Permit CITY OF TIGARD
MECHANICAL
6040 0 ' DEVELOPMENT SERVICES 0 PERMIT
'� �— 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 � � PERMIT # : MEC98 -0436
® DATE ISSUED: 09/28/98
1
°= PARCEL: 25110DC -90552
SITE ADDRESS...: 15518 SW 114TH CT #55
SUBDIVISION • FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK........... LOT ............. :12155 JURISDICTION: TIG
CLASS OF WORK.. :OTR FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE •SFA 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 : 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 insert, no gas piping.
Owner: --- FEES
JEWEL M HOWARD' type amount by date recpt
15518 SW 114TH CT #55 PRMT $ 25.00 DEB 09/28/98 98- 309542
TIGARD OR 97224 -3313 5PCT $ 1.25 DEB 09/28/98 98- 309542
Phone #:
Contractor':
LUDEMAN'S FIREPLACE /PATIO SHOP
12675 SW BEAVERDAM RD ------
$ 26.25 TOTAL
BEAVERTON OR 97005
Phone #: 646 -6409
Reg #..: 000005
RECUT RED 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 Inspect ion
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 952-001 -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 I yQ A A144 1� Permittee Signature: ,h .0
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for inspections needed the next business day
+++++++- 1-+++++++++++++++- F+++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + +-h++ + + + ++
ti RECEIVED
City of Tigard MECHANICAL PERMIT Plandc/Rec. #
13125 SW Hall Blvd.
SEP 2 8 1998 APPLICATION Permit # :1`'l��l'g= 31�
.box 233971 -. a.,k. .T w�a _
. l , ...t ...:...::,•,; �� „ .,. _ .. � u...r..:..siv. �a..:S4I.�.iX.
3 rd TA. 401.04e-1: Table 3A Mechanical Code OTY PRICE AMT
Job ;l. ::
l5 1 .. l (� �y- 1) P ermd Fear ;a -0. is
Address 4
i t rotk-2.t) OQ 4? 2 a- ::t. � 2 1 Su i - . ! `:, �
- �
.._ ... :fir .. . _.. . . .... . -- -` '".'".'r14rr
•■••j Furnace 100,000 BTU + - ' — -
2) tact ducts & vents 7.50
Owner b• I Floor Fumanoe
1 3) tad vent ' 6.00
• flat. Or NIN. of tminMw Suspended heater, wall heater
4) or floor mounted heater 6.00
� �. a 1 Vent not and in
Occupant 5) appliance permit ' 3.00
2 Repair of heating, refit. �
6) cooing, absorption arhit 6.00
� ((�� /� � Boiler or comp, heat pump, air cond.
a Q_ yn ( R , f b` -6 7) to 3 HP absorp unit to 100K BTU 6.00 Li
- ' ` M•iv eaaw i
Boiler or comp, heat pump, air cond.
Contractor I ---./ (L '` ) 1 ti - W\ 8) 3-15 HP absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
r) � j Le,6 q � 9) 1530 HP absorp unit 5.1 and BTU 15.00
ao.,....w. o. r..a. =Miler or comp. heat pump, air cond.
- 10) ?4•S4 HP, **sa !{..1 -17!5 r!. ! TtI . 22.50 iiiWi'y ve t der or camp. pump, ar
information given is correct, that I am the owner or authorized agent 11) > 53 HP absorp unit 1:75 nmd BTU 31.50
of the owner, that plans submitted are in camplance with State Air handing unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10.000 CFM , 4.50
that tha number given is coned. (If exempt from State registration, ... Air handing ur
please give reason below.) . 13) 10.000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent tan comaeded
- 15) to a single duct .• 3.00
7 : ' * ' '•-• ' g(2.,./ zit .,.,:-.. :.. 16) 4
::; Ventilation
inda,dd
not
in :_.t�... 4.50
` - e.• Hood served by
} 7) mad anicei eadtatrst
4.,30
1SiEihe wak new O addition Q aiteratio .nipair O Gomm mini or industn .
to be done residential 0 non - residential (� .. 18) type tad erator . ' 30,00
bulking : " jL)LL 'ti ` ` - _ , . 19) heater solar, dol dryers. at . i 0
use
'i
'
ed Gas ore b
Proposed bur ot� . � 4.00
bulking or ProPedY
. 21) Mari than 4-per (l _
'' Type of fuel - oil 0 nehrral gas L,PG Q' i ectr Q
NOTICE • {
Mnimum Fee $2500 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR . 5% 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.
•
TOTAL
■
Special Conditions
Mite issued �'�
D byQ ,
6/19/00 Activities for Case #: MEC98 -00436
1:57:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECB007 Application received 9/28/98 DEB MAIL DRA 9/28/98
MECB008 Permit created 9/28/98 DEB DONE DRA 9/28/98
MECB715 Mechanical lnsp 9/28/98 DRA 9/28/98
MECB750 Misc. Inspection 9/28/98 DRA 9/28/98
MECB799 Final Inspection 9/28/98 DRA 9/28/98
MECB060 (F) Issue permit 9/28/98 DEB DONE DRA 9/28/98
MECA750 Misc. Inspection 2/23/00 2/23/00 2/23/00 JMT DONE No Hold JMT 2/23/00 research inspection request
MECA880 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00
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