Permit CITY OF T MECHAN I CAL
DEVELOPMENT SERVICES PERMIT
4,6 PERMIT # MEC98 -0115
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 04/01/98
PARCEL: 26115AA -03800
SITE ADDRESS....: 10591 SW KENT ST
SUBDIVISION - DOVER LANDING NO.2 ZONING: R -4.5
BLOCK ° LOT .............:O77 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/0 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 : Installing exterior A/C unit. Unit must not encroach into 5' side or
rear yard setbacks.
Owner: FEES
JOE DAVIS type amount by date recpt
10591 SW KENT .PRMT $ E5. O0 DLH 04/01/98 98- 304591
TIGARD OR 97224 5PCT $ 1.85 DLH 04/01/98 98- 304591
Phone #:
Contractor:
DIRECT A I RE
2208 NW BIRDSDALE
STE 10 $ 26.25 TOTAL
GRESHAM OR 97010
Phone #:
Reg #..: 000744
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 Lint 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. 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
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(503)246 -9187.
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Issue By:_ !` % %! _ _ Permittee Signature: ,Y
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By A
13125 SW HALL BLVD. Commercial and Residentidi ECEIVED Date Rec'd y //19,P
TIGARD, d RD, R 97223 Date to P.E.
(503) _ 639 -4171, x304 APR 0 1 1998 Date to DST
Print or Type n Permit# / -D/I5
COMI UNITY DEVELOPMENT Called
Incomplete or illegible applications will not be accepted 77G
Name of Development/Project Description
Table 1A Mechanical Code CITY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address 10591 Si Kart
Bldg# City /State Zip 1.) Furnace to 100,000 BTU 6.00
Tigard, CR 97224 including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner ,7 Eavis including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
10591 SW Kart including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
Tied, CR 97224 684 -8268 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Sane AS Alx ie
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
• to 3 HP; absorb unit to 100K BUT
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU" '
Contractor Name _ 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to pint Aire 15-30 HP; absorb unit5 -1 mil BTU"
issuance Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
applicant 2208 Ian] Rirrsdale, St #10 30-50 HP; absorb unit 1- 1.75mil BTU"
must provide all City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor GrtaEhallt, CR 97030 666 -2691 dp > 50 HP; absorb unit 1.75 mil BTU"
license Oregon Const_ Cont. Board Licit Exp. Date Air handling unit to 10,000 CFM 4.50 Ai 6
information 74488 ( /lo /qP ✓ 1
for COT COT Business Tax or Metro # Exp. Date - 12.) Air handling unit 10,000 CFM 7.50
database). - 14 Q7 4/99
Architect Name 13.)' Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work 17.) Domestic incinerators 7.50
•Irsta11 C rrIer 2 tai 38I'Z'A Air C ixhtacrer. 18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property Hare
20.) Wood stove • 4.50
Proposed use of 21.) Clothes dryer, etc. _ 4.50
building or property Ibte
22.) Other units 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (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 C;,i
laws. V
Signature of Owner /Agent Date,3 /26/' *SUBTOTAL A . C ` s /
5% SURCHARGE
� /E?�19 -, f f-�N 41y9il f t & 1- a (o(r - 2Lac(I /
Contact Person Name Q ` fiN`aa Phone PLAN REVIEW 25% OF SUBTOTAL
TOTAL
� o , q' ^ .► s�SI.G� j. stlmechp oc (rev 9 �� 'M inimum permit fee is S25 + 5 /o surcharge
"Residential A/C requires site plan showing placement of unit.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
'i/q i Date Requested - 7' 0 r PM BLD
Location I OSR l L(.l / o/i4 Suite MEC W-0115
Contact Person /t , Ph 666-2;11491 PLM
Contractor L(JLP? C. W 1 _ Ph SWR
BUILDING•, ° , , Tenant/Owner JO Da 4s ELC -
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab Q,,�,, ,, �� SIT
Post &Beam a''�'PatLel�"1 t /L- `�'k elite
Ext Sheath /Shear "' °'�-�
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall O/(1-e. �/�
Fire Sprinkler l/r , 4
Fire Alarm
Susp'd Ceiling
Roof / -• < T
Misc: •• / /
Final
PASS PART FAIL
PLUMBING: 0.
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains .
Final
P FAIL
( 4,11111E0HAN10 —
Post & Beam
Rogh Li In
G Line In a Li
ke Dampers
I
PASS PART FAIL
ELECTRICA , 3` !;
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at Cit II, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: nable to inspect - no access
ADA — -----/�
Approach /Sidewalk /,
Other Date 0 Inspector -- Ext
Final �.
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 ;
c� p BUP [ j
- 0/0ct„zi Date Requested o a-7 ( ' AM PM BLD
Location 10 1 ` L() 4t Suite MEC C iE - 01 /5
Contact Person C � Ph (2I7 [1 —26,9f PLM
Contractor Zu Ph SWR �? c�—
BUILDING �:z Tenant/Owner ELC - 1,c
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & BeamPrAA0
Ext Sheath /Shear 0
, Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 6,c77%/9/
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
T FAIL
S ECHANICAL
Post & Beam
Rough Ini(/ •
Gas Line II 1I
S •klDampers
,-a7Et;1 • • R FAIL
4
Service
Rough V
UG /Slab
d
Low Voltage
Fi - • larm
•
'`.4P ART FAIL
SI, ;' ; °.. k ....
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 7 — Approach/Sidewalk —
Other Date i Inspector O_ Ext
Final
PASS PART .FAIL DO NOT REMOVE this inspection record from the job site.