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Permit CITY TIGARD MECHANICAL PERMIT Til DEVELOPMENT SERVICES DATE PERMIT ME 9999 -00312 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112CB -07400 SITE ADDRESS: 15323 SW 81ST AVE SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7 BLOCK: LOT: 088 JURISDICTION: TIG CLASS OF WORK: ALT 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: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of exterior A/C unit. Unit cannot be placed within the required setbacks. Owner: FEES JANEE WALKER Type By Date Amount Receipt 15323 SW 81ST AVE PRMT DLH 7/23/99 $50.00 99- 317120 TIGARD, OR 97223 •5PCT DLH 7/23/99 $3.50 99- 317120 Phone: 639 -7180 Total $53.50 Contractor: SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 620 -5643 Final Inspection Reg #: SUP 2570RET LIC 006657 ELE 34-341CR ORIGINAL 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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: Permittee Signature: `( 1l.l.ln e.c.oJ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Plan Check # CITY OF TIGARD Mechanical Permit ApplicatioCEiVED Recd By 13125`SW HALL BLVD. Commercial and Residential Date Recd A /q TIGARD, OR 97223 JUL 2 2 1999 Date to P.E. ''. (503) 639 -4171, x304 Date to DST Print or Type COMMUNITY DEVELOPMENT Permit# "I‘'e 999 J,Z • Called - 7 -(h. z ?? Incomplete or illegible applications will not be accepted i i % Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee _ •• 16.00 Address 1 , j 3 d2 3 5) 8131A/ 1) Furnace to 100,000 BTU Bldg# City/State Zip including ducts & vents see footnote 1,2 9.65 a 2) Furnace 100,000 BTU+ f 1 a-z ©e ? 722,3 including ducts & vents see footnote 1,2 12.00 Na (or name of busines) t 3) Floor Furnace Owner /V tJ ] GZ�/ l� including vent see footnote 1,2 9.65 ailing Address 4) Suspended heater, wall heater 5 7 - / or floor mounted heater see footnote 1,2 9.65 I S 3 a-3 SW gl d 5) Vent not included in appliance permit 4.75 City/state zip Phone Check all that apply: *Boiler Heat Air riq ar 9 63 7/ 7) For items 6 -10, see ' or Pump Cond Qty Price Amt Nah (or ame of business) footnotes 1,2 Comp *" � 6) <3HP;absorb unit to ! 100K BTU 1 9.65 Occupant Mailing Address 7) 3-15 HP;absorb unit 100k to 500k BTU 17.65 City /State Zip ' Phone 8) 15 -30 HP; absorb unit .5 -1 mil BTU 24.15 9) 30 -50 HP; absorb Contractor Name /� unit 1 -1.75 mil BTU 36.00 JO-QC-4 Q.4 .e ii 10) >50HP; absorb unit Prior to permit Mailing Address / >1.75 mil BTU 60.15 issuance, a copy 9,S ? r' Ga./ ` t I ,G�t q' 11 Air handling unit to 10,000 CFM of all licenses �c /State Zip Phone 7.00 are required if ,/ / 6/1,Ct i (3 / c1 eZ 2-3 n-3/ ]lI'O 12) Air handling unit 10,000 CFM+ expired in COT or on Const. Cont Board Lic.# , E , c pJ Dat y 11.75 • database Gs? t �( /!!6 / 13) Non - portable evaporate cooler Architect Name 7.00 14) Vent fan connected to a single duct or Mailing Address 4.75 15) Ventilation system not included in appliance permit 7.00 Engineer City /State Zip Phone 16) Hood served by mechanical exhaust 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New a Repair 0 Replace with like kind: Yes O No i 18) Commercial or industrial type incinerator Residential Commercial 0 48.25 19) Repair units Additional information or descriptio f work: 8.40 description 20) Wood stove /gas FP /other units /clothe dryer /etc. 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas calcs. See footnote 1 3.75 Type of fuel: oil 0 natural gas 0 LPG 0 electric 22) More than 4 -per outlet (each) .75 . Minimum Permit Fee $50.00 SUBTOTAL i " ; °, . , et I hereby acknowledge that I have read this application, that the information 7% SURCHARGE '' 3. Sp given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL , 4 the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only .! TOTAL ":4 Signature of Owner /Agent �j Date p ..1 SO Co" I Ar, „le /'l/i2f�l 7 /a0", s Other Inspections and Fees: 1. Inspections outside of normal business hours (mininum charge -two n . ' Person Name _ Phone hours) $50.00 per hour . a.tejzzi �� 2. Inspections for which no fee is specifically indicated (minimum jlikc charge -half hour) $50.00 per hour Fo. for commercial projects only: 3. Additional plan review required by changes, additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. *State Contractor Boiler Certification required **Residential NC requires site plan showing placement of unit I :\mechp'erm.doc rev 02/4/99 • - 0 * 1 ri 3 S if I - A sE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Gq BUP - Date Requested 7, , / / AM PM BLD Location IS Z �j $ S+ AU Suite MEC l g91(YL Contact Person rig( J,(2)/N Ph w7J o ci 3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC iggq- onyti` Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation G� Drywall Nailing %e/ 1. '/ 4 f _ ® a 3 Firewall Fire Sprinkler l /,/4 Fire Alarm e) /a7 7 99 -- 00 VI/ S ; —"L" › usp'd Ceiling e 7 Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL 11 CHANIal2 Post & Beam Rough In Gas Line Smoke Dampers rn PART FAIL CTRL Service Rough In UG /Slab Low Voltage Fire Alarm __,_ PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.