Permit . CITY OF T MECHANICAL
A� A • DEVELOPMENT SERVICES PERMIT
11 �'I PERMIT # ° MEC99 -0072
=' °'�:� 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 02/22/99
PARCEL: 2S110BD -05600
SITE ADDRESS...: 11904 SW VIEWCREST CT
SUBDIVISION ° ASPEN RIDGE ZONING: R -4.5
BLOCK LOT °023 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: 1 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 UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN )=100K BTU: 0 . > 10000 cfm: 0
Remarks: Repair vent.
Owner: FEES
RICHARD BUNGE type amount by date recpt
11904 SW VIEWCREST CT PRMT $ 25.00 GEO 02/22/99 99- 312123
TIGARD OR 97224 5PCT $ 1.25 GEO 02/22/99 99- 312123
Phone #: 620 -9669
Contractor:
BELL HEATING
(GREG MILLETT) •
15550 SE PIAZZA AVE $ 26.25 TOTAL
CLACKAMAS OR 97015
Phone #: 656 -1184
Reg it..: 447
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
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 180 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 952-0014080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
//X 010044119
Issue By: 4 / Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + ++
_
05/29/98 FRI 10 : 05 FAX 503 598 1960 CITY OF TIGARD VI 003
f...--
Plan Check #
- CITY OF TIGARD RECEIVEWlechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 FEB 2 2 1999 Date to P.E.
(503) 639- , 4171 x304 Date to DST Print or Type 7 / ,,
COMMUNITY DEVELOPMENT , Permit # Nee 4r- 90 9,z
" t,,
Called
Incomplete or illegible applications will not be acc - pted
Name of Development/Project Description •
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address e9 kSuite# A) Permit Fee -0- -0- 10.00
Address I 1 90'-/ si
i
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
MA' s-rine 4 1 7 including ducts & vents
Name (or name of business)" 2.) Furnace 100,000 BTU+ 7.50
Owner aeaKiti Bane_ including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
11 90 Li 5-4.0u i e4.0e_resi- Q-4 including vent
Cy/State Zip Phone 4.) Suspended heater, wall heater 6.00
Ti SptArS 0 e 0 7 lazo-Tao q or floor mounted heater
Need (or name of business) 5 ) Vent not included In appliance permit
3 ;C_ I- ea cil.r ,d) lax- ni5f,.. 1 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
ii qDq SW 0 J a werea-1 e-T to 3 HP; absorb unit to 100K BUT**
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
:Pi Cia-rd2 0,2' 97 Vie -9440 9 3-15 HP; absorb unit to 500K BTU" _
Contractor NanW 8.) Boller or comp, heat pump, air cond. 15.00
132-1( f ca..-4 ina_ 15-30 HP; absorb unit.5-1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy / 559) SE P:c.tZ.ZCA_ 30-50 HP; absorb unit 1-1.75mil BTU"' _
of all licenses NState, Zip Phone 10.) Boller or comp, heat pump, air cond. 37.50
are required if e,A elf-tot Vila S > 50 HP; absorb unit 1.75 mil BTU"
-
expired in COT Oregon Const. Cont. Board Lic# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database LI 97 (0-21/41-0c3
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non-portable evaporate cooler 4.50
Engineer City/State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration 0 Repair 15.) Ventilation system not included 4.50
to be done Residential 0 Non-residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50,
17.) Domestic incinerators 7.50
,
Existing use of 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
_
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas' LPG 0 electric 0 22.) Other units 4.50
'
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets 2.00
given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4-per outlet (each) .50
Signature of Owne CD Date
..-0----99 *SUBTOTAL gi,.:4 .:-.1it.,.i■saw--
....■ / - it r fZglic. ,._ glif,
5% SURCHARGE - - - -7. ...Fr , ::4- - • 1-•;''"*.■ /
- Vi.V4r:f• git Pi --
Contact Person Na e Phone PLAN REVIEW 25% OF SUBTOTAL 5117
Required for all commercial permits only.
TOTAL 47;` . f;:
: t - RIV
Minimum permit permit fee is $25 + 5% surcharge _ _
**Residential Ale requires site plan showing placement of unit.
I:\mechprmt.doc rev 4/15/98
_
CITY OF TIGARD BUILDING INSPECTION DIVISION
4111,ST
24 -Hour Inspection Line: 639 - 4175'. Business Line: 639 -4171
BUP
Date Requested a �- AM PM BLD
Location l / , k / , Suite MEC lc?
Contact Person Ph PLM
Contractor �7 - Ph SWR
5
BUILDING Tenant/Owner Le e / , ELC
Retaining Wall C ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing ( 6 Sr7,-
Firewall
Fire Sprinkler )'tire-"/ eLs
Fire Alarm
Susp'd Ceiling ,o .4.1 ti�i4cTTij 5
•
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
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
anal
PART FAIL
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
Approach /Sidewalk
Other D ate - -2 V — Inspector /` Ext
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.