Permit , •..
CITY OF TIGARD
MECHANICAL PERMIT
1� DEVELOPMENT SERVICES PERMIT #: MEC2000- 0051\1
I I
�4L cI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/28/00
ter.
PARCEL: 2S102CB -00500
SITE ADDRESS: 10250 SW SCHOOL ST
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 034 JURISDICTION: TIG
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: DOMES. INCIN:
GAS 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 2
Remarks: Replace Furnace
Owner: FEES
HILCHEN, PAUL + LEANN Type By Date Amount Receipt
10250 SW SCHOOL ST PRMT CTR 12/28/00 $72.50 2720000000
TIGARD, OR 97223 5PCT CTR 12/28/00 $5.80 2720000000
Total $78.30
Phone:
Contractor:
ENERGY MASTERS HEATING + NC
7470 SW 76TH
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 244 -8880 Mechanical Insp
Reg #: LIC 58556 Final Inspection
PLM 26 -476PB
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 questions to OUNC by calling (503)246 -9189.
Permittee Signature:
By: 9 &L.4ttI B
Call (50 ) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
4 t .Y, I
1 • Date received: ' . 2.g Penn t n f,(�„ , to err, �I.l. „•J I City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 - 1960 • Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
1< & 2 family dwelling or accessory ❑ ommercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ►= Addition/alteration/replacement ❑ Other:
•
JOB SITE•INFORMATION COMMERCIAL VALUATION SCHEDULE - '
. Job address: 1 C S GIN SehOC)1_,ti , Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no :: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ .
Lot: 'Block: I Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: TIo - I ZIP: tom', -z •1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Descriptio and 1 ation of work on premises: l rlkitri 1L1 AND COMMERICAL/INDUSTRIAL EQUIPMENT SCHEDULE
- A • � , eQJ TdOCbtanl qv 10 U •F Fee(ea.) Total
Est. date 'of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Air handling unit CFM
Is existing space heated or conditioned? ❑ ❑ No Air conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system
IYIECHANICAL CONTRACTOR Boiler /compressors
State boiler permit no.:
- Business:name: ENERGY MASTERS INC . - HP Tons BTU/H
Address: 7470 S W 76 t h Fire/smoke dampers/duct smoke detectors
City: PORTLAND I State: OR I ZIP: 97223 Heatpump(siteplanrequired)
Phone:2 4 4 — 8 8 8 0 I Fax: 244-92 5I(-mail: ' Install/replace furnace/burne[ BTU /H i
Including ductwork/vent liner G Yes fd1to
CCB no.: 58556 Install /replace/relocateheaters — suspended, •
City/metro lic. no.: 3961 wall, or floor mounted
Name (please print): Vent for appliance other than furnace
CONTACT PERSON Refrigeration: _
Absorption units BTU/H
Name: NM/r L ' Chillers HP •
Address: same as a ve Compressors HP
State: ZIP: Environmental exhaust and ventilation: .
City: I I Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type U II/res. kitchen/hazmat
T Q,(n hood fire suppression system
Name: `t' A kei-.4 .4 ) Exhaust fan with single duct (bath fans) - -,
Mailing address: ( 0 0 'l C4 . -- • Exhaust system apart from heating or AC
City: "rf State l� �': a n -a3 el p ping an - r - b on up to ou ets
Type: LPG t. NG Oil
Phone: - 331k Fax: E -mail: Fuel piping each additional over 4 outlets
Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert-type •
Phone: Fax: • E- ail: Woodstove/pellet stove
Other:
' Applicant's signature: mlltlm1�mL_„�Lm- n?i )IS Other:
Name (print): ,S3u,( ,
' Not all jurisdictions accept credit cards, please can Jurisdiction for more information' Permit fee $
O Visa O MasterCard Notice: This permit application Minimum fee $
P lan review (at %
Credit card number / / expires if a permit is not obtained ( %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount , • 440-4617 (6/00/COM) -
.,. L �
MST - Master Permit
Inspection Description Date Passed By Notes
Grading
Footing /Setback
Foundation walls
Slab
Footing drain
Waterproof basement walls
Plumbing underslab
Crawl drain
Post/beam plumbing
Post/beam mechanical
Underfloor insulation
Post/beam structural
Shear walls /anchors
Exterior sheathing
Plumbing top -out
Gas line & test l— 3/-6(
Mechanical rough -in
Electrical rough -in
Electrical service
Low voltage
Sprinkler rough -in
Backflow preventer
Roof nailing
Firewall
Framing
MFG -Home set -up
Insulation
Drywall nailing
Masonry/Reinforcement
Rain drain
Sanitary sewer
Water service
Pump /fill septic tank
Approach /sidewalk
Grading final
Mechanical final ? -1 '- 0 1 1 d\
Plumbing final
Electrical final
Final inspection 7 - 18- O 1
Special Reports
SW R - Sewer Permit
Inspection Description Date Passed By Notes
Sanitary sewer
Final inspection
INSPECTION RECORD — MST (MASTER) PERMITS
i
A CITY OF TIGARD MECHANICAL PERMIT
ti , DE VELOPMENT SERVICES PERMIT #: MEC2000- 0051'1
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/28/00
PARCEL: 2S102CB -00500
SITE ADDRESS: 10250 SW SCHOOL ST
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 034 JURISDICTION: TIG
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: DOMES. INCIN:
GAS 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: 2
> 10000 cfm:
Remarks: Replace Furnace
Owner: FEES
HILCHEN, PAUL + LEANN Type By Date Amount Receipt
10250 SW SCHOOL ST PRMT CTR 12/28/00 $72.50 2720000000
TIGARD, OR 97223 5PCT CTR 12/28/00 $5.80 2720000000
Total $78.30
Phone:
Contractor:
ENERGY MASTERS HEATING + A/C
7470 SW 76TH
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 244 -8880 Mechanical Insp
Reg #: LIC 58556 Final Inspection
PLM 26 -476PB
C)
I
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 - 0080.444411,
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: Permittee Signature: £1L..4figt44 4 / �j'L _At 411
Call (50 ) 639 -4175 by 7:00 P.M. for inspections needed the next business day
• CITY'OF'�'IGARD BUILDING INSPECTION DIVISION ;�, ` '!
24-Hour Inspection Line: 639 -4175 Business Line: 639 171
/ 3 / BUP Ar
Date Requested > ( AM PM BLD
Location /0 2,5 LJ 56 .Sc44 / S Suite MEC Add —4651 1
Contact Person Ph . VI/ g G PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation 04 t( f' 6" .VI r 1- & 6 toz-A„.-- 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
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
<NIECHANI
Post & Beam
RC° X
. - ; . mpers
ASS y 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 1 3 /`— Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYVF T1GARD BUILDING INSPECTION DIVISION
1 II
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested �� 0 AM PM BLD
Location / U Z57) SW C04 ,` Suite MEC 2 G - 6 05//
Contact Person Ph & VV - 5g Bc PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: V ,�
Slab � �� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing Lfj tsr bu S77 vA) 4, rL - Ni s t 0,
Insulation
Drywall Nailing c,e rt-r . 410
Firewall
Fire Sprinkler Sii 25 y a w "41 ,, .L, t c,47 S,
Fire Alarm
Susp'd Ceiling OP / 'a/z- L-
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
I xa:T'UR\
Post & Beam
Rough In
Gas Line
Smoke Dampers
Fi I
AS PART FAIL
CTRICAL
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
Other Date 7 —/ �� d1 Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.