Permit CITY OF T MECHANICAL
i � ,t o l _A40-41 1
`' DEVELOPMENT SERVICES PERMIT
6 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # MEC98 -025 i
DATE ISSUED. 06/26/98
PARCEL: 2S111CA -09000
SITE ADDRESS...: 09990 SW KABLE ST
SUBDIVISION....: GULF SIDE ESTATES NO. 2 ZONING: R -7
BLOCK - LOT ............. :034 JURISDICTION: TIG
CLASS OF WORK.. :OTR FLOOR FURN - 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS - 0
FUEL TYPES 0 -3 HP ° 1 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: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Installation of exterior A/C unit to residence. Unit cannot be placed
within the required setbacks.
Owner: FEES
CHRIS SWAN type amount by date - recpt
9990 SW KABLE ST • PRMT $ 25.00 DLH 06/26/98 98- 306866
TIGARD OR 97224 5PCT $ ' 1.25 DLH 06/26/98 98- 306866
Phone #: 624 -9727
Contract or:
JACOBS HEATING & A/C
4474 SE MILWAUKIE AVE
$ 26.25 TOTAL
PORTLAND OR 97202
Phone #: 503- 234 -7331
Reg #..: 000014
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt I n s.p _____
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.
j _
Issue By: Permittee Signature : " ' 10
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for inspections needed the next business day
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Plan Check #
CITY OF TIGARD Mechanical Permit Applicati • ! Recd By ,zk.L -f
13125 SW HALL BLVD. Commercial and Resi. -ntial Date Recd 4/2V9,
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit# �ttee9 -0a-�/
�� Called
Incomplete or illegible applications will not be acce ed
Main of D{{{evvelopmenUP )ect Description
� � �i Table 1A Mechanical Code QTY PRICE AMT
t dre
Job s ss Su en A) Permit Fee -0- - -0- 10.00
Address
Bldg# city/State Zip 1.) Furnace to 100,000 BTU 6.00
`/� ra G including ducts & vents
Name (or name of business) _f 2.) Furnace 100,000 BTU+ 7.50
Owner t h v6 Q1a ! including ducts & vents •
Main Add �} ��i 3.) Floor Furnace 6.00
��'�I ✓y >P including vent
CityiState Zip Pho 4.) Suspended heater, wall heater 6.00
i�b� / ���L or floor mounted heater
arh n am e of tws 5.) Vent not included in appliance permit 3.00
V15 51/4 A
Occupant Mailin Adsss 6.) Boiler or comp, heat pum air cond. 6.00
� (r to 3 HP; absorb unit to 100 : 1 /
c' estate zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
171 { �!/ ti ' 3-15 HP; absorb unit to 500K BTU"
Contractor Nam 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to ,7,() 15-30 HP; absorb unit.5 -1 mil BTU"
issuance M . f ling Address . 9 Boiler or comp, heat pump, air cond. 22.50
applicant / 2/ 30-50 HP; absorb unit 1- 1.75mil BTU"
must provide all City /S . a Zip Ph a 10.) Boiler or comp, heat pump, air cond. 37.50
contractor S f /lit ' - j ' > 50 HP; absorb unit 1.75 mil BTU"
license •' • on 1 Co 4 st. Cont. Board Lic.# x 0 11.) Air handling unit to 10,000 CFM 4.50 •
information /ii
y9
for COT COT Business T or M # Elf). _ e � 1 2. ) Air handling unit 10,000 CFM 7.50
database). J f Z .
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New O Addition 0 Atteratio O Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Resident)O Non - residential 0
Additional Description of work _ 17.) Domestic incinerators 7.50
t 14 ` j �MI 6 & Uy! 14 18.) Commercial or industrial type
Incinerator 30.00
�/ �6
Existing use of ,,�.,� ' 19.) Repair units 4.50 r '
building or property � ( /i(1/ �7 L
20.) Wood stove 4.50
Proposed use of /-1 . /f/ ,,(. 21.) Clothes dryer, etc. 4.50
building or property ' �
22.) Other units 4.50
Type of fuel - oil 0 natural gas 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
la s.
Si na re of er /Agent Date 'SUBTOTAL
s
Qlfl ,/� 41///f/ 5 %SURCHARGE I • 2S Conta Name / Phone PLAN REVIEW 25% OF SUBTOTAL
ke 3 LI - / 3 3 1 TOTAL 1-flail-
/
i:ktst\ nechpmtdoc (rev 9 'Minimum permit fee is S25 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
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F'ax 503- 234- 6E5Z
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639-41 5 usiness Line: 639 -4171
W -1 V i V ICI v la BUP
/� n Date RG .�ue�teJ 1 ,, AM PM BLD 1
Location bvt" 91%) v_iurj� Suite MEC �, 2� 1
Contact Person l f: 5 5w &, L ' Ph G24- Z' PLM
Contractor Ph SWR � r - O � R-
BUILDING �. �•�.w x� Tenant/Owner ELC l5 `C 3
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing - -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm e 5
Susp'd Ceiling
Roof •
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PA FAIL
10IECFI ` = `
Poos & dam
Rough In
Gas Line
Dampers
4 01 3 .- 1 PART FAIL
LECTRIC
UG /Slab
Low Voltage
Fir: -rm
ASS PART FAIL
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 A, 1
Approach /Sidewalk ' (�J
Other Date �' Inspector o • Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.