Permit CITY OF TIGARD
MECHANICAL PERMIT
1. r DEVELOPMENT SERVICES PERMIT #: MEC2000 -00381
— 213.- � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/25/2000
PARCEL: 25111 CB -01714
SITE ADDRESS: 15215 SW 100TH AVE
SUBDIVISION: HOOD VIEW ZONING: R -3.5
BLOCK: LOT: 013 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of furnace.
Owner: FEES
KARI NASS Type By Date Amount Receipt
15215 SW 100TH AVE PRMT CTR 09/25/20C $72.50 2720000000
TIGARD, OR 97224 5PCT CTR 09/25/20C $5.80 272000000C
Total $78.30
Phone: 603 -7560
Contractor:
ALL TEMP PROFESSIONAL
8230 SE 72N ST
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: Final Inspection
Reg #: LIC 000585
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: �T �r � Permittee Signature: mil✓ /" //JZ. > (
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
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Plan Check #
CITY OF TIGARD ` Mechanical Permit Application 1 ' Reed By __
13125 SW HALL BLVD: • C_ & iercial and Residential3Fp 1 00 Date Reed
TIGA RD, OR 97223 SG° w / (� ' - - Data to P.E.
' (503) 639 -4171, x304 - R �c COMMUNITY t ]PME Date to DST
V., ., - not or Type Permit * /VCC iDeb - 4032/
1\ Inc applications will not be accepted Called
ON ` N Herne of DevelopmenUPrs).at 0)i t` Description • -
• 1 MVN ``� Table IA IAechanical Code Qty Price Amt
(N Job Street Aderees wo euuelt A) Permit Fee ; � '_:1 *1z1; s 1600
1 ` Address /,SA /,S SW (001 1 1) Furnace l0 100,000 BTU
O c g �'""� 10l
Bldg# City/Stale Zip including ducts & vents see footnote 1,2 1 ,
2) Furnace 100,000 BTU+
ll teARD nt 61712I4 Including ducts & vents sea footnoto 1,2 12.00
Nemm (or name of Outliners) til 3) Floor Furnace
Owner kiiMi (• I.t $ including vent see footnote 1,2 _ 9.85
Mall g Address Suspended heater, wag heater
or floor mounted heater see footnote 1,2 9.65
r'Sa IS" SLU
r«+ Al. 5) Vent not included in a pliance permit 4.75
CltyrSt.ie zip I Phone SO 3- Check all that apply: 'Boiler Heat Air
'mean O R g7124 I � o� 3.756 f For items 8.10, sea or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp _ ''
• 6) <3HP;absorb unit to
100K BTU 9.65
Occupant M.Wng Addroes 7) 3-15 HP;absorb unit
•
100k to 600k BTU 17.65
• Glyistete zip I Phone 8) 15-30 HP; absorb _
unit .5-1 mil BTU 24.15
N ame 9) 30-50 HP; absorb -
Contractor ,, - unit 1 -1.75 mil BTU 38.00
/4/ I 1Ei/I Q�ofb,i 4 IJc. 10) >50HP; absorb unit • _
Prior to permit Mailing Address A r >1.75 mII BTU 60.15
issuance, a copy 8 3o - 7,2141, S 4 V E 11 Air handling unit to 10,000 CFM
of all licenses , 1 st.` j zip Phone 5.03 7.00
ere required if i asttfMID_ OK Lnao6 4‘14-11%1 12) Air handling unit 10,000 CFM+
A- expired In COT ore o covet. nL Moe Lk./ exp. Dale 11,85
database tS� ¥S') 3 13) Non- portable evaporate cooler
•
* Architect Name 7.00
14) Vent fan ccnnected to a single duct
or Melling Address _ 4.75
15) Ventilation system not Included in
appliance permit 7.00
Engineer ctyrslete lip Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 1 T) Domestic Incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Cammerciel or industrial type incinerator
Residential 0 Commercial , 4825
_ 19) Repair units
Additional information or description of work: 8.40
20) Wood stove /gas FPlother unitnfclothe dryer /etc.
7.00
NOTE: For Commercal projects only; Unita over 400 lbs. require 21) Gas piping one to four outlets
structural gas calm. See footnote 1 3.75 3.1 S
Type orfuel: oil 0 nature; gas 0 LPG 0 electric O i 22) More than 4 -per outlet (each) 75
• Minimum Permit Fee $50.00 SUBTOTAL -- it� : ' , 72-.5 S
I hereby acknowledge that I have read this application, that the Information By SURCHARGE =r, ,= -r£ 4.ety Q l
given is correct, that I am the owner or authorized agent of • PLAN REVIEW 25% OF SUBTOTAL t: " • br . "
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only i �* ' j r
y
TOTAL L l ..0- e 3 (
Signature of 0 ner1A: - a Date " e
I �_ O Other Inspections and Fees:
-
• . r � w ? 1. Inspections outside of normal business hours (mininum charge -two
V tact Person Name Phone 503., haunt) $50.00 per hour
n 2. InepectIons for which no fee Is specifically Indicated (minimum
4-• r,(� S t y 64 I I ( charge -half hour) 600.00 per hour
F000notea for eommerclal only 3. Additional plan 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 State Contractor Boiler Certification required
. units. "Residential NC requires site plan showing placement of unit
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90O i� (Wirt) dO ilia 096T 969 £09 YV3 9Z • 90 MI 00 /TZ /
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: , 639 -4175 Business Line: 639 -4171 )
BUP
Date Requested / U AM PM BLD
Location / S > 5 (.✓ / !i v Suite EC 2.4044.0 -Gv 3k/
Contact Person Ph f4-/ I' / l PLM
Contractor Ph SWR
BUILDING Tenant/Owner 'as7 . 0°526
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
P T FAIL
M Fr_�e�u
Post & Beam
Smoxe Dampers
- • FAIL
- ICAL
Service
Rough In
UG /Slab
Low Voltage
Fire . rm
'• SS 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
Other Date • /D1 / U Inspector ( / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.