Permit I , ��� -� wFr��wTrm�
`
PERMIT ^~
PERMIT #.......: MEC96-0092
+ N�`�� ���� OF TIGARD
���=,� � l0
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL : 26114AB-10900
SITeo9 � / � / � � � 3 �` Z�
SUBDIVISION....: KNEELAND ESTATES NO.2 � � / / ^~ «/W / ZONING: R-4.5
BLOCK..........: LOT ^138 ^~
_
CLASS OF WORK..:ADD FLOOR FURN ^ 0 EVAP COOLERS: 0
TYPE OF USE....:SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A1 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS/COMPRESSORS HOODS.......: 0
FUEL TYPES------------ 0-3 HP....: 0 DOMES. INCIN: 0
:/GAS/ / / 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: 1 <= 10000 cfm: 1 GAS OUTLETS.: 1
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Insatll one furnace to 100K BTU, Air handling unit to 10,00 CFM, and ga
s
piping to four outlets.
Owner: ---- ----- — • FEES -----
RUSS,JANET BEARDSKY type amount by date recpt
16142 SW 93RD AVE PRMT $ 25.00 JMH 05/14/96 96-279403
5PCT $ 1.25 JMH 05/14/96 96-279403
TIGARD OR 97223
Phone #:
Contractor: • ------
CLIMATE CONTROL INC eXp
3315 NW 26TH 11
PORTLAND OR — --- --
Phone #: $ 26.25 TOTAL
Reg #..: 062196
REQUIRED INSPECTIONS
Thii permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection
approved.. plans. This permit will expire if work is not started _
.within 180 days of issuance, or if work is suspended for mnre
than 180 days.
Permittee Signature:
Issued By: 1146 4 '� ! ^ ��� /
Call for inspection — 639-4175
•
' - '
City of ligard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # IYl EC96-69a
Tigard, OR 97223
,,-\0
(503) 639 -4171
me of Development Description
I \ /ems )(a (6∎S Table 3A Mechanical Code QTY PRICE AMT
y
Job e.. 1) Permit Fee -0- -0- 10.00
Address 1 Data 2— cAq ""
U V'� I G l d,aL' 2) Supplemental Permit 3.00
me 1 name of e..) Furnace to 100,000 BTU
o�ea " `"' an ( , , 1) incl. ducts &vents `
� 6.00 (9,M
Mating 'd Furnace 100,000 BTU +
Owner 2) incl. ducts & vents 7.50
UV/State ro Floor Furnance
3) incl. vent 6.00
Name for name of .nesaf Suspended heater, wall heater '
bu
4) or floor mounted heater 6.00
Maing Adores. Phone Vent not incl. in
Occupant 5) appliance permit 3.00
CWSta`e r " ' epair or eating, re rig.
6) cooling, absorption unit 6.00
0 "°^' ( ! � I �� �� Boiler or comp, heat pump, air cond.
7) to 3 HP; absorp unit to 100K BTU 6.00
2� 1n Boiler or comp, heat pump, air cond.
Contractor �J >1 U� 2i ee /' V 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
f °.—I3 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
a T� Boiler or comp, heat pump, air cond.
p 2_p 0 1 IC 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that ve read this applicatio , that t he Boiler or comp, heat pump, air cond.
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 IA n
- Board; that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
n r Ventilation system not
,� IX 16) included in appliance permit 4.50
S mna i ene « agent) Date Hood served by
17) mechanical exhaust 4.50
Describe work new U addition' alteration 0 repair () Commercial or industrial
to be done residential 0 no - residential 0 18) type incinerator 30.00
Existing use of ^ � Other i.e., woodstove, water
building or property (� , 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets ' 2.00 2,03
building or property
Type of fuel -oil natural as LPG 21) More than 4 -per outlet (each) 2.00
YP O g O electric Q
NOTICE E2rth
Minimum Fee $25.00 SUBTOTAL •
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
\ /'
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. .
TOTAL 2t 12
Special Conditions n n n�
Date issued (� `t ((v by ,,^ Y 1 44
I�I�
M:LLOGIN)DSTSMECNPMT ( t a r !4 /�' 1( 4
4114.4A--
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP •
Date Requested AM PM BLD
Location /ft f ! ` � l AtIC Suite MEC ( $ °CrDq,,.
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing -
Foundation FPS
NOT REQUESTED
Ftg Drain SGN
Crawl Drain FOUND DURING RESEARCH
Slab NO INSPECTION(S) FOUND IN FILE SIT
Post & Beam
Ext Sheath /Shear �
/', __ _ ) 0i �
_ "�'1'lt�
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
61Pt/1,
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
•
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final Xp
PASS PART FAIL
lo
AN
Pos eaii
Rough In
Gas Line
Smoke Dampers
• • SS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk p
Other D Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer lialgirb Appr /Sdwlk Reins.
Other:
Date: ' A.M. P.M. Entry:
■
Address: ' 1.0 •4
Tenant: Ste: MST:
BUP:
Con /1?) _ _ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
I tor: i ��!iCl Date: / ` — /
`!APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
•
5/1/00 Activities for Case #: MEC96 -00092 •
1:55:02 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received CJS 4/10/96
MECA010 Plan check by 4/10/96 CJS 4/10/96
MECA799 Final Inspection CJS 4/10/96
MECA715 Mechanical Insp 4/10/96 J *H 4/10/96
MECA705 Gas Line Insp 4/11/96 GS APP GES 4/11/96
MECA060 (F) Issue permit 5/14/96 JMH PAID J *H 5/14/96
MECA750 Misc. Inspection 2/18/00 2/18/00 2/18/00 JMT DONE No Hold JMT 2/18/00 research inspection request
MECA880 Expired by limitation 4/11/00 HAP DONE No Hold AKJ 4/11/00
•
•
Page 1 of 1