Permit • CITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00198
c �' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/22/2000
PARCEL: 2S1 14 B B -03000
SITE ADDRESS: 10065 SW KENT PL
SUBDIVISION: PICKS LANDING NO.1 ZONING: R -4.5
BLOCK: LOT: 044 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: Install an air conditioning unit. A/C units cannot be placed within the requried setback areas.
Owner: FEES
MCMAHON, MARGARET A + Type By Date Amount Receipt
MOORE, JEFFREY D PRMT GEO 05/22/20C $50.00 0002346
10065 KENT PL 5PCT GEO 05/22/20C $4.00 0002346
TIGARD, OR 97224
Total $54.00
Phone:
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34 -341CR ORfGINAL
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 •r direct questions to OUNC by
calling (503)246 =918'
: - N
- Permittee SignatureV� i ` /
By: �� �
Issue B = --� , � _ �
Call (503) y. -4175 by 7:00 P.M. for inspectio r needed the next business day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # m6e.goo ° -coil
Incomplete or illegible applications will not be accepted Called -
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
J Street Address Suite#
A) Permit Fee :rio 16.00
Address nap 614/1 141 n 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
/ 1 04 Y o1° 9 i).24 including ducts & vents see footnote 1,2 12.00
Name (or name of business) G 3) Floor Furnace
4 9/ ^ / ,, f // including vent see footnote 1,2 9.65
Mailing Ad
Owner /� l ii T /�!C /'/ 4) Suspended heater, wall heater
Address
�� S c5 or floor mounted heater see footnote 1,2 9.65
� f. e--C.i 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: 'Boiler Heat Air
-- r[l�e, �},�q 2.2-.9-I- ( ,277(/ For items 6 -10, see or Pump Co Qty Price Amt
Na name of business) 1 footnotes 1,2 Comp
6) <3HP;absorb unit to
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 -30 HP; absorb
unit .5 -1 mil BTU 24.15
N ame 9) 30 -50 HP; absorb
Contractor unit 1 -1.75 mil BTU 36.00
.5 -eC / J7. // Mi(/17 10) >50HP; absorb unit
Prior to permit Mai ng Address �- >1.75 mil BTU 60.15
issuance, a copy g 5a 6 / /yal cl sT 11 Air handling unit to 10,000 CFM
of all licenses State // Zip_ Phone ..5C 7.00 .
are required if •CiC 42C G 436 sGfz 12) Air handling unit 10,000 CFM+
expired in COT Oregon Cost. Cont. Board Lic.# Exp. Date 11.85
database t' 4-575" J5' /0 1 13) Non - portable evaporate cooler •
Architect Name 7.00
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
Describe work to be done: 17) Domestic incinerators
12.00
New 4' Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residenti O Commercial 0 48.25
. 19) Repair units
Additional formation or description of work: 8.40
/ 9 ��/ 20) Wood stove /gas FP /other units /clothe dryer /etc.
((i(�{ (� 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 22) More than 4 -per outlet (each) 75
I Minimum Permit Fee $50.00 SUBTOTAL �� �V�.
i I hereby acknowledge that I have read this application, that the information 8% SURCHARGE bi
1 given is correct. that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ;4 "* s
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only -
TOTAL
Signature f Owner /Agent Date "� 51/
1 5 //4/ 1. Inspections Inspections and Fees:
1. Inspecticoons ns o outside of normal business hours (mininum charge -two
Contact Pe Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
c5d3 --Sql charge -half hour) $50.00 per hour
Foon
fern
commercial 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 A/C requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 /// ZLI l 00 AM PM ) BLD
Location 1 bOCO 5 Q �k- , Suite MEC 2.09D j q e
Contact Person r" taM Ph (O W - S o '3 PLM
Contractor Ph SWR
BUILDING , Tenant/Owner ELC /IV - o0 2Xo 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam -
Ext Sheath /Shear (°� / - -7e-
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall �/]�
Fire Sprinkler 0 �� � 0- 1 ' / �_
Fire Alarm � �j
Susp'd Ceiling '- Q__ ZCr2YV - V� o 6 f
Roof •
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
M UANIC .L )
Post & Beam
Rough In
Gas Line
Suoke Dampers
PAS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fir- Alarm •
Agrin
• S PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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 • 4� Inspector /4. ?" Ext
Final
PASS PART FAIL DO OT • MOVE this inspection record from the job site