Permit C 1TY OF TIGARD MECHANICAL PERMIT
���a•r� DEVELOPMENT SERVICES
PERMIT #: MEC1999 -00302
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 DATE 'ISSUED: 7/16/99
`
SITE ADDRESS: 11875 SW LYNN ST ��' PARCEL: 2S1036A -00142
SUBDIVISION: LERON HEIGHTS NO. 2 ZONING: R -4.5
BLOCK: - LOT: 03 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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: • 50 + HP: CLO DRYERS: •
FURN < 100K BTU: AIR HANDLING UNITS
•
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
•
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas line for pool heater.
Owner: FEES
ALAJMI, ABDULHADI M + MARCIA M Type By Date Amount • Receipt
11875 SW LYNN ST PRMT DEB 7/16/99 $50.00 99- 316931
TIGARD, OR 97223 5PCT DEB 7/16/99 $3.50 99- 316931
Total $53.50
Phone:
Contractor:
GAS CONCEPTS & CONSTRUCTION
4129 SE 63RD
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 313 -2975 Final Inspection
Reg #:
•
•
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 m • - ;0 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Util'• Notification. -nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0080.
Yo may obtain copes •f the rul- or direct questions to OUNC by calling (503)246 -9189.
Iss , - By: �_ I �i �' L Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit A lication Plan C i -
. pp Rec'd B ) 11 '
13125 SW HALL BLVD. Commercial and Residential Date Rec'd 7- / , -
TIGARD, OR 97223 � 9 0 60al 3 Date to P.E.
(503) 639 -4171, x304 � p �� Petrm to DST e
Pri or Type //
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address / .. Suite# A) Permit Fee 16.00
Address 1 is7s 5L .o 6.1mo ` . 1) Furnace to 100,000 BTU
Bldg# ply V2,0 zip including ducts & vents see footnote 1,2 9.65
2) Furnace 100,000 BTU+
hi) ® Q- 9 7;-93 including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner fj d u 1 hiA i AI � including vent
4) Suspended heater, wall heater see footnote 1,2 9.65
Mailing Address
or floor mounted heater see footnote 1,2 9.65
I I 1 5 5 .) ( 5r 5) Vent not included in appliance permit 4.75
City/State \ Zip Phone Check all that apply: *Boiler Heat Air
ti i K IA 2U O t g7z23 For items 6 -10, see or Pump Cond Qty Price Amt
Name (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 /Star zip Phone 8) 15-30 HP; absorb
unit .5-1 mil BTU 24.15
9) 30-50 HP; absorb
Contractor Name N unit 1 -1.75 mil BTU 36.00
0145 CorAceri s ? &t4S{" 10) >50HP; absorb unit
Prior to permit Mailing Address i >1.75 mil BTU 60.15
issuance, a copy L/ /2- ' .S 63 11 Air handling unit to 10,000 CFM
of all licenses ci /State Zip Phone 7.00
are required if /-1/ �fi ° 44 " 9724 313-2-975 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Da 11.75
database /33/ 4, /1 j 00 13) Non - portable evaporate cooler
Architect Name (/-/ �_C a 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 ® Repair 0 Replace with like kind: Yes O No 0 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.
pUn GAL S '; "E r P00( 644e 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets / -7.
structural gas caics. See footnote 1 / 3.75
Type of fuel: oil 0 natural gas d> LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL ,IO•
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE . ,5, 5J
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL -
Signature of Owner /Agent Date �
- 4....--7..- � - 0f t �2 7 / / / 6 /1, , Other Inspections and Fees:
/ 1. Inspections outside of normal business hours (mininum charge -two
Conte Person Name Phone hours) $50.00 per hour
j Afro -21 t 1 f
�nV r )clieviee. 3 i 3_z97 5 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 NC requires site plan showing placement of unit
l:Mechperm.doc rev 02/4/99
CITY . OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP lqqq- c zl
Date Requested g " - C / AM PM BLD
Location (1 ( 1 - ] S (.. 4 y 1 t'i St": Suite MEC �9 ? q<X)36Z
Contact Person e7019 Ph l (P - 7 S / PLM
Contractor Ph SWR
ILD G Tenant/Owner ELC
Re ammg Wall ELR
Footing
Foundation Access: / ( )1
FPS
Ftg Drain I SGN
Crawl Drain Inspection Notes: I
Slab {� 1� Gn gas M.' SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing irrc T O/iLlsj' e
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
(LAS ) PART FAIL
• MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
g
Post &Beam
Rough In
Gas Line
S • .e Dampers
too
Cj PART FAIL
TRICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date / Other / ? Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.