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Permit CITY OF TIGARD hIEPERRMITAL , �, 0 p , DEVELOPMENT SERVICES PERMI # MEC97 -0139 I I DATE ISSUED: 05/23/97 ='� � .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114BB -13300 SITE ADDRESS...: 16382 SW 104TH AVE SUBDIVISION ° SWANSONS GLEN NO.2 ZONING: R -12 PD BLOCK LOT :74 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: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP ° 0 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 < 1O0K BTU: 0 <= 10000 cfm: 1 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 ) 10000 cfm: 0 Remarks: Installation of air conditioning unit and connecting it to existing furnace. • Owner: FEES SHARA SUNDBURG type amount by date recpt 16382 SW 104TH AVE PRMT $ 25.00 DWI 05/23/97 9- 294988 TIGARD OR 97223 5PCT $ 1.25 DRA 05/23/97 9- 294988 Phone #: Contractor: MONTAG OIL INC t:JG r 5 28 SE HOLGATE PORTLAND OR 97202 -- Phone #: 234 -4301 $ 26.25 TOTAL Reg #..: 0198 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 Misc. Inspection 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. • Permittee nature: . 4 4. Issued . Call for inspection — 639 -4175 05/22/97 15:05 T'503 684 7297 CITY OF TIGARI) ___ f�jUU2- 002 CITY OF TIGARD Mechanical Permit Application Plan ch licat 13125 SW HALL BLVD. p p • Rec'd 8� C ommercial and Residential Date Recd 23 - r7 TIGARD', OR 97223 Date to P.E. --"' (503) 639 -4171, x304 • Date to DST ____ Print or Type Permit M�C.Q7 -ot Incomplete or illegible applications will not _cepted tailed Nan't,, =.■ ,:evelopmgnVPre t Description Table 1,4 Mechanical Code OTY PRICE AMT Job swoon Aourw a 1 &Awl A) Permit Fee -0. — -0- 10.00 Address I6 5 c 91Cgb Crty /State Zip 11 Furnace to 100,000 BTU 6 00 including ducts & vents — Name rgr name .-f business) i i 2.) Furnace 100,000 BTU* 7 50 OWner _ ski N t,� e f` inauding ducts 8 vents M arlin ,aarazs (� I 3.) Floor Furnace ( 3 S WW (0'4 6.00 including vent Or floor mounted h eate city/ $lame Zip Phone ! 4 -) Suspended heater. wail heater (t C d : 77 22* zo -60 5(0 6.00 r Name (or of busatess) 5,) Vent not included in tianbg a ) V PP permit 3 n. r---- UCCUp3nt Mailing bodies* 5.) Boiler or pomp, heat ca..mp, air pond. ' C state to 3 HP; absorb unit to JK BUT'"' • � Z)p Phorme 7.) Boiler or comp, heat pump, air cond. 11.00 P — _ 3-15 HP: absorb unit to 500K BTU" ontractot p 8.) Boiler or comp, heat pump, al* and. 1 S_00 (Prior to � ( } � � ©t ` , }'N Ct 15-30 HP: absor0 unit -1 mil BTU issuance Mailing Aar �'A / 9.) Boiler or pomp, heat pump, air r�ntl, 22 50 dp0 cant Z5 L, S L 4�" L 4� 30 50 HP: absorb and 1- 1,75mi1 must provide al Cll'IStsme . I ,gyp zip Pr o w l 10.) Boiler or comp, heat pump, air cond. Contradr' r - 1 git0wr d 0°'� ?7Z z: c ( > 50 HP: absorb unit 1.75 mil BTU" UCeitt`r.'? t , 490 11 Conn Cont. - • Lice Exp. Date �j Q 11) Alt handling unit to 10,000 CFM ;nformtiitu t 060 / ! �' �U — e� {� ( j . 5.-G for COT r 8wness 3 or metro r�ry Ex ate 1 ^,) A k handling unit 10,000 CFM ,• 50 data43se). O Ct)C)C7 Z �9 D , `7 • rc rtBCt r ..^ — —�' 13.) Non - portable evaporate cooler I or Maur Ac�roas l 14.) Vent fan connected to a single duct l _ ' Ergirt&er I c . Zip �+e 15.) Ventilation system not included in T— n 56t _.. ___.—_1 appliance permit J °-r work New 0 Audition Alteration 0 , Repair 0 16.) Hood served by mechanic e xhaust ._ 0,50 ' 1 ne Residential Non- residential0 I I ption of .• 17.) Domestic incinerators I 1C L S 1, jl ru{ 1 n 10011 18•) Commercial or Industn rype - 30.00 re�llt'l(�� - 7aCbjoi Incinerator Existing use of 19.) Repair units — 4,50 building or property __t ( Qf?,U ry 20.) Woad stove _ , 1 _. '- a ^p _ P noose use Of 11 t � - - - _ . —.. i t' - -;g or property N /A— 21 - Clothes dryer, etc i 50 _L�_ _ • a50 I E22 Other units , —�� _ I + y^p`' r „• _,I-� ,..,3 ;'GO . I . = electric O 23.) Gas pining one to four CL?.. ---- 1: _ ; -i` I h€:: ., edge ~;a; I have read this applimsation, that the • 24.) More than 5 ) 4-per ,,3 infer,, ., given is marred,. that l am the owner or authorized agent of the owner, that plans submitted are in Compliance with Oregor, .e �� QTY. SUBTOTAL i y. S0 r hire of Olterpent Data 5k.3/7 -SUBTOTAL I ° Pi 5 U ERS a5it -- 4 50 s � SURCHARGE I 'r5 Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL V f TOTAL i:�trr>+echpmLdoc (rev 9 'Minimum permit fee is 525 + 5a /o surcharge "Residential A/C requires site plan showing placement of unit. - I q E . 11 .. . .. -). . . . . _., .. . b , - . - .- • .-1 -- - — . ) - .. - . - - A ) ,0 \. ) ) -... ( —....fr" 0 ) ltr. > . 1 ar 01(19 ..........1...---.74 / ... i . ) . / . i -. ---.., _ . ------. .... . , _. . .... . .. . , . . . I . . , r . . . . . . . . . . . . , ) . . . . . , . 05/30/2000 Activities for Case #: MEC97 -00139 10:21:05 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 05/23/1997 DRA RECD DRA 05/23/1997 MECA799 Final Inspection 05/27/1997 TLP PASS J *H 05/28/1997 MECA715 Mechanical lnsp 05/23/1997 05/27/1997 TLP PASS J *H 05/28/1997 MECA060 (F) Issue permit 05/23/1997 DRA PASS DRA 05/23/1997 MECA800 Case Finaled 05/27/1997 TLP PASS J *H 05/28/1997 • Page 1 of 1 .....„-Yr: d'i lI JD Qi CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: S l a \ I 1 A.M. * P.M. MST: Location: I l 3 g Z j b t}-1^- ! t t .- L J BUP: Tenant: Suite: Bldg: MEC: ¶ 7 d I, 3'' Contractor: Phone: (p 2-0 -6 O PLM: 1:9: Phone: ELC: 9 7'U ELR: STT: BUILDING BLDG (con't) PLUMBING C AL SITE Site Post/Beam Post/Beam Post cam Cover Service Sewer /Storm Footing Roof UndFUSlab Rough -In Ceil 1 ._ Water Line Slab Framing Top Out Gas Line • ough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct - , - t Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr eat Pump Lp Vult .,., Approved Approved •pprove• t- • •roved Approved Appr /Sdwlk Not Approved Not Approved '-``'= �oved • • - oved Not Approved FINAL FINAL FINAL INAL FINAL . i I / fi ((i 9 ,,A,v : • 0 Call for reins do ❑ Reinspection fee of $ required before next inspection 0 Unable to inspect Inspector: Date: J . 9 1 / Ci 7 Page of