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14725 SW 92ND AVENUE a .p. 4 N (J1 {N C (G IV a (D C 14725 SW 92... Avenue �f /\ CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2002-00317 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/20/02 SITE ADDRESS: 14725 SW 9?ND AVE_ PARCEL: 2S111AC-02200 SUBDIVISION: PINEBROOK TERRACE BLOCK: ZONING: R-4.5 LOT: 063 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL- VENT SYSTEMS: STORIES: __BOILERS/COMPRESS_ORS HOODS: FUEL TYPES _ _ _ 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 VIP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR_HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 c.fm: T OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install exterior AC unit. Cannot be placed in required setback Owner: CHAVEZ, GLORIA A FEES -- BY DELOIS A WOMACK Type By Date Amount Receipt 14725 SW 92ND AVE PRMT CTR 9/20!02 $72.50 2720020000 TIGARD, OR 97224 5PCT CTR 9/20/02 $5.80 2720020000 Phone: Total $78.30 Contractor: JACOBS HEATING +A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone:503-234-731 Mechanical Insp Reg #:LIC 1441 Final Inspection 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 *n 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 rules or direct questions to OUNC by calling Issue By: _ -y� ( _ Permittee Signature: _ call (504175 by 7:00 P.M. for inspections needed the next u iness day Sep- 11 -02 09: 21A Jacobs Heating 8139258 P l� 1 .Jul -17-02 08: bFiA _ _-_ 1 Mechanical Permit Application - T._ort h N M,.ra-•. * Datercccived 7 3 O permit nu�(jjk�� City of TigardAi k _ 1 .rlr projecVappl.na.- lupircdxlc. I r`I/17,'nrd Address: 13125 SW Hall n d",TiRarcl,OR 07223 rn�rnt Phone: (503) 6310-4171 �1r112 natei,►urd: 13y lteeeipino. Fax (503) 51)8-199) r C'asefilcrn+.: I'xynnmlypc. Land use aliproval'. -- __S.it�t I)uildingpermltno —_ 131 �#2(unity dwelling or accessory U Cbllinlelelal/industrial 13 Witi-family U Tenant imprnveme-111 N,w vmstruction > Addiliun/alleratton/replacerrlent U Other, Job addrrss: j� (� _ Indict+te equipment yu jrrtities In hoxes Wow. indicate the dollar Nldg.no.: _ Suite un.: value of all ma;htt'iwal ntaleriAi.•aquilxrlenl,lalvr,overl+rad, Tax maVtax 1uVaccuunt.rlt); _..... _.-�__ pmtlt. Value Loc _ 1311x1t Subdivision: 'Set checklist for Important upplicnuon rnlilrrnatinn and Prujnc:(name:( )MICUfuriuliction'° fee scI ��tic for residential permit lee. t.:itylcounty: -t• , C�af 711;.,. Urs.:tip1+ location til went on prenuscs: t ___-S11.. �.. -- _...•... - - Feer(ea.) "I till Est.date of curnplcNoa n spcclion Re%.unly Res.unlyl Tcnanl improvement ur c witpe of u.�c: Is existing space heated ur cundittoeird'!Cl Yes U No Alrhsndlinf unit -_ Air col tltoll (t tc nn ro ulrcl j Ic existing epat:e mwlute,l?G Yrs J Nu tocol anti eatvunl� A ,xy9lrra rn eicomprcators 13usiveRs name. Stele tx+iler pkrmrl no. Q L _ `` _ ill'Nfang N 1'l l/1� A(hfnlxs G,`Z �' Irdvmn'tl lnll+ert/ uCtJ1110 C e1r'tMr'• _ City: Sl c - yIP " �. eatpum t le Nn nqutrrrl) �� j G ttlail: Ii a rel+YCe umarl Phunr -� -rR `lt IncludingdnrtwtvkIvent filer U Yr,J hu CC'H nu. ILJ�1 —_ ! Vis' . ate'_ Inzla rep oc re oiutr tcmert wNhi ndrd. - Ciiy/metro lie.no.: wall,or floor mounted Nnme Masse printL ent fur a,r snce of rr than irnil'" e oral n — Ahsur]ruun unrll H I•l IH _ Nartlt: r/Y� I Cl,ill"$ - ('nm rnvaurlr HI' Addre►r: oamea ra ls�as vent atiau; City -� .9 rate ZIP; _ A I...,.veut Phone. hat, h-mail: ryercx ust �nt+Jv.Type Icy 11, rr1/ht im It r hind fire surnmeaviuo tystc,r) _ rMailIn!g, r r iLk t? Exhaust fan wish smyle duct IIto I I fan,l nddreAS' '� �� r, L -URa unit Y !,tent a all If01n Galin;ter A(' Cit Stat r' Zlf' U° nti tr phr nut 0011luct') —� N-- Type —Llai NCr _ ()0 Phone: y Fax F-mall: ur ipiny,e,u ,u rliunu Over 4 out civ - ruteettp p oft 6e Icnlal ctrqun;rti ,4 Name Number n(oullrt. _ -_� t ler H04 app .ore it Addwss: _ _ Vccormive rInX+lrtIC City: Ttil•nr LIP r/�� ntctt-t r I Jt� (•.-ll� '-I W— >/IOV l+G Ci YI(rVh. -Phone; — - -- _Ap�liclulrx aimu u �� Dat w: Name ( lint). Ut -. - - - - Nut ell rorlrAlrMtru auyr order cNA+ pNrw cell runitlkur+r Inr nrrl�IalunMlnml P�'r91111 fC�' '� �_ Notlre I Jvlu f]MaetrK'nrd I hlt permit rppllwliuu Mtr r.vlmcsii'arcrmnivmrlubldincd "+lion IrC 1 00ii.rd milli* / I'lun It—%I(—,A (III .. . '*P) $ rvIdull Itlll de)-%aft:r it hur.lx:e!I Stale can h.u'ye IR"1 d uuorrtrlbrd Nw"a nr w ri.tiro .nn a'i1-11Z _ accepteTOTAL Yr - �•5�� --'�Yi&r dal yi�i�- _ , AuMwM n Mel r Ir� Sep- 11 -02 09: 22A Jacobs Heating Jul- 17-02 08: 55A 8139258 P- 02 1 t4r <«E — --4 fRo�/f .STIZECT-� �"off NAm� �ic�av�- z 7764-Ir-O g ?Z Z 4/ rn��c=.►_. 7��3o3t� III nY r _ JAC0135 04Tl-., P'►IL.WAUKIC AVE- CITY OF T'IGARD 24-Hour BUILDING Inspection Lire: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP Received _ -__ Date Requested-_ LLAMPM -_ BUP Location VQ , `� ��,� / Contact Person Ph( ) PLM Contractor --- D Ph(---) --- SWR _ BUILDING Tenant/Owner ( �� ) - U Footing t- ' Foundation /access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Pcbt& Beam - Shear Anchors Ext Sheath/Shear �- Int Sheath/Shear -- Framing --- _ Insulation Drywall Nailing Firewall - Fire Sprinkler Qt) � Fire Alarm Susp'd Ceiling - -- Root Cher: - —--- ---- — --- _ Final _ PASS PART FAIL -----_-.- PLUW _MBG Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final _PASS - :CAL FAIL. MECHANICAL Post&Beam Rough-In Gas Line - - Smoke Dampers — ---- -- - -- Final -- - - - PASS PART FAIL ---- ELECTRICAL Service --� �— -- —�- Rough-in UG/Slab - ---- __ _.-- - Low Voltage Fim Alarm -- ---- -- ---- - -- R PART FAIL Reinspection fee of$-. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PeWcalleinspectl RE: F-1Unable to inspert-no access Fire Supply LineADA ustApproach/Sidewalk Date LIns-- Pmt 1�.Other:Final DO NOT REMOVE this Inspection record from the jots site. PASS PART FAIL CITY ®F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2002-00348 DEVELOPMENT SERVICES DATE ISSUED: 7/26/02 13125 SW Hail Bled.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111AC-02200 SITE ADDRESS: 14725 SW 92ND AVE SUBDIVISION: PINEBROOK TERRACE ZONING: R-4.5 BLOCK: LOT : 063 JURISDICTION: TIG Proiect Description: Job No .111448 Air conditioner & air Handler RESIDENT ,I_ UNIT TEMP SRVC/FEEDER_ S _ MISCELLANEOUS 1000 SF OR ' :SS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L ° ;F: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENI :GY: 401 - 600 amp- SIGNAL/PANEL: MANF HMI SVC, 1=DR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEiFEEDER_ — BRANCH CIRCUITS -- — — _ ADD'L INSPECTIONS 0 2.00 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp. 1st W/O SRVC OR FUR: 1 PER HOUR: 401 - 600 amp: EA ADD'L t1RNCH CIRC: 2 IN PLANT: 601 • 1000 amp: — PLAN REVIEW SECTION 1000+ amn/volt: >=4 RES UNITS: — > 600 VOLT NOMINAi.- _Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCA: Owner: Contractor: CHAVEZ,GLORIA A WEST SIDE ELECTRIC CO INC BY DELOIS A WOMACK 1834 SE 8TH AVE 14725 SW 92ND AVE PORTLAND,OR 97214 TIGARD, OR 97224 Phone: 503-639-5448 Phone: Reg #: W-15IM06 SUP 1556s I H 26-135c _ FEES Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 7126/02 $60.15 2720020000( Elect'/ Service Elect'/ Final SPCT CTR 7/26/02 $4.812720020000( Total $64.96 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes ar,J 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 it work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by 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 rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. ��__-- Permit Signature: .t�rtJVL1� Issued By: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, 'ease or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __ DATE: _ LICENSE NO: J— Call 639-4175 by 7:00pm for an Inspection the next business day Jul 23 02 04: ?7p West Side Electrin Cit . 1503) 736-0677 p, 1 Electrical Permit Application OFFICE VSE ONLY i� Dalc received: Pctmit nn.; a,00 ' City of Tigard Pmjcct/appl. nn.: rNpim date: Cil or rigaAddr( s: 13125 SW I tall Blvd,'figard,OR 97221 - --' f A Phone: (503) 639.4171 Uatc ismued: Hy: )( cipt 110-.! Fax: (503) 598-1960 Case file no.: Payment lypc: Land use approval: TYPE-OF PERMIT 6111 4—&.2 farnily dwelling or accessory UCumrnercial/industrial D Multi-family i_]Tenant improvement construction U Addition/alteration/repluccrricnt U Othcr J Partial 11 • 1ssC{Idg, nu.: 'iuite no. Tax map/tux lot/rccount no.. .nt:_ tllock: +ubdivIb,v1,:1'mjcct name; 4VJ 6cs,I tion and location of work on premises: Estimnted dare ofcompletion/inspvelion: RAC101t APPLICATION FEE SCII1FDULL Job no: .r&,/V.9 pec tyles .7I.o �:(•t tr.-r%Z1 DcacnDlMn Business name: ` Qty. (ea Total no.lna AddrClis; , �j rL y� I Ne11M/{unit10clidefes a,ho-d Caljigc lar city. i n c $tntC: 7.Ip: 7 dwrllhil twdLlnclndesatrw hrd(:atagr, _ r' � )U.- tYrnk«inialorr 4 fool !'hone: Z3 --1';L- hex:7316 04.7 E-mail:l: uxN► ol n_nr Iaa% L�' 1-410,ntltlitiacul 500 R or portion thereof (:'CA no.: l 7.30(p F•)cc:.hug.incl nn' Z6. 1'3� C. p-- f'° _ .... -• Limited energy, am rrlcntml 2 City tl lie.no,: `- UmutKl urwryy, non-residential 2 eeed..r..r- •._ z�� .Cly._ Foch mnn�racturcd homu or mudalar dwelling tilnnnlurc ul'al nein .:Icctnctnn (mqultut [)Are $ervlt't'unit/or fcaticr _Sul).el elect. name(print); lI„t L;,,, . Litxilae twl. ZG63 nrvkaaorfaeden-InetWlation. - oltrrt,.11Nt or relncntton: 200 amps for14-m4 2 Name(print)- (; r� CITY OF TIGARD MECHANICAL PERMIT \\ PERMIT #: MEC2001-00393 DEVELOPMENT SERVICES DATE ISSUED: 11/5/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503 639 4171 PARCEL: 2S111AC 02200 SITE ADDRESS: 14725 SW 92ND AVE ZONING: R-4.5 SUBDIVISION: PINEBROOK TERRACE JURISDICTION: TIG BLOCK: LOT: 063 _ FLOOR FURN: EVAP COOLERS: CLASS OF WORK: ALT VENT FANS: TYPE OF USE: SF UNIT HEATERS: VENTS W/O APPL.: VENT SYSTEMS: OCCUPANCY GRP: HOODS: STORIES: — BOIL-ERS/COMPRESSORS _ _ FUEL TYPES 0 - 3 HP:— DOMES. INCIN 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: AIR HANDLING UNITS FURN < 100K BTU: _� - -- - OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 2 > 10000 cfm: Remarks: Gas piping to fireplace. Water heater vent Owner: - FEES - DEE WOMACK Type By Date Amount Receipt BY DELOIS A WOMACK PRMT CTR 11/5/01 $72.50 272001000E 14725 SW 92ND AVE 5PCT CTR 11/5/01 $5.80 2720010000 TIGARD, OR 97224 Total $78.30 Phone:503-639-5448 Contractor: ANCTIL PLUMBING INC. 16900 SW MERL.O ROAD REQUIRED INSPECTIONS BEAVERTON, OR 97006-0000 Gas Line Insp Phone:642-7323 Mechanical Insp Reg#:LIC 00024184 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180days.r ATTENTION: les arOregon law requires you toe set forth in OAR 952-001-0010 thollow les adopted ough OAR In the Oregon Utility Notification 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue By: -� �— Permittee Signature: Call (803) 39.4175 by 7:00 P.M.for Inspections needed the next business day Mechanical Permit Application I)a,•tecctvcd,�/ -.�� ,'� Permri nu ��L .1C'i r-lt'�r City of Tigard ProjecUappl.no. Expire date: CityofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: I Receipt no.: Fax: (503) 598-1960 Case file no.: Paymenttype: Land use approval: I'luddin),permit no.: t . I &2 fancily dwelling or accessory U Commercial/industrial U Multi-family U'fenant improvement U Ncw consinrciion 1:�t,liuort/altcration/replacemen► U Other: JOB SITE 11INkiRMAT1 1 V77'aaea. 11 Joh address;: - e` ! G ' Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no,: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Block: - Suhdivision: *See checklist for important application information and Project name: LL/C,. .wt,�(< R r jurisdiction's fee schedule for residential permit fee. City/zounty: • ZIP: ]Z Description and It at'on of wo D on premises:__ 1 t r 1 4� M'ce(eaJ Total Est.date of completion/inspection: Description Qry.I Res.only Res.onl Tenant improvement or flange of use: AC: Is existing space heated or conditioned?U Yes U No Air handling unit _ CPM Air conditioning(site plan require ) Is existing space insulated?U Yes Ll No A teras on of existing HVAC system of er compressors State boder permit no.: Business name: c.0 / ��, HP Tuns BTU/N Address: (� 00 s ire/smo c amper uct smo c eteJ ctors" City: ,ems S(ate:r^J Zi P: 70g6. Heat pump(site plan required,, --- Phone: Fax' Z- E-mail; nsta rep ace furnac urner / -- CCB no.: _ Including ducttvork/venl liner U Yes U No nsla rep ace re ocate heaters-suspended. City/metro lic.no.: wall,or floor mounted Name(please print): �, _/i ' �4- tr. Vent for alighance other than furnace t e eras on: Absorption units I1TU/I I Nattte: Chillers HP Address: - _ Compressors Environmental exhaust end ventilation: _ City: — State: --" ZIP: Applirncevent Phone: hax: E-mail: )rycrcx aust --` oot.c,Type res.kitea azmat hood fire suppression system Name: ! Exhaust fan with single duct(bath fans) Mailing address: /Y 72 s 1z c/ L,'+7� :x iaus(s stem a art from heating or AC VelPiping an st Jit oe(up to outlets)City: Tye ----LI'ti _ NG (;.i Phone: L — Fax: Entail: vc i to cac t additional over 4 out ets— rocesspiping(sc ematicrequiiec) tNuniher of outlets Name: ___ r N app once or equ pmt—eatAddress: rativefireplace City: State: ZIP: t-t ePhone: hax: Email stove/ C(3lOVC : Applicant's signature: Date: ter: Name (print): Nd all Jurfaebctirou n•rei,t cft'4111 cardr,plra+e call)urlvlirUnn bn,rxxe Inf,anmtrnn Permit fee..................... U Visa U MasirWard Notice:'171is permit application tledh card number ._ _ expires if a permit is not obtained Minimum fee................$ --� _ / / Plan review(at — 9hJ $ �[� - within 180 Jays ager it has been State surcharge(8%) ....$ �ime'cr,f CAW er o r,u r nwn nn credit car $ accepted as complete. TOTAL $ -----t'anthnl r dEnature � Amount_. 4104617(6MWOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Prue Total $1.00 to$5,000.00 Minimum tee$72.50� Table 1A Mechanical Code ofY (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace tcls& 0 BTU Includingducts vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including Including ducts&vents 17 40 $10,000.00. -- $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.Ou or Includingvent 14 00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 1400 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 680 6 vU $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units $50,000-00. 12.15 - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond fraction thereof. footnotes below. Comp* 7)<3HP;absorb unit to 100K BTU 14.00 -'A-SSUME6 VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU _ 25.60 Desai tion: at Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace including vent 95F unit>1.75 mil BTU 1 87.20 Suspended h.:ater,wall heater or 9`- 12)Air handling unit to 10,000 CFM Noor mounted heater _ 10.00 Vent not Included In appiicance 445 13)Air handling unit 10,000 CFM+ permit._._ _ ,__ 1".4 Repair unts 1 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1000 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not Included In 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU - 16)Domestic incinerators >50 hp;absorb.unit, 5,725 17.40 21.75 mil.BTU 19)Commercial or Industrial type Incinerator Air handling unit l0 10,000 cfm 656 69.95 Air handling unit 210,000 c(nt _ 1 170 20)Other units,including wood stoves Non-portable evaporate cooler 656 _ 10.00 Vent fan connected to a single duct 446 21)Gas piping one to four outlets ��) Vent system not Included in 656 5.40 � �V appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1,170 Minimum Pennit Fee$72.50 SUBTOTAL: Commerclal or Industrial incinerator 4,590 Other unit,including wood stoves, 656 8%State Surcharge s Inserts,etc. Cies iping 1.4 outlets 360 - 25•,.Plan Review Fee(of subtotal) s Each additional outlet I ^63 Required for ALL commercial permits only TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: raj VALUATION: U_t_her Insasctlone and fess: I Inspections outside of normal business hours(minimum charge-Iwo hours) $72 50 per hour 2 Inspections for which no fee is specifically indkAted (minimum charge-half hour) $72 50 per hour 3 Addifionsl plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour 'Slate Contractor Boller Certification renuired for units 3,200k BTU. "Residential A1C requires elle plan showing placement of unit. I:\dsts\forrns\rrtech-fees doc 10111/00 CITY OF �I��RD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2001 003b5 1317.5 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/18/01PARCEL: 23111AC-02200 SITE ADDRESS: 14725 SW 92ND AVE SUBDIVISION: PINEBROOK TERRACE ZONING: R-4.5 BLOCK: LOT: fP 3 JURISDICTION: TIG CLAI.S 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: EOILERS/COMPRESSORS _ HOODS: FUEL TYPES Y 0 - 3 HP: DOMES. INCIN: LPG J 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 VIP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR_HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas insert. Owner: FEES ---_ - DEE WOMACK Type By Date Amount Receipt BY DELOIS A WOMACK PRMT CTR 10/18/01 $72.50 272001000C 14725 SW 92ND AVE 5PCT CTR 10/18/01 $5.80 272001000C TIGARD, OR 97224 — -- Total $78.30 71 Phone:503-639-5448 -� Contractor: LUDEMAN'S FIREPLACE + PATIO 12675 SW BEAVERDAM RD BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS— Gas Line insp Phone:646-6409 Final Inspection Reg #: LIC 51469 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, c: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 ules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or ui-ect questions to OUNC by calling Issue By: ,,, , /�f._ %� ; Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Per,rut no.: ; Date received: RFrFIVF-D pro�ect/apri.no. Expir-date: City of Tigard _--- -- Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: ,'I Receipt no.: Ciry nJTigurd Pamerit t +, Phone: (503) 639-4171 1!;Z � Case file no.: y yPe -- Fax: (503) 598-1960 ".MN" Building permit no.: Land use al.proval, -- ustnal U Multi ' •hilt' U Tenant improvement �1 S'2 family dwelling or accessory AdditioNa radon/placement U(hhet. , --- -- ❑New construction /`� 1 ��--7 L; nrJ /�� indicate equipment quantities in boxer,below. Indicate the dollar Job ar'iress: ` value of all mechanical materials,equipment,labor,overhead, Bid rid oSuite no.: _ profit.Value S -- Tax map/tax lot/account no.: - •See checklist for important application information ane I ot: _ _ Block: Subdivision: jurisdiction s fee schetiuie for residential permit fee. Project name: 111del f-"a -*-- Citylcou_nty: , 7J P: % �= 10=11110s t Descnption and location of work on premises: -Q� Fee(ca.)I 'row _1 ,' / f- � Qt .ptiou Res.ad Res.only Fst.date of completion/inspection: �a� ' "''v�'� • CFM__- Tenant improvement or change of use: A;-handling unit _ weal) - Is existing space heated or conditioned?U Yes U No A orCron itioning(site pan req - ting system Is existing space insulated?U yes O No ,i er ec-pressors- -_--- - State holler permit no.: H7 U/1i Business name: f2l'MAN E l� P�4T10 HP Tons Q�det/n �c'a irdsmoke dam uct amo a etectors _ Address: Z1P: - --- eat puml site p a regcu ) City: Q )� r State. �-� nstallrepisce tu-nac urnu_� i3 ' 09 503(o'/b E-mail. Phone: ` Fax Includi^g ductwork vent liner U Yea O No CCB no.: rj /' - � 3.�- testa rep ac m ovate eaten-sugpen�al. wall,or floor mounted City/metro lic.no.: p ,n R 0 ent for a lance o er t an urnace Name(pie,•ise print): URN_ L u Brat Absorption unit" _- -- f1Tll/ll /�� Lu 1�E M A-0 (Millers -- = HP HP Name: Co iresscirs �. 4 � o ex�auat vete on: Address: Suite: ZIP: Appliance vent _ City: cc ex Rust Phone: Fax: F-rru I' A;'1ype r/iLres. nC a almat hood tire suppression system Exhaust fan with single duct(bath fans) Name: r r .'l Ids»illd C K -- x Rust s seem a an rom teaun or . ' t a on 1 up w ou eta Mailing address: `4�i i state:• r i. �': ?-, - r NO al City: - -rt'x: l,lr; Fax: E-mad: uel i l-"n ea-cTi addiuone over out ets Phone:, / 5 roceas piping lsc emanc reqs d Numtrer of outlets a_ t er-lat app or me: I�corativeftreplace d s: nsert-t (, Slate: ZIP: tov �. E-mail erg on ' Date: App . � t C nt):. O v/ 9 C_ =-R ....................5 Nd VI)bidic w asepi credo • un irk r^^i� Notice:This it application 96• Permit a. U Visa U MuteriCard expires if a permit is not obtained PIBa m weeu...a .. ) S Credo end Wonder. within I go days atter it has been State sut'charge(9%) accepted as complete. TOTAL .......................$ d as shore ve cfiail^rid s I«I'�aAS-0 wbUW r rwwrdrew^°wr 4404617(6CUMM) Arrai tis sa ow hW �Ye i�r.�drpti ry yr -� l'rdholdet dRorrr' i.rw.r„r rte.rid.rr,rw w w ---� 117 50 Iw". O r b dan inr+.v twowwsun nww It 25 Do- *SW W Co"Clr anti«c.rWft8%n^'MrM to CITY OF TIGA'RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP _ Date Requested AM_ PM - BLD Location Suite MEC ��/ 663 23 Contact Person Ph f3 2 3 PLM Contractor _ rPh SWR BUILDING Tenant/ vne " l �� -S� X \ ) Vl/ • _ ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SIGN Crawl Drain Inspection Notes. Slab -- -- SIT Post&Beam Ext Sheath/Shear - Int Sheath/Shear Framing --- --- - -----_- Insulation Drywall Nailing - - - Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling - - -- Rouf Misc: - - Final PASS PART FAIL -- PLUMBING Post&Beam - Under Slab Top Out Water Service - - - Sanitary Sewer Rain Drains Final PASS PART FAIL - -- --- CHANICA Post&Beam Rough In s _ -- Smoke Dampers S PART FAIL ELECTRICAL ----- ---------_---------.T-�----- Service -- --- ---- - ------- -------- ----- ------- - Rough in UG/Slab -_ - ------- - - ---- Low Voltage Fire Alarm --- —- ------ - - Final PASS PART FAIL �_-.—___ ---- --- -SITE _ Backfill/Grading —- - Sanitary Sewer Storm Drain [ j Reinspection fee of$ requimd before next Inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE [ j Unable to Inspect-no access Fire Supply Line --- - -- ADA /f Approach/Sidewalk Date / /Z / Z-- Inspectorx,�A Ext Other L� Final PASS PART FAIL DO NOT REMOVE this inspection record trom the job site. all CITYOF TIGARD __ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MC�2001 oos65 13125 SW Niall Blvd., Tigard, OR 97223 (503) 639-4,171 hi�wwDATE ISSUED: 10/18/01 PARCEL: 23111 AC-02200 SITE. ADDRESS: 14725 SW 92ND AVE SUBDIVISION: PINEBROOK TERRACE ZONING: R-4.5 BLOCK: LOT: 0(=)3 JURISDICTION: TIG CLASS OF WORK: AL-T FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES_ 0 3 HP: DOMES. INCIN: LPG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: OD RS: CLO DRYERYER FURN < 100K BTU: AIR HANDLING UNITS CS: OTHER UNITS: FURN >=100K BTU: ^<= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas insert. :?caner: � — - - ----- --- FEES ------- DEE WOMACK Type By Date Amount Receipt BY DELOIS A V"OMACK PRMT CTR 10/18/01 $72.50 2720010000 14725 SW 92ND AVE 5PCT CTR 10/18/01 $5.80 272001000C TIGARD, OR 97224 Phone:503.639 5448 _ Total,----.----$78.'0 Contractor: LOPEMAN'S FIREPLACE + PATIO 12675 SW BEAVERDAM RD BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS Gas Line Insp Phone:646-6409 Final Inspection Reg #:LIC 51469 Q I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. O Specialty Codes and all other applicable laws. All work will be done in accordance with approved VS 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 Orego� Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue By: hJ �_ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day BUP - Building Permit ELC - Electrical Permit Ins ection Descri tion Date Passed By Ins ection Description Date Passed By Footin /Setback Under round covef Wall cover Foundation walls Ceilin cover Footin drain Waterp_ roof bsmt walls Electrical rough-in Slab Electrical service Crawl drain Electrical final Underfloor insulation H _ Post/beam structural _ Shear walls/anchors ELR - Restricted Ener v Permit ' io_f nailing Ins ection Descri tion Date Passed B— .rewall Law volta e Tilt-u anel Electrical final Masonr /Reinforcement Framin i c MFG-Structure set-u MEQ- Mechanical Permit Insulation N Ins ection Description Date Passed B Drywall nailing post/beam mechanical Sus ended ceilin _ Gas line En ineered soils rou h-in Weldin Lab Final Fire dam er Concrete Lab Final Duct work — Boltin Lab Final Smoke detector Structural observation Mechanical final Fire roofin Lab Final _ --- -- Final inspection PLM - Plumbing Permit ,I Ins ection Description Date Passed B BUP —_Fir`ction S stem Permit Plumbin underslab Ins ection Descri tion Date Passed B Crawl drain — S rinkler underfloor/slab Post/heam pluinhine S rinkler rou h-in Plumbin to -out S rinkler final __ RP/backflow preventer Fire alarm final _ Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Ins ection Description Date Passed By Culvert/catch basin _ Pum /fill se tic tank Footin s Plumbin — Foundation walls g final S rinkler supply lines — Srinklerunderfloor/slab Catch basin/Manhole _ SWR - Sewer Permit Engineered sails Ins ction Descri tion Date Passed B En ineerin acce tance _ Sanitar sewer _ _ -- Final ins ection Final ins tion _ Inspection Record - BUP, pl,,1I, SWR, ELC, ELR, MEC, SIT Permits I:\dsts\fnnrtrUnsrRecurJOUF'.Ja 1141 1 710 1