Permit CITY OF TIGARD MECHANICAL
- ,,,,, ; DEVELOPMENT SERVICES PERMIT
I i i�l i� PERMIT # MEC97 -0431
1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 11
26 / 97
PARCEL: 2S112DC -01500
SITE ADDRESS...: 15615 SW 74TH AVE #BLD
SUBDIVISION - FANNO CREEK ACRE TRACTS ZONING: I —P
BLOCK - LOT °006 JURISDICTION: TIG
CLASS OF WORK..:NEW FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 5
OCCUPANCY GRP..:B VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 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.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Installing five vent fans
Owner: FEES
CASTILE, JIM & AUDREY type amount by date recpt
8100 SW DURHAM RD PRMT $ 25.00 B 11/26/97 97- 30125:
TIGARD OR 97224 5PCT $ 1.25 8 11/26/97 97- 301252
Phone #:
Contractor:
ECCO /S &L LANDSCAPE
08100 SW DURHAM RD ---
$ 26.25 TOTAL
TIGARD OR 97224
Phone #: 639 -1395
Reg #..: 000639
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 by the Oregon Utility Notification Center. Those rules are •
set forth in OAR 952- 001 -0010 through OAR 952 -001 -0080. You may . ' ____
obtain copies of these rules or direct questions to ODIC by calling
(503)246 -9187. _
Issue By: ' fr Permittee Signature: ern ApkrAm
ii
++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ .... ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +..
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Chec)c #
CITY OF TIGARD Mechanical Permit Application Recd By t
13125,-SW HALL BLVD. Commercial and Residential , ' v � 2„/ Date Recd /o- /
TIGARD, OR 97223 , Date to P.E.
(503) 639 -4171, x304 �' �� Date to DST
Print or Type t Ot \ A ' Permit # pl (�R7 �1
Incomplete or illegible applications will not be accepted Called I I -I f - 17
Name of Development/Project Description
7.9 aS74'L m4 Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address /vim(: 45 Su/ '74/7`4
Bldg# City/State Zip 1.) Fumace to 100,000 BTU 6.00
,0, dc 7�2s` '/ including ducts & vents
Name (or name of business) 2.) Fumace 100,000 BTU+ 7.50
Owner Qi.vJ /rig -1/ ( including ducts & vents
Mailing Address /� 3.) Floor Fumace
' /DO .5 4,00/490 A" including vent 6.00
City /State Zip Phone 4.) Suspended heater, wall heater 6.00
7d O/ 97229 G3 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00 .
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
.�lD Co HS 15-30 HP; absorb unit.5 -1 mil BTU"'
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy �/G}i $ a) ,dd /4Gsn1 I2 ,/ 30-50 HP; absorb unit 1- 1.75mi1 BTU"'
of all licenses Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if
7 ffr t,� 99.7 V ' ,3 9 / /3c5 > 50 HP; absorb unit .7 mil BTU"
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database
Architect Name 13.) Non - portable evaporate cooler 4.50
Or Mailing Address 14.) Vent fan connected to a single du C ity /State Zip d 3.00
7
Engineer p 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 units 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets 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.
Signature of Owner /Agent Date
�� 'SUBTOTAL
,°
0
.. e� ��^�"r'' i0 /,V9, 5% SURCHARGE �� `� /
Contact Person Name • Phone PLAN REVIEW 25% OF SUBTOTAL I L �
iiir C -'IG?J 0.37-/39_5 -/.39- TOTAL AQ
i:lmech t.doc rev 9 5% ( *Minimum permit fee is $25 + 5 /o surcharge
**Residential A/C requires site plan showing placement of unit.
ceutt a- - ro
r A .
j\si 1 i 0.1 CITY OF TIGARD BUILDING INSPECTION DIVISION
i 17) 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: /' eii — 7 ? A.M. P.M. MST:
Location: /5(0 /.1" .57(A) 79 - BUP:
Tenant: Suite: Bldg: MEC: C i 7-10 T 3 f
Contractor: Phone: PLM:
i
Owner: Phone: ..3/9 - > V ELC:
�I !.J /I ! I - L ./A . 07 1 ELR:
' SIT:
BUILDING BLDG (con't) PLUMBING ME
CHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam • - v.: a 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 Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pum Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved w • roved Not Approved Not Approved
FINAL FINAL ' FINAL FINAL FINAL
%
A —� s ( C&GtQ,fiyl /, , --
aA L a,� ` S =r,,,u s
i.,
O Call for reins . Z1� O Reinspection fee of $ required before next inspection D Unable to inspect
A /
Inspector: Dat / g Page of
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