14805 SW 109TH AVENUE i,
ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 6394175 Business Line: 639.4171
r f q BUP
—__
Date Requested
1 -f r� �� ( AM PM BLD
Location bC�:� I (,/ y '. Suite MEC
Contact Person t `L Ph ZF,2�,, C� 1 PLM _
Contractor I` .2 s �a L til c 1 ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR _
Footing Access:
Foundation P�'���►� FPS _
Fog Drain k�1 � L64 I yTpl � ovy",�� A- � 1�
Crawl Drain Inspection Notes: SGN --
Slab _ _ _ SIT
Post&Beam —
Ext Sheath/Shear _
Int Sheath/Shear
Framing _— —
Insulation A—
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceil,ng —
Roof
Misc: — -- --- -- ----- —
Final
PASS PART FAIL
PLUMBING
Post&Beam _— -- — —
Under Slab
Top Out —
Water Service
Sanitary Sewer -
Rain Drains
Final I
PASS PART FAIL
ANIC �1
Post& Beam ------ ---�\ Y
Rough In
Gas Line
Smoke Dampers
AS PART FAIL
K—EdTRICAL —
Service
rt Rough In
UG/Slab
I.ow Voltage
�- Fire Alarm
Final
PASS PART FAIL
SITE
-+ Backfill/Grading — ----
Sanitary Sewer
Storm Drain I ] Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call for reinspection RE' .— __— _ I ]Unable to inspect no access
ADA
Approach,.Sidew-s" �.�`,t � C /
Other Date — Inspector �' _Ext _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
`� 1
CITY CSF TIGARD MANICAL.
DEVELOPMENT SERVICES MEPE RM I T
13125 SW Hall Blvd.,rlgrd,OR 97223(503)6394171 PF7RMTT #. . . . . . .- MEr9r'
DATE !SSUEn: 01/27/99
7',TTE ADDRECIS. . . : 14CLA9 '3)W 109TH AVE
PARCEL-: 291. 10AD--08900
,I.JBD I V I G I ON. . . . : BRAMBLE REND ZnNTNC3- R--1.'_-'
"LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :001 JlJRTSDICTI0I\1: TTO
`71_ASS OF WORK. AL-T FLOOR TURN. . . . : 91 PAJAP (7001-ERS: 0
TYPE OF USE. . . . :SF LIN 1 T HEATERS. . : 0 VENT FANS. . . : 0
Or.r.L.IrinNCY GRP. . :113 VE:NTS W/('-' nPPI-- 0 VENT SYSTEMS: 0
;TORIES. . . . . . . . : 0 SOT L.ERS/CO11PRESSORG Hinms.. 0
0 11P. I DOMES. INCIISI. 0
3-15 HP. . . . : 0 COMM.. TNCIN- 0
MAX INPUT: 0 BTLJ t FJ—3 Izi tip. . . .. - 171 REPAIR liN.TTS: 0
FT RE DAMPERS% . 30--50 HP. . . . 0 WOOD-ITOVES. . 0
qAS PRESSURE. . . 50+ HP" . , . 14 r.1-0 DRY17PS. . 0
NO. OF UNITS)—----------- AIR HANDL...1 NG) LJN I TS OTHER UNTTS. 0
r"IJRN ( 1.00K EVIIJ: 0 10000 cfpl: 0 GAS OUTLETS. : 0
FLjRN ) =100K STtl: 0 10000 t^fm: 0
pemav-ks . Install heat pulp.
Owner: FEES
FI-T7.ADET11 E THRESHER type- amai.int by date rprpt
'�?5. 00 GF 01/27/99
-713314 SW 0SHFORD PRMT t
"TGnRD OR 97224 7_PPCT $ 1. 25 GEE 01 /27/99 99--31 '4G`
"'hone #: 684-1258
(in' t-Actot-:
I RST CAI. I- MCCAL-L. WFATT,4
OOL T NG -------------------------------------
' 650 NE I..OMBARD is 26. 25 TOTAI.
1RTI.-PND OR 9- 7211--4798
'dune ff: c':'3t 3311
g 02030
RF11,II1RFD INSPFCTTONS
This permit is issued subject to the regulation3 contained in the Hr,,-4f i rig LJnf; Inc[:)
Tigard Municipal rode, State of Ore. Specialty Codes and all other Final Trispertion
applicable laws. All work kill be done in accordance with
approved plans. This permit will expire if work is not started
with-in IN days Of issuance, or if work is suspended for mare
than 180 days. ATTENTION: Oregon low requires you to follow rules
adopted by the Oregon Utility Notifiratioi, Center, Those rules are
.,,t fortN in DAR 952-RI-NIO through CAR 952-001-O888. You may
Iain copies of these rules or direct qiipstions to W by calling
i S t(e P Permittee !3i gnat t.ire
1-++444--I-+-4-.++4--r4-4-+++4-+-4-1-.......44++4-++++++-+-1 4-++++4,++4+4.++++++i-4-++-+-+++•F•+....4.4
r,il 1 1:339--4175 by 7:00 p. m. fnt- inspect ions netded the iie)(t btisfne.qs day
r-4-+4-44-++4+++ ++4.4-4-++++U+4•+++++++"++4.........1 4.+++-+++-!....+++++++++f+++•.++4+++-++f
11/U4/Uda CITY OF TIGARD IZO02
Plan Chock#
CITY OF TIGARD Mechanical Permit Application Redd By
13125 SW HALL BLVD. Commercial and Residential DateRec'd
TIGARD, OR 972:3 Date to P.E.
'
(503) 639-4171, x304 �r Date to DST _
`^ 'Q� ✓
Print or Type Permit#_
�_--
incomplete or illegible applications will not bilaccepted Called
Naw d DeveaproanmroJect bescrojon
Table 1A Mechanical Cade _ O Price Amt
A) Permit Fee —_ 10.00
Job �fi°k ' Y sureQ 1) Fumace±e 100,CD0 BTU
Address rnduJir�aucty h vents 6.00
ewgr cay/state ZIP 2j Furnace 100.000 BTU+
including ducts S vents .50 _
Nemo(or �M bu�sl 3) Floor Furnace
including vent 6.00
Owner E-A 4) Suspended heater,wall heater
MaWwQ Adore%s or floor mounted heater 6.00
-�C1 3 L I , CLL J �1��)�^c?' 5) Vent not inU!lded in appliance permi
Cry/state ZIP 3A0
y , CHECK All 'Boiler Hoat Air
2`1 c THAT APPLY: or Pump Cond Qty Price Amt
Namb nem°of business, Comp
-i GiHP;absorb wait to I
t�I Addtnss INK BTU 6.00
Occupant 7)3.15 HP;absorb unit
100k to 50"' BTU 11.00
CltyrState Zip Phone - --
8)15 30 HP;absorb
ut t 5 1 mil BTU 15.OG
Contractor ('-
9)30-50 HP:absorb
22
-k }` C� of ct I unit 1-1.75 mil BTU _ .50
^^_rn Cl 10)>50 P;absorb Lan
37.50
Prior to permit U � � >1.75 mil BTU _
issuance,a COPY „L_ G_
of all licenses ityrSt. ZiP Phone 11)Air handling unit to 10,000 CFM
4.50
are required if Cih 1.(A IlC. 'D 1-1Z1\ �' -1 I
expired in COT Egon Oona coM Uc1 Date 12)Air handling unit 10,000 CFM+
J c1� 750
database U _
Gt
13)Non-portable evaporate coolcr
Architect "iR1O 4.50 _
14)Vent fan connednd to a single dud 3.00
or maiuna Address _
15)Ventilation system not included in
Enfllner r
c;ty/State Z p r�lmte appliance permit J 4.50
16)Hood served by mechanical exhaust 4.50
pestes work to be done: --- 17)Domestic,Incinerators
7.50
New O Rep*O Replace with We kind. Yes O No O 18)Commercial or Industrial type incinerator 30.Q0
Residential KY Cormterdal O —
_ 19)Repair units
Auditionat information or doscrtPtion of wwk: 4.50
C'LA- m P 20)Wood stave
r.50
21)Clothes dryer,etc. 4.50
rt -
N22)Other units
> Type of fuel: oil O natural gas O LPG O eiedric's7 -- _ 4.50
Gas'
i i� one to four cxrtlets
J I hereby adcnotNlydge that I'have read this;application,that the information 23) p p'`� — 2,00
•. given is carred,that I am the owner or authorized agent of 24 Mare than 4-per Outlet(each)
the owner,that p4ins submitted are in comp4ance with Oregon.:tate laws. ) .50
J Signature of Owner/Agent Date
Minimum Permit Fee$25.00 SUBTOTAL
l t (I Gl LLr5 cl` Ci 5%SURCHARGF
Contac Parson(rams Phone C>L L�� PIAN REVIE7/V 25"r6 OF SUBTOTAL —
Required for ALL commercial permlb_ i
TOM
--- -- - 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of trait
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