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Permit
CITY TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC1999 -00377 ' �� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/20/1999 PARCEL: 1S134AC-02616 SITE ADDRESS: 11255 SW WILLOW WOOD CT SUBDIVISION: ENGLEWOOD NO.3 ZONING: R -4.5 BLOCK: LOT: 173 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installing an exterior NC unit and gas piping. NC unit must not encroach within 5' of side or rear yard setback. Owner: FEES REIMEIER, HAL H DENISE A Type By Date Amount Receipt 11255 SW WILLOWWOOD CT PRMT BON 09/13/19E $50.00 99- 318256 TIGARD, OR 97223 5PCT BON 09/13/19E $3.50 99- 318256 Total $53.50 Phone: Contractor: • NORTHWEST HEATING + COOLING IN 8304 SE STARK ST PORTLAND, OR 97216 REQUIRED INSPECTIONS Gas Line Insp Phone: 252 -6656 Misc. Inspection Reg #: LIC 00117256 Final Inspection 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 952 - 001 -0080. You may ob copies o these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: • � , Permittee Signature: v \ a (t (a_4(074. - Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nat business day 09/08/99 WED 11:18 FAX 503 598 19110 CITY UN' 'I'IUARI) 40112 C ITY F TIGARD TIGARD Mechanical Permit Applic &iVED Plan Check f Redd By .►i 13125 SW HALL BLVD. Commercial and Residential 101999 Date Recd D 'G TIGARD, OR 97223 Date to P.E. . P • (503) 639 -4171, x304 Print or Type COMMU DE s -377 Incomplete or ille • ible applications will not be accepted VELOPMENT a Called Name or oevelopmenUPra)aa Description • Table 1A Mechanical Code • Price • Job ' street Address 1 sugar • Permit Fee •.r:= r:i: =' c` }` 1- :: '. 16.00 I 1) Furnace to 100,000 BTU Address ero� Including duets 8 vents see footnote 1,2 9.65 • 1 •& 2) Furnace 100,000 BTU+ Including duds & vents see footnote 1,2 12.00 Name for 'same of 3) Floor Furnace Owner JU/2. 1 PR e i t /lime ( including vent see footnote 1,2 9.65 Address 4) Suspended heater, well heater or boor mounted heater see footnote 1,2 9.65 J -55 th l 1 )10/0 (7 51 Vent not Included in appliance pemdt 4.75 e EP tisane Check all that apply. 'Bullet Heat Air . l i , Va c-4 O e 97,975 90 -/47/ For Items 6.10, see or Pump Cond Qty Price Amt a rremeofbootlace) footnotes 1,2 Comp q 8 � BTU sorb unit to / 9.65 / 4 Occupant f5A C 7) 3.15 HP;ebsorb unit 104,to 500k BTU 17.65 CllytStree J Phone . 8)15 SO HP; absorb ' unit .5.1 mil BTU 24.15 Contractor Naala 9) 30.50 HP; absorb A P )� unit 1 -1.75 and BTU 36.00 eed' 8 ✓ 10) >50HP; absorb unit Prior to permit melba Ad4reu '1.75 mil BTU 60.15 issuance, a cd 3 D S py R c/r a e- 11 Alr handling unit to 10,000 CFM of all licenses C1b' t le /� Zip Phone 7.00 am required it � ,px , 6 C 7 ?A: , ,R. �0�,6 12) Air handling unit 10.000 CFM+ ' expired in COT • database //7 / s orduaa - l � d 1 13) Non - portable evaporate cooler 11.85 Architect Nan" �f0 7.00 14) Vent fan connected to a single duct or MON heroes 4.75 15) Ventilation system not included In appliance permit 7.00 Engineer ale Zip 16) Hood served by mechanical exhaust 7.00 Describe work to'be done: 17) Domestic incinerators �C'GE }(� 12.00 New O 0 Replace with Bee kind: YesX No 0 _0)0,J 18) Commercial or industrial type incinerator Comrnerdal O f 4825 19) Repair units Addtional or description of work 8.40 20) Wood etove/gas FP /other unite/clothe dryer/etc. 7.00 NOTE: For Commercial projects only Units over 400 lbs. require . 21) Gas piping one to four outlet 7S structural gas cabs. See footnote 1 3.75 3 Type of fuel•. oil 0 natural gas It- LPG 0 electric 0 22) More than 4-per outlet (each) _ .75 Minimum Permit Fee $50.00 SUBTOTAL. i.K 1 1 % . I hereby acknowledge that I have read this application, that the bnforrnation 7% SURCHARGE ' given is correct. that I am the owner or authorized agent of OF SUBTOTAL r - o. ,.•..1 ■. t•: �,�Trn. !:1 l777 M T- err: , 1 ? % • ,,ir � the owner, that plans submitted are In compliance with Oregon State laws. Sig of OwnerlA Date Z 7 � 9 - g - 9 5' Other inspections and Fees: 1. inspection outside of normal business hours (Main= charge -two Person Phone hours) $50.00 per hour a � � J � / _ 2. Inspections for which no fee Is specifically Indicated (minimum 1 Ala /'l Gil 1 r �/! e ed S c 6 56 charge-half hour) $60.00 per hour 11• ' Foonotee for commercial projects only: 3. Additional plan review required by changes, additions or revlsl • 0. to 1. Provide full schematic of existing and proposed gas Ins and pressure. Plans (minimum charge-one-half hour) $50.00 per hour I`! ; 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boller Certification required 0 • units. "Residential A1C requires site plan showing placement of unit l:Vnechperm.doc rev 7/19/99 - . • , . NORTHWEST Heating & Cooling, Inc, , 4", , SHOWROOM & OFFICES • 8304 S.E. STARK • PORTLAND, OR 97216 Ph. (503) 252-6656 CCB • 117256 Fax (503) 252-6649 1 vN `4 so so' � V I vent P.v. R)p$ 946 IIN j 125 VSO. l t I 0 u tcood c± 5 C' -ncib 3 1 (VIM FRO 14+ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 \ / BUP Date Requested /���"I C AM / PM BLD Location ( /o W L) ida U) GUT) Cd (' Suite MEC 19q9--o 3 7 , Contact Person /OW I CO Ph PLM Contractor Pf i t CV P6t(4' /// Ph SWR BUILDING Tenant/Owner �� ELC Retainin Wall 9 � ELR Footing Access: Foundation Dr a i n (A f . ' / /_ , � FPS Ft Drain (�t� `"dC �� G� V1 ��✓ �, SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: � /.'� _,gg ism i.L Final PASS PART FAIL BIND Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains a ART FAIL C � Post & Beam Rough In Gas Line Smoke Dampers (PAO 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 D pi / �/ Inspector 174' Ex� C l Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM X BLD U G Location I! 2_5 S COI ink) Gu d o Suite MEC (� / %'00 7 7 Contact Person r ' t&) i- le‘ef Ph ZS 2 -Ca&S o PLM Contractor Ph SWR BUILDING 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 ,i7/ . = --S Insulation Drywall Nailing A C — – _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling /.t� �L� iC 1Frfvvu- (:4-7" Cj f= Roof Misc: 1l. c3 Ail G' i 7 's i • Final ! yam PASS PART FAIL _) CjQhI.- � � r- --7414 4' 1 'VS I' G7761A✓ C1 PLUMBING - 0 _ 4 s/ 0 sct I – Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL �HA IC Post &Beam Rough In Gas Line • Smo e I . mpers • AS - PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage 0( • Fire Alarm • Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspectio . 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 , f Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 I UP Date Re uested /r//�' "/ 92 AM /Z-) 6PM BLD Location it?-53 &) r)u lc51v 6 4 Suite EC / q9 C -013 77 Contact Person ij) 4(1 4 C.3 o, Ph X5 6 G,s -h, dip' L ctct - (0033 Contractor // Ph SWR BUILDING Tenant/Owner ELC s Gl 9 - 00 (2.0 q Retaining Wall ELR Footin . Access: I/n�"' ' Foundation f•-i /& o ,( pt. ( FPS Ftg Drain ` SGN Crawl Drain I Ct10 O��ggS'� , Slab - ✓►'lGt Ct' S I. r1,�t ��L�LG`V SIT Post & Beam -� fI�Y- L�'►' �LG�im h v►•i a — . Ext Sheath /Shear �2C • �(.IGj r Q.Cc___ Int Sheath /Shear / /^(� Framing \ ` L �`" 1 =( = =QO 3 ` 1 ((Jk( 05 iLl ) — Insulation Drywall Nailing Firewall Fire Sprinkler /� _ p� / /� (! Fire Alarm Q Ll '`CC�6-1 DOl v1—i( /�l�c \ue C■ra. C ` Susp'd Ceiling �V �� ` M� � • \2 U �1�� Q A --) "2.„-e_ l e /171 -i rk v 4 Final LA C S1 C C RT FAIL '�� LUMBI Post- eam Under Slab �/� L f 1 ,Q- Top Out (YlAO� G 1 ° 0o 7Ti -7C N16 1 - \,LV(,V� e.c3 - Qr Water Service Sanitary Sewer © l RakDrains /A--V\ ri CO 7A- S \ , Q ,'�� ) PASS /FART,, FAIL Pos3 Rough In I Gas Line Smoke Dampers V lam_ r� � p � n !C . v ��� ma SS PART FA (/\ / I n n 0 l ,e_ --1-- , - - U `/1\ ELECTRICAL Service 8 r2- l AA A 7 ae-c 5 Rough In UG /Slab Low Voltage , Fire Alarm J� Q A (../Vt/ 1 vv i/V rj e,-X - 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 (,'� 9 Other Date (' [71 - 1 Inspector Ext' Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.