Permit CITY OF TIGARD
MECHANICAL
, DEVE SERVICES PERMIT #PERMIT ° MEC98 -0546
DATE ISSUED: 12/04/98
PARCEL: 2S11ODC -90142
SITE ADDRESS...: 15655 SW 114TH CT #14
SUBDIVISION FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK..........: LOT °•• °• °••• ° °•° :014 JURISDICTION: TIG
CLASS OF WORK °. :ALT 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
: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 f 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS•: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installation of gas fireplace insert to residence.
Owner: FEES
SUE CHRISTENSON type amount by date recpt
15655 SW 114TH CT PRMT $ 25.00 DLH 12/04/98 98- 311289
TIGARD OR 97224 SPCT $ 1.25 DLH 12/04/98 98- 311289
Phone #: 620 -4241
•
Contractor: -
CHIMNEY TEN. INC
•
6865 NE 42ND AVE
$ 26.25 TOTAL
PORTLAND OR 97218
Phone #: 281 -9183
Reg #. • : 126173
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 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 OAR 952-001- viv. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)245 -9187.
Issue By: /,1 /Jk - Permittee Signature:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + +' + + + + + ++
Call 639 -4175 by 7 :00 p.m° for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
CITY OF TIGARD Mechanical Permit Application
Pla'Check#
Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd /2/ VA!"
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 /r) 1' Date to DST
Print or Type Permit # t'l& e 9P Osyy
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee ,. 10.00
1) Furnace to 100,000 BTU
Address i$65 Ss AJ. fp( rr e7. / including ducts & vents 6.00
Bldg# City/State Zip 2) Furnace 100,000 BTU+
6k/et� i2e , 97.7-24 including ducts & vents 7.50
Name (or name of business) / 3) Floor Furnace
Owner SUE Cd//e1 S i E/t.) So including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00
5 r 5) Vent not included in appliance permit
City/State Zip Phone 3.00
4 -yzy/ CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp **
S/ft 6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP;absorb unit
City/State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb .
unit .5 -1 mil BTU 15.00
Contractor Name 9) 30 -50 HP; absorb
CNilr.M/E)r - j,cie unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
5
issuance, a copy 68. J.G. '/ �'
Z 4✓E- Sw 17-&- g >1.75 mil BTU 37.50
of all licenses Ry /State Zip Phone 11) Air handling unit to 10,000 CFM
are required if / fl.AM U • 97,21 g agI - 9 i g 3 4.50
expired in COT Oregon Const. Cdnt. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database / & / 73 i t 11 -OD 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or
Mailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City/State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential Commercial 0 18) Commercial or industrial type incinerator
/ 30.00
Additional information or description of work: 19) Repair units
/ S T4-LL -1 0 A/ 20) Wood stove 4.50
G AS o
Ga EP�ce- i/vsE7z,T
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas y_ LPG 0 electric 0 22) Other units /
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets
given is correct, that I am the owner or authorized agent of 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of Owner /Agent Date ���
Minimum Permit Fee $25.00 SUBTOTAL _ OU
2 /. T 0 5 %SURCHARGE /'?
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
vi
/ Required for ALL commercial permits only
S TKl L
7. 4J/ SD /V 2ieP/ -9/eP3 TOTAL S
*State Contractor Boiler Certification required
* *Residential NC requires site plan showing placement of unit
1:\mechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
Date Requested t( / I G� [ AM PM BLD
Location I ,61.0 5 /� 7`i'_ ( Suite MEC
Contact Person Ilk ' L4t i _ /1 . - _ Ph ,9-- — c ( 1 g 3 PLM
Contractor (� '' Ph .4/ SWR
BUILDING Tenant/ 210 o ELC
Retaining Wall ELR 1
Footing Access:
Foundation FPS,
Ftg Drain SGN -
Crawl Drain Inspection Notes:
Slab SIT MOI
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear /� ��
Framing l
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm •A �
Susp'd Ceiling ®'/ �- �V ' ALA
Roof
Misc: GAP � � J C %Z
� L �4 Z
Final /
PASS PART FAIL - ! /d -
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
P• :eam
-ou.h In
Gas Line
- -: am p
' PART FAIL
EL 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
Other oach /Sidewalk Date y • 13 ( ii Inspector Ext ( f t / V
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.