Permit CITY OF T MECHAN I CAL
i i�,1 DEVELOPMENT SERVICES PERMIT
�'i.,m ,i �jll� PERMIT # MEC97 -0158
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/ 30 ME 9 C 7 97-0158
PARCEL: 1S133DC -16700
SITE ADDRESS...: 13112 SW LAURMONT DR
SUBDIVISION....: VILLAGE AT SUUMMER LAKE PARK ZONING: R -12
BLOCK • LOT :22 JURISDICTION: TIG
CLASS OF WORK..:ALT 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 ° 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 C 1O0K BTU: 1 t= 10000 cfm: 1 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : instl furnance ducts & vents, & air handling unit II air conditioning
units cannot be placed outside setbacks
Owner: FEES
PAUL EVERETT type amount by date recpt
13112 SW LAURMONT DR PRMT $ 25.00 JDA 05/30/97 97- 295200
TIGARD OR 97223 SPCT $ 1.25 JDA 05/30/97 97- 295200
Phone #: 598 -8412
Contract or:
MCCALL HEATING & COOLING CO
1650 NE LOMBARD
PORTLAND OR 97211
Phone #: 503- 231 -3311 $ 26.25 TOTAL
Reg #.. : 001020
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection
applicable laws. All work will be done in accordance with Final Inspection
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.
Permittee Sign ure: � I4i L. TO
Issued By: 4 111
Call for inspection — 639 -4175
Citv�'of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 s Hall B
w lvd. APPLICATION Permit # n1`tq1 —C))6?
Tigard, / 1 - OR 97223
(503) 639 -4171
Name of Devebpment Description
- nAktiA 1 k Ls Table 3A Mechanical Code QTY PRICE AMT
Admew
Job 1 ': \ \ a � l a r inn ic,. ` c�) r 1) Permit Fee -0- -0- 10.00
Address !State cc
7 L q *. CA t Q P- Q'�A ?� 2) Supplemental Permit 3.00
Name4ot me of busmen) Furnace to 100,000 BTU /
n] l i. J ' v` �1 ( l 1) incl. ducts & vents \ 6.00 . 0 ,
°�^g ° q ur rn o tti Pt'o o ry . Furnace 100,000 BTU +
Owner • \,11 0—S Lo LA � t 2) incl. ducts & vents 7.50
State Floor Furnance
o&r Q C t - 7 2 3) incl. vent 6.00
Name (or
e of buaeu) Suspended heater, wall heater
4) or floor mounted heater 6.00
Wising Address Phone Vent not incl. in
Occupant 5) appliance permit 3.00
GtylState rre Repair of heating, refng.
6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
Mang A —� (' \ ^C(\CC � e 7) to 3 HP; absorp unit to 100K BTU 6.00
Boiler or comp, heat pump, air cond.
Contractor
6? O N E )° rtiba roiS'(' / � , 33 1 1 8) 3 -15 HP; absorp unit to 500K BTU 11.00
CA l ta1e ! rw
� Boiler or comp, heat pump, air cond.
k 6 r l (cx n 4 C P-- O) J , J) 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
State Regotratton No. ` onr eoa. a: No Boiler or comp, heat pump, air cond.
.QD..C� t cs'o 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, at the ' Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM \ 4.50 4, F
Board, that the number given is correct. (If exempt from State Air handling unit
registration, 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
16) included in appliance permit 4.50
S,¢tature (owner or agent) O Hood served by
c tent.1 (1 % q 17) mechanical exhaust 4.50
eescriae wa•� new • aeeition • alteration • repair 6 Commercial or industrial
to be done residential a non - residential 0 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 a .
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil Q natural gas 321 LPG 0 electric 0
NOTICE
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1,13,
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
Special Conditions
Date issued by .
H:LLOGIMOSTS\MEOHPMT
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°an
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.:T.-ti.-:=-- Job -.:.--,:.: f--. ‘-: v• . yr.
NTuf 1) ::- Pennit Fee: .----.-:- .- '...7'..'.•••: ..., *-0-%-. • -0- 10.00
-: - -.7 Address .-_!---, ----.7:-.4. - ,---..,::•,..:::,i,:- _
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••'- .- eik -Is: uk .," 0 F...:f --.L - 2) Supplemental Pernik ' . ' -,--- - f . '. • -. ...." 3.00
Flunsie4r.• el busolosii' -...,., Furnace to 100,000 BTU
. .. .
'-'- 1) incl. ducts & vents • . \ 6.00
• _,Sact-Fq la Furnace 100,000 BTU +
2) incl. ducts & vents
7.50
Owner • \,1.1 A--SLIDA.L.kr ry-ton.1 -V IN -
...roam. Floor Fumance
La. o■r (") 'e,.._ k.-701.-.2. 3) incL vent 6.00 •
-
Pimne torolpe al Mani% Suspencreo neater, wail heater
- 4) or floor mounted heater 6.00
_ . ..
Immo Agora, Pnone Vent not incl. in
Occu pant
5) appliance permit . 3.00
/ . _ Repair of neaung. remg. , , ,. •.::„.„ .. _,
• . --
-.-' : ' '-• 6) :.: cooling, absorption unk"-: :,..::•, ..:•_-::,'....-- • 6.00. - 2-:. -
- •:
1...... -..-... Boiler or comp, neat pump, air cono.„. ;:„. ,,,. ....:.,..; .. : .
':-"-•' : - • ,,..r.g c-c..7 1 (" ( c ,, \\ '\c-LC c :::: :: •-2, , 7):-,:. to 3 HP; absorp unit to 100K STIV ::_:!.::- .. .::: 6.00
:,-...-
o - - - _ ;-.,. 8)::: :3-15 .HP; absorn irk hi 5001cBTU 11.00::
-•: :.-_;
Cntractor .- ::;.'
\ILL, N 6 Lor,lockr-dst ,3) 3_3 11 .._: , .
,
". -- :i - Ki:A; -- -- - • f
„'._ : k Ft ( i R cp... 0,-) iv . ,..„.. 9).-. 15-30 HP; absoni unit_5-1 mil MI 6 ---..-. - 15.00
• l ,. -
, _ , , , _ , •IY b...7 '..„'... :- _ BOlief or comp, heat pump, air zond.....- ,i,t,,, .‘._ , ---• -:::::": ;?-::::,. :•._ ,
..:.•- _‘: ._ .,
(501 . . CSS : . ) .' li 10) 30-50 HP; absorpunill-1.75 rig BTU •-: 22
--:';':,
Thereny ea/al ge tnat I nave reaa is application, that the :.,• . :,.. Boller or comp, heat pump, air cond.,.: -
: _.,
information g* is correct, that I am the owner or authorized . '--...-,• :',.: 11) > 50 HP; absorp und 1.75 Mil E3Tlic.":"0 --' ;' , ......ti j': 37.50
• _
agent_ of the owner, that plans submitted are in compliance with '• ;', . Air handling unit to - ,,.• : . -- - i,.
State laws, that I am registered with the Construction Contractor's" .• 12) 10,000 CFM -. 4.50 4 „, - -
BOard,•. that the number given is correct (If exempt from State :,:"':•- _ • Air handling and . -: • - • • •. , • . .. .: _ . . • registration:. please give reason below.) . . ' 13) 10,000 CTM + - , - . .. -. • . .. . .
, . . . .. .
. 7.50 •.: -..;:
- . - i___,:wht,',";',1 - ;. 1 -1‘.., '.:'''.;„ - : •i- .:-._'--. : • • '" . . Non portal* . . . . .. .
::,'.-.- g -_, : • :: 2:...-::: ..! - - - •• .. 14) evaporate cooler ' •-
• : . 4.50
- 4, - „ - : - .: : is. - i _:,..1., _- - _.-:: " • •
- Vent fan connecteo .
. •. - : . 15) to a single duct 3.00 l .
Ventilation system not
- 16) ' included in appliance permit . . 4.50 . .
Sognstwa owner or pow , Dam How served by .
- • . . _. . . _ .-:
\-Jk -c Ift. .3,,,Ast . - 17) mechanical exhaust . - . -. „.-- -.1- •, .• 450
' Describe new addition 0. alteration (..) repair 0 1_ ,-.:..,;._, Commercial or inoustrial .._ ..,-.., -. „„:..,,.,_:, , ,.... 2 :.,•,, ,,: -._,:,.. : :• ...
to be done . residential ist non-residentiat 0 •: ' .: ":;:::'.' , 18) type incinerator ', - .'-': . ''7•";- , : •T' 30.00 '. ' , -
Existing use or . . .; Other i.e., wooastove, 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 .
• , ..lilt,..e.: - i , 7..• ,',. ';-: . • . :
- •
'f ''' ' .-'„,. - : ,. r ""` .:, __. :: ' -: , . : ..' 21) More than 4-per outlet' (each) " - . • 2.00
Type 4fuel 7 oil C5 . . natural gas p:
LPG O.. electric 0 .
•
AtiTrtVri.gti-i..;: r. - - - 1 " -::.:. •-. : '- --. '-.• . _
NOTICE _ ... . , • .. .. _ . , .: • - • • ir. :: ' :.-
. 7 . -. • ., ., . . .-- -- --
7,- '-'• , . • .. . Minimum Fee 325.00 :• SUBTOTAL - • -..- '-'. c?..Z Pi
_ .
-14 .
eERMITS BECOME VOID IF WORK OR CONSTRUCTION :- : . . . _ -.... . .. ___. .
- -i....
.-,-- - .AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR ::: 5% SURCHARGE :.•- •: kA36-
. .
.---.$.-- IF CONSTRUCTION OR WORK IS SUSPENDED OR . ' • . . ...
.' FOR A PERIOD OF 180 DAYS AT ANY TIME. PLAN REVIEW 25% OF SUBTOTAL •-, • .
• .4.-Z AFTER WORK IS COMMENCED.' . . .
._; w.i....7i7.. -.-.:: , . ._ . . 1 - --
_ __ - • - - '. . • - - • TOTAL -
Special Conditions
•
Date issued by -
KILOGIMOSTSWECPIPUT
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: [2-1'97 A.M. P.M. MST:
Location: / 3 (12- ' -GO { 1 t BUP: q
Tenant: Suite: Bldg: CMEC�J / 7- O /58
Contractor: Phone: 3 (- Z- 3 (( PLM:
Owner: Phone: ELC:
ELR:
-7 r SIT:
BUILDING BLDG (con't) PLUMBING . MECHANICAL � 1 i, SITE
Site Post/Beam Post/Beam Pos r : eam •� Sewer/Storm
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinlder
Foundation Insulation Sewer • Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Fuinace • Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat • u e Low Volt
Approved Approved A .proved Approved Approved
Appr /Sdwlk Not Approved Not Approved o ed No _ ..roved Not Approved
FINAL FINAL _ FINAL
•
0
- O Call -for reins e ' - O Reinspection fee - of - $ -- - - - - required b e f o r e next inspection --- -- - - Unableto inspect - - -
Inspector: Date: 6 /, Page of