Permit , A CITY OF TIGARD MECHANICAL PERMIT
DEVELOP MENT SERVICES PERMIT #: MEC2000 -00182
7111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/23/2000
PARCEL: 1S126DC-04500
SITE ADDRESS: 09575 SW LOCUST ST
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: •
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 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: 3
> 10000 cfm: GAS OUTLETS: 3
Remarks: Install three (3) gas fireplaces for hotel expansion. •
Owner: FEES
VIP'S INDUSTRIES Type By Date Amount Receipt
29757 SW BOONES FERRY RD PLCK KJP 05/23/20C $12.50 0002386
WILSONVILLE, OR 97070 PRMT KJP 05/23/20C $50.00 0002386
5PCT KJP 05/23/20C $4.00 0002386
Phone: 503-682-9284 Total $66.50
Contractor:
LARRYS HEATING
LARRY E SOUTHARD
4925 NW FRUIT VALLEY RD REQUIRED INSPECTIONS
VANCOUVER, OR 98685
Gas Line Insp
Phone: 360-574-9334 • Mechanical lnsp
Reg #: LIC 63575 Final Inspection
CRI RIVAL
•
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 C-1 r. Those rules are set forth in OAR 952 -001 -0010 through.0AR 952 - 001 -0080.
You may obtai o• of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: / / ° . / J
y Permittee Signature / _ A ____, �-
- - -
Call (503) 639 -4175 by 7:00 P.M. for inspections neede• e net usiness day
Plan Check #5
c' ►Y OF TIGARD Mechanical Permit Application Recd By
'
1..> 25 SW HALL BLVD. Commercial and Residential Date Recd
' TIGARD, OR 97223 Date to P.E. b-", -Oa
(503) 639 -4171, x304 Date -to DST / i 0
Print or Type Permit # Ave �o -oo/gZ
• cal -; -0 d
Incomplete or illegible applications will not be accepted ) s q .2 `a f7
Na a of Development/Project Description ,
� 2 III �/ Table 1A Mechanical Code Qty Price Amt
J Q �X 16.00
Job Street Address Suite# A) Permit Fee -
1) Furnace to 100,000 BTU
Address �J` � t
including ducts & vents see footnote 1,2 9.65
Bldg# ity/State 97,E 2) Furnace 100,000 BTU+
5 R y 1 0 V S. including ducts & vents see footnote 1,2 12.00 ,
Name (or name of busines � / 3) Floor Furnace
I /� y �' / !! d S� / / £ 5 including vent see footnote 1,2 9.65
Owner / /% 4 ) Suspended heater, wall heater
Mailing Address
c r' 1 7 c or floor mounted heater see footnote 1,2 9.65
2 9 � , MA', , /1 /) 5 /ivy) vy l' 5) Vent not included in appliance permit 4.75
Cftyisttate z ap, o ,A‘ Phone / Check all that apply: *Boiler Heat Air
6) 1 /SD4v ///c 7 6 r iv -7M For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1 , 2 Comp
��'++ !� c� 6) <3HP;absorb unit to
J�l'i' G7/ O a)/7rY 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
A/ / o , 2 i 4 % ' 9) 30 -50 HP; absorb . •
,contractor Na � , / #��. r unit 1 -1.75 mil BTU . 36.00
1 o7 V y5 , /L c / rn 10) >50HP; absorb unit
Prior to permit Ma� Adders Ads • 7 D >1.75 mil BTU 60.15
issuance, a copy e / J J 11 Air handling unit to 10,000 CFM
of all licenses City /State _ zip hone / 9 7.00 ■
are required if (91/a J£ /9z ‘.23 56 2 t�f U;{ 7 12) Air handling unit 10,000 CFM+
expired in COT Orego .const. nt. Board Lic.# Exp. Date 11.85
database (� � /--3 O-(� 13) Non - portable evaporate cooler
Architect Name 7.00 •\
/I 14) Vent fan connected to a single duct
/.�J�Y S �/ 4.75
or Mailing Address
, ' r T 15) Ventilation system not included in
appliance permit 7.00
Engineer � C' /State qq zip Phone 16) Hood served by mechanical exhaust --
Describe work to be d,ie: I 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential 0 Commercial 0 48.25
19) Repair units
Additional information or description of work; _ 8.40
• 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
structural gas talcs. See footnote 1 3 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL oria 41aC?"a;1
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE , A ` i'; y : 0 (-0 given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ;'' ° ' ' ' '' i �1
Requi for ALL commercial permits only , i ,
the owner, that plans submitted are in compliance with Oregon State laws. ;,. /� 4,, , 0 �
A f
TOTAL
Sig ture of Owne:$/anier Agent 0 d \\
(� ''r�y� M A Other Inspections and Fees:
1 � ��/ % y - Inspections outside of normal business hours (mininum charge -two
C tact Pe Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
charge -half hour) $50.00 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 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 7—Ce AM PM BLD
Location 7 5 / S G' Cct 5 r Suite MEC 4-(/00 ' ' O /91-
Contact Person Ph c#9 - / <I'ie y 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
Insulation // �' '' NJ L
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
PASS BART FAIL
(MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
F'
P PART FAIL
L 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 7/6(
Inspector e ge/A) Ext Z
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.