Permit + CITY OF T I GA R AL MECHANICAL PERMIT
r DEVELOPMENT SERVICE R
l PERMIT #: MEC1999 00489
' � II- � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 11/16/99
PARCEL: 2S 114BD -03000
SITE ADDRESS: 09580 SW RIVERWOOD LN
SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R -7
BLOCK: LOT: 070 JURISDICTION: TIG
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: DOMES. INCIN:
LPG 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: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replacement of gas furnace with like kind.
Owner: FEES
TENCE, DAVID A + NANA B Type By Date Amount Receipt
9580 SW RIVERWOOD LN PRMT DEB 11/16/99 $50.00 99- 319797
TIGARD, OR 97224 5PCT DEB 11/16/99 $4.00 99- 319797
Total $54.00
Phone:
Contractor:
WHITES MECHANICAL SERVICES INC
5340 NW CROENI ROAD
HILLSBORO, OR 97124 -8514 REQUIRED INSPECTIONS
Heating Unt lnsp
Phone: 690 -3489 Final Inspection
Reg #: LIC 64455
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 ■ • ificati• Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtain c• •ies •f h- rules or direct questions to OUNC by c- ing ( • 3)246 -91:9.
Iss e By: i� / 0 /j1),� Permittee Signature: j _ / I te a,W�dz. - 0
Call (503 639 -4175 by 7:00 P.M. for inspections needed the next ., usiness say
CITY 9F TIGARD Mechanical Permit Application Rec
he
CITY
43125 SW HALL BLVD. Commercial and ResfeertalED Date edd "y-6 -
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 NOV 161999 Date to DST
Print or Type 1
Permit # P'f()i9y / '
p�V r
/ Incomplete or illegible applicati � li i ue cce p ted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address R t N/ e R VY amts# A) Permit Fee 16.00
p W w / 1) Ft,. . to 100,000 BTU [�f r
Address . - o 5 a n e- including ducts & vents 7, v
B ldg# City /State zip 2) Furnace 100,000 BTU+
Tigard D R 9 � a including ducts & vents 12.00
Name (or name of busines / / 3) Floor Furnace .
Owner 1 /a _ t'1 42- ( Tea e E including vent 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 9.65
5) Vent not included in appliance permit 4.75
City/State Zip I Phone Check all that apply: I *Boiler I Heat Air
I For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) . • footnotes 1,2 Comp
6) Repair units
8.40
Occupant Mailing Address 7) <3HP;absorb unit to
100K BTU 9.65
City /State Zip Phone 8) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
Contractor Name e 5 V 1 C E'S 'Tn c�
7 9 ) 15-30 HP; absorb
I P unit .5-1 mil BTU 24.15
� 1 ' F c P O �7 Q n r CL+. 10) 30 -50 HP; absorb
\\ (;, is Prior to permi Mailing Address a unit 1 -1.75 mil BTU 36.00
uance, a copy s 4 - "q 140 N W L R E I J f 11) >5OHP; absorb unit >1.75 mil BTU
ti of all licenses City/Slate Zip ebor� ,p 60.15
are required if � t Its S b oe- 9 /a 12) Air handling unit to 10,000 CFM
expired in COT - Oregon Const. Cont. Board Lic.t/ Exp. Date : 7.00 • '
/
database r0 4I4_5 - //& , 13) Air handling unit 10,000 CFM+
Architect Name 11.85
14) Non - portable evaporate cooler
or Mailing Address 7.00
15) Vent fan connected to a single duct
• 4.75
Engineer City /State Zip Phone 16) Ventilation system not included in
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00
New 0 Repair 0 Replace with like kind: Yes No 0 18) Domestic incinerators
Residential 0 Commercial 0 Modification O 12.00
19) Commercial or industrial type incinerator
Additional information or desRription of work: 48.25
Re- m o v e ca- 00.P e- p I a C 20) Other units, including wood stoves
7.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared >. licensed engineer. 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 o SUBTOTAL +r p
given is correct, that I am the owner or authorized agent of 8 /o SURCHARGE /f.pa
PLAN REVIEW 25% OF SUBTOTAL I
the • • ne , that plans u. • are in compliance with Oregon State laws. Required•for ALL commercial permits only . ,
Si • nature, • re e / • ge t AS Date /9` / TOTAL I '.0
t, - �jjjfi r 4, _ / - Other Inspections and Fees:
Contact Pe • on ame Phone �_ � � �,
4 ® ! 1. Inspections se ou (mm urs) A
f /Gf; -�' C 2. Inspections for out widhich of no normal fee is speci business fica ind icated inimu (minimum charge -two charge ho-half 350 hour) 0 per hour
Foonotes for commercial projects only:
$SO
3. Additional o onaal l plan review required by changes, additions or revisions to plans (minimum
1. Provide full schematic of existing and proposed gas line and pressure. charge - 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:\mechperm.doc rev 11/1/99 9q Z/9)77 si7
1 /20 /00 Activities for Case #: MEC1999 -00489
1:37:44 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
• MECA007 Application received 11/16/99 DEB DONE No Hold DEB 11/16/99
MECA008 Create Permit 11/16/99 DEB DONE No Hold DEB 11/16/99, •
MECA725 Heating Unt Insp 11/16/99 11/16/99 11/29/99 TLP DONE No Hold TLP 11/29/99
MECA799 Final Inspection 11/16/99 11/16/99 11/29/99 TLP DONE No Hold TLP 11/29/99
MECA060 (F) Issue permit 11/16/99 DEB DONE No Hold DEB 11/16/99
MECA075 (F) Reprint Permit 11/16/99 DEB DONE No Hold DEB 11/16/99
MECA800 Case Finaled 12/9/99 JMT DONE No Hold JMT 12/9/99
•
•
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
// / BUP
Date Requested / / 1 l �5 AM PM BLD
Location q C86 &L-/ mod 4� � �� Suite MEC / 2 [ -
Contact Person (,�J4, -t-5 /L Ph 9 .3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation Q� f' FPS
Ftg Drain
Crawl Drain Inspecflgn N es: SGN
Slab 1� 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
FAIL \ y
MF(H
P o gh Ine
Gas Line
• :D Dampers l /lam
:r• SS - ART FAIL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date / i • i / Inspector \ ~� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.