Permit � r
I
C ITY OF TIGARD MECHANICAL PERMIT
,r� DEVELOPMENT SERVICES PERMIT #: MEC1999 -00165
r ' - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/19/99
PARCEL: 2S104BA -15500
SITE ADDRESS: 13550 SW LIDEN DR
SUBDIVISION: CASTLE HILL NO. 3 ZONING: R -12
BLOCK: LOT: 185 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: •
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Add air conditioner. A/C units cannot be placed within the required setback areas.
Owner: FEES
GRANT, PAT & JUDI Type By Date Amount Receipt
13550 SW LIDEN DR PRMT GEO 4/19/99 $25.00 99- 314630
TIGARD, OR 97223 5PCT GEO 4/19/99 $1.75 99- 314630
Total $26.75
Phone:
Contractor:
CLIMATE CONTROL INC
3315 NW 26TH AVE
PORTLAND, OR 97210 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 223 -4393 Final Inspection
Reg #: LIC 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain op of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: - �/ Permittee Signature: ,..-770.,041-e9
Call (5 ' ) 639 -4175 by 7:00 P.M. for inspections needed the next business day
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. . RECEIVED
APR 16 19 Plan Check #
CITY OF TIGARD COMMUN OEVELJPMEN hanical Permit Application Rec'd By
13125 SW HALL BLVD. c ommercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Permit #AfB&i M411110/45
• Print or Type
Called
Incomplete or illegible applications will not be accepted
Name of Development/ProJed Description
Table 1A Mechanical Code Qty Price Amt
• S treet Address S uite# A) Permit Fee 10.00
Job ` 1) Furnace to 100,000 BTU
Address I S S'::%. 5.,1/4) Liclevl 17C._ including ducts & vents 6.00
etdga City/State ZIP 2) Furnace 100,000 BTU+
k D(2. q 177.R including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace � 7 including vent 6.00
Owner - 516.(\k 1 C o. )-c 4) Suspended heater, wall heater
Mailing Address U c� or floor mounted heater 6.00
\ 0 S Ll■D L'(\ -Q. a 1 . 5) Vent not included in appliance permit
City/State Zip ph one { 3.00
1 Rr \ OZ 11. < 9 - q0 -Z CHECK ALL 'Boiler Heat Air
Name tar name business) Comp APPLY: or Pump Cond Oty Price Amt
c Comp
vCiJ \ Vr,Z.N -4r �9L� 6) <3HP;absorb unit to /_ c o
Occupant Mailing Address 1 00K BTU 6.00 (O
k7--,5S 0 5s, Vic&,- �` - > 7) 3 -15 HP;absorb unit
City/State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
- (-) O.Q. C a/II 5cin -ys 1 unit .5 -1 mil BTU 15.00
Contractor N 9) 30-50 HP; absorb
J no a.-±e, Ur " 7) I unit 1 -1.75 mil BTU 22.50
Prior to permit r+t ailing Address 10) >50HP; absorb unit . '
issuance, a copy SS( C' 1 2.10 11/4 f r • >1.75 mil BTU _ 37.50
of all licenses c /State Zip Phone 11) Air handling unit to 10,000 CFM
are required if { , • f-k a / r1� Q 1 ?J o 3-.y 4.50
expired in COT Oregon Coml. cont. board Lic.a _ Exp. Date 12) Air handling unit 10,000 CFM+
database L' ?_lclu i / / // 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 I Phone appliance permit 4.50 -
16) Hood served by mechanical exhaust
4.50
Describe work to be done: .
17) Domestic incinerators •
New- Repair 0 Replace with like kind: Yes)63No O 7.50
Residential Commercial O 18) Commercial or Industrial type incinerator
• 30.00 •
Additional information or don of work: 19) Repair units
add // t \ -,,�J 4.50
8n descri ir cra 1 C /c7' , 1 1 l< 20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas LPG 0 electric O 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 • 'T_= -7: "4
. . Minimum Permit Fee $25.00 SUBTOTAL (i : � 4,4:3-
`■APP /Z q / 5% SURCHARGE
Contact Pe Phone PLAN REVIEW 25% OF SUBTOTAL ,
Required for ALL commercial permits only
3 �3''J TOTAL F >7/ '
/ J t~ ' f(lP
l 'Slate Boiler Certification required
"Residential NC requires site plan showing placement of unit
1 :lmechperm.doc rev 07/20/98 • . •
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Home Layout
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Windows Windows Doors Walls Roof Floors
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1 '7Z 9 AM PM BLD
Location 1 3550 (,l &L i or Suite MEC 1 q 7 /' CO/CO S
Contact Person 4 f YIA Ph 2, - -(/ /3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing '/ ELF= G.?Zi i. rAPp) 6 -- ?6=
Insulation
Drywall Nailing OA y / `'
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
CHANIC
Post Beam A
Rough In �T •
Gas Line
Smoke Dampers
grin-
PART FAIL
TRICAL
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
Approach /Sidewalk ' — D ate ' >
Other 1 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.