Permit CITY OF TIGARD MECHANICAL
PERMIT
n ,���� DEVELOPMENO SERo ICES P ERMI ISSUED: 01/02/98 MEC97-0497
PARCEL: 2S104DD -02500
SITE ADDRESS...: 12879 SW RIDGEFIELD LN
SUBDIVISION • MOUNTAIN HIGHLANDS #2 ZONING: R -4.5 PD
BLOCK • LOT •022 JURISDICTION: TIG
CLASS OF WORK..:OTR 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: O
:GAS 3 -15 HP : 1 COMML. INCIN: 0
MAX INPUT: 500000 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: N 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS A.IR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Re mark : Installation of pool heater.
Owner: -- FEES
GARY LONG type amount by date recpt
8290 SW LANDAU ST PRMT $ 25.00 B 01/02/98 98- 302214
TIGARD OR 97223 SPCT $. 1.25 B 01/02/98 98- 302214
PLCK $ 6.25 B 01/02/98 98- 302214
Phone #:
Contract or:
BLUE MOUNTAIN POOLS
14235 SW STEELE
$ 32.50 TOTAL
PORTLAND OR 9723E
Phone #•: 503-760-4554
Reg #..: 000239
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 Mechanical Insp —
applicable laws. All work will be done in accordance with Final Inspection
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- 081 -0810 through OAR 952- 001 -00• You may
obtain copies of these rules or direct questions to OUNC by calling. -
(583)246 -9187.
•
Issue By: • „ ,y..et� Permittee Signature:
+ ...... ........ +++++++++....++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
+ +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SA, HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST / I 7 (4°
Print or Type Permit # /#1-e- q _ /jam
Called IZ r l
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address t [te# A) Permit Fee -0- -0- 10.00
Address /2 �j ?9 /1-ve-_
Bldg# I City/ to . ip 1.) Furnace to 100,000 BTU 6.00
� including ducts & vents
Name (or name of.busin s 2.) Furnace 100,000 BTU+ 7.50
Owner including ducts & vents
Mailin Address 3.) Floor Furnace 6.00
including vent
City /State Zip I Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name (or n of busi a 5.) Vent not included in appliance permit 3.00
d>'r
Occupant Mailing iress 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 /� ,1 , / J 8.) Boiler or comp, heat pump, air cond. 15.00
C: / �c y u e 7 / w� 1 77 J�/ 15-30 HP; absorb unit.5 -1 mil BTU" 1 i / //
Prior to permit Mailing Address r 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy /SL3 ‘ U; 30-50 HP; absorb unit 1- 1.75miI BTU"
of all licenses C' a tC 7 Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if 0.-1/ . 7&c- t(f) > 50 HP; absorb unit 1.75 mil BTU**
expired in COT O n Co Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database 7 9 _ 7- 5
Architect Name 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 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: ter
s 17.) Domestic incinerators 7.50
c�! 3 G (
' en m � •vq � � / , 18.) Commercial or industrial type 30.00
/ Incinerator
Existing use of 19.) Repair units 4.50
building or property .
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 O natural gas k LPG 0 electric 0 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.
Si ature Owner /Agent Date *SUBTOTAL z
/2 _ yy' �7 5% SURCHARGE / 'S
Contac Name P PLAN REVIEW 25% OF SUBTOTAL •
G IC
O .e�Z r /T/YI� ��Q ` �,SS` TOTAL
i:\rnechpmt.doc (rev 9 / 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit. ? -1/,
01/12/2000 Activities for Case #: MEC97 -00497
3:03:34 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated ' Notes
MECA007 Application received 12/31/1997 GEO RECD GEO 12/31/1997
MECA008 Create Permit ' 12/31/1997 GEO PASS GEO 12/31/1997
MECA011 Routed to Plans Examiner 12/31/1997 GEO PASS GEO 12/31/1997
MECC705 Gas Line Insp 12/31/1997 RDP 12/31/1997
MECC706 Mechanical Insp 12/31/1997 • RDP 12/31/1997
MECC799 Final Inspection 12/31/1997 01/10/2000 RB PASS AKJ 01/10/2000
MECC016 DST Post - Review Completed _ . 12/31/1997 B DONE BON 12/31/1997
MECCO50 (F) Ready to issue 12/31/1997 B PASS BON 12/31/1997
MECC090 (F) Issue permit 01/02/1998 B PASS DST 01/02/1998
MECA800 Case Finaled 01/10/2000 AKJ DONE No Hold AKJ 01/10/2000
Page 1 of 1
p OF TIGARD BUILDING INSPECTION-DIVISION 40101,--,03*- Inspection Line: 639 -4175 Business Line: 639 -4171 97- dQC6 P - Date Requested 0 / cO AM PM BLD
Location \ 7 ®CC7 v A_se k..;-.2._x_.__ Suite ,4�— 06 K70)
Contact Person Ph PLM
Contrac Y\AS ` -,-- Ph SWR
- 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 ` �a /,+, //" � 5 i
Framing
Insulation o f L° 4 — t 1 � i
Drywall Nailing c ,,, -� KC -
Fire wall 1/
4 6'�
Fire Sprinkler
Fire Alarm e '' w
Susp'd Ceiling
Roof ('C c� _':
..r.' \�� moo—!(
Ina!'"
XS
�AS�� PART FAIL 1\1 \6. - Z..-q - 7 -- 0 0 "� l � ' • Post & Beam
Under Slab ( j t_Q C)-4 1 „A--eA.ti_ SA S _
Top Out
Water Service Z 1 �` V �,4AV`.� Vc�- -• 0 a-,e
Sanitary Sewer
• Rain Drains 2 �_ s� „ t --s ^ inal
PASS P ± :: ��� �.,. 1 ,�(�j �i/
F T FAIL Q � 1 ' fin! 5 ` `3' - 1�
e CH a T `
.
• c Beam
C` 0 q- OO(&c
Gas ..
5 e Dampers ( .il I' � _ _ � t •
�
PA PART FAIL I " L�J ` .. I k C 1
LE RICAL 1
Service `J 7 J �`+ r•.i A./� c)
Rou 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 [ ] Please call for reinspection RE: \ [ ] Unable to inspect - no access
Fire Supply Line
ADA G�
Other
Approach /Sidewalk l l
Date )/2 U( Inspector Ext -3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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