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Permit CITY TIGARD MECHANICAL PERMIT 0 1 DEVELOPMENT SERVICES PERMIT #: MEC2000-00362 '� 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/00 PARCEL: 2S102BB -00831 SITE ADDRESS: 10410 SW JOHNSON CT SUBDIVISION: BROOKSIDE PARK NO. 2 ZONING: R -4.5 BLOCK: LOT: 007 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: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of new gas furnace and associated gas piping. Owner: FEES JONES, IVAN T + RAMONA M Type By Date Amount Receipt 6450 SW FISHER PRMT CTR 9/8/00 $72.50 2720000000 BEAVERTON, OR 97005 5PCT CTR 9/8/00 $5.80 2720000000 Total $78.30 Phone: Contractor: RONALD E. WHITAKER . 13400 SW 17TH STREET BEAVERTON, OR 97008 REQUIRED INSPECTIONS Gas Line Insp Phone: Heating Unt Insp Reg #: LIC 131187 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-Notificati'sn,Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. Y may obtain copies oft - e rules or direct questions to OUNC by calling (503)246 -9189. ssue By: 011192 r / /1/ / Permittee Signature: //- 81-u,, ,.‘ £- , Call (503) • ;9 -4175 by 7:00 P.M. for inspections needed the next business day Plan heck # CITY OF TIGARD Mechanical Permit Application Rec y A3125 SW HALL BLVD. Commercial and Residential Date Recd 9- 9 -0 TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# lase - 6 0 .50,9 Called Name of Development/Project Description Table 1A Mechanical Code Qty Price Total Job Street Address suite # 1) Furnace to 100,000 BTU i including ducts & vents 1 14.00 //•°C' Address /0W /^ � joY\wSo:.st 2) Furnace :100,000 BTU+ Bldg# City /State Zip including ducts & vents 17.40 1 1 G-b 3) Floor Furnace Name (or name of business) including vent 14.00 Owner ili�f 'jbNE-5 4) Suspended heater, wall heater or floor mounted heater 14.00 Mai ing Address 5) Vent not included in appliance permit 6.80 City /State Zip ( Phone . , GCf Pit bit 3' 6 3 -6713 6) Repair units 12.15 Name (or name of business) Check 911 that apply: *Boiler Heat Air For items 7 -10, see or Pump Cond Qty Price Total footnotes 1,2 Comp ** Occupant Mailing Address 7) <3HP; absorb unit to 100K BTU 14.00 City /State Zip Phone 8) 3 -15 HP; absorb unit 100k to 500k BTU 25.60 9) 15 -30 HP; absorb Contractor unit .5 -1 mil BTU 35.00 ( O(v/41_O E, , &,//-4-V 74 ( 10 30 -50 HP; absorb Prior to permit Mailing Address unit 1 -1.75 mil BTU 52.20 issuance, a J3 9 7 © S'. L f r , 'Z. 5r. 11) >50HP; absorb unit >1.75 mil BTU copy ( 87.20 of all licenses C' tate Zip Phone 6b � O ,7 12) Air handling unit to 10,000 CFM are required if If�/"�b✓t a 9 _03 XV- L2s/ , 10.00 expired in COT Oregon Connst. Cont. Board Lic.# Exp. Date 13) Air handling unit 10,000 CFM+ database /3 l ( g 7 4tJ ;2001 17.20 Architect Name 14) Non - portable evaporate cooler 10.00 15) Vent fan connected to a single duct or Mailing Address 6.80 16) Ventilation system not included in Engineer city /State Zip Phone appliance permit 10.00 17) Hood served by mechanical exhaust 10.00 Describe work to be done: 18) Domestic incinerators Repair 0 Replace with like kind: Yes 0 No O 17.40 Residential* Commercial 0 Modification 0 19) Commercial or industrial type incinerator Additional information or description of work: 69.95 20) Other units, including wood stoves 10.00 • NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets �V roof, require structural calcs. prepared by licensed engineer. .. _.. 1. 5.40 Type of fuel: oil 0 natural gas LPG 0 electric 0 22 ) More than 4 -per outlet (each). . 1.00 Minimum Permit Fee SUBTOTAL �; k .,: Mae : 41.50 1 hereby acknowledge that I have read this application, that the \ , r .... y 9 owner \ . sz O information given is correct, that I am the owner or authorized agent of 8% SURCHARGE a ° sr= x 5 the owner, that plans submitted are i compliance with Oregon State PLAN REVIEW 25% OF SUBTOTAL : ; la • Required for ALL commercial permits only VAIONitiga s .. -Z, S lit/ /?9- yi p -' ; 7g3gp ignature of owner /Agent Date TOTAL 4 ,,A r /CF, / Il l/ , �� _7 a? 62 K-1 Other Inspections and Fees: r l � 1. Inspections outside of normal business hours (minimum charge - two hours) Contact Person Name Phone $72.50 per hour 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $72.50 per hour Footnotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to plans (minimum 1. Provide full schematic of existing and proposed gas line and pressure. charge - one - half hour) $72.50 per hour *State Contractor Boiler Certification required 2. Provide drawings to scale showing existing and proposed mechanical * *Residential A/C requires site plan showing placement of unit units. I: \dsts \forms\mechperm_rev.doc 8/29/00 • ,,CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP t f Date Requested 9 -1 7s AM PM BLD Location / U (/ 5 w JO 13 C. • Suite / MEC ?�!/ — U 3 Contact Person Ph 76 8-- 6 ail PLM Contractor Ph SWR 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 I P PLUMBING Post & Beam { o' Under Slab \ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL • MECHANICAL Post & Beam . j / / 11 c'�yr 4.476110 Smoke Dampers .4.• 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 Other Date ( _. Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.