15683 SW SUMMERFIELD LANE-1 Di'� �t�l's .R +`ii'an fl��' +��.::�i..w ;va Aa4..�XLrl�.O'b.j1•�:J1�J d;�.,.w,;i�4.,r J1�8�.:w.ii�M: , � .�. , .. SMI`
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: Al J 2 C / A M. P.M. _ MST:
Location:--1—` > k_v BUP:
Tenant: _ —_ Suite:_ BI MEC ----V� Q
Contractor:— _ '��
.. Phone: PLM:
Owner I,L,Q— Phone: ELC:
ELR: ---- —
SIT:
BUILDING BLDG(torr't) PLUMBNl ELECTRICAL SITE i
Site Post/Beam Pnst'Bea n os , Cover/Service Sewer/StormFooting Roef IlndFUSlab ou r Ceiling Water Line
Slab Framing Top Out vias me Rough-In U0 Sprinkler
Foundation Insulation Sewer II ct Reconnect Vault
l;snrt Damp Drywall Storm urnnrP��j,�emp Service_ MI5C.
Masonry Ceiling Rain Drain 1G Slab
Shear/Sheath Fire Spklr/Alm CrawllFound Dr Ileat Pump Low Volt _
Approved Approvedo Approved Approved
Appr/Sdwlk Not Approved Not Approved No 1 Not Approved Not Approved i
FINAL FINALro FINAL FINAL
Call for ins . li M Reinspection fee of S. required before next inspection 0 Unable to inspect
Inspector. — Date Page--- —of -
a,
1
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICESPERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)539-4171 PERMIT #. . . . . . . : MEC 97-01.40
DATE ISSUED: 05/23/97
I i
PARCEL: 2S111DC-05100
SITE ADDRESS_, : 1568:. SW SUMMERFIELD LN
SUBDIVISION. . . . : SUMMERFIELD NO. 7 ZONING: R-7
h BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :351 JURISDICTION: TIG
- -------------------•----------.-------------.--_---_---------------------------------
CLASS OF WORK. . :ADD =LOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . .- 0
OCCUPANCY GRP. . :H2 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
:GAS 3-15 HP. . . . : 0 COMML. I NC I N: 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. : 0
FURN ( 1O0K BTU: 0 (= 10000 r_fm: 0 GAS OUTLETS. : 1
FURN ) =1O0K BTU: 0 ) 10000 cfm: 0
Remarks : INSTL GAS FIREPLACE STOVE/FAS CONNECTION ALREADY IN PLACE
Owner: ------- -----______-.-----------.------.--- PEES
LA MAE LARKINS type amol-tnt b date` recpt-
15683 SW SUMMERFIELD LN PRMT $ 25. 00 TAT 05/23/97 97-295047
TIGARD OR 97224 5PCT $ 1. 25 TAT 05/23/97 97-295O47
Phone #:
Cont r-act or: ---- ------------------- -____--
OWNER
PI-iorte #:
Rer #. . : $ 26. 25 TOTAL
------- REDUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard Municipal Code, State of Ore. Sper�alty Codes and all other Mechanical Insp
applicable laws. All Mork will be done in accordance with Mi sc. Inspection _ -
rpproied plans. This permit will expire if work is not started Final Inspection — -�
within 180 days of issuance, or if work is suspended for more --
than 180 days. - - ---- -
Permittee Signat re:� _� �1 --
Tssi-ted By: /
C 1 for inspectio-, - 639-4175
RON-
05/20,'97 15:01 $503 684 7297 CITY OF TIGARD 1113002/002
Plor
CITY OF TIGARD Mechanical Permit Application Rlicatlon Roo'cher r�
13125 SW HALL BLVD. e
Commercial and Residential Dote
t.Ftet:'d
TICiARD, OR 97223 Date to P.E.
(503) 639-4171, x304 DS4 to DST
Print or Type
Permit#
_- Incomplete or ills No applications will not be ecce ted called
NAMOP of ra'�i apmenv ro)a -
1AE LARKINS F6Wscriptfon 1
.lob stns Address Table 1A McChanlCai Code CITY PRICE MRT
15683 S.W, uaa°a ) Permit se
Address SUMMERFIELD LANE
i
°1e�' nrr tete p 1.) Furnace to 1 000 BTU
TIGARD OR 97224ducts6 I
Hama(a Hama of eualnesa) Inetudl &vents
2.) Furnace 1 000 BTU+ 7.d0
Owner SAME IneJuding ducts✓b vents
M•IIimO u' 3.) Floor Furnsoe
Q.
Includin -rent
CRY/state dip Phone 4.) Suspendey hoater,wall hooter
Soo
_ or floor mounted hasten
Name(or name d bualmae) 5.) Vent noti-o u-5ed in a anti
SAIPp p5
permit -
Occupant M•�Dnp-Aa eresa 6.) t)0iler or enmp,heat pump,air pond. p
Cayrstete -to 3 HP;ebsurb unit to 103irt OUT
ziP Phone 7. Boller or eom�so pum0.s r pond, 1 L00
Contractor Name - 3-15 HP;absorb unit to 500K BTU-
(Prior to SAME 8) Ro lar or xunp,hest pump,air eon 15,t?0
16-30 HP;absorb unit.6-1 mli BTU'"'
Issuance Mellw'q�d nae 9.) 0-0-or or comp,hest pump,air cpm
BTU-
applicant 30-60 HP-absorb unit 1-1.76mi19TI1^ x1.50
must provide sit �tyr3uts 1 10. holed or oom haat um air co
P hone ) P. pump,
contractor >80 HP;absorb unit 1.73 mil BTU"' _ 37,60
license repos Con ont.spare Uc p tiro, au i
Information 11.) Ai�d!Ing unit to 1 ,,100 CFM 4.60
de abo e,for COT 9uswatja i u or Metro a trap. e e 12.) Air handiing unit 10,0 FM
Y - 0
Architect m• --
Norrpo-o t;- 1*evaporate cooTr 4.50
or M•fIngddreie-- -- 14.) snt fen a ons ed to a sinple due
.00
Engineer r rata IpPiton•
16.1 Vem1i #77r system not I Turfed In - 4
6 Clips work New O Addition O Alteration O Repair q a pll ", unit
P 16.) Hood se rtad by nteohanlcal exhaust 4.50
to be lone Residential O Non-reeldential O
di',Ionsl Descrlptlon o work 17. Dorneski; nGnerotors
7,SO
INSTALL GAS f'IREPLACE STOVE
c'as cOnnection alread r in lace 1 ) Incinerator clal Or mtlueWel kap. 30.00
t ng use o Inclnereter
building or property HOME r 19.) Repair uAh 4.50
�O�od sto��i� 4.50
Proposed usr of '
bUlldimg or property HOME L23.)
iAhae d der,ate 4 a0
Other uniti 4.60
Type of fuel•ell O natural gat LPG O electric--O- Gas plpin11 one to four out eta
2.00
I hereby adcnowbdge that I have read this appfCalion,chat the
information given IS correct.that I am the owner or authorized spent of 24•) More then o`er purists(N ) .60
the owner,that plans submitted are In compliance with Oregon State - �-
laws. Q , )BTOTAL -
VQ"turo of Owner/ nt Data
'3VBTOTA
Lst
AE LARKINS I,vv` 5-21-97 - S°�SUR ARGE
anon Nama Phone
work: 620-2301 PLA '✓EYN 2596 O� TAIL --LARKINS hcxrte; 598-8994
� TOT
t.doc (rev 926,25
-Mlnlmum permit fee in$2 + eutcharpe
r -'Residential AIC xquires she plan showing placement of unli. !
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RECEIVED
MAY 2 2 ,397
COMMUNITY DEVELOPMENT
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