Permit _ CITY OF TIGARD
MECHANICAL
^ , 11
DEVELOPMENT SERVICES PERMIT #F�ERMIT MEC98 -0569
DATE ISSUED: 12/22/98
PARCEL: 2S1O2CB -01805
SITE ADDRESS...: 10400 SW PARK ST
SUBDIVISION ZONING: R -3.5
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE -COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:E3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 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.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Re marks : Pool heater vent.
Owner: FEES
WATERLEAF ARCHITECTURE type amount by date recpt
621 SW MORRISON, #125 PRMT $ 25.00 GEO 12/22/98 98- 311710
PORTLAND OR 97205 SPCT $ 1.25 GEO 12 /22/98 98- 311710
PLCK $ 6.25 GEO 12/22/98 98- 311710
Phone #:
Contract or:
JOHN KLUNE
12370 SW DUCHILLY CT
$ 32.50 TOTAL
TIGARD OR 97223
Phone #: 639 -4359
Reg #..: 000028
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p e c t i o n
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 ODIC by calling
(503)246 -9187.
AO �: "-- /
Issue By: _I i 1; .. „ . „...-„ 4 -0/ - Permittee Signature
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Mechanical Permit Application R Plan Check #
ecd y
B
PP Recd By
13125 SW HALL BLVD. Commercial and Residential .,,,''
Date Recd
TIGARD, OR 97223 m -rG A - Date to P.E.
(503) 639 -4171, x304 y Date to
t # DST
q8-6576q
Print or Type ��
Incomplete or illegible applications will not be accepted Called
Name of Development/Pro Description
a Hit ai -S i< 4a6 J A-7. Sc -;�o0� Table 1A Mechanical Code Qty Price Amt
Job Street Address Sulte# A) Permit Fee , 10.00
A 1) Furnace to 100,000 BTU
Address /g9 /g9 ✓ A a- g- Si, including ducts & vents 6.00
Bldg# City/State Zip 2) Furnace 100,000 BTU+
//45/4-.--P including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner \.) u 1347 - 1.,.��,.,,9 o including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00
/ ' 5 OA /e- AICADow S L-, arc•- 5) Vent not included in appliance permit
City /State Zip Phone 3.00
(-. 0 , g 203y CHECK ALL Toiler 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
7) 3-15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15-30 HP; absorb .
unit .5 -1 mil BTU 15.00
Contractor Name 9) 30-50 HP; absorb
- 37:' He/ /• r .. unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy / 3 'cc Sw Qcr , < < r e - >1.75 mil Bill 37.50
of all licenses City /state Zip - Phone 11) Air handling unit to 10,000 CFM
are required if Ica .4..- a `7777.V G 3cl c, 3 Sq 4.50
expired in COT Oregon Const. cont. Board Llc.# Exp. Date 12) Air handling unit 10,000 CFM+
database 2 its 4> V 3 -' 9 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
17) Domestic incinerators
New $r Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential 0 Commercial W 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
i� "1/cr -- . F ri_ 5 AA /. .....,. - & 1 oc_ 6 .91 4.50
20) Wood stove
Hz, - GY` - "--o.7 A. t30 ez-6k 4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas Qr LPG O electric O 22) Other units
0®L ✓Ear_.• / 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 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature er /Agent Date
Minimum Permit Fee $25.00 SUBTOTAL "2
1 / 4./..../._______
�" / z - Z- z - 5% SURCHARGE i • � r
Conte Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ,
Required for ALL commercial permits only (y'
TOTAL
oN ...- �r LA,- c 6 5 , l N 3 S'
*State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
l:\mechperm.doc rev 07/20/98
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• 8/8/99 Activities for Case #: MEC98 -00569
3:19:21 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 12/22/98 GEO RECD DST 12/22/98
•
MECC008 Permit created 12/22/98 GEO • DONE • 'DST 12/22/98
•
MECC011 Routed to Plans Examiner 12/22/98 GEO SENT DST 12/22/98
MECC014 Plan checked /Approved by P.E. 12/22/98 RP PASS DST 12/22/98
MECC015 Reviewed Plans Routed to DSTS • 12/22/98 RP PASS DST 12/22/98
MECC706 Mechanical lnsp 12/22/98 1/7/99 RC PART ROC 1/8/99 ROUGH IN APP.
MECC799 Final Inspection 12/22/98 5/6/99 RC FAIL AKJ 5/6/99 See BUP98 -00167 final
MECCO50 (F) Ready to issue 12/22/98 GEO PASS .DST 12/22/98
MECC090 (F) Issue permit 12/22/98 GEO PASS DST 12/22/98
MECC799 Final Inspection 5/24/99 5/24/99 5/24/99 HAP PASS No Hold AKJ 5/24/99
MECC800 Case Finaled 5/24/99 AKJ DONE No Hold AKJ 5/24/99
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