Permit •
CITY TIGARD MECHANICAL PERMIT
N r, DEVELOPMENT SERVICES PERMIT #: MEC2000 -00053
!I 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/22/00
PARCEL: 151 34AD -00700
SITE ADDRESS: 11364 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R -4.5
BLOCK: LOT: 026 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Connect gas piping to log set. Inspections in accordance to manufacturer listing.
Owner: FEES
TAYLOR, WILLIAM R AND RUBY Type By Date Amount Receipt
11364. SW IRONWOOD LP PRMT KJP 2/22/00 $50.00 00- 321799
TIGARD, OR 97223 5PCT KJP 2/22/00 $4.00 00- 321799
Total $54.00
Phone:
Contractor:
PACIFIC GAS WORKS
PO BOX 30646
PORTLAND, OR 97294 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: 503 - 317 -5573 Final Inspection
Reg #: LIC 136391 •
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 • - of these rules or, direct questions to O ailing (51 6 -9189.
Issue By: Permittee Signatur
Call (503) 639 -4175 by 7:00 P.M. for inspections -e(d the next business day
Plan
CITY OF TIGARD Mechanical Permit Application Rec'd Byck#
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit #rnQGa.0o(a -0
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address A) Permit Feed _ 16.00
Address / /.,.� ��` _ /jCL/ /, �� 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
set including ducts & vents see footnote 1,2 12.00
e (or me o eine 3) Floor Furnace
Owner `/ -� � including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
/� /// or floor mounted heater see footnote 1,2 9.65
f1 G✓ _...rl/l(;. o< 5) Vent not included in appliance permit 4.75
7 City/State Zip Phone Check all that apply: *Boiler Heat Air
th- - 4 �77z ..; 5,2)/// For items 6 -10, see or Pump Cond Qty Price Amt
me (o 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 I Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor unit 1 -1.75 mil BTU 36.00
-,,' `• „/���� -�S 1 >5mu BTU absorb unit ---- -
Prior to permit Mel Addre >
ss >1.75 mil BTU 60.15
issuance, a copy % (�' phi "...3,c �{::. 11 Air handling unit to 10,000 CFM
of all licenses Cit .: ,te Zip Phone . 7.00 • are required if f,� }.• 7, 2 12) Air handling unit 10,000 CFM+
', expired in COT • regon onst. Cont. Board Lic.# Ep. ate 11.75
database /.4'. 7( ../ • 13) Non - portable evaporate cooler
Architect Name "` TTT 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 0 18) Commercial or industrial type incinerator
ResidentiH 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. f
. 1-00‘ S te+- / 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 F ee $50.00 SUBTOTAL o
I hereby acknowledge that I have read this application, that the information , % SURCHARGE ,:,,,:„.4
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
th- • . er, that *lens subs • es are in compliance with Oregon State laws. Required for ALL commercial permits only
��=�'� - TOTAL C t�
, S.' •n • ur • • ner /Agent Date I
Other Inspections and Fees:
• / . .F / o /7 7 1. Inspections outside of normal business hours (mininum charge -two
Contac 'erson Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
. 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 NC requires site plan showing placement of unit
I:\mechperm.doc rev 02/4/99
- CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: BUP
639 -4171
Date Requested 00 AM PM BLD
Location / I 3(49 LI 1 of 9/ Suite MEC 4/09
Contact Person yn 1 Ph 3l S S ' PLM
Contractor Ph SWR ! i 1
•
BUILDING' ; a, � ; `.. : Tenant/Owner
!_ ,
ELC 4 � 1
Retaining Wall ELR li
Footing Access:
Foundation FPS .,
Ftg Drain SGN Alf
Crawl Drain Inspection Notes:
Slab (� C �� ( �J °�' ,^ �
SIT
Post & Beam
°¢
n_
Ext Sheath /Shear h
Int Sheath /Shear I Al 1 ' r _.QS f .- ..4a ... ,y� � c q / 0
Framing Ira
Drywall Nailing LJ
Insulation l L) , w X 7 L
Firewall
Fire Sprinkler
Fire Alarm ��� ` ��, - - - . /W ~ r a .
Susp'd Ceiling ` I. ► - rd.- V 7>r'�' /s i r �i ' . • pi'
:i
Roof G K...
Misc:
Final
PASS PART '. IF. r A W . '.1-. � / yr `� -:•E Mr ' . � ._.
PLUMBING r T, ' i s;'. �� ' — -- — _ Wir
Post & Beam
Under Slab t ` I,,,, /'
Top Out ;(�A' 1 v� w'!�. %5 ...., �.f [ .4 lt�n�-- Water Service ON Sanitary Sewer
Rain Drains C S - 61<____ vV 4 Final
PASS PART FAIL
Post & Beam
Rough In
s i
Smo. - Dampers
�
MO PART FAIL
RICAL
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 Date 0/0 ° Inspector ' Ext3 I i
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.