12165 SW JAMES COURT 3
I
--J``
M
J
S�
L
D
m
y
m
m
i
I
9
r ��r
.r
12165 SW JAMES STREET
CITY O TIGARD mE:CHAN I C,AI..
DEVELOPME14T SERVICES PERMIT
12125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 f'E RM T T #. . . . . . . ;
DATE ISSUEP.. - 01 /25/99
PARrEL: c�'S 103CE3- 001400
'a T TE ADDPFcf'. . ,. : 12,1 ri5 rW ,TAMES ST
IJBDIVTSION. . . . : WIt_.I_AMETTC 70NINO: R-4. 5
BLOC[ „ « « . . LOT'. . ,. . . . . . . . . . . :2106 YIJRI SDTCTION: L.)R11
C'l-W3 S OF WOW. . :OTR FI_.00JR runN„ . . . : 1b EVAP COOI-.ERr,'; 0
TYPE OF tJSE. . . . :SF tJNIT HEATERS. . : 0 VENT FINS. . . : 0
CICCLJPANCY IaRP. . :R3 VENTS W/Q APPl--. 0 VFKIT nyc;TE MS: 0
^TORTES. . . . . . . . : 0 BnIL_FRS/C'OMPRF'SSORS HOOD"73. . . . . . . : 0
P-1-JC'1.. TYPES . - ..__..._...___..__..._._ 0.. .;:, 11P. . „ „ s 0 DOME=S. TNI:IN: 0
3-15 HP. . . . . 0 COMMt.. INCIN: 0
MAX TNPL)T: 0 LTL) 1:5- 30 HP. . . . . 01 REPAT.R IJNIT'as 0
r-I RF Df1M1='E..RS' . . : 3�'+-50 HP. . . , : 43 WOODS T OVE_.S. . : 0
OW'. PRC'S^URE. » . s ,04 tJF'. „ . . : 0 rX.O DRYERS. . : 0
NO. OF' 1.1N 11'F,— ____—._. _____. ATR HANDL I NC, IJN T TS C1THE R LJN T TS. : 0
F'IJRI`-41 ( 1 OOV T_ITI.J: 1 (- 1001710 r:•Fm : 171 OW7, 1711TL_FTS. : 1
—11P.19 ) - 100V RTLI: V., > t OOmO c f m : 0
Idem-ii-l(s : Replace existing oil furnace to gas furnace and add gas line.
"nP1'• : -. . ,1111.. 11__1_1 ,.-- . .- 1.1 _111....__-.._. -. . 11_._._1. _11 -_1_._111_11__. _111_1... Ft. ..
121...E STAEHNKE t Yp(' :Amnimt by Hat 7 r,ecpt
•165 SW DAME s ROAD PRMT $ 17,5. 00 ItiEn 19 31i'':394
i I.GA12D OR !:-r!'rT1. rrO chi/? /' 7 9 '3
31 'g�i
nt.'r`ac't:or',
1-(7TAI._TY HEAITINO R FnPPTCATTO
'A W T T PnRD ST
e,. ir.-, -TOTAL.
GARD OR 97223
hne #: F,C'C1►-X6,43,
---- - REOt_)'J.RFD I NSPPCT T ONri
persit is issued subject to the regulations contained ir: the Cas Lane Tnsp
.hard Municipal Code, State of Ore. Specialty Codes and all other Heating I.Jnt Inp ,W .•,-,._,___,�__,___.,___,_.
applicable laws. All work will be done in accordance with Final Ins;pert i oTr
approved plans. This persit will expire if work is not started
within IA® days of issuance, or if we-k is suspended for sort ___•._•____-_,
than 180 days, ATTENTION: Oregon law requires you tr follow rules
adopted by the Oregon Utility Notification Center. Thus^ rule! are
set forth in 11AR 91j?-0191--0010 through 04R 952-@01 0080. Yr•, �,,y ...._......
Wain copies of these rules or direct questions to RW b, calling ___.
;5031246-911?'1. - _
I s s l.(P
+++44+4-- i , -4-4.4 i..+++.++.+4-.}4 +-1-.F++++-r++++4 4-++4+•4 1-+ +-I +++++-+++++-4 4-4-4•+4-++++4..+_F.}..+.}.4-4_-_r.
r.,T l , syr t')y 7:001 f'nl- i n,-porc l ons neeflriid !-lie ne,J I:mm inrAs s HOY
1 1 1 1 1 I , r t ..F. }. 4 A 1 4-1 4 4 (_ }. r I 1 I I r
CITY OF TIGARD Mechanical Permit Application Plan Check#
pP Rec'd By _
13125 S`1N HALL BLVD. Commercial and ResidentialDate Recd
TIGARD, OR 97223 „� # Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type Permit#214-6
1i�'
Incomplete or illegible applications will riotbe epted called
Name M Development[Pro)ect Description
Table 1A Menhanic_al Code _ Q Amt
4
Job Street Address guRallt A Permit Fee _ 10,00
Address / JiI12.!'S 1) Furnace to 100,000 BTU '
;ncluding duras&vents _ 6.00
Rldg# CRY/s da 2lp 2) Furnace 100,100 BTU+
F. i ` "�-3 includfn dut.,g&vents _
— �—___ 7.50
Name(or name of buslnsss 3) Floor Furnace T�
Owner rke-vle 5-laeklicke- includingvent — 6.00
Malling Address —' 4) Suspended heater,wall heater
or floor mounted heater _ _6.00
5) Vent not Included in applicnce permit
Chylstate Zip Phone _ 3.00
I -( otrd- 002, `�7,;Z a ?t) -�cf�y CHECK ALL "Boiler Heat —Air—
Name(or nems of bus"roes) THAT APPLY: of Pi tmp Cond City Price Amt
jC�.V1/1P Comp --
Occupant McIlhpAdd ��-
6)<3HP;absorb unit to
ms — 100K RTU
6.00
7;3-15 HP;ebsorb unit ---
City/Stste 100k to 500k BTU __ 11.00
8)15-30 HP;absorb —
Contractor Name ------- unit.5-1 mil BTU 15.00
<,1 r° I C �L ( 9)30-50 HP;absorb
cit t t unit 1-1.75 mi!BTU _ _ _ 22.50
Prior to permit Melling +
Address 10)>50HP;absorb unit — --
issuance,e cony `tom '` ( a,v >1.75 mil BTU
37.50
of all licenses -M/StateZip Phone 11)Air handling unit to 10,000 CFM
nre required if (.4a rd- 64 13 3 6")o G4 ' 4.50
expired in COT Orojoh Conid.Cont.Board Llc.0 Exp, ate 12)Air handling unit 10,000 CFM+
database �r G 7 -- r �c� 7.50
Architect NoR1eV 13)Non-pc�able evaporate cooler — -
__
or Mailing Address "— 14)Vent fin connected to a single duct T —
__ 3.00
15)Ventilation system not included In
Engineer Chy/Stale --� 71p Phone
9 appliance permit _ 4.50 _
16)Hood served by mechanical exhaust
Describe work to be done ------ _ 4.50
J 17)Oomestic incinerators
New Ve Repair r) Rep!ace with like kind Yes O No _ _ _ 7.50
Re3idential(ice Commercial O 19)Commercial or__inkiustrlal type Incinerator
___ 30.00
Additional Information or dE criptinn of hark: (, 19)Repav .rafts --
ux
to • !�ha laslte I Y t V>7 2.0)Wood stove------ — 4.50
21)Clothes dryer,etc. 4.50
_
Type of 0Al: oll O natural pas LPO O electric O — 22) cher units 4.50
4.50 _
hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets I
given is correct,that I am the owner or authorized agent of _ _ 2,00
the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each)
.50
Signature of Owner/Agent — --- Date - ----
�� q j Minimum Penult Fee$25 nn — SUBTOTAL
� l ( __—_ _ ___ _ � 5°,/o SURCHARGE Fri
/ l
Contact Person Name , _ - PLAN REVIEW 25%OF SUBTOTAL
�V f chef J o)G 5/ �1 _ Required for ALL commercial Permits only
►( kv 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
1 lmechperm.doc rev 01/20/99
CITY OF TIGARD BUILDING INSPECTION DIVISION if FAST
2.S-Hour Inspection Line: 639-4175 Business Line: 639-4171 !._ - —
BUP _
_Date Requested I (�� —( I` i ` ; AM_ FM —
BLD
Location 1 � G, el-yYi O a- u - Suite — MEC 663c
Contact Person t ��/�-� Ph PLM
Contractor Ph _ SWR
BUILDING — Tenant/Owner — ELC
Retaining Wall ELR
I c=voting ��- ----------
Foundation
Access: FPS
Ftg Drain —
Crawl Drain
Inspection Notes: SPIN
Slab
Rosi 8 Beam ---_.�.—--------------.----_-- __- SIT --
Ext Sheath/Shear
Int Sheath/Shear ---
Framing ---- -- -- - - --
Insulation - -�---
Drywall Nailing -- -- ---- - -- - ------- ---
Firewall
Fire Sprinkler ---------� ------- -------- -- ---
Fire Alarm
Susp'd Ceiling ---------- -------- - ----------
Roof
Misc
Final - - ----
PASS PART FAIL --
PLUMBING
Post& Ream
Under Slab
Op Out
Water Service
Sanitary Sewer
Rain Drains
Final -- --_._------ --- --------•---__ _— _--
PASS PART FAIL
MECHANICAL _ ------------------. - -----
Post& Flearn --- — -- -- _ —_
Rough In
Gas Line -_-----
Smoke
-Smoke Dampers
ASS ' ART FAILrz -- —
ICAL --- --- —_ ---------
Service J
Rough Iri — ---------- ----- -
UG/Slab
Low Voltage ----- ----_ ----
Fire Alarm
Final
PASS PART FAIL
SITE - -------- ----- -
Backfill/Grading ------ -
Sanitary Sewer
Storm Drain [ J Reinspection tee of$-___-____-- _required befoi a next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply I.ine I ]Please call for reinspection RE: _ _- [ )Unaole to inspect-no access
ADA
Approach/Sidewalk I
Other Date 1 _� ��_^ Inspector - _ Ext
Final
PASS PART_FAIL 00 NOT REMOVE this Inspection record from the job site.