Permit CITY TIGARD MECHANICAL PERMIT
A1, DEVELOPMENT SERVICES O RIG IN A E ERMIT #
• � DAT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ISSUED: 6/23/99 •
PARCEL: 2S114BB -12600
SITE ADDRESS: 10492 SW TITAN LN
SUBDIVISION: SWANSONS GLEN NO.2 ZONING: R -12
BLOCK: LOT: 067 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: FEES
MARK ISAKSON Type By Date Amount Receipt
10492 SW TITAN LANE PRMT DEB 6/23/99 $50.00 99- 316367
TIGARD, OR 97224 5PCT DEB 6/23/99 $2.50 99- 316367
Total $52.50
Phone:
Contractor:
ROSE HEATING CO
9945 NE 6TH DR
PORTLAND, OR 97211 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 503 - 283 -5183 Final Inspection
Reg #: LIC 00002084
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 N 'o enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtain co ies of these rules or direct questions to OUNC by calling (503)246 -9189.
Iss By: f'6 vD Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
""' - OCT- 13 -'98 TUE 11:42 ID: FAX ND: 14082 P02 . i
r • RECEIVED Plan C
CiTe, . OF TIGARD Mechanical Permit Application —
Recd B ,IJ-
13125 SW HALL BLA1N 1 6 1999 Commercial and Residential Date Reed //- 16-49
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, MIRLINITY DEVELOPMENT Igg9� o035 Date to DST
Print or Type 160 Permit # /•'I MN/ ?- 0o21-Z2.1
Incomplete or illegible applications will not be ac ' . ed Called
Name or Develo menvProJect Description
1 S \ate Y \ Z�\ m an Table 1A Mechanical Code Q Price Amt
Job Street Address , A) Permit Fee i[ =i _,:: �; : = , ,, 10.00
S
Addr6SS I cO I -tT h Us 1) Furnace to 100,000 BTU }
eldgra 2 Zip including ducts & vents 6.00
` 2) Furnace 100,000 BTU+
T Gib ' 'j —f including ducts & vents 7.50
Name (or name or business) J 3) Floor Furnace
owner including vent 8.0
Meiling marese 4) Suspended heater, wall heater
or floor mounted heater 6.0 _
5) Vent not included In appliance permit
eitymtate Zip Phone 3.00 ,
CHECK ALL "Boller Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp
6) <3HP;absorb unit to
Occupant Mailing Aadresa 100K BTU , 6 .00
7) 3 -15 HP :absorb unit
City/Stale ZIP Phone 100k to 500k BTU 11.00
8) 15 - 30 HP; absorb
unit .5.1 mil BTU 15.00
Contractor
Name
Ro t-{ e_Q ,�
st= ' 1 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 22.50
Prior to permit Moi Address ... 11 _Lk 10) >50HP; absorb unit
issuance, a copy y { , ` e 1 ` 2 mil BTU 37.50
of all licenses ottYfState Zip t '> . 11) Air handling unit to 10,000 CFM
are required if p, n . 9i � k, \ e. i IN I 4.50 4
expired In COT Oregon Cons!. Coni Board LIc.a Exp. Date 12) Air handling unit 10.000 CFM+
database • p_Q8�4 911 X99 7,50
Architect Name 13) Non - portable evaporate cooler
4.50
Or Marking 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.
16) Hood served by mechanical exhaust
Describe work to be done: __ 4.50
17) Domestic incineratOrS
New)af Repair 0 Replace with like kind: Yes 0 No 0 ' 7.50 ,
Resides ial X Commerdai o • 18) Commercial or Industrial type incinerator'
30.00 .
Additional In rmation or description of work: . 1.9) Repair units .
n5
�` I R � oo r c cat∎ c V n 20) Wood stove 4.50
4.50
21) Clothes dryer, etc.
4.50 . I
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 authonzed agent of 2.00
the owner, that plans submitted are In compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
SI nature of Owmer /A ent Date o "' - '
Minimum Permit Fee $25r@e� SUBTOTAL _ `;; 4:: : : : ' ;: ‘ I ' ' '' . -, - ! -: ;�:::;,,.;.,.
11 r ` I iir .
i4411.4" L _ iiA- / L 5% SURCHARGE r �'
il Contact P erson Name Phone PLAN REVIEW 25% OF SUBTOTAL :
Required for ALL commercial permits on!
TOTAL ~ "`
IAa11' na 41NV\ 3 —sic ( �: . ', - . i
"State Boiler Certification required 5a.5°
"Re entiel A/C requires site plan showing place ent of unit
l :trnechperm,doc rev 07/20/98 k 5-7.AS
I e'L - r `�i "f' ;‘.; .,,�`
LOT LINE:
•
FIRST NAME: r4 g Iz . LAST NAME: 1 A- g 5®M/
ADDRESS: / a q 9 a 5 • w , T/ j L N , CITY: l 7 9 ' 4 led STATE: (} ZIP: C / 2 `f
INSTALLATION ADDRESS: S 4/4
CITY: STATE:
PROPERTY LINE
,
2p • FT:
AN L
y ❑ i' r:
C, AleAlo6 FRONT
I
2.0 ` FT:
PROPERTY LINE
X = OUTSIDE UNIT
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested . "7 - 9 AM PM BLD
Location /0 4 Z 7 /",/ Suite MEC /91 o o 77 7 ,
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC /7 - O o 337
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
•
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
D s wall on �.G� /9 99 •-' 7O Z 7 Z
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm L �
Susp'd Ceiling � C:� !Q 4P -
0 .3,J 7
Roof
Misc:
Final
PASS PART FAIL ` PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P • SS PAR FAIL
CHANICAL
ost & -eam
Rough In
Gas Line
Smoke Dampers
Fin -
�,� ' ART FAIL
CTRICAL
e '•
Rough In
UG /Slab
Low Voltage
Fire Alarm .
F•, _.
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
Approach /Sidewalk 7 — 9. _ 9P Inspector Ext Other Date p
Final
PASS • PART FAIL DO NOT REMOVE this inspection record from the job site.