Permit CITY OF T MECHAN I CAL
w, '. ;,N DEVELOPMENT SERVICES PERMIT
�Ii� 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERM I T # ° MEC98 -0043
DATE ISSUED: 02/10/98
PARCEL: 2S1O2BA -00301
SITE ADDRESS...: 09914 SW TIGARD ST
SUBDIVISION • NO.TIGARDVILLE ADDITION AMEND. ZONING: I —P
BLOCK • LOT :022 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 1
STORIES • 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0
:GAS 3 -15 HP : 0 COMML. INCI 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Two supply air ducts and one return air duct to new room remodel.
Owner: FEES
WILSHIRE PROPERTIES -2 INC type amount by date recpt
1776 SW MADISON ST PRMT $ 25 °00 B 02/10/98 98- 303197
STE 300 5PCT $ 1.25 B 02/10/98 98- 303197
PORTLAND OR 97205
Phone #:
Contract or:
JACOBS HEATING & A/C
1421 SE HOLGATE BLVD
$ 26.25 TOTAL
PORTLAND OR 97202
Phone #: 503 -234 -7331
Reg #. ° : 000014
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 Final Inspect i o n
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 1:: 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 may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
• ,
Issue By: \ --� . Permittee Signature: p Gieraj
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By f' /
13125 SW HALL BLVD. Commercial and Residential Date Recd 7---0 - y>
TIGARD;"OR 97223 Date to P.E.
(503) x304 Date to DST
Print or Type Permit #(Vft6 - 0043
Called
Incomplete or illegible applications will not be accepted
Name of eveeiopmenuProlect Description
of lt � Y4
/ I/
� Table 1A Mechanical Code QT'' PRICE AMT
Job Street Address ✓ Suite# A) Permit Fee -o- -0- 1000
Address
Bidgri City/State. ZIP ."1 1.) Furnace to 100,000 BTU 6.00
-"l rdl a / � ' including ducts & vents
Goa Name (or name of busiess) J 2.) Furnace 100,000 BTU+ 7.50
` lowner I flnOV including ducts & vents
Mailing Address " 3.) Floor Furnace 6.00
. 7,1111?,( 9/ ei including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Ad rasa 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT**
Crty/State Zip - 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
(Pnor to ,A 14174 1 15-30 HP; absorb unit.5 -1 mil BTU"
issuance M g dd sa 9.) Boiler or comp, heat pump, air cond. 22.50
applicant *' riVO4 30-50 HP; absorb unit 1- 1.75mi1 BTU"
must provide all Cnyr 1 N 1 A Zip P �� / 10.) Boiler or comp, heat pump, air cond. 37.50
contractor > 50 HP; absorb unit 1.75 mil BTU -
license Oregon Const Cont. 7oard Lic.a Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
information I 04--1- f
for COT COT Business or # Exp. Date - 12.) Air handling unit 10,000 CFM 7.50
database). I � � (�G /✓ .
Architect Name 13.) Non - portable evaporate cooler 4.50 .
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer CrtyrS Zip Phone 15.) Ventilation system not included in 4.50
appliance permit l
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 �1/1 17.) Domestic incinerators 7.50
2g / .4.)Y4 s � - 1 Y en
Ai v avi ..iv nepv vn yve ,� 18.) Commercial or industrial type 30.00
Incinerator
Existing use of 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 ga ' 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 pla • • ••fitted are in compliance with Oregon State QTY. SUBTOTAL f�
laws. /� � (/�l�J
Signature of • ,♦ Date l 'SUBTOTAL 90
60 '✓ / 1 i 5% SURCHARGE l P16
Contact Person .4 Phone PLAN REVIEW 25% OF SUBTOTAL r
TOTAL
st\mechpmtdoc (rev 9
i:ld *Minimum permit fee is $25 + 5% surcharge
**Residential NC requires site plan showing placement of unit. 7 Lo , Z
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7/26/99 Activities for Case #: MEC98 -00043
3:13:45 PM ,
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 2/10/98 B RECD BON 2/10/98
MECC008 Permit created 2/10/98 B DONE BON 2/10/98
MECC011 Routed to Plans Examiner 2/10/98 B MEMO BON 2/10/98 Bob P. determined that this did
not require plan review.
MECC799 Final Inspection 9/9/98 WDJ PASS WDJ 9/9/98
MECC706 Mechanical lnsp 2/10/98 9/9/98 WDJ PASS WDJ 9/9/98
MECC090 (F) Issue permit 2/10/98 B PASS BON 2/10/98
MECC800 Case Finaled 9/9/98 WDJ PASS J'H 9/9/98
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -417 Business Line: 639 -4171
BUP
Date Requested � � AM PM BLD
Location 99/ `7 ,' %1 /�G� dS e€} Suite MEC 9cr -OD V3
Contact Person Ph PLM
Contractor -,.)QL'.Dh 5 Z��/t2 0 ``" /��G Ph �� 7,33 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR MOW
Footing s L^PPly
wdiv
Foundation „ r e t- i n o- . duct FPS
Ftg Drain (NOT REQUESTED roo ,u re 04 o ot,LQ _ SGN
Slab
Crawl Drain In FOUND DURING RESEARCH,
Post & Beam
NO INSPECTION(s) IN FILE! — SIT
Ext Sheath /Shear
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
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL N C }� (j'
MECHANICAL
P eam
Gas Line
Sm Dampers
" SS 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: i1 [ ] Unable to inspect - no access -
ADA
Othe�ach /Sidewalk Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.