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Permit i, CITY OF TIGARD MECHANICAL PERMIT df� DEVELOPMENT SERVICES PERMIT #: MEC1999 -00355 III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/27/99 PARCEL: 1S134DD-00102 SITE ADDRESS: 10505 SW TIGARD ST SUBDIVISION: ZONING: I -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: • OCCUPANCY GRP: 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Add air handling unit Owner: FEES DON SCHAEFER Type By Date Amount Receipt PO BOX 23697 PRMT GEO 8/27/99 $50.00 99- 317975 TIGARD, OR 97281 5PCT GEO 8/27/99 $3.50 99- 317975 Total $53.50 Phone: Contractor: WILLAMETTE HVAC SERVICE PO BOX 23334 TIGARD, OR 97281 REQUIRED INSPECTIONS Cooling Unt lnsp Phone: 628 -6841 Final Inspection Reg #: LIC 000569 ORIGINAL 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 95 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -91 s s . / Issue By: iii ` Permittee Signature: Call (503) •39 -4175 by 7:00 P.M. for inspections needed t • next business day 0t/P /9cr9 -oo 4.53 Plan Check # CITY( OF TIGARD Mechanical Permit Application Rec'd By ,13 5 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 dO P r ) Date to P.E. (503) 639 -4171 x304 / n - ALL J �/ C w Y � � � Date to DST filo. /� , „ G �• o g 2, s -g � Permit �iL �l - t�� D Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address uite# A) Permit Fee - � 16.00 Address L / O g > C� / l ��' 5( , 1) Furnace to 100,000 BTU including ducts & vents see footnote 1,2 9.65 Bldg# City/State Zip 2) Furnace 100,000 BTU+ including ducts & vents see footnote 1,2 12.00 Name (or name of business) 3) Floor Furnace A 7j�y(f/�Gj) �faC including vent see footnote 1,2 9.65 A 4) Suspended heater, wall heater Mailing Address or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 City/State Zip Phone Check all that apply: *Boiler Heat Air For items 6 -10, see or Pump Cond Qty Price Amt Na e (or name of business) footnotes 1 , 2 Comp •• V /^'I 6) <3HP;absorb unit to - • f � V `'�y (, 100K BTU 9.65 Occupant Mailing Address 7) 3 -15 HP;absorb unit 1001�,to 500k BTU 17.65 City /State Zip Phone 8) 15 -30 HP, absorb unit .5 -1 mil BTU 24.15 Contractor Name 9) 30 -50 HP; absorb ,/ unit 1 -1.75 mil BTU 36.00 gt(tZb1•ij•77i 4//,f .' 10) >50HP; absorb unit Prior to permit xeiling Addr s >1.75 mil BTU 60.15 issuance, a copy t7 f n3 A i 11 Air handling unit to 10,000 CFM of all licenses � City /state Zip Phone / 7.00 / ` are required if 9 e a v L3 '/l 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const Cont. Board Lic.# Exp. a 11.85 database '5 6-7 d / O//(7/ 13) Non - portable evaporate cooler Architect Name 7.00 14) Vent fan connected to a single duct 4.75 Or Mailing Address 15) Ventilation system not included in appliance permit 7.00 Engineer City /State Zip Phone 16) Hood served by mechanical exhaust 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator Residential 0 Commercial 0 48.25 19) Repair units Additional information or description of work: 8.40 20) Wood stove /gas FP /other units /clothe dryer /etc. 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas calcs. See footnote 1 3.75 Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL n' ;, 't a7 ..J I hereby acknowledge that I have read this application, that the information 7% SURCHARGE te a';: fs? - 1 1 S' SO given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL i, a o the owner, that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only �•, TOTAL : ,'' - . ` � k ,) , ' 53 . SD Signature of Owner /Age t Date - . , . "` '" ` yy / Other Inspections and Fees: 9 1 Inspections outside of normal business hours (mininum charge -two tact Person Name ( hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge-one-half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units. "Residential A/C requires site plan showing placement of unit I:Unechperm doc rev 7/19/99 ___ 11/10/1999 Activities for Case #: MEC1999 -00355 . 9:06:07 AM Assigned Hold Updated Activity - Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECC007 Application received 08/27/1999 GEO RECD No Hold GEO 08/27/1999 MECC008 Permit created 08/27/1999 GEO DONE No Hold GEO 08/27/1999 MECC720 Cooling Unt Insp No Hold GEO 08/27/1999 MECC799 Final Inspection 08/27/1999 08/27/1999 10/21/1999 RB FAIL No Hold JS 10/21/1999 See bup.1999- 000253.10/21/99. MECCO50 (F) Ready to issue 08/27/1999 GEO DONE No Hold GEO 08/27/1999 MECC090 (F) Issue permit 08/27/1999 GEO DONE No Hold GEO 08/27/1999 MECC706 Mechanical Insp 09/08/1999 09/08/1999 09/08/1999 RB PART No Hold AKJ 09/08/1999 see framing 9/8/99 BUP1999 -00253 MECC705 Gas Line Insp 09/28/1999 09/28/1999 09/28/1999 MS PASS No Hold AKJ 09/28/1999 MECC740 Fire Damper lnsp 10/21/1999 10/21/1999 10/21/1999 RB FAIL No Hold JS 10/21/1999 MECD740 Fire Damper lnsp 10/26/1999 10/26/1999 10/26/1999 RB PASS No Hold JS 10/26/1999 MECD799 Final Inspection 10/26/1999 10/26/1999 10/26/1999 RB PASS No Hold JS 10/26/1999 MECA800 Case Finaled 11/10/1999 JMT DONE No Hold JMT 11/10/1999 Page 1 of 1 \ 0` 11 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � 6C\ I //,, - E ate Requested - v►"I AM PM ` i 1 1 BLD Location Ogb S CAA) Suite ME "L -O d3S'S� Contact Person Ph PLM Contra Ph SWR BU G 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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: na dip PART FAIL • BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PA<'RART FAIL ilfcHA__NitAL Po eam Rough In Gas Line o e Dame - I- • = -. C . F 3 ART FAIL TRICAL 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 I /f Other Date l �I Ex Inspector Y l� t� Final PASS PART FAIL - DO NOT REMOVE this inspection record from the job site.