Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00152
. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/26/2000
PARCEL: 1S136CA-02900
SITE ADDRESS: 11155 SW 79TH AVE
SUBDIVISION: FRIENDLY ACRES ZONING: R -4.5
BLOCK: LOT: 020 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
• OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace existing oil furnace with like kind.
Owner: FEES
BICKLE, ROBERT JAMES SR Type By Date Amount Receipt
AND BETTE A PRMT GEO 04/26/20C $50.00 0001712
11155 SW 79TH AVE 5PCT GEO 04/26/20C $4.00 0001712
TIGARD, OR 97223
Total $54.00
Phone:
Contractor:
FIRST CALL MCCALL HEATING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 247 -2054 Final Inspection
Reg #: LIC 102030
ORIGINAL
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)246-91. /
Issue By: �� Permittee Signature:
Call (503) 9-4175 by 7:00 P.M. for inspections needed the next business day
•
08/12/99 THU 11:18 FAX 503 598 1960 CITY OF TIGARD 1A002
CITY OF TIGARD Mechanical Permit ApplicaoPED Plan Check #-_______
Rec'd By
1 125'SW HALL BLVD. Commercial and Resident al Date Recd
TIGARD, OR 97223 �PR 2 6 2000 pate to P.E.
(503) 639 -4171, x304 COMMUNITY DEVELO Date to DST
Print or Type . Permit# i ,,--
Name of Devebp
complete or illegible applications will not be accepted Called
Description
Table 1A Mechanical Code Qt Price Amt
Job Street Address Sufte# A) Permit Fee , ,:;w5., F4'1 16.00
1) Fumace to 100,000 BTU
Address I 1 ( 5 S w `1 ° ��" )
Bldg# Cayistate Zip Including ducts & vents see footnote 1,2 1 9.65 ` I •
2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Fumace
Owner p. .i,-- , 6 t C -VA e including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
t 1 l55 w mt or floor mounted heater see footnote 1,2 9.65
5) Vent not included in appliance permit 4.75
City/State Zip Phor e� G , Check all that apply: *Boller Heat. Air
�t �r� R
c q1_ O ohs For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp +.
6) <3HP;absorb unit to_ . _ - - _ - - _ .- -
• 100K BTU 9.65
M eiling Address
Occupant 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
City/State Zip Phone 8) 15-30 HP; absorb
unit .5-1 mil BTU 24.15
Contractor Name 9) 30-50 HP; absorb
� unit 1 -1.75 mil BTU
C'Zt. t C n wp 1 I n �7 10) >50HP; absorb unit 36.00
�ti r- (4 li R
Prior to permit Mailing Address
issuance, copy 1 (�SO N C L rr�b u (---el' 11.75 mil BTU 60.15
11 Air handling unit to 10,000 CFM
ee Zip Phone 7.00
of all licenses ity /s
are required if •V ( V c.A.n C C (1 2 \-1 2. - 12) Air handling unit 10,000 CFM+
expired In COT Oregon Coast Cont. Board Lic.# . Exp. Date
11.85
database . l p Zp 30 "0 13) Non - portable evaporate cooler
Architect Name 7.00
• 14) Vent fan connected to a single duct
or Mailing Address .
4.75
15) Ventilation system not included in
appliance permit 7.00
Engineer City /State Zip Phone 16) Hood served by mechanical exhaust
_ 7.00
•
Describe work to be done: 17) Domestic incinerators •
12.00
New 0 Repair 0 Replace with fake kind: Ye(i No O 18) Commercial or industrial type incinerator
Residential 0 Commercial 48.25
l 19) Repair units _ •
Additional information or description of work • 8.40
`rk s �\ \ -,, r - r�ac 20) Wood stove/gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural as talcs. See footnote 1 3.75
Type of fuel: oil natural gas 0 LPG 0 electric O 22) More than 4 -per outlet (each) . 75
Minimum Permit Fee $50.00 SUBTOTAL: r '
I hereby acknowledge that I have read this application, that the information 7` :4,-7_ a : ; g Lup •
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL '' r -=„ ti`
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only :41 : •r a _F
TOTAL ': ''r,�,x l ==.s a-. --
Signature of Owner /Agent Date • �• - . _, ,,,. •;
� ' ^, c4..5-- 5 Other Inspections and Fees:
_
./J` �
GL 4- 25 " C 1. Inspections outside of normal business hours (mininum charge -two
Conta Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
iGm - �� t `� ��
- 2_n_5( - ) charge -half hour) $50.00 per hour
n otes for commercial projects only: 3. Additional'ptan review required by changes, additions or revisions to •
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge-one-half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
•
:lmechperm.doc rev 7/19/99
,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S 3 C0 AM PM x BLD
Location (i t S S --) Gt ' Suite MEC 21r0 G2
Contact Person UM/Z. F64--rat2 F64--r Ph 2 C &s "I PLM
Contractor • Ph A SWR
BUILDING" ' -, ` Tenant/Owner ELC ODCC)
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: / /� jj
Slab C * rr ��t 1 f't 1i.4. SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation •
Drywall Nailing ii # f
Firewall v l R 0/P.
Fire Sprinkler � L --- go acy
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 PART FAIL
ECH
Po�
Rough In
Gas Line
Smoke Dampers
_ _ PART FAIL
74 RI • -
Service
Rough In
UG /Slab
Low Voltage
F' larm
Fi
AS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 513/01) Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.