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10705 SW FONNER STREET
--- -� --'---" _, ,��� MECHANICAL
CITY OF TIG , T
PERMIT #. . . . . . .
DEFERMI
,• . : MECSB-0432
DEVELOPMENT SERVICES
3125 F'r'd Hall Blvd,.Tigard,OR 97223(503)639.4171 DATE ISSUED: 09/25/98
PARCEL: 2SI03AD-00107
SITE ADDRESS. . . : 10'700 SW FCNNER ST ZONING: R-4. 5
JURISDICTION: URB
SUBDTVISION. . . .
:01.5
BL.00F'. . . . . . . . . . . LOT Y_._ �• �_-
____ ------ ----- EVAP COOLERS: 0
CLASS OF WORK. • 'ALT
FLOOR FURN. . . . O VENT FANS. . . : 0
UNIT HEATERS. . : 0
TYPE OF USE. . • • :SFVENT SYSTEMS: O
VENTS W/0 APF'L: 0 HOODS. . . . . . . O
OCCUPANCY CRF'• • .R0 BOILERS/COMPRESSORS HOODS. I. . . . : 0
STORIES. . . . . . . . 0-3 HP. . . . : 0
FUEL TYPES---_._--------- 3-15 HP. . . . : 0 COMML , INCIN: 0
15-30 HP. • . : 0 REPAIR UNITS: 0
MAX INPUT: 0 @TU WOODSTOVES. • : 0
30-50 HP. . . . : 00 CLO DRYERS. . : 0
FIRE: DAMPERS?. . : 50+ HP. . . .
GAS PRESSURE. . . : OTHER UNITS. : 0
AIR HANDLING UNITS
NO. OF UNITS-- ---- �= 10000 cfm: 0 (;AS OUTLETS. : 0
FURN < 100K BTU: 4 10000 cfm: 0
FURN > =100K BTU: 0
Remarks: Install new gas furnace. -
______.__.__._ FEES
Owner,: - - -- _ amoLtnt by date recpt
type
TOM/CINDY DAILY E)(" I F'RMT $ 25. 00 GEO 09/25/96 98-3094134
10705, SW FONNER STREET RIFI) SPCT $ 1. 25 GE.O 09/25/98 98-309494
TIGARD OR 97223 ��/
l (,
Phone #: 620--1639
Contractor-: -- -_- --__
------_._--._--
B & T GAS SERVICE INC KEITH TEASDALE f 26. 25 TO'f AL
8528 SW 190TH AVE
BEAVERTON OR 97007
Phone #: 642-7243 -- ___
1l7N8
Reg #. . . 000911 REQUIRED INSPECT -
H e a�t i.n g lJ n t I n s p �_____—.------
This peroit is issued subject to the regulations contained in the F i t .� 1 n s pest i.on
Tigard Municipal Code, State of Ore. Specialty Codcs and all other
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended ftr acre
than 188 days. ATTENTION: Oregon 11w requires you to follow rules
adopted by the Oregon Utility Notification Center, Those rules are
set forth in OAA 952-881-8818 through OAR 952•-881- 888, You Bay
obtain copies of these rules or direct questions to WC by calling --- -----
15831246-9187.
I-- Permittee Signati.tr-e .
iss1-ke By : Imo.
+++++++++++'+++'t++++4++++++.r'++++++++.4-+++ions+needed+the++ext+b a s i n e s s `day r *++++
Call 63'3- 4175 by 7:OO p. m• rot- inspections
1
Plan Check#
CITY OF TIGARD Mechanical Permit ApplicT"VED Recd By
13125 SW HALL. BLVD. Camrrler:ial and Residentiat"� Date Recd
TIGARD, OR 97223 199R Date to P E.
(503) 639-4171, x3041 "-' Date to DST
Print or Type C0P!DAU'JITY DIVEV Permitn/��fF- �Y3�
Incomplete or illegible applications will not be accepted called
Norge of Deveiogrpopt/Project t'T 1 Descriphnn -
Jj Table 1A Mechanical Code OT's PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address 1 O7nr, I �,; ( 01
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 5.00
including ducts&vents
Ne (or name of business) 2.) Fumace 100,000 BTU+ 7.50
Owner 1 1( including duds&vents
Maiibi Adtlrgss 3.) Floor Furnace 6.00
Lf vC} c{ rx noc_j • including vent _
Ctere Zip Phone 4.) Suspended heater,w.11 heater 6.00 i
t O" or floor mounted heater _
N me,or name or twslneaq 5.) Vent not included in appliance permit 3,00
Occupant Mailing Address 6) Boder or comp,heat pump,air coed. 600
to 3 HP;absort,unit to 100K BUT"
Gtyistate zip Phone 7) Boder or comp,heat pump,air coed 11 t?0
_- 315 HP;rbsorb unit to 500K BTU"
Contractor Name 1 8.i Boiler or comp,heat pump,air Gond. 1500
��` �lf�t &n 15-30 HP:absorb and 5-1 and BT11"
Pnur to permit M.adll�l]J�ddre{fs�-, \ 9.) Boiler or comp,heat pump,all const. 22.50
issuance,a copy <`�!.07 �W 30.50 HP;absorb unit 1-1.75mi1 BTU"
of all licenses C"istete Zip Phone 10•) Boilr.r or comp,heat pump,air con d 37,50
are required if '( I ter J Uc_ ,l >50 HP;absorb unit 1 75 mil BTU"
expired in COT Oregon Const.Coni Board uo.# Exp.Date 11.) Air handling unit to 10,000 CFM 4.50
database_
Architect Name '�F 12.) Air handling unit '- 7-10
10,000 CTM+
or Mading Address 13,) Non-portable evaporate cooler 4.50
Engineer Cnyisime Zip Phone 14.) Vent fan connected to a single dud 3.00
Describe work_ New S Adoa.ion O Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be dime Residential O Nc-residential O in appliance permit _
Additional Descnption of work 16) Hood served by mechanical exhaust 4_i0
1 ,II 1 1 1'7) Domestic incinerators 7.50
Existing use of _ 18.; Commercial or industrial 30.00
building or proprirty`__a`______�i •• x i pe incinerator
1 19.) Repair units 4.50
Proposed use of ---
20.) Wood stove 4.50 i
I,,uilding or properly_��..__•._,.- _-
i
21.) Clothes dryer,etc. 4.50
r
-Ty p-
ype of fuel-o 10 natural gas 0 LPG 0 electric O 22.) Other units � 4.50
I herehy acknowledge Wl have read this application,that the information 23.) Gas piping one to four outlets 2,00
given is corre(X,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State laws. 24) More than,'-per outlet(each) .50
signaturo of OwnerlAgestt DI U _ ^� 'SUBTOT',I y
D 16231"Y
5%SURCHARGE� t � .l _
Contacl•Person mta Ph ria PLAN Ri VIEW 25%OF SUB70TAL
/ r Required for a, commercial permits on,Iv.
_ __ __ _. TOTAL
/J�)
'Minimum permit foie is$25* 5%surcharge
"Residential A/C requires site plan showing placement of und.
I:Vnec.hvrmt.w)c rev .1151911
CI FY OF TSGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --
q `6 bolO �D BUP
Date Requested "2-S-q / AMx _PM BLID _
Location _�t� s ��t'. ..� _ Suite MEC Z11.�� _
Contact Person -t om IDGC =QUX e-,1 Ph PLM
Contractor Ph SWR
BUILDING _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftg Drain _ SIGN
C.-awl Drain Inspection Notes'
Slab SIT
Pest& Beam --�'-^_ --
Ext Sheath/Shear _
Int Sheath/Shear ,.
Framing
Insulation
Drywall Nailing
Firewall ���� (
G ,
Fire Sprink'r-r
Fire Alarm
Susp'd Ceiling
Roof — -
Final
PASS PART FAIL -- --------- - ------- - .—�
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitery Sewer
Rain Drains
Final
PASS PART FAIL
CHi4— _ -- --
Post&Benni - _ - - -- -- — ---
Rough In L,
Gas Line I -- - ---- --
SmQ a Dampers
SPART FAIL
tRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm ---
Final
PASS PART FAIL —__-_ — _--_-- --
SITE - ---
�..
Backfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$, ____.__required before next inspection. Pay at City Hall, 131io SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE: ( ]Unable to inspect no access
ADA
Approach/Sidewalk Date — _ �Inspector t,;_ Ext
Other --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.