Permit CITY OF T MECHANICAL
��.- . DEVELOPMENT SERVICES PERMIT
- I�1, PERMIT # • MEC97 -0238
: 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 07/09/97
PARCEL: 2S116AD -19500
SITE ADDRESS...: 16874 SW RIVERA
SUBDIVISION • ZONING:
BLOCK • LOT • JURISDICTION: KIN
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 : 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 < 1O0K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : ADD FURNACE & BOILER OR COMP, HEAT PUMP, AIR COND TO 3 HP
Owner: FEES
FRANK RYAN type amount by date recpt
16874 SW RIVERA DRIVE PRMT $ 25.00 GEO 07/09/97 KING CITY
KING CITY OR 97224 SPCT $ 1.25 GEO 07/09/97 KING CITY
Phone #: 684 -0107
Contract or:
SPECIALTY HEATING &
FABRICATION, INC
9528 SW TIGARD ST $ 26.25 TOTAL
TIGARD OR 97223
Phone #: 620 -5643
Reg #..: 000665
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 Heating Unt Insp
applicable laws. All work will be done in accordance with Cooling Unt Insp
approved plans. This permit will expire if work is not started Duct Inspection
within 180 days of issuance, or if work is suspended for more I NS P Misc. Insp e
than 180 days. ATTENTION: Oregon law requires you to follow rules Final Inspect ion
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 -001 -0010 through OAR 952-001 -0080. You lay
obtain copies of these rules or direct questions to OUNC by calling
(5031246 -9187.
Issue By: T % Permittee Signature:
Y 9
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Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
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•
I JUL- 09 -'97 WED 14:12 ID: FAX NO: .##227 P02
-
Plan Check A
CITY OF Mechanical Permit Application Recd By 12,shaAi ` • 13125 SW HALL BLVD. Commercial and Residential Date Reed 9- a -ct1
TIG1fRO, OR 97223 Date to P.E. _
(503) 639 -4171, x304, Date to DST ?- 4
• Permit # Nfeq0 -OX ‘3V
Print or Type Called
• Incomplete or illegible applications will not be accepted
- Name of pe.e oOmenUP ct De9Cnption
ki''
e_./ L Y TaDle 1A Mechanical Code QTY PRICE AMT
Job Street address Suites A) Permit Fee -0- -0- 10.00
Address /b(' 71- 3,,,v. QRrL. _
alma City/Stare Zip B) Supplemental Permit • 3.00
Name for name of businessl 1.) Furnace to 100,000 BTU 1 6.00
Owner � ( A") inci. aucts & vents
�t a,tu, p Ad dres s ` . n 2.) Furnace 100.000 BTU .1- 7.60
I "eJ ) 7 es 4,!....„.. V` ( " 1' '� " O • inot..aucts s vents
Cab a � te 11 / �a.� Zip Prone 3.) Floor Furnace 6.00
narho d e6�� 6 1 intl. vent
nam la e m et 4.) Suspended heater, wall heater 6.00
• rp t/J / ice J or floor mounted heater
Occupant wing Addr em 5,) Vent not incl. in 3.00
appliance permit
ceylstate zip I Pnone 6 Boller or comp, heat pump, air cond. / 6.00
to 3 HP; absorp unit to 100K 8
Contractor . Name 7.) Boiler or tamp, heat pump, air cond. 11.00
(Prior to �' rAlly 3.15 HP; absorp unit to SOCK BTU
issuance at my Adams i 8.) Boiler or comp. heat pump, air cond, 15.00
applicant -. / f tt �(d?/( S f- 15-30 HP: absorp unit .5-1 my BTU
must provide all fa zits We g ,) Roiler or comp, heat p air c and. 22.50
contractor I e ?j0 -.515, 30 HP; absorp unit 1 -1,75 mil BTU
license on .Cane. oars ar F.+tp. oat• 10,) Boller or comp, heat pump, air cond. 37.50
information > 54 HP; absorp unit 1.75 mil BTU
for COT COT Busness Tax or Mere 0 exp. oars 11.) Air handling unit to 4.50
database). 10.000 CFM
Architect Name 12.) Air handling unit 7.50
' 10.000 CTM
or Mailing Adores 13,) Nan portable 4.50
evaporate tooter -
Engineer c • ria Phone 14.) Vent fan connected . 3.00
to a single duct
Describe work New 0 Addition 0 •Alteratioie Repair 0 15.) Ventilation system not 4.50
to be done Residentie._ Non - residential O included in appliance permit
Additional Desatption of work 16.) Hood served by mechanical exhaust 4.50
•
17) Domestic incinerators 7.50
Ex sting use of r ., 18.) Commercial or industrtaltype 30.00
building or property , J incinerator
19.) Repair units 4.50
Proposed use of 20) Woodatove • 4.50
building or property , .
21) Clothes dryer, etc, 4.50
Type of fuel - oil 0 natural gas O LPG 0 electric _ 22) Other units 4.50
I hereby acknawlecge that I have read this application. that the 23) Gas piping one to four outlets 2.00
information given is correct. tnat I am the owner or authorized agent of
the owner, that plans s itted It in compliance with Oregon State • 24) More than 4-per outlet (each) .50
laws.
�� 7/2/9
Signature of Ownerl gent D QTr.SUBTOTAL
D 6Afj Cr (' ,y O -S/ & 'SUBTOTAL 610 Contact Person Name Phone 5% SURCHARGE /
_ r
PLAN REVIEW 25% OF SUBTOTAL
TOTAL � �
i;l �'�
dstvnechpmt.d r oc (rev 7/96) 'Minimum permit fee is $25 5% surcharg 1
5 /23 /00 Activities for Case #: .MEC97 -00238
2:21:41 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 7/9/97 7/9/97 GEO 7/9197
MECA010 Plan Checked by 7/9/97 7/9/97 GEO 7/9/97
MECA730 Cooling Unt Insp 7/9/97 7/17/97 MS PASS J'H 7/20/97
MECA750 INSP Misc. Inspection 7/9/97 7/9/97 GEO 7/9/97
MECA799 Final Inspection 7/9/97 7/17/97 MS PASS • JT 7/28/97
MECA060 (F) Issue permit 7/9/97 GEO PASS GEO 7/9/97
MECA800 Case Finaled 7/28/97 JT 7/28/97
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 7- ( 7 - 7 A.M. P.M. MST:
Location: 1671? _f,<) 7 BUP:
Tenant: Suite: Bldg: ! MEC: 1 7-- 3
Contractor. et) — . 0 1 , i U. Phone: e....-6 6 " sec , 7' 3 PLM:
Owner / Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING ECAANICAL� ELECTRICAL SITE
Site Post/Beam Post/Beam Pow 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 eat P UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Pump Low Volt
Approved Approved •pproved Approved Approved
Appr /Sdwlk Not Approved Not Approved o • pproved Not Approved Not Approved
FINAL FINAL ( FINA j FINAL FINAL
I
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: /� Date: 2/,! 7y ) . Page / of
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