14685 SW 106TH AVENUE �►r
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CITY OF TIGARD BUILDING INSPECTION DIVIS101v MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
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_ Date Requested A QLD
� 1
Location `i�c�[� i�(l� _� -% Suite _ MEC L'6_few
Contact Person ` Ph _ ?(� PLM _
Contractor Ph SWR
BUILDING Tenant/Owner _ ELC
Reiaining WallI ELR
Footing Access:
Foundatil,n I FPS _
Ftg Drain I SGN
Crawl Drain Inspection Note,,;:
Slab —,_ — — — SIT
Post& Beam I —
Ext Sheath/Shear i
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- ------------ ----- - ---�--
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ----------- -- --- ----------.�—.__ _—�. - -- ----
Roof
Final --- --____--
PASS PART FAIL ----------- ---_ - -."..._------- ---- - --
PLUMBING
Post&Beam
Under Slab
Too Out
Water Service-
Sanitary Sewer -- --- --- ------_.__ -------------
Rain Drains
Final
PASS PART FAIT_
MECHANICAL
Post&Ream -- -- --------
Rough In �� n
Gas Line ---_ ---- —_— �_
S e Dampers
I/PASS PART FAIL
�� SenilCe -�
N Rough In ---- --- ------__- -
UG/Sla',
�- Low Voltage
Fire Alarm —
c;� Final
PASS PART FAIL
�1 SITE
Backfill/Grading --- - ---"
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply I_inE ( J Please call for reinspection RE __ ^ _ _ _-.. [ ] Unable to nspect no ac:ess
ADA
Approach/Sidewalk Uate 1 G Inspector f� Ext-X
Other — -- --
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
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CITY
�C ������ _ MECHANICAL PERMIT
s DEVELOPMENT SERVICES PERM " MEC1999-00505
2/99
13125 SW Hall Blvd., Tigard, OR 97223 (50, 639-4171 DATE .EL: 1112
PAARR CEL: 2S 11OA0AU-03600
SITE ADDRESS: 14685 SW 106TH AVE
SUBDIVISION: LANG HILI_ ZONING: R-12
BLOCK: LOT: QR.1GiJVA1 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPREESSORS HOODS:
_ FUEL TYPES0 - 3 IIP: DOMES. INCIN:
LPG _ 3 - 15 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 UNITSOTHER. UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: installation of direct vent fireplace insert.
_Owner: FEES
ANNA TAYLOR Type By Date Amount Receipt
14685 SW 106 T I1 AVE PRMT DEB 11/22/99 $50.00 99-319933
TIGARD, CR 37223 5PCT DEB 11/22/99 $4.00 99-319933
Total $54.00
Phone:624-3768
Cord;actor.
HOLMES INSTALi A TION SERVICE
RAYMOND FLANDERS
33535 NW VADIS ROAD REQUIRE:U INSPECTIONS
CORNELIUS. OR 97113 Mechanical Insp
Phone:647-9320 Final Inspection
Reg #:LIC 00102473
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This permit is issued subject to the regulations contained in. the Tigard Municipal Code, State of Ora.
Specialty Codes ana all other applicable laws. All work will be done in accordance with approver)
plans. This permit will expire if work is not staited wi'.hin 180 days of issuance, or if work is suspended
for more-than 180 days. ATTENTION. Oregon law requires yot, to follow rules adopted in the Oregon
Utili Notification Center Those rules are set forth in OAR 952-001-0010 through CAR 952-001-0080
Yor nay obtain co 'Ps of thesf4 rules or direct questions to 01-1,7 by calling (503).146-9189.
I By: _ . / (Permittee Signature:
Call 503 63 '-41"5 7:00 P.M. for inspections needed the next buse,,4ss day
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Plan Ch k#
CITY OF TIGARD Mechanical Permit Application Rec'd By, Lko
1312'5 SW HALL BLVD. Commercial and Residential Date Recd r' - i
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 r/ (�) Date to DST C
Print or Type I Permit#
Incomplete_or illegible applications will not be accepted Called
�x Name of Development/Project - Description
Table to Mechanical Cede Qty Price Amt I
Jab Street /d/dress Suile# A) Permit Fee
Address N �(,t 4e ` — 1) Furnace to 100,000 BTU
B dg# cnyistale zea
incliidin ducts&vents 9.65
- -
2) Furnace 100,000 B rU+
l,6 F C in/ /0 including ducts ve nts 12.00
Name(or name of business) 3) Floor Furnace
Owner A NVA14 6-e incilyding vent 9.65
Mailing Address 4) Suspended heater, all heater
or floor mounted heater 9.65
d 5) Vent no ncluded in appliance permit 4.75
City/Slate Zip Phone Check all that apply: "Boiler Heat Air
For Items 6-10,see or Pump Gond Qty Price Amt
Name(or name of business) footnotes 1,2 Com
6)Pepair units
��'1 r_. 8.40
O:cup.int Mailing Addre-is 7)<3HP;absorb unit to
_ 100K BTU _ 965
cit"/Slate zip ,hone 8)3-15 HP;absorb unit
100k to 500k BTU_ _ _ 17.65
Contractor Name �1 9)15-30 HP;absorb
10
O� ! 7�c5 4 �� .Sei LA tt`-a it.5-1 mil BTU 24.15
Prior to permit Mailing Add res L� unit 1-1.75 mil BTU 36.00
issuance,a copy ? /v W llu a f S 11 j>50HP;absorb unit,1.75 mil BTl1
of all licenses 4 t e zip Phone 60.1 F
a,P required if 4)R k J.
US 7ZL' 12)Air handling unit to 10,000 CFM
expired in COT Oregon Const.Cont.Board Lic.# Exp Date _ _ _ 7.00 _
database 102423 /0-7 -00 13)Air handling unit 10,000 CFM+
Architect Name 11.85
14)Non-portat,le evaporate cooler
fit• Mailing Address 700
15)Vent fan connected to a single duct
4.75
Engineer CRY/state zip Phone 16)Ventilation system not included In
appliance ante permit 7.00
Describe work to be done: 17)Hood served by mechanical exhaust
7.00
New O Repair O Replace with like kind Yes O No O 18)Domestic Incinerators
Residential Cill Commercial O Modification O _ —12.00
_4 19)Commercial or industrial type incinerator
Additional information or description of work 48.25 _
1m Othe units,in lu( ng wooq stoves
1,X Lf1J, 7.00
NOTE: For Commercial projects only,Units over 400 lbs„located on the 211 Ga:piplhg one to�ur outlets
roof,require structural calts pLup2zed sed engineer_ s ___ 375
C/I Type of fuel oil O natural gas lik L,�3 k. electric O 22)More than 4-per outlet(each) .75
~ I hereby acknowledge that I have read this application,that the informafi�n Minimum Permit Fee=50.00 ` ^ c SUBTOTAL
__8/o�URCHARGE
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 Slate laws. Required for ALL commercial permits only
Sig of Owner/Agent Date
T_;TAL
/ 4..• �2 4 Other Ins•,,ections and reel
Contact Perso,:Name Phone
1 Inspection,outside of normal business hours(minimum charge-two hours) $50 00 per hour
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7- q 3 2 Q 2 Inspections for whi-:.no fee is spe;ifically Indicated (minimum charge half hour)
7 L+ ✓ .f $50 00perhour
Fc..r^`p g for commercial projects only: ? Additional plan review required by changes,auditions or revisions to plans(minimum
P•ovide 1,:"athematic of existing and proposed gas line and pressure. charge-one-half hour)$50 00 per hour 1
2 Provide drawi igs to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required
units "Residential A1C requires site plan showing placement of unit
I:4nechperm.doc rev 11/1/99