Permit •
✓
C ITY OF TIGARD MECHANICAL PERMIT
l DEVELOPMENT SERVICES PERMIT #: MEC2000- 00114
� �� ��
. DATE ISSUED: 4/6/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) /1)
PARCEL: 2S1 12BC -02000
6/4/
SITE ADDRESS: 14695 SW 84TH CT
SUBDIVISION: HAMBACH PARK ZONING: R -4.5
BLOCK: LOT: 004 J URISDICTION: 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: WOODSTO UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: •
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks. .
Owner: FEES
ZULL, THEODORE W +SHARON A Type By Date Amount Receipt
14695 SW 84TH CT PRMT DEB 4/6/00 $50.00 0001216
TIGARD, OR 97224 5PCT DEB 4/6/00 $4.00 0001216
Total $54.00 •
Phone: .
Contractor: •
•
ROSE HEATING CO •
. 9945 NE 6TH DR
PORTLAND, OR 97211 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 503- 283 -5183 Final Inspection
Reg #: LIC 00002084 . .
•
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) 6 -989. .
•
. /' •
Issue By: 1 : ' ✓ ak_4 4 Permittee Signature: % ,►2QF . P !:(f . ��,�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next bu day •
10/1 TUE 11:18 FAX 503 598 1960 CITY: OF [IGAKU GM 004
Plao-Che
CITY OF TIGARD Mechanical Permit Application 0 Rend B
13125 SW HALL BLVD. Commercial and Resident 0 ` �� Date Ret:a it 3
TIGARD, OR 97223 5 -
,�Q ® Date to P.E.
(503) 639 -4171, x304 Date to DST 0 te 0 - Permit # /4
Print or Type O EVtk • Called
incomplete or illegible applications ill ' a w ccepted
Name of DevelopmenvPreJect Description
1yL9S Sly
24r ` c i t Table - IA Mechanical Code Qty Price And
Job Street Address _ Suite# A) Permit Fee 16.00
1) Furnace to 100,000 BTU
Address including ducts & vents see footnote 1,2 . 9:65
Bldg# • , city/State Zip 2) Furnace 100,000 BTU+
7T a 8 1
f " 1 ')'2 including ducts & vents see footnote 1,2 12:00
• Name (or name of business) 3) Floor Furnace
Owner --Ter---z...\_„1 including vent see footnote 1,2 9.65 "
Mailing Address 4) Suspended heater, wall heater
1 w9 �--.)t..--) l C � � or floor mounted heater see footnote 1,2 9.65
5)
Iy Vent not included In appliance permit 4.75 .
City /State , zip . �o , _ Check all that apply: "Boller Heat Air
�1 and) 91 y 1 . 1 For items 6 -10, see or Pump Cond Qty Price Amt
Name ( r name of business) footnotes 1,2 , Comp .
- 6) <3HP;absorb unit to
100K BTU A I 9.65 ,t
- Occupant 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
c ontractor . z Name unit 1=1.75 mit BTU ,. _ 36.00
Rc�S ea�' In - > 10) >50HP; absorb unit .
Prior to permit Mailing Address 411‘ >1.75 mil BTU `;. , • . ' ` • 6
issuance, a copy'- 99%--1 • \ E ,. 11 Air handling un -to 10,000 CFM __ ,
of all licenses .. city/state • Zip Phone • ' _7:00
are requited If Pr's, -.4-6 l ' 1�'i cillt I: ' - 12)-Air handling unit 10.000. CFM+ ,. : _
- ; , ,.. •.:+ ..
'expired in COT Oregon Gout. Cant. Board Licit Exp. Date 11.85
database ".v 7 9:.9 13) Non - portable evaporate cooler -
Architect Name `- - 7.00
14) Vent fan connected to :a single duct
_ 4.75
or - Mailing Address 15) Ventilation system not Included In
appliance permit 7.00
Engineer Cityrstate zip Phone 16) Hood served by mechanical exhaust
7.00 _
Describe work to be done: 17) Domestic incinerators
. 12.00
New Repair 0- Replace With like kind: Yes O No 0 18) Commercial or industrial type incinerator
Residential 0fr, Commercial , 48.25
19) Repair units
'8.40
Additional Info "tiordescri ^ti;tGyrork: 2 Wood stove /gas FP /other units /clothe dryer /etc. 7,00
�. ns t t 1 .
r
NOTE: For Commercia projects only; Units over400,1bs. require 21) Gas piping one to four outlets .
structural gas talcs. See footnote 1 3:75
Type of fuel: oil 0 •natural gas 0 LPG 0 electric 22) More than 4-per outlet (each) .75
Minimum Permit.Eee $50.00 SUBTOTAL •°U
•t hereby acknowledge that I have read this application, that the information - 8% SURCHARGE MINf NIMatit •1 e.
given Is correct, that I am the owner or authorized agent of `.` v - - PLAN REVIEW 25% OF SUBTOTAL. 4a }
Required for NLL commercial permits only t r
the owner, that plans submitted are h .omplianc a viiin Orcyon Stale laws. _.. �� _ -_ � �
- . . __ - - - -- TOTAL x, � . S�.°p
- \~
Signature of Owner/Agent Date .- I other Inspections and Fees: - -
_
7 _ 1 I - " ' `. Inspections outside of normal business' hours (inlninum charge -two
Contact Person Name !Phone
hours) $60.00 per hour - - - --- . - , . -
• - .. 2. inspections for which no fee is specifically Indicated (minimum •
IA V r a Q r e_ -i ..g-S _�(�� charge -half hour) $50.00 per hour -
o t te es for commercial projects only: 3. Additional plar review required by changes, additions or revisions to
Foonotes
1. Provide full schematic of existing and proposed gas line and pressure. p lans (minimum charge-one-half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical 'State Conkractc Boiler Certification, required
units. "'Residential A/C: requires site plan showing placement of unit
•
lamechperm.doe 'rev 7/19/99 '
i 1
CITY OF TIGARD BUILDING INSPECTION DIVISION ' MST
- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 A BLD
Location j 9'19 w Suite MEC ;ZOO 40
Contact Person Ph PLM
Contractor ft4 ( -- k - i k Ph 4 3 = Sf '3 SWR
BUILDING Tenant/Ow l' -Z�I� /J • -6!� ? . ELC - 7060 °C /Q �.
Retaining Wall - / ELR
Footing Access: Foundation /e: C0 FPS
/ Ftg Drain) SGN
Crawl Drain Inspection Notes:
Slab SIT -
Post & Beam
Ext Sheath /Shear -A7
V" L'>>v� f -- -'t' -r k:,
Int Sheath /Shear
Framing
Insulation
Drywall Nailing / t���✓ _ - c9 9,// !
� T // -
Firewall
Fire Sprinkler L -�Q
Fire Alarm L '_ e9 I �� •
Susp'd Ceiling
Roof -
Misc:
Final -
PASS PART FAIL �
PLUMBING - L�
Post & Beam
Under Slab
Top Out
Water Service -
Sanitary Sewer
Rain Drains -
Final
PASS PART FAIL -
MECHANICAL
Post & Beam
Rough In V` -
Gas Line
Smoke Dampers
• ASS PART FAIL
CTRICAL
Service
Rough In v C -
UG /Slab
Low Voltage
Fir- larm
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA CC _
Approach /Sidewalk Date J r / .� Eh Inspector ,- Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
LOT LINE:
FIRST NAME: Temv LAST NAME: 2U G
ADDRESS: / s � ® y C CITY: STATE: a ZIP: 9',207
y6 9.0 a
INSTALLATION ADDRESS: 1 % 9 w N 61- Cam: STATE: C
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PROPERTY LINE
FT:
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FT:
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FRONT
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FT:
PROPERTY LINE
X = OUTSIDE UNIT