Permit CITY OF TIGARD MECHAN I CAL
_ �, 4 ' �� i , A\ DEVELOPMENT SERVICES PERMIT
���i
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT #.......: MEC98 -0516
DATE ISSUED: 11/16/98
PARCEL: 1S134CD -01100
SITE ADDRESS...: 11665 SW KATHERINE ST
SUBDIVISION....: LERON HEIGHTS N0.3 ZONING: R -4.5
BLOCK..........: LOT -081 JURISDICTION: TIG
CLASS OF WORK..:ALT 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. INC I N: 0
:GAS 3 -15 HP . 0 COML. 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 : Exterior A/C unit. Unit must not encroach. into 5' side or rear yard
setbacks. •
Owner: • • FEES
ARTHUR HAAS ' type amount • by date recpt
11665 SW KATHERINE ST PRMT $ 25.00 B 11/16/98 98- 310831
TIGARD OR 97223 SPCT $ 1.25 B 11/16/98 98- 310831
Phone #:
Contractor:
ABODE HEATING AND A/C
6151 SE HACIENDA STREET - - - -•-
$ 26.25 TOTAL
HILLSBORO OR 97123
Phone #: 649 -2440
Reg #..: 007611
-- REQUIRED 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.
v`i \ y ► -/O'
Issue By: NALktputo - -� - Perm ittee Signat�_ire«�, � .
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check # l
CITY OF TIGARD Mechanical Permit Application Recd h t U 1 �. r U e v� �J -
13125 SW HALL BLVD. Commercial and Residential Date Recd 'I t "l to
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DV
Print or Type Permit # - 0SW
Incomplete or illegible applications will not be accepted Called
Name of Development/Project .64- Description
/1 66 c� J / h
� e e Table 1A Mechanical Code Qty Price Amt
Job Street Address 1/ S ee / , Suit A) Permit Fee 10.00
Address S /.�J ^ 1) Furnace to 100,000 BTU e
t4,e. including ducts & vents 6.00
Bldg# City /State Zip 2) Furnace 100,000 BTU+
` 972 .2- 3 including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner A 124 thg_ > 4Q 5 including vent 6.00
Mailing Address
4) Suspended heater, wall heater
• /1 l sC (� k - k ��r , � or floor mounted heater - 6.00
/ (p(p C� Vit° 5) Vent not included in appliance permit
City /State Zip Phone 3.00
•
7 cl 7 590--.2.21
CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
. Comp **
6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU 6.00
...6 �� . �� /l/C ,O� 7) 3 -15 HP;absorb unit
0,./0" City /State Zip Phone 100k to 500k BTU 11.00 .
8) 15 -30 HP; absorb
Contractor Name
unit .5 -1 mil BTU • 15.00
,�?f dC� l �( s 9) 30 -50 HP; absorb
(.i� r 1 1 , unit 1 -1.75 mil BTU 22.50
Prior to permit • Mailing Address S .- 10) >50HP; absorb unit
issuance, a copy 6/ S7 5� Ac; cyvriQ, >1.75 mil BTU 37.50
of all licenses City /State Zip Phone 11) Air handling unit to 10,000 CFM
are required if // s net-- ?7i2 3 G(11-4 -
4.50
' expired in COT Oregon Const. Cont. Board Lic.# Exp. o ate 12) Air handling unit 10,000 CFM+
database 741/5 97.,E 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
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
. New.O Re air 0 Replace with like kind: Yes 0 No 0 • 7.50
Residential Commercial 0 18) Commercial or industrial type incinerator
30.00
•
Additional information or description of work: 1 I/ 19) Repair units
FtAR.wACe' GGC5 I;W it Veil ' '
4„„., �C f c�1e t c 4.50
20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gask LPG 0 electric O 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 l 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 ,_ ` e o
' / �^ Q Minimum Permit Fee $25.00 SUBTOTAL
�� 5% SURCHARGE I !! I 1 1 I (`
Conta (Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
I � / U/.. , / y Required for ALL commercial permits only
Vt-14_ I laG.) rKS . ` - °C O TOTAL ,- 1
*State Contractor Boiler Certification required
**Residential A/C requires site plan showing placement of unit
lAmechperm.doc rev 07/20/98
1
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CITY OF TIGARD BUILDING INSPECTION DIVISION 4
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 `
BUP
/7///22C? Date Requested < < - F - `i C >< PM BLD
Location s i / A _ A.. -VI .! Al Suite 7 r - 0516
Contact Person 9//41411 /� Ph 789-3,37,--),
M
Contractor , f E A-6 Ph SWR
BUILDING: n4 o r Tenant/Owner 40710 W
Retaining Wall ELR
Footing •
Foundation Access: 3 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear n
Framing 1�•,
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
CHANICAL s'
Poster t3eam
u h
as Li
Dampers
Final
PART FAIL
Service
Rough In
UG /Slab
Low Voltage •
Fire Alarm
i
- 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
Approach /Sidewalk
Other Date 1/ ? 8"--- Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site