11970 SW 95TH AVENUE e
ADDRESS;
7o rP/ AVAiNUA
i:v ecords\nicroflm\targets,4)uilding.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - --
BUP
3 Vq_Date Requested_ �(,'y"�,�� AM>__PM _ BLD
Location Z/2 7L C/� /�/ _ Suite % _C)
_,--
Contact Person Ph PLM
Contractor Ph SWR ,
BUILDING Tenant/Owner EL C _
Retaining Wall ELR
Footing ;c,cess: ; r -�
Foundation /)(, ,L CW - u�7z-//F
FPS
Ftg Drain r / ` '/ I
Crawl Drain Inspection Notes: / SGN
Slab C��/y���� 7//,IS tom SIT --
Post&Beam -
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing
Firewgll —
Fire Sprinki,
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post& Beam --
Under Slab
Top Out
Water Service
Sanitary Sewer -' - - --
Rain Drains eIew\
Fir at _
.,PASS--&T FAIL
Post& Beam
g(c)
mpers
ART FAIL
ELECTRICAL
Service
Rough In — --- ,--
UG/Slab
Low Voltage ��—
Fire Alarm
Final
PASS PART FAIL -_
_ SITE
Backfill/Grading ----
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f J Please call for reinspection RE [ J Unable to inspect-no access
.ADA
Approach/Sidewalk Dates
Other _ - L Inspector EXt
Final
PASS PART FAIL DO NOT REMOVE this Insp Ion re oird from the job site.
CITY OF TIGARD ME1,LAPN*1 CAL
DEVELOPMENT SERVICES PERMIT
-um-Iff-iM 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT # MEC 9--0449
DATE ISSUED: 10/06/98
PARCEL: 26102AB001101
SITr--, ADDRESS. . . : 11970 SW 95TH AVE
SUBDIVISION. . . . : MARIELL TONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .001 JURISDICTION: TIG
----------------------------------------------------------
CILASS OF WORK. . :ALT FLOOR FURN. . . . - 0 EVf,P COOLERS. 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R1'3 VENTS W/O APDL: ID VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 13 ru 1530 HP. . . . -. 0 REPAIR UNITS: 0
F IRE DAMPERS?. . : 30.--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE— : 50+ HP . . . : 0 CLO DRYERS. . - 0
NO. (IF 1_JNTTS--- ---— - AIR HA:IDL.ING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: I (= 10000 cfm: 0 Gc113 OUTLETS. . 0
FURN > =100K BTU: 0 > 10000 7fm: 0
Re mark s : Instal: a new furnace (to 106,000 BTU) for an existing single family
dwelling.
0,,q n e v-: ----------------------------------------------------- FEES
LEANNA DELAY type amot.int by (late V-ecpt
11970 SW 95TH AVE PRMT $ 25. 00 GEO 10/06/98
TIGARD OR 97: ,23 5PCT $ 1. 25 CPEO 10/06/98 98 - 760
Phone #: 62092B6
Cont r-act or,: --------------------------------
A[_LIED MECHANICAL Mr
I -,00 NE 48TH AVE ------------------------------------
STE 1000 f 26. 25 TOTAL
HILLSBORO OR 97124
Phone #: 693--7353
Reg #. . - 005807
REQUJRCD INc--')PECTIONS
This permit is issued subject to the regulations contained in the Heating Unt I n s p
Tigard Municipal Code, State u.- Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
N II within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTHEW: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-001-0010 through OAR 952-00I-0A80. You may
•C4
obtain copies of these rules or direct questions to OUNC by calling
Ln
W (503)246-9187.
Issi-te BY '. Pti
pv-mittee Sirlati-a-el.
001,
..............4...4-++++4.......................f-+++++-f .................4-+++++++-+-
Call 639-4175 by 7:00 p. m. for inspections needed the next 13i.isiness (Jay
. .....+..............4..........4-4-++++4................J-++-++++++++++++++++++-++4-+++++
C-ity of Tigard MECHANICAL PERMIT Plan-.!;!ec. #
13125 sw F;dil Blvd. APPLICATION Permit #/N/N
Tigard, OR 97223
(503) 635-4171
a
re-,{J Table 3A Mechanical Code QTY PR;CE AMT
Job ! S'W 5 1) Pei,-iit Fee
Address -- -—
�� 2) Supplemental Permit 3.00
urnace to
1) incl, ducts 3 vents6.00LP
"-g - q..2 +
Owner qf>� �� ' 9�8� 2) incl. ducts &vents 7.50
oor umaice
3) incl. vent 600
"""N""•�" �'""""'
Suspender' e.:ter, wall eater
Dwf'Zti}'- 4) or floor me-entad heater 6.00
Occupant
Vent not inc. in -
5) appliance permit 3.00
Repair of heating re r—T ig — -
6) cooling, absorption unit 600
' I ^ G D
Boiler or comp, eat pump. air cond.
/�f'
I 7) t3 3 HP; absorp unit to 100K BTU 6.00
of eror comp, pump,ir cand.
300 �� i 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor -
" offer or comp, Meat pump, air cond.
1 15 L)Ort) C� -� 9) 15 30 HP; absorp unit 5-1 and BTU 1500
"/<c� """" °• '° fe
or orr comp. Heat pump, air con
0-590 7 10) 30-50 HP', absorp unit 1-1.75 mil BTU 22 50
hereby ac now a ge tat , az!ad this app nation, t at t eof er or comp, heat pump, air con
information riven is correct, that I am the owner or authorized 11) , 50 HP, absorp unit 1 75 mil BTU 3750
agent of the owner, that plans submitted are in compliance with it handling unit to —
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below) 13' 10,000 CTM + 7.50
Non portable
14' evaporate cooler 4.50
Vent fan connected — -
15t 'o a single duct 300
Ventilation system not
16) included in appliance permit 4 5C
Hood serve -
Y
171 mechanical exhaust 4 50
escrl a work ne addition O a teration < repair Commercial or industrial
to be done -sidentiat non-residential 181 type inc,nerator 3000
c(rstrng use-oT- tier i.e,, woo stove, water
building or property 19) heater, solar, clothes drveis, etc 4 50
Proposed use of _01 Gas piping one to four outlets 200
building or property _ �-
2', More than 4-per outlet (each) 200
Type of fuel -oil C7 natural gas ' LPG 0 electric Q --- —
NO ICE
Minimum Fee 525 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION CR WORK IS SUSPENDED OR
ABANCONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL --
AFTER WORK IS COMMENCED
TOTAL � �„p•
Speael Conditions
Date issued by
`A001403MIECMOW