Permit CITY OF TIGARD MECHANICAL PERMIT
4..Tf
& DEVELOPMENT SERVICES PERMIT #: MEC1999 -00458
'�I I I 13125, SW Hall Blvd., Tigard, OR 97223. (503) 639 -4171 DATE ISSUED: 10/26/1999
PARCEL: 1 S134BD -03100
SITE ADDRESS: 12045 SW SPRINGWOOD DR
SUBDIVISION: ENGLEWOOD NO.2 ZONING: R -4.5 •
BLOCK: LOT: 119 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: 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:
• > 10000 cfm:
Remarks: Replace gas furnace in single family dwelling.
Owner: FEES
PARODI, WILLIS MARY LYNN Type By Date Amount Receipt
12045 SW SPRINGWOOD DR PRMT KJP 10/26/19f $50.00 99- 319350
TIGARD, OR 97223 5PCT KJP 10/26/19 $4.00 99- 319350
Total $54.00
Phone:
Contractor:
ROSE HEATING CO
9945 NE 6TH DR
PORTLAND, OR 97211 REQUIRED INSPECTIONS
Heating Unt lnsp
Phone: 503 - 283 -5183 Final Inspection
Reg #: LIC 00002084
ORIGINAL
••
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain co, of these rules or direct questions to OUNC by calling (503)246-9189.
• Issue By: Permittee Signature: `79j Gu�,�i/4.�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
10/19/99 TUE 11:18 FAX 503 598 1960 CITY OF TIGARD 0004
RECEIVED
CRY OF TIGARD Mechanical Per Application Recd Check
13125 SW HALL BLVD. Commercial and Residential OCT 2 5 1999 Date Rec'd
TIGARD, OR 97223
4)
Date to P.E.
(503) 639 -4171, x304 COMMUNITY DEVELOPMENT 0 to DST
Print or Type mK II7Ecl999 "soy 58
Incomplete or illegible applications will not be accepted Called
Name of Development/ProJect Description
Ma L) �N Par c Table 1A Mechanical Code Q Price Amt
Job Street Addre Suite# - Permit Fee - ; 3 16.00
Address i t ®) =A„,. G pr` `e -- ° � . 1) Furnace to 100,000 BTU ��
including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
• Including ducts & vents see footnote 1,2 12.00
• Name (or name of business) 3) Floor Furnace
Owner c jGti't\ e. including vent see footnote 1,2 9.65
• Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
SG►Me 5) Vent not included in appliance •ermit 4.75
City,3tete Zip ' Phone Check ail that apply: •Boiler Heat Alr
• .1 Q` C:1$‘2-- SW--1 ?M' 1 For Items 8 -10, see or Pump Cond Qty Price Amt
Name! r name of business) footnotes 1,2 Comp "
6) <3HP;absorb unit to
Occupant Mailing Address ) 3 -1 BTU 9.65
P 7) 3 -15 HP;absorb unit
100k to 500k BTU - 17.65
City/State Zip Phone 8) 15 - HP; absorb
unit .5 -1 mil BTU 24.15
N ame 9) 30 -50 HP; absorb
Contractor `` `1�_., unit 1 -i.75 :- BTU 36.00
R4 _t
G � 2_ -it�q•"T i11 10) >50HP; absorb unit I
Prior to permit It A dore s ` >1.75 mil BTU _,-1 60.15
Issuance, a copy A e o 11 Air hant:.ing uni:.o 10,000 CFM
of all licenses iState Zip \ Phone 7.00
are required if , [Q• 91 I l . . cjt 12) Air handling unit 10,000 CFM+
expired in COT Oregon Conat. Cont. Board Licit Exp Date 11.85
database �,pg� 9 f If 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/Stete Zip I Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: T 17) Do: nestic lncint: ators
12.00
New 0 Repair O Replace with like kind: Yas' No 0 18) C- . "c."='• cr I .d';: triai incinerator
ResidentlalX Commercial 0 L 48.25
19) Repair units
Additional information ordescription work: 8.40
S1\ 1‘`fn �qS -V'r NC%C-e . 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 calm. See footnote 1 3.75 •
Type of fuel: oil 0 natural gasAlik LPG 0 electric 0 22) More than 4 =per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL � _ +:.4;: • ray ': " czi
•I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 'S,i- %...y t 4=t5
given Is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL F4-= "
the owner, that plans submitted are In compliance with Oregon State laws. Required for ALL commercial permits onl ati
- rr, : ::_
TOTAL E•::_:.:;•r =w - .q
Sign lure f Owner /Agent Date -• . -• .._
1 1:
, f J I d -19-9 9 Other ct and Fees:
1. Inspections outside of normal business hours (mininum charge -two
Contact arson Name Phone hours) $50.00 p. : hour
J 1 ` �/ 2. Inspections for which no fee is specifically indicated (minimum •
1" \A i\ a Tit (■ 1' I el M.��-Sl $� charge -half hour) $50.00 per hour
Foonotes for commerciai 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 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 :Mechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
��//
BUP
Date Requested /aid-00°1 - AM PM BLD
Location / ?O' S acv 5L) ?TZ7 9 I1' ` Suite MEC i q 9
Contact Person 1 / ( Ph 23 �3 PLM
Contractor ( / Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation WV l &,,L4Y3L FPS
Ftg Drain — lam} 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—PAK FAIL
irmEdia
— Post & Beam
Rough In
Gas Line
Smoke Dampers
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 1 7 - 1 Other Date I � Inspector Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST Ala
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP �W'
Date Requested /d 1 AM PM BLD
Location ( s Sp l w'0 A Suite MEC / `l q9- UD � S
Contact Person / I E — Ph .2/3 .C/8- PLM
Contractor Ph SWR
BUILDING Tenant/Owner i ?9 Da&39
Retaining Wall ELR
Footing Access: /,,
Foundation CLd 3 h5Y V fir UJ Ol l ., I h6m'Lww FPS !� �C. iitti
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
PAS RT FAIL
trilM
Post & Beam
Roue • In
Ga ine
S e. e e ampers
Fri
P_r > FAIL
aN14tI 1 [NLIPAIP
Rough In
UG /Slab
Low Voltage
Fi - Alarm
• ART FAIL
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 11
Otheoach /Sidewalk Date ( Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.