Permit c- CITY OF TIGARD MECHANICAL
„H ,.,, DEVELOPMENT SERVICES PERMIT
reo 1-- 13125 SW Hall Blvd. Tigard OR 97223 (503)639-4171
PERMIT # MEC98 -0454
DATE ISSUED: 10/08/98
PARCEL: 25110DC -90531
SITE ADDRESS...: 15518 SW 114TH CT #53
SUBDIVISION • FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK • LOT •053 JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •SFA UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R1 VENTS W/0 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.: 1
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 ) 10000 cfm: 0
Remarks : Installation of gas stove.
Owner: FEES
VIENNA BELKNAP type amount by date recpt
15518 SW 114TH CT #53 PRMT $ 25.00 DEB 10/08/98 98- 309840
TIGARD OR 97224 SPCT $ 1.25 DEB 10/08/98 98- 309840
Phone #: 620 -6024
Contractor:
LUDEMAN'S FIREPLACE /PATIO SHOP
12675 SW BEAVERDAM RD
$ 26.25 TOTAL
BEAVERTON OR 97005
Phone #: 646 -6409
Reg #..: 000005
REQUIRED INSPECTIONS
This persit 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 persit will expire if work is not started
within 188 days of issuance, or if work is suspended for sore
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 -801 -0818 through OAR 952 -001 -8888. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
c� L .
Issue P permittee Signature:• 1 14, k _i_bQ
++++++++++++++++++++++++++++++++++++++++++++++++ + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
y
City RECEIVED
y of Tigard MECHANIOAL PERMIT Planck/Rec. #
an cec. .
$ 13125 SW Hall BIVd. 0 8 1998 APPLICATION permit # rf fie-. q� � y
n N I t n .9P, ENT
a . � ,� �c x,397 t � _ �
s ' + rc .:. a► . '' _ , : -:1 -,� G w�j r i.0 d t iii ? • 9 - .�7/ v Y 1' �.��` . r,rf rr+ 6 s- ..t[,�" ' - .- .i .iS" .- tt-i r. _
N ' Y ? u' . . .•i- z »ar�.�.....+� .o - .�. _y....t..ddG.a., c4_ �.. _ ......' .- ,..w........ _ . _.f.. _ :5...... ..-._ ... - _ 1 .
i ,', `A .S t/v /, e` y.. Table 3A Mechanical Code QTY PRICE AMT
Job '
,S /k �L�Y .. �:
// .l`. 1 J Penny F -0 -0- 10.00
Address a+.s•• . a. 0 .
R ° z 2) Sup Supplemental
/ / / GzP- ' . AD :iy iii 'II
11 Mr --
�. ,, 1...000: I + .., .
Owner r Y' Sa) /1 ' eT 2) Ind. ducts & vents 7.50
Floor Fumance
r / ///.• / Q . — 3) kid vent 6.00
epe. ....w± - n eater
we S f? 4Z O — 4) or floor mounted heater 6.00
Occupant - •,• 5) 'ent not I - In
appliance permit 3.00
7. Repair of heating, refrig.
6) cooing, absorption unit 6.00
. LassuA Boiler or comp, heat pump, air cond.
(, `f\a (n k(-- !"t)6 ✓ 7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or comp, heat pump, ar cond.
•
Contractor -. ►-' i'` 8) 3-15 HP absorp unit b 500K BTU 11.00
1 Bader or comp, heat pump, air cond.
S (� 4 9 15-30 HP absorp unit .5-1 mi BTU 15.00
in ' :'•" et or comp, pump, ar cond.
10) 30-50 HP ebsorp unit 1 -1.75 mi BTU 22.50
• "'•"'^; . • ve • . . • -- . • t , - Boller or comp, heat pump, ar cond.
irdornation given is correct, that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 m8 BTU 31.50
of the owner, that plans submitted are in compliance with State Air handling writ b
Iran, that I am registered with the Construction Contractors Boad, 12) 10,000 CFM 4.50
that the number given is cored (If exempt from State registration, Air handing aril
please give reason below.) 13) 10,000 CTIiA + 7.50
Non portable
14) evaporate cooler 4,50
Vent fat connected
- 15) to a single dud 3.00
• •Ventilation system not
tk\. 16) Indicted in appliance permit I 4.50 I
. ! . f Hood served he
17) mechanical exhaust 4.50
'^^ new • . „ . • . r " -" • - • Comneraal or ild:stria!
to be time residential () non- residential Q 18) type incinerator 30.00
Existittp used Other Le, woodstove, water
w building or p x: 5Ct 1 19) boater, spier, dells: dryers. alp. 4.50
Proposed us• of :i r. 4' ' k ` Ots piping one b four outlets '!AO
bailing or property .
Type of fuel - d Q mensal gat span p ...„,d90140.. b - 21) Yore than 4-per oudat -
.r, ' :- Ihnimum Fee $25.00 SUBTOTAL , wi
PERMITS BECOME VOID IF WORK OR CONSTRUC'DON
,. AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR S% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. ,,., /L �
• TOTAL I l 1 1� R V C
Special c«,citio ns _ -- -- -
Date issued /'° " Y - P g by �k_,' , cz--ki 1 / -
}S
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
J/
7Z
3 Date Requested 11 ! 'O' � 1 0 AM BLD
Location /55/?? aw /14M (2t suite -IT ( ' . - Q /-4SV
Contact Person (' ei'Z'1GL Nge- 41214�t.� Ph >2 • / 0. PLM
Contractor S J Ph ''�� —6 'AO' SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: ��j�
Foundation w G ` ���i ot iziA FPS
Ftg Drain
GN
Crawl Drain Inspection Notes:
Slab � i SIT
Post ost & Beam P41
Ext Sheath /Shear 1 4AjZ ir eAt " Int Sheath /Shear
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
P FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
P ampers
PAS PART FAIL
TRICAL
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
Approach /Sidewalk Date it t --1 — Inspector G '` Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
6/19/00 Activities for Case #: MEC98 -00454
1:57:29 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECB007 Application received 10/8/98 DEB MAIL DRA 10/8/98
MECB008 Permit created 10/8/98 DEB DONE DRA 10/8/98
MECB799 Final Inspection 11/10/98 RC PASS J *H 11/15/98
MECB715 Mechanical lnsp 10/8/98 11/10/98 RC PASS J *H 11/15/98
MECB060 (F) Issue permit 10/8/98 DEB DONE DRA 10/8/98
MECB800 Case Finaled 11/10/98 RC PASS J *H 11/15/98
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