Permit C ITY OF TIGARD MECHANICAL PERMIT
. I4 DEVELOPMENT SERVICES PERMIT #: MEC1999 -00156
'JI 131 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/13/99
PARCEL: 1 S 134CA -00512
SITE ADDRESS: 11180 SW 119TH
SUBDIVISION: PANORAMA N0.2 ZONING: R -4.5
BLOCK: LOT: 023 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: FEES
BUTZ, ROBERT W Type By Date Amount Receipt
11180 SW 119TH AVE PRMT DRA 4/13/99 $25.00 99- 314471
TIGARD, OR 97223 5PCT DRA 4/13/99 $1.25 99- 314471
Total $26.25
Phone: 590 -4874
Contractor:
qt 3t.4,
3s45 t 31 CT
VtioeovJ L Wt+ 99(087. REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 1 -34,0 -9,60- Citg9 Misc. Inspection
Reg #: 1� 99� 1 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may eb ain opies of these rules or direct questions to OUNC by calling (503)246- 9189,.
Issue B ), k ; IMP , , ice , � , Permittee Signature: I /,. _ I _ /Alt .,_1AnNIP dam.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the ne t business day
RECEIVED
CITY OF TIGARD Mecha lice! Permit Application Plan C" #
NO
'13'126 3W HALL BLVD. APR 19 or tmercial and Residential Recd : •-/'� /5 TIGARD, OR 97223 Date Reod i3 ;`•
(503) 6394171, x304 COMMUNITY DEVELOPMENT Date to P.E. --
Date to DST
Print or Type Permit a Ntel94'9 /
Incomfc for iliik lea plicatlons will not be acre •tad Called
J \s e c' beveicrosr
,t -- • ; . a , ; _ - r
e ,
i Cescritition
ducts & vents see footnote 1 2
Job ! S l 1 1 18'D 3 W 11 — - 9 INJ - - --- A Permit Mechanical .Cal Code a
t Amt i Address °i `6 -ve. I I ; _'° ;!f G !!p!;i�'l to oc
----,i f ! Furnace to 100,000 BTU
®'doe j �rry;g,,, z; includin, g 00
r!� �� (� - 7 2; Furnace 100,000 ,223 8TJ
tnc +ud n ducts vents see f
- i s^,., • carne ':1.1 - ese. —j footnote 1 2 ' R:,
va u c
,p t 3) Floor Furnace
Owner ; K)toct T ( (A) . j - n ;.ludln vent
- .__�_..__ - see footnote 1,2 6.00
� -
c� " 7 ` � -'e ( - _-.- al SuACenced heater, well heater
I O V �- l I /O V� I 0r Boor ^
ounted heater see footnote 1,2 g 00
a:yrsut. - pry e _.� G 5) Vent not included in appliance perr^it
q�
Q 6 -
�l,ga. OR a ai 51 €-(• - xi ! ^. all that apply `13c01 Heat Air 3 00
IIII
tia^^e ro• n.. a a rGa , eaai -- — -1 For Items 8.10 ate
_ _ • /
-.
►ootnotPs i 2 cr Purr)) Purr)) Cond Qty Price Amt
ccm i ••
41 f9 F rb .
Occupant ' , ; 4" _._ _ _.� s ,ao bn t to
i
1 1CQK BTU
k e yR --. _. • t 1 3•'5 tdP,z - unit ; 8.00 IIII
i p OOk to_500k b
} 1
to 10
-1 :- - .._..._,1._ ., 5 „5 30 HP; absorb 1.00
CArttrectOr • •1:"'i_- -• `.�`_ _... _ un;t 8.1 ml! BTU 13,00
[(' N f - � + a i 3C-5G HP: absorb
p.: 7 - Tt llvl y i .,..,.,-,t u -;it { „t .76 mu BTU 22.90
C'.O.R r ,A rata v
asu sr�, a W ; 0 >5:!
1 iP. abeam un
' ,o5_f 13 + i > 75m ilBT
o e' I cs�sss �,; s+al. _ C± A - -- — y t. U 37,50
.-
: ere "sac.g'a:1 jSa ily2e� W 6,.. 99 i A r nand :inq .n +t , C
ea n C {; a,�r ti a�o °gl JO3 r / i ,
--- database _ )) 2.61 , k 6 / / D-b '2} A'r hantl!Ing ur +f t J.C CFN,t 4.Q0 `�� t J
■ 13, rve pa tat is snap — .,.r. +e - -4- -• 7.50
i
14) Vent can connected t0 a single dic; —1- 4.50
Engineer : ^ , ''''''`e ; - - - f , -�• * -- —'....1 t5, Ventilat'o^ system not includ In .0�
i ao 'itne ermit
----- - j t a? Moon e e•�ed by r Oh 473. 50
e f ., _ — _ . - ... s.., anioal ex ^oust
'Describe An _ ._. __
Nevi 0 Pet :at �+ • Rep ace •, :it.h ,!Ke Kind , o No t 17} Domestic Inclnsratgrs 4.50
j • i't C ^ rr miercai or aua��la� type lcine•ator �A
J _
AcrI _ 3 0
9 .a . ' sc ,I , of 4Jrrt r” 1 O.Q
1 I , 9 , Re pH r un,ts
icrsi -•-t 1
rJOss c- C_ ,.e �, 1� +'vVooa stove — ____.__- _ 4,50
r 'ect s o;',. i• ;d C A: ; be reo.+ 1a
Ei c alias (.alts. i t i 4.50
i Type • _ .1: •,- ra.,,rel gas C ' cn, 0 G 3.:',riC - 2 1 viotheb dryer. etc
a f he�+l~ xwgs' tiat i have rear c that } F 22) Other ur its -- --1 4.50
a apt a c ■ "s ..f rna ;;n
given is c-i •.,a, ' 'e JW+'s" Cr a star, t t r _,..
the owner/4 s 1 s• , ib aY o i 23, use p p hg 0 -e t0 'our .0 4.50
210 � —� - I a ~ce ,� -- apt ^te a Sae footnote l __�
� ; afore than a•ce put e: ( asc!-) 2.00
St L ofOune'A ,or,t -.j 2a
.._
• = - ate
�Q Z7Rf -{Z 3hD - c} III 60 i MI
Contact Person Name ;no l I . nlmu>�+ Permit Fes 826.00 SUBTOTAL �Jf ' • !r , ` l� f( f � r `'
�� r rr,,Ui
.,-ir,. Ih +
5% SURCHARGE l `+' 111 ,- , • OE
Poonotes for commercial projects only: + �` "'""�— ---- PLAN REvtEbV25% OF 5U5 TOTAL 4' „ ++" pl + r I
1. Provide full schematic of exlstlr Re ulred for ALL commercial •armi TA
i N'� � � e tl ; b
g and proposed ga; ;lint and preset re. � , i "' r� '
a 2. Provide drawings to scale snowing existfny and p rl, mec hanic, I 14
T01AL df 1 { is! ''
units. 1 it. ,l iii �t '
0 3'
---__ - + 'State Contractor Boiler Csrtl cation rtgUlfetl
** Residential A/C requires site plan showing placement of unit
I :lrnechperm dcc • r+ .: 449
. 03/31/18'39 21:B 503-590-8391 RTMCO PAGE 05
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
) Date Requested 14 M t AM PM BLD
Location / 11 ,'5� i( (4 z Suite MEC 17 - 7 S1'
Contact Person Ph PLM
Contractor , , _ Ph r SWR
BUILDING Tenant/Owner � 6�✓ - ��( f��G j� /d. ELC i 9 q w�
Retaining Wall ELR
Footing
3 L� n / J 30 FPS
Founndation Cam'
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 1 Si: , w v l SIT
Post & Beam
Ext Sheath/Shear 1 th /Shear Zl ( , -t -- 4 -
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire Sprinkler /999 - �r
Fire A /4/ /999 /J _` ` C
Fire Alarm � G y /�`�
Susp'd Ceiling 6/f G / C19 - Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam /64_,\
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In .
Gas Line
Smoke Dampers
Aff
•A PART FAIL
TRICAL
Service
Rough In C
UG /Slab
Low Voltage
Fire Alarm
! ART FAIL
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 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.