Permit CITY OF TIGARD MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC1999 -00413
�^ �.� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/04/1999
PARCEL: 2S1 14 B B -18200
SITE ADDRESS: 10310 SW PICK'S WAY
SUBDIVISION: RIVERVIEW ESTATES ZONING: R -7
BLOCK: LOT: 028 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
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:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of new gas piping
Owner: FEES
KEARNEY, N LEE JR Type By Date Amount Receipt
10310 SW PICKS WAY PRMT DST 10/04/19c. $50.00 99- 318808
TIGARD, OR 97224 5PCT DST 10/04/19c $4.00 99- 318808
Total $54.00
Phone:
Contractor:
FIREPLACE SALES & SERVICE
ABEL, DON
PO BOX 1349 REQUIRED INSPECTIONS
GRESHAM, OR 97030
Gas Line Insp
Phone: 503 - 667 -2063 Final Inspection
Reg #: LIC 20699
ORIGINAL
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 o h- _: rules or direct questions to OUNC by c- fling (503)246 -9 :9
4,0 Issue By: / 40,"."40 -ermittee Signature: _ ,A A Vo■ 6 �
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Plan B
r.
PP Recd B -,/
13125 SW HALL BLVD. Commercial and Residential Date Recd ! I
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, X304 - Date to DST �2
Print or Type Permit # 01e /9flp -
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
3 i e- K ear n e....9 Table 1A Mechanical Code Qty Price Amt
Job Street Address Suaeu A) Permit Fee 16.00
Address - 51' Pick-6 Vay 1) Furnace to 100,000 BTU
_ including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
""rj (1 Q (Z. including ducts & vents see footnote 1,2 12.00
Name (or name of business) ■J 3) Floor Furnace
Owner S u i i Kear h e j including vent see footnote 1,2 9.65
Mailing Address I 1 4) Suspended heater, wall heater
1 0310 6 I GIGS wa or floor mounted heater see footnote 1,2 9.65
!� 5) Vent not included in appliance permit 4.75
City/State Zip Phone . Check all that apply: 'Boiler Heat Air
• - 1 - t aftra OR_ (ca y- o7.)a. For items 6 -10, see or Pump Cond Qty Price Amt
Name Wname 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
N ame 9) 30 -50 HP; absorb
Contractor unit 1 -1.75 mil BTU 36.00
Pbe1 C DEM Pt r C f kc.e 1e5 10) >50HP; absorb unit
Prior to permit Mailing Address AM 6P4 Q >1.75 mil BTU 60.15
issuance, a copy P.0 . box 1391 11 Air handling unit to 10,000 CFM
of all licenses C /State �" Zip Phone 7.00
are required if (? re1,MQw\ OP_ 91239 503 bb 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85
database 0 (O (4 q a -(D - 00 ' 13) Non - portable evaporate cooler
Architect
Name y ° r 7.00
14) Vent fan connected to a single duct
4.75
or Mailing Address
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 Re air 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residential 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 calcs. See footnote 1 # ' 3.75
Type of fuel: oil 0 natural gas LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL , 4
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE J
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 54, „ I )
Signature of Owner/Agent Date Other Inspections and Fees:
............. i:G., 10-4-49 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
1.o\ Ape I ma p - C f( 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
'State Contractor Boiler Certification required
units.
"Residential A/C requires site plan showing placement of unit
I: snechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ c� BUP
Date Requested d( /`1( / AM PM BLD
Location / 3 /0 3()) ei(J,(2,) Suite MEC i c ?` 0 0 1 4 1
Contact Person W k 7�' 5(C 70 PLM
Contractor UU 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
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 T FAIL
EC ANIC
Post & -earn
Ro ••
n • pampers
EL C PART FAIL
TRICAL
Service
Rough In '
UG /Slab 1 //////```"""''' el Low Voltage N 11
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 it I )1 I qf Inspector �,/ Ext v
Other 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.