Permit CITY OF TIGARD MECHANICAL PERMIT
i PERMIT #: MEC1999 -00249
``"l' DEVELOPMENT SERVICES DATE ISSUED: 6/11/99
l l Bl Ti
13125 SW H avd., Tigard, OR 97223 (503
PARCEL: 1 S135CD -09500
SITE ADDRESS: 09923 SW PIHAS CT
SUBDIVISION: JACOB COURT ZONING: R -12
BLOCK: LOT: 003 ` 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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Add air conditioning to an existing dwelling. A/C units cannot be placed within the required setback areas.
Owner: FEES
a'4- R-# Type By Date Amount Receipt
9923 So" ��. PRMT DEB 6/11/99 $50.00 99- 316076
V — ,9,e1 eaic g.73 5PCT DEB 6/11/99 $2.50 99- 316076
Total $52.50
Phone:
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34-341CR
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 N• • ' ation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtai ' copies of tese rules or direct questions to OUNC by calling (503)246 -9189.
Issue - i ! , ,L l / Permittee Signature: �� wa, ,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application
13126 SW HALL BLVD. Commercial and Residential frife QS 9
TIGARD, OR 97223
($03) 639 -4171, x304 �, •
Print or Type
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
• Job Street Address I S A) Permit Fee ':a ^. 16.00
2 S r . /� �J.. 1) Fumace to 100,000 BTU
Address �J W x I including ducts 8 vents see footnote 1,2 9.65
BI g# I City /State Zip 2) Furnace 100,000 BTU+
I77 O re / ®,'Q 7.L including ducts & vents see footnote 1,2 12.00
Name (or name of bust ss 3) Floor Fumace
Owner (Pair /eA o including vent see footnote 1,2 9.65
Mailing Ad ress 4) Suspended heater, wall heater
' ' j 2 `S W n /aJ or floor mounted heater see footnote 1,2 9.65
v� J (¢f,� 5) Vent not included in appliance permit 4.75
Ci Zip Phone Check all that apply: *Boiler Heat Air
• / 7qG(4 / oe. '7'f� p-3 S ff '3Y/ For items 6 -10, see or Pump Cond Qty Price Amt
Nan (or name of business) footnotes 1,2 • Comp
�` 6) <3HP;absorb unit to
5( 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 - HP; absorb
unit .5 -1 mil BTU 24.15
Contractor Name < _ 9) 30-50 HP; absorb
unit 1 -1.75 mil BTU 36.00
S AC ( JZh ' 10) >50HP; absorb unit
Prior to permit Mall g Address _ - >1.75 mil BTU 60.15
issuance, a copy gsd_ r / 1 ? s'r" 11 Air handling unit to 10,000 CFM
of all licenses Cstate , 1p Phone /, 7 / 7.00
are required if 7 70/70 ( ?7 , x"3 9. `Y 12) Air handling unit 10,000 CFM+
expired in COT Oreans Co nt. oard Lic.# Ex pat 11.75
database i J / / i61 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
M ailing Address 4.75
or 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 O Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Re entiO Commercial 0 48.25
19) Repair units
Additional information or des ption of work: 8.40
�, , / 20) Wood stove /gas FP /other units/clothe dryer /etc.
//I
• & � r�� 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 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric"( 22) More than 4 -per outlet (eac .75
Minimum Permit Fee $50.00 SUBTOTAL : > :::::: lii::: y'd
I hereby acknowledge that I have read this application, that the information 5% SURCHARGE '< :: ?'• >: > €< >: : < : >, : :: ,Q .'f V
': .• .. :.
given is correc that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL : <:z::!<s.:.:..:.: >. : » :; >.:::.:
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only :::*::::::::A::::: `•
• : >• € '> : : :: ::` `.`•• ":`.
q P TOTAL i � �,...; ';��i ::
Signature of Owner /Agent Date < >' a
Other Inspections and Fees:
1. Inspections outside of normal business hours (mininum charge -two
Conta erson Name . Phone ,/� hours) $50.00 per hour
1-40214 .4 2,1-5- X3 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 02/4/99
NOTES
c r,.„_ 1 , J. Lp r� '
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4ifr-____ U ----lap
,...■,...................... 641-4/-
7/25/99 Activities for Case #: MEC1999 -00249
6:26:26 PM
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
MECA007 APPlication received 6/10/99 GEO RECD No Hold GEO 6/10/99
MECA008 Create Permit 6/10/99 GEO DONE No Hold GEO 6/10/99
MECA730 Cooling Unt lnsp 6/10/99 6/10/99 • No Hold GEO 6/10/99
MECA799 Final Inspection 6/10/99 6/10/99 7/16/99 CD PASS No Hold AKJ 7/18/99
MECA050 (F) Ready to issue 6/10/99 GEO PASS No Hold GEO 6/10/99
MECA060 (F) Issue permit 6/11/99 DEB DONE No Hold DEB 6/11/99
MECA800 Case Finaled 7/18/99 AKJ DONE No Hold AKJ 7/18/99 •
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q • BUP
Date Requested - � ` q• AM PM BLD
Location t' [ Y l,, 1t S c7f. Suite MEC gqqq--rxv,i,
Contact Person WV) l LOLY■Ph CD 2f)-(q3 PLM
Contractor Ph SWR L�
BUILDING Tenant/Owner ELC (9 y 5
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Ins ction Notes:
Slab SIT
Post & Beam CZ ega Ext Sheath /Shear /i/i4 afPg
Int Sheath/Shear
Framing
Insulation
Drywall Nailing M e C 7 q % p q CO ) 2-c,
Firewall
Fire Sprinkler
Fire Alarm EL c_ ! 9 9 - D O 3 4e1
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING n(
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & tseam
Rough In
Gas Line
Smoke Dampers
• RT FAIL
TRI
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
41
daig, PART FAIL
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
Opproach /Sidewalk D ate ? ! 9 Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.