Permit .
/ {�� CITY OF TIGARD MECHANICAL
~ ' DEVELOPMENT �����U/���� PERMIT
�~~~��~~~�*" .m.�~nmo ��~~""�"��m~�� PERMIT #.......: MEC97-0057
~������ / J���N/���v�7�an��R�y��88�)���/7Y DATE ISSUED: 03/11/97
PARCEL: 2S111CC-09601
SITE A:')DRESG...: 15740 SW GREENS WAY
SUBDIVIS ION. . .'° : .SUMMERFIE!LI) -NO. 2 . ZONING: R-12
BLOCK..........: LOT. ............:123
� _ — ----- —
...
CLASS OF WORK. .:ALT FLOOR FURN.: 0 EVA ' COOLERS: 0
TYPE OF USE. . . . : SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/O APPL: G VENT SYSTEMS: G
STORIES........: 0 BOILERS/COMPRESSORS HOODS.......: 0
FUEL TYPES---- — 0-3 HP....: 0 DOMES. INCIN: 0
:/GAS/ 1 / ^. 3-15 HP. .�,.; 0 ' COML. I NCI Nx•0
MAX INPUT: 0 BTU 15-30 HP....: 0 -REPAIR UNI 0
FIRE DAMPERS?.,: . '. 30-50 HP. ...: 0 , _ ' WOODSTOVES..: 0,
GAS PRESSURE...: 50+ HP....: 0 CLO DRYERS..: 0
NO. OF UNITS— AIR HANDLING UNITS OTHER UNI TS. � 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS. : 1
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Installation of gas furnace and piping
Owner: -- -- . FEES
YVONNE MARCELLUS type amount by date recpt
15740 SW GREENS WAY . PRMT $ 25.00 DRA 03/11/97 97-291538
5PCT $ 1.25 DRA 03/11/97 97-291538
TIGARD OR 97224 . _
Phone #:
c
Contractor: — —
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS OR 97015 -----
Phone #: 503-656-1184 $ 26.25 TOTAL
Reg L. 000447
� '�• REQUIRED INSPECTIONS
.
This.pprnit is issued subject_ to., ��� ���.ip`�� • Gas Line. Insp
Tinmd Pun ic' l Code, State uf.Dm. Spec �lty,Codes aoGall other Mechanical Insp ___
applicable laws. All wmrk will be done in arcondancewit Final Inspect ion ____
approved plans. This permit will expir: if work is t tod
within 18Z days of issuance, if wrrk suspended 'or are ____ _
than 18Ndays. _ __
'
' _
• li __' ' - '
Permittpe Sig _ /Y/'� __ _ __ ____ _________
^� .^ � ___- _-__-
Issued 9y: '_ ' o! __ L. -__ _ ___ _
Call .ƒor inspection 7 63974175 .
.
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,u..1IJ4L_l _'
C
e/
ITY OF TIGARD BUILDING INSPECTION OTICE
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 /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. ta. Rough -in 1 / Gyp. Bd. -Bldg.
San. Sewer air* ✓ �.. r5dwlk Reins.
e
Other: l. 1.-1) - YJ O
Date: 3 ( P-- I 5 A.M. * P.M. Entry:
Address: 6S - 7 L -12..64,46. Q—,./
Tenant: Ste: MST: a
BUP:
CP/Own: MEC AVILIT1
P LM:
ELC:
THE FOLLO ING CORRECTIONS ARE RE 7IRELE LR: c),„
(.. 5 R UA 'N.L.-ek.J.- - 0 - - - i — ' - - A c-v- - . /
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Inspector: \t CA) t2, Date: 1
APPROVED DISAPPROVED /CALL FOR REINSP. 0 CO
‘(7
City of Tigard MECHANICAL PERMIT Planck/Rec. #
•• . . 13:1:2; SW Hall Blvd. • 'APPLICATION Permit # MiX,47'S7
Tigard, OR 97223
(503) 639 -4171 '
Descnption
/oi4J £ /1072C11.44,1 Table 3A Mechanical Code OTY PRICE AMT
• Job , 3tAl G217Sc1" ao 1) Permit Fee -0- -0- 10.00
Address `/
� � o, 9 , 7�l 2) Supplemental Permit 3.00
• nameo is none «aae,...l Furnace to 100,000 B I L I
mY l J� J pi4-2,h G 1) incl. ducts & vents 6.00 ( -
J� / // � f r Furnace 100,000 Hi U + •
Owner /5 • 1J 628 4 2) incl. ducts & vents 7.50
77c•11--K Floor Fumance
d7° 3) incl. vent 6.00
N. aeon of I ...4 Suspended heater, wall heater
4) or floor mounted heater 6.00
•» r^•^• Vent not incl. in
Occupant 5) appliance permit c•wil• LIP Repair of heatng, retng.
6) cooling, absorption unit • 6.00
1 /J /A._ Pam. Boiler or comp, heat pump, air cond.
7) to o 3 3 HP; ; omp, unit to BTU BTU
6.00
Boiler or comp, heat pump, air cond.
l.3 s , // 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor �,,,•, Boiler or comp, heat pump, air cond.
�e 57C(Z 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
s %P Coy Bus. TaoNo. Boiler or comp, heat pump, air cond. orman No.
10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
Ale
ere.y ac ow : •ge I a Y. -ye rea• I is app ication, I - I e Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized agent 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are incompliance with State Air handling unit to
laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit '
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent tan connected
15) to a single duct 3.00 •
•
Ventilation system not
` 16) included in appliance permit 4.50
^•n
: s9••1 «apaW ) Hood served by
. 17) mechanical exhaust 4.50
• escn • : wo new • a•c on Or a teraton • repair • Commercial or industrial •
to be done residential no : sidential 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 Zc a v
. building or property
21) More than 4 -per outlet
, Type of fuel - oil 0 natural gas' LPG 0 electric O
Minimum Fee $25.00 SUBTOTAL ,��
• • . PERMITS BECOME VOID IF WORK OR CONSTRUCTION \ \\ --r------
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR • - 5% SURCHARGE i
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 or`O•
' Special Conditions
Date issued • by
O.* MEPV.ft
apCmrtdw
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
0 / /O 'J Date Requested 7 PM BLD
Location 15740 Suite `z 7' e%
Contact Person - PLM qff' - "O - 0g
Contractor / . � �� Ph SWR
,
BUILDING Tenant/Owner OA AdA it ! Ai , / t ELC
Retaining Wall ELR
Footing Access:
Foundation ` FPS
Ftg Drain 6aIngOlia,OL Crawl Drain Inspection Notes: 1 SGN
Slab ThJJ , intevnim atiy. SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall C �`,�.%�
Fire Sprinkler �/ C
Fire Alarm /
Susp'd Ceiling �' OG /v
Roof
Final 9 0 r/
Final
T FAIL
UMBING •
Post & Beam ,� i�
Under Slab
Top Out n
Water Service , _ � „�,
Sanitary Sewer V�!''
R.'. Drains ir
') PART FAIL
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL 3--- /Z F(//c ”
ELECTRICAL
Service /' °E /r��C Fi4rL/'�/o s S/
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 S'
Approach /Sidewalk D 7 � // Inspector
Other 4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site..