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Permit L + t1 J f {' CITY OF TIGARD MECHANICAL PERMIT dbst + I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00014 ~ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1111/2005 PARCEL: 2S 114BB -11500 SITE ADDRESS: 10407 SW KERI CT • SUBDIVISION: SWANSONS GLEN ZONING: R -12 BLOCK: LOT: 056 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 /COMPRESSORS HOODS: 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: 1 GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install woodstove insert. Owner: FEES WARNER, JAMES Description Date Amount 10407 SW KERI CT [MECH] Permit Fee 1/11/200f. $72.50 TIGARD, OR 97224 [TAX] 8% State Surchar€ 1/11/200f. $5.80 Phone: 503 639 - 2309 Total $78.30 Contractor: LUDEMAN'S FIREPLACE & PATIO 12675 SW BEAVERDAM RD BEAVERTON, OR 97005 -2129 REQUIRED INSPECTIONS Phone: 503 Woodstove Insp 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, 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 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. — -- Issued By: � � . i 1 Permittee Signature: S 45,n. Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next \usiness day JAN .10.217[75 6 89PM v . N° i li V / NO. 111 P.2/4 _Vlcciaaleal Rtaumit An> ty tea 1 2005 ttilf:C)Il t !,i [1111 City f Turd °x'''13 i25 S Hit Blvd., Tu Olt 97 D: '`/ ' C Permit No,: 165 G..zet��fadoi V Phone: 03.639,4171 Fax: 503.598.]960~ t OF TI�7 ` .,, i Plan Review lnspecti nLine: 503.639.4175 BUILDING "" �oVi`i iI , Date/By: Permit; wssa.v.ci.ti ��1��•! D -1 !`i. ;, Date Rendy/By P1 sec ride Z for $urd.or,us Notified/Merlin filla Supplemental hdarmanns Fi Cr WOPK ,. - ' O Cir11s, l ❑ Ne construction v Addition/alteration/replacement Meclrarrir�l permit • $ � = � p fees are based on the value of the work 0 D olition (] p er; pa rroed. Indicate the value (rounded to the neatest dollar) of all Mechanical materials, eqmeat, labs ovethcad, and profit CALORY Or �� _ � CONLS�RUG'! l<OiY Value: S ti ° d 2- family dwelling [Q Comnercial/industxial 0 Accessory building — / � L � � © Mil - family ❑ Muster builder 0 Other: For specter' i1(fonnadon use checklist, s» Description Qty. En_ Total iNFORlv[AII AND LOCA�]N Iicatin :/eoolln: Sob site : •dress: f0 y4 7 ..5.4_,) 11 Air conditioning or heat pump City/S -fir i ' e T (rewires site plan showing placement) 14,00 /c00 o� g 7acil furnace 100 000 BTU ducts/vests 14.00 Suite/hi • /apt. no.: l Project natn / C h ben heat 100,000+ BTU (dncts/veata) 17 -90 ll � Cxag pump 14.00 Crass sir9et/directions to job site: _ Duct work 14,00 Hydronin hot water systertl 14.00 Residential boiler (radiator or iydronic) 14.00 Unit hcatera (fuel -type, not elcciric), if -walk in -duct, suap dedd, etc. 10.00 SubdivIsi Lot no.: Flue/vent for any of above 10,00 , Other: 10.00 Tax [map/ areal no.: _ Other fuel appliances DESCIOPTION•OF %VORi Water beater 10.00 i.S' /J �va Qas fireplace 10.00 • flee vent for water heater or gas fireplace 10.00 Log lighter (Fos) 10.00 Wood/pollet stove 10 Wood fireplace/insert / 10.00 /0.40 _ PROPER dw11114k 0. T NAN t Chimncy/liner/llttc/vent 10,00 M, 00 Name: �/� � �.� �� Other: 10.00 e?o.2.4 E /� Environmenittl exhaust and ventilation Address /a r�/O dS� leer • Rang* hood/other kitchen :IP: ei 10.00 City /State/ �/0.epre.i2 Cie 9 7,AP Clothes dryer exhaust 10,00 _ Phone: • (p F- a Q / Fax: ( ) Single -duct exhaust (bathrooms, _ toilet compartments, utility rooms) 6110 Y. APPLXC Q (7U1�ii'AmtasoN Attie%mwlspacefans 10.00 Business n; ne: � GcgC Al A Other: 10.00 Fuel i io Contact n. , : ate/ �� -- C ek $5.49 for first four SIMI for each ndditionn Address; -- — to et?Vel i' fe� _T�itnacc etc. City /St's. , e C� Gas heat puma eel tier. �� r 7 aQ . Wall /suspended/mit heater Phone: (5., ) Co S/(v- do s/ �a : ( - 5 � ) G S/tr - O Free Av....3 tinter heater 13 mail: :- Fireklace Range . CTOR 4 _ Barbecue Business - - A A4 42 — Clodtcs dr gas) _ Other Address: City/Stale/2 t : — At0l- " G, P 1 1*ES' Sirbtptal. pd Phone: ( ) I Fax: ( ) Minimum permit fee ($72.50) 7,2 ,...61.1 , CCB lie.: '� �� �' 61=L3 - — Pint[ review (25% of permit fee) State surcharge (8% of permit Ike) .5794 TOTAL P M[T I E 7� 3 4 Authorized signature: This permit es application expir Ira permit is net obtained Within 18 E1 days niter it has hcen accepted as complete. Print name) �, )_ C " C. O / ++ • F eeme hedoto se Tii-C 9207 ; ■ — — /� /C... / �/� f • !0' M ] Pudding Industry So;vice Board CITY OF TIGARD 24 -Hour BUILDING '-s..;_,., Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST p / BUP Received Date Requested i J AM PM BUP Location / 0 Ljb 7 ` ► . -� ��v Suite MEC ,WD °5— Contact Person Ph ( ) - PLM Contractor I L' / `l` �'�Ph ( ' -) _ SWR BUILDING Tenant/0 ne O ELC Footing [' � J 7 9 ELC EEC = ELR Slab Inspe : •. Notes: a SIT Post & Beam Anchrs Ext Sr Sh ea t h /SSh ear /IR ` O CD Ext eah/h Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL `PLUMBING Post & Beam Under Slab Rough -In - Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL Post & Beam s l _ ,4l Gas Linn (Jd'U``L�� .. Gas Line Sm• a Dampers i • PART FAIL CTRICALF:' '_ Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date f (, Inspector it Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL