Permit CITY OF TIGARD NE:: -I f-1N:[CAL.
DEVELOPMENT SERVICES '' ...
ilI PERMIT : IYII::.C.`:)8-01. +r2
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE: ISSUED 04 /x27/98
PARCEL: 2S:I. O2Cc- -0490
S] :TE_ ADDRESS...: 13615 SW STEVEN CT
SUBDIVISION....: BE:REA ZONING: R--4.5
BLOCK..........: I_.OT„ .... „ „ ..........:07.0 JURISDICTION: (IC3
CLASS OF WORK..: ALT FLOOR F+(.JRN.......: C) E::Vf P COOLERS: 0
TY1-'E: OF USE,. ... : SF• UNIT HEATERS—: 0 VENT FANS...: 0
OCCUPANCY C3RP....: R3 VENTS W/O fal='f -'I._ : 0 VENT SYSTE:I"IS : fJ
STORIES 0 BOILERS/COMPRESSORS HOODS : 0
F:IJEL. TYPES— _._...._____ 0 -3 HP... „ .: 0 D(:IIMIE:S.. :I:N(::Ihl: 0
: GAS 3 -15 HP.. „ .., : 0 CfJMIIIL„ INCI..N: C')
MAX INPL.JT: 0 BT(J i.5.30 HP....: (J REPAIR UNITS: 0
FIRE DAMPERS?..: : 30 -50 HP.... : 0 WOOI)S ( %3
(3AS PRESSURE... „ C07+ HP....., „ 0 CLO DRYERS.... 0
NC). OF f-I.IR HANDI...]:NG UNITS OTHER UNITS. : 2
FURN < 1001: BTU: 0 <= 10000 C fm: 0 (3faS
FURN >=1.00K BTU: 0 > 10000 cfm: 0
Remarks: Install gas fireplace and gas range
Owner: -__._---_.._.__._.__.._-------..________..__.____.._--------- _____._._.____--- __ —• -- F F::F'.i
L.O(JISE IIIIFF•ORD type amount by date recpt:
• 1.3615 SW STEVEN CT r'RI•IT $ 25.00 JSD 04/27/98 98- 305268
TIG RI) OR 97223 5PCT $ 1..2 JSD 04/27/98 98-- 305268
Phone O : 287 - 539:1.
Contractor: - - -- __._._._._.___.._.__..-- -.___. ._
R] :CK STICK()
686 S 25TH CT _____.__-_--•--------.__. ____.____--- ____.._..___._.____
sG 26.25 TOTAL
CORNELI(JS OR 97113
Phone it: 887-3778
Reg 14...: 057068
-- - - - - -- REQUIRE:I) INSPECTIONS --- .._
This permit is issued subject to the regulations contained in the (3as L..i.ne :[n >p
Tigard Municipal Code, State of Ore. Specialty Codes and all other l li.sc. Inspection .............
applicable laws. All work will be done in accordance with l= i na 1 Ins pect i. on _
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more ____...._._..... ._...__.._...._..._.._...._....
than 188 days. ATTENTION: Oregon law requires you to follow rules _..... _. ....
__._.__._.
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-881-0810 through OAR 952-001 -8880. You may
obtain copies of these rules or direct questions to OLiNC by calling ___�•,_.___._._...___...__.. _ ..__. _—_ _.___._...._._..__.._ _..._..
(593)246 -9187.
Issue By: dier# Pe•rmi.t•tee Si. 1]natccre:
+4.4- a + + + + + + + + + + + + + + +.+..a. + + ++ + ++ + ++
Cal]. 639-- 4:1.75 by 7:00 p.m.. for inspections needed the next business day
-+..+. ++ + 4-4-++.+.+++.+..+..+..+..+-+++++.+..+.++.+.++•+-+++++++•+•++++++++++++++ ++ + + + + + + ++ + +•+• + + + + + + + + +.+- + +4"
Plan Check #
"CITY "OF TIGARD Mechanical Permit Application Recd B
13125 SW HALL BLVD. Commercial and Residential Date Recd i
TIGARD, OR 97223 Date to P.E.
503 639 -4171, x304 Date to DST
( , Permit# C-7,//t --
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code CITY PRICE AMT
Job Street Address S7eiP--ir4 Suite# A) Permit Fee -0- -0- 10.00
Address /36/ S S-J Cr.
Bldg# City/State Zip 1.) Furnace to 10C.000 BTU 6.00
including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner L 0cc;_S j 1 =/=c r?/7 including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
/ 36, /S .�cc) $77ue".0 G i including vent
City /State Zip Phone 4.) Suspended heater, wall heater 6.00
7 �--4 6 07.2_23.,?97 S'3 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Lou "s e /fedmitz•?d
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
/ 36i/5 Sc.) -C ec.'4' S 4".7 to 3 HP; absorb unit to 100K BUT"
City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
�/G444 � / .e-- >7 3 a 7,�� 539/ 3-15 HP; absorb unit to 500K BTU**
Contractor N a m e 8.) Boiler or comp, heat pump, air cond. 15.00
t L K s 7--("C-&4__ 15 -30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address r 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy d �'rcci S. cam- 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses City/stare Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if C72n/eL i -5 ref -3 > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database ( " e- 7 0 6 '. 5' -2 -9 g
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Nor - •esidential 0 in appliance permit
Additional Description of work: / l / &As ?%/e) ?%/e) e_ 16.) Hood served by mechanical exhaust 4.50
G F IP 4 C _4-5 iafrui e _ Sy 17.) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
building or property g e5/)&1 rikL L' u t ■/1 type incinerator
�J 19.) Repair units 4.50 I
Proposed use of 20.) Wood stove 4.50
building or property
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 2.00
given is correct, that I am the owner or authorized agent of
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 *SUBTOTAL .r .,-,
( - -� (-, / .--`id 5% SURCHARGE •S
1
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL : ^ ;�
` h !� Required for all commercial permits only. + . °�- `= --{=' . " =%- /
i iGK S T/�G,'& dd po 17'3 //e TOTAL :`.' '� °. _ (o,r
'Minimum permit fee is $25 + 5% surcharge
"'Residential A/C requires site plan showing placement of unit.
I:\rnechprmt.doc rev 4/15/98
1 130
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: i i - d - 9 % -'9 / A.M. P.M. MST:
Location: [, 5 C /5 ,- ( c S C . BUP: I /
Tenant: Suite: Bldg: p MEC: ?P i '-f'� — '
Contractor: (,l� icl2�_ ` _ Phone: R87- ' 3 7 7 O PLM: Li
c; --
r� ' Phone: p -3 — 7 - /� q - 7 �---- ELC:
X `�' L(/ /►'■am • / r OUC �,S 15 111-.61-4 . ELR:
SIT:
BUILDING LDG (con't) PLUMBING MECHANICS ELECTRICAL SITE
Site Post/Beam Post/Beam -- Rost/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rou: -In Ceiling Water Line
Slab Framing Top Out Agana* Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct , ' econnect Vault
Bsmt Damp Drywall Storm ire- i ' Temp Ser MISC.
Masonry Ceiling Rain Drain A/C S f�f�" • UG Slab ri Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heatl'ump Low Volt
Approved Approved (Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL (1'INAL FINAL FINAL
- TAC-, 44. 3.2 3032
0 Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Ul Date: 1 2-1 8 Page of