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Permit • CITY OF TIGARD MECHANICAL PERMIT 1 510 � DEVELOPMENT SERVICES O/0 PERMIT #: MEC1999 -00253 i - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 41111n DATE ISSUED: 6/11/99 V � PARCEL: 2S104DD -06800 SITE ADDRESS: 12823 SW RIDGEFIELD LN SUBDIVISION: MOUNTAIN HIGHLANDS NO. 3 ZONING: R -4.5 BLOCK: LOT: 026 ISDI TIG CLASS OF WORK: OTR 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: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: • AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks. • Owner: FEES JOHN RASMUSSEN Type By Date Amount Receipt 12823 SW RIDGEFIELD LN PRMT DEB 6/11/99 $50.00 99- 316080 TIGARD, OR 97223 5PCT DEB 6/11/99 $2.50 99- 316080 Phone: 579 -4022 Total $52.50 Contractor: FIRST CALL MCCALL HEATING + COOLING 1650 NE LOMBARD REQUIRED INSPECTIONS PORTLAND, OR 97211 -4798 Cooling Unt Insp Phone: 231 -3311 Final Inspection Reg #: LIC 102030 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 o in copies of these rules or direct questions to OUNC by callin ( 03)246 -9189. Issue B • - � R-Ce.00.,vvulkj Permittee Signature: L4/1444X 4,4 Cdr ion/" Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 11iu4iyti wtu uti:s1 FAA 503 598 1960 CITY OF TIGARD IJ002 b Plan ch RECEI c � CITY OF TIGARD ehanical Permit Application Ricd By�,�p.1. _ 13125 SW HALL BLVD. 0 9 19 99Commercial and Residential Date Recd to -9-99 TIGARD, OR 97223 Date to P.E. (/keP Date to DST . ---7-- (503) 639 -4171, X 30 � OMMUNITY DEVELOP Perntit# }1gQQ.00,'tS/ Print or Type Called • Incomplete or illegible applications will not be . ccepted Name of DevetopmenUPro)ed Description Table 1A Mechanical Code Q �ce And A) Permit Fee 10.00 • Job address 1) Fumace to 100,000 BTU • Address Pt I y SAS (0O. K w y including duds & vents 6 Btaytr City/Slate iliP 2) Furnace 100.000 BTU+ including duds & vents 7.50 • a Name for nano of business) 3) Floor Furnace • including vent 6.00 Owner G�� r q Q Z . 4) Susp ended heater. wall heater • Mating Address or floor mounted heater 6.00 . 6 6t. \ y 5 CO c S a..i 5) Vent not included in appliance permit . • CayrlState Zip cn2 . Phone 3.00 �r d . Of ' -Sb 6 2 CHECK ALL 'Boiler Heat Air Amt c{ THAT APPLY: or Pump Cond Qty Price N name of Cosiness) Comp 6) © HP;absorb unit to Occupant . " Add`p" .. • 100K BTU - V k 6.00' Co. CO 7) 3-15 HP;absorb unit • City/State Zip Phone 1 00k to 500k.BTU 11.00 • 8) 150 HP; absorb . unit .5-1 aril 811.1 15.00 Contractor Name 9) 30-50 HP; absorb \-. \ ( S r (k j\ Y IC ( A \' unit 1 -1.75 mil BTU 22.50 , Prior to permit mamma Addfe5s . 10) >50HP; absorb unit issuance, a copy \h S O ti . L �bO. r d1/4- >1.75 mil BTU , 37.50 of all licenses Zip Phone 11) Air handling unit to 10,000 CFM ,st$<e .e\ei • C I. T l 2-\ \ 20,3 - . l CI � `. 4.50 are required if u expired in COT Oregon 7.50 on Cant Coco. Board Licit Exp. Da 12 Air handlin unit 10 CFM+ • database l O 2 cT 0 . . 8-30 — °ta 13) Non portable evaporate cooler Architect "1O 4.50 14) Vent fan connected to a single dud 3. 00 Cr Mailing Address - • 15) Ventilation system not induded in . 4.50 Engineer ��. Zip 1 Phone. appliance permit . 16) Hood served by mechanical exhaust 4.50 Desrnbe work W be dome: " . 17) Domestic incinerators . 7.50 i O Replace with Ike kind: Yes 0 No O 18) Commercial or industrial type incinerator • Residential Commercial o 30.00 Additional information or description of work • 19) Repair units • 4.50 .� �c...,,,OL it_ 20) Wood stove ` 4 ' �S -�� ( C� �, " � r i es o- 5 49 �u-.d`. `l� l 4.50 4, V 21) Clothes dryer. etc. 4.50 t ype of f ue1 e oil 0 ` natural gas 0 LPG 0 • electric-I:4 22) Other units 4.5 • I hereby acknowledge that t have read this application, that the information .. 23) Gas piping one to four outlets 1 2.00 2 �� given is commit, that l am the owner or authorized agent of 24) More than 4 -per outlet (each) . 0 // the owner, that plans submitted are In compliance with Oregon State laws. Signature dAgent Date C. , L Minimum Permit Fee $25.00 SUBTOTAL �(�,�QGr�c o �j ^ 2 • PLAN REVIE 5°A SURCHARGE dJ Phone • REVIEW 25% OF SUBTOTAL � - ogornilct Pe rson Nam - R — . uired for ALL commercial permits o ems 7g -1g•4C TOTAL ,� / `State Contractor Boiler Certification required , 6D 7 — Residential NC requires site plan showing placement of unit A ' c1 0 -)12-D 11 - . - q 4' . 4 -...- ck.,-51-.1 • ii, Job Site Plan 1' ^r CF? IED rI I • 1 r ' - _ _ JUN 0 1999 . 1 ` s 1 ,,, UEVELOP I , 1 1i i s o 130- ( ] -- -- - - _ _ _ _ l !I 1. I o p/ LI / i it • ! : ' o ly S� O (L\-e, ., il,f i . Additional Instructions: ( 11 Refrigeration line size l'! �- Condensate Pump �.1 Yes Li No ❑ Box New Registers i UVibration Pads New Grills ' ;', Add Return Duct Add Supply Duct Il Special Needs I' �� // (/).? i,�Y,s(, 2:4_, 116 r-1.,;( I ! I :;( a1u ( f. t ? j. r,c Gp . 10', l i l! ' Ih l I '1I it 1)1 I 14 i il, 6/30/99 Activities for Case #: MEC1999 -00253 1:30:09 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 6/9/99 DEB MAIL No Hold DEB 6/11/99 MECA799 Final Inspection 6/11/99 6/11/99 6/16/99 LN PASS No Hold AKJ 6/16/99 MECA008 Create Permit . - 6/11/99 DEB DONE No Hold DEB • 6/11/99 Delay in creating due to insufficient fee amount, fee increase. MECA730 Cooling Unt Insp 6/11/99 6/11/99 No Hold DEB 6/11/99 MECA060 (F) Issue permit 6/11/99 DEB DONE No Hold DEB 6/11/99 MECA800 Case Finaled 6/16/99 AKJ DONE No Hold AKJ 6/16/99 • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q BUP Date Requested — 1 AM PM BLD Location 12 - LI/1 Suite MEC i lq /-- CO2i53 Contact Person Ph 2T3 ° )� `71 PLM Contractor Ph SC e- ffea 0 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 (,0a qq I L p[� Int Framing th /Shear / a `'tom l l Lam. T •14. f� L � t/� p Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final 1 '� PASS PART FAIL ' PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS P FAIL CHA Post & Beam Rough In Gas Line Smoke Dampers PART FAIL EL RICAL 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 Other Date G C? °L inspector �_ � � Ext Final NIF . PASS PART FAIL DO NOT REMOVE this inspection record fr the job site.