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12020 SW FONNER STREET F� N O N O CI] Irl y M triy _12020 SW FONNER STREET .,.,; CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6304171 Date Requested: /'�__0 T - -1 M.J P.M.� MS'f: Location: I .1- .�-© .S L �•�� 13111: �j Tenant: _ Suite:_ Bldg: MEC: � _// // % 7 � C% Contractor: Phone: ���- ' PLM: _ Owner:__ Phone: ELC: _ ELR: -- ---- - _ _ SIT: - — BUILDING BLDG(con't) PLUMBING (ME_CHA_NICC_A� ELECTRICAL SITE Site Post/Bcam Post/Beam Post)b,,.. n Cover/Service Sewer/Storm Footing Roof UndFI/Slab o Ceiling Water Linc Slab Framing "fop Out ( ,a_s_ne�: Rough-In UG Sprinkler Foundation Insulation Sewer H oud Reconnect Vault Bsmt Damp Drywall Storm u� Temp Service MISC. [h Masonry Ceiling Rain am G UU Slab Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr 11 Low Volt Approved Approve r Approved Approved Appr/Sdwlk Not Approved Not:op veu Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL D Call for reinspection O Rein4pection fee of S rcgl,,red bef/ore trxt inspection D Unable to inspect Inspector: -— Dote:`� `( Page— __--of—r MECHANICAL CITE' OF TI�GARD PERM IT DEVELOPMENT SERVICES Pr—RMTT #. . . . . . . : MEC97—O'.Sk' 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 r)r)T!7 ISSUED: 07/31/97 TF_: ADDR77.1o'S, 1ao2e sw rr, ir,!Ep ST 3D1 k)I Tj ION. . . . Z r`r-1 I NO: R -4. 7) 130.. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: URS ,),77 Or WnRV. . :AL' F*I 0 0 P F 1-1 R N. . . . : 0 EVAF, COOLER : 0 OF USE. . . SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 ­1PANCY ORP. . :n3 VUNTS W10 APPI. : V) VENT' SYGTP' IS. IZI DRIES. . . . . . . . : 0 POIL..r:-F4c,)/CDMFIRE�E-)50R,9 HOODS. . . . . . . : 0 IE'L. TYPES_..-___ - --- 0 -3, HP. . . . 0 DO1IF'15. IPJrI.N: 1,71 ns 3-15 HP. . . . 0 COMML. TNCIN: 0 X I NT71UT 0 STU 15 30 1.1r'. . . . . 0 rREPOIR UNITS: te.." R7 DAMPERS''. 30-50 HP. . . . : 0 WOODSTOVES. . : 0 I RESIGURr. . . X01 : 0 rL0 Dnyrnr). 0 OF' UNITS—---.....-- ATR HnNDLTNIG UNITS OTHER UNITS. 12:' I r-, 1001! 1� ( 7:' I.L710 . (:'fm : V) (7)AS -)UTLETC,. I R1,4 > =1001'. BTU v 0 10000 c,fin : 0 In I(S - Install furnace, range, water heater, and piping. FEF G - type amciLirit by &i L e T-eupt 9.',''0 1,3W F(ININER '71 F,Ri,r i. :'''7. +10 .ISD 07/31/97 97 ' Gr4RD OR 1-17223 5PCT t 1. 3'5' JSD 07/31 /'97 97-- E97796 TOTAL RE0.1JIRED INSPECTIONS .s pet-sit is issued subject to the regulations contained in the Gas Lirie Tiisp lard Municipal Code, State of Jre. Specialty Codes and all other mec.,tiat-rical Plicable lows. All work will be done in accordance with Heating LP)t Irisp proved plans. This persit will expire if wo'-k is not started Fii,a' Tyi,;V)Pc�tion `grin 180 days of issuance, or if work is suspended for sore in 180 nays. ATTENTION: Oregon law requires you to follow roles ,pted by the Oregon Utility Notification Center, Those rules are ' frit-th. in DAR 952401-0010 Virough OAR 952 801 0080, You say tain copies of these rules or direct questions to OM by calling 1187. f F I 1 4+4 4 f_+1-+4.1 4 A-4.4 4 + 1.4 4 4 +++++-i 4-4 4-++++4+-1-f++ +4+++++++++i ++44+++++++4 4.4 + ++ (7,al I L39-4175 i,y 6:00 p, m. f,)t- ii­i,j.P,-.-.,t i atis iieerled 01L- ric-><t bf.tsirlei.;S (J-�y 4-4,4+4++++++++++•1 ++++++++++•4 4 +++++++-4 4+-4-++++++++++4.......r.++++++++++ Plan Check M _ CITY OF TIGARD Mechanical Permit Application ReedBy.., � 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. (50;3) 639-4171, x304 Date to DST Permit ri Print or Type _ Called_ Incomplate_or illegible applications v_rill not 5e accepted Name of Devdiopment/Proler-t D@sCnptlOft 'Table 1A Mechanical Code OTY PRICE MAT Job :,treat Address- Sultan A) Permit Fee - -0- 0- 1000 Addresr, — Bldg$ _Zip 1 ) Furnace M 100,000 BTU y— 6.00 1 L (j.� ) 11 7_3 includinq duds&vents — Name for name of business) 2.) Fumace 100.000 BT1J- 7 50 Owner /f);' r including duds d vents — Mailing Addresit 3.) Floor Furnace 6.00 including vent ;oIstate / Zip Phone 4) Suspended heater,wall heater G 00 M [ LJI' t it floor mounted heater _-- N ilex name of husness) 5.) Vent not Inclured in appliance pem nt 300 tc dl 11�✓'� I Occupant rilailna Addre4s 6) BGiler or comp,heat pump,air cond. 6.01) ,o � �; to 3 HP absorb unit to 100K BUT" CM/stale 1,t Zlp Phone 7) Boiler or ca,np,heat pump,air cord. 11 00 Q-7 ..� , t 3-15 HP',absorb unit to 500K BTU- _ Contractor NnTA 8) Botier or romp,heat pump,air Gond. 15 00 (Prior to (_,� VU ti Ll 15.30 PP.absorb unit 5-1 mil BTU** `- issuan(B Mailing Address 9) Boiler or comp,heat pump,air Gond 22.50 applicant __30-50 HP,absorb u(.rt 1-1.75m1 BTU'_' must pro•,ide all citilistate zip Phone 10) Boiler ur comp,heat pump,air cond. — 37 50 contractor >50 QIP,absorb unit 1 75 mill BTU" license Oregon const Com Board Lic 0 Exp Doe 11 ) .Air Handling unit to 16,000 CFM 450 information for COT I COT e=:,less Tax a Metro a Exp Date 12) Air handling unit 10.000 CFM 750 L- database) Architect Name 13.) Non-portable evaporate cooler 4.50 or Mailing Address —� 14.) Ve it fan connected to a single dud 300 Engineer Cry Stine -- Zip Phone 15.) Ventilation system riot included in 4 50 � _appliance permit Desrk New O Addition O Alteration(A Repair O I 16) Hood served by mechanical exhaust 450 cnbe wo to be done_Residential A Non-residential O _ _ Additienal Description of work V 1-) Domestic incinerate,s t 50 9 D J F"tA� �t Lt(2 Al a e.E., - 19) Commercial or industrial type 30.00 f " /} Incinerator Existing use df �- 7 19)Repair units 450 buildinq or property_T 1t=S L*-i v4 _-- 20) Wood stove 4.50 Proposed use r 21 j ';lothes dryer,etc. — 4 t building or property��t=-7 L•'l.>✓t` __—_ 22) Other units < <a F (���i 450 l Type of fuel-oil O latutal gas LPG O electric G 23) Gas piping one to four outlets 200 I I hereby acknowledge that I have read this application.that the 24) More than 4-per outlets(each) 50 irnnrmation given is correct.that I am the owner or authorized acent of ;he owner,that plans submitted in oompiiance with Oregon State OT) SUBTOTAL laws -- -- *SUBTOTAL Signa re oy0wnef1l/�g�n �� DaU — /` 5%SURG$iARGE _�ntac Pei-son 6 ,�T �PNone --PLAN RIEVIEW 25%GF SUBTOTAL TOTAL ? I klstvnechpmt doc lieu 9---� r�— — 'Mlnimurn permit fee is^42: -5%surcharge- ----- - rJ "Residential AIC requires s-te plan showing placement of unit.