Permit CITY OF TIGARD
. _
DEVELOPMENT SERVICES MECHANICAL
rl 1
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT 4 p E RM T T o e M E C 99 - 21047
DATE ISSUED: 02/01/99
PARCEL: 281O4CC -00100
SITE ADDRESS—: o a 1.3713 SW RACY PL.
SUBDIVISION....: ' -', T LLSH I RE ESTATES NO, 2 ZONING: R - -7 PD
BLOCK..........: LOT....,. ...... 1O6 JURISDICTION: TIG
CLASS OF WORK. e o OTR FLOOR TURN, o o e : 0 F_VAP COOLERS ° 0
TYPE OF USE. e e e oSF UNIT HEATERS. o e 0 VENT FANS, o e 0
OCCUPANCY GRP. :R3 VENTS W/O APPL: 0 VENT SYSTEMS 0
STORIES,,,,,,eso 0 BOILERS /COMPRESSORS HOODS.,oe°oee 0
FUEL TYPES _ - - - -- 0 -3 HP. e, o 0 1 DOMES. INC IN 0
GAS 3 -15 HP - 0 COMML. I NCI N D 0
MAX INPUT: 0 BTU 15 -30 HP, : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . 0 30 -50 HP, . 0 0 0 0 WOODSTOVES, e e 0
GAS PRESSURE. 0 . o S0!- HP, o .. 0 2' CLO DRYERS. o 0 0
NO. OF UNITS- - __ P I R HANDLING UNITS OTHER UN I TS. e 0
FIJRN ( 100K BTU o 1 (= 10000 cfm n 0 OAS OUTLETS. s 0
FURN > =100K BTU o 0 > 10000 cf ni s 0
Remarks: Installation of furnace and a/c unit. Location of a/c unit oust cooply
with standard setbacks.
Otnin e o -- - - - -- - - - -- -- FE`S - -- - - --
THEODORE TESSIER!,JINDWOOD HOMES type amount by date recpt
602 SW JEAN RD PRMT $ 25.00 DEB 02/01/99 99-312553
LAKE OSWEGO OR 97035 ,.PCT $ 1.25 DEB 02/01/99 99-312553
Phone
Contractor: - - - - --
ADVANCED HEATING & AIR COND
6918 SE 48TH AVE -- -- - --
$ 26.25 TOTAL
PORTLAND OR 97206
Phone ## : 235 -0060
Re J #o a e 000985
REQUIRED INSPECTIONS --
This parait is issued subject to the regulations rentained in the Mechanical Insp
Tigard Nun.cipal Code, State of Ore. Specialty Codes and all other Heat ing Unt Insp -- _ _
applicable laws. All work will be done in accordance with Cooling Unt Insp - - -_ _, _,
approved plans. This pernit will expire if work is not started Final Inspection _ -- _
within 180 days of issuance, or if work is suspended for pore _
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 - 001 -0210 through OAR 952- C01 -Q080. You nay — — —
obtain copies cf these rules or direct questions to OM by calling
(5031246-9187. - -- - -- - - -- - - -- -
I ssu , By: Per mi.ttee Signature _ i
0/4-C j�
Y...1S.i'.1L-S-• •-I•• (- •-F+++-0.+++ .''.. _F++++I-Yr'+-Fi.._F.Yr.Ji +++ +-I ++ i'• •_F-F+. . +il.Y'i.+Vr..Jf..{'+-L+Ji -rfli ++ ++ ••_I__F• +•Y++-F•++!f.+ i_+
Cal?. 639 -4175 by 7 :00 3.m, for inspections needed the next business day
. . . I . . . . . . . . . . . . .
02/02!98 LION 14:53 FAX 503 598 1960 CITY OF TIGARD 1j 002
IaECEIV RECEIVED Plan Che
CITY O TIGARD mechanical Permit Application Recd B
134:25 SW HALL BLVD. Commercial and Residential FEB 0 1 1999 Date Recd d �
1 7
TIGARD, OR 97223 JA N '99 Date to P.E.
t0 3) 6394171, x30 COMMUNITY DEVELOPOFN y Date to DST
DMMUNIfY UtvtLU IJitIVT .(IV Pem,it# ME_C -99 -00 /7
Print or Type
VI 1 '? -00 55 Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Sudett A) Permit Fee -0- -0- 10.00
Address (31 C_� 1 y rsi A
C rate 9 1.) Furnace to 100,000 BTU 6.00
t (� A _A C � . Including ducts & vents
Name or name usiness - 2.) Furnace 100,000 BTU+ 7.50
Owner •/ O I r V i • sr r including ducts & vents
ailin Addr s 3.) Floor Furnace 6.00
C _,� '4. including vent
y/S a zipe 4.) Suspended heater, wall heater 6.00
___ . C� if �� C C�I or floor mounted heater
Name (or name of busine 5.) Vent not Included in appliance permit 3.00
Occupant - Mailing Andress - '- -- 1 6.) Boiler or comp, heat pump, air cond. 6.00 t 01)
to 3 HP; absorb unit to 100K BUT
City/State ZIT-1-Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor 1 e 8.) Boiler or comp, heat pump, *cond. 15.00
•, et 1 _ l_ , 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Bastin d r 9.) Boiler or comp, heat pump, air cond. 22.50
/�
issuance, a copy n � 4 30-50 HP; absorb unit 1- 1.75mil BTU'*
of all licenses ,�'(()► 'a e n 10.) Bo or comp, heat pump, air cond. 37.50
are required if 'ter � C1 / Y _l > 50 HP; absorb unit 1.75 and BTU" _
expired in COT Oregon r Co so Li Exp. Da 1•� l 11.) Air handling unit to 10,000 CFM 4.50
database J / C .-
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
, Engineer City /State zip Phone - Ventilation system not included in 4.50
jw T 15.) appliance permit
Describe work •�" A. A.dition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residen 'a • Non - residential 0
Additional Description of wo • . -j- \ _povrl 17.) Domestic Incinerators 7.50
C. n p /C, 18.) Commercial or Industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property _ _. _ -
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property _
22.) Other units 4.50
Type of fuel - oil 0 natural • a: LPG O electric O 23.) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (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 State QTY. SUBTOTAL
laws
Signature of Owner/Agent Date *SUBTOTAL
-- 5% SURCHARGE I -
Contact P: or are Phone PLAN REVIEW 25% OF SUBTOTAL
4- 1 - 0 ILO) 1 TOTAL
' i
'mechpmt.doc (rev 9 'Minimum permit fee is S25 + 5% surcharge !�
"Residential A/C requires site plan showing placement of unit. Ot
•
Wq ;Fr,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q9
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested p — S0 - 1 AM PM BLD
Location / ?) - 1 13 l r D .e . Suite ME •I
Contact Person PI DO Ph ' ) I,S1/ m' PLM
Contractor 1 1 00 Is Ph (07(_c7q / D SWR
UIL I
Teo - - Owner LC
Retaining Wall -1_ r
Footing Access: ,/
Foundation N1S -LOSS oft l� 1/ G _ / � F'
Ftg Drain �/7 l7s N
Cagiaao C K Inspection Notes: hf
Post & Beam 17) a �)4,
1 1 A/ 1,g, z8 SI
-
alp
Ext Sheath /Shear
Int Sheath /Shear
_ t
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PASS PART FAIL
PLUMBING
I
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
ceAst PART FAIL
ELECTRICAL
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
Other Date � Inspector f/ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.