Permit MECHANICAL
PERMIT
CITY OF TIGARD . PERMIT #. . . . . . . : MEC94-0105
COMMUNITY DEVELOPMENT DEIPARTMENl[ DATE ISSUED: 04(26/94
13125 SW Hall Blvd. Tigard, Oregon 972e3°8199 (503) 639-4171
PARCEL: 1S133DD-163690
SITE ADDRESS...: 11957 SW 129TH PL
SUBDIVISION....: VILLAGE AT SUMMER LAKE PARK 5 ZONING: R-4.5
BLOCK..........: LOT.............:199
_
CLASS OF WORK..:ADD FLOOR FURN....: EVAP COOLERS:
TYPE OF USE .SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES ...... ..:2 BOILERS/COMPRESSORS HOODS
FUEL TYPES 0-3 HP ^1 DOMES. INCIN:
: /ELE/ / / 3-15 HP ^ COML. INCIN:
MAX INPUT: BTU 15-30 HP....: REPAIR UNITS
FIRE DAMPERS?..: 30-50 HP ^ WOODSTOVES..
GAS PRESSURE...: 50+ HP....: CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.
FURN < 1690K BTU: <= 10000 cfm: GAS OUTLETS. :
FURN >=100K BTU: ) 10000 cfm:
Remarks: AIR CONDITIONER
Owner: FEES —
MICHAEL CLANCY type amount by date recpt
11957 SW 129TH PL PRMT $ 25.00 JG 04/26/94 —
5PCT $ 1.25 JG 04/26/94 —
TIGARD 0 OR 97223
Phone #:
Contractor: ---
TRI—COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKAMAS OR 97015 —
Phone #: 777-3874 OR $ 26.25 TOTAL
Reg #..: 72623
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
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 18N days.
•
Permittee Signature:
��
--
Issued By: ' ^
Call for inspection — 639-4175
•
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW.HaIl Blvd. APPLICATION Permit #
PO Box "23397
Tigard`; OR 97223
(503) 639 -4171
•
- Nam* of Development Description
Table 3A Mechanical Code QTY PRICE AMT
Address
Job 1 ( 4 5 (( St3 oQ i P 1 Permit Fee -0 -0- 10.00
Address City/State bp
r G..A e ,_ A � a �_. 2) Supplemental Permit 3.00
'acne or • o • ems' 1 Furnace to 100,000 BTU
(�'i' m rh 1) incl. ducts & vents 6.00
m".dIne`kdd. Piton* 1 Furnace 100,000 BTU +
Owner j1a.57 SO laa a,e 2) in ducts & vents 7.50
5vw bp Floor Fumance
N3(. no 6 )1eo /Vl `143 3) incl. vent 6.00
Name t°(1' ° 440 o Suspended heater, wall, heater
4) or floor mounted heater 6.00
Mdng Addfe°° Phone Vent not incl. in
Occupant 5) appliance permit 3.00
City/State Zi p Repair of heating, ref rig.
6) cooling, absorption unit 6.00
3 " • Boiler or comp, heat pump, air cond.
�i , CIR14.1 -rQM°;,,/� (� 7) to 3 HP absorp unit to 100K BTU 6.00
Mailing Address - n ^ - n '' Boiler or comp, heat pump, air cond.
Contractor 1 � ( �`' ?/ Cti nA � f r K . 3115 8) 3 -15 HP absorp unit to 500K BTU 11.00
• / t z p Boiler or comp, heat pump, air cond.
i n t )1 t r MMM �i, j a2_ 01.1 1ci,y 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00
Stab neg ai is o. ) Gn Gus. T. No. Boiler or comp, heat pump, air cond. ,
•
ri,a,� 3 of 1/2 5 10 30 -50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50 •
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + I 7.50 q.so
• Non portable
14) evaporate cooler 4.50
Vent fan connected
. 15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
Sgnaax. (owner or agent) Date Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition 0 alteration ice repair 0 ' Commercial or industrial
to be done residential 0 non - residential O / 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
Type of fuel -oil 21) More than 4 -per outlet
T
yp 0 natural gas 0 LPG 0 electric
NOTICE
Minimum Fee $25.00 SUBTOTAL . W
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I.
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 A , j
Special Conditions
Date issued by
ke /MECHPMT
word COmtlav
4//2(074 7hitifCe Cli/x-cy
6P-t-
Lit, Geo
• � n
April 9, 1997
RE: C94 -0105 11957 SW 129TH PLACE 91 ' 3
Our records indicate that you are the current property owner of the above project. As such, we are notifying you that
either no inspections have been conducted on the project authorized by the above noted permit OR inspections(s)
have been conducted but we have no record of any subsequent or fmal inspections within the past 180 days.
Please note that permits become void if there has not been an inspection performed for over 180 days. In that case,
the Building Division may require a new application and fees to continue work; however, you may request additional
time to complete the project without paying additional fees.
Permits and inspections required by the Tigard Municipal Code are an important part of your project. Permits help to
ensure that work is done in compliance with minimum code requirements. Inspections are intended to protect the
occupants of buildings and building owners.
As the current property owner of the above project, you are responsible for obtaining the required inspections. The
responsibility is yours even if you were not the owner at the time of the original permit.
The City would like to work with you to close out this project with steps taken to assure that at least minimum code
compliance has been achieved. This documentation will be helpful to you and future owners of the property.
If you are ready to schedule your next inspection please call our 24 - hour Inspection Recorder at 639 - 4175
within 15 days. Be prepared to provide the following information. Permit number, address of property, your name,
your phone number and the date you are requesting the inspection (inspection times cannot be guaranteed, but you
may request a.m. or p.m.). The City will make every attempt to perform the inspection the day requested, however,
we are expecting a large increase in inspection requests and cannot guarantee a same day inspection.
If you are requesting additional time to complete your project please respond, IN WRITING, within 15 days.
You may request up to 180 days. Please provide the following information: Permit number, address of property, your
name, a day time phone number and the length of additional time you are requesting, including an explanation for the
request.
IF YOU ARE UNSURE ABOUT WHAT PROJECT THIS LETTER IS REGARDING, OR HAVE ANY
QUESTIONS, please contact the Building Division at 639 - 4171 ext. 610 (voice mail). Be prepared to provide the
following information: Permit number, address of property, your name and a day time phone number.
Thank you for your cooperation in this matter. Please note that the City may pursue civil enforcement if work has
proceeded without inspections or if an unfinished project is outstanding. Your prompt attention will resolve this
matter and enable us to provide you with the required inspections.
David Scott, P.E.
Building Official
is \jt\inactive \# 1
7
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing ec .
PIbg.Und /Flr /Slab Plbg. Top Out In tion - Elect.
Post/Beam Struct. f e • . - ou.h -'• Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: k / _ / 4 -c,
q
Date: Ce li-i l -1 (P A.M. P.M. Entry:
Address: // q 57 / 0- 5 ��a�-Q -_-
Tenant: Ste: MST:
BUP:
Con /e): - 9 - 4 3 8'2-- MEC: `e 6 I_
PLM: .
ELC:
THE FOLLOWING CO RECTIONS ARE REQUIRED: ELR:
(1) - / I LL e_An
v\i2...e4L5 .,..., ,.. ;: r - - zrL..x - k...y.--fa /\... i:),., A..
(b 14 ( 7-1J - i - "P 1 .-;\-0--- C) \ c1 1 --- - ‘,.., .
Inspector: ? Date: `-e ( I
_APPROVED SAPPROVED /CALL FOR REINSP. CF CO
''(CCJI
CITY OF TIGARD BUILDING. INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested "- U d AM PM BLD
Location )1 qS /2 ° t 1//1 Pe-• Suite 460 9 Q,S
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Ai NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH SGN
Crawl Drain In'
Slab I NO INSPECTION(S) FOUND IN FILE SIT
Post & Beam el/v
j '
Ext Sheath /Shear
Int F ami nath /Shear r� � / 1-( `/� +
g ( tP
Insulation
Drywall Nailing
Firewall a 6 V; '1 \ ��^ �� ( _
Fire Sprinkler V § -�-e�t
Fire Alarm z " _Q �'� t „ - f--- . .
Susp'd Ceiling �—{� � ""�—r
Roof
Misc:
Final
PASS PART FAIL
PLUMBING ,(' A
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final _. LAA ..; t
PASS PART FAIL
VIECF ANIC
Post & Beam I
Rough
, 1 z 7: 7 ,...-" ---7-------
Gas s Line
Smo Dampers /
•
• PART FAIL
E RICAL
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
Other Date / � ` Inspector Exi ( 9
Final
PASS PART FAIL _ DO NOT REMOVE this inspection record from the job site.