Permit • CITY OF TIGARD
' MECHANICAL PERMIT •
DEVELOPMENT SERVICES PERMIT #: MEC1999 - 00219
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/21 /99
PARCEL: 2S114AB -14400
SITE ADDRESS: 09390 SW JULIA PL
SUBDIVISION: KNEELAND ESTATES NO.2 ZONING: R -4.5
BLOCK: LOT: 103 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: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation, of a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: FEES
COMRIE, JOHN P + CHERYL M Type By Date Amount Receipt
9390 SW JULIA PL PRMT DRA 5/21/99 $25.00 99- 315596
TIGARD, OR 97223 5PCT DRA 5/21/99 $1.25 99- 315596
Total $26.25
Phone:
Contractor:
FIRST CALL MCCALL HEATING + •
COOLING •
1650 NE LOMBARD REQUIRED INSPECTIONS
PORTLAND, OR 97211 -4798 Misc. Inspection
Phone: 231 -3311 Final Inspection
Reg #: LIC 102030
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 copies of these rules or
direct questions to OUNC by calling (503)246 -9189. _
Issue By: Ktidi/AMir � - Permittee Signature: //`_ I (� a ✓�G
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the xt business day
•
11/ U4/ 08 TILL Ua:31 PAA SU $ btt$ 1960 CITY OF TIGARD -- f j002
Plan e.
CITY OF TIGARD Mechanical Permit Application Rec'• By . v,
13125 SW HALL BLVD. Commercial and Residential Date Redd ai - "
TIGARD, OR 97223 Date t o P.E. --
(503) 639 -4171, X 3 0 4 D a t e t o DDST Print or Type 00 Pemi i
# ig6/ ?9 "Oi i9
Called
Incomplete or illegible applications will not be accepted
l Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job
A) Permit Fee -` ` : = -- 10.00
Address \ , ` 1) Furnace to 100,000 BTU
Address O J"l O lXD v including duds & vents 6.0
oklg# City/State Zri] 2) Furnace 100,000 BTU+
including ducts & vents 7.50 ,
Name (or name or business) - 3) Floor Furnace
1,� /� �, including vent 6.00
owner - 3 - 0 1 1 t_L) �) e- 4) Suspended heater. wall heater -
�] eng Address n I or floor mounted heater 6.00
`l3 q 0 L t_) u \l CA r 5) Vent not included in appliance permit 3.00 •
City /State Zip phone -- o f A Q.1 Z Z ?� I CHECK ALL `Boiler Heat Air
r
Name name or s) THAT APPLY: or Pump Cond Qty Price Amt
Comp
6) <3HP;absorb unit to
Occupant Melling Address 100K BTU - 6.00 = i CO
• 7) 3-15 HP;absorb unit " 11.00
cay/Slate Zip Phone 100k to 500k BTU .
8) 15-30 HP; absorb .
unit .5-1 mil BTU 15.00
Contractor ' 9)30 -50 HP; absorb
Vi > Of tcY1 ((C( d unit 1 -1.75 mil BTU 22.50
Prior to permit Mafrurg Addy lC _ to /' / 10) >50HP; absorb unit
issuance, a copy (0E,C - LO m " �`- >1.75 mil BTU 37.50
of all licenses /state Zip phone 11) Air handling unit to 10,000 CFM
- are required if . ` { . -`�.Cl e CO Z\ \ 2 .1-, 4.50
expired in COT Oregon Caul Cont. Boma Lrc.# Exp. Date 12) Air handling unit 10,000 CFM+ -
database kr ®2- > U g 3n C 1 C1 7.50
Architect Name - 13) Non - portable evaporate cooler _
4.50
- 14) Vent fan connected to a single dud
OT Matting Address 3.00 _
15) Ventilation system not induded in -
Engineer
C ity/State I Zi Phone appliance permit- 4.50
-
16) Hood served by mechanical exhaust
4.50
Describe work to be done: 17) Domestic incinerators
7.50
New 0 Re air 0 Replace with like kind: Yes 0 No O - 18) Commercial or industrial type incinerator
entiallS( Commercial 0 30.00
(\
Additional information or description of work 19) Repair units 4.50
C' 20) Wood stove 4.50
n s,--0,_ \ \ I 21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas 0 LPG 0 , electric 22) Other units 4.50 _
I hereby admowiedge that I have read this application, that the information . 23) Gas piping one to four outlets
2.00
given is correct, that I am the owner or authorized agent of -
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
Minimum Permit Fee $25.00 SUBTOTAL ". � h ,(
•(. el >418 e-`f---L - J �y — 1 1 '�Z 5 % SURCHARGE a l ,2_..5- ontact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL `C
^^ � 1 R for ALL commercial permits only - „�
TOTAL ,
_,�, 1,/f W� U Gl S g 3 lC jE Zl�'`
P-(- A- --A (a Certification required
` ' "Residential A/C requires site plan showing placement of unit
lAmechpenn -doc rev 07/20/98
,. • Job Site Plan
•
IL •
�j. /Liz C
M � -
9390 s Ci Q 1.`4 -- •
Additional Instructions:
Refrigeration line size 4/0F
Condensate Pump Yes 121 No D Box New Registers
❑ Vibration Pads New Grills
Add Return Duct
Add Supply Duct
Special Needs
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location l (.� iwl/i �-- Suite MEC /?9 400 7 /99
Contact Person Ph Ph Zg ?i 9 PLM
X
Contractor Ph ( 4' 49 SWR
BUIL °DING `r• .'a Tenant/Owner ELC 19 3 S
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 �t�l
Drywall Nailing /r/ C G9 9 9— e.7
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling /99 „, ®�”
� 01-- ` •✓.4 -L�'�
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P • • RT FAIL
Rough In
Gas Line
Smoke Dampers
S' PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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
Approach /Sidewalk D 7,' 9, Inspector Ext
Other � "' InS ector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the, job site.