Permit �CI1Y � M
N � PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC95-0403
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503) 639-4171 DATE ISSUED: 11/28/95
PARCEL: 2S104CA-11100
SITE ADDRESS...: 13727 SW TAMAWAY LN
SUBDIVISION....: HILLSHIRE ZONING: R-7 PD
BLOCK.. . . . . LOT.... . . . . . . . . ' : 111
_
CLASS OF WORK..:NEW FLOOR FURN ^ 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/O 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. OP UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Install as piping
Owner: ----- ----- FEES —
ALICE WAAGE type amount by date recpt
13727 SW TAMAWAY PRMT $ 25.00 JSD 11/28/95 95-273288
5PCT $ 1.25 JSD 11/28/95 95-273288
TIGARD OR 97224
Phone #:
Contractor: — —
FIRESIDE CONTRACTORS
18389 SW BOONES FERRY RD
PORTLAND OR 97224 ------- — ---
Phone #: 684-8535 $ 26.25 TOTAL
Reg #..: 40979
REQUIRED INSPECTIONS -------
This pereit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
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 moro ___
than 180 days.
__
v ----------- ------- --'
________
Permittee Signature: / _1r, ___
/
Issued ssue By: ��� �
Call for inspection — 639-4175
City oftigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # 10 Cc 95 .- °`4-3
Tigard, OR 97223
(503) 639 -4171
- Nam. orD.wlopa.ri Description -
Table 3A Mechanical Code QTY PRICE AMT
Adcfroas
Job 1 7ZT sc..) � � T 1 Permit Fee -91- -0- 10.00
Address
�C7 r ^w-� ... /n� ((�� __)/ 1 inc
__ '7Z 2) Supplemental Permit 3.00
P1I�- V V � d
f'T/ 1k l. ducts vents B I U 6.00
M.a. Aches. Phon., Furnace 100,000 BTU +
Owner Q 2) incl. ducts & vents 7.50
crystal. UP Floor Furnance
3) incl. vent 6.00
N.m. (or nam. Warless) Suspended heater, wall heater
` �J A' IR 4) or floor mounted heater 6.00
Magog Aadr.ss Phan Vent not incl. in
Occupant 5) appliance permit 3.00
mow w Repair of heating, refng. •
6) cooling, absorption unit 6.00
Name
O C Di Srgin FU t 3
Boiler or comp, heat pump, air cond.
tet�l, S 7) to 3 HP absorp unit to 100K BTU 6.00
— M o .,g 7ladr. n
Boiler or comp, heat pump, air cond.
Contractor l 5T-E, � � � runt 8) 3 -15 HP absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
e Q0O) 02 72 2L 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00
sm. agsaaoon No. City Bus. Tax No. Boiler or comp, heat pump, air cond.
Oz-/O97' g l S 10) 30 -50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit -
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent tan connected
it 15) to a single duct 3.00
y
f! Aivt}rf
�! / Venul system not
J' 4 16) included ed i n appliance permit 4.50
sgnaax. (owner or ag.nli Uab Hood served by
17) mechanical exhaust 4.50
Descnbe work new (J addition 0 alterauor t repair U Commercial or industnal
to be done residential non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 1 2.00 0 - . 0-0
building or property -
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas LPG 0 electric 0
•
NOTICE 6�
Minimum Fee $25.00 SUBTOTAL L5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE (, Z5
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued by
k./MEGIPMT
� won.ce,od.v .
Z _ -.G
03/03/2000 Activities for Case #: MEC95 -00403
8:48:23 AM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 11/28/1995 JSD PASS JD 11/28/1995
MECA799 Final Inspection 02/07/2000 ST DONE ST 02/07/2000 Inspection request for research
to Hap W. 8/98.
2/7/00- inspection request to
Hap
MECA705 Gas Line Insp 12/08/1995 KS A/N KBS 02/19/1999 #-1 seal around gas piping
penetrating fire box with hi heat
furnace cement #-2- 19 PSI for
20 minutes #-3- installer needs
to test connection between
nipple and meter #-4- call for
final inspection after installation
is completed
MECA715 Mechanical Insp 11/28/1995 KBS 02/19/1999
MECA060 (F) Issue permit 11/28/1995 JSD PASS JD 11/28/1995
MECA799 Final Inspection 02/18/1999 KS FAIL KBS 02/19/1999 #-1- no one available attached
notice to front entry door
requesting final inspection.
home owner contacted office &
will schedule inspection
MECA98 Expired by limitation 02/23/2000 RB DONE No Hold AKJ 02/23/2000
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
"24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ' 1 / ,�, AM PM BLD
Location / 3 <v�� � � w (A' 1 Suite MEC CIS
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Ac NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH -/L(7 SGN
Crawl Drain In
Slab NO INSPECTION(S) FOUND IN FILE SIT
Post & Beam �
Pt-6 t f j4
Ext Sheath /Shear K
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service EXPIRED
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECHA�
Rough In
Gas Line
Smoke Dampers
inaT'
S 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 access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.