15950 SW OAK MEADOW LANE-2 141 MOaV3W MVO MS 09651
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"' 15950 SW OAK MEADOW LN
CITY OF TMECHANICAL
DEVELOPMENT SERVICESPERMIT
PERM I T 11. . . . . . . : MEC97-0485
AMMAM 13123 SW Hag Md., 1l98rd,OR97223 (503)83114171 DATE ISSUED: 12/18/97
PARCEL: 2SIllDC-12600
SITE ADDRESS. . . : 15950 SW OAK MEADOW LN
SUBDIVISION. . . . : SUMMERFIELD NO. 11 ZONING: R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s622 JURISDICTION: TIG
-----------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
YPE OF USE. . . . s SF UNIT HEATERS. . s 0 VENT" FANS. — :: 0
OCCUPANCY GRP. . :R3 VENTS W/O APPLs 0 VENT SYSTEMS: 0
ETORIES. . . . . . . . s Ill BOILERS/COMPRESSORS HOODS. . . . . . . s 0
FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. I NC I N s 0
:GA X 3--15 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
UAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS--------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN c 1O0K BTU: 1 (= 10000 cfa:a 0 OAS OUTLETS. : 1
FURN >-100K RTU: 0 1 10000 cfms 0
Remarks: Installing gas furnace and gas piping
Owner: ----------------------------------------------------- FEES ---- -.---------
FRANCES RALISCHKOLB type amount by date! recpt
15950 SW OAK MEADOW DR PRMT $ 25.00 B 12/18/97 97-301872
TIGARD OR 97224 SPCT f 1. 25 B 12/18/97 97-301872
Phone Ns 644-7877
Contractor: ---------------------------- __-
SPECIALT`S HEATING & FABR1CATIO
9528 SW TIGARD ST --------.-_____.------------------------
$ 26. P5 TOTAL
TIGARD OR 97223
Phone I1: 620-5643
Reg #. . : 006657
RFQU I RED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work Mill be done in accordance with Final Inspection _
approved plans. This permit will expire if work is not started
IL within 188 days of issuance, or if work is suspended far more
than 188 days. ATTENTION: Oregon law requires ybd to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-01-011 through OAR 952-A11 X180. You may
obtain copies of these rules or direct questions to OtK 5y calling
J (563)246-9187. --
W
Assue Ry: Permittee Signat ure:'o��� 47,111
++++++++++++4-r+++++++++++++++++++++++++++++++++++++++++++++++•4+++++++++T++.++++
Call 639-4175 by 7;00 p. m. for inspections needed the next business day
+++++++++♦f++++++}++++++++++•F++++r++++++++++i ++++++++:•++++4•+++++++++++•4-
aw
,%n Check
CITY OF TIGARD Mechanical Permit Applicatic n Read
13125 SW HALL BLVD. Comme,civil and Residential Dote Read
TIGARD, OR 97223 lista to F.F_
(503) 639-4171, x304 Data to DST
Permit s (�-/U l_
Print or Type called
Incomplete or ills i� ble &I wplications will not be accepted
Nan*of L\Vj91oVmrr.'JPnD?*d I' --
Table 1A Mas nonical Coda OTY PRICk AMT
Job street Address A A) Permit .as -0- -o- 10.00
Addressv J� alk/f�� .-4 �i✓
9 MY +r 1.) Fumace to 100,000 BTU
�v'Rr
7_4fif kXWhV duras&vents
Nana(«rwns a buakraa) 2.) Fa,-vacs!,10.000 BTU+ 7.50
Owner - {''1*t,"{!" RAS/f L/1A)4Q Inc0uding dt•-%6 vents
3.) Floor Fumsce
�fnJ '"""L►✓"'/ '
In"Ing vent
� 511_T 2 t 4.) Suspended haler.wall Mater 8.00
Y S!
or floor motrnled hooter
Nor («rums of bush me) 5.) ':lent not kx*xW In appliance perm t 3.00
Occupant Aeaca,p Address 6.) Holler c,corrp,Mat pump,air nond. 6.00
to 3 HP;absorb unit to 100K BUT-
Ctyrst°r �0^a 7.) Boiler or comp.heat pump,air pond. 11.00
3.15 HP;absorb unit to 500K:ITU"
Contractor Na^" eJ Boiler or comp.heat pump,r r oortd. 15.00
EG_ +5.30 HP;absorb un9.5-1 nw;RTU-
Prior to permit M•wrw Adrsaa� -`
Issuancec copy L,� fA./-;�t-�"/I 9.) Bc>31ar or Damp,Mat pump,air pond. 22.50
30 50 HP;absorb unit 1-1.717.a dTU-
of all Ikxtnses �P Phena 10.) Boller or comp,heat pump,r It Gond. 37.511
are required if 4-19 2-1-3. L6 Z.-AV >50 HP;absorb unK 1.75 roll BTU"
expired in COT to Cont.Bard Ue M_ ".130101 11) Ale handling unit to 10,000 CFM 4.50
database 4;6y�2
Architect ' 12.) Ncn-porlahts evepwate ?.50
Or rt' f°0' 14.) Vent fan connected to a 9N duct 3.a`
Engineer city/slave ZIP PIK" 1R.)VanVA00h eyata,'r not Inducted In 4.50 1
Desaibe work New O Addition G ARern1 Repair O 113.) Hood served by mechanical exhaust 4.50
W br done Resiftntiaf Non-residential O
Addhsu:,al Desubp!ion M rk: 17.) Domestic incinerators 7.!50
✓1 e��;r2�:i�-�7 j �,ft3 T `�'I'-rv9 c"� 1e.) Commercial or Industrial type 30.00
Indne.7tw
Existing use of 19.) Rapair units 4.50
building or prc-.arty
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer,at-, 4.50
building or pro ieity _
22.) Other unit 4"50
IL T of fuel-o' 7 natural o LPG O electric O 23. Gas� YPr' 9� I PIPI'r9 one to�K� � 2.00
W I hereby acknowledge that I have read this application,that theY 24.) More than 4-per otAlets(each) .50
-]
Information given is correct,that I am tits?inner or authorized ages it of -
the owner,that plans suhmitted ars In coinplionos with O,�sgon State CTY.SUBTOTAL
J 13"
m SignaWm of OwnarfA/p�ant - ____ Dab _ 'SUBTOTAL
V��J�i ��i �,/l i - 5%SURCHARGE _ '7r
Contact Porsc n Name Phone Pt AN REVIEW 25%OF SUBTOTAL
Rt4 IE A�; 7_-V SSG..7-::J TOTAL
i:lrnechpmt.doe (rev 9 Win;rium permit fee is$25+5%sumborge �L
"ResAentlal PJC requires site plan showing placement of unit.
�r
CITY OF HARD BIJILDING INSPECTION]DIVISION
24-Hour Inspwd m Line: 639-4175 P,esiness Phone: 639-4171
Date Requarted: /L . 4 - 7 A, P.M.
—— Suite: Bldg; 1►"ff%C: r 7
Contractiv: -Phone:
-- — _ --- ---_ r C'LR:
BUILDING HLl)G(con•q PLIJMBiNG - 91x:
Site Post/F3t.lm pMp�q ��L`U' >l+LBCTRICAL S17'Lt _
Footing Roof Post/Beatn Cover/Semce sewrr/,'fmm
UndFI/Slab Rough-In Ceiling Water Lint
Slab Framing Top Out Ow l mv Rough-In tto Sprinkt,-r
Foundation Insttlntiou Sewer Hood/Duct ReconneM Vault
Bstnt Dmp Drywall Storm Farnace Temp Service mise.
Maumry Ceiling Rain Drvin �" Flo UG Slab
Shear/Sbentn Fire Spklr/Alm Crawl/Found Dr I feat Pump I Jw Volt _
Ap!,oved Approved va Approved Apl roved
Apirr/Sdwlk '4ot Appmvexl Not Approved Not vad Not Approved Not.%Wroved
�! FINAL FINAL FIN FINAL FINAIi,
LL
W
0 Cell for reinslxcti O Reinspection fee of S-^� required beforenextinspection 13 Unable to inspect
Inapecfor._ �c _� Date: �� f�_ pp of
L �tJ CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-417 3V
p -,
Data Requested: � ' F'_/ / _ A.M. MST:
Location �Q _ BUR. qq
Tenant:_ Suite: Bk1E: MEC:. _
Contractor:-, Phone: PLM: —�
Owner:--- Phone: ELC:
ELR:
RIT: _
BUILDING BLDG(coni) -- PLUMBING - MECHANIC ELECTRICAL SITE
Site Post/tieam Post/I3eam PogtANmm Cover/3ervice Sewe►rSiorrn
FooiAg Roof Unrll-I/Stab Rougli-In Ceiling Water Line
Slab Framing Top Out (Sar I,ine Rough-In UO Sprinkler
Foundation Insulation Sewer Ilood"Ict / Racon"ect Vault
Iismt Damp Drywall Storm Furnace �/ Temp Service M[SC.
Masonry Ceiling Rain Drain A/C UO Slab
Shear/Sheath Fire Spklr/Alm CmwVFowt:Dr Heat Pump_ UM, Volt
Approved Approved ed Approved
[Appr/Sdw1k Not Approved Not Approved o�ed _ ._._:.ot Approver] Not Approved
FINAI, FINAL MAL FINAL
CL
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m
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f:
Cali for reinspection O Reinspection fee of Srequired before next inspection ®Unable m inspect
i,:apector:�_—_-- _ Dete: Page _____of-
CITY OF T Mr:,r1)f)N T f`P!
DEVELOPMENT SERVICES PEQMT -
13125 SW HBO B;vd. 77 rd,UA 87223 503 630.4171 PERMIT tl. . . . . . . . INILL'3 i--04
DATE I0SUED: 11 /1.0/97
POOR QUALITY ORIGINAL PARCEL s
' T(-: ADL RECG. . « 15959) SW UAK t,i'00T REPRODUCTION AVAILABLE
BD T V T S i ON. . . . : SUMMF RF I ELI) W.I. 1 1 ZONING: R-7
^C 1.. . . . . . . OT. . . . . . . . . . . . . :S 2 SURiSDirTtm!: TIG
,SSC 0(- WDC;',. . :ALT FLOOR FI_IRN. . . ., 0 EVAr COOLERS; 0
YPF OF USE. . . . ISF UNIT HEATER,. . : 0 VENT FANS. . . : to
nI.Ji,ANCY GRP- -. R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
DRIES. . . . . . . . t 0 BOILERS/COMPRESSORS HOODS. . . . . . . t 0
;rI_ TYF'GS-- _.._.._ 0-. 3 HP. . . . : 0 DOMES. INCIN: 0
,AS 3- 15 HP. . . . : 0 CrMML.. TNCIN: 0
aX INPUT: 0 BTU 1c-.30 HP. . . . ; 0 RE171CIlP UNITS: 0,
' RE DAMPERS!— :w-`50 Hr'. . . . : 0 WOODSTOVES. . : 0
IS PRESSURE. . . : 501 IIP. . . . : 0 CLO DRYERS. . : 0
OF LJNITS-------- AIR HANDLING LINITri OTHER UNITS. t 1
+JRhl ( 10011 STU: 0 1(000 c fm : 0 GAF; OUTt_.ETS. : 1
TURN ) =100K LTU: 0 ) 10000 cfm: 0
N m a)-k s : Rauschkolb
Owr,e►.s _..____ ______.._____.._._._-__..__...__.__,._________.._._.____ __._.._._._. FEES
FRPNCCS RUSCHALD t ype amount by dat Iz r'er--pt
15350 SW OAP, MEADOW DR PRMT $ 85. 00 JSD 11 /07/97 W-301 767
TTOPRD OR 5Pr-T 4 1. 25 ,J5D 11/07/97 7
one #: 644-7877
ntr•ac!tor,. ----
IDLIJI!1Pd' S r I REPLACE/PATIO SHor
:675 SW REAVERDAM RD __ ---- ----
$
3 6. 2") T 0 T A L
"AVr'RT()N OR ']70-05
one 4-. Sli&-6409
y #. . t 0101O0VI`.;
---1--l- REWI RED TNSr'p=CT'lON!
• T' is pewit is issued subject to the regulations contained in the Met-,hani.cal Tns p
and Municipal Code, State of Ore. Specialty Codes and all other Final T.nypection
licable laws. 4;1 work will be done in accordance with
,.,roved plans. This permit will expire if work is not started
-hir 181 days of issuance, or if work is s+:spended for mn-e
n 180 days. ATTOITIONI Oregon law requires you to follow rules
U) Ated by the Oregon utility Notificatirn Cvttr. Those rules arr
forth in OAR 9`i'-[01-0010 through OPM 9'52401-WO. You lay
ain copies of these rules or direct questions to WK by calling
+++++++++9-i 4-++++4-f+i++-f f++++ 1-44 4-4-+-4-4-4 i-.l 4 +4 i 4 1 }.i +a a ,.+++4-4-+++++-++++-++++.•.4..
Call L?' 4175 by 7:00 p. It. fov- iosr,:ectior.s rispecdwd tl'ir., nt-xt; bfAiine55 r12ky'
A +{ +-4-+4-+-1 ++++4 i-+ r+4-+4-4-+++-5-+++•+ ++-+•+-I•++ +-+++++++ +-++++4-44-++4-+ ++,+4-+ 4. +.+ +4{.+-++•{.++-1-4 +
City of Tigard MECHANICAL PERMIT Piandemec. it
13125 SW Hall Blvd. APPLICATION Permit ;`
fp
z Box
AM&
."M
•
Table 3A iMschw*W Code cry a aCE ART
Job 1) PW"1k Fee 4
Address MP
2) okwowmu pw
Y: D
Owner,--- ' "-70
a �'' O o� �,✓• 2) Ino►.deob a awes
T6D
Ap unN
i 3) M WO 6.00
Wall NNW
r- •
4) or door enouasd MWtrOo
C-cupant �.
of app1wM pwo kFAIAWN g.
ttAt?
��—
o
e) mow.&bmxPkn W* �,00
or comp.hW PSP.air 66ia
n`r 7) b 3 HP Wnwp wilt!0100K BTU x.00
00W or comp,fto Pump.Sir OWUL
Contractor
8) $-16 NP abmp w*b BOOK B'U /1Ao
DOW of aanp, peenep,
1 ..i16. d(JIB" 9) IBM HP chap URI.let m1 BTU is"
of aanp.Wd pump`
G( 10) 30 0 HP dnwp wtk 1-1.75 Mei BTU V-W
or cwq� poop,
, IF, loo omm bow t1w I am ew oases or-1 iA m it aper« 11) s 0 HP!beep wit 1.75 m/BTU SIAO
d IM omw dW pbm mAw*wd h in aoeeelilaeeoe%ft&M for hm"um a
Ism./rat 1 am reghawd Ift N.C,aestneobn Cmrtaowft Board. 11) 10.0m CFM 4AO
res M»mmhw pawn Is Dona. (d eeeempt tuna erste eeg%baft
plow plea Beason i,.low.) 13) IOAW CTM♦ Teo
14) erepoeoss eedw 4d0
161 a ew dneot &GO
141) bwkx%d let appemoe p&vA 4A0
{ 17) areclwiosl 4Watw 4.00
UP
d be don. " p WHsaidsneil p C) pawnfopr 141) "Da win aft 10.00
', buedyq ler
pm*wv "t^'„s Aee .MILT.fl M "N
eeep
/. .
M"ee pope 4 pyltile OIM Mf torr al/Mb y
j• � DIY�ti au1Mt
Typed tied-d p easier
1�QNOTICE
�it0.b Q
Moire Fie OM NdTryTM.
PERMT8 BEcow v=IF wow OR OONs i mcuON
AUTHCfUED 18 NOT COM ENCED Mi11Mi 160 WAYS.OR S%SURCHAM E
1F CON3'TRUC1I0N OR VXW 8 SUSPrA'ED OR
ABANDONED FOR A PERIOD OF 160 WAYS AT ANY TOM
AFTER wow is COMMENCED
s TOTAL
�d Candt>ont l7
Date leaner by _