Permit . r CITY OF T I G A R D MECHAN I CAL
• n N DEVELOPMENT SERVICES PERMIT
PERMIT * MEC98 -0504
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 11 / 09 ME 9 C 8 98-0504
PARCEL: 1S135CC -02700
SITE ADDRESS...: 10205 SW KATHERINE ST
SUBDIVISION GREENBURG HEIGHTS ADDITION ZONING: R -4.5
BLOCK........... LOT....... ..... .:011 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN....: 0 E.VAP COOLERS: 0
TYPE OF USE....:SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES - 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP - 1 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 < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
• Remarks : Add A/C unit, gas furnace, fireplace insert, and gas piping. A/C unit
not to be placed within the required setback area.
Owner : FEES
ROBIN SLYTER type amount by date recpt
10205 SW KATHERINE PRMT $ 28.50 GEO 11/09/98 98- 310658
TIGARD OR 97223 SPCT $ 1.43 GEO 11/09/98 98- 310658
Phone ' #:
Contractor:
FIRST CALL MCCALL HEATING &
COOLING
1650 NE LOMBARD $ 29.93 TOTAL
PORTLAND OR 97211 -4798
Phone #: 231 -3311
Reg #..: 102030
REQUIRED INSPECTIONS
This 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 Cooling Lint Insp
approved plans. This permit will expire if work is not started Final Inspection
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 -Y1 -0010 through OAR 952- 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503) 246 -9187.
/1
• Issue By: 7 • 40/1,0., _ Permittee Signature: _
•
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++
11/04/98 WED 09:31 FAX 503 598 1960 CITY OF TIGARD f ]002
• Plan Chedc #
CITY OF TIGARD R ECEIVE Mechanical Permit Appl ication Redd By
13125 SW HALL BLVD. Commercial and Residential Date Redd
TIGARD, OR 97223 NOV 0 6 1998 Date to P.E.
(503) 639 -4171, x304 Date to DST _
COMMUNITY DEVELOPMENT Print or Type Permit # f0C r J$ - O V
Called .
Incomplete or illegible applications will not be accepted
Name 01 Development/Project Description
Table 1A Mechanical Code Qty Price Amt
A) Permit Fee ?�", = 10.00
Job SveetAddrrss Suite/ A) Fumace to 100,000 BTU t
Address I ' 2 S Sc-0-=' Vic��h.ed- , S including duds 8 vents 1 6.00 rvv GO
Bldg# City/state Zip 2) Furnace 100.000 BTU+ •
t \ curd 0R 6 k'1223 including duds & vents 7.50
Name for name of business) 3) Floor Furnace
p including vent 6.00
Owner f i o s 1 f 4) Suspended heater, wall heater
Mailing Address or floor mounted heater 6.00
t o -2_ 5,...., \6, -cover ( (1.e'3 ' 5) Vent not included in appliance permit •
City /State Zip Phone 3.00
T ■ C. 0 R. d(Z2Z . g's , CHECK ALL 'Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Gond Qty Price Amt
Comp
_ 6) <1HP;absorb unit to J I
Occupant Mating Address 100K BTU l 6.00
7) 3-15 HP;absorb unit
Phone - 100k to 500k.BTU - 11.00
cily/State' 8) 15-30 HP; absorb '
unit .5-1 mil BTU 15.00
Contractor Name 9) 30-50 HP; absorb
k \( .--- Cw \\ (Y` CC Gt. \ 1 unit 1 -1.75 mil BTU 22
Prior to permit marten Address _ 10) >50HP; absorb unit
issuance, a copy b SCE l) - \--o f o- 1 0'-' >1.75 mil BTU - 37.50
of all licenses iSKYISlata Zip ?hone 11) Air handling unit to 10,000 CFM
are required if _ TD(Sr \ct-s`C\, 6 � -\ 2-6 \a ye 4.50
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ •
database \ D acD6 (.3 g 3O -lei 7.50
Architect Name - 13) Non - portable evaporate cooler
4.50
14) Vent fan connected to a single duct
or " Malting Address 3.00
• 15) Ventilation system not included in
Engineer
City/srate Zip 1 Phone appliance permit- 4.50
16) Hood served by mechanical exhaust
4.50
Describe work to be done: i 05,N, 6 \\ o.- •r� r n o-Ce. , phi C 17) Domestic incinerators
t � re p o c c \ n -se r� 7.50
New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residenti Commercial 0 30.00
Additional information or description of work 19) Repair units .. 4.50
20) Wood stove v . e_ P \ a , ✓1 .e r
4.50 Li ,.5(-D
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas LPG 0 electric 0 22) Other units
4.50
I hereby adwowledge that I have read this application, that the information - . 23) Gas piping one to four outlets 2-0o
2.00
given is correct, that l am the owner or authorized agent of -
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4-per outlet (each)
.50
_ 3L 9 sei
Signature of Owner/Agent Date
Minimum Permit Fee $25.00 SUBTOTAL 3
L �Z 6 ��� / / — LJ 5% SURCHARGE `
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL � , C - /, ? j
4 �
/ -D--.g..:-.3- ,� Required for ALL commercial permits only I :1 _
k(4) <9 S L---:7/a- 5 - TOTAL 1 C - Q„
*State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit ! ��
t:lmechperm.doc rev 07/20/98
I
Job Site Plan _ _ __. i _
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Additional Instructions:
Refrigeration line size ,-
Condensate Pump Yes No ❑ Box New Registers
Vibration Pads New Grills
Add Return Duct
Add Supply Duct
Special Needs
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 6394175 Business Line: 639 -4171
BUP
41 9'' 19 Date Requested kg AM PM X BLD
Location /0c) 0 5 46/7 Suite MEC 9,-D-50 fr
Contact Person F7 / Ph PLM
Contractor , ' - 4 ( t ' /2'l a— Ph ____)",3–/,WA SWR
BUILD.LNG`
Tenant/Owner J ELC c7 / - 6 &, �
Retaining Wall c 3Y � ��� ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing -
Insulation /� 5 � fI d L
Drywall Nailing C- `Y
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL ,
PLUMBINGtg 4_
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS T FAIL
ES '.HANIC
Po - hr m
Rough In
Gas Line
Smoke Dampers
•' • RT FAIL
Service
Rough In
UG /Slab
Low Voltage
Fir- Alarm
t', <J 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 - - 7 - -- - - -
Approach /Sidewalk 7 / Inspector
Other Date • I J Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
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