Permit - CITY OF TIGARD MECHANICAL PERMIT
AV . si, DEVELOPMENT SERVICES PERMIT #: MEC2000 -00333
`' � II DATE ISSUED: 8/16/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S109DD -06100
SITE ADDRESS: 12730 SW PRINCE ALBERT CT
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
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: 1 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:
Remarks: Installation of one a/c unit.
Owner: FEES
ROBERT MCBETH Type By Date Amount Receipt
12730 SW PRINCE ALBERT CT PRMT DEB 8/16/00 $50.00 KING CITY
KING CITY, OR 97224 5PCT DEB 8/16/00 $4.00 KING CITY
Phone: 443 -4728 Total $54.00
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PO BOX 10948 REQUIRED INSPECTIONS
PORTLAND, OR 97296 -0948 Cooling Unt Insp
Phone: 224 -8516 Final Inspection
Reg #: LIC 00008388
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 -00 h OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling ( 3)246-9189
Issue Permittee Signature: B c�,c� ,Ave . , / !
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next usiness da /
'J 15 -00 TUE 10:08 AM City of King City FAX:503 639 3771 PAGE 2
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rcc'd By •
• • 13125 SW HALL BLVD. Commercial and Residential Date Recd —012
TIGARD, OR 97223 Date to P.E. •
Date to DST 8 �6"
•(503) 639 -4171, x304 Datet 17 aid -Nee
• • P rint or Type called
• . Incomplete or illegible applications will not be accepted • •
Name of DeveloprnenV Description •
- Table 1A Mechan Code . - •
• Qty Price Amt
S tr eet Address suites
A) Permit Fee' a 16.00 •
• Job L � =1) : Furnace to 100,000 BTU
Address 1 3 a_ � ) r "� ` J� .. including ducts $ vents see footnote 1,2 • 9.65 _
aMy C fate Yip • / 2) Furnace900,000 BTU+
• C�/7 S� 2 2 T including ducts & vents .see footnote 1,2 12:00 •
•
•
• Name far name of business) f 3) F loor Furnace
Owner � l''' f Z/I
gr> 4 / O` p /� • • • • including vent • see footnote 1,2 9.65
•
1 . 'I)' Suspended heater, wall heater • Malting address Or floor mounted heater sea footnot® 1,2 9.65
I 2� 3 $ i f /�i�t ui `� 5) Vent not included in appliance permit 4.75
/State z Phone Check all that apply: 'Boiler Heat Air
. e g h i i f • l yY _ y7•Zic • '. For Items 6.10, see • or Pump Connd Qty . Price . Amt •
• Na ( nar�f of bustnese footnotes 1,2 Comp
• °�� A .. , 6) <3HP;abaob unit to
J li�� 100K•BTU 1 9.65 t
• Occupant Haling Addreu • ' . ' '7) 3-15 HP;absorb unit 17.65
•
100k to 500k BTU —
City /State L phone 8) 15 -30 HP; absorb •
• unit .5-1 mil BTU 24.15
'9) 30-50 HP; absorb
Contractor " A unit 1.1,75 mil BTU 36.00
� rS c--• . O./ 6 • .10) ?50HP; absorb unit , •
Address D 9 >1 mil BTU _
Issuance, a copy _ 7.00
required i • 60.15 .
Prior to permit M airng / L S-- i P `� . 11 Alr handling unit to 10,000'CFM
Oran C tsre � ✓ l 2 .�
are *aired f d r F c," --- ` Z Y -8 12) Air handling unit 10,000 CFM+ . •
database 7,00 on Contecerd Lice . Exp, Date 11.85
• expired In COT on $ � —10 13) Non - portable evaporate cooler ,
Architect • Nam e
14) Vent fan connected to a single duct
. 4.75 • Or Mailing Address 15) Ventilation system riot included in •
. appliance permit 7.00
Engineer City/Stale Zip • P hone • 16) Hood served by mechanical exhaust
7.00 •
17) Domestic incinerators •
Describe work to be done: 12.00. • 18) Commercial or Industrial type incinerator'
New O Repair O Replace with like kind: Yes 0 No 0 • 48.25
Residential 0 Commercial r 19) Repair units
8.40 •
Additional Information or description of work: 20) Wood stove/gas FP /other units /clothe dryer /etc..
7.00
-
NOTE; For Commelrlal projects only; Units over 400 lbs, require .21) See footnote 1 3,75
Gas piping one to four outlets
structural gas talcs. 22) More then 4-per outlet (each) 75
Type of fuel: • oil 0 natural gas.0 LPG 0 electric O ;;.:,� � • ,,,,; :,f: ,pO
• Minlmum.Pe Fee $50:00 SUBTOTAL � .:.',,
8 %SURCHARGE ' ?'; :' ' 00
n is I hereby acknowledge that I have read this application, that the information PLAN RirVlkl►Y 25 °� OF SUBTOTAL • ,;st ,'° ;:- ie,� , . ; .
give correct, that I am the owner or authored agent of . ',1} .',1 • r 193.: :' :.
Required for ALL coinmerclal permits onl . �
1 •
the owner, that plans submitted are in compliance with•Oregon State laws.. .. TOTAL ;;, -; E 1 'n , •
Si • - J.!, - • Agent D Other Inspections and.Fees: '
( /S / Z.w+ . 1. Inspections outside of normal business hours (minlnum charge -two
• hours) $50.00 per hour. . •
ontact Person Name Phone 2. Inspections for which no fee Is specifically Indicated (minimum
• 5 . r • • � E �� f c o Z 1..: — t 5 • .. charge -half hour) $50.00 per hour
d 3. Additional plan, review required by changes, additions or revisions to
Foonves for commercial projects only: plans (minimum charge -one -half hour) $50.00 per hour
1. Provide fug schematic of existing and. proposed gas line and pressure.
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
1 :lmechperrn.dec rev 7/19/99 .. : • •
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested d 2 — AM PM BLD
Location t L'1 30 w Orly+ c-c 4 6 Suite MEC .2 -00 333
Contact Person � u c Ph (l 4 3 - ¥ 7 ZY 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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm L C U/u
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab -
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P RT FAIL
MECHANICA
Post Beam
Rough In
Gas Line
Smoke Dampers
1 PART FAIL
EL 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 Q
Other L� Z ( O ,. ..'1nsPector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.