Permit CITY OF TIGARD MECHANICAL
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DEVELOPMENT SERVICES PERM #.......: MEC39 0035 all Blvd., 9
PARCEL: 1 S 125DD- -013600
SITE ADDRESS,...: 09885 SW VENTURA CT
SUBDIVISION....: WASHINGTON SQUARE ESTATES NO.2 ZONING: R-4.5
BLOCK............ LOT.......... ... :044 JURISDICTION: TIG
CLASS OF WORK.. :ALT . FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE.... :SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES - 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES----- -- 0 3 HP ° 0 DOMES. INCIN: 0
:GAS 3 -15 HP....: 0 COMML._. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30-50 HP : 0 WOODS T OYES..: 0
GAS PRESSURE...: 50+ HP....: 0 CL.O DRYERS..: 0
NO. OF UNITS-------:--- AIR HANDLING UNITS OTHER UNITS.: 1
FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks a Kasten - gas logs
Owner: •- -• FEES - - - - - -• --
JOE KASTEI\I type amount by date recpt
9885 SW VENTURA CT PRMT PRMT $ 25.00 JSD 01/25/99 9'9 -31 '41.0
TIGARD OR 97223 -0000 SPCT $ 1.25 JSD 01/25/99 99-312410
Phone 4: 244 -6689
Contract or: ----------- -• - - -- - - --
CHIMNEY TEK INC
6865 NE 42ND AVE: - - -- -. -- ------------
$ 26.25 TOTAL
PORTLAND OR 97218
Phone #: 281-9183 •
Reg #..: 126173
REQUIRED INSPECTIONS ---- - - - - --
This permit is issued subject to the regulations contained in the Mechanical Insp _ __
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect ion ____
___
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 by the Oregon Utility Notification Center. Those rules are __ _.__ _____ ____ _
set forth in OAR 952 -001 -0010 through OAR 952- 001 -0080. You may _ •___ _. ________
obtain copies of these rules or direct questions to OUNC by calling _ -__ ______________
(503)246-9187.
• =`S `�
Issue By(_ ___ _ F'pr mitt°° Signature: __._.._.
1
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+ F ++ - +-+-+ •• + +-F• + + +-I-•• -+ +-F•+-I-....+ + + + + + + + + + ++ ....1-i- ++ + + ++ + + +- ....
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
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Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd'
13115 SW HALL BLVD. Commercial and Residential Date Recd 0 /zs 6 7 9
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit 0 6U � S'
Incomplete or illegible applications will not be accepted Called i (
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee _ 10.00
( ! �O 5 �EA1Tot,4 Cr 1) Furnace to 100,000 BTU
Address ` including ducts & vents 6.00
Bldg# City /State Zip 2) Furnace 100,000 BTU+ -
6A O/2 . / (� ,ZZ3 including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace of
Owner IOC �<A 5TEd including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00
9S S'S S, o, dco ra .4 °I 5) Vent not included in appliance permit
City /State Zip Phone 3.00
17 64,1) D� - 9 7z23 2 v7 -6 6sct CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
5 /lie 6) ..
6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
Contractor Name unit .5 -1 mil BTU 15.00
9) 30 -50 HP; absorb
Off /Mit.7E y _ - 7 - FK unit 1 -1.75 mil BTU 22.50
Prior to permit // Mailin Address J/ 0 A n E7 10) >50HP; absorb unit
issuance, a copy f4 5775 N • G - T Z 74 d E ` - Tr • >1.75 mil BTU 37.50
of all licenses City/State r . ) Phone 11) Air handling unit to 10,000 CFM
-re required if Fo177.4NJ) aR 7 /2 a si - 9 / 73 4.50
Tired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database .20 I a (0 / 7 3 1 170V 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or Mailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New Repair 0 Replace with like kind. Yes 0 No 0 7.50
Residential Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
90S
4.50
20) Wood stove ..',/( �
4.50 /�•.
21) Clothes d e etc.
4.50
Type of fuel: oil 0 natural gas.... LPG 0 electric 0 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, that I am the owner or authorized agent of 2.00 a • 0 °
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of Owner /Agent Date . i
" Li,
Minimum Permit Fee $25.00 SUBTOTAL € /
k 1 ' e .
5% SURCHARGE r
'tact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL l
Required for ALL commercial permits only
TOTAL .- 7�
*State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:Unechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION ST
24 -Hour Inspection Line: 639 -4175 Business Line:
n% X 639 -4171
BUP
// Date Requested , e99 AM X_ M BLD
Location 91(5" Z/M - L Suite r _���
Contact Person
Slre , 2Z Ph 60i PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
•
Crawl Drain Inspection Notes:
Slab D /�tlllil SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear Cr
Framing
Insulation —
Drywall Nailing f � vA^ — P : t AA. ��v � f •
Firewall
Fire Sprinkler
Fire Alarm �1, t J""�' �� e 1.2-63 I -�
Susp'd Ceiling Q� 1
Roof J� 3 / /q 473
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS P FAIL
EG` HANICA
Post & Beam
Gas Line
Smo Dampers
anal
ART FAIL
RICAL
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: [ ] Unable to inspect -.no access
ADA
Approach/Sidewalk
Other Date 2 / 6 - 7q Inspecto E xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.