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Permit CITY TIGARD MECHANICAL PERMIT 1iA, DEVELOPMENT SERVICES DATE ISSUED: 06/16/2000 0237 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S125CD-05800 SITE ADDRESS: 09950 SW LANDAU PL SUBDIVISION: PP1990 -051 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: 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 units cannot be placed within the required setback areas. Owner: FEES DALE GREENBLATT Type By Date Amount Receipt 9950 SW LANDAU PLACE PRMT GEO 06/16/20( $50.00 0003034 TIGARD, 0 97223 5PCT GEO 06/16/20( $4.00 0003034 Total $54.00 Phone: Contractor: HEATING SPECIALIST INC, THE 9300 NE HALSEY PORTLAND, OR 97220 REQUIRED INSPECTIONS Cooling Unt lnsp Phone: 257 -7000 Final Inspection Reg #: LIC 00056628 PLM 26 -494PB ELE 26 -893CL • ORI\ Gt Nt I L 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 -• 69. - Issue By: , / Permittee Signature: -, Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 SIN HALL BLVD. RECEIVEDCommercial and Residential Date Rec'd TIG OR 97223 JUN Date to P.E. • (503) 639 -4171, x304 JUN 1 5 2000 Date to DST Print or Type Permit # /nfe ced -00a 3 Irf ! re V ?N &ible applications will not be accepted Called Name of Development/Project - Description • Table 1A Mechanical Code Qty Price Amt 16.00 Job Street Address Suit A) Permit Fee e# Address q q 5® S W ad. PC.. 1) Furnace to 100,000 BTU Bldg# City/State Zip including ducts & vents 9.65 2) Furnace 100,000 BTU+ including ducts & vents 12.00 . Name (or name of business) 3) Floor Furnace • Owner ,. 2.L2 G c.,21eArr lo L --C1 including vent 9.65 Mailing Address 4) Suspended heater, wall heater • q q S a `.�- LA) --�-•» azt_ 4 Pc orfloor mounted heater 9.65 P hone 5) Vent not included in appliance permit 4.75 • City/State Zip Check all that apply: *Boiler Heat Air - TT 601 et-r _ G 1' 2 23 -?q 5 -213 / For items 6 -10, see or Pump Cond Qty Price Amt Nam name of footnotes 1,2 Comp • 6) Repair units • 8.40 Occupant M ailing Address 7) <3HP;absorb unit to • 100K BTU 1 1 9.65 Ct.L.S City/State „zip Phone 8) 3 -15 HP;absorb unit 100k to 500k BTU 17.65 Contractor Name 9) 15-30 HP; absorb '11t__ l t n S t unit .5 -1 mil BTU 24.15 10) 30 -50 HP; absorb Prior to permit Mailing Address unit 1 -1.75 mil B 36 .00 issuance, a copy 9 3 ®a E td•K1L-S ,_,,.t 11) >50HP; absorb unit >1.75 mil BTU of all licenses Ci /state q 17.ZD Zip Phone 60.15 are required if Vis> 12.-stz_51.. -SD o e. 25i - 'tcx9 6 12) Air handling unit to 10,000 CFM expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00 database - Co Z% 511.024,e t • 13) Air handling unit 10,000 CFM+ Architect Name , 11.85 14) Non - portable evaporate cooler or Mailing Address 7.00 15) Vent fan connected to asingle duct • 4.75 Engineer City/State Zip Phone 16) Ventilation system not included in - appliance permit 7.00 Describe work to be done: 17) Hood served by mechanical exhaust . 7.00 New t4. Repair 0 Replace with like kind: Yes 0 No O 18) Domestic incinerators • Residential A Commercial 0 Modification O 12.00 19) Commercial or industrial type incinerator Additional information or description of work: .. • 48.25 20) Other units, including wood stoves - 7.00 NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets roof, require structural calcs. prepared by licensed engineer. 3.75 Type of fuel: oil 0 natural gas 0 LPG 0 electric•ak 22) More than 4 -per outlet (each) .75 I hereby acknowledge that I have read this application, that the.information Minimum Permit Fee $50:00 SUBTOTAL t. 7„ ..5o4c) . given is correct, that I am the owner or authorized agent of 8% SURCHARGE - 1400 ' '15i the owner, that plans submitted are in compliance with Oregon State laws. PLAN'REVIEW 25% OF SUBTOTAL x ' Required for ALL commercial permits only ;, Signature of Owner /Age Date TOTAL ' r `° su CF' Contact Person Name - Phone. Other Inspections and Fees: , \i. S - 21 . 1 ..s ' - loc) 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) Foonotes for commercial projects only: $5o.0operhour 1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum 2. Provide drawings to scale showing existing and proposed mechanical charge one - half hour) $50.00 per hour units. - - - - State Contractor Boiler Certification required "Residential NC requires site plan showing placement of 'unit • I: \mechperm.doc rev 11/1/99 .., OUTDOOR UNIT PLOT PLAN N . f.._' SPECIALIST ___:t Name: " . 4... . 300 N.E. FIALsoti • Portland, OR 97220 (503) 257-7000 - - • • Corner Lot: YES, NO _ j # .. cPcrod •- . 7 S Indicate footage to the two nearest property lines from the outdoor unit. Indicate where the street is located and the property lines. -,, . .... __.._ . .. . . . . ! 1 .•' : : ..• : . . i ..• : . : • • . : • • . • . : . . : • : < I . . . : . . _ ............ . . - . I - - • , • • • - • . . . : - . : 4 • ' i __, • • ' • . . . . , . :• . , • . • . . : . . • • . : • . . . - - • - : : . . : . . : . 1 4 . : : • - : . . :• • : : : • • . • . . . . . . . - • . . . . . '. . . . . . • . .4 ......... , • . . ,.. 4 . . i • • . . . . . . . : 4 i• 4 : - : ! 7 1 • 7 i . • . ; . . . . . . : . ; . • : • : . .. ; 4 7 7 :: : : • : . . . : : - • . . . . . : : . . . • - . . _..;. ......... . : .. ... ._..... , ; • • ' . . ; • : • : . ; - . . • : : . • : • . 'I . . :• : . . : • • . . : . . • . . . . : . . . . : . : . . . - • . . . . . t .. • .. . . : . - : : • • : . : . . . : : :•' . • - . . • . ; . . . • . . . . . . • : . ; . . :-• -4-. . r , • - 7 . - 1 - 7 • : : :• , • . - : . : - : • . : : . • . • • • . : , 1 : ; : - f • - , . . . • • ' : • • . • .- . • . ' • . : • : . . . • • . . • : . . ; • : .. ; : - i _-• • , - - -!---- . . . • : . • . • . ,. . -•-- • , .i . - • . . ' : • : - : • : . • . -: - • . - . . • . . . • - ' .. L._ — . . . • . : : • . : . : . • : : : . • - 1 . . • : : / i' : : . i . j . : : : • - • 1_24 : . + .:. , . . ....._ . • . : . . 1 --- 77 -1- : . • • . : . , • . : . : • • : i . : . . i . . : . . • : . • . . . • : : • . : • : - • r - 1 7 : ..• . . - • : : : ..• - - : . : . . • - . • . ..• : . . . : : : 1 . 4 ,. • . • . : . . - . . . - -t •-t • : . ' . .. . - - • 1 ‘14 . • : .! . . _ _ __ . -L --, -; -. -+---, -• . . . . . . . . . : : ..• - . ' . ..• : . • : : : : • . - . • . : : 4 < . : i • : : ...... __. i -■ 4 I - 1 — . • . . . . : < • i - .. • --. . . • .. : ... ..... ' : . : • : i .1___ i ._ ......;__ ... ] _________ 1 i , • i . . i . . 7 • . .- : . • . : - - - . .. ........ ....... .. . .... - - ■ • ! ; i . . • : . :•• • ': : . • - 7 ' .... ' .._ ._. _t_. ; _!......_:__, . . . : • ; i I ; ; . : --4 7 : • : . . _-_ ...__:. ..._.....______; ..... • - . : . • - : : • ; i i . • • 1 : : I . - • _ 1 _ .■ ___. ; I 1 - 7 - . ... . ■ - r , i I .- • • • • : . :• - .. ' : : : : ■ 7' : •• . ■ i i ! i i i 1 I , : : 1 i ..... . : .... ......4_ --.- ............ i 4 _ _ _ _ __ _ _ _:. ---: . • . : : i i i : 1 i . : • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639 -417+ '' Business Line: 639 -4171 �11 BUP Date Requested rPf �s1/00 AM X PM BLD Location D ( a i4 c Suite eDliDf0-00 x.27 Contact Person t` i✓i See, Ph Z- 7 - 7 0 06 PLM Contractor , Ph S WR BUILDING =. 3„ ;X ! Tenant/Owner • e 3 Retaining Wall ELR Footing Acce ss' Foundation / s �G Td FPS Ftg Drain I l � SGN Crawl Drain Inspection Notes: nn -� Slab �`t / SIT Post & Beam / 3 / Ext Sheath /Shear et �d P ( � 9 Int Sheath /Shear Framing Insulation Drywall Nailing NO flee /Cc .,Liir�S, �G /�C1 (; /K2 / 6 Hr 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 Post & -eam Rough In Gas Line Smoke Dampers in PART FAIL DEL CTRIC Service' Rough In UG /Slab Low Voltage Fire 4 larm • in l 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 � Other � Inspector Date �o p 7 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.