Permit CITY TIGARD MECHANICAL PERMIT
All DEVELOPMENT SERVICES PERMIT #: MEC1999 -00359
" ' .�,� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/01/1999
Y\ p W
PARCEL: 2S115AD -07500
SITE ADDRESS: 10521 SW RIVER DR
SUBDIVISION: DOVER LANDING ZONING: R -4.5
BLOCK: LOT: 058 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
WOODSTOVES: 1
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 a gas fireplace insert.
Owner: FEES
HYDE, HENRY P + E LORRAI NE Type By Date Amount Receipt
10521 SW RIVER DR PRMT GEO 09/01/19 $50.00 99- 318073
TIGARD, OR 97224 5PCT GEO 09/01/19 $3.50 99- 318073
Total $53.50
Phone:
Contractor:
T + K MECHANICAL
TIMOTHY S WYNNE
11525 SW CANYON REQUIRED INSPECTIONS
BEAVERTON, OR 97005 Final Inspection
Phone: 626 -4652
Reg #: LIC 00121165
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 th -se rul-s or direct questions to OUNC by calling (503)246 -9189.
Issue By: - ' Permittee Signature:
Call (503) 639 -4 5 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application R Plan Che
ec'd By
1315 SW HALL BLVD. RECEIVED Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 AUG 3 ® 1999 Date to DU__
DEVELOPMENT Print or Ty Permit # Off oo3s�7
I ��ip� 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 " :t:_.--Ai,;:44'.=:4 16:00
1) Furnace to 100,000 BTU
Address 16 591 S UP I/ �r including ducts & vents see footnote 1,2 9.65
Bldg# City/State Zip
2) Furnace 100,000 BTU+ •
_ including ducts & vents see footnote 1,2 12.00
Na a (or name of bus' ess) 3) Floor Furnace
Owner 7T de_ , f # 0 iti •:. ncluding.vent :.... see footnote 1,2. - • 9.65
Ma' g Address 4) Suspended heater, wall heater
a) S • or floor mounted heater see footnote 1,2 9.65
cXX I /Jr 5 Vent not included in appliance perm 4.75
City/State Zip Phone Check all that apply: *Boiler Heat Air
� / av j ( k97f For items 6 -10, see or Pump Cond Qty Price Amt
Namer name of business) footnotes 1,2 Comp
OS 7� 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 I Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
Contractor Name 9) 30 -50 HP; absorb
T 1 �/ tl Q� IdSpic;rtoi120432), unit 1-1.75 mil BTU 36.00
arJ� / -( r r >50HP; absorb unit
Prior to permit Mailin. Address >1.75 mil BTU 60.15
issuance, a copy' .._ _ I OK_ 11 Air handling unit to 10,000 CFM
of all licenses 'l' F Phone 7.00
are required if / i i0 > • �r A �;_ , - ,r 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.75
database 13) Non - portable evaporate cooler .
Architect Name 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 0 Repair 0 Replace with like kind: Yes 0 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
10 111 ' �i kne ir 1a (e_ 1 n se 1. - J 3 l r � V� 20) Wood stove/gas FP /other units /clothe dryer /etc. 7.00 700 42- 4.TE: For Commercial projects only; Units ove'f 400 lbs. re uiPe ( 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 O 22) More than 4 -per outlet (each) .75
■ n F $ n SUBTOTAL _2t -,�0
Minimum Permit slit � cc .p.i�.vti r � .:.. ' ,... g�s°;g-
hereby acknowledge that I have read this application, that the information 7% SURCHARGE fir:
• given is corre hat I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, •tans s •miffed are in •mpliance with Oregon State laws. Required for ALL commercial permits only
e TOTAL
Sign - • of Own gent a Date ( ,_
(l c� > 97 / Other Inspections and Fees:
(/ 1.. Inspections outside of normal business hours (mininum charge -two
Con Person N. e , Phone ' hours) $50.00 per hour
e i r / l L ` ��_ JJ C 2. Inspections for which no fee is specifically indicated (minimum
( ( t (G `( (pJ charge -half hour) $50.00 per hour
Foonotes fo 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
I:\mechperm.doc rev 02/4/99 ,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
QQ BUP
Date Requested 9 — 9/ 1 AM PM BLD
I�
Location l 0S2_ � t1€ � or. Suite 6
6,/ / MEC 19W a S
Contact Person J ±)C— Ph 3‹ -�'1 PLM
Contractor Ph SWR
BUILDING,t _ : 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 Cif
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 PART FAIL
41ECHAN1CAt)
Post & Beam
Rough In
Gas Line
Smoke Dampers
'p a
S PART FAIL
yECTRICAL
Service _
Rough In
UG /Slab 4
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 �j ��2
Other Date ? Inspector ) - " ' • �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.