Permit I
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00354
` r�l �! DATE ISSUED: 8/30/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 103A13-04600
SITE ADDRESS: 11420 SW SHROPE CT
SUBDIVISION: WALNUT GLEN ZONING: R -4.5
BLOCK: LOT: 004 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: 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: Install NC unit. Cannot be placed within the required setback.
Owner: FEES
Type By Date Amount Receipt
PRMT CTR 8/30/00 $50.00 2720000000
5PCT CTR 8/30/00 $4.00 2720000000
Total $54.00
Phone:
Contractor:
FOUR SEASONS HEATING + A/C
PO BOX 66409
PORTLAND, OR 97266 REQUIRED INSPECTIONS
Final Inspection
Phone: 503 - 775 -5919
Reg #: LIC 48283
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.
Issue By: Permittee Signature:
GA L =w
Call ( 03) 639 -4175 by 7:00 P.M. for inspections needed the next business day
PIT, OF TIGARD Mec hanical Permit A lication Plan Check #
,,A,.., pp Application Rec'd B
13125 SW HALL BLVD. Commercial and Residential Date Rec' -oC
TIGARD, OR 97223 (� Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type paem,it # -09 3Sq
Incomplete or illegible applications will not be accepted Called
Name of DevelopmenVProject Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee 16.00
Address Jj�a7 SLv �JORI 1) including to ducts & vents BTU
+ including ducts &ents see footnote 1,2 9.65
Bldg# City/State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner R _a/L.8 fdrvneq including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
Y�
or floor mounted heater see footnote 1,2 9.65
(3 5 SW � /� 'R e1) 7672. f ?Joy' 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: 'Boiler Heat Air
•
5179 •O/V For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
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
unit 1 -1.75 mil BTU 36.00
lle 4/ )'/))/A.)6 10) >50HP; absorb unit
Prior to permit iling Address >1.75 mil BTU 60.15
issuance, a copy , / -»(' 66e0 `7 11 Air handling unit to 10,000 CFM
of all licenses y/State � n. Zip Phone 7.00
are required if 1 /) D `7 m o 7$-59/ 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85
database c (S' - , -d2, 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 O No O 18) Commercial or industrial type incinerator
Residential 0 Commercial 0 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 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL .
-
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE .
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
cii .
ature of Owner /Agent Date
Other Inspections and Fees:
11 �-- a0 1. Inspections outside of normal business hours (mininum charge -two
ontact Person N me Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
- '74'j 1,2 » A) 723 -'6V2 charge -half hour) $50.00 per hour
oonotes for co menial 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:Unechperm.doc rev 7/19/99
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I
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00354
` r�l �! DATE ISSUED: 8/30/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 103A13-04600
SITE ADDRESS: 11420 SW SHROPE CT
SUBDIVISION: WALNUT GLEN ZONING: R -4.5
BLOCK: LOT: 004 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: 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: Install NC unit. Cannot be placed within the required setback.
Owner: FEES
Type By Date Amount Receipt
PRMT CTR 8/30/00 $50.00 2720000000
5PCT CTR 8/30/00 $4.00 2720000000
Total $54.00
Phone:
Contractor:
FOUR SEASONS HEATING + A/C
PO BOX 66409
PORTLAND, OR 97266 REQUIRED INSPECTIONS
Final Inspection
Phone: 503 - 775 -5919
Reg #: LIC 48283
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.
Issue By: Permittee Signature:
GA L =w
Call ( 03) 639 -4175 by 7:00 P.M. for inspections needed the next business day