Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00169
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/5/00
PARCEL: 2S 112BC -07500
SITE ADDRESS: 14652 SW 83RD CT
SUBDIVISION: GETTY'S EMERALD ACRES ESTATES ZONING: R -7
BLOCK: LOT: 008 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: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas piping for new kitchen stove.
Owner: • FEES
SANDS, JOSEPH D + SHARON L Type By Date Amount Receipt
14652 SW 83RD CT PRMT DEB 5/5/00 $50.00 0001939
TIGARD, OR 97224 5PCT DEB 5/5/00 $4.00 0001939
Total $54.00
Phone:
Contractor:
JAY'S GAS PIPING
11525 SW CANYON
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: 626 -4652 Final Inspection
Reg #: LIC 0119836
CAO
0�
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 -9189.
Issue By: a o » • L •
Permittee Signature: „. Mu ,dpi, �a-✓�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the ne t business day
Plan C
Y O
r Mechanical Permit Applica * Rec'd
125 SW HALL BLVD. Commercial and Residenti Date Recd 6 -aU
7ARD, OR 97223 RECEIVED ` 1 P Date to P.E. �^
)3) 639 -4171, x304 i 'U/ Date to DST
MAY 4 2000 Print or Type Permit # K E- ! ct r> - co/49?
Inc i llegible applications will not be accepted Called
. Name of De uce Description Price Amt
Table 1A Mechanical Cade Qty
t. A) Permit Fee '':r5:: • ]ter : r 16.00
lob ` Street Address Suite# 1) Furnace to 100,000 BTU
dress ��14r l nu) O` GT Including ducts & vents '
see footnote 1,2 9.65
Bldg# City/State Zip 2) Furnace 100,000 BTU+
1 ie okoa OP- '77 ge-1 including ducts & vents see footnote 1,2 12.00
Name (or name or business) ) 3) Floor Furnace
including vent see footnote 1,2 _ 9.65
MEW Z. r ess n S(� S 4) Suspended heater, wall heater
Mailing Address or floor mounted heater see footnote 1,2 9.65
I L (n5 a su.) R3 CT • 5) Vent not Included in vpliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
- - For items 640, sae -- - or- -Pump-- -Cond - -Qty - -Pries- -Amt • .
'('�(1 (or name (� �{ 70`0 �k -6,g6.7 q 3o footnotes 1,2 Comp **
N (or name of business) - .
6) <3HP;absorb unit to
,c it r1 *5 CA- 00 Q -e-- 100K BTU , 9.65
:upant Mailing Address 7) 3-15 HP;absorb unit
100k to 500k BTU 17.65 _
City/State zip Phone 8) 15 HP; absorb
unit .5-1 mil BTU 24.15
9) 30-50 HP; absorb
!ttactol N9ry10 •t r unit 1 -1.75 mil BTU 36.00
k lay `ToI ley I U cup CAS 1 gyp! n c 10) >50HP; absorb unit 60.15
to =rmlt Malting Address
>1.75 mil BTU •
cs, a copy P.('). fl())( 793 11 Air handling unit to 10,000 CFM
licenses City/State �/ raw Zip Phone 7.00
equired if 2p0,1fQ,('C(QQ VC. DP ay 43a s6a3 12) Air handling unit 10,000 CFM+
sd in COT Oregon Const. Cont. toard uc.# ��7 Det 11.85
tabase (� 11 q -ifn 11/1)1 13) Non - portable evaporate cooler •
:hltect N - • 7.00 _
14) Vent fan connected to a single duct
/ I l 4.75
or Mail Address
15) Ventilation system not included in
appliance permit 7.00
gineer City /State Zip Phone 16) Hood served by mechanical exhaust
7.00
be work to be done: 17) Domestic incinerators
12.00
plies, Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type Incinerator
ridentialp Commercial 0 48.25
19) Repair units
mal information or description of work:
i n.53cul 9� .pipe R- Ke+c 8.40 en iOV e • 20) Wood stove/gas FP /other units/clothe dryer /etc.
7.00
: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets Q,7-
structural gas calcs. See footnote 1 / 3.75 0'
)f fuel: oil 0 natural gas'g, LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL j ai sii � t 1.- `■f Ale zS G
,y acknowledge that I have read this application, that the information 8% SURCHARGE 1 !s •° } -;, r•ri i '. j , "
tu+l F..
is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL :-' • e
Required for ALL commercial permits only ,, i.,, `! ,:
m er, that plans submitted are in compliance with Oregon State laws. TOTAL 'h'x `�
•
ture of Owner/Agent ' ' Date • n „ 61-01
Other Inspections and Fees:
� ( 5 ( - 5- 3- 6() 1. Inspections outside of normal business hours (mininum charge -two
ict Person Name Phone hours) $50.00 per hour
(97 S . -- 6 / J y • 2. Inspections for which no fee is specifically Indicated (minimum
��h ,�-c, s , S,c.d s bad - 7930 charge -half hour) $50.00 per hour
rtes for commercial projects only: • 3. Additional plan review required by changes, additions or revisions to
wide full schematic of existing and proposed gas line and pressure. plans (minimum charge - one -half hour) $50.00 per hour
wide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required
*"Residential NC requires site plan showing placement of unit
• nechperm.doc rev 7/19/99
Ij IRIVDIL AO A,LID 096T 965 £02 XVA T£ : OT I2id 00 /8Z /t0
CITY OF TIGARD BUILDING INSPECTION DIVISION_; • MST
24 -Hour Inspection Line: 639 -4175 • Business Line: 639 - 4171 •
BUP
Date Requested 5/I 2-/W AM \ PM BLD
Location fy � 3 & Suite MEC ?POP — 00/ (pq
Contact Person jbe Ph to 26 -- ? ( -4 3 0 PLM
Contractor Ph 03S-W.-?St SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation • 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
PA s —P RT FAIL
ECHANICA
Post & Beam
Rough In
sLn
mo e Dampers
PART FAIL
TRICAL
Service
Rough In
UG /Slab
Low Voltage _
Fire Alarm
Final
PASS PART FAIL
SITE
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 �
Apher Date _3/ /,? Inspector 11 Ext I ? '
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.