Permit CITY OF TIGARD
MECHANICAL PERMIT kb 4 a 6 4 4 i t 1 DEVELOPMENT SERVICES PERMIT #: MEC1999 -00262
'411 DATE 1 3 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/17/99
PARCEL: 25111 CD -08600
SITE ADDRESS: 15935 SW SERENA CT
SUBDIVISION: KERWOOD ESTATES ZONING: R-4.5
BLOCK: LOT:001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install a new gas furnace and a non portable evaporate cooler for an existing dwelling. Cooler cannot be
placed within the required setback areas. -
Owner: FEES -
HAWK, THOMAS K AND NIKKI L Type By Date Amount Receipt
15935 SW SERENA CT PRMT GEO 6/17/99 $50.00 99- 316199
TIGARD, OR 97223 5PCT GEO 6/17/99 $2.50 99- 316199
Total $52.50
Phone:
Contractor:
PIONEER OIL •
9270 NE GLISAN ST
PORTLAND, OR 97220 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 254 -9595 Cooling Unt Insp
Reg #: LIC 00057813 Final Inspection
ORIG INAL
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 obtain copies of th se or direct questions to OUNC by calling (503) 6 -9189.
Issue By: 75! �� Permittee Signature:
Call (503) 639 -4 by 7:00 P.M. for inspections needed the next business day
.:city of Tigard RECEIVEMECHANICAL PERMIT � Rec. #
13125 8W Hall Blvd. APPLICATION Permit # / �' ° 1 fl-06 a.GR
Tigard, OR 97223 JUN 14199 171999
(503) 639 -4171 COMMUNITY DEVELUPMENI
COMMUNITY DEVELOPMENT
•
Ana of D• Description
Table 3A Mechanical Code QTY PRICE AMT
.nad...
Job 15 9 35 3 (, J Serena C. - 1) Permit Fee -0- -0- 10.00
Address .l.
- 1 6-P -R Q OP_ q 7 22.4- 2) Supplemental Permit 3.00 '
s
Name Na name albumen! Furnace to 100,000 BTU t �
Torn Gym 1-)00-A--) 1) Incl. ducts & vents
Atone Furnace 100,000 BTU + +�
Owner S J 2) Incl. ducts & vents 7.50
.0051aGe io Floor Fumance
3) incl. vent 6.00
Na"• la name di.,,,.) Suspended heater, wall heater
4) or floor mounted heater (.00
Hamm aaa... P*••• Vent not Incl. in
Occupant 5) appliance permit 3.00
LalwaGG 1.o Repair of heating, refng.
. • 6) cooling, absorption unit . 6.00
Name � l /� � Boiler or comp, heat pump, air cond.
V cQ�� 7) to 3 HP; absorp unit to 100K BTU 6.00
Hang Mains r, , Phon• Boiler or comp, heat pump, air cond.
Contractor x ,.
9 2-70 N E �1S - 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
• 0 r j C) LC 7 ��0 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
SUM wo.....n No. Cay am T.. No. Boiler or comp, heat pump, air cond. • . 578 3 b I Z g/ 740 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 4 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable 7 i t• 61/
14) evaporate cooler
• Vent fan connected
15) to a single duct 3.00
( n Ventilation system not
l 4 //A M n 16) included in appliance permit 4.50
s ( u.,. 16)
served by
17) mechanical exhaust 4.50
Describe work new'' addition 0 alteration 0 repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove. water •
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
• 21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas LPG 0 electric 0 ,
15 A
NOTICE
Minimum Fee S2510 SUBTOTAL 50' -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION ^ 50
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WQRK IS SUSPENDED OR .
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. c
TOTAL 5,50
Special Conditions
Date issued by
K1LO0iMDSTSINECNPAIT •
•
04
12 its°'
O
1j \ 3s" b1( S -e-ewi
•
7/25/99 Activities for Case #: MEC1999 -00262
6:37:39 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date .3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 6/17/99 GEO MAIL No Hold ' GEO 6/17/99
MECA008 Create Permit 6/17/99 GEO No Hold GEO 6/17/99
MECA725 Heating Unt Insp 6/1 6/17/99 No Hold GEO 6/17/99
MECA730 Cooling Unt Insp 6/17/99 6/17/99 . No Hold GEO 6/17/99
MECA799 Final Inspection 6/17/99 6/17/99 7/1/99 CD FAIL No Hold AKJ 7/1/99 no access
MECA060 (F) Issue permit 6/17/99 GEO DONE No Hold GEO 6/17/99
MECA799 Final Inspection 7/5/99 7/5/99 7/2/99 CD PASS No Hold AKJ 7/5/99
MECA800 Case Finaled 7/5/99. AKJ DONE No Hold AKJ 7/5/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 g4erc
Date Requested —2 ? / AM X PM 1 b '� BLD
Location 1 51 3C Se0./1.(. CA • Suite MEC 1 ci qq -(`)Q? (
Contact Person ) 0 O Ph PLM
Contractor Ph SWR -
BUILDING Tenant/Owner ELC I q l o q'a)3gG.
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm /�
Susp'd Ceiling "/ 7g 9
Roof
Misc:
Final —LG • 3
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PST FAIL
Post & Beam
Rough In
Gas Line
S Dampers
- SS PART FAIL
a€Cry
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
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 �7
Approach /Sidewalk
Other / Date 7i g r Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .