Permit CITY OF T I G A R D MECHAN I CAL
44 �� DEVELOPMENT SERVICES PERMIT
"�I ' � PERMIT # - MEC99 -0095
R :_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED:, 03/08/99
PARCEL: 2S111BA -00109
SITE ADDRESS...: 14110 SW 97TH AVE
SUBDIVISION....: TIGARDVILLE HEIGHTS ZONING: R -4.5
BLOCK..........: LOT :028 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/0 APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP - 1 DOMES. INCIN: 0
. 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 ( 1O0K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS.: 0
FURN ) =1O0K BTU: 0 ) 10000 cfm: 0
Remarks: Replace existing electric furnace and heat pump.
Owner: FEES
THOMAS D PARKER type amount by date recpt
14110 SW 97TH AVE PRMT $ 25.00 GEO 03/08/99 99- 313501
TIGARD OR 97224 5PCT'$ 1.25 GEO 03/08/99 99- 313501
Phone #:
Contractor:
CLIMATE CONTROL INC
3315 NW 26TH AVE --
$ 26.25 TOTAL
PORTLAND OR 97210
Phone #: 223 -4393
Reg #..: 6219
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Heating Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Un t Insp
applicable laws. All work will be done in accordance with Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- ,,,,, -0010 through OAR 952 -001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: .4 ///. Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
t:• RECEIVED
MAR 0 8 1999
COMMUNITY UEVELUYIMIENT Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'dBy
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
• ter' "
Print or Type Permit# !';� �
. Incomplete or illegible applications will not be accepted
Called
Name of DevelopmenuPro)ed Description
Table to Mechanical Code Qty Price Amt
�
Q (-`�� A) Permit Fee io.00
Job Street Address 5udett ' 1) Furnace to 100,000 BTU
Address ii-41 D S LLJ TA tl 1 including duds & vents f 6.00 V30
Bldg# Cny/State Zip 2) Furnace 100,000 BTU+
',c\csz‘ , A . C 1112-A including duds & vents 7.50
Name (or name of business) 3) Floor Furnace
including vent 6.00
Owner e ' <<'';,'> Vo-4' f 4) Suspended heater, wall heater
Mailing Address or floor mounted heater _ 6.00
\ ts%\ \< S >.,-D Ci `, Q 5) Vent net included in appliance permit
City /State Zip ' Phone 3.00
�CIK v2 y. , .l W s ID_ -tkp--14 CHECK ALL 'Boiler Heat Air
THAT APPLY: or Pump Cond Qty Price Amt
Name (or name of business) Comp "�
i\r \o'cf\r.:v ?c>.'C\LAN 6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU i ` 6.00 9 a
' C i 1 ' ' 7) 3 -15 HP;absorb unit
\�\�
City /State Zip i Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb .
r c V -�.S"c� °CZ" q11- -tik k-Q Lb k ij unit .5 -1 mil BTU 15.00 .
Contractor Nam 9) 30-50 HP; absorb
V \srk .e___p unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy 33 \5 N.,... 'LLD C 1\■a.Q- • >1.75 mil BTU 37.50
of all licenses City/State Zip Phone . 11) Air handling unit to 10,000 CFM
are required if (D( 4-x�� v C�Q, :Cc 3 --y3 4.50
expired in COT Oregon Const. Cont. Board Lic.# . Exp, Date 12) Air handling unit 10,000 CFM+
database U"2 ��C' \' \Z,$. I`tcj 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
M ailing Address 14)-Vent fan connected to a single duct
Or 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
7.50
New" Repair O .Replace with like kind: Yes No V
Residential Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units t
}� 4.50
` ��^ �' C �-c� U ��-' 20) Wood stove
• (�
4.50
. 9 0_ -'\.? 21) Clothes dryer, etc.
_
4.50 _
Type of fuel: oil 0 natural gas 0 LPG 0 electric 54 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 's correct, that I am the owner or authorized agent of 2.00
th o n• that r •ns submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
�� 3�5��5 .50
Sig ature of Owner /Agent ate •'rj%!_ 6- - a • aO
''// Minimum Permit Fee $25.00 SUBTOTAL :.::44;...3.: , = •
/ � /� e- 1�-� p+iaf Z7?, —k-{ ct, 5% SURCHARGE ` , := = : , .. 1. ,
Conta Person Name Phone PLAN REVIEW 25% OF SUBTOTAL 1 37
Required for ALL commercial permits only (. s
TOTAL gc
Al '
R s •''= r .. ' to /J If
*State Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:)rnechperm.doc rev 07/20/98 •
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Windows = - - Windows ' Doors Walls : - Roof - -~~ .. Floors
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP •
R. \cici Date Requested AM PM BLD
Location 1 L /// / ( 4 77 9lit A Suite MEC — Z C 9
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation / ( ( FPS
Ftg Drain # 1 �
Crawl Drain Inspection Notes: SGN
. Slab i - G(�?4'7 �� � SIT
Post & Beam
Ext Sheath /Shear < < /14 ■,
Int Sheath/Shear
Framing a r✓ P� �t W 00 6 3,
Insulation ��
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof �}' ®�
rose: ,�I / d he/4--/c._ , r
Final ' YuQ, (l
PASS PART FAIL
PLUMBING igaZik 59 11Lv(QA_ noleg, r 194yeell h ,-
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
AAN1
Post & Beam
Rough In .. - -
Gas Line
Smo. - Dampers •
.-
IMP PART FAIL
E ECTRICAL
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 Unable to ins
Fire Supply Line [ ] Please call for reinspection RE: [ ] pect - no access
ADA
Approach /Sidewalk q �
Other Date Inspector Ext
Final � , /'lei / '
PASS PART FAIL DO NOT REMOVE this inspecti .M cord from th job site.