Case File 1
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M_ 15360 .`'.iV ALDEFHRCOK CIRCLE
CITY OF TIGARD MECiiANICAL
PERMIT
13125 S W Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/20/98
PARCEL: 2S111DB-00900
TYPE OF USE. . . . :SF UNIT HEATERS. . : I VENT FANS. . . : 0
OCCUPANCY GRI:,. . ,. R3 VENTS W/O APPL: 1. VENT SYSTEMS: 0
NO. OF UNITS---------- AIR HANDLING UNITE) OTHER UNITS. : 0
Remarks : Installation of DUR33 gam roos heater 9631 of gas line.
�
Owner: -------------------------------------------------- FEES
MCPADY type tVpe amount by date recpt
15360 SW ALDERBROOH CIRCLE PRMT $ 25. 00 DEB 08/20/98 98-308444
TI8ARD OR 97224 5PCT $ t. 25 DEB 08/20/98 98-30844^
� Phone #:
�
� Contractor: -----------------'-----------
GP & W
| 732 MARBLE RD --------------------------------------
$
---------------------------------
$ 26. 25 TOTAL
/ W.BHOUGAL WA 98871
Phone #: 360-835-3516
Reg #. ' : 108176
------- REQUIRED INSPECTIONS ------
This permit is amoa subject to the npgobbons contained in the Bas Line Inmp
ligard Munr|po} Codu State of Dr". Bp*cm}ty Codes and all other Mechanical 1nyp
applicable laws. Al) work will be dnm» in accordance with Heating Unt Inyp
approved plans. This permit will o,piro if work is not started Misc. Inspection
within l80 days of issuance, or if pm~k is suspended for more Final Inspection
than iOW days. ATTENTION: Oregon law requires you to follow rules
adopted by t�, Oregon Utility Notification Center. Those ro)v, are
sot forth /n UAn 952-091-@010 through OAR 952-801-0080. You noy
obtain copies of these ,'/ios or direct questions to 0UK by calling
AL4
Call 639-4175 by 7:00 p. m. fot- inspections needed the next bLtsiness day
| ' '------------------ ---------
---- |
Plan Chec #_
CITY OF TIGARD Mechanical Permit Application Recd By ih.,7j
13125 SW BALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 1998 Uate to P.E. _
(503) 639-410, x304 Dale to DST -`—
Print or Type �0""`8!%�:iTY UEVELUPIriLN1 Permit tr >'1�18•C' loL)
_
Incomplete or illegible applications will not be acceptedCalled
r— Name of DevelopmentlProlect Description e
Table 1A Mechanical Code QT'/ PRICE AMT j
Job sheat Address sunr,< A) Permit Fee -0- 0 1000
Bldg# rrty!stato zip 1 ) Furnace to 100,000 BTU 600
7 Z including duds&vents
Name(or name of busmessi 2.) Fumace 100,000 BTU+ 7.50
Owner M a& including duds&vents
Mailing Address 1 3) Floor Furnace 600
including vent _
Cityrstate zip Phon- 4.) Suspended haater,wall heater ( 600
61 -lIP714 or floor mounted heater
Na (or name of�, mesal 5.) Vent not included in appliance permit r 3.00 /
Dt4-�- i,_ _ a
Occupant Mailing Address 6) Boiler or comp,heat pump,air cx,nd. 6.00
_ _ to 3 HP;ahsorb unit to 100K BUT"
city/state Phone 7) Boder or comp,heat pumr,air Gond. 11.00
3-15 HP;absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp,heat pump,air Gond. 1500 j
15-30 HP;absorb unit.5-1 mil BTU"
Prior to permit Mailog Address 9) Boder or tromp,heat pump,air Gond 22.50
issuance,a copy !_-? � (Q_ V,00 30.50 HP,absorb unit 1-1.75mil BTU" _
of all licenses Gtyrst alip Phone 10) Boiler or comp,heat pump,air Gond. 37.50
are required ifY11Ju1 ,lT 7 >50 HP;absorb unit 1.75 mil BTU"
expired in COT Oregon ConstWont Board Lic p _ Ex Date 11.) Air handling unit to 10,000 CFM 450
d,tabase I t�FS 1,7 (o len
A•chltoct Name 12.) Air hand!ingunit. ;50
I _ 10,000 CTM+
or Mailing Addre+s 13) Non-portable evaporate cooler 450
Engineer '=mrstalmz~p Tor, 14) Vent fan conr,eded to a single duc' 300 ^�
Describe work New C Addition O Alteration O Repair D 15) Ventilritior .. -stem not included 4.50 j
to be done Residential O Non-residential O _ In appliance permit
fAdditional Oescn tion of work: , mechanical 16) Hood served by mhanical exhaust 450
1ir17iZ l I �i U R?, �aS rrkh hoa`�r (�3 c�us(ant _ _i _
17) Domestic incinerators 750
Existing use of 18) Commercial or industrial 30.00 I _
budding or property r�Cr4V1•_ type incinerator
j 19.) Repair units 4 51 '
I I
Proposed use of 20.) Wood stove —�-- - 4.50
building or property
21 ) Clothes dryer,etc. 4.50
Type of fuel-oil 0 natural gasp LPG O el tdnc O 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-r±r outlet(each) 50
SignatUrAlof Owner/Agew — Date 'SUBTOTAL
5%SURCHARGE
Conif act Person Name Phone j PLAN REVIEW 25%OF SUBTOTAL
Required for all commercial permits only
TOTAL
J
'Mlnimum permit fee is S25+5%surcharge
_Residential A/C requires site plan showing place rr lit of unit,
I\mechprmt doc rev 4/15/98
J
CITY OF TIGARD BUIL DING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175-X"O) Business Line: 639-4171 ----- -
/ BLIP
Date Requested Y-1 PM _ BLD
Location
ItB _ MEC
Contact Person PLM
Contractor 6') St Ph 36 ' 39& SWR —
BUILDING TenantlOwner ��/ �(. ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _--
Fog Drain - SGN
Crawl Drain Inspection Notes: -
Slab -- -- --- ------ -- - SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -
Roof
misc.
Final
PASS Pr^T FAIL
PLUMBING
Post 8 beam ------_-- ---------- -----__�.�.-_ __
Under Slab
Top Out •-------- ---- --- -- ----------
Water Service
Sanitary Sewer
Rain Drains
Final
_PASS PART FAIL
MECHANICAL
Post& Beam - - - - ----
Rough_ln
Gas Line C i� - - -- ---- -
Smoke Dampers �--Q
A S"�PARV F L
fti!aRICAL r -
Service -
Rough In -
UG/Slab
Low Voltage
Fire Alarm -- ---
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basir
Fire Supply Line ( ]Please call for reinspection RE: -_ [ J Unable to inspect no access
ADA
Approach/Sidewalk
Other - Date _ �'� �� ' ^ �-. !ns f►ector _ ' Ext -
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.