Permit A, CITY OF TIGAR �_� ��' PERMIT
DEVELOPMENT ~="�� °�~~��" "°"��"� " ~��~" «�n~�u~~� PERMIT # ^ MEC97-0153
��' ��� 13125 SNK Hall 8hvd.. Tigard, OR9Z223 (03)G39-4/7/ DATE ISSUED: 05/27/97
PARCEL: 2S111CB-01726
SITE ADDRESS...: 10470 SW KABLE ST
SUBDIVISION ^ HOOD VIEW NO.2 ZONING: R-3.5
BLOCK ^ LOT ^25 JURISDICTION: TIG
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CLASS OF WORK..:ADD FLOOR FURN ^ 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:H2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ^ 0 BOILERS/COMPRESSORS HOODS...,...: 0
FUEL TYPES 0-3 HP - 1 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.: 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: instl 1 furnace ducts/vents, 1 boiler/comphe± pomp a/c // job 0 88W87
Owner: FEES
TERRY/FERN SMITH type amount by date recpt
10470 SW KABLE ST PRMT $ 25.00 TAT 05/27/97 97-295103
TIGARD OR 97223 5PCT $ 1.25 TAT 05/27/97 97-295103
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Phone #: 639-5893 •
Contractor:
_
Phone #: $ 26.25 TOTAL
Reg #..:
RECUT RED 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 Mechanical Insp
applicable laws. All work will be done in accordance with Misc. Inspection
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.
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Permittee Signa u e:
Issued By: / ^ ^N � - � ^liir
C 1 for inspection — 639-4175
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Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125W HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 (�� Date to DST
Print or Type • Permit n 53
Called
Incomplete or illegible applications will not be accepted
tion
4 1 ! V S i ±h Ta ble 1A Mechanical Code QTY PRICE AMT
street A) Permit Fee -0- -0- 10.00
A
Job
r (C SW -C \h\L r
Bags GryiState Zip B) Supplemental Permit 3
Nate (cx name or business) 1.) Furnace to 100,000 BTU 6.00
Owner ind. ducts & vents
t .
2.) Furnace 100,000 BTU + 7.50
• ind. ducts & vents
�(,� l I ( ° 1 .1 r 13 3.) Floov 6.00
Na 13 1
e or nart1O /n � Ct business) 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Occupant Mailing Address 5.) Vent not incl. in 3.00
appliance permit
City/srdte Zw l Phone 6.) Boiler or comp, heat pump, air cond. 6.00 (p P
to 3 HP: absorp unit to 100K BTU
i e ` o C 7.) Boiler or comp, heat pump, air cond. 11.00
1 1 1 ( 3-15 HP: absorp unit to 500K BTU
•
Contractor A. / 2/J'<__ 8.) H or comp, heat absorp unit 5-1 pump, air cond. T 15.00 •
Attach c a `i NI t Uf Am
v y 2. - 1 3 9 . 2) 9.) 3Q HP; mp, hea nii p 11.75 rr nd. 2250
Current Licenses r
Qteg c. n > r, Board uea p.,Dare 10.) Boiler or heat
(`re G` Ilbare �p pump, air cond. 37.50
d > 50 HP: absorp unit 1.75 mil BTU
CO Business T au or Metros Exp. 11.) Air handling unit to 4.50
l- } I Io ri 10.000 cFM
Architect Name 12.) Air handling unit 7.50
10.000 CTM +
or Ma's Manus • 13.) Non portable 4.50
evaporate cooler
Engineer cayrstate Zip Prone 14.) Vent fan connected 3.00
Describe work New O itiornoh-r�s Alteration 0 Repair 0 15.) Ventilation a single duct
entilation system not 4.50
to be done Residential' N idential O inducted in appliance permit
Additional Description of rk 16.) Hood served by
mechanical exhaust 4.50
- 17) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Clothes dryers, etc. 4.50
Proposed use of 20) Other units 4.50
building or property • .
Type of fuel - oil 0 natural gas LPG 0 electric 0 • 21) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 22) More than 4 -per outlet (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL 2�`'"
laws. L ✓
Signature of OwnerlAgent Date 'SUBTOTAL
link SA (1 n/It/ 22,3-- / �� 5% SURCHARGE I
Contact Person I ' � / Y Phone `� PLAN REVIEW 25% OF
SUBTOTAL
TOTAL 2LQr
i-`dst4nechpmcdoc ��
- Minimum permit fee is 525 + 5% surcharge
Rev 7/96
~ - 77 , 1 �
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Rule Layout � Q •
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Windows Windows '
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Doors Walls Roof Floors
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CITY OF TIGARD BUILDING INSPECTION DIVISION
--79') 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 6//6/9 7 A.M. if P.M. MST:
Location: /C 4 c -3 - 60 kai (Y► -C.. BUP:
Tenant: Suite: Bldg: MEC: 7 7-�/S?
Contractor: C:;� 5 L.4 77/) Phone: 2 2.3-- 4 13 9' 3 k n PLM:
Owner: 7rOS
�✓ Phone: ELC
ELR:
tiU SIT:
BUILDING BLDG (con't) PLUMBING u I a . ►I • � F • 1 • 11-PP.. SITE
Site Post/Beam Post/Beam 'os :eam . ° ice Sewer /Storm
• Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved ,,.. roved , A.'rov:.o Approved
Appr /Sdwlk Not Approved Not Approved No , : • • ved 1 o A ! a . - d Not Approved
FINAL FINAL • INAL - 1 FINAL
a
5i' 0, r/ , 4 7 /4' � 2 q TM. v� A-ir s 7D A'7 , 1i � / 4 '
O Call for reinspect' n 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: i / Date: ( ( /2 Page of