10470 SW 67TH AVENUE 1
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CITY OF TIGARD BUILDING INSPECTION DIV16i:'ON
T
24-Hour Inspection Line: 639-4175 Business Lina: 639-4171 —
v BUP _
D,.-,te Requested , �� � Q AM PM _ _ BLD
Location---j U C� 11h,4 Ke _ S„ ite _ MEC '17-
Contact Person V^Y\ �1r Ph PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Re'aining Wall — ELR _
Footing Ac FPS
Foundation NOT REQUESTED --- -
Ftg Drain FOUND DURING RESEARCH SGN
Crawl Drain In` NO INSPECTION(S) IN FILE —
Slab SIT
Post& Beam
Ext Sheath,'Shear
Int:heath Shear r
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --
Fire Ala
Susp'd Ceiling
Roof
Misc: ------ -- ---- — — - --- - --
Final
PASS PART FAIL _. - --- - -- - -- ----------- - --- -
PLUMBING
Post&Beam
Under Slab
Top Out - - - -- __- _._._------- ---
Water Service
Sanitary Sewer
Rain Drains
Final-—.,
T
inalaT FAIL
Pos Bean,
Ro-i
Smoke Dampb.s V
__ _ -- r
Final-7-) ---_ - i =
"PASS APART FAIL
FCTRICAL — ._._--- - - - --- --- -
Saivice
Rough In
UG/Slab ----- ---.. _ _ --- -- - ------- ------
Low Voltage
Fire Alarm - - -
Final
PASS PART FAIL --- - - --SITE
j Backfill/Grading
Sanitary Sewer
Storm Drain I Reinsllncticu, iclr, of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Calci;Basin i I ['lease call for reinspection RE: [ ]Unable to inspect-no accc.4
Fire Supply Line
ADA
Approach/Sidewalk 1
Date � � Inspector__� Ext
Other "—”
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGAR ® MECHANICAL.
PERMIT
DEVELOPMENT SERVICES PFRMIT #. . . . . . . : MEC97-0390
13125 SW Hall BI 'igard,OR 97223 (503)639.4171 DATE ISSUED: 10/ 13/97
PARCEL: 1SI36AD-00700
SITE ADDRESS. . . : 10470 SW 67TH 'AVE
SUBDIVISION. . . . : VILLA RIDGE NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :OOC- JURISDICTION: TIG
----------------------------- ------------- --------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . SF UNIT HEATERS. . ; 0 VENT FANS. . . : 0
OCCUPANCY GRP. . R-', VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIE=S. . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. .. : 0
GAS PRESSURE. . . : 50+ 1-4;-,. . . . : 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS) OTHER UNIT-S'. - 0
FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS, : I
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Installation of gas line.
Owner: FEES
MICHAEL MILLER type amount by date recpt
10470 SW 67TH AVE PRMT $ 25. 00 DRA 10/la/97 97-299983
TIGARD OR 97223 5PCT $ 1. 23 DRA 10/ 12/97 97-299VO3
Phone Q
Contractor:
D GRAVELLE
DAVIS ALLEN GRAVELLE -----------------_-----_---..-----_----__..
2` NE 53RL $ 26. 25 TOTAL
PORTLAND OR 97LI3
Phone Q 287-2368
Reg #. . r 123541 REQUIRED TNSPECTIONS
This pewit is issued subject to the req-aLions contained in the Gas Line Insp
Tigard Mun,cipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. T1-iS pewit will expire if mrk is not starte,'
within 18k, days of issuance, or if work is suspended for iorp
than 150 days. ATTENTION: Oregon 'law requires you to follow rules
ad,,pted by the Oregon Utiiity ihitification Center. Those rules are
set forth in OAR 952-001-0010 throigh OAR 952-001-0080. You vay
obtain copies of flies` rules or di,,ect questions to OUNC by calling
(503)246-9187.
Issue By : Permittee S i g n a t u •e
..............................4-+4.........4...........V+4+4................ .......
Call 639-4175 by 7:00 P. m. for- inspections n eeded the next business day
...................I .............f.................. ..............4•...........I-+
Plan Check#
CITY OF T;GARD Mechanical Permit Appiication Recd
1312c, SW HALL BLVD. Commercial and Residentiai Date Recdl0�:''=X9.7
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, xU 4 Date to CAST
Permit#���?-0 v
Print or Type Called
!ncomplete or illegible app!-cations will not be accepted �-
Name of OevelopmenvPru!ectI _ D.'4cript.nn
^•4 C- ` O_ T de iA w'echanical Code QTY PRICE AMT
Job Street Addresssuras A) Permit Fee -0- -0- 10.00
Address J -7 0 5 co (n i
_-T-City/state cZip 1.) Furnace to 136,666-E-5 U 6.00
p` 1 f 4v'C`R b_V• including ducts&vents
Name(or name of business, 1 2.) Furnace 100,000 BTU+ 7.50
Owner t� - (�A,\l lK� including ducts&vents
Meiling Address 3.) Floor Furnace 6.00
u 14')p } b including vent
;ny/State Zip Phone 4.) Suspended heater,wall heater 6.00
t ._= r Gn, � 91S• I;Z 14-'L-, 1 yc? n,floor mounted heater
NaKe(or name of business) 5.) Ven, not included in appliance permit 3.00
Occupant Mailing Address f.) { o+ai or comp,heat pump,air Gond. 6.00
r. 3 HP,absorb unit to 100K BUT-
Cityfstate Zip Phone toiler or comp,heat pump,air cond. 11.00
3-15 HP;absori)unit to 500K ETU"
Contractor Name 8.) Boise,or comp,heat purnp,air Gond 15.00
' k ,`��r; 15-30 HP,absorb unit.5-1 mil BTU"
Prior to pemit Mei ing Address c�1�c� 9) Boiler or comp,heat pump,air Gond 22.50
a Copy 61�1 /lJC 30.50 HP;absorb unit 1-175mil BTU"
of all 1:.dnses /State (� Zip Phon ., 10.) Boiler or comp,heat pump,air Gond. 37.50
are required if -1) r7 `�• ` >50 HP, adsorb unit 1.75 mil RTU" _
expired in COT Oregon Const.cont.Board Lica Exp.Date 11 ) Air handling unit to 10,OCO CFM 4.50
_d_atabcse
Architect Name 13.) Non-portable evaporate cooler 4.50
or Mailing Address ' 1.) Vent fan connected to a single dud 3.00
Erghieer CltyfStet I Zip Phc. 15.) Ventilation system not included in 4.50
_ appliance permit
Describe work New O Addition O Alteration O ?..pair v 16.) Hood served by mechanical exhaust 4.50
to be done Residential• Nun-residential O _
Ad(jdional Description of wor! 17) DornesN:;incinerators 7.50
0 18.) Commercial or industrial type 30 00
Incine!itor _
casting use of 19.) Repair units 4.50
budding or property
20.) Wood stove 4.50
_ _ I
Pr osed use of 21.) Clothes drver,etc. 4.50
bu ,.nn or property
22.) Other units 4.50
Type of fuP:-oil O natural gas a LPG 0 electric G _23.) Gas piping one to four outlets 200
I hr cby acknowledge It,it I have read this application,that'he 24) More thaw 4-por outlets(each) 50
information given is correct,that I am the owner or authorized agent of _
N lalne owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL.
_r I
~ SIiqqnature of a,merl'�Rent Date 'SUBTOTAL_
l� 5%st:RChARGE
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4Contac n N f `�,, Phone PLAN REVIEW 25%OF FUBTCTAL
1 TO
iechpmt.doc (rev 9 'Minimum parmit fie is$25+5%surcharge
"Residential RJC requires site plan showing placement of unit.