15165 SW KENTON DRIVE I
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15165 5W KENTON DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION MSS.
24- our inspection Line: 639-4175 Business Line: 639-4171
7 -�--
FUP _
_Date Rego,asted— - - AM PM BLD _ --
Locatio i_—I ;>'L Suite _ MEC TAC ; _
Contact Person _ _ — Ph _.1��,r�t'1 PLA —
Contractor — _ PhSWR —
BU!LDING _ Tenant/OwnerELC _
Retaining Wall — ELR
Fooling Access:
Foundation FPS _
Ftg Drain ------ SGN
Crawl Drain 1 1spe-.tion Notes: — — ----
Slab _------- --_,_------ ---- — SIT
Post&Beam
Ext Sh,_..th/ShFar _
Int Sheath/,hear r t
Framing --- �n �� 1 7 -7 -- _ -------- --
nsulation
C,rywall Nailing — ----___---
Firewall
Fire Sprinkler
Fire Alar:,i — ---- -- --- ---.--_.__—._.__
Susp'dCeiling I ----- ------ ------- -----
Roof
Mise ------------ - ---- ----.— ._._ --_--_ ----
Final
PASS PART FAIL — -- --- ----- -- -- U --- ---
PLUMBING
Post& Beam --—-- - ---- -- .
Under Slab
Top Out -- ----- - - - --- _--
Wa!er Service
--- ------ - _ _\\J —_—.--_
Sanitary Sewer
Rain ",ains
Final --
PASS PART FAIL
ECNANICA ?�_
ou h Ind
s ine
Smoke Damp ers
PART FAIL
ELECTRICAL
Servir e
Roi gh In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL. — ----__-..^..--_---------- - __--
SITE
backfill/Grading
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$ .—_required b-.fe 3 next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ] Please call for reinspection RF: [ ]Unable to inspect no access
ADA
Approach/Sidewalk Zq �� — —
Other _ _ Date — - � .1_�—Inspector __ �fl���lll—�—� Ext _4Y
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD ECH ,NICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PIEC98-1 00viDATE ISSUED- 08/19/92
SITE ADDRESS. . . : 151C,5 SW KENTON DR PERCEL.: 2SI12CB-07600
SUBDIVISION. . . . : ASHFORD OAKS NO. 2 ZONING: R-7 PD
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
.90 JURISDICTION,. TIG
-----------------------------------------------------------------------------------
CLASS OF WORK. . :ADD FLOOR FURN. . . . : M, EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS— : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : o BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------- 0-3 HP. . . . : 0 DOMES. TWCIN: 0
:GAS 3-15 HP. . . . .- 0 COMML. INCIN: 0
MAX INPUT: 0 STU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : `_50+- HP. . . . . 0 CLO DRYERS. . : 0
NO. OF UNITS------ -..---- AIR HnNDLING UNITS OTHER UNITS. : I
FUR, ' ( 100K BTU: f) 10000 cfm: 0 GAS OUTLETS. : 1
FURN )=100K BTUP 0 > 10000 cfm : 0
Re marks : Gas fireplace
Owner: FEES ---------------
GINP CASPER type aMOUlit by date reept
1516` SW KENTON PRMT $ 25. 00 B 08/14/98 98-308273
TIGORD OR 97224 5F7,CT $ 1. 25 P 08/14/98 98-308273
Phnne #:
Contractor:
JAY' S GAP PIPING
PO BOX 7:43
BEAVERCREE-11 OR 97004 26. C15 'TOTAL
Phone #: 632-6623
Reg #. . : 011983,
REQUIRED INSPECTIONS
This permit is issuqd subject to the regulations contained in the Gas Line Insp
Tigard Municipal Cide, State of Ore, Specialty Codes and all other Mechanical Insp
applicable lavit. All work "ill be done in accordance with Final Inspection
approved plans. This permit will eApire if work is not started
within IN days of issuance, or if work is suspended for more
than 180 days. ATTEICION: Dreg, , law requires you to follow rules
adopted by the Dregon Utility Notification. Center. Those rules are
set forth in DAR 952-WI-00I0 through DAR 952-001-OON. you may
obtain copies of these rules or direct questions to OLK by calling
(503)246-9187.
..........
**I S S U P LPermitteePermitteSignStUr-e- V 11�_-I WW_
h+++++++++++++++++} ......................................4'+-+-+-+++++4-++++4...........
Call 639-4115 by 7:00 p. m. for- inspections needed the next bi.isiness day
+++++++++++++++++4++++++++++++++++++++++++++++++++++
................4..................................4-4
Plan
CITY OF TIGARD Mechanical Permit Application Recd Beck#, `
'13125 5',N HALL HLVD, Commercial and Residential Date Recd .
ate
TIGARD, OR 972;23 Date to P.E._
(503) 639-4171, xb04 mate to DSTL)t1
Print or Type Permit# /IF(,`1'- )nco
_ _ Incomplete or illegible applications will n.' Fie accepted called --
1 N.me of Development/Proied D 15rfIptlOn —
— Table 1A Mechanical Code of Price Amt
Job street Address Sudso A) Permit Fee 10 00
Address r r- l ►�J KE-k Tb 1) Furnace to 100,000 BTU —
including ducts R vents 6.00
81dgAr City/Stats Zip 2) Fumdce 100,000 BTU+
including ducts 8 vents 7.50
Name(or name of business) 3) Floor Furnace
Owner ..>' Q) includin vent _ _ - 6.00
M g Address 4) Suspended heater,wall healer
c [�,,- -A or floor mounted heater I 6.00 _
-��=� ` ! n _ 5) Vent riot included in appliance permit
GHy/State Zip Phone
—�_
CHECK ALL 'Boiler 3.00 Heat Air — --
- THAT APPLY or Pum
Name"me of slness) p Cond Qty Price Amt
J _Comp
6) 3HP,absorb unit to
occupant Mailing Address 100K BTU
600
_ 7)3-15 NP;absorb unit
City/State zip Phone 100k to 500k BTI.111.00
B) 15-30 HP;absnrb -- - -
- -- ---- unit.5-1 mil BTU_ 15 00
Contractor Name 9)30-50 HP;absorb
\ unit 1-1 '15_mil BTU _ _ 22.50
Prior to permitNing Add s `� 10)>50HP,absorb unit —
issuance,a ;opy CSS �10. >1 75 mil BTU_ _ _ — 37.50 _
of all licenses Cny state rt 0 Zlp Phone,
CQGCIZ11)Air handling unit to 10,000 CFM
are required it �i�j
_ 4.50
expired in COT Oregon Con Cont Bon LIc M Exp Date 12)Air handling unit 10,000 CFM+
database \� ,3�0 �� __ 7.50
Architect Name 13)Non-port_able_evaporate cooler
4.50
or Mailing Address — 14)Vent fan connected to a single duct
3.00
Engineer City/Slate Zlp Phone 15)Ventilation system not included in
9 apIlial nce permit _ 4 50
16)Hood served by mechanical exhaust
Describe work to be done _— _ 4.50
17)Domestic incinerato_rZ—
Ne v O Repair O Replace with like kind: Yes O No O _ 7.50
Residential-A. Commercial O 18)Co nmercial or industrial type incinerator
3.0.00
Add@fonal information or description of work: — 19)Repair units -
p ! 4 50
20)Wood stove — -- —
(\ r _ 4.50
21)Clothes dryer,etc
_ \ 4.50
Type of fuel: oil O natural gas' LPG O electric.O 22)Other units
�-f}S FI(QGf'CRLc 4,50 —
I hereby acknowledge that 1 have read this application,that the information 23)Gas piping one to four outlets I
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 oultlef(each) 50
Signature of Owner/Agent Date ^—
Minimum Permit Fee$25.00 SUBTOTAL
5%SURCHARGE
Con*t Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
Reouired for ALL commercial permits only I
® \CS - vU�� �2 G _. ---- TOTAL
S 4�
[ 7 p 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I\mechperm.doc rev 07/20/98