Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES / PERMIT #: MEC1999 - 00572
m f ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417 DATE ISSUED: 12/28/99
/4/ PARCEL: 2S1036C -06600
SITE ADDRESS: 12180 SW LANSDOWNE LN
SUBDIVISION: FYRESTONE ZONING: R - 4.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
WOD 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES: 1
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of wood stove insert.
Owner: FEES
KIDD, JOHN D + ANTONETTE N Type By Date Amount Receipt
12180 SW LANSDOWNE LN PRMT DEB 12/28/99 $50.00 99- 320722
TIGARD, OR 97223 5PCT DEB 12/28/99 $4.00 99- 320722
Total $54.00
Phone:
Contractor:
DENNIS STOREY CONSTRUCTION
37432 NE CLARA SMITH RD
CORBETT, OR 97019 REQUIRED INSPECTIONS
Woodstove lnsp
Phone: 503 - 695 -5506 Final Inspection
Reg #: LIC 67267
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 -0010 through OAR 95 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calli g (503)246- 9189:.
Is ue By: _0_,072111, I j i Permittee Signature:
Call (50 639 -4175 by 7:00 P.M. for inspections neede • the nex • usiness • ay
City of Tigard REC►E HAN I CAL PERMIT Planck/Rec. #
Y.
13125 SW Hall Blvd. 9 t
DEC 2 1999 APPLICATION Permit # IVEC /s - 61957)
Tigard, OR 97223
(503) 639 -4171 COMMUNITY DEVELOPMENT •
•
Nate of ueve.opment Description -
/,/} `i9cv jJ e, Lai . Table 3A Mechanical Code QTY PRICE AMT
Address
Job ))' 1) Permit Fee -0- -0- 10.00
Address ctytst.t•
- 1 . _I - -(_1 97/L,s 2) Supplemental Permit 3.00 - •
Name tot name of boons..) Furnace to 100,000 El U
o S (cf [L ID 1) incl. ducts & vents 6.00
Meting Addfess Phone Furnace 100,000 BTU +
Owner 'S 2) incl.. ducts & vents 7.50
City/State 4 Floor Furnance
3) incl. vent 6.00
Name ice name of bus teas) Suspended heater, wall neater
-5'�,y1--C 4) or floor mounted heater '6.00
Mating Address Phone Vent not Incl. in
Occupant 5) appliance permit 3.00
Cay,State <o Repair of heating, refrig.
6) cooling, absorption unit 6.00
— — Boiler or comp, heat pump, air cond.
® Dennis C. Storey Construction 7) to 3 HP; absorp unit to 100K BTU 6.00
37432 NE. Clara Smith Rd. Boiler or comp, heat pump, air cond.
Corbett, OR 97019
Contractor H,, 8) 3-15 HP; absorp unit to 500K BTU 11.00
76 S —`?el( —403 0 3 Boiler or comp, heat pump, air cond.
. 9) 15-30 HP; absorp unit .5 -1 mil BTU 15.00
State Reyatreaon No. v4 .r ' O a • Boiler or comp, heat pump, air cond.
G7,
�� COY ate. Toe
�� �p � 13 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read th app ation,' that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected '
AAP �__� 15) to a single duct 3.00
rio V entilation system not
� / /�� 16) included in appliance permit 4.50
tature tovner or agent _ Date Hood served by
woo D T�� 14.3 s. `--r 17) mechanical exhaust 4.50
'escri.e wo ne : a••ition • ateration • repair • Commercial or industrial
to be done residential 0 non - residential 0 18) type incine : _ 30.00
Existing use of Other i.:., woodstove ater
building or property 19) heater, so - , - - • -s dryers, etc. 4.50 •
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICES
Minimum Fee 525.00 SUBTOTAL '—'
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 9 5% SURCHARGE Sy
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL S "
Special Conditions
Date issued by
H: \LOG I MOSTSIMECI-IPMT
, CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested . AM PM BLD
Location ( (b O L IISd O(, ?li , Suite M E (1'[1'coS7.
�J •
Contact Person 0, add Ph S ?q- 3u PLM
Contractor Ph SWR
BUILDING' `a - . Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:.rt�
Slab IU Ul�l� >' UD C 5 -- SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
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
PASS PART FAIL
ikaf
Post & Beam
Rough In
Gas Line
Smoke Dampers
PART FAIL L-1/
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: t [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date — Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.