Permit .
Alk CITY OF TIGARD
DEVELOPMENT �������U����� PERMIT
u�m~� n�m.��o nmnm~n� n SERVICES
o��n�"� PERMIT # ^ MEC99-0086
/31258N/ Hall 8hvd.. Tigard, OR97223(R3) 639-4171 DATE ISSUED: 03/05/99
PARCEL: 2S111CA-04400
SITE ADDRESS...: 09700 SW LAKE SIDE DR
SUBDIVISION....: SUMMERFIELD NO.12 ZONING: R-7
BLOCK ^ LOT ~664 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. 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..: 0
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.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Replace existing furnace and A/C units. A/C unit cannot be place
within the required setback area.
Owner: FEES
WILLIAM SPEAR type amount by date recpt
9700 SW LAKESIDE DR PRMT $ 25.00 GEO 03/05/99 99-313456
TIGARD OR 97224 5PCT $ 1.25 GEO 03/05/99 99-313456
Phone #: 624-2122
Contractor:
AAA HEATING & COOLING
2915 NE MARTIN LUTHER KING BLVD
$ 26.25 TOTAL
PORTLAND OR 97212
Phone #: 284-2173
Reg #..: 000002
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Heating Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp
applicable laws. All work will be done in accordance with Final Inspection
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 952401-0080 You may
obtain copies of these rules or direct questions to CUE by calling
(503)246-9187.
�r
,
Issue By: .�~�/ ' '' �� Permittee Signature:
^
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for inspections needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
- ' ~ ~ ~~ ' - -
03/01/99 MON 10:35 FAX 503 598 1960 CITY OF TIGARD j1002
N RECEIVED Plan
CITY OF TIGARD Mechanical Permit Application Rec'd Byeck#
13125 SW HALL BLV[ AR 0 21999 Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, X 3 OO MMUNITY DEVELOPMENT Date to DST
Print or Type '' Permit #/him %-
Incomplete or illegible applications will not be accepted Called
' Name of D evelopment/Project ` Description
.>- x`�t A T a v , C C\ Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite* A) Permit Fee 10.00
+ 1) Furnace to 100,000 BTU D Address ) T) , yy�� )) � � � Q t )? including ducts & vents see footnote 1,2 \ 6.00 l
1 ,'
Bidg# CftylState Zip 2) Furnace 100,000 BTU+
x c _ i ( c) 7 z t{ including ducts & vents see footnote 1,2 7.50
Name (or name of business) I 3) Floor Furnace
Owner i �„ \ \,k C V V - _, «/ Suspended vent see footnote 1,2 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 6.00
CA — ` U'\ ` -- Ca---C/ rl Q ` �. )C 5) Vent not included in appliance permit
City/State Zip Phone 3
r i.o -d /3,� Check all that apply: 'Boiler Heat Air
\1 l ' e of b c_A G\ q. i �'� 1 _ F items 6 -10, see or Pump Cond Qty Price ` Amt
me (or n p(ne of 6u mess) p
� footnotes 1,2 Comp
6) <3HP;absorb unit to 01.2
Occupant MaltMgAddres 100K BTU t 6.00 l _
7) 3 -15 HP;absorb unit
City/state Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
Name unit .5-1 mil BTU 1500
Contractor
j� � 1 r(� �1 � ..�,� 9) 30 -50 HP; absorb
i ' � \"� b \ \ a �y�� E �s ,�y.)„vrc unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing d \ f ( \ 10) >50HP; absorb unit
issuance, a copy �, / T v "- / >1.75 mil BTU 37.50
of all licenses City/State Zip Poe .- 11) Air handling unit to 10.000 CFM
are required if D ) I Cl/ 9 7d / ,. - " i 73 4.50
expired in COT f Oregon Cbnst Cont Board l.ic_# Exp. Date 12) Air handling unit 10,000 CFM+ .
database o 17 l `� i C� / 9 `1 - 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 te- be -de____ - - - -- 4.5
17) Domestic incinerators
N Ii
id Repair 0 Replace with like kind: Yes No O t 7.50
Resntial� Commensal O 18) Commercial or industrial type incinerator
30.00
Additional information � .._� \_... o
or description of work: 19) Repair units _,..._..,,__,:1,;:,,_,.„.„,._ _,..._..,,__,:1,;:,,_,.„.„,._ _,..._..,,__,:1,;:,,_,.„.„,._ L
_` -c
. r �A-*6-- 4.50
20) Wood stove
NOTE: For tommerciai projects only; Units over 400 Ibs, require 4.50
structural gas calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural e io LPG 0 electric 0 4.50
22) Other units
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 ' 2.00 0
24) More than 4 -per outlet (each)
ture of Ovvner/Agent Date 50
r
t�J ^ et__ / i / Minimum Permtt Fee $25.00 SUBTOTAL - "-
CCC P o
Pe n N Phone 5
(� l 5% SURCHARGE "
��'; ` v - �-LF' 7 �J / 7 ,-- PLAN REVIEW 25% OF SUBTOTAL ..
Foonotes for comma 41 projects only Required for ALL commercial permits only tL,.- --:
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL -,I S^
2. Provide drawings to scale showing existing and proposed mechanical """-- - -" "--. -. .---,, _.. :'- .,.._... --, - - SW •'
units. 'State Contractor Boiler Certification required
'*'Residential NC requires site plan showing placement of unit
1:1.mechperm.doc rev 0214/99
03/01/99 10:42 TX /RX NO.3158 P.002 II
•
• AAA Heating and Cooling Air Conditioning Site Plan
Cu stomer ('o O 01) si- MQ. -.�-
Address 4 1'700 (I OR Citrr I Zip 9722,Y
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3 - z3Rq AM )e PM BLD
Location 'T (A-t S(CL 7 . Suite MEC qq - Oog4:,
Contact Person Ph (9 -(' Zi 1 • Z PLM
Contractor Ph SWR
BUILDING. . � ? Tenant/Owner ELC
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 �1 � U [ O 1 Al 5 e
Insulation
Drywall Nailing Lvi�
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
MECHANIC
Post & Beam reffIV.
Rough In
Gas Line
Smoke Dampers —
S PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
- PASS 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 -3-
Other Date Inspecto Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.