Permit C ITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00107
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/29/00
PARCEL: 1 S134CB -01600
SITE ADDRESS: 12190 SW SUMMER ST
SUBDIVISION: SUMMER HILLS PARK ZONING: R-4.5
BLOCK: LOT: 017 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:
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: Replacing with like kind furnace and exterior A/C unit. Exterior A/C unit must not encroach within 5' of side or
rear yard setbacks.
Owner: FEES
ALLOWA, R DOUGLAS JUDITH Type By Date Amount Receipt
2190 , OR 97 223 3 2 ST
IGARD, PRMT BON 3/29/00 $50.00 0001017
IGA 97223
5PCT BON 3/29/00 $4.00 0001017
Phone: Total $54.00
Contractor:
AA HEATING + COOLING
915 NE MARTIN LUTHER KING BLV
ORTLAND, OR 97212 REQUIRED INSPECTIONS
Misc. Inspection
Phone: 284 -2173 Final Inspection
Reg #: LIC 00000222 tin
EXPIRED
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes 0
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
J Inspection Description Date Passed By 4 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 I 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 � Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
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!u
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 4 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
rA, DEVELOPMENT SERVICES PERMIT #: MEC2000 -00107
`'41 DATE ISSUED: 03/29/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134CB-01600
SITE ADDRESS: 12190 SW SUMMER ST
SUBDIVISION: SUMMER HILLS PARK ZONING: R -4.5
BLOCK: LOT: 017 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:
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: Replacing with like kind furnace and exterior A/C unit. Exterior A/C unit must not encroach within 5' of side or
rear yard setbacks.
Owner: FEES
GALLOWA, R DOUGLAS JUDITH Type By Date Amount Receipt •
12190 SW SUMMER ST PRMT• BON 03/29/20C $50.00 0001017
TIGARD, OR 97223 5PCT BON 03/29/20C $4.00 0001017
Total $54.00
Phone:
Contractor: •
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Misc. Inspection
Phone: 284 -2173 Final Inspection
Reg #: LIC 00000222
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. 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 Signat PO , f r � (,� QQ(,V1/�
1 Oh.— ItiI��+C.,�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By 6W
13125' SW HALL BLVD. Commercial and Residenti E CElVED Date Rec'd 3 - -
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
MAR � 06�i SC
Permit # Vt. - ' �7V /
Print or Type l
Incomplete or illegible applications VTINY Tb ed Called
. me of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job T' - dress
t ' A) Permit Fee 16.00
T ' Suite# )
Address 1) Furnace to 100 BTU
including ducts & vents see footnote 1,2 I 9.65 q (Or
Bldg# f City /State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
Name (or name of busine 3) Floor Furnace
Owner -- �i;s (_ C �� including vent see footnote 1,2 9.65
Mailing Addr ��� 4� 4) Suspended heater, wall heater
q c I or floor mounted heater see footnote 1,2 9.65
\ �\ 1 5i. ,� n� a..o,` 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: 'Boiler Heat Air
ma CA �Z 59' n - 7 9c/ For items 6 -10, see or Pump Cond Qty Price Amt
Name Game of b4iness) footnotes 1,2 Comp
\ \ l 6) <3HP;absorb unit to &.J4C ' (t r Q (pr
M ailing Address 100K BTU ( 9.65 1
Occupant 7) 3 -15 HP;absorb unit
\a q \ 1 i "- 100k to 500k BTU 17.65
City/State Zip Phone 8) 15 -30 HP; absorb
unit . 5 -1 mil BTU 24.15
Contractor e
CA ;. j c � I l r l 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 36.00
\Lca 1{. C,,��,... 10) >50HP; absorb unit
Prior to permit ailing Address >1.75 mil BTU 60.15
issuance, a copy d.1 \S yam__ �[��.1� �\�J 11 Air handling unit to 10,000 CFM
of all licenses City /State Zip Phone 7.00
are required if j aGw? 722 c / v - 3' I` I 12) Air handling unit 10,000 CFM+
' expired in COT Oreg 7 n cons Cont. Boa Lic.# Exp. Date 11.75
database L 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 tOlo O 18) Commercial or industrial type incinerator
Residential ' Commercial 0 48.25 '
ll 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 talcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas Cr LPG 0 electric 0 22) More than 4 -per outlet (eac .75 CO
Minimum Permit Fee $50.00 SUBTOTAL ■ 0
I hereby acknowledge that I have read this application, that the information 0 ' 6i 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 LC/
Si e • - ure of Owner /Agent Date
S � /\ Other Inspections and Fees:
�J�t7 /� 1. Inspections outside of normal business hours (mininum charge -two
Con rson Name \� one / hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
- .!a. .. ZZ P. aI � charge -half hour) $50.00 per hour
Foonotes for commercial proj • is 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:Vn'chperm.doc rev 02/4/99
03/29/00 12:15 FAX 503 284 1552 AAA HEATING a002
1 • RECEIVED
MAR 2 9 2000
T COMMUNITY DEVELOPMENT
<— PROPERTY LINE
75
•
p �e,
garage louse
sidewalk
S.W. SUMMER ST. AIR CONDItIONINGSITE PLAN
DOUG GALLOWA
CONTRACTOR: 12190 SW SUMMER ST.
AAA HEATING AND COOLING TIGARD, OREGON 97223
2913 NE MIX .JR. BLVD.
PORTLAND, OREGON 97212
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