Permit CITY TIGARD MECHANICAL PERMIT
1 DEVELOPMENT SERVICES PERMIT #: MEC2000 -00075
--' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 03/10/2000
PARCEL: 2S 104AA -07700
SITE ADDRESS: 12705 SW KATHERINE ST
SUBDIVISION: BELLWOOD NO. 2 ZONING: R -4.5
BLOCK: LOT: 108 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: 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 an air conditioning unit. A/C unit cannot be placed within the required setback areas.
Owner: FEES
BONNIE ST JERMAINE Type By Date Amount Receipt
12705 SW KATHERINE ST •PRMT GEO 03/10/20( $50.00 0000586
TIGARD, OR 97223 5PCT GEO 03/10/20( $4.00 0000586
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
(CCB EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223 •
Cooling Unt Insp
Phone: 503 - 624 -6895 Final Inspection
Reg #: LIC 00002734
PLM 26 -60p
ORIGINA
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 % • ies •f . esee - or direct questions to OUNC by calling (503)246- 9189.
Issue By: �% :.- Permittee Signature:
Call (503 :''.39 -4175 by 7:00 P.M. for inspections needed the next business day
MAR -02 -2000 13 43 r.ei
Me chanical Permit Application
CITY OF°T[GARD RECEIV Recd
By
•
C ommercial and Residential
ate
13125 SW HALL BLVD. Date to P.E.
°TIGARD, OR 97223 ." AR 0 8 21i :i to DST
503) 639 -4171, x304 • "a Permit %r "-"54915-
0
c.Jl' ,'055 92, Print or Type COMMU NITY DEVELO
Incomplete or illegible. applications will not be acce
Na,. of Developmet/P Description
e �er nvtaitle� Table 1A Mechanical Code
pr 1600
gat L A) Permit Fee • "
Job street l►ddress 1) Furnace to 100,000 BTU
A ddress 1 a 7 0 �Q - r 1 n� 7 including ducts & vents see footnote 1,2 9i.6me 5 Amt
ledge City/Stale Zip 2) Furnace 100,000 BTU+ 12.00
1 q" including ducts & vents see footnote 1,2
•
Name (or name of business) 3) Floor Furnace
-,, including vent see footnote 1,2 9.65
Owner c ] a ddress P� 4) Suspended heater, wall heater
Mailing Address or floor mounted heater see footnote 1,2 9.65
5) Vent not included in appliance ermit 4.75
Gig/State Zap I Phone Check all that apply: 'Bolter Heat Air
For items 6 -10, see or Pump Cond Qty Price Amt
footnotes 1,2 Comp
N emo (or name of business)
6) <3HP;absorb unit to / m
100K BTU / 9.65
Occupant MalilneAddresa 7) 3 -15 HP:absorb unit
100k to 500k BTU 17.65
• City/State , . Zip i Phone 8) 15 HP; absorb 24.15
I I unit .5-1 mil BTU
• 9) 30-50 HP; absorb 36.00
C�
Contractor Name unit 1-1.75 mil BTU -
PD . �nr P I .
bq . 10) >50HP; absorb unit 60.15
Issuance, a copy R 1
_ >1.75 mil BTU
Prior to permit Mena s h 11 Air handling unit to 10,000 CFM
of all licenses city/ to v Phone 7.00
� � P / /
are required if / 1 COQ r d J / � fL1o`� `� 12) Air handling unit 10,000 CFM+ -
11.85
expired in COT re Cont. Cont. Board Uc.N Exp. Date
database 13) Non - portable evaporate cooler 7.00
Architect Name
14) Vent fan connected to a single duct
4.75
or Ma1r' "e Address 15) Ventilation system not included in
• appliance permit 7.00
Engineer City/State Zip Phone 18) Hood served by mechanical exhaust 7.00
17) Domestic incinerators
[3escribe work to be done: 12.00
New n Repair 0 Replace with like Commercial or Industrial type incinerator
ke kind: Yes 0 No O , 48.25
Resi Commercial 0 19) Repair units
8.40
Additional information or description of work 20) Wood stove /gas FP /other units/clothe dryer /etc.
t12St0. (�(, �t�4 o r A �C ul/t,� 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
_
structural gas talcs, See footnote 1 3.75 75
Type of fuel: oIl 0 natural gas 0 LPG 0 electric O 22) More than 4 -per outlet (each)
Minimum Permit Fee $50.00 SUBTOTAL t<t+
I hereby acknowledge that I have read this application, that the information
8°/6 SURCHARGE y r-ID
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL , :f •s (' :
Required for ALL commercial permits only
the owner, that plans submitted are In compliance with Oregon State laws. ,
TOTAL .?.);; RI , ,L: „';: c o
Q+k ,' , 'o, ' ie.,b
S lgnatu OwnsrlAgont Date Other Inspections and Fees:
�1�CL.a -� 1. Inspections outside of normal business hours (mininum charge -two S - 3
Con ct pets Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically Indicated (minimum
1 9 -_ j ,r' / S y �p (1 charge -half hour) $50.00 per hour
Foonotes for commercia projeects'on�ly: 3. Additional plan review required 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 ohmwing existing and prepoaod mechanical
'State Contractor Boiler Certification required
units. "Residential A/C requires site plan showing placement of unit
I:Vnechperm.doc rev 7/19/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
( F : Date Requested 7 / -0 CD AM A PM BLD
Location 11g-7 O f<at/ a -c`,t S Suite MEC KCVO — 2/ 0 75 -
Contact Person �— Ph &P, V 6o6 PLM
Contractor Ph SWR
BUILDING. °_. �a Tenant/Owner ELC OD� aD /c�3
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab f7 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 UTh
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
z AtMERIANL
Post & Beam
Rough In
Gas Line
Smoke Dampers
• PART FAIL
'4 RICA
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
t
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 /" I Z /C: Inspector �'� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.