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Permit CITY TIGARD ^ MECHANICAL PERMIT i DEVELOPMENT SERVICES Q PERMIT #: MEC2000 - 00138 r 'I I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -41 DATE ISSUED: 4/21/00 PARCEL: 2 S 104 BA - 00200 SITE ADDRESS: 12103 SW 135TH AVE SUBDIVISION: �" ZONING: R - • BLOCK: LOT: ,,�i JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: T 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: LPG 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: 1 Remarks: Installation of gas piping for future conversion of house from electric to gas. Owner: FEES MAX WILLIAMS Type By Date Amount Receipt 12103 SW 135TH PRMT DEB 4/21/00 $50.00 1596 TIGARD, OR 97223 5PCT DEB 4/21/00 $4.00 1596 • • Total $54.00 Phone: Contractor: HVAC BY TERRY 5650 SE PINE ST HILLSBORO, OR 97123 REQUIRED INSPECTIONS Gas Line Insp Phone: 952 -4380 Final Inspection • Reg #: LIC 54970 • 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 -0011 m ough OAR 952 - 001 -0080. You may obtain copies of these rules ! ect questio o OUNC by calling (51 )246 -9 :9. Issue B • 4 -0 ti2 Permittee Signature: , Call (503) 639 -4175 by 7:00 P.M. for inspections needene next business day CITY OF TIGARD Mechanical Permit Application R Plan Ch ecd B k# 13125 SW HALL BLVD. Commercial and Residential Date Recd � TIGARD, OR 97223 Q GOI Date to P.E. (503) 639 -4171, x304 /4 � - Date to DST Print or Type Permit # NEC', Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee , \ : ._, 16.00 Address /6 3 5 ( S 7 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)) • 3) Floor Furnace Owner // .4•-V cv, C. (c 5 including vent see footnote 1,2 9.65 4) Suspended heater, wall heater Mailing Address T - � or floor mounted heater see footnote 1,2 9.65 /a. /0 3 5 /✓c./ ( 5 5) Vent not included in appliance permit 4.75 City/State Zip Phone Check all that apply: *Boiler Heat Air 7 ,r/f-. ct c 700 5 For items 6 -10, see 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 - 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 e Contractor a unit 1 -1.75 mil BTU 36.00 /4ti,,SC & ,.- , 7 /' i' f 10) >5OHP; absorb unit Prior to permit Mailing Address ' 1 (N , >1.75 mil BTU 60.15 issuance, a copy 5( d f., r l tip. 'T 11 Air handling unit to 10,000 CFM of all licenses cityistate Zip Phone , / 7.00 are required if LL / to, .b 02 97/'3 95a -7 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85 database • ' 5 U 70 ,3-to -O ( 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 / 2 -75"-- structural gas calcs. See footnote 1 / 3.75 3 Type of fuel: oil 0 natural gas 0 LPG 0 electric O 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL _ ; 6 'V,l?),0 I hereby acknowledge that I have read this application, that the information 8% SURCHARGE '. 4/' 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 ‘- S�l ,r c Signat of Owner /Agent Date "Air Other Inspections and Fees: 1. Inspections outside of normal business hours (mininum charge -two Con � rson Name Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum ) _a./Gt--%-, charge -half hour) $50.00 per hour 3. Additional plan review required by changes, additions or revisions to oA for commercial projects only: 1. - rovide 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 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 °5 Business Line: 639 -4171 L/ BUP Date Requested I - ,'� M i r � "M BLD Location l Z d 3 3,..0 � � Suite / ' MEC g °C) (38 Contact Person ' Ph so ca- /3() PLM Contractor Ph SWR BUILDING - Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Ins ection No: r SGN Slab QA/✓)1l T - � SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation ; f Drywall Nailing / ° G C----'6.-;1Q, ))1 7 A Fire wall . ♦ , ` , . L y 2 ,.C. Fire Sprinkler / !J /' + /�" Fire Alarm / Susp'd Ceiling (� L- 1/ 4 4 L l.U--( - ., -- ,-ae -- Z ; Roof Misc: Final PASS PART FAIL PLUMBING _ Post & Beam _________ Under Slab Top Out 2 Water Service Sanitary Sewer Rain Drains . Final PASS PART FAIL MECHANICAL. ' Post & Beam C;3-- _ 2 Rough In / eE- //7 S / tine �✓ Slime Dampers rn PASS PART FAIL lit S / / S / 1- >l 7 j w e,. ELECTRICAL,. Service g /� 5 I c K/ e (-0 17 4 CrrtI 6 6 U i C? $ r Rough In — . �— � Q Zd2 UG /Slab x-42 �1 �y �v i 1.—/v c, (LC-1-. Low Voltage Fire Alarm . Final PASS PART FAIL /Y() %Z�S 0 -e $ S F l' SITE - 7—Z t -. 7 . 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 fo reinspection RE: [ ] Unable to inspect - no access Approach /Sidewalk (� Other Date Inspector . AS E L Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 200 70 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested co/10/a7 AM PM BLD Location (2• :, D J 135 Suite MEC 0966 - F)O 1 g 7 Contact Person ? Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab M SIT Post & Beam V() Ext Sheath /Shear � Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL S Pt:t1 AGING) `` Post & Beam Under Slab x, Top Out Water Service Sanitary Sewer R'Qrains rna PASS PART FAIL I1 CHANICA Post & Beam Rough In Gas Line S oke Dampers 'ASS PART FAIL C Service le,) Rough In UG /Slab Low Voltage Fir- arm • SS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required bore next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [�� / J Fire Supply Line [ ] Please call for reinspectio RE: - 1; "l/ [ ] Unable to inspect - no access ADA Approach /Sidewalk D a t e 1 - - d _ Inspector - Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 2- Q(��-C�DO l 1 II ''24 I Line: 639 -4175 Business Line: 639 -4171 ,- • / BUP Date Requested 17 ©0 AM/ N D PM BLD Location 1 2\ 0 '1/\ i3 Suite MEC ©Q — 4O /f 1 Contact Person Ph 107, ci 1 (ci PLM Contractor Ph SWR `V`IIL Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain 1r 0 Crawl Drain Inspection Notes: ick SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sh-,...h/Shear opPlowirmdrAmismoramoraramplarmirAra nsu ation Drywall Nailing fralrifT /Sp � Fire � 4Fire Sprinkler �) IV I r Fire Alarm Susp'd Ceiling //���� //AP Roof re.�� ri red ri ' / /� , . Misc: Final PASS PART I31/ir 14)3/I PLUMBING' �n� ,_ (A �vl(� 1 1 �� Post & Beam —�-- —_— —._ _ 1 Under Slab ice' _ _ 1 14 /N Top Out ' 6 - v. - i � �, ±� A. Water Service Rain D a nswer 1/� N AIM ` \�\ \NTIMEZ43k Final __ `,`IMC � _ N. PASS PART FAIL _ �•� MECHANICAL 4 1 �� le.. ""��ximr Post & Rough Beam 'i1♦it Nlaa" In Gas Line - Smoke Dampers Final • PASS PART FAIL 2 101 -f - k) �VV^ 44- 6-AL -- v --- _r &--A 62--c-a- ELECTRICAL � �� Service Rough In _ n c ,, n_ ! UG/Slab Low Voltage )V L.(L., .r i `�_ � s �, --�J� J\/ Fire Alarm f n VV G�J ^L c)4J-4-11.. Final ' ��. n _ n K0 Z1/4 ciL -- Q PASS PART FAIL r � C/v \ u` SITE.` *I 4 _ 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 �� 9 Other Date b �� Inspector Ex Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . I BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By I 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 EL R - Restricted Energy Permit Roof nailing J 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 5 Engineered soils , �a 0-4C 1 ' Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work �'PI Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final eye • - — f —r Structural observation 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 fmal Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer J 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 I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CIT OF T I GA R D MECHANICAL PERMIT � DEVELOPMENT SERVICES PERMIT #: MEC2000 -00138 DATE ISSUED: 4/21/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S104BA -00200 SITE ADDRESS: 12103 SW 135TH AVE SUBDIVISION: ZONING: R -25 BLOCK: LOT: JURISDICTION: 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: 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas piping for future conversion of house from electric to gas. Owner: FEES AX WILLIAMS Type By Date Amount Receipt 2103 SW 135TH PRMT DEB 4/21/00 $50.00 1596 IGARD, OR 97223 5PCT DEB 4/21/00 $4.00 1596 Phone: Total $54.00 Contractor: VAC BY TERRY 650 SE PINE ST ILLSBORO, OR 97123 REQUIRED INSPECTIONS Gas Line Insp Phone: 952 -4380 Final Inspection 4 k . Reg #: LIC 54970 %so 414. 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. 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