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SAING QNVrlH9IE1 619 0990T
CITY OF TIGARD BUILDING INSIPECTIOM DIVISION MST
24-Hour Inspection Line: 639-4175 Businiss Line: 639-4171
BUP
—Date Requested AM PPA BLD
Location_ �U nCQi £mite E�9 `� ` J�
Contact Person Ph PLM
Contractor PK SWR
BUILDING — TenF_LCant/Owner
Retaining Wall ELR
Footing Access: FPS
F oundation
Ftg Drain -C"'� "-� C c� SGN
Crawl Drain Insper-u-)n Notes: - ------—
Slab _----------- ---------- ---__----- SIT
Post& Beam
E,,;Sheath/Shear
Int Sheath/Shear
Framing —-- -----_ ..---- —- —-- - --
Insulation
Drywall Nailing
-------------- --- --------------------
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --
Root
Misc: ------_--- -_—.. _ _
Final
PASS PART FAII
PLUMBING
Post 8. Neem
Under Slab
lop Out
Water Service
Sanitary Scwer
Rain Drains
Final
PA.53 -PARI FAIL
fh�ECHANICAL; - -
I'os ,efini } -- -- - - - --- --- -- - - - - --- -
s 7-
e-
Smoke
Smoke Dampers
C?PA-55S_) PART FAIL.
TRICAL
Service �� A
Rough In
t IG/Slab
Low Voltaae
` Fire 'alarm
Final ---_---
PASS PAR? FAIL ---------
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( j Reinspecticn fee of$_._.__ _-required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
vire Supply Line ( ]f'iease call for reinspection RF f ]Unable to inspect no access
ADA
Approach/Sidewalk ji
Other Date Lispector__ _ --��_Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY O TIGARD MECHANICAL.
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 VIE:RM I T #. . . . . . . : 111EC�-18--0441
DA'•r ISSUED: t0/01/98
PARC'' : 2 S1 10DD -05800
I TE AUDF,ESS. . 10F,80 SW H T CHI-AND DR
SUBDIVIS10.4. . . . SLIMMERFIEL_D NO. 4 ZONING. R---/
BI_.00K. . . . . . . . . . ., LOT. . . . . . . .. . . . . . . 158 JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOOR FI..IRN. . . . : 0 EVA1-' COOLERS: 0
TYPE: OF USE. . . . .SF UNIT HEATERS— : 0 VENT ,=ANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O ADPL: 0 VEN f SYSTEMS: 0
STORIES. . . . . . . . , 0 BOILER9/C;OI+1F'RE5SOR5 HOODS. . . . . . . : 0
FUEL. TYF'F"S- .______ ._._.__._ 0-3 HP. . . . : 0 DOMES. INCIN: 0
J
UP'" t� 1'5 !lr,. 0 , L-IMM:.... I KIr'T h1
1..J J1 1 1 ♦ '
MAX I NPU T: 0 BTU 15 _30 HP. . . . : 0 RE PA 1? UN T TS: 0
F-I RE DAMPERS?. . : �0 -50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRF'S SURE. . . : 50+ HF='. . , . : 0 CLO DRYERS. . : 0
NCI. OF UNI TS--------- --- AIR HANDLING U1\1 I TS OTHER UNI- 1
FURN < 100K BTU, 0 <= 10000 c_f m: 0 ONS OUTL..E1.
FURN > =100K BTU: 0 > 10000 r..fm : 0
Remarks : Installation -t gas fireplace insert. /
Owner: -- - .___.._.---..__._--.•-.______...__._..____._ ___.___._____._.__________._ FEES
ROY F=` DAHLGRFN R VAL_ I._ DAHL.GREN type amotint oy c_late recpt
106,80 SW HIGHLAND DR F'RMT $ 25. 00 DLH 10/01/98 98-309C47
T.iGARD OR 97224 5PCT $ 1. .::'5 DLH 10101198 98-309647
Phone #. 624--7984
Contractor-:
ANCHOR FIREPLACE PRODUCTS INC
14175 7W GALBREATH DR
2G. ,25 TOTAL
SHERWOOD OR 971.40
Phone #: 503--[- 4--7868
P I CAPS 14
REOU I RED INSPECTIONS
__.....___
This permit is issued subject to the regulations contained in the Gas L_ ine I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p
applicable laws. All work w 11 be done in accordance with F i n.%I Inspect ion
approved plans. This permit rill expire if worn is not started
within 188 days of issuance, or if work is suspended for more
than 180 days. ATTENTION" Oregon law requires you to follow rules
adopted by the Oregon Utilify Notification Center. Those rules are
set forth in OAR 952-001-9610 through OAR 952-001 -0080, You may
obtain copies of these rules or direct questions to OtW by calling
(593)246-9187.
i
T -I e l l y : !15.:..,� _ G._'_`� �— _ F'e r•m i.t t a o S i g n i t i.r r,e :
+++++++ J4
+•+++++•+++++-+•+-+-►'+++++'++++++++++++++++++++++++'+++++++•+++++++++-++++++f-i•+++a
Call 639--4175 by 7:00 p. m. for inspections needecl the next business c.7y
-+++-1-+4++++-#-4-++4-++4+-+-4,-++4-+4......4...........4 +++++4............4+++++++++++++++++1+
CITY OF TIGARD Mechanical Permit Application Plitt Check# -
PP Rec'd By - ?-'-) �
13125 SW HALL BLVD. Commercial and Residential Date Rec'd fQ
TIGARD, OR 97223 Date to P.E. -
(503) 1639-4171, x304 trate to DST_ —
Print or Typa '
Permit#
Incomplete or illegible applications will not be accepted called
Name of Development[Project Descri^tion 1
Table 1.4 Mechanical Code Q Price Amt
Job Street Address �— SuR90 A Permit Fee 10.00
1) Furnace to 100,000 BTU
Address G'& ko 's/C' /�� r:N "� includinq duds&vents _ _6.00
Bldg# cny/State zl: 2) Furnace 100,000 BTU+
including duds&vents _ 7 q�
-Name(or name of business) _ 3) Floor Furnace
Owner 'P� , = +- Vk L 9/ 414 G/Zr' including vent _ 6.00
4) Suspended heater,wall heater
Mailing dress or floor mounted heater 6.00
u) vrnil iwl iiick ded iii appflan=permnil I
4
C-M�tate Zip Phone 3.00
I /('/}Kn Gi il� 9'7 Z 2(l/ ,2q-70'r CHECK At I � 'Boiler Heat Air
-- - Name(or name of business) THAT APPLY: or Pump Cond Qty Price Amt
�:om ••
/'d VN ► I7 h la= 6)<3Hr'absorb unit to --
Oi.cupant Mailing ddress 100KBTU 6.00
_ _
� lel_ {� (N' 11'I"/-/e.//til! 7)3-15 HP,absorb unit
citylSi tate w Zip Phone 100k to 500k BTU_ - 11.00
7r / 4 J2b O 1� F 7I 2 y 2 q-7('`r 8) 15-30 HP;absorb- - --
unit.5-1 mil BTU _15.00
Contractor Name // 9)30.50 VIP;absorb `- -
12 —
��- r 1(a L ( 4 pd. � t<w;�bi r_5 unit 1-1.75 mil BTU 22.50
Prior to pemtit Mair,ig Address rr� 10)>SC!i-r, 9I`.orb unit
issuance,a copy ? S W t;?1 Ib (R afi�V V K >1.75 roil BTU _ 37.50
of all licenses clncstate �1 Zip PP9t�57„ 11)Air handling unit to 10,r,00 CFM
are required if tz (,u fi 0( Off 1 ,// r-!
expired in COT regon Const Gn i.Board Lw p Exp Date 12)Air handling unit 1U,000 CFM+
database _ _ _ _ _ 7.50
Architect Name 13)Non-portable evaporate cooler
____ _ 4.50_
Or Mailing Address `- --- 14`Vent fan connected to a single dud -
3.00 -
15)Ventilation system not Included in
Engineer cityrstate Zip Phone _appliance permit _ 4.50
16)Hood served by mechanical exhaust
Describe work to 153 done - -�- - 4.50
17)Domestic incinerators
New 0 Repair O Replace with like kind: Yes O No U _ 7.50
Residential O Commercia,J Ie)Commercial or industrial type incinerator
_ 30_.0`.
Additional information or description of work: 19)Repair units
4.5_0
20)Wood stove _
4.50
21)Clothes dryer,etc.
450 _
Type of fuel. oil O- natural gas O LPG O electric O 221)Other unit _ — ` 1 -
!�(>�(k 4.50
I hereby acknowledge that I hive read this application,that the Information 23)Gas piping one td four outlets 1
given is cored,that I am the owner or authorized agent of _ 2.0_0 I
the owner,that plans submitted are in cornpliance with Oregon Stale laws 24)More than 4-per outlet(each)
.50
.50
�Slgnature of Owner(Agent Date �- 1
Minimum Permit Fee$25.00 SUBTOTAL ZJ
5%SURCHARGE �'Z�
Contact Person Name Phone - PLAN REVIEW 25%OF SUBTOTAL
Required for ALL commercial permits onl
(-� 71 TOTAL
'State Contractor Boiler Certification required -
—Residential A/C requires site plan showing placement of unit
I\mochperm doc rev 07120108