Permit CITY OF TIGARD MECHANICAL PERMIT •
1*. „ ; r�. DEVELOPMENT SERVICES PERMIT #: MEC2000 -00227
` � 1 1 " 13125 S W Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/8/00
PARCEL: 1S133DA-02000
SITE ADDRESS: 11045 SW SUMMER LAKE DR
SUBDIVISION: AMART SUMMERLAKE ZONING: R -7
BLOCK: LOT: 042 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:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of exterior NC unit. Unit cannot be placed within the required setbacks. Change around gas in
front of furnace for A/C coil.
Owner: FEES
WAYNE MCCROSKEY Type By Date Amount Receipt
11045 SW SUMMER LAKE DR PRMT JMT 6/7/00 $50.00 0002778
TIGARD, OR 97223 5PCT JMT 6/7/00 $4.00 0002778
Total $54.00
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 _ REQUIRED INSPECTIONS
• Gas Line Insp
Phone: 231 -3311 Mechanical Insp
Reg #: LIC 102030
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: /—"1121e--- Permittee Signature:
Call () 639 -4175 by 7:00 P.M. for inspections needed the next business day
08/12/99 THU 11:18 FAX 503 598 1960 CITY OF TIGARD IiiJ002
CITY OF TIGARD E �A Permit Application an Pit Applicati Plan Check #
R Recd By m o..
13126'SW HALL BLVD. ommercial and Residential Date Recd
TIGARD, OR 97223 JUN 0 6 2000 Date to P.E.
(603) 639 -4171, x304 /f1� D to to DST
COMMUNITY DEVELOPMENT Print or Type
'n�000 ..._7._=_..,2,7
Incomplete or illegible applications will not be accepted Called •
Name of Development/Project pescription -
Table 1A Mechanical Code • Price Amt
Job Street Address - Suttee A) Permit Fee 'j:�._ " MO 16.00
Address CJ so rn l-cc. v_ 1) Furnace to 100,000 BTU
�S �� �� � o Including duds & vents see footnote 1,2 9.65
Bldgfl 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 lea p • at e t - O S including vent see footnote 1,2 9.65
Meiling Address J 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
1 I. p C{ C �� S u m m,e r Later D r. 5) Vent not included in a ?ptiance permit 4.75
City/State ZIP ' Phone Check all that apply: *Boller Heat. Air
"I L ck_r - c) , C -. -- 51 q i r i 13 For items 6 -10, see or Pump Cond Qty Price Amt
Na name of business) footnotes 1,2 Comp "
6) <3HP;absorb unit to
• Occupant Mailing Address 100K BTU _ 9.65 Q(
P 7) 3 -15 HP;absorb unit
3. 100k to 500k BTU 17.65
City/State Zip Phone 8) 15-30 HP; absorb
_ unit .5-1 mil BTU 24.15
Name 9) 30-50 HP; absorb
Contractor unit 1 -1.75 mil BTU 36.00 • V- tt; 6 Cc� �\ ci�k r‘5 ` l �cDcDtlnc, 10) >5OHP; absorb unit
Prior to permit Melling Address l• >1.75 mil BTU
issuance, a copy I (OSC) $....) E ( p n-, s c. ,.. c- L 11 Air handling unit to 10,000 CFM 60.15
of all licenses ny /S�e Zip Phone
are required if k o A- cry- d O e_ 5 Z ef - i-11 t 7.00
- i2 . �1 12) A ir handling unit 10,000 CFM+
expired In COT Oregon Coast. Cont. Board Ue.S Exp. Date
11.85
database LC) 7.___t_ Cs) 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 Cny/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 0 No 0 18) Commercial or industrial type incinerator .
Residential (K Commercial 0 48.25
19) Repair units .
Additional information or description of work - 8.40
1 ►'L 5-- c_\_( ADr l 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 calcs. See footnote 1 1 3.75 v /
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4-per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL - 6a ,-"=; Sc , CIO
I hereby acknowledge that I have read this application, that the Information R. -7!o SURCHARGE fir.-`_ - ;1: - 4 ,kip
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ` =`_;; •` P -t'; Na'
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only . 7...t � .. :,_
TOTAL ::};z- _- ' , 0 , ., _
. _., err , ,_ _ .
Signature of Owner/Agent Date .. Sk-1 � 06
/ / f1 � -� R
• Other Inspections and Fees:
•c- (D - 5 -00 1. Inspections outside of normal business hours (mininum charge -two
Contact on Name f Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically Indicated (minimum
Ot y i p -Z 7- charge -half hour) $50.00 per hour
otes for commercial 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 - one-half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. •State Contractor Boller Certification required
• "Residential A/C requires site plan showing placement of unit
1:1mechperm.doc rev 7/19/99
.
Job Site Plan
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ti.. ,.v.•. ....::t,W_. ? - -- — _ --
$ o
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Additional Instructions:
Refrigeration line size
Condensate Pump 4.1 Yes ti.d No ❑ Box New Registers
Vibration Pads New Grills
• Add Return Duct
Add Supply Duct
Special Needs
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Li e: •39 -4171
' •r ( CO BUP
Date Requested W VAMP PM BLD
Location / 10 `l ,5 17U4 Lir Suite MEC 9/566 - 0()2,1`]
Contact Person (A t 4 /IA Ph 21/7- 2S `7 PLM
Contractor Ph SWR p
BUILDING Tenant/Owner ELC f Q X ;1 p
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 " /C__ d elfe ! %
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 FART FAIL
ECHA TC1
Post& Beam
Rough In
Gas Line
Sm.. - Dampers
•": PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
•��� PART FAIL
S TE •
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 / i/1110
Approach /Sidewalk Date 10 o Ins j' // Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.