreE'Address Suite Lavatory 11.50 Tub or Tub/Shower Comb. 11.50 Bldg# (;ilStale Zip IJ-711 Shower Only - 11.50 Name Water Closet 11.50 I -S a) 5' 1" Dishwasher 11.50 Owner M ng Address Suite Garbage nlsposai 11.50 ^ Washing Machine 11.50 /t3tee OF r 7 Phone !/ Floor Drain/Floor Sink 2" 11.50 Name 3" 11.50 4" — 11.50 Occupant Mailinc,Address Suite Water Heater O conversion ;Dike kind 11.50 Gas piping requires a separate mechanical permit, City/State Zip Phone Laundry Room Tray 11.50 Urinal 11.50 me - --- �''r /09 rt- I� y Z til Other Fixtures(Speclf)) 15.00 Contractor Mailing Address ( Sul a — <�5�� SI.�'TII 61(1 Inr to permit City/State ZIp Phone Sewer- t st 100' 38.00 issuance,a copy 7'/c C�.t r�' (le q'T 2-3 C„1,d S+f � Sewer-each additional 100' 32.00 of all licenses are Qregon_Const.Cont.Board Llc.# Exp.D to required if (,-(,• I cl ,r �.' S Water Service-1st 100' 38.00 expired in COT Plumbing Lic.# Exp.Dat Water Service-each additional 200' 32.00 database M _ 10 3toim&Rain Drain-1st 100' 38.00 Name Storm&Rain Drain-each additional 100' 32.00 Architect Mobile Home Space 32.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 3200 Pollution Device EngineerCity/State Zip Phone Residential Backflow Prevention Device' 1900. (hrigation timing devices require a separate Describe work to be done: restricted energy permit.) __ New O Rep it O Replace with like kind. Yes/W No O Any Trap or Waste Not Connected to a Fixti,re 11.50 Resident at Commercial O Catch Basin 11.50 Additional description of work _ Insp.of Existing Plumbing 50.00 4•t )� �q Specially Requested Inspections 50f 0r Are you napr%!:ig,moving or r pl ting any fixtures? _ per/hi Yes O No _ Rain Drain,single/amity dwelling 45.0000 If yes,see back of form to indicate work performed by GreaFe Traps 11.50 fixture. FAILURE TO °:CURATELY REPORT FIXTURE p WORK COULD RESUL r IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this apDlication,that the informal in Isometric or riser diagram is requkr d if Quantity Total is >9 given is correct,that I am the owner or authorized agent of the owner.and 'SUBTOTAL that plans submitted are In compliance with Oregon State Laws Slgnatm of Owner/Age Apt o SURCHARGE CQptact Pe on Name Phone **PLAN REVIEW 25%OF SUBTOTAL �.Vii' , (ri �t � y. yL�y �r' -�,•�{3 Require only d fi•ture t lotnl is>9_ t aTH HOUS5$+78.0 - — TOTAL 2 BATH HOUSE$250,10 3 OATH HOUSE$288.00 'Minl;num permit foe Is$50 5%surcharge,except Residential Backflow (This fee includes all phrmbing fixtures In tha dwollIng and tho fit r;t Prevention Device,whit t Is$25+5%surcharge 'E17gket of sankery sewer storm sewer and water ssrylre) "All New Commercial Buildings require plans with isometric or riser diagram W. and plan review I Idsfstforrnslptumapp doc 5/28199 PLEASE COMPLETE: Fixture Type Quantity by Work performed New Y Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" — Water Heater i Laundry Room Tray _ _Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: �i I WateftmMphm,epp dor,5126!99 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00314 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/23/99 PARCEL: 1 S135DC-04100 SIT.E ADDkESS: 11850 SW 95TH AVE SUBDIVISION: ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG CLASS OF:WORK: ALI' FLOOR FURN: EVAP COOLERS: T`,PE OF USE: SF UNIT HEATERS: VENT FANS: OCCI I PANCY GRP: R3 VENI S W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSOFtS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - "' 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: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: 1 GAS OUTLETS: > 10000 cfm: Remarks: Installation of exterior heat pump & air handling unit. Unit cannot be placed within required setbacks. Owner: FEES RACHAEL CHAPMAN Type BDate Amount Receipt 11850 SW 95TH PRMT BON 7/23/99 $50.00 99-317121 TIGARD, OR 97223 5PCT BOJ 7/23/99 $3.50 99-3171.:. Phone:639-3486 Total $53.50 Contractor: SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 9722.3 REQUIRED INSPECTIONS Cooling Unt hasp Phone:620-5643 Final Inspection Reg#:SUP 2570RET LIC OC3657 ELE 34-341 CR ORIMNAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all oth,_. applicable laws. All work will be done in accordance with approved plans. This permit will Pxpire if work is not started within 180 days of issuance, or if work is susperjed for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rues or direct questions to OUNC by calling (503)24 9189. Issue By: ftye',t-r c.-- Permittee Signature: / Call (503) 63.9-4175 by 7:00 P.M. for inspections needed the next business day FtFCFIVED Plan Check#_ _ CITY OF TIGARD Mechpical Per nit Application Recd By 13125 SW HALL BLVD. JUL 22, mercial and Residential Date Recd TIGARD, OR 97223Date to P.E. (503) 639-4171, x304 C;OMMIINITy DFVELOPMt i`i' Date to DST Print or Type Permit#mss _ Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code city Price Amt Job Street Address Suite# A) Permit Fee _ 16.00 Furnace to 100,000 BTU AddressC-` 5�' including ducts&vents see footnote 1,2 9.65 Bldg# CRY/Slate Zip 2) Furnace 100,000 BTU+ ,a QQ 9, 2--y including ducts&vents see footnote 1,2 _ 12.00 Name(or naate ofPincluding ain•. ' 3) Floor Furnace 1/1 ��,1� vent__see footnote 1,2 9.65 Owner %� Q/' 4) Suspended heater,wall heater Moiling Addr!.e or floor mounted heater see footnote 1,2 9.65 Q s k/ 5) Vent not included in ap liance permit 4.75 aty/S,ate Zip Phone Check all that apply: 'Boiler Heat Air �.' (� �,�� 7 _ � For Items 6-10,see or Pump Colnd Qty Price A7 it j I N anre(or name of business) footnotes 1,2 Com 6)<3HP;absorb unit to t 1 COK BTO 9.65 Occupant MifilingAddress 7)3-15 HP;absorb unit 100k to 500k BTU 17.65 CRY/State Zip Phone 8) 15-30 HP;absorb- unit.5--1 mil BTU 24.15 9)30-50 HP;absorb Contractor Name unit 1-1.75 mil BTU 36.00 /( �Q + , /��G 10)>50HP;absorb unit >1.75 mil BTU 60.15 Prior to permit 5g Addres _ issuance.a copy �sr�-� 11 Air handling unit to 10,000 CFM I of all licenses C ISlate zip Ph e _ 7.00 are required If 4-t CJ12)Air handling unit 10,000 CFM+ expired in COT Oregon Conti.Cont.Bard Lic.N Ex D11te v 11.75 database li (' 5 7 -- 13)Non-port,ble evaporate cooler Architect Name -- 7.00 14)Vent fan connected to a single duct __ 4.75 Ur Melting Address - •_ 15)Ventilation system not included in appliance permit _ 7.00 Engineer cnYrsla,e zip Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done 17)Domestic incinerators 12.00 New O Repair O Replace wi'h like kind. Yes�I'No O 18)Commercia'or Industrial type incinerator 48.25 I Residenti!Ap Commercial0 J 19)Repair units 8.40 Additional information or description of work: _ 20)Wood stove/gas Mother units/clothe dryer/etc. (/ (/ 7.00 NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets rr structural as talcs. See footnote 1 3.7 5 ►- 12 More than 4-per outlet(ea h .75 N Type of fuel: oil O natural gas O LPG O elect-- ) Q Minimum Permit ro 5o.00 D SUBTOTAL 4 !- I hereby acknowledge that I have read this application,that the h,tor nation 7%SURCHARGE 5t given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%,OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws _ Required for ALL commercial permits onl TOTAL LL Signature of Ownipr/Agent Date Other Inspections and Fees: 1. Inspections outside of r,ormal business hours(mininum charge-two -Co, AtPerson ame Phone ho-irs) $50.00 oar hour 2. !nsr-,ctlor,a a vhich no fee is specifically Indicated (minimum L� K'C�L S _ charge-half hot , $50.00 per hour Foo otee for commercial projects only: 3. Additional Clan review required by changes,addi.Ions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure pl4 ns(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units "State Contrcctor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1:4nechperm.doc rev 02/4/99 �A (L' J H N H a-, J C�1 (.7 LO J INSPEC'T'ION NOaTICE City of Tigard Building Department 13125 9M Hall Blvd. Tigard, Oregon 97223 Inepw-tion Line (dec-O-Phone): 639-4175 Business Phone: 639-4171 t Insh--^.tions Poccing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Eounl. Plbg. Top Out Gas Line FINALS Post/team Struct. San. Sewer Preening -Bldg. Post/Roam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor //Water Line Gyp. Rd. -Hoch. Date Requested:_ 77 27 Timet AM PN F�AdOresss Pettit is Bu lldert ` A. , f'�C'k-Y f( G�r-•L. �3��-t�� I THE FOLLOWING CtORRECTIONS ARE REQUIRED: Inspectors `'L -- -- Dates 7 (3 " 11PPROVIO DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD liI{A'�'`�`a'_ COMMIWITY DEVELOPMEMT DEPARTMENT 13126 8 all Bbd.Tipard,Orpon 07223•8199 (603)039.4171 IsF l"T li. ,1..i�lJr"I Qr r i' 19.1`i"10 b10 i f^ L:. PARC:LL.: 1.:JJ35J L.;- Mi'ti'1'c.'J . . . . . . •• ,. LLL'. . , ,, . , . . , . . . > . t :if-'. , :X)i: FLJOR I"•URNI. . . . . f.VAP COOL i�.RS fj I*L'V i;': . VENT I Fr;J';. . « . i%,3 Vf.NTV j 'OJ/Lr) f=iC PL.s VLN" "xYS7i W I . . 1 t,l!J LL,,.,:.3.'t:;=.:101faRF SC.;i,.. r;i:ru:S:7 _. +... f-iP. T ivy t iv'a 111:5 J-ia', . . , . c, , Tn1;. Xl.i. WIX iWu TU 15--30 HP. . , . „ RE14-1AIR UNITS, ). L}fHt'`If�'..t�: '?. . :.;11i ...�� I-ir;. . . . wdiaa.Ji.);.aCk.�•'4.;:i, .• . a:; '•'f7ESS! . , ;f1+,.. HP. . CLU DRYE'.RU. iij,: Or." UTA ;41R 101'A DL T lolC uq I-r's, a if%i, ut,,,I i 3. 100 T0 10000 ct'm: b0J UU7LI. I:�. ..�._ ......... __ ..._._.. _ ...... _.. _._. __.,._._._.. _ ._.W,_ . FL U _ . .._. _. ilwri�°I'1f11�i t:y' '_%N rd 0l f7�..i(P� by llerG•f P f''C'(`�Yi C 'rW "95 ; €='12S�i'i 9+ ;25' 00 ,7I l k1.�,f,ky.7 'r;) i JI I it I 0, l01, '(.8 _.._. _.. ............_._.. ___... 0i i. ' 1 2E. TO T OL ,d __..,._. w .... f1LNUI( UL' ftrip;r ii!";.i+n; SU'1',jv'3 t'a the roplat1.6nS runtBS"$u in tme _! Nn" Urr, :,i,eually [;Lt4s a.,:a all other «Nii bt dw,i it.. AXot'ddau with 0�u I+. �4:ii expire if rim-4 :,, n t rta.rtec J", for aar•e a fY Vl A / ...._r.....n..._....._.._r...»_.rte.-..r,wwr.++....�,...r rw_,......,_.+.i,......._wWw... HH � C7 Jtilrr! - 6.39-417 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # � rgdird, OR 97223 (503) 639-4171 r ,. asarpnon Table 3A Mechanical Code CITY PRICE AMT -0- -0- 1 v `�► ' 1 t 0A0 Job C+j— L_� �—�J�J ��� 1) Permit Fee Address .r 2) Supplemental Permit 3.00 i Furnace to RU�OW BTU 1) incl.duds&vents 600 La cc .o ,... L��� Furnace 100,000 + Owner ��, Slv Cn 2) incl.duds S vents 7.50 Floor Fumancg —r _ y 3) incl. vent 6.00 ­ r,,.,.w Suspended heater,wall heater 4) or flour mounted heater 6.00 i Vent not incl.to Occupant r� 5) appliance permit 3.00 COWS— Zip Repair of heating,refr.9. 6) cooling,absorption unit 6.00 i er or comp, eat pump,air cond. { 7) to 3 HP absorp unit to 100K BTU 6.00 .o,,,,,,., �» oder or comp,heat pump,air Gond. 1C�L < — 8) 3-15 HP absorp unit to SOOK BTU 11.00 ConBoiler or comp,heat pump,air con . 9) 15-30 HP absorp unit.5.1 mil BTU 15.00 ,,,,,,,,. .. •. oder or comp,heat pump,air coed. 10) 30"50 unit 1.1.75 mil BTU 22.50 Boiler or comp, pump,air cand. hereby acVow ge at have read this application,that-the information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State Air handling unit to laws,that 1 am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air han tng unit please give reason below.) 13) 10,000 CTM+ 7.50 -- Non portable 14) evaporate cooler 4.50 Vent tan connected 15) to a single dud 3.00 Venn anon system not 16) included in appliance permit 4.50 r , Hood served y 17) mechanical exhaust 4.50 Describe work new a roan a teration repair Commercial or industrial to be jona residential non-residential Cl 18) type Incinerator 30.00 Existing use of Other i.e.,woodstova,water building or property 19) heater,solar,clothes dryers,etc. 4.50 proposed use of 20) Gas piping one to four outlets 2.00 build[ing or property 21) More than 4-per outlet Type of fuel -0100 natural gas Q LPG Q electric Q ;J OIC _ Minimum Fee$25.00 SUBTOTAL L PERMITS BECOME VOID IF WORK OR CONSTRUCTION I � AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR 5%SURCHARGE IF CONSTRUCTION O!I WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 259 OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL Spedal Conditions _ Date issued ____by