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10505 GREENLEAF TERR.
CITYO F T I GA R D -_ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT'i: NIEC1999-00480
13125 S;M Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1;09/1999
PARCEL: 2S110DD-07000
SITE ADDRES . 10505 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R-12
BLOCK: LOT: 234 JURISDICTION: TIG
CLASS OF WORK. ALT rLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS Win APPL: VENT SYSTEMS:
STORIES: 8011-ERS/COMPRESSORS HOODS:
FUEL TYPEti _ 0 - 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPJT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 50 HP:
WOOD°i VE : 1
GAS PRESSURE: 50 + ISP:
FURN < 100K BTU- AW HANDLING UNITS CLO DRYERS:
FURN ;=100K BTU: •=0000 ctm: – UNITS:
> 10000 crm GAASSOUTLETS: 1
Remarks: Installation of a a_w insert and gas ,ne.
Owner: _—� ---- �_ FEES
AL C'BRIAN Tyne By Date Amount Receipt
10505 SW GREENLEAF TERR PRMT DST 11/09/194 $50.00 99-319677
TIGARD, OR 97224 SPCT DST 11/09/190 $4.00 99-319677
Phone:
Total $54.00
–
Contractor:
T + K MECHANICAL
TIMOTHY S WYNNF
11525 3W CANYON REQUIRED INSPECTIONS_
BEAVERTON, OR 97005 _ –
Gas Line Insp
Phone:626-4652 Woodstove Insp
Reg #:L IC 00121165 Mis– Inspection
Final Inspection
Gas Lige Insp
Final In:�pection
l ��is permit is issued subject to the regulatic ns contained in th,� 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 wok 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 in the Oregor,
Utility Notification Center Those rules arc sit forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these riles or direct C7uestions to OUNC by calling (500246-9189.
Isst ! By: -_ Permittee Sign•iture:
Call (50')) 639-4175 by 7:00 P.M. for inspections needed the next busines-- day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Bus°•ress ! irie: 63F-4171 - �-
SUP
_Date Requested / ` AM_ __PMS [31D
Location /Oso`->-
��2/1 LC Ct� "T� I✓ Suite MEC l94`l-CCJ'b�8
1 '
Contact Person -T-1K- OttC'�-Q.��l�-K'�� Ph .�- `?`�'��f _ PLM _
Contractor Ph SWIR _
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: ------._..--
Foundation G ( /s'ri(� FPS' -- --_- ----
Ft Drain L SGh
Crawl Drain Inspectia Notes: -- - ------- --
Slab SIT
-- -- --- --' / v
Pose 8 Pearn ------------
Ext Sheath/Shear �+�� 741
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling ----- - -- -- -
Roof ,/
Fina: - --- - --fes -A --
Final
PASS PART FAIL. - - - — --------- ---
PLUMBING
Post& Beam
Under Slab
lopOut - - - __ - _- - -----------------._-_------- - --_. __-
Water Service
Sanitary Sewer
Rain Drains _
Final �.
PASS P*� AIL-
_
IHyIECHANICA
n
Jas LIII
o e Dampers
PART FAIL
ELECTRICAL_ -- `
Service NIL
Rough In
UG/Slab
Low Voltage
Fire Alarm I+
final
PASS PART FAIL
SITE
Packfill/Gradrng — -- ------ -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 1.3125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: I ]Unable to inspect- nc access
Fire', ipply Line
ADAC
Approach/Sidewalk
Other Date �1 Inspector� Ext
Final
PASS PART FAIL. D NOT REMOVE this inspection record from the job site.
/\ CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00480
13125 SW Hall Blvd„ Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/09/1999
PARCEL: 2S110DD-07000
SITE ADDRESS: 10505 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R-12
BLOCK: LOT: 234 JURISDICTION: TIG
CLASS OF WORK: ALI FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APNL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORSHOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTtr 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks Installation of a gas insert and gas line.
Owner: _ FEES
AL O'BRIAN i I Type By Date y Amount Receipt
10505 SW GREENLEAF TERR PRMT DST 11/09/19 $50.00 99-319677
TIGARD, OR 97224 5PCT DST 11/09/15: $4.00 99-319677
Total~ $54.00 _
Phone: _'— —'—�'--'
Contractor:
T + K MECHANICAL.
TIMOTHY S WYNNE
11525 SW CANYON REQUIRED INSPECTIONS
BEAVE RTON, OR 97005 Gas Line Insp
Phone:626-4652 Woodstove Insp
Reg#:LIC 00121 165 Final Inspection
r� t � l
This permit is issued subject to the regulations contained in the 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 in 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)246-9189.
Issue By: ..�� -'� `' Permittee Signature
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
i Plan Check#_ _
Cllif OF TIGIARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd----__
TIGARD, OR 97223 _ Date to P.E
(503) 639-4171, x304 oats to DST-
Print or Type Permit#.E
_ Incomplete or illegible applications will not be accepted called
-� Name of Development/Pro)ect r Dc**scription
')C r/, I C 1 f I All
1A Mechanical Code Ct) Permit fee Price Amt
— �
Job street Address Suitek _ 16.00
Address O`� UJB ci jr,24(JL �F Te 2iz 1) Furnace to 100,000 BTU
BIdgM Cdy/State zip includingducts&vents �- 965
2) Furnace 100,000 9TU+
(9-c- includin5 ducts&vents -_ 12.00
Nome(or name of business) 3) Floor Furnace
r r includin vent 9.65
Owner AL_ C -) /3,Z 1a 1-7 �---- ---- -
Mailing Address 4) Suspended heater,wall heater
r �✓ G' r �.1,. Lc f (�,, I or floor mounted heater _ - 9.65
GJ 5 5) Vent not included in ap !lance permit 4.75
City151ate Zip Phone Check all that apply -T—oiler-1 Heat Air
f o< y?z Z Zc For Items 6-10,see or Fnmp Cond Oily Price Amt
Name for name of business) footnotes 1,2 cornp
6)Repair units
840
QCCUpa17t Mailing Address 7)<3HP;absorb unit to
10oK BTU 9 05 _
Cny/state Zlp Phone 8)3-15 HF,absorb unit
1 1001, to 500k BTU 17.65
Contra-tor Name 9) 15-.0 HP;absorb
unit.5 1 mil BTU 2415
V_ m�, _—
C< < _ 10)30-50 HPabsorb
Prior to permit Mulling Address _ 7T �� unit 1-1.75 mil BTU 36.00
issuance,a copy )`.'�L j S�� r f/ uL� 11)>50HP;absorb unit>1,75 mil BTU
of all licenses City/State z p Phone_ 60.15 _
are required it {t_v_' % z A-'�k ''r :7 `*�f f 12)Air handling unit to 10,000 CFM -
expired in COT Oregcm Co�Jet Cont_Board Lk;N Exp Date _- 7.00
datahase_ 1 Z I( • J 13)Air handling unit 10,000 CFM+
Architect Name _ —V 11.85
14)NonL•le-portaevaporate cooler
or Mailing Address 7.00
15)Vent fan connected to a single duct
_ 4.75 _
Engineer Cdyistate zip Phone 16)Ventilation system not included in -`
appliance permit 7.00
Describe work to be done -� 17)Hood served by mechanical exhaust
7.00_
New O Repair O Replace with like kind Yes U No O 18)Domestic incinerators
Residential 13 Commercial O Modiffcation�*_ _- _ 120
19)Commercial or industrial type inr•.inerator
Additional information or description of worts ,,,_ r .,.- 48.25
20) Other units,including wood stoves
NOTE: For Commercial projects only,Units over 400 lbs,lor.ated on the 21)Gas piping one to four outlets
roof,m fire structural calcs prepared by licensed engineer 3 75
----
Type of f.tel oil O natural gas)R. LPG O electric O 22)More than 4-par outlet(each) T J71
Minimum Permit Fe+550.00 _ SUBTOTAL_
1 hereby al.knowledge that I have read this application,that the information --- ---' ---8%SURCHARGE i
given is correct,that I am the owner or authorized agent of
PLAN REVIEW 25%OF SUBTOTAL
the owner,If at plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only
Signature of Owner/Agent Date- �~ i TOTAL
b
C — ___�..—__�. -.
--- - ---_ Other Inspections and Fees
Coble P rs,)natV me � IOhM -- --
1 i,spections outside of normal business hours(minimum charge-two hours) $50 00 per hour
7
f i, 3 5�7 . y i`� 2 Inspections for which no fee is specifically indicaled (minimum charge-half hour)'yy _'-,�'�' `_ —
E50 OOperhour
Foo9 for commercial projects only: 3 Additional plan review required by changes additions or revisions to plans iminrmum
1 Prop de full s,hernatic of existing and proposed gas line and pres..ure ctiarge-one-half hour)$50 00 per hour
2 Provkie drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required
- units "Residential A/C requires site plan showing placement of unit
I lmechperm doc rev 1111199