Permit It CITY OF.. TIGARD MECHANICAL
PERMIT
A,fir DEVELOPMENT SERVICES PERMIT # MEC98 -0522
:1!+L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/19/98
PARCEL: 25103CA -04000
SITE ADDRESS...: 11615 SW TERRACE TRAILS DR
SUBDIVISION - TERRACE TRAILS ZONING: R -4.5
BLOCK LOT °012 JURISDICTION: TIG
CLASS OF WORK.. :OTR 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 : 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..: 1
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: Installation of wood stove.
Owner: FEES
WILLIAM A SCHOENK type amount by date recpt
11615 SW TERRACE TRAILS DR PRMT $ 25.00 DEB 11/19/98 98- 310940
TIGARD OR 97223 SPCT $ 1.25 DEB 11/19/98 98- 310940
Phone #: 639 -5617
Contract or:
THOMAS BISHOP
12195 SW CANYON RD
STE 30 $ 26.25 TOTAL
BEAVERTON OR 97005 -2170
Phone #: 626 -4652
Reg #..: 000546
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Woodstove 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 1: days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR M2-001-0010 through OAR 952 -001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
P ermittee Signature: 1/ _�_,/
Issu By: � J ;ALL. 9 //
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
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- Plan Ch
CITY OF TIGARD Mechanical Permit ApplicatioR ECEIV Recd
13125 SW HALL BLVD. Commercial and Residential Date Recd -1 - P
TIGARD, OR 97223 NOV 19 1998 Date to P.E.
(503) 639 -4171, x304 . Date to DST - _
COMM DEVELO'I' ENT ' Permit # ,F'�e!! 9 e - C75 ??-°
,4,,,p-6207 Pr or Type called
' Incomplete.or illegible applications will not be accepted
•
Name of Development/Project Description - - -
Table 1A Mechanical Code QTY PRICE AMT
Job: , .: �fOe /1p`ddress. L r Suites Q A) Permit Fee -0- -0- 10.00
Address Il SLUT UTewe ' ye1 S 01' � 11 .
WO City /State Zip 1.) Furnace to 100,000 BTU ' 6.00 •
including ducts & vents
I Name( Namel name of business) 4 ' 2.) Furnace 100,000 BTU+ 7.50
Owner. ,,ho -ev. c: tl (c rev. • including duCs &vents '
Malang Address / i{ 3.) Floor Furnace 6.00
1 /1, /S 3A.) Pte ' c.€ V l k including vent -
City/State Zip Phone . 4.) Suspended heater, wall heater 6.00
IT i aaA2/ Q✓ 9Ia/03 (.23 ( /-5 / rf or floor mounted heater •
or name of business) 5.) Vent not included in appliance permit 3.00
Occupy . Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT"
. CaylState Z ip Phone 7 .) Boiler or comp, heat pump, air cond. 11.00
3-15 HP: absorb unit to 500K BTU" •
_ Contractor t,'"e . 0 NOT Sector 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to ' DWI 5 p (nue f lagoticreig. 15-30 HP; absorb uni .5-1 mil BTU" -
issuance Malting Address ^ 1 9.) Boiler or comp, heat pump, air cond. . 22.50
appGk�rtt �!��:5 �!.!� �IQ - N b � K 30-50 HP; absorb unit 1- 1.75mil BTU"
must provide all rst Zip Phone 10.) Boiler or comp, heat pump, air cand. 37.50
Contractor • . RT f QQ ?7o 0
' 6a '9 /3PI > 50 HP: absorb unit 1.75 mil BTU"
license Oregon _font / uo.a I x p r I f e � 11. Air handling unit to 10,000 CFM 4.50 •
- for car .-- • • COT BusineSor Metro a Exp. Date 12.) Air handling unit 10,000 CFM 7.50
database): 4515 _
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single dud • 3.00
Engineer Cih' /Se Zip Phone 15.) Ventilation system not included in 4.50 '
appliance permit
Describe work New 0 Addition 0 Alteration 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
18.) Commercial or industrial type • - 30.00 •
• • Incinerator
• Existing use o f 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 SF 0
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 A t Date 'SUBTOTAL
5 %o SURCHARGE
Con ct e e Phone PLAN REVIEW 25% OF SUBTOTAL
SMOG WcIL-S °'e 2 to '(/ 5-- TOTAL
i:'dstmechpmtdoc (rev 9 . 'Minimum permit fee is $25 + 5% surcharge
. - Residential A/C requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
I BUP
lW 0 Date Requested ! 02 ^ 0 - 9l AM V. PM BUD
Location 1 U /5 ad p� �yite
Contact Person )164 / Pl / � , 4-Y�--' ' Ph 3 � - 5 (7 PLM
Contractor l Ale- 5 ' o1 PP Ph 6 d 4 - 7-6 5 L SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation /� / / n / �-7yl Jf h ' / / a /J\ / FPS
Ftg Drain `s , W SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing /)-Ai Cc; 7 i
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
Sanitary Sewer
Rain Drains
Final
PASS _ • T FA L ,
- '� CHANICAL MY
Post & Beam '
Rough In
Gas Line
Smoke Dampers
Final
(ASS} 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 /2 — 2 - Inspector Ext
Final
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.