Permit CITY TIGARD MECHANICAL PERMIT
MI DEVELOPMENT SERVICES PERMIT #: MEC1999 -00408
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/30/1999
PARCEL: 1S134DD-00300
SITE ADDRESS: 10755 SW TIGARD ST
SUBDIVISION: ZONING: R -4.5
•
BLOCK: LOT: 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Existing oil furnace to be replaced w /new gas furnace.
Owner: FEES
MAI, HIEP Type By Date Amount Receipt
10755 SW TIGARD ST PRMT GEO 09/30/19c $50.00 99- 318739
TIGARD, OR 97223 5PCT GEO 09/30/19c $3.50 99- 318739
•
Total $53.50 -
Phone:
Contractor:
TNT CONSTRUCTION CO
10755 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 516 -0406 Heating Unt Insp
Reg #: LIC 65408 Final Inspection
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 ese rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: 4 ` / - Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busine y
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
1312'5 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 .V1 Date to P.E.
(503) 639 -4171, x304 VV �� "4 Date to DST
Print or Type Permit #M / 1
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
77U VIZ, Table 1A Mechanical Code Qty Price Amt
• S treet Address Suite# A) Permit Fee 16.00
Job ,- 1 1) Furnace to 100,000 BTU
Address ,v�� ��` l/�cs� ✓7 including ducts &vents see footnote 1,2 / 9.65
Bldg# Crty /State Zip 2) Furnace 100,000 BTU+
5y/ocol ( >e' ,, 97) including ducts & vents see footnote 1,2 12.00
Name (or n ame of business / 3) Floor Furnace
Owner 79/ 6 P ,[1,. 1 including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
rS_ / 1 //:94-e--1/ j ; . or floor mounted heater see footnote 1,2 9.65
/�7S 5) Vent not included in appliance per 4.75
Cdy/State Zip Phone sG /�� Check all that apply: *Boiler Heat Air
�/ ,Out • 9722 6 t v,7 ''9 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
/- �¢� 100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
1( PA' , 100k to 500k BTU 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
/7/s>6 7 e� .Q6 unit .5 -1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Name /
m 14 r )1, r i C unit 1 -1.75 mil BTU 36.00
10) >5OHP; absorb unit
Prior to permit Mailing Address / >1.75 mil BTU 60.15
issuance, a copy ./0 Xs S /i���7 Z< 11 Air handling unit to 10,000 CFM
of all licenses Cay/State Zip Phone 7.00
are required if �L ard, Q, /2. .1 S t76 12) Air handling unit 10,000 CFM+
expired in COT Orego Const. Cont. Board Lic.# Exp Date 11.85
,
database ee..e4 ��vg t2 /0/0/( 13) Non - portable evaporate cooler
Architect Name 7 00
14) Vent fan connected to a single duct
4.75
Or Mailing Address
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 At Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residential* Commercial 0 48.25
19) Repair units
Additional information or description of work: 8.40
i_,a, , 20 ) Wood stove /gas FP /other units /clothe dryer /etc.
��� (--'�'ilf �� 7.00
NOTE: For CommerciI projects only; Unit over 40u lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 ? 3.75
Type of fuel: oil 0 natural gas. LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL Vie' 50.00
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE `; 5.5C
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that pl ns submitted are in com with plian'' h O regon State laws. Required for ALL commercial permits only
TOTAL . "530
Signature ofegent Date
I \I P / I A ( /) , N 9 13
Other and Fees:
�� 1. Inspections ecticoons ns o outside of normal business hours (mininum charge -two
Contact Person Name r ' Phone / 1 hours) $50.00 per hour
.P3 �/6, N/v / 2. Inspections for which no fee is specifically indicated (minimum
��� v L . [� charge -half hour) $50.00 per hour
Foonotes 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 *State Contractor Boiler Certification required
units.
* *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-Hourinspection Line: 639 -4175 Business Line: 639 -4171
BUD
16 24 e al Date Requested (( • AM PM
BLD
Location _ _ifI uite MEC / ) 9 OQ' *
Contact Person poyi Ph 5/6 —O / D( PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall • ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:� '?
Post & Beam
Ext Sheath /Shear (.14 i /_ ?�
Int Sheath /Shear
Framing -
Insulation
Drywall Nailing L' /1� _�� ! ?_ _ / i J1 /' • f — /
lL A
Firewall '
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam /f /�
Under Slab ( G /
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Po :eam
` `o
pers
PART FAIL
EL 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
Other Date C " ! Inspector 11
Ext
Final
1
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.