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Permit
CITY OF T MECHAN I CAL / r (' ;� DEVELOPMENT SER VICES PERMIT -rJl'� PERMIT # - MEC98 -0325 � 1 1. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 08/06/98 PARCEL: 1S133AD -03800 SITE ADDRESS...: 12750 SW SPRINGWOOD DR SUBDIVISION AMART SUMMERLAKE ZONING: R -7 BLOCK • LOT :012 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/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0 :ELC 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: 1 GAS OUTLETS.: 0 FURN ) =100K BTU: 0 ) 10000 cfm: 0 Remarks : Installation of heat pump and air handling unit. Owner: FEES JOHN MITCHELL type amount by date recpt 12750 SW SPRINGWOOD DR PRMT $ 25.00 DEB 08/06/98 98- 308064 TIGARD OR 97223 5PCT $ 1.25 DEB 08/06/98 98- 308064 Phone #: Contract or: OREGON HEATING & A/C INC PO BOX 397 26.25 TOTAL DUNDEE OR 97115 Phone #: 538 -2953 Reg #.. : 125815 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 Heating Unt Insp applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection 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 952-001-0010 through OAR 952 - 001 -080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. IsSI By: L (j(1/„Xik_ Permittee Signature: 41111- +++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Plan CITY OF TIGARD Mechanical Permit Application Recd BC Q9 13125 SIAV HALL BLVD. Commercial and Residential Date Recd q 41 P TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST -.------- Print or Type Permit # - 0 : D or illegible applications will not be accepted Called Name of Development/Project Description t:3-)■-, / /14 ) yy L Table 1A Mechanical Code Qty Price Amt Job Street Address l� Suite# A) Permit Fee 10.00 1) Furnace to 100,000 BTU Address J,P/),S0 Ski 7VD " including ducts & vents 6.00 I dg# City /State J Zip 2) Furnace 100,000 BTU+ MO including ducts & vents 7.50 Name (or name of busines 3) Floor Furnace Owner "17 S Suspended heater, 6.00 Mailing s 4) Suspended heater, wall heater or floor mounted heater 6.00 5) Vent not included in appliance permit City /State Zip Phone 3.00 CHECK ALL *Boiler Heat Air Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt Comp r'7 e 6) <3HP;absorb unit to f • / Occupant Mailing Ad ress 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 unit .5 -1 mil BTU 15.00 Contractor Name 9) 30 -50 HP; absorb © fl efrr rD ÷ Ale an .1. unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing A ss J 10) >50HP; absorb unit issuance, a copy P D. AL 39 >1.75 mil BTU 37.50 of all licenses Ci State �Rp, n Zip Phone ' _ 11) Air handling unit to 10,000 CFM / are required if Pf OK 4 S3 -0 -.1 4.50 I- expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ database .42-.1.-637,5- --.23-9/5 /p --.23-9/5 7.50 Architect Name 13) Non - portable evaporate cooler 4.50 Or 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 Repair 0 Replace with like kind: YesA No O 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 0 LPG 0 electricA 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/ gent Date - �„ g - Minimum Permit Fee $25.00 SUBTOTAL p( 5 %SURCHARGE /nct P on me Phonhon e , PLAN REVIEW 25% OF SUBTOTAL Required for ALL commercial permits only l' g(- TOTAL A r *State Contractor Boiler Certification required �'' **Residential A/C requires site plan showing placement of unit I:\rnechperm.doc rev 07/20/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP �f 47, 4-- )7.-- Date Requested 8 / 3 AM PM BLD 5 Location / Z 7 � 3) V Ate ii5 wood , ite MEC g2 — Contact Person Ph PLM Contractor 2 7 /77 Ph C3.6 ty s 3 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 Int Sheath /Shear fr _ — n (� Framing �•� , �C•�- p�c%2O� � Atpt Insulation Drywall Nailing SSG Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof / iNQ _ rJ _ G / r/d .�.' Misc: !�' .�J� Final A PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & B am ouq In Gas Line S • .e Dampers - ASS PART FAIL ELECTRICAL 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 Q Other Date l03 Inspector VAR."------ Ext y// Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.