8111 SW MATTHEW PARK STREET-1 I
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8111 SW MATTHEW PARK ST
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business Line: X339-4171
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Date Requested q5-
AM PM BLD
Location Suite.—<�(�
Contact Person _ Ph PLM
Contractor /I Ph SWR _
BUILDING Tenant/Owner ` 6) 4) ELC
Retaining Wall :A�7_ - U ELR
Fooling Access:
Foundation , � I
FPS
Ftg Drain , 3 C ' ��6
Crawl Drain Inspection (dotes: VSGN —
Slab _ SIT
Post&Beam -
Ext Sheath/Shear
Int She:,th/Shear
Framinr
Insulation —
Drywall Nailing
Firewall ;\ i
Fire Sprinkler 11
Fire Alarm \
Susp'd Ceiling
Roof
Misc —
Final
PASS PART FAIL
PLUMBING
Post&Beam - —
Under Slab
Top Out
Water Service
Sanitary Sewer — —
Rain Drains
Final
WE—CHANICA1-7
Rough In
Gas Line
Slnpite Dampers
rna rfXft.
PART FAIL
TRICAL -� ---- -
0. Service
Rough In
F" UG/Slab
Low Voltage V11
_ -
Fire Alarm
-� Final
m PASS PART FAIL
O SITE
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-� Backfill/Grading �- — -- -- -_--_�
Sanitary Sewer
Storm Drain ( J Reinspection fee of$__, required before neb'inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Barin
( J Please rall for reinspection RE: [ J Unable to
Fire Supply Line - - ,inspect-no access
ADA �a
Approach/Sidewalk yal
her Date l C Inspector E lof �.
Final
PASS PART FAIL DO NOT REMOVE this Inspection (record from the Job site.
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► CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
4/1 a PERMIT #. . . . . . . : MEC98-0326
MaLft 13125 SW Hall Blvd., 1798rd,OR 97223 (503)6394171 DATE ISSUED: 08/06/96
PARCEL..: 2S 1 12BC-1 17O(b
SITE: ADDRESS. . . : 08111 SW MATTHEW PARK ST
SUBDIVISION. . . . : MATTHEW PARK ZON I N13: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .012 JURISDICTION: TIG
----------------------------------------------------------------------------
CLASS OF WORK. . :OTR 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
STORIES. . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------- 0-3 lip. . . . : 1 DOMES. I NC I N: 0
3-15 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVES. , 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN ) =1O0K BTU: 0 > 10000 cfm: 0
Remarks - Add A/C unit to an existing single family dwelling. A/C unit cannot be
placed within the required set back areas.
Ownere __ ------.--------.----____.____._----------_— -_-_—__ --_—_— FEES
GREGG LALLY type amount by date recpt
8111 SW MATTHEW PAI-trN PRMT $ 25. 00 GEO 08/06/98 98O3Q8O7O
TIGARD OR 97223 SPCT $ 1. 25 GEO 08/06/98 980308070
Phone #: 684-5303
Contractor-: -----------------------------
SUNSET FUEL CO
PO BOX 42287 ------------------------------------
$ 26. 25 TOTAL
PORTLAND OR 97242
Phone #: 503-234-0611
F2 e g #. . : 000023
----- -- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Cooling Unt Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
4. applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18A 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 Utility Notification Center. Those rules are
—� set forth in OAR 952-A01-019 through OAR 952-801-A060. You may _
CD obtain copies of these rules or direct questions to "INC by calling
0 (503)246-9187. '
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Issue PYe _ _ �__. Per'mittee Signature:
+++++++++++++++++++++++++++i•+++++++++•4+++++++++++++++.+++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
+i+++++++++4 4++++++++++++.+++.+++..+.+t++.t.+++.+.+.++.+.+++.+++.++++-f....4.++++
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CITY OF TIGARD Mechanical Permit Applif4j"WED Plan CheckRec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 AUG - 41998 Date to P.E
(503) 639.4171, x304Date to DST _
Print or Type COMMUNITY DEVELgPMENI Permit rly T-e
_ Incomplete or illegible applications will not be accepted Called
Name of DevetopmenVProied Description
Table to Mechanical Code Qt Price Amt
Al Permit Fee 10.00
Job Street Address SuReM �
QdJless ` J I 15. � �i4rk �{, 1) Furnace to 100,000 BTU
G includingducts 3 vents _ _ 6.00
Btdga CRyrsute Zip 2) Furnace 100,000 BTU+
including duds b vents 7.50 _
__... Nome(or name of business) 3) Floor Furnace
Owner � �/�11�/ inducting vent _ 6.00
-�� - 4) Suspended heater,wall heater
Malting Address
or floor mounted heater 5.00
5) Vent not included in appliance permit
CRy/State Zip Phone 3.00
I -6AI S-V CHECK ALL Boiler Heat Air
Na (nr name of buitness) THAT AF PLY: or Pump Cond City Price Amt
Comp _
6)<3HP,absorb unit to //-
Occupant Mailing Address 100K BTU 6.00 to'�
7)3-15 HP;ebsorb unit
CRY/Stale zip Phone 100k to 500k BTU 11.00
6)15-30 HP;absorb
unit.5 1 mil_BTU _ _ 15.DU
Contractor N 1 9)30-50 HP,absorb
Ll ,e 1 /�!�! unk 1-1 75 mil BTU 22.50 _
Prior 0 permit tang Address 10)>5`4P;absorb Link
issuan:e,a copy �1 $0 y_ y;ag >1.75 rail BTU 37.50
of all licenses Ry/State ^Ziup' PPhone �/ 11)Air handling unit to 10,000 CFM
are required if � � d Ibc P16 0& 450
i expired in COT Oregon Const Cont Board Lic N Exp Date 12)Air handling unit 10,000 CFM+
database Cay 7.50 _
Architect Name 13)Non-portable evaporate cooler
4 10
or
Mailing Address v 14)Vent fan connected to a single dud
3.00 _
_ 15)Ventilation system not included in
Engineer CRylState Zip Phone _appliance permit 4.50
16)Hood s awed by mechanical exhaust
Describe work to be done 4.50
17)Dori astic incinerators
New O Repair O Replace with like kind Yes O No O _ 7.50
Residential O Commercial O 18)Commercial or industrial type incinerator
3000
Additional information or description of work _T 19)Repair upas
4.50
1L 20)Wood stove
4,50
f—
21)Clothes dryer,etc
N _ 4.50
Type of fuel oil O natural gas O LPG O electric O 22)Other units —
_ 4.50
J I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets
m given is correct,that I am the owner or authorized agent of 2.00
the owner,that pians submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each)LU
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Signature of Owner/Agent Date
'SUBTOTAL
5%SURCHARGE. (.
Contact Person Na a Phone PIAN REVIEW 25%OF SUBTOTAL
Required for ALL commercial permits 2al
„� ,� ^`���� ty.7y ,•,/�,�� TOTAL
*Minimum permit feel-v$25+5%surcharge
"Residential A/C requires site plan showing placement of unit
I lmechprm3 doc rev 06/23/98
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FUEL nOPIW AWif
2944 S.E.P!`WELL BLVD. P.O.BOX 42287 PORTLAND,OR 97242-0287 TELEPHONE 234.0611 FAX 0 603-234-0380
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