Permit CITY O TIGARD
MECHAN I CAL
4,,,4, �n DEVELOPMENT SERVICES PERMIT
01 p' �� / PERMIT # - MEC97 -0350
:_.. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09 / 18 / 97
74WARCEL: 291O3BD -05100
SITE ADDRESS...: 12583 SW 116TH AVE
SUBDIVISION....: HUNTER'S GLEN ZONING: R -4.5 PD
BLOCK • LOT •007 JURISDICTION: TIG
CLASS OF WORK..:ADD 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
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 : Add electric 3 1/2 ton A/C unit to existing single family dwelling.
Air conditioning units cannot be placed inside the required set backs.
Owner: FEES
MICHAEL SCHLACTER type amount by date recpt
12583 SW 116TH AVE. PRMT $ 25.00 GEO 09/18/97 97 -299371
TIGARD OR 97223 5PCT. $ 1.25 GEO 09/18/97 97- 299371
Phone #:
Contract or:
SUN GLOW INC
2428 SE 105TH AVE
26.25 TOTAL
PORTLAND OR 97216
Phone #: 253 -7789
Reg #..: 000481
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 Cooling Unt Insp
applicable laws. All work will be done in accordance with Misc. I n s p e ct i o n
approved plans. This permit will expire if work is not started Final Inspection
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.
" i
Issue By: Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125"g 1V. Hall Blvd. APPLICATION Permit # el7 -63 d
Tigard, OR 97223
(503) 639 -4171
•
Nude of D.vmoment " Description -
a ` ! LNA -e,( - Sc L 1 Ct. P I Table 3A Mechanical 'Code QTY PRICE AMT
Job La5 W 11 (4/1 (Q_ i 1) Permit Fee _ . -0- -0- 10.00
Address st..t. _
q-'9,-3 2) Supplemental Permit 3.00
rG� i« n ;of a,..,e..) Furnace to 100,000 BTU
1(x.1 i 0. .Q, S kk \ c._ t* '�. 1) incl. ducts & vents 6.00
Mains' Mesa Furnace 100,000 BTU +
Owner 2) incl. ducts.& vents 7.50
`- ""Slat' Floor Fumance
3) incl. vent 6.00 I
Name to, name or °"'"aaa Suspended heater, wall heater
�w�A_ " 4) or floor mounted heater 6.00
M.mg ?does. Foos Vent not incl. in
Occupant 5) appliance permit 3.00
Caw SUMS ro Repair of heating, refrig.
• 6) cooling, absorption unit 6.00
•
� ---.. Boiler or comp, heat pump, air cond.
CILiv� l ` D I o _..-1-• v. .-C.---/ 7) to 3 HP; absorp unit to 100K, BTU • . 6.00
M..ng Address Phone Boiler or comp, heat pump, air cond.
Contractor (' J S+— (0s �'�el 8) 3-15 HP; absorp unit to 500K BTU 11.00
'$t"° '' � ( Boiler or comp, heat pump, air cond.
-')citYC -'' G 7� t° 9) 15-30 HP; absorp unit .5-1 mil BTU • 15.00
t Re; eUe No. c'tr a,.. Too No. Boiler or comp, heat pump, air cond. .
(> 4 S d ( : 10 ) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that 1 have read this application, that th Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 " I .
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) . 10,000 CTM + 7.50
_. f Non portable
�*- ° G` /2 ---k--v\___ J 14) evaporate cooler 4.50
/ Vent fan connected
15) to a single duct 3.00
Ventilation system not
7 16) included in appliance permit 4.50
*marl °"ge"`) Hood served by
17) mechanical exhaust 4.50
Describe work new Q addition 0 alteration �" repair 0 Commercial or industrial ' •
to be. done residential 0 non - residential 0 18) type incinerator • .30.00
Existing use of Other i.e., woodstove, water -
building or property 19) heater, solar, clothes dryers, etc. . 4.50
Proposed use of - 20) Gas piping one to four outlets 2.00
• building or property
/ 21) More than 4 -per outlet (each) • 2.00
Type of fuel - oil Q natural gas 0 LPG 0 electric `6J
. NOTICE - _ - . . t •
•
,� JO
O�-
Minimum Fee $25.00 SUBTOTAL s j
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 ATANY TIME PLAN REVIEW 25% OF SUBTOTAL .- ��.` • AFTER WORK IS COMMENCED. .
•
TOTAL _
Special Conditions •
Date issued . by
• •
ItILOGIN OSTSMEt:riPMT _
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested _5/ 97 AM PM BLD
Location 5c. j /4 o1-l'E Suite MEC 97 — e
Contact Person / • Ph PLM •
Contractor 6J/e/ K;#7 PA/e, Ph 7(O - ZZ SWR
BUILDING ° 5, Tenant/Owner ibe:Afe-// 54/7 f Ele ELC 9'9_006/7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: •
Slab SIT
Post & Beam /'_ „r'eria C i,e,
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler / _ - - - _ �L.• i. ��_
Fire Alarm
Susp'd Ceiling /b.L■ L ' 1-Zat
Roof
• 7
Misc: .: ` _Id . . _ L _ . _
Final
PASS PART FAIL rt
PLUMBING C x .39- 9i 7/ e'. t sG
Post & Beam
Under Slab / i _ _ / - AL. _
Top Out /
Water Service r,NIz.-4 _
AIL Sanitary Sewer
Rain Drains
Final
FAIL
MECHANICAL' .
rosf & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
EL�CTRI,CA :`
kL
Rough In
UG /Slab
Low Voltage
Fire Alarm
,4inav
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
Other Date 7 97 Inspector - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
5/30/00 Activities for Case #: MEC97 -00350
2:58:50 PM 04•A
Assigned Hold Updated ®
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ar 4 4 :
MECA007 Application received 9/18/97 GEO RECD GEO 9/18/97
MECA008 Create Permit 9/18/97 GEO PASS GEO 9/18/97
MECA715 Mechanical Insp 9/18/97 GEO 9/18/97
MECA730 Cooling Unt Insp 9/18/97 GEO 9/18/97
MECA750 Misc. Inspection 9/18/97 GEO 9/18/97
MECA799 Final Inspection 9/18/97 VLN NOTE VLN 3/9/99 Inspection request for research
to George S. 3/9/99.
MECA060 (F) Issue permit 9/18/97 GEO PASS GEO 9/18/97
MECA799 Final Inspection 5/9/99 5/9/99 5/7/99 CD NOTE No Hold AKJ 5/9/99 Left note: records indicate no
insp were ever called in
regarding a/c wiring or
mech,please call to schedule
insp
MECA845 Request inspection research 3/27/00 JMT DONE No Hold JMT 3/27/00 SECOND REQUEST
MECA880 Expired by limitation 4/18/00 HAP DONE No Hold AKJ 4/18/00
•
Page 1 of 1