16550 SW 113th Avenue ADORESS:
•
L551SWJ/3Avàjt,t
isveoonis\mlcroflm\t argets\t,uilding.doc
5/18/99 Activities for Case #: MEC98-00567
2:58:23 PM
Asstgneo Hoid Updated
Activity Description Date 1 Date 2 Date> ° Done By Disp. Level By Updated Notes
MFCA007 Apdhoabon recen'ed 12/21/98 JSD PASS JSD 12/21.38
MECA008 Create Permit 12/21/98 JSD PASS JSD 12/21/98
ME.A799 Final Inspection 12/22/98 KS PASS J'H 12/22/98
MECA720 Woodstove'nsp 12/21/98 12/22/98 KS PASS J'H 12/22/99
MECAO60 (F)Issue permit 12/21/98 JSD PASS JSO 12/21/98
MECA800
Cage Finaied 12/22/98 KS PASS r H 12/2233
Pne 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 6:39-4171
( y BUP
.4 I 014 , Date RequestedPM _ BLD U c-
L cation 16550 ,SW //2 f r//7 l9lf _ Suite Y/I 'O��G7-
Contact Personcc Ph PLM
Spot Ph
Contractor j- l '?�2 - t (05 - SWR
a/ �.• __
BUILDING Tenant/Owner `�, tket: ELC _- ---
Retaining Wal' __ ELR
Footing Access:
Foiridation �,r,^� V�D, /6
I (vJ(�)
Ftg Drain
Crawl Drs Inspection Notes:l;01„n��- - � g& Lieu
SGN
4ucic
SlabSIT _
Post Beam £'` • •r L4QA ' —
Ext Sheath/Shear
eath/Shear F
Int Sheath/Shear �—
Framing
Insulation
Drywall Nailiog
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling i _ _
Roof
Misc:
Final
PA3S PART FAIL
Pt_'JMBING
Post&Bcam
Uncle' SlabTop Out
Vlater Service
Sanitary Sewer I ---- - --------- �__.-- ------- ----
iRain Drains - --- — — _-- — ---Final
PA35--_P T FAIL
--_ 'IECHA NtCAL
Post&Beam _____—_— — — ---- _----
Rough In �� .80301 -
Gas Line — —— - — — —---------._--�. --_
Smoke Dampers
ii-k .110.‘RT FAILELECTRICAL
Service -- - — — —Rcugh In
UG/Slab -- _-- _-- —
Low Voltage
Fire Alarm
Firal
PASS PART FAIL
SITE
Backfill/Greeting --- --- -- — -- ------ — - — ----_
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Plea3e call or reinspection RE: —_— —,_ [ )linable to inspect - no access
Fire Supply Line —�
4UA
Apprcech/Sid.walk Date �L- —G , qt
�
Inspector Ext
Other
Final
PASS PART FAIL _ DO NOT REMOVE this Inspection record from the lob site.
CITY OF TIGARD MEChANICAL
DEVELOPMENT SERVICES PERMI T
i PERMIT # • MEC98-05167
;$1,14-' 11, 13125 SW Nall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 172/21 /98
PARCEL: 25115A0—O22M0
t;I TE ADDRESS. . . : 16550 SW 113TH AVE
SUBDIVISION ZONING: R-4. 5
1BLOCK • LOT • JURYSDICTION: URE
CLASS OF WORK. . :ALT FLOOR FIJRN • 0 EVAP COOLERS: 0
TYPE OF USF •SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/(J APPL: 0 VENT SYSTEMS: 0
STORIES 0 ROII.-ERS/COMPRESSORS HOODS • 0
FUEL TYPES 0-3 HP • 0 DOMES. INCIN: 0
:WOD 3-15 HP. . . . : 0 CPMML. INCIN: 0
MAX INPUT: 0 PTU 15-30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS''. . : 30-50 HP • 0 WOODSTOVES. . : 1
GAS PRESSURE. . . : 50+ HP : 0 CLO DRYERS. . : C9
NO. OF UNITS••----------- AIR HANDL INS UNITS OTHER UNITS. : 0
F.JRN ' 1001( RTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 0
FIJRN ) PTU: 0 ) 10000 cfm:
Re m a r k s : Toyama - install woodburn.ng insert into existiig fireplace - no liner
1Jwnc.r: ___. _ ------.___.. _ --- — FEES --
TANAYl1K I TOVAMA type amount by date rec_pt
16550 SW 113TH AVE PRMT 3 25. 00 JSD 12/21/98 98-311559
TIGARD OR 97224 SPCT f 1. 25 JSD 12/21 /98 98-311659
Phone M. 639-0913
Contractor: --- - --------
TOM DISHOP Cf)N3TRUCTION
1 1525 SW CANYON
1< 26. 25 TOTAL
BEAVERTON OR 97005
Phone M: 503-6^6-4652
Reg M. . : 00054f,
RE( U I RED INSPECTIONS ------
This permit is issued subject to UP regulations contained in the Woodst ove Insp
Tigard Municipal Code, Stat, of Orr. Specialty Codes and all other Final Inspection
applicable laws. Pll work will be done in accordance with
approved plans. This pereit will expire if work is not startel
within 180 days of issuance, or if work is suspended for more ��...__.
than 180 days. ATTENTION: Oregon law requires you to fellow rules
adopted by the Oregon Utility Notification Center. Those tiles are
set forth in OAR 952--001-0010 through DAR 952-001-01180. You may
obtain copies of these ales or direct coest ions to OUNC by calling _
15031246-9187.
Issue y : _' ---,�.. Permittee Signature ,OC-414.1
+41-+++++++I+++++++++4+++++++ +++i-++++++++++++++++++F+++++++++++++++++++++++++++
Call 639-4175 by 7:0M p. m. for inspections needed the next business day
++++++4-++b+++++++++++-F+++++++++4++++++++++++++++++++++++++++++++++++++++++++++
r____,— . -
CITY OF TIGARD Mecha:uical Permit Application R.Re'a ByPIs,.Check
0 "
13125 SW HALL BLVD. CommeT cial and Residential Date Recd ( Z/let
TIGARD, OR 9/223 Date to P.E. ,
(5021639-4171, x304 Oste to DST
Permit• t'C bb_°S t J
Print or Type
Incomplete or Illegible a•plications will not be accepted called
►um:or D.»apr ,o$i I}I} Dec option
-—
I Tabic lA Mechanical Code — 0 Price Amt
Job strier Address Sues* IIIA Permit fee . 10.00
Address f& 4:4()_//. 1) Furnace to 100,A10 810
Zia ir,duding ducts it vents 8.00
eMgs C —
2) Furnace 100,000 BTU+
Including ducts&vents — 7.50
-- Name IW name of Luktiw) 3) Floor Furnace
Owner ( t I 1 IA- TOItc, i Indudinn vent 0.00rVaillr dress 4) Suspended heater,wall heater
or floor mounted heater 8.00
/(0 )() St.L) 113 A i 5) Vent not Included in appliance permit
Cly/staffs be _ 3.00
It r�a`e I / r �c CHECK ALL •Boiler Hest Air
N.rtre�(or none of business) THAT APPLY. or Pump Cond Oty Price Ami
_ Comp
liVY) 8)<311P;absorb unit to
Occupant Malling Addnu 100K BTU 6.00
7)3-15 HP;absorb unit
Csy;stars zip Mora 100k to 500k BTU , _ 11.00
8) 15-30 HP;absorb
unit.5-1 mil BTU 16.00 _
Contractor /16-4- 9)309)3050 HP;absorb
ril'13-sha,-).&,• . i,Q �• unit 1-1.75 mII BTU 22.50
Prior to permit moiling Adm_ � 10)>50HP;absorb unit
issuance,a copy { ; ('a tti,(; 1 t.75 mil BTL 37.60 ---
of
,_of ate licenses phone 11)Air handling unit to 10,000 CFM
are required If �Oj .i' . j� i i..`, ' ' 'r. �Q 4.60
expired In COT COSI. r_ks EIP.bele r 12)Air handling unit 10,000 CF•M+
database _,,i` /t/4/-,(7 ,v 141- 7.60
Architect Ns's 13)Non-portable evaporate cooler -
4.60
or teen Address - -- 14)Vent fan connected to a single dud
3.00
16)Ventilation system not included In
Engineer Crryr•;tare Zip Phone appliance permit _. 4.60
_l________. _ _ 18)Hood served by medun'ral exhaust
D.salbe work to be done. _ -- 4,60
17)Domestic Indnerstom
New 0 Repair 0 Replace with Ike kind Yeo n No 07.60 _
Residential 0 Commercial 0 ( '18)Ccmmtrriai or industrial type indnerstor
—1 ^
1 ---- - 30.00 --
Additional Informatan or description o(work: II 19)Repair units
1`-,.I,- c-( 1.� ' v v%%WI I1l1�CY v' 1 20)1Ncwdstove�- -. 4.60
i.tir•Y:r1
`�i 3V ,,1c 3�,eQnlQi� _ Uv10 1i �1 , ___ -- ----- - 4.50 el
21)Clothes dryer,etc
4.50
Type of fuel.-otl 0 nalu•sl gas 0 LPG 0 electric 0 -v 22)Other units - -- —
_ _ — 4.50 . -I hereby acknowledge that I have read this application,that the Information 23)Gas piping one to four outlets
given Is correct hat I am the owner or authorized agent of 2.00
the owner,that plans eulxmltted are in compliance with Oregon state lbws 24)More than 4-per outlet(each)
.60
__
Signature of aivnedAgent Date -- ------_
Minimum Permit Fee;25.00 SUBTOTAL
iii ' 'r /i i 4i_ tt, " %j- 5%SURCHARGE , /,v/-•
Contact Person PLAN REVIEW 25%OF SUBTOTAL
I Required for ALL commercial permits on •
a 0, yt W.;24 • %� TOTAL r.
*State Contractor Boiler Certlflcstkrn required
"Residential A/C requires site plan showing placement of ma
1 lmectrperm doe rev 07/20/98 t4 01 c f/