Permit •
CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
'.. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # MEC98 -0257
DATE ISSUED: 07/01/98
PARCEL: 1S133DB -00900
SITE ADDRESS...: 11588 SW SHEFFIELD CIR
SUBDIVISION • BRITTANY SQUARE NO. 2 ZONING: R -12
BLOCK • LOT •033 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 • 1 DOMES. INCIN: 0
:ELC 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: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 ) 10000 cfm: 0
Remarks: LAROCFE A/C UNIT
Owner: FEES
JEFFERY LAROCHE type amount by date recpt
11588 SW SHEFFIELD CR PRMT $ 25.00 JSD 07/01/98 98- 306970
TIGARD OR 97223 5PCT $ 1.25 JSD 07/01/98 98- 306970
EXPIRED
Phone #:
Contract or:
BELL HEATING
(GREG MILLETT)
15550 SE PIAZZA AVE $ 26.25 TOTAL
CLACKAMAS OR 97015
Phone #: 656 -1184
Reg #..: 000000
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling U n t Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 OUNC by calling
(503)246 -9187.
A
CG%
Issue By:
��'
� Permittee Signature:
+ + + + + + + + ++ + + ++ + ++ + + + ++ + + + + ++ + ++ + ++ + + ++ ++ + + + + + + + ++ + ++ ++ ++ ++ + + + + ++ + + + + + + + + + + + + ++ +
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
... . ti
Plan C ,
t3
CITY OF TIGARD Permit 125 SW HALL BLVD. Mechanical Commercial and Res dent a ction Date Recd CPO „� ; ( ,
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 EX
P IRED Date to DST
Print or Type Permit # 's i /LC " j 'j- U..,! i
Incomplete or illegible applications will not be accepted Ca lled 4,1 r
Name of Developg 5 f 1 u C u �• n Description
I 1 S g O s 4) 5 / 1�) Cam` • Table 1A Mechanical Code QTY PRICE
Job Street Address Suite# A) Permit Fee -0- -0- 1000
Address
•
Bldg# - City /State Zip 1.) Furnace to 100,000 BTU • 6.00
7 (6-4 A (3 c42 P t2) including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner 7 1-CCI- ry [A-t® t- including ducts & vents
Mailing Address n 3.) Floor Furnace 6.00
I r.. 18 SW sift -FFI £L.2 CR including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
T( &A( ( 0 0.4 9 722-3 ,S 70-$ /S'7 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
o7F2-XY LA- /io -t t __
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00 G '
i i 5 gg 3GS S J _,y/ _L,O 64 to 3 HP; absorb unit to 100K BUT"
/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
T(6-A-R40 'f 72�-3 S' 0 - Sis 7 3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
65_.L -1-- H 1-117 i #1/4/ Cr 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 1 S.S SO 55_ P /,4 22- 4 30-50 HP; absorb unit 1- 1.75mil BTU"
of all licenses city /state Zip - Phone / 10. Boiler or comp, heat pump, air cond. 37.50
are required if CL- C-f( jA-S' dDQ Z, S S- / 1 3 4- > 50 HP; absorb unit 1.75 mil BTU**
expired in COT Oregon Const. Cont. Board Licit Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
C
database O
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
A- n 0 4 / 17.) Domestic incinerators 7.50
Existing use of , C/ 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
Proposed use of . 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electri 22.) Other units 4.50
I hereby acknowledge that I have read this application, that thb-information 23.) Gas piping one to four outlets 2.00
given is correct, 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 of Owner /Agent Date •SUBTOTAL • 41 ,,,, Y
•
_2 .� 5% SUR CHARGE �, : E "‘ s
Conte erson Name Phone PLAN REVIEW 25% OF SUBTOTAL
/►� /� / p- Required for all commercial permits only. , .iCei ;' 4 ,
- ; -
D ('1 J(.f / r'r (/ g S�h /(6 TOTAL - -, 7 , `. ° , -) [ 7 /
�: w
'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
l:lmechprmt.doc rev 4/15/98
i"5 IRC
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03/24/2000 Activities for Case #: MEC98 -00257 EXPIRED 10:16:06 AM
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 07/01/1998 JSD USPS JSD 07/01/1998
MECA008 Create Permit 07/01/1998 JSD PASS JSD 07/01/1998
MECA799 Final Inspection NOTE ST 02/04/2000 1/13/99 inspection request
(research) sent to Chuck
2/4/00- inspection request to
Hap
MECA730 Cooling Unt Insp JSD 07/01/1998 •
MECA060 (F) Issue permit 07/01/1998 JSD PASS JSD 07/01/1998
MECA750 Misc. Inspection 07/30/1998 CD FAIL CD 07/30/1998 cancelled by owner
MECA799 Final Inspection 04/07/1999 04/07/1999 04/07/1999 RC FAIL No Hold AKJ 04/07/1999 attempted to call 3 times,
9:00 -9:25, line busy
No one home
MECA880 Expired by limitation 03/13/2000 RB DONE No Hold AKJ 03/13/2000
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Page 1 of 1 •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
d BUP
Date Reequested \ 3 — /) 0 U AM PM BLD
Location I I 5R b ` `�'t 1 �( ('il�lr. Suite 6_11E_ C qK �2
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing /
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH SGN
Crawl Drain
Slab NO INSPECTION(S) FOUND IN FILE 53 1 r SIT
Post & Beam 'i ` Z4 - / / 4k
Ext Sheath /Shear / dr
Int Sheath /Shear -
Framing • / S 4 `7 -,--c_ —
Insulation
Drywall Nailing
Firewall ) 1
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 EXPIRED
�'ost tseam
Rough In
Gas Line
Smoke Dampers
tan
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 access
ADA TT � (�'''
Approach /Sidewalk Date \ 3 - 0 U Inspector ExY 1
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
'.. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # MEC98 -0257
DATE ISSUED: 07/01/98
PARCEL: 1S133DB -00900
SITE ADDRESS...: 11588 SW SHEFFIELD CIR
SUBDIVISION • BRITTANY SQUARE NO. 2 ZONING: R -12
BLOCK • LOT •033 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 • 1 DOMES. INCIN: 0
:ELC 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: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 ) 10000 cfm: 0
Remarks: LAROCFE A/C UNIT
Owner: FEES
JEFFERY LAROCHE type amount by date recpt
11588 SW SHEFFIELD CR PRMT $ 25.00 JSD 07/01/98 98- 306970
TIGARD OR 97223 5PCT $ 1.25 JSD 07/01/98 98- 306970
EXPIRED
Phone #:
Contract or:
BELL HEATING
(GREG MILLETT)
15550 SE PIAZZA AVE $ 26.25 TOTAL
CLACKAMAS OR 97015
Phone #: 656 -1184
Reg #..: 000000
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling U n t Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 OUNC by calling
(503)246 -9187.
A
CG%
Issue By:
��'
� Permittee Signature:
+ + + + + + + + ++ + + ++ + ++ + + + ++ + + + + ++ + ++ + ++ + + ++ ++ + + + + + + + ++ + ++ ++ ++ ++ + + + + ++ + + + + + + + + + + + + ++ +
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++