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CITY O TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hal!Blvd., Tigard,OR 97223(503)6394171 PERMIT N. . . . . . . a MEC99-0084
DATE ISSUED: 03/01/99
PARCEL_: 2SIlIDB-09000
SITE ADDRESS. . . : 15490 SW OAKTREE LN
SUBDIVISION. . . . : SUMMERFIELD NO. 10 ZONING: R-7 1
IILOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :551 JURISDICTION: TIG
CLASS OF WORK. . :OTR FLOOR r:URN. . . t 0 EVAP COOLERS: 0
TYPE OF USE. . ., . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY f3RP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : (� BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL_. TYPES------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . e 0 COMML. I NC I N: 0
MAX INPUT: N BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS% . : 3e 50 HP. . . . e 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---- -- - AIR HANn-ING UNITS OTHER UNITS. s 1
FURN ( 100K BTU: 0 <- 10000 cf m s 0 GAS OU i LETS. : 1
FJRN )=100K BTU: 0 > 1,6000 c.f m: 0
Remarks s Installation of gas insert and gas piping.
Owna r: ----------------------------------------------------- FEES ----------------
KATHLEEN SHELTON type .+MMInt by dater recpt
15490 SW OAKTREE LN PRMT $ P5. 00 DEB 03/01/99 99-313315
T I GARD OR 97224 5PCT $ 1. 25 DEB 03/01/99 99•-313315
Ohone M:
Contractor: -----------------------.-----__
G P 11• W SYSTEMS INC
732 IIARBLE RD ---------------------------_.--
$ 26. 85 TOTAL
WASHOUGAL WA 98671-9601
Phone Mr 360-835-3516
Reg *. . : 001081
------- REQUIRED INSPECTIONS --------
This permit is issued subject to the regulations contained in the Gan Line Insp
Tigard Mhmicipal Code, State of Ore. Specialty Codes ad all other Mechanical Ins p
applicable lam. All stork Mill be done in accorde" with Mi sc. Inspection
approved plans. This permit Mill expire if Mork is not started Final Inspection
within 198 days of issuance, or if Mork is suspended for more
than 190 days. ATTENTI011: Orepon lot requires you to folloM rules
tI9 adopted by the Oregon Utility Notification Center. These rules are
r set forth in OAR 95?-01-�W0 through CiR You may ��—
C� obtain copies of these rules or direct questions to OtK by calling
�p (5031245-9187._ _
is ue By: . PerAittee Cfanaxtures ��' s ��
+-f t++i•++i-++4 4+y a•++++++++++++++++++++++++++•H++++-4+++++++++++++4+++-�^i-+++1 ++++3-+4+
Call 639-417:j by 7:00 p. m. for inspections needed the next business bay
+++++•f'++'f'++++++++'f4•+++++++++++++++++++++♦'e"+++++++`f....++++4'+++++++++.t--#.........
CITY OF TIGARD W,-chanical Permit Application ReCfeyck;" `---
13125 SW HALL BLVD. Commercial and Residential Dale
TIGARD, OR 97223 0,,te to P.E.
-�--
(503) 639-4171, x304 Date to DST ~---
Print or Type permit0
__ __ complete or Illegible a plications will not be accepted called__
Nwmw of Odwbp ent/�rolr+ct DescripG�;t`^� '"
III *able 1A Mechanical Code Qry pgieE AMT sneer Addrwsi T unea A) Pencil Fee
Address -0- 0 10.00
4 eaawNM & 1.) Fumoce tot 0,000 BtiJ '"
r Inclu8.J0
r1•for nwmw m b.�.ln•u) ding duC�a�vdrn0
2.) Furnacei00,6b-d-9'U+ 7.50
Owner M11 Including dude&verbs
M•Ilha Addrru 3.) Fli;r 5Urnscs --
inClLldlfl Ve1t pW
CNyrarrrw zip tans 4.) Suspended heater,wtil
or floor mounted heater 6,00
N•mw(w n•m•M twslneu) -1 SJ Veryt not includeq Ica applls"r:errtllt
3.00
Cccupant M•Ilhpnddrrts - g,J Etoiieroroo
�IieaLpump,rAr cond, g 00
cnyi lois ___ tC 3 hIP;R ut11t r 100K lljlr'
ZIP • 7.) Boller or comp,heat pump,sir pond. 11.Q0 _
3-15 HP;absorb unit to 500K BTQ-
contractor "" a.)Boiler or tlnmp,he._-pump,alter cord;
C {%+ UJ 5 r t5.on
L% �nxv�,q ,el:rc',., 1F.34 HP;absorb unit 5-i mil BTU"*
Prior M permit MalNnp Addreu I9.)Koller or ccm heat urn i air rii,,.
issuance,a copy '�3 rV�l�.•l.-('J�.a ���Ot�. p� p 1, 22,40
_ 30-90 HP;absorb unit 1-I,7Fimll FJTU"
or all licenses cnyratwu t71 21pfk+. 10.) lrloiler or betlk um air nca d
are required If F P. p P. 37.50
>50 HP;absorb unit 1,79 mil BTU""
expired in COT 0 on Cont.Cont. •rti Lk.M Exp. tle "1.) it handling unk to 10,000 C M
database �(,)2,( t 4.90
Architect "wn^w 13,) Non-pofti,ble ew.porete cooter
4.54
or Mullin{Addr•u 14.) Vent fin rnnecterl(o a singl�duct 3.Ob -
Engineer lws
Ze zip rnanw
13.) VRntllatior,ay9tem not Incnlat inc dtu�'�"ed � 00
appliance permit
Describe work New O Addition Mitral ion O Repair O 15.) H;_cserved by meichanlaht syn ust -
to be done Residential O Non-residential O 4.5
Additional Description of work: / y 17.) domestic Incinerabrs
4 -,k ;,�G`(/ t8,) Commercial or industrial type 30700
Iftnerstor
building
useof 19.) Repa1runith
building cr property
20.) VVnod slovR - h-._.... ._ _...._
4.50
Proposed use of 111601'111-!P
21 ) Clol '
building or proper 4,
a -- 22.) Other units -- '_
_ � 4.90
Type of fuel-oil O natural gas PO 0 electric o 23.) as piping nhN to lour;Ret-S,'w _-7-7
I hereby acknowledge that I have read tits application,that the 24.) Mares ttan a-per outIMti(e(�ach) Z r
J information given is correct,that I am the owner or authorized agent of
Lll the owner,that plans submitted are in compliance with Oregon State
`; laws. uTY,SU9TOTAL
LLI Signature Owner/Agent Date "SUATOTAL
J
5°4 SIJ WNWA (3 J
Conte son Name Phone F'l AN R[VIF1N 2S",b OF StJE1TOTAL "
L.-y,r,he: - TOTAL
ilm-chpmt doc (rev 9 'Minim um pe!mtt tai'it! urct,arge
'�'FtexidonualIbK nlgUit$; Ian showing I
P g p atxrn nt of onit.
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
BUP --
__ Date !-,eyuested+ AM i- - PM _ _ BLD _
Location �, � /U �Q�� '`f-'+.rC2 Suite EC
�—r
Contact Person Ph PLM
Contractor � Ph _ SWIR ----
BUILDING - Tenant/QWQeP ��` lL_ f�(�,A j
ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Crawl Druin Insp.:ction Notes: SGN
Slab —_. --_-----.___ _ SIT
Post&Boam
Ext Sheath/Shear
:nt Sheath/Shear
Framing — _ -- — -- --
Insulation
Dryw&ll Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd C.-ailing
Roof
Misc: -
Final
PASS FARY FAIL
PLUMBING
Post&Beam
Under Slab
Top Out
Water Servica _ —_--__ _ sly
—
Sanitary Sewer --- -_-_--- _ .
Ruin Drains a _
Final _
FAIL _
E(:HANIC
Poec Fam ------- ---- --
Smoke Dampers
PAS PART FAIL
CTR
ELEICAL
a' Service
Rough In �—
N UG/Slab
Low Voltage
Fire Alarm
m Final
,a PASS DART FAIL _---� -- ------- —
WS
Bac1AfilUGrading
Sanitary Sewer
St,xm Drain [ j Reinspection fee of .-__._...__.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ j Please call for rainspection RE: __...�__.__.,-,•�_� ( j Unable to Inspectno a". 99
ADA
Approach/Sidewalk Date Inspector Exir
Other
Final
L.PASS PART FAIL DO NOT REMOVE this Inspection record from the Job sit*.