Permit `} CITY OF TIGARD
MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC1999 -00178
�� 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/27/99
PARCEL: 1S134AC-01400
SITE ADDRESS: 11405 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R -4.5
BLOCK: LOT: 042 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:
GAS 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: 1
Remarks: Change out electric furnace to gas.
Owner: FEES
ANNA TANADA Type By Date Amount Receipt
11405 SW IRONWOOD PRMT DLH 4/27/99 $25.00 99- 314884
TIGARD, OR 97223 5PCT DLH 4/27/99 $1.25 99- 314884
Total $26.25
Phone: 590 -4190
Contractor:
DAVE FITZPATRICK HEATING + REF RIGTN
7615 SW CHESTNUT STREET
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 245 -3870 Mechanical Insp
Reg #: LIC 00052335 Final Inspection
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 -1010 through OAR 952 - 001 -0080.
You may obtain copies of these rules or direct questions to OUN .y calling (50 89.
Issue By: / �� j y,�j Permittee ■ Signature: ���- �' �� hin.
Call (503) 639 -4175 by 7:00 P.M. for inspections n- - ded the next busi es,. a .
•
CITY OF TIGARD - Mechanical Permit Application Rec'd By lication Recd By a1.-f"/`
' 13'l25 SW HALL BLVD. Commercial and Residential Date Rec'd 5/
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST Afe el .14
Print or Type Permit#
/ i9 , -0° 5/ 7 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,,;, 10.00
J 1) Furnace to 100,000 BTU
Address // / S . y : Jr .ri r!J1n including ducts & vents see footnote 1,2 / 6.00 (o rD
Bldg City/ tate - Zip' 2) Furnace 100,000 BTU+
7 70V 3 including ducts & vents see footnote 1 , 2 7.50
Name (or name of busines 3) Floor Furnace
Owner /9
including �t - including vent see footnote 1,2 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 6.00
119c5' .§ - d,<l.7 klkw Le a P 5) Vent not included in appliance permit
City/State Zip Phone 3.00
% 7v?a 3 I5 9d" y o Check all that apply: *Boiler Heat Air
(or name of business) For items 6 -10, see or Pump Cond Qty Price Amt
footnotes 1,2 Comp
-fLA- it-•_- 1 / 1 7m/ 9 "-P.4 ' 6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP;absorb unit
City /State Zip I Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
Contractor Name
unit .5 -1 mil BTU 15.00
F _� 9) 30 -50 HP; absorb
/ Y% Tom' /G /G /5/e/%7 ,t.. unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing dress 10) >50HP; absorb unit
issuance, a copy 7W /4" S .J. ce.FSTx -1--/ >1.75 mil BTU 37.50
of all licenses City/state Zip Phone 20 11) Air handling unit to 10,000 CFM
are required if TI "72,1a ?j 0 4.50
expired in COT gon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database _5 3 5 _ (1/ ° -Q() // 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
Or Mailing Address 14) Vent fan connected to a.single duct
3.00
15) Ventilation system not included in
Engineer City/State Zip I Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes 0 Noll • 7.50
Residential* Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
X SGT ° 7` 0 - S Fa-/ C:614t7 e d u -7: 4.50
20) Wood stove
NOTE: For Commercial projects only; Units over 400 lbs. require 4.50
structural gas calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gasy, LPG 0 electric 0 4.50
22) Other units '
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 / 2.00 Pp
24) More than 4 -per outlet (each)
Si u of Owner/ ent Date .50
y �
-7 ,9) Minimum Permit Fee $25.00 SUBTOTAL
Contact Person Na m / Phone
5% SURCHARGE ° I. i S
9/9 V e -(7 L/ i s . /CS - rJ PLAN REVIEW 25% OF SUBTOTAL °
FFoonotes for comme "'al projects only: Required for ALL commercial permits only
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL ,K w a
2. Provide drawings to scale showing existing and proposed mechanical mo `_ 24 , 2,5
units. *State Contractor Boiler Certification required
""Residential A/C 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: 639 -4171
II), ' : ,Sa BUP
Date Requested S —5 - AM X P M BLD
Location / 1 LOS 4 ict,),1/ 1t) d.. (,00Juite MEC / 479 / � O
Contact Person ,4 V & _- Ph ,Sq L/l qO PLM
Contractor Ph SWR
BUJLDING ' 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 f # / ?7 Y t i7 tT Q i tLr e C' 9
Insulation
Drywall Nailing AOJA r-A4 4C. - C
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling - � A-r-r► c -
Roof `
Final
PASS PART FAIL 4 Sc/PibiZT GA ( 2 Pi
PLUMBING`
Post & Beam
Under Slab 4/ ,.A,.1v C 7 3 r j Pi OAS
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In /�i
() / , "`"
v ? Dampers
ASI,) PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS 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
O ther h /Sidewalk D - Inspector
S- 5
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.