Permit . , 1
C ITY O TIGARD MECHANICAL PERMIT
PERMIT #: MEC1999 -00173
ya DEVELOPMENT SERVICES DATE. ISSUED: 4/26/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S104DD -07000
SITE ADDRESS: 12799 SW RIDGEFIELD LN
SUBDIVISION: MOUNTAIN HIGHLANDS NO.3 ZONING: R -4.5
BLOCK: LOT: 028 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Add air conditioning unit to an existing single family. dwelling. NC units cannot be placed within a required
setback area.
Owner: FEES
MIKE RAUB Type By Date Amount Receipt
12799 SW RIDGEFIELD LN PRMT GEO 4/26/99 $25.00 99- 314842
TIGARD, OR 97223 5PCT GEO 4/26/99 $1.25 99- 314842
Total $26.25
• Phone:
Contractor:
FIRST CALL MCCALL HEATING + •
COOLING
1650 NE LOMBARD REQUIRED INSPECTIONS
PORTLAND, OR 97211 -4798 Cooling Unt Insp
Phone: 231 -3311 Final Inspection
Reg #: LIC 102030
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0080.
You may obtai opies o f thh - :e rules or direct questions to OUNC by calling (503) - 6 -9189.
Issue By: -at ` Permittee Signature: A ._� %
Call (50. 639 -4175 by 7:00 P.M. for inspections needed the next business day
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11/1/4/00 nhu ua: 31 rA3 503 598 1960
C. . CITY OF TIGARI) (� 002
r `' RECEIVED P l y ,
• CITY OF TIGARD Mechanical Permit Application Redd B
13125 SW HALL BLVDAPR 2 6 1999Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x30 muNin DEVELOPMENT I Date to DST
Print or Type
Permit ffrf - �/ 7.3
Called
• Incomplete or illegible applications will not be accepted
, Named oevmnpmmuProka Description
Table 1A Mechanical Code Qty Price Amt
Address A) Permit Fee t. ; ; ;: ; 10.00
Job Street Suited 1) Furnace to 100,000 BTU -
• Address Z1 6(..L.) RA��e e �C� l"0
inducting ducts & vents 6.00
eldg6 • CitYIState MP 2) Furnace 100.000 BTU+ '
Including ducts & vents 7
- Name (or name of ) 3) Floor Furnace
1 including vent 6.00
Owner E ` '� 0 - 0 - 4) Suspended heater. wall heater or floor mounted heater 6.00
2_ O q b W t( k 04 C (44. 4 . L r 5) Vent not induded in appliance permit •
3.00
C@y/Stare 23 P ��Z ` -
J. ct -- t 22. , ct 3 cz3 CHECK ALL 'Boiler Heat Air
THAT APPLY: or Pump Good Qty Price Amt
Name name orDusi�ess) Comp
6) <3HP;absorb unit to 7 i 6.00
Occupant Mama° Address - 100K BTU - 6 CO
7) 3-15 HP;absorb unit
p hone 100k to 500k.BTU • - 11.00
cnyrsrate 8) 15-30 HP; absorb V . -
unit .5-1 mil BTU 15.00
Contractor ne 9) 30-50 HP; absorb
F o i r'c C 0. \ i YY' C( \ l unit 1 -1.75 mil BTU 22.50
Prior to permit Mang Address _ . 10) >50HP; absorb unit
u` r- 1pc� ' . - .: >1.75 mil BTU 37.50
Lssuance, a copy 4 �.�� - 4.) -
of all licenses _ zip ' Phone 11) Air handling unit to 10.000 CFM
are required if O •/ . - `C.- . C l.. -1 Z ‘ k X83-1464.1 Oregon • 4.50
- expired in COT I. Cond. Cad, Board Lcti Exp •
ate V 12) Air handling unit 10,000 CFM+
database . co ?_c) e Li / 750
Architect Name 13) Non - portable evaporate cooler 4.50
Matting sin
Address 14) Vent fan connected to a single duct
or 3.00
15) Ventilation system not induded in -
Engineer CKYIStale Zip Phone . appliance permit- 4.50
16) Hood served by mechanical exhaust
4.50 -
Describe work to be done: • 17) Domestic incinerators .
7.50
New 0 O Replace with Eke kind: Yes 0 No 0
O 18) Commercial or industrial type incinerator
30.00 .
Repair units
Additional information or description of work 19) Rep 4.50
C3,6--cL / • 20) Wood stove
4.50
21) Clothes dryer, eta 4.50
Type of fuel: oil 0 natural gas" LPG 0 , eledric 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 200
given is coned, that I 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
Signature ofOwnedAgent Date ; _
Minimum Permit Fee $25.00 SUBTOTAL ; , . , ,,, ; 4 05 5 'Cf'
am
l r - C SC c �5 7 Ll - Cr 2_ - 9 l Q� ` 5% SURCHARGE t"' -' . - - - I r Z S
Contact P n Name Phone PLAN REVIEW 25% OF SUBTOTAL ' `
Required for ALL commercial permits only ; i �,.,, 4,;_ - --
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,� 'lJ ZS 3- 1`�y °' TOTAL t.- . io , ZF
/ 1 to
Contractor Boiler Certification required
�� LA 6e. "Residential NC requires site plan showing placement of unit
6 /30 /99 Activities for_Case #: MEC1999 -00173
1:27:01 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 4/26/99 GEO MAIL No Hold GEO 4/26/99
MECA008 Create Permit 4/26/99 GEO DONE No Hold GEO 4/26/99
MECA730 Cooling Unt lnsp 4/26/99 4/26/99 No Hold GEO 4/26/99
MECA799 Final Inspection 4/26/99 4/26/99 5/18/99 GS FAIL No Hold AKJ 5/18/99 1) AC condenser must be a
min. of 3" above grade
2) Raise consensate pump or
• • encase in an airtight shield to
18" above garage floor
MECA060 (F) Issue permit 4/26/99 GEO DONE No Hold GEO 4/26/99
MECA799 Final Inspection 6/28/99 6/28/99 6/28/99 LN PASS No Hold AKJ 6/28/99
MECA800 Case Finaled 6/28/99 AKJ DONE No Hold . AKJ 6/28/99
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ra Job Site Plan
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Additional Instructions: _
'1 Refrigeration line size + E A S'T►n/(v
Condensate Pump a Yes ID No ❑ Box New Registers
P ,Vibration Pads New Grills
Add Return Duct
Add Supply Duct
Special Needs
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
Date Requested CVZS G r y / AM X PM BLD
Location f 2-79 I U 1 I d )fl i 1 j26 Om, Suite MEC /q9 / ( 17 S
Contact Person (1 IiG(,(.• Ph 2 -q; - 1q 4 -1 6 1 PLM
Contractor Ph X 1 4( 0 ( 4 , 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ,� 9 >
Roof �l/�/ �
Misc:
Final
PASS PART FAIL
PLUMBING ) — ( 1 )1
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer �� (/
Rain Drains � p
Final
PASS PART FAIL
1
Post & Beam
Rough In
Gas Line
Smok - II ampers
,PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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 cress
ADA
Approach /Sidewalk
Other Date Inspecto _��� // +� E xt
Final
PASS PART FAIL DO NOT REMOVE this inspec ion reco d from the job site.