Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2000 -00137
�; DEVELOPMENT SERVICES DATE ISSUED: 04/19/2000
'�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 04 DA -00800
SITE ADDRESS: 12522 SW QUAIL CREEK LN
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 045 JURISDICTION: URB
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install 1 air conditioning unit to single family dwelling. A/C units cannot be placed within the required setback
areas.
Owner: FEES
LINDA MCCLURE Type By Date Amount Receipt
12522 SW QUAIL CREEK RD 5PC2 KJP 04/19/20C $4.00 0001561
TIGARD, OR 97223 PRM4 KJP 04/19/20C $50.00 0001561
Total $54.00
Phone: 503 - 579 -2332
Contractor:
ENERGY MASTERS HEATING + A/C
7470 SW 76TH
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Cooling Unt lnsp
Phone: 244 -8880 Final Inspection
Reg #: LIC 000585
PLM 26 -476PB
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 of these rules or direct .question • sUNC •
calling (503)246-s 8 ; I
( • Permittee Si nature: i �� '
Issue By: „ 9 _ . i , -
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Rek dB
13125 SW HALL BLVD. Commercial and Residential Date Rec
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 �- / Date to DST
Print or Type .. Permit# fvW ak o-Oor37
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address 9 y � uite# A) Permit Fee - _ �° 16.00
Address %).5 2.'2... QI�a. "- Il 1) Fumace to 100,000 BTU
including ducts 8 vents see footnote 1,2 9.65
Bldg# City/State • • 2) Furnace 100,000 BTU+
a'7�- _ including duds 8 vents see footnote 1,2 12.00
Name (or na a of business 3) Floor Furnace
Owner 1 v L& including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
( L 5j.-2• QUJL Cte..e I.. 5) Vent not included in appliance permit 4.75
City /state Zip Phone Check all that apply: *Boiler Heat Air
L) q7Z 5- -2332 For items 6 -10, see or Pump Cond Qty Price Amt
Nam( name of business) footnotes 1,2 Comp
6) <3HP;absorb unit to
100K BTU 1 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
Name 9) 30 -50 HP; absorb
Contractor j , ` unit 1 -1.75 mil BTU 36.00
YIL, 10) >50HP; absorb unit
Prior to permit Mailin Add resef 1 >1.75 mil BTU 60.15
issuance, a copy 77 0 5 Vft 11 Air handling unit to 10,000 CFM
of all licenses /state Zip Phone 4' 7.00
are required if r�o �'�- 1 73 244_t1?) 12) Air handling unit 10,000 CFM+
expired in COT Oreg Const. Cont. 8 and Lic.# Exp. Date_ 11.85
database ���� 13) Non - portable evaporate cooler
Architect Name /ViJ' o 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 O Repair O Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residentii Commercial 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 O natural gas O LPG O electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL ,: $c-
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE Y d0 .
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 .�
Signat of Owner/ gent Date - ... ��,
\ Jj !k.& JL.L.k �' ��� '1 ' Other I nspecti ons and Fees:
�1 V 1. Inspections coons o utside of normal business hours (mininum charge -two
Conta t Person Nam Phone hours) $50.00 per hour
A � J l 2. Inspections fo ee r which no t is specifically indicated (minimum
e �b1 t �t L4'4 2`t�t-�g�td charge -half hour) 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 *St Contractor Boiler Certification required
units.
'Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99
?Olt- — 4-a5
nAG '�L a TIME ALLOWANCE
JOB NAME l� ��
FURNACE: 80% 2 STG 80% 1 STG 90% 2 STG 90% 1 STG
OTHER
BTU's
UPFLOW DOWNFLOW HORIZONTAL
FLUE LINER: 4" 5" 6" 25' or 35'
EXISTING HE
AIR CONDITIONER:
2TON 2.5TON 3TON 3.5TON 4TON OTHER
• COIL: REGULAR SUMMIT HORIZONTAL
LINE SET: 25' 35' V
ELECTRONIC 'AIR CLEANER: 16x25 20x20 20x25
ELECTROSTATIC FILTER -
� IN PLACE MOVE —.I
WATER HEATER: 40 gal 50 gal STAND
RANGE _. FT
GAS LINE: FIREPLACE FT BQ FT
DRYER FT FT
WTR HTR FT FURNACE
OTHER FT
ADDITIONAL DUCTWORK
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PLOT PLAN:
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