Permit r CITY OF TIGARD MECHANICAL
II DEVELOPMENT SERVICES PERMIT
PERMIT # MEC99 -0089
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03 / 03 / 99
PARCEL: 15133DA- 00800
SITE ADDRESS...: 11070 SW SUMMER LAKE DR
SUBDIVISION • AMART SUMMERLAKE ZONING: R -7
BLOCK LOT •030 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
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 < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Add A/C Unit. A/C units cannot be placed within the required setback
area.
Owner: FEES
STEVE SLABAUGH type amount by date recpt
11070 SW SUMMER LAKE DRIVE PRMT $ 25.00 GEO 03/03/99 99- 313405
TIGARD OR 97224 5PCT $ 1.25 GEO 03/03/99 99- 313405
Phone #:
Contract or:
MILWAUKIE HEATING & COOLING
9961A HWY 212
$ 26.25 TOTAL
CLACKAMAS OR 97015
Phone #: 557 -5562
Reg #.. : 104102
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt 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 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 lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
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Issue By: / ze//// [� Permittee Signature`
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Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
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Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13175 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(5 639 -4171, x304 Date to DST
Print or Type . Permit if /1,6 1
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
• Table 1A Mechanical Code OW PRICE AMT
Job Street Address ,,1 Suited A) Permit Fee -0- -0- 10.00
Address i 0706 6.J it e�fr
/ Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner s- e -S[pbol cJ k. including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
//D`)U 5/50 inintee.Ake ()e including vent
City/State Zip Phone �/ 4.) Suspended heater, wall heater 6.00
!dr ( , ' - yf : - � - or floor mounted heater
for name 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 I 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
(Prior to J'f j ,gU4 djp /k _aCE96 15-30 HP; absorb unit.5 -1 mil BTU"
issuance l ing Address 9.) Boiler or comp, heat pump, air cond. 22.50
applicant ( 0a2 /‘.. 30-50 HP: absorb unit 1- 1.75mi1 BTU"
must provide all Cdy/state zi Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor ) /y(14.L4LFIl e A ,, ??2 5 > 50 HP; absorb unit 1.75 mil BTU"
license Oregon Const Cent Board tie.# Exp. Date , Air handling unit to 10,000 CFM 4.50
information /0 4/ /Od AV o/
for COT COT Tax or Metro # / p. Date 12.) Air handling unit 10,000 CFM 7.50
database). 3 .5799
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 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work 17.) Domestic incinerators 7.50
OW 18.) Commercial or industrial type 30.00
t o �(Q{Q/C)4< Incinerator
Existing use o 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 0 LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
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 • er /Agent Date 'SUBTOTAL
. 3
� 5% SURCHARGE i_ar 2.
on -;Tt Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
TOTAL „
i:\dst\mechpmt.doc (rev 9 'Minimum permit fee is S25 + 5% surcharge p �
"Residential NC requires site plan showing placement of unit.
I
ah01!
5/17/99 Activities for Case #: MEC99 -00089
4:46:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp: Level By Updated Notes
MECA007 Application received 3/3/99 GEO RECD DST 3/3/99
MECA008 Create Permit. 3/3/99 GEO DONE DST 3/3/99
MECA799 Final Inspection 3/16/99 KS FAIL KBS 3/17/99 #-1- residence occupied no one
available
MECA730 Cooling Unt Insp • 3/3/99 DST 3/3/99
MECA060 (F) Issue permit 3/3/99 GEO PASS DST 3/3/99
MECA799 Final Inspection 3/23/99 CD • PASS CD 3/24/99
MECA800 Case Finaled 3/24/99 AKJ PASS AKJ 3/24/99
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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
- : 'IS' 3: op BUP
Date Requested ./ Z3 /ty AM PM BLD
Location MO 70 .5 vat , i e_ 6;1- O,ZSuite MEC - fsD?
Contact Person Job / , SIA? 4 / 7 - Ph „.,2 2.3 -- y74i & PLM
Contractor Ph 3 - 4 SWR
BUILDING Tenant/Owner ELC Q /Zi
Retaining Wall ELR
Footing Access:
Foundation ` � FPS
Ftg Drain ( �� 0 � .Se'.g / SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation n �y
Drywall Nailing E C 9 9 _
Firewall
Sprinkler 17
Fire Alarm
Susp'd Ceiling �- a,. 99 —
Roof
Misc:
Final
PASS PART FAIL
PLUMBING (cig>//
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PAS$ _EAT FAIL
(ELECTRICAL)
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
SS 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 3 z3/9q Inspector J Ext
Final
PASS. PART FAIL DO NOT REMOVE this inspection record from the job site.