Permit i
CITY OF T MECHANICAL
PERMIT
am.; , DEVELOPMENT SERVICES PERMIT # • MEC98 -0100
- !+� �- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 03/18/98
PARCEL: 2S1O4AD -02800
SITE ADDRESS...: 12949 SW WALNUT ST
SUBDIVISION ZONING: R -4.5
BLOCK • LOT • 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/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:GAS 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 ( 1O0K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS.: 1
FURN ) =1O0K BTU: 0 ) 10000 cfm: 0
Rem arks : Furnace and gas piping.
Owner: FEES
HAO PHAM type amount by date recpt
12949 SW WALNUT PRMT $ 25.00 DLH 03/18/98 98- 304244
TIGARD OR 5PCT $ 1.25 DLH 03/18/98 98- 304244
Phone #: 524 -3345
Contractor:
AASIA COOLING & HEATING
LIEM TRAN
415 NE 58TH AVE $ 26.25 TOTAL
PORTLAND OR 97213
Phone #: 790 -6324
Reg #.. 000806
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 Misc. Inspection
within 180 days of issuance, or if work is suspended for more Final Inspection
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 - 0014010 through OAR 952 - 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: l ,c�1� Permittee Signature: ��
f .i °
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 _ Date to P.E.
(503) 639 -4171, x304 P'��' Date to DST
,,, .- r` ( - Y r , s - / T �-/ 7 Tin or Type
Permit # MEe 'AR -Q /�
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address S A) Penult Fee -0- -0- 10.00
Ad_ 9 9 5 W YJ/ UuvV
;1,94q d City/State Zip 1.) Furnace to 100,000 BTU 6.00
Tr 4 2 . 1 0 ,., O X including ducts & vents
Name (or name of business) '2.) Furnace 100,000 BTU+ 7.50
Owner 400 PHAP1 including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
0 '. ` T- including vent
City/State Zip II I Phone y '/ 4.) Suspended heater, wall heater 6.00
a '/- 3 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
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 8.) Boiler or comp, heat pump, air cond. 15 00
/1/4 A 14I4)6 ,_ 4 4- 15-30 HP; absorb unit.5 -1 mil BTU"
Pnor to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy I/ Sg �2 , o cL 30-50 HP; absorb unit 1- 1.75mi1 BTU**
of all licenses C' / tate / Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
4
are required if Q/../ -*f r 7 2 /7 3S21 - SOg > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board Lic.# p. Date 11.) Air handling unit to 10,000 CFM 4.50
database S' () 6 41 0 o y 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
appliance permit
Describe work New 0 Addition teration •'repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residen .
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of G 19.) Repair units 4.50
S. /
building or property F. U
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
,r 22.) Other units 4.50
Type of fuel - oil 0 natural gas 4/ LPG 0 electric 0 23.) Gas piping one to four outlets r 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 Owner /Agent Date p lq •SUBTOTAL �� a
�� / / 0 f 5% SURCHARGE
. as
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
Lr yr r. 3 6 -- 9 5 O F
�� TOTAL �6 ,5
L /EM T R,4h/ oC7
i:\rnechpmt.doc (rev 9 Minimum permit fee is $25 + 5 °�/ surcharge
•
sidential NC requires site -plan showing placement of unit.
1 R oy 9 itJa. 1vl s'i
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 C0 U
Date Requested: A.M. P.M. MST:
Location: 61.
Tenant: Suite: Bldg: MEC:
Contractor: Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING SIE ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab w ;c;: Ceiling Water Line
Slab Framing Top Out IMP. Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC. .
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved pproved' Approved Approved
Appr /Sdwlk Not Approved NotAAonroved o I .. ved Not Approved Not Approved
FINAL `FINAL FINAL FINAL FINAL
7 .-45"c7 *---'..--- * / 7 e e)e? / .
•
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: .I, Date: " / Page of