Permit 4 CITY OF T D MECHANICAL
0 1, DEVELOPMENT SERVICES PERMIT
411 PERMIT # • MEC98 -0343
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 08/13/98
PARCEL: 29114BB -11900
SITE ADDRESS...: 10441 SW TITAN LN
SUBDIVISION • SWANSONS GLEN NO.2 ZONING: R -12
BLOCK • LOT °060 JURISDICTION: TIG
CLASS OF WORK..:ALT 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Dailey A/C Unit
Owner: FEES
RICHARD DAILEY type amount by date recpt
10441 SW TITAN LN PRMT $ 25.00 JSD 08/13/98 98- 308239
TIGARD OR 97224 SPCT $ 1.25 JSD 08/13/98 98- 308239
Phone #: 670 -7280
Contractor:
ROSE HEATING CO
9945 NE 6TH DR
26.25 TOTAL
PORTLAND OR 97211
Phone #: 503 -283 -5183
Reg #..: 000020
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 by the Oregon Utility Notification Center. Those rules are •
set forth in OAR 952 -'.1-0010 through OAR 952-001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
ar
Issue By: Permitte Si natu 4
y Vi
g
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Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
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i
'CITY OF TIGARD Mechanical Permit Application Plan Ch:
13125 SW BLVD, PP Recd By -
Commercial and Residential Date Recd .� j�;�s
TIGARD, OR 97223 Date to P. E,_
(503) 639 -4171, x304 Date to DST
Print or Type Permit # ;Ant a , s, 7
incomplete or illegible applications will not be accepted Called M A -
• j $►Poi iopmenu 1 �/ t Description
I Lt-4 r 5s' v �[ 1 ✓ff Table 1A Mechanirdl Code QTY PRICE AMT
Job StmalAtltlress State A) PerrM
Address - 10.00
elaga ' Cityrsiate 'Zip B) Supplemental Permit 3.00
-
e (ar ameor Duvnesa� 1.) Furnace t0 100 BTU
Owner [ s,00
Q l I n d . d ucts & vents
• Mailin Address 2.) Furnace 100,000 011) +
'4 I "" " (((_ �-�' 1 _ _ incl. ducts & vents 7.50
!'9 ISlare f _+ Zip Phone 3.) Floor Furnace
l or -17224 (55Q_ 6.00
Namd(or nam r Dusmoss) i nG. vent
4.) Suspended heater, wall heater 6.00
�[/[� or floor mounted healer
Occupant Mailing Address 5.) Vent not Inca, in
3.00
Crtyrstate appliance permit
zip I Phone G.) Boller or comp, heat pump, air cond. 6.00
to 3 HP: absorp unit to 100K BTU ��
rz e
��' 7.) Boiler or comp, heat pump, air tend, 11.00
Contractor 49 ea � i n Boil HP; comp, unit to 500K a BTU
"` L� 8.) Boiler or comp, heat pump, air cond. 15.00
n
Attach copy of S o � - 15 -30 HP; absorp unit .5-1 mil BTU
n __ p Phone 9.) Boiler or comp, heat pump, air cond.
Current Licenses l "� 22.50
. 30-50 50 HP; absorp unit 1-1.75 mil BTU
prep n-s, oars Ue.a � 1 10.) Boiler or comp, heat pump, air cond.
� a � _ > 50 HP: absorp unit 1.75 mil BTU 37.50
y C07 auaspeLt [
s ratMe� # i Dare q
l ( 1s 11.) Air handling unit to 4.50 10.000CFM
Architect Nema 12.) Air handling unit
7.50
10,000 CTM +
Or Melling Atldreae 13.) Non portable
Engineer Cayrstate Zl Phone evaporate cooler 4,50
P I 14,) Vent fan connected 3.00
to
Describe work New pQ Addition 0 Alteration 0 Repair 0 a Single duct
p 15.) V entllati0n System not 4.50
to be done Residential N - residential O pp permit
� included in appliance
Additional Description Of work 16.) Hood served by
64-A I E( c [ t�.0� A-c I alit/ mechanical exhaust 4.50
17) Domestic inGneretors 7.50
Existing use of ca 18.) Commercial or Industrial - -
building or property 30.00
type incinerator
19.) Clothes dryers, etc. 4,50
Proposed use of
building or property
Type of fuel - oil 0 natural 20) Oth . `��7 4.50
C /`
ural gas 0 LPG 0 electric � 21) Gas pi ing one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 22) More than 4 -per outlet (each) .50
Information given is correct, that I am the owner or authorized agent of •
the owner, that plans submitted are in compliance with Oregon $rate QTY. SUBTOTAL .
laws. I .. ,� r 2l
Sig 1 iv u of Ow naNAent
g Date ' SUBTOTAL C�J
6 `� e /(0/98
5% SURCHARGE r- ZS
Jontat;t Persil ,ti me Phone PLAN REVIEW 25% OF SUBTOTAL
//�` ///A/'�� Z (r/ , J'��'�/]� I (/,rte .�
S r i.. (,__ V J-s 1 a _ '� -
F/ ` L/ TOTAL .te
istbnechpmLdoc 'Minimum permit fee is $25 + 5% surctlarge
.v 7/95
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
/ Date Requested q-lI -? 0 X PM BLD •
Location 10 4 Y-1 Suite M EC 7O —03 SE-3 SE-3 Contact Person / V d a�� ui/
Ph ( ' 70 70--1.7-80 PLM
Contractor S ied Ph 3 - 5183 SWR [gyp
BUILDING Tenant/Owner / x� ��HO70 0
Retaining Wall ELR
Footing Access: /may r �� 06 i J i nn ,,,
Foundation <C/ vv �', ( FPS
Ftg Drain SGN
• Crawl Drain Inspection Notes: ��, - Utz ,4�
Slab �,,/ _ SIT
Post & Beam 611 �-Ct PA(
Ext Sheath /Shear i
Int Sheath /Shear
Framing
Insulation /� i / 4 A
Drywall Nailing C_ �.�L��� ___ ti/ , / _ ...
Firewall /
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ,a/J-2—
Roof
Misc:
Final
PASS PART FAIL
PLUMBING 0, e
Post & Beam °�
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains i • 1
Final
FAIL '
(= . i i!
Post & Beam
Rough In /i
Gas Line
Smoke Dampers a /t
d Ii I/�
PASS PART 04AIL L
,SEC TRICAL,)
( Service
Rough In
UG /Slab
Low Voltage
Fir- Alarm •
,
AS 'ART 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
Otheoach /Sidewalk Date 9 -- 1/ 9 f Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.