Permit t. TIGARD ORIGINAL
CITY OF F TI C A RD MECHANICAL PERMIT
i ti i i i DEVELOPMENT SERVICES PERMIT #: MEC1999 -00187
�£y- '= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/4/99
PARCEL: 2S 111 AB -04700
SITE ADDRESS: 09165 SW INEZ ST
SUBDIVISION: PENMAR TERRACE ZONING: R -4.5
BLOCK: LOT: 014 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:
ELE 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: Installation of exterior A/C unit. Unit cannot be placed within the required setbacks.
Owner: FEES
FRENI, ANTHONY A AND Type By Date Amount Receipt
VINCENZA J PRMT DLH 5/4/99 $25.00 99- 315089
9165 SW INEZ 5PCT DLH 5/4/99 $1.25 99- 315089
TIGARD, OR 97223
Total $26.25
-
Phone: —
Contractor:
FIRST CALL MCCALL HEATING +
COOLING
1650 NE LOMBARD REQUIRED INSPECTIONS
PORTLAND, OR 97211 -4798
Cooling Unt Insp
Phone: 231 -3311 Final Inspection
Reg #: LIC 102030
•
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 c pies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: / Ii
. ►. t= Permittee Signature: 47t/ /9"70f0Gi69-�/on/,/t/4
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
11 / / U0 nCU UV: 31 PA.& 0U3 b96 1960 CITY OF TIGARD 0002
RE Plan Check#
4 . • CITY OF TIGARD Mechanical Permit Application Recd B
13125 SW HALL BLVD. E n 41999 Commercial and Residential Date Recd 6 9
TIGARD, OR 97223 Dat to P.E I
(503) 639 -4171, X304 � (� Permit# Me /999 - co*,
Date to DST --°
COMMUNITY DEVELOPMENT Print or Type /
Called
Incomplete or illegible applications will not be accepted
• Name of Development/Project ' Description
Table 1A Mechanical Code Qty Price Amt
A) Permit Fee , it 11 10.00
• Job �7 s� �`� suaea 1) Furnace to 100,000 BTU
`` l 5 �� L t) -� n� Z including duds 8 vents 6.00
Address
Bldg# City /State rip 2) Furnace 100,000 BTU+ " -
including ducts & vents 7.50
Name (or name of ) 3) Floor Furnace
4 S �j� I` including vent 6.00
Owner T,r G� r[. ' \C) 4) Suspended heater, wall heater •
°� ,1 or floor mounted heater 6.00
Cl t� 3 (.1 G iA i (} 1 4- Doo&V G( �' C� 5) Vent not included in appliance permit 3.00 City /State Zip l Phone . '
--r-k --}-1 �, l C a / q - ,I 6S _ I , r �� CHECK ALL 'Boiler Heat Air
, name of business) ""NNN THAT APPLY: or Pump Cond Qty Price Amt
Comp
6) <3HP;absorb unit to
Occupant Mailing Address • 100K BTU - 6.00 6,0c
7) 3-15 HP;absorb unit
100k t 500k. BTU 11.00
GityfState Zip Phone
8) 15-30 HP; absorb .
unit .5-1 mil BTU 15.00
Contractor Nana 9) 30-50 HP; absorb
R Ca.\\ .0 Cat \ unit 1 -1.75 mil BTU 22.50
Prior to permit Address _ J 10) >50HP; absorb unit
issuance, a copy 1�
1 �s� �� \ ,, 106;l -c"-- >1.75 mil BTU 37.50
of all licenses /state Pho ei ` 11) Air handling unit to 10,000 CFM
are required if "
0 ���.(5 r\C �K .�I �c��� 4.50
h
expired in COT em Cont. Cont. Board Licit •
Exp. Date 12) Air handling unit 10,000 CFM+ � -
database \ n ZL) ?-)l1 7.50
Architect Name 13) Non - portable evaporate coo
4.50
14) Vent fan connected to a single duct
or Mailing Address 3.00
15) Ventilation system not included in
Engineer
City/State Zip l Phone appliance permit 4.50
16) Hood served by mechanical exhaust
4.50
Describe work to be done: 17) Domestic incinerators
7.50 _
New 0 Re air 0 Replace with like. kind: Yes 0 No O 18) Commercial or industrial type incinerator
ResidentiaTQ� Corrrrrenaal0 , 30. .
Additional information or description of work 19) Repair, units 4 "50
; el. .\ p-- 1 20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas 0 LPG 0 electric 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information . 23) Gas piping one to four outlets -
given is correct, that I am the owner or authorized agent of 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4-per outlet (each)
.50
Signature of Owner /Agent Date
Minimum Permit Fee $25.00 SUBTOTAL ;-
i. 0
LA CL r LA - 3, : „...._9_ 9
5% SURCHARGE - ''4 (25
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL i 47
22 Required for ALL commercial permits only `,
• ( de_e_L___c.. . J -J ! TOTAL .. ) (o
'State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
•
Y Job Site Plan
L
o .
________,
________________,
________
\,, ________
_______________„
(c„sQ Scz-. Ti'(/c -Z
Additional Instructions: � _._ .__
Refrigeration line size 2
Condensate Pump /CI Yes Li No La Box New Registers
Vibration Pads New Grills
Add Return Duct
Add Supply Duct -
Special Needs
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
Date Requested S ' / AM PM BLD
Location a f(QS i Suite lq MEC /q9 — W���
Contact Person (Xi Ph A --19 / 7 / G � y PLM
Contractor Ph l P SWR
BUILD, ING `_ ` `,....: Tenant/Owner ELC
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
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Sine e Dampers /
, ! • S 1 ��/
S. PART FAIL
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 f
Approach /Sidewalk D / �` __∎
Other � ` � Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.