Permit CITY OF T MECHANICAL
` i�,�,,,;K DEVELOPMENT SERVICES PERMIT
l � I �l�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT #... - MEC98 -0375
DATE ISSUED: 09/01/98
PARCEL: 2S115AD- 07500
SITE ADDRESS...: 10521 SW RIVER DR
.SUBDIVISION - DOVER LANDING ZONING: R -4.5
BLOCK........... LOT... ..... .....:058 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.: 0
FURN ( 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN )=100K BTU: 0 > 10000 cfm: 0
Remarks; Gas line for dryer
Owner: FEES
HENRY P HYDE type amount by date recpt
10521 SW RIVER DR PRMT $ 25.00 B 09/01/98 98- 308763
TIGARD OR 97223 SPCT $ 1.25 B 09/01/98 98- 308763
Phone #:
Contractor:
CROWN PLUMBING
23172 SW STAFFORD RD
26.25 TOTAL
TUALATIN OR 97062
Phone #: 771 -9449
Reg #..: 42671
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line 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 952-1-0010 through OAR 9524014' You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: 1A-- . Permittee 111/4
++++.++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By t.1
13125 SW HALL BLVD. Commercial and Residential Date Rec'd 1
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # M 1 6 ' /.)375
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
• Job Street Address Suite# . A) Permit Fee ' 10.00
• Address i 052( N I>, 1 Furnace to 100,000 BTU
including ducts & vents 6.00
Bldg# City /State Zip 2) Furnace 100,000 BTU+
including ducts & vents 7.50
Nam (or name of business -3) Floor Furnace -
Owner f i N 2 / including ven 6.00
4) Suspended heater, wall heater
Mailing Addres / or floor mounted heater -6.00 • • /C ' . ( Zirsc ,,, i tl/c 5) Vent not included in appliance permit
City/State Zip Phone 3.00
•
1 (, ,Q_ 9 � 6 CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp **
6) <3HP;absorb unit to -
Occupant Mailing Address _100K BTU 6.00 _
7) 3 -15 HP;absorb unit •
City /State Zip Phone 100k to 500k BTU - - _ ._ • 11.00 -
8) 15 -30 HP; absorb .
Contractor Name unit .5 -1 mil BTU 15.00
n 9) 30 -50 HP; absorb
o � J r
. - Q C k, ccf A / /tNr. unit 1 -1.75 mil BTU 22.50.
Prior to permit Mailing Address - 10) >50HP; absorb unit -
issuance, a copy / 7 Z 5■ - 7- - , FFo A! 43 >1.75 mil BTU 37.50
of all licenses City /State Zip Phone 11) Air handling unit to 10,000 CFM
are required if _ 7 ,4 - J 'Nis? N.e 97042_ 77/ - y`F5j' , - 4.50
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12)•Air handling unit 10,000 CFM+ -
database 7.50
Architect Name - 13) Non - portable evaporate cooler
4.50
of • Mailing Address 14) Vent fan connected. to a single duct
•
3.00
• . 15) Ventilation system, not included in _ - .
Engineer City /State Zip Phone appliance permit • 4.50
16) Hood served by mechanical exhaust
Describe work to be done:
• - - 4.50
• 17) Domestic incinerators
. New 0 Re air 0 Replace with like kind: Yes 0 No 0 -- 7.50
Residential Commercial 0 18) Commercial or industrial type incinerator
30.00
•
Additional information or description of work: 19)'Repair units .
4.50
20) Wood stove .
4.50
•
• 21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas,/ LPG 0 electric 0 • • 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 -
a_ E _ .a:.. r
Minimum Permit Fee $25.00 SUBTOTAL + ��,�; •
/C r ° Z5
��� 5/o SURCHARGE;,'
Contact Per Name Phone . PLAN REVIEW 25% OF SUBTOTAL ;
. Required for ALL commercial permits only *'� ° x l ' �`
b 1- g 7 Z TOTAL /..L ()
*State Contractor Boiler Certification required
• * *Residential NC requires site plan showing placement of unit •
I:\mechperm.doc rev 07/20/98 ..
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 - e?"-- 175 Business Line: 639 -4171
BUP
//10/ Date Requested [ q r � AM • PM BLD
Location MS S&L) ie-ajelU Suite MEC �Q, 5 75
UI
Contact Person '1 • Ph .7--- 100 p. 7c7 PLM
Contractor Ph SWR
BUILDING ° Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation r 30 -70r ' 3 /1 S
Ftg Drain
(J PI�°'� �//
Crawl Drain Inspection Notes: SGN
` CZ� ��
Slab �L �� SIT
Post & Beam ��)��e n ��� ` Ce.
Ext Sheath /Shear j� C :-
Int Sheath /Shear
Framing t� (-S
Insulation �--� --�
Drywall Nailing " ? 7T S = �a 1 G �, /Z /s /.oe./ d7Z
Firewall
Fire Sprinkler - 5d `/ 7 97
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUM BIN G
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
N f,+6
Post & Beam
Rough In
(Gas Line)
Smoke Dampers
PART FAIL
ELECTRICsAL;ti; h , ;
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE gs `R _E'
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 p�
Approach/Sidewalk
Other •- Date 7 0 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.