Permit t_- . i
A CITY O F TIGARD MECHANICAL PERMIT
m DEVELOPMENT SERVICES PERMIT #: MEC2000 -00076
`�" r�ll� 13 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03!10/2000
PARCEL: 1S134BD-06400
SITE ADDRESS: 11505 SW SPRINGWOOD DR
SUBDIVISION: ENGLEWOOD NO.2 ZONING: R -4.5
•
BLOCK: LOT: 152 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace existing gas furnace with like kind.
Owner: FEES
CHAMBERS, TYLER V + JENNIFER J Type By Date Amount Receipt
11505 SW SPRINGWOOD DR PRMT DST 03/10/20C $50.00 0000587
TIGARD, OR 97223 5PCT DST 03/10/20C $4.00 0000587
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
(CCB EXP 6/2002) REQUIRED INSPECTIONS
• TIGARD, OR 97223 Heating Unt Insp
Phone: 503 -624 -6895 Final Inspection
Reg #: LIC 00002734
PLM 26 -60p .
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.. -ose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain /lies : — les or direct questions to OUNC by calling (503)246 -9189.
Issue By: .. .,,,.../ -- „,6 4 4.,/,_-,,, c _ 1 I // Permittee Signature:
Call (503) 6 9-4175 by 7:00 P.M. for inspections needed the next business day
_f I R -02 -2000 13 :26 r
Plan Check #
CITY OF TIGARD • Mechanical Permit Application RECEIVE ®Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rek'd
TIGARD, OR 97223 MAR 0 8 ZO ate to P.E.
1
503) 6394171, X30 C OMMUN ITY DEVELDPIVf't4v"
(4) /O 5 5 9 g Print or Type Called
Job
Incomplete or illegible applications will not be acc epted
Name of DevelopmanUProJoct Description
f� Table 1A Mechanical Code Q Price Amt
1i/er C "� A) Permit Fee ate to DST
16.00
Street
Address 50 s� ) 1 ) Furnace d to 100,000 BTU (0 S .
� prl h w000l including ducts & vents see footnote 1,2 1 9.65
Bidet/ crly to vp 2) Furnace 100,000 BTU+
gores► 47_. _ ' including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
including vent see footnote 1,2 9.65
Owner 4) Suspended heater, wall heater
Melling address or floor mounted heater see footnote 1,2 9.65
5) Vent not included In appliance ermlt 4.75
city/stele 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
6) <3HP;absorb unit to
I - 100K BTU 9.65
Occupant Matino Addrets 7) 3-15 HP;absorb unit 17.65 100k to 500k BTU
Cipr/Stme . zip Phone 8) 15 -30 HP; absorb
unit .5-1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Nam° unit 1 -1.75 mil BTU 36.00
G Co - lYlor(,an alb 10) >50HP; absorb unit
Prior to permit �" ne c , • 1 -�1 Tri �. ,' >1.76 mil BTU 60.15
issuance, a copy �( ( 1 � ill i 11 Air handling unit to 10,000 CFM
of all licenses c to frge J 7.00
are required if -- 44921 - ,4 7 7.2, ,3 0 Q s • 12) Air handling unit 10,000 CFM+
expired in COT 7nSt Cant. Board LIc.0 Dal 11.85
database tom[ 7 � _ tA � 1 13) Non - portable evaporate cooler
7.00
Architect Name
14) Vent fan connected to a single duct
4.75
Or Meiling Address
15) Ventilation system not Included in
appliance permit 7.00 ,
Engineer CltyIStara ZIP Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New O spa r 0 Replace with like kind; Yes)111 No O 18) Commercial or Industrial type incinerator
48.25
Residential Commercial O 19) Repair units
8.40
)'R.1%
4dditional Information or description of work
(ii.. q (� s - � 1.1 l� Yl Q C 20) Wood stove/gas FP /other units/clothe dryer/etc.
7.00
KOTE: r Commercial projeSts only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 3.75
rype of fuel: oil 0 natural gas K LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL ?> + '�t4 f)
a2
hereby acknowledge that I have read this application, that the information g% SURCHARGE . 4
liven is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL • <<�,,�' ,, • "" ' , •
Required for ALL commercial permits only .
. d 7
he owner, that plans submitted are in compliance with Oregon State laws. TOTAL • 0lz1r O'0
ilgnatur f OwnerlAgent Date
Other Inspections and Fees:
1)� 1. Inspections outside of normal business hours (mininum charge -two
:o arson Name Phone hours) 550.00 per hour
- � 1 2. Inspections for which no fee is specifically Indicated (minimum 5)
lPi )S 6 .2y -6a3Q charge -half hour) $50.00 per hour
'oonotes for commercial projects only: • 3. Additional plan review required by changes, additions or revisions to
I. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
1. Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certiflcstlon required
units. "'Residential A/C requires site plan showing placement of unit
r•lrhsrh..n.. s Ars" ram 7/70/00
TOTAL P.05
8/21/00 Activities for Case #: MEC2000 -00076
1:35:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 3/8/00 GEO MAIL No Hold GEO 3/10/00
MECA008 Create Permit 3/10/00 GEO DONE No Hold GEO 3/10/00
MECA725 Heating Unt lnsp No Hold GEO 3/10/00
MECA799 Final Inspection No Hold GEO 3/10/00
MECA060 (F) Issue permit 3/10/00 GEO DONE No Hold GEO 3/10/00
MECA075 (F) Reprint Permit 8/14/00 ZZZ DONE • No Hold ZZZ 8/14/00 •
•
Page 1 of 1
CIT Y OF'TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /2 2 7 AM � PM BLD
Location / DSO 5 4, SA 4vovc1 ,e)) Suite MEC o vv -G do 7j
Contact Person GP° ' ' 4 -"— Ph 77/ PLM
Contractor 0 7 C44 Ph Soy - Z%3y 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
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
Post & Beam
Rough In
Gas Line a 4e,
Smoke Dampers
PA SS PART FAIL
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
Other Date /2 —Z�� Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested • Z 7 AM PM BL
Location 11 SOS 9 cvvvcl 17"- Suite ® �G -G Op 76
Contact Person Ph - Go 3 v PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: IO�A -S
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing [�% i/l� // A.4 S Eki ST1Ac1C_
Insulation
Drywall Nailing '7 c = C' - • /4 ecc - F —
Firewall
Fire Sprinkler .F� iu! L4..r • — - i
Fire Alarm
Susp'd Ceiling `h ,, C
Roof
Misc: i L � � i' -' 6' LI-< //eZ SA - 6l7 (f N `—oiC
Final
PASS PART FAIL 1 7 r�_ri"
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECHANI
Beam
Rough In
Gas Line
S I oke Dampers
• • SS PART FAIL
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 • — Zip ` Inspector r Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.