Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00249 •
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/20/00
PARCEL: 2S 112CB -10400
SITE ADDRESS: 15414 SW KENTON DR - - _-
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7 ,
BLOCK: LOT: 118 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: FEES
HOFER, DAVID P + KIMBERLEY M Type By Date Amount Receipt
15414 SW KENTON PRMT DEB 6/20/00 $50.00 0003131
TIGARD, OR 97224 5PCT DEB 6/20/00 $4.00 0003131
Total $54.00 ---- -- -
Phone: — y ;
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34-341CR
OR‘GN
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is .__ _
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (51. - : • 89. -- - — - /� --
Issue B : k / • ii• � ' Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan C7r-ck •
CI ~ OF TIGARD Mechanical Permit Application Recd
13125 SW HALL BLVD. Commercial and Residential Date R c'd • °O
TIGARD, OR 97223 Date to P.E. -
(503) 639 -4171, x304 Date to DST
Print or Type Permit # rlie - `D2qy
Incomplete or illegible applications will not be accepted Called
Name Deveopment/ rojed Description
� •- / Table 1A Mechanical Code Qty Price Amt
Job s e Suite# A) Permit Fee :: : :, 16.00
Address /sLIN SCJ 1��' h7'a 10, .- 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip " �� 2) Furnace 100,000 BTU+
-J2q c Zi 7��C 3 9.• including ducts & vents see footnote 1,2 12.00
Nam or name f business) <�� 3) Floor Furnace
OwnerG %` `� Ly V including vent see footnote 1,2 9.65
ailing Address 4 ) Suspended heater, wall heater
�� ��-- -- /� or floor mounted heater see footnote 1,2 9.65
/si/iy sw /YLa J , - 5) Vent not included in appliance permit 4.75
City /State ip Phone Check all that apply: `Boiler Heat Air
1Th a4C, C g72--241 t -'$ / 1 For items 6 - 10, see or Pump Cond Qty Price Amt
Na a (or ame of business) footnotes 1,2 Comp
6) <3HP;absorb unit to
I R,�
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
Contractor Name 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 36.00
SO-PC / ,PA 14 q 10) >50HP; absorb unit
Prior to permit Maitfng Address ,---- >1.75 mil BTU 60.15
issuance, a copy ()sat a-- 6 / /gable ST 11 Air handling unit to 10,000 CFM
of all licenses State / Zip Phone .� 3 7.00
are required if �r 4 2a G AD s'e 12) Air handling unit 10,000 CFM+
expired in COT Oregon Cost. Cont. Board Lic.# Exp. Date 11.85
database 5 70 on . An 1 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
Or Mailing Address 4.75
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
NewK Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential Commercial0 48.25
19) Repair units
Additional in ormation or 9 sgri n of work: 8.40
WJ_ T // C 20) Wood stove /gas FP /other units /clothe dryer /etc.
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
Minimum Permit Fee $50.00 SUBTOTAL ,, , 55i,60
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE sl:>x `� «= 9' f
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTALrX"
Required for ALL commercial permits only s. €r bx
the owner, that plans submitted are in compliance with Oregon State laws. a ;.
TOTAL , 6.°
Signature f Owner /Agent Date
(�
/ /02) Other Inspections and Fees:
/er45/4::0-1-1.--1.--,j 9 1. Inspections outside of normal business hours (mininum charge -two
Contact Pe n Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
/ �d��p?0 l charge -half hour) $50.00 per hour
Foon es for commercial projects only: -1--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 hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. *State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:\rnechperm.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 AM PM v BLD
Location / 5 (// q 6 QA.. Suite MEC PZ T
Contact Person i� ��� Ph (o - 2-6 5 1 13 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 2D0o 6°344S
Retaining Wall ELR
Footing Access: /�
Foundation � ` L6Yri/2-- // I FPS
Ftg Drain (� W ! lJV 1 SGN
Crawl Drain Inspection Notes:
Slab SIT
Post &Beam t t 24.W �/`r�J
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
FAI L
III ECHAPfICAL
ea m
4,4 Rough In
Gas Line
Smoke Dampers l rft
PART L I I I I Wrillia0
- ICAL - �
Service
n
UG /Slab 4110
Low Voltage
Fir- • larm
��F�'S A 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA - —
Approach /Sidewalk D / �/� Inspector Ext
Other
Final
PASS PART FAIL DO OT REMOVE this inspection record from the job site.