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Permit C ITY OF TIGARD MECHANICAL PERMIT � t`I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00377 '�' I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/20/2000 PARCEL: 1S134DA-04800 SITE ADDRESS: 11385 SW 108TH AVE SUBDIVISION: DOREEN COURT ZONING: R -4.5 BLOCK: LOT: 005 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: LPG 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: FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of gas furnace and A/C unit. Unit cannot be placed within the required setbacks. Owner: FEES SPARKS, MARY ANITA Type By Date Amount Receipt 11385 SW 108TH PRMT CTR 09/20/20C $72.50 2720000000 TIGARD, OR 97223 5PCT CTR 09/20/20C $5.80 2720000000 Total $78.30 Phone: Contractor: SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Mechanical Insp Phone: 620 -5643 Final Inspection Reg #: SUP 2570RET LIC 006657 ELE 34-341CR 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 co. ' - of these rules or direct questions to OUNC by c3.11tn9 ( 03)246 -9189. ' ' Issue By: .AILAIlawL Permittee Signature: .� all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By ..2:1‘..49 13125 SW HALL BLVD. Commercial and Residential Date Rec'd 7 /zdfre) TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type Permit #ME Zaaa - o,oi,7 Incomplete or illegible applications will not be accepted Called Name of Description 4 c '1 j1 �, ,, s' Table 1A Mechanical Code . Qty Price Amt Job Street Ad es �� 7 „ ` � Su Le tt A) Permit Fee :, A' >: 16.00 Address 1/,380 ,S(, IOr 1) Furnace to 100,000 BTU ' including ducts & vents see footnote 1,2 9.65 eldgx City/State Zip 2) Furnace 100,000 BTU+ 7 (/ 'a. ©' r, 7 including ducts & vents see footnote 1,2 12.00 Name (or name of business) 3) Floor Furnace Owner ter/ �C/�G�S including vent see footnote 1,2 9.65 Mailing dress 4) Suspended heater, wall heater //3 fS sot) 0 or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 City/ tate Zip Phone Check all that apply: l `Boiler Heat Air (QrL 0_ 6aa- 7lll� For items 6 -10, see or Pump Cond • Qty Price Amt N e (or name of business) footnotes 1,2 Comp 6) <3HP;absorb unit to 100K BTU 1 9.65 Occupant Mailin 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 Contractor Name 9) 30 -50 HP; absorb , unit 1 -1.75 mil BTU 36.00 34 c / /7 -�H5[ } ( C� 10) >50HP; absorb unit Prior to permit Mai ng Address J Prior >1.75 mil BTU • 60.15 issuance, a copy q 5 6 //9a.--, el ST 11 Air handling unit to 10,000 CFM of all licenses State I Zip Phone -.? 7.00 are required if s �< 4202 G Ad =s4 f'-‘ 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Cont. Board Lic.gt Exp. Date 11.85 database f ' 57r 5 /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 i Describe work to be done: 17) Domestic incinerators 12.00 New id' Repair 0 Replace with like kind: Yestp No C 18) Commercial or industrial type incinerator I Resntiat Commercial 0 I 48.25 1 19) Repair units Additional information or description of wprk: 8.40 , 2 0) Wood stove /gas FP /other units /clothe dryer /etc. 1 !'}Q�/CJ�'C/ C 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas caics. See footnote 1 I 3.75 t • Type of fuel: oil 0 natural gas LPG O electric4/ 22) More than 4 -per outlet ( ch) .75 Minimum Permit Fee .00 "2 SUBTOTAL - ` 7a I nereby acknowledge that I have read this application, that the information , 8% SURCHARGE ' *' S 96 I. given is correct. that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL : ; j I Required for ALL commercial permits only the owner, that plans submitted are in compliance with Oregon State laws. .n TOTAL i� -1-2436 Signature f Owner/Agent A-71,----t-- / Other Inspections and Fees: �L' C, //9/ 1. Inspections outside of normal business hours (mininum charge -two Contact Pe n Name Phone 666 6 hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum 72 _ // - ci� 5 63 / charge -half hour) $50.00 per hour Foonofes for commercial projects only: 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 4 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:4nechperm.doc rev 7/19/99 o 1 ily-) 'PC1 \k-) ■■•••••••01a..a•M ProposalAgreement i":4 Customer Name: tliNg,\( 111 r�r. K 5 Date: A '� ©m A ddress: S vy 1,0 • SPECIALTY Job Addr ` �7 a R. ' 1 2v3 HEATING 6)1,4- ����� � / Phone (H): L� (W):1-94-31-6,(,, (Cell /Fax): 4/4,11 2: 'COOLING We hereby propose to furnish all materials and perform all the labor necessary • N C for the complete installation of: 44Furnace f"jAir Conditioner ( )Heat Pump 9528 S.W. Tigard St. &0 Qad V� "1 ' P h ✓1 1 9v &0 1� 3 b,r- t.� g_ N 1 -C-- L '- Tigard, OR 97223 (/ / Phone:C503)620 -5643 GZ Q ©W e ---4 0 ? 1(0 Fax: (503) 598 -0718 (IN „ t/ o ri /.1 WA--re-,R. f � , � ! -1Kk �I r Piz Q� R / wba,s c_ vvww.specialtyheating . com ' 1 vl �- • Installation shall incl de: X in ( ) = Yes i f - Electrical reconnection 'y gnstall replacement thermostat wire'?" ' ft. -*Jew condensate drain system Gas and flue reconnection ✓( ) Install replacement thermostat mod.#X1r3Q2 () New condensate pump r _4e New electrical line to disconnect 4 -Return air plenum transition () Aux. condensate drain pan ` disconnect Supply plenum transition .Disposal of old equipment X New weather resistant equip. pad I new supply registers () Chimney liner for masonry flue refrigerant lineset () new return air grills Complete system startup nsulate refrigerant suction line ( ) New duct run to: year parts warranty O Install refrigerant drier(s) () 0 -1 ( --- Provide for external combustion air I year labor warranty > Z_Evacuate refrigerant system ( ) New gas piping to: year comp. warranty Charge to manufacturer's specs () New flue venting and termination cap () year service agreement ,Other r M 1 fl, Parts & Labor of Above: $ 51- 2Q (z 147( 2 � i• l L4r rl ic?- 4 I 162 Nia .042 - ; Lit XYgc2 friif2.4 4.a LL Seet- 1 4 Ac. 1 030 )(2 (lloc f *Loci ,v 'TOO OZ0 ( 3 K YtIO VY A-r -t=- ..eil V 7 c OPTIONS: ( ) Honeywell Electronic Air Cleaner: $ ( ) Electromaze Electrostatic Air Filter: $ ( ) Honeywell Programmable Thermostat: $ ( ) Complete Furnace Cleaning: $ () $ () $ Exclusions to the above work includes any' necessary asbestos abatement work, performance of the existing duct system, damage from debris in ductwork. chimney inspection and cleaning or repair if required. decommissioning of furnace oil tank or lines. and upgrade of existing electrical system if found inadequate. i Total Installed Price: $ 0 VI (Please fill in the dollar amount on above line indicating your choice of systems and /or options.) . Payment to be made as follows: Net due upon completion of work. This proposal may be withdrawn by us if not accepted within thirty days. Subject to terms and conditions as outlined on page 2. It is the customer's responsibility to be present, either in person or by the customer's appointed agent for all inspections on days subsequent to the actual installation of equipment by SHC. Inc. Acceptance (Customer Signature) Date: ' 4 - ,54 , � f -„,, Approval (Rep sentative of SHC, Inc.) Date: , : e__ ' 77 ;(t.:7-- c7/ . . i . . / 2; d OR CCB License #66578 WA Lic. #SUBTEGH088PR CITY OF TIGARD BUILDING INSPECTION DIVISION 24 - Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested /0 � 1/ AM PM BUD Location //21r / I. Suite MEC 2 —00.37 7 Contact Person h1 fry 4 Sfrel Ph 6 79 /f) !-1 PLM Contractor / Ph 41q' 3 '(G w SWR BUILDING Tenant/Owner h /e65/ Coed 4 ELC Retaining Wall ELR Footing Access; Foundation � � / e / -' 6e FPS Ftg Drain ! cry 11 O Crawl Drain Inspection Notes: ® SGN Slab C �GGt' " SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing /" // O.c�G i4�✓ /L I hLE. �tT� � 7.' �� A � Insulation Drywall Nailing - Gv Av / 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 PART FAIL MECHANICAL Post & Beam Rough In J VG 7 _ Gas Line Smoke Dampers �`^ Final PASS PART FAIL ELECTRICAL 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 Other Date J, // — Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit ELC - Electrical Permit J Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 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 Structural observation Mechanical final /o /tWoa 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 AI 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 AI Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CI TY OF TIGARD MECHANICAL PERMIT , I re DEVELOPMENT SERVICES PERMIT #: MEC2000 -00377 ,w.l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/20/2000 PARCEL: 1S134DA-04800 SITE ADDRESS: 11385 SW 108TH AVE SUBDIVISION: DOREEN COURT ZONING: R -4.5 BLOCK: LOT: 005 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: LPG 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: GAS OUTLETS: > 10000 cfm: Remarks: Installation of gas furnace and NC unit. Unit cannot be placed within the required setbacks. Owner: FEES SPARKS, MARY ANITA Type By Date Amount Receipt 11385 SW 108TH PRMT CTR 09/20/20C $72.50 272000000C TIGARD, OR 97223 5PCT CTR 09/20/20( $5.80 2720000000 Total $78.30 Phone: Contractor: SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Mechanical lnsp Phone: 620 -5643 Final Inspection Reg #: SUP 2570RET LIC 006657 ELE 34-341CR O 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. VI You may obtain co of these rules or direct questions to OUNC by c Tn9 ( 01)246 -9189. Issue By:. . ,% Ar .,L Permittee Signature: es all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST Ai. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - - • • ` BUP AKIN Date Requested / 9�/ 9 /Od AM PM BLD I Location / .9e-e2rei ` Suite � Contact Person // 3 �Lci / gr 420— 7 9/t) PLM Contractor Ph - SWR BUILDING Tenant/Owner / y&'— Cady 7 Retaining Wall ELR Footing Access: Foundation sr /4. c FPS D �� 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 T FAIL MECHANICAL Rough In Gas Line S • ke Dampers PART FAIL Sege` Rough In UG /Slab Low Voltage F'- •arm 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 /4 1(9 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /0 / ( — 1 / -11 AM PM BLD Location 1/3 5'S 5W / UB Suite MEC :;2L6-0 -6 Contact Person /2iat rnn S/C ✓k s Ph F lo - 79/U /7 PLM Contractor Ph 9(/- 39 Cf) SWR BUILDING Tenant/Owner 5 ( LAG C G y t vh^ ELC 2 — 6 d 55 Retaining Wall ELR Footing Access: Foundation 6(// // /-� A ir'? C �_ ,,�� — / 0 ,J FPS Ftg Drain [ cY-� :�+ Q Crawl Drain Inspection Notes �f'�_ Jf T �/� j� SGN Slab � / SIT Post &Beam _ / " 3 _ /O g •�'(� Ext Sheath/Shear eV �J Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 9 ,r q Final C . ev l . , /o. 63 / * 1 7 4 / PASS PART FAIL O PLUMBING ne 717 3.- Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drain a � Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab `/ Low Voltage '7 t/ Fire Alarm G� c ri 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 Date / V // z rt) Inspector n speco Other -- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY.OET1GARD BUILDING INSPECTION DIVISION - (_- • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST • BUP Date Requested /2 -- 3 AM PM BLD Location /J3 8) S4✓ /o' ' ' Suite MEC AG i' 6 - G V - 7 7 Contact Person PI r lelcc.5 Ph 4 f 1�Lj -3 PLM Contractor 4 n Ph SWR / BUILDING Tenant/Owner /Vera �v cal ve Q 40/.1 f01.4- ELC kleG — 605.5 7 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 l Lb1 % velL.A4 /c (;) -r xi, 5 . Insulation Drywall Nailing /4S'7 t t74■L> 430% 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 P`4RT FAIL MECHANIC Post & Beam Rough In Gas Line Si'. a Dampers �S PART FAIIL ELECTRICAL 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date A- S —ePo Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.