Correspondence v. ,..
AIL
CITY OF TIGARD MECHANICAL
D EVELOPMENT SERVICES PERMIT
f l� i PERMIT #.......: MEC98 -0518
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 11 / 17 / 98
PARCEL: 2S111AC -05201
SITE ADDRESS...: 14820 SW 92ND AVE
SUBDIVISION ° LAUNALYNDA PARK ZONING: R -4.5
BLOCK..........: LOT .............:020 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE °SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/O APPL: 1 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP....: 1 DOMES. INCIN: 0
:GAS 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 PRESSURE...: 50+ HP....: 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN ) =100K BTU: 0. ) 10000 cfm: 0
Remarks : Replace existing system with new gas furnace, and exterior A/C unit to
residence. A/C unit cannot be placed within the required setbacks.
Owner: -- FEES
KAREN C WALKER . type amount by date recpt
14820 SW 92ND PRMT $ 27.00 DLH 11/17/98 98- 310858
TIGARD OR 97223 5PCT $ 1.35 DLH 11/17/98 98- 310858
Phone #: 684 -9041
Contract or:
WINDRUSH CORP /AIR FLOW ENG.
5687 SE INTERNATIONAL WAY
STE #G $ 28.35 TOTAL.
MILWAUKIE OR 97222 -4645
Phone #: 786 -2899 '
Reg #..: 96146
REQUIRED INSPECTIONS
This 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 accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for acre
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001 -0010 through OAR 952- 001- ' You may
obtain copies of these rules or direct questions 'to OUNC by calling —
(503)246 -9187.
/ C
Issue By: ; Afrirr//1. .;_. Permittee Signature: /,: . /l l e.Ab, ,...., _4_4
++ ++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- CITYOP TIGARD Mechanical Permit A lication Plan Check
P P Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd / / //9#
TIGARD, OR 97223 Date to P.E. "'—
(503) 639 -4171, x304 l 1 Date to DST —
Print or Type Permit# /1. 9,P - OSl,
o25/l/1C -65e,20/ Incomplete or illegible applications will not be accepted et det d Called
Name of Development/Project Description .
Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee 10.00
Address 1) Furnace to 100 BTU pp �l
Bldg# city/state Zip including ducts & vents 1 6.00 ' .)
2) Furnace 100,000 BTU+
including ducts & vents `' 7.50
Name (or name of business) E _ I 3) Floor Furnace
Owner - e, C. i4f,� -�kr 0X N including vent 6.00
Mailing Address 4) Suspended heater, wall heater
/Mailing / or floor mounted heater 6.00 -
• "� E3 �5 '7G� �Gt 5) Vent not included in appliance permit 3.00 g; 0
City /State Zip • Phone -
7 7j7 ` ,464-90v, CHECK ALL *Boiler Heat Air ....
Name (or name of business) THAT APPLY: or • Pump Cond Qty Price Amt
- G - Comp **
��/ • - 6) <3HP;absorb unit to -
Occupant Mailing Address • 100K BTU I l 6.00 t,. /
.11-
7) 3 -15 HP;absorb unit
_ _ City /State Zip Phone 100k:to 500k -BTU . - - -- 11.00
8) 15 -30 HP; absorb .
•
unit .5 -1 mil BTU _ 15.00
Contractor Name • - -
9) 30 -50 HP; absorb
P.11A.)4120{ /,/Zkr-/-e3zt/ 6, unit 1 -1.75 mil BTU - 22.50
• Prior to permit Mailing Address -ea 10) >50HP; absorb unit
issuance, a copy 5 7 5 riyrr- i(1)4-71/49,1- 4L-Gvit! - >1.75 mil BTU - • - - 37.50
of all licenses City /State Zip Phone 11) Air handling unit to 10,000 CFM - •- - . -_
are required if Ali L44444/1e<- ? zz- 186 Zd 99 . 4.50
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database q(v (¢ki o� / /9 J i---- 7.50
Architect Name - 13) Non - portable evaporate cooler -
4.50
or Mailing Address 14) Vent fan connected to a single duct -
3.00 _
• - 15) Ventilation system not included in _ .
Engineer City /State Zip Phone appliance permit . 4.50 _
• 16) Hood served by mechanical exhaust
Describe work to be done: - 4.50
17) Domestic incinerators
New.O- Repair O . Replace with like kind: Yes.( ( No O 7.50 ,
Residential l Commercial 0 _ 18) Commercial or industrial type incinerator -
30.00
Additional information or description of work: 19) Repair units - ' -
NL 5 � cN/ 4 4.50
2�hGts VE frL �rH l-F� i P 7 20) Wood stove -
aa..) - t 7} “... &)w A"9 P -r-2' -' G ✓ rr-A- c0 4.50
pc. r - , 2 1 6/iv, - t 21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas f LPG 0 electric 0 22) Other units _ - -
4.50
' I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four_outlets • _ ' . • .
given is correct, thatl am the owner or authorized agent of I - 2.00 .+Z.O .
- the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) - -
.50
S ignature of Owner /Agent Date
Minimum Permit Fee $25.00 SUBTOTAL 4 ?aF oc710f,
(/—f7--9
"-■ � jj = 5% SURCHARGE - / 3S
'`ontact Person N: me Phone PLAN REVIEW 25% OF SUBTOTAL
Required for ALL commercial permits only,,
LW F 6 e Pq ? TOTAL oU35
*State Contractor Boiler Certification required
**Residential NC requires site plan showing placement of unit
I:Umechperm.doc rev 07/20/98
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
� BUP
p
Date Requested 1 l AM PM BLD
Location q-!} �o� I. �{ Suite �N C a�
Contact Person Ph 7 y O 5 g
Contractor D\ Ph71 tiP 3) SWR
BUILDING nant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _ __'
I
Ftg Drain SGN 1i�
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 9
CL/J ��J � G Imo !
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final $
PASS PART FAIL
MECHANICA
Post & Beam
Rough Inn
i gr Effie
- «coke Dampers
•AS' PART FAIL
ELECTRICAL.
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
-
Final
PASS PART FAIL
SITE
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 rr
Otheoach /Sidewalk Date I l 9 Inspector e
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
6/16/00 Activities for Case #: MEC98 -00518
1:55:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 11/17/98 DLH RECD DLH 11/17/98
MECA008 Create Permit 11/17/98 DLH DONE DLH 11/17/98
MECA799 Final Inspection 12/2/98 RC FAIL J *H 12/4/98 1. Duct in garage must be
insulated. RE: at bottom. 2. Fill
hole in ceiling where gas line is
installed. 3. Permit does not
cover fireplace. 4. Gas line to
fireplace has not been tested.
• 5. Obtain permit for fireplace. 6.
Investigative fee required for
fireplace permit. WAIVED PER
HAP 120498.
MECA•15 Mechanical Insp 11/17/98 11/19/98 RC PART J *H 12/2/98 All ducts in unconditioned
space must be insulated. RE:
at bottom.
MECA060 (F) Issue permit 11/17/98 DLH DONE DLH 11/17/98
MECA755 «REINSPECTION» 12/2/98 RC NOTE JT 12/8/98 Insulation of ductwork not
complete. 12/8/98 $15 fee
waived by Jeanne, unable to
document that inspection was
actually requested. a
mechanical permit is being
issued for the fireplace (double
fee /work done without a
permit).
MECA799 Final Inspection 12/8/98 JMT NOTE JT 12/8/98 $15 reinspect fee was waived
(see above), However, an
investigative fee (double fee) is
being charged for the fireplace.
Jeanne T.
MECA799 Final Inspection 1/12/99 RC PASS ROC 1/12/99
MECA800 Case Finaled 1/21/99 JT 1/21/99
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