Permit CITY TI RD MECHANICAL PERMIT
l DEVELOPMENT SERVICES PERMIT #: MEC1999 - 00484
r• • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/1999
PARCEL: 1 S135DC -05000
SITE ADDRESS: 09392 SW TANGELA CT
SUBDIVISION: TANGELA ZONING: R -
BLOCK: LOT: 005 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: Install electric furnace with like kind.
Owner: FEES
DENNISON, MICHAEL C + JENNIFER Type By Date Amount Receipt
18142 E DORADO AVE PRMT DST 11/10/19C. $50.00 99- 319708
AURORA, OR 80015 5PCT DST 11/10/190 $4.00 99- 319708
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER
(CCB EXP 6/2002) REQUIRED INSPECTIONS
PORTLAND, OR 97206
Heating Unt lnsp
Phone: 771 -1145 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. 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: 1 Gcje-e.J
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
NOU -04 -1999 17:15 H.
\.•I I I .1I I Rani \v roIa.vr,aeIIIv% , I %.11111• i KAC'd by
13125 tW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 - 4171, x304 Date to tA-Y0 /053/ g9 Print or Type
Permit uMEC1999 -Po 59y
Incomplete or illegible applications will not be accepted Called
•
Name of Dovelopment/ProJect Description
T ,° � i 'Denn iSOri Table IA Mechanical Code Q Price Amt
Job street Address A) Permit Fee t� , g 16.00
Address P3 9� W lC 1) Furnace to 100,000 BTU ll (p5
t (4 , including ducts R vents see footnote 1,2 / 9.65 -- 7 -
eldgtr city /suit Zi p 2) Furnace 100,000 BTU+
]/�1 1'd q 7,3 including ducts & vents see footnote 1,2 12.00
Name or name of business) �""" , 3) Floor Furnace
Owner enn 14 " e j - T) e / s61t. 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
/e/ L/ E or 4 VI 5) Vent not Included in aspliance permit 4.75
City/Sidle Zip - Phone Check all that apply: 'Boiler Heat Air
A urora , Co. FtC/S For Items 6 -10, see or Pump Co�nd Qty Price Amt
Name (or name of business) footnotes 1 , 2 Comp
6) <3HP;absorb unit to
100K BTU 9.65
Occupant Mailing Addross 7) 3-15 HP;absorb unit
100It to 500k BTU --" 17.65
City/State Zip Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
N ame 9) 30 -50 HP; absorb
Contractor // '^. unit 1 -1.75 mil BTU 36.00
Caen • mor L a r) 0 auri i 10) >50HP; absorb unit
Prior to permit itin Address �11 c L >1.75 mil BTU 60.15
issuance, a copy LiK ('p 5k) (a r(7 v � _, 11 Air handling unit to 10,000 CFM
0( 7.00
all licenses C / ate Zip PrI no _
are requited if - 7 ) rd Or 70,13 41 -(p)&. 12) Air handling unit 10,000 CFM+
expired in COT oreeo amt. Coot.doard Lic.# Exp. Oat 11.85
7 4
database i ) " 0 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
or Moiling Address • 15) Ventilation system not included In
appliance permit 7.00
Engineer City/stare Zip Phone 16) Hood served by mechanical exhaust
.....•
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Re alr 0 Replace with like kind: Yes, No 0 18) Commercial or Industrial type Incinerator ,
Residential 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.
t; 'I Sta_. 1,1...r nee, °U 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas call. See footnote 1 3.75
rype of fuel: oil 0 natural gar LPG 0 electric C, 22) More than 4 - per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL t tt.50e
hereby acknowledge that I have read this application, that the information ' r Jo -SURCHARGE 'I iliM 430044 I] EP
liven is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL .;, ;;,.;t . ,,,.+<3
Required for ALL commercial permits only `r' ' . .;;'..e. .
he owner, that plans submitted are in compliance with Oregon State laws. TOTAL 5. 1 - AM; , 4 t' ''' od
>Ignature of OwnerlAgent Date - I
Other Inspections and Fees:
. 1Ka.-1/--4.0 // �g 4 / - 7 9 1. Inspections outside of normal business hours (mininum charge - two
:on ct P rson Name Phone hours) $50.00 per hour
T 2. Inspections for which no fee is specifically Indicated (minimum
�� l ///---S � � S �1,�30 charge -half hour) $50.00 per hour
'o otes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge - one -half hour) $60.00 per hour
. Provide drawings to scale showing existing and proposed mechanical
units. 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of ynit
lArsechperrn.doo rev 7/19/99 t n /J _ Z fj .
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP •
Date Requested /7 //2_' AM PM BLD
c
Location / 3.92- &tf Suite MEC I cq 900 L/ 0 4 1
Contact Person Ph CP, 0 3 0 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing At-6-6_0
Foundation G ,�� C. 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
MECHANICAL •
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS P4 T FAIL
CTRIt✓
.
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
ina
TASS) 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 // Py Inspector ,f Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.