Permit ' `
/
'
,. .
A CITY oF TIGARD MECH�W
PERMIT
DEVELOPMENT SERVICES m�m��u~n�~~n nmn°�"� x ~�°�vu�ow�m�"w PERMIT #. . . . ' . . : MEC97-0377'
�� 13125 SW Hall ��.�m������������
Blvd., Tigard, `' DATE ISSUED: ./
1�07/97
. . .
^ PARCEL; 23111AD+09800
SITE ADDRESS...f. 08695 SW REILING'3T
SUBDIVISION--; SCHECKLA PARK 'ESTATES ZONING: R1-4"5
BLOCK.......,.. LOT ........... ... :@61 JURISDICT ION : TIG
CLASS OF WORK. .:ALT FLOOR FURN....: 1./.1 EVAP COOLERS: 0 .
TYPE OF USE. ...:5F UNZT HEATERS.,: 0 VENT FANS.�.: 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 ' VENT , SYSTEMS ; •
BOILERS /COMPRESSORS ` HOODS„ . .~ .. . . : 0,
'FUEL TYPES--- ------ �--- 0-3 HP. . . . : 0 DOMES. INCIN:' 0
: ` 3-15 HP....: 0 COMML. INClN Q
MAX INPLT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0 .
FIRE DAMPERS?.. .; 30-50 HP.... ; 0 WOODSTOVES.. : 0
GAS PRESSURE...: 50+ HP...,: @ . CLO DRYERS„ . 0
NO OF UN TS---------- AIR HANDLING UNITS OTHER UNITS.: 1
FURN ( 100K BTU: 9.) <= 1i73000 cfm:, 0 '' GAS OUTLETS. : 1 ` .,
FURN >=100K BTU: 0 ' > 10000 c.fm: 0
•
,
Remarks : install gas fireplace insert and gas piping to an exisitng single
family dwelling.
' - ^' ' - ' � -
- ^-
-
Owner: ------------------------------------- ----�--- FEES '----�---------
KAZEM K NADRI� ty� .. amount by date. - rezp±
14473 SW 134TH )RIV .. ' � � ' '�
'97-299768 PRMT $ 25.00 GEO 10/03/97 97�9�7�8
TIG 'RD OR 97224 ' 5PCT $ 1. 25 GEO 10/03/97 97-299768
`
.
Phone #: 524-7288 • � ' �
Contractor: ---------------------�-------
HOLMES INSTALLATION SERVICE , ��
� .
RAYMOND FLANDERS ' � ----��---------�--�-----�--------�-
52Q0�3W 141ST AVE #55 • $ 25.25 TOTAL
BE VERT8N OR,97005 ' '
Phone #: •
Reg #..: 001024 .
REQUIREI� INSPECTIONS -------
This pernit is issued subject � thp regulations m Uu� the G�/ Line Ins9 _ ^
Tigard Municipal. Code, State, �f'Ore. Specialty Code' and all Either • Misc. Inspection _______ _______
applicable laws. All work will is dune ifl accordance with F:inal inspect i.on __________ ______
appnvpd plans. This peruit will expire if work. is not started _______
within 180 days of iSsuance, or if wark is suspended for core '
� -_ . __--�- ___-
than I8Q days, ATTENTION: Oregon law requires you to follow rules , _ _ __
adopted by the OraB Utility Notification Center. Those rules �re __ � __ ________
set forth in OAR 952-001-0S1O through OAR 952-Q&1-888N, You may • __________�_________
___�_____-
obtain copies of these rules or direct question to RUC by calling
�
(503)246-3187.�- ' , ' ., __--___--____-'___-__
� �
� ___ __. -________
. ` --
1 = - -; �
.. Dp: Per mittee Signa� �
'
-�� __' .- � _____„
� � ` � � '
. ` � . ^ �
,. � '� ,. ^ . , `
++++++++++++++++++++++++f+++++++4++++++*++!-++++++++++++++++++++++++*++±++++++++ • Call 639-4175 by 7:00 p.ro. for inspections needed the ' next business day
+++++++++++++++4++++7i:4+++++++++++++++++++f++++++++++
� . ,
. �
CITY TIGARD MECHAN I CAL '
„y„,„0 �'� DEVELOPMENT SERVICES PERMIT .
��' ' 11
PERM I T # • MEC97- 0377
. '� = 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1 @ / 03 / 97
PARCEL: 2S,111AD -09800
SITE ADDRESS...: 08695 SW REILING ST '
SUBDIVISION • SCHECKLA PARK ESTATES ZONING: R -4
BLOCK • LOT °061 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/O APPL: 0 VENT SYSTEMS: 0 ,
STORIES • 2 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0
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.: 1 .
FURN < 100K BTU 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN . > =100K BTU: 0 > 10000 cfm: 0
Remarks : install gas fireplace insert and gas piping to,an exisitng single
family dwelling. •
Owner: FEES
KAZEM K NADRI type amount by ,date recpt
14473 SW 134TH DRIVE PRMT $ 25.00 GEO 10/03/97 97 -299768
TIGARD OR 97224 SPCT $ 1.25 GEO 10/03/97 97- 299768
Phone #: 524 -7288 ,
Contractor:
JOHN 0 BRANCH FIREPLACES & MOR "
JOHN OSCAR BRANCH ,
PO BOX 23698 $ 26.25 TOTAL `
TIGARD OR 97281
Phone #: 620 -0255
Reg #..: 003958
REQUIRED INSPECTIONS
This permit is issued, subject to the regulations contained in the Gas Line Ins p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
'applicable laws. All work will be done in accordance with Final Inspection
'approved plans. This permit will expire if work is not started '
within '188 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- 001i018 through OAR 952001 -0880. You may.'
obtain copies of these rules or direct questions to calling., , .
(503)246 -9187. . . ' , . ' '
/ ',I / /'' -
Issue By: / i gewid.ds. 1 Permittee' Signature:
/
++++++++++++++++++++±+++++++++++++++++++++++++++ + + + + + + + + + ++ + + + + + + + + + + + ± + + + + + + ++
Call 639 - 4175" by 6:00 p. m: for inspections. .needed the next bU .day '
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + +++ + + + + + + + + + + + + +'
CITY OF TIGARD Mechanical Permit Applicat . . Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
# Ace_ q9 -O37.7
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code CITY PRICE AMT
Job Street Address S' Sude# A) Permit Fee -0- -0- 10.00
�
Address 869., 5, k). '2 - 4 ∎ \-4 Va
Bldg# C /State V zip �y 1.) Furnace to 100,000 BTU 6.00
I i () ga O Q � ! 224 including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner \ A2Z.IV\ \ -A Rik R1- including duds & vents
Mailing Address c 3.) Floor Furnace 6.00
/ Ni-( 73 c5. W - t 3 t-C )^ R- including vent
C' e Zip Pn e q 4.) Suspended heater, wall heater 6.00
c i c i 1 i28. ' ? '221 f 59J-1-722.? or floor mounted heater
N m r name of bds 5.) Vent not included in appliance permit 3.00
q.��1 W kt S 1r\
Occupant M A r ess p 6.) Boiler or comp, heat pump, air cond. 6.00
o t g 3 , W R t \ � \'(Al\ s � to 3 HP; absorb unit to 100K BUT
� Zip Pone 7.) Boiler or comp, heat pump, air cond. 11.00
) ) A A '7722 CO ZU -M \ 3-15 HP; absorb unit to 500K BTU"
Contractor Na C) .4 8.) Boiler or comp, heat pump, air cond. 15.00
n�' O h 1n t3) ra R � - h I'/ /e-pIQCPt 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit wading Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy P. Ci AG q.. 1..3 6 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses 9.;U/State Zip - Phone _ 10.) Boiler or comp, heat pump, air cond. 37.50
are required if ) Set f A (�/ 912 f(1 �c„20.025 S > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board Licit Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database s hit • I.5 qy 't -5 -6 V
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 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
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 unit � e} , , / 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) as piping one to far ou ets f 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.
Signatu of Owner /A t , - - Date *SUBTOTAL
e - /0 3 ' 9 7 5% SURCHARGE
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
( SU{ta�t 0 Da A N C F'} (p 2(J - U Z 515-- TOTAL
i:4nechpmt.doc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
A
i` j/31,QA C ITY OF TIGARD BUILDING INSPECTION DIVISION
/ 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
11:00
Date Requested: e — S 9 P . M . MST:
Location:
/ " ge� � l L r �� `"— BUP:
Tenant: -O — 3/ (.7/ Suite: Bldg: G MEC: q 7 -0 .3 7 7 5c2- 7�g
Contractor: Phone: 3 , � �y —
- d n PLM:
Owner / /9 Phone: ELC:
I/ 4!f / ELR:
l Z 7 ei / / / / ' . // = 5 7L'' SIT:
BUILDING BLDG (con't) PLUMBING CIIANIC ELECTRICAL SITE
Site Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rou: -In Ceiling Water Line
Slab Framing Top Out __ Rough -In UG Sprinkler
Foundation Insulation Sewer 1/JD ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL (FINAL) FINAL FINAL
i
O Call for reinspectio 0 Reinspection fee of $ required before next inspection El Unable to inspect
Inspector: / Date: � 5 ? 6 Page of
i
) 5
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: e2 — — 7 _ A. M. P.M. )5 MST:
Location: 5'6 75 5t0 i'' °m �} Az BUP: p
Tenant: gee/WO �� U .� Suite: Bldg: MEC: / 7 7
Contractor: �(��i.8�� n !phone: PLM:
Owner: it ♦ / Ii A I a Phone: j c? — 7, - 'J' ELC:
/
ELR:
JO/Z- OF 7T L - SIT:
BUILDING BLDG (con't) PLUMBING ELECTRICAL SITE
Site Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out .Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm F Temp Service MISC.
Masonry Ceiling Rain Drain TG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr eat Pump Low Volt
Approved Approved A �, , • Approved Approved
Appr /Sdwlk Not Approved Not Approved 4. • . •, Not Approved Not Approved
AL FINAL r FINAL FINAL
\) 4_,),e VIA AS-k-i.- 1).---{ i et-vvy_vvLz--i.k; C-;).(
OL.— c—'v .
L
all for reinspection O Reinspection fee of S required before next • on O Unable to inspect
Inspector.
Date: 27 / 4 Page of
9�4 S 1
0 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / - 7- c / O P.M. MST:
Location: F Go 95 S 4` BUP:
Tenant: Suite: Bldg: MEC: y 7 - 037 7
Contractor: / 4 ' 1 - = _ Phone: 5•;- — 7. 0 p ? - -
Owner. _ at J'��, a Phone: , . - / / -
/ • • / / ELR:
I /I 1 I I M i /' IoZ • r
srr:
BUILDING BLDG (con't) P I ING MECHANIC ELECTRICAL SITE
Site Post/Beam . Post/Beam ITYWBeam i Cover /Service Sewer /Storm
Footing Roof UndFl/Slab ' o _ niip- j � / eiling Water Line
Slab Framing Top Out ► w C Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Approved Not Approved
FINAL FINAL __ FINAL FINAL
564-1— A- Woue..co q/4-3 . i 7 t ,.4 s CO J C , 4..0 701 I - fi T
L .4/G - � - sY.v %P c°,6��g o� �' - ; : irov . mo o .v .
� e JA?/ Ca 7 D.'" ri� - OF
Yae, /13.(../,... o "✓ &S'.r o - 'mss 1, 4 -��d
i! < AP. _ . ,/ t A y 72 J /d --97
CaD 11 for reinspect' O Reinspection fee of $ required before next inspection O Unable to inspect
pe pe
/ pr
Inspector: Date: l _ 7-- 5 d � Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
0
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Requested: ` � I
Date R
e9 P.M. MST:
� • .M.
Location: i CO 5 / r . / ' ' BUP:
Tenant I Suite: Bldg: MEC: 7-7e, 77
Contractor. Phone: PLM:
Owner • / M ., _, Phone: (a 7- 0 3 1 t ct I ELC:
I ELR:
' SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab ' ough -i', Ceiling Water Line
Slab Framing Top Out j /,i�.(-g/w Rough -In UG Sprinkler
Foundation Insulation Sewer • . a II ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved •pproved' Approved Approved
Appr /Sdwlk Not Approved Not Approved , o • pproved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
`e- -- ( SA
O all for reinspection D Reinspection fee of $ requir- a before next inspection GI Unable to inspect
Inspector: Date: I 1 - Page of
1051 00V-T)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: G p 1 1 -110-9 A. . S ! /_ n P.M. , J MST:
Location: D �p 13 ,314) • 1 V r II 4 • {/l,�LL/ C 1 c %. BUP:
Tenant: / 1 4 '�i , — I L, � uite: LeiT 61 Bldg: MEC: 7 7()3 7 7
Contractor: I Phone: PLM: .
Owner: Phone: - (0.10 -- 3 i 7 , ELC:
V I I
Dp :�' ` ELR:
SIT:
BUILDING BLDG (con't) PLUMBING CC—MECHANICAL) ELECTRICAL SITE
Site Post/Beam Post/Beam PostBeam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Roul -In Ceiling Water Line
Slab Framing Top Out liC Rough -In UG Sprinkler
Foundation Insulation Sewer - .. or P ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
H a a ar (- k-(: ) v \ - .f••�'
s
O Call for rein ti O Reinspection fee of $ required before next ispfction Unable to inspect
5
C.— ; '
Inspector: Date: / Z / Page of