12840 SW CHICKORY COURT I I
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12840 SW CH.I.CKORY COURT
CITY OF TIGARJ BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6'9-4176 Business Line: 639-4171 MST
3-12 CSG BUP
Date RegUested %��� ���� AM--X— PM BLD
L ocation Suite KMEql
Contact Person 11 Ph �� sJ' p / PLM _
Contractor _ _ Ph X 3 SWR
BUILDING Tenant/Owner ELC
Retaining Wall SLR —
Footing Access: �
Fo-rndation r FPS
Ftg Drain 1 ' —
Crawl Drain Inspection Notes: SGN
Slab - SIT
Post& Beam
C-yt Sheath/Shear
Irt Sheath/Shear —Framing -
Insulation — - --"
Drywall Nailing
Firewall -- - - — - -
Fire Sprinkler -
rire Alarm
Susp'd Ceiling
Roof
Mise
Final
PASS PART FAIL --
PLUMPING
Post& Beam
Und3r Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post& Bearn �P
Rough In
Cas I ine -- ----.._ —_
Smol•e Dampers
PART FAIL
ELECTRICAL -- -- — -- ------- --------- -�---Service
Rough
Rough In -- — ------ —_ — --
UG/Slab
Low Voltage ( ��
I Fire Alarm
Final -
PASS TART FAIL
SITE
Backfill/Grading - — —
Sanitary Sewer
Stora Drain [ ) Re(;+sp�!ction fee of$ required before next inspection. Pav at City Hall, 13125 SW Hall Blvd
Cath Basin .,�e��_
Fire Supply Line ^I ( 1 �:!f„ .nr reinspection RE. _ _ ( Unable to inspect-nr,access
ADA 31
Approach/Sidewalk -
Other _ Date Inspector Ext .
Final
PAS3 PART FAIL DO NOT REMOVE this inspection record from the job site.
nCITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00518
131:5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/29/1999
PARCEL: 1 S 133AD-08000
SITE AJDRESS: 12840 SW CHICORY CT
SUBDIVISION: AMART SUMMERLAKE ZONING: R-7
BLOCK: LOT: 124 JURISDICTION: IG
CLASS OF WORK- ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP. 133 VENT'S W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
V _ 3 - 15 HP: COMMI_. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 Hr: WOODSTOVES:
GAS PRESSURE: 50 + IP: CLO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITSOTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: W GAS OUTLETS:
> 10000 cfm:
Remarks: Installation a new gas furnace.
Owner: __— _ FEES ^_
WAGONER, PAMELA A Type By Date Amount Receipt
12.840 SW CHICORY CT PRMT GEO 11/29/19 $50 00 99-320048
TIGARD, OR 97223 5PCT GEO 11/^9/19E $4.00 99-320048
Phone:
Total $54.00
—.—
Contractor:
SUNSET F'!-L 00
PO BOX 42287
2944 S= POWELL BLVD REQUIRED INSPECTIONS _
PORTLAND, OR 97242 Heating Unt Insp
Phone:503-234-0611 Final Inspection
Reg #:LIC 00002374
ELE 26-113C
ORIGINAL
This permit is issuer: subject to the regulations contained in the Tigard f0inicipal Code, State of Ore. Specialty Codes
and all other applicable laws. All wo;k 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 r'.p. ATTENTION: Oregon law
requires you to follow rules adopted in thegoi, Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. *�'ou may obtain copies of these rules or direct questions to OUNC by
calling (503)246-9189. —�
issue By: << Permittee Signature:
< Call (503)'63"•4'175 by 7:00 P.M for inspections needed the next business day
E
-(1c1
CITY OF TIGARD RECEIVED Mechanical Permit Application Plan Check
Recd By-_,_
13125 SW HALLy ti�s4 Commercial and Residential Date Rec'd
TIGARD, OR 972 Date to P.E,
(503) 639-417&0""DEVELOPME I Date to DST
Print or Type Permit# Nj el"f-03571Y
Incomplete or illegible applications well) not be accepted Called
iitems or Dauelufhtlw�UPtujed DBBCfIptiOn
Table 1A Mechanical Code Qty Price S _Amt
Job arA term„F::
s � Suaex/1 -1 - 18.00
jAddress L ( ' / 1) Furnace to 100,000 BTU ? `
I
including dicta 3 vents sse footnote 1 2 9.65 1 eerie cnvrstmo 2) Furnace 100,000 BTU+
1 ' includir,9 ducts b vents tee fc-otnote 1,2 12.00
for name or bu0ne*+.) 3) noir Furnace
OWI18r Includingvent _- see footnote 1,2 9.65
InAAddress 4) Suspended heater,wall heater
Ir (� f /l t or floor mounted heater see footnote 1,2 9.65
cnylster. �� 5 Venl not Included in a lance rmk _ 4.75
1 Z1p ora Check all that apply: *Bonar Heat Air
any-11�� For Items 0.10,sea Of Pump Cund Qty Price Amt
N or narri of busumss) footnotes 1,2 Com
c. 6)<314P;absorb unk to
Occupant Manlnp Add.. -- - 1DOK BTU 7)3-15 HP;Rbsorb unit 9.65
unit
_ 100k to 5.00k BTU 17.65 _
GtylSrele tip Phone �^ e) 30 15- HP;absorb _ —
unit 5 i and BTU 24.15
Contra;tor Meme 9)30.50 HP,absorb
unit 1.1.75 mil BTtf 36.00
� 10)550HP;absorb unit
Prior to permk fe >1.75 mil BTU _ 60.15
issuance, .copy I I I 11 Alf handling unit to 10. Jlu CFM
of all licenses yr r P- r
7.01
are required'rf
• - �� -T2—)Al r handling unit 10,000 CFM+ t
e.+cpired in COT Or.. C t d Lfc w Erp o __ _ 11 75
database . 13)Non-portable evaporate eoolor
Architect Name _ 7.00
_` 14)Venl fan cnnnected to a singlo dud
or Meurro�dareea _ _ 4 75
15)Ventilation system not Included in
cnyistNeappliance permit 7,00
Engineer � � ��Ph18!Hoed served by mechanicalezheuel
7.00
Describe work to be done: 17)Domestic incinerators
12:00
i
New'JK Repair O Replace with like kind Yea O N)O 18)Commercial or industrial type incinerator
Residential* Crmmerdal0 48.255
19)Repa'r units
Af dd:fional Infurmaliun or description of work: 8.40
20)LVooa s,uvs/gas Mother unks%clothe dryertetc
_ 7.00
NOTE: For Comms rr-t pro"only;Units over 400 lbs require 21)Gas pipino one to rnui outlets
struclurai gas colts. See footnote 1 _ _ 375
Type of fuel. ail O natural 9&44 LPG O electric 0 27)More than 4-per outlet(eac _ .75~
h _ Minimum Permit Fee$60.00 SUBTOTAL
I hereby acknowledge that I have read this application,that the information _ _ b%SURCHARUE )
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
w:
the owner,that plans Submitted are in Compliance with Oregon State laws =Re;aired for ALL commercial permits only
Signature of OwnerlApartt -----D _-- TOTAL
ate
Other Inspections and Fees:
1. inspections o4sids of normal business hours(rnininum charge-two
Cc;rt.�c4e.^creel NamPhone hours) $5000,per hour
2. Inspoctlor; for which no%a is spectffcally Indivted (minimum
charge-half hour) $60,00 per hour
i Foonotes for cammerclal projects only: 3 Additional plan review required L. 'ranges,additions or revisions to
1 rmvide full schtmatic of existing and proprsed gP..ane and pressure. pians(minimum charge-one-half hok,r)(60.00 per hour
2 Provide drrwrngs to scale shrnving erristing a.lid droposed mechanical
unk9 „„ __ 'State Contractor Boiler Certification required
"Reaidcnhal A,'C require;site pian showing placement of unit
:rechper �1oc rev n2/4roa
09131 RBS CUS XkA tl :71 0`1N 66 70 91