13870 SW 114TH AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — —
BUP
— �� — BLD
Date Requested AM PM
Location -7 (] 1�� L _ Suite _ MEC C %
Contact Person Ph PLM --_
Contractor Ph SWR
BUIL I-NNG TenantlOwner ELC —
Re'.aining V!atl ELR
Fr,oting Access:
Fo:mdation FPS —_
F',g Drain SGN
Crawl Drain Inspection Notes: a,U'�-- �- / ';_ c� �� —
Slab _. SIT
Post&Beam
Ext Sheath/Shear
Int mlath/Shear
F aint Q �� —C�r L Ivy,I —
9 - y —
Insulation
Drywall Nailing
Firewall AJd
5Fire Sprinkler %__—_--- .
Fire Alarm r-Q
Susp'd Ceiling _
Roof
Misc: --
Final 6
PASS PART FAIL — ----
PLUMBING _ T—
Post& Beam
Under Slab
Top Out
Water Gervice
Sanitary Sewer
Rain Drains _� Lr) tL —
Final 1 Q
PASS PART FAIL C9'f
MECHANICAL
Post eam -- -- -- ---- --- — --
as Line �(I� -- -- -- — -- - --
Smo amp I r s
nal
SS ART FAIL
a
ELECTRICAL --- _-- �— --- ----__--
�^ Service
N Rough In
UG/Slab �. 01
t-ow Voltage
J Fire Alarm
Final
c�
PASS PART FAIL _ --- —
SITF
Backfill/Grading ---— - — — —
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ —required before oext inspection. Pay at City Hall, 13125 SW Hall Bivd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: -__ [ ] Unable to inspect-no access
AnA
Approach/Sidewalk Date I Inspector Ext y2
Other --+ --- —
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD ME6:'I-)N I CAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC98-044G
DATE ISSUED: 10/02/98
PARCEL: 2S103DC-021000
SITE ADDRESS. . . : 1'7870 SW 114TH AVE
SUBDIVISION_ . : VIEWMOUNT ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :008 JURISDICTION: TIG
CLASS OF WORK. . AL-7 FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE �jF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCr*j -1ANCY GRP. . -R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STO`4IE9. . . . . . . . : 0 9OTLERS/COMPRESSORS HOOLS. . . . . . . : 0
FUEL TYPES---------.-.--.-- 0—21' HP. . . . : 0 DOMES. INCIN; 0
:GAS 3-15 HP. . . . : 0 COM111_. INCIN- 0
MAX INPUT: 0 BTU 15-30 0 REPAIR UNITS: 0
FIRE DAMPERS?_ : 30-50 HP. . . . : 0 WOODSTOVES. . - 0
GAS PRESSURE. . . 504. HP. . . . : 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. : I
FURN ( 100K BTU: 0 10000 cfm . 0 GAS OUTLETS. : 1.
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Moors - gas stove
Owner: FEES
TED MOORE type Amol.tnt by dat e recpt
13870 SW 114TH AVE PRMT $ 25. 00 JSD 10/02/9-1 93--309678
TIGARD OR 97223 5PCT $ 1. 25 .TSD 10/02/98 98-30967P
Phune #: 639-2093
Contractor: -------------------------------
D GRAVELLE
DAVIS ALLEN GRAVELLE -------.-----------_-----.-------------_.—.
2906 NE 53RD $ 26. 25 TOTAL.
PORTLAND OR 97213
Phone #: 287--23613
Reg #. . : 123541
REQU I RED I NSPEcT I ONS
This permit is issued subject to the regulations contained in the Mechanic-al Insp
Tigard Municipal Cede, State of Ore. Specialty Codes and all other Final Inspert ion
applicable laws. All work will be done in accordance with
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: Orecon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in DAR 952-001-0010 through DAR 952-001-0990. Ynu may
obtain copies of these rules or direct questions to OLINC by calling
(503)246-9187.
F Permittee Si gnat 1.1re -
++++++++++++++++++++++-F+++++++++ ..............................4-++++-4........ ++++
Call 639-4175 by 7:00 p. m. for inspections needed the next bi.tsiness day
...........I .................................4..........................t+i........
n Check
CITY,O'F TIGARD Mechanical Permit Application Ree cd By
13125 SW HALL BLVD. Commercial and Residential Date Recd It -
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type Permit# 41
_
Incomplete or illegible applications will not be accepted Called o7Z7
Name of Dove pment/Project Description
Table to Mechanical Code Price Amt
Street Address Suite# A) Permit Fee_ _ 10.00
,lob _ —
Address 1) Furnace to 100,000 BTU
r�Y�T) including ducts&vents _ _ 6.00
I g# City/State zip 2) Furnace 100,000 BTU
including ducts&vents _ 7.50
Name(or name busine s) 3) Floor Furnace
,p includingvent __ 6.00
Owner
i��.of 4) Suspended heater,wall heater
Mailing Address
^ G[. or floor mounted heater 6.00
5) Vent not included in appliance permit
Clty,1 tate 'IP P 3.00
cz CHECK ALL 'Boiler Heat Air
— �business)
Z'--- THAT APPI Y: or Pump Cond Qty Price Amt
Name, r name of business) ';Omp "
6)-<3HP;absorb unit to
Occupant Mailing Address 100K BTU 6.00
7)3-15 HP;absurt r3
City/State Zip Phone 100k to 500k PTU _ 11.00
8)15-30 HP;absorb
unit.5-1 mil BTU 15.00
Contractor me
9)30-50 HP;absorb
unit 1-1.75 mil BTU 22.50
Prior to permit Mallin ddress10)>50HP; aosorb unit
issuance,a copy _ J �- >1.75 m'I BTU 37 50
of ail licenses /state zip Phone 11)Air handling unit to 10,000 CFM
are required if , - 4.50
expired in COT Oregon const nt Board Ica Exp Date 12)Air handling unit 10,000 CFM+
database L [� ( 7�— Cin _ 7.50
Architect Name 13)Non-portable evaporate cooler
4.50
�Menino Address — -- 14)Vent fan cornected to a single dirt
or 3.00
15)Ventilation jistem not included in
E',tgineer Cnyrslate zip rho le ap lianas 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
ResidentiaK Commercial O 18)Commercial or industrial type incinerator
30.00
Additional information or description of work: 19)Repair units
_ _4.50
20)VJW stove
1 c CN J 4.50_ _
v� 21)C c',ies d er,etc.
4.50
~ fTypeof fu—el- oil O natural gas P< LPG O electric O 22)Other units
50 _
co 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
W the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each)
—' .50
Signatui w 'N Date
Minimum Permit Fee$25.00— — SUBTOTAL
5%SURCHARGE
Co ct crs rrt Phone PLAN REVIEW 25%OF SUBTOTAL
�) - Required for ALL commercial permits oni r
TOTAL
V 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I\mechperm doc rev 07/20/98