Permit CITY OF TIGARD ME PERMIT AL
Ale ,'� DEVELOPMENT SERVICES PERMIT # - 'lEC97 -0`81
�'�' DATE ISSUED: 07/31 /97
__.. 13125 SW Hall Blvd., Ti Tigard, OR 97223 (503) 639 - 4171
PARCEL: 1S133CD -02000
SITE ADDRESS...: 11778 SW SWENDON LP
SUBDIVISION..,.: COTSWALD MEADOWS ZONING: R - -E5
BLOCK..........: LOT .18 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 : 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 CUD DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS. : 1
FURN > =.100K BTU: 0 > 10000 cfm: 0
Remarks : Install new gas furnace and duct system.
Owner: -- -- --- -• - --- FEES
TREVOR ALENE type amount by date recpt
14025 SW CHEHALEM PRMT $ 25.00 GEO 07/31/97 97- 297802
TIGARD OR 97223 SPCT $ 1.`5 GEO 07/31/97 97- .297802
Phone #: 524 -5405
Contractor: -- -----------------------
COMPLETE HEATING & COOLING
JAMES YOUNG -- ------------
4500 WEST ROAD $ 26.25 TOTAL
LAKE OSWEGO OR 97035
Phone #: 684 - -6513
Reg #.. : 2100694
REQUIRED INSPECTIONS --- - -- - --
This permit 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 Heating Unt Insp
approved plans. This permit will expire if work is not started Duct Inspect ion
within 180 days of issuance, or if work is suspended for more Misc. Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules F i n a l Inspection
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.
//
Issue By: ',�.� ""/ _ Permittee Signature:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + +-F
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
+++- F++++++++++++++++++++++++++++++++++++++++++++ + ++ + + +++ + + + + +++ + + + + ++ + + + + + + + + ++
Mar . r
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) x304 Date to DST
Print or Type Permit # 'PrLe4 4- • 0.751
Called
• Incomplete or illegible applications will not be accepted
Name of DeelpmenvProjeot Description
7/ P .5C.() �� itJ 4 LS O
/4) 6°() Table 1A Mechanical Code Orr PRICE AMT
Job Street Address Surce# A) Permit Fee - -0- -0- 10.00
Address // 7 '2 8 s co 56,06 0q/
Bogs City /State Zip 1.) Furnace to 100,000 BTU / 6.00 / X00
7 3 6/0 h 97a_q. including ducts & vents f%
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner 2Fa /o2 4/&Nfi
including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
/vo ZS'5 / Gi ft/ / '/ A IL & /VJ including vent
City /Stake Zip Phone 4.) Suspended heater, wall heater 6.00
- 77 6 4 eA 9 7;.2.3 52 / -5 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
?F,A) r/'L
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT
City /State Zip ' Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name Q
rr l N� 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to (.-.010P-a& 4A /v6 G/r9 f 15-3 HP; absorb units -1 mil BTU"
issuance Mailing Address Q � 9.) Boiler or comp, heat pump, air cond. 22.50
applicant ` f5710 .ca/ U, /c s t- a 30-50 HP; absorb unit 1- 1.75mi1 BTU"
must provide all City /State / � Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
. contractor F, f.(3GUF -6C1 F l ')o3 y 68V bs > 50 HP: absorb unit 1.75 mil BTU"
license Oregon Const. Cont Board Licit Exp. Date 11.) Air handling unit tb 10,000 CFM 4.50 •
/
information l9 9 ' (/ ?-r) 9 - 9 `)
for COT COT Business Tax or Metro # Exp. Date 12.) Air handling unit 10,000 CFM 7.50
database). / 9 (/ 7/-9 7
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
�l appliance permit
Describe work New 0 Addition 0 Alterationfi Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
1
Additional Description of work 17.) Domestic incinerators 7.50
i 18.) Commercial or industrial type 30.00
(4 -# ! /kiU/ 7 (f, /,(,cJ/' s ,Yt Incinerator
Existing use 6f / 19.) Repair units 4.50
building or property te/...S.
20.) Wood stove 4.50
Proposed use 21.) Clothes dryer, etc. 4.50
building or property QJJ
-
22.) Other units ( 4.50
Type of fuel - oil 0 natural gas LPG 0 electric 0 23.) Gas piping one to four outlets / 2.00
2. op
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. 0 ale
Signatu of Owner /Agent Date *SUBTOTAL
S4a
q 5% SURCHARGE / �
iii 2 Conta erson Nam Phone PLAN REVIEW 25% OF SUBTOTAL
c /Y1/1 0 0 A � S7` 6s /3 TOTAL ,07S
i:ldsttmechpmtdoc (rev 9 / *Minimum permit fee is S25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
RECEIVED
) JUL 31 1997
COMMUNITY DEVELOPMENT
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RECEIVED
JUL 31 1997
COMMUNITY DEVELOPMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: Il 7 7 0 O- 0, S 17 A.M. P.M. MST:
Location: 1 1 7 g »u .Q() fJ BUP:
Tenant: Suite: Bldg: MEC:1'7 — R 1
Contractor: ∎ I L • - . / / / Phone: 391- 9 11 3 PLM: ^
�
Owner: Phone: � + ELC: / - 0556
•
&a/)'C 0...... C�� CI '. , V A C i ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ) ELECTRICA SITE
Site Post/Beam Post/Beam = , v • . ov a c e Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out as Line Rough -In UG Sprinkler
Foundation Insulation Sewer H ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain Cak UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr .t Pump Low Volt
Approved Approved Approv-.. A Proved Approved
Appr /Sdwlk Not Approved Not Approved lo • ved o oved� Not Approved
FINAL FINAL AL ) F FINAL
./1 i Z
all for re mspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: ' -- ?.c, 9 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location II Si/tiel1 ote,1 Suite OJT q7 1
Contact Perso Ph PLM
Contractor / ? _7e-e Y/L Ph 39/-9//i SWR
BUILDING Tenant/Owner L( 97-0355C
Retaining Wall ELR
Footing
Foundation AC NOT REQUESTED FPS
Ftg Drain
Cr awl Drain Inc FOUND DURING RESEARCH 1 SGN
Cr
Slab NO INSPECTION(S) FOUND IN FILEI4 � t SIT
Post & Beam lqiesAri /4A--) �./
Ext Sheath /Shear « blA -f�3 �J 1 0 �1
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler 4/4' a
Fire Alarm
Susp'd Ceiling y)
Roof
Misc: (�
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & eam
Rough In
Gas Line
Smoke Dampers
my
PASS____PART FAIL
ECTRICALf>
Service
Rough In
UG /Slab
Low Voltage
Fi - ' larm
di PART FAIL
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 ,or /
Other Approach/Sidewalk D ( �v Inspector
�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.