Permit .
, -
CITY OF TIGARD 'AECHANICAL
DEVELOPMENT PERMIT
m�n��o�m.��o n�un�x�o SERVICES PERMIT � : !EC99-N062
4* II. /8/��SN/ Hall BAui 7i�oiQR87��/83>8�3�/7/ '� ^ ^ ~ ^ ^ ' ^ `
-- °-- `- DATE ISSUED: 02/1'/99
. PARCEL: 2S112CC-10900
CITE ADDRESS...: 08283 SW LAYSTREE ST
SUBDIVISION....: LAMGTRE[ ESTATES ZCNINC: 7-"2
BLOCK..........: . . . . . . . . . : LCT. . . . . . . . . . . . . :6�41 JURISDICTION: TIG
_____________________________
CLASS OF WOR! FLOOR FURN....: 0 EVAP COOLERS; (^
TYPE OF USE,. . :GF UNIT HEATERS..: 0 VENT FANS,. . : 69
OCCUPANCY GRP..:Q3 VENTS H/O qnP z 0 VENT SYSTFM3: 0
STORIES.....,..: 0 BOILERS/COMPRESSORS HOODS.......; 0
FUEL TYPES----~------' 0-3 HP....: 0 DOMFS. INCIN: 0
:GAS 3-15 HP.,..: 0 COML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS?..: 30-50 HP....: 0 WOODSTOVE5..: 0
GAS PRESSURE...: 50+ HP....: 0 CLO DRYERG..1 0
NO OF UNITS---------- AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 1 <= 100061 zfn 0 fYIS OUTLETS.; 0
FURN >=100K BTU: 0 > 10000 cfm: 0
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Remar!-cs: Installation of new furnace.
Owner: -------- - - FEES - -
JUDD JOHNSON • type amount by data .
4.
TANGLEWOOD DR PRMT $ 25.00 DRA 02/11/99 99-312878
LAKE OSWEG2 OR 97035 5PCT $ 1.25 D9A 02/11/99 99-312878
•
Phone #:
Contractor: ---- . -----
SUNSET FUEL CO
PO BOX 42287 --- ---------_:--
t 2.25 TOTAL
PORTLAND OR 97242
Phone #: 503-234-0611
Reg #".: 000023
------- REQUIRED INSPECTIONS -
This percit is issued subject to the regulations contained in the Mechanical Insp _
Ti �d Municipal Code State sf Ore. Specialty Codes and all other Heat in] Lint Insp _' ___ ____
applicable laws. All work will be done in accordance with Final Inspection . _
approved plans. This pernit will expire if work is not started __ _________ _ ___ _
xithin 180 days of issuance, or if work is suspended for _ _____ . __ .
than 10; days. ATTE%TlUN: Oregon luwraquire ym to follow rules _ _______ ______ ______
adopted by the Cregon Utility Notification Center. Those rules are __ ___ __ ____ ___ ________ _
set forth in OAR 952-301-C310 through OAR 952-C21-0080. You oay - - ___ ________
obtain copies of these rules or direct questions to OUrC by callirD ____ _ ______ ____________ ___
(503)2aS-187, _
.
/
Issue By: __ ' "�^v' Permittee Signature: .--,0____;),1„.-k__ ,24a_______
+++++++++++++++++++++++++++++++++++++++++..++++++++++++++++++++*+++++++++++
Ce131 639-4175 by 7:00 p.n. for inspe'ztio,ls needed .- ,7. :e bosiress day
�++++++++++++++++++++++++++++++++++++++++++++++++++++-:
•
I■
RECEIVED
City of Tigard FEB 1 1 199 VECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
COMMUNITY DEVELOPMENT
Tigard, OR 97223 �
H) �� : 00b
(503) 639 -4171 =
Nan.. 01 G.v.lupnuu ... Description - I —
Table 3A Mechanical Code QTY 'RICE AMT
Job pl :? s Ste 29/2 ,-1j'e'e SA 4 1) Permit Fee -0- -0- 10.00
Address cuyrs.at. Lp
- J , 1 gi-61 7 D i ? (71 j 2) Supplemental Permit 3.00
N « ,,a °i. ° "y F urnace to 100,000 BTU
� LAC ) J h L.�
V �1 d /7/76e:Y1 1) incl. ducts & vents 6.00 •
m.,.•., 1.64.. �� w
/� ^ 1 Furnace 100900 BTU
Owner � / ) LGfriA491 �v 2) incl. ducts 8 vents - -- -- � 7.50 —
LP i"_ Floor Fumance. 2_19 � 4 ' 1) ", - e) � 7G235 3) incl. vent ' 6.00
Nagy t" Nam. °"'e" ° "y Suspended heater, wall heater
4) or floor mounted heater (:.00
—7;( "''v Ado. "~ ^ Vent not incl. in
Occupant
5) appliance permit City/Stata Lp Repair of heating, ref rig.
6) cooling, absorption unit 6.00
Na Boiler or comp, heat pump, air cond.
.__,J C lAC\c'Z.- u�
', 7) to 3 HP absorp unit to 100K BTU 6.00
Mai °d°`°" Phew Boiler or comp, heat pump, air cond.
Contractor Po e t x 4 .4x.1.1. - 1 ?3y -o10 ti 8) 3 -15 HP absorp unit to 500K BTU 11.00
crty-s °'° zip Boiler or comp, heat pump, air cond.
CbrAok Ca 11th ®e,- 6 11.' 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00
Sta. a.gt..as. No. c y & . Tax No. Boiler or comp, heat pump, air cond.
57 C:D 3Q. 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. [ ^ I
information given is correct, that I am the owner or authorized anent 11) > 50 HP absorp unit 1.75 nail 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 + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
'� O / � 1 L ����2, /�/"� 16) included in appliance permit 4.50
,<. t`°"°`°. «'3"'U / Hood -= r�4— Hood served by •
17) mechanical exhaust 4.50
Describe work new addition alteration repair iT Commercial or industrial
to be done reside ial 0 non - residential 0 18) type indnerator 30.00 ,it
xisting use o Other i.e., woodstove, water �!
building or property 19) heater, solar, clothes dryers, etc. 4.50 ii
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
yp 0 natural gas LPG Q electric Q
NOTICE
Minimum Fee $25.00 SUBTOTAL !7 ,ip
PERMITS BECOME VOID IF WORK OR CONSTRUCTION �h 7
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE )kiZ5
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 - ACId
Special Conditions
Date issued by
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
0 Date Requested ��� / 9 AM FPM BUP
BLD
Location , �1 J ��%12 - Suite MEC 77-4J
Contact Person Ph 061 PLM
Contractor Ph SWR
BUILDING;` Tenant/Owner ELC r
Retaining Wall ELR F
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing - / � L �� .� I - -1
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final,
PASS PART FAIL
EcHANICi4L .: °A
Post & Beam
'Rough�n
Gas Line
Smoke Dampers
anal
S FAIL
ELECTRICAL °
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE "x` r1`:,a .
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 — �j —
Approach /Sidewalk Date 2� t / nspecor Ext VI It Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site