Permit CITY OF TIGARD MECHAN I CAL
DEVELOPMENT SERVICES PERMIT
PERMIT #.......: MEC98 -0559
13125 SW Hall BIvd ., Tigard, OR97223(503)639 -4171 DATE ISSUED: 12/16/98
PARCEL: 25110DC -90451
SITE ADDRESS...: 15522 SW 114TH CT #45
SUBDIVISION FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK.. ....... °° LOT....... ...... :045 JURISDICTION: TIG
CLASS OF WORK.. :OTR FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE °SFA UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :R1 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..: 1
GAS PRESSURE— .: 50+ HP : 0 CLO DRYERS..: 0
NO OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN C 100K BTU: 0 t= 10000 cfm: 0 GAS OUTLETS.: 0
FURN ? =100K BTU: 0 ) 10000 cfm: 0
Remarks : Install new gas insert, remove gas log. -
Owner: FEES
EARNEST MATT ILA type amount by date recpt
15522 SW 114TH COURT PRMT $ 25.00 GEO 12/16/98 98- 311567
UNIT #51 5PCT $ 1.25 GEO 12/16/98 98- 311567
TIGARD OR 97224
Phone #:
Contractor:
CHIMNEY TEK INC
6865 NE 42ND AVE
26.25 TOTAL
PORTLAND OR 97218
Phone #: 281 -9183
Reg #..: 126173
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
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 OUNC by calling
(503)246 -9187.
/01 /7/ LaiiL„
Issue By: `� / jam Perm.ittee Signature°
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
PIan.Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 \, Date to DST
Print or Type Permit #jy1£e - 655 �j
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Sufte#
A) Permit Fee . \: 10.00
Sd S .W. f/ TN � � 57 1) Furnace to 100,000 BTU
Address %5 T including ducts & vents 6.00
Bldg# City/state Zip 2) Furnace 100,000 BTU+
TiGhRa % 7,1 9- including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner EA 2N66 r 44,¢ 77
including vent 6.00 _ •
Mailing Address . 4) Suspended heater, wall heater or floor mounted heater • 6.00 - •• -
-- - - SR "1 t 5) Vent not included in appliance permit r' - --.
City/State Zip Phone . 3.00
CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: ' - or Pump Cond Qty Price Amt
` 42n/E /
5 r 44 T r/ cif Comp
6) <3HP;absorb unit to _
. . - Occupant Mailing Address 100K BTU I. - .. 6.00
• SAME • • - 7) 3 -15 HP :absorb unit - ,
. City /State - Zip Phone 100k to 500k BTU . 11.00
8) 15 -30 HP; absorb .
unit .5 -1 mil BTU . . 15.00 • • •
Contractor Name - —
9) 30 -50 HP; absorb
G'Ff / ,Ha./E`% 7 - .- unit 1 -1.75 mil BTU 7 22.50 • •
Prior to permit Mailing Address 10) >50HP;-absorb unit '
issuance, a copy /v �6 S N • F. 4 2 - A ✓E - 5-77 & > -1.75 mil BTU — -- 37.50
of all licenses City /State Zip Phone 1 1 ) Air handling unit to 10,000 CFM -
are required if { o 12• r t 4,JD o g 9 7 . / if ? - 9 /-8 _ 4.50 .
- expired in COT Oregon Const. Cont. Board Lic.# Exp. -- - 12) Air handling unit 10,000 CFM + - -
database /A ‘o /73 "/ v // -00 7.50
- • Architect Name • . -13) Non - portable evaporate cooler
4.50
or Mailing Address 14) Vent fan connected to a single -duct
_ - 3.00
. 15) Ventilation system not included in - _ '
_Engineer City /State Zip Phone _ appliance permit ' ' 4.50
• . I 16) Hood served by mechanical exhaust - • -
- Describe work to be done: - 4.50
. 17) Domestic incinerators . -
New_O•. Repair.° Replace with like kind: Yes O No O - • 7.50
Residential Commercial 0 18) Commercial or industrial type incinerator ' •
30.00
•
Additional information or description of work: . 19) Repair units - - - .
4.50
20) Wood stove /
4.50
21) Clothes dryer, etc. .
4.50
Type of fuel: oil 0 natural gas, LPG 0 electric 0 22) Other units -
• 4.50
I hereby acknowledge that I have read this application, that the information . 23) Gas piping one.to four.outlets _ • .
•
given is correct, that I am the owner or.authorized agent of . 1f' 2.00
' • the owner, that plans submitted are in compliance with Oregon State laws. • 24) More than 4 -per outlet (each) • . .
.50
Signature of Owner /Agent . Date ` -
Minimum Permit Fee $25.00 SUBTOTAL pt
.
5 %SURCHARGE a', s .' 4-
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL Z'
. Required for ALL commercial permits only ZWikit
,p 87 - V F 3 TOTAL
*State Contractor Boiler Certification required
**Residential A/C requires site plan showing placement of unit .
I:\mechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
ST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / /7/ 9 AM PM BLD
Location , S; ;- ), ��Gf� // 7' Ali (7-* Suite 7Z 41,37 MEC
Contact Person ` �n_� Ph ,?//-//P3 j� PLM
Contractor c�1 j`v, hce/ Ph SWR
BUILDING - Tenant/Owner Y/1.v_S ELC
Retaining Wall ELR
Footing Access: •
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab ( GIS t' //?S e1 /fZ S :t.1 4 / SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing a4S �1,.6v l`c✓ ZrG��l
Firewall
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
PASS PART FAIL
;MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
in
ASJ) PART FAIL
ELECTRICAL `
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, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA C Inspector E
Approach /Sidewalk Date /' 7 ! F Ins
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.