Permit CITY OF TIGARD
•
MECHANICAL
e DEVELOPMENT SERVICES PERMIT
- - ' - ' . a • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # " MEC99 0065
DATE ISSUED: 02/16/99
PARCEL: 251O2BA- 02300
SITE ADDRESS...: 10005 SW JOHNSON ST #A
SUBDIVISION....: NO. TIGARDVILLE ADDITION AMEND ZONING: R -4..5
BLOCK - LOT.............. :015 JURISDICTION: TIG
CLASS OF WORK.. :ALT FLOOR FURN - 0 EVAP COOLERS: 0
TYPE OF USE....: SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS /COMPRESSORS HOODS.......: 0
FUEL TYPES 0 -3 HP....: 0 DOMES. INCIN: 0
:GAS 3 -15 HP ° 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP . 0 WOODSTOVES..: 0
'GAS PRESSURE...: 50+ HP....: 0 CLO DRYERS..: 0
NO. OF UNITS • AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1OOK BTU: 1 C= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > BTU: 0 > 10000 cfm: 0
Remarks : Installing furnace and gas piping .
Owner: -- FEES .
BRENDAN ENRIGHT type amount by date recpt
1OOO5A SW JOHNSON PRMT $ 25.00 B 02/16/99 99- 312930
TIGARD OR 5PCT $ 1.25 B 02 /16/99 99- 312930
Phone #: 676 -5275
Contractor -- --- - -•
SPECIALTY HEATING & FABRICATIO •
9528 SW TIGARD ST
$ 26.25 TOTAL
TIGARD OR 97223
Phone #: 620 -5643
Reg #..: 006657
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard Municipal, Code, State of Ore. Specialty Codes and all other Mechanical Ins p
applicable laws. All work will be done in accordance with Final Inspection
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 by the Oregon Utility Notification Center. Those rules are _
set forth in OAR 952-001-A10 through OAR 952- 001 -0080. You may __ -..
obtain copies of these rules or direct questions to OUNC by calling _ ___,.__.
(503)246 -9187. _ _,_.
Issue By: _ p'ermittee Signature : ?!G�si�
+++++++-►-+++++++-+-++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++-+++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + +- ++
CITY OF TIGARD Mechanical Permit Application Plan Che r#
PP Recd By /.
13125 SW HALL BLVD. Commercial and Residential Date Rec'd - ,
TIGARD, OR 97223 Date to P E,
(503) 639 -4171, x304 Date to DST
Print or Type Permit # (EGA -evierS
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
Address r 0 U 0S f / S�,-) 1) Furnace to 100,000 BTU
Bldg# City /State Zip including ducts & vents 1 6.00
2) Furnace 100,000 BTU+
including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner SRSitia k fi.1 kir including vent 6.00
Mailing Address 4) Suspended heater wall heater
•
i . S f or floor mounted heater 6.00
`� �� °) ) o :� 5) Vent not included in appliance permit
City /State Zip Phone 3.00
ii/ � e/ / 0 6 V - 5-17S CHECK ALL *Boiler Heat Air
Name tor name of business) THAT APPLY: or Pump Cond Qty Price Amt
0I.JI1/:✓'?Z Comp
Occu Occupant Mailing Address 6) 0K BTU unit to
p 100K BTU 6.00
7) 3 -15 HP ;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
Contractor Name unit .5-1 mil BTU 15.00
/ 9 30 -50 HP; absorb
1�e (��� 1�1�/✓ unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy 9'5;.... 8 J .� J 6.-d f >1.75 mil BTU 37.50
of all licenses Crty /State < / Zip Phone 11) Air handling unit to 10,000 CFM
are required if ✓7'/4 1( tJVV 62.4" YJ 4.50
expired in COT Oregon Const. Cont. Boa Lic.# Date 12) Air handling unit 10,000 CFM+
database (1j 4 T 7 5 1 1 ) 9, 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 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 No 0 7.50
Residential,JC Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4.50
20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gaj LPG 0 electric 0 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 1 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 ,` �D
Minimum Permit Fee $25.00 SUBTOTAL . ` �5
(gA 2�i 2- - / , z �
5% SURCHARGE (
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
Required for ALL commercial permits only 3. `
TOTAL 7 f, .
*State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
l:lmechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION i
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
e l45 BUP
Date Requested �— I PM BLD
Location /60 0 Suite A-- MEC 9 er 00 ‘,.5
Contact Person Ph Co - Sh () PLM
• Contractor 3 f .eG Ph SWR
BUILDING, Tenant/Owner ELC
Retaining Wall ELR
Footing Access: ` G � j � FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: '
Slab �- �- -L SIT
Post & Beam .
Ext Sheath /Shear
Int Sheath /Shear y a J
Insulation
Drywall Nailing ��tJJJ
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING _.. ,r=e „LL6
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
. PASS PART FAIL
MECHANICAL; ;,U `'
Post & Beam
h l n�
Smoke Dampers
i
P S PART FAIL
ELECTRICALk,_ '. `.
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE:. a e.
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
Otheoach /Sidewalk Date {1 Inspector, Ext It'
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.