Permit CITY OF TIGARD
„........N.4 MECHANICAL PERMIT
A v r DEVELOPMENT SERVICES PERMIT #: MEC2000 -00135
�` ' � " 13125 S W Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE PARCEL: 1S 36A6 -03800
SITE ADDRESS: 10008 SW 71ST PL
SUBDIVISION: LOCUST TERRACE �' ZONING: R -4.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of a/c unit. Placement of a/c unit must be at least 5' from rear or side property line.
Owner: FEES
IVAN FORSLUND Type By Date Amount Receipt
10008 SW 71ST PL PRMT DEB 4/20/00 $50.00 1572
TIGARD, OR 97223 5PCT DEB 4/20/00 $4.00 1572
Total $54.00
Phone: 246 -7585
Contractor:
THE HEATING SPECIALIST
9300 NE HALSEY
PORTLAND, OR 97220 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 257 -7000 Final Inspection
Reg #: LIC 000566
PLM 26 -494PB
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 m o • copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue y: ! Permittee Signature: ii,,_ 1. _ I r
_ 1 . % •
. :_ a rc* - -1.
Call (503 639 -4175 by 7:00 P.M. for inspections needed the ne t business day
APR 1 3 2501 ��d Plan Che
- CI T Y OF TIGARD Mechanical Permit Applicp Recd B Al
13125 SW HALL BLVD. Commercial and Residential 9 2000 Date Redd i9 -vO
R 1 Date to P.E.
TIGARD, OR 97223 P
(503) 639 -4171, x304 •
MM�N�� oEyE��e Permit # 1- �,,,tQ,y- Gi�l35
Print or Type CA
Incomplete or illegible applications will not be act- • ed Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee .. 16.00
Address 1 OOo 8 Lo 1 1 °= PL 1) Fumace to 100,000 BTU
Bldg# City /state zip including ducts & vents 9.65
2) Fumace 100,000 BTU+
including ducts & vents 12.00
Name (or name of business) 3) Floor Fumace •
OWn r Otfl FO r^ 61 u--r\ a including vent 9.65
Mailing Address 4) Suspended heater, wall heater
1 D ccg S u.) 7 I 42.f P(. or floor mounted heater 9.65
5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
- it g a r � J 9 ��� � �O��s For items 6 -10, see or Pump Cond Qty Price Amt
Name(or name of business) footnotes 1,2 Comp
5) Repair units
8.40
Occupant Mailing Address 7) <3HP;absorb unit to
100K BTU / / 9.65 q6
City/State „zip Phone 8) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
9) 15-30 HP; absorb
•
Contractor Name 9) .5 1 mil BTU . 24.15
�1 �- a - 10) 30 -50 HP; absorb
Poor to permit Mailing Address
unit 1 -1.75 mil BTU
issuance, a copy 9.3c.o Yoe. kJ -'�" 11) >50HP; absorb unit >1.75 mil BTU
of all licenses C' tats zip Phone • 60.15
are required if e el./r1 dd • 1 72.20 a 57.7oGb 12) Air handling unit to 10,000 CFM
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00
database 13) Air handling unit 10,000 CFM+
-- .- Architect ' Name _ -- - _• .. . . - 11.85
14) Non - portable evaporate cooler - • - •
Or Mailing Address 7.00
15) Vent fan connected to a single duct
4.75
Engineer city /state Zip Phone 16) Ventilation system not inclu in
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00
New 1 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators •
Residential gi Commercial 0 Modification 0 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
-t -t-t) /� .�h J C M 20) Other units including wood stoves
(�c 7.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared by licensed engineer. 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 94. 22) More than 4 -per outlet (each) .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL _ , .Socb
given is correct, that I am the owner or authorized agent of 8% SURCHARGE • - . - .. W ° O
the owner, that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL -
Required for ALL commercial permits only ,
Signature of Owner /Agent Date TOTAL
4 � 2 /- / 7 -oc�d - - . . - - 1 •
'Contact Person Name .. - • Phone . . Other . Inspections .
•
Inections and Fees:
�. Fire t s r us : .7 5 - 70.00 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commercial projects only: $50.00perhour . - . .
1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum
2. Provide drawings to scale showing existing and proposed mechanical charge - half hour) $50.00 per hour
State Contractor Boiler Certification required
units. **Residential A/C requires site plan showing placement of unit
l:\mechperm.doc rev 11/1/99
ZA
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 7$/00 • AM PM t -e, BLD
Location 1 000g 1 1 g÷- ?,�1° PL Suite MEC D -001
1y
Contact Person � h' ✓ See C. Ph 2S 1 - WOO PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing •
Foundation A ccess: Pr-C C �rG� FPS
Ftg 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 PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS P RT FAIL
<CHANIC
Post & Beam
Rough In
Gas Line
•
Smoke Dampers
k a & PART FAIL
- ICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee 6f $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date l0 Inspector 7072,7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
, THE- CU'ECOOR 1111 PLOT PLAN
SPECIALIST Name- FOR A
300 N.E. Halsey • Rutland, OR 97120 ' Address: 10608 NA 71 LPL • . N
I
(503) 257 -7000 1 V 41 b.
• Corner rat: NO Job j 200 ` 3. •
Indicate footage to the two nearest property lines from the outdoor unit. .
Indicate mere the street is located and the _property lines.
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