Permit Ir
CITY OFTIGARD MECHANICAL
A DEVELOPMENT SERVICES PERMIT
4 ) '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # MEC 7 -041 m
DATE ISSUED: 10/21/97
PARCEL: 2S104BC -04600
SITE ADDRESS...: 14330 SW LUKAR CT
SUBDIVISION • HILLSHIRE WOODS ZONING: R -7 PD
BLOCK • LOT •057 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/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP ° 0 DOMES. INCIN: 0
:GAS 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.: 1
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarks: Adding gas piping
Owner: FEES
MARY PROVOST type amount by date recpt
14330 SW LUKAR PRMT $ 25.00 DST 10/21/97 97- 300275
TIGARD OR 97224 5PCT $ 1.25 DST 10/21/97 97- 300275
Phone #:
Contract or:
ABLE HEATING & COOLING INC
12420 SW SUMMERCREST DR --
$ 26.25 TOTAL
TIGARD OR 97223
Phone #: 579 -2250
Reg #..: 001085
REQUI RED 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 Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001- ?A10 through OAR 952- 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187. ' , AP
I �
•
I Issue By: �/ atiAj:iii- P ermittee Signatu e: 4rdy /,:
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ ++ + + + + + + ++ + + + + + + + + + + + + + + + + + + + ++
i
} Plan Check # '----
CITY TIGARD Mechanical Permit Application Recd B
5 SW HALL BLVD. y
1312
� Commercial and Residential Date Rec'l • a!
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # 7 -- YO
Incomplete or illegible applications will not be accepted Called
Name of Oev Rm P Description
Table 1A Mechanical Code QTY PRICE AMT
tr t A dress A) Permit Fee
Job / S / 33C� $4) ,- Suite# ) -0- -0- 10.00
Address
Bldg# City /State Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Nam or name of business 2.) Furnace 100,000 BTU+
7.50
Owner �.�J•, g- including ducts & vents
MMM1ing ddre
S 3.) Floor Furnace
�,- �! 6.00
Crt rate � ' � ilr including vent
Zip Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name ( n e of business) < 5.) Vent not included in appliance PP permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond.
6.00
to 3 HP; absorb unit to 100K BUT
City/State Zip I 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
/�i(jl l ' 7/
r1 Q ( Q , �i- 15-30 HP; absorb unit5-1 mil BTU"
Prior to permit Mailing ddress
y (� i. 9.) Boiler or comp, heat pump, air cond.
issuance, a copy � l ,� 30-50 HP; absorb unit 1- 1.75mi1 BTU" 22.50
1 S� 2e) a/
of all licenses City tats Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if / ', 1C `17ZZ , S > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Cbdst. Cont. (hoard Lic.# Exp. Daatt 11.) Air handling unit to 10,000 CFM 4.50
database / Og _? S- #10 9
Architect Name j 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 )4 Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residentia Non- residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
•
Existing use of 19.) Repair units
building or property 4.50
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil 0 natural gask LPG 0 electric 0 23.) Gas piping one to four outlets 2.00 a
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
informa ' • • - • i rrect, that I am the owner or authorized agent of
the • ner, tha .p . s submitted are in compliance with Oregon State QTY. SUBTOTAL
la . j A
Swiii er /A gent Date - ! �.C� C' 'SUBTOTAL
�11 � /.,2 rw
Am........._ i ,�
/0-2/-i-f 5 %SURCHARGE
C �- ct • e n ame Phone PLAN REVIEW 25% OF SUBTOTAL gegalOr
50.5 3-7. Z z sz) TOTAL a26a75--
i:\mechpmt.doc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
1 (003
/0-30
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business P one: 639 -4171
I0 /
Date Requested: 2 r S- 3 I- i 7 �. P.M. MST:
3
Location: 3 I Ms. . . `/ A g al 10 A BUP:
Tenant: Suite: Bldg: /� MK: C' 7
Contractor: 0 / ' ■ jr _ _ ' _ Phone: 5 7q -,2 ,0 Patti PLM:
Owner: 11/. A _ j .��i Phone: _ ' �( ELC:
' ELR:
SIT:
BUILDING BLDG (con't) PLUMBING CHANICAL • ELECTRICAL SITE
Site Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved _ • . .rov:. Approved Approved
Appr /Sdwlk Not Approved Not Approved roved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
0 Call for reinspectio D Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: /t) F/-5" Page of