16440 SW 113th Avenue ADDRESS:
.1_40_q"APW Avg &
1: recordslmicrotlm\targetslbuilding.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MIST
24 Hour Inspection Line: 639-4175 Business Line: 639-4171 --
r BUP
//1/ ,L[/hrbate Requested (7,3/g9 AM / PM BLD
Location /f,y Z _�I J //..d k Suite MEC ? C%(')/Y
/
Contact Person _ %?X..// l'2c-�cPh PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC _-- —_
Retaining, Wall ELR
Footing Access.
FPS
Ftg Drain _
Crawl Drain Inspection Notes: , / ,/
SGN
Slob - -- lG C-r�2',�?`�-t��iti� SIT
Post& Beam
Ext Sheath/Shear
Int Sheatl/3hear —
L
Framing —
lnsula;ron
Drywall Nailing
Firewal'.
Fire Sprinkler -.
Fire Alarm
Susp'd Ceiling —
Roof
Misc: — --- —
Final
PASS PART FAIL ------ -PLUMBING
Posta BeamUnder Slab
Top Out
Writer Service
Sanitary Sewer
Rain Drains
Final - - ---- — - ---
A9__P*IIL FAIL
" .Cr1A Lr'
Posta Beam -
Rough In
Gas Line. —
cIrak Dampers
Ti40 PART FAIL
E TRICAL
Service'
Rough In — ----
UG/�lab •
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfillr3radinq - ---�-Sanitnry Sewer
Storm Drain I I Reinspection fee o $ _______required required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Cat%h E3ysin j Please call for
pection RE _ - _ ( J Unable to Inspect-no access
Fire Suppl i n,e
ADA
Approach/Sidewalk Date's In psactor / ' /t - Ext
Other ��-
Final
PASS PART FAIL DO NOT REMOVE ttl, Inspection record from the Job site.
CITY OF TIGARD MECHANICAL..
DEVELOPMENT SERVICES PERMIT
x414- •LI 13125 SW Hall Blvd, Tigard,OR 97223(533)6394171 PERMIT # • MEC99-0014
DATE_ ISSUED: 01/11 /99
PARCEL_: 2S115AB-00H00
1 SITE ADDRESS. . .: 16440 SW 113TH AV[-
SUBDIVISION • WIL.LOWBROOK FARM ZONING: R-4. 5
BLOCK • LOT • JURISDICTION: URS
CLASS OF WORK. . :OTR FLOOR TURN • 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS. . : 0 VENT FPNS. . . : 0
OCCUPANCY (RP. . :R3 VENTS W/O APPL: 0 VEN1 SYSTEMS: 0
STORIES • 0 BOILERS/COMPRESSORS HOODS • 0
FUEL TYPES--------------- 0-3 HP • 0 DOMES. INC I N: 0
: 3--15 HP : 0 COMML. INC I N: 0
MAX INPUT: 0 BTU 15-30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP • 0 WOODSTOVES. . : 1
GA3 PRESSURE. . . : 50+ HP • 0 CLC DRYERS. . : 0
NO. OF UNITS- ---- AIR HANDLING UNIT; OTHER UNITS. : 0
1 'FIJRN < 100K BTU: 0 <= 10000 cfn: : 0 GAS OUTLETS. : 0
FJRN > --100K BT1.1e 0 ) 10000 cfm : 0
1
Re narks : Installation of wood stove.
Owner:
LEON STEEL type amount by date recpt
16440 SW 113TH AVE PRMT $ 25. 00 DER 01/11 /99 99-312067
1IGARD OR 97224 SPCT S 1. 25 DEB 01 /11/99 99-312067
Phone #:
Contractor:
OWNER
S 26. 25 TOTAL
Phone #:
Reg ii. , .
------ Ri=_Dll l RED INSPECTIONS ---
This
This peruit is issued subject to the regulations contained in the W o o d s t o v e Ins p
Tigard Nunic;pal Code, State of tlt Specialty Codes and all other Final Inspect ion _
applicable laws. All work r Il be done in accordance with
approved plans. This persit will expire if work is not started
within IN days of issuance, or if work is suspended for sore
than IP7 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are _
I set forth in Of1R 952-881-081! through OAR 9524411-M. You say _ _—
obtain copies ,!f these rules or direct questions to OUNC by railing _Y _
(5131246-9187.
( L2.
Issue P � 'f��� +r �
Per mit tr_e SI gnature • !' I'
---•�
++++++++++++++++++++++++++++- ++i ++++++++++++++++++•r+++++++ f++++++++++++++++++++
Call 639 • 4175 by 7:00 p. m. for inspections needed the next business day
+-}+++h++++++++++++++++4++++++++++++++++++++++++++++++++4++++++++++4 +++++++44+4
Plan C -� -
CITY OF TIGARD Mechanical Permit Application Recd I'
13125 SW HALL BLVD. Commercial and Residential Date Reed_//- 9Y
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304On Date to DST
Print or Type j' Permit a 11 ed 99-60/e--/
-- Incomplete or illegible applications will not be accepted c°lied --_-
iNar„e of DevekK rnenVf ro$ed Description
- - Table 1A Mechanical Code O Price Amt
.lob srreel Alar/.l.', Suited ^A) Permit Fee 1000
Furnace to 100,
Address 16111/1) .Sly //,3 ADO-- 1) Including ducts&00 vents
- 6.30
ewpa cNylState 2) Furnace 100,000 BTtlr
t GL1 ZZ Including ducts&vents _ 750
Nem Na (or none a b'Ju eI I_. 3) Floor Furnace
/x! c [ including vent 800
Owner
s lopAedn.s f ` Act 1`QQ/ 4) Suspended heater,wall heater
or floor mounted heater 8.00
1 e)�O t� 1/3 '- 0. 042- _ 5) Vent not included in appliance permit
c.yrsi.te ZIP dtnons 3.00
•
Tl 0.r D j 97ZZL39-0113 CHECK ALL I 'Boiler Heat 1- Air
- THAT APPLY or Pump Gond Oty Price And
Nerer(or name br A loess)
J\ Comp
CII
-VP, 8) BHi',sbsorb unit to
Occupant M.0 Ada"e 100K BTU - 8.00
7)3-15 HP;absorb unit
CtyBtMs zip arra+. 100k to 500k BTU 11.00
I 8) 1.S-30 HP,absorb -�
-_ unit.5-1 mil BTU 15.00
Contract'• Nems 9)30-50 HP;absorb - ..-
S0. ne_ Cb w n e_.1) unit 1-1.75 mil BTU - 22.50
I-n r to peroN Mailing Address 10)>50HP;absorb unit
issuance,a copy _ >1.75 mil BTU 37.50 i_______
of all lenses csy;stats Zip I Prion 11)Air handling unit to 10,000 CFM
are required N 4.50
expired 1.o COT omen Cone Cont Br se Lie a Exp Det. 12)Air handl!ng unit 10,000 CFM+
_ database _L. 7.50
-- -- 7.50
Archltect N'rn' 13)Non-portable evaporate cooler
4.50
M..rq Address 14)Vent fan connected to a single dud
or 3.00
15)Ventilation system not included In
Engineer 01Y/slate ne [-Phone _ appliance permit �� 4.50 _
Phone18)Hood served by mechanical exhaust
_ __
Desclbe work to be done 4.60
17)Domestic indnerators -
Naw• Repair 0 Replace with like kind Yes 0 No 0 .---- 7.50
Residential O Commercial O 18)Commercial or industrial type incinerator
30.00
Addtional information or dee--Apfion of work: 19)Repair units
4.50
20)Wood ntnve
4.50
21)Clothes dryer,etc.
4.50
Type of fuel oil(i natural gee O LPG O electric O 22)Other units -- - -
__ 4.b0
I hereby adcnoviledge that I have read this application,that the information 23)Gas piping one to four outlets
given is rowed,that I am the owner or authorized agrnt of 2.30
IM owner,that plans PItbnulted are,n compNunce with Oregon state laws 24)More than 4-per outlet(each)
_ __
_ .60
s ~of Owner/Agent
\/ -- Minimum Permit Fee=26.00__ SUBTOTALae;n a
�'�� /f b'�I, Date
/ _ H ` l y 5%SURCIIAROE I'
Pero i Nan{e ✓ - Phone --- ______________5%
-
PLAN REVIEW TG%OF SUBTOTAL
I -, Required for ALL comnnercial permits on TOTAL �T
l� _ -- - 3 - .9'/..,-? J -- -- - -
*State Contrador boiler FertMcatio• required
"Residential IVC requires site plan showing placement of unit
1 Mednperm dor: rev 07/23/99