Permit 6 , . .,,, CITY OF TIGARD MECHANICAL PERMIT
� i l � I( DEVELOPMENT SERVICES DATE PERMIT MEC199 -00477
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6 39 -4171 PARCEL: 1 S134A6 00300
SITE ADDRESS: 11304 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R -4.5
BLOCK: LOT: 002 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:
3 - 15 HP: COMM. 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: Install 1 gas furnace furnace, vent not included in appliance permit and gas piping.
Owner: FEES
LASCINK, GARTH V AND RUBY E Type By Date Amount Receipt
11304 SW IRONWOOD LOOP PRMT KJP . 11/08/19c $50.00 99- 319630
TIGARD, OR 97223 5PCT KJP 11/08/19 $4.00 99- 319630
Total $54.00
Phone:
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 557 -2220 Misc. Inspection
Reg #: LIC 72623 Final Inspection
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 co • of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: Permittee Signature: `7/Yl._a..,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
V.i- 1v .•� ..v • .ter vV a __a.a a•vv v:/v 1J V V V L 11 Vl 11 V:11 \L I V VL
Plan Check #
CITY OF TIGARD
FtECElchanical Permit Application Recd By
1Z1.25 SW HALL BLVD. . Commercial and Residential
Date Recd
T! ARD, OR 97223 NOV 0 3 1999 Date to P.E. • •
(503) 639 -4171, x304 Date to DST
COMMUNITY DEVELOPMENT Print or Type Permit # ()% (/.9 9 ? -00
Incomplete or..iilegible applications will -not be-accepted -- Called
Name of Development/Protect
. Description ,
•
_.. - • • Table 1A Mechanical Code ' Q Price Amt
Job Street Address Sultan A) Permit Fee f,,„ j, :_. I 1{-'i 16.00
Address J /36JCe Scd $1 -6 Gftirci 1) Furnace to 100,000 BTU _
including ducts & vents see footnote 1,2 i 9.65 6 1 41.5 '
Bidgo City Zip 2) Furnace 100,000 BTU+
7/a• . 9t 2.3 including ducts & vents see footnote 1,2 12.00
Name ( rare of business) 3) Floor Furnace
Owner 6�� w " ` including vent see footnote 1,2 9.65 ,
Mailing Address 4) Suspended heater, wall heater
9 �o "� or floor mounted heater see footnote 1,2 9.65
! / c `S d41---0-7 �c1V `, " " tp.e 5) Vent not included in a pliance permit 4.75 441.75
City/State Zip Phone Check all that apply: "Boiler Heat. Air
p7C f 92et? For items 6-10, see or Pump , Cond Qty Price Amt
Name (er name of business) footnotes 1,2 Como "°
Sa e o 6) c3HP;absorb unit to I
74/1e a:
100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP :absorb unit
100k to 500k BTU 17.65
City/State Zip - Phone 8) 15 HP; absorb
unit .5-1 mil BTU 24.15 '
Contractor Name 9) 30 -50 HP; absorb
0
4 ./ / ii/ii�,,,rr7 / .. L -i _ 1unit
1 0) ) >50H mil BTU 36.00
/ n
OHP; absorb unit ' I
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy )04Z1 _..c �� t c g ee d v/Y 11 Air handling unit to 10,000 CFM
of all licenses Cit te Zip Phone 700
are required if I ��4 -Q iS - • 12) Air handling unit 10,000 CFM+
•
expired in COT • Oregon Const. Cont. Boaggilido.S. Exp. Date 11.85
database • - 7Z( , 2 , • 3 p - ( 3)Non- portable evaporate cooler •
Archttect Name ' ' • - ' __ - '7_ .00 _
14) Vent fan connected to a single duct
Or Mailing Address - _ _ 4.75 .
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 K. Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator .
Residential Commercial 0 48.25
19) Repair units l
Additional information or description of work 8
20) Wood stove/gas FPlother units/clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas cake. See footnote 1 3.75 3.
Type of fuel: oil 0 natural gas LPG 0 electric 0 22) More than 4 -per outlet (each) _75
Minimum Permit Fee $50.00 SUBTOTAL lam= r -L °tv �! f d' 637:0 0
I hereby acknowledge that I have read this application, that the information ¥ _224 SURCHARGE '. li• Y fi;ie_. „ ' r
given is correct. that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ; „; s -
;
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only s � cC1 ? j'
TOTAL f: , 4_
.� 1t - ..
Signature of OwnerlAgent Date c f
Other Inspections and Fees: / 1:1-6
1. inspections outside of normal business hours (mininum Charge -two
Con • =, .P - on r e _ _ ._ . _..Phone • . hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
d - - / . " 7 - 72.02-(2) charge -half hour) $50.00 per_hour
• • notes for corn :trial 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
1:4nechperm_doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
411
tP ' / Date Requested // (�� 1 AM PM BLD
Location L — 1 .(--J` f c) G Le:770 Suite (1) I 99 211
Contact Person to I Se. /' (j'l �Z,f.vt C Ph S S7 g 3-
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
T FAIL
PLUMBING_
Post & -eam
Under Slab
Top Out
Water Service
Sanitary Sewer
Drains
PART FAIL
MECHANICAL
Post & Beam
In
as Line
Smoke Dampers
PART FAIL
ELECTRICAL
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.