Permit A tl CITY OF TIGARD MECHANICAL PERMIT li
�, DEVELOPMENT SERVICES PERMIT #: MEC2000 -00204
'll 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/26/2000
PARCEL: 2S110AB -05200
SITE ADDRESS: 14155 SW 114TH AVE
SUBDIVISION: HAWK MEADOWS 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: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install an air conditioning unit. A/C units cannot be placed within the required setback areas.
Owner: FEES
DARIN CARLSON, JENNIE Type By Date Amount Receipt
14155 SW 114TH AVE PRMT GEO 05/26/20( $50.00 0002498
TIGARD, OR 97223 5PCT GEO 05/26/20C $4.00 0002498
Total $54.00
Phone:
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt lnsp
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34-341CR
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 through OAR 952 -001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246 -9 .
Issue By: /,. —, / Permittee Signature: 41LeAL
Call (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
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 D ate to P.E.
�/
(503) 639 - 4171, x304 74- Date to DST
Print or Type Permit# nEG 06,'24
Incomplete or illegible applications will not be accepted Called
Name of Qevelopment/Project Description
,///tiik1 L � -w,r'_ ( 4 i, Table 1A Mechanical Code Qty Price Amt
Job SS treet Address Sae# A) Permit Fee - -.
-, , . , . . 16.00
Address 1 7/5_5 SG() l/y . 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City/State Zip 2) Furnace 100,000 BTU+
�/ � Gl Q e
97». including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner 404 $ 0-Y
including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
1 8155 lit/ 11 q ,/ ✓ or floor mounted heater see footnote 1,2 9.65
�i- 5) Vent not included in appliance permit 4.75
City/State �p Zip Phone j Check all that apply: 'Boiler Heat Air
/ ` ?� ®` y7� . 3 4d y- q5 For items 6 -10, see or Pump Cond Qty Price Amt
Na (or a of business) footnotes 1,2 Comp
a -- 6) <3HP;absorb unit t f
'�L 100K BTU 9.65
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
Contractor Name 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 36.00
S-PC / 6 -t d0 10) >50HP; absorb unit
Prior to permit Mai ng Address .�^ >1.75 mil BTU 60.15
issuance, a copy q Sa / /qa, el sT 11 Air handling unit to 10,000 CFM
of all licenses State !! Zip_ Phone Spy 7.00
are required if i / Oat q 2,2a-3 G, -s 12) Air handling unit 10,000 CFM+
expired in COT Oregon Cost. Cont. Board Lic.# Exp. Date 11.85
database <P 57Y 6/0 I 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
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residential Commercial 0 48.25
19) Repair units
Additional ol sn of work: 8.40
/r 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,(? 22) More than 4 -per outlet (each) .75
Minimum Permit Fee 550.00 SUBTOTAL '` . 3 --_
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 'H
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 ' e 4 ----- �
Si f Owner /Agent Date Inspections and Fees:
r f06� 1. Inspections outside of normal business hours (mininum charge -two
Contact Pe
��j 3� pjd�n Name Phone hours) $50.00 per hour j24.71,1 2. Inspections for which no fee is specifically indicated (minimum
lr ? charge -half hour) 550.00 per hour
Foon es 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 /4? 9
"Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99
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I L-li ss sw olio A
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
s/31/450 AM Date �Requested ,� AM PM _ BLD
Location � vt I � C 11 • �: l Suite MEC - 7 - 691) - - CO7.6 V
Contact Person ( Ph 4 /3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC WCO --n0 Z - 7c
Retaining Wall ELR
Footing Access:
Foundation / FPS
Ftg Drain //� TU f 2 Iii vet.
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
PAS FAIL
<MECHANICAL
Post & sm
Rough In
Gas Line
S t oke Dampers
P .T FAIL
TRICA3
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
It o 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 /00 Date /.3J Ins '7 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
_