10998 SW CHATEAU LANE I
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10998 SW CHATEAU LANE _ r,,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - -
/ (J BLIP
�j(,L Date Requested_ �., .;D- 7(r�,p AM- --_.PM ` BLD - -- ---
Location ��C, JW Cf"j(,[, 1�Q�Li�}1 s Suite MEC
Contact Person .L2,eri PJ _�I.mu Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELIR
Footing Access: �,, -
Foundation FPS
0H ��� �l���{'tQ�
Fig Drain
Crawl Drain Inspection Notes q / SGN
Slab C- r✓l.t C � l (.ic K1-r- �� SIT
Post&Beam r� ^ rC --- - ------
Ext��cathrShear /`�
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
FA__I_L
MECHANICAL /
Pmt——Team -—-- --
Gas Line -- - -
S -"Dampers J
S. PART FAIL
ElLeCITIRICAL
Service
Rough In
UG/Slab _
Low Voltage
Fire Alarm
Final
PASS PART FAIN -- - —---_
SITE
Backfill/Grading - -- - -- -- - ------- --- ----- — --
Sanitary Sewer
Storm DrainReinspection fee of$ required beforE next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line )Pleast call for reinspection RE: — I J Unable to inspect-no access
ADA
Approach/Sidewalk rr(
Other Date _- L Inspr ctor '` _Ext
Fidel ------------
PASS PART -.-F,AIL-_j 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC98-0542
k 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4177 DATE ISSUED: 12/02/98
PARCEL: E.SI15AA-05500
SITE ADDRESS. . . : 10998 SW CHAT EAU LN
SUBDIVISION, . . . : REBECCA PARK ZONING: 1 4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..01 ; JURISDICir'JN: TIG
--------------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USF. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/CUMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMMI.— INCIN: 0
MAX INPUT: 0 STU 15-30 HP. . . . : 0 REPAIR OMITS: 0
FIRE DAMPERS". 30--51L: HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . . 50+ HP. . . . . 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : I
FURN ( 100K BTU: 0 10000 rfm- 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarks : Installation of gas fireplace insert for residence.
Owner- FEES
:..YLE KRONlCK & BETHANN KRONICK type amount by date reept
IM998 SW CHATEAU LN PRMT $ 25. 00 DLH 121102/96 98-311213
TI'JARD OR 97223 SPOT $ 1. 25 DLH 12/02/98 98-311PI3
Phone #:
Contractor: _________________-___--------_.
JOHN 0 BRANCH FIREPLACES & MOR
JOHN OSCAR BRANCH
PO BOX 23698 26. 25 TOTAL
TIGARD nR 97281
Phone #: 620-025,.)
Reg #. . : 003958
REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Codi, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in arr-ordance with Final Inspection
approved plans. This permit will expire if work is not started
within 181 days of issuance, or if work is suspended for eore
than 180 days. ATTENTION: Oregon law requires you to follow riles
adopted by the Oregon Utility Notification Center. Those rules are
set forth in BAR 952-00I-0010 through OAR 952-*I-M. You oay
obtain copies of these rides or direct questions to OUIC by calling
I S s 1-1 e By: Permittee Signet-,trc-: 06
4.................................: +-++++4.......... +++++++4.................4 1
Call 639-4175 by 7:00 p. m. for inspections needed tiie next business day
......4....................4...............44+4-4................................... .
CITY OF TIGARD Mechanical Permit Application Plan Check# --
Reed BY
13125 SW HALL BLVD. Commercial and Residential Date Recd ;Zz 9�
TIGARD, OR 97223 Date to P.E._
(503) 639-4171, x304 Date to DST
Print or Type /j/��� Permit# tilF(► -OSy.2
Incomplete or illegible_applications will not be accept d Called
Name of Deveopment/Project Description
Table 1A Mechanical Code Qty P Amt
Job Street Address Sidle# A) Permit Fee
L,1 1) Furnace to 100,000 BTU
Address U' S (.,' C, including ducts 8 vents 6.U0
Bldg# city/stale ZIP 2) Furnace 100,000 BTtJ+
"1 includingducts 8 vents _ 7.50
_ Name(or name of btisinese; K�?0,� I C 3) Floor Furnace
ace ^�
Owneri�c (1.4_ ( ��u- L including vent 6.00
O P. Matting Address - 4) Suspended heater,wall heater
{.�•a or Poor mounted heater
t _ 6.00
5) Vent not included in appliance permit
Cnyrstate Zip Plans 3.00
CHECK ALL *Boiler He. Air
Name(or name M business) THAT APPLY: or Pur tp Cc nd Qty PriceAmt
Comp ----
Occupant Mailing Address 100KIBTUbsorb unit to
_ _ 6.00
7)3-15 HP;absorb unit
Chy/State Zip- Phone - 100k to 500k BTU 11 00
8) 15-30 HP;absorb
Contractor Nems unit.5-1 mil ab -- 15.00
`'� 1 � 9)3(`-50 HP;absorb
�--" U' ' �� unit 1-1.75 mil B7U_ _
_ 22.50
Prior to permit Mailing Address 1 U)>50HP,absorb unit
issuance,a copy ,� r >1.75 mil BTU _
_ 37.50
of all licenses CRY/state / Zip Phone 11)Air handling unit to 10,000 CFM
are required if _ 4.50
expired In COT Oregon Cbriall.Cont BoarLic M Exp.Date 12)Air handling unit 10,000 CFM+
database 7(` IC _ U •`�
7.50
Architect Name 13)Non-portable evaporate cooler
_ _ 4.50
Or Mailing Address --- --- 14)Vent fan connected to e single ducat
3.00 _
15)Ventilation system not included in
Engineer cnyrstate lip Phone - _a pliance permit _ 4.50
16)Hood served by mechanical exhaust
Describe work to be done. �— - _ _ 4.50
17)Domestic incinerators
New O Repair O Replace with like kind Yes O No O
Residential R' Commercial O 18)Commercial or industrial type incinerator
3000
Additional information or description of work: _ 19)Repair units
l _ 4.50 20)Wood stove - -
_ _4.50
�L 5 c4 r 21)Clothes dr,_ar,etc.
4.50
Type of fuel oil O natural gas LPG O electric O 22)Other units
_ _ _ 4.50
I hereby acknowledge that I have read this application,that the infonnation 23)Gas piping one to four outlets
given is correct,that I am the owner or authorized agent of 2.00
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 - )
Minimum Permit Fee$25.00 SUBTOTAL
5%SURCHARGE
Contact Person Name Phone -� PIAN REVIEW 25%OF SU8TOTAL
Required for ALL commercia_permlts only
lJ U �• �/ �IGL�C-`^ TOTAL 4!
_ v:
State Contractor Boiler Certification required
-Residential AIC requires site plan showing placement of unit
1:lmechperm.doc rev 07/20/98