10210 SW KABLE STREET r
r,
10210 SW Kable Street
CITY
OF TIGARD '_MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00504
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/13/02
PARCEL: 25111 CB-01720
SITE ADDRESS: 102.10 SW KABI_E ST
SUBDIVISION: HOOD VIEW NO.2 ZONING: R-3.5
BLOCK: LOT: 019 JURISDICTION: TIG
CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: \ ENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPI_: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS-
FUEL TYPES 0 - 3 HP: i DOMES. INCIN:
LPG _ — 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 3U HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 504, HP: CLO DRYERS:
FURN < 100K BTU: _AIR HAN_DLING_UNITS _ _
FURN >=100K BTU: � <= 10000 cfm: —�— OTHER UNITS:
GAS
> 10000 cfm: OUTLETS:
Remarks: Replacing Gas logs.
Owner: —� FEES ----
RILLINGS, BYRON + BARBARA TRS Description Date Amount
10210 SW KABLE I MECHI Permit Fee 1 IM 3/02 $72.50
TIGARD, OR 97223
IMECF1j Permit Fee 11113.'02 $0.00
IT'AXj 89/a StateTax 11/13/02 $5.80
Phon-t: ITAXI 8'„StateTax 11/13/02 $0.00
Contractor Y _�— _ Totai _$78.30
FIRELIGHT LLC
17690 NE HILLSBOPO HWY
NEWBERG,OR 97132 REQUIRED INSPECTIONS
Phone: 503-554-0891 Mechanical Insp
Final Inspection
Reg#: 148689
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Orr.. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permi will expire if work is
not started within 180 days & :.;suance, or if work is suspended for more than 180 days. ATTENTION: Oregon IG:r
requires you to follow rules adopted in the Oregon Utiky Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: j L Permittee Signature: x; ;i 1 �✓
Call (503) 639-4175 by 7:00 P.M. for inspections needed a ext business day'
�t�srat��
Mechanical Permit Application
Date received:// Permit no.:
City Of Tigard Projecl/appl.no.: Expire date: Y
Cir o i Address: 13125 SW Hail Blvd,Tigard,OR 9727.3
City !Tga,rd Date issued: By: Receipt no.:
Phone: (503) 6.1.4171 -- -
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: __ Building permit no.:
I
U 1 & family dwelling or accessory U Conuncrd talAndustnal U Multi family U Tenant improvement
U New construction U Addition/alteration/replacement U Other.
COMMERCIALJOB SITE INFORMATION ii t
Job address: /0 7/c' kj kG.A,te, Indicate equfprnent quantities to boxes below. Indicate the dollar
Bldg.ro.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no: profit.Value
I_ot: Block: Subdivision: *See checklist ',':jr important application information and
Ptvjezt name: _ jurisdiction's fee schedule for residential permit fee.
Cit%%L1Unty: _r/4,64.z ZIP, Z __ t a t
ld
Description and o work on remises:— � t t IJIt
_ �J /C fig✓ �G S�� _ 1 eir(ca.) 1u;al
Est.date ot•comple'tion/inspection: t)curintioo tpy. Itdv.onh Iteti.only
Tenant improvement or change of use: Air han
,Ur handbag unit _CFM
Is existing space heated or conditioned'?6"Mcs U NoAircondiuoning(site plan reyutrcrd)
Is existing space insulated'!4ycs U No terat on of ex stingyAr system
MECHANICAL CONTIJACUORo 1177c
Stalc boiler permit no.:
Business narnc e L..L L HF Tons BTU/11
_Address: fj% N r//J/ ro Fire smo a damperqlductsmoke detectors _
City: A1e!i5,1 k '1,Fj jSta(c:C%C_-jZIP: Ileat pump(site pan-require )
Phone: ' Insta rep ace urnace urner
S L j r]EveD Fax: E-mrtil: - Ir,auding ductwork/veni liner U Ycs U No
CCB no.: Tnstal Ureplacc/re locate heaters--suspended,
Cityhnctro tic,no.: l� __ wall,or floor mounted
Name( lease print): �':-,�, -jc�i 7�n �nifrforntanreot er( a 1 furnace
e gent on:
Absorplionunits B'ru/H '
Chillers_ HP
Name: "i/� 1!21 fi., _ -- --
C'om ressors __- HP
Address: NG' !'Qj<' " —_ ;nv runmenta ex iaml and vent at ont
State: ZIP: r
City: .s- i r�Il Appllance vent
Phone: f Fax: E-mail: )ryerexhaust
1lloods,Type res. itc c atmal
hood fire suppression system
Exhaust fan with single duct(bath fans)
Mailing addrcs : /V 7/0 �e.J � a •.,1�
Exhaust s stem a an rom cat n or C
Fuei piping an st ut on(up to 4 out ets)
City: fµ.e State: �r ZIP: ij L1 fYPe _ LPG _ NO Oil
Phone: Fax: I mail: Friel ri-in sac uIditional over 4out,r� r—
rorr-sp p ng(sc tematicrequired )
Number of outlets
Nano•: _—_ -- - - -- ter tivc d app once or equT tat:
Address: Decorative fireplace
City: - Slate: ZIP: - nsert-type
E-mail:
oodstov pe et Stove
Phone; Fax:
Applicant's signature: Yc- � f��- Date:
Name(print): ---
Permit fee.....................$ _
Not all juriuhctipns r►cept credit cards,pleats call juritdlctirm kx mrxe infonnatian NMinimum fee................$
•,iicc:This permit application ^`
_
U Visa l]Masl X10 /Io/ 0170 expires if'a permit is not obtained Plan review(al _ %) $
Credit c d number: V J -- - apt , within 180 days after it hes been State surcharge(896) ....$
Name of c ^filer u t own on c 11 - S accepted as complete. TOTAL ................... $
der ti`rtettae Amount 440.4617(WXWOM)
CITY OF TIOARD 24-Hcur
BUILDING Inspection Line: (503)539-4175 MST
INCpECTION DIVISION Business Line: (503) 639-4171
_
BLIP --- _-�
Received _ - -- -- Date Requested -1�-/ S- Afvt___ - PM --____ __- BLIP _
Location j�U 66('s - - -� -- State - - -.._ MEC x
Contact Person Ph(---- __) 55-11. OX Z PLM - - -_--
Contractor -_------ -_--- Ph( -.) ___ - SWR
BUILDING. T�^.7, d0wner �LU_ -_-___ ELC
Footing
ELC - -- --
Foundation Access:
Ftg Drain ELR -
Crawl Drain
Slab Inspection Notes: SIT -Po,.- Seam
SI ew ',ichor:} —
Ext 111-i jath/Shear
Int Sheath/Shear - - - - ---
Framing L Q
TPy u.�.�J
In:,ulation
Drywall Nailing -
Firewall
Fire Sprinkler - --- -�
Fire Alarm
Susp'd Ceiling --'--
Hoof
Other:_-- _ - � —_
Final _ �� _
PASS PART FAIL
PLUMBING _-
Post& Beam
Under Slab - - - - _- -
Al
Rough-In
Water Service
Sanitary Sewer
Rain Drains -�—f---- ---- --�— =
Catch Basin/Manhole )
Itorm Drain
Shower Pan
Other. - -- _ __ _----------_
Fi�irrl
-___C6FiT FAIL _---.--_---_
Post&Beam --- ---_-_
Rough-1p, ----- -- -_-- -- c as Line
e Dampers ----- - --- --- _-�_ _— ----: ---
F
PART FAIL -- --- --- - v-�- -.-.----
ELECTRICAL
Service
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final a Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL_
SITE _ _ �_� Please call for reinspection RE:_-- _ - Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date ���-' V'�� - inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART-FAIL-.