Permit !.
CITY TIGARD MECHANICAL PERMIT
1 =� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00200
' A � l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/25/2000
PARCEL: 1S135DB-07500
SITE ADDRESS: 11240 SW 94TH GT - VC*
SUBDIVISION: O'NEEL ACRES ZONING: R -4.5
BLOCK: LOT: 015 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: 1 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: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install heat pump <3HP at single family dwelling.
Owner: FEES
LUND, CHERI A Type By Date Amount Receipt
11240 SW 94TH CT PRMT KJP 05/25/20C $50.00 0002440
TIGARD, OR 97223 5PCT KJP 05/25/20C $4.00 0002440
Total $54.00
Phone:
Contractor:
TRI TECH HEATING
6603 NE 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 360- 891 -2002 Misc. Inspection
Reg #: LIC 101873
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 hrough OAR 952- 001 -0080.
You may obtain co 'es of these rules or direct questions to OUNC by - .Ilins ( e -) =9 • •
Issue By: P ermittee Signature:
Y , ‘ 9
Call (503) 639 -4175 by 7:00 P.M. for inspections needed th : next b .siness •,y
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # PI z Lz sv - 00.1-co
Incomplete or illegible applications will not be accepted Called
Name of Development/Project i Description
I l "2L� ('i J0 ,� i �'1 �) f'` 41 ` r' � Table 1A Mechanical Code Qty Price Amt
Job Street Address / Suite# A) Permit Fee 16.00
Address 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City/State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
Name (or name of business) R 3) Floor Furnace
Owner _NM V/ L.--(-14441 including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
" ii- 0 5L/ 1 � or floor mounted heater
1r- 5 ) see footnote 1,2 9.65
1 Vent not included in appliance permit 4.75
City /State i Zip Phone Check all that apply: *Boiler I Heat Air
Ti c a rd, o g '7723 (03JJ -) X 23 For items 6 -10 see or Puma Cond Qty Price Amt
I k Nam (or name of business) footnotes 1,2 Comp
6) <3HP;absorb unit to
100K BTU 9.65 9. (
Occupant _ Mailing Address 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
Name 9) 30 -50 HP; absorb
Contractor unit 1 -1.75 mil BTU 36.00
r ri 7 "c/ lea` g 10) >50HP; absorb unit
Prior to permit Mailing Address � >1.75 mil BTU 60.15
issuance, a copy U fp U 3 11) 1:--. I 37 / Iv t-- Iii, 11 Air handling unit to 10,000 CFM
of all licenses . gity /State Zip hone 7.00
u
are required if 1/n�fuv/,r, 144 -� g�yyDpp b ' 5'qJ - ov4_ 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. ate 11.85
database /Q) $ 7 3 'a/3) � O7 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 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 like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential 0 Commercial 0 _ - -- 48.25
19) Repair units
Additional information or description of work: 8.40
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 gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL :.-;.__ , ;50.00
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE '::::,"' 1 <}. cv
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only ;;
TOTAL
il
Signeture of Owner gent _ Date
( Other Inspections and Fees:
/144--__ ^ 5 60 1. Inspections outside of normal business hours (mininum charge -two
Cont Person Name Phon hours) $50.00 per hour
/�+�
2. Inspections for which no fee is specifically indicated (minimum
6 rouk_.e Harris .%O f// ZLJ charge -half hour) $50.00 per hour
Foonotes for commercial projects 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
units. *State Contractor Boiler Certification required
* *Residential A/C requires site plan showing placement of unit
I.\mechperm.doc rev 7/19/99
(
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JOB V/11- 6t 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /4 , / AM PM BLD
Location 5 at I .. Suite
ej,D — z
Contact P- , C-A e r l !'1r L /i Ph 637 / 1 PLM
Contractor Ph 94 6Z /c) 1.cJ SWR
BUILDING Tenant/Owner
Retaining Wall EL
Footing Access:
Foundation FPS
Ftg Drain gt) //t-/ (/ o k e) ei
Crawl Drain Inspection Notes: / SGN
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 T FAIL
E&bANIC
Post & Beam
Rough In
. Gas Line
.. o - Dampers
(�!Ft1►
ea,MI •ART FAIL
CAL
Sheet
Rough In
UG /Slab
Low Voltage
Fir- larm
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 D /) / ? , Inspector Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit EL C - Electrical Permit
4 Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footja$ /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final ((-17 -Ctir ` 7
Underfloor insulation I v
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 1 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling _ Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
— /7 �U
Structural observation l�
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
• • Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils J Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
•
CITY T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00200
1i�i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5:'25/00
PARCEL: 1 S135G6 -07500
SITE ADDRESS: 11240 SW 94TH j f4U
SUBDIVISION: O'NEEL ACRES ' ZONING: R -4.5
BLOCK: LOT: 015 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: 1 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install heat pump <3HP at single family dwelling.
Owner: FEES
UND, CHERI A Type By Date Amount Receipt
1240 SW 94T1-1 CT
IGARD, OR 97223 PRMT KJP 5/25/00 $50.00 0002440
5PCT KJP 5/25/00 $4.00 0002440
Total $54.00
Phone:
Contractor:
RI TECH HEATING
603 NE 137TH AVE
ANCOUVER, WA 98682 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 360 - 891 -2002 Misc. Inspection
Reg #: LIC 101873
r4
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: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day