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CITY OF TIGARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hal'Blvd Tigard,Oregon 97223.8199 (503)839-4171 PERMIT 4#. . . . . . . : MEC93-0.52'.'
639 -41-1" l DATE I S5UED: 11 /12/93
PARCEL: 2S104BB-04900
;.:i,' (l_ AUDRE:SS. . . : 1.:91.;4 SW CHEHALFM CT
SUBDIVISION. . . . : CASTLE: HILL ZONING:
. . . . . . . . . . I-OT. . . . . . . . . . . . . : 18
------------------------------------
CLASS OF WORM. . :NEW FLOOR FURN. . . . : EVAP COOLERS:
I
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
CIC; UPANCY GRP. . :R3 VENTS W/0 APDL: VENT' SYSTEMS:
STORIES. . . . . . . . 12 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------- 0-3 HP. . . . : 1 DOMES. INCIN:
: /GAS/ / / 3-15 COMML. INCIN:
MAX INPUT: B1U 15-30 HP— . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS-•----------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 1001K BTU: 10000 cfm : GAS, OUTLETS. :
F URIJ ) =100K BTU: > 10000 c�`m:
Remarks : PAT' ! I
Owner: --- -_____ _.. __---.._.__.___._._____.__..__.__..__._ _____.__.__._._.__ FEES
J. :. L. DEVELOPMENT INC t ,-,je amount by date r^ecpt
o'. O. BOX 1633 F RMT $ 25. 0121 JF 11/12/93
-
10445 EW CANYON RD SPOT $ 1. 25 JF 11/12/93 -
BEAVERTON OR 97075-1633
Phone #: 641-7632
Contractora
CONTRACTOR NOT ON FILE
Phone #: 26. 25 TOTAL
Reg #. . .
-- -- REQUIRED I NSP!"CT:ONS -
This permit is issued subject to the regulations contained in the Fin-i1 Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Ceia Line I n s p _....
applicable laws. All work will be done in accordance with Mechanical Insp
approved plans. This permit will expire if work is not starts. Duct Inspection
within 10 days of issuance, or if work is su:pended for more Misc. Inspection
than 180 days.
F'er,mittee Signast%n!!IlC
Issued By :
Call fol- inspection - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # /Iiy17
PO Box 23?97
Tigard, OR 91223
(503) 639-4171 r_ _
•y( /` , )�'� (� I L I l��I f }1 lzble 3A Mechanical Code QTY PRICE AM.
Joh + 1) Permit Fee 0- 0 10.00
nrldte;, V -----
2) Supplemuntal Permit 3 00
Furnac.." to 100.000 1-0
�MM,q AM M2 1) incl.ducts 8 vents 6.00
7Furnace 100,0 0BTU +
Owner - ,ALL i incl. ducts 8 vents 7.50
Floor Furnance
I
n V C Y 11;11 3) icl. vent 6.00
_"ram 44 twWw) _ Suspended seater,Wall heater
( ( �� � v 4) or floor mounted heater 6.00
vent not incl.in
in
Occupant
5) appliance permit 3.00
Repair of heatng.—,T—,g.—
W cooling,absorption unit 6.00
l oiler or comp, seat pump,av
7) to 3 HP absorp unit to 100K BTU 6.00 (4)(""
r�•••
Boiler or comp, seat pump,air cond.
) 1 8) 3.15 HP absorp unit to 500K BTU 11.00
G,)ntractor �7 of er or cornp, eat pump,air con
C�
1 � j 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
I` 1 " ° of er or comp, seat pump,air cci;3_.
V I "7
t� "1,.�) to) 3050 HP absorp unit 1.1.75 mil RTU 22.50
FOR-
_F1 y ac ow ge et ve res Is app kation,t at e Boiler or comp, eat pump,airir ao
information given is correct,that I am the owner or authorized agent 11) >60 HP absorp unit 1.75 mil BTI, 31.50
of the owner,that plans submitted are in compliance with State 7 7irasT nTiMn unit io
laws,that I am regisv.4red with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number givan is correct. (If exempt from State registration, it hW Jnrt
please give reascrs below j 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
SWT an ny--cos�–
15) to a single duct 3.00
Ventilation system not
I i1, - ' 16) included in appliance permit 4.50
Hood served y
17) mechanical exhaust 4.50
osasJe wo new aodtffbn aIteration U repair U -To-mmorcial or in ustrkl
to be done residential C) non-residential Q 18) type incinerator 30.00
xisUng usN of (( � �l ) -- ter re.,coostove,v.ater
building or property 19) heater, solar,dodhe< dryers,etc. 4.50
Proposed use of , �� ( l 20) Gas piping ooe to'our outlets 200
building or property .cam ---
Type
— — —
T e of fuel -oil g O C 21) More than 4 p,er outlet
yp O natural es LPQ electric
OTC
Minimum Fee$25 00 SUBTOTAL � !
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WI'T'HIN 180 DAYS,OR 5%SURCHARGF L
IF CONSTRUOT1ON OR WORK IS SUSPENDED OR
ABANr)Of..ED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. --- - TOTAL
Special Conditions
Data issued —by
VMECSIPUT
CITY®F TIGA RD
CffYOFTWARD, MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT o"GON PERMIT #. . . . . . . : MST92-0281
13125 SW HWI Blvd. P O.Box 23397,Tkjwd,Orogon 97223(SM)8394176
9- 4 1 DATE ISSUED: 12/21/')2
SITE ADDRESS. . . : 13994 SW CHEHALEM CT PARCEL: 2S104BB-04900
SUBDIVISION— —' CASTLE HILL ZONING:
BLOCK. . . . . . . . . t LOT. . . . . . . . . . . . . : 18
REISSUE:MST92-0277 DWELLING UNITS: I BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDROIS 13 BATHS-.3 GARAGE. . . . . . . . . . :468 s f
TYPE OF USE. . . :SF FLOOR REQU'RED SETBACKS—
TYPE OF CONST. :5N FIRST'. . . . : 1045 sf LEFT. . -. 12 ft RIGHT. -.3 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1255 sf FRONT. s2O ft REAR. . 847 ft
STORIES. . . . . . . :2 THIRD. . . . :Q' S f
HE:ISHT. . . . . . . . ..25 ft TOTAL-------'2300 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 114aL4 PARKING SPACES. . : 1
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS.. . . . 10 BACKFLOW PREVNTRS. . .0
LAVATORIES. . . . . 14 WATER HEATERS. . - 'S I TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . 13 LAUNDRY TRAYS. . . CO CArcl-I BASINS. . . . . . . 10
WATER CLOSETS. . i3 SEWER LINE (ft ) . cO GREASE TRAPS. . . . . . . 10
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIX'TURES. . . . . :0
GARBAGE DISP. . . il RAIN DRAIN (ft) . :O
WASH I K3 MACH. . . : I SF RAIN DRAINS. . : 1
----------- MECHANICAL --------------------------------- FEES
FULL UNIT HTRS. . :0 type amount by date recpt
/GAS/ VENTS . . . . . .0 TIF 1460. 00 PLL 12/x'1/92 —
MAX INPIU7 :0 BTU VENT FANS. . :5 BPRT 1, 470. 50 PILL 12/21/92 —
FURN ( :100K . . s@ HOODS. . . . . . .. I BPILC $ 40. 00 JLH 11/19/92 92-23388b
FURN ) =100K . . : I WOODSTOVES. sO B5PL $ 23. 53 PILL 12/21/92 —
FLOOR FURN. . . . 10 CLU DRYERS. : 1 SSDC $ 280. 00 PILL 12/2J /92 —
BOIL/CMP ( 3HP:0 OTHER UNITSsl PARK $ 500. 00 PILL 12/21/92
GAS OUTLETS: l MPRT $ 48. 00 FILL 12/21/92
Owner: $ 12. 00 PILL 12/21/92
J. I. L. DEVELOPME147 INC 115PIC $ 2. 40 PLL 12/21/92
P. O. BOX 1633 P,PIRT $ 147. 50 PILL 12/21/92
10445 SW CANYON RD P5PC $ 7. 38 PILL 12/21/92 —
BEAVERTON OR 97075-1633 BPLL $ 15. 00 PILL 12'/21/92 --
Phone
Phone #s 641-7632
Contractor:
J. I. L DEVELOPMENT INC
P,. O. BOX 1633
CANYON RD SUITE 101
BEAVERTON OR 97075 16:0
Phone #: 641-7632
Reg #. . i 58126 -----------------------------------------
$ 3006. 31 TOTAL
This persit ii issued subject to the regulations roAsined in the ------- REUUIRED INSPECTIONS -------
Tigard Hunicipai Code, State of Dre. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. NI work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This persit will empire if work is not started within IN Post/Beam Mechan insulation Insp
days of issuance, or if work is sus Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain ITISP
Permittee Signature: T7777L Mechanical Insp Water- Line Insp
Plumb Top Out Appt,/Sdwlk Insp
ISSI-Ic-c" By: Framing Insp Mechanical Final
Call for inspeLtion - 639-4175
�I�OFTIGrARD SEWER CONNECTION
PERM
CRY4
RD IT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . .. SWR92-0367
13125 SW 141I Blvd. P.O.Box 23397,T4pud,Oregon 9722Z (603)6394175
63)--41 i I bAiE ISSUED: 12/21/92
SITE ADDRESS. . . 1 13994 SW CHEHALEM CT PARCEL: RS104BB-04900
SUBDIVISION. . . . CASTLE HILL ZONING:
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . : lb
TENANT NAME. . . . . a
U[;(.) NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLRS'; OF WORK. . . :NEW DWELLING UNI'TS. . : 1
TYPE OF USE. . . . . ..SF NO. OF BUILDINGS: I
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : !. Sf
flemar,ksi PATH I
Owner: --------------------------------------------------------- FEES ___.----------
J. I. L. DEVELOPMENT INC type amoLtnt by date t-eept
Vit. O. BOX 1633 PRMT >t 2100. 00 PLL 12/21/92 —
10445 SW CANYON RD :NSP t 35. 00 PLL 12/21/92 —
BEAVERTON OR 97075-1633
Phone #: 641--7632
Goner-actor:
CONTRACTOR NOT ON FILE
Pfiane #: 2135. 00 TOTAL
Reg #. . : REUUIRED INSPECTIGN5
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 189 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prosptct 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Sewer' Permit and the Agency will install a lateral.
P P i,m i t is e e S i g Ti a t 1-t v-e
Ca 1 1 f cii- inspection 639-4175
0
CITY ,")F TI V L-11�� 131r o x>»nwa. PLNCK/RECT -
07
COM MUNI'I'1' I)'.vEI.OI'M ENT DEPARTMENT 'I'PacAOregor • 'M PERMIT N
(503)639- 171 DATE ISSUED
JOB ADDRESS: �i G C TAX MAP/LOT SSI L�' F' Gc
SUB: C;c'����c_ C� �� — LOT: LANL USE:
VALUATION:
OWNER SPECIAL NOTFS
NAME: `�i S �_ ��C'v fin`•.a- e v. J-\C. _ REISSUE OF:
ADDRESS: (�. �, _ (��\ ��,., u�� o.-� LAST REISSUE:
� -- 1! \ c (I 1.4y L r�' FLOOD PLAIN/
PHONE: _&- ,xy �:1 (1- 1) )ENSITIVE LAND:
CONTRACTOR APPROVALS RE UIRED
NAMI.: -_ 1 ��`��� �a �: �-.- r�r -- PLANNING:
ADDRCSS: _ ''`�_ _ ENGINEERING;
--_-- —._-- FIRE DEPT:
PHONE: —___-- ' OTHER: 7 — ------ -
CONTR. BOARD #: ` , ( EXP DATE: A0-d'1-2 1'
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: �1 ��2� '�-tel LIST/SUBCONTRACTORS:
MECH: BUS 'TAX:
AR,CH!ENGINEER CALCULATIONS:
o --
NAME: r` , TRUSS DETAILS: --_------
ADDRESS: _ � � � _ OTHER:
PHONE:
PROPOSED BLDG. USE: -
COMMENTS:
APPLICANT SIGNATURE
Received By: �___ Date Received:
PE'.. ,CCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432. 00 Building Permit Fees d ,,?� r 7u. "v
10-431 00 Plumbing Permit Fees 1 y7, 5?� _ 1 1 511
10-431 01 Mechanical Permit Fees .�� "� IVc
10-230 01 State Building Tax (5%)
Building L> /
Plumbing
Mechanical ;).Y v
10-433 00 Plans Check Fee J 7
-
Building �? 4-
Plumbing
Mechanical -'00"
10-230 C. Fire _.
30-2.02 00 Sewer, Connection`
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25--448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees // / 0-
52-449 00 Parks System Dev Charge (PDC) `
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445•-01 Water Quality (Fee in lieu of)
24--445-02 Slater Quantity (fee in lieu of)
TOTAL
y I u
nm/3587P.WP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-flour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
—Daie/Requested AM PM --- BLD
��r� G� � E'��.<<'t� fir- Suite MEC
Location �_ �
Contact Person Ph _ PLM
Contractor — J. _l- _ ��'.� 'r ( • J . _— Ph SWR
BUILDING —— enant/Owner ELC
Retaining Wall ELR _
Footing
Foundation Ac( , -�7i.s r FPS
Fig Drain NOT REQUESTED SGN
Crdwl Drain Ins FOUND DURING RESEARCH
SIdb -- NO INSPECTION(S) FOUND IN FILE SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing ------ - -- --- —
Insulation
Drywall Nailing
Firewall i
Fire Sprinkler -- ..- �C'" ------ - ------- - ----
Fire Alarm
Susp'd Ceiling _.^ - -- -- -- - --- -- -
Roof
Final
PASS PART FAIL ---- -- ---------. -. __ _ __._.___
PLUMBING
Post& Beam - - -- ------------- -----
Under Slab
Top Out ----- ---- ------- ----- --
Water Service
Sanitary Sewer
Rain Drains
Final
PA RT FAIL
ECHANIG
Ro►-tglf'11'h
Smoke Dampers
Trial - - -- --- -- -- -
PART f AIL
ICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL - ___ -._.-
SITE
Backfill/Grading - - -- --
Sanitary Sewer
Storm Drain I Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Pleese call f r reinspection RE:— [ ]Unable to inspect no access
ADA r 1y
Approach/Sidewalk Date I Inspector Ext
Other Other - - --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
19125 BW Mall Blvd.Tigard,Oregon $72g3@51N (609)579.1171 CE f�T I h I CAVC OF
OCCUPANCY
xxxu PERMIT #. . . . . . . a M5T92-•121281
639--4171.
DATE: ISSUf_:Dc 06i 13/4.3
7I TE ADDRC:c;,:i. . . SW ("HEI IALEM C I PARCEL. "i 104B8 04iyIZK
UUBDIVIOION. . . . . K: HILL l.ONING.
BL..UC14.. . . . . . . . . . . 1_0 T. . . . . . . . . . . . . : 1 f3
CLASS 13F WORK. -NEW
TYPE. OF USS. . . :GF
r3f_:CLJPAN(.Y IBM",. e R:3
9C."(*.;UPANCY 1-CLAD:P S 4
11: NAN'i 14AML. . . :
4pmAtt-kc r F'E"1TH .I
Owner, : ____....._...__.._..__......._._ _._._._._..___....._.. .__._�___..._..__._..._
.J. 1. 1._.. DEVELOPMENT INC
P. U. L%OX 1633
1044.5 SW CANYON RD
BEAVEPTIIN OR '37075-•1`•633
Phone #c 641 7632
Contr,act or _..........._---_..._...._..
J. I. L. DIEVE:I..OPMEN7 1141:
V1. U. NC)X 16+ 3
CANYON RD 1,31.JITE= 1.01
BEwAVE RTON OR 970-75-1633
Phone #t 641-442%
Rog #. . : 58126
Clcct.tf►artt y of the abovo r Ni'Fr enr_E+d krt..tildin_I is hov,ehy f1iven, arid c-prti fief~
4:h@ compli.ant:e with trip St�nt. e I:)f IJI••ec,on Specialty Cor es; for the Ijr,ol.ip,
�f"CP. PATICV, and use 1.InJet which the v— eioeti `ed permit was i %sl.ted.
F"I RF_ UE'F''fIRT MI NT' l NCV SPE.CTOFt
BLIILDI G U ICIAI-
P0131 IN CONGP I CUOUS l"Lt CIL