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12180
12180 SW LANSDOWNE LN
CITY ;1'r TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 BLRsir-ss Line: 639-4171
BUP _
_D^;a��Requested � �a AM_ PM BLD
I-.ocation _—.E- j �,� �� �fii.l�� CIL'.Lt.y -Soe
Contact Person (�, jtj��d Ph PLM
Contractor SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELI
Footing Access:
Foundation FPS
Fig Drain ---
Crawl Drain Inspection Notes: , n, _ SGN -
Slab — V 4 C� �1 U�'"C tom.(fit a' �"
Post&'3eam - -- SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing ------ �__---
Drywall Nailing ------ _ ------- _—�._ —_ -- ---
Firewall
Fire Sprinkler
Fire Alarm ----_ - ------- ------ ---------- -
Susp'd Ceiling
Roof -- ---- -----___—_
Misc:— --- _
Final
PASS PA"l FAIL _.. ----- - ---- --- - --- —. . - -------- - ------ - -
PLUMBING
Post&Beam -
Under Slab
Top Out -- -
Water Service
Sanitary Sewer -- -- - -
Rain Drains
Final - - ---- -
PASS PART FAIL
Post& 9eam
Rough In - - -
Gas Line - ----- - -
Smoke Dampers /
in -- - ---
'irr
A� , PART FAIL l —
IELECTh!CAL - `�—
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
PASS PART FAIL
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ _required before next Inspection. Pa;,at City Hell 13125 SW Hall Blvd
Catch Basin
Fire Supr�ly Ling: I 1 Please call for reinspection RE: [ j Unable to inspect no accP^.s
ADA
Approac_i/Sidewalk
Other Date "Z i —��C Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE tiviq inspection record from the jot) site.
J
G T i OFTIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES ���� PERMIT#: MEC1999 00572
1312.5 SW Hall dlvd., Tigard, OR 97223 (503) 639-4/71. ATE ISSUED: 12/28/99
4/4j
PARCEL: 2S103BC-06600
SITE ADDRESS: 12180 SW LANSDOWNE LN
SUBDIVISION: FYRESTONE ZONING: R 4.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O HPFL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
WOD 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: VEPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP' WOODSTOVES: 1
GAS PRESSURE: FO + HP: CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS_ OTHER UNITS:
FURN :-100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of wood stove insert.
Owner: _ _ _ _ FEES= —_-- —
KIDD, JOHN D +ANTONETTE N r,ne By Date Amount Receipt
12180 SW tANSDOWNE LN PRrv1T DEB 12/28/99 $50.00 99-320722
TIGARD, OR 97223 5PCT DEB 12/28/99 $4.00 99-320722
Total $54.00 J
Phone: — -- -" �-
Contractor:__
DENNIS STOREY CONSTRUCTION
.31432 NE CLARA SMITH RD
CORBETT, OR 97019 REQUIRED INSPECTIONS__ __.
Woodstove Insp
Phone:503-695-5506 Final Inspection
Rc,1#:LIC 67267
This permit is issued -�lbject to the regulations contained in :he Tigard Municipal Code, Stat(;of Ore. Specialty Codes
and all other applicable laws ^,!I work will be done in accordance v th approved plans. This permit will expire if wort( is
not started within 180 days of issuance, or if work is suspended for mo-e than 180 days. AT1"EN1 ION: Oregon law
requires you-to follow rules adopted in the Oregon Utility Notification Cenier. Those rules are set forth in OAR
952 001-0010 through OAF; 95"-001-0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-9189. ;
Issue By: j � Permittee Signature:Call (503)(503) 639-4175 by 7:00 P.M. for in-pections needed the next business day
City of Tigard REcMkCHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # re/
Tigard, OR 97223 DEC 199 �-
(503) 639-4171 COMMUNITY UEVELUPMENI
—�^�° ••°•mDescription
1 ., f Table 3A Mechanical Code CITY PRICE AMT
,lob I )• j }4 1) Permit Fee -0- -0- 10.0(1
Address r:,•. o _
,' 2) Supplemental Permit 3.00
Furnace to 100.000 BTLJ
1) incl. ducts &vents 6.00
••• urnacb +
Owner '� '� yb1, _ 2) incl. dues &vents 7.50
A ooT k;nance -
3) ncl. ve" 6,00
-- m, ^•^�° e^••• _ Suspended seater, wall neater
41 or floor mounted heater 600
• a •� ^• Vent not incl. in
FOCC upan'k 5) appliance permit 300
r"^• ° alt O 1Fee ,re Ig —
6) cooling, absorption unit 600
--- of er or comp,Tieat pump, air con .
Dennis C. Storey Cu.. i conn 7) to 3 HP; absorp unit to 100K BTU 6.00
37432 NE.. Clara Smith Rd
Corbett,t,R 97019 Boiler 0r comp, ea pump, air con
Contractor _� 8) 3-15 HP; absoip unit to 500K BTU 11 00
o -Boiler or comp, heat pump, air cond.
C 3 g) 15-30 HP; absorp unit 5-1 mil BTU 15.00
•• o^°•^^ L� itti Boiler or comp, neat pump air cond.
_' 10) 30-50 HP; absorp unit 1-1 5 mil BTU 22.50
ere y ac Howe ge t at I have read tis app; ation, that the' ----9-37jer or Como, heat pump, air con .
information given is correct, that I am the owner or authorized 11) > 50 HP absoip unit 1 75 mil BTU 37 50
agent of the owner, that plans submitted ars in compliance with Air handling-7-7 to
State laws. that I am registered with the C instruction Contractors 12) 10,000 CFM 4.50
Board, that the number given is correct. (f exempt from State i rTn i31 ng.snit+
registration, please give reason below) 13) 10,000 CTM + 7 50
Non portable
14) evauurate cooler 4110
Vent tan connecte
15) to a single duct 100
Ventilation system not
" 'i f•�'L --C__�j 16) included in appliance permit a 50
89'.me —M-4-1 Hood served by
(JC)C L1 /5(&iz� 17) mechanical exhaust 4 50
Describe work ne addition a!eration repair -C- --C--onirriercial or inclustria
to be done residential 0 non-residential ) -_� 8) tvoe ;nc,ael3le+<---� 3000
xisunq use o iffier ir,o0 stove atet
oudding or property 19) he iter s s dryers, etc 4 50
Proposed use of 2U) Gas piping one to four outlets 2.00 -�
budding or property
21) More than 4-per outlet leachi _ 2 00
Type of fuel -oil O natural gas U LPG Q electric Q
NOTICE
T Minimum Fee 525 00 SUBTOTAL -
PERMITS BECOME VOID IF'P/ORK OR CCNSTRUC,rIONAll HORIZED Ir NOT COMMENCED WITHIN 180 DAYS, OR _ 5^,0 5URCHARGE >l
IF CONSTRUCTION OR WORK IS SUSPENDED CR —�
ABANDONED FOR.A PERIOD CF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. — -'- --
TOTAL �r
Special Conditions
Date :;sued — _--by ----- -----
H L001NC3TTMECMPMT