Permit CITY � TIGARD
PERMIT
DEVELOPMENT SERVICES
• uwn��m~u.*�n x�non�n ~�n�nx�n°�n�~� PERMIT * ^ MEC98-0514
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 O DATE ISSUED: 11/16/98
74.#
PARCEL: 2S110DB-90811
SITE ADDRESS...: 15432 SW 114TH CT *81 '
- ^
SUBDIVISION • FOUNTAINS AT SUMMERFIELD CONDO ��ONING: R-25
BLOCK ^ LOT.............:081 JURISDICTION: TIG
_
CLASS OF WORK..:OTR FLOOR FURN ^ 0 EVAP COOLERS: 0
TYPE OF USE ^MF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R1 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ^ 0 BOILERS/COMPRESSORS HOODS ^ 0
FUEL TYPES 0-3 HP....: 0 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 WOODSTQVES..: 1
GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN >=1@0K BTU: 0 > 10000 cfm: 0
Remarks: Install gas insert and gas piping.
Owner: FEES —
LEE HILDRETH type amount by date recpt
15432 SW 114TH PRMT $ 25.00 GEO 11/16/98 98-310811
*81 5PCT $ 1.25 GEO 11/16/98 98-310811
TIGARD OR 97224
Phone #:
Contractor: •
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
$ 26.25 TOTAL
PORTLAND OR 97206
Phone #: 771-1145
Reg #..: 02734
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line 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 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 DAR 952-001-0080. You may
obtain copies of these rules or direct questions to (MC by calling
(503)246-9187.
Issue By: �! /7' Permittee Signature:
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for inspections needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
•
NOV -11 -1999 09:5 ECE1VE® �!1 W P. O1
• 13125 SW HALL BLVD. Commercial and ResSdential� -...._J Date Recd
TIG RD, OR 97223 NOV 13 1998 Date to P.E.
(503) 639 -4171, x304 Date to DST
CO °,.MUNITY DEVELOPMENT Print or Type Permit #/yIf-C'q$ - -05 - /
•Called --
- Incomplete or illegible applications will not be accepted
Name or veIo m ntPro)ect Description
. 1{ 1A-Mr(-4-in Table 1A Mechanical Code OTT PRICE AMT
Job Street Andress suites A) Permit Fee -0- -0- 10
Address )s S w l 11 -111' .
Brags 7r r L� .79x , B) Supplemental Permit 3.00
Nemo torn e I e mess) 1.) Furnace to 100.000 BTU 6.00
Owner ) a RM, -Q >h incl. ducts & vents
Mailjr A9 p + 2.) Furnace 100,000 BTU + 7.50
154 Ot Si ,� (� O t incl. ducts & vents
ci rstaie ^} Zip j Phone 3.) Floor Furnace 6.00
(
l � C.✓ o e q/ i A ilgo- p incl. vent
Nam for name of business) 4.) Suspended heater, wall heater 8.00
c ,e QS QJ3O or floor mounted heater
Occupant Matting Address 5.) Vent not inc. in 3.00
. appliance permit
Cityrstere • . Zip Phone 8.) Boiler or comp, heat pump, air cond. 6.00
• to 3 HP; absorp unit to 100K BTU _
Contractor AaMe 7.) Boiler or comp, heat pump, air cond. - 11.00
(Prior to N 1 1 ( 1n1' n l I rYt . • 3-15 HP; absorp unit to 500K BTU
issuance ailing Address ( 8.) Boiler or comp, heat pump, air cond. 15.00
applicant P suo �(9afa S T. 15-30 HP: absorp unit .5-1 mil BTU
must provide all ,,��ryrstate J Zip Phone 9.) Boiler or camp. heat pump, sir cond. 22.50
contractor 1 ` T() Q 2 q og3 7 -/ Nis - 30-50 HP: absorp unit 1 -1.75 mil BTU
license or n Conat. Cont. epee t.ic.e Eap.Pat 10.) Boiler or camp, heat pump, air cond. 37.50
information (9 l.0 / i)� > 50 HP: absorp unit 1.75 mil BTU
for COT COT Busmen Tax or M s x°, 11.) Air handling unit to 4.50
database). l.tl 1 (q9 10,000 CFM
__ Architect Name 12.) Air handling unit 7.50
10,000 CTM + •
O mailing Moms
13.) Non portable 4.50
evaporate cooler
Engineer c �s+etd Zip Phone 14.) Vent fan connected 3.00
to a single duct
Describe work New 0 Addition Alteraatloi Repair (5 ----- - 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential 0 included in appliance permit
Additional Description of work 16.) Hood served by mechanical exhaust 4.50
•
17) Domestic incinerators 7.50
Existing use of 18.) Commercial or industhaltype 30.00
building or property incinerator
19.) Repair units ' 4.50
Proposed use of 20) Woodstove 4.50
building or property o /1 C '
`n /� 1 14 .0
tl J `1 `Y T_
21) Clothes dryer. etc. 4,50
Type of fuel - oil 0 natural gas`g LPG 0 electric 0 22) Other units 4.50
I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets I 2,00 7
nformation given is correct, that I am the owner or authorized agent of r ac v
he owns that plans submitted are ' compli ce with Oregon,Sta / [ / , 24) More than 4 -per outlet (each) .50
aws. 14 - I V 6 L �/I� / 1
iigna/ to 41 er /Agent Date QTY.SUBTOTAL
--, / A ,l6 so
' SUBTOTAL znAJ4,066/ 7 7/-1/ . ...
tin ct Pe on Name Phone 5% SURCHARGE I 35
PLAN REVIEW 25% OF SUBTOTAL
I 114 L- A - q 4 • TOTAL
•stVnechpmt.doc (rev 7/96) 'Minimum permit fee is S25 + 5% surcharge
TOTAL P.01
6/19/00 Activities for Case #: MEC98 -00514
1:56:06 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECD007 Application received 11/13/98 GEO MAIL GEO 11/16/98
I , 4 I s 4 44, ;
MECD008 Permit created • 11/16/98 GEO DONE GEO 11/16/98
MECD799 Final Inspection GEO 11/16/98
MECD705 Gas Line Insp 11/16/98 GEO 11/16/98
MECD060 (F) Issue permit 11/16/98 GEO PASS GEO 11/16/98
MECA845 Request inspection research 2/23/00 JMT DONE No Hold JMT 3/31/00
MECA880 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00
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