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15921 SW 81ST COURT r ADDRESS: 157:11 sw 31 STBOAT fti F-- N J G] L^ Ul J i:\rewudsVnicrof lm\targelsV)uilding.doc CITY OF I IGARD BUILDING INSPECTION DIVISION 24-Hou: Inspection Line: 639-4175 Business Line: 39-4171 !' MST / \ j BLIP _ Date Requested /��3�r ��/ AM j PM 13LD _ Location t. -�<,� Contact Person Lf-1 r-{ t C4_, C� Ph(pSe 5 3S X / PLM Contractor Ph :SWR BUILDING Tenant/Owner CSD l Su�c �, r-�-�`. ELC y � Retaining Wail ELR _ Footing Access: Foundation FPS Fig Drain ---- SGN Crawl Drain Inspection Notes: — 51ab _. SIT Post&Beam I Ext Sheath/Shear _ Int Sheath/Shearn�, Framing S—t Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roaf Misc: Final PASS PART FAIL,,--•- PLUMBING n 6?,-e C'L L� , tz' Post&Beam Under Slab ��.L-e- 1' c - Top Out Water Service �� « �,, ��C' •�� Sanitary Sewer Rain Drains _ Final P ART FAIL L Post& Beam Rogue a�Line — e Dampers S ! PART FAIL SLE<TRIGAL Service N Rough In �- UG/Slab Low Voltage Fire Alarm Final 4 PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ) 2efispection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hr,ll Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: J Unable to Inspect-no i iccess ADA r` Approach/Sidewalk Other Date Inspector �J. C/ Ext Final PASS PART FAIL DO NO'f REMOVE this Inspection record from the job site. CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00459 DATE ISSUED: 10/26/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 S112 PARCEL: 2S 112CC- C-06200 SITE ADDRESS: 15921 SW 81 ST CT SUBDIVISION: BOND 'ARK NO. 4 ZONING: R-12 BLOCK: LOT: 090 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPR_ESSO_RS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR FIRE DAMPERS?: 30 -5^ HP: OODS UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: _AIR_ _HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS CUTLETS: 1 > 10000 cfm: Remarks: Insert new gas piping in single family dwelling. Owner: FEES �— JENSEN-JUNGWIRTH, CAROL Type By Date Amount Receipt JUNGWIRTH, RONALD L PRMT KJP 10/26/19 $50.00 99-319352 7733 SW 50TH AVE 5PCT KJP 10/26/19f $4.00 99-319352 PORTLAND, OR 97219 -- Total $54.00 Phone: Contractor: FIRESIDE DISTRIBTRS OF ORE INC 18389 SW BOONES FERRY RD PORTLAND, OR 97224 — REQUIRED INSPECTIONS Gas Line Insp Phone:503-684-8535 Final Inspection Reg M LIC 00040979 ORIGINAL Ln y F-- f.. J cc r. C-7 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 952-001-00 10 through OAR 952-001-0080 You may obtain copies of thLerules or direct ques ' ns to OUNC by callir3 (503)246-918 A, ) Permittee Signature: Issue By: -Q r� ,/ Call (503) 639-4175 by 7:00 P.M. for inspections needed the neXt business day Plan Ct,eck# CITY,OF TIGARD Mechanical Permit Application Rec'dBy 13125 SW HALL BLV%ECEIVED Commercial and Residential / Date Recd TIGARD, OR 97223 ` t Date to P.E. (503) 639-4171, x304 X99 C/J Date to DST �� 2 5 Print or Type Permit#r)��i f49-�,ys� c4IAvdW"9W)61LA1egible applications will not be accepted Called = �— Name of DE velopmenUProjed Description Table 1A Mechanical Code ty rice Amt Job Street Address Sude# A) Permit Fee ;Td;1k1U 16.00 Address ` OJ a I Si C+ 1) Furnace to 100,000 BTU including ducts&vents see footnote 1,2 _ 9.65 Bldg# I City/State Zip 2) Furnace 100,000 BTL+ 97;,),q including ducts&vents see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace Owner i 14_ including vent see footnote 1,2 9.165 Mailing Address 4) Suspended heater,wall heater C g� ) V in appliance floor mounted heater 4 Pee footnote 1,2 .65 I c� + 5 Vent not included in a liance ermit 4.75 City/State Zip I Phone Check all that apply: 'Boiler Heat Air For items 6-10,see or Pump Cond Qty Price Amt Na (o,name nt business) �w footnotes 1,2 Comp 6)QHP;absorb unit to 100K BTU _ 9.65 Occupant Malling Address 7)3-15 HP,absorb unit 100 to 500k BTU 17.65 CRY/state zip Pnone 8) 15-30 HP;absorb unit.5-1 mil BTU 24.15 Name 9)30-50 HP;absorb Contractor unit 1-1.75 mil BTU _ 3600 10)>50HP;absorb unit Prior to permit &',.iling Address >1.75 mil BTU 60.15 issuance,a copy ja_21ta9_ 11 Air handling unit to 10,000 CFM of all licenses aty!St to /Y� 1 Zi Phone 7.00 are required if & t i1c 17 4_ 12)Air handling unit 10,000 CFM+ — expired in COT Oregon Const Cont Board Lic# Exp Date 11.85 database L{yq-1 G 11,2 4 13)Non-portable evaporate cooler Architect Name 7.00 14)Vent fan connected to a single duct 4.75 Melling Address — ---- or 15)Ventilation system not included In appliance permit .----7.00— Engineer _7.00Engineer cny/state Zip Phone 16)Hood served by mechanical exhaust — 7.00 Describe work to be done: 17)Domestic incinerators 1200. New• Repair O Replace with like kind. Yes O No O 18)Commercial or industrial type incinerator Residential• Commercial O 48.25 19)Repair units Additional information or description of work: _8 4C -- 20)Wood stove/gas FP/oth r Units/clothe dryer/etc _ - 1 A,yp , - y45 /rhes on / ill '.0^.,.,. NOTE: For Commercial projects only;Units ler 400 lbs require 21)Gas piping one to four outlets structural gas calcs. _See footnote 1 I 3 75 3.15 Type of fuel: oll O natural gas& LPO O electric O 22)More than 4-per outlet(each) 75 _ Minimum Permit Fee$50.00 SUBTOTAL sPi, I hereby acknowledge that I have read this application,that the information 7%SURCHARGE --t given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans suomitted are in compliance with for ALL commercial permits only h Oregon State laws. - -- LL! LD it:) l TOTAL 5Z,59 - Signature of Owner/Agent Date — — — -- --_ I Other Other Inspections and Fees: n_g_AJtrs6y) G13(4-Gs-s5_ 1. Inspections outside of normal business hours(mininum charge-two hours) $50.00 per hour Contact Person Name Phone 2. Inspections for which no fee is specifically indicated (minimum charge-half hour) $50.00 per hour Foonotes for cornmerclel projects only: 3 Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-halt hour)$50.00 per hour c^. Provide drawi igs to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units. —_ "Residential A/C requires site plan showing placement of unit I\mechperm doc rev 7/19/99 VA