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Permit CITY OF TIGARD ORIGINAL MECHANICAL PERMIT i . DEVELOPMENT SERVICES PERMIT #: MEC1999 -00193 D• �! DATE ISSUED: 5/6/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S133CC-00700 SITE ADDRESS: 14124 SW SPRINGBROOK LN SUBDIVISION: PEBBLECREEK ZONING: R -25 BLOCK: LOT:. 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: • GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of exterior A/C unit. Unit cannot be placed within required setbacks. Owner: FEES TONY REINHOLTZ Type By Date Amount Receipt 14124 SW SPRINGBROOK LN PRMT DLH 5/6/99 $25.00 99- 315135 TIGARD, OR 97223 5PCT DLH 5/6/99 $1.25 99- 315135 Total $26.25 Phone: 524 -1083 - Contractor: SUNSET FUEL CO PO BOX 42287 PORTLAND, OR 97242 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 503- 234 -0611 Final Inspection Reg #: LIC 00002374 • 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 •.ies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: Permittee Signature: pi/ /9 / // fFf /Le_ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day r CITVOF Plan Check # VOF TIGARD R c �anical Permit Application Recd By �/-/ 13125 SW HALL BLVD. Commercial and Residential Date Recd s1fl TIGARD, OR 97223 MAY G 7 199 Date to P.E. (503) 639 -4171, x304 �� Date to DST cotAP,�GIdI I UEVELOp,1 j1j' Print or Type Permit # �i - .4 ? "7-,,�� ex's 115T9i4 - 00 Incomplete or illegible applications w ill not bE accepted Called Name of ; r'Jvelopment/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address Sutte# A) Permit Fee 10.00 Address HIakii Ste S P In. 1) Furnace to 100,000 BTU Bld gt/ tty to Zip including ducts & vents see footnote 1,2 6.00 • 2) Furnace 100,000 BTU+ including ducts & vents see footnote 1,2 7.50 Name (or name of business) 3) Floor Furnace Owner 1 D n� RQ, h h 011- Z including vent see footnote 1,2 6.00 Mailing Address 4) Suspended heater, wall heater f I �� ��� �� or floor mounted heater see footnote 1,2 6.00 'l ` ,J 5) Vent not included in applia*• a permit City/State Zip Phone 3.00 " Ti S 411 '7P 2. 6;9 4 /P3 Check all that apply: 'Bo; , tr Heat Air Name (or na..,e of business) For items 6 -10, see oi Pump Cond Qty Price Amt footnotes 1,2 Comp -- 6) <3HP;absorb unit to Occupant Mailing Address 100K BTU g) 6.00 6, 7) 3-15 HP;absorb unit City /State Zip - Phone 100k to 500k BTU 11.00 8) 15-30 HP; absorb Contractor N unit .5 -1 mil BTU 15.00 c LA 1o5�.t riA- 0 9) 30 -50 HP; absorb unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address 10) >50HP; absorb unit issuance, a copy (96 b, t; P■.- I ( >1.75 mil BTU 37.50 of all licenses dy/State Zip Phone 11) Air handling unit to 10,000 CFM are required if y ®r"I 10�/nc goo. 33N -o&11 4.50 expired in COT Oregon Const. Cont. Board Llc.# Exp. Date 12) Air handling unit 10,000 CFM+ database ,- 3 l ® -� - 7.50 Architect Name # 9 170 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 Reit 0 Replace with like kind: Yes 0 No O 7.50 Res' entia Commercial 0 18) Commercial or industrial type incinerator , 30.00 Additional information or description of work: 19) Repair units 4.50 20) Wood stove NOTE: For Commercial projects only; Units over 400 lbs. require 4.50 structural gas calcs. 21) Clothes dryer, etc. Type of fuel: oil 0 natural gas LPG 0 electric O 4.50 22) Other units I hereby acknowledge that I have read this application, that the information 4.50 given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 2.00 24) More than 4 -per outlet (each) Signature of Owner /Agent Date .50 Minimum Permit Fee $25.00 SUBTOTAL , Contact Person Name Phone 5% SURCHARGE /a5 PLAN REVIEW 25% OF SUBTOTAL Foonotes for commercial projects only: Required for ALL commercial permits only 1. Provide full schematic of existing and proposed gas line and pressure. TOTAL - 4 , 0 2. Provide drawings to scale showing existing and proposed mechanical units. *State Contractor Boiler Certification required "Residential NC requires site plan showing placement of unit I:knechperm.doc rev 02/4/99 MAY Q51999 - COMMUNITY DEVELOPMENT sunse FUEL COMPANY 2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND, OR 97242 -0287 TELEPHONE 234-0611 FAX # 503 - 234 -0380 ry c_ Lk] N y EI IQ 140 L T 7--- . (u i 24 S PE L PJ Tckab3 9 7&3 Zo , 6/30/99 Activities for Case #: MEC1999- 00193 1:38:44 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • MECA007 Application received 5/5/99 DLH RECD No Hold DLH 5/6/99 MECA008 Create Permit 5/6/99 DLH DONE No Hold DLH 5/6/99 MECA730 Cooling Unt Insp 5/6/99 5/6/99 No Hold DLH 5/6/99 MECA799 Final Inspection 5/6/99 5/6/99 6/25/99 CD PASS No Hold AKJ 6/27/99 MECA060 (F) Issue permit 5/6/99 DLH DONE No Hold DLH 5/6/99 • MECA800 Case Finaled 6/27/99 AKJ DONE No Hold AKJ 6/27/99 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q / BUP Date Requested C ZS'r 1 AM PM 04e, BLD Location I - 1 / �� 5eri Y iOyl ne - Lit). Suite MEC i qq . / 93 Contact Person - 6t ( ) V\ Ph 2�-r(.p/ I PLM Contractor Ph SWR BUILDING Tenant/ n 11) )) - ELC fi ''CO2 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 �1 D ywal on /71 �� /g99 - ©v Drywall Nailing Firewall � Fire Sprinkler ,, 1 9,x " " ` ( ` ,002-66-> Fire Alarm * E C 11 g _ / Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING / Post & Beam Under Slab `1 Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post & Beam Rough In Gas Line Smoke Dampers PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm „•■•'S 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 Approach/Sidewalk Other Date Inspector ` Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.