Permit CITY OF TIGARD
MECHANICAL
PERMIT
"� � �, ,.�, , h , DEVELOPMENT SERVICES
� ` I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE PERMIT ISSUED: 01 / 14/9988 -0015 5
PARCEL: 1S136AD -04600
SITE ADDRESS...: 06707 SW PINE ST
SUBDIVISION • ZONING: R -4.5
BLOCK • LOT • 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/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 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 < 1O0K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 ) 10000 cfm: 0
Remarks : Installing a furnace and gas piping
Owner: FEES
BEULAH DRAKE type amount by date recpt
6707 SW PINE ST PRMT $ 25.00 B 01/14/98 98- 302479
TIGARD OR 97223 5PCT $ 1.25 B 01/14/98 98- 302479
Phone #:
Contract or:
PORTLAND METRO—A I RE
10010 SW BEAVERTON HILLSDALE HWY
$ 26.25 TOTAL
BEAVERTON OR 97005
Phone #: 626 -7818
Reg #..: 000612
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 Misc. Inspection
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 952- 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(5031246 -9187.
Issue By: ( Permittee Signature: li CU�/111�(
T
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Redd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST _
Print or Type Permit # j/( (
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suites A) Permit Fee -0- -0- 10.00
Address 679/ Slid f 1 Yv
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00 // g e,
including ducts & vents / P
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner Qy including ducts & vents
Mailing Ad ss 3.) Floor Furnace 6.00
LS 0.j1�1 - including vent
City /Ster e ��� Zip Phone 4.) Suspended heater, wall heater 6.00
72 2-y or floor mounted heater
Name (or Jame of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT"
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
M 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit it Address 1 ) / r 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy / 0010 slit) I f AI /I is d d (- 30-50 HP; absorb unit 1- 1.75mil BTU"
of all licenses CibliState ,J �/��p Zip - l Phon g � 10.) Boiler or comp, heat pump, air cond. 37.50
are required if e ck U , v`\ ,7o05" 6 7 �(J > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Cons& Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database 6/ zi7 10-)c-ge
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 0 Addition 0 Alteration % Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil 0 natural gas f2r LPG 0 electric 0 23.) Gas piping one to four outlets 2.00 .z , OG
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
laws.
Signature of Owner /Agent Date *SUBTOTAL lk;-
W 13 ei-JY(,R bt / G -- / - f q _ 7' 5% SURCHARGE 1.21
•
Contact Person Name " Phone PLAN REVIEW 25% OF SUBTOTAL
tra+ Ba r r-0 V 2 (j -7275' TOTAL 4
is mechp (rev 9 *Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / .20 _ Q8 A.M. P.M. MST:
Location: 00 q S'GL.J " //f-A . BUP:
Tenant: t / Suite: Bldg: MEC: 99_00/
Contractor:ais-1 g!' r 4/� /T 7`6 c? /6hone: , PLM:
Owner: /11-e /L y eie.S / I74 C..& Phone: S p - 7 6 5 7 ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING �11 .CIial ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Ro, Ceiling Water Line
Slab Framing Top Out l Rough -In UG Sprinkler
Foundation Insulation Sewer • . or r ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Piling Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved - ... ved Not Approved Not Approved
FINAL FINAL .-;;..." � FINAL FINAL
-ti'
Cr/.// / 4'6 % Glh Cc.c( l/ f ,
//c/ $7 /1e,0 .t.
-7,--c (
. - c 7, 6if) ci /(4._
0 ,t, y 6
•
D Call for reins.: � O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: 4'� Date: 1 L 2 0 "' / ° Page of
Inv
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: A.M. P.M. MST:
Location: C 7 o Pic^'.... BUP:
Tenant: Suite: Bldg: MEC: . 24K -- 0 -S J cs Contractor. Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out oo uct Rough -In UG Sprinkler '
Foundation Insulation Sewer Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
• Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved `ATQj Approve Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
CZ) , y r......e) "72.4...7 ,,,i.... Z." ,...4-4- ...Lt. e•eer•- pQ ...--1...e...e...-P, ,A
•
( ,--zr ,0,....4.."..... cA-e0-e-,,
Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: ' ,iff Date: / — 4 " 2 Page of
v
i v ji,3 ( JV CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
D a t e Requested: / _ c c - — 9(r ' A.M. P.M. MST:
Location: 0 70 7 4& �i(fl , 4 BUP:
Tenant: Suite: Bldg: ' i / — r a
Contractor: .1 /_jA/ et,,,, �, * Phone: _ ., - ■ — I/6 PLM:
Owner: GPI _ --/. �L iA 1 / .,r I Phone: % i al �6 �.1F'
_410 .�i _4e /_! _ /_ . - . j1Zg4tt _OW : / 0 7 /// ELR:
�J . _! J, _� 1� ! �' • / /,I .� SIT:
B G / BLDG (con't) PLUMBING 15 :►:�C� 7 ' ' CTRICAL ' SITE
Site Post/Beam Post/Beam •os eam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approv:.■ A,.rov-.. Approved
Appr /Sdwlk Not Approved Not Approved ' o • e 'roved roved Not Approved
FINAL FINAL �� F�jQ FINAL
O Call for reinspection 0 Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: / " ZZ.°' 9g Page of
.2.)- ),
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: n � �l Cl / 64,1.) P.M. MST:
Location: (''47C 7 3 -L- k 4t BUP: q
Tenant: / Suite: Bldg: G MEC: /R - (71 5
Contractor: '0 ) Z .C. tL(/_ 1 ; , ,� ,�..� _ _ ,�- Phone: 6_1:243-7g./ rl PLM:
Owner: l d It 1 / .ALG K �� / Phone: ELC: C:-z�
( _ �l 't -ii ( f _ J\ ti (,? Eta- 5 �= t. 't) I (- ELR:
SIT:
BUILDING BLDG (con't) PLUMBING �' MECHANICAL, ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out �Gas1 ine Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL ALA FINAL FINAL
-X'-_/)'-- le W,1 4.107 ,- C �4
��= <' - cab 'L)C .---- LPL ,< i, sl
C..----/ i6- • • Az S1L/ . 0 r 4r• - - Z11.
Call for rein O Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: i ` Date: 7 Z----' - 5 ' Page of