Permit CITY TIGARD MECHANICAL PERMIT
�i DEVELOPMENT SERVICES PERMIT #: MEC2000 - 00189
` � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/18/2000
PARCEL: 1S133DC-18600
SITE ADDRESS: 13165 SW LAURMONT DR
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK ZONING: R -12
BLOCK: LOT: 041 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: DOMES. INCIN:
LPG 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replacement of furnace with like kind.
Owner: FEES
SOPER, RONALD D + CONSTANCE M Type By Date Amount Receipt
13165 SW LAURMONT DR PRMT DST 05/18/20( $50.00 0002287
TIGARD, OR 97223 5PCT DST 05/18/20( $4.00 0002287
Total $54.00
Phone: .
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt lnsp
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34 -341 CR •
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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 (5 4 189.
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Issue ! lam ). aStL y// Permittee Signature: 2 nv j..i
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Ch
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CITY OF TIGARD Mechanical Permit Application Recd B
1) 1.3125 SW HALL BLVD. Commercial and Residential Date Recd 5
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171 x304 Date to DST IV
Print or Type Permit # Heed
Permit
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address - Sae# A) Permit Fee >,o ;,.,,.-iiis 16.00
Address /3/bs i^ 1) Furnace to 100,000 BTU
�� �� including ducts & vents see footnote 1,2 I 9.65
Bldg# C Zip 2) Furnace 100,000 BTU+
[� 0 eS 7 X 23 including ducts & vents see footnote 1,2 12.00
Nam or name of business)/ 3) Floor Fumace
Owner Q� � ( A-L, P-.Q/'Zi including vent see footnote 1,2 9.65
M ling Address 4) Suspended heater, wall heater
�J! s S J 1-e/Z / � 1. er 5) V e noor t not incnclude ed in appliance see footnote 1,2 9.65
/ 3/6P-S
-J� Q 0-7.1 0-7.1 Vn ilud in appliance permit 4.75
City/State _ �/j Zip Phone Check all that apply: *Boiler Heat Air
0 a OZ_97��3 , .J '7 For items 6 -10, see or Pump Cond • Qty Price Amt
Na (or name of business) 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
Contractor Name 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 36.00
,S c / -( 0 10) >50HP; absorb unit
Prior to permit Mai ng Address �, >1.75 mil BTU 60.15
issuance, a copy Q5.1 c / /9a..// sT 11 Air handling unit to 10,000 CFM
of all licenses State / Zip Phone .SZI3 7.00 •
are required if • d e 4 2 G AD -S-G 4a 12) Air handling unit 10,000 CFM+
expired in COT Oregon Cost. Cont. Board Lic.# Exp. Date 11.85
database tP c 570 ' .5/0 / 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
New 0 Repair 0 Replace with like kind: Yes 4/No O 18) Commercial or industrial type incinerator
Residential Commercial0 48.25
19) Repair units
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Additional.inform tion or descript n of work: 8.40
�rr n ��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
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Type of fuel: oil 0 natural gas LPG 0 electric 0 22) More than 4 -per outlet (each) .75 c+D
` Minimum Permit Fee $50.00 SUBTOTAL r• .��
I I hereby acknowledge that I have read this application, that the information 8% SURCHARGE ` il:i g'=- ' y''
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL s t
Required for ALL commercial permits only gn.
the owner, that plans submitted are in compliance with Oregon State laws.
TOTAL
f Owner /Agent Date
Signature ,
Signature Q = T/!'j�swt� S //r /�
Other Inspections outside and Fees:
�j' 1. Inspections outside of normal business hours (mininum charge -two
Contfan Name Phone hours) $50.00 per hour
- -,-- -- /-ad- -cia;)1.41 2. Inspections for which no fee is specifically indicated (minimum
�a3 charge -half hour) $50.00 per hour
Foon 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 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:\rnechperm.doc rev 7/19/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested ,� Si 2 S /Q) AM PM BLD
Location /1 LOS L alt f rY).6 . DSuite MEC L Odi
Contact Person t - f / Ph 1D 71 'c & ' 3 PLM
Contractor Ph SWR
BUILDING - ' _ 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 C:-1:-2 . eAS P J., 5 �xi ,_c 3
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
ECHANI
Post & Beam
Rough In
Gas Line
". • fi e Dampers
ASS FAIL
"'"'"" TRICAL
Service
Rough In
UG /Slab
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Low Voltage
Fire Alarm
Final
PASS 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 D �5 �� Iector
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.