Permit CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
' - I. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE 06/03 -0
PARCEL: 18135CD -06700
SITE ADDRESS...: 09724 SW LONDON CT
SUBDIVISION • LONDON SQUARE NO.2 ZONING: R -25
BLOCK • LOT •19 JURISDICTION: TIG
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/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 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
ur >=I
rOWK BTU! 0 > 10000 cfm: GAS OUTLETS.: 0
Remarks : INSTL 1 BOILER /COMP /HEAT PUMP A/C // AIR CONDITIONINS UNITS CANNOT BE
PLACED OUTSIDE SETBACKS
Owner: FEES
RON LINDSAY type amount by date recpt
9724 SW LONDON CT PRMT $ 25.00 TAT 06/03/97 97- 295384
TIGARD OR 97223 SPCT $ 1.25 TAT 06/03/97 97- 295384
Phone #: 620 -3004
Contract or:
HEATING SPECIALIST INC, THE
9300 NE HALSEY
PORTLAND OR 97220
Phone #: 257 -7000 $ 26.25 TOTAL
Reg #..: 000566
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 Ins p
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within l80 days of issuance, or if work is suspended for more
than l80 days.
P e r m i t t e e S i g n a ur :
Issued By: IAA _w AA/ Alf
A l for inspection — 639 -4175
--
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD,fOR 97223 Date to P.E.
(503) 6394171, x304 Date to DST
Print or Type Permit # u gfragg[•
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code OTZ' PRICE AMT
Job Street Address - SunOS A) Permit Fee -0- -0- 10.00
Address 9 - 1 A `f 5 w 1 -A" • C=
Bldgtl City /state Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner Qo,(• L ` n d Sew including ducts & vents
Mailing Address 3.) Floor Fumace 6.00
9 -7 4 8 w Lo ' 6," C-T including vent
City/State Zip ' Phone 4.) Suspended heater, wall heater 6.00
-tA 9 a or 7 72.1 -3 _ L72_0-3664 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. / 6.00 moo
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 - 2J2_L /fie. - , - i f 15-30 HP; absorb unit. 5-1 mil BTU"
issuance Mailing Address / 9.) Boiler or comp, heat pump, air cond. 22.50
applicant (.3cca €. ill a-Q.�. 30-50 HP: absorb unit 1- 1.75mi1 BTU"
must provide all City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor `-i,�Jc.tQm,1,& Dr 97 - ,z5 - 700 a > 50 HP: absorb unit 1.75 mil BTU"
license Oregon Const. Cont. Board t.ie.a Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
information .5?e & z S - T7
for COT COT Business Tax or Metro 8 Exp. Date 12.) Air handling unit 10,000 CFM 7.50
database). 1 3 "7 0
Architect I 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 Additional 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
18.) Commercial or industrial type 30.00
.ig o_.-7_-C. . ._ ...a/Y! Incinerator
Existing use of , 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of S � 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric0 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
laws.
Signature of Owner/Agent Date 'SUBTOTAL
..2506
5% SURCHARGE
���{{ on �. J , ..3 7, - , ..3 7, - 3 l 9 7 /. ....LS
C`,rftact Pe Name Phone PLAN REVIEW 25% OF SUBTOTAL
•-.1 . Pf- /Sfc.t,s' x'257 - 7ooa TOTAL
bas
iAdst\ mechpmtdoc (rev 9 'Minimum permit fee is S25 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
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12/27/2004
Case Activity Listing 11:00:49AM
TIDEMARK Case #: MEC97 -00168
COMPUTER SYSTEMS. INC.
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
MECA007 Application received 6/3/1997 6/3/1997 None 6/3/1997
TAT
MECA715 Mechanical Insp 6/3/1997 None 6/3/1997
TAT
MECA730 Cooling Unt Insp 6/3/1997 None 6/3/1997
TAT
MECA060 (F) Issue permit 6/3/1997 None PASS TAT 6/3/1997
TAT
MECA800 Case Finaled 1/9/1998 None 1/9/1998
JT
MECA799 Final Inspection 6/3/1997 9/5/1997 None PASS GS 1/9/1998 1/2/98 received letter from heating
JT specialist "unable to get homeowner
to schedule inspection ". I sent Mr.
Lindsay a letter requesting him to
call 24 -hour inspection recorder and
schedule mechanical AND electrical.
Jeanne T. see file for letters 1/9/98
Mr Lindsey brought in copy of his
inspection. I have called contractor
and informed them jeanne t.
Page 1 of 1 CaseActivity..rpt