Permit CITY TIGARD MECHANICAL PERMIT
'Ik DEVELOPMENT SERVICES PERMIT #: MEC2000 -00221
" 1 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/06/2000
PARCEL: 2S 103 B B -04100
SITE ADDRESS: 12497 SW KATHERINE ST
SUBDIVISION: BROOKWAY ZONING: R -4.5
BLOCK: LOT: 041 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: 1 DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install an air conditioning unit. A/C unit cannot be placed within the required setback areas.
Owner: FEES
NASH, ERIC A + TRACY DEA Type By Date Amount Receipt
12497 SW KATHERINE ST PRMT GEO 06/06/20C $50.00 0002719
TIGARD, OR 97223 5PCT GEO 06/06/20C $4.00 0002719
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 771 -1145 Final Inspection
Reg #: LIC 02734
PLM 26 -60P
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 o •M -s or direct questions to OUNC by calling (513)246 - 9189.
Issue By: / - ` ` _ Permittee Signature:
Call (503) 639- 5 by 7:00 P.M. for inspections needed the next business day
MAY -19 -2000 15 11 P.01
CITY OF TIGARD. Mechanical Permit Applicaar�n Reed By .
13125 `SW HALL BLVD.
Commercial and Res • Date Recd
, 2Q� • ` Date to P.E. DST
TIGARD, OR 97223 Date to '--4
(903) 639-4171, x304 �i� ME tyl Permit DST -6-61Z'7/ -6-61Z'7/ u��� � fJJ 770 (p . Print or Type ; Eat° oe '
Called
Incomplete or illegible application ,,,• 'A' `" • be accepted
n ti
ipo -
Name or DevelopmenuPro Description 0 Price Amt
,tCa/' J G j m
_ Table lA MechacafCode . 'p r 16.00
A) Permit Fee 1 „ ' r i..°:;. • J Street Address ,, 1 Furnace to 100,000 BTU
Address /#c L 9 7 &) Q.TJ�I ) including ducts & vents see footnote 1,2 9.65 ,
mega cityrstate Zip 2) Furnace 100,000 BTU+ 12.00
III R . * a e 0%2 including ducts & vents see footnote 1,2
Name (or name of business) 3) Floor Furnace
see footnote 1,2 9.65
� e) including vent
Owner 4) Suspended heater, wall heater g,65
Mailing Address or floor mounted heater see footnote 1,2 J
5) W Yent not included in o:ipfion:s permit .,..1-.- ` 4.75
City/State Zip I Phone Check all that - 001Y: *Boiler °••Heat • • Air . Pace Amt
For items 6 -10, see or Pump Cond Qty
footnotes 1,2 Comp
Name (or name ot business) , /
. 6) <3HP;absorb unit to 9.65 UJ-�
100K BTU
Occupant Mailing Mdress 7) 3 -15 HP :absorb unit 17.65
100jt to 500k BTU '-"'
CttylStete Zip ` Phone ., 8) 15 -30 HP; absorb 24.15
' unit .5 -1 mil BTU
9) 30 -50 HP; absorb 36,00
Contractor Name , N,1 ", unit 1 -1,75 mil BTU
G y�/ / r r
ee • / / h Pat4 10) >50HP; absorb unit 60.15
Prior to permit *tag Address..., , - >1.75 mil BTU
Issuance, a copy (IMO& S ,/ , 11 Air handling unit to 10,000 CFM
7.00
of all licenses ,. Zip �P hone J '
are required if (;tar ''202. 5 ` a , - 12) Alr handling unit 10,000 CFM+
11.85
expired in COT crag• arsst. cnt, Ooonc.a l U Exa net . . ____ _.� . -
database t7. 3� O /D 13 ) No n - port , able evaporate cooler 7.00
Architect Name 14) Vent fan connected to a single duct
4.75
or Mailing Address 15) Ventilation system not included In
appliance permit 7.00
Engineer
City/State Zip Phone 16) Hood served by mechanical exhaust 7.00
• 17) Domestic Incinerators 12.00
Describe work to be done: a/ 1.145 1iet,�! o'N_
New +,� Repair 0 Replace with like kind: Yes 0 No 0
18) Commercial or industrial type incinerator
48.25
Residential( Commercial 0 19) Repair units
8.40
Additional information or description of worts: 20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only: Unhs over 400 lbs. require 21) Gas piping one to four outlets 3.75
structural gas talcs. , Soo footnote 1
Type of fuel: oil 0 natural gas 0 LPG 0 electric
22) More than 4 -per outlet (each) 75
Minimum Permit Fee $50.00 SUBTOTAL t7
% SURCHARGE 'Sf.
I hereby acknowledge that I have read this application, that the information N ra.t v t x * �1`
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ,: ' ,
the owner, that plans submitted are in compliance with Oregon State laws. • Required for ALL commercial permits only ,, ,L • , TOTAL ::'...T:', ` , ,, �
1
Signature of Owner /Agent Date
_ Ozze:o Other Inspect and Fees:
�- /9 -ad 1. lnspectlons outside of normal business hours (mininum charge -two
Coriiact Peon Name Phone -
Person hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
/ V � s ♦_ L11 /_O 3^ charge -half hour) $50.00 per hour
Foonotes for commercial projects only t� I' t0 w 3. Additional plan review required by changes, additions or revisions to
1. Provide full schematic of existing and proposed gas tine and pressure.
plans (minimum charge -one -half hour) $50.00 per hour
2. Provido drawing° to sale showing existing and proposed mechanical 'State Contractor Boiler Certification required
•
units. "Residential A/C requires site plan showing placement of unit
l :tmechperm,doc rev 7/19/99 - •
MAY -19 -2000 15:12 P.02
1 ea in Plumbing and
• : . ,
G e or g e M orlan
•
s oZ 980• SW TI cirri st. Ti circ1 OR 97223
503- 624 -6031 Fcix 503-639-453
2 I
O u t d oor un it site plan
Name: .Q \c ., /Apr< k . Job no. /o 6770L
Address ii. q _ �� .
Zip code City r�
,
• j
. —...ter ...•...^,,.. .��. �..
:LtT I r:.. ; � :.
,: 'I i i L it j `�- ''
... :i ., . .. . ., ; 1 a ,- . .. , , .: , v
, ;., ,
I i b _ a •�v i
• A
i. H ouse
li
—
,
_
Front
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24- Hour`Inspection Line: 639 -4175 Business Line: 639 -4171
f BUP
Date Requested -7_ Z '1 AM PM BLD
Location (L'4 9 7 5c - /41--4,04/.." T- Suite MEC ,ZGo" ' - 0 0 2 zr
Contact Person Ph S.2 (/ - 7 -4 3 PLM
Contractor Ph SWR - - - - -
BUILDING' �,,,o ' 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
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam ,�
Rough In �/ c . 1 .4„
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fin _
jf PART FAIL
Backfill/Grading
Sanitary Sewer
r
Storm Drain Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
t Da [] p q p Y Y
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL 0 NOT REMOVE this inspection record from the job site