Permit CITY TIGARD MECHANICAL PERMIT
A DEVELOPMENT SERVICES PERMIT #: MEC2002 -00273
A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/19/2002
PARCEL: 2S 109BA -04800
SITE ADDRESS: 14111 SW WAGONER PL
SUBDIVISION: HILLSHIRE SUMMIT NO. 2 ZONING: R -7
BLOCK: LOT: 030 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: NONE VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 100,000 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: 1
> 10000 cfm: GAS OUTLETS:
Remarks: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTION FOR A PERIOD OF 30 DAYS.
Owner: FEES
HANSEN, LEIF C + Description Date Amount
CAROL M [MECH] Permit Fee 8/19/200 $72.50
14111 SW WAGONER PL [TAX] 8% StateTax 8/19/2001' $5.80
TIGARD, OR 97224 [MECH] Misc Fee 10/27/20( $62.50
Phone: 503 740 - 3047 Total $140.80
Contractor:
GUN -CRETE CEMENT CO
DBA CASCADE POOLS
PO BOX 2049 REQUIRED INSPECTIONS
•
LAKE OSWEGO, OR 97035 Gas Line Insp
Phone: 503 620 - 6174 Heating Unt Insp
Reg #: LIC 494 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty odes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will exp if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTE ION: 0 -gon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are --t forth i► OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct • estions a OUNC, by calling
(503)246 -6699.
Issued By: ,Permittee Signature:
•
9503 639 -4175 by 7:00 P.M. for inspections neede' a next business day
,r , CITY OF TIG ARD MECHANICAL PERMIT
�ri► DEVELOPMENT SERVICES PERMIT #: MEC2002 -00273
� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - DATE ISSUED: 8/19/02
PARCEL: 2S1 09 BA -04800
SITE ADDRESS: 14111 SW WAGONER PL
SUBDIVISION: HILLSHIRE SUMMIT NO. 2 ZONING: R -7
BLOCK: LOT: 030 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
•
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: NONE VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 100,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Pool heater and gas piping. Pool equipment will be placed in structure to be built under existing deck, a
building permit will be required for this structure.
Owner: FEES
HANSEN, LEIF C + Type By Date Amount Receipt
. CAROL M PRMT CTR 8/19/02 $72.50 2720020000
14111 SW WAGONER PL 5PCT CTR 8/19/02 $5.80 2720020000
TIGARD, OR 97224
Phone: 503-740-3047 Total $78.30
Contractor: •
GUN -CRETE CEMENT CO
DBA CASCADE POOLS
PO BOX 2049 REQUIRED INSPECTIONS
L AKE OSWEGO, OR 97035
Gas Line lnsp
,Phprae: 503 - 620 -6174 Heating Unt Insp
Reg #: LIC 494 Final Inspection
i
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 -00 -! : ' through OAR
952 - 001 -0080. You may obtain copies of these rules or direct • .estions t.) . • . • ' • -1 ' • •
rcnn»aF_qiRa
4
Issue By: Apt, , / f _ _ _ Permittee Signature: 4 ,4 1 ,,,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed 46 t business day
Received: 25/ 6/02 16:48; 5035981960 -> Cascade Pools & Spas; Page 4
06/25/2002 16:42 FAX 5035981960 CITY OF TIGARD Z004
A . Mechanical Permit Application
Datereceived:(, - . 2 6 -O Y Permit no.: 1' t 0 7
, City of Tigard Project/appl. tor.: Expire date:
CiryefTigard Address: 13125 SW •� W T' . +, Date issued: By:e Receipt no.:
Phone: (503) 639 - 417I � t
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: JUN 2 6 202 Building penult no.: .`
TYPE OF PliRM IT ' I
q�g
gy��TT I �
0 1 & 2 family dwelling or accessory U 'i-oiilitl i(tdrltltal , l 0 Multi- family 0 Tenant improvement
O New construction 0 Addition/alteration/replacement 0 Other VC L. .AX'E�
JOB SITE 1NFORNIATION COMMERCIAL VALUATION SC1II:DULE
Job address: 4 , 1/4.6 ckcoOL .r , Z ,I, Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no :: Suite no.: ' 2.4- value of all mechanical %trials, equipment, labor, overhead.
Tax map/tax lot/account no.: profit Value $ l
Lot: Block: Subdivision: 'See checklist for important application information and
• Project name: - , jurisdiction's fee schedule for residential permit fee.
City /county: - .. -a ZIP: 1 & 2 FAMlL'V DWELLING PERMIT Fl SCHEDULE
Description and location of work on premises: 3t49■315,k 'tti f AND COMMERICAL /INDUSTRIAL EQUIPM ENT SCI IEDULE•
Fee(ea.) Total i
Est. date of completion/inspection: q Desa:i . ;on Qty. Res. oni Res. only
Tenant improvement or change of use: ' rA ' ■ ��
Is existing space heated or conditioned? 0 Yes 0 No Air ondfin: unit CFM
g P Air conditioning steep an rum • I=
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system EM
MECHANICAL CONTRA(TOR Boi acompre r m it I ■�
1 HP Tons BTU/H State boiler permit no.:
Business name:
�.' -_,1- ". �: --' -: � -
Address: . mac :.. _ QStt 'h Mi . , , :. uct smo . detectors In
City: t Q =NM ZIP: • Z s Heat pump (site required) � E
Phone :GIS:2 r0 Fax ` ,j i E-mail: Install/replacefurnace/be/burner er BTU/H
CCB no.' Including ductwork/vent liner O Yes U No
Ins.: Trep a. re ocateheaters- suspended. 1111
City/metro lie. no.: wall, or floor mounted
Name (please print): sued " _ Vent for a Hance other than furnace MI MOM
CONTACT PERSON Absorption � ��
Absorption units BTUAI
Name: ! ; _ (-33‘.4 -t.'re... Chillers HP — ��
Address. Co...ressors • HP MO
-- �•• : 5 . „ en . tut and Ten 1 , . on: III
City: State: ZIP: Appliance vent _ _
Phone: Fax: E-mail: m _ ■ __
OWNER Hoods. Type 7l res.IdtcheNhazmat
hood fire suppression system
Name: L"- , , e . _ Exhaust fan with single duct (bath fans) - -_
Mailing address: ME
—In City: State: , ZIP: Type: : G ,,-; on up to 4 ou ets � --
'1y+pe: LPG NO Oil
Phone: Fax: E -mail: Fue ,1 ' m , tore , am n tt,ona over • ou ets = _
. ENGINEER - ` , , p , : (schematic required) —
Name: Number of outlets
ate. er 11 app , co or eq,. pmeot:
Address: Decorativefireplace
City: • State: ZIP: nsert- J. - NO
Phone: Fax: E Woodstov , lletstove MOMOMOMIN
Applicant's signature: Date: r - i, _ --
Name (print): - '
'Nor ivriarictiem accept watt cards. please call Jmtadictlm for mac iatbrmadon: i Permit fee $
O Vasa o MaataCerd No t: Thi perm app M inimum fee $ WI. 5
credit and number / / expires if a permit is not obtained plan review (at %) $
8 within 180 des after it has been State curt Marge (896) .... $ `.-
Name of eardheldee as thews an credit told accepted as complete.
• S TOTAL $ 7 g • 3/7
Gtmtaida atiRaaee• Amount , 440.4617 (68DOAOOM)
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