Permit C ITY OF , T I G A R D MECHANICAL PERMIT
,N. DEVELOPMENT SERVICES
PERMIT #: MEC2000 -00321
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/9/00
PARCEL: 1S134BD-07009
SITE ADDRESS: 11470 SW SPRINGWOOD DR
SUBDIVISION: ENGLEWOOD NO.3 EXPIRED ZONING: R-4.5
BLOCK: LOT: 234 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: 1 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of furnace and exterior A/C unit. Unit cannot be placed within in the required setbacks.
Owner: FEES
ULLEY, STEPHEN VAND Type By Date Amount Receipt
470 SW J
1 PRMT BLD 8/9/00 $50.00 0004377
IGARD, OR R 9 9722 3
1470 SW WOOD DR SPOT BLD 8/9/00 $4.00 0004377
97223
Phone: Total $54.00
Contractor:
BODE HEATING AND A/C
151 SE HACIENDA STREET
ILLSBORO, OR 97123 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 649 -2440 Mechanical Insp
Reg #: LIC 0076115 Final Inspection
43
Q/
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:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 1 Inspection Description Date Passed By
Footing /Setback _ Underground cover
Foundation walls Wall cover
Footing drain _ Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab _ Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing -4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing -4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in EXPiREED
Welding Lab Final Fire damper WV (}'>
Concrete Lab Final Duct work 1G�55
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
11 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
• Sprinkler rough -in Plumbing top -out
• Sprinkler final RP/backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils J Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00321
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/9/00
PARCEL: 1S134BD-07009
SITE ADDRESS: 11470 SW SPRINGWOOD DR
SUBDIVISION: ENGLEWOOD NO.3 ZONING: R-4.5
BLOCK: LOT: 234 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: 1 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: 1
> 10000 cfm:
Remarks: Installation of furnace and exterior NC unit. Unit cannot be placed within in the required setbacks.
Owner: FEES
DULLEY, STEPHEN V AND Type By Date Amount Receipt
KATHLEEN J PRMT • BLD 8/9/00 $50.00 0004377
11470 SW SPRINGWOOD DR 5PCT BLD 8/9/00 $4.00 0004377
TIGARD, OR 97223
Total $54.00
Phone:
Contractor:
ABODE HEATING AND A/C
6151 SE HACIENDA STREET
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 649 -2440 Mechanical Insp
Reg #: LIC 0076115 Final Inspection
•
•
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -$ 010 through OAR 952 - 001 -0080.
You may obtain o••- of these rules or direct questions to OUNC bl alli 503 246 -9189.
Issue By: &Alm: t -= Permittee Signature: ',e• � �
r
Call (503) 639 -4175 by 7:00 P.M. for inspections n - 40 1 - . * us ness day
•
8/21/00 Activities for Case #: MEC2000 -00321
2:56:24 PM
Assigned Hold Updated
• Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
MECA007 Application received - 8/9/00 DLH DONE No Hold BLD 8/9/00
MECA008 Create Permit 8/9/00 DLH DONE No Hold BLD 8/9/00
MECA705 Gas Line Insp 8/14/00 KBS PASS No Hold KBS . 8/14/00 #-1- gas piping pt test= 11.5 psi
for 15 minutes (tag) # 380743
MECA715 Mechanical Insp 8/14/00 KBS FAIL No Hold KBS 8/14/00 #-1- extend B vent to ext 7
install cap
#-2- provoide combustionair
gX iRe s u p ply upper /lower
MECA799 Final Inspection 8/11/00 KBS ar No Hol B (� 1- no one available installer
will reschedule inspection
MECA060 (F) Issue permit 8/9/00 DLH DONE No Hold BLD 8/9/00
•
EXPIRED
•
•
Page 1 of 1
Plan Check #
' CITY OF TIGARD Mechanical Permit Application Rec'd By
",. 14125 SW HALL BLVD. Commercial and Residential Date Rec'd
i TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 'r Date to DST
Print or Type Permit# M &CaOV - ea 32/
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address A Suite# A) Permit Fee 16.00
•
Address i(Lrio 5t.0 *A,klzr 1) Furnace to 100,000 BTU t
Bldg# City/State Zip including ducts & vents I 9.65
de 9 7 2 2) Furnace 100,000 BTU+
including ducts & vents 12.00
Name (or name of business) , Floor Furnace
Owner S I Ve bu e, including vent 9.65
Mailing Address cl-)k 4) Suspended heater, wall heater
f t y �o SGt) 5
• r e or floor mounted heater 9.65
tao
P ., i� lyiG�O 5) Vent not included in appliance permit 4.75
City /State e� Zip Phone Check all that apply:
*Boiler Heat Air
For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp ,
S - ( - L- „ e _ 1)(._ 1( .E K 6) Repair units ■ 8.40
M ailing Address d
Occupant I _ 7) <3HP;absorb unit to
i < Co
Q �) ��' P R, Gt9vOC 100K BTU / 9.65
City/State Zip hone 8) 3 -15 HP;absorb unit
49 r�3- f 9 100k to 500k BTU 17.65
Contractor Nam 4 ` 2 9) 15 -30 HP; absorb
41 Q O D 1-( j____ unit .5 -1 mil BTU. 24.15
Address d`- 10) 30 -50 HP; absorb
Mailing to permit g 1 unit 1 -1.75 mil BTU 36.00
issuance, a copy 6. t S( .r Teri' evL 11) >50HP; absorb unit >1.75 mil BTU
of all licenses City/stile Zip Phone 60.15
are required if ;(` o OW_ '2 ¢ �f69 75 12) Air handling unit to 10,000 CFM
expired in COT regon Const. Cont. Board Lic.# Ex ate 7.00
database 76(K 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
Engineer City/State Zip Phone
4.75
_ _ 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 0 No Ate- 18) Domestic incinerators
Residential,t Commercial 0 Modification 0 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
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. prepare licensed engineer. 1 3.75
Type of fuel: oil 0 natural gas ( LPG 0 electric O 22) More than 4 -per outlet (each) .7
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.003 SUBTOTAL SO , n-ti
given is correct, that I am the owner or authorized agent of 8% SURCHARGE Si, c7)
the owner, that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL
Required for ALL commercial permits only
Signature of Owner /Agent � Date ) TOTAL I .5 y a t
Contact Person Name / Phone /N• Other Inspections and Fees:
/n 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
Jo 1r>, �ee7e�S �O �' 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commercial projects only: $50.00perhour
1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum
2. Provide drawings to scale showing existing and proposed mechanical charge hour) $50.00 per hour
'State Contractor Boiler Certification required
units. **Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 11/1/99
taf7e,Q1
ri )1A.
-rrai
CITY OF TIGARD BUILDING INSPECTION DIVISION
' MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
' BUP
Date Requested � / �t AM PM BLD
Location %/ '(10 5 w ,S, ^i G,v'd i2' Suite MEC 2 'o " - 00 3 Z/
Contact Person Ph 9 901- Ff 7) P M
Contractor Ph SWR
BUILDING 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 S . ! 5'41 .�a� 5 .c-e —
Insulation
Drywall Nailing CAS) 38 0 74.3
Firewall
Fire Sprinkler 4g ' K -77 7 Loi41
Fire Alarm
Susp'd Ceiling C�J �fi��� ���asr•1o.✓ ��� S vfOG� vP�,r,G� wc�y�
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECHANICAL
— rPost & Beam
Rough In
s me
o e D pers
ma
T eKlo
TRICAL
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 �y
Approach /Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 ! Business Line: 639 -4171
=UP
Date Requested Y AM PM BLD
Location /f 4 7 U 5 c- S��'�' �,. G 4 e ,DY Suite MEC ZG0t7 j Z
Contact Person 4P Ph .S PLM
Contractor - Ph SWR
BUILDING Tenant/ ner CA, 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 A! Ale OAv6 AvA /LA-4L . C4 t 2 i Lc.
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
T FAIL
MECHANICAL
Nost & Beam
Rough In
r as Line
-
Smoke Dampers
(inalj
'PA PART (AILS
ELECTRICAL
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 // ,,0 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.