10410 SW JOHNSON STREET 0
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10410 SW .ICHNSON CT
CITY OF TIGARD BUILDING INSPECTION DIVISION NIST
24-Hour Inspection Line: 639-4175 Businoss Line: 639-4171
BLIP
_Date Requested_9 1 L" AM — PM BLG _
Location / U`� /G w �'� ..� Suite MEC ,zGG d -Gy -3 7�
Contact Person — —_ _ Ph �' Z I PLM
Contractor Ph SWR
BUILDING — Tenant/Owner ELC —
Retaming Wall ELR
Footir Access: �s FPS ---- —
Foundation
Ftg Drain
Crawl Drai-i Inspection Notes: SGN
Slab - ---- --- --- ------ SIT
Post P, Beam -
Ext Sheath/'-'hear
Int Sheath/Shear
Framing ------- ----- -- ----- --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm �1
Susp'd Ceiling -- - - -- — —-----�
Roof
INA 1
PASS --PART FAIL ---------- -- -�— -- -
PLUMBING
Post&Beam
Undrrr Slab
Top Out _ ---- --- -- -— - ---
Water Service
Sanitary Sewer
--- ------ ----- ---
Rain Drains _
Final —
P' � F'AR1 FAIL __ ----- -- -- — --
,ECHANICA
Post & Beam
Sino e Dampers
A PART FAIL
ICAL
Service
sough In
UGrSlab _
Low Voltage
Fire Alarm
Fina
PASSPART FAIL -- ------...---.------._----_........_--- _
SITE
Backfill/Grading ----- ` — --�-- - —
Sanitary Ser,qr
Storm Drain [ ] Reinspection fee e$—_---_required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE:________ I ] Unable to inspect-no accfass
ire Supply Line
ADA '7,
Approach/Sidewalk ti
Date a Inspector - L� _— Ext _.
Other _
Final
PASS PART FAIL 00 NOT REMOVE this LispTcVon record from the job site.
/ CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PE.<MIT#: MEC2000-00362
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/8/00PARCEL: 2S102138-00831
SITE ADDRESS: 10410 SW JOHNSON CT
SUBDIVISION. BROOKSIDE PARK NO. 2 ZONING. R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN:i EVAP COOLERS:
TYPE OF USE: SF UNIT H[t.TERS: 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: COMPIL. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks. Installation of new gas furnace and associated gas piping.
Owner: SEES—_-- _
JONES, IVAN T + RAMONA M Type �By -��Date - Amount Receipt-
6450 SW F IS HER PRMT CTR 9/8/00 $72.50 2720000000
BEAVERTON, OR 97005 5,'CT CTR 9/8/00 $5.80 2720000000
Total $78.30
Phone:
Contractor:
RONALD E. WHITAKER
13400 SW 17TH STREET
BEAVERTON, OR 97008 _ REQUIRED INSPECTIONS
Gas Line Insp
Phone: Heating Unt Insp
Reg#:LIC 131187 Final Inspection
This permit is issued subject to the reg,alations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable aws. All work will be done in accordance with approved
plans. This permit will expire if work is nut started within 130 days of issuancr, or if work is suspended
for more than 180 days. ATTENI ION: Oregon law requires you to follow rues adopted in the Oregon
Utility ldotlflcation Center. These rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of the§e rules or direct questions to OUNC by calling (503)24`6-9189c.,c
i r' Permittee Si rdture: iCtl <
Issue by: T— IL_L� ..�L��I zf4l�. g �;L'
Call (503) 689.4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Applicatic a PlaniCheck#
'3125 SW HALL BLVD. Commercial ;and Residential Date Recd
TIG ARD, OR 97223 Date to P.E - -
(503) 639-4171, x304 Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit,11 !:!z% - a
r•alled
rr^e of Development/Project Description
�i Table 1A Mechanical C_ude _ City Price Total
Joh Street Address suite 0 1) Furnace to 100,000 BTU
Address (Y�L' �r 61/ 1061414including ducts ti vents _ _ 14.UC (y/o
2) Furnace 100,000 BTU+
idea City/Stats Zip including ducts&vents 17,4p
or
I L 3) FloFurnace — ---
Narne(or name of business) including vent _ 14.00
Owner !?1,,, joIV 4; Suspended heater.wall heater
Mailing Address - or floor mounted heater _ _- 14.00
5) Vent not included_in appliance perm3 6.80
Cly/state Zip Phone I
1� (, 6) Repair units _ _ 12 15
- ------ �(. /1 4�5' �3 '6 Check All that apply 'Boiler Heat Air
Name(or name of business) For items 7-10,see or Pump Cund Qty Price Total
_ t rotnotes 1,2 Comp ••
Occupant Mailing Address 7)<3HP,absorb unit to - J -�-
100_K BTU 1400
City/State Zip Phuna 8)3-15 HP;ab,,orb unit _ -
100k to 500k BTU 25.60
9) 15-30 HP,absorb -�
Contractor N" unit.5-1 mit BTU _ _ 3500
`LIN-_Q L�/� (•'`� ,f; 10)30•'Ijl1 HP;absorb
Prior to Permit Mailing Address unit 1-1.75 mil BTU 1;2.20
issuance,a 13 y 7 v S L_ rT <77. 11)>53HR absorb unit>1.75 mil BTG____ - -
CLY 8_7.20
of all If,.enses C State Zip Phone 12)Air handling unit to 10,000 CrM
are.requ`rer1 '-��i'f u .fr.1 A� � 7, ��..�f �< i _ 10.00
expired ir,COT Oregon Cost.Cont.Board LlcA Exp.Date 13)Air handling unit 10,000 CFM+ -database -<I( '117(-' aGb( 17.2n
Architect Name - 14)Non-portable evaporate cooler -
1000
Mailing Addresv -- 15,Vent fan connected to -single ngle duct
or 680
15)Ventilation system not included in
Engineer Cly/State zip r hone a
g pp'ante permit _ 10.00_ _
17)Hoou served by mechanical exhaust
Describe work to he done: 10.00
181 Domestic incinerators
NOW4*- Repair O Roplace with like kind. Yes O No O _ _ 17.40 _
Re,,.Iential Commercial O Modification O 19)Commercial or industrial type incinerator
Additional Information or description of work: _ 69.95
20)O,her units,including woaci stoves
10.00 _
NOTE: For Commercial projects only;Units over 400 lbs.,located on the 21)Gas piping one to four outlets
_roof,require structural talcs.prepared b I� icen,5ed engineer. _ __ _ _5_.40 _
Type of fuel. oil O natural gas 0 LFG O electric O -� 22)More than 4-per outlet(each)
11 1.00
-- -- Minimum Permit Feq. 0 �SU SUBTOTb'_
I hereby acknowle lge that I have read this application,that the -
infnm ation giver is correct,that I am the owner or authorized agent r f _ _ 8%SURCHARGE_
g
th-owner,that plans submitted are in compliance with Oregon State PLAN REVIEW\ 25%OF SUBTOTAL
lalilts Required for ALL commercial permits only
Signature ofOwner/Agent Date _ — TOTAL ? I&'3
Other Inspections and Fees:
—�— b 1 Inspections outside of normal business hours(minimum charge-two hours)
Co-itact Person Name Phone $72 50 per hour
2 Inspections for which no fee I.specifically indicated (minimum charge-half hour)
_ _fo $72 50 per hour
Footnotes r commercial projects only: . Additional plan review required by changes,add'lions or revisions to plans(minimum
1. Provide full schematic of existing and proposed gas line and pressure. charge-one-half hour)$72 50 per hou
2. Provide drawings to scale showing c<isting and proposed mechanical '.!tate Contractor Seiler Certification required
_
"Residential A/C requires s&—plan showing placement of unit
units.
I Wstslformstmechperm_rev.doc 8/29/00