Permit •
MECHANICAL
PERMIT �
C OF � PERMIT # ^ MEC96-0135
�
DATE ISSUED:' �5/16/96
��{0��������UTY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 9722368199 (503) wym��r,
' PARCEL: 25103CD-04700
SITE ADDRESS...: 11645 SW TERRACE TRAILS DR
SUBDIVISION ^ TERRACE TRAILS ZONING: R-4.5
BLOCK • LOT ^15
CLASS OF WORK..:ALT FLOOR FURN ^ 0 EVAP COOLERS: 0
TYPE OF USE .SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A1 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ^ 0 BOILERS/COMPRESSORS HOODS : 0
FUEL TYPES--- 0-3 HP : 0 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 UNlTS.: 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K 'BTU: 0 > 10000 cfm : 0
Remarks: Installing one furnance to 100K BTU.
nch circuit. •
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Owner: — — FEES
WAYNE SEDGWICK type amount by date recpt
11645 SW TERRACE TRIALS DR PRMT $ 25.00 CJS 05/16/96 96-279493
5PCT $ 1.25 CJS 05/16/96 96-279493
TIGARD OR 97223
Phone #: 503-620-9694
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Contractor: -----
SERVICE NOW OF OREGON, INC.
615 RAILROAD AVE
OREGON CITY OR 97045 ---------
Phone #: 503-655-7558 • 26.25 TOTAL
Reg #..: 87788
------- 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 Misc. Inspection
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 more ___
than 180 days.
Permittee Signature: _/ij_ck} /r'/
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I ssued By : r./14,4,0s
Cal 1 for inspection — 639-4175
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City of'Figard MECHANICAL PERMIT Planck/Rec. # 96- ).79993
13125 SW Hall Blvd. APPLICATION Permit # MEC96 -111
Tigard, OR 97223
(503) 639 -4171
Namo of u«movn. 4 Description
Table 3A Mechanical Code QTY PRICE AMT
Add....
Address at y S S W z`
1 er'ce. 1 r�,: is pv 1) Permit Fee -0- -o- 10.00
T q c c9. h K-- 9 7x23 2) Supplemental Permit 3.00
Nam of wan..., Furnace to 100,000 B I U
i1) ro Gam[ S-P Jo I� ; . L . to. o - 9vyy 1 incl. ducts & vents 1 6.00 (6 _ a) .
w rte» Furnace 100,000 BFU +
!!!!
Owner f Li S S t.,) Te,'r -ace T r I s Or 2) incl. ducts & vents 7.50 • '
Floor Fumance
T „I. Da_ 9 7 2-2-3 3) incl. vent 6.00
Nan. � P nano of °vnoss) Suspended heater, wall heater
SG -e_ 4) or floor mounted heater 6.00
WO N; "dd"" MINN Vent not incl. in
OCCUparlt 5) appliance permit 3.00
caymmi. Z9 Repair of heating, refrig.
6) cooling, absorption unit 6.00
Nan. Boiler or comp, heat pump, air cond.
J , c-e_ /O0 l 7) to 3 HP; absorp unit to 100K BTU 6.00
Boiler or comp, heat pump, air cond.
b
Contractor G; rn S 7SSV 8 3-15 HP; absorp unit to 500K BTU 11.00 •
Boiler or comp, heat pump, air cond.
On e C; ' / 0. ct70gC 9) 15 -30 HP; absorp unit .5-1 mil BTU 15.00
State a.o°n No. GO/ Bus. Tai No. Boiler or comp, heat pump, air cond.
i 0 at 3 (n 2 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledg A tthhat I have •
read this application, tha a Boller or corp, 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
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
b g' n°r ` (own`T or aging °2-1 . Hood served by
17) mechanical exhaust 4.50
Describe work new O addition U alteration U repair U - Commercial or industnaF
to be done residential 0 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 2.00 2 OD
building or property
Type of fuel - oil natural gas LPG 21) More than 4-per outlet
m 0 g 0 0 electric O
NOTICE
SUBTOTAL a.?
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1 , a s
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 )4 as,
Special Conditions
Date issued 5 - IX - 96 by C J S
k./MECHPMT
wo,d xanclon
Page No. 1 CASE HISTORY FOR CASE NO.: MEC96 -0135
WAYNE SEDGWICK
11645 SW TERRACE TRAILS DR
12/11/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECA007 Application received / / / / 05/16/96 RECD CJS 05/16/96 CJS
MECA060 (F) Issue permit / / / / 05/16/96 PASS. CJS 05/16/96 CJS
MECA715 Mechanical Insp 05/16/96 / / 09/22/98 replaced an existing gas furnace with a PASS WDJ 09/22/98 WDJ
new gas furnace.
MECA799 Final Inspection / / / / 09/22/98 PASS WDJ 09/22/98 WDJ
MECA800 Case Finaled / / / / 09/22/98 PASS WDJ 09/22/98 J *H
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
I o BUP
Date Requested ZZ / D AM PM BLD
Location //e. VS _SGf/ 7 /RCS 7 d:ft 47' Suite MEC 9&' 0/3.5
Contact Person Ph PLM
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Contractor 5/i'a /1/27,0 / ■{- Cry -ek.. Ph 6/5 755 SWR
I . BUILDING Tenant/Owner /JJ / �1��j/ // ELC
, Retaining Wall GZ G U ELR
Footing Acce
Foundation PLC 96 -63/3 FPS
Ftg Drain (NO-REQUESTED , _ J SGN
Slab
Crawl Drain Inspi FOUND. DURING RESEARCH
,:,
Post & Beam tNO_INSPECTION(s) -IN -FILES SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing l �q l '/
0 5l 9 f
Insulation ] G
Drywall Nailing 7/7 — Z / - r g ■
Firewall
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 f1'
PASS PART FAIL �` f►
MECHANICAL
# • ,
Post & Beam
ough In /
Gas
Smoke Dampers
.4t*
SS PART FAIL
EL - TRICAL
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 /� ,,
Other Dat
Approach/Sidewalk 2 Inspector a/ /� V SU" �- Ext
e
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.