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9839 SW KIMBERLY DRIVE Im L4 ka 9 to x 1 Q m H N 4 � O III H N• C m I 1 �1 t; �?IItTQ 1CW2914IN MS 6E86 CITY OF TIGARD BUILDING INSPEC110N DIVISION MST 24--Hour Inspection Line: 639-4175 Business Line: 639-4171 Bl.'P /� �ff, Date Reg�aested l 1'1 i_l AM PM BLU Location_ � t,f � Suite MEC �� �� -- %� -- --- Contact Person 1�� % �1�10 1; Ph _� PLM _—_— Contractor Ph c� SWR _ ` BUILDING Tenant/Owner ELC _ I Retaining bVall ELR Footing r Access: Founuation 1 FPS Fig Drai-i ��D �Ke ,*W ,�/i'Z. - - - Crawl Drain Inspection Nates: y SGN Slab _ QC�GC11 �� _ SIT Post& Bean -- L., Shea!h/Shear Int She,'h/Shear , Fra,ning k,_;t:.// �v h� 13. j Insulation Drywall Nailing ��=` ✓ • Firewall Fire Sprinkler _— Fire Alarm Susp'd Ceiling ------ ---- - ---- — - Roof Misc. - -- — -- --- -- -- _ _---__—.� Final Pi,-,S PART FAIL. ----- - - ----- ------- -- - — -�—--_ PLUMBING Post& . e�rm -- -- Under Slab Top Out i -- ----- - ---- -- ------- --— ___ 'Nater Service Sanitary Sewer [`.in Drains Final — - -- - -- - -- PAS FAIL "WECHANICAL Post & Beam -- --- -—---- - - - ------- W __._ _ - —_ — Ro92 i In 3s Line= --- S oke dampers AS , PART FAIL Sewice - Rough In UG/Slab - _ -- -- -------_-. ._—_-__ --- I-ow Voltage Fire Alarm -�— Final PASS PART_ FAIL SITE Rackfill/Grnding — -------- ------ - -_ _--— _ -- Sanitary Sewer Storm Drain ( ]Reinspection fde of$^! required before next inspection. Pay at City Hall, 1312 SW Hall Blvd k,at(A Basin Fire Supply Line ( [Please call ror reinspection RE'— _ [ )Unable to inspect no access ADA Approach/Sidewalk otherDate i Inspector __ - --Ext _ Final PASS _PART___, All 00 NOT REMOVE this Inspection record from the job site. CITY O F T I G A R D MECHANICAL DEVELOPMENT ERVICES PERMIT 13125 S W Hall Blvd.. Tigard ";97223(503)6394171 r::IERMIT #. . . . . . . . MEC98-051 I DATE ISSUED: 11 /12/98 PARCEL: 2S111CD-06300 SITE ADDRESS. . . : 09839 SW KIMBERLY DR SUBDIVISION. . . . : KERWOOD ESTATES ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :024 JURISDICTION: TIG --------------------- ---------------------------------- ------------------------------------ CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APDL.: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------- ------ 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GA5 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS ). . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSU'RE. . . : 50+ HP. . . . : 0 CLO DRYERS. . - 0 NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS, : 1 FURN ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : I FURN )=100K BTU: 0 > 10000 cfm! 0 Remarks -, Installation of gas fireplace insert. Owner-- ---------------------------------- ------------ ------- FEES ---------------- WAYNE ISRAEL type amai.tnt by date rer-pt 9839 SW KIMBERLY DR PRMT $ 25- 00 DLH 11/12/98 98-310729 TIGARD OR 97224 5PCT $ 1. 25 DLH 11/12/98 98-310729 Phone #: 620-3209 Contractor: -------------------------------- L.UDEMANIS FfREPLACE & PATIO 12675 SW BEAVLRDAM RD ------------------------------ $ 26. 25 TOTAL. BEAVERTON OR 97003-2129 Phone #: 646-6409 51.469 REPUIRED INSPECTIONS Thi: permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in ar.ordance with approved plans. This pereit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to Fqllow rules adopted by the Oregon Utility N- -ication Center. Those rules are set forth in OAR 952-01-0010 through OAR 952-00l-0080. You may obtain copies of there rules or direct questions to OIK by calling (503)246-9187. Permittee Signati.tre +*...........................................4........4 4-++++++++ ........4........4 Call 639--4175 by 7:00 p. m. for inspections needed the next bi.isiness day ++++++++++++++.++-'r.................4.........4........4.......................... CITY OF TIGARD Mechanical Permit Application Plan Cleck# Recd ISy 13125 SW HALL BI `,1D. Commercial and Residential Date Recd 11Via, 9 TIGARD, OR 977;43 Date to P.E. (503) 639-4171., x304 - Date to DST Print or Type i /6 Permit# Incomplete or illegible applications will not be accepted called NPwe of Developmont/Proiect Description Table 1A Mechanical Code Qt Price Amt Job Street Address utleA — A) Permit Fee __ 10.00 Address `L519 c6L,-�, K)M &P 1) Furnacs to 100,000 BTU locluding ducts&vents 6.00 ©ldg# citylstate zip 2) Furnace 100,000 B rU+ caL_ i7'Z'(.4. including ducts&vents 7.50 /Name (or name of business) 3) Floor Furnace Owner � \\; including vent Melling Address 4) Suspended heater,wall heater I or floor mounted heater 6 00 _ 9 CA Sµ! l_y 5) Vent not included in appliance permit City/stale Zip Phone 3.00 "T14.4-IN-It p C.:>Z c- f24-2.0.S 71:19CHECK ALL 'Boiler Heat Air _ Name(or name of business) --- —� THAT APPLY: or Pump Cond Qty Price Amt C—r _ Com 6)<3HP;absorb unit to `— Occupant Melling Address J 100K BTU 6.00_ 7)3-15 HP;absorb unit CHy/Slate 7.ip Fhone 100k to 500k BTU 11.00 8) 15.30 1IP;absorb - Contractor Namf / unit.5-1 mil B1 U _ 15.00 ri/li l N�ri�'7 9)34-50 HP,absorb i _ unit 1-1.75 mil BTU 22.50 Prior to permit M* Addro, `n/ 7 10)>SOHP;absorb unit issuance,a copy �%�� 7`Z �l!�i ��H >1.75 mil BTU 37.50 of all licenses c�yistet Z Phone(0 11)Air handling unit to 10,000 CFM are required if /'� (iC`�7 6'Ob _ 4,50 expired in COT oreg.m(;yn3ll/ppnt, oard Lic# Exp.Date 12)Air handling unit 10,000 CFM+ database _ !J 7.50 Architect Name 13)Non-portable evaporate cooler or Melling Address — — — 14)Vent fan connected to a single duct 3.00 _ 15)Ventilation system not inch,:ad in Engineer cxy/state 7ip Phone 9 applianceLEennit__ _ —_ 4.50 _ r16)Hood served by mect,anical exhaust Decribe work to be done. _ 4.50 _ 17)Domestic incinerators New O Re ai O Replace with like kind: Yes O No O _ 7.50 Residential Commercial O 18/lommercial or industrial type incinerator 30.00 Additional information or description of work: J — 19)Repair units — 450 20)m^rood stove p 4.50 / � 21)Uothes dryer,etc. 4.50 Type of fuel: ell O natural gas LPG;O electric O 22)Other units _ _ _ __ 4.50 I hereby acknowledge that I have read this application,that the Information 23)Gas piping one to four autlefs r� given is correct,that I am the owner or authorized agent of _ 2.0_0 G"-4t� the owner,that plans submitted are in compliance%4,h Oregon State laws 24)More than 4-per outlet(each) .50 Sign, Lure of OwnerfAgent Date Minimum Permit Fee$25.00 SUBTOTAL 5%SURCHARGE 7 Contact Person Name —� Phone PLAN RFVIFW 25%OF SUBTOTAI. `7 Required for ALL commercial permits only r(s' _ — TOTAL •State contractor Boiler Certification required -- "Residential A/C requires site plan showing placement of unit I.lmechpefm.doc rev 07/20/98