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10340 SW JOHNSON ST
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 63 1 T
?__!UP,
Date Request-J_ / AM/�/��M �
BLD _
Location C Suite —_ ME L442/ - J 01 ` 2a
Cor;tact Parscn ' Ph f "�lL'— -7 -1� L PLM
Contractor TLS c Ph SWR
BUILDING Tenant/Owner ELC —_
Retaining Wall ELR
Footing Access: FPS
Foundation / _— —_--- _
Ftg Drain SGN
Crawl Drain inspection otes: -- --
Slab ( 1 �f,Z — - —_ SIT --- -----
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insuhtion
Drywall Nailing —___--
Firewall
FireSprinkler -------�_..___.---------- -- -- ---- _.�_—_____—_ __.*.-- ---- --
Fire Alarm
Susp'd Ceiling — ._._____------_-- _--- -__----
Roof
Misc: ----------- --- -- _
Final --- ------- 1 — _
PASS PART FAIL --
6
Post& Beam
Under Slab /
Top Out v
Water Service
Sanitary Sewer /
Rain rains
rn ,
T FAIL.
—
Post& Beane —- _ _ —- ----- —
Rou r,
L.in
5 Rsj
Dampers
PART FAIL
EL CTRICAL -- - -- - -------
Service
Rough In
UG/Slab
Low Voltage
F ire Alarm
Final _�__------- --_—_—_--
Final
PASS PART FAIL ------
SITE
Backfill/Grading -----__.--____-- --- _--_ -- _--
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$_ r squired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
hatch Basin
Fire Supply Line [ J Please call for reinspection RE: .__ —_ _ [ ]Unable to inspect no access
ADA
Approach/S dewalk �j Q 2
Other Date l V Inspector Vu � �'� _-- Ext
Final
PASS PART -_FAIL J DO NOT REMOVE this inspection record from the Job site.
CITYOF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00430
-�- 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/1/00
PARCEL: 2S 102BB-00813
SITE ADDRESS: 10340 SW JOHNSON ST
SUBD:VISlON: BROOKSIDE PARK ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG v 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: e GAS OUl LETS:
> 10000 cfm:
Remarks: Replace gas furnace.
Owner: _— A - -- ---- FEES - ------ ------
COFFMAN, DENNIS D + RIE Ty )e By Date Amount Receipt
10340 SW JOHNSON ST F R SIT CTR 11/1100 $72.50 2720000000
TIGARD, OR 97223 t,r T CTR 11/1/00 $5.80 2720000000
Total $78.30
Phone: — --- — -
Contractor:
B & B AIR CONDITIONING
P O. BOX 1607
LONGVIEVA', WA 98632 REQUIRED INSPECTIONS____
Mechanical Insp
Phone:360-423-3010 Final Inspection
,leg #:LIC 49202
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
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rul ect questions to OUNC by
calling X503)246-91
8 9
503)246 9185 ,- -
Issue By: � —� _ Permittee Signaturef
Call (503) 639-4175 by 7:00 P.M. for inspections n ed tie next business day
10, 24,2000 08.95 FAX 5038947:97 _ City if T.gard QI004
Mechanical P'er'mit Application �- ftO
DAtcfeceived: ft
AA�� City of Tigard Pro)ect/appI.n0.. Expir•cdrlc:
!'In ofTrgnrd Address. 13125 SW HAIL Blvd,Tigard,OR 97223 Datesssued; By Receiptno,.
Phone (50 3) 039 4171
-Fax IS03) 598-1960 Case file no. r Payment typc.
Land use approval. _--_ Building ocrm;l no
U 1 &2 family dwelirog or accessory U Commeraalhadustnal 7,Must funny ❑Tenant improvement
New consuucoun }iiC Adduion/alterauodreplacement U Other.._.___ - -
Job address: 10 ') `�Iv� O 1��i�1'l _�(f _t:_1 Ind-calc equipment quantities in boxes below Indicate the dollar
- — value of all mcchrlmW materials,cgwpment,labor,overhead,
-£-
Bbl no.: State no•- profit.Value J __--.
Tea map/tax lot/occuunt no.: _ _ �-
Lof. Block Suhdivis+on; r 'See ch:.cklist fol in porlant upphrntion information and
Protect name: jurisd!^-lion's fee schedule fol rrcidenGA1 permit f+.e.
to
city/county; fh(Lr(AZl.P: -7_L2--_5 MMIW��
scnptlon and loeAtion of work on rotes:
t1 � Fee(rs.) Told
Est.date of mplcffnn/ursptction• -__ _ Detm" may' R�'an1 ne.Ody
- YAC:
t entnt impruvement or clumse of use Air handling unit CFM
is existing space heated or conditioned°O Yes 'J`o Ari condmolun (stir Firm re uir )
Is cxistiog space insulated?J Yes :1 No -Alemon of el:asuvig HVAC system _
-tl"oiledc ompic s sot s
Statc ironer peraut no:
_Eusine9s name: /t( l , _ HF ,Ton•_!BTU/ll _
Addeci s: VL, tj,�&—J1kC 11'u emu C dampers)duct Smoke
r Slater Z1P: l9 Heal pump(site plan 1^.1 lure ) u _ -- --
_ttY own ,
mato Vrep ace na�e�umet_=�T1111t
Phone - t Faxr' r � Including ductwolk.'venl G- - q Yes O No
ccsno.! ZGrz_ _ In,tTUrop acrjte ocateF wapcndr -
City/mletfo Ilc.no.: Wall,of floor mourned
NNne( lease rint): —-- Vent for app -nix oto, 1 anace _
e Ige
Absorptionunit. — BTU;H _ �^
Name ) Chille►s_ HP
Hddress: �.r. t-ompressm h _ lip - -
O C r ( ronrnor3d nxha'' unlDsZon
Cit ' (J Sate: Z1P: � A hang vent-------- --.-- _ ,--
Phone:l Fart: I E-mail! �ryerreahaust
oras. ypc + Itc a azmar_.-__
hood Poe suppression system -
Name- ")- \ c_ { _S&(1 Exhaust fan with kinn•-Atle duct(bath fans)
Mallin ddress: _}s-_151 3_ust system Apart um eatin '
E<n -- ---�- __m o up m outlet<)
City: - - �itate- ZIP: -_---- TYPc: .. _LP(13 VG Oil
pjhooe; Fax. F. mail ueTphpls racTiad�naTovet out et, - __--_
ro0Clspe `(whcinaucreglure ) -
Number of outlets
Ntunr. —__ _ _ �fifia 1f�te:Tq 1p iinee of est _
Address: -- - -- - ----- _ bec,natrv;.fireplace
t /ty_ ------ -- -- state: ZIP. -- reran-lypr - –
Phone Fax limtul: Th6—W,aveTpe et stove
Apphcunl's siQnan)re' I Dae- t
"iame(print):
Na dl Iwudlctionl ncrep endil emb Alaalt cin pu uAleuoe for mat lofenellunn Mini 1 m e ................
. �...... ��...iai�.
Nmi:- Thhu permn app11ca0ro Minimum fee................�
UVilu UMasieiCard ewirr�Itu rrmnrsnotobtained
credo rive ft—l— r_-. _. __ L_ P p Dian review(at 96) s
- vnNm IBI)dnya after it hu beau SlAte 9-Itcharge(11%)
-- TP-__.. lace ted as complete
T. .eo'a o„�RuTi ewer s p TOTAL .................. S � r
—_ Cardholdtu siar111111R �_—��r -T-AinuWII Un46I7(WfroM)
CITY Ok- T IGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2000-00406
13125 SW Hal! Blvd.,Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 1111/00
PARCEL: 2S 102BB-00813
SITE ADDRESS: 10340 She' IUHNSON ST
SUBDIVISION: BROOKSIDE PARK ZONING: R-4.5
BLOCK: LOT: 00- JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
_ _FmTURES_ L AUNURY TRAYS' SF RAIN DRAINS:
SINKS: -- URINALS: GREASE TRAPS:
LAVATC;RIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replacement of hot water heater.
_ FEES
Owner: _ — Type F, Date Amount Receipt
COFFMAN, DENNIS D + RIE PRMT CTR 11/1/00 $72 50 27200000000`
10340 SW JOHNSON ST 5PCT GTR 11/1/00 $5 80 272.00000000
TIGARD, OR 97223 —
Total $78.30
Phone 1:
Contactor:
OWNER
REQUIRED INSPECTIONS
Top-outlnsp
Phone 1. Final Inspection
Reg #:
This permit i.; issued subject to the regulations c-ntained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. Ali work will be done in accordance with approved plans.
This permit will expire if v-ork is not started within 180 days of issuance, or if work is suspended for more
than 180 days. Ai TENTION: Orenon law requires you to follow rules adopted by the Oregon Utility
Notification (.;enter. Thc,se rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by (;ailing (503) 246-1987.
/u_Issued By: — / (/E. 2� Permittee Signature: Ort
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next usiness day
OCT-26-2000 THU 09:56 0 SHIM!ZU AMERICA COPP FAX NO. 5P62.00223 P. 01
Cot 26 CC 09t lsa B'B Mr/FrItek (. 6rJ1;23.-x•;91 p 2
10/14/2000 08.36 FAX 1036411UI_ cicy of Tigard 00 2
Ph;-lrMng PermitAppHcntion
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