Permit • CITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00174
4 � ' l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/17/2000
PARCEL: 2 S 112AB -00400
SITE ADDRESS: 07400 SW LANDMARK LN
SUBDIVISION: ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: 4 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Add four (4) air handling units to 10,000 CFM.
Owner: FEES
HAYTER FAMILY LIMITED PARTNERS Type By Date Amount Receipt
23643 SW STAFFORD HILLS DR PRMT JMT 07/17/20C $63.40 0003753
WEST LINN, OR 97068 PLCK JMT 07/17/20C $115.85 0003753
5PCT JMT 07/17/20C $5.07 0003753
Phone: Total $184.32
Contractor:
SALEM HEATING + SHEET METAL IN
PO BOX 12005
SALEM, OR 97309 REQUIRED INSPECTIONS
Mechanical Insp
Phone: Final Inspection
Reg #: LIC 0001505 •
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246=9489.
Issue By: Permittee Signature: /Gt},G
Call (503) 639 -4175 by 7:00 P.M. for inspections -eded the next business day
Plan Check # /h? 44‘.... 7chanic Permit A lication
CITY OF TIGARD RECEIV'� + Pp Reed By Q-
13125 SW HALL BLVD. Commercial and Residential Date Rec'd 546 -d
TIGARD, OR 97223 f7AY 1 0 2000 Date to P.E. '16 -0
(503) 6394171, x304 Date to DST 6P/Zfing
QOMIttt;iNITY DEVELOPMENT Print or Type Perrnit S o s ^66/ 31f
Incomplete or illegible applications will not be accepted Called /214%( ✓ tiflri - 7// Z"
Name of Development/Projea / / .890
tiG,� t f _ . -- 1, l t ' - ' ' Table A Mechanical Code Qty Price Amt lJ
Job SuimAddr..c , ; IJ spa A) • A) Permit Fee 16.00 /( I -
1) Furnace to 100,000 BTU
Address 1400 (if• 1 �.Cn1/Y1+u11C including ducts &vents see footnote 1,2 9.65
&doe Cityi$t~t 2io g7' at 2) Furnace 100.000 BTU+
• T(AR.t"d, 17'1- including ducts & vents see footnote 1,2 12.00
/ . Name (or name of business) J 3) Floor Furnace
Owner 61,E1- E1�' 1 ��� • including vent see footnote 1,2 9.65 '
Mailing 4) Suspended heater, wall heater
Address or floor mounte h ea t er see f oo tn ote 1,2 9.65
S� St 11"`' ^� 5) Vent not included In appliance eennit 4.75 '
• City/State Zip I Phone Check all that apply: 'Boiler Heat Air
r r 5 6 �� 011.x13 i 642-5b1 I For Items 8 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1 , 2 Comp
6) <3HP;absorb unit to
S 100K BTU g 9.65
Occupant "Ding Aoa-ess 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
' City/State ZJp r ncr 6) 15 HF; /Absorb.
I
unit .5 -1 mil BTU 24.15
•
9) 30-50 HP; absorb • .
Contractor Na unit 1 -1.75 mil BTU 36.00
Sq, ley t I- .5 h 4-.M / r/1 G, 10) >50HP; absorb unit
Prior to permR ailhp Addre ,, ` >1.75 ml; BTU 60.15
issuance, a copy , 0 • b IA toss 11 Air handling unit to 10,000 CFM
of all licenses Gty/stete Zip Korn 5t,8 - 7.00
are required if 5a. Iewt 0- ) -i 12) Air handling unit 10,000 CFM+ "
expired in COT °regal coneL C 31 nt. Board licit Exp. Nee 4 11.85 " ^T 11 y{G
database J S"D 51141/9 6 13) Non - portable evaporate cooler
• Architect N ame p 7 ' 0 -
---•t7p I 1`r /t f�/ �--�� . 0. � 1a) Vent fan connected to a single du
1 1 �Tst' F d 4.75
or Matlhp Address
TOO { Vlr'ro r E 4 h i 0 l- 15) Ventilation system not Included in
appliance permit 7.
Engineer °ih' Zip I Phone 16) Hood served by mechanical exhaust
S - C 1 1 52511' _ 7.00
Describe work to be done: 17) Domestic incinerators &?'3 12 (
New& Repair 0 Replace with Ike kind: Yes 0 No 0 18) Commercial or industrial type Incinerator
Residential 0 Cornmerdal. 48.25 l 0
i 19) Repair units
Additional Information or description of work 6.40
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 -
strucural gas Gaits. See footnote 1 3.75
Type of fuel oil O natural gas- LPG O electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee 550.00 SUBTOTAL #' � 4' ,? C '�
I hereby acknowledge that I have read this application, that the Information 8% SURCHARGE 7 -r '. , ' : q.
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
it - , l S ; S
the ow , that plans su are in compli nce with Ora on State laws Required for ALL commercial permits only YI [p.�
S -9 -0o TOTAL .4
Sign re of OwnedAgent Date Other Inspections and Fees:
ff / - is36 1. Inspections outside of normal business hours (mininum charge -two
Co ct Person Name • Phone hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
F aNA Q'G`4 ■ - I c3 6 charge -half hour) 550.00 per hour
Foonotes for 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 end proposed mecdenical
'State Contractor Boller Certification required
units.
- Residential A/C requires site pier, showing placement of unit
lAmechperm_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
0 BUP /Gtr - UO 0
Date Requested f "� / /� AM pm 0•U_c u f
Location ,WO 5z' /4-4d %16 r' '/< Suite "/? (
Contact Person 6/A l r y Ph 931- -Z- a r S UU �� v f 3
Contractor ( Ph SWR
BUILDI," ` 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
Insulation
Drywall Nailing 7 /55v6/9 t�M, 6'L.. 7 " -'Qrif
� ���
Firewall /--
Fire Sprinkler r
� dv' l /C�L �/ I
Fire Alarm
Susp'd Ceiling
Roof / / .
Misc:
drib'
SS PART FAIL -
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS T FAIL
� r ECHANICAL
Rough In
Gas Line
II • e Dampers
Fi
* PART FAIL
RICAL
Service
Rough In
UG /Slab
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 Date v (00 Inspector Ext
3-1r1"
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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