16920 SW 129TH AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION �w
24-Hour Inspection Linc: 639-4175 Business Phone: -4 639 t 7 i
Date Requested: ._ !_t,'1 �Requested: . — ,/ 7- c� 7 —A.M. v P.M. MST: ^——
Location: —� ..? �� .r J X 9 1`L1 _ RUP:
Tenant:_ — Suite: __Bldg:
�_� x_73_1 l -
Contractor: al, rnone: I'LM:
7 — _ I�5d1
�'���'� Phone: Ei.l'•
STI': _
BUILDING BLDG(con't) PLUMBING — X114' ELECTRICAL SITE
Site Post/Beam Post/Beam I'ost/13cam Cover/Service Sewer/;torn
Footing Roof llndFUSlab Rough-In Ceiling Water Li.ie
Slau Framing 'Fop Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer II(XXI/Duct Reconnect Vault
Bsmt Damp Diywall Storm >:7rneatullip
Temp Service MISC.
Masonry Ceiling Rain Drain UG Slab
Shear/Sheath fire Spklr/Aim Crbwl/l'ound Dr IA"r-, Volt
Approved Approved Approved Approved
�Appr/Sdwlk Not Approved Not Approved Nol Approval Not Approved Not Approved
FINAL FINAL FINAL FINAL I
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Pl Call for reinspe4rttett. 1 Reinspection ree of S required before no:t inspection 0 llnnble to inspect
Inspector:_— Dale �--1 . __ Page,of
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4J71
Date Requested: A.M. Ipj ',�30 MST:
Locati.,n: _��— — BUY:
Tenant:— 0 a Suite: B► MEC: � ,�
Contractor: _Phone: _ 4-32 PLM. _
Owner: Phone:
>±�>?:^— ----
-- -- ---
_ Sri: _
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/13cam Fost/Beam Post/13carn Cover/Service SewerlStorm
Footing Roof UndFl/Slabou i-1n Ceiling Water Line
Slab Framing Top Out ,as .inc Rough-In 1JG Spr:nklrr
Foundation Insulation Sewer Reconnect Vault
Bsml Damp Ihywall Storm Fumace 'temp Servicc MISC.
Masonry Ceiling Rain Thain A/C: UG Slab
Shear/.;heath Fire Spklr/,\Im Crawl/Found Dr I lent Pump Low Volt
Approved Approvedpprovcd 1 Approved Approved
Appr/Sdwlk Not Approved Not Approved proved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
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1 O Call for r inspe•ti C1 Reinspection Ice of S rc-mired tvf*ore neat inspection C3 I InaMe it �nspect
Inspector: __ Date, r– C Page of
CITY ® F TIGARD MFC:HANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97-0225
13125 3W Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: -7/01/97
PARCEL-: 2S 1 16AD-17400
`.:ITP.= ADDR1=�;'. . . : 16920 SW 1 ,9TH AVE:
SUBDIVISION. . . . : ZONING:
BLOCK.. . . . . . . . . . . L0l.. . . . . . . . . . . . . . JURISDICTION: KIN
--------------------------------------------------------------------------------------
r-LASS OF WORK. . : REI-' FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
�;'TORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL._ 7"YPES--- - -------- 0 HP. . . . : 1 DOMES. I NC I N: 0
3-;.5 HP. . . . COMMI_. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : REPAIR UNITS: 0
FIRE DAMPERS''. . : 30-50 HR. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50-x- HP. . . . : 0 CLO DRY..=RS. . : 0
NO. OF UNI"fS------ - - AIR HANDLING UN I TS OTHER UNITS. : 0
FURN ( 1001', BTU: 1 (=- 1.0000 c--fm : 0 GAS OUTLETS. : 1.
FURN > -100K BTU: 0 > 1.0000 cfm: 0
Remarks :
Owne -: ____.__--__-___..__._._.____._____.____.---------.---.______._-- FEES --__-----•____-
BEVERLY GILMORE type amor-ent by date recF.:t
16920 SW 129TH PRMT $ 25. 00 GEO 07/01./97 KING CITY
KING CITY OR 97224 SPCT $ 1. 25 GEO 07!01/97 KING CITY
Phone #: f:,r_•'0--731.6
Contractor:
EAST, SIDE HEATING
72'00 SW JOHNSON CREEP; ___.____._--•___--____._.--------------
$ 26. 25 TOTAL
PORTLAND OR 97::06
Phone #:
Reay A:— : 000032
- ------ REOUIRED INSPECTIONS — ---This permit is issued subject to the regulations contained in the Mechanical Tnsp
Tigard Municipal Code, State cf Ore. Specialty Codes and all other Heating Unt Insp ---
applicable
_applicable laws. All work will be done in accordance with Cooling Unt Insp
approved plans. This permit will expire if work is not started Duct Inspection
within 180 days of issuance, or if wnrk is suspended for more Finl.,l Inspection .......
than 188 days. ATTENTION: Oregon law requires you to folin-4 rulesCe
Ce adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-Nl-8010 through OAR 952-88IAWN'. You may
V) obtain copies of these rules or direct questions to 011C by calling
J
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155!_tP hv : Permittee Si Rnat!_rre :�
++++++++++i ++4-+++++++J-++++++++4-+++++++++++++++++++++++ E+++4+++++}++++++++++++++
Call 639-4175 by 6:00 p. m. for- inspections needed the next h!_Isiness day
F+++++++++++++++++++++...++++++++++++++++++++++++++•++++++++++++++.+++++++++++..
JUL_-01-'97 TUE 10:32 ID: FAX N0:
419� P03
Plan Check#
CITY OFiTIGARD N'lechanical Permit Application Recd By A/
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to V.E
(S03) 639-4171, x304 Date to DST "t ---ft1.
Print or Type Permit x e& i-o&,j
Incomplete or illegible app:;cations will not be accepted Galledr
Name 01 Owretocrnenvproject Da2iCnptlOn
Table 1A Merhanirual Code CITY PRICE MAT
fob9Uaet 0000 1) Ferm t Fee 0 -0-
AaCtti.' 1 D.00
Address -iYK
Idgs CitYlalate B) Supplemental Permit 3.00
erne(0r name R Suakwom) 1.) Furnace to 100,000 BTU 500
Owner F- 0 z P-L. i L Cn oe2 incl.ducts s vents
Mailing Addratu _ 2.) FUrneue 100,000 BTU i 7.50
to'y.2-C-) S j Incl ducts L vents
c aytstats tip Phone 1.1 Floor Furnaee 600
r.f 1r 9 22 6,Zo--•7.3t{c� _ incl. rent _
Nerns(vr riwrev twamstu) 1 51j5Dendrd heater.wall heator 6.00
or floor mounted heater
Occupant 5) Vent not incl in 00
✓� appliance permit _
crry/state doprinne 9.) Boder or comp,heat pump,air Gond ) 6.00 //--a,
�_� to 3 MP,absorp unit to 101..0 BTU ( lv r
--- Nime 7.) Boiler or cors p,heat pump.air Gond. 11.00
/-/TG -/314- cyo) 3-15 HP;absorp unit to 300K BTU
Contractor Malone Andreas A.) Boiler or comp,hast pump,air Gond 15.0n
,ZuJ OCts 3,L 0 0 15-30 HP;absorp unit.5-1 mil BTU _ I
Attach copy of r81ms Tp prions 9) Boiler or Comp.heat pump,air Gond 1I
Current Licensee Qr h O-e- 7'f ;11?61 3ri-50 HP.abaorp unit 1-1,75 mll BTU
Oregon Cmst,Cmt.Rfmod Lic.0 Ewp,D7te 10.) Boder or comp,heat pump,air cond. 37.50
�Z.�,,5-6 >50 HP:ebsam unit 1 75 mil BTU
COT Qalhest Tair or Metros Poste 11 ) Air handling unit to 4.50
10,000 CFNI
Architect ""^° 12.) Ir handling unit 7.50
10,000 CTM+
or Mailing Addreas 13,1 Non portable 4.50
evaporate cooler
r-npineer tv�state zlo Phate -- 14.) Vent fen connected 3 00
to a single duct
Descrft work New 0 Addition O Alteration O Repair O 15) Ventilation system not 450
to oe done _Residential 0 Non-rysidentiel O included in appliance permit �^
Additional Description of work 1e.) Hood served by
mechanical exhaust 4.50
17) Domestic incineralom 7 50
Existing use of - 18) Commercial or Industrial 3060
building or property. _ type Incinerator
19.) Clotheg dryet9,etc 4. 0
c Proposad use of 20) Other units 4?
v~i building or property
�- 1 ype of fuel-oil O natural gar. LPG O electn(;O 21) Gas piping one io four outlets -� 200
I hereby ac now edge—that:have read this appikatlon,that the 221 more than 4-par outlet (asch) 50
information given is correct,.hat I am the owner or authorizers agent or
w the owner,that plans s:jbmitted are in compliance with Oregon State OTY.SUBTOTAL
J laws.
sig tun of Owmer/Agent Date 'SUBTOTAL
�c��`� ..T/� J,�•, __..�- 5%SURCHAR-dF
5—
Contact Person Name Pho/ne �--Fa-N REVIEW 25%OF SUBTOTAL
_ TOTAL
LWstVrnchpmt doc •Minimum mormit fees$25+511surcharge