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CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICESPERMIT
PER1v 'T #. . . . . . . : MEC98-0030
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ' ISSUED: 01/27/98
PARCEL'. ESIIIDD-08900
SITE ADDRESS. . . : 15855 SW 87TH AVE
SUBDIVISION. . . . : CHFSSMAN DOWNS ZONING: R7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O15 JURISDICTION: TIG
--------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURIII. . . . 0 EIJAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEA'rERS. . 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HVI. . . . - 0 DOMES. INC IN: 0
:PAS 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS7. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . . 0 CLO DRYERS. . : 0
NO. OF UNITS----- AIR HANDLING LNITS OTHER UNITS. : I
FURN ( 100F, BTU- 0 (= 1.0000 r-fm: 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Chloe
Owner: ------------------------------------------------------ FEES -------------- -
CHLOE STEWART type amotint by date r,er-pt
15855 SIJ 87TH PRMT $ 25. 00 JSD 01/27/98 98-302835
TIGARD OR 97224 5PCT $ 1. 25 JSD 01.127198 98-302835
Phone #:
Coritt-actat-:
ALLIED MECHANICAL CONT
1300 NE 48TH AVE ---------
STE 1000 $ 26. 25 TOTAL
HILLSBORO OR 9*7124
Phone #: 6'13-75t
Reg #. . : 005807
REGAL'IRED INSPECTIONS
This permit is issued subject to the re;dlation- contained in the Gas, Line In-3p
Tigard Municipal Code, State of Ore. Specialty Codes and all other MprhEnicaj. Insp
applicable laws. All work will be done in accordance with Final Inspection
apprnved plans. This permit will expire if work is not started
within IN days of issuance, or if w3rk is suspended for more
than IN days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in (AR 952-88I-010 through OAR 952AMI-W. You may
obtain copies of these rules or direct questions to OIAC by calling
(503)246-9187.
I ss+_le By : Permittee Signati-iret.
+-0►.............................►++ ++++.............I................ +............
Call 639-4175 by 7:00 p. m. for inspections needed the next b�_tsines% day
++4............4................)..............................I................
Plan Check#.
CITY OF TIGARD Mechanics! Permit Application Recd By__�a
13125 SW HALL BLVD. Commercial and Residential Date Recd„
TIGARD; OP 97223 Date to P.E._
(503) 639-4171, x304 Dace to DST_
Print or Type Permit#�' t' '=�r
Incomplete or illegible applications will not be accepted Called n l;?7 q� d
Name of DevelopmenJProlect Description
c CUSay_`Ir Table to Mechanical Codet CITY PRICE AMT
I
Job Street Adv,ass Suderl A) Permit Fee -0- -0- 10.00
Address I' 5w '6-1'-
Bidga--�"ny/State Zip 1.) Furnace to 100,000 BTU 8.00
/?� including ducts&vents _
Name for name of busine 2.) Furnace 100,000 BTU+ 7.50
including ducts&vents
Owner CI`K
Mailing Address 3.) Floor Furttace 6.00
"�- j, �7 including vent
crtylstate ZIP Phone 4.) Suspended heater,wall heater 6.00
_ t ' trA J or floor mounted heater
Ne (ur parra ofbusiness) 5.) Vent not in tided in appliance permd 3.00
C
Occupant Marling Addreet 6.) Boiler or comp,heat pump,air Gond 6.00 i
to 3 HP;absorb unit to 100K BUT-
CRY/State Zip Phom 7.) Boder or comp,heat pump,air Gond. 11.00
_ 3-15 HP;absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp,meat pump,air Gond. 15.00
N�u& 15-30 HP;absorb und.5-1 mil BTU"
Prior to permit Mailing Address Z, } 9.) Boiler or comp,heat pump,air Gond. 22.50
issua,i o,a copy 30-50 F'P;absorb unit 1-1.75mi1 BTU"
of all licenses /State ZI Phone 10.) Boiler or comp,heat pump,air Gond. 37.50
are required if 1) 9 ' IT3 >50 HP;absorb unit 1.75 mil BTU"
expired in COT Oregon const.C nt.Board tic x Exp.Date 11 ) Air handling unit to 10,000 CFM 4.50
database Z)C2
Architect Name 13.) Non-portable evaporate cooler 4.°J
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer Cnyrstate- Zip Ph no 15.) Ventilation sfMern not included in 4.50
_ appliance permit _
Describe work New Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residential Non-residential O -
Additional Description of work: 17.) Dow"stic 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 units 4.5C r
�^ Tp a of fuel-oil O natural gas O LPG O electric O 23.) Gas nipiog one to four outlets 2.00
V) 1 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, t lans itted re in compliance with egon Plate QTY.SUBTOTAL
laws- r
Signature Owner! t -D to I
- 'SUBTOTAL
LD _
J 5%SURCHARGE
Contact Person Name phone PLAN REVIEW 25°x6 OF SUBTOTAL
TOTAL
l.lrmechpmt.doc (rev 9 'Minimum permit fee is$25+5%surcharge
"ResidenNsl A/C requires site plan showing placement of unit
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: oZ -6` q0 FR ILA A.M. P.M. MST:
Location: 51?-�• BUR
Tenant: Suite: pp�- Bldg��:11 MEC:
Conti actor: CJ; Phone: 1L.�— PLM:
Owne Phone: FLC:
't 7 �i'�✓Vit�. t ELR:
SIT:
8tJII DIIVG BLDG(coni) PLL74DiNG 4MECIIAIYIC ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFI/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 Furnace Temp Service MISC.
Masonry Cell;^.g Rain Drain A/C UG Slab
Shear/Sheati: Fire Spklr/Alm Crawl/Found h Heat Pump Low Volt
Approved Approved A ved Appmved Approved
Appr/Sdwlk Not Approved Not Approved o ved Not Approved Not Approved
FIAAL FINAL FIN FINAL FINAL
a
f'C
y
1-�
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G] -
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O Call for rein O Reinspection fee of S— 6 requirened before inspection D Unable to inspect
�^-
Inspector. i L►ete: — & Page of
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 6394175 Business Phone: 639.4171
Footing Rain Drain Cover/Service AI_
roundatior. Water Line Ceiling -'PT[1R1t5.
Post/Beam Mech. Shear/Sheath Framinq ech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. eat Rough-in Gyp. Bd. -Bldg.
San, Sewer Gas Line Appr/Sdwlk Reins.
Other:
Datg: L/ 60
_ c�T � A.M. P.M. Entry:
e�
Address: t -� —1�-: 1't
Tenant:. _ Ste: MST:
Con/ wn'•_ --. MEC: ���-`--F
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: u_
4.
inspeccttor-r� _ Date:
�� PA PROVED —DISAPPROVED/CALL FOR REINSP. CF CO
MECHANICAL
PER17
CJTY OF TIGARD PERMIT` #. . ... . : ME:C96-0091;
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/10/96
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171
PARCEL: ,_.'S i 1 1 DD--08900
'.SITE ADDRESS. . . : 15855 SW 137TH AVC.
f UBD I V I S I ON. . . . . CHESSMAN DOWNS ZONING: R-••7
BLOCK. . . . . . s L_OT____�. ____.�1.J____._____._.__._.___.___._____.__.__._.__.._.____._._
CLASS OF WORK_ :RECFLOOR FURN. . . . : 0 EVAP COOLERS: 0
I'YPE: OF US _. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY CRP. . ;R3 VENTS W/O API'L. 0 VENT- SYSTEMS: 0
sTORIE.S. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
F=UEL TYPES---__________._ 0--3 I-P. . . . : 0 DOMES. INCIN: 0
I : /GAS/ / / 3-15 HF'. . . . : 0 COMML. INCIN: 0
I IAX I NPJT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
I-'IRE LAMPERS'?. . : 30-50 FIF'. . . . : 0 WOOD STOVES. . : 0
GAS PRrSSURE. . . : 50+ IiF'. . . . : 0 CLO DRYERS. . : 0
IVO. OF UNIT,..•'-•-._-----_-•---- AIR HANDLING UNITS OTHER UNITS. : 0
PURN ( 100K BTU: 1 (= 10000 c`m : 0 GAEL OUTLETS. : 0
F=URN > =100K BTU: 0 > 10000 cfm: 0
Pemarks : REPLACE APPLIANCE
Owner: _.._..___._._._._..___.._____._.________.__-__.__.... ________..._._.._.__.________._ FEES
PIAVI:_ FITZr' )TRICK C,P amol.mt by date r^ecpt
7615 SW CHESTNUT PRMT t 25. 00 ,JMH 04/10/96 96.--277965
5PCT $ 1. 25 JMH 04/10/96 96--177965
I`IGARD OR 97L='3
Phone #: 245-3870
Cuntt-ar or.:
CONTRACTOR NOT ON F"ILE
# L:6. 25 TOTAL_._.______.__.________
R-q
--- -- - REOUIRED INSPECTIONS
This permit is issued subject to the regulation3 contained in the Gas Line .1rnsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechan i ra 1 I n s p
applicable laws. All work will be done in accordance with F i n a I I n s pe ct i o n
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.
i e rt-m i t t e e r i g n a t 1-11-F.
Call fiat- inspection - 639--•4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 8W Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
�— •^•° w•°°^°^ Description
Table 3A Mechanical Code CITY PRICE AMT
Joh •- 1) Permit Fee -0- -0- 10.00
Address ..
2) Supplemental Permit 3.00
""•^Tom"' Furnace to 100,000
1) incl. ducts &vents 6.00 QC
�•� "' ° Furnace . +
Owner `�T S S_L11 2) incl. ducts &vents 7.50
Floor urnance
f ; � 3) incl. vent 6.00
r
""•^�° 5 uspende`dTeatFr, wal Feuer
4) or floor mounted heater 6.00
Occupant • ••• �4.. ) Vent not inc. in
y c/ 5) appliance permit 3.00
Lo Repair of heatmg, re ig.
6) cooling, absorption unit 6.00
or comp, heat pump, air cond..
r' t � �/ �- , 7) to 3 HP; absorp unit to 100K BTU 6.00
u ^' +�
Boiler or comp, heat pump, air cond.
Contractor •• S C Tiv�, 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air con .
t 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
pier or comp, heat pwno, air ccri .
j$70 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
-TTiere y ac now edge that I have read this application, t at the of er or comp, heat pump, air con .
information given is correct. that I am the owner or authorized 11) >50 HP, absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board that the number given is correct. (If exempt from State a andling unit
iegistration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
ent an connectda-
1°) to a single duct 3.00
enn anon system not
` - - 1G) included in appliance permit 4.50
°""" •• Hood serve b;�7 —'
1 7) mechanical exhaust 4 50
escn a work new- addition f alterahor repau 4'Stii commercla or m ustnal
to be done residential i�4 non-residential U 18) type incinerator 30.00
Existing use of Other i.e_ wocdstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) GasP9
IP in one to four outlets 2.G0
r, building or r'roperty
21) More than 4-per outlet (each) 2.00
_ Type of fuel -oil Q natural gas 1� LPG (_) electric 0 —
_J
NOTICE
Minimum Fee $25.00 SUBTOTAL 2..S 00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 6% SURCHARGE I .�
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED
l TOTAL �6 Z�j
Special Conditions
Date Issued by
H L001M04T3%MECtFMT