9980 SW MCDONALD STREET ,103HIS U'IVW)G OW MS 0866
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9980 SW MCDONALD ST
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT 0: MEC2002-00306
13125 SW Hall Blvd.,Tigard, OR 97223 1503)639-4171 DATE ISSUED: 7/16/02
PARCEL: 25111 BA-00800
SITE ADDRESS: 09980 SW MCDONALD ST
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R-3.5
BLOCK: LOT:012 JURISD;CTiON: TIG
CLASS OF WORK: OTR 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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
OD
GAS PRESSURE: 50+ HP: C
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Replace furnace.
Owner: —�-- FEES
TOMINAC, ALBERT D M A Tyr-4 By Date Amount Receipt
9980 SW MCDONALD ; -T CTR 7/16/02 $72.50 2720020000
TIGARD, OR 97224 5PCT CTR 7/16/02 $5.80 2720020000
Phone: Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
8900 SW BURNHAM
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:824-2704 Final Inspection
Reg#:LIC 76359
PLM 34-175
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W 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 Notlflcation Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may in copies of these rules or direct questions to OUNC by calling
f� R17d.R_g1Rq � �
Is ue By: Permittee Signature: i
Call (503) 39-4175 by 7:00 P.M.for Inspections needed the next business da. /
v
1 Mechanical•Permit Applicition
Date received: /(p OJ Permit no.:
City of Tigard Project/appl.no.: re date:
t u,a/7i� an1 Addre9t: 1.1125 SW Ball lilvd•Tigard.OR 97223
Phone: (503) 639-4171 Date issued: B&_, Receipt
Fax: (503) 598-1960 Case rile no.: Payment type:
Land use approval: — —_! Building permit no.:
1000000011111 NW aid a Lull
J I N, 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction �Addition/alteration/replacement U Other: _
MENEU1111-LIVIA 10111 RIM LKMMIREIIEIU�LMN LUVISM11111 mile 11
Job address: 1—.5 ��NA r� Indicate equipment quantities in t-oxes below. Indicate the dollar
Bldg. no.: —� Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value
Lot: Block: Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee
City/county:
Description and location of work on premises:
� � - Fee,".)JoW,,
Est.date of completion/inspection: DescJ>tion Qty, Res.only
Tenant improvement or change of use: _
Air handlin unit CI-M—,
Is existing space heated or conditioned'?U !es U No
Air conditioning(sit'e p a�n iequirec)
Is existing space insulated?U Yes U No A terauon o existing system
Boiler/compressors
State boiler permit no.:
Be;iness name: bwjl., 't F=, . O HP Tons BTU/If
Address: =ir smo a dampers/duct smoke electors
City: State: ZIP: eat pump(site plan required)
Phone t�'.77oa/ Fax _ E-mail: Install/replace urnac urne - -
CCB no.: .24- 3 Including ductwork/vent��,, . `Yes U No
_ nstal rep ace re ocate eaters-suspende
City/metro lie.no.: _1�7 de wall,or floor mounted
Name(please pniiQ: t/�p e ! o Ise A Vent fora iance other t anFi uumace
Refrigeration:
n Absorption units BTU/H
Name: I� D/0 I6 �N QDpd��,� Chillers HP
Address: — ' Com ressors_ lip
Environmental exhaust an vent at on:
City State: ZIP:_ Appliance vent
Phone: — — Fax: E-mail, )ryerex i—usi __-
1111001
lloi2s,Type 11 IlTres. itc ten hazmat
hood fire suppression system
Name: 0)[.' tet) 7—, , ,-1 ek _ Exhaust fan with single duct(bath fans)
a, Mailing address: C1,1 x dus�t sy�stema art rum-Fc—,,t� or C
TueTplping and distribution(up to 4 outlets)
City: "T, State: d/' ZIP: Type: LPG NG Oil
N Phone: Fax: E-mail: v_cTTi Ter_ie_ac—Ti a—ft di nal over 4 outlets
Process piping(sc t� hematic require ) _
Name: Number of outlets
f>0 Address: — ter appliance or eq pment:
Decorative fireplace
City: State: ZIP: nsert-type
W oo stov pe et stove
J Phone: Fax: E-mail;
Applicant's signature: Date: / Otherr
,-)pOther
Name (print):
Not all jurisdiclioro accept cresol cards,plena call jmi" on for more infamatian. Permit fee.....................$
Notice:This permit application
❑Visa U MasterCard Minimum fee................$
Credit card nombe.. / � expires if a permit is not obtained plan review(at � %) $
within 180 days after it has been State surcharge(8%) ....$
Name of cardholder as shown on credit card $ accepted as complete. TOTti, $
Cardholder sisoature Amount
4141611(6I001COM)
CITY OF TIGARD 24-Hour
BUILDING � Inspection Line: (503)639-4175 � MST
INSPECTION DIVISION' Business Line: (503)639-4171
-7& BUP _
Received Date Requested AM L--' PM Blip "
G
Location __ �� Suite�_� —i MEC ® 2
Contact Person _ Ph(_ ) PLM
Contractor _. ph( ) SWR
BUILDING Tenant/Owner _ ELC
Footing
Foundation ELC
Access:
'=tg Drain ELR _
Crawl Drain —
Slab Inspection Notes: SIT
Post&Beam _
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --- -------- —_ _ _
Fire Alarm
Susp'd Ceiling —
Roof
Other: --- —
Final
.ySS PART FAIL " — —
PLUMBING
Post A Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain ---
Shower Pan
Other: —
Final
P FAIL — —
Rough-In
Gas Line
Smoke Dampers
PART FAIL -- — —EM=RICAL
Service -
Rough-In
UQ/Slab — --- "
Low Voltage _
Fire Alarm -�
Final Reinspection fee of$^__ required before next inspection. Pay at City Hall, 13125 SW HPII Blvd.
PASS PART FAIL
SITE lJ Please call for reinspection RE: _ ❑ Unable to Inspect—no access
F: a Supply LineAA 1
J
Approach/Sidewalk Do% ,�` -0 Z — Rnspoear__-V'____.—_ _ Ext -
Other:
Final i DO NOT REMOVE thls Inspection record frown the Job site.
PASS PART FAIL
fPERMIT
I PERMIT #. . . . . . . : SWR96-•0167
OF T DATE ISSUED: 04/11/96
dTY
MMUNITY DEVELOPMENT DEPARTMENT
13126 SW Mall Blvd.Tigard.Oregon 97223.6199 (503)630-4171 PARCEL: 2S 1 1 1 RA-00800
SITE ADDRESS. . . : 09980 SW MC DONALD ST
SUBDIVISION. . . . : TIGARDVILLE HEIGHTS ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 12
TENANT NAME. . . . . :TOMINAC ~~-�
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 16
CLOGS OF WORK. . . :ADD DWELLING UNITS. . : 1
T YF'E= OF USE. . . . . :5F NO. OF BUILDINGS., 0
INSTALL TYPE. . . . :LTP IMPERV SURFACE: 0 sf
Remarks : Connecting sewer to existing lAteral to the property.
Must cap, fill, and have septic tank inspected.
Owner: ------------------------------------------------------- FEES
ALBERT TOMINAC TOMINAC type amount by date recpt
9980 SW MCDONALD ST PRMT $ 2200. 00 R 04/11/96 96-;::'78051
INSP $ 35. 00 B 04/11/96 96-, !8051
TIGARD OR 972124
Phone #: 639-52.49
Contractor:
RESCUE ROOTER
W I LSONV I LLE OR __-------.-----------------------_._.-_.
F11-i on e #: 685•-9050 $ 2235. 00 TOTAL
rieg #. . : 44677
-------- RE OU I RF D INSPECTIONS
This Applicant agrees to comply with all the rules and regiiations Sewer Inspectiar
of the Unified Sewage Agency. The permit expires 180 days from Septic Tank Fill
the date issued. The total amount paid will be forfeited if the _
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Sidt Sewer" Permit and thee Agency will install a feral.
l,ermittee
I s r i.l e d By • __�r l. M�a�(� __ ____ _..._..
L
IC Call for inspection - 639-4175
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ky of Tigard Commercial Building Permit aciolication
, �f
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639.4171
Jobsite Address: ri OAM 44
Pr e Ten- vit—-� .__ _-_. __ _ Suite 0
Office 11N Oehr
Valuation: -
Planck/Rec
P,5rmit S_ SL)
Owner. ��� L' a/Yl / /l��i � Map & TL #_
Address: o U ,� L�� /� C L1JJ/y'��-� Approvals Regulred
77.) Planning r _
Phone: �� - 3 ,,L 7
Engineering
y� Other
Contractor. u c;SC uc' /S"DU e /z
Address: T3 UX -/7,!,R
Type of const:
(�r� y� de oil X7070 -����
Phone:
IPi)x ,�e'j) ;? 4 3 - 17 a Occupancy class:
Contractors License* -/1 -7 7 Sprinklered'' Yes No
(attach copy /of current Oregon license) Sq, ft. of project:
Contact name & phone O%It Story (1st, 2nd, etc.)
Proposed use: _
ArchitecUEnglneer:
Previous use:
o. Address:
Note: Plumbing & mechan:,.al plans
must be submitted at time of
building permit applicatici.
!=
Phone:
W JOB DESCRIPTION: 'l� L
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boat
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�Othcant Signature & Ffione number
Received by: � Date Received:
Permit# Account Description Amount AmL Pd. Bal. Dui
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) i
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
I .
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA1 Z 00 ZZ Qd
Sewer Inspection (SWINSM
Parks Dev Charge (PKC) ---�—
Residential TIF (TSF-R)
Mass Transit TIF/(TIF-MT)
Commercial TIF/ (TIF-C)
Industrial T (TIF-I)
Instituti al TIF (TIF-IS)
Office TIF (TIF-O)
D. Walter Quality (WQUAL)
�-' Water Quantity (WQUANT)
F- Fire Life Safety (FLS) 1
m Erosion Cntrl Permit (ERPRMT)
0
W ---�
pion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
� i J
TOTALS: 2-2-5S